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SEQUOIA ESTATES BLK 2 LT 4
0, Acgtc� E &UC, k A - 0 Municipality of Anchorage On -Site Water and Wastewater Section • (907) 343-7904 Page 1 of 3 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP221406 PID Number: 017-152-22 Dwelling: 0 Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New ❑9 Upgrade Name Cyd Sneed ABSORPTION FIELD ❑ Deep Trench ❑ Wide Trench ❑ Bed ❑ Mound Site Address 6731 Spectrum Cir, Anchorage, AK 99516 ElOther Phone Number of Bedrooms Soil Rating Total depth from original grade 4 GPD/SF Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade Ft. Gravel depth beneath pipe Ft. Subdivision Block Sequoia Estates 2 Lot 4 Fill added above original grade Gravel length Township Range Section Ft. Ft. Gravel width Ft. Beds: Number of Lines Distance between lines Ft. SEPARATION DISTANCES To Septic Absorption Lift Station Holding Sewer I Total absorption area Number of trenches Dist. between trenches From Tank Field Tank Line Ftz Ft. Well >100' N/A N/A N/A >25 TANK ❑ Septic R S.T.E.P. ❑ Holding ❑ Other Manufacturer Anchorage Tank Capacity 1500 Gal. Surface Water >100' N/A I N/A N/A Material Steel Number of compartments 2 Lot Line >5' N/A N/A N/A NA Foundation >1o, N/A N/A N/A LIFT STATION Manufacturer N/A Capacity N/A Gal. Remarks Alarm location Garage Electrical installed by DRS Electric Installer PIPE MATERIAL House to tank D3034 drainfield Tank to D3034 Precision Excavation Drainfield CO/MT D3034 Inspector M.Jakubisin BENCH MARK (Assumed elevation) 100 ft Inspection 15t 5/19/23 Location and description nd 2 gra t Bottom of Siding 4 ON-SITE WATER AND WASTEWATER SECTION APPROVAL Engineer's Stamp Conditional Approval: Date Septic Syste Approved Da Note: this approval does not include well permit require nts. MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program PO Box 196650 4700 Elmore Road Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 http://www.muni.org/onsite On -Site Wastewater Disposal System Permit Permit Number: OSP221406 Work Type: SepticTank Upgrade Tax Code Number: 01715222000 Site Legal Address: SEQUOIA ESTATES BLK 2 LT 4 G:2939 Site Mailing Address: 6731 SPECTRUM CIR, Anchorage Owner: SNEED MAGNA CYD Design Engineer: FORGE ENGINEERING This permit is for the construction of: Effective Date: Expiration Date t 1Z r, t epartineiit Lot Size in Sq Ft: Total Bedrooms: 10/14/2022 10/14/2023 39933 ❑ Disposal Field 2 Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage All construction shall 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 shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing Veronica Pope GE 2022.10.14 Received By: 15:26:04 -08'00' Date: Issued By: Date: d/ Z 4 MUNICIPALITY OF ANCHORAGE Community Development Department Phone: 907-343-7904 Development Services Division Fax: 907-343-7997 On -Site Water & Wastewater Program ON-SITE SEWER/WELL PERMIT APPLICATION Parcel I.D. 017-152-22 Property owner(s) Cyd Sneed Mailing address 6731 Spectrum Cir, Anchorage, AK 99516 Site address 6731 Spectrum Cir Day phone Legal description (Sub'd., Block & Lot) Sequoia Estates, Block 2 Lot 4 Legal description (Township, Range & Section) Lot Size 39,933 Sq. Ft. Number of Bedrooms 4 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (N all that apply) Absorption Field ❑ Initial ❑ Single Family (SF) ❑X (w/wo ADU) Septic Tank ❑X Upgrade FX]Duplex (D) ElHolding Tank ❑ Renewal ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit/Rush Fees: Date of Payment: Receipt Number: Permit No. D SPS a Nb(I Permit App_.:- : .....c Waiver Fees: Date of Payment: Receipt Number: Waiver No. Benjamin Schiller CE 12592R E GISTEREDPROFES S I O N A L E N GINEER 1"=50' CO - CLEANOUT 2CO - DOUBLE CLEANOUT FCO - FOUNDATION CLEANOUT FS - FLOW SPLITTER VALVE MH - MANHOLE MT - MONITORING TUBE SV - SEPTIC VENT TH - TEST HOLE LEGEND PERMIT # OSP221406 PID # 017-152-22 SEQUOIA ESTATES, BLOCK 2 LOT 4 A B 2CO 50.0 MH1 53.4 MH2 60.2 A B 14.5 14.5 14.6 FEET 0 50 100 G U N N I S O N D R I V E 5/22/23 S P E C T R U M C I R C L E 10' UTILITY EASEMENTS EXISTING SEPTIC BED 1,500 GAL STEP TANK 10' SEPARATION FROM FOUNDATION CONFIRMED PLAN AS-BUILT 2CO MH2 MH1BENCHMARK: BOTTOM SIDING PROFILE AS-BUILT (NO SCALE) 90.4 85.6 91.0 96.7 2C O MH 1 MH 2 1500 GAL SEPTIC TANK Benjamin Schiller CE 12592 R E GISTEREDPROFES S I O N A L E N GINEER 5/22/23 PERMIT # OSP221406 PID # 017-152-22 SEQUOIA ESTATES, BLOCK 2 LOT 4 °o. PLOT PLAN ___ AS BUILT _X_ SCALE _1"_= 50__ GRID _ SW 2939__ Project No. 11500 Daryl Avenue, Anchorage, Alaska 99515-3049 Lang & Associates, inc. (907) 522-6476 Phone 00000p40 2-46 Professional Land Surveyors (907) kenOlansurvgsurye y. Fax o OF A����4 com jonothanOlongsurvey.com .•' S I hereby certify that I have surveyed the following described property: LOT 4, BLOCK 2, SEQUOIA ESTATES (PLAT No. B2-375) Anchorage Recording District, Alaska, and that the improvements situated thereon are within the property lines and do not encroach onto the property adjacent thereto, that no improvements on the property lying adjacent thereto encroach on the surveyed premises and that there are no roadways, transmission lines or other visible easements on said property except as indicated hereon. Dated this the —fit_" _ Day of __L\L�______, _l:—Z�_, at Anchorage, Alaska It is the responsibility of the owner to determine the existence of any easements, covenants, or restrictions which do not appear on the recorded subdivision plat. 49TH �* NN G.NG o F s �4�PFo •..�5— 2 2.•'• 5�4 ° 'OP 40Nzopzsslotw- "5 AECC963 September 25, 2022 MOA Development Services, On-Site Water & Wastewater Program 4700 Elmore Rd Anchorage, AK 99507 Subject: Sequoia Estates, Block 2 Lot 4 Septic system design Dear On-Site Services Engineer: The owner of the above lot has a septic tank that has reached its end of useful life, so we are submitting this permit application for its replacement. The attached site plan identifies the location of the 4-bedroom home as well as the wells and septic location. No conflicts exist between this proposed system and any other wells or septic system, whether on this lot or adjacent lots. We are replacing the septic tank with the same size. The new septic tank will be a minimum of 100’ from all wells and surface water, and more than 5’ away from the absorption field. Please refer to the attached plan for the septic design. If this design is followed, there will be no adverse impacts to adjacent properties. Sincerely, Benjamin Schiller, PE Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP221406, Deb Wockenfuss, 10/14/22 Benjamin Schiller CE 12592R EGISTEREDPROFES S I O N ALENGINEER 1"=50' CO - CLEANOUT 2CO - DOUBLE CLEANOUT FCO - FOUNDATION CLEANOUT FS - FLOW SPLITTER VALVE MH - MANHOLE MT - MONITORING TUBE SV - SEPTIC VENT TH - TEST HOLE LEGEND SEQUOIA ESTATES, BLOCK 2 LOT 4 FEET 0 50 100 NOTE: NO SLOPES >25% WITHIN 50' OR SURFACE WATER WITHIN 100' OF THE PROPOSED SEPTIC SYSTEM ALL WELLS ON SURROUNDING LOTS WITH IMPACTS TO THIS PROPERTY ARE SHOWN. NO CONFLICTS WITH WELLS OR SEPTIC SYSTEMS.GUNNISON DRIVE9/27/22 S P E C TR UM C I RCL E 10' UTILITY EASEMENTS EXISTING SEPTIC BED DECOMMISSION EXISTING STEP TANK PER UPC NEW 1,500 GAL STEP TANK Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP221406, Deb Wockenfuss, 10/14/22 °o. PLOT PLAN ___ AS BUILT _X_ SCALE _1_==50_ GRID _ Sy_�939Project No.___22=589fA1____ 11500 Daryl Avenue, Anchorage, Alaska 99515-3049 Lang & Associates, inc. (907) 522-6476 Phone 0O00p0� (907) 522-4625 Fax o0pOF A p�4 Professional Land Surveyors kenOlangsurvey.com c 9 p jonathonOlangsurvey.com A�A�_.• ..,5`,VA I hereby certify that I have surveyed the following describedproperty: Off,' 49TH 9 LOT 4, BLOCK 2, SEQUOIA ESTATES (PLAT No. 82-375) � *•'� Anchorage Recording District, Alaska, and that the improvements situated thereon are """ ......' ' within the property lines and do not encroach onto the property adjacent thereto, that 0 no improvements on the property lying adjacent thereto encroach on the surveyed d•A•• premises and that there are no roadways, transmission lines or other visible Qp c KENN �(G. .NG easements on said property except as indicated hereon.(0L02.• ' S°o Dated this the _ lL _ Day of at Anchorage, Alaska Q '00o Z? 4�nR? SSI ONA, �o It is the responsibility of the owner to determine the existence of any easements, covenants, or restrictions which do not appear on the recorded subdivision plat. AECC963 �PiJ rirj2f�Q7?i �dJ CSG J�/ccvr rvt AF ANlilORAGE Dt T., of �iEALTH & �!OVMED tJ PROTOTON 1989 OCEIED Chucks Backhoe April 18, 1989 Sra Box 1498A Anchorage, Ak., 99507 Chuck, You had been notified by Leo Reed of Alaska Environmental Controll Services on April 3, 1989 of the break in the sewer line @ 6731 Spectrum Circle and agreed to correct the problem as it clearly a defect in your work._:As.:.of__this-_date,_the work has not been completed. The problem must be corrected at once as it poses a potiental health problem. You have until April 28, 1989 to correct the problem as it is a defect in your workmanship and your responsibility. Mr. Sneed has been very tolerant but now has treatened to take legal action if the break is not fixed by April 28,1989. I can assure you if the problem is not corrected by that date, I will hire another contractor to do the necessary re- pairs and I will take any and all legal steps necessary to recover my expences and attorney fees. You can be certain the costs will far exceed your cost to correct a problem you created. I expect your full cooperation to correct this at once. "`- K.M. Dennison 21644 N 9th Ave. Ste 107 Phoenix AZ., 85027 CC Spencer Sneed Municipality of Anchorage Dan Bolles 21617 North 9th Avenue, Suite 105 • Phoenix, Arizona 85027 • (602) 581.2033 ALASKA ���RA0M��0MC���8U ���MT�M| ��DN���� �y�� ^ ����\���� �UU��U��U��UUUC�XU]�L ��������i J[��0���J/ U���. April 11, 1989 Mr. Ken Dennison 19219 North 15th Place Phoenix, AJE 85024 RE: Lot 4, Block 2, Sequoia Estates Dear Mr. Dennison: On April 39 1989, at about 7o30 p.m., I visited Spencer Sneed's house in response to his call that the ditch near the mound had started to sink. When the lift station was operating, I could hear water noise from one of the cleanout pipes in the bed. That, at the place where the pipe from the lift station enters the bed, we heard water running. I shoveled away the snow and found that a fairly large area had been washed out around the pipe. I looked at the pipe and it appeared to be disconnected. There was no ice in the soil near the insulation. It appears that when the grading was done, the tractor may have broken the pipe or it became disconnected. It is definitely a defect in workmanship. We covered the hole again to prevent freezing or damage. On the way back home., I left a note at Chuck's Backhoe Office explaining the problem. Several days later Chuck called me and he agreed that he needed to fix the leak, but that there was a dispute between him and you. My estimate of the extent of the work needed would be to move several cubic yards of soil to fill the settled trench, reglue the pipe and then recompact the soil around the pipe where it has washed away" As there is sewage leaking from the pipe this leak should be repaired as it is a potential health hazard. If you have any questions, please let me know. LCR/sr Sincerely yours., nresioent w12VVCAzao0Avenue *Anchnoac4e, AbokupY5o 0(907)27+5553 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES 0/ 7 ISZ 2 Z Environmental Health Division 825 "L" Street, Anchorage, Alaska 99502, Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Name Pl1 C. ' 2 ec n n, s c DISTANCES TO FROM SEPTIC TANK ABSORPTION FIELD WELL Ad rens �3 9SaJ-7o Phone(s) Permit No. No. of Bedrooms f' WELL '— 106 LOT LINE 3S j LEGAL DESCRIPTION Lot Block Subtlivision41" _ FOUNDATION Township, Range, Section n ` a /L) P 3/3 s 9L AS-BUILT DIAGRAM driveway, water bodies, (Show location of well, etc.) septic system, property lines, foundation, TANKS ❑ SEPTIC ❑ BOLDIN C /' C k� i .y Manufacturer Capac allons Material No. of Compartments TYPE OF SYSTEM ❑ TRENCH X BED ❑ W. DRAIN []OTHER Depth to pipe bottom from original grade Total depth from original grade ; C- _ �- Fill added above original grade J FT N Gravel depth beneath pipe • 5 FT Gravel length .6 / FT Gravel width frr ' FT Total absorption area '75zj SO FT Distance between lines C FT 4 o / t 15 n r V"A I&,-/ S c Number of lines -3 Soil rating /1)6� SO FT Pipe material Installer LL X /� 0 ei !J" Date IInnssttalle - WELLS 1 PRIVATE ❑ OTHER fide ' Classification (A,B,C) Total Depth FT Cased to FT Installer Date Installed: 1-7 REMARKS: ell vim— -r9b'iQri Scale: Inspections Date: Performed L by: ENGINEER'S SEAL - r r� ' �. �G C Cody that this inspedion was performed worho to all Municipal and Slate guidelines in effect on this date: %�/P/$P Health Department Approval: , Date: 72-013 (3/85) MUNICIPALITY OF ANCHORAGE Department of Health & Human Services 825 L Street, Anchorage, Alaska 99501 343-4720 ON ---- SITE SEWER PERMIT Permit Number: 880160 Upgrade Dat� Issuccd: 88/15/88 Engineer Designed Owu--r Name: SPENCER SNEED Owner Address: 4740 KENT DRIVE ANCHORAGE9 AK 99503-7064 Day flhoncc., Parcel Id: 017�152... 22 Lot Legal: Subdivision: SEQUOIA ESTATES Lot: 4 Block: 2 - -- Section: 26 Township: 12N Range: 3W I.A. Size 37500 (sq. ft. or acres) Max Bedrooms: This Permit: 4 Total Capacity: 4 � SEPTIC TANK: Mimnimutotal septia tank capacity: 1,250 gallons, Each sepH-Ac: tank :nust have at least 2 compartments" Depth to top of septic tank(s) < 4"0 Wet requires insulation over tank(s)" INFORM D"H.H"S" PRIOR TO 1ST & 2N1) BY ENGINEER, IF AFTER OFFICE HOURS� CALL 343~4681 AND LEAVE A MESSAGE" COI'll STRU[] PER EN8INEERS ATTACHED APPROVED DESIGN, THIS PERMIT EXPIRES 12/31/88" THIS PERMIT VALID FOR A SINGLE FAMILY RESIDENCE ONLY" l CERTIFY THAT: 1, I am familiar with the requirements for on-site sewers and wells as set forth by the Municipality of Anchorage (MOA) and the States of Alaska" 2^ I will install the system in accordance with all MOA codes and regulations, and in compliaOtwe with the design criteria of this permit, ON. I will adhere to all MOA and State of Alaska requirements for the set back distances from any existing wellr, wastewater dispogal system or public sewerage system on this or any adjacent or nearby lot, 4" I understand that this permit is valid for a maximum of' 4 bedrooms" I also understand that the capacity of the total system is 4 hedrooms and any en|a t illr ce a n a cl d i t. i to n al pcmrmit^ Sig1ed: DATE: (Owner> S R SNEED ^� Issued Qy: DATE: A, ° Ec S ALASKA CIIUIR01111Cf1TAL C011TROL SCRUIRS, Inc. o Engineerinq & 13nuironmental Studies SPECIFiCATIO\S FOR BED WASTEWATER TREATMENT SYSTEM LEGAL DESCRIPTION: LOT 4, BLOCK 2, SEQUOIA ESTATES SUBDIVISION 1.0 GENERAL 1.1 The drawings, sheets 1 through 4, shall be part of this specification. 1.2 All materials and workmanship shall meet the requirements of the Municipality of Anchorage, Department: of health & human Services (DHHS), the conditions of the permit, and all applicable rules and regulations currently in effect. 1.3 All excavations and depths are advisory, and are to be Verified or modified in the field by the Engi_Ileer or inspecting agency. 1.4 it is the responsibility of the owner or installer to adhere to approved design for the installation, to maintain: the specified separation distances and to have the appropriate inspections. 1.5 If the installation is not inspected by an AECS engineer, AECS will not be responsible for the installed system. An engineer at AECS should be consulted prior to construction, to determine the number of inspections that will be required aIhd to explain what these inspections will involve. 2.0 Septic Tank 2.1 The, existing septic tank may be used, if it meets the capacity requirement for the residence and the approval of DHHS. Older systems may need tank integrity verifed. If not, :,hen specifications 2.2 through 2.6 apply. 22,2 The septic tank shall be, a UPC -Approved two-compartment taIlk, constructed of 12 -gauge steel with bitllmastic coating and set level oIl Undisturbed soil. if the tank is buried at a depth of 4 feet or less, it must be insulated with an overlyiIhg layer of 2 inch burial type polystyrene rigid board insulation. 2.3 The septic tank shall be a minimum of 5 feet from the, house foundation, and a minimum of 5 filet from the absorption area. 2.4 The septic tank and bed shall be a minimum of 100 feet from any private well or body of water, 150 feet from Class C wells, and 200 the from Class A of B wells, unlessotherwise specified. Less than :.lie required separation distance must have prior approval or waiver by DHHS or Alaska Department of Environmental Conservation (ADEC). 2.5 Piping shall be fitted with a mechanical watertight caller coupling on the outlet and inlet of the septic tank. Inlet piping shall be 4 -inch solid PVC ASTM D3034 or cast iron, sloped a minimum of 1/4 inch per lineal foot. Outlet piping shall not be less than 1/8" per foot slope. If the piping is 1200 West 33rd Auenue, Suite B • Anchorage. Alaska 99503 9 (901) 561-5040 buried ai. a depth of 4 feet or less, it must be insulated with an overlying layer of 2 inch burial type polystrene rigid board insulation. 2.6 Cleanouts shall be installed as designated and capped with air tight rain. caps (Jim caps or equivalent), and extend a minimum of 1 foot above ground level. 2.7 Lift Station - Tile existing lift station may need some mechanical repairs before it can be used. Demonstrate ability to pump to bed area before using. 3.0 Seepage Ped 3.1 The sand shall have an effective size of 0.4 to 0.6 MINI and a uniformity coefficent of not more than 3.2 Tile gravel for the bed shall be 0.5 to 2.5 inch, screened rock with less than 3% passing the #200 sieve residual, All substitutes must have prior DHHS approval. 3.3 The bo -atom of the excavation shall be level and raked with the backhoe blade to insure that the bottom has not been compacted during excavation. 3.4 The distribution pipe shall be perforated 4 -inch rigid PVC with a minimum crush strength of 1500 pounds and shall meet the approval of DHflS for use as drainfield pipe. All pipes shall be laid level, and spared according to the drawings. 3.5 Monitor standpipes shall be Placed as sho*:vn in the drawings. They shall be 4 -inch rigid PVC ASTM D-3034, or cast iron. The section shown with holes may be either drilled 0.5 incl] holes on 6 inch centers on opposing sides of the pipe, or a section of regular perforated sewer pipe may be clamped to the solid section with a no --hub coupling or solvent joint. Perforated section shall be located in gravel only. The portion of pipe above the sewer rock shall be solid. A rubber raincap (Jim Cap or equivalent) shall be placer] over the top of the pipe. 3.6 If the final _grade over the bed is less than 4 feet above the gravel, insulation is required, using burial type polystene rigid board insulation. There shall be 1 inch of insulation for every foot of soil less than the required 4 feet of cover, but there must be at least 24 inches of sort even though insulation is used. The solid pipe extending from the septic tank to the drainfield shall also have 4 feet of cover or an equivalent layer of insulation combined with soil. 3.7 if insulation is not necessary, then the gravel must be covered with a Layer of a nonwoven engineering .fabric. 3.3 The top and .sides of the bed shall be planted with a white clover and red fescue mix or Mile, grass. 4.0 Inspections 4.1 This bed will require a minimum of three inspections. The first inspection will be of the open excavation, to assure that the system is installed in the proper soil strata, correct depth and meet minimum specified design parameters. 4.2 The second inspection will be performed after sand fill .is installed, but prior to placement of gravel and distribution pipes. This inspection will verify that the filler is properly installed, that it meets specifications and that it fulfills the intention of the design. 4.3 The third inspection will be alter placement of gravel, monitor standpipes, and distribution pipe, to verify proper installation and position of pipes prior to backfill. 4.4 The inspection of the septic tank/lift station installation can be incorporated with any one of the above listed inspections. ALASKA ENVIRONMENTAL JOB CONTROL SERVICES, INC. 1200 West 33rd Avenue, Suite B SHEET NO. / OF?� ANCHORAGE, ALASKA 99503 CALCULATED BY / DATE (907) 561.5040 CHECKED BY DATE Rr.Al F f L: s e , 10• X 20• UTILITY ESMT 0 r Kit oF At 1,141 •s1s Af 0:0 0 00 . *:s�M 1 Of • Y C. REID, • �� ww CE•2251 •• "t y s�nl • ••Ap / v S ft IlkL ` 4, , E On y" W e� / • a. CIA t 0 0 J GLOBAL ENTERPRISES MOO WEST DIMOND OLVO * 1495 ANCHORAGE• AL ASK A 99302 (907)349.US2 (907)349.6075 C] tlA11111 By OAT[ 111WICCOTIVICATION OAT[! IPIOLM R D /8,1�e�,E'p4 n Lw w, m"s � � • tnlpaLR MItf0Lt1/11 M[ 2939 R p / MTM" tort/t( tw• fwliwlwg MserltrM Property, LN_ -__,—01+r• 2 —SEOu01A ESTATES suer Awc wmr M•. Mewr'olwq Ireefwtl, wl•su, w•f 0000 •wow*we ti l.•. of at •ti 0•rwc- tlA0k, aM fw•t too ~OWOoeml• •Rested toerwoo N• w/tool" two ►reperlq #love a" M ft" oreflep of •mcreafw M flow pwrwrw►t♦ Isamq N/•ewal aMfelo •••IHs Ot Mre/M •weao. 1%" M taproerowmis M 1M proporly Ifirlwq Mfocewt 1MrN0 *off"" M low M6•f Ns to lime•llom awl foal there aro we rat•Aw•rs. t►awwtes/ww flows of elwer e1•••rw1• oA eatl poperaq wKwh as tw/temovA wwrwmo. ta1•le, .r• N "sword. MMI 11010 1%"# eoeoo w for r0cowe" plat 0.0 Mt •oemo Mr~' It to fNtMr 001'rel0M tort •ccwPtattf0 aM M 0M 0f our ►•K ►lam of tow allow• a •te rwpreeeetatlw. 0111 fumftltol• .1ftsm.to I wepmws loll lrT 1... .•l rarrwrt0w•• •mg •crorwl to Ht •gym; Aw/q. fl 1• low .00" •.wtlaq M low Q11~9 0f feffllOrr. Prlwr 1• fM•1lefl ttim, so rsninrn t w// nN I f III 1191 M I M I I I I 111111 M /I14 1/11tH 1, gN91M /, N tees#•ftrwwf btllcw y 001 a•pwar M 1M r•cwMl plot. ••ll •lw0 �11t Mfwf P•ww111 •0»r N11lrl lt,rpr tre•rlrM 0y ♦MM �1 elMltM AM 27 PLOT ►LAM/ASEWLT L 6 ALASKA ENVIRONMENTAL CONTROL SERVICES, INC. 1200 West 33rd Avenue, Suite 6 ANCHORAGE, ALASKA 99503 (907) 561-5040 U N !f A JOB SQi oiz Es�axs 9.2 AV SHEET NO. OF J CALCULATED BY DATE CHECKED BY DATE 9 /" y Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION TEST PERFORMED FOR: Fey, N /'1 15. ON DATE PERFORMED: i LEGAL DESCRIPTION: /a 4,les d 2 Township, Range, Section: j/dA) 2,��J Sd.g� SLOPE SITE PLAN DEPTH 14 15- 16- 17- 18 51617 18 19 Reading Date (FEET) Net Time 1 Net Drop >7 u 2 /D 0,67 -o•Y o./? �o2wr 3 0,67 ^0.3-2 o•/T 4 79O 7 o D 0.67-o.rL o.rf y 7J -bop T� 067 6 80 3 F/O to /" G 7 - 0, J- 0/6 sig 8".70 go '9 T11 .r aT X31- 9 10 WAS GROUND WATER ENCOUNTERED? 11 S 1F YES, AT WHAT 0 12 DEPTH? - P E Depth to Water After -3 Afo"/ 7,4.e- jr 13 Monitoring? "Y� " Date: 7 zr. 14 15- 16- 17- 18 51617 18 19 Reading Date Gross Time Net Time Depth to Water Net Drop / �zz err- /D 0,67 -o•Y o./? 2:37^2`/O / 0,67 ^0.3-2 o•/T 79O 7 o D 0.67-o.rL o.rf y 7J -bop 8 067 >r 80 3 F/O to /" G 7 - 0, J- 0/6 sig 8".70 O• -D•Sz .r aT X31- 20 -� I rr IUI PERCOLATION RATE _..5 5,j (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN FTAFT 'ND S COMMENTS Vl Se 62d- l�rror KST%tol�f Lri nIe �,4, NJ4.S - /%/�4�v y �/ 8/��n �,#2 d _ -8-. PERFORMED BY: /C�2 I CERTIFY THAT THIS TEST WAS PERFORMED IN - ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: FP 72-008 g 72-008 (Rev. 4/85) ' �- Municipality ®f Anchorage t Department of Health and Human Services Tom Fink, 825 "L" Street Mayor P.O. Box 196650 Anchorage, Alaska 99519-6650 June 26, 1988 Mr. Leroy C. Ried Jr., PhD, P.E. Alaska Environmental Control Services 1200 W. 33 Ave. Suite B Anchorage, Alaska 99503 Subject: Lot 4 Blk. 2 Sequoia Estates Subdivision Dear Lee: A Your request for an extension to bring the septic system, on the subject lot, into compliance with municipal standards is hereby granted. An extension is granted until midnight August 1, 1988. Should you need any further extensions.please don't hesitate to contact either myself or any staff member in the On-site.Services section. Sincerely, Daniel N. Bolles On-site Services cc: Lee Browning, P.E., Manager Environmental Services A ALASKA MUIRO11R nTAC COnTROL RUINS, InC. 5 a Engineering & Enuironmental Studies June 10, 1988 Municipality of Anchorage Department of Health & Human Service 825 L Street Anchorage, AR. 99501. Attn: Dan Bolles Re: Lot 4, Block 2, Sequoia Estates Subdivision Dear Dan: MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH & ENVIPONMENTAL PROTECTION JUN 14 RECEIVED, On June 9, 1988 I visited this lot to evaluate the problems with the, bed system. It looks to me like the system is undersized. The groundwater level is 5 feet below the bottom of the bed. There is 0.9 feet of water in the system and no evidence of surfacing. It appears that here is a debris burial trench to the west of the system. It has settled and tree debris is visable. There is no evidence of water in this trench. As there is no present health hazard I would request until August 1, 1988 to bring the system up to the proper MOA standards. It would appear that we may need at least a month to do everything to fix the system. If you want to discuss it with me please give me a call. Thank you for your consideration. Sincerely, eroy R id Jr . , 1� PE Presid nt 1200 West 33rd Auenue, Suite 13 • Anchorage. Alaska 99503. 907) 561-5040 Municipality of Anchorage K Department of Health and Human Services dhh5 825 "L" Street Tom Fink, Mayor P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 May 16, 1988 Spencer C. Sneed 6731 Spectrum Circle Anchorage, Alaska 99516 Subject: Lot 4 Block 1 Sequoia Estates Subdivision Dear Mr. Sneed: Upon my visit on Thursday, May 12, 1988, it became that.the septic system on the subject lot is in a Failure, by definition of the Anchorage Municipal circumstance under which wastewater overflows onto surface or the system becomes inadequate or stops This is evident by the overflow of raw septage due intrusion. apparent state of failure. Code, is a the ground functioning. to ground water Pursuant to AMC 15.65.020 C, a person may not cause or permit any wastewater to be discharged or disposed of in such a manner that it may gain access to the surface of the ground. .Into any ground water or in such a manner that it may gain access to ground water. As a result a Notice of Violation, #4360, has been issued. You should be aware that with this notice you have until June 15, 1988 to bring the septic system on Lot 4 BLock 2 Sequoia Estates Subdivision into compliance with existing standards. Until such a time as you can bring the septic system into compliance, every effort must be taken to ensure that septic effluent does not gain access to the ground water or surface. I have enclosed a copy of the current permit requirements for septic installation. I hope this matter can be resolved in as short a time as possible and thank you for your cooperation. S i `ejG C Daniel N. Bolles On-site Services DNB/ljw#6 cc: Gus Andress, P.E., Manager, On -situ S2rvices/Water Quality Lee Browning, P.E., Manager, Environmental Services P :.0 [s 633 097 1U IPT 1`011 CEH T IrII-D MAIL NO INSURANCE COVERAGE PROVIDED NOT FOR INTERNATIONAL MAIL (See Reverse) Sent to named _ Street a d No. 6731 Spectrum Circle_ P ).-a: SCU tand ZIP Code i 1h.orage, 99516 0 Postage $ vi Certified Pee Dolivory Fee Restricted Delivery Fee Return Receipt Showing to whom and Date Delivered Return receipt showing to whom, co Date, and Address of Delivery .r. 1"0TAL Postage and Fees ro I , -� Postmark or Date 1 of F: ri fi n --- TP sT RETURN RECEIPT REQUESTED SENDER: T Complete items 1,1, 3 and 4. Put your addre" In the "RETURN TO" spxeon the 3 reverse Ode. Failure to do this will prevent this card from W balnpreLUrned SO you. The return receipt fee rv711 orpvtde You the nems of the person delivered to and the date of �+ dellvery For additional f ees the following aer viC as ere evailebl e. Conwlt postmaster for few and check box(es) K for servkelsl requested. to co 7 • Mhow to whom, date w and address of dellvery, �• Restric ed Deliye y 63 ljw do -site Services #502 3. Article Addressed to: Spencer C. Sneed 6731 Spectrum Circle Anchorage, Alaska 99516 L 4 Bk 1 Sequoia Estates S/D 4• Type of Service: Article Number C� Registered ad Certified ❑ COD P 126 633 097 ❑ Express Mail - Always obtain signature of addressesQagent and DATC DELIVERED. p 5.+`mat — gE"as X / 3 m W B, Signature — Agent C1 M x 7. Da r FH R N ENT A PP TECf10N Z 8. Addressee's Address (ONLY 1 requerfe a ee p7 olrrn MAY 201988 m 1 Inre%rlixirr% MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION TELEPHONE 264-4721 NOTICE OF VIOLATION 4360 Please take notice that the undersigned authorized represen- tative of the Director has reason to believe that on or about e '19& at or near the following: APPROXIMATE LO ATION: AD RESS: Ce WITHIN THE MTJNICIPALITY OF ANCHORAGE DID UNLAWFULLY: r G � f which is a separate violation of § of the Anchorage Code of Ordi- n nce �eacf and very day such condition exists. A COPY OF THIS NOTICE HAS BEEN SERVED UPON: NAME S' AT IN Off FOLLOWING MANNER: 1. by personal service by certified mail 3. y posting this notice on or about the location described herein when such person cannot be found after diligent effort to do so. If the violation or solations referred to herein have not been corrected by t � %� Y�� 19&, legal proceed- ings may be initiated as provided by law. Dated this,gqday of 19&. NAME TITLE 70-004 (Req. 5178) ©s /rG%!i lU���6• ��GC .i l 6.� - J n,Ze� of <<SScllrjt��y/1/��Lz� ��j`d/.lvt�GtlgYr. lD 5dIt7-IL �yc5 rod/,, 6 /0 et el�•:�^1Pof vDO m lF6�� .4 L9,eZ �l/t[4tC� Lib"� i Y.S. 0 or� AIr 44) AT 6Ws4lC�%l e-� GU�i��- �c � ���5� ��-l�. o � .�e� � �r —�.�—ate• i 21 ed = /,Zo -16 cZ lav44eYlt 74' z 4 Qf S"Z li At VIAA 164� A 7 Ze, 7 O'k Al 7� a,14 /- 3--t f f"`"J I'lAe Adkl d 111d SZle7eK5. NORTHERN MTN LABORI-90MES, WC. �- 600 UNIVERSITY PLAZA WEST, SUITE A FAIRBANKS, ALASKA 99709 907-4793115 2505 FAIRBANKS STREET ANCHORAGE, ALASKA 99503 907277-8378 REPORT FOR FECAL COLIFORM BACTERIA ANALYSIS NAME����� f;AILING ADDRESS CITY STATE zip PHONE NUMBER PURCHASE ORDER NUMBER Sample Loca- No. tion 7 rl 2. 3. 4. 5. 6. 7. 8. 9. 10. Time Collected dltzo- l SIGNAT RE OF REPRESENTATIVE Lab Ref No. f FOR LABORATORY USE ONLY CASH CHARGE TRANS MAIL MUNICIPAL rY OF ANCHO CSE HOLD ENVIRONMENTAL PROTECTION NIAY 1 ro 9989 RECEIVED RECEIVED AT: FBKS : APICH DATE RECEIVED / '1 1 �e �? TIME'RECEIVED _ _v -% 9,9 SAMPLE DATE Direct mis Count o nl 1 v Final Results <wo <<� COMMENTS: Numbers in parentheses are outside of EPA's acceptable limits (20, 60) for fecal coliform bacteria. Final results are calculated from direct counts. * No. of Fecal Coliform Colonies //a�per 100 mis 1 l REPORTED fWh 4 DATE I, TIME Rion 600 UNIVERSITY PLAZA WEST, SUITE A FAIRBANKS, ALASKA 99709 907-279-8378 2505 FAIRBANKS STREET ANCHORAGE ALASKA 99503 907277-8378 Municipality of Anchorage Date Arrived: 05/12/88 D.H.H.S. - Water Quality Control Time Arrived: 0938 P.O. Box 196650 Date Sampled: 05/12/88 Anchorage, Alaska 99519-6650 Time Sampled: 0840 Date Completed: 05/16/88 Attn: Dan Bolles Source: Lot 4, Block 2 Sequoia Estates Sample 1D#: A051288-2 Parameter Unit A051288-2 --------------------------------------------------------------------------------- ADEC MCC* ----------------------------------------------------------------------------------- Nitrate-N mg/1 0.03 10 Reported By: onllr OF ANCHOPAGB M_ iJF HEALTH & ^wnn^ �FNT0" PROTECTION, spy 1 g �9aa ED Date: 05/17/88 Francois Rodigari., Anchorage Operations Manager --------------------------------------------------------------------------------- ---------------------------------------------------------------------------------- * MCC = Maximum Contaminant Concentration 600 UNIVERSITY PLAZA WEST, SUITE A FAIRBANKS, ALASKA 99709 907-4793115 2505 FAIRBANKS STREET ANCHORAGE, ALASKA 99503 907277.8378 Quality Control Report Client: MOA-DHHS ID#: A051288-2 Listed below are quality control assurance reference samples with a known concentration prior to analysis. The acceptable limits represent a 95% confidence interval established by the Environmental Protection Agency or by our laboratory through repetitive analyses of the reference sample. The reference samples indicated below were analyzed at the same time as your sample, ensuring the accuracy of your results. Sample # Parameter Unit Result Acceptable Limit EPA 378-12 Nitrate -N mg/1 7.32 7.17 - 8.01 MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH & _rNVIRONMENTAL PROTECTION MAY 191988 RECEIVED Reported By: ( Date: 05/17/88 Francois Rodigari, Anchorage Operations Manager DRAFT SETTLEMENT AGREEMENT This Settlement Agreement is entered into and made effective on the 4th day of May, 1988, by and between Spencer C. Sneed and M. Cyd Sneed (hereinafter "Sneeds") and Kenneth M. Dennison, Rose M. Dennison, and Dennison Construction Company, Inc. (hereinafter "Dennisons"). In settlement and compromise of the litigation in Alaska Superior Court referenced as Case No. 3AN-88-1474 Civil and in consideration of the mutual covenants and conditions contained herein, the parties agree as follows: 1. Adequacy Test. The parties shall select an engineer from a list of three firms provided by the Municipality of Anchorage on or before May 10, 1988. If the parties are unable to agree on the engineering firm, then they shall be bound by the engineer selected and approved by the Municipality of Anchorage. On or before May 15, 1988, or such later date recommended by the engineer but no later than June 30, 1988, the 7 engineer shall conduct an adequacy test of the septic system located on Lot 4, Block 2, Sequoia Estates, Anchorage, Alaska, and prepare a written report opining on the adequacy of the septic system within 48 hours after completing the test. 2. Municipal Approval. The Sneeds shall present the written report to the Municipality of Anchorage and request the issuance of a Health Authority Approval for the system. If the engineering report identifies deficiencies and/or the Municipality of Anchorage fails or refuses to approve the system, the Dennisons shall take necessary aCflori to repair any and all defects and to bring the system into compliance with Municipal requirements so that Health Authority Approval can be obtained on or before August 1, 1988, or within 30 days of the Municipality's refusal to approve the system, whichever occurs first. The system must be repaired or modified so as to satisfy all conditions necessary to approval by the Municipality of Anchorage. 3. Warranty. Dennison Construction Company, Inc., Kenneth M. Dennison and Rose M. Dennison hereby warrant that the original (or repaired system will be on or before August 1, 198 d thereafter, adequate for its intended purpose and in compliance with Municipal standards and existing laws. The scope of this warranty and the Dennisons' duties hereunder are coextensive with the duties and obligations already imposed upon them under the laws of the State of Alaska. 4. Repairs. If any repairs or modifications are required to the septic system, they shall be performed in a manner that does not impair the aesthetics of the property or cause a reduction in the value or marketability of the property. Dennisons shall submit repair or modification plans to the Sneeds for approval prior to implementation and the Sneeds shall have the right to require revisions to such plans consistent with the requirements of this Agreement. 5. Costs. The adequacy test and written report completed by the engineer shall initially be paid equally by the Dennisons and the Sneeds. Tf the engineering report dong nOt - 2 - identify any defects in the system and the Municipality issues a Health Authority Approval without requiring repairs or modifications, then the Sneeds shall reimburse the Dennisons the amount they expended to pay for the cost of the adequacy test and the written engineering report. If the engineering report identifies defects in the system and/or the Municipality requires repairs or modifications as a precondition to issuing a Health Authority Approval, then the Dennisons shall reimburse the Sneeds for their portion of the costs incurred for the adequacy test and the written engineering report. In addition, if the engineering report identifies defects and/or the Municipality of Anchorage requires repairs or modifications, then the Dennisons shall reimburse the Sneeds for expenses not to exceed $ , including the cost of the test holes that were previously dug to check for groundwater, the repair of the lift station pump, and the out of pocket costs (not including attorney's fees) associated with the pending litigation. 6. Litigation. As long as the Dennisons diligently perform their duties under this Settlement Agreement, the Sneeds shall voluntarily hold the pending litigation referenced as Case No. 3AN-88-1474 Civil in abeyance. If the Dennisons have fully performed under this Agreement on or before August 1, 1988, the Sneeds shall stipulate to the dismissal of the referenced litigation without prejudice upon receiving certification and approval of the original or repaired system from the - 3 - o-, Municipality of Anchorage. Except for the costs set forth in paragraph 5, each side shall bear their own costs and attorney's fees. 7. Construction. This Agreement shall be governed by the laws of the State of Alaska. The parties hereto expressly waive the right to invoke the rule of construction that ambiguous contract terms are construed against the drafter. The headings in this Agreement are for convenience only and may not be considered when construing the terms and conditions set forth herein. Date: Spencer C. Sneed Date: M. Cyd Sneed Dennison Construction Company, Inc. Date: By: Kenneth M. Dennison Its President Date: Kenneth M. Dennison, Individually Date: Rose M. Dennison, Individually STATE OF ALASKA ) ss.. THIRD JUDICIAL DISTRICT ) THIS IS TO CERTIFY that on the day of , 1988, before me, the undersigned, a Notary Public in and for the State of Alaska, duly commissioned and sworn as such, personally - 4 - DkAFT appeared Spencer C. Sneed to me known to be the individual described in and who executed the foregoing instrument and acknowledged that he signed the same as his free and voluntary act and deed, for the uses and purposes therein mentioned. WITNESS my hand and notarial seal the day and year last above written. Notary Public in and for Alaska My commission expires: STATE OF ALASKA . ss.. THIRD JUDICIAL DISTRICT ) THIS IS TO CERTIFY that on the day of , 1988, before me, the undersigned, a Notary Public in and for the State of Alaska, duly commissioned and sworn as such, personally appeared M. Cyd Sneed to me known to be the individual described in and who executed the foregoing instrument and acknowledged that she signed the same as her free and voluntary act and deed, for the uses and purposes therein mentioned. WITNESS my hand and notarial seal the day and year last above written. Notary Public in and for Alaska My commission expires: STATE OF ARIZONA ) ss.. COUNTY OF ) THIS IS TO CERTIFY that on the day of , 1988, before me, the undersigned, a Notary Public in and for the State of Arizona, duly commissioned and sworn, personally appeared Kenneth M. Dennison to me known and known to me to be the President of Dennison Construction Company, Inc., an Alaska corporation and who executed the within and foregoing instrument and acknowledged that he signed the same on behalf of said corporation, freely and voluntarily and by authority of its Board of Directors for the uses and purposes therein mentioned. - 5 - DRAFT WITNESS my hand and notarial seal the day and year last above written. Notary Public in and for Arizona My commission expires: STATE OF ARIZONA ) ss.. COUNTY OF ) THIS IS TO CERTIFY that on the day of , 1988, before me, the undersigned, a Notary Public in and for the State of Arizona, duly commissioned and sworn as such, personally appeared Kenneth M. Dennison to me known to be the individual described in and who executed the foregoing instrument and acknowledged that he signed the same as his free and voluntary act and deed, for the uses and purposes therein mentioned. WITNESS my hand and notarial seal the day and year last above written. Notary Public in and for Arizona My commission expires: STATE OF ARIZONA ) ss.. COUNTY OF ) THIS IS TO CERTIFY that on the day of , 1988, before me, the undersigned, a Notary Public in and for the State of Arizona, duly commissioned and sworn as such, personally appeared Rose M. Dennison to me known to be the individual described in and who executed the foregoing instru- ment and acknowledged that she signed the same as her free and voluntary act and deed, for the uses and purposes therein mentioned. WITNESS my hand and notarial seal the day and year last above written. Notary Public in and for Arizona My commission aMpirrese 4848-2 113/RDG16 Si / -2, MEMO TO FILE: LOT 4 BLK. 2 SEQUOIA EST. 7/1/87 - 11:15 am - Spencer Sneed ( 276-1592 ) 12" to 24" of water in septic system, bed design one year old, wants it checked to verify water is present. Says it is still under builders warranty. 7/1/87 - 2:30 pm - Field observations: co #2 invert depth =10.71- 3.2' (stick up)=7.5' water depth 8.91-3.2'=5.7' / 7.51-5.7'=1.8' water. co #1 invert depth=7.3'-2.8' (stick up)=4.5' water depth 6.1'-2.81= 3.3' / 4.51-3.3'=1.2' water mt #3 water depth = 8.2' mt #4 dry TD = 10' mt #5 not measured Observations would conclude that the bed is indeed flooded and that ground water separation may not be adequate . Lift station ran continually during the 30 minutes I was on site. Noticed ponded water in the electrical easement Mrs. Sneed said water takes a long time to go away after it rains, in this instance it has not rained in two days. There exists the possibility that heavy equipment was used in the basal area ( 30' x 53' ). This could not be determined without digging up the bed. Also there exists a question as to the validity of the perc test, no pre-soak noticed. Suggested the Sneeds contact the builder and the engineer to define topo, determine water level, settle as soon as possible. 7/1/87 - 4:10 pm - Talked with Mr. Sneed told him to also verify integrity of the tank and lift station. 8/1/87 - No further contact, will check 1st of September. fh/97 jl"O a na - �uJl//��� u�,`T�i /11A JT� G/U/�(3✓ C/itilLl ml�'i�vtbY�G�E/ -/�iC_ .SGf �['dvi L � FI.�E�fG/ r/ N MEMO TO FILE LOT 4 BLK. 2 SEQUOIA EST. SITE LAYOUT 446 X11 d 1q r H MUNICIPALITY OF ANCHORAGE Df_ iTMENT OF HEALTH AND HUMAN SER °S Environmental Health Division 825 "L" Street, Anchorage, Alaska 99502, Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Name u r�� u+5 JN DISTANCES TO FROM SEPTIC TANK ABSORPTION FIELD WELL Address WELL Phone(s) 6--(, -Z 7Z -t6 45aib6e Permit No. a(,°"�� No. of Bedrooms 4- LOT LINE 4-0 0 Z•% 3 z - LEGAL DESCRIPTION Lot 4 Block z Subdivision 5c L-colA FOUNDATION Township, Range, Section /Z (w, .SGC. Z� S JVi , i AS-BULT DIAGRAM driveway,water bodies, (Show location of well, etc. septic system, property lines, foundation, TANKS SEPTIC ❑ HOLDING Manulacturer AAj,:4-1. l A -,i Capacity in gallons / Soo °_ 11 u, 2e Material No. of Compartments TYPE OF SYSTEM ❑ TRENCH I BED ❑ W. DRAIN ❑ OTHER Depth to pipe bottom from original grade 7j FT Total depth from original grade 3, S FT r `" 5 •rL Fill added above original grade — FT Gravel depth beneath pipe- 0•-5 FT Gravel length 57- FT Gravel width 30 FT Total absorption area /SG o SO FT I Distance between lines FT Number of lines j Soil rating /83 SO FT Pipe material �UL Installer L- SMA -rte Date Installed S-/4-2 6 WELLS i0 Is 0 r 30 P 5d PRIVATE ❑ OTHER (Identifv) Classification (A, B, C) Total Depth Z¢v FT Cased to Zzig9 FT Installei I. th TFW A -Ex U 12, t,L/ AJ U Date Installed. 5-- � — 8 6 REMARKS: ,� ,,� . 5/1r"9 trlr Scale: Inspections Performed by: `� ��` OFA7Q4 ,,i, r, � � o00oo 000a o•ttJ �, �3 00000Q000000008.0 ..aaoo dee` e a. hit ,~, Robert 9 ' _ CE - 1411 s✓ t J�2.f �� !/T / l�/��o-r Date: cenily log 1h1s Municipal and State guidelines in effect an this date: �'/� �u L� /J(�x� Health Department Approval: T mspeciioo was griormeo accoroiog m ail ' Date: 72-013 (3/85) i WATER WELL RECORD STATE OF ALASKA DEPARTMENTOF NATURAL RESOURES Division of Geological 13 Geophysical Surveys Drilling Permit No. LOCATION OF WELL (Please complete either to, Ib or Io.) A.D.L. No. la. Borough Subdivision Lot Block Ib. V4gtrs. Section No. Township NE] Range E [] Meridian Ic. DISTANCE AND DIRECTION FROM ROAD INTERSECTIONS 3. OWNER OF WELL: Address: . (; )\I OL lei (\f I Street Address and Area of Well Location 2. WELL L06 Feet Below 4. WELL DEPTH: (final) 5. DATE OF COMPLETION Surface ft Material Type Top Bottom -240 I 8, C] Cable tool ® Rotary E] Driven Dug .� [] Auger ❑ Jetted ❑ Bored ❑ Other: I: „ ,. pnrll� 7.USE: Q Domestic El Public Supply O Industry E] Irrigation O Recharge E] Commerical 1•- El Test Well E] Other: Ir S. CASING: E] Threaded E] Welded dlom.(, in. to,;J ft. Depth Weight 1r1 1 tbs./ll. l dlom. In. to IL Depth Stickup 11. $ e t n l_L(�J R VA I l er l R Rl ri?fIsT A N((+ ...... 9. FINISH OF WELL: - iAKIrIV 01 AY, r' 7 3 f Type: Diameter: Sto,/Mash Sir*: Length: 4IIAj s- ? 7 '2 Set between ft. and ft. J 1?,i.ljkl 4- D „ Backlllling Gravel pack b Via - q 10. STATIC WATER LEVEL: ft. �' -Rr' Date Above or Q Below land surface EPA'LlTy �- F - RAGE Equipment used: �OIJAI fy 1, rJfJ.%aa., .C,1TN FROFE 7!O II. PUMPING LEVEL below land surface and YIELD after hrs. pumping 4 9 -P.m. Inn ft. alter hrs, pumping g.P.m- • 12.GROUTING Well Grouted: [] Yes ® No I c �- Material: Ej Neat Cement Ej Other: 13. PUMP: (If available) His F Length of Drod PIPs I It. capacity g.P•rn. ,Q Subm. ';O Oe1 Oi-Centrifleal Other El -f h 04/REMARK 31 I ,. r. It r EONTRAC404-S f '�� r 16. WATER WELL CERTIFIC'ATIONi _T o 15. Water Tempe ra.lure ❑ F El C and this report is true to the best of my knowledge and belief; This well was drilled under my Jurisdiction %A/tllr/-%11ZAI JrQ f>pl!/IIli,(, A - I aI e 0 Registered Business Name Contract License Number Address: Sig Date:rS,V�!'•r Authorized Repreeenlalive Form 02-WWR (11/81) Copy Distribution: WHITE - State DGGS, PINK - Driller, CANARY- Customer �- � � K �I I, A "R* 11' 1: 1. F_'_. I�� DEPARTMENT OF HEALTH AND ENVIRONMENTAL PTECTI ROON 8251 STREETr ANCHORAGEr, AK 99501 264-4720 PERMIT NO: DATE ISSUED: APPLICANT: ADDRESS: CONTACT PHONE: LEGAL DESCRIP: LOT SIZE: MAX BEDROOMS: 860099 02/24/86 DENNISON CONSTRUCT" 999 E. TUDOR ANCHORAGE� AK 99513 562-2672 SUBDIVISIQN: SECTlON: 26 39933 (SQ.FT 4 SEQUO�A ESTATES LOT: 4 QLOCK: 2 TOWNSHIP: 1211 RANGE: 3W . OR ACRES) Listed below are the options available to you in designing your septic system, Choose the option that best �its your site^ .... ��..... �������������������..... �..... ��..... �..... ..... �..... ��� DEPTH TO PIPE BOTTOM (FT=) 3"0 ** GRAVEL DEPTH (FT.) 0,5 TOTAL DEPTH (FT.> 3.5 GRAVEL WIDTH (FT.) 24.0 GRAVEL LENGTH GRAVEL VOLUME (CU"YDS") 40"9 TANK SIZE (GALS) 1,250"0 ** SOIL RATING (SQ.FT./BR> 183 ** DEPTH TO PIPE BOTTOM < 3^5 FT° REQUIRES INSULATION ** DEPTH TO PIPE 1`01"TOM < 4"0 FT. MAY REQUIRE A LIFT STATION ** TANK MUST HAVE AT LEAST TWO COMPARTMENTS .... ... .... ... ���... .... ��... �... '..... ..... ~������ I certiy that: 1. I am 1amiliar with the requiI ements or (-In�site sewers and wel1s as set I ot Anchorage (MOA) and the State o6 Alaska" 2, I will install the system in accordance with all MOA codes and regulations, anJ in compliance with the design criteria of, this permit. 3. I will adhereto all MOA and State of' Alaska requirements for the set back distances�rom any existing we1l, wastewater disposal system or public sewerage system on this or any adjacent or nearby lot, 4. I understand that this permit is valid f'or a maximum of 4 bedrooms and any enlargement will require an additional permit^ IF A LIFT STATION IS INSTALLED IN AN AREA COVERED BY MOA BUILDING CODES, THEN (1) AN ELECTRICAL PERMIT AND INSPECTION MUST BE OBTAINED; (2> AS~BUILTS WILL NOT BE APPROVED WITHOUT AN ELECTRICAL INSPECTION REPORT; AND (3) THE ELECTRICAL LICENSED ELECTRICIAN. APPLICANT: NISOM�CONSTRUCT, ISSUED BY �] ^ DATE: ~� �-^ ~ ~T-���-^~°. ___��___~�^~�~�~___--�.---_~`__��~�_~ �~.~_-~.~..~. J Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION TEST PERFORMED FOR: A�.��iii')(5 !�SySl-EfW-�2 C, �NDATE PERFORMED: LEGAL DESCRIPTION: 4 P, rTownship, Range, Section: 5ECW0Iiq��"�'(�� C,C:,QIJOI(a � SLOPE SITE PLAN 1 llll� I 1 I I 2 I i l l l OIC 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 COMMENTS SM L -r. GIZN, '5I1i'Y �04YQC) 1- ND 5!�nso WAS GROUND WATER o ENCOUNTERED? S L IF YES, AT WHAT Al O DEPTH? �V� P E Depth to Water After Monitoring? NIS Date: ISI®®�� ■ ■ .. WIMP__ . ' �2- rrj Z V PERCOLATION RATE IZ.87 101n1es/inch) PERC HOLE DIAM TEqR 1 TEST RUN BETWEEN '3yl- FT AND 4 FT PERFORMED BY: F -Am, P/74MmEg 1 / ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN 72-008 (Rev. 4/85) CERTIFY THAT THIS TEST WAS PERFORMED IN ON THIS DATE. DATE: / / (1 Fmergl�s ltd w/ 2' foam and re,#,WNng mechanism NEMA 4X Junction box 1' p V C Ball Valve 24' x 4' 6' Culvert Manhole 6extble Pressure Hose V C Pipe Typ ethane foam (shop applied) Tnemec top coat stable Float Switch Assembly with RAM-NEK or Equal ger grommet or welded ,el 1 1/4' pipe ,c flow Inducer V hdles 6' QC 2' check valve Mesh polyethylene screen dia x 39' high Kp, watt pump 1250 tom. 1500' 2000 Reserve Capactty I ' above Alarm 222 GALI 221 GAL+ 522 GAL Reserve Capacity I 311 GAL 65 T8 GALT above pump on 300 GAL' Capacity Between I y . Pump on & Pump off 1250 tom. 1500' 2000 Reserve Capactty I ' above Alarm 222 GALI 221 GAL+ 522 GAL Reserve Capacity I 311 GAL 65 T8 GALT above pump on 300 GAL' Capacity Between I Pump on & Pump off 113 GAL 131 GAL 94 GAL Float Level alarm 46' ,` 47 1/2' ; 42' ion 43' 44 1/20!39' !' 1 Settings off 39' f 40 1/2't_,i 36' ? a+ 4- a d O S Iso sso uo 1ao lac uo soa M 70 N so 41 so a 10 LIFT STATION DATA Gallons per minute TYPICAL PUMP PERFORMANCE CURVE SIZE SHELL A B C 1250 J12 GAUGE IPI 1/20181* 40 1/2' (3 BEDROOM) I 1500 12 GAUGES 145 1/2'' 97' 48 L2' ; (4 BEDROOM) I 02000 10 GAUGE; 194' 1129 3/80'64 5/8' ; (5 & 6 BEDROOM) SIZE CHART NONE — LIFT STATION TANKS MUST BE 250 GALL12NS LARaR THAN STANDARD TANKS FOR SAME APPLICATION V40TE— . SEE ATTAC3-}=...D SPECIFICATMNS FOR EQUIPMENT SHOWN HERE A r. 6 101 X 20r UTILITY ESMT t/liviv�' /, O- 0 6�h ti NOT GLOBAL ENTERPRISES 1200 WEST DIMOND BLVD N 1495 ANCHORAGE, ALASKA 99502 (907) 349-5552 (907)349-6075 ®� 0 �]4� �yy��a '�allaa s. a•'y��} e a 1 k r tY �fa09ee°°^OOOJOJofoaeeeaaa eaoo s� � �•. ••� u L7 tlp5eJ0 $. 'rt%i� pa 2426 a r"ef VLUI PLAN/ASBUILT L8 l,6'- 203— TPe'voN 7 O 'O/ assesses FD DATE /8yZONIt TRM RD " 0 F S . e epi o EI ftbstt 0. F{a 9Fas F i�- onoo °06 �,� TION DATES ;P T 1)rr- �10A AU I hereby certify the following described property, Lot_._-- 4___Ill or.k 2 SEQUOIA ESTATES SUBD _ Anchorage, Recording Precinct, Alaska, has been surveyed by me, or at my dire_C- tion,, and that the improvements situated thereon are within the property lines and do not overlap or encroach on the peroperty lying ad]acrnt thereto unless otherwise shown. That no improvements on the property lying ad]acent thereto encroach on the premises in question and that there are no roadways, transmission lines or other easements on said property except as Indicated herron. EA sem. -,FIs of record, other thaln those shown on the recorded plat a— nut shown hereon. It Is further understood that acceptance and or use of any Plot plan by Lhe client or his representative, will constitute ultimate It It the Irspoi.lhillty of the nwoer or builder prior to construction, to verity proposed building grade rr.latrvr to finished grade and utility connections and to determinetheexistence of any easements, covenants, or restrictions which do not appear on the recorded subdivlsloo plat. ••Llstvd distances prevall over scaling. Reproduction my cause distortion. K s MunicipahLy of Anchorage June 23, 1986 P.O. B 196650 ANCHORAGE, ALASKA 99519-6650 (907)264-4111 TONY KNOWLES. MAYOR DEPARTMENT OF HEALTH & HUMAN SERVICES Dennison Construction 999 E. Tudor Road Anchorage, Alska 99513 Subject: Lot 4 Block 2 Sequoia Estates Subdivision On-site Sewer & Well Permit - Issued April 25, 1986 On May 20, 1986, The Anchorage Assembly approved a new ordinance regulating on-site wastewater disposal systems (septic systems). All septic systems constructed after the effective date of this ordinance are subject to the provisions of this ordinance. Our records show that you currently hold a permit for the installation of a septic system. We strongly urge that you contact this office prior to constructing your system. Any changes in the code that could impact the construction requirements of your septic system will be identified and brought to your attention. Please contact the Environmental Services Division at 264-4720. Thank you for your cooperation. Sincerely, z. �P"_Clt Susan E. Oswalt Program Manager On-site Services SEO/SSM/ljw �� M MUHUPA UTY OF AHCHO' O E Development Services DepartmentPhone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Parcel I.D. 017-152-22-000 Expiration Date: Legal description SEQUOIA ESTATES BILK 2 LT 4 Site address 6731 SPECTRUM CIR Anchorage AK 99516 Current property owner(s) SNEED MAGNA CYD 8/24/2023 X The On-site system(s) is/are approved for 4 bedrooms Conditional approval for bedrooms, with the following stipulations: Comments or advisories: '/ Original Certificate Date: ,This Certificate of On -Site Systems Approval (COSA) is intended to demonstrate the subject system(s) is/are in substantial compliance with municipal code. The Municipality of Anchorage, Development Services Department (DSD) issues COSAs based upon representations provided by an independent professional engineer. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. ATTACHMENTS: COSA Checklist X Well Flow Advisory Absorption Field Advisory Nitrate Advisory Tank Age Advisory Arsenic Advisory Other COSA Approval June 2022 MUNICIPALITY OF ANCHORAGE Q ',l 4 Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Application 1. GENERAL INFORMATION Parcel I.D. 017-152-22 Complete legal description Sequoia Estates Block 2 Lot 4 Location (Site address) 6731 Spectrum Circle, Anchorage, AK 99516 Current property owner(s) Cyd Sneed Day phone 2. ON-SITE SYSTEMS SIZED FOR 4 BEDROOMS 3. TYPE OF WATER SUPPLY: 0 Private Well ❑ Private Well serving 2 dwelling units ❑ Private Well serving 3+ dwelling units ❑ Community Well or Public ❑ Water Storage 4. TYPE OF WASTEWATER DISPOSAL: ❑■ Private Septic ❑ Private Septic serving 2 dwelling units ❑ Holding Tank ❑ Community Septic or Public Sewer 5. SEPTIC TANK: ❑ Steel ❑N Plastic ❑ Concrete ❑ Fiberglass Age 1 yr - See advisory if steel older than 20 years 6. ABSORPTION FIELD: ❑ AWWTS X Bed ❑ Deep Trench ❑ Wide Trench ❑ Seepage Pit Waiver request for: Expedited review requested: FN� Distance: By applying for this entitlement, this property is subject to inspection by municipal On-site staff to verify the accuracy of the information provided. COSA Fee $ z Date of Payment t( ?0 2 3 COSA# c Waiver Fee $ Date of Payment Waiver # COSA Application—June 2022 Sequoia Estates Block 2 Lot 4 017-152-22 2.8 5/21/86 240 239 0.567 20+ 9/28/22 Forge Engineering 208 4/27/23 N/A N/A New installation 9/15/88 2.8 3.3 N/A New Steel New installation 9/28/22 0/0 1/0 1440 0/0 >600 6 0 6 (907) 522-7773 Benjamin Schiller, P.E.5/9/23 STATE OF ALASKA DEPARTMENT OF NATURAL RESOURCES DIVISION OF MINING, LAND & WATER Alaska Hydrologic Survey WATER WELL LOG Revised 08/18/2016 Drilling Started: ____/____/______ Completed: ____/____/_______ Pump Install: ____/____/_______ City/Borough Subdivision Block Lot Property Owner Name & Address Well location: Latitude Longitude Meridian ____________ Township ______ Range _______ Section _______ , _____ 1/4 of _____ 1/4 of _____ 1/4 of _____ 1/4 BOREHOLE DATA: (from ground surface) Suggest T.M. Hanna’s hydrogeologic classification system* https://my.ngwa.org/NC__Product?id=a185000000BYub3AAD Depth From To Drilling method: Air rotary, Cable tool, Other Well use: Public supply, Domestic, Reinjection, Hydrofracking Commercial, Observation/Monitoring, Test/Exploratory, Cooling, Irrigation/Agriculture, Grounding, Recharge/Aquifer Storage, Heating, Geothermal Exploration, Other Fluids used: Depth of hole: __________ ft Casing stickup: ___________ft Casing type: __________ Casing thickness: _________ inches Casing diameter: _________ inches Casing depth: __________ ft Liner type: _________ Depth: _____ ft Diameter: _____inches Note: Well intake opening type: Open end, Open hole, Other Screen type: _________, Screen mesh size: ____________ Screen start: ________ ft, Screen stop:________ ft, Perforated Yes No Perforation description: Perf from: ________ ft, Perf to: _______ft, Perf from: ________ ft, Perf to: ________ ft Gravel packed Yes No Gravel start: ______ ft , Gravel stop:______ ft Note: Static water (from top of casing): _______ ft on____/____/_____ Artesian well Pumping level & yield: ______ feet after _____ hours at _____ gpm Method of testing:__________________________________________ Development method:______________ Duration: ____________ Recovery rate: _________ gpm Grout type: _________________ Volume __________________ Depth: From ___________________ft, To ___________________ft Final pump intake depth: __________ ft Model: _______________ Pump size: _____________ hp Brand name: __________________ Include description or sketch of well location (include road names, buildings, etc.): Was well disinfected upon completion? Yes No Method of disinfection: Was water quality tested? Yes No Water quality parameters tested: Well driller name: .................................................................................. Company name: ................................................................................... Mailing address: .................................................................................... City: __________________________ State: AK Zip: ___________ Phone number: (________) ________- ______ Driller’s signature: Date: ______/______/_________ Anchorage Municipal Code 15.55.060(I) and North Pole Ordinance 13.32.030(D) require that a copy of this well log be submitted to the Development Services Department/City within 30 days of well completion. City Permit Number: _____________________________ Date of Issue: _____/____/_________ Parcel Identification Number: ______-_______-________ *Guide for Using the Hydrogeologic Classification System for Logging Water Well Boreholes by Thomas M. Hanna NGWA Press AS 41.08.020(b)(4) and AAC 11 AAC 93.140(a) require that a copy of the well log be submitted to the Department of Natural Resources within 45 days of well completion. Well logs may be submitted using the online well log reporting system available at: https://dnr.alaska.gov/welts/ OR email electronic well logs to dnr.water.reports@alaska.gov North Municipality of Anchorage n 26 SE012N n n 21 13296 KEN DENNISON ,B2 n 6 L04 1986 S NW 240 WHITEWATER DRILLING SEQUOIA ESTATES n 003W MUNICIPALITY OF ANCHORAGE • Department of Health & Human Services w DIVISION OF ENVIRONMENTAL SERVICES a}t 343-4744 CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY FOR SINGLE FAMILY DWELLING Parcel I.D. # C) i-� — ��D _q `, o HAA # 0 f::�01 I cr�,Q1 1. GENERAL INFORMATION (Must be completed prior to submittal) (a) Legal Description (include lot, block, subdivision, section, township, range) Lot 4; Block 2: Sequoia Estates Subdivision Location (address or directions) 6731 Spectrum Circle, Anchorage, Alaska (b) Property owner Spencer Sneed Telephone : (home) 345-5940 Business7�2 Mailing Address 6731 Spectrum Circle, Anchorage, Alaska 99516 (c) Lending Institution Seattle Mortgage Telephone Mailing Address Anchorage, Alaska (d) Real Estate Company and Agent Address Telephone (e) Mail the HAA to the following address: (or check here F7, if hold for pick up.) List contact person and day phone number below: S & S ENGINEERING/694-2979 17034 Eaqle River Loop Road, Suite 204 River, Alaska 99577 2. TYPE OF RESIDENCE Single-Familyn Number of bedrooms 4ti 3, WATER SUPPLY Individual Well P Community ❑ Public ❑ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to th legality and status. 4. SEWAGE DISPOSAL On-site NN Public ❑ Community ❑ Holding Tank ❑ Wrote: it Community Well system, must nave Written confirmation Trum the wale DeparTment of Enyirvnmenlal Conservation attesting to the legailty and status. 72-025 (Rev. vee) Page 1 of 2 Z ;o Z 06ed AOBB (99/L'AOU) 9ZO-ZL •ilaom s,aaaul6ua leuolssalwd ay; ul suoisslwo ao saoaaa ao; alglsuodsaa;ou si a6eaoyouy;o AlllgdiolunlN ayl •ponssi sl aleol;lliao e aao;aq elep azAleue ao suolloadsul lonpuoo lou op SHH(];o saaAoidw3 -sluawaalnbei alg;s pug lgaapa; ulelaao AAshes o; aapio ul suollnlllsul bulpual clay; pug sawoy ;o saaseyo.(nd of Asolinoo g se slyl saop SHHa aql TNsely ;o alelS ayl ul paaalsibei aaaul6ue leuolssa;oid;uapuadepui ue Aq anogg g ydea6ejed ul uanl6 suolleluasaadaa ay; uodn Aluo paseq pa;eoq!no lenoaddy Lllaoylny ylleaH sanssi (SHHa) saolAaas ugwnH pug ylleaH;o;uawlagda(] a6eaoyouy;o Al!ledlolunyj ayl NOIlnVO leuoll!Puo(] —� `e 6z-�,�e - ouogdalal — lenoaddy Ivuo!l!puoo;o swial panoiddesia 1 T panoaddy Aq swooapaq L ao; panoaddy IVAOHddV SHHa '9 LL566 Olsely'aanla �Ife3 0NR44-2N:C: <i$ I s ale(] ssaippy Wald ;o aweN •uolloodsul slyl;o algp ayl uo;oa;;a ul suollelnboi pug 'saoueulpio 'sapoo ems pug ledlolunW !!e yl!m eouelidwoo ul sl walsAs lesodslp aalemalsem ao/pug Alddns jalem ails-uo ayl 'uolloodsul PUB uollg6lls9nul AW (uoa; pue salt; a6eaoyouy ;o Al!ledlolunN ayl woe; paulelgo uollgwao;ul ayl uo paseq lggl A;iaan aaylin; ! -ulaaaq poleolpul aanlonils;o adAl pug swooapaq;o aagwnu ayl ao; elenbapg pug leuolloun; 'a;es sl wa;s(s lesodslp aalemalsem ao/pue Alddns as;em al!s-uo ayl leyl smogs lenoiddy Aluoylny ylleaH slyl;o u01101169nui (w leyl A;!aaA l 'molaq umoys algp uolleplleA ayl;o se pue olaaay pail;;e leas Aw Ag pal;l;aao sy NOIIVYYEIO:JNI ONy VIVO 'HOEI V3S 3-1Id `S.LS31'SN01103dSNl ONIOIAOHd VYUH ONI»33NION3 •9 MUNICIPALITY OF ANCHORAGE (MOA) �; • Health Authority Approval (HAA) j CHECKLIST - FEBRUARY 1984 343-4744 Legal Description: A. WELL DATA Well Classification -�S; ro q1a F—A ,' u If A, B, C, D.E.C. Approved (Y/N) Well Log Present (Y/N) _ Date Completed 5 " Z J – 8 6 Yield r4T Total Depth -.;-"qo ' Cased to 235 , Depth of Grouting Static Water Level 202 r Pump Set At Casing Height Above Ground 1 z f t Sanitary Seal on Casing (Y/N) Electrical Wiring in Conduit (Y/N) t Depression Around Wellhead (Y/N) /J SEPARATION DISTANCES FROM WELL: To Septic/Holding Tank on Lot / (z r ; On Adjoining Lots To Nearest Edge of Absorption Field on Lot ( OQ it ; On Adjoining Lots / To Nearest Public Sewer Line tJ A To Nearest Public Sewer Cleanout/Manhole ti To Nearest Sewer Service Line on Lot S Water Sample Collected by Water Sample Test Results Comments B. SEPTIC/HOLDING TANK DATA ;Date l —(x-41 1 Date Installedt4MA4 c9bSizec No. of Compartments Standpipes (Y/N) 4_Air-tight Caps (Y/N)_Foundation Cleanout (Y/N) Depression over Tank (Y/N) fJ Date Last Pumped 1 l y %0 Pumping/Maintenance Contact on File (Y/N) �!A ; forG A Holding Tank High -Water Alarm (Y/N) Temporary Holding Tank Permit (Y/N) SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK: To Water -Supply Well 11 z To Building Foundation f I To Property Line �� { To Disposal Field 1 D 1 i To Water Main/Service Line /!7 f To Stream, Pond, Lake or Major Drainage Course .1 n (-) :r Comments -*_ I goo ctA�_IT, E12 451e m wh C-(1 &ASzVA) 72-026 (Rev. 7/88) Front Page 1 of 2 C. A13SORPTION FIELD DATA Soils Rating in Absorption Strata _ �S/S lj77 Type of System Design ✓�� Date Installed - l `� - .� 8 Length of Field Width of Field r Depth of Field �• 5 f a Z ( J ti) sc�l�n �i� Gravel Bed Thickness f7 • s Square Feet of Absortion Area Statndpipes Present (Y/N) H Depression over Field (Y/N) rJ Date of Last Adequacy Test - �f Results of Last Adequacy Test At S�� C I or u - 44 e -Cl J`OOA& SEPARATION DISTANCE FROM ABSORPTION FIELD: To Water -Supply Well 00 r t To Property Line `a r To Building Foundation p To Existing or Abandoned System on Lot ( n r ; On Adjoining Lots 5U t To Water Main/Service Line 1 f To Cutback (if present) r To Stream, Pond, Lake, or Major Drainage Course t To Driveway, Parking Area, or Vehicle Storage Area z ° -t Comments D. LIFT STATION Date Installed 14L_Dimensions�� Size in Gallons Manhole/Access (Y/N) '-t "Pump On" Level at 44 "Pump Off' Level at 4 O 2 High Water Alarm Level at Tested for Vent(Y/N) Meets MOA Electrical Codes (Y/N) ti (F S Comments 15c0 q6J 1 0 � stt4 *'Check Permitted Bedroom Rating Against HAA Request" Pumping Cycles during Adequacy Test. I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect inspection. A.�� Signed S n : a.c•.�ri21FFR! E a,, iv€r Loop Road No. 20a Company 1703A Bq;G F/ __F Date Z MOA No. a Receipt No. OD's (_(g in Receipt No. Date of Payment "t_* , D -S C j Amount: $ \ ) U, oU 72-026 (Rev. 7/88) Back Waiver Fee: $ Date of Payment Page 2 of 2 date of this -r- t (nk CHEMICAL & GEOLOGICAL LABORATORIES OF ALASKA, INC. Q, TELEPHONE (907) 562.2343 5633 B Street Anchorage, Alaska 99518 of Drinking Water Analysis Report for Total Coliform Bacteria TO BE COMPLETED BY WATER SUPPLIER TO BE COMPLETED BY LABORATORY ❑ PUBLIC WATER SYSTEM I.D.# Analysis shows this Water SAMPLE to be: 6Ki PRIVATE WATER SYSTEM Satisfactory Un Name Phone No. satisfactory 5 & S ENGINEERING ❑ Sample too long in transit; sample should Mailing Address 17034 Eagle River Loop Road o. 204 not be over 30 hours old at examination Eagle River, Alaska 99577 to indicate reliable results. Please send new sample via special delivery mail. City State Zip Code rn rn Date Received / �g Y1 SAMPLE DATE: `� ME I I. i I I Mo. Day Year Time Received X5.55 SAMPLE TYPE: 4 Routine ❑ Check Sample (for routine sample with lab ref. no. } ❑ Treated Water ❑ Special Purpose ❑ Untreated Water SAMPLE Time Collected NO. LOCATION Collected B 2 3 4 5 1 1 READ INSTRUCTIONS �y�il:7y COLLECTING SAMPLE Analytical Method: Membrane Filter ` No. of colonies/100 ml. Lab Ref. No. Result' Analyst 91.0209 _ zm FEI U m A.D.E.C. BACTERIOLOGICAL WATER ANALYSIS RECORD Membrane Filter., Direct Count C Colitormf100 ml Verification: LTB Final Membrane Filter Results Coliforml100 ml Reported By < ate 725— /z Time: �C a.m. p.m. TNTC = Too Numberous To Count OB = Other Bacteria PART ONE OF TWO REMAINDER TO FOLLOW CHEMICAL & GEOLOGICAL, LABORATORIES OF ALASKA, INC. AN Au- B STREET ET AN I i L-, /,LAS!'/,, t)�! 1 b I Fl. FP1 jl� (��07) 5w I.J u I343 FEDC-RAL TAX 1.0, n2-00,10440 Ar.jjjGj,z r 4 1)t F.. Client Sample TDiL4 12 SEQUOIA ISTITTS Client Name 3 S ENGINEERING ColldetC3 iff 19 91 t 10:40 hts, EiC PP I NONE RECEIV;.. Recgivad JAN 10 91 0 15!55 his. ?xe-ervoa P'E',xinn Analysis Col 91 PXn M. CTZ!: Lc, C. EVE Released I"' ............ ............... Chvelab Rei 4; 9IU209 Leib SI -PI ID; I Itatzix: Allowable Ftyctr�ttr TWed [,...tett t 1.1 rite ---------- I -------------------------- ---------------- -------- ----------------- ----------------------- HITUTE-N U.fs mg/l Lj,,, 353.2 10 _0 Sample ROUTINE SAMPLE COLLECTED W RDI, Romtko: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ................................................. ........I......I................................ I Tests P#Ifotmed See Spacial Instluctiorg Above UA-unavollsb10 . 0-1- M --L- ku.-. MUNICIPALITY OF ANCHORAGE e DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION DIVISION OF ENVIRONMENTAL HEALTH CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY 264-4720 Application Date 11-17-96- 1. 1-1% 96 1. GENERAL INFORMATION (a) Legal Description (include lot, block, subdivision, section, township, range) G 7' /3"4-jn 2 ScPLe_o/d T12 N '3i-tj SC< 26G S.M, Location (address or directions) (b) Applicant Name fin/��� nJN/S an/ Telephone: Home 34-5-7 /6623 Business -567- 7-67 2 - Applicant Address 6 0' % �� s C "r- (c) Applicant is (check one): Lending Institution ❑ ; Owner/builder X; Buyer ❑ ; Other ❑ (explain); (d) Lending Institution Telephone Address (e) Real Estate Company and Agent Address Telephone (f) Mail the HAA to the following address: 2. TYPE OF RESIDENCE Single -Family Multi -Family ❑ Other Number of Bedrooms -If-- 3. WATER SUPPLY Individual Well Community ❑ Public ❑ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 4. SEWAGE DISPOSAL Onsite X Public ❑ Community ❑ Holding Tank ❑ Note. It Ii0(T MIDI lltY Well g5tCMI MUSt naVe Wfljlen confirmation from the State Uopartment of Environmental Conservation attesting to the legality and status. 72-025 (11/84) Page 1 of 2 5. ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DN fA AND INFORMATION 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 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, ordinances, and regulations in effect on the date of this inspection. Name of Firm !t/�1� ��. / y Telephone Address a r3 ox Z3 //82 /4•ze-4 �K 99 23 Date -:5- B 6 r e 1j '1 f.- ��°O.e a. aaah®� e° N��•°`y. "� A® Engineer's Seal 0 o �r9TM � aae�tk mommma-o omme000°e000m0000® bomem000°000mo°•eo ••j.�r Robert D. Schilling o CE -1411 o v , °°°••°°me°°°° yah l ®aPro 6. DHEP APPROVAL Approved for 4 bedrooms by� ate //7/ Approved Disapproved Conditional Terms of Conditional Approval CAUTION The Muncipality of Anchorage Department of Health and Environmental Protection (DHEP) issues Health Authority Approval certificates based solely upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHEP does this as a courtesy to purchasers of homes and their lending lnutltutlons In orat;r tv sausfy vvr<vin federal dna State requircmcnts. Employees of r)HEP 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. Page 2 of 2 72-025 (11/84) MUNICIPALITY OF ANCHORAGE (MOs., Ok P,ovoo'G NHEALTH AUTHORITY APPROVAL (HAA) OF 4' oltc 64 4720 CHECKLIST FEBRUARY 1984 MJN o`oeNMENtP� V-1 ;' Legal Description: Z"17-4- j0y ti O S cG2 e�cc��Rrrss s c A. WELL DATA Well Classification�<VA-9Z6- If A, B, C, D.E.C. Approved (Y/N) Well Log Present (Y/N) Y Date Completed 2/"- 8 4. Yield 17L Total Depth 2-4 > Cased to Z 39 Depth of Grouting Static Water Level 2_�o I Pump Set At Casing Height Above Ground F Electrical Wiring in Conduit (Y/N) Y Separation Distances from Well: To Septic/Holding Tank on Lot 11-2 Sanitary Seal on Casing (Y/N) 7 Depression Around Wellhead (Y/N) /V ; On Adjoining Lots Z0'w:) } To Nearest Edge of Absorption Field on Lot 12 S ; On Adjoining Lots /p Jf To Nearest Public Sewer Line To Nearest Public Sewer Cleanout/Manhole To Nearest Sewer Service Line on Lot Water Sample Collected by ;Date Water Sample Test Results Comments B. SEPTIC/HOLDING TANK DATA Date Installed 1*,U4ay 9/6 Size /Z 4D No. of Compartments 71 Standpipes (Y/N) y Air -tight Caps (Y/N) Y Foundation Cleanout (Y/N) Y Depression over Tank (Y/N) Al Date Last Pumped 4/vO4-7 Pumping/Maintenance Contract on File (Y/N) ti1Q ;for Holding Tank High -Water Alarm (Y/N) Temporary Holding Tank Permit (Y/N) 4444 Separation Distances from Septic/Holding Tank: To Water -Supply Well //Z- To Building Foundation l� To Property Line !�'0 To Disposal Field � o To Water Main/Service Line Course To Stream, Pond, Lake, or Major Drainage Comments ' ` Z ` h " " c� Palle i or z 72-026(11/84) C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata __ �8 �i Type of System Design l3,S,.=/ Date Installed Length of Field 2 r s 30 PER RoobFR60PrJnAN Width of Field 'tea— t' -86 Depth of Field _ 3 S v ravel Bed Thickness o Square Feet of Absorption Area —_ /S6'' Standpipes Present (Y/N) }� Depression over Field (Y/N) Results of Last Adequacy Test _444 Separation Distance from Absorption Field: To Water -Supply Well Date of Last Adequacy Test Z To Property Line To Building Foundation _ z > To Existing or Abandoned System on Lot On Adjoining Lots To Water Main/Service Line To Stream/Pond/Lake/or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area �> Comments D. LIFT STATION' To Cutbank (if present) Date Installed /¢ M� B� Dimensions Size in Gallons y Z) Manhole/Access (Y/N) "Pump On" Level at High Water Alarm Level at Tested for "Pump Off" Level at Electrical Codes (Y/N) 7 _—_ Comments SC 4/l are. s " Check Permitted Bedroom Rating Against HAA Request " Vent (Y/N) Pumping Cycles during Adequacy Test, Meets MOA I certifythat I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Signed Date Date Compan E T tiro,— MOA No. Receipt No. r!U Date of Payment 1,///f +®per ®F A`®�q�� ^9.9p......,°OS.. 1 .Q e_� Engineer's Seal Amount: $ >��� ®,�,�+�,, o ° sn99909♦90009991919 °.Doff ipl 0 Page 2 oft 009909 9001 11.1..10. ® e Robert D. Schllling a h+ ` CE -1411 ®6 4,p• .D'_,.'' q D• 72-26 (11/84) till VA