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HOMESTEAD HILLS #1 BLK 3 LT 3
Homestead Hills #1 Block 3 Lot 3 #015-173-25 Municipality of Anchorage Page 1 of--L— f 3DEPARTMENT DEPARTMENTOF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 Anchorage, Alaska 99519-6650 Telephone: 343-4744 On -Site Wastewater Disposal System and/or Well Inspection Report Permit Number. SW000394 PID Number. 015-173-25 Name: MIKE HILL Wastewater System: ❑ New ■ Upgrade 11340 BEAR PAW LANE ANCHORAGE, AK 99516 NoRTH/soUTN ABSORPTION FIELD Phone: (907) 274-8317 No. of Bedrooms: 4 a Deep Trench ■ Shallow Trench 0 Bed 0 Mound 0 Mar LEGAL DESCRIPTION SPNkrp: ae 0.6 cm/s,f< Tow Depth Gem a. kepi 7e� 5.53-6.5/6.23-6.5 n Lot., Black: Subdivision: 3 3 HOMESTEAD HILLS #1 Death to pil" boon hem rkkwr Dae« 1.53-2.5/2.23-2.5 Dm l dplh Wwolh plpr 4.0/4.0 n rt Township: - Range: - Section: - he added alveus anal" °nae 1.0-2.5 oras w 4 : 100 TOTAL (2 ® 50')R n WELL: ❑ New ❑ Upgrade anwl wkift 5 Meow of bee: 2 oirnnce blew, swe 15'+ R ft Ckoabrbn f.1.a1w A9.D: Tow Cased Te Tow ebeorpllon ams: pee melerick R 1 n 1000 m.R ASTM D -3034/F-810 Deur: Dae. Dialed: Swk: waren love: invasion. A+ HOME SERVICES bee Installed:n 11/13-16/00 rlra:P+ w see AD Corn° fwyb d Aaau d: TANK CPM It R SEPARATION DISTANCES ■Septic 13 Holding 0S.T.E.P. To Septic AbsAbsorptionSUlt Holding NWic/Prtoalie ANCHORAGE TANK aecerb In awe 1250 From Tank Field Sewer Linea Well 100'+ 100'+ — — 25'+ uw.a. STEEL Nr a. N oiwnpwawaee. 2 surf°°° water 100'+ 100'+ - - - LIFT STATION Lot 5'+ *2'Ase — — — ti °new: Yrrlacbar. Line t4P Foundation 5'+ 10•+ 1 — — — en Y.d ae tiro oe: wiyr weer Norm aC NO KNOWN Hoke 77- D.Moel owpectlorw polrnwd br: Dromn Remarks: *SEE LOT UNE WAIVER REQUEST LETTER. BENCH MARK locaebn and DeevleDra TOP OF DECK NEAR POINT 'Ave Agc..JOoNe� 100.00 ft s wFi1F 9rna1 0 ver ////-?Z." ENGINEE" .AL o� Op0 Cgsp�o v�U Inspections performed by AVWJC, INC. Dates: 1st 11/13/2000 �.. e *.;.. . .. ..... �0 2nd 11/15/2000 3rd 11/15-16/00 a fr A. arfles9' Department of Health and Human Services approval E-7953 .per dpi ��' •., pro Reviewed and approved by Date: f '� 1"a �Op°dlDrore°s10^a���� -015 R... ° 1 Coo, 25 NUMBER: PERMTTSWO _ AS-BUILT DRAWING PINUMBER: 015 015-11 73-25 SW000394 2 FOOT LOT LINE WAIVER (SEE LETTER)STI NEW D \NFlELDSFCO 1 1 A B 38.72 1 19.1b 41.50 1 22.56 a 51Z 44.b6 28.10 CO4 -_--- - -V 03 rU2+ .1 COti 01 4. ------�c01 MT CO2 1TE. 9-2 INSTALLED FLOW (Fs) CO3 T37Y 1.9 117.34 F59.24 MT3 115.3 ISPLITTER TM/'MT4 13231 INSTALLED FLOW DrVERTER (FD) (/� D(IS11NC 4 /BEDROOM Hp SE �.•.r. .�... �. �. D: I I I DBL2 O DBL J W IASNA USED RESERVESITEA I 1 N`' NEW 1250 GALLON SEPTIC TANK WN INCORRECTLY ECTLYLOCATION THE ORIGINAL DESIGN DRAWING. DATE: 11/29/2000DRAWN opd� 0 4 BY: ALASKA AWFE'R & WASTE J.L.M.�syp*�00 = 30' CONSULTANTS, INC." 6901 DERARR ROAR, SU04 TE rR • ANCRORAGE. AK 993• M40NF. 907)337-6179 • F" 07)338s7a6 Q •.••... D Q PHONE NUMBER: PAGE NUMBER: PREPARED FOR: MIKE HILL (907) 274-8317 2 OF 3 A. P O �pp�,'' r mess- — 7953 LEGAL DESORIPnON: HOMESTEAD HILLS SUBDIVISION; LOT 3, BLOCK 3, .. ••7953. �DedpFolRes�O^� o� �44000cp� TYPE OF WORK: SYSTEM UPGRADE AS-BUILT DRAWING OF NEW SEPTIC PERMITNUMBER: A S -BUILT DRAWING F01 0155 INUMBER: SWO SW000394 —11 73-25 511 1 f WL QUI)E - 9986+1- 51`2 TOP Of TAM - Af Utf • 9OB6 1 VmOf DWO• ATFUf -90M NORTH M1 CD WITOM Of 111M - 81.02 (AVG.) NSW 1250 6&LON %P11C TANK -Fw a?"a 8870.89.05 ORY�iN Mom 86.55$1.52 (ON U'FLI.5DE) - mwOf PPE - 85.02 (AVG.) rfOYOf TMX AfODU1.9OB6 "-MRRf Of V" AT aWZT • 9011 SOUTH FN&aym mr co oma% am 893591.10 87.74-8B 01 - m(ON LP LL 5M) BOffOM Or fiiN - 8151(AVG.) 11 ALASFA «TATER & WASTEWATER SCALE J.L.M. CONSULTANTS, INC. N.T.S. 9901 OFBAPR ROAD. SUTE iO • AN[NORAGE, AX 99700 •PHONE (901)171-0179' FAX 901)JSEJ746 PREPARED FOR: PHONE NUMBER: PAGE NUMBER: MIKE HILL (907) 274-8317 3 OF 3 LEGAL DESCRIPTION: HOMESTEAD HILLS SUBDIVISION; LOT 3. BLOCK 3. TYPE OF WORK: PROFILE—AS—BUILT DRAWING OF SEPTIC SYSTEM UPGRADE TmN01 WIMP fL1ER MIX FAW OF PPE - 8551(AVG.) • a .-, a U..' Permit Number: SW000394 MUNICIPALITY OF ANCHORAGE Department of Health and Human Services Onsite Services Program 825 L Street, Room 502 P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-4744 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade Date Issued: Sep 22, 2000 Expiration Date: Sep 22, 2001 Parcel ID: 015-173-25 Legal Description: HOMESTEAD HILLS #1 BLK 3 LT 3 Design Engineer: 0041 AK Water & Wastewater Consultant Site Address: 011340 BEARPAW ST Owner Name: MIKE HILL Lot Size: 44532 SQ. FT. Owner Address: 11340 BEAR PAWK LANE Total Bedrooms: 4 Permit Bedrooms: 4 ANCHORAGE , AK 99516-0000 This permit is for the construction of. Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy Private Well ❑ Water Storage All construction must be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations ( 18AAC72 ) and Drinking Water Regulations ( 18AAC80 ). 3. The engineer must notify DHHS at least 2 hours prior to each inspection. Provide notification by calling (907) 343-4744 ( 24 hours ). ( Not required for a Water Supply Permit only ). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. Received By: Issued By: Date: Date: -p0 ALASKA WATER & WASTEWATER CONSULTANTS, INC. September 1, 2000 Municipality of Anchorage Department of Health & Human Services Division of Environmental Services On -Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 Ref: Septic Upgrade Design for Homestead Hills Subdivision; Lot 3, Block 3 To whom it may concern: The existing 4 bedroom house is currently served by a private well and septic system. The exising drainfield does not pass municipal requirements and is in need of an upgrade prior to the sale of the house. Two test holes were excavated in the northwestern comer of the property. The proposed septic system will be designed within the 30 foot radius of test hole #2. We are proposing that a 1250 gallon septic tank and dual five foot wide drainfelds be installed. Comments regarding the proposed design are summarized as follows: 1. SOILS: Attached are logs which shows the soil classifications, groundwater monitoring, and the percolation test results. In TIN I, the soils below the organic layers are a GM/SM material to a depth of 8 feet and then transitions to a SP material to a depth of 10 feet (bottom of test hole). In TH#2, the soils below the organic layers are a ML material to a depth of 13 feet (bottom of test hole). Groundwater was found at 8 feet in TII#1 and TH#2 was dry on the day of excavation. Groundwater measurements had the same readings seven days later. A percolation test for TII41 was performed between the depths of 3.5 feet to 4.0 feet which had a percolation rate of 24 minute/inch. A percolation test for TH#2 was performed between the depths of 4.0 feet to 4.5 feet which had a percolation rate of 1.9 minute/inch. The pecolation data for TII#2 is inconsistent with the soils classified. It is our opinion that due to the overall appearance of the soils, an application rate of 0.6 gallons/day/f,2 should be used. 2. TRENCH DESIGN: a. Percolation Rate: 24 & 1.9 minutes/inch b. Allowable Application Rate: 0.6 gallons/day/f,2 c. Number of Bedrooms: 4 d. Design Flow: 600 gallons per day e. Minimum Absorption Area: 1000 f,2 f. Total Depth: 7 feet (max.) g. Effective Depth: 4 feet h. Width: 5 feet 6901 Debarr Road, Suite 2B * Anchorage, AK 99504 Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: akwwc.com L Reduction Factor: 0.5 L Minimum Length: 100 feet long (2 @ 50') j Effective absorption area= 1000 fit 3. SURFACE RATERS: There are no surface waters within 100 feet of the proposed upgrade. 4. TOPOGRAPHY: As can be seen on the attached topography site plan, the average topography of this property is a 0 to 5 percent running from approximately south to north; in short, there are no slope concerns. The trench is to be installed parallel to slope contours. We are unaware of any adverse impacts this installation would have on adjacent wells or septic systems. If you have any questions, please contact us at 337-6179, or 244-9612. Thank you for vnur nssistnnce_ P.E., M.S. NOTE. -Attached is a site plan drawing, a design drawing, a topography site plan, two soils logs, and a 7 page consimcdon specification letter which are all part of the design package for this septic system. 6901 Debarr Road, Suite 2B * Anchorage, AK 99504 Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: akwNvc.com LOT 1 SIYMAN'S SSD LOT 2, SPIELMAN S/D EXISTING DRAINFlELD TO BE USED AS A RESERVE SITE. B-8 I Q 1 1 II I I I I I I I I I I1 I I I I I I I I I I I I I I I I I I i I I I I I I III LOT 1, BLOCK 3 HOMESTEAD HILLS I I I I i LOT 1. BLOCK 2 HOMESTEAD HILLS LOT 2. BLOCK 3 \ 1 ---------- ----_ HOMESTEAD HILLS rj\J l\ - - - - - - - - - - ----- �. 3 I I ARE!D -PROPOSED SEPTIC CLI / SYSTEM. SEE DESIGN K 1 / PAGE 2 OF 2. 6 LOT 8, BLOCK 2 m HOMESTEAD HILLS ,I EXISTING FOUR BEDROOM HOUSI \ I \ L BIRCHBARK AVENUE LISTING SEPTIC \. TANK TO BE ABANDONED — 1�I I LOT 4, BLOCK 3 HOMESTEAD HILLS LOT 5, BLOCK 3 HOMESTEAD HILLS ^9/5/2000 6- DRAWN BY: ALASKA NVATER S WASTE WATER5� K.D.W. CONSULTANTS, INC. : = 100 6901 DEBARK ROAD. SUTE 2R • ANCHORAGF. AI( 9950.' PHONE (907)337-6179 • FAX (907)339-3246 PREPARED FOR PHONE NUMBER: PAGE NUMBER: MIKE HILL (907) 274-8317 1 OF 2 LEGAL DESCRIPTION: HOMESTEAD HILLS SUBDIVISION; LOT 3. BLOCK 3 TYPE OF WORK: SITE PLAN FOR DESIGN OF SEPTIC SYSTEM UPGRADE AREC I LOT 9, BLOCK 3 HOMESTEAD HILLS i / I 1 P• X r 1 nqy LOT 8. BLOCK 3 HOMESTEAD HILLS A. Cl -7953 GI K W K 0 PROPOSED DRNNFIELDS. EXCAVATE -TWO TRENCHES THAT ARE 7 FEET DEEP. BY 5 FEET WIDE. BY SO FEET LANG EACH. ADD FIVE FEET OF CLEAN, WASHED SEWER DRAINROCK. 11 E INSTALL FLOW SPUTTER PROPOSED 1250 - CALLON SEPTIC TANK INSTALL FOUNDATION CLEANIOUT A i- INSTALL FLAW ONERTER INSTALL DOUBLE CLEANOUTS / /BEDDROOM ER00 0 FOUR NOUSE I I I I EXISTING SEPTIC TANK TO \ BE COMPLETELY ABANDONED (APPROXIMATE LOCATION). \ NOTE: THE CONTRACTOR MUST HAVE THE \ NORTHERN LOT UNE OF THE REFERENCED I I PROPERTY FLAGGED BY A REGISTERED LAND / SURVEYOR PRIOR TO ANY CONSTRUCTION. I Dl J/ GVVV I V4 DRAWN ATER ALASKA WATER & WASTEW K.D.W. �. s'!'40 ;y S 4 CONSULTANTS, INC. —•-----•------- - 1" = 30' r - NOTE: THE CONTRACTOR MUST HAVE THE \ NORTHERN LOT UNE OF THE REFERENCED I I PROPERTY FLAGGED BY A REGISTERED LAND / SURVEYOR PRIOR TO ANY CONSTRUCTION. I Dl J/ GVVV I V4 DRAWN ATER ALASKA WATER & WASTEW K.D.W. �. s'!'40 ;y S 4 CONSULTANTS, INC. —•-----•------- - 1" = 30' ... :.° 6001 DFRARR ROAD. SUTF tB • ANCHORAGE AX 09304 • EHOHE (907)337-6179 • FAx 9071376-3746 Q QO yi ���44sWP�o(�Qc e r' '•. A. 'am'ss: 7953 4�Z a PREPARED FOR: PHONE NUMBER: MIKE HILL (907) 274-8317 PACE NUMBER: 2 OF 2 LEGAL DESCRIPTION: HOMESTEADHILLS SUBDIVISION. LOT 3. BLOCK 3 o ass19� �OOp0000a rryOF DESIGN OF SEPTIC SYSTEM UPGRADE ALASKA WATER & WASTEWATER CONSULTANTS, INC. •ANCHORAGE. a OF �p 7/28/00 11.5' 6901ROAD. SURE 28 AK. 99504 PHONENE (9 (907) 337-6179 • FAX (907) 338-3246 7/31/00 � SOIL LOG — PERCOLATION TESTI 3:16 C19;' y�Q i — 2 3:46 LEGAL DESCRIPTION: HOMESTEAD HILLS SUBDIVISION; LOT 3. BLOCK 3 ••••. ' "' ' •"•• ........ PERFORMED FOR: MIKE HILL I . . . .......... DATE PERFORMED: 7/28/2000 4:16 J f A. Q x y Garness; p 4 3/4" 1 1/4" 5 '• E-7953 p e�_ (fet _ ORGANICS TEST HOLE sO^""• dProfesslo oo�a I } 2 jW�+�j jj SOIL CLASSIFICATIONS SITE PLAN GW = =: ORG 3 ,i., •'. GP ML MIMI GM CL 4 GC OL °, •°. SW MH 5 an " �'• SP CH SM OH 6— Sc GM/SM 7 DEPTH TO 8 -ok OV" TO 9 10 aROUNDWRER DATE READING CLOCK NET TIME WATER LEVEL NET DROP 12—•••'• ...• .. �. •.� 13 B.O.H. UI 14 1516— f' 6 4:46 30 MIN. 4 3/4• 1 1/4" 17 4 l/{ 0 18 J 19 �� PERCOLATION RATE 24 (MIN./INCH) PERC. HOLE DIA. 6" (INCHES) 40 TEST RUN BETWEEN 3.5 FT. AND 4.0 FT. COMMENTS: BASED UPON THE WATER READINGS IN TH#2, IT IS ASSUMED THAT THIS IS TRAPPED WATER RUNNING IN THE SP SOILS. PERFORMED BY ALASKA WATER do WASTEWATER I, CERTIFY THAT THIS WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: GROUNDWATER DATE Weep O 11' 7/28/00 11.5' 9/7/00 7/31/00 SOILS PRESOAKED FOR 4 HOURS PRIOR TO TESTING I'-100' (MINUTES) READING (INCHES) 7/31/00 SOILS PRESOAKED FOR 4 HOURS PRIOR TO TESTING 1 3:16 i — 2 3:46 III I 1 1/4" 3 3:46 I � — 4 4:16 30 MIN. 4 3/4" 1 1/4" 5 4:16 6" TIME (MINUTES) READING (INCHES) 7/31/00 SOILS PRESOAKED FOR 4 HOURS PRIOR TO TESTING 1 3:16 6" — 2 3:46 30 MIN. 4 3/4" 1 1/4" 3 3:46 — 6" — 4 4:16 30 MIN. 4 3/4" 1 1/4" 5 4:16 6" — u TER CONSULTANTS. INC. I SOIL LOG - PERCOLATION TEST I LEGAL DESCRIPTION: HOMESTEAD HILLS SUBDIVISION; LOT 3, BLOCK 3 PERFORMED FOR: MIKE HILL DATE PERFORMED: 8/4/2000 DEM (feet) ORGANICS TEST HOLE #2 1 - 11— ililIIII 13 1.1011:11 16- 17- 18- 19- 20 617181920 COMMENTS: PERFORMED BY THIS WAS PERF DATE: ,.I.;tl.. 4. Gamem •7953 F: I , 1 „ SITE PLAN . 1" - 100' \ t t SOIL CLASSIFICATIONS I WATER LEVEL READING NET DROP (INCHES) + PRESOAKED FOR 4 HOURS PRIOR TO TESTING. 1GW =ZZ: ORG 12:15 , 1! — ilkGP IML 12:25 10 MIN. 1/4" 5 3/4- GM CIL 12:25 6" — GC N/NN• • 1 10 MIN. 1/4' 5 3/4" 0, SWIIIIIiIIIMH 12:36 6" — ////.CH 12:46 10 MIN. 1/2" 5 1/2- i!1l111; • 12:46 — 6" — ML 12:56 10 MIN. 3/4" 5 1/4- DENSER WITHwsi! 12:57 — 6" — 10 11— ililIIII 13 1.1011:11 16- 17- 18- 19- 20 617181920 COMMENTS: PERFORMED BY THIS WAS PERF DATE: ,.I.;tl.. 4. Gamem •7953 F: I , 1 „ SITE PLAN . 1" - 100' \ t t I TH12 I WATER LEVEL READING NET DROP (INCHES) + PRESOAKED FOR 4 HOURS PRIOR TO TESTING. 1 12:15 , 1! — I 12:25 10 MIN. 1/4" 5 3/4- 3 12:25 6" — � 1 10 MIN. 1/4' 5 3/4" 5 12:36 6" — 6 12:46 10 MIN. 1/2" 5 1/2- 7 12:46 — 6" — DATE READING I CLOCK TIME I NET TIME (MINUTES) I WATER LEVEL READING NET DROP (INCHES) 8/15/2000 SOILS PRESOAKED FOR 4 HOURS PRIOR TO TESTING. 1 12:15 — 6" — 2 12:25 10 MIN. 1/4" 5 3/4- 3 12:25 6" — 4 12:35 10 MIN. 1/4' 5 3/4" 5 12:36 6" — 6 12:46 10 MIN. 1/2" 5 1/2- 7 12:46 — 6" — 8 12:56 10 MIN. 3/4" 5 1/4- 9 12:57 — 6" — 10 1:07 10 MIN. 3/4" 5 1/4" PERCOLATION RATE 1.9 TEST RUN BETWEEN 4.0 WATER do WASTEWATER I, IN ACCORDANCE WITH ALL PERC. HOLE DIA. 6" (INCHES) I 4.5 FT_ CERTIFY THAT I GUIDELINES IN EFFECT ON THIS LOT 1 STYMAN'S 5/D LOT BLOCK 3 HOAR HILLS LOT 1, BLOC 2 HOMESTEAD HI ,� LOT 2. BLOCK 3 '(,1` HOMESTEAD HI 74 V Of 3 C �C � a o: lOT 8, BLOCK 2 m HOMESTEAD HILLS LOT 2, IELMAN S FIELD IFY BIRCHBARK AVEN CEPTIC AREA-) LOT 9, K HOM HILLS B-6 FIELD VERIFY L 4, BLOCK 3 MESTEAD HILLS R x LOT e, BLOCK LOT S, BLOCK 3 HOMESTEAD HILLS HOMESTEAD HILLS GATE: 7/18/2000 DRAW K.D.W. SCALE: " = 1 DDS 6901 DFHARR OAD SUTF 29 • HOR E AK 905 07)117-6A9 • F. 901),7] -7266 PREPARED F HONE NUMBER: PACE NUMBER: MIKE HILL (907) 274-83 7 1 OF LEGAL DES RIPTION: HO ESTEAD HI 4sUBDIVI ON; LOT 3, B CK 3 TYPE OF WORK. T POGRAPHICA/ DR WI G r + r \ MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street - Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME __ PHONE G EIN ❑ UPGRADE MAILING A DRESS 2211 r- 4?n_c._rL LEGAL DESCRIPTION LOCATION NO. OF BEDROOMS U Well DISTANCE TO: Absorption area Dwelling PERMIT NO. _Y 2 Manufacturer Material No. of compartments rn Liq. ca it in gallons IF HOMEMADE: Inside length g Width Liquid depth d t7= DISTANCE TO: Well Dwelling PERMIT NO. S?H Manufacturer Material Liquid capacity in gallons 0 W = DISTANCE TO: Well Foundation Nearest lot line PERMIT NO. us LL 2 /- Q ¢ 0 No. of lines Len thAl eac line Total length of lines Trench wilt 00 inches Material beneath the inches Distance between lines Total effective absorption area 4/0 tip _� Ton of the u finish grade IV W Length Width Depth PERMIT NO. i H wd Type of crib Crib diameter Crib depth Total effective absorption area DISTANCE TO: Well Building foundation Nearest lot line J Class , r +, Driller Distance to lot line PERMIT NO. Building foundation DISTANCE TO: Sewer line Septic tank Absorption area(s) OTHER PIPE MATERIALS SOIL TEST RATING iz INSTALLER REMARKS i 1 � s V v � D APVHOV / DATE /LEGAL /L 12-0131Hev. 3/181 MUN ICI RRL- I TY OF= FiMCHf-lRRGE DEPARTMENTr7 HEALTH AND ENVIRONMENTAL 50TECTIC�tT� 825 STP.EET. ANCHORAGE, AK. 9Sa01 ` 1 P 264-4720 JL4 - L FttVG OfJ—S I TE SEWER PERM I PEP.MI oe� 'NO. ( 800353 ) C0 C� 6/80 APPLICANT LEON 6ENNETT 2911 CO CORD LN. AFJCH 2 4-48 LOCATION BERRPAW LEGAL 4LT.3-BLK.'3 NOMESTEAD_HILLSLOT SIZE 40000 SQUARE FEET TYPE OF SOIL ABSORPTION SYSTEM IS: TRENCH 1 MAXIMUM NUMBER OF BEDROOMS 4 SOIL RATING CSO FT/BR)= 312 THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: tR C?EPTH= 11. S LEFVGTH= :3-100 CiRFlVaL- DEPTH— 7'. THE LENGTH DIMENSION IS THE LENGTH CIN FEET) OF THE TRENCH OR DRAINFIELD. THE DEPTH OF A 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). REr--Z'U I REG 'SEPTI C TFIF' K S I ZE= 1 2�1Q GFiL_LOP+IS 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 <:2> I tVSPECT I Ot.IS nma REG►U I REG BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS DEPARTMENT WILL BE SUBJECT TO PROSECUTION. III , r MINIMUM DISTANCE BETWEEN A WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS 100 FEET FOR A PRIVATE WELL OR 150 TO 208 FEET.FROM A PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL. MINIMUM DISTANCE FROM A PRIVATE WELL TO A PRIVATE SEWER LINE IS 25 FEET AND TO A COMMUNITY SEWER. LINE IS 75 FEET. WELL LOGS ARE REQUIRED AND MUST BE P.ETUF.NEI? TO, THE DEPARTMENT WITHIN 30 DAYS OF THE WELL COMPLETION. OTHER REQUIREMEFJTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. PERM I T EXP I RES DECEMBER a 1s I'CERTIFY THAT 1: I AM FAMILIAR, WITH THE REQUIREMEFJTS FOR ON-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 RE ODELED TO INCLUDE MORE THAN 4 BEDROOMS. SIGNED: - APPLICANT LEON BENT TT ISSUED H 1 y_ o�'o *1 S�l06a AND WELLS AS SET ENLARGEMENT IF THE V4. 0 -;rr3r_..1•7I1!„-I -nY�i -i 7 _.f•_-.s'1.r I r?.y9_•I:I i' _I•�,!-?TIJ'/-` J:�Tlt�ar••r'I lI t"l ��Slt. I ? L- � , "^ rlt CT';'�i .:!' ., _ 4976 %RECEIPT Date 19' _ a o e Received From IT;: -CJ Tc 0 8 & ddres5F --Dollars $ - -! P D Q .i..; € � For— ACCOUNT or ACCOUNT _ E :A T 17 e N AMC ►A10 CNECN /L/// `� _-' • -c • -• = U' � lAUNCE MONEY gy � - - DVE ORDEp {tp�IT IM 7T Y1 =r: }+ I ) -_ t ! rl, I'I)T -'l rtY1 0'" _a:{SISI:, -4 ;--I 41`{."i I!•i T:T3 _1_11l-1TLIO 31IT Il3'3IIT3'? D VIT'T .1 t?':t',1' I1 ?'-iT�- !1• I.'.,1.' ' .. •I-,: !t?3'l _Ilii 1:!_+.lI '?1 "fIJ1?i=,'I,_� f !.1 VI:' Ji1T '3!CicIHT OT"I! 1T':13'_S".i il•"IIT'.._CI,_111 c'IIiT 'i7 3I I1-2T:2Y' ^_'SN T=7_1 Z! 0__ I'll _r 'l=t'ftl�llliti! r•�- r 1_:i: -i •;`}}-i=-i � � 7 :'1�s.. -'p`j 1 _.�-ill ,_'v" _ • --. t_li•i j — - _.. n�9?rl �`tS'1Cltlr�lit _q 1,r fl. ti t'1?'1! I'3 rI` i ':1 ia1I.1_? ' - OT T. �'.+?' _- J 'I• TI'.IIT..t ''0'' -' Irl �.I;',C.,• f?Il vo Yllp C19 -1-1 •il li 4' 3 3 .1!.i" I f1'..' I •' 1M{ OIJuLtx:;a I' 'iA`4F'3,i .••� ' J ]T T Z' I 3!tI 1 !_ aT#;,'a'•i ij GT'3 1 !:!'I 1T T'ITI t1 I 1`' { �' .� ' 4 •y. � 1 �! o j J7' I T 1 r 11 1' 1' f t 1 p i-... ♦ 1 (�I': It t I 3 3 -CFt, IJ. JJ .I 0 3J IIlIIJJ I I t ; ,I.1 1'?IT:'!I T IIU='te t <a Hifi I7I-IJ?_ 19 1•,T'aI131Ilt.i??� T'_I T itliil'F!JJ1,T=1tI :T, L 1 ='lI UT 3J"1J1i1',!. i -177 1 - 171=-17_7'=J =! rH T is>:_1 C 1=,.�•-Z TJ' �i! �'_1J_l'I rlltil -IiT 11 T1121! :�L I7:u>n rl J.t' ?:'ILI::,_,? ':1Y ii'fil•! S1?IJllitla ='aT HTIII ?7ttii=`?C'7.':a !1? fill ='''`i JJ`iT=11I J.1' I ..: I U:?T?4'I?;1 1;3T',c .,:113= "TI _. f I Q:.1':" -c. t I''liT _'r ;l J9'U_+ilI !T --- --------------------- I= `trig J TI Iia= IJ9qP.:, CONSVICTION TEST LAB 180nW. 48TH AVE. STE. 'C' ANCHORAGE, ALASKA 99503 248-1333 .PERFORMED FOR: BENNETT/CO;IDRY DATE PERFORMED: 7/31/80 LEGAL DESCRIPTION: Lot 3 Block 3 Subdivision_ HOMESTEAD HTI,LS - THIS FORM REPORTS: CIVisual Solis Examination XZ Percolction Test DEPTH SOIL FEET DESCRIPTION NOTES L _ r i i , I I Im........ 2 , I i14 -H-4- P EMMof0 z 2 — 14' 15.5 Sandy Gravel Overlapping layers of tan clayey silty sandy and clayey silty GRV — Sandy Gravelly Silt or Clay SM — SC Silty Sandy Gravel BOTTOM , OF HOLE4'V WAS GROUND WATER ENCOUNTERED NO +!dpi. 1F YES, WHAT; DEPTH '' LEGEND e — Perc zone _2 S — Sample token - t ■ — Frozen zone — Water table w 0 0 N W F- Z w GENERAL SITE SLOPE READING DATE GROSS TIME NET TIME SATURATION'ERIOD t DEPTH TO H2O NET DRAINAGE MEMO 9:30 MEMO 11.30 REFILL TO L 7/31 MEMO �p � h Wit Ytl�Yp .5 Hr " 3:30 " 4:00 11.5 Hr 8 1/2-1 PERCOLATION RATE: 48 PROPOSED INSTALLATION: COMMENTS: Min/In. O SEEPAGE DRAINAGE REQUIREMENTS.312 PIT d! DRAIN FIELD 0 sf./BR OTHER �Nt�a!���►y ® �tmwlmiiiiEn �m M �OQ�YmIiY01MEO GENERAL SITE SLOPE READING DATE GROSS TIME NET TIME SATURATION'ERIOD t DEPTH TO H2O NET DRAINAGE 7/31 9:30 •• 11.30 REFILL TO L 7/31 2• " 3:00 .5 Hr " 3:30 " 4:00 11.5 Hr 8 1/2-1 PERCOLATION RATE: 48 PROPOSED INSTALLATION: COMMENTS: Min/In. O SEEPAGE DRAINAGE REQUIREMENTS.312 PIT d! DRAIN FIELD 0 sf./BR OTHER TEST PERFORMED BY: LB DATA CERTIFIED BY- Kinney R. Baxter, P_P.._ DATE: 8/4/80 1 rn 4 O 1) n a q, cA--) 111J/�\\'//�1' a V 1 bc- NOTIA '�e :!, - Folt-/ - I f01 c. ,Y�• 1` .. ...., 1 tly {/1 '�,� •� �,^� R as 4� - \O ✓ r •a'- G � O . 1 i � �PtC �-�CY ✓tM CCe��''iLl�v�'� ��'C'wr�r/ y ".I` �'�� 1 QIV,Y �5 j I _A oFANCHOLkG � PL 0 'j. �ATI 11 Y♦ MRO0'�XTAL N El IOTECTION 00c Co. dba ! :SULLIVAN` WATER WEDS uG a 'SI4k,ALAS"i;i1�6.0 TELEPHONE ��8-2759.'... O�BOXVZCHUGL I �- E I VVE D. IRK. OWNER LAND U- to i7t' DEPTH OF WELL� ?ADDRESS,,2 -STATIC LEVEUOF.%VATER,FT'- DRAW V DOWN FT." i',LE61.:DESCRIPTION 2 7 6ALS. PER IIR' OAT, E'-. Started All, 4 PbEM_IfNUMBE'R`z KIND OFCASING"' 40 OF FORMATION-. From 'KIND MISCL-INFOR.MATION:, `_F FromFt. t`oL'_*-'- "From—Ft. YZ -I Ft" From —Ft. to Ft. ♦ ;*:Fro-Irt'� _I',Ft:to: O Ft. ✓Ft. to -f' FromFt to Ft 1.jb. From'' to Ft 71 —Ft. t: t MY -Ft. . - . . I- . :1 A. From Ft: to Ft -Yt io F Fr6tiF i!t: ;I 4 ':"Frd� .t. i6_MVLF F From Ft. 6"" From�� ti Fro;n Ft3ti "orn From Ft. to, —I F MISCL-INFOR.MATION:, `_F FromFt. t`oL'_*-'- From Ft: (o -;J � From. Ft: to to D IA RILLER'S NAME MISCL-INFOR.MATION:, ...... -I ♦ 71 t to D IA RILLER'S NAME n ' INSPECTION APPOINTMENTS DATE RECEIVED TIME TIME TIME DATE DATE DA E ❑ One Four ❑ Other ❑ MULTIPLE FAMILY L _ INSPECTOR INSPECTOR INSPECT since June 1975. For wells drilled prior to that date, give well MUNICIPALITY OF ANCHURAUt MUNICIPALITY OF ANCHORAGE DEPT. OF H ALTH & DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTIOWIRONMENTAL PLCTECTION \ 825 L Street • Anchorage, Alaska 98601 YEAR ONSITE SYSTEM WAS INSTALLED. ❑ PUBLICUTILITY APR 1 7 1981 ENVIRONMENTAL SANITATION DIVISION Telephone 264-3720 RECEIVED REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten 1101 days for processing. 1. PROPERTYOWNER .ve? -' PHONE MAILINES G A�DDR /S � f� PROPERTY RESIDENT (If different from above) HONE 2. BUYER PHONE MAILING ADDRESS 3. LEN ING INSTTITUTTIIO'NPHONE MAILING ADDRESS 4. R LTOR/AGENT PHONE MAILING ADDRESS 6. LEGAL pESCRIPTA STREET LOCATION / �PA,e titJ $y�, 6. TYPE OF RESIDENCE NUMBER OF,BEDROOMS j� SINGLE FAMILY ❑ One Four ❑ Other ❑ MULTIPLE FAMILY ❑ Two ❑ Five ❑ Three ❑ Six 7. WATER SUPPLY _.INDIVIDUAL' a ATTACH WELL LOG. A well log is required for all wells drilled ❑ COMMUNITY since June 1975. For wells drilled prior to that date, give well ❑ PUBLIC UTILITY depth (attach log if available.) 8. SEWAGE DISPOSAL SYSTEM I INDIVIDUAL/ON-SITE" YEAR ONSITE SYSTEM WAS INSTALLED. ❑ PUBLICUTILITY NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72 Q,r Inw. weal 00� F THIS SIDE FOR OFFICIAL USE ONLY - 1. TYPE OF RESIDENCE ❑ SINGLE FAMILY ❑ MULTIPLE FAMILY NUMBER OF BEDROOMS ❑ ONE ❑ THREE ❑ FIVE ❑ OTHER ❑ TWO ❑ FOUR ❑ SIX 2. WATER SUPPLY ❑ INDIVIDUAL ❑ COMMUNITY ❑ PUBLICUTILITY _ Connection Verified PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM ❑INDIVIDUAL/ON SITE ❑PUBLICUTILITY Connection Verified PERMIT NUMBER DATE INSTALLED oZ INSTALLER ❑Septic Tank or ❑Holding Tank Size: f) TU If Tank is homemade give dimensions: SOILS RATING TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCES WELL T0: Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line 5. COMMENTS Eb""APPROVED FOR 4_ BEDROOMS ❑ CONDITIONAL APPROVAL (letter must accompany certificate) ❑ DISAPPROVED DATE BY 72010 (Rev. 6/79) • '~° Municipality of Anchorage On -Site Water and Wastewater Program x } (907) 343-7904 ' Certificate of On -Site Systems Approval Parcel I.D. 015-173-25 1. GENERAL INFORMATION: Complete legal description Homestead Hills #1; Block 3, Lot 3 Location (site address) 11340 Bear Paw Street *Anchorage, AK Expiration Date: 16 `l — 2—©Zz Current Property owner(s) Kim Mvoung Day phone 907-244-4225 Mailing address Real Estate Agent 11340 Bear Paw Street *Anchorage, AK 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4 Day phone 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ® Individual Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ WaiverNariance request for. Received by: COSA to be released to the engineer, unless otherwise requested by the engineer. Date: COSA Fee $ 5 50 Waiver Fee $ Date of Payment 7 g a�,zz Date of Payment Receipt Number 0 I Receipt Number COSA # n5 C a V1 -3� Waiver # 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm: Gamess Engineering Group, Ltd (GEG) Phone: 907-337-6179 Address: 3701 East Tudor Road, Suite 101 -Anchorage, Alaska 99507 / Engineer's Printed Name: Jeffrey A. Garness Date: In conducting this evaluation, GEG provided an engineering evaluation of the well and/or septic system in accordance with the guidelines and regulations established by the Municipality of Anchorage and industry practices. The reported results describe the condition of the system/s on the date/s of the evaluation. Separation distances were measured to readily identifiable features. Hidden defects or encroachments may exist that were not identified during the evaluation. The operational life of all wells and septic systems depend upon a variety of variables, including but not limited to, soil conditions, groundwater levels (that may fluctuate during the year), quality of construction (materials and workmanship), and the water usage of the family utilizing the system/s. These conditions can vary, and are outside the control of GEG. Satisfactory test results do not guarantee future performance of the system/s; therefore, GEG makes no warranty (express or implied) regarding the future performance of the well or septic system. GEG makes no representation whether an alternative well or septic system can be installed on the property in the event either of the current systems fail to perform adequately in the future. The content of this report is for the sole benefit of the person/party that retained GEG to perform the evaluation. Reliance upon the information provided in this report by any other person or party (including subsequent property purchasers) is not authorized, nor will it confer any legal right whatsoever. 6. DSD SIGNATURE System #1 Approved for System #2 Approved for Disapproved Conditional approval for #AECC884 �( bedrooms OF bedrooms `����Y t ON-SITE G� bedrooms, with the followiipt�VffiR AND Original Certificate Date: -;/-% q^ Z o Z Z The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist Septic System Advisory Well Flow Advisory COSA blue sheet_10-10-12.doc Nitrate Advisory Arsenic Advisory Other S'F,� j -4- dvi & Gj, #� 4+,l dk-,,Q L Legal Description: Homestead Hills #1; Block 3, Lot 3 If more than 1 septic system on lot: COSA Checklist # of A. WELL DATA ❑ Well log is filed with Onsite (or attached) Date drilled 8/7/80 Total depth 261.66 ft Cased to UNK ft ❑ Sanitary seal is functioning correctly ❑ Wires are properly protected Casing height (above ground) 18+ in. Date of flow test for COSA 5121/22 Static water level at beginning of test 204.8 ft. Comments B. TANK DATA Age of tank(s) 22 years Tank type/material Measured operating fluid level in septic tank 50" ❑ Standpipes/foundation cleanout per record drawing Date of pumping 4/26/22 D. ABSORPTION FIELD DATA South/North Trenches Which system tested (date installed) *2000 ❑ ALL standpipes present per record drawing Total measured depth from grade 9.83 ft (max) Measured depth to pipe invert from grade 2.9+ ft (min) ❑ N/A — pressurized field on Monitor tubes go to bottom of effective. If not, state depth into effective ❑ Code -required soil cover over field ❑ System presoaked (Required if vacant for greater than 30 days prior to date of test) Gallons introduced n/a gallons Comments/Deficiencies: '2000 system tested only and only the southern trench was COSA Checklist yellow sheet ���f 2z' Parcel ID: 015-173-25 Structure served by this system Well production at time of test 4.2 gpm Water storage tank volume N/A gallons Well disinfected for coliform test? ❑ Yes ❑ No ❑ Coliform bacteria is Negative Nitrate 3.33 mg/L ❑ Nitrate less than MRL (ND) Arsenic ug/L ❑ Arsenic less than MRL (ND) Collected by GEG, Ltd. Date of Sample 5/21/22 C. LIFT STATION ❑ Required maintenance completed Age of lift station year Lift station material Adequacy test date 5/21/22 Results Q✓ Pass For 4 bedrooms Fluid depth prior to test 20 in Water added 630 gal New depth 27 in Elapsed time 210 min Final fluid depth 21 in Absorption rate 600+ gpd Any rejuvenation treatment (past 12 months) no If yes, enter date n/a pes for 19W tench not found. North trench had 33' of liquid in one MT &)' liquid In other. E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well) Septic Tank/Lift Station on Lot > 100' ❑ Yes if No *5+ Community Sewer Manhole/Cleanout > 100' Q Yes if No ft R Yes if No ft Neighboring Tank> 100' Q Yes if No ft Private Sewer/Septic Line > 25' iv Yes if No ft Absorption Field on Lot > 100' R Yes if No ft Holding Tank > 100' [E] Yes if No ft Neighboring Absorption Fields > 100' if No ft Animal Containment > 50' 21 Yes if No ft [D Yes if No ft ft If septic tank is under driveway comment below Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' (�✓ Yes if No ft —Q✓ Yes if No ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' ❑ Yes if No *5+ ft Surface Water> 100' QYes if No ft Property Line > 5' 0 Yes if No ft Wells on Adjacent Lots: 0 Yes Absorption Field > 5' 11 Yes if No ft Private Wells > 100' Yes if No ft Water Main > 10' Q Yes if No ft Community Wells > 200' 0 Yes if No ft Water Service Line > 10' SI Yes if No ft If septic tank is under driveway comment below From Absorption Field on Lot to: (Please enter distances if less than required) Building Foundation > 10' Q✓ Yes if No ft If absorption field is under driveway comment below Property Line > 10' ❑ Yes if No **0 ft Wells on Adjacent Lots: Water Main > 10' 0 Yes if No ft Private Wells > 100' Yes if No ft Water Service Line > 10' [] Yes if No ft Community Wells > 200' R Yes if No ft Surface Water > 100' 0 Yes if No ft F. ENGINEER'S COMMENTS *Met code at time of installation **WR#000108 is for 2. Please amend waiver to zero (0) feet. See as -built survey dated 5/31/22. G. ENGINEER'S CERTIFICATION o� OF 1 certify that I have determined through field inspections and review of Municipal records that the above systems are in conformance with 9 H MOA COSA guidelines in effect on this date. * • * COSA Checklist yellow sheet _J ff `y�A Garrness;• 049 CE -79 3 _c�Q �G 4��oea Zo rofess'W' �o #AECC884 ���OOOOoo Septic Tank Advisory Certificate of On -Site Systems Approval #OSC 221338 Subdivision: Homestead Hills #1 Blk 3 lot 3 Starting at 20 years of age the MOA issues Advisory's for steel septic tanks. The septic tank for this COSA / property is 22 years old. A leaking septic tank may be a source of contamination to the aquifer. Typical replacement costs range from $10,000 to $15,000 This advisory must be attached to all copies of the subject Certificate of On -Site Systems Approval. This is an example of a 16 -year-old septic tank in failure and should be replaced. Mailing Address P Box 196650'* Anchorage, Alaska 99519 6650 *www muni org MticipalitiT of Anchorage Geogjc P. 11 fierch. Mayor Buildiner Safety Division P.U. I34ts INW))50 • 4700 S. I3raa"m Strcet Anehora;,e, Alaska M519.6650 • (007) 34:3-5301 It l tlt://t����r.cf.tttichc�ral;c.nlc.us AK Water & Wastewater Consultants, Inc. ATTN: Jeffrey Gayness, PE 6901 De Barr Road, Suite 2B Anchorage, AK 99504 - December 21, 2000 Subject: Waiver Request forHOMESTEAD HILLS 41 BLK 3 LT 3 Waiver # WR000108 Lot Line Request for Parcel ID 015-173-25 Dear Engineer: Department of Publie \Z'orks Your request for a waiver of the required 10 feet horizontal separation of the on-site was eater disposal system to the lot line has been approved. The approved separation distance i _ _feet. O'rgq _. z This waiver approval applies to the current on-site wastewater disposal system and lot line separation only. Any future upgrade to the on-site wastewater disposal system and lot line will require all separation distances to be met or another waiver approval from this department. If there are any further concerns or questions regarding this waiver, please call our office at 343-4744. Sincerely, Jeff Poet Engineering Technician III On -Site Water Quality Program III I{ PUtt10UPORCH III 117.2' ,•avr Lot 3 44,533 S.F. ' Lot 2 N 89'53'41 "E 269.29' ",�,o� 10X SHED / iv.r RW U U t U J UJ 0- -93'x10.1' GREQ010t74L ' :.:GRAVEL ' 46.3' .100.6' ' N ^^ w ASPHALT DOJEWAY /—WE'L Y zo-.,0.a• CAM P0tvi x.a• uvr VWOODEN M"CE 'S 89'53'41-W 269.21' 10' T&E EASEMENT I 20' C,h4 EASEMENT Lot 4 I I 20' C.EA EASEMENT ILII I (D M O (jl O MORTGAGE SURVEY X SCALE 1" = 50' _ GRID _SW 2636 Project No. 22-289/Al 11500 Daryl Avenue, Anchorage, Alaska 99515-3049 Lang & Associates, inc. (907) 522-6476 Phone (907) 522-4625 Fax a F ���bO Professional Land Surveyors ken*langsurvey.com �` - jonathanQlangsurvey.com I hereby certify that 1 have surveyed the following described property: LOT 3, BLOCK 3, HOMESTEAD HILLS SUBDIVISION (PLAT No. 78-151) Anchorage Recording District, Alaska, and that this Mortgage Location Survey is a representation of the conditions that were found on the date the survey was performed. This survey does not constitute a boundary survey and is subject to any inaccuracies that a subsequent boundary survey may disclose. The Information contained hereon shall not be used to establish any fence, structure, or other improvements. Dated this the fitDay ofs ?� at Arichoroge, Alaska It is the responsibility of the owner to determine the existence of any easements, covenants. or restrictions which do not aooear on the recorded subdivision Dlat. 49TH M KENNETH, G. LAN o �Q��Fo .�,S-520. •y ©G �©4n�°Ffsstoes�� �Q ECC963 Municipality of Anchorage ' Development Services Department Building Safety Division On -Site Water & Wastewater Program �• l — 4700 Bragaw Street C7o0 �� /l P.O. Box 196650 Anchorage, AK 99519.6650 G www.muni.orglonsile (907)343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING Parcell.D. q;3'25 COSA# O(rhpgR 1. GENERAL INFORMATION Expiration Date: -! - z d - 0 G Complete legal description Location (site address) Current Property owner(s) Mailing address Lending agency Mailing address Real Estate Agent Mailing address HOMESTEAD HILLS 01: LOT 3 BLOCK 3. 11340 BEAR PAW STREET ► ANCHORAGE. AK 99516 TIFFANY SCOTT Day phone 522-4334 11340 BEAR PAW STREET + ANCHORAGE. AK 99516 Day phone SHAY ERNISSE w/PRUDENTIAL VISTA Day phone 273-7311 3801 CENTERPOINT DRIVE 0200 + ANCHORAGE AK 99503 Unless otherwise requested, COSA will be held by DSO for pickup. 2. NUMBER OF BEDROOMS: 4 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well Individual On-site Individual Water Storage ❑ Individual Holding tank ❑ Community Class Well ❑ Community On-site ❑ Public Water System ❑ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Onsite Systems Approval (COSA) based only upon the representations given In paragraph 4 by an Independent professional civil engineer registered in the State of Alaska. Certificates of On -Site Systems 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 COSAs upon request to homeowners. Certificates of On -Site Systems 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 samples. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal axed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. 1 further verify that based on the information obtained from the Municipality of Anchorage riles 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 GARNESS ENGINEERING GROUP, Ltd. Phone 337-6179 Address 3701 E. TUDOR ROAD, SUITE 101 . ANCHORAGE, AK 99507 Engineers Printed Name JEFFREY A. GARNESS, P.E. Date 6 $ /0(o Engineers Comments: In conducting this evaluation, GEG, LID. attempted to provide a thorough, conscientious engineering analysis of the system in accordance with ADEC and MOA DSD Guidelines 8 Regulations. The reported results described the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily Identifiable features. The operational life of all wells and septic systems depend on the local soils condition, groundwater levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of the system. Satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. GEG, LTD. can therefore not provide any warranty or future estimate elbow long the system will continue to meet the operational requirements of the ADEC or MOA DSD. The content of this report Is for the sole benefit of the owner listed above. Any reliance upon or use of this report by any other person or party is not authorized, nor will it confer any legal right whatsoever. S. DSD SIGNATURE Approved for j bedrooms. Disapproved. Conditional approval for bedrooms, with the filowing stipulations: `\��QQ.�•.•- --•.,app•, ON-slit ER AND •: WASTEVVAItK • • PRnr.RAM Attachments: COSA Checklist _(� Arsenic Advisory ll Septic System Advisory Maintenance Agreements Well Flow Advisory Supplemental Engineers Reort Nitrate Advisory Other By: 4lz / /li. Original Certificate Date: d — 0 G 1a,., 11na1 Municipality of Anchorage Development Services Department BUldtrp Set* Division On -Site Water b Wastewater Program 47W Bragaw Street P.O. Box 19MM Anchorage. AK 99519 -WW www.muni.orglonstte (907) 3437904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description: HOMESTEAD HILLS #1; LOT 3. BLOCK 3. Parcel ID: 6 /.S-- / 7 3 -. 5 A. WELL DATA P Well" PRIME If A, B, or C provide PWSIDN N A Well Log (YM) YES Date completed 8/7/1980 Sanitary seat (Y/N) YES Wires property protected (Y/N) YES Total depth 262 ft. Cased to 262 ft. Casing height (above ground) 12+ in. FROM WELL LOG AT INSPECTION �. Date of test 8/7/1980 i 5/17/2006 f Static water level 212 ft. I 211 ft. Well production 30 g.p.m. 4.0 g.p.m. iWATER SAMPLE RESULTS: Conform 0 colonies/100 ml. Nitrate 1.99 mg./L. Other bacteria 0 colonies/100 ml. Arsenic: Nn ugA. Date of sample: 5/17/2006 Collected by: GEG Ltd. i i B. SEPTICIHOLDING TANK DATA jTankType/Materiat SEPTIC/STEEL Date installed 11/16/2000 Tank sin 1250 gal. Number of Compartments 2 Cleanouts (Y/N) YES Foundation cleanout (Y/N) YES Depression over tank (Y/N) NO High water alarm (Y/N) N/A 'J 6/6/2006 Pum Date of pumping per McDONALDS PUMPING ii C. ABSORPTION FIELD DATA POELOW EXMnNG I e/4/19ao Il Data installed tt to 2000 Soil rating .p.d '/bdml 0_6 System type TRENCH 1036 &_T_05T_ Length 100 (2 0 50kt. Width ft. Gravel below pipe 4 ft. 11 400 j Total depth •e.84-9.80ft. Eff. absorption area 1000 fe Monitoring tube YES Depression over field NO Date of adequacy test "5/17/2006 Results (Pass/Feil) PASS For 4 bedrooms Fluid depth in absorption field before test 26.5 in. Water added 639 gal. New depth 36.5 in, �i 9 Elapsed Time: 150 min. Fina) fluid depth 35.5 in. Absorption rate >s 600+ g.p.d. " Any rejuvenation treatment (past 12 mo.) (YM 6 type) NONE KNOWN If yes, give date - •• TESTED THE SOUTH TRENCH OF 2000 SYSTEM. THERE WAS 41' OF LIQUID IN THE NORTH DRAINFIELD D. LIFT STATION Date installed Size in gallons "Pump on" level at _in. *Pump*ff E. SEPARATION DISTANCES High water alar level at in. Cycles tested Meets alar & circuit requirements? SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tankatft station on lot 100'+ On adjacent kits 100'+ Absorption Heid on lot 100'+ Public sewer main N/A On adjacent lots 100'+ Public sewer manholeldeanout N/A Sewer /septic service line 25'+ Holding tank N/A Animal containment areas 50'+ Manure/animal excrete storage areas 100'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Absorption Held 5'+ Water main N/A Water service line 10'+ Surface water 100'+ Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line e2' Building foundation 10'+ Water main N/A Water service line 10'+ Surface water 100'+ Driveway, parking/vehicie storage 10'+ Curtain drain NONE KNOWN Wells on adjacent lots 100'+ F. COMMENTS * WAIVER WR#000108 G. ENGINEER'S I certify that I have determined through Beld inspections and review of Municipal records that the above systems are in conformance wfth MOA COSA guidelines in effect on this date. Engineer's Prin Name JEFFREY A. GARNESS Data COSA Fee S 4-1 ?!o . G D Waiver Fee E _ Date of Payment L - « -n 6 Date of Payment Receipt Number D 4'l J l % Receipt Number. (Rev. 11105) GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS & GENERAL CONTRACTORS June 19, 2006 Municipality of Anchorage Department of Development Services On -Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 Attn: Jeff Poet Subject: COSA for Private Well & Septic System. Lot 3, Block 3, Homestead Hills S/D #1. Mr. Poet: On 5/17/2006 a site visit was made to perform a well and septic adequacy test for the purpose of obtaining a Certificate of On-site Systems Approval (COSA). The septic system consists of a 1250 gallon septic tank that was installed on 11/16/2000, two drainfields and a flow diverter. The drainfields installed on 8/4/1980 are 3 feet wide, 36 and 51 feet long, and have an effective depth of 7 feet. The drainfields installed on 11/16/2000 are 5 feet wide, 50 long each, and have an effective depth of 4 feet. The drainfield that was installed in 1980 is currently not in use. Our testing was performed on the south trench of the 11/2000 system. Prior to the start of the test, the south trench had approximately 26.5 inches of water in it and the north trench had 41 inches in it. Approximately 639 gallons of water was added to the south drainfield, which caused a rise of 10 inches (11.5 inches below invert). This corresponds to 63.9 gallons per inch. Over a period of 150 minutes, the liquid level dropped 1 inch, which corresponds to an absorption rate of 0.43 gpm. Based upon this data, the drainfield will absorb 600+ gallons per day. Given the fact that the drainfield was not completely full ager adding the water and that only the southern drainfield was tested, it is our opinion that the septic system that serves this property will continue to meet MOA absorption requirements. The liquid level were checked on 6/15/2006 and was found to be approximately 16.5 inches in the south trench and 34 inches in the north trench. It is our recommendation that the diverter valve be switched to the 1980 drainfield, which will allow the newer drainfields to recover. lease contact us at 337-6179. A 3701 E. Tudor Road, Suite 101 * Anchorage, Alaska 99507 Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: gamessengineering.com JUN -02-2006 15:48 PRUDENTIAL VISTA REAL EST 907 562 5485 P.02 �a�Fo��sim nm u.cr •ebr mo mea "Me =4 •II.Aee "I"t 2 /V S5l.01T.5'-41,1E w<tt &mytyCEmmplTioN �emisstgQ Prepwad by FLOT r.AN _.�"'`tia �!. Roper} c. J-nhns, ;l!. & Assae_. .-.,•.+,.�lL.,,,..,..... •�• M Mw w[ fMwl ..w •i Ma 1 ��P• Y Q.. Frofesaiond Lund Surveyors .... . ' rYr,FM IC •/ 4 rt r,w. R' `,P •,' 1701 OAIM( .+Ars w reN. r w..w w.•+ R i•• - •i A.VO.'fDitAC?, ALA'9CA 00504 A s'i..f.: Ren Let :..r. Rec ryo/ Fie Nn . 'r"•" ti r"'•"r 0 i� FC•M7ATM AS -MIXT �' •• ••• •• '•'•"" ••:••••,� nn 1R eA �yI U n. :UlWi1G �' Orlwl b'c CT•ete bbx _ .. .. . L Ar.e a irr A. �,• rW n.a l z lri r M M r. !N Y Yw ew+rMr r rww Yw, � y •i:� Y' •,. .T.• � ••� �.{•u,"J KN - • s .r _ ^� ...,..,..,., v4�r '• DotA CA'arra sONi W 0. -• -- G1G0 4i FINAL STr.:1CIURE AS -M-. L AN•.R c 4W: A•vII e++l wA. ••, Ya. •.,M ,r• �.¢.�' ••• b +,Y Legal Occane:iaa .... . b....r.�r r w.rn t 0 111 A..w..r.. wi oa:wro+�� w.w. ..� •ry ...... E �S�•PrY(eve}pA71 V•'`4 yY�,I ZCT 3 3>.Mil 3 .. .. .. . Aw •w w .. rwwr......w .r.r YOQanii.`S.�►�AA A Homestead I'IJ.�.ZS y� .. 'lar clertY SIJRYEY n?E SYMBOLS ❑ FtllIOA7101 AS -LILT ❑ RNAI. iTNCMj si-91K� + qrr kFS ASASrNJiLT._- ❑ v%ar rLAN, , , Af-VAJ . , . LOY *VmvV... (^e:Y.RArnY R' As_eler we ,I.... s, PI eemnn-.wn..._rer rn-w.A•.. An o FOUiID RCWAN any. vADOO r7NOj CO -t) AC9UMM —V. r' ••%-i4 METAL iF4C: OQ+CfCTR. ... mekm HCeir ASCVC GROUND AVO V.SISLL WII.L 8H :C CLr.AMO-JM IIOEwAUM OPIVCwAM-' Ul'OSR M ClFt J 17TANLU b`NCUL7 A'N AS- LFLT VC D^.: rm CDNJIR:J(.TION OR r0q CSTALL;SIFND OWNDARY On FCVDC LIHM , TNe SURYCYL.'IR TAKES Ne6.ONSWILITY rOR THE WITIAL TRMSAC ION ONLY AND A--WMCS TLYANHAL UAD;LT' OM.Y FOR 74C OCZT Or TNS =. VSY, _ _UOTD DICTANQC: PJRL•YMU OVER YtiNC. R_lRCDIICTION MAY CAUi'C MORS N ELLE. TOTAL P.02 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services Onsite Services Section P.O. Box 196650 Anchorage; Alaska 995195650 (907)3434744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILLY DWELLING Parcel I.D.# 015-173-25 HAA #__ 000631 1. GENERAL INFORMATION Complete legal description HOMESTEAD HILLS SUBDIVISION 01: LOT 3. BLOCK 3. Property owner MIKE HILL Day phone (907) 274-8317 Mailing address 11340 BEAR PARK LANE ANCHORAGE AK 99516 Lending agency Day phone Mailing Agent Day phone Address Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: Individual well Community well Public water 4 XXX NOTE: If community well system, provide written confirmation from State ADEC attest - Ing to the legality and status of system. 4. TYPE OF WASTEWATER DISPOSAL: Individual on-site XXX Holding Tank Community on-site Public sewer NOTE: If community wastewater system, provide written confirmation from State ADEC Ing to the legality and status of system. 72-025 (Rev. 1191) Front M0A 021 Computer Version 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my Investigation of this Health Authority Approval application 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 insp ' n, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal a State codes, ordinances, and regulations In effect on the date of this Inspection. Name of Firm Phone (907) 337.6179 Engineer's Signature Date id -11k), In conducting this evaluation, AM%C, Inc. a pt to pro a thorough, conscientious engineering angals of the system in accordance with ADEC and MOA HS uidelines & Regulations. The reported results described the performance of the system under the conditions encountered at the time of the test and separation distances measured to readily Identifiable features. The operational life of all wells and septic systems depend on the local soils condition, ground water levels that may fluctuate during the year, and the wafpr usage of the family being served by the system. These conditions are outside the control c the evaluator of the system. Satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. AWWC, Inc. can therefore not provide any warranty for future estimate of how long the system will continue to meet the operational requirements of the ADEC or MOA DHHS. The content of this report is for the sole benefit of the owner listed above. Any reliance upon or use of this report by any other person or party is not authorized, nor will It confer any legal right whatsoever. 6. DHHS SIGNATURE Approved for _ bedrooms Disapproved Conditional approval for Additional Comments bedrooms, with the following stipulations: Date 12-21-00 The Municipality of Anchorage Department of Health and Human Services (DHHS) Issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending Institutions In order to satisfy certain federal and state requirements. Employees of DHHS 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. 72-025 (Rev.1191) Back 610A #21 Computer Version Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES Environmental Services Division 825'L" Street, Rm 602 Anchorage, Alaska 99501 (907) 343-4744 Health Authority Approval Checklist Legal Description: HOMESTEAD HILLS S/D #1: LOT 3. BLOCK 3. Parcel I.D.: 015-173-25 A. WELL DATA Wen Type PRIVATE If A. B, or C, attach ADEC letter. ADEC water system number N/A Log present (YM) YES Date completed 8/7/1980 Total depth 261'-a' Cased to 261'—e" Casing height (above ground) 12"+ Sanitary seal (YM) YES Wires property protected (YIN) YES FROM WELL LOG Date of test 8/7/1980 Static water level 212' Well production 30 g.p.m. WATER SAMPLE RESULTS: AT INSPECTION 7/13/00 215 4.9 9.p -m. I bacteria 4.1 / 2 1, ah Data of sample: 11— 30' 00 k 11 100 Collected by: A.w.W.C.. INC. B. SEPTIC/HOLDING TANK DATA Date installed 11/13-16/00 Tank stae 1250 Number of Compartments_2 Cleanouts (YM) YES Foundation cleanout (YM) YES Depression (YM) N_ High water alarm (Y/N) N/A Date of Pumping NEW Pumper — C. ABSORPTION FIELD DATA *FROM FINAL GRADES Date Unstaffed 11/13-16/00 Son rating di.. A or f=dnn) 0.6 System type TRENCH Length 100' (2 O 50') Width 5.0' Gravel thickness below pipe 4.0' Total depth '6.84-9.60 Effective absorption area 1000 SO.Fr. Monitoring Tube present (Y/N) YES Depression over field (Y/N) NO Date of adequacy test NEW Results (Pass/Fen) — For 4 Bedrooms Fluid depth In absorption field before test (m.); — Immediatey alter — gal. water added (in.g Fluid depth — (Ins) Minutes later. — Absorption rate 600+ PeroAde treatment (past 12 months) (YIN) — If yes, give date 72-026 Ow. &W CWVUIW Vordm D. UFT STATION Date installed Size In Manhole/Access (YIN) High water alarm level ar E. SEPARATION DISTANCES 'Datum SEPARATION DISTANCES FROM WELL ON LOT TO: 'Pump air level or Septidhoiding tank on lot 100'+ On adjacent lots 100'+ Absorption field on lot 100'+ On adjacent lots 100'+ Public sewer main NSA Public sewer manhola/deanout N/A Sewer/septic service One 25'+ urt station 100'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Foundation 5'+ Property One 5'+ Absorption field 5'+ Water malntseMce One 10'+ Surface water/drainage 100'+ Wells on adjacent lots 100'+ SEPARATION DISTANCES FROM ABSORPTION FIELD ON LOT TO: *SEE LOT UNE WAIVER REQUEST Property One '2 Building foundation 10'+ Water main/servloe One 10'+ Surface water 100'+ Driveway. parldngNehicle storage area 50'+ Curtain drain NONE KNOWN Wells on adjacent lots 100'+ F. ENGINEER'S I car* that I 1 ofAofLMk at¢ with MOA ant Engineer's L J/ HAA Fee S 'OW 3 ° o fd inspections end revfew stems ere In conformance this date. 0 Date of Payment (c%PO Receipt Number n 10 a ra-M M". s ear CWWAK Von" Waiver Fee $ Ur Date of Payment 12- - -- O- 0 o Receipt Number ALASKA WATER & WASTEWATER CONSULTANTS, INC. November 29, 2000 Municipality of Anchorage Department of Health and Human Services On -Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 Ref: Lot Line Waiver for Lot 3, Block 3, Homestead Hills Subdivision #1 To whom it may concern: We request that your department issue a 2 foot lot line waiver from the north property line to the new drain6eld. On 11/14/2000, we contacted your department and received verbal approval for the waiver prior to the installation of the new drainfield. I am unaware of any adverse impacts this waiver would have on adjacent wells or septic systems. If you have any gftstions, please contact us at 337-6179. Thank you for your assistance. Pres P.E., M.S. 6901 Debarr Road, Suite 2B * Anchorage, AK 99504 Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: ak�vwc.com Al niicip ec1ity of Anchorage GeoryeP. Wuerch. Mayor Department or Public Works Bttildinw Sttfcty Division P.O. IAL\ IWWii50 • 4700 S. I3rapw Street Anchone -le, Alaska M519.6650 • (907) 34:3-8101 h I t p://w�tv.cLnnch oru�cnl<.us AK Nater & Wastewater Consultants, Inc. ATTN: Jeffrey Gamess, PE 6901 De Barr Road, Suite 2B Anchorage, AK 99504 - December 21, 2000 Subject: Waiver Request forHOMESTEAD HILLS #1 BLK 3 LT 3 Waiver # WR000103 Lot Line Request for Parcel ID 015-173-25 Dear Engineer: Your request for a waiver of the required 10 feet horizontal separation of the on-site wastewater disposal system to the lot line has been approved. The approved separation distance is 2 feet. This waiver approval applies to the current on-site wastewater disposal system and lot line separation only. Any future upgrade to the on-site wastewater disposal system and lot line will require all separation distances to be met or another waiver approval from this department. If there are any further concerns or questions regarding this waiver, please call our office at 343-4744. SincerelyG'% Jeff Poet Y Engineering Technician III On -Site Water Quality Program MUNICIPALITY OF ANCHORAGE Department of Health and Human Services On-site Services Section Waiver Review Worksheet WR# 000108 PIN 015-173-23 HA# 000631 Permit # sw000394 Date Received: Legal Description: Homestead Hills 01 Lot 3. Block 3 Engineer: Alaska Water & Wastewater Consultants, Inc. 6901 Debarr Rdad, Suite 2-B, Anchorage, Ak 99504 Applicant: Mike Hill Waiver Requested: 2 foot waiver from absorRti,nn field to Int ling_ Criteria: 1. Geology: A. Water Table B. Soil Sorption C. Permeability D. Water Table Gradient E. Horizontal Separation TOTAL: 2. Special Conditions: 3. Other: Points: Waiver is Granted: Waiver is NOT Granted: List Conditions or Reasons for above: Date: /a -fir -0o By: r Rec *: 0183 Amount: $ tls.on Date Paid: 12/15/00