HomeMy WebLinkAboutASPEN HIGHLANDS #2 BLK 2 LT 10AAspen Highlands #2 Block 2 Lot I OA #017-013-95 of Anchorage lMunicipality Development Services Department Building Safety Division On-Site Water and Wastewater Program, 4700 Bragaw SL P.O. Box 196650 Anchorage, AK 99519-6650 Page Of wwwci.anrhorage.ak us (907) 343-7904 ONSITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number. SW070127 PID Number. 017-013-95 N. Sam Newby Wastewater System: ❑ New ® Upgrade 12929 Tracy Way Anchorage. AK 99516 ABSORPTION FIELD Pr 345-6112 14 ° 019eaa.m 5 CIDWTrWr 91Sr Trach p aea O ram Cl o e LEGAL DESCRIPTION 5a e'n° Tau Depmrmm a9p rpsae .8r Fl 8`2 LM 10A Aspen Highlands#2 DWMI,, ea eaaan aae argrr vaa Green each enreem Me Fl. 2 FI Tammy aenpa r Fi.Oa.UaGOMapn Wl . 6r.tel L.Ph 0-1 fl. 134 Fl. Well: ❑New [3U rade P9 rrem da Da 0eaae rYre 5 Fh, 2 1 10 FL CMeaeram (Pmeu. A a Q Taus Degn Cnaa xx Tan aeeapm neo Pa Me Existing R. FL 957 Fe, ASTM D3034 PVC DOW Oche Dlelae Suet Wear Larchxrinler Dna MmMba Fl Sanders 8 Sanders 6129 to 7/3/2007 Yrtl P MSM■ Ca.ayNe,yxrooreGrana TANK GPr Fl. Ft SEPARATION DISTANCES 0 Septic ❑ Holding ❑ S.T.E.P. ❑ Other. To Septic Absorption Litt Holding ablrenvate G�n From Tank Field Station Tank Serer U, Anchorage Tank 1,500 Gan Mew,M M,enear a Cangrerrae vvat >100' >100' N/A N/A >2V Steel TWO S,0-00.er >100' >100' NIA N/A LIFT STATION La LM >g 4'•-- NIA N/A cr rauw 'Nnq an'Iew1 eL "Pump ar bMn h.yienereur Faa^0Mm >5• >70' WA N/A ti ti ti CMun Ora.h None Noted h'uT Mere 6 Maeeh EleNral erperhar perbnrra ar p�Existing Septic Tank Pumped, Crushed and Buried On Site. BENCH MARK lmrun.a Deeciprm Existing Absorption Crib Pumped and Filled with Sand. Entry Steps at Landing. See Lot Line Waiver. Er n,en 100.00 FL Inspections performed by: A. Harala Dates: 10 6/292007,�.►��F,sasaasPill,0 S�r� ••••� 2nd 7/2/2007 "~P� Development Services Department Approval JV* 49Iti !V *ode Conditional Approval Date: ... ........ . . ..... . ••• ••,L ;; It10' E. ANDERSON •� :AU04AEL +�Lr. �• CE-4381 Reviewed and approved by: tj' Date: (� amen 1 Permit No.: SWO70127 -3d Municipality of Anchorage DEVEOPMENT SERVICES DEPARTMENT 4700 South Bragaw Street Anchorage. AK. 99519-0655 - 343-7904 On -Site Wastewater Disposal System or Well Inspection Report LOT 11 (D GRAVEL DRIVE Page 3 of 3 PID No. 017-01395 ASPEN HIGHLANDS SUBD., UNIT NO. 1 LOT 10A, BLOCK 1 M-19 37.e1e Si.) LOT 11, BLOCK 1 (n� szm. sr.) A rive Bedroom Home V\ LOT 1 O SV — Flow Splitter Valve L41C7 — MonSystem Tube PLAN AS -BUILT C7 —System Cleanout SCALE V = 50' U E. ANDERSON CE -4381 Municipality of Anchorage Page 3 of 3 DEVEOPMENT SERVICES DEPARTMENT 4700 Elmore Road Anchorage, AK. 99519-0655 - 343-7904 On -Site Wastewater Disposal System or Well Inspection Report Permit Number. SW070127 PID No. 017-013-95 U i U ar i l "ffil NOTE: Existing Septic Tank Pumped, Crushed and Removed. Existing Absorption Crib Pumped and Filled With Sand. PROFILE AS -BUILT No Scale 93.1 93.1 ANDERSON ENGINEERING P.O- BOX 240773 ANCHORAGE, AK 99524 522-7773 677-7766 (F May 31, 2008 Municipality of Anchorage Development Services Department On -Site Water and Wastewater Program P.O. Box 196650 Anchorage, AK 99519-6650 Subject: Lot 10A, Block 2, Aspen Highlands No. 2 Separation Distance Waiver Absorption Trench to Lot Line Dear On Site Services Engineer: The southwest end of the absorption trenches recently constructed for Lot 10A, Block 2, Aspen Highlands Subdivision were constructed within 4' of the southwest lot line. Placement of the trenches in this area will not conflict with other septic systems or wells in the area. Lot 9 to the southwest was recently constructed with the well more than 100' from the trenches. We therefore recommend a waiver be issued to allow placement of the trenches at 4' from the southwest property line. Sincerely, Michael E. Anderson, P.E. r!o' z -0g .� i 7s- o7;�790 Municipality of Anchorage4 ` Development Services Department \ Building Sailoy Division On-Sitc Watcr and Wastewater Program ° 4700 Elmore Strcet s ° P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchomgc.ak.us (907)343-7904 Waiver Review Worksheet WR#: 080027 PID#:017-013-95 HAM Permit#: 070127 Date Received: 6x2/08 Legal Description: Aspen Highlands #2 Block 2 Lot 10A Engineer. Mike Anderson Anderson Enctineerinq P.O. Box 240773 Anchorage Air. 99524 Applicant: Sam & Mary Newb Waiver Requested: 4 feet separation distance absorption field to -property line Criteria: Geology Points: A. Water Table B. Soil Sorption C. Permeability D. Water Table Gradient E. Horizontal Separation Total: ............°.............................................°.°.....°°........... Waiver is Granted: _L,�/ Waiver is not Granted. List Conditions or Reasons for above: W S g Date: By: Narri evieWer ...........................................�.................................. Rec#: 6-2-08 Amount: $175.00 Date Paid: 6-2-08 tT Municipality of Anchorage ' 1'U. IL -N 11X674) • Anchur ge. Alanka 9I.CiPNi6i11 • 471X1 Iilnmw R,wl llllicc: l!N17 WM01 • Fax: (!M)7)343 -PINI help://x�c�cnumi.nr� MayorJkerkBq(lich Development Sen3ces Dep.u-tmernt 6/5/2008 Mike Anderson Anderson Engineering P.O. Box 240773 Anchorage, Ak. 99524 Subject: Waiver Request for Aspen Highlands #2 Blk.2 Lt.l OA Waiver Request #WR080027 Parcel ID #017-013-95 Permit # 070127 Dear Engineer, runt llcpartit otit Your request for a waiver of the required 10 feet horizontal separation from the absorption field to the property line has been approved. The approved separation distance is 4.0 feet. This waiver approval applies to the existing absorption field to property line separation only. Any future upgrade to the on-site wastewater disposal system will require all separation distances be met or another approval from this department. If there are any further concerns or questions regarding this waiver, please call our office at 343-7904. Sincerely, V V Jeffrey W. Poet Engineering Technician On -Site Water & Wastewater Program Community, Security, Prosperity MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water 6 Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 2A 103v ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT r'I.0I U Upgrade Date Issued: Jun 26, 2007 Expiration Date: Jun 25, 2008 Permit Number: SW070127 Parcel ID: 017-013-95 Legal Description: ASPEN HIGHLANDS #2 BLK 2 LT 10A Design Engineer: 0014 ANDERSON ENGINEERING Site Address: 012929 TRACY WAY Owner Name: SAM & MARY NEWBY Lot Size: 37815 SO. FT. Owner Address: 12929 TRACY WAY Total Bedrooms: 5 Permit Bedrooms: 5 ANCHORAGE. AK 99516 - This permit is for the construction of: 0 Disposal Field ❑✓ 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 DSD at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 ( 24 hours ). ( Not required for a Water Supply Permit only ). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. Received B Date: W Q-7 Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, Alaska 99519-6650 www.muni.org/onsite (907) 343-7904 ON-SITE SEWERMELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. 017-013-95 Property owner(s) Sam and Mary Newby Day phone Mailing address 12929 Tracy way Anchorage, AK Zip Code 99516 Site address 12929 Tracy way Anchorage, AK Zip Code 99516 Legal description (Sub'd., Block & Lot) Lot 10A, Block 2, Apen Highlands Subdivision No. 2 Legal description (township, Range & Section) Lot Size 37,815 Sq. Ft. THIS APPLICATION IS FOR IS all that apply): Absorption Field ❑ Septic Tank (] Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage ❑ Number of Bedrooms Five (5) THIS APPLICATION IS AN: Initial ❑ Upgrade El Renewal ❑ certify that the above information is correct. I further certify that this application is being made for a Single Family Dwelling and is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Pennil/Rush Fees: 4(& Q '-1 Waiver Fees: Date of Payment: � I Mn -r' Date of Payment: Receipt Number. � 1 tp I 0L- Receipt Number. (Rev. 11105) ANDERSON ENGINEERING P.O. BOX 240773 ANCHORAGE, AK 99524 522-7773 677-7766 FAX June 18, 2007 Municipality of Anchorage Development Services Department On -Site Water and Wastewater Program 4700 South Bragaw Street Anchorage, AK 99519-6650 Subject: Lot 10A, Block 2, Aspen Highlands Subdivision No 2 Septic System Design and Permit Application Impacts to Adjacent Properties Dear Onsite Services Engineer: The existing septic system on Lot 10A, Block 2, Aspen Highlands Subdivision No. 2 has failed and must be replaced. We are therefore requesting a permit be issued for the construction of a septic system to accommodate the five -bedroom home on the lot home. The attached Site Plan and backup documentation identify the location and configuration of the existing well and septic system along with the new septic system. Existing wells and septic systems in the area are also shown on the attached plans. Drainage arrows are shown on the site plan showing the grade and direction of flow on the lot. The drainage pattern will not be changed as a result of this project. The test hole placed on the lot in the area of the absorption trench for the new system indicated silty gravel and sand (GM) material from 4.2' to 9' below the surface. The percolation rate of the soil was determined to be 10 minutes per inch. No groundwater was found during the placement of the test holes and none was noted during the monitoring period. An application rate of .8 gallons per day per square foot was used in the design of the absorption system. We are proposing to pump, cursh and backfill the existing septic tank and absorption crib and place a new 1,500 -gallon septic tank and a two 67' long by 5' wide by 2' effective depth absorption trenches to treat and dispose of the effluent generated in the house. The elevation of the distribution line in the absorption trenches will be 5.0' below the surface and the total depth will be 7.0'. A minimum of 3' of fill or 2" of insulation and 2' of fill will be placed over the absorption trench and 4' over the septic tank. A flow splitter valve will be placed to assure even effluent flow to each absorption trench. The ground surface on the lot in the area of the absorption trenches slopes to the southeast at 6%. No major grade breaks or excessive slopes were noted within 100' of Lot 10A, Block 2, Aspen Highlands No. 2 June 18, 2007 Page Two the proposed septic system. The new trenches will be constructed parallel with the slope as much as possible in conformance with Municipal requirements. The new septic system will be constructed a minimum of 100' from all wells and any surface water and 10' from the proposed and existing water services in the area. If the system is constructed in accordance with our design the following statements apply: The system, if constructed as designed, will have no adverse impact on the wells in the area or those to be constructed in the future. 2. The system, if constructed as designed, will have no adverse impact on existing septic systems in the area or those to be constructed in the future. 3. The system, if constructed as designed, will have no adverse impact on reserve space, either surface or subsurface, on any lots located in the area. 4. The system, if constructed as designed, will have no adverse impact on drainage patterns in the area. The current drainage pattern will be maintained. Sincerely, n C `u' --n Michael E. Anderson, P.E. Attachments r 49:h ' VC�AE: E. A%OC3SC% 5A N P O ♦, 5 6A o ti 1 OA 8 4 �'` O 9 5 IDORI DRIVE 7 10 11 8 6 t� •♦ .. ...... 111 49th. %IIi .......... ..... . ; . AREA MAP 0 A MICHAEL E ANDERSI7N �' � SCALE 1' = 100' 11' ............. �3♦♦♦ O 11111\p;•� ASPEN HIGHLANDS SUED., UNIT NO. 1 LOT 1OA, BLOCK (75-125 37,815 S.F.) LOT 11 BLOCK (72-62 32,074 S.F.) 1 SITE PLAN 'I�R"N 1 C ;MICHAEL E. AH- -1 i .�_ -- SCALE 1' = 50' LOT 10A, BLOCK 2, ASPEN HIGHLANDS SUBDIVISION NO.2 DESIGN FACTORS: SYSTEM REQUIREMENTS: Five Bedroom House 5' WideTrench System Perc. Rate: 10 Min./inch (Est) 1,500 Gallon Septic Tank Application Rate: .8 GPD/SF 2' Drainfield Rock 5 Bedrooms X 150 GPD/.8 GPD/SF (Application Rate) = 940 SF Absorption Area 940 SF/5 SF/LF•.7 (Red. Factor)= 133 LF Trench Length THEREFORE: Construct Two Abosrption Trenches Each 6T Long x 5' Wide x 2' Effective Depth. Flow Line Elevation in Trench to be 5' Below Original Ground Surface. Total Depth to be T Below Existing Ground. Provide 4' Cover Over Septic Tank and 3' Cover Over Absorption Trench. Provide Flow Splitter Valve to Assure Even Flow. 4'6" Natural Backfill Geotextile Fabric 6., I Q_ 4" Perforated + PVC (Holes Down) 2'0" I I — Drainfield Rock 5' TYPICAL 5' WIDE TRENCH SECTION .•• E.. (NO SCALE) �•�p�,..•- ^• �. NOTE: Grade Area Over Trench to Drain Away. v 49th Minimum 6' Separation From Bedrock. % •-.- ••.. - •••••• Minimum 4' Separation From Groundwater. son Minimum 100' Separation From Wells in the Area. MOMELEMAERBd Minimum 100' Separation From Edge of Lake. �i, s;:, No M+ , Municipality of Anchorage alre Development Services Department Building Safety Division �* �a• "' On -She Water and Wastewater Program - Depth to Water ' 4700 South Bragaw St- C C l D P.O. Box 195650 Anchorage, AK 99519-6650 � www, ci anchoraee.ek.us C� (907) 343.7904 i - Percolation Test SoilsP-, `.Log Performed For. �� 0 w _ Date Park Legal Descriptio Aspen Highlands, #2, LI DA, B2 _ Township, Range, Section: Slope rim 17- 18- 19- 20- n� a.'.•!.4 C 411i `..".........T .. KNAZI, If. ANCZ2=74. � Iwo CE 4331 .., �1IaJiE55Z1,11ill, She Plan WAS GROUND WATER Date ENCOUNTERED? 7-10-11- Depth to Water a IF YES, AT WHAT DEPTH? l D Depth to Water After l ' j p Monitoring? VJA'1'El'L E Date: LAI'L 01 a dGe�S{ 17- 18- 19- 20- n� a.'.•!.4 C 411i `..".........T .. KNAZI, If. ANCZ2=74. � Iwo CE 4331 .., �1IaJiE55Z1,11ill, She Plan WAS GROUND WATER Date ENCOUNTERED? Net Thne Depth to Water a IF YES, AT WHAT DEPTH? l D Depth to Water After l ' j p Monitoring? VJA'1'El'L E Date: LAI'L 01 Reading Date Gross Tune Net Thne Depth to Water Net Drop x:55 loe 3 dot i PERCOLATION RATE 11 TEST RUN BETWEEN rir- ea.vf wl; 6 j2 (m .✓m ) t PERC MULE V"h I" v FT 'AND FT PERFORMED BY: 04-T7rAII0' • 1144-4� EAI-J�CERTIFY THATTHIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 10—/9-0 7 ONSITE WASTEWATER DISPOSAL SYSTEM CONSTRUCTION AND MATERIAL SPECIFICATIONS SUBJECT: LOT 10A, BLOCK 2, ASPEN HIGHLANDS SUBDIVISION NO.2 GENERAL: The scope of this project includes the pumping, crushing and backfilling with sand of the existing septic tank and absorption crib and the procurement and placement of a new 1,500 -gallon septic tank at the location shown on the Site Plan. Work also includes the construction of two new 67' long X 5' wide X 2' effective depth absorption trenches at the location also shown on the Site Plan. The distribution line in the trench will be placed at 5.0' below the existing ground surface. Total depth of the trench will be 7.0' below the existing ground surface. The new absorption trench and septic tank must be placed a minimum of 100' from all private wells and any surface water in the area and 10' from the water service line proposed for the lot. A minimum of 3' of cover is required over the absorption trench and 4' of cover over the septic tank. A flow splitter valve must be placed to insure even flow to each absorption trench. 2. Construction shall be in accordance with the approved site plan, design drawings, Municipal Permit with any special provisions or conditions, and all applicable State and Municipal Wastewater Disposal Regulations. 3. The Contractor shall be responsible for obtaining all underground utility locates and for the layout of the septic system and verification of the location of all lot lines. The Contractor must also verify the location of wells in the area and assure that the separation distances are met. 4. Unless specifically agreed otherwise, the contractor shall be responsible for final grading areas subsequently depressed from soil settling. Property owner shall be responsible for revegetation of affected areas unless specifically agreed otherwise. Contractors installing wastewater disposal systems must be certified by the Municipal Department of Health and Human Services for system installations. Owners installing their own systems must receive prior approval from D.H.H.S. before beginning system installation. SEPTIC TANK INSTALLATION A new 1,500 -gallon septic tank must be procured from an approved source and installed at the location shown. Lot 10A, Block 2, Aspen Highlands No. 2 June 18, 2007 Page 2 of 3 2. A septic tank is to be constructed by a certified septic tank manufacturer. Construction shall include two 4" cleanouts for pumping access. 3. The septic tank shall be sufficiently bedded to prevent settling or shifting of the tank. 4. All standpipes on the septic tank shall extend a minimum of 12 inches above final grade. 5. Tanks installed without 4' of cover shall have a minimum of 2" of direct burial insulation. 6. A foundation cleanout shall be installed one to four feet from the building foundation. Two cleanouts are required between the tank and the drainfield. 7. Final grading over the tank shall be such that a positive slope exists away from the septic tank. DRAINFIELD CONSTRUCTION: 1. The drainfield shall be constructed to the dimensions shown on the design. The bottom of the trench shall be within 2" of level. 2. Distribution piping must be placed level with perforations down atop a level bed of drainfield rock. Rock should then be placed over the pipe to provide a minimum of 2" of cover. 3. A silt barrier or geotextile fabric must be placed between the drainfield rock and the natural soil backfill. 4. Monitor tubes must be 4" in diameter and installed at the locations shown on the design. The portion below ground must be perforated. 5. Contractor shall verify the septic tank and drainfield are a minimum 100' away from any private water wells in the area, 150' from a Class "C" Well or 200' from any community well. 6. Direct bury insulation must be placed over the distribution system if less than 3' of backfill depth is available. Finish grade over the trench must be mounded to prevent settlement or depressions. 7. Grade area surrounding the absorption trench to drain away. 8. A minimum 2' of accepting soil is required below the drainfield rock for a 5' wide trench. Contractor shall verify this condition prior to placement of the rock. All pockets of unacceptable materials must be removed and replaced. Lot 10A, Block 2, Aspen Highlands No. 2 June 18, 2007 Page 3 of 3 MATERIAL SPECIFICATIONS: Septic tanks must be constructed by a municipally approved septic tank manufacturer. 2. The following pipe materials are approved for use in septic system installations in the Municipality of Anchorage: Cast Iron (perforated and solid), ASTM D3034 or P.V.C. (perforated and solid), ASTM F810 or H.D.P.E. (perforated, but not solid) and ASTM D2662 or A.B.S. (perforated and solid). 3. Insulation shall be at least 2" thick extruded direct burial polystyrene (Dow Chemical Co. Styrofoam HI or equal). 4.. Septic tank inlets and outlets shall be fitted with watertight couplings (Caulder, Femco, or equal). 5. A permeable geotextile fabric (Typar, Mirafi or equal) must be installed between the final drain rock layer and the native soil layer. 6. All drain rock shall be .5" to 2.5 in diameter with less than 3% passing the #200 sieve. INSPECTIONS: Municipal Ordinance requires a minimum of two inspections. These inspections must be conducted under the supervision of a professional engineer registered in the State of Alaska. The first inspection must be conducted after the excavation of trenches, beds or pits and before the installation of any gravel. A septic tank may be set in place, but may not be backfilled. The second inspection must be conducted after the placement of the geotextile fabric, gravel, distribution piping, standpipes, cleanouts and insulation. No backfill should be in place at the time of inspection. Contractor shall provide a copy of all field survey layout and construction notes for use in preparing the certified as -built of the completed system. GP'"6.TER ANCHORAGE AREA BOROI'~H HEALTH DEPARTMENT 327 EAGLE ST. ANCHORAGE, ALASKA 99501 279-2511 N°. 217 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM SEPTIC TANK: MAILING ADDRESS PHONE LEGAL DESCRIPTION DISTANCE FROM WELL LIQUID CAPACITY .-/~'-~ GALLONS. NUMBER OF / MAT E R I AL , ~-:~~-'-- COMPA RTM ENTS ,,~'7''-.ze~-/~'~--*/:- -~"~-~'~'2/-// / '~ LIQUID INSIDE LENGTH /INSIDE WIDTH ~---~'-~ DEPTH~ SEEPAGE SYSTEM: SEEPAGE PIT: NUMBER OF PITS OUTSIDE DIAMETER OR WIDTH LINING MATERIAL [~' ~'C/~/('~""~'~~'~:'-: ~',//~"'~;/ · DISTANCE FROM WELL NEAREST LOT LINE .... ~-~'~ / TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) , LENGTH '~'~ , DEPTH BUILDING FOUNDATION SQ. FT. TILE DRAIN FIELD: DISTANCE FROM WELL _./'~ . ~OUNDATION ~., NEAREST LOT LINE NUMB~ DISTANCE BETWEEN LINES L TRENCH WIDTH ]fRPTION AREA SQ. ET. LENGTH OF EACH LINE ~DEPTH: TOP OF TiLE TO FINISH GRADE l,?~l DEPTH OF FILTER MATERIAL BENEATH TILE /.m.v ~ .~ DISTANCE FROM -' · WELL: TYPE/~/.?//-/-~-~~-/ : DEPTH ,~ ,BUILDING FOUNDATION,/, .~ NEAREST ~ SEPTIC LOT LINE r~'~ ~ ;~.c. , SEWER LINE ,TANK DISTANCES: TOTAL LENGTH IN. ABOVE TILE , WATER /{.~) NEAREST SAMPLE ~ SEEPAGE , SYSTEM ,,/~'~'*~--~ , ,~ESSPOOL ~ , SOURCES DIAGRAM OF ;YSTEM .~.~:_~ ,,/// ./I .. APPROVED HEALTH AUTHORITY GAAB-HD-2 GREATEI, 327 Eagle St. ANCHORAGE AREA' HEALTH DEPARTMENT Anchorage, Ahska 99501 )ROUGH 279-2511 SEWAGE DISPOSAL SYSTEM - APPLICATION & PERMIT ..E,IDENCE ADDR . . ~ , . LEGAL DESCRIPTION APPLICATION TO INSTALL: SEPTIC TANK TO SERVE THE FOLLOWING FACILITY FINANCED THROUGH ,RC~I~6Bb~H~ EST RESULTS SEEPAGE PIT / , DRAIN FIELD , OTHER TO BE INSTALLED BY '~'~--~'~/(f /~/~/')J~ ANTICIPATED DATEOF COMPLETION ~~~' BE,L,,~W TO BE FILLED OUT BY HEALTH DEPARTMENJ_} ? THiS lS TO SERVE AS .~&~. ~~~ , PERMIT TO INSTALL A 3~/~z?''7/~ ~V~~ , AS DESCRIBED BELOW. SIZE O~NIT TO BE SERVED,,~ ~~~ ',~ ~'-'~ .SEPTIC TANK SIZE ~ ~ ~ TYPE,~~' .SEEPAGE A'REAhr~~;~~g~· ' DIAGRAM OF S~EM / ~/~>~ HEALTH AUTHORITY OR LICENSED DESIGNER I certify that I am familiar with the requirements of Greater ~'nchorage Area Borough/Ordinance No. 28-68 and that the above described s stem ~s ~n accordance with said code DATE q'-') / Z- 2/'7/2 APPLICANTS SIGNATURE:"-/-~~ GAAB-H D-2 GREATE 327 Eagle St. ANCHORAGE AREA HEALTH DEPARTMENT Anchorage, Alaska 99501 OROUGH 279-2511 Case No. ~ SEWAGE DISPOSAL SYSTEM - APPLICATION & PERMIT NAME OF APPLICANT ,/~/~ ~/q/~C~__ MAILING ABBRESS PHONE NO. RESlBENCEABBRESS, L0CATION OF INSTALLATION ~~ ~ LEGAL DESCRIPTION ~- o 7 ~ ~ , /:.'~ :~ APPLICATION TO INSTALL: SEPTIC TANK/~ ~ 6~SEEPAGE PIT ~ , DRAIN FIELD , OTHER TO SERVE THE FOLLOWING FACILITY ~ ~/200~ / ~ . _ r~ _ ./ FINANCED THROUGH TO BE INSTALLED BY ~~ ~)~c 2~/o/~ PERCOLATION TEST RESULTS ~~ ~ ANTICIPATED DATE OF COMPLETION BELOW TO BE FILLED OUT BY HEALTH DEPARTMENT THIS IS TO SERVE AS , PERMIT TO INSTALL A AS DESCRIBED BELOW. SIZE OF UNIT TO BE SERVED · SEPTIC TANK SIZE DISTANCES: Health Authority TYPE SEEPAGE AR EA TYPE DIAGRAM OF SYSTEM I certify that I am familiar with the requirements of Greater Anchorage Area Borough Ordinance No. 28-68 and that the above described system is in accordance with said code. APPLICANTS S IGNATU RE DATE Was (ground Water Encountez'ed?._~/~ .... tf Yes, A't l, ii';at 17;ep~:h Net Drop Municipality of Anchorage Development Services Department z .$ Building Safety Division On -Site Water and Wastewater Program 4700 Elmore Road P.O. Box 196650 Anchorage, AK 99507 www.muni.org/onsite (907)343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. 01M13-95 COSA # Expiration Date: / 0 " 2 (P - / 2 1. GENERAL INFORMATION Complete legal description Lot 10A, Block 2, Aspen Highlands Subdivision No. 2 Location (Site address) 112929 Tracy way Anchorage, AK 99516 Current Property owner(s) Sam and Mary Newby Mailing address Lending agency Mailing address Real Estate Agent Mailing Address 12929 Tracy Way Anchorage, AK 99516 Unless otherwise requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: '3. TYPE OF WATER SUPPLY: Individual Well Individual Water Storage Community Class Well Public Water System Five (5) Day phone Day phone Day phone TYPE OF WASTEWATER DISPOSAL: ✓❑ Individual On-site ❑✓ ❑ Individual Holding Tank ❑ ❑ Community On-site ❑ ❑ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) issues Certificates of On -Site 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 sample results. (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 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 Anderson Engineering Phone 522-7773 Address P.O. Box 240773 Anchorage, AK 99524 Engineer's Printed Name Michael E. Anderson, P.E. 5. DSD SIGNATURE Approved for bedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulations: Attachments COSA Checklist X Septic System Advisory Well Flow Advisory Nitrate Advisory Arsenic Advisory Maintenance Agreements Supplemental Engineer's Report Other By: K/ . O"* Original Certificate Date: Cf ' 0 ` 12 (Rev 11M) r, L 2012-044205-0 K S Recording District 301 ANCHORAGE N A 08/0872012 02'54 PM Page 1 of 4 Illl�llllllllllllllllllllll!Illllllll!ill!llllllll�!illll!lilll!lilllllll!IIIII! III I!I ENCROACHMENT PERMIT 1203-25B Grid 2840 EN12019 017-013-98 This permit is between Chugach Electric Association, Inc., an Alaska non-profit electric cooperative, (herein "Chugach"), whose address is P. 0. Box 196300, Anchorage, Alaska 99519 and Sam Newby and Mary A. Newby Revocable Trust, (herein "Permittee"), whose address is 12929 Tracy Way, Anchorage, Alaska 99516, I . Easement. Chugach is the grantee or user of an easement for the construction and maintenance of electrical facilities, as follows: Dedicated by the plat of the subdivision known as Aspen Highlands Subdivision Unit 2, according to Plat Number 75-I25, recorded on the 20 day of August 1975, on file in the office of the District Recorder, Anchorage Recording District, Seward Meridian, Alaska, Described in that certain written instrument recorded on the 20"day of January 1953, at Volume 84, Page 298, on file in the office of the District Recorder, Anchorage Recording District, Seward Meridian, Alaska, Described in that certain written instrument recorded on the 3`1 day of November 1997, at Book 3149, Page 947, on file in the office of the District Recorder, Anchorage Recording District, Seward Meridian, Alaska, (herein "Easement") which pertains to the following described real property: The Northeasterly Twenty Peet (NE'ly 20') of Lot Ten A (10A), Block Two (2), Aspen Highlands Subdivision Unit 2, according to Plat Number 75-125, recorded on the 29s' day of August 1975, on file in the office of the District Recorder, Anchorage Recording District, Seward Meridian, Alaska, Permittee acknowledges the validity of the Easement. Permittee warrants and represents that Permittee is the owner of the fee simple interest in the land subject to the Easement and the following described real property to which the Easement is adjacent: Encroachment Permit - Page I of 4 Lot Ten A (I OA), Block Two (2), Aspen Highlands Subdivision Unit 2, according to Plat Number 75-125, recorded on the 29s' day of August 1975, on file in the office of the District Recorder, Anchorage Recording District, Seward Meridian, Alaska, (herein "Parcel"). 2. Encroachment. Permittee has constructed or purchased the following improvements on or within the real property subject to said Easement: A well that encroaches approximately Two Feet (2') into said Easement, for a distance of approximately One Foot (I'), and a shed structure that encroaches across said Easement for a distance of approximately Ninety-one Feet (9 Y), as shown on the As - Built Survey of Lot 10A, Block 2, Aspen Highlands Subdivision Unit 2. by Gastaldi Land Surveying LLC, dated July 24, 2012, (herein "Encroachment"). 3. Permit. Chugach hereby authorizes Permittee to continue the existence of the Encroachment in its existing location subject to the covenants set forth in this permit. 4, Indemnification. Permittee shall indemnify and hold Chugach harmless from any claims for personal injury, property damage or other loss arising in any way from the continuation of the Encroachment. 5. No Expansion or Increase. Permittee shall not in any way expand or increase the extent to which the Encroachment occupies any of the real property encumbered by the Easement without the prior written consent of Chugach. Chugach has no obligation to provide such consent. 6. No Interest in Real Estate Acquired Permittee hereby acknowledges that the Encroachment and any additions thereto, even if in violation of this permit, has not and shall not in the fixture give rise to any interest or estate in the real property subject to the Easement or any other real property. Without in any way limiting the foregoing, Permittee acknowledges that the Encroachment is not adverse to any interest of Chugach and its continuation is entirely with the permission of Chugach for purposes of the common law doctrine of adverse possession. This permit creates no interest in the real property subject to the easement. 7. Modification of Utility Facilities. If the electric utility facilities located within the Easement are upgraded, added to, replaced or reconstructed, Permittee shall pay that portion of Chugach's total costs for such modification which is reasonably attributable to accommodating or preserving the Encroachment. If such payment is not made within thirty (30) days of written demand for same, Chugach may terminate this permit in accordance with paragraph 9, below. 8. Covenants Running with the Land. The obligations ofthe Permittee arising from this Encroachment Permit - Page 2 of 4C!Tn permit shall be covenants running with the land which shall burden the Parcel and the Permittee's interest in the land subject to the Easement and shall benefit the Easement. 9. Termination. Chugach may terminate this permit after the giving of thirty (30) days written notice of such termination if: a. The Encroachment is enlarged, increased or extended within the real property affected by the Easement. b. The Encroachment is damaged by any means to an extent of more than thirty percent (30%) of its replacement cost at the time of destruction. C. Permittee fails to make the payment described in paragraph 7, above. 10. Term. This permit shall, if not sooner terminated by Chugach, expire forty (40) years from the date hereof. 11. Entire Agreement. This written permit constitutes the entire agreement between the parties with respect to the subject matter hereof and supersedes all other prior or contemporaneous agreements, oral or written, between the parties. No modifications, amendments, deletions, additions or alterations of the permit shall be effective unless in writing and signed by all of the parties hereto. CHUGACH ELECTRIC ASSOCIATION, INC. PERMITTEE Shelly Schmitt, enior Manager Sam Newby Distribution Engineering Date: Yi$ Date: S/ — -zot Encroachment Permit - Page 3 of 4 C!TM STATE OF ALASKA } ) ss: THIRD JUDICIAL DISTRICT } The foregoing instrument was acknowledged before me this c` day of ���.';rG;;�(_ 2012, by � y y a�r,n ttl�%f-�� �f�a-f �iftr A, ;leev (PRINT NAME(S) OF PERSON(S) SIGNING DOCUMENT) STATE OF ALASKA } ) ss: THIRD JUDICIAL DISTRICT } The fing instrument was acknowledged before me this day of Zegoit�.�i`� 2012, by gI/ a�Gdtevrr`t¢ el Senior Manager, Distribution Engineering of Chugach Electric Association, Inc., an Alaska corporation, on behalf of the corporation 11AtillitR0/x®'//�j1 J r ;•N Publics and for the State of Alaska c' r,OTARY = My commission expires: 1`7 r/ -Z113 AFTER RECORDING RETURN TO: Chugach Electric Association, Inc. P.O. Boa 196300 Anchorage, Alaska 99519-6300 Encroachment Permit - Page 4 of 4 C!r! NOTARY Notary : PUBLIC.; Pub1�r the State of Alaska , My commission expires: STATE OF ALASKA } ) ss: THIRD JUDICIAL DISTRICT } The fing instrument was acknowledged before me this day of Zegoit�.�i`� 2012, by gI/ a�Gdtevrr`t¢ el Senior Manager, Distribution Engineering of Chugach Electric Association, Inc., an Alaska corporation, on behalf of the corporation 11AtillitR0/x®'//�j1 J r ;•N Publics and for the State of Alaska c' r,OTARY = My commission expires: 1`7 r/ -Z113 AFTER RECORDING RETURN TO: Chugach Electric Association, Inc. P.O. Boa 196300 Anchorage, Alaska 99519-6300 Encroachment Permit - Page 4 of 4 C!r! q-" CA, r. July 26, 2012 Sam and Mary Newby 12929 Tracy Way Anchorage, Alaska 99516 Grid: A2840 Re: Letter ofNon-Objection To whom it may concern ENSTAR Natural Gas Company A DIVISION OF SEMCO ENERGY Engineering Department Right of Way Section 401 E. lntemationaIAirport Road P. O. Box 190288 Anchorage, Alaska 99519-0288 (907)334-7753 FAX (907) 334-7798 ENSTAR Natural Gas Company has no objection to the existing storage shed and well encroachments into the twenty feet (20 FT) Utility Easement, situated on Lot 10A, Block 2, Aspen Highlands Unit No_ 2 Subdivision, Records of the Anchorage Recording District, Third Judicial District, State of Alaska. Acceptance and use of this tetter of non-ol>iection by yourself, your heirs, your assigns, or your successors. will constitute agreement to the following stipulations: • LandowneriContractor is working near ENSTAR gas facilities and shall contact the Alaska Digline. Inc_ (9117) 278.3121 or 811 for line locating two (2) business days prior to any related excavation • ENSTAR will be held hanntess, now and forever for any damages or injury to any person or property as a result of this encroachment. • Any ENSTAR facility damaged or destroyed, us a result of this encroachment will be repaired at no cost to ENSTAR. • Any costs incurred by F STAAR for special construction necessitated by this encroachment will be home by the land owner. • All applicable safety code regulations will be observed and maintained. • This letter ornoo-objection will in no way preclude ENSTAR from full use and enjoyment of its rights within any portion of its right-of-way. Sincerely: Andrew Fraiser Right of Way Agent ENSTAR Natural Gras Company cc: File Parcell.D. Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 Elmore Road P.O. Box 196650 Anchorage, AK 99507 www.muni.org/onsite (907)343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING CR 017-013 COSA # l ,q o Expiration Date:z- 1. GENERAL INFORMATION d- // Complete legal description Lot 10A, Block 2, Aspen Highlands Subdivision No. 2 Location (site address) 12929 Tracy Way Anchorage, AK 99516 Current Property owner(s) Sam and Mary Newby Day phone Mailing address Lending agency Mailing address Real Estate Agent Mailing Address 12929 Tracy Way Anchorage, AK 99516 Unless otherwise requested, COSA will be held by DSD for pickup. Day phone Day phone 2. NUMBER OF BEDROOMS: Five (5) 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 On -Site 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 sample results. (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 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 Anderson Engineering Address P.O. Box 240773 Anchorage, AK 99524 Engineer's Printed Name Michael E. Anderson, P.E. 5. DSD SIGNATURE Approved for bedrooms. Phone 522-7773 Disapproved. Conditional approval for bedrooms, with the following stipulations: Attachments: COSA Checklist X Arsenic Advisory Septic System Advisory Maintenance Agreements Well Flow Advisory Supplemental Engineers Report Nitrate Advisory Other 1 By: l r. Original Certificate Date: 2 ' G (Rev 11105) Municipality of Anchorage R • '� Development Services Department Building Safety Division On -Site Water & Wastewater Program 4700 Elmore Road P.O. Box 196650 Anchorage, AK 99507 www.muni.org/onsite (907)343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST ,),J I Legal Description: Lot 10A, Block 2, Aspen Highlands No. 2 Parcel ID: 017-013-95 A. WELL DATA Well type Private If A, B, or C provide PWSID # _ Well Log (YIN) N Date completed unknown Sanitary seal (YIN) Y Wires properly protected (Y/N) Y Total depth Unk. ft. Cased to >40 ft. Casing height (above ground) >18 in. FROM WELL LOG AT INSPECTION Date of test 7117/2012 Static water level ft. 40 ft. Well production g.p.m. 7.0 g.p.m. WATER SAMPLE RESULTS: Coliform 0 colonies/100 mL Nitrate 9.41 mg/L Other bacteria 0 colonies/100 mL Arsenic: N/D ug/I Date of sample: 7/5/2012 Collected by: J. Berkram B. SEPTIC/HOLDING TANK DATA Tank Type/Material Septic/Steel Date installed 6/29/07 Tank size 1,500 gal. Number of Compartments Two Cleanouts (Y/N) Y Foundation cleanout (Y/N) Y Depression over tank (Y/N) N High water alarm (Y/N) N Date of pumping 7/20/2012 Pumper Around the Clock Pumping C. ABSORPTION FIELD DATA Date installed 6129-7/3/07 Soil rating (g.p.d./ftz or ftz/bdrm) .6 cPDrSF System type Twice Shallow Trench Length 134 ft. Width 6. ft. Gravel below pipe 2 ft. Total depth 9-10 ft. Eff. absorption area 957 ft2 Monitoring tube Y Depression over field N Date of adequacy test 7/17/2012 Results (Pass/Fail) Pass For 5 bedrooms Fluid depth in absorption field before test 0/2 in. Water added 750 gal. New depth 3/8 in. Elapsed Time: 1.440 min. Final fluid depth 0/2 in. Absorption rate >= 750 g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) N If yes, give date D. LIFT STATION Date installed Size in gallons Manhole/Access (YIN) "Pump on" level at_ in. `Pump off' level at _ in. High water alarm level at in. Datum Cycles tested Meets alarm & circuit requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot >100' On adjacent lots >100' Absorption field on lot >100' On adjacent lots >100' Public sewer main N/A Public sewer manhole/cleanout N/A Sewer /septic service line >26 Holding tank N/A Animal containment areas >50' Manurelanimal excrete storage areas >100' SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation >5' Property line >5 Absorption field >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 4, Building foundation >19 Water main >10' Water Service line >IV Surface water >100' Driveway, parking/vehicle storage >25' Curtain drain None Noted Wells on adjacent lots >100' F. COMMENTS: "{Lot Line Waiver Issued. G. ENGINEER'S CERTIFICATION I certify that I have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. Engineer's Printed Name Michael E. Anderson, P.E. Date 711912012 COSA Fee $ CM Waiver Fee $ _ Date of Payment r��F /�a Date of Payment Receipt Number Receipt Number (Rev. 11105) 49m h FA ANDERSON ENGINEERING P.O. BOX 240773 ANCHORAGE, AK 99524 522-7773 677-7766 (FAX) MEMORANDUM DATE: July 26, 2012 TO: Jeff Poet FROM: Mike Anderson, P.E. SUBJECT: Lot 10A, Block 2, Aspen Highlands Subdivision No. 2 Certificate of On Site System Approval (COSA) Well Encroachment We have contacted all of the utility companies concerning the location of the well on Lot 10A in the utility easement. Both ACS and GCI have responded with letters of non objection. These letters are attached. Unfortunately, Chugach Electric will require an encroachment agreement which must be recorded. This typically takes a month to complete. We will complete all work to obtain the necessary letters of non objection, but request that a conditional COSA be issued to allow the property to close. Thank you for your consideration. ANDERSON ENGINEERING P.Q. BOX 240773 ANCHORAGE, AK 99524 522-7773 677-7766 (FAX) FAX MEMO DATE: 7/25/2012 TO: Karen Talbert WITH: Chugach Electric FROM: Mike Anderson SUBJECT: Lot 10A, Block 2, Aspen Highlands Subdivision No. 2 12929 Tracy Way Grid No. SW2840 MESSAGE: The well on this property encroaches into the existing utility easement on the property. The well has been in place since 1970. We are requesting a letter of non objection to allow the well to remain in the easement. A drawing showing the encroachment is attached. The current owner of the property is: Sam and Mary Newby 12929 Tracy Way Anchorage, AK 99516 Thank you. NUMBER OF PAGES 2 (Including Cover Sheet) Please Call 522-7773 with any problems. Municipality of Anchorage Community Development Department Development Services Division On -Site Water and Wastewater Program 4700 Elmore Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907) 343-7904 Nitrate Advisory Certificate of On -Site Systems Approval # 121296 A Certificate of On -Site Systems Approval inspection and test of potable water was recently conducted on the well water supply on Block 2, Lot l0A of Aspen Highlands No.2 subdivision. This inspection revealed a nitrate concentration of 9.41 milligrams per liter (mg/L) was reported for the property's well water sample. The Environmental Protection Agency (EPA) has established a maximum contaminant level (MCL) of 10.0 mg/L for public drinking water systems. While private wells are not subject to this regulation, EPA standards are based on existing health information and can therefore be used to gauge the relative quality of water from private wells. Please see the attached "Nitrate Fact Sheet" for important information regarding nitrate. This advisory must be attached to all copies of the subject Certificate of On - Site Systems Approval. AAROW PUMP & WER SERVICE, LLC P.O. Box 110496 Anchorage, AK 99511 Office: (907) 346-9355 - Fax (907) 333-8976 Eagle River: (907) 622-9335 �y CUSTOMER JOB SITE M1,1 C) ]ICAs' No. 9487 INVOICE DATE WELL DEPTH r SWL CHLOAIN7D UMPDEPTH f, SALESPEPSON QUANTITY DESCRIPTION PRICE AMOUNT r 6..j'i-1_3m£,_i'9f....6 f LABOR HOURS RATE AMOUNT TOTAL MATERIAL TOTAL LABOR i WORK ORDERED BY DATE COMP TOTAL LABOR PAY THIS AMOUNT 4 Thank You SIGNATURE (I Hereby Acknowledge the Satisfactory Completion of the Above Described Work and agree that it above work is not paid for in 90 days I agree to allow Aarow, Pump & Well Service, L.L.C. the right to remove unpaid for equipment and charge for labor already performed & labor to remove unpaid for equipment) TERMS: ACCOUNTS PAYABLE AT 10TH OF MONTH FOLLOWING PURCHASE, SERVICE CHARGE AT RATE OF 1-5% PER. MONTH WILL BE CHARGED ON OVERDUE ACCOUNTS. SGS SGS Ref.# 1122824001 Client Name Anderson Engineering Project Name/# Lot 10 Block 2 Aspen Highlands Client Sample ID Lot 10 Block 2 Aspen Highlands Matrix Drinking Water Printed Date/Time Collected Daterrime Received Date/time Technical Director 07/12/2012 15:36 07/05/2012 15:50 07/05/2012 16:56 Stephen C. Ede Allowable Prep Analysis Parameter Results LOQ Units Method Container ID Limits Date Date Init Private Individual Analysis Magnesium 13100 50.0 ug/L EP200.8 C 07/06/12 07/09/12 NRB Manganese ND 1.00 ug/L EP200.8 C (<50) 07/06/12 07/09/12 NRB Nickel 2.16 2.00 ug/L. EP200.8 C (<100) 07/06/12 07/09/12 NRB OH Alkalinity ND 10.0 mg/L SM21 2320E D 07/09/12 SDP PH 7.80 0.100 pH units SM21 4500-H B D (6.5-8.5) 07/09/12 SDP Selenium ND 5.00 ug/L EP200.8 C (<50) 07/06/12 07/09/12 NRB Silver ND 1.00 ug/L EP200.8 C (<I00) 07/06/12 07/09/12 NRB Sodium 7290 500 ug/L EP200.8 C (<250000) 07/06/12 07/09/12 NRB Sulfate 15.7 0.100 mg/L EPA 300.0 D (<250) 07/11/12 07/11/12 SDP Total Dissolved Solids 314 10.0 mg/L SM21 2540C D (<500) 07/10/12 JSK Zinc 145 5.00 uA EP200,8 C (<5000) 07/06/12 07/09/12 NRB Arsenic ND 5.00 ug/L EP200.8 C (<10) 07/06/12 07/09/12 NRB Thallium NO, 1.00 ug/L EP200.8 C (<2) 07/06/12 07/09/12 NRB SGS SGS Ref.# 1122824001 Client Name Anderson Engineering Project Name/# Lot 10 Block 2 Aspen Highlands Client Sample ID Lot 10 Block 2 Aspen Highlands Matrix Drinking Water Printed Date rime Collected Date/Time Received Date/Time Technical Director 07/12/2012 15:36 07/05/2012 15:50 07/05/2012 16:56 Stephen C. Ede Sample Remarks: 207 10.0 mg/L SM21 2320B D 07/09/12 SUP Aluminum 25.4 20.0 Allowable Prep Analysis Parameter Results LOQ Units Method Container ID Limits Date Date lint Metals by ICP/MS ug/L EP200.8 C (<6) 07/06/12 07/09/12 NRB Hardness as CaCO3 255 5.00 mg/L SM21 2340B C 07/06/12 07/09/12 NRB Waters Department NRB Cadmium ND 0.500 ug/L EP200.8 Total Nitrate/Nitrite-N 9.41 0.100 mg/L SM21 4500NO3-F B 07/11/12 LCE Microbiology Laboratory EP200.8 C 07/06/12 07/09/12 NRB Chloride E. Coli Negative 1 100mL SM21 9223B A 07/05/12 MEM Total Coliform Negative 1 100mL SM21 9223B A 07/05/12 MEM Private Individual Analysis Alkalinity 207 10.0 mg/L SM21 2320B D 07/09/12 SUP Aluminum 25.4 20.0 ug/L EP200.8 C 07/06/12 07/09/12 NRB Antimony ND 1.00 ug/L EP200.8 C (<6) 07/06/12 07/09/12 NRB Barium 28.5 3.00 ug/L EP200.8 C (<2000) 07/06/12 07/09/12 NRB Cadmium ND 0.500 ug/L EP200.8 C (<5) 07/06/12 07/09/12 NRB Calcium 80300 500 ug/L EP200.8 C 07/06/12 07/09/12 NRB Chloride 17.5 0.100 mg/L EPA 300.0 D (<250) 07/11/12 07/11/12 SDP Chromium 3.09 2.00 ug(L EP200.8 C (<100) 07/06/12 07/09/12 NRB CO3 Alkalinity ND 10.0 mg/L SM21 2320B D 07/09/12 SDP Conductivity 545 1.00 umhos/cm SM21251013 D 07/09/12 SDP Copper 27.2 1.00 ug/L EP200.8 C (<1300) 07/06/12 07/09/12 NRB Fluoride ND 0.100 mg/L EPA 300.0 D (<2) 07/11/12 07/11/12 SDP HCO3 Alkalinity 207 10.0 mg/L SM21 2320B D 07/09/12 SDP Iron _ ND 250 ug/L EP200.8 C (<300) 07/06/12 07/09/12 NRB Lead 0.728 0.200 ug/L EP200.8 C (U5) 07/06/12 07/09/12 NRB ASPEN HIGHLANDS SUBD., UNIT NO. 1 LOT 11, BLOCK 2 (72-62 32,074 S.F.) ASPEN HIGHLANDS SUBD., UNIT NO. 2 LOT 1OA, BLOCK 2 (75-125 37,815 S.F.) REVISED 7/24/2012 NEW SEPTIC SYSTEM. GASTALDI LAND SURVEYING, LLC JEFF A. GASTALDI, R.L.S. 2000 E. DOWLING RD., SUITE 8 ANCHORAGE, ALASKA 99507 PHONE 248-5454 IGRID 2840 18 5/2008 F.B. JOB N0, 01-16 1 NEWBY I HEREBY CERTIFY THAT I HAVE SURVEYED THE PROPERTY DEPICTED ABOVE AND THAT NO ENCROACHMENTS EXIST EXCEPT AS INDICATED. 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. UNDER NO CIRCUMSTANCES SHOULD ANY DATA HEREON BE USED FOR CONSTRUCTION OR FOR ESTABLISHING BOUNDARY OR FENCE LINES. ANCHORAGE RECORDING DISTRICT, ALASKA NOTE: NO CORNERS SET THIS DATE �*wLs0N/ of 4�4` •• ;o ? 491h* p r Jeffery A. Gastaldi LS -6091 • m��® rafe5si0n01 ♦Noss 'o. 111=40' zurfflpl- _ v0. _.� Street # Street Name Parcel # Nearest Cross Street Plat Grid Subdivision Name A5^ 914(rrr�s kbOl d �(a'� (t7p Block a Lot Tract 7777777 ❑Contractor ❑ Utili City'R(prq State ty Zip ®Owner Type of Permit ❑ General ❑ Rental ❑ Driveway `MOA Project Name Work Order# Activity Date: From To Description: ❑ Utility ❑ StMnte ❑ MOA" Utility Acct # I Encroachment/No Objection Project # Road Name ❑ Full ❑ Partial ❑ None ❑ Sidewalk Only Adjacent to TCP Attached? []Yes ❑ No ❑ On its Way Closure Dates: From To Hours of Closure From To A full madclosure or a partial road closure on a ciassified artedafor collector street requires an approved Traffic Control Plan (TCP) signed by MOA Traffic Department. Consult the OS&HP to determine road classification. Location Type ❑ MOA Right of Way Surface Material Road Prism Pavement Age ❑ Gravel / Dirt (see reverse) ❑ 1 ort ossYr Construction Method ❑ Trench Open Curb & Gutter El None ❑ Utility Easement(s) ❑ Asphalt ❑ Inside ❑ 1to2Years ❑ Boriny€frenchlessTech El Type 1 ❑ Drainage Easement ❑ RAP/Chip ❑ Outside ❑ 2to3Years ❑ Existing Conduit ❑Type 2 ❑ Public Use Easement ❑ Concrete ❑ NIA ❑ 3YearsPlus ❑ Aerial ❑ Type 3 ❑ BLM Easement ❑ Grassy Area ❑ NIA - No Cut Req'd ❑ Closure Only ❑ Type 4 ❑ Pedestrian/Bike Trail ❑ Undeveloped ❑ Maintenance Only ❑ ❑ Sidewalk ❑ N/A _ ❑ Alley Lineal Feet Parallel to Right of Way W. a Pik at Phone Email Panted AA&t'6rt �vt5;+teec nor - 9©7 - 41Z 'yD00 Re, Ma h20!2 (PLEASE PRINT DOUBLE SIDED/FRONT To BAC/Q