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PROSPECT HEIGHTS #2 BLK 7 LT 2
pect Heights lock 7 Lot Z 015-134 -78 Well Drilling Permit Number: aW_-_._ Date of.fssue.: Pureel Identification Nurnbrzr: % 15 — Ig � _r79 Legal Description I� Pump bislallation Daw: Pump Totake Dept:lt Below Tori of Well Casing- /,d feet 'frump %-1 niJactwtrzrIs'iaroe: .�-'�-�� Z'T Pump siu j ftp I jPitless Adipter Barial Depth: f feet f Pitless Adapter 11-anufascturer's wine: � �e•e•.�:,e ��,�� Pitless Adapter Installer: Well Disinfected Upon Completion? Kyes J ''c Method of Disinfection:`ee-j2GZ--.S C001111ent3: Pump Insimller Name: 11-1A) Property Owner Naine, te: Address: f—U "nEtention: Tire rrn�i:i":stalie= sh�;l prnvdc a pt:mp „?stallatie�n lob to r.`,e l SI7 ,i!t"•i[: U8} i n: -iwMp in ,t: lla;ion. ZpLI:>.t�/C� iec,r �L621 GG'Gir( ?:?iw::t1�3� �.-+'w �iji''r <..t .-`s}t:.-•y4�J':5 �_ �yf,•I�R'�A3R'F_:il ,�l< y .�-� � �.,1'ii'•.",.�5 iz Vv (.; ).Z -f cC •t�tf d�� '''a 5`�L4 '�v+n int'' :'��.ii ;. D� �. Y` v s � .r,i. Dpi.' :-7 �`C.'.�� � '.•._ r 7�`e; K kBgic,7 fiYl+ i C�"f 1- , ft F: '')990! rM.1'! rg :�nsito .+ ) .i�3-904 * @-30 p oy pp �qa,� g;;ryrye� Installation Pump Well Drilling Permit Number: aW_-_._ Date of.fssue.: Pureel Identification Nurnbrzr: % 15 — Ig � _r79 Legal Description I� Pump bislallation Daw: Pump Totake Dept:lt Below Tori of Well Casing- /,d feet 'frump %-1 niJactwtrzrIs'iaroe: .�-'�-�� Z'T Pump siu j ftp I jPitless Adipter Barial Depth: f feet f Pitless Adapter 11-anufascturer's wine: � �e•e•.�:,e ��,�� Pitless Adapter Installer: Well Disinfected Upon Completion? Kyes J ''c Method of Disinfection:`ee-j2GZ--.S C001111ent3: Pump Insimller Name: 11-1A) Property Owner Naine, te: Address: f—U "nEtention: Tire rrn�i:i":stalie= sh�;l prnvdc a pt:mp „?stallatie�n lob to r.`,e l SI7 ,i!t"•i[: U8} i n: -iwMp in ,t: lla;ion. ZpLI:>.t�/C� iec,r �L621 GG'Gir( /'Za - Municipality of Anchorage On -Site Water and Wastewater Section • (907) 343-7904 `:.,x ' ��e p i pf `` ON-SITE WASTEWATER INSPECTION REPORTim Permit Number: OSP191213 PID Number: 015-134-78 Dwelling: 0 Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New 0 Upgrade Name MICHELE LIU ABSORPTION FIELD 0 Deep Trench ❑ Wide Trench ❑ Bed ❑ Mound Site Address 7901 SCHUSS CIRCLE *ANCHORAGE, AK 99507 ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 818-523-5373 4 1.2 GPD/SF 10 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade SEE DWG Ft. Gravel depth beneath pipe 6.02/6.02 Ft. Subdivision Block Lot PROSPECT HEIGHTS #2; BLOCK 7, LOT 2 Fill added above original grade SEE DWG Ft. Gravel length 30/30 Ft. Township Range Section - Gravel width 2.5/2.5 Ft. Beds: Number of Lines Distance between lines - Ft. SEPARATION DISTANCES To Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Tank Line 720+ Ft2 2 12+ Ft. Well 100'+ 100'+ N/A N/A 25'+ TANK Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer Capacity ANCHORAGE TANK 1500 Gal. Surface Water 100'+ 100'+ N/A N/A Material Number of compartments Lot Line 10'+ 10'+ N/A N/A NA EPDXY COATED STEEL 2 Foundation 10'+ 10'+ N/A N/A LIFT STATION Manufacturer Capacity Remarks OLD TANK DECOMMISSIONED PER UPC Gal. PER CONTRACTOR Alarm location Electrical installed by PIPE MATERIAL House to tank D3034 drainfield Tank to D3034 Installer A+ HOME SERVICES Drainfield D3034 CO/MTD3034 Inspector DAVID GARNESS & TIM ECKLUND BENCH MARK (Assumed elevation) 108.18 ft Inspection 15t 7/29/19 7/30/19 Location and description 2nd 3`" 7/30/19 4tn 8/4/19 TOP OF MANHOLE ON-SITE WATER AND WASTEWATER SECTION APPROVAL Engineer's tamp X060 ,O Conditional Approval: Date Septic System Approved _aLV°OavA Date 1 7 2020 00 9• f CE -79G3 ness:.�`Q�0 g�zji��000 Note: this approval does not include well permit requiremen s. Op rofessilon 0 ��000 ME C884 (Kev uo/uL/lis) PERMIT NUMBER: PARCEL ID NUMBER: OSP191213 RECORD DRAWING 015-134-78 - - A I B - C FCO 20.2 22.3 MH 23.9 27.3----- - 1-1;;r - ------ ST1 29.7 32.6 DIBL1 32.1 35.7 DBL2 31.8 35.8 N DV 31.2 36.5 FS 1 31.9 1 29.4 - Col 38.1 1 20.6 MTl 37.3 22.1 V CO2 34.4 41.2 NEW 1500 GALLON EPDXY COATED STEEL •t MT2 36.1 40.6 SEPTIC TANK RATED FOR 10' BURIAL CO3 61.8 60.4 MT3 62.8 61.2 C04 50.1 39.6 MT4 50.9 40.1 DBL1& APPROXIMATE LOCATION OF TlH OLD DRAINFIELD; CONNECTED FOR POTENTIAL FUTURE USE 1 F 0 EXISTING HOUSE 4 BEDROOM HOUSE CO2 4M -4 4. S MT2 FLAGGED BY SURVEYOR TH#1 (PRIOR TO CONSTRUCTION 4 CID MT3 APPROXIMATE LOCATION OF ORGANICS; DRAINFIELD MOVED AND MATERIAL BACKFILLED IPROPOSED HEIGHTS #2; BLOCK 7, LOT 3 1 m GARNESS ENGINEERING GROUP, Ltd --- - :- - 7, ENGINEERING - SALES - CONSULTING :j 3701 E. TUDOR ROAD, SUITE 101 'ANCHORAGE, AK 99507 -PHONE (907) 3376179 -FAX (907) 3383246' WEBSITE: n gamessengineenngxom PREPARED FOR: PHONE NUMBER: PAGE NUMBER: MICHELE LIU 818-523-5373 2 OF 3 LEGAL DESCRIPTION: DRAWN BY: PROSPECT HEIGHTS #2; BLOCK 7, LOT 2 D.J.G. TYPE OF WORK: DATE: � SEPTIC SYSTEM RECORD DRAWINGS 8/19/2019 Air J 333300001� a A. SCALE: ........ ............ o n% i A. Game # c AV ... ... 41P LICENSE 444tv, E #AECC884 I PERMIT NUMBER: PARCEL ID NUMBER: OSP191213 RECORD DRAWING 015-134-78 TOP OF MANHOLE = 108.18 TOP OF TANK AT INLET = 98.16 INVERT OF BUNG AT INLET = 97.54 NORTHEAST MT CO ORIGINAL GRADE AT HIGHEST POINT = 94.86 6.02 FEET MH FINAL GRADE = 106.2-107.1 ST2 NEW 1500 GALLON EPDXY COATED STEEL SEPTIC TANK 10' MAX BURIAL - TOP OF TANK AT OUTLET = 98.08 SOUTHWEST FINAL GRADE = 95.3-95.7 MT ORIGINAL GRADE AT HIGHEST POINT= 92.02 �r FILTER FABRIC INVERT OF PIPE = 90.88 BOTTOM OF TRENCH = 84.86 RELATIVE ELEVATION AT BOTTOM OF T.H. = 78.36 (T.H. DRY ON 7/24/2019) 6.02 FEET 12'+ A NO olv 0 INVERT OF BUNG AT OUTLET = 97.36 FINAL GRADE = 91.4-92.6 FILTER FABRIC INVERT OF PIPE = 88.04 BOTTOM OF TRENCH = 82.02 GARNESS ENGINEERING GROUP Ltd —. ENGINEERING SALES CONSULTING - _= 3701 E. TUDOR ROAD, SUITE 101 -ANCHORAGE, AK 99507 -PHONE (907)337-6179- FAX (907) 338-3246 • WEBSITE: w .gamessengineenng.com PREPARED FOR: PHONE NUMBER: PAGE NUMBER: MICHELE LIU 818-523-5373 3 OF 3 LEGAL DESCRIPTION: DRAWN BY: PROSPECT HEIGHTS #2; BLOCK 7, LOT 2 D.J.G. TYPE OF WORK: DATE: -., SEPTIC TANK PROFILE 8/19/2019 RELATIVE ELEVATION AT BOTTOM OF T.H. = 75.52 (T.H. DRY ON 7/2412019) .....::................. ........... :....., . ... . . ............ ................: 0. ; re . Gar ess = i :' Z AV PROFESS e �♦te LICENSE FESS #AECC884 1,liILjk;w*♦♦ / LOT 10 /-A W W 0 OO N W LOT 3 LOT 8 89 �F\FNS$ 33„ F 0 co SEPTIC & 1 STANDPIPES SEE BUILD UL lruL 9 S (Li RF 1//V7�4\\ SEPTIC STANDPIPES LOT 2 2.49 ACRES BUILDING DETAIL CANTILEVER mIU.0 13 13.2' 0 15.6' o 0 .2' y y N 0 3 -STORY FRAME HOUSE 14.0' � 77777 o 14.0' WELL ASPHALT DRIVEWAY 62.0' - WELL V• 1p aj M W e - N 00 M o 00 N A127.52' R375.00' -------- "n_ - SCHUSS CIRCLE - - - ----- 0 40' 80' EASEMENTS OF RECORD, OTHER THAN THOSE SHOWN ON THE RECORDED SUBDIVISION PLAT (76-158) ARE NOT SHOWN HEREON THIS DOCUMENT DOES NOT CONSTITUTE A BOUNDARY SURVEY AND IS SUBJECT TO ANY INACCURACIES THATA SUBSEQUENT BOUNDARY SURVEY MAY DISCLOSE. UNDER NO CIRCUMSTANCES SHOULD ANY OF THE DATA HEREON BE USED FOR CONSTRUCTION OF FENCES, IMPROVEMENTS, OR FOR ESTABLISHING PROPERTY BOUNDARIES. GRID SW2540 I NO CORNERS SET THIS DATE I SCALE 1" = 80' LOT N O 8 1"=30' 6.0' ' b 4.0' o DECK 4.0'6, .S 5.2' W 0 02 28.0' ' - ...... ... , �'. Buku Sal : o LS -14837 = �oC3 fit OFESSI AS -BUILT I HEREBY CERTIFY THAT I HAVE SURVEYED THE FOLLOWING DESCRIBED PROPERTY: LOT 2, BLOCK 7, PROSPECT HEIGHTS SUBDIVISION ADDITION NO. 2 ANCHORAGE RECORDING DISTRICT, ALASKA AND THAT THE VISIBLE IMPROVEMENTS SITUATED THEREON ARE WITHIN THE PROPERTY LINES AND NO VISIBLE ENCROACHMENTS EXIST EXCEPTAS INDICATED. DATED THIS 19th DAY OF NOVEMBER, 2019, AT ANCHORAGE, ALASKA. FIXED HEIGHT, LLC Land Surveying Services 907.290.8949 WWW.FIXEDHEIGHTCOM JOB # 19192 ,cte,--"""'r MUNICIPALITY OF ANCHORAGE �i °o III Cn( On-Site Water&Wastewater Program No PO Box 196650 4700 Elmore Road Anchorage,Alaska 99519-6650 Phone:(907)343-7904 Fax:(907)343-7997 httpa/www.muni.org/onsite ``,,`� Department 4 NMONP('E On-Site Wastewater Disposal System Permit Permit Number: OSP191213 Effective Date: 6/18/2019 Work Type: Septic Upgrade Expiration Date: 6/17/2020 Tax Code Number: 01513478000 Site Legal Address: PROSPECT HEIGHTS#2 BLK 7 LT 2 G:2540 Site Mailing Address: 7901 SCHUSS CIR, Anchorage Owner: LIU LUKE & MICHELE Lot Size in Sq Ft: 108394 Design Engineer: GARNESS ENGINEERING GROUP LTD Total Bedrooms: 4 This permit is for the construction of: El Disposal Field El Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage All construction shall be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80) 3. The wastewater code requires inspections during the installation. The engineer shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing Special Provisions: If the tank has to be replaced prior to approval of steel tanks, the engineer shall confirm suitability of MOA approved concrete or plastic tanks for this installation and shall submit a change order, if required. illier (ohoReceived By: Date: p Issued By: / atit6ll Date: 1O 17 MUNICIPALITY OF ANCHOR A r Community Development Department i_ Pho 907-343-7904 Development Services Fa , " 7- 343-7997 On-Site Water & Wastewater Program 4 G:\ Mayor Dan Sullivan a 6 8 L On-Site Sewer/Well Permit Application For A Single Family Dwelling Parcel I.D. 015-134-78 Property owner(s) MICHELE LIU Day phone 1-818-523-5373 Mailing address 7901 SCHUSS CIRCLE*ANCHORAGE,AK 99507 Site address 7901 SCHUSS CIRCLE 'ANCHORAGE.AK 99507 Legal description (Sub'd, Block& Lot) PROSPECT HEIGHTS#2: BLOCK 7, LOT 2 Legal description (Township, Section & Range) Lot Size Sq.Ft. Number of Bedrooms 4 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DEWELLING: (®all that apply) Initial ❑ Single Family (SF) Absorption Field ® ® (w/wo ADU) Septic Tank ® Upgrade — Duplex (D) ❑ Renewal Holding Tank ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE/WAIVER REQUEST FOR: N/A Distance: - I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal codes. GARNESS ENGINEERING GROUP, Ltd. (Signature of property owner or authorized agent) Permit/Rush Fees: SQ5 Waiver Fees: Date of Payment: 6`14h7Q Date of Payment: Receipt Number: / 06t1� ( '7 Receipt Number: Permit No. "ePL4l213 Waiver No. (Rev.01/11) A. Quanics GARNESS ENGINEERING GROUP, Ltd Advanced lrcv[mrnt5ystcm ENGINEERING SALES CONSULTING Do c�-ra�a ea/er April 18T", 2019 Municipality of Anchorage Development Service Department On-Site Water & Wastewater Program 4700 Elmore Road Anchorage, AK 99507 Ref: Proposed Septic System Upgrade for Prospect Heights #2; Block 7, Lot 2 To whom it may concern: The existing 4-bedroom house consists of a steel septic tank and deep trench type drainfield. Per conversations with the owner, they would like to replace the existing tank and install a new drainfield. We are proposing to decommission the existing septic tank per UPC and install a new 1500-gallon epoxy coated steel septic tank and dual deep trench type drainfields. One testhole was excavated on the property and the drainfield is designed around its 30-foot radius. Comments regarding the design are summarized as follows: 1. SOILS: See attached 2019 testhole which shows, soil classification, percolation test and groundwater monitoring. As can be seen on the attached soil log, the soils percolated faster than 1 min/inch. Due to this fact a sieve analysis was performed. Per the attached sieve the soil classified as SP-SM and therefore does not require a sand filter. 2. DRAINFIELD DESIGN: See attached design drawing for drainfield specifications. 3. SURFACE WATERS: There are no surface water concerns. 4. TOPOGRAPHY: There are no topography concerns. 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. Thank you for your assistance. Sincerely, Je'rey ' . am= s, '.E., M.S. Presid- 3701 East Tudor Road, Suite 101 *Anchorage,Alaska 99507-1259 Phone: (907)337-6179*Fax: (907)338-3246*Website: www.garnessengineering.com C LAKEWOOD HILLS #4;BLOCK 1,LOT 10 PROSPECT HEIGHTS#5; — \ BLOCK 1,LOT 8 VACANT PER (-)-6"\kt..\--:?'11- / \\ MOA RECORDS \\\ / LAKEWOOD HILLS#4; 0 I 1 , / \N // BLOCK 1,LOT 9 1 / •;:-.* \ / I Y z \ / I / r •i:c>r•':• V I \ .1 ote'`.s~.: `[Z ' /\ PROSECT HEIGHTS \� `-. ..vt-s.;,t•?'„. / #2;BLOCK 7,LOT 1 Z� / I00'W .L 14*A / �, f ,� RAPI r: ,, •• I y•ti4l I VACANT PER MOA ` S.'l. / RECORDS \ :X. \ 3¢. .•F LAKEWOOD HILLS#4; BLOCK 1,LOT 8 t. ..N / \\ PROPOSED HEIGHTS ,. \\N r4+ / N #2 ;BLOCK 7,LOT 3/ // \N // \\ :. / \ / . \ . / \ / \ ., / 100'WELL ••DI I 100' ._ DI I iltr I I / \ / , 0 0 �� / /�G� / / VACANT PER S ALE / MOA RECORDS 1"=100' 1 PROSPECT HEIGHTS#2; I BLOCK 7,LOT 7 , i 1. / %•* • GARNESS ENGINEERING GROUP, Ltd ; '� 491 ' •• .,..a....mi. ENGINEERING.SALES 'CONSULTING L Arcs, • • 3701 E.TUDOR ROAD.SUITE 101•ANCHORAGE.AK 99507•PH011E(907)337.6179'FAX(907)338.3246•WEBSITE www.9emessengineenng.com ••� .... • ••• . PREPARED FOR: PHONE NUMBER: PAGE NUMBER: 0 ill; -• ey A. - -- -ss . Lu a MICHELE LIU 818-523-5373 1 OF 2 •��'J,l• • C 719'5 ''i� PROJECT/LEGAL DESCRIPTION: DRAWN BY: .+t., J I 1 / �.f- PROSPECT HEIGHTS#2; BLOCK 7, LOT 2 D.J.G. #,To•PROFESS •�'pll��..........(`'�,,,,,4� TYPE OF WORK: DATE: V.LICENSE,111 E�1 • .... SEPTIC SYSTEM DESIGN UPGRADE 4/18/2019 #AECC884 ��ss�� C / J DESIGN CRITERIA: GEG,Ltd.HAS AN 8 PAGE SPECIFICATION LETTER CONTRACTOR MUST HAVE 100'WELL RADII AND WEST LOT THAT PERTAINS TO THIS DESIGN.BY PROCEEDING LINE FLAGGED BY A PROFESSIONAL LAND SURVEYOR NUMBER OF BEDROOMS:4 FORWARD WITH THIS INSTALLATION,THE PRIOR TO CONSTRUCTION AND/OR ENGINEERING LAYOUT GALLONS PER DAY(GPD):600 ENGINEER.WELL DRILLER,CONTRACTOR AND PERCOLATION RATE/S:<1 MIN/INCH PROPERTY OWNER AGREE THAT THEY HAVE PROPOSED APPLICATION RATE:1.2 READ THESE SPECIFICATIONS AND AGREE TO MINIMUM DRAINFIELD SQ.FT.:500 FT2 I ACCEPT THE TERMS AND CONDITIONS OUTLINEILITY EASEMENT DRAINFIELD DESIGN: MAXIMUM DEPTH:10.5 FEET 01.�ftp.,01U5 WIDTH:2.5 FEET 4' \ LENGTH:60 FEET(2 @ 30 FEET) M.O.A.APPROVED SAND FILTER:N/A • '••: EFFECTIVE:6 FEET ACTUAL SQ.FT.:720 FT' d. REPLACE SEWER LINE FROM TANK TO HOUSE - • . • •. • • • PROPOSED 1500 GALLON EPDXY COATED ••' . STEEL SEPTIC TANK;INSTALL DOUBLE d• • <25,0 CLEANOUT$BEFORE AND AFTER / • ••: A '•'• 41.A DECOMMISSION EXISTING %\� / • • . • SEPTIC TANK PER UPC • ASSUMED LOCATION OF EXISTING TRENCH BEEXISTING 4 •' *•C.: •+ • / DROOM HOUSE d • PER PIPE LOCATION AND MOA RECORDSAO • • d : . • ji VP Ter 100'WELL RADIUS • • • aimiiimessuil F• ` •: <25%i° 4V • 4• /25% a •' • • • • 'fig?' • •J • • DRIVEWAY 4 M \ • M O . ••• / T • r• 45% PROPOSED DRAINFIELD • • •d • <250\ • <25% I *.i • • . • PROPOSED HEIGHTS#2;BLOCK 7,LOT 3 S ALE: <25� /o -I• 1"=40' • �.•IMrrr �4�•'��• ,Al 4 '..1 • ��•• •.1 GARNESS ENGINEERING GROUP, Ltd *��• .9 ..'• =* • • ENGINEERING SALES CONSULTING 3701 E.TUDOR ROAD.SUITE 101•ANCHORAGE.AK 99507•PHONE(907)337-6179•FAX(907)338-3246•WEBSITE.www.gamesseng,neenng com •••• • 0 PREPARED FOR: PHONE NUMBER: PAGE NUMBER: 0 - A. Games.••i a MICHELE LIU 818-523-5373 2 OF 2 •�J% f C -7• *= PROJECT/LEGAL DESCRIPTION: DRAWN BY: 4 PROSPECT HEIGHTS#2; BLOCK 7, LOT 2 D.J.G. �. ,;_••• ``l,J,f I ...• ••V. 4I TYPE OF WORK: DATE: LICEN� ti r� E ` 4• DESIGN OF SEPTIC TANK UPGRADE 4/16/2019 #AECC884E •,111111116*. ♦♦4�� OF.. ,t♦ GARNESS ENGINEERING GROUP, Ltd = Client: Garness Engineering Group Ltd. Particle Size Distribution L Project: 2019 Soil Testing Alaska Testlab ASTM D422 Work Order: 453 Location: Prospect Heights#2, B7, 12onommm- Lab Number 2019-259 Received 4/18/2019 Reported 4/18/2019 Engineering Classification: Poorly Graded Sand with Silt and Gravel, SP-SM Frost Classification: Not Measured Size Passing Specification g g �ocoo � o n $ 3" 100% 100 N , , , , , , 2" 100% I I I I I I I I I I I 1%" 92% 90 I I I I I I I I I I -I-- - -- -- r" 86% I I I I I I I I I I °r° 77% t▪ 80 I- I I I I I I I I 4 68% a) I I I I I I I I '/n" 64% `1' 70 I J _-I- --4-4- I_-I-- I LI---I-4 #4 56% 1 1 ( I I I Total Weight of Sample 3460.5g 60 I I I I I II #10 46% c I I I II I 50 - _l—J-�__-- l II I #20 33% . I I I I #40 24% N a 40 I I I - I I _. I L—. #60 18% I I I #100 13% w30 1 L_J_I_- II #200 10.4% I I I I I I Total Weight of Fine Fraction 455.3g L a 20 -I 1—_l I -__ll_ I _I1--___-I -- — I I I II I I 10 I I I I I I I I I I II I I I 0 '11 , 1 i i i I, , , , ,I II I I i viii , I 100 10 1 0.1 0.01 0.001 Particle Size (mm) 4040 B Street. Suite 102 • Anchorage • Alaska • 99503 • 907/205-1987 Box 1369, STAR I~OU'TE A ANCHORAGE, ALASKA ~)~)~02 SIX INCH WATER WELL DRILLED AND CASED OUT TO THE DEPTH O~ DRILLED at THE RATE Of $~.00 PER FOOT. 338-~945 562-27~ ProPErtY OWNER ,,~. ~ ~ B~ ~ ~0 E~ ~. g9~02 LOCATION OF WELL Site ~- ~ ~' 7 $~- ~C.%Pfcr .~f;e~T~ DRILLER ~~ ~ O~ ~~ D~ WELL LOG: G8--1~~ 123-141' 395 ,to 399 ~ 1/2.' 600 ~ c~ ,¢ ~: ~23. oo ~ ~ x 460 l.e: ~1o,58oooo MUNICIPALiTy OF AN,-.H/__ ' Z, T£CTIo~ f";/;';' ; 7 1985 RECEIVED COST INCLUDES ALL LABOR AND MATERIAL FOR COMPLETION OF SAID DRILLING. WRITE CHECK PAYABLE TO RAMPART DRILLING WORKS FOR THE SUM OF ~10~80'.00 THANK YOU VERY MUCH. BERNIE CLAUS OJE_~AMPaRT DRILLING WORKS DaTe~Jn~17~t~'1984 ~,~/~AkA~" ~~ SERVICE CHARGE O F 1~% PER MONTH WILL BE ASSESSED ON PAST DUE ACCOUNTS. DEPflRT~T (~F' ~TH 8ND EN¥IRoNMENTflL PROTECTt'8i~I · "825 g E~T~ET.. Rf~HORfl(~ AK E~9581 * 2E;4~4.720 ~ :i.:DR.TE I ~SUED: O'N--:~ ! TE 840440 86.,"11/84 ~ELL RPFI,. I CANT' CONTFICT PHONE: BRUCE PALMER 228 CIRCLE ANCHORAGE, AK 562-2725 LEGAL DEL.SCRIP' LOT. S~ZE' SU6OIVI:SI~- PROSPEbT HEIGHTS .SECTION: :L~ TOWNSHIP' 12N 2.58 (~Q. FT. OR. ACRES) LOT: 2 RANGE: ~W i~t...OCK: 7 I':C~IF¥ THAT: ~ 1RHPRMILIRR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND, HELLS AS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE (MOA) AND THE STATE OF ALASKA. 2. ] WILL INSTALL THE SYSTEM IN ACCORDANCE WITH ALL MOA CODES ~ REGUI:RTIONS~ AND' IN COMPLIANCE WITH THE DESIGN CRITERIA OF THIS PERMIT. 1 I WILL ADHERE TO FiLL MOA AND STATE OF ALASKA REQUIREMENTS FOR THESET BACK'; ...... DISTANCES FR~DM 8N¥ EXISTING WELL, WASTEWATER DISPOSAL SYSTEM OR PUAL~IC i" 'SEWE~GE SYSTEMatiC THIS OR ANY ADJACENT OR NEARBY LOT. '~'~ I . DATE: ~ ~ 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 I []NEW MAILING ADDRESS LEGAL DESCRIPTION LOCATION NO. OF BEDROOMS IWoll" I Absorption area Dwelling PERMIT NO. ~ DISTANCE TO: Z~~ ~ ~ ~0 ' ~ Z Manufacturer Material No. of compartments Liq. capacity in gallons Inside length Width Liquid depth /~ IF HOMEMADE: .... ~ DISTANCE TO: Well Dwelling PERMIT NO. Manufacturer Material Liquid capacity in gallons ~ We, Fou.dat~o. ~ ' N"~t~°t'ne .~RM~TNO. ~ :~ DISTANCE TO: IF7 ~ ~ ~ / ~ Z~ ~ No. of lines ~ Length of each line Total lengthbf~ Trench width Distance between lines ~ ~~. ~ ~ ~ inches ~ Top of~ to finish grade Material beneath~l~ Total effective absorption area ~ ~ ~ / ~ inches :~ Length Width Depth '~ ,~ PERMIT NO.- ~' Type of crib Crib diameter Crib depth Total effective~~~~absor~ "~'u DISTANCE TO: Well Building foundation Nearest lot line ~~ g DISIA~C[ TO: Buildin~ foundation Se~er Ii, ne Septic tank ~bsorption area{s~ OTH[B iNSTALLER ' _ ~t~~ /, / / '"'APPROVED "~OH3NV ,O ~ll~i~ll~/t~ DATE LEGAL 72-013 (Rev. 3/78) ~N 1¢ ]~~i! T"'r' OF t:::INCH~i::IGE 264-47~ ON--SITE SEWER PERMIT 848484 057~0784 RPPLICRNT: CO~T~CT PHONE: .LEGAL DESC~I P: LOT $~ZE: BRUCE PALMER 2220 E. 88TH AVE ANCHORAGE~ AK 99504 ~496451 SUBDIVISION: SECTION: i3 TOWNSHIP: i2N RANGE: ~W 2. 49R (SQ. FT. OR ACRES> 4 ii~LISTFJ) 'BELOW ARE THE OPTIONS AVAILABLE TO YOU IN DESIGNING YOUR SEPTIC S~IEM. 'CHOOS~ THE OPTION THAT.BEST FITS YOUR SITE. TI~Er~ ~H DEPTH TO PIPE BOTTOM (FT.) \ 4.1 f ~ 4. 8 - TO~RL DEPTH (FT.) ~.-WIDTH (FT.> ~ VOLUME (CU. YDS. > TRNK$.IZE (GALS) i~50._~ :SOIl. RATING (SQ: FT. ?BR) / 85~ 85 ~e=k GRAVEL LENGTH'> 75 FT. REQUIRES MULTIPLE RL~S (NOT EXCEEDING ?5 FT. ~:~"~'TRNK MUST HAVE RT LEAST TWO COMPARTMENTS D'RR I,N 4.0 5.0 ' 5.0 60. 8 16. 6 258. 0 85 EACH) I'CERTIFY THAT: i. I RM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SE~S AND FORTH BY'THE MUNICIPALITY OF ANCHORAGE (MOA) AND THE STATE ~ ~WILL INSTRLL THE .SYSTEM IN ACCORDANCE WITH ALL MOA CO~ESR~..RE~ATIONS~:"? AND IN C~MPLIANCE WITH THE DESIGN CRITERIA OF THIS PERMIT. .1 ,I WIL/. R~HERE TO..RLL MOA AND STATE OF ALASKA RE6MJIREMENTS FOR TI'~'.~'E~ .... ::" DISTR~ FROM ANY E~ISTING HELL, WRSTEWRTER DISPOSAL SYSTEM OR .Pt~IC' ~ SYSTEM ON THIS OR ANY ADJACENT OR NEARBY LOT. ~. I t~T~:~ THAT THIS 'PERMIT IS VALID FOR R MAXIMUM OF 4 RN~:~'~FIRGEMENT WILL REQUIRE RN ADDITIONAL PERMIT. IF R LIFT STATION IS INSTALLED IN RN RRER COVERED BY MOA BUlLDII~.C,~S, THEN(~) AN E~ECTRICRL PERMIT AND INSPECTION ~ST BE OBTRINED~ (2)~~I~ WI=~T BE ~OVED WITHOUT RN ELECTRICAL INSPECTION REPORT~ ~ (~) T~ EL~TRI'C~ ~K ~ST BE 'D~ BY R LICENSED ELECTRICI~. PERFORMED FOR: LEGAL DESCRIPTION: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 COMMENTS MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG - PERCOLATION TEST r PERCOLATION TEST ¢,~C,~..~7~. DATE PER FORMED: ~/~/.z~' SLOPE WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? SITE PLAN Reading Date Gross Net Depth to Net Time Time Water Drop (minutes/inch) 5' FT AND ~ . FT PERCOLATION RATE TEST RUN BETWEEN PERFORMED BY: 72-008 (6/79) Municipality of AnchOrage Development Services Department Building Safety Division On-Site Water & Wastewater Program 4700 Elmore Road P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite '(907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS FOR APPROVAL A SINGLE F AHILY DWELLING Parcel I.D. 015-1,34-78 1. GENERAL INFORMATION COSA# 0 Expiration Date: Complete legal description Location (site address) Current Property owner(s) Mailing address Lending agency Mailing address Real Estate Agent Mailing address PROSPECT HEIGHTS #2; BLOCK 7, LOT 2 7901 SCHUSS ClR(~LE *ANCHORAGE, AK 99507 MONICA GERE Day phone C/O AGENT 7901 SCHUSS CIRCLE *ANCHORAGE, AK 99507 Day 2hone BETH WEISER W/ PRUDENTIAL Day phone 22.3-1632 ,.3801 CENTERPOINT DRIVE #200 *ANCHORAGE, AK 99505 Unless otherwise requested, COSA will be held by DSD 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 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 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 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 GARNESS ENGINEERING GROUP, Ltd. Phone 337-6179 Address 3701 E. TUDOR ROAD, SUITE 101 * ANCHORAGE, AK 99507 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Date Engineer's Comments: In conducting this evaluation, GEG, LtD. attempted to provide a thorough, conscientious engineering analysis of the system in accordance with ADEC and MOA DSD Guidelines & Regulations. The reported results described the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily identifiable features. The operational life of afl 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 sen/ed 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 of how 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. DSD SIGNATURE v"- Approved for ~ bedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulations: By: (Rev. 11/05) Attachments: COSA Checklist Septic System Advisory Well Flow Advisory Nitrate Advisory ~/' Arsenic Advisory Maintenance Agreements Supplemental Engineer's Report Other Original Certificate Date: Municipality of Anchorage Development Services Department Building Safety Division On-Site Water & Wastewater Program 4700 EImore Road P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description: PROSPECT HEIGHTS #2; BLOCK 7, LOT 2 WELL DATA Well type PRIVATE IfA, B, or C provide PWSID# N/A Date completed 1984/1985 Sanitary seal (Y/N) YES Total depth 460/158 ft. Cased to 40+/40+ft. Parcel ID: 015-1.34-78 IWELL#1/WELL#2I Well Log (Y/N) YES (2) Wires properly protected (Y/N) YES Casing height (above ground) 1 2+/12+in. Bo Date of test Static water level Well production WATER SAMPLE RESULTS: ~ colonies/100 mi. Coliform Arse n ic: ~ll2/~12jg./L. SEPTIC/HOLDING TANK DATA FROM WELL LOG 1984/1985 80/1,38 ff. 2/5 g.p.m. 1.02 Nitrate(~'o:~/'~ mg./L. Collected by: Date of sample: 10/13/11-10/15/11 AT INSPECTION lO/12/11 146 TESTED WELL #2 g.p.m. GEG, Ltd. Tank Type/Material Tank size 1250 gal. Foundation cleanout (Y/N) YES Date of pumping.I O I / I ~///. ABSORPTION FIELD DATA Date installed 7/1984 SEPTIC/STEEL Date installed I'BELOW EXISTING GRADE] Soil rating (g.p.d./ft2or~ 85 Number of Compartments 2 Cleanouts (Y/N) Depression over tank (Y/N) NO High water alarm (Y/N) ' 7/1984 YES System type SHALLOW TRENCH Length 60 ft. Width Total depth *7.75 ft. Eft. absorption area~ Date of adequacy test *'10/15/11 Fluid depth in absorption field before test 0 Elapsed Time: 0 min. Final fluid depth 0 Any rejuvenation treatment (past 12 mo.) (Y/N & type) **DRAINFIELD WAS PRE-SOAKED WITH 5 ft. Gravel below pipe 1 ft. 541 ft2 Monitoring tube YES Depression over field NO Results(Pass/Fail) PASS For 4 bedrooms in. Water added 653 gal. New depth 0 in. in. Absorption rate >= 600+ g.p.d. NONE KNOWN If yes, give date - 2000 GALLONS OF WATER ON 10/12/11. D. LIFT STATION Date installed "Pump on" level at__in. Datum f E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Size in gallons Manhole/Access ~ ~ "Pump off" levetjt~ ' .. High water alarm level at in. Cycles tested. Meets alarm & circuit requirements? 100'+ Septic tank/lift station on lot Absorption field on lot. 100'+ Public sewer main N/A Sewer/septic service line 25'+ Animal containment areas 50'+ On adjacent lots *86' On adjacent lots 100'+ Public sewer manhole/cleanout Holding tank N/A Manure/animal excrete storage areas SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: N/A Absorption field 5' + Surface water 100'+ Building foundation 5' + Property line 5' + Water main N/A Water service line. 10'+ Wells on adjacent lots 100'+ Building foundation 10'+ Surface water 100'+ Wells on adjacent lots. 100'-I- SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ Water service line 10'+ Curtain drain NONE KNOWN COMMENTS *WR#0230023 Water main N/A Driveway, parking/vehicle storage 100'+ 10'+ 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 JEFFREY A. GARNESS Date t~ /'2 ~ /11 COSA Fee $ Date of Payment Receipt Number (Rev. 11105) Waiver Fee $ Date of Payment Receipt Number 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 # OSC 111421 A Certificate of On-Site Systems Approval inspection and test of potable water was recently conducted on the well water supply on Block 7, Lot 2 of Prospect Heights #2 subdivision. This inspection revealed a nitrate concentration of 6.07 milligrams per liter (mg/L) was reported for the property's well water sample for Well #1. 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. N'Bg°5?~3?"E 304.:35~ I O~ UTILITY EASt :'MENT WELL A~PHALT LEI~END SEWER VENT TI-IE INFORMATION HEREON IS FOR THE USE OF LENDING INSTITUTIONS SPECIFICALLY TO SHOW ANY CONFLICTS BETWEEN EXISTING STRUCTURES AND PLATTED LOT LINES OR EASEMENTS AND IS NOT TO BE USED FOR POSITIONING ADDITIONAL STRUCTURES OR FENCELINES. EASEMENTS OF RECORD, OTHER THAN THOSE SHOWN ON THE RECORDED PLAT, ARE NOT SHOWN HEREON NOTE: ANY FENCELINES SHOWN ARE LOCATED APPROXIMATELY AND ARE NOT TO BE USED TO DETERMINE PROPERTY LINES OR LOCATE STRUCTURES. AS-BUILT SURVEY NO CORNERS SET THIS DATE SCALE:I" = 50' I HEREBY CERTIFY THAT I HAVE PERFORMED A MORTGAGEE'S INSPECTION OF THE FOLLOWING DESCRIBED PROPERTY. LOT 2, BLOCK 7 PROSPECT HEIGHTS SUB.. ADDITION NO. 2 ANCHORAGE RECORDING DISTRICT. ALASKA AND THAT THE IMPROVEMENTS SITUATED THEREON ARE WITHIN THE PROPERTY LINES AND NO VISIBLE ENCROACHMENTS EXIST OTHER THAN NOTED. DATED AT ANCHORAGE. ALASKA THIS23RD DAY OF MAY 2002 HOLT LA-ND SURVEYING 8601. F~99-50 TEL. 345-5513 unicipality of Anchora! e Development Services Department Building Safety Division On-Site Water & Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907) 343-7904 CERTIFICATE FOR A Parcel I.D. O! 5- /'~ L~-7 1. GENERAL INFORMATION OF ON-SITE SYSTEHS APPROVAL SINGLE FAHILY DWELLING Expiration Date: Complete legal description Location (site address) Current Property owner(s) Mailing address Lending agency Mailing address Real Estate Agent Mailing address PROSPECT HEIGHTS #2; BLOCK 7, LOT 2 7901 SCHUSS CIRCLE * ANCHORAGE, AK * 99507 MONICA (;ERE Day phone . 7901 SCHUSS CIRCLE * ANCHORAGE, AK * 99507 244-7638 Day phone ELIZABETH HOOPER W/ PRUDENTIAL Day phone 227-6794 3801CENTERPOINT DRIVE, #200 * ANCHORAGE, AK * 99503 Unless otherwise requested, COSA will be held by DSD 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 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 (exce, pt 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 homeov~ners. 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. STATE[~AENT 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 Qn-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 GARNESS ENGINEERING GROUP, Ltd. Phone 357-6179 Address 5701 E. TUDOR ROAD, SUITE 101 * ANCHORAGE, AK 99507 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Date Engineer's Comments: In conducting this evaluation, GEG, LtD. attempted to provide a thorough, conscientious engineering analysis of the system in accordance with ADEC and MOA DSD Guidelines & Regulations. The reported results described the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the local soils condition, groundwater levels that may fluctuate 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 of how 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. DSD SIGNATURE ~//' Approved for bedrooms. Disapproved. Conditional approval for % ' RAM · _.. PROG . - bedrooms, with the fllowing stipulations: '~ ,,'). '. · Attachments: COSA Checklist Septic System Advisory Well Flow Advisory Nitrate Advisory (Rev. 11/05) Arsenic Advisory Maintenance Agreements Supplemental Engineer's Report' Other Original Certificate Date: Municipality of Anchorage Development Services Department Building Safety Division On-Site Water & Wastewater Pmgrarn 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST AG Legal Description: WELL DATA Well type PRIVATE Date completed 1984/1985 Total depth 460/158 ft. PROSPECT HEIGHTS #2; BLOCK. 7, LOT 2 IfA, B, orC provide PWSID# N/A Sanitary seal (Y/N). YES Cased to 40+/40+ ft. Parcel ID: 4~,/,,~""//'~//4.,. 7~:~ IWELL#I/WELL#2I Well Log (Y/N) YES (2) Wires properly protected (Y/N) YES Casing height (above ground) 12+/12+ in. FROM WELL LOG Date of test 1984/1985 · Static water level 80/158 ft. Well production 2/5 g.p.m. AT INSPECTION 5/6/2009 158 2.5 ITESTED WEEL #2 .ft. g.p.m. WATER SAMPLE RESULTS: Coliform ~) colonies/100 mi. Arsenic: I~i)J~c~ ug./L. SEPTIC/HOLDING TANK DATA Tank Type/Material SEPTIC/STEEL Tank size 1250 gal,. Number of Compartments Foundation cleanout (Y/N) YES Date of pumping 5/6/2009 Nitrate / mg./L. Date of sample: 5/6/2009 2 Depression over tank (Y/N) NO Pumper Other bacteria Collected by: ~!)WELL# 1/WELL#2I colonies/lO0 mi. GEG Ltd. Date installed 7/1984 Cleanouts (Y/N) YES High water alarm (Y/N) N/A MCDONALDS PUMPING ABSORPTION FIELD DATA Date installed 7/1:984 Length 60 ft. *6.85- Total depth '7.9.1 ft. Eft. absorption area 541 ft2 Monitoring tube YES Date of adequacy test 5/6/2009 Results (Pass/Fail) PASS Fluid depth in absorption field before test DRY in. Water added 1150gal. Elapsed Time: 1 min. Final fluid depth 0 in. Any rejuvenation treatment (past 12 mo.) (yiN & tYpe) ~*BELOW EXISTING GRADEI Soil rating (g.p.d./ft2or~ 85 System type SHALLOW TRENCH Width 5 ft. Gravel below pipe 1 .ft. Depression over field NO For 4 bedrooms New depth 1 in. Absorption rate >= 600+ g.p.d. NONE KNOWN If yes, giVe date - D. LIFT STATION Date installed "Pump on" level at__ Size in gallons Manhole/Access~ ~ in. "Pump off" leveJ_a~ High water alarm level at in. E. SEPARATION DISTANCES Cycles tested. Meets alarm & circuit requirements~ SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot Absorption field on lot 100'+ Public sewer main N/A Sewer/septic service line 25'+ Animal containment areas 50'+ 100'+ On adjacent .lots *86' On adjacent lots 100'+ Public sewer manhole/cleanout Holding tank N/A Manure/animal excrete storage areas N/A 100'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Water main N/A Wells on adjacent lots 100'+ Property 'line Water service line. 5'+ 10'+ Absorption field 5'+ Surface water. 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ Building foundation. 10'+ Water service line 10'+ Surface water 100'+ Curtain drain NONE: KNOWN Wells on adjacent lots 100'+ Water main N/A Driveway, parking/vehicle storage 10'+ Fo COMMENTS *PER EXISTING WAIVER. #WR02~)0023 G. ENGINEER'S CERTIFICATION ! 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 JEFFREY A. GARNESS Date I ..... 1"fir#P-'V-'-:3:''} ess..' COSA Fee $ Date of Payment Receipt Number (Rev. 11/05) Waiver Fee $ Date of Payment Receipt Number Municipality of Anchorage Development Services Department Building Safety 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 # 090149 A Certificate of On-Site Systems Approval inspection and test of potable water was recently conducted on the well water supply on Block 7, Lot 2 of Prospect Heights #2 subdivision. This inspection revealed a nitrate concentration of 6.7 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. Municipality of Anchorage Development Services Department Building Safety Division On-Site Water & Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. 015-134-78 1. GENERAL INFORMATION Expiration Date: /¢ / Complete legal description Location (site address or directions) 7901 Current Property owner(s) Mailing address Lending agency Mailing address Real Estate Agent Mailing address PROSPECT HEIGHTS #2; LOT 2, SCHUSS CIRCLE BLOCK 7 GORDON HAYES Day phone C/O BETH WEISER PRUDENTIAL JACK WHITE Day phone BETHANY MEHNER-WEISER Day phone 762-3111 PRUDENTIAL JACK WHITE .3201 C ST. STE. 200 ANCH. AK. 99503 Un/ess otherwise requested, HAA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 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 Health Authority Approval (HAA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of Health Authority Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues HAAs upon request to homeowners. Certificates of Health Authority Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water samples. (Certificates may be reissued for a period of up to one year with vaiid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. Note: Alaska Water and Wastewater Consultants, Inc. shall be paid $3,120.00 at, or prior to closing for the engineering services provided. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the vafidation date shown below, I verify that my investigation, based on procedures outlined in the Health Authority Approval Guidelines for this appfication, shows that the on-site water supply and/er 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 Municipafity 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 appficable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm ALASKA WATER & WASTEWATER CONSULTANTS, INC. Phone 5.37-6179 Address 6901 DEBARR ROAD, SUITE 2B * ANCHORAGE, AK 99504 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Date Engineer's Comments: In conducting this evaluation, AWWC, Inc. attempted to provide a thorough, conscientious engineering analysis of the system in accordance with ADEC and MOA DSD Guidelines & Regulations. The reported results described the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily identifiable features. The operational life of all wefts and septic systems depend on the local softs 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. A WWC, Inc. can therefore not provide any warranty or future estimate of how long the system will continue to meet the operational requirements of the ADEC or MOA DSD. The content of this 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. 5. DSD SIGNATURE Approved for ~" bedrooms. Disapproved. Conditional approval for Attachments: HAA Checklist Septic System Advisory, Well Fiow Advisory. X bedrooms, with the fllowing supulauons: ..... ..' Manitenance Agreements Supplemental Engineer's Reda (Rev!2/01) Municiprality of Anchorage Development Services Department Building Safety Division On,Site Water & Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: PROSPECT HEIGHTS #2 L2, B7 Parcel ID: 015-134-78 WELL DATA I'WELL #1/WELL #2] Well type PRIVATE If A, B, or C provide PWSID# N/A *Date completed 1984/1985 Sanitary seal (Y/N) YES Total depth 460/158ft. Cased to 40'+/40'+ ft. FROM WELL LOG 1984/1985 8o/138 ft. 2,/5 g.p.m. Date of test Static water level Well production WATER SAMPLE RESULTS: Coliform 0 colonies/100 mi. Arsenic: n/o mg./L. SEPTIC/HOLDING TANK DATA Tank Type/Material Well Log (Y/N) YES (2) Wires properly protected (Y/N) YES Casing, height (above ground)18"+/18"+ in. STEEL AT INSPECTION 3/25/02 142 1.84 ITESTED WELL #21 g.p.m. Nitrate. 0.2 mg./L. Other bacteria 0 colonies/100ml. Date of sample: 5/25/2002 Collected by: AKWWC, INC. Tank size 1250 gal. Numberof Compartments 2 Foundation cleanout (Y/N) YES Depression over tank (Y/N) NO :-' Date'Of~$.r~.ing :ii!: 6/5/02':- Pumper DENALI C. ABSORPTION FIELDiDATA I'BELOW FINAL GRADEI Date installed.- 7/1984 Soil rating (g.p.d./ft2or(~ 85 Length 60 ft. Width 5 ft. Date installed 7/1984 Cleanouts (Y/N) YES High water alarm (Y/N) N/A SEWER &.. DRAIN Total depth lO .ft. Eft. absorption area 341 ft2 Monitoring tube YES Date of adequacy test 5/25/02 Results (Pass/Fail) PASS Fluid depth in absorption field before test 0 in. Water added 571 gal. Elapsed Time: 267 min. Final fluid depth 0 in. Any rejuvenation treatment (past 12 mo.) (Y/N & type) NONE System type SHALLOW TRENCH Gravel below pipe 1 ft. Depression over field NO For 4 bedrooms New depth 0 in. Absorption rate >= 651 + g.p.d. KNOWN If yes, give date - D. LIFT STATION Date installed " Size in gallons M~ "Pump on" level at in. "Pu~ High water alarm level at Datum ~ Cycles tested Meets alarm & circuit requirements? E.SEPA :RATI:ON DISTANCES in. SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot Absorption field on lot 100'+ Public sewer main N/A Sewer/septic service line 25'+ 100'+ 'On adjacent lots *86' On adjacent lots * 100 Public sewer manhole/cleanout Holding tank N/A N/A SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Absorption field Water main N/A Water service line 10'+ Surface water Wells on adjacent lots 100% 5'+ 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ Building foundation 10'+ Water service line 1 O' + Surface water 100' + Curtain drain NONE KNOWN Wells on adjacent lots t00'+ Water main Driveway, parking/vehicle storage 50'+ F. COMMENTS *WAIVER REQUIRED WITH THIS HAA 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 HAA guidelines in effect on this date. Engineer's Printed~lame Date" ~, lA.,'/~'Z., JEFFREY A. GARNESS HAA Fee $'~!~ -\ Date of Payment Receipt Number (~'~ 0-~ 1~ "7...- Waiver Fee $ Date of Payment Receipt Number (Rev. 12/01 ) Municipality of Anchorage Development Services Department Building Safety Division On-Site Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 Waiver Review Worksheet WR#: WR020023 PID#: 015-134-78 HA#: HA020238 PermitS: Date Received: 614/02 Legal Description: Prospect Heights #2 Block 7 Lot 2 Engineer: Jeffrey A. Garness, PE Alaska Water & Wastewater Consultants, Inc. Applicant: Gordon Hayes Waiver Requested: 85 feet from the well on Lot 2 septic on Lot 8 Criteria: Geology A. Water Table B. Soil Sorption C. Permeability D. Water Table Gradient E. Horizontal Separation Total: Waiver is Granted: Waiver is not Granted: List Conditions or Reasons for above: Date: By: Name of Reviewer Rec~: 20742 Amount: $800.00 Date Paid: 6110/2002. mOO IA/RIVER WRIVER ~v E L L ~ t~ TR - ~q Cq Cq 7.2 '21.0 ' AL A S KA WAT E R & W.A ST EWAT E R C O N S U LTA. N T S, I N C. : June 3, 2002 Municipality of Anchorage Development Service Department Building Safety Division On-Site Water & Wastewater Program P.O. Box 196650 Anchorage, Alaska 99519-6650 Ref: Waiver Request. Eighty-five (85) feet separation distance between the well on Prospect Heights #2, L2, B7 and the septic tank on Prospect Heights #5, L8, B1. Well encroachment into the utility easement. The existing home on Prospect Heights #2, L7, B2 is served by two private wells and a septic system. The first well (well#l) was drilled on 6/27/84 and the log is on file with the MOA. The second well (well #2) was drilled on 10/5/85. The log for this well is not in the MOA file, however, we were able to locate it on the State of Alaska DNR website. A copy of the log is attached with this waiver request. During our evaluation of the well and septic system on Prospect Heights #2, L2, B7, it was discovered that well #2 is only 86 feet away from the septic tank located on Prospect Heights #5, L8, B1. tn addition, it was discovered that the well is in the utility easement. This encroachment has existed for ahnost 17 years. We are currently in the process of obtaining letters of non-obiection from the utility c, ompani~s and will provide them with the HAA submittal package. The well is located at least 15 feet higher in elevation than the septic system; therefore, there is no risk of overflowing wastewater migrating towards the well head. The only path of contamination is via subsurface migration. Attached are the logs for the three (3) wells on the two lots. Well #2 and the well on Lot 8, Block I have similar depths and geological profiles. Well #2 has a 60 foot layer of brown "clay" in the geological profile. The water samples pulled from the well #2 had no bacteria and non-detectable nitrate levels. This is an indication that the geological layers have served to protect the aquifer. We are requesting that your department grants an 85-foot waiver between the subject well and the septic tank located on Lot 8, Block 1, Prospect Heights #5 Subdivision. Based upon the aforementioned facts, it appears that there is mi~nal risk associated with granting tbe requested waiver. If you have a~ questj~(~:!'please contact ,ne at 337-6179. Thank you for your assistance. //(I/.4 i 6901 Debarr Road, Suite 2B * Anchorage, AK 99504 Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: akwwc.com ! i PROSPECT HE,G.TS LAKEWOOD HILLS /~4 i i LOT 8. BLOCK 1 LOT 10, BLOCK 1 = EXISTING SEPTIC ~ i ~ INSTALLED IN 8/9/85~ ~ ~~hh ~KEWOOD HILLS ~4 t : ~ LOT 7, BLOCK 1 j ~ ~ ; t i I ,, / / LOT 7, BLOCK 7 ~ I / I : ! .., / 0ATE: WATER & WASTE TER u.E.w o90. D~g&RR RO~D. SUITE ZB ' ANCHORAGE, AK g950~ ' PHONE (gOT)b37-617g GORDON HAYES (907) 522-22~1 I~' '. .' ; J.A.G AIAS~ WATER & W~TEWATER ~,:~,~.~:~ ~V:..~4~ir~t ~ ...~ CONSULTANTS, INC. 6901 DEBARR ROAD, SUITE 2B ANCHORAGE, AK 9950& PHONE (907)357-6179 FAX (907)558-32fl6 1" = 3o'~'][,q~l~ ............ ............... (~J qo~."].7'~ ~c~[: ~ ..."~ SITE P~N OF WELL TO SEPTIC SYSTEM ENROACHMENT -~~ LOT 11 ? / / ,LAKEWOOD ~ILLS #4 _OT 8,,-,E~]~OCK - LA K F.F..~,/'~C) D, ~L'(~T 7, EH..OCK 1#4 // / / / / M ASKA ¥%VFER & , ' STE TER CONSULTANTS, lNG, 6g01 DEBARR ROA~,"'SLiI.TF4~, 2B ~ ANC~qOR~ (9~7)537-6179 PREPARED FOR // HUMBErt GORDON : )ESCRIPTIO~:/- ~ ~ F/HEIGHTS ~2; 7 DRAWING / / ................... .2 'i "-, PROSPECT HEIGHTS #2 '~ LOT 1, BLOCK 7 \ i / /: / \ DRAWN BY: / / .......... M.:..E/: W NUMBER: / OEI~ARI'MENT Of= N&TURAig RE$OUF~ES Division Of Geological ~ Geophysical Surveys, J Orllllng Permit No. LOCATION OF WELL" {Pleoea complete either la, lb or lc.) OISTANCE AND DIRECTION FROM ROAD I~TERSECTiONS $..OWNER OF WELL: Stroll Addrl$1 ehd Area of Will Location .2. WELL LOG Feet Below .. Surface 4. WEL~ OEPTH: (fth~l} 5. DATE OF COMPLETION Gravel, roc:<s and st~ea, ks (,ray clay and rocks 5~ 74 - Sit between fl. and ft. Bock filling Gr~vtl pock 0 AbOvl Gr ~ BelOW land surfac~ Date z' , , , I~' PUMPINO LEVEL bela. load ~urface end YIELD ~', .... , Material: ~ N~at Cement ~ Other: ~ . :' 15. PUMP: ( if OvOilgbll) HP Lenlth of Drop Pipe ft. Copo~ity ~.~.m. 16. WATER WELL CONTRACTOR'S CERTIFICATION: 15. Waftr Templrofure ~ ~ F ~ C This w~ll lOS drilled undlr m~ ).ril~lcllon and this report Is true to tho bill of my knowlldgt Ofld Farm O~'WWR (11/81) Co~y Disl~ibutlon: WHITE-Stele OGG~ PINK'Orilllr, ~ANARY'CM~tI~r LEGEND · 6--21-02; 9:23AM;CEA LAND SERVICES ;7624852 6--14--02; 1;05PM;CEA LAMB SERVICES ;7624852 ENCROACHMENT PERMIT I203-13C G-2540 EN02021 01.5-134-78 This permit is between Chugach Electric Association, Inc., an Alaska non-profit electric cooperative, (herein "Chugach'~), whose addrcss is P. O. Box 196300, Anchorage, Alaska 99519- 6300 and Gordon Hayes, (herein "Pcrmittcc"), whose address is 4640 West 80tu Avenue, Anchorage, Alaska 99502. 1. Easement. Chugach is the grantee or user of an eascmcnt for the consmmtion and maintenance of electrical facilities, as follows: Described in that certain written instrument recorded on the 14m day of September 1982 at Book 778 Page 373 of the records of the Anchorage Recording District, Seward Meridian, Alaska, Dedicated by the plat of the subdivision known as Prospect Heights Subdivision Addition No. 2, according to Plat Number 76-158, recorded on the 6~ day of July 1976, on file in the office of the District Recorder, Anchorage Recording District, Seward Meridian, Alaska, (herein "Easement") which pertaim to the following described real property: The North Ten Feet (lq 10') of Lot 2, Block 7, Prospect H. eighis Subdivision Addition No. 2, according to Plat Number 76-15g, recorded on the 6~ day of July 1976, on file in the office of the Disirict Recorder, Anchorage Recording District, Seward Meridian, Alaska. Pcm~ittee acknowledges the validity of the Easement. Permittee warrants and represents tlmt 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: Lot 2, Block 7, Pros. _pe~.~H:eights Subdivision Additi.on No. 2, according to.Pl~ N_umber ?- 158, recorded on the 6 day of July 1976, on file m the office oftbe District Kecoroer, Anchorage Recording District, Seward Meridian, Alaska, (her~ "Pared"). Encroachment Permit - Page 1 of 4 6--21--02; 9:23AM;CEA LAND SERVICES ;7624852 2/ 4 ~0 2. Encroachment. Permittee proposes to continue the existence of the following improvement(s) on or within the real property subject to said Easement: A well located approximately 2 feet into said Easement, (hcrcin "Encroachment"). 3. p~mit. Chugach hereby authorizes Penn/ttex to continue the existence of the Encroachment in its proposed location subject to thc covenants set forth in this permit. 4. Indetnnlfi~ Permittee shall indemnify and hold Chugach harm/ess from any claims for personal injury, property damage or other loss arising in any way from the continuation of the Encroachment. 5. No E~pan.~ion or Increas©. 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. N9 Interest in Real Estate Acquired. Pennittee hereby acknowledges that the Encroachment and any additions thereto, even if in violation of this permit, has not and shall not in the future give rise to any interest or estate in the real property subject to the Basement 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 o~ Chugach for purposes of the common law doctrine of adverse possession. This permit crea~es 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 reconsh'ucted, 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 isnot made within thirty (30) days of written demand for same, Chugach may u:rminate this permit in accordance with paragraph 9, below. 8. (~Qvenants Run~nin~ with the Land. The obligations of thc Permittee arising from this permit shall be covenants running with the land which shall burden the Parcel and the l%~afittee's interest in the land subject to the Easement and shall benefit the Easement. 9. Termination. Chugach may terminate this permit ~ the giving of thirty (30) days written notice of such tenuination fi: a. The Encroachment is enlarged, increased or extended within the real property affected by the Easement- Encroachment Permit - Page 2 of 4 5--21--02; 9:23AM;CEA LAND SERVICES ;7624852 ;7624852 6-14-02; I:OBPM;CEA LAND SERVICES # 3/ ~ 5../ 18 b. The Encroachment is damaged by any means to an extent of more than thirty percent 00%) of its replacement cost at the time of destruction. c. Pcnnitte~ fails to make lhe payment described in paragraph ?, above. 10. Term. This permit shall, ifnot sooner terminated by Chugach, expire forty (40) Years ~om the date hereof. 11. Enfir~ Agreement. This written permit constitutes the entire agreement bt~tween the parties with respect to the subject matter hereof and supersedes all other prior or contemporaneous agreements, oral or written, betweenthe paRies. No modifications, amendments, deletions, additions or alterations of the permit shall be effective unless in writing and signed by all of thc parties hereto. CHUGACH ELECTRIC T~D Network Services Encroachment Permit - Page 3 of 4 · 8-21--02; 9:23AM;CEA LAND SERVICES ;7624852 # 4/ 4 ........................................ ;7624852 6-14--02; I:0~PM;CEA LAND SERVICES STATE OF ALASKA ) ) SS: THIRD JUDICIAL DISTRICT ) egoing instrument was acknowle, d~d before me this 2002, by (251 t"r~' ~'o~- day of ISTATE OF ALA~ (l l Bethany A. Weiser ~ .. My C~nm, isslon Expires May 01.2003 My commission STATE OF ALASKA ) ) TFaRD JUDICIAL DISTRICT ) The foregoing instrument was acknowledged before me this. aQ O 7_~ day of ~4, a/~/ .. ,2002, by Lee Thibert, Executive Manager, Transmi~ion and Distribution Network Services of Chugaeh Electric Association, Inc., an Alaska corporation, on Notary Pubnc in ahd f3Fth; STate o~ Alash My commission ~xpires: AFTER RECORMNG RETu. I~ TO:" Chugaeh Electric Association, Inc. P.O. Box 196300 Anchorage, Alaska 99519-6300 Encroachment Permit - Page 4 of 4 EN 'F,a_R ENSTAR Natural Gas Company A Division of SEMCO ENERGY, inc. 3000 Spenard Road P.O. Box 190288 Anchorage, Alaska 99519-0288 (907) 277-5551 6/6/02 Alaska Water and Wastewater 6901 Debarr Road, Suite 2-B Anchorage, Alaska 99504 Re: Letter of Non-objection Grid: A2540G To whom it may concern: ENSTAR Natural Gas Company has no objection to a water well encroachment on the ten feet utility easement located on the north boundary of Lot 2, Block 7, Prospect Heights Subdivision No. 2. Acceptance and use of this letter of non-objection by yourself, your heirs, your assigns, or your successors, will constitute agreement to the following stipulations: ENSTAR will be held harmless, 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, as a result of this encroachment will be repaired at no cost to ENSTAR. Any costs incurred by ENSTAR for special construction necessitated by this encroachment will be borne by the property owner. All applicable safety code regulations will be observed and maintained. This letter of non-objection will in no way preclude ENSTAR from full use and enjoyment of its rights within any portion of its right-of-way. Sincere~~ M. Manuel Lope; Right-of-Way Ag ENSTAR Natural cc: File ANCHORAGE WATER & WASTEWATER UTILITY George P. Wuerch, Mayor Engineering Division 3000 Arctic Boulevard Anchorage, Alaska 99503-3898 http://www, awwu.ci.anchorage.ak, us Owned by the Municipality of Anchorage May 30, 2002 Gordon Hayes C/o Alaska Water & Wastewater 6901 Debarr Road, Suite 2B Anchorage, AK 99504 Re: Prospect Heights #2, Block 7, Lot 2 (Grid 2540) Tax ID 015-134-78 Encroachment into Easement The Anchorage Water & Wastewater Utility received a request from Jeffrey Garness of Alaska Water & Wastewater Consultants, Inc. on May 29, 2002, for a letter addressing AWWU's position regarding the existing well that encroaches into the utility easement located on the north 10' of the referenced lot. An asbuilt drawing dated May 23, 2002, was submitted with the request. The subject area is located outside the AWWU certificated water service area. Wastewater facilities are to be in accordance with the Hillside Wastewater Management Plan (HWMP). AWWU is not using the utility easement and has no objection to the encroachment. If you have any questions, please call me at 343-8009 or the AWWU Planning Section at 564-2739. Sincerely, Hal lie Stewart Engineering Technician G:\Engineering\Planning\Planning\HMS\encroachments\easement-no w-s - Prospect Hts.doc May29,2002 Jeffery A. Gamess 6901 Debarr Rd. Suite 2-B Anchorage, Alaska 99504 Dear Mr. Garness Subject to your agreement to indemnify the company as set forth below, GC! Cable Inc. of Alaska has no objection to the well encroaching into the 10' utility easement on the north property line of Lot 2, Block 7, Prospect Heights Subdivision. Known as 7901 Schuss Circle, in city grid 2540. This letter of non-objection in no way precludes GCI Cable from full use and enjoyment of any rights it may have within any portion of the utility easement and or the right-of- way, including unlimited access for servicing its facilities. Also any additional and extraordinary costs incurred during any future required construction, repair or reconstruction of GCI's facilities to accommodate any or all of the encroachments shall be paid by the property owner. By signing below, you agree to indemnify and hold GCI Cable harmless, now and forever, for any damage, costs, expense (including reasonable attorney's fees), liabilities and injury to any person or property occurring as a result of the encroachment. Please indicate your acceptance by signing and returning this letter to myself at the Sincerely, Cheryl Patterson OSP Design Engineer 2550 Denali Street · Suite 1000 · Anchorage, Alaska 99503-2781 · 907/265-5600 June 25, 2002 ACS I Alaska Communications Systems Mr. Jeffrey A. Garness, P.E., M.S. Alaska Water & Wastewater Consultants, Inc. 6901 Debarr Road, Suite 2-B Anchorage, AK 99504 ACS has no objection to the encroachment of the existing well into a platted easement located on Lot 2, Block 7, Prospect Heights Subdivision No. 2, as depicted on the as-built drawing submitted. Acceptance and use of this letter of non-objection by yourself, your heirs, your assigns, or your successors, will constitute agreement to the following stipulations: ACS will be held harmless, now and forever, for any damages or injury to any person or property as a result of this encroachment. o Any ACS facility damaged or destroyed as a result of this encroachment will be repaired at no cost to ACS. o Any costs incurred necessitated by this property owner. by ACS for special encroachment will be construction borne by the o Ail applicable safety code regulations will be observed and maintained. This letter of non-objection will in no way preclude ACS from full use and enjoyment of its rights within any portion of its right-of-way. Sincerely, ~hmid, Fo ' Outside Plant Engineering DATE: GS\cle\G: \Engineer\Cor respo\Nonobect \Prospect .doc 600 Telephone Avenue Anchorage, Alaska 99503-6091 te 907.564.1000 '.~ v~,,'.~c.~'~si:ask~'.co;- MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING GENERAL INFORMATION Complete legal description Location (site address or directions) -7 C~O t -~c¢¢,~ ~' V'- Property owner Mailing address Lending agency Mailing address Agent '~o Address Day phone Day phone Day phone Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: TYPE OF WATER SUPPLY: Individual well Community well Public water NOTE: If community well system, provide written confirmation from State ADEC attest- i. ng to the legality and status of system. TYPE OF WASTEWATER DISPOSAL: Individual on-site Holding tank Community on-site Public sewer NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025 (Rev. 1/91) Front MOA #21 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 inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations !n effect on the date of this inspection. NameofFirm "7~'~-~-'/ ~i~o~-')/'-,-L~2.~ Address ~.-c0 'b ~ J~ ~ Engineer's signature ~ ~ Phone .~ SIGNATURE Approved for Disapproved. bed rooms. Date Conditional approval for bedrooms, with the following stipulations: Additional Comments Date 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 cer[ain 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 engineePs work. 72q325 (Rev. 1/91) Back MOA #21 Legal Description: A. WELL DATA Well type i[~ Municipality of Anchorage ~ Department of Health & Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Lz~'~,~ 'J~ ~ '~ '~-~>q~_~ .. Parcel I.D. ~5 -/~- ~ If A, B, or O, attach ADEO letter. ADEO w~ter system number yF~ Date completed ~/~7/~ ~ Driller ~~ ~ ~ ~ Casing height Wires properly protected (Y/N) ~ Log present (Y/N) Total depth ~ Cased to / Sanitary seal (Y/N) FROM WELL LOG Date of test Static water level Well flow Pump level SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot Absorption field on lot Public sewer main Sewer service line /~ ~-- g.p.m. AT INSPECTION ,;'~, ; On adjacent lots ; On adjacent lots ~ I/~:> Public sewer manhole/cleanout Petroleum tank WATER SAMPLE RESULTS: Coliform Date of sample: Other bacteria Collected by: B. SEPTIC/HOLDING TANK DATA Date installed ~-~/7~ V Cleanouts (Y/N) ~.~ High water alarm (Y/N) ~//~ Date of pumping ~ '~0~ Tank size 7~ ~-/'~ Eoundation cleanout (Y/N) ~ Compartments Depression (Y/N) Alarm tested (Y/N) r~/~r Pumper /~4x~...)~ · SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: On adjacent lots ~ !~ AbsorPtion field /.~' Well(s) on lot lO '7 To property line "~ Surface water/drainage Foundation Water main/service line 72-026 (Rev. 7/91) Front CONTINUED ON BACK PAGE C. LIFT STATION Date installed Size in gallons Vent (Y/N) High water alarm level Meets MOA electrical codes (Y/N) "Pump on" level at Manufacturer · Manhole/Access (Y/N) "Pump off" level at Cycles tested SEPARATION DISTANCE FROM LIFT STATION TO: Well on lot On adjacent lots Surface water D. ABSORPTION FIELD DATA Date installed ~ ~/I.~ Length ~;) I Width Total absorption area ~ ~/ Depression over field (Y/N) ,~/ Results (pass/fail) ~ Peroxide treatment (past 12 months) (Y/N) Soil rating _~-.~ Gravel thickness /_,~ It Cleanouts present (Y/N) Date of adequacy test for System type Total depth If yes, give date bedrooms SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot ' I To building foundation On adjacent lots Surface water Curtain drain On adjacent lots )~ ) ~ Property line To existing or abandoned system on lot ~ I ~ Cutbank I~ ~ ~ Water main/service line Driveway, parking/vehicle storage area E. ENGINEER'S CERTIFICATION I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Signature ~ Engineer's Name Date ~ HAAFee$ /7~ '~ Date of Payment '7-" ~ "~ ~ ~ Receipt Number ~',~_~ ~7 ,) / 72-026 (Rev, 3/91) Back MOA 21 Waiver Fee: $ Date of Payment Receipt Number ~tJN;CIPALITY OF ANCHORAGE -~F t,4F~ALTH AND ENVIRONMENTAL PROTECTION D~ION OF ENVIRONMENTAL HEALTH ATE C,,F ,%S~'EC-ftON FOR HEALTH AUTHORITY APPROVAL OF' :~:~-S'-E SEWER AND WATER FACILITY 264-4720 Application Date GENER&L INFORMATION .-_~,ws~on, section, township, range) b) Telephone: Home Business ,'~-~ (c) Apphcant is (check one): Lendf~ -s: :_:;on ~ · Owner/builder ~; Buyer ~ ' Other ~ (explain); Lending Institution -/'~_~/'/~"" Telephone Address Real Estate Company and Agent Address Telephone (f) Mail the HAA to the following adcress: TYPE OF RESIDENCE Single-Family [~ Multi-Family Number of Bedrooms Other WATER SUPPLY Individual WellE[ Community[] Public[] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. SEWAGE DISPOSAL Onsite~. Public[] Community[] Holding Tank[] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. Page 1 of 2 72-025 (~/84) ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Hea~th Authority Approval shows that the on-site water supply and/or wastewate~; disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm /~- ~:~-:=~-' Address -2.'=L.~' ...... ~. 2= ~ ;},_ ~ x~.,, ~:~,., ,(~,'='-i~ .., ./~..,~"' , ~p.~? ~:=~ = .-~- Date ¢ '/;' .... DHEP APPROVAL Approved for /~ ~-~' Approved '~ Disapprove'd Conditional Terms of Conditional Approval CAUTION The Muncipality of Anchorage Department of Health and Environmental Protection (DHEP) issues Health Authority Approval certificates based solely upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHEP does this as a courtesy to purchase~-s of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHEP do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. Page 2 of 2 WELL DATA MUNICIPALITY OF ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST- FEBRUARY 1984 264-4720 Legal Description: /.~ MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH & ENVIRONMENTAL PROTECTION i '.',':' ',31985 R ECElVED Well Classification .--~'/'~<~ L-t~ Well Log Present (Y/N) Y Total Depth /--'~ © ¢ Cased to Static Water Level I .T~l~ / Casing Height Above Ground ~-- Electrical Wiring in Conduit (Y/N) Separation Distances from Well: To Septic/Holding Tank on Lot To Nearest Edge of Absorption Field on Lot To Nearest Public Sewer Line Cleanout/Manhole Water Sample Collected by Water Sample Test Results Comments -.~ If A, B, C, D.E.C. Approved (Y/N) Date Compl/Cted ~_~c~ Yield "~' "/ Depth of Grouting Pump Set At 'Sanitary Seal on Casing (Y/N) Depression Around Wellhead (Y/N) · On Adjoining Lots /~O'¢- · On Adjoining Lots To Nearest Public Sewer TO Nearest Sewer Service Line on Lot ;Date SEPTIC/HOLDING TANK DATA Date Installed ~' ~'~' Standpipes (Y/N) /1~ Air-tight Caps (Y/N) Depression over Tank (Y/N) Pumping/Maintenance Contract on File (Y/N) -'-"- Holding Tank High-Water Alarm (Y/N) Separation Distances from Septic/Holding Tank: To Water-Supply Well ,/'~ To Property Line Water Main/Service Line To Course Size /~2__.~c~ No. of Compartments 7 Foundation Cleanout (Y/N) Date Last Pumped ,~//,//O.. · for Temporary Holding Tank Permit (Y/N) To Building Foundation TO Disposal Field :~,/~ To Stream, Pond, Lake, or Major Drainage Comments 4 3 ~/~','~ ~-- ~ ~/'C/-)- L.~ Page I of 2 72-026(11/84) C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed Width of Field Square Feet of Absorption Area Depression over Field (Y/N) Results of Last Adequacy Test "~'~ '~'/~.~./~-ype of System Design Length of Field ~ O / Depth of Field ~' Gravel Bed Thickness / Standpipes Present (Y/N) Date of Last Adequacy Test H, Separation Distance from Absorption Field: To Water-Supply Well To Building Foundation Lot To Water Main/Service Line To Stream/Pond/Lake/or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area Comments To Property Line To Existing or Abandoned System on · On Adjoining Lots To. Cutbank (if present) Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Electrical Codes (Y/N) Dimensions Manhole/Access (Y/N) "Pump Off" Level at Vent (Y/N) Pumping Cycles during Adequacy Test. Meets MOA Comments ** Check Permitted Bedroom Rating Against HAA Request ** I certify th~ec~/ed, verJified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection· ! Signed '~-~'./"¢~L,J,,L~ Date Company /~-.~'~ ,~-//~/~'/~c,,?~ MOA No./ Receipt No. :~J%~'-~ ~J Date of Payment ~' ) ~ Amount: $ ~ Page 2 of 2 72-026 (11/84)