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HomeMy WebLinkAboutSPRING HILLS ESTATES BLK 2 LT 1Spring Hill Estates Block 2 Lot i #015-051-70 On -Site Water and/or Wastewater System Permit MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 Elmore Road, PO Box 196650 Anchorage, AK 99519-6650 Telephone: (907) 343-7904 Permit Number: OSP161152 Tax Code Number: 01505170000 Work Type: SepticTank Upgrade Permit Effective Dates: July 01, 2016 to July 01, 2017 Design Engineer: GARNESS ENGINEERING GROUP LTD Subdivision: SPRING HILLS ESTATES -�-1 V/& Itt 00 711Z%!6 3r0-0 Site Legal Address: SPRING HILLS ESTATES BILK 2 LT 1 G:2436 Owner/Address: DRUMM BRANDON D & BREEANNA 9200 SPRING HILL DR ANCHORAGE AK 995074369 Site Mailing Address: 9200 SPRING HILL DR, Anchorage Lot Size in Sq Ft: 32057 Total Bedrooms: 3 This permit is for the construction of: Y Disposal Field Y Septic Tank N Holding Tank N Privy N Private Well N 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 wastewater code requires inspections during the installation. The engineer must notify the Development Services Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either: A. Open and Close on the same day. B. Covered, sealed, and heated to prevent freezing. Received B� Issued By: MUNICIPALITY OF ANCHOR y AIX Community Development Department ndlAm�l�t� Development Services x: 907- 343 - On -Site Water & Wastewater Program 6 Mayor Dan Sullivan On -Site Sewer/Well Permit Application For A Single Family Dwelling Parcel I.D. 015-051-70 Property owner(s) BREEANNA DRUMM Day phone 301-1818 Mailing address 9200 SPRING HILL DRIVE *ANCHORAGE, AK Site address 9200 SPRING HILL DRIVE *ANCHORAGE, AK Legal description (Sub'd, Block & Lot) SPRING HILL ESTATES; BLOCK 2, LOT 1 Legal description (Township, Section & Range) Lot Size Sq.Ft. Number of Bedrooms 3 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DEWELLING: (all that apply) Initial ❑ Single Family (SF) Absorption Field ® Z (w/wo ADU) Septic Tank Upgrade ❑ Duplex (D) E]Renewal Holding Tank ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE/ WAIVER REQUEST FOR: Distance: — I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal codes. GARNESS ENGINEERING GROUP, Ltd. (Signature of property owner or authorized agent) Permit/Rush Fees:S.,d/ 6 Waiver Fees: Date of Payment: 6 - " go Date of Payment: Receipt Number: O? Receipt Number: Permit No. �SPl6� lS2 Waiver No. (Rev. 01/11) GARNESS ENGINEERING GROUP, Ltd .aaw c r -'s" CIVIL &ENVIRONMENTAL ENGINEERS June 30, 2016 Municipality of Anchorage Development Service Department On -Site Water & Wastewater Program 4700 Elmore Road Anchorage, AK 99507 Ref: Proposed Septic System for Spring Hill Estates; Block 2, Lot 1 To whom it may concern: The existing 3 bedroom house is served by a private well and septic system. The drainfield is in a state of failure and needs to be upgraded. We are proposing to install a new 1000 gallon septic tank and 5 -wide trench type system. We are proposing to utilize the 1992 T.H. #2 by Mark W. Pearson, P.E. and the drainfield is designed within its 30 foot radius. Comments regarding the design are summarized as follows: 1. SOILS: See the attached 1997 soil log by Mark W. Pearson, P.E. which shows the soil classifications, groundwater monitoring, and the percolation test results. 2. DRAINFIELD DESIGN: See attached design drawing for drainfield specifications. 3. SURFACE WATERS: There are no surface water concerns. 4. TOPOGRAPHY: The average topography around the proposed drainfield is relatively flat. There is a 2-4 foot drop toward Abbott Road (north) and towards the west property line. The top of the effective for the proposed drainfield will be at approximately 3.5 feet below grade. In short, there is only a 6 inch elevation change from the drainfield and the bottom of the slopes. Additionally, we believe portions of the proposed drainfield area have been filled in and are therefore requiring confirmation during the installation of the drainfield that 100% of the effective depth is in native material. We are unaware of any adverse impacts this installation or waivers would have on adjacent wells or septic systems. If you have any questions, please contact us at 337-6179. Thank you E.. M.S. 3701 East Tudor Road, Suite 101 * Anchorage, Alaska 99507-1259 Phone: (907) 337-6179 * Fax: (907) 338-3246 * Website: www.garnessengineering.com I I I> I I I 1 '= I I I I I> I I SAHALEE; BLOCK 1, LOT 45m I I 'm I I ---------------1 I------------- I A ----------I �---- Im N ABBOTT ROAD SPRING HILL ESTATES; BLOCK 2, LOT 3 VACANT / A. Garness�S* CE -7 53 \ / SPRING HILL ESTATES; m� BLOCK 2, LOT 2 100' WELL RADIUS_ I / SPRING HILL ESTATES; BLOCK 2, LOT 3 VACANT I I \ / I SPRING WICL ESTATES; 7 / / I BLOCW 1, LOT 1 TIF +;A I EA 1 I 1 Z O SPRING HILL ESTATES; I 'BLOCK 1, LOT 2 I - I I CSEPTIC AREA SPRING HILL ESTATES; BLOCK 2, LOT 4 / \ I SPRING HILL ESTATES; / \ BLOCK 2, LOT 5 I 1DO' WELL S I / GARNESS ENGINEERING GROUP, Ltd CIVIL & ENVIRONMENTAL ENGINEERS 3701 E T11009 ROAD. SIVE 101 • MICH6RAf.E M 99307 • PIIOItE (901) M7-6119 • FM (90T 336-39A6 • We8 M w�.wn1sn01nxMa.mm FOR: PHONE NUMBER: PAGE DON & BREEANNA DRUMM 1 (907)301-1818 1 1 AL DESCRIPTION: SPRING HILL ESTATES; E OF WORK: SITE PLAN I / A. Garness�S* CE -7 53 \ / / I I \ / I SPRING WICL ESTATES; 7 / / I BLOCW 1, LOT 1 TIF +;A I EA 1 I 1 Z O SPRING HILL ESTATES; I 'BLOCK 1, LOT 2 I - I I CSEPTIC AREA SPRING HILL ESTATES; BLOCK 2, LOT 4 / \ I SPRING HILL ESTATES; / \ BLOCK 2, LOT 5 I 1DO' WELL S I / GARNESS ENGINEERING GROUP, Ltd CIVIL & ENVIRONMENTAL ENGINEERS 3701 E T11009 ROAD. SIVE 101 • MICH6RAf.E M 99307 • PIIOItE (901) M7-6119 • FM (90T 336-39A6 • We8 M w�.wn1sn01nxMa.mm FOR: PHONE NUMBER: PAGE DON & BREEANNA DRUMM 1 (907)301-1818 1 1 AL DESCRIPTION: SPRING HILL ESTATES; E OF WORK: SITE PLAN I A. Garness�S* CE -7 53 \ OF BEDROOMS: 3 LETTER THAT PERTAINS TO THIS DESIGN. PER DAY (GPD): 450 TO A OPY OF THE LETTER (ION RATE/S: 5.3 MIN INCH CONTACT GEC. BYTAIN CONTACT NG FORWARD 0.8 D APPLICATION RATE: 0 WITH THIS INSTALLATION, THE ENGINEER, DRAINFIELD SO.FT.: 562.5 FT2 WELL DRILLER, CONTRACTOR AND PROPERTY OWNER AGREE THAT THEY 'IELD HAVE READ THESE SPECIFICATIONS AND DESIGN: AGREE TO ACCEPT THE TERMS AND M DEPTH OF EXCAVATION: 11 FEET 2.5 FEET 35.5 FEET VE: 8 FEET SO.FT.: 568 FT' EXISTING \ PROPOSED 1 m� 1 0 L� APPROXIMATE LOCATION OF 3-4 FOOT DROP TOJ NATURAL TOPOGRAPHY INSTALL - BL1 & DBL / SPRING HILL ESTATES; BLOCK 2, LOT 2 VACANT NOTE: THE CONTRACTOR SHALL HAVE THE NORTH & WEST LOT LINES, AND ALL WELL RADII FLAGGED BY A REGISTERED LAND SURVEYOR PRIOR TO CONSTRUCTION. ABBOTT ROAD APPROXIMATE LOCATION OF 2-4 FOOT DROP AT -30% � MENT TO ROAD DITCH I 100' WELL GARNESS ENGINEERING GROUP, Ltd CIVIL & ENVIRONMENTAL ENGINEERS 3101 E. WDOR RONX 500E 101 • WHOR,4E, M 99507 • PHONE (901) 337-9119 • PAC (901) 339-S • WEINNN: wqw, mghwRiq.w,n 'REPAIRED FOR: I PHONE NBER: PAGE NUMBER: BRANDON & BREEANNA DRUMM (907)3UM01-1818 2 OF 2 .EGAL DESCRIPTION: DRAWN BY: SPRING HILL ESTATES; BLOCK 2, LOT 1 D.J.G./L.K.B. YPE OF WORK: DATE: SITE PLAN 7/18/2016 A. Ai�Ga 16 9 LF 1C/) C w W EXISTING 3 BEDROOM HOUSE I a i N F i i l l b r m G1R0j N`�� GARNESS ENGINEERING GROUP, Ltd CIVIL & ENVIRONMENTAL ENGINEERS 3101 E. WDOR RONX 500E 101 • WHOR,4E, M 99507 • PHONE (901) 337-9119 • PAC (901) 339-S • WEINNN: wqw, mghwRiq.w,n 'REPAIRED FOR: I PHONE NBER: PAGE NUMBER: BRANDON & BREEANNA DRUMM (907)3UM01-1818 2 OF 2 .EGAL DESCRIPTION: DRAWN BY: SPRING HILL ESTATES; BLOCK 2, LOT 1 D.J.G./L.K.B. YPE OF WORK: DATE: SITE PLAN 7/18/2016 A. Ai�Ga 16 9 LF GARNESS ENGINEERING GROUP, Ltd CIVIL & ENVIRONMENTAL ENGINEERS 3701 ETUWRROAO.SUITE 101'ANCHORAGE,M995a' PHONE (907)3378179'FM(9N)330 a-MBSITE:x game W^.am9.com LEGAL DESCRIPTION: SPRING HILL ESTATES: BLOCK 2, LOT 1 PERFORMED FOR: BREENADRUMM DATE: 7/1212016 DEPT ORG (feet) TEST HOLE #1 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 GM SM SOIL CLASSIFICATIONS DEPTH TO DATE GROUNDWATER DRY 7/1212016 7/19/016 \. Garners ••.•4 eey DATE READING CLOCK TIME NET TIME (MINUTES) WATER LEVEL READING NET DROP (INCHES) IIINII 2:50 - 6" 2 [01'", 30 3/8" m 3 3:20 - 1811' - • 3:50 30 !W*16 5-5/8 5 DEPTH TO DATE GROUNDWATER DRY 7/1212016 7/19/016 \. Garners ••.•4 eey DATE READING CLOCK TIME NET TIME (MINUTES) WATER LEVEL READING NET DROP (INCHES) 7/14/2016 1 2:50 - 6" 2 3:20 30 3/8" 5-5/8 3 3:20 - 6" - 4 3:50 30 3/8" 5-5/8 5 3:50 - 6" - 6 4:20 30 3/8" 55/8 19 PERCOLATION RATE 5.3 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES) TEST RUN BETWEEN 6.5 FT. AND 7.5 FT. 20 A FOUR HOUR PRESOAK WAS PERFORMED: E YES ❑ NO SOILS LOGGED BY: LANDON BRUCE . PERCOLATION TEST PERFORMED BY: ERIK WIDGER COMMENTS: PERCOLATION READINGS ARE WITHIN 1/16 OF INCH. PERFORMED BY GEG, Ltd. I, JEFFREY A. GARNESS, CERTIFY THAT THIS WAS PERFORMEP IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: r 25 16 04:25p Alaska Quality Sealcoat 907 644-8330 p.1 PuEc 3uf7 EXISTING RIGHT -OF -WAY•'.. - .^f: RIGHT-OF-WAY REQUIRED [Q AREA REMAINING --= r r-- 175+00 176 OQ ABBOTT ROAD r ; N R3w M SEC 10 s a += N 89'47'45" E:% 2640'67 P1 TO PI' =+� _ SEC 15 - EXISTING_� 50 J %SLOPE OMITS ROAD C/ L=31 42' .10.84 N .89'47'45" E_ R 20 00'� 10' T&E Am ESMT:v•;:;::?.%r.'•r.'..:"aiwi'vr...• N 89'47'45" E 117.45' S 83.p 17 50" / 1 2 E 83.15' .. RIGHT OF—WAY—LINE CTBE x`30' . 0', ESMT 10' SLOPE) .\- \•\ .- MAINT ESMT a , : tiQ 37= - - �' N N Z wu PLAT NO. 83-382 o o 2 BLOCK 2 �o . .� w � N .••r�r�:i I/: r iii r r• �_„_i_ __�_� - I 12.56 a L' R=^1179.87' 25' SLOPES "� `{ MAINT ESMT I L=26.88' R-2a.p0' / S 72'47'40” W L=36,12' �. ISL=36.14' 38'99 R-50.00' '1 ��.R=50.00' 1 SPRING 9 20 9 80 4 Scale 1n Feet STATE OF ALASKA DEPARTMENT OF TRANSPORTATION AND PUBLIC FACILITIES RIGHT OF WAY REQUIRED FOR ABBOTT ROAD REHAB OWNER'S INITIAL LAKE OTIS TO BIRCH ATTACHED TO A PAGE j OF _AM DATED _ PROJECT NO. 53942 PLAT 1 OF 1 GROSS TAKE 2.348 S F. NET TAKE 48 F DRAWN BY AFF\KMG REMAIN 29.736 S.F. DATE November 6. 2015 PARCEL NO, 12 PuEc 3uf7 -.4 Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825"L" Street, Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION TEST PERFORMED FOR: -��iytyl�`5 �- -- -- - DATE LEGAL DESCRIPTION: -' Township, Range, Section: 3 4 6 7 8 9 10� it• 12- 13- 14- 16- 16 17 18 _ 19 20 COMMENTS �Vt Sid " (f rcavr.( / om -AI I -5i W- w15:3,.>,I WAS GROUND WgTER v� ENCOUNTERED? _ i S ® IF YES, AT WHAT L A O DEPTH? P Oapth-to-Water Ail 1 Manllarin8l _ +S - --. - Bale: PERCOLATION tnunutesanch) PERC HOLE DIAMETER `� u TEST RUN BETWEEN — PT en,n -T" �r PERFORMED BY: ''• `��/w� IGY`6'ir�nP.QyIT� 1 , V 1lJ�/�- L`t:�/�5ry� CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE:- 72-0081Rev. 4/85) , i �©FURL' i��nt:�a���:L11�'��dI�eN�'T� PERCOLATION tnunutesanch) PERC HOLE DIAMETER `� u TEST RUN BETWEEN — PT en,n -T" �r PERFORMED BY: ''• `��/w� IGY`6'ir�nP.QyIT� 1 , V 1lJ�/�- L`t:�/�5ry� CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE:- 72-0081Rev. 4/85) , Municipality of Anchorage i Page � of 3 DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 ® Anchorage, Alaska 99519-6650 • Telephone: 343-4744 On -Site Wastewater Disposal System and/or Well Inspection Report Permit Number: >VV 9OZ10222 PID Number: o tf Name pg�y N t S [xDdD> �tt�t Wastewater System: El New upgrade Address: 1(0I�r l-F�Q� �iw�"ivt �Vw `J ABSORPTION FIELD `'IY Phone: o. of _edrooms: rYhCa,�.(02 41 3 O�' Deep Trench Ll Shallow Trench 11 Bed 1-1 Mound 11 Other LEGAL DESCRIPTION Soil Rating: 112 Total Depth from original grade: 9 F -,T GPD/sg.FL Lot Block: Subdivision: Depth to pipe bottom from orriiyginal grade: Gravel depth beneath pipee_ (� 1 zit'i(T H -u -L!5; RR 31 !9 Ft. T Fl. Township: Range: Section: Fill added above original grade: I Gravel length: Ft. WELL: L1 New F-1 Upgrade Gravel width: i� Number of lines: ( Distancebetweenlines: I `•_� Ft. Ft. Classification (Private, A,B,C): Total Depth: Cased To: Total absorption area Pipe material: �S'� (✓yf- , FL Ft. t�: 1 r •-�' 3 4 SG. Ft. ASTM 303 4 Puce Driller: Date Drilled: Static Water Level: FL Installer �� C-AZLIS IG� )(CPA )N ®® Date installeda: �/ n O IFi�''[]-1 !r Yield. Set ac asmg Height Above Ground: TANK GPM FL Ft. —Pump SEPARATION DISTANCES XSeptic El Holding ❑S.T.E.P. e To Septic Absorption Lift Holding Public/Private Manufacturer: Capacity ingallons: From Tank Field Station Tank Sewer Lines Well I c51 I $ Material. Number of Compartments: SurfaceWater ��^� LIFT STATION Lot , Q 1 4c), -3O / Size in gallons: Manufacturer: Line "� ONC-- "Pump on" level at: off" level a : High water alarm at: Foundation 4 1 o Curtain �ie Pump Make &Model Electrical Inspections perfor Drain BENCH MARK Remarks: •(— ��,lG �• n ���� � ! � \ , v`•'s- t_i2X?.� Location and Description: WG�ft'� �f �1 �'rl`•'�`� irvv K+ L ' � a r-1 inJ�i lVlf:�lY'Q=� ..' C�N�•�• �'�/`Q �.�a�J C�l�i�s ��(7rr' �•P�,aj - Y+ nl� Assumed Elevation: 1 Z —~ ENGINEER'S SEAL i � SFi1 • -% C / �r Inspections performed by: Dates: 1st_ 2nd ON atty / �1 ,, CE Department of Health d Human rvices appy vat a Reviewed and approved by: Date: _431ys� 72-013 (Rev. 9,91) MOA 25 Permit No. 5W 9 ZOZ2,2- Page I' of _3> Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 • Anchorage, Alaska 99519-6650 • Telephone: 343-4744 On -Site Wastewater Disposal System and/or Well Inspection Report 72013 A (1193)' Permit No. 5v1J97-0&Z,2- Page -7- of -3 - 2 Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.C. Box 196650 * Anchorage, Alaska 99519-6650 e Telephone: 343-4744 On -Site Wastewater Disposal System and/or Well Inspection Report I,; 1ix' j+1 t..Le,, Wri ) g L,06AC 1 Pir) Nin cnto U1 HOUSE GO I ST 1 ST 2 GO 2 ............... .................... ....... .... ..... ............ GO 3 ...... .......... ........ ...... ........ ......................... . ..... .................. .. ....... ....... ........... . .... . ............................. ........ ..... . ............ ... .. .... .............. .. ............................ - ..... ...... ...... . .......... G0:4 ............ . 67 PITA ................ .................. ........... . ...... ro C c 5' ............ ......... ................ ............. Ln ........ ... . . ....... .... fji 72013 A (1193)' Municipality of Anchorage Department of Health and Human Services dhh5 Tom Fink, 825 "L" Street Mayor P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 August 18, 1993 Dennis E & Donna P Goodrich 291 Alalani Street Pukalani, HI 96768 8303 Subject: Lot 1 Block 2 Spring Hills Estates Subdivision Permit #SW920222, PID #015-051-70 The subject permit, issued August 12, 1992 by this office for a single family well and/or on. -site wastewater system, has expired as of August 12, 1993. A new permit must be obtained from this office for a well and/or on-site wastewater system NOT installed by.the expiration date. If you have drilled the well, a well log must be sent to this office for documentation of the installation and to close the permit. If a licensed Professional Engineer has inspected the installation of the on-site wastewater system, the original as -built inspection report must be sent to this office for review, approval and documentation. All inspection reports must be submitted within 30 days of construction completion. When applying for a new permit, the fees are: $320.00 for an on-site wastewater permit; $120.00 for a -well permit and $440.00 for a combined on-site wastewater and well permit. If you have any questions, please call this office at 343-4744. S)ince Jo n Smith, P. E. Pr ram Ma ager O site Services enc: Copy of Permit cc: Mountain Engineering PAGE 1 OF 1 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT PERMIT NUMBER:SW920222 DATE ISSUED: 8/12/92 DESIGN ENGINEER:MOUNTAIN PENGINEERING EXPIRATION DATE: 8/12/93 OWNER NAME:GOODRICH DENNIS E & l °f 41:zlklZ OWNER ADDRESS:1617 KEEAUMOKU ST #607 Zee HONOLULU, HI 96822 PARCEL ID:01505170 .e LEGAL DESCRIPTION: SPRING HILLS ESTATES B 2 L LOT SIZE: 32057 (SQ. FT.) /�1a 4teh, 3 ?Ul NUMBER OF BEDROOMS: 3 THIS PERMIT: 3 THIS PERMIT IS FOR THE CONTRUCTION OF:�� DISPOSAL FIELD SYSTEM ALL CONSTRUCTION MUST 13E 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 FOLLOWING SPECIAL PROVISIONS. SPECIAL PR RECEIVED B ISSUED BY: DATE: DATE: 5 sly. 2 S fills c s (.�fil [2� (,!)C1C_ 2 o /A� 6'/6/k, L U�✓�LS ✓r7�e � <a �Mp�2 v2S re �\aS reAi 3 N?—Yc V, -e- t --- � o v 00004-M 0400-fb °sflBJ043UV flSUuAGGUOBU3 UMUROW d P N � N W � Q �• � rte+ zcu M L �.. _ + n n ad `�•�'V 3 QLU qui ~ Yit¢ oln-il JC g w � ti �) � r c[ � c� JS~ y Q7�= w� t> Z0� wiz aw= U �] LU z QU<WW 0000 Q S Y 4 IO / � L., ce tr �7 ra � r (j" >-- I- -jfo W , I'lo '•. ••'• '` '^ CL' .-. CL W W L, F- U w � .•. .,en. \C� V! W Q CL LY 0 O X pie N r — — J —— --------------- — -- --- CL x F i w a 1 Li I w / CD / W L, F- I W S 4- (h o 3 v ,4 W w w / \ i z S w w j \\ ra N �z } q \ ua n \an� 1 OU Q LWa. w q \ Z 2 O -- ❑ \ wO O I U q U Y i i f -Q o o j Q W ' a U 4 J o ��qq CL N VI W L u LD IT 11W LLJ 2:7 W CLU ® Ca F H fn ' u .-i Q~ A' ik Hti ¢ W 34 H L-1 Z Ld1' ZF Z tz�_ W �a Wlr. Y U ~� 3�.�J L- L' S „2t s• V, } W I- r (Y Z (Y Q ` H 4 W W H I. vim. L.l N> U r \` O W Q - 2 W z °rznra zn2v, oaY 3 (J W L- WW W (4N WJ W _ J U v) % J L-9 Q J fY L I LA X a L.- W � Q d' Q Q GC CL L.IIm z v V., Z o LL! [l M n C4 PERFC LEGAI 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 COMMENTS t"!t��P— TEST RUN BETWEEN Y - FT AND - FT PERFORMED BY: "`-"�`^^�+1^' ^1�p--�/I�i I' V `w�`- C "^✓'7%9y\ CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: T 72-008 (Rev. 4/85) � e to -. . Iarrr.. V .,o ox xi exrxu wrLerr.e)a Municipality of Anchorage fa DEPARTMENT OF HEALTH &HUMAN SERVICES d d 82.5 "L" Street, Anchorage, Alaska 99502-0650 ito r �"r. CC 7760 pe fi SOILS LOG - PERCOLATION TEST �p f., X, ,�j-'1'1�F7j'rrTJFtC�t3a1'��',�`�-� - PERFORMED FOR: �Vim/ DATE PERFORMED: TI IZ(fGC+Z�•. LEGAL DESCRIPTION: w `—t Township, Range, Section: -QEPTH T_ SLOPE SITE PLAN (FE=EL') 1 x . z 3 IA/( 1 6 C7 7 8 -/`_tea@ 9 - `n 10 - 11 � . 12 13'2- 3 14 15 16 17 81920 18- 19- 201 COMMENTS L' wJC WAS GROUND WATER t r ENCOUNTERED? i� S L 0 P E b �q2 IF YES, AT WHAT DEPTH? Depth to Water Alter Monitoring? Dale: Reading Date Gross Time Net Depth to Time Water Net Drop ( I Z 11,5111V to Z`4 416 f8 � jjaF— I PERCOLATION RATE '(minutes/inch) PERC HOLE DIAMETER f l�J TEST RUN BETWEEN `0 FT A''rNr^^D F h cZ . (IPJ P.- <oA < PERFORMED BY: I-V�_%—' &V-\ CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE-. DATE: 72-008 (Rev. 4/85) V MUNICIPALITY OF ANCHORAGE / DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street - Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME 1 CWNEW iPHONE 5 L)o li/+!r 3 AG 3 ❑ UPGRADE MAILING ADD`R+ESS y /� LEGAL DESCRIPTION Alls,2- LOCATION NO. OF BEDROOMS. Corryr� .�}��iv ` alt give w -t e/ ,EddL�' t) DISTANCE TO: Well po -art_ Absorption are ! Dwelling PERMIT y . g D 2/ Z Y Q Manufacturer /Yeer, Material No, of compartments WF c/ �.Ieei N Liq. capacity in gallons /UD Lj IF HOMEMADE: Inside length Width Liquid depth DISTANCE TO: Well Dwelling PERMIT NO. O' Z � Z G 0 Manufacturer Material Liquid capacity in gallons x—r OWell W DISTANCE T0: hd� J" Foundation / i Nearest lot line x f PERMIT NO. y to w No, of lines Length of each line Total length of lines Trench widtl Distance between lines 2 P /o j �O TO G l� inches Q Top finish Material beneath tile Total effective a orption areta of tile to grade p inches S- 0Z7 Length Width Depth PERMIT N0. La U Q H Type of crib Crib diameter Crib depth Total effective absorption area — w °- U! LU Lj well Building foundation Nearest lot line DISTANCE TO: Class D ti Dri ler Distance to lot line PERMIT N0. d w DISTANCE T0: _ it fo dation Se er ine Septic tank Absorption areas) OTHER PIPE MATERIALS P VL SOIL TEST RATING X4 5 b ,C7 .a INSTALLER (D � .J O Iq L REMARKS �t Gi tle 'rti iidwevo- r'4e' AIg wets r+l" '} I� ay y7te� r -W, ;n- _mf_ W(o.�p sur'/• 3ecv.7 ij -wide wa5 6u, i{' '7b s'�r.J in 'lie r;�6rt sae% •• � 6u•'i "I' W«3 jl eep aF cv,./l/e 2n ue "�G UCrer ASC C/Z pi'r ¢, 1 �CUi /H L' � Y' 6e/bw tAz 6altory n e 't^-z/j J � '7`n iM ciifC' S'�rt �•irrz wcry hc: cuu�'-.- /`�' we4t dry / 7 e. f ,m at %Zee `Jere -la 7 '"Co srf3yo K^j/�/ C! v aC r G t 7 o Wll L✓1 f/ o l APPROVED DATE LEGAL QUI /G 6 S p� by /� ( f3 /uta rF 72-013 (Rev. 3/78) k�� PEPWT lAO� DATE IS�UE� �PPLICA�T F0D��SS� ~`T F"" o7"D IL_3:~1- "Y C-) If=- DEPHRTMENT OF HERLTH HAD ENVIR�N�ENT�LPROTECTION 8�� � STR�ET/ HNC��ORHGE, RK 9g501 264~4720 CONTRCT PHONE D8:S UNLlMITEJ) 7800 DEBHRR RNCHORH�E/ HK ]]7~676] LEGHL DESCRIP� SUBDIVISIOW SPRING HILLS LOT: 1 01-00K: 2 SECTION: 15 TOWNSHIP: 1AN RHNGE]W �OT SIZE� ]2057 (SQFTO� HCRES) MH� BEDROOMS� ] L THF, OPTIONS HVHILH8LE TO YOU IN D�Sl��I�G YOU� SEPTIC SYSTE�[ CHOOSE THE OPTION THHT 8EST FITS OTF, .... ... .... -.�-.�_��-_�_~~�~~~~��_~�~ �����U� DEPTH TO PIPE BOTTO� (FT. ) 6 0 6. IN GRHVEL 0�5 110 TOTHi DEPTH (FT . � ) � 11 0 � 7 0 8 � 0 GRHVEL WIDTH (FY 5 19.0 5.0 !�- .b GRHVEL LENGTH 45.0 ]6.0 0 63. d x��J GRHVEL YOLUME (CUYDS ) 229 25.] 29.� SOIL RHTI < Sit FT. /3R) Wi 1�"I 1, 15 Ei 15 C1 ** TANK MUST HHYE HT LEHST TWO COMPHATME041-9; �..". - -.. .. .- - - - -~�.... ����.... �����..... ����... �������..... �.... ICERTIFY TI IH -l': 1 I FAMILIRR WITH THE REQUIREMENTS FOR ON-S/TE SEWERS HND WELL -S HS SET FORTH BY THE MUNIGIPHLlTY OF MCH[MME (MOA) HND THE STHTE OF HLHSKH. 2 I WILL IN�THLL THE SY�TE� IN HCCORDRNCE WITHHLL MOH CODES HND REGU�HTIONS, HND IN COMPLIHNCE UITH THE �ESIGN CRITERIH C*11", I'll 1: IT. �T WILL HDHERE,: T() fit I STRTE OE", FO� THE SET �HC� DISTRNCES FROM HNY WELL/ SYSTEM OR PUBLIC 5ENERH�E �YSTEM ON THIS OR HNV OT. 4� ��DE�STHND THHT THIS PORMIT IS VHLID FOR H If-`1XIMUI-1 OF MAY EALHRMEMENT 14I1.1. WQOME HN ADDITIONAL. PITRMIT, ' IF R LIFT STHTHON IS INSTRLLEO IN fill HREH COVERED BY MOH BUI�DI�G COD�S/ " THEN (i) HN ELECTRICAL PERMIT HND INSPECTION MUST BE OBTHINED/ BUILT:- WTL� NOT BE HPPR0 WITHOUT RN INSPECTION REPORT.; HN) ELECTRICHL WORK MUST BE DONE 8Y R LICENSED ELECTRICIRKi n ^ ^ SOILS LOG MUNICIPALITY OF ANCHORAGE o fie; DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION PERCOLATION TEST 825 L. Street, Anchorage, Alaska 99501 264-4720 -/ SOILS LOG — PERCOLATION TEST PERFORMED FOR: L (I"L/ 9 14 DATE PERFORMED: -el-13—&/— LEGAL DESCRIPTION:_ L f� I CIC,4 . -Z— c- �j� I�S St4Z`�i'V,f,�c, P SLOPE SITE PLAN LET�Yfr1�;� 5;/F, I�'/rc%,c%vy �UL,) 1 I I I I �Ygc7i9/C Si l�'�, �Qf�CliS� �veb�� 2 I r'7 3 4 5 6 % r P ! 7 8- t', a � , 0 9- 10- 11 10 11 , t � 12 e r 13 t , 14- 15- 16 4 1516 r/4 1 17 18 19 20 COMMENTS Y evQvel ��vle,, defol, (ivy :Tamd 9P°y (5P) V/'sw'#1 relAd /S-6 ONION Moul MEMO Date Gross Time , ONE Net Drop ONE in WAS GROUND WATER A� S ENCOUNTERED? _ /�'G L 0 P- IF YES, AT WHAT E DEPTH? Reading Date Gross Time , 11 Net Drop ONE 11 1 �� Nil IMI1.� MIN ■�1 1 ■ MEN WAS GROUND WATER A� S ENCOUNTERED? _ /�'G L 0 P- IF YES, AT WHAT E DEPTH? Reading Date Gross Time Net Time Depth to Water Net Drop PERCOLATION RATE TES/T/ RUN BETWEEN - /- - FT AND W9- /�O -f-j HP//Ynn IM / PERFORMED BY: DO Mae / C:rc?j2S CERTIFIED BY:� 72-008 (6/79) (minutes/inch) — FT DATE: YZZ M ••W DRILLING, Inc. P.O. Box 10.378 • 10300 Old Seward Highway (907) 349.8535 ANCHORAGE, ALASKA 99511 DRILLING LOG (, 1 , ,",� 01 Well Owner J < 0(_Tn/,; t%i L i.:(,.1: Use of Well iciuc. t i.c_ Location (address of: Township, Range, Section, if known; or distance main road 1'A 1u .ii1,uC'E_ i'. i;�5."[".i.1-�.1,' Ili. -. J.:: ,._ fincho2",DV.p Size of casing ''F Depth of Hole `'J�feet Cased to " JI L- 52 feet Static water leveLL'-")li ft. (above) (below) land surface. Finish of well (check one) open end Screen ( ) ; Perforated ( ) . Describe screen or perforation 't,;='F'" Well pumping test at JQ gallons per :(hour+) (minute) for .jhours with_ow"' T :. of drawdown from static level. Date of completion i z7.;y 3J... :1.9flJi WELL LOG Depth in feet from ground surface Give details of formations penetrated, size of material, color and hardness p TO TO 2O TO 3 TO 9U _ �)o TO '(U TO —TO TO _ —TO- TOTO TO-- _TOTO_ TO- TO- TO --TO TO_ —TO- --TO TO ENV!D�pr OpgM OF r1Eq j -H NOPA0,4 G5:'��..Y 1�:'�-_'i;ii1u'r_'u: v'f"I ROiJM,ENreI _ U' a fia;`€yo. Lo- 1Lueyl W t;tt'riSlGtl Cct> x 3 — CONTRACTOR Municipality of Anchorage m`o. On -Site Water and Wastewater Program (907) 343-7904 s A I E! Certificate of On -Site Systems Approval Parcel I.D. 015-051-70 1. GENERAL INFORMATION: Expiration Date: /0 -( Z-( Completelegal description SPRING HILL ESTATES; BLOCK 2, LOT 1 Location (site address) 9200 Spring Hill Drive *Anchorage Current Property owner(s) Breeanna Drum Day phone 301-1818 Mailing address Real Estate Agent Day phone 2. TYPE OF DWELLING: © Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 3 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ® Individual V1 Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ WaiverNariance request for: Distance: Received by: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ Date of Payment `7 o 1 Receipt Number 3 5 2, COSA # 0,21 1370 Date: Waiver Fee $ Date of Payment Receipt Number Waiver # 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm: Garness Engineering Group Ltd (GEG) Phone: 907-337-6179 Address: 3701 East Tudor Road Suite 101- Anchorage, Alaska 99507 Engineer's Printed Name: Jeffrey A. Garness Date: In conducting this evaluation, GEG provided an engineering evaluation of the well and/or septic system in accordance with the guidelines and regulations established by the Municipality of Anchorage and moo industry practices. The reported results describe the condition of the system/s on the date/s of the evaluation. Separation distances were measured to readily identifiable features. Hidden defects or ��, • ' encroachments may exist that were not identified during the evaluation. The operational life of all wells and septic systems depend upon a variety of variables, including but not limited to, soil conditions, T groundwater levels (that may fluctuate during the year), quality of construction (materials and workmanship), and the water usage of the family utilizing the system/s. These conditions can vary, and � • .... ' J are outside the control of GEG. Satisfactory test results do not guarantee future performance of the system/s; therefore, GEG makes no warranty (express or implied) regarding the future performance of- f . the well or septic system. GEG makes no representation whether an alternative well or septic system O � ;� , 'Trey can be installed on the property in the event either of the current systems fail to perform ����IK�f�((( 049j `.I the future. The content of this report is for the sole benefit of the person/party that, perform the evaluation. Reliance upon the information provided in this report by erson r t7F ��j/ p'ea p party (including subsequent property purchasers) is not authorized, nor will it ` tf�. ny legal right er/�0r0� whatsoever. ga ` / S r y 6. SIGNATURE � �TFRq� System #1 Approved for bedrooms J p ARG 1!I�T 0 System #2 Approved for bedrooms G Disapproved JJ//JJi't/jCES Conditional approval for bedrooms, with J06)1611l %iig stipulations: tom(• -e" -P yve�p- S4,, 0� C rimes I vo-Vt, Q ? -� A"'A qC q B �-- Original Certificate Date: -7r-G r Z•1 The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist _ C Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other NIA 4 Checklist COSACKiiit Legal Description: SPRING HILL ESTATES; BLOCK 2, LOT 1 parcel ID: 015-051-70 If more than 1 septic system on lot: COSA Checklist # of Structure served by this system A. WELL DATA FM� Well log is filed with Onsite (or attached) Date drilled 7/31/84 Total depth 241.5 ft Cased to 241.5 ft !F# Sanitary seal is functioning correctly FE -1 Wires are properly protected Casing height (above ground) 12+ in. Date of flow test for COSA 6115/21 Static water level at beginning of test 190.8 ft. Comments B. TANK DATA Age of tank(s) 5 years Tank 'type/material SEPTICMEE Measured operating fluid level in septic tank 49" © Standpipes/foundation cleanout per record drawing Date of pumping 6/21/21 D. ABSORPTION FIELD DATA Which system tested (date installed) 7123/16 ❑ ALL standpipes present per record drawing Total measured depth from grade 12.25 ft (max) Measured depth to pipe invert from grade 3.33 ft (min) ❑ N/A — pressurized field A Monitor tubes go to bottorn of effective. If not, state depth into effective F1 M-1 Code -required soil cover over field ❑ System presoaked (Required if vacant for greater than 30 days prior to date of test) Gallons introduced N/A gallons Comments/Del IClencies: PIPES FOR 1992 RESERVE TRENCH NOT FOUND COSA Checklist yellow sheet Well production at time of test 6.8+ gpm Water storage tank volume N/A gallons Well disinfected for coliform test? ❑ Yes A N [Coliform bacteria is Negative Nitrate PJ 19 rng/L ❑ Nitrate less than MRL (ND) Arsenic `s ug/L ❑ Arsenic less than MRL (ND) Collected by GEG, LTD. Date of Sample 6/15/21 11 C. LIFT STATION ❑ Required maintenance completed Age of lift station years Lift station material Comments: N/A Adequacy test date 6/15/21 Results 0 Pass For 3 bedrooms Fluid depth prior to test 26 in Water added 629 gal New depth 54 in Elapsed time 120 min Final fluid depth 35 in Absorption rate 450+ gpd Any rejuvenation treatment (past 12 months) If yes, enter date N/A NONE t 10 E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well) Septic Tank/Lift Station on Lot > 100' ❑ Yes if No Community Sewer Manhole/Cleanout > 100' ❑✓ Yes if No ft ❑✓ Yes if No ft Neighboring Tank > '100' Rl Yes if No ft Private Sewer/Septic Line > 25' 7 Yes if No ft Absorption Field on Lot > 100' Q Yes if No ft Holding Tank > 100' 0 Yes if No ft Neighboring Absorption Fields > 100' Water Main > 10' ❑✓ Animal Containment > 50' ❑✓ Yes if No ft ❑✓ Yes if No ft .Nater Service Line > 10' F/1 Yes if No ft Manure/Anirnal Excreta Storage > 100' comment below Community Sewer Main > 75' ❑✓ Yes if No ft ✓❑ Yes if No ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required Building Foundations > 10' ❑ Yes if No ft Surface Water > 100' ❑✓ Yes if No ft Property Line > 5' Yes if No ft Wells on Adjacent Lots: Water Main > 10' Absorption Field > 5' Yes Yes if No ft Private Wells > 100' ❑ Yes if No ft Water Main > 10' ❑✓ Yes if No ft Community Wells > 200' ✓❑ Yes if No ft .Nater Service Line > 10' F/1 Yes if No ft If septic tank is under driveway comment below From Absorption Field on Lot to: (Please enter distances if less than required) Building Foundation > 10' ❑✓ Yes if No ft 11 absorption field is under driveway comment below Property Line > 10'✓❑ Yes if No ft Wells on Adjacent Lots: Water Main > 10' ✓❑ Yes if No ft Private Wells > 100' ❑✓ Yes if No ft Water Service Line > 10'✓❑ Yes if No ft Community Wells > 200' Yes if No ft Surface Water > 100' Q Yes if No ft F. ENGINEER'S COMMENTS 'MET CODE AT TIME OF INSTALL - APPROXIMATELY 5' FROM ST1 TO DECK STAIRS G. ENGINEER'S CERTIFICATION �a Or C�C� i certify that l have determined through field inspections and review of Municipal records that the above systems are in conformance with y MOACOSH uidelines in effect on this date. g g �........ ... .............. COSA Checklist yellow sheet Je�vv� A.+CSE-7953 1�ec/ p+0fes5ior�o� #AECC884 nA LOT 2 SCALE: V= 50' EASEMENTS OF RECORD, OTHER THAN THOSE SHOWN ON THE RECORDED PLAT ARE NOT SHOWN HEREON UNLESS OTHERWISE NOTED. I ABBOTT ROAD 8327 — — -- PARCEL 98 N89059'00°E 183.92 6.14 8=50.00 ST/3 '_ L=36.14 �Sp OF • A� Amr 00 0' .. 0' A . Elizabeth L. Walatka a 00 ATF • • 8036 — LS , • �e A, OFE'SSI ONA`- �� -ate l� �,02, FB 214, pg 24-25 FB 08-2, pg 44-45 BE BEP Revised 6-19-21 Added septic ventst' RECERTIFIED 6-08-21 AS -BUILT NO CORNERS SET THIS DATE I hereby certify that I have performed a Mortgagee's inspection in accordance with ASPLS Standards of the following described property: LOT 1, BLOCK 2, SPRING HILLS ESTATES SUBDIVISION Anchorage Recording Precinct, Alaska, and that the improvements situated thereon are within the property lines and do not overlap or encroach on the property lying adjacent thereto, that no improvements on the property lying adjacent thereto encroach on the premises in question and that there are no roadways, transmission lines or other visible easements on said property except as indicated hereon. Dated at Anchorage, Alaska this 3th day of APRIL ,2008. FRED WALATKA & ASSOCIATES, L.L.C. Engineers and Surveyors 907-248-1666 This drawing is a representation of conditions found at the time the mortgage location survey was performed. This document does not constitute a boundary survey and is subject to any inaccuracies that a subsequent boundary survey may disclose. The information contained on this drawing shall not be used to establish any fence. structure or other improvements. This drawing shall only be used for a single property transaction. Use of this drawing by the original client or by others at a later date without the consent of Elizabeth L. Walatka is a violation of Federal Copyright law. Unless gross negligence is discovered, the liability extent of the preparer is limited to the amount of fees collected for services in preparation of this product. Municipality of Anchorage Development Services Department Building Safety Division On -Site Water & Wastewater Program 4700 Bragaw Street P.O. Box 196650/ Anchorage, AK 99519519-6650 www.muni.org/onsite' (907)343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. nl 5- 10 COSA# 1. GENERAL INFORMATION Expiration Date: /5 —a I — Q S Complete legal description Location (site address) Current Property owner(s) Mailing address Lending agency Mailing address Real Estate Agent Mailing address SPRING HILLS ESTATES: BLOCK 2, LOT 1 9200 SPRING HILLS CIRCLE ANCHORAGE AK, 99507 FRANK CARPENTER Day phone 267-4935 9200 SPRINGHILL CIRCLE ANCHORAGE AK, 99507 Day phone JAN REDNALL W/ KELLER WILLIAMS Day phone 230-6343 101 W BENSON BOULEVARD 503 'ANCHORAGE, AK 99503 Unless otherwise requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 3 3. TYPE OF WATER SUPPLY: Individual Well 0 Individual Water Storage ❑ Community Class Well ❑ Public Water System ❑ 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 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, functionaf and.adequate . for the number of bedrooms and type of 'structure indicated herein. I further verify that based onthe 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 J I ( D 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. 5. DSD SIGNATURE Approved for 3 bedrooms. Disapproved. Conditional approval for bedrooms, with the fllowing stipulations: Attachments: COSA Checklist Septic System Advisory Well Flow Advisory Nitrate Advisory V Arsenic Advisory Maintenance Agreements Supplemental Engineer's Reort « By: � =L—her (Rev. 11105) • � 1llV 1 L.11/l, �, PROGRAM Original Certificate Date: _�' �- - OR Municipality of Anchorage 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 OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description: SPRING HILLS ESTATES: BLOCK 2, LOT 1 Parcel ID: OI r -OSI- %O A. WELL DATA Well type PRIVATE If A. B, or C provide PWSID# N/A Well Log (Y/N) YES Date completed 7/31/1984 Sanitary seal (Y/N) YES Wires properly protected (Y/N) YES Total depth 241.5 ft. Cased to 241.5 ft, Casing height (above ground) 12+ In. FROM WELL LOG AT INSPECTION Date of test 7/31/1984 4/23/2008 Static water level 210 ft. 194 ft Well production 10 g.p.m. 4.15 9.p -m. WATER SAMPLE RESULTS: Coliform colonies/100 ml. Nitrate (' t I mg./L. Other bacteria �Lcolonies/100 ml. Arsenic: N 0 ug./L. Date of sample: 4/23/2008 Collected by: GEG Ltd. B. SEPTIC/HOLDING TANK DATA Tank Type/Material SEPTIC/STEEL Date installed 7/16/1984 Tank size 1000 gal. Number of Compartments E Cleanouts (Y/N) YES Foundation cleanout (YIN) YES Depression over tank (Y/N) N3 High water alarm (YIN) N/A Date of pumping 4/23/2008 Pumper MCDONALDS PUMPING C. ABSORPTION FIELD DATA Date installed 8/27/1992 Soil rating (g.p.d./ft°o t /bdr 1_2 System type TRENCH Length 31 ft. Width 3 ft. Gravel below pipe 7 ft. Total depth • 12.41 ft. Eff. absorption area434 ft' Monitoring tube YES Depression over field NO Date of adequacy lest 4/23/2008 Results (Pass/Fail) PASS For 3 bedrooms Fluid depth in absorption field before test 30 in. Water added 686 gal. New depth53 in. Elapsed Time: 135 min. Final fluid depth 30 In. Absorption rate >= 450+ g.p,d. Any rejuvenation treatment (past 12 mo.) (YIN & type) NONE KNOWN If yes, give date D. LIFT STATION Date installed "Pump on" level at in. E. SEPARATION DISTANCES Size in gallons Manhole/Access 'Pump off" level High water alarm level at in. Cycles tested Meets alarm & circuit requirements? SEPARATION DISTANCES FROM WELL ON LOT TO Septic tank/lift station on lot 100'+ On adjacent tots 100'+ Absorption field on lot 100'+ On adjacent lots 100'+ Public sewer main N/A Sewer /septic service line 25'+ Animal containment areas 500+ Public sewer manhole/cleanout N/A Holding tank N/A Manure/animal excrete storage areas 100'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation •4' Property line 5'+ Absorption field 5'+ Water main N/A Water service line 10'+ Surface water 100'+ Wells on adjacent lots 100'+ *PER PREVIOUS INSPECTION REPORT, APPROVED 1992 SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 100+ Building foundation 10'+ Water main N/A Water service line 10'+ Surface water 100'+ Driveway, parking/vehicle storage 10'+ Curtain drain NONE KNOWN Wells on adjacent lots 100'+ F. COMMENTS G. ENGINEER'S CERTIFICATION I certify that / 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 __ 5%Ib/0g COSA Fee S 0-50 Date of Payment 1q Q8 Receipt Number ag(n7(1 (Rev. 11/05) Waiver Fee $ Date of Payment Receipt Number I ABBOTT ROAD '• — — — — — — — —PAR—CEL-99 — — — — — — — T _ _ N89'6700'E 183.82 LOT 2 EASEMENTS OF RECORD. OTHER THAN THOSE SHOWN ON THE RECORDED FW 0&1 PLAT ARE NOT SHOWN HEREON. !EC I 8 10 X98 361040 R-50.00 sT� L-36.14 s% ASBULT 8327E �/�j 9111 ITN YV '•.a j qW WWIWI,j a WM lMykin laMA avoWmMM aw 0"Owwnm.P MV / 1W WWW / odowd w ft WEIWGaGMM1i0.IIMIroIW / ftTaWWMINWP'W wov AdPONM FIWIWIo and MIM PMWMYIP d S0. S2S58 / SM LMIWm w . • N onsaWAbW yuc.l�naVlw WSHWif!'1IW11J MtY0 PICpW11Y Y?WFI ftYIOCJItl Mmrt DWYA WI NKMnR Nab FRED WNATKA 6 ASSOgATES Ergw mWM SUN" BE (007.24&ISM Aor 2 @ yz& Bill ,cDo 6k (90] e p.a �/ 2 IC\ t 00 / §\� /\ k \ - o 0 cncn / (ON / ° % F 2 0 , c « % § � � E ® }�•�k���\ / / / / 7 � - |, ! � k ot. ' ' a �/ 2 IC\ t 00 / §\� /\ k C)cF / (ON / % 0 SGS Ref.N 1081639001 Client Name Garness Engineering Group, Ltd. Project Name/N Spring Hills Est. LI 132 Client Sample ID Spring Ililis Est. LI B2 Matrix Drinking Water PWSID 0 Sample Remarks: All Dates/Times are Alaska Standard Time Printed Date/time 05/012008 10:13 Collected Date/time 04232008 16:00 Recehed Date/time 04232008 16:35 Technical Director Stephen C. Ede Allowable Prep Analysis paramntt Results PQL Units Method Container ID Limits Date Date Init Metals by ICP/MS Arsenic ND 5.00 Waters Department Total Nitrate/Nitritc-N 1.11 0.100 Microbiology Laboratory Colony Count 0 Total Coliform 0 Fecal Coliform 0 ug/L EP200.8 C (<10) 0428/08 04/30/08 NRB m8/L SM20 4500NO3-F B (<10) 0428/08 LCP coV100mL SM209222B coV100mL SM209222D coVIOOml. 54120 92220 A (200) A (<1) A (<I) 04/23/08 DLC 04/23/08 DLC 0423/08 DLC MUNICIPALITY OF ANCHORAGE DIVISION OF ENVIRONMENTAL HEALTH DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION APPLICATION FOR HEALTH AUTHORITY APPROVAL CERTIFICATE 1. General Information Application Date 0//3/8 (a) Legal Description (include lot, block, subdivision, section, township, range) S RlNG H ILLI i"Sr-4Ti5 5_Ec. 15 .r?? �i �h �w . M . Ak. — Location (address or direc4ons) C: 2AI,e. SPA/,VG 4ILL DRIVE o Aag,57- (b) Applicants Name S/}M �4$4_ Telephone - Home Business 3 y$-6o)q_ Applicants Address (c) Applicant is (check one) Lending Institution ; Owner/builder Buyer E:::l ; Other E::� (explain); - (d) Lending Institution Telephone Address (e) Real Estate Co. & Agent Address Telephone (f) Mail the HAA to the following address: r A) -z' 1��lr r ��'-0 2. Type of Residence Single -Family Multi --Family �� Y Number of Bedrooms 3 3. Water Supply Individual Well E�:l Community = Other (describe) Public El Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 4. Sewage Disposal Onsite r57< 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 21 ■n:YHA11111low a ,; 5. 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 Health Authority Approval shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that, based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal. system is in compliance with all Municipal and State codes, ordinances, and regula- tions in effect on the date of this inspection. Name of Firm L3ESSE ,5 e PO rr 5 Telephone � �.SI 6 41151 Address 222-0 t. ae-&-k AvE ANC -N 99'S ! "Goo,, DateI ooewe(_ (ENGINEER SEAL) " Dcala R. Pterr. '1 . t: _ 6. DHEP Approval No. 2'15 Approved for L_J3 bedrooms By •, .L.. gate Approved ,/ Disapproved Condition ' Terms of Conditional Approval CAUTION THE MUNICIPALITY OF' ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL (DHEP) ISSUES HEALTH AUTHORITY APPROVAL CERTIFICATES BASED SOLELY UPON THE ATIONS GIVEN IN PARAGRA13H 5 ABOVE BY AN INDEPENDENT PROFESSIONAL ENGINEER IN THE STATE OF ALASKA. THE DHEP DOES THIS AS A COURTESY TO PURCHASERS OF THEIR LENDING INSTITUTIONS IN ORDER TO SATISFY CERTAIN FEDERAL AND STATE MENTS. EMPLOYEES OF DHEP DO NOT CONDUCT INSPECTIONS OR ANALYZE DATA CERTIFICATE IS ISSUED. THE MUNICIPALITY OF ANCHORAGE IS NOT RESPONSIBLE OR OMISSIONS IN THE PROFESSIONAL ENGINEER'S WORK. (DHEP SEAL) RR4/ej/D18 [Page 2 of 21 PROTECTION REPRESENT - REGISTERED HOMES AND R.EQUIRE- BEFORE A FOR ERRORS 7-a19-84 A. WELL DATA MUNICIPALITY. OF ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1984 I)[111. or I c; - 1 Ei]VIRONIAU,11AL P.:.i-c_f101V NOV 1.6 1984 RITC Legal Description: Zo? B/Q L 2 — Well Classification .5/AGt, 4:74,-1_ If A, B, or C, D.E.C. Approved(Y/N) Well Log Present (Y/N) y Date Completed —7%B� Yield F9.5 Total Depth 2-'-11'/2-1 Cased to _ z H k 1/2.1 Depth of Grouting Static Water Level 21o/ _ Pump Set At Casing Height Above Ground Sanitary Seal on Casing Electrical Wiring in Conduit (Y/N) y Depression Around Wellhead (Y/N) A — Separation Distances from Well: To Septic/Holding Tank on Lot l od"r' On Adjoining Lots 1 ucri To Nearest Edge of Absorption Field on Lot loot ; On Adjoining Lots To Nearest Public Sewer Line NA To Nearest Public Sewer Cleanout/Manhole A114 � - To Nearest Sewer Service Line on Lot Water Sample Collected By Date _— Water Sample Test Results Comments R�IRjS r TAC_40. — B. SEPTIC/HOLDING TANK IATA Date Installed _ 710!/ Size loon No. of Compartments ?-- Standpipes (Y/N) _Air -tight Caps (Y/N) Y Foundation Cleanout (YIN)iv Depression over Tank (Y/N) A/ Date Last Pumped Pumping/Maintenanoe Contract on File (Y/N) — ; for Holding Tank High -Water Alarm (Y/N) -- Temporary Holding Tank Permit (Y/N) Separation Distances from Septic/Holding Tank: To Water -Supply Wall loot" To Building Foundation To Property Line /o'Y To Disposal Field _ 1'7 To Water Main/Service Line N�A _ To Stream, Pond, Lake, or Major Drainage Course _ IV A -— Comments [Page 1 of 21 2-15-84 C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata1502/�sDkM. Type of System Design W. DRAIN Date Installed Length of Field 7o Width of Field 5 Depth of Field i Gravel Bed Thickness z� Square Feet of Absorption Area 1-15a Standpipes Present (Y/N) o Depression over Field (Y/N) iV Date of Last Adequacy Test Results of Last Adequacy Test Separation Distance from Absorption Field: To Water -Supply Well iovfi To Property Line /o*' To Building Foundation )9 To Existing or Abandoned System cn Lot ; On Adjoining Lots NL4 To Water Main/Service Line N% To Cutbank(if present) IVA To Stream/Pond/Lake/or Major Drainage Course "IA To Driveway, Parking Area, or Vehicle Storage Area N1,a Comments Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Electrical Codes(Y/N) Comments Dimensions Manhole/Access (YM) "Pump Off" Level at . Vent (Y/N) Pumping Cycles during Adequacy Test. Meets MOA ** Check Permitted Bedroom Rating Against HAA Request ** I certify that I have checked, verified, or conformed to all MOA HAA Guidelines in effect on the date of this inspection. ° Signed Date Company &--55E �� /�e7r S MOA No. Cho oc ce uo a' S . . °.n nGoO°Onop °Bocucoce acacc KB1/d5/s jn �o Dale R. Merrell ® Coe (Page 2 of 21 Z,hS a 2-15-84 �> 'C� F'3 C� o 31,2a"00. b 61 m Me roll un 01�`O No. 2055-12 Location: BESSE/ EPPS & POTTS 2220 FAST 88 AVENUE ANCHORAGE, AK 99507 ( 907) 349--6451 WATER WELL TEST Date:^!/ J 7. 9! Subdivision: :�*1 mg 1411.4c Csf?i Lot: ( __ Block: Z Client's Name: 5o4 m 14 (L. t.. Address: Tester: W. H, Initial Reading an Meter: 7y/"1 TIME GPM GALLONS 16 VOLUME GALLONS TOTAL VOLUME /b: 0'7 -- —1 :1 10'.1s _-[ 6 f o : o _ 6- L? J 'z> 7 Z NOTES: At 5/044. .U60yea 3� UleM3 Production Rate: (3,5 GPM 24 -Hour Capacity -- Gallons CHEMICAL, & G.f LOGICAL LABORATORIES F ALASKA, INC. TELEPHONE (907) 562.2343 ANCHORAGE INDUSTRIAL CENTER ,w �roRe� 5633 B Street Drinking Water Analysis Report for Total Coliform Bacteria TO BE COMPLETED BY WATER SUPPLIER WATER SYSTEM: ET—EI -] (") See h on back I.D. NO. wa.7yatem Name Phone No. /G Mailing Address City state zip code SAMPLE DATE: Mo. Day Year SAMPLE TYPE: 04outine ❑ Check Sample (for routine sample ❑Treated Water with lab ref. no. —1 ❑ Untreated Water ❑ Special Purpose SAMPLE Time Collected NO. LOCATION Collected B 2 3 4 5 TO BE COMPLETED BY LABORATORY Analysis shows this Water SAMPLE to be: Satisfactory ❑ Unsatisfactory ❑ Sample too long in transit; sample should not be over 30 hours old at examination to indicate reliable results. Please send new sample via special delivery mail. Date Received ) - I% " g c� Time Received /C>00 Analytical Method: ❑ Fermentation Tube ❑ Membrane Filter Lab Ref. No. Result' Analyst L _ J L --J m I I m •No. of colonies/ 100 ml or No of Positive portions 0e1220(b) BACTERIOLOGICAL WATER ANALYSIS RECORD Rev. 1983 READ INSTRUCTIONS Membrane Filter. Direct Count Verification: LTB_ _BGB Final Membrane Filter Results / BEFORE — Reported By -� Date Time: COLLECTING SAMPLE TNTC a Too Numerous To Count CoIIIorrnitOOrnI COIIIarmlI00rnI a.m. p.m.