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HAMPTON HILLS BLK 1 LT 1
Hampton Hills Block 1 Lot 1 #01 5- 134-44 r Municipality of Anchorage Community Development Department Page 1 of 3 On-Site Water&Wastewater Program 4700 Elmore St. •P.O. Box 196650 Anchorage,AK 99519-6650 •http://www.muni.org/onsite•(907)343-7904 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP181213 PID Number: 015-134-44 ❑ New ■Upgrade Name: ABSORPTION FIELD TARA&AMBER LATHROP Address: O Deep Trench O Shallow Trench LI Bed O Mound 7501 UPPER OMALLEY ROAD*ANCHORAGE,AK 99507 0 Other Soil Rating: Total Depth from original grade: Phone: No.of Bedrooms: (907) 690-3230 4 GPD/Sq.Ft. Ft. Depth to pipe invert from original grade: Gravel depth beneath pipe: LEGAL DESCRIPTION Ft. Ft. Subdivision: Block: Lot: Fit added above original grade: Grave . ,tn: HAMPTON HILLS 1 1 Ft. I ownshlp: Range: Section: Gravel width: Beds Number of lines: Distance between lines: Ft. Ft SEPARATION DISTANCESTotal absorption. Number of trenches: Dist.between benches: To Septic Absorption Lift Holding Public/Private From Tank Field Station Tank Sewer Lines SO.Ft. Ft. Well 100'+ - - 25'+ TANK U Septic O S.T.E.P. OHolding O Other Manufacturer: Capacity: Surface Water 100'+ - - GREER 2000 Gal Material: Number of compartments: Lot Line 5+ N/A STEEL 2 Foundation *s'+ - I LIFT STATION Curtain Drain I I Manufacturer: Ca. - NONE KNOWN • it Gal Remarks: *SEE ATTACHED WAIVER REQUEST/PROFILE DRAWING: "Pump on'level at: 'Pump orf level at: (High water alarm at: EXISTING TANK WAS HAULED OFFSITE PER CONTRACTOR Pump Make&Model- Electrical Inspections performed by: PIPE MATERIAL 0wsrt.va% Ey-fs i''"3- i House to tank D3034 Tank to D3034 drainfield Installer CO/MT fl3�'`F WILCO EXCAVATION Inspector GEG, Ltd. BENCH MARK (Assumed elevation) BOTTOM OF TRIM AT POINT A Ft. Inspection Location and Description: Dates: 1st 8/21/2018 2nd - 3rd - 4th - 100.00 ENGINEERS SEAL Community Development Department Approval ooOF �\` Date: ooP��.. ...... .. . �N Conditional approval: p :f S ! 9 T i. •.� 0000 vA*...1••• '•.Jefi :y • Garness• v c`' ' C'—79 GoO m •mac O 0, Approved: feltete-4 ( UL Date: 0 1$ LICENSE VOQ•pnofessiotoc'o 00 0 #AECC884 0004 Inspection Report_1-1-12.doc iPERMIT NUMBER: PARCEL ID NUMBER: OSP181213 RECORD DRAWING 015-134-44 1 �J A B C ST1 17.8 12.4 36.6 •' ST2 19.1 16.7 33.8 ' DBL1 20.6 19.1 34.3 i DBL2 21.0 20.1 34.7 i i 'i ' EXISTING 8 BEDROOM SEPTIC SYSTEM 111 ..ftiiiiiiiituaw „. E DBL1&2 7FLAGGED BY SHANE HOLT,PLS PRIORTOCONSTRUC11ON j NEW 2000 GALLON STEEL SEPTIC TANK ` FLAGGED BY SHANE HOLT,PLS \ ` �j�',' PRIOR�CONSTRUCTION • N �i�///III \ 9+- ��%IIII EXISTING 4 BEDROOM DRAINFIELD \ C S / /. I��� \ ••••. om \ / �O�v9 .4•1:'R.^�:� EXISTING a O�Jy st*-y ; . -..7„ s: 12 BEDROOM ••- . - � Q4 40 ..:..'ea '_ / \ HOUSE •::.•E•'•:••• •; ;.' ,'t•a :.y:• I >,:: •••.:is •••••:•,,;,•• '..;...!,I.••;. •• ,• iii0p. / 0 I LOT 26A:LAKEWOOD HILLS S/D#2 ':` :J•'{4% •! 4' •�' 414. • .� SCALE: ,•.,,- .4••'`"i IIIil I 444. GARNESS ENGINEERING GROUP, LtdI 4t 9• 3i.* v ENGINFERING•SALES ,CONSUL TING -_- :__-_1 _ 0 3701 E TUDOR ROAD,SUITE 101'ANCHORAGE.AK 99507•PHONE(907)3376179'FAX(907)339-3246'1AEBSITE.www.gamssssogmsem9 com •• 0 PREPARED FOR: PHONE NUMBER: PAGE NUMBER: •�:• J •ey S , CJS TARA&AMBER LATHROP 907-690-3230 2 OF 4 •jai C -79 ;•-.41.7 LEGAL DESCRIPTION: DRAWN BY: �• �c�,� 4f HAMPTON HILLS; BLOCK 1. LOT 1 D.J.G. •%••••'' •'�• I. • �-• TYPE OF WORK: DATE: LICENSE 1111111111%1111.11*.- ', ;., 4 RECORD DRAWING 9/5/2018 #AECC884 c PERMIT NUMBER PARCEL ID NUMBER OSP181213 RECORD DRAWING 015-134-44 5.5 MAAX'`B"U'R`IAL DEPTH PER CONTRACTOR(WILCO EXCAVATION) FINAL GRADE=98.01-12 TOP OF TANK ST1 ST2 AT INLET=93.71 \________ 4=. TOP OF TANK AT OUTLET=93.64 7N INVERT OF BUNG NEW 2000 GALLON AT INLET=93.25 SEPTIC TANK INVERT OF BUNG AT OUTLET=92.98 1 V ..„..\\\ii11, ..••\� !OF, 14,x,f♦. •• (FARNESS ENGINEERING GROUP, P/N s- 4.:..�� ... • ENGINEERING-SALES-CONSULTING • 3,1 E_ T.:DGR ROAD 5,,7'.0'•ANCNCRAGE AK 99507•PHONE(9071 337$179'FAX(907)338.3246•WE651TE'.we.gamessengmeennp com . 4f rCt. • PREPARED FOR PHONE NUMBER: PAGE NUMBER �0 I. - r- ess TARA &AMBER LATHROP 907-690-3230 3 OF 4 ••0 •• aLEGAL DESCRIPTION DRAWN BY ..♦���0..• 7797 5 "4..!-��HAMPTON HILLS; BLOCK 1, LOT 1 D.J.G. •• v TYPE OF WORK: DATE LICENSE1.1� \ 4i • PROFESS SEPTIC TANK PROFILE 9/4/2018 _#AECC884 �IIlk 11‘1":41— TOP OF FOOTER=96.82 FINAL GRADE OVER TANK=98.10-98.12 BOTTOM OF FOOTER=96.13 4 TOP OF TANK=93.71-93.64 \ \45% \ \ THEORETICAL BOTTOM OF TANK AT LOWEST 9 FEET POINT(DID NOT SHOOT IN):88.64 • \\ • • • cN S ALE: 11 1"=5' 441011M ■111 # 41",v-.....t. ........ ••• i * 9I •* •1 GARNESS ENGINEERING GROUP, Ltc ; == ..- ENGINEERING, SALES CONSULTING 0 4 • 3701 E TUDOR ROAD.SUITE 101'ANCHORAGE.AK 99507•PHONE(907)337-6179'FAX(907)338.3246'WEBSITE.www gamessengmeenng corn • ••• • , PREPARED FOR: PHONE NUMBER: PAGE NUMBER: .Cn• � • ey mess TARA&AMBER LATHROP 690-3230 4 OF 4 .AG-' ••• E-7953 ••_� PROJECT/LEGAL DESCRIPTION: DRAWN BY: 0. -, ,•••• -SIl$ •'• HAMPTON HILLS; BLOCK 1, LOT 1 D.J.G. .. O !!lU.. M..•_.••p\, TYPE OF WORK: DATE: LICENSE,, 1 PROFESS :•• SEPTIC TANK WAIVER REQUEST 9/5/2018 #AECC884 ����� J MUNICIPALITY OF ANCHORAGE t Community Development Department ` t x Phone: 907-343-7904 Development Services Division Fax: 907-343-7997 On-Site Water&Wastewater Program Mayor Dan Sullivan February 12, 2013 / Greer Tank, Inc. 2921 International Airport Way Anchorage, Alaska 995195 i pas azfir„,,,,1 Attention: Stephen Helms Ref: Steel Septic and Holding Tanks �fG,4" RevisedoDesig n BUJ 1 /S PP6. Mr. Helms, 10 1 Thank you for the submittal requesting review and approval of the revised steel tanks Greer Tank Inc. intends to market in the Municipality of Anchorage (MOA). The tanks have been reviewed and are approved for their proposed use as a component in on-site wastewater disposal systems. The following list shows the steel tanks that have been approved and the maximum burial depth they are approved for. Tank Type Size (gallons) Wall Thickness (Gauge) Maximum Burial Depth (feet) Septic 1000 12 10 1250 12 10 " 1500 12 5.5 " 1500 10 9 . d.. " 2000 - 12- - - — 3.5 " 2000 10 5.5 2_000 3/16 inch 10 Holding 2000 3/16 inch 7.75 4000 3/16 inch 4 If you have questions or comments, please feel free to contact me at 343-7908 or crewdson'a • muni.or. (feattki,7 Sincere! , /NOW James"Aa, Crewdson, P.E. On-Site Water & Wastewater Program Municipality Of Anchorage Steel Tank Approval_GreerTank 021213.doc „WI' Ltr MUNICIPALITY OF ANCHORAGE On-Site Water&Wastewater Program ;;S�• • r.fir! PO Box 196650 4700 Elmore Road Anchorage,Alaska 99519-6650 Phone:(907)343-7904 Fax:(907)343-7997 "� httpa/www.muni.org/onsite + `! Igt I)cpartnic•nt 4kCN_ON"Gt On-Site Wastewater Disposal System Permit Permit Number: OSP181213 Effective Date: 7/20/2018 Work Type: SepticTank Upgrade Expiration Date: 7/20/2019 Tax Code Number: 01513444000 Site Legal Address: HAMPTON HILLS BLK 1 LT 1 G:2540 Site Mailing Address: 7501 UPPER O'MALLEY RD, Anchorage Owner: LATHROP TARA D 50% & Lot Size in Sq Ft: 48772 Design Engineer: GARNESS ENGINEERING GROUP LTD Total Bedrooms: 4 This permit is for the construction of: ❑ Disposal Field 0 Septic Tank 0 Holding Tank 0 Privy 0 Private Well 0 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 U 7 a Received By: Date: Issued By: Et.1)-6{;(/_A ” �ZZ�L Date: 20 1S' 61891077 MUNICIPALITY OF ANCHO ' * - • 018 1- Community Development Department Pho -3.07-343-7904 cu Development Services Fax. 9i - 343-7997_"A On-Site Water& Wastewater Program << 01 6 8 Mayor Dan Sullivan On-Site Sewer/Well Permit Application For A Single Family Dwelling Parcel I.D. 01 -1344—y y Property owner(s) TARA LATHROP&AMBER LATHROP Day phone 690-3230/690-3229 Mailing address 7501 UPPER O'MALLEY ROAD, ANCHORAGE,AK 99507 Site address 7501 UPPER O'MALLEY ROAD, ANCHORAGE,AK 99507 Legal description (Sub'd, Block& Lot) HAMPTON HILLS S/D; BLOCK 1, LOT 1 Legal description (Township, Section & Range) Lot Size Sq.Ft. Number of Bedrooms 4 (12 BEDROOMS TOTAL IN HOUSE- CONSISTS OF 4 BEDROOM SEPTIC SYSTEM AND AN 8 BEDROOM SEPTIC SYSTEM) APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DEWELLING: ®all that apply) Initial ❑ Single Family(SF) Absorption Field I I ® (w/wo ADU) Septic Tank ® Upgrade Duplex (D) ❑ Renewal ❑ Holding Tank ❑ Multiple Dwellings ❑ Privy I I (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: 215 Waiver Fees: Date of Payment: 7 124 tg Date of Payment: Receipt Number: D1 Ill Receipt Number: Permit No. �etopLZ) 3 Waiver No. (Rev.01/11) Alf tie +moi \ s GARNESS ENGINEERING GROUP, Ltd ENGINEERING SALES CONSULTING July 16, 2018 Municipality of Anchorage Development Services On-Site Water&Wastewater Program 4700 Elmore Roade Anchorage, Alaska 99507 Phone: (907) 343-7904 Reference: Septic Tank Upgrade for Hampton Hills S/D; Block 1, Lot 1 To whom it may concern: The referenced property has a 12 bedroom house located on it and is served by a private well and septic system. Per MOA records, the septic system serving the subject property consist of two (2) septic system, one septic system that serves 4 bedrooms in the house and the other that serves 8 bedrooms in the house. We have recently performed septic adequacy test on both drainfields and both drainfield absorbed the required number of gallons per day for what they were designed for. Recent jetting and camera work was performed on the 1250 gallon septic tank and found this tank to be of poor integrity. We have been retained by the owners to obtain a septic tank permit for the proposed upgrade of this tank. Attached is a site plan and design drawing that shows the proposed tank upgrade design. The owners have requested that a larger tank than required since they may want to upgrade the number of rooms that are served by this septic system. The drainfield for this septic system will need to either be upgraded or rebuilt to a larger size if the owners decide to move forward on house expansion. We are proposing that a 2,000 gallon septic tank be installed as shown on the attached site plan and design drawings. Even though it is not required at this time, we are recommending an epoxy coated steel tank be installed or if space is available and the maximum burial is less than 4 feet, a 1530 single compartment Infiltrator HDPE tank followed by 1060 single compartment Infiltrator HDPE tank can be installed instead. We are unaware of any adverse effects on this property or adjacent properties with installation of this septic upgrade. Please do not he.1 ate to call us at 337-6179 if you require further information. Thank you for your assistance.do ' •ly, / I - -re ' t.r -ss, P. ., M.S. Presi•- 3701 East Tudor Road,Suite 101 *Anchorage,Alaska 99507-1259 Phone: (907)337-6179*Fax: (907)338-3246*Website: www.garnessengineering.com /\ LOT 23; I �`� 100'WELL RADIUS ; / ; \ APPROX.LOCATION ' / / \ \ LAKEWOOD I • // �i \ HILLS S/D#2 I � `.� / \\ `� i I I I I // r` \\ _I LOT 6,BLOCK 1; // i HAMPTON HILLS S/D 1 L``/ // �_ , Qj / � ! Ce // LOT 5,BLOCK 1; / / a� // HAMPTON HILLS SID /' ,' // / LOT 24A; I I / ' ' / LAKEWOOD I 6, // EPTICAREA \ �' / / •/ o HILLS S/D#2 // `\ / / co / // .: • i / GEG,Ltd.HAS A 8 PAGE SPECIFICATION L_ _ / EXISTING 8 BEDROOM LETTER THAT PERTAINS TO THIS DESIGN.TO NOTE:THE CONTRACTOR __ / DRAINFIELD.PASSED OBTAIN A COPY OF THE LETTER CONTACT SHALL HAVE THE 100 FOOT '--.____ ADEQUACY TEST ON GEG.BY PROCEEDING FORWARD WITH THIS WELL RADII FLAGGED BY A --_____ 6/25/2018 INSTALLATION,THE ENGINEER,WELL DRILLER, REGISTERED LAND SURVEYOR C• ----___... CONTRACTOR AND PROPERTY OWNER AGREE PRIOR TO ANY CONSTRUCTION. r ` _ THAT THEY HAVE READ THESE I �'-� •r_ �'-�__ SPECIFICATIONS AND AGREE TO ACCEPT THE OTERMS AND CONDITIONS OUTLINED. '66------- O_ -_- /0' UnuTr�s __ -�_ EMENT ---___ EXISTING 4 BEDROOM .—__'- __ DRAINFIELD.PASSED �'--,__ EXISTING 3000 GALLON I ADEQUACY TEST ON �' -�_ SEPTIC TANK SERVING , 6/20-21/2018 SHED 8 BEDROOMS IN HOUSE Co /'--� PROPOSED 2,000 GALLON SEPTIC TANK NEW TANK NOTE:EVEN i • /4. 1. SERVING 4 BEDROOMS IN HOUSE(SEE THOUGH IT IS NOT i / lie ) / NOTE).OWNER REQUESTING LARGER TANK REQUIRED AT THIS TIME, • c�� / / j FOR POSSIBLE FUTURE ADDITIONS OF - GEG IS RECOMMENDING I t: / / / BEDROOM IN THIS PORTION OF HOUSE. USEDTHAT IF A FOR THIEL TANK IS L` 01 // j EXISTING 1250 GALLON SEPTIC TANK SERVING 4 BEDROOMS INSTALLATION THAT THE __ / // / IN HOUSE.TO BE PERMANENTLY DECOMMISSIONED PER UPC SEPTIC TANK BE EPDXY UFO, ///, ———— COATED(INSIDE&OUT)OR ,'\ I ;/�///III ---\ IF SPACE IS AVAILABLE AND \ ' ���/•1111 THE MAXIMUM BURIAL \� / ��� `�. DEPTH IS LESS THAN 4 FEET, \\ ��/ \ INSTALLING AGEG �1530 SINGLE I ENDS \\\ // . I \\ \ COMPARTMENT / LL //�I INFILTRATOR HDPE TANK \ \ FOLLOWED BY A 1060 \ g \\ SINGLE COMPARTMENT \\ // AJ \\ INFILTRATOR HDPE TANK '' `•..:. \ / Qy" \ INSTEAD OF A STEEL SEPTIC k \ / \v \ .- TANK. -TANK.CONTRACTOR AND ::,•�:: \\/ yf� \\ // ENGINEERING SHALL / ASSESS THE FEASIBILITY OF � •1:".'•s• /\ 12 BEDROOM ^$ /h\ TANK OPTIONS DURING THE ,_ ,�;,•••..•• / 1 HOUSE • ••.••: • `• • /// \\ LAYOUT OF THE SYSTEM G. .••. / I • ; ;:•� / AFTER SURVEY CONTROL IS # a I .f f• •d ..'• � I :�. .• •,. + / 1 PERFORMED. / �{{• • • 1 I / I i•••'...' • , .y• I I i.J ...•L•.� III / N ! " ' , ••I . SCALE: 1 , r• t �', �'. •4' S:.r.. •• 100'WELL RADIUS — \\ /'\\\ .... \ UPPER O'MALLEY ROAD - \\\ , `1 ••,r .. -\v... • .., SI.iipt/ 57- YO GARNESS ENGINEERING GROUP, Ltd 4. J �'�* • CIVIL&ENVIRONMENTAL ENGINEERS • I • 3701 E.TUDOR ROAD.SUITE 101•ANCHORAGE.AK 99507•PHONE(907)337.8179•FAX(907)338-3246•WEBSITE:www.gamessengineering.00m :• . I , t PREPARED FOR: PHONE NUMBER: PAGE NUMBER: 0 rn I' ESS :W mi TARA LATHROP&AMBER LATHROP 690-3230/690-3229 2 OF 2 •�J'. CE 797QQ� PROJECT/LEGAL DESCRIPTION: DRAWN BY: ♦ •• � V••• 4 HAMPTON HILLS S/D; BLOCK 1, LOT 1 J.L.M. ♦.• ♦ *.'•••I••� , A•Q�,�•� TYPE OF WORK: DATE: LICENSE,,'1 "�1:.44 DESIGN OF SEPTIC TANK UPGRADE 7/16/2018 #AECC884 �1, J Municipality of Anchorage Pageof-lam' 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 7_/3�/�lo PID Number: L'2 ��_ - ---�-® Permit Number: � _ Name: F- / wastewater System_ ❑ New (:upgrade TH 1_�M Address: ABSORPTION FIELD Phone: No. of Bedrooms: ❑ Deep Trench L]Shallow Trench Bed El Mound El Other LEGAL DESCRIPTION Soil Rating: O.eGPD/S .Ft Total Depth from original grade: I� -b-ddiivisi/on: / f C Depth to pipe bottom frorl>toriginal grade: Gravel depth beneath pipe r Lot: / Block: �(���� Subdivision / P7 US 93. (� r� Ft. 1/2 -Ft. �L � Township: Range: Section: Fill added above originalyg rade: Gravel length: O' Z" Ft. Ft. -- Gravel4epth:W t�'r4_i .� Number of lines: Distance between lines: ❑Upgrade �%�n �✓ (� Ft. WELL: ❑ New Ft. __ - Pi e material: �StO Q��EOAa•7 0 Clas�siMation (Private, A,B,C): Total Depth: Cased To: Total absorption area: P Ft. Ft. Q. FtUC- �1 1 Y Date Drilled: Static Water Level: Installer: Date installed: Driller: �� G?d/ Ft. I �C lJ Yield: Pump Set at: Casing Height Above Ground: TANK N K i1 1� GPM _ Ft. - SEPARATION DISTANCES septic �iold' ❑s.T.e.P. ---._ - To Septic Absorption Lift Holding Public/Private Manufacturer: Capacity in gallons�: From Tank Field Station Tank Sewer Lines`'✓- -��- �/ Material: Number of Coa�rtmenls: Well�� - Surface t } — LIFT STATION Water lU0 k (66 - - Size in gallons: Manufacturer: �Lot ', r �_ (� ads + v Line y "Pump on" level at: ofp, f" level at: High water alarm at: Foundation I Pump Make & Model Electrical Inspections performed by: Curtain Drain--- RENCH IOARK Remarks: _ - - ---� Location and Description�p � q �u�.. no MI I 6-4 Assumed Elevation: ENG JftR'$ SPA Xt ,���— (•J r. Ji v� li.r34 4trfi� % F� '�`��/"��'e"`/�ates: 1st Inspections performed by. ° 1 r 2nd ✓� �� ®c• pv Department of Health and Human Services approval t1i V+t ��-K4t Date: Reviewed and approved by: ,��,.�. 72-013 (1/91) MOA 25 Permit No. SCy ZCDG �a Page of Municipality of Anchorage DEPAR'T'MENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 o Anchorage, Alaska 99519-6650 • Telephone: 343-4744 On -Site Wastewater Disposal System and/or Well Inspection Report Legal Description: Z -o7 /�' ), � � )4 L' S PID No D/6'1.544-1 ST rr� - Aa _ — Flo W b-rEP— AT q.'k 72-013 A (2/91) MOA 25 10' tJT t L_, 1� �5 f. 1 GaL 7�- /4 Mil 21' 4os ° IT 3d Co � Val-�'P�� ,�" j`w) ,;ENOINEE�iI�$SEAL �r ov "v 72-013 A (2/91) MOA 25 (1246 IN Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION TEST PERFORMED FOR: P T& /—M/zRy DATE PERFORMED: LEGAL DESCRIPTION: 3� f4MP7DnJ At(,s 'S/DTownship, Range, Section: SLOPE SITE PLAN DEPTH FEET) O N 2 3 4 : 'r 5 J ' i 6 Yi 7 /SW a 8 �I(rtl-2 Sit -7. J 9 C" b 10 C r r ✓ � C 12 17- 18 19 20 COMMENTS WAS GROUND WATER M, ENCOUNTERED? IF YES, AT WHAT DEPTH? Depth to Water iter Monitoring? Dale:' Reading Date Grass Time Net Time Depth to Water Net Drop 7[' M 3.t5 10 3" %v 10 PERCOLATION RATE + 14- (minutes/inch) PERC HOLE DIAMETER le < TEST RUN BETWEEN [0 FT AND 7 FT PERFORMED BY: 5 & S ENGINEERING I / � CERTIFY THAT THIS TEST WAS PERFORMED IN 17031 Eagle River Loop Road No. 204 �J� t �-Z ACCORDANCE WITH AI ���A��jyA�Dd,A(i.�3f�Jl, lgoj4,,"�UIDELINES I EFFECT ON T IS DATE. DATE: 72-008(Rev.4/85) PAGE 1 OF 1 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES i i�IY1 P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON --SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT PERMIT NUMBER:SW920006 DESIGN ENGINEER:ARCTIC SLOPE CONSULTING GROUP OWNER NAME:SMITH GARY F & OWNER ADDRESS:7501 UPPER OMALLEY RD ANCHORAGE, AK. 99507 PARCEL ID:01513444 LEGAL DESCRIPTION: HAMPTON HILLS BLK 1 LT 1 LOT SIZE: 56490 (SQ. FT.) NUMBER OF BEDROOMS: 4 THIS PERMIT: 4 DATE ISSUED: 1/21/92 EXPIRATION DATE: 1/21/93 THIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD SYSTEM 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 FOLLOWING SPECIAI, PROVISIONS. SPECIAL PROVISIONS: THE ABSORPTION BED MUST BE INSTALLED AS SHOWN ON THE REVISED ENGINEER'S DESIGN DATED 1/17/92. THE EXISTING ABSORPTION FIE LD MUST BE PROPERLY ABANDONED. RECEIVED BY: '/VA - ISSUED BY: 1 5 /'�A/P FIZ 7/_/� /Vr- � DATE: I ( 2-r- /,?/z DATE: /z _ T si /11.ti �i/,__ �f t., 14 ,.� C)F A1 December 31, 1991 . 4 Mr. Dan Roth Municipality of Anchorage Dept. of Health and Human Services 825 L Street Anchorage, Alaska 99501 i w '; rare A Meyer% 6353 w Re: Upgrade Septic System Approval SS10ti y Lot 11 Block 1, Hampton Hills Subdv. Ur Dear Mr. Roth: Attach is the permit application for upgrading a septic system on the above referenced lot. Below is a narrative of probable impacts to adjacent properties. 1. Adjacent Wells - There are no existing wells within 100 feet of the proposed new septic system. All adjacent wells have sanitary seals in place and have positive drainage away from the well head. 2. Adjacent Wastewater System - The proposed bed absorption system will replace the existing trench system. Testing of the existing system indicated it no longer accepted the amount of the water it was designed to. The tank that is existing is adequate for the four bedrooms at the residence. All wastewater systems on adjacent lots are over 120 feet away from the proposed system. The proposed system is 165 feet from Upper O'Malley (the closest road). Three houses are with -in a 200 foot radius of the proposed system, one is the exiting house on the lot of the proposed system. 3. Reserved Space - Enough space is remaining in the area of the existing test hole for a future system to be installed down hill of the proposed system. If required a future system could be installed to the East of the exiting system. Separation distances to adjacent wells will be maintained. 4. Drainaae - The lot is moderately steep (10-15%). Positive drainage away for the field will be maintained. No concentrated surface water will be directed toward the field and no existing streams are within 100 feet of the proposed field. The installation of this on-site system will have no probable impacts to adjacent well or septic systems. The proposed system's separation distance radius will include parts of adjacent lots, but will not interfere with the on-site systems on these lots. V truly yours, ,`Yll Carey S. ever, P.E. ?01 Danner Avenue, Suite 900 Andioiage, AIC 9951 0 30'S (907) 3 .9-S 1.E? AX (901) 349=1Z 13 �..._ ,., . ;;_, ice ,_ �., os✓ IMALTH AUTHORITY APPRCQJVA. HEPULT8 AND LiNALYSTU AS OF TEST TE ONLY LEGAL DEfiCt trITIO i LOT J.._., BLOCK .�.rw .� BUBQIVISI e Y i RM.r.a•w au�st luw•n ^. r\`N+t.•rwh...rr .<�w p WATCR Tr8T RCQtJLTOI / v._�... a..�............�.a....uwr' ..n..n. �......nx u..a ras...wb....n. ww 5EPT I C TEST iiEl.;JOLTS s �� �..��ynr eaq. tl.lai in.4�4 uv HalhMw •w4Y. tlb •b u. e? J .e,u✓.b..rrn^ div "..iW 51LL1�Y....0/P e...M.a..bJ.rn� '..1j.r•sm.••n.••,..lti.ia�.+. a.�..+.-+a_•varu�rµ .euaue[rwr.. ..........t.w...n»�a�...b.,..W to . / 1 h 'f ref, - 4, \T Vor+N -,30 / /C - 34$2125 U:-05-92 03:54Ptrf FUU2 01 DATE: (I/7/'r2 SHT:_OF_/ PREPARED BY: SUBJECT: ® ARCTIC SLOPE CONSULTING GROUP, INC. Engineers Architects Scientists Surveyors S�-PrIC a edccut Ariolus PROJECT: �� �Q�crrS lon Ll�a� ��-�iS 301 llnnner A%emic • Anchora,,,c, AK 99518-3035 • PHONE (907) 349-51.78 • FAX (907) 349-4213 .-I iuDsdi,:rr of .-Irclu Slope ReQiolull Curpurutton Fl as a P17-10A.l F«10 S 101A)e I - I P E P I Nor solrA6c l L) se PERE R47-9 or ELe n' yv °•IOaO.�00 J'�,Mfi • �br I r✓l "� � ='Gad GAL feu a a. ne+•ae. . ewe•oen ?+ � ! I i ° ..0, ..... •°,� L)igea AREA = 85 Sr � �•' Car S. Meye b. :� � � ,'S � Q % —9� 6353 — 4tl ��%' ••e j. •. •a °o°°e• ���� 'h�L O NAs /ROFESSIO"� lL0 Ta -rA A j �— i z N,W. Rask --------------- �;s�Pl;� -- t SANG 1`lLrC-A -� Z MA t-ER1�!s. -- - -—— -rs11 6 i'3SoRP1'!aN 'AlrJ FIEL/0 /5 '-1 IJ S TA 1 510 301 llnnner A%emic • Anchora,,,c, AK 99518-3035 • PHONE (907) 349-51.78 • FAX (907) 349-4213 .-I iuDsdi,:rr of .-Irclu Slope ReQiolull Curpurutton Permit No. Page of Z 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 Legal Description: IAT A/ &DC4/ )001700 Pl(' PID No.: L nisc bl 11 z Loi 2�.I 72-013 A (2/91) MOA 25 Lo 5 (al 'v p rle4.0 rr_sr Lof 2 X95 �f o('nrA O MAI I_r_ y ScA(,L : tI( i()dI 4FthtG4NEefi S SEAL eeV ieee eeea0eea eei gieeoeeo eo eeea o o e .e aoe .e oA Care e.eMey° ly �J e° 53 ° •�� QC9�, eaeeo eo Dotes ��\.L a© °OROFESS\Qe��'Ac Permit No. Page a of 2- Municipality Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 ® Anchorage, Alaska 99519-6650 i Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report Legal Description: Lol / Inc 1< d PID No.: Sca c Lo� 2'� --- 2yo r-Ic1�a Paan®srrr) _ 1,edle, ruAr o Pr ac l �I 25 Ho1.cS CKiSmit, 1 u �ti `/e F1rL j-. �--��'15ilNG CLCnNGur ' C1.r',1elo u r6YING 2 .fo' I=Uv N,pgrIGN �� � ---- 'L• X15 rlNG Cl.l.1 N.pCyr S� N riL h/INK. \h �n �;,•. 111II <, lie too A 1v5 I- / Y EXISTING w 6 41, i /61Ni$ SEAL aQ U P P C. ••IIS Yue a uY••Y• . •+•Y+•e•^ I On 1, !_ r Y v FA .... ... li�,S�RPI�1(,ll FI(ri.C� 9m�% Care OMeye � NGW � 53 72-013 A (2/91) MOA 25 I I - ✓I " -1 `v ARCTIC SLOPE CONSULTING GROUP, INC. Li Engineers • Architects • Scientists • Surveyors 301 0—, Avenue Mtl+d ' A101 iO 99518-3035 Tdphom: (907) 549-5148 Por (907) 349-4213 SOIIS LOG - PERCOLATION TEST e ••mac; PERFORMED FOR: I4an.) •�o/f la iII5 >d �age�sao•o. Jo I e �'� n°.S� se �a � rte e ••mac; PERFORMED FOR: I4an.) •�o/f la iII5 'fe,5 f Jo I e �'� DATEPREFOte9ty{ � Reading i2 :_EGAL DESCRIPTION: l/" X07-" Fel l3 tor- Township Raney Section: f r C1� LtJ S k-) 2 3- 5- 6- 7- 3- a- 10- 11 - t2 - 13- 1{- !> - 16- 17- !3 - 19- 30 - SLOPE -rooze, nr9G.,%GS C�rnvel�y S;�iy.$a"9o� J �I" Pel,(- res+ - r3 Y L Al srl.7 � jitnlisl/ - `/� 1 WAS GROUND WATER S i ENCOUNTERED? rya L IF YES, AT WHAT DEPTH? — 0 P Depth to Water Ager E MOIuMring'? N 0 Date 1 Z /I 5 A/ I'I 0M 0 � 1701G. SITE PLAN t N 5 � PERCOLATION RATE O . 3Z (minutes/inch) PERC HOLE DIA1rfEPER I G TEST RUN BETWEEN ''/ FT AND til r17 FT COMMENTS l�D(E f X:- ,oAt(C-0 NRS rD [ Slfr� �i �r ` �ILT�R t11A(t.�N( PERFORMED BY: I'ir,lnc{h M. ake'; n-,4•. (' VVCI_t_ __,__.CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT 0N THIS DATE. DATE: Gross Net Depth to Net Reading Date Time Time Watcr Drop I 12/alei I 12 60 3" " 12;53 7 fl 55 M;� p " ? 1xv 9 7/ff 3�� r o � PERCOLATION RATE O . 3Z (minutes/inch) PERC HOLE DIA1rfEPER I G TEST RUN BETWEEN ''/ FT AND til r17 FT COMMENTS l�D(E f X:- ,oAt(C-0 NRS rD [ Slfr� �i �r ` �ILT�R t11A(t.�N( PERFORMED BY: I'ir,lnc{h M. ake'; n-,4•. (' VVCI_t_ __,__.CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT 0N THIS DATE. DATE: SOILS LOG - PERCOLATION TEST ° uanm eaeo r oceonea o- I� E osn,,e Car Y t' S3 � � •�� M1 e� e PERFORMED FOR: No.j1o;•on I-IiIiS_Te.s% �.�IIr_ /z 1 — I DATE PERFORMED: LEGA.'_ DESCRIPTION: 149n7 neon /•/; (/s �a .f tk( /,,,gTownship, Range, Section: T 12 Al 'A"310) .5 11 l/'/ DEPTH SLOPE SITE PLAN 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 COMMENTS WAS GROUND WATER ENCOUNTERED? S IF YES, AT WHAT L DEPTH? 0 P E Oepth to Water Atter Mwarinq? Ott Reading Date Gross Time Net Time Depth to Water Net Drop I Z/u/tl 12;5, 2, ;,n I S 6'/g — 13 /:Of 2 „� 2 '/ s I,) 1:01 — 7 'j6 15 1�0 3 Z..,:., / 5/6 G /:03 — S 31 — 17 .. 1,65 Z (1 -3/� 1:07 2M, 1 Zo , PERCOLATION RATE a • 3 Z Iminutesinchl PERC HOLE DIAMETER TEST RUN BETWEEN 1_ FT AND Al FT PERFORMED BY: K.L-N ICERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE- OATE. L_v a"Y.a+h't:u '.ycr �--sa»..:sa:..�.:w.'.x-n•»_ar�rods3�•zr3s�•.+nwf.2rsu5tFN:�es ll 1 C �'O r—+ J•V-. 4 v� 69, s S 800 N' 0d' W 24.18 S w w � Upper C"Malley Roo Lpt Survey Certification ! hereby cerrity mai I hove sun• - eyed the property snown a;r„' des t) d Neon, a rl, tn:r ti e improeernents sltuted tixreon are within the th J*f!ty lirn-z and do not overi7G or enaroi• k; on oojo:ertt Drocert� arC trxotnr: iriq.rcm:rrrants on od;;rx ent tno- e•iyoverlap air ecroachonttx± oramises in question aro that there are no roodwoys, utility lines cr other visibleeosEot»� is on sold property except as „ indicated herocn. 63 1 cnrrw,et2na:rrmn:nveaxm,K.w,u_, t.::•ir+Tix:w.�`eaa;rcet`a 4. ti t` O Cr) i NV 7, — — i b LEGEND � i d = 5/8" iron rebar recovered T= brass cap monument recovered ! / It is the responsibility of the owner or builder, prior to construction, to verify proposed building grade relative to fin- ished grade and utility connections and j to determine the existence of any ease- I ments, covenants or restrictions which do not appear on the recorded subdivi- sion plat, red Robert E. Joh s,bJr. a Assoc. � (' ���"'e."°"•i`��} Professional Land Surveyors " f,y«shetaT�q ,� ki " r'`"' q, Jcale: Ili Drawn by: = 40 I Vanguard G.L.D. eerrseweEea'e cFk4t Dgie Surveyed: �,heckeci b)�: 5-31-78 R.E.J. :d•«c.« ezeeeoexca aaB P£/ t Drawn: 6-1-78 Draldl: � 6-I-78 � Gr2540 16 �[v; u ':, 4121 Legal Description: Lot I, Block 1, Hampton Hills Subd. 9 1 69• r—+ 69, s S 800 N' 0d' W 24.18 S w w � Upper C"Malley Roo Lpt Survey Certification ! hereby cerrity mai I hove sun• - eyed the property snown a;r„' des t) d Neon, a rl, tn:r ti e improeernents sltuted tixreon are within the th J*f!ty lirn-z and do not overi7G or enaroi• k; on oojo:ertt Drocert� arC trxotnr: iriq.rcm:rrrants on od;;rx ent tno- e•iyoverlap air ecroachonttx± oramises in question aro that there are no roodwoys, utility lines cr other visibleeosEot»� is on sold property except as „ indicated herocn. 63 1 cnrrw,et2na:rrmn:nveaxm,K.w,u_, t.::•ir+Tix:w.�`eaa;rcet`a 4. ti t` O Cr) i NV 7, — — i b LEGEND � i d = 5/8" iron rebar recovered T= brass cap monument recovered ! / It is the responsibility of the owner or builder, prior to construction, to verify proposed building grade relative to fin- ished grade and utility connections and j to determine the existence of any ease- I ments, covenants or restrictions which do not appear on the recorded subdivi- sion plat, red Robert E. Joh s,bJr. a Assoc. � (' ���"'e."°"•i`��} Professional Land Surveyors " f,y«shetaT�q ,� ki " r'`"' q, Jcale: Ili Drawn by: = 40 I Vanguard G.L.D. eerrseweEea'e cFk4t Dgie Surveyed: �,heckeci b)�: 5-31-78 R.E.J. :d•«c.« ezeeeoexca aaB P£/ t Drawn: 6-1-78 Draldl: � 6-I-78 � Gr2540 16 �[v; u ':, 4121 Legal Description: Lot I, Block 1, Hampton Hills Subd. 9 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL. ENGINEERING DIVISION £325 L Street - Anchorage, Alaska 99501 Telephone 264.4720 ON-SITE SEWAGE= DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT PHONErNEV� NAME / I '�_" -RADE V r 1(= ••• MAILING ADDRESS /z LEGAL DESCRIPTION toAl VI3O, NO. OF BEDROOMS / fl�X11 +ni.,ie _. Absorptltf}�a�ea Dwel`illff I PERt\J/.�T p,��� n DISTANCE TO: I !V i' U y_ a Q Manufacturer in F' Liy cap,citZiyJP llon gas IF HOMEMADE: Well O 0 z DISTANCE TO: S2-1 Manufacturer e = DISTANCE TO: U. Z No. of lines Length f�ajh line z W '✓/ ~ Q F Top of tile to finish .grade Z3'�: r Length Width w _ Qh Type of crib Crib diameter as W Well to DISTANCE TO: _ Class Depth—� j Dwelling Crib depth Building foundation w building foundation I Sewer line DISTANCE TO: OTHER PIPE%� TERIALS + / �ti�r 4Jf, SOI TES RATING 116 INSTALLER REMARKS Dodo a'.. 90 c..... ����'•• r A LL 'o:��r`d` 3i10li foE^f, S. N Total effective abse Nearest lot line Distance to lot line Septic tank 0 No. of cgmpartments — Liquiddepth PERMIT NO. Liquid capacity in gallons PERMIT N0. Distance between lines PERMI area DATE �e ROVED � ��� Absorption area(s) PALL G. mkn-�r, P.E. SRA BOX 395—V ANCHORAc^, ALASKA 99507 r's. Jarren Smithson 8230 Pioneer Drive Anchorage, Alaska Dear ;",s. Smithson: April 28, 1978 In accordance with your request, I have completed a soils analysis for on-site sewage disposal on Lot 1, Block 19 Hampton Hills Subdivision, which fronts Lipper 0'_Fi lley Road near Hillside Drive in Anchorage. Drilling was performed on April 26, 1978 by The Drilling Company of Anchorage employing a C'_2, 45 drill; soil analysis was performed by myself in accordance with the Unified Soil Classification System, the. Soil Triangle, and the "'eTanual of Septic Tank Practice." In general terms, the subsurface conditions consist of 3 feet of gravel- ly sandy silt which overlies glacial deposits of sand and gravel with silt to the drilled depth of 15 feet. I?o water table was encountered. Drilling was difficult because of coarse gravel and infrequent cobbles. Two test holes were attempted and abanc.oned at 4 and 8 feet because of no drilling progress. The lot is covered with large spruce and occasional birch trees, in- dicative of good drainage. The proposed dwelling will be located on higher, relatively flat ground with the septic system located to the north, where the ground slopes northeast at approximately 15 degrees to a dry gully about 15 feet lower in elevation. In my opinion, the lot appears satisfactory for on-site sevrage disposal, in terms of topography, drainage, and soil conditions. A drainfield trench which utilizes the granular soils from 3 to 11 feet, rated at 140 sq ft/bedroom, seems to be the best solution. OF A art 9 �.�� •••'•...........; .fl,°, J VJ�a• v.. � , L�., e.......... ... t • i�.j:� 351 Ci,�t• U�:: i.� 3v •'••VJ Yqurd t , Paul Hansen 0 U�FWD IJ: 10 1 Fw:. C, .. �11-. W n�, u���� DEPHRTM��T C f) 1. RND CTIOt1i STREET, HNCHURH�E, HK995b� ` 264-4720 ��d� �������� PERMlT [.,10.( 7G0558 ) HPPLICHNT WFHWEN SM I. 82]0 PIONEER 1617 LUCHTION UPP�^� OMHLLEY LEGHL L1 L.A. 111"ItelPTOt.4 HILLS S/D LOT SIZE 55000 SQUHRE FE�T TYPE OF S0IL HBSO�BTlON SYSTEM IS� TR�NCH MHXlMUM NUMBER OF BEDROOMS � 4 SOIL RHTING (SQ FT/BR)� 140 THE REQUIR�D SIZE OF TN SOIL /�BSO�PTION SYSTEM IS� ��If' 9- A� � THE LENGTH DIWNSION IS TH� LENGTH (IN ) OF THE TRENCH OR DRHINFIELD |MEbEPTHOF" �R TRENCH Oj; PlT IS THE DISTANCE BETWEEN THE SURFHCE OF �nTHE uUnD nu m | t UU|T0� OF THE EXCRYATIOH (IN FEET) THERE IS NO SET WIDTH FOR TRENCH�S. THE GRHVEL DEPTH IS TME 1,1IHIMUM DEPTH OF GRHVEL 8ETWEEN THE OUTFHLL PIPE MNV TI -IE 801TOM OF THE N FEET) I �������� � �V� � �����P A� PERMIT HPPLICRNT TY TO INFORM THlS D�PHRTMENT DURING TH� INSTHL�HTION IN�P�CTIOf.S OF HDJHCENT TO THIS PROPERTY HND THE NUM�ER OF RESIDENCES TH�T THE WELL WILL �E[�Y� �14 1C.) BHCKFILLING OF H�Y SYSTEM WITHOUT FINAL INSPECTION HND HPPRUVHL BY THIS DEPHRTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUMTDISTHNCE BETWEEN 8 WELL AND HNY ON-SITE 100 SEWHGE DISPOSHL SYSTEM lS r�� �UK H PRIVAT� W�L�/ �R 150LTOO2�0�FEETEFROM H PU8L NE -11, IC WELL D�PENDING UPON THE TYPE OF PUBLIC WELL TH� u�LL�K� K AUIRE� A�� MUST BTHE.,�ETURNED TO T�DEP�RTMENT WITHIN ]0 D YS VY L NCOMPLETION� JTHE�HR�QUIREME�TS MAY APPL�� SPEC lFICHAT I ��QS HND CONSTRUCTION DIRGRHMS HRE BLE /O INSURE PROPER lNSTALL�TlO� J.:��� { C1ERTIFY THHT L�RIHHMyFHMILIRR WITH THE REQUIREMENTS FOR ON~SITE SEWERS HND WE||S HS SET ^u | U THE MUNICIPHLITY OF I WILL I. HLL THE SYSTPM IN-HCCORDNCE WITH THE CODES ��SlDU����R�T��� TH�T THE O�—SITE SEWER��SYST�M MBY RE�UIREENLHRGEMENT IF THE �� / tN[E IS REMODE�ED TO MURE: F1 �IGNED� C) 0 d fl - CQ CQ W 69' t 0 0 0 0 0 0 0 rn PROPOSED TWO STORY FRAME HOUSE iv/GARAGE JL—�6�1 LEGEND 69 r `C = 5/8' iron rebar recovered ro =brass cap monument recovereds the responsibility of the owner or lder, prior to constructionto verifyposed building grade relative to fin -S 80° oo'0O° Wed grade and utility connections and24.18'determine the existence of an_y ease -R= 408.10 ats, covenants or restrictions which not appear on the recorded subdlvi- I Sion plat, Upper C Malley Roca` 11 Lnf ht vertih xttiari-„� vow — - Prepared by hereby certify tharlhove sury q, Robert E. Jahns Jr Assoc.I eyed tneproperly sncwno t r d ✓ibnaruxeoryan t 7T nx- Professional Land .S`urey yors F im{rwerr�r�fstitu,ttt'r .:nEA, Swic:._...�.r� i�rU4Vn b nre.witnr,t'r.nrar;-tylPPscme, V 4- 9; t � ' I I = 40 _ i } Vongunrd G,LD. ' u 1 j &>m;ov rye v c -r u..� • on �E� cho-+re ecae�ecFs E t. #i' Dant Surveyed: rJ--31-78 rhe -ked, b. (cr,bxnnowrtv0rtoot nr t jt J � R.E.J. 1 in,,rcr ,nkmso o zsittvn de�caee' aC �a ':'I f — _ C�rir . E ate I -)raven: 6 178 2540 Pr-a'nl�es ei qucslrn Crcr In„' rrrrecren i�odwu, utiiiiy ; `err. �k �fl LegolDascription: Lot I Imcscrotnervisi:�iaecscm.:�fs �rU�t Block I, Hampton Hills SUbd. on-,aidpgprtyexcep as n indent d hero;... kc .., �: r.._.,>.,:,.a,. Czus��s-�,,.sy. n. Baez*.•. F,.... .:��tt?.� .a.a -r , x..::•v.�:.,.::�.:vt:: ..,;.vc .,::`z-srs:raF'rt�m�s +CAS:SES'JrE.]3✓eY,�`ttRa:::."e3'[bz B,IN.-'.L"�^ •�F.Si,:�ria`�fAs'k;-.: oy \r, 30 D / 30 9 � \ n bio � \ 1) � o y / O Al ny ate' Cl) w • / �� 11 C' U Q138.3 I y \ I / 24 y .18 •" CAI Cb D /U ° C N • cv 120.50 z \ oO m KI / x 225.00_ -240 .50,__ ~ _ m cly Ial '7 IW 3 I 2g5'0 240.00-- z.00-- I I O ,5903 -i -, • m /u ti a. V W O\ o / W d 00 AVI .v 11 m o. '0 / 0� i 3/81 Q� ^rq l5 ' i ' o0 p Ibcp W p I I 1 I W W - N tD Y c J I m S ?0 ° ' 23 m 0/ 2g 0 0 m I� w F o z i wo W o v 2 31.3 6 / 30,14 .14 \I o I i S89007 30 E It / / I \ o r v' I � _ o 0 I InDwK U m R.- WO I �mO CD Oi } I 1 Z Z " mOZJ m �I b9 0 °bLN , I 0 I I I .I I I N v 0 i I I I I 239.43 589°0713011E I Performed for — Legal Description: GREATER ANCHORAGE AREA BOROUGH �-•,, Department of Environmental Quality 3330 "C" Street r n Anchorage, Alaska 99503 lvi SOILS LOG — "'^ 1 This form reports: Soils log �j� t zc' Percolation test Depth ,�[ a OeIL/ Feet +,rt'� 6N �,J(N�C L _ �,fE- D/llLUld G (044''AA/ 2— R IOr! IY fANIO)l S;L—r 3 — - 4- 6- 7- 8- 10— `12 — 14— g���P ���ry (AIJI 6 i 1 /fit_ (6(iM) iv M kq Fi?eQuEtlr - LU-4y'r 0a -1-ME IAti J'1L r/ft c-ry F��1c Xn 'JrE�J���—'e2�v`t`� l C�O131'�L�S� � 110 'i'n 1�7�� 8 16— brrrr M O F= to ol_�_ ME NM Was groundwater encountered? �6 ��*T1rt� �Pitr1 f yes, at what depth? Reading I Date I Gross Time I Net Time Depth to Water Net Drop p Peree�+ea.}i�ate �'° Proposed installation: Seep ge Pit Depth of Inlet Dep h t bott m of COMMENTS:1��t%(� (i _eaN ( . Performed By: Certified By - Drain Field PE F P or trench WELL LOCATION WATER WELL LOG FOSS DRILLING 1336 Ingra Street Anchorage, Alaska 99501 'PALITY OF ANCHORAGE DEPT. Gi Y'_^,LTH & ENVIRONN.GNU.; ?: ;;7FCTION C 1978 SIZE OF CASING �DEPTH OF HOLE„ a2F7'. CASED TO ��� FT. STATIC WATER LEVEL__V 2 FT. YIELD_GpI PER.MIN. WITH.-ILL.- FEET ITHJ%L FEET.' OF DRAWDOWN. REMARKS DATE COMPLETEDPUMP TO RE SET AT� Otn,2.n L O� t0CTXP to" at17 4e) QJS t0LQ6 /oza29 OA �td —.t 0� t 0, e,t 0— �t 0�� �t0.�, �t O� �t O� to- -t Oma®,—t 0— oa eat Oma �t 0 Municipality of Anchorage On -Site Water & Wastewater Program (907)343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL Parcel I.D. 015-134-44 P 1 Expiration Date: 11-1q-13 1. GENERAL INFORMATION , LI0% Complete legal description HAMPTON HILLS S/D BLOCK 1 LOT 1 Location (site address) 7501 UPPER OMALLEY ROAD, ANCHORAGE, AK, 99516 Current Property owner(s) GEORGE & LYNN ROGERS Day phone 632-5872 Mailing address 7501 UPPER OMALLEY ROAD, ANCHORAGE, AK, 99516 Real Estate Agent DARRELL FRIESS W/ REMAX/DYNAMIC Day phone 240-9225 2. TYPE OF DWELLING: Single Family (w/wo ADU) RUSH, 1 ❑ Duplex j ❑ Multiple Dwellings (Single Family and/or Duplex) 9 3. NUMBER OF BEDROOMS: 12 4. TYPE OF WATER SUPPLY: Individual Well N Individual Water Storage ❑ Community Class Well ❑ Public Water System ❑ TYPE OF WASTEWATER DISPOSAL: Individual On-site E Individual Holding tank ❑ Community On-site ❑ Public Sewer ❑ Received by% ` �� 7 L ,� Date: COSA to be released to the engirWer, unless otherwise requested by the engineer. COSA Fee $ `qo f �7q—j " Waiver Fee $ Date of Payment 8 l 1b Date of Payment Receipt Number ()`(3330 Receipt Number COSA# ()SCI5lq�?- 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. Address 3701 E. TUDOR ROAD, SUITE 101 • ANCHORAGE, AK, 99507 Engineer's Printed Name Engineers Comments: JEFFREY A. GARNESS, P.E. In conducting this evaluation, GEG, L. D. 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 a0 wells and septic systems depend on the lora/ 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. 6. DSD SIGNATURE System #1 Approved for _(—a_ bedrooms. System #2 Approved for Disapproved. Conditional approval for By: bedrooms. Phone 337-6179 Date is I l3 0 bedrooms, with the following stipulations: ``YkeN N oFtf C O ON-SITE WATER AND J� �,dASTEWATER Original Certificate Date: -13 The Munlcipalitebr Anchorage Develop,emt Services Division (DSD) issues Certificates of Onsite Systems Approval (COSA) based only upon the represenatations 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. ATTCHMENTS: COSA Checklist/ Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other (Rev. 11105) L/ If more than 1 septic system is on the lot: COSA Checklist # _of_ Structure served by this system Certificate of On -Site Systems Approval Checklist Legal Description: HAMPTON HILLS S/D; BLOCK 1, LOT 1 parcel ID: 015-134-44 A. WELL DATA Well type PRIVATE If A, B, or C provide PWSID# N/A Date completed 11/10/1978 Sanitary seal (YIN) YES Total depth 129 ft. Date of test Static water level Well production Casedto 129 ft. FROM WELL LOG 11/10/1978 WATER SAMPLE RESULTS: 88 ft. 15 Coliform 0 colonies/100 ml. Arsenic: NO ug./L. B. SEPTIC/HOLDING TANK DATA Well Log (YIN) YES Wires properly protected (YIN) YES Casing height (above ground) 12+ in. AT INSPECTION 8/2/2013 89 ft. g.p.m. 5.02+ — 9 -p.m - Nitrate 7.54 mg./L. Date of sample: 8/1/2013 Collected by: GEG, Ltd. SEPTIC/STEEL 9/27/1978 Tank Type/Material SEPTIC/STEEL Date installed 7/1998 1250 2 YES Tank size 3000 gal. Number of Compartments 2 Cleanouts (YIN) YES NO N/A Foundation cleanout (YIN) YES Depression over tank (YIN) NO High water alarm (YIN) N/A (BOTH TANKS) Date of pumping 8/13/2013 Pumper MCDONALDS PUMPING C. ABSORPTION FIELD DATA *BELOW EXISTING GRADE 5/4/92 Date installed 7/1998 Soil rating .p.d.lft r ft`/bdrm) 1_2 System type BED/TRENCH Length 30/50 ft. Width 26/2 ft. Gravel below pipe 0.5/10.4 ft. *7.5 780 Total depth *15.9 ft. Eff. absorption area 1040 ft2 Monitoring tube YES Depression over field NO 8/6/2013 4 Date of adequacy test 8/2/2013 Results (Pass/Fail) PASS For 8 bedrooms 0 910 **11 Fluid depth in absorption field before test 80 in. Water added 1600 gal. New depth 97 in. 1300 0 600+ Elapsed Time: 1 EO min. Final fluid depth 90 in. Absorption rate >= 1200+ g.p.d. Any rejuvenation treatment (past 12 mo.) (YIN & type) NONE KNOWN If yes, give date **SURCHARGED 1". NOTE: TWO CLEANOUTS COULD NOT BE LOCATED DURING INSPECTIONS. 5 Nv -g arr 9A. -V or- g rLz -i 4 D. LIFT STATION Date installed Size in gallons Manhole/Access "Pump on" level at in. "Pump off' level level at in. Cycles tested Meets alarm & circuit requirements? E. SEPARATION DISTANCES *101.1' FROM CENTER OF WELL TO CENTER OF ST1 SEPARATION DISTANCES FROM WELL ON LOT TO: PER LANG & ASSOCIATES AS—BUILT SURVEY Septic tank/lift station on lot 100'+/*100' On adjacent lots 100'+ Absorption field on lot 100'+ On adjacent lots 100'+ Public sewer main N/A Sewer /septic service line 25'+ Public sewer manhole/cleanout N/A Holding tank N/A Animal containment areas 50'+ Manure/animal excrete storage areas 100'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+/5'+ Property line 5'+/5'+ Absorption field 5'+/5'+ Water main N/A Water service line 10'+/10'+ Surface water 100'+/100'+ Wells on adjacent lots 100'+/100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOTTO: Property line 10'+/*1' Building foundation 10'+/10'+ Water main N/A Water service line 10'+/10'+ Surface water 100'+/100'+ Driveway, parking/vehicle storagel0'+/l 0' Curtain drain NONE KNOWN Wells on adjacent lots 100'+/100'+ F. COMMENTS *PER WAIVER #05P11 1326. M 155i f(t Oni&- cG t -As PL -01 fE' ejos /1'4�- C% �Je wT _..,.i 64-a-•_D_1� p_-4 l i t7 8 l� 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 (9/t3%l,? (Rev. 11105) Municipality of Anchorage erg,; a y` 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 # 7.54 A Certificate of On -Site Systems Approval inspection and test of potable water was recently conducted on the well water supply on Block 1, Lot 1 of Hampton Hills subdivision. This inspection revealed a nitrate concentration of 7.54 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 l Building Safety Division c On -Site Water and Wastewater ProgramW,w 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907)343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. 015-134-44 COSA # r)5 �I Expiration Date: _ 1. GENERAL INFORMATION Complete legal description Hampton Hills Subdivision, Block 1, Lot 1 Location (site address) 7501 Upper O'Malley Road Anchorage, AK 99516 Current Property owner(s) Bear Stearns Asset Backed Securities Day phone Mailing address P.O. Box 240832 Anchorage, AK 99524 Lending agency 7495 New Horizon Way Frederick, MD 21703 Day phone Mailing address Real Estate Agent Elizabeth McMullen Day phone 315-6366 Mailing Address 892 East USA Circle Wasilla, AK 99654 Unless otherwise requested, COSA will be held by DSD for pickup. 2. .NUMBER OF BEDROOMS: Twelve 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ✓❑ Individual On-site ✓❑ Individual Water Storage ❑ Individual Holding Tank ❑ Community Class Well ❑ Community On-site ❑ Public Water System ❑ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) issues Certificates of On -Site Systems Approval (COSA) based only. upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of On -Site Systems Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues COSAs upon request to homeowners. Certificates of On -Site Systems Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water sample results. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work, 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm Anderson Engineering Address P.O. Box 240773 Anchorage, AK 99524 Phone 522-7773 Engineer's Printed Name Michael E. Anderson, P.E. Date 10/19/2011 OF At 49 •.*o� / ry : AMO Aa 8 A : c0,` �: 5. DSD SIGNATURE I, �f •. CE9 4381 � t• 6,��'� •....• Approved for bedrooms. X44%,440ESS�.. Disapproved. %,lot'► Conditional approval for bedrooms, with the following stipulations: Attachments: COSA Checklist X Septic System Advisory Well Flow Advisory Nitrate Advisory WASTEWATER P -PPAU ;� . cep.` Arsenic Advisory Maintenance Agreements Supplemental Engineer's Report Other By: o Original Certificate Date: D ! %/ (Rev. 11/05) Municipality of Anchorage Development Services Department V Building Safety Division On -Site Water & Wastewater Program $ A f T Y 4700 Elmore Road P.O. Box 196650 Anchorage, AK 99507 www.muni.org/onsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description: Hampton Hills Subdivision, Block 1, Lot 1 Parcel ID: 015-134-44 A. WELL DATA Well type Private Date completed 11/10/78 Total depth 129 ft. If A, B, or C provide PWSID # Sanitary seal (Y/N) Y Cased to 129 ft. FROM WELL LOG Date of test 11/10/78 Static water level 88 Well production 15 WATER SAMPLE RESULTS: Coliform 0 colonies/100 mL Well Log (Y/N) Y Wires properly protected (Y/N) Y Casing height (above ground) >12 in. AT INSPECTION 9/12/11 ft. 100 ft. g.p.m. 8.63 g.p.m. Nitrate 6.36 mg/L Arsenic: N/D ug/I Date of sample: 9/2/11 Collected by: GEG Ltd. B. SEPTIC/HOLDING TANK DATA Tank Type/Material Septic/Steel (2) Date installed 9/27/78 7/1998 Tank size 1,250/3.000 gal. Number of Compartments 2/2 Cleanouts (Y/N) Y Foundation cleanout (Y/N) Y Depression over tank (Y/N) N High water alarm (Y/N) N Date of pumping 8/18/11 Pumper Pannone Engineering C. ABSORPTION FIELD DATA Date installed 5/4/92 7/98 Soil rating (g.p.d./ft2 or ft2/bdrm) •8/1.2 GPD/SF System type Bed/Trench Length 30/50 ft. Width 26/2 ft. Gravel below pipe •5/10.4 ft. Total depth 7.5/15.9 ft. Eff. absorption area 780/1-m ft2 Monitoring tube Y Depression over field N Date of adequacy test 915/11-9/12/11 Results (Pass/Fail) Pass For 12 bedrooms Fluid depth in absorption field before test 0/30 in. Water added 2740"650 gal. New depth 9.5/82 in. Elapsed Time: 1052/120 min. Final fluid depth 0/68 in. Absorption rate >= 600/1200 g,p d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) Unknown If yes, give date D. LIFT STATION Date installed Size in gallons "Pump on" level at in. "Pump off" level at in Datum Cycles tested E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot >100 Absorption field on lot Public sewer main >100 N/A Manhole/Access (Y/N) High water alarm level at in. Meets alarm & circuit requirements? On adjacent lots >100 On adjacent lots >100 Public sewer manhole/cleanout N/A Sewer /septic service line >25 Holding tank N/A Animal containment areas >50' Manure/animal excrete storage areas >100' SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation >5' Property line >5' Absorption field >5' Water main N/A Water service line >10' Surface water >100' Wells on adjacent lots >100' SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line >1071'*** Building foundation >10' Water main N/A Water Service line >10' Surface water >100, Driveway, •parking/vehicle storage >10' Curtain drain None Noted Wells on adjacent lots >100' F. COMMENTS' Two Complete Septic Systems are Located on the Properly. The First Was Designed for 4 Bedrooms. The Second for 12 Bedrooms. *** See Lot Line Waiver. Testing Completed by Gamess Engineering Group, Ltd. • G. ENGINEER'S CERTIFICATION ��•! 49sd* •-•'�y�! • • >� I certify that 1 have determined through field inspections and �.• w• .••••••• review of Municipal records that the above systems are in�����;•:.;. conformance with MOA COSA guidelines in effect on this date. /� 0 � 1AMIUM* c' • 1 iw A Engineer's Printed Name Michael E. Anderson, P.E.� �# �' •• '' 's .� •• +�•• �• • Date 5/20/2009 tit44% 20FES5O��� COSA Fee $ y 9 O Date of Paymentto���� Receipt Number CO 0 C1 (Rev. 11 /05) Waiver Fee $ rI OL- 1 Date of Payment Receipt Number Municipality of Anchorage P.O. Box 196650 • 4700 Elmore Road Anchorage, Alaska 99519-6650 • (907) 343-7904 • Fax (907) 343-7997 http://www.muni.org/Onsite Development Services Department On -Site Water and Wastewater Program Dery 'N c> •SG C n Q N llepartment * * * * VARIANCEIWAIVER REVIEW * * * * WR#: ospl11326 PID#: 015-134-44 HA#: oscl11408 Permit#: Legal Description: Hampton Hills B-1 L-1 Engineer: Anderson Engineering Applicant: Bear Stearns Your request for a waiver of the required 10 feet horizontal separation from the absorption field to the property line has been approved. The approved separation distance is 1.0 feet. This waiver approval applies to the existing absorption field to property line separation only. Any future upgrade to the on-site wastewater disposal system will require all separation distances be met or another approval from this department. ............................................... ■ ............................. ■ ■ Waiver is Granted: X Waiver is not Granted: Date: 11/7/2011 Approved by: a re ............................ .. ....................... Rec#: 08595G Amount: $200.00 Date Paid: 10-26-11 **** VARIAN C E/WAIVER REVIEW **** ANDERSON ENGINEERING P.O. BOX 240773 ANCHORAGE, AK 99524 522-7773 677-7766 FAX October 20, 2011 Municipality of Anchorage Development Services Department On -Site Water and Wastewater Program P.O. Box 196650 Anchorage, AK 99519-6650 Subject: Lot 1, Block 1, Hampton Hills Subdivision Separation Distance Waiver Absorption Trench to Lot Line Dear On Site Services Engineer: A second absorption system was placed on Lot 1, Block 1, Hampton Hills Subdivision in July of 1998. Insufficient survey control was apparently used in the location of the absorption trench as it was constructed in the 10' Utility Easement at the north end of the lot. All utility companies have provided letters of non objection to allow the trench to remain in the easement. The trench does not impact the property to the north as it is more than 100' from all wells in the area and more than 10' from all septic systems in the area. We recommend a waiver be issued allowing the trench to remain 5' from the north property line. Sincerely, Michael E. Anderson, P.E. Municipality of Anchorage &r, •,� Community Development Department x . Development Services Division K s n E r Y 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 # 111408 A Certificate of On -Site Systems Approval inspection and test of potable water was recently conducted on the well water supply on Block 1, Lot 1 of Hampton hills subdivision. This inspection revealed a nitrate concentration of 6.36 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. LOT 26' 0 r 6/96) Date Received D p STATE OF ALASKA DEPARTMENT OF ENVIRONMENTAL CONSERVATION APPLICATION FOR ON-SITE WATER AND SEWER SYSTEM APPROVAL OR DOCUMENTATION OF SYSTEM INSTALLATION I. GENERAL INFORMATION Source of Water and Containment (Check all that Apply) Legal Description of the Location Treatment of Water (Check all that Apply) E Well (Drilled or Driven) (surface (Identify) ❑Private Lot 1, Block 1, Hampton Hills Subd. ❑ None ❑ Chlorination ❑ Roof Catchment ❑ Holding Tank ❑Other (Identify) Applicant Name: Michael E. Anderson Applicant is: (Check one) ❑ family) Bank ❑ Certified Installer. No. Mailing Address ground? ❑Owner/builder F,naineer E Yes ❑ No P.O. Box 873141 Tvoe of Residence: Total Number of Bedrooms El No Date Drilled Depth of Well (Feet) Static Water Level (Feet) * 11-10-78 * 129' ** ❑ Sin le FamilyMulti-Family 12 bdrm. B & B Cirv, state.7ia Code Wasilla. Alaska 99687 Telephone: * 100'/ 150' ** > 75' * > 120' / > 150' Closest Septic/Holding Tank on Adjacent Lot Closest Sewer Lines on Adjacent Lot * > 100, * Closest Edge of an Absorption Area on Adjacent Lot 3.57-6304 Send Approval to: based materials pesticides,fun icides or herbicides indicate distance from contaminants to well casing: None observed None Observed Water Sample Taken by: (Name) T.L. Kimbrough / Ve-Tech ❑ Applicant Other (Give Name & Address) Hold for pickup by Michael E. Anderson II. WATER SUPPLY SYSTEM Source of Water and Containment (Check all that Apply) Type of Water Supply System Treatment of Water (Check all that Apply) E Well (Drilled or Driven) (surface (Identify) ❑Private ❑ None ❑ Chlorination ❑ Roof Catchment ❑ Holding Tank ❑Other (Identify) Public (Serves more than one ❑ Filtration ❑ Mineral Removal Other: Unknown family) Well Data Is the height of the well casing more the 12" above the ground? N Yes ❑ No Is a sanitary seal or well cap installed on the well casing? E Yes ❑ No Is drainage directed away from or around the casing within a radius of 10 feet of the well casing? 0 Yes ❑ No Is well wire enclosed in conduit?Yes El No Date Drilled Depth of Well (Feet) Static Water Level (Feet) * 11-10-78 * 129' ** Yield (If available) Pump Rate (if available) * 91.8' Separation Distance from the Well Casing to each of the Following Sources of Contamination: 15 m ** AVG. 9.8 GPM Septic/Holding Tank on Lot Sewer Lines on Lot Absorption Area on Lot * 100'/ 150' ** > 75' * > 120' / > 150' Closest Septic/Holding Tank on Adjacent Lot Closest Sewer Lines on Adjacent Lot * > 100, * Closest Edge of an Absorption Area on Adjacent Lot > 90, If toxic materials are stored on the property, including fuel tanks, paints, lubricants and other petroleum * > 100' On Lot On Adjacent Lot based materials pesticides,fun icides or herbicides indicate distance from contaminants to well casing: None observed None Observed Water Sample Taken by: (Name) T.L. Kimbrough / Ve-Tech s: Sampler i Address El Buyer Engineer P.O. Box 87-3141, Wasilla, AK 99687 Water Sample Results: ❑ Banker El Government Official Attach Copy Satisfactory - Date ❑ Unsatisfactory - Date Comments/Recommendations: This Twelve Bedroom Resisdence has two (2) Watsewater Systems on lot. * Denotes information from ADEC Records. ** Denotes information obtained during site visit 4/18/2003. This lot is served by a Class "C" Public Water Supply. PWSID # 218001 1 certify that the above information and that provided in Section IV is correct: Signat/G� Typed/Printed Name Title Date Michael E. Anderson P.E./ CE -4381 N-. ,LI....s L_ y u tuwu raawuer, rrojessionai engineer, uEc stajf, or owner/Builder f IIk. WASTEWATER DISPOSAL Legal Description: Lot 1, BIo 1, Hampton Hills Subd. Septic Tank/Absorption System ❑ Package Treatment Specify Brand Name or Process ❑ Holding Tank -Specify Capacity of Tank Where Waste is Disposed Frequency of Pumping Septic Tank Outfall Discharged To: ❑ Other (Specify): Subsurface (Outhouse, Incinerator, etc,) ❑ NEW SYSTEM Name of Installer Owner/Builder LJ Certified Installer El Other: No. Septic Tank Size (Gallons) Number of Compartments Type Soil Absorption System Dimensions/Size Soil Absorption System Percolation Test Results (Attach Copy of Report) Percolation Test by: (Name) Minimum Ground Cover over Minimum Ground Cover over Absorption Arca Feet Septic Tank Feet Separation Water Supply Source on Lo Nearest Water Supply Source on Distance To: Feet Adjacent Lot FPPt a i ype ano mating Date Installed Backfill Material Used for a System Cleanout Pipes/Caps Installed on Septic Tank ❑ Yes ❑ No Nearest Body of Water Wate over Feet t Pipes/Caps Installed on on System ❑ Yes ❑ No Feet a ---"' I'yped/Printed Name Title, Reg./Cert No., Inst. No. Date NOTE: Must be signed by. Certified Installer, Professional Engineer, DEC staff, or approved Owner/Builder 0 EXISTING SYSTEM Name of Installer * Tweed Const. / Anderson Const. Date Installed ❑ Owner/Builder ❑ Certified InstallerOther: S * 1992 / 1998 � Septic Tank Type/Manufacturer No. *Contractor *Steel - Greer/Anch. Tank * 1250 / 3000 2 / 2 YP Septic Tank Size (Gallons) Number of Compartments Soil Type and Rating * Type Soil Absor tion S stem * 0.8 / 1.2 GPD/SQ. FT. P Y Dimensions/Size Soil Absorption System an Backfill Material Used for * Bed Dee Trench * 26' X 30' / 2' X 50' X WED Soil Absorption System Adequacy Test Results (Attach Copy of Report) Adequacy Test Performed b Name UNK / 6 Gravel Pass ❑ Fail y' ( ) Date Septic Tank Pumped (Attach Copy of Receipt) Minimum Ground Cover over T.L. Kimbrou h Minimum Ground Cover over Cleanout Pipes/Caps Installed on Cleanout Pipes/Caps Installed on Absorption Area 3.5 Feet Se tic Tank 3.5 Feet Se tic Tank Yes ❑ No Separation Water Supply on Lot Nearest Water Supply Source on Nearest Body of Water Water Table/BedrockAbsor hon LottL o • Yes ❑ No Distance To: 100' / 150' Adjacent Lot >1 0' / >100' over 9 Comments/Recommendations 100 * 4' / 6 * > ) This lot has Two (2) Watewater Systems. Original house SAS upgraded in 1992 with new Bed System. Eight Bedroom addition added in 1998 with new Deep Trench System installation. * Denote information obtained from ADEC records. All additional information obtained during site visit 4/18/2003. Foundation cleanouts present. �- Typed/Printed Name Title, Reg./Cert No. Date Michael E. Anderson P.E./ CE -4381 � ,.. � _ � 3 NOTE: Must be signed by a Professional Engineer. W L') '. 49th••: MICHAEL E. 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OF ENVIRONMENTAL CONSERVATION DIVISION OF ENVIRONMENTAL HEALTH DRINKING WATER and WASTEWATER PROGRAM 555 CORDOVA STREET ANCHORAGE, AK 99501 http:,,www.state.ak.us dec/liomehtni Kenneth M. Duffus, P.E. TONY KNOWLES, GOVERNOR Telephone: (907) 269-7696 Fax: (907) 269-7650 February 26, 2002 KND Engineering / 20441 Ptarmigan Blvd..rl O? Eagle River, Alaska 99577-8736 Subject: Lot 1, Block 1, Hampton Hills Subdivision; Wastewater Disposal System upgrade, ADEC Project Number 512; Review Dear Mr: Duffus: This is in response to your submittal in which you address th.- requn-cments found it the Dez rtrn r: s letter dated April 16, 1999 for the issuance of the final operation I.pproval for the above -referenced project. I have completed my review of the submitted infornta;ion, the Department's files on this facility, and State Wastewater Disposal and Drinking NA ater.Regulations. Based on this review, I have the following comments. Separation Distance Waiver The March 1, 1993 approval of the Class C public water system and the existing wastewater disposal system [1250 gallon septic tank and bed type soil absorption system] included a separation distance waiver. This separation distance waiver allowed the exisiing wastewater disposal system to be located between 100 feet and 150 feet from the existing source well. In the submitted record drawing of the new wastewater disposal system [3,000 gallon septic tank and trench] shows that the new septic tank is located within the 150 foot protective radius of the source well. Based on the submitted information, the requested separation distance waiver appears to be reasonable. Therefore, in accordance with State Wastewater Disposal Regulations [18 AAC 721, the following waiver is granted: The separated distance between the Class C public water system source well and the 3,000 gallon septic tank on Lot 1, Block 1, Hampton Hills Subdivision has been waived from 150 feet to 145 feet. Wastewater Disposal System Based on the submitted data, the wastewater disposal system (3,000 gallon two compartment septic tank 50 foot long deep trench soil absorption system) was installed in accordance with the minimum Kenneth M. Duffus Page 2 02/26/02 requirements of the Wastewater Disposal Regulations and the construction approval issued on April 16, 1999. Therefore, in accordance with State Wastewater Disposal Regulations [18 AAC 72], operation approval is granted. A Construction and Operation Certificate with the operation portion of the certificate signed, constituting this approval, is enclosed. Drinking Water System The existing Class C public water system was approved on February 9, 1993 with a cover letter provided to your client on March 1, 1993. In the March 1, 1993 letter, I requested that semi-annual analytical results for nitrates and total coliform bacteria be submitted to the Department. My review of the Department's database shows that your client has not been providing the requested test results. By copy of this letter, I am informing your client of the need to submit test results to this office within 30 days of the day of this letter. The Public Water System Identification Number assigned to this Class C public water system is 218001. Please ensure that this number is placed on all water sample laboratory forms to ensure that the public water system is properly credited for the sample results. This operation approval and separation distance waiver do not imply the granting of any additional authorizations, nor obligate any local, state, federal regulatory body to grant required authorizations. Thank you for your cooperation and coordination with this Department. If you have any questions, please do not hesitate to contact me. --Sincerely, 4=2 Keven K Kleweno, P.E. Environmental Engineer Enclosure: As Stated cc:. Chuck Blaney, ADEC, DW/WW w/o Enc:" James W. Montgomery, owner, w/ Enc. STATE OF ALASKA DEPARTMENT OF ENVIRONMENTAL CONSERVATION CONSTRUCTION AND OPERATION CERTIFICATE FOR DOMESTIC WASTEWATER DISPOSAL SYSTEMS A. APPROVAL TO CONSTRUCT Plans for the construction or modification of G• 0 T / jj G 0 c tc / f ff / T /V c s 1311- 4 y D / 77 0 ,1� �� 13 domestic wastewater disposal system J located in h+W c /moo /L- .9-G E , Alaska, submitted in accordance with 18 AAC 72.210 by /C/w' D A/ 41, 1w4L-/Z/ n/G have been reviewed and are approved. conditionally approved (see attached conditions). SiF L G rr--/2 BY TITLE DATE If construction has not started within two years of the approval date, this certificate is void and new plans and specifications must be submitted for review and approval before construction. B. APPROVED CHANGE ORDERS Change (contract order number or descriptive reference) Approved by Date C. APPROVAL TO OPERATE The "APPROVAL TO OPERATE" section must be completed and signed by the Department before this system is made available for use. i The construction of the domestic wastewater disposal system was completed on Z �1{�IJ Z (date). The system is hereby granted interim approval to operate for 90 days following the completion date. BY TITLE DATE As-built/record drawings, submitted to the Department, or an inspection by the Department, has confirmed that the domestic wastewater disposal system was constructed in substantial conformance with the approved plans. The system is hereby granted final approval to operate. TITLE DATE (Rev 4/97) Distribution: 1. White -Engineer (Complete Section C) 2. Yellow -System File (Complete Section C) 3. Pink -Engineer Muni/Borough (Complete Section 4. Goldenrod-Muni/Borough (Complete Section C) ANDERSON ENGINEERING P.O. BOX 240773 ANCHORAGE, AK 99524 522-7773 522-6779 (FAX) May 29, 2003 James Montgomery 7501 Upper O'Malley Road Anchorage, AK 99516 Subject: Lot 1, Block 1, Hampton Hills Subdivision Well and Septic System Certification Dear James: We recently completed our inspection and testing of the well and septic systems on your property. The bed and breakfast complex currently operating on the lot is served by two septic systems. The original constructed in 1992 consists of a 1,250 -gallon septic tank and a 26' by 30' absorption bed. It was originally constructed to serve the 4 - bedroom on the lot at the time. The second system consisting of a 3,000 -gallon septic tank and a 2' wide by 50' long by 10' effective depth absorption trench was constructed in 1998 to serve an 8 -bedroom house constructed during that period to upgrade the property to a bed and breakfast business. The well on the lot was placed in June of 1970 and is 68' deep with casing the entire depth. On April 18, 2003, an inspection and adequacy test was performed on the existing absorption bed and absorption trench to determine whether they were performing in conformance with standards set by the State of Alaska Department of Environmental Conservation (ADEC) and 18AAC 72. Prior to the test we measured the water level in each absorption system and found 6.5" in the bed and 54" in the absorption trench. We then injected 610 gallons of water into the bed and 1,302 gallons into the trench. The water level in the bed rose to 13" and rose to 91.5" in the trench. The water level was then measured approximately 21 hours later and found at 8.5" in the bed and 60" in the trench. We note, however, both absorption systems remained in service during this recovery period and additional water entered each of the systems. The results of our tests indicate the absorption trench is capable of absorbing a minimum of 1,200 gallons of water over a 24-hour period and meets ADEC requirements for certification. The bed, however, appears to be absorbing water, but at a rate less than 600 gallons per day. Our test indicated approximately 400 gallons of water was absorbed over a 23 -hour period. The system remained in service during that time, however, and probably absorbed an additional 200 gallons of water through normal usage in the house. We can therefore state the bed is capable of absorbing the necessary 600 gallons per day for certification. Lot 1, Block 1, Hampton HiPs 40 May 29, 2003 Page 2 of 2 It is important to note the absorption bed is operating at marginal capacity and may need to be upgraded in the near future. The lifetime of an absorption bed is difficult to estimate and depends on several factors including abnormal usage, groundwater intrusion, surface drainage and impervious soils. The normal life of an absorption bed is between 6 and 10 years. The bed on your property is now at or near the end of its useful life. A flow test was completed on the well and water system on the same date. Water was allowed to flow freely over a four-hour period and the well production measured using a volumeter. The average production over the period was determined to be 9.8 gallons per minute, which exceeds ADEC requirements. A water sample was taken from the system , and analyzed for coliform and other bacteria. No deleterious material was found and the water is within parameters set by ADEC and therefore suitable for human consumption. The septic tank was recently pumped and no accumulation of sludge was noted. No other work is necessary at this time. In general, the well and septic systems are functioning adequately as of this date and are in conformance with 18AAC 72. Attached is a copy of the State of Alaska Department of Environmental Conservation Application for On -Site Water and Sewer System Approval along with additional backup information. Please call if you have any questions or require additional information. Sincerely, 5 i 1-11, 1 MOR Michael E. Anderson, P.E. Attachments K' 1 4� p -r I r- p 3,000 GAL, ° T,�, CD CIES 04, t_. B - C=55.0' V7 �,62 � A-�-D=51-,5' E AS_ F ETAILS/ TT T? N , DEC PrR�C�J, 51.2 Lrr, AMPTCif ILi�S !3/D, BLOC 1, QCT ��; ii��� �r� k. E 3 S7qq�� """��yy ��^^�yy F... 103, ' If 3 J K' 1 4� p -r I r- p 3,000 GAL, ° T,�, CD CIES 04, t_. B - C=55.0' V7 �,62 � A-�-D=51-,5' E %E f Y — = 8, } 3000 GAL ` 8 DDPM i ADDN, ELL I i ?. A -C=44, ' CIES 04, t_. B - C=55.0' V7 �,62 � A-�-D=51-,5' B- D=60,9' — = 8, } 3000 GAL ` "b' SEF�`':IC e &TANK S7qq�� """��yy ��^^�yy F... 103, ' If FINAL GRADE PREPARED FOR; JAMES MONTGOMERY 7501 UPPER O'MALLEY ROAD ANCHORAGE, AK FIELD BOOKS cOMEU M acxaHtfy: R. JOHNS 1)""f K D STA AHA: R. JOHNS cl"KEO! KMO asp T" R, JOHN cf: i /i C DWG. FlLE CAM 2540 A -D rliE: 99007.0WGl 'OB N' 99007 T �0 SC�LEt 1" = 50' z CIES 04, t_. t&4' �,62 SCALA: NTS < 6G 5 9 4 BLVD.20441 PTARMIGAN EAGLE RIVER, AK 99577-8736 (907)696-8111 2011-0511I5-0 A Recording Dist: 301 - Anchorage s 10/20/2011 2:47 PM Pages: 1 of 4 ENCROACHMENT PERMIT 1203-13C G-2540 EN 11043 015-134-44 This permit is between Chugach Electric Association, Inc., an Alaska non-profit electric cooperative, (herein "Chugach"), whose address is P. O. Box 196300, Anchorage, Alaska 99519 and Bear Stern Asset Backed Securities, US National Bank Association, Trustee (herein "Permittee"), whose address is 7495 New Horizon Way, Frederick, MD 21703. 1. Easement. Chugach is the grantee or user of an easement for the construction and maintenance of electrical facilities, as follows: Dedicated by the plat of the subdivision known as Hampton Hills Subdivision, according to Plat Number 73-26, recorded on the 26th day of January 1973, on file in the office of the District Recorder, Anchorage Recording District, Seward Meridian, Alaska, Described in that certain written instrument recorded on the 19th day of November 1958, at Easement Book 4, Page 295, on file in the office of the District Recorder, Anchorage Recording District, Seward Meridian, Alaska, herein "Easement") which pertains to the following described real property: The North Ten Feet (N 10') and the West Ten Feet (W 10') of Lot One (1), Block One (1), Hampton Hills Subdivision, according to Plat Number 73-26, recorded on the 26th day of January 1973, on file in the office of the District Recorder, Anchorage Recording District, Seward Meridian, Alaska, Permittee acknowledges the validity of the Easement. Permittee warrants and represents that Permittee is the owner of the fee simple interest in the land subject to the Easement and the following described real property to which the Easement is adjacent: Lot One (1), Block (1), Hampton Hills Subdivision, according to Plat Number 73-26, recorded on the 26th day of January 1973, on file in the office of the District Recorder, Anchorage Recording District, Seward Meridian, Alaska, (herein "Parcel") Encroachment Permit - Page 1 of 4 2. Encroachment. Permittee has constructed or purchased the following improvements on or within the real property subject to said Easement: A septic system that encroaches approximately Seven Feet (7) into said easement for a distance of approximately Fifty-five Feet (55), a shed that encroaches approximately Six Feet (6') into said easement for a distance of approximately Ten Feet (10'), If the septic system must be repaired or relocated it must be moved out of said Easement, if it is necessary to utilize the west side of said Easement to install underground or new overhead electric facilities, the Permittee will be responsible for moving said shed out of said Easement, (herein "Encroachment"). 3. Permit. Chugach hereby authorizes Permittee to continue the existence of the Encroachment in its existing location subject to the covenants set forth in this permit. 4. Indemnification, Permittee shall indemnify and hold Chugach harmless from any claims for personal injury, property damage or other loss arising in any way from the continuation of the Encroachment. 5. No Expansion or Increase. Permittee shall not in any way expand or increase the extent to which the Encroachment occupies any of the real property encumbered by the Easement without the prior written consent of Chugach. Chugach has no obligation to provide such consent. 6. No Interest in Real _.Estate Acquired. Permittee hereby acknowledges that the Encroachment and any additions thereto, even if in violation of this permit, has not and shall not in the future give rise to any interest or estate in the real property subject to the Easement or any other real property. Without in any way limiting the foregoing, Permittee acknowledges that the Encroachment is not adverse to any interest of Chugach and its continuation is entirely with the permission of Chugach for purposes of the common law doctrine of adverse possession. This permit creates no interest in the real property subject to the easement. 7. Modification of Utility Facilities. If the electric utility facilities located within the Easement are upgraded, added to, replaced or reconstructed, Permittee shall pay that portion of Chugach's total costs for such modification which is reasonably attributable to accommodating or preserving the Encroachment. If such payment is not made within thirty (30) days of written demand for same, Chugach may terminate this permit in accordance with paragraph 9, below. 8. Covenants Running with the Land. The obligations of the Permittee arising from this permit shall be covenants running with the land which shall burden the Parcel and the Permittee's interest in the land subject to the Easement and shall benefit the Easement. 9. Termination. Chugach may terminate this permit after the giving of thirty Q )0) days written notice of such termination if: Encroachment Permit - Page 2 of 4 1111111111111111111111111111111111 2 of 4 2011-051115-0 a. The Encroachment is enlarged, increased or extended within the real property affected by the Easement. b. The Encroachment is damaged by any means to an extent of more than thirty percent (30%) of its replacement cost at the time of destruction. C. Permittee fails to make the payment described in paragraph 7, above, 10. Term. This permit shall, if not sooner terminated by Chugach, expire forty (40) years from the date hereof. 11. Entire Agreement. This written permit constitutes the entire agreement between the parties with respect to the subject matter hereof and supersedes all other prior or contemporaneous agreements, oral or written, between the parties. No modifications, amendments, deletions, additions or alterations of the permit shall be effective unless in writing and signed by all of the parties hereto. CHUGACH ELECTRIC ASSOCIATION, INC. By: �" 't Shelly Schi , Senior Manager Distribution Engineering Date: It? I20 -z-011 P TT By. Pt Stearns Asset Bac ked Securities S Bank National Association, Trustee D ate:, Encroachment Permit - Page 3 of 4 I!'�VVI'�Y!NINIIiNI'In Of 4 2011-051115-0 cowr"W STATE OF A-1,A&K=k- ss: The foregoing instrument was acknowledged before me this 1t day of 0c;-P6U' 2011, by FNotary ANTELE HANSON SON Public State of Colorado qP MA&01- NAME(S) OF PERSON (S) SIGNING DOCUMENT STATE OF ALASKA ) ss: T141R.1) JUDICIAL DISTRICT Notary Public in and for the My commission expires: tr The forqgoininstrument was acknowledged here me this day of I 2011, by_ Senior Manager, Distribution Engineering of Chugach Electric Association, Inc., an Alaska corporation, on behalf of the corporation. Notary Public in and for the State of Alaska My commission expires: AFTER RECORDING RETURN TO: Chugach Electric Association, Inc. P.O. Box 196300 Anchorage, Alaska 99519-6300 Encroachment Permit - Page 4 of 4 0A lit I0 I I it I L co, (ZIA A R P U BV 4 of 4 2011-051115-0 . .. _ Anchorage Water & Wastewater Utility . . .....__ Engineering Division 3000 Arctic Boulevard - Anchorage, Alaska 99503-3813 Telephone. (907) 564-2774 - Fax (907) 562-0824 www.a"�Avu'biz * www.muni.org Mt,,or Dan Sullivan September 23, 2011 Bear Stearns Asset Backed Securities US Bank National Association/Trustee 7495 New Horizon Way Frederick, MD 21703 Board Chair DmStellivan Re- HAMPTON HILLS SUBDIVISION BLOCK 1 LOT 1 Request for Letter of Non -objection to Encroachment (Tax ID# 015-134-44) The Anchorage Water and Wastewater Utility received a request from you on September 23, 2011 in regards to a septic system absorption bed encroaching approximately seven feet into the utility easement located along the north property line of HAMPTON HILLS BLK 1 LT 1. AWWU is currently not using this utility easement and has no objection to the encroachment. AWWU hereby issues this letter with stipulations to allow the encroachment of a septic system absorption bed into the easement, the property owner(s) agrees to the following: 1. AWWU will be held harmless, now and forever, for any damages or injury to any person as a result of the encroachment; 2. The property owner(s) shall call for utility locates before excavation in the easement, - 1 All applicable codes and regulations will be observed and maintained within the easement-, 4. This letter will in no way preclude AWWU from full use and enjoyment of its rights within any portion of the easement, 5. The property owner(s) shall pay any additional and/or extraordinary costs incurred to accommodate the encroachment during any future required construction or reconstruction of AWWU facilities; 6- AWWU's non -objection does not imply other approvals that may be required for this encroachment; and, 7. AWWU does not provide a position for any other parcel or utility impacted by the encroachment - Should you have any questions, please call the AWWU Planning Section at 564-2739, Sincerely, E. Christine Metcalf Engineering Technician ENSTAR Natural Gas Company A DIVISION OF SEMCO ENERGY Engineering Department Right of Way Section 401 E. International Airport Road P. O. Box 190288 Anchorage, Alaska 99519-0288 (907)334-7753 FAX (907) 334-7798 September 23, 2011 Bear Stearns Asset Backed Securities US Bank National Association/Trustee 7495 New Horizon Way Frederick, MD 21703 Grid: A2540 Re: Letter of Non -Objection To whom it may concern: ENSTAR Natural Gas Company has no objection to the existing shed encroachment into the Ten Feet (10 FT) wide utility easement situated adjacent to and coincident with the westerly boundary line of Lot 1, Block 1, Hampton Hills Subdivision, Records of the Anchorage Recording District, Third Judicial District, State of Alaska. ENSTAR also has no objection to the existing septic system absorption bed encroachment into the Ten Feet (10 FT) wide utility easement situated adjacent to and coincident with the northerly boundary line of the aforementioned lot. 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: • Landowner/Contractor working near ENSTAR gas facilities shall contact the Alaska Digline, Inc., (907) 278-3121 or 811, for line locating two (2) business days prior to any related excavation. • 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 land owner. 2/2'd 99L22.2_96:01 2SO029SL06 MOd dd1SNE:WOdd dS2:OT TT02-,LT-100 • All applicable safety code regulations will be observed and maintained. • This letter of non -objection will in noway preclude EN STAR from full use and enjoyment of its rights within any portion of its right-of-way. Sincerely, Andrew Fraiser Right -of -Way Agent ENSTAR Natural Gas Company cc: File Mike Anderson, P.E., Anderson Enginnering 2i2'd 9912-2.2-96: 01 2SO029SLOG MOa aUiSN3:WOaA dS2:OT TTOZ-LT-100 September 29, 2011 Bear Stearns Asset Backed Securities US Bank National Association/Trustee 7495 New Horizon Way Frederick, MD 21703 �E�y-�ji�rCst'S1Y71t1�1sc;�9i131,S.cciT'it Alaska Communications has no objection to the encroachment of septic system absorption bed along the northern boundary and the shed and paved driveway along the western boundary of Lot 1, Block 1, Hampton Hills Subdivision, otherwise known as 7501 Upper O'Malley Road as depicted on the drawings submitted by Anderson Engineering. Acceptance, (your signature below), and use of this letter of non -objection by yourself, your heirs, your assigns, or your successors, will constitute agreement to the following stipulations: Alaska Communications will be held harmless, now and forever, for any damages or injury to any person or property as a result of this encroachment. 2. Any Alaska Communications facility damaged or destroyed as a result of this encroachment will be repaired at no cost to Alaska Communications. 3. Any costs incurred by Alaska Communications for special construction necessitated by this encroachment will be borne by the property owner. 4. Ali applicable safety code regulations will be observed and maintained. 5. This letter of non -objection will in no way preclude Alaska Communications from full use and enjoyment of its rights within any portion of its right-of-way. Please sign both copies, retain one copy for your use and return the other to Alaska Communications. 'ncerel , La Sm,h, N t)brAeering Foreman asks Communications Outside Plant Engineering, MS#14 600 Telephone Ave. Anchorage, AK 99503 ACCEPTANCE SIGNATURE: DATE: Grid RCWC 2540 L;lEngineer%CORRESPOINONOBECn4200 Mt. View Dr.doc ep 23 11 02:51p September 23, 2011 Bear Stearns Asset Backed Securities US Bank National Association/Trustee 7495 New Horizon Way Frederick, Maryland 21703 Dear US Bank National Association/Trustee: C�=7171 C�1 Subject to your agreement to indemnify the company as set forth below, GCI Communication Corp has no objection to the septic system absorption bed encroaching into the utility easement at the north property line of Lot 1, Block 1. IIampton IIills subdivision, also known as 7501 Upper O'Malley Road, city grid 2540. This letter of non -objection in no way precludes GCI Communication Corp 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 shal l be paid by the property owner. By signing below, you agree to indemnify and hold GCI Communication Corp 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 address below. Sincerely, r L Markus Kofoid OSP Design Engineer GCI Communication Corp 5151 Fairbanks St. Anchorage, AK 99503 907-868-6168 Office ()AI7 040 QCQn VI_ Acceptance Date MUNICIPALITY OF ANCHORAGE • t DEPARTMENT OF HEALTH & HUMAN SERVICES M} 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 Parcel I.D. # n12_)-- 1 2,i\ - )-\ -I HAA # 1. GENERAL INFORMATION Complete legal description Lot 1; Btock 1; Hampton H.i P2s Subdivision Location (site address or directions) 7501 UppeA O' MaUey Road Property owner Gamy F. Smith Day phone Mailing address 7501 Uppeh O'Mo.Uey Road Anchorage, Ataska Lending agency Day phone Mailing address Agent Many Ann Beckwith FORTUNE PROPERTIES, INC. Day phone 562-7653 3000 A StAeet Suite #101 Address AnrhatL Aia.Lka 99503 Unless otherwise requested, HAA will be held for pickup. 2, NUMBER OF BEDROOMS: 4 3. TYPE OF WATER SUPPLY: Individual well XX Community well Public water NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 4. TYPE OF WASTEWATER DISPOSAL: Individual on-site XX 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. 1791) 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 furtherverify 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. Phone Name of Firm 17034 Eagle River Loop Road No. 204 Address aq,e .ver, a 21 2 Date Engineer's signature , .F y,�,p ea„aaos-a `4n n ,y'Y �✓� a ^H 'S�Y'IF� k'.y i 4 I3 �, aa -,a. � •aa�a�aaa ea au st a'a 4� Foti';1 J. hIaFER 4` Aa 6. DHHS SIGNATURE Approved for &2e� bedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulations: Additional Comments M Date & — 3 9 �__ The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 72-025 (Rev. 1/91) Back MOA #21 • Municipality of Anchorage Department of Health & Human Services } HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: LOT ( I ISLjC , "P701V HIU-5 /Parcel I.D. 0 " _ - / � `� - 4 A. WELL DATA _ Well type FJ�IiZk��� If A, B, or C, attach ADEC letter. ADEC water system number Log present t`c( N) FS Date completed 1/`/O -?-Z Driller FESS �)RILLPJL Total depth ia� Cased to IA? r Casing height /,21(/ Sanitary seal ON) Date of test Static water level Well flow Pump level FROM WELL LOG ll_lo_, UB r (AK SEPARATION DISTANCES FROM WELL TO: Septic/h&4-ng tank on lot / UO Absorption field on lot Public sewer main Sewer service line Wires properly protected ON) AT INSPECTIONS SoI�uaDa2S { A7TReHtp� IZE,oiz z 9 f � mO g.p.m. g.p.rh� n 400-0 Z On adjacent lots On adjacent lots Public sewer manhole/cleanout �J/A Petroleum tank NONE KNOUJrJ WATER SAMPLE RESULTS: Coliform U Nitrate K)0 KJF l T. Other bacteria Date of sample: s'� �' 9 Collected by: S EN&t,,- h-IiUG B. SEPTIC/1 PING TANK DATA Date installed �'�`� Tank size ia6U GAL Compartments 1�1 Cleanouts 6/N) Foundation cleanout &N) YES Depression (Y/(b Ivo High water alarm (Y/I6 4yA Alarm tested (Y//0) /)/A Date of pumping — �-GI � Pumper A" f �&AF &�I2Ytc F S SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: 7 Well(s) on lot 1 bU On adjacent lots � 0 f Foundation /d ' t i To property line SO4- Absorption field Water main/service line 5U Surface water/drainage too 4- 72-026 (Rev. 7191) Front CONTINUED ON BACK PAGE C. LIFT STATION Date ' tailed Size in gallons Vent (Y/N) "Pui o n" level at High water alarm level Meets MOA electrical codes (Y/N) Manufacturer Manhole/Access (Y/N) SEPARATION DISTANCE FROM LIFT STATION TO: Well on lot D. ABSORPTION FIELD DATA On adjacent lots "Pump off' level at Cycles tested Surface water _ Date installed 1,; - J- 9 Soil rating _ GPS F System type �FD Length 3o Width 6 / Gravel thickness Total depth Total absorption area Cleanouts present ON) YFS Depression over field (Y/& r �o Date of adequacy test_ Results (pass/fail)�!% ` nI�W S (/S«= �� for I Peroxide treatment (past 12 months) (Y/�E� %y� If yes, give date SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot /,�a f On adjacent lots %�(�J _Property line S + To building foundation « To existing or abandoned system on lot (7 On adjacent lots C2.S ! Cutbank Ioc) t(- Water main/service line O r� Surface water (w Driveway, parking/vehicle storage area S(3/1 Curtain drain (Mot -3F KNnwn) E. ENGINEER'S CERTIFICATION bedrooms I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. 5 & 5 ENGINEERING � 1r;• s Signature 17034 Lagic River Loop Road No. 204 '' EB y!,. Pivot-, A lnq;!Ca 99577 Engineer's Name Date t HAA Fee $ (��� Waiver Fee: $ Date of Payment C2 - Z_ Date of Payment Receipt Number oL _b tfK ;;y 1!!4 Receipt Number 72-026 (Rev. 3/91) Back MOA 21 MUNICIPALITY OF ANCHORAGE DIVISION OF ENVIRONMENTAL HEALTH DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION APPLICATION FOR HEALTH AUTHORITY APPROVAL CERTIFICATE 1. General Information I Application Date ry P (a) Legal Description (include lot, block,, subdivision] section, township, range) Location (address or directions) 4 (b) Applicants Name i�%�Z � A� Telephone - Home Business Applicants Address IS61 C% cam' (c) Applicant is (check one) Lending Institution ; Omer/builder / ; Ocher. (explain) ; Buyer F ---- (d) Lending Institution W _Y -_ _ .____- Telephone Address (e) Real Estate Co. & Agent Address Telephone % v S Snn (f) Mail. the HAA 4:o the following address: 2. jyyof: Residence Single -Family Multi -Family Number of Bedrooms 3: [dater Supply Individual Welll< Community Other (describe) Public E__l 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 FE1 Public F::1 Community E-1 Holding Tank Note: If community well system, must have written confirmation from the State Department of Environmental Conservation at -testing to the legality and status. [Page I of 2] 5. Engineering Firm Providix�Z Inspections, Tests, File Sear h� 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- tionr in effect on the date of this inspection. Name of FirmJAM,kS p. RC1F�fR_>�.` _ ---- �_ _ --- Telephone 6&- Fi ENGINEER Addr®ess — _ 360 Benson enson�RaB'v1: e�®TA ae t) - J� DateOXV0 491H4 •�-- �- Ooeoo eooeooeee eob� ee� (ENGINEER SEAL) a i f�d�r� 6. DHEP Approval `Go� Approved for ���«/` Bedrooms Approved Disapproved Terms of Conditional Approval__ / 1,00, 000000 009 00000000: LLL e �AGA[+�3 d •ova a �� p4� Dona 0000O Al el 2 0'0 00 0000 PI By tPtIc_EY�/ Conditional CAUTION THE MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION (DHEP) ISSUES HEALTH AUTHORITY APPROVAL CERTIFICATES BASED SOLELY UPON THE REPRESENT- ATIONS GIVEN IN PARAGRAPH 5 ABOVE BY AN INDEPENDENT PROFESSIONAL ENGINEER REGISTERED IN THE STATE OF ALASKA. THE DHEP DOES THIS AS A COURTESY TO PURCHASERS OF HOMES AND THEIR LENDING INSTITUTIONS IN ORDER TO SATISFY CERTAIN FEDERAL AND STATE REQUIRE- MENTS. 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. (DHEP SEAL) RR4/ej/D18 (Page 2 of 21 7--19-84 MUNICIPALITY OF ANCHORAGE DEPT. Of: HEALTH & FNVIRONMENTALPROTECM@�ICIPALITY OF ANCHORAGE (MOA) JAN 3 1088iEALTH AUTHORITY APPROVAL (HAA) RECEIVED CHECKLIST - FEBRUARY 1984 A. WELL DATA Legal Description: �v�/ �✓/���� f / -- ,1j Well Classification If A, B, or. C, D.E.C. Approved(Y/N) Well Log Present (Y/N) fds. Date Completed �� d Yield q DeK Total Depth �� r Cased to_ Depth of Grouting A4MAr. Static Water Level _ 1 _Pump Set At Casing Height Above Ground '+�i.® Sanitary Seal on Casing (Y/N) Electrical Wiring in Conduit (Y/N) � Depression Around Wellhead (Y11 �J Separation Distances from Wall: To Septic/Holding Tank on Lot On Adjoining Lots /00+ _ To Nearest Edge of Absorption Field on Lot 1Oq +w; On Adjoining Lots (GO, `1" _ To Nearest Public Sewer LineIV* /VAd To Nearest Public Sewer 0 Cleanout/Manhole— /1/orijo _ To Nearest Sewer Service Line on Lot _ Water Sample Collected By�% �o / �� 5 Date /.2 /Z.4 -- Water Sample Test Results Comments B. SEPTIC/HOLDING TANK DATA Date Installed _ Size / �.,�(� No. of Compartments Standpipes (Y/N) Air -tight Caps (Y ) Foundation 'C.leannout (Y/N) Depression -over Tank (Y/N) Date Last Pumped t _ Pumping/Maintenance Contract on File (Y/N) for Holding Tank High -Water Alarm (Y/N) Temporary Holding, Tank Permit (YM) Separation Distances from Septic/Holding Tank: To Water -Supply Wall I + To Building FoundationTo Property Line®� .f+ _ To Disposal Field To Water Main/Service Line 7-A To Stream, Pond, Lake, or Major Drainage Course — Comments (Page 1 of 21 2-15-84 C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Type of System DesignN�t Date Installed % Length of Field 8 Width of Field 3 Depth of Field Gravel Bed Thickness 6 Square Feet of Absorption Area Standpipes Present (Y/N) Depression over Field (Y/N) ,4, Date of Last Adequacy Test Results of Last Adequacy Test Separation Distance from Absorption Field: To Water -Supply TAbll 100 1 } To Property Line L®t .}•• To Building Foundation le -5 4e To Existing or Abandoned System can Lot "DAA& On Adjoining Lots too $ + To Water Main/Service Line SO' To Cutbank(if present) h,**#c Prrt To Stream and /P /Lake/or Major Drainage Course /✓Dw►e -o /®t1 4, To Driveway, Parking Area, or Vehicle Storage Area 71p i 4 Comments D. LIFT STATION Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Electrical Codes(YM) Comments Dimensions Manhole/Access (Y/N) '°Pump,, Off".- Level at Vent (Y/N) Pumping Cycles during Adequacy Test. Meets MOA Check Permitted Bedrocm 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 inspe4icZn. � V< //OF' At Signed J L-�� Date /2 .((v�Q•� •000e o.e0000��y �V Company JOtv►�s a oeEorS,r Qac MOA No. STSS-// �� .a�J f1 ee..e ERS K 17..0..,�d� KBl d5 S Wet Be & FU". •y .e•o••�..oseo. 000:0680 � 360 West Benson Blvd., �f207 / / AnchoraW. AK 9955x• AQ a JAMES q p06IUM CE -1516 0 (Page 2 of 21 2-15-84