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MULBERRY TR B2
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: OSP 181438 PID Number 018-232-31 ❑ New •Upgrade Name TAREE A. WOOD ABSORPTION FIELD Address: ❑ Deep Trench ❑ Shallow Trench ❑ Bed P ound 4700 E. 135TH AVE. *ANCHORAGE,AK 99516 ❑Other .of Bedrooms: Soi Rating Total Depth from original;.de Phone. No (206) 510-7063 4 GPD/Sq.Ft. Ft Depth to pipe invert from original grade Gravel-•pth beneath pipe LEGAL DESCRIPTION G 9,f`\- Ft Subdivision: Block: Lot Fill added above original grade �.L\ Gravel length. MULBERRY; TRACT B2 - - V- Ft. Ft. I ownship: Range: Section: Gravel width: Beds Number of lanes. Distance between lines. Ft. Ft 1 SEPARATION DISTANCES Total absorpti• area Number of trenches: Dist between trenches To Septic Absorption Lift Holding PubliaPnvate From Tank Field Station Tank Sewer Lines SO.Ft. Ft Well 1001+ - - 25'+ TANK U Septic ❑ S.T.E.P. ❑Holding LI Other Manufacturer Capacity 0 Surface Water 1001+ - ANCHORAGE TANK 1250 cal Material Number of compartments Lot Line 5'+ - N/A STEEL 2 Foundation *101+ LIFT STATION Curtain Drain I Nanofacty er C • y NONE KNOWN - - Ga Remarks: OLD SEPTIC TANK DECOMMISSIONED PER UPC PER CONTRACTOR 'PJmp on'level al: 'Pump off-level at' High water alarm at •5'+FROM DECK PILES Pimp Make&Model' Electrical Inspections performed by PIPE MATERIAL House to tank EXISTING/D3034 Tank to EXISTING/D3034 drainfield Installer WILCO EXCAVATION Drainfield EXISTING CO/MT EXISTING/D3034 Inspector GEG, Ltd. BENCH MARK (Assumed elevation) 105.48 Ft Inspection Dates: 1st 12/13/2018 2nd - Location and Description 3rd - 4th BOTTOM OF TRIM AT NW CORNER OF HOUSE ENGINEER'S SEAL Community Development Department Approval oo�o� Conditional approval: Date: p` I, ....- -(10 0 4: J i\ ''.-7 00 vA v . � . 00 ''.•Je' -y A. Gar ess.: g —7953 • Gop OQ ki /: .•• .mac O Approved: - 1------::::-_( Date: t 2 �S LICENSE44eap�ofess;o(o. 6.141q It oo #AECC884 40\\.����� Inspection Report_1.1-12.doc PERMIT NUMBER: PARCEL ID NUMBER: 1 OSP181438 RECORD DRAWING 018-232-31 • •••:.-• -•..•. EAST 135TH AVENUE 0 A B .�., d ST1 58.1 44.2 '. EXISTING SUMP Q ST2 60.1 47.1 '..• W DBL1 60.7 47.7 W DBL2 61.1 48.1 0 Z NEW MT INSTALLED ALL SWING TIES FROM AS-BUILT W SURVEY DATED 12/18/2018 W rt r' f• 0 '•t `• • • 0 :."••.R••.r.• :••. CO NEW 1250 GALLON STEEL SEPTIC TANK; • '_.s•:•'•'�' .•••� `', ` Uf NO DECK PILES WITHIN 5 FEET OF TANK •••.,.•-•..'' ; : ''r•' .•... - !.•• •••;;s �:•:•;',1�' DRIVEWAY II • ., Q' 4•: r• .-.•.:... j `1 t.•.• i f '•1�. : .: ii' ��ii• 2 'y" f ' '• 1 -..W.,11•41 EXISTING 4 :.t'�=•�:••:.w. .'. •..:.•._• ...; . .'• • �.''-,,� BEDROOM HOME / • ,... itiori f a j\k4. 411tr I100'WELL RADIUS 1 S ALE: \ li 1"=40' i ,,ii 4C oF 4.•41,-\\-.. ... 4 10 • GARNESS ENGINEERING GROUP, Ltd 14`:` 4'/i• t ENGINFFRING•SALES•CONSULTING + 0 3701 E.TUDOR ROAD.SUITE 101•ANCHORAGE.AK 99507'PHONE(907)3374179•FAX(907)338,3246'WEBSITE www 9emessenpmeln9.com •s.( . •• / • ; PREPARED FOR: PHONE NUMBER: PAGE NUMBER: 0 ill L� y Garne.s .-z--• 41, / TAREE A.WOOD 206-510-7063 2 OF 3 •.J'• ••• D g • z- LEGAL DESCRIPTION: DRAWN BY: • e• (Z ' �(�•' � MULBERRY; TRACT B2 D.J.G. •j •* �py�• •('�r••\, 4� TYPE OF WORK: DATE: LICENSE•h f E�1 v • SEPTIC TANK RECORD DRAWING SITE PLAN 12/18/2018 #AECC884 1�li%%Wile* PERMIT NUMBER: PARCEL ID NUMBER: ` OSP181438 RECORD DRAWING 018-232-31 FINAL GRADE=98.38-98.48 TOP OF TANK ST1 ST2 AT INLET=93.33 > > TOP OF TANK AT OUTLET=93.37 INVERT OF BUNG NEW 1250 GALLON SEPTIC TANK AT INLET=92.86 INVERT OF BUNG 1 AT OUTLET=92.72 k \/ ,:s*" 1,„ GARNESS ENGINEERING GROUP, Ltd 117/4 r :• 4 �:► 444 � s • . k k 011 • 3701 E.TUDOR ROAD.SLATE 101•ANCHORAGE.AK 99507•PHONE)907)337.6179•FAX(907)338-3246•WEBSITE'.MAY 9ame•c•npn••ring cool • •• • . PREPARED FOR: PHONE NUMBER: PAGE NUMBER: O - ' J fr' A.Gam ss TAREE A.WOOD 206-510-7063 3 OF 3 OA I CE- 95 . 417m LEGAL DESCRIPTION: DRAWN BY: •. .. ••• ••; •• L iC I.� 4 MULBERRY; TRACT B2 D.J.G. • DP k••�( I �, •f TYPE OF WDRK: DATE: LICENSE-.h ;;;• �P.• SEPTIC TANK PROFILE 12/17/2018 #AECC884 Torn Fink, Mayor icipality of nchor ¢ Department of Health and Human Services 825 "L" Street P,O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 May 1, 1992 B.D. Gilmore 4700 East 135 Avenue Anchorage, Alaska 99516 Subject: Tract B2 Mulberry Subdivision Permit ~SW910077, PID ~018-232-31, The subject permit, issued May 1, 1991 by this office for a single family well and/or on-site wastewater system, has expired as of May 1, 1992. A new permit must be obtained from this office for a well and/or on-site wastewater system NOT installed by the expiration date. If you have drilled the well, a well log must be sent to this office for documentation of the installation and to close the permit. If a licensed Professional Engineer has inspected the installation of the on-site wastewater system, the original as-built inspection report must be sent to this office for review, approval and documentation. All inspection reports must be submitted within 30 days of construction completion. When applying for a new permit, the fees are: $200.00 for an on-site wastewater permit; $75.00 for a well permit and $275.00 for a combined on-site wastewater and well permit. If you have any questions, please call this office at 343-4744. n&ger On-site Services enc: Copy of Permit PAGE 1 OF 1 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT PERMIT NUMBER:SW910077 DESIGN ENGINEER:S & S ENGINEERS OWNER NAME:GILMORE B D OWNER ADDRESS:4700 E 135TH AVE ANCHORAGE, ALASKA 99516 DATE ISSUED: 5/01/91 EXPIRATION DATE: 5/01/92 PARCEL ID:01823231 LEGAL DESCRIPTION: MULBERRY TR B2 LOT SIZE: 89734 (SQ. FT.) NUMBER OF BEDROOMS: 4 THIS PERMIT: 4 THIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK 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 (iSAACS0). 3. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: t. PROVIDE SECOND TESTHOLE AT WEST END OF TRENCH TO VERIFY CONSISTENT SOILS. ALL PORTIONS OF THE BED MUST BE ENCOMPASSED BY SOIL TEST RADIUS. 2. MAINTAIN A MINIMUM OF 10' SEPARATION BETWEEN THE EDGE OF EXCAVATION OF THE BED AND THE EDGE OF THE TRENCH. 3. VERIFY INTEGRITY OF EXISTING SEPTIC TANK OR REPLACE WITH 1250 GALLON TANK, INCLUDING TWO POST-TANK CLEAN OUTS. ISSUED BY: / DATE: April 26, 1991 ROBERTSHAFER, P.E. ROGERSHAFER CIVIL ENGINEERS (907) 694-2979 FAX 694-1211 HEALTH AUTHORITY APPROVALS SEWER & WATER MAIN EXTENSIONS SEWER & WATER INSPECTION ENGINEERING STUDIES AND REPORTS WELL INSPECTION & FLOW TEST SITE PLANS ROAD DESIGN SOIL TEST Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES 825 L Street P.O. Box 196650 Anchorage, Alaska 99519-6650 REFERENCE: Tract B-2; M~berry Subdivision; PERMIT REQUEST NARRATIVE The lending institution would not accept the recent~y issued Health Certificate on the referenced property with the note placed on it predicting the limited life of ~he septic system. Therefore, the property owner, Mr. Gilmore, is requesting a permi~ to upgrade his septic system. Soils encountered during a test hole excavation were GW (sandy gravel) with a percolation rate less than I MIN/INCH. We have proposed the installation of an absorption bed with a 2 ft. sand filter. The area consists of large lots with a low well to septic density. We anticipate no adverse impact on n~ighboring properties by the i~tallation of the proposed septic system. If you have any questions or require additional information for your review, contact us. PERCOLATION TEST A. SHAFER, P.E. i/gm STRUCTURAL & MECHANICAL INSPECTIONS ON SITE WASTE WATER DISPOSAL SYSTEM DESIGN 17034 EAGLE RIVER LOOP, SUITE 204, EAGLE RIVER, ALASKA 99577 Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST PERFORMED FOR: ~' / L-- ~ ~'~,-~ LEGAL DESCRIPTION: '~ '~ , 1 2 3 4 7 9 10- 11 12 13 14 15 16 17 18 19 2O Township, Range, Section: SLOPE WAS GROUND WATER ~, I ENCOUNTERED? I'%~ 0 S L IF YES, AT WHAT O DEPTH? Oeplh to Water~. Monitoring? SITE PLAN Reading Date Gross Net Depth to Net Time Time Water Drop PERCOLATION RATE __ (minutes/inch) PP-RC HOLE DIAMETER __ TEST RUN BETWEEN ~FTAND /~'-- FT W.a~ ~* ~,-. ~ ....... ~ ~C ......... THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPALGUIDELIN T ON THIS DATE, DATE: 72-008 (Rev. 4/85) MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street - Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT / [. PHONE [~ NEW NAME MAILING ADDRESS LEGAL DESCRIPTION LOCATION DISTANCE TO: lWell ~OO Abs°r~4~,~a"ea ~1 (oq Manufacturer (~ Material Liq. capacity in gallons IF HOMEMADE: Inside length ~ Width DISTANCE TO: Dwelling Manufacturer t~Well DISTANCE TO: ~'~1~ ~~r~ No. of lines ~ Length of e.~ch~line Top of tile to finish grade~ (~ Length WilthI Type of crib ~ehCr b d*r~C~.(r/~_~ Depth Building foundation DISTANCE TO; Foundation T oral length of li~ees lute I 33 a ria beneath tile Depth Crib depth Building foundation Driller Sewer line DISTANCE TO: NO. OF BEDROOMS~,~ IPERMITNO. INc. of corrlpartments Material Nearest lot line Tr e r.l,~ ~wiahI inches inches Liquid depth ~ /~ PERMIT NO. Liquid capacity in gallons PERMIT NO. Total effective absorpdon area P[BMIT ~0. Total effective absorption area Nearest lot line Distance to lot line PERMIT NO. Absorption area(s) Septic tank OTHER PIPE MATERIALS SOIL TEST RATINe '.5 o 4¢- INSTAI~LER REMARKS 72 013 ~'Rev 3/78) · DATE LEGAL PERFI:[ T NO. FIF'PL I CFINT LOCAT I ON LEGRL g)EF"h~ RTF1EN," "f OF I-JERL'I"H FIIqE:, EN',,,' I RONF'IENTFIL. F'I~:OTE;CI" ;t: ON ~.~..~ ,,. .... ,~ ... ... B. [:,. Ei I LHF~RE 4. :..]: :L :.t I'.~ORTH ': '"" ..... J.:~STtd STREE"r OFF T'T'F'E OF' ':'- - c - ¢, ,,- .... ~,UIL F E,_,LFE,~f II3N : ~.:,fEI'I IS: TF:ENCI,.i I','IFtXINLIH NJHE, ER (:if E:EE:,ROOHS = ~ SE IL RFIT]:NC!i ('L.';Q FT,.-"I3Fd:)= ';'~ THE F~Eg!L.IIId.':ED _.,I~E OF THE '.-qFlIL HB=,EFi. FTIEN :~r.:,FEfl IS' TIdE LENGTH DIHENSION IS THE I_EI",IGTH ,:: I[4 FEET::' OF:' THE TRENCH OR [:,RFIINFIEI....E:,. THE DEF'TH OF' FI TRENCH OR PIT IS THE DISTf:INCE; BETI.dEEN THE SURFFIC:E OF' Tl,'il:.':'. GROUND tINE:, TI,"IE BOTTOI"I OF THE EXCFlVRTI01'4 (II",l FEET). THERE IS NO SET !.,IIDTI'-I FOR TRENCtdES. THE GRFIVEI.. DEPI'H IS THE HI. NIfdUf"I DEPTH OF GF~:FIVEL. BETI.,.IEEN 'I.'HE OI..r'f'FI,::IL..I.... F'If::'E FIN[) THE BOTTOH OF "ride Eh',CRVRTION (If.,I FEET). PERHIT RPI:Z'LICFINT HRS ]'HE: RESPONSIBIL. IT"r' TO INFOF?.H THIS DEF'RRTHENI' [;'l..rlF;:.'l:["l(~i THE II"dSTFILL. RTION INSPECTIONS OF FIW'¢ HELLS RD,:I'FICENT TO THIS PROF'EF.:]""r' RI",I[:' THE: NUHBE:R OF' RESIDENCES THRT THE !.,.IELL. HILL SERVE. i"t!NIHUH DISTRNE:E D[ETNEEN R FIEI...L FIN[> RN'¢ ON~.SITIE SE!.dflGE J.01:3 FEET FOR R PR IVRTE !.,.IELL.; OR J..~50 TO 20~.~ FEET FROP1 F:l PUBLIC 14El_L. DEPENDING UPON THE TYPE OF PL.IBL'!C' 14EL.I_.. !.,.IEL. L LOGS FIRE RELqUIRED RND t',IUST BE RETtJRNED 'FI.-~ "Fide DFPFIRTI"IEI'.KF 14:[THII'.,I ."~:F~ F.:,l":l'T':~J; OF: THE NELL COI'IF'LETION. CIT'HER REQUIREFIENT!'; HR¥ RPPL"r'. SPECIF::IC:FITIOI"~S FIi".ID CONSTRUCTION DIFlGP. F:IHS F:II:~'.E F/'v'RIL.RBLE TO INSURE PROPER INSTFILLRT[OI"~I. I CERTIF"r' THR"r t: I RM FRMIL. IFIR HITH THE REQUIREMENTS FOR OI'-,I..-SITI,¢: SEI,,.IE'.RS FIND I,.IEL.LS FIS SET FORTH B'.,.' THE I',IUI'dIF.::IPRLITY OF RF,ICI--IORFlGE. 2: I HILL INSTFII..L TNE S,N".'STEI','I IN RCCOR[:,RNCE 1.4ITH THE CODES. :~:: I LINDERSTRND TF.IF. IT THE ON--SITE SEr4ER S'¢SI"EH fqFt'¢ REI;!UIRE ENI.FlF:GEHENT :IF:' THE: ~.b.::,I[..,ENL. E Iz, REI',Iu[..,ELED~ ri.J .INC. LIJ[.,E 1,1OF..E TIdItN ~.. [..,[..[..,F..uOI'I .... FIPPL: I CFINT P.",. D. G I LI,,IOF,:E CONSUL F~G GEOLOGIST BOX /176-M, STAR ROUTE A ' ANCHORAGE, ALASKA 99507 " PHONE 344-?071 SOILS LOG Performed for %,b, 6~/~-~..~ Date C ./~/q ].6 18 Soil Type Water Level Remarks b4L_ Total Depth of Excavation Groundwater ~'ff No t Reached Depth, if Reached Classification Method ~Visnal ( ) Sieve Analysis () Material at Total Depth ~ Bedrock ~ Reached Depth, if Reached Gary F, Player, Consnlting Geologist 979 WELL LOG C-h ~r~- Gilmore o 32 £t 32--- 77 ft 77 ........95 ft 95 ~aa rt ~2a ~54 ft 154 .......161 ft ~ 61 ~ 65 £t Lot ~ Blk # Subdivision Tract B2 Mulberry Subdivision Gr ay e ~ Clay % Gravel Gravel Brown Sand Clay Sand %, ,~rav~l Silt L wet sand '.'~ater % Gravel i/!j',x]iC ?-AL 'FY OF ANCHORAGIJ DF. PT. (DF HEALTH & I~I,NIRONMENIAL PROTECTION ~,ailed 10 GPH ,','ith 20 ft. water in well. Municipality of Anchorage rduc.:::J B - �- On-Site Water and Wastewater Program c, 6 7�8. (907) 343-7904 ui,'.tom` rat, Certificate of On-Site Systems Approval Expiration Date: _ 2- 12 Parcel I.D. 018-232-31 p Lg 1. GENERAL INFORMATION: Complete legal description MULBERRY;TRACT B2 Location (site address) 4700 E. 135TH AVE.*ANCHORAGE,AK 99516 Current Property owner(s) TAREE A.WOOD Day phone 206-510-7063 Mailing address Real Estate Agent Day phone 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ® Individual Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ WaiverNariance request for: Distance: Received by: M Date: Z //2/Z6_ COSA to be released to the engineer,unless otherwise requested by the engineer. COSA Fee $ 52(p.00 Waiver Fee $ Date of Payment 111 C 'i$ Date of Payment Receipt Number 0 5C- cite Receipt Number COSA# 0 Li/ Waiver# 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On-Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm: Gamess Engineering Group, Ltd (GEG) Phone: 907-337-6179 Address: 3701 East Tudor Road, Suite 101-Anchorage,Alaska 99507 Engineer's Printed Name: Jeffrey A. Garness Date: t 2/lit 8 q�000OpO� In conducting this evaluation, GEG provided an engineering evaluation of the well and/or septic system oOF A . in accordance with the guidelines and regulations established by the Municipality of Anchorage and d •.r••. ����� industry practices. The reported results describe the condition of the system/s on the date/s of the ' • evaluation. Separation distances were measured to readily identifiable features. Hidden defects or !' : .0O encroachments may exist that were not identified during the evaluation. The operational life of all wells 0 . C r * 0 and septic systems depend upon a variety of variables, including but not limited to, soil conditions, VD groundwater levels (that may fluctuate during the year), quality of construction (materials and i© Q workmanship),and the water usage of the family utilizing the system/s. These conditions can vary,and . (I• are outside the control of GEG. Satisfactory test results do not guarantee future performance of the ••J- f - A. Gorr es.: system/s; therefore, GEG makes no warranty(express or implied)regarding the future performance of (/rA1 _ the well or septic system. GEG makes no representation whether an alternative well or septic system vO s •.�` •• can be installed on the property in the event either of the current systems fail to perform adequately in VQ •I IJ.1j../S cAo the future. The content of this report is for the sole benefit of the person/party that retained GEG to eA� ea profession°oo perform the evaluation. Reliance upon the information provided in this report by any other person or 'O0000Oo party (including subsequent property purchasers) is not authorized, nor will it confer any legal right whatsoever. #AECC884 6. DSD SIGNATURE System #1 Approved for 11. bedrooms System #2 Approved for bedrooms Disapproved Conditional approval for bedrooms, with the follQyving stipulations: ON-SJTF WATER WASTE Ar AND r�• • PROGRAIIM R ?SERVIC(.. By." L v`"f`��' Original Certificate Date: 1 a- ) 9 -1g The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On-Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: �/' COSA Checklist /'' Nitrate Advisory • Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA blue sheet 10-10-12.doc COSA Checklist Legal Description: MULBERRY; TRACT B2 Parcel ID: 018-232-31 If more than 1 septic system on lot: COSA Checklist# 1 of 1 Structure served by this system 1 A. WELL DATA ■❑ Well log is filed with Onsite (or attached) Well production at time of test 5+ gpm Date drilled 4128179 Water storage tank volume N(A gallons Total depth 165 ft Well disinfected for coliform test? ❑ Yes ❑■ No Cased to UNK ft ❑■ Coliform bacteria is Negative ❑■ Sanitary seal is functioning correctly Nitrate 1.82 mg/L ❑ Nitrate less than MRL (ND) ❑ Wires are properly protected Arsenic ND ug/L ❑ Arsenic less than MRL (ND) Casing height (above ground) 12+ in. Collected by GEG, LTD. Date of flow test for COSA 11 '2778 Date of Sample 11`2818 Static water level at beginning of test 143.6 ft. Comments See attached invoice regarding well cap repair by Wilco Excavation B. TANK DATA C. LIFT STATION Age of tank(s) NEW years ❑ Required maintenance completed Tank type/material STEEL Age of lift station - years ❑■ Standpipes/foundation cleanout per record drawing Lift station material - Date of pumping N/A Comments: N/A D. ABSORPTION FIELD DATA Which system tested (date installed) 8121/78 Adequacy test date 112718 ■❑ ALL standpipes present per record drawing Results E Pass For 4 bedrooms Total measured depth from grade 6.5+ ft (max) Fluid depth prior to test 0 in Measured depth to pipe invert from grade 4.5 ft(min) Water added 1373 gal ❑ N/A— pressurized field New depth 13 in ❑ Monitor tubes go to bottom of drainfield. If not, state Elapsed time 70 min depth into effective 2.0' Q Code-required soil cover over field Final fluid depth 0 in Absorption rate 600+ gpd U,��C. ❑ System presoaked (Required if vacant for greater than 30 days prior to Any rejuvenation treatment(past 12 months) IN date of test) If yes, enter date Gallons introduced gallons Comments/Deficiencies: MT was installed during tank install;All testing was performed through sump on north end of trench;sump only extends 2'below invert COSA Checklist yellow sheet E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well) Septic Tank/Lift Station on Lot > 100' Community Sewer Manhole/Cleanout > 100' ❑✓ Yes if No ft ✓❑Yes if No ft Neighboring Tank > 100' JYes if No ft Private Sewer/Septic Line > 25' E Yes if No ft Absorption Field on Lot > 100' EYes if No ft Holding Tank > 100' E Yes if No ft Neighboring Absorption Fields > 100' Animal Containment> 50' 2 Yes if No ft ❑✓ Yes if No ft Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' 2Yes if No ft 0Yes if No ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' E✓ Yes if No ft Surface Water > 100' E Yes if No ft Property Line > 5' E Yes if No ft Driveway/Parking > 0' 2 Yes if No, comment Absorption Field > 5' 0✓ Yes if No ft Wells on Adjacent Lots: Water Main > 10' ✓Q Yes if No ft Private Wells > 100' OYes if No ft Water Service Line > 10' Q Yes if No ft Community Wells > 200' 0 Yes if No ft From Absorption Field on Lot to: (Please enter distances if less than required) Building Foundation > 10' ❑✓ Yes if No ft Driveway/Parking > 0' E Yes if No, comment Property Line > 10' 0✓ Yes if No ft Wells on Adjacent Lots: Water Main > 10' Q Yes if No ft Private Wells > 100' 0 Yes if No ft Water Service Line > 10' Q✓ Yes if No ft Community Wells > 200' 0 Yes if No ft Surface Water> 100' ❑✓ Yes if No ft F. ENGINEER'S COMMENTS Septic tank is 5'+ from deck post during inspection on 12/13/2018; See attached email from agent (Lew Ulmer) regarding vacancy of home prior to septic test (approximately 3 weeks). The first 319 gallons introduced through the sump caused a 7" rise in the sump. �00�00..,‘0 G. ENGINEER'S CERTIFICATION o� �F.. ' ��sn • 1 certify that I have determined through field inspections and review �f. ��\ ..�QO of Municipal records that the above systems are in conformance with Q,* 't �I I • * O MOA COSA guidelines in effect on this date. vVA 4 1-, D► 13 •,J:;fA. or -ss:' QO 9. '• , CE— 95 •• e,O� o4 %1%,-a.*•Igtq f`6 00 COSA Checklist yellow sheet 400 l'rofesslo�°a y #AECC884 ��0000�� N Frontier Surveys, LLC Project No: 18-453 Date: 12/18/2018 4 Ordered By: Lew Ulmer Plat: 74-238 Grid: N/A Scale 1"=50' I 1 -----t E. 135TH AVENUE ---- -- - - I EDGE OF GRA VELI A I Oo o i S89°54'26'W 280.16 i 4- 12....-*,27 a 1 *c.t 0 Tract 8-2 I Mulberry Subdivision 89,878 Sq.Ft. +1- 4701 E.135th Avenue t 1 2 Story Wood Frame House W W/Daylight Basement W With Attached 3 Car Garage ^ �y oi PC C-)1 N Ci)0 3 0 0 K. 0 CO of a) i a UJ N CO V PAVED DRIVEWAY —SHED 0 0 s c s 6.0I I.... $ 3'X 6' , Ac). OVER 0 BASEMENT �S� P.L. �+ I , EGRESS(TYP) ,Mrye. ag /iri�ii1��- \ \ ,irah • 82.9 ?7.> - `p 9 ^0 ��� • 16.7 "• " .-7,, i 1 W 86 ` 1 • Nbit a s -�• 145.7 • I / 02 • • • 1 • a -..-30.0 I • �0)SHEDS vi R.O.W. • ♦ 95.8 1 82.9 •I 1p3 tw�� ICOI 1�%� RuS w \ g21a, • / v 1 - - - - - N89°53'00"E 299.94 50'R.O.W. EASEMENT Legend: Z Electric Meter/Outside Power rQ, Telephone Pole a Sat.Dish Xy Gas Meter :moi Deck -0- Fence -XE- Light Pole :S) Septic OW) Water Well a Concrete —au—Overhead Utility General Notes: 0 25 50 100 1.This document is created for the purpose of a single property transaction and is subject to Federal Copyright Laws. im.•Imm� 2.Excepting for gross negligence,the liability for this survey shall not exceed the cost of preparing this survey. Scale in Feet 3.All measurements/setbacks are to the visuaVapparent building footprint. 4.All dimensions to property lines are plus/minus 0.1ft. ``‘���N.�1A11j t� I This survey complies with the ASPLS Mortgage Location Standards.The survey represents visible improvements and conditions at the time the survey. s ment s not subject to any �``�(t O F q IqS il�� inaccuracies that a subsequent boundary survey may oreveal.constitute the tesponsibility of the Owners to determine the �P.'•• ' •• • -,9�7existence of any easements,covenants,or restriction which do no appear on the record plat.Under no circumstances Gj .' `' /i' should this document be used for construction or for establishing a boundary or fence line. *: * 49T"ilk ' . /, As-Built Survey of: ' Tract B-2, Mulberry Subdivision 1p • FredericWI,FredericWagner, r i e cl, ••, NO.L5.-9946 .g� h e eby certify that this Mortgage Inspection Survey was performed by me,or / liA 12/18/2018 • = under my direct supervision on December 18th,2018. • rtttOph�ESSIONAt �'P.,o' Frontier Surveys, LLC FRONTIER• tlt1,""`•••- 650 W.58th Ave.Suite E Anchorage,Alaska 99518 ASurve 907.460.1686-info@frontiersurveys.com i► . PROFESSIONAL SEAL www.frontiersurveys.com MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVl CES Division of Environmental Services On-Site Ser¥ices Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. # ¢'~ l~- ~'~ t ~' 1. GENERAL INFORMATION Complete legal description Location (site address or directions) /----/~¢c;, ~-- /3~-'~) ,Lending agency Mailing address .' .... Day phone ~/D ~ 2~cf~ ] Day phone Agent kJ'l o ~ I ¢- _'~ L o'b ~ ~.'T- · Day phone Address Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: TYPE OF WATER SUPPLY: Individual well Cdmmunity well Public water MUNICIPALITY OF ANCHORAGE 6NVIRONMENIAL 8EI~VICE$ DIVISION MAY 1 2 1997 RECEIVED. NOTE: If community well system, provide written confirmation from State ADEC attest- lng to the legality and status of system. TYPE OF WASTEWATER DISPOSAL: IndivMual on-site hloldi~g tank Community on'site Public sewer RECEIVED ' _ MAY ] ~ 'B,977:: ' ~..,~- MuniciOality of Ahchorage,:~,: : Dept. Neal'th & NUm~n 8ervice~: NOTE: If community WaSteWater SYstem, provide written C ohfirmation from State ADEC attestisg to the legality and status o! system, - 72-025 (Rev. 1/91} Fronl MOA#21 5. STATEMENT OF INSPECTION BY ENGINEER. As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Phone Date -5-//t! lq :F- DHHS SIGNATURE .X Approved for ¢ Disapproved. Conditional approval for bedrooms. bedrooms, with the following stipulations: Additional Comments The Mu~iciP~[ity of AnCOt)rage Department of Health and Human ServiCes (DHHS) issues Health Authority ApPrOVal certificate~s!'b~.sed OnlY'up°n the repreSentations given in paragraph 5 above by an independent professional engIneer registered ~n the State of Alaska. The DHHS does th~s as a courtesy to purchasers of homes and th-eir 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 ¢r21 RECEIVED Municipality of Anchorage MAY '~ 2. ~997 DEPARTMENT OF HEALTH & HUMAN SERVl~c~cipelity of Anchora Environmenta Services Division 0~t Health&HumanServ~ 825 L Street, Room 502 · Anchorage, Alaska 99501 · (907) 343-4744 Legal Description: ~ A. WELL DATA Well type ~::~re t,j,,,( --re . If A, B, or C, attach ADEC letter, ADEC water system number Health Authority Approval Checklist ~j/_'~ r¢~"2¢~'¢ ~,/',/~' Parcel I.D.:_(~I~ ~---/_~'~_~2 [ Log present (Y/N) ~" Date completed Total depth / f¢,5- Cased to Sanitary seal (Y/N) FROM WELL LOG Casing height (above groundl Wires properly protected (Y/NI AT IN SPECTION Date of test Static water level / Well production WATER SAMPLE RESULTS: Coliform g.p.m. Nitrate C) ,, (~-- t g.p.m. Other bacteria Date of sample: B, SEPTIC/HOLDING TANK DATA Date installed c,W ['~tl Foundation cleanout (Y/N) Date of Pumping C. ABSORPTION FIELD DATA Date installed ~ Length ~,..~ Collected by: ~ ,~"7"iDA ,,u~uu~,, ~ Number of Compartments ~ Cleanouts (Y/N) Depression (Y/N) ~ High water alarm (Y/N) ,,'~'('~ Pumper Soil rating (~.._E_.¢_~.~ or fF/bdrm) ~'~- _ System type '-t'--~ Width ~.<~, C) Gravel thickness below pipe ..:'~ ~' Total depth Effective absorption area ~ ~ ~ Date of adequacy test Fluid depth in absorption field before test (in.); Fluid depth ~ (ins) Minutes later: Peroxide treatment (past 12 months) (Y/N) Monitoring Tube present (Y/N).~ Depression over field (Y/N) Results (Pass/Fail) ~:~,._q,~ FOr ~ bedrooms Immediately after ~ gal. water added (in.): AbsorPtion rate = ~,~o .g.p.d. If yes, give date ' 72-026 (Rev. 3/96)* LIFT STATION Date installed Manhole/Access (Y/N) High water alarm level at* Size in gallons "Pump o~mp off" level at* ~'~Datum SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/holding tank on lot Absorption field on lot Public sewer main Sewer/septic service line RECEIVED Municipality of Anchorage Dept, Health & Human Services On adjacent ots On adjacent lots Public sewer manhole/cleanout Lift station SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOTTO: Foundation / O ¢ Property line / C, d- Absorption field Water main/service line ~- ¢ Surface water/drainage Wells on adjacent lots SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line Surface water Curtain drain Building foundation ~-~',-.~ Water main/service line Driveway, parking/vehicle storage area ~-',~-! Wells on adjacent lots F. ENGINEER'S CERTIFICATION I certify that/have determined thru field inspections and review of Municipal recorc ~_~~s~tems are in conformance with MOA HAA guidelines in effect on this date, Signature ~" ------~ Engineer's Name ~~ ~~0~,~¢' H~Fee $ ~ · ~ Waiver FeeS Date of Payment ~¢/*¢ Date of Payment Receipt Number ~ ~~/~ .oc~ipt ~umB~r 72-026 (Rev. 3/96)* J ~ ~ ~ Oereld V. Randall Jr, ~ ~ no okoul~tnnce~ should any /of IOur~dB~lOn In relltlon to UB & TAC~ ~ ~ on~~ ~a~ .......... 'WEST BENSON BLVD. 272-9231 ~llnllll grldl end building Ill- MONUMENT ~ ~ .... HORAGE, ALASKA 99503 562,5281 J..,~ ......... ~,cn, ~ G ~ ~ ' ~- ? ..... ~K NAil, X .~~ MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On-Site Services Section P,O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 Parcel I.D. # CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING 018-232-31 HAA# HA910098 1, GENERAL INFORMATION Complete legal description Tract B2 Mulberry Subdivision Location isiteaddressordirections) 4700 East 135th Avenue, Anchorage Property owner Charles & Marilyn Gilmore Day phone 345-2046 Mailing address 4700 East 135th Avenue, Anchorage, Alaska. 99516 Lending agency N.B.A. Mailing address Day phone Agent Ray Dahl % Dynamic Properties Address 501 West Northern Lights Boulevard~ Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: four (4) TYPE OF WATER SUPPLY: Individual well xxxxxxx Community well Public water NOTE: Day phone Anchorage, Alaska 99503 If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. TYPE OF WASTEWATER DISPOSAL: individual on-site Holding tank Community on-site Public sewer NOTE: XXXXXXX If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025 (Rev. 1/91) Front MOA ~21 STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my' investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage flies 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. NameofFirm S & S Engineering Phone 694-2979 Address 17034 Eagle River Loop Road, Suite 204, Eagle River 99577 Engineer's signature Date DHHS SIGNATURE ~/X/"_ Approved for ~7/ Disapproved. Conditional approval for bedrooms. bedrooms, with the following stipulations: By: Additional Comments ~ g.~/~"/?~,~, ~<~Tk 3~~ ~ ~/~~ .~ ~/ Date 72~)25 (Rev. 1/91) Back MOA ~21 MUNICIPALITY OF ANCHORAGE Department of Health & Human Services DIVISION OF ENVIRONMENTAL SERVICES 343-4744 .CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY FOR SINGLE FAMIL. Y DWELLING Parcel I.D.# (~3~O~ _o~,__2-j~_~.~ I HAA# {-~-~ / ('1(%0~0~ 1. GENERAL INFORMATION (Must be completed prior to submittal) (a) Legal Description (include 10t, block, subdivision, section, township, range) TRACT B-2; Mulberry Subdivision; Location (address or directions) 4700 East 135~Jt Avenue, Anch0ra,qe (b) Property owner Charles & Maril~fn G,O?,more Mailing Address 4700 East 135t& Aven. (c) Lending Institution N.B,A. Telephone : (home) 345-2046 Business Anchorage, Alaska 99516 'relephone Mailing Address (d) RealEstate Company and Agent DYNAMIC PROPERTIES ATTN: Ray Dahl Address 501 West Northern Lights Blvd. Anchorage, Ak. 99503 Telephone 279-7611 (e) Mail the HAA to the following address: (or check here r~if hold for pick up.) List contact person and day phone num. ber below: S & S ENGINEERING 17034 Eagle Ri.vet LoOp Road Eagle River, Alaska 2. TYPE OF RESIDENCE Single-Family [~X Number of bedrooms 3. WATER SUPPLY Individual Well,C[ Community [] Public [] Note: If community,,well.system, must have written confirmation from the State Department of Environmental Conservation attesting to th legality and status. ' 4. SEWAGE DISPOSAL On-site ~ Public [] Community [] Holding Tank [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 72-025 (Rev. 7/88) Page 1 of 2 Address Date 5. ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATIOI~ As certified by my seal affixed hereto and as of thevalidationdateshown below, Iverifythat 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 regulations in effect on the date of this inspection. Name of Firm Telephone ,~'~'Z.~'~ ¢ 5 & S ENGINEEriNG Eagle River, Alaska 99577 6, DHHS APPROVAL 4/~//~'''~ Approved for ~'/ bedrooms by _ Date Approved ~'~_..~ Disapproved Conditional The MunicipalityofAnchorage Department of Health and Human Services(DHHS) issues Health Authority Approval cerificated 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 DHHSdonotconductinspections or analyze data beforeacertificateisissued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 72-025 (Rev. 7/88) Back Page 2 of 2 A. WELL DATA Well Classification ~ MUNICIPALITY OF ANCHORAGE (MOA) ~,.~T~[~¢,~ Health Authority Approval (HAA) FNV~k~....~',L 5,!x ,",.-JcC.~E'~-KLIST - FEBRUARY 1984 343-4744 MAR 2 7 1991 Legal Description: .-"~.~(*--'~ ~ - ,~}_ RECEIVED . , .~:~1 ~J ~ fc'~ I--'---~ /',A ,. J'"l If A, B, C, D.E.C. Approved (Y/N) Well Log Present (Y/N) L1 Date Completed /7/ -~' ~ - '-¢' ~' Yield Total Depth~J~'Cased to ,~.o '~r Depth of Grouting -- Static Water Level / ._~ ~ ' Casing Height Above Ground I ~--- 'f- Electrical Wiring in Conduit (Y/N) L~ SEPARATION DISTANCES FROM WELL: To Septic/Holding Tank on Lot / I O To Nearest Edge of Absorption Field on Lot /oo t Pump Set At LP l'~ Sanitary Seal on Casing (Y/N) Depression Around Wellhead (Y/N) ; On Adjoining Lots ; On Adjoining Lots [ O© '/ To Nearest Public Sewer Line /v////~ To Nearest Public Sewer To Nearest Sewer Service Line on Lot ~ ~ /''/~ Water Sample Collected by ~ ~ ~. -/-~ -----~-'~? },~.e'~r'},'~i ; Date Water Sample Test Results ~ F~ .~ ~ .-/-,/~ c3~ .~ ¢' ~ -d Comments B. SEPTIC/HOLDING TANK DATA Date Installed ~2~_~/~~¢ Size Standpipes (Y/N) Depression over Tank (Y/N) Pumping/Maintenance Contact on File (Y/N) Holding Tank High-Water Alarm (Y/N) SEPARATION DISTANCES FROM SEPTIC/',,,.,,_~,,'NG ..... TANK. To Water-Supply Well t To Property Line To Water Main/Service Line / ~ _.~O¢R INc. of Compartments Air-tight Caps (Y/N) (1 Foundation Cleanout (Y/N) ~ Date Last Pumped ~, - ,,~ '~ - ~'/ A.,)/* ;for --A~/~1 Temporary Holding Tank Permit (Y/N) /',-)/~ To Stream, Pond, Lake or Major Drainage Course Comments .-~ ,0 '~t"~_ ~0 C)//A,O (~ d To Building Foundation _ To Disposal Field /oo ff- I 72-026 (Rev. 7/88) Front Page 1 of 2 C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed ~J- ~ / -- Width of Field ~ Square Feet of Absortion Area Depression over Field (Y/N) ~'-'~ 4z~/.~;~, Type of System Design ~¢~c~ Length of Field Depth of Field { Gravel Bed Thickness Statndpipes Present (Y/N) Date of Last Adequacy Test Results of Last Adequacy Test SEPARATION DISTANCE FROM ABSORPTION FIELD: To Water-Supply Well To Building Foundation Lot To Water Main/Service Line -q To Property Line f O "~ To Existing or Abandoned System on ; On Adjoining Lots ~ O 7 To Cutback (if present) To Stream, Pond, Lake, or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area Comments ~;-- D. LIFT STATION Date Installed % Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Meets MOA Electrical Codes (Y/N) ~ Comments Dimensions Manhole/Access (Y/N) "Pump Off" Level at Vent (Y/N) Pumping Cycles during Adequacy Test. **Check Permitted Bedroom Rating Against HAA Request** I certify that I have checked, verified, or conformed to all MOA and HAA gu de nes n effec&,o,,q,,lb~ date of this D ins.ection. ,. ~.: ~,.~.~:-;~ri~:, :,, ..... ~ .4 Company - _ __~ ~, .... .,, ,... % .~, ¢/~ Date ~--~/ ~~ )~ Receipt No, ~ ~ Receipt No. "-"~".,::~:~'<"" Bate of Payment ~ ~)~%~ Waiver Fee: $ Amount: $ ~C~ Dato of ~ayment 72-026 (Rev. 7/88) Back Page 2 of 2 I I ': '"" ' i ~,' · ~.~ '. ~' .... ' .... · ' '-'., "' - , ' ~ ~ ~ ~ - · , ~ . ..?,, .~ , , ~ , ... ,~ ~...,]j..~ .,f ;. ~....,,..; .,,..~.,.,..'.,",:'~...,.:. ,~.. ..... ~ . ' ~ . :, ,- ~...-: ... ~'" .,.:: · 'h: ........ '{':'?.: ,.~:.'.. : CK ~ ~"-' :": ' ' ." · '..~ ' :., ~ .. ~ .......... . . ...... ~ ........ , ',', ~ . ' ' ;~: ,-".".- .,,, -- . ,,~ ~- ' .~,T-, .. ........ .... ~ - ' ' - · ' '. , ;...' - .~.~;,~;"..,.¥...:..'..'~.m....... '.. ; .~ .. ~~- -~ ~ , .. , ~ ~ ../~.. ~ ~.'.. ~.~ .- . ., -. . '.' '..~:-,' .. ..--. ~= ~ ~ .............. :.....~ ... ..... , Apr~ 18, 1991 ROBERT SHAFER, P,E, ROGER SHAFER CIVIL ENGINEERS (907) 694-2979 FAX 694-1211 HEALTH AUTHORITY APPROVALS SEWER & WATER MAIN EXTENSIONS SEWER & WATER INSPECTION ENGINEERING STUDIES AND REPORTS WELL INSPECTION & FLOW TEST SITE PLANS / SOIL TEST Dan Boll~s Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES 825 L Street P.O. Box 196650 Anchorage, Alaska 99519-6650 REFERENCE: Tract B-2; Mulberry Subdivision; 4700 East 135th Avenue Dear Dan, Per your conversation with this firm on Ap~l 3, 1991 a groundwater monitoring tube was insta~ed on the referenced property on Apri~ 11, 1991. The tube was installed 15 ft. deep (more than 4 ft. below the bottom of the leachfield .trench) and approximately 15 fi. northwest of the existing leachfield monitoring tube. After a seven day monitoring period we did not find groundwater present within the monitoring tube. Therefore, there does not exist a groundwater encroachment at this time. If you require additional information for the issuance of a H~h Certificate on the referenced property, please contact us. RT A. SHAFER, P.E. RECEIVED PERCOLATION TEST APR 1 9 1991 Oept, Health & Human Services STRUCTURAL & MECHANICAL INSPECTIONS ON SITE WASTE WATER DISPOSAL SYSTEM DESIGN 17034 EAGLE RIVER LOOP, SUITE 204, EAGLE RIVER, ALASKA 99577 HEALTH AUTHORITY APPROVALS SEWER &WATER MAIN EXTENSIONS SEWER & WATER INSPECTION ENGINEERING STUDIES AND REPORTS WELL INSPECTION & FLOW TEST S~TE PLANS ROAD DESIGN SOIL TEST PERCOLATION TEST STRUCTURAL & MECHANICAL iNSPECTIONS ON SITE WASTE WATER DisPOSAL SYSTEM DESIGN ROBERT SHAFER, P.E. ROGER SHAFER, P.E. S~pt~mber 12, .1991 CIVIL ENGINEERS (907) 694-2979 FAX 694-1211 Ms. Donna Barr~t NATIONAL BANK OF ALASKA P. O. Box 107025 Anchorage, Alaska 99510-7025 REFERENCE: Tra~ B~2; Mulberry Subdivision; 4700 East 135th Avenue Gilmore to Dunbar Loan #415833 SEP 1 5 1991 Dept. Health & Human Services D~ar Ms. Barr~t, At your requ~t the septic system serving the referenced property has be~n treated with hydrogen peroxide in an effort to increase the life of the system. As you know, due to a comment placed on a H~alth Certificat¢issued on the referenced property April 19, 1991, money has been escrowed "to have a peroxide and clean-up procedure and a n~w adequacy test p~rformed on the (septic) system." The comment on the Health C~tificate expressed concern of the life expectancy of the septic system due to the "absorption trench currently fun~ion(ing) with 90% of its effective depth full of water." On September 3, 1991 at 3 p.m. we meas~£ed the wate~ level within the l~achfield monitoring t~be at 62.5 inch,. At 4 p.m. on the same day we observed the addition of approximately I00 gallons of hydrogen p~roxide to the l~achfi~ld. On Setpember 5, 1991 at 3 p.m. we r~turned to the site and measured the liquid level within the leachfield monitoring tube at 4 inch~s. On September 10, 1991 we r~t~rned and once again measured the liquid level within the l~achfield monitoring tube at 4 ineh~s. At th~ time an adequacy t~st was performed on the l~achfield. From this t~st we found the l~achfield ~apable of absorbing in excess of 600 gallons per day as required for a 4 bedroom house. The system, however, is not guaranteed against subsequent failure. It should be noted that'- during this period neith~ the septic tank nor the l~achfield was pumped. It appears the system is now functioning with only approxlmately 6% of its effectiv~ depth full of water. 17034 EAGLE RIVER LOOP, SUITE 204, EAGLE RIVER, ALASKA 99577 Pag~ Two Tract B~2; Mu2b~rry Subdivision; 4700 East 13Eth Av~nu~ Gilmore to Dunbar Loan #415833 S~pt~mb~r 12, 1991 If you hav~ any questions or if w~ may be of further services, pl~as~ contact Sincerely, ROGER J. SHAFER, P.E. RJS/gm cc: MUNICIPALITY OF ANCHORAGE DHHS (R~f. P~rmit #SW910077)