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JOHN WELLS 1952 ADDITION BLK 5 LT 18
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N E a a `o 0 Cr m Municipality of Anchorage On -Site Water and Wastewater Program • (907) 343-7904 Page 1 of 3 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP181407 PID Number: 014-261-18 Dwelling: ❑ Single Family (SF)Ek Duplex (D) ❑ Multiple (SF and/or D) Project: ❑ New K Upgrade Name: John & Janet Beier . ABSORPTION FIELD ❑ Deep Trench ■❑ Shallow Trench ❑ Bed ❑ Mound Address 2407 E. 86th Avenue Anchorage, AK 99507 ❑ Other Phone Number of Bedrooms Soil Rating ITotal depth from original grade 907-522-1180 5 6.0 GPD/SF 14.5 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade 4.0 Ft. Gravel depth beneath pipe 0.5 Ft. Subdivision Block Lot John Wells 1952 Addition 5 18 Fill added above original grade 0.5 Ft. Gravel length 25.0 Ft. Township Range Section Gravel width 5.0 Ft. Beds: Number of Lines Distance between lines Ft. SEPARATION DISTANCES To Septic Absorption Lift Station Holding Sewer Total absorption area Numerbof trenches Dist. between trenches From Tank Field Tank Line 125 Ft2 1 Ft. Well >50' >50' >50' N/A >25' TANK ❑ Septic 0 S.T.E.P. ❑ Holding ❑ Other Manufacturer Anchorage Tank (Advantex) Capacity 2500 Gal. Surface water >1 001 >100' >100' N/A Material Number of compartments Lot Line >5' *>0.5' >5' N/A Steel(Epoxy coated) 2 NA Foundation >10' >10' >10' N/A LIFT STATION Manufacturer Capacity Curtain Drain None Noted Anchorage Tank 250 Gal. Remarks *Waiver OSV181093 Pump on level at 13 in. Pump off level at 25 in. High water alarm at 18 in. Pump make and model PF2005 Electrical Inspections performed by MOA Installer PIPE MATERIAL House to tank D3034 Tank to drainfield D3034 Northern Excavation Drainfield D3034 CO/MT 3034 Inspector J. Mlllette / J. Williams BENCHMARK (Assumed elevation) 100 ft Inspectes: is` tion12/11/18 12/12/18 Location and description 2nd da 3`d 12/13/18 4" COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL Engineer's StampOF Approval: Date lawConditional P' •'q� �i# ®;;F, co .. . �. . . . Ben)arri rrychiller ��,�<`c ' . • CE 12592 • �`�/� 1.2/.2.6/.1.8NP Approved Date 2 jlslFq' • �c�C� l�FaR0FESSIO 4 inspecuon Kepori_yj -i-iz.aoc 195 196 FCO 40200 FEET 1"=20' 25' LONG x 5' WIDE x 0.5' EFFECTIVE DEPTH ABSORPTION TRENCH 5-BDRM DUPLEX 2500-GAL ADVANTEX TANK W/ 2-AX20 PODS NOTE: ALL WELLS ON SURROUNDING LOTS WITH IMPACTS TO THIS PROPERTY ARE SHOWN. NO CONFLICTS WITH WELLS OR SEPTIC SYSTEMS.CO - CLEANOUT 2CO - DOUBLE CLEANOUT FCO - FOUNDATION CLEANOUT MH - MANHOLE MT - MONITORING TUBE SV - SEPTIC VENT TH - TEST HOLE CONTOUR INTERVAL - 1' LEGEND Dec 14, 2018 EAST 86TH COURT DAKOTA STREETEXISTING WELL w/50' RADIUS JOHN WELLS 1952 ADD BLOCK 5 LOT 18 EXISTING WELL w/50' RADIUS EXISTING WELL SV TH1 MH 2CO2 CO1CO2 MT2 TH2 2CO1 MT1 *EXISTING CONCRETE TANK REMOVED AND EXISTING FIELD ISOLATED AND ABANDONED IN PLACE PERMIT # OSP181407 PID # 014-261-18 A B FCO 0.9 2CO1 11.8 SV 13.4 MH 18.5 41.1 36.7 40.7 54.9 CO1 27.5 MT1 29.9 60.5 62.0 A B 2CO2 55.7 23.7 CO2 23.8 MT2 22.8 39.5 39.8 Dec 14, 2018 PROFILE AS-BUILT (NO SCALE) 92.3 87.6 98.9 99.5 FINISH GRADE 25' DRAINFIELD ROCKMTFCOSV MH2CO12500 GAL SEPTIC TANK TH#1NO GROUNDWATER 11/01/18 94.5 95.0 92.9 COCO88.0 94.5 95.0 99.0 ORIGINAL GRADE PERMIT # OSP181407 PID #014-261-18 JOHN WELLS 1952 ADD BLOCK 5 LOT 18 2 x AX-20 POD AND MANHOLE Dec 26, 2018 6" INSULATION MOA-APPROVED FILTER SAND 92.5 N Frontier Surveys, LLC Project No: 18-467 Date: 12/14/201$ r Ordered By: Jayne Almon Plat: P-267E Grid: N/A f i Scale 1" = 30' I 1 i I LOT LOT3 LOT2 W Lot 18, Block 5 John Wells` f 1952 Addition co 8,550 5q. Ft. Q 2 Story Wood Frame Duplex }� WI Daylight Basement c) 0.2' IN51DE P.L. 3-24 V 5.2 40.3 ' pl v a o I LO 5.0 w m SNE LOT 17 N as ' LOT 19 24.8 ;u I o I 5.0 40.3 0 ti 20.0 P. t O O I o L CONCRETE W Z WALKWAY GRAVEL k o PARKING i W c� 12.0 0 R.O. W. r � 1 N69° 56' 00"E 90.40 i EDGE OF PAVEMENT o ---- T4 EAST 86TH COURT - - --- - ------ LOT 24 LOT 23 ' I LOT 22 y Electric Meter/Outside Power '_(� Telephone Pole X Mail Bax �y Gas Meter ® Deck -o- Fence -3 Light Pole i S; Septic iW; Water Well Z] Concrete —OHP— Over Hanging Power General Notes, 0 115 30 60 1. This document is created for the purpose of a single property transaction and is subject to Federal Copyright Laws. 2. Excepting for gross negligence, the liability for this survey shall not exceed the cost of preparing this Survey- 3. e Irl Feet 3. All measuremenWsetbacics are to the visuallapparen t building footprint. 4. All dimensions to property lines are plus/minus t}.1ft. t This survey ccmplies with the AS PLS Mortgage Location Standards. The survey represents visible improvements and E OF At } I f conditions at the time of the survey. This document does not constitute a boundary survey and is subject to any �[ .Q t it inaocuracies that a subsequent boundary survey may reveal. It is the responsibility of the Owner to determine the �~ tip' • '�y ��' existence of any easements, covenants, or restriction which do no appear on the record plat. Under no circumstances C7 X19 �I should this document be used for construction or for establishing a boundary or fence line. * : 49TH As-Built Survey of: Lot 18, Block 5 John Wells' 192 Addition jFrederic W.• ner NO. L.6:9946.5 I, Frederic Wagner, hereby certify that this Mortgage Inspection Survey was performed by me, or �/r•`ri 1211412018= under my direct supervision on December 14th, 2018. ttf o �p� Frontier Surveys, LLC FRONTIER r It t ItjjsSI OAti 650 W. 58th Ave. Suite E Anchorage, Alaska 99518 &"�� 907.460.1686 - info@frontiersurveys.com PROFESSIONAL SEAL www.frontiersurveys.com December 14, 2018 MOA Development Services, On-Site Water & Wastewater Program 4700 Elmore Rd Anchorage, AK 99507 Subject: John Wells 1952 Addn, Block 5 Lot 18 12/14/18 Tank/Field separation waiver Dear On-Site Services Engineer: During the installation of this septic system, the field was placed within 5’ of the septic tank. This is due to the extremely tight tolerances for the separation distances. The field was kept off of the neighboring lot, and the tank was 10’ away from the building foundation, but the field ended up being slightly too close to the tank. We request a waiver to allow a 4’ separation distance between the two. If there is maintenance required in the future, the contractor will need to take extreme care not to damage either tank or field. However, there is no threat to health and safety in issuing this waiver. Sincerely, Benjamin Schiller, PE December 12, 2018 MOA Development Services, On-Site Water & Wastewater Program 4700 Elmore Rd Anchorage, AK 99507 12/12/18 Subject: John Wells 1952 Addn., Block 5 Lot 18 – 2419 E. 86th Court Depth of bury on tank Dear On-Site Services Engineer: During the construction of this 5-bedroom Advantex system, we discovered that the pipe leaving the building is 5’ deep. The maximum depth of bury allowed for these septic tanks is 5’, and due to the location of the tank we anticipate a depth of 6.5’. Assuming a weight of 126.5 PCF of soil, this equates to 633 PSF on top of the tank. With tank dimensions of 17.5’x5’, the tank can support a total weight of 55,300lb. The tank has two pods that displace soil, with dimensions of 7.5’x3.25’x2.8’. They displace 137 CF of soil, but weigh 100lb each. Assuming they are half-full of water, the total weight is 4,460 lb. That saves 12,800lb, the equivalent of 1.15’ of soil. In addition, we are proposing placing 6” of insulation on top of the tank. This lessens the weight by 5,530lb. Therefore, although the tank will have 6.5’ of bury, it will only have 53,600lb over it. We request this be permitted, as there is no additional danger of tank collapse. Sincerely, Benjamin Schiller, PE MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program PO Box 196650 4700 Elmore Road Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 http://www.muni.org/onsite Permit Number: OSP181407 Work Type: Septic Upgrade Effective Date: Expiration Date: Tax Code Number: 01426118000 Site Legal Address: JOHN WELLS 1952 ADDITION BLK 5 LT 18 G:2333 Site Mailing Address: 2419 E 86TH CT, Anchorage Owner: BEIER JOHN & JANET L Design Engineer: FORGE ENGINEERING This permit is for the construction of: Q Disposal Field 2 Septic Tank ❑ Holding Tank ❑ Privy Lot Size in Sq Ft: Total Bedrooms: Department 12/3/2018 12/3/2019 8550 ❑ Private Well ❑ Water Storage All construction shall be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80) 3. The wastewater code requires inspections during the installation. The engineer shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing Special Provisions: ** Lot lines and well radii to be staked by a registered land surveyor prior to construction of septic system. Received By: Issued By: �IVLNIti(A \Q9CXO�Q I��c:i2au� V v Date: 2 = r Date: .2 0 3 �Cf 4am,. Municipality of Anchorage P.O. Box 196650 0 4700 Elmore Road Anchorage, Alaska 99519-6650 0 (907) 343-7904 0 Fax (907) 343-7997 http://www.muni.org/Onsite Development Services Department On -Site Water and Wastewater Section �j%cnr :� .n '.-T ,.. . Dup:u•tmcnt * * * * VARIANCE/WAIVER REVIEW * x * * Waiver#: OSV181093 COSA#: Permit#:OSP181407 PID#: 014-261-18 Legal Description: John Wells 1952 Addition Block 5 Lot 18 Engineer: Forge Engineering Applicant: John & Janet Beier Your request for a waiver of the required 5.0 feet horizontal separation from the absorption field to the property line has been approved. The approved separation distance is 0.5 feet. This waiver approval applies to the proposed absorption field only. Any future upgrade to the on-site wastewater disposal system will require all separation distances be met or another approval from this department. ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ It ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ 1 Waiver is Granted: X Waiver is not Granted: Date: 02 03 �Q 1 00 Approved by: 6&�2 671U& Name of Reviewer **** VARIAN C E/WAIVER REVIEW **** 1408 aD/ of CA 0(- I-['. "D'%W N,�=��� Community Development Department �� Phone: 907-343-7904 Development Services Division Fax: 9Q7=�Ap�997. On -Site Water & Wastewater Program �v56 ON-SITE SEWERANELL PERMIT APPLICATION "` NOV 011 2013 Parcel I.D. 014-261-18 Property owner(s) John & Janet Beier Day phone` Mailing address 2407 E. 86th Avenue Anchorage, AK 99507 Site address 2419 E. 86th Court Anchorage, AK 99507 Legal description (Sub'd., Block & Lot) John Wells 1952 Addn., Block 5, Lot 18 Legal description (Township, Range & Section) Lot Size ,550 Sq. Ft. Number of Bedroomg-�our-W= APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (© all that apply) Absorption Field ❑X Initial ❑ Single Family (SF) ❑ (w/wo ADU) Septic Tank ® Upgrade Q Duplex (D) Q Holding Tank ❑ Renewal ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICA TION INCLUDES A VARIANCE l WAIVEPR REQUEST FOR: Lot Line Waiver Distance: -50 I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit/Rush Fees: Waiver Fees: Date of Payment: Pl ��3/l Date of Payment: 1 1) 1311'2 Receipt Number: �� � Receipt number: 0402D Permit No. Waiver No. O 5 Vt,8 j(3q_3 Permit App_'-'-:- . L.,:c: E N G 1 N E E RING PO BOX 240773 ANCHORAGE, AK 94524 522-7773 677-7766 (FAX) November 9, 2018 Municipality of Anchorage Development Services Dept- On -Site Water & Wastewater Program 4700 Elmore Rd Anchorage, AK 99507 Subject: John Wells 1952 Addn. , Block 5 Lot 18 — 2419 E. 86t1 Court Septic System Design and Permit Application Dear On -Site Services Engineer: The septic system on the subject lot has failed and must be replaced prior to the issuance of a COSA certification. We are submitting this permit application for the construction of a new septic system to serve the four bedroom duplex on the lot. The existing septic tank and absorption trench are located on the lot to the north. The existing tank will be decommissioned in accordance with Municipal Code. The existing absorption trench will be abandoned in place. The attached site plan identifies the location of the duplex and the existing well. The proposed septic system location is also shown. An Advantex Treatment System is proposed for construction so the well radii on surrounding lots are shown at 50'. No conflicts exist between this proposed system and any other well or septic system on this lot or adjacent lots. Stormwater drainage will not impact this septic system. The new septic system will be constructed in accordance with Municipal Code. It will be a minimum of 50' from all wells and surface water and more than 10' from the duplex structure. Both the septic tank and the absorption trench will encroach into the setbacks from the property lines due to the limited area available on the lot for a system upgrade. A lot line waiver request is attached. Please refer to the attached plan sheets and backup documentation for the septic design. If this design is followed, there will be no adverse impacts to adjacent properties. Sincerely, Michael E. Anderson, P.E. ...........:. : 4F ase. 49th At MICHAFI E. ANDERSON NO. CE -4381 PROFESS\a���+�� E N G I N E E R I N G PO BOX 240773 ANCHORAGE; AK 99524 522-7773 677-7766 (FAX) November 9, 2018 Municipality of Anchorage Development Services Department On -Site Water and Wastewater Program P.O. Box 196650 Anchorage, AK 99519-6650 Subject: John Wells 1952 Addition, Block 5, Lot 18— 2419 E. 86th Court Separation Distance Waiver Absorption Trench/Septic Tank to Lot Line Dear On Site Services Engineer: The proposed absorption trench on the subject lot must be placed .5' from the northerly lot line due to the proximity of the surrounding wells and the size of the lot which is only slightly more than 10,000 square feet. In addition, the septic tank must be placed at 2' from the easterly lot line to provide 10' separation from the structure and 5' from the absorption trench. Soil conditions at this location are composed of clean gravel with sand with percolation rates under 1 minute per inch. Very little migration of effluent is anticipated. An Advantex Treatment System will be placed on the lot to provide additional treatment to the septic effluent. We therefore request a waiver be issued allowing the trench and septic tank to be placed at the locations shown on the Site Plan and described above.. Sincerely, Michael E. Anderson, P.E. 1.2%0.0%0.4% 0.2%0.1%195 196 FCO 40200 FEET 1"=20' 25' LONG x 5' WIDE x .5' EFFECTIVE DEPTH ABSORPTION TRENCH 5-BDRM DUPLEX 2500-GAL ADVANTEX TANK W/ 2-AX20 PODS NOTE: NO SLOPES >25% WITHIN 50' OR SURFACE WATER WITHIN 100' OF THE PROPOSED SEPTIC SYSTEM ALL WELLS ON SURROUNDING LOTS WITH IMPACTS TO THIS PROPERTY ARE SHOWN. NO CONFLICTS WITH WELLS OR SEPTIC SYSTEMS. CO - CLEANOUT 2CO - DOUBLE CLEANOUT FCO - FOUNDATION CLEANOUT MH - MANHOLE MT - MONITORING TUBE SV - SEPTIC VENT TH - TEST HOLE CONTOUR INTERVAL - 1' LEGEND EAST 86TH COURT DAKOTA STREETEXISTING WELL w/50' RADIUS JOHN WELLS 1952 ADD BLOCK 5 LOT 18 EDGE OF GRAVEL EXISTING WELL w/50' RADIUS EXISTING WELL REMOVE EXISTING SEPTIC LINE MH TH1 MH 2CO COCO MT PROPOSED TH DECOMMISSION EXISTING SEPTIC TANK ON LOT 3 SERVING LOT 18 PER MOA CODE. FILL EXCVAVATED AREA WITH MOA APPROVD SAND. ABSORPTION TRENCH ON LOT 3 TO REMAIN IN PLACE. 2CO NOTE: LOT LINES AND WELL RADII TO BE STAKED BY A REGISTERED LAND SURVEYOR PRIOR TO CONSTRUCTION OF SEPTIC SYSTEM. DESIGN FACTORS: 750 GPD PEAK FLOW PERK RATE: <1 MIN/IN APPLICATION RATE: 6.0 GPD/SF SYSTEM REQUIREMENTS: 5' WIDE TRENCH SYSTEM 2,500 GALLON ADVANTEX STEEL TANK 2-AX20 FILTER PODs 750 GPD / 6.0 GPD/SF /5' WIDE* 1.0 RED. FACTOR = 25 LF TRENCH REQUIRED (25 LF SPECIFIED) BOTTOM OF TRENCH: 4.5' BELOW GRADE FLOW LINE ELEVATION: 4' BELOW GRADE TOP OF TRENCH: 2" ABOVE GRADE 3.5' 6" 6" 2' 2" 4" PERFORATED PVC (HOLES DOWN) NOTES: 1. GRADE AREA OVER TRENCH TO DRAIN AWAY 2. PROVIDE 3' OF COVER OVER TRENCHES AND 4' OVER SEPTIC TANK, OR 2' WITH 2" OF INSULATION 3. CHECK GROUNDWATER AT TIME OF CONSTRUCTION. IF LEVEL IS HIGHER THAN PREVIOUSLY OBSERVED, CALL ENGINEER IMMEDIATELY mcl�l'••Y U GIN EERING' n` 49th MICHAEL E. ANDERSON \ e NO. CE -4381 a, 1.r 24>;(,&-"� p�OFESS\i&0 24kl SOILS LOG AND PERCOLATION TEST LEGAL DESCRIPTION: JOHN WELLS 1952 ADD B5 L18 PERFORMED FOR: JOHN B E I E R DATE: 10/25/18 PROJECT No.: PARCELID#: 014-261-18 TECHNICIAN: J. MILLETTE DEPTH TEST HOLE A (feet) I 2 READING GROSS TIME (MINUTES) NET TIME (MINUTES) DEPTH TO WATER (INCHES) NET DROP (INCHES) TEST HOLE PRESOAKED PRIOR TO TESTING: 4' GRAVEL FILL 4 5 6 7 POORLY GRADED GRAVEL 12 13 14 15 16 17 18 19 20 SLOPE WAS GROUND WATER ENCOUNTERED? NO IF YES 0 WHAT DEPTH? IS DEPTH OF WATER AFTER MONITORING: NONFE 0 DATE OF MONITORING: H/1/18 P E SITE PLAN SEE SITE PLAN DATE READING GROSS TIME (MINUTES) NET TIME (MINUTES) DEPTH TO WATER (INCHES) NET DROP (INCHES) TEST HOLE PRESOAKED PRIOR TO TESTING: <1 PERCOLATION RATE: >1 (MINANCH) PERC. HOLE DIA. INCHES) TEST RUN BETWEEN: FT. and FT. COMMENTS: GRADATION ON SAMPLE FROM TH INDICATES GP SOIL WITH 85% > No. 4 PERCOLATION RATE ESTIMATED TO BE LESS THAN 1 MINUTE PER INCH. 1-11=011NI THIS MAINTENANCE AND REPAIR AGREEMENT, herein the "AGREEMENT" made and 24 Al entered into as of this Day of of 2010, by and between herein the "OWNER," and the Municipality of Anchorage, herein the "MUNICIPALITY", in accordance with Anchorage Municipal Code (AMC) 15.65.365. In consideration of the mutual covenants contained herein, the parties to this Agreement agree as follows: 1. Advanced Wastewater Treatment Systems. The Municipality grant's permission to the Owner to utilize and operate an Advanced Wastewater Treatment System (AWWTS), described as T-n-aa4-meA- SeDf i' c. located at (legal descri tion) /951 11 2- L A h? 2. Maintenance, Repairs and Alterations. .4(Owner is required to read, understand and initial each section) Throughout the term of this Agreement, the Owner shall enter into a service agreement 9 with an AWWTS service and maintenance provider approved by the Municipality or the manufacturer's representative. The AWWTS shall be maintained in a satisfactory condition capable of performing as designed and producing treated septic effluent in accordance with the equipment's approval for operation in the Municipality. It shall be the responsibility of the Owner during the term of this Agreement to pay for all repair(s), maintenance, adjustment(s), replacement costs, and inspection costs. This includes an annual maintenance fee (typically $400 to $600). Owner agrees that only maintenance and repair personnel approved by the Municipality or the manufacturer's representative will inspect and make any necessary maintenance, repairs oy permitted alterations to the system. Owner acknowledges that regular maintenance of an AWWTS reduces the potential failure of the system, which could include sewage backup and costly repairs or drainfield replacement. (rev. 05/18/2018) Page I of 3 ZID Owner acknowledges that the Municipality may request records of maintenance and repairs from the manufacturer's representative or maintenance provider. Owner acknowledges that the fine for failing to maintain and repair an AWWTS may be assessed in accordance with AMC 14.60.030. Owner agrees to grant the Municipalityreasonable access to test and inspect the AWWTS. The Municipality will give at least 24-hour notice. Owner agrees that any sale or transfer of title of the property will not occur without a new ,�,� Certificate of On -Site Systems Approval. � ��� Owner agrees that the AWWTS installation and maintenance requirements as provided by the AWWTS vendor/installer and approved by the Municipality are the governing guidelines for the construction, maintenance and repair of the Owner's AWWTS. Owner agrees to maintain remote monitoring of the AWWTS as required by the AWWTS approval. 3. Term. The term of this Agreement shall begin on the date of approval by the Municipality to operate the installed system, or upon transfer of title, and shall continue while the AWWTS is operational or until title is transferred. 4. Nonwaiver. The failure of the Municipality at any time to enforce a provision of this Agreement shall in no way constitute a waiver of the provisions, nor in any way affect the validity of the Agreement or any part hereof, or the right of the Municipality thereafter to enforce every provision hereof. 5. Amendment. This Agreement shall only be amended by authorized representatives of the Owner and Municipality. Any attempt to amend this agreement by either an unauthorized representative or unauthorized means shall be void. 6. Jurisdiction: Choice of Law. Any civil action arising from this Agreement shall be brought in the Superior Court for the Third Judicial District of the State of Alaska at Anchorage. The laws of the State of Alaska shall govern the rights and obligations of the parties under this Agreement. 7. Severability. Any provisions of this Agreement decreed invalid by a court of competent jurisdiction shall not invalidate the remaining provisions of the Agreement. (rev. 05/18/2018) Page 2 of 3 OWNER: By: QILW signature) Date: "� 'A Aj (print name) STATE OF ALASKA SS. THIRD JUDICIAL DISTRICT MUNICIPALITY: By: (signature) Calutt"U'll, RQ,-)�CC-k C�rc, { � (print name) Date: -bcc O37 Dols Title: (rev. 05/18/2018) Page 3 of 3 MUNIC, IPAI.ITY OF AN()I-IOE~AGE 825 "L" Street, Anchorage, Alaska 99502, Telephone 264-4720 .~[LWAC~R BB, O)SAL SYS%EN~ AMB/O~ ~ELL B~SPEO ~(}~ EPOB ~ Address Phone(s) Lot Block Township, Range, Section PeHmt No No of f{edloor~l$ LEGAL DESCRIPTION C] SNP'F~C [] I~OLD~NG SEPTIC ABSORPTION 'rANI( FIE[.IJ WELL WELL .-~ l / & LIlT LME - ~ ~. AS-~Utt.T DIAGRA~I ~Show location of well septic system, property hnes, Ioundabon, [] TRENCH [~I~EiD lJ W. Dt:iA~H [] OTTIER Depth to pB)e bottom (rOln Iotal depth lrom original grade or,omar grade '~ Fill added above OHglRaJ grade Gravel depth benoath plpo 0 FT / z_ F1 FT ENGINEER'S SEAL hlsp(;ctJoRs Pe~orrrled by: cedJl~t Ihal this ill$1lBClion was t)eflormed accorflJll§ l0 all [~unici~al and Sial iii died oIl lhis dal0: // - 72-013 (3/85) ANCHORAGE AREA $OUGH Department of Environmental Quality 3500 Tudor Road Anchorage, Alaska 99507 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM SEPTIC TANK: DISTANCE FROM WEL:L ¢:~;C,/: INSIDE LENGTH NUMBER OF (~" ~ ~ ~'/~-~'Z' ~'~., ' / /?'¢) ';'~-'c) COMPARTMENTS MANUFACTURER '-~ ~{ / .. MATERIAL~(L // INSIDE WIDTH ~ LIQUID DEPTH '- LIQUID CAPACITY /-~-~-': GALLC SEEPAGE PIT: NUMBER OF PITS / DIAMETER _ OR WIDTH .~' LENGTH~''c , DEPTH LINING MATERIAL;7~' ~'L'''''r''''~;~' ~u"*'l?ORfit~ SIZE: DiAMETER/F,?,, DEPTH ~' DISTANCE FROM: WELL TOTAL EFFECTIVE BUILDING FOUNDATION ¢'~ , NEAREST LOT LINE /"'¢' ABSORPTION AREA (WALL AREA) ADDITIONAL ABSORPTION CESSPOOL , OTHER SOURCES APPROVED C'."\;-' ' DISAPPROVED DEPTH ~ ~;~ DISTANCE FR SEWER LINE TANK SYSTEM REMARKS. DISTANCES: INSTALLED BY: '~ ~ PIPE MATERIALr LOT SLOPE: DIAGRAM OF SYSTEM APPROVED G.A,A.8. Figure 3 PERFORMED FOR: Municipality ot Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST DATE PERFORMED: LEGAL DESCRIPTION: Jo/,,, f,,u',rt~j' /¢¢"'.2 4 ,I j, 1~'/,;~/- ~ Township, Range, Section: 1 2 3 4 5 6 7 8 9 10 11 12 13 14-- 15 16 17 18 19 2O OL SLOPE SITE PLAN WAS GROUND WATER ~/~(3 ENCOUNTERED? S L IF YES, AT WHAT O DEPTH? . p E Depth t0 Water After Monitoring? Date: Gross Net Depth to Net Reading Date Time Time Water Drop PERCOLATION RATE __ (minutes/inch) PERC HOLE DIAMETER __ TEST RUN BETWEEN __ FTAND COMMENTS FT PERFORMED BY; /~t:.- - ¢ --~'£ '" ;" I ~.¢ ~' ~,'~.~' ~ CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: /c.> - ;~'_~ -~' ~-~ k,.'N,.~72-00B (Rev. 4/85) Db¢i-tRTMENT OF ENVIRONMENTAL QUALB,~ 3500 TIJDOR ~OAD ANCHORAGE, ALASI(A 99507 279-861'i6 . , MAILING ) ' . NAME_?__. ,:_._ SEPTIC TANK: INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM _PHONE , .. NUMBER OF DISTANCE FROM WELL ...... "'~ .......... MATERIAl ~_i~=~ ' COMPARTMENTS_ LIQUID [I©LIID CAPACITY ~__'~ ...... GALLONS. INSIDE LENGTH ................ INSIDE WID'rH .... DEPTH SEEPAGE SYSI'EM: SEEPAGE PIT: NUMBER OF PITS ..... : ..... OUTSIDE DIAMETER_ OR WIDTH ~ .......... LENGTH_ .... DEPTH___, LINING MAYERIALi_~L&..Z :--% ...... ~z..~ ' ........ DISTANCE FROM WELL ...... BUILDING FOUNDATION _ N~EEAREST LOT LINE ' i ' . TOTAL EEFECTIVE ABSORPTION AREA (WALL AREA)__"~.~,~_i__ ........ SQ. FT. 'rILE DRAIN FIELD: DISTANCE FROM WELL ............... FOUNDATION_ NEAREST LOI. LINE NUMBER OF LINES__ DISTANCE BEIWEEN LINES .............. TRENCtl WII)TH .... ABSORPTION AREA ............... SQ. FT. LENGrH OF EACH tINE TOTAL LENGTH OF LINES IN. TOTAL EFFECTIVE DEPTH: TOP OF IILE TO FINISH GRADE DEPTH OF FIL1EP, MAiER!AL B!!NEAItl I,ILE___ IN. ABOVE TILE__ WEt. L: LOT LINE · L~ .......... DEPTH. NEAREST SEPTIC SEWER LINE ......... TANK_ DISTANCE EROM WATER ,BUILDING FOUNDAI,ION ..... '_ .... SAMPLE._ ; ,NEAREST SEEPAGI OTHER , SYSTEM ......... CESSPOOL ...... SOURCES___ DISTANCES: DIAGRAM OF SYS1EM DATE APPROVED _ G.A.A.B. GREAI'ER ANCHORAGE AREA BOROUGH DEPARTMENT OF ENVIRONMENTAL QUALITY 3500 TUDOR ROAD POUCH 6-65'0 ANCHORAGE, ALASKA 99502 TELEPHONE 279-8686 SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT NAME OF APPLICANT INSTALLATION LOCATION PHONE LEGAL DESCRIPTION INSTALLATION OF: SEPTIC TANK SEEPAGE PIT ., DRAIN FIELD OTHER TYPE AND SIZE OF FACILITY TO BE SERVED ~ ' tI'' ~ ~"Z SOIL TEST RESULTS ,' : ' [ ,/ ,' ~':i¢/~) __ NOTE: THIS PERMIT IS NOT VALID WITHOUT SOIL TEST FINAL INSPECTION: 24 HOUR NOTICE REQUIRED, BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE HEALTH DEPARTMENT AUTHORITY WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCES, REQUIREMENTS FOUNDATION TO SEPTIC TANK WATER MAIN TO SEPTIC TANK DRAIN FIELD SEEPAGE PIT SEPTIC TANK, , SEEPAGE PIT ., DRAIN FIELD TO RIVER, LAKE, STREAM. ' CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF EXCAVATION 5 FEET INTO UiNDISTURBED SOIL. 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT FITTED WITH AIRTIGHT REMOVABLE CAPS. GRAVEL BAGKFILL CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. / ,'" / /_/",/: ~ ,', / '~':ALTH AUTHORITY DIAGRAM OF SYSTEM I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE. //"? , · WATER WELL RECORD STATE OF ALASKA OEPARTMENT OF NATURAL RESOURES Division of Geological ~ Geoph)'sicol Surveys Drilling Permit No. LOCATION OF WELL (Please aomplele either ta, lb or lc.) A.D.L. No. Anchorage Johns Well !8 5 --o~--~--o~-- sO ~c.JJD~STANCE ANO DIRECTION FROM ROAD INTERSECTIONS ~. OWNER OF WELL: WELL LOG Feet Bele~ 4. WELL DEPTH: (fl~el) 5. DATE OF COMPLETION zr, ,~. , .... t .... O 7. USE: ~:DomeltiC ~ Pubtlc $ugply ~ grey hard oan 42 73 s, c~sms: ~ ~,,0.,~ ~ ~:b'~v U.'~rd pan - 83 : 97 diam. tn. fo ft. Depth Stlckup.__ff. Grey hard oan~ wet streaks 107 125 Type:QUart BO,.tO ** Diameter: b[ed coarse water, sand 151 152 Backfilling Sravel pack IO. .... STATIC WATER LEVEL: 52 ,. 10/23/69,. . : ~Above Ot: ~ 8llow land lurfece - I2.GROUTING Well 6~outed; ~ Yes ~ No MofeHOI: ~ Neat Cement ~ Other: Length of Drop Pipe fL capacity g.p.m. W/DD to llS'. Registered Business Nome Contract License Number EpLoslo MUNICIPALITY OF ANCHORAGE RUSH Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Parcel I.D. 014-261-18 1. GENERAL INFORMATION Complete legal description Expiration Date: John Wells 1952 Addition Block 5 Lot 18 Location (site address) 2419 E. 86th Court Current property owner(s) Mailing address Real estate agent John & Janet Beier Day phone 907-522-1180 2407 E. 86th Ave., Anchorage, AK 99507 2. TYPE OF DWELLING: ❑ Single Family (w/wo ADU) Fx-1 Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 5 Day phone 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Private Well 0 Private Septic 0 Water Storage ❑ Holding Tank ❑ Community Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ Waiver request for: Distance: Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ q*16.ou'l('40 Date of Payment coq-/ /,4//;? Receipt Number QJ9Q� COSA# ©SC'l� WIv�ee $ qq olo Date of Payment 1 ALIg /l8 Receipt Number_ 03554D 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 Forge Engineering Phone 907-522-7773 Address PO Box 240773, Anchorage, AK 99524 Engineer's Printed Name Benjamin Schiller, PE Date 12/13/18 6. DSD SIGNATURE....... % : • • • • : S l� stem #1 Approved for bedrooms ' • Y pp � � Benjamjg Schiller E 12 System #2 Approved for bedrooms ����s,Fq. •2/135158low •.�����`��/ Disapproved 11lF�ftiiSS10Na�.Aw Conditional approval for bedrooms, with the following stipulations: By: 444 zlze Original Certificate Date: /Z-A6q The Municipality of Ancho ge 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 X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA Checklist blue sheet 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: Parcel ID: A. WELL DATA Well type If A, B, or C provide PWSID # Well Log (Y/N) Date completed Sanitary seal (Y/N) Wires properly protected (Y/N) Total depth ft. Cased to ft. Casing height (above ground) in. FROM WELL LOG Date of test Static water level ft. Well production g.p.m. AT INSPECTION ft. g.p.m. WATER SAMPLE RESULTS: Coliform colonies/100 mL Nitrate mg/L Arsenic ug/L Date of sample: Collected by: B. SEPTIC/HOLDING TANK DATA Tank Type/Material Date installed Tank size gal. Number of Compartments Cleanouts (Y/N) Foundation cleanout (Y/N) Depression over tank (Y/N) High water alarm (Y/N) Date of pumping Pumper C. ABSORPTION FIELD DATA Date installed Soil rating (g.p.d./ft2 or ft2/bdrm) System type Length ft. Width ft. Gravel below pipe ft. Total depth ft. Eff. absorption area ft2 Monitoring tube Depression over field Date of adequacy test Results (Pass/Fail) For bedrooms Fluid depth in absorption field before test in. Water added gal. New depth in. Elapsed Time: min. Final fluid depth in. Absorption rate >= g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) If yes, give date D. LIFT STATION Date installed Size in gallons Manhole/Access (Y/N) “Pump on” level at in. “Pump off” level at in. High water alarm level at in. Datum Cycles tested Meets alarm & circuit requirements? E. SEPARATION DISTANCES WELL ON LOT TO: Septic tank/lift station on lot On adjacent lots Absorption field on lot On adjacent lots Public sewer main Public sewer manhole/cleanout Sewer /septic service line Holding tank Animal containment areas Manure/animal excrete storage areas SEPTIC/HOLDING TANK ON LOT TO: Building foundation Property line Absorption field Water main Water service line Surface water Wells on adjacent lots ABSORPTION FIELD ON LOT TO: Property line Building foundation Water main Water Service line Surface water Driveway, parking/vehicle storage Curtain drain Wells on adjacent lots F. COMMENTS G. ENGINEER’S CERTIFICATION I certify that I have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. Engineer’s Printed Name Date COSA brown sheet_10-10-12.doc LOT 3LOT 4 LOT 17 LOT 2 LOT 19 LOT 22 LOT 23LOT 24 EAST 86TH COURT 12.0 R.O.W. OHP OHP OHP OHP OHP OHP OHP OHP OHP OHP OHP OHP OHP OHP OHP OHP OHP OHP OHP OHP OHP OHP OHP OHP S W GRAVEL PARKING100' WELL RADIUSOHPOHPOHPOHPOHPOHPOHPOHPOHPOHPOHPSHED EDGE OF PAVEMENT G E O H P OH P OH P OH P OH P OH P OH P OH P 40.3 40.3 28.414.18.2 5.04.95.0 CONCRETE WALKWAY N89° 58' 00"E 90.00 58.9 12.0R.O.W.20.0 24.8 3.2 28.6EDGE OF GRAVELMBDAKOTA STREET28.425.3Lot 18, Block 5 John Wells' 1952 Addition 8,550 Sq. Ft. 2 Story Wood Frame Duplex W/ Daylight Basement N00° 07' 00"W 95.00S00° 07' 00"E 95.00N89° 58' 00"E 90.00 NOTE: A PORTION OF THE SEPTIC SYSTEM FOR LOT 18 IS LOCATED ON LOT 3. SS S SS S SSS S M.H. Frederic W. Wagner NO. L.S.-9946 PROFESSIONAL SEAL Date:Frontier Surveys, LLC Project No: 650 W. 58th Ave. Suite E Anchorage, Alaska 99518 As-Built Survey of: www.frontiersurveys.com Frontier Surveys, LLC I, Frederic Wagner, hereby certify that this Mortgage Inspection Survey was performed by me, or under my direct supervision on Plat:Grid:Ordered By: 907.460.1686 - info@frontiersurveys.com This survey complies with the ASPLS Mortgage Location Standards. The survey represents visible improvements and conditions at the time of the survey. This document does not constitute a boundary survey and is subject to any inaccuracies that a subsequent boundary survey may reveal. It is the responsibility of the Owner to determine the existence of any easements, covenants, or restriction which do no appear on the record plat. Under no circumstances should this document be used for construction or for establishing a boundary or fence line. December 14th, 2018. Legend: Scale 1" = 30' Gas Meter Electric Meter/Outside Power Deck Septic Water Well Telephone Pole Fence Concrete Over Hanging Power Light Pole STA T E O F ALA S K A49 TH ROYEVRUSDNALLANOISSEFORP DERE T S IGER 12/14/2018 S G E Mail Box Lot 18, Block 5 John Wells' 1952 Addition General Notes: 1. This document is created for the purpose of a single property transaction and is subject to Federal Copyright Laws. 2. Excepting for gross negligence, the liability for this survey shall not exceed the cost of preparing this survey. 3. All measurements/setbacks are to the visual/apparent building footprint. 4. All dimensions to property lines are plus/minus 0.1ft. Jayne Almon 18-407 12/14/2018 P-267E N/A M.H.Septic Man Hole W MB 1 r.'' til i.a �.0�.3.��:��.!.�:J r ' 'r E'Yi.':rfi�k. r'�`a,.�t'•r:°`tT ':7". .��I�!1. E VAN C i.,T'. ..A.I NTF.-.t • \ .(..7►:3..,9 C1_. AND REPAU� 1 1J Tr ": f y 1. + �� � NI" � T�r ,�✓1 .I l L��� i ..J. A.�/l ✓ R ETAt AG December. ol: of t1j,'' 14 Dar .._.._..._.-._ . ��axian Weber h ,t't 11 1.1. . c:0 ��;�� - -' E `. 'al.i.'�i _. ........__._ _._ .... .o..._.. - i.:�' '� «.• r«� r r� "'r �.r �''lr!L.i.l,l.i4 +''1�i�aI �t��r�lC << �.vl �cl�c�r, { � . herein the �.lh►.1. 1. -P -A-1. .. l.. f .:�.:r�t: v • �� S Vis), t1•1 j 5 �• 3 utl.'cd.cov alti,5•C.011U.1.�.11c.d tlt.lcin,, t�?�.e ��cE1�1.1+,... ti t.: 1 t. �.C� e�,�:s��atto. c :i thein et:i• A..\ o*j,ccnic.nt agree. as `611o,% -s•:. reaton T T to- , TI i'� i cipal•�.t` rm is pe1.'r�1s.81o�z to the f . .: tCNIVater Tre�i��ej�t S stc�nz. C��� 7 e �• �:o Lit°tl.�ze zand op'tr ate ati..��:�d`vanc ed, as A dv a n t e'x system cls :scr.ibed. as located -at, (legal de-sc' rip. P6) P 11 s 1.9 5 2 �D DN Block* r 5 L o tr 18 �.�:.:... _._. _� ........_. John W �...r-- Ma d eac-1.1. Sec.t•IOD; (Owner is req ►tree. tcx•e :� Lt.t t ��4j.11,t" �l�G� ll �.r 11"C� 4.,i•�� tc:.. c� ��'4.rI1� t1 t •°'hrcttl�cit ti: tee. off. t�..� �- �- .. t t ? . '`G�,1t'• 1�C �"' t� ''�:. ���F �.h� �'�11lltt�t:llit' �?x� �.ta call .�.' A �; T -' sex ioe ��ztl 17t�.in � }� r.11 n'l-C-1111.1f C:ti;U�•� 7�� s� 1_eP''esen.ta :(' J c . � r s} t4 [ b ' ina �1�it�t.i ��. `iii a sLtti sfactoi• � • t} e��t.e � :.� t:tc, ei � c•t nt in. otzcl�C n a. C al le c l" erforn»ri�� c ,, M. i thf� -41l -i .�' p ali�ty . atc,.cord,anc:e-,Nvith the eq ipmeiiV s a -.-royal for c.l�� . atic j '�... < during tl�e tc i-iz of tai r-ce neat to Pa., �c�r til It shall e t.t�e Inc po �sibil:ity •01 the ;O n. z. • 1" } .�� gni -tit 6 Si. '.; ��1+C� II�S�c'Ci.JOn �,o ts. 1. ��I:: I•'jr.1i:I'.`.i l:Y'1.��.l.Cl'11i:11�:C:? ��,11:�1.7t��> ):. a �a �i � •17i�i.ai.nte ini�e fey (ty,picallyf � 400 tLo :S-60 ),. ,•; inciti�.s:an Ownerrr . had orii:��• na,�iintc,n -1 maid repair• ��ers���1�eI z�.l���rL��-eel '�,�. t:i��� �jl� ;r�it; .�i�ilii�, �; .: Y.. '+� '�i �l�j. 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A.A to rnai L�►.v��11 and l.er air 41��.i. �'� V� 711 .( w.r I!�.�i.�.�+ �. �.•,�'t''� n�,l �zc�'>. �c. led a , a. sc,ssed in. ac cC,rdance with ANY � 1��. 7 i' ��7i,�. ' ti�� L � : f�}.i�iG� '• C1.�.�. :'+3� t t St. G:. IL i1��p�'�. i the tier. agree. tc��.��t tl.cx , � t��: r":�� `'., 'Y"'piea.l.ity �c ilI give atjea.s � 4 -hour zlotice:. stale --or . �ez: ��tie:of tictI�Ott c11�an r� e nx carce rl��� �.��ll: l.c�t• �c:;��t�r ��l.tl:���►tit �-�. x•z.c��j • tIA A/ Certificate nw' ite SVS.tens A i0'* Val, w } ,�;, r 1• V,� r I' r r7 i '1 a 1 L_'1 I i �, .v w..t .•� ., - xx�.. ,s tha the ���r�W"I'�. a�zci n�a�nteii�r.�.At.:e zt:� zxi�rc,a��'�•z',.�� �:z�. �..r���r�,� �.• T�., "�e.idc�zfinstalleri1c1�a�-ar ti, �`1�.tl�ici}���.ii%-, ar tl�e���'Ter•�i-� by tl.xe . �W� Nor T 1. �. ,. : st � c ti zA�arnten l c e ar�.c -eta .�� of the" .O xiler :�,.'��rT ��'T S . t.2111leinles *O the -con Me ��x`� ��r''.� as �•e(.1t.1x.red. �)\•' a Trees to .mai item.-reniU'te �1(.�.I1I tt�?r �z'�g'c� f'. • 4 � . The t� rz � c, f tl�l �•eezxiea t sl l -�� � iz� ����• the da' tc� of e p�.�rol"' a l b the .ern '• 'munir ,r .t ; tl e i:r : tall;cd .s t y c�.t- pon analis z• �f, ti le, arc : i�. 1.1 Z�1'i�t1t" e } ' ' rrT�J '• ratic��ial*oorJ until title is t�•a�� :et-i'�cl. ylizle� tI p ' ;i:. srl.i.� , �;t a ��, l;it� e e ylc:e � . provision uf' thl 4.. Non ���aiver. �"I�e t���l.tt�� c�:t t11cy I�11:ccn.� � . � 1� � • "Acyre '"` 7 .. shallIt N�'jiCLv constitute a. iw C�•1�' er of,the �,1.r'�1t•�isions,. J, or in C����l'T ��'t��� C� �.1 �.-� t� t}.e it ot;11c?rexr.et o•1T pt�rt let•e,::•. tile r;}t gal' ` Izi..ial,� ..; : ti�ereaftte�� �to. en:l`t xce' e �e �• .Y -c VIS1011 I'le.reof ; reement-sh� l .�)n,.I i 1}e zunetide �• b �; • ai thor' zed repro5. Amen-drilelit. This Ag e=��.t ztl��c: , o w ' '� 'cxr a lir . :�lz . � tte t to a1� �zlci tl�i ' a rcc��ie'zat, b��, e tl�el• ���� flit Ommer e arid Mun. � p r � • t'�c: rizecl. re re5e'nt•ati�� e. or' L1.1.2�•l,lt� lVl=ize z;11��.ut� p ".•'x��i:fi.u�c's�f G ., Nor, t1:'` cis -i.1 acx��l� az�..i.�li�c�:r tl:.�; .z•e�e�ea,1.tl<:z:i.l be •c tl� S uz ez•'i f C ' r lot- tie �: h rcl. J�u,di�i•ll District of tiap. State �� ��l�:�slt�l ��.t t. z .�ttght in Sup ed ' :c�tifer?�. tla.e �i lits ni il. ' b1i �eadons of^the r� iii.e:i�c������ge-. 'Fhe lay Ais � ' tl�c t tc. f Alaska a sl 11 m. . "' Parties und-er this Aureenentr : " 1'f) 'lsl:()I1 t�f.t: `ifi .s�•e �e:i . decrc' c .: �:��-alio .l"+� a c;,r..,��.t=t ��1�ccr1'�', � rl.E,llt a us-�sclic.tic7n �Sl 11 i ��t li va.:ici t :tl�. `x•en � rlin, � �i ons of t O Agreejaient- , �.t I Dai- 1Y 2,.12 1 Ln 13Nf(000. --- ...._.._._._. r - TA I r tle 70111L7 zD.,'qtt UM .tlt was • c. owled.ged be" ore mw thi.t; � OF F A LAS KA '.STATE .. -N PUBLIC _ .. .....�� .�_ .�:.... QTAR' NOTARY PUBLIC, FOR A��,ASK ' ALA. RoseAnna Train M.v -C�O�� illissioI1 ? ` S : 7i Cominission,Expires*MY ?� UNICH"ALITY11A '• �' "te: �.1_' Ti fle MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION DIVISION OF ENVIRONMENTAL HEALTH CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY 264-4720 January 20, Application Date 1986 GENERAL INFORMATION (a) Legal Description (include lot, block, subdivision, section, township, range) Lots ~ & 18, Bk 5, John 'Wells Subd.,; Sec. 8, T12N~ R~W, S.M. Location (address or directions) 2~+19 East 86~ Court, Anchorage, A~ Applicant Name Daryl Hallquist Telephone: Home Business 56.~-~620 ?.0. Box /+-D, Anchorage, AK 99509 Applicant Address (b) (c) Applicant is (check one): Lending Institution []; Owner/builder []; Buyer []; Other [] (explain); (d) Alaska Mutual Bank Lending Institution Telephone Address 15OO W. Benson Blvd., '~nchorege~ AK 9950~ ~38-7890 (e) Real Estate Company and Agent Address Telephone (f) Mail the HAA to the following address: Daryl Hallquist P.O. Box h-D Anchorage, AK 99509 TYPE OF RESIDENCE Single-Family I~ Multi-Family [] Three Number of Bedrooms Other WATER SUPPLY Individual Well [] Community [] Public [] Note: If community well system, must have written confirmation from the State Department of Environ mental Conservation attesting to the legality and status. SEWAGE DISPOSAL Onsite r~ 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 (11/84) Page 1 of 2 EHGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of thi Authority Approval shows that the on-site water supply and/or wastewater disposa~ system is safe, functional and adequa for the number of bedrooms and type of structure indicated herein. I further verify that based on the information from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect the date of this inspection. Name of'FirmAlaska Soil Testing and Engineering Telephone 561-7453 6100 A Street, Anchorage, AK 99~O2 Address Date January 20, 1986 ST85-260 DHEP APPROVAL ..4 ,4. Approved for bedrooms by Approved b,'"" Disap~ved Terms of Conditional Approval Cor~°nal Date CAUTION The Muncipaiity of Anchorage Department of Health and Environmental Protection (DHEP) issues Health Authority Approval certificates based solely upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHEP does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHEP do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. Page 2 of 2 72-025 (11/84) WELL DATA Well Classification Well Log Present (Y/N) Total Depth ;1 ~2 !'t; o Cased to &L Static Water Level I~UNICIPALITY OF ANCHORAGE (I~OA) HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST- FEBRUARY 1984 A,IUNICIPAU'r'g OF 13EP,r, C'ff HFALT~, & ENVIRONMEN I Al.L~;al~iRtion: ~ '! .....-]faA, B,"C~'D.E.C. Approved (Y/N) Date Completed Yield 1_52 fi;, Depth of Grouting lx~/A Pump Set At Casing Height Above Ground 1 :;'~ above b,z,sem~.r~b S~l(~ry Sea on Casing (Y/N) ="' "' ----uepresmon Around Wellhead (Y/N) Electrical Wiring in Conduit (Y/N) ;N (. ¢.¢.uez.~o~' ~eq' 2 · Separation Distances from Well: To Septic/Holding Tank on Lot '~9' (}'~e.3 C( i)lx 2) fo Nearest Edge of Absorption Field on Lot To Nearest Public Sewer Line. ] 00~ _ u~ Cleanout/Manhole Water Sample Collected by ; On Adjoining Lots ]' ~ :i't;~ ; On Adjoining Lots Water Sample Test Results i()0 :i.'1. ~ ]0()~ :~'-i:, To Nearest Public Sewer To Nearest Sewer Service Line on Lot ~'~ ,uo ; Date ' Comments 2) lief 'bo ~z'gtc.e _(;~ AD.(!JC wafivez' of ~el:.?: l;.iozz dJst~znCeo B, SEPTIC/HOLDING TANK DATA Date Installed Standpipes (Y/N) Depression over Tank (Y/N) Pumping/Maintenance Contract on File (Y/N) Holding Tank High-Water Alarm (Y/N) Separation Distances from Septic/Holding Tank; To Water-Supply Well ~9 :~'% To Property Line !.0 To Water Main/Service Line 20+ :('t;o Course 100~. :/'Lo Size ~ ' ~ '- No. of Compartments Air-tight Caps (Y/N) Foundation Cleanout (Y/N) Date Last Pumped Temporary Holding Tank Permit (Y/N) To Building Foundation To Disposal Field ?0 To Stream, Pond, Lake, or Major Drainage Comments Page 1 of 2 72-026(11/84/ ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed _ Width of Field . Square Feet of Absorption Area Depression over Field (Y/N) Standpipes Present (Y/N) Date of Last Adequacy Test _ lype of System Design Length of Field 150 /'l~,, Depth of Field ().~..;:.b-~ ,.? l'~:, Gravel Bed Thickness 0.~ F'h. Results of Last Adequacy Test . Separation Distance from Absorption Field: To Water-Supply Well ~ i (~ i' To Building Foundation '~1 Lot To Water Main/Service Line :~()~ t't; ] o Stream/Pond/Lake/or Major Drainage Course To Driveway, Parking Aroa, or Vehicle Storage Area To Property Line U To Existing or Abandoned System on ;100 On Adjoining Lots ~1 o Gutbank (if present) Gomments ~ _ . - - D. LIFT STATION Date Jrrstalled Dimensions Size in Gallons _ ._ Manhole/Access (Y/N) "Pump On" Level at _ _ "Pump Off" Level at High Water Alarm Level at _ . Vent (Y/N) Tosted for _ _ Pumping Cycles during Adequacy Test. Meets MOA Electrical Codes (Y/N) ...... Comments ** Check Permitted Bedroom Rating Against HAA Request ** I certify that I have checked, ve~ifi/ed., or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Signed ..,~?."-2/'~z-~ ~.~:/"/-'-~L:%~ Date ReceiptNo. ~.D7¢') '/.2. % Amount: $ ¢,%;C2 ~) Page 2 of 2 72 026 (11/84) ALASKA SOIL TESTING AND ENGINEERING 6100 A Street, Anchorage, Alaska 99502 (907) 561-7453 MUNICIPALITY OF ANCHORA~ DEPr. OF HIALTH & ElqV i ROI', MF NT/~.L PROTECTIOb~. ,lA N o Subject: Lots 3 & it-3, Bk 5, Jehn WalLs 5ubd. Enclosed pl~ose f:'ind o cei?tifioote of~ inspection of on-site sswe~- onc.~ ~doter focilitiss with supporting doouments whioh include on ADEC woiver request, The inspection wes initiotmd upgmode stmpm hove been completed os shot,~n on the mt'Loohed oppcovol. In oddition to the two HAA checklist sheets~ the submitte! contoinm oopims o~' the on-sits semege disposol inspection ~'epout~ woter quolitg onolymis, well log, sep'Lic tonk pumping cecmipt, ceply to the tduiver csqusst, end the mequesL. Pleose cell iff I mow pmovide odditionol inFocmotian, ALASKA SOIL TESTING ANO ENG!NE:EP,.IN~ I'1c2~,: Ho~LLim, P.E, September 23, 1985 Daryl Ha]lquist % Steve Walsh PO Box 4-D Anchorage, Alaska ii DEPA~?I'~'t[-'?~T OF HEALTH 99509 Subject: Waiver Requet WR85-032, Wells Subdivision P.O. BOX 6650 ANCHORAGE ALASKA 99502-0650 (907) 264-411 ~ Dear Mr. Hallquist: This department has reviewed your request for a waiver of the minimum horizontal separation distance between the wells and septic systems on Lot 3, 18 and 19. Based on the information presented, a waiver cannot be granted. In order to gain Health Authority Approval, we recommend: (1) Inspect the septic tank to insure the intergrity of the tank. Install watertight couplings, if needed. (2) Move the absorption field to meet the minimum separation distance to adjacent wells. (3) Properly abandon, the well that is no longer, used. Sincerely, Stephen S. Morris Civil Engineer On-site Services SSM/ljw out 28' ~ 45' 52~ Well Truck/Tr;~ller Par~lng Ar;a 90' LOT :3 Cleanout Anomalies Vent Pipe / f Well~ $oF. Ab'n ~, w. Besemenf JOHN WELLS SUB[; Fuel Pump ,- Vent Pipe COURT ALASKA SOIL TE~T~NG AND EHOINEERI~iG W;LL AND ~EPT~C SCALE: LOT t9 I" = ~0' D~T. O~ ~N¥~RONM~NTAL CONS~R¥~T]ON ANCHORAGE/WESTERN DISTRICT OFFICE 437 "E" STREET, SUITE 303 ANCHORAGE, ALASKA 99501 BILL SHEFFIELD, GOVERNOR 274-2533 February 5, 1985 Alaska Soil Testing and Engineering Attention: Mark Holum, P.E. 6100 "A" Street Anchorage, Alaska 99502 SUBJECT: Horizontal Separation Waiver Between Well and Septic Tank, Well and Absorption Field, Lots 3 and 18, John Wells Subdivision - Anchorage (8521-WA-105) B1 ock 5 Dear Mr. Holum: The department has reviewed the subject waiver request and cannot ap- prove the waiver. The report did not show that the separation re- quired by 18 AAC 72.021 was clearly not necessary in this situation. To make this system acceptable to the Department I recommend: 1. Inspecting the septic tank to assure it is a sealed tank with sealed couplings (i.e., calder couplings). 2. Move the absorption field outside the 100 feet well radius and increase the size to meet state standards. 3. Properly abandon the well that is no longer used. Sincerely, District Engineer SE/dd January 30, 1985 State of Alaska Dept. of Environmental Conservation 437 E. Street Anchorage, AK 99501 Attention: Mr. Steve Eng Re: Application for Waiver of Separation Distances, Lots 3 and 18, Block 5, John Wells Subdivision. Gentlemen: Transmitted herein is a request, with supporting documents, for a waiver of the minimum separation distances between an existing septic system and two adjacent wells. The request for a waiver pertains to the separation distances shown on Figure 1, which are: a) 59' between septic tank on Lot 18 and well on Lot 18 b) 77' between septic tank on Lot 18 and well on Lot 19 c) 77' between seepage pit on Lot 18 and well on Lot 18 d) 91' between seepage pit on Lot 18 and well on Lot 19 The septic system on Lots 3 and 18 consists of a septic tank and seepage pit which was installed approximately 9/1/71 (Ref. Installation Inspection Report, Figure 3). The disposal system is functioning satisfactorily as indicated by the adequacy test results which are displayed on Figure 4. An abandoned well and septic system is suspected to be on Lot 18, but its presence has not been verified. An abandoned well and two subsurface magnetic anomalies (Figure 1) were noted during the site investigation and may indicate a second system. State of Alaska January 30, 1985 Page 2 The topography of the site is generally flat with less than approximately 1 foot of relief among all subject lots. However, the elevation of East 86th Court is approximately ½ foot below the ground level of the lots. The area north of the lots dips north at approximately 1%. The dwelling on Lot 18 possesses a basement which extends four feet below the exterior ground level. The well on Lot 18 is located in a basement addition and extends one foot above the basement floor level as shown on Figure 5. Access to the basement addition which contains the well is shown on Figure 6. The well on Lot 19 is an exterior well which extends one foot above grade. The well logs and soil logs (percolation tests) on file with the USGS (Figures 9 - 16), the Municipality of Anchorage (Figures 20 - 21), and a drilling company (Figures 7 - 8) indicate the soil consists of a surface gravel deposit which is underlain by unconsolidated deposits of generally fined grained soil. However, the well log of Lot 16, Block 5, John Wells Subdivision (Figures 9 - 13) indicates an extensive gravel deposit of variable texture extending to the aquafer which in all four instances lies at depths of approximately 120 - 160 feet. The fine grained soil generally indicates a low permeability layer which forms a barrier to wastewater transmission to the aquafer. Exclusion of wastewater from the aquafer is indicated by satisfactory bacteriological (Figures 17 18) and nitrate (Figure 19) analyses. Water levels in the four wells indicate significant temporal variations. The following observations were compiled from the attached well logs (Figures 7 - 16). Date Water Level Lot Block Subdivision (Feet Below Ground Surface) 10/23/69 52 18 5 John Wells 2/27/70 53 19 5 " 1/21/85 81 18 5 " 9/67 30 2 2 " 3/13/74 70 (See also 16 5 " Figures tl - 13) The abandoned well on Lot 18 had a water level of 14 feet on 1/27/85, but the well condition is unknown. Municipality of Anchorage soil logs (percolation test pits, Figures 20 - 21) of lots along East 86th Court indicate no ground water was encountered to the depth of exploration. However, the test pits are generally shallow. State of Alaska January 30, 1985 Page 3 The soil stratigraphy indicated by the logs, and the analysis of water samples obtained from the wells indicate no contamination of the source aquafer. The data which support this conclusion are listed on the following figures: Figure Figures Figure Figure Figure 6 Figure 7 Figure 8 Figures 9 Figures 14 Figures 17 Figure 19 Figure 20 Figure 21 Figure 22 1 2-3 4 5 - t3 - 16 - 18 Well and Septic System Locations Septic System Installation Reports Adequacy Test Well - Lot 18, Block 5, John Wells Subdivision Well Access Well Log Lot 18, Block 5, John Wells Subdivision Well Log Lot 19, Block 5, John Wells Subdivision Well Log Lot 16, Block 5, John Wells Subdivision Well Log Lot 2, Block 2, John Wells Subdivision Bacteriological Analysis Nitrate Analyses Soil Log (Percolation Test) Lot 4, Block 5, John Wells Soil Log (Percolation Test) Lot 15, Blk. 5, John Wells Plat of John Wells Subdivision Please call if I may provide additional assistance in your determination of the waiver request. Very truly yours, ALASKA SOIL TESTING AND ENGINEERING Mark Holum, P.E. Manager MH/br 5633 B Street Drinking Water Analysis Report for Inorganic, Organic, and Radiochemicai Contaminants TO BE COMPLETED BY PUBLIC WATER SUPPLIER PUBLIC WATER SYSTEM: I.D. NO. Daryl Hallcrdist Public Water System Name P. O. Box 4-D Address Anchorage, AfLaska 99509 City State Zip Code Note: Check box 1o left of contaminants listed below for the analyses desired. SAMPLE DESCRIPTION: Collected By ~L%rk Holum Lots 3 & 18, Block 5, John Wells S/D Sample Location Source Type [] Surface Water Sample Date ~ Mo. [] Routine Sample [] Special Purpose Sample [~ Ground Water Day Year [] Untreated Water [] Treated Water TO BE COMPLETED BY CERTIFIED LABORATORY CHEMICAL & GEOLOGICAL LABORATORIES OF ALASKA, INC. Laboratory Name 5633 "B" STREET Address ANCHORAGE, ALASKA 99502 City State Zip Code Sample No. 7604 Station No. Laboratory Analysis No. ETY 1-25-85 Received by Date INORGANICS Limit [] Arsenic (0.05) [] Barium (1.) [] Cadmium (0.010) [] Chromium (0.05) [] Fluoride (2.4) [] Lead (0.05) [] Mercury (0.002) [] Nitrate Nitrogen (10.) [] Selenium (0.01) [] Silver (0.05) [] Turbidity (1 NTU) Mg/I 0 . 13 ND Indicates Not Detected 1-28-85 Date Analysis Completed ORGANICS Limit [] Endrin (0.0002) [] Lindane (0.004) [] Methoxychlor (0.1) [] Toxaph.ene (0.005) [] 2, 4-D (0.1) [] 2,4,5 - TP Silvex (0.01) Mg/I RADIOACTIVITY Limit [] Gross Alpha (15) [] Radium 226 & 228 (5) [] Gross Beta (50) [] Strontium - 90 (8) [] Tritium (20,000) Stephen C. Signature of Laboratory Super¥~sor pCi/I 1-28-85 Date reported Figure 19 ALASKA SOIL TESTING AND ENGINEERING 6100 A Street, Anchorage, Alaska 99502 (907) 561-7453 Location: Type: Address: Client: Adequacy Test Lots 3 and 18, Bk 5, John Wells Subd. Septic tank and seepage pit, (See installation inspection rept., attached) 2419 E. 86D Court Daryl Hallquist, P.O. Box 4-D, Anchorage, AK 99509 Date 1-24-85 Time 2:45 pm 3:00 3:05 3:06 3:07 3:13 3:14 3:16 3:22 3:30 3:36 3:46 Quantity of Water Added to Seepage Pit (Gallons) O Begin Filling 1000 Restart Filling 185o Depth Below Grade of Water Level in Seepage Pit (Inches) 150 (Dry) ll7 121 128 139 147 150 (Dry) 15o (Cry) Depth Below Grade of Water Level in Septic Tank (Inches) 74 74 74 74 Comments: The house served by the septic system has been unoccupied for approximately three weeks prior to the adequacy test date. However, six hundred gallons of water were added to the septic system on January 21-22, 1985 during well testing. The septic tank was pumped after competion of the adequacy test. The bottom of the tank was obs~.~r~v~.t~,~g~depth of 132 inches below grade. Conclusion: The absorption rate ~-~ ,~¢..~y~em exceeds the minimum rate of 450 gal/day ~(y~2wah~e th~e~e:)ed.~o~ single family dwelling. Perfo~ed by: Mark Hol~, P.E.~?.. .~ :.:~.~2~L~.~ . .~ ,/ 4-~. 0 o / GREATER ANCHORAGE AREA BOROUGH DEPARTMENT OF ENVIRONMENTAL QUALITY 3500 TUDOR ROAD ANCHORAGE, ALASKA 99507 279-°8686 DATE RECEIVED: INSPECT: TIME: REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES FOR 1o APPROVAL REQUESTED BY: ' - ADDRESS: PHONE: ' PROPERTY OWNER: 3. LEGAL DESCRIPTION: 4. TYPE FACILITY TO BE INSPECTED: NUMBER OF BEDROOMS: WELL DATA: A, TYPE DEPTH C. SIZE h, D. CONSTRUCTION PHONE: STREET:. E· BACTERIAL ANALYSIS SEWAGE DISPOSAL SYSTEM: A. SEPTIC TANK (IF HOMEMADE, SHOW DIAGRAM ON BACK) l, SIZE ~ 2. AGE .,~ - 3o MANUFACTURER 4. INSTALLER APPROVAL REQUEST FOR SEWER & WATER FACILITIES PAGE TWO Bo SEEPAGE PIT lo SIZE /~, 2. LINING C. DISPOSAL FIELD 1. NUMBER OF LINES 2. TOTAL LENGTH 7. REQUIRED MEASUREMENTS B. C. D. E. F, G. H. 8. COMMENTS: WELL TO SEPTIC TANK WELL TO SEEPAGE PIT WELL TO SEWER LINE WELL TO PROPERTY LINE , WELL TO OTHER POSSIBLE CONTAMINATION FOUNDATION TO SEPTIC TANK FOUNDATION TO SEEPAGE PIT SEEPAGE PIT TO PROPERTY LINE APPROVED: DATE: DATE: APPROVAL VALID FOR ONE YEAR FROM DATE SIGNED. GREATER ANCHORAGE AREA BOROUGH DEPARTMENT OF ENVIRONMENTAL QUALITY Well Access, Lot 18, Bk 5, John Wells Subd. Figure 6 Well, Lot 18, Bk 5i John Wells Subd. Figure 5 FORM NO 9 J904-- A SITE U S DEFT OF THE INTERIOR Re~c.ded ~) ~ .J~ _. V./ATER RESOURCES DIVIS'.ON Date __. ~ GROUND , E..~I ~ Jr~V..,-~C ,Y SITE SCHEDUL~ J II I?1 = Figure LEV2L 74,51 74,53 -'; 53 73.57 7~ $1 66.64 ~5 .72 65.t7 67.A5 7~.49 74.71 71 .7~ 7C.66 6~ 79 6~.04 ~- 62 69.40 71 .17 71 75.75 7c .61 7~ .96 72.25 $ $ S S $ S $ S S S $ S S S 3 £ $ $ '4'~TE~., LEVELS IN :EfT 6EL'w LSD JUt-~ ~4,17'~3 ;1 .~1 S JUL 21,ICd~ 8C.79 S ~UG 25.1;52 30.13 c iE: Z3,1~3 72.56 S OCT ~1,1~3 7~ c~ q DEC 22,1 ;~3 74.99 S J~ ' ~,1',~4 73.j~ S FE~ 23,1~4 73.$s S ~R 74,1:~4 91.~5 S F' CATE ~ ~T E 2. MET ~Eu ~ ~ E ~ ~ L ,:'. E 7. LEVE'- rtOC EK MaR 2Z,1979 74.51 M~Y 22,1979 74.55 JUN 21,1979 7~.53 JUL 23,1C7~ 73.57 AUG 27,1979 7C.£1 SEP 21,1c79 ~3.t7 OCT 2~,1c7g 6e AC NOV 19,197~ 05.72 PE~ 2~,1c~O ~.t7 M~R 20,19~0 67.~5 ~PR 21,19~0 7C.34 M~Y £0,19~0 72.49 JUN 1~19~0 74.71 JUL 21,1950 74.Z0 ~UG ZI,1950 71.T~ SEP £2,1~ 7~.~ NOV 24,1 ~ ~- DEC 19,19~0 62.0~ J~N ~I~19~1 '- 62 FE~ 1&,1951 59.3~ :I~R ~3,'1~1 69 APR 22,17~1 71.17 JUN 22,19~1 75.75 JUL 23,1981 76.01 AUG ~19~1 SEP ZZ,19~1 72.25 OCT 22,1981 7t.19 NOV 23,19~1 7~.26 DEC 21,19~1 ~7.17 j~N 21,1';S2 69.07 FEE 2Z,19S~ 67.93 M~R Z2,19~2 TI.~Z ~PR 22~1932 EC.o5 ~4~y 21,19~2 ~:].02 JUN 21,19EZ &3.07 JUL 2¢,1982 a3.9~ AUG 23,19~£ S~.99 SEP 24,1982 ~1.97 OCT £2,19E2 7g.4.? NOV 22,19&~ 7t.6S C~C 21,1982 74.7S jal, PEa 23,1953 55.42 ','~y 2~,1~3 ;~-,' Figure il FORM NO 9-1904-- A :]~ U S DERT OF THE INTERIOR ~ SITE SCHEDULE ~ ~/ ......................... %/ "¢~¢¢ ~'¢/¢/~"- .... M":: g c ~ r , K L o * ~O~g¢O0 ..... ~ [ DepthDatalt 29-~*i I*1 / T= A --~, CT X.~ ', ~:' Figure 9