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ELSNER PARK LT 2
Onsite File Elsner Park Lot 2 #015-273-63 1978 drainfield is still connected via a diverter valve, but can’t be tested for COSA approval. Elsner Park Lot 2 #015-273-63 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 On -Site Wastewater Disposal System Permit Permit Number: OSP231027 Work Type: Septic Initial Tax Code Number: 01527363000 Site Legal Address: ELSNER PARK LT 2 G:2635 Site Mailing Address: 3600 O'MALLEY RD, APT 000004, Anchorage Owner: COLLIANDER SARAH & PETER Design Engineer: CROWTHER SCOTT This permit is for the construction of: Effective Date: Expiration Date: Lot Size in Sq Ft: Total Bedrooms: J »cnt `S' NMI (! Department 6/7/2023 6/6/2024 88235 Q Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage All construction shall be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80) 3. The wastewater code requires inspections during the installation. The engineer shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing Received By: (SVV % U Lb -rc) C (LO, wTlfi � Issued By: (A Date: Date: --� Z 2 MUNICIPALITY OF ANCHORAGE Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 ON-SITE SEPTIC/WELL PERMIT APPLICATION Parcel I.D. 015-273-63 Property owner(s) Peter and Sarah Colliander Day phone 907 242 0172 Mailing address 3600 O'Malley Road Anchorage, Alaska 99507 Site address 3600 O'Malley Road Anchorage, Alaska 99507 Legal description (Sub'd., Block & Lot) Elsner Park Subdivision, Lot 2 Legal description (Township, Range & Section) Lot Size 88235 Sq. Ft. Number of Bedrooms 2 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field 0 Initial FxJ Single Family (SF) 0 (w/wo ADU) Septic Tank Q Upgrade ❑ Duplex (D) ElHolding Tank ElRenewal ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: No waver requested Distance: XX I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. G. Scott Crowther, P.E. authoriized agent, 907 349 2198 (Signature of property owner or authorized agent) Permit/Rush Fees: 5Q 57 Date of Payment: l(o' 01(12 3 Receipt Number: 0(0126D Permit No. 13519J2 31697 Waiver Fees: Date of Payment: Receipt Number: Waiver No. GADevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Client Forms\Permit Application.doc 001.114 Crowther Associates ______________________________________________________________________________________ 1632 Bellevue Circle / Anchorage, Alaska 99515 Telephone (907) 349-2198 / E mail: crowther@alaska.net March 21, 2023 Municipality of Anchorage Department of Development Services On-Site Septic Division Permit to Construct Application Proposed On-Site Septic System Elsner Park Subdivision, Lot 2 3600 O’Malley Drive Anchorage, Alaska This application presents our request for a permit to construct an on-site septic system at the subject address. A new 3,200 square foot shop building with a two-bedroom apartment and an on-site septic system is proposed at the subject site. They are planned to be located as shown on the site plans, Plates 1 and 2. They will be located at the toe of a slope that has a 30% or flatter grade. The existing residential well at this site is more than 100 feet from the proposed septic system. No other existing well or existing septic system is within 200 feet of the proposed septic system. We have designed the system in accordance with the Municipality of Anchorage guidelines. The attached documents support this application: Site Plan and Contour Map Site Plan and Proposed Septic System Soil Log / Percolation Test Data Particle Size Distribution Test Table Proposed Drainfield Details Adjacent Well and Septic Systems by Garness Engineering Group, Ltd. Asbuilt Survey by Fred Walatka & Associates, llc We trust this provides the information required. Please consult us if you have questions. Yours truly G. Scott Crowther, PE Civil Engineer 6491 G. Scott Crowther No. 6491R E GISTEREDPROFE S S I O N A L E N GINEER G. Scott Crowther G. Scott Crowther No. 6491R E GISTEREDPROFE S S I O N A L E N GINEER G. Scott Crowther G. Scott Crowther No. 6491R E GISTEREDPROFE S S I O N A L E NGINEER G. Scott Crowther 001.114 Crowther Associates 1632 Bellevue Circle / Anchorage, Alaska 99515 Telephone (907) 349-2198 / E mail: crowther@alaska.net Client:Peter Colliander Project:Shop Building Apartment Elsner Park Subdivision Lot 2 3600 O’malley Road Date:August 2, 2022 Particle Size Distribution Table (percent passing sieve size) Sample Source Test Pit At 4 foot depth Boring At 18 foot depth (%) Water Content 1.9 7.5 Sieve Size Percent Finer Percent Finer 3 inch 100 100 1-1/2 inch 100 100 ¾ inch 100 100 #4 92 99 #10 83 98 #40 47 30 #100 36 9 #200 34 7 0.02 mm xx xx Classification Silty Sand (SM) Sand with Silt (SP-SM) I hereby certify that I have performed a Mortgagee's inspection in accordance with ASPLS Standards of the following described property:__________________________________ _________________________________________________ Anchorage Recording Precinct, Alaska, and that the improvements situated thereon are within the property lines and do not overlap or encroach on the property lying adjacent thereto, that no improvements on the property lying adjacent thereto encroach on the premises in question and that there are no roadways, transmission lines or other visible easements on said property except as indicated hereon. Dated at Anchorage, Alaska this _________________day of ___________, 2021. FRED WALATKA & ASSOCIATES, L.L.C. Engineers and Surveyors 907-248-1666 EASEMENTS OF RECORD, OTHER THAN THOSE SHOWN ON THE RECORDED PLAT ARE NOT SHOWN HEREON AS-BUILT NO CORNERS SET THIS DATE SCALE: 1"= 100' BEUNLESS OTHERWISE NOTED. This drawing is a representation of conditions found at the time the mortgage location survey was performed. This document does not constitute a boundary survey and is subject to any inaccuracies that a subsequent boundary survey may disclose. The information contained on this drawing shall not be used to establish any fence. structure or other improvements. This drawing shall only be used for a single property transaction. Use of this drawing by the original client or by others at a later date without the consent of Elizabeth L. Walatka is a violation of Federal Copyright law. Unless gross negligence is discovered, the liability extent of the preparer is limited to the amount of fees collected for services in preparation of this product. 4th AUGUST CL O'MALLEY ROAD HOUSE & SEPTIC DETAIL SCALE: 1' = 50' LP Well Shed Well Van 72 . 6 87 .9 92 . 1 See detail above Gravel driveway 75 75EAST 33.00 124.99 EAST 117.00 LOT 2 10' Util. & Telecom. Easement 10 ' U t i l . & T e l e c o m . E a s e m e n t 10' Util. & Telecom. Easement Se e N o t e 1 20' Util. & Telecom. Easement Wood fence deck36.03 StoryFrame deck dk House 28.028.0 CO Septic vent (typ) R e t . w a l l (t y p ) Chimney 2.6 OH LOT 1 Notes: 1. Access and gas Easement for joint use of Lots 1 and 2 recorded in Book 131, page 136 and Book 546, page 299. BLM Lot 7 BLM Lot 27 Lot 3 Lot 2 Lot 1 Jo h n S p r i n g e r S u b d . 8497'O' LOT 2, ELSNER PARK SUBD. FB 21-4, pg 53-55 36.0 Revised 8-10-21 Added septic vents Municipality of Anchorage Community Development Department SEP 11' 4014 of 3 On-Site Water & Wastewater Program 4700 Elmore St. • P.O. Box 196650 Anchorage, AK 99519-6650 a http:pwww.muni.org/onsite • (907)343-7904 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP 141205 PID Number: 015-273-63 ❑ New ®Upgrade Nome: JIM WHITLOCK ABSORPTION FIELD ® Deep Trench ❑ Shallow Trench ❑ Bed ❑ Mound Address: 3600 OMALLEY ROAD ❑ Other Phone: (907) 240-3605 No. of Bedrooms: 4 Soil Rating: 1 GPD/Sq. Ft. Total Depth from original grade: 12.0 MAX Ft. LEGAL DESCRIPTION Depth to pipe invert from original grad. 6.0 MAX Ft. Gravel depth beneath pipe: 6 Ft. Subdivision: ELSNER PARK S/D Block: Lot: 2 Fill added above original grade: SEE DWG. Fc. Gravel length: 50 Ft owns Ip: —Range: — ec Ion: — Gravel width: Reds Number . es Distance between s: 2.5 Ft. Ft. SEPARATION DISTANCES Total abaorptian area: - 600 SD. Ft. 4umber of trenches: 1 Diet. between trench.. N/A FL To Septic Absorption From Tank Field Lift Holding Public/Private I Station Tank Sewer Lines Well 100'+ 100'+ — — 25'+ TANK ® Septic ❑ S.T.E.P. ElHolding ❑Other Manufacturer: capacity: Surface water 100'+ 100'+ — — ANCH. TANK 1250 cal. Lot Line 5'+ 10'+ - - N/A Material: STEEL Number of compartments: 2 Foundation 5'+ 10'+ - - LIFT STATION Curtain Drain 1= NONE KNOWN Manufacturer. c Gal. Remarks: ByeR !i✓0N'fI@ii�'I^OR, OLD TANK WAS"' Rump on' level at 'Pump off' High footer Worm at: GOMISSIONED PER UPC ump Nave m : :71 Beatrical InspxNons performed by: PIPE MATERIAL House to tank D 3034 Tank to D 3034 drainfield Installer A+ HOME SERVICES Drainfield D 3034 CO MT D 3034 CO/MT GEG, Ltd. BENCH MARK (Assumed elevation) 100.00 Ft. Inspection Dates: 1 st 7/8/14 T.T. 2nd 7/9/14 T.P. Location and Description: 3rd 7/8/14 B.T. 4th BOTTOM/TRIM N.E. CORNER OF HOUSE Community Development Department Approval Conditional approval: Date: ENGI NEM REAL QaoOF000��4 t : Fi ��DO 9 O J y A. Go ess.: Deo; E-93 D�Oea Profess-0\16 ��00000�d Approved: ail Date:« `7 PERMIT NUMBER: OSP141205 AS -BUILT DRAWING 9r• BOOTLEG . . SYSTEM WAS ABANDONED IN F' ------ PLACE. F ..`. I I\10'TELE .B UTIL. EASEMENT I I �_____L-�-r _.. I`_______________ 10' TELE.BUTIL. EASEMty+1 I 1CL�SO�U/' !�� •'OR���j�.•,11 �••`g• ,'y0�4�Q,j %/'/ Q --_-____---- 6E ROOM HOSE GARNESS ENGINEERING GROUP, Ltd CIVIL & ENVIRONMENTAL ENGINEERS :PARED FOR: PHONE NUMBER: JAMES WHITLOCK ( 907) 240-3605 PAGE NUMBER: 2 OF 3 SAL DESCRIPTION: DRAWN BY: ELSNER PARK S/D; LOT 2 A.J.G. E OF WORK: DATE: AS -BUILT DRAWING OF SEPTIC UPGRADE 7/10/2014 GEG THM1 W 1250 GALLON SEPTIC TANK PARCEL ID NUMBER: 015-273-63 I NEW DRAIN FIELD I I I I I I I I I I I I I I I I I I PERMIT NUMBER: PARCEL ID NUMBER: OSP141205 AS -BUILT D RAW I N G 015-273-63 THH7 TOP OF TANK AT INLET = 95.11 INVERT OF BUNG AT INLET = 94.49 FINAL GRADE 98.27+ RELATIVE ELEVATION OF BOTTOM OF TESTHOLE = 82.02 (DRY) FINAL GRADE = 100.46-100.56 NEW 1250 GALLON SEPTIC TANK ORIGINAL GRADE AT HIGHEST POINT = 100.02 T OF PIPE _ 94.02 - BOTTOM OF TRENCH = 88.02 TOP OF TANK AT OUTLET = 95.07 INVERT OF BUNG AT OUTLET = 94.29 GARNESS ENGINEERING GROUP, Ltd CIVIL & ENVIRONMENTAL ENGINEERS 3101 ENWRMq SUITE101'ANCOR E,WC R'PMNE MR) 3378ln' F W7133B M'WBSITE:,amee,heMq.wm 0. a PREPARED FOR: PHONE NUMBER: PAGE NUMBER: JIM WHITLOCK (907) 240-3605 3 OF 3 # LEGAL DESCRIPTION: DRAWN BY: # ELSNER PARK S/D; LOT 2 D.J.G. #j -YPE OF WORK: DATE: PROFILE AS -BUILT DRAWING 07/11/2014 0 On -Site Wastewater Disposal System Permit Permit Number: OSP141205 Tax Code Number: 01527363000 Work Type: Septic Permit Effective Dates: June 27, 2014 Design Engineer: GARNESS ENGINI Subdivision: ELSNER PARK MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 Elmore Road, PO Box 196650 Anchorage, AK 99519-6650 Telephone: (907) 343-7904 Upgrade to June 27, 2015 GROUP LTD Site Legal Address: ELSNER PARK LT 2 G:2635 Owner/Address: WHITLOCK JAMES D & LAURIE A 3600 O'MALLEY RD ANCHORAGE AK 995070000 -011"I ")t OL Site Mailing Address: 3600 O'MALLEY RD, APT 000004, Anchorage Lot Size in Sq Ft: 88235 Total Bedrooms: 4 This permit is for the construction of: Y Disposal Field Y Septic Tank N Holding Tank N Privy N Private Well N Water Storage All construction must be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80). 3. The wastewater code requires inspections during the installation. The engineer must notify the Development Services Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either: A. Open and Close on the same day. B. Covered, sealed, and heated to prevent freezing. Cod Receiv Issued MUNICIPALITY OF ANCHORAGE Community Development Department Phone: 907-343-7904 Development Services Fax: 907- 343-7997 On -Site Water & Wastewater Program Mayor Dan Sullivan On -Site Sewer/Well Permit Application For A Single Family Dwelling Parcel I.D. 015-273-63 Property owner(s) JAMES & LAURIE WHITLOCK Day phone 240-3605 Mailing address 3600 OMALLEY ROAD, ANCHORAGE, AK, 99507 Site address 3600 OMALLEY ROAD, ANCHORAGE, AK, 99507 Legal description (Sub'd, Block & Lot ) ELSNER PARK S/D; LOT 2 Legal description (Township, Section & Range) Lot Size Sq.Ft. Number of Bedrooms 4 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DEWELLING: (Z all that apply) Absorption ® Initial ❑ Single Family (SF) Field Upgrade ® (w/wo ADU) Septic Tank ® Renewal Duplex (D) El❑ Holding Tank ❑ Multiple Dwellings ❑ Privy E34MITT (SF and/or D) Private Well ❑ L Water Storage ❑ JUN 19 2014 THIS APPLICATION INCLUDES A VARIANCEI WAIVER REQUEST FOR: — Distance: — I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal codes. GARNESS ENGINEERING GROUP, Ltd. (Signature of property owner or authorized agent) Permit/Rush Fees: CJ%'� — , Waiver Fees: Date of Payment: (o 101 L ofp Date of Payment: Receipt Number: 0') I2I G Receipt Number: Permit No. — (X21 ` 1?,`lC,;5_ Waiver No. (Rev. 01/11) GARNESS ENGINEERING GROUP, Ltd 3 t CIVIL & ENVIRONMENTAL ENGINEERS . - s June 4, 2014 Municipality of Anchorage Development Service Department On -Site Water & Wastewater Program 4700 Elmore Road P.O. Box 196650, Anchorage, Ak 99519-6650 (907) 343-7904 Ref: Proposed Septic System for Elsner Park S/D; Lot 2, To whom it may concern: The existing 3 bedroom house is served by a private well and a septic system consisting of a 1000 gallon septic tank and a trench type drainfield. The tank appears to be failing and needs to be replaced. Per the homeowner's request, we are proposing to upgrade the size of the tank and install a drainfield sufficient for 4 bedrooms. One testhole was excavated on the property. The 4 bedroom drainfield and 4 bedroom reserve site shall be designed within the 30' radius of GEG Testhole #1. Comments regarding the design are summarized as follows: 1. SOILS: See the attached soil log and sieve analysis which shows the soil classification, groundwater monitoring, and the percolation test results. Although the soil perked at a rate of less than 1 minute per inch, we believe the insitu sandy soils will sufficiently protect the local aquifer from contamination. 2. TRENCH DESIGN: See attached design drawing for drainfield specifications. 3. SURFACE WATERS: There are no surface waters within 100 feet of the proposed septic System. 4. TOPOGRAPHY: As can be seen on the attached topography site plan, the average slope in the area below the drainfield is flat or approximately 0-5% percent running south to north. In short, there are no slope concerns. 5. RESERVE SITE AND EXISTING 3 BEDROOM DRAINFIELD: As can be seen on the attached design drawing, there is sufficient space for a 4 bedroom replacement site. Rather than abandon the 3 bedroom drainfield, we are proposing to connect it via a diverter valve for possible use. The availability of such a reserve system benefits the homeowner and future owners in case it is needed for maintenance or other emergency type usage. The 3 bedroom drainfield is not considered an alternate site and all C.O.S.A. approval in the future must be based upon evaluation of the 4 bedroom drainfield. 3701 E. Tudor Road, Suite 101 * Anchorage, AK 99507-1259 Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: www.garnessenginecring.com We are unaware of any adverse impacts this installation would have on adjacent wells or septic systems. If you have any questions, please contact us at 337-6179. Thank you for your assistance. Sincerely, P.E., M.S. Note: Attached is a site plan, design drawing, 1 soil log, 1 sieve analysis and an 8 page construction specification letter which are all part of the design package for this septic system. 3701 E. Tudor Road, Suite 101 * Anchorage, AK 99507-1259 Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: www.gamessengineering.com T12N, R3W, SEC 21; LOT 7 ---------------------------- OMALLEY ROAD / i / ELSNER PARK SID; LOT 1 150' CLASS'C' WELL RADIUS LOCATED BY DEG, LTD. �� / L----�— 41tR+sn✓i� i I / 10'Tel¢con 4 y 1978 TF r: I 100' WELL RADIUS ^ ::;sr i s.�� THpi I JOHN SP9INGER SID; LOT 1 \ 1 APPROXIMATE 1 100' WELL RADIUS I • 1 VACANT JOHN SPRINGER SID; LOT 2 JOHN SPRINGER SID; LOT PROPOSED SEPTIC UP I \ VACANT 10'Tetecon & Utll ------ — — Esmt SHADY ACRES SID; LOT 27C r ARVESON SID; LOT 10 I 300'- TO WELL SITE I 100'+ TO WELL GARNESS ENGINEERING GROUP, Ltd =_ CIVIL & ENVIRONMENTAL ENGINEERS 3701E. TUECR RGAO. SHITE IDI' ANCHORAGE. AK 99507' EMNE (90D M74179'EA% (907) 3383148' WEBSITE:,wm.gameaaeigirseriygam 1"_100' — PREPARED FOR: PHONE NUMBER: PAGE NUMBER: �i{: @c�I IreSS JAMES WHITLOCK (90� 240-3605 1 OF 2 / jC 79 3 LEGAL DESCRIPTION: DRAWN BY: ELSNER PARK S/D; LOT 2 A.J.G ##, TYPE OF WORK: DATE: ♦,1t :FESS\ SITE PLAN FOR SEPTIC UPGRADE 6/4/2014 Lq NUMBER OF BEDROOMS: 4 GALLONS PER DAY (GPD): 600 PERCOLATION RATEIS: -1 MINIINCH PROPOSED APPLICATION RATE: 1.0 MINIMUM DRAINFIELD SO.FT,: 600 MAXIMUM DEPTH: 12 FEET WIDTH: 2.5 FEET LENGTH: 50 FEET M.O.A. APPROVED SAND FILTER: EFFECTIVE: 6 FEET REDUCTION FACTOR: NIA ACTUAL SO.FT.: 600 Yr GEG, Lid. HAS AN 8 PAGE SPECIFICATION LETTER THAT PERTAINS TO THIS DESIGN. TO OBTAIN A COPY OF THE LETTER CONTACT GEG. BY PROCEEDING FORWARD WITH THIS INSTALLATION, THE ENGINEER, WELL DRILLER, CONTRACTOR AND PROPERTY OWNER AGREE THAT THEY HAVE READ THESE SPECIFICATIONS AND AGREE TO ACCEPT THE TERMS AND CONDITIONS OUTLINED. N/A FEET RESERVE DRAINFIELD DESIGN CATEGORY II ADVANCED TREATMENT APPLICATION RATE: 4.0 GPD/FT- MAXIMUM DEPTH: 10 FEET WIDTH: 2.5 FEET LENGTH: 15 FEET M.O.A. APPROVED SAND FILTER: NIA FEET EFFECTIVE: 6 FEET REDUCTION FACTOR: N/A ACTUAL SQ.FT.: 180 L__-____---♦ I NS —________—_ NOTE:GONTRACTUR SHALL HAVE 100' WELL RADIUS, 150' WELL RADIUS AND EAST EASEMENT FLAGGED BY A REGISTERED PROFESSIONAL LAND SURVEYOR PRIOR TO CONSTRUCTION NOTE: 3 BEDROOM DRAINFIELD SHALL BE RETAINED AND CONNECTEI FOR POSSIBLE USE BUT NC FOR C.O.S.A. APPROVAL. FOR C.O.S.A. APPROVAL, TF 4 BEDROOM SYSTEM MUST BE EVALUATED. — ' -------------- I♦ ip' TELE. & UTIL. EASEMENT C TFLE. & UTIL EASEMENT EXISTING IEDROOM ROOM HOUSE GARNESS ENGINEERING GROUP, Ltd CIVIL & ENVIRONMENTAL ENGINEERS 3701 E.TW RWAU SUITE 101-AWH0RPGEAK99507-PRONE 1907133MIT9-f (907133&2M-WEBSITE:mwigamnse, M.ft.m. PREPARED FOR: PHONE NUMBER: PAGE NUMBER: JAMES WHITLOCK ( 907) 240-3605 2 OF 2 LEGAL DESCRIPTION: DRAWN BY: ELSNER PARK S/D; LOT 2 A.J.G. TYPE OF WORK: � DESIGN OF PROPOSED SEPTIC UPGRADE ORO05� GEG TH#1 z A w r x w A 0 CO ;nn« 1 r'�- I I Li EXISTING 3 INSTALL FCO IF ONE PROPOSED - IS NOT PRESENT. DO 1250 GALLON NOT INSTALL DOUBLE SEPTIC TANK CLEANOUTS PRIOR IN PLACE TOTANK / / Q/ / N / / ur / d / / GARNESS ENGINEERING GROUP, Ltd CIVIL & ENVIRONMENTAL ENGINEERS 3701 E.TW RWAU SUITE 101-AWH0RPGEAK99507-PRONE 1907133MIT9-f (907133&2M-WEBSITE:mwigamnse, M.ft.m. PREPARED FOR: PHONE NUMBER: PAGE NUMBER: JAMES WHITLOCK ( 907) 240-3605 2 OF 2 LEGAL DESCRIPTION: DRAWN BY: ELSNER PARK S/D; LOT 2 A.J.G. TYPE OF WORK: � DESIGN OF PROPOSED SEPTIC UPGRADE ORO05� GEG TH#1 z A w r x w A 0 CO ;nn« r'�- I I Li EXISTING 3 JSUMP BEDROOM DRAINFIELD TO - BE ABANDONEC IN PLACE PROPOSED DOUBLE CLEANOUTS d ia A. Garness ?RWESSIct El GARNESS ENGINEERING GROUP, Ltd CIVIL & ENVIRONMENTAL ENGINEERS 3]01 E,TUOOR ROAD. SUITE 101 'AN RAGE.AK99507' PHONE (90] 3374IM' M(90n 33832 -MBSITE:x ga—r emgnom LEGAL DESCRIPTION: ELSNER PARK SID; LOT PERFORMED FOR: JIM WHITLOCK DATE: 5/28/2014 DEP ( fel 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 ORGANICS SM, SILTY SAND W1 VARYING GRAVEL AND SILT CONTENT, MORE SAND W/DEPTH TEST HOLE #1 SOIL CLASSIFICATIONS DEPTH TO GROUNDWATER DATE WEEP @ 14' •L• DRY 5/29/2014 DRY 6/4/2014 11191 VZZZA PERK HOLE ABSORBED 6.OF WATER IN 3 MINUTES, 3 TIMES IN SUCCESSION THINl.Y. �'/�/_y�% 11Y. 111111111 {�{+�ZZy�p0i`��1L710"l W�� DEPTH TO GROUNDWATER DATE WEEP @ 14' 5 /2 812 01 4 DRY 5/29/2014 DRY 6/4/2014 DATE READING CLOCK NET TIME WATER LEVEL NET DROP TIME (MINUTES) READING (INCHES) 5/28/2014 PERK HOLE ABSORBED 6.OF WATER IN 3 MINUTES, 3 TIMES IN SUCCESSION PERCOLATION RATE <1 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES) TEST RUN BETWEEN 4.5 FT. AND 5.5 FT. A FOUR HOUR PRESOAK WAS PERFORMED: ❑ YES ENO SOILS LOGGED BY: ANDREW GRAY PERCOLATION TEST PERFORMED BY: ANDREW GRAY COMMENTS: PERCOLATION READINGS ARE WITHIN 1116 OF INCH. PERFORMED BY GEG, Ltd. I, JEFFREY A. GARNESS, CERTIFY THAT THIS WASP RF RMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: 10 S I y 0 2 :2\2}2�j2j2j2/2\2j2 \ a § 0 7 E / B / / / CO 2 ? 2 \ § /) Wmam »gm�dmad S MUNICIPALITY OF ANCHORAGE / • DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street - Anchorage, Alaska 99501 Telephone 264-4720 *0 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME �O G PHONE _ ZZ EW ❑UPGRADE MAILING ADDRE� 1 Q LEGAL DESCRIPTION t 1 L 77 LOCATION I L.13 NO. OF BEDRO S n�-- 0 DISTANCE TO: 4- Absorption area J Dwelling PERMIT NO. Q Q Y F Z W� ManufacturerMaterial L 12 -r-/,-" Iv I ATL . No. of compartments -.Z,' y Liq. capacity in gallons f�pJ IF HOMEMADE: Inside length Width Liquid depth OJ Z DISTANCE TO: Well Dwelling PERMIT NO. O F Manufacturer Material Liquid capacity in gallons w= DISTANCE TO: Well Foundation Nearest lot line �Q PERMIT NO. A u-2 w Z No. of lines ' Length of each line �O Total length of lines Trench wicJ,Yh © ?; inches Distance between lin�ess's/ Q f pinches Top of tile to finish grade Material beneath tile Total effective absorption are 3 0 Lu Length Width Depth PERMIT NO. 0 a F CL Type of crib I Crib diameter Crib depth Total effective absorption area W rn DISTANCE TO: Well Building foundation Nearest lot line Class Depth Driller Distance to lot line PERMIT NO. W w � DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s) OTHER PIPE MATERIALS 4- tl'Pvc,i=> SOI L TEST RATING I O n �J z INSTALLER A. r—;t IF�x REMARKS ) y7�o� oa nrQi°��6 noo°°°a �inn n°°°ov°°o°ve R� oaavi J. tfarmcar, o��� Q..'00 `egv ,®� APPROVED -4%p 7 LEGAL 72-013 (Rev. 3/78) Dox 1361.1-D. S1'A1Z n"urrm 4�AEAsxi:A "19502 Dyy @yyJ4 SIX INCH WATER WELL DRILLED AND CASED OUT TO THE DEPTH OF DRILLED AT THE RATE OF 919.00 PER FOOT. 213 Teet. PROPERTY OWNER kk. 8-H4ab F AaCIr. 277-2136 207 ir (Z. C. L3, Rn,C1i-oAage 0 LOCATION OF WELL SIT DRILLER ae ai-e CfauA off'. l2=4ax t t D20f.fn_a_%�oick�._— -- WELL LOG: 0-----22' SZ ty, nand. _ — — -- — 22----47' San&j. q auet. 47----93' P,=uet with 30;� 93---161' lfandpan. 161--198' Oet ctay.. R 4anVy, wet cwt tj at198�-eet 4h.ow,Cna a .=LU p2oda,cc,Uon, o� watvz, 198--213' CLac),. 213--214' liateh bea z big 9,lwueL p todtec in.a 10 Wlil wtith a 40 Toot head q . watxA .otand Za ca4.inq. Pump. 4houtd be- -irwtat,te PWe ?eet og bo.ttoa. COST INCLUDES ALL LABOR AND MATERIAL FOR COMPLETION OF SAID DRILLING. WRITE CHECK PAYABLE TO RAMPART DRILLING WORKS FOR THE SUM OF 94047.00 THANK YOU VERY MUCH. BERNIE CLAUS OF RAMPART DRILLING WORKS DATE- (lou. 8th. 1978 ` t - co --- ``�\\ SERVICE CHARGE 0 F 1 %z% PER MONTH WILL BE ASSESSED ON PAST DUE ACCOUNTS. kU' N I C I PIAL- Z T'r' OF= AN�CH�C}f 1�K3E DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 'L' STREET, ANCHORAGE, AK. 95501 264-4720 WELL nNE> ON—SE; ITE SEWER F"ERM I T PERMIT NO. < 780907 ) APPLICANT DOUGLAS W SURD P08OX4 1729 344 9229 LOCATION OMALLEY LEGAL T12N R3W SEC 21 L 6 S 3 LOT SIZE 82250 SQUARE FEET TYPE OF SOIL ABSORBTION SYSTEM IS: TRENCH MAXIMUM NUMBER OF BEDROOMS 3 SOIL RATING CSO FT/BR)= 100 THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: C>EFP'TH== 3;2 LENC3TH=+ �L!51 " t3Rf=1%0EL_ C?EPTH= :9 THE LENGTH DIMENSION IS'THE LENGTH <IN FEET) OF THE TRENCH OR DRAINFIELD. THE DEPTH OF A TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE GROUND AND THE BOTTOM OF THE EXCAVATION CIN FEET). THERE IS NO SET WIDTH FOR TRENCHES. THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE AND THE BOTTOM OF THE EXCAVATION (IN FEET). Ft F= QLa I REC> S:EP'T Z (-rnNK :S Z 21'E S-VF3i00 K3 F"I L_ L_ K:)N:S PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE INSTALLATION INSPECTIONS OF ANY WELLS ADJACENT TO THIS PROPERTY AND THE NUMBER OF RESIDENCES THAT THE WELL WILL SERVE. --- TW D <2> I N433F>elCT Z C3Nc3 f -IRE McQU Z ReE> --- BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS DEPARTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCE BETWEEN A WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS 100 FEET FOR A PRIVATE WELL; OR 150 TO 200 FEET FROM A PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL. WELL LOGS ARE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN 30 DAYS OF THE WELL COMPLETION. OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. PERM I T f=_xR I REQ CaEiGEMF3EF 1.s 15 ? I CERTIFY THAT 1: I AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE, 2: I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. 3: I UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE RESIDENCE S REMODE TO INC UD(L�� E MORE THAN 3 BEDROOMS. SIGNED:____ -__--------------------------- SL /�� 1' AWANT _DOUGLAS W SURD V3. 2 N September 14, 1978 Mr. Bryan Elsner Century 21 Heritage Homes and Investments 207 E. Nortern Lights Boulevard Anchorage, Alaska 99503 Subject: Soils investigation for sanitary sewer system on; South Portion, Government Lot 6, Sec 21, T12N, R3W, SM, Anchorage, Alaska. Dear Mr. Elsner: At your request of September 11, 1978, I conducted a soils investigation at the proposed location of a sanitary sewer system on the subject lot. This investigation, which was accomplished on September 12, 1978, consisted of the inspection of soils removed during drilling of a 4 inch diameter, 18.5 feet deep test hole, using solid flight augers, powered by a trailer mounted Mobile B-34 drill rig. After completion of drilling, the test hole was filled with water and a percolation test performed. The results of this test are tabulated on an accompanying sheet. The soils encountered are graphically shown on the accompanying test hole boring log. The soils consisted of a 5.5 feet thick later of Organics and Organic Silt overlying a Silt with some Gravel and Sand 11.5 feet thick, which is underlain by a Silty Sand to a total depth of 18.5 feet. The topography of the property consists of a north sloping low hill of approximately a 10-20 per cent grade. Vegetation consists of moderately dense spruce and birch to 50 feet tall, with a ground cover of bushes and grasses to 2 feet tall, and some mosses. A water table was encountered at 17.0 feet while drilling. After the augers were pulled the water table was measured and found to be at 17.0 feet. The test hole caved in at 17.0 feet after pulling the augers. An accompanying sketch shows the subject lot with the approximate location of the test hole in relation to the property lines. I appreciate the opportunity to be of service to you. Please contact me if you have any questions regarding this soils investigation. Very truly yours, i Michael B. �er:ann Consulting Geologist Box 191, Star Route A Anchorage, Alaska 99502 (907)344-9150 Attachments: Drawing of test hole boring log with location sketch, and tabulation of percolation test results. xc: Department of Health and Environmental Protection r eptember 14, 1978 South Portion Govt. Lot 6, Sec 21, T12N, R3W, SM, Anchorage, Alaska Bryan Elsner property Percolation test performed on September 12, 1978,.by filling the 4 inch diameter, 18.5 feet deep test hole (test hole caved in at 17.0 feet) with water, and measuring the water level drop periodically for one hour. TABULATION OF PERCOLATION TEST RESULTS TIME LEVEL(inches) DROP(inches) ET(min) RATE(min per inch) 1602 8.25" start start start 1612 16.0" 7.75" 10 1.3 1622 19.0" 3.0" 10 3.3 1632 21.5" 2.5" 10 4.0 1646 25.5" 4.0" 14 3.5 1652 29.25" 3.75" 6 1.6 1702 32.75" 3.5" 10 2.9 Average percolation rate for. entire hour = 2.4 minutes per inch Average percolation rate for last one half hour = 2.7 minutes per inch Michael B. Bergmann Consulting Geologist Box 191, Star Route A Anchorage, Alaska 99502 (907)344-9150 i 0 V) N O'Malley Road N i T I 0I 296.93' Due West I. o 0 o 0 N T. H. No. 1 9-12-78 0.0' Organics: w/some Silt, loose, sl moist, brn. _.----1.0' Organic Silt: loose, dry, brn. (OL) 5.5' Parcel No. 1 I o; p, o a ° I � C o -P O 0 296.93' Due West z IU Silt: w/some Gravel & Sand, ro c Med dense, sl moist, Sand A pred fn to vy fn, Gravel 891 25' IM pred vy fn to med, graybrn. ri (ML -GM) .OQ :°; Note: After pulling augers water 0 L 0' table measured to be at 17'. Hole caved in at 17' measu- T.H. No. 1 red depth. South portion of Govt. Lot 6, Sec 21, T12N, R3W, SM, Anchorage, ,., 17.0'WD-- 17.0' Alaska, Bryan Elsner property. =•" Silty Sand: loose, wet, brn. I ti (SM) 18.5'TD 296.93 Due West 50' R.O.W. Water table encountered at 17.0' Dedicated - — — NOT TO SCALE Distances are approximate and have not been measured by surveying methods as to location of test hole. Michael B. Bergmann Consulting Geologist Box 191, Star Route A Anchorage, Alaska 99502 (907)344-9150 Test Hole Boring Log represents soils encountered on; South Portion, Govt. Lot 6, Sec 21, T12N, R3W, SM, Anchorage, Alaska. Bryan Elsner property. • �-� Municipality of Anchorage `- On -Site Water and Wastewater Program < (907) 343-7904 5 F T Certificate of On -Site Systems Approval Parcel I.D. 015-273-63 1. GENERAL INFORMATION: ELSNER PARK; LOT 2 Complete legal description Location (site address) 3600 O'Malley Road. *Anchorage Expiration Date: Irl ov 1 S. 20a 1 Current Property owner(s) Laurie Whitlock Day phone 952-5024 Mailing address Real Estate Agent 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) Day phone 3. NUMBER OF BEDROOMS: 3 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: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ 5 5 Date of Payment Receipt Number 0 5 2 33G Waiver Fee $ Date of Payment Receipt Number COSA # 0,�) G 2-1114 g 'A Waiver # q_� 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm: Garness Engineerinq 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: 2-1 In conducting this evaluation, GEG provided an engineering evaluation of the well and/or septic system in accordance with the guidelines and regulations established by the Municipality of Anchorage and 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 �; i��,.• encroachments may exist that were not identified during the evaluation. The operational life of all wells 4 �7 . ' ` '• and septic systems depend upon a variety of variables, including but not limited to, soil conditions, , �� - `2l groundwater levels (that may fluctuate during the year), quality of construction (materials and' - workmanship), and the water usage of the family utilizing the system/s. These conditions can vary, and �' • • ..• �' • " ' • ' • • • • • .. • • • • ' are outside the control of GEG. Satisfactory test results do not guarantee future performance of the jr system/s; therefore, GEG makes no warranty (express or implied) regarding the future performance of • • • • the well or septic system. GEG makes no representation whether an alternative well or septic system effPy 0cmEss: can be installed on the property in the event either of the current systems fail to perform adequately in �1;, ; ,' �CE— 79 ' the future. The content of this report is for the sole benefit of the person/party that retained GEG to " ` s'r e 2, f °VG perform the evaluation. Reliance upon the information provided in this report by any other person or ' party (including subsequent property purchasers) is not authorized, nor will it confer any legal right whatsoever. #AECC884 6. DSD SIGNATURE System #1 Approved for 3 bedrooms System #2 Approved for bedrooms Disapproved OF,fq���i���� Conditional approval for bedrooms, with the f@�vIng bihltio s: WATPO A WAS. "Li T: �iA I-'NOGR.AM� 1� V, By: _YVAJ (,UA AffJ14" -f Original Certificate Date: 8 % r W;< f 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. - JV 7. ATTACHMENTS: COSA Checklist Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA Checklist Legal Description: ELSNER PARK; LOT 2 If more than 1 septic system on lot: COSA Checklist # of A. WELL DATA N Well log is filed with Onsite (or attached) Date drilled 11/87e Total depth 214 ft Cased to 213 ft n Sanitary seal is functioning correctly n Wires are properly protected Casing height (above ground) 12+ in. Date of flow test for COSA 7/15/21 Static water level at beginning of test 149.3 ft Comments B. TANK DATA Age of tank(s) 7 years Tank type/material SE""STEE Measured operating fluid level in septic tank 4 Q Standpipes/foundation cleanout per record drawing Date of pumping 8/4/21 D. ABSORPTION FIELD DATA DEEP TRENCH Which system tested (date installed) 7/2014 X ALL standpipes present per record drawing Total measured depth from grade 10.75 ft (max) Measured depth to pipe invert from grade 4.58 ft (min) ❑ N/A — pressurized field no Monitor tubes go to bottom of effective. If not, state depth into effective Parcel ID: 015-273-63 Structure served by this system Well production at time of test 7.2+ gpm Water storage tank volume N/A gallons Well disinfected for coliform test? ❑ Yes X No M Coliform bacteria is Negative Nitrate 1.07 mg/L ❑ Nitrate less than MRL (ND) Arsenic ug/L X Arsenic less than MRL (ND) Collected by GEG, LTD. Date of Sample 7/15/21 C. LIFT STATION ❑ Required maintenance completed Age of lift station years Lift station material Comments: N/A Adequacy test date 7/15/21 Results R Pass For 3 bedrooms Fluid depth prior to test 0 in Water added 601 gal New depth 19 in Elapsed time 235 min R Code -required soil cover over field Final fluid depth 2 in Absorption rate 450+ god ❑ System presoaked (Required if vacant for greater than 30 days prior to Any rejuvenation treatment (past 12 months) NONE date of test) N/A Gallons introduced N/A gallons If yes, enter date Comments/Deficiencies: CONDITION OF 1978 DRAINFIELD IS UNKNOWN SEE ATTACHED EMAIL BETWEEN DAVID GARNESS, PE AND MOA ONSITE COMPLOYEE REBECCA CARROL PE REGARDING THE 1978 DRAINFIELD COSA Checklist yellow sheet E. SEPARATION DISTANCES�`� i if No ft Surface Water > 100' Q Yes if No ft Property Line > 5' Q Yes if No From Private Well on Lot to: (Pleas(nter distances if less than required or if community well) Wells on Adjacent Lots.- ots:Water Absorption Field > 5' Septic Tank/Lift Station on Lot > 100 if No Community Sewer Manhole/Cleanout > 100' Private Wells > 100'✓❑ Yes if No ft gvj YNo ft Yes if No ft Yes if No ft Water Service Line > 10' 0 Yes if No ft Neighboring Tank > 100' if No ft Private Sewer/Septic Line > 25' M Yes if No ft Absorption Field on Lot > 100if No 5[3ZZe ft Holding Tank > 100' R Yes if No ft Neighboring Absorption Fields > 100' Animal Containment > 50' F'l Yes if No ft Q Yes if No ft Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' R Yes if No ft E] Yes if No ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' Q Yes if No ft Surface Water > 100' Q Yes if No ft Property Line > 5' Q Yes if No ft Wells on Adjacent Lots: Wells on Adjacent Lots.- ots:Water Absorption Field > 5' n Yes if No ft Private Wells > 100'✓❑ Yes if No ft Water Main > 10' 0 Yes if No ft Community Wells > 200' Yes if No ft Water Service Line > 10' 0 Yes if No ft If septic tank is under driveway comment below From Absorption Field on Lot to: (Please enter distances if less than required) Building Foundation > 10' S Yes if No ft If absorption field is under driveway comment below Property Line > 10' M Yes if No ft Wells on Adjacent Lots.- ots:Water WaterMain > 10' 0 Yes if No ft Private Wells > 100' 0 Yes if No ft Water Service Line > 10' 0 Yes if No ft Community Wells > 200' 0 Yes if No ft Surface Water > 100' 0 Yes if No ft F. ENGINEER'S COMMENTS There is an alternator valve that allows for flow to be switched between the two drainfields. ADEC "Drinking Water Watch" GIS does not show a public well on lot to the north. - z G. ENGINEERS CERTIFICATION _o 1 certify that 1 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. ? �O _J r Garne CE—.795 COSA Checklist yellow sheet Q pro f essio�°oma #AECC884 OWALLEY ROAD N89°59'41 "W 329.83 BLM Lot 27 Notes: 1. Access and gas Easement for joint use of Lots 1 and 2 recorded in Book 131, page 136 and Book 546, page 299 r� o Well G` I ChlmneY Lot 1 -%I mol HOUSE & SEPTIC DETAIL SCALE: V= 50' a MLot 2 C'n ��►���� ti � _, OF A ,q O P.�F , . o Q ,.,��• o 49th • y �,® Z 00 00 00V_�6f L•atka • o �® �srF • 8036 - LS • ° J��'.. + Lot 3 w �'o ssloNA�.1k 41W ®'► Revised 8-10-21 Added septic vents AS -BUILT NO CORNERS SET THIS DATE I hereby certify that I have performed a Mortgagee's inspection in accordance with ASPLS Standards of the following described property: LOT 2 ELSNER PARK SUBD. Anchorage Recording Precinct, Alaska, and that the improvements situated thereon are within the property lines and do not overlap or encroach on the property lying adjacent thereto, that no improvements on the property lying adjacent thereto encroach on the premises in question and that there are no roadways, transmission lines or other visible easements on said property except as indicated hereon. Dated at Anchorage, Alaska this 4th day of AUGUST , 2021. EASEMENTS OF RECORD, OTHER THAN THOSE SHOWN ON THE RECORDED FRED WALATKA &ASSOCIATES, L.L.C. PLAT ARE NOT SHOWN HEREON Engineers and Surveyors UNLESS OTHERWISE NOTED. FB 21-4, pg 53-55 BE 907-248-1666 This drawing is a representation of conditions found at the time the mortgage location survey was performed. This document does not constitute a boundary survey and is subject to any inaccuracies that a subsequent boundary survey may disclose. The information contained on this drawing shall not be used to establish any fence. structure or other improvements. This drawing shall only be used for a single property transaction. Use of this drawing by the original client or by others at a later date without the consent of Elizabeth L. Walatka is a violation of Federal Copyright law. Unless gross negligence is discovered, the liability extent of the preparer is limited to the amount of fees collected for services in preparation of this product. LO EAST 33.00 O O 00 r �! � f co o� SCALE: V= 100' � C-0I(DC o LOT 1 IE BLM I n! (� Lot 7 441 o 16 0 6 Z n/ as �, I p is, 7` o� L ¢ 99 '~ `-wood EAST O J 117.00 fence O 20' Util. & Telecom. Easements _I N � Shed L —LP ci Van ,I c7. Wellf o , O Z ( See detail above LOT 2 — — I TOT IL- Tel com: Easement N89°59'41 "W 329.83 BLM Lot 27 Notes: 1. Access and gas Easement for joint use of Lots 1 and 2 recorded in Book 131, page 136 and Book 546, page 299 r� o Well G` I ChlmneY Lot 1 -%I mol HOUSE & SEPTIC DETAIL SCALE: V= 50' a MLot 2 C'n ��►���� ti � _, OF A ,q O P.�F , . o Q ,.,��• o 49th • y �,® Z 00 00 00V_�6f L•atka • o �® �srF • 8036 - LS • ° J��'.. + Lot 3 w �'o ssloNA�.1k 41W ®'► Revised 8-10-21 Added septic vents AS -BUILT NO CORNERS SET THIS DATE I hereby certify that I have performed a Mortgagee's inspection in accordance with ASPLS Standards of the following described property: LOT 2 ELSNER PARK SUBD. Anchorage Recording Precinct, Alaska, and that the improvements situated thereon are within the property lines and do not overlap or encroach on the property lying adjacent thereto, that no improvements on the property lying adjacent thereto encroach on the premises in question and that there are no roadways, transmission lines or other visible easements on said property except as indicated hereon. Dated at Anchorage, Alaska this 4th day of AUGUST , 2021. EASEMENTS OF RECORD, OTHER THAN THOSE SHOWN ON THE RECORDED FRED WALATKA &ASSOCIATES, L.L.C. PLAT ARE NOT SHOWN HEREON Engineers and Surveyors UNLESS OTHERWISE NOTED. FB 21-4, pg 53-55 BE 907-248-1666 This drawing is a representation of conditions found at the time the mortgage location survey was performed. This document does not constitute a boundary survey and is subject to any inaccuracies that a subsequent boundary survey may disclose. The information contained on this drawing shall not be used to establish any fence. structure or other improvements. This drawing shall only be used for a single property transaction. Use of this drawing by the original client or by others at a later date without the consent of Elizabeth L. Walatka is a violation of Federal Copyright law. Unless gross negligence is discovered, the liability extent of the preparer is limited to the amount of fees collected for services in preparation of this product. David Garness From: Carroll, Rebecca M. <rebecca.carroll@anchorageak.gov> Sent: Friday, July 30, 2021 11:27 AM To: David Garness; Wockenfuss, Deborah M. Subject: RE: Elsner Park; Lot 2 - Record Drawing and Diverter Valve David, I agree that the DV can remain so that the 1978 trench could you used as a back-up (but not for 4 -bedroom COSA approval). I will make a cover page noting this. Becca Carroll Onsite Water and Wastewater Municipality of Anchorage 343-7908 From: David Garness <David@garnessengineering.com> Sent: Friday, July 30, 20218:27 AM To: Carroll, Rebecca M. <rebecca.carroll@anchorageak.gov>; Wockenfuss, Deborah M. <deborah.wockenfuss@anchorageak.gov> Subject: Elsner Park; Lot 2 - Record Drawing and Diverter Valve i Deb/Becca, There was a record drawing completed for Elsner Park; Lot 2 which states at the top of the 40 scale "Bootleg System was Abandoned in Place". However, the chance order on page 10 in the MOA records states "3 -bedroom drainfield shall be retained and connected for possible use but not for COSA approval...." In the bottom left corner. During GEG inspection for the COSA in 2021, it was noted that the diverter valve is in fact present and that the 1978 drainfield appears to still be connected. In short, we believe there was an oversight on the record drawing and would like to note that there is a diverter valve present. An adequacy test was performed on the 4 -bedroom drainfield and passed. Given that there was a change order on record to allow the 1978 drainfield to be connected, we feel that it is reasonable to allow the DV to remain in place and the 1978 trench to be utilized (but not for a COSA approval). Sincerely, David Garness, P.E., M.S. Civil Engineer Garness Engineering Group, Ltd. 3701 E. Tudor Road, Suite 101 Anchorage, Alaska 99507 Phone: (907) 337-6179 Mobile: (907) 632-4528 Website: www.garnessengineering.com 1. UENERAL INFORMATION Complete legal description Location (site address or directions) 99 s► 6 Z E L S'N Ez P S'ID 360o r-�:A-�r✓E-�- Efz-�c ZusD/ % Pavo"k�r= %''7 Property owner - Day phone 6say --7 3_a S Mailing address ccw TA -,c Lending agency N It Day phone ►J 174 Mailing address - tJ IA - Agent ��iN°�' `� Pn oP �� gt2�Di=°2D Day phone Address Z ►I ► G '"rr �c N 99so3 Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: '. 3. TYPE OF WATER SUPPLY: Individual well Community well Public water P� r� pig -v P �3�-6 r79 NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 4. TYPE OF WASTEWATER DISPOSAL: Individual on-site Holding tank Community on-site Public sewer NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025(Rev.1/91) Front MOAN21 S. 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. Name of Firm Address $4'11 Engineer's signature F�c�(�—� QE P/-10 itT CLOS)`Cr. VM10ll.r--_c1VG1%(T`reD ib F'C'e'si , Da'.1 QPaDroa-D , 6. DHHS SIGNATURE -� Approved for 3 bedrooms. Disapproved. +x Conditional approval for Additional Comments Phone 337—G179 d,,A u� Mc 94sa¢ Date 4 9 bedrooms, with the following stipulations: Date.4- — /8 —577 CAUTION The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates• based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineers work. 72-M (Rev. 1/91) Beck MOA e21 NA)UP'AUTYf OF ANU40MAGE ENVIRONMENTAL SERVICES DIVISION APR 10 1997 Municipality of Anchorage DEPARTMENT OF HEALTH &. HUMAN SERR%E I V E D Environmental Services Division 825 L Street, Room 502 • Anchorage, Alaska 99501 9 (907) 343-4744 Health Authority Approval Checklist Legal Description: L 07 7- PDJ2r-, Parcel I.D.: 015— _ .1 -13— 63 A. WELL DATA Well type P�/T If A, B, or C, attach ADEC letter. ADEC water system number Log present (Y/N) VAS Date completed Total depth 214 Cased to 2 i3 Casing height (above ground) Sanitary seal (Y/N) ��s Wires properly protected (Y/N) \irl-S FROM WELL LOG AT INSPECTION Date of test I oAA$ q-a"? 7 Static water level /-7+ Well production 1D g.p.rh G; 26 g.p.m. Fait- 1-71 WATER SAMPLE RESULTS: "'�" D�"'Ori-'^' rs6• Coliform Nitrate • I M Other bacteria Date of sample: 4�: 8 �9� Collected by:z^'�� B. SEPTIC/HOLDING TANK DATA Date installed Tank size I b06 Number of Compartments 2 Cleanouts (Y/N) Y/Ny oN L_ Foundation cleanout (Y/N) NO Depression (Y/N) NO High water alarm () -�-- t Date of Pumping 15-/9 Pumper c� n Dojo ��5 SrJou� o,J Grx<,�nd� a C. ABSORPTION FIELDDATA Ci-vowsE vaGX j r, Fat SEvet. iMowros) p Date installed "be Soil rating (y.3.014W or ft2/bdrm) /on System type 7'1Z6j604 U r � .J Length C Width S Gravel thickness below pipe 8 ' 4' T"I depth Akcv-r 16-51 Z � Effective absorption area av3 Monitoring Tube present (Y/N) SvMP Depression over field (Y/N) NO Date of adequacy test lt'AY111 Results (Pass/Fall) PASS For 3 bedrooms Y(R) Fluid depth in absorption field before test (in.); 8 Immediately afterC)00gal. water added (in.): 36 d Fluid depth ZZ- It(ins)Minutes later: Absorption rate = > 4s-6 g.p.d. Peroxide treatment (past 12 months) (Y/N) If yes, give date Al � 72-026 (Rev. 3/96)* 6�Na1'c-, (QST 43B ( coaS IN -r *0wL f P/0ouLW .moo ru'E /N t-ff*V10 L6vo-L... Se -F—= Coc/E.L C.i TTEn D. LIFT STATION Date installed Manhole/Access (Y/N) High water alarm E. SEPARATION DISTANCES on" lev *Datum SEPARATION DISTANCES FROM WELL ON LOT TO: i Septic/holding tank on lot l I I f i Absorption field on lot f23 Public sewer main Ili Ions "Pump off" level at* On adjacent lots 5 100 To Lor 41vr,- On adjacent lots > too -ry Lo -r 4-1-115-7 Public sewer manhole/cleanout KJ IA Sewer /septic service line / b + Lift station 12, F20-+ -r,44w- c% T+; FtLSr SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOTTO: r alb oy -2awo4' Foundation 37.5 Property line 40 i+ Absorption field A Water main/service line > 10 Surface water/drainage moo Wells on adjacent lots >150 SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line �O ± Building foundation 50 r Water main/service line >/d Surface water I Do Driveway, parking/vehicle storage area > 20 Curtain drain f ONF— (�..)Dwd Wells on adjacent lots 150 F. ENGINEER$ CERTIFICATION I certify that 1 h de mined thr fl Id inspections and review of Municipal in conformanq h A ide es in effect on this date. Signature Engineer's Name Date Q'/ HAA Fee $ U Date of Payment ,4,1' . �U Receipt Number 72-026 (Rev. 3/96)* . 6AZ.J s S Waiver Fee $ _ Date of Payment Receipt Number April 7, 1997 Alaska Water & Wastewater 8471 Brookridge Drive — Anchorage — Alaska 99504 Phone (907) 337-6179 — Fax (907) 338-3246 Consulting Engineers APCR 10 1997 Municipality of Anchorage Dept. Health & Human Services Municipality of Anchorage Department of Health & Human Services Division of Environmental Services On -Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 Subject: HAA for Private Well & Septic System. Lot 2, Elsner Park S/D. 3600 Omalley Road. To whom it may concern: The subject lot has a 3 bedroom house on it which is served by a private well and septic system. The results of the field investigation and adequacy tests are summarized as follows: A. WELL: On the day of my inspection (4/4/97) the static level was 154 feet below the top of the casing. Water was pumped from the well at an average rate of 5.26 gpm for 171 minutes (900 gallons). Within the first 20 minutes of the pumping, the water level dropped to 166 feet, and remained there throughout the rest of the test. In short, it was recovering as fast as it was being pumped out (5.26 gpm). Based upon this data it was determined that the capacity of the well exceeds the Municipal requirements for a 3 bedroom house (450 gallons per day). This well produces greater than 720 gallons in 4 hours. B. SEPTIC TANK: The existing septic tank was installed in November of 1978 (approx. 18.5 years old). According to the M.O.A records, it is 1000 gallons, has two compartments and is made of steel. Most tanks of this type have a structural life of approximately 20-25 years. No warrantee is made regarding the future life of the septic tank. The liquid in the septic tank was frozen on 4/4/97. This occurred because there was no cap on the clean-out pipe and the home was vacant for the past several months. The tank was steam thawed, and pumped by Old McDonald's Pumping on 4/5/97, Given the burial depth (visually appeared to be greater than 4 feet), and the fact that there is now a clean-out cap, it is unlikely that the tank will freeze again, assuming that the home is occupied. C. DRAINFIELD SUMP DOES NOT EXTEND TO BOTTOM OF TRENCH: The drainfield is a single trench that is 5 feet wide, 20 feet long, and has an effective depth of 8.3 feet. The elevation difference between the bottom of the sump, and the cleanout invert (at the beginning of the trench) is only about 3.8 feet. In short, the sump does not appear to go to the bottom of the drainrock. During the adequacy test, when water was introduced into the clean-out at the beginning of the trench, the water level in the clean-out would reach a level of approximately 4 inches. This is indication that there is a slight reverse grade in the drainpipe. Given the fact that the system has operated adequately for almost 18.5 years with this condition, it is reasonable to assume that the future performance of the system will not be impaired. D. SEPTIC SYSTEM ADEQUACY TEST: Per the property owner, the home had been unoccupied for several months. Prior to beginning the test, the sump had 8 inches of liquid in it. Since the sump does not extend into the lower 4.5 feet of the drainrock, the total liquid depth in the drainfield was actually 5.17 feet (62% full). Water was introduced into the cleanout and sump (alternated) at a rate of 5.26 gpm for a total of 171 minutes (900 gallons). The first 462 gallons produced a rise of 28 inches in the sump (water level was only about 10 inches below the drainpipe invert) The next 438 gallons did not raise the liquid level in the sump at all. In short, water was being absorbed as fast as it was being introduced (438 gallons in 81 minutes!). Based upon this data, it was determined that the absorption rate of the trench exceeds 450 gallons per day, as required for a 3 bedroom house. If you have any questions, please contact me at 337-6179, or on my digital pager at 1-800-481-1162. Thank you for your assistance. NOTE: The adequacy of a septic system is influenced by numerous factors, including, but not limited to, seasonal surface water infiltration, groundwater variations, septic system maintenance (frequency of septic tank pumping, usage of biological additives), condition of drain pipe and pipe joints (which can be damaged by seismic activity and deteriorate with age), type of substances deposited in septic system (cigarette butts, sanitary napkins, misc. objects), and the amount of water being introduced on a continual basis. Consequently, the results of this adequacy test are only valid for the specific day of the test. Furthermore, because of the limited nature of this investigation, it is possible that there are hidden defects which may not have been detected. No warrantee is made regarding the future performance of this well or septic system C.C. Dynamic Properties, Dan Bradford MUNICIPALITY OF ANCHORAGE • DEPARTMENT OF HEALTH & HUMAN SERVICES M Division of Environmental Services On -Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. # (N'S J )-1 1) `1 n S L HAA # �»� innn 5ln 1. GENERAL INFORMATION P't � D, Lb,nn �c'a✓� IL Complete legal description Lot 6; Section 21, T12N, R3w, S.M.) Location (site address or directions) 3600 O'Mattey Vki.ve Property owner Kanta 9 Ekic Zu3pan Day pwhonee _11-� 47 Mailing address 3600 U'MaUey Dtive, Anchoftage, Ata-6ka 991152216 Lending agency Mailing address Agent w 11..___ f U41 GJJ _ Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 3 3. TYPE OF WATER SUPPLY: Individual well XX Community well Public water Day phone Day phone NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 4. TYPE OF WASTEWATER DISPOSAL: XX Individual on-site Holding tank Community on-site Public sewer NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025 (Rev. 1/91) Front MOA #21 \\ 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verifythat 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 Phone Address 1034 Facile River Loop Road No. 204 Engle Iver, Alaska 99577 _ q Engineer's signature Date 6. DHH SIGNATURE Approved for bedrooms. Disapproved. M Conditional approval for bedrooms, with th6\ following stipulations: Additional Comments it 1717, The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. M 72-01.5 (Rev. 1/91) Back MOA #21 OM1" Miq.. Conditional approval for bedrooms, with th6\ following stipulations: Additional Comments it 1717, The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. M 72-01.5 (Rev. 1/91) Back MOA #21 Municipality of Anchorage Department of Health & Human Services HEALTH AUTHORITY APPROVAL CHECKLIST ig 3600 Legal Description:LTa E/ Ei2 uw Parcel I.D. A. WELL DATA Well type ttJA�2 If A, B, or C, attach ADEC letter. ADEC water system number N�� Log present S' N) /iE-S Date completed -8- �� Driller IS tr Total depth _(2R11Casedto oZ)� Casing height Sanitary seal l&N) Y.ES Wires properly protected O/N) ft FROM WELL LOG AT INSPECTION / G _�- �8 S-� I -92 ✓ ° Date of test � Static water level Kms— L4 t r- � m O Well flow 10 g.p.m. . U,m. 9 Pump levelK k TOM N v / 4 ° SEPARATION DISTANCES FROM WELL TO: ✓ y Septic/holding tank on lot +U C 10 ; On adjacent lots �tSd f Absorption field on lot dao / + 11 ; On adjacent lots Z00 Public sewer main N�A public sewer manhole/clean /A Tout Sewer service line 's Petroleum tank I V bNt Kf00W U WATER SAMPLE RESULTS: Vti Coliform Nitrate 3y Other bacteriay Date of sample: 2 Collected by: S S �NGtNRING B. SEPTIC/HOLDING TANK DATA I Date installed LI ` /" �8 T nk size 1000GOV- Compartments Cleanouts (2aN) ONE Foundation cleanout (Y/io i 0 Depression (Y/P6 r3c.? High water alarm (Y/6 IVIA Alarm tested (YA!% II ''NA r �� Date of pumping �-��l 1- 92 Pumper + c5ME SEfI llcp_' SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Well(s) on lot 3 }0 GAO -6n adjacent lots 160 `� Foundation 3a r To property line 3o r Ab rption field 10 f Water main/service line 50 Surface water/drainage X66 Ifi 72-026 (Rev. 7/91) Front CONTINUED ON BACK PAGE LIFT STATION^n 11 Date in d !y A_ Manufacturer Size in gallons Vent (Y/N) High water alarm level "Puffin" level at Meets MOA electrical codes (Y, Manhole/Access SEPARATION DIST CE FROM LIFT STATION TO: Well t On adjacent lots D. ABSORPTION FIELD DATA "Pump off" level at Cycles tested Surface Date installed (I- �' �O Soil rating 166 SF/8R System type w/1�C aR,41N Length 0910 Width Gravel thickness y rr Total depth y Total absorption area Cleanouts present (Y/N) Depression over field (Y/ 1O No Date of adequacy test 5 AI -Cn_ S -A2- 2 Results (pbs/fail) rA-5S for _ S bedrooms m �/ Peroxide treatment (Past 12 months) (Y/6 Y v 'T 1�NOtr N If yes, give date 1k /y' PEIZ JNP. REPORT P4760 //-/-?8 SEPARATION DISTANCE FROM ABSORPTION FIELD TO: X 11' FRWA FIELD MEDS- dN rOA1I12. Well on lot I ao r _f On adjacent lots /I110 rf Property line as '+ To building foundation Ll�� r+ To existing or abandoned system on lot NIA On adjacent lots 106'+ Cutbank NIA Water main/service line Surface water _ 106 ''' f Driveway, parking/vehicle storage area Curtain drain &tiNFz. I NUAIN E. ENGINEER'S CERTIFICATION I certify that l have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. 4r S & S ENGINEERING A- V ,"" ° "°•"•ti',�. �� Signature 17MA P'agla Rivar LaAp Rand No 204 or�:% Eagle River, Alaska 99577 '0 9,0. Engineer's Name / - • °"•" ••'^ °°•"" •••°•° DateiAFIR �oF*ass*u�«��`nJ HAA Fee $ 6). Date of Payment Receipt Number ZZj 72-026 (Rev. 3/91) Back MOA 21 Waiver Fee: $ Date of Payment Receipt Number CHEMICAL & GEOLOGICAL LABORATORY A DIVISION OF COMMERCIAL TESTING & ENGINEERING CO. 5633 B STREET ANCHORAGE, ALASKA 99518 TELEPHONE (907) 562-2343 FAX: (907) 561-5301 ANALYSIS RESULTS fox INVOICE # 53975 Chemlab Ref.# 92.2268 Sample # 1 Matrix: WATER Client Sample ID DRINKING WATER L2 ELSNER SUED. PWSID UA Collected MAY 21 92 @ 17:20 hrs. Received MAY 22 92 @ 14:30 his. Preserved with AS REQUIRED Analysis Completed MAY 27 92 Laboratory SupervisorS EPHEN C. EDE Released By /� Parameter ------------- NITRATE-N Client Name :S & S ENGINEERING Client Acct :SNSENGP BPO# Req# Ordered By :R. SHAFER Send Reports to: 1)S & S ENGINEERING 2) PO# :NONE RECEIVED ........................................................................................................... Results Units Method Allowable Limits ----------------------------------------------------------------------------------------------------------- 0.34 mg/l EPA 353.2 10 Sample ROUTINE SAMPLE COLLECTED BY: J.W. Remarks: .................................................................................................................................... 1 Tests Performed See Special Instructions Above UA -Unavailable ND- None Detected See Sample Remarks Above NA- Not Analyzed LT -Less Than, GT-Greatex Than 1 5101%SGS Member of the SGS Group (Societe Generale de Surveillance) MUNICIPALITY OF ANCHORAGE jj DEPARTMENT OF HEALTH & HUMAN SERVICES DIVISION OF ENVIRONMENTAL SERVICES CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY 264-4744 Application Datey— / ` a do 1. GENERAL INFORMATION (MUST BE COMPLETED PRIOR TO SUBMITTAL) (a) Legal Description (include lot, block, subdivision, section, township, range) .6300' DoT&l sic-. Ttau 'iZ3 u✓ Location (address or directions) CORRECTED LEGAL: T12N R3W Section 21 5300' Lot 6 per Property Appraisal 3//l�,,,,y0 Drltl,4LLE y (b) Property Owner'SNEV�1-IC� Telephone: Home Business Mailing Address �{ (c) Lending Institution � _'�— Telephone Mailing Address +' (d) Real Estate Company and Agent Address Telephone Q 76 ! 3 33 (e) Mail the HAA to the followina address: or: Check here if hold for pick up. List contact person and day phone number below. 17 S ?u L° 1CL.A1•i 1) Aw - 34" 2. TYPE OF RESIDENCE Single -Family y Number of Bedrooms v 3. WATER SUPPLY Individual Well x Community ❑ Public ❑ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 4. SEWAGE DISPOSAL Onsite Public El Community ❑ Holding Tank ElNote: f community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. Page 1 of 2 72-025 (Rev 8881 Front 5. ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. _ I A Name of Firm �� // '�1 Telephone W Address �,/ t� 3 %J–v Date /-, 4r -Y Z S �, i• t.r ,.�. 222 9 ear's Seal �a• J'JE 25, 191ir 6. DHHS A Q ApprovededAPPROVAL for for bedrooms by — �.�� Date Approved Disapproved Terms of Conditional Approval Conditional CAUTION The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. Page 2 of 2 72-025 (Rev 8/86) Back MUNICIPALITY OF ANCHORAGE (MOA) MuN\N�r\�P�S� HEALTH AUTHORITY APPROVAL (HAA) NO CHECKLISTF4 44UARY 1984 � J C�rv�® Legal Description: `So 0.4 SA Got A. WELL DATA Well Classification S If A, B, C D C. Approved (Y/N) Well Log Present (Y/N) Date Completed I 8 7t9 Yield 9P "I Total Depth 19-1V Cased to.,; y Depth of Grouting N ON a Static Water Level 170 Pump Set At /3 ej T 7-0 O 01' it y Casing Height Above Ground �^o Sanitary Seal on Casing (Y/N) Electrical Wiring in Conduit (Y/N)Depression Around Wellhead (Y/N) Separation Distances from Well: To Septic/Holding Tank on Lot b On Adjoining Lots To Nearest Edge of Absorption Field on Lot (� rJ ; On Adjoining Lots To Nearest Public Sewer Line N N Iff To Nearest Public Sewer Cleanout/Manhole NIL O 1%11-` To Nearest Sewer Service Line on of Water Sample Collected by f S ; Date 7 Water Sample Test Results Comments B. SEPTIC/HOLDING TANK DATA Date Installed l l % Size ICi"� No. of Compartments T t4tp Standpipes (Y/N) N tm Air -tight Caps (Y/N) Foundation Clean o t (Y/%N) Depression over Tank (Y/N) Date Last Pumped Pumping/Maintenance Contract on File (Y/N) H for Holding Tank High -Water Alarm (Y/N) N Temporary Holding Tank Permit (Y/N) Separation Distances from Septic/Holding Tank: To Water -Supply Well /0 ?— To Property Line To Water Main/Service Line 7 !e� Course Comments Page 1 of 2 72-026 (Rev. 8/86) Front To Building Foundation To Disposal Field To Stream, Pond, Lake, or Major Drainage C. ABSORPTION FIELD DATA Soils Rating in Absorption S rata ' Type of System Design 712 i N G 14 Date Installed I Length of Field 02 rl Width of Field Depth of Field Gravel Bed Thickness �L Square Feet of Absorption Area '3 3 Standpipes Present (Y/N) t*l// Depression over Field (Y/N) Date of Last Adequacy Test Z Results of Last Adequacy Test Separation Distance from Absorption Field r -e,4.. 0~_9 To Water -Supply Well i l $ To Property Line > L O To Building Foundation 41 �p To Existing or Abandoned System on Lot No U ff.: ; On Adjoining Lots K ON L5 - To Nl- To Water Main/Service Line > To Cutbank (if present) 0 To Stream/Pond/Lake/or Major Drainage Course 14, L) N C To Driveway, Parking Area, or Vehicle Storage Area / J7 Comments D. LIFT STATION Date Installed Size in Gallons "Pump On" Level at t, 0 W High Water Alarm Level at Tested for Electrical Codes (Y/N) Comments Dimensions Manhole/Access (Y/N) "Pump Off" Level at ** Check Permitted Bedroom Rating Against HAA Request ** Vent(Y/N) Pumping Cycles during Adequacy Test. Meets MOA 1 certify that Iave_checked, verified, or co rmed to all MOA and HAAguidelinesin effect on the date of this inspection. Signed Date Company MOA No. Receipt No. ) 2 Date of Payment Amount: $ Page 2 of 2 72-026 (Rev 8/86) Back Engineer's Seal MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES DIVISION OF ENVIRONMENTAL SERVICES CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY 264-4744 ' Application Date I11181al 1. GENERAL INFORMATION (MUST BE COMPLETED PRIOR TO SUBMITTAL) (a) Legal Description (include lot, block, subdivision, section, township, range) 2. Location (address or directions) C6�11 �c 1 l._P&c 2L. 36on O'K (b) Property Owner Telephone: Home Business Mailing Address (c) Lending Institution i�R wr"` Telephone Mailing Address (d) Real Estate Company and Agent r� ++r-� ttQ� !Kull tti� twUL Address•L Telephone /'�^?(e — t 3 3' (e) Mail the HAA to the followino address: or: Check here if hold for pick up. List contact person and day phone number below. ;2Z11b TYPE OF RESIDENCE Single -Family K Number of Bedrooms . 3. WATER SUPPLY J Individual Well Ipl. Community ❑ Public ❑ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 4. SEWAGE DISPOSAL Onsite Public ❑ Community ❑ Holding Tank ❑ Note: f/community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. Page 1 of 2 72-025 (Rev 8/86) Front 5. ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspectionzmw_.(.t Name of Firm Telephone 146 Address 40:1 U►% ! J :'tl Date N e v 101, 1 41 OF Al tj Vol �. Engineer's Seal .•2225-E y 2b, L971 6. DHHS APPROVALO Approved for 3 bedrooms by , Date ..... ApprovedDisapproved Conditional Terms of Conditional Approval CAUTION The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. A Page 2 of 2 72-025 (Rev 8/861 Back �C�QP�\�y oy�ey MUNICIPALITY OF ANCHORAGE (MOA) EALTH CHECKLIST - FEBRUARY 1TY 984 84HAA) I CAM O�j i rq 264-4744 J( Legal Description: (-� l Coy Sr= c 2 Tj�NI 1�3 VC/ A. WELL DATA Well Classification FES If A, B, C, D.E.C. Approved (Y/N) N// -t Well Log Present (Y/N) Date Completed AA 8 ( 763 Yield ) 0 4 pynl Total Depth Cased to �� tf Depth of Grouting NONE Static Water Level 7 Pump Set At 07"TO M 'I Casing Height Above Ground orb Sanitary Seal on Casing (Y/N) Electrical Wiring in Conduit (Y/N) N * Depression Around Wellhead (Y/N) )� Separation Distances from Well: To Septic/Holding Tank -on Lot I b 2 ; On Adjoining Lots > / S O To Nearest Edge of Absorption Field on Lot lip ; On Adjoining Lots To Nearest Public Sewer Line go G To Nearest Public Sewer Cleanout/Manhole NI)W C To Nearest Sewer Service Line on Lot > / a Water Sample Collected by • S ;Date fbL & ,,a Water Sample Test Results ff • C 0 Ott Comments e B. SEPTIC/HOLDING TANK DATA Date Installed I ) 78 Size 1O� No. of�/Compartments i U(/y Standpipes (Y/N)1= Air -tight Caps (Y/N) / Foundation Cleanout (Y/N) Depression over Tank (Y/N) N Date Last Pumped £c -7 Pumping/Maintenance Contract on File (Y/N) N�A� ; for f//A Holding Tank High -Water Alarm (Y/N) N/A Temporary Holding Tank Permit (Y/N) Separation Distances from Septic/Holding Tank: To Water -Supply Well looL r/ To Property Line �✓ 7 To Water Main/Service Line Coursed N Comments Page 1 of 2 72-026 (Rev. 8/86) Front To Building Foundation 3 ts To Disposal Field To Stream, Pond, Lake, or Major Drainage C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata 100 Type of System Design 2.IENCY Date Installed t 1 /f ! 78 Length of Field .2 D .i Width of Field bo Depth of Field Gravel Bed Thickness Square Feet of Absorption Area 3,30 Standpipes Present (Y/N) -f W/o Depression over Field (Y/N) N Date of Last Adequacy Test i0/2a1&-7 Results of Last Adequacy Test Separation Distance from Absorption Field To Water -Supply Well 116 To Property Line i .7-D To Building Foundation y6 To Existing or Abandoned System on Lot N N ; On Adjoining LotsTo Water Main/Service Line To ►C�u/tbank (if present) d N To Stream/Pond/Lake/or Major Drainage Course IN D N 1. -,- To .- - To Driveway, Parking Area, or Vehicle Storage Area Comments D. LIFT STATION N L Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Electrical Codes (Y/N) Comments Dimensions Manhole/Access (Y/N) "Pump Off" Level at ** Check Permitted Bedroom Rating Against HAA Request ** Vent (Y/N) Pumping Cycles during Adequacy Test. Meets MOA I certify that I have checked, verified, or conformed to all MOAnd HAA guidelines in effect on the date of this inspection. Signed Date l C9 Z8' 8-% Company MOA No. ReceiptNo. Date of Payment Amount: $ /0 a �— Page 2 of 2 72-0261Rev 8/86) Back i Engineer's Seal *tdo 222 f •• IU14L `ACU � � L�G`J �p�G�G3L�G�G�lv9 G�v�o CONSULTING ENGINEER 203 W. 15th AVE "C" SUITE 203 ANCHORAGE, ALASKA 99501 '�• TELEPHONES. (907) 279-3916 S E P T I C S Y S T E M AD E Q U A C Y T E S T t— — — — — — — — — LEGAL: S?�, LOT 6, SEC. 21, T12N, R3W LOCATION: 3600 O'MALLEY ROAD OWNER: ELSNER/PARKS RESIDENCE: SINGLE FAMILY, THREE BEDROOMS WELL: PRIVATE, ON SITE SEPTIC SYSTEM: FROM MUNICIPAL RECORDS: TANK: GREER STEEL, TWO COMP. 1000 GAL. ABSORPTION SYSTEM: TRENCH ABSORPTION AREA: 350 SQ. FT. SOIL RATING: 100 INSTALLATION DATE: NOVEMBER 1978 DATE OF PUMPING: OCTOBER 28, 1987 MARX ENTERPRISES DATE OF TEST: OCTOBER 28, 1987 TEST PROCEDURE: SYSTEM WAS INSPECTED AND MEASURED. TANK WAS FOUND WITH FIVE FEET OF COVER AND 11 INCHES OF LIQUID. TRENCH CLEAN OUT WAS 6.5 FEET DEEP AND DRY. TRENCH SUMP WAS 10 FEET DEEP AND HAD 24 INCHES OF LIQUID. 500 GALLONS OF CLEAN WATER WERE ADDED TO THE SUMP. THE FIRST 200 GALLONS CAUSED THE WATER LEVEL TO RISE 4.75 INCHES. THE NEXT 300 GALLONS DID NOT CAUSE AN INCREASE IN THE WATER LEVEL. THE WATER LEVEL IN THE TANK DID NOT CHANGE. WITHIN TEN MINUTES AFTER THE WATER WAS TURNED OFF, THE LEVEL IN THE SUMP HAD DROPPED 1.5 INCHES. TEST RESULT: THIS SYSTEM MEETS THE CODE REQUIREMENTS OF THE MUNICIPALITY OF ANCHORAGE. The operational life of all septic systems depends on the local soil conditions, groundwater levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of this septic system. We can therefore not give any estimate of how long the system will continue to meet the operational requi- rements of the. Municipality and State. .M y IJ V I�UV V �•�U�]�WpVV9 CONSULTING ENGINEER I,j- plop 3 W 15th AVE -C 'SUITE 203 ��?OANCHORAGE, ALASKA 99501 TELEPHONE. (907) 279-3916 R E S I D E N T I A L W E L L I N S P E C T I O N LEGAL: 52401, LOT 6, SEC.21, T12N, R3W LOCATION: 3600 O'MALLEY ROAD ;, talti OWNER: ELSNER/PARK TYPE OF WELL: SINGLE FAMILY :, w • • . ; WELL LOG AVAILABLE: YES INSTALLATION REQUIREMENTS MET: YES WELL YIELD FROM WELL LOG: 10 GALLONS PER MINUTE PUMP YIELD: 6 GALLONS PER MINUTE DATE OF INSPECTION: OCTOBER 28, 1987 TEST PROCEDURE: WELL WAS PUMPED AT A CONSTANT RATE OF 6 GALLONS PER MINUTE WHILE THE DRAWDOWN WAS MONITORED WITH AN ACOUSTIC PROBE. THE WELL WAS PUMPED TILL THE DRAWDOWN STABILIZED. AT THE START OF THE TEST WATER LEVEL, WAS FOUND AT 171 FEET BELOW TOP OF CASING. AFTER 20 MINUTES OF PUMPING THE WATER LEVEL WAS AT 182 FEET. THE WELL WAS PUMPED FOR AN ADDITIONAL 75 MINUTES WITH OUT ANY FURTHER DROP IN WATER LEVEL. THE WELL HAD RECOVERED 100% WITHIN TEN MINUTES AFTER PUMP SHUTOFF. TEST FOR COLIFORMS: WATER WAS TESTED FOR COLIFORM BACTERIA AND TOTAL NITRATES ON OCTOBER 28. E. COLI 0, TOTAL NITRATES .24mg/l, MAXIMUN ALLOWABLE 10 mg/l. TEST RESULT: THIS WELL MEETS THE REQUIREMENTS OF THE MUNICIPALITY OF ANCHORAGE. THIS WELL WILL PRODUCE MORE THAN 3 GALLONS PER MINUTE FOR MORE THAN FOUR HOURS The Municipal requirement for well flow is 150 gallons of water per bedroom per 24 hours.This well surpasses this requirement. The assessment of the condition of this well applies only to the conditions as of this date. The flow rate of the well may change due to subsurface conditions that may riot be observed from the surface, and changes in land use and other factors that. may Impact the conditions of the aquifer feeding the well. �( L)o P")CkA ( tLG v A&V FAADerlllrll_k' U100 5. LEGAL DESCRIPTION MUNICIPALITY OF ANCHORAGE DEPT. O ,r CTION DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTF6VIRONI."NTAL i,,);. • 825 L Street - Anchorage, Alaska 99501 MIlaY 2 2 i9iJ � t 1794 LSOMJWjr0 ENVIRONMENTAL ENGINEERING DIVISION a &4041 6. TYPE OF RESIDENCE Telephone 264-4720 RECEIVED REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. 1. PROPE OWNER�A ' A 51.-SN9eQ 7. WATER SUPPLY PHONE JAJ4 --9" la INDIVIDUAL* , & ❑ COMMUNITY -26-1333 MAILING ADDRESS 1Z k: .& K 741r-- �" c G� k. PROPERTY RESIDENT (If different from above) INDIVIDUAL/ON-SITE** PHONE 2. BUYER MA19 If system is over two (2) years old an adequacy test is required ❑ PUBLIC UTILITY PHONE MAILING ADDRESS S 3. LENDING INS; ITUTION� `J�fAgiL1,rir{TY r � �� PHONE MAILING ADDRESS ` T 7', SOS G' Si73 4. REALTOR/AGENT PHONE MAIL] NGADDRE S 5. LEGAL DESCRIPTION J OTIT ! I� mf STREEI LOCATION til 0 � t 1794 LSOMJWjr0 G Z jE a &4041 6. TYPE OF RESIDENCE NUMBER OF BEDROOMS ❑ One ❑ Four ❑ Other SINGLE FAMILY ❑ Two ❑ Five ❑ MULTIPLE FAMILY 29„ Three ❑ Six 7. WATER SUPPLY INDIVIDUAL* * ATTACH WELL LOG. A well log is required for all wells drilled ❑ COMMUNITY since June 1975. For wells drilled prior to that date, give well ❑ PUBLIC UTILITY depth (attach log if available.) 8. SEWAGE DISPOSAL SYSTEM INDIVIDUAL/ON-SITE** **If individual/on-site, give installation date If system is over two (2) years old an adequacy test is required ❑ PUBLIC UTILITY by this Department. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010(3/78) a4 4 f�Q t3 I, THIS SIDE FOR OFFICIAL USE ONLY INSPECTION APPOINTMENTS DATE RECEIVED ` TIME TIME TIME DATE DATE DATE INSPECTOR- INSPECTOR INSPECTOR DIRECTIONS: 1. TYPE CF'RESIDENCE SINGLE FAMILY ❑ MULTIPLE FAMILY NUMBER OF BEDROOMS ❑ ONE ❑ THREE ❑ FIVE ❑ OTHER ❑ TWO ❑ FOUR ❑ SIX 2: WATER SUPPLY 1. ❑ INDIVIDUAL ❑ COMMUNITY ElPUBLIC UTILITY Connection Verified PERMIT NUMBER DEPTH OF WELL DATE DRILLED LO ECEIVED. 3. SEWAQE DISPOSAL SYSTEM ❑INDIVIDUAL/ON -SITE ED PUBLIC UTILITY Connection Verified PERMIT NUMBER DATE INSTALLED d d INSTALLER l Iw ❑Septic Teta Ipr ❑ Holding Tank Size: iJ�(J If TB,�,rk is homemade give dimensions: SOILS RATING.. Lob TYPI: 00 TANK 'JMAJNlUFAOTURER q TOTAL ABSORPTION AREA MATERIAL p 4. DISTANCES WELL TO: Septic/Holding" ank Absorption Area Sewer Line Nearest Lot Line Absorption Aree to nearest Lot Line 5. COMMENTS -/ APPROVED FOR _ BEDROOMS ❑ CONDITIONAL APPROVAL (letter must accompany certificate) ❑ "DISAPPROVED 4 DATE �yy q . BY Titla LEGAL DESCRIPTIO 72.010 (Rev. 3/78) , t-, t. - MUNICIPALITY OF ANCHORAGE ` a DEPARTM�7 OF HEALTH AND ENVIRONMEN"� PROTECTION 825 L Street, Anchoraae. Alaska 99501 2/64-4720 �jnckLDate Received: March 24, 1978 #1: Time G);3�Airt. �`"IFL#3: Time Date Date Date n ''ll � InsP N� ,�A1. S av4'sP Insp n j /I 1 1 4n REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES 1. Lending Institution Request: First Federal Savings and Loan Association Mailing Address: Post Office Box 4-2200 99509 Phone: 274-6561 2. Property Owner: Mailing Address: Albert J. Miller 3. Legal Description: T12N Section 21 Lot 6 4: Single Family Residence: ( ) Multiple Family Residence: (x) Phone: Number of Bedrooms: Number of Bedrooms: Twelve 5. Well System: Individual Well (x) Permit # Depth of Well Construction Community/Public System ( ) 186' Well Log on File ( ) Bacterial Analysis 6. Sewage Disposal System: On-site System (x) Public Utility ( ) see note on white page Permit # Installed Installer Septic Tank Size Manufacturer Absorption Area Soils Rate 7. Distances: Well to Septic Tank to Sewer Line to Nearest Lot Line Nearest Lot line Material to Absorption Area Absorption Area MUNICIPALITY OF ANCHORAGE Department of Health and Environmental Protection 0 J 825 L Street, Anchorage, Alaska 99501 264-4720 equest for Approval of Individual Sewer and Water Facilities 1. Property Owner: n Mailing Address: • 0044: t.fV_ 4 % Phone: 2 . Name of Buyer: "(/ K� G S'///�,��--'` - �S%/%�/i/�OI�� QiQ -Q 1, Phone: Mailing Address: 9 3. Lending Institution: Mailing Address: %r% & Z i4,gTS Phone: 4. 5. 0 Realtor/Agent: Mailing Address: Legal Description: Street Location: Phone: u Single Family Residence Multiple Family Residence: ( ) Number of Bedrooms: 'Q Number of Bedrooms: Z,.2 7. Water Supply:_ *Individual WellP/ Public/Community System VVV ��\ If Individual Well, well depth If Community System, name of system 8. Sewage Disposal System: 'on-site System If On-site System, date of installation: VV Public System ( ) *NOTE: A well log is required on ALL wells drilled since 6/75. **If on-site sewer system is over two(2) years old, an adequacy test is required by thi,s department. A fee of $25.00 must accompany each request before processing can be initiated. I� (/ /I3/77�51�'� �'l%/�SS'7- /�lJ�t/ G1Ji i �Y S�'/L,S I . (-( Mll rs 1 a(1qA--LL-r-Y eo, N;A4A e) ,ter Page TVo Department of Health and Environmental Protection Request for Approval of _Individual Sewer and Water Facilities Legal Description: T12N R3W Section 21 Lot 6 Comments: Affadavit Attached: ( ) Letter Attached: ( ) Approved: Date: Disapproved:V Date: C �y '� ' C► Department Worksheet: '. M -09t - 0 U61: 0do > 11VW IVNOIIVNH31NI HOi ION 1461 'jdtl .. , ....i _...........A 3nwM3AM 3quwmncul nY 008£ ..WAOJ CA - - - - ------- - .................................... (paw!nbei Doi wlxe) A83AI130 MOUS - -- .— A1NO 33SS3N0➢tl O1 H3A1134 909 ......................................... 998 """""" Aluo aassaippe 04 A.IaA!Iap 4I!M Ogg " Pei 119p eja4m Pus eiep 'w04M 04 SM04S -Z 999 """""" AIuO aaSSOAPPe 01 AlaA119P 41!M 99I -........... pejeAllep aleP Due M4M 01 SM04S 'l S331AE13S 1d1303H Ntl013tl S33A UN011100tl HOA S3JIAtl3S 1VN011d0 3000 d1Z 31tl1S "0'd 'ON 0Ntl 13381S 01 WS 300 H0 MSMSOd 1e2;,-ta l amid Jnr—IIHW n-4i411M"41 a04 ld1303H z 0 !,aril 3, 1978 Bryan Elsner 3511 Standford Drive South Anchorage, Alaska 99504 Subject a T12N R3W Section. 21 Lot 6 Albert J. Miller The request for sewer and water facilities approval can not be approved for the following reasonsa (1) The well casing must be extended twelve(12) inches above ground level. (2) The area* Therel is located should bepao120ately 100 feet radiusebetwe ntaepage well and any leaching area. (3) we would need verification as to the size of the septic tank. The: size should be 1,750 gallons. Before the seepage area is upgraded a registered engineer in the state of Alaska must design the system, if there are any further questions, please contact this office at 264-4720. Sincerely: Robert Co Pratt, R.S. Sanitarian RCP/ljh ccs First Federal Savings and Loan Association Post office Box 4-2200 99509