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HomeMy WebLinkAboutBIRCH TREE ESTATES BLK 1 LT 11Birch Tree Estates Block 1 Lot 11 #017-141-27 Municipality of Anchorage On-Site Water and Wastewater Section • (907) 343-7904 Page 1 of 3 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP191428 PID Number: 017-141-27 Dwelling: ❑■ Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New ❑■ Upgrade Name RODNEY DAVIS ABSORPTION FIELD El Deep Trench El Wide Trench N Bed ❑Mound Site Address 5015 EAST 145TH AVE *ANCHORAGE, AK 99516 ❑ Other Phone Number of Bedrooms Soil Rating ITotal depth from original grade 907-250-9449 3 2.0 GPD/SF SEE DWG Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade SEE DWG. Ft. Gravel depth beneath pipe 0.63 Ft. Subdivision Block Lot BIRCH TREE ESTATES; BLOCK 1, LOT 11 Fill added above original grade SEE DWG. Ft. Gravel length 20 Ft. Township Range Section Gravel width 19 Ft. Beds: Number of Lines 5 Distance between lines 4 Ft. SEPARATION DISTANCES To Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Tank Line 360+ Ft2 N/A N/A Ft. Well EXISTING *50'+ EXISTING _ 25'+ TANK ❑ Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer Capacity Surface Water EXISTING *50'+ EXISTING _ Gal. Material Number of partments Lot Line EXISTING 10'+ EXISTING — NA Foundation EXISTING 10'+ EXISTING _ LIFT STATION Manufacturer Capacity Remarks 5'+ TO DECK POSTS Gal' Alarm loc Electrical installed by PIPE MATERIAL House to tank EXISTI drainfield Tank to � SCH4& Installer HOMEOWNER INSTALL BY RODNEY DAVIS Drainfield SCH40PVC CO/MTD3034 Inspector TIM ECKLUND AND DAVID GARNESS BENCH MARK (Assumed elevation) 97.16 ft Inspeection 10/4/2019 1s` 10/3/2019 Location and description 2nd ction TOP OF PUMP VAULT 3rd 10/5/204 411 ON-SITE WATER AND WASTEWATER SECTION APPROVAL Engineer's Stamp op6� �QO Conditional Approval: Date o Q�. .• pp :� p....:..........................D� .... ..... .......... ........... Q Septic System r E A. Ga Hess. QOO�, rCE— A roved Date o�q Approved �Op� Note: this approval does not include well permit requirements. rofessi100 0000 0 #AECC884 (Rev 05/02/18) PERMIT NUMBER: PARCEL ID NUMBER: OSP191428 RECORD DRAWING 017-141-27 A B C MT1 48.5 41.4 66.7 MT2 57.8 28.8 52.0 MT3 66.9 52.8 74.5 MT4 73.5 45.2 63.5 10' UTILITY EA �s DRIVEWAY ;4~ w� i. • C •4• \ • MT1 T2 .I MT3 4 • NEW DRAINFIELD '.4' w. CURTAIN DRAIN PER MOA RECORDS \ EAST 145TH AVENUE N� \ SCALE: GARNESS ENGINEERING GROUP, Ltd -- ENGINEERING - SALES o CONSULTING 3701 E. TUDOR ROAD, SUITE 101 •ANCHORAGE, AK 99507 • PHONE (907) 337-6179' FAX (907) 338-3246 • WEBSITE: —game—gl—n.g.— PREPARED FOR: PHONE NUMBER: PAGE NUMBER: RODNEY DAVIS 907-250-9449 2 OF 3 LEGAL DESCRIPTION: DRAWN BY: BIRCH TREE ESTATES; BLOCK 1, LOT 11 D.J.G. TYPE OF WORK: DATE: I- SEPTIC SYSTEM RECORD DRAWINGS 10/9/2019 1"=40' ��••'a\\� 1il, • '�E OF �1♦ YYY 0 ..... .,..,......... ..........; iLLLYJiLI Vl�iliiil�3ID 0. ey A Carnes = # CE ♦�7 Z i '� AIV AV LICENSE #AECC884 TA lk lklkz�*** \ o \ F \ 10' UTILITY EA �s DRIVEWAY ;4~ w� i. • C •4• \ • MT1 T2 .I MT3 4 • NEW DRAINFIELD '.4' w. CURTAIN DRAIN PER MOA RECORDS \ EAST 145TH AVENUE N� \ SCALE: GARNESS ENGINEERING GROUP, Ltd -- ENGINEERING - SALES o CONSULTING 3701 E. TUDOR ROAD, SUITE 101 •ANCHORAGE, AK 99507 • PHONE (907) 337-6179' FAX (907) 338-3246 • WEBSITE: —game—gl—n.g.— PREPARED FOR: PHONE NUMBER: PAGE NUMBER: RODNEY DAVIS 907-250-9449 2 OF 3 LEGAL DESCRIPTION: DRAWN BY: BIRCH TREE ESTATES; BLOCK 1, LOT 11 D.J.G. TYPE OF WORK: DATE: I- SEPTIC SYSTEM RECORD DRAWINGS 10/9/2019 1"=40' ��••'a\\� 1il, • '�E OF �1♦ YYY 0 ..... .,..,......... ..........; iLLLYJiLI Vl�iliiil�3ID 0. ey A Carnes = # CE ♦�7 Z i '� AIV AV LICENSE #AECC884 TA lk lklkz�*** r;PERMIT NUMBER: RECORD D RAW I N G PARCEL NUMBER: OSP 191428 017-144 1-27 FINAL GRADE = 97.2-98.0 MT MT ORIGINAL GRADE _ 94.00-94.64 PER MOA RECORDS 2" INSULATION PER FILTER FABRIC CONTRACTOR TOP OF NEW SAND = 94..01 777,771, BOTTOM OF EXCAVATION = ° 91.43-92.22 3:... r t}'.•. '_s• � �i £a.�. •. •3+-�:. C. � ? 'f^ _ .a:.r^ f : r71' .<r:..:i � :� .�-•r�: i}: L:n f' -"f Y'.'..�... t_yv::�;.r:.. �•`y..--i .?.; �S..i.: ;c.?c'J:' �5.....� ; .S.•..•ti:at� _.3i; 4,=�<'^i�:tr>;;. •i< _ ,.. < ``'`' `•'inky }i"`: � �.:•k ': �::i:i_ •tx-�i;':Ti' fir. MOA SAND FILTER ,'f_.- 1•t. ^,.... ;:� �1;-+ ',�'T�•'s4v. �•�' �.+: � �; � j �: ��:�::�:�•, -: •:;�>� f•:�.:, �•.:SY•;ji^ ��i^ ..'i4 i:.::;.• r` ite ^'}�,.. sYj?V st 1%y'. >,:,_:,:.,-�.. tit; f �?' •i;a.,y-!�`' ...:L' f's:'L •yt � z.;a. i v:s:•.:t` � �.-A . ��c'i' t . 1a'.t �r�rr. �rt'�r' : :i:i;`t'•Ci =.. a;..�:1••• ': `,-.r•', pti y i' .z`). x;.�;:i� , __ :ea•'s-: 1. -;z �`+_• •?2 .�•. 1.25" PVC SCH 40 INVERT OF DISTRIBUTION LINE = 94.64 2' 4' 4' 4' 4' 2' 18' WIDE 0.25" DIAMETER HOLES 14" ON CENTER oil ' �`.• ♦♦♦ �Ad A AWW GARNESS ENGINEERING GROUP, Ltd 4 .....::..... .. ...........::...... • -__—__---— ENGINEERING o SALES D CONSULTING - --- i 3701 E. TUDOR ROAD. SUITE 101 • ANCHORAGE. AK 99507 • PHONE (907) 3376179 -FAX (907) 338-3246 • WEBSITE: �gamessengineenng.00m , PREPARED FOR: j e rey er.ess i PHONE NUMBER: PAGE NUMBER: RODNEY DAVIS 907-250-9449 3 OF 3 ♦♦ 79 3 OA Ar LEGAL DESCRIPTION: DRAWN BY: ♦/� G �\AW BIRCH TREE ESTATES; BLOCK 1, LOT 11 D.J.G. ♦♦j'pF�•i•• ...... W TYPE OF WORK: DATE: LICENSE♦� PROFESS\4N� SEPTIC TANK PROFILE 10/9/2019 #AEcc86a 1NVITAILIL � o/z9 NS�VALlTy MUNICIPALITY OF ANCHORAGE �\l1 ( On-Site Water& Wastewater Program ?Cn5 '• PO Box 196650 4700 Elmore Road Anchorage,Alaska 99519-6650 Phone:(907)343-7904 Fax:(907)343-7997 http://www.muni.org/onsite - \,..Nq RA 6 t.)�'I)ili till l'llt On-Site Wastewater Disposal System Permit Permit Number: OSP191428 Effective Date: 9/26/2019 Work Type: Septic Upgrade Expiration Date: 9/25/2020 Tax Code Number: 01714127000 Site Legal Address: BIRCH TREE ESTATES BLK 1 LT 11 G:3037 Site Mailing Address: 5015 E 145TH AVE, Anchorage Owner: DAVIS TRINA M & RODNEY W Lot Size in Sq Ft: 30400 Design Engineer: GARNESS ENGINEERING GROUP LTD Total Bedrooms: 3 This permit is for the construction of: 0 Disposal Field 0 Septic Tank 0 Holding Tank 0 Privy 0 Private Well 0 Water Storage All construction shall be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72)and Drinking Water Regulations (18AAC80) 3. The wastewater code requires inspections during the installation. The engineer shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing Special Provisions: This permit is a rebuild of the absorption bed installed under permit SW030393. Contractor shall refer to the SW030393 inspection report and record drawings for this installation. Received By: AIMLA Date: q Z 1 Issued By: jit.4. , , I Date: 9 A, I • MUNICIPALITY OF ANCHORAGE t,. 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. 017-141-27 Property owner(s) Rodney & Trina Davis Day phone Mailing address 5015 E 145th, Anchorage, AK 99516 Site address 5015 E 145th, Anchorage, AK 99516 Legal description (Sub'd., Block & Lot) Birch Tree Estates B1 L11 Legal description (Township, Range & Section) Lot Size 30,400 Sq. Ft. Number of Bedrooms 3 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (®all that apply) Absorption Field E Initial ❑ Single Family (SF) 0 (w/wo ADU) Septic Tank ❑ Upgrade 111 ❑ Duplex (D) ❑ Holding Tank ❑ Renewal Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: Distance: 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: 59 Waiver Fees: Date of Payment: ,m 1 `1 Date of Payment: Receipt Number: C 897 6 Receipt Number: Permit No. OS P 19 1 '1 a Waiver No. G:IDevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Client Forms\Permit Application.doc • • GARNESS ENGINEERING GROUP, Ltd ENGINEERING SALES CONSULTING September 23, 2019 Municipality of Anchorage Development Service Department On-Site Water & Wastewater Program 4700 Elmore Road Anchorage, AK 99507 Ref: Proposed Septic System Upgrade for Birch Tree Estates: Block 1, Lot 11 To whom it may concern: The existing 3-bedroom house is served by a private well and septic system. An adequacy test was performed on 9/20/2019 and the drainfield does not meet MOA absorption requirements for a 3-bedroom house. We are proposing to rebuild the existing drainfield in place. We are proposing to excavate out all contaminated material and rebuild the existing bed in place at an elevation of 0.1 feet higher than the existing drainfield. We are requesting that your department issue a permit without new drawings due to the conservative nature of this request. As can be seen on the design/record drawings in MOA records, the existing drainfield met all required separation distance with the onsite code at that time (2004). As you are aware, the new MOA onsite code reduced various separation distance requirements for AWWTS. As can be seen on the attached as-built survey, the existing drainfield is 50'+ from the lot line. Therefore, it is 50'+ from all adjacent wells. During the adequacy test, it was confirmed that the existing drainfield is 50'+ from surface waters. In short, there is minimal risk in allowing the drainfield to be rebuilt without additional drawings. 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. in -rely. 01-1—N 1-a--7 05e 161 1`�a? effr- arness,_P ., M.S. Press nt 12,4A- OX561-7 GI 3701 East Tudor Road, Suite 101 *Anchorage,Alaska 99507-1259 Phone: (907)337-6179*Fax: (907)338-3246*Website: www.garnessengineering.com MUNICIPALITY OF ANCHORAGE e Development Services Department " t .4 On-Site Water & Wastewater Section --_ Phone: 907-343-7904 Fax: 907-343-7997 Septic System Owner-installer Agreement The On-site Water and Wastewater Section (On-site) may issue an approval for a homeowner to perform work on an on-site wastewater disposal system to serve that individual's owner- occupied, single-family or duplex home if the homeowner meets and agrees to the following requirements: 1. The property owner and excavation equipment operator may perform work on no more than one owner-installation project in a 12-month period. 2. Owner's projected ac ive involvement with the installation: r� It.c,fDv. ak b.1-4v -l�tiuA. L,�w ,i�p lck¢. Ali. ' /c .vcss. '..,4j , !►t S( .G SISQ,c,icit.IM% .NA v&vti_i_ riu sp Laf,aNs 3. The name of the excavation equipment operator: 'S ,t -I) 1� 4. I agree that there will be no monetary compensation for installation services rendered. 5. The name of the inspecting engineer:DAvi CL. GA,e,,, zs 6. I agree to discuss the following items with the inspecting engineer: a. Permit design criteria and specifications. b. Inspection requirements set forth in AMC 15.65.070. c. Advance notice given to the On-site Water & Wastewater Section for all required municipal inspections (AMC 15.65.070A). 7. I agree to have the project-specific On-site Wastewater Disposal System Permit available at the construction site for the duration of all related work. 8. I agree that if the system is an advanced wastewater treatment system (AWWTS), I will obtain additional installation instructions and approval from the equipment distributor. As owner of (legal description;Ztc ck lite- CSlcdes 13) k I L1- 1! C.3037 I agree that the information above is true and accurate. Owner's printed name 1-)A\41 --VOwner's signature: 1 '$ k T. . �2_-.. Date: ( 3 \34 t Mailing Address: P. O. Box 196650*Anchorage, Alaska 99519-6650' www.muni.org 71-215 BIRCH TREE ESTATES LOT 11 , BLOCK 1 30,400 S.F. N 89°43'44"E 160.00' 44.6' 10' UTIL. ESMT. 7r O WELL cp � N N 26.0' 0 30.0' 14.7' 0 GRAVEL DRIVE EXISTING BUILDING ry 8.0' 4.0' 15.1' N d o M co Ui 7.3' 2 O o O 26.7' O 2.0' X 5.3' CANT iD 0 0 • O • • SEPTIC SYSTEM • • 1 " =20' • N 89°43'44"E 160.00' • EAST 145TH AVENUE FINAL STRUCTURE AS—BUILT AS -B U I L T I HEREBY CERTIFY THAT I HAVE SURVEYED THE 11, PROPERTY DEPICTED ABOVE AND THAT NO GASTALDI LAND SURVEYING ENCROACHMENTS EXIST EXCEPT AS INDICATED. �P •.OF•. q�q.• JEFF A. GASTALDI, R.LS. IT IS THE RESPONSIBILITY OF THE OWNER TO • ;•' �, ••.•'- • adi 4726 WEST 88TH AVENUE DETERMINE THE EXISTENCE OF ANY EASEMENTS, • ,C 49TH IN :7 . r , ANCHORAGE, ALASKA 99502 COVENANTS OR RESTRICTIONS WHICH DO NOT PHONE 248-5454 APPEAR ON THE RECORDED SUBDIVISION PLAT. UNDER NO CIRCUMSTANCES SHOULD ANY DATA • • Jeffery A. Gastaldi . GRID DATE HEREON BE USED FOR CONSTRUCTION OR FOR Is_so9t ;. K.>° ESTABLISHING BOUNDARY OR FENCE LINES. �� Pa ••••....••••• a`.P • 3037 9/7/2004 r••...o .. 6 ANCHORAGE RECORDING DISTRICT, ALASKA �I�,r,',$4 ol F B, JOB NO. 04-10 BTE111 NOTE: NO CORNERS SET THIS DATE. municipality of Anchorage • f.r a) ti I_ ( Permit Number: Development Services Department .,,.„ Building Safety Division .A On-Site Water & Wastewater Program, 4700 South Bragaw St. , L 5 A P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 Page 1 On-Site Wastewater Disposal System and/or Well Inspection Report SW9399-3-- SW 0 3 0 3413 017-141-27 - F I of 3 PID Number: Name: WHITEY DAVIS Addrss: Wastewater System: U New • Upgrade e 5015 E. 145th AVE. * ANCHORAGE, AK 99516 ABSORPTION FIELD Phone: No. of Bedrooms: (907) 344-2114 3 0 Deep Trench 0 Shallow Trench II Bed 0 Mound UM Other* LEGAL DESCRIPTION Sog Rating: 2.0 GPD/Sq. n. Total Depth from original grade: 3.0' MAX. Ft. Block: Lot: Subdivision: 1 11 BIRCH TREE ESTATES Depth to pipe bottom from original grade: SEE DWG. R. Grovel depth beneath PiPe: 0.51 Township:_ Range: - Section: — Fill added above original grade: SEE DWG. Ft. Ft. Gravel length: 20 R. WELL: • New 0 Upgrade Glassificollon Grovel width: 18 Ft. Number of Mee: 5 Distance between Ansa: 3 Ft. (Private, A,BM: PRIVATE Driller: Total MOW: 137 Ft Cased To: 137 R. Total absorption area: 360 gt pt Pipe material: D 3034/ SCH 40 PVC HEFTY DRILLING Date Del ed: 10/1-2/2003 Static Water Level: 87 Ft. Installer: GEG, Ltd. Date Installed: 7/2-15/2004 Weld: 10 GPM Pump Set At Casing Height Above Ground: UNKNOWN n. 2 Ft. TANK SEPARATION DISTANCES 0 Septic 0 Holding 0 S.T.E.P. III Other* To From Septic Tank Absorption Field Lift Station Holding Tank Public/Private Sewer Lines Manufatrb HO RAG E TANK CaaciIn llone: pty go 1500 Well 100'+ 1004+ 100'+ — 25'+ Material: *STEEL Number of compartment': 2 Surface Water **100I+ **100'+ **100'+ — — LIFT STATION Lot Line 5'+ 10'+ 5'+ _ _ Size In gallon': 1500/68 ANCHORAGE 471767iNCO SYSTEMS Foundation 54+ 104+ 541- — — 'Pump on revs at: TIMER/30 75" 'Pump oft level ot TIMER/20.25" High water alarm at 46"/34.25" Curtain Drain 504+ 50'+ 50'+ — — Pump Moke & Model: #20 051 05 HHF Bedded Inspections performed by: M.O.A. Remarks: *THIS IS AN ADVANTEX TREATMENT BENCH MARK SYSTEM. THE TANK IS 3/16" STEEL POLY COATED. Location and Description: GARAGE SLAB SOUTH END **CURTAIN DRAIN OUTFALLS INTO DITCHLINE. DITCHLINE FILLED WITH RIVER ROCK. NO SURFACE Aosumed Ekwation: 100.00 WATER VISIBLE. ENGINEER'S SEAL c's * k 0 F..4 .... % Inspections performed by: GEG, Ltd. Dates: 1st 7/2/2004 c .€57,svc., Ls.,N 1 1 .., 4 • I r ..7 D .. * 2nd 7/5/2004 / vA . � 3rd 7/15/2004 t.J:. 61, Development Services Department Approval, Reviewed and approved by: AZ Ant Date•?-2 rne s. r • CI , t .• • ...,<P,:5 ..'• StZ 91 oicActe (Rev. 12/01) .3•-0.4 %.\\,teesite PERMIT NUMBER: SW030393 J AS -BUILT DRAWING J DRAINAGE DITCH (DRY DURING INSTALLATION) 10' UTILITY EASEMENT 100' WELL RADIUS x 0 NEW 1500 GALLON STEEL ADVANTEX TANK TH#4 -MT1- - -9MT2 7H#5 M 2 MT3 NEW 3 BEDROOM HOUSE - - sMT4 NEW DRAINFIELD PARCEL ID NUMBER: 017-141-27 A B FCO 7.50 31,48 STI 47.78 49,34 MH1 57,50 53.15 MH2 57.77 57.20 MT1 47.00 41.69 MT2 47.38 28.14 MT3 65.49 53.46 MT4 66.10 44.12 CURTAIN DRAIN 4. 1 ALTERNATE SITE WATER IN TH 5 3.8' ON 6/17/2004 WATER IN TH#6 7' ON 6/17/2004 OUTFALL ON CURTAIN DRAIN INTO DITCHLINE. DRY THROUGH SUMMER OF 2004. INTERMITTEN' SEASONAL FLOW ONLY. GARNESS ENGINEERING GROUP, Lt gummgmtwartstst CONSULTANTS & GENERAL CONTRACTORSMitaaaaMaMtetalMan 701 E. TUDOR ROAD. SUITE 101' ANCHORAGE. AK 99507 PHONE (907)337-6179* FAX (907)338-3246 PREPARED FOR: PHONE NUMBER: WHITEY DAVIS (907) 344-2114 EGAL DESCRIPTION: BIRCH TREE ESTATES; LOT 11, BLOCK 1, CULVERT (APPROXIMATE LOCATION) DATE: 8/19/2004 DRAWN BY: R.A.L. SCALE: 1" = 40' PAGE NUMBER: 2 OF 3 TYPE OF WORK: AS -BUILT DRAWING OF NEW WELL AND SEPTIC SYSTEM D9sIs �0fe s,ona� PERMIT NUMBER: SW030393 AS -BUILT DRAWING PARCEL. ID NUMBER: 017-141-27 FINAL GRADE = 94.1+ INSULATION TOP OF TANK = 92.06 TOP OF ADVANTEX POD = 97.00 (AVG.) TOP OF MANHOLE = 96.90 (AVG). TOP OF MANHOLE = 97.16 (AVG.) OATS ' flcccc• TO DRAIN FIELD INVERT OF PIPE = 93.47 INVERT OF PIPE = 91.84 BOTTOM OF PUMP VAULT = 89.26 ORENCO PUMP VAULT '4""""ANN'NN,' TOP OF SAND FILTER =93.69 BOTTOM OF BED = 90.69-91.66 FINAL GRADE = 96.7+ INSULATION FILTER FABRIC MT , . 2 FEET OF 101.0A DAPAPSANANRED.z.c..;..".:: ' WID ORIGINAL GRADE — 94.00-94.64 TH#6 —INVERT OF DISTRIBUTION LINE = 94.20 (AVG.) THE DISTRIBUTION UNE IS 1.25 INCH PVC WITH 1/8 INCH HOLES SPACED 14 INCHES ON CENTER. (18 HOLES PER LATERAL/72 HOLES TOTAL). RELATIVE ELEVATION OF BOTTOM OF TEST HOLE 01 78.64 RELATIVE ELEVATION OF GROUNDWATER 0 87.64 ON 6/17/2004 w GARNESS ENGINEERING GROUP, Ltd. MaliS.ASSMEVItalSONA CONSULTANTS 8 GENERAL CONTRACTORS tmtwonragnizmongat 3701 E. TUDOR ROAD, SUITE 101 ' ANCHORAGE. AK 99507 * PHONE (907)337-6179 ^ FAX (907)338-3246 DATE: DRAWN BY: 8/19/2004 R.A.L. 0 • a OF A .... '.37 PAGE NUMBER: 111 ti4 SCALE: * N.T.S. A. ess.: 3 OF 3 1 v E-95 1'0 f essloOtC7 .N/m4y4" PREPARED FOR: WHITEY DAVIS PHONE NUMBER: (907) 344-2114 LEGAL DESCRIPTION: BIRCH TREE ESTATES; LOT 11, BLOCK 1, TYPE OF WORK: PROFILE AS -BUILT OF NEW SEPTIC SYSTEM Jul 28 04 11:1Ga QRP c ti. HEFTY DRILLING 3540 AKULA DRIVE ANCHORAGE, ALASKA 99516 (907) 345-0593. 522-3584 p.1 STATE OF ALASKA DEPARTMENT OF NATURAL RESOURCES'; MINING, LAND, WATER HYDROLOGIC SURVEY. WATER WELL LOG Drilling Started: /0/ / / G? , Completed: / b / 4=1_/ _43 CityBoroughiN Subdivision/USS: Block Lot Property Owner Name & Address: t) POIc 12 yv1-3 St �c' .�t1s4�(1v,..., cMcLUY Q.i�Q. `at, li.l 'i 1 - it .- Vt�l� �1'( V,( 1/i1 R.,G.51FKW Meridian Township ,__ Range .,_ tLat:N -' Long: W Section 1/4 of t/a of • IA of •'• tV __. . __NAD: 27 OR 83 Elevation: ..__ ...... BOREHOLE DATA: (from ground Material:, Type, Color & wetness .......___.,___ surface) I From Depth I To Drilling method:, Air rotary, L Cable tool, Other WeII use: a Public supply, ' Domestic, D Other Si-i II I a km L- r etv/•c.<, 45 0 <7 Depth of hole: /3 7 ft, Casing stickup: Z1 ft Casing'pe: S%a 94 Thickness . 0 ac inches " /1 J (/J.4_4 Ci n_ Q Y4Y.t �. '� / Casing diameter: b itches Casing depth ' ft Liner type: Diameter: inches Depth: ft'':- `Jap c ari� - S� ro veC �:. % 01) Static water (from top nl ca, ingl: '' fl: on ll)1 alb/ 0.S l' ,_, Pumping level &yield: feet after ._ hours at'_ gp'' Recovery rate: i 0 gpm, Method of testing: MU i51 and Q L rc(ve ?0 � 00 Development method: - Duration _ ( (\ LA) 2I 3a r1d. t cj' r'a v44 /00 1 / �0 Well intake opening type: 6.Opcn end, ❑ Open hole " 0 Screened; Start: ft, Stopped 6 ft �l 2. 0.. F-� 1 Na (Alti" 1 J� E^ ` , S Screen type: Slot/meshsize 0 Perforate ;Start: ft, Stopped ft 1 �J .5 J. } h� � rad. l `J % Start: ft, Stopped ft Note: . C_Q,,1 kis) '3 ti Grout type: 1/4-13e rcia,'.ia Volume Depth; from ft to ft �J/ �1^a1ICC. J t -LLP 13 i- /37 Pump intake depth: ft Pump size hp, t3rand name: 1 Was well disinfected upotryeompletion? ,Yes, 0 No Method of disinfection: L . ,1)/Or brig— Driller comments/ disclaimers: Well Driller Name: 6 ....44.4-4 --/- Company Name: HEFTY DRILLING Company Mailing Address: 3540 AKULA DRIVE City: ANCHORAGE State: ALASKA Zip: 99516 Phone Number : 1- 07-345'-35• Drillers Signature: r' ir • Sta elaw requires that a copyuf this wdllug he scut lithe Slalc of Alaska within 45 days. Faxes arc acceptable. (AK statutes 38.05.020, 38.05.035, 41.08.020, 46.15.020 and AK regulations 11 AAC 93. 40). DEPARTMENT OF NATURAL RESOURCES Mining, Land & Water Hydrologic Survey 550 W 7th Ave., Suite 900A Anchorage, AK 99501-3577 ,Telephone (907) 269-8639 and FAX (907) 562-1384 Within the City of Anchorage, it is required that a copy of the well log be sent to the appropriate city office within 60 days and that another copy of the well log be sent the to owner within 30 days. Permit Number: 03 U Date of Issue: 4 / i Parcel Identification Number: 0/7 - �v/ -�1 , Is well located at approved permit location? 0 Yes or 0 No Jul 28 04 11:16a IMP 522-3584 p.1 3037 A RightFax 7/25/2004 10:33 PAGE 1/1 RightFax CI Inspection Report Municipality of Anchorage, Building Safety Division 4700 South Bragaw Page 1 of 1 INSPECTION: VOICE 343-8300 INSPECTION: FAX (907)249-7777 INFO: 343-7962 Name RODNEY DAVIS Permit 03-1573 Address 5015 E.145TF1AVE .. Phone 250-9449 Legal BK 1 LT 11 Inspection Date 7/26/2004 AM Subdivision BIRCH TREE ESTATES Comments or Directions INSPECCADVANTEX SEPTIC UNDERGROUD Inspection Undergroun g / Reinspection N NO NONCOMPLIANCE OBSERVED ❑ CORRECT/ONS ESSENTIAL AS EXPLAINED BELOW ❑ WILL RE-EXAMINE AT NEXT 0 DO NOT CONCEAL UNTIL REINSPECTION INSPECTION MMENTS: (for inspector use only) 1;/7 jE✓=c. 4_ti /-] o u�G Inspector V AJC file:/.IC^Program%201+11es\RightFax\Outgoing\M00016E2.000 Date- 7 ZL - 6-/ 7/25/2004 MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 /494/01 1i/� tt lg6 / of [hub lca(rxl ltd ON-SITE WASTEWATER DISPOSAL SYSTEM / WATER SUPPLY PERMIT Initial Permit Number: SW030393 Legal Description: lith T-rge €s Design Engineer: 0041 AK Water & as ewater Consultant Owner Name: Whitey Davis Owner Address: 5015 East 145th Avenue Anchorage , AK 99516 - This permit is for the construction of: Disposal Field ✓i Septic Tank Date Issued: Sep 24, 2003 Expiration Date: Sep 23, 2004 Parcel ID: 017-141-27 Site Address: 5015 East 145th Avenue Lot Size: 30400 SQ. FT. Total Bedrooms: 3 Holding Tank F Privy 1✓ Permit Bedrooms: 3 Private Well I 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 engineer must notify DSD at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 ( 24 hours ). ( Not required for a Water Supply Permit only ). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. Received By: Issued By: CW/2. ;7 Date: Date: 9/z 4/©3 Municipality of Anchorage Development Services Department Building Safety Division On -Site Water & Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. ° 1 I Permit Number ,51✓0303`J3 Property owner(s) WHITEY DAVIS Day phone 344-2114 Mailing address (1) 5015 EAST 145TH AVENUE * ANCHORAGE. AK Mailing address (2) Zip Code 99516 Legal description (Lot, Block & Sub'd) LOT 11. BLOCK 1: BIRCH TREE ESTATES SUBDIVISION Legal description (Section, Township & Range) N/A , OVS G IPS"- Lot PS - Lot Size 300400 Acres(q.Ft. Number of Bedrooms 3 THIS APPLICATION IS FOR: Sewer Only ❑ Well Only ❑ Sewer and Well II Water Storage ❑ Sewer Upgrade ❑ THIS PROPERTY CONTAINS: Hot Tub ❑ Jacuzzi Swimming Pool ❑ Water Softening Unit Therapy Pool ❑ I certify that the above information is correct. I further certify that this application is being made for a Single Family Dwelling and is in accordance with applicable Municipal codes. ALASKA WATER & WASTEWATER CONSULTANTS, INC. Permit Fees: + 0 Date of Payment: (� Receipt Number: I Waiver Fees. Date of Payment: Receipt Number: ALASKA WATER & WASTEWATER CONSULTANTS, INC. MiSIMIZZISIMIUMMINOWNIMMIMI September 8, 2003 Municipality of Anchorage Development Service Department Building Safety Division On -Site Water & Wastewater Program 4700 South Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 Ref: Proposed Well and Septic System for Lot 11, Block 1; Birch Tree Estates Subdivision ADVANTEXTM TREATMENT SYSTEM To whom it may concem: 1. GENERAL: The proposed 3 bedroom home will be served by a private well and septic system. Six test holes were excavated on the property. We are proposing to design the septic system around the 30 foot radii of test holes #5 & #6. Due to the poor soils and high groundwater we are proposing to use an Advantex treatment system and a bed type drainfield. The well is to be located in the area shown on the site plan and design drawing. 2. SOILS: See the attached log, which shows the soil classifications, groundwater monitoring, and the percolation test results. 3. DRAINFIELD APPLICATION RATE: The intent is to install an Advantex Treatment System that will allow the use of a small drainfield in the area around the 30 foot radii of the test holes. The Advantex system has received class III approval and we are going to conservatively assume an application rate of 1.0 GPD/FT2. 4. TRENCH DESIGN: a. Percolation Rate: 60 & 60 minutes/inch b. Proposed Application Rate: 1.0 gallons/day/ft2 c. Number of Bedrooms: 3 d. Design Flow: 450 gallons per day e. Minimum Absorption Area: 450 ft2 f. Total Depth: 4 feet (max.) g. M.O.A. Approved Sand Filter Depth: 2+ feet h. Effective Depth: 0.5 feet i. Width: 18 feet j. Minimum Length: 25 feet long k. Effective absorption area: 450 ft2 3701 E. Tudor Road, Suite 101 * Anchorage, AK 99507 Ph: (907)337-6179 * Fax: (907)338-3246 * Website: www.akwwc.com 5. ORENCO PACKAGE SYSTEM: The STEP tank with the Advantex Treatment System will be manufactured by Anchorage Tank & Welding to meet the latest design criteria established by Orenco Systems, Inc. The point of contact at Anchorage Tank is Lowell McNutt. As with their standard STEP tank, it is equipped with a high water alarm per M.O.A requirements. 6. SURFACE WATER: There is a drainage ditch running along the north lot line and along the south road right -away. There also is a curtain/french drain running along the east lot line. The septic system is to be installed 100+ feet from any surface water. 7. TOPOGRAPHY: The average topography in the area of the proposed drainfield is a 5-8 percent slope running east to west. In short, there are no slope concerns. 8. CLOSING: I am open to any suggestions from your department that would be an improvement to the proposed system. I am unaware of any negative impacts that this installation would impose on adjacent wells, or septic systems. If you have any questions, please call us at 337-6179. Sincerely Presi arness, P.E., M.S. NOTE: Attached is a site plan drawing, a design drawing, an Advantex detail, a trench detail, six soil logs, and a 7 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 Ph: (907)337-6179 * Fax: (907)338-3246 * Website: www.akwwc.com • BIRCH TREE EST. S/D; LOT 9, BLOCK 1CcE-( T DRAINAGE DITCH �I • \ \ \ / I I I _ 100' TtFI I R its 1 / I, / BIRCH TREE EST. S/D; LOT 6, BLOCK 1 / \ • • • RIVERTON COURT; / 1 BIRCH TREE EST. S/D; LOT 7, BLOCK 1 1 L 6,042 • • PROPOSED \\ 3 BEDROOM \\ HOUSE V \\ 100' W�I L RAflH iS It w\OS 1\AW% \ \ BIRCH TREE EST. S/D; LOT 6, BLOCK 1 • CaPTIIC AR...) / ALTERNATE SITE / BIRCH TREE EST. 5/D; LOT 12, BLOCK 1 5 CURTAIN/FRENCH DRAIN. APPROXIMATE LOCATION • ROPOSED SEPTIC SYSTEM EAST 14 \5 AVENUE \\ (SEE DESIGN PAGE 2 OF 4) \ \ _.-1_____---_,_---___---1/4-- — — —_-t_--------- — �-- — – \\ /__�__�__._.-}_.../ / DRAINAGE DITCH I \�-�1 CSA TIC` BIRCH TREE EST. S/D; LOT 7, BLOCK 2 I- J L / / BIRCH TREE EST. S/D; LOT 6, BLOCK 2 647 ALASKA WATER & WASTEWATER T "4,um , * CONSULTANTS, INC. , 3701 E. TUDOR ROAD. SUITE 101 ' ANCHORAGE, AK 99507 " PHONE (907)337-6179 " FAX (907)338-3246 PREPARED FOR WHITEY DAVIS PHONE NUMBER: 344-2114 LEGAL DESCRIPTION: BIRCH TREE ESTATES SUBDIVISION; LOT 11, BLOCK 1 / / / / / •BIRCH TREE EST. S/D; 100 WELL DIU LOT 5, BLOCK 2 1 BIRCH TREE EST. S/D; LOT 4, BLOCK 2 DATE: 9/5/2003 DRAWN BY: C.J.G. SCALE: 1" = 100' PAGE NUMBER: 1 OF 4 TYPE OF WORK: SITE PLAN FOR PROPOSED WELL LOCATION AND SEPTIC SYSTEM rClST-C ‘A1, PREPARED *r^ / NOTE: THE CONTRACTOR SHALL HAVE THE PROPOSED / 100' WELL RADIUS AND THE 100' DRAINAGE DITCH SETBACKS STAKED AND FLAGGED BY A REGISTERED LAND SURVEYOR PRIOR TO CONSTRUCTION DRAINAGE DITCH PROPOSED WELL INSTALL FOUNDATION CLEANOUT PROPOSED 1500 GALLON FIBERGLASS ADVANTEX TREATMENT SYSTEM w/ PUMP VAULT N lPH 8e —art1•,, TTH#S I I I sIMT CURTAIN/FRENCH DRAIN. APPROXIMATE LOCATION 7 PROPOSED DRAINFIELD. EXCAVATE A BED THAT IS 4 FEET DEEP MAXIMUM (EXCAVATE DOWN TO THE GM/ML LAYER 04 FEET) BY 18 FEET WIDE BY 20 FEET LONG. ADD 2+ FEET OF CLEAN, WASHED SEWER DRAINROCK. THEN ADD 0.5 FEET OF CLEAN WASHED SEWER DRAINROCK. THE DISTRIBUTION UNE IS TO BE 1.25 INCH PVC WITH 1/8 INCH HOLES SPACED EVERY 14 INCHES ON DRAINAGE DITCH CENTER. (18 HOLES PER LATERAL/72 HOLES TOTAL) ALASKA WATER & WASTEWATER ....- a'''''' n,»:u em x. CONSULTANTS, INC. wn_ 3701 E.TUDOR ROAD, SUITE 101 • ANCHORAGE, AK 99507 • PHONE (907)337-6179 • FAX (907)338-3246 PREPARED FOR: WHITEY DAVIS PHONE NUMBER: 344-2114 LEGAL DESCRIPTION: BIRCH TREE ESTATES SUBDIVISION; LOT 11, BLOCK 1, DATE: 9/5/2003 DRAWN BY: C.J.G. PAGE NUMBER: 2 OF 4 TYPE OF WORK: DESIGN OF PROPOSED WELL LOCATION AND SEPTIC SYSTEM NOTE: JIM CROSS, P.E. HAS THE ADVANTEX MANUAL INLET AdvanTex" Treatment System is o AX20 - Mode 1 a°d' 40x94Pod `e u°y91em5, OIuIIIilIIuIIIiiIIiIIIuIIIGOI NOTE: THE BOARD INSULATION TO BE INSTALLED OVER THE SEPTIC TANK do C BEYOND ON ALL SIDES EXCEPT UNDER THE ADVANTEX FILTER. THIS WILL ALLOW FOR HEAT TO ESCAPE FROM TANK & RISE TO THE FILTER ABOVE R. FINAL GRADE B' JIM CAP (TYP.2) 6' PVC PUMP—OUT (TYP.2) 6' PVC COUPLING GLUED TO TANK (lYP.2) INLET OPTIONAL SUDE SECTION OF 6' PIPE OVER THIS CONNECTION TO PROVIDE SHEER PROTECTION— EXTEND TO BRIDGE EXCAVATION TO PROPOSED DRAINFIELD —t ADVANfU AX20 POD LIU Ilp oROOCKR to it 3 BEDROOM 'FIBERGLASS TANK I.i Ina Irl I1 raj ,l • • ALASKA WATER & WASTEWATER CONSULTANTS, INC. 3701 E. TUDOR ROAD, SUITE 101 ' ANCHORAGE, AK 99507 • PHONE (907)337-6179 ` FAX (907)338-3246 PREPARED FOR: WHITEY DAVIS PHONE NUMBER: (907) 344-2114 DATE: 9/5/2003 30 INCH INSULATED RISER DRAWN BY: C.J.G. SCALE: N.T.S. PAGE NUMBER: 3 OF 4 LEGAL DESCRIPTION: BIRCH TREE ESTATES SUBDIVISION; LOT 11, BLOCK 1, TYPE OF WORK: DETAIL DRAWING OF ADVANTEX TREATMENT UNIT ORENCO BIOTUBE SCREENED VAULT ORENCO EFFLUENT PUMP VA VA .a o ht E' 7953 mph/ s map 4p 4a ��Aop ,„ o f:510 opo �3D�ood�a THE DISTRIBUTION UNE IS TO BE 1.25 INCH PVC WITH INCH HOLES SPACED EVERY 14 INCHES ON CENTER (18 HOLES PER LATERAL/72 HOLES TOTAL) 0 FROM ADVANTEX TREATMENT SYSTEM OMT OMT MTO 4' MTO 20' LONG FINAL GRADE INSULATION FILTER FABRIC ORIGINAL GRADE 0.5' OF EFFECTIVE ,,orcriCir 6\ ALASKA WATER & WASTEWATER CONSULTANTS, INC. aatz&ettwazaftwo 3701 E. TUDOR ROAD, SUITE 101 ANCHORAGE, AK 99507 PHONE (907)337-6179 * FAX (907)338-3246 PREPARED FOR: WHITEY DAVIS PHONE NUMBER: (907) 344-2114 LEGAL DESCRIPTION: BIRCH TREE ESTATES SUBDIVISION; LOT 11, BLOCK 1, DATE: 9/5/2003 THE DISTRIBUTION LINE IS TO BE 1.25 INCH PVC WITH INCH HOLES SPACED EVERY 14 INCHES ON CENTER (18 HOLES PER LATERAL/72 HOLES TOTAL) DRAWN BY: C.J.G. SCALE: N.T.S. PAGE NUMBER: 4 OF 4 TYPE OF WORK: DETAIL DRAWING OF PROPOSED BED *" Co'ctn.4 -S ( PP aktiatil ou 'IT 1 BIRCH TREE a. S/D; BI CH TRE EST. S/D; BIRCH = "C ,DD•, TRE L'T 6, :LOCK 0 9)6°1 EST. /D; 1 LOT 9, BLO'K 1 LOT 8, BLOCK 1 LO 7, : • K 1/ •i IC CAERTI. CSEP IC <--4- BIRCH '- EE EST. S/q LOT 0, BLOCK 1 TH#3 : RCH TRE: xt. ./D rr'- b ��. + LOT 12, :LO'K _1 SII TH#4 T#6 1 #5 \- PEC. -mumma llik, EAST 145 EVEN E OP RAI E Di• I— LnJ W D_ F o < Ls_ D -BIRCH ,. 1 10;E1L •'' TREE EST. /0; LOT 7, BLOCK 2 BIRCH EE•EST. WO;, LOT :, BLOCK 2 - •; LOT 5, BLOCK 2 T A ' ACAIt OT _ . I D: .�.m 1' 1111111111111 SEPTIC ARA 6901 DEEARR ROAD, ` 111E DATE: /18/2003 Qp�� " OF D..I, 4 4 Z.T,G. 1, ` ' it SCALE: i T: % �, •. . 6 • AN HORAGE, Att 9950 ' PHONE (9 7)337-6 79 ' FAX (907)338.37 6 1"- 1 00' • �/ PREPARED FOR MARK EN ER' PHO E NU BER: 3 -80' 5 PAGE NUMBER:�.' 1 OF 1 /alb• _,,.. __„ eness: LEGAL DESCRIPTIO N: BIRCH T'EE W TE OF WORK: —StTE ESTATE SUBDIV .ION; L 11 11111111111/1111111/111111111111111111/1111111/1111111e.. If0 IO , 40 4%0 , pofes \ Eo \��s •• ALASKA WATER & WASTE CONSULTANTS, INC 6901 DEBARR ROAD, SURE 28 • ANCHORAGE, AK. 99504 • PHONE: (907)337-8179 w FAX: (907)356-3246 • WEBSJE akwwc.com gO6O� cer=r OF 40 SOIL LOG - PERCOLATION TEST LEGAL DESCRIPTION: BIRCH TREE ESTATES SUBDIVISION; LOT 11, BLOCK 1, PERFORMED FOR: DEPTH (feet) 1 2— ;3; — 3- - 4- 4- 5- 5- 6- 6- 7- 7- 8- 8- 10- 10- 1 1 11 — 12- 2- 13-- 13- 14- 14- 15- 15- 16- 16- 17- 17- 18- 18- 19- 19- 20 20 B.O.H MARK ENYERT DATE: 3/21/2003 ORGANICS ML W/ GM/SM MIXED THROUGHOUT TEST HOLE #1 SOIL CLASSIFICATIONS Man NUN GW GP GM GC SW SP SM SC Eign �W 111 Minim i % imBE ORG ML CL OL MH CH OH DEPTH TO GROUNDWATER DATE DRY 3/21/2003 0 DATE READING PERCOLATION RATE TEST RUN BETWEEN - FT. AND - FT. CLOCK TIME NET TIME (MINUTES) _dr WATER LEVEL READING NET DROP (INCHES) - (MIN./INCH) PERC. HOLE DIA. - (INCHES) A FOUR HOUR PRESOAK WAS PERFORMED: ❑ YES ❑ NO SOILS LOGGED BY: JODY MAUS PERCOLATION TEST PERFORMED BY: N/A COMMENTS• *PERCOLATION TESTS WERE CANCELED BY CLIENT. PERFORMED BY AKWWC, INC. I, JEFFREY A. GARNESS, CERTIFY THAT THIS W $ PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: ! Z//C DA1FndEB1T51T T) 1 11!T1 r7 o 0 4TH#2 x SITE PIAN 1"=100' • •\ F ^ _._ EAST 145 AVENUE y -- DRAINAGE D-RCH - i DATE READING PERCOLATION RATE TEST RUN BETWEEN - FT. AND - FT. CLOCK TIME NET TIME (MINUTES) _dr WATER LEVEL READING NET DROP (INCHES) - (MIN./INCH) PERC. HOLE DIA. - (INCHES) A FOUR HOUR PRESOAK WAS PERFORMED: ❑ YES ❑ NO SOILS LOGGED BY: JODY MAUS PERCOLATION TEST PERFORMED BY: N/A COMMENTS• *PERCOLATION TESTS WERE CANCELED BY CLIENT. PERFORMED BY AKWWC, INC. I, JEFFREY A. GARNESS, CERTIFY THAT THIS W $ PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: ! Z//C ALASKA WATER & WASTEWAT m'* x CONSULTANTS, INC: 6901 DEBARR ROAD, SURE 2B * ANCHORAGE, M(. 99504 • PHONE (907)337-6179 • FM: (907)338-3246 • WEBSITE: okwwe.com 4p SOIL LOG - PERCOLATION TEST LEGAL DESCRIPTION• BIRCH TREE ESTATES SUBDIVISION; LOT 11,BLOCK 1, PERFORMED FOR: MARK ENYERT DATE: 3/21/2003 DEPTH (feet) 1- - 2- 2- 3- 3- 4- 4- 5- 5- 6- 6- 7- 7- 8- 8- 9- 9- 10- 10- 1 1 11 — 12- 2- 13- 13- 14- 14- 15- 15- 16- 16- 17- 17- 18- 18- 19- 19- 20 20 8.0.11 ORGANICS ML w/ GM/SM MIXED THROUGHOUT TEST HOLE #2 SOIL CLASSIFICATIONS GW ORG ML CL OL MH CH OH GP GM GC SW SP SM SC DEPTH TO GROUNDWATER DATE DRY 3/21/2003 0 of a A est'• OH C —7953 ‘cwoop prof essPooa DATE READING CLOCK TIME NET TIME (MINUTES) WATER LEVEL READING NET DROP (INCHES) PERCOLATION RATE TEST RUN BETWEEN (MIN./INCH) FT. AND PERO. HOLE DIA. — FT. A FOUR HOUR PRESOAK WAS PERFORMED: E YES ❑ NO SOILS LOGGED BY: JODY MAUS PERCOLATION TEST PERFORMED BY: COMMENTS *PERCOLATION TESTS WERE CANCELED BY CLIENT. N/A (INCHES) PERFORMED BY AKWWC, INC. 1, JEFFREY A. GARNESS, CERTIFY THAT THIS W/S 9ERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: 6 7 /0Z biFnIRAGE-is T51 i5 li*TL!:1 Y STH2 v N. S'TE PLAN \\ o EAST 145 AVENUE .4_------------- / �~ --""-C- rTCH --" DRAINAGE DITCH DATE READING CLOCK TIME NET TIME (MINUTES) WATER LEVEL READING NET DROP (INCHES) PERCOLATION RATE TEST RUN BETWEEN (MIN./INCH) FT. AND PERO. HOLE DIA. — FT. A FOUR HOUR PRESOAK WAS PERFORMED: E YES ❑ NO SOILS LOGGED BY: JODY MAUS PERCOLATION TEST PERFORMED BY: COMMENTS *PERCOLATION TESTS WERE CANCELED BY CLIENT. N/A (INCHES) PERFORMED BY AKWWC, INC. 1, JEFFREY A. GARNESS, CERTIFY THAT THIS W/S 9ERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: 6 7 /0Z ALASKA WATER & WASTEWATER .- CONSULTANTS, INC.'m".... - 3101 E. TUDOR ROAD, sun 101 • ANCHORAGE, AK 99507 + PHONE90 33 -81 7i4—BAR-(907)338-3248 • WEBSITE: akwwucom SOIL LOG — PERCOLATION TEST LEGAL DESCRIPTION' BIRCH TREE ESTATES SUBDIVISION; LOT 11, BLOCK 1, PERFORMED FOR: WHITEY DAVIS DATE: 7/26/2003 DEPTH (feet) If, ORGANICS 1'' N 10 11 12 13 14 15 16 17 18 19 20 SOILS LOGGED BY: COMMENTS. PERFORMED BY AKWWC, INC. I, JEFFREY A. GARNESS, CERTIFY THAT THIS 5WQ� PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: 03 GM GM/ML GM TEST HOLE #3 SOIL CLASSIFICATIONS 11011/91 rearfo 0••0'0' 0000 GW GP GM GC SW SP SM SC */< ORG ML CL OL MH CH OH DEPTH TO GROUNDWATER DATE 14' 7/26/2003 10.2 8/6/2003 7/26/2003 _ \\\,8 EAST 145 AVENUE / i vA A. A•rness:' 1 —7953 p0 CiC 441'4;0 fessionoaa 44p000�c. DATE 151.60.1AE'D1151— CLOCK TIME _ \\1 1 ITye#44-TM#2 \ o TH#o 4H#6 �y 7/26/2003 _ \\\,8 EAST 145 AVENUE / i -., DRAINAGE DRCH — DATE READING CLOCK TIME NET TIME (MINUTES) WATER LEVEL READING NET DROP (INCHES) 7/26/2003 1 1:25 — 6" — 2 1:55 30 5 13/16 3/16 3 1:57 2 6" — 4 2:27 30 5 14/16 2/16 5 2:27 — 6" — 6 2:57 30 5 14/16 2/16 PERCOLATION RATE 240 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES) TEST RUN BETWEEN 6 FT. AND 6.5 FT. A FOUR HOUR PRESOAK WAS PERFORMED: SUSAN OSWALT EJ YES • NO PERCOLATION TEST PERFORMED BY: SUSAN OSWALT ALASKA WATER & WASTEWATER CONSULTANTS, INC. „ Ir•• I , ,. .,4r , SOIL LOG - PERCOLATION TEST LEGAL DESCRIPTION- BIRCH TREE ESTATES SUBDIVISION; LOT 11, BLOCK 1, PERFORMED FOR: DEPTH ^^-^- (feet)- — eom WHITEY DAVIS ORGANICS/FILL 2—t 17 18 — 19 — ML GM/ML 20 SOILS LOGGED BY: COMMENTS - PERFORMED BY AKWWC, INC. I, JEFFREY A. GARNESS, CERTIFY THAT THIS WAS PE FORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: eL�h Ee3 TEST HOLE #4 SOIL CLASSIFICATIONS ParfIA 0 of GW GP GM GC SW SP SM SC —r DATE: 7/26/2003 ORG ML. CL OL MH CH OH DEPTH TO GROUNDWATER DATE DRY 3/21/2003 9.5 8/6/2003 7/27/03 , \ \\-8 EAST 145 AVENUE —� �—Y /L \-1 0 erre ps .. ...... _ ‘d 4Q4od Pro f essletar ��40000�� ‘4 7*610 vA A. Goness. -7953 .• . �o�pp DATE -bwk-H-kor pH— CLOCK TIME i \\i ,. ta- \ 1 U N TH �— _ �TH#2 �y ,11 6 'THIS 7/27/03 , \ \\-8 EAST 145 AVENUE —� �—Y /L \-1 — — — DRAINAGE DRCH-- – DATE READING CLOCK TIME NET TIME (MINUTES) WATER LEVEL READING NET DROP (INCHES) 7/27/03 1 1:24 - 6" – 2 1:54 30 3 1:54 – 6" – 4 2:24 30 6" 0" PERCOLATION RATE >120 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES) TEST RUN BETWEEN 5.5 FT. AND 6 FT. A FOUR HOUR PRESOAK WAS PERFORMED: ❑ YES ® NO SUSAN OSWALT PERCOLATION TEST PERFORMED BY: SUSAN OSWALT A a5 ci M ALASKA WATER & WASTEWATER . „ CONSULTANTS, INC. a SOIL LOG - PERCOLATION TEST LEGAL DESCRIPTION: BIRCH TREE ESTATES S/D; LOT 11, BLOCK 1 PERFORMED DEPTH ,��- (feet) - 2 FOR: WHITEY DAVIS 3- 4 6- 7- 8- 9- 10 — 11- 12 1- 12 — 13 — 14- 15 — 16- Mt B. .11 17 — 18 — 19 ORGANICS ML GM/ML TIGHT/BONDED GM/ML SANDY, GRAY 20 SOILS LOGGED BY: TEST HOLE #5 SOIL CLASSIFICATIONS 11.111"'11 rt * GW GP GM GC SW SP SM SC DATE: 8/6/2003 ORG ML CL OL MH CH OH DEPTH TO GROUNDWATER DATE 16' 8/6/2003 7.3' 8/14/2003 8/12/2003 1 2:16 — tit) D ness:g 7953 .,.. ODO ' �0 'Ofess%O" c aOpOo DATE TRAIMAOrDrit CLOCK TIME rt1 \\i i .c_g__�___T4 1 I U 0 rH#�� �N m #2 446'THjS 8/12/2003 1 2:16 — SITE PLAN 1"=-100' `\ EAST 145 AVENUE — -- — _ / — — \ t+DRAINAGE — DITCH 30 DATE READING CLOCK TIME NET TIME (MINUTES) WATER LEVEL READING NET DROP (INCHES) 8/12/2003 1 2:16 — 6" — 2 2:46 30 5 1/4" 3/4" 3 2:46 — 6" — 4 3:16 30 5 1/2" 1/2" 5 3:16 — 6" — 6 3:46 30 5 1/2" 1/2" PERCOLATION RATE 60 (MIN./INCH) PERC, HOLE DIA. 6 (INCHES) TEST RUN BETWEEN 4.0 FT. AND 4.5 FT. A FOUR HOUR PRESOAK WAS PERFORMED: • YES ❑ NO SUSAN OSWALT PERCOLATION TEST PERFORMED BY: JOE MARCHEITI COMMENTS: PERFORMED BY AKWWC, INC. I, JEFFREY A. GARNESS, CERTIFY THAT THIS WASPERfjORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: ALASKA wumwrn+maruu m 3701 TUDO 'i -n., 'OE 101 NATER & WASTEWATER CONSULTANTS, INC. gomazzom 99'• •.N . t 90 tq_ . ^i: a ww.. SOIL LOG - PERCOLATION TEST LEGAL DESCRIPTION: BIRCH TREE ESTATES S/D; LOT 11, BLOCK 1 PERFORMED FOR: DEPTH (feet) 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 J 18- 19 8- 19 20 SOILS LOGGED BY: SUSAN OSWALT PERCOLATION TEST PERFORMED BY: JOE MARCHEfTI COMMENTS PERFORMED BY AKWWC, INC. I, JEFFREY A. GARNESS, CERTIFY THAT THIS W PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: 4/0,3 B.O.H WHITEY DAVIS ORGANICS GM/ML TAN/REDDISH GM/ML WITH SAND TEST HOLE #6 SOIL CLASSIFICATIONS Wign i snta9 GW GP GM GC SW SP SM SC DATE: 8/6/2003 ORG ML CL OL MH CH OH DEPTH TO GROUNDWATER DATE 16' 8/6/2003 10.7' 8/14/2003 c.com O0 °A VA mess: el -7953 Asci • ar C Prof ess‘01.‘oo� DATE IFFAINA9E b1TC1i— CLOCK TIME 1J En TH o0 NET DROP (INCHES) 8/12/2003 1 \ A.\'-- ,"---—I— — '�TH --TM#4 Y --. '\` 0• 7H6 2'V # #6 - 2 2:45 30 SITE PLAN 1"=100' \\ . EAST 145 AVENUE — — / / —_—\ .t..... DRPJNAGE DITCH i DATE READING CLOCK TIME NET TIME (MINUTES) WATER LEVEL READING NET DROP (INCHES) 8/12/2003 1 2:15 — 6" — 2 2:45 30 5 1/4" 3/4" 3 2:45 — 6" — 4 3:15 30 5 1/2" 1/2" 5 3:15 — 6" — 6 3:45 30 5 1/2" 1/2" PERCOLATION RATE TEST RUN BETWEEN 4.5 FT. AND 5.0 FT. A FOUR HOUR PRESOAK WAS PERFORMED: 60 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES) • YES ❑ NO uncia. -1h L'SJREET `;NCE-?ORAGE, ALASKA 99501 (9 07) 264-4111 SULLIVAN, DEPAR7,bl1 `di OF,IFA _TFI AND EN',, CC7?ON December 31, 1979 Robert Stevens Star Route A Box 407-A Anchorage, Alaska 99507 Permit # 790030 Subject: Lot 11 Block 1 Birch Tree Estates Subdivision A permit issued by this department for well and/or sewer system has expired. PeLmits are issued on a calendar year basis, as stated on the permit, by authority of Municipal ordinance. If you have drilled the well, a well log should be sent to this department to document the installation date. If an engineer has inspected the installation of the on-site sewer system, please have them send us the as-builts for our files. If there are any further questions, please contact this office at 264-4720. Sincerely, Les N. Buchholz, R.S. Senior Environmental Speci LNB/ljw enc: Copy of Permit MUtql.11.7:31ITV OF" DEPARTMENT Ch HEALTH AND ENVIRONMENTAL .0TE7TION 825 'L' STREET, ANCHORAGE: HK. 99501 264-4720 FIrAC. 1111r4-7SITIE: S5E:WEEv PERMIT NO. ( 790030 ) APPLICANT ROBERT STEVENS LOCATION EAST 145TH AVE LEGAL L11 B1 BIRCH TREE EST SRA 407-A TYPE OF SOIL HBSORBTION SYSTEM IS: TRENCH MAXIMUM NUMBER OF BEDROOMS = 4 '~ ,A�~ � /um� '�A '�^^ c_ -7q A lila 20/ /]44 me�� 4��J K `-&-us'�. LOT �5IZE ]0400 SQUARE FEET crin. RATING (SQ FT/BR)= 285 THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: . ~ CNIEEFM= :1_1D C3IREWEEL_ E)IEFM= THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRHINFIELD. THE DEPTH OF A TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE GROUND AND THE BOTTOM OF THE EXCAVATION (IN 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). f73,I== OFILL_ADNn; 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. ___ 'TWO <7.7.2> Ilt-417:=TIONE« �UNDUIR!a.C. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS DEPARTMENT WILL BE SUBJECT TO PRO5ECUTIOR MINIMUM DISTANCE BETWEEN A WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS 100 FEET FOR H 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. �����-F IE.),EECEMBIR I CERTIFY THAT 1: I HM 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 THE RESIDENCE IS REMODELED TO INCLUDE MORE THAN 4 BEDROOMS C- ��m�1)�� SIGNED�_ APPLICANT ROBERT STEVENS ISSUED BY __DATE V].2 nattuation 2c "Ono lost is worth s thousood opinions" 2204 Cleveland Anchorage, Alaska 99503 Performed For Ms Vaughn (Wird Realty) Date Performed 1-24-78 Legal nescrintion: Lot This Form Renorts Soils Loci Yes Percolation Test._ Yes het+th Feet Soil Characteriistics�,,.�,. rips 2. Peat 10 12. 14 Brown Silty ,Gravel 16- 18 ..... 0. ;Bottom of test hole Was Ground Water Encountered?, If res, At what Depth? WOO s 04, 4 Reading Date Gross Time Net .Time Depth to N2 Net Dron Tnrhim a 1-24-78 1-25-78 24 hrs.. Satiii tP p,rir+rl 1-25-78 1-25-78 1-2 1-25-78 19 Percolation Rate 1't/40 • Minute Prnrosed Instiii� an: Seenaae Pit .Drain Field Death of Inlet Denth To. Bottom Of Pit Or Trench Cnm0ENTS 1ST,.g uare� f–.:°�,°, e-; clraina a axes reau.ired Dex bedroom. Test; Performed By Data Certified ;By: CTT. Date: 1-25-78 CSA 6-k;t_el 5.e 4) l '4 5 44` -� "ktJ /6E3-( c91A .e14- • atAJ s�H ®Municipality of Anchorage _ I On -Site Water and Wastewater Program a 1 (907) 343-7904 Certificate of On -Site Systems Approval Parcel I . D.017-141-27 1. GENERAL INFORMATION: Expiration Date: Complete legal description BIRCH TREE ESTATES; BLOCK 1 LOT 11 Location (site address) 5015 EAST 145T" AVENUE *ANCHORAGE AK 99516 Current Property owner(s) RODNEY DAVIS Day phone 907-250-9449 Mailing address Real Estate Agent CARLA NICE Day phone 907-242-2427 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 5 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: Received by: COSA to be released to the engineer, unless otherwise requested by the engineer. Date: COSA Fee $ 44& • 00 Waiver Fee $ Date of Payment 1011019 Receipt Number 09 (006C1 COSA # (%'G M l 4_D Date of Payment Receipt Number Waiver # rA 5. STATEMENT Or INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm: Garness Engineering Group, Ltd (GEG) Phone: 907-337-6179 Address: 3701 East Tudor Road Suite 101- Anchorage, Alaska 99507 f Engineer's Printed Name: Jeffrey A. Garness Date: ) n I 1A 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 encroachments may exist that were not identified during the evaluation. The operational life of all wells and septic systems depend upon a variety of variables, including but not limited to, soil conditions, 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 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 can be installed on the property in the event either of the current systems fail to perform adequately in the future. The content of this report is for the sole benefit of the person/party that retained GEG to 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. 6. DSD SIGNATURE System #1 Approved for bedrooms System #2 Approved for Disapproved Conditional approval for bedrooms bedrooms, with the fol #AECC884 y0 ter rtm�stitI*��s��?'i>� '9 vJ :i-- 1� `— Original Certificate Date: -L(9 The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist _ Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other • Legal Description: BIRCH TREE ESTATES; BLOCK 11, LOT 1 Parcel ID: 017-141-27 If more than 1 septic system on lot: COSA Checklist # of Structure served by this system A. WELL DATA ❑ Well log is filed with Onsite (or attached) Date drilled 1012/03 Total depth 137 ft Cased to 137 ft ❑ Sanitary seal is functioning correctly ❑ Wires are properly protected Casing height (above ground) 18+ in. Date of flow test for COSA 9/20/19 Static water level at beginning of test 86.8 ft. Comments B. TANK DATA Age of tank(s) 15 years Tank type/material STEPISTEEL Measured operating fluid level in septic tank N/A ❑ Standpipes/foundation cleanout per record drawing Date of pumping SEE ATTACHED MAINTENANCE LOG Well production at time of test 3.0+ gpm Water storage tank volume N/A gallons Well disinfected for coliform test? ❑ Yes ❑ Nc ❑ Coliform bacteria is Negative Nitrate 0.55 mg/L ❑ Nitrate less than MRL (ND) Arsenic ug/L ❑ Arsenic less than MRL (ND) Collected by GARNESS ENGINEERING GROUP LTD. Date of Sample 9/12/19 C. LIFT STATION ❑ Required maintenance completed Age of lift station 15 years Lift station material PVC Comments: NEW- SEE ATTACHED RECORD DRAWINGS D. ABSORPTION FIELD DATA Which system tested (date installed) Adequacy test date ❑ ALL standpipes present per record drawing Results ❑ Pass r bedrooms Total measured depth from grade ft (max) Fluid depth ' r to test in Measured depth to pipe invert from grade ft (min) added gal ❑ N/A — pressurized field New depth in ❑ Monitor tubes go to bottom of effective. If not, depth into effective Elapsed time min F-1 Code -required soil cover over ' ❑ System presoaked (Required if vaca greater than 30 days prior to date of tes OelTs_ introduced gallons ments/Deficiencies: COSA Checklist yellow sheet Final fluid depth in Absorption rate gpd Any rejuvenation treatment (past 12 months) If yes, enter date E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well) Septic Tank/Lift Station on Lot > 100' *50,+ Community Sewer Manhole/Cleanout > 100' ❑ Yes if No ft ED Yes if No Neighboring Tank > 100' ❑✓ Yes if No ft Private Sewer/Septic Line > 25'E] Yes if No Absorption Field on Lot > 100' ❑ Yes if No *50'+ ft Holding Tank > 100' ❑✓ Yes if No Neighboring Absorption Fields > 100' Animal Containment > 50' ❑✓ Yes if No ❑✓ Yes if No ft ft ft ft ft Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' ✓❑ Yes if No ft -❑✓ Yes if No ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' 121 Yes if No ft Surface Water > 100' ❑ Yes if No **50'+ ft Property Line > 5'✓0 Yes if No ft Wells on Adjacent Lots: Absorption Field > 5' Q✓ Yes if No ft Private Wells > 100' ❑ Yes if No *50'+ ft Water Main > 10'✓❑ Yes if No ft Community Wells > 200'✓❑ Yes if No ft Water Service Line > 10' ❑✓ Yes if No ft If septic tank is under driveway comment below From Absorption Field on Lot to: (Please enter distances if less than required) Building Foundation > 10' Yes if No ft If absorption field is under driveway comment below Property Line > 10' 0✓ Yes if No ft Wells on Adjacent Lots: Water Main > 10'✓Q Yes if No ft Private Wells > 100' ❑ Yes if No *50 + ft Water Service Line > 10' ❑✓ Yes if No ft Community Wells > 200' ❑✓ Yes if No ft Surface Water > 100' ❑ Yes if No *50'+ ft F. ENGINEER'S COMMENTS *AWWTS **WATER IN ROAD DITCH G. ENGINEER'S CERTIFICATION I 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. COSA Checklist yellow sheet y.. .... ..... ....... f A. E-79 3 e� Pro fess�o� o #AECC884 . 71-215 BIRCH TREE ESTATES LOT 11, BLOCK 1 30,400 S.F. 44.6' 10' UTIL MAT, --- — — — — — — — — — — — — --- — — --- — — — — — -- 0 WELL in SHED n! RRUTOAMINING 56.0, b CONC. STOOP FENCE 6 (APX) 14-7 A.C. DRIVE EXISTING BUILDING CONC. O I 1WAUC 11 7.3• .3 DECK o� 0 SEPTIC SYSTEM The location of the struoture(s)as shown on this record drawing ,as -built) complies with Title 21, AMC. .i33 O EAST 145TH AVENUE AS -BU I L T I HEREBY CERTIFY THAT I HAVE SURVEYED THE GASTALDI LAND PROPERTY DEPICTED ABOVE AND THAT NO ENCROACHMENTS EXIST EXCEPT AS INDICATED. SURVEYING, LLC IT IS THE RESPONSIBILITY OF THE OWNER TO JEFF A. GASTALDI, R.I—S. DETERMINE THE EXISTENCE OF ANY EASEMENTS, 2000 E. DOWLING RD., SUITE 8 COVENANTS OR RESTRICTIONS WHICH DO NOT ANCHORAGE, ALASKA 99507 APPEAR ON THE RECORDED SUBDIVISION PLAT, PHONE 248-5454 UNDER NO CIRCUMSTANCES SHOULD ANY DATA GRIDDA TE HEREON BE USED FOR CONSTRUCTION OR FOR 3037 5/31/2011 ESTABLISHING BOUNDARY OR FENCE LINES. ANCHORAGE RECORDING DISTRICT, ALASKA F.B. JOB NntO. o4—lo E 1 NOTE: NO CORNERS SET THIS DATE. f m ), x 5,31 CANT 1 11=20' 07/1512019 06:06 8686770 APLUS PAGE 03 ' 338 891 f7 ■Ila ■�■ ■qt BONN ■E■ III on no + ^l� ®■ ■■■ A■■ ani■ IB■■AI■an ■ a■®■■■N VY Yr , �r A vanTbx" Meld Maintenance report �0z Annual Inspection PradartYQ%YMn taekllrg8 Whitey Davis Vo Addraus 5015 E. 145th Ave, Anchorage AK 99516 AX SRS ID N Cbumy Ip AX -103761 SW030393 Retrieve O&M Info Daily flow_ Recirc ratio: Timer sattings: Perforin Field Sampling/Observations NTU (15 * NTUs) PH (8-9) odor of Sample Typical Musty ❑ Earthy CD Moldy Nontypical sulfide ❑ Cabbage ❑ Decay aqY film In PMU ❑ Yos WNo Foam In tank ❑ Yes No Check Control Panel Recirc Amps Discharge Amps Audible and visual alarms ILI OK Dial tone (telernetry only) f Yes ❑ No Inspect=Oan Pumps System Inspect Clean RlserlLld ..... . . . ............ . Splice Box ................... Float cords ,,.••,.,,••,•••+ Floats... ....... Pump........-' .............. BiotubeO Filter.. . Blotube Pump Vault . , • • , • . • • _ . Recirculating Splitter Valve- - , . • • • Comments Signature ■�'■■� I.te g Ti AnchorageTank 907-272-3543 ODOrtrtor Larry Betts CbrrtaM PhOr1n 907-344.2114 POC X RTll kA1l N Data of Lca1 IRs paellon 203120 RTlJ10Q551 OtiJ17J:?01$ Measure Sludge/scum SludgC Scum 1atCompartmon! Current Previous Current :1Previous 2nd Compartment Current 2revlou8 Current Previous Inspeet{Clean AdvanTex Filter odor. Normal Q Pungent Blomat Normal ❑ zXeessive Bridging/Ponding: _ None/Minor ❑ F�ccessive inspect/Clean D scharge Pump System Inspect Riser/Ud splice Box Float cords Inspeet/Serviae tither System Components Inspect Clean Disinfection Equipment f DIRpe observations !� Additional Services Rendered Inspoot Olefin Laterals/Orifices 0,/ Pod Bottom YJ Intake Vent Inupoct Clean Floats Pump lnspeet Clean tsal LaMralslOdflce: , /� � ,r ❑ Cleaned textile sheets? ❑ Replaced UV items? ❑ Replaced/Used other items? Parts Used: W a Walrattty, B =Billable (✓ appropriate selection) W 0 Item Number 136el6rin#Inn Final Safety Inspection RSV reinstalled ids bolted on Manifold reconnected; flush valves closed #Control panel reactivated 5ummarYlAecommendations systom performing; no further actlon needed ❑ Tank n9eds pumping ❑ Call for service ❑ Other? Date Fax OOmPleted form to 1-886-384-7404 iMVTNIC.IPAUft'OF ANCIJ()RAGE- ADVANCED NVASSTENVATEA I'REATMENT SYSTEM' INIAINTENS N"CE, AND REPAIR AGREEMENT THIS NIACN`TEN,,ANCFA-txtDRV.PAIR A6,RIEE-MI7NT*, herein -the "AGREEMENI'" made and entered intoas of this �30-1 of 10 by and betwetn hcrcin tbe"OWNER.," and the Munic6p�diteas f Anchearag - in accordanec-,-Ob Anebonkge, Municipal Code te, herein, the. 4NUNICIPAu'ry". (ANIC) 15-65.365. In consideration of dic mutual, co,n'ants Wntwined herein, the yxarties to this Agreemcnt ag�ree ws folIONN'S: 1. AdvancW ',ad tear Treatment Svsferp The Municipality grant s pernlissioll to the Owner to utilize and operata an Advmriced WastewatorTm-atm ent System (ANVNVI'S), dcscribcd as tocated, at (legal dest;ription) 2. Maintenance, Repairs :ane Attgratioms. (0 mcr is required to read, understand anti initial each section) �7 I'liroughout (be wrin of'This AgrecinenL the Owner shall enter into a scrviQc agreernent ,j th an A W %VN," service and waintenance provider approved by the Municipality Orch-C i -namif be ft in, all-te n a satisractory acturvrs rv-presentative. The AVVXVTS shall , i , -,d i , condition ca1mbleofperforming -as de�ianed and producing- treated septic effluent in accord. no�wit h. tho equipment's appwmal for opem, tion, in the Municipality, It sliall be'dic responsibility (if the Owner during, the term of this A' gr to pray .fear 0,11 mpair(s), m-a-irat enanec. a4justmcn t(s), replaminent costs, and inq.n-ction costs. 'I"his includes an annwd maairat nw, ice, tee (typically $40 to W)O). rep and red by the'Munici*ity ear agrtl ees w only int ea nd air personnel , a pprON or the in anufacturcrrcprese.�,nwtive will inspect and mA e any necessary mainumame, repairs or permitted alterations to the system. Owneracknwldgs taln-gularniaitenancofan AWJ cc titerpo tical failure of they systern.,,which could incltidc; as backup and costly repairs, or drainficid replaceinem (rev. 055/ I 208) pa I of 3 jAV-1 &— Owner acknowledges, that the Muni c-1pality may request words of maintcmanoc and 1,4 rtpairs, from the manufactutees representative or maintenance provider., Ax0Xra,.eeev� that the fine for failing, to nuaintain and repair an AWNNIIS' may be aa* sed in accordancewith AMC 14.60.OX 0-wncr agrees to gmant the Municipality rea�wnable access to test and inspect the AWNYfS. The Municipality will give at tcast 24 -boor notice, 0 -ner a, -alv -Mill not occurvritho ancu, �N grccs that any ss , or transfer of title of the property Ut Certificate of On Site Systen-Li Approval. Ovmeragrecs tb, t the AWWI',S inst�allafion and maintenanuiremenu, -L-,; pro,,rided by the AWWPS, vendorfinstaller and approved by the Nfunicijxtlity are the governing, guidclincsfor the construction,maintenanee and repair of theONviierys AWWTS. A11-20mmer agrees to maintain remote monitoring of the AWW*FS ws, required, by the AWWVIS,approval. 3 N- Term. The term of this Agreement shall begin on the date Of approval by the Municipality to operate the installed system, or tkpon trartsIfer of titic. and shall continue while the AWW� is opcnational, or until title, i,,,, trarLsfe m -,d. 4, 'Nonwaiver. Tbe failure of the Municipality at any time to enforce a provision of tbis Agreement shall in no -*vay constitutwaiver of the provisions, nor in any ivay affect the validity of the 4-reement or any part hereof, or the, right, of thc- Municipality thereafter to enforce every provision h 'rhi. be am S. Amendment. * ; Agreement shall only - , ended by authorizcd rcpm-scmalivts of dw- Owner and Municipality. Any attempt to amend this a reement by either an tart authori7ed representative or unauthorized means shall bt void. & Any civil action ari in from this Agreement shall b� brought in the SupcTior Court for the 17hird Judicial District Of the'.State of Ala. a at Anchorage. The kwvs of the State of Alas kashall govern the rights and obligations oaf the parties under this Ag greerwat. 7. Save rabifity. Any provisions of tbisAlyvemeot deereed invalid by a court of competent jurisdiction shall not invalidate the remaining provisions of theAgreement. (rev. 0-511812018) Page 2 of 3 OWMER: ''. 4zr 10. . Da: I STA1,713 01� ALASKA A THIRD JUDICIAL DISTRICT The foregoing i str t lent was acknowledged before me this Uy dajv, of & I P Y P IJBLIC FOR ALASKA STATE OF �;�tr ALASKA. . My Commission expires- �- � .� NOTARY PUBLIC K&en L, Caoontze .(print name) qM_b (rig. 0511 &2018) Page 3 of Municipality of Anchorage Development Services Department Building Safety Division On -Site Water & Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. U I �' IC -11—g- 1. C-{\— - 1. GENERAL INFORMATION HAA# OLigg Expiration Date: / a — 02 3 — 0 44 Complete legal description BIRCH TREE ESTATES SUBDIVISION; LOT 11, BLOCK 1 Location (site address or directions) 5015 E. 145th AVE. * ANCHORAGE, AK 99516 Current Property owner(s) Mailing address Lending agency Mailing address Real Estate Agent Mailing address WHITEY DAVIS 5015 E. 145th AVE. Day phone 344-2114 * ANCHORAGE, AK 99516 Day phone Day phone Unless otherwise requested, HAA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 3 3. TYPE OF WATER SUPPLY: Individual Well Individual Water Storage Community Class Well Public Water System • TYPE OF WASTEWATER` DISPOSAL: Individual On-site Individual Holding tank Community On-site Public Sewer • The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority Approval (HAA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of Health Authority Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues HAAs upon request to homeowners. Certificates of Health Authority Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water samples. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, 1 verify that my investigation, based on procedures outlined in the Health Authority Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is(are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm GARNESS ENGINEERING GROUP, Ltd. Phone 337-6179 Address 3701 E. TUDOR ROAD, SUITE 101 * ANCHORAGE, AK 99507 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Engineer's Comments: In conducting this evaluation, GEG, Ltd. attempted to provide a thorough, conscientious engineering analysis of the system in accordance with ADEC and MOA DSD Guidelines & Regulations. The reported results described the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the local soils condition, groundwater levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of the system. Satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. GEG, Ltd. can therefore not provide any warranty or future estimate of how long the system will continue to meet the operational requirements of the ADEC or MOA DSD. The content of this report is for the sole benefit of the owner listed above. Any reliance upon or use of this report by any other person or party is not authorized, nor will it confer any legal right whatsoever. 5. DSD SIGNATURE Approved for 3 bedrooms. Disapproved. Conditional approval for Date bedrooms, with the fllowing stipulations: �J=�p ON-SITE ' g04-1 WATER AND : WASTEWATER : • PROGRAM Attachments: HAA Checklist Septic System Advisory Well Flow Advisory Manitenance Agreements Supplemental Engineer's Reort Other (Rev. 12/01) o Jr (OpmE ... NQS )//1/)1))}11+ 49 NT SE Original Certificate Date: 9 - 3-0/74 unicipality o nchorage Development Services 1ep rtm w v_.. Building Safety Division On Site Water & Waste aterProgram 5 " 06 Dubh `.r`agaw ....... . k O ox r •c Drage, cl.anchorage ak us (g07)343-7904— -1_EALTH UTHORITY 'APPROVAL CHECKLIST e'scrip ion: or provi .Sanitary" seal (Y1N) YES ... nftcassIgt Cased to 137 ft. Well Log (Y/N) YES Wires properly protected (Y/N) YES '` a+.a. },.. �' `rsg v,fr'r "AML» " ::ver, Casing height (above ground) 24 in. t'''ai. ei: 0® 2003 ac`wa er leve ell production fele ,+ w v.rt« wat . .w• ,�' Coliform 0 colonie{s�/,100 ml Ni rate 2.___.245 mg /L Other bacteria g colonies/10o ml 50149d iia%. *,..4ttt `' ,ya 50i W,*, sino•y,'. N/A mg /L. Date of sample 8/30/2004 CoTedted kiyc" 'GEG, Ltd: ax^ fix. - ...., .. .. Arsemc *TA 3 16 STEEL an size • • gal. Number of Compartments ounda Kr cfeanout ) Depression over tank a e o pumping t Pumper STEEL PO Y CO TEO Date mstaffed k gilt-..rrh ^`t'" 7/2-15/2004 €ia"YStKti'�g t'" ?' +H aiff 4y" 6)9•:x CleSanouts (Y/NY) YES &'Z1!"hi�4' . ` "vY% >A'f..u�ry . •ki. ttni-}&v`'. NO High water alarm (Y/N) YES r t x nq . � °i.'mm, '� Y "„y`�•w�,1;Wlx'"` w "�t"x>zh;� "w Da BELOW FINAL GRADE e ins alle r ft2/bdrm) 2 0 .*system type BED Leng h 20 ft fo, I depth + ft ae o aide uacy fes Width .. ftGravel below Pipe 0.51 ft. ' , ax , a+ Slagt ' i�:b ..lie ABI ,w6'. .'1 i3`k".s itti.'`i Eff. absorption area 360 ft2 Monitoring tube YES Depressson over field NO a �'"" r m:eb '4 n !^.. rx .+a..: x Ci�':�tw��^Z+a ✓a��'ka, ySe�, .. � � �,�'. �'�asr:.men�r..i Results (Pass/Fail): For 6 Iuid •ept in a•sorption field before fes In Watera apse• ime min. ° • • epth in. nation treatment (past 12 mo) (YIN & type) New depth Absorption rate - g p d g.p.d. if yes give date LIFT STATION Date installed7/2 15/2004 Size in gallons 68 Manhole/Access (YIN) YES Pump on' level at 30.75 in. "Pum off' level at 'i0125 in. High water alarm levelat 34.25 in. NEW ... NEW Meets alarm & circuit{reuirements? 'YES Datum ` BOTTOM 0F" TANK Cycles tested 4 SEPARATION I5ISTANCES SEPARATION bfSTANCES FROM LL ON LOT ,ylot 16 ♦ir. .{X t�'?a'. t,:*, Septic tank/lift station on lot 100 + On ad acent lots 100 + Absorptionfield ori lot t d0'+ On adjacent lots 100 + Public sewer main N/A Public sewer manhole/cleanout N/A Sewer /septic service line 25'+ Holding tank SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOTTO Buildin'g`foundation, Property line 5'+ Absorption field Water service line 10'+ Surface water 100'+ •Water main N/A Wells on adjacent lots 100'+ d SEPARATION DISTANCE FROM'ABSORPTIONTFIELD ON LOTTO" Property line 10'+ Building foundation 10'+ Water main Water service line -10'4- Surface water 100 + Driveway parking/vehicle storage 10 •Curtain'drain NONE KNOWN Wells on adjacent lots 100'+ •COMM`E"NTS" xi C.,c . ,t t. `.... :.... . , z ....... .. .. ... ,.. ,. G. ENGCNEE l certi that I have determined through field� h, inspections and 'review of Municipal records that the above systems are in conformance with MOA HAA guidelines in effect on this date.. Engineer's Prined Name Date 1tv/054 JEFFREY A.GARNESS iAA Fee $ h '- Waiver Fee $ date of Payment 9 lg0 i Date of Payment e eipt Number 65%1103 Receipt Number Rev . 12/01) 1i97 ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND REPAIR AGREEMENT MEMORANDUM OF UNDERSTANDING BETWEEN MUNICIPALITY OF ANCHORAGE AND THIS MEMORANDUM OF UNDERSTANDING made and entered into as of this 2 tf f& day of Serf f 20 0 3, by and between SNQEE Y, \1. -NAv`IS , herein the "OWNER," and the Municipality of Anchorage, herein the "MUNICIPALITY." In consideration of the mutual covenants contained herein, the parties to this Memorandum of Understanding agree as follows: 1. ADVANCED WASTEWATER TREATMENT SYSTEMS. Municipality grants permission to Owner to utilize and operate an Advanced Wastewater Treatment System L-lI i3-/ (AWWTS), described as pt & c i -PREF located at Sb I ; t_c t /LIS- A✓G E-stlies Anchorage, Alaska. 2. Definitions. A. Alteration. Any change to the design or function of an AWWTS that includes the installation or removal of any parts, components or pieces not included in the original construction permit and design. Prior to performing any alterations to an AWWTS the owner must obtain a Wastewater Disposal System Construction Permit from the Municipality pursuant to Anchorage Municipal Code (hereinafter, "AMC") 15.65 B. Certificate of On -Site Systems Approval. An approval by the Municipality of existing water and wastewater disposal systems given at the time of property sale and title transfer in accordance with AMC Page 1 of 5 15.65. These approvals certify that the systems are adequate for the homes that they support and meet the codes that were in place at the time of system construction. C. Damage. Any man-made or natural change in a system that would inhibit the system from performing as designed. D. Maintenance and Repair. The scheduled and as needed replacement of existing parts, components and pieces of an AWWTS that were included in the original design which would allow the AWWTS to continue to perform as designed. E. Permit (Construction). An On -Site Wastewater Disposal System Construction Permit as defined by AMC 15.65. F. Permit (Operating). An Advanced Wastewater Treatment System Operating Permit. An annual permit, issued by the Municipality, that allows the Owner to operate an AWWTS, upon meeting all requirements of this agreement, the conditions of the "Operating Permit, the requirements of the On -Site Wastewater System Construction Permit and all relevant provisions of AMC 15.65. 3. Fee. Owner shall pay to Municipality an annual fee of 2. c R 0 (S-0—.00), payable on or before the issuance of the operating permit and annually thereafter. The annual fee is due on or before the anniversary date of the approval by the Municipality of installed system. Page 2 of 5 4. Term. The term of this Memorandum of Understanding shall be for the life of the AWWTS. The term begins on the date of approval by the Municipality of the installed system and shall continue while the AWWTS system is in use or operational or until the property is sold or title is transferred by owner and a new certificate of on site approval is issued to the new owner or transferee of the property. Alterations, Installation and Removal of Additional Equipment. Owner agrees not to make any alterations, removal of parts or additions to the AWWTS without a Construction Permit from the Municipality. 6. Maintenance and Repairs. A. Throughout the term of this Memorandum of Understanding, the Owner shall maintain AWWTS in good repair. In addition, it shall be the responsibility of the Owner during the term of this Memorandum of Understanding, and any extensions or renewals thereof, at the owner's sole expense, to pay for any and all: (1) repair(s), (2) maintenance, (3) adjustment(s), (4) replacement costs, and (5) inspection costs. Further, owner agrees to comply with all applicable ordinances, laws, regulations, rules and orders for the AWWTS. B. Owner agrees to provide the Municipality a written schedule of routine maintenance and repairs which have been performed on the system pursuant to the terms and conditions contained in the Owner's AWWTS Operating Permit. This schedule shall be submitted to the Municipality annually upon the renewal of the permit. The schedule of maintenance and repair contained in the Owner's AWWTS Operating Permit is: Page 3 of 5 C. Owner acknowledges that the fine schedule for failing to maintain and repair an AWWTS are codified in AMC 14.60. D. Owner agrees that only maintenance, repair personnel certified by the Municipality will inspect and make any necessary maintenance, repairs or permitted alterations to the systems. E. Owner agrees to grant the Municipality reasonable access to test and inspect the AWWTS upon 24 hours written notice. F. Owner agrees that any sale or transfer of title of the property will not occur . without a new Certificate of On-Site Systems Approval. G. Owner agrees that the relevant provisions of the standard specification guidebook for AWWTS is the governing professional guidelines for the construction, maintenance and repair of the Owner's AWWTS. 7. Nonwaiver. The failure of either party at any time to enforce a provision of this Memorandum of Understanding shall in no way constitute a waiver of the provisions, nor in any way affect the validity of this Memorandum of Understanding or any part hereof, or the right of such party thereafter to enforce each and every provision hereof. 8. Amendment. A. This Memorandum of Understanding shall only be amended, modified or changed by a writing, executed by authorized representatives of the parties, with the same formality as this Memorandum of Understanding was executed and such writing shall be attached to this Memorandum of Understanding as an amendment. Page 4 of 5 B. For the purposes of any amendment modification or change to the terms and conditions of this contract, the only authorized representatives of the parties are: Owner: Anchorage: Purchasing Officer C. Any attempt to amend, modify, or change this contract by either an unauthorized representative or unauthorized means shall be void. 9. Jurisdiction: Choice of Law. Any civil action arising from this Memorandum of Understanding 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 Memorandum of Understanding. 10. Severability. Any provisions of this Memorandum of Understanding decreed invalid by a court of competent jurisdiction shall not invalidate the remaining provisions of the Memorandum of Understanding. OWNER: By: W /L Date: c/ h.1/ /03 STATE OF ALASKA THIRD JUDICIAL DISTRICT MUNICIPALITY: By: Title: G / yr L: E A/ 64416P & Date: 9/z4/03 )s strument was a�Jgebefore me t ,the of Munic `p`i • 3 ) o/age. • • ••#,9TRRY• _ PUBLIC '• cf. Ai, -N II�JJJJJJjjj)))%,\,` It Oji 200/, by o behalf of ba— NOTARY PUBLIC F R ALASKA ILLS IL Page 5 of 5