The URL can be used to link to this page

Home My WebLink AboutALPINE TERRACE BLK 2 LT 3Alpine Terrace Block 2 Lot 3 #015-243-05 Municipality of Anchorage • -- Development Services Department '`• e'. Building Safety Division On -Site Water 8 Wastewater Program, 4700 South Bra a - ro9 g w SL .. ... P.O. Box 196650 Anchorage, AK 99519-6650 www.cl.anchorage.ak.us (907) 343-7904 Page 1 of 3 On -Site Wastewater Disposal System and/or Well Inspection Report Permit Number. SW060238 PID Number. 015-243-05 Name NATE OBERLEE Wastewater System: ❑ New ■ Upgrade Address: 8930 HONEYSUCKLE UNIT 8 ° ANCHORAGE, AK 99502 ABSORPTION FIELD Phone: No. of Bedrooms: (907) 317-2473 3 0Deep Trench 0Shallow Trench ■Bed 0Mound 13 Other LEGAL DESCRIPTION s It ""e TOW Depth from 0,4"erode: Block: Lot: SubdrviwOn: 0.8 Dvo/sa. n SEE DWG. n. 2 3 ALPINE TERRACE DeOh to pipe eaaam /nm ",n, qaM: SEE DWG. Drarel depU 0",eaU peps: Township: — Range: Section: — — rr added deo.. odaktal tTrvdc PL 0.63 rt Gravel Mrgln: SEE DWG. rL 40+ n WELL: ❑ New ❑ Upgrade craw" width: 15+ Marler of ww: ananc• W. wee CbslKeepn (Pd . A9.4 T"" Dep Coded To:(®apa,) Tedd e Uearplion arwa: FL 3 5 n Pee mated": aawr In. n. 600+ so. n. D 3034 F-810 SCH 40 �X\S��NCi Dote Ddasa: statie Waw Level: a,aoll.; Data k,"ae,d: re QUAM 8/8/2006 YI"a: Pump set k: Co.kq N Vt ADave arawld: op, R FL TANK SEPARATION DISTANCES 0Septic 0Holding ■S.T.E.P. 0Other To From Seplic Td Absorption Fiald lift Station Holding Tank ie/pn.au se.« Leas wOfhoft a'°r' ANCHORAGE TANK CaP«dr N e"mas: 1250 Well 100'+ 100'+ — — 25'+ STEEL " " ow"P'"" w 2 Surface water 100'+ 100'+ — — — LIFT STATION Lot Une 5'+ 10'+ — _ — 5re N ga%wa: Yar.Aoeturer: 1250 ANCHORAGE TANK Foundation 5'+ 10'+ — " °^ I..w ea on Ie." at: hph .ave OWn, ": _ — 41" 41" 45" Curtain Drain NONE KNOWN P"A"P "a & a'atr"" &,.P e' warned bK /20 OSI OS HHF M.O.A. Remarks: OLD SEPTIC TANK WAS PUMPED, CRUSHED, BENCH MARK AND COMPLETELY ABANDONED PER UPC. OLD Looabpn sed Drip. BOTTOM OF TANK DRAINFIELD WAS ABANDONED IN PLACE. A.ww..d Elewwn: 90.69 n Inspections performed by: GEG, Ltd. Dates: 1st 8/7/2006 ENDINEEWS SM 2nd 8/8/2006 oo�4p� OT 3rd Development 0 ` .• sr�� Services Department ApprovalQ *.. �....... Reviewed A -v fill 0. ......., and approved by: Date: 12 Ob .........,0 ff a rness.- Q� CE -7953 Q� dere ' •t!��%44 Reviewed and approved by: Date: (R.. 4/0e) d ,, of ro f e! llOn o� �04OO�o�o UARNESS ENGINEERING GROUP, Ltd. `R CONSULTANTS & GENERAL CONTRACTORS November 8, 2006 Municipality of Anchorage Development Service Department Building Safety Division On -Site Water & Wastewater Program P.O. Box 196650 Anchorage, Alaska 99519-6650 Ref: Documentation of septic system on Lot 3, Block 2, Alpine Terrace Subdivision, To whom it may concern: A permit (SW060238) was issued on 8/3/2006 for a septic system upgrade. The septic system was installed on 8/7-8/2006. Since this time we have been requesting the electrical inspection report from installer and the owner. We have been unable to obtain a letter from either party. Attached is the documentation for the septic system. If you have any questions, please contact us at 337-6179. Thank you for your assistance. P.E., M.S. 3701 E. Tudor Road, Suite 101 ' Anchorage, AK 99507-1259 Ph: (907) 337-6179' Fax: (907) 338-3246' Website: www.gamessengincering.com PERMIT NUMBER: AS -BUILT DRAWING SW060238 PARCEL ID NUMBER: 015 -243 -OS I T T-7_1 I Lij r) R-0 -.V JV.OI / \\ //- 19.80 31.19 / \\ __ ___ 24.86 82.14 ' \\\ 60.43 82.78 61.43 89.20 / \ 1 SCH 40 �\ NEW 1250 GALLON gr `T.E.P. TANK .�. TH/1—�— PRESSURE UNE FROM S.T.E.P. TH12 TANK TO DRAINFIELD WAS IN WITH 2' INSULATION 41 NEW GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS & GENERAL CONTRACTORS "I c woaR oow, wrt ,o, • wciclucr, wl . wlwi (�s,ewln • ru pow-uw • Kvlc ....,..�.yw,�`yw. >REPARED FOR: NATE OBERLEE PFK)NE NUMBER: PAGE NUMBER: 317-2473. 2 OF 3 ".nom.....,......... ALPINE TERRACE TYPE OF WORK: AS -BUILT FOR S (Ray. UtA15) LOT 3, BLOCK 2 T B.F.M./J.N.T, 9/7/2006 PERLIIT NUMBER: SW060238 TOP OF SAND - 99.08— '1420 9.08— •H2O O 94.98 ON 5/31/2006 AS -BUILT DRAWING PARCEL ID NUMBER: 015-243-05 GRADE - 99.03-99.22 /-TOP OF MANHOLE UD . 100.35 TOP OF TANK J„ Mn AT INLET - 95.58 TOP OF TANK /T OUTLET . 95.56 II NEW 1250 GALLON INVERT OF BUNG AT INLET . 94.90 S.T.E.P. TANK FINAL GRADE . 103.17-103.24 r -•FILTER FABRIC 5'+ ORIGINAL GRADE 100.10 TO 101.08 DEEP MAx BOTTOM OF `INVERT OF DISTRIBUTION UNE - 99.71. THE EXCAVATION - 97.08—/DISTRIBUTION UNE IS 1.25 INCH PVC WITH ji INCH HOLES SPACED 13 INCHES ON CENTER. RELATIVE ELEVATION OF BOTTOM (36 HOLES PER LATERAL/72 HOLES TOTAL OF TESTHOLE . 91.08 -------------------- GARNESS ENGINEERING GROUP. Ltd. CONSULTANTS d GENERAL CONTRACTORS •• 3MI L noa Ao o. wa[ �o� . . r� rrm . wpi ponws ,r . 0' • • •"• r" Lb7w-uu . • • .. PREPARED FOR: sosm ....p,,,..,�,Wy,,�,,, 0 NATE OBERLEE PHONE NUMBER: PAGE NUMBER: 317-2473. 2 OF 3f y Go r ess:' LEGAL DESCRIPTION: P ALPINE TERRACE S/D; LOT 3. BLOCK 2 DRAWN BY: oOp. CE -7 53 B.F.M./J TYPE J.N. OF WORK:90.�0 .•�cAoO AS -BUILT FOR SEPTIC SYSTEM / DATE: 40��PreTesslol`°\ UPGRADE o (Ray.OtA15) 9/7/20D6 MUNICIPALITY OF ANCHORAGE Development Services Department Onsite Water d Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade Date Issued: Aug 03, 2006 Expiration Date: Aug 03, 2007 Permit Number: SWO60238 Parcel ID: 015-243-05 Legal Description: ALPINE TERRACE BLK 2 LT 3 Design Engineer: 0855 GARNESS ENGINEERING GROUF Site Address: 011800 NEBESNA DR Owner Name: NATE OBERLEE Lot Size: 40100 SQ. FT. Owner Address: 8930 HONEYSUCKLE ST. UNIT B Total Bedrooms: 3 Permit Bedrooms: 3 ANCHORAGE. AK 99502 - This permit is for the construction of: ❑✓ Disposal Field ❑✓ Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ 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: Date: Date: Aug. 3. 2006 12:0014 Garness Ensineerins Group, Ltd. Municipality of Anchorage Development Services Department Building Safety Division Onsite Water a Wastewater Program 4700 Bragaw, SL P.O. Box 196650 Anchorage, AK 995196650 www.cf.anchorage.ek.us (907)343-7904 ON—SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. _ 015-" 245 —Osr No .4519 P. 2 Property owner(s) _ NATE oBERLFF Day phone _317-2473 Mailing address 893D HONEYSUCKLF STT ET UNfT B ANCHIRArF. AK _ Site address Ne 6 esnwil DG2 . Zip Code 99502 Legal description (Sub'd, Block 8 Lot) ALPINE Legal description (Township, Section & Range) N/A Lot Size 2-l0. 0()n Sq.Ft. THIS APPLICATION IS FOR (Nall that apply): Absorption Field Septic Tank Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage ❑ Number of Bedrooms THIS APPLICATION IS AN: Initial Upgrade Renewal ■ 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. GARNESS ENGINEERING GROUP Ltd. PermWRush Fees: Date of Payment: Receipt Number: (Rw. 11/05) Waiver Fees: Dale of Payment: Receipt Number. 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 Sf� www.ci.anchorage.ak.us R(907) 343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcell.D. b15- 21!43-25 RUSH Property owner(s) NATE OBERLEE Day phone 317-2473 Mailing address - -8930 HONEYSUCKLE STREET UNIT B. ANCHIRAGE, AK Site address 11700 Ot='fib-'5K-.�,N TY' Zip Code 99502 Legal description (Sub'd, Block & Lot ) ____ALPINE TERRACE: LOT 3. BLOCK 2. Legal description (Township, Section & Range) —N/A Lot Size 40 i 10-0 Acr Sq.Ft. THIS APPLICATION IS FOR ( ®all that apply): Absorption Field ❑ Septic Tank 19 Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage ❑ Number of Bedrooms 3 THIS APPLICATION IS AN: Initial ❑ Upgrade 19 Renewal ❑ 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. GARNESS ENGINEERING GROUP, Ltd. Permit/Rush Fees: 1,1-1C U. U b +t( 75 Waiver Fees: Date of Payment: oo IS /0 G Receipt Number. 0 3 If -% (Rw. 11/05) Date of Payment: Receipt Number: GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS & GENERAL CONTRACTORS June 2, 2006 Municipality of Anchorage Development Service Department On -Site Water & Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, Ak 99519-6650 (907)343-7904 Ref: Proposed Septic Upgrade for Alpine Terrace; Lot 3, Block 2, To whom it may concern: The existing 3 bedroom house is served by a private well and septic system. The septic system currently does not meet MOA standards and needs to be upgraded. We are proposing to install a new 1250 gallon S.T.E.P tank and a bed type drainfield. Two test holes were excavated on the property. The drainfield will be designed around the 30 foot radii of the test holes. Comments regarding the design are summarized as follows: 1. SOILS: See the attached logs which shows the soil classifications, groundwater monitoring, and the percolation test results. 2. DRAINFIELD 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 design drawing the average topography around the drainfield is generally flat. We are unaware of any adverse impacts this installation would have on adjacent wells or septic systems. If you have anquestions, please contact us at 337-6179. Thank you for your assistance. P.E., M.S. NOTE. Attached is a site plan drawing, a design drawing, one soil log, which are all part of the design package for this septic system. (Contact G.E.C. Ltd. for 7 page construction specification letter.) 3701 E. Tudor Road, Suite 101 • Anchorage, AK 99507 Ph: (907) 337-6179' Fax: (907) 338-3246 • Website: gamessengineering.com I I I NO CONCERN TRACT A-1 THE SUMMIT S/D 64 I I LOT 4 I THE SUMMIT S/D I I I I I I LOT 3 BREITZMAN S/D NO CONCERN I c I / \ I / \ I 1 LOT S. BLOCK 1 \ ALPINE TERRACE S/D / LOT 7. BLOCK 1 ALPINE TERRACE S/D LOT 4. BLOCK 2 ALPINE TERRACE S/D � 1 I \ I I I / I / I I � � I I I IEXISTINC 3 O BEDROOM HOUSE.i��' / . +• / .�, �I / TH/1 ROPOSED SI ♦ 1 (N SEPTIC SYSTEM EXISTING SEPTIC v1 \ BLOCK LOT 2. 2 ' \ ALPINE TERRACE S/D LOT 4. BLOCK 2 ALPINE TERRACE S/D � 1 I \ I I I / I / I I � � I I I 1 Imo• / ,/[SEPTIC ARS GARNESS ENGINEERING GROUP Ltd. CONSULTANTS 6 GENERAL CONTRACTORS PREPARED FOR: NATE OBERLEE LEGAL DESCRIPTK)N: ALPINE TERRACE TYPE OF WORK: SITE PLAN W (W7)?11 !" • IM PHONE NUMBER: 317-2473 LOT 3. BLOCK 1 OF 2 / / 1 I 1 \ BY: —\Q( 1, CE-7?53 B.F.M. 6/2/2006 OF BEDROOMS:S TO OBTAIN A COPY OF THE LETTER EAST, ANU SOUTH LOT LINES AND PER DAY (GPD): 450 CONTACT GEG. BY PROCEEDING FORWARD ALL THE WELL RADII SHOWN DON RATE/S: <1 MIN./INCH WITH THIS INSTALLATION, THE ENGINEER, FLAGGED PRIOR TO ED NONSTUCDOIR D APPLICATION RATE: 0.6 WELL DRILLER, CONTRACTOR AND DRAINFIELD SO.FT.: 562.5 PROPERTY OWNER AGREE THAT THEY \ \ HAVE READ THESE SPECIFICATIONS AND TO TO ACCEPT THE TERMS AND / \ MAXIMUM DEPTH:4 FEET WIDTH: 15 FEET IENGTH:40 FEET M.OA APPROVED SAND FILTER:2.0 EFFECIT E:O.5 FEET REDUCTION FACTOR: N/A ACTUAL SO.FT.: 600 ONDOIONS O INED. / \ 1 +TH#1 ��o PROPOSED ,s f250 GALLON S.T.E.P. TANK FLA / ••�\ PROPOSED DRAIN FIELD / GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS& GENERAL CONTRACTORS Q• I L T.0011 MOM. WR 101 • MCICM M AM 10lOf • f1101E (907)OS In • fm (f0f}W-=M • •OSIIC: �...Oa. wYpaan EPARED FOR: PHONE NUMBER: PAGE NUMBER: NATE OBERLEE 317-2473 2 OF 2 D. n ALPINE TERRACE; LOT 3. BLOCK 2. OF WORK: PROPOSED SEPTIC SYSTEM UPGRADE B.F.M. 6/1/2006 100' (y f I ; •. Lu i ,.t •h, •'.1.•,. LLJ �94.P • •' '^ EXISTING DRFlL AINED TO\ EXISTING SEPTIC TANK TO BE PUMPED. CRUSHED, •''' V / BE ABANDONED-,,. \ AND COMPLETELY 1, J \ ABANDONEDI J �'sF \ INSCOTALL \\\ F \ +TH#1 ��o PROPOSED ,s f250 GALLON S.T.E.P. TANK FLA / ••�\ PROPOSED DRAIN FIELD / GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS& GENERAL CONTRACTORS Q• I L T.0011 MOM. WR 101 • MCICM M AM 10lOf • f1101E (907)OS In • fm (f0f}W-=M • •OSIIC: �...Oa. wYpaan EPARED FOR: PHONE NUMBER: PAGE NUMBER: NATE OBERLEE 317-2473 2 OF 2 D. n ALPINE TERRACE; LOT 3. BLOCK 2. OF WORK: PROPOSED SEPTIC SYSTEM UPGRADE B.F.M. 6/1/2006 iQ MT----------------------MTOI r 2.5'!o ------------ f40' LONG GRADE � INSULATION —FILTER FABRIC li ORIGINAL GRADE DEEP MAX L— INVERT OF DISTRIBUTION LINE THE DISTRIBUTION UNE IS 1.25 INCH PVC WITH }l BOTTOM OF BED INCH HOLES SPACED 13 INCHES ON CENTER. (36 HOLES PER LATERAL/72 HOLES TOTAL Qo�ppp�o GARNESS ENGINEERING GROUP Ltd. CONSULTANTS 6 GENERAL CONTRACTORS * i I E TIIm 110.0. 1 101 • mcmwCL m OMA? • r110K (10)}&3)-1111 • rY (91 • �- � VIII. YwY}�1 PREPARED FOR: NATE OBERLEE PHONE NUMBER: 317-2473 PAGE NUMBER: 1 OF 1 (/�-! • T • • • • • OQ p '• Gayness: LEGAL DESCRIPTION: DRAWN BY: QO°P,r -7953 .•;'�8`< ALPINE TERRACE: LOT 3. BLOCK 2. B.F.M. 44e�e�PrQ;e......004� TYPE OF WORK: DATE: Q ��pppoo�d PROFILE DRAWING OF BED SYSTEM 6/5/2006 IK".01m) GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS & GENERAL CONTRACTORS 3701 L TUIaI ■D.D, SUI[ 101 • N,CIaa.OL w Silo) • nqM[: w] )-#ln • FU S°) " • NULIL p mm *.. SOIL LOG — PERCOLATION TEST LEGAL DESCRIPTION: ALPINE TERRACE S/D; LOT 3, BLOCK 2, PERFORMED FOR: NATE OBERLEE DATE DEPTH 4' 5/22/2006 (feet) TEST HOLE # 1 1 Izz.- PEAT SOILCLASSIFICATIONS 2 GW ==_= ORG 3 GM CL a "s .�w, GC OL SW MH }.. " ' o -0, SP CH SM OH 6-1 SC SM TO ML 7 8 9 10 11 12 13 14 15 16 17 18 SM TO SP DEPTH TO GROUNDWATER DATE 9' 5/16/2006 4' 5/22/2006 1 100' WELL RADIUS '•' '� SY I N EXISTING 3 BEDROOM HOUSE *TH/1 COSTING SEPTIC SYSTE SCALE: 19� PERCOLATION RATE _ (MIN./INCH) FERC. HOLE DIA. — (INCHES) TEST RUN BETWEEN FT. AND FT. 20 A FOUR HOUR PRESOAK WAS PERFORMED: ❑ YES ❑ NO SOILS LOGGED BY: JODY MAUS PERCOLATION TEST PERFORMED BY: — COMMENTS: PERFORMED BY GEG, Ltd. I, JEFFREY A. GARNESS, CERTIFY THAT THIS WA P FORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: 2 06 p_ 00060 ppp /F o GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS & GENERAL CONTRACTORS o0 701 L TJOM AQ•D. i c lot • NKNQK LL A NW7 • IMJML: (007 )137-617& • FN Y01 —3]N • OLBSM yv wr n,l rkY om • • • • • • • • SOIL LOG — PERCOLATION TEST ••••,0 LEGAL DESCRIPTION: ALPINE TERRACE 5/D; LOT 3, BLOCK 2, ••. ff ey rness. PERFORMED FOR: NATE OBERLEE DATE: 52a 2006 a CE -7853 ;'`1G DEPTH 044o��e� (feet) =__= oo ORGANICS TEST HOLE 2 p0 SOIL CLASSIFICATIONS FU ---T-==� 2 3 +w , GP ML GM CIL 1100' WELL RADIUS 4 L+ GC OL �,.:, • N•o• a EXISTING S '•�L3.lii _ 1 •� • $W MH BEDROOM HOUSE(��' / +: � TO , . , , P CH 5 :: W/LENSESOF SP SM i OH •>"�; AND ML ' 6 THROUGHOUT SC �. 7 '•. itN1z DEPTH TO GROUNDWATER DATE EXISTING 6 7' 5/24/2006 SEPTIC SYSTE j •� 9 SM 6' 2" 5/31/2006 / / t SCALE: 10 B.O.FI. 11 DATE READING CLOCK NET TIME WATER LEVEL NET DROP 12 13 14 15 16 17 18 19 PERCOLATION RATE <1 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES) TEST RUN BETWEEN 2.0 FT. AND 2.5 FT. 20 A FOUR HOUR PRESOAK WAS PERFORMED: ❑ YES N NO SOILS LOGGED BY: JODY MAUS PERCOLATION TEST PERFORMED BY: BENJAMIN MAUS COMMENTS: PERFORMED BY GEG, Ltd. I, JEFFREY A. GARNESS, CERTIFY THAT THIS WAS PE FORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: 61L oL TIME (MINUTES) READING (INCHES) 5/25/2006 6 1 10:20 — 6' — 2 10:25 5 0' 6' 3 10:25 — 6' — 4 10:30 5 0' 6' 5 10:30 — 6' — 6 10:35 5 0� 6' 7 10:35 — 6" — 8 10:40 5 0' 6' SAAB -"D-1 GRcATER ANCHORAGE AREA BOROUGH HEALTH DEPARTMENT 327 EA%;LE ST. ANCHORAGE, ALASKA 99501 279-2511 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME clactde ffo MAILING 4z) 7 voeo 3;.7` yyzg jr �/ ii f f ADDRESS Q (, /f j PHONE LOCATION �Gi+P^ oL �ll��ue delve .- LEGAL DESCRIPTION 40t3 b) Z ✓?IAlYeTetiwceA;;� SEPTIC TANK: DISTANCE FROM WE ►'`� k1 TERIAL LIQUID CAPACITY 20clo GALLONS. INSIDE- SEEPAGE NSIDE SEEPAGE SYSTEM NUMBER OF PITS LININ MA IAL NEAREST LOT LINE SEEPAGE PIT: OUTSIDE 14141 WIDTH DISTANCE FROM WEL TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) TILE DRAIN FIELD: DISTANCE FROM WELL c�� reel re DATION / NEAREST LOT LIN NUMBER OF COMPARTMENTS DT 0 BUILDING FOUNDATION , SQ. FT. TOTAL LENGTH OF LINES NUMBER OF LINES DISTANCE BETWEEN LINES TRENCH WIDTH/ IN. TOTAL EFFECTIVE ABSORPTION AREA 7 SQ, FT. LENGTH OF EACH LINE r -Z DEPTH: TOP OF TILE TO FINISH GRADE T DEPTH OF FILTER MATERIAL BENEATH TILE .44 (f� IN. ABOVE TILE G.f✓ W ELL:�� or L DISTANCE FROM WATER TYPE SQL DEPTH , BUILDING FOUNDATION. SAMPLE NEAREST LOT LINE NEAREST SEPTIC SEEPAGE OTHER SEWER LINE , TANK SYSTEM CESSPOOL , SOURCES DIAGRAM OF SYSTEM DISTANCES: %i 3 -HD -2 GREATER INCHORAGE AREA T►ROUGH Case No. '17 HEALTH DEPARTMENT 327 Eagle St. Anchorage, Alaska 99501 279-2511 SEWAGE DISPOSAL SYSTEM - APPLICATION & PERMIT NAME OF APPLICANTS 13 OE Z� `t7/l7c�i1� MAILING ADDRESS- I woNE N RESIDENCE ADDRESS mc LOCATION OF INSTALLATION T,eiY,!2- gf�1��® LEGAL DESCRIPTION �L/y� ��f��r`d� APPLICATION TO INSTALL: SEPTIC TANK , SEEPAGE PIT ✓ , DRAIN FIELD , OTHER TO SERVE THE FOLLOWING FACILITY FINANCED THROUGH ��G TO BE INSTALLED BY �� G PERCOLATION TEST RESULTS j7_5~ /D,gjwm F ANTICIPATED DATE OF COMPLETION`hY ,-,or-4 $cK Z BELOW TO BE FILLED OUT BY HEALTH DEPARTMENT THIS IS TO SERVE AS A/'r 4��ek , PERMIT TO INSTALL A AS DESCRIBED BELOW. SIZE OF UNIT TO E SERVED �SC�f'aC SEPTIC TANK SIZE TYPE��`' SEEPAGE AREA / TYPE Jt �e�aal DIAGRAM OF SYSTEM Ti F b DISTANCES: /PGG 4V AAjK- Sti rou�i [A EA TH AUTHORITY OR L ED DESIGNER I certify that I am familiar with the requirements of Greater Anchorage Area Borough Ordinance No. 28-68 and that the above described system is in accordance with said code. DATE F / APPLICANTS SIGNATURE ■■■■■.'■■■■■DN"WEEM■MPa ■■■■■I/■■■■■■ON ON ■■■11!!■■■. I certify that I am familiar with the requirements of Greater Anchorage Area Borough Ordinance No. 28-68 and that the above described system is in accordance with said code. DATE F / APPLICANTS SIGNATURE GREATER ANCHORAGE AREA BOROUGH �y Department of Environmental Quality 3500 Tudor Road, Anchorage, Alaska 99507 279-86B6 Date Received - Time of Inspection Date of Ins pecti on p REQUEST FOR APP" OVAL OF IVIDUAL SEWER & 'WA R FACILITIES .FOR f 1. Approval Requested By:Address: > `� 7 r11 , Phone: 2 2. Prooertv Owner:4111/0 0 Phone: 3. Legal Description:j, 4. Location:?.. a_. �.c.�.>:-/'._d.�.- 5. Type of Facility to he Inspected: Number of Bedrooms: 6. Well Data: A. Type .' A . ,, B. Depth C. Construction D., Bacterial Analysis 7. Sewage Disposal System::",., A. Installed I�P 457 B. Installerlu��r—.��.�-u� �.-- C. Septic Tank: 1. Size {em o &2. Manufacturer C' cdU C K0 LLL D. Seepage Pit: 1. Size 2. Material E. Disposal Field: Total. Length of Lines yam_ B. Distances: A. Well To: Septic Tank Absorption Area `, Sewer Lines Nearest Lot Line_e371—_, Other Contamination ti N,l . B. Foundation to Septic Tank 'Absorption Arear - - ,-------- C. Absorption Area to Nearest Lot Line g� ---- Req.,ast for Approval of Inuividual Sewer & Water Facilities Page Two 9. Comments: Annroved Disapproved Dated Approval Valid for One Year From Date Signed Greater Anchorage Area Eorough, Department of Environmental Quality DIAGRAM OF SYSTEM i certi.ry that the information contained in this request for approval to be a true and accurate representation of the subiect sewer and water facilities located at: Signed Date • � 189 1011,2 . 4 A „GE 8% I -_411_, Municipality of Ancho Ian!. rQ On-Site Water and Wastewater Prog a 2017 ..t]I i (907) 343-7904 L.. JUL t $ FET Y �1d 4, Certificate of On-Site Systems Ap i 6 a c)c Parcel I.D. 015-243-05 Expiration Date: (v `/7 ^ 17 1. GENERAL INFORMATION: Complete legal description ALPINE TERRACE; BLOCK 2, LOT 3 Location (site address) 11800 Nebesna Drive *Anchorage 99516 Current Property owner(s) Daniel Mullins Day phone 832-797-7246 Mailing address Real Estate Agent Day phone 2. TYPE OF DWELLING: • Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 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: `4/t( / ( COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ 7-1,0 — Waiver Fee $ Date of Payment ? ) L I r 1 Date of Payment Receipt Number 005 g�Jut. Receipt Number COSA# 05C,f l a-75 Waiver# 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On-Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm: Garness Engineering Group, Ltd (GEG) Phone: 907-337-6179 Address: 3701 East Tudor Road, Suite 101-Anchorage,Alaska 99507 l Engineer's Printed Name: Jeffrey A. Garness Date: 6131-/, In conducting this evaluation, GEG provided an engineering evaluation of the well and/or septic system o OF A/ 4Qn 0�`.- in accordance with the guidelines and regulations established by the Municipality of Anchorage and •....•'''' v - CC-�v industry practices. The reported results describe the condition of the system/s on the date/s of the DO v '•v/rOQ evaluation. Separation distances were measured to readily identifiable features. Hidden defects or VA 7 v encroachments may exist that were not identified during the evaluation. The operational life of all wells 1 �. ' 9 H ..', and septic systems depend upon a variety of variables, including but not limited to, soil conditions, / A U 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 0�..`,,�� f O are outside the control of GEG. Satisfactory test results do not guarantee future performance of the 0 •,Je'frp/',A. orn ss,• system/s; therefore, GEG makes no warranty (express or implied) regarding the future performance of QO itfl 7g �D� the well or septic system. GEG makes no representation whether an alternative well or septic system n4�s C� co can be installed on the property in the event either of the current systems fail to perform adequately in �f',. t ' �°o the future. The content of this report is for the sole benefit of the person/party that retained GEG to �%QaArotess�onao perform the evaluation. Reliance upon the information provided in this report by any other person or O�pppooQ 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 ;:_ r f `.\: ' ' Disapproved �` : /? G t Conditional approval for bedrooms, with the follow tg st t►Ia b* CL WATER AND 4 , VV, STE`1\IATPR c ...,, PRCGRAN) G= By: ----------r oW \—e—a--A-----"(I —P�i Original Certificate Date: 7--1 ( ^[ The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On-Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA blue sheet 10-10-12.doc If more than 1 septic system is on the lot: COSA Checklist# of_ Structure served by this system Certificate of On-Site Systems Approval Checklist Legal Description: ALPINE TERRACE; BLOCK 2, LOT 3 Parcel ID: 015-243-05 A. WELL DATA *PER AAROW WELL&PUMP SERVICE RECEIPT IN MOA RECORDS Well type PRIVATE If A, B, or C provide PWSID# N/A Well Log (Y/N) NO Date completed PRE 1970 Sanitary seal (Y/N) YES Wires properly protected (Y/N) YES Total depth *188 ft. Cased to *50'+ ft. Casing height(above ground) 12+ in. FROM WELL LOG AT INSPECTION Date of test 6/21/17 OG Static water level \-- ft. 22 ft. NG Well production g.p.m. 7.1+ g.p.m. WATER SAMPLE RESULTS: Coliform �/ colonies/100 ml. Nitrate '4.' mg./L. Collected by: GEG, Ltd. Arsenic: '�` ug./L. Date of sample: 6/21/17 B. SEPTIC/HOLDING TANK DATA Tank Type/Material SEPTIC/STEEL Date installed 8/7-8/06 Tank size 1250 gal. Number of Compartments 2 Cleanouts (Y/N) YES Foundation cleanout (Y/N) YES Depression over tank (Y/N) NO High water alarm (Y/N) YES Date of pumping 10/12/16 Pumper A+HOME SERVICES C. ABSORPTION FIELD DATA Date installed 8/7-8/06 Soil rating ..p.d./ 2or ft2/bdrm) 0.8 System type BED Length 40 ft. Width 15 ft. Gravel below pipe 0.63 ft. Total depth 4.0+ ft. Eff. absorption area 600 ft2 Monitoring tube YES Depression over field NO Date of adequacy test 6/21/17 Results (Pass/Fail) PASS For 3 bedrooms Fluid depth in absorption field before test 0 in. Water added 461 gal. New depth 0 in. Elapsed Time: 0 min. Final fluid depth 0 in. Absorption rate >= 450+ g.p.d. Any rejuvenation treatment (past 12 mo.) (YIN &type) NONE KNOWN If yes, give date - -THE ELEVATION AT THE BOTTOM OF THE BED MONITORING TUBES WERE SHOT WITH A SURVEY INSTRUMENT AND FOUND TO BE WITH 0.5 INCHES OF EACH OTHER. *2ND COMPARTMENT OF 1250 STEP TANK **PER 7/3/07 MOA ELECTRICAL INSPECTION ***ALTOUGH THE FLOATS ALL SEEM TO FUNCTION CORRECTLY, D. LIFT STATION THEY DO NOT APEAR TO BE SET TO FACTORY SETTINGS Date installed 8/7-8/06 Size in gallons *416 Manhole/Access (Y/N) YES "Pump on" level at ***48 in. "Pump off' level at ***45 in. High water alarm level at ***51 in. Datum BOTTOM OF TANK Cycles tested 3 Meets alarm &circuit requirements? **YES E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot 100'+ On adjacent lots 100'+ Absorption field on lot 100'+ On adjacent lots 100'+ Public sewer main 75'+ Public sewer manhole/cleanout *100'+ Sewer/septic service line 25'+ Holding tank 75'+ Animal containment areas 50'+ Manure/animal excrete storage areas 100'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Absorption field 5'+ Water main 10'+ Water service line 10'+ Surface water 100'+ Wells on adjacent lots 1004 SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ Building foundation 10'+ Water main 10'+ Water service line 10'+ Surface water 100'+ Driveway, parking/vehicle storage 10'+ Curtain drain NONE KNOWN Wells on adjacent lots 100'+ F. COMMENTS P�� OF f G. ENGINEER'S CERTIFICATION 4...\>.;\. ... + . , 41 1• %.* *. I certify that I have determined through field inspections and : . ••• if', review of Municipal records that the above systems are in • 1 ••• conformance with MOA COSA guidelines in effect on this •'• / : . date. / ' Je• . Gam ss �, JEFFREY A. GARNESS '•• f• C 7* ;:' = Engineer's Prin ed Name Lit'7.:47 Date ��J "it7' ♦*� o.-NoFEss\uN * LICENSE •II%It%moo.* NAECC884 (Rev.10112/12) • Municipality of Anchorage` Onsite Water and Wastewater Program (907)343-7904 sArETT Certificate of On -Site Systems Approval Parcel I.D. 015-243-05 Expiration Date: 1. GENERAL -INFORMATION Complete legal description Alpine Terrace., Block 2, Lot 3 Location (site address) 11800 Nebesna Dr. Current Property owners) Theresa Sheldon Day phone Mailing address 11800 Nebesna Dr. Anchorage, N 99516 Real Estate Agent Day phone 2. TYPE OF DWELLING E] Single Family (wlwo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 3 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well Fx� Individual ] Individual Water Storage ❑ Holding Tank Community Class' Well ❑ Community ❑ - Public Water System ❑ Public Sewer ❑ WaiverNariance request for: Distance: Received by: Date: 10(4 ( D 1 c4u 1 :;�:, COSA to be released to the engineer, unless otherwise requested by the engineer. - COSA Fee $ �f Waiver Fee $ Date of Payment Receipt Number 0? C\ COSA# - bSC�5It05-U> Date of Payment Receipt Number Waiver 5. STATEMENT OF INSPECTION BY ENGINEER As certified bymyseal 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 obtainedfrom 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. In conducting an adequacy test, I attempt to provide a thorough, conscientious engineering analysis of the system in accordance with MoA COSA guidelines and regulations. The reported results describe 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 soil 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. this system. All -systems -eventually fail and satisfactory test results donotguarantee future performance of the system, nor do they guarantee that thereare no hidden defects or encroachments. Therefore we cannot Provide any warranty for future performance, nor can we estimate remaining life of the system.. The content of this report is for the. sole benefit of the owner listed above. - .. Name of Firm Pannone Engineering Services LLC Phone (907) 272;82:18 Address P.O. Box 100217, Anchorage Ak. 99510 Engineer's Printed Name Steven R Pannone Date 11/9/2015, 6. DSD /SIGNATURE f/ System #1 Approved forbedrooms $leven R. f�urinoae System #2 Approved forbedroomsCE-8149 }� sir Disapproved l�R70tESSf _ Conditional approval for bedrooms, with the following stipulations: BY -- � tt�_ Original Certificate Date: 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 forerrorsor omissions in the professional engineer's work.. 7. ATTACHMENTS: COSA Checklist X Septic System Advisory Well Flow Advisory COSA blue sheet f Nitrate Advisory Arsenic Advisory _ Other If more than 1 septic system is on the lot: COSA Checklist # I, of 1 Structure served by this system Certificate of On -Site Systems Approval CheckHst Legal Description: Alpine Terrace, Block -2, Lot 3 Parcel ID: 015:243-05 A. WELL DATA Well type Private If A, B, or C provide PWSID # Well Log (Y/N) N, Date completed Before 1970 Sanitary seal (Y/N) Y Wires properly protected (Y/N) Y Total depth 188* ft. Cased to 50+* ft. Casing height (above ground) 12+ in. FROM WELL LOG AT INSPECTION Date of test Unknown 10/28/2015 Static water level Unknown ft 22 ft Well production Unknown 9-P m- 7.0+ g.p.m: WATER SAMPLE RESULTS: Coliform Neg colonies/100 mL Nitrate 4.17 mg/L Arsenic ND ug/L Date of sample: 10/28/2015 Collected by: PES B. SEPTICIHOLDING=TANK DATA Tank Type/Material S.T.E.P./Steel Date installed 8/8/2006 Tank size1,250 gal. Number of Compartments .2— Cleanouts (Y/N) Y Foundation cleanout (Y/N) Y Depression over tank (Y/N) N High water alarm (Y/N) Y Date of pumping 11/18/2015 Pumper Around the Clock Pumping C. ABSORPTION FIELD DATA -- Date installed 8/8/2006 Soil rating (g.p.d./ft2 or ft2/bdrm) O.8 GPD/SF System type Bed Length 40 ft. Width 15 ft. Gravel below pipe 0.5 ft. Total depth 4.1 ft. , Eff. absorption area600 ftz Monitoring tube Y Depression over field Date of adequacy test 10/28/2015 Results (Pass/Fail) Pass For 3 bedrooms Fluid depth in absorption field before test 0 in. Water added 47T gal New depth "0 in. Elapsed Time:. 70 min. Final fluid depth 0. in. Absorption rate >= 450+ g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N &type) No If yes, give date D. LIFT STATION Date installed 8/8/2006 "Pump on" level at 41 in. Datum Bottom of Tank E. SEPARATION DISTANCES WELL ON LOT TO Size in gallons 250 Manhole/Access (Y/N) Y "Pump off" level at 41 in. High water alarm level at 45 in. Cycles tested 4 Meets alarm & circuit requirements? Yes Septic tank/lift station on lot 100+ On adjacent lots 100+ Absorption field on lot 100+ On adjacent lots 100+ - Public sewer main 75+ Public sewer manhole%Ieanoat Mt Sewef/septic service line 25+ Holding tank 100+ - Animal containment areas 50+ Manure/animal excrete storage areas 100+ SEPTIC%HOLDING. TANK ON LOT TO: Building foundation 5+ Property line} Absorption field Water main 10+ Water service line 10+ Surface water 100+ Wells on adjacent lots -1 00+ ABSORPTION FIELD ON LOT TO: Property line 10+ Building foundation 10+ Water main 10+ Water Service line 10+ Surface water 100+ Driveway, parkingivehicle storage 10+ Curtain drain 50+ Wells on adjacent lots 100+ F. COMMENTS Survey on File *Per 2012 COSA, Arrow Pump and Well G. ENGINEER'S CERTIFICATION I certify that I have determined through field inspections and review of Municipal ,records that the above systems are in conformance with MOA COSA guidelines in effect on this date. Engineer's Printed Name Steven R. Pannone Date f-ZV/9/2015 COSA canary sheet 2-6-15.doc rel. rAr r+..r 50' Flo R 06 SURVEY CERTiFlCAITON •� avN l\ o' \•. Robert E. Johns, Jr.Assoc. PLOT PON •.•.�E Professional Land Surveyors 1.r•IYAT/ M 1 tiP IA)•.•I:= r Y rr r rM.r r.. •+ r 1 Yrrw �•P,.•.........."� !••AX �. ANCHOR E 12 AVE 105D7 Mr crrrY.rrrw s•w.: ROO. 161 S.F. NO •R P{01 CM . .. ... ...w DON RuMl.W: Jnn ep CA•ck'b b% FdJrtlA7NIN AS-RU4T � A trwca+..w�tiww�Tr/r� •IPRR•~M Y Y N �M ►~ /� : ' ••tet•••• � MO• 0 d t 7-23-07 2740 7165 -`.•.:•�•�^"�.'.'.`" `r" ^ i ` • p *� #� 1 1 " FINAL SDTJCRNS: AS-IIII&T�• •.,�. ..... S'�• 1 �• • IASOI DR• 10t1m: �.... c a...,.,......,1 ... ..... D '°�Of•O•b.��• Lot 3 a1CfCk 2 •w Alpine Te=ace wwrrr..+.Pw r•.w r.•+. Lor UR RT SURVEY Tl FE 13 mumAmm As-elm.T SYMBOLS • SFT RESAR DRAINACE ASPHALT O FNAL •I•.mTURx As. ? O FOUND REeAR MOOD FENCE ryry'.Jc CONORM ❑. ROT n.•I ... A••eIWT ... IAT 7Nm/.T ... "POOR~ _ e MZ A39UMm ELEV. r•T. 41A - METAL FENIN [fLil-! — UNDO NO D THE 9/RLETOR TAKES LOER OR G"ER, PRIOR TO -O NLY THOSE IMPROVEMENTS AtfOVE ORoUND AND NiIOIE Vats. BE OLMPING CRAOE RELATIVE 9MOV". FENCES. MELLA $rPTC CIFANOUM SIDEWALKS. ORMOEWAYS, CT1 E0N5 AND TO DETERMINE CTC., ARE SOWN IN THCM APMOX MATE LOCATION, ONLY, SNOW OVIENANTA OR RESTRICTIONS MAY PREVENT SOME mMOVEMCNTS MON WING SEEN AND LOCATED. ORDER SUODPAS ON PLAT AIA, WrLTANOCS ARC_E'"'.-O N ES^ GTFI!'R W.4L` NnTr l HOULD AN AS—/UM1.T DE VSED FOR CONSMUC71ON OR FOR ESSABUSNE,O DOIRUDARY OR FEKCE LINES. FOR THC R LLTRANSACTION REMODUCM AMASE SCAU4ERRORS SCAM INE COST OF THE SUR`�ET. ICIS ►REVAIOVER SCALING. Im Municipality of Anchorage `{ [[EEt kµ4i Development Services Department k'fllEf al=b 1 Individual On-site Building Safety Division 1y On -Site Water & Wastewater Program Individual Water Storage E 4700 Bragaw Street 7 �✓ ❑ P.O. Box 196650 ❑ Anchorage, AK 99519-6650 ❑ www.muni.org/onsite ❑ (907)343-7904 ❑ CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. 015-243-05 COSA# 0 5C lat l-+() 1. GENERAL INFORMATION Expiration Date: 8 2-6-- Complete legal description Location (site address) Current Property owner(s) Mailing address Lending agency Mailing address Real Estate Agent Mailing address ALPINE TERRACE S/D; BLOCK 2, LOT 3 11800 NEBESNA DRIVE * ANCHORAGE. AK * 99516 JOE FRANCO Day phone 11800 NEBESNA DRIVE * ANCHORAGE, AK * 99516 Day phone NANCY BERGH POLLOCK W/ PRUDENTIAL Day phone 272-5727 762-5813 3801 CENTERPOINT DRIVE, #200 * ANCHORAGE, AK * 99503 Unless otherwise requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 3 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well Individual On-site Individual Water Storage ❑ Individual Holding tank ❑ Community Class Well ❑ Community On-site ❑ Public Water System ❑ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of On -Site Systems Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues COSAs upon request to homeowners. Certificates of On -Site Systems Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water 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 Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm GARNESS ENGINEERING GROUP, Ltd. Address 3701 E. TUDOR ROAD, SUITE 101 * ANCHORAGE, AK 99507 Engineer's Printed Name 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 _3/%Approved for -3 bedrooms. Disapproved. Phone 337-6179 Date .......... . ......... .......! 6/ fr y A. a ess CE 795 00 QQ4�^P^ 172t�Z�cAc�°40 Conditional approval for bedrooms, with the following stipulations: Attachments: COSA Checklist Septic System Advisory Well Flow Advisory Nitrate Advisory Arsenic Advisory Maintenance Agreements Supplemental Engineer's Report Other ON-SITE WATER AND WASTEWATER PROGRAM By: sem, Original Certificate Date: (Rev. 11105) Municipality of Anchorage • '� Development Services Department Building Safety Division On -Site Water & Wastewater Program 4700 Elmore Road P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description: ALPINE TERRACE S/D• BLOCK 2 LOT 3 parcel ID: 015-243-05 A. WELL DATA *PER ARROW PUMP AND WELL. Well type PRIVATE If A, B, or C provide PWSID# N/A Well Log (YIN) NO Date completed PRE 1970 Sanitary seal (Y/N) YES Wires properly protected (Y/N) YES Total depth *188 ft. Cased to *50+ ft. Casing height (above ground) 24+ in. FROM WELL LOG AT INSPECTION Date of test 5/10/2012 Static water level ft. 33 ft Well production g.p.m. 7.5+ g.p.m. WATER SAMPLE RESULTS: LJ Coliform 0 colonies/100 ml. Nitrate I- mg./L. Collected by: GEG, Ltd. Arsenic: /JQug./L. Date of sample: 5Z 10/2012 B. SEPTIC/HOLDING TANK DATA Tank Type/Material SEPTIC/STEEL Date installed 8/7-8/2006 Tank size 1250 gal. Number of Compartments ? P Cleanouts(Y/N) YES Foundation cleanout (Y/N) YES Depression over tank (Y/N) NO High water alarm (Y/N) YES Date of pumping a Pumper ISAACS PUMPING C. ABSORPTION FIELD DATA *BELOW EXISTING GRADE Date installed 8/7-8/2006 Soil rating (.p.d./ r ft'/bdrm) 0_8 Length 40 ft. Width 15 ft System type BED Gravel below pipe 0.63 ft. Total depth *4.2-4.3 ft. Eff. absorption area 600 ft2 Monitoring tube YES Depression over field NO Date of adequacy test 5/10/2012 Results (Pass/Fail) PASS For 3 bedrooms Fluid depth in absorption field before test 0 in, Water added 450 gal. New depth Din. Elapsed Time: = min. Final fluid depth 0 in, Absorption rate >= 450+ g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) NONE KNOWN If yes, give date — D. LIFT STATION Date installed 8/7-8/2006 Size in gallons 1250 Manhole/Access (Y/N) YES "Pump on" level at 41 in. "Pump off' level at 41 in. High water alarm level at 46 in. Datum BOTTOM OF TANK Cycles tested 3 Meets alarm & circuit requirements? YES E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot 100,+ On adjacent lots 100'+ Absorption field on lot 100'+ On adjacent lots 100'+ Public sewer main N/A Sewer /septic service line 25'+ Public sewer manhole/cleanout N/A Holding tank Animal containment areas 50'+ Manure/animal excrete storage areas 100'+ SEPARATION DISTANCES FROM SEPTIC/IiOLDING TANK ON LOT TO: Building foundation Water main 5'+ Wells on adjacent lots 100'+ Property line 5'+ Absorption field 5'+ Water service line 10'+ Surface water 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ Building foundation 10'+ Water main N/A Water service line 10'+ Surface water 1 oo'+ Driveway, parking/vehicle storage 10'+ Curtain drain NONE KNOWN Wells on adjacent lots 100'+ F. COMMENTS G. ENGINEER'S CERTIFICATION o OF / I certify that I have determined through field inspections and *c):-'49 H review of Municipal records that the above systems are in ' • • ......"' ' ........ .... conformance with MOA COSH guidelines in effect on this date. Q f r A. Garn ss;' Engineer's Printed Name JEFFREY A. GARNESSGE 79 Date COSA Fee $ Y g a •41 Date of Payment o 3�3 Receipt Number ,oZD%In (Rev. 11ro5) Waiver Fee $ Date of Payment Receipt Number SCS ReLk 11 21 61 5001 Client Name Gayness Engineering Group, Ltd Project Name/4 Alpine Terrace B2,L3 Client Sample ID Alpine Ten -ace B2,L3 Matrix Drinking Water Printed Date(1'ime Collected Date/Time Received Date/Time Technical Director 05/17/2012 10:21 05/10/2012 20:15 05/11/2012 9:00 Stephen C. Ede Sample Remarks: Allowable Prep Analysis Parameter Results LOQ Units Method Container ID Limits Date Date fait Metals by ICP/MS Arsenic ND 5.00 ug/L EP200.8 C (q0) 05/14/12 05/15/12 NRB Waters Department Total Nitrate/Nitrite-N 4.30 0.100 mg/L SM21 4500NO3-P B (<10) 05/15/12 AYC Microbiology Laboratory E. Coli Negative 1 IOOmL SM21 9223B A 05/11/12 MEM Total Coliform Negative 1 IOOmL SM21 9223B A 05/11/12 MEM AAROW Frump & WEU SERvicE, LLC r� P.O. Box 110496 1 {' Anchorage, AK 99591 G Office: (907) 346-9355 • Fax (907) 333-8976 Eagle River: (907) 622-9335 CUSTOMER f r' 5c) JOB si I -E No, 9377 0 INVOICE Dt.TC WCL:. DEPTH sWl. CHLORINATED PUFIP GEPTH SAI.=gPERSON QUANTITY DESCRIPTIO PRICE AMOUNT - r f _ - r t ._. _-....___--- --`. :�--c�:,:.�`__:'"C.x% K'�? f c'.C'..��% C� d`"T.,�� ,/Y'�`...— �=''`"'?-Iv>� '�w' ✓c� ,,��r.r�v�.. -- __ F i.`rv�:5_i ._ wt..'�,. � ,�.^`�G,�.L"-C.� z.,.=�.'a=�.,,.f. F. ?'"� _`�- .� .*:'�.c-s"'Y'�"r <- ir;.•'t � - --- ._ LABOR HOURS RATE AMOUNT TOTAL MATERIAL i TOTAL LABOR 1 r 1 WORK ORDERED BY DATE COMP. TOTAL LABOR PAY THIS AMOUNT SIGNATURE (I Hereby Acknowledge the Satisfactory Completion of the Above Described Work and agree that if above work is not paid for in 90 days I agree to allow Aamw Pump & Well Service, LLC. the right to remove unpaid for equipment and charge for labor already performed & labor to remove unpaid for equipment) TERMS: ACCOUNTS PAYABLE AT 10TH OF MONTH FOLLOWING PURCHASE, SERVICE CHARGE AT RATE OF 1,5% PER MONTH WILL BE CHARGED ON OVERDUE ACCOUNTS. Municipality of Anchorage Development Services Department Building Safely Division On -Site Water 8 Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. O (Jr- z 4 3- O 1. GENERAL INFORMATION Complete legal description Location (site address) Current Property owner(s) Mailing address Lending agency Mailing address Real Estate Agent Mailing address COSA# Q '7 O �Z Expiration Date: _ 10 -26- 07 ALPINE TERRACE SUBDIVISION: BLOCK 2. LOT 3 11800 NEBESNA DRIVE * ANCHORAGE. AK 99507 NATE OBERLEE Day phone 317-2473 8930 HONEYSUCKLE STREET, UNIT B r ANCHORAGE. AK 99502 Day phone FSBO Day phone Unless otherwise requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 3 3. TYPE OF WATER SUPPLY: Individual Well E Individual Water Storage ❑ Community Class Well ❑ Public Water System ❑ TYPE OF WASTEWATER DISPOSAL: Individual On-site 0 Individual Holding tank ❑ Community On-site ❑ Public Sewer ❑ { The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of On -Site Systems Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues COSAs upon request to homeowners. Certificates of On -Site Systems Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water 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, 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 riles 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. Date 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 8 Regulations. The reported results described the performance ofthe system undor the conditions encountered at the time of the lost, 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 syslom. 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 provido 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 N confer any legal right whatsoever. S. DSD SIGNATURE Approved for 3_ bedrooms. Disapproved. Conditional approval for bedrooms, with the fllowing stipulations: PROGRAM .' o. Attachments: COSA Checklist Arsenic Advisory Septic System Advisory Maintenance Agreements Well Flow Advisory Supplemental Engineer's Reort Nitrate Advisory % Other By. Original Certificate Date: '� — 2- (> - 41 -7 (Rw. 7105) Municipality of Anchorage Development Services Department Building Safety Division : , . , mss/ OnSlte Water 3 Wastewater Program 4700 Brag" Street P.O. Box 198650 Anchorage, AK 99519850 www.muni.orglonatte (907) 3437904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description: ALPINE TERRACE SUBDIVISION: BLOCK 2, LOT 3 Parcel ID: D *PER AAROW PUMP do WELL A. WELL DATA **BASED UPON SURROUNDING WELL LOGS (ATTACHED) Well type PRIVATE M A, B, or C provide PWSID# N A Date completed PRE 9/1970 Sanitary seal (Y/N) YES Total depth *-193 ft. Cased to "40'+ ft. FROM WELL LOG Date of test Static water level ft. Well production g.p.m. WATER SAMPLE RESULTS: Coliform i oolonies/100 ml. Nitrate -Z. 6 mg./L. Well Log (Y/N) NO Wires properly protected (Y/N) YES Casing height (above ground) 47.5 in. AT INSPECTION 7/9/2007 22 ft. 7.13 g.p.m. Other bacteria—.(4—colonies/100 mi. Arsenic: 14P_ ug./L. Date of sample: 7/6/2007 Collected by: GEG Ltd. B. SEPTICIHOLDING TANK DATA Tank Type/Matertal SEPTIC/STEEL Date installed 8/8/2006 Tank size 1250 gal. Number of Compartments E Foundation cieanout (Y/N) YES Depression over tank (YM) NO Date of pumping < 1 YEAR OLD Pumper C. ABSORPTION FIELD DATA Cieanouts (YIN) YES High water alarm (Y/N) YES Date Installed e/e/2006 Soil rating .p.d. ft'/bdrm) 0_8 System type BED Length 40 ft. Width 15 ft. Gravel below pipe 0.63 ft. Total depth •4.09-4.16 ft. Eff. absorption area 600 ft' Monitoring lube YES Depression over field NO Date of adequacy test < 1 YEAR OLD Results (Pass/Fail) PAS` For 3 bedrooms Fluid depth in absorption field before test = in. Water added =gal. New depth =in. Elapsed Time: = min. Final fluid depth = in. Absorption rate >= 450+ g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N 8 type) NONE KNOWN If yes, give date — D. LIFT STATION Date installed 8/8/2006 Size in gallons 1250 Manhole/Access (Y/N) YES "Pump on" level at 41 in. "Pump otr level at 41 in. High water alarm level at 45 in. Datum BOTTOM OF TANK Cycles tested< 1 YEAR OLD Meets alarm 8 circuit requirements? YES E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO Septic tank/lift station on lot 100'+ On adjacent lots 100'+ Absorption field on lot 100'+ On adjacent lots 100'+ Public sewer main N/A Sewer /septic service line 25'+ Public sewer manhole/cleanout N/A Holding tank N/A Animal containment areas 50'+ Manure/animal excrete storage areas 100'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Absorption field 5'+ Water main N/A Water service line 10'+ Surface water 100'+ Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ Building foundation 10'+ Water main N/A Water service line 10'+ Surface water 100'+ Driveway, parkingivehicle storage 10'+ Curtain drain NONE KNOWN Wells on adjacent lots 100'+ F. COMMENTS G. ENGINEER'S CERTIFICATION K...n1- I certify that I have determined through field inspections and • 4 ! ! r* W� review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this A ........ date. Ss :....$ Engineer's Printed Name JEFFREY A. GARNESS .�,,E//-7953 Date �1'7 /0 -;;L•.•• '�i.9L.7.10f,0� P�or••ia� COSA Fee $ Y 3 O 0'f n/ Ur Z, Waiver Fee $ Date of Payment 7 " 26-07 Date of Payment Receipt Number 2 Receipt Number (Rev. 11/05) SGS Reta 1073195001 Client Name Gamess Engineering Group, Ltd. Project Name/# Lot 3 Blk 2 Alpine Terrace Client Sample ID Lot 3 BIk 2 Alpine Terrace Matti: Drinking Nater P1�'SID 0 Samplc Remarks All Dates rimes are Alaska Standard Time Printed Date/Time 07/172007 10:31 Collected Date/Time 07/062007 8:00 Received Date/Time 07/06/2007 10:30 Technical Director Stephen C. Ede Allowable Prep Analysis Parameter Results PQL Units Mcawd Container ID Limits Date Date Init Metals by ICP/MS Arsenic ND 5.00 Waters Department Total Nitratc/Nitritc-N 2.89 0.100 Microbiology Laboratory Total Coliform 0 ug/L EP200.8 C (<10) 07/09/07 07/13/07 Mll mg/L SN1204500NO3-r D (<10) 07/10/07 1DS col/100mL SM209222D A (<I) 07/06/07 IIKG R� L w F 0 L+J J _J SAVEY CERT11FICA1ION, Prepared by .•t�•E of a Robert E. Johns, Jr. & Assoc. PLOTPLAN 1•1f�. "'"••• •�/. Professional Land Surveyors rrr�.rrA.r ..««wnl C.•' / H3 E 12 AVL AHOIOR ALASKA 90501 wrww «rw...+rw •t t ..«R « r% r NMw..� •.� ..•. O {T S �. I/ SOaIt RA6 Let S.F. k' Plot f M No. _...... ... lit 3 50 rOt"AIION AS-PUILT }' / Dot• %,"yn : Jro n br LT•ckM Ox tr..cAr w, .�wT .••.T.IrI /� ........./ Arrr wrr«w%♦ /� B9EfyT w w�. ��....... - + � /1 •P 7: / l A...t [ Jrr Nr. �� rr�i FI 1 /�•r 121.Oql• 7- -13 -07q ''•• FMAL SRJCTRAS-BLT L."m Drptb: .••.............•• crle: 2740 v.0.7 165 h ^rw .r w « i.n r r �• ,I �d Apo`O�B.�• Lct 3 131ock 2 F•FAbn ��'•• Alr)ine Te=ace LOT IXVR.AY SURVEY TYPE SYMBOLS E3rNMATON AIL -DMT • SET FEW DRAINAGE ASPHALT ❑ L Rw.ItR�lt As.wI1LT O rDUNO REBAR p�..p MOOD FAKE A CONCRETE /Iw. Q. r rtAN ... As T ... LOT fAFl.er ... Ytr a~- - -_- -W -- 6006Z ASSUMED ELEV. w=—' MnAL Fcr«FWOOD DECK PLOT PLANS Y LOT SURVEYS 'COTE' IT 15 THE RESPONSIBILITY OF THE BUILDER OR OWNER, PRIOR TO ONLY THOSE IMPROVEMENTS ABOVE GROUND AND V121DLE WILL BE CONSTRUCTION. TO VERIFY PROPOSED DULOINC GRACE RELATIVE 9NOWN. FENCES. INELLA SEPTIC CLEANOUTS. SDEWALKS. DRIVEWAYS, TO PNISHED GRADE AND UTILITY CONNECTIONS AND TO DETERMINE ETC.. ARE S.OwN IN THEIR APPROXIMATE LOCATION, ONLY. SNOW THE E-ASTENCE OF ANY EASELIDI . COVENANTS OR RESTRICTIONS MAY PREVENT SOME IMPROVEMENTS "CM BCINO SEEN AND LOCATED. WNIb. D :Dr APPEAR ON C CORDED StJBDINSION PLAT, AIA, OVSTANCCS LIN•� UNDER NO CIRCUMSTANCES 94OULD AN AS -BUILT BE USED FOR CONSTRUCTION OR FOR BOUNDARY OR FENCE LINES. INC SURVEYOR TAKES RESPONSPLRY FDR UNE INRIAL TRANSACTION ONLY AND ASSWS FINANCIAL UAMLITY ONLY FOR THE COST Or THE SURVEY. OSTEO OMAN= PREVAIL OVER SCSCCAAL�ING-RREPRODUC/TION MAY SCALE, ERRORS IN SCAT Sent.By: OASIS ENVIRONMENTAL INC; 907 258 z Jul -5-07 9:59; Page 2/2 SS ri•vr.sry 1 i From IppliedMicrosystems Mon 02 Sul 2_007 1_1:33:1_8 PN AKDT Page 1 of 1 MUNICIPALITY OF ANCHORAGE, BUILDING SAFETY DIVISION 4700 SOUTH BRAGAW IN3PECTION INFORMATION 6 HELP: 343_7962 INSPE.TION: VOICE 343-8300 INSPECTION: FAX (907)240-7777 www.muni.orgrBSD/Inspections.cfm NAME: Nate Oborlee / PERMIT O: 06-0703 COMPANY: Z�y.r. ;,c r INSPECT DATE: 7/3/2007 PM PHONE O: 317-2473 PHONE O: 253-4850 PHONE O: DDRESS: lleOO NEBESNA DR Lai 3 BLOCK 2 SUBDIVISION: ALPINE TERRACE GRID O: CVV2740 COMM °NTS or DIRECTIONS Please call 45 minutes before so I can meet you up there.Lv,,....`1 , TYPE OF INSPECTION: Final Elecincnl COMMENTS: (FOR INSPECTOR USE ONLY) L �Gr ST-LUT"i0� fife y/1 � Gr4�- PRINTED NAME QL lyfL L�3L'Bzz.'(2q f. DATEL-1-,- 200-y" NER07/06/2007 IQ 13:24 FAX AAROW PUMP & WEU SERViCE, LLC P.O. Box 110496 Anchorage, AK 99511 Office: (907) 346-9355 • Fax (907) 333-8976 Palmer. (907) 745-9077 • Eagle River. (907) 622-9335 A•� tt � �I awmalw. e• r I �06 cc JOB SITE Z001 U nMMOO OC6C 750 Thank You SIGNATURE (I Hereby Acknowledge the Satisfactory Completion of the Above Described Work.) TERMS: ACCOUNTS PAYABLE AT 10TH OF MONTH FOLLOWING PURCHASE. SERVICE CHARGE AT RATE OF 1.5% PER MONTH WILL BE CHARGED ON OVERDUE ACCOUNTS. .j S� �OIAy�Z'• 1 -Y N• �.•.ON .t o E =17 . • . . _._ a �_ a . • -_■ _ -- e•.r • _ • - �.tr 41PAY THIS AMOUNT- HIS Thank You SIGNATURE (I Hereby Acknowledge the Satisfactory Completion of the Above Described Work.) TERMS: ACCOUNTS PAYABLE AT 10TH OF MONTH FOLLOWING PURCHASE. SERVICE CHARGE AT RATE OF 1.5% PER MONTH WILL BE CHARGED ON OVERDUE ACCOUNTS. .j 00t/L/105WW02e=ad. V IOLZ=ooPLunq•ZllnujzppN?I9 IaXa ! I9°M37/ duos Xe a8e�ogoae to ai�suo//:duq I! �s Ste° 6 �� yj W... 5z a o8ed .e sZ of U sated mo13 ala dad OP31J .Io 1 aged t'0 Io' b0 39dd I£68 -8C£ -L66 7T:5T L00Z/LZ/C0 l � �.• 1 •�� !t r t~ !r k' tIr NqN1 N� � F• It� �1 � � � � Y � i Y !! a W... 5z a o8ed .e sZ of U sated mo13 ala dad OP31J .Io 1 aged t'0 Io' b0 39dd I£68 -8C£ -L66 7T:5T L00Z/LZ/C0 04/27/2007 15:14 907-348-8931 LOOS Create PDF file from pages 25 to 51 C PAGE 05 Page 1 of 1 MASPOW„ & &%Qmur ' M�. d /iKDl�lai K I� 8 X86 vowson&gmLrzxa a,. RECEIVED x > MILUNG EOQ.IVL A&n •!Y. -iris r A.C�+ / L21D Or Yll7R2AL uma Wim SW�Ad^!A lvnursOM T I A-A� IQ N3A-06/065y3- ncx= --- o . IT, TO —% --rr. rr.ac. .PDLN7l-/�F9�Scsd3 i 7uoy�7l. !v a �t. n� �eoc 1801[ 9 P!I, TO 20 ZL am IY a uy i 7A01i an R. to —zL-Jz &AA dX_- 21Ob a4 1T. i0 77 rE. Wo ILM c. TEOM 27 }1. _ 20 ju rt. C!lt%y& 0717. sao■ �:�r n. rs.+atcsn euzzo LIM OP xA20- 5.YM Qumre M EOBA aIgurnff xr>tzms. Vf YIIID v) OAG1Ia 60 IL10X t Page 25 of 51[a http://onsite.ci.anchorage.ak.us/seripts/LFWebLink.exe/weblink/de£ault2.htm7doc-2675&.-type=imagc,&page—... 7/7/20C