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ALPINE WOODS BLK 6 LT 2
Alpine Woods Block 6 Lot 2 #015-234-42 Municipality of Anchorage Page I of 3 DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 • Anchorage, Alaska 99519-6650 • Telephone: 343-4744 On -Site Wastewater Disposal System and/or Well Inspection Report Permit Number: Sv.141s0316 PID Number: b!5 -Z34 "4Z Name: �ElJIS, Le gLArJG Wastewater System: El New Upgrade Address: IT951G zs 0 0d,,joe F P Awe -g., A\c ABSORPTION FIELD Phone: No. of Bedrooms: 3'1'' (o .• OC�f -Other ❑ Deep Trench li�ShallOW Trench ElBed El Mound (X= DESCRIPTION Soil Rating: N?FLIeAt't•4 Rptre Total Depth from original grade: Z . O GPD/Sq. Ft. S. S "' . Lf Lot: Block: Subdivision: Depth to pipe bottom from original grade: Gravel depth beneath pipe W 0 o OS 'Z.,+& Ft. 3 .02,. Ft. Township: _ALAr4r. Range: Section: Fill added above original grade: Gravel length: 1 0 . (a — 1-57 Ft. Ft. WELL: ❑New ❑Upgrade Gravel width: S1 Number of lines: Distance between lines: G S'T t4 Ft. Ft. Classification (Private, A,B,C): Total Depth- ')A � Cased To: Total absorption area- Pipe material:.5alA QVa HO GLAS Ft. Ft. 3D 1 "+' SQ. Ft. f�S'tM 0303 e ( n Driller: Date Drilled: Static Water Level: Installer:t 4.wty Date installed: l l at Ft. fi S@ccvt cBu O l -'2 3/`36 Yield: Pump Set at: Casing Height Above Ground: TANK GPM Ft. Ft. SEPARATION DISTANCES ❑ Septic ❑ Holding To Septic Absorption Lift Holding Public/Private Manufacturer: Capacity in gallons: From Tank Field Station Tank Sewer Lines A,4caoa.AGL_ tale— ZOO C) Welh fop'+ Zoo'+ Zao11- ""' 251{rsF,t-. Material: Number of Compartments: Surface Water , 100 {- I_.. too-+, 106+ '"—' LIFT STATION A4 Lot Line I %ZS ± i 12 {' I 2S �- Size in gallons: 2000 Manufacturer: % AWAoaAGg SYrr Foundation I .} ! �V- 2y ! (� f .._ .. _. "Pump on" level at: -r "Pump off" level at: High water alarm at: 8 cc -r Curtain �aN kN Pump Make & Model I Electrical Inspections performed by: Drain w1�! P1 os 3 HNF M.o Remarks: TN AIr1 J149&4A'Tj%./G BENCH MARK f��G12GuL T n1G sI:PT'IL %b�k Wt T N Location and Description: T vyl - 'roP aF ZrSTctq ort 'Tf4%C4Le F L-1 M R AL0,12i U P F1.oLd PnR c.1 + SYsT�v1 " Assumed Elevation: o v . d Ft - ENGINEER'S S L -ol '1 • „• � t•••e •a r• •. 1i� 1� all ALgSkA 1n1gT>£ IL 10 Inspections performed by: Was? Conk[ Dates: is /14 q8 • •x 4• o • e• •i•*o •• •• 1 c c 2nd ,a• ; •• .....;... a Gameu 9�dt\ IO Z? : e k. Department of Health and Hu n rvices approvals `'"�� '7953 .•: ��� Reviewed r 2 -/2- by: Date: �r�p`RorESS +'w and approved 72-013 (Rev. 9/91) MOA 25 PERMIT NUMBER: AS -BUILT DRAWING PARCEL ID NUMBER: - 5W980316 015-234-42 NEW DRAINFI +TH#1 TIED R FROM TRENCH SPILL INTO VTHE OLD POST TANK CLEANOUT. CK FI?O INSTALLED (SP) / 04 / �� M/ A GF SAMPLE PORT / STH#3 / A, NEW IL FLOW cot TH#2+i// CO3 / / / / i EXISTING BED CONNECTED NEW 2000 GALLON / / TO TRENCH WITH SPILL-OVER RECIRCULATING C MT PIPING. NOT INSPECTED BY / r '% / A.W.W.C., INC. SEPTIC TANK / � � ` ST t A / CO / 1 FCO APPROXIMATE LOCATION (J B EXISTING OF WATER SERVICE LINE 4 BEDROOM HOUSE ri G \, AIR BLOWER IN�e}� CRAWL SPACE �0' \ ALASKA WATER AND WAS'T'EWATER CONSULT'AN'TS, INC. 7320 E. CHESTER HEIGHTS CIRCLE, ANCHORAGE, AK 99504 0 OF A 4 PHONE: (907) 337-6179/FAX: (907) 338-3246 D07 .... ...•.. ...s' %h LEGAL DESCRIPTION: ALPINE WOODS SUBDIVISION, LOT 2, BLOCK 6, TYPE OF WORK: AS -BUILT OF SEPTIC SYSTEM PREPARED FOR: PHONE NUMBER: DENNIS LeBLANC 348-0648 11/2/98 J.L.M. I 1 = 40' ... ....... •. f A. arness: VQaa —7953 •' 0`0' a'�r '•........ •. d ereq, �S.°o 2 OF 3 ����� Dfees�o��a PERMIT NUMBER: AS -BUILT DRAWING PARCEL ID NUMBER: - 015-234-42 SW980316 FINN, am - ICA r0p OF rMK Ar Wr - 96,48 ANI f0F OF rMK G01 511 Ar ODUf - 96.46 IN51LA110N� INLET OUTLET INVEtZI'OF BtIVG NSW 200 G/J.I.ON IRM OF P" Af IN& - 9591 k MCIRCU,AIIN6 50% T" Ar OU11 Er - 95,8b FRJPI. 6M-106&1 NJ51LA1K7N CO2 5AM" FW (5P) 9 99.77 NEW UF'FI,OW FI.11:fz FROM RIXI KIN6 FIN& am -103,29 (AVEt2AGF) G03 olaaNN- am M11 C04 OWINA, 6m a 50UTIhLSr C INSU Ai10N a NMEW W -102,62 FLS r -101,72 �►t MEi . ' i .. MOM OF IMW -99.24 BOITOM OF Tti Wi -96.22 ALASKA WATER AND WASTEWATER CONSULTANTS, INC. 7320 E. CHESTER HEIGHTS CIRCLE. ANCHORAGE, AK 99504 ��C „•, �4� v PHONE: (907) 337-6179/FAX: (907) 338-3246 QGy •• O LEGAL DESCRIPTION: ALPINE WOODS SUBDIVISION, LOT 2, BLOCK 6, ...:.... .. .. ............Q TYPE OF WORK: AS—BUILT OF SEPTIC SYSTEM •• Q •• •• ••• •••,••• PREPARED FOR: PHONE NUMBER: �f) ; f e Garness;• DENNIS LeBLANC 348-0648 O •• CE 953 •,� �eQQ� 0 .......... • • • • • • • • a 04�e�BQ, A • DRAWN BY: SCALE: PAGE: DATE: 11/10/98 J.L.M. N.T.S. 3 OF 3 0O' rofessloo& b4Uoo• 03?1 PO L FROM 3072724E'30 FD'=s Et.Ei--,TR!C 707 .401 �19t�"j[DIVISION UNICEPALI YOI.i14.`CIIORAG^- Jt,[)-4�iLb0� 3600 a9*y•TyLR COAD, ttTASKA I'NSPECITOM Poke: (YAi) 3,4J.4464 Fax-; NAMF,.- EDS E1XCTPd(-; 98-9129 ADDRESS., 6250 iX)WNTY J;JN(,';4 DR L,t -rte: l e"2y3J98 0:34 AM LOT. Z Tat CtiC ti .. ,'►'UX 11'I�"Ifj'�', ',.t'1"%ti 17 CD7 0 "PE OF Electrical Rauh fntpod II&O r r INSP ►W..ON .._..�... . v �. _..... � .....� _. _ , ___�... ._._..__._ �. E, ebe ed_ .. . �Tonon-OHiRpri217CE!7 C„(} 7tii:�.R7S'CCi. [,j WWn-wart ne at next mspec.'tion Do ncit voice i vnti; zt-i�t^yec rd „7 is U O. s"pmved (CIOTT"m mmt4 WOW 6e®ii11�►7I�[7r17.1 A7yi .._._ ..'..._.....rl i'1�i1's�, •f � 1�1 �� __..T-� Mp 17 ME. RECEIVED FEB 9 1999 rWU."C-;PahiY Qt AfIC1101,age i-7ePt. Health & Human Sarvices IPEC7'f1R: j/r` `. `f'�J/Cr .��` f �' j 1?.RM WHEN CORRAC''IONSA th D11NOTRE FOP'r M19 -N1f 777 : cntcrr Alaska Water & Wastewater Consultants, Inc. 6901 Debarr Road, Suite 2B — Anchorage — Alaska 99504 Phone (907) 337-6179 — Fax (907) 338-3246 Consulting Engineers November 12, 1998 Municipality of Anchorage Department of Health & Human Services Division of Environmental Services On -Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 RECEIVED FEB 9 1999 Municipality UiAnchorage Crept. Health & Human Services Ref: As -built Package for Lot 2, Bk 6, Alpine Woods S/D. RECIRCULATING UPFLOW FILTER (RUF) SYSTEM To whom it may concern: Attached is the as -built drawings for the subject installation. During construction there was a mis-communication between the field engineer and the contractor which resulted in the new trench being installed closer to the old bed then necessary. Although the actual location of the bed edge is unknown, it is believed to be about 7 feet away from the new trench at the closest point. Since the new trench is higher in elevation than the old bed there is no was no contaminated soil or water encountered. Given this fact, and the fact that the new drainfield will be accepting highly treated effluent, there does not appear to be any adverse effect associated with the encroachment. At the south end of the trench, the total depth of the trench was 6.4 feet below the original grade, on the high side of the excavation. This portion of the trench is excavated into a high knob, which is higher in elevation that the ground at the test hole. The entire trench bottom is at least 4 feet higher in elevation than the bottom of test hole #2. Test hole #3 (see location on drawing) was excavated to a depth of 15 feet, confirming that impermeable soils and groundwater are not present. If you have any I' . call me a 337-6179, or 244-9612. MUNICIPALITY OF ANCHORAGE i 1 ` M Department of Health and Human Services On -Site Services Program 825 L Street, Room 502 P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-4744 ONSITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade Date Issued: Aug 20, 1998 Expiration Date: Aug 20, 1999 Permit Number: SW980316 Parcel ID: 015-234-42 Legal Description: ALPINE WOODS BLK 6 LT 2 Design Engineer: AK Water & Wastewater Consultants, In Site Address: 006250 DOWNEY FINCH DR Owner Name: DENIS LeBLANC Lot Size: 48574 SQ. FT. Owner Address: 6250 DOWNEY FINCH DRIVE Total Bedrooms: 4 Permit Bedrooms: 4 ANCHORAGE , AK 99516-2461 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 DHHS at least 2 hours prior to each inspection. Provide notification by calling (907) 343-4744 ( 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. 5. The following special provisions. THIS PERMIT ISSUED FOR THE CONSTRUCTION OF AN INNOVATIVE RECIRCULATING UPFLOW TRICKLING FILTER SYSTEM. THE ATTACHED PROPERTY OWNER AGREEMENTS SHALL BECOME A PART OF THIS PERMIT PACKAGE. UPON ACTIVATION OF THE SYSTEM THE PROPERTY OWNER AGREES TO MAKE ARRANGEMENTS TO HAVE THE SYSTEM SAMPLED ON A MONTHLY BASIS TO DECEMBER OF THIS YEAR. THE MOA WILL PAY FOR LAB SAMPLES ONLY. Received By: Issued By: Date: O - -,)'A—% Date:6? -2D — W Alaska Water & Wastewater 7320 East Chester Heights Circle — Anchorage — Alaska 99504 Phone (907) 337-6179 — Fax (907) 338-3246 Consulting Engineers July 23, 1998 Municipality of Anchorage Department of Health & Human Services Division of Environmental Services On -Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 Ref: Septic Upgrade for Lot 2, Block 6, Alpine Woods Subdivision RECIRCULATING UPFLOW FILTER (RUF) SYSTEM To whom it may concern: i�ECEIVED JUL 2 9 1998 MUNICIPALITY OF ANCHUkAGk r7NVIRONMENTAL SERVICES iAViSjQP\ 1. GENERAL: The existing 4 bedroom home is served by a private septic system and a community well. The existing septic system is in a state of failure and must be upgraded. As can be seen from the site plan, the location of the creek, the drainage easement and the water service line, limits the avai)Able area for a septic system upgrade. Given these site constraints, we are proposing to install the Recirculating Upflow Filter (RUF) system. 2. SOIL CONDITIONS: Two test holes were excavated on/around May 21, 1998 and a third test hole was excgxated on June 6, 1998. The soils below the organics are a sandy gravely material in TH#1 and TH#2 to a depth of 2.75 feet & 2 feet. The soils below the organics in TH#3 is a silty soil to a depth of 3 feet. The soils in TH#1 and TH#2 below the sandy gravely material is primarily silt to a depth of 8.25 feet and 10 feet (bottom of test holes). The soils in TH#3 below the siyy soil is a sandy gravely material to a depth of 5 feet and than the soils transition to a primarily silt layer to a depth of 15 feet (bottom of test hole). No groundwater was encountered during the excavation. Two percolation test were performed between the depths of 4.0 feet to 4.5 feet on TH#1 and TH#2. The absorption rate were measured at a rate 8 and 10 minutes/inch (see attached soil logs): A percolation test was performed on T14#3 between the depth of 7.0 feet to 7.5 feet. The absorption rate was measured at a rate of 40 minutes/inch. 3. DRAINFIELD: The intent is to install a Recirculating Upflow Filter (RUF) system that will allow the use of a small drainfield in the area around a 30 foot radius of the test hole #2. The size of the drainfield wilJ:be based upon the previously established criteria for the RUF systems, which dictates that soils percolating between 1 & 30 minutes/inch have an allowable application rate of 4 gpd/ft2, and soils percolating between 30 & 60 minutes/inch have an allowable application rate of 2 gpd/ft2. Given the perk rate of 40 minutes/inch in TH#3, the 2 gpd/ft2 application rate would apply. We are proposing to install a 5 foot wide drainfield that is 35 feet long and has an effective depth of 3 feet (reduction factor = 0.58). This corresponds to an absorption area of 301 ft2, or an application rate of 2 gpd/ft2 (assuming 600 gpd total flow). 4. ORENCO PACKAGE SYSTEM: The STEP tank with the trickling and upflow filter 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. 5. SURFACE WATER: There is a creek and a drainage easement adjacent to this property; but they are greater than 1-00 feet away from the proposed upgrade. 6. TOPOGRAPHY: As you can see from the attached topography site plan, there are no slope concerns in the area of the proposed upgrade. 7. 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. 3 5th I E: LL PROPERTIE I N 0 E XISTING AND PROPOS E C 6 SE MMUNI A `. SKA tv,T]Wi 7320 E.ESTER HEIGHTS IR E PH E: 907) 337-61 9/ E5 IPT{ PI E W UBDIYISION, L 2, OF W K: 4 EM. sl TH MMA 99504 ------------- gy: SCALE: PAGE: J.L.M./A. 1 1 OF J ®4oG5 &, �pOd g TH •'•:T'� QD • �,J••�reyA.• Garne•. •. Q a 44 eaprofe sioao��o gyp, o 0�°pS sip Pq�E1�+gyp°O + \ ®Naas 65�Q THI \ ` PROPOSED ` SEPTIC SYSTEM a�+dap xx" i ♦TH#1 / / TH!V 1 I r`7 r EXISTING SEPTIC / SYSTEM / (STING EODROOM yyiop \ 1 \\ ®4°°s sf p 5. ro 0�5 Slp �+ p0 NOTE: ALL PROPERTIES WITHIN 200'+ OF THE EXISTING AND PROPOSED SEPTIC SYSTEMS ARE SERVED BY A COMMUNITY WATER SYSTEM. ro ac�5!p 0� 1+,Np ps a P�-'lpt ro Pjq �0°p ALASKA WATER & WASTEWATER A=7 OFA pQ 7320 E. CHESTER HEIGHTS CIRCLE. ANCHORAGE, AK 99504 Q O•• S'���I PHONE: (907) 337-8179/FAX: (907) 338-3246 OG •' LEGAL DESCRIPTION: : •• ALPINE WOODS SUBDIVISION, LOT 2, BLOCK 6 0, �,,,, ,,, E OF WORK: SITE PLAN :PARED FOR: PHONE NUMBER: DENIS LEBLANC 348-0648 7/23/98 1 J.L.M./A.C.G. 1 1 = 100' 1 OF 5 ,y,•/ 07953 4�eh'°r0fesslo�_. �*-' NOTE: THE CONTRACTOR SHALL HAVE THE NORTHWEST PROPERTY LINE FLAGGED BY A REGISTERED LAND SURVEYOR. THE ENGINEER WILL NOT INSPECT IF THE PROPERTY LINE IS NOT FLAGGED. PROPOSED DRAINFIELD 35' LONG BY 5' WIDE 6' DEEP W/ 3' OF SEWER DRAINROCK. (SEE PAGE 5 OF 5) EXISTING SEPTIC TANK 'TO BE CRUSHED AND FILLED WITH SOIL. SAMPLE PORT PROPOSED UPFLOW FILTER (SEE PAGE 4 OF 5) PROPOSED 2000 GALLON - RECIRCULATING SEPTIC TANK (SEE PAGE 3 OF 5) / +TH#t PROVIDE SPILL. OVER TO OLD BED. INSTALL CLEAN-OUT AT BED CONNECTION. NEW C/0 D!N R TH# / '� czaiNaG�M 3 � $ —Z—EXISTING SEPTIC SYSTEM / MONITORING TUBES TO BE EXTENDED ABOVE GRADE / WITH PVC PIPE. PROVIDE 1/ NEW CAPS. DEBRIS SHALL BE VACUUMED FROM THE / 1 / i BOTTOM OF THE NORTH MT. APPROXIMATE LOCATION / =BEDROOM OF WATER SERVICE. LINE / O� i NOTE: INSTALL CONTROL PANEL_ IN GARAGE ALASKA WATER & WASTEWATERdOF �A 7320 E. CHESTER HEIGHTS CIRCLE, ANCHORAGE, AK, 99504 �� •• 4��� PHONE: (907) 337-6179/FAX: (907)338-3246 Qa�� �,•'�'•••• •.�i�DO{ LEGAL. DESCRIPTION: • • -j7 ALPINE WOODS SUBDIVISION; LOT 2, BLOCK 6,a .. .. ....... TYPE OF WORK: UPGRADE SEPTIC DESIGN (R.U.F. SYSTEM)• • • • • • • • • ••• • Q • ' Je f A. Gar ess;• PREPARED FOR: PHONE NUMBER: —79 0 DENIS LEBLANC 348-0648 OdQ� 4®G DATE: DRAWN BY: SCALE: PAGE: �4 d A • • • • • • • • A� 7/23/98 J.L.M./A.C.G. 1 = 40' 2 OF 5 Q���Dod�,-y`�' 10W FROM TICKLING FILM; PACK rO SEPTIC f" INUr O 411 WC (XNCO r, y s O Fil ROM WGAIIAIWA P ro TMI FILTM i ,I I PLAN VIEW Lia (jr) / VENT GAP oil outC f 5I'L.ICE PDX fi. -. .:•:•:.:::. umm�un - �_- �-- -....z'i'p • . ��� ■111�1i��lil,ll�;_ 2) 1 HaE & E�iZt�O SCKEENEa VAu.r TANK rAMICAT P MOM 1x6 COLMNG 'V 16" FLAS COM1I a WITH -ANGLE EETf11NI;�5 TNEMEC M-465 COAL rAR 1 �M151ON----------- - EEFU,ENr PUW5 PROFILE VIEW ALASKA WATER & WASTEWATEROF A �4 7320 E. CHESTER HEIGHTS CIRCLE, ANCHORAGE, AK, 99504 PHONE: (907) 337-6179/FAX: (907) 338-3246 O. • • •.' ` �� .• , • / QOJ� 'j" +► LEGAL. DESCRIPTION: ALPINE WOODS SUBDIVISION, LOT 2, BLOCK 6••,;,,,• 9 �'lk vp TYPE OF WORK: PLAN AND PROFILE OF RECIRCULATING SEPTIC TANK •• • •• ......... •• • f e GO ss•• �OO a ••' CE 953 �4' �r ••., PREPARED FOR: PHONE NUMBER: DENNIS LEBLANC 348-0648 .,.••ti�©per r�°fesgol\d\ DArE:7/23/98 DRAWN HY:J•L•M. SCAT -E: N.T.S. PAGE: 3 OF 54v40q RZll Y11AIAC4'Cln FINAL GRADE---, 2' MIN, 5OIL COVER OVER TIS IN51,,ATION, TWO SHEETS OF 4'x& POW IN51LA11ON (111',2) (A" fOr&) MKROOCCKK, WOOVIM 21NI11AfoR-� IN FROM MCR( U A-nNG — - +•— PLAN VIEW 4" 910MI7 calzCiION vim V, %pTlc (A504 PLOCK FFA 159 coc FEET PROFILE VIEW IN51M & OUT' W/ ftwc GOAL TAP Plf(H ALASKA WATER & WASTEWATER 7320 E. CHESTER HEIGHTS CIRCLE, ANCHORAGE, AK, 99504 PHONE: (907) 337-6179/FAX: (907) 338-3246 LEGAL. DESCRIPTION: ALPINE WOODS SUBDIVISION, LOT 2, BLOCK 6 TYPE OF WORK: PLAN AND PROFILE OF UPFLOW FILTER PREPARED FOR: PHONE NUMBER: DENIS LEBLANC 348-0648 DATE: DRAWN BY: SCALE: PAGE: 7/23/98 J.L.M. N.T.S. 4 OF 5 CAP our ° FIEU2 Ou I C3 C�A�NOItf �Xtw fO 5lVmg p �-VffjeYlb e CE 7953 AoQp� � 71 I�~Qa �°►' o f �o ooh_ col AGO I L- - - - - - - - - - - - - - - - - - - - - - - - - - - - OOCAINK L- ffrLlfw FROM [Mow f IMk PLAN VIEW mf co MLLATION m m FINAL. vl� MM t3A5r, MWELP MM Off OF [30ffom OF t5f I -m t MAION, ALASKA WATER & WASTEWATER 7320 E. CHESTER HEIGHTS CIRCLE, ANCHORAGE, Al(, 99504 PHONE: (907) 337-6179/FAX: (907) 33B-3246 LEGAL DESCRIPTION: ALPINE WOODS SUBDIVISION, LOT 2, BLOCK 6 TYPE OF WORK: DETAIL OF PLAN AND PROFILE OF DRAINFIELD PREPARED FOR: PHONE NUMBER: DENIS LEBLANC 348-0648 DATE: 7/23/98 1 DRAWN BY: I.L.M. SCALE: N.T.S. . I PAGE- 5 OF 5 i A movallffiPlawi, r - 9 1 o Ir'53 ALASKA WATER & WASTEWA 7320 HONE CHESTER * FAX (0ANCHORAGE. 32469504 SOIL LOG - PERCOLATION TEST LEGAL DESCRIPTION: ALPINE WOODS SUBDIVISION, LOT 2, BLOCK 6 PERFORMED FOR: BILL HOPPER DATE PERFORMED: ON/AROUND 4/21/98 DEPTH TEST HOLE # 1 (feet) �,,,,,� ORGANICS 1 TER 2 3 4 5 6 7 U SANDY GRAVELY SOIL CLOCK TIME NET TIME (MINUTES) WATER LEVEL READING NET DROP (INCHES) THICKNESS VARIES SOIL CLASSIFICATIONS 0 BUT IS LESS THAN _ 0 _ GW f�- ORG 30 2 FEET. 3-1/4" - 3 30 8." °.` GP 4 ML 60 4-7/8" 3-1/8" GM 5 CL 60 8.. 0- GC OL 5" 3„ PRIMARILY anoG a fl SW 90 MH SILT. SOME •; o0 ; SP CH FINE SAND SM / // ' ' OH VISUALLY LOOKED II TIGHT. SC aI11_ " 9 10 11 12 13 14 15 16 17 18 DEPTH TO DATE GROUNDWATER DRY 4/21/98 DRY 5/7/98 SITE E POLA SEE THE 40 SCALE SITE PLAN FOR THE TEST HOLE LOCATIONS DATE READING CLOCK TIME NET TIME (MINUTES) WATER LEVEL READING NET DROP (INCHES) 4/25/98 1 0 - 8,. _ 0 _ 2- - 30 4-3/4" 3-1/4" - 3 30 8." 0 4 60 4-7/8" 3-1/8" 5 60 8.. 0- 6 90 5" 3„ 7 90 8 120 19 PERCOLATION RATE 10 (MIN./INCH) PERC. HOLE DIA. 20 TEST RUN BETWEEN 4.0 FT. AND 4.5 FT. COMMENTS: SOILS VISUALLY APPEARED TO BE MUCH TIGHTER THAN THE PERK TEST REFLECTED. 6" (INCHES) PERFOMED BY ALASKA WATER & WASTEWATER I, JEFFREY A. GARNESS, P.E. CERTIFY THAT THIS WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 5/9/98 ALASKA WA'T'ER & WASTEWATER 7320 HONE (90S7)337-6170 * FAX (907338 32469504 SOIL LOG — PERCOLATION TEST LEGAL DESCRIPTION: ALPINE WOODS SUBDIVISION, LOT 2, BLOCK 6 PERFORMED FOR: BILL HOPPER DATE PERFORMED: ON/AROUND 4/21/98 DEPTH, , —, TEST H F 0 LE #2 (feet) ,;ORGANICS 1 1 "o READING o"o"o ao NET TIME (MINUTES) SANDY/GRAVELY SOIL SOIL CLASSIFICATIONS THICKNESS VARIES BUT IS LESS THAN GW ="= ORG 2 4/25/98 1 3 8 0- 2 FEET. ' , : GP ML 30 3.75" 4-1/4" GM CL 4 30 e GC OL 4 60 "D MH o 0, D ° 5 5 :Wp •:"• : CH 8" 0 - 6 PRIMARILY SM �� �' OH 6 4-1/4" 3-3/4" SILT. SOME Sc FINE SAND VISUALLY LOOKED 7 I TIGHT. 8 1!1 �T#Mlim_�G�� 11 12 13 14 15 16 17 18 DEPTH TO DATE GROUNDWATER DRY 4/21/98 DRY 5/7/98 SITE O E PLO N SEE THE 40 SCALE SITE PLAN FOR THE TEST HOLE LOCATIONS DATE READING CLOCK TIME NET TIME (MINUTES) WATER LEVEL READING NET DROP (INCHES) 4/25/98 1 0 8 0- 2 30 3.75" 4-1/4" 3 30 e 0 4 60 4-5/16" 3-11/16" 5 60 8" 0 - 6 90 4-1/4" 3-3/4" 19 PERCOLATION RATE a (MIN./INCH) PERC. HOLE DIA. 20 TEST RUN BETWEEN 4.0 FT. AND 4.5 FT. COMMENTS: SOILS VISUALLY APPEARED TO BE MUCH TIGHTER THAN THE PERK TEST REFLECTED. 6" (INCHES) PERFOMED BY ALASKA WATER & WASTEWATER I, JEFFREY A. GARNESS, P.E. CERTIFY THAT THIS WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 5/9/98 ALASKA WA'T'ER & WASTEWA'T'ER 7320PHONE (90�R337 6179 *E FAX ANCHORAGE, (907 � 38-32469504 SOIL LOG - PERCOLATIONTEST LEGAL DESCRIPTION: ALPINE WOODS SUBDIVISION, LOT 2, BLOCK 6 PERFORMED FOR: BILL HOPPER DATE PERFORMED: 5/6/98 DEPTH , TEST HOLE #3 (feet) r7l"'I, ,! ORGANICS SOIL 2 DATE GROUNDWATER NET TIME (MINUTES) SILTLY SOIL 3 DRY 5/7/98 n MISS 8° DQQ�11 SANDY GRAVELY 4 30 7-3/16" HACROSSS Q �VQ VARIED 8" (� THE TEST PIT. 5 60 7-1/4" 3/4- 6- 5 60 8° 7— 789 6 90 a- 4 3/4- 9 PRIMARILY SILT 10- 11 12- 21314 13- 14--- 15 B.O.H. 16 17 18 SOIL CLASSIFICATIONS DEPTH TO DATE GROUNDWATER NET TIME (MINUTES) DRY 111111111 DRY 5/7/98 DRY MISS 8° 0 N. fllllllll NMIlie ` 30 7-3/16" 13/16° 3 30 8" 0 4 60 7-1/4" 3/4- J 5 60 DEPTH TO DATE GROUNDWATER NET TIME (MINUTES) DRY 5/6/98 DRY 5/7/98 DRY 5/9/98 SIS E PLAN SEE THE 40 SCALE SITE PLAN FOR THE TEST HOLE LOCATIONS DATE 19 READING CLOCK TIME NET TIME (MINUTES) WATER LEVEL READING NET DROP (INCHES) 5/7/98 1 0 8° 0 2 30 7-3/16" 13/16° 3 30 8" 0 4 60 7-1/4" 3/4- 5 60 8° 0 6 90 7-1/4" 4 3/4- 19 PERCOLATION RATE 40 (MIN./INCH) PERC. HOLE DIA. 6" (INCHES) 20 TEST RUN BETWEEN 7.0 FT. AND 7.5 FT. rr1MMP:NTQ• THE TEST PIT RAN FROM NORTH TO SOUTH, WITH THE SOUTH END NEAR THE EDGE OF THE BED. THE SOUTH HALF OF THE PIT WAS DISTURBED FROM THE PREVIOUS BED EXCAVATION. PERFOMED BY ALASKA WATER & WASTEWATER I, JEFFREY A. GARNESS, P.E. , CERTIFY THAT THIS WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 5/9/98 FROM : ALASKA WATER & WASTEWATER PHONE NO. : 9073383246 PROPERTY OWNER AGREEMENT FOR THE MAIM1VANCE OF AN ON-SITE WASTEWATER DISPOSAL SYSTEM Jul. 12 1998 05:24PM P1 De,,,w. s is R L,5oja This agreement, dated ` . S Y!! �, is made between the Municipality of Anchorage Department of Health and Human Services (DHHS) and the propeny owners) of: C20) 1 F" t� /ar� This agreement is made for the purpose of maintaining an on-site wastewater disposal system on the subject property. The property owners agree to the following: Submit to the Municipality of Anchorage, on an annual basis, an inspection and operation statement from a registered professional engineer. This inspection and .. operation statement shall verify that the engineer has inspected all effluent and air pumps, timers, and alarms, and that any deficiencies have been repaired and that the system is functioning as designed. (Signature) (Printed Name) F#00-16014p.WIN-4 M - (Signature) -DAN a L4 LL &aoc (Printed Name) -------------------------------Notarize Here ---_---- ----------- ..------------------ State of cc. On this day of , � personally appeared before me, Wan1 Who is personally known to me •aa �i whose identity I proved on the basis of • la UT.- whose identity I oved on the batfi/affirmation of _ Z: CoCO _ �•; Ir, . �c/� , a credible witness Vbd�he..s*gne*Fof the above document, and he/she acknowledged that he/she signed it. 'Notary Public p-r��x,ovuo FROM : ALASKA JATER & WASTEWATER PHONE NO. : 9073383246 Aug. 14 1998 09:05AM P2 Municipality of Anchor dr,% dle Department of Health and Human Services 825 "L" Street Rick Mystrom, P.O. Box 196650 Anchorage, Alaska 99519-6650 Mayor fittp://www.el.ancharagP.Ak.us Dear Homeowner/Prospective Buyer: The on-site wastewater disposal system you are purchasing/installing is an "alternative" wastewater disposal system. This system, known as a "Reeireulating/Upflow Filter Septic System", is undergoing testing within the Municipality of Anchorage under the Alternative System section of the Wastewater Disposal Regulations (AMC 15.65). There are certain risks involved with the ownership of one of these systems: 1. The technology used in this system has been shown to be effective in other areas. The system is currently undergoing a two year testing period in Anchorage under the guidance of the Department of Health and Human Serviccs (DHHS) and the State of Alaska Department of Environmental Conservation (ADEC) to determine its effectiveness in a subarctic environment. 2. The system for this property received a vertical separation distance waiver from both State of Alaska and Anchorage Municipal Codes to ground water. This waiver was granted due to the system's expected performance within the site conditions on this property. I (we) certify that I (we) have read the above statements and am (are) aware of the risks outlined. I (we) also certify that I• (we) am (are) in the process of purchasing (property legal description): (A" -c (Purcha r Name) (Purchaser Signature) A44 -4-I! IZIU.944!sz . - __ (Purchaser Name) -b A 1j a u- LS Aj c (Purchaser Signature) Notarize Here ----------------------------- ___-__-------- state of Q I this day of G�e2/� lq,g8 -c1 personally appeared before .me, who is personally known to me whose identity T proved on the basis of whose ide tit 11 on the oath/affirmation of �— , a credible witness to be the signer of the above d'R�YRRFJtf, and he/she acknowledged that he/she signed it. • U NN T 7" • • _ Z. Notary Public . ,0 • = �r �N.�►••L1 G G .• commission expires !3 0" AL 72-013 (Rev. 3/78) MUNICIPALITY OF ANCHORAGE // • DEPARTMENT OF HEALTH & ENVIRONMF.NTAI- PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 325 L Street - Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME PHONE NEW W� vl iTr S p rl Z� �-I U{ 6� ❑ UPGRADE MAILING ADDRESS -Z T 3 qks OI LEGAL DESCRIPTION I ane in� v u J_S X01- Q l O c lL- 41, LOCATION �- _ NO. OF BEDROOMS DISTANCE T0: Well Comm Absorption � r;a Dwellingt i PERMIT NO D .� VY wQ Manufacturer �r2t� Material` ` No. of compartments h to Liq. rapacity in gallons v IF HOMEMADE: Inside length Width Liquid depth DISTANCE TO: Well Dwelling PERMIT NO. QManufacturer Material Liquid capacity in gallons DISTANCE TO: Well co/')i1'l Foundation ►.oLin Nearest lot line f ly PERMIT NO. Q, L4 o'� 7,g Wz Li Z ? No. of lines Length f each line i 1-2- 3/2,4 Total length of lines Trench width 1 1 \ Z4 ( inches Distance between lines W F- Top of file to finish grade Material beneath the Total effective a orption a;ea / 2 ^ 6 6 inches 3o,D ., _. _ Length Width Depth PERMIT NO. W C7 Q F- Type of crib Crib diameter Crib depth Total effective absorption area Well Building foundation Nearest lot line DISTANCE TO: J Classn Depth Driller Distance to lot line PERMIT NO. W DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s) OTHER i�P= PIPE MATERIALS Pv � � ► 5 SOIL TEST RATING l INSTALLER }}�� _ I C( Z REMARKS ,in/f C-11e0f 16-- ✓C Cle.—, 3 6 sl��yyed �6 6odry 7Zey eo�ia nv' naa/4e bed nve.— the Us so Is Sy,,,�— -&S fr,�� /j ne w Sol-I43 a f4 dati ed • - /s "r� n -O)d eA 41,1 ,yr.- s© y , F cN JY y P"y sr �y day + % I Ut "7 "2 APPROVED DATE S-pt 19 l Y LEGAL M i 72-013 (Rev. 3/78) � � / AMON DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L STREET, ANCHORAGE, AK 99501 264-4720 PERMIT NO: 840779 DATE ISSUED: 09/13/84 APPLICANT: WINTERSON, INC ADDRESS: 1737 SCENIC WAY ANCHORAGE, AK 99501 CONTACT PHONE: 274-0166 LEGAL DESCRIP: SUBDIVISION: ALPINE WOODS LOT: 2 BLOCK: 6 SECTION: 23 TOWNSHIP: 12N RANGE: 3W LOT SIZE: 1.25A (SQ.FT. OR ACRES) MAX BEDROOMS: 4 ' Listed below are the options available to you in designing your septic system. Choose the option that best fits your site. I certify that: 1. I am familiar with the requirements for on-site sewers and wells as set forth by the Municipality of Anchorage (MOA) and the State of Alaska. 2, I will install the system in accordance with all MOA codes and regulations, and in compliance with the design criteria of this permit. 3. I will adhere to all MOA and Stake of Alaska requirements for the set back distances from any existing well, wastewater disposal system or public sewerage system on this or any adjacent or nearby lot. 4. I understand that this permit is valid for a maximum of 4 bedrooms and any enlargement will require an additional permit. ' IF A LIFT STATION IS INSTALLED IN AN AREA COVERED BY MOA BUILDING CODES, THEN (1) AN ELECTRICAL PERMIT AND INSPECTION MUST BE OBTAINED; (2) AS-BUILTS WILL NOT BE APPROVED WITHOUT AN ELECTRICAL INSPECTION REPORT; AND (3) THE ELECTRICAL WORK MUST BE DONE BY A LICENSED ELECTRICIAN. SIGNED DATE: -j�� ----------- -�- �J]r __ 4PP| 7r4mT, urmTF��nm 7mr wW , �' . _-_.... . ,,~.,. ISSUED B DATE: �-��E�PA C��A T���1� ��F���][�� DEPTH TO PIPE BOTTOM (FT.) 4.0 4.5 4.0 GRAVEL DEPTH (FT.) 6.0 0.5 . � / '4!61 3.5 . TOTAL DEPTH (FT.) 10.0 5 0 ^��� "- 7 5 GRAVEL WIDTH (FT.) 2.5 ' -1f�t�-�� � �� ' . 5.0 GRAVEL LENGTH (FT.) 90.0 ** 129.0 ** GRAVEL VOLUME (CU. YDS. 54.2 ^5U,4-' 95.6 TANK SIZE (GALS) 1,250.0 ** 1,250.0 1,250.0 NY- *SOIL SOILRATIN8 (8Q.FT./BR) 270 299 ** GRAVEL LENGTH > 75 FT. REQUIRES MULTIPLE RUNS (NOT EXCEEDING 75 FT. EACH) ** TANK MUST HAVE AT LEAST ________________________________________ TWO COMPARTMENTS I certify that: 1. I am familiar with the requirements for on-site sewers and wells as set forth by the Municipality of Anchorage (MOA) and the State of Alaska. 2, I will install the system in accordance with all MOA codes and regulations, and in compliance with the design criteria of this permit. 3. I will adhere to all MOA and Stake of Alaska requirements for the set back distances from any existing well, wastewater disposal system or public sewerage system on this or any adjacent or nearby lot. 4. I understand that this permit is valid for a maximum of 4 bedrooms and any enlargement will require an additional permit. ' IF A LIFT STATION IS INSTALLED IN AN AREA COVERED BY MOA BUILDING CODES, THEN (1) AN ELECTRICAL PERMIT AND INSPECTION MUST BE OBTAINED; (2) AS-BUILTS WILL NOT BE APPROVED WITHOUT AN ELECTRICAL INSPECTION REPORT; AND (3) THE ELECTRICAL WORK MUST BE DONE BY A LICENSED ELECTRICIAN. SIGNED DATE: -j�� ----------- -�- �J]r __ 4PP| 7r4mT, urmTF��nm 7mr wW , �' . _-_.... . ,,~.,. ISSUED B DATE: MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG — PERCOLATION TEST IIS LOG El PERCOLATION TEST I PERFORMED FOR: 6vll clulls4yvclvi0wj DATE PERFORMED: r) LEGAL DESCRIPTION: Djxy- d t—.T � A'pi-)t- SLOPE SITE PLAN Depth to — 7 10 Time Water Drop it S GROUND WATER S GROUND a 11 b ENCOUNTERED? ENCOUNTERED? IV �12 IF YES. AT WHAT T DEPTH? -13 - Cf tes/inch) 4 Readlipg Date Gross ML io^ f Wr 1. 49 17 Larov Reid, Jr. 146., 22il-E "PERCOLATION RATE GrpTEST l RUN BETWEEN T �y 01 Depth to Net Not Time Water Drop it b Cf tes/inch) MUNICIis CNOAWMPPAGE Dlj$j, OF HEAL)11 & MUNICIPALITY OF ANCHORAGE ENVIRONMENTAL PRvTECI'ION ..f\ DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION P RO ATION 825 L. Street, Anchorage, Alaska 99501 264.4720 SOILS LOG - PERCOLATION TEST RECEIVED PERFORMED FOR: DATE PERFORMED: LEGAL DESCRIPTION: A� ine .n3opds C' /� L(� SLOPE SITE PLAN IPEP 11 (F ) pL i I 2 1 3 - �P tc�,tE S.•�4 � vis • tM•FcA ) � At1 �b � 0 4 A A s �" I ii 9 10 ���• I WAS GROUND WATER S 11 ENCOUNTERED? N a L O ,i 12 i IF YES, DEPTH?AT WHAT E Ij 13 ; ��•�'►1�1� Reading Date Gross Time Net Time 14- i /tsoaoA**as**�a CO 6 : . 15 I i e ...:...... w . tool 15 1 { 0..• 17 ( l <fr - Lero . Reid, Jr. '.� o. 2251-E �. VIII "80FESS0N��a~ 19 Reading Date Gross Time Net Time Depth to Water Net Drop 20 PERCOLATION RATE (minutes/inch) TEST RUN BETWEEN FT AND FT COMMENTS Sa; I 4,.24 -2 -fb G r,eA d,f va f(l i SOQS /1. PERFORMED $Y: r)cr ry _ CERTIFIED BY. DATE: 72-008 (6/79) SOILS LOG MUNICIPALITY OF ANCHORAGE �• DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION /// PERCOLATION 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG — PERCOLATION TEST PERFORMED FOR: b0t Bre Ae,2611 DATE PERFORMED: 6-3c> -8 3 LEGAL DESCRIPTION: AIlRing Woo k 8 6 4 • Mn P, S[ 9,3 02 SLOPE SITE PLAN 1- 2- 3- 4- 5- 6- 7 - - 3- 4- 5- 6-7• 8• 9• 10. 11 12 13 14 15 16 17 18 19 pL pa 4, 6.wvl O'l-i", ��: of c�.•( C' it $Sv'16 SF CCM S'p,�p ��:s..•�1.� rind @ 125ta J6 *1L n Srt} W/ Jt-c� t•�atit� rom�at'f _ 1 S yes L . S,f.1 R y •e TH iNl. E IF YES, AT WHAT i�<" ,•+�/� LeVN12511 eid, Jr. •.� �� �Q F ••. •....,0�� /y' - 2'70 '/, i WAS GROUND WATER S yes L ENCOUNTERED? 0 Depth to Water P iNl. E IF YES, AT WHAT — DEPTH? — .e 1, 1, Reading Date Gross Time Net Time Depth to Water Net Drop iNl. 8-30 3'yC — c.(.B0 — 3 i(•92 •o Z y 24 y3 3 / j fNad yz} 3 3 v 3b 39 oz 4#zo 430- ItyD to Y 95 oy , 20 kOFESS' «••• 3 li_ JI �\l��i:►� PERCOLATION RATE ?— (minutes/inch) /� TEST RUN BETWEEN S Z� `FT AND FT COMMENTS So.I � 51 'iu I�'Z r.�kc� A 25Oti �� So ( 1�n� 3�'2 'fo �� -,4r!d C� 125 X11% .;swt( PERFORMED BY: CERTIFIED BY: 72-008 (6/79) DATE: ' v Municipality of Anchorage Development Services Department Building Safety Division On -Site Water & Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 w lonsite (907)343-7904 r , CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. O /6'- 2 3 CosAf! O 7 O3 Q 1. GENERAL INFORMATION Expiration Date: I ` 1 O A Complete legal description Location (site address) Current Property owner(s) Mailing address Lending agency Mailing address Real Estate Agent Mailing address ALPINE WOODS LOT 2 BLOCK 6 6250 DOWNEY FINCH DRIVE ' ANCHORAGE, AK ANDREA AND EUGENE CHANG Day phone 929-9995 6250 DOWNEY FINCH DRNE • ANCHORAGE. AK Unless otherwise requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 4 3. TYPE OF WATER SUPPLY: Individual Well 0 Individual Water Storage ❑ Community Class/ Well ❑ Public Water System ❑ Day phone Day phone 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 engineers 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 Address 3701 E. TUDOR ROAD, SUITE 101 " ANCHORAGE, AK 99507 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Engineers 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 lost, and separation distances measured to readily Idontitiablo 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 bedrooms. Disapproved. 337-6179 Date 9 11 b"Z_ 94tcw .�.t.p .0.. Jas: E 53 Conditional approval for bedrooms, with the fllowing stipulations: Attachments: COSA Checklist Septic System Advisory Well Flow Advisory Nitrate Advisory y Arsenic Advisory Maintenance Agreements Supplemental Engineer's Reort Other ON-SITE WATER AND :. WASTEWATER �•,. PROGRAM By: ILI, Original Certificate Date: 0,7 (Rm. 1115) Municipality of Anchorage Development Services Department Bulldkq Safety Division ' ...,. On-Stte Water & Wastewater Program 4700 Bragaw St. P.O. Box 196650 Andwrage, AK 9951OMW www.d.andiasge.ak.us (907)343.7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description: ALPINE WOODS BLOCK 6, LOT 2 Parcel ID: O/ 5---Z 3,Y -1i.2 A. WELL DATA Well type —&— If A, B, or C provide PWSID# 24941 Date completed Sanitary seal (Y/N)_ Total depth ft. Data of test Static water level Well production WATER SAMPLE Cased to ft. FROM WELL LOG ..1 h\ Conform colonies/100 ml. Nitrate mg./L. Well Log (Y/N) de Wires properly protected (Y Casin=CTION ground) in. AT ft. g.p.m. Other bacteria oolonies/100 mi. nic: ugJL. Date of sample: Collected by: B. SEPTICIHOLDING TANK DATA Tank Type/Material REACTEX SEPTIC/STEEL Date installed 10/22/1996 Tank size 2000 gal. Number of Compartments 2 Cleanouts (Y/N) YES Foundation cleanout (YIN) YES Depression over tank (Y/N) NO High water alarm (Y/N) YES Date of pumping 8/7/2007 Pumper NORTHLAND C. ABSORPTION FIELD DATA 168MOW EXISnNO Date installed 10/22/1998 Soil rating .p.d or ft'/bdrrn) 2_0 System type SHALLOW TRENCH Length 35' ft. Width 5 ft. Gravel below pipe 3.02 ft. Total depth 06.5 ft. Eft. absorption area 301 ft' Monitoring tube YES Depression over field NO Date of adequacy test 8/17/2007 Results (Pass/Fall) PASS For 4 bedrooms Fluid depth in absorption field before test 3 in. Water added 636 gar, New depth 4_5 in. Elapsed Time: 231 min. Final fluid depth 0 In. Absorption rate >= 600+ g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) NONE KNOWN If yes, give date D. LIFT STATION Date installed "Pump on' level at_ in. E. SEPARATION DISTANCES Size in gallons Manhole/Access (Y/N) "Pump off" level water alarm level at in. Cycles tested Meets alarm & circuit requirements? SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tankilift station on lot Absorption field on lot Public sewer main Sewer /septic service line areas COMMUNITY WATER On adjacent On adjacent sewer manhole/deanout Holding tank Manure/animal excrete storage areas SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 50+ Absorption field 5'+ Water main 10'+ Water service line 10'+ Surface water 100'+ Wells on adjacent lots 200'+ 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 200'+ F. COMMENTS G. ENGINEER'S CERTIFICATION I certify that l have determined through Neld inspectlorms and t •' 9 V review of Municipal records that the above systems are in """" "' conformance with MOA COSA guidelines in effect on this date. ... .... ............ :.... is r A. am Engineer's Printed Name JEFFREY A. GARNESS DSA `,' —795 / •ok Date `I /Ir�a� r !aa •_.... dFc COSA Fee S -3 0 Date of Payment „L7 /0 ;2 Receipt Number lA R % el (R�. IIMS) Waiver Fee $ Date of Payment Receipt Number w■'�-P-6-2007 06:37A FROM: ■.s✓uM[eS euf/iw-M�+I�q•�•b lou nlee lJee�wssr Nrm .c. r..1m.w�..w efw API Nf A+ HOME SERVICES, INC. 7501 E. 140th Avenue Anchorage, Alaska 99516 345-1890 CUSTOMER • Andrea Chang 6250 Donwey Fiach Drive Aneharege, AK 99516 Lot TO:3383246 13:1/1 v�S INVOICE# 32873 DATE DESCRIPTION AMOUNT U Septic Inspection $55.00 -55.00 `. Less Charge Card Payment. tr. Far to Gayness TOTAL REMARKS tqr 27 Gallons Septic Leach Area Holding Tank Standplpes Time ❑ PROBLEM AREA— CALL FOR MORE INFORMATION ❑ NEEDSTO BE DONE AGAIN IN 6 MONTHS ❑ Good Shape ❑ sludge buildup on bottom ❑ Floater on top ❑ Jim cap missing or ❑ Cut standpipe to V above ground ❑ Needs Septictrine needs replacing a LSiR NJG-21-2001' &:05N FROM: a a %x %Czn* A+ HOME SERVICES, INC. 7501 E. 140th Avenue Anchorage, Alaska 99516 345-1890 CUSTOMER MI Andrea Char- 6250 hag6250 Dmuey Finch Drive Azm aorage, Lot 10:587E'C- :. ': /eL\pw S0 - P:1/1 INVOICE# 32708 DATE DESCRIPTION -i O AMOUNT ry.7- P=p sgptic Clem Vfrt $15500 Ot TOTAL :REMARKS ter{ t�,> t...,•• � � c� � Gallons Septic Leach Area Holding Tank ❑ PROBLEM AREA —CALL. FOR MORE INFORMATION ❑ NEEDS TO BE DONE AGAIN IN 6 MONTHS Good Shape ❑ sludge buildup on bottom Jim cap missing or ❑ Cut standpipe to V above ground needs replacing Standpipes Time ❑ Floater on top ❑ Needs Septictrine W YLW XLT.O'. SURVEY cExnFlcAroN\\,e,fff ♦ .G��� Robert E. Yreparea Dy Johns, Jr. & Assoc. T PUN♦•�P,:•' c f♦ Professlonal Land Surveyors ,, w Av. r rrrer r r r r rr.w •'L.Ly f/ 000 642 E 12 AVE. ANOIORACC. ALAS:A \1501 KETAL fENS METAL =Z'— _ / Sadist.Red, Sadist. Let S.F. FYe No. LL CPiot nUNDAMON AS -BUILT y' Date $;rtaya: x,, a Y• cneaAea by,. r, S aw a. r,q r•y wr 1 w r....r w Mew •w� r r .. ....... ... .. ........... Wwww MMMr.rr •..•r- w eNw.r.. r Pw Awr. / O3ER $, .IP ` � t t Dela D.errX:2738 w er r w•r.wwr ar, r. / y p INAL SIRUCRIRE AS-0V0.T ♦�'ie^''•. ••• .:• �J ♦ ✓gal DavWUm: ....caw e_wreY erl •r r r • ....... ..•• p ♦�♦ 'a<e/asabAd V'�♦♦♦ Lot 2 Block/'Block�r..1�w.rrrwi..�+ •w. w ... r .r '\t\LtK��♦ LLyy ine 1 - bods O O D LOT XwVI:y SURVEY TYPE FONOAIIOR ASBAT MAL STM&IUK AS-VJLT O SET RESAR � -► FOUND REBAR ems SYMBOLS DRAIKACF FENCE ......... © ASPHALT ::•.. ©� D P•pT 0'A ... AS-sn.T ... Loy SURVEY ... TopO7t 000 ASSJNED [:.EV, iEx--R• KETAL fENS METAL n wain Ds rff-V � w'n� <'✓ IT IS THE RESPONSIBILITY OF TNC SUI•.DER OR OWNER. PRIOR TO ONLY THOSE IMPROVEMENTS ABOVE GROUND AND Vf:SBLE MIL BE CONSTRUCTION, TO VERIFY PROPOSED BUILDING GRADE RELATIVE SNOV.N. FENCES, W^,..LS, SCPTIG C-CANOUTS. SIDEWALIKS. DRIVEWAYS. TO rNIS.. ED GRADE AND LMUTY CONNECTIONS AND TO DETERMINE ETC., ARE SHOWN IN THEIR APPROXIMATE LOCATION. ONLY. SNOW THE EXCSTENCC OF ANY EASEMENTS. COVENANTS OR RESTRICTIONS MAY PREVENT SOME IMPROVCMCNTS FROM BEING SEEN AND LOCATED. WHICH DO N T APPEAR ON TMC RECORDED IRDNISION PLAT. AL I-rAN a Arc RcCOQn IN• cav yr r N ^ UNDER NO CIRCUMSTANCES SNOULD AN AS -BUILT BE USED FOR CONSTRUCTION OR FOR ESTABUSNwG BOUNDARY CR FENCE LINES- THE INESTILE SURVEYOR TAKES RCSPONSIRUTY FOR THE INITIAL TRANSACTION ONLY AND ASSLIMES FINANCIAL UABIUTY ONLY FOR THE COST Or THE SURVEY. LISTED DISTANCES PREVAIL OVER S-••ALING. REPRODUCTION MAY CAUSE ERRORS IN SCALE. r ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND REPAIR AGREEMENT MEMORANDUM OF UNDERSTANDING BETWEEN M ICIPALITI' FAN' C#I.O,RAGE AND !//r A /�LFJL THIS MEMORANDUM OF UNDERSTANDING made and entered into as of this 1 Day of� of 2 , by and between 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 (AW WTS), described as = • A. S F located at 411141 -lit- ItJdM� 2. Definitions. Anchorage, Alaska. 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 AW WTS 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 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 the requirements of this agreement, the conditions of 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 !bLA.z) 4_.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. 4. Term. The term of this Memorandum of Understanding shall be for the life of the AWWTS. If The terns 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. 5. Alterations, Installation and Removal or 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 tern 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 will all applicable ordinance, 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: C. Owner acknowledges that the fine schedule for failing to maintain and repair an AWWTS are codified in AMC 14.60. D. Owncr agrees that only maintenance, repair personnel certified by the Municipality will inspect and make any necessary maintenance, repairs or permitted alterations to the system. 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. Nomvaiver. 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 effect the validity of the 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 of this Memorandum of Understanding was executed and such writing shall be attached to this Memorandum of Understanding as an amendment. 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: Anchorace: 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. ONVNF,R: By: Date: ! ^�� — 9672 7 STATE OF ALASKA THIRD JUDICIAL DISTRICT MUNICIPALITY: By: Title: Date: ) ss. The foregoing instrument /H�aa�s acknowledged before me this lAday of 20� by � _/U Cli:tt✓t , Y PUBLIC FOR emission expires: pTARJ PUBL.IG Municipality of Anchorage • Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 South Bragaw St. P.O. Boz 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907)343-7904 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcell.D. 015-234-42 1. GENERAL INFORMATION Complete legal description Alpine Woods Blk 6, Lot 2 Location (site address or directions) 6250 Downey Finch Dr Current Property owner(s) Denis & Dana LeBlanc Mailing address Lending agency Mailing address HAA #� Expiration Date: -30— Day phone 348-0648 6250 Downey Finch Dr., Anchorage, AK 99516 Day phone Real Estate Agent Kathy Chambers/ ReMax Properties Day phone 727-5500 Mailing Address 2600 Cordova St., Anchorage, AK 99503 Unless otherwise requested, HAA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 4 3. TYPE OF WATER SUPPLY: Individual Well Individual Water Storage ---- -Community Class ---Well— Public Water System TYPE OF WASTEWATER DISPOSAL: 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 sample results. (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. Individual On-site n✓ ❑ 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 sample results. (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 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 Watkins Engineering, Inc. Phone 349-1851 Address P.O. Box 110443, Anchorage, AK 99511-0443 _. -- - --- Date Engineer's Printed Name Cindy W. Ellis I 'gym` Cina Ellis 4 5. DSD SIGNATURE �' `• CE- Approved for bedrooms. �o \ Disapproved. ssiotir� c e X Conditional approval for 4 bedrooms, with the following stipulations: At the t, nqfpr.rr Ir r hall civ— i-'' attached maintenance agreement which shall be returned to this office before an unconditional approval is issued. Additional Comments Attachments: HAA Checklist Septic System Advisory Well Flow Advisory X Maintenance Agreements Supplemental Engineer's Report Other By: _ Original Certificate Date: (Rev. 0IM2) Munil Deveroprr lent . nAC oon an , y�uvIUU rvvaiu IF "' Well Log: (Y/N) ,,,Sgnitary'seal (Y/N)_ Wires prdlserly protected (Y/N) ft Cased to ft. Casing height (aboveground) n. At INSPE&rM -. ft ROMM olornes/100 ml Nitrate m /I colo es/100 ml 9 Other bacfena r+J•A. - Date of sample: Coueriar� n„• Date installed 10/23/98 ��'��s� Vc"`.�"Q'^*.m.�✓h"f�:m��^Ft^.u+W�' °R-'4`�^ RA C`caYhe9 avlk..u✓ .,.+ Sk ..,c,<z :. Number of impartments? Cleanouts (YIN} Y ,4� lvre,�r- icLp iy ay.N.u.nr yr it iDarm) .v System type sneoow crencnmeacrex ia&Rim s�'"r��' ���i `�` 3�i�a�'?t3r�ak"?Sk�MXasiA7+"s=��:.s�+ma.,.�scS�'h.ys.,_ua�t+.r,., a, sme:zWidth 5,0 ft. Gravel below, pipe 3.0 ft,orp#io�yn area'" fty`Z�v Monitormg tube _ Depression over field n*� �i� �,�q�`�5�t�����^�Ca�^fin «:Y'A,-laY^-'xi`v."rgkHc..i' a..v3;.5v. _:,::� ResultsPas�/Pail) PASS Por a bedrooms., ..,�.:.,w�xi.'.�+'ia''��°Au"�``�,.,a�'�Sta�'��`"-„`e'w'-�.wvb",w�'.u.`.�:.x..�w'"mb.�:`.'.t.:�, d.�. `. ^„ "z, ,..�ore,test, � in. Water a�fd"s� 6��aaL New dentR 6.9 .n L `Size in gallons 000 STEp�' "'"`�ManholelAccess (Y/Nj ___.--- 47 in. . Pump `ofP`leJel at 44 in, HigA water`alarm level at 50 n tank' CYcles'tested 3 Meets alarm &circuit requirements? Yes '0 `tY ,A•i,gvr a.1 .� »S .nt. v.. ." ..._ o n fANC�S�ROI�I�L� OOO: N�L adjacent lots ° in on fot NA On adjacent lots lot '' ,. ,� Publics hole/cleanout �--: w. ANCES FROM SEPTIC/HOLD"ING TANK` ON LOT TO: 6�_ Property line 25 � " t Absorption field 5+ y „ x+„ 35+ Surface water '100+ WaYer`service line records SORf�it'bN FIffLb ON LOT TO. �mg foundation 10+ Water main 100+ Driveway, parking/vehicle storage 2 ace water �— Is on'adjacent1ots'200+ Ind upflow filter. Water put into 1998 trench. 1984 bed rema ugh field Ins ecpons and _ 49TH .� above systems are in * ' !ries in effect on this date... ........f.��,y/' •••••• R r < t a A, �t tom_ Sys r 30 r _ 9 e CO o� S TB' Wo -4e,, -rev" Z -4� , 7 • �E OF qC,q �1. 57M A i It is the responsibility of the own existence of any easement"s, co" �'el which dont appear -inn the record Under no circumstances shown DATE: 7A416,. C'14 1` WP'* VA S I. • •t rwllnp• ••10.0 ' '�PN4 r LEGEND Z DRASS CAI MONUMENT 0 IRON -PIPE' - f REDAR CORNt"-OTjK5 G HUD AND'TNCF ..a..a.v uvvn. -azo .o �q r?,�j • s�� off, ,w.. REVISIONS"" DATE 2738 Em