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BEAR VALLEY BLK 3 LT 1
Bear Valley Block 3 Lot 1 #020-431-06 AUG 16 01 Inspection Report _11f-12.doc Municipality of Anchorage Community Development Department Page 1 of 3 On -Site Water and Wastewater Program 4700 Elmore St. • P.O. Box 196650 Anchorage, AK 99519-6650 • http://www.muni.org/onsite • (907) 343-7904 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP141160 PID Number: 020-431-06 ❑ New 21 Upgrade Name: Ronald A. Boyle ABSORPTION FIELD Fv] Deep Trench ❑ Shallow Trench ❑ Bed ❑ Mound Address 16236 Black Bear Drive Anchorage, AK 99516 ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 3 .6 GPD/SF 11.5 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade 3.5 Ft. Gravel depth beneath pipe 8.OFt. Subdivision Block Lot Bear Valley 3 1 Fill added above original grade 0-1 Ft. Gravel length 50 Ft. Township Range Section Gravel width 3Ft. Beds: Number of Lines Distance between lines I Ft. SEPARATION DISTANCES To Septic Absorption Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Lift Station Tank Line 800 Fe One FL Well >100' >100' >100' >75' >25' TANK 71 Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer Anchorage Tank Capacity i 1,000GaI. Surface water >100' >100' >100' >100' Material Steel Number of compartments Two Lot Line >5' >10' N/A N/A NA Foundation >5' >10' NIA N/A LIFT STATION Manufacturer Capacity Gal. Curtain Drain None Noted Pump on level at Pump off level at High water alarm at Remarks in. in. in. Pump make and model Electrical Inspections performed by PIPE MATERIAL Housetotank D3034 Tankto D3034 drainfield Installer G&R Excavation Drainfield F810 CO/MT D3034 Inspector J. Berkram BENCH MARK (Assumed elevation) 100.Oft Inspdecilon 1" 6/12/14 - 6/13/14 Location and description ates: 2nd Back Deck NE Corner. 3" 41h COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL TTtootl s� Conditional Approval: Date .r l�: *; 49!B* i ............ .....�. i ......... . ...... . MICHAEL E. ANDERSON CE -4381 Approved . Date Inspection Report _11f-12.doc PID No.: 020431-06 A I B St 34.7 46.2' S2 FDV 44.5' 55.6' M i 92.0' 91.0' C6 64.5' 76.5' C7 92.5' 91.5' Q:10i MT — Monitor Tube FCO — Foundation Clean Out TH — Test Hole CO — Clean Out FSV — Flow Splitter Valve Municipality of Anchorage DEVEOPMENT SERVICES DEPARTMENT 4700 Elmore Road Anchorage, AK. 99519-6655 - 343-7904 Permit Number: OSP141160 Page 2 of 3 I I I \ III � III I\ 70' CEA Eoseh* \\ \ 1 I I I \ III 1 \ VIII I ` E1 i l ' BEAR VALLEY SUBDIVISION will I \ wI I I I LOT 1, BLOCK 3 Z / Three Bei Home o I Z / l II 1 i I I I Existing I I Well II II 1 II 1 II I I NOTE: ' As Built Not Completed from Surveyor As Built. Locations \ ore not Exact. SITE AS -BUILT Gravel Drive \ \ 6� 1�a 0F'P� SCALE 1" = 50' III h in I I I I \ \ °v`• 10 450' Section I cT Mt \ ��! Line Esmt. 1 I 1 1 11 \ TH? \ ` S ° I I \ rHf y \ 111 I 11 I TEN i Existing Trench c6 Os \ I I i sv 03 \ r\ I III I \ I FCO `\ Existing Septic Tank \ II I Decommissioned in \ I�r Accordance with \ Municipal Code. \ Z / Three Bei Home o I Z / l II 1 i I I I Existing I I Well II II 1 II 1 II I I NOTE: ' As Built Not Completed from Surveyor As Built. Locations \ ore not Exact. SITE AS -BUILT Gravel Drive \ \ 6� 1�a 0F'P� SCALE 1" = 50' Municipality of Anchorage DEVEOPMENT SERVICES DEPARTMENT 4700 South Bragaw Street Anchorage, AK. 99519-6655 - 343-7904 On -Site Wastewater Disposal System or Well Inspection Report Permit Number: OSP141160 SRW E/)/ U) UU 1,000 Gallon Septic Tank .2 91.0 Page 3 of 3 PID No. 020431-06 x ti PROFILE No Scole 50' (Trench Length) AS -BUILT 90.7 ngineer: -egal Description permit: teport Type: Municipality. of A-4-cho��g P:O Box 196550> 4700 Elmore Road Anchorage, Alaska 99519-6650 (907) 343-7904 Fax (907) 343-7997 htto:S/wtvw.muni.orgic.nsite Planning and Development Senftes Department On -Site Water and Wastewater Program On -Site Sewerlftfell Subinit•:tai Comment Sheet ANDERSON ENGINEERING BEAR VALLEY B3 L1 OSP141160 Septic As Built Review Completed By: -he attached paperwork has been reviewed and is being returned for the following reasons: 1. Is a slope waiver needed? 2. Swing ties do not scale. par 9/15/2015 J.Poet 1. A slope waiver is not required. Grading was completed after construction of the new absorption trench to insure no slopes >25% are within 50'. 2. The swing ties are based on measurements taken in the field. The as built was not completed from a surveyor as built so the location of the house is not exact. The swing ties are close, but will not scale exactly without a scaled surveyor as built to comp!ota the drawing from. On -Site Wastewater Disposal System Permit MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 Elmore Road, PO Box 196650 Anchorage, AK 99519-6650 Telephone: (907) 343-7904 Permit Number: OSP141160 Tax Code Number: 02043106000 Work Type: Septic Upgrade Permit Effective Dates: June 11, 2014 to June 11, 2015 Design Engineer: ANDERSON ENGINEERING Subdivision: BEAR VALLEY Site Legal Address: BEAR VALLEY BLK 3 LT 1 G:3242 Owner/Address: BOYLE RONALD A JR 16236 BLACK BEAR DR ANCHORAGE AK 995166907 Site Mailing Address: 16236 BLACK BEAR DR, Anchorage Lot Size in Sq Ft: Total Bedrooms: This permit is forthe construction of: 59031 Y Disposal Field Y Septic Tank N Holding Tank N Privy N Private Well N Water Storage l I-/- /Q , C7 All construction must be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80). 3. The wastewater code requires inspections during the installation. The engineer must notify the Development Services Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either: A. Open and Close on the same day. B. Covered, sealed, and heated to prevent freezinc. Special Provisions: A slope waiver may be required. Inspection Report if needed. Received Issued By Waiver request and fee to be submitted with i. 0 a MUNICIPALITY OF ANCHORAGE Community Development Department Phone: 907-343-7904 Development Services Division FSM11 -7�,�7 TAOn-Site Water &Wastewater Program ��'"' j ON-SITE SEWER/WELL PERMIT APPLICATION MAY 3 0 2014 L Parcel I.D. 020-431-06 Property owner(s) Ronald A. Boyle Day phone Mailing address 16236 Black Bear Drive Anchorage, AK 99516 Site address 16236 Black Bear Drive Anchorage, AK 99516 Legal description (Sub'd., Block & Lot) Bear Valley, Block 3, Lot 1 Legal description (Township, Range & Section) Lot Size 59,031 Sq. Ft. Number of Bedrooms Three (3) APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field 0 Initial ❑ Single Family (SF) (w/wo ADU) Septic Tank 0 Upgrade El Duplex (D) Holding Tank ElRenewal ❑ Multiple Dwellings Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR: Dis tance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. m� Z: liN (Signature of property owner or Permit/Rush Fees: 549? Date of Payment: (ola t i Ll Receipt Number: b38(p44-- Permit No. - PermitNo. 43S10/411146 Permit App_9-1-12.doc Waiver Fees: Date of Payment: Receipt Number: Waiver No. x❑ e May 30, 2014 Municipality of Anchorage Development Services Department On -Site Water and Wastewater Program 4700 Elmore Road Anchorage, AK 99519-6650 Subject: Lot 3, Block 1, Bear Valley Subdivision Septic System Design and Permit Application Impacts to Adjacent Properties Dear Onsite Services Engineer The existing absorption trench on the subject lot has failed and must be replaced. We are therefore requesting a permit be issued for the upgrade of the septic system to accommodate the three-bedroom home on the lot. The attached Site Plan and backup documentation identify the location and configuration of the existing and proposed septic systems. The existing septic tank will be decommissioned in accordance with Municipal Code. The existing absorption trench will be left intact and tied to the new system with a flow diverter valve. Also identified on the plans are the locations of the existing well on this and adjacent lots and adjacent septic systems. No conflicts exist between the proposed septic system and the wells on this or adjacent lots. Protective radii are shown to the adjacent wells. Drainage arrows are shown indicating the current drainage patterns. The drainage patterns will be maintained after construction. The test hole placed on the lot indicated Silty Gravel with Sand (GM) to a depth of 17.5'. No groundwater was encountered during the excavation and none has developed over the ensuing monitoring period. The percolation rate in the GM soil lense was determined to be 17-19 minutes per inch. The SP layer percolated at a faster rate and less than 10 minutes per inch. The test in the SP layer was not completed in accordance with Municipal requirements and the application rate for this soil lense was not used in the absorption trench design. We have designed the new trench with an application rate of .6 gallons per day per square foot. We are proposing to place a 50' long by 3' wide absorption trench with an 8' effective depth. The total depth of the system will be 11' with the distribution line at 3' below the existing surface. The ground surface on the lot slopes to the northeast in the area of the absorption Lot 1, Block 3, Bear Valley May 30, 2014 Page Two trench. The trench will be placed parallel to the contours of the ground as much as possible and in conformance with design criteria. A minimum of 1 00'will be maintained between all components of the septic system and the proposed well and from any surface water in the area. If the system is constructed in accordance with our design the following statements apply: 1. The system, if constructed as designed, will have no adverse impact on the wells in the area or those to be constructed in the future. 2. The system, if constructed as designed, will have no adverse impact on existing septic systems in the area or those to be constructed in the future. 3. The system, if constructed as designed, will have no adverse impact on reserve space, either surface or subsurface, on any lots located in the area. 4. The system, if constructed as designed, will have no adverse impact on drainage patterns in the area. The current drainage pattern will be maintained. Sincerely, Michael E. Anderson, P.E. Attachments W* Ilk .•••�E. OF.. q< '♦p `''''♦♦i It .'• 49th ••ri: ♦: MICHAEL E- ANDERSON No. CE -4381 • \ SNOW ARIt ' zwell , Well I i : l I\ 1 III. III III I III I III I III I 2 ,II III III III I Existing 8 Well II i I Existing Wei II HONEY -� -- --�/ BEAR DR/V, 1 1 •.••�OF .�•. A 49th t 1 Y ;MICHAEL E. ANDERSON •• NO. � CE-4381 � ••;F.J AREA MAP' Y ;- ♦� to��i•••• SCALE 1" = 100' 1 / r BEAR VALLEY SUBDIVISION LOT 1, BLOCK 3 I I I \ III 59,031 S.F. III I♦ 70' CEA EcseFT��t ! \\ \ I I I I \ I I I I \ dl I I \ E I I I \ Deco WORK Deco:Tank \ mmisis sion Existing Septic m in l I I \ Accordance with Municipal Code. Place FoundationCleanout and Construct New 50'L I I I 50' Long z re ch. x 8' Flow Effective Depth Absorption Trench. Place Flaw Oiverter Valve. Connect Existing Trench for Future Use. I I N I I I 50' Lon x 3' Wide \\ 29 II I x S' Effective Depth \ LL I I Absorption Trench \ 50' Section I I I ,+ CO TH20 \ rLine Esmt. I j 1+/ S \ 7p I II I I \\ THIO G \ -`�� III I I %.♦ I I \ . 1 \ Existing Trench tw' M o F\\ M iI I I sov OSP \ i Sv 3P\\ III I \ II I FCO \ II I Decommission \\ III I Existing Septic Tank \ I in Accordance with Three Bedroom Municipal Code. I Home /\ G N MT - Monitor Tube FCO - Foundation Clean Out TH - Test Hole CO - Clean Out FSV - Flow Splitter Valve Gravel Drive \\ / 6� / NOT No Areas of Excessive Slope or Surface Water are Within 100' of Any Part of the New Septic System. PLAN 49th MICHAEL E. ANDERSON LOT 3, BLOCK 1, BEAR VALLEY SUBDIVISION DESIGN FACTORS: Three Bedroom Home Perc. Rate: 17-19 Min./Inch Application Rate: .6 GPD/SF SYSTEM REQUIREMENTS: Deep Trench System 1,000 Gallon Septic Tank 8' Drainfield Rock 3 Bedrooms X 150 GPD/.6 GPD/SF (Application Rate) = 7500 SF Absorption Area 750 SF/16 SF/LF = 46.9 LF Trench Length THEREFORE: Construct a 50' Long x 3' Wide x 8' Effective Depth Absorption Trench at the Location Shown. Flowline Elevation in the Trench to be 3' Below Exisitng Grade. Total Depth to be 11' Below Existing Grade. Provide 4' of Cover Over Septic Tank and T of Cover Over Absorption Trench. Maintan 100' Separation from Wells in the Area. Place Flow Diverter Valve and Tie In Existing Absorption Trench for Future Use. Natural Backfill 2'6" Geotextile Fabric 6" O 4' Perforated PVC (Holes Down) M, 3' Drainfield Rock TYPICAL DEEP TRENCH SECTION �o , (NO SCALE) �� P�....... ......�. NOTE: Grade Area Over Trench to Drain Away. Minimum 6' Separation From Bedrock.49�yth Minimum 4' Separation From Groundwater. 0 ,�,;<� „zz Minimum 100' Separation From Wells in the Area. . ."O ' MICHAE.. E. ANDERSON Minimum 100' Separation From Surface Water or Streams %. No. CE.4331 MUNICIPALITY OF ANCHORAGE DEVELOPMENT SERVICES DEPARTMENT 4700 BRAGAW STREET ANCHORAGE, AK 99519-6650 DEPTH (feet) 1- 2 3 4 5 6 7 8 9 SOILS LOG - PERCOLATION TEST LEGAL DESCRIPTION: LOT I, BLOCK 3, BEAR VALLEY SUBDIVISION PERFORMED FOR: RON BOYL DATE: 5/l/2014 PROJECT No.: PARCEL ID#: TECHNICIAN: A. HARALA 11 a 12 13 4 AA a 15 16 17 18 19 TEST HOLE 1 OB/OG SP SILTY GRAVEL SAND a GM 4 r-, BOH @ 17.5' WAS GROUNDWATER ENCOUNTERED? _ IF YES @ WHAT DEPTH OF WATER AFTER MO DATE OF MONITORING: SLUh'E 2% No :3 MICHAEL E. ANDERSON No. CE -4381 . SITE PLAN SEE SITE PLAN Y z z DEPTH? „S MONITORING: NONE L 6/11/2014 5% DATE READING GROSS TIME (MINUTES) NET TIME (MINUTES) DEPTH ro WATER (INCHES) NET DROP (INCHES) TEST HOLE PRESOAKED PRIOR TO TESTING: 511 1 17:49 5.8811 2 18:19 30 7.50" 1.6211 3 18:20 5.8111 4 18:50 30 7.3811 1.5711 5 18:51 5.8111 6 19:21 30 7.38" 1.5711 PERCOLATION RATE: 19 (MIN/INCH) PERC. HOLE DIA. 6f(INCHES) TEST RUN BETWEEN: 5_0 FT. and 5_5 FT. COMMENTS: TEST HOLE PRE SOAKED PRIOR TO TEST. TEST PERFORMED BY ANDERSON ENGINEERING. I, MICHAEL E. ANDERSON CERTIFY THAT THIS WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPLE GUIDELINES IN EFFECT ON THIS T1ATF7• 6/11/2014 MUNICIPALITY OF ANCHORAGE DEVELOPMENT SERVICES DEPARTMENT 4700 BRAGAW STREET ANCHORAGE, AK 99519-6650 SOILS LOG - PERCOLATION TEST LEGAL DESCRIPTION: LOT I, BLOCK 3, BEAR VALLEY SUBDIVISION PERFORMED FOR: RON BOYLE DATE: 5/l/2014 PROJECT No.: PARCEL ID#: TECHNICIAN: A. HARALA DEPTH TEST HOLE 2 (feet) 1 2 3 4 5 6 7 8 9 OB/OG SP PERCOLATION RATE < 10 MIN./INCH ° d 4 a SILTY GRAVEL SAND 4 GM 11 d . 12 ° 13- 14- 15 314 15 d 16 17 SLOPE WAS GROUND WATER ENCOUNTERED? NO ° IF YES @ WHAT DEPTH? DEPTH OF WATER AFTER MON TORING: NONE DATE OF MONITORING: -76/1111/20114 BOH @ 17.0' e 49th E. MDERSON SITE PLAN SEE SITE PLAN G i Ls 5% DATE READING GROSS TIME (MINUTES) NET TIME (MINUTES) DEPTH TO WATER (INCHES) NET DROP (INCHES) TEST HOLE PRESOAKED PRIOR TO TESTING: 511 1 17:54 4.63" 2 18:24 30 6.44" 1.81" 3 18:24:30 4.50" 4 18:54:30 30 6.25" 1.75" 5 18:57 4.38" 6 19:27 30 6.12" 1.74" PERCOLATION RATE: 172 (MIN/INCH) PERC. HOLE DIA.-6L(INCHES) TEST RUN BETWEEN: 4_5 FT. and 5_0 FT. COMMENTS: TEST HOLE PRE SOAKED PRIOR TO TEST. TEST PERFORMED BY ANDERSON ENGINEERING. I, MICHAEL E. ANDERSON CERTIFY THAT THIS WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPLE GUIDELINES IN EFFECT ON THIS DATE: 6/11/2014 GREA rtR ANCHORAGE AREA BOR(-oGH Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE LS�EWAGE DISPOSAL SYSTEM NAME I�J�i� �/�^ffMAILING ADDRESS /10 414410 -?/ PHONE LOCATION,/✓`e-1C LEGAL DESCRIPTION SEPTIC TANK: DISTANCE .� T(� NUMBER OF FROM WELL ©( MANUFACTURER MATERIAL _COMPARTMENTS INSIDE INSIDE LENGTH ~ INSIDE WIDTH LIQUID DEPTH LIQUID CAPACITY GALLONS. TILE DRAIN FIELD: pp�� I,� ( TOTAL LENGTH ,gyp, DISTANCE FROM WELL / �•' FOUNDATION&I—NEAREST LOT LINE LINES 45V NUMBER OF LINES DISTANCE BETWEEN LINESTRENCH WIDTH_ IN. TOTAL EFFECTIVE 1 ABSORPTION AREA J o SQ. FT. LENGTH OF EACH LINE 3q DEPTH OF FILTER f DEPTH: TOP OF TILE TO FINISH GRADE MATERIAL BENEATH TILE_* ABOVE TILE -41—IN. WELL: AID ! I rJ TYPE CONSTRUCTION BUILDING NEAREST FOUNDATION LOT LINE CESSPOOL APPROVED OTHER SOURCES NEAREST SEPTIC SEWER LINE , TANK_ DISAPPROVED REMARKS DEPTH DISTANCE FROM: SEEPAGE SYSTEM_ DISTANCES: _ — DIAGRA STEM INSTALLED BY: L� f SEWER LINE DEPTH: 0� Or SO, PIPE MATERIAL: -lit r1 LOT SLOPE: 4 AT REMARKS: DATE e% _? APPROVED G.A.A.B. Form EQ -032 -- ��������������_ � �� �� ������������� / DEPARTMENT HEALTH AND ENVIRONMENTAL OTECTION 825 'L' STREET, ANCHORAGE, HK. 99o��1 rl "^ 279-2511 44��� ����� ���_����� ������ �������� '� PERMIT NO. ( 77292 ) //' A0A APPLICANT 2904 W 31ST 9950] -- 276-2256 LOCATION BLACK BEAR DRIVE LEGAL L1 B] BEAR VALLEY SUB LOT SIZE 59070 SQUARE FEET TYPE OF SOIL HBSORBTION SYSTEM IS: TRENCH MHXIMUM NUMBER OF BEDROOMS = ] SOIL RATING (SQ FT/BR)= 130 THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: fLCA L_EEvAca-rFA= tC:�P.?f=H%fEEL_ E>EEF"-rw= � THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRHINFIELD. THE DEPTH OF H TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE GROUND AND THE BOTTOM OF THE EXCAVATION (IN FEET). THERE IS NO SET WIDTH FOR TRENCHES. THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE AND THE BOTTOM OF THE EXCAVATION (IN FEET). :1��� 0- iml C) < ZI in '.l: W-4 1:1 _T_ :1 CA �=l F;�! 9_3������� BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS DEPARTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCE BETWEEN H WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS 100 FEET FOR H PRIVATE WELL OR 200 FEET FOR H PUBLIC WELL WELL LOGS ARE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN 30 DAY..'; OF THE WELL COMPLETION. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. ���IP-11 1: T" 1 C..- F"CDW CAF41 �I_,-:,.S. IL 0� I CERTIFY THAT 1: I HM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE. 2: I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. ]: I UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE RESIDENCE IS REMODELED TO INCLUDE MORE THAN ] BEDROOM& SIGNED _ ___________ A DLICANT RICHARD HOFACKER ------------------ eonst-Luctlon 9eit ZaU "Ons test is worth a thousand opinions" 2204 Cleveland Anchorage, Alaska 99503 Performed For Richard Hofackgr Date Performed 11/4/76 Legal Descrintion: Lot 1 Block 3 Subdivision Bear Valley Subdivision_ This Form Renorts Soils Log yes Percolation Test_ yes Depth Feet ,Soil Characteristics ti 2- 4- 6- 8- 10— if- 14— Silty - 6- 8- 10-12-14 Silty Sandy Gravel 16 Bottom of Test Hole 18 — Was Ground Water Encountered? No IF Yes, At what Depth? r�w�-; c"T"MM:TA R e a d i n q Date Gress Time Net Time Depth to H2O inches Net Dron' inches 11/4 76 29 �- 11/6/76 48 Hours - saturate period No water r 11/6/76 0 27 11/6/76 10 min. 43 16 11/6/76 20 min. 47 4 11Z6/76 30 mi.n. 49-3 4 2-3/4 ll 6 76 40 min. 51-1/2 1-3/4 11/6/76 ----5—o min. • 53-1/2 2 11/6/76 60 min. 55 1-1/2 Percolation Rate 114"/l Minute Prnposed Installation: Seenaae Pit Drain Field Depth of Inlet Depth To Bottom Of Pit Or Trench rnMMENTS: 130 Square Feet drainage area required per bedroom. No ground water or bedrock encountered. Test Performed By David Paul Data Certified �y Dere. e,.,-.2 oLj, 44� Clcz,ks U vry-", s "- (as,- \ �a Uc-i- >-\— ... . ..... .... ar, Certificate of On -Site Systems Approval Parcel I.D. 020-431-06 Legal description Bear Valley Block 3 lot 1 Site address 16236 Black Bear Dr. Anchorage Current property owner(s) Boyle Expiration Date: 3-1-2023 X The On-site system(s) is/are approved for 3 bedrooms Conditional approval for bedrooms, with the following stipulations: Comments or advisories: ry: Original Certificate Date: This Certificate of On -Site Systems Approval (COSA) is intended to demonstrate the subject system(s) islare in substantial compliance with municipal code. The Municipality of Anchorage, Development Services Department (DSD) issues COSAs based upon representations provided by an independent professional engineer. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. ATTACHMENTS: COSA Checklist X Well Flow Advisory Absorption Field Advisory Nitrate Advisory Tank Age Advisory Arsenic Advisory Other COSA Approval_June 2022 MUNIC AUTY OF MCHORA E 14 Development Services Department p Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Application 1. GENERAL INFORMATION Parcel I.D. 020-431-06 Complete legal description BEAR VALLEY; BLOCK 3, LOT 1 Location (site address) 16236 Black Bear Drive *Anchorage Current property owner(s) Ron Boyle 2. ONSITE SYSTEMS SIZED FOR 3 BEDROOMS Day phone 240-9547 3. TYPE OF WATER SUPPLY: ❑M Private Well ❑ Private Well serving 2 dwelling units ❑ Private Well serving 3+ dwelling units ❑ Community Well or Public ❑ Water Storage 4. TYPE OF WASTEWATER DISPOSAL: ■❑ Private Septic ❑ Private Septic serving 2 dwelling units ❑ Holding Tank ❑ Community Septic or Public Sewer 5. SEPTIC TANK: ❑M Steel ❑ Plastic ❑ Concrete ❑ Fiberglass Age 8 - See advisory if steel older than 20 years 6. ABSORPTION FIELD: ❑ AWWTS ❑ Bed ❑ Deep Trench ❑ Wide Trench ❑ Seepage Pit Waiver request for: Expedited review requested: ❑ Distance: By applying for this entitlement, this property is subject to inspection by municipal On-site staff to verify the accuracy of the information provided. COSA Fee $ 55 6 Waiver Fee $ Date of Payment t I as Date of Payment COSA # d Waiver # COSA Applicatlon June 2022 .s Legal Description: BEAR VALLEY; BLOCK 3, LOT 1 Parcel ID: 020-431-06 If more than 1 well and/or septic system on lot, provide separate checklist. Structure served by this system _ A. WELL DATA ❑ Well log is filed with Onsite (or attached) Date drilled 1978 (?) Total depth *174 ft Cased to *29 ft Well production at time of test 6.8+ gpm Water storage tank volume N/A gallons Well disinfected for coliform test? ❑ Yes Q No ❑ Sanitary seal is functioning correctly ❑ Coliform bacteria is Negative ❑ Wires are properly protected Nitrate (o. ©4 mg/L ❑ Nitrate less than MRL (ND) Casing height (above ground) 18+ in. Arsenic ug/L ❑ Arsenic less than MRL (ND) Date of flow test for COSA 10/25/22 Collected by GEG, LTD. Static water level at beginning of test 26.0 ft. Date 10/26/22 & 11/23/22 (NITRATE ONLY) Comments *PER 1988 WELL REPORT IN MOA DOCUMENTS �4* pRiDzz-, --o pi-=-LF,SS X40 -t0. B. TANK DATA Measured operating fluid level in septic tank 49" Date of pumping 11/7/22 ❑ Required maintenance completed, if AWWTS Comments: N/A D. ABSORPTION FIELD DATA Which system tested (date installed) 6/13/14 ❑ ALL standpipes present per record drawing Total measured depth from grade 10.4 ft (max) Measured depth to pipe invert from grade *2.75 ft (min) ❑ N/A - pressurized field. ❑ Per record drawings, field is insulated. ❑ Monitor tubes go to bottom of effective. If not, state depth into effective 7.75' HE Presoaked required if (Required if house vacant or field not used for more than 30 days prior to date of test) Gallons introduced 2015 gallons 10/25/22 date Any rejuvenation treatment (past 12 months) NONE If yes, enter date N/A C. LIFT STATION ❑ Required maintenance complete Age of lift station I's Lift station ial ments: Adequacy test date 10/26/22 Results M Pass Fluid depth prior to test 14 in Water added 679 gal New fluid depth 29 in Elapsed time 120 min Final fluid depth 21 in Absorption rate 450+ gpd FIELD STATUS - POST RECOVERY Effective depth (per record drawings) 96 in Effective depth used 24 in Effective depth remaining 72 in Comments/Deficiencies: 1977 RESERVE TRENCH DOES NOT HAVE MONITORING TUBE - CONDITION IS UNKNOWN *SEE ATTACHED EMAIL FROM OWNER REGARDING NO FREEZING COSA Checklist—June 2022 E. E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well on lot) Septic Tank/Lift Station on Lot > 100' Community Sewer Manhole/Cleanout > 100' no if No ft n Yes if No ft Neighboring Tank > 100' 0 Yes if No ft Private Sewer/Septic Line > 25' ❑ Yes if No ft Absorption Field on Lot > 100' [l Yes if No ft Holding Tank > 100' n Yes if No ft Neighboring Absorption Fields > 100' Animal Containment > 50' ❑ Yes if No ft M Yes if No ft Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' DYes if No ft []Yes if No ft ❑ N/A — Served by Community. Well (not on lot) or Public Water From Septic/Holding Tank and Absorption Field(s) on Lot to: (Please enter distances if less than required) Building Foundations > 10' pQ Yes if No ft Surface Water > 100' ® Yes if No ft Tank to Property Line > 5' Yes if No ft Wells on Adjacent Lots: Field to Property Line > 10' ® Yes if No ft Private Wells > 100' Q Yes if No Water Main > 10' Fol Yes if No ft Community Wells > 200' Q Yes if No Water Service Line > 10' ® Yes if No ft If tank or field is under driveway comment below F. ENGINEER'S COMMENTS ft ft G. CERTIFICATION & 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, indicates that the on-site water supply and/or wastewater disposal system appears to comply with applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation, unless noted otherwise. Name of Firm Gamess Engineeling Group, LTD. (GEG) Phone 907-337-6179 Engineer's Printed Name Jeffrey A. Gayness Date In conducting this evaluation, GEG provided an engineering evaluation of the well and/or septic system in accordance with the guidelines and regulations established by the Municipality of Anchorage and industry practices. The reported results describe the condition of the system/s on the date/s of the evaluation. Separation distances were measured to readily identifiable features. Hidden defects or encroachments may exist that were not Identified during the evaluation. The operational life of all wells and septic systems depend upon a variety of variables, including (but not limited to) soil conditions, groundwater levels (that may fluctuate during the year), quality of construction (materials and workmanship), and the water usage of the family utilizing the systems. These conditions can vary, and are outside the control of GEG. Satisfactory test results do not guarantee future performance of the systems; therefore, GEG makes no warranty (express or implied) regarding the future performance of the well or septic system. GEG makes no representation whether an alternative well or septic system can be Installed on the property in the event either of the current systems fall to perform adequately in the future. The content of this report is for the sole benefit of the person/party that retained GEG .to perform the evaluation. Reliance upon the information provided in this report by any other person or party (including subsequent property purchasers) is not authorized, nor will it confer any legal right whatsoever. COSA Checklist June 2022 �F A LICENSED�a r0fessl°°°��`� #AEOC884 4 00 00 fl�Z� 22 M www.muni.org/onsite Nitrate Advisory Certificate of On -Site Systems Approval # OSC221553 Subdivision: Bear Valley, Block: 3, Lot: 1 A water sample revealed a nitrate concentration of 6.04 milligrams per liter (mg/Q. The Environmental Protection Agency (EPA) has established a maximum contaminant level (MCL) of 10.0 mg/L for public drinking water systems. While private wells are not subject to this regulation, EPA standards are based on existing health information and can therefore be used to gauge the relative quality of water from private wells. Since nitrates are known to slowly increase, we recommend you monitor the water quality. Please see the attached "Nitrate Fact Sheet" for important information regarding nitrate. This advisory must be attached to all copies of the subject Certificate of On -Site Systems Approval. A :Marling Address P O Box 196650 *Anchorage, Alaska 99519 6650 *www mum org Erik Widger From: Ronald Boyle <raboyle88@gmail.com> Sent: Thursday, November 3, 2022 6:52 AM To: Erik Widger Subject: 16236 Black Bear Drive Ron Boyle 16236 Black Bear Dr. Anchorage, AK. 99516 I lived at the above property from March 1988 through July 2022. 1 never had a frozen waterline, pipe or septic system the entire time I lived there. GARNESS ENGINEERING GROUP, Ltd ErtMEERING-SAi 4<:�����Le�N� T 10 GEG performed a well flow test at the subject property on 10/25/22. Per our test results, the well production was 6.8+ gallons per minute. The static water level was 26.0 feet below the top of the casing and the maximum drawdown during the flow test was to 38.7 feet below the top of the casing (total drop of 12.7 feet). Because a high Nitrate level (8.48 mg/L) was reported, the MOA required a cameral inspection of the well. The camera inspection revealed that there was water intrusion at the pitless. The pitless was repaired by Wilco Contractors. Per conversation with Ryan Wilkinson on 11/29/22, the excavation hole for the pitless was dry, so there was likely no groundwater intrusion. The pitless was found to be cracked, allowing pressurized water to spray back into the well. A new pitless adapter was installed Jeff Garness, PE 3701 East Tudor Road, Suite 101 *Anchorage, Alaska 99507-1259 Phone: (907) 337-6179 * Fax: (907) 338-3246 * Website: www.garnessengineering.com Wilco Excavation LLC 8041 MARINO DR Anchorage, AK 99516 Bill To Ronald Boyle Jr 16236 Blackbear Anch,Ak 99516 Ship To Date Invoice # 11/23/2022 2021-128 P.O. Number Terms Rep Ship Via F.O.B. Project 11/23/2022 Quantity Item Code Description Price Each Amount 03 Excavation Excavate and remove broken pitless and install a new pitless 4,200.00 4,200.00 and pitless adapter. This estimate includes lifting and resetting well pump all materials, labor, and equipment. This estimate does not include any landscaping. If payment is not received in 30 days wilco Excavation will put a lien on the house to ensure payment Tota! $4,200.00 Scale 1" = 40' \ Al l LOT 2 / / /�� � // ryA3 r ? LOT 6 / / Lot 1, Block 3 Bear Valley Subdivision 59,031 Sq. Ft. +/- / 16236 Black Bear Drive 2 Story Wood Frame House 5' UTIL. ESMT. With Attached 2 Car Garage E OHU_ CWU= .QLiU _ OHU --r0 U �HO _nH0_ nHO _ /IHO = OHU _ OHU --t�-7nHO _nHO r a c� o � o � 0 0 0 0 Z S00°00'00"E 474.32 LOT 7 BLOCK 3 y Electric Meter/Outside Power LTA Tel. Pedestal y Gas Meter ``0_3 Telephone Pole i S; Septic 0 concrete ® Deck -- Overhead Utility Water Well EL Elec. Pedestal CINERAMA TERRACE SUBD. PLAT #83-547 LOTS BLOCK 3 General Dotes 1. Excepting for gross negligence, the liability for this survey shall not exceed the cost of preparing this survey. Dimensions to property lines are plus/minus 0.1ft. 2. This document is created by Frontier Surveys for the purpose of an as -built survey for Ronald Boyle Jr, only. 3. This document is based on Plat No. 76-209, Anchorage Recording District. Disclaimer n E` nuU= OHU = OHU —UNCI 50' SEC. LINE ESMT. 1. This survey complies with the ASPLS Mortgage Location Standards. The survey represents visible improvements and conditions at the time of the survey. This document does not constitute a boundary survey and is subject to any inaccuracies that a subsequent boundary survey may reveal. It is the responsibility of the Owner to determine the existence of any easements, covenants, or restriction which do no appear on the record plat. Under no circumstances should this document be used for construction or for establishing a boundary or fence line. 0 20 40 80 Scale in Feet .s Pierre M St r er . �••, No. L.S. - 9812 .*4, kepFl • • 11/02/2022 , • •S��J`� oROfiis NA1 �a\\ Aw LOT BLOCK 3 LOT 1, BLOCK 3 BEAR VALLEY SUBDIVISION 16236 BLACK BEAR DRIVE CONTAINING: 59,031 Sq. Ft. +/• (RECORD) RECORD PUTT: 76209 FRONTIER SURVEYS, LLC 650 W. 58th AVE. SUITE E, ANCHORAGE, AK 99518 I DRAWN BY: KC I DATE: 11/02/2022 I DRAWING ID: 22-591 z ' MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES DIVISION OF ENVIRONMENTAL SERVICES CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL�g_ D�g� OF ON-SITE SEWER AND WATER FACILITY 264-4744 Application Date Z -, ?, -, ff 1. GENERAL INFORMATION (MUST BE COMPLETED PRIOR TO SUBMITTAL) (a) Legal Description (include lot, block, subdivision, section, township, range) Location (address oc.directions) (b) Property Owner `;V),!t'_/_ 10A Telephone: Home Business l Mdiling Address �Od � olX� �MrvA► tobIlt41 5�IV I� 160 (c)' Lending Institution [! /,I'll) �Als l Telephone �7 "„S( Mailing Address .2�� OV"L- (d) Real Estate Company and Agentt'7�%�'r)C Address �216M r J J 0, Telephone .7-%4 .. m%4, / (e) Mail the HAA to the followina address: or: Check here, if hold for pick up. List contact person and day phone number below. 2. TYPE OF RESIDENCE Single -Family Number of Bedrooms 3 3. WATER SUPPLY Individual Well`0 Community ❑ Public ❑ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 4. SEWAGE DISPOSAL Onsite ( Public ❑ Community ❑ Holding Tank ❑ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. Page 1 of 2 72-026 (Rev 8/861 Front L> 33 r3c'7',-, 5. ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firmr j Telephone ? C• I -v�l� Address / 110 � 3 .. /�f/,97 Sul 7—& Ae , i "° 3 Date Z -Z-7. M 0 A4 040600, 73 /-7Ci— T*G1to - .600669. ......64696 -AN GY C. REID, JR. Lel SLT! 2251 :e1AP � 4' • •. .! fP 6'••6666.6• O o�! 6. DHHS APPROVAL Approved for bedrooms by Date eUQd 434"pproved Conditional Terms of Conditional Approval CAUTION The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. Page 2 of 2 72-025 (Rev 8/86) Back MUNICIPALITY OF ANCHORAVNICIPALITY OF ANCHORAGE (MOA) ENVIRONMENTAL SERVICES DITH AUTHORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1984 MAIC 31988 264-4744 �/ Legal Description: % / �� i gL� V L RECEIVED 7/v/d ���`� 5f� 6 A. WELL DATA Well Classification t/'fn If A, B, C, D.E.C. Approved (Y/N) A) I Well Log Present (Y N Date Completed u��`i��°f `1it� YieldC� y �3 RPh +' Total Depth Cased to Z� Depth of Grouting Static Water Level Pump Set At Casing Height Above Ground f Sanitary Seal on Casing (Y N) Electrical Wiring in Conduit (Y N) Depression Around Wellhead (Y N) Separation Distances from Well: To Septic/Holding Tank on Lot On Adjoining Lots To Nearest Edge of Absorption Field on Lot .;On Adjoining Lots To Nearest Public Sewer Line A)t+ To Nearest Public Sewer Cleanout/Manhole To Nearest Sewer Service Line on Lot Water Sample Collected by U '; Date "" 7` Water Sample Test Results Off' Comments (R &0C -7t- Fzvb) -7Z—, T 2- "-//a 4 ft hweho �Zua:� )�Werr, B. SEPTIC/HOLDING TANK DATA Date Installed 6 "� �� Size 1Q00 No. of Compartments `r Standpipes Y/ ) Air -tight Cap &N) Foundation Cleanout (YO Depression over Tank (YbI Date Last Pumped Pumping/Maintenance Contract on File (Y/N) '� ; for Holding Tank High -Water Alarm (Y/N) Temporary Holding Tank Permit (Y/N) 'J Separation Distances from Septic/Holding Tank: To Water -Supply Well /a-0 '`t To Building Foundation - 10 f To Property LM!"', To Disposal Field /0 To Water Main/Service Lina. /0 To Stream, Pond, Lake, or Major Drainage Course .. ,ryp' _g. to J - - - - Cohime_nts �' � ", 14A)'7 -IL, sPRIAYI /Wt.. &H? 7A?U ?K 6t.✓A� iA 6,F7- r Page -d of 2 72-026 (Rev 8/861 Front C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Type of System Design Date Installed & " 5'' 7 % Lenath of Field 3� . s Width of Field �° °���'�� Depth of Field �d Gravel Bed Thickness Square Feet of Absorption Area yd Standpipes Present(Y ) Depression over Field =(YN Date of Last Adequacy Test Results of Last Adequacy Test %�L�tu✓t-i�� Separation Distance from Absorption Field: f f To Water -Supply Well To Property Line %d i To Building Foundation 0 To Existing or Abandoned System on Lot N ; On Adjoining Lots r To Water Main/Service Line /J -f" To Cutbank (if present) To Stream/Pond/Lake%or Major Drainage Course /00 I To Driveway, Parking Area, or Vehicle Storage Area /e Comments D. LIFT STATION Date Ire Iled Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Electrical Codes (Y/N) Comments Dimensions Manhole/Access (Y/N) "Pump Off" Level at ** Check Permitted Bedroom Rating Against HAA Request ** Vent (Y/N) Pum Cycles during Adequacy Test. Meets MOA I certify that I haveck, ve/rif", or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Signed �-- G��� Date 7—Z_4��� Company i MOA No. ��`� +,�►��� A i ;••V.i•"•.. �,t� fir► Receipt No. U Al. •• .,t y it •.•� Date of Payment 3 a it * J• •'9 Amount: $ 170 LN 0 0 ROY C. REID, JR. / CE • 2251 _AV Page 2 of 2 72-026 (Rev 8/86) Back r I 4 i Alpine Drilling & Enterprises INVOICE Domestic —Commercial 7 7-440 Pump & Water Systems j P.O Box 110496 ,lob Name ! Location Anchorage, Alaska 99511 (90 345.0202 TO: 9 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. 7 PHONE DATE QUANTITY DESCRIPTION AMOUNT �s LABOR HOURS RATE AMOUNT TOTAL MATERIAL TOTAL LABOR WORK ORDERED BY DATE COMP. TOTAL LABOR PAY THIS AMOUNT 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. 7 D Z6 1-, 3/ o10 CHEMICAL & GEOLOGICAL LABORATORIES OF ALASKA, INC. u q •' e 5633 B STREET ANCHORAGE, ALASKA 99518 TELEPHONE (907) 562-2343 FEDERAL TAX ID # 92-0040440 LABORATORIES ANALYSIS REPORT BY SAMPLE for Work Order # 5250 Date Report Printed: FEB 22 88 @ 11:05 Client Sample ID:L1 B3 BEAR VALLEY PWSID :UA Collected FEB 17 88 @ 14:15 hrs. Received FEB 17 88 @ 16:26 hrs. Preserved with :NONE Analysis Completed :FEB 19 88 Laboratory Supervisor -.STEPHEN CC..'E-DE Released By : ga/•✓ e—. Client Name AECS Client Acct AKECSRP P.0.# NONE REC D Req # Ordered By Send Reports to: 1)AECS 2) .................................................................................................................................... Special Instruct: Chemlab Ref #: 9143 Lab Smpl ID: 1 Parameter Tested -------------------------------------- NITRATE-N Sample ROUTINE SAMPLE Remarks: COLLECTED BY A WIEN Matrix: Water Allowable Result/Units Method Limits -------------------------------------------------------------------- 0.81 mg/l EPA 353.2 10 .............................................................................................................. 1 Tests Performed See Special Instructions Above UA -Unavailable ND- None Detected "' See Sample Remarks Above NA- Not Analyzed LT -Less Than, GT -Greater Than 72-010 (Rev. 6/79) THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE ❑ SINGLE FAMI El MULTIPLE FAMILY Y NUMBER OF BEDROOMS ❑ ONE ❑ THREE ❑ FIVE ❑ OTHER ❑ TWO ❑ FOUR ❑ SIX 2. WATER SUPPLY ❑ INDIVIDUAL ❑ COMMUNITY ❑ PUBLIC UTILI Connection Vei ry ified PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED 3. SEWAGE DISPOSAL ❑INDIVIDUAL/ON •S ❑PUBLIC UTILITY Connection Verified SYSTEM TE _ PERMIT NUMBER DATE INSTALLED ❑Septic Tank or ❑ Holding Size: 1f Tank give dimensions: Tank is homemade INSTALLER SOILS RATING (3� TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AR A MATERIAL $. DISTANCESSeptic/Holding WELL 0: Tank Absorption Area Sewer L ne'' Nearest'Lot Line Absorption Area to nearest Lot Line 5. COMMENTS PPR ❑ CON E-1DISH )VED FOR BEDROOMS ITIONAL APPROVAL (letter must accompany certificate) PROVED DATE BY 72-010 (Rev. 6/79)