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T15N R2W SEC 25 LT 88
T15N R2W SEC 25 Lot 88 #051-28 2 - 2 2 �_ Municipality Anchorage of E� _'I NI:.*144fr: Development Services Department ri Building Safety Division ��. t)�r- j� j On-Site Water and Wastewater Program. 4700 S. Bragaw St. P.O. Boz 196650 Anchorage, AK 99519-6650 Page I www.ci.anchorage.ak.us (907) 343-7904 ONSITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT 1 Permit Number: SWOSO101 PID Number: QST".RSD-4<,! of 3 Name: r y an 1 Ten Wastewater System: ❑ New l+�Upgrade Addr.. Pogok772I?3 Ea9leg ive,-,4K99377JJ3 ABSORPTION FIELD pt,.4!%-X75--330 Number el9.d.ern.3 D DNP Trench KSMllow Tr.rch Deed DMound DOIMt LEGAL DESCRIPTION So. Rama IP e. OPTFr Total Depth Mon sternal grad. / Ft. Bloc!'. Lel/1Q S tth4.on: IQ Depth to pp. bottom from orlaind made' 3Ft. Gravel depth beneath pp. (4- it. Townel.p: /c it) Rang._ 07I + S.aow S W Fa added .bow Mens VW.: il. Gavel Length: • FI. Well: ❑ New ■ U P9rade a"" "d" S rl. Nva ~Ma 1 Distance boson bws �^ Ft Cla.aacalon (Private. A°..C): b:-t;0 Pii ovate- Total Dept it Cased lo: FL Tote/ pC .b.o,on area 3 gU Fe pipe Mer.nel' 45 Ti�10303'f/Fg 0 D.I. Dated/ Sint Water LRM. Instal.. D.I. Instated: a pl y _ 6 5- �9_ YSd GPM POMP Sat at: rt. Carom Iprn.gbPv. ,ou M: FL TANK SEPARATION DISTANCES 21 Septic D Holding D S.T.E.P. ❑ Other: To From Septic Tank Absorption Flea LIR Station Holding Tank ublkJPrNete Sewer Line M""rl�wer' Greer C.p.aly f ©Tel. WN 130' 108' 5+ M.elSfee l. Number «Compartments -- Surfed water ICali. WO+I . LIFT STATION La UM 50' 3g' SallG L(erwr.aVer ratMndelio,n 30' \ *Pump on I«« el. In *Pump off NM In Wpb water Seim et M. Cnnasn OAC i // mita �— Pump M.Y. S ENancs now:bons perfornwd by: R at-xr51in5 -lanL- (OCs pU�Pei� BENCH MARK refs 4fid, 4 A to n%Ne-cl. Loc..onand D..npbn BI/ f/Orn of 5:{ n�"a ._ Eltsion. r, Err ® l1 100FL . • Engineer's Stamp f:_. S i S ENGINEERING Inspections performed by: 17034 Eagle River Loop Road, No. 204lel q-, `d-G5 r.. *rd if r'T9 ,a•j y1\Yt +. Eagle River, Alaska 99377• rd y-req-0s;, ��� , », . .NN.] 10 Development Services bepartment Approval03 Po...."" Reviewed and approved by: �� td. /" Date:.5---C' 0St�'-i4�-(Rw _sass. .......N� :,,• ...t: ;, R a moot •d. ' ;p• *.,.,. •nRt PERMIT NO SW050101 PAGE 2 OF 3 Municipality of Anchora e DEPARTMENT OF HEATH 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 LEGAL LOT 88, SECTION 25, T15N, R2W, S.M. P.I.D. NO. 051-282-22 SHI & UTILITY RESERVATION CO2 TH COI NEW 1000 I GALLON SEPTIC TANK 0 UNDER DRIVEWAY CO3 O N SCALE: 1" PERMIT NO. SW0501 O1 PACE 3 OF 3 Municipalityof Anchora e DEPARTMENT OF HEATH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.0. Box 196650 •Anchorage, Alaska 99519-6650 • Telephone 343-4744 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT LEGAL LOT 88, SECTION 25, T15N, R2W, S.M. P.I.D. NO. 051-282-22 FINAL GRADE ST1 ST2 92.0' CO1 CO2 MT1 111 1111011 C01 = 90.8' CO2 = 90.7' FINAL GRADE CO1 = 86.8' CO2 = 86.8' MT1 = 82.7' • NO WATER FOUND 74.7' 13.0.14. A B FC0 *2.0' 2.5' CO3 54.5' 26.5' ST1 51.5' 33.5' ST2 47.0' 36.0' DBL1 47.0' 38.0' DBL2 48.5' 39.5' C01 60.0' 46.0' MT1 44.0' 59.0' CO2 45.0' 63.0' * IS HOUSE OFFSET N T. S. r' MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade Permit Number: SW050101 Legal Description: T15N R2W SEC 25 LT 88 Design Engineer: 0003 S & S Engineering Owner Name: BRYAN TILDEN Owner Address: PO BOX 772123 EAGLE RIVER , AK 99577-2123 Date Issued: Apr 27, 2005 Expiration Date: Apr 27, 2006 Parcel ID: 051-282-22 Site Address: 015723 SHIMS ST Lot Size: 26136 SQ. FT. Total Bedrooms: 3 Permit Bedrooms: 3 This permit is for the construction of: E 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 specked In Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations ( 18AAC72 ) and Drinking Water Regulations ( 18AAC80 ). 3, The engineer must notify DSD at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 ( 24 hours ). ( Not required for a Water Supply Permit only ). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. gt.rukt — Nos H. est- e» Col t stg.v crrn-it. ISoo T,.n.& l-IDPE Nor ion, 78 69 user', =4.34em, vie 4- /000 gtLcaN S&tJL 7'3}dk. Received By. Issued By. -4Th Date //2S/0S Date: CIi7/r Parcel I.D. Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING or t-5-- A0-02-2 Permit Number SW Property owner(s) 1?' 14 AN 177 /den ' L I Day phone 601)275 - 2530 QMaai Mailing address (1) 111411 D(ot Glei ly► lTtg►7w�1 y 1" n Q �� a 1��3t/1 \C- cI�S4R AAaiting address (2)- 15' . S 9h-tms irtrik4 Zip Code / 9577 Legal description (Lot, Block & Sub'd.) 1-07 �- ���� Legal description (Section, Township & Range) 'CCI)as/ s ' f g4 P'QCJ Lot Size o2Ct ! 310 Acre • Sq.Ft. Number of Bedrooms 3 THIS APPLICATION IS FOR: Sewer Only Sewer and Well Sewer Upgrade THIS PROPERTY CONTAINS: Hot Tub Swimming Pool Therapy Pool ❑ Well Only ❑ Water Storage 0 0 ❑ Jacuzzi 0 ❑ Water Softening Unit 0 0 certify that the above information is correct. I further certify that this application is being made for a Single Family Dwelling and is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit Fees: 1410 Waiver Fees: Date of Payment: Receipt Number: t0 &S -SZ Receipt Number: (Rev. 12/00) Date of Payment: ��2Llos" 4 A. T * t S&S Ineeming .uT.A HEALTH AURHORITV APPROVALS SEWER &WATER LAIN Exre con s SEWER& WATER INSPECTION ENGINEERING STUDIES ANO REPORTS WELL INSPECTION & PILIN TEST SITE PIANS ROAD DESIGN SOIL TEST ROBERT C. COWAN, P.E. CML ENGINEERS (907) 594-2979 FAX (907) 894.1211 April 15, 2005 MUNICIPALITY OF ANCHORAGE Development Services Department P.O. Box 196650 Anchorage, AK 99519 REFERENCE: Lot 88, Section 25, T15N, R2W, S.M. It is requested that you issue a permit to install a septic system upgrade to serve the existing three bedroom dwelling on the referenced property. A test hole was excavated and a percolation test performed. The approximate location of the test hole is located on the attached site plan. At the time of excavation (4-9-05), water was not found. After monitoring, ground water was not found. We do not anticipate any adverse effects on neighboring wells, septic systems, reserve areas or drainage patterns by the installation of the proposed septic system. The construction of this system will not prevent any future development on any of the adjacent properties. If you require additional information, please contact us. Sincere! STRUCTURAL MECNW&CAL INSPECTIONS ONSITE WASTEWATER OISPOSALSYSTEM CESIGN Enclosure 17034 NORTH EAGLE RIVER LOOP 4 SURE 204 4 EAGLE RIVER. ALASKA 99577 —z� < "11101.61. 7 o z 3SnOH o � W`ONI SI 3o f o ,- a Who N 4W F- 1.1111101,° 0 in WO Z = Ef rQ 0Uamooo ;z=.4a La K18Npi=ulO ,o O `0 g HON3d1 0 SodOdd o s d o [ 3i1s fir "1 W 1— awWCD W Li- CI Z W LO ow3J bo10- N<INle) NOIIVA2J3S321 Alllll '8 'M'0'21 ,OZ 1LJ32I►LS SNIIHS NV -Id -311S NOIS30 IV u) nz or u Eggomo S i$o -'s u ROBERT C. COWAN. P.E. ROBERT A. SHAFER, PE. CMLENGINEERS (907)694-2979 FAX(907)694-1211 PERFORMED FOR: K#1711-7 5e -e/`'f LEGAL DESCRIPTION: Ler 08 , c, u/ il Stu) Township. Range. Section: SLOPE . Cttc) C p +t offA 'et idNE,MS SIAL) 7.11 17 S "' : it fit • » p� pert A. Shake 140. 14.174 , . ity i'ik01Liot 7 ) DATE PERFORMED: 6 DEPTH (FEET) 7- 8- 9- 10 - 11- 12- 13 - 14- 16- r co O 6 '0 O e O' en c n o C C Ct o °r og-4.4N(GS 16- 17- 18- 19- 20 - COMMENTS C‘,0 1 FF'O'16A, 41.0 WAS GROUND WATER N� ENCOUNTERED? IF VES, AT WFIAT DEPTH? Depth to Water er Monitoring? rt 6alr. S SITE FLAN s L H q /tics t N SE 4 n 1r 5 (TL r t -h IU Reading Date Gross Time Ne Time Depth to Water Net Drop *alit lip/OC; — — L " t0 t0 131/r" -Iyt,..," 0 o fir' •r — 7,r I v _L0 o d L." I is 10 I 2-s/1 63/(1" c, 0 6'( .— (0 IU 12"M" I," At, o o C" :\ 10 10 tZ"/It, Witt, RCOLATION RATE L50 (minutesnnch) PERC HOLE DIAMETER ( TEST RUN BETWEEN FT AND V FT'r PERFORMED BY. s S te-tUarCt2hiSfJ104, CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE 72.008 (Rev. 4i85) ailIPIOP4= ;Jo S&S �a ineeRing WAIN AUTHORITY APPROVALS SEWER WATER ANN EXTENSIONS SEWER & WATER INSPECTION EMCEE ERNGSTUDIES MO REPORTS WELLNSPECTION S FLOW TEST SITE PWS ROAD DESIGN SOIL TEST PERCOLATION TEST STRUCTURAL ARECNWRCAL INSPECTIONS ON-SITE WASTEWATER DISPOSAL SYSTEM CONSTRUCTION PRACTICES and MATERIAL SPECIFICATIONS REFERENCE: Lot 88, Section 25, TI5N, R2W, S.M. April 15, 2005 GENERAL: ROBERT C. COWAN, P.E. CML ENGINEERS (907)894-2979 FAX (907) 694-1211 The scope of this project includes the replacement of the existing 1000 gallon septic tank with a new 1000 gallon HDPE septic tank and installation of a new trench to serve the existing three bedroom residence located on the referenced property. Construction shall be in accordance with the approved site plan and design drawings, Municipal permit with any special provisions or conditions, and all applicable State and Municipal Wastewater Disposal Regulations. The contractor shall be responsible for obtaining any necessary underground utility locates. Unless specifically agreed otherwise, the property owner shall be responsible for final grading areas subsequently depressed from soil settling. Contractors installing wastewater disposal systems must be certified by the Municipal Health Department for system installations. Owners installing their own systems must also receive prior approval from the Municipal Health Department. SEPTIC TANK INSTALLATION: • ON SITE WASTEWATER DISPOSAL SYSTEM OESIGN A septic tank is to be constructed by a certified septic tank manufacturer. Construction shall include two 4" cleanouts for pumping access. The septic tank shall be suflicientl9 bedded to prevent settling or shifting of the tank. 17034 NORTH EAGLE RIVER LOOP i SUITE 204 • EAGLE RIVER, ALASKA 99577 • Page 2 Lot 88, Section 25, T15N, R2W, E.M. April 15, 2005 3. All standpipes on the septic tank shall extend a minimum of 12 inches above final grade. 4. Septic tanks installed with less than 4 ft. of cover shall be insulated. 5. A foundation cleanout shall be installed one to four feet from the building foundation. In the line between the tank and the leachfield there shall be two adjacent cleanouts (unless an effluent pumping system exists within the septic tank). These cleanouts shall be located on undisturbed soil not more than 10 fl. from the tank. The first cleanout, in line, shall be to clean toward the leachfield. The second cleanout shall be to clean toward the septic tank. 6. Final grading over the septic tank shall be such that a positive slope exists away from the septic tank. ABSORPTION TRENCIIJDRAINFIELD INSTALLATION: 1. Excavate the proposed trench to the dimensions shown on the design. The bottom of the excavation shall be within 2 inches of level. If the sidewalls of the excavation become smeared, they must be raked or scratched (ruffed -up) before gravel (sewer rock) placement. 2. Once the gravel is installed, the distribution pipe is to be installed level with the perforations faced downward. Gravel is then to be placed over the distribution pipe to provide a minimum of 2 inches of cover over the pipe. 3. A silt barrier must be installed between the final gravel layer and the native soil backfill. Ensure the silt barrier covers the entire gravel surface before placing backfill. 4. Monitor tubes shall be of four (4) inch diameter, installed approximately in the locations shown on the design, and extend a minimum of 12 inches above final grade. The portion of the monitoring tube extending through the gravel shall be perforated from the bottom of the trench to the invert of the distribution pipe. This is equivalent to the effective depth of the gravel as noted on the design. 5. Backfill over the final gravel layer must not be less than twenty-four (24) inches. Insulation must be installed when the backfill depth is less than thirty-six (36) inches. The finish grade over the trench must be mounded to prevent the formation of a depression after settling. • Page 3 Lot 88, Section 25, T15N, R2W, S.M. April 15, 2005 MINIMUM MATERIAL SPECIFICATIONS: 1. Any septic tank proposed for installation must be constructed by a Municipal approved septic tank manufacturer. 2. The following pipe materials are approved for use in septic system installations in the Municipality of Anchorage: Type of Pine Perforated Solid Cast Iron Yes Yes ASTM D3034 (PVC) Yes Yes ASTM F810 (HDPE) Yes No ASTM D2662 (ABS) Yes Yes Use of a type of pipe other than listed above must be approved by the inspecting engineer. 3. Insulation shall be at least 2" thick extruded direct burial polystyrene (Dow Chemical Company Styrofoam HI or equal). 4. Septic tank inlets and outlets shall be fitted with watertight couplings (Caulder, Femco, or equal). 5. A permeable nontoxic silt barrier (Typar 3401, Mirafi 140N, or equal) must be installed between the final leachfield gravel layer and the native soil backfill. 6. All leachfield gravel (sewer rock) shall be 0.5"-2.5" screened gravel with less than 3% passing the 11200 sieve. 7. When sand is being used as a filter material, its gradation specifications must conform to current M.O.A. or D.E.C. requirements, which ever requirement applies. INSPECTIONS: Typically there will be a minimum of three (3) inspections required during the installation of the wastewater disposal system. These inspections will occur as follows: • Page 4 Lot 88, Section 25,1'15N, R2W, E.M. AprII 15, 2005 1. The first inspection must be conducted after the excavation of ditches, pits, trenches, or beds and before the installation of any gravel. A septic tank may be set in place, but may not be backfilled before this inspection. 2. The second inspection must be conducted after the placement of the silt barrier, gravel, distribution lines, standpipes, cleanouts, and insulation, but before the placement of any other backfill. 3. The final inspection is to occur upon final grading of the property. Often there will be more than these 3 inspections required. Especially with the installation of multiple trenches, sand filters, pressurized distribution systems, etc. Thus, the inspecting engineer is to be contacted at least 24 hours prior to the start of construction. If necessary, a pre - construction meeting will take place on-site. The inspecting engineer will not coordinate, direct or control in any way the contractors activities. The owner shall contract with the contractor to perform the work outlined in these specifications and plans and in accordance with the attached M.O.A. permit. There will be no contractual arrangement existing between the contractor and S & S Engineering. S & S Engineering shall be the owner's representative and will inspect the work as stated above to document the contractors activities. Final acceptance of the contractors work rests with the owner and the M.O.A. S & S Engineering shall have no liability to the owner or to others for acts or omissions of the contractor or any other persons performing work on this project or the failure of the contractor to carry out the work in accordance with these construction documents. S & S Engineerings inspecting engineer will not be responsible for the construction means, methods, techniques, sequence, procedures or the safety precautions incident to this project. CONTRACTOR / INSTALLER n P a a N -i N.• rn 0 d 0 ui c 09 t7 J 0 V] p 3 owe, o i, 'me q• '1 2 .N 0 H.:-. i-+ K 0 0 b J + f H h 0 0 r 1--•1 . 0 co O 0 O CVO 3J1a. V0110110-214 '$ 10Y210HON ,v' `J HM114 d'i" iViN d; 40 11i1H4i ?'V NO11IAt13 '1dY l Y`'.� Ul tJ - \ 4\ Amount Due a Less 23' not cased .ling 0 $12.00 per foot \ _ f 80 u•NwA-. n o i Q `C' q n P a a N -i N.• rn 0 d 0 ui c 09 t7 J 0 V] p 3 owe, o i, 'me q• '1 2 .N 0 H.:-. i-+ K 0 0 b J + f H h 0 0 r 1--•1 . 0 co O Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 Elmore Road P.O. Box 196650 Anchorage, AK 99507 www.muni.org/onsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. O.t�'2 87 -27 CosA# 01 O 15-8 Expiration Date: — 9~ 0 Cj 1. GENERAL INFORMATION Complete legal description Lot 68; Section 25; T15N; R2W Location (site address) 15723 Shims 51 Chugiak AK 99567 Current Property owner(s) VA Day phone Mailing address Lending agency Day phone Mailing address Real Estate Agent Kathy Olmstead Day phone 2444020 Mailing Address Unless otherwise requested, COSA will be held by DSO for pickup. 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: Individual Well • Individual Water Storage Community Class Well Public Water System 3 • TYPE OF WASTEWATER DISPOSAL: ❑ Individual On-site ❑ Individual Holding Tank 0 ❑ Community On-site 0 ❑ Public Sewer 0 The Munidpality of Anchorage Development Services Department (DSp) 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 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 Munidpality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply andlor 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 andlor 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 s Is Engineering Phone 6942979 Address 15861 S. Birchwood Loop Rd. Chugiak, AK 99567 Engineer's Printed Name Roberta Shafer Date 5. DSD SIGNATURE l/IGApproved for 3 bedrooms. Disapproved. Conditional approval for 1~\446 4* bedrooms, with the following stipulations: ti� t_ ONSITE ••' =' ,'; WATER AND • R1_ -. . WASTEWATER . PROGRAM Attachments: COSA Checklist X Arsenic Advisory Septic System Advisory Maintenance Agreements Well Flow Advisory �_ Supplemental Engineer's Report Nitrate Advisory Other By: 4, Liv • Original Certificate Date: 6 - 9 -0 9 (Rev 11/05) Municipality of Anchorage Development Services Department Building Safety Division On -Site Water & Wastewater Program 4700 Elmore Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description: A. WELL DATA Well type prNc %-e, If A, 8, or C provide PWSID # Date completed i/6 S' Sanitary seal aN) )/C.S Total depth COO ft. Cased to —C1 ft. FROM WELL LOG L 09- Sec2S t \CL)' 12.2w Date of test Static water level Well production 3 . 0 g.p.m. WATER SAMPLE RESULTS: Coliform colonies/100 mL Nitrate __ mg/L Arsenic: NT) ug/L date of sample: S'aQ''0 1 B. SEPTIC/HOLDING TANK DATA II Tank Type/Material Se c- S't-G c4 ygr 16 ft. Parcel ID: 057 -.,2 S Well Log I) ye s Wires properly protected 6,N) 7e 5 Casing height (above ground) t' 9 + in. ATINSPECTISN • ft. '162. recoo-eai Other bacteria colonies/100 mL Collected by: -1.16 ckte,VSet Date Installed /ill Z 1 / O5 Tank size 1000 gal. Number of Compartments .c Cleanouts Q/N) ye5 Foundation cleanout/N) gra j Depression over tank (Ya C High water alarm (Ye .lto Date of pumping (p/t//2.009 Pumper S R.' 5 C. ABSORPTION FIELD DATA Date installed 09105 --Soil rating g.p.d.l or ft2/bdrm) I •2-- System type 5 k4I�I/ �Y`C h Lit Length tS ft. Width Se ft. Gravel below pipe f ft. Total depth 2_ ft. Eff. bsorption area?i$v ft' Monitoring tube yes Depression over field dl/v Date of adequacy test 09 Result (Pa5 /Fail) Pt1/44 S Fluid depth in absorption field before test 0 in. Wateraddedt6ogal. Elapsed Time: 170 min. Final fluid depth 0 in. Any rejuvenation treatment (past 12 mo.) (Y/N & type) TRt=sJCi PRE• SOAKEd Pii /02 Absorption rate >= N/A - Tv For 3 bedrooms New��//depth I In. '7'.ri g.p.d. If yes, give date 7-2-"f7//t/0- D. LIFT STATION / Date installed AJ Pr 'Pump on level at in. E. SEPARATION DISTANCES Size in gallons Cycles tested SEPARATION DISTANCES FROM WELL ON LOT TO: 100 f r On adjacent lots 1 0Ot On adjacent Tots Septic tank/lift station on lot Absorption field on lot Public sewer main Sewer /septic service line Animal containment areas Manhol High water alarm level at Meets alarm & circuit requirements? 100+1 in. 1I0cif I %�— Public sewer manhole/cleanout c2G es.) Holding tank /'/4 6°"h die) Manure/animal excrete storage areas SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: 1 Building foundation Property line Si,I Absorption field r Water main N/A- Water service line (0 4 Surface water Wells on adjacent Tots /00 II' SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 325 Building foundation LIZ i Water main N/A- A464.- /00 h - r 45 /0o/f Water Service line (0 9 Surface water i od f t Curtain drain F. COMMENTS V" El rc Ab -r • S G. ENGINEER'S CERTIFICATION Nth Wells on adjacent Tots /0011 Driveway, parking/vehicle storage f0r4 vctro..h-Ve-ti --(105e.g J'Qvt - INA kr �W1 el -ter" c .v. 15 r.c 3art.vrc&i Alt SV bS1Off f IIVJQ:. I certify that 1 have determined through field inspections and review of Municipal records th t the above systems are in conformance with MOA COS / /jSS go' elinees innfeffegt oq this fJete. Engineer's Printed Name / 1_% P/ Date 67,1/6/ COSA Fee $ Date of Payment Receipt Number (Rev. 11/05) u90 0.2 5- s c - Waiver Fee $ • Date of Payment Receipt Number Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 Elmore Street P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 Nater Well Advisory Certificate of On -Site Systems Approval (COSA) # 090158 During a recent COSA on-site inspection and test of the potable water supply well on Block , Lot 88 of T15N R2W Section 25 subdivision, the well's productivity was determined to be 0.782 gallons per minute. The minimum well productivity required by this Department (AMC 15.55) for a 3 -bedroom residence is 0.31 gallons per minute. Although the subject well currently exceeds this minimum requirement, all parties concerned are advised that the production capacity of the well may fluctuate. Restriction of non-critical water uses such as washing cars and watering lawns and gardens may be required. This advisory must be attached to all copies of the subject Certificate of On - Site Systems Approval. SCS Refit Client Name Project Name/t/ Client Sample ID Matrix 1092206001 S & S Engineering L88,Sec 25 TI5 W R2W L88,See 25 T15 W R2W Drinking Water Printed Date/Time Collected Date/Time Received Date/time Technical Director 06/032009 14:26 05262009 9:50 05/26/2009 12:16 Stephen C. Ede Sample Remarks: Parameter Results POL Units Method Allowable Prep Analysis Container ID Limits Date Date Init Metals by ICP/MS Arsenic ND Waters Department Total Nitratc/Nitrite-N ND Microbiology Laboratory Colony Count Total Coliform Fecal Coliform 0 0 0 5.00 ug/L EP200.8 C (<10) 05t29/09 06/01/09 NRB 0.100 mg/L SM204500NO3-F D (<10) col/I00mL SM209222B col/I00mL SM20 92228 col/100mL SM20 9222B A A A (<200) (<1) (<1) 06/01/09 JDZ 05/26/09 DLC 05/26/09 DLC 05/26/09 DLC Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING p COSA # (IP t)18 Expiration Date: 1/4/07 Parcel I.D. 051-282-22 1. GENERAL INFORMATION Complete legal description Lot 88; Section 25; T15N; R2W Location (site address) 15723 Shims St. Current Property owner(s) At Worman Day phone 622-6936 Mailing address Lending agency Day phone Mailing address Real Estate Agent Amy / Remax Day phone 244-3355 Mailing Address Unless otherwise requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: Individual Well Individual Water Storage Community Class Well Public Water System0 Er o 0 TYPE OF WASTEWATER DISPOSAL: Individual On-site 0 0 Individual Holding tank0 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 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 Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system Is(are) In compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm S & S Engineering Phone 694-2979 Address 17034 K. Far fuer T )Ste. 04 Faote River, AK 99 77 Engineer's Printed Name D474/ hCc lir Date /O/3J0 to 5. DSD SIGNATURE Approved for 3 bedrooms. Disapproved. Conditional approval for �• R. aux, .k. 14174 - bedrooms, with the following stipulations: .ktk' OF AN �4'� �y , Additional Comments ('(1 D '�` 'er oma.. el „1;kij l)))p{' Attachments: COSA Checklist X Septic System Advisory Well Flow Advisory X Nitrate Advisory By: /l/P (NOrAVryli Arsenic Advisory Maintenance Agreements Supplemental Engineer's Report Other (Rev. 11/05) Original Certificate Date: /0/ 06 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 www.muni.org/onsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description: L-eT Se; St, 025 ; T1 SU) 22.E A. WELL DATA Well type atYAM--If A, B, or C provide PWSID # = Date completed 71174 Total depth O ft. Sanitary seal N) 'fe s Cased to 3'E i ft. FROM WELL LOG Date of test //6 Static water level 14 I ft. Well production 3.0 g.p.m. WATER SAMPLE RESULTS: Z; I B Coliform _ colonies/100 mL � Arsenic: t 1), mg/ B. SEPTIC/HOLDING TANK DATA Tank Type/Material Star, G / STEEL Parcel TE Ec- Parcel ID: OS/ -28Z - Well LogO l) Wires properly protectee) "(s Casing height (above ground) AT INSPECTION y/gfeDs 36' O. BB ft. g.p.m. IZ" in. Nitrate2 rU mg/L Other bacteria 0 colonies/100 mL Date of sample: 7 /11/4°12 Collected by: Aja- S F -#4.400acelth Date installed 424 i S Tank size KOC), gal. Number of Compartments a CleanoutseN) Yre> Foundation cleanoal) *4 Depression over tank (Y ) /UO High water alarm (Y® /Va Date of pumping \D 13 I O (v Pumper 1?• -t S C. ABSORPTION FIELD DATA J "7_" Date installed cf�/�'�{/os Soil rating (g.p.d./R2 or ft2/bdrm) /62 System type SKS-twco '` ctX..1.1 Length 38' ft. Width 5 1 ft. Gravel below pipe Lr ft Total depth ft. Eff. absorption area VCR Monitoring tube `Its Depression over field J0O Date of adequacy test /kWh Results (Pass/Fail) — For bedrooms Fluid depth in absorption field before test = in. Water added= gal. New depth= in. Elapsed Time: — min. Final fluid depth — in. Absorption rate >= — g.p.d. Any rejuvenation treatment (past 12 mo.) (Y€) type) VO /0/4 If yes, give date D. UFT STATION Date installed Size in gallons 'Pump on' level at _ in. 'P -'e at _ in. High water alarm level at in. Datum Cycles tested Meets alarm & circuit requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot /00 t"t On adjacent lots /6r) ri- Absorption field on lot / CC r'/ On adjacent lots IOO r'i Public sewer main ,t?(F} Public sewer manhole/cleanout Obi Sewer /septic service line 26 ii- Holding tank N1/ !}- Animal containment areas GO 1'' Manure/animal excrete storage areas _ /OCA t4. SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 301 Property line 501 Absorption field 5 r{ Water main IU q Water service line /O t 4- Surface water 100 I-1 Wells on adjacent lots ICO I+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 3$' Building foundation q 2 r Water main 1J' A r Water Service line 7 t''�Surface water 100 'f Driveway, parkin glvehide storage 10 4 - Curtain drain r(}ht7f Welty Wells on adjacent lots f00 rt - F. COMMENTS G. ENGINEER'S CERTIFICATION 1 certify that I have determined t h field inspections and review of Municipal records t th= above syste re rp conformance with MOA COSA • ide = s thi ate/ Engineer's Printed Name Date Irf 4. r tits WO 4 COSA Fee $ Date of Payment Receipt Number (Rev. 11/05) Waiver Fee $ Date of Payment Receipt Number Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 Water Well Advisory Health Authority Approval # HA060488 During a recent Health Authority Approval on-site inspection and test of the potable water supply well located on Lot 88 Sec 25 T15N R2W, the well's productivity was determined to be .88 gallons per minute. The minimum well productivity required by this Department (AMC 15.55) for a 3 -bedroom residence is .3 gallons per minute. Although the subject well currently exceeds this minimum requirement, all parties concerned are advised that the production capacity of the well may fluctuate. Restriction of non-critical water uses such as washing cars and watering lawns and gardens may be required. This advisory must be attached to all copies of the subject Health Authority Approval. SCS Ref.// Client Name Project Name/# Client Sample ID Matrix 1065391001 S & S Engineering Lot 88 Section 25 TI5N R2W Lot 88 Section 25 TI5N R2W Drinking Water All Dates/Times are Alaska Standard Time Printed Date/Time Collected Date/Time Received Date/Time Technical Director 09/29/2006 11:02 09/11/2006 13:45 09/11/2006 15:45 Stephen C. Ede Sample Remarks: Parameter Results PQL Allowable Prep Analysis Units Method Container ID Limits Date Date hilt Metals by ICP/MS Arsenic Waters Department Nitratc-N • Microbiology Laboratory Total Coliforn ND 2.18 0 5.00 ug/L EP200.8 0.100 mg/L EPA 353.2 col/100mL Sh120 922213 C (<10) 09/15/06 09/27/06 Mil D (<10) 09/11/06 ALR A (<1) 09/11/06 TLF Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. OS]—9R9-99 1. GENERAL INFORMATION Complete legal description HAA# IJSnI -iX Expiration Date: 9 -S- O Lot RR' Sprtinn 9S• T15N• Location (site address or directions) 1 5771 Current Property owner(s) Mailing address . Lending agency Mailing address Real Estate Agent Kathi Geraci Shims St R9N Bryan Tilden Day phone Day phone Mailing Address 11411 Old Glenn Day phone 694-9125 Hwy. Envie River. AK 99577 Unless otherwise requested, HAA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 3 3. TYPE OF WATER SUPPLY: Individual Well Individual Water Storage Community Class Well Public Water System 0 TYPE OF WASTEWATER DISPOSAL: Individual On-site {� Individual Holding tank •❑ Community On-site ❑ Public Sewer 0 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 S & S Engineering 694-2979 Phone Addressl7034 N. Ear1Q_River Loop Ste. 204 Earle River, AK 99577 Engineer's Printed Name Robert A. Shafer Date 5. DSD SIGNATURE V Approved for 3 bedrooms. Disapproved. ) ; .t a.1'z • u' j Conditional approval for bedrooms, with the following stipulations: Additional Comments ���tttY OF//r% 1 ON SITE ••' 0= WASTEWATER WATER AND t"_ : PROGRAM • CL'• �1 fl)L)A) Attachments: HAA Checklist X Maintenance Agreements Septic System Advisory Supplemental Engineer's Report Well Flow Advisory Other By: ),79 0/ /"O i Original Certificate Date: - (Rev 01102) Municipality of Anchorage Development Services Department Building Safety Division On -Site Water & Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: Leif 8S S -no.J Z i 15N; ea. Parcel ID: 05 (— 2S1 22 A. WELL. DATA Well type fATW✓*& If A, B, or C provide PWSID # = Well Logc 'I) `frS Date completed 7/2-4,45 Sanitary seal (?)N) '/(S Wires properly protected eiN) '6.5 Total depth CO' ft. Cased to 371 ft. Casing height (above ground) 1 z° in. FROM WELL LOG AT INSPECTION Date of test 46 Li/,/OS 1 Static water level (br ft. 35 ft. Well production 3 g.p.m. •eS g.p.m. WATER SAMPLE RESULTS: Coliform 0 colonies/100 ml. Nitrate 2•_'`_ mg./I. Other bacteria 0 colonies/100 ml. Arsenic: — mg./I. Date of sample: 3(2.3/o5 Collected by: 5a- teuGrNl tAJb B. SEPTIC/HOLDING TANK DATA Tank Type/Material Some— /STIc-LC(__ Date installed q /x1105 Tank size 1000 gal. Number of Compartments 2 Cleanouts)/N) If S Foundation cleanout Oft) `11"> Depression over tank (W r� High water alarm (Y/CW CO Date of pumping NLS SsiST:rr1 Pumper — C. ABSORPTION FIELD DATA Date installed 11 JZB/0 i Soil rati (g.p.d./ft ft2/bdrm) 1_a System type Skkt.Lotc) i ¢6tutat Length 3S ft. Width gft. Gravel below pipe tr ft. i Total depth � ft. Eff. absorption area 3P0ft2 Monitoring tube '1E5 Depression over field *30 Date of adequacy test lie -k) SYS7tni Results (Pass/Fail) — For 3 bedrooms Fluid depth in absorption field before test = in. Water added= gal. New depth= in. Elapsed Time: = min. Final fluid depth = in. Any rejuvenation treatment (past 12 mo.) (Yj5J type) /CO Absorption rate >_ '"' g.p.d. If yes, give date D. LIFT STATION Date installed Size in gallons Manh• - - '/N) "Pump on" level at _ in. "Pump off" I- - _ in. High water alarm level at in. Datum Cycles tested Meets alarm & circuit requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot 100 14.- On adjacent lots Absorption field on lot tOb f— On adjacent lots (0Ud '4 - Public sewer main k? R Public sewer manhole/cleanout OA r Sewer /septic service line 25 4- Holding tank NA SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: (00 r4- I Building foundation Property line SO' Absorption field 5+ Water main tan Water service line 1014- Surface water 1C:0 f 1 Wells on adjacent lots (CY, "f' SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line Ser Building foundation q 2' Water main N>3 I r Water Service line (01 Surface water (G'0 f Driveway, parking/vehicle storage 10 -- Curtain drain ?-* ic Wells on adjacent lots 1010 t F. COMMENTS G. ENGINEER'S CERTIFICATION 1 certify that 1 have determined through field inspections and review of Municipal records th. e . . • ve systems conformance with MOA HAA • ide ' es in e e on this ale. Engineer's Printed N -me U• fie/ Date r 0 HAA Fee $ Liao -co Date of Payment .5/2/66 - Receipt Number 00ijg"Y1y (Rev. 12/01) Waiver Fee $ Date of Payment Receipt Number S 1 r ` • %- L 7 % I w / Cc M:a-r ��4.$kSy `• i ..Q \.t ` N AS -BUILT 1 hereby certify that I have surveyed the following described propert •F�matn•jdr- lite FLM L•Y 8e %t.,'/ ,oM1 as, t �-Y�f i2 Z W, i%,t'► Anchorage Recording Precinct, Alaska, and that the improve- ments situated thereon are within the property lines and do not overlap or encroach on the property lying adjacent thereto, that no improvements on property lying adjacent thereto encroach on the premises in question andencroachat there are no roadways, transmission lines or other visible easements on said property except as indicated hereon. Dated at Eagle River, Alaska this 3?- ^ day of ft "jj - : / '+()Ur. ROBERT C. JOHNSON n& SCALE: , Registered Land Surveyor No. 81.10 -LS 1" - SD Box 77-0456, Eagle River, Alaska 99577 Phone (907) 694-2543 3-30-05; 0:110M; SCS Ref IS Client Name Project Name/H Client Sample ID Martz 1051547001 S & S Engineering Lot 88. Sec 25 T15N R2W Lot 88, Sec 25 T15N R2W Drinking Water ;007 5015301 0 2/ 4 All Datestfimes are Alaska Standard These Printed Date/Time 03/30/2005 9:46 Collected Date/Time 03/23/2005 12:00 ReceivedDate/fime 03/23/2005 13:17 Technical Director Stephen C. Ede Sample Remarks. Parameter Results PQL Units Mahod Allowable Pito Analysis coos/dna tip Limits Date Dam In(t Waters Department Nitrate -N tiicrobioloav Laboratory Total Coliform 2.89 0.100 mgt EPA 300.0 B (o-101 03/23/05 XM 0• co1/100mL SM20 92228 • A (<-1) 03/23/05 TLF .. -r • GReATER ANCHORAGE AREA.BOROUGh ' DEPARTMENT OF ENVIRONMENTAL QUALITY 3500 TUDOR ROAD ANCHORAGE, ALASKA 99507 279-8686 INSPECT: TIME: • 7:36 R "y REQUEST FOR APPROVAL. OF INDIVIDUAL SEWER AND WATER.FACILITIES • FOR r/A APPROVAL REQUESTED BY: I(GJt5XfcAJ �6792�a),- ADDRESS: FU/77 ULi C. /OU.. PHONE: P%Q930 2. PROPERTY OWNER: Awl klAp7,40-4,,a) PHONE: ,F,88a%/s :. 3. LEGAL DESCRIPTION: ,4Y p,2S . /W4,). /0� SS,/2%. 4. TYPE FACILITY TO BE.INSPECTED:/f/4fj4STREET: ft.CC%I.wIcd ^/ CVn2CCte NUMBER OF BEDROOMS: 5. WELL DATA: �� A. TYPE • ,\( w44 G B. DEPTH C. SIZE Ataave D. CONSTRUCTION L'%7(,6Y>/C(ffotr�-: E. BACTERIAL ANALYSIS . 6. SEWAGE DISPOSAL SYSTEM: A. SEPTIC TANK (IF HOMEMADE, SHOW DIAGRAM ON BACK) 1. SIZE 2. AGE 3. MANUFACTURER - 4. • INSTALLER - a' '2. reithe- r' - ,.Cam c,C. • r1 '. APPROVAL REQUEST FOR SEWER & WATER FACILITIt' PAGE TWO B. SEEPAGE PIT 1. SIZE I'2 1012. 4. 2. LINING C. DISPOSAL FIELD 1. NUMBER OF LINES 2. TOTAL LENGTH 7. REQUIRED MEASUREMENTS A. WELL TO SEPTIC TANK B. WELL TO SEEPAGE PIT a007, - C.• WELL TO SEWER LINE D. WELL TO PROPERTY LINE (004 • E. WELL TO OTHER POSSIBLE CONTAMINATION -" F. FOUNDATION TO SEPTIC TANK G. FOUNDATION TO SEEPAGE PIT $9 H. SEEPAGE PIT TO PROPERTY LINE 504 /iD S 8. COMMENTS: leplgaceaf 4174 .101,4-4.40f7400 APPROVED: saS DISAPPROVED: DATE: 1111017Z- ' DATE: APPROVAL VALID FOR ONE YEAR FROM DATE SIGNED. GREATER ANCHORAGE AREA BOROUGH DEPARTMENT OF. ENVIRONMENTAL QUALITI i Anrtl 11, 1972 Kessler t& Company 604 E. 6th Avenue Anchorage, Alaska 09501 Subject: Water and Sewer Facilities Serving Lot 9S, Section 25, 11214, T1Sn, S.m. Peer Sir: An inspection of the above was made by t!:1s office on April 7. 1972. The well 1s 200 feet from the nearest contamination and of approve construction. Thu 9'feet��southge s�ofmtherdwelling on.Csubier.t,lot. Leon! this office can give final anprovel on this system, a . 1.0^n gallon septic tank must be stubbed• into the sewer line adjacent to the cesspool. At the time of installation. Temporary instporary anprovalion rmit must be can h giventaken pondingttheom this escrow office. fundsrfor a , funds for the purchase and installation of said septic tants. Sincerely, Timothy 1. Pumfel t Sanitarian bb cc: Veteran's Administration