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PERMIT NUMBER: PARCEL ID NUMBER:
OSP241202 RECORD DRAWING 017-142-26
\
A I B I C \
'
Fm—Hl 53.5 23.3 50.2 \
MH2 60.8 30.9 56.0 t
NOTE: PIPE LOCATIONS ARE '
SHOWN PER GEG SHOTS
GENERAL LOCATION
TAKEN WITH LEICA DISTO 100' WELL
RADIUS OF CURTAIN DRAIN
5910 LASER DISTANCE ' GENERAL LOCATION
METER. SWING -TIES TO \ PER MOA RECORDS
HOUSE CORNERS WERE '
GENERATED INAUTOCAD. \
BED
100'WELL
\ GENERAL LOCATION
I BED 2
\\ \ BED 1
i
NEW 1500 -GALLON
EPDXY STEEL /
STEP TANK trr
\
\
`�\ ; • ! �. �; : ! EXISTING �
4 -BEDROOM
�\ " ••��_ HOUSE
/
GENERAL LOCATION OF \ 70 `�\ f`✓
CURTAIN DRAIN OUTFALL. UTjC/
NO VISIBLE WATER '-�
/ FLOWING
7/5/2024.SOIVATOUTFALI
/ WAS WET AND SPONGY.
PARK HILLS #1,
N LOT 10, BLOCK 2
/
SCALE: 100' WELL RADIUS
/ \ /
1"= 40' P� GENERAL LOCATIONnc-
Ar
'w
S E ROUP,
ENGINEERING,g SALES a, CONSULTING...,.�� � � ��� � �. �
3701 E. TUDOR ROAD, SUITE 101 - ANCHORAGE, ALASKA • PHONE (907) 337.6179 ` WEBSITE. www.gameswngineedng.com
0 . • .. . ...... ,
- •• .,i
• • eSS•':• �
% % •; ey
PREPARED FOR:
PHONE
NUMBER:
PAGE NUMBER:
..
�# °•'
LAMAR JOHNSON
907-301-8805
2 OF 3
J,'' 79 3
•�. �••.,, Z, � 2 •••� Ar
PROJECTILEGAL DESCRIPTION:
DRAWN BY:
PARK #1; BLOCK 2, LOT 9J.L.M.
LICE N SE�o FESS\e.",4*
#1ECC884 ,
TYPES OF WORK
RECORD DRAWING OF STEP TANK UPGRADE
DATELLS
8/28/2024
PERMIT NUMBER: /� j A PARCEL ID NUMBER.
08P241202 RECORD ®RA V Y I 1 V G 017-142-26
TOP OF T
INLET =
INVERT OF Bi
@ INLET = 93
NEW 1500 -GALLON EPDXY COATED STEP TANK
100.14
OF TANK @
LET = 93.86
,O0lq�0,1s%y
OF
9 s
GARNESS ENGINEERING GROUP, Ltd .......
..... =
ENGINEERING SAES CONSULTING ?... .........................0
3701 E. TUDOR ROAD, SUITE 101 "ANCHORAGE, ALASKA' PHONE (907) 337-6179' WEBSITE:w .gamessengheedng.mm * ..... .... I/! ..................
PREPARED FOR: PHONE NUMBER: PAGE NUMBER: O Jae fey arness®
LAMAR JOHNSON 907-301-8805 3 OF 3 ®E� CE 7953 ' �r
PROJECT/LEGAL DESCRIPTION: DRAWN BY: { F
PARK HILLS #1; BLOCK 2, LOT 9 J.L.M. ®all ''••.. ,.000v�`P� �®
TYPE OF WORK: DATE: LICENSE
# ICENS PROF S®`jyam`+®®
RECORD DRAWING OF STEP TANK UPGRADE 8/27/2024 4
August 29, 2024
To Whom it may concern,
The lift station at 14709 Park Hills Cir was installed per NEC code.
If you have any further questions feel free to contact me at 907-351-5163
Thank you,
'3D-�' �-
David R Stevenson
Owner
DRS Electric, LLC
18207 Stillwater Dr., Eagle River, AK 99577 907-351-5163
MUNICIPALITY OF ANCHORAGE
On -Site Water & Wastewater Program
PO Box 196650 4700 Elmore Road
Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997
hftp://www.muni.org/onsite
On -Site Wastewater Disposal System Permit
Permit Number: OSP241202
Work Type: SepticTank Upgrade
Tax Code Number: 01714226000
Site Legal Address: PARK HILLS#1 BLK 2 LT 9 G:3037
Site Mailing Address: 14709 PARK HILLS CIR, Anchorage
Owner: CUTLER LOUISIANA W &
Design Engineer: GARNESS ENGINEERING GROUP LTD
This permit is for the construction of:
Effective Date
Expiration Date:
Lot Size in Sq Ft:
Total Bedrooms:
7/24/2024
7/24/2025
49348
❑ Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage
All construction shall be in accordance with:
1. The attached approved design.
2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska
Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80)
3. The wastewater code requires inspections during the installation. The engineer shall notify the Development
Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
shall be either:
a. Opened and Closed on the same day, or
b. Covered, sealed, and heated to prevent freezing
Received By: S k-) - J) / G C`
Issued By:
Date:
Date: 2 �!
4
MUNICIPALITY OF ANCHORAGE
Development Services Department Phone: 907-343-7904
On -Site Water & Wastewater Section Fax: 907-343-7997
ON -SITE SEPTIC/WELL PERMIT APPLICATION
Parcel I.D. 017-142-26
Property owner(s) LAMAR JOHNSON Day phone 907-301-8805
Mailing address 14709 PARK HILLS CIRCLE, ANCHORAGE, AK
Site address 14709 PARK HILLS CIRCLE, ANCHORAGE, AK
Legal description (Sub'd., Block & Lot) PARK HILLS #1; BLOCK 2, LOT 9
Legal description (Township, Range & Section)
Lot Size Sq. Ft. Number of Bedrooms 4
APPLICATION IS FOR:
(Z all that apply)
Absorption Field
❑
Septic Tank
QX
Holding Tank
❑
Privy
LJ
Private Well
❑
Water Storage
❑
APPLICATION IS AN
Initial
❑
Upgrade
Renewal
❑
THIS APPLICATION INCLUDES A WAIVER REQUEST FOR:
TYPE OF DWELLING:
Single Family (SF)
(w/wo ADU)
Duplex (D) ❑
Multiple Dwellings ❑
(SF and/or D)
Distance:
I certify that the above information is correct. I further certify that this is in accordance with
applicable Municipal Codes.
(Signature of property owner or authorized agent)
Permit/Rush Fees: Z Z S_
Date of Payment, I � /'2-0 z
Receipt Number: C)
Permit No.
Waiver Fees:
Date of Payment:
Receipt Number:
Waiver No.
GAIDevelopment Services\Building Safety\On Site Water and WastewaterTormsUient Forrns\Permit Application.doc
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP241202, Curtis Townsend, 07/24/24
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP241202, Curtis Townsend, 07/24/24
SCALE: 1 "= 50'
,00 49th�,
00 '10
00
00
Elizabeth L. Walatka : ff 00
�rfi • 8036 — LS • J4 r
0FESS l ot4A\- V
67 2�, 2�— {� ii
CO ¢ .
.,
oQ
z1
AS -BUILT NO CORNERS SET THIS DATE
LOT 8
o +i
C; LOT
rn a
Chain link fen
9
Septic vent (I,p}-.�,g
/-2.0 OH
\ �.4pHALT
2-0 0V
deck.
°0,>,��s
I hereby certify that I have performed a Mortgagee's inspection
in accordance with ASPLS Standards of the following
described property: LOT 9 BLOCK 2
PARK HILLS SUBDIVISION ADDITION No. 1
Anchorage Recording Precinct, Alaska, and that the
improvements situated thereon are within the property tines
and do not overlap or encroach on the property lying
adjacent thereto, that no improvements on the property lying
adjacent thereto encroach on the premises in question and
that there are no roadways, transmission tines or other
visible easements on said property except as indicated
hereon.
Dated at Anchorage, Alaska
this 27th day of JULY 2009.
FRED WALATKA & ASSOCIATES, L.L.C.
907-248-1666 Engineers and Surveyors
<4.2 I
LOT 10
FB 24-2, pg 33
Recert 6-21-10
BE FB 09-4, pg 63-64
3 Story jv-2.0
FrameHouse12.OH
deck
00
0)
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Ir-
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`/
EASEMENTS OF RECORD, OTHER THAN
THOSE SHOWN ON THE RECORDED
PLAT ARE NOT SHOWN HEREON
UNLESS OTHERWISE NOTED_
This drawing is a representation of conditions found at the time the mortgage location survey was performed. This document does not constitute a boundary
survey and is subject to any inaccuracies that a subsequent boundary survey may disclose. The information contained on this drawing shall not be used to
establish any fence. structure or other improvements. This drawing shall only be used for a single property transaction. Use of this drawing by the original
client or by others at a later date without the consent of Elizabeth L. Walatka is a violation of Federal Copyright law. Unless gross negligence is discovered,
the liability extent of the preparer is limited to the amount of fees collected for services in preparation of this product.
Municipality of Anchorage Page t of
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: (-')'-~(EDe;~)'L\,'~ PID Number: O~
Name: ~ ~~ ~ ~~ Wastewater System: ~ New ~ Upgrade
Address:
~o ~lt~ ~, ~ff~ ABSORPTION FIELD
Phone: ~~ No. of~edrooms: ~OeepTrench ~ Shallow Trench ~Bed ~Mound ~Other
Total Depth from original grade:
LEGAL DESCRIPTION S°ilRating: ,~ GPD/Sq. Ft.
Block: Subdivision: Depth to pipe bottom from original grade: Gravel depth beneath pipe
Lot: ~ ~ ¢~ ~ ~P~l O Ft. ,~ Ft.
Township: Range: Section: Fill added above original grade: Gravel length:
~F,. ~ ~ Ft.i
~''New ~ Upgrade Gravelwidth: e~ J ¢¢' Number of lines: aistancebelweenlines:
WELL:
~ I¢' ~ ~ Ft.
~ Ft.
Classification (Private. A.B.C): Total Depth: Cased To: Total absorption area: Pipe material: ¢~¢t~
Driller: Date Drilled: Static Water Level: Installer: i Date installed:
Pump Set Casing Height Above Ground:
Yield: ¢'~ OPM ~ts~ ,,. ~ ,,. TANK
SEPARATION DISTANCES ~s~,t~c ~ Holding ~ S.T.E.P.
TO Septic Absorption Lift Holding ~ublic/Privale Manufacturer: Capacity in gallons:
From Tank Field Station Tank S .... Lines ~%~
Well ~' ~O~t t~t ~- Mater~ ~.mBe~f Compartments:
Surface
Water ~ .... N~ LIFT STATION
Lot ~ ~ Size in gallons: M re
Line ~l ~, ~- ~ ~% ~
~ "Pump on" level at: "Pump off" level at: High water alarm ~t:
Foundation [~ j~l [~1 ~ - %~ ~
Curtain Pump Make & Model Electrical Inspections performed by:
Drain ~' ~J / ~l )~ ~O O~ ,¢~
BENCH
MARK
Remarks: ~o,~ ~ ~ ~ ~ ~
Location and Description:
Assumed Elevation:
Inspections performed by: M~~/~~Sates: 1st ~jl~*~
Department of Healt~nd Huma~ervices approva~ ,,, .... -: ,, ,, c=-,,o0 ¢-,,:~¢ ~-,,.
Reviewed and approvoO b~: ~~ C~ Dato'. 'o~t'~[~
[-
7g-013 (Rev. 9/91) MOA 25
Permit No.
Page ~- of -~
Municipality of Anchorage
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
Le(:al Descri)tion: ~Y--[-N'[[_~ ,N~.~I.~ PID No.: e~l~l
72-013 A (1/93)
US FR~M NEIGHBORS iWELLi./ iliii SWING-TIESI
FT
RAD
i CORNER CORNER
ELEMENT A ~ S
................................ S.~...1 ................ 24,8 .......... 55.3 ...............................
...................................................... S1~ 2 31.2 ~1.6
ESi I 32.7 63.2
~ M~ I 47.5 ~7.3
~ ~,, M~ 2 55.2 ~3.4
M~ 3 91.1 ~2.9
U~ 4 70,5 62.4
M~ 5 37.6 ~9.7
.......................................... ............. . ............. ............................... ...........
X TEST ~HOLE 2~
NO OT~ER WELL/SEPTICS WITHIN 200 FT
~ :[ TES~ HOLE 3~-~i
~ TRENC~ BY ENGINEER DURING INSTALLATION.
~ ~ [ ~ 9~ST,~abT[O. ,~P~= ~" .~ F~O~ UFT STATION
~ LATERALS: 1-1/4~ PVC, SCH [40
......... :~~ .......................................... Y'~ .............................
FRON~O~FT
Permit No.
Page .~ of ~
Municipality of Anchorage
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
PID No.: ~-1~'?..'7_..~,
0~-40
............................................................................... TEST' :R'OIEE"'3-'
I~.!:
O~-50
' o~-~o
'i · 0~-70
0~-80
MT 5 i
0~.90
MT 2' i
1~-00
CURTAIN.DRAIN[ J
MT 4
1+20
..... MT"3 ........................................................
1~-30
: MT ' ~
1+50
72-013 A (1/93)
$EP--16-94 FRI 4 :$0 992
)WNER Of LAND
DES, qRtmON
~ATE- Started
ERMIT NOMBER
SULLIVAN WATER WELLS
P.O. BOX 670272, CHUGIAK, ALA$~(A ~567 · TEL£PHON~ 60e.2769
DEPTH OF ',YELL / q 1.
c~?'Oe-/(~T,kTIC LEVI~L 0r WATER rr,
DRAW DOWN FT,
GALS, PER HR ~ ~ O
KINI) OF ~"ASING ('~ ~&L)
/ ..... ~"" :*' "'~ ' ' '~'~' .a "
From . FI, to
From FI, to
Frot~L.. Ft. to
From ~~ Ft, to
~.Ft,.
.Ft.
~,Ft,
,_Ft.,
FI, __~
From~Fl. to, Ft. __
from _ FI, to Fl.
Fro~ Fl', to . Ft..
,From .... FI, to- - FL
~,. From .__FL to ~¢
From.~ FI. lo FT..
From___Ft. to Ft.
· from .... FI, to__Fl,
~ .
From .~Fl. to~. Ft.
;CL. IN f 0 ', ,R~,. A'~ION:
F'.02
DRILLER'S NAME
MunicipaliW oi Anchorage
Dept, Hearth 8, Human Services
MOUNTAIN ENGINEERING
3868 Shannon Circle
Anchorage, Alaska 99508
(907) 562-1500
Project Scope:
Legal Description:
Date of Report:
DESIGN REVISION
On-Site Septic System Design Revision
Park Hills Addition #1, Lot 9, Block 2
April 30, 1994
DESIGN NOTES
A permit was issued for the above referenced parcel based on our site plan dated
February 28, 1994. On April 12, 1994 we revisited the site and excavated an additional
test hole in search of either lower groundwater levels or soils with a higher permeability.
During the latter date, spring melt-off was near its peak and we also hoped to get a better
idea of the subsurface conditions during break-up.
Test hole #3 was excavated to a total depth of 14 FT on April 12. The soils were brown,
sandy silt (with some cobbles) from below the surface organics to the bottom of the hole.
The hole was dry during the soils test, but during the monitoring period, the level rose to
5 FT below existing grade. It is our opinion that the elevation of the groundwater level is
largely due to melting snow running into the test hole. Nevertheless, we feel that we
should use this level to accommodate the worst-case situation.
The percolation rate in test hole #3 was 20 min/inch. The application rate on a bed
system would therefore be .4 GPD/SF. For a four-bedroom house, the area required
would thus be 4 X 150 / .4 = 1,500 SF. Because this test hole has a higher percolation
rate than test hole #2 (used previously), we are revising the design to use test hole #3, and
two 15 FT X 50 FT pressurized beds.
The attached revised site plan (dated April 30, 1994) details the proposed system. Also
attached are the calculations for the pressuized bed hole size & spacing.
Please contact Mark Pearson at 562-1500 with any questions.
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND HUMAN SERVICES
P.O. BOX 196650, 825 "L" STREET, ROOM 502
ANCHORAGE, ALASKA 99519-6650
ON-SITE WELL AND WASTEWATER DISPOSAL SYSTEM PERMIT
PERMIT NUMBER:SW940043
DESIGN ENGINEER:MOUNTAIN ENGINEERING
OWNER NAME:JOHNSON H LAMAR &
OWNER ADDRESS:3500 WILLOW STREET
ANCHORAGE, AK 99517
DATE ISSUED: 3/03/94
EXPIRATION DATE: 3/03/95
PARCEL ID:01714226
LEGAL DESCRIPTION: PARK HILLS #1 BLK 2 LT 9
LOT SIZE: 49348 (SQ. FT.)
NUMBER OF BEDROOMS: 4 THIS PERMIT: 4
THIS PERMIT IS FOR THE CONTRUCTION OF:
DISPOSAL FIELD /SEPTIC TANK / WELL SYSTEM
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 (iSAACS0).
3. THE ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS
PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY
CALLING 343-4744 OR 343-4681 AFTER BUSINESS HOURS
4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL
ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING
WEATHER MUST BE EITHER:
A. OPENED AND CLOSED ON THE SAME DAY
B. COVERED, SEALED AND HEATED TO PREVENT FREEZING
5. THE FOLLOWING SPECIAL PROVISIONS.
SPECIAL PRoVIsIONS:
THE MAXIMUM TOTAL DEPTH OF THE BED MUST NOT EXCEED 2,5 FEET.
ISSUED BY:
/
PROPERTY LINE
Om~:m~ ' ~ ~ ~o~°=Y' ~
~ ~0 m
o~oo ~ ~ ~o~zO
~ m-Z ~zmq~
mE ~r HO)~ mZ"mn-m
o~
Pressurized Bed Design Notes 30-Apr-94
Park Hills Subdivision, Lot 9, Block 2
Mountain Engineering
Assumptions: 3/16" holes @ 5' on center (pump screen is 1/8"). This is a split bed, with three laterals in
each bed. Using central manifold. Min. 2' head to be maintained on each orifice (hole). Beds are 50'
long, 15' wide. Lateral piping is 45' long. Diagram below shows layout.
Bed ¢1
Bed ¢2
1-1/4" PVC Manifold
Number of Laterals 6 EA
Lateral Length 45 FT
Lateral Spacing 5 FT
Minimum discharge per hole 0.58 GPM
¢ holes/lateral 9
Lateral Discharge Rate 5.22 GPM/lateral
Min Total Discharge Rate 31.32 GPM
_~~2" PE Force Pipe from Lift Station
(capped on ends) ' ,4 ~~
From orifice equation using 2' min head
Lateral Length / Lateral Spacing
Min Discharge per hole X ¢ holes per lateral
Lateral Discharge Rate X ¢ of Laterals
Min Dose Volume
Lateral Pipe Volume
Total Lateral Volume
Required Manifold Size
160 Gallons
3 Gallons
18 Gallons
1-1/4 Inch
Per EPA Fig. 7-30
Per EPA Fig. 7-30
Lateral Pipe Volume X Number of Laterals
Per EPA Fig. 7-29
Force Pipe Size
Force Pipe Length
Head Loss per 100 FT
Total Force Pipe Headloss
2 Inch
80 FT
2.05
1.64
2" PE
Per EPA Table 7-14
FP Length/100* HL per 100 FT
Total Dynamic Head Required at Pump:
Elevation 15 FT
Total FP Headloss 1.64 FT
Min Head @ Orifice 2 FT
Total 18.64 FT
Pump to bed change in elevation
Using ORENCO 1/2 HP 5-stage pump, with 20 FT of head, pump will deliver at least 35 GPM
MOUNTAIN ENGINEERING
3868 Shannon Circle
Anchorage, Alaska 99508
(907) 562-1500
DESIGN CRITERIA AND NOTES
Project Scope:
Legal Description:
Date of Report:
On-Site Septic System & Well Design
Park Hills Addition #1, Lot 9, Block 2
February 26, 1994
DESIGN NOTES
This permit request is for a new septic system and well on the above referenced lot. The
proposed home is a four (4) bedroom single family home.
Two test holes were excavated on September 26, 1993 at locations indicated on the
attached site plan. Percolation rates were 3.3 nfin/inch in test hole #1, and 33 min/inch in
test hole #2. A seep of groundwater was encountered at 10 FT during the excavation of
test hole #1, and no water was visible in test hole #2 during excavation. At the end of the
ground water monitoring period (October 3, 1993), the water level was at 5.5 FT in test
hole #1, and,!3 FT in test hole #2. Further monitoring on February 21, 1994 revealed
groundwater at 8.5 FT in test hole #2. We were unable to find test hole #1 off that date
due to snow cover. Because we plan to use test hole #1 as a reserve area, we feel that
adequate information was gathered during the conventional monitoring period. Prior to
installation, however, the levels will be checked again in both test holes.
We propose to install a bed in the area of test hole #2. Based on four bedrooms, the daily
design flow is 4 X 150, or 600 gallons/day. The application rate (for a bed) at test hole
#2 will be .3 Gal/Day/SF. The required area is thus 600/.3, or 2,000 SF. With a 35 FT
wide bed, the length required would be 57.1 FT, rounded to 58 FT.
The topography on the lot in the area of the proposed septic system slopes at
approximately 5% to the west.
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
PERFORMED FOR: biCcV~4,~ '~FFt, J~F-~C~CJ
LEGAL DESCRIPTION:
2
3
4
5
6
\ ?
8
10
12
13
14
17,
18-
20-
Township, Range, Section:
SITE PLAN
SLOPE
WAS GROUND WATER
ENCOUNTERED?
S
L
IF YES, AT WHAT O
DEPTH? p
E
Depth lo Water Alter
Reading Date Gross Net Depth to Net
Time Time Water Drop
¢ I ...... /
~ ~,~ ,/
~ ~ , ~ ' ,~,~
PERCOLATION RATE__~ (minutes/inch) PERC HOLE DIAMETER
TEST RUN BETWEEN (~ FTAND ~3,~ FT
COMMENTS '~-~ ~L.~.~J~ '1~(_~_ 0,~"~ ~.~[l"~l~
PERFORMED BY: ¢0~ ~3 I ~ ~~ CERTIFY THAT THiS TEST WAS PERFORMED IN
72-008 (Rev. 4/85)
Municipalily of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
PERFORMED FOR:
LEGAL DESCRIPTION: ~ ~ I~L~,,,~.,,,,~'~,..,
SLOPE
DATE PERFORMED:
Township, ~ange, Section:
12
13
14
15
16
17
18¸
19-
20-
WAS GROUND WATER
ENCOUNTERED?
SITE PLAN
S
L
IF YES, AT WHAT LC:> ~
DEPTH?
E
Depth to Water Aff~rg.k. ~
Monitoring? Date: 10J~lq"~
Reading Date Gross Net ( Depth to Net
Time Time ¢,m."~ Water Drop
PERCOLATION RATE ~'.'~ (minutes/inch) PERC HOLE DIAMETER __
TEST RUN BETWEEN '~ FTAND I.~ FT
COMMENTS
PERFORMED BY: ~V~O~'~"t"¢'~ ~"V~"~¢'~ , ~¢~.C~-- ?'~.~'¢'¢'t CERTIFY THAT THIS TEST WAS PERFORMED IN
AOCORDANOE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECTON THISDATE. DATE: ~/'~l'?..~
72-008 (Rev. 4~85)
Municipalily of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
PERFORMED FOR: C~'--f~Z."( ~C,-YrT
LEGAL DESCRIPTION: ~4:::~1'- C~.I ~I~(/t~L ~.
1
2
3
4
5
8
10
12
14
16-
20
DATE PERFORMED:
Township, Range, Section:
SLOPE SITE PLAN
x,
S
L
iF YES, AT WHAT ~ O
DEPTH? p
I]epth to Water Alter
Reading Date Gross Net Depth to Net
Time Time Water Drop
Ii~. l,~r
IIy~s ~ {o
PERCOLATION RATE "~'~'"~ (minutes/inch) PERC HOLE DIAMETER
TEST RUN BETWEEN ('~ FT AND ~ FT
COMMENTS
PERFORMED BY: {fV~L,,~4'['~_~'~ ~lA.~v~'"'z,- I V~.v.-~..- I~'~,~"v% CERTIFY THAT THIS TEST WAS PERFORMED IN
ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE:
72-008 (Rev. 4/85)
Mark Pearson
Mountain Engineering
3868 Shannon Circle
Anchorage, AK 99508
June 1, 1994
Don Decker
Municipal Ombudsman'~ Office
Municipality of Anchorage
P.O. Box 196650
Anchorage, AK 99519
Dear Mr. Decker:
This letter is in response to the complaint filed with your office regarding Park Hill, Addition
gl, Lot 9, Block 2. Ttumk you tbr briefing me on the allegations in the complahat. Because I
do not have a copy of the complaint, I mn respondh~g to the key points based on my
recollection of your description.
1 am employed by lite Anchorage Water 6/Wastewater Utility as a Geographical Information
Systems manager. I also operate a small engineering consulting company that specializes in on-
site septic systems. The company is called Mountain Engineering. i operated the company
before I began working at AWWU (approximately 2 years ago), and I have continued
perforn:dng work under Mountain Engineering during my employment at AWWU. My
supervisor as well as the General Manager of AWWU are aware of my outside work activities.
The complaint you received is centered arom~ the permitting and con.st_ruction of a septic
system on the above referenced lot. The assertions mode m the complaint are incorrect and
misinformed. Based on my recollection of our conversation, the following assertiom were
made:
1. I designed work under Mountain Engineering that I ~igned.off on ~ ~ AW'v3/'U
employee. This is incorrect. AW'WU is a completely separate department, located across
town from the Department of Health and Human Services (DHH$). My work at A',,¥%a./U in
no way involves DHHS's On-Site Services section (or septic systems at ail), and I have
nothing lo do with approving septic ~ystems at DHH$.
2. Over the last 9 years, there b. ave been many 'perk' t~ts. and all o£ ~w t~-e,-~ s,howed
that a septic system could not be ~rmitted on the lot, This is incorrect. Prior to the
testing I performed last fall, there were two series of tests: in 1982, and in !991. Contrary
to the allegations in the complaint, all testing indicated that a septic system ~ be legally
installed. Soil percolation rates were adequate, a~nd groundwater varied from $ FT to
4 FT. These results are in the same range as the results that i obtained. The reason that
there were three different tests is that the ordinances and the owners changed, necessitating
updated testing, including my tests, there were therefore tests by three differem
companies, in different years, with similar results.
3. Te~t Hole #g was with{n 100 FT of the udghboring weft, a~d therefore ~egal or
u.stance b~~ e~n a we!! and
improper. This is incorrect. There is no required separation ~i - ,~,w ~
Letter to Don Decker
June 1, 1994
P~e2
a test hole. There is, however, a requirement that a proposed drainfield be at leas{ 5 fit
away from a test hole. For this reagon, it is common to place a test ,hole withh-~ a well
radius. If we had placed the test hole outside of the radius, we would be wasting area that
could be used for the drainfield.
The. building perm{t posted on the lot ia for another lot, and therefore illegal This
issue has nothing to do with the septic system, however thc correct building permit is
posted on die building site. When the previous owner was looking for a piece of woty, l to
put a 'For $a1¢' sign on, he inadvertently used a piece of scrap wood that still had the
remnants of hi~ old building permit in Lilac Park subdivision. The ',=or Sale' sign was
nailed on top of the old building permit on a tree w~il away from the buildirtg site. When
someone removed the 'For Sale' sign, the buiIding permit was re-exposed, an oversight
that was fully explained to the neighbors before this complaMt was filed.
There was no septic: ~rmit on file at DItHS. This is incorrect. The .~eptie .qy.~tem has
been fully permitted.
The previous owner of the lot was my brother-M-law and there may have been some
type of improper aceommodatlons made. The previous owner is my brother-in-law
(Gary Cartwright), hut the latter assertion is itlcorrect. The otdy apparent reason tbr
mentioning my relation to the previous owner is the implication ',t~t [ might have swayed
results in Mr. Cartxvright's favor, If this is indeed the complainam's intention, i would
urge the conlplainant to state this directly, and to be Mlty responsible for the statement. It
took eight years of hard work to earn my professional engineering regislratioa, and t would
not .jeopardize my registration (and my livelihood) for a septic system. All of the testing I
performed was observed by at least two other persons, and was completely in compliance
with professional standards, MOA ordinances, the State of Alaska, and federal EPA
guidelines. As indicated above, testing by two other companies also produced sh-nilar
results.
This lot is one of the last lots to be developed in the subdivision a~ld, in my opinion, nmch of
the resistance being presented by certain neighbors originates t'rom a desire to prevent any
development. Most of the above allegations (along with other objectiom) have been voiced to
the present owners of the lot, and have been fully answered.
We did encounter unforeseea surface water problems on the lot during i.,'~s~tlation of the septic
system, as evidenced in the photographs submitted with the complaint. Before the photographs
were taken, however, we had already decided on a course of action to elkmivgte t~he water~ The
water is perched on top of the soils just [;elow the organic layer on 'die ground suffice. The
contractor is installing (per our discussion.s with DHHS, On-Site Service~ section), a cu~ain
drain to remove any surface water or ground water from the vicinity of the septic system.
Although there is every indication that the surhce water is only a problem during spring break-
up, we want to prevent a reoccurrence of this problem each spring.
When discussing the curtain drain with DI4HS (Jim Cross & Robbie Robir.-~on). ~t was
suggested that we install monitoring robes on the dowr, h, ill side of the curtain drain. We are
following their suggestion. This will allow us to prove w~th certainty that ~e required 4 FT
vertical separation to the bottom of the beds is maintained.
Letter to D011 Decker
June 1, 1994
Page 3
I hope this answers thc questions raised in the complaint. If I missed any of tile points, or if I
can answer any additional questions, please contact me at 562-1500.
Sincerely,
MOUNTAIN ENGINE,,RING
Mark Pearson, P.S.
XC: DHHS, Robbie Robinson
To:
1Trom:
Don Decker
Ombudsman/Mayor's office Municipality of Anchorage
Date:
May 27, 1994
Re: Concern about health and Safety of the neighborhood and
the Ethics / possible conflict of interest / Question of checks and
balance: When Municipal Employee Mark Pearson, of Anchorage
Waste Water and Mark Pearson's private company of Mountain
Engineering, can inspecting and signing his own work for the
Municipality.
Lot location: Park Hills Sub. #1, Block 2, Lot 9
Sold by Gary & Mary Cartwright
Buyer/ current owners Lamar Johnson/LuAnn Cutler
Mark Pearson is the brother-in-law/brother of Gary & Mary
Cartwright. He is owner of Mountain Engineering. He is employed by
the Municipality of Anchorage, as an engineer with Water & Waste
Water Utility.
Background: Lot has been for sale, on and off for appx. 9 years.
It was general knowledge the lot had trouble percing.
The lot was sold to Johnson/ Cutlers the summer/fall of 1993 after
a perc. test done by, Mountain Engineering, Mark Pearson's Company,
passed.
The summer of 1993 was a record dry summer.
At an Architectural Control Committee of the Park Hills H.O.A.
meeting in Feb. 1994, Questions arose about a test hole being to close
to a neighb, pring well, and questions of past perc. tests done on lot 9,
block 2.
It was stated by the buyers that Cartwrights had assured them of the
quality of the lot , citing that they had a building permit post to
build on the Park Hills lot .
H.O.A. found that the building permit posted is for another lot , in a
different subdivision, owned by the Cartwrights, that was built on in
1992. A check of On-Site records showed , no record was on file of
any pas[ perc. tests or permits.
The Municipality Building permit/ office was called, and it was
reported that an erroneous building permit was posted. When asked
what the legality of having this permit posted on a lot it was not
issued for, the person I spoke with said it was illegal and she would
look into it.
There has been standing water around Test hole #2 and a new test
hole #1, done in April 1994. The current septic system has been put
in between these two holes.
Water has been visible at levels higher than reported on perc. test
filed with On- Site.
Photos taken of the drain field bed, show standing water in two out
of three drainage beds. The third bed had water in base of trench.
Robbie Robinson of Municipality of Anchorage ,Department of Health
& Human Services, On-Site Well and Wastewater explained how the
proposed septic system for lot 9, block 2 worked. See enclosed
"Requirements and Specifications, AMC 15.65. He pointed out that
perc. test done showed water level down appx. 5 feet. Yet picture
shows standing water at same test site. He asked to keep pictures
and appeared shocked , saying that "This system will be condemned
o d" He did not ask for my name or any other
in the oroun ·
information.
Enclosed is a copy of the System permit, proposed septic system,
design plans and perc. tests.
Enclosed are photos taken of drain field beds, and beds with pipe
being instaled.
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COSA Checklist
Legal Description: PARK HILLS #1; BLOCK 2, LOT 9
Parcel ID: 017-142-26
If more than 1 well and/or septic system on lot, provide separate checklist. Structure served by this system 1
A. WELL DATA
❑■ Well log is filed with Onsite (or attached)
Date drilled *1994 Total depth 141 ft
Cased to UNK ft
❑■ Sanitary seal is functioning correctly
❑■ Wires are properly protected
Casing height (above ground) 18+ in.
Date of flow test for COSA 6/19/2024
Static water level at beginning of test 93 ft.
Comments *DATE IS NOT LEGIBLE
B. TANK DATA
Measured operating fluid level in septic tank NEW
Date of pumping NEW
❑ Required maintenance completed, if AWWTS
Comments:
D. ABSORPTION FIELD DATA
Which system tested (date installed) 9/12/2007
❑■ ALL standpipes present per record drawing
Total measured depth from grade **5.1 ft (max)
Measured depth to pipe invert from grade N/A 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
❑ Presoaked required if
(Required if house vacant or field not used for more
than 30 days prior to date of test)
Gallons introduced gallons date
Any rejuvenation treatment (past 12 months) N/A
If yes, enter date
Well production at time of test 3.5+ gpm
Water storage tank volume N/A gallons
Well disinfected for coliform test? ❑ Yes ❑■ No
❑■ Coliform bacteria is Negative
Nitrate mg/L Nitrate less than MRL (ND)
Arsenic ug/L ❑■ Arsenic less than MRL (ND)
Collected by GEG, LTD.
Date 6/19/2024
C. LIFT STATION
❑■ Required maintenance completed
Age of lift station NEW years
Lift station material *STEEL
Comments: *EPDXY COATED
Adequacy test date 6/19/2024
Results Q Pass
Fluid depth prior to test *0 in
Water added *600 gal
New fluid depth *1 in
Elapsed time 30 min
Final fluid depth *0.25 in
Absorption rate *600 gpd
FIELD STATUS — POST RECOVERY
Effective depth (per record drawings) *6 in
Effective depth used *0 in / ,k
Effective depth remaining *0ins b
Comments/Deficiencies: *TESTED UPPER BED ONLY. MIDDLE AND LOWER BEDS WERE DRY AT START OF TEST
AND REMAINED DRY THROUGHOUT TEST. **MAX. DEPTH FOR ALL MT'S RANGE BETWEEN 3.7 TO 5.1 FEET.
COSA Checklist June 2022
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'
DYes if No ft DYes if No ft
Neighboring Tank > 100' ❑■ Yes if No ft Private Sewer/Septic Line > 25' ❑■ Yes if No ft
Absorption Field on Lot > 100' ❑� Yes if No ft Holding Tank > 100' ❑■ Yes if No ft
Neighboring Absorption Fields > 100' Animal Containment > 50' ■❑ Yes if No ft
❑■ Yes if No ft
Manure/Animal Excreta Storage > 100'
Community Sewer Main > 75' 0 Yes if No ft■❑ Yes if No
❑ 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'
❑■ Yes
if No
ft
Surface Water > 100'
❑■ Yes if No _
Tank to Property Line > 5'
❑■ Yes
if No
ft
Wells on Adjacent Lots:
p
Field to Property Line > 10'
g Yes
if No
ft
Private Wells > 100'
Q Yes if No _
Water Main > 10'
R Yes
if No
ft
Community Wells > 200'
❑■ Yes if No _
Water Service Line > 10'
0 Yes
if No
ft
If tank or field is under driveway comment below
F. ENGINEER'S COMMENTS
*SEE RECORD DRAWING REGARDING CURTAIN DRAIN OUTFALL
ft
ft
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 Engineering Group, LTD. (GEG) Phone
Engineer's Printed Name Jeffrey A. Garness Date _
907-337-6179
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
oQo�
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
o C�
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
p
the system/s. These conditions can vary, and are outside the control of GEG. Satisfactory test results do not
.. • • . • • • • • • • • • • • • • • • • • • . • . •
guarantee future performance of the system/s; therefore, GEG makes no warranty (express or implied) regarding
the future performance of the well or septic system. GEG makes no representation whether an alternative well
..... .. . .......... ......
or septic system can be installed on the property in the event either of the current systems fail to perform
ey A. orn e s. -
�o
adequately in the future. The content of this report is for the sole benefit of the person/party that retained GEG
Reliance information in this by
CE -795
Q s
to perform the evaluation. upon the provided report any other person or party
�J
OQ �J� y
(including subsequent property purchasers) is not authorized, nor will it confer any legal right whatsoever.
cC-
Pa \ O
Pro o
LICENS4���DOOoo���
COSA Checklist—June 2022
#AECC
SCALE: V= 50'
OF &
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'/)• ,49th
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00 Ef zabeth L. Walatko :ff of
0 . 8036 - LS •AW
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sslosm-
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RECERTIFIED 8-23-24�-
AS-BUILT NO tOONEAS SET THIS DATE
LOT 8
lk
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I hereby certify that I have performed a Mortgagee's inspection
in accordance with ASKS Standards 7
described property: LOT 9 B 61 BLOCK
PARK HILLS SUBDIVISION ADDITION No. 1 LOT 10
Anchorage Recording Precinct, Alaska, and that the
improvements situated thereon are within the property lines
and do not overlap or encroach on the property lying
adjacent thereto, that no improvements on the property lying
adjacent thereto encroach on the premises in question and
that there are no roadways, transmission lines or other
visible easements on said property except as indicated
hereon.
Dated at Anchorage, Alaska
this 27th dayof JULY 2009.
FRED WALATKA & ASSOCIATES, L.L.0
Engineers and Surveyors
907-248-1666
FB 24-2, pg 33 & 59
Recert 6-24-24
Recert 6-21-10
BE FB 09-4, pg 63-64
•
050
OH
0 WELL
EASEMENTS OF RECORD, OTHER THAN
THOSE SHOWN ON THE RECORDED
PLAT ARE NOT SHOWN HEREON
UNLESS OTHERWISE NOTED.
This drawing is a representation of conditions found at the time the mortgage location survey was performed. This document does not constitute a boundary
survey and is subject to any inaccuracies that a subsequent boundary survey may disclose. The information contained on this drawing shall not be used to
establish any fence. structure or other improvements. This drawing shall only be used for a single property transaction. Use of this drawing by the original
client or by others at a later date without the consent of Elizabeth L. Welatka Is a violation of Federal Copyright law. Unless gross negligence is discovered,
the liability extent of the preparer Is limited to the amount of fees collected for services in preparation of this product.
Parcel I.D. #
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & HUMAN SERVICES
Division of Environmental Services
On-Site Services Section
P.O. Box 196650 Anchorage, Alaska 99519-6650
343-4744
CERTIFICATE OF HEALTH AUTHORITY
APPROVAL FOR A SINGLE FAMILY DWELLING
01714226 NAA # ~ILj~ <:~LO ~'l~.-
1. GENERAL INFORMATION
Complete legal description Park Hills Add :~1, Lot 9, Block 2
Location (site address or directions)
H. Lamar Johnson
Property owner
Mailing address c/o'.Mountain Engineering, 3868
Day phone 277-5678
Shannon Circle,99508
Lending agency
Mailing address
Day phone
Agent Day phone
Address
Unless otherwise requested, HAA will be held for pickup.
2. NUMBER OF BEDROOMS: 4
TYPE OF WATER SUPPLY:
Individual well
Community well
Public water
xx
NOTE:
TYPE OF WASTEWATER DISPOSAL:
Individual on-site
Holding tank
Community on-site
Public sewer
If community well system, provide written confirmation from State ADEC attest-
ing to the legality and status of system.
xx
· NOTE: If community wastewater system, provide written confirmation from State ADEC
attesting to the legality and status of system. '~ ' :~ '
72-025 (Rev. 1/gl) Frant MOA#21
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 of this Health Authority Approval application 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 inves_ti_gation 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.
562-1500
Mountain Engineering Phone
Name of Firm
Address 3868 Shannon Circle, Anchorage, AK 99508
Engineer's signature
DHHS SIGNATURE
~ Approved for ~
Disapproved.
Conditional approval for
bedrooms.
bedrooms, with the following stipulations:
Additional Comments
By:
Date , . .
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.
72-O25 (Rev. 1~1 ) Back MOA ~I
Municipality of Anchorage
Department of Health and Human Services
HEALTH AUTHORITY APPROVAL CHECKLIST
Legal Description:
A. Well Data
Parcel I.D.
Well type {~'; ~
Log present (Y/N) ti"*
If A, B, or C, attach ADEC letter. ADEC water syste,m number
Date completed Driller ,~ ~'l
Cased to I ~ I Casing height
Wires properly protected (Y/N) ~"
FROM WELL LOG
Total depth I ~- I
Sanitary seal (Y/N) Y/
Date of test
Static water level
Well flow
Pump level1
g.p.m,
AT INSPECTION
SEPARATION DISTANCES FROM WELL TO:
Septic/holding tank on lot
Absorption field on lot ~OL'~- '
Public sewer main ~¢--,,-~-
Sewer service line
; On adjacent lots ~ I SO
; On adjacent lots
Public sewer manhole/cleanout Neh,,~
Petroleum tank
WATER SAMPLE RESULTS:
Coliform ¢
Date of sample: ~[IS'l'~~
B. SEPTIC/HOLDING TANK DATA
Date installed ~-I tq{c~c~
Cleanouts (Y/N) ~
High water alarm (Y/N) ~
Date of pumping
Nitrate
· Other bacteria
Collected by:
Tank size () ~-'E:) Compartments
Foundation cleanout (Y/N) "[/ Depression (Y/N)
Alarm tested (Y/N)
~"v~S ['~(( Pumper
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO:
Well(s) on lot (O1~'/
To properly line ~ ~
Surface wateddrainage
On adjacent lots I~c[ / Foundation J ~
Absorption field ~ c~, Water main/service line
72-026 (3/93)* Front CONTINUED ON BACK PAGE
C. LIFT STATION
Date installed
Size in gallons
Vent (Y/N) '~
High water alarm level
"Pump on" level at
Y
Meets MOA electrical codes (Y/N) '1/
Manufacturer Pew(.4,, '~¢.~--
Manhole/Access (Y/N) kC'
"Pump off" Level at
..Cycles tested ~'
SEPARATION DISTANCE FROM LiFT STATION TO:
Well on lot I (P ~, ¢ On adjacent lots
Surface water ~-"~,
D. ABSORPTION FIELD DATA
Date insta ed 5)1 I'~ q- Soil rating (GPD/Ft2) H
Length" W~dth Gravel thickness
Total absorption area Il'4'z-¢~
Date of adequacy test ~t?.HI¢l H
Water level in absorption field before test
Peroxide treatment (past 12 months) (Y/N)
System type ¢v~
I / Total depth L,J.
Cleanout present (Y/N) tq- ¢'r~s,~-~ Depression over field (Y/N)
Results (pass/fail) ~-~-¢ for
p¢-~, After test KI ~
N If yes, give date
SEPARATION DISTANCE FROM ABSORPTION FIELD TO:
Well on lot [ oL(
TO building foundation
On adjacent lots
Surface water
Curtain drain 'Z. [ /
[
On adjacent lots I 0 ~ Property line
To existing or abandoned system on lot
Cutbank ~ Water main/service line
Driveway, parking/vehicle storage area 'Z-'~ /
Bedrooms
E. ENGINEER'S CERTIFICATION
I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on.the'.~tat~-of this inspection,
Signature ~
Engineer's Name
Date ~ '~/
HAA Fee $
Date of Payment
Receipt Number
Waiver Fee $
Date of Payment
Receipt Number
72-026 (3/93)* Back
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" FOUNDATION D ELEC, SERVlG~ D PLaG. ROUGH
BONO BEAM ,, , i'~
FRAMING []
INSULATION
SHEETROCK ~
STRUCT. FINAL ~ []
.OTHER _
ELEC, ROUGH ....... [] GAS TEMP. '
ELEC, FINAL ~ ,[~ GA8
OTHER ..... [~] MEOHANIOAL' ~
. MECH. FINAL
FIRE FINAL ~ PLI~G, FINAL
ZONING __. _ [~ OTHER
~J['NO NONCOMPLIANCE OBSERYED D CORRECTIONS ESSENTIAL A8 · ·
EXPLAINED gELOW
WILL REEXAMINE AT NEXT ~NSPEGTION ~ 00 NOT CQNO~L UNTIL flEINSP~,GT~,
COMMENT~_~ ('' I J ~ ....
/" ~$~,ECTOr~ .., / '
WHEN CO RECTtON$ ARE MADE, PLEASE OALL FOR INSPECTION
DO NOT RIEMOVI THIS NOTICE
M~ (Roy, II/~t)
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