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SUMMIT ESTATES BLK 4 LT 4
Onsite File Summit Estates Block 4 Lot 4 #015-071-04 Municipality of Anchorage On -Site Water and Wastewater Section • (907) 343-7904 Page 1 of 3 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP211047 PID Number: 015-071-04 Dwelling: 0 Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New FE -1 Upgrade Name AUSTIN FERNANDEZ ABSORPTION FIELD ❑ Deep Trench ■❑ Wide Trench ❑ Bed ❑ Mound Site Address 5460 EAST 99TH AVENUE *ANCHORAGE, AK ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 907-575-2100 4 1.2 GPD/SF 10.32 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade SEE DWG. Ft. Gravel depth beneath pipe 3.0 Ft. Subdivision Block Lot SUMMIT ESTATES; BLOCK 4, LOT 4 Fill added above original grade SEE DWG. Ft. Gravel length 60 TOTAL Ft. Township Range Section Gravel width 5 Ft. Beds: Number of Lines - Distance between lines - Ft. SEPARATION DISTANCES To Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Tank Line 517 Ft2 1 - Ft. Well 100'+ 100'+ - - 25'+ TANK ❑ Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer Capacity GREER TANK 1250 Gal. Surface Water 100, + 100'+ _ _ Material Number of compartments Lot Line 5'+ 10'+ - - NA HDPE 2 Foundation 10'+ 10+ _ _ LIFT STATION Manufacturer Capacity Remarks OLD SEPTIC TANK DECOMMISSIONED PER UPC PER CONTRACTOR Gal. Alarm location Electrical installed by PIPE MATERIAL House to tank D3034Tank to D3034 drainfield Installer ARM SEPTIC SERVICES Drainfield D3034 Co/MT D3034 Inspector TIM ECKLUND AND GEG BENCH MARK (Assumed elevation) 99.50 ft Inspection 1s` 3/31/21 4/2/21 Location and description dates:2nd OF MH 3'° 4/5/21 41h - ITOP ON-SITE WATER AND WASTEWATER SECTION APPROVAL Engineers Stamp Conditional Approval: Date oo* . .7 0 �..... ... ................. 0 p.... ............. ........... � Septic System Approv tiw Date 2-2 e ° ess. �p CE ���s� •,-79153 chop 4�er 'i•� � 4�1• CAS Note: this approval does not include well permit requirements. #Aa4�0�Opoo��6� Ecce (Rev o5/UZ/18) PERMIT NUMBER: OSP211047 -7o0. / NEW DRAINFIELD SHED 45 5 PARCEL ID NUMBER: 015-071-04 100' WELL RADIUS / \ EAST 99TH .r EXISTING 4 BEDROOM HOUSE O J Y U O m N FW- F¢ - m W f- NEW 1250 GALLON HDPE GREER --------- TANK WITH DOUBLE CLEANOUTS BEFORE AND AFTER TANK DALZELL-SCHNEITER; BLOCK 2, LOT 10 G"ARNESS ENGINEERING GROUP, Lt l ..., . y wW.= ENGINEERING,, SALES ;� CONSULTING 3701 E. TUDOR ROAD, SUITE 101 -ANCHORAGE, AK 99507 • PHONE (907) 337.6179' FAX (07)33&3246 * WEBSITE: w game gmeemgsom PREPARED FOR: PHONE NUMBER: PAGE NUMBER. AUSTIN FERNANDEZ 907-575-2100 2 OF 3 LEGAL DESCRIPTION: DRAWN BY: SUMMIT ESTATES; BLOCK 4, LOT 4 D.J.G. TYPE OF WORK: DATE: ,,, SEPTIC SYSTEM RECORD DRAWINGS 4/8/2021 SUMP WAS CONVERTED TO A MT AND C/O; IN ADDITION A CLEANOUT AND MT INSTALLED AT THE EAST END F THE TRENCH N SCALE: 1"=40' AV f � ..... .:.. , .......:...........::.... 0 °s. ........: ....J /......... ........... 0 00 ehre A. Ga " ess s: CE -753 Aw ® ®� F�•P,, ,••P�F;®o LICENSE444 #AECC884 / PERMIT NUMBER: RECORD D RA Y d 1 1 V G PARCEL ID NUMBER: OSP211047015-071-04 TOP OF TANK AT INTLET = 94.71 INVERT OF BUNG AT INLET = 94.08 TOP OF MH = 99.50 /-- FINAL GRADE = 99.32-99.37 ST2 NEW 1250 GALLON H.D.P.E. GREER SEPTIC TANK RATED FOR 10' BURIAL ORIGINAL GRADE AT HIGHEST POINT = 100.28 GEG T.H.#1 TOP OF TANK AT OUTLET = 94.69 INVERT OF BUNG AT OUTLET = 93.84 MT CO , FINAL GRADE = 100.0-100.4 RELATIVE ELEVATION OF BOTTOM OF T.H. = 82.28 FILTER FABRIC INVERT OF PIPE = 92.96 BOTTOM OF TRENCH = 89.96 NETLtd _ NrrNFFRIRIc' SALES CONSULTING -:.r,....v: 3701 E. TUDOR ROAD, SUITE 101 - ANCHORAGE, AK 99507 PHONE (907) 337.6179' FAX (907) 338-3246' WEBSITE: wwwgamessengineedng.com PREPARED FOR: PHONE NUMBER: PAGE NUMBER: AUSTIN FERNANDEZ 907-575-2100 3 OF 3 PROJECT/LEGAL DESCRIPTION: DRAWN BY: SUMMIT ESTATES; BLOCK 4, LOT 4 D.J.G. TYPE OF WORK: DATE: �,_ SEPTIC SYSTEM PROFILE RECORD DRAWING 4/8/2021 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 http://www.muni.org/onsite On -Site Wastewater Disposal System Permit Permit Number: OSP211047 Work Type: Septic Upgrade Tax Code Number: 01507104000 Site Legal Address: SUMMIT ESTATES BLK 4 LT 4 G:2437 Site Mailing Address: 5460 E 99TH AVE, Anchorage Owner: FERNANDEZ AUSTIN S Design Engineer: GARNESS ENGINEERING GROUP LTD This permit is for the construction of: Q Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy Effective Date Expiration Date 0enr �0 N a llepartrnent Lot Size in Sq Ft: Total Bedrooms: 3/1/2021 3/1/2022 30600 ❑ 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 B -�—_ Issued By: Date: � / - t Date: 3/142 d2 t 4 "n� On -Site SewerMell Permit Application For A Single Family Dwelling Parcel I.D. 015-071-04 Property owner(s) AUSTIN FERNANDEZ Mailing address 5460 EAST 99TH AVENUE `ANCHORAGE, AK 99516 Site address 5460 EAST 99TH AVENUE *ANCHORAGE, AK 99516 Legal description (Sub'd, Block & Lot) SUMMIT ESTATES; BLOCK 4, LOT 4 Legal description (Township, Section & Range) Lot Size APPLICATION IS FOR: ( ® all that apply) Absorption Field Septic Tank Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage ❑ Day phone 907-575-2100 Sq.Ft. Number of Bedrooms 4 APPLICATION IS AN: TYPE OF DEWELLING: Initial ❑ Single Family (SF) Upgrade ® (w/wo ADU) Renewal Duplex (D) ❑ ❑ Multiple Dwellings ❑ (SF and/or D) THIS APPLICATION INCLUDES A VARIANCE/ WAIVER REQUEST FOR: N/A Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal codes. GARNESS ENGINEERING GROUP, Ltd. (Signature of property owner or authorized agent) Permit/Rush Fees: $595 Waiver Fees: a y �0� Date of Payment: a Date of Payment: Receipt Number: 057526 Receipt Number: Permit No. OSP211047 Waiver No. (Rev. 01 /11) Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211047, Rebecca Carroll, 03/01/21 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211047, Rebecca Carroll, 03/01/21 DESIGN CRITERIA: NUMBER OF BEDROOMS: 4 GALLONS PER DAY (GPD): 600 PERCOLATION RATE/S: <1 MIN/INCH PROPOSED APPLICATION RATE: 1.2 GPD/FT' MINIMUM DRAINFIELD SQ.FT.: 500 FT' DRAINFIELD DESIGN: MAXIMUM DEPTH OF EXCAVATION: 12 FEET - IT IS NOT RECOMMENDED THAT IT BE INSTALLED AT THIS DEPTH WIDTH: 5FEET LENGTH: 60 FEET M.O.A. APPROVED SAND FILTER: SEE ATTACHED SIEVE ANALYSIS EFFECTIVE: 3 FEET REDUCTION FACTOR: 0.58 ACTUAL SQ. FT.: 517 FT' GEG, Ltd. HAS AN 8 PAGE SPECIFICATION LETTER THAT PERTAINS TO THIS DESIGN. BY PROCEEDING FORWARD WITH THIS INSTALLATION, THE ENGINEER, WELL DRILLER, CONTRACTOR AND PROPERTY OWNER AGREE THAT THEY HAVE READ THESE SPECIFICATIONS AND AGREE TO ACCEPT THE TERMS AND CONDITIONS OUTLINED. X00' 10' BUILDING OFFSET I c2So 0 cls% ZEEXISTINGMCO 40 FEET APPROXIMATE LOCATION OF GEG TESTHOLE— c25�)o PROPOSED FD • • FEET --- — CO EAST 99TH If SUMMIT ESTATES; BLOCK 4, LOT 5 —NO FCO PRESENT; SEWER LINE ELEVATION AND/OR LOCATION IS UNKNOWN EXISTING SEPTIC TANK TO BE DECOMMISSIONED PER UPC 1 OFFSET FROM EXISTING TRENCH - DRAINFIELD DRAINFIEL� — PROPOSED 1250 GALLON HDPE GREER TANK; INSTALL DOUBLE CLEANOUTS BEFORE AND AFTER GARNESS ENGINEERING GROUP, Ltd ENGINEERING SALES CONSULTING ANCHORAGE, ALASKA • PHONE (907) 337-6179 • WEBSITE: v .gamessengineenngxom PREPARED FOR: PHONE NUMBER: PAGE NUMBER: AUSTIN FERNANDEZ 1 907-575-2100 2 OF 2 PROJECT/LEGAL DESCRIPTION: DRAWN BY. LAPPROXIMATE LOCATION OF EXISTING DRAINFIELD TO REMAIN IN PLACE D.J.G. TYPE OF WORK: FUTURE USE - IT IS RECOMMENDED THAT A CLEANOUT AND MT BE � DESIGN OF SEPTIC TANK UPGRADE vFOR INSTALLED AT EAST END OF TRENCH TO DELINEATE THE END OF THE FIELD N SURVEY NOTE: CONTRACTOR TO HAVE SOUTH CONTRACTOR NOTE: THERE ARE UTILITIES EASEMENT FLAGGED AND 1 00'WELL RADIUS LOCATED THROUGHOUT THE PROPOSED TRENCH FLAGGED BY A PROFESSIONAL LAND LOCATION. CONTRACTOR WILL HAVE TO WORK SURVEYOR PRIOR TO CONSTRUCTION AROUND THOSE UTILITIES DURING CONSTRUCTION SCALE: 1"=40' GARNESS ENGINEERING GROUP, Ltd ENGINEERING SALES CONSULTING ANCHORAGE, ALASKA • PHONE (907) 337-6179 • WEBSITE: v .gamessengineenngxom PREPARED FOR: PHONE NUMBER: PAGE NUMBER: AUSTIN FERNANDEZ 1 907-575-2100 2 OF 2 PROJECT/LEGAL DESCRIPTION: DRAWN BY. SUMMIT ESTATES; BLOCK 4, LOT 4 D.J.G. TYPE OF WORK: DATE: � DESIGN OF SEPTIC TANK UPGRADE 2/26/21 OF P' 44 Aw �. ...� 1. ....... �.................! ur. i .c.. ....................... .. n'. r yOA.Gar ess:�= Z� Fib 2 . •��c�.: I L LICENSE P.. --ESS\ • • IAECC8 Lw -'f f4 272-6/2-1 011 a a Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211047, Rebecca Carroll, 03/01/21 CAAAkl) ATL Material Test Report Client: Garness Engineering Group Ltd. 3701 East Tudor Rd. Anchorage, AK 99507 Project: Summit Estates Lab Alaska Testlab - Anchorage 4040 B Street, Suite 102 Anchorage, AK 99503 Phone: 907-205-1987 Fax: 907-782-4409 info@alaskatesUab.com ISSUe NO: 7 The results containedbew pertain only to the items tested below. This report should not b reproduced, except in Jul:,lwithout the prior written approval or Alaska Testlab or the agency. Reviewed By: Oscar Lage Title: Laboratory Supervisor Date: 2/23/2021 Sample Details Other Test Results Sample ID 21-0216-S01 Description Method Result Limits Client Sample ID Block 4, Lot 4 Group Symbol ASTM D 2487 GW -GM Specification Sieve Group Name Well -graded gravel with silt and sand Sampling Method ASTM Method Method ASTM D 6913 Sample Obtained While Oven -Dried Group Name Group Symbol Composite Sieving Used No Dispersion Method Dispersant by hand Prior Testing V fLY.:VfV f.f f fM fA 4■Ylf Method: ASTM D 6913 % Passing Date Tested: 2/22/2021 100 ... ............................. ............... I ..................... Tested By: Ryan Pederslie 90 .............................................................I Sieve Size % Passing 80 ........................................................................ 3in (75.Omm) 100 2in (50.Omm) 100 70.................... ......... ............................................. 1'/in (37.5mm) 88 eo... ..........'........ ........................... 1 i (25.Omm) 79 '/.in (19.Omm) 72 50 ............. ...... ............... ............ %2in (12.5mm) 57 3/8in (9.5mm) 49 40 ....... ........'.... .......................... No.4 (4.75mm) 34 No. 10 (2.Omm) 21 30 ............................................................ No.20 (850pm) 14 20, ...................................... ...I................;....... No.40 (425pm) 10 No.60 (250Nm) 8 10 ...... i ..' .......................i ..... .................. No. 100 (150pm) 7 No.200 (75pm) 5 o i Finer 75pm 5.2 E E E E E E E E E Fi E E vEi o E �E vEi ^ E u7 G u) OI fV D7 N m N r u> M N r r < Sieve Limits :omments N/A orm No: 18909, Report No: MAT:21-021&S01 © 2000-2021 QESTLab by SpectraQEST.com Page 1 of " MUNICIPALITY OF ANCHORAGE . / ® DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street - Anchorage, Alaska 99501 Telephone 264-4720 ONSITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME PHONE EW PGRADE MAILING ADDS LEGAL DESCRIPTION c Ju /v Ed's we—s LOCATION NO. OF BEDROOMS O DISTANCE TO: Well f AbsorpJift�are� :a Dwellipg P �� PERM n6 Z WY F Manufacturer � �� ) Njf! Mat i No. No. of comp ents Li q. c�p3�ity ingallonsInside Mme!/ V IF HOMEMADE: length Width Width Liquid depth D�z D CE TO: Well ling PERMIT NO. 2ZtQ- Manufacturer erial Li capacity in gallons w= DISTANCE TO: Well �r Foundation Nearest lot line PERMIT u z Z w f No. of lines / L Len th lire Total o�llines Trench t inches Distance b�ty� a lines Q� P Top of rile to finish grade Material beneath file inches Total off b a ab orption area _ w Length Width Depth PE O, i F Type of crib rib diameter Crib Total effective absorptiK area w ANCE TO: Well Building foundati - Nearest lot' Class Depth Driller Distance to lot line PERMIT NO. toJ DISTANCE TO: Building foundation Sewer line Septic tank Absorption areas) OTHER PIPE MAT IALS � V SOI L TEST RATIN .L/d INSTALLER REMARKS �. K ACf, VJF- I o/o ` �- is 1► -...d.- LAM Ago (Zc A D DATE LEGAL 72-073 (Rev. 3/M) RETURN TO: Division of Geological and �Jysical Surveys 3001 Porcupine Drive Anchorage, Alaska 99501 nr F"SE FO'LO FOR,N STAPLE. OR WATER WELL RECORD 7 Drilling Company Name�/v� ��I�i !.I—, I�„�);) �}' }�il.,� Drilling Permit Number i'i t(EATiOH OF WELL OWNER NO. STATE OF ALASKA DEPARTMENT OF NATURAL RESOURCES fiorougn :upovisist i `uuQng04:F Loc Block )� Fraction i 8 f Section l70,age N/S E/W ri., ..: Distance and Direction from Road Intersections ' Street Address and Area of WeiI Location 3 0WNER OF WELL:(,:l(? l )�i IT _c, Address: :�,V I7Y' `I 1/ 3 WELL LOG Hateriilai Type Ft. be Tow Thickness sor face oI, Top Got[nm Stoe tpm 4 WELL DEPTH: (completed) ([. Surface Elevation Data of Completion LL', fu >[ye(T!i. (A� (7 ", i i> ,`I II��/,.3 5 �J`"ble tool Rotary E]Or lven ElDug Auger Jetted Bored Other: l .// n ), "(_) / a(KIu 6 USE: ®,Domestic 11 Pub] lc Supply Industry 11Ifrlgatlon 0Recharge �Co,me rclal Other: ❑Test Well El Q/�'.,t}./ �YrUnl/✓1_ C -t: y N.,( (I 7 CASING: 11 Threaded © Welded Height: ❑ Above E] Below In. to Jft. Depth surface ft. In. to ft. Depth weight If171Is ft. Or l v 5hoe7 M Yes �Ilo 8 FINISH OF WELL: Type: ,`T��1 s- � ;'T1 t Diameter: Slot/Mesh Size Length Set between ft. and ft. Fittings: r 9 STATIC WATER LEVEL: _i? ft. D above below land surface Type of Measurement K�1 10 PUMPING LEVEL below land surface ft. after hrs. pumping ���i g, p.m, ft. after hrs, pumping g. p.m. II fWWEE1LL HEAD COMPLETION: IIn ADproved Pit 11 Plticss Adapter D IY' Above Grade 12 GROUTING: Wall Grouted: E]Yes No Material: El Neat Cement 11 Other: 13 SANITARY: Nearest Source of Possible Contamination Feet Direction Type Well disinfected upon compietion,KYes lJ No 14 PUMP: (if available) HP Wi_ Length of Drop Pip. 10 C ft. capacity o.p.m. Type: D Submersible El Other: 0 Jet El Reciprocating 15 REMARKS: Elevation, source of data, water quaIlly tests, etc. 16 WATER WELL CONTRACTOR'S CERTIFICATION: This well was drilled under my jurisdiction and this report Is true to the best of my knowledge and belief: / 4 Registered Busing s Name Contract License Number Address: Signed: l�7✓/ri-+n'/�/ /G"W C_.� Data Authorlied Rcpresen [Ive Form 02-wWR _ E-°1 &_R PA :11 _' 1 �. /`@ E 1 F °-s C8 F- Ft t" -A B_: 1-4 ' F19:1 F=CCF=FThEdT OF HEALTH RPCENVIRONMENTAL FFTECTIOh 825 K" STREET, ANCHORAGE, AK. 99501 �� M F 4 t 4 EVI __„ EEL4 0 F=° F-' E-_ F< E•'T l_ T / l'F� .f - 3-riPERMIT NO. ( 810507 ) APPLICANT DAM r"iMOS; SRA 4314 LOCATION 99TH SUMMITH STREET LEGAL LCAT 4 BLK 4 SUMMIT ESTATE'. LOT =IEE TYPE OF SOIL ABSORPTION SYSTEM IS: TRENCH d n e' 54.`5-11=:'21= �-Y-a-I J �� n'L_�sdI 300 00 '_.QUARE. FEET MAXIMUM NUMBER OF BEDROOMS .= 4 SOIL RATING (50 FTIBR)= 5 THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: IDI E0 0^ -E- E -E = KNEW Ally C3 FZ F 9 TA E L. H = v F=° 1 VA = THE LENGTH DIMENSION I _, THE LENGTH i i N FEET OF THE TRENCH OR DRA I NF I ELD. THE DEPTH OF A TRENCH OR PIT IE, 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 F'IF'E AND THE BOTTOM OF THE E>;CAVATION (IN FEET) Em' E_ los k_e I Fw° F_-. E> _ T E_: F=' ""6- I a=_ _T_ FA PA PC =: I If En == AL fy to C=ue Ci FA L_ LCD rA PERMIT APPLICANT HAS THE RE✓PONSIBILIT,' TO INFORM THIS DEPARTMENT DURING THE INSTALLATION INSPECTIONS OF ANY WELL'S ADJACENT TO THIS PROPERTY AND THE NUMBER OF RESIDENCES THAT THE WELL WILL SERVE. -- -- -- _T" E -=-E s_ m ;2 __. T: t4'a, Fo EEa _5- I KA TWI N , FA Ems=' E_ FR EE= CA LJ 1 FIFO E> — — -- BACKFILLING OF ANY :SYSTEM WITHOUT FINAL INSPECTION AND APPF::Ci',.AL BY THIS DEPARTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCE BETWEEN A WELL AND ANY ON -[SITE :SEWAGE DISPOSAL SYSTEM IS 100 FEET FOR A PRIVATE WELL OR 150 TO 200 FEET FROM A PUBLIC: WELL DEPENDING UPON THE TYPE: OF PUBLIC WELL.. MINIMUM DISTANCE: FROM H PRIVATE WELL TO A PRIVATE SEWER LINE I:. 25 FEET AND TO A COMMUNITY SEWER LINE IS 75 FEET. WELL LOGS ARE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN 30 DFi'iS OF THE WELL COMPLETION. OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CON:STRUC:TION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. E=° E_ Fi? t^'E 1 -T- EOE I< €=_" 14 { T E`'_=„ E> E : C2 Eo Ul E_., KEE Fn: == A :1_501=03 I CERTIFY THAT 1: I AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE. _: T WILL. INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. 2: 1 UNDERSTAND THAT THE CSN -SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE RESIDENCE IS REMODELED TO INCLUDE MORE THAN 4 BEDROOMS. SIGNED: _______-.__-.___----_.__..-_------_.-_-----__- APPLICANT DAM AMOS ISSUED-`��f--- -K �v ea, ?b L '%-4. 0 /rte i3tPRFTT rdT OF HEAA.M Ni•iO FENVlROMME Tt]i..yP�7g�OPECTiON g WFLICANY DAM t3ANJs SRA 4114 345.8`22 L131_Ap ioN -s*r i WrtrFTH ^s,rREET A_91 LOT 4 OLK 4 --aacfrgTEs LOT SIZE 3,0000 -;kx F-Tt 1-itFIS Cif SOIL RGCSA3P;PT I01+ a?STEI1 15: TRENCH timaPllJti f-f0feep 13 1arsFtd3r",3 = 4 '30fL PATIMs CS0 FT 3 Tri-}iE+]iJtPlG0 SIZE +R- rs0TL 26-550 'TION SW -TEM Is: TtC L0413 Tr OLPO-S113N Is TFE LeNGT4 CIN FST') 13F Tl- Mf -M -H OR C3Rr3fr�iLLiA- TT-E DEPTH ice' A TRENCH +3R -PIT IS MF it I'-; it W -:E BETS - A ff7 E -1JRFF t -s -DE F -V ME 12RCUND AND rW 9OTTOM OF rW- E>s'i=:TMTI1M Mi FEET). THEh•E Is No 'sET WIDTH FOR TfZENli� Tr--- Li"nMV- T'4 --'PTH IS THE MINIMUM t7E,t'Tti Or L"iR AEW SETNEEN THE 13rJTM; - PIi ANo Tm sorrori 1F THE FE'f FQtWAFI+_l4 cm PFxo. 11[r t IiarSr' JJRS THE 1'>'CSPONSIBILFTY Tit rusuRm Tm*3 m,Tt3RrwNr 01 -PING THE IN•3Tr7LL-Rrfo r iwwr-crmmi or ANY mLus noji::+Da4r- ri7 rms PRaPERri 8NO *IE AaumEi k' 17 Tw4r D -E WELL LULL 's )E IRKilu 11 r3i=rFFLLith3 13F ANY WITN130T Eft -47L Ili i 72tjid RHO APPROVAL 8", TIM's I .pRRRrM�rMr WILL E -*E S1J8 iEC r TO PROSEC lT IO€L ,- INiNUM UFSfrW-)=E 6'CT1tEFH rA PKU- AND ANY ON ZIP`€--.��Itt+3E I#ISRfI VeSt�r# I3 100 FEET FOR 8 PRIVATE WJ- OR 1513 TO 209 F>raT }=zein R PUBLIC WaLL t�f R}iF�3 j MENU-11Uri t>ISTAP C FROM €r PRIVATE 1•0- TO Fr RRIVr4TE 1 -ET? LIME E5 :,P5 FEET AND T'i3 z3 1_' -OMI- Ur'S i rY _W -L -W -R L EW- ("; ?3 F r - r. L Lf:"iS ARE REQUEREO MID r41J'5T BE rURNED TO ri-rQ Ipt3RTmEw wirmin 3@ T3€r't'a' 1?P rte WELL 1:.13r•W-4-ET I13M 13THf-.R 3?Ei]iJi J irr3 MAY 8PPLY, Brio rx3msrE21N_•=r113N aIMRSir-°3 WAILFBLE TO r'Ri]r1E9 INSTt3 UH-Tli X I i, TIFy THAT L: I r•rti FAMfLIAR 1•rITM THE FOR ON -SUE 'SF11EP-5 z31`ri* r° Q3 M SET fvRT1i e3' Ttri iNJNicipiguTY 1.F r3rN a9Rt i 2: F WILL INSM,.L TM Y'5rE-M IN 00-'rJR0M3WITH THE + iX3e;- s: [ 1 TG+T=R ft3t7G F i3iT Tlie 13%'-°siTE `Elma'r`3TEii Pt,9'/' sf'f~i,UfidM a3R+ M hli IE Tri # E'3 f (lEWF IS TO U 1 L)DE PK+Rc THAN 4 £.i OR+-)I•r'i- - tflat•�€i; _ _� t�__✓_a/�_.1=�6�,0'�'�.a_�a_.�s"a�;�,.<a -_cYAr Y4, 0 • - - IJ SOILS LOG MUNICIPALITY OF ANCHORAGE • ae DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION El PERCOLATION TEST 625 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG — PERCOLATION TEST PERFORMED FOR: IDAY�. RYYl04j 1 DATE PERFORMED: 5.1'qI yl LEGAL DESCRIPTION: DAH 1 SLOPE Zrl SITE PLAN GjCj if .- -------- (FEET) a ° 2 ° A� pc 3 eo 4 5 ' 6 7 A` 9 e � 10- 11- 12 0 11 12 1 ° O 13- 15 3 15 16 17 18 19 1. i'rrlL Yo flu 5i1Y 1.;' a 4o N- 5.1a -(, We 6i IT WAS GROUND WATERS L ENCOUNTERED? O l.icTK. �51ft' P IF YES, AT WHAT E DEPTH? 1,i"w To No Si\Y Reading Date Gross Time Net Time Depth to Water Net Drop 20 LJ PERCOLATION RATE(minutes/inch) TEST RUN BETWEEN �_FT AND .,FT COMMENTS r- PERFORMED BY: CERTIFIED BY: 7_7DATE: 72008 (6/79) jwjj ps� V� E G �Li Municipality of Anchorage ° On -Site Water and Wastewater Program (907) 343-7904 $ A F � , YJ Certificate of On -Site Systems Approval Parcel I. D.015-071-04 1. GENERAL INFORMATION: Complete legal description Summit Estates; Block 4, Lot 4 Expiration Date: Location (site address) 5460 East 991h Avenue *Anchorage, AK 99516 Current Property owner(s) Austin Fernandez Day phone Mailing address Real Estate Agent Jake Webster Day phone 916-273-2649 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ® Individual Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ WaiverNariance request for: Distance: Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ S7 O Waiver Fee $ Date of Payment ��- 1 2 Date of Payment Receipt Number Receipt Number COSA # 0.(�r '2 Waiver # 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm: Gayness Engineering Group, Ltd (GEG) Phone: 907-337-6179 Address: 3701 East Tudor Road, Suite 101- Anchorage, Alaska 99507 Engineer's Printed Name: Jeffrey A. Garness 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 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 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. 6. DSD SIGNATURE System #1 Approved for _�/_ bedrooms System #2 Approved for Disapproved Conditional approval for bedrooms bedrooms, with the fo 0 F * _ I y A. Gorness.: C 79 53 �• V�n1019 f e s s101_,0 lllllllt((((f f/���#AECC884 G�Q?,�1TY OFAA '0 gJ ONWSjT o WATER ANDm I[gg�i` V SAT ER OIC �j o �/�i�� SERVICEsv 1�� M Original Certificate Date: 3-1 z The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist _ Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other ��J Legal Description: SUMMIT ESTATES; BLOCK 4, LOT 4 If more than 1 septic system on lot: COSA Checklist # of A. WELL DATA ❑ Well log is filed with Onsite (or attached) Date drilled 10/218 Total depth 78 ft Cased to UNK ft Al Sanitary seal is functioning correctly ❑ Wires are properly protected Casing height (above ground) 12+ in. Date of flow test for COSA 2/8/21 Static water level at beginning of test 28 ft. Comments SEE ATTACHED PHOTO OF WELL B. TANK DATA Age of tank(S) NEW years Tank type/material SEPT10HOPE Measured operating fluid level in septic tank FOR Standpipes/foundation cleanout per record drawing Date of pumping NEW D. ABSORPTION FIELD DATA Which system tested (date installed) 2021 ❑ ALL standpipes present per record drawing Total measured depth from grade 10.44 ft (max) Measured depth to pipe invert from grade 7.04 ft (min) ❑ N/A — pressurized field ❑ Monitor tubes go to bottom of effective. If not, state depth into effective ❑ Code -required soil cover over field ❑ System presoaked (Required if vacant for greater than 30 days prior to date of test) Gallons introduced N/A gallons Comments/Deficiencies: COSA Checklist yellow sheet Parcel ID: 015-071-04 Structure served by this system Well production at time of test 4.7+ gpm Water storage tank volume N/A gallons Well disinfected for coliform test? ❑ Yes ❑ No ❑ Coliform bacteria is Negative Nitrate 6.71 mg/L ❑ Nitrate less than MRL (ND) Arsenic ug/L ❑ Arsenic less than MRL (ND) Collected by GEG Date of Sample 2/22121 C. LIFT STATION ❑ Required maintenance completed Age of lift station year Lift station material Commen Adequacy test date NIA Results ❑✓ Pass For 4 bedrooms Fluid depth prior to test - in Water added - gal New depth - in Elapsed time - min Final fluid depth - in Absorption rate 600+ gpd Any rejuvenation treatment (past 12 months) NO If yes, enter date N/A E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well) Septic Tank/Lift Station on Lot > 100' ❑✓ Yes Community Sewer Manhole/Cleanout > 100' ft 0✓ Yes if No ft M Yes if No ft Neighboring Tank > 100' ❑ Yes if No *95'+ ft Private Sewer/Septic Line > 25' 7 Yes if No ft Absorption Field on Lot > 100' �j✓ Yes if No ft Holding Tank > 100' r7l Yes if No ft Neighboring Absorption Fields > 100' Surface Water > 100' 0 Animal Containment > 50' 171 Yes if No ft ft F/� Yes if No ft Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' 7 Yes if No ft Yes if No ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' Q Yes if No ft Surface Water > 100' Q Yes if No ft Property Line > 5' Q Yes if No ft Wells on Adjacent Lots: Absorption Field > 5' F/-1 Yes if No ft Private Wells > 100' Yes if No ft Water Main > 10' 0 Yes if No ft Community Wells > 200' Q Yes if No ft Water Service Line > 10' 0 Yes if No ft If septic tank is under driveway comment below From Absorption Field on Lot to: (Please enter distances if less than required) Building Foundation > 10' ❑✓ Yes if No ft If absorption field is under driveway comment below Property Line > 10' F,/7I Yes if No ft Wells on Adjacent Lots: Water Main > 10' Yes if No ft Private Wells > 100' Yes if No ft Water Service Line > 10' Yes if No ft Community Wells > 200' 0✓ Yes if No ft Surface Water > 100' 0 Yes if No ft F. ENGINEER'S COMMENTS *WAIVER #86-0832 ON FILE IN MOA RECORDS G. ENGINEER'S CERTIFICATION l certify that I have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. COSA Checklist yellow sheet 9AECC884 (A 0= 0 a *1 0 CD -0 0 m > m :3 > < W CD =r cn W 0 :� =r0 m 4D — F- K o cr A M --i t4 -1 o 0 =to W < a. 0 0 00 (D Cf) , 0 (A 0 j a) X-5 rL G '01 CD r- — 0 0 O-Z U) -1 :3 o o SL- A 0 OVZI,I, M.00,VO.00 N :3 — — — — — — 0 :5 0 -1 —:3OW (A C) > > 0 = 0 K a U) a) Sm QD, 0"o a Mr- < C: =F o —1 F CD 0 VJ . �o 0 X = 0 CL >M c Q 0 ocNo :E 0 0 0 cn :2 1 m :30) 0 a- 4 :3 (') Ix LO 13 01 ca > 0 C) 0 a 0 0 C)- 0 4� 1 amCL 0 (n 00.E CA -%- 0 cn V) 0 m 0 EL (D > n c') Oa. -01 r- 0 Q0 00 0 U) m OD CD 0 :o o = a 3 a z 0 < _0 I 'o 0, :3 CL :3 :1 . * CD I- cn =V I - m z 0 3 t8 -< =5-0 I —* 111 O0 O -01 Ta m 0 o o 0 'b 1 0 Do I cn x � C) > > 0 < (D 0 cr z 0CD :1 r- 1 vo 3 CL > On0 0-0 CD 0 (D CD 0.0 0_ 14 0 0 �- :3 :1 o o (A ao-1 14 0 0 c —0 a- C, a0 =r to to CL :3 a (b r M M FD .0 tpU) (D Q I > 5'a :3 IN - (a Cb0) b. > I- > > :3 ta 0 = x < i4l (n I z 0 CPJ 0 . C =r c 't, Ln cn 0 0 3 0 0 m 5-0 z a CD fn 3 A) 5-0 Q? x 0 > 0 C) 0 =1 3x > CD 0 -0 ON 0 -1 77 0 CD m 1 0 /.- ro r4—+ p 0 c z S 0 W 63 j 9Y Im 0 1 1 a 0 c t �1 4 M: (n -3PNA *' �< z * (o 0 Z z > m P,,n 0 > (con 10 U) 0 2A m OPA En PA 0, 04 m m L4 0 0 m DEVELOPMENT SERVICES DEPARTMENT On -Site Water and Wastewater Section www.muni.org/onsite Nitrate Advisory Certificate of On -Site Systems Approval # OSC 211099 Subdivision: Summit Estates B4 lot 4 A water sample revealed a nitrate concentration of 6.71 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. 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. Y Ma�l�ng Address' P"�O Box 196650* Anchorage, Alaska 99519 6650 *www muni org @3A tAr 907-343-7904 Fax: 343-7997 Nitrate Advisory Certificate of On -Site Systems Approval # OSC 211099 Subdivision: Summit Estates B4 lot 4 A water sample revealed a nitrate concentration of 6.71 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. 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. Y Ma�l�ng Address' P"�O Box 196650* Anchorage, Alaska 99519 6650 *www muni org From Northern Testing Laboratories, Inc. Nitrate is a negatively charged compound of nitrogen and oxygen, which is very soluble in water. Nitrate is not readily filtered or otherwise removed in the soil and can pass rapidly into ground water wells. SOURCE: Nitrate is a major component of fertilizer and wastewater. Often the nitrate is in the form of ammonia or protein first, which through contact with oxygen and certain bacteria, converts to the oxidized form known as nitrate. Sources of nitrate from wastewater include urea, ammonia cleaners, food solids, and bacterial cells. It may also result from the breakdown of organic matter buried in the soil. TOXICITY: Nitrate is generally not toxic to adults or children over the age of two or three years but is associated with a potentially fatal infant disease called methemoglobinemia. In the digestive system of young children, nitrate converts to nitrite, which can pass through the intestinal wall into the blood stream. There it combines with the hemoglobin and interferes with the ability of the blood to carry oxygen. For this reason, methemoglobinemia is referred to as "blue baby" disease. The EPA limits the concentration of nitrate in public drinking water supplies to 10 mg/L. The standard has been lowered from a previous level of 45 mg/L set by the US Public Health Service and the World Health Organization. TREATMENT: due to its solubility in water and negative ionic charge, filtration and other common home water treatment systems such as softening, or iron filtration does not readily remove nitrate. The best method for limiting nitrate in well water is source control. This can include avoiding overdosing of fertilizer near the well and maintaining good separation distances between septic tank leach fields and the well. A special anion exchange filter that contains a media with a strong affinity for negatively charged ions in water, or by a reverse osmosis treatment system or distillation can remove nitrate. TESTING: Nitrate analysis is usually done by one of the several "wet chemical" methods using a spectrophotometer to read the final color endpoint. Specific ion electrodes also can be used to detect the activity of nitrate in water. This laboratory uses several different wet chemical methods approved under the public water supply laboratory certification program. They also have test kits available, which the laboratory uses to perform an inexpensive "screening test", and with which the homeowner can monitor the change in nitrate levels from their well. They recommend comparing the test kit results against a certified analysis from the lab occasionally to verify the accuracy of the kit. We recommend using a specially prepared bottle that has been rinsed in hydrochloric acid for collecting samples. Mailing Address P O Box 196650* Arichorage,`i4ha k"9519 '7,6656,.`,!!ww'w`-`."m— Un' i org AWJr1_XRNESS ENGINEERING_ GROUP ENGINEERING �SALES -CONSULTING - ---•. . March 121h,2021 Municipality of Anchorage Development Service Department On -Site Water & Wastewater Program 4700 Elmore Road Anchorage, AK 99507 Ref: Request for Conditional COSA - Summit Estates, Block 4, Lot 4 To whom it may concern: The subject lot is serviced by a private well and septic system. The existing drainfield does not meet the required minimum absorption requirements set forth by the MOA. Due to this fact, a design was completed, and a permit was issued by the MOA on 3/1/21. It is our understanding that they are on a limited time schedule to "close" on the home; therefore, they requested we obtain a conditional COSA, so that the upgrade can be performed after closing. We have submitted the paperwork for a conditional COSA, the approved design, contractor bids for the installation of a new septic system and a letter by the lender showing that funds have been escrowed for the upgrade. If the septic system is problematic, the septic tank and drainfield can be periodically pumped until the upgrade is completed. We feel as though there is minimal risk in issuing the conditional COSA and are requesting that your department issue the conditional COSA for the subject lot. If you have any questions, please contact us at 337-6179. Thank you for your assistance. 3701 East Tudor Road, Suite 101 * Anchorage, Alaska 99507-1259 Phone: (907) 337-6179 * Fax: (907) 338-3246 * Website: www.garnessengineedng.com Municipality of Anchorage<< On -Site Water & Wastewater Program (907)343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL Parcel I.D. 015-071-04 Expiration Date: 1. GENERAL INFORMATION Complete legal description SUMMIT ESTATES SID; BLOCK 4, LOT 4 Location (site address) Current Property owner(s) Mailing address Real Estate Agent 5460 E. 99TH AVENUE, ANCHORAGE, AK, 99507 DALE FERGUSON Day phone 5460 E. 99TH AVENUE, ANCHORAGE, AK, 99507 TOM BLAKE W/ REAL ESTATE BROKERS OF AK Day phone 2. TYPE OF DWELLING: Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) JUN ® 5 2014 3. NUMBER OF BEDROOMS: 4 4. TYPE OF WATER SUPPLY: 382-0402 632-0573 TYPE OF WASTEWATER DISPOSAL: Individual Well Individual On-site Individual Water Storage ❑ Individual Holding tank ❑ Community Class Well ❑ Community On-site U Public Water System ❑ Public Sewer ❑ WaivedVari an ce request for INI/A // Distance: I C �z Received by: i' L Date: COSA to be released to the engineer, unless oche ise requested by the engineer. COSA Fee $ 52 I Waiver Fee $ j Date of Payment fe f i 0{ �+ Date of Payment Receipt Number x&51 1 ( u (A Receipt Number COSA# �JG ly 1 2—q(-) Waiver# 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, 1 verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. 1 further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm GARNESS ENGINEERING GROUP, Ltd. Phone 337-6179 Address 3701 E. TUDOR ROAD, SUITE 101 * ANCHORAGE, AK, 99507 Engineer's Printed Name Engineer's Comments: JEFFREY A. GARNESS, P.E. In conducting this evaluation, GEG, DD. attempted to provide a thorough, conscientious engineering analysis ofthe system in accordance with ADEC and MOA DSD Guidelines 8 Regulations. The reported results described the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the local soils con,ifion, groundwater levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of the system. Satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. GEG, LTD. can therefore not provide any warranty or future estimate of how long the system will continue to meet the operational requirements of the ADEC or MOA DSD. The content of this report is for the sole benefit of the owner listed above. Any reliance upon or use of this report by any other person or party is not authorized, nor will it confer any legal tight whatsoever 6. DSD SIGNATURE gw&AM Date b tip with the following stipulations: By: Original Certificate Date: (_0 — ) o� The ni ,it rA rage Develop, emt Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the represenatations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTCHMENTS: COSA Checklist Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other rrx,,,, lm,>nm If more than 1 septic system is on the lot: COSA Checklist # of Structure served by this system Certificate of On -Site Systems Approval Checklist Legal Description: SUMMIT ESTATES SID; BLOCK 4, LOT 4 Parcel ID: 015-071-04 A. WELL DATA *ASSUMED BASED UPON SURROUNDING WELL LOGS. SEE ATTACHED. Well type PRIVATE If A, B, or C provide PWSID# N/A Date completed 10/1/1981 Sanitary seal (YIN) YES Total depth 78 ft. Cased to *40+ ft. FROM WELL LOG Date of test 10/1/1981 Static water level 28 ft. Well production 15 —9 -pm. WATER SAMPLE RESULTS: Coliform U colonies/100 ml. Nitrate �' S I mg./L. Arsenic:A b ug./L. B. SEPTIC/HOLDING TANK DATA Tank Type/Material Date of sample: 5/21/2014 Well Log (YIN) YES Wires properly protected (YIN) YES Casing height (above ground) 12+ in. AT INSPECTION 8/24/2012 31 ft, 4.66 — 9 -p.m -Collected by: GEG, Ltd. *IN CRAWLSPACE. SEE ATTACHED PHOTO PROVIDED BY OWNER. SEPTIC/STEEL Tank size 1250 gal. Number of Compartments 2 Date installed 8/5/1981 Cleanouts (YIN) YES Foundation cleanout (YIN) *YES Depression over tank (YIN) NO / High water alarm (YIN) N/A Date of pumping Pumper I <<yC c S I, ;Y,r 7 C. ABSORPTION FIELD DATA *BELOW EXISTING GRADE Date installed 8/5/1981 Soil rating (g.p.d./ft2or /bdrm) 85 System type TRENCH Length 32 ft. Width 3 ft. Gravel below pipe 6 ft. Total depth *11.2 ft. Eff. absorption area 340+ ft2 Monitoring tube YES Depression over field NO Date of adequacy test 8/24/2012 Results (Pass/Fail) PASS For 4 bedrooms Fluid depth in absorption field before test **28 in. Water added 620 gal. New depth **52 in. Elapsed Time: 120 min. Final fluid depth **38 in. Absorption rate >= 600+ g,p.d. Any rejuvenation treatment (past 12 mo.) (YIN & type) TERRALIFTED If yes, give date 7/24/2012 **SEE ATTACHED LETTER REGARDING ADEQUACY TEST & TOTAL DEPTH. NOTE: DRAINFIELD HAD 15" OF STANDING LIQUID IN THE MT ON 5/21/2014 (38" CALC DEPTHD . D. LIFT STATION Date installed Size in gallons Manhole/Access (Y/N)— "Pump on" level at in. "Pump ofr' level at a er alarm level at Cycles tested Meets alarm & circuit requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot "' Absorption field on lot 100'+ Public sewer main NIA Sewer /septic service line 25'+ Animal containment areas 50'+ On adjacent On adjacent lots -95- 100'+ Public sewer manhole/cleanout N/A Holding tank N/A Manure/animal excrete storage areas 100'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 51+ Property line 51+ Absorption field 5'+ Water main NIA Water service Wells on adjacent lots 100'+ 10'+ Surface water 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: 4-6, Property line Q Building foundation 10'+ Water main N/A Water service line 10'+ Surface water 100'+ Driveway, parking/vehicle storage 10'+ Curtain drain F. COMMENTS NONE KNOWN 'PER EXISTING WAIVER. G. ENGINEER'S CERTIFICATION Wells on adjacent lots 100'+ I certify that / have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. Engineer's Priinte Name JEFFREY A. GARNESS Date 6/�f21 (Rev. 10/12112) GARNESS ENGINEERING GROUP, Ltd CIVIL & ENVIRONMENTAL ENGINEERS - May 21, 2014 Municipalij of Anchorage Development Service Department On -Site Water & Wastewater Program 4700 Elmore Road, P.O. Box 196650, Anchorage, Ak 99519-6650 (907)343-7904 REFERENCE: Summit Estates S/D; Block 4, Lot 4: Adequacy Test Results and Configuration of System. To whom it may concern, The septic system on the aforementioned lot consists of a 1250 gallon septic tank and a trench type drainfield with a 6 foot effective depth. According to our field measurements (8/24/2012), the sump only extends 49 inches below the invert of the drainpipe. The total depth and elevation levels reported on the C.O.S.A. are the calculated absolute levels. The highest measured liquid level during our adequacy test was 20 inches below the invert. Soil cover above the invert is approximately 5.1 feet. If you have any questions, please contact us at 337-6179. 3701 East Tudor Road, Suite 101 "Anchorage, Alaska 99507-1259 Phone. (907) 337-6179"Fax , (907) 338-3246' Website: www.garnessengineering.com ALASKA STATE'AlIDE TERRALIFT 'The Earthshaking solution for Problem Soils" 4212 Harca St., Eagle River, Alaska 99577 907-622-7163 'IlLL C TO TERMS: -- 2185 a. E MATERIAL Da e ALS AMOUNT DESCRIPTION OF WORK OB,BRTAKEN BY CUSTOMERS ORDER NUNIGEP L 4?� DAY WORK _; CONTRACT '_ EXTRA JOB NA NUMBER JOB LOCAT �� JOB vwo f '� � 6TAflnraa DATE OTY. MATERIAL PRICE AMOUNT DESCRIPTION OF WORK OTHER CHARGES Ali L — L�SJlL'f✓..---- > ,_... nor M 4 -- -- -1-J_J --�---- IIi fJ TOTAL LABOR -�� v TOTAL MATERIALS - DAl'ECOMP_LTE^ TOTAL I,AL MATERIALS r Work Gruel eG Dy Signature 10 1 —L OTHER C�«JJJJ � TAX TOTAL I hereby acknowledge the satisfactory completion of the above described work N d n N 1 0 om U I`7 U N O rW m Ln O :D Qi O O ,.WON (n m m W> �� Of o 3 W n o m 0 a m W Q V I LiJ w Q p J W Q:� ct� y � U a J z M,Oglge. Ul Ld Q bg•g�9�S 00 o a a o LL C/5 LO �io -oyaSb N m `0 Q) F t'� Z a E 0 _. ;/Q ^ 1 a o 0 o an y 2 N L T ,CL O el f a_'p E O O a0 O J / r- O j� ` Y p a�, o p N C/. ' Q . �, m 0 .p i" o, O C N O oc O N ol 00 3 '��Z ori E O w o����ao m N "^v O L U v N i 3 o' m p o w° C a m o L UO� Z 0 0 p p s p L'o o Ll 3: / y a p O;Fcp, o m > 0` U O O 0 L y� O O O �� — O � N 61 N C OC a a> E 2 6 U NTO C E i r7 -�� c�. U� j - �' O o o ° v -o n 6 / co ��o r '"� l •gL cn f Oil c N .'_' a o o Ld a p t 4-) .. O I i o p m J S'L > 6 d p a j o C p 0..LJ p v N c � p 1� p Q) / :N Q 3 w f-y o+'�. 0'c cL O N U N c N O 00 a- 0// p0 F00 0(Dc "cod Q cn� {' U ° wm cEE0aa p 3�° Z �o p 16 o g o 00oC ., 00 0 z (o o alo ''y / v� La NO o'�°�a�� � \ p 31: ..p � Q 4 E 1UGWGSD3 / i i 1 �£ 0VZ I tM„00J7O.00N 4] WZ Dc W7, ;a /Q00 c Ll: 11 1� 0 AU (JN: var MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION DIVISION OF ENVIRONMENTAL HEALTH CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY 264-4720 Application Date 74ne '2� /98G — 1. GENERAL INFORMATION (a) Legal Description (include lot, block, subdivision, section, township, range) ta-f q 13(ccfr 'I Location (address or directions) 5Y60 C 99 th (b) Applicant Name Amd-t Telephone: Home 27E Business Applicant Address ¢ 1.5735" b'a/»is APCA C -Y/ 995 0( (C) Applicant is (check one): Lending Institution ❑ ; Owner/builder 19 ; Buyer ❑ ; Other ❑ (explain); (d) Lending Institution /� �aS ltQ midad Ban tr Telephone X5'9 "y 6oGJ Address (e) Real Estate Company and Agent SCYchnCY �+jm vz y Dan Address f f 3 S" W. £> -ft' '),A cho rrr / fz 9q5-01 Telephone e 7% (f) Mail the HAA to the following address: / Alas ita Vtct {ua1 0" l affa .Barbara 11z7 re 'Malt* 2. TYPE OF RESIDENCE Single -Family N Multi -Family ❑ Other Number of Bedrooms 3. WATER SUPPLY Individual Well f9 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 0 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. ` 72-025 (11/84) Page 1 of 2 5. ENGINEERING FIRM PROVIDING INSPECTIONS, 1',/ 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. )k Name of Firm t`la -r,&g tca ( Sev-ace/ Telephone 3`1 s - f 3S Address l �' N, 3a c/' o S'f. 4ACfWC e Date 1 P-0 Ab hler�2 lCfdrue/ rif �a'fy cue((_ ZCil"(�f 5t' Sept t k4hr cent' Jo Nem WA(ver 0 LuFH LU6 /' Engineer's Sea,�m®®®p, of A(��p� ���':°°•' ••... .qua® e 8 .......................... .•THEODORE F. MORE t A ��'�,°r .• CE - 3589 .• s,°.SY Pres���` 4, 6. DHEP APPROVAL Approved for �""� bedrooms by Date Approved 1� Disapproved Conditional Terms of Conditional Approval dhep CAUTION The Muncipality of Anchorage Department of Health and Environmental Protection (DHEP) issues Health Authority Approval certificates based solely upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHEP does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHEP 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 MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH & { ENVIRONMENTAL PROTECTION MUNICIPALITY OF ANCHORAGE (MOA) C HEALTH AUTHORITY APPROVAL (HAA) ;.,,j NZ 01986 CHECKLIST - FEBRUARY 1984 264-4720 RECEIVED Legal Description: /-/O + w 13(0-c it y cimrrr to FSt*c%J A. WELL DATA Well Classification frtyal-e If A, B, C, D.E.C. Approved (Y/N) N'A' 7 7,o rM »+e4u"ra e Well Log Present (Y/N) Y Date Completed (� �2! &( Yield 15� r� Total Depth 79 Cased to _ 78 Depth of Grouting NA Static Water Level 3Z, w fg a "A Pump Set At 63 F Casing Height Above Ground (7 It Sanitary Seal on Casing (Y/N) Electrical Wiring in Conduit (Y/N) Depression Around Wellhead (Y/N) Separation Distances from Well: ,aw ✓ To Septic/Holding Tank on Lot 931 ; On Adjoining Lots 97 t h (ot5 Scr h2 c -o. To Nearest Edge of Absorption Field on Lot (0.C'+ On Adjoining Lots > 100 � To Nearest Public Sewer Line Nt/1•• To Nearest Public Sewer Cleanout/Manhole N4 R. To Nearest Sewer Service Line on Lot Water Sample Collected by 'fr-M ; DatetS(119 8 Water Sample Test Results $CJt4ZtCAy-t y nep co ((/Ov'" ow ke,cI-ertty Comments WQ(( k� 5"w-ce OkilgncGykayecC dctwp % 90' 1'X ftof 7 t98( 150rma7 woc(uu now 6wycl'ecl %v G'2d',4 B. SEPTIC/HOLDING TANK DATA Date Installed B/S/ 8( Size 1 2s No. of Compartments r: Standpipes (Y/N) Y Air -tight Caps (Y/N) Y Foundation Cleanout (Y/N) lq Depression over Tank (Y/N) W Date Last Pumped K-7 & IJK Pumping/Maintenance Contract on File (Y/N) for Holding Tank High -Water Alarm (Y/N) N. A• Temporary Holding Tank Permit (Y/N) N• A • Separation Distances from Septic/Holding Tank: To Water -Supply Well 93 To Property Line To Water Main/Service Line Course _;�' 106 Comments Pagel of 2 72-026(11/84) I To Building Foundation To Disposal Field To Stream, Pond, Lake, or Major Drainage C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata HS' CI ��d �� Type of System Design -rrenc A Date Installed --_ 6/S' /9 1 Length of Field 3 2 1 Width of Field -- 3rf" Depth of Field 10 Gravel Bed Thickness Square Feet of Absorption Area 38`/ Standpipes Present (Y/N) Depression over Field (Y/N) N Date of Last Adequacy Test 6'109 (P6 - Results of Last Adequacy Test Ae!*4tafr „- W 6,!dr00L4 Separation Distance from Absorption Field: To Water -Supply Well 107; To Building Foundation 2rz Lot N, A: - To Water Main/Service Line N'& To Stream/Pond/Lake/or Major Drainage Course _ To Driveway, Parking Area, or Vehicle Storage Area Comments D. LIFT STATION Id,A Date Installed —_ Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Electrical Codes (Y/N) Comments To Property Line To Existing or Abandoned System on On Adjoining Lots To Cutbank (if present) Dimensions Manhole/Access (Y/N) "Pump Off" Level at ** Check Permitted Bedroom Rating Against HAA Request ** Vent(Y/N) Pumping Cycles during Adequacy Test. Meets MOA I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Signed '��h'e- %�%ae c Date IrIJ9/&e Company .'red. Seroceai MOA No. -9S-V 2 Receipt No. _3q ()VAve Date of Payment Amount: $ _ J Page 2 of 2 72-026 (11,84) OF A �6Q.0 ®9 Y* •�•[,C9TIi •,�*� . ^..........F..' .... •. THEODORE F• MOORE .• •CE - 3509 •• L` Engineer's Seal Municipal'Uty of Anchorage June 25, 1986 Ted Moore, P.E. 14530 Echo Street Anchorage, Alaska 99516 P.O. Bim, 196650 ANCHORAGE, ALASKA 99619-6650 (907) 264-4111 TONY KNOWLES. MAYOR DEPARTMENT OF HEALTH & HUMAN SERVICES Subject: Lot 4 Block 4 Summit Estates Subdivision Waiver Request, WR86-082 Dear Mr. Moore: Your request for waivers of the separation distance requirement between the well on the subject lot and septic tanks located on that same lot and Lot 5 to east have been approved. The 100 foot separation requirement has been waived to 90 and 95 feet respectively. This waiver is valid for the existing four bedroom single family dwelling only. Sincerely, XJ - -2iZ, , ��_� Stephen S. Morris Civil Engineer On-site Services SSM/ljw 6. CIVIL, & ENVIRONMENTAL ENGINEERINGJ V IHtvgR.(6Y%6SERVATION & ANALYSIS THEODORE F. MOORE, P.E. PH: (907) 345-1355 rr 11 ��yy// ee[[ 14530 ECHO ST. � June �QYED ANCHORAGE, ALASKA 99516 Steve Morris M.O.A. Dept of Health & Human Services P.O. Box 6-650 Anchorage, AK 99502 RE: Waivers and Health Authority Approval, L4, B4, Summit Estates Dear Mr. Morris: By means of this letter I wish to request a waiver of the well — Lot 4 septic tank separation distance down from 100 feet to 90 feet, and the well — Lot 5 septic tank separation distance down to 95 feet. Copies of the septic system as—built, the soil log, the well log, and a site plan are enclosed. When the septic system was installed in 1981, notations were made on both the permit and the as—built indicating that an 80 foot separation between the well and tank would be acceptable. The actual separation between the well and the septic tank cleanout is 93 feet. The soil log indicates a slightly silty poorly graded gravel down to 14 feet. When the system was tested for adequacy on June 18, the monitor tube had no fluid initially, and the system was able to accept 600 gallons of water with less than a 6 inch rise in fluid level which subsided rapidly once the flow was stopped. This indicates that the soil beneath the system is not saturated. The distance between the well and the septic tank cleanout on Lot 5 is 97 feet. I believe that the considerations discussed with respect to the Lot 4 septic system also apply here, only the degree of deviation from separation criteria is less. The static water level in the well was at 32 feet, and this was drawn down to 45 feet when pumped steadily at 7 gpm. Accord— ing to the driller's log the water bearing stratum is between 76 and 78 feet. This is overlain by several strata of silty clay, silt and silty till between 8 and 76 feet. These relatively impermeable strata should provide a good barrier preventing surface water contamination of the potable aquifer. A well water sample taken June 18 showed no bacterial contamination. The topography of the lot is generally level between the well and both septic systems, with perhaps a slight slope downwards away from the well. There is a small hill in the U northwest portion of lot 4. Were either system to fail, there would be no particular tendency for effluent to flow towards the well. Considering the relatively small deviations from separation criteria, and that they are for septic tanks and not soil absorption systems, I believe that the waivers can be justified on the above—described technical basis. It would also seem appropriate for the Municipality to stand behind their previous approval of lesser separation distances, unless a clear public health threat is perceived. If you are able to issue the necessary waivers, please send the health authority approval directly to the bank as indicated on the blue sheet, with a copy to Flattop Technical Services. Thank you for your assistance in this matter. cc Dan Amos 1535 Bannister Anchorage, AK 99506 Sincerely, Ted Moore, P.E. s cs: - • C 49TH ....................... . e THEODORE F. MOORE f CE - 3589 + 4 '� IIVVVIVC +a ROA0400MRSEWER AND DRAIN o4wary 0a ?"a&" CLEANING SERVICE Voaw me D14&" P.O. BOX 112688 PHONE 345-2513 ANCHORAGE, ALASKA 99511-2688 Job Address i DATE SALESMAN TERM —30 DAYS CUSTOMER ORO�WM L a ROTOR ROOTER SERVICE CALL HRS. STEAM THAWING HRS. TRIP CHARGE HRS. OVERTIME CHARGE HRS. - ADDITIONAL LABOR CHARGE HRS. / PUMPING SERVICE � )6:tel )(GAL) HRS @ HYDRO -JET -SERVICE HRS MATERIALSi) PLEASE PAY FROM THIS INVOICE TOTAL :- - TOTAL FOOTAGE CLEANED OR THAWEp BLADE USED )j,. PROBABLE CAUSE OF STOPPAGE LINE CLEANED 1 JOB NOT GUARAf WORK ACCEPTED BY FOR FOLLOWING REASON 5. LEGAL DESCRIPTION DATE RECEIVED C INSPECTION APPOINTMENTS TIME TIME - TIME SINGLE FAMILY El One ❑ Four ❑ Other �. DATE ,5— Three ❑ Six DATE DATE A1 INDIVIDUAL* * ATTACH WELL LOG. A well log is required for all wells drilled ❑ COMMUNITY 1C:) 1Lt- 1 -INSPECTOR INSPECTOR - INSPECTOR 8. SEWAGE DISPOSAL SYSTEM MUNICIPALITY OF ANCHORAGE OF HEALTH & - Ad_ INDIVIDUAL/ON-SITE** �I�IDEPT. RONMENTAL PROTECTION ❑ PUBLICUTILITY DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTIONVI 825 L Street - Anchorage, Alaska 99501 • OCT 13 1981 ENVIRONMENTAL SANITATION DIVISION Telephone 264-4720 RECEIVED REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. 1. PROPERTY OWNER � PHONE MAILIN ADDRESS t-1 W g PROPERTY RESIDENT (If different from above) PHONE 310-6 ra 6 2. BUYER_ PHONE MAILING ADDRESS 3. LENDING INSTITUTION PHONE M ILING ADDRESS 4. REALTOR/AGENT - PHONE MAILINGADDRESS - 5. LEGAL DESCRIPTION SUh, C STREET LOCATION S a 6. TYPE OF RESIDENCE NUMBER OF,BEDROOMS SINGLE FAMILY El One ❑ Four ❑ Other ❑ Two ❑ Five ❑ MULTIPLE FAMILY ,5— Three ❑ Six 7. WATER SUPPLY - A1 INDIVIDUAL* * ATTACH WELL LOG. A well log is required for all wells drilled ❑ COMMUNITY since June 1975. For wells drilled prior to that date, give well ❑ PUBLIC UTILITY depth (attach log if available.) 8. SEWAGE DISPOSAL SYSTEM Ad_ INDIVIDUAL/ON-SITE** ,YEAR ON-SITE SYSTEM WAS INSTALLED. ❑ PUBLICUTILITY NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. �f�72-010 (Rev. 6/79) t � IV�HU W .LoW THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE d SINGLE_fAMILY ❑ MULTIPLE FAMILY NUMBER OF BEDROOMS E]ONE ElTHREE ❑ FIVE EDOTHER ❑ TWO OUR ❑ SIX 2. WATER SUPPLY LQ�INDIVIDUAL ❑ COMMUNITY ❑ PUBLIC UTILITY Connection Verified PERMITNUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED AGE DISPOSAL SYSTEM INDIVIDUAL/ON-SITE 3SE ❑PUBLIC UTILITY C�ornectlon Verified PERMIT NUMBER DATEINSTALLED`� / r INSTALLER V ScpticyTank or ❑ Holding Tank Size:.51"� If Tank is homemade give dimensions: SOILS RATING t ? t� TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCES' WELL T0: Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line 6. COMMENTS L'I-'APPROVED FOR BEDROOMS ❑ CONDITIONAL APPROVAL (letter must accompany certificate) ❑ DISAPPROVED DATE rBY� /f y 72-010 (Rev. 6/79) 825 "L" STREET ANCHORA3E, ALASKA 99501 7 3 (907) 264-4111 GEOHGI_ M. SUI_LIVAN, MAYOR DEPAR TM EN Tof HFAI_TI4 AN I> LNV III ONMEN1AL PHO' ECTION October 15, 1981 Dan Amos 1135 West 8th Avenue Anchorage, Alaska 99501 Subject: Lot 4 Block 4 Summit Estates Subdivision Approval for the individual sewer and water facilities cannot be granted until the following items have been completed: (1) The water analysis report needs to be submitted to this office from the Chem Lab, 5633 B Street, for our review. (2) The well log needs to be submitted to this office for our review and files. If there are any further questions, please call this office at 264-4720. Sincerely, Les N. Buchholz, R.S. Senior Environmental Specialist LNB/ljw cc: First National Bank of Anchorage Post Office Box 3128 99501 VACAgr I -AN D Flattop Technical Services 14530 Echo Street Anchorage, Alaska 99516 NO 15F i' Q C'enemrI`/. le -el .% i -ed aIn JABS 7REKtH F- i9 t"-, VACANT L -/N> OF A4 ......................... LOT Ii. 61 -it t/� SuIMIT E S% •• THEODORE F. MOORE X o CE - 3584 tii9 laRArt�w r�r7 V_�.t �t i VACANT L -/N> OF A4 ......................... LOT Ii. 61 -it t/� SuIMIT E S% •• THEODORE F. MOORE X o CE - 3584 tii9 laRArt�w r�r7