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Home My WebLink AboutMCMAHON BLK 1 LT 5McMahon Block 1 Lot 5 #017-041-46 •�,� GREATER ANCHORAGE AREA BORuo-uH Department of Environmental Quality i 3330 C Street Anchorage, Alaska 99503 I� INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME F�iYl%bit2%i1?LCL�� MAILING ADDRESS 7%C)7 Z11iCR- PHONE ' 6 2�2� LOCATION tL4%i V1�?Z�1 LEGAL DESCRIPTION �(�i f%h 1i1c,cn SEPTIC TANK: DISTANCE L } NUMBER OF FROM WELL `til��'MANUFACTURER` '' MATERIAL COMPARTMENTS INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH LIQUID CAPACITY ray 0 GALLONS. SEEPAGE=PfiT NUMBER OF PITS DIAMETER OR WIDTH_, LENGTH—, DEPTH LINING MATERIAL CRIB SIZE: DIAMETER_DEPTH DISTANCE FROM: WELL . TOTAL EFFECTIVE BUILDING FOUNDATION zd NEAREST LOT LINE ABSORPTION AREA (WALL AREA) 'S�,� SQ. FT. (1 .1 1 011 n 17 O ADDITIONAL ABSORPTION NU44R TYPE l" L 1� CONSTRUCTION_ BUILDING NEAREST FOUNDATION -5 LOT LINE (��"�' NEAREST SEWER LINE CCtU DEPTH SEPTIC TANK -/0() DISTANCE FROM: SEEPAGE SYSTEM CESSPOOL OTHERSOURCES APPROVED DISAPPROVED REMARKS DISTANCES: DIAGRAM OF SYSTEM INSTALLED BY: !` JC h PIPE MATERIAL: P �! � D LOT SLOPE: �•li,N1-+�taaw REMARKS: r DATE APPROVED G.A.A.B, GREA R ANCHORAGE AREA BOF �"GH DEPARTMENT OF ENVIRONMENTAL QUALITY PERMIT NO.. 3330 "C" STREET ANCHORAGE, ALASKA 99503 c '\I\\yhJl e /o TELEPHONE 274-4561 j� SEWAGE DISPOSAL SYSTEM — APPLICATION AND PERMIT � rJc�ll�-2 ��F►I2r=/ NAME OF APPLICANT // /`/ ♦ MAILING ADDRESS PHONE INSTALLATION LOCATION /j_�/"y"Lf 1" �✓Yl/] / %{'`32LIL'7i/ �t%=-3Cl E� f1� /�f it/77�-/1..� LEGAL DESCRIPTION INSTALLATION OF: SEPTIC TANK SEEPAGE DRAIN FIELD 6�y OTHER TYPE AND SIZE OF FACILITY TO BE SERVED IJ /Z- "-k-2 / /7 FINANCED THROUGH TO BE INSTALLED BY C 2, ce e-. ;' SOIL TEST RESULTS iJ"l �1 �Y // NOTE: THIS PERMIT IS NOT VALID WITHOUT SOIL TEST COMPLETION DATE ANTICIPATED T�s7- 7-0 16 FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION. { SEPTIC TANK SIZE �' ad �'r Z" TYPE SEEPAGE AREA SIZE - TYPE MINIMUM DISTANCES, REQUIREMENTS FOUNDATION TO SEPTIC TANK FOUNDATION TO SEEPAGE' DRAIN FIELD SEPTIC TANK TO SEEPAGE -TP� / SEPTIC TANK , SEEPAGE RET .�J� DRAIN FIELD TO NEAREST LOT LINE. /- Q ` WELL TO SEPTIC TANK it"� SEEPAGE R''F* / / DRAIN FIELD ;fin ` WATER MAIN TO SEPTIC TANK ALSO CONSIDER AREA WELLS. SEEPAGE PIT DRAIN FIELD SEPTIC TANK, SEEPAGE Fqq� �' . DRAIN FIELD TO RIVER, LAKE; STREAM. CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF EXCAVATION 5 FEET INTO UNDISTURBED SOIL. 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT FITTED WITH AIRTIGHT REMOVABLE CAPS. GRAVEL BACKFILL �� // ? /'2i;; / c"l2C% �� 7/2�'E�z- /-� C=—mu //2L;G> CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. rLj)P ..L AISP4EC_7-!GA :5 /-cZ-LLL1l2 G.A.A.B. OR LICENSED DESIGNER _ 2. A�> DI,iG�3AM OF 1�?YSTEM �� LL'1z%U n I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28.68 AND THAT THE ABOVE DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE. DATE APPLICANT'S SIGNATURE FORM NO. EQ -016 L_%�- MF- -T I I F�—� � I .3' - - - - jl� 14-1 I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28.68 AND THAT THE ABOVE DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE. DATE APPLICANT'S SIGNATURE FORM NO. EQ -016 L_%�- t eni 7 5-- t PlacMahon C,, Cj q •Lc' 7. )'-11 41.1 i" V-AXA G 'r X I Sx .1, I—N -V ;top- #The contact between the two soil sediments was gradationat. 2 The Gw had a fairly high sand] ,.content with a low boulder f and cobble content. The Gw to t I Gm had some erratic silt and Gw 5clay bodies and was fairly 1 compact. F L AL .... ... Gw to --- - ----- -- Gm T _j- Af No ...... .... Wr,T TI'MY, '0 N Dr, T 16 ft It ft Gw at 85 s t/bdrm; 4 ft Gm to Gw at 1 calculated average 120 sqj�j ........... ...... ... Percco t 20 Aug 75 4 M—W'' DRILLING, INC. c� DRILLING LOG Well Owner " J ""` Use of Well Location (address of: Township, Range, Section, if known; or distance main road - ':j oad,..,-j j_ i %xt;i;. % _rt-1''•)Ijtlta- ti�f ll5l.j'. �i �. 7, ".I C!. Size of casing Depth of Hole— feet Cased to �'$ S ` feet Static water level t. (above) , (below) land surface. Finish of well (check one) open end Screen ( ) ; Perforated :rt7 �. � �. ice'; is ji. �, L r Y i:fYi_`�.. !��_�.�1.1. �> ' I"r Describe screen or perforation y `f Well pumping test at • gallons per: (hour) (minute) for hours with ` ' ft. of drawdown from static level. Date of completion i 7 WELL LOG Depth in feet from ground surface TO TO mn .'..�; ; - mn 1 TO TO TO 1;3 TO TO TO Give details of formations penetrated, size of material, color and hardness Jln i� l 'y + c.ttlft ty c, ni 3i ;' c i rx'_r rr 7 I Iv iJ.{,'1.11 Tu ,.; :.ie ontractor Cert ic:tte No's. 814 & 971 TO- 2 — STATE Certified Well Tor... F --X ........ /L . . ...... .............. ..................... ..................... Location.-..:... ............................ --- ...... 1.1.h .............. 7L it Date completed ....... ......................... ........... .......... . .. tV Depth of well: ...... .......... ............. .......... .............. Sizeof casing. ....... .............. ........ ............................... -14 Distanceto water .... ........................... 6 .................. ......................................... Distance to water while pumping .. ....... . ................ 7A6 ............ ..... at rate 4A 600 of..................... .............. ......gallons per hour.- t , 0 E GATER ORA AR ROUGH De rtment of Environ tal Quality "C" Street, Anchorage, Alaska 99503 274-4561 Date Received May 18, 1976 Time of Inspection 1(); (-)C) Date of Inspection (n- -')(n, REQUEST FOR APPROVAL OF. INDIVIDUAL SEWER & WATER FACILITIES FOR Conv. 1. Approval requested by: First National Bank of Anchorage Mailing Address: post office box 4-2090, 99509 Phone: 274-1521 x 55 2. Property Owner: Edward L. K areen Phone: 344-5924, Mailing Address: 7707 Lake Otis Parkway 3. Legal Description: Lot 5 Block 1 Mc Mahon Subdivision 4. Location: NHN Huffman Road, 99507 5. Type of facility to be inspected Single Family No. of bedrooms 4 6. Well Data: Individual A. Type �4�LL�i�.�% B. Depth C. Construction D. Bacterial Analysis 7. Sewage Disposal ystem: On-site system A. Installed B. Installer C. Septic Tank: 1. Size 2. Manufacturer D. Seepage Pit: 1. Absorption Area 2. Material E. Disposal Field: Total length of lines 8. Distances: A. Well to: Septic tank Absorption area Sewer Lines , Nearest lot line Other contamination B. Foundation to septic tank , Absorption area C. Absorption area to nearest lot line EQ -034 (1/74) Page 1 of two pages Page 2 of two pages - Re`�'st for Approval of Individual er & Water Facilities ,Legalt Description' Lot 5 Block 1 Mc Mahon Subidvision Comments Approved�jc�`�` Disapproved Date ?� Appro 1;Valid for one year from date signed. Greater Anchorag ea Borough, Department of Environmental Quality DIAGRAM OF SYSTEM I certify that the information contained in this request for approval to be a true and accurate representation of the subject sewer and water facilities and these facilities are operating satisfactorily. SIGNED Date EQ -034 (1/74) MUNICIPALITY OF ANCHORAGE DEPARTMENT OF ENVIRONMENTAL QUALITY 3330 "C" Street, Anchorage, Alaska 99503 — 274-4561 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER and WATER FACILITIES i MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH & ENVIRONMENTAL PROTECTION MAY 18 RECEIVED 1. Type of Inspection: CMRO VA FHA CONV 2.. Property Owner: Kareen, Edward L. Mailing Address: 7707 Lake Otis Anch. , Ak; .99507 _ Day Phone 344-5924 3. Name of Buyer: Mailing Address: Day Phone 4. Name of Lending Institution: The First Bank of Anchorage (S.C.B.) Mailing Address: P. 0. tNhhational Box 4-2098ugchen�rj5pch phone 274-1521 Ext: 55 5. Name of Realtor or Agent: Gebhart & Peterson Mailing Address: Phone G. Legal Description: Lot 5 Blk, 1 McMahon Subdivision Location: NHN Huffman Road Anch. , Ak. 99507 7. Type of Facility to be inspected- SFD 3. Water Supply Type of Supply: Public Utility If Individual, number of dwellings presently served If Individual, depth of well 9. Sewage Disposal System Type of System: Public Utility If Individual, date of installation 10 0.r7 (11741 Individual No. Bdrms. 4 X Individual (on-site) X • '� Municipality of Anchorage F. o On -Site Water and Wastewater Program (907)343-7904 Certificate of On -Site Systems Approval Parcel I.D. 017-041-46 Expiration Date: I� - 1. GENERAL INFORMATION Complete legal description McMahon, Block 1, Lot 5 Location (site address) 3800 Huffman Road Anchorage, AK 99516 Current Property owner(s) Emily L. Davenport Day phone Mailing address 3800 Huffman Road Anchorage, AK 99516 Real Estate Agent Day phone 2. TYPE OF DWELLING: Q Single Family (w/wo ADU) ❑ Duplex, ❑ Multiple Dwellings (Single Family and/or Duplex): Er int; 3. NUMBER OF BEDROOMS: Four 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well Individual FX I Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ WaiverNariance request for: Distance: Received by: Date: t i rY COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ Waiver Fee $ Date of Payment�l Date of Payment Receipt Number 6 ("lL �56Receipt Number COSA # 05cl y 1603 J 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 Anderson Engineering Address P.O. Box 240773 Anchorage, AK 99524 Engineer's Printed Name Michael E. Anderson, P.E. 6. DSD SIGNATURE System #1 Approved for _LLbedrooms System #2 Approved for bedrooms Disapproved Conditional approval for bedrooms, Phone 522-7773 Date 9/22/14 ®� •: lot s :e Lj.Q THor ®9 : M1dBAF3VU'rzjANDEP,SON : d CE -4381 : a fe pROFEssvk'i ®® with the following stipulation tV,%-.®®®� By:Original Certificate Date: /0 — / — / T The Mu ciIrty c 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 forerrors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA hlue sheet ( ..t c 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: McMahon, Block 1, Lot 5 A. WELL DATA Well type Private If A, B, or C provide PWSID # _ Date completed 2/1976 Sanitary seal (Y/N) Y Total depth 98 ft. Cased to >40 ft. FROM WELL LOG Date of test 2/1976 Static water level 64 ft. Well production 10 9-13 M. WATER SAMPLE RESULTS: Coliform 0 colonies/100 mL Nitrate mg/L Arsenic NL D ug/L Date of sample: 9/23/14 B. SEPTIC/HOLDING TANK DATA Parcel ID: 017-041-46 Well Log (Y/N) Y Wires properly protected (YIN) Y Casing height (above ground) >12 in. AT INSPECTION 8/9/14 68 ft - 4.9 g.p.m. Collected by: Anderson Engrg. Tank Type/Material Septic/Steel Date installed 9/1975 Tank size 1,250 gal. Number of Compartments 2 Cleanouts (Y/N' Y Foundation cleanout (Y/N) Y Depression over tank (Y/N) N High water alarm (YIN) _ Date of pumping 9/23/14 Pumper One Stop Pumping C. ABSORPTION FIELD DATA I Date installed 9/1975 Soil rating (g.p.d./ft2 or ftz/bdrm) 120 SF/BDRM System type Deep Trench Length 33 ft. Width 4 ft. Gravel below pipe 8.0 ft. Total depth 12-13 ft. Eff. absorption area 528 ft Monitoring tube Y Depression over field N Date of adequacy test 8/9/14 Results (Pass/Fail) PASS For 4 bedrooms Fluid depth in absorption field before test 68 in. Water added 650 gal. New depth 69 in. Elapsed Time: 1,440 min. Final fluid depth 68 in. Absorption rate , 600 g p d Any rejuvenation treatment (past 12 mo.) (Y/N & type) N If yes, give date D LIFT STATION No Add On Manhole - Gravity Flow to Absorption Trench. Date installed Size in gallons "Pump on" level at in. "Pump off' level at in. Datum Cycles tested E. SEPARATION DISTANCES WELL ON LOT TO: Septic tank/lift station on lot > 100' Absorption field on lot > 100' Public sewer main N/A Sewer /septic service line >25' Animal containment areas >50' SEPTIC/HOLDING TANK ON LOT TO: >5' Building foundation Property line >5, Water main > 0 Water service line >10 Wells on adjacent lots >100' ABSORPTION FIELD ON LOT TO: Property line >10, Building foundation >10 Water Service line > Surface water >100 Curtain drain None Noted Wells on adjacent lots >100' Manhole/Access (Y/N) High water alarm level at _ Meets alarm & circuit requirements? On adjacent lots >100, On adjacent lots > 100' Public sewer manhole/cleanout N/A Holding tank N/A Manure/animal excrete storage areas >100' G. ENGINEER'S CERTIFICATION i certify that t 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 Printed Name Michael E. Anderson, P.E. Date 9/24/14 COSA brown sheet_10-10-12.doc Absorption field >5' Surface water >100' Water main N/A , Driveway, parking/vehicle storage > 10 in. Municipality of Anchorage Development Services Department Building Safety Division On -Site Water & Wastewater Program 4700 Elmore Road P.O Box 196650 Anchorage AK 99519-6650 www.muni,org/onsite (907)343-7904 L CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING n Parcel I.D. 017-041-46 COSA# l C) 1 1. GENERAL INFORMATION Expiration Date: & — Complete legal description Location (site address) Current Property owner(s) Mailing address MCMAHON S/D; BLOCK 1, LOT 5 3800 HUFFMAN ROAD * ANCHORAGE. AK * 99516 PAT KAREEN Day phone 3800 HUFFMAN ROAD * ANCHORAGE, AK * 99516 Lending agency Day phone Mailing address Real Estate Agent Day phone Mailing address Unless otherwise requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 4 345-2918 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well Individual On-site Individual Water Storage ❑ Individual Holding tank ❑ Community Class Well ❑ Community On-site ❑ Public Water System ❑ Public Sewer ❑ 0 The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of On -Site Systems Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues COSAs upon request to homeowners. Certificates of On -Site Systems Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water samples. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 4. STATEMENT OF INSPECTION 9Y ENGINEER As certified by my seat 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, chows that the on-site water supply and/or wastewater disposal system, is ;are) safe, f! mctional and adequate for tire number of bedrooms and tyke of structure indicated hereinl further verify that based on the information obtained from the Municipality of Anchorage f'les and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with alt applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm GARNESS ENGINEERING GROUP, Ltd. Address 3701 E. TUDOR ROAD, SUITE 101 * ANCHORAGE, AK 99507 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Engineer's Comments: In conducting this evaluation, GEG, LtD, attempted to provide a thorough, conscientious engineering analysis of the system in accordance with ADEC and MOA DSD Guidelines & Regulations. The reported results described the performance of the system under the conditions encountered at the time of the test and separation distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the local soils condition, groundwater levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of the system. Satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. GEG, LTD. can therefore not provide any warranty or future estimate of how long the system will continue to meet the operational requirements of the ADEC or MOA DSD. The content of this report is for the sole benefit of the owner listed above. Any reliance upon or use of this report by any other person or party is not authorized, nor will it confer any legal right whatsoever. 5. DSD SIGNATURE _1Z Approved for __q__ bedrooms. Disapproved. Conditional approval for bedrooms, with the following Attachments: COSA Checklist Septic System Advisory Well Flow Advisory v 337-6179 Date Io 2 Arsenic Advisory Maintenance Agreements Supplemental Engineer's Report Nitrate Advisory - Other J4 � sy:4?d. — (Rev. iiN5� ON-SITE WATER AND WASTEWATER PROGRAM Original Certificate Date: q—/ 6 \ Municipality of Anchorage Development Services Department Building Safety Division On -Site Water & Wastewater Program 4700 Elmore Road P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description: MCMAHON S/D; BLOCK 1, LOT 5 Parcel ID: 017-041-46 A. WELL DATA *ASSUMED BASED UPON SURROUNDING WELL LOGS. SEE ATTACHED. Well type PRIVATE If A, B, or C provide PWSID# N/A Well Log (Y/N) YES Date completed 2/1976 Sanitary seal (YIN)Y-- Wires properly protected (YIN) YES Total depth 98 ft. Cased to *40+ ft. FROM WELL LOG Date of test 2/1976 Static water level 64 ft. Well production 10 g.p.m. hirITAIIIIII9A:i 1AIa4=1V*Yq�� Casing height (above ground) 12+ in. AT INSPECTION 7/8/2011 70 ft. 4.71+ g.p.m. Coliforma ,� colonies/100 ml. Nitrate0 9 1ymg./L. Collected by: GEG, Ltd. Arsenic: N v ug./L. Date of sample: 4a-11A a`1 A ::k - B. SEPTIC/HOLDING TANK DATA Tank Type/Material SEPTIC/STEEL Date installed 9/1975 Tank size 1250 gal. Number of Compartments E Cleanouts (Y/N) YES Foundation cleanout (Y/N) YES Depression over tank (Y/N) NO High water alarm (Y/N) N/A Date of pumping 7/1/2011 Pumper ANCHORAGE CESSPOOL PUMPING C. ABSORPTION FIELD DATA *BELOW EXISTING GRADE Date installed 9/1975 Soil rating (g.p.cldft2o /bdr 1 EO System type TRENCH Length 33 ft. Width 4 ft. Gravel below pipe 8 ft. Total depth *12.6 ft. Eff. absorption area 528 ft2 Monitoring tube **YES Depression over field NO Date of adequacy test 7/8/2011 Results (Pass/Fail) PASS For 4 bedrooms Fluid depth in absorption field before test 64 in. Water added *800gal. New depth 64.5 in. Elapsed Time: = min. Final fluid depth 64.5 in. Absorption rate >= 600+ g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) NONE KNOWN If yes, give date **6" SUMP. ***LAST 720 GALLONS OF WATER CAUSED NO RISE IN LIQUID LEVEL. D. LIFT STATION Date installed Size in gallons Manhole/Access (Y/N "Pump on" level at in. "Pump off' level High -water level Cycles tested Meets alarm & circuit requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot 100'+ Absorption field on lot 100'+ Public sewer main Sewer /septic service line 25'+ Animal containment areas 50'+ On adjacent lots 100'+ On adjacent lots 100'+ Public sewer manhole/cleanout N/A Holding tank Manure/animal excrete storage areas 100'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Absorption field *UNKNOWN Water main N/A Water service line 10'+ Surface water 100'+ Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ Building foundation 10'+ Water main N/A Water service line 10'+ Surface water 100'+ Driveway, parking/vehicle storage 10'+ Curtain drain NONE KNOWN Wells on adjacent lots 100'+ F. COMMENTS *DISTANCE FROM SEPTIC TANK CLEANOUT TO TRENCH CLEANOUT = 10.75'. EXACT SUBSURFACE DISTANCE UNKNOWN. G. ENGINEER'S CERTIFICATION i certify that t 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 Printed Name JEFFREY A. GARNESS Date L11 Z COSA Fee $ qq() Waiver Fee $_ Date of Payment q L I 1 h — Date of Payment Receipt Number n5a?5(y Receipt Number (Rev. 11105) HOFFMI41V EH ST 147 SEPTIC s es (3) e F.R tee•• DoT g tee., . ai d 4 O /o o � EXIST/NG 1 sjRUCTURE � N 52e _OECltS- GREEJ- HousE e WELL 0 8' SHED !2' , -- —�---14750"— WE S% Lot -5 , Block- / -McMahon Subdivision Anchorage Recording District, Alaska LOT SURVEY CERTIFICATION I hereby certify that Ihave surveyed the property shown and descrtbed hereon, and that the improvements situoted thereon are within the prop. erty lion and do not overlap or encroach on adjacent property and that no improvements on od)aoent property overlap or encroach on the pramins In question and that there are no roadways, utility lines, or other visible eanments on sold property except as Indicated hereon. 4/' "SHED C5 LOT CQ' UTIL. ESMT• Easements of record other than than shown on the plat of record are not shown hereon units, otherwise noted. - LEGEND 0 Brass or Aluminum capped monument O Iron pipe and/or rebar recovered. ❑ 2 x 2 hub E& tack recovered 4j 5/8a x 30" rebor set this survey --( Fence Line (Approx. Location) OF Ak! 1 • .......,...�............ m R. L. Button ' o d JT'• L 119 :•J"�j 1.RaFES510N AL �' �� a 40 Date Prepared by: R. L. BUTTON Scale !! � RR Registered Lond Surveyor / © Ov Oz_ l (907)279-6200 519 W. Eighth Ave. Anchorage Alosko 9950/ I Ret 2835 1 F. B. No. 11.052 1 Propel'tyof: - C/ KQl^-f(f I SGS Ret# 1120978001 ClientName Gamess Engineering Group, Ltd Project Name/# McMahon BI L5 Client Sample ID McMahon BI L5 Matrix Drinking Water Sample Remarks: Printed Date/Time 04/10/2012 8:57 Collected Date/Time 03/29/2012 15:06 Received Date/Time 03/29/2012 15:30 Technical Director Stephen C. Ede Parameter Results LOQ Units Method ConuumerlD Allowable Limits Prep Analysis Date Date Init Metals by ICP/MS Arsenic ND 5.00 ug/L EP200.8 C (<t0) 03/30/12 04/02/12 ACF Waters Department Total Nitrate/Nitrite-N 0.924 0.100 mg/L SM21 4500NO3-F B (<10) 04/05/12 LCE Microbiology Laboratory E. Coli Negative I IOOmL SM21 9223B A 03/29/12 DLC Total Coliform Negative I 100mL SM21 9223B A 03/29/t2 DLC Page 2 of 4 AAROW PUMP & WELL SERVICE, LLC P.O. Box 110496 Anchorage, AK 99511 Office: (907) 346-9355 • Fax (907) 333-8976 Eagle River: (907) 622-9335 QUANTITY DESCRIPTION -- PRICE A4'` LABOR HOURS RATE AMOUNT TOTAL MATERIAL TOTAL LABOR DATE LABOR PAY THIS AMOUNT ThankYou SIGNATURE (I Hereby Acknowledge the Satisfactory Completion of the Above Described Work and agree that if above work is not paid for in 90 days I agree to ai:ee. Pump & Well Service, L.L.C. the right to remove unpaid for equipment and charge for labor already performed & labor to remove unpaid for equip - TERMS: ACCOUNTS PAYABLE AT 10TH OF MONTH FOLLOWING PURCHASE. SERVICE CHARGE AT RATE OF 1.5% PER MONTH WILL BE CHARGED ON OVERDUE ACCOUNTS. CUSTOMER JOB SITE - 7F r INVOICEDATE WELICEPTH SWL CHLORINATED PUMP DEPTH SALESPERSGf+ ham. Jr: QUANTITY DESCRIPTION -- PRICE A4'` LABOR HOURS RATE AMOUNT TOTAL MATERIAL TOTAL LABOR DATE LABOR PAY THIS AMOUNT ThankYou SIGNATURE (I Hereby Acknowledge the Satisfactory Completion of the Above Described Work and agree that if above work is not paid for in 90 days I agree to ai:ee. Pump & Well Service, L.L.C. the right to remove unpaid for equipment and charge for labor already performed & labor to remove unpaid for equip - TERMS: ACCOUNTS PAYABLE AT 10TH OF MONTH FOLLOWING PURCHASE. SERVICE CHARGE AT RATE OF 1.5% PER MONTH WILL BE CHARGED ON OVERDUE ACCOUNTS.