Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
HERITAGE HEIGHTS LT 5
Heritage Heights Lot 5 #015-361-21 Municipality of Anchorage ; ' '`'•. (- Development Services Department Yy' �\ Building Safety Division On-Sde Water and Wastewater Program, 4700 Elmore Road P.O. Box 196650 Anchorage, AK 99507 Page ( of t� www.d.anchorage.ak us (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number. 15W ORO%V4 PID Number. O - GI - "'"• Wastewater System: ❑ New eflupgrade A T o a ABSORPTION FIELD Priaw Faneer a eeboarm O} • 3S0 - 2 a••P Trentlt 0 $iulbr inrtth 0 Bee O Mautl D Deur LEGAL DESCRIPTION 4.o c,twfl Taao� o. Ft. eba La saieeam 0�mrW qea• DeM b ppe Doean tmn♦w Ct aepa.Diu G I P.TA Ft. � ea�n�pipe O.7" Ft TeerWvp Rerpe SK!"i" F. uaaee e•oar mprir V•e• Gx Length /.�l 5.0 Ft. We ❑ New r jra Gre.a wan S rAnoer a M+e. t Qsiatw, Dsteeen Mu• 0 1 Ft. A FI Tp eDFap• aN 42S Fr Pp Ma SCLt.4o +''uG GteeeeraYdi (Fnwh, A, 1 , :ersO b �! FL quer L W 'C) stag Wow L•.ti �fLA �.FL vtarMr ate w.t w 'bTN CON577LK-TToN A YwID t .�u ....t. c.w TANK IrPM Ft. SEPARATION DISTANCES ❑ Septic ❑ Holding [IS.T.E.P. Ate^-rr,-t( E3JOther: To Septic Absorption Lit Holding uxiUPmete M. .cwa ty From Tank Field Station Tank SeweriteL -�pr,�� lA)- r� ,Ct 0 Da Witt! Nle Nla Nla NIA 014 Maaw SrLcL eA.rioa a Carpa•eane srerw wew >tam '7Ico >toal f4 JA LIFT STATION La L. 11.11 I�•Sr 14•SI N(a �St Da p¢�aF.d A..o rAaL- Fa.".e°^ r ' 'P�Mrp Cn' level t 'Pure a1r bM a Hipn «la clam a ' 6 •i 41 -,T' N (A ?,r,2 b b S6 „ cunan 01- N (A, N (a N l 4 IJ (a V �.i"Ns� - Eiernpa insP•urmF DmameU tK MoA - A oa _ Ar hf-to Renis i BENCH MARK Lorauat.a psrpDun P 1W „I 03 or:- FL •SC►LAQ46 a 02c..aCto moi-- 2aOS-1 I/3 4P T Inspections performed by:L.AtZS $PocW-L-A�-0,7.c Dates: 1' 10-14-041 ��� OF1110 44 s i3zwl float �.e. 2' to - Ls - opt �,tP,•• •.s Development Services Department Approval 4918 Conditional Approval Date: •••• ----------- e...e-----s': tintaR1AN T. tiARTHI °r •• I+"�t• CE -10068 i Q-! Reviewedeveewed and approved by: a Date: /�/oa pAOIESSIO����o �w dao>.a��� SCALE: 1' - 20' PERMIT NUMBER: SWO90189 YUKON ROAD 20' SLOPE ESMT — — — — — — — — — — — — — — — — — — — — O 3 FENCE, TYP. 15' ?S• 0 h �£XISTING / OQUSE A \ \ /SHED 4` \ f ST 1 I HOOF R.0• I -� NEVI' DRAINFIELD I 25 LF, 1-1/4' PVC I 3/16r HOLES AT'30-INCHES TH MT LSHEI'L4-- �� -------�--- MONITORING TUBES 10'.UTI[. ESMT GREEN HOUSE SWING TIE CHART BTH CONSTRUCT/ON, 1-1-C P.O. BOX 110358 ANCHORAGE. ALASKA 99511 PHONE: 336-3447 PARCEL ID NO. 015-361-21 PAGE 2 OF 4 2000 GAL ADVANTEX TANK W/ AX -20 POD r -UFT STATION `1-1/4' HDPE PRESSURE SEWER EFFLUENT LINE E. OF Al •sem 11 ol C__) 49TH'. y* �.�••.BRIAN T.HARTEN ••.. �I 9f '•, NO. 10068 -CE �Q PROFESS1W '\ AS -BUILT LOT 5 HERITAGE HEIGHTS SUBDIVISION AS -BUILT SITE PLAN HOR. 1•.20' DATE: 11/17/09 GRIDS: 24382 SCALE: VIER.OWNER: DORAN VAUGHAN NTS SHEET f 4 A B C FND CO 2.7 39.4 TANK CO 12.9 40.5 VENT 13.2 39.1 MANWAY 24.5 37.1 L/S 27.4 36.8 MT1 31.1 33.3 MT2 38.0 54.7 BTH CONSTRUCT/ON, 1-1-C P.O. BOX 110358 ANCHORAGE. ALASKA 99511 PHONE: 336-3447 PARCEL ID NO. 015-361-21 PAGE 2 OF 4 2000 GAL ADVANTEX TANK W/ AX -20 POD r -UFT STATION `1-1/4' HDPE PRESSURE SEWER EFFLUENT LINE E. OF Al •sem 11 ol C__) 49TH'. y* �.�••.BRIAN T.HARTEN ••.. �I 9f '•, NO. 10068 -CE �Q PROFESS1W '\ AS -BUILT LOT 5 HERITAGE HEIGHTS SUBDIVISION AS -BUILT SITE PLAN HOR. 1•.20' DATE: 11/17/09 GRIDS: 24382 SCALE: VIER.OWNER: DORAN VAUGHAN NTS SHEET f 4 4" MONITORING TUBE (TYPICAL) PERMIT NUMBER: SW090189 PARCEL ID NO. 015-361-21 PAGE 3 OF 4 DISTRIBUTION PIPING TO BE 1.25 INCH SCHEDULE 40 PVC WITH 3/16" HOLES SPACED 30 INCHES ON CENTER T------------------------------- ----------------------- 1 O 3.5' WIDE - 1 -- e" e" e e e- e- e e" e e" v e 1 Ft I IL --------------------------------------------------------1 25 FEET LONG - ELEVATION 100.28r 96.36 87.86 MT 0 11 puffin PLAN VIEW NATIVE BACKFILL FINAL GRADE. MOUND —TO PREVENT PONDING AFTER SETTLEMENT �2" DIRECT BURY BOARD FOAM SILT BARRIER, AMOCO 2002 OR EQUAL. ORGANICS 6" OF SEWER ROCK 8.5' OF SEWER ROCK 3.5 FEET WIDE r— TEMPORARY BENCH MARK (Tem) BOTTOM OF SIDING AT SE CORNER OF HOUSE. ASSUMED ELEVATION a 100.00 BTH CONSTRUCT/ON, LLC P.O. BOX 110358 ANCHORAGE, ALASKA 99511 PHONE: 336-3447 fH LOG A \1 ��P�� OF C9��-9��1 *, 49- / BRIAN T. HARTEN �� •, N0. 10068 -CE Z �e �t1�f9fO PROFESSIOII` -Z' IRANSLATED ELEVATIONS 98.62 (FIELD SHOT) 98.12 TEST HOLE STILL DRY AT TIME OF CONSTRUCTION 86.62 81.12 AS -BUILT LOT 5 HERITAGE HEIGHTS SUBDIVISION SEPTIC SYSTEM DESIGN CALCULATIONS AND DETAILS HOR. NTS DATE: 11/17/09 GRIDS: 2438 3 SCALE: VER Nn SHEET OWNER: DORAN VAUGNAN TIC I Y PERMIT NUMBER: AdvanTex Treatment System PARCEL ID NO. SWO90189 ADVANTEX AX20 FILTER POD AX 20 Series - Mode la 015-361-21 6" SCH40 PVC TOP OF RSV PAGE 4 OF 4 CLEANOUT = 95.62 NOTE: SEE SITE PLAN FOR 30 -INCH INSULATED RISER ACTUAL COMPONENT CONFIGURATION ELECTRICAL CONNECTIONS 2" VENT PERFORMED BY RISING SON a a ELECTRIC. fl 4QE�QQEtti Qi�C� FU Q{+4Q-CF CFQLrCtC+Ca04t�« =CttrCtQflf3trtt�Ctt34tf� I QgLSsS+S�9 +� s w V - DISCHARGE I FILTRATE FIL RATE RETURN LINE + 11 ORENCO LIFT STATION T.O.P. EL. = 95.28 PACKAGE AS SUPPLIED BTM. OF STATION EL=92.15 BY ANCHORAGE TANK. TOP OF LID EL=100.06 T.O.P EL. = 95.30 6" SCH40 PVC TO DRAINFIELD CLEANOUT W/_\ 2" VENT MANWAY LID EL=100.06 6" JIM CAP FINAL GRADE. PROVIDE ADVANTEX AX20 POSITIVE GRADE AWAY FROM FILTER POD SEL=100.06 ADVANTEX INSTALLATION. INV.=96.0 INLET 4" 40 PSI DIRECT _ BURY BOARD FOAM TO BE INSTALLED ABOVE _ _ _ SEPTIC TANK AND TO ANNULAR SPACE EXTEND 4 FEET BEYOND BETWEEN EXCAVATION THE EDGE OF TANK IN ALL AND TANK BACKi,ILLLU DIRECTIONS EXCEPT DIRECTLY W/ WASHED ROCK TO 5 BEDROOM UNDER THE ADVANTEX MINIMIZE SETTLEMENT. STEEL TANK FILTER POD. THIS WILL ALLOW HEAT LOSS FROM TANK TO REACH THE FILTER POD. �E.OF BOTTOM OF TANK ELEV. = 91.25 *:'49TH '•9* ff..... % / 01 BRIAN T. HARTEN / �' of '•, N0. 10068 -CE X 4-19 ' • • ..... • �e�`� 1�` BTH CCNSTRUMCN, LLC P.O. BOX 110358 ANCHORAGE. ALASKA 99511 PHONE: 336-3447 AS—BUILT LOT 5 HERITAGE HEIGHTS SUBDIVISION ADVANTEX UNIT DETAILS NOR. NTS DATE: 11/17/09 GRIDS: 2438 SCALE: VER. NTs OWNER: DORAN VAUCNAN SHEET 0 Inspection Report Municipality of Anchorage, Building Safety Division 4700 Elmore Road INFO & HELP(907)343.8211 INSPECTION: VOICE (907) 343-8300 • FAX (907)249.7777 • www.muni.org Name Dave Fish Company Address 5980 YUKON RD Grid SW2438 Subdivision HERITAGE HEIGHTS Work Description install wire lift station Insp. performed/prepaid 2/1 Permit Technician MORISA, MARIAMENE G. Comments or Directions Lift station re -inspection Inspection Type Electrical:Retro Electrical Comments (for inspector use only) b�'f'12Uv �D Permit # 09-2059 Inspection Date 23 -Oct -2009 AM Phone 250-7942 LOT 5 BKn/a TR n/a E t`I_c.TtZ-I GdL_ F 1 N1j L Inspector ie ifArt,�W--C 1J Date /O -,23 - OLT MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water& Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade Date Issued: Sep 29, 2009 Expiration Date: Sep 29, 2010 Permit Number: SW090189 Parcel ID: 015-361-21 Legal Description: HERITAGE HEIGHTS LT 5 Design Engineer: 0007 SPURKLAND ENGINEERING Site Address: 005980 YUKON RD Owner Name: STEVEN JAOUIER & DORAN VAUGHAt Lot Size: 18906 SO. FT. Owner Address: PO BOX 230007104794 Total Bedrooms: 5 Permit Bedrooms: 5 ANCHORAGE. AK 99523-0000 This permit is for the construction of: Q Disposal Field [?] Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage All construction must be in accordance with: 1. The attached approved design. 2. All requirements specked in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72 ) and Drinking Water Regulations ( 18AAC80 ). 3. The engineer must notify DSD at least 2 hours prior to each Inspection. Provide notification by calling (907) 343-7904 ( 24 hours). ( Not required for a Water Supply Permit only). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. Received By: Issued WE Date: i Z y D Date: off` 4 Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 Elmore Road P.O. Box 196650 Anchorage, Alaska 99507 www.muni.org/onsite (907)343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. 015 - 36(- 2( Property owner(s) S�ev_e.. �a� ��� Joaon Vo -9" Day phone 3Y6- 3833 Mailingaddress PO &A 236001,AVIC104%3e. ,/ K Zip Code 99523 Site address 5190 Yuhov� Izoi d , AmL onge AY Zip Code Legal description (Sub'd., Block & Lot) Legal description (Township, Range & Section) Lot Size 12;,17106 Sq. Ft. Number of Bedrooms S 5 THIS APPLICATION IS FOR (® all that apply): THIS APPLICATION IS AN: Absorption Field Initial ❑ Septic Tank ® Upgrade Holding Tank ❑ Renewal ❑ Privy ❑ Private Well ❑ Water Storage ❑ I certify that the above information is correct. I further certify that this application is being made for a Single Family Dwelling and is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) PermittRush Fees: 5no 30 Waiver Fees: Date of Payment: 1 O Date of Payment: Receipt Number: 07 13 1 b0 0 Receipt Number. (Rev. 11/05) - gparrH and Engonewong NEW Environmental Consulting and Design SEPTIC SYSTEM DESIGN HERITAGE HEIGHTS LOT 5 Municipality of Anchorage September 17, 2009 Development Services Department On Site Water and Wastewater Program 4700 South Bragaw Street Anchorage, Alaska 99519 Subject: Septic System Installation Permit 5980 Yukon road Ladies and Gentlemen: 1 am writing to request a permit to upgrade the septic system for the above referenced property. The proposed system will serve a 5 -bedroom single-family residence. The existing system was installed in 1973, with an upgrade in 1987 and did not meet COSA operation requirements. The existing tank will be abandon per MOA code requirements, the crib and trench will be left in place and connected to the Advantex unit via a valve for possible use in the future. Soil logs, design calculations, a site plan, design drawings and construction specifications are enclosed for your review. Design Calcs: No Groundwater observed to a depth of 17.5 feet below ground surface Soil Rating. From Test hole (9-3-2009) 28.2min/in = 4.0 gal per sq.ft./day No. of Bedrooms 5 Required Area per Bedroom: 15014 =37.5 sq.ft. Total area required: 37.5 x 5 = 187.5 sq.ft. System: We are proposing an Advantex Advanced Treatment System, and a deep trench absorption field. The absorption field will be 25 feet long, 2 feet wide and contain 8.5 feet (425 sq.ft. effective) of sewer rock. Soils: A test hole was excavated on September 3, 2009. See the attached soil logs. Ground water was monitored for through September I U", 2009. Ground water was not observed. Surface Water: No surface waters were observed within several hundred feet of the proposed 203 West 151h Avenue Suite 203, Anchorage, AK 99501, Phone: (907) 279-3916 Fax: (866) 354-1597, LspurklandCagci.net 3t ,. SPUMarmd Efig,01mae au _ Environmental Consulting and Design septic system upgrade. Topography: The ground surface is generally level in the area of the proposed septic system upgrade. Waivers: None required The installation of this septic system will not prevent wells and septic systems from being installed on the adjacent lots. The proposed septic system will not change the general slope of the area. Ponding and/or concentration of surface runoff will not result from this installation. If you have any questions or concerns, please contact me at 279-3916. Sincerely, LCV.5 s J Lars Spu land, P.E. Civil Engineer 203 Nest 15ih Avenue Suite 203, Anchorage, Ali 99501, Phone: (907) 279-3916 Fax: (866) 354-1597, Lspurkland@gci.net NIRAAa NEWIS SID ON PUBLIC WAIER nl' I cAm II LOT 22 i� IIS L LOT 21==__ YUKON ROAD V J LOTT 5 I LOT 4 1 r i I I LOT 4 I I I LOT III S 1 1 I III N I GR v I I I I I fie} I W 11 NOTE: THIS IS NOT A SURVEYED PUT. WELL t SEPTIC LOCATIONS TAKEN TROM ON-SITE WATER AND WA s)E WATER DEPARTMENT DOCUI MAMM, ALL LOCATIONS SHOWN ARE APPROXIMITG i LOT 7 \ I I I � / I LOT II LOT 3 I I C�m 1 dell 50 0 50 100 -150 200 250 300 SCALE, 1' - 100 FT. SPURKLAND ENGINEERING HERITAGE HEIGHTS LOT 5 SEPTIC SYSTEM DESIGN 203 W 157H. AVENUE STEVEN JACOUIER DATE: SEPT. 16, 2009 ANnC� A Ko IR 99x501 5980 YUKON ROAD, ANCHORAGE, AK SHEET. 1/4 GRID: 2438 PERMIT #SV090XXX PID # XX -XXX -XX HER1TAGLHLIGHISLS1)1Xn I S II LOT 22 I I i LOT 21 I -- - - - - ------- -----/ - Q YUKON ROAD — INSTALL 5 -BEDROOM SEPTIC SYSTEM 1000 ADVAN7EX TANK W/ AX20 POD i J R LIFT STA770N L 7H 25frff LOTS . '•' I TOTAL DEPTH 77 FEET — I ROCK DEPTH 8.5 FEET INSULATION 2 INCHES I COVER 2+ FEET 5-8EDROOM BANDON EXJ T HOUSE AMY are j,° LOT 6 LOT4 ...p.. _.. _. _ ..---...------ NOTE: MONTHLY AVERA OW O �• r QCEEDS 500 GPD, AN ADOmO •° I I°r� AX -70 UN? MUST BE INSTALLED. -r ----- L - - — — — — — — — —Li: .7- — — — — — — — --- — — — — — — — - - — INSTALL DJVCRTER VALVE TO — — — — _ ❑ mNc-------- --- �1 i l i SI 1 Y I I I LOT 4 O I I I Q LOT 5 I S I I I L NOTE• THIS JS NOT A SURVEYED PLAT. WELL 3 SEP7IC LOCATIONS TAKEN £ROM ON-SITE WA71R AND WASTE WATER DEPARTMENT DOCUMENTATION. ALL LOCATM SHOWN ARE APPROXIMATE. 25 0 25 50 75 100 25 750 SCALE+ 1' = 50 FT. LOT 3 SPURKLAND ENGINEERING I I HERITAGE HEIGHTS LOT 5 I I SEPTIC SYSTEM DESIGN 203 W 15TH. AVENUE STEVEN JACOU/ER DATE: SEPT. 16, 2009 (NCH. AK. 99501 5980 YUKON ROAD, SHEET 213 GRID 2438 (907) T79-3916 ANCHORAGE, AK � PERMIT k PID # HERIT46EHEIGHTSL5DLD VG 6• CAp ADVANTEX TO NEW INSULATED E AX20 POO DRAIN FIELD Po 6• PUMP -OUT OPTIONAL SLIDE SECTION OF 6' PIPE OVER THIS CONNECTION TO PROVIDE SHEER PROTECTION - EXTEND TO BRIDGE EXCAVATION J L 0 EXISTING TRAIN FIELD SPURKLAND ENGINEERING I I HERITAGE HEIGHTS LOT 5 SEPTIC SYSTEM DESIGN 203 W15th Ave DATE -1 SEPT. 17, 2009 Anchorage Ak 99501 STEVEN JACOU/ER WMG VAUGNAN „ 3980 YUKON AD40, AACIIORAGC, AK SHEETS 3/4 GRIDS 2438 I PERMIT f SWO90OXX PARCEL ID / HER/TAGEH/LLSLSD3 M 2-V1de Trench, 2' Vide 25' Long 11' Beep 8.5' Sewer rock 2' Insulation 2' Cover NO SCALE 2' Insula Sit t Ba r To Advantex Unit Monitor 1 1/4' Schedule 40 PVC 3/16' Holes at 30 Inches 8.5 ft of Septic Rock NO SCALE To Advantex Unit SPURKLAND ENGINEERING HERITAGE HEIGHTS LOT 5 SEPTIC SYSTEM DESIGN 203 W15th Ave STEVEN JACOVIER & DORAN VAUGHAN 11 DATE, SEPT. 17, 2009 Anchorage Ak 99501 5980 YUKON RaW. ANCHORAC£, AK SHEETi 4/4 GRID, 2438 PERMIT I SW090XXX PARCEL ID j XX -XXX -XX HERITAGEHILLSLSD4.DWG Municipality of Anchorage Development Services Department Building Safety Division y� On -Site Water and Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.orglonsite (907) 943.7904 Soils Log - Percolation Test Performed For: ittan Legal Description: IIce,Eee -"-_�"—� Depth ENCOUNTERED? /% (Feet) N MA Nit. 1- e IF YES. AT WHAT DEPTH? 2- L 0P Depth to Water After 3- P Monlloring? 4- 5- E ` JpAJ 0 IZ :2fo 60 n;n 6- 1 1 (o •t Silt $_ I2. 5(. I SNA, 1,- 12- 13- r \\ 14-, . Sant CsP) 16- 17-1 6-17- ' r 18- 19 - COMMENTS i:im Date Perk Township. Range, Section: WAS GROUNDWATER A /O Gross Time ENCOUNTERED? /% Net Drop 4 21 0 e IF YES. AT WHAT DEPTH? _ L 0P Depth to Water After tt P Monlloring? 12 VII, E Date: 0 IZ :2fo ...49TH* rig a-6 �fJ 9n•, LARS E.:PUR,. LA, '.`: C" Reading Date Gross Time Net Time Depth to Water Net Drop 4 21 0 II .Z(, O ";' I Z S 1t 0-1 R tt ll :5(0 30 oi'.^ 12 VII, I tort it '/q IZ :2fo 60 n;n 12 3�9 1 1 (o •t 115/1Lit I2. 5(. q0 In', PERCOLATION RATE _J 1 y;(--✓ ) PERC HOLE DIAMETER �( TEST RUN BETWEEN I FT AND _FT PERFORMED BY: L APC )OU(II&VA I py U CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITIA ALLSTATE AND MUNICIPAL GUIDENES IN EFFECT ON THIS DATE. DATE: 4 1 13 1 Icy? l� spum almd EIMU001mewormg Environmental Consulting and Design Single Family On-site Wastewater Disposal System Construction and Material Specifications Subject Property: HERITAGE HEIGHTS LOT 5 Date: September 17, 2009 General: 1. The owner shall contract with a contractor to perform the work outlined in these specifications and plans in accordance with the attached MOA permit. There Is not contractual arrangement between the contractor and the Engineer. The Engineer shall be the owner's representative and will Inspect the work to document the contractors activities. Final acceptance of the contractors work rests with the owner and the MOA. 2. The scope of the project Includes the procurement and installation of a 5 -bedroom onsite wastewater disposal system at the location depicted on the attached site plan drawings. The scope of the work also Includes the Installation of a Advantex 2000 gallon tank, an AX -20 treatment pod, a lift station, and a drain field comprised of 1 trench, 2 -feet wide x 25 -feet long, 11 feet deep, with 8.5 feet of septic rock below the distribution piping. The location of the drainfield is shown on the attached site plan drawings. The total depth of the field will be 11 feet below the existing ground surface. All components of the proposed septic system must be constructed a minimum of 100 feet from any surface water or water wells in the area. A minimum of 4 feet of earthen cover is required over the septic tank and a minimum of two feet of cover is required over the drain field. In addition to the required earthen cover, 2 -inch thick, 40 psi, direct bury board foam shall be installed directly over all installed piping. 3. Construction shall be In accordance with the approved site plan and design drawings and any special provisions noted on the Municipal well and/or septic permit. All materials, components, workmanship and construction practices shall comply with the Municipality of Anchorage's latest ordinances regarding wells and septic systems, as well as MOA, Development Services Department, Onsite Water and Wastewater Program (DSD) policies. 4. The contractor is responsible for obtaining all underground utility locates, layout of the proposed system, and verifying and maintaining all required separation distances to lot lines, surface water, wells, steep slopes, etc. S. The property owner shall be responsible for final grading any depressions formed from settlement of backfill material. The property owner Is also responsible for vegetation of all areas disturbed by septic system installation activities. 6. Contractors installing wastewater disposal systems must be certified to do so by the MOA DSD, Onsite Water Wastewater Program. Property owners installing their own systems must receive advanced approval from MOA DSD prior to system installation activities. 7. The contractor shall ensure that ALL materials being used are in compliance with the most current guidelines established by the Municipality of Anchorage. Refer to "Standards and Specifications for Component Parts and Materials Used In the Construction of Onsite 203 Nest 151h Avenue Suite 203, Anchorage, AK 99501, Phone: (907) 279-3916 Fax: (866) 354-1597, Lspurkland Cagci.net Spa kkmd Engonewolmg Environmental Consulting and Design Wastewater Disposal Systems", Dated December 2000, as provided by MOA DSD, On-site Water and Wastewater Program. Septic Tank Installation: 1. A new septic tank, of the size specked in the design drawings, shall be procured from a qualified manufacture/supplier if the existing septic tank Is found to be defective. . 2. The burial rating of the tank shall be adequate for the actual burial depth encountered. 3. The tank shall be level and sufficiently bedded to prevent settling of shifting of the tank. 4. All standpipes on the tank shall extend a minimum of 12inches above the final grade. S. Tanks Installed with less than 4 feet of cover shall be Insulated. 6. The sewer service line from the house to the tank shall have a minimum slope of 2% unless prior approval is obtained from the engineer. 7. The Inlet and outlet lines from the tank shall be bedded in drain rock or the soil shall be sufficiently compacted to prevent future settlement of the soil. B. Septic tank Inlets, outlets and cleanouts shall be fitted with water tight couplings. 9. A cleanout shall be installed 1 to 4 feet from the foundation. 10. Post tank cleanouts shall be installed per MOA requirements. Does not appy to pressurized lines. 11. In areas with high ground water, the septic tank shall be sufficiently anchored to resist buoyancy forces when there is not adequate soil cover to resist uplift force. The contractor shall refer to the engineer for direction regarding this matter. 12. The tank backfill shall be graded sufficiently to ensure positive drainage away from the tank. 13. All holding tank and lift stations shall have an audible and visible alarm Inside the residence being served. 14. All lift stations shall be wired in compliance with all MOA guidelines and the Uniform Electrical Code. A municipal electrical permit and inspections must be obtained where required by the MOA. 15. The contractor shall verify that the septictank/lift station Is a minimum of 100 feet from any residential water well, 150' from any class'C' well and 200 feet from any community water wells. Additional separation distances must also be maintained. 16. The contractor shall remove or abandon the existing tank in compliance with the Unform Plumbing Code. Drain field Construction: 1. The drain field shall be excavated to the dimensions outlined in the design drawings. If any discrepancies are noted, contact the engineer Immediately for clarification. 2. The drain field shall be Installed parallel to slope contours. 3. The bottom of the drain field shall be within 2" of level. If the sidewalls or bottom of the excavation become smeared, they must be raked or scared prior to the placement of fitter sand or drain rock. 4. The drain field must be a minimum of 5 feet from the test hole excavation. 203 %Vcst 15'" Avenue Suite 203, Anchorage, AK 99501, Phone: (907) 279-3916 Fax: (866) 354-1597, Lspurkland@gci.nct Environmental Consulting and Design S. Distribution pipe is to be installed level with perforations facing downward, atop a level bed of drain field rock. Septic rock shall then be placed atop the distribution piping to provide a minimum of 2" of cover, level across the entire width and length of the trench, above the piping. 6. A sift barrier must be installed at between the final drain rock and the native soil backfill. The silt barrier shall cover the entire drain rock surface. 7. Monitor tubes must be 4" in diameter, installed in the locations depicted on the design drawings, and extend a minimum of 12" above final grade. The portion of the monitoring tube below the septic rock must be perforated and the portion above the drain rock shall be solid. 8. Ball over the final gravel layer must not be less than 2 feet. Insulation must be Installed when the ball depth Is less that 3 feet. 9. Drain field back fill shall be mounded to prevent depressions from forming due to subsequent settlement of backfill material. 10. The contractor shall verify that the drain field is a minimum of 100 feet from any residential water well, 150' from any class V well and 200 feet from any community water wells. Additional separation distances must also be maintained. Inspections: 1. A minimum of two inspections are required by the Municipality of Anchorage. These inspections must be conducted under the supervision of a Professional Engineer licensed to practice in the State of Alaska. 2. The first inspection must be conducted after the excavation of the drain field and before the placement of any gravel. The septic tank may be set in place, but may not be balled. 3. The second inspection must be conduced after the placement of the silt barrier, gravel, distribution lines, stand pipes, cleanouts, and insulation, but before the placement of any backfill. 4. The contractor shall provide a legible copy of all field notes relating to system layout and construction to the engineer for the use in preparing the record drawings. 5. The contractor shall coordinate all inspections with the Engineer. A minimum of 24 hours notice Is required prior to the start of construction. If necessary, a preconstruction meeting will be held on-site. 203 West 15"' Avenue Suite 203, Anchorage, AK 99501, Phone: (907) 279-3916 Fax: (866) 354-1597, LspurklandCagci.net Municipality of Anchorage Page 1—of -a 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: 910 377 PID Number: O IXZtS1 2i Name: Voran Vau han Wastewater System: ❑ New A Upgrade Address: VABSORPTION P.O. Leo I ah' 7 9 y .4Arh 9195,10 FIELD EWsriN(~ Phone: 3y6-3&33 No. of Bedrooms: 1 Al 0 Deep Trench 0 Shallow Trench ❑ Bed ❑ Mound ❑ Other LEGAL DESCRIPTION Soil Rating: Total Depth from original grade: GPD/Sq. Ft. Lot: Block: Subdivision: Depth to pipe bottom from original grade: Gravel depth beneath pipe I� S N14. Neer G FlPr h/j Ft. Ft. Township: Range: Section: Fill added above original grade: Gravel length: I 2 N3 s/ 1 r Fl. .;Ft. WELL: Awwat❑ New ❑ Upgrade Gravel depth: Number of lines: Distance between lines: Ft. Fl. Classification (Private, A,B,C): Total Depth: Cased To: Total absorption area: Pipe material: Ft. Ft. SC. Ff. . Driller: Date Drilled: Static Water Level: Installer: Date installed: Fl. Yield: Pump Set at Casing Height Above Ground: 1! TAN I� GPM - Ft. Ft. SEPARATION DISTANCES M Septic ❑ Holding O S.T.E P. To Septic Ahsorplinn Lill Holding Puhlic/Pnvaln Maruilachnor.- Capacily in gnllnns: --- From Tank Field Station Tank Sewer Lines An elior4Te Twn k I -e 5-0 Well ._ '- — — -� Material: Number of Compartments: i Surfac Water > too >coo' - - - LIFT STATION Lot Size in gallons: Manufacturer: Line 174 ^ (O' - - - Foundation � too 2N' - _ Q "Pump on" level at: "Pump off' level at: High water alarm at: Curtain Pump Make & Model Electrical Inspections performed by: Drain Remarks: /�« nk rnsfQlleo� er BENCH MARK Location and Description: wiaC ermil OId -c4wHc 6�n h' SE end of-'ower wrocrocv s;11 an -1 cc lOun dan e� �v ecc.>trir_ remo v,.A /6v S w redo V S7 /lu w e _ 55 hrl h�c�c rlln in toc _ Assumed Elevation: i ICFO. 00 flattop Technical Service ENGINEER'S SEAL 1453U c o Streetgyp 0 ' +' !i o p' A u `� tl Iv V- Q � ✓peoecse �!-ya °lsve Inspections performed by: Fla"Off Tech S&'C__ f ` `� �2/t919/ n,>: s _Dates�lst �.*oo..."ea'a.a •esoo:roar 2n6— seaoveesvevaeR u"v ve. ea v.vf` ue i Department of Healt nd man Sir s'approval 4�� ,.. r a cc Reviewed and approved by: Date: / JZAf�4',n ���t.*Tca.'�};a`•"7�_� rv_niz r. tori �rnn oc ——____.W_._._.�_.__.,�...._�. r. Permit No. 2/0377 Page a of 2 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 Legal Description: L of S Her rfa a fifer hfS S /D PID No.: 0IS3 6l P -J tuo' T&I-1 H Cxt 5� 9S' TN✓ 90' Yu-KON Roll, NEw 1250 6'-,44 SEPTtC ?ANI: PR4 t- 1 I- r- &5.0 Ve8r. sc'41.o I" s 72-013 A (Rev. 9/91) MOA 25 ` 1 I �tJ I O I r QMA e sPITNEW12506744 SEP7rc Tqy� I p xrt rw A ac. Rre, cN PI -A N V f E W t= goo no 507; C.O. 16' #? X08 'a' '33' Flattop Tecliriical Service 14530 Ec'no Street 17,- hn-gr7o, Aigska 99:51 P ENGINE ;$EAL .5-,t N 'i ' ea9a ao ovoa a. '1 �sooa e -a - o dam`.^ � /�IY.•_.,:-.::. ��W�' PAGE 1 OF 1 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT PERMIT NUMBER:SW910377 DESIGN ENGINEER:FLATTOP TECHNICAL SERVICES OWNER NAME:THOMPSON FRANK M OWNER ADDRESS:P.O. BOX 104794 ANCHORAGE, ALASKA 99510 PARCEL ID:01536121 LEGAL DESCRIPTION: HERITAGE HEIGHTS LT 5 LOT SIZE: 18906 (SQ. FT.) NUMBER OF BEDROOMS: 4 THIS PERMIT: 4 THIS PERMIT IS FOR THE CONTRUCTION OF: SEPTIC TANK SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: DATE ISSUED:12/17/91 EXPIRATION DATE:12/17/92 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 FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: RECEIVED B ISSUED BY: DATE: 17-1 (* /9 DATE: 12 / 7- / Z • •may_ � � �r,,�� "� , ri u {1 �j ij, TJ •�l `'`•.• .«•°�°°' �°ter I I I � ! I 1 I 1 y � � � ° 1 I 1 I , I I 1 of �IN>ii x 1 r o K�oy I m �laz I In �I rn3z' I n O I o 1 1 ,; T�oO Baa rn fil zzl. Ym ° i i� ► � JJ 1 r In N � a n + M 1 hrn I \ r� R v)i w Z = o(D rn rna rn rc o I �nzr ! � rn k (D ham " m co 1 I _OCil y0 t02i 1 i 0 X SEPTIC ❑ HOLDING MUNICIPALITY OF ANCHORAGE `) PG 2 Ate DL iTMENT OF HEALTH AND HUMAN SER., ,ES Environmental Health Division aJ ! y' 825 "L" Street, Anchorage, Alaska 99502, Telephone 264-4720 ON—SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Name Capacity in gallons - a 5 u DISTANCES R/4 N-0 A LL Dig, Tp FROM SEPTIC TANK ABSORPTION FIELD WELL Address �-0 ` u (5 W WELL �t/j� �� No. of Compartments Phone(s) Permi�t]No. No. of Bedrooms I LOT LINE LEGAL DESCRIPTION Lot Block Subdivision e.l a` & l 1 1 1= 16, I F � � FOUNDATION 12 C� Range, Section > Township, _ ''11 1 p 1,L"> 1�:— AS -BUILT DIAGRAM (Show location of well, septic system, property lines, foundation, V I driveway, water bodies, etc.) _ TANKS Fill added above original grade ii FT Gravel depth beneath pipe FT,�� "�' Gravel length 3 Ci FT Gravel width i FT V • TF X SEPTIC ❑ HOLDING Manufacturer r S Capacity in gallons - a 5 u vt Material -'T f:__ L L.� No. of Compartments TYPE OF SYSTEM lx�TRENCH ❑ BED ❑ W. DRAIN ❑ OTHER 0 Depth to pipe bottom from original grade b,6 FT Total depth from original grade FT - •s v > 5� V I ` Fill added above original grade ii FT Gravel depth beneath pipe FT,�� "�' Gravel length 3 Ci FT Gravel width i FT V • Total absorption area 775 SQ FT Distance between lines-- FT C 1.1 LG" -� IL Number of lines Sod rating :T Pipe material _ %l % t� •, - Installer I/A 111 Date Instal ed - - - 87 WELLS ❑ PRIVATE ❑ OTHER (Identifv) Classi icauon (A,B. C) Total Depth FT Cased to FT Installer I Date Installed: REMARKS: X Sr�lt� �'�Ti "� " S� G t✓/ �� ar Scale: (�> > "�J t� r ENGINEER'S SEAL PAT 11.4 6 0 F 6 XLAVA'Tt~ 0 74t -7 C 11 Inspections Performed by: — tV '460 00 , �� I F% /—1/� i // �-. ii')` •� �� U 1 7 f=� Date. Abs. « a = 30o s .��. �, 4�s �/e 7 cenily [hat this inspection was performed according to all ` ". ; r q 7 X0/2225 E Municipal and Slate idelines in effect on [his dale: �- c i / �' / lUr t9 j, S I,. Health Department Approval: Date: 72-013 (3/85) '^-- ---- DEPARTMENT �� HEALTH AND ENVIRONMENTAL�OTECTIQN Ell L:: STRL.". ANCHORAGE� � 264�4720 PERMIT NO: 870032 UPGRADE DATE ISSUED: 03/11/87 / ��� �� APPLICANT: RANDALL MOSS I"- ADDRESS: 5980 YUKON ��+r �� ANCHORAGE, AK 99516 CONTACT PHONE: � LEGAL DESCRIP: SUBDIVISION: HERITAGE HEIGHTS LOT: 5 BLOCK: NA SECTION: 4 TOWNSHIP: 12N RANGE: 3W LOT .::I 19600 (SQ,FT. OR ACRES) I certify that: 1. I am yamiliIr. r with the requirements [or on-site sewers and wells as set (orth by the Municipality o� Anchorage (MOA) and the State o� Alaska" 2. I will install the system in accordance with all MOA codes and regulations� and in compliance with the design criteria o� this permit. 3. I will adhere to all MOA and State U Alaska requirements |br the set back distances [rom any existing well' wastewater disposaI system or public sewerage system on this or any adjacent or nearby lot. IF A LIFT STATION IS INSTALLED IN AN AREA COVERED BY MOA BUILDING CODES� THEN (1) AN EL I RMIT AND INSPECTION MUST BE OBTAINED; (2) AS~BUILTS WILL NOT BE AP ECTION REPORT; AND <3) THE ELEClRICAL WOR TRICIAN. S[8NED DATE: ~_ `�����_.�~�_~+-_~~��~�__'�~'�� �..... ~~�������_�~_ APPLICANT: RAN�ALL MOSS ISSUED Al., ..... -........ . .......... .....~.... .... .... ~..... ..... -~~~- ' -�� ' ���^�������w�� ��, ��^ .0 A/ ��,-- /"*_. ."--. ' , ---_. ^^«=, .' �� ,' ^'~^ � t ,-��� �� �� ��^� a��,^m���^.*�� r, ^ LEGAL: SPECIFICATIONS FOR ON-SITE SEPTIC SYSTEM Heritage Heights, Lot 5 A. GENERAL 1. The well and septic plan are for a single family residence only. 2. The drawing and or site plan shall be a part of this specification. 3. All materials and workmanship shall meet the Anchorage Department of Health and State Department Of Enviornmental Conservation requirements. 4. All soil tests are advisory to the design and are to be verified or modified in the field by the engineer. S. All excavations and depths are advisory and are to be verified or modified in the field by the contractor to meet Municipality of Anchorage, Department of Enviornmental Conservation requirements. 6. It is the responsibility of the owner to obtain all necessary permits or easements and to locate any adjacent multi -family wells. 7. The excavation is to be exactly in the area shown on the site plan, any deviation requires engineer approval. 8. It is always recommended that a surveyor locate the nearest lot line position and the location of any easements. B. DRAINFIELD 1. The drainfield is to follow the natural land contour to maintain uniform total depth of the bed bottom. 2. The bottom of the bed shall be level, plus or minus 1.5". 3. The total depth of the trench excavation is not to exceed 11.5' at any point. 4. The new sewer line is to be installed so that the overflow from the seepage pit is directed to the new leach trench. It is recommended that this be accomplished by teeing into the sewer line between the existing tank and pit. 5. The bed gravel is to be covered with typar fabric material. 6. Soil or combination of soil and extruded board insulation to a depth of 4' or equivalent is to be placed over the drainfield. 7. The area over the bed is to be finish graded to prevent ponding of surface water runoff. 8. The septic tank and leachfield must not be closer than 100' to any existing private well, 150' to any Class "C" well, or 200 feet to any community well. RECOMMENDED LEACHFIELD DIMENSIONS TOTAL DEPTH = 11.5' GRAVEL DEPTH = 5' BED LENGTH = +15' BED WIDTH = 30" Bedroom Capacity = 1 (Upgrade) Septic Tank Size = 1250 (Existing) MUNICIPALITY OF ANCHORAGE y� DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG — PERCOLATION TEST PERFORMED FOR: A�47✓c-4, // LEGAL DESCRIPTION: J— o f -=~ r/e - / /-G S 4. U, 2 0 0 3 D 'G 4- 5- 6- 7 56 ti4> ;o -G-'V 8 I „ � 9 10- 12- 13— t 01213t 14- 15— (G 4 15 /O PsdiG (G w), Rec(U(+s L, Grp✓e v Y4 L'e.� SGNcC (C-kl) ,SANOy G2AII&FL f'r SLOPE NONE MOEN NONE MEMO ■■ �N NEINE EEi�■ NONE NONE NE■N /Aj eWAS GROUND WATER O lG ENCOUNTERED? L ,— S;If IF YES, AT WHAT Iso DEPTH? 16 Date Gross Time Depth to Water Net Drop 3 - f- °e� 17 18— °<oe ceeggoe ca a¢aeo oo °o°<—o°<a eec oa 19 ' o Louis A. Putera 44, a _ C; 'r -6730 SOILS LOG ❑ PERCOLATION TEST DATE PERFORMED: SITE PLAN NaIE S L O P E Reading Date Gross Time Net Time Depth to Water Net Drop • ✓'` )ei P. 39 ,, aid' i ae "� 20 PERCOLATION RATE ��/��? (minutes/inch) TEST RUN BETWEEN FT AND FT COMMENTS c-- = Eagle River Engineering SelvicuS PERFORMED BY: P. 0. BOX 773294 CERTIFIED BY: �L'�' DATE: tagie liftf, AK 9951/ 694-5195 72-008 (6/79) N d N —165,00'—no contlic-Ging vieLts or seP-aLs SEPTIC SITE PLAN LOT 5, HERITAGE HEIGHTS SCALE: 1"=30' EAGLE RIVER ENGINEERING SERVICES PUB 773294 EAGLE RIVER, AK 99577 694-5195 pit de _ '-4 p "eo®F oA O s9�tl �j 0 4 497" ¢e P 10 e ®Dees®oe�w uaoeoeeeoeooeo ®,• �OUH�p eeoesa�aeoo�H�6ae ae 4 Louis A. Butera CE -6736 •° _ S �s a'RR0FESS10�P®®®® . ....... .......... . ... . ...... .. ...... if "A Al. rr� if If If J. 1`41i r ri I I IA T -,::"I N F-i MI cl GRE] r ER ANCHORAGE AREA BOROUGH ?3l M+b� ✓�� PERMIT NO. DEPARTMENT OF ENVIRONMENTAL QUALITY 3330 "C" STREET ANCHORAGE, ALASKA 99503 - E+hpq TELEPHONE 274-4561 \\\\�VOVIIhIIhv[o uwvlll"%/�/x lO' 6� j 449 f-+ SEWAGE DISPOSAL - ICATION AND PERMIT NAME OF APPLICANT 'y!(a'/_JL In 6SC MAILING PRDRESS 3,676 ae"k raimoONE 06o INSTALLATION LOCAT LEGAL DESCRIPTION INSTALLATION OF: SEPTIC TANK zsvos'h•'4"I ' SEEPAGE PIT /y,/,{� 1�, DRAIN FIELD , OTHER TYPE AND SIZE OF FACILITY TO BE SERVED i- a � `�' GL� (�13-�/ e M FINANCED THROUGH TO BE INSTALLED BY SOIL TEST RESULTS / ':�40 0/pNOTE: THIS PERMIT IS NOT VALID WITHOUT SOIL TEST COMPLETION DATE ANTICIPATED • 7 '/ - 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. ITANK SIZE � T 0 TYPE MINIMUM DISTANCES, REQUIREMENTS FOUNDATION TO SEPTIC TANK a7 SEEPAGE AREA SIZE FOUNDATION TO SEEPAGE PIT --.AO, DRAIN FIELD SEPTIC TANK TO SEEPAGE PIT WALL S'�� SEPTIC TANK - -> , SEEPAGE PIT le . DRAIN FIELD TO NEAREST LOT LINE. � WELL TO SEPTIC TANK 1 df ew SEEPAGE PIT DRAIN FIELD x ALSO CONSIDER AREA WELLS. WATER MAIN TO SEPTIC TANK /©! SEEPAGE PIT 0(0 / DRAIN FIELD 10 E SEPTIC TANK, SEEPAGE PIT. 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 CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. G.A.A.B. 1 OR LICENSED DESIGNER (.CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREA DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE. X DATE 5 a� ® APPLICANT'S SIGNATURE EQ -016(3-75) DIAGRAM OF SYSTEM AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE I E t -41 i - i €{ I I AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE GRED : ER ANCHURAUt AKtA BUV UUn Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM . NAME �^�Ci3l/J ` �tJ/i/S MAILING ADDRESS 7�FOIJ�Oo//UlZ PHONE J LOCATION LEGAL DESCRIPTION h lyffl% 6-6 10 h S SEPTIC TANK: DISTANCE �' FROM WELLL-U11' MANUFACTURER INSIDE LENGTH INSIDE WIDTH NUMBER OF MATERIAL COMPARTMENTS LIQUID DEPTH LIQUID CAPACITYGALLONS. SEEPAGE PIT: i NUMBER OF PITS DIAMETER OR WIDTH 16 LENGTH�_6 , DEPTH LINING MATERIAL CRIB SIZE: DIAMETER _DEPTH 6 / DISTANCE FROM: WELL���� qq�� � TOTAL EFFECTIVE BUILDING FOUNDATION 2��f NEAREST LOT LINE_o . ABSORPTION AREA (WALL AREA 3. M. SQ. FT. ADDITIONAL ABSORPTION WELL: TYPE °S UN' CONSTRUCTION r ' , DEPTH _ BUILDING NEAREST NEAREST SEPTIC FOUNDATION LOT LINE SEWER LINE TANK - CESSPOOL OTHER SOURCES APPROVED DISAPPROVED REMARKS DISTANCES: INSTALLED BY: kly( to i 'c'�N/5. PIPE MATERIAL: C" -r LOT SLOPE: REMARKS; Form No. EQ -031 F toed; E DISTANCE FROM: SEEPAGE SYSTEM _ DIAGRAM OF SYSTEM DATE 2Z,21'73 APPR G.A.A.B. ~ GREATER ANCHORAGE AREA BOROCI H �O DEPARTMENT OF ENVIRONMENTAL QUALITY PERMIT NO. IILJII IIt�C\ 3330 "C" STREET ANCHORAGE, ALASKA 99503 ,_e UcF TELEPHONE 274-4561 SEWAGE DISPOSAL SYSTEM — APPLICATION AND PERMIT NAME OF APPLICANT c,110 °11)ib �J L�jJS MAILING ADDRESS lU�� PHONE , w� INSTALLATION LOCATION LEGAL DESCRIPTION INSTALLATION OF: SEPTIC TANK SEEPAGE PIT DRAIN FIELD OTHER , TYPE AND SIZE OF FACILITY TO BE SERVED-" 51A(- ILL41 FINANCED THROUGH TO BE INSTALLED BY / % SOIL TEST RESULTS / 5O / �2 NOTE: THIS PERMIT IS, NOT VALID WITHOUT SOIL TEST COMPLETION DATE ANTICIPATED 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 LD / TYPE?IY CYC`/ SEEPAGE AREA SIZE !lam �/7 C TYPE MINIMUM DISTANCES, REQUIREMENTS FOUNDATION TO SEPTIC TANK o I FOUNDATION TO SEEPAGE PIT DRAIN FIELD SEPTIC TANK TO SEEPAGE PIT WALL -� SEPTIC TANK SEEPAGE PIT DRAIN FIELD TO NEAREST LOT LINE. WELL TO SEPTIC TANK SEEPAGE PIT DRAIN FIELD `- J� ALSO CONSIDER AREA WEL /T WATER MAIN TO SEPTIC TANK ` 6 ( SEEPAGE PIT L 6 DRAIN FIELD SEPTIC TANK, /v �"'�/, SEEPAGE PIT ©`' l DRAIN FIELD TO RIVER, LAKE, STREAM. CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING EXCAVATION 5 FEET INTO UNDISTURBED SOIL. 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEI FITT D WITH AIRTIGHT REMOVABLE CAPS. GFFAVEL BACKFILL - CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. G A.B. OR LICEN ED DESIGNER I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE. DATE APPLICANT'S SIGNATURE // FORM NO. Eq -076 DIAGRAM OF SYSTEM AREA BoWUGH ORDINANCE NO. 28.68 AND THAT THE ABOVE 4. R&M ENGIIi,4EERING & GE®LOGIC,,,j CONSULTANTS _ 229 EAST 51st. AVE. — P.O. BOX 6087 — ANCHORAGE, ALASKA 99503 - F- - - Civil Engineers TELEPHONE 907-279-0483 Geologists TELEX 090-35419 Land Surveyors JAMES W. ROONEY, P. E. RALPH R. MIGLIACCIO MALCOLM A. MENZIES, P.E., L.S. Engineering Geologist JAMES H. WELLMAN, P.E. August 9, 1973 R & M No. 36641 Kincaid Construction Company 7801 Jodphur Street Anchorage, Alaska 99502 Re: Test Hole and Soil Log Report for Sanitary System Lot 5, Heritage Heights Subdivision Dear Mr. Kincaid: We are submitting herewith the test boring results and our comments regarding soil conditions encountered at the subject site. This investigation was performed in accordance with your request of August 8, 1973, and those procedures outlined in a letter dated September 13, 1971 by Mr. Rolf Strickland of the Greater Anchorage Area Borough Department of Environmental Quality. A single test hole was put down within the Lot 5 area for the purpose of defining general subsurface soil conditions for the proposed sanitary system. Excavation was accomplished with a tractor -mounted backhoe and the test hole was extended to a total depth of 14.5 feet below ground surface. The final log prepared for the test hole has been included in Drawing A-01 Ground water was not encountered in the test hole. We appreciate being given this opportunity to be of service to you. Should you have any questions with regard to the above, please do not hesitate to contact us. very truly yours, R & M ENGINEERING & GEOLOGICAL CONSULTANTS /'J'ames, W. Rooney JWR: ph xc: GAAB ANCHORAGE FAIRBANKS JUNEAU 14.5' / No Water Table T. D. p q ote = Test hole excavated with tractor mountsd backhoe. Kincaid Construction LOG OF TEST HOLE Engineering&Geological Consultants Anchorage Alaska A NCH0RA(3E FAIRBANKS ALASKA JUNEAU DATE B - 9 - 73 SCALE I �� = Z�OWN BY B• R. S. CHKO BY 4�/. E: D. - PROJ. NO. 3BS4I DWG NO. A - 01 T.N. - I 8-9-73 0.0' ORGANICS (PEAT) N 1.0' OQ O O O 0:' 0. (SW) 0 •p SANDY GRAVEL 00 • 5.0' ��'•o o • p' : - 0- SAND, SOME GRAVEL (SP) 0 .o: 0..: - 0 9.0' SAND, SOME SILT csP— SM) . 156 -� 14.5' / No Water Table T. D. p q ote = Test hole excavated with tractor mountsd backhoe. Kincaid Construction LOG OF TEST HOLE Engineering&Geological Consultants Anchorage Alaska A NCH0RA(3E FAIRBANKS ALASKA JUNEAU DATE B - 9 - 73 SCALE I �� = Z�OWN BY B• R. S. CHKO BY 4�/. E: D. - PROJ. NO. 3BS4I DWG NO. A - 01 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. OrS- 361.7 A( COSA# 00k 0q ��, •01 r Expiration Date: 1. GENERAL INFORnTib�N - Loca' can (siteaddress): �:;. �a1„•37 Current ~Property. pwner Mailing address” Day phone 9s - .21 PP— 5'LiV 0 V uV_zj.J Ze,A.) Ar K. Lending agency Day phone Mailing address Real Estate Agent Day phone Mailing Address Unless otherwise requested, COSA will be held by DSD for pickup. or jr 2 NUMBER OF BEDROOMS: S nK For AyeAf or cw4e, Ye lq/ 3. TYPE OF WATER SUPPLY: Municipality of Anchorage -� Development Services Department ❑ Building Safety Division On -Site Water and Wastewater Program ❑ 4700 Elmore Road P.O. Box 196650 ❑ Community Class Well • Anchorage, AK 99507 V www.muni.org/onsite (907) 343-7904 �/❑ p Public Sewer CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. OrS- 361.7 A( COSA# 00k 0q ��, •01 r Expiration Date: 1. GENERAL INFORnTib�N - Loca' can (siteaddress): �:;. �a1„•37 Current ~Property. pwner Mailing address” Day phone 9s - .21 PP— 5'LiV 0 V uV_zj.J Ze,A.) Ar K. Lending agency Day phone Mailing address Real Estate Agent Day phone Mailing Address Unless otherwise requested, COSA will be held by DSD for pickup. or jr 2 NUMBER OF BEDROOMS: S nK For AyeAf or cw4e, Ye lq/ 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 �/❑ p Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given In paragraph 4 by an Independent professional civil engineer registered In the State of Alaska. Certificates of Onsite Systems Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also Issues COSAs upon request to homeowners. Certificates of On -Site Systems Approval are valid for 90 days from the date of Issue for properties served by a private or Class C well and may be reissued with new water sample results. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my Investigation, based on procedures outlined In the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, junctional and adequate for the number edrooms and type of structure indicated herein. 1 further verify thatkised on the Information obtained fr unicipality, of Anchorage files and from my Investigation and inspebioFitthe on-site water supply astewater disposal system is(are) in compliance with all applicable Munii4 and State codes, ond regulations in effect at the time of installation. t "'� bi C4 11; o�� • Name of Firm —$e%Qa e_T-r---1. Z.C• Phone 230- 3442 Address-Rotc)y itQKCIC Aactk. AK 51erSo} Engineer's Printed Name 3z.Aa T: tLc;?-c-c--1 Date1I 117 -- OF A s- OFA e �P, b. DSD SIGNATURE V' Approved for r bedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulations: �tY OFAti c WASTEWATER Attachments: COSA Checklist X Septic System Advisory Well Flow Advisory Nitrate Advisory Arsenic Advisory Maintenance Agreements Supplemental Engineer's Report Other By: Original Certificate Date: t (Rw.. 71M) Municipality of Anchorage • Development Services Department, Building Safety Division a On -Site Water & Wastewater Program ' • "' 4700 Elmore Road P.O. Box 196650 Anchorage, AK 99507 www.muni.org/onsite (907)343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description: 60r S lei rrgl�z_ IJef4h&TS Parcel ID: 015-- 361 - 2.1 WELL DATA --N� 01A• A -W- W- 0. Well If A. B, or C provide PWSID # _ Well Log (YIN) Date comptet Sanitary seat (YIN) _ Wires property protect ) Total depth ft. Cased to fL ve ground) in. =SPECTION FROM WEL Date of test Static water level ft Well production g.p.m. g.p.m. WATER SAMPLER S: Coliform colonies/100 mL Nitrate mglL Other bacteria colonies/100 mL enic ugA Date of sample: _ Collected by: B. SEPTICIHOLDING TANK DATA Tank Type/Material S'rrr_cr_ Date installed to- LS-- oW Tank size .20V-0 gal. Number of Compartments A Cleanouts (YIN) NL- , Foundation cleanout (YIN) Yid Depression over tank (YIN) oto High water alarm (YIN) Ve-e. Date of pumping o Air-► t4etZ Pumper art C. ABSORPTION FIELD DATA'�{ 9 Pd1vt' pe Glp (4avgar EY tJ/ Data Installed la.- L4- o°t .'Soil rating (g.p.d.e or /bdr �15z, System type Veg-P Length S fL; ` Width 3. f ft. Gravel below pipe T.S ft rw per 131k Total depth _11, 0 ft. Eff. absorption area ItZ.6 Monitoring tube Y&-6 Depression over field 400 Fluid depth in test _bLj " n1� Results(Pass/Fail) For -5' bedrooms Water added gat. New depth in. Elapsed Time: min. Final fluid depth ^eW iQ-----Abz=tion rate >= g.p.d. Any rejuvenation treatment (past 12 mo.) (YIN & type) ff yes, give a _ D. LIFT STATION Date installed to- %C - oq Size in gallons - JS L 'c ftcnJE Manhole/Access (Y/N) YE -s 'Pump on" level at ;2 in. "Pump off' level atI;'- in. High water alarm level at 3C in. Datum STH u - 3vrsr4 Cycles tested S+ Meets alar 8 circuit requirements? YLS E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: 41A - 1?03uc- war -c -e_ -,L4-. .1 'bY A.w.w,). Septic to ' on on lot Absorption field on lot _ Public sewer main Sewer /septic service li containment areas On adjacent lots On adjacent lots manholelcleanout Holding tank Manure/animal excrete storage areas SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation lo.r Property line _jl.(Absorption field X11.51 Water main > in 1 Water service line '>10 r Surface water 1 0-0 1 Wells on adjacent lots 7 lav r SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property tine Iz.s' Building foundation Iq. S 1 Water main > 1 o 1 Water Service line 7 101 Surface water 7 1 o'01 Driveway, parkingNehide storage - 61-2,1 Curtain drain > sa 1 Wells on adjacent lots > f UD 1 F. COMMENTS: stent_S t5rtn. .�t�.e �t-� �' iaSPCtTe-o 34l L.aQ1+ SPutVLA10 'Rq RN ;E- COSA- 79N ';:5�214.J-71 l:a���_3 ,-- �� 0 A'�OZ G. ENGINEER'S CERTIFICATION .d`P.• �'' !S��i I certify that I have determined through field inspections and,;9 •,;,,•;...........p �* ¢� . review of Municipal records that the above systems are In �..« conformance with MOA COSA guidelines in effect on this date. ............ .... ..........e /, ealara T rIAa11w Engineer's Printed Name -?;:I e.rn J T__ lla�r� -I �I��i •. CE' it]068 .'+�: Date ll- If- Oct ?4��r°a ==�5�( .• COSA Fee $ Z 50 f_ Date of Payment Receipt Number 03206 y (Rev. 11/05) Waiver Fee $ Date of Payment Receipt Number s[..Aw. N..wl Mw� YUKON ROAD N c� R, so .00. Js.T*. R� C J6. 0.00. SURVEY CERTIFICATION +..was ���� Prepared by MOT RA, Robert E. Johns Jr. & Assoc. �t��P - '��� Professional Land Surveyors rrew.rawMrr.r rl �y �M�.M w.WWrM�wYrrrr rrt M�rwr..M a r�Ar..rr :ti�I.rMw.wMrMM r INK rwrrr rM.w . .M r ,/. }=�l/♦ 1c IUE ANCNORACEALASKA W SOt �Ra Lel S.F. ReRat FOUNDATION AS -BUILT �- 40 FM Ne. ♦t/, ��..� Gala Swrw Mw �.rr r Aw r r / 7•d 10-24-09 Oraaw by: R,.j Chocked by XV errr r •r.r r r. Mw fROBERT EyJOHNS..R. {+� Or � 2438 0/9259 wrrrrrwrrrr. 4121-S ,. 10-24-09 FINAL SmNCT11E AS -8111? �°�� . • L Mr.M c /... e...w.... r M M a� loud D..a.gtwA: ri�r+rr M.r 'II���erealloaInt 5 Heritage Heights WT SUN" SZIKVLT TTF'L SYMBOLS FOIaDAIM AS41ULT e SET REHAR DRAGE :: . � :: . AYIULT AN FIN& SNRT CAM All-MaT o FOUND REBAR FETNtt �.:.:.. CdNCREt Rat RAN ... Na -Naar... Wr a.R�cT111001`111WAIM AS Comm X1. ... WOOD ® ASSUMED [LCV. if--R—iF METAL FENCE ® IMOD pEryt PLOT PLANS & LOT SURVEYS NOTE: IT IS THE RESPONSINUTY OF THE BUILDER OR OWER. PRIOR TO ONLY THOSE IMPROVEMENTS ABOVE GROUND AND %WILE "LL Se CONSTRUCTION, TO VERIFY PROPOSED BUILDING GRADE RELATIVE SNOW. FrN s. MELI.B. $EPIC CLEANOUT% SDENAULS. ONSV"AM TO FINISHED GRACE AND UTIUTY CONNECTIONS AND TO DETERMINE EM. ARE SHOW N THEIR APPROXIMATE LOCATION. ONLY. SNOSI THE EASTENCE OF ANY EASEMENTS. COVENANTS OR RESTRICTIONS MAY PREVENT SOME IMPROVEMENTS FROM BEING SEEN AND LOCATM MWCH DO NOT APPEAR ON TTNE RECORDED S,1IBDIVIS10N PLAT. ALL DISTANCES ARE RECORD UNLESS OTHERWISE NO UNDER NO CIRCUMSTANCES SNOU D AN AS—BUILT BE USED FOR CONSTRUCTION OR FOR ESTABUSNN6 BOUNDARY OR FENM 10EL TE SURVEYOR TAKES RESPONSI UTY FOR THE INITIAL TRANSACTION ONLY AND ASSUMES FI NANOAL UAI UTY O&Y AOR THE COST OF THE %VR . USTED DISTANCES PREVAIL OVER SCAIING. REPRODUCTION MAY CAUSE ERRORS N SCALE ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND REPAIR AGREEMENT MEMORANDUM OF UNDERSTANDING BETWEEN NICIPALITYO,I;NCHO�GE AND /l a�lhortno (( �� C, o .17 THIS MEMORANDUM OF UNDERSTANDING made and entered into as of this _6_Dayof,N6)J0R417Pr of 2(d, by and between &11v�� herein the "OWNER," and the Municipality of Anchorage, herein the "MUNICIPALITY." in consideration of the mutual covenants contained herein, the parties to this Memorandum of Understanding agree as follows: 1. ADVANCED WASTEWATER TREATMENT SYSTEMS. Municipality grants permission to Owner to utilize and operate an Advanced Wastewater Treatment System (AWWTS), described as _1�46ZX_ located atyecitnQo��((�h j Anchorage, Alaska. 2. Definitions. A. Alteration. Any change to the design or function of an AWWTS that Includes the installation or removal of any parts, components or pieces not included in the original construction permit and design. Prior to performing any alterations to an AWWTS the owner must obtain a Wastewater Disposal System Construction Permit from the Municipality pursuant to Anchorage Municipal Code (hereinafter, "AMC 15.65. B. Certificate of On -Site Systems Approval. An approval by the Municipality of existing water and wastewater disposal systems given at the time ofro p perty sale and title transfer in accordance-Mth -ANC 15.65. These approvals certify that the systems are adequate for the homes that they support and meet the codes that were in place at the time of system construction. C. Damage. Any man-made or natural change in a system that would inhibit the system from performing as designed. D. Maintenance and Repair. The scheduled and as needed replacement of existing parts, components and pieces of an AWWTS that were included in the original design which would allow the AWWTS to continue to perform as designed E. Permit (Construction) An On -Site Wastewater Disposal System Construction Permit as defined by AMC 15.65. F. Permit (Operating) An Advanced Wastewater Treatment System Operating Permit. An annual permit, issued by the Municipality, that allows the Owner to operate an AWWTS, upon meeting all the requirements of this agreement, the conditions of Operating Permit, the requirements of the On -Site Wastewater System Construction Permit and all relevant provisions of AMC 15.65 3. Fee. Owner shall pay to Municipality an annual fee of ($Q.00), payable on or before the issuance of the operating permit and annually thereafter. The annual fee is due on or before the anniversary date of the approval by the Municipality of installed system. 4. Term. The term of this Memorandum of Understanding shall be for the life of the AWWTS. The term begins on the date of approval by the Municipality of the installed system and shall continue while the AWWTS system is in use or operational or until the property is sold or title is transferred by owner and a new certificate of On -Site approval is issued to the new owner or transferee of the property. 5. Alterations Installation and Removal of Additional F, ui ment. Owner agrees not to make any alterations, removal of parts or additions to the A W WTS without a Construction Permit from the Municipality. 6. Maintenance and Renairi. A. Throughout the tern of this Memorandum of Understanding, the Owner shall maintain AWWTS in good repair. In addition, it shall be the responsibility of the Owner during the term of this Memorandum of Understanding, and any extensions or renewals thereof, at the owner's sole expense, to pay for any and all: (1) repair(s), (2) maintenance, (3) adjustment(s), (4) replacement costs, and (5) inspection costs. Further, Owner agrees to comply will all applicable ordinance, laws, regulations, rules and orders for the AWWTS. B. Owner agrees to provide the Municipality a written schedule of routine maintenance and repairs which have been performed on the system pursuant to the terms and conditions contained in the Owner's AWWTS Operating Permit. This schedule shall be submitted to the Municipality annually upon the renewal of the permit. The schedule of maintenance and repair contained in the Owner's AWWTS Operating Permit is: —Alyl UA 110 C. Owner acknowledges that the fine schedule for failing to maintain and repair an AWWTS are codified in AMC 14.60. D. Owner agrees that only maintenance, repair personnel certified by the Municipality will inspect and make any necessary maintenance, repairs or permitted alterations to the system. E. Owner agrees to grant the Municipality reasonable access to test and inspect the AWWTS upon 24 hours written notice. F. Owner agrees that any sale or transfer of title of the property will not occur without a new Certificate of On -Site Systems Approval. G. Owner agrees that the relevant provisions of the standard specification guidebook for AWWTS is the governing professional guidelines for the construction, maintenance and repair of the Owner's AWWTS. 7. Nonwaiver. The failure of either party at any time to enforce a provision of this Memorandum of Understanding shall in no way constitute a waiver of the provisions, nor in any way effect the validity of the Memorandum of Understanding or any part hereof, or the right of such party thereafter to enforce each and every provision hereof. 8. Amendment. A. This Memorandum of Understanding shall only be amended, modified or changed by a writing, executed by authorized representatives of the parties, with the same formality of this Memorandum of Understanding was executed and such writing shall be attached to this Memorandum of Understanding as an amendment. B. For the purposes of any amendment modification or change to the terms and conditions of this contract, the only authorized representatives of the parties are: Owner: Anchorage: Purchasing Officer C. Any attempt to amend, modify, or change this contract by either an unauthorized representative or unauthorized means shall be void. 9. -Jurisdiction: Choice of Law. Any civil action arising from this Memorandum of Understanding shall be brought in the Superior Court for the Third Judicial District of the State of Alaska at Anchorage. The laws of the State of Alaska shall govern the rights and obligations of the parties under this Memorandum of Understanding. 10. Severability. Any provisions of this Memorandum of Understanding decreed invalid by a court of competent jurisdiction shall not invalidate the remaining provisions of the Memorandum of Understanding. STATE OF ALASKA THIRD JUDICIAL DISTRICT MUNICIPALITY: By: Title: Date: ) ss. The foregoing instrument was acknowledged before zo_°I byQCk+hf.0vAe. C.JfMeV)JS NOTARY PUBLIC FOR ALASKA My Commissionexpires: C9 -O5--,9011 MUNICIPALITY OF ANCHORAGE d�J • Department of Health & Human Services p r DIVISION OF ENVIRONMENTAL SERVICES] 343-4744 CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY FOR SINGLE FAMILY DWELLING Parcel 1.D. # D \S- _210 1 - Q 1 HAA # )A � S -M 0,% ';�1 1. GENERAL INFORMATION (Must be completed prior to submittal) (a) Legal Description (include lot, block, subdivision, section, township, range) LUT 5; HERITAGE HEIGHTS Location (address'or directions) 5980 Yukon Road, Anchbnage, Ak (b) Property owner 'Raia aL? MoAA Telephone: (home) 346-1069 Business 562-6224 Mailing Address 5990 Yijhnn Road Ajqrnnaqp, AK (c) Lending Institution, Telephone Mailing Address (d) Real Estate Company and Agent RE MAX PROPERTIES, INC ATTN- OannY KiCgau Address 2600 Cunduva St. Suite 100 Anchunage Ak. 99503 Telephone 276-2761 (e) Mail the HAA to the following address: (or check here RX if hold for pick up.) List contact person and day phone number below: S & S ENGINEERING " 17034 Eagle River Loop Road No god Eagle River, Alaska 99577 2. TYPE OF RESIDENCE Single-FamilyXX 3. WATER SUPPLY Number of bedrooms 4 Individual Well ❑ Community ❑ Public ❑Cx Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to th legality and status. 4. SEWAGE DISPOSAL On-site 1`iK Public ❑ Community ❑ Holding Tank ❑ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legailty and status. 72-025 (Rev. 7/88) Page 1 of 2 Z }o Z abed HOe9 (991L 'nay) SZO-ZL -ijom s,aaauibue leuolssaload a4l ui suoissiwo jo sjoaaa aol alglsuodsaa lou si a6eaoyouy to Al!ledlolunW oqi-ponssi si aleolillaao a aaolaq elep az (leue ao suolloadsul lonpuoo lou op SHH(] to sa@Aoldw3 •sluawaalnbai alsis pus leaapa; uleliao Ajslles olaapao ul suolinlpsui bulpual magi pue sawoq to siasegoind of (solinoo e ss slyl saop SHH(] ayl TWely to alelS a4l ul paaalsl68a aaaulbua leuolssalad luapuadapui ue Aq anoge g ydea6eaed ul u9Ai6 suoileluasaidaa ayl uodn Illuo paseq poleoipiao lenoaddy/ilaoglny ulleaH sanssi (SHHa) saolAaaS uewnH pue 4ileaH to luawliedo(] a6eaoyouy;o Al!ledlolunyq ayl 6j -5r -& f rare I V" t Y =I. t 1 • ti leuoll!Puo(] oleo � 9 euogdalal lenoaddy ieuoil!puoC) jo swial panaddes!(] panoaddy Aq swooapaq �Jzn� aol panoaddy IVAOdddV SHHa '9 ale(] 'aanid 0 1513 "-L 'ON peoa dool as -1-6 al ssaippv JNI2I33NIaN3 S'8 S wall ;o aweN •uolloodsul slyl to alsp a4l uo loal}a ul suollelnbai pue 'saoueulpao 'sapoo alelS PUB led!o!unW Ile Minn aouelldwoo ul sl walsAs lssodslp aaleMalseM ao/pue Alddns aaleM ails-uo ayl 'uolloadsul PUB uolle6lisanul Aw woo; pue sola a6eaoyouy to Al!IedlolunNl a4l wool paulelgo uollewaolul aUl uo paseq le4l ApjE)A aaylanl ! •ulaaaq paleolpul ainlonils to adAl pue swooapeq to aagwnu a4l aol alenbape pue leuollounl 'ales sl walsAs lesodslp aalemalsem ao/pue Alddns aalem ails-uo ayl leyl smogs lenoaddy Al!aoylny ylleaH slyl to u011e61isanul Aw legl Aj!JGA ! 'molaq unnoys alep uolleplleA ayl to se pue olaaay paxllle leas /w Aq palpliao sy NOIlVYYHOdNI aNV V1Va'HOHV3S 3l1d'S.M.L'SNOIlOUSNl JNIalAOIdd Mid ONId33NION3 'S MUNICIPALITY OF ANCHORAGE (MOA) P • Health Authority Approval (HAA) M j CHECKLIST - FEBRUARY 1984 M� 343-4744 Legal escription: A. WELL DATA Well Classification � V Pte• If A, B, C, D.E.C. Approved (Y/N) Well Log Present (Y/N) Date Completed Yield Total Dept Cased to Depth of Grouting Static Water Level Pump Set At Casing Height Above Ground Sanitary Seal on Casing (Y/N) Electrical Wiring in Conduit (Y/N) Depression Around Wellhead (Y/N) SEPARATION DISTANCES FROM WELL: To Septic/Holding Tank on Lot djoining Lots To Nearest Edge of Absorption Field on Lot ; On 'oining Lots To Nearest Public Sewer Line To Nearest Public Sewer Cleano Manhole To Nearest Sewer Service Line on Lot Water Sample Collected by ; Date Water Sample Test Results Comments � C, B. SEPTIC/HOLDINGTANK Date Installed Size IZ�n No. of Compartments ( Standpipes (SN)—Air-tightlCapsON)_Foundation Cleanout Y�J) Depression over Tank (Y/& f� ate Last Pumped Pumping/Maintenance Contact on File (Y/N) - ; for r" � Holding Tank High -Water Alarm (Y/N) 4 Temporary Holding Tank Permit (Y/N) SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK: To Water -Supply Well 2� )� To Building Foundation To Property Line o (`� To Disposal Field To Water Main/Service: Line To Stream,Pond,,Lake.or Major Drai Comments e 72-026 (Rev. 7/88) Front Page 1 of 2: C. ABSORPTION FIELD DATA Soils Rating in Absorption Stra a fid— —Type of System Design IT Date Installed 7' 3 Length of Field 30� Width of Field I �� Depth of Field I G vel Bed Thickness 6 Square Feet of Absortion Area (,00.4- n 0 � Statndpipes Present (YIN) Depression over Field (Y/M Date of Last Adequacy Test Results of Last Adequacy Test SEPARATION DISTANCE FROM ABSORPTION FIELD: To Water -Supply Well To Property Line To Building Foundati0 L` To Existing or Abandoned System on i Lot ; On Adjoining Lots To Water Main/Service Line 1 To Cutback (if present) A To Stream, Pond, Lake, or Major Drainage Course N +z:� t 4. To Driveway, Parking Area, or Vehicle Storage Area Comments D. LIFT STATION (� D to Installed Size i Ilons "Pump On" Leve High Water Alarm Level at Tested for Meets MOA Electrical Codes (Y/N) Comments Dimensions Manhole/Access (Y/N) **Check Permitted Bedroom Rating Against HAA Request** "Pump Off" Level at Vent(Y/N) Pumping Cycles during Adequacy Test. I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Signed .„•*•• 5 & S ENGINURING Company 77034 Eagle River Loop Road No. 904 w ,.• '�, bQ Eagle River, Alas! 9 77 c ® .f ne� . � I t Date %/�_:ZZ/ �..a ... .. MOA No. `l .�tfr lis 1467 i to Receipt No. o� / O J Date of Payment Amount: $ Receipt No. Waiver Fee: $ Date of Payment 72-026 (Rev. 7/88) Back Page 2 of 2 i? 0 cam. 7. MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PI OTECTION DIVISION OF ENVIRONMENTAL HEALTH CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY 264-4720 Application Date 1/2OZ87 1. GENERAL INFORMATION (a) Legal Description (include lot, block, subdivision, section, township, range) Lot 5 Heritage Heights Location (address or directions) _5980 Yukon Dr. Anchorage (b) Applicant NameRandall Moss Telephone: Home 346-1068 Business 562-4315 Applicant Address 5980 Yukon, Anchorage, Alaska 99516 (c) Applicant is (check one): Lending Institution ❑ ; Owner/builder ® ; Buyer ❑ ; Other ❑ (explain); (d) Lending Institution Nat i nnal Bank of Alaska Telephone n/a Address POB 6127 Anchorage Alaska (e) Real Estate Company and Agent Address Telephone (f) Mail the HAA to the following address: pickup by Engineer or owner 2. TYPE OF RESIDENCE Single -Family El Multi -Family ❑ Other Number of Bedrooms q- 3. WATER SUPPLY Individual Well ❑ Community ❑ Public Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 4. SEWAGE DISPOSAL Onsite ® Public ❑ Community ❑ Holding Tank ❑ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. Page 1 of 2 72-025 (11184) 5. ENGINEERING FIRM PROVIDI`r•— INSNtc I JUNb, ItSIJ, r1LC JCAM r7, u' As certified by my seal affixed herV-o and as of the validation date shown below, I verify that my investigation of this Health Authority Approval shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm Telephone Address FArl E RIW7Dcc^ nc^ Date &��? /J-7 SACL5 R ` :_P. ..:: 9577 P. 0. BOX 773294 694-5195 o �a av*:e T94 td, s �q oot+ ae44+oeaaa0°ea°v+eu`v°e nginee Seal aee� ace voaeo eo va ve ea ey y , Lc a m e Louis A. Butera °<<u� % CE -6736 e � c.+ ova 0 6. DHEP APPROVAL Approved for -� ~'' bedrooms by Date Approved Disapproved Conditional GYC.L'i y ca et .,a� pu�7r»r..1cc..a�t ✓'�5 Tb/" Terms of Conditional Approval /r40 -4q �7,,,_7y !s, /4'B �ytltl1"',Lar Ao - a, -.a_ 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 72-025 (11/84) MUNICIPALITY OF ANCHORAO DEPT. OF HEALTH & ENVIRONMENTAL PROTECTION "AN 2 81987 RECEIVE® A. WELL DATA MUNICIPALITY OF ANCHORAGE (MdUf HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1964 264-4720 Legal Description: Go ; � /-/ /--f Well Classification � /,/` ` If A, B, C, D.E.C. Approved (Y/N) — Well Log Present (Y/N) Date Completed Yield Total Depth Cased to Depth of Grouting Static Water Level Pump Set At Casing Height Above Ground Sanitary Seal on Casing (Y/N) — Electrical Wiring in Conduit (Y/N) Depression Around Wellhead (Y/N) Separation Distances from Well: To Septic/Holding Tank on Lot On Adjoining Lots To Nearest Edge of Absorption Field on Lot ; On Adjoining Lots To Nearest Public Sewer Line To Nearest Public Sewer Cleanout/Manhole To Nearest Sewer Service Line on Lot — Water Sample Collected by ; Date Water Sample Test Results Comments B. SEPTIC/HOLDING TANK DATA Date Installed �—Size 1 2-�iO No. of Compartments Standpipes (Y/N) Y Air -tight Caps (Y/N) Y Foundation Cleanout (Y/N) Y Depression over Tank (Y/N) �1/ Date Last Pumped / - Z 8 f Pumping/Maintenance Contract on File (Y/N) ` ; for EV't Holding Tank High -Water Alarm (Y/N) vet Temporary Holding Tank Permit (Y/N) ti H Separation Distances from Septic/Holding Tank: To Water -Supply Well ?''OG To Building Foundation / To Property Line +10 To Disposal Field 37 To Water Main/Service Line ° To Stream, Pond, Lake, or Major Drainage Course " I ° Comments Page 1 of 2 72-026(11/84) C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata f 3 o Type of System Design S /� U,� 0.1T Date Installed 947.Z Length of Field _ /6 Width of Field 16 Depth of Field %U / Gravel Bed Thickness G Square Feet of Absorption Area 3i Standpipes Present (Y/N) Y Depression over Field (Y/N) r1/ Date of Last Adequacy Test " 2 ° f Results of Last Adequacy Test S•�• f« ,. t 3 i3"1� .� l } t. ,r< ie r�, Separation Distance from Absorption Field: To Water -Supply Well w20a fu6/;� w f� ,S_ .1 To Property Line { I� To Building Foundation 29 To Existing or Abandoned System on Lot A/q ; On Adjoining Lots __ 1O To Water Main/Service Line t IO To Cutbank (if present) trc To Stream/Pond/Lake/or Major Drainage Coursei �r-� ' To Driveway, Parking Area, or Vehicle Storage Area T - IU ' Comments 0w D. LIFT STATION Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Electrical Codes (Y/N) Comments — Dimensions Manhole/Access (Y/N) — "Pump Off' Level at Vent (Y/N) Pumping Cycles during Adequacy Test. Meets MOA ** Check Permitted Bedroom Rating Against HAA Request ** I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Signed�_,�r�_ Date Company MOA No. ST G r Receipt No. (7 (r) ! Coo 3 G Date of Payment Amount: $ — ,0/0 © , µOs Page 2 of 2 Eagle River Engineering Se v'CCs P. 0. Box 773294 Eagle River, AK 99577 72-026 (11/84) 694-5195 F; Engineer's Seal ,5 n o F`Z/�I,��ODc'�GC�LaGGa�ecc tr-C `�_. `�f foLlR.n[4'a CGS. a G January 27, 1987 Mr. Steve Morris Municipality of Anchorage Civil Engineer/On-Site Services P.O. Box 19665 Anchorage, Alaska 99519 REF: Lot 5 Heritage Heights Dear Mr. Morris: On behalf of my client, Mr. Randall Moss, I am applying for a conditional Health Authority Approval for the above referenced lot. The owner would like approval for four (4) bedroom wsage. As tested on January 20, 1987, the system is adequate for three (3) bedrooms. The lot currently has a seepage pit that was installed in 1.973. Soils log from this lot and the adjacent lots 4 and 6 show no ground water at depths of 14.5, 14, and 16 feet, respectively. The system has functioned adequately for the present owners and has a tested 300 gallon surge capacity. The owner has agreed to escrow funds for the design installation, and inspection of additional leachfield during the 1987 construction season. There is adequate room for this upgrade. If there are any questions, or if additional information is requested, please feel free to contact me at 694-5195. Thank You, Bob Butera Encl: Soils log for lots 4, 5, and 6 Heritage Heights Plat for Heritage Heights DEPT. OF ENVIRONMENTAL CONSERVATION ANCHORAGE/WESTERN DISTRICT OFFICE 437 "E" STREET, SUITE 303 ANCHORAGE, ALASKA 99501 DATE: J anuary 26, 1987 PWS I.D.# 210087 To Whom it May Concern: BILL SHEFFIELO, GOVERNOR Telephone: (907) Address: 274-2533 According to records on file in this office the MOA/HERITAGE HEIGHTS SUBDIVISION Water System is in compliance with the State Drinking WaterRegulations Sincerely, Michael P. Lewis Environmental Engineer ` f i DEPT. OF ENVIRONMENTAL CONSERVATION ANCHORAGE/WESTERN DISTRICT OFFICE 437 "E" STREET, SUITE 303 ANCHORAGE, ALASKA 99501 DATE: J anuary 26, 1987 PWS I.D.# 210087 To Whom it May Concern: BILL SHEFFIELO, GOVERNOR Telephone: (907) Address: 274-2533 According to records on file in this office the MOA/HERITAGE HEIGHTS SUBDIVISION Water System is in compliance with the State Drinking WaterRegulations Sincerely, Michael P. Lewis Environmental Engineer I Iu Pi i l!1 t_'- I 1 i V- iyv�;,v�,�� �.. }�EPi,R {�°1 F, t, HEALTH "�}L r �a'JT,P,(1fVrtE ,,, PRCI I cC I I ;? - %FJr,'" 825 L Street, Anchoracr Alaska 99501 264-4720 Date Received: November 28, 1977 Time Date I 'so REQUEST FOR APPI:ZOtJAI, OF !NTTVTT)UAL SEWER AND WATER FACILIT7-ES Una 1_, Lending Institution Request: First National Bank of Anchorage Mailing Address: Post Office Box 4-2090 99509 _ Phone: - 2 . Property Owner: Randall H. /Sharon A. Moss , P};one : 344=8=2-b4- Mailing Ad:aress: 4201 Arctic Boulevard -99502 3. Lec;al Description: -Lot-5-.Heritage Heights Subdivision 4: Single Family Residence: (x) Number of Bedrooms: Four - -- Multiple Family Residence: ( ) Number of BedrOCIMS : --- -- 5. Well System: 7ndi_vidual Well (x) Community/Public System ( ) Permit # Depth of Wel. l_ `—A - -_ 'rve11 Loc an File ( ) Construction Bacterial_ Analysis - - - 5. On-site S,; stem (x Public tility,ewage Disinosa_ Sstem: Permit 1° Installed �%�'�� -� Installer - f--�- - _- Septic Tank Size _)-- - bIanuzac; urer---------i --- Absorption Area --- Soils Rate ±''?.aterial. _-------- 7. Distances: Well to Septic Tank -. -- -- to Absorption Area ---^ to Sewer .1-J-ne Nearest Lot. line -_ Absorptlon Area 41. 'rime _.1>>1 1E 2 : Tune Date,'1�' � `h ,iS Date Insp 1/�r1_� Insp Date Received: November 28, 1977 Time Date I 'so REQUEST FOR APPI:ZOtJAI, OF !NTTVTT)UAL SEWER AND WATER FACILIT7-ES Una 1_, Lending Institution Request: First National Bank of Anchorage Mailing Address: Post Office Box 4-2090 99509 _ Phone: - 2 . Property Owner: Randall H. /Sharon A. Moss , P};one : 344=8=2-b4- Mailing Ad:aress: 4201 Arctic Boulevard -99502 3. Lec;al Description: -Lot-5-.Heritage Heights Subdivision 4: Single Family Residence: (x) Number of Bedrooms: Four - -- Multiple Family Residence: ( ) Number of BedrOCIMS : --- -- 5. Well System: 7ndi_vidual Well (x) Community/Public System ( ) Permit # Depth of Wel. l_ `—A - -_ 'rve11 Loc an File ( ) Construction Bacterial_ Analysis - - - 5. On-site S,; stem (x Public tility,ewage Disinosa_ Sstem: Permit 1° Installed �%�'�� -� Installer - f--�- - _- Septic Tank Size _)-- - bIanuzac; urer---------i --- Absorption Area --- Soils Rate ±''?.aterial. _-------- 7. Distances: Well to Septic Tank -. -- -- to Absorption Area ---^ to Sewer .1-J-ne Nearest Lot. line -_ Absorptlon Area P; ge T�ro Dei ar'!Pr.ent o' Health and Environmental Protection Req-ucst. for Approval- of �ndi.viduai Sewer and :heater Tacilities Legal. Description: _Lot_5 - Heritacfe ______ Subdivision____i__�______. Comments: Affadavit Attached: Approved: I,ette_r Attached: ( ) Date: Disapproved: Date: Depar_hment. Worksheet: RECEIPT FOR CERTIFIED MAIL -3014 (plus SENT TO STREET AND NO. �i P.O., STATE AND ZIP CODE a4. O'TIONAL SERVICES FOR ADDITIONAL FEES _ 1. Shaves to whom and date delivered ............ RETURN --, With delivery to addressee only ............ 150 650 RECEIPT 2. Shows 4o whom, date and where delivered .. With delivery to addressee only .•-..••'." 350 v- SERVICES (✓' DELIVER TO ADDRESSEE ONLY ................................................... 502 e ®. —__ ........... SPECIAL DELIVERY (extra fee roqui ro I���•�������� �•�".. PS Form NO INSURANCE COVERAGE PROVIDED— (See other side) $600 Apr. 1971 NOT FOR INTERNATIONAL MAIL a GPO : 1974 0 - 551-454 Municipality of Anchorage _ DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION POUCH 6.650 ANCHORAGE, ALASKA 99502 279-2511 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES EidVIRONnnr:iv�r� �.._._ ['flrf 8 1977 1. TYPE OF LOAN 2. ASSESSORS PARCEL NUMBER ❑ VA ❑ F.H.A. NYCONV ❑ 3. LENDING INSTITUTION 4. REALTOR OR AGENT First National Bank of Anchorage P.O.Box 4-2090 Anchorage, Alaska. 99509 None LJ 5. SELLER Buyer is building None new home.... contact buyer for any information needed 7. LEGAL DESCRIPTION Lot 5, Heritage Hsi Subdivision 9. TYPE OF DWELLING 10. WATER SUPPL AR SINGLE FAMILY RESIDENCE 4 BDRMS XU PUBLIC UT ❑ MULTI -FAMILY RESIDENCE BDRMS ❑ PRIVATE 6. BUYER Randall H Moss & Sharon A Moss. 4201 Artic Anchorage, Alaska. 99502 344 8264 8. LOCATION/STREETAOORESS 6880 Yukon Road, Anchorage, Alaska. Y 11. SEWAGE DISPOSAL SYSTEM ILITY ElPUBLIC UTILITY ON-SITE �01 ON-SITE 1977 YEAR INSTALLED INSTRUCTIONS TO REQUESTOR 1. Complete Items 1 to 11 above 3. Send to address above 5. Response will be returned to lending 2. Remove the carbon 4. Please allow 10 days for processing institution DATE RECEIVED DATE OF INSPECTION ITIME OF INSPECTION INSPECTOR TYPE J CONSTRUCTION YEARINSTALLEDI INSTALLER DIMENSIONS w ❑ PIT } U TOTAL LINE LENGTH ❑ DISPOSAL LU FIELD Cn TOTAL ABSORPTION AREA 72-010 (11/76) FT. DEPTH YEAR DRILLED PERMIT REFERENCE FT. BACTERIAL ANALYSIS I LAB REFERENCE NO. TANK SIZE I MANUFACTURER CRIB CONSTRUCTION TRENCH DEPTH I GRAVEL DEPTH SO. FT. PERMIT REFERENCE — — — — -- �' 1 50L - I 45'-' 120' co N N 119.so_I 0 CHI SANA I --107.5-' II U 1 4 I �m w m ro O j rA _ I I N N � 1 v N x I 1 -4 N m 0 CUD, I" w -� y I � , v I I 119,81' o f 132.5 .o— t S00°-02�-4 S00 -02'-4 i N I o o °n n�- N m N N 1 A N 0 NLnW m � � �' I z o �+ I m t a)SL 1 a o C 119.71' I _ 132.R t91 2 ! � 0 l N A "1"� U O Ln N cl � 1 NI N ( T ml 119.62 I I 132. --O 1500°-02-40 v0i � °' n Ia)� m - A I I m I m m— I 50' I n 1 I -^-107 I L-94.52' N 0 0 R O A D o o m in S 0-02'-40.. WO 02' 40"WO � I ! Olta l .QI m A N V A W` 0 ASI W0)(T N N 0 N ro w O I ?I O � %r N I v\ \—JiA.�. 144141'-- _ — X157.5-- S 000- 02 - 40 ki W 610.14' — m O JL-FMIV� w N TRAIL Or,O m S °-02'-40 W A ��--100.48'---I O m _0 0 I I ' a0 eJ I to �I T \ � Iw 100.67' F. S 010'-02'-40 w I > oil l I i N t N r N I O X W C : I m I I J -p— 150.73'— --I 0 x c .a � 13' m 10 0 C I ORVGINY\l- Ito