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LILAC PARK BLK 1 LT 2
Lilac Park Block 1 Lot 2 #015-211-17 QUaWnrrn� Municipality of Anchorage Community Development Department BE" 1129133 On -Site Water & Wastewater Program 4700 Elmore St. • P.O. Box 196650 Anchorage, AK 99519-6650 a http:/Avww.muni.org/onsits a (907)343-7904 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP131191 PID Number: 015-211-17 ❑ New ®Upgrade Name: JOHN & AMELIA WALSH ABSORPTION FIELD ❑ Deep Trench ❑ Shallow Trench ® Bed ❑ Mound ❑ Other Address: 12330 LILAC DRIVE, ANCHORAGE, AK, 99516 Phone: No. of Bedrooms: (907) 345-9343 5 sol Rating: .5,. <. k2. i7 GPD/Sq. n. Total Depth from original grade: SEE DWG. Ft LEGAL DESCRIPTION Depth to Pipe invert from original grade: Gravel depth beneath pipe: SEE DWG. Ft. 0.55 R. Subdivision: Block: Lot: LILAC PARK 1 2 Township: — Range: — Section: — Fadded ab ill ove onginol grade: SEE DWG. Ft. Grevel width: Gravel length: 34+ R. ds Number of lines Distance between Ilnea: 15 Ft 4 4 Ft SEPARATION DISTANCES Total absorption area: 510+ SQ. Ft. umber of trenches: — Dial between trenches: FL TO Septic Absorption Lift Holding Public/Private From Tank Field Station Tank sewer Linea well 100'+ 100'+ too'+ — 25'+ TANK ❑ Septic ■ S.T.E.P. ElHolding El Other Surface water 100'+ 100'+ 100'+ — Manufacturer: ANCHORAGE TANK Capacity: 2000 Gal. Lot Line 5'+ 10'+ s'+ - N/A Material: Number of Com odmenta: p STEEL 2 Foundation 5'+ 10'+ 5'+ — LIFT STATION Curtain Drain NONE KNOWN Manufacturer. Capacity: ANCHORAGE TANK/ORENCO 2000 cal. Remarks: 'Pump on' level at: 38" 'Pump oH' Mvel at: 38° High water alarm at: 45" EXCAVATION LIMITED TO REMOVAL OF CONTAMINATED Pump Make & Model: Electrical Inspections performed by: MATERIAL. ORENCO PF -20 M.O.A. PRESENCE OF FCO WAS CONFIRMED. PIPE MATERIAL House to tank IZwSTllj4r Tank to D3034 drainfield Installer WILCO CONTRACTORS Drainfield D3034 CO/MT D3034 Inspector GEG, Ltd. BENCHMARK (Assumed elevation) 100.00 Ft. _ Inspection Dates: 1st 8/15/2013 2nd 8/16/2013 Location and Description: 3rd — 4th — GARAGE SLAB, NORTH END Community Development Department Approval EM6INEER'S SEAL OF Conditional approval: Date: vd0 ::.*. D - D f. .. .....s::... 0 GarnQ O� 4 E-79 �Pro e/ � , �04000�00 Approved:Date: - PERMIT NUMBER: - AS -BUILT DRAWING PARCEL ID NUMBER: OSP131'191 015-211-17 00 \ I 10 ' WELL RADIUS GROUP, Ltd. p * 9 I \1 - CONSULTANTS & GENERAL CONTRACTORS �........ .. ... ........:....D 3701 E. MM ROA% SURE 101 . u1CHOMCE, M NN? • 9 E (907)337-8179 r FM (907)338�E48 � WEBBIIE •w.gamuse,pinaering.can •••• 00' WELL RADIUS' PREPARED FOR: IPHONE NUMBER: PAGE NUMBER: JOHN & AMELIA FERNANDEZ 345-9343 2 OF- J r A. 04 G rness, LEGAL DESCRIP11ON: DRAWN BY: 10 CE 5>>3 4�4r LILAC PARK; BLOCK 1, LOT 2 A.J.G. P'1Z.�►%�3.•''��4�4 TYPE OF WORK: AS -BUILT DRAWING OF SEPTIC UPGRADE2 DATE. 40444rof 4p�O,Ion ON 10/15/2013 e FCO Q EXISTING 5 I BEDROOM A' HOUSE In •r. f I I I � m Y0 A B I STI 63.94 38.92 63.84 STI ' ST2 76.50 50.10 72.03 G.H. NEW 2000'^ GALLON ST2 MH 78.07 51.54 73.21 STEP TANK MH I POD1 87.30 60.13 79.93 OD1oN PGD2 90.73 63.39 82.54 1050 D o T I C01 102.69 75.53 94.11 AER MT2 I MT1 92.96 66.59 87.49 KUNG TRICKLING FILTER C0il w' CO2 92.22 66.44 87.95 � I I CO3 94.84 69.49 91.31 = 4 OMTS 98.67 73.88 96.19 / I MT3 0 0 O T4 it 116 34 87.47 102 14 p o I 9 89.32 RE-B ILT BED N I C06 1211.01 92.39 106.76 LILAC PARK; C07 123.82 95.49 110.56 BLOCK 1, LOT 1 I MT4 125.69 97.67 113.39 CALE: C08 102.92 78.48 101.00 1 1-1- An, 00 GARNESS ENGINEERING GROUP, Ltd. p * 9 - CONSULTANTS & GENERAL CONTRACTORS �........ .. ... ........:....D 3701 E. MM ROA% SURE 101 . u1CHOMCE, M NN? • 9 E (907)337-8179 r FM (907)338�E48 � WEBBIIE •w.gamuse,pinaering.can •••• •• ............ PREPARED FOR: IPHONE NUMBER: PAGE NUMBER: JOHN & AMELIA FERNANDEZ 345-9343 2 OF- J r A. 04 G rness, LEGAL DESCRIP11ON: DRAWN BY: 10 CE 5>>3 4�4r LILAC PARK; BLOCK 1, LOT 2 A.J.G. P'1Z.�►%�3.•''��4�4 TYPE OF WORK: AS -BUILT DRAWING OF SEPTIC UPGRADE2 DATE. 40444rof 4p�O,Ion ON 10/15/2013 I PERMIT NUMBER: AS -BUILT DR ,�G PARCEL 10 NUMBER: - OSP131'191 015-211-17 FINAL GRADE = 100.12-100.17 STI ST2 MH TOP OF TANK j /- TOP OF TANK AT INLET = 94.52 / AT OUTLET = 94.60 �II NEW2000 GALLON INVERT OF BUNG S.T.E.P. TANK AT INLET = 93.94 FINAL GRADE = 99.92-101.25 FABRIC 'T OF DISTRIBUTION LINE = 92.95 TOP OF REBUILT _/ 15' WIDE SAND = 92.40 BOTTOM OF EXCAVATION (REMOVAL OF CONTAMINATED SAND) = 90.40 ® , /_o -OF GARNESS ENGINEERING GROUP, Ltd. 4 CONSULTANTS & GENERAL CONTRACTORS 3701 E. WIM 9 . SURE 101 • ANCR0 E. M 99507 . PY,ONE (90])317-6118 • FAC (907)138-3248 • NE89RE: •.,g9m«eeigineeni.ywn PREPARED FOR: PHONE NUMBER: PAGE NUMBER: ••••• AMELIA WALSH 345-9343 3 OF 3e arness.- LEGAL DESCRIPTION: - DRAWN BY: oOo 9� CE 795 LILAC PARK; BLOCK 1, LOT 2 iTYPE OF WORK: DATE. 4QOO4pOOOOSion&oo PROFILE AS—BUILT DRAWING OF SEPTIC UPGRADE2 10/15/2013 0 I 3 I 1 ' / p U)i W \• Lu LUi r r i SST S ci sa ! f Ii IK I. I r r , 30'IZ I I r r W bU3E y 16T Z7j, 19C'm W 1 ll I rai � gxltn> � 1 GA CA. r41V M. . � QQ i C a Q ssr'as� V V 1 1 i � t V 1 1 ti C.O. x 2 1 — LOCATEDIN 1 40' ESMT UNDER NO CIRCUMSTANCES SHOULD AN AS -BUILT BE USED FOR CONSTRUCTION OR FOR ESTABLISHING BOUNDARY OR FENCE LINES. THE SURVEYOR TARES RESPONSIBILITY FOR THE INITIAL TRANSACTION ONLY AND ASSUMES FINANCIAL LIABILITY ONLY FOR THE COST OF TETE SURVEY. LISTED DISTANCES PREVAIL OVER SCALING REPRODUCTION MAY CAUSE ERRORS IN SCALE. LOT 9tMEY SURVEY TYPE SYMBOLS FOL 0AIM AS eutT EWAWE SWVCDAS-BYILi • SET REBM E ASPHALT . N AT PUN ... T ...Lot MW ... TaPDMIAntt WOODDRAINAGE ..: CONCRETE O FOUND REBAR� LTODO FENCE F O 00101 EET R ® ASSUMED ELEV. --R—R- METAL FENCE ROOD DECK PLOT PLANS & LOT SURVEYS NOTE: IT 15 THE RESPONSIBILITY OF THE BUILDER OR OWNER. PRIOR TO ONLY THOSE IMPROVEMENTS ABOVE GROUND AND VIABLE WILL BE CONSTRUCTION. TO VERIFY PROPOSED BUILDING GRADE RELATIVE SHOWN. FENCES. WELLS, SEPTIC CLEANOUTS. SIDEWALKS. DRIVEWAYS, TO FINISHED GRADE AND UTILITY CONNECTIONS AND TO DETERMINE ETC.. ARE SHOWN IN THEIR APPROXNAATE LOCATION. ONLY. SNOW .THE EXISTENCE OF ANY EASEMENTS, COVENANTS OR RESTRICTIONS MAY PREVENT SOME IMPROVEMENTS FROM BEING SEEN AND LOCATED. WHICH DO NOT APPEAR ON THE RECORDED SUBDIVISION PLAT. ALL DISTANCES ARE RECORD UNLESS OTHERYASE NOTED. SURVEY CERTIFICATION .�� Prepared by PLOT PLANiv OF ,q/!y Robert E. Johns, Jr. & Assoc. IMrY MIEYfw IMw MPM/I aE..l.r ••'•••�••..� •" Professional Land Surveyors rr wr. rrrrr r r w w.ww �••• ••••• ABrkk Me.we.+r .ma.�y w�lw..rN �w wye�.N �N..�, I ANCHORAGE. ALASKA 9YSW Soala: 1 a 601 Raa Lot S.F. Rea. Nat Fla Na rrwe.r e.. r s..c FODATION AS -BUILT UN A h •• ••• .n... .:h a{:;:. 1, wen Lay.. a, e.rP vae. aw i w MA..nr.-eNaawNr..l.w low"w..'rw Ew.rw.wY.A.W.N M,wra°r" lrwce e»»rEw rY A . •• •,• ..... ••.. Date Sar»%� 10/21/13 DramU K REJ CharW aNK rwe f NlwN.rYw' rr �arr.;w 7•F��_Y_�{I"NS I % " $.. P: O/ Data Dram: 10/22/13 da: 2736 W.O.13-557a NAL SRICTURAS- AS-MILT E.url r .4' �.� qj�r a.4 ...... Laal Description: LotIia;.. �^.4R,.(. .n d,_LILAC PARK On -Site Wastewater Disposal System Permit MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 Elmore Road, PO Box 196650 Anchorage, AK 99519-6650 Telephone: (907) 343-7904 Permit Number: OSP131191 Tax Code Number: 01521117000 Work Type: Septic Permit Effective Dates: August 08, 2013 to August 08, 2014 Design Engineer: GARNESS ENGINEERING GROUP LTD Subdivision: LILAC PARK Site Legal Address: LILAC PARK BLK 1 LT 2 G:2736 Owner/Address: WALSH JOHN D & AMELIA 12330 LILAC DRIVE ANCHORAGE AK 995162261 Site Mailing Address: 12330 LILAC DR, Anchorage This permit is for the construction of: Y Disposal Field Y Septic Tank N Holding Tank N Privy Lot Size in Sq Ft: 72225 Total Bedrooms: 5 N Private Well N Water Storage All construction must be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80). 3. The wastewater code requires inspections during the installation. The engineer must notify the Development Services Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either: A. Open and Close on the same day. B. Covered, sealed, and heated to prevent freezing. Received By: Issued By: Date: g g b 3 Date: S MUNICIPALITY OF Community Development Department Development Services On -Site Water & Wastewater Program ANCHORAGE Mayor Dan Sullivan On -Site Sewer/Well Permit Application For A Single Family Dwelling Parcel I.D. ©1`5 - a k'\-11 Phone: 907-343-7904 Fax: 907- 343-7997 Property owners) JOHN & AMELIA WALSH Day phone Mailing address 12330 LILAC DRIVE *ANCHORAGE, AK 99516 Sitsaddress 12330 LILAC DRIVE *ANCHORAGE, AK 99516 Legal description (Sub'd, Block & Lot ) LILAC PARK; BLOCK 1, LOT 2 Legal description (Township, Section & Range) Lot Size Sq.Ft. Number of Bedrooms 5 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DEWELLING: (NanmaeaaWr) Absorption Field ® Initial ❑ Single Family (SF) ® (w/wo ADU) Septic Tank ®Duplex Upgrade ❑ (D) El Holding Tank ❑ Renewal Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE/ WAIVER REQUEST FOR: Distance: — I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal codes. GARNESS ENGINEERING GROUP, Ltd. (Signature of property owner or authorized agent) Permit/Rush Fees: Date of Payment: Receipt Number: Waiver Fees: Date of Payment: Receipt Number: Permit No. 050 b 1\ C� \ Waiver No. (Rev. 01/11) GD 0( GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS & GENERAL CONTRACTORS August 15, 2013 Municipality of Anchorage Development Service Department On -Site Water & Wastewater Program 4700 Elmore Rd. P.O. Box 196650, Anchorage, Ak 99519-6650 (907)343-7904 Ref: Design Revision for Lilac Park; Block 1, Lot 2, OSP131191. To whom it may concern: Because of the depth and the enormous size of the bed, the contractor (Wilco Contractors) requested that we revise the design to an advanced treatment system. At this point, we believe a Category II advanced treatment system would be the most viable option. We are proposing to rebuild a 34'x15' section of the existing bed and install a new 1500 gallon septic tank, a 500 gallon lift station and a 1050 GPD Quanics Aerocell Treatment unit (Category II setup). We are proposing to excavate all contaminated material and import a minimum of 2 feet of MOA approved sand. Top of sand shall be at equal to or higher elevation than the bottom of existing bed. A copy of the design revision is attached. We are unaware of any verse impacts this installation and granting of the waiver request would have on adjacent wells or septic system . ff you have any questions, please contact us at 337-6179. Thank you for your assistance. M.S. 3701 E. Tudor Road, Suite 101 * Anchorage, AK 99507-1259 Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: www.gamessengineering.com July 2, 2013 Municipality of Anchorage Development Service Department On -Site Water & Wastewater Program 4700 Elmore Rd. P.O. Box 196650, Anchorage, Ak 99519-6650 (907)343-7904 Ref: Proposed Septic Upgrade for Lilac Park; Block 1, Lot 2, To whom it may concern: The existing 5 bedroom house is served by a private well and septic system. The drainfield is in a state of failure and needs to be upgraded. We are proposing to rebuild the existing drainfield to a 34' x 56' bed and install a new 1500 gallon septic tank. We are proposing to excavate all contaminated material and import a minimum of 2 feet of MOA approved sand. Top of sand shall be at equal to or higher elevation than the bottom of existing bed. 1. SOILS & GROUNDWATER LEVELS: See the 1989 soil log (attached) which shows the soil classifications, groundwater monitoring, and the percolation results. We are proposing to remove the contaminated sand below the existing bed and import at least 2' of MOA approved sand, so as to place the top of sand equal to or higher in elevation than the bottom of the existing drainrock. 2. DRAINFIELD DESIGN: See attached design drawing for drainfield specifications. 3. SURFACE WATERS: The proposed re -built drainfield will be installed greater then 100' from any surface waters. 4. TOPOGRAPHY: The average topography around the drainfield is relatively flat. In short, there are no slope concerns. 5. WAIVER TO BED WIDTH: The proposed re -built bed has dimensions of 34 feet by 56 feet. A request for a waiver is required for any proposed bed with a width larger than 15 feet. In short, we request your department issue a waiver to allow a width of 34 feet for the proposed re -built bed. Due to site constraints and the fact that the existing bed has served the home adequately for the past 23 years we believe there to be minimal risk associated with the granting of this waiver. Construction methods will be incorporated to insure that equipment does not "walk" on the bottom of the excavated area. We are unaware of any adverse impacts this installation and granting of the waiver request would have on adjacent wells or septic systems. If you have any questions, please contact us at 337-6179. Thank you for your assistance. 3701 E. Tudor Road, Suite 101 * Anchorage, AK 99507-1259 Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: www.gamessongineering.com I I s I / LILAC " PARK; VALH I I BLOCK 1, LOT 4A / LOT T I I I I \ LILAC VALHALLA; 1 I I `I BLOCK K 1, I i •. , --'j- B K4 I I LOT 3A LOT6 II II I��` \\_•_ v I IWI \I t0 ` I7,0- - IIII III I I VALHALLA;wo BLOCK i Liu / -ltT 4 I I I 3 \ / I / VALHALLA; I- -BL40L 4. LOT 5' � I BLOCK 4, I \\�R� LOT 1 BLOCK 4, I� I SCALE: H U F = 100' �DT 4 1 1 ` I T \ VALHALLA; / \ —B�ogx (� / LOT 3// \ I II II I��` \\_•_ v I IWI \I t0 ` I7,0- - IIII III I I VALHALLA;wo BLOCK i Liu / -ltT 4 I I I 3 I\ J I J I LILAC PARK; _ KOCK 1, LOT 1 fj J �I J I I I AN ROAD GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS $. GENERAL CONTRACTORS'- I E. MI FOM. SUI 101 • 6Ytl1 E. " WM7 • WnNF (WI7111) Al 0 t EKY 14671\W_i9lf. ♦ WMQ=. PARED FOR: PHONE NUMBER: JOHN & AMELIA WALSH 345-9343 4L DESCRIPTION: LILAC PARK; BLOCK 1, LOT 2 C OF WORK: SITE PLAN PAGE NUMBER: 1 OF 2 lu;RU 7/2/13 ,-I I \ C PAS' B 0 'F, LOT 3 \ L C PARK; BLO 2, LOT 2 m *::•4*i ............... ........... e Ga ess.� VALHALLA; ' BLOCK 4, I \\�R� LOT 1 I SCALE: H U F = 100' I\ J I J I LILAC PARK; _ KOCK 1, LOT 1 fj J �I J I I I AN ROAD GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS $. GENERAL CONTRACTORS'- I E. MI FOM. SUI 101 • 6Ytl1 E. " WM7 • WnNF (WI7111) Al 0 t EKY 14671\W_i9lf. ♦ WMQ=. PARED FOR: PHONE NUMBER: JOHN & AMELIA WALSH 345-9343 4L DESCRIPTION: LILAC PARK; BLOCK 1, LOT 2 C OF WORK: SITE PLAN PAGE NUMBER: 1 OF 2 lu;RU 7/2/13 ,-I I \ C PAS' B 0 'F, LOT 3 \ L C PARK; BLO 2, LOT 2 m *::•4*i ............... ........... e Ga ess.� D ITE L — — — J 11 NOTE: THE CONTRACTOR SHALL HAVE THE SOUTH LOT NUMBER OF BEDROOMS: 5 LINE, EAST EASEMENT, AND GALLONS PER DAY (GPD): 750 GPD \ ALL WELL RADII FLAGGED BY PERCOLATION RATE/S: *21 PROPOSED APPLICATION RATE: **2.0 \ A REGISTERED LAND MINIMUM DRAINFIELD SQ.FT.: 375 SQ.FT SURVEYOR PRIOR TO *PER LEROY REID, P.E. **CATEGORY II TREATMENT SYSTEM DRAINFIELD DESIGN: MAXIMUM DEPTH OF EXCAVATION: LIMITED TO REMOVAL CONTAMINATED MATERIAL. WIDTH: 15 FEET LENGTH: 34 FEET MIN. OF 2' M.O.A. SAND SO AS TO MAKE TOP OF SAN EQUAL TO OR HIGHER IN ELEVATION THAN THE BOTTOM OF DRAINROCK IN THE EXISTING BED. / EFFECTIVE: 0.5 FEET \ / REDUCTION FACTOR: N/A ACTUAL SQ.FT.: 510 SQ.FT. G, Ltd. HAS A 7 PUE SPECIFICATION LETTER THAT PERTAINS TO THIS DESIGN, TO OBTAIN A COPY OF THE LETTER CONTACT GEG. BY PROCEEDING FORWARD r WITH THIS INSTALLATION, THE ENGINEER, Fr ---1 WELL DRILLER, CONTRACTOR AND i •: PROPERTY OWNER AGREE THAT THEY i — — — „+;.: HAVE READ THESE SPECIFICATIONS AND 1 AGREE TO ACCEPT THE TERMS AND 1 CONDITIONS OUTLINED. ;' EXISTING 5 I I BEDROOM HOUSE I 70 REPLACE EXISTING 1500 GALLON SEPTIC TANK`'i'•:^-""'' INSTALL DOUSE CLEA OUTS WITH A NEW 1500 I GALLON SEPTIC TANK ••G.H.+:. PROPOSED INSTALL 500 GALLON 1050 AEROCELL 1.54, LIFT STATION W/ POD WITHOUT JANDY VALVE QUANICS CONTROLS I U Q PROPOSED 15'x34' I BED REBUILD \ I I X MIT, I W PARK; I U EXISTING 32' X 54' BLOCK 1, LOT 1 I Z VOO G( / BED FOOTPRINT \ +OLD TH II MT ��% a NOTE: IT IS ASSUMED THAT I INSTALL 10' N I I THE SEWER SERVICE LINE DIRT PLUG FROM THE HOUSE TO TANK LY (INSTALLED SOUTHEAST REMAINDER D BED I I I AA FCOREVIMUOSTS E LA TO BE ABANDONED IN PLACE CALE: IF ONE DOESN'T EXIST, FUTURE RESERVE SITE 1" = 40' oa�OF, GARNESS ENGINEERING GROUP, Ltd, pp*\. 4 TT. 1-7*I CONSULTANTS & GENERAL CONTRACTORS p• • • •' • • • • • . . . . . . . . 3701 E. NCOR RUN, BORE 101 • MCHORNOE, Ox NW7 • PHONE (907)337-6179 • FM (807)336-3246 9 fing.w PREPARED FOR: IPHONE NUMBER: PAGE NUMBER: • . • . . . . . JOHN & AMELIA FERNANDEZ 345-9343 2 OF 2 �� o0f y A.gGQrness.•' LEGAL DESCRIPTION: DRAWN BY: a • . C �// �c�0� LILAC PARK; BLOCK 1, LOT 2 A.J,G. ��fe y..!... �Ao TYPE OF WORK: DATE: 4�Qd professlol`���� SEPTIC SYSTEM DESIGN UPGRADE 8/15/2013 Co1N1'i�� Q 4' CONTOURS RK; B CK 1, VA N.M; I 1 OT 4A VLOTK74. I T\ I � I \ i PARC• TVA LLA;BLOC 1,� B OTK64 I I LO 3A / VALHALLA; I / I VALHALLA: K 4,I\ / 1 I\Iagl \'R9\S / ! I�A1CC PAR / \ LOT 4 I 1 ' 1 B C'K . L OT 3 LO C2. LOT VALHALLA;/ @69CK -4r ! r LOT 3/ ILij ALHALLA; BLOCK x _1 LILA KOCKC 1. LO 1 O K 2PAL T 1 1— BLOCK 4 I \\ a TIC Lor 1/ I 1 UI I j I _ GARNESS ENGINEERING WEB9REGRC?UP, Ltd. p;� w CONSULTANTS & GENERAL CONTRACTORS �........ .. . . .......... :... O V01 E. MOOR ROID, SURE 101 • NICN WE, N( 9950] � PHONE (907)137-8179 • FAR (907)339-3245 • : •xw.gamemngi.mg.. P, PREPARED FOR: PHONE NUMBER: PAGE NUMBER: ••• • D JOHN &AMELIA WALSH 345-9343 1 OF 2 �Q m ,, f r A. ess:' LEGAL DESCRIPTION: DRAWN BY: Oo9.3 •' `cm°�0 LILAC PARK; BLOCK 1, LOT 2 PNB �� e,, , '7�1!Q�(3'' c°v TYPE OF WORK: DATE: 4��d'Or0 fe es1000\ SITE PLAN - TOPO 7/2/13 ��OO0000 Nil GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS & GENERAL CONTRACTORS * l; • 9 T ..�* 101 E. TUDOR ROM, SURE 101 • MCWO E, M. 99507 •PHONE: (907)337-6179 • FM: (9W)WS-3246 • WE M: 9amese ine n9.wm ........ .. . . .............. SOIL LOG - PERCOLATION TEST LEGAL DESCRIPTION: LILAC PARK; BLOCK 1, LOT 2 ".J Garn ss.- PERFORMED FOR: JOHN & AMEDA WALSH DATE:DEPTH�79 G �P. $ .6 (f e 1 tORGANICS �4a p�0fessi0�°oma TEST HOLE 1 �0000��o 19� PERCOLATION RATE _ (MIN./INCH) PERO. HOLE DIA. — (INCHES) TEST RUN BETWEEN FT. AND FT. 20 A FOUR HOUR PRESOAK WAS PERFORMED: ❑ YES ❑ NO SOILS LOGGED BY: ROB CAMPBELL PERCOLATION TEST PERFORMED BY: COMMENTS: TESTHOLE WAS FOR GROUNDWATER MONITORING PURPOSES ONLY. PERFORMED BY GEG, Ltd. I, JEFFREY A. GARNESS, CERTIFY THAT THIS WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: SOIL CLASSIFICATIONS jF 7g•S ��) ) 2 T�RMO 11 ?`: c `• GW = ORG Itil 1 \ 3 " a`:+1, GP ML GM CL 1 4 \ Ill GC OL I Int \ 0000 o SW MH 0 .0o." o • . SM i i/ OH g SC 1 I • M}.c C, J 7— DEPTH ODATE GROUNDWATER GM TO ML 8 DRY 7/31/13 1 / � DRY 8/7/13 1 \H#1♦ 9 �I � LE: 10 1 11 DATE READING CLOCK NET TIME WATER LEVEL NET DROP TIME (MINUTES) READING (INCHES) 12 13 14- 15 g.O.H. 16 17 18 19� PERCOLATION RATE _ (MIN./INCH) PERO. HOLE DIA. — (INCHES) TEST RUN BETWEEN FT. AND FT. 20 A FOUR HOUR PRESOAK WAS PERFORMED: ❑ YES ❑ NO SOILS LOGGED BY: ROB CAMPBELL PERCOLATION TEST PERFORMED BY: COMMENTS: TESTHOLE WAS FOR GROUNDWATER MONITORING PURPOSES ONLY. PERFORMED BY GEG, Ltd. I, JEFFREY A. GARNESS, CERTIFY THAT THIS WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: A . LOCATION OF WELL (Pieces complete either la, Ib or Ic.) WATER WELL RECORD STATE OF ALASKA DEPARTMENTOF NATURAL RESOURES Division of Geological a Geophysical Surveys Drilling Pen.lt No. A.D.L. No. -1-11 Bprough ad vision I Lot I Black Ib. I/4girs. —of_of—af� Section No. TownshlpN� - 5 13 Range E❑ W❑ Meridian Ic. DIS�TANNCJE� AND DIRECTION FROM ROAD INTERSECTIONS "'eiLati r Street Addrose and Aj*J of We1I Location S. OWNER OF WELL: / Address: w/'j``/'/'�y//i/M�'/�-•e-n�/��— 2. WELL LOG Material Type FBelow Surface Top Bottom 4, WELL DEPTH: (final) ; • F sft �/ X S. DATE OF COMPLETIO & — — 2— 6. ❑ Cable fool `; Rotary C]Driven C3Dug ❑ Augv ❑ Jetted ❑ Bored ❑ Other: 7, use.g Domestic ❑ Public Supply ❑ Industry ❑ Irrigation ❑ Recharge ❑ Commerical 4 Tut Well ❑ Other: n 2 �! 6. CA ING: ❑ Threaded 9 Welded dime. In. to_ ft. Deplh Weight17 bs./ft. dlarn. in. lo_ ft. Depth CH.W.p Z.— it. 9. FINISH OF WELL: Type: Olarestert slot/ Ih Slw: Length: Le Set between ft. and it. Backfilling Gravel pack 10. STATIC WATER LEVEL: //O fl, ❑Above or '0Belaw land surf ea Date Equipment used: II. PUMPING LEVEL below land surface and YIELD Qit. otter _hrt. pumping —g_9. p.m. _ft. after_hn. pumping _g.p. m. - 12.GROUTING Wsll Grouted: ❑ Yes ❑ No Material: ❑ Neat Cement ❑ Other: IS, PUMP: (if available) HP Length of Drop Pipe ft. capacity —9 -P.M. ❑ Subm. ❑ Jet ❑ Centriflcal ❑ other 14.REMARKS: 16. WATER WELL CONTRACTORS CERTIFICATION: IS. Wafer Temperature ❑ F ❑ C Thl wo ^drilled d r urisd cl II end lnis report m true to ihaMe/tt of nly� no dge and belief( Registered Sus'hess N e Coni roti icense Uumber A dd.eaa: / Signed: Authorized Rep erfotive Form 02-WWR (11/811 Copy Distribution: WHITE - State DGGS, PINK - Driller, CANARY- Customer 1 9 |`|CN1i|1>u!ANCHDRAGE Department o[ Health it Human Services 825 L Street, Anchorage, Alaska 99501 313_4720 �N-S[lE WELL PERMIT Permzt Number: 900017 (� »���~� {}aLe 1ssued: o1/24/90 Uwner Name: HRICE CHAMBERS Dwner Addrpss: 11841 TDIr, DRlVE ANCHOHAI jE�t AK 99515 Parcel Id: 015~2|1~17 Lot Legal: Subdivision: LILAC PARK M8U" Lot: Section: 22 Township: 12N Range: Lot Size 72225 (sqt" or acres) Max Bedrooms: This Permit: 0 Total Capacity: Day Phnne: 279~5553 2 8]tic: k: 1 3W WELL: Log must be submitted to Municipality o| And,orage Uepartment ca Health and Human Services within 30 days of well completion. 7H1S PERMIT EXPIRES 12/31/90 AND VALID FOR A SINGLE FAMTLY 1 I0ME. WELL MUST BE LOCATED FRDM ALL SOURCES UF CONTANIMATIDN. I CERTIFY [HHT: i. I am [amiliar with the requirements {or can ~site sewers and we1ls as set forth by the Municipality o| Anchorage (MOA) and the State of Alaska. 2. l will install the system in accordance with al] MOA codes and regulaLitin s, and in compliance with the design criteria of Lhis permit. 3. J will adhere to all MOA and State of Alaska requirements tor the sei back distances �rom any well, wastewater disposal system or pubiic sewerage system on this or any, adjacent or nearby 1ot. 4. l understand that this permit is va]id 1ur a maximum o 0 bedrooms, i also understand Maj. 411e capaciLy of the total system is 5 bedrcoms a/x1 any enlargement 1 I �jAn additional permit. S�gned: 0Al�E: Issued MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES r s Environmental Health Division 825 "L" Street, Anchorage, Alaska 99502, Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Name DISTANCES Address _ `9'9'� /S� FROM TO SEPTIC ABSORPTION WELL l l ?' `i l /.fir) ✓e- TANK FIELD Phone(s)Permit No. No. of Bedrooms WELL ,Q fiC Z CC -1 r Of k ki 0 w 11 ' Y iJa,72 .ir _ LEGAL DESCRIPTION LOT LINE Lot Block Subdivi Ion .e a FOUNDATION Township, Range, Section AS -BUILT DIAGRAM (Show location of well, septic system, property lines, foundation, _r ldN /2 sej e d Ci /f — driveway, water bodies, etc.) f-� /`ivt� Cr cllrn i� ?� taco.. r,r� /990 // L// sonIM MEMNON 0 W11 I MEMO 9' f L D 7t'P �✓ 2, 2 l y2hd r, Er UW f q/fsOLrctions JPerformed by: %vim// L / /. t_%lmc� 6�d Dale: certify that this inspection was performed according to all Municipal and Stale guidelines in ellect on this dale: t Health Department Approval: � Date: o d 72-013 (3/85) V1 S� ENGINEER'S SEAL TANKS ,9 SEPTIC ❑ HOLDING Manufacturer Capacity in gallons / '4P e, f ? C /_5 0 Z) Material No. of Compartments e TYPE OF SYSTEM ❑ TRENCH LK] BED ❑ W. DRAIN ❑ OTHER Depth to pipe bottom from / Total depth from original grade original grade '7 FT ;.5'- FT Fill added above original grade Gravel depth beneath pipe ® FT `S� FT _ Gravel length / Gravel width S FT jl, 2 FT Total absorption area Distance between lines SQ FTS FT Number of lines Soil rating Pipe material o2i SQ FT _ Installer Dalte Installed / /t-- I It V_2 1 Ci `� SO r:51 WELLS PRIVATE ❑ OTHER (Identity) Classification (A,B,C) Total Depth Cased to N� l8' FT o2/S' FT Installer Date Installed: n /� U s� //— f-� /`ivt� Cr cllrn i� ?� taco.. r,r� /990 // L// sonIM MEMNON 0 W11 I MEMO 9' f L D 7t'P �✓ 2, 2 l y2hd r, Er UW f q/fsOLrctions JPerformed by: %vim// L / /. t_%lmc� 6�d Dale: certify that this inspection was performed according to all Municipal and Stale guidelines in ellect on this dale: t Health Department Approval: � Date: o d 72-013 (3/85) V1 S� ENGINEER'S SEAL }1UNICIPALI1Y OF ANCHORAGE Department o� Health & Human Services 825 L Street, Anchorage� Alaska 99501 343^^4720 UN~SITE SEW2R PERMIT PermiIl. Number: Date Issued: 10/03/89 Engineer De�igned Owner Name: BRUC� CHAMBERS Owner Address: 11841 TOY DRIVE ANCHORAGE/ AK 99524�O668 Day Phone: Parcel Id: 015'211~17 Lot Legal: Subdivision: LILAC PARK Lot: 2 Block: 1 SecLion: 22 Township: 12N Range: 3W Lot Size 72225 (sq.�t. or arres) Max 8edrooms: This Permit: 5 Total Capacityx 5 SEPTIC TANK: Minimum total septic taOk capacity: 1500 gallons, Each septic tank must have at least 2 compartments. Depth to top o| septic tank(s) �eet requires insulation over tank(s)^ PERMIT EXPlRES DECEM8ER 31, 1989. NOTIFY UHHS OF INSPECTIONS AT 343~4744 OR 343-4681" PRIOR TO USIN6 LOWEF ION OF RESERVED AREA, APPLICANT MUST � O8[AIN PERM[T FROM P"W. FH ENTERING STORM DRAIN EASEMENT� AND CDNFOHM TO P,W, REQUlREMENTS FOR [NSTALLATION. l CERTIFY THAT: 1. I am familiar with the requirments [or on-site sewers and wells as set �orth by the Municipality of Anchorage (MOA) and the State o[ Alaska. 2. I will insta]l the system in accordance with all MOA codes and regulations� and in compliance with the design criteria of this permit. 3, l wi11 adhere to all MOA andState o{ Alaska reguirements |or the set back distances [rom any existing wer disposal system or public sewerage system on this or any adjacen-L or nearby 1ot" 4" I understand that this permit is valid or a maximum of 5 bedrooms^ l also understand that the capacity o{ the total system is 5 bedrooms and any enlar vj ill dc I permit" Signed: DATE: (Owner) BRUCE CHAMBERS X_e�_ Issued By: DATE: /'D__ A E° ALASKA RUIROWnTAL COWROL SCRUIHS, K. 5 a engineerinq & enuironmenlal Studies SPECIFICATIONS FOR BED WASTEWATER TREATMENT SYSTEM LEGAL DESCRIPTION: LOT 2, BLOCK 1, LILAC PARK SUBDIVISION 1.0 GENERAL 1.1 The Drawings, sheets 1 through 4, shall be part of this specification. 1.2 All materials and workmanship shall meet the requirements of the Municipality of Anchorage, Department of Health & Human Services (DAIIS), the conditions of the permit, and all applicable rules and regulations currently in effect. 1.3 All excavations and depths are advisory, and are to be verified or modified in the field by the Engineer or inspecting agency. 1.4 It is the responsibility of the property owner or installer to adhere to approved design for t -he installation, to maintain the specified separation distances and to have the appropriate inspections. 1.5 It is the responsibility of the property owner or installer to report to the engineer any observed conditions which would put the system in violation of state or Municipal regulations. 1.6 If the installation is not inspected by an AECS engineer, AECS will not be responsible for the installed system. An engineer at AECS should be consulted prior to construction, to determine the number of inspections that will be required and to explain what these inspections will involve. 2.0 SEPTIC TANK 2.1 If there is an existing septic tank it may be used if it meets the capacity requirement for the residence. The structural integrity of the tank must be verified. 2.2 The septic tank shall be a UPC -approved two-compartment tank, constructed of 12 gauge steel with bitumastic coating and set level on undisturbed soil. If the tank is buried at a depth of 4 feet or less, it must be insulated with an overlying layer of 2 inch burial type polystyrene rigid board insulation. 1412 WCSL 330 AVCIIue 0 AnchooACC. AIASkA 99503 0 (9071279-5553 2.3 The septic tank shall be a minimum of 5 feet from the house foundation, and a minimum of 5 feet from the absorption area. 2.4 The septic tank and bed shall be a minimum of 100 feet from any private well or body of water, 150 feet from Class "C" wells, and 200 feet from Class "A" or "B" wells, unless otherwise specified. Less than the required separation distance must have prior approval or waiver by DIMS or Alaska Department of Environmental Conservation (ADEC). 2.5 Piping shall be fitted with a mechanical watertight calder coupling on the outlet and inlet of the septic tank. Piping shall be 4 inch solid PVC ASTM D-3034 or cast iron, sloped a minimum of 1/4 inch per lineal foot on the inlet side and 1/8 inch per foot on the outlet side. If the piping is buried at a depth of 4 feet or less, it: must be insulated with an overlying layer of 2 inch burial type polystyrene rigid board insulation. 2.6 Cleanouts shall be installed as designated and capped with air -tight rain caps (.Jim Caps or equivalent), and extend a minimum of 1 foot above ground level. 2.7 If a lift station is required it shall be a combination lift station septic Lank per Anchorage Tank and Welding, Inc. design. Specifications and design drawings are on file with the municipality and the engineer. 3.0 SEEPAGE BED 3.1 The gravel for the bed shall be 0.5 to 2.5 inch, screened rock with less than 3 percent passing the No. 200 sieve. All substitutes must have prior. DHHS approval. 3.2 The bottom of the excavation shall be level and raked with the backhoe blade to ensure that the bottom has not been compacted during excavation. 3.3 Sand, for leveling, shall have a size distribution which meets the requirements of MOA code 15.65.077. 3.4 The distribution pipe shall be perforated 4 :inch rigid PVC with a minimum crush strength of 1500 pounds and shall meet the approval of DHIIS for use as drainfield pipe. All pipes shall be laid level, and spaced according to the drawings. 3.5 Monitor standpipes shall be planed as shown in the drawings. They shall be 4 inch rigid FVC ASTM D-3034, or cast iron. The section shown with holes may be either drilled 0.5 inch holes on 6 inch centers on opposing sides of the pipe, or a section of regular perforated sewer pipe may be clamped to the solid section with a no -hub coupling or solvent joint. The perforated section of the monitor tube shall be located in gravel only. The portion of pipe above the sewer rock shall be solid. A rubber raincap (.Jim Cap or equivalent) shall be placed over the top of the pipe. 3.6 Filter fabric is required. 3.7 The side slope of the mound shall be slope 1 foot vertical to 3 feet horizontal. 3.8 The bed shall be planted with a white clover and red fescue mix, or with Kentucky bluegrass. 4.0 INSPECTIONS 4.1 This bed will require a minimum of three inspections. The first inspection will be of the open excavation, to assure that the system is installed in the proper soil strata, correct depth and meet minimum specified design parameters. 4,2 The second inspection will be after placement of gravel, monitor standpipes, and distribution pipe, to verify proper installation and position of pipes prior to backfill. 4.3 The third inspection will be after final backfill grading and seeding to ensure that adequate soil cover has been provided over the bed. 4.4 The inspection of the septic tank or lift station installation can be incorporated with any one of the above listed inspections. 4.5 The lift station will require either an MOA electrical inspection or certification by a licensed electrician depending on whether the building code applies to this part of the city. ALASKA ENVIRONMENTAL CONTROL, SERVICES, INC. 1200 West 33rd Avenue, Suite B ANCHORAGE, ALASKA 99503 (907)561.5040 JOB /C2 n/ SHEET NO. OF r, CALCULATED BY --_DATE CHECKED BY DATE / _ � O(D cr.nl c PNOXV ml � Irk., Crriw, Mm 01471. ALASKA ENVIRONMENTAL CONTROL SERVICES, INC. 1200 West 33rd Avenue, Suite B ANCHORAGE, ALASKA 99503 (907) 561-5040 JOB./O4 /O e - L:- ZC SHEET NO. % OF 7" CALCULATED BV X" �`1 DATE /Z!/� g CHECKED BY DATE B :AI F " �o PROW 241 1�., Goon. Mau 01111. ALASKA ENVIRONMENTAL CONTROL SERVICES, INC. 1200 West 33rd Avenue, Suite B ANCHORAGE, ALASKA 99503 (907) 561.5040 JOB /d '- 2 r /c�!L".//� _ SHEET NO. OF -r CALCULATED BY DATE CHECKED BY DATE r arnio P /0 V ` PRWM 2061 �ix, Grtw Mau 01111. 'a' %K w J� CF`f �/p oeooDeeeD of okQF�NGINEERSSEAL) s eDe Municipality of Anchorage �7®B0 leeole- a eossoD fi DEPARTMENT OF HEALTH & HUMAN SER1IC 4 ll 00 e! a •! !!!!D!0 00�• 825 "L" Street, Anchorage, Alaska 99502-0 0 RO`� C. RE D, JR. ; h SOILS LOG — PERCOLATION TE Si< ,!-CE-2 1 ' `° I�� L ""/� 4--'J;1200 �!!!DOle0 e6e l`4 V PERFORMED FOR: /`-1 Pt W qi '-oN_S a/- v/p f.5 ���'/'i/yyyAy�ve$$+}i�q.0 nn 1�/� Yuc P CA o — DATES' AMED: ��/6Z89 LEGAL DESCRIPTION:. a v / kzc Pe Township, Range, Section: 7-/.7 +o 2 ?,w Lp DEPTH SLOPE SITE PLAN w +• �s'r"t� 2 3 i 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 -(,I,! Sa ., d ON I i �ravo !ly Sa d.1_ WAS GROUND WATER ENCOUNTERED? Nr, S IF YES, AT WHAT L DEPTH? 0 P E Depth to Water Alter _ Maniloring7 / Date: A5 S 20 -{ IL_ JI PERCOLATION RATE (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN _� FT AND � FT COMMENTS%� v2 /% a� 70 aJ 0 a Reading Date Gross Time Not Time Water 1) Net Drop (�f� I I� Ir yo l/ /09 D /o Z "% Ilr uta r0 D_' '`67 , oS- I 7 .0 1Tf Ir Q 0bp7— p.6J ro'/ PERFORMED 8Y: 2e i � I v CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 72-008 (Rev. 4/85) •` �i2 189 10 7 v • 6 77 • B b Municipality of Anchcr :.131C1 ' z On-Site Water and Wastewater P •• a 1.:1:111.116 (907) 343-7904 0.. JUL 2 3 Z018 > SAFE-Y ti Certificate of On-Site Systems A a +royal \` Parcel I.D. 015-211-17 Expiration Date: 1. GENERAL INFORMATION Complete legal description Lilac Park B1 L2 Location (site address) 12330 Lilac Dr. Current Property owner(s) Mark J. & Christina M. Miller Day phone 907-301-9264 Mailing address 12330 Lilac Dr. Anchorage, AK 99516 Real Estate Agent Day phone 2. TYPE OF DWELLING: I1 Single Family (w/wo ADU) LI Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 5 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well Individual Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ WaiverNariance request for: Distance: Received by: I�,���iL G Date:11114g- COSA to be released to the engineer,unless otherwise requested by the engineer. COSA Fee $ 52.10 Waiver Fee $ Date of Payment .4'Z41 tg Date of Payment Receipt Number 005150 Receipt Number COSA# Of c! t�5B 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 Forge Engineering Phone (907) 522-7773 Address PO Box 240773 Anchorage, AK 99524 Engineer's Printed Name Benjamin Schiller, PE Date 7/19/18 , OF!�Cqkkil *.•49 Thi d .*' 6. DSD SIGNATURE S bedrooms— 0 .\ - --,� = 0 System#1 Approved for �/ Benlarrn:Schlller / • C � E 12 System#2 Approved for bedrooms #010 slF ��1sna592,.•.•r Disapproved ll, �pROFEss10N\.`'• Conditional approval for bedrooms, with the following stipulations: ..\P OF ti/vC c ON SITE. WATER AND rn WASTEWATER z: `j PROGRAM /G'. r,:D\I\f'� B . Original Certificate Date: 7-z7 ) The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On-Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other • COSA blue sheet r :. 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: Lilac Park B1 L2 Parcel ID:015-211-17 A. WELL DATA Well type Private If A, B, or C provide PWSID # Well Log (Y/N) Y Date completed 11/12/89 Sanitary seal (Y/N) Y Wires properly protected (Y/N) Y Total depth 218 ft. Cased to 218 ft. Casing height(above ground) 28 in. FROM WELL LOG AT INSPECTION Date of test 11/12/89 7/04/18 Static water level 110 ft 110 ft. Well production 8 g.p.m. 4'7 g.p.m. WATER SAMPLE RESULTS: Coliform Neg colonies/100 mL Nitrate 1 .74 mg/L Arsenic ND ug/L Date of sample: 6/15/18 Collected by: Forge Engineering B. SEPTIC/HOLDING TANK DATA Tank Type/Material STEP/SteelDate installed 8/16/13 Tank size 2000gal. Number of Compartments 2 Cleanouts (Y/N) Y Foundation cleanout(Y/N) Y Depression over tank (Y/N) N High water alarm (Y/N) Y Date of pumping Pumper ARM Services - Maint report (attached) C. ABSORPTION FIELD DATA Date installed $/15113 Soil rating (g.p.d./ft2 or ft2/bdrm) 2.0 GPD/SF System type Shallow Bed Length 34 ft. Width 15 ft. Gravel below pipe 0.55 ft Total depth 8 ft. Eff. absorption area 510 ft2 Monitoring tube Y Depression over field N Date of adequacy test 7/04/18 Results (Pass/Fail) Pass For 5 bedrooms Fluid depth in absorption field before test 0 in. Water added 779 gal. New depth 0 in. Elapsed Time: 0 min. Final fluid depth 0 in. Absorption rate >= 750 g.p.d. None Any rejuvenation treatment (past 12 mo.) (Y/N &type) If yes, give date D. LIFT STATION Date installed 8/16/13 Size in gallons 2000 Manhole/Access (Y/N) Y "Pump on" level at 38 in. "Pump off' level at 38 in. High water alarm level at 45 in. Datum Bottom Cycles tested "ARM Services Meets alarm&circuit requirements? Y E. SEPARATION DISTANCES WELL ON LOT TO: Septic tank/lift station on lot >100' On adjacent lots >100' Absorption field on lot >100' On adjacent lots >100' Public sewer main >75' Public sewer manhole/cleanout >100' Sewer/septic service line >25' Holding tank >75' Animal containment areas >50' Manure/animal excrete storage areas >100' SEPTIC/HOLDING TANK ON LOT TO: Building foundation Property line >5 Absorption field >5 100' Water main >10 Water service line >10 Surface water > Wells on adjacent lots >100' ABSORPTION FIELD ON LOT TO: Property line >10 Building foundation >10 Water main > 0 Water Service line >10Surface water >100 Driveway, parking/vehicle storage > 0 Curtain drain None Noted Wells on adjacent lots >100' F. COMMENTS *This is a CATII Quanics septic system. **Maintenance on lift-station & Aerocell Unit performed by ARM Services. G. ENGINEER'S CERTIFICATION .�-����.\\\ of ,a�q tli I certify that I have determined through field inspections and A:74 c4,��° review of Municipal records that the above systems are in 0.. `�,�� .-9 �� conformance with MOA COSA guidelines in effect on this date. *: TH /\ • *y Engineer's Printed Name Benjamin Schiller, PE • '4 •-• .' • `�• : . ••• 0 07/19/18 j Date /, Benja ' chiller r# Is '. CE 12592 •�`�/� , �� •.. 7/19/18 ,.• A 0, islw kll\PROFESS\O ' ... COSA brown sheet 10-10-12.doc 3 / r..p •4T r 1 1 T3'9j. p It ssroR / Cr) 1 1 I �, Mo U.SI + r 11 `�sR4/,V'S m I 1 1 SMT I P ) \�` I s,b 11Z.414r1 — ! I I I 1 3 1 i 1 I I 30' I I I r. z. •4" I 1I1 1ti ! 4.0._1fF d. I a ..,1 • o 1 l LI u 1 ex srwc i' 4 a HOUSE I 1 z 1 1 t t t� 7 ti I 1 1 ',� _ l ?N l 1 Wit 7 1a I % — e %I- 's. 1r 1 I1 1 UJ 6 ', 1 I ... r 04 V 1 ® c.o. • Y.S. 1131 5 tat i M _?e_ IT a7 S6j•Ta C. \, 1 0 1 1 1 N ` t ' • 1 1 , C.O.X2 I ; , LOCATED IN 1 40'ESMT UNDER NO CIRCUMSTANCES SHOULD AN AS-BUILT BE USED FOR CONSTRUCTION OR FOR ESTABUSHING BOUNDARY OR FENCE LINES. THE SUR'vEYOR TAKES RESPONSABIUTY FOR THE INITIAL TRANSACTION ONLY AND ASSUMES FINANCIAL UABIUTY ONLY FOR THE COST OF THE SURVEY. USTED DISTANCES PREVAIL OVER SCALING REPRODUCTION MAY CAUSE ERRORS IN SCALE. IW 9UR\EY SURVEY TYPE • SYMBOLS fUUNOATKeI AS YIIT • SET REBAR 7 '4-ORAINAGE :::i i:i:::� ASPHALT MAL STRUC1URE AS-WILT w F�� I....•.• CONCRETE PLOT AN... AS—eULT...LOT SURREY, ..TOPOGRAPHY ,�O a� FOUND REBAR $ • ] R ❑ AS-ttULT...NO CORNEAS sET® REC4R11►icATla1 AS-TARLT...NO CGt $$SET `L.-� ASSUMED ELEV. --N N METAL FENCE mem WOOD DECK PLOT PLANS & LOT SURVEYS NOTE: IT IS THE RESPONSIBILITY OF THE BUILDER OR OWNER, PRIOR TO ONLY THOSE IMPROVEMENTS ABOVE GROUND AND VISIBLE WILL. BE CONSTRUCTION, TO VERIFY PROPOSED BUILDING GRACE RELATIVE SHOwJ_ FENCES. WELLS, SEPTIC CLEANOUTS, SIDEWALKS. DRIVEWAYS, TO FINISHED GRADE AND UTIUTY CONNECTIONS AND TO DETERMINE ETC., ARE SHOWN IN THEIR APPROXIMATE LOCATION. ONLY. SNOW 'THE EXISTENCE OF ANY EASEMENTS, COVENANTS OR RESTRICTIONS MAY PREVENT SOME IMPROVEMENTS FROM DING SEEN AND LOCATED. WHICH DO NOT APPEAR ON THE RECORDED SUBDIVISION PLAT. ALL DISTANCES ARE RECORD UNLESS OTHERWISE NOTED. SURREY CERTIFICATION Prepared by sosPLOT, , �.•�E OF 44 Robert E. Johns, Jr. & Assoc. I%..cr aft e"t I Iwo MPMMy,.MIM i�.�P.... F. '•y..,.....yA Professional Land Surveyors ,W.1.t...•OM e..�.r Www SW that 1 1.t.1�/5 IW M+.r.r lot...e. ire.," 1700 Brink Drive. eI ewe a M�ii ee I.w iwt vim, w 1 ANCHORAGE. ALASKA 99504 w"•t••a e.. i a.r11"Ire tre .......ei we re ewe! IN h r\ ;lei f Stale• ; = I Ret. Lot S.F. Ree, Plat File No. fir FOUNDATION AS-BUILT • . •"•••� .�'r` �"" 1" 60 L 11~F.45.51 i'.bang"wW1'VW I __...-7,../77,74 � Date Surveyed: Drown by. Ie....M•m•e in..-.01 survey el eM 10/21/13 REJ en.eked b M K M.I.wQ et OA let mill lest all Y. • • I.• tel. Well ...NOM W 10,01008,Y"NI IB.M' %II RO;1 J E •' :.:".:. .�....«.«Y1,.4.. foat. oras,: 10/22/13 Gnd: 2736 W.O. 13-557 FINAL STRUCTURE AS-BUILT ,j a'• 1• �.t Ao�, L Ades .ar,a a.homy rerr lint I e�, •'•.,,�• ... c1 ' Lego/ Oe.cr ti ,: Mrua 'i:"ww«ilw i11: " °o "" td �1 Lot 2 BLOCK 1 Si.t.1IR eM Me olilm e.w..1 Ann. �4111111 prnf4i.iaild`O�• ens M▪ .. f ��` illiti„ilii".• LILAC PARK MUNICIPALITY OF ANCHORAGE ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND REPAIR AGREEMENT THIS MAINTENANCE AND REPAIR AGREEMENT,herein the"AGREEMENT" made and entered into as of this .l{ Day of dK-C47 of 20 , by and between Co71(1afzu--- ,herein the"OWNER."and the Municipality of Anchorage.herein the"MUNICIPALITY".in accordance with Anchorage Municipal Code (AMC) 15.65.365. In consideration of the mutual covenants contained herein, the parties to this Agreement agree as follows: 1. Advanced Wastewater Treatment Systems. The Municipality grants permission to the Owner to utilize and operate an Advanced Wastewater Treatment System(AWWTS). described as Quantics Aerocell Septic System located at(legal description) Lilac Park Block 1 Lot 2 2. Maintenance,Repairs and Alterations. (Owner is required to read, understand and initial each section) \r'f Throughout the term of this Agreement.the Owner shall enter into a service agreement with an AWWTS service and maintenance provider approved by the Municipality or the manufacturer's representative. The AWWTS shall be maintained in a satisfactory condition capable of performing as designed and producing treated septic effluent in accordance with the equipment's approval for operation in the Municipality. It shall be the responsibility of the Owner during the term of this Agreement to pay for all repair(s), maintenance,adjustment(s), replacement costs, and inspection costs. This includes an annual maintenance fee(typically $400 to$600). Owner agrees that only maintenance and repair personnel approved by the Municipality or the manufacturer's representative will inspect and make any necessary maintenance, repairs or permitted alterations to the system. Owner acknowledges that regular maintenance of an AWWTS reduces the potential failure of the system.which could include sewage backup and costly repairs or drainfield replacement. (rev. 05/18/2018) Page 1 of 3 1�✓ Owner acknowledges that the Municipality may request records of maintenance and repairs from the manufacturer's representative or maintenance provider. ✓ Owner acknowledges that the fine for failing to maintain and repair an AWWTS may he assessed in accordance with AMC 14.60.030. _ Owner agrees to Brant the Municipality reasonable access to test and inspect the AWWTS. The Municipality will give at least 24-hour notice. Owner agrees that any sale or transfer of title of the property will not occur without a new Certificate of On-Site Systems Approval. tv/w Owner agrees that the AWWTS installation and maintenance requirements as provided by the AWWTS vendor/installer and approved by the Municipality are the governing guidelines for the construction,maintenance and repair of the Owner's AWWTS. J Owner agrees to maintain remote monitoring of the AWWTS as required by the AWWTS approval. 3. Term. The term of this Agreement shall begin on the date of approval by the Municipality to operate the installed system,or upon transfer of title, and shall continue while the AWWTS is operational or until title is transferred. 4. Nonwaiver. The failure of the Municipality at any time to enforce a provision of this Agreement shall in no way constitute a waiver of the provisions, nor in any way affect the validity of the Agreement or any part hereof.or the right of the Municipality thereafter to enforce every provision hereof 5. Amendment. This Agreement shall only be amended by authorized representatives of the Owner and Municipality. Any attempt to amend this agreement by either an unauthorized representative or unauthorized means shall be void. 6. Jurisdiction: Choice of Law. Any civil action arising from this Agreement 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 Agreement. 7. Severability. Any provisions of this Agreement decreed invalid by a court of competent jurisdiction shall not invalidate the remaining provisions of the Agreement. (rev. 05/18/2018) Page 2 of 3 OWNER: /ffa/ 4-3 3it,L SGA-Pol-6, Tio.J By: sfgn`aI'ure)j Date: 7/ S/i f veir'49//e.0 166 0*,p,, (print name) 7 STATE OF ALASKA ) )ss. THIRD JUDICIAL DISTRICT ) The foregoing instrument was acknowledged before me this 2'day of J U) , 20 jr,by , 0 A .., -,P ' ' veVVfiCGl tilcA'►C, 71. Nolel/Pubic NOTARY PI : IC FOR ALASKA NARISA J. NIAMpRMSERT My Commis..on expires: 3)213022 State of Alaska MY Commission ExPires March 2,2022 MUNICIPALITY: � By: � (signature) Date: 7-ov--1 r ( (print name) Title: • (rev.05/18/2018) Page 3 of 3 ARM Services, LLC Maintenance Checklist:Advanced Treatment System Operational Checklist:Advanced Treatment System Legal Description: Lilac Park Block 1 Lot 2 Street Address:1223a Lilac DrivA Service provided on: Date•7/14/2018 Time:6.00pm Service provided by:Company:ARM Septic ServirPgl I C Employee' Nathaniel Ki irka Date of last Service:UNK By: You Other. 1.Type of Aerocell Treatment System: X Cat II-AeroCell Treatment System ❑ Cat Ill-AeroCell Treatment System 2.Conditions at media filter: X Acceptable ❑Unacceptable a. Evaluate presence of odor within 10 ft of perimeter of system: X None ❑Miki ❑Strong ❑Chemical ❑Sour b. Source of odor, if present: N/A 3.Manhole Risers and Pipe Caps: X Acceptable ❑Unacceptable a. Cover/s intact: X Yes ❑No b. Method of securing cover:Bolts c. Any plumbing leaks or water intrusion: ❑Yes X No d. Surface water/infiltration into components: 0 Yes X No 4.Venting/Air supply: X Acceptable 0 Unacceptable a. Air supply unit operating properly. X Yes ❑ No b. Venting appears operable. X Yes 0 No 5.Media surface: X Acceptable ❑Unacceptable a. Biomat on surface. ❑Yes X No b. Uniform spray pattern. ❑Yes X No d. Ponding in/on media. 0 Yes X No e. Plugging/clogging of nozzles. ❑Yes X No f. Media appears to be settling. ❑Yes X No g. Appropriate maintenance performed. X Yes X No h. Pest activity at surface. ❑Yes X No 6.Effluent quality a. Effluent odor after passing through media filter: ❑None X Mild ❑ Strong b. Effluent color after passing through media filter: 0 Clear X Brown ❑ Black 24738 Chugiak Drive*Chugiak, AK 99567 Ph: (907) 317-9433 office/fax: (907) 688-9433 Email: ARMServicesAK@outlook.com PAGE 1 ARM Services, LLC 7.Tasks for recirculating/discharge flows: ❑ X Acceptable ❑ Unacceptable a. If applicable,Jandy valve functioning: 0 Yes 0 No X N/A b. If applicable,Jandy Valve basin dry: ❑Yes 0 No X N/A c. Cleaned collection system in Aerocell unit: 0 Yes 0 No X Not Necessary d. Design recirculation ratio: 80 :20 e. Actual recirculation ratio (Estimated): EXTRAS: 8. Pump System: X Acceptable 0 Unacceptable a. Control panel in Auto: X Yes 0 No -Remote monitoring working?:Anne b. Timer settings -Phone line working?rLQN/A ON:2 Min OFF:12_min Override ON:2 min Override OFF: 6 min c. Floats in correct placement: X Yes 0 No d. High water alarm operational: 0 Yes 0 No e. High water alarm count:fit f. Pump run time: 7001m g. Pump run counts: 3455 h. Effluent Filter serviced: X Yes 0 No i. Tank lids secured after inspection: X Yes 0 No j. Weep hole functional: X Yes 0 No 9. Primary Tank: 0 Acceptable X Unacceptable a. Sludge and scum level checked: X Yes 0 No b. Tank needs to be pumped: X Yes ❑No c. Tank lids/caps secured after inspection: X Yes 0 No 10.Drainfield: a. Type of Drainfield(circle one): X Bed 5-wide Deep Trench b. Design Effective depth: .55 inches/feet c. Checked Liquid Levels in Drainfield: X Yes 0 No MT#1 Liquid l ever•0 I h .s MT#2 Liquid Level:Qlnches MT#3 Liquid Level:Qlnches MT#4 Liquid Level:0 Indies d. Is there any surfacing effluent 0 Yes X No Other Comments:Repaired settled out distribution line,All systems operational Service Provider ARM Septic Services.LLC Date:7/14/18 Distributor.Gamess Engineering Group 24738 Chugiak Drive*Chugiak, AK 99567 Ph: (907) 317-9433 office/fax: (907) 688-9433 Email: ARMServicesAK®outlook.com PAGE 2 Municipality of Anchorageit '- On -Site Water & Wastewater Program (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL Parcell.D. 015-211-17 Expiration Date: I 1. GENERAL INFORMATION Complete legal description LILAC Park BLOCK_ 1, LOT 2 DC%v Location (site address) 12330 LILAC 1�41< *ANCHORAGE 99516 Current Property owner(s) Mailing address Real Estate Agent 2. TYPE OF DWELLING: AMELIA WALSH Day phone 317-2660 12330 LILAC PARK *ANCHORAGE 99516 Day phone Single Family (w/wo ADU) 1-X r ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 5 4. 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 ❑ WalverNarlance request for: n/0 Distance:= Received by: _,�i Date: l�/1 COSA to be released to the engineer, unless othendse requested by the engineer. COSA Fee $ (0k Date of Payment l Ii I I t 1 Receipt Number CDOIy+G COSA # 0`1) I(41 �-O Waiver Fee $ _ Date of Paymen, Receipt Number Waiver # 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seat affixed hereto and as of the validation date shown below, l verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. 1 further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm GARNESS ENGINEERING GROUP, Ltd. 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. 6. DSD SIGNATURE Phone 337-61j79 Date oo600p�4 . OF. �s4� ff .. I .A.... rness:...� �Q 9.'. C 3 ,•' op f e s slonoa Original Certificate Date: T"unicipality or Anchorage Develop, emt Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. COSA Checklist _N/111 Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other fp 11M ��0000� System #1 Approved for bedrooms. System #2 Approved for bedrooms. OF Disapproved.=�\GcjyO ON-SITE Conditional approval for bedrooms, with the following stipula: WATER AND. �o WASTEWATER Original Certificate Date: T"unicipality or Anchorage Develop, emt Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. COSA Checklist _N/111 Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other fp 11M 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: LILAC PARK; BLOCK 1, LOT 2 Parcel ID: 015-211-17 A. WELL DATA I *ASSUMED BASED UPON SURROUNDING WELL LOGS Well type PRIVATE If A, B, or C provide PWSID# N/A Well Log (Y/N) YES Date completed 1 1 /12/1989 Sanitary seal (Y/N) YES Total depth 218 ft. Cased to *40+ ft. FROM WELL LOG Date of test 11/12/1989 Static water level 110 ft. Well production 8 9.p -m. WATER SAMPLE RESULTS: Coliform 0 colonies/100 ml. Arsenic: N P ug./L. Nitrate L. _06k_ mg./L. Wires properly protected (Y/N) YES Casing height (above ground) 18+ in. AT INSPECTION 10/14/2014 102 ft. 3.9+ — 9 -p.m - Date of sample: 10/14/ 014 Collected by: GEG. Ltd. B. SEPTIC/HOLDING TANK DATA THIS IS A QUANICS AEROCELL CAT iI SYSTEM Tank Type/Material SEPTIC/STEEL Date installed 8/15-16/2013 Tank size 2000 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) YES Date of pumping Pumper AS REQUIRED C. ABSORPTION FIELD DATA *QUANICS AEROCELE SYSTEM **BELOWFINAL GRADE 1 Date installed 8/16/2013 Soil rating g.p.d./ftp r *2 System type SHALLOW TRENCH Length 34+ Width 15 Gravel below pipe 0.55 ft. Total depth **7.52 TO 8 9ft. Eff. absorption area 510+ ft' Monitoring tube YES Depression over field NO Date of adequacy test NEW Results (Pass/Fail) PASS For 5 bedrooms Fluid depth in absorption field before test = in. Water added — gal. New depth =in. Elapsed Time: = min. Final fluid depth = in. Absorption rate >= 750+ g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) NONE If yes, give date — D. LIFT STATION *SEE MAINTENANCE INSPECTION REPORT Date installed 8/15-16/2014 Size in gallons 2000 Manhole/Access (Y/N) YES "Pump on" level at TIMER in. "Pump oft" level at TIMER in. High water alarm level at 45 Datum BOTTOM OF TANK Cycles tested * Meets alarm & circuit requirements? YES E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot 100'+ On adjacent lots 100'+ Absorption field on lot 100'+ On adjacent lots 100'+ Public sewer main N/A Public sewer manhole/cleanout N/A Sewer /septic service line 25'+ Holding tank Animal containment areas 50'+ Manure/animal excrete storage areas 100'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Properly line 5'+ Absorption field 5'+ 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 G. ENGINEER'S CERTIFICATION 1 certify that I have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. Engineer's Printed Name JEFFREY A. GARNESS Date 00/14 (Rev. 11105) w t%; /I 4k, 0�;✓oc� �u5erue,�,� oo�o p 4 OF .�*. f. Gar ess: QO s; CE -j7 m I J 1I y ' P % I k 3sTy I W, U.II j Sy1T p N I I ! I I I 30' 1 I N" w l I 1 4 I ! IIS ENsnKc ty 1 � d SE �'l �%w I U3 gip❑ ! '1 � � \\N� {YQ 1 .a I 4- I TO• \ \ � 1 til \ 1 u 1 1 \ t 1 C.O. x 2 1 LOCATED IN I J 40' ESMT UNDER NO CIRCUMSTANCES SHOULD AN AS-BUILT BE USED FOR CONSTRUCTION OR FOR ESTABLISHING BOUNDARY OR FENCE LINES. THE SURVEYOR TAKES RESPONSIBILITY FOR THE INITIAL TRANSACTION ONLY AND ASSUMES FINANCIAL UABIUTY ONLY FOR THE COST OF THE SURVEY. LISTED DISTANCES PREVAIL OVER SCALING. REPRODUCTION MAY CAUSE ERRORS IN SCALE. IDT mmVEY SURVEY TYPE SYMBOLS • SET REBAR 7 � DRAINAGE A�iSUT FINAL. MIC"M A$-MALT o FOUND REBM..::.... A4� WOOD FENCE . ..•::... CONCRETE Roi RAN... ... LOT M ... ® ASSUME ELEV. X--X-7F METAL FENCE ® WOOS DECK o WRMIRS ET ICU IMTOPASwlY PLOT PLANS & LOT SURVEYS NOTE: IT IS THE RESPONSIBILITY OF THE BUILDER OR OWNER, PRIOR TO ONLY THOSE IMPROVEMENTS ABOVE GROUND AND MS18L.E WILL BE CONSTRUCTION, TO VERIFY PROPOSED BUILDING GRADE RELATIVE SHOWN. FENCES, 'WELLS, SEPTIC CLEANOUTS, SIDEWALKS, DRIVEWAYS, TO FINISHED GRADE AND UTILITY CONNECTIONS AND TO DETERMINE ETC.. ARE SHOWN IN THEIR APPROXIMATE LOCATION, ONLY. SNOW THE EXISTENCE OF ANY EASEMENTS, COVENANTS OR RESTRICTIONS MAY PREVENT SOME IMPROVEMENTS FROM BEING SEEN AND LOCATED. WHICH DO NOT APPEAR ON THE RECORDED SUBDIVISION PLAT. ALL DISTANCES ARE RECORD UNLESS OTHERWISE NOTED. SURVEY CERTIFICATION Prepared by Robert E. Johns, Jr. & Assoc. PLOT PLAN1.•'E�CF"'•4,• •• w. I . i P-fesslona! Land Surveyors Nr Yl ewe N YOY �. N w! e... Ar r re�w�•1 a r w at ar• r as ar.. r» 1 Gj.•• "�� °• 1700 Brink Drive. ANd70RAGE. ALASKA 99604 Scala 1 I, 60r Rae. Lot S.F. Rae. Plat File No. ""'�,.rrl"" •. h FOUNDATION AS-BUILT •• �••••°i °"• '••"' oo:e SaneyW: 10/21/13 Drawn °j REJ Gnedcad DJ�M K E..r . aI A•r rrArwt w M was r w hW1Yw MMNwIaY w • .nnun • • • •• •. aner.. a wwa�wM w a. r.w'• i` RO NS ■ ? 2, �1 aa� 1 Data Drown: 10/22/13 Grid 2736 W.0. 13-557 al De tion: FINAL STRUCTURE AS-BUILT °'a+ • l I� ria wa'i . ^••y. a •...•........... 9 X11 ap Lot 2 BLOCK 1 .E.wawwwwa ""w`,, �M".`ww """ opd. �hi�i:��:•*��� LILAC PARK unit # 166 Legal Description: L Hone Owners Name: 4MM A �, i'k G, Billing Address: t X330; t--trIGec. cl ; ivt Phone #1 �� -93 `€z Phone #2 Override -OFF min Phone #3 Pump Run Time min Start up date: 'j? % j l: j 3 High Level Count `a Dates of Service I i /I ° f �l Timer -ON min Timer -OFF min t M,� Override -ON min a ; Override -OFF min Pump Run Time min ak©S High Level Count `a Low Level Count a Orfice Clogged (Y/N) A,/ Grace Cleaned YfN - Phone Line Checked v Tank Levels Checked Pumping Needed Y/N Floats Checked (Y/N) Notes: ;4igs MUNICIPALITY OF ANCHORAGE • '� DEPARTMENT OF HEALTH & HUMAN SERVICES. Division of Environmental Services On -Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. # 01.5 Z//- 1_j 1. GENERAL INFORMATION HAA# Complete legal description I.,I , _ 13 k 1 LILAC- PA -C I<, Location (site address or directions) '-z 3 3o L IL -A c _�) 2 1yC-- Property owner 1/cja--( Dayphone '71E -(999-526L Mailing address PL-13on ' W, �-, M 110/ /«-1-tcQ1 �Lc 79 7o B Lending agency Mailing add Agent Address Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: E `r 3. TYPE OF WATER SUPPLY: Individual well Community well Public water Day phone Day phone NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 4. TYPE OF WASTEWATER DISPOSAL: / Individual on-site Holding tank Community on-site Public sewer NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025(Rev.1/91) Front MOA#21 5. 0 STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I furtherverify 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 1,c S�� l� Lw�_c� - ��` Phone iq-39/ Address Engineer's signature s (=t � 3 DHHS SIGNATURE Approved for bedrooms. Disapproved. Conditional approval for Additional Comments i Date �0 /? i ` l l• J L � ` l bedrooms, with the following stipulations: 1IITIr The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in orderto satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 72-025(Rev.1/91) Back MOA#21 Municipality of Anchorage SEM Department of Health and Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: Lo 4 2 t 13)! l L i I et � ?cc r k Parcel I.D. I� _ A. Well Data Well type F<�- _If A, B, or C, attach ADEC letter. ADEC water system number I\ l/A Log present (Y/N) 1 Date completed I I It z-1 r9 � Driller _AlpiH f�, Dr% Total depth al 3 / Cased to Casing height _ o� V Sanitary seal (Y/N) _ FROM WELL LOG I ' Date of test (� t -,-I u 5 Wires properly protected (Y/N) AT INSPECTION GAAq Tomo z Static water level (1 D 1 1 —s M n Well flow £3 -g-p.m. v_g.p.m. r� Pump levels 13P 3� r SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot > �T' ; On adjacent lots 42-!S e Absorption field on lot > ; On adjacent lots > 1a-c�D Public sewer main /Y-6 Public sewer manhole/cleanout Sewer service line > /Ott) Petroleum tank Lz�1_ _ WATER SAMPLE -,RESULTS: Coliform Nitrate Other bacteria Date of sample: Collected by: 77 B. SEPTIC/HOLDING TANKDATA/ Date installed I Z/� / mar Tank size/ �Cr✓Compartments 541 Cleanouts (Y/N) __Foundation cleanout (Y/N) Y Depression (Y/N) ►� e High water alarm (Y/N) NlA _Alarm tested (Y/N) Date of pumping LJ I IR Ll _Pumper AMC L, vc � %ess cc)/ ✓ _ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Well(s) on lot > 2 -f On adjacent lots _>1S® Foundation 3 To property line > �o Absorption field 10 Water main/service line > 50 _ Surface water/drainage 72.026(3193)• Front CONTINUED ON BACK PAGE C. LIFT STATION N/ Date installed Manufacturer Size in gallons Manhole/Access (YIN) Vent (YIN) High water alarm level "Pump on" level at Meets MOA electrical codes (YIN) SEPARATION DISTANCE FROM LIFT STATION TO: Well on lot D. ABSORPTION FIELD DATA On adjacent lots "Pump off" Level at Cycles tested Surface water Date installed 12%r s %9 Soil rating (GPD/Ft2) c�—'l 7 v System type Length 5--1 Width Total absorption area 3 Z_ Gravel thickness I 7,;_1 B Cleanout present (YIN) Total depth % � Depression over field (YIN) l� Date of adequacy test fflI 9 / Results (pass/fail) for Bedrooms Water level in absorption field before test �r After test If yes, give date Peroxide treatment (past 12 months) (YIN) SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot > 2-0 � On adjacent lots �! / L4 5 Property line _moi LD To building foundation �j5 To existing or abandoned system on lot [,-//A On adjacent lots 5D Cutbank l,�o 1,1 -e Water main/service line D Surface water (moi �� Driveway, parking/vehicle storage area Curtain drain I`A I'D E. ENGINEER'S CERTIFICATION I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Signature (,) Engineer's Name Date (0 /C? HAA Fee $:3�. 6 ✓ Waiver Fee $ Date of Payment P C v L Date of Payment Receipt Number S 3 ELI Receipt Number 72.026 (3/93)' Back I MINCE 1909 CT&E Ref.# Client Sample ID Matrix ClientName Ordered By Project Name Project# PWSID Commercial Testing & Engineering Co. Environmental Laboratory Services LABORATORY ANALYSIS REPORT 94.2672-1 VOGEL WATER TOBBEN SPURKLAND, P.E. UA Sample Remarks: ROUTINE SAMPLECOLLECTED BY: T.S. QC Parameter Results Qual Units Nitrate -N 0.27 mg/L * See Special Instructions Above ** See Sample Remarks Above U=Undetected, Reported value is the practical quantification limit. D = Secondary dilution. WORK Order 79075 Printed Date 06/07/94 @ 16:19 his. Collected Date 06/03/94 @07:45 lirs. Received Date 06/03/94 @08:00 ltrs. Technical Director STEPHEN C. EDE Released By: Allowable Ext. Anal Method Limits Date Date Init ----------------------------------------- EPA 353.2/300.0 10 06/03/94 CMR UA = Unavailable NA =Not Analyzed LT= Less Than GT'= Greater Than 5633 B Street, Anchorage, AK 99518-1600 — Tel: (907) 562-2343 Fax: (907) 561-5301 ENVIRONMENTAL FACILITIES IN ALASKA, COLORADO, FLORIDA, ILLINOIS, MARYLAND, NEW JERSEY, OHIO, UTAH, WEST VIRGINIA MUNICIPALITY OF ANCHORAGE • '� DEPARTMENT OF HEALTH & HUMAN SERVICES M Division of Environmental Services ���� On -Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. # 015 ;211s i� 2. 3. 4. GENERAL INFORMATION Complete legal description 6— Location (site address or directions) 10-33 0 11%& c_ j)ri 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 of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I furtherverify 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 dateofthis inspection. Name of Firm p4�l�.Gy1 �vv�G�oe►t� Phone oQI-191 , Address Engineer's signature Date 6. DHHS SIGNATURE Approved forjqUe bedrooms. /131 q Z. a C I 1P, .r r l� `Vrj nn°B�7eV V o a 'laeu.•^�+�.j l v c2 ._ Disapproved. Conditional approval for bedrooms, with the following stipulations: Additional Comments Date -'p-L/ --C/2�- The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 72-025(Rsv. 1/91) Back MOA U21 4 z Municipality of Anchorage Department of Health & Human Services HEALTH AUTHORITY APPROVAL CHECKLIST it Legal Description: "-,_Lu2tIc- Parcel I.D. m 5p ^ All -17 A. WELL DATA Well type If A, B, or C, attach ADEC letter. ADEC water system number Log present (Y/N) t fl Y Date completed ) o �� Driller Total depth cel 4l Cased to `, Casing height. �� Sanitary seal (Y/N) — Wires properly protected (Y/N) FROM WELL LOG AT INSPEC'rIOMUNICIPALITY oP Aida -lo �/V3)- Date of test 7.-- k rl l F-NVIRONMENTAL SERVICr-.S [)IVISIrN Static water level Zo �� Well flow g,p,m.(// ,p m Pump level ��%t 'i �oA � � E I V F 1) SEPARATION DISTANCES FROM WELL TO Septic/holding tank on lot >Szc�� _ ; On adjacent lots _ �J Absorption field on lot �`�OO _ ; On adjacent lots Public sewer main N Public sewer manhole/cleanout n� Sewer service line N Petroleum tank zl', "c /w WATER SAMPLE RESULTS: Coliform 9 Nitrate (2. Other bacteria Date of sample: k/7l/ 1 t— Collected by: _ SW e_ B. SEPTIC/HOLDING TANK DATA Date installed I`> '' f f ` Tank size /�-0C�) Compartments J-- Cleanouts (Y/N) Foundation cleanout (Y/N) _ y Depr ssion (Y/N) /h,1' High water alarm (Y/N) N 1 i_ / � j _Alarm tested (Y/N)_ Date of pumping $�7` } 2 Pumper `':,4\X't,( SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: / Well(s) on lot adjacent lots �FoundationTo property line Abon sorption field Water main/service line 5 �� Surface water/drainagetLi) r %%'(' QA 72-026 (Rev. 7/91) Front CONTINUED ON BACK PAGE C. LIFT STATION Date installed i) A Manufacturer Size in gallons Vent(Y/N) High water alarm level "Pump on" level at Meets MOA electrical codes (Y/N) Manhole/Access (Y/N) SEPARATION DISTANCE FROM LIFT STATION TO: Well on lot D. ABSORPTION FIELD DATA On adjacent lots "Pump off" level at Cycles tested Surface water Date installed Soil rating System type s7 �) Length �/ Width 1 Gravel thickness Total depth % Total absorption area I"? a& Cleanouts present (Y/N) Depression over field (Y/N) �/1 .h�— Date of adequacy test s Results (pass/fail) —for .') - bedrooms Peroxide treatment (past 12 months) (Y/N) n\ -O �N ��'�� If yes, give date SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot On adjacent lots Property line I` To building foundation I,',,? ,`v.^ To existing or abandoned system on lot On adjacent lots, <� Cutbank ar - /00 Water main/service line } /, /� 1 Surface water ��-s� � �'"-ki;N'��i Driveway, parking/vehicle storage area Curtain drain N4,0'V`P E. ENGINEER'S CERTIFICATION 1 certify that 1 have checked, verified, or conformed to all MOA and HAA guidelines in effect on -the date of this inspection. Signature Engineer's Name -e, L,1 S"VkLo�",_g Date J, J. J HAA Fee $ o Waiver Fee: $ Date of Payment 8 / 3 /yy Date of Payment Receipt Number 3 <�> C� Receipt Number 72-026 (Rev. 3191) Back MOA 21 MUNICIPALITY OF ANCHORAGE • Department of Health & Human Services M r DIVISION OF ENVIRONMENTAL SERVICES r'}� 343-4744 r1' CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY FOR SINGLE FAMILY DWELLING Parcel I.D. # -_:� � )l - I 1 HAA # U 1. GENERAL INFORMATION (Must be completed prior to submittal) (a) Legal Description (include lot, block, subdivision, section, township, range) 41 /ac parr S v6 7` A2 xe-o Location (address or directions), 1 Z (b) Property owner Lal ice G'�1 a.., y e/� Telephone: (home) 2° Business a7S`6 2'2Z Mailing Address (c) Lending Institution Mailing Address (d) Real Estate Company and Agent Address Telephone Telephone (e) Mail the HAA to the following address: (or check here 9, if hold for pick up.) List contact person and day phone number below: 4 r cs �, C_ ,?79 --rsr3 2. TYPE OF RESIDENCE Single -Family Number of bedrooms 3. WATER SUPPLY Individual Well;X Community ❑ Public ❑ 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 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 to z abed MOBS (88/[ A88) 940-4[ •>laoM s,jaeulbuo Ieuolssaloid aUl ul suolsslwo ao saojaa aol alglsuodsaa lou sl abeaogouy to A1lledlolunIN ay1 •panssl sl aleollllaao a aaoleq elep az (leue ao suoiloadsui lonpuoo lou op SHHQ to soE)Aoldw3 •sluawaalnbaa alels pue leaapal uleliao Alslles olaapio ul suollnl!lsu1 bulpual aiayl pue sawoq to sjasmloind of Asalinoo a se sl4l saop SHHQ aul Te SEIV to alelS 9u1 ul paaalslbai aaaulbue Ieuoiss@loid luepuedepul ue Aq anoge g gdea6ejed ul uanlb suolleluasaidaa ayl uodn Aluo paseq paleoipjao lenoaddy 41!aoglny u11eaH senssi (SHHa) saolAaaS uewnH pue UIIeaH to luawlaedaa obeaogouyloAllledlolunW ay1 Noany0 Ienoaddy Ieuol}lpuoC) to sw�a1 Ieuoll!puoO p@Aoiddesla\/ panoaddy I' ••r•rr •••• •r••.'• P'ss•p Yl 0 • s ° oaysL•'• •...•••°•• �� • Aq swooapaq C2 6,6 / '/7 S aol panoaddy 1VA0Hdd`d SHHa '9 alep 3WFI V. ssaapp`d �_S fr5 ouogdalal wa1=1 to aweN •uolloadsul slgl to alep ayl uo loalla ul suollelnbai pue 'saoueulpio 'sapoo @leis pue Iedlolunw Ile 4l!M aouelldwoo ul sl walsAs Iesodsip aalumalseM ao/pue AIddns @alum ells-uo aql 'uolloadsul PUB uo!leb!ls@Aul (w woal pue saIq abeaogouy to llllediolunW a41 woal paulelgo uollewaolul 94l uo paseq leUl ApJGA aaglanl I •ulaiaq poleolpul ainlonils to adAl pue swooapaq to )egwnu ayl aol alenbape pue Ieuollounl 'ales sl walsAs lesodsip jaleMalsum jo/pue Alddns aaleM ails-uo a4l le4l smOLIs Ienoaddy Al!jo4ln`d glle@H S!Ul to uollebllsanul AW leUl Al!aaA I 'Molaq uMoys alep uolleplleA aul to se pue olaaay paxille leas Aw Aq paillliao sy N011t)'Wa04Nl ONV dltl0 `HOHV3S 3-114 `S1S31 `SN01103dSNl ONIOIAOlid W1414 DNId33NION3 '9 GS N Gt 0\� MUNICIPALITY OF ANCHORAGE (MOA) M��'��MQ Health Authority Approval (HAA) n1i ENS CHECKLIST -FEBRUARY 1984�R0 ' 343-4744 Legal Description: C %oaf 5u� 7- /a Iv 23" sa A. WELL DATA Well Classification A.,aaA If A, B, C, D.E.C. Approved (Y/N) Well Log Present/N) Date Completed / f Yield Total Depth ZZ/R' Cased to Depth of Grouting Static Water Level — // U — Pump Set At Casing Height Above Ground Electrical Wiring in Conduit YKl) SEPARATION DISTANCES FROM WELL: To Septic/Holding Tank on Lot 213S Sanitary Seal on Casing0N) Depression Around Wellhead (Y/6 i -zoo ; On Adjoining Lots DOt/ To Nearest Edge of Absorption Field on Lotlr; On Adjoining Lots ,?/00 To Nearest Public Sewer Line 6r/ To Nearest Public Sewer Cleanout/Manhole AX1,4 To Nearest Sewer Service Line on Lot /.,f J_ Water Sample Collected by ' IC4e«I ; Date-?/, Water Sample Test Results dzG A),r e altef : D•IS Ma/P. Comments B. SEPTIC/HOLDING TANK DATA Date Installed /017,1_tl Size / y-00 No. of Compartments Standpipes &/N) Air -tight Caps (9N) Foundation Cleanout 6)N) Depression over Tank (Y/(9 / Date Last Pumped /Vew Pumping/Maintenance Contact on File (Y/N) �/ ;for e�/moi Holding Tank High=Water Alarm (Y/N,) 0,4 Temporary Holding Tank Permit (Y/N) SEPARATION DISTANCES FROM 5'E=PTIC/HOLDING TANK: To Water -Supply -Well a , ? © To Building Foundation _Z e To Property Line : r 1'o Disposal Field To Water Main/Service Llne •L—�?r0 To Stream, Pond, Lake or Mellor Drainage Course __ > / Comments 72-026 (Rev. 7/88) Front Page 1 of 2 C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata 7-1,2 Type of System Design 13e=� Date Installed 77 Length of Field rX Width of Field 3 2 Depth of Field 7.5r, Gravel Bed Thickness /Z Square Feet of Absortion Area /%Z S Statndpipes Present 6N) Depression over Field (Y/6? Date of Last Adequacy Test Results of Last Adequacy Test ')/9 New /?,?;P To Water -Supply Well ;4CO/ To Property Line /07' To Building Foundation yr To Existing or Abandoned System on Lot /t%%9 ; On Adjoining Lots 7 To Water Main/Service Line 1 Z To Cutback (if present) To Stream, Pond, Lake, or Major Drainage Course ;> to of To Driveway, Parking Area, or Vehicle Storage Area 30-", Comments S4111 meed ►c'r',nzr2cl;N9woraa6v�f o«/y LITION Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Meets MOA Electrical C Comments Dimension Manhol ccess (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, r conformed to all MOA and HAA gujdll& F W� ect on the date of this inspectic, � °�. m� IV, °°0.••..•• q`. Signed �e� 400 600;r�'�t Company C. 0 �� 4 Date �0Z Y'A7 O a•.°° .° .°.. engineer's Seal MOANo.(fF/ 0— 00/Z Receipt No. c' Z 2 �V/ Date of Payment 7 '—E b Amount: $ ,� �- 0 C) Receipt No. Waiver Fee: $ Date of Payment 72-026 (Rev. 7/88) Back Page 2 of 2 V Vi°tolesslo����4V