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HomeMy WebLinkAboutBROADWATER HEIGHTS BLK 3 LT 3Broadwater He10 ights Block 3 Lot 3 #050-081-36 Municipality of Anchorage On -Site Water and Wastewater Program • (907) 343-7904 Page 1 of 3 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP141495 PID Number: 050-081-36 Dwelling: 0 Single Family (SF) ❑ Duplex (D) ❑ Multiple (SF and/or D) Project: ❑ New N Upgrade Name: RYAN SHERCLIFFE ABSORPTION FIELD ❑ Deep Trench N Shallow Trench ❑ Bed ❑ Mound Address 12024 SWEETWATER CIRCLE EAGLE RIVER AK [] Other Phone Number of Bedrooms Soil Rating JTotal depth from original grade 4 4.0 CAT II AWWTS GPD/SF 2.5 Ft. LEGAL DESCRIPTION Depth to pipe invert from original gradeGravel 1.5 Ft. depth beneath pipe 1.0 Ft. Subdivision Block Lot BORADWATER HEIGHTS 3 3 Fill added above original grade 1-1.5 Ft, Gravel length 2*30=60 Ft. Township Range Section Gravel widthnce 5 Ft. Beds: Number of Lines - Dista between lines Ft. SEPARATION DISTANCES TO Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Tank Line 344 Ft= 2 10 Ft. Well >100' >100' >100' NA >25' TANK ❑ Septic ❑ S.T.E.P. ❑ Holding N Other Manufacturer BIOCYCLE Capacity 1500 Gal. Surface Water >100' >100' >100' NA Material Number of compartments Lot Line >5' 5'* >5' NA FIBERGLASS 4 NA Foundation >5' >10' >5 NA LIFT STATION Manufacturer Capacity Curtain Drain >50' >50' >50' NA BIOCYCLE 4 Gal. Remarks EXISTING SEPTIC SYSTEM DECOMISSIONEE Pump on level at 25 Pump off level at 44 High water alar at 22.5 5' LOT LINE WAIVER #OSP141508 in. in. in. Pump make and model MEYER Electrical Inspections performed by MOA Installer PIPE MATERIAL Housetotank 3034 Tanktodrainfield SCH40 DEAN CONSTRUCTION DrainfieldSCH40 C0/MT3034 Inspector LARS SPURKLAND BENCH MARK (Assumed elevation)100 ft Inspectio t61 12/8/14 12/8/14 Location and description sn Zed 3itl 12/8/14 4'" GARAGE SLAB COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL Engineer's Stamp ' Conditional Approval: Date O.T 1�1 Jj3gY Y��jy�J 9 : � i}V4 Oise"•••••••oo•••o•moon�••a "••••s•••• or'eeaoo soon TFlEODDRE 'r. tLaii4)RE s Approvedi��! Date ��h -'s"°•y��l ;+ 17 II ISPOUIVII RgJVII . 1-IL.uVG HEI H �S SID l 6TEI' W WELL RADIUS, PROPERTY LINES BROAD ND SEPTIC EASEMENT STAKED BLOC K BY A REGISTERED LAND SURVEYOR I \ I SWING TIES A B10CYCLE C 27' 19' y / DF. M. I. D 75' 69' THI DF. M. I. E 100' 96' S OF, M.T. F 65' 64' fFllYq I M. I. G 89' 91' F L Qp C DECOMMISIONED EXISTING SEPT YSTEM PER UPC R£QUIREMEN �. \ e3r 4L 3 A � f I \ ' I INSTALLED 4 -BEDROOM SEPTIC SYSTEM Uj�� SE INSTALLED 1500 GALLON BIOCYCLE TRENCH LENGTH 2 x 30 FEET © TRENCH W107H 5 FEET MAX EXCAVATION DEPTH 2.5 FEET I ROCK DEPTH 1.0 FEET 2 2' INSULATION COVER 1 FEET (MIN.) I NOTE.• SLOPES EXCEEDING 25% WERE NOT OBSERVED WITHIN 50 FEET DOWN GRADIENT OF THE PROPOSED " ABSORPTION FIELD LOCATION. NOTE. THIS IS NOT A SURVEYED PLAT. WELL k SEPTIC ,.e��`" :': r;4a•e1•w®oes�', ",. LOCATIONS TAKEN FROM ON-SITE WATER AND WASTE WATER ,.,..>cOZT P 0.7nURE a• DEPARTMENT DOCUMENTATION. ALL LOCATIONS SHOWN ARE Cc - 3589 APPROXIMATE. 25 0 25 50 75 100 125 150 SCALE, 1' = 50 FT, SPURKLAND ENGINEERINGBROADWATER HEIGHTS BLK �? LT 3 SEPTIC SYSTEM ASBUILT 203 V 15TH. AVENUE ANCH. AK. 99501 - RYAN SHERCLIFFE BATE.., FEB 24elfdo15- (907) 279-3916 12024 SV£ETVAT£R CIR EAGLE RIVER AK 99577 SHEET; 213 6RIB; NV253 PERMIT # 0SP141495 PID # 050-081-36 BROABVATERHEIF,HTSB3L3SC50-ASABV6 SHALLOV TRENCH LENGTH 2 x 30' VIBTH 5' MAX LEPTH 25' SEVER R@X IB' COVER r (MIN) F"WAllaV CLEAN OUT r RLS"Hay 4• xBVITae AST4 FG 6LEV = mss, FG EeFV =10.' EG LLEV=%.Y EG afv=IWV SLLIPE FINISHEDGRABS AWAY T. H.,42 6' MM 17881 Ta' INNAL ALL DIRECTRHAS M ELEV - 935 24' MAX 2' COVER . 0 Bele aev = %r -1/ PVC LllSChkiRGE ~ 2 -IN. IMSYB.ATIaV GEOTEXTICE o LB' SEVER RIKK 4' PVC IAFLLENT 2-1/r MINUS o m m PPR9MRY CHAMBER ao -4 0AERA77EN CHAMBER 0a-4RIFIER eP LIEV =Ase• `D ® OBISCHARGE CHAMBER h ro LLE = vim TTDN LF TAN'C 10' MIN ..........•••••••. •.. •.......... BLLEBWD WILAIEW SHALLOV TRENCHSANB/GRAVEL NTS LEVECIAG LaRS� BENCHMARK' GARAGE SLAB COMPAC7EB ASSUMED ELEVATION 100 FT �" "� _ INSTALLATION 1. EXCAVATE A 10' x 10' x 10' BEEP HOLE FOR BIOCYCLE SYSTEM. 2. PLACE A MINIMUM OF 4' SAND OR GRAVEL FOR LEVELING COURSE IN THE BOTTOM 17F THE EXCAVATION COMPACT AS REAUIREA 3 PLACE 4 SHEETS OF 2' x 8' x 2' DIRECT BURIAL RIGID INSULATION ON TOP 17F COMPACTED LEVELING COURSE TO PROTECT BOTTOM OF FIBERGLASS TANK. TAKE EXTRA CARE TO ASSURE THAT INSULATION COURSE IS LEVEL IN ALL DIRECTIONS 4. BACKFILL AROUND TANK UP TO INVERT OF 4' INFLUENT AND 1-1/4' EFFLUENT LINES WITH FREE-FLOVING NSF MATERIAL FREE OF LARGE STONES OR BOULDERS CAP END SAND/GRAVEL BACKFILL MONITOR TUBE 1-1/4' SCHEDULE 40 PVC V/ 1/8' HOLES 2 30'' MINUS SEVER ROCK O CAP END OF ®® 1-1/4' SCHEDULE 40 PVC V/ 1/8' HOLES P 30' > ®+ •.•.00®oAw®►iaw� MONITOR TUB£ •.•• a smpmAre s � 19 fig...® R" �/2�.�U' c� 4 SPURKLAND ENGINEERING BROADWATER HEIGHTS BLK 3 LT 3 TIC SYSTEM ASBUILT 203 W 15TH. AVENUE RYAN ShERCLIFFE • JAN12, -2� 2—a'AANCH. [FDATE. AK. 99501 12024 SWEETWATER CIR EAGLE RIVER AK 99577 EET.3/3 GRID: NW25 907 279-3916 PERMIT # DSP141495 PID # 051-081-36 BROADVATERHEIGHTSB3L3D3-asb.DVG On -Site Water & Wastewater 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: OSP141495 Tax Code Number: 05008136000 Work Type: WellSeptic Upgrade Permit Effective Dates: November 24, 2014 to November 24, 2015 Design Engineer: SPURKLAND ENGINEERING Subdivision: BROADWATER HEIGHTS Site Legal Address: BROADWATER HEIGHTS BLK 3 LT 3 G:0253 Owner/Address: SHERCLIFFE RYAN MICHEAL & LUCIA S 12024 SWEETWATER CIRCLE EAGLE RIVER AK 995777932 Site Mailing Address: 12024 SWEETWATER CIR, Eagle River This permit is for the construction of: Lot Size in Sq Ft: 20791 Total Bedrooms: 4 Y Disposal Field Y Septic Tank N Holding Tank N Privy 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: Municipality of Anchorage P.O. Box 196650 • 4700 Elmore Road Anchorage, Alaska 99519-6650 • (907) 343-7904 • Fax (907) 343-7997 epai tment N http:/Iwww.m uni.ora/Onsite Development Services Division On -Site Water and Wastewater Program **** VARIANCE/WAIVER REVIEW **** Waiver#: OSP141608 COSA#: Permit#:OSP141495 PID#: 050-081-36 Legal Description: Broadwater Heights, Block 3. Lot 3 Engineer: Spurkland Engineering Applicant: Ryan Shercliffe Your request for a waiver of the required 10 feet horizontal separation from the absorption field to the property line has been approved. The approved separation distance is 5.0 feet. F This waiver approval applies to the proposed absorption field only. Any future upgrade to the on-site wastewater disposal system will require all separation distances be met or another approval from this department. ❑ The affected adjacent property owner(s) have been given a 7 day notice regarding this waiver. ❑ Notarized letter(s) of non -objection have been received from the owner(s) of the affected adjacent property. ® Adjacent properties are not affected by this waiver. ............................................................................... Waiver is Granted: X Waiver is not Granted: Date: l 1 A y / 4 Approved byZ Name of Reviewer .................................. a......... ................................. MUNICIPALITY OF ANCHORAGE Community Development Department Phone: 907-343-7904 Development Services Division Fax: 907-343-7997 On -Site Water & Wastewater Program ON-SITE SEWER/WELL PERMIT Parcell.D. 050-081-36 Property owner(s) RYAN SHERCLIFFE APPLICAT MUN ■ Ea 'IV 014 � 2 L Mailing address 12024 SWEETWATER CIR EAGLE RIVER AK 99577 Site address SAME Legal description (Sub'd., Block & Lot) BROADWATER HEIGHTS BLK 3 LT 3 Legal description (Township, Range & Section) Lot Size APPLICATION IS FOR: (® all that apply) Absorption Field Fxj Septic Tank El Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage ❑ Ft. Number of Bedrooms 4 APPLICATION IS AN Initial ❑ Upgrade I—XI Renewal ❑ TYPE OF DWELLING: Single Family (SF) El (w/wo ADU) Duplex (D) ❑ Multiple Dwellings ❑ (SF and/or D) 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. property owner or authorized agent) Permit/Rush Fees: �5ldq— Waiver Fees: /S Date of Payment: /I & 114 Date of Payment: 1,2 4,l y Receipt Number: t9t??b R(f Receipt Number: Permit No. Waiver No. OSP/q)5-08 Permd App_9-1-12.doc Sparr�o�and Eng. A A, onearro�g Environmental Consulting and Design ME SEPTIC SYSTEM DESIGN BROADWATER HEIGHTS BLK 3 LT 3 Municipality of Anchorage October 28, 2014 Development Services Department On Site Water and Wastewater Program 4700 Elmore Road Anchorage, Alaska 99519 Subject: Septic System Installation Permit 12024 Sweetwater Cir Ladies and Gentlemen: I am writing to request a septic system installation permit for the above referenced property. The existing septic system did not meet COSA operational requirements. The proposed system will serve a 4 -bedroom single-family residence. Soil logs, design calculations, a site plan, design drawings and construction specifications are enclosed for your review. Design Cales: No groundwater was observed up to a depth of 8.5 feet below ground surface (10/28/14). Soil Rating. From Testhole 10/1/14 2.7 min/in = 4.0 gal per sq.ft/day (with Category II AWWTS) No. of Bedrooms 4 Required Area per Bedroom: 150/ 4.0 = 37.5 sq.ft. Total area required: 37.5 x 4 = 150 sgft Min 5' Wide Trench Length w/ 1.0' rock: 150 15 * 0.87 = 26 feet System: We are proposing a 1500 gallon Biocycle Category II AWWTS followed by a shallow trench absorption field. The absorption field consisting of two trenches each 30 feet long and 5 feet wide and contain 1.0 feet (344 sq.ft. effective) of sewer rock. The system will be installed in the septic easement on lot 4A. Soils: A test hole was excavated on October 21 2014. See the attached soil logs. Ground water monitoring will continue through construction of the septic system. Groundwater was not observed on 10/28/14 and bedrock was encountered at a depth of 8.5 feet below ground surface. Surface Water: There are no surface waters within one hundred feet of the proposed septic 203 West 15th Avenue Suite 203, Anchorage, AK 99501, Phone: (907) 279-3916 Fax: (866) 354-1597, Lspurkland@gci.net I tp-P Spa M aimd C [Munflas ong Environmental Consulting and Design system upgrade. Topography: The ground level slopes down towards the southwest at a 15-20% grade Waivers: Lot line Waiver- 5' The proposed system must be installed within a prescribed easement, which requires that the drain field be installed within 5 feet of the north property line. This property line abuts the Sweetwater Circle ROW. No adverse impacts are anticipated to the neighboring property. Reserve Field: The septic system is being upgraded from 3 to 4 bedrooms. Advanced wastewater treatment has been specified. The existing absorption field area will be used as a reserve. While the existing field did not meet septic system adequacy test requirements, there is sufficient area for the absorption field to be reconstructed if 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, ASurkland, P.E. Civil Engineer 203 West 150 Avenue Suite 203, Anchorage, AK 99501, Phone: (907) 279-3916 Fax: (866) 354-1597, Lspurkland@gci.net X11 / 1 1 rptU 2 ) rea / Sg \ rAeeol� �Heea `3 r BR B ATER HEI�OTSI\D ' W BLOCK4 2 �Sep�ticJ! ! AArr ! ! ! 1 1 NOTE. THIS IS NOT A SURVEYED PLAT. WELL & SEPTIC LOCATIONS TAKEN FROM ON—SNE WATER AND WASTE WATER DEPARTMENT DOCUMENTATION. ALL LOCATIONS SHOWN ARE APPROXIMATE. 50 0 50 100 150 200 250 300 SCALE 1' = 100 FT SFUKKLANV LNGINLLMING LfffUAVffAlAK ]JAIWILY ffU J LI' J I SEPTIC SYSTEM DESIGN 82003 V 15TH, $ApVENUE RYAN SHERCLIFFE DATE, OCT 28, 2014 IF A79 93916 12024 SVE£TVATER CIR EAGLE RIVER AK 99577 SHEET, 1/3 GRID, NV253 PERMIT # OSPIROXX PID # 050-081-36 BROADVATERHEIGHTSB3L3.SC100.DW6 R HEI HTS SID ' BROADWA T E WELL RADIUS, PROPERTY LINES I I BLOCK ND SEPTIC EASEMENT TO BE STAKED I \ BY A REGISTERED LAND SURVEYOR 4A kil \ Q \ DECOMMISION EXISTING SEPTLC \ TANK PER UPC REOVIREMENTS \ , a •1 01 o I INSTALL 4 -BEDROOM SEPTIC SYSTEM I UT7� qsE- INSTALL 1500 GALLON BIOCYCLE TRENCH LENGTH 2 x 30 FEET © ` TRENCH WIDTH 5 FEET I MAX EXCAVATION DEPTH 25 FEET 2 ROCK DEPTH 1.0 FEET 2" INSUTION COVER 2LAFEET (MIN.) I NOT£.• SLOPES EXCEEDING 25% WERE NOT OBSERVED WITHIN 50 FEET DOWN GRADIENT OF THE PROPOSED ABSORPTION FIELD LOCATION. NOTE. THIS IS NOT A SURVEYED PLAT. WELL & SEPTIC LOCATIONS TAKEN FROM ON -SIT£ WATER AND WASTE WATER DEPARTMENT DOCUMENTATION. ALL LOCATIONS SHOWN ARE APPROXIMATE. 25 0 25 50 75 100 125 150 SYUNKLTH. tNLilNttKlNLi I I BROADNATER HEIGHTS BU 3 LT 3 I I SEPTIC SYSTEM DESIGN ANC W K. TH. AVENUE BATE, OCT 28 2014 ANCiL AK 99501 RYAN SHERCLIFFE (907) 279-3916 12024 SWEETWATER CIR EAGLE RIVER AK 99577 SHEEP 2/3 GRID, NW253 PERMIT If OSP141XXX PID # 050-081-36 BROADWATERHEIGHTSB3L3.SC50.DWG 4' NOVITIB2 ASTM 3034 NLSMATMN 1.0' SEVER RUCK Mir MDIUS 1~ I SHALLOW TRENCH NTS SHALLOW TRENCH LEAGTH 2 X 3A' WIDTH 5' NAY DEPTH 2.5' SEVER ROCK 1.0' COVER r (MIN) r INSULATIaV 2' COVER 24' N4X DISCHARGE FP"MTI6Y CLEAN OUT SLOP£ FaOSN£B 6RAX AVAY 74' FROO TLP IN ALL DIRECTMS 0 P PVC IAFLLHNT 0 PPRLYARY CHAMBER O AERATION C MHXR mCLARIFIER (DNSCNAR6E aANBER _Barran X rANK •'Y'�2' BLL£BOARD INSULATIOV INSTALLATION 1. EXCAVATE A 10' x 10' x 10' BEEP HOLE FOR BIOCYCLE SYSTEM P. PLACE A MINIMUM OF 4' SAND DR GRAVEL FOR LEVELING COURSE IN THE BDTTOM IF THE EXCAVATION. COMPACT AS REQUIRED. 3. PLACE 4 SHEETS L7F 2' x 8' x 2' DIRECT BURIAL RIGID INSULATION ON TOP OF COMPACTED LEVELING COURSE TO PROTECT BOTTOM LIF FIBERGLASS TANK. TAKE EXTRA CARE TO ASSURE THAT INSULAF117N COURSE IS LEVEL IN ALL BIRECTII7NS 4. BACKFILL AROLMID TANK UP TO INVERT OF 4' INFLUENT AND 1-1/4' EFFLUENT LINES WITH FREE-FLOWING OF MATERIAL FREE IF LARGE STONES OR BOULDERS CAP END SAND/GRAVEL BACKFILL MLINIT(7R TUBE O 1-1/4' SCHEDULE 40 PVC V/ 1/8' HOLES P 30' END 30' 2-1/2' MINUS SEWER ROCK TUBE C] 5YUNKLANU LNGINUNING I I BROADWATER HEIGHTS BLK 3 LT 3 I I SEPTIC SYSTEM DESIGN I 203 W 15TH. AVENUE RYAN SHERCLIFFE DATE. OCT 28, 2014 aj ANCH. AK. TQIR 12024 SWEETWATER CIR EAGLE RIVER AK 99577 SHEET. 1 3 GRID: NW25 Aom] AK. 995e PERMIT # PID # 051-081-36 BROABWATERHEIGHTSB3L3D3.DVG Spurkland Engineering 203 W. ISM Ave. Ste. 202A Anchorage, AK99501 TEST HOLE I _t _ DEPTH 1 2 3 4 5 6 7 8 9 10 11 11 13 14 15 16 17 18 19 20 SOIL LOG AND PERCOLATION TEST SOIL DESCRIPTION DATE.• -10121/14 ORGANICS WAS GROUNDWATER OBSERVED: No IF YES, AT WHAT DEPTH.• Sand -slit mbrture AFTER MONITORING PERIOD: (SM) DATE OBSERVED: 10/28/14 PERCOLATION TEST: Silly Gravel w/ Cobbles (GM) NOTES.• FILL DATE I GROSS TIME NET TIME DISTANCE I DROP 6.000' f01211141 10:00 AM 0 min. 6.000" to min 2250 3750 6.000 t0 min 2250 3.750 6.000 to min 2375 3 625 6.000 to min 2.250 3750 6.000 to min 2.313 3.687 10 min 2.313 3.687' PERCOLATION RATE. • 3 minutes/ inch PERC HOLE DIAMETER. 6 inches TEST RUN BETWEEN 2 FT AND 3 FT SITE PLAN: N SEE ATTACHED PLOT PLAN PERFORMED BY: Lars Spurkland. 1, Lars Spurkland P.E. CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. SPURKLAND ENGINEERING BROAMATER HEIGHTS ELIC 3 LTF3 SOIL LOG PERCOLATION TEST 203 V 15TH. AVENUE ANCH. AK. 99501 RYAN SHERCLIFFE DATE, OCT 28 2014 (907) 279-3916 12024 SW££TVAT£R CIR EML£ RIVER AK 99577 GRID #+ NV253 PERMIT # PID # 050-081-36 ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND REPAIR AGREEMENT BETWEEN MUNICIPALITY OF ANCHORAGE AND Ryan M. Shercliffe THIS MAINTENANCE AND REPAIR AGREEMENT made and entered into as of this A Day of /JdVtm`� of 204, by and between Ryan M. Shercliffe herein the "OWNER," and the Municipality of Anchorage, herein the "MUNICIPALITY." In consideration of the mutual covenants contained herein, the parties to this Maintenance and Repair Agreement 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 BioCycle Located at (legal description). Broadwater Heights Blk 3 Lot 3 2. Definitions. 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. Certificate of On -Site Systems Approval (COSA). An approval by the Municipality of existing water and wastewater disposal systems given at the time of property sale and title transfer in accordance with Anchorage Municipal Code (hereinafter, "AMC') 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. Damage. Any man-made or natural change in a system that would inhibit the system from performing as designed. 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. Permit. An On -Site Wastewater Disposal Permit as required by AMC 15.65 to construct and operate an AWWTS. 3. Term. The term of this Maintenance and Repair Agreement shall begin on the date of approval by the Municipality to operate the installed system or issuance of a COSA, and shall continue while the AWWTS is in use or is operational or until the property is sold or title is transferred by the owner and a new COSA is issued to the new owner or transferee of the property. 4. Alterations. Installation and Removal of Additional Equipment. Prior to performing any alterations to an AWWTS, the owner agrees to obtain an On-site Wastewater Disposal Permit from the Municipality in accordance with AMC 15.65. 5. Maintenance and Repairs. A. Throughout the term of this Maintenance and Repair Agreement, the Owner shall maintain their AWWTS in a satisfactory condition capable of producing treated septic effluent in accordance with the equipment's approval for operation in the Municipality. The owner shall enter into a service agreement with an AWWTS service and maintenance provider approved by the municipality and the manufacturer of the AWWTS for the entire term of the AWWTS. In addition, it shall be the responsibility of the Owner during the term of this Maintenance and Repair Agreement, and any 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. B. Owner agrees to comply with all applicable ordinance, laws, regulations, rules and orders for the AWWTS. C. Upon request by the Municipality, the owner agrees to provide the Municipality a written schedule of routine maintenance and repairs which have been performed on the system. When a record of maintenance is documented and maintained by the system vendor, the owner agrees to allow the Municipality access to this information. D. Owner acknowledges that the fine for failing to maintain and repair an AWWTS may be assessed in accordance with AMC 14.60 for improper discharge. E. Owner agrees that only maintenance and repair personnel approved by the Municipality will inspect and make any necessary maintenance, repairs or permitted alterations to the system. F. Owner agrees to grant the Municipality reasonable access to test and inspect the AWWTS upon 24 hours written notice. G. Owner agrees that any sale or transfer of title of the property will not occur without a new Certificate of On -Site Systems Approval. H. 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. I. Owner agrees to provide and maintain a telephone connection to the AWWTS as required by the AWWTS approval. 6. Nonwaiver. The failure of either party at any time to enforce a provision of this Maintenance and Repair Agreement shall in no way constitute a waiver of the provisions, nor in any way affect the validity of the Maintenance and Repair Agreement or any part hereof, or the right of such party thereafter to enforce each and every provision hereof. 7. Amendment. A. This Maintenance and Repair Agreement shall only be amended, modified or changed by a writing, executed by authorized representatives of the parties, with the same formality that this Maintenance and Repair Agreement was executed with, and such writing shall be attached to this Maintenance and Repair Agreement as an amendment. B. For the purposes of any amendment modification or change to the terms and conditions of this agreement, the only authorized representatives of the parties are: a. Owner: Ryan M. Shercliffe b. Municipality: Director, Community Development or designated authority C. Any attempt to amend, modify, or change this contract by either an unauthorized representative or unauthorized means shall be void. 8. Jurisdiction: Choice of Law. Any civil action arising from this Maintenance and Repair 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 Maintenance and Repair Agreement. 9. Severability. Any provisions of this Maintenance and Repair Agreement decreed invalid by a court of competent jurisdiction shall not invalidate the remaining provisions of the Maintenance and Repair Agreement. OWNER: By: W—vr` (signature) Date: It 16 LP "ein YYI Sherc l,-1{, (print name) STATE OF ALASKA ) ) ss. THIRD JUDICIAL DISTRICT ) The foregoing instrument was acknowledged before me this day of,_fl,_,_T n M, by A. STATE OF ALASKA ft NOT UBLIC FOR ALANOTARY PUBLIC My C mmission expires: SKA c3 cc Sandra A. Sneth9n L W Cmwwwbn Bpket Wfth Office NWNICIPALITY: IM signature) Date: name) Title: MUNICIPALITY OF ANCHORAGE DE iTMENT OF HEALTH AND HUMAN SER ES Environmental Health Division 825 "L" Street, Anchorage, Alaska 99502, Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Name `���� S DISTANCES L � t✓ Address FROM TO SEPTIC ABSORPTION WELL X73! W&IM61ZbZIVc �� TANK FIELD cta 995oZ. WELL Phones) P7P,6�lp o. No. of Bedrooms 2-Y3-ao6,cgv 3 6 LEGAL DESCRIPTION LOT LINE O ��..._ !D/ Lot Block Subdw on 3 3 fZOl�t) WATLfz N� l b�%S FOUNDATION Township, Range, Section AS -BUILT DIAGRAM (Show location of well, septic system, property lines, foundation, driveway, water bodies, etc.) TANKS T7 �4 SEPTIC ❑ HOLDING Manulacturer ' NcH()?_,q 6 , A N (c Capacity in gallons Sb Material No. of Compartments lGLL ?_a' t9 o c IO TYPE OF SYSTEM ❑ TRENCH ® BED ❑ W. DRAIN ❑ OTHER .�' o I Depth to pipe bottom from original grade IV FT Total depth from original gradeW y,S FT Fill added above original grade _ Gravel depth beneath pipe FT - p, S FT , Gravel length Gravel width - ZC' --- FT Z_D FT o� Total absorpLon area Distance between lines 5 1!�o SO FT y ` 5 FT Number of lines Soil rating Pipe material TO Vv(L o� 1_/ I / ZS SO FT 57'M F 303L/ Installer Date Installed n/6)z- !z Z 5& o ?-c >; WELLS 45, PRIVATE ❑ OTHER (Identifv) 5 Classification (A,B,C) Total Depth Cased to FTJ FT Installer Date Installed. REMARKS: aim _ d w,sE- Rbw bm-t o>v o6-6 Air (1-I Er CLI lv0A tl 0 Y N S! ►4L L & 5 ENGINEERINGHIS Scale: Ze7 InspectiPerfgrmed by Date.,tN ENGI EAL r � * . t µ', »� +,� 196X I' al�RIVER, AKQne�fT certify that this in pectin was performed according to all Municipal and State guidelines in effect on this date: 2- i✓ Health Department Approval: Date.;_, 72-013 (3/85) PERMIT NO: DATE ISSUED: 1-1 k_J 1%0 1 CO 1: IT? 121 I_ :[ 7F " "'D ", !L.J1 I %A (0 1-1 C3 low Wnh C3 IE: DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L STREET, ANCHORAGE, AK 99501 264-472) ` 1EJ INA F=" FEE FJ 1-H 1: -1 860006 01/03/86 APPLICANT: LEE DARBOUS --- —'---~ � v� ADDRESS: ,. p= ANCHORAGE, Al-.-:: TVSJZ� 3 CONTACT PHONE: 243-8061 LEGAL DESCRIP: SUBDIVISION: BRQADWATER HEIGHTS SECTION: 1 TOWNSHIP: 14N LOT SIZE: 26515 (SQ.FT. OR ACRES) MAX BEDROOMS: 3 Listed belo*(are the options available to you system. Choose the option that ..... ..... __..... ... best fi our -- DEPlH TO PIPE BOTTOM (FT.) GRAVEL DEPTH (FT.) . 'OTAL DEPTH (FT.)�w GRAVEL WIDTH (FT.) STA SRAVJL LENGTH (FT.) * GRAVEL VOLUME (CU.YDS. ) TANK SIZE (GALS) 1,600,f SOIL RATING (SQ.FT./BR) 12'* LOQ -3 BLOCK: 3 RANGE: 2W ' in designing your septic site. 13 hJ~ Kh FR 14][P4 4.0 4.0 0.5 1.0 4.5 5.0 17.0 5.0 / 34.0 66.0 2t.!5 � 18.4 * 1,000.0 * 1,Q00.0 ** 125 125 ** GRAVEL LENGTH > 75 FT. RAUIRES M/0TIPLE RUNS (NOT EXCEEDING 75 FT. EACH) ** TANK MUST HAVE AT LEAST TWO COMPARTMENTS certify that: 1. I am familiar with the requirements for on-site sewers and wells as set forth by the Municipality of Anchorage (MOA) and the State of Alaska. 2. I will install the system in accordance with all MOA codes and regulatiohs, and in compliance with the design criteria of this permit. 3. I will adhere to all MOA and State of Alaska requirements for the set back distances from any existing well, wastewater disposal system or public sewerage system on this or any adjacent or nearby lot. 4. I`understand that this this -or is valid for a maximum of 3 bedrooms and any enlargement will require an additional permit. IF A LIFT STATION IS INSTALLED IN AN AREA COVERED BY MOA BUILDING CODES, THEN (1) AN ELECTRICAL PERMIT AND INSPECTION MUST BE OBTAINED; (2) AS-BUILTS WILL NOT BE APPROVED WITHOUT AN ELECTRICAL INSPECTION�REPORT; AND (3) THE ELECTR A LICENSED ELECTRICIAN. SIGNED ..... ..... ��������... ���������������� APPLICANT: EE DARBOUS ISSUED BY MUNICIPALITY C NCHORAGE MEMORANDUM Z " Date 19- To: From: (^ 41 Re: o p c -G a S eo- Vi VJ a. ^y Oa i r s 1-C r ��"'" ��,,� cam, c-�.:/�•.��,� �-/ A Signed 91-o15 {Rev, 1/811 ' V-11 11 p P-4 3'. IF-; '.1 T+:::::.. ��J 9*.-..,::� 0 111*1'.."­111 FR: ift CS�� ' DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L STREET, ANCHORAGE, AK 99501 ` 264-4720 PERMIT NO: DATE IGSUED: APPLICANT: ADDRE8S: CONTACT PHONE: LEGAL DESCRIP: 850732 12/04/85 LEE V. DARBOUS ' 6731 WEIMER DRIVE ANCHORAGE, Al-::: 99502 243-8061 SUBDIVISION: BROADWATE� HEIGHTS ^ BLOCK: 3 SE LOT SSr IZE: 26515 (SQ.FT. OR ACRES> '=«��^ == MAX BEDROOMS: 3 �w=� n°=- '- 71C4 isted below are th tions available to y you tic� ` system. Choose the option that best fits you �~��^��' _ _ _ _ _ _ VJ~ �3 F���][P^ DEPTH TO PIPE BOTTOM FT > 4.0 4.0 GRAVEL DEPTH (FT.) 0.5 1.0 TOTAL DEPTH (FT.> ^~ GRAVEL WIDTH (FT.) 17.0 5.0 GRAVELLENGTH (FT.) ** 34. ' 66.0 GRAVEL VOLUME (CU.YD 21.5 18.4 TANK SIZE (GALS) . ** 1,000.0** 1,000.0 ** SOIL RATING (SQ. FT. /��) �� \,� 12�� / 125 125 ** GRAVEL 1 75 FT. REQ LE RUNS (NOT EXCEEDING 75 FT. EACH) ** TANKMUGT HAVE AT LEAST TWO ��OMP�A�F�ENTS I certi[y 1. I am / nents fpr on-site sewers and wells as set forth b nchorage (MOA) and the State o[ Alaska. 2. I will ccordance with a1l MOA codes and regulations, and in co ign criteria o{ this permit. 3. I will ad h State of Alaska requirements {or the set back distances f e11, wastewater disposal system oP public sewerage syst I adjacent or nearby lot. 4. I understand t t is valid for a maximum o[ 3 bedrooms and any enlargement re an additional permit. IF A LIFT STATION IS INSTALLED IN AN AREA COVERED BY MOA BUILDING C(3DES, THEN (1) AN ELECTRICAL PERMIT AND INSPECTION MUST BE OBTAINED; (2) AS-BUILTS WILL NOT BE APpROVED WITHOUT AN ELECTRICAL INSPECTION REPORT; AND (3) THE ELECTRICAL O NE BY A LICENSED ELECTRICIAN. SIGNED DATE: _______________ APPLICANT: LEE V. DARBOUS ' ISSUED ..... _..... ..... ..... ..... ..... ..... ..... (ENGINEER'S SEAL) o Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION TEST PERFORMED FOR: Zee L/ezr"'6Ot/s DATE PERFORMED: - LEGAL DESCRIPTION:zoT' 3_ AAA Township, Range,ecticn: r—ow—ft—K-1 SLOPE SITE PLAN 1 -• Net Drop y O _ _ _ 0�+.10yC 2 Cobb/e. 5/r7 3 w .�0000, 4 9r..•�/ �«Is�..sle' 5- 6 6 E 8- 9- 10- 11 10 11 12 13 14 15 7„O 16 17- I ref//r0,A 18 - I rel -04-/r4 19 WAS GROUND WATER �O ENCOUNTERED? S IF YES, AT WHAT L DEPTH? '� O P E Depth to Water After Monitoring? Dale: Reading Date Gross Time v.q ws y Net Depth to Time Water Net Drop y O _ _ _ — Yv Ap 20 -� IL_—JI 0110 PERCOLATION RATE (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN FT AND 6 FT COMMENTS - eCOM10►st10r� Siii/�iw *4ew~ 4 il/e,jz101Li..f �e eXC..yn �rrt PERFORMED BY: �� ©�7f ei-r'��..�E�,es I Ge•/�%-« l i80.--yf c:ERTIFY THAT THIS TEST WAS PERFORMED IN �S-3mv ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 72-008 (Rev. 4/85) XJ Q 111011_s L 0 G a MUNICIPAL ' Y f0 ' ANiHORAGE , ? C)PPAR'Ff' ENT OF HEALTH AND FNVlR0 lFNTAt_ IJ PF R Cc)E...Arlt.)N TF ST 825 C. Street, Anchorage, Alaska 9ry501 264 .4728, SOILS LOG --- PERCOLATIONTEST PERFORI49EC) f=OEi: �'.. a a t i�t: � �1 c. 3y1Cz A-E >- PFFIFE)FtfVIED: C `u _—. `�L _------_-._—_ _ ._- LLGALf)E:SCRIPIEr�N; .�. pEPTtd° SLOPE si'f (FEET) 3 �Y"� 1'11 4- GP 4 _ 6 - �f 7 4A ;7 1(J �1 12 7' 'ScAll de - 13 '14 -j 16 17 18- er�r�t>fR ,, . `' ` kCi• 1732-E 22, 3965 20 -- �c►���r WAS GROUND WATER S E NC:O'UNTERED? L. 0 P IF YES, A'6 WHAT [ DEPTH? Rs acisng ..�- ("3sc - Gros - Ni I irne Tir P F RCO!_a\'i 10 RATE (minutes/ii .:h! TES -f RON GFTWEI-N ET AND F's COMMENTS C>( a`;_wi1 3"�Rs'� "a "�S" �� J` TwCai" or R PERFORMED f1 : ae. psi lJ l A °3� CERT lEC)f3Y: )A.l d a t .aa. f 12-008 (6/79) Municipality of Anchorage June 23, 1986 P.O. BOX 196650 ANCHORAGE, ALASKA 99519-6650 (907) 264-4111 TONY KNOWLES, MAYOR DEPARTMENT OF HEALTH & HUMAN SERVICES Lee Darbous 6731 Weimer Drive Anchorage, Alaska 99502 Subject: Lot 3 Block 3 Broadwater Heights Subdivision On-site Sewer & Well Permit 4860006 - Issued January 3, 1986 On May 20, 1986, The Anchorage Assembly approved a new ordinance regulating on-site wastewater disposal systems (septic systems). All septic systems constructed after the effective date of this ordinance are subject to the provisions of this ordinance. Our records show that you currently hold a permit for the installation of a septic system. We strongly urge that you contact this office prior to constructing your system. Any changes in the code that could impact the construction requirements of your septic system will be identified and brought to your attention. Please contact tale Environmental Services Division at 264-4720. Thank you for your cooperation. Sincerely, Susan E. Oswalt Program Manager On-site Services SEO/SSM/ljw ,1 M IjAhp n5tructlon P.O. BOX 772267 EAGLE RIVER, ALASKA 99577 (907) 694-5110 December 4, 1985 Ms. Susan Oswalt Environmental Health Division Municipality -of Anchorage Re: Septic System Lot 3 Blk 3 Broadwater Heights Dear Susan, As per our conversation 12/03/85, I am enclosing the requested documentation to obtain a septic system permit for Lot 3 Blk 3 Broadwater Heights. This documentation is inclusive of: 1. Engineered drawing of proposed septic system Lt. 3 Blk. 3, with an alternate area designated on Lt.4A Blk. 3 Broadwater Heights. 2. A copy of the easement agreement to be recorded upon your review and acceptance of the proposal. 3. As -Built drawing of Lt. 4 Blk. 3 of residence, existing septic system, well location and an alternative location for future systems if required. Susan, we spent a great deal of time and money to try and meet the require- ments set by your department regarding septic installations. Our proposed system was complicated by a so-called duplex that was bootlegged into existence on Lt. 2 Blk 3. This duplex is not in DEQ compliance regarding well and septic separation. We persued a waiver with the State of Alaska with respect to separation from our initial proposed septic location and the duplex well. This waiver was denied, but they had verbally accepted this area as an alternate site. Even with the State acceptance, you felt it necessary to deny the permit based on the Municipal requirements. We are in the process of filing a protest regarding the duplex non-compliance with DEQ requirements. Please review the enclosed documentation that would legally provide an alternate site. I am forwarding this letter with our engineering packet. Please review and help expedite the septic permit. Sincerely, Rudy Mueller President THOMAS E. WILLIAMS ATTORNEY A PROPEWIONAL CORPORATION Centertield Center P.O. Box 771145 Eagle River, AK 99577 (907) 694.4000 e u ie. ' q R"Xi a aim I amo IN 0 M awC is 013 + The Grantors, RUDY MUELLER and BETSY MUELLER, for consideration the receipt of which is hereby acknowledged, and being the owners of certain real property hereinafter referred to as Parcel A, more particularly described as follows: P_A, Lot Four -A (4-A) , Block Three ( 3) , BROADWATER HEIGHTS SUBDIVISION, being situated within the Southeast one-quarter (SE 1/4) of Section One (Sec. 1) Township Fourteen North (T14N), Range Two West (R2PT), Seward Meridian, ANCHORAGE RECORDING DISTRICT, Third Judicial District, State of Alaska; hereby grant from said Parcel A an easement for an alternate (B) site for an absorption area for the use of certain adjacent real property, hereinafter referred to as Parcel B, and more particularly described as follows: Parcel B. Lot Three (3), Block Three (3), BROADWATER HEIGHTS SUBDIVISION, situated within the ANCHORAGE RECORDING DISTRICT, Third Judicial District, State of Alaska; This easement is for an alternate (B) site for an absorption area for Parcel B, as shown on the as -built plat attached hereto as Exhibit A, and by this reference made a part hereof, and is more particularly described as follows: Commencing at a point at the northerly end of the common boundary of said Lots 4-A and 3, go westerly following the arc of the northerly boundary of Lot Four -A (4-A) a distance of forty feet (401); thence southerly, parallel to the common boundary of the said lots, a distance of thirty feet (30'); thence easterly parallel to arc of the northerly boundary of Lot Four -A (4-A) a distance of some forty feet (40') , to the common boundary between Lots Four -A (4-A) and Three (3); thence northerly along the said common boundary a distance of thirty feet (301), to the point of beginning. During the existence of the herein -granted easement, the owner(s) of Parcel A shall not utilize the the easement area in any manner which will prevent the owner(s) of Parcel B from having full., free and uninterrupted use of the easement area and maintenance thereof only for the use herein described. However, nothing herein contained shall be construed to imply any warranty by the owner(s) of Parcel A as to the quality of the easement area for the purpose of an absorption area; nor shall the owner(s) of Parcel A be liable for any damages caused by inadequacy of the easement area for that purpose, nor liability in any way for the upkeep and maintenace of the easement area as an absorption site serving Parcel B. The easement herein created and granted shall exist and run with the land ONLY IF AND SO LONG AS the Municipality of Anchorage, Department of Health and Human Services, shall rule that this easement is necessary, no other suitable site for an absorption area being available for the use of said Parcel B. When and if the said Municipality of Anchorage, Department of Health and Human Services, for any reason whatsoever, shall determine that - l.- this easement is not required or is no longer required for the use of Parcel B, the herein -granted easement may be vacated upon the recording of a revocation documented by notice from said Department of Environmental Quality to the effect that this easement is not necessary or is no longer necessary for the use of Parcel B. DATED this .S day of December, 1985, at Eagle River, Alaska. RUDY MUELI ER BETSY/ JELL R 10 STATE OF ALASKA ) ss.: THIRD JUDICIAL DISTRICT ) THIS IS TO CERTIFY that on this J day of December, 1985, before me, the undersigned Notary Public in and for Alaska, duly commissioned and sworn as such, personally appeared RUDY MUELLER and BETSY MUELLER, known to me or by me identified as the persons named in and who signed the foregoing Easement; and they did each acknowledge to me, under oath, that they signed the same freely and voluntarily, with knowledge and understanding of the contents thereof, and for the uses and purposes therein mentioned. Witness my hand and notarial seal. Noeary Vublle in and for Alaska My commission expires 9961'bl 1103pW ssejtdx3 uoissioJWOD 1'W - 2.- 5 �F 2 � y j" ta 4a r � a .� 3 !� �.f EXHIBIT AS -BUILT I hereby certify that I have surveyed the following described propert Lv_i` `, , f O C. k•L3 / - .. �. f• / Ori + ` T � 4-; � ,�� Z. Gtr• S %�"f Anchorage Recording Precinct, Alaska. and' that the improve - menta situated thereon are within the property Lines and do not overlap or encroach on the property lying adjacent there- to, that no improvements on property lying adjacent thereto encroach on the. premises in question and that there are no roadways, transmission Iines or other visible easements on. said property except as indicatdd hereon. r; Dated at -Eagle River, Alaska 09 / ya•/. this day ofy A7_0_ ROBERT C. JOHNSON' SCALE: Registered Land Surveyor No. 880 -LS In _..fes Box 456, Eagle River, Alaska Phone (907) 694-ZW Municipality P.O. BOX 6650 ANCHORAGE, ALASKA 99502-0650 of (907) 264-4111 Anchorage TONY NOWLES MAYOR DEPARTMENT OF HEALTH & HUMAN SERVICES December 3, 1985 Lee V. Darbous 6731 Weimer Drive #2 Anhcorage, Alaska 99502 Subject: Lot 3 Block 3 Broadwater Heights Subdivision Permit Application Your request for a permit for an on-site well and septic system for Lot 3 Block 3 Broadwater Heights Subdivision has been denied. The site plan submitted did not show that an acceptable site for a replacement system exists on the lot. The replacement site shown is within the 150 foot protective radius of a well serving the duplex on the adjacent lot. Sincerely, Stephen S. Morris Civil Engineer On-site Services SSM/ljw FRONTIER 2440 E. TUDOR SUITE 1140 U' rob ��r�'.C"G�'c•,s', �'F.x.-1.�...Q_ )INEERS SNEETNO Z, )p "j Yr'"r"'�-- sr 5614421 CALCULATED NY DATE CHECKED By DATE Q Q r% n % SCALE .... _Bid 3. .�i..��,-,c.r Ef.✓T/, /�l,-,,/+'!.-t O.►�'6w.,t �l.►v�L P1,149 #7 �/ .I �e� : 7j �r.� iii 1 dr.r � ws V/W/ I FP 4-vejr *A70jCi? cs.•, �'vr.�-�.+ <t �i ... � . !7/�E� r tJ ,rr.�. %pie . /a A ew ...c., ?f e f �I%t .SC��t sf/t i/CM e» , )Pox".r .r 4 Y4 / lower 7/-�l i� /%J +1 6«n /O Er �sr� r � � ✓ i ' � • r w �t s T � 9 /sl � n��si► �wex es ze a09 eern Opole 7oc emir' 4..-e•4 1ts� �,/1/" i/ I ✓� � �.� s� �wr l� i lr � �0.� � / /t v�, /Oi.,lt� I �f o e•'i� e �e rn :� .. Ti% /...__ �✓r t�.J7��.+'J it svi fi�ii, ./'�O � e T r�r.t wG`� _o!? ,�e „Z c✓`i / c Ii . s . -e �- r �'•+ �- s7�i�dc Tvr a 7i�.. f �.. 40/W Of �! 4 d ��`� X • / �I �.✓ G v t/ � p+ �Oir �� / � /per% l�,�i I� 7tiw. i� e'wL//� j w.. �v y 1 • f y :, 7�i/. 7� cif t w c // � �e 70 .Z �' � v. � �s o r y t /oo ' �..�:✓f irr. ts�pE� re, v c i�%' o✓ �i.� 70e /- �o•elG 4�i�%I� 2� 7�0 �iefE/� /Pe��� �rs /"eJ.��wl� N, /a/C.►1'� . S t n � ��`• �' t,�iA► I E' 7J a Lies ��r►.' �i✓�' . i� � ✓�j 44"tiM re Dr' A►,Z /�nc� /V� 's.f-az , t_o5.Oo - 7 7 0 4ACT E-1 s •_ JD (ri D , m ri l ItJ� 100 c? o N p ' O+ O a N _ � N _ p a amwo• o m oo �►�m NN 0,n N. 1W,; W y �,rD ZO 0., W f o i SO E {67.76 °ate p° /J Jy 30• r� p80 2 a r 0 4 J � 2 N� P V • � � 'L`� `� *0 9i' kP OD 40 tj .r N ,Ln D ' iT 1 2 OD it 0 a, %(:, eb o a' 0 1 ° O O` 27 N °0'. �D b o35 ?� E "75 l6S tb 3 $ P ti v h9 0 00. C2 s o° .1f1 ,• �, . DO • i NLo 0 a0 60 �ry \ ' O�J�i o d ..P u, F 0 00 4 A ,B 'oso ,0 's6 -.O ppsfp SEP c �a$ �s o ` 322 ft O 7 //0 'o, lip 5 ry0 SCP. v0 �0, s. 54 10, 300 / . 2g 6 v o S- r ' ? We lls \ 1F<< a \°s _ �o - s T� l0oUfi! aos Ito.71 s 0ff Esm'2 Ay'y. Oi 9 r _ .� S0 9�p o'PJ y�rr p S r 600 3 �Fi oll y /39 30 a S 3a -`b.. 4c 0, J j° 0 5 d?\\ yp 95. >z \ 130.57 53.55 12 5.87 h• o S�egsg0••R=200.00 N87013'50'E 182.19 70-322 N tp Cr vAQ '3 1.111.62 70-322 SKY LINE -- .� to 30 /29.5! '7! 73 N67 1350E 180.26 71-73 N $. Z 1; m -. 209.91 585020'50•.E 37 s r /- 1 t80 g0 p Q1� o �Ff/9 IT LrD/y� Io_ 'I 10°Utlf EamI N06 XOPC e-44 . a c•'-oss �o N / ° w ,� 2 P�;g 4A m, r s Jr V M n O "a N \ 0e 2Op LO n 4- tipe °a� N82037'01"E t. 30 ?1y 57.23 90.807I- aD>° 3A 107.70 >3 0 66.0 N88037'00"E i d=3301630" 0>>. W W t41 SO 94.47 70-322 T= 71.72 �,13g •2a0 9 it g °^ 15015 A$ 9 >>.00 ^o M q; 34.81 121 B . N N 5 750 tS n8 W t 40 00 30 3o J0 95 >! 155 �° S'�►�<�'a n TF E 0 N T I E R 2,440 E. TUDOR SUITE 1140 ER,INEERS {MEET NO1oT 8-oOMM0 Frr: 561-7421 CALCULATED BY DATE CHECKED BY DATE •GALE FORM 2O4-1 Ave"We hom l—w s, kw. Groim Mus 01450 SPP"" kine JJ •cA _PA�PK/N4 . _ 3• f (� 3 Arc cI- Oee�p i`ic�scii fo � Ra'� OEPTN . i 2-3 6orrc� oi- mov.�o%a/ _ Al e��./ .r . exceea/ oxfm .yZz,� ✓t.�c%► n'7 -A 5'7 7-a refe 4evof-,4 8 Cover -see +6. ve FORM 2O4-1 Ave"We hom l—w s, kw. Groim Mus 01450 O CN O O O O O O O O O O O GA;Allc�orage Munidinail Y •mals Seri�ices 00: Deft. Hgatth: HU O O O O O O O O O O O O .x: N : y441 N N N r -I U: 00: � o o: ams rat R C.9 S -0: N (n O b di CO U O s� U: i (I-4: to A 44 U W 4-4 U: d 4.J: U: m: k: 4-4 t O; O; t �: d 00: �4 Mt cd I1 N' 00: L1 © D6 O w �,D: d': a u 0 0 0 0 0 .a 0 0 0 0 0 Lr) CD: � n: F • 3 rn CD � LO: � rZ V oa a r � ril Ln; 00: r�: r a 0 W U) n rUr O O c cD G1 . o w Q D C7 aE °� w a° w Z g w cn a w 04 w °� w cc a cr w Z W W ••• a a U W CC Q n v ui - ; A O mLIJ_ov Oj i F- W J Q. O � Nu N; a DO' ca o 0 ca - ; •ct c �; U : ¢ CK; ax 00� 00 6: O1: cyl ai 4.4 U) a m a cr u0i Q a. N d w 00 LO p v� E w J Z o F F 0 3 A A O CN O O O O O O O O O O O GA;Allc�orage Munidinail Y •mals Seri�ices 00: Deft. Hgatth: HU O O O O O O O O O O O O .x: y441 N N U: o: ams rat R C.9 S -0: N (n O b di o' W: tUd k : O s� U: i (I-4: to A 44 U W O: w -0:: N: .�. U: d 4.J: U: m: k: 4-4 t Cf f4 -d 4! A U' -d 4J: U W � 4 a: 00: c0 Mt cd I1 N' 00: L1 © D6 O M: �': �,D: d': ui 0000: 00' 0 0 0 0 0 .a 0 0 0 0 0 0 F LO: � rZ 0 oa a r � ril Ln; 00: r�: O CN O O O O O O O O O O O GA;Allc�orage Munidinail Y •mals Seri�ices 00: Deft. Hgatth: HU O O O O O O O O O O O O ao ri •rl N b4-4 o. O •ri +J u m N � � 3 m o o •H ca +J �4 a �4 � 3 z0 z0 9 O 4J 0 44 LH 0 +j w O r -i o, •tnD G co x IV y441 N N ams rat R C.9 S -0: N (n O b di o' W: tUd k : O s� U: i (I-4: to A 44 U W O: w -0:: N: .�. U: d 4.J: U: m: k: 4-4 t Cf f4 -d 4! A U' -d 4J: U W � 4 a: 00: c0 Mt cd I1 N' 00: L1 © D6 O M: �': �,D: d': ui 0000: 00' 0 0 0 0 0 0 0 0 0 0 0 0 F LO: � rZ 0 oa a r � ril Ln; 00: r�: . o w Q a w w 1:4 w °� w a° w w w a w a w 04 w °� w z ao ri •rl N b4-4 o. O •ri +J u m N � � 3 m o o •H ca +J �4 a �4 � 3 z0 z0 9 O 4J 0 44 LH 0 +j w O r -i o, •tnD G co x IV 0 Parcell.D, 050-081-36 Municipality of Anchorage On -Site Water and Wastewater Program *44 firl (907)343-7904 Certificate of On -Site Systems Approval 1. GENERAL INFORMATION Expiration Date: Complete legal description BROADWATER HEIGHTS BLK 3 LT 3 Location (site address) 12024 SWEETWATER CIR EAGLE RIVER AK 99577 Current Property owner(s) RYAN SHERCLIFFE Mailing address Real Estate Agent 2. TYPE OF DWELLING: x❑ Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4 Day phone Day phone 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well [] Individual E Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ Public Vvater System ❑ Pi ihlic Rawer ❑ Waiver/Variance request for: NONE Distance:_ Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. Date of Payment Receipt Number ��j�l�to COSA# MCI5ib2� Date of Payment Receipt Number Waiver # 6. 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 SPURKLAND ENGINEERING Phone 279-3916 Address 203 W. 15TH AVE.,STE.202A, ANCHORAGE, AK 99501 Engineer's Printed Name T7t0_adrra Ft`7t~iare Dated 7Qr7crtt—y X0!5^ r 6. DSD SIGNATURE � System #1 Approved for 4 bedrooms System #2 Approved for Disapproved Conditional approval for bedrooms bedrooms, with the following stipulations: By: // Original Certificate Date: ,-,2 The unici ity ig.,,9tt orage 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 N_ Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA blue sheet r _, OP AAL11, -11J �= ON-SITE pA CT;ANATER o PROGRAM S'4' _vi.'A/�?n.. 14� =tc - By: // Original Certificate Date: ,-,2 The unici ity ig.,,9tt orage 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 N_ Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA blue sheet r _, If more than 1 septic system is on the lot: COSA Checklist # 1 of 1 Structure served by this system 1 Certificate of On -Site Systems Approval Checklist Legal Description: BROADWATER HEIGHTS BILK 3 LT 3 A. WELL DATA Well type PRIVATE Date completed 9/1/86 Total depth 205 ft. Date of test Static water level Well production If A, B, or C provide PWSID #- Sanitary seal (YIN) Y Cased to 20' ft. FROM WELL LOG 6/1/86 140 3 11 Parcel ID: 050-081-36 Well Log (YIN) Y Wires properly protected (YIN) Y Casing height (above ground) 18+ in. AT INSPECTION 10/13/14 12 g.p.m. 1_8 WATER SAMPLE RESULTS: Coliformcolonies/100 mL Nitrate mg/L Arsenic N ug/L Date of sample: P B. SEPTIC/HOLDING TANK DATA Tank Type/Material FIBERGLASS/BIOCYCLE Tank size 1500 gal. Number of Compartments 4 Foundation cleanout (YIN) Y Date of pumping NEW Depression over tank (YIN) N Pumper_ Collected by: 5 -7i? -1,,C - Date installed 12/8/14 Cleanouts(Y/N) Y High water alarm (YIN) N C. ABSORPTION FIELD DATA Date installed 12/8/14 Soil rating (9 P. d./ft2 or ft ) Y z/bdrm 4.0 System type 5 -WIDE 60 Length - ft. Width 5 ft. Gravel below pipe 1.0 ft. Total depth 3.5 ft. Elf. absorption area 344 fe Monitoring tube Y Depression over field N Date of adequacy test NEW Results (Pass/Fail) For _ bedrooms Fluid depth in absorption field before test in. Water added gal. New depth in. Elapsed Time: min. Final fluid depth in. Absorption rate >= g.p.d. Any rejuvenation treatment (past 12 mo.) (YIN & type) If yes, give date D. LIFT STATION Date installed 12/$/14 Size in gallons 1300 "Pump on" level at 25 in. Datum TOP PUMP VAULT E. SEPARATION DISTANCES WELL ON LOT TO: Septic tank/lift station on lot. Absorption field on lot 100'+ Public sewer main NA "Pump off" level at 44 in. Cycles tested NEW 100'+ Sewer /septic service line 25'+ Animal containment areas 50+ Manhole/Access (Y/N) Y High water alarm level at 22.5 Meets alarm & circuit requirements? YES On adjacent lots100+ On adjacent lots 100'+ Public sewer manhole/cleanout NA Holding tank NA Manurelanimal excrete storage areas 100+ SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5+ Property line 51+ Water main NA Water service line 10+ Wells on adjacent lots 100'+ ABSORPTION FIELD ON LOT TO: Property line 51 Building foundation10 + Water Service line 10+ Surface water 100'+(N.O.) Curtain drain 50'+ (N.O.) Wells on adjacent lots 100'+ F. COMMENTS 'CASED INTO BEDROCK H2O samples to be turned in when available G. ENGINEER'S CERTIFICATION / certify that / have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. Engineer's Printed Name %7i eoOIaiL! Absorption field 51+ Surfacewater 100'+ Water main NA Driveway, parking/vehicle storage10 in. w°-°a�na na as eo��m;a�e uca PficG�JRE F. MuviiF.� Ci: -3559 _ COSH brown sheet_10-ID-12.doc ° •�( ppa9 0-649 Municipality of Anchorage x Community Development Department Development Services Division ; On -Site Water and Wastewater Program 4700 Elmore Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907)343-7904 Nitrate Advisory Certificate of On -Site Systems Approval # 151022 A Certificate of On -Site Systems Approval inspection and test of potable water was recently conducted on the well water supply on Block 3, Lot 3 of Broadwater Heights subdivision. This inspection revealed a nitrate concentration of 8.9 milligrams per liter (mg/L) was reported for the property's well water sample. The Environmental Protection Agency (EPA) has established a maximum contaminant level (MCL) of 10.0 mg/L for public drinking water systems. While private wells are not subject to this regulation, EPA standards are based on -existing health information and can therefore be used to gauge the relative quality of water from private wells. Please see the attached "Nitrate Fact Sheet" for important information regarding nitrate. This advisory must be attached to all copies of the subject Certificate of On - Site Systems Approval. 30' x4O' Easement for alternate site for absorption area 2S�n„ of AC All i 49th • 00 ...n•k7Y.w / ,•.Fred Walatka/ �40 'P,*- 3255 — S �e��ow 'FESSIONA� `� SCALE: 1"= 30' EASEMENTS OF RECORD, OTHER THAN THOSE SHOWN ON THE RECORDED PLAT ARE NOT SHOWN HEREON. FB 14-10, pg 70 T FR clRc4F 8407L N Lot 2 AS -BUILT NO CORNERS SET THIS DATE I hereby certify that I have performed a Mortgagee's inspection of the following described property: LOT 3, BLOCK 3, BROADWATER HEIGHTS SUBDIVISION improvements situated thereon are within the property lines and do not overlap or encroach on the property lying adjacent thereto, that no improvements on the property lying adjacent thereto encroach on the premises in question and that there are no roadways, transmission lines or other visible easements on said property except as indicated hereon. Dated at Anchorage, Alaska . this 30th day of January ,2015. FRED WALATKA & ASSOCIATES BE Engineers and Surveyors (907-248-1666) L.S. \ , Municipality of Anchorage 1 i•'µ a4•�e • -• Development Services Department Building Safety Division _— Onsite Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907)343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. COSA# hfrnygy Expiration Date: 1. GENERAL INFORMATION Complete legal description -- J ` Location (site address) 131od4 Swz�w4�e. Ci�c�Q 69521 Current Property owner(s) Lee Dnc-60u5 Day phone Mailing address Lending agency Day phone Mailing address Real Estate Agent Day phone Mailing Address Unless otherwise requested, COSA wX be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well Individual On-site Individual Water Storage ❑ Individual Holding Tank ❑ Community Class Weil ❑ Community On-site ❑ Public Water System ❑ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) issues Certificates of Onsite Systems Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of On -Site Systems Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also Issues COSAs upon request to homeowners. Certificates of Onsite 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 engineers 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 Onsite 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. NameofFirm Sxac�t�2nc� £�n�zr:n� Address Engineer's Printed Name 5. DSD,SIGNATURE L/ Approved for _ bedrooms. Disapproved. Conditional approval for Phone 241.111ko Date 101s Lo (o OF Owl TH BARS E. PURKIAND: itoo f ((l F�f)r0r ESS10�P� r bedrooms, with the following stipulations: 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: (Rw. 11105) Municipality of Anchorage • Development Services Department Building Safety Division On-Ske Water 6 Wastewater Program 4700 Bragaw Street P.O. Box 195650 Anchorage, AK 9951943650 www.muni.org/onsfte (907)343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST A. WELL DATA Wen type Bfim..ke If A, B, or C provide PWSID 4 – Well Log (YM) y Gate completed q 1 Sanitary seal (YM) Wires Property protected (YM) y Total depth 105 ft. Cased to -10 ft. Casing height (above ground) --L;L_in. Data of teat Static water level Well production FROM WELL LOG r 86 140 sit IL 3 9 -P.M. WATER SAMPLE RESULTS: AT INSPECTION z ot. 12 � a g.P.m. Colltorm_—cotontes/1OD mL Nit ate 8.4 5 mg& Other bacteria oolonieal100 mL AIL MO '.f Arsenic: Qom_ Date of sample: !W/O(s Collected by: Lo.n B. SEPTIC/HOLDING TANK DATA ��iil Tank Type/Material 1AA S Daft Installed !No -G Tank sae1�5 gal. Number of Compartments Cbanouts (YM) Y Foundation cleanout (Y/N) i/ Depression over tank (Y/N) n/ High water alarm (Y/N) �✓ Date of pumping (C y o4 Pumper jin;14,r'4 Pg." ptm C. ABSORPTION FIELD DATA Date installed 1-118(v Soil rating (g.p.d./fe or(E�) 12 S System type SeJ Length 29 ft. Wkfth ID ft. Gravel below pipe G ft. Total depth R. Effabsorption area 5W_fte Monitoring tube Y Depression over field _A/ Dale of adequacy test or. Results (Pass/Faiq fXss For '3 bedrooms Fluid depth in absorption field before teat _5 n. Water added -f1D gal. New depth S S _in. Elapsed Time: _A(& min. Final fluid depth �_in. Absorption rate >= H 90 g.p.d. Any rejuvenation treatment (peat 12 mo.) (Y/N & type) /V�5 If yes, give date — D. LIFT STATION Date installed Size in gallons ManholelAccess (YAV) 'Pump on' at _ in. 'Pump ofi level _ in. High water alarm in. Cyd„ Masts a MQuirerents9 E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tankAiR station on lot >100' .i .•:. ,- >!OD , On adjacent lots > bo On adjacent bts l too Public sewer main 4A Public sewer manhole/deenout - Sewer !septic service line > Soy Holding lank� A Animal containment areas N. 0. Manurelanimal excrete storage areas SEPARATION DISTANCES FROM SEPTICIHOLDING TANK ON LOT TO: Building foundation > S' Property fine > 10 r Absorption field )S t Water main VIA Water service line > Surface water Wells on adjacent lots > 100 SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: ( N Property lone >1 W''�_ Building foundation >/O Water main _ ' Water Service line > 50' Surface water N• 0 • Driveway. patkkgNehkie storage > I a Curtain drain N.O. Wells on adjacent lots )100 i F. COMMENTS: G. ENGINEER'S CERTIFICATION I certily that I have determined thnwgh held inspections and review of Municipal records that the above systems ars in conbrmance with MOA OOSA guidelines in effect on this date• Engineer's Printed Name L -Ars Sck r o,^ Date 10 S • COSA Fee $ y W Date of Payment /. , Receipt Number 97/39 (Rev. I im) Walver Fee $ Data of Payment Receipt Number i ,`P.:• •.Sri i �'.LARSE.°P(liE AvD.� 15 Analytica International, Inc. 4307 Arctic Blvd. Anchorage, AK 99503 Phone: 907-258-2155 Fax: 907-258-6634 Spurkland Engineering Report Date: 10/5/2006 Attn: Lars Spurkland Receipt Date: 922/2006 203 W. 15th Ave. 0203 Sample Date: 9212006 Anchorage, AK 99501 Sample Time: 1:30:OOPM 907-279-3916 Collected By: LS Fax: 907-276-6013 112 mg/L Flap Definitions: Client Sam le ID: Broadwater Ilei hts 63 L3 MRL - Method Reppoorting Limit P g MCL = Maximum Contaminant Limit Sampling Location: B - Present also in Method Blank Client Project: Private Well 11- Real Estate Transaction 11= Exceeds Regulatory Limit Sample Matrix: Aqueous M Matrix Interference COC #' J = Estimated Value PWS#: D = Lost to Dilution Residual Chlorine: •' = RL higher than MCL- target not detected Comments: Analysis Method Prep Prep Analysis Parameter Result Units Flags MRL -'—MCL Method Date Date Analyst 200.7200.7 (Aqueous) - Family Well Water 11 Test was conducted by: Analytica - 7hornion Calcium 112 mg/L 0.10 200.7 9292006 9292006 CC Iron <MRL mg/L 0.050 0.3 200.7 9292006 9292006 CC Magnesium 16.1 mg/L 0.10 200.7 9292006 9292006 CC Manganese <MRL mg/L 0.0100 0.05 200.7 '9129/2006 9292006 CC 200.8200.8 (Aqueous) - Family Well Water 1 Test was conducted by: Analytica - Thornton Arsenic 0.596 ug/L 0.15 10 200.8 A022006 10/32006 KLS Lab#: A0609233-OID Analysis Method Prep Prep Analysis Parameter Result Units Flags MRL MCL Method Date Date Analyst 9222B (Aqueous) - Membrane Filtration MF Test was conducted by: Analytica - Anchorage Bacteria, Other <MRL CFU/100mL 1.0 9222006 9222006 PL Total Coliform <MRL CFU/100mL 1.0 1 9222006 9222006 PL Page 5 of 5 ANALYTICA GROUP Analytica International, Inc. 4307 Arctic Blvd. Anchorage, AK 99503 Phone: 907-258-2155 Fax: 907-258-6634 Spurkland Engineering Report Date: 10/5/2006 Atm: Lars Spurkland Receipt Date: 9/22/2006 203 W. 15th Ave. #203 Sample Date: 9/21/2006 Anchorage, AK 99501 Sample Time: 1:30:OOPM 907-279-3916 Collected By: LS Fax: 907-276-6013 2320B/2320B (Aqueous) - Total Alkalinity Client Sample ID: Sampling Location: Client Project: Sample Matrix: COC #: PWS#: Residual Chlorine: Comments: Broadwater Heights B3 L3 Private Well 11- Real Estate Transaction Aqueous Lab#: A0609233-OIA Flag Definitions: MRL= Method Reporting Limit MCL = Maximum Contaminant Limit B = Present also in Method Blank H = Exceeds Regulatory Limit M = Matrix Interference J = Estimated Value D = Lost to Dilution •• = RL higher than MCL; target not detected Analysis Method Prep Prep Analysis Parameter Result Units Flags MRL MCL Method Date Date Analyst 4500-NO3E (Aqueous) - Nitrate Test was conducted by. Analytica - Anchorage Nitrate as N 8.45 mg/L 2.5 /0 9/26/2006 9/26/2006 Al Lab#: A0609233-OIB Analysis Method Prep Prep Analysis Parameter Result Units Flags MRL MCL Method Date Date Analvst 150.1/150.1 (Aqueous) - pt I Test was conducted by. Analytica - Anchorage PFI 6.8 pH 0.0 150.1 9/222006 9/22/2006 Al 2330B (Aqueous) - Langelier Index Test was conducted by: Analytica -Anchorage Langelier Indcx/Corrosivity -0.29 LangUnits -1.0 10/4/2006 9/29/2006 KP 2320B/2320B (Aqueous) - Total Alkalinity Test was conducted by: Analytica -Anchorage Alkalinity, Total 235 mg/L 4.0 2320B 9/22/2006 9/22/2006 AJ CaCO3 2540Ct2540C (Aqueous) - TDS Test was conducted by: Analytica - Anchorage Total Dissolved Solids 511 mg/L I( 20 500 2540C 9/22/2006 9/22/2006 Al Lab#: A0609233 -01C Analysis Method Prep Prep Analysis Parameter Result Units Flags MRL MCL Method Date Date Analyst 23408 (Aqueous) - Total Hardness lest was conducted by: Analytica - Thornton Hardness, Total 350 mg/L 1.0 10/2/2006 10/2/2006 CC Page 4 of 5 4 /scat i r Meenn:Ni l 30[I.0'ira 5'd. Crre —. 3 ivzr e rn AS—BUILT FUWNV arCR92 Z/2 0.79 �9 9Z�/ KARABEL N/KOFF SURVEY/NG 33F-3434 Rel. P/oI o/ oei in 1P70 -32Z) - 'SoF+tMre►f'oestlfy S�pF /E� = that '01 accurate survayof IM following 4escrlt d poyeryc *� 491h • * BROADWATER HelallrS SUED. \ awW an S4�%7'sl�•r /�/99L end #hot Wiw a 1h r.. , , \e+ �. E• EEE ;;, IM na' ew ettealad thereon an wltMa the praNrty Ilan$ and do sol "too or esaaaeh as IM rapery IIs$ /iijae"t Thereto eMt M Iss"vem"14 eh 1� property Ifloa L+ 731437 +vim '.tb: g adlaeent tMrele en000ch a tM praflses Is weapon aM 1Mrihva era ao s,tn"Misslon 1400 M e1Mr'1e14N ""deal$...•• sold propry aawpl as ladleated Mrwe. �0�•iiWXL 0r�N,/I Anchorage, AIaM, Ms ISM M) of_Sey/Amber _Ml 92 AS—BUILT FUWNV arCR92 Z/2 0.79 �9 9Z�/ KARABEL N/KOFF SURVEY/NG 33F-3434 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. # 05-0--Coil"3C HAA # kA0�'DO 21 � 1. GENERAL INFORMATION Complete legal description Lot 3; Stock. 3; Snoadwaten Hei,ghtA Location (site address or directions) 12024 Sweetwa;tea C, Ac -2e Property owner Lee Dan.bouz Day phone 696-5607 257-7649 W Mailing address 12024 Sweetwate& Cincee i=aa.Po� R,rvon, AK 99577 Lending agency Day phone Mailing address Agent Day phone AAAroce Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 3 3. TYPE OF WATER SUPPLY: Individual well XXX Community well Public water 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 XXX 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. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my 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 17034 Rasglc River Address _ Engineer's signature 6. DHHSSIGNATURE L_ Approved for Disapproved. By: 5- bedrooms. Conditional approval for Additional Comments 204 Phone vl'?`F- Z ; 7 ;r Date i-3 ° ° %jF:RgiRt(ji�d hN°K!':b ¢vj tjtumn3:>.;41:5' nc a �. Y� 4 NO. 14.57•F. ° bedrooms, with the following stipulations: MITIC 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 (Rev. 1/91) Back MOA #21 Municipality of Anchorage Department of Health and Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description:f;;,w I12. aQ•��£L Parcel I.D. A. Well Data CleanoutsON) Foundation cleanout ON) Depressio (Ya High water alarm Y Alarm tested (Y/N; �� g (� a Date of pumping Pumper ►� DSEPIRATION DISTANCES FROM SEPTIC/HOLDING TANK TO: 1 �k Well(s) on lot \ D-'5 On adjacent lots i bwD Foundation .151-�- To property line \ o Absorption field '511 1 Water main/service line �o Surface water/drainage �L-�>\ � 72-026(3/9s)'Front CONTINUED ON BACK PAGE Well type hew A<Tc— If A, B, or C, attach ADEC letter. ADEC water system number r� \A4 Log present (Cd/N) I Date completed `1 - \ - Z to Driller 6m �Lv p-*= r-> s V -- Total depth Cased to Casing height Sanitary seal �N) I Wires properly protected ON) �l z FROM WELL LOG AT INSPECTION o n Date of test Static water level Well flow �. g.p.m. 1 , g.p.m. w Pump levell y c o ^^ Z SEPARATION DISTANCES FROM WELL TO: Septictholding tank on lot 10 3' ; On adjacent lots ��ot Absorption field on lot 1 ; On adjacent lots ''A Public sewer main ? Public sewer manhole/cleanout ►�\ Sewer service line ?r Petroleum tank Z� WATER SAMPLE RESULTS: Coliform Nitrate Other bacteria S & 5 ENGINEERING Date of sample: Collected by: Ihiqla RiV811 1 OOP Road We. 204 1/034 Rade River, Alaska 99577 B. SEPTIC/HOLDING TANK DATA Date installed G1 - 2 - 00 � Tank size 12 y Compartments Z CleanoutsON) Foundation cleanout ON) Depressio (Ya High water alarm Y Alarm tested (Y/N; �� g (� a Date of pumping Pumper ►� DSEPIRATION DISTANCES FROM SEPTIC/HOLDING TANK TO: 1 �k Well(s) on lot \ D-'5 On adjacent lots i bwD Foundation .151-�- To property line \ o Absorption field '511 1 Water main/service line �o Surface water/drainage �L-�>\ � 72-026(3/9s)'Front CONTINUED ON BACK PAGE C. LIFT STATION Date installed Manufacturer Size in gallons Vent (Y/N) High water alarm level "Pump on" level at Meets MOA electrical codes (Y/N) SEPARATION DI lot FROM LIFT STATION TO: D. ABSORPTION FIELD DATA On adjacent lots Manhole/Access (Y/N) ffw.-Mi"MRAM MW les tested Surface water Date installed CA ' Z —'3 b Soil rating (GPD/Ft2) 1-2,� � lbia System type f� Length -2-- `� Width Zb I Gravel thickness � �� Total depth 15 - Total Total absorption area Sg ,� Cleanout present (9/N) �4 Depression over field (Y/dP N Date of adequacy test_ r� AL Results (pass/fail) _ Water level in absorption field before test for After test — Bedrooms Peroxide treatment (past 12 months) (Y/ �� If yes, give date AT to osr� SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot . � S ` On adjacent lots \ c7c> \ k- Property line To building foundation 1 b k To existing or abandoned system on lot A On adjacent lots �k Cutbank �\ Water main/service line e Surface water \ D Driveway, parking/vehicle storage area Curtain drain ' N E. ENGINEER'S CERTIFICATION I certify that ! have checked, verified, or conformed to all MOA and HAA guidelines in effect oa4hW is rnspeetion. _... I!J °1 �' /s� o' r �a ti- ♦� N"• % Signature ;. Engineer's Na GtNEa;r's ® 4 i,: 1 IVs. 146M t Date E� I Rlwar� Al�tr� 7; IV- Awl r* HAA Fee $ / 70 ` Waiver Fee $ Date of Payment \ Date of Payment Receipt Number o�c�l����� J Receipt Number - 72 -026 (3/93)' Back COMMERCIAL TESTING & ENGINEERING CO. ENVIRONMENTAL LABORATORY SERVICES SINCE 1908 REPORT of ANALYSIS Chemlab Ref.# :93.4041-3 Client Sample ID :L3 B3 BROADWATER HTS. Matrix :WATER Client Name :S & S ENGINEERING Ordered By :R. SHAFER Project Name Project# PWSID :UA Sample Remarks: ROUTINE SAMPLE COLLECTED BY: RAY. QC Parameter Results Qual Units --------------------------------------------- Nitrate-N 5.5 mg/L 5633 B STREET ANCHORAGE, AK 99518 TEL: (907) 562-2343 FAX: (907) 561-5301 WORK Order :69497 Report Completed :08/16/93 Collected :08/11/93 @ 11:10 hrs. Received :08/12/93 @ 14:15 hrs. Technical Director: S/� EDE Released By Allowable Method Limits ------------------------- EPA 353.2/300.0 10 Ext. Anal Date Date Init 08/13 DJS ------------------------------------------------------------- * See Special Instructions Above UA - Unavailable ** See Sample Remarks Above NA = Not Analyzed U = Undetected, Reported value is the practical quantification limit. LT = Less Than D = Secondary dilution. GT = Greater Than *110 A SGS Member of the SGS Group (Societe Generale cle Surveillance) ENVIRONMENTAL SERVICES IN ALASKA, COLORADO, UTAH, ILLINOIS, OHIO, MARYLAND, WEST VIRGINIA, NEW JERSEY, SOUTH CAROLINA