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BROADWATER HEIGHTS TR C1A
Broadwater H ights T act ¢- ! A #050-131 - 65 Municipality of Anchorage Development Services Department Building Safety Division On-Site Water & Wastewater Program, 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 Po(~e 1 of 3 On-Site Wastewater Disposal System and/or Well Inspection Report Permit Number:. SW020572 PID Number:. 050-1,31-65 Nome: CHRISTINE & DAVID LAGERLEF Wastewater System: [] New [] Upgrade Address: 11708 W. SKYLINE DRIVE * EAGLE RIVER, AK 99577 ABSORPTION FIELD No. of Bedrooms: Ph°ns:(907) 696--2472 4 13 Deep Trench 13 Shallow Trench · Bed El Mound · Other* LEGAL DESCRIPTION '" "~: 2.0 ='0/~. Block: Lot: Subdivision: D~pth ~ 91~ I~tom fl~m e~glne~ g~:l.: Gr~el dept~ be~,e~th l~pe: - TRACT ¢-1A, BROADWATER HEIGHTS SEE DWG. Township: Range: SecUon: Fil added ebeve ~lglne! gn~de: - - - SEE DWG. WELL: D New [] Upgrade 9-12 C~N~ (P"vGt,, &B.C): ~ C.,.d To: TotGr ob~r~Uon ama: pip4 mote~ol: n. n. 300+ s~. Ft D .3054/ F-810/ SCH 40 PVC n. HOMEOWNER 5/29-6/24/2003 a,. ,. ,. TANK SEPARATION DISTANCES r~S.ptlc '~,o,d~ng .S.T.r.,.* OOther T~__~.,,,.,.~To SepUc Ab$orpUon Uft Holdlng Pubflc/Pr~te Monufoct~. Cop~dt~ In ga~o~ Tank Field Station Tank S,.,r U.,, ORENCO SYSTEMS 1500 we~ lO0'+ lO0'+ 100'+ - 25'+ FIBERGLASS 2 Su,ac, Wot,r 100'+ 100'+ ~00'+ -- -- LIFT STATION Lot Une 5'+ 10'+ 5'+ - -- 1500/113IANCHORAGE TANK/ORENCO SYSTEMS Foundation 5'+ 10'+ 5'+ - - TIMER/57" TIMER/37" 45"/57' Curtain Drain ' NONE KNOW 4 eum~ ~- * ~4od.~ J.~c-~c. ~..~,o~, I ORENCO_ M.O.A. Remarks: *THIS IS AN ADVANTEX TREATMENT SYSTEM. BENCH MARK · *ADDED 2.26 FEET OF M.O.A. APPROVED SAND B01TOM OF SIDING NEAR POINT "B" FILTER TO TOTAL DEPTH. EXISTING S[PTIC TANK COMPLETELY ABANDONI~D, 100,00 Inspections performed by:, AKWWC, INC. Dates: 1st 5/29/2003 4 :1~ "..?, ............ R6viewed and approved by: Dote: /o/7~a '~,~o ~o~°~-~'''~ PERMFF NUMBIng. R: AS BUILT D RAWIN G PARCEL ID NUMBER: SW020572 ~ 050-151-65 7/2/2005 D~WN ~: ALASKA & WASTEWATER C.J.G. -, CONSULTANTS, INC.~ $~ 3701 E. TL~)OI~ ROAD. SUITE I01 · ANCHORAGE. AK qqS07 ' PHONE (~07)~37-617q · FAX (~07)358-3Z/.6 1 ~ ~ 40 PREPARED FOR: PHONE: NUMBER: PAGE NUMBER: CHRISTINE &: DAVID LAGERLEF (907) 696-2472 2 OF LEGAL DESCRIPTION: BROADWATER HEIGHTS SUBDIVISION; TRAT C-lA, T~£ OF WORK: AS-BUILT DRAWING OF SEPTIC SYSTEM UPGRADE A B ST1 2g.25 .39.87 MH1 .37.95 49.05 MH2 41,59 52.87 MT1 41.09 11.81 MT2 47..30 18.29 MT3 43.43 33.65 MT4 .34.82 28.96 NUMBS: AS BUILT DRABrlNG SW020572 ~ 050-151 - 65 TOP ~ POD ~F ~TOP OF ~HO~ "'" / ~.__- ........... ~.~-~q~ - ~.,~ F / ............... --.-~ ..... l-'~- VAULT - g072~ '~ I~1 0 PiPE ~ : 1~ ~J ~ ~ ~1 OR~ PUMP VAULT 102.0 (~m.) MT / MT ~SQU~N ~RI~ [ [ / ~ ~RL~R F~RIC PLEDGE ORIGI~ O~E ~ ._~ ~SOUEEN ~RIER - 98.64 U / ~ I I / / ~DI~ID~ON UNE - 9g.90 TOP OF ~D ' ' .e.*~ (Am.) RE~ ~A~ON OF BOSOM OF ~0~ - g2.64 (BEDROCK 0 DO~OM OF TE~OLE)~- ................. D~WN ~: .' : - .... CONSULTANTS, I~C.~---- s~: 5701 E. T~OR ROAD, SUITE 101 · ANCHORAGE, AK gq$07 ' pHONE (907)357~170 ' FAX (907)358-3ZG6 NJ.s. PR~ED FOR: PHON~ NUMB.: PAG~ NUM~: ~J~ .~ ~e~s.. ~" CHRISTINE A DAVID ~GERLEF (907) 696-2472 5 OF 5 BEOADWATER HEIGHIS SUBDIVISION; IRACl C-lA, PROFILE AS-BUILT DRAWING OF SEPTIC SYSTEM UPGRADE MUNICIPALITY OF ANCHORAGE Building Safety Division MEMORANDUM DATE: October 7, 2003 TO: File FROM: Joe Goodall Engineer II, On-Site Water Wastewater Program SUB J: Broadwater Heights Tract C-lA This permit SW020372 was approved and issued on september 25, 2002 by Dan Roth. The current code requires the septic field to have a 4 foot vertical separation distance to ground water. The Category III Advantex treatment system was proposed by AWWC, Inc and approved for a 2.5 foot vertical separation distance. I was directed by Jim Cross to approve the as-built inpection report. MUNICIPALITY OF ANCHORAGE Development Services Department On-Site Water& Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade Date Issued: Sep 25, 2002 Expiration Date: Sep 25, 2003 Permit Number: $W020372 Legal Description: BROADWATER HEIGHTS TR ClA Design Engineer: 0041 AK Water & Wastewater Consultan' Owner Name: Dabid Lagerlef Owner Address: 11707 W SKYLINE DR Total Bedrooms: 4 EAGLE RIVER, AK 99577-7909 Parcel ID: 050-131-65 Site Address: 011707 SKYLINE DR W Lot Size: 35915 SQ. FT. Permit Bedrooms: 4 This permit is for the construction of: [] Disposal Field [] Septic Tank [] Holding Tank [] Privy [] Private Well [] Water Storage Ail 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 engineer must notify DSD at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 ( 24 hours ). ( Not required for a Water Supply Permit only ). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. Received By: ~ Issued By: Date: Date: Municipality of Anchorage Development Services Department Building Safety Division On-Site Water & Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ek.us (907) 343-7904 Parcel I.D. ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAHILY DWELLING Permit Number Property owner(s) Mailing address (1) Mailing address (2) DAVID J.,AOERLI~F' 11707 WEST SKYLINE DRIVE * EAGLE RIVER. AK Day phone 696-2472 Zip Code 99577 Legal description (Lot, Block & Sub'd.) BROADWATER HEIGHTS SUBDIVISION: TRACT C-lA. Legal description (Section, Township & Range) Lot Size ~;~' ! ~ Acre~ Number of Bedrooms THIS APPLICATION IS FOR: Sewer Only Sewer and Well Sewer Upgrade THIS PROPERTY CONTAINS: Hot Tub Swimming Pool Therapy Pool Well Only Water Storage Jacuzzi Water Softening Unit I certify that the above information is correct. I further certify that this application is being made for a Single Family Dwelling and is in accordance with applicable Municipal codes. ALASKA WATER &: WASTEWATER CONSULTANTS, INC. Permit Fees: Date of Payment: ~/"~/~)~-' Receipt Number: 25C~ ~g Waiver Fees; Date of Payment: Receipt Number: ALASIG WATER & WASTEWATER August 15, 2002 Municipality of Anchorage Development Service Department Building Safety Division On-Site Water & Wastewater Program 4700 South Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 Reft Proposed and Septic Upgrade for Tract C-lA; Broadwater Subdivision ADVANTEXX~ TREATMENT SYSTEM To ~vhom it may concern: 1. GENERAL: The existing 4 bedroom house is served by a private well and septic system. The septic system is completely surcharged and needs to be upgraded. A test hole was excavated on the property. We are proposing to design the septic system around the 30 foot radius of this test hole. Due to the shallow bedrock, the limited amount of receiving soils, and the steep slopes, we are proposing to use an Advantex treatment system and a 5-wide trench type drainfield. 2. SOILS: See the attached log, which shows the soil classifications, groundwater monitoring, and the percolation test results. 3. DRAINFIELD APPLICATION RATE: The intent is to install an Advantex Treatment System that will allow the use of a small drainfield in the area around the 30 foot radii of the test hole. A percolation test was perfo,,ed in the test hole between the depths of 2.0 to 2.5 feet and found the rates to be 20 minute/inch. The Advantex system has received class III approval and we are going to use an application rate of 2.0 GPD/FT2. 4. TRENCH DESIGN: a. Percolation Rate: 20 minutes/inch b. Proposed Application Rate: 2.0 gallons/day/ft c. Number of Bedrooms: 4 d. Design Flow: 600 gallons per day 2 e. Minimum Absorption Area: 300 ft f. Total Depth: 2.0 feet (max.) g. M.O.A. Approved Sand Filter Depth: 2+ feet h. Effective Depth: 0.5 feet 6901 Debarr Road, Suite 2B ~ Anchorage, AK 99504 - Ph: (907)337-6179 ~ Fax: (907)338-3246 i. Width: 5 feet j. Minimum Length: 60 feet long lc. Effective absorption area: 300 it: 5. ORENCO PACKAGE SYSTEM: The STEP tank with the Advantex Treatment System will be manufactured by Anchorage Tank & Welding to meet the latest design criteria established by Orenco Systems, Inc. The point of contact at Anchorage Tank is Lowell MeNutt. As with their standard STEP tank, it is equipped with a high water alarm per M.O.A requirements. 6. SURFACE WATER: There is no surface water within 100 feet of the proposed septic system upgrade. 7. TOPOGRAPtIY: The proposed drainfield is to be installed on the toe of a cutbank. The average topography below the drainfield is a 0%-5% slope running approximately northeast to south~vest. 8. CLOSING: I am open to any suggestions from your department that would be an improvement to the proposed system. I am unaware of any negative impacts that this installation would impose on adjacent wells, or septic systems. If you have any questions, please call us at 337-6179. Since~ ~ . M.S. Pres te~ ~ NOTE: Attached is a site plan drawing, a design drawing, an Advantex detail, a trench detail, two soil logs, and a 7 page construction specification letter which are all part of the design package for this septic system. 6901 Debarr Road, Suite 2B - Anchorage, AK 99504 ~ Ph: (907)33%6179 ~ Fax: (907)338-3246 ~, ~- '.- ~-'~. I I I //~ ~ I / "' / / /~~x~ '~,~ /ii, , , / / ,' / xX D~WN C.J.G. '. PR~ED FOR PHONE NUMBS: P~ NUMBS: ~. ~ ~ . ] .... 4 ..... j ....... I~ CHRISTINE ~ DAVID ~GERLEF ~g~-~47~ 1 OF 4 DROADWATER HEIGHTS SUBDIVISION; TRACT C-lA ~,l". // ..' ~E OF WORK: SITE P~N FOE SEPTIC SYSTEM UPGRADE , CONSULTA~S, INC. ' 1' = 40' j~ ................................. CHRISTINE · DAVID ~GERLEF 696-2472 2 OF 4 ~ ~ :.Jeffrey A. Garness~ BROAOWATER HEIGHTS SUBOIVlSIOH; TRACT C-lA, ~ ~ "-. .." OESI~H Or SEPTIC SYSTEU UP~RAOE AdvanTex' Treatment System ":'"' NOTE: JIM CROSS, P.E, HAS 'II'iE ~m ~ AX20 - Mode 1 a 40x94Pod '-- ~0 P~P~ D~NR~ IN~NI~ ~ ~E $~I~ T~K ~ 4', RISE ~ ~E RL~ ~ ~, X .................. / ~ , OM,, ~ ~VA~ ' ~ d ) ' A~VANTF~ 'TANK~ ;,~ t i~; I [ 8/15/2oo2 ~ aft / ~ ~, ~%..Y..I..,r¢ ~. .................. c.J.~. ~"' c~* ~'~ "'~¢~t ~~ WATER & WASTEWATER ~ . ..' 4. ~ ~ '.~ " CONSULTANTS, INC.' ' N.T.S. "": ......... CHRISTINE & DAVID ~GERLEF (907) 696-2472 3 or 4 ~ BROADWATER HEIGHTS SUBDIVISION~ TRACT C-lA, "'" ~E ~ ~K: DETAIL DEAWING OF ADVANTEX TREATMENT SYSTEM 60' LONG TRENCH / SPACED LrVI:)~ 2 ~[ ON CENTER. UN£ FROM PUMP VAULT / B~ING ~ N~DED ON ~ m ~' .0~ smo~ o~ ~H ~~ mTO~ OF S~ -- ~' OF U.O~ ~PR~ ~D HLI~. ........................... ~ D~WN ~: .' C.J.G. , ~SI~ WATER & WASTEWATER · ~o,~u~.,~.- . ....: .... :~.,_~ ..... :....~ 6001 DEBARR ROAD. SUITE 2B ' ANCHORAGE. AK OqSO~ · PHONE (907)557~179 * FAX (9071~8-32G6 NeT.Se CHRISTINE · DAVID ~GERLEF (907) 696-2472 4 OF 4 ~RO~W~T~R .~OHTS SUaD~V~S~O.; TRACT C-~, DETAIL DRAWING OF PROPOSED DRAINFIELD UPGRADE ALASKA WATER & WASTEWATER(, D , CONSULTANTS. INC. ' ~C~ DESCRI~ON: BRO~WA~ NEIC~ ~ C-lA ~" ~ ~".. ........... '~ BEtH (foot) :~ =3' ORGANICS ~TEST HOLE DENSER ~ GH I ,I CL 4-- w/ DEPTH GC 'OL ~ ? , SW MH ~-- REFUSAL > 7-- DEPTH TO -- - -- GROUNDWATERDATE X ~~' 11-- DATE READING CLOCK NET TIME WATER LEVEL NET DROP TIME (MINUTES) READING (INCHES) 12 -- 7/19/2002 1 1:14 - 6' 2 1~44 30 4 1/4' I 3/4' 13 ~ 3 1:44 4 2:14 30 4 1/2" I 1/2' 14~ 5 2:14 - 6' - 6 2:44 30 4 1/2' 1 1/2' 15~ 17~ 18I lg--~ PERCOLATION RATE 20 (MIN./INCH) PERC. H~E DIA. 6 (INCHES) ] TEST RUN BETWEEN 2 FT. AND 2.5 FT. 20---- A FOUR HOUR PRESOAK WAS PERFORMED: ~ YES ~ NO SOILS LOGGED BY: JODY MAUS PERCO~TION TEST PERFORMED BY: ROB ~MPBE~ COMMENTS: PERFORMED BY A~C, INC. I, JEF~ A. G~NESS, CER~ T~T THIS W~/PE~ORMED IN ACCORD~CE WEH ~ ~A~ ~D MUNICIP~ GUIDEUNES IN E~CT ON ~IS DATE: DEPTH TO GROUNDWATER DATE DRY 7/16/2002 4.5' 8/14/2002 .~ ANCHORAGE AREA Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME LOCATION MAILING ADDRESS LEGAL DESCRIPTION /~F PHONE SEPTIC TANK: DISTANCE FROM WELL INSIDE LENGTH MANUFACTURER INSIDE WIDTH MATERIAL ST'~ ~'/._ NUMBER OF COMPARTMENTS LIQUID DEPTH LIQUID CAPACITY. /O~O GALLONS. SEEPAGE PIT: NUMBER OF PITS LINING MATERIAL BUILDING FOUNDATION ADDITIONAL ABSORPTION :z~'x ~'X ze 6(/~, x~' DIAMETER z~)~! OR WIDTH CRIB SIZE: DIAMETER , NEAREST LOT LINE LENGTH , DEPTH DEPTH DISTANCE FROM: WELL TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA). SQ. FT. TYPE CONSTRUCTION BUILDING NEAREST NEAREST FOUNDATION __, LOT LINE , SEWER LINE CESSPOOL , OTHER SOURCES APPROVED DISAPPROVED REMARKS DEPTH DISTANCE FROM: SEPTIC SEEPAGE TANK __ , SYSTEM DISTANCES: DIAGRAM OF SYSTEM INSTALLED BY: PIPE MATERIAL: LOT SLOPE: REMARKS: Form No. EQ-031 DATE ~t A/-] c/ /, /G.A.A.B. greaTEr ANCHORAGE AREA': boroug'h DEPARTMENT (~ E. NV'IRONME,N~AL.QUALITY 3330 "C"STREET ANCHORAGE, ALASKA 99503 "~ELEPHONE 274-456! ;. SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT PERMIT NO. NAME OF PHONE LEGAL DESCRIPTION ~ 1~ ~ T ~- ~/(~ ~ INSTALLATION OF: SEPTIC TANK TYPE AND SIZE OF FACILITY TO BE SERVED SEEPAGE PIT DRAIN FIELD OTHER FINANCED THROUGH 'SOIL TEST RESULTS COMPLETION DATE ANTICIPATED~:'' X~ ': ~ 'TO BE INSTALLED BY NOTE:~..~ r£RMIT IS NOT VALID WITHOU FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION. SEPTIC TANK SIZE MINIMUM DISTANCES, REQUIREMENTS FOUNDATION TO SEPTIC TANK ~ / FOUNDATION TO SEEPAGE PIT 20! /5' SEPTIC TANK TO SEEPAGE PIT WALL SEPTIC TANK ., SEEPAGE PIT WELL TO SEPT,C TANK /00' DRAIN FIELD DRAIN FIELD , DRAIN FIELD SEEPAGE PIT /~)/ ALSO CONSIDEr AREA WELLS. WATER MAIN TO SEPTIC TANK SEEPAGE PIT DRAIN FIELD SEPTIC TANK, /~)~! ., SEEPAGE PIT'---/~}0/ ., DRAIN FIELD TO river, LAKE, STREAM. CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF EXCAVATION 5 FEET INTO UNDISTURBED SOIL. 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT PITTED WITH AIRTIGHT REMOVABLE CAPS. GRAVEL BACKFILL CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. / G~,A.A ,B. OR LICENSED DESIGNER DIAGRAM OF SYSTEM , CERT, FY T.AT, AM PA.,L,A. WIT. THE RE U,REMENTS OF AREA BorouG' D, CE-- -- NO. 28-68 anD THAT THE ABOVE DATE ~ ~-~-~ '~ APPLICANT" 'IGNATU RE . ~:~:~~ FORM NO. EQ-016 ~.,. RoNALD L. THIEL, A.P.C. CONSULTING ENGINEER 24 June 1971 579 WEST EIGHTH AVENUE ANCHORAGE, ALASKA 9950! Mr. Robert C. Johnson Box 456 Eagle River, Alaska Re' BROADWATER HEIGHTS SUBDIVISION Tract C Sewer R~port Dear Mr. Johnson: Pursuant to your request a cursory engineering report follows hereinafter to satisfy the requirements of the Planning and Zoning Department of the Greater Anchorage Area Borough. A visual inspection of the above-referenced subdivision was conducted on June 23, 1971, for purposes of determining soils conditions for on-site sewage disposal systems. The subdivision consists of three nearly one-half acre lots and one 4½ acre tract. Lots 1 and 2 and Tract C-1 enjoy a scenic view of the Knik River Basin and have reasonably sloping terrain. Lot 3 is relatively flat. Skyline Drive is presently constructed and shows exposed backslopes at the property line of each parcel except Lot 3. The exposed backslopes show uniform material through- out the subdivision consisting of a gravel base with a minor silt content. The soils classification of this material is 1.7 gals./ S.F./Day or lsd0 S.F. per bedroom. Sincerely, RONALD L. THIEL, P.E. RLT:cw Municipality of Anchorage Development Services Department Building Safety Division On-Site Water & Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907) 343-7904 CERTIFICATE FOR A OF ON-SITE SYSTEIVlS APPROVAL SINGL 'FAHILY DWELLING Parcel I.D. 050-131-65 1. GENERAL INFORMATION COSA# ~'~C..i Expiration Date: Complete legal description Location (site address) Current Property owner(s) Mailing address Lending agency Mailing address Real Estate Agent Mailing address BROADWATER HEIGHTS S,/D; TRACT C-lA 11707 SKYLINE DRIVE * EAGLE RIVER, AK * 99577 JAMES & SHARON STURLEY Day phone 6,52-3512 11707 SKYLINE DRIVE * EAGLE RIVER, AK * 99577 Day phone MAGGIE ROSBOROUGH W/ CENTURY 21 Day phone 230-1286 400 W. TUDOR RD, #A-440 * ANCHORAGE, AK * 99505 Unless otherwise requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 4 3. TYPE OF WATER SUPPLY: Individual Well · Individual Water Storage [] Community Class Well I--'l. Public Water System [] TYPE OF WASTEWATER DISPOSAL: Individual On-site · Individual Holding tank [] Community On-site [] Public Sewer [] The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of On-Site Systems Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of On-Site Systems Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues COSAs upon request to homeowners. Certificates of On-Site Systems Approval are valid for 90 days from the date ofissue for properties served by a private or Class C well and may be reissued with new water samples. (Certificates may .be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal a~'xed 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 appfication, 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 ofinstallation. Name of Firm GARNESS ENGINEERING GROUP, Ltd. :Address 5701 E. TUDOR ROAD, SUITE 101 * ANCHORAGE, AK 99507 Engineer's Printed Name JEFFREY A. GARNESS, P.E. phone 557-6179 Date 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 sewed 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 th(s report by any other person or party is not authorized, nor will it confer any legal right whatsoever. DSD SIGNATURE J/Approved for L./ bedrooms, Disapproved. Conditional approval for ' .. ON-$rm : WATER AND bedrooms, with the fllowing st,pulat,ons: ~ Attachments: COSA Checklist Septic System Advisory Well Flow Advisory Nitrate Advisory (Rev. 11/05) Arsenic Advisory Maintenance Agreements Supplemental Engineer's Report' Other Original Certificate Date: Municipality of Anchorage Development Se ices Department Building Safety Division On-Site Water & 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 CHECKLIST Legal Description: BROADWATER HEIGHTS S/D; TRACT C-1^ Parcel ID: *PER GEG, LTD. INSPECTIONS. **500+ GALLON OF STORAGE INSIDE HOUSE. A. WELL DATA ***TO BEDROCK PER ARCTIC PUMP AND WELL INSPECTION. SEE ATTACHED REPORT, Well type PRIVATE If A, B, or C provide PWSID# N/A Well Log (Y/N) NO Date completed ,-, 1975 Sanitary seal (Y/N) YES Wires properly protected (Y/N) YES Total depth '121 + ft. Cased to ***26 ft. Casing height (above ground) 12+ in. FROM WELL LOG Date of test Static water level Well production ,,,,'"'" g.p.m. AT INSPECTION 6/22/2010 22 **0.18 g,p.m. WATER SAMPLE RESULTS: Coliform/~ colonies/lO0 mi. Nitrate~°° ~ mg./L. Arsenic: ~i~;:) ug./L. Date of sample: 6/24/2010 Other bacteria ~colonies/lO0 mi. Collected by: GE(:; Ltd. B. SEPTIC/HOLDING TANK DATA Tank Type/Material ADVANTEX/FIBERGLASS Tank size 1500 gal. Number of Compartments 2 Foundation cleanout (Y/N) YES Depression over tank (Y/N) NO Date installed 5/29-6/24/2003 Cleanouts (Y/N) YES High water alarm (Y/N) YES Date of pumping - Pumper. C. ABSORPTION FIELD DATA Date installed 5/29-6/24/2003 Length 35 ft. Total depth '2.6-5.1ft. Eft; absorption area 300+ ft2 Monitoring tube YES Date of adequacy test 6/22/2010 Results (Pass/Fail) PASS Fluid depth in absorption field before test DRY in. Water added 600 gal. Elapsed Time: - min. Final fluid depth DRY in. Absorption rate >= 600+ g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) NONE KNOWN If yes, give date - NOTE: THE AREA WITHIN 5' OF THE SOUTHWEST MONITORING TUBE APPEARS TO ONLY HAVE 1,6"0F SOIL COVER. NOTE: HOUSE WAS VACANT. PRESOAKED WITH 600 GALLONS IMMEDIATELY PRIOR TO TEST. SEE ATTACHED LETTER, ~*BELOW EXISTING GRADE] Soil rating ~r ft2/bdrm) 2.0 System type BED Width 9-12 ft. Gravel below pipe 1.0 ft. Depression over field NO For 4 bedrooms New depth DRY in. D. LIFT STATION Date installed 5/29-6/24/04 Size in gallons 1500/115 TIMER/ TIMER/ "Pump on" level at 57 in. "Pump off" level at 57 in. Datum BOTTOM OF TANK Cycles tested. * E. SEPARATIO'N DISTANCES *SEE ATTACHED A+ HOME SERVICES INSPECTION REPORT. Manhole/Access (Y/N) YES High water alarm level at 46/57 in. Meets alarm & circuit requirements~ *YES SEPARATION DISTANCES FROM WELL ON LOT TO: 100'+ On adjacent lots 100'+ On adjacent lots 100'+ Public sewer manhole/cleanout Holding tank N/A Manure/animal excrete storage areas N/A 100'+ Septic tank/lift station =on lot Absorption field on lot. 100'+ Public sewer main N/A Sewer/septic service line 25'+ Animal containment areas 50'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: 5'+ Property line ~ 5'+ N/A Water service line 10'+ 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Building foundation Water main Wells on adjacent lots: Property line 10'+ Building foundation. 10'+ Water service line 10'+ Surface water 100'+ Curtain drain NONE KNOWN Wells on adjacent lots 100'+ COMMENTS Absorption field 5'+ Surface water 100'+ Water main N/A Driveway, parking/vehicle storage 10'+ WELL :IS IN EASEMENT. SEE ATTACHED ENCROACHMENT PERMITS. G. ENGINEER'S CERTIFICATION I certifythat I' have determinedthrough 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 ")/t/lO COSAFee ~ Y Date of Payment Receipt Number (Rev. 11/05) Waiver Fee $ Date of Payment Receipt Number Municipality of Anchorage Development Services Department Building Safety 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 # 101127 A Certificate of On-Site Systems Approval inspection and test of potable water was recently conducted on the well water supply on Block , Lot of Broadwater Heights Tract C-lA subdivision. This inspection revealed a nitrate concentration of 6.8 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. Municipality of Anchorage Development Services Department Building Safety Division On-Site Water and Wastewater Program 4700 Elmore Street P.O. Box 196650 Anchorage, AK 99519-6650 www. ci. anchorage, ak.us (907) 343-7904 Water Well Advisory Certificate of On-Site Systems Approval (COSA) # 101127 During a recent COSA on-site inspection and test of the potable water supply well on Block , Lot of Broadwater Heights Tract C-lA subdivision, the well's productivity was determined to be .18 gallons per minute. The minimum well productivity required by this Department (AMC 15.55) for a 4-bedroom residence is .41 gallons per minute. Although the subject well currently ~ this' minimum requirement, all parties concerned are advised that the production capacity of the well may fluctuate. Restriction of non-critical water uses such as washing cars and watering lawns and gardens may be required. This advisory must be attached to all copies of the subject Certificate of On- Site Systems Approval. SGS ReL# 1102890001 Client Name Garness Engineering Group, Ltd Printed Date/Time 06/29/2010 17:25 Project Name/# Broadwater Hts TRC-1A Collected Date/Time 06/22/2010 16:00 Client Sample ID Broadwater Hts TRC-1A Received Date/Time 06/23/2010 9:10 Matrix Drinking Water Technical Director Stel}hen C. Ede Sample Remarks: 4500NO3 - Total Nitrate/Nitrite - MS did not meet QC criteria, biased low. LCS meets QC criteria. Allowable Prep Analysis Parameter Results LOQ Units Method Container ID Limits Date Date Init Metals by ICP/MS Arsenic ND 5.00 ug/L EP200.8 C (<10) 06/23/10 06/29/10 KDC Waters Department TotalNitrate/Nitrite-N 6.80 0.100 mg/L SM20 4500NO3-F B (<10) 06/24/10 AYC Microbiology Laboratory E. Coli Negative 1 100mL SM20 9223B A 06/23/10 DLC TotalColiform Negative I 100mL SM20 9223B A 06/23/10 DLC GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS & GENERAL CONTRACTORS June 24,2010 Municipality of Anchorage Development Service Department On-Site Water & Wastewater Program 4700 Elmore Road P.O. Box 196650, Anchorage, Ak 99519-6650 (907) 343-7904 REFERENCE: Broadwater Heights Subdivision, Tract C-IA; 11707 Skyline Drive, Eagle River, AK, 99577 To whom it may concern, The subject property is served by a private well and septic system. We inspected the septic system for the purpose of obtaining a C.O.S.A.. An adequacy test was performed on 6/22/2010. The house had been vacant for longer than 30 days. The drainfield was dry at the beginning of our test. We introduced 1220 gallons into the drainfield over a period of 400 minutes. The drainfield remained dry during the entire period. We contacted your department at this point. Our intent was to consider the first 600 gallons as a pre-soak and the final 620 gallons as our adequacy test. Due to the fact that the drainfield remained completely dry during this entire period, we believe that this test demonstrates that the drainfield will function adequately under normal use. Per our conversation with your department (6/22/2010), you found this to be an acceptable method of pre-soaking and testing the drainfield. If you have any q~ Iions, please contact us at 337-6179. ~ely~ /~/~ "M'S'Presi~ ~ 3701 E. Tudor Road, Suite 101 * Anchorage, Alaska 99507-1259 Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: www.gamessengineering.com Page 1 of 1 Andrew Gray From: apw@gci.net on behalf of Jim Sullivan [apw@gci.net] Sent: Thursday, July 01,2010 10:05 AM To: Andrew Gray Subject: FW: Broadwater hts Tr cla Jim Sullivan, CPI Arctic Pump 8, Well, Inc. PO Box 770197 Eagle River, AK 99577 (907) 688-25'10 (907) 258-25'I0 (907) 745-2510 From: Jim Sullivan [mailto:apw@gci.net] Sent: Friday, June 25, 2010 5:26 PM To: 'andrew@garnessengeneering.com' Subject: Broadwater hts Tr cla Andrew I inspected the well on this property today. It has a pitless adapter at 9.7' and the casing is set into bedrock at 26' there are no perforations in the casing. Thanks Jim Sullivan, CPI Arctic Pump & Well, Inc. PO Box 770197 Eagle River, AK 99577 (907) 688-2510 (907) 258-2510 (907) 745-2510 7/1/2010 87/01 / 2018 07:30 8686778 ~ IIII IIII II II ~ II · · I · · .-~ II I IIII IIII · APLUS 151 606 II!1 · II I E II I II I .,n ~ · I I · n~ PAGE lvanTex' Field Maintenance Report Annual Inspection pmpert70wner/Tmoklng # James & Sharon Sturley 11707 West Skyline Drive, Eagle River AK 99577 AX-1016~-~ ISw020372 I 201557 AnchorageTank & Welding, Intl 907-272-3543 Retrieve O&M Info Dally flow Realm ratio Timer settings: RTU101845 Perform Field Sampling/Obsewations Odor of Sample Typical [~ MuSty '~Ea~thy Non-typical ~ Sulfide ~ Cabba~ O1~ film Iff ~U ~ Yes ~ No Foam In tnnk ~ Yes ~o Check Control Panel [] Moldy IRe¢lm Amps I Disobeys Amps Audible and Vis~e,I alarms Dial tone (telemetry only) ingpeet/Clean P,,mp System RIser/Lid ........................ S, pll~e Box ..................... Float Co~de ................... Floats ........................ Pump ........................ Blotube" Fitter ................. Biotube Pump Vault ............ ¢leclmul~ing ~Dllttsr V~ ....... [~]OK ~YeB '~o Measure Sludge/Scum 1st Oompartment [ C~e)tr ~revlou~ cun~nt 2nd Cempsrtme~ OurmOt Pmv~us Cu~t Inspee~Clean ~vaflTe[ Filter oGor: ~o~al ~ Ex~sslve BIDing: ~dgi~/Pondlng: ~None/Ml~r ~ Excessive Inspe~Clean ~iaehn~e Pump Sy~m In~ect Rt~r/Ud ~ FIo~a S~lloe Box ~ Pum~ Rout ooze Inspe~Sewice ~her S~em Componen~ Inspe~ Cle~ Dlslnfe~ton Equlpmem ~ I ~ Clea~ed revile sb~? ~ Re~l~lUaed othe~ Pa~s ~sed= W ~ WarmnW. B = Billable (/a~mprlate Selemlon) W B I~m Number O~crl~l~ ~©um previous PreViOus Inspect Clean L~terals/OH flees I~ [] Pod Bottom ~ ~ Fin~l/Safety Inspection ~ RSV reinstalled ~ Manifold reoolll~cted~ flustl valves ctoaed Summary/Recommendations [] System perfol~ll~g; no fuCther action needed [] Call for sewlce Ins~e¢! Clean il~Spect Clean Dispersal I~teml~:)Mfl<;es ~ [] [] Replaced UV Items? '~Llds bolted on Control panel reactivated []'rank needs pumping [] Olher~ Oomment5 Signature .~ _ ,] a N 'N N .&m',~xc~:~) w;xs'r£w.-xT~ TREATMenT SYSl I.:M~ ~AI. TE~ A~ CE A~D TI IlS Mi-.M(IRANDUM OF UNDERSTANi)I,N'(i made and entered inlo as of this 0' herein the "OBEYER." and thc MtmicipaliD' of Anchorages, herein thc "ML:NICtPAI. TY" in consideration o[~c mutual covenants contained herein, thc parties to this Memorandum of Understanding agree as lbllows: i. ADVANCED WASTEWATER TREATMENT SYSTEMS. Municipality .grants permission m Owner to utilize and opcmle an Advanced Wastewatcr Treatment System (AWWIS). desc,ibed as ~9~_[~ located 2, Defiaitions, A. Aheralion. Any change m the design or Function c~l'an AWWTS that Inctudes thc installalion or removal of any pans. c[~mponcnts or pieces not included in the ori,~inal constructiun pcrmil and design. Prior to pcrlbrming any nllcratlons ~o an AWWIS Wastewater Dispersal Syslcm Consu'ucOon Permit ~Yom thc Municipalit5 pursuam t,~ Anchorage Municipal Code (hcrcinat~er. "A B. Cer6ficalc of On-Silo Systems Approval. An appro~ a1 b> thc MunicipaliD' of existing water :md x~aslcwater disl~saI systems given at the time cq' pro~y sale and title transfer in accordance with AMC 15.65. tl]k? SLIp]30~ and ,neet ti~e codes that were in place a~ the time of syslcm co~lstruction. C. Damage. Any mmv-made or natLn'al change i~ a system tha~ would inh~bit the sys;em from perlbrming as designed. D. Mainlenance and Repair. The .scheduled and ~ needed rcptacemrnt of existing pags, com~>nents and pieces of an AWWTS that ~cm inctudcd in ~hc orig~nat design which would al]aw the AWW'f'S to continue m perfo~ as designed. th. Permit (Construction) An On-Site Wastcwatcr Dispo~l Syslem Conslruction Permit as defined by AMC t 5.65. F. Permil (Operating) An Advanced Wastcwater Trcatmcnl System Operating Penni~. An annual permit, issued by ~he Municipalits, that allows Ibc Owner to operate an AWW'iS. upon meeting alt the requirements of this agr~ment, the conditions of Opcm~}ng Peril, thc requireme~ts of the On-Site Wastcwatcr System Construction Permit and alt rclcvanI provisions of AMC t 5.65 Ftc. O~ncr shall pa5 tt) Municipality an annual t~e of ~$.. ~' .0%. payabte on or befi~re thc i~suanc¢ ~l'lhc opcra~Jng pcm~[t and annually themal:tcr. '[hc annual ~kc is duc un or befbre the anniversa~ date of the approval by Murfic[patity of installed system. Term, 'thc term ~'~his Mcmtmmdum of Understanding shat[ be for the tick of AWWTS. I'hc tcrrn begin> ~m thc date ~.)J'approxal by 0~c Municipality ot'~hc inslalled system shall continue while ~he AWWTS system is in use (~r ¢~perational or until ~hc pruptr~y sold or title is ~ransl~z-~cd by owner and a acw cc~ificmc oFOn-Shc ~pproval i~ issued the new owner or transferee of the 5. Alteralions, laslallalion and Removal of Addilionat ~quipment. ()whet asrees not to make any alterations, rems>vat o[ ~trts or additions lo thc AWWTS without a Construction Permit l?om the Municipalib~. 6, Maintenance and Rep.ai~. A. Throughout the term afthi~ Memorandum of Understanding, thc Owner shall maintain AWWIS m good repair. In addition, il shall be the ms~nsibiliD: of the Owner during the tem] of this Memorandum u[ Understanding, and any extensions or renewals thereof, at the aw,let's sole expense, to pay for any and alt: ( 1 ) repair(s). (2} maintenance. (3) a{iummcm(s), (4) replacement cc}sls, and (5) inspection Further, ()~ter agrees to comply will all applicable ordinance, taws. regulations. niles and orders for the A WW'['S. B~ Owner agrees to provide thc Municipality a wrjncn schedule of routine maintenance and repairs which have bccn pcrlb~cd on thc system pursuant to Ibc ~erms and ccmditions contai,~ed in the ()wner's A WW IS Ot~raling Pc~it, This schedule sh~l~ bc subrni~lcd lo [}lc MunicipaliD' ammatl~ u~n thc ~newal of[he pe~it. The schedule (~i' maimenance and rt'pMr c~mtaincd in ibc Owner's A WWI'S Operating Permit is: / ~-~ c ~ ~ C. Owner ackno~ ledges that ~c fine schcdutc Jbr tbiJing to mainlain and repair tm A W WTS are codified in A MC t.1.60. Mu~icipali~ will inspec: and make' any ncccs~tO' maintcnr~nce, repairs r,r permitted alterations to ~hc ~).stem. I.(. Owner a,,rees~ _ to _~rant the Mtmicipalitv. reasonable access to lest a~d inspect ti~e AWWTS upon 24 hours wrinen notice. ]:. Owner agrees that any sale or translk'r of title of the property wilt not occur ~i~hout a new Ce~ifica~e of On-Site Systems ApproYM. G. Owner ag~ccs thi~l thc rclevanl p~visions of the standard specification gui&book fbr A WW']-S is Ihe goven~ing professkmai gtsidclincs lbr ~hc construction. maintenance :md ~pair of the Owner's A W WTS. 7. Nonwai~'er. 'l'he failure of either ~i~y al any time to enforce a provision of this Memorandum of Ut~derstm~ding shall in no way constitulc a waiver of the provisions. nor in any way c[l~ct ~hc vatidi~: of the Memorandum of Understlmding or imy pan her~f, or the right of such pafly thcrct~ficr to cnli)rce each and eveO' provision hcrcol~ 8. Amendment. A. This Memorandum of Understanding shall only be amended, rectified or changed by a writing, executed by authorized reprcscmativc= of the paflies, with the xan~e fom~alitx, of' this Mcmorar~dttm of Understanding was executed ~md such ~vriling shall be anached tn this Memorlmdum of Understanding as a~ amendment I-'or the purposes of a,~y amendment modification ,or change to fl~e terms and conditions offi~is contract, the onl? authorized reprcscnl~tivcs of thc' parties arc: Anchorage: Purcha~ma ( C, Any attempt to amend, modi6', or change ibis contracl by chhcr an unauthorized representative or unau~ho,'ized means shall be vt-fid. 9. Jurisdiction: Choice of La,a'. An?' cMl action arising from Ibis Memorandum of t inderstanding shall be brought in the Superior Courl for the Third Judicial District o£ the State of Alaska at Anchorage. The laws of the State of Alaska shall govern thc tights and obligations of the parties under this Memorandmn of Underslanding. 10. SeverabilitL.. Any provisions of this Memorandum of Understanding decreed invalid by a court of compcmm jurisdiction shall not invalidmc thc remaining provisions the Memt)randum of Understanding O%~,~'ER: STATE OF ALASIC, THIRD JUDICIAL DISTRtCT MUNICIPALITY: By: Fitle: Date: ) ss. ) My Commis.4on expires: q -.)-~'- 2-~x :>_. lhe foregoin~ instrument was acknowledged before me this Municipality of Anchorage Development Services Department Building Safety Division On-Sits Water & Wastewater Program 4700 South Bragaw St. P,O. Box 196650 Anchorage, AK 99519-6650 wv,",v.ci.anchorage.ak, us (907) 343-7904 CERTIFI-CATE.-OF HEALTH AUTHQRIIY APPF OVAL FOR A SINGLE FAHILY DWELLING Parcel I.D. ,~:~--"~ -/~/"~;~ 1. GENERAL INFORMATION Oq. Expiration Date: /'" '~ cji. 0-~ Complete legal description BROADWATER HEIGHTS SUBDMSION; TRACT C-lA Location (site addressordirections) 11707 SKYMNE DRIVE * EAGLE RIVER, AK 99577 Current Property owner(s) Mailing address Lending agency Mailing address .Real Estate Agent Mailing address DAVID LAGERLEF Day phone (301) 879-3648 11530 blAYDALE DRIVE * SILVERSPRING! MD 20905 Day phone Day phone Unless otherwise requested. HAA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 4. 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well · Individual On-site · Individual Water Storage [] Individual Holding tank [] Community Class Well [] Community On-site [] Public Water System [] Public Sewer [] The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority Approval (HAA) based only upon the representations g~ven in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of Health Authority 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 HAAs upon request to homeowners. Certificates of Health Authority Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water samples. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 4. STATEMENT OF INSPECTION 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 Health Authority 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 furlher 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 ~nd 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. Phone Date 357-6179 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 ident#iable 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 contrel of the evaluator of the system. Satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. GEG, Ltd. can therefore not provide any warranty or future estimate of how long the system will continue to meet the operational requirements of the ADEC or MOA DSD. The content of this report is for the sole benefit of the owner listed above. Any reliance upon or use of this report by any other person or party is not authorized, nor will it confer any legal right whatsoever. 5. DSD SIGNATURE Approved for bedrooms. Disapproved. Conditional approval for /~ bedrooms, with the fllowing stipulations: Note: The well for this property meets existing State and Municipal Codes. There are nitrates present. It is suggested that periodic testing be performed to insure the wells continued suitability. Current nitrate concentration is 6.76 mg/l. EPA maximum concentration is 10.0 mg/l. More information on nitrates is available from the On-Site Services Program, at 34327904' Attachments: HAA Checklist Septic System Advisory Well Flow Advisory Manitenance Agreements Supplemental Engineer's Reort Other (Rev. 12/01) Original Certificate Date: [ 0 -,~ c~ .. 0 /-~ TI~ER/ ' 37 in. __ Size in ,, TIMER/ Pump off- leVei at 37 in, Manhole/Access (y/N) High water alarm level at 46/57 in. on adj sewer main !ne Holding Property Water service line Absorption field Surface water. Building foundation Surface water Water main of ~. above systems are in guidelines in effect on this date. Waiver Fee $ Date of Payment Receipt Number Mile 3.2 Palmer-Was~la Hwy. Midtown Community Business Park phone; (907) 745-3005 TeSt Lab of Alaska water QualitY TeSting P.O, Box 2749 Palmer, Ak. 99645 Email: mat.sutesflab~rooershsa.com Fax: (907) 745-$0'10 Ci ant SGS Enviromental Attn.; Client ID: PW$1D #: M.S.T.L.#: Sample Matrix: Comments: Forest Taylor Tract ClA Broadwater Heights~1046868001 20041009 Date Arrived: ,10/21/04 Report Date: 10/22/04 Sample Date: 10/18/04 Sample Time: 1730 Cellu~ted By: SM 4500-NO3-E Nitrate-N mg/L 6.76 0.50 10122/04 10/22/04 10.0 Legend: MRL = Method Report Level MCL = Max. Contaminate Level -- Preser~t I~ Method BlanE E = Estimated Value H =Above MCL O = Lost to Dilution Rep~)~(~=~ By Jon Paul Campbell Lab ~upe~isor MUNICIPALITY OF ANCHORAGE Building Safety Division MEMORANDUM DATE: October 7, 2003 TO: File FROM: Joe Goodall Engineer II, On-Site Water Wastewater Program SUBJ: Broadwater Heights Tract C-lA This permit SW020372 was approved and issue..d on september 25, 2002 by Dan Roth..The Current cOde requires the septic field to have a 4 foot Vertical separabon distance to grOUnd water. The Catego~7 III Advantex treatment System was proposed by .A.W~/C, Inc .and approved for a 2.5 foot vertical separati.o.n distance. I was d~rected by JIm Cross to approve the as-built inpect~on report. $0ct 26 0't- 01:56p 11723 OLD GLENN HIGHWAY EAGLE RIVER, ALASKA 99577 (9075 694-6646 TO p.1 63297:.. [] DAY WORK ,,~ CONTRACT ~ EXTRA OTHER CHARGE~, TOTAL O~ER .~.~ .,~:-~-: .~--~ :-~. TOTAL ~BOR oA~,~ ~ TOTAL MATERIALS TOTAL MATERIALS ' ~5 ~ ~ ~ TOTAL Work ordered by ~~ ieOct,29, 2004:lO:59AMo765,Garness Ensineerin~ Group, Ltd, 6~ouP No,1585 FP' Oct,D. 2OH. lO:47AM Garness EnSi,eeri~ Group, LN. No.iBSO P, Z of cho e M~ ~c~ Mayor ~'~velopment ~wi~s ~Pa~ment P,O. Box I~50 · ~7~ B~G~ Street A~hora~, Alas~ 9951~0 (90~ 343-8101 ~ (907) 3~1~ Fsx O~ober 2~, 2004 ! 530 IVI~ydale Drive Silver Spring, MD 20905 P,.E,; F. ucroachmem: well Trz~t C-lA, Brozawat~r l-lei~ht~ ~ulxlivisioo, Grid NW2~3 The Right of Way Di~islon has ~w~ a rcqu~ for a l~cr of non~bj~fiou ~cs 8 ~ ~to ~ l~t ~age ~s~t ~ t~e ~-built su~y gat~ l~ly ~, ~03, sub~t~ ~ ~ ~u~t, ~'~ti~o~ ~S sho~ ~ well. ~ ~f Way ~ ~Su~ ~ lett~ o~ ~on~bj~cn w~h ~l~ioug 1. M~ty of~ ~OA) ~11 bc h~ld ha~l~s, n~ ~d forwer, for ~ d~g~ or ~. Th~ l~g or~n~n ~ ~ ~o waypr~de MOA ~om ~ll m~ ~d enl~ OX lm n~ts 4, Ad~!ion~d~~stSi~ed~dngany~red~o~repa~or ~n~{i~ of MOA im~v~ts to ~comm~e ~y ar all of~e ~roa~m~s ~ ~ paid ~1 ~tl~S 0fnon~bj~fl~ sh~d ~ ~in~ in ~ ~rm~ent files. $~uid i{iu~r~Iy, Jack L. Frost, Jr. P,i&tlt of Way 8~per~i~or C~Rctt t',