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BRANDL LT 1A
Brandl Lot 1A #018-192-27 Municipality of Anchorage On -Site Water and Wastewater Program • (907) 343-7904 Page / of ON-SITE WASTEWATER INSPECTION REPORT PermitNumber: (94P (RI PID Number: GN — (4 Z —2� Dwelling: Single Family (SF) 0 Duplex (D) ❑ Multiple (SF and/or D) Project: ❑ New ❑ Upgrade ILy Name: O t + ABSORPTION FIELD ❑ Deep Trench aShallow Trench ❑ Bed ❑ Mound Address ❑ Other Phone Number of Bedrooms &( Soil Rating 6') GPD/SF Total depth from original grade 0/0 Ft. LEGAL DESCRIPTION Depth to pipe invert from originaI grade 90 Ft Gravel depth beneath pipe 410 Ft. SubdivisionBlock Lot R('a vk If Fill added above original grade .n X77 (/. i0 ` 2i 0 Ft. Gravel length Ft. Township Range Section Gravel width ^ j, Ft. Beds: Number of Lines -- Distance between lines Ft. SEPARATION DISTANCES To From Septic Tank Absorption Field Lift Station Holding Tank Sewer Line Total absorption area 7 Fiz Number of trenches / Dist. between trenches � Ft. Well / /F 100"L r �% w tol f4 TANK El Septic [IS.T.E.P. El Holding El Other Manufacturer C acity Surface Water tot drfGal. Material Number of compartments Lot Line /0 NA Foundation L �� (< LIFT STATION Manufacturer Capacity Gal. Curtain Drain t4 (4, Remarks YG'tYtGLYCti ,,,,// // Frt ©n u Pump on level at in. Pum vel at in. High water alarm at in. /� fwaf trfLei Ae Lje CL oa� Fa tm .� n ar t n V O C(' Pump and model Electrical Inspections performed by f� t Installer / / ^ N/tr AP /a�il./•lTri. A40pe t PIPE MATERIAL House to tank' Tankto� V_f drCO/Md `t Drainfield 7(�;e4 CO/MT p Inspector aA-if�c N �' BENCHMARK (Assumed elevation) It Inspection t dates: tI / / "" f( fFaIf Location and description f fl<r�g @j f-�44rGgPi � COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL Conditional Approval: Date h: tt .: ... ............... va • MICHAEL N. ANDERSON . Q' CE t�l��•.,ll 9 69 / / Approve Date inspection Reparr g-t-tz.coc Permit No. OSP141225 Page 2 of 2 Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 Anchorage, Alaska 99519-6650 Telephone: 343-4744 On—Site Wastewater Disposal System and/or Well Inspection Report Legal Description: BRANDL LOT 1A PID No.: 018-192-27 tMMFI EXISTING 1500 GALLONS EEL STEP TANK INSPECTED AND APPROV 1 Y � SEPTIC \ I � l /I BENCH AT BOTTOM OF SIDING -� i i / EAST 142ND AVE. TH#2 BY GARNESS N— II J J/13/4 BEDROOM HOU E r\ u r � IH#1 BY GARENESS I / I / I � p i /` \\ AakV_/ I IL SCALE: 1-=40' n w " rz .1G GME TM,r FhRfl iPBPM 00 ORC Aff 49 y� w 51.1 0.... •....• 00. f♦ICHAEL ♦ No. ♦♦♦ / seanc sEcnoN l � ♦ q� N.T.S. \.f7 11f,i. i N. i MARK A B C01 20 30 CO2 75 53 MiT 20 32 M T2 76 54 tMMFI EXISTING 1500 GALLONS EEL STEP TANK INSPECTED AND APPROV 1 Y � SEPTIC \ I � l /I BENCH AT BOTTOM OF SIDING -� i i / EAST 142ND AVE. TH#2 BY GARNESS N— II J J/13/4 BEDROOM HOU E r\ u r � IH#1 BY GARENESS I / I / I � p i /` \\ AakV_/ I IL SCALE: 1-=40' n w " rz .1G GME TM,r FhRfl iPBPM 00 ORC Aff 49 y� w 51.1 0.... •....• 00. f♦ICHAEL ♦ No. ♦♦♦ / seanc sEcnoN l � ♦ q� N.T.S. \.f7 11f,i. i N. i On -Site Wastewater Disposal System Permit MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 Elmore Road, PO Box 196650 Anchorage, AK 99519-6650 Telephone: (907) 343-7904 Permit Number: OSP141225 Tax Code Number: 01819227000 Work Type: Septic Upgrade Permit Effective Dates: September 03, 2014 to September 03, 2015 Design Engineer: GARNESS ENGINEERING GROUP LTD Subdivision: BRANDL Site Legal Address: BRANDL LT 1A G:3034 Owner/Address: JOHNSTON KIMBERLY A& WRIGHT ANTHONY D 5053 42ND AVE SW SEATTLE WA 981361226 Site Mailing Address: 3040 E 142ND AVE, Anchorage Lot Size in Sq Ft: Total Bedrooms: This permit is for the construction of: 18194 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 Issued By t Municipality of Anchorage P.O. Box 196650 • 4700 Elmore Road Anchorage, Alaska 99519-6650 • (907) 343-7904 • Fax (907) 343-7997 hftp://www.muni.org/Onsite Development Services Division On -Site Water and Wastewater Program 1c e y epartment **** VARIANCE/WAIVER REVIEW **** Waiver#: OSP141226 COSA#: Permit#:OSP141225 PID#: 018-192-27 Legal Description: Brandl, Lot 1A Engineer: Garness Engineering Group Applicant: Kimberly Johnston 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 3.0 feet. 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. ......................................................................... 0..... Waiver is Granted: X Waiver is not Granted: Date:RA �� Approved b Name of Reviewer .......................... ................... ................. ................� MUNICIPALITY OF ANCHORAGE Community Development Department Phone: 907-343-7904 Development Services Fax: 907- 343-7997 On -Site Water & Wastewater Program Mayor Dan Sullivan On -Site Sewer/Well Permit Application For A Single Family Dwelling Parcel I.D. 018-192-27 Property owner(s) KIMBERLY JOHNSTON Day phone 206-397-2599 Mailing address Site address 3040 E. 16 Legal description (Sub'd, Block & Lot ) BRANDL S/D LOT 1A Legal description (Township, Section & Range) Lot Size 51�A' — APPLICATION IS FOR: ays ( ® all that apply) 2iq 1 q Absorption Field W2411 Septic Tank 155-3Yli Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage ❑ Sq.Ft. Number of Bedrooms 4 APPLICATION IS AN: Initial ❑ Upgrade Renewal ; ; i�IV+I r TYPE OF DEWELLING: Single Family (SF) ❑ (w/wo ADU) Duplex (D) ii Multiple Dwellings ❑ LSF and/or D) JUN 2 3 2014 THIS APPLICATION INCLUDES A VARIANCE/ WAIVER REQUEST FOR: DRAINFIELD TO LOT LINE Distance: 3 FEET I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal codes. GARNESS ENGINEERING GROUP, Ltd. (Signature of property owner or authorized agent) Permit/Rush Fees: 51�A' — Waiver Fees: ays Date of Payment: 2iq 1 q Date of Payment: W2411 Receipt Number: 155-3Yli Receipt Number: Q S 3384 Permit No. c6191g122"5 Waiver No.1?�Lij S(e (Rev. 01/11) col GARNESS ENGINEERING GROUP, Ltd m CIVIL & ENVIRONMENTAL ENGINEERS September 11, 2014 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 Ref: Proposed Septic System Re -Build for Brandl; Lot 1A; (REVISED OSP141225) To whom it may concern: The existing 4 bedroom house is served by a private well and a septic system. The septic system is in a state of failure and needs to be upgraded. We are proposing to re -build the old drainfield and inspect the old 1500 gallon STEP tank for structural integrity, if the tank is deemed adequate it will be re -utilized. We are proposing to excavate out all contaminated material, import MOA approved leveling sand (to make top of sand an elevation 0.10' above the bottom of the old drainfield), and re -build the drainfield. Comments regarding the design are summarized as follows: 1. SOILS: See the attached 1999 soil log which shows the soil classification, groundwater monitoring, and the percolation test results. 2. TRENCH DESIGN: See attached design drawing for drainfield specifications. 3. SURFACE WATERS: There are no surface waters within 100 feet of the proposed septic system. 4. TOPOGRAPHY: As can be seen on the attached topography site plan, the average slope in the area of the drainfield is 10-15% sloping east to west. In short, there are no slope concerns. We are unaware of any adverse impacts this installation would have on adjacent wells or septic systems. If you have any questions, please contact us at 337-6179. Thank you for your assistance. P.E., M.S. 3701 E. Tudor Road, Suite 101 * Anchorage, AK 99507-1259 Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: www.gamessengineering.com Cod NUMBER OF BEDROOMS: 4 TO OBTAIN A COPY OF THE LEAAND SHALL HAVE THE GALLONS PER DAY (GPD): 600 CONTACT GEG. BY PROCEEDING FWEST LOT LINE PERCOLATION RATE/S: e7.9 MIN/INCH WITH THIS INSTALLATION, THE EN PROPOSED APPLICATION RATE: *0.8 WELL DRILLER, CONTRACTOR AAND ALL WELL RADII MINIMUM DRAINFIELD SQ.FT.: 750 FT' PROPERTY OWNER AGREE THATFLAGGED BY A REGISTERED HAVE READ THESE SPECIFICATIOLAND SURVEYOR PRIOR TO N JEFF GARNESS, P.E. 1999 THS AGREE TO ACCEPT THE TER DRAINFIELD DESIGN: CONDITIONS Ou CONSTRUCTIO . MAXIMUM DEPTH OF EXCAVATION: LIMITED A C w H SCAL TO REMOVAL OF CONTAMINATED MATERIAL INSTALL PLYWOOD AT UTILITY EASEMENT WIDTH: 5 FEET AND IMPORT "PITRUN" INSIDE THE V. = C EFFECLENGTIVE: FEET- - EASEMENT AND "DRAIN ROCK" IN THE EFFECTIVE: 4 FEET MOA APPROVED SAND FILTER: INSTALL LEVELIN DRAINFIELD. REMOVE PLYWOQC_AFTER SAND TO MAKE TOP OF SAND 0.10' HIGHER INSTALLATION. THE OBJECT149W IS TO p THAN BOTTOM OF EXISTING DRAINFIELD. AVOID INSTALLING THE DRAINFIELD V' REDUCTION FACTOR: 0.50 E. 142nd AVENU INSIDE THE UTILITY EASEMENT. ACTUAL SQ.FT.: 750 FT` - i 3' ROW FOR ROADWAY k MILLI '• 10-159 .'•a 10-15% OLD TANK TO BE #Z f •';¢y', / a . Y a f INSPECTED FOR o ST1 _ STRUCTURAL INTEGRTTY . Z . 10_15% <`• IF APPROVED KEEP AN REUSE IF NOT REPLACE 0-5% 8 MH WITH NEW 1500 GALLO CO NSTALL NEW 1500 STEP TANK. " M .a. GALLON STEP TANK w / o FCO 41 0-15% a. (STING 4 BEDROOM HOUS •..e •„'.,_A BRANDL S/D LOT 3A / w w TH#1 I I N J Iz 100' WELL RADIUS C i & Lit \ I C0 OLD DRAINFIELD TO \ 0__5% BE RE—BUILT ❑ \\ / B LONDL2A GARNESS ENGINEERING GROUP, Ltd `* CIVIL & ENVIRONMENTAL ENGINEERS — 3701 E. NW ROAD, SURE 191 • MWORAOE. AH 99507 • RME (907) 337-8179 '• FA% (907) 338-3218 • 'MEM. vwa.9cmeeeen ireefin9�rom .. ... .......... .............Q PREPARED FOR: PHONE NUMBER: PAGE NUMBER: �f �1%, f Y y •• Garn SS: 4 KIMBERLY JOHNSTON 206-397-2599 2 OF 2 �jci' CE LEGAL DESCRIPTION: DRAWN BY; BRANDL; LOT 1A pNB •���� •. �I��, 0 4W . TYPE OF WORK: DATE: pROFESSI �P♦ SEPTIC SYSTEM DESIGN UPGRADE (REVISED; OSP141225) REVISED 9/11 /14 , ���1>ksil, ♦ • ff ALASKA WATER & WASTEWATER I SOIL LOG - PERCOLATION TEST I LEGAL DESCRIPTION: BRANDL SUBDIVISION, LOT 1A PERFORMED FOR: JERRY SHERBAHN DATE PERFORMED: 11/6/99 (feet1 TEST HOLE #2 (feet) R7 1 1 1 2' - COMMENTS: SM TO SM/ML KITH SOME GRAVEL SOIL CLASSIFICATIONS DEPTH TO GROUNDWATER DATE DRY 11/8/99 DRY f��l1g 11/9/99 WMA 1 2:59 6" — 2 3:29 30 1-7/16" 4-9/16" DEPTH TO GROUNDWATER DATE DRY 11/8/99 DRY 11/16/99 11/9/99 — PERC. HOLE WAS PRESOAKED 4+ HOURS PRIOR TO TESTING OF SEE AS -BUILT DRAWING FOR TEST HOLE LOCATION DATE READING I CLOCK TIME I NET TIME (MINUTES) I WATER LEVEL READING I NET DROP (INCHES) 11/9/99 — PERC. HOLE WAS PRESOAKED 4+ HOURS PRIOR TO TESTING 1 2:59 6" — 2 3:29 30 1-7/16" 4-9/16" 3 3:30 — 6" — 4 4:00 30 1-9/16" 4-7/16- 5 4:01 — 6" — 6 4:31 30 1-1/2" 4-1/2' PERCOLATION RATE 6.7 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES) TEST RUN BETWEEN 6.0 FT. AND 6.5 FT. PERFORMED BY ALASKA WATER & WASTEWATER. I, JEFFREY A. GARNESS, CERTIFY THAT THIS WAS PERFORMF;I 1N ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON Municipality of Anchorage Page 1 of 2 DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 Anchorage, Alaska 99519-6650 Telephone: 343-4744 On -Site Wastewater Disposal System and/or Well Inspection Report Permit Number: SW990364 PID Number: 018-192-27 Name: JERRY SHERBAHN Wastewater System: ❑ New ■ Upgrade I P.O. BOX 11-1132 ANCH. AK. 99511 1 AgS0RPT10M Plim rt I Phone: (907) 345-6866 No. of Bedrooms: 4 ❑ Deep Trench ■ Shallow Trench a Bed ❑ Mound ❑ Other LEGAL DESCRIPTION sell Rating: Total Depth from original grade: 0.8GPD/Sq. Ft. 7.5 F t. Lot: Block: Subdivision: 1A Depth to pipe bottom from origlnol grade: Gmvel depth beneath pipe: — BRANDL 3.5 4.0 Ft. Ft. Township: — Range: — Section: fill added above original grade: Gravel length: 1.5 — 2.0 Ft. 75.0 Ft. WELL: ■ New ❑ Upgrade Gravel width' 5.0 Number of linea: Distance between lines: Clasaincaton (Private, A,B,a): Totol Depth: Cooed To: PRIVATE Tolal abeeryton area: Ft 1 _ FL Pipe material: 146 Ft 146 Ft. 750.0 sQ. Ft. ASTM D -3034/F-810 Duller. Dole DRlled: State water Leval: ALPINE DRILLING 10/12/99 74 Ft Installer. A+ HOME SERVICES Dote Installed: 11/3/99 — 11/4/99 lieid: 20 Pump Sat At: Casing Height Above Ground: GPM UNKNOWN Ft 2 R TANK SEPARATION DISTANCES 11 Septic ❑Holding ■S.T.E.P. TO Septic Absorption Lift Holding Public/Private Manufacturer. Capacity in gallons: From Tank Field Station Tank sower Linea ANCHORAGE TANK 1500 Well 100'+ 100'+ 100'+ — 25'+ Material. STEEL Number of compartments: 2 SurfacWater Water 100'+ 100'+ ,00+ — — LIFT STATION Lot5•+ Line 1D•+ 5'+ — — Sze in gallons: Manufacturer. 1500 ANCHORAGE TANK/ORENCO PRODUCTS Foundation 5'+ 10'+ 5'+ — — •Pump an' level at "Pump oM level ah High water olsrm of 42'• 42" 46" Curtain Drain NONE KNOWN Pump Make & Madel: FJecWcal Inspectlena performed by: #20 ISO 05 HHF M.O.A. Remarks: RESERVE DRAINFIELD FOR 4 BEDROOM REACTEX BENCH MARK lmaten and Deeeripton: SYSTEM SHOWN ON AS—BUILT DRAWING. 6.7 MINUTES INCH TOP OF MANHOLE LID. SOILS ALLOW 4 GPD SQ.Fr. APPLICATION RATE. NEED 150 SQ.FT., 200 SQ.FT. PROVIDED. d AssumeOsvaton: 95.88 Ft, ENBINEEN'88 _o Inspections performed b : AWWC INC. P P Y Dates: 1 st 11 /3/99.... - ... .. ..........: . • • _ 2nd 11/4/99 0 D 3rd 11/6/99 J f A. less.* " O@ Department of Healt nd Hu an Services approval � 0Q4 E-7953 : •A\co0p Reviewed and approved by: Date: Z "zo` 4 ••••• %Op00000���v 72-013 Rev9/91) MDA 25 PERMIT NUMBER: A S —BUILT DRAWING PARCEL ID NUMBER: SW990364 018-192-27 FINN, GRA1 - 94,7 - 95.2 fpr OF Mwar LIP - 95.88 511 5f2 MN f0r Of fMK TOP Of fANC Af INV - 69.4 Af OUIVf - 69,41 Of21GI" Gm < 943 (MAV INWkr I I NSW 1500 GALLON ATIM.Ef-66.66 5,1"-U. TANK FINN. Gr,APi - 95,75 - 96.32 EAST 142nd AVENUE a r� NEW 1500 GALLONi I S.T.E.P. TANK C01 T1 I ST CO2 I i / INt/EKiOFPIPE I CO2 - 90.82 I Ir I MT1 II I FCO A/ 60ffpM OF I EXISTING FOUR TWO - 668 i ii i , BEDROOM HOUSE A B C I f# III I I! ( C C01 30.7 51.1 - I I I I ST1 28.6 48.5 - ST2 24.0 42.1 - I II MH 22.9 40.4 - I I I I CO2 21.2 33.8 -I I I NEW DRAINFIELD MT1 19.6 32.4 - 1'1T CO3 73.7 - 47.7 rIC03 ' MT2 73.7 - 49.4 I `iNV ky a 61AJC Af OLUI.ff - 86.89 R ALASKA WATER AND WASTEWATER CONSULTANTS INC. ooboroo 6901 DEBARR ROAD, SUITE 2B. ANCHORAGE, AK. 99504 PHONE: (907) 337-6179/FAX: (907) 338-3246 114_7 ••''"' ••�S�4 ,AL DESCRIPTION: �•• _'••�OI BRANDL SUBDIVISION; LOT 1A * _ 'E OF WORK: ......... ................ AS -BUILT OF SEPTIC SYSTEM UPGRADE =PARED FOR:PHoNUMBER: OO ~' fT GO ess•: JERRY SHERBAHN (907)345-6866 O s• '.• -79 3 oG E: DRAWN BY: SCALE: PAGE: 0�4`�@re ••'•.......•••'•�nppO 11/15/99 K.D.W. 1 = 40' 2 OF 2 �Ona�rofessiono 0 NOV-23-1999 01:01 PM EDS. ELECTRIC 272 4590 p_02 e°°°' a34 INSPECTIONREPORT MUNICIPALITY OF ANCHORAGE -- BUI.LDING SAFETY DIVISION 3500 EAST TUDOR ROAD, ANCHORAGE, ALASKA INSPECTIONS.- Voice: (407) 563.3464 Far. (907) 343-8235 INFORMA77ON.• (907) 343-8211 NAME: EDS ELECTRIC PERMITNUMBER:— 99-9551 ADDRESS: 3040 E 142ND AVE DATE.- 11/17/99 6:37 AM PHONEW: 272-4591 _P110NEn2: LOT. 1A /FLOCK: SUBDIVISION.- BRANDL COMMENTS AM -CALL TO BE MET -LIFT STATION —........ _... TYPE OF MI M. M I PECTION.• Electrical Final No non-camplia m observed ❑ Corral -tions essential as explained below. ❑ C.O. approved. ❑ Will re-examine at next inspection. ❑ Do not conceal until re -inspected. ❑ C.C.O. approved (comments below) Reinspection? El . INSPEMR: 1 c lJlr L /-"&/ DAM'�� " WHEN CORREC71ONS ARE MADE, PLEASE CALL FOX INSPEC770N ego DO NOTREMOVE 77HS NOME. ALASKA WATER & WASTEWATER CONSULTANTS, INC. OUVI UtUMK KVA. sunt ZU - MUHUI Ut. AK. UVOU4 PHONE (907) 337-6179 * FAX (907) 338-3246 SOIL LOG — PERCOLATION TEST LEGAL DESCRIPTION: BRANDL SUBDIVISION, LOT 1A PERFORMED FOR: JERRY SHERBAHN DATE PERFORMED: 11/8/99 (feet] 0441 TEST HOLE #2 SM TO SM/ML WITH SOME GRAVEL 10 ..Y. 11 IOtId�9y'� 12 13#�'llllgt'11T 14 (SIT�t�T 15 B.O.H. 15- 17- 18- 19- 20 617181920 COMMENTS: PERFORMED BY WAS PERF RM DATE: Z'=- SOIL CLASSIFICATIONS DEPTH TO GROUNDWATER GW DRY ORG DRY 11/16/99 GPML — PERC. HOLE WAS PRESOAKED 4+ HOURS PRIOR TO TESTING FT. AND 6.5 FT. GM CL GC 1 OL — SW — MH ®: bS , e SP 3:29 CH 1-7/16" SM OH 3 SC — DEPTH TO GROUNDWATER DATE DRY 11/8/99 DRY 11/16/99 11/9/99 — PERC. HOLE WAS PRESOAKED 4+ HOURS PRIOR TO TESTING FT. AND 6.5 SEE AS—BUILT DRAWING FOR TEST HOLE LOCATION DATE READING CLOCK TIME NET TIME (MINUTES) WATER LEVEL READING NET DROP (INCHES) 11/9/99 — PERC. HOLE WAS PRESOAKED 4+ HOURS PRIOR TO TESTING FT. AND 6.5 FT. 1 2:59 — 6" — 2 3:29 30 1-7/16" 4-9/16" 3 3:30 — 6" — 4 4:00 30 1-9/16" 4-7/16" 5 4:01 — 6° — 6 4:31 30 1-1/2" 4-1/2' PERCOLATION RATE 6.7 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES) TEST RUN BETWEEN 6.0 FT. AND 6.5 FT. KA WATER & WASTEWATER. I, JEFFREY A. GARNESS, CERTIFY THAT THIS ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON 04/16/99 22:29 345-6866 SHERBAHN Municipality of Anchorage Department of Health and Human Services 825 "L" Street P.O. Box 196650 Anchorage, Alaska 99519-6650 Mtp'/Avwn.c1.arfchorege.ak.us PAGE 02/02 Permit Number: #SW99.0364 Date of Issue: 9-29-99 Parcel Identification Number: 018-192-27 Date Started: 10-1149 Date Completed: 10-12-99 Is well located at approved permit location? tK Yes ❑ No Legal Descripti 0i BrandlItlA Property Owner'Name & Address: Jerry Sherbahn P O Box 11-1132 Anchorage, Ak 99511 Borehole Data: Soil Type, Thickness & Water strata Depth (ft) From To Method of Drilling ® air rotary ❑ cable tool Casing type: sts®I ..... stick up 0 2 Wall Thickness., ,250 inches organic & silt 2 4 Diameter: 6 inches Depth: 146 feet gravelly silt 4 21 Liner Type: silty cobblygravel sandy silt silty cobbly gravel water sand &.grauel 21 85 93 143 85 93 143 146 Diameter: inches Depth: feet Casing stickup above ground: 2 fleet Static water level (from ground level): 74 feet Pumping level: 147 feet after 2 hours pumping 20 gpm Recovery Rate: 20 gpm Method of Testing: airlift Well Intake Opening Type: ® Open End ❑ Open hole ❑ Screened Start feet Stopped feet ❑ Perforations Start feet Stopped feet Grout Type: bentonite # 8 Volume: Depth: Start 0 feet Stopped _ feet Pump: Intake Depth ' feet - Pump size hp Brand Name Well Disinfected Upon Completion? ® Yes ❑ No Method of Disinfection: Clorine Tablets Comments: Well Driller: Alpine Drilling & Enterprises P.O. Box 110496 Anchorage AK -9951.1 Attention: The well bg to, theVrvperty owner within. 40 days of completion -and the property n, m , A6 arall Arillor Q1,01 nrrn>iAp o "'Al Ino to +ha T)m. of T4.00% Br Unman RP ,;,PC ivi4hin 40 Anita „f rnmrdnti�+r Sent b9:AAROW PUMP AND WELL NOV-23-99 08:26Pm from 9073338976->907 338 3246 Page li 1 AAROW PUMP & WELL SERVICE L.L.C. P.O. BOX 110496 ANCHORAGE, AK. 99511 TO: Municipality of Anchorage Dept of Health and Homao Services. FROM: AAROW Aunp & Well Service L.L.C. Referenced Property: Lot IA Brandt Subdivision (3040 E, 142"s Ave.) The old well at the above property approx, to ft, off the southeast comer of house has been abandoned in Accordance with the current MOA well ordinance. W aip &Well ServRce I.I.C. Btian W1Ue MUNICIPALITY OF ANCHORAGE Department of Health and Human Services On -Site Services Program 825 L Street, Room 502 P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-4744 ON-SITE WASTEWATER DISPOSAL SYSTEM I WATER SUPPLY Upgrade Permit Number: SW990364 Legal Description: BRANDL LT 1A Design Engineer: 0041 AK Water & Wastewater Consulta Owner Name: Jerry Shesbahn Owner Address: PO BOX 11-1132 ANCHORAGE , AK 99511-1132 Expiration Date: Sep 28, 2000 I Parcel ID: 018-192-27 Site Address: 003040 142ND AVE E Lot Size: 18194 SQ. FT. Total Bedrooms: 3 Permit Bedrooms: 3 This permit is for the construction of: 0 Disposal Field Ej Septic Tank Holding Tank 0 Privy Private Well F1 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 engineer must notify DHHS at least 2 hours prior to each inspection. Provide notification by calling (907) 343-4744 ( 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. 5. The following special provisions. THE EXISTING WATER WELL SHALL BE PERMANENTLY DECOMISSIONED IN ACCORDANCE WITH AMC 15.55 PRIOR TO THE EXCAVATOR COMPLETING THE CONSTRUCTION OF THE PROPOSED WASTEWATER SYSTEM OR THE WATER WELL DRILLER CONSTRUCTING THE WELL, WHICHEVER IS COMPLETED FIRST. Received By: Issued By: Date: `/.— W —q9 Date: — 217— Alaska Water & Wastewater Consultants, Inc. 6901 DeBarr Road, Suite 213 — Anchorage, AK — 99504 (907) 337-6179 — Fax (907) 338-3246 Consulting Engineers September 29, 1999 Municipality of Anchorage Department of Health & Human Services Division of Environmental Services On -Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 Ref: Sewer and Well Upgrade for BrandX1 Subdivision, Lot IA To whom it may concern: The existing 3 bedroom house is served by a private septic system and well. The existing crib is surcharged and in need of replacement prior to obtaining a Health Authority Approval for the sale of the house. One test hole was performed on the reference property and the soils are summarized as follows. I. SOILS: Test hole #1 was excavated on September 20, 1999. Test hole #1 was excavated to a depth of 13.5 feet and no groundwater was encountered. From the top of the test hole to a depth of 3 feet was organics and fill followed by an SM layer to a depth of 12.5 feet. From 12.5 feet to the bottom of the test hole (13.5 feet) was a GM layer. A perk test was performed at a depth of 6.5 feet and the soils perked at a rate of 7.9 min./inch. 2. TRENCH DESIGN: a. Percolation Rate: 7.9 minutes/inch b. Allowable Application Rate: 0.8 gallons/day/ft2 c. Number of Bedrooms: 3 d. Design Flow: 450 gallons per day e. Minimum Absorption Area: 563 ft2 f. Total depth: 7.5 feet (maximum) g. Effective Depth: 4 feet h. Reduction Factor = .5 i. Width: 5 feet j. Length: 60 feet k. Sand Filter: N/A 1. Effective absorption area = 600 ft2 I SURFACE WATERS: There are no surface waters within 100 feet of the proposed upgrade. 4. TOPOGRAPHY: Adjacent to the west side of the house, the ground slopes from east to west at a slope that is less than 25%. The area where the proposed septic is to go is virtually level. In short, there are no slope concerns. 5. WELL: The existing well was drilled close to the center of the property and makes it nearly impossible to maintain the 100' separation distance between the well and any septic upgrade. It is our opinion that the most viable long-term solution is to drill a new well. The new well will be located in the southeast corner of the property and will be 100' from any neighboring septic systems. I am unaware of any adverse impacts this installation would have on adjacent wells or septic systems. If you have any questions, please contact me at 337-6179 or 244-9612. Thank you for your assistance. Q.S. T12N, R3W, SEC. 33, LOT 21 *NO CONCERNS - E. 142nd AVENUE EXISTING SEPTIC SYSTEM G 3 HOUSE PROPOSED SEPTIC SYSTEM___, L (SEE DESIGN, PAGE 2 OF 2) \ EXISTING WELL B.L.M. LOT 43A ( W TH1$ I } \ N' i l / PROPOSED WELL LL 00' W LL RA JUS LOT 3A f,OT 2/A UU)), V BRANDL S/D 1 \ BRANDL S/D / / \/S / I 00' WELL RADIUS B.L.M. LOT 45B y 4 m --_a NOTE: THE WELL DRILLER SHALL FIELD VERIFY THE 100' SETBACK BETWEEN THE PROPOSED WELL LOCATION AND THE ADJACENT SEPTIC SYSTEMS PRIOR TO DRILLING THE WELL. B.L.M. LOT 43A \, B.L.M. LOT 433 ALASKA WATER AND WASTEWATER CONSULTANTS, INC. 6901 DEBARR ROAD, SUITE 2B. ANCHORAGE, AK. 99504 PHONE: (907) 337-6179/FAX: (907) 338-3246 ;AL DESCRIPTION: BRANDL SUBDIVISION; LOT 1A 'E OF WORK: SITE PLAN :PARED FOR: PHONE NUMBER: JERRY SHERBAHN (907) 345-6866 E: DRAWN BY: SCALE:PAGE: 9/29/99 A.C.G. 7 = 100' 1 0 F 2 r9. ` ::Y� ................. o J A. ess. "v —7953 ami 40Oa"ro fesslo(lt. EAST 142nd AVENUE CLEAN -OUTS-- t f ! ! o ! ! ! Ti ! ! �I o � ( ! �e EXISTING CRIB TO BE / ABANDONED COMPLETELY EXISTING 1000 GALLON CONCRETE __ SEPTIC TANK. TANK AND BAFFLES �. -- TO BE INSPECTED AND TANK TO ..-- BE REPLACED IF NECESSARY. INSTALLOF UNDATION / CLEAN-OUT MI �!IIII II EXISTING 3 BEDROOM HOU SE _ I II 11N,_ EXISTING WELL TO BE z I I PROPOSED 5' WIDE DRAINFIELD ABANDONED COMPLETELY (I 1 w f 7.5' DEEP (MAX.) BY 60' LONG. !L J MT ! ADD 4' OF CLEAN, WASHED SEWER 'CO^^ DRAINROCK. TRENCH SHALL BE "1 f -I INSTALLED PCOM OURS. LLEL TO THE SLOPE .b-'! PROPOSED WELL--/ \ LOCATION i i THE CONTRACTOR SHALL HAVE THE PROPOSED LOCATION STAKED AND VERIFY THAT ALL SEPARATION ICES CAN BE MET PRIOR TO DRILLING OF THE WELL. l ALASKA WATER AND WASTEWATER CONSULTANTS, INC. 000p6 6901 DEBARR ROAD, SUITE 28. ANCHORAGE, AK. 99504 o PHONE: (907) 337-6179/FAX: (907) 338-3246`]{•] . BRANDYL SUBDIVISION, LOT 1A TYPE OF WORK: DESIGN DRAWING OF NEW WELL AND SEPTIC JARRY SHERBAHM 9/29/99 I A.C.G. 345-6866 1 = 30' "U44 6111.! CE -7953 � 44r 2 OF 2 Pd pyo f es Sio0 �400��� o WATER & WASTEWATER INC. rnurvt (UU7) 337-6179 * FAX (907) 338-3246 CLOCK TIME SOIL LOG — PERCOLATION TEST GMCL LEGAL DESCRIPTION: BRANDYL SUBDIVISION, LOT to PERFORMED FOR: JERRY SHERBAHN DATE PERFORMED: 9/28/99 ° o DEPTH _ _ (feet) i MH TEST HOLE #1 1 CH 2 YY ORGANICS/LOAM 1 7/8" 2 Jj OH SOIL CLASSIFICATIONS SITE PLAI 3—u�t`vs-s°nn ORG I - 100' 5 6111111111 SM 7 W/ SOME COBBLES A'er�e ..Garness53 o`G ca0 15 16 17 18 19 20 COMMENTS: DATE READING CLOCK TIME ML I GMCL 9/21/99 PERC. HO WAS PRESO GC OL ° o SW i MH SP CH 2 1:06 30 1 7/8" SM OH 1:07 SC A'er�e ..Garness53 o`G ca0 15 16 17 18 19 20 COMMENTS: DATE READING CLOCK TIME NET TIME (MINUTES) WATER LEVEL READING NET DROP (INCHES) 9/21/99 PERC. HO WAS PRESO KED 4+ HO RS PRIOR TO TE TING 2 1:06 30 1 7/8" 4 1/8" 3� 1:07 4 _ 1:37 30 2 1/8" 3 7/8" 6 2:08 30 2 3/16" 3 13/16" PERCOLATION RATE 7.9 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES) TEST RUN BETWEEN 6.5 FT AND..6-0 FT. PERFORMED BY ALASKA WATER & WASTEWATER 1, ��`�� CERTIFY T THIS WAS PERFORATED jh ACCORDANCE WITH ALL STATE �P PPNICtRA6.4UIDELINES IN EFFECT ON THIS DATE. DATE: 9 /> q 4 S GRE► '�R ANCHORAGE AREA BOR -'!GH Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME G�� �'GL�j rG�'�L�IVIAILING ADDRESS' X I =S�/�r� PHONEJYy_ LOCATION ���� �r�'C� LEGAL DESCRIPTION L� �/e�i�l SEPTIC TANK: �!i✓��a��--J DISTANCE _. i _ J�,: �:-`C- �7 ✓T NUMBER OF FROM WELL MANUFACTURER ��i��f� MATERIAL ��/ ��'=� COMPARTMENTS INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH LIQUID CAPACITY ,/,l'j GALLONS. SEEPAGE PIT: NUMBER OF PITS DIAMETER '- OR WIDTH%y LENGTH DEPTH / LINING MATERIALCRIB SIZE: DIAMETER 1LDEPTHALL DISTANCE FROM: WELL i TOTAL EFFECTIVE BUILDING FOUNDATION�� NEAREST LOT LINE i � ABSORPTION AREA (WALL AREA) 5� SQ. FT. ADDITIONAL ABSORPTION Z� WELL: TYPE ,%/%/�!l✓i� CONSTRUCTION �����`'l��G� DEPTH DISTANCE FROM: BUILDING NEAREST NEARESTSEPTIC ' /1 SEEPAGE i FOUNDATION—' -, LOT LINE SEWER LINE / C2 f TANK % SYSTEM �J CESSPOOLS 1�� OTHER SOURCES �/`�l f'//7j' APPROVED DISAPPROVED REMARKS DISTANCES: /",;, 1--i"`� INSTALLED BY:'"'��' ` PIPE MATERIAL: C25 LOT SLOPE: REMARKS: Form No. EQ -031 DIAGRAM OF SYSTEM N — ,�= ,rimer%✓�' 14e { ' j ! 01— DATE DATE APPROVED i G.A.A.B. 14e { ' j // f Gf..lf .+. ,, r� J'/L'7// `Tl_.l +. P Y, t. 1 . Ai.� /(`, o GREATER ANCHORAGE AREA BOROUGH 0 /_ E DEPARTMENT OF ENVIRONMENTAL QUALITY „_ P+ PMIT NO. 3330 "C" STREET ANCHORAGE, ALASKA 99503 TELEPHONE 274-4561 SEWAGE DISPOSAL SYSTEM — APPLICATION AND PERMIT 14 C��: 8 2�6 3 erg 9450 s u 8Z NAME OF APPLICANT J�� �^ n {� MAILING ADDRESS d� � PHONE INSTALLATION LOCATION `+' y�F `+� `�M h, RCC LEGAL DESCRIPTION _ ' � / ~ ` h �)/b INSTALLATION OF: SEPTIC TANK s SEEPAGE PIT DRAIN FIELD OTHER , TYPE AND SIZE OF FACILITY TO BE SERVED, "'"'01(l 0_4�LIIZI ^ FINANCED THROUGH TO BE INSTALLED BY SOIL TEST RESULTS 7 -7 ' NOTE: THIS PERMIT IS NOT VALID WITHOUT SOIL TEST 4-14 COMPLETION DATE ANTICIPATED , FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION. SEPTIC TANK SIZE ©� ""� TYPE e&1'tG'�.. SEEPAGE AREA SIZE /9 X ri X o� TYPE -- 2O" Ae /t MINIMUM DISTANCES, REQUIREMENTS FOUNDATION TO SEPTIC TANK -- / + I FOUNDATION TO SEEPAGE PIT 20 DRAIN FIELD �0 SEPTIC TANK TO SEEPAGE PIT WALL SEPTIC TANK v , SEEPAGE PIT 2' © DRAIN FIELD TO NEAREST LOT LINE. _ WELL TO SEPTIC TANK �"'�`�' SEEPAGE PIT OD , DRAIN FIELD /Cal ALSO CONSIDER AREA WELLS. WATER MAIN TO SEPTIC TANK /O SEEPAGE PIT DRAIN FIELD 140 SEPTIC TANK, loo , SEEPAGE PIT /00 DRAIN FIELD 1 �© TO RIVER, LAKE, STREAM. CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF EXCAVATION 5 FEET INTO UNDISTURBED SOIL. 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT FITTED WITH AIRTIGHT REMOVABLE CAPS. GRAVEL BACKFILL CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. 12 G.A.A.B. OR LICENSED DESIGNER 1 CERTIFY THAT 1 AM FAMILIAR WITH THE REQUIREMENTS OF GREATER DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE. - DATE / 19 7 I APPLICANT'S SIGNATURE FORM NO. EQ -016 DIAGRAM OF SYSTEM E AREA BOROUGH ORDINANCE NO. 28.68 AND THAT THE ABOVE AZEA 4- ro &wee scys r ���G�rioitl 14a ovE wesle-� &Ac ?rppez4l .LoT / $r IA Id � /v TI.2Al R�3l,U mac. 33 t o T Sa MW DRILLING INC. P.O. BOX 10-378 ANCHORAGE, ALASKA 99511 PHONE 344-0526 NAME ADDRESS -'f.' t CITY f ,) LEGAL DESCRIPTION v`" J I �/ /T I `:i fr�lll•r,• r��� --� '`% �i f� l� LEGAL QTY INVOICE N° 1 5 % 6 DATE UNIT MATERIALS PRICE AMOUNT BANK OR LENDING INSTITUTIONS CURRENTLY HOLDING DEED OF TRUST HOMEPHONE WORKPHONE t / •' � TOTAL MATERIALS WELL NUMBER DIAMETER DEPTH STATIC LEVEL GPM DRAWDOWN lv 1' �d PUMP MAKE HP SETTING VOLTS PHASE AMP RATE SERIAL/ UMBERMODEL SCREEN/LENNGTH SLOT SIZE LINER/SCREEN DESCRIPTION OF WORK DATES i r!r �`' fr H O c1X fi(i/ Ie�i }� `- �Y/a'r iJ• !` f �' � % G, -r / %t...e� ,�� � ',<,, y :a.-� / �,✓•.�vr'./`•/'G' ir,'.4;�r � r/�jygf.-�., eJfr'v" �G/ ./'rt �� /r` t-/ :r'-f.ia sir 't-�'vr': All charges shall be paid in full within ten d/ ` days unless other arrangements are made prior to drilling. The customer shall pay in- terest at the rate of 4 Y2 % per month on any amount not paid within ten days. Failure to pay may result in alien against the property. 4 IN -OUT HOURS RATE / LABOR MATERIALS (FROM ABOVE) OTHER CHARGES' --- CUSTOMER SIGNATURE ? PAY THIS AMOUNT �► / -ry' '' = GREATER ANCHORAGE AREA BOROUGH DEPARTMENT OF ENVT RONMi=NTAL QUALITY Case # 3330 "C" Street ANCHORAGE, ALASKA 99503 Performed For Veoley Go Butler Dated Performed A:,,E;. 27, .1 73 Legal Description: Lot lug B1 o c k Subdivision `3rare'l This Form Reports Soils Log x Percolation Test - Soil Test Must Be Logged To 4' Below Proposed Seepage System - Depth Feet Soil Characteristics 1 2 3 4 5 6 7 8 9 10 11 12 13 14 — tl Silty Sande Cra",01 '225) f Net Time Depth to H2O Net Drop SP Poorly Graded. Sands( 1500 Percolation � V.) — �---- n { 350 ) 17' Was Ground Water Encountered? lfb If Yes, At What Depth? Reading Date Gross Time Net Time Depth to H2O Net Drop Rate Mi nn-L.r, Percolation Proposed Insfam—t-10r) Se(,pago Pit X. Drain Field Depth o f I n l e t __-- 0 p t h to 2 o t t o m of—P i t or T r e n c E C 0 M M E N T S : Based oia t1liS Soil re0ODLI,encl least 182 aquarc: ': '-A per bedroom N T Test Performed BY Hal016 1i.ficr Jr- .---_�-_Date Certified BY:417 ��� D a. t e : �xf;. 2 Municipality of Anchorage On -Site Water and Wastewater Program d' 1 (907) 343-7904 5A I E T Certificate of On -Site Systems Approval Parcel I.D. 018-192-27 1. GENERAL INFORMATION: Complete legal description BRANDL: LOT 1A Location (site address) 3040 East 142nd Ave. *Anchorage Expiration Date: J4 9.r(joal Current Property owner(s) Katie Gains Day phone 317-5594 Mailing address Real Estate Agent 2. TYPE OF DWELLING: Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) Day phone 3. NUMBER OF BEDROOMS: 4 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well Individual M Individual Water Storage ❑ Holding Tank ❑ Community Class_Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ Waiver/Variance request for: Distance: — Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm: Garness Engineering Group, Ltd (GEG) Phone: 907-337-6179 Address: 3701 East Tudor Road, Suite 101- Anchorage, Alaska 99507 Engineer's Printed Name: Jeffrey A. Garness Date: In conducting this evaluation, GEG provided an engineering evaluation of the well and/or septic system in accordance with the guidelines and regulations established by the Municipality of Anchorage and industry practices. The reported results describe the condition of the system/s on the datEds of the evaluation. Separation distances were measured to readily identifiable features. Hidden defects or encroachments may exist that were not identified during the evaluation. The operational life of all wells and septic systems depend upon a variety of variables, including but not limited to, soil amditions, groundwater levels (that may fluctuate during the year), quality of construction (mate, ials and workmanship), and the water usage of the family utilizing the system/s. These conditions can vary, an are outside the control of GEG. Satisfactory test results do not guarantee future performance of the system/s; therefore, GEG makes no warranty (express or implied) regarding the future performance of the well or septic system. GEG makes no representation whether an alternative well or septic system can be installed on the property in the event either of the current systems fail to perform adequately in the future. The content of this report is for the sole benefit of the person/party that retained GEG to perform the evaluation. Reliance upon the information provided in this report by any other person or party (including subsequent property purchasers) is not authorized, nor will it confer any legal right whatsoever. 6. DSD SIGNATURE X System #1 Approved for bedrooms System #2 Approved for bedrooms Disapproved Conditional approval for bedrooms, OF L �q U.: i Ti I �7 ...... ... ....... ....... - ��rlr : -y A, Coy ness.: ,V U• cE t�R,._'ro re s siolo< #AECC884 `OF�tr4r 6- ON-SITE G� with the followingS"ati(N�'TER AND ,'ATER _ o BAST _v ) PROGRAM ,./J))) l)-'' By: i�i�n (���� Original Certificate Date: a 7 a20�1 The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist _ Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other % o_t O,dN COSA Checklist Legal Description: BRANDL; LOT 1A Parcel ID: 018-192-27 If more than 1 septic system on lot: COSA Checklist # of Structure served by this system A. WELL DATA F0 Well log is filed with Onsite (or attached) Date drilled 10"2'99 Total depth 146 ft Cased to 146 ft 01 Sanitary seal is functioning correctly X Wires are properly protected Casing height (above ground) 18+ in. Date of flow test for COSA 3/4/21 Static water level at beginning of test 56.1 ft Comments l B. TANK DATA >f i✓�%! Age of tank(s) 22 years Tank type/material ��"`°" �'Ill-4'�� Measured operating fluid level in septic tank 49" Q Standpipes/foundation cleanout per record drawing Date of pumping 10/9/20 Well production at time of test 7.1+ gpm Water storage tank volume N/A gallons Well disinfected for coliform test? ❑ Yes W No X Coliform bacteria is Negative Nitrate 0.742 mg/L ❑ Nitrate less than MRL (ND) Arsenic ug/L Arsenic less than MRL (ND) Collected by GEG, LTD. Date of Sample 3/4/21 C. LIFT STATION X Required maintenance completed Age of lift station 22 years Lift station material STEEL Comments: COSA Checklist yellow sheet q� D. ABSORPTION FIELD DATA Which system tested (date installed) 11/1/14 Adequactest date 3/4/21 ALL standpipes present per record drawing Results ®Pass For 4 bedrooms Total measured depth from grade 9.75 ft (max) Fluid depth prior to test 16 in Measured depth to pipe invert from grade 5.33 ft(min) Water added 652 gal ❑ N/A – pressurized field 22 New depth in ❑ Monitor tubes go to bottom of effective. If not, state t Ela s ped time 120 min depth into effective -3.76 m -T 4.- Q Code -required soil cover over field Final fluid depth 17 in ❑ System presoaked Absorption rate 600+ gpd (Required if vacant for greater than 30 days prior to Any rejuvenation treatment (past 12 months) NONE date of test) Gallons introduced N/A gallons If yes, enter date N/A Comments/Deficiencies: COSA Checklist yellow sheet E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well) Septic Tank/Lift Station on Lot > 100' Yes Community Sewer Manhole/Cleanout > 100' Q✓ Yes if No ft Q Yes if No ft Neighboring Tank > 100' 0✓ Yes if No ft Private Sewer/Septic Line > 25'M Yes if No ft Absorption Field on Lot > 100' Q✓ Yes if No ft Holding Tank > 100' Q✓ Yes if No ft Neighboring Absorption Fields > 100' Yes if No ft Water Main > 10' Animal Containment > 50' Yes if No ft El Yes if No ft Yes if No ft Water Service Line > 10' 0 Yes if No Manure/Animal Excreta Storage > 100' If septic tank is under driveway comment below Community Sewer Main > 75' Q✓ Yes if No ft 0 Yes if No ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' Yes if No ft Surface Water > 100' Yes if No ft Property Line > 5' 0✓ Yes if No ft Wells on Adjacent Lots: Q Absorption Field > 5' Q✓ Yes if No ft Private Wells > 100' Yes if No ft Water Main > 10' ft Yes if No ft Community Wells > 200'✓❑ Yes if No ft Water Service Line > 10' 0 Yes if No ft If septic tank is under driveway comment below From Absorption Field on Lot to: (Please enter distances if less than required) Building Foundation > 10' Yes if No ft If absorption field is under driveway comment below Property Line > 10' Q Yes if No ft Wells on Adjacent Lots: Water Main > 10' Q Yes if No ft Private Wells > 100' ❑✓ Yes if No ft Water Service Line > 10' ED Yes if No ft Community Wells > 200' 0✓ Yes if No ft Surface Water > 100' ✓0 Yes if No ft F. ENGINEER'S COMMENTS G. ENGINEER'S CERTIFICATION / certify that l 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. COSA Checklist yellow sheet 0 A-rre 0 �4�npro fess1ot GG\ ii #AECC884 MUNICIPALITY OF ANCHORAGE DEVELOPMENT SERVICES DEPARTMENT 907‐343‐7904 On‐Site Water and Wastewater Section Fax: 343‐7997 www.muni.org/onsite Mailing Address: P. O. Box 196650 * Anchorage, Alaska 99519‐6650 * www.muni.org Septic Tank Advisory Certificate of On‐Site Systems Approval # OSC211206 Subdivision: Brandl Lot: 1A The septic tank for this property is 22 years old. The average life for a steel septic tank is 20 years. Typical replacement costs range from $7,000 to $11,000. This advisory must be attached to all copies of the subject Certificate of On‐Site Systems Approval. This is an example of what the metal of a 30 year old steel tank MAY look like. Municipality of Anchorage On -Site Water & Wastewater Program (907) 343-7904 �PIr , t / i awwE CERTIFICATE OF ON-SITE SYSTEMS APPROVAL Parcel I.D. 018-192-27 1. GENERAL INFORMATION Complete legal description BRANDL; LOT 1A Location (site address) Current Property owner(s) Mailing address Real Estate Agent Expiration Date: C�® 3040 E 142ND AVENUE *ANCHORAGE, AK KIMBERLY JOHNSTON Day phone (206) 397-2599 3838 52ND AVENUE *SEATTLE, WA 98116 KATHY FERNANDEZ 2. TYPE OF DWELLING: Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4 4. TYPE OF WATER SUPPLY: Individual Well Individual Water Storage Community, Class - Well Public Water System Waiver/Variance request for. n 4tj Received COSA to be released to Day phone r RUSHIis I IrA L J NOV 1 3 2014 requested by the engineer. Date: Distance: — TYPE OF WASTEWATER DISPOSAL: COSA Fee $ , Q •'5t) 'CI lin AI 1%�• 6� Waiver Fee $ Individual On-site I ❑ Individual Hc!ding tank ❑ ❑ Community Oh -site ❑ ❑ Public Sewer ❑ requested by the engineer. Date: Distance: — COSA Fee $ , Q •'5t) 'CI lin AI 1%�• 6� Waiver Fee $ Date of PaymentI I (3l) I Date of Payment r 6 el 4 1 `�t Receipt Number Receipt Number 05C-14 14519 `Ji/aiver# COSA# I 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, 1 verify that my investigation, based on procedures outlined in the Certificate of On -Site Syst3ms 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 GARNESS ENGINEERING GROUP, Ltd. Phone Address. 3701 E. TUDOR ROAD, SUITE 101 * ANCHORAGE, AK 99507 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Engineer's Comments: In conducting this evaluation, GEG, LtD. attempted to provide a thorough; conscientious engineering analysis of the system in accordance with ADEC and MOA DSD Guidelines & Regulations. The reported results described the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the local soils condition, groundwater levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of the system. Satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. GEG, LTD. can therefore not provide any warranty or future estimate of how long the system will continue to meet the operational requirements of the ADEC or MOA DSD. The content of this report is for the sole benefit of the owner listed above. Any reliance upon or use of this report by any other person or party is not authorized, nor will it confer any legal right whatsoever. 6. DSD SIGNATURE VsSystem #1 Approved for bedrooms. System #2 Approved for bedrooms. Disapproved. 337-6179 Date tib-&/ i' _ OF Conditional approval for bedrooms, with the following ON -;ITE WASTEWATER Original Certificate Date: The Municipality or Anchorage Develop,emt Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the represenatations 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. ATTCHMENTS: COSA Checklist _ Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other rao„ wns WfSe__3 41�r_ If more than 1 septic system is on the lot: COSA Checklist # _of_ Structure served by this system Certificate of On -Site Systems Approval Checklist Legal Description: BRANDL; LOT 1A Parcel ID: 018-192-27 A. WELL DATA Well type PRIVATE If A, B, or C provide PWSID# N/A Well Log (YIN) YES Date completed 10/12/1999 Sanitary seal (YIN) YES Wires ;properly protected (YIN) YES Total depth 146 ft. Cased to 146 ft. Casing height (above ground) 18+ in. FROM WELL LOG AT INSPECTION Date of test 10/12/1999 3/14/2014 Static water level 74 ft. 49 Well production 20 g.p,m. 6.5+ g.p.m. WATER SAMPLE RESULTS: Coliform 0 colonies/100 ml. Nitrate ND mg./L. Collected by: GEG. Ltd. Arsenic: ND ug./L. Date of sample: 9/18/2014 B. SEPTIC/HOLDING TANK DATA Tank Type/Material SEPTIC/STEEL Date installed 11/3-6/1999 Tank size 1500 gal. Number of Compartments E Cleanouts (YIN) YES Foundation cleanout (YIN) YES Depression over tank (YIN) NO High water alarm (YIN) YES Date of pumping Pumper C. ABSORPTION FIELD DATA *BELOW FINAL GRADE PER MIKE ANDERSON P.E. Date installed 11/1/2014 Soil rating .p.d./ orft/bdrm) 0_8 System type SHALLOW TRENCH Length 75 ft. Width 5 ft. Gravel below pipe 4 ft. Total depth *11 ft. Eff. absorption area 750 ft2 Monitoring tube YES Depression over field NO Date of adequacy test NEW Results (Pass/Fail) — For 4 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) NONE If yes, give date — D. LIFT STATION Date installed 11/4/1999 Size in gallons 1500 Manhole/Access (Y/N) YES "Pump on" level at 42 in. "Pump off" level at 42 in. High water alarm level at 44 in. Datum BOTTOM OF TANK Cyr es tested - Meets alarm 8 circuit requirements? YES E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot 100'+ Absorption field on lot 100'+ Public sewer main N/A Sewer /septic service line 25'+ On adjacent lots 100'+ On adjacent lots R Public sewer manhole/cleanout N/A Holding tank Animal containment areas 50'+ Manure/animal excrete storage areas 100'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Absorption field 5'+ Water main N/A Water service line 10'+ Surface water 100'+ Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ Building foundation 10'+ Water main N/A Water service line 10'+ Surface water 100'+ Driveway, parking/vehicle storage 10'+ Curtain drain NONE KNOWN Wells on adjacent lots 100'+ F. COMMENTS G. ENGINEER'S CERTIFICATION -f-OF o Q' • .f-0 I certify that I have determined through field inspections and * q review of Municipal records that the above systems are in . . . conformance with MOA COSA guidelines in effect on this date. J A. or ess• Engineer's Printed Name JEFFREY A. GARNESS oas '. ceG Date j 1 l 11 1 r a W P,_ (Rev. 11/05) MUNICIPALITY OF ANCHORAGE • DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services 44 On -Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 .CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Q p Parcel I.D. # 018-192-27 HAA # 1. GENERAL INFORMATION Complete legal description Lot 1A; Brandl Subdivision Location (site address or directions) 3040 E. 142nd Ave. Anchorage, AK Property owner Jerry Sherbahn Day phone 345-6866 Mailing address P.O. Box 111132 Anchorage, AK 99511 Lending agency Day phone Mailing address. Agent Address Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: Individual well XX Community well Public water Day phone NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 4. TYPE OF WASTEWATER DISPOSAL: Individual on-site XX 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(Rw.1/91) Front MOAV1 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 disposa��s�st{ i ip pliance with all Municipal and State codes, ordinances, and regulations in effect on Ve d f this inspection. Wastewater Cons t nts, Inc. 237-61 1 Name of Firm Address Engineer's signature - Alaska Etter & Wastewater Consultants, Inc. .' Shall be PAID $ na at, or prior to, closing for the Engineering Services Provided. 6. DHH6 SIGNATURE _X_ Approved for bedrooms. Disapproved. Conditional approval for Additional Comments Phone Date bedrooms, with the following stipulations: Date 2 — 20 — The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in orderto satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7240(RW.1/91) Back MOA#21 • Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES Environmental Services Division 825 L Street, Room 502 • Anchorage, Alaska 99501 • (907) 343-4744 Health Authority Approval Checklist Legal Description: BRANDL)'SUBDIVISION; LOT 1A Parcel I.D.: 018-192-27 A. WELL DATA Well type _PRIVATE Log present(Y/N) _ Total depth 146' Sanitary seal (Y/N) Date of test Static water level Well production WATER SAMPLE RESULTS: Coliform `B" If A, B, or C, attach ADEC letter. ADEC water system number N/A YES Date completed 10/12/99 Cased to 146' Casing height (above ground) 24 YES FROM WELL LOG 10/12/99 74' 20 9— p.m- Wires properly protected (Y/N) YES AT INSPECTION Nitrate * 6!7 Mq /L, Other bacteria i Date of sample: — l/ 2 3 % �% Collected by: A.W.W.C., INC. B. SEPTIC/HOLDING TANK DATA Date installed 11 /3/99 Tank size 1500 Number of Compartments 2 Cleanouts (Y/N) YES Foundation cleanout (Y/N) YES Depression (Y/N) NO High water alarm (Y/N) YES Date of Pumping NEW Pumper — C. ABSORPTION FIELD DATA Date installed 11/3/99 Soil rating (g.p.d./112 or ft2/bdrm) 0.8 System type TRENCHES Length 75' Width 5' Gravel thickness below pipe 4' Total depth 7.5 Effective absorption area 750 SQ FT Monitoring Tube present (Y/N) YES Depression over field (Y/N) NO Date of adequacy test NEW Results (Pass/Fail) For Fluid depth in absorption field before test (in.); Imm iat�i a er gal. water added (in.): Fluid depth (ins a er: Absorption rate = q,p,r (past 12 months) (Y/N) 72-026 (Rev. 3/96)` If yes, give date D. LIFT STATION Date installed 11/4/99 Size in gallons 1500 Manhole/Access (Y/N) _ YES "Pump on" level at" 42" "Pump off' level at' 42„ High water alarm level at' 44" `Datum BOTTOM OF TANK Cycles tested ._— _NFW E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/holding tank on lot 100'+ On adjacent lots 100'+ Absorption field on lot 100'+ On adjacent lots 100'+ Public sewer main N/A Public sewer manhole/cleanout N/A Sewer /septic service line 25'+ Lift station SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: 100'+ Foundation 5'+ Property line 5'+ Absorption field Water main/service line _ 10'+ Surface water/drainage 100'+ Wells on adjacent lots SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 101+ Building foundation 10 Water main/service line Surface water 100'+ Driveway, parking/vehicle storage area Curtain drain NONE KNOWN Wells on adjacent lots F. ENGINEER'S CERTIFICATIOZtfie a� I certify that 1 ve de er r eenspections and review of Municipal recoo��t bjin conforman e withp 1s in effect on this date. ' Signature Engineer's Nal Date /I HAA Fee $� ®O Waiver Fee $ Date of Payment 3 C) Date of Payment Receipt Number _ 0� Receipt Number 72-026 (Rev. 3/96)' 100'+ r A. ness E-7953 �` are Time' Time e DbtO.. Date Date Inspector Inspector Inspector Comments - n -70 Conditional Approval P .Q, -6'n Rte^ ` I) ),aw- toy '7_� Z / k N, - �sZyyt 2 rr'_Q't�u� t �2 Date Sewer installed 1 Permit No. Septic Tank Size /VV 0 �7 Holding Tank Size Soils Rating - Well To Absorption Area a -7 Well Log Received - Well to Tank 75 APPLICANT_ FILLS OUT LOWER HALF ONLY Property Owner o &'44twe Pho e Melling Address �pE? Ea K/ Cir /�v+Cli► S Sa¢ ' Z�,�" ` Buyeri' Address Lending Institution Phone Address -5* 75 Realty Co. & AgentE� Phone Address 421�104l Legal Description 40-7 /- /-4t yr - Street Location ICA- 1192/ s1 Typ f Residence Family Single ❑ Multiple Family No. of Bedrooms Other Wat@@r,Supply. AS individual ATTACH WELL LOG: A well log is required -for all wells drilled since June ❑ Community 1975. For wells drilled prior to that date, give well depth (attach log If ❑ Public Utility available. Sew Disposal W`individual Year Individual Installed: El Public Utility When Connected to Public Utility: ❑ Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. Jerry Sherbahn 1806 Laura Circle Anchorage, Alaska 99504 Dear Mr. Sherbahn, EXCAVATION WORK Reference: Lot 1A; Brandl Subdivision ROBERT A.SHAFER CIVIL ENGINEER 694-2979 January 7, 1982 MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH & ENVIRONMENTAL PROTECTION RECEIVED. A sewer system adequacy test was performed on the system located on the referenced property as you requested. The septic tank was pumped and verified to have a capacity of 1000 gallons, The seepage pit was charged with 1000 gallons of fresh water and after a period of 24 hours, 773 gallons of water had percolated out of the crib. It can be concluded from this test that the waste water disposal system serving the three bedroom residence :Located on this property is currently functioning adequately. However, the system connot be guaranteed against subsequent failures. If we may be of further service, please do not hesitate to call. A. SHA FER cc: ATC Bank ' ATTENTION: Annyce Hanson Municipality of Anchorage Department of Health and Environmental Protection SRB 196X EAGLE RIVER, ALASKA January 5a 1982 To: Department of Enviromental Agency Attnetion: Bob Pratt In regards to Lots/A andlAt 320000913, Brandl Subdivision, we realize that the well in Lotl4 and the sewer system on Lott /fare only separated by seventy-two feet (72). As of June 1$ 1982 the sewer system on Lott A which is owned by Michael D. Butler will no longer to in use and will be backfilled and relocated to meet enviromental specifications. The cost of backfilling will be paid for by Wesley Go Butler. '717: .o . M 6hael%D. Autl6k_ 1 s ey G. utter Appeared and signed before me the 5th.day of January of 1982. Notary for the State of Alaska My Commission Expires May 19$ 1985 Barbara D. Moore .� errs -ti '<< Jl�tr�o�ai �uy�s� o� ��� �► a.� e �i►�a�il�o� �� / �e —r"e-G✓Cc, oN a T Z -A t72r"e /,, /i82 ga-0- Are lC7irle!/ '-f-A 9 9 s~p 2TG - 2G S3 • ,a -x Zo o !''4 *rOMORAGt gRtq o� GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality �cqn/etp ,ARugy ,e 3330 "C" Street, Anchorage,Alaska 99503 274-4561 Date Received April 19, 1976 Time of Inspection Date of Inspection REQUEST FOR. APPROVAL OF ILA 10. INDIVIDUAL SEWER & WATER FACILITIES C. Septic Tank: 1. Size D. Seepage Pit: E. Disposal Field: 8. Distances: 1. Absorption Area Total length of lines 2. Manufacturer 2. Material A. Well to: Septic tank , Absorption area Sewer Lines , Nearest lot line Other contamination B. Foundation to septic tank , Absorption area C. Absorption area to nearest lot line EQ -034 (1/74) Page 1 of two pages FOR T Conv. . 1. Approval requested by: First National Bank of Anchorage Mailing Address: post Office Box 720, 99510 Phone: 279-4481 x 231 2. Property Owner: Wesley G & Evelyn A. Butler Phone: 344-2114 Mailing Address: Star Route A Box 246, 99502 -3. Legal Description: Lot lA BrandlSubdivision 4. Location: De Armoun Road 5. Type of facility to be inspected Single Family No. of bedrooms - 6. Well Data: Individual - serving one A. Type B. Depth C. Construction D. Bacterial Analysis 7. Sewage Disposal System: On—site system A. Installed B. Installer C. Septic Tank: 1. Size D. Seepage Pit: E. Disposal Field: 8. Distances: 1. Absorption Area Total length of lines 2. Manufacturer 2. Material A. Well to: Septic tank , Absorption area Sewer Lines , Nearest lot line Other contamination B. Foundation to septic tank , Absorption area C. Absorption area to nearest lot line EQ -034 (1/74) Page 1 of two pages MUNICIPALITY OF ANCHOP.AGC DEPT. OF MUNICIPALITY OF ANCHORAGE ENVIRONMFNTAL p"CTFCTION DEPARTMENT OF ENVIRONMENTAL QUALITY 3330 "C" Street, Anchorage, Alaska 99503 - 274-4561 APR 19 1976 REQUEST FOR APPROVAL OF RECEIVED. INDIVIDUAL SEWER and WATER FACILITIES 1. Type of Inspection: CMRO VA FHA 2. Property Owner: Wesley G. Butler and wife, Evelyn A. Butler Mailing Address: Box 246, Star Route A. Day Phone Anchorage, Aiaska 995172 3. Name of Buyer: none (refinance) Mailing Address: Day Phone 4. Name of Lending Institution: The First National Bank. of Anchorage Mailing Address: P. 0. Box 720, Anchorage, Ak 99510 Phone _ 5. Name of Realtor or Agent: none Mailing Address: 6. Legal Description'. 0 NITS= Lot 1A, Brandl Subdivision CONV xx 344 2114 279-4481 x 231 Location: near DeArmoun Road (contact Mrs. Butler for specific directions) Type of Facility to be inspected: single family residence No. Bdrms Water Supply Type of Supply: Public Utility Individual well If Individual, number of dwellings presently served _ one If Individual, depth of well Sewage Disposal System Type of System: Public Utility _ Individual (on-site) septic system If Individual, date of installation A mailed - 4/15/76 do EQ -037 (1/74) Page 2 of two pages '- Rec. ;t for Approval of Individual F �r & Water Facilities Legal Description Lot lA Brandl Subdivision Comments _ Approved --Disapproved Date'='_44d Approval ;Valid for one year from date signed Greater Anchorage Area Borough, Department of Environmental Quality DIAGRAM OF SYSTEM 0 I certify that the information contained in this request for approval to be a true and accurate representation of the subject sewer and water facilities and these facilities are operating satisfactorily. 451 Date SIGNED EQ -034 (1/74) May 21, to" File Nb. t 4-1 Draft $War, Asalataats t+s Me Mayor Depaaxtstent of Invirmmeatal Pietection Direetor On -Otte $wvtro .K Fara. a lees Complaint Por your I and (vier* rat ite the Depaaartmtout of Health xvid atviv*watsntad PratProtodion handles the omits and iknspoctbma fora I walls and InOvIftal home o4wer xwdespat tlt. Ian RMK4ft AUNWOM tra; mar 404000M 00 MIS. Itt ,aa S %tsa the IWIWbW RPVIIOS-; t. It Is a adaa�t paatiee tharr�t� th�r i#tsd i�tss the eart�adt+� sewer aysto 4re besed au tbo bob eapsafty of ibis home with tv (p) psrssnK per bedrem. Thrs is no oftermeftodthat to aempted. aagr that ire people may be shd%d I** a Karam ham tbr pmaa<tio d roasess metre would be only me or two pmmmo. 2. Mr. Wean, 0. 1041s>r an Aad 11. 1974 roque4ed a pa ndt for a throo bedrom not a #wait beilroom home ** edvarti:msed. He se sued the appli a o that the ase was thr" bsdarw. TBach a amid hove a cW a e final to -0 It you reeslt that was coodbrable PuNtalty In earns 1016 s selftr homoo 4"4n d. r that bodroom system is Am or inove bedroom*. Tho IlWO attorney out's affift was umm thas Istore4ed to eanswuor frvAd &spod wd Watrueted as Insure that perems, kmew that tbey ewAl be, chavpd with 6*u4 It they did vM Sze paataaatlaa l bvyws of the aox4ftWo of "rr pia ft.. This aid has vo, bom one of Oboa emaes It we bad %a o0ed to ewroot the safter. We ha always required a sl a tre staaatift thst t Ise"ait ed was true #ad carrod. I fed the ali ries 4spaaMaatata h dose Is to prelod tho tWmpa s aw< =4 0 pubU* fta s paatw nth hsass cow" by promMare, fWW re of me m6wdoalgnod SOMW $YAM. That bomm was finsuy as es 6 throo, bodrom how* and OW 1 Ids: ed. roy C. $Wdd. Jr. r Fh.D . P.R. IIh�! watt �� liia�a MUNICIPALITY OF ANCHORAGE j (, DEPT. OF HEALTH & Municipality of A n c 1 1 O ra g e ENVIRONMENTAL PROTECTION DATE: May 17, 1976 MEMORANDUM MAY Z 1 RECEIVED TO: Building Inspector, through Jim Swing, Director, Public Works FROM' Bruce Staser, Assistant to the Mayor SUBJECT: Building Codes A Mrs. Butler, Box 246, Star Route "A", Brandl Sub -Division, three -eights mile up De Arm Street(Rabbit Creek - Telephone 344-2114) phoned to complain about a water and sewer inspection of her home. The home is newly built by themselves and a year ago they asked for a sewer and water inspection. The inspector told her the size, capacity, etc. of the septic tank system that would be required. They built what they were told to build. When they finished the house a couple of months ago, they went to the bank for a new mortgage (closure, etc.) -- the bank appraised the home as a 5 -bedroom home, but when they asked the city for certification, they were told that their septic system was only approved for a 3 -bedroom home. During the delay in adjusting the appraisal, the mortgage interest rates went up 1/4% -- and she's mad because the city never told her that the septic system was only approved for a 3 -bedroom home. Question: Was she ever told by your inspector that the septic system they required for the house was based on 3 bedrooms? Question: Why are septic systems based on number of bedrooms? (You could stuff any number of people in a bedroom -- you could have same number of people in 3 bedrooms as in 5. Nay 3, 1976 4,1 To WAM It way Combarta; aab ectt Lot 2A arWAl Subdivision APPVOVAI for #Wi a 41 r and vat*r ftii could not be qi~ for U* 1 bra"x Slabdivisaion be"ms* tba ra atst *No tbra as, a firs (S) batdroom houso. The *ever sYsta xaa OAXY 4**iga a a tbz" i) hme I them O&IUW t t SFi ,t National Uhak of Anaboraga and a viaad tbm of tba situation,* "0 104A Of fiaert Dixie, said the bank woold be willing to reapply for a► three t 3 bodrom approval since : two (l) of the bodrooms, vera brag used as a don aad a sating vem. • S be also said the bad + S rawiaa�r old oo tity the adjuw t of tbo valve of the baa, to a tbraa (i) bra. I a i"4 all 00"Orrod tbot It the b+ ae Woro aV to be sold a$ a five {S} boftem tho air ayataa voUld baVe to be aaiarq to tako of the amt o 1 assseiable b re s. if there a" any furthor questioner plea tact this offer at 276-22,21,, taat*IOA 264# Simmralyar Sart P. U0014 rimipol z4viromerital Contra Offi RPM/11h cis � let National Bares, of Aucbarago nal a . a Ovelyn A. butler GREATER ANCHORAGE AREA BOROUGH s�{l} Department of Environmental Qualitv \ ` '3500 Tudor Road, Anchorage, Alaska 9950'7 279-8686 k\Ov ,U Date Received 73 Time of Inspection = 30 Date of Inspection REQUEST FOR APPROVAL OF INDIVIDUAI. SEWER & WATER FACILITIES FOR 1. Anprovai Requested By: c Address,. -A(' 61,1A Phone: 2. Property Owner : rc - ---- Phone c 3. Legal Description: 4. Location: 5. �: Tvne of Facility to he Inspected: f Number of Bedrooms: 6. Well Data: 7C A. Type B. Depth C Construction. `:Bacterial Analysis r�'G ^ , 7. Sewage Disoosal .System: A. Installed �" �! ��3. Installer C. Septic Tank: 1. Size _ 2. Manufacturer \ D. Seepage Pit: 1. Size 2. Material E Disposal Field: Total Length of Lines `— 8. Distances: � ? 721, A. Well To: Septic p Tank , Absorption Area Sewer Lines - '-- Nearest Lot Line ( Other Contamination J� B. Foundation to Septic Tank ld ��;.p Absorption Area_/L� C. Absorption Area to Nearest Lot Line i r at 'a.ast for Approval of Ir,ividual sewer & water racliities Page -Two 9 Comments: ,� Po Aonroved Disapproved A Date 3 y� Approval Valid for One Year From Date Signed Greater Anchorage Area Borough, Department of Environmental Quality t DIAGRAM OF SYSTEMNy 33 tiX fE-6E 1 OT' Or �.v� To c o f Mi c s • {,j Gt. L I certify that the information contained in this request for approval to be a true and accurate representation of the suhlect sewer and water facilities located at: SignedDate >/� ir. & Mrs. alesl ey G. Butler Siar koute A, Box ME Anchora,,ie, Alaska 99507 ke: Individual on-site sewer and water system servin,l single family dvelli;i(4, Lot IA, 3randl Subdivision D -ear i1ir. ano Irs. t�tlr�r: Tho inspection performs' -d on your sewer an water sys tz!0! at the above location revealed that your well is locates! 72' from your sewer systein. As per our conversation with you, this does riot tiled', t`)_� ':renter Jincilorj— qo, %roa Loroug i arid, State n` Alaska i4ell distance require- :utits of 1�::' i;;iriiwu�� distance. Due to exte-ti uating circur:,- sz,ances, w;- are allowing you until Septenruor 1, 1974 to ulpgrade your systeii to brimi ", into canipl iancr,,,. T)-je i47' wall is ur approved ccnstructioli. The 'jacteriological wator analysis sliiows the water sai ple obtained on Au(lust 9, 1973 to hi~) satisfactory. Eiiclosed i3 a diar�ram of the area approvQd for the 1` 74 sewer syste)il re -location. before the installation is oegun, a permit should be obtained front tris department. We appreciate your apparent cooperation and jai l i 'be looking for- ward to working with you. Sincerely, C. Sue McKf%�6 nie, Environmental Control Officer CSIA/ ko Enclosures cc: golf Strickland, Chief Sanitarian RECEIPT FOR CERTIFIED MAIL -3041 (plus SENT TO postage) POSTMARK OR DATE STREET AND NO. P.O., STATE AND ZIP CODE OPTIONAL SERVICES FOR ADDITIONAL FEES RETURN 1. Shows to whom and date delivered ........... 15¢ RECE PT With delivery to addressee only ............ 650 2. Shows to whom, date August 3 1, 1973 ( and where delivered .. 350 SERVICES' With delivery to ` \Ii • O _ addressee only ............ 85¢ _DELIVER TO ADDRESSEE ONLY ........ _ _ 50Q SPECIAL DELIVERY e.tr. . r. quit.) ................................... _ (extra fee required) •••••• .•.. ..... b ........... PS Form 3800 NO INSURANCE COVERAGE PROVIDED— Apr. 1971 (See other side) NOT FOR INTERNATIONAL MAIL , GPO :1872 O - 480-743 ir. & Mrs. alesl ey G. Butler Siar koute A, Box ME Anchora,,ie, Alaska 99507 ke: Individual on-site sewer and water system servin,l single family dvelli;i(4, Lot IA, 3randl Subdivision D -ear i1ir. ano Irs. t�tlr�r: Tho inspection performs' -d on your sewer an water sys tz!0! at the above location revealed that your well is locates! 72' from your sewer systein. As per our conversation with you, this does riot tiled', t`)_� ':renter Jincilorj— qo, %roa Loroug i arid, State n` Alaska i4ell distance require- :utits of 1�::' i;;iriiwu�� distance. Due to exte-ti uating circur:,- sz,ances, w;- are allowing you until Septenruor 1, 1974 to ulpgrade your systeii to brimi ", into canipl iancr,,,. T)-je i47' wall is ur approved ccnstructioli. The 'jacteriological wator analysis sliiows the water sai ple obtained on Au(lust 9, 1973 to hi~) satisfactory. Eiiclosed i3 a diar�ram of the area approvQd for the 1` 74 sewer syste)il re -location. before the installation is oegun, a permit should be obtained front tris department. We appreciate your apparent cooperation and jai l i 'be looking for- ward to working with you. Sincerely, C. Sue McKf%�6 nie, Environmental Control Officer CSIA/ ko Enclosures cc: golf Strickland, Chief Sanitarian