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Home My WebLink AboutSTORCK #2 LT 3Ir torck #2 Lot 3 #017-091-47 Municipality of Anchorage Development Services Department .: Building Safely Division On-Site Water and Wastewater Program, 4700 S. Bragaw St. P.O. Box 196650 Anchorage, AK 99519.6650 Pageof www.cl.anUarage.ak.us (907) 343.7904 ONSITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number. SWO50412 PID Number. 017-091-47 N. : Chris Sutton Wastewater System: ❑ New El Upgrade Aea.r: 7201 Clarks Rd, Anchorage ABSORPTION FIELD pt, : Nu ae.m. : 4 Oo..p rr..n t]swbw nwa, ❑e.a ❑NwM ❑ouw LEGAL DESCRIPTION swR'wTOYDepa 0.6 pnpi 7° : cpoFP E.6.6/W.5.7 ll tlLa 3 auEAY1,Y,: — Storck #2 npWill" WpN 0 Me e.mn earn m' G M d"M O M p : E3.6/W2.7 F,• 3.0 Ft Tewmw' Rupr. 6.oarc Fa.ao.e. wp,r pb.' er..0 Lupo: E 1.21W 1.3 F,, 60+60=120 F, Well: ❑New [3 Upgrade onrv;w 5 Nw,cr.rr.. Drrr.euw..nrw Cr"dn (Pry W. A, S. Ck Td.1 O.pei: C.ra b: R. Twl.p.aprm.n.: 2 12 rL Pp Wr.nY: n. FL 1034 Fr ASTM D3034 a+w: ab awa si.ec wrrLM. FL burs. Miller Services, Inc. au bN.Me: May 13.2006 r.a. p.^V su.l ca"Hbpu Aoor. Gmwb: TANK GPN n. n SEPARATION DISTANCES GI Sepuc ❑Holding ❑S.T.E.P. ❑Other: To Septic Absorption Lm Holding ublWP"e 'u""r b From Tank Field Station Tank sewer Una Anchorage Tank & Welding 1250 c.l wr 104 108 NA NA 65 wrw. steel Numw.rcmp.brno. 2 �•w•• 100+ 100+ NA NA LIFT STATION 66 14 NA NA V NA e„ Fawgeom 45 53 NA NA Rpvm w+,r vwnp dr r,.i b. I.en w.l.r.Wmr hI b h tuna Dar, 1 65+ 80+ NA NA pwro Mr. a Maa.i fMcbol bep.rm. wrbmra w R/,wM1.: Old tank removed. Old field retained & diverter BENCH MARK valve installed. Tank and piping insulated with La000n.M o..o<wop. front door threshhold rigid foam. Test Hole deepened to 13'. Ground 100.00 F` water at 11.0 It on 5-10-06 and 11.4 on 5-15-06. Engineer's Stamp Cindy W. Inspections performed by: Ellis, P.E. Dates: 1" 5-11-2006 40TH�9 *;` 2nd 5.13-2006 Development Services Department I� Approval—~ ' Reviewed and approved b Y : Date; y ( %. rRr. rnssr PP 1 Cin W. Ellis � '•.,y CE • .. .0577 Watkins Engineering, Inc. P.0 Box 110443, Anchorage, AK 99511 (907)349-1851 fax 349-1934 May 17, 2006 Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program P.O. Box 196650 Anchorage, AK 99519-6650 RE: Storck #2, Lot 3 Septic System Upgrade Design Change Permit No. SW050412 Attention: Joe Goodall I request a change to the design for the subject septic system, to increase the maximum depth from 6 ft to 6.6 ft. This design change was verbally approved by Jeff Poet on May 12, 2006, with the condition of deepening the test hole. The test hole was dug on September 22, 2005 and evaluated by Jeff Garness, P.E. It was dug to 12 ft and encountered no water. Further groundwater monitoring showed no water through October 10, 2005. 1 monitored the groundwater in this test hole at 11.0 ft below original grade on May 10, 2006. On May 13, 2006, the test hole was deepened to 13 ft. The soil was moist, and at the bottom, we were beginning to encounter chunks of bedrock. Groundwater monitoring was performed on May 15, 2006, with a water level at 11.4.ft below grade. The bottom of the easterly trench is 6.6 ft below high original grade. Based upon the deepened test hole, this is 6.4 ft above the bedrock and 4.4 ft above the high water level measured on May 10. 1 believe that this design change is within regulations and is protective of human health and the environment. Thank you for consideration of this request. If you need further information, please call me at 349-1851. Sincerely, 61i�4 lvu ' Cindy Ellis, P.E. President 2 trend 5'x60' MT4 TIN i_ 100, I WELL CO2 ✓XfST2 FCOUExisting\,STI DCOIFoundation \drain 1250 gal steel septic tank �C\a- 11�� This is an engineering drawing, baa not a surveyor's asbuilt. AS -BUILT Storck #2 Lot 3 Record Drawing of Septic Upgrade Chris Sutton Parcel ID: 017-09147 Cindy W. Ellis, P.E. May 17, 2006 Scale 1' - 40' Watkins Engineering, Inc. P.O. Box 110443 Anchorage, AK 99511-0443 Phone: (907) 349-1851 Fax (907) 349-1934 A B FCO 39.9 14.7 DC01 58.0 45.9 DCO2 68.7 59.0 STl 60.1 48.8 ST2 67.0 56.9 DV 78.8 68.3 FS 91.0 73.2 MT1 83.8 73.7 C01 82.4 73.3 MT2 74.1 55.7 CO2 174.1 155.7 MT3 136.01108.2 CO3 137.8109.9 MT4 132. 98.3 C04 133.399.2 C05 81.0 87.1 SUMP 123.2L22A i_ 100, I WELL CO2 ✓XfST2 FCOUExisting\,STI DCOIFoundation \drain 1250 gal steel septic tank �C\a- 11�� This is an engineering drawing, baa not a surveyor's asbuilt. AS -BUILT Storck #2 Lot 3 Record Drawing of Septic Upgrade Chris Sutton Parcel ID: 017-09147 Cindy W. Ellis, P.E. May 17, 2006 Scale 1' - 40' Watkins Engineering, Inc. P.O. Box 110443 Anchorage, AK 99511-0443 Phone: (907) 349-1851 Fax (907) 349-1934 FCO DCO SPI FINAL GRADE ST2 DCO O O — �1 Diverler Valve 1250 GALLON STEEL SEPTIC TASK 9129 EAST TRENCII 1 CO2 MT2 14T4 COI To old FINAL C&IDE = 1 drainfield L 93.45 - 93.58 NOTE: �'04 RELATIVE DEPTH OF 4"0 PIPE NOTE: TEST HOLE 79.63 NATER 8 81.63 FILTER FABRIC 89.39 ORIGINAL GRADE _ 91.98-92.63 SEWER ROCK 86.02 60' Flow Splitter C01 NIT WEST TRENCH TRENCH WEST CO3 N.T.S. FINAL GRADE _ 91.43 - 92.01 NOTE: 4"8 PIPE RELATIVE DEPTH OF tOR90.25 OTE: TEST HOLE 77.52 FILTER FIDRIC. 88.17 NATER 79.52 ♦ ICIN.AL GRADE1 E - 90.52 SEWER ROCK 84.81 M F_" AS -BUILT Storck #2 Lot 3 Record Drawing Of Septic Upgrade Chris Sutton Watkins Engineering Inc ��•°F.ACgopp Parcel ID: 017-091-47 �P p Permit Number. SWO50412 .�'? 49 mom. �r Cindy W. Ellis, P.E. P.O. Box 110443 ('' � CINDY ELLIS , May 17, 2006 p ' CE 1057 0° y Anchorage, Alaska 99511-0443 pGpo;. No Scale Phone: (907) 349-1851, Fax (907) 349-1934mv...... �ao�' MUNICIPALITY OFANCHORAGE Development Services Department On -Site Water 8 Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519.6650 (907) 343-7904 ONSITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade Date Issued: Oct 31, 2005 Expiration Date: Oct 31, 2006 Permit Number: SWO50412 Parcel ID: 017-091.47 Legal Description: STORCK #2 LT 3 Design Engineer: 0855 Garness Engineering Group, LTD Site Address: 007201 CLARKS RD Owner Name: CHRIS SUTTON Lot Size: 59187 SQ. FT. Owner Address: 18002 IVORY CROSSING LANE Total Bedrooms: 4 Permit Bedrooms: 4 CYPRESS, TX 77433 - This permit is for the construction of: 0 Disposal Field ❑✓ Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage All construction must be in accordance with: 1. The attached approved design. 2. All requirements 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, seated, and heated to prevent freezing. Received By: Date: loO Issued By. C Fl a- Date: o / o Municipality of Anchoragei ( -.1 Development Services Department ''l� ;�' Building Safety Division , On -Site Water & Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.cl.anchorage.ak.us (907)343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FORA SINGLE FAMILY DWELLING Parcel I.D. U� �1 - 4 "r Permit Number Property owners) CHRIS SUTTON Day phone 281-772-9077 ailing address (1) 18002 IVORY .C.R/OSSING LANE • CYPRESS TX address (2) a ).1 1_ �a V 5 0-0 Zip Code 77433 Legal description (Lot, Block & Sub'd.) LOT 3• STORCK SUBDIVISION 82 Legal description (Section, Township & Range) N/A Lot Size �q Ig —Acre -40 Number of Bedrooms 4 THIS APPLICATION IS FOR: Sewer Only ❑ Well Only ❑ Sewer and Well ❑ Water Storage ❑ Sewer Upgrade 0 THIS PROPERTY CONTAINS: Hot Tub ❑ Jacuzzi ❑ Swimming Pool ❑ Water Softening Unit ❑ Therapy Pool ❑ 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. GARNESS ENGINEERING GROUP Ltd. Permit Fees: q(t_0 Date of Payment: Receipt Number: Waiver Fees* Date of Payment: Receipt Number: GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS & GENERAL CONTRACTORS October 26, 2005 Municipality of Anchorage Development Service Department On -Site Water & Wastewater Program 4700 South 13ragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907)343-7904 Ref: Proposed Septic Upgrade for Storck Subdivision #2; Lot 3, To whom it may concern: The existing 3 bedroom house is served by a private well and septic system. The septic system is in a state of failure and needs to be upgraded. At the homeowner's request, we are proposing to install a new 1250 gallon septic tank and a dual 5 -wide trench type drainfield sized for a four bedroom house. One test hole was excavated on the property. The drainfield will be designed around the 30 foot radius of this test hole. Comments regarding the design are summarized as follows: 1. SOILS: Sec the attached logs which shows the soil classifications, groundwater monitoring, and the percolation test results. 2. DRAT\FIELD DESIGN: See attached design drawing for drainfield specifications. 3. SURFACE WATERS: There arc no surface waters within 100 feet of the proposed septic system. 4 TOPOGRAPHY: As can be seen on the attached design drawing the average topography below the drainfield is a 10-15 percent slope running approximately 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.Y., M.S. NOTEU.I ttythed is a site plan dranving, a design draudng, one soil log, which are all part ofthe design package for this septic system (Contact G. E.G. Ltd for 7 page construction specification letter.) 3701 E. Tudor Road, Suite 101 • Anchorage, AK 99507 Ph: (907) 337-6179' Far: (907) 338-3246 • Website: gamessenginecring.com STORK S/D; TRACT A. STORCK S/D f2; LOT 5. SHIRLEY S/D; LOT 2. STORCK S/D /2; LOT 4. (:;EPnCi I -rSEPTIC J ROPOSEO SEPTIC UPGRADE ; ! /I (SEE DESIGN PAGE 2 OF 2) STORCK S/D 12; LOT T12N. R3W. SEC. 35 C� }; PARCEL 2. o� • 1 EXISTING SEPTIII oasnNC SYSTEM 3 BEDROOM HOUSE — S/D; LOT 1. STORCK S/D; BLOCK 3, LOT 1, T12N. R3W. SEC. 35. PARCEL 3 C -SEPTIC AR!�5-,,____ o!c z, p GARNESS ENGINEERING GROUP, Ltd. ppm;'?: • � CONSULTANTS& GENERAL CONTRACTORS p•••••••{• M1 C TI0011 1b0. ■II[ 101 MIl2MMi. M[ N301 . h101[ X11♦ .INT b -324 PREPARED FOR: PHONE NUMBER: PAGE NUMBER: ••••I CHRIS SUTTON 281-772-9077 1 OF 2 O�Q a ':J I LEGAL DESCRIPTION: ORAWN BY: •, STORCK #2 SUBDIVISION; LOT 3. B.F.M./C.J.G. TYPE OF WORK: e DATE: SITE PLAN FOR SEPTIC SYSTEM UPGRADE 10/17/2005 (R".01A5) NUMBER OF BEDROOMS:4 GALLONS PER DAY (CPO): 600 PERCOLATION RATE/S: 30 MIN./INCH PROPOSED APPLICATION RATE: 0.6 MINIMUM DRAINFIELD SO.FT.: 1000 MAXIMUM DEPTH:6 FEET WIDTH: 5 FEET LENGTH:120 FEET (2 O 60) M.O.A. APPROVED SAND FILTER: N/A EFFECTIVE:3 FEET REDUCTION FACTOR: 0.58 ACTUAL SO.FT.: 1034 TTER THAT PERTAINS TO THIS DESIGN. TO OBTAIN A COPY OF THE LETTER NTACT GEG. BY PROCEEDING FORWARD TH THIS INSTALLATION, THE ENGINEER, PROPERTY HAVE READ AGREE TO r N THEY 1 1 AN ND \ \ \ \ ANDD \\ \ \\ \ 1��1 \ \ PROPOSED \ DRAINFIELDS \ \� PROPOSED SEPTIC SYSTEM SIZED FOR A 4 BEDROOM HOUSE PER OWNER'S REQUEST. ;TALL FLOW SPUTTER —INSTALL FLOW DNERTER --INSTALL DOUBLE CLEANOUTS E!CALLON 3 •l 1250 .. IC TANK `EXISTING DRAINFIELD TO BE USED AS A \ RESERVE SITE _ _CSR\RogO 1NG SEPTIC TANK BE COMPLETELY ABANDONED pp�. •. X01 GARNGSS LNGINLLRING GROUP, Ltd. p, T CONSULTANTS 3 GENERAL CONTRACTO. �' • • •' • • • • • FM 007)S -S]N 0 PREPARED FOR: PHONE NUMBER: PACE NUMBER: • '•••• CHRIS SUTTON 281-772-9077 2 OF 2 Q a1p- Y A. mess; LEGAL DESCRIPTION: D RAWN BY: Qn s` E-7 53 \FG STORCK SUBDIVISION #2; LOT 3, C.J.G. VO4� ea -to TYPE OF WORK: �ODOfesooO DESIGN FOR SEPTIC SYSTEM UPGRADE �T10/26/2005 0 (Rev OIA51 F GARNESS ENGINEERING GROUP, Ltd. -- I CONSULTANTS S GENERAL CONTRACTORS — i]01 E RWA $ M 101 ' AMGMWALC A 10.507 ' PMOMG (M)WIN ' IAA: (W7 " SOIL LOG — PERCOLATION TEST LEGAL PERFORMED DEPTH (feet) DESCRIPTION: FOR: 2'vm�A nc ououiv,�wn, w, CHRIS SUITON DATE ORGANICS TEST HOLE 1 ____ 1 aaaa 8 10 loos 6' SOIL CLASSIFICATIONS 2 3:39 GW -- ORG 5- 1' r` s. 3:39 ML f Sr tom_ GP ML 3 4 GM/ML GM CL 30 5' GC OL 4 4:09 14- 6' — 00 •°o o SW MH 4:39 30 ': .S . SP CH 519 SM . ; OH SC 6 7 DATE DRY 9/22/2005 DRY SM 8 10 loos 6' 9 2 3:39 10 5- 1' 11 3:39 ML 2 12- - 4 4:09 30 5' 13- 1314151617 5 4:09 14- 6' — 15- 4:39 30 16- 1' 17] 18 DEPTH TO GROUNDWATER DATE DRY 9/22/2005 DRY 9/30/2005 3:09 10 loos 6' - / 1 �<' BaFt I S Eo I n+/I+ t / J' ;i f CORRAL ' DATE READING CLOCK TIME NET TIME (MINUTES) WATER LEVEL READING NET DROP (INCHES) 9/26/20051 1 3:09 - 6' - 2 3:39 30 5- 1' 3 3:39 - 6" - 4 4:09 30 5' 1' 5 4:09 — 6' — 6 4:39 30 5- 1' 19� PERCOLATION RATE 30 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES) TEST RUN BETWEEN 5.0' FT. AND 5.5' FT. 20 A FOUR HOUR PRESOAK WAS PERFORMED: N YES ❑ NO SOILS LOGGED BY: SUSAN OSWALT PERCOLATION TEST PERFORMED BY: BENNY MAUS Ljl,!;! .'.T;i: PERFORMED BY GEG, Ltd. I, JEFFREY A. GARNESS, CERTIFY THAT THIS WAS PEFFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: 1013N GARNESS ENGINEERING GROUP, Ltd. . CONSULTANTS 6 GENERAL CONTRACTORS O •' ........�.-...v.�....�.... /J..... .4. ........ LEGAL DESCRIPTION: STORCK 'z SUbUNINUN: LUI J. DRY PERFORMED FOR: CHRIS SUTTON DATE (feet) ITEST HOLE 1 6' 1 2 3:39 30 SOIL OSSIFICATIONS 1' 2 —_-- — ORG 6' r�ij: GP ML 3 GM CL 1' GC OL 4 z °. •°• o SW MH 5 '. •'• : SP CH 5' SM i Sc OH 6 Q U_ 7 LL in 6 g 9 U to J_ O 11 (n 12 Ld LLJ 13 in 14 15 16 17 16 DEPTH TO GROUNDWATER DATE DRY 9/22/2005 DRY 9/30/2005 3:09 — 6' — f re A. mess.• A CE— 3 �F•G SEE ATTACHED SITE PLAN DATE READING CLOCK TIME NET TIME (MINUTES) WATER LEVEL READING NET DROP (INCHES) 9/26/2005 1 3:09 — 6' — 2 3:39 30 5' 1' 3 3:39 — 6' — 4 4:09 30 5' 1' 5 4:09 — 6' — 6 4:39 30 5' 1' PERCOLATION RATE 30 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES) 19 TEST RUN BETWEEN 3.0' T. AND 3.5' FT. 20 A FOUR HOUR PRESOAK WAS PERFORMED: N YES ❑ NO SOILS LOGGED BY: SUSAN OSWALT PERCOLATION TEST PERFORMED BY: BENNY MAUS COMMENTS: PERFORMED BY GEG, Ltd. I, JEFFREY A. GARNESS, CERTIFY THAT THIS WASP FORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: o Ir , ea a PARED FOR: CHRIS SUTTON iL DESCRIPTION: STORCK #2 S/D; LOT 3, ` TYPE OF WORK: SITE PLAN OR NEW SEPTIC (Rev. CIMS) STORCKI S/D #2j LOT 5, #2; 4, L T1 3W 2 !T� GR-,., E'ER ANCHORAGE AREA BOK-.'dGH Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM n NAME ` H IZISSC/ )�� I MAILING ADDRESS S A 264 t10l9"' /`1 PHONE LOCATION (21gRKS (Co&A LEGAL DESCRIPTION 4,(57 3 57b(zC S/D SEPTIC TANK: DISTANCE/) NUMBER OF FROM WELL < IaOF MANUFACTURER �iC/)9CE l MATERIAL, / /��C' COMPARTMENTS Q� INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH LIQUID CAPACITY -6U0 GALLONS. TILE DRAIN FIELD: i "2V-01— °/ ' TOTAL LENGTH DISTANCE FROM WELL 136 FOUNDATION NEAREST LOT LINE IL OF LINES Zs_ NUMBER OF LINES ''f DISTANCE BETWEEN LINES TRENCH WIDTH. -?C IN. TOTAL EFFECTIVE ABSORPTION AREA `)'`�Q SQ. FT. LENGTH OF EACH LINE FILTER; DEPTH OF DEPTH: TOP OF TILE TO FINISH GRADE S-< MATERIAL BENEATH TILE I tN. ABOVE TILE �z� , IN. WELL: n!t TYPE iJR� Il�p CONSTRUCTION DEPTH DISTANCE FROM: BUILDING NEAREST NEAREST SEPTIC SEEPAGE FOUNDATION LOT LINE , SEWER LINE , TANK , SYSTEM CESSPOOL OTHER SOURCES APPROVED DISAPPROVED REMARKS DISTANCES: DIAGRAM OF SYSTEM INSTALLED BY: s- �Lpcir SEWER LINE DEPTH: o 0-- . vd 2 n o PIPE MATERIAL: fl3o.34 2 n y L j v O 6 r 3 LOT SLOPE: L�-VF.C_ REMARKS: U: A-rVQ Y>r Form EQ -032 DATE C, -L?-77 APPROVED _ 1Z _ C. G.A.A.B. 6"° -fl ®� @"-^9 � r-= � \'•tl-N 9-.-- � "�_''-F fl_e'.F-` 0"•=H F^-� e:,_: Y �'.a lF�' R-� n_:a ems_ — igrvi- DEPARTMENT OF HEALTH AND ENVIRONMENTAL ONMENTAL- .r- ROTECT?:ON - 02' 'L..' STREET, ANCHORAGE, Fila. 99501 7 !. 7_ 1=111E> n -e 4�"I —�� :1C ...ry.- �. _. E=: �..ry P:= a•T_ N� -" ;.:. _' z- _... _I-.. -24- PERMIT NO. 77102 C� �f ; APPLICANT i_RtJT C:HR I I_tTTOhd _ RA BOX ; 40 c• 9H L � F' �qe� LOCATION CLALRKIRABBIT CREEK LEGAL L3 STOR:CK SUBD L_D=1T SIZE. 65340 SQUARE FEET TYPE OF SOIL. AB ORBTION SYSTEM IS: TRENCH MAXIMUM NUMBER OF BEDROOMS = 4 SOIL_. RATING <SO FT/B00- 105 THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: / lo .✓ — (O fit E F"" -T- F-1= L_ E l' -J U -3-I- VA = 'n_ F;;" FT °^^ E ': R.. I_-" E-_- THE LENGTH DIMENSION I5 THE LENGTH (IN FEET) OF THE TRENCH OR: DRAINFIEL_D. THE DEPTH OF A TRENCH OR PIT I_ THE DISTANCE BETWEEN THE SURFACE OF THE GROUND AND THE BOTTOM OF THE EXCAVATION fIN FEET). THERE IS NO SET WIDTH FOR: TRENCHES. THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL.. BETWEEN THE OUTFALL PIPE AND THE BOTTOM OF THE EXCAVATION (IN FEET). CA LJ :1 F -_-"EE E> in E F0"'T- 1 00 5- G=S F'-.1 In :1 =_ ::ry_ _ RED C3 FA P.__ L_ CA VA II �.•-ry n_B "__ ._: _3 l IkA F=^ E 8-- -IF 1 CA VA _ Fi F^-'. E F-! E iTa 0_3 I F^== FE E-A BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL_ BY THIS DEPARTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCE BETWEEN H WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM Is 100 FEET FOR A PRIVATE WELL OR 200 FEET FOR A PUBLIC WELL. - WELL LOGS ARE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN .30 DAYS OF THE WELL COMPLETION. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER: INSTALLATION. Y==" EE F:_ r-1 I -TL % F- o L_ I E e F= CA FT CA VA E '- "FE F=o F-' F= F-'� a_::A r^ ry 7:. I CERTIFY THAT is I AM FAMILIAR WITH THE REQUIREMENTS FOR: ON-SITE SEWERS AND WELL'S AS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE. I WILL INSTALL THE `.,Y`-1TEM IN ACCORDANCE WITH THE CODES. : I UNDERSTAND THAT THE ON-SITE SEWER: SYSTEM MAY R:EQUIR:E ENLARGEMENT IF THE RESIDENCE IS REMODELED TO INCLUDE MORE THAN 4 BEDROOMS. SIGNED HPPL_ I ISSUED BY CHRIS SUTTON -Fd w Al-, o o R R&M CONSULTANTS. INC. 502a CORDOVA • BOX 6087 • ANCHORAGE, ALASKA 99502 • PH. 907-279'0983 • TLX. 090'25360 ENGINEERS O LGGISTS PLANNERS SDRVEvaRMarch 23, 1977 R & M NO. 751125 Mr. Chris Sutton SRA Box 4099-H Anchorage, Alaska 99502 RE: Test Hole and Soil Log Report for Sanitary System Lot 3, Storok Subdivision, Add. 2, NE4, Section 35, T12N, R3W, S.M., Anchorage, Alaska Dear Mr. Sutton: We are submitting herewith the test boring results and our comments regarding soil conditions encountered at the subject site. This in- vestigation was performed in accordance with your request of March 16, 1977, and those procedures outlined in a letter dated July 15, 1975, by Mr. Rolf Strickland of the Municipality of Anchorage, Department of Environmental Quality. A single test hole was put down within the subject site area for the purpose of defining general subsurface soil conditions for the proposed sanitary system. Excavation was accomplished with an auger type drilling rig and the test hole was extended to a total depth of 19 feet below ground surface. The final log prepared for the test hole has been included in Drawing A-01. Groundwater was not encountered in the test hole while drilling. A percolation test was performed from a depth indicated and reflects average infiltration from that depth to the bottom of the hole. We appreciate being given this opportunity to be of service to you. Should you have any questions with regard to the above, please do not hesitate to contact us. Very truly yours, R & M CONSULTANTS, INC. James W. Rooney /Y Vice President JWR/pe xc: Municipality of Anchorage ANCHORAGE FAIRBANKS JUNEAU VALDEZ WASILLA L CLARKS ROAD Test hole locations are approximate and have not been located by survey methods. TH_1 3-21-77 - 0.0' ORGANIC MATERIAL — — — — — — —1.5 ° a . SILTY SAND W/TRACE GRAVEL — — — — — —4-0° L'ae SANDY GRAVEL W/SOME SILT °c o A O a• e G ° SANDY SILT • •0• W/SOME GRAVEL 0 r-' ' 19.0' TD Water Table Not Encountered This log represents subsurface soil conditions within Lot 3, Storck Subd. Addition No. 2, NE;, Section 23, T12N, - _ R3P7, S.M., Anchorage, Alaska J Dib No o I SANITARY SEWER TEST MOLL•' F.B. CKOJI4A R&M CONSULTANTS, INC. CHRIS SUTTON GRiD� DATE: 3-23-77 Ero,.... ....o^"" °�^""`"� a""""eva ANCHORAGE, ALASKA PROJ.NO 751125 - SCALE: 1"=3e l - - DWG. NO. A-01 1 PERCOLATION TEST - - - - - CHRIS SUTTON R & M N0. 751125 TH--1 March 22, 1977 - ELASPED -. - DROP IN TIME - 'TIME INCHES INCHES - 11:15 0 9.0 0.0 �. 11:16 1 9.0_ 0.0 11:17 2 9.5 0.5 11:18 3 10.5 1.0 11.19 4 11.0 0.5 11:20 5 12.0 1.0 11:21 6 12.5 0-5 11:22 7 13.0 0.5 11:23 8 13.5 0.5 11:24 9 14.0 0.5 11:25 10 14.5 0.5 11:30 15 17.0 2.5 11:35 20 19.0 2.0 11:40 25 20.5 1.5 11:45 30 22.0 1.5 11:55 40 24.5 2.5 12:05 50 26.5 2.0 12:15 60 28.5 2.0 19.5 INCHES TOTAL DROP - 3.08 MINUTES PER INCH _. j WELL CONSTRUCTION LOG DriHing \�Co.e—'(f15 brfl uscs ne. Or 11 lar Y�}ri1 N%owe- �� Type of//�/rig b�� I Dal well completed /�//7/ Well owner l�//-S5 Jy l�i1 (/Yo✓��%r+- f�c"�+-� z,�,-y4eyyast community r 41 v Well location: (address & legal description)£' �t''-•� Location sketch or remarks Depth of well 10/ ft. Casing: deptha0 ft. diam. 6 in. 'y Static water level 16 ft. CTITM, below) land surface. Date Finish of well: (open-end, screen, perforated, open -hole, other) o eh Describe intervals and size: N Well yield tested by (pumping, bailing, air) at J gal/min, q for �/�hours with A ft. of drawdown from static level. I�C�, DRILLER'S MATERIAL LOG Depth below land surface in feet (size of Give description of material, color, hardness strata penetrated of drilling, and water content) V to t e to to /o/ ��ru�, c .<<.<� �:� �y ,_ ia/ , o _t to 02✓�} to 0 MUNICIPALITY OF ANCHORA rr to & ENVIRONMENTAL PRO7 to o o RECEIVED o to to _t o to to to I o _t o _t to Municipality of Anchorage (het, I'Ihl ± Ii== On -Site Water &Wastewater Program (907)343-7904 — lSS�rhriC(f— CERTIFICATE OF ON-SITE SYSTEMS APPROVAL Parcel I.D. 017-091-47 Expiration Date: 1. GENERAL INFORMATION Complete legal description STORCK S/D #2' LOT 3 Location (site address) 7201 CLARKS ROAD, ANCHORAGE, AK, 99516 Current Property owner(s) CHRISTOPHER SUTTON Day phone C/O AGENT Mailing address 7201 CLARKS ROAD, ANCHORAGE, AK, 99516 Real Estate Agent BRANDY PENNINGTON W/ KELLER WILLIAMS Day phone 227-6682 2. TYPE OF DWELLING: 0 Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ■ Individual On-site ■ Individual Water Storage ❑ Individual Holding tank ❑ Community Class Well ❑ Community On-site ❑ Public Water System ❑ Public Sewer ❑ Received by: !' Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee Date of Payment Receipt Number COSA # 12 =7 3 Waiver Fee $ Date of Payment Receipt Number Waiver # 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. l further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm GARNESS ENGINEERING GROUP, Ltd. Address 3701 E. TUDOR ROAD, SUITE 101 * ANCHORAGE, AK 99507 Engineer's Printed Name Engineer's Comments: JEFFREY A. GARNESS, P.E. In conducting this evaluation, GEG, UD. 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 tha 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 System #1 Approved for _4_1 bedrooms. System #2 Approved for Disapproved. Conditional approval for bedrooms. bedrooms, with the following Phone 337-6179 Date iJ t3 OF A 4,9 ,1 l ... ....... 1..�A.t ... ...... ON-SITE WATER AND 61AISTEWATER By: Original Certificate Date: The MS Iclpa it of AAno rage 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. 7. ATTCHMENTS: % COSA Checklist t/ Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other (Rev. 11105) 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: STORCK S/D #2; LOT 3 ParcellD: 017-091-47 A. WELL DATA *CASED TO BEDROCK Well type PRIVATE If A, B, or C provide PWSID# N/A Date completed 6/21/1977 Sanitary seal (YIN) YES Total depth 101 ft. Cased to *20.5 ft. FROM WELL LOG Date of test 6/21/1977 Static water level 18 ft. Well production 5 g.p.m. Well Log (Y/N) YES Wires properly protected (Y/N) YES Casing height (above ground) 12+ in. AT INSPECTION 8/8/2012 WATER SAMPLE RESULTS: qq Coliform —4)-1 colonies/100 ml. Nitrate Or11g./L. Arsenic: —IsLO— ug./L. Date of sample: 5/6/2013 B. SEPTIC/HOLDING TANK DATA Tank Type/Material SEPTIC/STEEL Tank size 1250 gal. Number of Compartments 2 7+ g.p.m. Collected by: GEG. Ltd. *UNDER DECK Date installed 5/11-13/2006 Cleanouts (Y/N) YES Foundation cleanout (Y/N) *YES Depression over tank (YIN) NO High water alarm (YIN) YES Date of pumping 7/20/2012 Pumper A+ HOME SERVICES C. ABSORPTION FIELD DATA *BELOW EXISTING GRADE Date installed 5/11-13/06 Soil rating .p.d./ rft'/bdrm) 0_6 System type SHALLOW TRENCH (2 ®so) 5 ft. Gravel below 3 ft. Length 120 TOTAL ft. Width pipe Total depth*5.4+/6.3+ft. Eff. absorption area 1034 ft' Monitoring tube **YES Depression over field NO Date of adequacy test **8/8/2012 Results (Pass/Fail) PASS For 4 bedrooms Fluid depth in absorption field before test 9 in. Water added 1050 gal. New depth 22 in. Elapsed Time: 145 min. Final fluid depth 19 in. Absorption rate >= 600+ g,p,d. Any rejuvenation treatment (past 12 mo.) (YIN & type) NONE If yes, give date **MT'S ON EAST TRENCH ONLY EXTEND 1.46/2.16' BELOW INVERT OF DRAINPIPE. TRENCH HAS 36"+ OF SOIL COVER. TESTED WEST TRENCH ONLY. EAST TRENCH WAS DRY AT TIME OF INSPECTION. BOTH DRAINFIELDS DRY ON 5/6/2013. D. LIFT STATION Date installed Size in gallons Manhole/Access (Y/N "Pump on" level at in. "Pump off" level High water alarm level at in. Cycles tested Meets alarm & circuit requirements? 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 Sewer /septic service line 25'+ On adjacent On adjacent lots Public sewer manhole/cleanout eo 100'+ Holding tank N/A 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 HOUSE WAS VACANT AT TIME OF TEST, BUT LESS THAN 60 DAYS PER REAL ESTATE AGENT. G. ENGINEER'S CERTIFICATION i certify that 1 have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. Engineer's Printed Mame JEFFREY A. GARNESS Date' -o/ ) 0113 (Rev. 11/05) Municipality of Anchorage Development Services Department =` Building Safety Division 5 On -Site Water & Wastewater Program 4700 Elmore Road P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907)343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I. D. 017-091-47 COSA# MI (31/3 1. GENERAL INFORMATION Expiration Date: / ' 3 Complete legal description STORK #2 LOT 3 Location (site address) — 7201 CLARKS ROAD *ANCHORAGE. AK Current Property owner(s) CHRISTOPHER SUTTON Day phone C/O AGENT Mailing address Lending agency Mailing address Real Estate Agent Mailing address 7201 CLARKS ROAD *ANCHORAGE. AK Day phone BRANDY PENNINGTON W/KELLER WILLIAMS Day phone 227-6682 Unless otherwise requested, COSA 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 E 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 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 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, t verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. 1 further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm GARNESS ENGINEERING GROUP, Ltd. Address 3701 E. TUDOR ROAD, SUITE 101 * ANCHORAGE, AK 99507 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Engineer's Comments: In conducting this evaluation, GEG, LtD. attempted to provide a thorough, conscientious engineering analysis of the system in accordance with ADEC and MOA DSD Guidelines & Regulations. The reported results described the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the local soils condition, groundwater levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of the system. Satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. GEG, LTD. can therefore not provide any warranty or future estimate of how long the system will continue to meet the operational requirements of the ADEC or MOA DSD. The content of this report is for the sole benefit of the owner listed above. Any reliance upon or use of this report by any other person or party is not authorized, nor will it confer any legal right whatsoever. 5. DSD SIGNATURE _AZ Approved for bedrooms. Disapproved. Conditional approval for bedrooms, with the following Attachments: COSA Checklist Septic System Advisory Well Flow Advisory Nitrate Advisory Phone 337-6179 Date 51 zo 11Z Arsenic Advisory Maintenance Agreements Supplemental Engineer's Report Other ) gy:—;)oelo�� i �� Original Certificate Date: ,-Z (Rev. 11105) ON-SITE WATER AND WASTEWATER PROGRAM Municipality of Anchorage y • '� Development Services Department Building Safety Division On -Site Water & Wastewater Program 5 A 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: STORK #2 LOT 3 Parcel ID: 017-091-47 A. WELL DATA *CASED TO BEDROCK Well type PRIVATE If A, B, or C provide PWSID# N/A Well Log (Y/N) YES Date completed 6/21/77 Sanitary seal (YIN) YES Wires properly protected (Y/N) YES Total depth 101 ft. Cased to *20.5 ft. Casing height (above ground) 12+ in. FROM WELL LOG AT INSPECTION Date of test 6/21/77 8/8/12 Static water level 18 ft. 26 ft. Well production 5 g.p.m. 3.7+ g.p.m. WATER SAMPLE RESULTS: Coliform 0 colonies/100 ml. Nitrate a mg./L. Collected by: GEG. Ltd. Arsenic: tiQ ug./L. Date of sample: 8/8/12 B. SEPTICIHOLDING TANK DATA * UNQEt9— pJr_oK Tank Type/Material SEPTIC/STEEL Date installed 5/11-13/06 Tank size 1250 gal. Number of Compartments E Cleanouts (Y/N) YES Foundation cleanout (Y/I$ YES Depression over tank (Y/N) NO High water alarm (YIN) N/A Date of pumping 7/20/12 Pumper A+ HOME SERVICES C. ABSORPTION FIELD DATA "BELOW EXISTING GRADE TO BOTTOM OF MT Date installed 5/11-13/06 Soil rating (g.p.cl]ft or /bdrm 0_6 System type SHALLOW TRENCH Length 2 0 60 = 120 ft. Width 5 ft. Gravel below pipe 3.0 ft. Total depth*5.41 +, 6.33+ft. Eff. absorption area 1034 ft' Monitoring tube **YES Depression over field NO Date of adequacy test **8/8/12 Results (Pass/Fail) PASS For 4 bedrooms Fluid depth in absorption field before test 9 in. Water added 1050gal. New depth 22 in. Elapsed Time: 145 min. Final fluid depth 19 in. Absorption rate >= 600+ g,p,d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) NONE If yes, give date — **MT'S ON EAST TRENCH ONLY EXTEND 1.46/2.16' BELOW INVERT OF DRAINPIPE. TRENCH HAS 36"+ OF SOIL COVER. TESTED WEST TRENCH ONLY. EAST TRENCH WAS DRY AT TIME OF INSPECTION. D. LIFT STATION Date installed "Pump on" level at in. Datum E. SEPARATION DISTANCES Size in gallons "Pump off' Manhole/Access water alarm level Cycles tested Meets alarm & circuit requirements? 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'+ Animal containment areas 50'+ On adjacent lots t 00'+ On adjacent lots 100'+ Public sewer manhole/cleanout N/A Holding tank N/A 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 104- 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 HOUSE WAS VACANT AT TIME OF TEST, BUT LESS THAN 60 DAYS PER REAL ESTATE AGENT (BRANDY PENNINGTON). G. ENGINEER'S CERTIFICATION i certify that I have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. Engineer's Prin ed lame JEFFREY A. GARNESS Date 81 (a COSA Fee `N Date of Payment Receipt Number D�gjG (Rev. 11/05) Waiver Fee $ Date of Payment Receipt Number Municipality of Anchorage a> s Community Development Department Development Services Division On -Site Water and Wastewater Program 4700 Elmore Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907)343-7904 Nitrate Advisory Certificate of On -Site Systems Approval # 121373 A Certificate of On -Site Systems Approval inspection and test of potable water was recently conducted on the well water supply on Block , Lot 3 of Stork #2 subdivision. This inspection revealed a nitrate concentration of 6.27 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. SCALE: 1 "= 50' �P��•�F i aL9s��ld / * t}gT:9H t/ red Waiaik6 �J � u�F�'. N0. 3255-S .•1^i EASEMENTS OF RECORD, OTHER THAN 1\�� THOSE SHOWN ON THE RECORDED PLAT ARE NOT SHOWN HEREON. Fb 12-4, pg 56 I hereby certify that I have performed a Mortgagee's inspection of the following described property: LOT 3, STORCK SUBDIVISION, ADDITION No.2 Anchorage Recording Precinct, Alaska, and that the improvements situated thereon are within the property lines and do not overlap or encroach on the property lying adjacent thereto, that no improvements on the property lying adjacent thereto encroach on the premises in question and that there are no roadways, transmission lines or other visible easements on said property except as indicated hereon. Dated at Anchorage, Alaska this 15th day of August ,2012 FRED WALATKA & ASSOCIATES Engineers and Surveyors BE 1 (901-246-1666) 8372W 1 � Lot 4 I 1 30 I I S86°20'32"E 285.33 Well I p w ntsco J ILLIsepticVec co 2,00 U CLU N N ak Septic Vents o .5 OH •Septic Vents o 12'0 I I 5. �- OI M 7.0 y2 t • �• �c�wI OH U 1u) Oc> Z Conc block ret wall '� 24.3 r? p 32. Unsubdivided she N sh 30 LOT 3 ha .r 1 N 'p\` rAsphalt � I tri Q .. I N 1 2"+ wood ie M 1� 0J Cn �14 IF ate I Z Iw CV 4.26 `�\ 1LU o '�I �Q o v I I W Z �� ;F- --- Ro \Q 14 Block 2 Storck Sul AS -BUILT NO CORNERS SET THIS DATE SCALE: 1 "= 50' �P��•�F i aL9s��ld / * t}gT:9H t/ red Waiaik6 �J � u�F�'. N0. 3255-S .•1^i EASEMENTS OF RECORD, OTHER THAN 1\�� THOSE SHOWN ON THE RECORDED PLAT ARE NOT SHOWN HEREON. Fb 12-4, pg 56 I hereby certify that I have performed a Mortgagee's inspection of the following described property: LOT 3, STORCK SUBDIVISION, ADDITION No.2 Anchorage Recording Precinct, Alaska, and that the improvements situated thereon are within the property lines and do not overlap or encroach on the property lying adjacent thereto, that no improvements on the property lying adjacent thereto encroach on the premises in question and that there are no roadways, transmission lines or other visible easements on said property except as indicated hereon. Dated at Anchorage, Alaska this 15th day of August ,2012 FRED WALATKA & ASSOCIATES Engineers and Surveyors BE 1 (901-246-1666) i MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION DIVISION OF ENVIRONMENTAL HEALTH CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY 264-4720 1. GENERAL INFORMATION (a) Legal Description (include lot ck, su Application Date section township, mange) Location (address or directions) (b) Applicant Names/'h �'� rd Telephone: Home -3 1;�'''� Business Applicant Address • 7Z� (c) Applicant is•(check one): Lending Institution ❑ ; Owner/builder; Buyer ❑ ; Other ❑ (explain); (d) Lending Institution 1 'e Nu Acn ` Telephone Address (e) Real Estate Company and Agent Address Telephone (f) Mail the HAA to the following address: CAtL syT7Z)N 345 2. TYPE OF RESIDENCE Single-Family4 Multi -Family ❑ Other Number of Bedrooms 1 : 3. WATER SUPPLY Individual Well'® Community ❑ Public ❑ Nate: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 4. SEWAGE DISPOSAL Onsit6�1 Public ❑ Community ❑ Holding Tank ❑ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 72-025 n1/B4) Page 1 of 2 5.' ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION 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 shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name ofFir == sr f-� �i7 Telephone Address Date 25 - 6. DHEP APPROVA Approved for "edrooms by Approved� Disapprove Condition Terms of Conditional Approval CAUTION Date C �� The Muncipality of Anchorage Department of Health and Environmental Protection (DHEP) issues Health Authority Approval certificates based solely upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHEP does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHEP do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. Page 2 of 2 72-025 111/84) MUNICIPALITY OF ANCHORAGE (MOs) MUNICIPALITY OWAINLiY40THORITY APPROVAL (HAA) DEPT. OF HEALTH � ENVIRONMENTAL PROTOAO2 CKLIS-FEBRUARY 1984 N .264-4720 APR 16 JejLegal Description: A. WELL DATA RECEIVED _S'�r« Well Classification If A, B. C, D.E.C. Approved7(Y/N) Well Log Presen t) Date CompMpd — �/ Yield �O, a Total Depth AG Cased to �Oel Depth of Grouting Static Water Level 'g5,6 Pump Set At y Casing Height Above Ground — Electrical Wiring in Conduit&) Sanitary Seal on Casinl) — Depression Around Wellhead (',may. Separation Distances from Well: I/ / To Septic/Holding Tank on Lot /�G ; On Adjoining Lots To Nearest Edge of Absorption Field o of /_fid / ; On Adjoining Lots ' o /�— To Nearest Public Sewer —To Nearest Public Sewer Cleanout/Manhole / To Nears t Sewer Service Line on Lot Water Sample Collected by=iL'�/'T,� ; Date -3 Water Sample Test Results Comments B. SEPTIC/H6h9*NRTANK DATA Date Installed Size / StandpipelON) Air -tight Caps,1p) Depression over Tank ( Pumping/Maintenance Contract on File (Y/N) Holding Tank High -Water Alarm (Y/N) No of Comnartments Foundation Cleanout (qN) Date Last Pumped i :for Temporary Holding Tank Permit (Y/N) Separation Distances from Septic/Holding Tank: To Water -Supply Well l2� j To Building Foundation To Property Line To Disposal Field — /i To Water Main/Service Line _ Course Com Is i v sr� j Page 1 of 2 72-026(11/84) To Stream, Pond, Lake, or Major Drainage C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed Width of Field /Z,6 Type of System Design Length of Field _ Depth of Field Gravel Bed Thickness' ' 61 Square Feet of Absorption Area �^ Standpipes Pres�) Depression over Field (6j.) Date of Last Adequacy Test Results of Last Adequacy Test a 0 ieldTSeparation Distance from Absorption Field- To o Water -Supply Well /`' To Property Line ' �- To Building Foundation ? c' To Existing or Abandoned System on Lot ��- > —� �!= — On Adjoining Lots To Water Main/Service Line i �+ To/�Cutbank_(if_prese� To Stream/Pond/Lake/or Major Drainage Course%.� ✓1 To Driveway, Parking Area, or Vehicle Storage Area Corn eats --_. D. LIFT STATION Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Electrical Codes (Y/N) — Comments Dimensions Manhole/Access (Y/N) "Pump Off" Level at " Check Permitted Bedroom Rating Against HAA Request ** Vent(Y/N) Pumping Cycles during Adequacy Test. Meets MOA I certify that I h ve check e ;verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Signed iiJ Date- _�/-1--pe w CompanyF�ssr Receipt No. ari;. •0ep°0 Date of Payment -�� ' "" °° � ®D Amount:$ �S,C7U �o°°B �16ia ®eh••o Page 2 of 2 72-026 (11/84) Ao m ., co °asoaac + co a°a n oo f� s #6333 ° �44, Tf°0e no�etl�t= Loca tion: Subdivision: list- iT Bim: Client's Name: BESSE, EPPS & POTTS 2220 EAST 88 AVENUE ANCHORAGE, AK 99507 (907) 349--Ci451 WATER WELL TEST Date:-,�5Cv Address: Tester: Initial Reading cn Meter: G��G TIME GPM GALLONS A VOLUME GALLCUS TOTAL VOLUME Ca %5p�/. 141 :3 J to fi P,4 _Z z o < _ lJ� -� i• O _d 2-' - U 2 C3 /J o � 0 NOTES: Prodnction Rate: L GPM 24 -Hour Capacity Callcns Client's Name: Address: BESSE, EPPS 6 POTTS 2220 EAST 88 AVENUE ANCHORAGE, AK 99507 (907) 349-6451 WATER WELL TEST Subdivision: Lot: Block: Tester: /P, 4X4"t, Initial Reading on Meter: Date: ti TIME GPM GALLONS A VOLUME GALLONS�� TOTAL VOLUME zy NOTES: Production Rate: GPM 24 -Hour Capacity Gallrns 1110 Q f� N M M E 0 m U n oI O f o , o Aj V K m O V V W V \ m � o $ 'o / �O - // /� � �.� /F. �' °ice\\� ��'oi%—\\� . .�_ __ i APPLI- -AT �1 FILLS OUT UPPER H`.ONLY ?YopertY.wne1 - - J �fr �r. �J _ u - vim' V Phone Mailing Address— ,'7 _ (-, r' / slJ li Zip Code Buyer l Address ' Zip Code Lending Institution Date Phone Address Zip Code Date Realty Co. & Agent Inspector Phone Address Zip Code Notes: , / �R-� W � `\ 11\\ Legal Description Street Location i t_ Type Residence (3) APPROVED BED Single Family ( ) DISAPPROVED ❑ Multiple Family No. of Bedrooms ❑ Other Water,Supply Individual �d ATTACH WELL LOG. A well log is required for all wells drilled since June 1975. log if ❑ Community Date Sewer Installed For wells drilled prior to that date, give well depth (attach available). ❑ Public Utility Well Log Received Septic Tank Size a_ S-0 SewerjDisiposal -7 Individual Year Individual Installed r ❑ Public Utility When Connected to Public Utility: ❑ Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING pAN BE INITIATED _eF .n. n t_ . Time Ti/e 0I L_ Time - I l 5 _ `I lS`> Date Date Date Date Inspector Inspector Inspector (� (� Inspector 13)Field Notes: , / �R-� W � `\ MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH ENVIRONMENTAL PROTECC TION RECEIVFD (3) APPROVED BED 'CONDITIONS OF APPROVAL ( ) DISAPPROVED ( ) CONDITIONAL APPROVAL DATE BY: _ Soils Rating Date Sewer Installed Well To Absorption Area (--+'� Well Log Received Septic Tank Size a_ S-0 Well to Tank I'D t} 72 023 (3182)