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HomeMy WebLinkAboutSPRING HILLS ESTATES BLK 1 LT 6'0 Spring Hills Estates Block 1 Lot 6 #015-051-44 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES _ Environmental Health Division V �p )� U� 44- 825 "L" Street, Anchorage, Alaska 99502, Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM ANO/OR WELL INSPECTION REPORT DISTANCES ��• Al _A_LZTO SEPTIC ABSORPTION Address FROM TANK FIELD WELL Phone(s) Penult No. No. of Bedrooms WELL �00• i/3 / / P) d± Q O 7 Ll GAL DE LOT LINE Lol Block Subdiwsion — •--m SPieiG. �fi/���a/sl7E" _ FOUNDATION (r� / 5� /' Township, Range, Section _ Zile - 'y ) / AS -BUILT DIAGRAM (Show location of well, septic system, property lines, lo«ndation, J % ' L • vi ��7 h-! driveway, water bodies, etc.) TANKS SEPTIC ❑ HOLDING � -- — Manwacl ner Capacity In gallons 11AIC//0 i 17'J;o Material No of Compartments TYPE OF SYSTEM TRENCH ❑ BED ❑ W. DRAIN ❑ OTHER Depth to pipe bottom from Total depth from original grade original grade 6 FT /© FT _ Fnl added ahove original grace _ Gravel depth beneath pipe FT S ET _O Graver length-- -_-- _ Gravel width - �3 FT 4 FT Total absorption area _ iDistance between lines �8°/EXE (v3d Erb! SQ Number of Imes Soil rating FT Pipe material /d FT 5 rh7. Z7S SQ FT ` Installer . �_, -i1rD 9 Y Date Installed WELLS U(J PRIVATE ❑ OTHER (Identity) Classification (A: -a ) Total Depth Cased to _20_`l FT ?,to 6. l FT Installer Date Installed. REMARKS: I All &' Awoesil Municipal and Slate guidelines in ellecl oil Ihis date: _. n I-leallh Department Approval: 72-013 (385) scale: /e/ 70' •• Inspections performed by. _. Wt� 1 ll 4D 1) Ilial this inspection was perlo rued according to all Date. I/ �0 •- �8 6�x �5y�e®oJ oeuJar�.m°��l�i e�(t c1 \S �tl GCfCfS//}/,li/OgM/a�/{'file SI"r� y�JV U•1����a�V�r11'ypl V�+-�— 1c�r �; !*IICIIQ01 [. AridersFJn 4j, 0) 41W �i °.,�,6 t,,•, ^�� yy VV a i rr j /2 Doo 5F —I n peck3 114 37G &>\ 00 a yey�'L // 1, 7Q •� r �/ ry y S 7 ///5 TA_/_L- 36 of r/'!'n/r.'N ' D - dew jmx'M LEGEND ��r22. °°1T v[ \ \ O LOT CORNERS ��*e•491—m — FOUNDATION ivme� � l ye••e Q. o. •a° •°••• I c� �/ r-'�"G` f)�;T;vti S �� �'�--- DRAINAGE ARROWS ®�yfD 1.v t n C''- � 1�"�r+e�iae� f=. /indOrs�n owt �`••,,....:q.••••7 t/ 1� NOTES: die n°•°a ecc.o°a�•�(dza. `ff ~_•••-j7� 1. IT SHALL BE THE RESPONSIBILITY OF THE� - p� rc `Ut R TO VERIFY THAT BUILDING LOCATION SHOWN MEETS ALL SUB01° T � •. � EHANTS AND ZONING • ORDINANCES. �49 ;0•°� ••• •• ��•••• •••••°'� 2. IT IS THE RESPONSIBILITY OF THE BUILDER TO VERIFY ALL ELEVATIONS WITH RESPECT TO ALL UTILITIES. �......«..... .......t.:...... . ac• 3. THIS PLAT REPRESENTS THE PARCEL OF PROPERTY DESCRIBED BELOW TAKEN P4�:• Andrew F. Potf3 �4„r FROM THE RECORDED PLAT DESCRIBING THAT PARCEL. INSTRUMENTS RECORDED �, •• No. 3514•S: t�•'�j° PRIOR TO OR AFTER THE FILING OF THE RECORDED PLAT ARE NOT SHOWN ON ...*4 ��..4, ••• � 5y THIS PLAT. °••'•.•...•••��AW 4, THE INFORMATION ON THIS PLAT IS FOR THE USE OF LENDING INSTITUTIONS SPECIFICALLY TO SHOW ANY CONFLICTS BETWEEN EXISTING STRUCTURES AND ®�� ve.�_ PLATTED LOT LINES OR EASEMENTS , THE PLAT IS NOT TO BE USED FOR �d� CUIU d- Se /^Z. G�/A In -20-J81Q POSITIONING ADDITIONAL STRUCTURES OR FENCES. SURVEYORS CERTIFICATION I HEREBY CERTIFY THAT I HAVE SURVEYED THE ,fie 0U)LT /PLOT PLAM PROPERTY DESCRIBED ON THIS PLAT AND THE IMPROVEMENTS SITUATED THEREON ARE LOCATED AS SHOWN ON THIS PLAT. PLAT. t^ -7— DATED //j7-// T DATED THIS � DAY OF ._,19!ry -SP// ��G /-��i-�-' l /fir /FJ BESSE, E POTTS 2220 E.. 88 88rh. AVE. 349-6452 ANCHORAGE , ALASKA 99507 349-6454 DRAWN BYE/-,/�11/ SCALE, /'. ,;v C -C DW0. NO. �% 1/ � n'.,, CHK. at: UAIE d -by FLO.BK. 34) ._/etpu (( I //yp� S Sfl° -6 ..f0 �� l✓ � .3/3 T'" _._ -__. __ __ ...� r bio. » 5 J.i T, . / ___I__ 3° peck !� I } rziz 1�\to?�6 4 l i ��F^b✓ � �o[>A SAI /A.,K A�/A� O 3i 0f' �� ,cel• i' .,,........R D P.•'• .,•S10 / Iow 'AV• J der. TH p- vr..-. J • • • ••r •••• ••• ••u o \— /> _ i� �� ; n !_'s >„ 4I E John Epps Pp og� I1lr�. No. 3510-S •o �" •S°� Y LEGEND `�4';�p •••....•..••°� T. O LOT CORNERS t����®S�$,A��®� G �d y - ------ FOUNDATION 4-)d; �,'o-, S/2GIff$ DRAINAGE ARROWS � ���,. •.;a�t'Oq NOTES: v y` G9�. '•�-� f I, IT SHALL BE THE RESPONSIBILITY OF THE BUILDER OR OWNER TO VERIFY THAT • , BUILDING LOCATION SHOWN MEETS ALL SUBDIVISION COVENANTS AND ZONING *see T �• �d ORDINANCES. w• •••j•,y]••• /Y.•YY •,�•t••Y.Y.I� 2. IT IS THE RESPONSIBILITY OF THE BUILDER TO VERIFY ALL ELEVATIONS WITH /'^-W4�/-f'-:1.^'" r�W" ^• C�""SPE, C ^ - TO ALL UTILITIES. �•� �••••••••••YYY••••�•QYvv••• A,j . •� 3. THIS PLAT REPRESENTS THE PARCEL OF PROPERTY DESCRIBED BELOW TAKEN �a:� AH(1f P,W F, POLIS FROM THE RECORDED PLAT DESCRIBING THAT PARCEL. INSTRUMENTS RECORDED �Y'-;r Y• No. 3514.5 ' J � PRIOR TO OR AFTER THE FILING OF THE RECORDED PLAT ARE NOT SHOWN ON � THIS PLAT. . n'••••.Y. ••''tt�O ,� 4. THE INFORMATION ON THIS PLAT IS FOR THE USE OF LENDING INSTITUTIONS Kkp P%fSSIONa�� .� SPECIFICALLY TO SHOW ANY CONFLICTS BETWEEN EXISTING STRUCTURES AND Sg� L1 PLATTED LOT LINES OR EASEMENTS , THE PLAT IS NOT TO BE USED FOR Ad �...5-" D/fa -20-88 POSITIONING ADDITIONAL STRUCTURES OR FENCES. SURVEYORS CERTIFICATION I HEREBY CERTIFY THAT I HAVE SURVEYED THE A53UIL-r 1PLOr" PLAN PROPERTY DESCRIBED ON THIS PLAT AND THE IMPROVEMENTS SITUATED THEREON ARE LOCATED AS SHOWN ON THIS PLAT. L- Q� ('•/ j,j�UCh I y DATED THIS 2-'DAY OF E_.,19�y -5AR ,�ryG �j�L`` �.-17�/2:-S —.- BESSE, EPPS 81 POTTS , r i 2220 E. 88th. AVE. 349_6452 ANCHORAGE, ALASKA 99507 349-6454 t DRAWN BYE/,�/��/ SCALE. />.jp J C-C DWO. NO. /._l'A•/� C'/�/l:'l R'1�_/T/?':J {t.vN1'�f'•,',"i CHK. pY� -.._...DATE, FLO. BK., M -W DRILLING, Inc. P.O. Box 10.378 • 10300 Old Seward Highway SG-2�0 (907) 349.8535 ANCHORAGE, ALASKA 99511 DRILLING LOG Well Owner D1 ST(,VS Ill 6PJM/Sara hill _Use of Well DOM M3tic Location (address of: Township, Range, Section, if known; or distance main road Lot: 6 Black 1. Sj:x'in<- lfilhs - N:ichoraF;n_ Size of casing 6fl Depth of Hole 207 feet Cased to 206. 1 feet Static water level t. 7Abo-V6j (below) land surface. Finish of well (check one) open end Screen ( ); Perforated ( ), Describe screen or perforation lone _ Well pumping test at 12 gallons per (h' flf) (minute) for l hours with 1007. eft, of drawdown .from static level. Date of completion Septaiilbcx 28, 1984 WELL LOG Depth in feet from ground surface Give details of formations penetrated, size of material, color and hardness 0 TO 2 Creid.1% Sticlu.q) 2 TO 3 Silty s;ravel 8 TO 22 & nd _ 2.2 TO 55 Silty _ 55 TO 63 V'&E�pinR 11 ir_cll, m 63 TO 3 flhrc pan 83 TO 1.01 Sang & -Gravel. lol TO 143 Cravelly 1 (112,Ul_ JA3 TO 193 Silty llnr(h)an _ 190 TO 207 Sandy [ aterbeiir— ing gxave7 TO- O TO- TO TO- TO N C'ettif M rabirjdim Certificate No's, 814 & 979 3 3 — CONTRACTOR �\��d2r:- �>� - r�.zZ - >«'G� � � � i 1 -f T. I iit 5 3y i�� / %. Z.y� �, rl•- �, � .-;Y�--�1 C1,.N, J,,,_ is (IN, r f Ae l' �.,. '/ ,�/<•r� 'nr. r� �i/ /A /C, . `;^ ate `-•NF /y It 8 ,e oo q'"fi v - � �'• �-, ,- •. � ,j11 �� ��a n� � 'c' \ LEGEND O LOT CORNERS �._ FOUNDATION DRAINAGE ARROWS �At:w � I. IT SHALL BE THE RESPONSIBILITY OF THE. BUILDER OR OWNER TO VERIFY THAT BUILDING LOCATION SHOWN MEETS ALL SUBDIVISION COVENANTS AND ZONING ° ORDINANCES. M• Ucee 0e •• /.ee..Yeee%j� 2. IT IS THE RESPONSIBILITY OF THE BUILDER TO VERIFY ALL ELEVATIONS WITH RESPECT TO ALL UTILITIES, ® Ni� �.eae ee a.0 Mveee a>.....♦ a r'% • 3. THIS PLAT REPRESENTS THE PARCEL. OF PROPERTY DESCRIBED BELOW TAKEN Andrew�. �nf ,',>., ' ,4 FROM THE RECORDED PLAT DESCRIBING THAT PARCEL. INSTRUMENTS RECORDED No. 3514.5 .' �����t� PRIOR TO OR AFTER THE FILING OF THE RECORDED PLAT ARE NOT SHOWN ON �p.f.,iNl.e'._ ..C.• r> THIS PLAT SURVFYOR S CERTIFICATION I HEREBY CERTIFY THAT I HAVE SURVEYED THE PROPERTY DESCRIBED ON THIS PLAT AND THE IMPROVEMENTS SITUATED THEREON ARE LOCATED AS SHOWN ON THIS PLAT. DATED THIS ?S DAY OF �_, 19jj,', 4. THE INFORMATION ON THIS PLAT IS FOR THE USE OF LENDING INSTITUTIONS SPECIFICALLY TO SHOW ANY CONFLICTS BETWEEN EXISTING STRUCTURES AND PLATTED LOT LINES OR EASEMENTS , THE PLAT IS NOT TO BE USED FOR POSITIONING ADDITIONAL STRUCTURES OR FENCES. `A,'E'UILT1PLpT F'L�PJ / D'T --__._—BESSE,WEPPS 61 POTTS 2220E. 88th. AVE 349-6452 ANCHORAGE, ALASKA 99507 349-6454 DRAWN BYE // x , .G „�, t SCALE- / / ' J D C - C DWG. NO. /.� /; j/j%J( �(/J /\f CI11(. Ui DAIL 'r ,:J a FLD. BK.� MUNICIPALITY OF ANCHORAGE Departme�t of' Health & Hu��n Services 825 L StPeet, Anchorage, Alaska 99501 343~4720 ON. SITE SEWER & SE.:PTIC TANK PERMIT Permit Number: 880109 Enlargcc0ent Date lssued: 07/05/88 EOginon, er DesigDed Owner Name: BURTON H AKE Day Phone: Owner Address: 9451 SPRING HILL 0R" 264~2300 ANCHORAGE, AK 99507 Parcel Id: O15-051-44 Lot Legal: Subdivision: SPRING HILLS EST" L(3t: 6 B1Ock: 1 Section: 15 Township: 12N Range: 3W Lot or acres> Max Bedrooms: This Permit: 1 Total Capacity: 4 SEPTIC TANK: Minimu0 total septic Each s�ptic tank must have at Depth to top of septic tank. (s) {eet requires insulation ovep tank(s)" INSTALL, PER ENGINEERS DESIGN, TRENCH TYPE SYSTEM 1 BEDROOM UPGRADE LENGTH: 35/ GRAVEL DEPTH: �/ M0XIMUM DEPTH: 10/ , , " THIS PERMIT IS ISSUED FOR A SINGLE FAMILY RESIDENCE ONLY AND EXPIRES 12/31/88" NOTIFY DHHS PRIOR TO EACH INSPECTION" --�---_-~~ I CERTI�Y THAT: 1. I aV) faV}iliaP V4ith the requironments for on~site sewers and y/ells as set forth by the Municipality of Anchorage (MOA) and t19 State of Alaska. 2. I will install the in accordance with all WHO codes and regulations, and in ompliance with the design criteria of this 1.)er0it" 3. I will adhere to all MOA and Gtate of Alaska requirements {or the svt back distances from any existing well!, w 1�3tewater disposal system or public sewerage system on this or any adjacccnt or nearby lot" 4" I understand that this pel, (71it is valid for a ma:i mum C}f 1 I also understand that the capacity o( the total system is 4 bedrooms and any enlargement will re i an ackliti.orial permit, Signed: DATE: Al�~^Jy�~^^v~-^-�^~^~~-�� (Owner) BURTON KENNETH AKB! lssued By: DATE: _~'?A�~��~�_~� �Za�tioo7�2e _�.�e 9451 SPRING HILL DRIVE • ANCHORAGE, ALASKA 995074372 c �;��'> , � 2 1;✓v�f��l.�;.?�� ; � � C,'�ti� ���,lJ1j�� .�-�4fr•�' Fy(, �l.n�JY`� i ii l�? �(Jl / it . G1 f+r Y' ? fi,� �l�l�/i ✓ /J✓✓/hive- .4 I r✓t )-/e , � J )l 01 01 El�D4" 6 " c 40 01MIDIN 8861 z z N I I I NOISIAIO S3:)IAdJS 1VIMMOTAN3 3@7VaOHJNV d0 A11lVd1:)INf1W a Municipality of Anchorage t DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG - PERCOLATION TEST PERFORMED FOR: DATE PER. ,,....._... - LEGAL DESCRIPTION: Township, Range, Section: DEPTH SLOPE SITE PAN 11 (FEET) Y �f--I--I—i � i-' 141 �1 1 c'K✓'uROE"/J 2 D 9 10 11 12 15 16 17 18 19 WAS GROUND WATER �/� ENCOUNTERED? S IF YES, AT WHAT L O DEPTH? P E Depth to Water Atter Monitoring? !./0/•l! Date 20 PERCOLATION RATE (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN _ FT AND FT COMMENTS F/C5-nrly us /'; a'/' t�>c»i 36e, PERFORMED BY: W,�ERTIFY THAT /T`H'IS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE:/ 72-008 (Rev. 4/85) • Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 625 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG - PERCOLATION TEST PERFORMED FOR:_ 1)19AI DATE PER LEGAL DESCRIPTION: L(� (j/ S�til/JFijownship, Range, Section: DEPTH SLOPE SITE PLAN (FEET) 1 2 3 4 5 6 7 8 9- 10 it 12 13 14 15 Gross Time Z! 30 Depth to Water Net Drop 2: /o IPALITY OF ANCHORAGE DEPT. OF HEALTH & W42,0NMENT kL PROTECTION ; /o 16 Ll 11 291REC IVSD WAS GROUND WATER ENCOUNTERED? �JO IF YES, AT WHAT DEPTH? Depth to Water After Monitoring? /alb wmerz Date: 71-4" ■NM EN MEN Reading Date Gross Time Net Time Depth to Water Net Drop i Ll 11 3f /� 1;. 9s" 2a_ / i /3•Z5" ZS n ,, PERCOLATION RATE 1-3/ (minuleymch) PERC HOLE DIAMETER 1a TEST RUN BETWEEN L FT AND�82 FT COMMENTS Mbn TUBE -10'4' D2 OZ -7188 — "+,�l lgk OF D,c- EX/S7/A/�i 'TT D �/] /) PERFORMED BY: 00� Iq� �_ )''" tib d..�. �'�-1 _ � WAC C /`tt`t�� ERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 72-008 (Rev. 4/85) I -�� MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH Rt ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 325 L Street - Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME q PHON7E [tea 3- -(5 ❑ UPGRADE MAILING ADDRESS gc�60 LEGAL DESCRIPTION L(� L, LOCATION NO. OF BEDROOMS Well Absorption area/ DISTANCE T0:— _ 16c�.`-J Dwelling t�� _ � PERMIT NO. (�[� t/ 1-- Z u a w� Manufacturer /'' - AE-- ILiq. rapacity in gallons IF HOMEMADE: Inside lengt0 1 l7l ® Maieer.. I_ Width No. of compartments Liquid depth C�v ts DISTANCE TO: Well ®� Dwelling PERMIT NO. 0 -. Q J Manufacturer A s r �(. Material Liquid capacity in gallons Foundation Nearest lot line i PERMIT No 'i'- I n: DISTANCE TO: 150 No. of lines of e/ach line 77; - � — �rrf a ol: - � Total length of line Trench-wEiTdth�- DistanceJSbe ween lines 1 ` w Y �. I_ O _ __ l -Top of the o .Wish grade / / Length Width Material beneath tile Total effective absorpti n area inches C !/ -=��-�Tf�.�- Depth --�c� PERMIT NO. In <1 F- I ype-of crib Griu liameter Crib depth Total effective absorption area w� U6 e- tN - DISTANCE TO - — - atBuilding foundion Neatest lot line Clas pQi epth Driller Distance to lot linePERMIT NO. P til it foundation DISTANCE TO: /op, Sewer line /16 e �1 Septic tank e Absorption areas) - J OTHER r ---- PIPE MATERIAL SOIL TEST RATING / �E INSTALLFIR Y-- MAKS --I CALL CIO -- ---- -- w- -- — L -T -c� - / DATE PROV ED­ LEGAyLI�- JT 72013 (Rev. 3/78) PERMIT NO� DATE I�SUED HPPLICHNT -1DDRESS� LOT �IZE� MHX BEDROOMS TH HND PROTECTION 82� L ST�EET/ HNCHORHG�, Flk. 99 01 264-4720 " - , I- , ­ , -�' --:- ::-, rj Ll ��p- E I-7� LOTBLOCK: 1 YOU IN YOLJR 5EPTIC YOU� SITE if� 65 70 0 5 1 0 7 0 3. 0 25 0 5. 0 470 16�0 ** J/000 0 ** 1, 0 ** 260 ]06 ** 6�HVEL LE�GTH } 75 FT�F: UIRES MULTIPL1:: RNG T. EFUH) �� THNK MUST HHVE HT LEHST TNO COMPHRTMENTS -..... --- --- --..... .... �..... ..... -~ I CERTI�Y THRT� 1 I RM FRMILI�R WITH THE REQUIREME�TS FOR ON�S�TE �E��RS �ND WELLS HS S�T F'ORTll BY THE HOH) HND THTE OF HLAS�H. 2 I WILL INSTHLL THE SYST�M IN HC��RDHNCE W.I. Al L. MOH CODES AND ��GULHTIONS/ �ID .1. 1,-,1 HPI r. WITH THE DESIGN C�lTERIH OF THIS PERMIT. �I �ILL ADHE�E T� HLL HOH RND ST�TE OF HLHSKH REQi]I�EMENTS FOR T�� SET B�CI DISTHNCES F�OM RNY EXISTING WELL/ WHSTEW�TER DISPOS�L SYSTEM OR PUBLIC SEWERHGE SYSTEM ON THIS OR RNY HDJHCENT OR NEHRBY LOT 4. I OOMS HND HNY ENLHRGE�ENT WILL REQUIRE HN �DDITIONAL PER�T. �F H L��T �TATION I� I�ST�LLED lN HN MREH C�V�RED BY �OH BUILDING CODES, THEN (1) HN ELECTRICHL PERMIT HND INSPECTION MU, -:TBE OBTRINED/ (2) HS~BUILTS WI�L NOT BE RPPROVED WITHOUT HN ELECTRICHL INSPECTION REPORT/ HND (]) THE ELE�T�ICHL �O�K MUST �� DONE BV H LIC�NSED EL�[TRICI�N� SIGNED DHTE� /�.- ._�.~�^t�-����_~ �n~---------`- 7- HPPLICHhl' : D&S111 L. T, NMITED / ISSUED 8Y DHTE� �e � 01 SOILS LOG MUNICIPALITY OF ANCHORAGE •`; DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION PERCOLATION TEST 825 L. Street, Anchorage, Alaska 99501 264-4720 \ --� SOILS LOG — PERCOLATION TEST PERFORMED FOR: D A M D U N L /.MM -E 0 DATE PERFORMED:—�--_I3-� Depth to Water Net Drop LEGAL DESCRIPTION: D7" G L3L K I j1p/1u G Ls h t 1 CSL-) /3LAC-I 1 I I I I I � I I �U�.� I�LI,U1S't-1-• �+2oW.� 2 3 4 5 6 7 8 9 10 11 12- 13 14- 16- �N D 16 .t )i 1 17 18 19- 20 COMMENTS S;LlY 6RAUCLLY �r-�N13 (5/Xl) w1c CN5c—s a C� 7- i G J4'T" S; Cry-5A&IOy GP.sluet< (�-M S0146 LAR6Z- c.0$t31_5 HART) SILT (M L) C)CLAS+cA AL CRAUEI- SLOPE rs SITE PLAN n WAS GROUND WATER * j S ENCOUNTERED? /\) U' S. 2 0 p P — IF YES, AT WHAT E_ DEPTH? Reading Date Gross Time Net Time Depth to Water Net Drop -r 13 4,43 -3 + id2c1 t s y s G1 5; 14 2� 3 +3U 7 43 QS '3S � 4e S s; 4S- / C7 `► 3 65 PERCOLATION RATE J .3, (minutes/inch) G TEST RUN BETWEEN -8 - FT AND 1 FT 2S7 _liV 1, ,-konvvr A', 1, '7 ✓yi0 PERFORMED BY: D6t\l) nWPL 6A -IES CERTIFIED BY: 72-008 (6/79) DATE - - _ M -W DRILLING, Inc. P.O. Box 10-378 • 10300 Old Seward Highway 84-290(907) 349.8535 ANCHORAGE, ALASKA 99511 DRILLING LOG Well Owner i'LS..10X, T11 1,rYJD/Scup I;ill Use of Well lk)r:eStic Location (address of; Township, Range, Section, if known; or distance main road TpC 6 Block..l Sprlru Hills - Anchorage Size of casing 6 Depth of Hole 207 feet Cased to 206. 1 feet Static water level i,C ft. JA156Ve) (below) land surface. Finish of well (check one) open end Screen ( ); Perforated ( ), Describe screen or perforation LIMP Well pumping test at 1.2 gallons per (Ht R9 (minute) for 1- hours with— 1(l(l j At. of drawdown .from static level, Date of completion �e tc�i_e P '�' r 2€i, 1-91'L 4 , r • , ' ;- , - _ WELL LOG Depth in feet from ground surface Give details of formations penetrated, size of material, color and hardness 0 TO 2 cashim St:iclaq) TO 8 Silty griavel 8 TO 22 Sarld MUNs � r 2 TO )J FUn' A F/O si j,:y' Fi'3tl'f?l- _ FNVIRONMENrA/ pie c& RAGE 55 MA cr/O � TO 63 t�'er��it1� llr�rr i:rn — � '1 63 TO 83 llarclpsn •� VED 83 TO 121 Sat id & Gravel 101 To 143 Crrzv(Al.y Ra _(_jp'a._ 143 To 193 "Alty Ilard))a1i _ 198 To 207 " I'zrerl, � I �.�t1cl�� f�iL,-�,T1llel. -TO- -TO- --TO- -TO- -TO- 3—CONTRACTOR OTOTOTOTO NWWA Cerfifle.0 t"rniiftsl@tar Certlfkate No's, 814 & 97$ 3—CONTRACTOR r f l 4.+ �s i• J Parcell.D. 015-051-44 SUBMITTAL NOV a u 2014 Municipality of Anchorage On -Site Water and Wastewater Program (907)343-7904 i Certificate of On -Site Systems Approval nn /,.> Expiration Date: aIQA(5,®i I 1. GENERAL INFORMATION Complete legal description SPRING HILLS ESTATES BLK 1 LT 6 Location (site address) 9451 SPRING HILL DR ANCHORAGE AK 99507 Current Property owner(s) MARK & KATHERINE SCHMELING Day phone Mailing address 167 RENAUX DR, ST CHARLES, IL 61075 Real Estate Agent LAURA HALVERSON Day phone 230-4891 2. TYPE OF DWELLING: ❑x 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: InoividuVr Well Q Individual.Water Storage ❑ Community Class Well ❑ Public:WaterSystem ❑ Waiver/Variance request for: NONE Received by: 11C�401= COSA to be released to theme engiinne�er, unless otherwise requested by the engineer. Individual Q Holding Tank ❑ Community ❑ Public Sewer ❑ It Date: COSA Fee $ 2:1 ! — Waiver Fee $ _ Date of Payment (� (`1 I� 02D _ Date of Payment Receipt Number C) Receipt Number COSA # CEJ l `J Waiver # 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm SPURKLAND ENGINEERING Address 203 W. 15TH AVE.,STE.202A, ANCHORAGE, AK 99501 Engineer's Printed Name LARS SPURKLAND 6. DSD SIGNATURE _AL System #1 Approved for bedrooms System #2 Approved for bedrooms Disapproved Conditional approval for bedrooms, Phone 279-3916 Date au" d Pic 0FC/ttSt. 11 V,- `7- s °tiff 9...Y ............ An E. Sru h;Iiv�; it s with the following stipulatNi&)�._ � W6 /t ! 1 Original Certificate Date: of Anchorage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other C0. A blue sheet r - i a If more than 1 septic system is on the lot: COSA Checklist # 1 of 1 Structure served by this system 1 Certificate of On -Site Systems Approval Checklist Legal Description: SPRING HILL ESTATES BLK 1 LT 6 A. WELL DATA Well type PRIVATE Date completed 9/84 Total depth 207 ft. Date of test Static water level Well production If A, B, or C provide PWSID # Sanitary seal (Y/N) Y Cased to 206.7 ft. FROM WELL LOG 9/84 186 12 WATER SAMPLE RESULTS ft. Coliform NEG colonies/100 mL Nitrate 2.21 mg/L Arsenic NO ug/L Date of sample: 10/27/14 B. SEPTIC/HOLDING TANK DATA Tank Type/Material SEPTIC/STEEL Tank size 1250 gal. Number of Compartments Parcel ID: 015-051-44 Well Log (Y/N) Y Wires properly protected (Y/N) Y Casing height (above ground) 18+ in. AT INSPECTION 10/27/14 170 6.7 ft. Aft iia Collected by: ANSON MOXNESS Date installed 9/30/88 Cleanouts (YIN) Y Foundation cleanout (Y/N) Y Depression over tank (Y/N) N High water alann (Y/N) N Date of pumping 11/7/14 Pumper A+ HOME SERVICES C. ABSORPTION FIELD DATA 9!30188 & Date installed an/3/aa Soil rating (g.p.d./ft2 orft2/bdrm) 275 System type TRENCH Length 63+123 ft. Width 3 ft. Gravel below pipe 5,4 ft. Total depth 10 ft. Eff. absorption area 1514 ft2 Monitoring tube Y Depression over field N Date of adequacy test 10/27/14 Results (Pass/Fail) PASS For 04 bedrooms Fluid depth in absorption field before test 2 in. Water added 600 gal. New depth 2 in. Elapsed Time: min. Final fluid depth in. Absorption rate >= 600 g.p.d. Any rejuvenation treatment (past 12 mo.) (YIN & type) If yes, give date - D. LIFT STATION Date installed "Pump on" level at _ Datum Size in gallons _ in. "Pump off" level at - E. SEPARATION DISTANCES WELL ON LOT TO: Cycles tested _ Septic tank/lift station on lot 100'+ Absorption field on lot 100'+ Public sewer main NA Sewer /septic service line 251+ Animal containment areas 50+ Manhole/Access (Y/N) in. High water alarm level at _ Meets alarm & circuit requirements? _ On adjacent lots 1001+ On adjacent lots 1001+ Public sewer manhole%leanout NA Holding tank NA Manure/animal excrete storage areas100+ SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5+ Property line 5'+ Water main NA Water service line 10+ Wells on adjacent lots100+ Absorption field 6+ Surface water 100'+(N.O.)' ABSORPTION FIELD ON LOT TO: Property line 10+ Building foundation 10+ Water main NA Water Service line 10'+ Curtain drain 50'+ (N.O.)" F. COMMENTS 'N.O.- NONE OBSERVED G. ENGINEER'S CERTIFICATION Surface water 100'+(N.O.) Driveway, parking/vehicle storage10+ Wells on adjacent lots100+ 1 certify that I have determined through freld inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. Engineer's Printed Name LARS SPURKLAND Date 10/27/14 COSA brown sheet_10-10-12.doc ..F At �1�r A .. . SPUEaKLANO.-ol 3 ' 11580% in. A & Spurk.land Engineering Environmental Consulting and Design Municipality of Anchorage November 25, 2014 Development Services Department On Site Water and Wastewater Program 4700 Elmore Road Anchorage, Alaska 99519 Subject: COSA Application Spring Hills Estates Blk 1 Lt 6 Ladies and Gentlemen: During the recently conducted Well and Septic System Adequacy test we were unable to locate any of the original drain field stand pipes at the above referenced property. The drain fields' were installed in 1984 and 1988 and the inspection reports are vague, lack detail, and appear to contain inaccuracies in regards to the location of the original standpipe locations. A drain field cleanout and monitor were installed at point in time after 1988 and the adequacy test was conducted using these pipes. Pre-test the liquid level in the drain field was 2 inches, 600 gallons was added to the system without a corresponding rise in liquid level either the tank or drain field monitor, indicating that the system is functioning adequately at this time. If you have any questions or concerns, please contact me at 279-3916. S' cerely, L Spurkland, P.E. Civil Engineer 203 West 15th Avenue Suite 203, Anchorage, AK 99501, Phone: (907) 279-3916 Fax: (866) 354-1597, Lspurkland@gci.net MUNICIPALITY OF ANCHORAGE • �' DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services 14 On -Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. # (11 _4ItI 1. GENERAL INFORMATION HAA #��� Complete leg/al description l , Z <<z e, S 7 --- Location (site address or directions) Property owner�.�'r'oNr�e y�7r'' Day phone Mailing address�� Lending agency ay phone Z Mailing addressL�//0 /��s%- �aao- Al Agent & Day phone Address _ Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS:V 3. TYPE OF WATER SUPPLY: Individual well r/ Community well 1 Public water t; NOTE: If community well system, provide written confirmation from State'A'DEC attest - Ing to the legality and status of system. I'` 4. TYPE OF WASTEWATER DISPOSAL: Individual on-site Holding tank Community on-site Public sewer NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025 (Rev. 1/91) Front MOA 421 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I furtherverify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm ���s� %s .�✓S.SoG! -711-7- "�'''S Phone � � L Address `L' i ��-7V-;124/ tri W_ ��r.l -�"�'7 X1Z ��5'' % Engineer's signature Date .-' Date 6. DHHS SIGNATURE X_ Approved for bedrooms. By: Disapproved. Conditional approval for / (�Wll7S i ar 4- el .d F }9TH ..... e. ..•... ...� 'n NO. 985-E 1 � rr1DFs • •GIST,rc,`� ���?� h so �. bedrooms, with the following stipulations: ./C.'4t,_ Sy o'Z ?/09j 3. •Sn/i MUNICIPALITY OF ANCHORAGE • DEPARTMENT OF HEALTH & HUMAN SERVICES M} Division of Environmental Services On -Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. # _()\'�-)L-JAA 1. GENERAL INFORMATION HAA # 0 RR 9 Q n L(() --2Q Complete legal description '� Location (site address or directions) e %v Property owner L�Y�h�� _d y��•r 6LLADay phone Mailing address _Zfj_�s/ Lending agency ��i`'RG�� ii/�a� DI���Day phone. -5__6 Z- -2/gr/ Mailing address P�)_e�% Taa�' FAe ffSa3 Agent Day phone Address Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: Individual well Community well Public water cam" � �f � •�/ Z NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 4. TYPE OF WASTEWATER DISPOSAL: Individual on-site Holding tank Community on-site Public sewer NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025 (Rev. 1/91) Front MOA x21 5. STATEMENT OF INSPECTION BY ENGINEER \ As certified by my seal affixed hereto and as of the validation date shown below, I verify that investigation of this Health Authority Approval application shows that the on-site water suppij\ and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms`, and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm - %-��-� 9` .�✓SSoc �� S Phone G' —%� r� Address /6 /4, Engineer's signature - Date 4;19�� 6. DHHS SIGNATURE X_ Approved for bedrooms. Disapproved. Conditional approval for Ur a`A`S'f-�Q !,,4T STH Y.. (Y its NO. 986-E bedrooms, with the following stipulations: 4� Additional Comments �tFi�s .A401edV44 15 62AI4 /-M 4 e11VX1,5 �e9 14 f/ /eF iD�Nc6 X40 4-P%2_4 rIOT L1441A .C�2 4 a .Q,,=,)- A.vn - aQ/1/-�ii��''.4si ..iD,6rrt�.d z'!,) i a.l . j C-.0 By: ��- J�i - Date IIIITIC The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineers work. 72-025 (Rev. 1/91) Back MOA B21 Municipality of Anchorage Department of Health & Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: l6_f�`� ��0��� / �� !� �s Parcel I.D. Asia--7�e A. WELL DATA Well type /�L'vO'A' If A, B, or C, attach ADEC letter. ADEC water system number _ Log present (Y/N) zk' Date completed %z/ Driller_�� Total depth r 0 .j Cased to 9 �' • _% Casing height Sanitary seal (Y/N)Wires properly protected (Y/N) 2 FROM WELL LOG AT INSPECTIONMUNICIPALl1Y 01: ANCFIOPAGE Date of test 61171y1-- ENVIRCNMENIAt- SIRVICF6 DIVISION � l_ Static water level � �' — A/1 W 011., 11' 1992 Well flow 3r 9.p -m. / V7, Pump level -1 ✓�'�" ��� Septic/holding tank on lot zeye ; On adjacent lots _4�1;J _ Absorption field on lot �/ `/6' On adjacent lots la % / Public sewer main Public sewer manhole/cleanout /1_//Z/, _ Sewer service line Petroleum tank Tlfc 71�"/ WATER SAMPLE RESULTS: Coliform � � _Nitrate Other bacteria Date of sample: 6' i %ly Collected by: B. SEPTIC/HOLDING TANK DATA Date installed � t2 �a/ Tank size �TSy Compartments Z--- Cleanouts (Y/N) r Foundation cleanout (Y/N) S Depression (Y/N) /,//0 High water alarm (Y/N)y Alarm tested (Y/N) y% Date of pumping Pumper�4J44, 0/ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Well(s) on lot �Z On adjacent lots Foundation l� _ i To property line -Absorption field S'y Water main/service line Surface water/drainage — A� 72-026 (Rev. 7/91) Front CONTINUED ON BACK PAGE C. LIFT STATION Date installed A474 -e Al�_7 Manufacturer Size in gallons 1�1/' Manhole/Access (Y/N) Vent (Y/N) /1/2 "Pump on' level at "Pump off" level at High water alarm level Cycles tested Meets MOA electrical codes (Y/N) /'//-' SEPARATION DISTANCE FROM LIFT STATION TO: ti Well on lot GI On adjacent lots ��� Surface water D. ABSORPTION FIELD DATA Date installed //�y/�'g Soil rating ?5^ System type Length Width 04 Gravel thickness 5 / Total depth Total absorption area �� ��f syr, Cleanouts present (Y/N) / S Depression over field (Y/N) /, Date of adequacy test Results (pass/fail) for Peroxide treatment (past 12 months) (Y/N) �`"!2 If yes, give date SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot To building foundation On adjacent lots /'�) `'�) ri On adjacent lots 1g,7Property line -� bedrooms To existing or abandoned system on lot lCutbank Water main/service line Surface water /14 Driveway, parking/vehicle storage area Curtain drain 41�we /y°75,"1 E. ENGINEER'S CERTIFICATION I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this i qftion. All OF 4�4 IIII ��4� Signature * " Engineer's Name " Date ;1} NO. 986 e tiny '•..°� �Co•'• ��a _ a HAA Fee $ w— Waiver Fee: $ Date of Payment 3� Date of Payment Receipt Number`��� �� �S Receipt Number 72-026 (Rev. 3/91) Back MOA 21 CHEMICAL & GEOLOGICAL LABORATORY A DIVISION OF COMMERCIAL TESTING & ENGINEERING CO. 5633 DSTREET ANCHORAGE, ALASKA 99518 TELEPHONE (907) 562.2343 FAX: (907) 561.5301 ANALYSIS RESULTS for INVOICE 154989 Chemlah Ref A 92.2899 Sample I 1 Matrix: WATER Client Semple ID i L6 B1 SPRING HILLS ESTATES PWSID UA Collected JUN 17 92 0 17:00 hre. Received JUN 10 92 0 12:30 hrs. Preset Yed with : AS REQUIRED Analysis Completed JUN 20 92 Laboratory Supe v aox STEPHEN C. ED-E� Released By Client Name :BRUST & ASSOC Client Acct :BRUSTAT BP01 : Regi Ordered By :S. BRUST Send Reports to: 1)BRUST & ASSOC 2) ; POI :NONE RECEIVED .................................................................,.....,.............................................................. Parameter Results Units Method Allowable Limits , NITRATE -H 0.73 mg/1 EPA 353.2 10 w Sample ROUTINE SAMPLE COLLECTED BY: S. BRUST. Remarks: .................................................................................................................................... 1 Teets Performed Soo Special Instructions Above UA -Unavailable ND- None Detected See Sample Remarks Above NA- Not Analyzed I,T•Lass Thnn. GT-Gconim Than I*.1 SL3S Membor of the SGS Group (SoclM GdnArale de Surveillance) CHEMICAL & GEOLOGICAL LABORATORIES OF ALASKA, INC. 0 TELEPHONE (907) 562.2343 5633 B Street Anchorage, Alaska 99518 u•°^°^• Drinking Water Analysis Report for Total Coliform Bacteria TO BE COMPLETED BY WATER SUPPLIER ❑ PUBLIC WATER SYSTEM I.D.# 0 -'PRIVATE WATER SYSTEM Name Pho a No. Melling Address BRUST & ASSOCIATES :N>ai"NEE, ,S_,pL .NNERS - SURVEYORS city 1810 DIMOND MIUVE. zip Code ANCHORAGE HO�.ALASKA-99507 SAMPLE DATE: I IJI k�l 1L11�1 Mo. D y Year SAMPLE TYPE: WAoutine ❑ Check Sample (for routine sample with lab ref. no. _) ❑ Treated Water (Special Purpose 0- Untreated Water SAMPLE Time Collected N0. LOCATION _ Collected By 1 � G� �vrrl �o�-iI�' Ge �� ..5��° •�1y S. •f3�- 2 Il 3 l� 4 I' 5 TO BE COMPLETED BY LABORATORY Analysis shows this Water SAMPLE to be: Satisfactory' ❑ Unsatisfactory ❑ Sample too long in transit; sample should not be over 30 hours old at examination to Indicate rbliable results. Please send new sample via special de ivery mall. Date Received J % q-2-- _ Time Received 1 23() _ Analytical Method: Membrane Filter No. of colonies/100 ml. Lab Ref. No. ' Result* Ana s 92.2899 EZ m U m U m U m � BACTERIOLOGICAL WATER ANALYSIS RECORD N READ INSTRUCTIONS Membrane Filter. Direct Count c BEFORE COLLECTING SAMPLE Verification: LTB BGB ml Final Membrane Filter Result T&___CoIIform1100 ml r Reported By. Date �. �''GZ 'rime: / —a.m. p.m. TNTC = Too Numberous To Count OB = Other Bacteria PART ONE OF TWO REMAINDER TO FOLLOW WALTER J. NICKEL, GOVERNOR DEPT. OF ENVIRONMENTAL CONSERVATION ' ANCHORAGE DISTRICT OFFICE 563-6775 3601 C STREET, SUITE 322 ANCHORAGE, ALASKA 99503 May 20, 1991 Mr. Kenneth Ake 9451 Spring Hill Drive Anchorage, Alaska 99507 Subject: Lot 6, Block 1, Spring Hills Estates, Anchorage, Alaska, ADEC Project Numbers 9121 -WW -062 and 9121 -DW -051; Review Dear Mr. Ake: This is in response to your submittal, received in this office on May 6, 1991, in which you requested approval for the on-site water and wastewater disposal systems located on the above -referenced lot dues to the proposed change from a single family residence to a Bed and Breakfast. I have completed my review of the submitted information and have the following comments. WASTEWATER DISPOSAL SYSTEM The submitted information it appears that the wastewater disposal system was installed substantially in accordance with State regulations and guidelines at the time. The results of the adequacy test also verifies that on the day the adequacy test was performed the wastewater disposal system was accepting the necessary flows. In addition, there will not be an increase in the volume of wastewater being treated and disposal by the existing wastewater disposal system due to the change from a single family residence to a bed and breakfast. Therefore, the wastewater disposal system is approved for the concerns of this Department. The enclosed signed Approval of On -Site Residential Water and Sewer Systems, constituting this approval, is enclosed for the existing wastewater disposal system. DRINKING WATER SUPPLY SYSTEM From the information that has been submitted, it appears that the water system was installed substantially in accordance with State regulations and guidelines for public water systems at the time. Including the fact that there will not be an increased in the peak flow demand placed on the existing water system resulting from the change (going from serving a four bedroom single family residence to a three bedroom bed and breakfast) and the analytical results for Total Coliform Bacteria and Nitrate (as nitrogen) returned satisfactory, the water system is approved for the concerns of this Department. The Final Operation Certificate, constituting this approval, is enclosed for the existing Class C Public Water System. At this time, the Department is assigning Public Water System Identification (PWSID) Numbers to all Public Water Systems in the State. As a result, the PWSID Number assigned to this system is 217128. The present State Drinking Water Regulations do not require any routine water sampling for Class C Public Water Systems; however, I recommend that you have water samples analyzed for Total Coliform Bacteria and Nitrate (as nitrogen) once a year during the month of May. If you do sample, please place the assigned PWSID Number on the lad request form so the results will be credited to proper file. Thank you for your cooperation with this Department. If you have any questions, please do not hesitate to call. Sincerely, 4co'-4 Keven K. Kleweno Environmental Engineer Enclosure: As Stated cc: John Smith, DHHS, w/o Enc. KKK/skpf STATE OF ALASKA DEPARTMENT OF ENVIRONMENTAL CONSERVATION APPROVAL OF ON-SITE RESIDENTIAL WATER AND SEWER SYSTEMS or PROPERTY DESCRIPTION god 6 , 3/oel ) , s(drt�_ �,A A'4L�es Certlllcate Issued for Appllcatlon No.: )- 069 This approval does not constitute a guarantee of any kind, explicit or implied, as to the performance of the water supply and wastewater disposal systems. WATER SUPPLY A recent water sample was tested and found to meet Department of Environmental Conservation drink- ing water standards for total coliform bacteria. Name Title Date WASTEWATER DISPOSAL The domestic wastewater system was: ❑ inspected by the Department of Environmental Conservation and found to be in compliance with applicable requirements of 18 AAC 72; ❑ inspected by a Professional Engineer who certifies that the system complies with applicable re- quirements of 18 AAC 72; ❑ installed by a Certified Installer who certifies that the system complies with applicable requirements of 18 AAC 72; or tested by a Professional Engineer who certifies that the performance of the system is satisfactory and that the system complies with the minimum separation distances specified In 18 AAC 72. This approval is valid for a ® single family N 'qty UnIt with a total of `Z bedrooms. IAN- tR_nann tRev. RtR51 nISTRIBUTION: WHITE—BANKILENDING INSTITUTION; CANARY—APPLICANT; PINK—DEPARTMENT STATE OF ALASKA DEPARTMENT OF ENVIRONMENTAL CONSERVATION CONSTRUCTION AND OPERATION CERTIFICATE for PUBLIC WATER SYSTEMS A. APPROVAL TO CONSTRUCT Pians for the construction or modification of public water system located in , Alaska, submitted in accordance with 18 AAC 80.100 by f have been reviewed{ and /are �Ipp C CIj G. P( `6` T("(an, l!livO�(� i4�i/�L'l Elapproved. 0 J/ ❑ conditionally approved (see attached conditions). BY TITLE DATE If construction has not started within two years of the approval date, this certificate is void and new plans and specifications must be submitted for review and approval before construction. ' B. APPROVED CHANGE ORDERS Change (cont(act order no. or descriptive reference) Approved by . Date C. APPROVAL TO OPERATE The "APPROVAL TO OPERATE" section must be completed and signed by the Department before any water Is made available to the public. The construction of the !, �� l ���r ,r� �� �/S F-,�/ ,+ (�s �) /� 5�- L public water system was completed on /Ir I granted interim approval to operate for 90 following the completion date. (date), The system is hereby BY TITLE DATE As -built plans submitted during the Interim approval period, or an Inspection by the Department, has confirmed the system was constructed according to the approved plans. The system Is hereby granted final approval to operate. la zr [ BY - '""_ II Lh DATE DISTRIBUTION: 1. WHITE - ENGINEER (Complete Section C) 2. YELLOW - WATER SYSTEM FILE (Complete Section C) 3. PINK - ENGINEERIMUNI-BOROUGH (Complete Section C) 1&0407 (Rev. 11183) - - 4. GOLDENROD - MUNI -BOROUGH (complete Section A) r.- ,�-: 2,?.'2' 7 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES DIVISION OF ENVIRONMENTAL SERVICES CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY W 264-4744 Application Date S �-��� /j// cl f- / 1. GENERAL INFORMATION (MUST" BE COMPLETED PRIOR TO SUBMITTAL) (a) Legal Description (include lot, block, subdivision, section, township, range) SPJiS644ILL- Ea-FATt C /2Nr.� Location (address or directions) 914S( SP1211.141 RILL D42L✓1Z7 (b) Property Owner ?�� (�� Telephone: Home Business Mailing Address f c1 �� f S P EIN fa W 1 t_L 17 0-t ✓h (c) Lending Institution I t L r ri L V1 Ll Telephone Mailing Address_ (d) Real Estate Company and Agent inn t 5 Address Telephone `��_�' i333 (e) Mail the HAA to the followino address: or: Check here if hold for pick up. List contact person and day phone number below. 7, 2. TYPE OF RESIDENCE Single -Family x Number of Bedrooms - 3. WATER SUPPLY Individual Well Community ❑ Public ❑ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 4. SEWAGE DISPOSAL Onsite , Public ❑ Community C1 Holding Tank ❑ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. Page 1 of 2 72-025 (Rev 8/861 Front 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 ins�pectio /% ✓� Name of Firm — �C-�'Telephone /- C� ✓ �� Address 3 tk/,/ / Date 6. DHHS APPROVAL Approved for Approved e• � engineer's Seal fti'��C'J bedrooms by•0'Date Disapproved Conditional Terms of Conditional Approval CAUTION The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. Page 2 of 2 72-025 (Rpv 8/86) Back MUNICIPALITY OF ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1984 OF Af'�Cl tU^AG[' 264-4744 MUI�IICIPr�LIi`( I,-,;1<CDIVtSIGF� [lVl.)N'I.F.N(AL Legal Description: 47 pe -/ T3K_( SP�'ItlCr I�ILLs A. WELL DATA 1 Well Classification ��•� _ If A, B, C, D.E.C. Approved (Y/N) 141,©. Well Log Present (Y/N) Date Completed %$ y Yield Total Depth H2O 7 Cased to aO 7 — Depth of Grouting NOME Static Water Level /RF3 Pump Set At Casing Height Above Ground — / ;�2 Electrical Wiring in Conduit (Y/N) r Separation Distances from Well: Sanitary Seal on Casing (Y/N) Depression Around Wellhead (Y/N) To Septic/Holding Tank on Lot /0 2 ; On Adjoining Lots > /Ob To Nearest Edge of Absorption Field on Lot /5 0 ; On Adjoining Lots } /on To Nearest Public Sewer Line N ONE To Nearest Public Sewer Cleanout/Manhole No N 6 To Nearest Sewer Service Line on Lot Water Sample Collected by Water Sample Test Results Comments 0 B. SEPTIC/HOLDING TANK DATA ; Date Date Installed D-'& A 7 Size 16 &-C3 No. of Compartments 4i 0.4 c Standpipes (Y/N) % W0 Air, -bight Caps (Y/N) Foundation Cleanout (Y/N) Y Depression over Tank (Y/N) — (7 Date Last Pumped// �f( Pumping/Maintenance Contract on File (Y/N) N%,4 for Nj A Holding Tank High -Water Alarm (Y/N) N1,A Temporary Holding Tank Permit (Y/N) NLA. Separation Distances from Septic/Holding Tank: To Water -Supply Well / '?z To Building Foundation To Property Line > 30 To Disposal Field q=5 To Water Main/Service Line — i To Stream, Pond, Lake, or Major Drainage Course Comments Page 1 of 2 72-026 (Rev 81861 Front C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Type of System Design Date Installed QL� ' /9 g y Length of Field �� 3 r l Width of Field Depth of Field Q Gravel Bed Thickness u! Square Feet of Absorption Area q 8 Standpipes Present (Y/N) j7 U/D Depression over Field (Y/N) N Date of Last Adequacy Test 44� 8 7 Results of Last Adequacy Test �F{SS FO le j }�VZG �3�Y� �DoMS Separation Distance from Absorption Field: To Water -Supply Well To Property Line To Building Foundation 1,7 To Existing or Abandoned System on Lot A/ On Adjoining Lots %SZ) To Water Main/Service Line >/a To Cutbank (if present) No tJfiz To Stream/Pond/Lake/or Major Drainage Course > /t).� To Driveway, Parking Area, or Vehicle Storage Area > 6-0 Comments D. LIFTSTATION J�DIX� 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 thattII have checked, verifi d, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Signed r c' Date Company 1 MCA No. Receipt No. /if) d U `� Date of Payment ��— Amount: $ /odd Page 2 of 2 72-026 (Rev 8/86) Back E 5 Engineer's Seal 3 W 1 6th AVE 'C" SUITE 203 U 20ANCHORAGE, ALASKA 99501 CONSULTING ENGINEER TELEPHONE: (907) 279-3916 S E P T I C S Y S T E M A D E Q U A C Y T E S T — — — — — — — — — — — — — — — — — — — — — — — — LEGAL: LOT 6, BLOCK 1, SPRING HILLS ESTATE LOCATION: 9451 SPRING HILL DRIVE OWNER: B. BENEVILLE ^' RESIDENCE: SINGLE FAMILY, THREE BEDROOMS " WELL: PRIVATE ON SITE E 2v, 19*11 SEPTIC SYSTEM: FROM MUNICIPAL RECORDS: ,';.-•;a,a,�„ TANK: MAT -SU STEEL, TWO COMP. 1000 ABSORPTION SYSTEM: TRENCH ABSORPTION AREA: 984 SQ. FT. SOIL RATING: 306 INSTALLATION DATE: OCTOBER 1984 DATE OF PUMPING: SEPTEMBER 8, 1987. MARX ENTERPRISES DATE OF TEST: SEPTEMBER 5, 1987 TEST PROCEDURE: SYSTEM WAS INSPECTED AND MEASURED. TANK WAS FOUND WITH FIVE FEET OF COVER AND A LIQUID DEPTH OF 52 INCHES. CLEAN OUT AFTER TANK WAS 5.5 FEET DEEP AND DRY. FOUNDATION CLEAN OUT WAS 5.5 FEET DEEP AND DRY. THE SUMP AT THE WEST END OF THE TRENCH WAS 9.5 FEET DEEP AND HAD A WATER DEPTH OF 33 INCHES. THE SUMP AT THE EAST END WAS 11 FEET DEEP AND HAD 19 INCHES OF WATER. 150 GALLONS OF CLEAN WATER WERE ADDED TO THE FOUNDATION CLEAN OUT. THIS CAUSED THE WATER LEVEL IN THE TANK TO RISE ONE INCH AND THE WATER LEVEL IN THE TRENCH TO RISE 2 INCITES. AN ADDITIONAL 400 GALLONS WERE ADDED TO THE CLEAN OUT AFTER THE TANK. THIS CAUSED THE WATER LEVEL IN THE TRENCH TO RISE 2 MORE INCHES AND THE WATER LEVEL IN THE TANK TO DROP 1 INCH. WITH IN 20 MINUTES THE WATER LEVEL IN THE TRENCH DROPPED ONE INCH, INDICATING THAT THE TRENCH WAS ACCEPTING THE WATER. TEST RESULT: THIS SYSTEM MEETS THE CODE REQUIREMENTS OF THE MUNICIPALITY OF ANCHORAGE. The operational life of all septic systems depends on the local soil conditions, 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 this septic system. We can therefore not give any estimate of how long the system will continue to meet the operational requi- rements of the Municipality and State. 03 W. 15th AV"C" SUITE 203 �nn n �IIV �J1P .JU mlz, Mq pud�Q 2A CHORAGEEALASKA99501 CONSULTING ENGINEER TELEPHONE: (907) 279-3916 R E S I D E N T I A L W E L L I N S P E C T I O N LEGAL: LOT 6, BLOCK 1, SPRING HILLS ESTATE LOCATION: 9451 SPRING HILL DRIVEov mac OWNER: B. BENEVILLE +7. TYPE OF WELL: SINGLE FAMILY WELL LOG AVAILABLE: YES INSTALLATION REQUIREMENTS MET: YES dSoo a .. .......... �. 2225-F. 4^5, 1921AV •.�® • •`6 V WELL YIELD FROM WELL LOG: 12 GALLONS PER MINUTE PUMP YIELD: 6.75 GALLONS PER MINUTE DATE OF INSPECTION: SEPTEMBER 5, 1987 TEST PROCEDURE: WELL WAS PUMPED AT A CONSTANT RATE OF 6.75 GALLONS PER MINUTE WHILE THE DRAWDOWN WAS MONITORED WITH AN ACOUSTIC PROBE. THE WELL WAS PUMPED TILL THE DRAWDOWN STABILIZED. AT THE BEGINNING OF THE TEST WATER LEVEL WAS FOUND AT 3.88 FEET BELOW TOP OF CASING. DURING 90 MINUTES OF PUMPING WATER LEVEL DID NOT CHANGE. TEST FOR COLIFORMS: WATER WAS TESTED FOR COLIFORM BACTERIA AND NITRATES ON SEPTEMBER 5, 1987. 0 E. COLI, 0.5 mg/l NITRATES TEST RESULT: THIS WELL MEETS THE REQUIREMENTS OF THE MUNICIPALITY OF ANCHORAGE. The Municipal requirement for well flow is 150 gallons of water per bedroom per. 24 hours.This well surpasses this requirement. The assessment of the condition of this well applies only to the conditions as of this date. The flow rate of the well may change due to subsurface conditions that may not be observed from the surface, and changes in land use and other factors that may impact the conditions of the aquifer feeding the well. I MUNICIPALITY OF ANCHORAGE DIVISION OF ENVIRONMENTAL HEALTH DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION APPLICATION FOR HEALTH AUTHORITY APPROVAL CERTIFICATE; 1. General Information Application Date ,�Acsz' ­_ (a) Legal Description (include lot, block, subdivision, section, township, range) Location (address or directions) (b) Applicants Name `N✓i�/-ii_t-- _ _ _Telephone - Home _ Business Applicants Address Y��I Tr�Gi11Y Aa iloeher6' (c) Applicant is (check. one) Lending Institution— ; Ovmer/bui_lder - Buyer �1E ; Other (explain); (d) Lending Institution%f�7• fr /1/i;'���/ /'z/lf Telephone Address -- - �� /, !C f 64- ` ll/°• _ (e) Real Estate Co. & Agent Address Telephone (f)�rthe HAA to the following address: --.� 70 ? t21 /:, rcs%fJJj _ 2. Type of Residence Single -Family Multi -Family Other (describe) Number of Bedrooms 3. Water Supply Individual Well � Community � Public Note: If community well system, must have written confirmation from the State Department- of Environmental Conservation attesting to the legality and status. 4. Sewage Disposal ""I"I"I I Onsite. Public Community, ; l molding Tank l i Note: If community well system, must.'have wriCt,en confirmation from the State Department of Environmental Conservation attesting to the legality and status. 1111 (Page 1. of 2 ] 5. En�ineeriilg Firm Pr.ovidi� 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 oa-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regula- tions in effect on the date of this inspection. Name of Firm Lip>>`;;`) ; �7 ��� Telephone�,S`/`( Address 2.2'1z.; Z7- P 6-) LL Date 4)/='3 (ENGINEER SEAL) 6. DHEP Approval Approved for bedrooms By Approved Disapproved Terms of Conditional Approval CAUTION UV 41 SPP b L50 o• -✓-Y `Y� bale R. jkA rell — '.� °P No. 2055 e Pao •ac L itional. THE MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION (DHEP) ISSUES HEALTH AUTHORITY APPROVAL CERTIFICATES BASED SOLELY UPON THE REPRESENT- ATIONS 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 REQUIRE- MENTS. 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. RR4/ej/D18 [Page 2 of 2] (DHEP SEAL) illrl /, tlll 7-19-84 MUNICIPALITY OF ANCHOWE DEPT. OF HEALTH & ENVIRONMENTAL PROTECTION MUNICIPALITY OF ANCHORAGE (MOA) MAR 6 ILI— HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1984 RECEIVED A. WELL DATA Legal Description: I A—'I _ Well Classification �;��n c i. I£ A, B, or C, D.E.C. Approved(Y/N) Well Log Present ,S I) Date Completed �, „ Yield ,�7i.V Total Depth _ Cased to ,ZLI" 7 / Depth of Grouting Static Water Level /ill / Pump Set At Casing Height Above Ground ` ,;-=� ; Sanitary Seal on Casing Electrical Wiring in Conduit(() Depression Around Tbllhead (YO Separation Distances from Wall: To Septic/Holding Tank on Lot On Adjoining LotsTo Nearest Edge of Absorption Field on Lot n Adjoining Lots To Nearest Public Sewer Linei11 To Nearest Public Sewer Cleanout/Manhole _/_ To Nearest Sewer Service Line on Lot Water Sample Collected By LI , /�in ����� Date Zf' -°•��� — Water Sample Test Results 6ZI17)5r-/4c--1-CN Comments WeLI_ 1-b G 14 T1<_ (f B. SEPTIC/HOLDING TANK IATA Date Installed /o A Size /CSC"' R/ r No. of Ccmpartments W Standpipes Y ) Air -tight Caps — Foundat1 n Cleanout Y ) Depression over Tank ( Date Last Pumped II Pumping/Maintenance Contract on File (YM) — ; for �-- Holding Tank High -Water Alarm (YM),.(/ A Temporary Holding Tank Permit (YM) i7 Separation Distances from Septic/Holding Tank: To Water -Supply V To Building Foundation To Property Line 7 TTi.=i To Disposal Field To Water Main/Service Lire To Stream, Pond, Lake, cr Major Drainage Course Comments [Page 1 of 21 .2-15-84 C. ABSORPTION FIELD DATA t.. Soils Rating in Absorption Strata 3��L� M Type of System Design Date Installed 1) Length of Field / 3 �1 Width of Field Depth of Field 1 Gravel Bed Thickness Square Feet of Absorption Area 9 e, Standpipes Present (Y ) V Depression over Field (Y/N) /✓ Date of Last Adequacy Test Results of Last Adequacy Test Separation Distance from Absorption Field: To Water -Supply Wall 1, To Property Line 2%&A To Building Foundation ti p �� To Existing or Abandoned System cn Lot N On Adjoining Lots ,v//4/ To Water Main/Service Line AI- To Cutbank(if resent) To Stream/Pond/Lake/or Major Drainage Course To Drive -way, Parking Area, or Vehicle Storage Area Comments Dimensions Date Installed Size in Gallons "Pump On" Level at High,Water Alarm Level at Tested for Electrical Codes(Y/N) Comments Manhole/Access (YM) "Pump Off" Level at Vent (YM) Pumping Cycles during Adequacy Test. Meets MOA Check Permitted Bedroom Rating Against HAA Request ** I certify that I have checked, verified, or conferred to all MOA HAA"imin effect on the date of this inspection. '° p Signed / �� Date Company J/1 S n MOA No. KBl/d5/s p' Dale Merrell No. 055-F ,6 Rorrssi�i, `�" [Page 2 of 21 2-15-84 or b °o°°aaeoo °�mn fa i IV a Dale R. M rrall Location: BESSE, EPPS & POTTS 2220 EAST 88 AVENUE ANCHORAGE, AK 99507 (907) 349-6451 WATER WELL TEST Date: j��, z8 Subdivision: Lot: Block: Client's Name: a,�/ � ��Z- Address: Tester: Initial. Reading on Meter: /� 30 � TIME GPM GALLONS A VOLUME GALLONS TOTAL VOLUME NOTES: Production Rate: '7 ��PM 24 -Hour Capacity Gallons