Loading...
HomeMy WebLinkAboutSPRING HILLS ESTATES BLK 1 LT 9Spring Hill Estates Block i Lot 9 #015-051-47 Municipality of Anchorage On-Site Water and Wastewater Program • (907) 343-7904 Page 1 of 3 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP191195 PID Number: 015-051-47 Dwelling: ❑■ Single Family (SF) ❑ Duplex (D) ❑ Multiple (SF and/or D) Project: ❑ New 0 Upgrade Name: Orin & Kristina Dym ABSORPTION FIELD Address El Deep Trench ❑ Shallow Trench 0 Bed ❑ Mound 9601 Spring Hill Dr. Anchorage, AK 99507 ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 865-6524 4 2.0 GPD/SF +2.6 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade Gravel depth beneath pipe Subdivision Block Lot +3.1 Ft. 0.5 Ft. Spring Hill Estates 1 9 Fill added above original grade Gravel length Township Range Section 5.7 Ft. 20 Ft. Gravel width Beds: Number of Lines Distance between lines SEPARATION DISTANCES 15 Ft. 3 5.0 Ft. To Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist.between trenches From Tank . Field Tank Line 300 Ft2 Ft. Well >50' >50' >50' N/A >25' TANK ❑Septic ❑S.T.E.P. ❑ Holding 0 Other Manufacturer Capacity Surface Water >50' >50' >50' N/A Orenco /Advantex (F.A.P.) 1500 Gal. Material Number of compartments Lot Line >5' >10' >10' N/A Fiberglass 2 NA Foundation >10' >10' >10' N/A LIFT STATION Manufacturer Capacity Curtain Drain None Noted iOrenco /Anchorage Tank 100 Gal. Pump on level at Pump off level at High water alarm at Remarks 2" insulation over bed. Contaminated material was removed and replaced with 13 in. 25 in. 11 in. MOA approved sand for 6' outside the Pump make and model Electrical Inspections performed by perimeter of the bed. PF2005 MOA PIPE MATERIAL House to tank D3034Tank to D1785 Installer drainfield Wilco Contractors Drainfield D1785 CO/MT D3034 Inspector J. Millette / J. Williams BENCH MARK (Assumed elevation) 100 ft Inspection 15` 6/14/19 2' 6/17/19 Location and description da 3rd a'^ Bottom of siding @ pt. B COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL Engineer's Stamp rq•♦ Conditional Approval: Date 04,,, >,...... ♦� ' '�C ♦ -( '3°• II 2t ,� :• � :49th � • ♦♦ i i MICHAEL E. ANDERSON 2te.Li,: �♦J,' No. CE-4381 .• 2= ♦'• fc�F••.• 6/20/19 ••.••.c`4D Approve* _ `_ Date 2 Li"� ♦i�D •••.........••• ��, .. Inspection Report_9-1-12.doc SPRING HILL ESTATES, BLOCK 1 , LOT 9 PERMIT # OSP191195 PID # 015-051-47 20'LONG x 15'WIDE ! ABSORPTION BED EXISTING WELL SAND LINER. ! 330 1,500 GALLON ADVANTEX MT3 FAP TANK i mA . I`�1 LOT 8 MT4 MT1 t.i MH1 FCO W • O\ 100'SEPTIC THM //° \\ SETBACK I 0 4-BDRM HOME J , � '_ \•'' EXISTING WELL J V Ce / IZ ;.330' _ _ _ _y U CC ► 1 C 325 O LOT 9 CREEK LOCATION IS APPROXIMATE. PROPOSED SEPTIC SYSTEM IS>50' i FROM CREK. • / / Irl I �25Sc REEK MAINTENANCE EASEMENT i CENTERED ON THREAD OF STREAM. . DOTE:LOCATION OF ESMT.SIHOWN J/HEREON IS AS PER THE RECORDED PLAT. i �' I LOT 10 "�� / - ; I A B FCO 9.4 7.7 MH1 20.3 18.4 0 MH2 30.5 27.5 PV 28.7 29.3 \-- MT1 40.3 51.1 MT2 46.1 53.6 EXISTING WELL MT3 63.0 72.1 MT4 57.9 69.4 il*IPGE INLl41NG �. q +♦ LEGEND ••�P,.. ""� '""�:q.♦♦ CO-CLEANOUT �'f ♦• PLAN AS-BUILT 2C0-DOUBLE CLEANOUT � • 49th ,� °`h ♦� FCO-FOUNDATION CLEANOUT i Z 0 PV-PUMP VAULT .... N"MwW. • � cr,WV— E. ANDERSON : • MH-MANHOLE ♦♦•'Fs No. CE-4381 s' 0 50 100 []SLOPES>25% MT-MONITORING TUBE ♦♦•fF,, x... 6120: , 19 ...c., .+ = = = = FEET o • SLOPES>46% SV-SEPTIC VENT tipP t�'°... ESS\Ct:i•• 1"=50' TH-TEST HOLE SPRING HILL ESTATES B1 L9 PERMIT # OSP191195 PID # 015-051-47 O = N _ U- 2 ri - , 100.4 — — AX-20 POD AND MANHOLES A 1 I 96.7 96.6 -71 1500 GAL F.A.P.TANK I I 93.0 S .1. - 91.9 98.6 ORIGINAL 2104.3 FINISH GRADE 2 GRADE - 4,02-- 2" INSULATION DRAINFIELD ROCK MOA APPROVED FILTER SAND 101.7 -/_ 1/ 101.2101.7 101.2 98.0 (BIO-MAT 20' REMOVED FROM TOP \- GROUNDWATER @ 94.6 5/28/19 OF PRE-EXISTING BEDSAND LINER) 90.6 Tt I I— .4• 49h 7\ •••• I0 f . ttzrzi ? •r _ �� MICHAEL E ANDERSON f PROFILE AS-BUILT O,:s�,� No. CE-4381 .r ,=- 6 2C 19 r,.•' �• illeeGE�� (NO SCALE) 1.,0' .. p�, • op.„,. MUNICIPALITY OF ANCHORAGE ,rn� s, 6/�� On-Site Water.&Wastewater Program ``, ;t�' �.� PO Box 196650 4700 Elmore Road l r Anchorage,Alaska 99519-6650 Phone:(907)343-7904 Fax:(907)343-7997 http:llwww.muni.orglonsite . ? "'+cwoanot On-Site Wastewater Disposal System Permit Permit Number: OSP191195 Effective Date: 6/4/2019 Work Type: Septic Upgrade Expiration Date: 6/3/2020 Tax Code Number: 01505147000 Site Legal Address: SPRING HILLS ESTATES BLK 1 LT 9 G:2436 Site Mailing Address: 9601 SPRING HILL DR, Anchorage Owner: DYM ORIN W & KRISTINA S Lot Size in Sq Ft: 49223 Design Engineer: FORGE ENGINEERING Total Bedrooms: 3 This permit is for the construction of: D Disposal Field C1 Septic Tank ❑ Holding Tank 0 Privy 0 Private Well 0 Water Storage All construction shall be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80) 3. The wastewater code requires inspections during the installation.The engineer shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing y� / W Q II II 4-0,„,4 the N ' kMki COG/Linet �-1 ged A fo%0� 4v e /leVea • Received By: f! 4ilhi j� e/ Date: 6 J Issued By: Date: i ff# ,PL4,VS MUNICIPALITY OF ANCHORAGE Community Development Department ifinilliii Phone: 907-343-7904 Development Services Division p —� Fax: 907-343-7997 On-Site Water & Wastewater Program ON-SITE SEWER/WELL PERMIT APPLICATION Parcel I.D. 015-051-47 Property owner(s) Orin & Kristina Dym Day phone Mailing address 9601 Spring Hill Drive Anchorage, AK 99507 Site address Same Legal description (Sub'd., Block & Lot) Spring Hill Estates, Block 1, Lot 9 Legal description (Township, Range & Section) Lot Size 49,223 Sq. Ft. Number of Bedrooms FOS^( APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (Z all that apply) Absorption Field X Initial 7 Single Family (SF) X (w/wo ADU) Septic Tank X Upgrade X Duplex (D) ❑ Holding Tank ❑ Renewal Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE /WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. -14/1A—U2_, a at,...,9_1, (Signature of property owner or authorized agent) Permit/Rush Fees: 5-96- Waiver Fees: Date of Payment: 5/ s//9 Date of Payment: Receipt Number: 0624.11lD Receipt Number: Permit No. 35P/9 1/45- Waiver No. Permit App__. .:..,c PO BOX 240773 ANCHORAGE, AK 99524 522-7773 677-7766 (FAX) June 3, 2019 MOA Development Services Dept, On-Site Water & Wastewater Program 4700 Elmore Rd Anchorage, AK 99507 Subject: Spring Hills Estates, Block 1, Lot 9 – 9601 Spring Hill Drive Septic System Design Dear On-Site Services Engineer: The septic system on the subject lot has failed and must be reconstructed before a COSA can be issue for the property. The owner of the above lot intends to build a new system to serve the 4- bedroom home on the lot. We are submitting this design permit application for the construction of a new septic system. The attached site plan identifies the location of the home and the proposed septic location. No conflicts exist between this proposed system and any other well or septic system on this lot or adjacent lots. The new system will be constructed in the same area as the existing failed system. All contaminated material in the absorption bed location will be removed and disposed in accordance with Municipal Code. Engineering Receiving Soils will be utilized to raise the bed area to required grade. The new bed will be constructed atop a 2’ layer of Municipal approved sand. The ground surface on the lot is contoured in the area of the proposed bed to shed drainage. The final surface of the new bed will be similarly contoured and graded. There are no slopes greater than 25% within 50 feet down slope of the proposed absorption bed. Ground surface contours are shown on the site plan indicating the grade and direction of flow. Storm water drainage will not impact this septic system. The new bed will be constructed parallel to the slope as much as possible. Wells on this and adjacent lots are shown. The new system will be a minimum of 50’ from all wells and surface water, and more than 5’ away from the septic tank. Please refer to the attached test hole logs and plan and profile sheets for the septic design. If this design is followed, there will be no adverse impacts to adjacent properties. Sincerely, Michael E. Anderson, P.E. Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP191195, Deb Wockenfuss, 06/04/19 3 2 5 3 30 3 30 33010050 0 FEET 1"=50' NOTE: NO SLOPES >25% WITHIN 50' OR SURFACE WATER WITHIN 100' OF THE PROPOSED SEPTIC SYSTEM ALL WELLS ON SURROUNDING LOTS WITH IMPACTS TO THIS PROPERTY ARE SHOWN. NO CONFLICTS WITH WELLS OR SEPTIC SYSTEMS. CO - CLEANOUT 2CO - DOUBLE CLEANOUT FCO - FOUNDATION CLEANOUT FS - FLOW SPLITTER VALVE MH - MANHOLE MT - MONITORING TUBE SV - SEPTIC VENT TH - TEST HOLE LEGEND SPRING HILL ESTATES, BLOCK 1, LOT 9 SLOPES > 25% SLOPES > 46%SPRING HILL DRIVE6/3/19 CREE K 25' CREEK MAINTENANCE EASEMENT CENTERED ON THREAD OF STREAM. NOTE: LOCATION OF ESMT. SHOWN HEREON IS AS PER THE RECORDED PLAT.10' T&E EASMENT100' SEPTIC SETBACK 4-BDRM HOME 20' LONG x 15' WIDE ABSORPTION BED w/2' SAND LINER & E.R.S. EXISTING WELL MT MT MT MT THM DECOMMISSION EXISTING 1,250 GALLON STEP TANK PER MOA CODE 1,500 GALLON ADVANTEX FAP TANK w/PUMP VAULT EXISTING WELL EXISTING WELL PV MHMH EXISTING BED ABANDONED BED LIMITS OF EXCAVATION 6' OUTSIDE PERIMETER OF BED. TH1 CREEK LOCATION IS APPROXIMATE. PROPOSED SEPTIC SYSTEM IS >50' FROM CREEK. Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP191195, Deb Wockenfuss, 06/04/19 SPRING HILL ESTATES, BLOCK 1, LOT 9 DESIGN FACTORS: SYSTEM REQUIREMENTS: 600 GPD PEAK FLOW PERK RATE: 30-60 MIN/IN APPLICATION RATE: 2 GPD/SF SHALLOW BED ABSORPTION SYSTEM 1,500 GALLON F.A.P. ADVANTEX TANK w/PUMP VAULT & AX-20 POD TYPICAL BED SECTION (NO SCALE) NOTES: 1. GRADE AREA OVER TRENCH TO DRAIN AWAY 2. PROVIDE 3' OF COVER OVER TRENCHES AND 4' OVER SEPTIC TANK, OR 2' WITH 2" OF INSULATION 3. CHECK GROUNDWATER AT TIME OF CONSTRUCTION. IF LEVEL IS HIGHER THAN PREVIOUSLY OBSERVED, CALL ENGINEER IMMEDIATELY BOTTOM OF TRENCH: 3.0' BELOW GRADE FLOW LINE ELEVATION: 2.5' BELOW GRADE TOP OF TRENCH: 0' ABOVE GRADE 600 GPD / 2 GPD/SF /15' WIDE = 20 LF TRENCH REQUIRED (20 LF SPECIFIED) 6/3/19 1" PVC w/ 10 - 3 16 " HOLES PER LATERAL @ 2' SPACING (HOLES DOWN) DRAINFIELD ROCK 5' 6" 2' 2' 6" 2" INSULATION MOA APPROVED FILTER SAND 5' 2.5'2.5' TYPE IIA CLASSIFIED FILL REMOVE ALL CONTAMINATED MATERIAL TO UNDERLYING ACCEPTING SOIL TO 6' OUTSIDE PERIMETER OF NEW BED. REPLACE WITH TYPE IIA CLASSIFIED FILL 6' 6' NATURAL BACKFILL 100.0 90.5 94.5 TH197.0 95.0 EXISTING GROUND SURFACE OG Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP191195, Deb Wockenfuss, 06/04/19 LEGAL DESCRIPTION: PERFORMED FOR: DATE: PARCEL ID#: SOILS LOG AND PERCOLATION TEST TECHNICIAN: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 DEPTH (feet) PROJECT No.: TEST HOLE 1 SLOPE SLOPE SITE PLAN See Site Plan DATE READING GROSS TIME (minutes) NET TIME (minutes) DEPTH to WATER NET DROP TEST HOLE PRESOAKED PRIOR TO TESTING: PERC. HOLE DIA. (INCHES)PERCOLATION RATE: (MIN/INCH) TEST RUN BETWEEN: FT. and FT. COMMENTS: (inches)(inches) SPRING HILL EST., BLOCK 1, LOT 9 5/7/19 J. Millette DATE OF MONITORING: WAS GROUND WATER ENCOUNTERED? DEPTH OF WATER AFTER MONITORING: IF YES @ WHAT DEPTH? YES 4.7' 4.0' -- -- -- ORIN DYM 1' OB SILT w/SAND & GRAVEL 5/28/19 Professional Engineers Stamp: 6/3/19 CURRENT WATER ELEVATION IN TH IS 9.5' BELOW GROUND SURFACE AT PROPOSED BED LOCATION. WATER ELEVATION IS 6.5' BELOW BOTTOM OF PROPOSED BED. TH PLACED TO MONITOR GROUNDWATER ONLY. ML WAS CONSTRUCTED. GROUND SURFACE AT PROPOSED BED LOCATION IS 5.5' HIGHER THAN EXISTING GROUND AT THE TH IS THE SAME AS IN 1993 WHEN THE EXISTING ABSORPTION BED GROUND SURFACE AT TH. Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP191195, Deb Wockenfuss, 06/04/19 Municipality of Anchorage Page of DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 Y Anchorage, Alaska 99519-6650 • Telephone: 343-4744 On -Site Wastewater Disposal System and/or Well Inspection Report Permit Number: 92.0 2, PID Number: Name: Wastewater System: MIew ❑ Upgrade Address: ABSORPTION FIELD Phone: r No. of B Brooms: J f ❑ Deep Trench ❑ Shallow Trench C Bed ❑ Mound ❑ Other LEGAL DESCRIPTION Soil Rating: TotalDeplhfromoriginalgrade � // GPD/Sq. Ft. a, Lot:, Block: Subdivision: l Depth to pipe bottom from original grade: Gravel depth beneath pipe .ah M 6 d 1 ll % 0 Ft. Ft. Township: Range: Section: Fill added above original grade: Gravel length: .3 Ft, 0`27.51 5 5 Fl. WELL: [n, New ❑ Upgrade Gravel depth: A Number of lines: Distance between lines: Z S Ft. 4 .1 Fl. Classification (Private, A,B,C): Total Depth: Cased To: Total absorption area: _ Pipe material:// P,4:'/4j/.l?- /�% Ft. / / FL ,/,�60 SC. Ft. Driller: Date Drilled: Static Water Level: Installer: Date installed, Ft. Yield: T— Pump Set at: Casing Height Above Ground: TANK �l GPM 1407' 6 f 16 e-, Ft. 4! Fl. SEPARATION DISTANCES —•s �///� ❑ Septic ❑ Holding (U J.T. E. P. To Septic Absorption Lift Holding Public/Private Manufacturer:: ff Capacity in gallons. From Tank Field Station Tank Sewer Lines ) //'fC. /llr \i Fk /t'. - / �`! Permit No. q1 D ') Page of Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 • Anchorage, Alaska 99519-6650 A Telephone: 343-4744 On -Site Wastewater Disposal System and/or Well Inspection Report Legal Description: 6 - ';-2R ril !/i'I / 1 %;'J7 PID No.: 72-013 A (2/91) MOA 25 a P. m !R , A cl, LJ -77 - - IS - MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT PERMIT NUMBER:SW920242 DESIGN ENGINEER:ANDERSON ENGINEERING OWNER NAME:DESIGNS IN WOOD LTD OWNER ADDRESS:9601 SPRING HILL DR ANCHORAGE, ALASKA 99516 PARCEL ID:01505147 LEGAL DESCRIPTION: SPRING HILLS ESTATES BLK T 9 .LOT SIZE: 49223 (SQ. FT.) NUMI3ER OF BEDROOMS: 4 THIS PERMIT: 4 THIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: 1 L PAGE 1 OF 1 DATE ISSUED: 8/24/92 EXPIRATION DATE: 8/24/93 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 FOLLOWING SPECIAL PROVISIONS. SPECIAI, PROVISIONS: i� RECEIVED BY: DATE: '51 4_ V 112- ISSUED 12 ISSUED BY: �/ G7�t , lL, "',e �`'�� `�I _ DATE: ® � Municipality ®f Anchorage e Department of Health and Human Services dhP15 Tom Fink, 825 "L" Street Mayor P.O. Box 196650 Anchorage, Alaska 99519-6650 August 19, 1992 Sam Hill Designs In Wood 7021 Driftwood Place Anchorage, Alaska 99518 Re: As -Built Disapproval For Lot 9 Block 1 Spring Hills Estates Construction Permit Number SW880252, P.I.D. 015-051-47 Dear Mr. Hill: The subject as -built submitted to this office on July 10, 1992 has been disapproved. Recent site visits indicate that the absorption beds have been constructed into the groundwater table. State and municipal regulations require there be a minimum four(4) foot separation to the seasonally high groundwater table from the bottom of the absorption field. This office will require a new permit application from your engineer with the design of a new wastewater disposal system for the subject lot conforming to AMC 15.65. If you have any questions of the above, feel free to call me at 343--4744. Sincerely, Daniel Roth Civil Engineer On -Site Services cc: Mike Anderson, P.E., Anderson Engineering John Smith, P.E., Program Manager, On -Site Services OSS148 ON SITE SYSTEM IMPACT L 9 Spring Hills Subd. Installation of an on site wastewater system and well for this lot should have little if any impact on the surrounding properties due to: 1. The lot has room for water and wastewater systems plus a reserve septic system. 2. Installation of on site systems will not degrade the lot drainage as any improvements will only help the drainage situation. As per our findings at the site visit and based upon our design submittal we have called out for a new absorption system to be built over the existing one due to groundwater encroachment which will include excavation down to and removal of the filter fabric. An additional 2 feet of sand shall be placed over the existing piping leaving 5 feet of separation between the system and the measured high groundwater. In addition, the septic tank will be moved to ensure the 100 foot separation distance is met regarding the creek, If you have any questions please contact me at 344-4551. Yours Truly, Michael E. Anderson, P.E. a FI�W oo�yay'�Yuy^cod^_I�.e(�u�,o{�0�(1,/o�e(oy�po ¢�oa o om>°oo©0000 000ani o to ? c�1eMichael L=. Anderson IL '.s' Q � � 0 �'/fOFF5S10�`4 �s�• _" ga�M« .®� ®\ o ~tea \ ys r , as ZA6 § gyp>m FLOW :a.maz � /ACA FLT £«2 I� £67- a LOT § SPRING HILLS / If = 30, 4asoz F�, e » ey 2� /° ~, :\=z -r « Vk J BY _ L_W Y�1 _ DATE _BAell7 CLIENT_ / (5 _L _L L0s� ...... SHEET --- L--- OF CHKO. BY DESCRIPTION L__ ( S P R l hl_[J_i-i_I—LI �_ —_— JOB N0. s�C tii _ 11f I)el d �l '. Pp L -�c•__(:3/�SCi_15_-v_�f)�l .�'G-'-(:i('. j�r'_-.r/._LL�,(F" /-'/ z •.;�,_f;! 1'!:"_!«11--1:.<rtj7 =-- ----- I I I I z' I I -_ I MT- I i ir1 a Michael E. Anderson. ' L_,:.._�..____.--�` �_._.-.. _.._. ..._ •__�._.�... .....____.__._.__..__-�4�..(��j[1/GY.L6 ._ Y-- _.°mit 2-.___..._.�.-,._......._... C i EN 1S (10/781 BY _ L W/�__-- DATE _Eft d�22 CLIENT _ ! /I i 4 _/A/ _�l�- ------ SHEET ----y--- OF - �- CHKD. BY DESCRIPTION_ G-. --------� ti; �F� /!1 ri %/ / •----�----L- -�i /1=�------- JOB NO. ---------- I EN 1S (10/78) P. I . --b—.wi.. _.__...._. S�npo o �� 4381-E- Ionoi oo "Ll ' Qenao oa �aou3` �G� �__. August 19, 1992 Municipality of Anchorage 825 L Street Anchorage, Alaska 99501 Attention: Dan Roth Regarding: Lot 9 Spring Hills ed;fh i; yof 4999 �,yv qhs 1,?'?, d �/10 age ens Dear Dan, Please find a section drawing attached which shows the existing septic systems on the subject lot in relationship to the ground water encountered earlier this month. A drawing is also included which indicates the changes we feel are necessary to alleviate the problem by providing the required 4 feet of separation. The drawings are being submitted without the signature of Mike Anderson since he is was due in today but is temporarily stranded in Shemya due to the volcanic ash in the atmosphere. He will stamp and sign them immediately upon returning. We are in the process of mobilizing to the lot to install additional monitoring tubes outside the systems to insure that the northern system is not also being effected by ground water. At this time we feel that only the southern system is effected but want to verify. Please let me know if there is anything more I need to provide at this time to get the stop work order lifted since we want to get all the lot improvements finished during the short construction season. Thank you for your prompt attention to this matter. Yours truly, L. Wayne McFadden BYE_ DATECLIENT SPIFFY Z' OF CNKO. BY DESCRIPTION l5 JOB wo. _ 5/ FINAL 7 bC I< LAy E1Z TER SA)4D —WAr5R LeVaL. R /i., la,) BY L. WA� DATE 8 9y CLIENT SHEET 3 OF 3 CHKD. BY _ DESCRIPTION 9 `JPe2_ [.t/G /�i ��5 JOB NO. /N57 -ALL MONiTORImel Tu6sS To 6orroM Or. NEW Kiosk LAYraA, - F'Rov/oE 1,1`sa4.47"l #M®/ BAcle FI I/ io /02ou1D F- S o v ao- .a',OGCovao- 4015J,o esI- rir 19 7" .9:1 1"5TALl_ 015rRiBv7'101✓ Plpiti6 iN /' of ,1,5W S6W)-eR AocK PErnouz ,=/I AND . _._..._. _..._.__ ...... �^ /n/ 5 rAGL / e ya Fid rr,Q 5,4 ti/ D 3 S' 1--,¢yE)2AAl0 plP ^I!a 70 6E 49AWOOMF—b Al 5/ clz �/2oPa5r_D 5ysr�rv/ //77�o20yFMEti/%"5 _Ttj 5— 9 3 F R I 1 5 : Z!5 P 0 2 40g .,IP �� ~ ��' :r:Nt;l>r;�� 1t'1�1 rir~�c►r<'.r; MUNICIPALITY 01' AN(I,H0PAC1`y It 11,1111114 5AL"r�'t.'Y C�;CV;C"aSfJrl V. A 5i x l T ,S ' F't f,) G I'1 XN;)VC;CT1.(tN ( 0t5UC,;J ;34G4 s'�r,,;•ij': : 11' V(,'1MOT ION (907)786-0211 cr: :: w•::talE;;IWT;rc;::;:Q;rr.:.+:;G;,...1;W,c4:7::.r.:n:s ra :...... ,::xa:e �.�.ti: NAM8: Y:lrG1C;W3 IN 61Or,D PIT PERMIT 4: 93; 0- i(,)s AIiI)11LMSM 9001 1,5P INQ I.111.1s Y;1R. PIiflNE 1: 349.5014 LLT: 9 K1 IR Ci Cl 1(: 1 DA'tr ]/ 6/1M COMMUNT: I.,ocv 1Sf1X ­Ario s _. _. .._,�. �..111,....1.1......�....-.,....�,...e.,,.,,..w..,Y...,...,. ...a M, ,,. ... ... ..�. w. ,., •e e,, �'.qfn}bir....,.Y.. ., .. ,.,w..,•,�„... .. .,. w.. .. .. ., 1w,»,•. _.. w.Y r. ..�.... ,� '1CYPE 0V ;fNSPLC I10N: I:T,IlICTR I(': n1, F:1NOL 0 h ,. . ,,.. ....�. ,�„ �•�..�, .,I .,,, ...,. ,,,, .,..,_ .. ,..., ..1 , ._ .n w. YY .... .11 Y m„.... .. .. W. v ny?"!. ,., III. _ — — ,•., n, «, .,....•� ,., W. 1r. Y. ,., ,... �,.� , n.... ..� ... , -. Y. ,.. ....... .... 1 :1 ttC) Plf�t!(.�011P1.TIAPl(,,,F 0Yj514,,P91:f. C.,j::.f,,f1C�!(!::c'r:I:?Isy r.e)>cN'•1";LA1,. fta ', i�XP A'Y EYi tilt 1.QW I, 3 WILL >;'dIsIsXAMINs AT 1�fUT 1Rflr'r;;CT1:0N 1:;�1::�i0 1!00 0,(]11CCA1.. UMT1.1, PVIN,PV,C'ED ....I I"1.1, 11.1 ml ,.lu.yl Im III — .11, 1. v1"I,,In .1._—,Y 'I,” n l i.. ... ...-1 111, 1'. ....n un r+. YR N�WI FI, �1.' 14-,411.., ..... ... ... .y I,"" n.. .,,. ,Y M,. m.._u.. --. m.__.... u..1. III tj r,4 pop1,7 � 1 . Y u , � .1.. i. , •.,, 1'M'.'.Y' i.�.i%1'',. Af J. x1'.11:'.,. 1 :A: � N{n ly ,. 4• . t �;lo' i.—. Ili IJIIY'iT! ([1)CC;iif 't" ONfi AltE MAY)$, 1"1E411Ci CALL VOR IMSPCiCTION ANDERSON ENGINEERING P.O. BOX 240773 ANCHORAGE, ALASKA 99524 January 27, 1993 Municipality of Anchorage Department of Heath & Human Services 825 "L" Street Anchorage, AK 99502-0650 Attention: John Smith Subject: Lot 9, Spring Hill Estates Septic System As -Built Dear Mr. Smith: The following is offered in response to your letter dated January 27, 1993, concerning the subject septic system: Item Nos. 1 and 4 concern the standpipe materials and the slope of the mound system. These problems will be corrected in the Spring once the frost is out of the ground. A letter from G.M.A.C. mortgage was delivered to your office on January 25, 1993, stating $7,000.00 has been set aside in escrow to cover costs pertaining to the final completion of the septic system. Item No. 2 concerns the space available on the lot for the replacement system. The physical constraints of groundwater and surface water make it extremely difficult to design and construct two complete systems on the lot. The system currently in place should last for several years. If it becomes necessary to replace the system in the future it is recommended that peroxide treatment be applied to rejuvenate the system. If replacement of the system becomes necessary, a portion of the existing system will have to be considered for use in the replacement system to meet all Municipal criteria. Item No. 3 concerns the groundwater on the lot. The design of the system was based on groundwater levels measured in August of 1992. The groundwater measurements taken today indicate a separation distance from the bottom of the system of 5.14'. Field measurements taken today (January 27, 1993) are provided for your review. Sincerely, Michael E. Anderson, P.E. ' i I W101) SL N3 .ON 90P �— S g�{/ S lC�7—NOI1dIH0S30 r A8'ONHO '— — d0 ---- J.33HS �~ .��—w_ J.N3110 � 2" / 31vcl All i � ) -77 ' —�-• I b `: V`7 1 �..,» 4J � 1•-YM7� �i9f��lu�.0 ,`�, 1T�4 l a '\ I VI I I K Zo VA 'At tit N: .ON 90P �— S g�{/ S lC�7—NOI1dIH0S30 r A8'ONHO '— — d0 ---- J.33HS �~ .��—w_ J.N3110 � 2" / 31vcl All January 12, 1993 Municipality of Anchorage DHHS 825 L Street Anchorage, Alaska Regarding: Lot 9 131.1 Spring Hills Estates Gentlemen: Please find the additional information attached for the reserve system. A test hole was dug on 1/11/93 to examine soils and perform a percolation test on the 2 foot sand layer installed in 1988 (see attached). Since the lot has a small area for both systems, and the current regulations allow a system to be designed for the receiving soils, the reserve area for the second system is based upon the 2 foot sand layer installed in 1988 for the second system. The new drainfield recently installed has almost twice the absorption area as actually required considering the 4 foot sand layer as the receiving soil. If you have any questions please contact me at 344-4551. Yours Truly, r, kk Michael E. Anderson, P.E. "t ' Midiaol i:. Anderson a lr; 4381-E fit, p�(OFc"o1Cf�'' `y Permit No. Page of .Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650.1p Anchorage, Alaska 99519-6650 • Telephone: 343-4744 On -Site Wastewater Disposal System and/or Well Inspection Report Legal Description: 4 2 jq / SaRin(2 1/1'1 / 1557-47',C—; $ PID No.: 4215451'/i 72-013 A (2/91) MOA 25 .0 Municipality of Anchorage (DEPARTMENT OF HEALTH 3 HUMAN SERVICES 825 'L" StreeL Anchorage, Alaska 99502-0650^ j e ' SOILS LOG -- PERCOLATION TESTV,idwl d ;-.. An 4°81-e ; ... PERFORMEO FOR: 14 US //V 1A.1004)— DATE PER�t�f{CUM�UDf' o°� /+c' 9 3 LEGAL DESCRIPTION: L 9 SPEP/i1/(i Townsnip. Range, Section: DEPTH 1647 ?`ES SLOPE SITE PLAN IFEET7 I �I�— , r I I I 2 I/✓1501Y)E THrI 5A AJ 1) 3- I 4 5 6 S 'J EL LCu SrA IeD , N 1988 7 6 ,e4 DEQ SAND 8 SM SIL7-y SALJO w/same. 6,a &Z- 10 WAS GROUNO WATER ENCOUNTERED? SIO 11 S IF YES. AT WHAT L O DEPTH? E IU= to wmr Alun 13 ,*f4wInq? — um 14 15 16 17 18 19 Swung I Dau 1111 Cron Cron r m. Net �— Ttm. Oeotn to water Net Droo _ 7--Z I — II�-�— I i= -- ,Q .3 I li ItI` 1 12,Q S ael 1,26: /3 SEC EC. I ;! 3 SEG I B" • 9" I /ff /,f f I I I 20 G vt"_ PERCOLATION RATE A � (muusrn nnl PEAC HOLE DIAMETER TEST RUN BETWEEN FT ANO _Z _FT COMMENTS TEST //OLE F02 ,PSE;�Y .4�('�'�✓ _ _�_ PERFORMED BY: LVJ, �QOnFA/ 17'Y Li LAA TIFY THAT THIS TEST WAS PERFORMED 1N ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIOEUNES IN EFFECT ON THIS DATE OATS -� i, -- — 72.008 (Rev. u85) PAGE 1 OF 1 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WELL SYSTEM PERMIT PERMIT NUMBER:SW920186 DATE ISSUED: 7/14/92 DESIGN ENGINEER:ANDERSON ENGINEERING EXPIRATION DATE: 7/14/93 OWNER NAME:DESIGNS IN WOOD LTD OWNER ADDRESS:9601 SPRING HILL DR ANCHORAGE, ALASKA 99516 PARCEL ID:01505147 LEGAL DESCRIPTION: SPRING HILLS ESTATES BLK 1 L T 9 LOT SIZE: 49223 (SQ. FT.) NUMBER OF BEDROOMS: 4 THIS PERMIT: 4 THIS PERMIT IS FOR THE CONTRUCTION OF: WELL SYSTEM ALI, CONSTRUCTION MUST BE IN ACCORDANCE; WITH: 1. THE ATTACHED APPROVED DESIGN. 2. ALL REQUIREMEN7.'S 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 FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: RECEIVED B ISSUED BY: L), DATE: `12 - DATE: / T Y 7 Z _ MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES Environmental Health Division r 825 "L" Street, Anchorage, Alaska 99502, Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Name DISTANCES I AJ woos TO SEPTIC ABSORPTION WELL Address fAOM TANK FIELD -7621 DRIFJ' waoo�� Phone(s) Permit No. No. of Bedrooms WELL 3LIi 86 880 5?- 4 —` LEGAL DESCRIPTION LOT LINE 0 Lot Block Subdivision C► -)F ISPRIA.6 L////`5 TA 65 FOUNDATION Township, Range, Section I REMARKS: AS -BUILT DIAGRAM (Show location of well, septic system, property lines, foundation, driveway, water bodies, etc.) t Ci .r o H's N Fr l (1Y .r.) mrs L l,cr 57-ArJDtil NUT Q — C Inspections Performed by: ...... Wi_ C G le//0 u 5 e I6 ° _ Date: �2/z Sr z�ZGl88 Asj�UIL7-70 h-ULLbr4�ase'A0U•e• .80,00 •••suite• 141 I ri l G ,'_, 02Kr ..J c ly Ihal this inspection was performed according to all a r• ••rte ° ± � Michael E. Anderson c '. A381 - E •' Municipal and Slate guidelines in effect on this daft '•, ,•' e,� 80�p°pRor-Ess�o�„�.�ta Health Department Approval: Date: TANKS SEPTIC ❑ HOLDING Manufacturer Capacity In gallons 62,5EIz IZSO _ Material No. of Compartments ST><E L 2— TYPE TYPE OF SYSTEM ❑ TRENCH BED ❑ W. DRAIN ❑ OTHER Depth to pipe bottom from Total depth from original grade original grade 2.5 FT 1D.5 FT Fill added above original grade &a a' depth beneath pipe 2 FT SAAID FT 6rave4englh Brawl width 1= 63 = 50 FT f= 2 Z' Q= Z7' FT Total absorption area Distance between *At= 5vsTBms = 13 SQ FT )0 FT Number of linesating tz Pipe material Z5 SQ FT P11C Installer {'x " 9r LID Date Installed 69- 1-IAZTEKtf o1Sn1ssr I 1z zy ('z 1z/zL _ WELLS ;I PRIVATE ❑ OTHER (Identify) ClassdicationA,B,C) ( Total De Ih P Cased to FT FT I REMARKS: AS -BUILT DIAGRAM (Show location of well, septic system, property lines, foundation, driveway, water bodies, etc.) t Ci .r o H's N Fr l (1Y .r.) mrs L l,cr 57-ArJDtil NUT Q — C Inspections Performed by: ...... Wi_ C G le//0 u 5 e I6 ° _ Date: �2/z Sr z�ZGl88 Asj�UIL7-70 h-ULLbr4�ase'A0U•e• .80,00 •••suite• 141 I ri l G ,'_, 02Kr ..J c ly Ihal this inspection was performed according to all a r• ••rte ° ± � Michael E. Anderson c '. A381 - E •' Municipal and Slate guidelines in effect on this daft '•, ,•' e,� 80�p°pRor-Ess�o�„�.�ta Health Department Approval: Date: From : ALPINE DRILL 907 345 0202 Dec.00.1992 10:29 PM P01 STATE Or 41.aSXA I?F.PARTMENT OF NATURAL AZSOURCPvS DIVISION OF GEOLOGICAL AND GEOPHYSICAL SURVEYS WATER WELL RECORD BOROUGH I SUlil'XVISION LOT BLOCK SKCTION QTRS TOWNSHIP RANG4 MERIDIAN N��/S• s w DIRECTIONS WEI,I. OWNER: .Ni / ASURING POINT; Htop of. cas.ng A ground surface [] 0Lher: ____ I$o"HOLE DATA: Depth I�.a"tcrr a-1 type wand- 0 or--• --^' !•'torn To 199;3 of Ancho REMARKS: CONTRA(;=R INFORMATION: - a.4. - Ragi.tered Business Name SicynaY,ure of Authorizpr� presentative Date WELL DEPTH; II t DATE Or COMPLETION: Depth of Depth of nasing:-L?-I-ft, -- STATIC WATER LEVEL: � _f t.. DatefL::M" METHOD Of' DRILLING: Egnir, rotary Doable 1,00) USt!: OF WELL: Sclomcstio Dirrigation Llmonitor Opuhlic supply Ej ather:.�_ CASING: Stiok-up_'r� f.t. uiam;_ —in WMIJ, INTAKE: open rand oscreened /[] perfor.aLed open hole Depth . of openings:_ to _ _•ft SCREEN TYPE biam: in Slot/Most) Size:•^, Length: ft Set Between and�"`'w—�_ft GRAVEL PACK TYP Volurao used:_ ._._..___..�.-_.....,_Depth to top: GROUT TYPE; _Volume: Drpt.h; from_____ ft to DEVELOPMENT METHOD' Duration; PUMPING LEVEL AND YXDIJD: ft after,_.. hrS pumpingj?5�_gpm PUMP INTAKE DEPTH: Date Pump Installed WATER CHEMISTRY SAMPLE TAKEN? ❑ yea 0 no PI.E1lSE MIX, P7111.1111 COPY OF LOG WITHIN 45 nn YS ro DGGS PU Box 77-2126 EAGLE l2,TVFrt, AM, 99577 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES Environmental Health Division 825 "L" Street, Anchorage, Alaska 99502, Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Name — DISTANCES t A/ VAIO DL5 WELL TO FROM SEPTIC TANK ABSORPTION FIELD Address s — -7021 L)P11 r (11100L) i- Phone(s) Permit No. No. of Bedrooms WELL '3L/% (J Sf30Z. �� LOT LINE � el 0 LEGALDESCRIPTION Lot Block Subdivision 5T4 T& S FOUNDATION Township, Range, Section AS -BUILT DIAGRAM (Show location of well, septic system, property lines, foundation, 7� S 15 1 2, iv I 9 1 lit/ _ 7-12, driveway, water bodies, etc.) TANKS irktr .r o y's r l %/ A.) SEPTIC ❑ HOLDING K Manufacturer Capacity in gallons 33' by gf' /dp C%Ia,� SIC I Z 5 O Material No. of Compartments S rl. Z ntr ` TYPE OF SYSTEM 31 ❑ TRENCH 1�a EKED ❑ W. DRAIN ❑ OTHER Depth to pipe bottom from Total depth from original grade + / original grade 2,S` FT ln,S FT . Fill added above original grade Gro ai depth beneath pipe Y 2— FT ISAMrD q FT .l.l_ ia..l. � iC U Eb Gravel -length Gravel width 56 FT I : 7 2' r 7 FT 2 Idfs / u . Total absorption area Distance between lues SyST'E'MS L cA710 (C) 1350 SOFT IU FT Number of lines Soil rating Pipe material 1 2 1 Zz5 SOFT F0 Installer`r Jf / C1 Date Installed f fl/Iff.TF-nl OnIS% lrJ IZ Zr/ (�2, IL/ZCa WELLS - PRIVATE ❑ OTHER (Identifvl f p ro Classification (A,B,C) Total Depth Cased to t— G K FT FT Installer Dale Installed: i N OT 10 = T'" REMARKS: T — fNf L L TWO v C S _ M / Al STA //P O 4" ,2 E'f% / 1-i- ± Scale: /"=30' 14 tNEE, ;WA NOT �t f> �� W C A/l� J Inspections Performed by: {�OliSE A/, 1/OD/T/DA/AG lAlr L E //00050 Date: z/zq /2/24AA fir, a s fnL,,'�-7 -To ffO L- (. d w �' r. �- r-��7, l 7 �> �,��/A/u �� y� ��, /' ,(s/� a, C-• AL2 a-'+jo )certify I — c rtily Ilial This inspection was performed according to all a• a .a i W® los> ��i+ "� 1S,ichaei E. Anderson Municipal and State guidelines In effect on this date: r ��/ ��>• Ba° °.`'l, 3 > 1111,C✓ 'j,")0 nz rJ C)tC,f,,pm V3Gv Health Department Approval: 72-013 (3/85) R ESf 1 ti diEC7--- c% July 9, 1992 Municipality Of Anchorage DHHS 825 L Street Anchorage, Alaska 99501 To Whom It May Concern: Regarding: Lot 9 Block 1 Spring Hills Estates The on site transmittal sheet for the subject property is being returned to your department as the items noted have been corrected. A diversion valve was installed between the two drainfields and the picture is attached for your files. In addition the original as built inspection report is enclosed. If you have any questions please contact me at 561-5829. Yours Truly, v� L. Wayne McFadden RECEIVED JUL. 101992 Municipality of Anchorage Dept. Health & Human Services r Municipality of Anchorage Department of Health and Human Services'1 Tom Fink, 825 "L" Street Mayor P.O. Box 196650 Anchorage, Alaska 99519-6650 January 6, 1989 Mr. Michael E.' Anderson, P.E. 2900 Boniface Pkwy. #425 Anchorage, AK. 99504 Subject: Lot 4 Blk.2 Lake 'O' The Hills East Subdivision 14141 Lot 9 Spring Hills Estates Dear Mr. Anderson, The as-builts for the septic systems installed on the subject lots are being returned for corrections on the following deficiencies:' 1) Per approved design install diversion valve to permit alternating use of absorption areas. 2) Per AMC 15.65.060.0 install clean -outs on post valve distribution piping. Approval cannot be given until these deficiencies are corrected. Please call me if you have any questions concerning this matter. Sincerely, Daniel N. Bolles On -Site Services cc: Al Sundquist, P.E., Manager On-Site/Water Quality Building Safety db/43 Name -7()Z/ Phones) .3y9 - MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES Environmental Health Division 825 "L" Street, Anchorage, Alaska 99502, Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT DISTANCES IS 1,v WOOD _ TO SEPTIC I ABSORPTION Flange, Section W0 eq Z) e- FROM _ tA SEPTIC ❑ HOLDING Permit No. 88oZ2. 5 No. of Bedrooms �F WELL LOT LINE LEGAL DESCRIPTION Subdivision �,2iAi6 141// ESTATES FOUNDATION ooI I ^.� N AS -BUILT DI driveway. water TANKS _ tA SEPTIC ❑ HOLDING Manulacturer Capacity in gallons 3' 61zEErz I z s o Material No. of Compartments ST-E� z TYPE OF SYSTEM ❑ TRENCH BED ❑ W. DRAIN ❑ OTHER Depth to pipe bottom from Total depth from original grade original grade 2. S FT &,Z5 FT Fill added above original grade I o depth beneath pipe 2 FT SANO 4 FT 6revel length Qaavelwidth = G 3 = 5b FT / : Z Z' = Z7' FT Total absorption area Distance between tires 5ysTEMS n 13 to = 1350 SO FT 10 FT Number of lines Soil rating Pipe material 2 Zz5 SOFT PUc Installer yam_ (� {' � 99 - Date Installed C NAQr5'AtOA1 ST 1 1 1z L5/ 12-/24 WELLS PRIVATE: ❑ OTHER (Ident(fv) t i re classification (A.B,C) Total DepthCased to L t FT :FT Installer Date Installed: REMARKS: r./ A S AU ILT To P7oLLdu/ I m y CbI C 7�/uJ LWC�r� Municipal and Slate guidelines in effect on this date: eo n/ 6- 40-r ev`Ole Health Department Approval: 72-013 (3/85) WELL location of well, septic system, property lines, foundation. . S OO C'j/ �T/ A.� 1I -I \ scale: 111=30' Inspections Performed by: W, /f'I eFfy lDDEAJ r S e- -'Date: 1217.°{ £� IZIZ6�{/8$ fly that this inspection was performed according to all Date: e 3 1 as 61^t'T,Y.' 'UC is®7.o u7. aa/o(�a 7.^a- e..o••�•• u , a a ••w r7T eoeu Michael E. Anderson 4 4381 - E MUNlCfPALITY OF ANCHORAGE DepartmenL o[ HealLh & Human Services 825 L Street, Anchorage, Alaska 99501 343-4720 UN^S1[E SLWER t Number: 880252 UaLp lssued: 11/17/88 Enqineer Designed\ DESIGNS IN WOOD ess: 7�21 DHIF[WOOD LAND ANCHORAGE, A}( 99518 P£RMIl / Parce1 Id: 015~051'47 LoL Lega1: Subdivision: AIR 1NG HlLLS ESlAlES Section: 15 Township: 12N Range: Lol Size 49223 (sq./t" or acres) !��^ 8edrooCron : This Permit: A. Tota1 Capacity: Day Phone: 349-8014 Lot: 9 Block: 1 3W 1ANK: Minimum tota1 septic tank capacity: 1,250 gallons, Each septic �ank /.../,L have at least 2 compartments, Depth to top of septic tank(s) < 4^0 ,e&AirColl insulation over tank(s), CDNSlHUCT BOTH ABSURPTIUN SYSTEMS AT THE SAME lIME WITH A ;]Vi.�|<-:-i/ON VALVE AFTFH THE LIFT STATION. CON5|I"OUCT PER EN8INEERS ATTACHE -J) APPR[)VE1) DES�GN. HAS PLN{K EXPIRES 12/31/88 AND VALID FOR A SINGLE FAMILY 1-10ME" INFORIVI 1)"H"H"S^ PRIOR TO 1ST & 2"ND INSPECTIONS BY ENCUNEFER, IF AF|1:H UPFICE HOURS CALL 343~4681 AND LEAVE A M�SSAGE. l i R|iFY OIHT: a'/' /amiliar wi�h the requirements <or on~site sew�rs and wells as set fo,ih by Me Min ic1paiity oi I'll OA> and the State of Alaska. w�il instal1 Le system zn accordance with at MOA codes and regulations� ^^d in compliance with t|/e design criteria of this permit" 3. | wil1 adhere to all MUA and State o( Alaska requirements for the set back Cl Iom any existing we11, wastewater disposal system or public �'�3� sysLem on s or any adjacent or nearby lot" 4. � understand l.hat this permit is vial jr! |or a maximum of 4 bedrooms. I a/sn undf.,)rstand t|'at the capacity of the iotal system is 4 bedrooms and any Li. 4Y ([/wner/ D UL)D ed 8y: DATE: Y ANDERSON ]ENGINEERING P.O. Box 240773 Anchorage Alaska 99524 November 2, 1988 Municipality of Anchorage Dept. of Health & Human Services 827 L Street Anchorage, Alaska 99502 Re: Lot 9 Spring Hills Estates 907 337-8367 MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH & ENVIRONMENTAL PROTECTION NOV 1,1988 RECEIVED Gentlemen: The design for a sewer system on this lot was submitted in August of 1988 which included the construction of both absorption systems due to the constraint of a creek on the property.At that time the location of the origional test hole and monitoring tube indicated that only 1.5 feet of native unsaturated soil existed. In early October two new monitoring tubes were established on the property in the area where the soil absorption systems would more likely be placed if both systems were built at one time(see October soil logs). These holes were monitored to determine the groundwater levels. During the past 3 weeks the level has remained constant in both monitoring wells at 8.5 feet below grade. Test hole #2 has 2 feet of unsaturated native soil and test hole 43 has 2.5 feet of unsaturated soil available. The origional monitoring tube still indicates 1.5 feet of unsaturated soil which is outside the area planned for the two systems. Because there has been no change in the origional groundwater level we feel that the new test holes also indicate a true seasonally high water table in the area the new systems are planned for. Please review this more recent data regarding our request to obtain a permit to install the on-site wastewater system. If you have any further questions please contact Wayne McFadden or myself. Yours Truly, Michael E. Anderson P.E. 6 Municipality of Anchorage o Ti4 r �.._... DEPARTMENT OF HEALTH & HUMAN SERVICESp00 °'°° "° °°�`°°a�;Ae° 825 L Street, Anchorage, Alaska 99502-0650 t °°° ona uv nonvc aonc° °aes .✓7 <r C SOILS LOG — PERCOLATION TEST ". ,fA'ctc 43Gi ALdorsan i r � PERFORMED FOR: IiFS1K(A1 5 7A/ /.)1(g0!3 DATE PERFORM&w LEGAL DESCRIPTION: [DT SvP/ /G_ e/i��s Township, Range, Section: S 15' T/?,,(/ I<' -lIA� DEPTH=�7"/JTE S SLOPE SITE PLAN (FEET) I r"T�—TI i 1 Net Time 5 �? 2 1i S L 3 4 12 E 5 13 6- I RV- o re/A t I C- S ) 9 10 Net Time _ WAS GROUND WATER ENCOUNTERED? _ 1i S L IF YES, AT WHAT P 0 DEPTH? _'"' • : - P 12 E ago to Wuw uta 13 Mom1wing? �tx 14 15 16 17 18 19 Reading Date Gross Time Net Time Depth to Water Net Drop 20 IL—_ll PERCOLATION RATE Iminutesrmch) PERC HOLE DIAMETER TEST RUN BETWEEN FT AND -- FT COMMENTS L0 r /A7 f/ NEbt/ Tr/ /J,/7 Z'"/.' PERFORMED BY: L / %' I /1%cmlA c 6—/1n10C7L106ERTIFY THAT T/j►{I ; TEST WAS PERFORMED IN Amnon ANrc WITu At i QTATG evert w r INICip At I IInF1 IN PA IN FFFFCT AN THIS nATF nATF* __ ��!_�fbb _ 72-008 (Rev. 4/85) u �Y Municipality of Anchorage To-fi` P� • A DEPARTMENT OF HEALTH & HUMAN.SERVICES �eGaua+o0e .�eGGan Ga •�1J° °4 825 "L" Street, Anchorage, Alaska 99502-0650 I®' �'S.a .a•^ ^°t v, GnaGcna. e" SOILS LOG o PERCOLATION TEST 1) ti Mici,ael E. Andwsnn ��jf�1�0 �P �4 Pi: nCr•6w`1.�(�Y PERFORMED FOR: DF /� /�/ 1A100 DATE PERF08%4(J°M'`_--- LEGAL DESCRIPTION: GOT 5oe%/�, /li/Ls Township, Range, Section: Al DEPTH 'Sr3T ,; SLOPE SITE PLAN 1- 2- 3- 4- 5 6 7 8• 9• 10 11 12 13 14 15 16 17 18 19 WAS GROUND WATER Date ENCOUNTERED? I;J Depth to Water S IF YES. AT WHAT , L S_ 0 DEPTH? _ c. - P E 0#0 to wur After Itlommring? _ Datt Reading Date Gross Time Net Time Depth to Water Net Drop moo_ 20 PERCOLATION RATE (minutesJinch) PERC HOLE DIAMETER TEST RUN BETWEEN FT AND _ FT COMMENTS lff%S /` / OdL G AIL -IL / f ,.7- //OGt .S /n/>'%3?n N, 7 U/;E.-` F S7ABI-ISIN`'/) 6/d _jlilt P 1 /A NI -GI) �CU'Y7hA/ T(� 11 C AIYi l..` PERFORMED BY: � /. Iv!/ -F/ -F A t.) /•y /--;: / I /�(',(-A&I. L'00&10 LcUQ� CERTIFY THAT T IS, TEST WAS PERFORMED IN ACCORDANCE WITI1 ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE 72-008 (Rev. 4/85) Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN.SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST PERFORMED FOR:__- F /tel //.`. /f'_i it / rt.% ' ) ;' ) DATE LEGAL DESCRIPTION: Township, Range, Section: DEPTH ` 7 A''7',_; SLOPE SITE PLAN 2 s// 3- 4- 5 4 5 1 1 1✓2 o�//fi /irS 6 C=i � 7 to WAS GROUND WATER ENCOUNTERED? r 11 S IF YES, AT WHAT i L 0 DEPTH? 12 P E 13 aim to water ma it IAaniloringl l ? ' Calc -I-3i 6 14 15 II 1' wl o 16 11:30 17- 18 7 18 19 Reading Date Gross Time Net Time Depth to Water Net Drop 7 86 P G lO" f2 Y. Ll Z.- 0 5.s" 5 5 3:> 40 ZO �{ I 1r ILII o PERCOLATION RATE (mmuteminch) PERC HOLE DIAMETER 9:2 TEST RUN BETWEEN FT AND�1 - 1/ FT COM MENTSn]-r-�� Q �lor'=F="ILL IA)/IC ifht"f.-'.1> nt.l X1415 (07 A 'T Vr,At, /,'I PERFORMED BY: 10, A/Lf A O LL &I I "' �� � L 141" L -1–f6 ERTIFY THAT T IST T WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 72.008 (Rev. 4/85) • '_ .. •ria: �..• \ ,`• a r � � .,\ �\ � �\ 1 , 1 t s /y t- Cl to 1 \ l Y i ' ri1 ` r 4 Irk \ \ ,•\ `�\ • - �•; / �" �y �i '\ a •\\. ��'�"� ✓(� V I �'� ` /• VVV ;; Jr ' — 11 `stili '. �C� �Y'.:. ,\•.\ /\/ � I \ a � � leo ` \ I lf1 • � ; �, -� � �.•.. :'�;;..:::::::::�:�'�• X52` '� � `�'\ 1 so - e° ° -tic aj yl ! }} ve ee eHe +.ale bass • - a° ••amu • raj V i U � \ I ...sob • e e i7 i 1M 1� ` 9 4 G Michael E. Indarso 1 ` \ % 4381 .IB . yy'�� m -,. r�Ati11 Pa." oe• Q.� �pROFFSS���P t it "PA1rA IAI M , 6F Cb VE_ /z y e o npn B po •• J:,9 In a <ti ae ap;Pea$2 npa •oeapesapnaepwe 6 Michael E. Anderson t� J Z &'XisriN<> 6,eAo� 9 6,o "o xt-(.ett A6CA nlyletuM d!= ,4 rt4 JfP?ik;p (er.PrADLE 5011- EN ail vep IZ� or Oita (e Zo�in�� = ZZ: S)=/SDpe X,/3.0,' = 9vo SF 900 5 F X h 5 6AFF-rY FAC rp lv) EN 1S (10/78) October 5, 1987 Municipality of Anchorage Environmental Engineering Div. 825 L St. Anchorage, Alaska 99501 Re: Lot 9, Block 1 Spring Hills, Subd. Gentlemen, Please find the design data enclosed for an on site septic system on the subject lot. The design includes an elevated mound system due to a high groundwater condition. if you have any questions please contact me at 276-3770. Yours Truly, Michael E. Anderson, P.E. CA th N N _ Z L /� /-L z 'S S- r p. JA 1,LFZ ) S' .Z zhs. 7. J I IM1I A t) II I I ' • frr AVXV11 L). i.. I —lam 0 IOoo ��SF- ! l ' _ Z L /� /-L z 'S S- r lei 1y) -K: ! I✓ u .00.00 oo'�jo',o(}(uajao//ese °([o)c 0 (�� fid °-e54N'.tl 4� Oaee.• o •ao e e Michaal C. Anderson W .` Ea �`�xnBo a 4367-E ') p. lei 1y) -K: ! I✓ u .00.00 oo'�jo',o(}(uajao//ese °([o)c 0 (�� fid °-e54N'.tl 4� Oaee.• o •ao e e Michaal C. Anderson W .` Ea �`�xnBo a 4367-E ') �p 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: /N Irl//_��jD DATE PERFORMED: LEGAL DESCRIPTION: L 9 'C F, _ / li':%'�ntl ✓`%/ Il�` ,• (J ,(t, DEPTH m -1-J SLOPE��rr SITE PLAN 1- 2 I SILT jl CGAk 3 4 �1 l/jsTVECL116 SIz-,rY 6- CLAY 7- 8 9 10 11 12 13 14- WAS GROUND WATER S ENCOUNTERED? `�� L �od� O P IF YES, AT WHAT u E DEPTH? Reading Date Date v 4� gipp® Or 15- Depth to Water tl°aaoeootl6r� 0 00 6 1W. 0 17 r. 01 1 6400.0 eoe s ea ° �0 °; N,ichael E. Anderson , 18 � �1j oea 4387 - Ek> 19 .:. WAS GROUND WATER S ENCOUNTERED? `�� L �od� O P IF YES, AT WHAT u E DEPTH? Reading Date Date Gross Time Net Time Depth to Water Net Drop C`7 45, tl 20 PERCOLATION RATE -7r (minutes/inch) TEST RUN BETWEEN' ��'�o. FT AND _may/7 FT COMMENTS e571?i1VL f>='-'-i��--�= iNF�'I�' 17 D 1 bAy tYl( r) iT-6 At JA/ T//E e5;12dUA,' We? YCi6. �= Luc7—t/Ar��_-r-w;- ia1 -IZ" PERFORMED BY: CERTIFIED BY: DATE: 72-008 (6/79) SOB /D "f- 9 SHEET NO.— '3 OF S CALCULATED BY /�] /�I`/"G ��NP�o DATE CHECKED BY S DATE A _ m W x. �a V� . � \ A W W i !l W j 13 _ u_ ' Y A x. � \ A JOB c o�caci� i s �� �.•. a�, 1/s SHEET NO. - ' OF J CALCULATED BY G� ,`Q�✓Gd'1 DATE CHECKED BY DATE - SCALE OOMIY^'NI r �� r.. �...r.. V•.. � 1� V L,or :�P /NCv AW 71 sqsr�m *Z Z07- 9 //;//s Amt.- MUNICIPALITY OF ANCHORAGE MEMORANDUM DATE: August 4, 1992 TO: Leslie Jordan, Counter Supervisor, Building Safety THRU: John Smith, P.E., Program Manager, On -Site Services _S_< 17� FROM: Dan Roth, Civil Engineer, On -Site Services SUBJECT: On -Site Wastewater Disposal Permit Revocation For Lot 9 Block 1 Spring Hills Estates, P.I.D. 015-051-47 The permit number SW920186 for the above referenced property to construct an on-site wastewater disposal system has been revoked by this office. The property owners have been advised to stop work on their wastewater disposal systems and resubmit applications to amend the closed permits. cc: Dave Brennen, Code Enforcement Manager, Land Use Enforcement Michael Kerr, Code Enforcement Officer EPO MUNICIPALITY OF ANCHORAGE Ras,/ Development Services Department Phone: 907-343-7904 On-Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On-Site Systems Approval Parcel I.D. 015-051-47 Expiration Date: (1 -02.7-1 1. GENERAL INFORMATION Complete legal description Spring Hills Estates, Block 1 , Lot 9 Location (site address) 9601 Spring Hill Drive Anchorage, AK Current property owner(s) Orin and Kristina Dym Day phone (907) 317-9351 Mailing address 9601 Spring Hill Drive Anchorage, AK 99507 Real estate agent Day phone 2. TYPE OF DWELLING: ❑ Single Family (w/wo ADU) R114381 ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Private Well ❑ Private Septic ❑ Water Storage ❑ Holding Tank ❑ Community Well ❑ Community ❑ Public Water System L_J Public Sewer ❑ Waiver request for: Distance: Received by: Date: COSA to be released to the engineer.unless otherwise requested by the engineer. COSA Fee $ Waiver Fee $ Date of Payment (p 1) q/ -I Date of Payment Receipt Number OT-fZa.D Receipt Number COSA# O5C14196? 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. I acknowledge that On-Site staff may visit the site to verify the information submitted. Name of Firm Forge Engineering Phone 907-522-7773 Address 1399 W. 34th Ave Suite 101, Anchorage AK 99503 Engineer's Printed Name Michael E. Anderson, P.E. Date 6/23/19 Y 6. DSD SIGNATURE 49th .1 ��/ System #1 Approved for 4 bedrooms to_ ' %Kt-m L.E••ANDERSON.� 116::-A No CE-4381 System #2 Approved for bedrooms %V...06/23/19 •.,` '+ Disapproved '6. PRGF-44. 1:••� Conditional approval for bedrooms, with the following stipulations: ,ott(tttr(((, -rudo WATER AND m 2, WASTEWATE ;� PrOGKAM R 4;T SERVC�S\ c' By: Original Certificate Dater ) 7 The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On-Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA Chetahs'blae sheet COSA Checklist Legal Description: SPRING HILLS ESTATES BLK 1 LT 9 Parcel ID: 015-051-47 If more than 1 septic system on lot: COSA Checklist# of Structure served by this system A. WELL DATA ❑■ Well log is filed with Onsite (or attached) Well production at time of test 4.5 gpm Date drilled 11/25/92 Water storage tank volume None gallons Total depth 181 ft Well disinfected for coliform test? ❑ Yes ❑� No Cased to 181 ft Coliform bacteria is Negative ❑� Sanitary seal is functioning correctly Nitrate 3.60 mg/L ❑ Nitrate less than MRL (ND) ❑■ Wires are properly protected Arsenic ug/L ❑� Arsenic less than MRL (ND) Casing height (above ground) 21 in. Collected by Forge Engineering Date of flow test for COSA 4/11/19 Date of Sample 5/1/19 Static water level at beginning of test 140 ft. Comments B. TANK DATA C. LIFT STATION Age of tank(s) New years El Required maintenance completed Tank type/material Advantex/Fiberglass/FAP Age of lift station New years Measured operating fluid level in septic tank Lift station material IN Standpipes/foundation cleanout per record drawing Comments: Septic System Recently Reconstructed. Date of pumping New Construction D. ABSORPTION FIELD DATA Raised Bed Which system tested (date installed) 6/17/19 Adequacy test date New ❑■ ALL standpipes present per record drawing Results ['Pass For bedrooms Total measured depth from grade 3-1* ft (max) Fluid depth prior to test in Measured depth to pipe invert from grade 2.6* ft(min) Water added gal ❑� N/A—pressurized field New depth in ■❑ Monitor tubes go to bottom of effective. If not, state depth into effective Elapsed time min Code-required soil cover over field Final fluid depth in El presoaked Absorption rate gpd (Required if vacant for greater than 30 days prior to Any rejuvenation treatment(past 12 months) date of test) Gallons introduced gallons If yes, enter date Comments/Deficiencies: Grade is the top of the absorption bed. Septic System recently reconstructed. COSA Checklist yellow sheet E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well) Septic Tank/Lift Station on Lot > 100' Community Sewer Manhole/Cleanout > 100' p Yes if No ft p Yes if No ft Neighboring Tank > 100' 0✓ Yes if No ft Private Sewer/Septic Line > 25' ❑✓ Yes if No ft Absorption Field on Lot> 100' 0 Yes if No ft Holding Tank > 100' ['Yes if No ft Neighboring Absorption Fields > 100' Animal Containment> 50' ❑✓ Yes if No ft 0 Yes if No ft Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' 0 Yes if No ft —❑✓ Yes if No ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' 0 Yes if No ft Surface Water> 100' 0✓ Yes if No ft Property Line> 5' 0 Yes if No ft Wells on Adjacent Lots: Absorption Field > 5' 0 Yes if No ft Private Wells > 100' 0 Yes if No ft Water Main > 10' 0 Yes if No ft Community Wells >200' 0 Yes if No ft Water Service Line > 10' ✓0 Yes if No ft If septic tank is under driveway comment below From Absorption Field on Lot to: (Please enter distances if less than required) Building Foundation > 10' 0 Yes if No ft If absorption field is under driveway comment below Property Line> 10' 0 Yes if No ft Wells on Adjacent Lots: Water Main > 10' I=1 Yes if No ft Private Wells > 100' 0✓ Yes if No ft Water Service Line > 10' 0✓ Yes if No ft Community Wells >200' 0 Yes if No ft Surface Water> 100' ✓❑ Yes if No ft F. ENGINEER'S COMMENTS 44* %071414 41 G. ENGINEER'S CERTIFICATION ���P"- .......:�C.q .•�1 I certify that I have determined through field inspections and review i�,•••• �1� °••.•Y �.. of Municipal records that the above systems are in conformance with 4; '\ • r • MOA COSA guidelines in effect on this date. I r. 49th ��.� .h t.4.4..rt. .., • • s-2,0,1. MICHAEL E. ANDERSON : w tr �J, No. CE—4381 .•• ��''a •• �A K<`r<(••••.. .•. 06/24/19 •t4 COSA Checklist yellow sheet v, .................•�, PLAT NO. 83-382 SPRING HILLS ESTATES LOT 9, BLOCK 1 . 49,223 S.F. r` sc, • SEPTIC SYSTEM • /S 70.30.59.. 1 ��` 09C. o • 1.------,.299 { 45,4`9 / `o �4Po a + '-----\ • x .� —x— i�� 'P°' ck e 46 ti .' -oar' •?° G 0. „°+.' Q9...° N S���G— 'O. J'° •d b E WELL 1 - - p NO°" A ted oa N_I cv{ " 50.0' � •'•. o +/ / ' - J + ` 5.0.9 i 1 /= 30, so. ° ..ti°Q , + c7 0 ,,,,As t � ' �,' - ' i / Z O ,� / / ' CT O + - /0 1a/) z A.C.0p JE. { + / / s' 25' CREEK MAINTENANCE ESMT. \r CENTERED ON THREAD OF STREAM. /+ / '' Gc.. HEREON IS AS PER THE N .70- / / NOTE: LOCATION Of ESMT. SHOWN 'N - I x -+ RECORDED PLAT. I 4 / - CV / i I W - 3 / I Fo ..- PAVERS e I ` o " " O Z 111=30' , , • N 89"59'00"E 282.55' AS —BU I L T I HEREBY CERTIFY THAT I HAVE SURVEYED THE 4,411111111144PROPERTY DEPICTED ABOVE AND THAT NO GASTALDI LAND OF ♦ ENCROACHMENTS EXIST EXCEPT AS INDICATED. ♦ ,\C.,••••••,•.(4 1� SURVEYING. LLC IT IS THE RESPONSIBILITY OF THE OWNER TO • JEFF A. GASTALDI, R.L.S. .•• `� iffai* TH 49 •• '**„."74,t 2000 E. DOWLING RD.,SUITE 8 COVENANTS OR RESTRICTIONS WHICH DO NOT -' • : ANCHORAGE, ALASKA 99507 APPEAR ON THE RECORDED SUBDIVISION PLAT. PHONE 248-5454 UNDER NO CIRCUMSTANCES SHOULD ANY DATA : Je•• leL 0.E0510i01 o DATE HEREON BE USED FOR CONSTRUCTION OR FOR LS-6091 GRID 6/27/2019 >`'+•• ESTABLISHING BOUNDARY OR FENCE LINES. ♦♦PP•'• a��•••,•.•• 5'` ♦ SW2436 6/27/2019 e3 0fl)Il-°° ♦♦ ANCHORAGE RECORDING DISTRICT, ALASKA ♦ O1 ♦♦,11.11'•♦♦ F.B. JOB NO. NOTE: NO CORNERS SET THIS DATE 92-12 SHE91 MUNICIPALITY OF ANCHORAGE ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND REPAIR AGREEMENT THIS MAINTENANCE AND REPAIR AGREEMENT,herein the "AGREEMENT" made and entered into as of this oof J GL lhp_ of 20 i 9 , by and between 7,ex-ri e„. , erein the"OWNER,"and the Municipality of Anchorage. herein the"MUNICIP ITY", in accordance with Anchorage Municipal Code (AMC) 15.65.365. In consideration of the mutual covenants contained herein, the parties to this Agreement agree as follows: 1. Advanced Wastewater Treatment Systems. The Municipality grants permission to the Owner to utilize and operate an Advanced Wastewater Treatment System (AWWTS), described as Advantex Waste Water Treatment Sstem located at(legal description) Spring Hill Estates Block 1 Lot 9 2. Maintenance. Repairs and Alterations. (Owner is required to read, understand and initial each section) L,..-Throughout the term of this Agreement. the Owner shall enter into a service agreement with an AWWTS service and maintenance provider approved by the Municipality or the manufacturer's representative. The AWWTS shall be maintained in a satisfactory condition capable of performing as designed and producing treated septic effluent in accordance with the equipment's approval for operation in the Municipality. It shall be the responsibility of the Owner during the term of this Agreement to pay for all repair(s), maintenance, adjustment(s), replacement costs, and inspection costs. This includes an annual maintenance fee (typically $400 to $600). 4./Owner agrees that only maintenance and repair personnel approved by the Municipality or the manufacturer's representative will inspect and make any necessary maintenance, re airs or permitted alterations to the system. 7Jwner acknowledges that regular maintenance of an AWWTS reduces the potential failure of the system, which could include sewage backup and costly repairs or drainfield replacement. ,- .. ,.A �.. Owner acknowledges that the Municipality may request records of maintenance and repairs from the manufacturer's representative or maintenance provider, k. Owner acknowledges that the fine for failing to maintain and repair an AWWTS may he assessed in accordance with AMC 14.60,030. Owner agrees to grant the Municipality reasonable access to test and inspect the AWWTS. The Municipality will give at least 24-hour notice. Owner agrees that any sale or.transfer of title of the property will not occur without a new Certificate of On-Site Systems Approval. ___kncr agrees that the AWWTS installation and maintenance requirements as provided by the AWWTS vendor/installer and approved by the Municipality are the governing guidelines for the construction, maintenance and repair of the Owner's AWWTS. �ner agrees to maintain remote monitoring of the AWWTS as required by the AWWTS approval. 3. Term. The term of this Agreement shall begin on the date of approval by the Municipality to operate the installed system, or upon transfer of title, and shall continue while the AWWTS is operational or until title is transferred. 4. Nonwaiver. The failure of the Municipality at any time to enforce a provision of this Agreement shall in no way constitute a waiver of the provisions, nor in any way affect the validity of the Agreement or any part hereof, or the right of the Municipality thereafter to enforce every provision hereof. 5. Amendment. This Agreement shall only be amended by authorized representatives of the Owner and Municipality. Any attempt to amend this agreement by either an unauthorized representative or unauthorized means shall be void. • 6. Jurisdiction: Choice of Law. Any civil action arising from this Agreement shall be brought in the Superior Court for the Third Judicial District of the State of Alaska at Anchorage. The laws of the State of Alaska shall govern the rights and obligations of the parties under this Agreement. 7. Severability. Any provisions of this Agreement decreed invalid by a court of competent provisions of the shall not invalidate the remaining Agreement. Quail R: a • `�/ •• t " _ signature) Date: 6 7 j _ I, < K-----(-print name) ` +arms c s-ciDD STATE OF • LASKA ) ) ss. THIRD TUDI, IAL DISTRICT ) The foregoing i strument was acknowledged before me this day of , 20 , by NOTARY '' JBLIC FOR ALASKA My Commiss?on expires: MUNICIPALITY: By: / (signature) Date: g-2---7-19 (print name) Title: CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189 r•V.-.i.•.V,...A A: Vt.-.V, .V, .A i..•A .Y�..v.•.wYA-.i.•.w•.w .N ' - - - - - ..A AN AN .A A .I. .N.q w .q .w .q•. A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California ) County of Ventura ) On -.1 - 1.1,-KS-V-_-- - oft °I before me, Brandy Lengning, Notary Public , Date Here Insert Name and Title of the Officer personally appeared E.1� Lt E D OL_ y 12- Narrfe(fof Slgner(af who proved to me on the basis of satisfactory evidence to be the person(g) whose name() is/a*e subscribed to the within instrument and acknowledged to me that he/she/they executed the same in ta+s/her/their authorized capacity(i$s), and that by his/her/their signature(on the instrument the person(e, or the entity upon behalf of which the personV acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. �,. �, BRANDY LENGNING WITNESS my hand and official seal. :'.a1!'' Comm.#2286296 �� s•��. mia Notary Public•Califo !.-_, 1 ' Ventura County imp- Signature ,i,. Comm.Expires Ma 21,2023 Signature if N .Ty Public Place Notary Seal Above OPTIONAL Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document r- Title or Type of Document: WmP1Gi Pat'' Of AOGNJ'„ ,, �ocument Date: 1 -3kAPE- c7CA9 Number of Pages: 3 Signer(s) Othehan Named Above: ows le- Capacity(ies) Claimed by Signer(s) Signer's Name: Signer's Name: ❑ Corporate Officer - Title(s): ❑ Corporate Officer - Title(s): ❑ Partner - r; Limited ❑ General ❑ Partner - ❑ Limited ❑ General ❑ Individual ❑Attorney in Fact ❑ Individual L❑ Attorney in Fact ❑Trustee ❑ Guardian or Conservator ❑Trustee Guardian or Conservator ❑ Other: L Other: Signer Is Representing: Signer Is Representing: - - e• .4v '✓ 'd 'd•'N d 'd 'M N M ` `•W.Zi_. ._ _ _ __ _ __ ._ _WC*”M w M 'M ' 'y-Y M N•'M 'lb, d 'M k N ©2014 National Notary Association ' www.NationalNotary.org . 1-800-US NOTARY (1-800-876-6827) Item #5907 Municipality of Anchorage Development Services Department ;i •• • Building Safety Division On -Site Water & Wastewater Program " 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519519 -6650 www.muni.org/onsite J (907) 343-7904 L C! CERTIFICATE OF ON-SITE SYSTEMS APYOVALL FOR A SINGLE FAMILY DWELLING Parcel I.D. j1i . "b5 q cosan j) - 1 D1 1. GENERAL INFORMATION Expiration Dater t7 % Complete legal description SPRING HILL ESTATES LOT 9 BLOCK Location (site address) 9601 SPRING HILL DRIVE • ANCHORAGE AK 99507 Current Property owner(s) GEBE EJIGU Day phone 230-5829 Mailing address 9601 SPRING HILL DRIVE • ANCHORAGE AK 99507 Lending agency Day phone Mailing address Real Estate Agent Day phone Mailing address 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 0 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, I venroval Guidelines for this application, fy that my � V&Stigation, based on procedures outlined in the Certificate of On -Site Systems App shows that the'on-sine 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 Finn 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 8 Regulations. The reported results described the performance of the system under the conditions encountered at the time of the lost, 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 lost results do not guarantee future performance of the system, nor do they guarantee that there are no hidden detects or encroachments. GEG, LTD. can therefore not provide any warranty or future estimate of how long the system will continue to meet the operational requirements of the ADEC or MOA DSD. The content of this report is for the sole benefit of the owner listed above. Any reliance upon or use of this report by any other person or party is not authorized, nor will it confer any legal right whatsoever. 5. DSD SIGNATURE Approved for �' _ bedrooms. Phone 337-6179 Date sl3o%i Disapproved. Conditional approval for bedrooms, with the fllowing stipulations: .. .......... A. rness; —7953 :i `� tY OF�'o',, G�QP.••' . bo ON-SITE WATER AND WASTEWATER PROGRAM Attachments: COSA Checklist Arsenic Advisory Septic System Advisory Maintenance Agreements Well Flow Advisory Supplemental Engineer's Reort Nitrate Advisory Other By: Original Certificate Date: 3 7 (Rw. I IM) Municipality of Anchorage Development Services Department Building Safety Division On -Site Water & Wastewater Program 4700 Bragaw Street P.O. Boa 196650 Anchorage, AK 995196850 www.muni.oryonsite (907)343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description: SPRING HILL ESTATES LOT 9 BLOCK 1 Parcel ID: Q15-_ J�% — 44 -2 A. WELL DATA Well" PRIVATE If A, B, or C provide PWSID# N/A Date completed 11 /25/1992 Sanitary seal (Y/N) YES Total depth 181 ft. Cased to 181 ft. FROM WELL LOG Date of test 11/25/1992 Static water level 137 ft. Well production 25 g.p.m. WATER SAMPLE RESULTS: Coliform 0 colonies/100 ml. Arsenic: NO ug./L. B. SEPTIC/HOLDING TANK DATA Nitrate 2.28 mg./L. Weil Log (Y/N) YES Wires properly protected (Y/N) YES Casing height (above ground) 12+ in. AT INSPECTION 5/23/2007 137 ft. 6.97 g.p.m. Other bacteria 0 colonies/100 ml. Date of sample: 5/3/2007 Collected by: S&S ENGINEERING Tank Typa/Matertal STEEL Date installed 1/5/1993 Tank size 1500 gal. Number of Compartments 2 Cleanouts (Y/N) YES Foundation clearnut (Y/N) YES Depression over tank (Y/N) NO High water alarm (Y/N) YES Date of pumping 5/23/2007 Pumper McDONALDS PUMPING C. ABSORPTION FIELD DATA Date installed t a 1_993 Soil rating 4p.d. r ft'/bdrm) 0_4 SystemBED type Length 55 ft. Width 27.5-40.0 ft. Gravel below pipe "1.0 ft. Total depth *6.58 ft. Eff. absorption area 1500 ft' Monitoring tube YES Depression over field NO Data of adequacy test 5/23/2007 Results (Pass/Fall) PASS For 4 bedrooms Fluid depth in absorption field before test 8 in. Water added 1555 gal, New depth 17.5 in. Elapsed Time: 140 min. Final fluid depth ***4 In. Absorption rate >= 600+ 9-p.d. Any rejuvenation treatment (past 12 mo.) (Y/N 8 type) NONE KNOWN If yes, give date — **MT EXTENDS 20.6" BELOW INVERT ***MT WAS DRY ON THE MORNING OF 5/24/2007 D. LIFT STATION Date installed 1/5/1993 "Pump on" level at *85 in. Datum TOP OF LID E. SEPARATION DISTANCES *BELOW TOP OF LID Size in gallons 1500 S.T.E.P. Manhole/Access (YIN) YES "Pump ofr level at * 1.1144 in. High water alarm level at *83 in. Cycles tested ___I__ Meets alarm & circuit requirements? YES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic lank/lift station on lot 100'+ Absorption field on lot 100'+ Public sewer main N/A On adjacent lots 100 + On adjacent lots 100'+ Public sewer manhole/cleanout N/A Sewer /septic service line 25'+ Holding tank N/A Animal containment areas 50'+ Manureianimal 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--LG-L+— SEPARATION 100 + SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ Building foundation 10'+ Water main N/A Water service line 10'+ Surface water 100'+ Driveway, parking/vehicle storage 10'+ Curtain drain NONE KNOWN Wells on adjacent lots 100'+ F. COMMENTS G. ENGINEER'S CERTIFICATION �A��.•'�"' 1 certify that I have determined through field inspections andy ,.....:'. review of Municipal records that the above systems are in conformance with MOA COSH guidelines in efiecf on this .. .. .... date. Engineer's Printed NameJ Gorn s. JEFFREY A GARNESS q •Y E-79 �►'� • •.•��3o�„�r• .� Date 5130 0� COSA Fee -S 3°. 0 o 1' 175 Date of Payment S / 3 j' O 7 Receipt Number 9 7 (Rev. 1 VOS) Waiver Fee E Date of Payment Receipt Number Municipality of Anchorage Development Services Department a Building Safety Division On -Site Water and Wastewater Program s A ` e ,`Y. 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907)343-7904 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcell.D. 015-051-47 HAA# JD4-b3to( Expiration Date: /n/51 gm�l 1. G5NtRALINF&MATION ,,II«cinpletelegal desctikion Lot 9; Block 1; Spring Hill Estates Subdivision b-cation(site.1.dddress...0directions) 9601 Spring Hill Dr. Anchorage Current: Propertyovyner,(a) nonny Odom Dayphone Mailing address '40 an Rox 110941 n nhnr ge, 'AK 99511 Lendmg.agencye Day phone Mailing address Real Estate Agent Day phone Mailing Address Unless otherwise requested, HAA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 4 — 3.- TYPE OF -WATER -SU PPLY.- TYPE OF -WASTEWATER -DISPOSAL: ------....-- - Individual Well Individual On-site Individual Water Storage ❑ Individual Holding tank ❑ Community Class Well ❑ Community On-site ❑ Public Water System ❑ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority Approval (HAA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of Health Authority Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues HAAs upon request to homeowners. Certificates of Health Authority Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water sample. results. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Health Authority Approval Guidelines for this application, shows that the on- site water supply and/or wastewater disposal system is(are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I 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 S & S Engineering Phone 694-2979 Address 17034 N. Eagle River Loop Ste. 204 Eagle River, AK 99577 Engineer's Printed Name Robe Cowan Date_ `7 A)7 A 6. DSD SIGNATURE t"" A 1 ROBERT C. COWAN CE -8801 _ Approved for bedrooms. rl�•ti` Disapproved. �w Conditional approval for bedrooms, with the following stipulations: Additional Comments 4 �s ON-SITE • Pn WASTEWATER _. rnJ Attachments: HAA Checklist X Maintenance Agreements Septic System Advisory Supplemental Engineer's Report Well Flow Advisory Other By: / l 1 - , Lm" '1 1c Q` Q Original Certificate Date: (R..01/02) 111 lllil�.liJN Development Buildii LOP' "11 t51 -IK 1 >.5 ftftka' IfA"B, OWN or C proy Anchorage ks Department" livision Yater P(gramW' SAt ETY aw St. �; AK 99519-6'650 . e.ak.us 04 }(9 z sanitary seal (9/N) Y-�L5 Wires 11 properly protected O/N) 2S xwx;vemzrxsx^ tea: ased to.2gL—,ft. Casing height (above groun ) min P, INSPO"'C� '�'," y,'S:'���;�}v:?f"a`X725*z;�"'�s?5..v1..,r'�AC+S"tT'" �'e .. z°k'�'',�„r^$'''�`..��"=.m�=�t•»l'„+�rW��:t`w%i.:fx`-.0 ,. `7l Zol�� 9Pm 9Pm li.`e •" � t.. "D"+RPu��±�v�`3. :Ylt.:"}.'^vi�c H. iYnu4'54�1�..,'F' }..�u.. °'"u v� �v. �.W'rnF"ik ..,bin 7. ., 5 dra e m 11 Okher bacteria O coloniesl100 ml �Da a ofsampe.��"`d Collected by �i�n3 � %2�Sal f ' �'"*s`�f.'b5,"-e�'"k�.tnk,r.miG^3Ai�+.w�r;4h'i'ie`� k�+7:�%Z` 2. b,.fv`*" w •;wi .»°.r��"` ., - ¢ Date installed._ ripartments eanou s ) )vertank Y High water alarm (Y/ c » T i rumper L r�1QG\S S � 3� Soil rating (g p d /ftp or ft�/bdrm) ©� � .System type; ft. Width 2 - r _ ft. Gravel below pipe ft. ft. Eff absorption area LSA fe 4Monitoring tube t5 Depression over field No _N / zo /0 N Results (Pa'qs/Fail) For '? bedrooms t"t e r, _ in. 'Water added gal. New depth_5 �i in. ^���M��w"-S*'•'�4v^ek3 x.vura ,. :.'e ♦r -.wc:C _n:£. .N. a;,s. 1.m r.,u -. epth d in; Absorption rate >= /_ b0 g p.d e y a , g..Manhole/Ac" q 3 Size in gallons 2 6 S cess &N) ye' -S �l at O'in. "Pump off' level at flql'in. High water alarm level at 3 r t in. o ( Cycles tested 2 Meets alarm & circuit requirements? s that the above systems are in a guidelines in effect on this date. J., Waiver Fee $ ° Date of Payment =t din Receipt Number CE =880]' SPRING HILLS ESTATES SVBO_ tra�•s.et Loi' 9, BLOCK ! "/IJAt bf0.u4Tu26 Ai•DufLl" r "" 11s LOT •1 0all. 3 / 00, N I1�ta• Dole it Z 1 Amid %• 4" W J 1 r l4 0 1. a „ A8 BUILTitwl.W.Yl tl� aw*•i ff farrNDr wo pfaLruq .e uleleom• 7�R !1. WtNSd444J, joked, f1 ti ,,.....- owe.e to d• 16. su.ltff W arwlle set Y.r u......• -- -w 'Tr elfaaor 'a Of fat Ylef iiaAMat " • 11 dory ar Nfoa SMat. no in. unwofi MOobllr mfaafR. ►'MA { t •r.r. NIY.Y.� � •a..a ane Wa fa wMON �.1 YNItl�01 Ot`J�Y W nAWMII u N m N Jul 29 04 09:46& P.1 J�1 29 04 09: 46a m 8J-382 a SPRING HILLS ESTATES LOT 9, BLOCK 1 N ryg�, 49,223 SE. ti `E s t�D tscsrnw ]o'Jo� E I a ^ s t �9•Bd � A °Od{ �4 Z '' V COMMV.DON TNRMWNIONACE I ETD W 6fRCAti NOiE: HEREON MESIO. 1H0&'N I r i NES KAT, 111E I 1 R W z Z i Z � 1 W ' i I i N 0 0 N h P OEC *A �........ X45, 1, 0 ,•a'an'� " w"arc, t i AS -BU I LT 1 HEREBY CEROFY THAT T MYE SURVEYED LTE PIEOPFITIY DO -ED MOVE AND THAT NO 6ASTAUA LAND SUR EA N`i ENCROtOCHMENTS EXIST E7ICEPF A4 INDICATED. JEFF A OWALM, R.LS, R 15 THE R64PDNSYEIUTY OF TNF OWNER TO 4728 WEST MH AVENUE DEIERMNE THE E109WA OF AW EASEMENTS, 1N(%IORAG, AEASI61 BE502 00/ENAMS OR REITW rMd WHICH DO NO PNONE 248-6454 AITEM ON THE RECORIEO SUBOA'NSION PLAT. UNOER NO CIRCUMSTANCES SHWIO ANY DATA Opp+f2t NEITEON BE USED FOR OONSIRUORON OR FOR EVABUSHWC BOUNOO' OR FENCE LINES, 243 ANCHORAGE RECORDING DISTRICT, ALASKA F.B. 92 - NOTE: NO CORNERS SEI THIS DATE. P.2 a m d J O: F_ 0 MUNICIPALITY OF ANCHORAGE • DEPARTMENT OF HEALTH & HUMAN SERVICES :164wi 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. # Q(,5025/_q7 HAA # Q 2N cj '-2 C) t _1 1. GENERAL INFORMATION Complete legal description L- JPrI N6 i1I I Is �� Fl f >✓ S Location (site address or directions) 9&.0i '�:>ri'Ia(--' 0 I1 'D n I v Property owner Ems== 6 U -S IM Wool--) Day phone -3`1> `60 � y Mailing address 70.-1/ ✓D lz 77—wool) /' Lending agency Mailing address Day phone Agent Day phone. Address Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: q 3. TYPE OF WATER SUPPLY: Individual well Community well Public water NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 4. TYPE OF WASTEWATER DISPOSAL: Individual on-site Holding tank Community on-site Public sewer NOTE: If community wastewater system, provide written confirmation from State ADCC attesting to the legality and status of system, 72-025 (Rev. 1/91) Front MOA 921 C. LIFT STATION Date installed Size in gallons Vent (Y/N) High water alarm level "Pump on" level at Manufacturer Manhole/Access (Y/N) "Pump off" level at Cycles tested Meets MOA electrical codes (Y/N) SEPARATION DISTANCE FROM LIFT STATION TO: Well on lot On adjacent lots Surface water D. ABSORPTION FIELD DATA Date installed �hu3 Soil rating c• 4l System type 46-12 Length -S5_, Width LL -5 Gravel thickness / Total depth Total absorption area /5'0C., Cleanouts present (Y/N) Y— Depression over field (Y/N) Al Date of adequacy test 1Naki rouSi %u'( -r '01 Results (pass/fail) PZ -3s: for bedrooms Peroxide treatment (past 12 months) (Y/N) If yes, give date SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot //yOn adjacent lots >/64L Property line Z.Q J To building foundation To existing or abandoned system on lot we ru 6 r`, )..f On adjacent lots > I& Cutbank > -'00 Water main/service line L' s Surface water 7je5e) Driveway, parking/vehicle storage area s/h Curtain drain &LA /Ai•2f'i-A E. ENGINEER'S CERTIFICATION ! certify that 1 have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Signature ie tY4 , &n_ C - Engineer's Name �a 72u �^l Date r HAA Fee $ %%0 00 Date of Payment /'//c' Receipt Number 72-026 (Rev. 3/91) Back MOA 21 Waiver Fee: $ Date of Payment Receipt Number CHEMICAL & GEOLOGICAL LABORATORY A DIVISION OF COMMERCIAL TESTING & ENGINEERING CO. 5633 B STREET ANCHORAGE, ALASKA 99516 TELEPHONE (907) 562-2343 FAX: (907) 561-5301 ANALYSIS RESULTS for INVOICE It 61458 Chemlab Ref.# 92..6753 Sample # 1 Matrix: WATER Client Sample ID WELL WATER L9 BL SPRING HILLS PWSID UA Collected 12/09/92 @ 13:00 tire. Received 12/09/92 @ 14:45 hrs. Preserved with Analysis Completed : 12/11/92 Laboratory Supervisor TEPHEN C. EDE Released By G� Client Name :MCFADDEN, WAYNE Client Acct :MCFAWCS BPO# Req# Ordered By :WAYNE MCFADDEN Send Reports to: 1)MCFADDEN, WAYNE 2) PO# :NONE RECEIVED .......................................,......................................,.......................................................... Parameter Results Units Method Allowable Limits ------------------------------------------------------------------------------------------------------------------------------------ NITRATE-H 3.59 mg/1 EPA 353.2/300.0 10 Sample ROUTINE SAMPLE COLLECTED BY: MCFADDEN. Remarks: ...<.,...,........................,.................................................................................................... 1 Tests Performed See Special Instructions Above UA -Unavailable ND- None Detected See Sample Remarks Above NA- Not Analyzed LT -Less Than, GT-Groater Than INN uSGS Member of the SGS Group (Soci6t6 GAndrale de Surveillance) COMMERCIAL TESTING & ENGINEERING CO. AK DIV CHEMICAL & GEOLOGICAL LABORATORY TELEPHONE (907) 562-2343 5633 B Street Anchorage, Alaska 9951 B . Drinking Water Analysis Report for Total Coliform Bacteria TO BE COMPLETED BY WATER SUPPLIER ❑ PUBLIC WATER SYSTEM I.D. Al PRIVATE WATER SYSTEM L9 Name Phone No. Mailing Address �. CRY Slate 7Jp Code SAMPLE DATE: I Z D Mo. Day Year SAMPLE TYPE: ❑ Routine ❑ Check Sample (for routine sample with lab ref. no. El Treated Water E Special Purpose ❑ Untreated Water SAMPLE Time Collected No. LOCATION Collected By 1 I meam 2 I -- 3 4 5 ca., .t3.E.; READ INSTRUCTIONS BEFORE COLLECTING SAMPLE 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 reliable results. Please send new sample via special delivery mail. Date Received ,ti�a� , Time Received 1 _ Analytical Method: Membrane Filter * No. of colonies/100 ml. Lab Ref. No. Result* Analya w 92.6753 �� FT -1 I- I m _ m m BACTERIOLOGICAL WATER ANALYSIS RECORD Membrane Filter: Direct Count O Coliform/100 ml Verification: ISB Fecal Coliform Confirmation BGB Final Membrane F1111 tesul�/ Collform/100 ml Reported By r /� v' Date /2-'/() - G / -2-- TNTC TNTC = Too Nurner^1le Tn Count OB = Other Bacter PART ONE OF TWO �® REMAINDER TO FOLLOW Time: a.m. p.m. urveillance)