HomeMy WebLinkAboutWILLIAMSON #1 BLK 1 LT 22Williamson #1 Lot 22 Block1 #015-073-39 MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program PO Box 196650 4700 Elmore Road Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 http://www.muni.org/onsite On -Site Wastewater Disposal System Permit Permit Number: OSP231239 Work Type: Septic Upgrade Tax Code Number: 01507339000 Site Legal Address: WILLIAMSON#1 BLK 1 LT 22 G:2437 Site Mailing Address: 5101 E 98TH AVE, Anchorage Owner: LUGO HERMILO GOMEZ JR Design Engineer: ANDERSON CONSTRUCTION & ENGINEERING This permit is for the construction of: Effective Date: Expiration Date: �11ent o S`'• e JWillr De partinent Lot Size in Sq Ft: Total Bedrooms: 8/11/2023 8/10/2024 13919 Q Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ 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 Special Provisions: 1. The mounded cover is to have topsoil and be seeded. 2. The tank configuration may be (2) 1060 gallon tanks in series. - eived � SSU P� to / A)A Issued By: Date: Date: g �/ 4 NWHMPAUTY OF ANCHORAGE Development Services Department one: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 ON-SITE SEPTIC/WELL PERMIT APPLICAI ION Parcel I.D. 015-073-39 Property owner(s) Lugo Hermilo Gomez Mailing address 5101 E 98th Anchorage Ak Site address Same Day phone Legal description (Sub'd., Block & Lot) Williamson #1 B 1 lot 22 Legal description (Township, Range & Section) Lot Size 13919 Sq. Ft. Number of Bedrooms 4 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field 0 Initial ❑ Single Family (SF) (w/wo ADU) Septic Tank El Upgrade El Duplex (D) EJHolding Tank ElRenewal 1-1Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: Distance: I certify that the above information is correct. i further certify that this is in accordance with applicable Municipal Codes. o (Signature of property Permit/Rush Fees: er or authorized agent) Date of Payment: Xy //Z3 Receipt Number: 0 4 q'3 Z7 Permit No. 0 S P Z 31 7 S J Waiver Fees: Date of Payment: Receipt Number: Waiver No. GADevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Client FormsTermit Application.doc Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP231239, Deb Wockenfuss, 08/11/23 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP231239, Deb Wockenfuss, 08/11/23 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP231239, Deb Wockenfuss, 08/11/23 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP231239, Deb Wockenfuss, 08/11/23 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP231239, Deb Wockenfuss, 08/11/23 Wockenfuss, Deborah M. From: Tim Ecklund <oldnailbender@hotmail.com> Sent: Thursday, August 10, 2023 6:38 AM To: Wockenfuss, Deborah M.; Noffsinger, Ross D. Subject: FW: Tim Ecklund [EXTERNAL EMAIL] If they put this on a letter head will this satisfy the MOA? Sent from Mail for Windows From: Reza Shams Sent: Thursday, August 10, 2023 4:30 AM To: Tim Ecklund Subject: Re: Tim Ecklund Here you go Sent via the Samsung Galaxy A52 5G, an AT&T 5G smartphone Get Outlook for Android From: Reza Shams Sent: Tuesday, August 8, 2023 8:18:47 AM To: Tim Ecklund <oldnailbender@hotmail.com> Subject: RE: Tim Ecklund Hi Tim, It was good to speak with you yesterday. As we spoke, our recommendation for tank sizes for BioBarrier g 0.5 to achieve BOD/TSS removal is different than that for TN removal. Below is a summary that you could use with regulatories. ® BioMicrobics recommends two equal volume (1,000 -o -al or greater) tanks when BioBarrieru -0.5 is designed to achieve low effluent BOD/TSS/NH3-N/Fecal Coliform and partial TN removal. The first tank is for settling and the second tank is for treatment where membrane unit is located. ® BioMicrobics recommends 500 -gal settling tank followed by two -zone 1,500 -gal treatment tank for BioBarrier® 0.5 designed for TN removal. The first zone of the 1,500 -gal treatment tank is the anoxic zone and the second zone houses membrane unit. Reza Shams, Ph.D. Vice President, Advanced Process Technology BioMicrobics, Inc. Ph: 913-422-0707 Fax: 913-422-0808 rshams@biomicrobics.com www.biomicrobics.com Welcome to BioMicrobics.com, where Architects, Builders and Property Owners can find useful information advice insights resources and inspiration for "Better Water Management." 1 r MUNICIPALITY OF ANCffORAGE s r jell MCf n -HS MAINTENANCE AND REPAIR AERR GREFNT, herein the "AGREEMENT" made and entered :into as of this _ Day of A —1 tit f of 20,13, by and between L11qV �2., , herein the "OWNER," and the Municipality of Anchorage, herein the "MUNICIPALITY", 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. AgHUA Wagowater Treatment Systems. The Municipality grants permission to the Owner to utilize and operate an Advanced Wastewater Treatment System (AWWTS), described as a-A01&a&- I locate at (legal description) 2. Maigiggaugg, Regairs 1Wd Alteratlan (Clymer is required to read, understand and initial each section) Throughout the term of this Agreement, the Owner shall enter into a service agteement with an AWWTS service and maintenance provider approved by the Municipality or the manufacturer's representative. The AVMTS 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(&), replacement costs, and inspection costs. This includes an annual maintenamce fee (typically $400 to $600). P i_..r Owner agrees that only maintenance and repair persunnol approved by tbo Municipality or the manufacturer's representative will inspect and make any necessary maintenance, repairs or permitted alterations to the system. t- .i.. Owner 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. (rev. 05/18/2018) Page 1 of 3 .�.. Owner acknowledges that the Municipality may request records of maintenance and repairs from the manufacturer's representative or maintenance provider. Owner acknowledges that the fine for failing to maintain and repair an AWWTS may be assessed in accordatice 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. � �. L Owner agrees that any We or transfer of title of the property will not occur without a new Certificate of tin -Site Systems Approval_ K- L Owner 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. Owner 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. Jarisdiedon: Chgia 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 jurisdiction shall not invalidate the remaining provisions of the Agreement. (rev. 05/18/2018) Page 2 of 3 STATE OF ALASKA IMMIM M: 61� Date: ) ss.z PUBLIC>w The foregoing instrument was acknowledged before me this 202-5, by NOTARY LI OR ALASKA My Commission expires: Cr4. MUNICIPALITY: By: _._. _signature} .siiki•. i�� (print name) Date: / y Title: (rev. 05118/2018) Page 3 of 3 Mark Begich Mayor bevetopment Services E)epartment Building Safety bivision On-Site Water & Wastewater Program 4700 Bragow Street P.O. aox 196650 Ancho~ag~, A~ 9951%6650 ,,vww.muni.ora/onsite (907) 343-7904 Well Drilling Permit Number: SW Pump Installation Log Date of Issue: Parcel Identification Number: !Legal Description / t L Property Owner Name & Address: Pump Intake Depth Below Top of Well Casing'.ffO feet Pump Manufacturer's Name: ~) ~c~ Pump Model: ~'5/~ Pump Size ~_._hp Pitless Adapter BurialDepth: l~) feet Pitless Adapter Manufacturer's Name: Pitless Adapter Installer: ~ Well Disinfected Upon Completion? ~Yes [] No Method of Disinfection: Comments: Pump Installer Name: Anchorage Pump & 'v'v'~il S~, 330 East 76th Avenue Anchorage, Alaska 9951 Phone: 907-243-0740 Fax: 9~:)7=243-0742 Attention: The pump installer shall provide a pump installation log to the DSD within 30 days of pump installation. Municipality of Anchorage Page__1 of 2 DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 Anchorage, Alaska 99519-6650 Telephone: 54-5-4744 On-Site Wastewater Disposal System and/or Well Inspection Report Permit Number: SW990158 PID Number: 015--075--,39 MARK WILLEY Wastewater System: [] New [] Upgrade Address:~ 2021 LOCUST COURT ONTARIO, CA ABSORPTION FIELD Phone: No. of Bedrooms: ,~ [] Deep Trench [] Shallow Trench [] Bed [] Mound Other LEGAl. DESCRIPTION .o,, .o,,.~, ,o,o, O.p,~p~o~o.,nm GPD/Sq, Ft, Ft. Lot: 8lock: Subdivision: Depth to pips bottom from original grade:R yth beneath pipe.' 22 1 WILLIAMSON #1 . rt. WELL: [] New [] Upgrade,..,/~ sQ. ~i°noYsl widU~, Ft Number of lin.a: TANK SEPARATION DISTANCES u Septic = Holding B S.T.E.P, From Tank Held StoUon Tank s~w.r u... ANCHORAGE TANK 4000 WaR - - 75'+ 25% STEEL 1 SurfdCeweter - - ~oo'+ LIFT STATION Found=Uon - - 5'+ Cu~ain N~NE KNOWN -- ~,p~tl~* ,~"~ Drain I Remarks: ~. ~C~ ~[ ~'. ~ BENCH MARK 10~.6~ n. ~ O~ ~1 Depa~ment of Health and Human Se~ices approval '~¢.U '... -~ · PERM,T HUMBER: AS BUILT DRAWING PAROE' SW990158 ' 015-073-39 ., A B C J D / ~ TH#1zb_~ ~01 ~.1 b.7 _-- i -- / ~ ~ ~ ~ OLD SEPTIC 302 - - 57.3 j49.9 / .. ~ ~ J ~ANK. CRUSHED ~RM~ - 44.3 50.1 / TH¢2~ ~ ~ /~ AND FILLED. ~03 - : 50.4 51.4 ,/ "~L~~ ~A~N ~H~~© PHONE: (907) 337-6179/F~: (907) 338-3246 WILLIAMSON SUBDIVISION ~1' LOT 22, BLOCK 1 .......... AS-BUILT DRAWING OF HOLDING TANK UPGRADE PREPARED FOR: PHONE NUMBER: ~.' %, J C 546-5798 MARK WILEY (907) K,D.W, 1 = 50' 2 OF 2 ~ B C D 301 35,1 5.7_- I - 302 37,3, 49.9 ~,LARM 44.3 50.1 ;03 50.4 51.4 MUNICIPALITY OF ANCHORAGE Department of Health and Human Services On-Site Services Program 825 L Street, Room 502 P.O. Box 196650, Anchorage, AK 995~9-6650 (907) 343-4744 ON-SITE WAS'I'EWATER DISPOSAL SYSTEM PERMIT Upgrade Date Issued: Jun 21, 1999 Expiration Date: Jun 20, 2000 Permit Number: SW990168 Legal Description: WILLIAMSON #1 BLK 1 LT 22 Design Engineer: 0041 AK Water & Wastewater Consulta Owner Name: Mark Wiley OwnerAddress: 2021 Locust Court Ontario, CA 91761-0000 Parcel ID: 015-073-39 Site Address: 005101 VALLEY VIEW DR Lot Size: 13919 SQ. FT. Total Bedrooms: 3 Permit Bedrooms: 3 This permit is for the construction of: [~ Disposal Field ~ SepticTank [] Holding'rank [] Privy [] Private Well [] Water Storage All construction must be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations ( 18AAC72 ) and Drinking Water Regulations ( 1OAACS0 ). 3. The engineer must notify DHHS at least 2 hours prior to each inspection. Provide notification by calling (907) 343-4744 ( 24 hours ). ( Not required for a Water Supply Permit only ). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. Received By: Issued By: Alaska Water & Wastewater Consultants, Inc. 6901 Debarr Road, Suite 2B N Anchorage - Alaska 99504 Phone (907) 337-6179 ~ Fax (907) 338-3246 Cousulting Engineers JUNE 7, 1999 Municipality of Anchorage Department of Health and Human Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 Reft Sewer Upgrade for Lot 22, Block 1, WILLIAMSON #1 S/D. HOLDING TANK To whom it may concern: The existing 3 bedroom house is se~wed by a private well and a septic system that consists of a 1000 gallon septic tank and a trench type drainfield that is surcharged and in ground water. Three test holes were excavated on the property. Grotmdwater was found in all tln'ee holes (see attached soil logs). The groundwater appeared to be traveling just below the organic layer. Based upon our assessment of the site, it is unlikely that there is any suitable accepting soils (2 feet unsaturated), as required to install an onsite septic system. It is our recommendation that your department allow us to install a 4000 gallon holding tank. The tm~k will be located approximately 50 feet west of the existing septic tank and 80 feet away from the ~vell. A copy of the proposed design is attached. If you have any questions, please contact us at 337-617' TRACT 2B WlLMOTH PARK ~t~.L. Ii COMPLE~'ELY. ~OQ ',/~6ACL O~ HOLDIB6 TANK LOT 19, BLOCK WlLLIAMSON S/D ~'1 LOT 18, 8LOCK I 1 WILLIAMSON S/0 ~1I ALASKA WATER AND WASTEWATER CONSULTANTS, INC. 690~ DEBARR ROAD SUITE 28, ANCHORAGE, AK 99504 PHONE: (907) 337-6179/R~X: (907) 338-3246 LEGAL DESCRIPTION: WIL. LIAMSON SUBDIVISION i~l, LOT 22, BLOCK 1, ~(PE OF WORK: SITE PLAN FOR SEPT]C UPGRADE PREPARED FOR: PHONE NUMBER: MARK WILEY 346-$798 ~)ATE:6/7/99 O~WN BY: SCAt. E: PAGE: J.L,M. 1 = 100' 1 OF 1 :-7953 OLD SEPTIC SYSTEM TO BE ABANDONED COMPLETELY. ~H#I PROPOSED 4000 HOLDING TANK. I / CO LOT 23, BLOCK 1 WlLLIAMSON S/D #1 FOC / ALASKA WATER AND WASTEWATER CONSULTANTS, INC. BgD1 DEBARR ROAD, SDIIE 213. ANCHDRAOE, AK. B9504 PHONE: (907) 337-BI79/FAX: (907) 33B-3249 PHONE NUMBER: (907)345-.3798 LEGAL DESCRIPTION: WILLIAMSON SUBDIVISION; LOT 22, BLOCK 1, TYPE OF WORK: SITE PLAN FOR SEPTIC UPGRADE PREPARED FOR: MARK WILEY DATE:6/7/99 DRAWN BY: ISCALE: PAGE: K.D,W, 1 = 50' 1 OF 1 ALASKA WATER & WASTEWATER CONSULTANTS, INC. ~o E. c~s~ ,~S. mc~ * ^~C,O,A~E, ~. ~0~~__~.. "~ LEGAL DESCRIPTION: WlLLIAMSON SUBDIVISION ~1; LOT 22, BLOCK 1, PERFORMED FOR: MARK WIL~ ~..~ ~EPTH ~ feet) .:::~SLI ORGANICS i~~~:~ ~(~ ..... so'g C~SSIFIOATIONS 2 ~ 3 .~/~ i. (,, ?,~i (SA]-URATE p) ~ ~ ::::::-¢~ / ~) ?.~?e ~ SEPTIC 6 HL ~C~ sc VER NSE DEPTH TO DATE 3ROUNDWATER J 'rEST HOLE ...... LOCAT,ONS A~ APPROXIMATE ~H) 3'9' 4/6/994/2/99~ ~R~O~Ti~ ~S~ ~E~5~ DATE READING CLOCK NET TIHE WATER LEVEL NET DROP TIHE (HINUTES) READING (INCHES) PERCOLATtON RATE (~IN./INCH) ,/PERC. HOLE BIA. ~ (INCHES) ~ TEST RUN BETWEEN - ,FT. ~7 FT. .CT O.-S,= S .T,C 2 FE~ OF UNSATURATED ACCEPTING SOILS. HIGH TECH/(INNO/~ ~¢~T~ AT BEST. PERFORMED BY A~SKA WATER ~ WASTEWATER I, / ~ ~ , CERTI~ THAT. THIS WAS PERFOR~E~IN ACCORDANCE WITH ALL S~A~I¢, JN~GUIDELINES IN EFFECT ON THIS DATE. DATE: DEPTH TO DATE 3ROUNDWATER _. 9'. ..... 4/2/9B 3' 4/6/99 ALASKA WATER & WASTEWATER CONSULTANTS, IN_C. 7520 E. CHESTER HTS. CIRCLE * ANCHORAGE, AK. 99504 [SO}L LOG - PERCOLATION TEST} LEGAL DESCRIPTION: WlLLIAMSON SUBDIVISION ~1; LOT 22, BLOCK 1, ~'-'~' ............... DATE PERFORMED: 4/2/99 [~s~ ,o,~ ~ "~;:c''~ ............ ";&~ 1 ~ ORGANICS 4~}'=:L,FINE SAND (WET) FY/~2'-~ GC -F-rF'r¢ OL i%~7 ~ 'rSST HOLE _ ~(,/ % i 1 / LOCATiOnS A~ ~ t¥' % / I ~0~ ~PPROX~UATE ~ ~ATE READINO CLOCK NET TI~E WATER LEVEL NET VROP ~ TI~E (~INUTES) READING (INCHES) 19~ PERCOLATION RATE - (HIN./INCH) ~PERC. HOLE DIA. - (INCHES) 20~ TEST RUN BETWEEN - FT. AND //¢ FT. .CT .*.C / ///~/ ~/I .~.~o...~ ~ .~.. w.=~ ~ W*.=WA=R ,,( .~. / . , c...,~ ~.AT THIS WAS PERFOR~E~ IN ACCORDANCE WITH ALL ~ ~D~QPA~ELINES IN EFFECT ON THIS ~A=..A=: ~/~/~? ¢/ ~/ ~¢ DEPTH TO DATE 3ROUNDWATER SEEFS ~ 5' . 3' 4/6/99 ALASKA WATER & WASTEWATER CONSULTANTS, INC. 7320 E. CHESTER HTS. CIRCLE * ANCHORAGE, AK. 99504 PHONE (907) 337-6179 * FAX (907) 538-5246 [SO L LO0 - PERCOLATION TESTI LEGAL DESCRIPTION: WILLIAMSON SUBDIVISION ~1; LOT 22. BLOCK 1, PERFORMED FOR: MARK WILEY DATE PERFORMED: 4/9/99 ORGANICS ITEST HOLE #3I FILL ORGANICS SP HL DENSE ATURATED SILT SOIL CLASSIFICATIONS OR ML CL OL M~- CH DEPTH TO DATE GROUNDWATER 7' 4/12/~9 DATE READING CLOCK NET TIME WATER LEVEL NET DROP TIME (MINUTES) READING (INCHES) NO PERCOLATION TEST PERFORMED PERCOLATION RATE - (MIN./INCH) PERC. HOLE DIA. - (INCHES) TEST RUN BETWEEN - COMMENTS: NOT SUITABLE FOR ON-SITE SEPTIC SYS~/.E :¥/~ , TPHEIRsFOwR,~E~EBRYFCRLAb~'K4INW'~TcEcRoF~2AcSETEwWIfHTE,~LII' ~,-Z/~TE~ L BATE.BATE: ¢/3/~'~' ,/ / ~,/ , AND FT. , CERTIFY THAT ;UIDELINES IN EFFECT ON THIS ) MUNICIPALITY OF ANCFIORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street - Anchorage, Alaska 99501 Telephone 264-47;~0 ON-SITE SEWAGE DISPOSAl_ SYSTEM AND/OR WELL INSPECTION REPORT ~ = ' DISTANCE TO: Iw~ Abs ° r P~r~r e? Dwollint~ * Liq. cl~gallons IF HOME.DE: ,nsidelength WiOt,~~ : -- Liquid depth DISTANCE TO: Well Dwelling PERMIT NO. Manufacturer Material Liquid capacity in gallons Well Founda)iol I Neare~ Io~i,e PERMIT NO. "o. of ,in.~ ~~ Total le,~f lines Treno~i~h Distance be~*, lines ~ inches ~tal ef fecti,v~%~ption area f tile to finish grade Material beneath tile M,¢' inches Z/~~' Lengtb Width Depth PERMIT~O. Type of crib Crib diameter Crib depth Total effective absorption area Well Building foundation Nearest lot line DISTANCE TO: Class Depth Driller Distance to lot line PERMIT NO, Buildin~ foundation Sewer line Septic tank Absorption area(s) DISTANCE TO: OTHER PIPE ,~ALS .~ -- . ~O'~ I 72 (Rev. 3/78) FI. II~ i.ENI:!i'FH [::, !: t"IF~;N~}:; :[ CIH :IX'i!; 't'H~}: L.E::H(:i'Fll ,::XH I:::F:[i:T::, CIj:: 'l'l'iE I)EZF'TII I:)1:: 1::t TI;i:EHI::::II I:ll;~: F':[i' ~'.!i:; 't'I"IE [::[:[~ii;'l'!:'ll",ll:::ii: GI:;::OI..i[',!I:::, FIl",!l:::, TILE: fi:li:i'l't'l::)l"t Ol':: Ti-Iii; I:}::;:.::l:::l':D/l::l'l~'l:l:::lN r: 't'l~[}:l:~:[i}: :l:~ MI:il ~;~!:F I.,.!:H:::"I"H F'OI~: H'l!:!: Cii;:'.t:::lb'l!i:L. [::,E:F"IH :[::i; Tl.llii: H :!: N :I H[ .IH E:,E:F:'Tt'I Cfi:: I:::il;~:l::t',,,'Ii}:l. F:Ii",[[::' TI'ti!: li::l::l'l'l'l.:)l'"t CiF:' 'l'll[:!: Ii:::,:',Cl':l',,,'r~T]:l)i',f ,::]:[.,I I:'.'[!1;::'!';:,, AItCTIC fi[JBARC ! ~( LliY' ~ ~ I0 MICHAEL. B. BERG, MA'BI , .c' 6 NSULTANT AG' Mr. Kenneth Simpson P.O. Box 10-1648 Anchorage, Alaska 99511 Rf!CEIVED June 12, 1979 Subject: Soils investigation for sanitary sewer system on Lot 22, Block 1, Williamson Subdivision, Anchorage, Alaska. Dear Mr. Simpson: At your request of June 6, 1979, I conducted a soils investigation at the proposed location of s sanitary sewer system on the subject lot. This investigation, which was accomplished on June 7, 1979, consisted of the inspection of soils removed during the digging of a 11.0 foot deep test pit, using a wheel mounted bacM~oe. The soils encountered are graphically shown on the accompanying test hole log. The soils consisted of a series of interbedded sands, silts and sandy gravels. The soil column and the interrelationships of the strata are shown clearly on the test hole log. A water table was encountered at 7.5 feet while digging. It consisted of a small seep that grew somewhat with time, but still less than 1 gallon accumulated in 30 minutes. The topography of the lot consists of a northerly facing hill dropping to a relatively flat area on the northern most portion. A profile of the lot on a line in a northern direction is included with the location sketch. Vegetation present on the lot consisted of common tall spruce and birch, with some alders and willows and a low ground cover of mosses and grasses. An accompanying sketch shows the subject lot with the approximate location of the test pit in relation to the property lines. The area where the system will be located will have 3 to 4 feet of fill placed over it after construction of the drainfield. This fill will come from the spoil derived from the removal of soil from the hillside at the construction site. I appreciate the opportunity to be of service to you. Please contact me if you have any questions regarding this soils investigation. Very truly yours, Attachments: Drawing of test hole log with location sketch and lot profile sketch. xc: Department of Health and Environmental Protection VaYm ~ 30' A r. 4~ 5' power Easement Lot 22 /Williamson Subd., /Anchorage, Proposed well location Utility Esmnt I N53°00'00"E 120.32' I A' NOT TO SCALE Distances are approximate and have not been measured by surveying methods as to test hole location. Lot topography profile along line A-A'. NOT TO SCALE Profile is approximate and was not defined by surveying methods. Michael B. Bergmann Consulting Geologist Box 191, Star Route A, Anchorage, Alaska 99502 (907)344-9150 T.H. No. 1 6-7-79 0.0' anics & Organic Silt: sl --%moist, loose, brn. and: pred fn to med, fair sorting, sl moist, loose, grybrn. (sP) 3 0' w/some Gravel, Sand pred med to crs, moist, loose, dk grybrn. %_--(SW)-- .....--- 4.0' nterbedded Sands and Silts approx 3"-6" thick. Sands are fn to crs. Silts contain a low trc Clay. Sl moist to vy moist, loose to med dense, discontinuous, grybrn. (SP to ML) ----7.0' (GW) .5' WD & AB Sandy Gravel: w/occ cobble, med dense, moist to wet, grybrn. w/low trc Clay, med dense, "k sl moist, grybrn. ~ (ML) andy Gravel: w/occ cobbles, dense to vy dense, moist, some thin silt layers, grybrn. (GW w/some ML) ll.0"TD Water encountered @ 7.5' while digging. After 30 min. less than 1 gallon had seeped into test pit. Test Hole Log represents soils encoun- tered on Lot 22, Block 1, williamson Subdivision, Anchorage, Alaska. · MUNICIPALITY OF ANCHORAGE Department Services Development De w 1 P P ��� ' � Phone: 907-343-7904 On -Site Water & Wastewater Section �' rFax: 907-343-7997 Certificate of On -Site Systems Approval Parcel I.D. 015-073-39 1. GENERAL INFORMATION Complete legal description WILLIAMSON #1 BLOCK 1 LOT 22 Expiration Date: -1 r oL.-1 _Z0 Location (site address) 5101 E 98TH AVENUE, ANCHORAGE, AK 99516 Current property owner(s) MICHAEL T. BLOMQUIST Day phone Mailing address Real estate agent 5101 E 98TH AVENUE, ANCHORAGE AK 99516 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 3 4. TYPE OF WATER SUPPLY: Day phone TYPE OF WASTEWATER DISPOSAL: Private Well ® Private Septic ❑ Water Storage ❑ Holding Tank Community Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ Waiver request for: Received by: Distance: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ 5,bz - Yeo? -S-b Date of Payment & (I al a 0a6 Receipt Number &o02 / D S COSA# a5 C ;?U / ez48 Date: Waiver Fee $ Date of Payment Receipt Number Waiver # COVID-19 25% DISCOUNT APPLIED 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 FIRST WATER CONSULTING Phone 907-350-9566 Address 13030 SUES WAY, ANCHORAGE AK 99516 Engineer's Printed Name CURTIS HUFFMAN, PE Date 6/8/2020 Comments: This investigation was completed in compliance with MOA guidelines, regulations, and best industry practices / methods. The assessment of the condition of the well and septic applies only to the conditions as of the day tested. The flow and absorption rates may change due to subsurface conditions that may not be observed from the surface, changes in land use, local soil characteristics, groundwater levels that may fluctuate during the year, quality of construction (workmanship & materials), the water usage of the family being served by the ^.► A[ system and maintenance. The operational life of all well and septic systems are subject to � p� • ' • 1A Q``l these various and dynamic characteristics and are outside the control of the evaluator of the �••' :1f well and septic system. Therefore, any estimate of how long a system will function satisfactory/* • ,tn TH for current or future occupants or guarantee that no unseen encroachments, deficiencies or `� — ••* r discrepancies exist can be given by First Water Consulting & FWM � • • • • • • • • • • • • • • 1 �_ • • . 6. DSD SIGNATURE Curtis Huffman �� �F� •, CE 128991 ,• �w System #1 Approved for „3 bedrooms•¢/8/2020 ,.•�� System #2 Approved for bedrooms 1\�pROFEWROFESSIONP Disapproved Conditional approval for bedrooms, with the following stipulations: Original Certificate Date: '-2a ^ Zo 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 0ther e,,q ez s Legal Description: WILLIAMSON #1 BLOCK 1 LOT 22 Parcel ID: 015-073-39 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) Water storage tank volume NA gallons Date drilled 8/16/1979 Well disinfected for coliform test? ❑ Yes ® No Total depth 60 ft ® Coliform bacteria is Negative Cased to 60 ft Nitrate *13.7 mg/L ❑ Nitrate less than MRL (ND) ® Sanitary seal is functioning correctly Arsenic ug/L ® Arsenic less than MRL (ND) ® Wires are properly protected Casing height (above ground) 18+ in. Collected by F ES Date of flow test for COSA 6/5/2020 Static water level at beginning of test 23 ft. Date of Sample 6/5/2020 Well production at time of test 6+ gpm Comments *SEE SULLIVAN SCOPING LETTER. B. TANK DATA Age of tank(s) 21 years Tank type/material HOLDING TANK /STEEL Measured operating fluid level in septic tank ® Standpipes/foundation cleanout per record drawing Date of pumping 5/18/2020 D. ABSORPTION FIELD DATA Which system tested (date installed) ❑ ALL standpipes present per record drawing Total measured depth from grade ft (max) Measured depth to pipe invert from grade ft (min) ❑ N/A —pressurized field ❑ Monitor tubes go to bottom of effective. If not, state depth into effective C. LIFT STATION ❑ Required maintenance completed Age of lift station years Lift station material Comments: See attached L&S inspection report & comments on second page. SEE MOA ADVISORY. Adequacy test date Results ❑ Pass For bedrooms Fluid depth prior to test in Water added gal New depth _ in Elapsed time min ❑ Code -required soil cover over field Final fluid depth in ❑ System presoaked Absorption rate gpd (Required if vacant for greater than 30 days prior to Any rejuvenation treatment (past 12 months) N date of test) If yes, enter date Gallons introduced gallons Comments/Deficiencies: FW!rS E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well) Septic Tank/Lift Station on Lot > 100' ® Yes if No Community Sewer Manhole/Cleanout > 100' ® Yes if No ft ® Yes if No Neighboring Tank > 100' ® Yes if No ft Private Sewer/Septic Line > 25' ® Yes if No Absorption Field on Lot > 100' ® Yes if No ft Holding Tank > 100' ❑ Yes if No 75'+ ft Neighboring Absorption Fields > 100' Water Service Line > 10' ® Yes Animal Containment > 50' ® Yes if No ® Yes if No ft Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' ® Yes if No ft ® Yes if No From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' ® Yes if No ft Surface Water > 100' ® Yes if No _ Property Line > 5' ® Yes if No ft Wells on Adjacent Lots: Absorption Field > 5' ® Yes if No ft Private Wells > 100' ® Yes if No _ Water Main > 10' ® Yes if No ft Community Wells > 200' ® Yes if No _ Water Service Line > 10' ® Yes if No ft If septic tank is under driveway comment below From Absorption Field on Lot to: (Please enter distances if less than required) Building Foundation > 10' ® Yes if No ft If absorption field is under driveway comment below Property Line > 10' ® Yes if No _ ft Wells on Adjacent Lots: Water Main > 10' ® Yes if No ft Private Wells > 100' ® Yes if No —ft Water Service Line > 10' ® Yes if No ft Community Wells > 200' ® Yes if No Surface Water > 100' ® Yes if No ft F. ENGINEER'S COMMENTS ft ft ft ft ft ft ft See attached CEA non-obiection letter for well in electrical easement Holding tank integrity and functionality appears normal based on observations (consecutive day fluid level measurements) L&S inspection and correspondence / tank pumping schedule from A+ Services. G. ENGINEER'S CERTIFICATION 1 certify that / have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. low TH • ' Curtis Huffman �� ��G' •. CE 128991 .• 4`�� iIP,F'p0 6/25/2020 R ��� pROFE3StONA .,� DEVELOPMENT SERVICES DEPARTMENT a � On -Site Water and Wastewater Section www.muni.org/onsite Molding Tank Advisory Certificate of On -Site Systems Approval #OSC 201248 Subdivision: Williamson #1 lot 22 907-343-7904 Fax: 343-7997 Starting at 20 years of age the MOA issues Advisory's for steel septic/ holding tanks. The Holding tank for this property is 21 years old. Typical replacement costs range from $12,000 to $15,000. This advisory must be attached to all copies of the subject Certificate of On -Site Systems Approval. This is an example of what the metal of a 20 year old steel tank MAY look like. � 4 � MaiUng Address P O Box 196650 * Anchorage, Alaska 99519 6650 *www murn org � � t DEVELOPMENT SERVICES DEPARTMENT tl On -Site water and wastewater Section www.muni.org/onsite Nitrate Advisory Certificate of On -Site Systems Approval # OSC 201248 Subdivision: Williamson #1, Block: 1, Lot: 22 907-343-7904 Fax: 343-7997 A water sample revealed a nitrate concentration of 13.7 milligrams per liter (mg/Q. The Environmental Protection Agency (EPA) has established a maximum contaminant level (MCL) of 10.0 mg/L for public drinking water systems. While private wells are not subject to this regulation, EPA standards are based on existing health information and can therefore be used to gauge the relative quality of water from private wells. Please see the attached "Nitrate Fact Sheet" for important information regarding nitrate. This advisory must be attached to all copies of the subject Certificate of On -Site Systems Approval. r Mailing Ac�clress' P O Box 196650* Anchyorage, Alaska 99519 6650 *www muni org x From Northern Testing Laboratories, Inc. Nitrate is a negatively charged compound of nitrogen and oxygen, which is very soluble in water. Nitrate is not readily filtered or otherwise removed in the soil and can pass rapidly into ground water wells. SOURCE: Nitrate is a major component of fertilizer and wastewater. Often the nitrate is in the form of ammonia or protein first, which through contact with oxygen and certain bacteria, converts to the oxidized form known as nitrate. Sources of nitrate from wastewater include urea, ammonia cleaners, food solids, and bacterial cells. It may also result from the breakdown of organic matter buried in the soil. TOXICITY: Nitrate is generally not toxic to adults or children over the age of two or three years, but is associated with a potentially fatal infant disease called methemoglobinemia. In the digestive system of young children, nitrate converts to nitrite, which can pass through the intestinal wall into the blood stream. There it combines with the hemoglobin and interferes with the ability of the blood to carry oxygen. For this reason, methemoglobinemia is referred to as "blue baby" disease. The EPA limits the concentration of nitrate in public drinking water supplies to 10 mg/L. The standard has been lowered from a previous level of 45 mg/L set by the US Public Health Service and the World Health Organization. TREATMENT: due to its solubility in water and negative ionic charge, filtration and other common home water treatment systems such as softening or iron filtration does not readily remove nitrate. The best method for limiting nitrate in well water is source control. This can include avoiding overdosing of fertilizer near the well and maintaining good separation distances between septic tank leach fields and the well. A special anion exchange filter that contains a media with a strong affinity for negatively charged ions in water, or by a reverse osmosis treatment system or distillation can remove nitrate. TESTING: Nitrate analysis is usually done by one of the several "wet chemical" methods using a spectrophotometer to read the final color endpoint. Specific ion electrodes also can be used to detect the activity of nitrate in water. This laboratory uses several different wet chemical methods approved under the public water supply laboratory certification program. They also have test kits available, which the laboratory uses to perform an inexpensive "screening test", and with which the homeowner can monitor the change in nitrate levels from their well. They recommend comparing the test kit results against a certified analysis from the lab occasionally to verify the accuracy of the kit. We recommend using a specially prepared bottle that has been rinsed in hydrochloric acid for collecting samples. ,� Ma�hng Address �P O Box 196650 *Anchorage; Alaska 99519 �6�0'� www murn org Date: 6-10-20 P.O. Box 670269 Chugiak, AK 99567 P: (907) 688-2759 F: (907) 688-2259 TO: Brent Western 5101 E. 98th Ave Anchorage, AK 99507 Camera Inspection Report Ran camera down to 50’. Once camera reached the water the clarity made it difficult to see. Left for 3 hours to let it settle. Upon return, clarity was better but still limited. No perforations or breaches were visible from what we could see. MUNICIPALITY OF Development Services Departments On -Site Water & Wastewater Section Phone: 907-343-7904 Fax: 907-343-7997 14V-DtvG-- 1,-4,vX, Maintenance Lag Owner Street Address_ %() f As 918 b n Phone Legal Desc. PID Septic Tank: �,q -Sludge level inches -Pumping: requiredey s no -Pumping completedey s no Lift station: -Pump basket cleaned yes no -Effluent filter cleanedey s no -Control floats cleanedey s no -Proper float settings confirmedey s no -Operation satisfactoryey s no Alarm System: -Dedicated electrical alarm circuit es no -Audible and visual alarm inside dwelling es no -Alarm system operationatisfacto not satisfactory Manhole Riser N10 -Ground water intrusion at riser to tank connectioney s no -Ground water intrusion around pipe penetrationsey s no -Weep hole functional Ves no -Manhole lid: Functionalery_s no Insulated yes no Properly Securedey s no Other -All manufacturer required inspections and maintenance completed es no Comments: ...... ._.... ......�..._` �N&N ..... "G, . ..... .�..a.... ......... .........9. tiX�.�.....C. ......:�.e')r4T1a ................................ .................................................................................... ................................ Maintenance Provider: Technician �� �T ! I S Date of maintenance - t50y ' os�J Company S 5e dV1ce5 Signature Date t} yo sic>ii�ii�:e_�•ic��=t-r�a mm r®-1v.�rl�A�rJ.� :ie d� SURVEY ORDERED BY: R4'-' tNALL En: a XEI, fR lil t f�M'' THE INFORMATION HEREON IS FOR THE USE OF LENDING INSTITUTIONS SPECIFICALLY TO SHOW ANY CONFLICTS BETWEEN EXISTING STRUCTURES A14D PLATTED LOT LINES AND/OR EASEMENTS; AND IS NOT TO BE USED FOR POSITIONING ADDITIONAL STRUCTURES, IMPROVEtiENTS, OR FENCELINES. EASEMENTS OF RECORD,OR ANY LEGAL ENTITY, OTHER THAN THOSE APPEARING ON THE RECORD PLAT ARENOT SHOWN HEREON( UNLESS INDICATED) NOTE: FENCELINES THAT MAY APPEAR ON THIS DRAWING ARE NOT TO BE USED TO DET'ERMNE PROPERTY L.NES OR POSITION ADDITIONAL IMF-ROVEMENTS. ANY PAVING SHOWN HEREON MAY BE APPROXIMATE DUE TO EEXCESSIVE SNOW AND/OR ICE. AS-BU/LTSURVEY i- =3o, PJO CORNERS SET THIS DATE I HEREBY CERTIFY THAT I HAVE PERFORMED A SURVEY OF THE FOLLOWING DESCRIBED PROPERTY 10T.2 6LOCK 1, .lOLLIAdLSONADD'N 1 ANCHORAGE RECORDING DISTRICT, ALASKA, AND THAT THE VISIBLE IMPROVEMENTS SITUATED THEREON ARE WITHIN THE PROPERTY LINES AND NO VISIBLE ENCROACHMENTS EXIST OTHER THAN NOTED. DATED AT ANCHORAGE,ALASKA THIS 67H DAY OF IUNf , 2020 HOLT LAND SURVEYING '�-E LF ✓EY Cti TA GI HIS n°.4V/SG IS PRFiAADF0R T/1E 0✓1,VF OFFECORD CNL Y 9309 GROVER DRIVE ANY G YInGORVTH✓/tX T/FVATA cCNISP.'O//lPl7EDt IdI fR COI'/A (l7 L; N✓ ANCHORAGE,AK 99507 14646, FE204-61 345-5513 2020 -02691 I -O L Recording Dist: 301 - Anchorage S 6/26/2020 02:45 PM Pages: 1 of 4 IIINIIIII9III�I�I�II�II�I��I�III��I�R�IIVIPI�II�I�R''���IIIIIIIII'IIIIIIII 1203-15A Grid 2437 EN20010 015-073-39-000 ENCROACHMENT PERMIT This permit is between Chugach Electric Association, Inc., an Alaska non-profit electric cooperative, (herein "Chugach"), whose address is P. O. Box 196300, Anchorage, Alaska 99519 and Michael T. Blomquist (herein "Permittee"), whose address is 5191 E. 98`h Avenue, Anchorage, Alaska 99516. 1. Easement. Chugach is the grantee or user of an easement for the construction and maintenance of electrical facilities, as follows: Described in that certain written instrument recorded on the 14' day of March 1988, in Book 1714, Page 309, on file in the office of the District Recorder, Anchorage Recording District, Third Judicial District, Seward Meridian, Alaska, Dedicated by the plat of the subdivision known as Williamson Subdivision Addition No. 1, according to Plat Number 70-192, recorded on the 27`h day of July 1970, on file in the office of the District Recorder, Anchorage Recording District, Third Judicial District, Seward Meridian, Alaska, (herein "Easement") which pertains to the following described real property: The West Five Feet (W 5') and the Southerly Ten Feet (S'ly 10') of Lot Twenty-two (22), Block One (1), Williamson Subdivision Addition No. 1, according to Plat Number 70-192, recorded on the 27t11 day of July 1970, on file in the office of the District Recorder, Anchorage Recording District, Third Judicial District, Seward Meridian, Alaska. Permittee acknowledges the validity of the Easement. Permittee warrants and represents that Permittee is the owner of the fee simple interest in the land subject to the Easement and the following described real property to which the Easement is adjacent: Lot Twenty-two (22), Block One (1), Williamson Subdivision Addition No. 1, according to Plat Number 70-192, recorded on the 27`h day of June 1970, on file in the office of the District Recorder, Anchorage Recording District, Third Judicial District, Seward Meridian, Alaska, (herein "Parcel") Encroachment Permit - Page 1 of 4 eRecorded Document 2. Encroachment. Permittee has constructed or purchased the following improvements on or within the real property subject to said Easement: A well that encroaches approximately One Foot (1') into the cast side of said Easement along the west property line; for a distance of approximately One Foot (1'), AND a retaining wall, which is made of paver blocks, that encroaches approximately One Foot (1') into the northerly side of said Easement on the southerly property line, for a distance of approximately Forty-five Feet (45), (herein "Encroachment") 3. Permit. Chugach hereby authorizes Permittee to continue the existence of the Encroachment in its existing location subject to the covenants set forth in this permit. 4. Indemnification. Permittee shall indemnify and hold Chugach harmless from any claims for personal injury, property damage or other loss arising in any way from the continuation of the Encroachment. 5. No Expansion or Increase. Permittee shall not in any way expand or increase the extent to which the Encroachment occupies any of the real property encumbered by the Easement without the prior written consent of Chugach. Chugach has no obligation to provide such consent. 6. No Interest in Real Estate Acquired. Permittee hereby acknowledges that the Encroachment and any additions thereto, even if in violation of this permit, has not and shall not in the future give rise to any interest or estate in the real property subject to the Easement or any other real property. Without in any way limiting the foregoing, Permittee acknowledges that the Encroachment is not adverse to any interest of Chugach and its continuation is entirely with the permission of Chugach for purposes of the common law doctrine of adverse possession. This permit creates no interest in the real property subject to the easement. 7. Modification of Utility Facilities. If the electric utility facilities located within the Easement are upgraded, added to, replaced or reconstructed, Permittee shall pay that portion of Chugach's total costs for such modification which is reasonably attributable to accommodating or preserving the Encroachment. If such payment is not made within thirty (30) days of written demand for same, Chugach may terminate this permit in accordance with paragraph 9, below. 8. Covenants Running with the Land. The obligations of the Permittee arising from this permit shall be covenants running with the land which shall burden the Parcel and the Permittee's interest in the land subject to the Easement and. shall benefit the Easement. 9. Termination. Chugach may terminate this permit after the giving of thirty (30) days written notice of such termination if: Encroachment Permit - Page 2 of 4 2of4 eRecorded Document 2020-026911-0 a. The Encroachment is enlarged, increased or extended within the real property affected by the Easement. b. The Encroachment is damaged by any means to an extent of more than thirty percent (30%) of its replacement cost at the time of destruction. C. Permittee fails to make the payment described in paragraph 7, above. 10. Term. This permit shall, if not sooner terminated by Chugach, expire forty (40) years from the date hereof. 11. Entire Agreement. This written permit constitutes the entire agreement between the parties with respect to the subject matter hereof and supersedes all other prior or contemporaneous agreements, oral or written, between the parties. No modifications, amendments, deletions, additions or alterations of the permit shall be effective unless in writing and signed by all of the parties hereto. CHUGACH ELECTRIC ASSOCIATION, INC. PERMITTEE Shelly Schmit enior Manager Michael T. Blomquist Date: i "� C} �� Date: _ �- Ze2 Encroachment Permit - Page 3 of 4 3 of 4 eRecorded Document 2020-026911-0 STATE OF ALASKA ) ) ss: THIRD JUDICIAL DISTRICT ) The foregoing instrument was acknowledged before me this PVii' iay of�- , 2020, by Michael T. Blomquist.% STATE OF ALASKA ss: THIRD JUDICIAL DISTRICT i Notary Pub in and for the State of Alaska My commission expires: X1-6;11 2z The foregoing instrument was acknowledged before me this 4j day of 12020, byV_ Senior Manager, Distribution Engineering of Chugach Electric Association, Inc., an Alaska corporation, on behalf of the corporation. AFTER RECORDING RETURN TO: Chugach Electric Association, Inc. P.O. Box 196300 Anchorage, Alaska 99519-6300 o ary Public`m and for the State of Alaska My commission expires: d �-:'i-ZZ Encroachment Permit - Page 4 of 4 4of4 eRecorded Document 2020-026911-0 CNUW1MC:: POWERING June 25, 2020 Michael T. Blomquist 5101 E. 98"' Avenue Anchorage, Alaska 99516 Subject: Letter of Non -objection for Fence within Easement Lot 22, Block 1, Williamson Subdivision Addition No. 1 NEV, of Section 15, T12N, R3W, S.M., Alaska 01320013, Grid 2437, MOA I.D. #015-073-39-000 Dear Mr. Blomquist: Chugach provides its non -objection to the existing wood fencing within the easement areas on the west and southerly sides of the above referenced property, as shown on the As -built Survey by Holt Land Surveying, dated June 6, 2020. It must be your understanding that the installation of the fence in the easement area is at your risk, and Chugach's future use of the easements may require you to relocate the fence and/or provide access across the property for the servicing of Chugach's facilities. This non -objection is given without prejudice to Chugach's full enjoyment of any and all rights it may have in and to such easement areas. Enclosed for your use and information is the 811 Alaska Dig Line utility locate call center card, and Chugach's What is an Easement? handout. If you have any questions, please call Claudia Roberts, Right -of -Way Agent III, at 762-4646. Sincerely, Karen Keesecker Manager, Land Services Enclosures Chugach Electric Association, Inc. 5601 F_lectron Drive, ?O, Box 196300, Anchorage, Atosko 995196300 • !9071563-7494 Fax 190711562-0027 • 1800; 478-7494 wm,vchugacheleciric.com • inio2chu9ochelectric.com MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 Parcel I.D. # CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING 1. GENERAL INFORMATION Complete legal description Lot 22; Block 1; Williamson Subdivision #1 Location (site address or directions) Property owner Mailing address Lending agency Mailin. g address Mark Willey C/O Dynamic 501 E. 98th Avenue Anchorage, AK Properties Attn: Day phone Patty Seymour Day phone Agent pa~y Se_ymot]r/Dymaml ~ Prop~r~i ~s Address '~111 "C" Street Suite 100 Anchorage Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: TYPE OF WATER SUPPLY: Individual well Community well Public water NOTE: XX Day phone 261-755~ AK 99503 If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. TYPE OF WASTEWATER DISPOSAL: Individual on-site Holding tank Community on-site Public sewer NOTE: xx If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 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 com/pliance with all Municipal and State codes, ordinances, and regulations in effect Name of Firm Ad dress 690,1' DEB Engineer's signature on the date ~f//t1~is inspection. ~ / i~l(J . Phone ~ / Date / 2//~t_ ¢ Wastewater Consultants, inc. Shall be PAID ~._. at, or prior to. ', ' c,~,smg for the Engineerh;9 .... ~.. ,~e, v,ce~ Provided, 6. DHHS SIGNATURE Approved for bedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulations: Note: The well for this property meets existing State and Municipal Codes. There are nqtrnff~ pr~nff. Tf- 4~ ~.5g~sJ?a ~ p~riodic testing be-- performed to insure the wells continued suitability. Current nitrate More information on nitrates is available from the On-site Services Program, Additional Comments By: , . JR 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. 72-025 (Rev. 1/91) Back MOA ~21 Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES Environmental Services Division 825 L Street, Room 502 · Anchorage, Alaska 99501 · (907) 343-4744 Legal Description: A. WELL DATA Well type PRIVATE Log present (Y/N) Total depth Sanitary seal (Y/N) Health Authority Approval Checklist WILLIAMSON S/D #1; LOT 22, BLOCK 1 Parcel I.D.: 60' 015-075-39 IfA, B, or C, attach ADEC letter: ADEC water system number N/A Date of test Static water level Well production WATER SAMPLE RESULTS: Coliform 0 Date of sample: 12./7/99 B. SEPTIC/HOLDING TANK DATA Date installed 7./1 ¢J./CJ¢~ Foundation cleanout (Y/N) Date of Pumping NEW YES Date completed 8./16./79 Cased to 60' Casing height (above ground) 18"+ YES Wires properly protected (Y/N) YES FROM WELL LOG AT INSPECTION 8/16/79 7/20/99 25' 24' 7 g.p.m. 7 g.p.m. Nitrate 5.95 mo/L Other bacteria 10 Collected by: A.W.W.C., INC. Tank size 4000 Number of Compartments 1 Cleanouts (Y/N) YES YES. Depression (Y/N) NO High water alarm (Y/N) YES Pumper - C. ABSORPTION FIELD DATA ~ Date installed Soil rating (g.p.d./fF or fF/bdrm) S~__ __ Length _Width __ Gravel thickness below pipe ~ Total depth absorption area__ __ Monitoring Tu~epression over field (Y/N) __ Effective Date of adequacy test__ ~ass/Fail) __ For___ __ bedrooms Fluid depth in aborn.); Immediately after gal. water added (in.): Absorption rate Fluid depth ~ (ins) Minutes later: = g.p.d. ~nt (past 12 months) (Y/N) If yes, give date 72-026 (Rev. 3/96)* D. LIFT STATION ' Date installed _ Size in~_______ Manhole/Access (Y/N) "Purrj,~el at* "Pump off" level High water alarm level at* ~~ *Datum E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/holding tank on lot 75'+ On adjacent lots 100'+ Absorption field on lot Public sewer main N/A N/A On adjacent lots Public sewer manhole/cleanout 100'+ N/A Sewer/septic service kine 25'+ Lift station N/A SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Foundation 5'+ Property line 5'+ Absorption field N/A Water main/service line 10'+ Surface water/drainage 100'+ Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line Building foundation Water~E_~~ Surface water ~ng/vehicle storage area C~ Wells on adjacent lots F. ENGINEER'S CERTIFICATION/,, Signatur~%/F~~ % - ~~~', ~.. .*~ Engineer's Na~e,/. /~ / JEFFR~ A. GARNESS Date /~,~ ~ - · HAA Fee $ Waiver Fee $ Date of Payment Date of Payment Receipt Number Receipt Number __ 72-026 (Rev. 3/96)* MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 Parcel I.D. CER'FI'FICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING 01 5-073-8'6~ .1,c~ _ HAA # I~/,%%c~ 1. GENERAL INFORMATION Complete legal description ;Lot 22; Block 1; Williamson Subdivision #1 Location (site address or directions) 501 E. 98th Avenue P~operty owner Nark Wiliey Mailing address 2021 Locust Court Ontario, Day Phone~94Lg~__9_~0 California 91761 Lending agency I::)ay phone Mailin. g address Agent Day phone Address 2. NUMBER OF BEDROOMS: 3, TYPE OF WATER SUPPLY: Unless otherwise requested, HAA will be held for pickup. NOTE: Individual well xx ¢ Community well Public water If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 4. TYPE OF WASTEWATER DISPOSAL: NOTE: Individual on-site Holding tank Community on-site Public sewer 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 #21 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal s~s~sr~S~a~J;n~liance with all Municipal and State codes, ordinances, and regulations jn effect o.n the.. date Q.f',fl~js ir]_spection. wastewarer uon ul an , .... Name of Firm / *~-6-~--!, ~BarrAg/~, ~;~ 'YA Phone Address ,," /7,,A ?d//~,/CAK /~ / / EngineeCs signature /~/~' (~"~~ Date /// DHHS SIGNATURE /.-/ Approved for -'~-/1/ RE g' bedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulations: ~ote: ~he weJL1 for this property meets existing State and Hunicipal Codes. performed to insure the wells continued suitability. Current nitrate More information on nitrates is available from the On-site Se~ices Program, ~mo, 3~3-47~. Additional Comments By: 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 DH HS 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. Mur, ici pality of Anchorage DEPARTMFNT OF HEALTH & HUMAN SERVICES Environmental Services Division 825 b Street, Room 502. Anchorage, Alaska 99501. Health Authority Approval Checklist Legal Description: WILL.lAMSON #1; LOT 22, BK 1 Parcel i.D.: 015-073-56 A, WELL DATA Well type PRIVATE Log present (Y/N) Total depth 60' If A, B, or C, attach ADEC letter, ADEC water system numoer YES Date completed .~.. Cased to 60' Casing height (above ground) N/A 33" YES Sanitary seal (Y/N) Date of test Static water level YES FROM WELL LOG ~ 25' Wires propeny protected (Y/N) AT INSPECTION 7/20/99 24' Well production 7 g,p,m. 7 g.p.m. WATER SAMPLE RESULTS: Coliform 0 _ Nitrate 5.57 rn~J/L Other bacteria Date of sample: _ 7/20._~/99 Collected by: AWWC, INC. B. SEPTIC/HOLDING TANK DATA Date installed 7/19,/99 Tank size 4-000 Number of Compartments Cieanouts(Y/N). YES · Foundation cleanout (Y/N) YES Depression (Y/N) NO High water alarm (Y/N) YES Date of Pumping NEW Pumper N/A C. ABSORPTION FIELD DATA Date installed Length Width Effective absorption area__ . Soil rating (g,p,d./fF or fF/bdrm) System type ¢/ Gravel thickness below pipe ~...Tetal~pt'"'h Monitoring Tube present (Y~epression over field (Y/N) _ Flesult~;~'~'~'il~~'' For gal. water added (in.): _ __ Absorption rate = .g.p.d. If yes, give date Date of adequacy test _ Fluid depth in absorption fleld~~'-(in.); __ Immediately after Fluid depth _ .~--'~ (ins) Minutes later: ~de treatment (past 12 months) (Y/N) bedrooms 72-026 (Rev. 3/96)* LIFT STATION ~ Date installed Size in gallon~s Manhole/Access (Y/N) N/A "Pu~ "Pump off" level at* High water alarm level at* ~ *Datum E. SEPARATION DISTANCES F. SEPARATION DISTANCES FROM WELLON LOT TO: · ~ieff~eiholding tank on lot Absorption field on lot Public sewer main Sewer/septic service line 75'+ On adjacent lots 100'+ N/A On adjacent lots 100'+ N/A Public sewer manhole/cleanout 25'+ Lift station N/A N/A SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOTTO: Foundation 5'+ Property line 5'+ Absorption field Water main/service line 10'+ Surface water/drainage 100'+ Wells on adjacent lots 75'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOTTO: Property line Surface water Curtain drain Building foundation .~ ~ Driveway, parking/vehicle storage area Wells on adjacent lots ENGINEER'S CERTIFICATIO~,~/ in conformanye wit? HR yH~ gui Engineer,s Nam~~ ~ Date lines in effect on this date. JEFF OARNESS HA&Fee $ Date of Payment ~¢:~'~'~/~..~-- ~//~ ¢ Receipt Number 72-026 (Rev. 3/96)* Waiver Fee $ Date of Payment Receipt Number 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 '~0~0 ~_. 264-4744 Application Date GENERAL INFORMATION (MUST BE COMPLETED RRIOR TO SUBMITTAL) ' ~.~..~ ~..d~ block, subdivision, section, township, range) (a) Legal Descrip c lot, Location (address or directions) (b) Prope~y Owner ~, Mailing Address (c) Lending Institution ~..r~. ~ [g Telephone Mailing Address (d) Real Estate Company and Agent Address Telephone Telephone: Home _~[/'b~ '~7'~,-_ Business ~,.~- ~../~"~ (e) Mail the HAA to the followino address: or: Check here,,~ if hold for pick up. List contact person and day phone number below. TYPE el" RESIDENCE Single-Family~ Number of Bedrooms WATER SUPPLY Individual WellXl~ Community [] Public [] Note: I~ community well system, must have written confirmation from the State Department oI Environmental Conservation attesting to the legality and status. SEWAGE DISPOSAL ' Onsite~ Public [] Community [] Holding Tank [] Note: I1 community well ~ystem, must have written confirmation trom the State Department of Environ mental Conservation attesting to the legality and status, Page 1 of 2 72-025 trey 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 fifes 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 ~ ~ Telephone Address '1/ DHHS APPROVAL ' Approved for ~.,~ bedrooms by .... Date Approved ~ Disapproved Conditional Terms of Conditional Approval r& 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 fRev 8/86) Back WELL DATA MUNICIPALITY OF ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1984 264-4744 Legal Description: Well Classification Well Log Present (Y/N) If A, B, C, D.E.C. Approved (Y/N) I~/~ _ Date Completed °°//~'/7¢/' Yield ~>~ ~¢4~ Cased to _/~- ¢ Total Depth ~ ¢ Static Water Level Casing Height Above Ground -,~ Electrical Wiring in Conduit (Y/N) Separation Distances from Well: To Septic/Holding Tank on Lot / Depth of Grouting Pump Set At Sanitary Seal on Casing (Y/N) Depression Around Wellhead (Y/N) ; On Adjoining Lots ; On Adjoining Lots /k/O/~//~,7 To Nearest Public Sewer ~ O/"J L~' To Nearest Sewer Service Line on Lot '~-'~ ~,, _ ;Date I c~lcl [~ To Nearest Edge of Absorption Field on Lot /O'(p 4- To Nearest Public Sewer Line Cleanout/Manhole Water Sample Collected by Water Sample Test Results Comments 7 SEPTIC/HOLDING TANK DATA Date Installed ct/le /'7 *i Standpipes (Y/N) ~ Depression over Tank (Y/N) Pumping/Maintenance Contract on File (Y/N) Holding Tank High-Water Alarm (Y/N) Separation Distances from Septic/Holding Tank: Size IO¢---~%~ __ No. of Compartments Air-tight Caps (Y/N) To Water-Supply Well To Property Line To Water Main/Service Line Course Foundation Cleanout (Y/N) Date Last pu ~nped I 0/~'~/~ 7 "~,'~..,~' _ ;for Temporary Holding Tank Permit (Y/N) To Building Foundation ~ '~ To Disposal Field I i2) To Stream, Pond, Lake, or Major Drainage Comments Page 1 of 2 72-026 fRev 8/861 Fronl C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed Width of Field Type of System Design Length of Field Depth of Field Gravel Bed Thickness Standpipes Present (Y/N) Date of Last Adequacy Test Square Feet of Absorption Area Depression over Field (Y/N) Results of Last Adequacy Test Separation Distance from Absorption Field: To Water-Supply Well / To Building Foundation / / Lot /~/0/%/~ To Water Main/Service Line To Stream/Pond/Lake/or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area To Property Line I ~ To Existing or Abandoned System on ; On Adjoining Lots .~ ,"~ ~;~ To Cutbank (if present) ~/O~ E Comments Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Electrical Codes (Y/N) Dimensions Manhole/Access (Y/N) "Pump Off" Level at Vent (Y/N) Pumping Cycles during Adequacy Test. Meets MOA Comments ** Check Permitted Bedroom Rating Against HAA Request ** I certify th.~.ve checked, ve~ifie~ o~ conformed to all MOA and HAA guidelines in Signed ,/ ~, ~ Date /O - ~.,¢.~ , ~"~ 1 Company MOA No. effect on the date of this inspection. Receipt No. Date of Payment Amount: $ Page 2 of 2 Engineer's Seal CONSULTING ENGINEER TELEPHONE: (907) 279-3916 RESIDENTIAL WELL INSPECTION LEGAL: LOT 22, BLOCK 1, WILLIAMSON LOCATION: 5101 E.98TH. OWNER: MATTHEW McENENY TYPE OF WELL: SINGLE FAMILY WELL LOG AVAILABLE: YES INSTALLATION REQUIREMENTS MET: YES WELL YIELD FROM WELL LOG: 25 GALLONS PER MINUTE PUMP YIELD: 7 GALLONS PER MINUTE DATE OF INSPECTION: OCTOBER 19, 1987 TEST PROCEDURE: WELL WAS PUMPED AT A CONSTANT RATE OF 7 GALLONS PER MINUTE WHILE THE DRAWDOWN WAS MONITORED WITH AN ACOUSTIC PROBE. THE WATER LEVEL WAS FOUND TO BE ~$__TH'AN 25 FEL ~ BELOW TOP OF CASING, LESS THAN THE MINIMUM READING DISTANCE FOR THE PROBE. AF~F~T~ MINUTES~F_~ELMP~L THE DISTANCE TO THE WATER LEVEL WAS STILL LESS THAN 25 FE~. A TOTAL OF 600 GALLONS WERE PUMPED TEST FOR C~OL/LF~QP~MS AND NITRATES: OCTOBER 20~ 1987 E. COLI 0, ~I?~R_~TE_~S. 5~/~1.~ 10 (a:Llowable) TEST RESULT: THIS WELL MEETS THE REQUIREMENTS OF THE MUNICIPALITY OF ANCHORAGE. THIS WELL WILL PRODUCE MORE THAN 3 GALLONS PER MINUTE FOR MORE THAN FOUR HOURS The Municipal requirement for well flow is 150 ga[Llons of water per bedroom Der 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 land use and other factors that may impact the co~ditions of the aquifer feeding the well. ~ ~ ~ ANCHORAGE, ALASKA 99501 CONSULTING ENGINEER TELEPHONE: (907} 279 3916 SEPTIC SYSTEM ADEQUACY TEST LEGAL: LOCATION: OWNER: RESIDENCE: WELL: SEPTIC SYSTEM: LOT 22, BLOCK 1 WILLIAMSON 51.01 E. 98TH AVENUE MATTHEW McENENY FAM C , PRIVATE, ON SITE FROM MUNICIPAL RECORDS: TANK: GREER STEEL, TWO COMP. ABSORPTION SYSTEM: TRENCH ABSORPTION AREA: 435.SQ. SOIL RATING: 145 INSTALLATION DATE: 1000 GAL. FT. SEPTEMBER 1979 DATE OF PUMPING: OCTOBER 20, 1987. MARX ENTERPRISES DATE OF TEST: OCTOBER 19, 1987 TEST PROCEDURE: SYSTEM WAS INSPECTED AND MEASURED. TANK WAS FOUND WITH FOUR FEET OF COVER AND A LIQUID DEPTH OF 47 INCHES. SOUTH TRENCH SUMP WAS 87 INCHES DEEP AND HAD A WATER DEPTH OF ~8 I~NC~H~. NORTH SUMP WAS 58 INCHES DEEP AND HAD A WATER DEPTH OF .10 [L~[~S. WATER WAS ADDED TO THE SOUTH SUMP AT A CONSTANT RATE OF 7 GALLONS PER MINUTE WHILE THE WATER LEVELS IN THE TWO SUMP WERE MONITORED. THE ADDITION OF 600 GALLONS CAUSED THE WATER LEVEL IN THE SOUTH SUMP TO RISE,~~S, AND THE LEVEL IN THE NORTH SUMP 9 INCHES. THE INFILTRATION RATE WAS MONITORED FOR 50 MINUTES. DURING THIS TIME THE WATER LEVELS DROPPED 2 INCHES IN'THE SOUTH SUMP AND 1.5 IN THE NORTH SUMP, ~C~7~'~'-K~S'~O~' RATE OF MORE THAN 100 -G~~ PER HOUR~ 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 rill continue to meet the operational requi- rements of the Municipality and State. MUNICIPALITY OF ~aNCHORAGE DIVISION OF ENVIRONM_ENTAL HEALTH DEPARTMENT OF HEALTH AND ENVIRONM~]NTAL PROTECTION APPLICATION FOR }rEAL[CH AUTHORITY API>ROVAL CERTIFICATE (a) Legal Description (include lot, block, subdivision, section, township, range) (b) Locatioa (address or directions) Applicants Name Business Applicants Address (c).Applicant is',(check one) Lending Institution ~.~; O~m?~/builder ~_~ ; (d) Lending' In~6iltut~on Telephone Address (e) Real Estate Co. & Agent Address <f) Telephone Mail the HAA to the following address: ~7P? of Residence Single-Family ~ Number of Bedrooms' blulti-Family ~--~ Other (describe) Water Sup?ll 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. s e Onsite ~/~-- Public [--~ Community ~_~ Holding Tank~--'] Note.' /fir community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. [Page 1 of 2] .Engineering Firm Providi~?ctions~ Tests~ File Search_z, 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 herain. I further verify that, based on the information obtained from the M~nicipality of Anchorage files and from my inv.~tigation and inspection, the on-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. DHEP ApjTr oval Approved for'?~&~ Approved /~ Disapproved Terms of Conditional Approval GA~£ION THE MUNICIPALITY OF ANCHORAGE DEPARTMENT OF I~ALTH AND ENVIRONMENTAL PROTECTION (DHEP) ISSUES HEALTH AUTNORITY APPROVAL CERTIFICATES BASED SOLELY UPON THE REPRESENT- ATIONS GIVEN IN PARAGRAPH 5 ABOVE BY AN INDEPENDENT PROFESSIONAL ENGINEER REGISTERED IN THE STATE OF ALASKA. T~ ~tEP DOES THIS AS A COURTESY TO PURCHASERS OF HOMES ~ND 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. (DHEP SEAL) RR4/ej/D18 [Page 2 of 2] 7-19-84 Be , MUNICIPALITY Of: DRPL OF IJEA~'~ &, ENVIRONMENTAL PF~OTkCI'ION MUNICIPalITY OF ~CHO~GE (MOA) · H~ A~HORITY ~PROV~ (H~) ~0V ! CHEOKLI~ - .FEBRU~Y 1984 R [ C [ i V[[ D , ~LL raTA megal Description: ~7~ Total ~pth ~¢~ z Card to ~ ' ~pth of Grouting Casing Height ~ Ground.~ ~.~/ Sanit=y ~al on Casing~) Electrical Wiring in Condui~N) ~presszon ~ound ~l~ead . Sep~ation Distance f~ ~1: To ~ptic/Holding Ta~ on ~q /F~/~' ; ~ Adjoining Lot~ To ~arest Edge of ~sorption Field on Lot /~9<~ fi; On Adjoining ~ts To Nearest Public ~r Line ~ _ To Ne~est Public ~r Clean~t/Manholq ~ ~ To ~a~est ~r ~rvice Linp on ~t water Sable Collected By ~J~ ; ~>e SEPTIC/HOLDING TANK DATA Date Installed ~/:~ . Size Standpit~s/~)-- Ai~-t ight Caps.) No. of Compartments >._ Foundation Cl~nout ~/N ) Pumping/Maintenan~ Contract on File (Y/N) /g//~ ; for. Holding Tank High-Water Alarm (Y/N) i~/~- %%mporary Holding Tank Permit (Y/N)/O~__ Separation Distances from S~ptic/Holding Tank: To Water-Supply Well _ To Property Line To Water Main/Service Line .~- Course qb I O O/~-' To B~ilding Foundation~/~- To Disposal Field ~-0 ' To Stream, Pond, Lake, or Major Drainage Receipt ~ Date Paid Amount: [Page 1 of 2] 2-15-84 C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed ~/~ Width of Field ~ ~ / Square Feet of Absorption A~ea Depression over Field (~)~) %__.- Results of Last Adequacy Test Tm of System sign Length of Field ~_ Depth of Field ~ravel ~d Thickness I~ ~ ~ ~ ..... ~te ?f ~st A~qua~ Test Separation Distanoe from Absorption Field: To Water-Supply Well /~/./6 To Property Line ~ / To Building Foundation /I I To Existing or Abandoned System on Lot /t3/~ ; On Adjoining Lots .~-- To Water Main/Service Line -~ /// To Cutbank(if present) To Stream/Pond/Lake/or Majo~ Drainage Course .~/~ / To Driveway, Parkirx~ Area, or Vehicle Storace Area 2 5~ ? .~ LIFT STATION Date Installed ~__ D~ ns~ons Size in Gallons a/~: ~~(Y/N)Leve.~: "l:h.~p On" Level at ~"',~p Off" High Water Alarm level Vent (Y/N) Tested for ng Cycles du~ing Adequacy Test. Meets YDA Electrical Cod~s ('~' ** Check Permitted Bedroom Rating Against HAA Request ** I certify that I have checked, verified, o~ confor~ed to all MOA IU~R Guidelines in effect on the date of this inspecticn. Signed ~,'~ ~Y~"''~ KB1/d5/s ~,OA NO. S~/-O~,? [Page 2 of 2] 2-15-84 ALASKA PJiUIROFImeF1TAL CO ITROL Sel dlCES, IFIC. Enqi~ri~ 6 ~nui~onmcnbl $1u~lics October 19, 1984 Department of Health and Environmental Protection 825 L Street Anchorage, Alaska 99501 Attn: Keith Bandt Legal: Lot 22 Block I Williamson Subdivision Well Flow Test on Single Family Residence Dear Keith: A flow test was performed on the well at the above property on October 18, 1984. The static water level was at .-21.73'. Over 450 gallons of water was pumped at a rate of 6.5 gpm with a drawdown of 0.32'. The recovery time was 10 minutes. I consider this well adequate for domestic useage in this 3 bedroom house. Please contact me if you have any questions. Approved: Sincerely, ironment al Scientist 1200 LUcsl 33rd Aucnue. SuiI¢ ~,Anclmro§e. Alosko 99503,{907) 561-5040 ~? 'APPLIC. rr FILLS OUT UPPER HAL' 3NLY ~ · 2 k ~ ~ (>, ,~ Phone ~dd~ ~::;*-'h~ ;~ c .~'~ .... ,,,,.~ ~ ~ 7:>, ~ Community t~ Fo, wells driiled prior to that date, givewelldepth(attachloglfav.llable), ~lndlviOual = Year I.OiWdual Installed: ~(~['~'t C-. Time Time Time Time Inspector Inspector Insp6ctor Inspector Field Notes; //~?../~) MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH & /--~...,~,~ ENVIRONMENTAL p~OT~CTION ~- AUG ~ '19E;3 RECEWED ( ~ ) APPHOVED BEDrOOm8 'OONDITION8 OF APPROVAL ( ) DISAP~OVED ( ) C~N~ITIO~AL APPROVAL' DATE _~~ ALASKA SeRUICeS, IIqC. eI1UIROFImeFITAL COrlTROL ~n~Jn¢~rJnq $ ~nvJronmenlol $1udJ¢$ SEPTEMBER 9 1983 JEANNIN ERHART C/O 2702 GAMBLE ANCHORAGE AK 99503 SELLER - BROWN BUYER - CAIN SUBDIVISION - WILLIAMSON BLOCK - 1 LOT - 22 ADEQUACY TEST FOR SEWER SYSTEM THE TYPE OF ABSORPTION SYSTEM IS A TRENCH WITH AN AREA OF 435 SQFT. THE SYSTEM IS CAPABLE OF ACCEPTING 600 GALLONS OF WATER PER DAY. THE SURGE CAPACITY OF THE SYSTEM IS 1000 GALLONS. BASED UPON THE TEST DATA THE SYSTEM IS ACCEPTABLE FOR A 3 BEDROOM HOME, SEPTIC TANK ADEQUACY THE EXISTING SEPTIC TANK VOLUME OF 1000 I8 ADEQUATE FOR THIS 3 BEDROOM HOUSE. 1200 ~JJcsl 33rd fiucnae, Suik B · Anchoeaq¢, Alaska 99503 · (907) 276-1361 R. C].int and Suzanne brown SRA ~oc 80-I Aritho.rage, AK 99507 Subjectg Lot 22, Block 1, Williamson Subdivision Approval .tot thc individual sewcr and water facilities cannot be granted until the Jlol].owing J. teJas have been completed: ~/'i']le septic tank pumped with a receipt submitted to '.his o An adequacy test needs to be perJ~o]fmed on the existin9 leaching area. This test will determine if the syk;tcm is ad~quate according to Natiollal Standalfds. A ].istin9 o2 needs to be submi'at(~d to this office ;{ior 01112 r(}VJ.i~V;. Please notify this Depak"tment for a reinspection when th~: noted discrepancies have bo(:n corrected. If there are any further questions, please call this office at 264-,4720, Sincerely, AssisiLant EnvJ. roi-n;tental S[)ecialis{; JRlO/ej/il2 INSPECTION APPOINTMENTS 'rIME TIME --~-ATE DATE DATE PEOTOR .NSPEOTOR ,NSPEO*O.¢rO_%X' ) MUNIcI~,LITy OF ,",h'C~ORAGE ~UfllCIPALITY OF ANCHORAGE L:,q. 0,' ,. ' ' ENVIRONMENTAL SANITATION DIVISION [J~'l' ~ ~ ~ '~" Talephone 264-4720 BUYER PHONE ~REET LOCATION /f, v ( . 6. TYPE OF RESIDENCE ~- ~ One ~ SINGLE F .Y ~ Two ~ MULTIPLE FAMILY ~ Three 7, WATER SUPPLY '~]~. INDIVIDUAL' COMMUNITY [] PUBLIC UTILITY ~IUMBER OF~BEDROOMS Four Five Six [] Other ATTACH WELL LOG. A well log is required for all wells drilled since June 1975. For wells drilled prior to tha't date, give wel depth (attach log if available.) 8, SEWAGE DISPOSAL SYSTEM '~ NDIVIDUAL~ON-SITE** /~'~ ? YEAR ON-SITE SYSTEM WAS INSTALLED· [] PUBLIC UTI LITY NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED· 72-010 ,Rev. 6/79) ~,~F THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE NUMBER OF BEDROOMS , [] SINGLE FAMILY [] ONE [] THREE [] FIVE [] OTHER [] MULTIPLE FAMILY [] TWO [] FOUR [] SlX PERMIT NUMBER 2, WATER SUPPLY [] INDIVIDUAL DEPTH OF WELL [] COMMUNITY DATE DRILLED [] PUBLIC UTILITY Connection Verified LOG RECEIVED 3, SEWAGE DISPOSAL SYSTEM PERMIT NUMBER []INDIVIDUAL/ON -SITE DATE INSTALLED []PUBLIC UTILITY Coonection Verified __ INSTALLER []Septic Tank or []HoldingTank Size: / (~.~)('~ If Tank is homemade SOILSRATING give dimensions: TOTAL ABSORPTION AREA MATERIAL 4, DISTANCES Septic/Holding Tank Absorption Area Sewer Line I Nearest Lot Line WELL TO: I Absorption1 Area to nearest Lot Line 5, COMMENTS [~APPROV ED FOR ~ BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) [] DISAPPROVED 72-010 (Rew 6/79) November 6, 1981 R. Clin~Suzan Brown % Terri Pisa 1577 C Street Anchorage, Alaska 99501 Subject: Lot 22 Block 1 WJlliamson Subdivision Approval for the individual, sewer and water' facilities cannot be granted until the following items have been completed: (1) The water analysis report needs to be submitted to this office from the Chem Lab, 5633 B Street, for our review. (2) The septic tank pumped with a receipt submitted to this office. If there are any further questions, please call this office at 264-4720. Sincerely, Robert C. Pratt, R.S. Associate Specialist RCP/ljw ~ -' ~ -- DA~'E RECEIVED INSPECTION APPOINTMENTS '~-~--'"'~= --~F~%L.¢~.L~. TIME 'rIME TIME ~ATE DATE DATE ~UNICIPALi~ MUNICIPALITY OF ANCHORAGE ENVlRONM~;,,~[ ;,.j I'tcIION 825 L Street- Anchorage, Alaska 99501 8 ENVIRONMENTAL SANITATION DlVmSlONTelephone 264-4720 R ~C~/V~ D FIEQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES ~ PROPERTY OWNER . PHONE ~AIL[NG ADDRESS ~ '/ ~ REALTOR/AGENT ~. LEGAL DESCRIPTION STREET LOCATION E. TYPE OF RESIDEI~CE NLJMBEH OF~BEDROOMS [] One [] Four [~] Other [] SINGLE FAMILY [] Two I-~ Five [] MULTIPLE FAMILY [] Three [] Six 7. WATER SUPPLY ~J INDJVI DUAL* * ATTACH WELL LOG. A well log is required for all wells drilled [] COMMUNITY since June 1975, For wells drilled prior to that date, give wel [] PUBLIC UTI LITY depth (attach log if available.) "~, SEWAGE DISPOSAL SYSTEM [] INDIVIDUAL/ON-SITE** ,/',~',? YEAR ON-SITE SYSTEM WAS INSTALLED. [] PUBLIC UTILITY NOTEh THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE NUMBER OF BEDROOMS [] SINGLE FAMILY [] ONE [] THREE [] FIVE [] OTHER [] MULTIPLE FAMILY [] TWO [] FOUR [] SIX PERMIT NUMBER 2. WATER SUPPLY [] INDIVIDUAL DEPTH OF WELL [] COMMUNITY DATE DRILLED [] PUBLIC UTILITY Connection Verified LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER [] iNDIViDUAL/ON -SITE DATE INSTALLED []PUBLIC UTILITY Connection VeF[fied Size: [~D~ If Tank is homemade SOILS RATING §ire dimensions: TOTAL ABSORPTION AREA MATERIAL 4. DISTANCESwELL TO: Septic/HoJding Tank Absorption/(~_~ Area Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line 5. COMMENTS [] APPROVED FOR .'"'~ BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) [] DISAPPROVED DATE BY ~ 72-010 (Rev, 6/79)