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Home My WebLink AboutGREENBROOK BLK 2 LT 3 A i MME7"IIIIIIIIIIIIIIIIII AL a Municipality of Anchorage Community Development Department JUN 2 0 2p'6age of 3 On -Site Water & Wastewater Program 4700 Elmore St. • P.O. Box 196650 Anchorage, AK 99519-6650 • http://www.muni.org/onsite • (907)343-7904 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP181035 PID Number: 017-023-63 ❑ New E Upgrade Name: PAM & FRANK SACCO ABSORPTION FIELD ❑ Deep Trench ❑ Shallow Trench ❑ Bed; ound Address: 13040 VON SCHEBEN DRIVE *ANCHORAGE, AK 99516 ❑ Other Phone: No. of Bedrooms: Soil Rating: Total Depth (907) 360-5333 4 GPDISq. FL 7fr��e: FL LEGAL DESCRIPTION Depth to pipe invert from original grade: F Grave pth beneath pipe: Ft. Subdivision: Block: Lot: GREENBROOK 2 3 Fill added above original grade: �G Gravel length: � FL Ft. Owns 1p: _ ange: - section: - Gravel width: V�\� V FL Beds Number of lines: Distance between lines: Ft. SEPARATION DISTANCES Total absorp' area: umber of trenches: Dist. between trenches: To Septic Absorption Lift Holding Public/Private Tank Field Station Tank sewer Lines SQ. FL Ft. rwell N/A EXISTING - - 25'+ TANK 0 Septic ❑ S.T.E.P. ❑Holding ❑ Other Manufacturer. Capacity: Surface Water 100'+ - - N/A ANCHORAGE TANK 1250 Gal. Lot Line 5'+ - - Material: Number of compartments: STEEL 2 LIFT STATION Foundation 10'+ - - Curtain Drain NONE KNOWN Manufacturer. c y Gal. Remarks: PER CONTRACTOR, OLD SEPTIC TANK WAS DECOMMISSIONED PER UPC, "Pump on" level at: ::�� High water alarm at: WATER LINE WAS LOCATED PRIOR TO CONSTRUCTION, AND SOIL COVER WAS Pump Make & Model, Electrical Inspections performed by: WAS ADDED OVER THE EXISTING BED. PIPE MATERIAL (3'+ SOIL COVER OVER BED CONFIRMED BY GEG ON 6(7/2018) EXISTING/ House to tank D3034 Tank to D3034 drainfield Installer EXISTING/ JR1S Drainfield D3034 CO/MT D3034 Inspector GEG, Ltd. BENCH MARK (Assumed elevation) 100.00 Ft. Inspection Location and Description: Dates: 1st 5/23/2018 2nd - 3rd - 4th - BOTTOM OF SIDING BEHIND FCO ENGINEER'S SEAL Community Development Department Approval Conditional approval: Date: _0060 0 T 49 p.:. .D .. ............. .J Gar ss: I Q1D E_ o`Q� . �� A roved'-�-- ��=% Date: pproved- eapr�o� o LICE SE#AECC 84o4ODO0p0�� Inspection Report _1-1-12.doc PERMIT NUMBER: RECORD DRAWING PARCEL ID NUMBER: OSP181035 017-023-63 FINAL GRADE = 99.1 - 99.21 TOP OF TANK ST1 ST2 AT INLET = 94.29 TOP OF TANK AT OUTLET = 94.28 INVERT OF BUNG NEW 1250 GALLON AT INLET= 93.68 SEPTIC TANK INVERT OF BUNG AT OUTLET = 93.51 •# GARNESS ENGINEERING GROUP, Ltd '�'•0 4 ---- -- ----_ CIVIL & ENVIRONMENTAL ENGINEERS -- - - -- -- 10 / I �� / 3701 E. TUDOR ROAD, SUITE 101 'ANCHORAGE, AK 99507 'PHONE (907)337E779-FAX (907)338-3246'WEBS ITE:—.ga.es gin mg.c o,,,, ..�, ,,,,,,,,,, ,,,,,,,,,, ....... / PREPARED FOR: PHONE NUMBER: PAGE NUMBER: PAM & FRANK SACCO 360-5333 3 OF 3 ��G� / eyA. Ga ness ' ;_= LEGAL DESCRIPTION: DRAWN BY: # GREENBROOK; BLOCK 2, LOT 3 L.K.B. •••..,,,,, .4W TYPE OF WORK: DATE: LICENSE♦';:;;S;;s.� •• AS-BUILT 6/13/2018 #AECC884 PERMIT NUMBER: RECORD DRAWING PARCEL NUMBER: OSP 181035017-022 3-63 GREENBROOK; BLOCK 2, LOT4 COMMUNITY WATER A I B I C ST1 17.8 19.7 52.1 ST2 18.6 19.7 52.0 DBL 1 19.4 19.8 51.9 DBL2 28.4 22.8 51.6 C01 30.3 24.0 51.9 CO2 31.3 24.6 52.0 MT1 32.8 25.5 52.1 C. 65.8 34.1 1 20.9 ON 3/6/2018, ARM SERVICES EXPOSED THE SOUTH END OF BED, JETTED THE DISTRIBUTION LINE (FROZEN SLUDGE IN LINE) INSTALLED TWO NEW CLEANOUTS (CO21CO3) AND A NEW MONITORING TUBE (MT1) TO MAKE SYSTEM TESTABLE. 6.8 FEET FROM EDGE OF TANK TO NEAREST DECK SUPPORT 1"=40' FOUNDATION O.H. PORTION OF HOUSE ENBROOK; BLOCK 2, LOT 2 COMMUNITY WATER EXISTING DRAINFIELD APPROXIMATE LOCATION OF WATER LINE PER DAVE MERO WITH JR'S PUMPING. PER DAVE, WATER LINE WAS LOCATED PRIOR TO CONSTRUCTION (SEE ATTACHED DRAWING FROM DAVE MERO WITH JR'S PUMPING) ---, KEY BOX ~• .'� DRIVEWAY w EXISTING 4 BEDROOM HOUSE O.H. DECK / (6.8 FEET FROM EDGE OF TANK -- TO NEAREST DECK SUPPORT) / B ' A EXISTING FCO STI NEW 1250 GALLON ST2 STEEL SEPTIC TANK J / _ DBL1 & DBL2 C011 � I I MT01 / _JC03 / GREENBROOK; BLOCK 1, LOT 1 COMMUNITY WATER GARNESS ENGINEERING GROUP, Ltd __- CIVIL & ENVIRONMENTAL ENGINEERS - 3701 E. TUDOR ROAD, SUITE 101 • ANCHORAGE, AK 99507 • PHONE (907) 337-6179 • FAX (907) 338-3246 • WEBSITE: x garne55enwneenng.com PREPARED FOR: PHONE NUMBER: PAGE NUMBER: PAM & FRANK SACCO 1 360-5333 1 2 OF 3 LEGAL DESCRIPTION: DRAWN BY: GREENBROOK; BLOCK 2, LOT 3 L.K.B. TYPE OF WORK: DATE: I,_ AS -BUILT 1 6/13/2018 ��••,"` ',11,� 41, •��P�E,..... ♦♦♦♦ ....... .... ...... ; 0.. .. .............. ........... .� ♦ ey A. Garn ss # E-7953' _: ♦� �'f'Fp�''••�'.�6 c• 'P� i� LICENSE: ;`;.�� #AECC884 / momarm]i m1w I "AR I_ Chu i!) j REV K xi2 ± MI. 12 1:8 P ally - mm to VERSE] �ONC1PACr�r O,,, MUNICIPALITY OF ANCHORAGE ,oc„t On-Site Water&Wastewater Program N° 5�.. f} PO Box 196650 4700 Elmore Road .i _t� l l Anchorage,Alaska 99519 6650 Phone:(907)343-7904 Fax:(907)343-7997 S •r http://www.muni.orgionsite l epartment 9NCNONP�E On-Site Wastewater Disposal System Permit • Permit Number: OSP181035 Effective Date: 3/27/2018 Work Type: SepticTank Upgrade Expiration Date: 3/27/2019 Tax Code Number: 01702363000 Site Legal Address: GREENBROOK BLK 2 LT 3 G:2839 Site Mailing Address: 13040 VON SCHEBEN DR, Anchorage Owner: SACCO 2008 REVOCABLE TRUST Lot Size in Sq Ft: 50057 Design Engineer: GARNESS ENGINEERING GROUP LTD Total Bedrooms: 4 This permit is for the construction of: ❑ Disposal Field E Septic Tank 0 Holding Tank 0 Privy El 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 Special Provisions: A double cleanout shall be installed downstream the septic tank. Received By: Date: 3/2; 1(/ Issued By: VI-4 jg Ca.t-mac& Date: 3/ 7/1'? MUNICIPALITY OF ANCHOR F ,L, P 4141P.1% Community Development Department : •' e 907;3 :7904~1I Development Services x: 907- 34-7997 On-Site Water & Wastewater Program Mayor Dan Sullivan 6 8L 9s1E On-Site Sewer/Well Permit Application For A Single Family Dwelling Parcel I.D. 017-023-63 Property owner(s) PAM & FRANK SACCO Day phone 360-5333 Mailing address 13040 VON SCHEBEN DRIVE*ACHORAGE, AK 99516 Site address 13040 VON SCHEBEN DRIVE*ACHORAGE, AK 99516 Legal description (Sub'd, Block & Lot ) GREENBROOK; BLOCK 2, LOT 3 Legal description (Township, Section & Range) Lot Size Sq.Ft. Number of Bedrooms 4 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DEWELLING: ((Mall that apply) Initial ❑ Single Family (SF) Absorption Field F 1 (w/wo ADU) Septic Tank ® Upgrade Duplex (D) ❑ Renewal ❑ Holding Tank ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE/WAIVER REQUEST FOR: N/A Distance: - I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal codes. GARNESS ENGINEERING GROUP, Ltd. (Signature of property owner or authorized agent) Permit/Rush Fees: (2 1 S l v Waiver Fees: Date of Payment: 3I- -'7(1! Date of Payment: Receipt Number: 4tab 6\ Receipt Number: Permit No. 0 Pmb35 Waiver No. (Rev.01111) guanic!. GARNESS ENGINEERING GROUPLtd Advanced Treatment System ENGINEERING SALES CONSULTING ' Dealer March 27, 2018 Municipality of Anchorage Development Service Department On-Site Water & Wastewater Program 4700 Elmore Road Anchorage, AK 99507 Ref: Proposed Septic Tank Upgrade for Greenbrook; Block 2, Lot 3 To whom it may concern: The existing 4 bedroom house is served by a community well and a private septic system. Per MOA onsite employee Tim Ecklund, a site visit was made to the subject property by himself on 3/22/2018, prompted by the age of the steel tank (35 years old per MOA records) noted by GEG on the recently submitted COSA. Per Mr. Ecklund, the tank liquid levels were approximately 3 inches lower than what was measured by GEG on the day of the septic test (48" of liquid in the tank on 3/7/2018, 45" of liquid measured by Mr. Ecklund on 3/22/2018). A 3 inch drop since the last GEG evaluation is an indication that the tank is leaking due to age/corrosion. Per Mr. Ecklund, before a COSA can be approved, the septic tank must upgraded. We are proposing to replace the existing 1,250 gallon steel septic tank with a new 1 ,250 gallon steel tank. We are unaware of any adverse impacts this installation would have on adjacent wells or septic systems. If you have any questions, please contact us at 337-6179. ncerely, L . G ..s, P.E., M.S. Pres • :nt 3701 East Tudor Road,Suite 101 *Anchorage,Alaska 99507-1259 Phone: (907)337-6179*Fax: (907)338-3246*Website: www.garnessengineering.com // 1 _ GEG,Ltd.HAS A 8 PAGE SPECIFICATION LETTER THAT PERTAINS TO THIS DESIGN.TO ALL LOTS IN GREENBROOK S/D ARE CONTRACTOR IS TO HAVE THE OBTAIN A COPY OF THE LETTER CONTACT SERVED BY PRIVATE SEPTICS AND A WATER LINE PROFESSIONALLY GEG.BY PROCEEDING FORWARD WITH THIS COMMUNITY WATER SYSTEM LOCATED PRIOR TO CONSTRUCTION INSTALLATION,THE ENGINEER,WELL DRILLER, CONTRACTOR AND PROPERTY OWNER AGREE / THAT THEY HAVE READ THESE SPECIFICATIONS AND AGREE TO ACCEPT THE / TERMS AND CONDITIONS OUTLINED. / (GREENBROOI;BLOCK 2.LOT 41 / (COMMUNITY WELL 1/ El----, f / ,( KEY BOX / Yom;? •,••.'.,i:_ ./...1!•:,.,.: .nom •`� . y�� b...; "/' .••:r'4 � �� ( -a / • CONTRACTOR IS TO ENSURE A 10'• SEPARATION TO FOUNDATION AND EXISTING 4 '� ALL SUPPORTING STRUCTURES BEDROOM HOUSE ,/ / ,....../ .. O.H. / DECK 1zir, INSTALL FCO IF ONE ---.‘44/ / 1963 STEEL TANK TO IS NOT PRESENT STI Q BE DECOMMISSIONED PER UPC ST2 O, NEW 1250 GALLON / (� / TANK 4!SEPTIC � / / I I Joh -J \ EXISTING DRAINFIELD Q IGREENBROOK;BLOCK 2.LOT 21 COMMUNITY WELL l // (GREENBROOK:BLOCK 1.LOT 11 COMMUNITY WELL) SCALE: / 7 1'=60' \ 4:6•11‘11411111 i • 441_ OF( 4 ' x•11\1 1,11 v. GARNESS ENGINEERING GROUP, Ltd ;� '� 4:11. ••�_* :._- .. -.. CIVIL&ENVIRONMENTAL ENGINEERS �e ==£•= i3 - _ ' o I I 0 3701 E.TUDOR ROAD.SUITE 101•ANCHORAGE.AK 99507•PHONE(907)337-6179•FAX(907)338-3246•WEBSITE:www.garnesseng neenng com , PREPARED FOR: PHONE NUMBER: PAGE NUMBER: 0 C•`1 • -iif .: A. Game . • PAM& FRANK SACCO 360-5333 1 OF 1 �• !f,'• C -- 'S'• � • PROJECT/LEGAL DESCRIPTION: DRAWN BY: •. �. .•.• ' 3-) j•p.'•<f1 GREENBROOK; BLOCK 2, LOT 3 L.K.B. �••' ♦ P•�'aQ• ,�P�, •• TYPE OF WORK: DATE: 11 ' ,s,;X44 SEPTIC TANK DESIGN 3/27/2018 LICENSE 1� J NAME MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street- Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT PHONE [~]UPGRADE MA L NGADDRESS LEGAL DESCRIPTION LOCATION L~'3 ~ DISTANCE TO: Manufacturer pacity in gallons DISTANCE TO: DISTANCE TO: of tile to finish grade NO. OF BEDRO~IS ~,~,e,~ ~,~. ~/~ ~,~ Absorption area i [ Dwelling . / PERMIT NO. I"~t~' ] ~/ Meter, ~ ~ ~O~ / ~ '~-~ '~ .~ ( No. of~mpartments I F HOME.DE: Inside length,. ~ Width~ Liquid depth · , Foundatioj~ ~ I Nearest lot li~e ~ ~ ~,~ MaterialDepth beneath tile & inches ]PERM~i~ar PERMIT NO. q ' p 'y' g Length Type of crib STANCE TO: Crib diameter Building foundation Total eff~a N~i~l ot line Depth Driller Distance to lot line PERMIT NO. DISTANCE TO: Building foundation Sewer line Septic tank Absorpt on area(s) OTHER SOIL TEST RATING /JO REMARKS APPROVED /'~ 72-013'~Re .~/78) ~/ DATE LEGAL Department~}~ ¢ ' ~ealEn aha ~nvz~u~=~:~ .......... /F~825 %.~ Street, Anchorage, AK. \_~501 ~ '' * * * HANDWRITTEN PERMIT * * * :rmit ~ ~0~ WELL AND/OR ON-SITE SEWER PERMIT ,pplicant: ~12~pL~ ~ ,~'7~ Mailing Address: /~20 Location: C~Fp~_~aD~ B/~ Phone Nu~er: Legal Description: L3 ~ ~ff~a~L Lot Size: Type~of Soil ~sorption System Is: Trench: Drainfield: Seepage Bed: ~ Holding Tank: ~aximum N~ber of Bedrooms: Soil Rating(sq.ft/br) The Required Size of the Soil ~sorption System Is:' ~/ GRAVEL DEPTH -~' WIDTH' ~0~ DEPTH LENGTH ~5-/ The length dimension is the length(in feet) of the trench or drainfield. The depth of a trench or pit is the distance between the surface of the ground and the bottom of the excavation(in feet). There is no set width for trenches. The gravel depth is the minim~ depth of gravel between the outfall pipe and the bottom of the excavation(in feet). · * REQUIRED SEPTIC(HOLDING) TANK SIZE = ~2S-0 GALLONS * * Permi~ applicant has the responsibility to inform this department during the installation inspections of any wells adjacent to this property and the number of residences that the well will serve. · * * TWO(2) INSPECTIONS ARE REQUIRED * * * Backfilling of any system without final inspection and approval by this department will be subject to prosecution. Minimum distanCe between a well and any on-site sewage disposal system is 100 feet for:a private well or 150 to 200 feet from a public well depending upon the type of public well. Minim~ distance from a private well to a private sewer line is<25 fe~t and to a co--unity sewer line is 75 feet. Well logs are required and.must be returned to this department within 30 days of the well completion. Other requirements may apply. Specifications and construction diagrams are available to insure proper installation. · * * PERMIT EXPIRES DECEMBER 31~ 1 9 8 3 * * * I]certify that: (1) I m f~iliar with the requirements for on-site sewers and wells as set forth by the ~un.icipality of Mchorage. (2) I will 'install the system in accordance with codes. (3) I understand that~e on-site sewer system may require enlargement if the r.~ide~ce is/~o~eled to include more that 3 bedrooms. A~plicant ~ SWP/024(1/81) Date: "In the event that e lift station Is installed an electrical permit and inspection must be obtained. As-bui~ts cannot be approved un- til the electrJca~ Inspection Js received in this offioe. The electrical work must be pe:'- formed by a JJcensed electrician." PERMIT NO. ( FIPPLICRNT HFIROLD FI. CURTIS ±820 E. 24TH. FiVE LOCFIT I ON LEGFIL LOT --:: BLK 2 GREENBROOK SUB TYPE OF SOIL RBSORPTION S'¢STEM IS: TRENCH f'IFIXIt"iUM NUMBER OF BEDROOMS = 4 SOIL RRT!FdG THE REL.]UIRE[:' SIZE OF THE SOIL FIBSORPTION S'¢STEM IS: [:,EPRRTI"IEf~T ( HEFILTH FIN[:, EN',,,' I RONMENTFIL x ,OTEC:T I ON L=:2._, '" L'..-" STF:EET., RNCHORRGE., Rfc:. 99~ie~:t 264-4720 C,l'-~--S :E TE SEL-~EF-: F'EF-:t':] ][ T LOT SIZE ,:: S~]:.! FT,-"BR 1:, = THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRRINFIELD. THE DEPTH OF FI TRENCH OR PIT IS THE DISTFINCE BETWEEN THE SURFFICE OF THE GROUND FIND THE BOTTOM OF THE E,'-<CRVRTION (IN FEET). THERE IS NO SET WIDTH FOR TRENCHES. THE GRRVEL DEF'TH IS THE MINIMUM DEPTH OF GRRVEL BETWEEN THE OUTFRLL PIPE FIND THE BOTTOM OF THE E).,;CFI',/FITION (IN FEET). EREL--:.,IUt ][ ERE[:. SEF'I- I C: T'RI~-41~:::: 5 I: ZE~-~ !25E~ PERMIT RPPLICRNT HFIS THE RESPONSIBILITY TO INFORM THIS DEPFIRTMENT DURING THE INSTRLLFITION INSF'ECTIONS OF FiN'¢ WELLS RDJRCENT TO THIS PROPERTY FIN[:, ]"HE NUMBER OF RESIDENCES THRT THE WELL WILL SERVE. TL.~C, .:- 2 ":, I ~-~=.F E _-T Z C,[-~'£ RF-:E REC.""._" Z F.:FE:, - ' ' 'Fl',,' - E"t' I S BFICKFILLING OF FIN'¢ S'¢STEM WITHOUT FINFIL INSF'ECTION RN[:, HFFR_ ,ML , TH [:,EPRRTMENT WILL BE SUE~EE:T TO PROSECUTION. MINIMUM DISTFINCE BETWEEN Fi WELL FiND RNV ON-SITE SEWRGE DISPOSRL SYSTEM IS &00 FEET FOR R F'RIVFITE WELL OR ±50 TO 200 FEET FROM R F'UBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL MINIMUM DISTFINCE FROM R PRIVFITE WELL TO R PRIVRTE SEWER LINE IS 25 FEET RND TO R COMMUNIT~ SEWER LINE IS 75 FEET. OTHER REQUIREMENTS MFi~ RPPL¥. SPECIFICFiTIONS FiND CONSTRUCTION DIRGRRMS RRE FiVFiILFiB[_E TO INSURE PROPER iNSTFiLLFiTION. F'ERV:-'t :[ T E:-=:F' I: F-:E'_-] [:,EC:EPlE:EF-: 2-: !.. i CERTIFY THFiT ±: I FiM FFiMiLIFIR WITH THE REQUIREMENTS FOR ON-SITE SEWERS FIN[:, WELLS FIS '_=;ET FORTH B'¢ THE MUNICIPFILIT'¢ OF FiNCHORFiGE. ;2: I WILL tNSTRLL THE S'¢STEM IN FiCCORDFiNCE WITH THE CODES. ]:: I UNDERSTFIN[." THRT THE ON-SITE SEWER S'¢STEM t':IFi'¢ REQUIRE ENLFtRGEMENT IF THE RESI[:,ENCE IS F.~EMOE:,ELE[:' TO INC:LIJ[:,E MORE THFiN 4 BE[:,F.:OOMS. SIGNED: Z ,--:-"41 lEE.', B .... [:,FI _ Alaska Tesdab 4040 "B' Street Anchorage, Alaska 99503 Telephone (907) 562-2000 July 19, 1983 W.O. #A21383 Grid: 2839 A1 Curtis SRA Box 374M Anchorage, Alaska 99507 Subject: Results of Excavation on Lot 3, Block 2, Greenbrook Subdivision, for Septic Tank and Drain Field Design Dear Mr. Curtis: Transmitted herein are the results of laboratory tests run on soil samples collected during excavation on the subject prop- erty on July 12, 1983. A hole was excavated approximately 25 feet south of the new foundation to a depth of approximately 8 feet. The excavation was conducted using a backhoe provided by the client. Jan Mulder, engineeriog geologist with Alaska Test- lab, logged the soil conditions encountered and collected grab samples of the two major soil horizons. These samples were visually classified in the laboratory, and a grain size analysis was conducted on the gravelly sand horizon. Soils encountered consist of a surface layer of brown organ- ies to a depth of approximately 0.5 feet. This is underlain by F2, brown silty gravelly sand (SM-SW) with some fibrous organics to a depth of 3.0 feet. Soils encountered from 3.0 feet to the limit of the exploration consist of NFS, grey gravelly sand (SP). Ground water was encountered at approximately 8.0 feet. A perforated RVC standpipe was placed and the hole backfilled to approximately 4.0 feet. The water level was measured four additional times during the following six days. ]he water level remained constant throughout this period. No percola- tion test was performed on the material of interest since it was classified as NFS, qravelly sand (SR). A1 Curtis July 19, 1983 Page 2 If you have any additional questions concerning this report, please do not hesitate to contact us, Sincerely, ALASKA 1ESILAB ring Geoloqist Approved: 'R. Nichols, P.E. Manager OM:MRN:kf 2 · 3 4- 7 g 10 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION ~5 L. Street° Anchorage. Alaska 99501 2~1'41~'/~ SOILS LOG - PERCOLATION TEST LEGAL DESCRIPTION: SLOPE PERCOLATION TEST 11 '12 13 14 15 16 17 18 19 20- ' Gross Net Depth to Net Reading Date Time Time Water Drop__ COMMENTS PERFORMED BY: r~, ~ ~ Z PERCENT FINER ElY WEIGHT ~ERCENT CO~R$~R BY WEIGHT Test Hole LoS - Description Guide The soil descriptions shown on the logs are the best estimate of the soil's characteristics at the time of field examination and as such do not achieve the precision of a laboratory testing procedure. If the log includes soils samples, those samples receive an independent textural classification in the laboratory to verify the field examination, The logs often include the following items: Depth Interval - usually shown to 0.1 foot, within that zone no significant change in soil type was observed through drill action, direct observation or sampling. Frost Classification - NFS. Fl, F2, F3, F4, see "Soil Classification Chart" Texture of Soil - An engineering classification of the soils by particle size and proportion, see "Soil Classification Chart", note the proportions are approximate and ~nudifications to the soil group due to stratification, inclusions arid changes m properties are included. Moisture Content this is a qualitative measure: d_~., m~ or little apparent surface moisture, damp, moisture forms portion of color, less than plastic limit, wet, no free water, ofien soft, if cohesive soil, saturated, free water may be squeezed out, ifa free draining soil; dilatent at natural moisture content, if a non-plastic silt or fine sand. (The moisture content is further definedby reference to PI, LW, NP, M%or dilatency.) Density - refers to more-or-less non-cohesive soils, such as sand gravel mixtures with or without a fine fraction, derived from drilling action and/or sample data; usually described as: very loose, loose, medium dense, very dense. General intent is to portray earthwork characteristics. Stiffness - refers to more-or-less cohesive soils and fine grained silts of t-~ clay-silt groups. Derived from drill action and/or sample data. Very soft, soft, stiff, very stiff and hard are commonly used terms. Particle size -- The largest particle recovered by the split spoon is 1-3/8", Shelby tube Y', auger flights (minute-man) 2", Auger flights (13-50 hollow stem) 6"-8". Larger particles are described indirectly by action of the drilling and are referred to as cobbles, Y' to 8", or boulders 8"+. Therefore when rcviewing the gradation sheets, if any, the description on the hole log must be considered for an"indicafion of larger particles. Unified Soll Classification - This is a two letter code. See Unified Classification sheet for further definition. In some cases AASHO and/or FAA soil classifications may be shown as well as the unified. Atterberg Limits - useful for fine grained and other plastic soils. PI; natural moisture content believed to be less than plastic limit PI+; natural moisture content believed to be between plastic and liquid lTmits L.__~; natural moisture content believed to be greater than liquid limit NPi non-plastic, useful as a modifying description of some silty mattrials. Dilatency - is the ability of water to migrate to the surface of a saturated or nearly saturated soil sample when vibrated or jolted - u~ed as an aid to determine if a fine grained soil is a slightly or non-plastic silt or a volcanic ash. Rock flour - finely ground soil that is not plastic but otherwise appears similar to a clayey silt. Organic Content - usually described as Peat, PT, sometimes includes discrete particles such as wood, coal, etc. as a modifier to an inorganic soil. Quantity described as; trace, or an estimate of volume, or, in case of all organic, - as Peat. This may include tundra, muskeg and bog material. Muck -- a modifier used to describe very soft, semi-organic deposits usually occuring below a peat deposit. Amorphus peat -- organic particles nearly or fully disintegrated. Fibrous Peat - organic particles more-or-less intact. Bottom of Testhole - includes last sample interval. Frost Line - seasonal frost depth as described by drilling action and/or samples at the time of drilling. Frozen Ground - other than frost line, described by samples, usually includes description of ice content, often will include modified Unified Classification for frozen soils - this is a special case related to permafrost studies. Free Water Level - The free water level noted during drilling. This is not necessarily the static water table at the time of drilling or at other seasons. Static water table determination in other than very permeable soils requires observation wells or piezometer installations, used only in special cases. Blow/6' - The number of blows of a 140 weight free falling 30" to advance a 2" split spoon 6"; the number of blows for a 12" advance is. by definition, the standard penetration. M% - natural moisture content of the soil sample, usually not p-~rformed on clean sands or gravels below the water table. Type of Sample - S__P, refers to 2" split spoon driven into the soil by 140 pound weight, a disturbed sample, S, thin wall tube, "Shelby" used to obtain undisturbed samples of fine grained soil, G, "grab" disturbed sample from auger flights or wail of trench, ~ cut sample, undisturbed sample from wall of trench. Dry Strength - a useful indicator of a soil's clayey fraction, N=None. L=Low, M=Medium, H=High Group - The samples are placed into apparently similar groups based on color and texture and are arbitrarily assigned a group letter. Further disturbed tests including Atterberg Limits, grain size, moisture~lensity relationship, etc. may be performed on the group and a.re assumed to reflect the general distrubed characteristics of the soils assigned to the group. This is an important phase of the soil analysis and is used to standardize the various qualitative determinations and to reduce the number of quantitative tests necessary to describe the soil mass. SOIL TEXTURAL CLASSIFICATION CHART GRAVEL 30% CLAY SILTh CLAYE'I OR SILT SAND GRAVEL 0 I0 GRAVELLY SAND 20 30 40 50 60 70 GRAVEL (+ ~4 SCREEN) % BY WEIGHT GRAVEL 80 90 I00 FROST CLASSIFICATION SYSTEM NONFROST SUSCEPTIBLE SOILS ARE INORGANIC SOILS CONTAINING LESS THAN 3% FINER THAN 0.02 mm. GROUPS OF FROST-SUSCEPTIBLE SOILS: F1 GRAVELLY SOILS CONTAINING BETWEEN 3 AND 20% FINER THAN 0.02 mm. F2 SANDY SOILS CONTAINING BETWEEN 3 AND 15% FINER THAN 0.02 mm. F3 a. GRAVELLY SOILS CONTAINING MORE THAN 20% FINER THAN 0.02 mm. AND SANDY SOILS (EXCEPT FINE SILTY, SANDS) CONTAINING MORE THAN 15% FINER THAN 0.02 mm. b. CLAYS WITH PLASTICITY INDEXES OF MORE THAN 12, EXCEPT VARVED CLAYS. F4 ao ALL SILTS INCLUDING SANDY SILTS. b. FINE SILTY SANDS CONTAINING MORE THAN 15% FINER THAN 0.02 mm. cc LEAN CLAYS WITH PLASTICITY INDEXES OF LESS THAN 12. d. VARVED CLAYS. LOt 3, ~lock 2 Depth in Feet From To 0.0 0.5 ..0.5 12..Q 12.0 15.0 Table C WO #Al 9708 Date: 3/14/81 Logged by: T. Krupka Soil Description Peat F-3,~ Brown~ Silty~Sand%':'~SM,~ 10%rounded gravel to 3/4", silt to'.30%, .moist, firm F-2/F-~~, grey Silty Sand, SM, silt to 20%, · saturated, fi~m Set 3/4" perforated PVC pipe to r.un perc test and to monitor water table elevation. Perc Rate =-12.5 minutes/inch Bottom of Test. Hole: F~ost Line: 'Free Water Level:... 15.0 Feet 2.5 Feet 3/14/81 - None .Observed 3/18/81 - 11.6 Feet 3/23/81 - 10.4 Feet 4/9/81 -' 8.1 Feet 4/15/81 - 11.4 Feet �P41117 s MUNICIPALITY OF ANCHORAGE 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. 017-023-63 Expiration Date: j! '2Sr 2-0 2 0 1. GENERAL INFORMATION Complete legal description GREENBROOK BLOCK 2, LOT 3 Location (site address) 13040 VON SCHEBEN DRIVE, ANCHORAGE, AK 99516 Current property owner(s) JONATHAN BRUCE EALY Mailing address Real estate agent. Day phone 13040 VON SCHEBEN DRIVE, ANCHORAGE, AK 99516 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4. TYPE OF WATER SUPPLY: Private Well ❑ Water Storage ❑ Community Well Community Public Water System ❑ Waiver request for: Received by: 4 Day phone TYPE OF WASTEWATER DISPOSAL: Private Septic Holding Tank ❑ Community ❑ Public Sewer ❑ COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ Date of Payment I _ '41— 101 Receipt Number ob��-(�(� COSA # o I15 3 Date: Waiver Fee $ Date of Payment Receipt Number Waiver # Distance: 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 ANDERSON CONSTRUCTION & ENGINEERING Phone 345-3377 Address 4661 NATRONA AVENUE, ANCHORAGE, AK 99516 Engineer's Printed Name MICHAEL N. ANDERSON, PE Date 11/26/2019 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 OF, � t 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 ofAP1 construction (workmanship & materials), the water usage of the family being served by the system and maintenance. The operational life of all well and septic systems are subject to * ...4 9 TH * �/ these various and dynamic characteristics and are outside the control of the evaluator of the well and septic system. Therefore, any estimate of how long a system will function satisfactory / for current or future occupants or guarantee that no unseen encroachments, deficiencies or ;r�-,0,0 discrepancies exist can be given by F15 and Anderson Construction & Engineering. 3U� N. ANDERSON - No. / , No. CE 9489 6. DSD SIGNATURE Pkft1 11/26.... �� ssiovl= System #1 Approved for bedrooms System #2 Approved for bedrooms Disapproved Conditional approval for bedrooms, with the following stipulations: By: %^-_ \ Original Certificate Date: 1 *I-- Ll 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 Septic System Advisory Well Flow Advisory COSA Checklist blue sheet X Nitrate Advisory Arsenic Advisory Other Legal Description: GREENBROOK BLOCK 2 LOT 3 Parcel ID: 017-023-63 If more than 1 septic system on lot: COSA Checklist # _of _ Structure served by this system _ A. WELL DATA — CLASS A (PWSID 210346) ❑ Well log is filed with Onsite (or attached) Date drilled Total depth _ft Cased to _ft ❑ Sanitary seal is functioning correctly ❑ Wires are properly protected Casing height (above ground) _in. Date of flow test for COSA Static water level at beginning of test _ft. Comments B. TANK DATA — 5/23/18 1250 -GAL Age of tank(s) 1.5. years Tank type/material SEPTIC / STEEL Measured operating fluid level in septic tank 49" ® Standpipes/foundation cleanout per record drawing Date of pumping 11/25/19 D. ABSORPTION FIELD DATA Which system tested (date installed) 7/29/1983 ® ALL standpipes present per record drawing Total measured depth from grade 4.9+ ft (max) Measured depth to pipe invert from grade 4.2 ft (min) ® N/A — pressurized field ® Monitor tubes go to bottom of effective. If not, state depth into effective Well production at time of test _gpm Water storage tank volume_ gallons Well disinfected for coliform test? ❑ Yes ❑ No ❑ Coliform bacteria is Negative Nitrate _ mg/L ❑ Nitrate less than MRL (ND) Arsenic — ug/L ❑ Arsenic less than MRL (ND) Collected by Date of Sample C. LIFT STATION ❑ Required maintenance completed Age of lift station years Lift station material Comments: Adequacy test date 11/25/2019 Results M Pass For 4 bedrooms Fluid depth prior to test 2 in Water added 850 gal New depth 5 in Elapsed time 1440 min ® Code -required soil cover over field Final fluid depth 1.75 in ❑ System presoaked Absorption rate 600+ 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 Per measurements — 0.7' ED & absorption bed out of level 0.5' — similar results & measurements per most recent testing / COSA. COSA Checklist.docx E. SEPARATION DISTANCES — CLASS A WELL Fr m. rivate Well on Lot to: (Please enter distances if less than required or if community well) y Septic Tank/Lift Sfatton.on Lot > 100' Community Sewer Manhole/C!-ealiout > 100' Yes if No ft Yes if No Neighboring Tank > 100' ® Yes if1N`o— ft �YYwNr P�riVab Sewer/Septic Line > 25' ® Yes if No Absorption Field on Lot > 100' ® Yes if No � t om` H, lding Tank > 100' ® Yes if No Neighboring Absorption Fields _>4-030' ' Animal Cont la n-t� e t > 50' ® Yes if No Yes if No ft Manure/Animal Excreta Storage? 100' CoT,mt,rtity Sew re 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 Wells on Adjacent Lots: Property Line > 5' ® Yes if No ft Private Wells > 100' ® Yes if No Absorption Field > 5' ® Yes if No ft Water Main > 10' ® Yes if No ft Community Wells > 200' ® Yes if No _ Water Service Line > 10' ®Yes if No ft — Surface Water > 100' ®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) ft ft ft ft ft ft ft 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 ft Surface Water > 100' ® Yes if No ft F. ENGINEER'S COMMENTS Separation distances per visual observations and MOA record docs. G. ENGINEER'S CERTIFICATION I certify that l have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. COSA Checklist.docx OF A.L * :•49 Tx �1 MICHAEL N. ANDERSON. S No. CE 9489 N Air FESSIO�-, 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 system is in compliance with all Municipal an, d State codes, Engineer's signature ordinances, and regulations in effect on the date of this inspection. Address ~_O ~ ~ l,-~-- ~ ! bedrooms. ' 6. DHHS SIGNATURE "' ')~. Approv~cJ' for L~.. . ' DisapprOved. .. Conditional approval for Phone p-?~-~6~ _ ~ ~ ! ,~, Date (-.,2//~ / ,~. ~._ bedrooms, with the following stipulations: Additional Comments By: --~ C) UJ-t~ ,~ T"I IT'id- Date "7/~/C~ 7--. / / 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. 72~25 (Rev. 1/91) 8ack MOA#21 C. LIFT STATION Date installed Size in gallons Vent (Y/N) High water alarm level Meets MOA electrical codes (Y/N) "Pump on" level at Manufacturer Manhole/Access (Y/N) "pump off" level at Cycles tested SEPARATION DISTANCE FROM LIFT STATION TO: Well on lot On adjacent lots Surface water D. ABSORPTION FIELD DATA Date installed "/l~q l ~,'~ Length .~o Width Total absorption area Depression over field (Y/N) Results (pass/fail) Peroxide treatment (past 12 months) (Y/N) Soil rating I ~c~ Gravel thickness Cleanouts present (Y/N) System type ~ Total depth ~ +--' Date of adequacy test for /~/ ~. o~- ~,,~ ~ If yes, give date bedrooms SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot t'~/~ To building foundation On adjacent lots L~O + On adjacent lots H/A Property line To existing or abandoned system on Pot Cutbank /k~/~VzE Water main/service line Surface water Curtain drain Driveway, parking/vehicle storage area E. ENGINEER'S CERTIFICATION I certify that I have checked, verified, or conformed to all MOA and HAA guidelines ineffect on the date of/h~is inspection. Signature Engineer's Name HAA Fee $ ~ ~ ~ Date of Payment ¢//")'""' ~ Receipt Number ~'~ '~ ~--~¢q~ 72-026 (Rev. 3/91) Beck MOA 21 Waiver Fee: $ Date of Payment Receipt Number 203 WEST 15YH. AVENUE SUITE 206 ANCHORAGE, ALASKA 99§02-3904 (907) 279-3916 SEPTIC SYSTEM ADEQUACY TEST LEGAL: Lot 30 Hillside F'ark LOCAT I ON: 7100 Crooked Tree F FOWNER: Brian Carr r..... ¢ 4. Bedrooms RESIDENCE: oingl~ Fam:Lly~ WELL: Community System PWSID 2124-61 SEPTIC SYSTEM: FROM MUNICIPAL RECORDS: 5 Bedroom System TANK: Greer Steel !500 Gal· T~e Comparts. ABSORPTION SYSTEM: Trench ABSORPTION AREA: 800 Sq. Ft. SOIL. RATING: 150 INSTALLATION DATE: 11/12/80 DATE OF LAST PUMPING: Anch. Cess Pool June 18~ 1992 DATE OF TEST: June 17~ 1992 TEST PROCEDURE: System was inspected and measured. Tank was found with 8 feet of cover and wi'th a liquid level o.F 48.5 inch- es. Trench clean out was 8.5 deep and with 5" of liquid. Trench has no monitor . Cleanout at end of trench is plugged. 1450 gallons of clean water was added to the' trench while the water levels in the tank was monitered. The water level rose 3 inches with the first 200 gallons and did not rise any further. TEST RESULT: This system meets the code requirements o~ the Health and Social Services Depart- ment of the Municipality of Anchorage. No actual absorption rates were measured~ but based on the soil report and the fact that the system received 1200 gallons without backing uPs 'the system is judged sat:ksfactory. NOTE 1 ocal during by the system. These conditions are outside the control of ew.~luator o¥ this septic system. We can therefore not. give estimate ef how long this system will function satisfactory current or future occupants. The operational life of all septic systems depends on the soil conditions, grounclwater levels that may fluctuate the year~ and the water usage of the family being served the any roi" OIliER I P,P.V,C Able ~Xc~va~n~ and m~a or 11/12/80 ..... , .il* ' t'~"Lr~ ~ l. ENVIRONMENTAL - bob. 30, H~.llatdo Par~;/iSubdtv~ltoa 203W. 15~h AVE 'C' SUITE 203 ANCHORAGE, ALASKA 99501 TELEPHONE: (907) 279-3916 CONSULTING ENGINEER ~ . :' ~ii: LEGAL: LOCATION: OWNER: RESIDENCE: SEPTIC SYSTEM LOT 30, HILLSIDE PARK 7100 CROOKED TREE JAMES EASTLACK ADEQUACY TEST SINGLE FAMILY, FOUR BEDROOMS WELL: SEPTIC SYSTEM: . - . DATE OF PUMPING: CLASS A COMMUNITY SYSTEM FROM MUNICIPAL RECORDS: TANK: GREER STEEL, TWO COMP. 1500 GAL. ABSORPTION SYSTEM: TRENCH ABSORPTION AREA: 800 SQ.FT. SOIL RATING: 150 INSTALLATION DATE: 11/12/80 JUNE 2, 1987, ANCHORAGE CESSPOOL PUMPING DATE OF TEST: JUNE 1, 1987 :':' ~ "- .... TEST PROCEDURE: SYSTEM WAS INSPECTED AND MEASURED. TANK WAS FOUND '"- '~ ' ' WITH 8 FEET OF COVER AND A LIQUID DEPTH OF 51 · INCHES. TRENCH HAS CLEAN-OUTS AT BOTH ENDS, NO MONITOR TUBES. ·-.~ : BOTH CLEAN-OUTS WERE 8.5 DEEP AND DRY. 1000 GALLONS OF WATER WERE ADDED TO THE CLEAN-OUTS AT A CONSTANT RATE OF 7 GPM WITHOUT ANY SIGNS OF BACKUP. ' TEST RESULT: THIS SYSTEM MEETS THE CODE REQUIREMENTS OF THE MUNICIPALITY OF ANCHORAGE FOR A FOUR BEDROOM RESIDENCE. The operational life of all septic systems depends on the local soil conditions, groundwater levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of this septic system. We can therefore not give any estimate of how long the system will continue to meet the operational requi- rements of the Municipality and State. DEPT. OF ENVIRONMENTAL CONSERVATION ANCHORAGE DISTRICT OFFICE 800 E. DIMOND BLVD,, SUITE 3-470 ANCHORAGE, AK 99503 WALt'ER J, HICKEI., GOVERNOR June 24,1992 FOR: Tobbe'n Spurkland PWSID#210346 My review of the records on file In this office reveals that the Greenbrook S/D Class "A" Public Water System is in compliance with the routine coliform bacteria sampling requirements listed in Table C, and with the Inorganic sampling (nitrate (as nitrogen) only) listed in Table B of 18 AAC 80.200. Sincerely, Rachel Clark College Intern RC/of ~__i MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION DIVISION OF ENVIRONMENTAL HEALTH CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL ¥~ (~_ I ~:'~ ~ OF ON-SITE SEWER AND WATER FACILITY 264-4720 Application Date GENERAL INFORMATION (a) Legal Description (include lot, block, subdivision, section, township, range) (b) (c) Location (address or directions) Applicant Name ~ROkD ~/~"T'I ,~ Telephone: Home Applicant Address Business Applicant is (check one): Lending Institution []; Owner/builder ~; Buyer []; Other [] (explain); (d) Lending Institution Telephone Address (e) Real Estate Company and Agent Address Telephone Mail the HAA to the following address: (f) TYPE OF RESIDENCE Single-Family~ Multi-Family I-I Number of Bedrooms + Other WATER SUPPLY Individual Well [] Community,S. Public [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. SEWAGE DISPOSAL Onsite"~ Public [] Community [] Holding Tank [] ,. i Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. Page I of 2 72-025 (11/84) 'ENGINEERING FIRM PROVIDING~INsPEcTIONS, TESTS, FILE SEARCH, DA~A AND INFORMATION As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Nameof Firm ~:)~:~-.~ '~:~ ~ ~ Telephone ~- ~-~ Address ~ ~' ~ ~ Date Approved bedrooms by /~- Date Disapprove(L/ Conditional Terms of Conditional Approval ; ', CAUTION The Muncipality of Anchorage Department of Health and Environmental Protection DHEP) issues Health Authority Approval certificates based solely upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHEP does this as a courtesy to purchasers of homes and their lending institutions in Order to satisfy certain federal and st,a'te requirements. Employees of DHEP do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. Page 2 of 2 72-025 (11/84) DEPT. OF HEALTH ENVIRONMENTAl. PROTECTION RECEIVED WELL DATA MUNICIPALITY OF ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1984 264-4744 Legal Description: ~-/z f~-~'~v~ ~-/~ ~' ~/~ Well Classification ~,2¢~')~1')~ ~k~ i T-'~q If A, B, C, D.E.C. Approved (Y/N) Well Log Present (Y/N) Date Completed Yield Total Depth Cased to Static Water Level Casing Height Above Ground Electrical Wiring in Conduit (Y/N) Separation Distances from Well; To Septic/Holding Tank on Lot To Nearest Edge of Absorption Field on Lot To Nearest Public Sewer Line Depth of Grouting Pump Set At Sanitary Seal on Casing (Y/N) Depression Around Wellhead (Y/N) ; On Adjoining Lots ; On Adjoining Lots To Nearest Public Sewer Cleanout/Manhole Water Sample Collected by Water Sample Test Results Comments ~ ~¢'¢ ' To Nearest Sewer Service Line on Lot ; Date B. SEPTIC/HOLDING TANK DATA ' Date Installed ~/~/*)~-¢//~-?~ ize J '~/~'~ No. of Compartments Standpipes (Y/N) *~(/,¢.'-"¢,(~) Air-tight Caps (Y/N) Depression over Tank (Y/N) Pumping/Maintenance Contract on File (Y/N) Holding Tank High-Water Alarm (Y/N) Separation Distances from S .e4~,c_ ~..~ g Tank: To Water-Supply Well '{~ To Property Line To Water Main/Service Line 4" ~O r Course ~ Foundation Cleanout (Y/N) ¢~'¢ Date Last Pumped t ti [-7/¢~ ; for Temporary Holding Tank Permit (Y/N) '~ To Building Foundation ¢' ~' / To Disposal Field 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 . '71'~¢I Width of Field "~-"Sq 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 [~PfZt'Y/ Type of System Design Length of Field Depth of Field Gravel Bed Thickness Standpipes Present (Y/N) Date of Last Adequacy Test To Water Main/Service Line 4-,, I 0 L' To Stream/Pond/Lake/or Major Drainage Course ,- To Property Line To Existing or Abandoned System on ; On Adjoining Lots /,JCl5 6 To Cutbank (if present) To Driveway, Parking Area, or Vehicle Storage Area Comments '~ ~,~'~6' ¢~(T-/-~6~ li~-~'4¢~¢ I~0~'~'~ LIFT~ATION Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Electrical Codes (Y/FI) Dimensions Manhole/Access (Y/N) "Pump Off" Level at Vent (Y/N) Pumping Gycles during Adequacy Test. Meets MOA Comments ** Check Permitted Bedroom Rating Against HAA Request ** I certify that ~ra~e checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Signed ~J~~'(.;/~,,,,,,.~[ Date [{'ll~l ~ Company ~-~[~,z~ ~,~j~ MOA No. ReceiptNo. ~O ~ --~)0/ ~ Date of Payment /~;/~'~ ~ Amount: $ ~2 ¢% ~ O Page 2 of 2 72-02~ IRev 8/861 Back Engineer's Seal DEPT. OF ENVIRONMENTAL CONSERVATION RILL SHEFFIELD, GOVERNOR Telephone: (90?) Address: ANCHORAGE/WESTERN DISTRICT OFFICE 437 "E" STREET, SUITE 303 ANCHORAGE, ALASKA 99501 274-2533 DATE: November 17, 1986 PWS I .F).# 210.346 To Whom it May Concern: According to records on file in this office the GREENBROOK S/D Water System is in compliance with the State Drinking Water Regulations Sincerely, Michael P. Lewis Environmental Engineer • • SGC Q` Municipality of Anchorage On-Site Water and Wastewater Program �� (907) 343-7904 S A ETY Certificate of On-Site Systems Approval Parcel I.D. 017-023-63 Expiration Date: 1. GENERAL INFORMATION: Complete legal description Greenbrook; Block 2, Lot 3 Location(site address) 13040 Von Scheben DriveAK 99516 Property owner(s) Frank&Pam Sacco Day phone 360-5333 Mailing address Real Estate Agent Day phone 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ❑ Individual Individual Water Storage ❑ Holding Tank ❑ Community Class Well ® Community ❑ Public Water System ❑ Public Sewer ❑ WaiverNariance request for: Distance: /i Received by: 1/1; Date: (` /Zi COSA to be released to the engineer,unless otherwise requested by the engineer. COSA Fee $ 52 C rt 2-7e( FOS— Waiver Fee $ Date of Payment 3/2 // ( ? Date of Payment Receipt Number 0C1 g°S Receipt Number COSA# 6 c. I e 0c(:7 Waiver# 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On-Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm: Gamess Engineering Group, Ltd (GEG) Phone: 907-337-6179 Address: 3701 East Tudor Road, Suite 101-Anchorage,Alaska 99507 Engineer's Printed Name: Jeffrey A. Garness Date: Co I. I a0000�.�0, -- --- In.conducting-this-evaluation,GEGprovidedan engineering evaluation-of-the-well-and/or septic system ----- ---o I___ --- o, ..�F ��0�� in accordance with the guidelines and regulations established by the Municipality of Anchorage and ` ` � ou industry practices. The reported results describe the condition of the system/s on the date/s of the Q • evaluation. Separation distances were measured to readily identifiable features. Hidden defects or 'N..] Vh encroachments may exist that were not identified during the evaluation. The operational life of all wells �•' ! ii '�� , 7. vi- and septic systems depend upon a variety of variables, including but not limited to, soil conditions, ' g •• groundwater levels (that may fluctuate during the year), quality of construction (materials and 4 '4 VA workmanship), and the water usage of the family utilizing the system/s. These conditions can vary,and ... are outside the control of GEG. Satisfactory test results do not guarantee future performance of the !� :ff - A. -s o system/s;therefore, GEG makes no warranty(express or implied) regarding the future performance of VO C —79 3 QQ the well or septic system. GEG makes no representation whether an alternative well or septic system �i s .,<-7'0 �• • II can be installed on the property in the event either of the current systems fail to perform adequately in Jt%, •'b r 6 g•• csA the future. The content of this report is for the sole benefit of the person/party that retained GEG to � v. r0 essioc oma perform the evaluation. Reliance upon the information provided in this report by any other person or \�D-•poo party (including subsequent property purchasers) is not authorized, nor will it confer any legal right whatsoever. #AECC884 6. DSD SIGNATURE System #1 Approved for bedrooms System #2 Approved for bedrooms ,..,<2 .0 OF itiV cyGx.. Disapproved ON-SITE G.., D Conditional approval for bedrooms, with the following tiptl{01614w- TER o 0 WASTE R A�� U S Pc OG c G fin, rx, By:.. v'-., ~- �' -2 -i? Original Certificate Date: to'"Z!—i g) The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On-Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist Nitrate Advisory . Septic System Advisory - Arsenic Advisory Well Flow Advisory Other COSA blue sheet 10-10-12.doc If more than 1 septic system is on the lot: COSA Checklist#_of Structure served by this system Certificate of On-Site Systems Approval Checklist Legal Description: Greenbrook; Block 2, Lot 3 Parcel ID: 017-023-63 A. WELL DATA Well type community If A, B, or C provide PWSID#210346 Well Log (Y/N) Date completed Sanitary seal (Y/N) Wires properly protected (Y/N Total depth ft. Cased to ft. Casing height (abo - •round) in. FROM WELL LOG AT I ." CTION Date of test Static water level ft. ft. Well production g.p.m. g.p.m. WATER SAMPLE RES : Coliform colonies/100 ml. Nitrate mg./L. Collected by: GEG. Ltd. enic: ug./L. Date of sample: B. SEPTIC/HOLDING TANK DATA Tank Type/Material Septic/Steel Date installed 5/23/2018 Tank size 1250 gal. Number of Compartments 2 Cleanouts (Y/N) Yes Foundation cleanout (Y/N) Yes Depression over tank(Y/N) No High water alarm (Y/N) N/A Date of pumping New Pumper — C. ABSORPTION FIELD DATA Date installed 7/29/1983 Soil rating (g.p.d./ft'or4/bdr 150 System type Bed Length 50 ft. Width 25 ft. Gravel below pipe 0.5 ft. Total depth *4.9+ ft. Eff. absorption area 1250 ft' Monitoring tube**Yes Depression over field No Date of adequacy test 3/7/2018 Results (Pass/Fail) Pass For 4 bedrooms Fluid depth in absorption field before test 0 in. Water added 809 gal. New depth***6 in. Elapsed Time: 120 min. Final fluid depth 4 in. Absorption rate >= 600+ g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N &type) None Known If yes, give date — *Below existing grade ® new MT (installed 3/6/2018 by ARM Services), JR's Pumping added soil cover over the existing bed during the septic tank installation to ensure 3'+ soil cover throughout) **MT extends approximatley 0.66 feet below invert of the distribution line. ***The final 441 gallons introduced caused a 2" rise in liquid level in the MT. Prior to testing the system on 3/6/2018, ARM Services, LLC jetted the distribution line and installed two new cleanouts with a monitoring tube in place of the existing sump at the south end of the bed. (Drainfield is out of level by approximatley 7" per GEG elevations) D. LIFT STATION Date installed Size in gallons Manhole/Access (Y/N) "Pump on" level at in. "Pump off' level at in. High water alarm level at in. Datum Cycles tested Meets alarm & circui • •uirements? E. SEPARATION DISTANCES COMMUNITY SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot On adjacent lots Absorption field on lot On adjacent lots Public sewer main Public sewer manhole/cleanout Sewer/se• .• service line Holding tank imal containment areas Manure/animal excrete storage areas SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 10'+ Property line 5'+ Absorption field 5'+ (Assumed) Water main 10'+ Water service line 10'+ Surface water 100'+ Wells on adjacent lots 100'+ Private/200'+ Community SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line *10'+ Building foundation 10'+ Water main 10'+ Water service line 10'+ Surface water 100'+ Driveway, parking/vehicle storage 10'+ Curtain drain None Known Wells on adjacent lots100'+ Private/200'+ Community F. COMMENTS *Assumed per original (1983) inspection report (see attached image). �OpQOQQ�•\ G. ENGINEER'S CERTIFICATION OFA 9 0 : , O I certify that I have determined through field inspections and � .� 9� H� y • review of Municipal records that the above systems are in "' " VA conformance with MOA COSA guidelines in effect on this Q vA date. ► •,J ' e/ A. Carne-s.: Engineer's Printed N me JEFFREY A. GARNESS O 'E 79 mph Date /' 0 P^ed • \• o� 00,profession o0 #AECC884 (Rev. 11/05) Co '-TD t1 dNFt-`.. O • • "''.e Municipality of Anchorage u 6 7 8 g nor•lig`` !ye ,Yo On-Site Water and Wastewater Program ►,:f. r.,< --572 1 (907) 343-7904 FET Y Certificate of On-Site Systems Appr•ri:. iz ti of n.,. g Parcel I.D. 017-023-63 Expiration Date: 1. GENERAL INFORMATION: Complete legal description Greenbrook;Block 2, Lot 3 Location (site address) 13040 Von Scheben Drive*Anchorage,AK 99516 Current Property owner(s) Frank&Pam Sacco Day phone 360-5333 Mailing address Real Estate Agent Silvia Engeloch Day phone 230-9412 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ❑ Individual El Individual Water Storage ❑ Holding Tank 0 Community Class Well ® Community 0 Public Water System 0 Public Sewer 0 WaiverNariance request for: Distance: l` y Received by: Date: 3/2 ; PA COSA to be released to the engineer,unless otherwise requested by the engineer. COSA Fee $ 2-(r,, fi ��61 = ?bS Waiver Fee $ Date of Payment ?)(2-1 1 1,?. Date of Payment Receipt Number (f rO. j Receipt Number COSA# OSCO 061 (p Waiver# 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On-Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm: Garness Engineering Group, Ltd (GEG) Phone: 907-337-6179 Address: 3701 East Tudor Road,Suite 101-Anchorage,Alaska 99507 Engineer's Printed Name: Jeffrey A. Garness Date: 3)/ Of B 00000pp�., In conducting this evaluation,GEG provided an engineering evaluation of the well and/or septic system , r`' . OF A / Q� in accordance with the guidelines and regulations established by the Municipality of Anchorage and �,.• "'• • industry practices. The reported results describe the condition of the system/s on the date/s of the 4=7 Q- ' *.-.- --°0 S Q evaluation. Separation distances were measured to readily identifiable features. Hidden defects or oQQ� TH `'r *D� encroachments may exist that were not identified during the evaluation. The operational life of all wells 9 0 and septic systems depend upon a variety of variables, including but not limited to, soil conditions, g. D groundwater levels (that may fluctuate during the year), quality of construction (materials and O workmanship),and the water usage of the family utilizing the system/s. These conditions can vary,and .. . are outside the control of GEG. Satisfactory test results do not guarantee future performance of the 0 '•,J_ , A. .• t ess. o system/s;therefore, GEG makes no warranty(express or implied)regarding the future performance of OQ CE 795 e,"___,/ Q the well or septic system. GEG makes no representation whether an alternative well or septic system VQ 9 f •• E /4.. •�c can be installed on the property in the event either of the current systems fail to perform adequately in Q� or ''3• 1.I.. o°o the future. The content of this report is for the sole benefit of the person/party that retained GEG to 4%eaprofesslon°ate perform the evaluation. Reliance upon the information provided in this report by any other person or n�OOOoo -� party (including subsequent property purchasers) is not authorized, nor will it confer any legal right �QP�..%% I OF4 whatsoever. . G NC =S ON_S1-i- 'ttAECC884 6. DSD SIGNATURE CD WATER AND NG m System #1 Approved for I bedrooms •r" WASTEW P ATER , :: System #2 Approved for bedrooms �Licc RGGRAM Disapproved �'?itn� XConditional approval for bedrooms, with the follow)ng stipulations: Add C1/ aver-Nliet4 -1-- 14 Cc/di( Ate-tiU epb Ci — ss-i—vrvv\ . A( 5 cO fVu\kr-if‘P a l -e w c v✓Vy-y 6 SCt4 aca.k( aIA_ . tfc71--,A, tC By: Q- Original Certificate Date: 3 —z--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 / Nitrate Advisory Septic System Advisory _ Arsenic Advisory Well Flow Advisory Other COSA blue sheet 16.10-12.doc If more than 1 septic system is on the lot: COSA Checklist# of Structure served by this system Certificate of On-Site Systems Approval Checklist Legal Description: Greenbrook; Block 2, Lot 3 Parcel ID: 017-023-63 A. WELL DATA Well typecommunity If A, B, or C provide PWSID#210346 Well Log (Y/N) Date completed Sanitary seal (Y/N) Wires properly protected (Y/N Total depth ft. Cased to ft. Casing height (abo - *round) in. FROM WELL LOG AT I " CTION Date of test Static water level ft. ft. Well production g.p.m. g.p.m. WATER SAMPLE RES : Coliform colonies/100 ml. Nitrate mg./L. Collected by: GEG. Ltd. enic: ug./L. Date of sample: B. SEPTIC/HOLDING TANK DATA *35 year old septic tank is approaching the end of its useful life. Tank Type/Material Septic/Steel Date installed *7/29/1983 Tank size 1250 gal. Number of Compartments 2 Cleanouts (Y/N) Yes Foundation cleanout(Y/N) Yes -Depression over tank(Y/N) No I High water alarm (Y/N) N/A Date of pumping 1 � ' Ito J i T Pumper /Uur k-{'t iPnd 11R-A-r7 ). -7 C. ABSORPTION FIELD DATA *Below Existing Grade C New MT installed 3/6 2018 Date installed 7/29/1983 Soil rating (g.p.d./ft2o /bdr 150 System type Bed Length 50 ft. Width 25 ft. Gravel below pipe 0.5 ft. Total depth *3.9+ ft. Eff. absorption area 1250 ft7 Monitoring tube**Yes Depression over field No Date of adequacy test 3/7/2018 Results(Pass/Fail) Pass For 4 bedrooms Fluid depth in absorption field before test 0 in. Water added 809 gal. New depth***6 in. Elapsed Time: 120 min. Final fluid depth 4 in. Absorption rate > 600+ g.p.d. Any rejuvenation treatment(past 12 mo.) (Y/N &type) None Known If yes, give date - **MT extends approximatley 0.66 feet below invert of the distribution line. ***The final 441 gallons introduced caused a 2" rise in liquid level in the MT. Prior to testing the system on 3/6/2018, ARM Services, LLC jetted the distribution line and installed two new cleanouts with a monitoring tube in place of the existing sump at the south end of the bed. Per ARM Services, the drainfield is not isulated and was frozen upon arrival (see attached image). Also, drainfield is out of level approximatley 7" per GEG elevations (requesting conditional COSA). D. LIFT STATION Date installed Size in gallons Manhole/Access (Y/N) "Pump on" level at in. "Pump off" level at in. High water alarm level at in. Datum Cycles tested Meets alarm & circui •uirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: COMMUNITY Septic tank/lift station on lot On adjacent lots Absorption field on lot On adjacent lots Public sewer main Public sewer manhole/cleanout Sewer/se• service line Holding tank imal containment areas Manure/animal excrete storage areas SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation *5'+ Property line 5'+ Absorption field 5'+ Water main 10'+ Water service line 10'+ Surface water 100'+ Wells on adjacent lots 100'+ Private/200'+ Community SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line **10'+ Building foundation 10'+ Water main 10'+ Water service line 10'+ Surface water 100'+ Driveway, parking/vehicle storage 10'+ Curtain drain None Known Wells on adjacent lots100'+ Private/200'+ Community F. COMMENTS *Septic tank is 5'+ from foundation wall. ST1 was measured 7' from deck piling (see attached photos). **Assumed per original (1983) inspection report. oo�oop�� G. ENGINEER'S CERTIFICATION OF. A•� '% ooh. 00 I certify that/have determined through field inspections and1:49 �*review of Municipal records that the above systems are invA �conformance with MOA COSA guidelines in effect on this date. Q r y arnes ..Engineer's Printed Name JEFFREY A. GARNESS QQ � 4779 ) eop� Date 1 r7) �0'Q .• oN �ofession �040000�� #AECC884 (Rev. 11/05) �- �_ Quanics GARNESS ENGINEERING GROUP, Ltd "d`'""°°°T = " ENGINEERING SALES CONSULTING - Dealer March 16, 2018 Municipality of Anchorage Development Service Department On-Site Water&Wastewater Program 4700 Elmore Road Anchorage,AK 99507 Ref: Greenbrook; Block 2,Lot 3—Request for Conditional COSA To whom it may concern: The subject property has a 4-bedroom home that is served by an onsite septic system consisting of a 1,250 gallon steel septic tank and bed type drainfield (50' x 25') that was installed 7/29/1983. The bed was exposed on 3/6/2018 by ARM Services while replacing an existing sump at the southwest end of the drainfield with a new monitoring tube and two cleanouts. Per ARM,the distribution line was uninsulated, frozen with approximately 2-3"of sludge, and only 2'-4"of soil cover(see attached photo).The line was then jetted,allowing for the system to be tested(see adequacy test results on COSA form).Soil cover could not be added at this time.Per GEG elevation shots,the south 6 foot portion of the bed appears to be shy on cover by approximately 4", however it is the responsibility of the contractor to ensure 3 feet of soil cover over the entire drainfield. We are requesting that your department issue a conditional COSA with the provision that additional soil cover be provided in spring of 2018 (see attached bids from contractors). If you have any ques 'ons,please contact us(337-6179). Best Regar i s, Aill I e r s.rn- P .,M.S. Pre ,•-i 3701 East Tudor Road,Suite 101 *Anchorage,Alaska 99507-1259 Phone: (907)337-6179*Fax: (907)338-3246*Website: www.garnessengineering.com 4 , . „ 68 4g 4 hp 8 w2 . 9jill, 7 v cv 111 s 4itS _ � i1111111/. ' scO G °p5H At, • \\, v ailius. O� • o :1,ti. .I1I - 'V61 '90. 2,3'0 • �htiiy c9 • ‘1/4-.1 co AS-E.IL- S:RVEY 1' mg 411% NO CORNERS SET THIS DATE 00000000 I HEREBY CERTIFY THAT I HAVE PERFORMED A SURVEY !o! of ALoN OF THE FOLLOWING DESCRIBED PROPERTY v'w ' ..'9 A O LOT 3. BLOCK 2. GREET(BROOK SUB. gfP.. TH v. ..7 0 ANCHORAGE RECORDING DISTRICT, ALASKA, AND THAT THE 49 *.OD VISIBLE IMPROVEMENTS SITUATED THEREON ARE WITHIN g' S./_ � g THE INFORMATION HEREON IS FOR THE USE OF LENDING INSTITUTIONS SPECIFICALLY TO SHOW AMv THE PROPERTY LINES AND NO VISIBLE ENCROACHMENTS O /GZ(/� / `Q CONFLICTS BETWEEN EXISTING STRUCTURES AHO PLATTED LOT LINES AD/OR EASEMENTS; AND IS EXIST OTHER THAN NOTED. NOT TO BE USED FOR POSITIONING ADDITIONAL STRUCTURES, IMPROVEMENTS, OR FENCELINES. O(1 a SHANE A.HOLT DO EASEMENTS OF RECORD, OTHER THAN THOSE APPEARING ON THE RECORD PLAT , ARE NOT SHOWN DATED AT ANCHORAGE,ALASKA THIS 28'H DAY OF ` HEREON ( UNLESS INDICATED) FEBRUARY , 2018 P LS-6914 •'• o O NOTE: FENCELINES THAT MAY APPEAR ON THIS DRAWING ARE NOT TO BE USED TO DETERMNE p�0a • • d PROPERTY LINES OR POSITION ADDITIONAL IMPROVEMENTS. HOLT LAND SURVEYING %p'°res alone\o� ANY PAVING SHOWN HEREON MAY BE APPROXIMATE DUE TO EXCESSIVE SNOW AND/OR ICE. 9309 GROVER DRIVE �ODOOOo�� ANCHORAGE,AK 99507 345-5513