HomeMy WebLinkAboutSUMMIT ESTATES BLK 3 LT 12Summi Es a es
Lot 12
Block 3
#015-071-20
Municipality of Anchorage
On -Site Water and Wastewater Section - (907) 343-7904 Page 1 of 3
ON-SITE WASTEWATER INSPECTION REPORT
Permit Number: _OSP221087 PID Number: 015-071-20
Dwelling: nm Single Family (SF) El with ADU 171 Duplex (D) 171 Two Single Family Project: n New FOR Upgrade
Name
MARGARET GAINES ABSORPTION FIELD
Site Address El- Deep Trench n Wide Trench E] Bedound
5521 EAST 99TH AVENUE -ANCHORAGE, AK
El Other Z
Phone Number of Bedrooms Soil Rating Total depth original grade
1-907-310-8321 4 GPD/SFJ Ft.
LEGAL DESCRIPTION Depth to pipe invert from ;P
original grad Ft
depth beneath pipe
Subdivision Block Lot :;� Ft.
SUMMIT ESTATES; BLOCK 3, LOT 12 Fill added above original gr a Gravel length
Township Range Section Ft. Ft.
Gravel width Beds: Number of Lines Distance between lines
SEPARATION DISTANCES Ft. Ft.
To Septic Absorption Holding Sewer Total orption area Number of trenches Dist. between trenches
From Tank Field Lift Station Tank. Line Ft2
Ft.
Well 100,+ TANK El Septic ET S.T.E.P. El Holding [:]Other
Manufacturer Capacity
Surface Water 100,+INFILTRATOR 1530 Gal.
Z000 Material Number of compartments
Lot Line 5'+ NA PLASTIC 2
FoundationLIFT STATION
10,+ Manufacturer Capacity
Remarks OLD TANK DECOMMISSIONED PER UPC IINFILTRATOR *504 Gal.
PER CONTRACTOR 'SECOND COMPARTMENT OF INFILTRATOR TANK Alarm location Electrical installed by
-BASEMENT SUPREME ELECTRIC
PIPE MATERIAL House to tank D3034 Tank to D3034
Installer drainfie d
PRECISION NORTH Drainfield D3034/EXISTING CO/MT D3034
Inspector GEG AND MOA BENCH MARK (Assumed elevation) 101.21 ft
Ins dates: ction I st 5/4/2022 2 Location and description
nd
d
31d 4 th TOP OF MH
ON-SITE WATER AND WASTEWATER SECTION APPROVAL Engineer's Stamp
Conditional Approval: Date
T,70,
. ................
P,
... .. ... ........ .........
r)
of y A. Gar ess.-*
Septic System
CE -79 3
Approved ca_x� Date 5/a0/202
Note: this approval does not include well permit requirements.
(Rev 05/02118) 7(S4-cdkr- C_OA�Qd U) L3 c Pr Q ck S b n
IqL
C1.
tA
PERMIT NUMBER: RECORD DRAWING I N G PARCEL ID NUMBER:
OSP221087 015-071-20
II
A
B
DBL1
32.8
28.9
DBL2
32.6
29.6
MH1
32.8
31.3
MH2
34.4 1
38.2
SWING TIES WERE DERIVED FROM
° AS -BUILT SURVEY
BY SHANE
HOLT, PLS
SUMMIT ESTATE
\
BLOCK
3LOT 8
o
I / /
SUMMIT ESTATES; \
BLOCK3,LOT7 -
10' UTILITY EASEMENT
NEW IM1530 INFILTRATOR SEPTIC
TANK USED AS STEP TANK
\ ,------\ MH
A
\ O MH1 / /
C
EXISTING \
HOUSE
!u DRIVEWAY I
•' DRIV�EWA
I 700' 4 \
EAST 99TH AVU E N U E ��R\�GS
SUMMIT ESTATES;
/ BLOCK 3, LOT 6
SUMMIT ESTATES;
BLOCK 3, LOT 13
APPROXIMATE 100' WELL RADIUS
I 1\ I
/ \ \ SCALE:
1"=An,
GARNESS ENGINEERING GROUP, Ltd
ENGINEERING SALES CONSULTING
3701 E. TUDOR ROAD, SUITE 101 • ANCHORAGE, AK 99507 -PHONE (907) 337-6179 -FAX (907)338-3246 ' WEBSITE: —.g.me gine mg..a
PREPARED FOR: PHONE NUMBER: PAGE NUMBER:
MARGARET GAINES 1-907-310-8321 2 OF 3
LEGAL DESCRIPTION: DRAWN BY:
SUMMIT ESTATES; BLOCK 3, LOT 12 D.J.G.
TYPE OF WORK: DATE:
I,, SEPTIC TANK RECORD DRAWINGS 5/12/2022
PERMIT NUMBER
OSP221087 : RECORD DRAWING
TOP OF TANK
AT INLET = 97.18
INVERT OF BUNG
AT INLET = 96.33
Ir2" INSULATION PERI N
CONTRACTOR
IM -1530 TWO-COMPARTMENT INFILTRATOR
SEPTIC TANK TO BE USED AS STEP TANK
PARCEL ID NUMBER:
015-071-20
TOP OF MANHHOLE = 101.21
/ /— FINAL GRADE = 100.66-100.83
— TOP OF TANK
AT OUTLET = 97.11
RECOMMENDED FLOAT SETTING
FROM BOTTOM OF TANK
ALARM ON - 43"
PUMP ON -42"
PUMP OFF - 39"
HIGH LEVEL
ON/OFF
GARNESS ENGINEERING GROUP, Ltd
NEER
3701E. TUDOR ROAD, SUITE *ANCHORAGE, AK SALES ESCONSULTING
338-3246 senjnee^ngwm
PREPARED FOR:
MARGARET GAINES
LEGAL DESCRIPTION:
SUMMIT ESTATES; BLOCK 3, LOT 12
TYPE OF WORK:
STEP TANK PROFILE
PHONE NUMBER:
1-907-310-8321
PAGE NUMBER:
3OF3
DRAWN BY:
D.J.G.
DATE:
5/10/22
i
fYrLi
N 89 57' 30"E 120.00
FENCE
EAST
N 89 57' 30"E 120.
99TH
A VENUE
THE INFORMATION HEREON IS FOR THE USE OF LENDING INSTITUTIONS SPECIFICALLY TO SHOW ANY
CONFLICTS BETWEEN EXISTING STRUCTURES AND PLATTED LOTUNES AND/OR EASEMENTS; AND IS
NOT TO BE USED FOR POSITIONING ADD17IONAL STRUCTURES. IMPROVEMENTS, OR FENCEUNES.
EASEMENTS OF RECORD OR OTHER RIGHTS OF WAY, OR ANY ENTITY NOT ON THE RECORD PLAT
ARE NOT SHOWN HEREON, UNLESS NOTED.
NOTE FENCELINES THAT MAYAPPEAR ON THIS DRAWING ARE NOT TO BE USED TO DETERMNE
PROPERTY LINES OR POSITION ADDITIONAL IMPROVEMENTS.
ANY PAVING SHOWN HEREON MAY BE APPROXIMATE DUE TO EXCESSIVE SNOW AND/OR ICE.
•
DcG( QN GRdDt
282
OF Alt
CO;' 49 TH yG
sAa;o
a SHANE A. HOLT G
�4 P LS -6914
�Q"°Tessfpna� o0
AS -BUIL T SURVEY f " = 20'
NO CORNERS SET THIS DATE
1 HEREBY CERTIFY THAT I HAVE PERFORMED A SURVEY
OF THE FOLLOWING DESCRIBED PROPERTY
LOT12 BLOCK 3 SUA&11TESTATES
ANCHORAGE RECORDING DISTRICT ALASKA, AND THAT THE
VISIBLE IMPROVEMENTS SITUATED THEREON ARE WITHIN
THE PROPERTY LINES AND NO VISIBLE ENCROACHMENTS
EXIST OTHER THAN NOTED.
DATEDATANCHORAGE,AIASKATHIS _l1 TH DAYOF
MAY 2022
7442 FB &o-12 _x'22.32
HOL i ! AID S RVE)/r:8
i3vi� "v1 -E /,-4/i F
MUNICIPALITY OF ANCHORAGE
On -Site Water & Wastewater Program
PDBox 196650 470nElmore Road
Anchorage, Alaska ego1oseoo ph '7904 Fax: (9O7)@4u7mm
onponmw.mun,.onglons/te
On -Site Wastewater �� ��^�N���
Disposal�-_ Permit
Permit Number: OSP221887
Work Type: SeptioTankUpgnade
Tax Code Number: 01507120000
Site Legal Address: SUMMIT ESTATES 8LK 3 L 12 G:2437
Site Mailing Address: 5521 ESQTHAVE, Anchorage
Owner: GA|NESMARGARET E
Design Engineer: GARNES8ENGINEERING GROUP LTD
This permit is for the construction of:
LJ Disposal Field 0Septic Tank F]Holding Tank [] Privy
Effective Date:
Expiration Date:
Lot Size in Sq Ft:
Total Bedrooms:
4/2G/2O22
4/26/2023
_-
[]private Well 171Water Storage
All construction shall beinaccordance with:
1. The attached approved design.
2. All requirementsepwnifiodhn'AnohunageNYunkjpa|codmChaptero15.55ond15.G5and\he3tatenfAJaako
Wastewater- Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80)
The. wastewater code requiresinspections during the installation. The engineer shall notify the Development
`uenxcou. Department per AMC 15.65 Provide notification
4. From October 15 hmAph|15.aeubou�acaooUabsorption ' munder' construction during
heedngwmaUher
shall baeither:
e. Opened and Closed onthe same day, or '
b. Covered, sealed, and heated b/prevent freezing
Received
Issued By:
4
Development Services Department�'
�r`��, Phone: 907-343-7904
On -Site Water & Wastewater Section Fax: 907-343-7997
ON-SITE SEPTICIWELL PERMIT APPLICATION
Parcel I.D. 015-071-20
Property owner(s) MARGARET GAINES Day phone 1-907-310-8321
Mailing address 5521 EAST 99TH AVENUE *ANCHORAGE, AK
Site address 5521 EAST 99TH AVENUE *ANCHORAGE, AK
Legal description (Sub'd., Block & Lot) SUMMIT ESTATES; BLOCK 3, LOT 12
Legal description (Township, Range & Section)
Lot Size Sq. Ft. Number of Bedrooms 4
APPLICATION IS FOR:
APPLICATION IS AN:
TYPE OF DWELLING:
(® all that apply)
Absorption Field
❑
Initial ❑
Single Family (SF) ❑
Septic Tank
ElUpgrade
I -XI
(w/wo AD U)
Holding Tank
El
Renewal
Renewal ❑
(D) ❑
Privy
❑
Multiple Dwellings ❑
(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.
koignaiure or property owner or authorized agent)
Permit/Rush Fees: A 2-25 Waiver Fees:
Date of Payment: �20,�2Z Date of Payment:
Receipt Number: (7 2 q 42 G Receipt Number:
Permit No. 05102 2 1 0 5 7 Waiver No.
GADevelopment Services\Building Safety\On Site Water and WastewaterTormsUient Forms\Permit Application.doc
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP221087, Deb Wockenfuss, 04/26/22
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP221087, Deb Wockenfuss, 04/26/22
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP221087, Deb Wockenfuss, 04/26/22
Service
1 X $70.00
5521 E 99th Ave
Evaluation of water efficiency.
All fixtures, appliances requiring water, toilets, water heater, and boiler were
evaluated for flow and efficiency. All 'fixtures, faucets, and appliances on the
property have been recently replaced, within the past two years, and are high -
efficiency and/or low flowing.
Feel free to use bank transfer with AlaskaUSA Acct # 4950534
or
Venmo g Chilip-wright-1 9
7 — (31140
Absolutely Handy LLC
cracked treatment tanks, and system damage caused
by tree roots also can be significant sources of clear
water that can adversely affect treatment perfor-
mance. These flows might cause periodic hydraulic
overloads to the system, reducing treatment effec-
tiveness and potentially causing hydraulic failure.
Average dafly flow
The average daily wastewater flow from typical
residential dwellings can be estimated from indoor
water use in the home. Several studies have evalu-
ated residential indoor water use in detail (Ander-
son and Siegrist, 1989; Anderson et al., 1993;
Brown and Caldwell, 1984; Mayer et al., 1999). A
summary of recent studies is provided in table 3-1.
These studies were conducted primarily on homes
in suburban areas with public water supplies.
Previous studies of rural homes on private wells
generally indicated slightly lower indoor water use
values. However, over the past three decades there
has been a significant increase in the number of
suburban housing units with onsite systems, and it
has recently been estimated that the majority of
OWTSs in the United States are located in subur-
ban metropolitan areas (Knowles, 1999). Based on
the data in table 3-1, estimated average daily
wastewater flows of approximately 50 to 70 gallons
per person per day (189 to 265 liters per person per
day) would be typical for residential dwellings
built before 1994.
In 1994 the U.S. Energy Policy Act-
standars(EPACT) -
... . ..... Z went into water use
-l—
efficiency nationwide. EPACT established national
Ao:w:rates for showerheads, faucets, urinals and
water closets. In 2004 and
again -in 2007 use
�Qv, energy --,
standards for clothes washers will go into effect,
and they are expected to further reduce water use
by` . - omes built qs � a
or
retrofitted with.
EPACT-efficient fixtures would
have typical average daily wastewater flows in the
4—ot—o§q-1—allons/person/day and
water -efficient clothes "w'-'a-s�h'e-'rs may reduce the per
ratescapita flaw
unto .& day
(Mayer et al., 2000).
Of particular interest are the results of the Residen-
tial End Uses of Water Study (REUWS), which
was funded by the American Water Works Associa-
tion Research Foundation (AWWARF) and 12
water supply utilities (Mayer et al., 1999). This
study involved the largest number of residential
water users ever characterized and provided an
evaluation of annual water use at 1,188 homes in
12 metropolitan areas in North America. In addi-
tion, detailed indoor water use characteristics of
approximately 100 homes in each of the 12 study
areas were evaluated by continuous data loggers
and computer software that identified fixture -
specific end uses of water. Table 3-2 provides the
Table 3-1. Summary of average daily residential wastewater flowsa
Study
Number of
residences
Study duration
(months)
Study average
(gal/perslday)b
Study range
(gal/perstday)
Brown & Caldwell (1984)
210
66.2 (250.6) b
57.3-73.0
,jj , b
(916.9-276.3
Anderson & Slegrist (1989)
90
3
70.8 (268.0)
65.9-76,6
(249.4-289.9)
Anderson et al. (1993)
25
3
50,7 (191.9)
26.1-85.2
,(98.9-322.5)
Mayer et al. (1999)
1188
1`
69.3 (262.3)
57.1-83.5
(216.1-316.1)
Weighted Average
153
68.6 (259.7)
`Based on indoor water use monitoring and not wastewater flow monitoring.
Liters/person/day in parentheses.
Based on 2 weeks of continuous flow monitoring in each of two seasons at each home
USER Onsite Wastewater Treatment Systems Manual 3-3
0
A
S 89057'30'W 120.00'
10' UTILITY EASEMENT
SEWER VENTS
N A Z!
Vel
0
N .�.
O
12.0' '9 61
O n
O
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W
O'N• OECK DECK
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.8'SE
O
O
Ch TWO STORY
FRAME HOUSE
O
9.5'
ENTRY c
79.4'
N
V
z?.s
GRAVEL
DRNEWAY
GRAVEL
DRNEWAY
DWELL
ov!O.F. v
49 TH
.................................
SHANE A. HOLT
LS -6914 _
4=1
OfessI na% =1
N 89057'30"E 120.00'
EAST 99TH AVENUE
THE INFORMATION HEREON IS FOR THE USE OF LENDING INSTITUTIONS SPECIFICALLY TO SHOW ANY CONFLICTS BETWEEN
EXISTING STRUCTURES AND PLATTED LOT LINES OR EASEMENTS AND IS NOT TO BE USED FOR POSITIONING ADDITIONAL
STRUCTURES OR FENCELINES.
EASEMENTS OF RECORD, OTHER THAN THOSE SHOWN ON THE RECORDED PLAT, ARE NOT SHOWN HEREON.
NOTE: ANY FENCELINES SHOWN ARE LOCATED APPROXIMATELY AND ARE NOT TO BE USED TO DETERMINE PROPERTY LINES
OR LOCATE STRl1CTl1RFC
AS -BUILT SURVEY
NO CORNERS SET THIS DATE SCALE: 1"= 20'
:TGAGEE'S INSPECTION OF THE FOLLOWING
CRIBED PROPERTY.
12, BLOCK 3, SUMMIT ESTATES SUB.
O
O
M
r
O
O
M
O
O
IJ
HORAGE RECORDING DISTRICT, ALASKA AND THAT
IMPROVEMENTS SITUATED THEREON ARE WITHIN THE
PERTY LINES AND NO VISIBLE ENCROACHMENTS EXISI
ER THAN NOTED.
=D AT ANCHORAGE, ALASKA THIS _9TH_
OF FEBRUARY 1999_
r LAND SURVEYING 7442, FB 80-12
-c-. !
Municipality of Anchorage Page I of
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744
On-Site Wastewater Disposal System and/or Well Inspection Report
Permit Number: .~uO'~O:~&,o PID Number: O1~ -o'71
~: Oo~ ~¢~ P~ ~ Wastewater System: O New ~Upgrade
~ o~ O~,~, ~ ~t~ ABSORPTION FIELD
I No. of B~rooms:
Phone~ - ~ ~ ~ ~ ~ DeepTrench ~ShallowTrench ~ Bed ~ Mound ~ Other
Total Depth from original grade:
LEGAL DESCRIPTION so, Rating: I. ~ GPD/Sq. Ft. 2. ¢
Subd[v~ion: Oepth td pipe ~ffom from original grade: Gravel depth beneath pipe
LOt: J~ Block: ~ ~O~l~ ~T~ O,~ ~l,~ Ft. ~' OI Ft.
Township: ]Range: ISectlon;-- qlladded above originalgrade:l. ~ -- Z. ~ Ft. Grave'length' ~ ~O'¢'~G~ rfI
~ ~ ~ ~.~'/ ~t.
WELL: ~ i~ew ~ Upgrade Gravel width: ~lFt. Number~of lines: ]~Oista.celbe~een~ lines:Ft.
Pipe material:
Clarification (Private, A,B.C): Total Depth: ~o: Total absorption area:
Driller: ~ Date Drilled: StatlcWater Level:Ft. Installer:¢OO¢ ~ ~ ~, Dateinstalled:
Y'e/GPU' ' IPumpsotat: Ft. I~sing HeightA'voGrOund:Ft. TANK
SEPARATION DISTANCES ~Septic D Holding ~S.T.E.P.
TO Septic Absorption Lift Holding Public/Private Manufacturer: CApAcityin gallons:
From Tank Field Station Tank Sewer Lines ~O~ ~ I ~ ~
Number of Compa~ments:
Web joet+ j~t+ jOOi+ ~ ~1~ Materi~: ~EE~
su~c~ ~ ~ LIFT STATION
Water Jo~t~ Joot+ Jo~l~
Lot Size in gallons: ~ Manufscturer:
Line ~1~ i01 ~t~ -- ~ l~O ~o~ ~ ~o ~Y~
"Pump on" level at: "Pump o~' level at: I High water alarm at:
Foundation ~Ol~ j21~ ~DI~ ~ ~ ~l~ ~iB~
iPump Make ~ Model Elect ri~l Inspections pedormed by:
Cu~a~nDra~ ~ '~ ~ - =~ ~ ~ ~.o.~,
Remarks: ~ C~ ~ ~ BENCH MARK
~O~l~J)1 ~ F~. ~ ~ ~ o~ M~No~
J A~um~ J
Elevation:
~:- , .
Depa~ment of Health and Human Se~ices approval
Reviewed and approved by' ~~ ~, ~Date: /~-~' ~
72-913 (Rev. 9/91 ) MOA 25
PE..~ NUmBS-R: AS BUILT DRAWING
SW980360 ' O15-071 -20
~ ~ ~ I FCO 22.8 38,0
~ ~ ..... ST1 30.4 33.4
S.T.E.P. SYSTEM~ //~ ~ ..... D~NFIELO MI 1 _~ 4o.0 _
WE% ~F '
~Mfl ~g Mr2 ~M(~ ~P Mr4
,/
~S~ WA~R A~ WAS~WA~ CONS~TANTS, ~C.
7320 E. CHEWER HEIGH~ CIRCLE. ~CHO~GE, AK 9~50~ ~.~ ~.~. .... ~r
AS-BUILT OF SEPTIO SYSTE~ UPGRADE
PREPARED FOR: PHONE NUMBEm
J.b.U. 1 = 40' 2 OF 2
ALASKA WATER. & WASTEWATER CONSULTANTS~ INC.
PHONE (907) 337-6179 * FAX (907) 338-3246
LEGAL DESCRIPTION: SUMMIT ESTATES, LOT 12, BLOCK 5
PERFORMED FOR: DON AND BEGGY GLICK
frei A. Garness.'
DATE PERFORMED: 9/24/98
I
TEST HOLE
DEPTH T~ ~
2--"°°°'~%~, SW/SM SOIL C~SSIFICATIONS
,%o, B~CK COARSE TO
HL
~%o ,, FINE SAND W/
~%o ~, ] LIGHT SILT GH CL
~%o , I GC OL
,~ ;. ,i SW HH
5--., SP CH
e-.~., m~ sc SEE AS-BUILT DRAWING
7-- .~ [e"o~ DEPTH TO DATE
~'~ ~'~" ~ROUNDWATER
8 -- .~ ~ .,~ O~ 9/24/98
l0- ~""~"°~ B.O.H.
11 -- DATE i READING CLOCK NET TINE WATER LEVEL NET DROP
TINE (NINUTES) RE.lNG (INCHES)
TEST RUN BETWEEN N/A FT. AND ~FT.
20
NO PERCO~TION TEST PERFORMED. TEST H~E~ME~G/CONSTRUCTION
COHHENTS'
DEPTH TO DATE
;ROUNDWATER
DRY 9/24/98
RECEIVED'.':
i
oCT 7 .!O~B I
Municipality .o.f Anch.?r~e_L..
Dept. Health & Human ~erv
Td Hd90:OT 8665 90 '~°0 ¢'IB£TB¢'~ : '01"1 BNOH8 8uT$='e~-uo3 $uos '~ poe:fl : !4L'~J,.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 99519-6650
(907) 343-4744
ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT
Upgrade
Date Issued: Sep 15, 1998
Expiration Date: Sep 15, 1999
Permit Number: SW980360
Legal Description: SUMMIT ESTATES BLK 3 LT 12
Design Engineer: 0041 AK Water & Wastewater Consulta
Owner Name: Don & Peggy Glick
Owner Address: 703 D'Jon
DEVINE , TX 78016-2222
Parcel ID: 015-071-20
Site Address: 005521 99TH AVE E
Lot Size: 16200 SQ. FT.
Total Bedrooms: 3 Permit Bedrooms: 3
This permit is for the construction of:
[] Disposal Field [] Septic Tank [] Holding Tank [] Privy
[] Private Well [] Water Storage
All construction must be in accordance with:
1. The attached approved design.
2. All requirements specified in Anchorage Municipal Code Chaptem 15.55 and 15.65 and the State of Alaska
Wastewater Disposal Regulations ( 18AAC72 ) and Drinking Water Regulations ( 18AAC80 ).
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~
Alaska Water & Wastewater Consultants, Inc.
7320 East Chester Heights Circle ~ Anchorage - Alaska 99504
(907) 337-6179 N Fax (907) 338-3246
Consulting Engineers
September 8, 1998
Municipality of Anchorage
Department of Health & Human Services
Division of Environmental Services
On-Site Services Section
P.O. Box 196650
Anchorage, Alaska 99519-6650
Ref: Septic Upgrade Design for Lot 12, Block 3, Summit Estates Subdivision.
To whom it may concern:
The existing 3 bedroom house is served by a private septic system and a private well. The existing
seepage pit is surcharged and must be upgraded prior to the sale of the house. A test hole was
excavated to the east of the existing septic system. Comments regarding the proposed upgrade
design are sunm~arized as follows:
1. SOILS: Attached is the log which shows the soil profile, and the percolation test result. The
soils below the organics is a SP/SM material with SW lenses throughout to a depth of 13 feet
(bottom of test hole). Groundwater was encountered in test holes at a depth of 11 feet. A
percolation test was performed between 4.0 to 4.5 feet which perked out at a rate of <1
minute/inch. The insuti soils should act as a sand filter.
2. TRENCH DESIGN:
a. Percolation Rate: <1 minutes/inch
b. Allowable Application Rate: 1.2 gallons/day/fi2
c. Number of Bedrooms: 3
d. Design Flow: 450 gallons per day
e. Minimum Absorption Area: 375 ft2 -
f. Effective Depth: 2 feet
g. Reduction Factor = 0.70
h. Width: 5 feet (minimum)
i. Minimum Length: 2 ~ 30 feet lon~ each (6_0 feet total length)
j. Effective absorption area = 429 ft (375 ft2)
k. Maximum depth = 4 feet (on uphill side of trenches)
3. SURFACE WATERS: There are no surface waters within 100 feet of the proposed
upgrade.
4. TOPOGRAPHY: The lot is generally flat in the area of the proposed upgrade, in short there
are no slope concerns.
I am unaware of any adverse impacts this installation would have on adjacent wells or septic
systems. If you have any ~estions, please contact me at 337-6179, or 244-9612. Thank you
for your assistance.
President ~
~ / ' / '/'~- x EAST%98th AVENUE j
...... / / -,N __
/ I ~ ~
I
LOT 9, BLOCK 3 LOT 8, BLOCK 3 LOT 7, BLOCK 3 LOT 6, BLOCK 3 LOT 5, BLOCK
] ESTATES SUMMIT ESTATES/ SUMMIT EST~<FES SUMMIT ESTATES
~ ' / ~rk / ~; SUMMIT ESTATES
, ~ z ~ -
k ~ ~ x ~ ~ EAST 99th A~MuE
NOTE: ALL ;NFOR~XAI'ION SHOWN WAS TAKEN ~ k X
SITE PLAN
1-830-66~-4229
DON AND PEGGY GLICK .'"
J.L.M. 1 = 100' 1 OF 3 rofessXOO~
"~ / J ~ TO EXISTINGBE ABANDONEBSEPTIC COMPLETESYSTEM- ~-V ~BE×(STINBE ABAN DON EB,~C S E PT[C O, OT~TMANKP~LY
NOTE: THE CONf~OTOR IS RESPONSIBLE FOR HAVIN~ THE
WELL .AB~US SE~IN~ THE .ROPER~, NORTH PROPER~
REGISTERED ~B SURV~QR PR[OR TO CONSTRUOTION. ¢ ~ I
~S~ WA~ AND WAS~WA~ CONS~TA~S, ~C.
7~20 E, CHEWED HEIGH~ CIROLE, ~OHO~GE, AK 99504 ¢~..,. ...... ~ ,~q~
SUMMIT ESTATES SUBDIVISION; LOT 12, BLOCK 3,
DESION OF SEPTIC SYSTEU UPORADE ~ ~ .....
PREPARED FOR: PHONE NUMBER:
DON AND PEGGY GLICK
J.L.M. 1 = 20' 2 OF $ r°fess~°o
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1
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PROFILE V~EW
IALASKA WATER & WASTEWATER CONSULTANTS, INC.
,ALASKA WATER. & WASTEWATEE CONSULTANTS, INC. .=.,. ,.., .~/. ,~ l~,,
7320 E. CHESTER HTS. CIRCLE * ANCHORAGE, AK. 99504 ~:,~..~
,,O,E (.~7} ~7-,17~ * FAN (~07) ~8-~2~ ~-~.'-/I ///. ~'-.
LEO^~ DESCRIPTION: SUMMit EST^T~S SUaD~S~ON; ,OT ~:, a,OC~ ~,
PERFORMED FOR: DON AND PEGGY GLICK
DATE PERFORMED: 9/2/98 ~/,~i %7
D PTH I I
(f.at) EEE:~; TEST HOLE #1 "'"
2=~; .SOIL CLASSIFICATIONS ; ;
""~ ' ~GW .... ~ORG ~ ~ I /
' ~ GM CL ~ SePT:C V
~--::'~';" GC OL '~. ~ ~-~:,~ -~PROOO~ED SENTI(
;~'~'; ' SW MH "
'""" SM OH
· ,..~ 'i SC '
s-- :.....;., SP/SM
"-"',; ': WI SW LENSES DEPTH TO ,
7--~.~.,, ,,, (FINE SAND TO SILTY DATE
:::.: I ~D W~ SW ~N~) GROUNDWATER - ~.~
8-- .,,. ,', 11' g/2/g8 ./oo' WELL ~p~us~l
· ..~ ~' 9/~/g~
· ..,, ', SITE PLAN EAST 9Otb AVENUE
9--.*~,~,;o,e. ". *DRY TO O' il 9/10/98 ~,\1' = oo ~
'""" .-~ CLOCK NET TIME WATER LEVEL NET DROP
'"" : DATE READING
11 -- ..~.~,... TIME (MINUTES) READING (INCHES)
12__~'~,', 'i ,9/3/98 ~- FILLED FERC CAVI'~Y TIMES. DRAINI:D EACH TIME IN LESS
· ,.,. ', THAN 2 VlINUTES.
~3_~ ,i B.O.H. 1 3:Ol
2 3:01:30 30 SEC. 1' 7"
14-- -- ;~ 3:02 8'
-- 4- 3:02:50 30 SEC. 1 ' 7"
15--
16--
17--
18--
19-- PERCOLATION RATE <1 (MIN./INCH) PEI[C. HOIF DIA. 6" (INCHES)
TEST R.N'E WEEN 4-.0
COMMENTS: ,NSUTI SOILS WILL ACT AS A SAND FILTER. ~ /~/
'MONITORING TUBE FILLED UP WITH SAND TO THE9 FO/T LE-~E/~///~
PERFOMED BY ALASKA WATER &: WASTEWATER I, { ,,~/ ~ , CERTIFY THAT
WITH ALL STA~TL' ~N~ ~NICIPAL'~GD~DELINES IN EFFECT ON THIS
THIS
WAS
PERFORME~)
IN/ACCORDANCE
DATE. DATE: o///o~/~.¢
DEPTH TO DATE
GROUNDWATER
9' 9/3/g~
*DRY TO 9' 9/10/98
~ {~/ 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
~ Z Manufacturer
OZ ~ Manufacturer Materia} Liquid capacity in gallons
Lengt of each line ~ Total I~of lines
No. of ~es Trench idth //
Distance ~Tvtnes
~ ~ Top of tile to ,ini~O~; '5 / Material ,eneat tile . Total effective absorption area
==-- ~0 Crib~/~,piametea, Crib dopt% / Total effective
m Well Buil~ng fouqd 'gn .- Nearest lot line
~ OISTANCE TO: ~,~ ~..N~ ~
~ Class Depth Driller Distance to lot line PERMIT NO.
m Building founda er line Septic tank Absorption area(s)
~ DISTANCE TO:
OTHER ~ -
PIPEM TERiALS
SOl L~EST RATI NS ~ ~ ~
72-013 (Rev, 3/78}
PERMIT NO.
DEPARTMENT n~ HEBLTH AND EN',/IRONMENTBL F'ROTECTION 825 '%~, STREET.. MN~HORR~E,
O~J--~ I TE SE~ER
( 780~5 )
RPPL I CRNT
LOCRT I ON
LEGRI.
DONRLD GL I L.K
99TH STREET
L 12 B 3 SUMMITT E~TRTE=.
SOUTH HOYT ~37
LOT SIZE
26200 SQURRE FEET
TYPE OF SOIL I-YBSORBTION SVSTEM IS: TRENCH ~- ........ .
MRXiMUM NIIMBER OF BEDROOM~ 2; sOIL RRTINU (SIH FT?BR)= ~,
.... .,_ · - ' ,.'70¢ ;--
THE REQUIRED SI~E OF THE SOIL RBSORPTION ~STEM I=,: ~ I . '~,- ~.,%
E~EPTH= 18 LENGTH= ¢IjRR'./EL [~EPTH= 6
THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRRINFIELD.
THE DEPTH OF R TRENCH OR PIT IS THE DISTRNCE BETWEEN THE SURFRCE OF THE
GROUND RND THE BOTTOM OF THE E~CRVRTION (IN FEET).
THERE IS NO SET WIDTH FOR TRENCHES.
THE GRRVEL DEPTH IS THE MINIMUM DEPTH OF GRRVEL BETWEEN THE OUTFRL. L PIPE
RND THE BOTTOM OF THE E~CRVRTION (IN FEET).
PERM{T RPPLICRNT HRS THE RESPONSIBILITY TO INFORM THIS DEPRRTMENT DURING THE
INSTRLLRTION INSPECTIONS OF 8NY WELLS 8DJRCENT TO THIS PROPERTY 8ND THE
NUMBER OF RESIDENCES THRT THE WELL WILL SERVE.
TWEm (2) I [-J~.F'ECTII3~ RRE ~:E~ZzL:IRE~~
BBCKFILLING OP 8NY SYSTEM WITHOUT FINBL INSPECTION 8ND BPPRO98L BY THIS
DEPBRTMENT WILL BE SUBJECT TO PROSECUTION.
MINIMUM DISTRNCE BETWEEN R WELL RND RNY ON-SITE SEWRGE DISPOSRL SYSTEM IS
100 FEET FOR 8 PRIVRTE WELL; OR
i50 TO 200 FEET FROM R PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL..
OTHER REQUIREMENTS MRY RPPLY. SPECIFICRTIONS RND CONSTRUCTION DIRGRRMS 8RE
RVRILRBLE TO INSURE PROPER INSTRLLRTION.
PEP-.~I I T E×P I RES DEC-Er'IBER -::-cA.. :i_ ,- =.
I CERTIFY THRT
±: I RM FRMILIRR WITH THE REQUIREMENTS FOR ON-SITE SEWERS RND WELLS RS SET
FORTH BY THE MUNICIPRLITY OF 8NCHORRGE.
;': I WILL INSTRLL THE SYSTEM IN 8CCORDRNCE WITH THE CODES.
3: I UNDERSTRND THRT THE ON-SITE SEWER SYSTEM MRY REQUIRE ENLRRQEMENT IF THE
RESIDENCE IS J2Eq90DELED TO INCLUDE [dORE THBN ~ BEDROOMS.
RPPL I CRNT DONF4LD 6L I CK
December 29, 1978
~780375
Donald Gliek
1545 South Hoyt $137
Anchorage, Alaska 99504
Subject~ Lot 12 Block 3 Summit Estates Subdivision
A permit issued by this department for well and/or sewer
system has expired°
Permits are issued on a calendar year basis, as stated
on the permit, by authority of Municipal ordinance.
If you have drilled the well, a well lo7 should be sent
to this department to document the installation date.
If there are any further questions, please contact this
office at 264-4720.
Sincerely~
Les N. Buchholz, R.S.
Senior Environmental Specialist
LNB/iDw
enc: copy of permit
, ~ DEPARTMENT r,~ HERLTH AND ENVIRONMENTAL PROTECTION
~" ~ 825
264-472~
ON--S I TE SELLER IJPORRC. E PE~:r~ I T
PERMIT N0. ( 788~75 )
RPPLICRNT
LOCRTION
LEGAL
DONALD GLICK
99TH STREET
L 12 B ~ SUMMITT ESTATES
i545 SOUTH HOYT
LOT SIZE
SQUARE FEET
TYPE OF SOIL ABSORBTION SYSTEM IS: TRENCH
MAXIMUM NUMBER OF BEDROOMS
SOIL RATING
THE REQUIRED SIZE OF THE SOIL ABSORPTION,~',S_TEM IS:
DEPTH= iO LEt-~GTH= ~ GRR'./EL E~EP TH= 6
THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRAINFIELD.
THE DEPTH OF 8 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 MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE
8ND THE BOTTOM OF THE EXCAVATION (IN FEET).
PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPRRTMENT DURING THE
INSTALLATION INSPECTIONS OF ANY WELLS ADJACENT TO THIS PROPERTY AND THE
NUMBER OF RESIDENCES THAT THE WELL WILL SERVE.
TWL3 (2) I NSPECTIO~S ARE RECqtJ I REE~
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 WELb OR
i50 TO 200 FEET FROM 8 PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL.
OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS 8RE
AVAILABLE TO INSURE PROPER INSTALLATION.
PERM I T E,'~4P I RES E¢ECEMBER --<i. i~78
I CERTIFY THAT
t: I AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET
FORTH BY THE MUNICIPALITY OF ANCHORAGE.
2: I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES.
~: I UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE
RESIDENCE IS REMODELED TO I'~..~UDE MORE THAN ~ BEDROOMS.
SIGNED: .............................
APPLICANT / ~NRLD GLICk
John M. Lambe, P,E. 4303 North Star Street Anchorage, Alaska, 99503 907-279-8056 New Phone Number - 907/;Z76-41.1'3
May 11, 1978
Mr. Donald Glick
1545 South Itoyt, #37
Anchorage, AK 99504
Subject: Lot 12, Block 3
Summitt Estates
Dear Mr. Glick:
At your request, I visited the subject property, viewed the excava-
tions, and advanced a 6-inch diameter test boring to a depth of
4 feet in the bottom of the existing crib~. This letter transmits
my observations and conclusions.
Observations
The cut banks exposed for the building excavation are typically
sandy gravel (G~7-GP) to sand(~overlain by one to two feet of
silt overburden. The trench connecting the existing crib with
the existing septic tank also exposed clean sands and gravels
below 3 feet of silty soils. The crib appeared to be backfilled
with the silty overburden soils. The soils exposed in this test
boring were slightly silty sands and gravels, however no free
water was observed in this boring. Water was entered into this
test boring as a quick check. The water dropped at a rate of
¼ inch/minute, however, this is not a percolation test, as the
soils were not allowed to saturate or swell.
Conclusions
1) The backfill around the existing crib should be removed to
expose the undisturbed natural soils.
2) The undisturbed natural soils should then be examined to
verify if they are consistent with those exposed in the trench
and building excavation.
Donald Glick, 5/11/78 page 2
3) If consistency is determined, then the seepage area required
per bedroom will be 85 sq ft /bedroom for the clean sandy gravels
(GP-GW) and 150 sq ft /bedroom for the sands (SP-SW).
4) Perforated pipe placed in the trench connecting the crib
and seepage pit and backfilled with sandy gravel (~) dr crushed
rock will increase the absorption area of the system.
5) Total absorption area and allowable system design should be
consistent with the recommendations of the Municipality of Anchorage,
Department of Environmental Quality. They must be consulted after
the backfill around this crib is r~moved, and they must approve this
crib septic ftank, and perforated pipe installation.
We trust the foregoing is comprehensive within your needs. I should
view the natural soils exposed when the crib backfill is removed,q*
complete this report or perform a percolation test if the soils are
not consistent with the clean sands and gravels exposed elsewhere
on this site. Thank you for this opportunity to be of service to
you on this project. Please call if questions arise or when additional
services may be required.
Very truly yours, ?
John M. 2fambe, P.E.
Civil Engineer 4254-E
JML/yme
, /
Sheet / ._of
Projecl: ~.~.zzT_.L~- ~-~,~' ~'"~ %~,"~>~,.~ _r3T"%~L~;'r/,,~ Job No,: ~' ~ ~-~' 4-- Report No.:~
Subject: FIELD CONSTRUCTION INSPECTION REPORT Date:_J
TO: / ..... ~ -_
From:_~/-" _From:~ ~To: Hours Total:~
Equipment in
UNSATISFACTORY CONDITIONS PREVIOUSLY REPORTED (Give report dote only. Circle doles of items corrected
Ibis report and explain below.)
Initial
~ ~:',~ .~ ~
.MUNICIPALITY OF ANCHORAGF
H~&h and Environmental Prot~iion
Fourth Floor West
825 L Street
Anchorage, Alaska 99501
264-4720
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
MAILING ADDRESS
SEPTIC TANK:
DISTANCE
FROM WELL_
INSIDE LENGTH
MAI',]UFACTU R E R
INSIDE WIDTH.
MATERIAL
LIQU;D DEPTH
NUMBER OF
COMPARTMENTS
LIQUID CAPACITY GALLONS.
TILE DRAIN FIELD:
DISTANCE FROM WELL
~ of Lines
ABSORPTION AREA ___
DEPTit: TOP OF TILE TO FINISH GRADE
FOUNDATION ___NEAREST LOT LINE
DISTANCE BETWEEN LINES TRENCH WIDTH
SQ. FT. LENGTH OF EACH LINE
DEPTH OF FILTER
MATERIAL BENEATH TILE __ IN. ABOVE TILE
TOTAL LENGTH
OF LINE
IN. TOTAL EFFECTIVE
IN.
SEEPAGE PIT:
DIAMETER OR WIDTH LENGTH DEPTH
Log Crib Rings
BUILDING FOUNDATION
Crib Size: DIAMETER___DEPTH DISTANCE FROM:
TOTAL EFFECTIVE
NEAREST LOT LINE__ ABSORPTION AREA WALL AREA)
Well
Class: Depth:
Well Distance To: Lot Line
Bldg: Sewer Line:
Pipe Materials:
# of Bedrooms:
Installer:
Remarks:
WELL
.SQ. FT.
DATE'
APPROVED
IGm
The sediments were
fairly loose with a
low water content. The
Gm had a high percenta
of erratic Sw bodies ~
included in it. The
Gm-Gw contact was erra'
�E @G
• '� Municipality of Anchorage
On -Site Water and Wastewater Program
(907) 343-7904 SAF E T Y
Certificate of On -Site Systems Approval
Parcel I.D. 015-071-20
1. GENERAL INFORMATION:
Expiration Date: oc D��
Complete legal description SUMMIT ESTATES: BLOCK 3, LOT 12
Location (site address) 5521 East 99th Avenue *Anchorage
Current Property owner(s) Margaret Gaines Day phone 907-310-8321
Mailing address
Real Estate -Agent
2. TYPE OF DWELLING:
0 Single Family (w/wo ADU)
❑ Duplex
❑ . Multiple Dwellings (Single Family and/or Duplex)
Day phone
3. NUMBER OF BEDROOMS:
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:,
Received by: Date:
COSA to be released to the engineer, unless otherwise requested by the engineer.
COSA Fee $
Date of Payment
Receipt Number 0 V7 666
COSA # QS X221',1 D
Waiver Fee $
Date of Payment
Receipt Number
Waiver #
nom;
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:
In conducting this evaluation, GEG provided an engineering evaluation of the well and/or septic system
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
evaluation. Separation distances were measured to readily identifiable features. Hidden defects or �,.•
encroachments may exist that were not identified during the evaluation. The operational life of all wells
and septic systems depend upon a variety of variables, including but not limited to, soil conditions,
groundwater levels (that may fluctuate during the year), quality of construction (materials and
are outside the control of GEG. Satisfactory test results do not guarantee future performance of the
system/s; therefore, GEG makes no warranty`(express or implied) regarding the future performance of
the well or septic system. GEG makes no representation whether an alternative well or septic system
can be installed on the property in the event either of the current systems fail to perform adequately in
the future. The content of this report is for the sole benefit of the person/party that retained GEG to
perform the evaluation. Reliance upon the information provided in this report by any other person or
party (including subsequent property purchasers) is not authorized, nor will it confer any legal right
whatsoever.
6. DSD SIGNATURE
System #1 Approved for ' bedrooms
System #2 Approved for
Disapproved
Conditional approval for
bedrooms
bedrooms, with the fo
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By: Original Certificate Date: Jc-• a
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 is
Septic System Advisory Arsenic Advisory
Well Flow Advisory Other
R
COSA Checklist
Legal Description: SUMMIT ESTATES; BLOCK 3, LOT 12
Parcel ID: 015-071-20
If more than 1 septic system on lot: COSA Checklist # of Structure served by this system
A. WELL DATA
* 0 Well log is filed with Onsite (or attached) Well production at time of test 5.9+ gpm
Date drilled 193%(') ?r?C_' 1Q,7 `r' C?) Water storage tank volume N/A gallons
Total depth *36.8+ ft Well disinfected for coliform test? ❑ Yes ❑■ No
Cased to UNKNOWN ft N Coliform bacteria is Negative
Sanitary seal is functioning correctly Nitrate 5.74 mg/L ❑ Nitrate less than MRL (ND)
Q Wires are properly protected Arsenic ug/L ❑■ Arsenic less than MRL (ND)
Casing height (above ground) 12 in. Collected by GEG, LTD.
Date of flow test for COSA 1/25/22 Date of Sample 4/8/22
Static water level at beginning of test 22.4 ft.
Comments *MAXIMUM DRAWDOWN BELOW TOP OF CASING DURING FLOW TEST
B. TANK DATA
Age of tank(s) NEW years
Tank type/material STEP/PL STI
Measured operating fluid level in septic tank NEW
0 Standpipes/foundation cleanout per record drawing
Date of pumping NEW
D. ABSORPTION FIELD DATA
C. LIFT STATION
❑ Required maintenance completeN1d
Age of lift station NEW years
Lift station material PLASTIC
Comments:
Which system tested (date installed) 9/26/98
Adequacy test date 1/25/22
■❑ ALL standpipes present per record drawing
Results Q✓ Pass For 4 bedrooms
Total measured depth from grade 5.08 ft (max)
Fluid depth prior to test 0 in
Measured depth to pipe invert from grade ft (min)
Water added 739 gal
❑■ N/A — pressurized field
3
New depth in
■❑ Monitor tubes go to bottom of effective. If not, state
Elapsed time 120 min
depth into effective
❑■ Code -required soil cover over field
Final fluid depth 0 in
❑ System presoaked
Absorption rate 600+ god
(Required if vacant for greater than 30 days prior to
Any rejuvenation treatment (past 12 months)
date of test) N/A
Gallons introduced gallons
If yes, enter date N/A
Comments/Deficiencies: TESTED EAST TRENCH ONLY; WEST TRENCH HAD 3 INCHES OF LIQUID IN THE NIT ON ARRIVAL
COSA Checklist yellow sheet
NO
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'
0 Yes
if No
Community Sewer Manhole/Cleanout > 100'
M Yes
if No
ft
[E Yes
if No ft
Neighboring Tank > 100' 0 Yes
if No
ft
Private Sewer/Septic Line > 25'2] Yes
if No ft
Absorption Field on Lot > 100' 0 Yes
if No
ft
Holding Tank > 100' p✓ Yes
if No ft
Neighboring Absorption Fields > 100'
Yes
if No
Animal Containment > 50' ❑r Yes
if No ft
0 Yes
if No
ft
if No
ft
Manure/Animal Excreta Storage > 100'
Community Sewer Main > 75' Q Yes
if No
ft
� Yes
if No ft
From Septic/Holding Tank on Lot to: (Please enter distances if less than required)
Building Foundations > 10' 21 Yes if No ft Surface Water > 100' Yes if No ft
Property Line > 5'
0 Yes
if No
ft
Wells on Adjacent Lots:
Absorption Field >-5'
Yes
if No
-ft
-Private Wells >-100'0-Yes if -No ft
Water Main > 10'
Q Yes
if No
ft
Community Wells > 200' E✓ Yes if No ft
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'
Q
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'
Q
Yes
if No
ft
Private Wells > 100' Yes if No ft
Water Service Line > 10'
Q
Yes
if No
ft
Community Wells > 200' Q Yes if No ft
Surface Water > 100'❑
Yes
if No
ft
F. ENGINEER'S COMMENTS
G. ENGINEER'S CERTIFICATION
/ 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 yellow sheet
#AECC884
MUNICIPALITY OF ANCHORAGE
DEVELOPMENT SERVICES DEPARTMENT 907‐343‐7904
On‐Site Water and Wastewater Section Fax: 343‐7997
www.muni.org/onsite
Mailing Address: P. O. Box 196650 * Anchorage, Alaska 99519‐6650 * www.muni.org
Nitrate Advisory
Certificate of On‐Site Systems Approval # OSC221210
Subdivision: Summit Estates, Block: 3, Lot: 12
A water sample revealed a nitrate concentration of 5.74 milligrams per liter (mg/L).
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. Since nitrates are known to slowly increase, we recommend
you monitor the water quality. 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.
Mailing Address: P. O. Box 196650 * Anchorage, Alaska 99519‐6650 * www.muni.org
Nitrate Fact Sheet
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 medi a 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.
EPMMS
MUNICIPALITY OF ANCHORAGE
Development Services Department f Phone: 907-343-7904
On-Site Water & Wastewater Section Fax: 907-343-7997
Certificate of On-Site Systems Approval
015 071 20
Parcel I.D. Expiration Date:
1. GENERAL INFORMATION
Complete legal description SUMMIT ESTATES BLOCK 3 LOT 12
Location (site address) 5521 E. 99TH
Current property owner(s) PAUL KLOSTER Day phone 884-6236
Mailing address
Real estate agent Day phone
2. TYPE OF DWELLING:
U Single Family (w/wo ADU)
❑ Duplex
❑ Multiple Dwellings (Single Family and/or Duplex)
3. NUMBER OF BEDROOMS: 3
4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL:
Private Well Private Septic x
Water Storage n Holding Tank [
Community Well ❑ Community LJ
Public Water System [ Public Sewer LJ
Waiver request for: NONE Distance.
Received by: Date:
COSA to be released to the engineer.unless otherwise requested by the engineer.
COSA Fee $ S5SO Waiver Fee $
Date of Payment 3)2t i9 Date of Payment
Receipt Number 039-20D Receipt Number
COSA# � �C L' I d 1� i 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 C&M ENGINEERING Phone 8545558
Address 20182 TULWAR
Engineer's Printed Name CHARLES BALZARINI Date 3/15/2019
OF Aq‘kk
j*: 49 TM jrN •.* /
6. DSD SIGNATURE /... )
System #1 Approved for 3 bedrooms % • • ' •`� -••—
CHARLES G BALZARIPII /
System #2 Approved for bedrooms � �F�•. CE-13854 •.••��4i
Disapproved •�... ..
ll PROFESStO�A
Conditional approval for bedrooms, with the following stipulations:
VI
ON-SI► ,(4.k
s WATER AND
Qj WASTEWATER o
PROGR
I �� Original Certificate Date:
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 A visoryI'
Well Flow Advisory Other K tA`$CD
COSA Checklist Nue sheet
COSA Checklist
Legal Description: SUMMIT ESTATES BLOCK 3 LOT 12 Parcel ID: 015 071 20
If more than 1 septic system on lot: COSA Checklist# 1 of 1 Structure served by this system 1
A. WELL DATA
❑■ Well log is filed with Onsite (or attached) Well production at time of test 5 gpm
Date drilled UNK Water storage tank volume na gallons
Total depth 75 ft Well disinfected for coliform test? ❑ Yes 0 No
Cased to 73 ft 0 Coliform bacteria is Negative
0 Sanitary seal is functioning correctly Nitrate 5.08 mg/L ❑ Nitrate less than MRL (ND)
■❑Wires are properly protected Arsenic _ ug/L 0 Arsenic less than MRL(ND)
Casing height(above ground) +12 in. Collected by C.Balzarini
Date of flow test for COSA 315119 Date of Sample 3/5/19
Static water level at beginning of test 28 ft.
Comments
B. TANK DATA C. LIFT STATION
Age of tank(s) 20 years 0 Required maintenance completed
Tank type/material STEEL STEP TANK Age of lift station 20 years
t❑ Standpipes/foundation cleanout per record drawing Lift station material PLASTIC
Date of pumping 3/12/19 Comments: PUMP FLOAT SWITCH REPLACED
D. ABSORPTION FIELD DATA SHALLOW TRENCH
Which system tested (date installed) 9125198 Adequacy test date 3/5/19
0 ALL standpipes present per record drawing Results Pass For 3 bedrooms
Total measured depth from grade 5 ft (max) Fluid depth prior to test 0 in
Measured depth to pipe invert from grade 3 ft(min) Water added 450 gal
0 N/A—pressurized field New depth 0.5 in
■❑ Monitor tubes go to bottom of drainfield. If not, state Elapsed time 10 min
depth into effective
0 Code-required soil cover over field Final fluid depth 0 in
❑ System presoaked Absorption rate 450 gpd
(Required if vacant for greater than 30 days prior to Any rejuvenation treatment (past 12 months) NO
date of test) N/A
Gallons introduced NA gallons If yes, enter date
Comments/Deficiencies:
COSA Checklist yellow sheet
E. SEPARATION DISTANCES
From Private Well on Lot to: (Please enter distances if less than required or if community well)
Septic Tank/Lift Station on Lot > 100' Community Sewer Manhole/Cleanout> 100'
0✓ Yes if No ft E Yes if No ft
Neighboring Tank > 100' EYes if No ft Private Sewer/Septic Line >25' ❑,/ Yes if No ft
Absorption Field on Lot> 100' EYes if No ft Holding Tank > 100' 2 Yes if No ft
Neighboring Absorption Fields > 100' Animal Containment> 50' ✓0 Yes if No ft
✓❑Yes if No ft
Manure/Animal Excreta Storage > 100'
Community Sewer Main > 75' E Yes if No ft ❑,/ Yes if No ft
From Septic/Holding Tank on Lot to: (Please enter distances if less than required)
Building Foundations > 10' E Yes if No ft Surface Water> 100' E✓ Yes if No ft
Property Line > 5' E Yes if No ft Driveway/Parking > 0' 2 Yes if No, comment
Absorption Field > 5' ❑✓ 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' ✓0 Yes if No ft Community Wells >200' ✓O Yes if No ft
From Absorption Field on Lot to: (Please enter distances if less than required)
Building Foundation > 10' 2 Yes if No ft Driveway/Parking > 0' E Yes if No, comment
Property Line > 10' ✓0 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' Q✓ Yes if No ft
F. ENGINEER'S COMMENTS
Monitor tubes verified present at time of inspection as shown on Inspection Report Drawings
G. ENGINEER'S CERTIFICATION ��QF q� kki
I certify that I have determined through field inspections and review /AW41.'
fi
of Municipal records that the above systems are in conformance with Ai*'49 TH .*
MOA COSA guidelines in effect on this date. 3/15/2019 � ••a,., -,--4/2-;
�• • �_
CHARLES G BALZARINI
r,� CE-13854 .•�e<A�
F •,
•
1A -0PROFEssloNt�
COSA Checklist yellow sheet ‘�\��� �
MUNICIPALITY OF ANCHORAGE
DEVELOPMENT SERVICES DEPARTMENT 'He F (• 907-343-7904
On-Site Water and Wastewater Section Fax: 343-7997
www.muni.org/onsite /
Septic Tank Advisory
Certificate of On-Site Systems Approval # OSC191081
Subdivision: Summit Estates Block:3, Lot: 12
Starting at 20 years of age the MOA issues Advisory's for steel septic tanks. The septic tank for
this property is 20+ years old. Typical replacement costs range from $6,000 to $9,000.
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.
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Mailing Address: P. O. Box 196650 " Anchorage,Alaska 99519-6650 " www.muni.org
MUNICIPALITY OF ANCHORAGE
DEVELOPMENT SERVICES DEPARTMENT • �, 907-343-7904
On-Site Water and Wastewater Section Fax: 343-7997
www.muni.org/onsite
Nitrate Advisors'
Certificate of On-Site Systems Approval # 0SC191O81
Subdivision: Summit Estates, Block: 3, Lot: 12
A water sample revealed a nitrate concentration of 5.08 milligrams per liter (mg/L).
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.
Mailing Address: P.O. Box 196650*Anchorage,Alaska 99519-6650 *www.muni.org
MUNICIPALITY OF ANCHORAGE
•
A.
Development Services Department \ Phone: 907-343-7904
On-Site Water & Wastewater Section Fax: 907-343-7997
Lift Station/Pump Vault
Maintenance Log
Owner Paul Kloster Street Address 4511 F.99TH
Septic Tank:
•Sludge level NA inches •Pumping: required alt no •Pumping completed no
Lift station:
•Pump basket cleaned a no •Effluent filter cleane•e no
•Control floats cleaned no •Proper float settings con irmed Q no
•Operation satisfactory -- no
Alarm System:
•Dedicated electrical alarm circuit 0 no •Audible and visual alarm inside dwelling fra) no
•Alarm system operationof sfactory not satisfactory
Manhole Riser
•Ground water intrusion at riser to tank connection es •
•Ground water intrusion around pipe penetrations es • •Weep hole functional et no
•Manhole lid: Functional no Insulated al no Properly Secured ` no
Other
•AII manufacturer required inspections and maintenance completed no
Comments:
Inspection by C&M Engineering. Pumping by One Stop Pumping. Float Repair By Frontier Electric.
Qualified Maintenance Provider:
Technician C.Balzarini Date of maintenance 3/5/19
Company C&M Engineering
Signature Date 3/27/19
Mailing Address: P. 0. Box 196650*Anchorage, Alaska 99519-6650*www.muni.org
Parcel I.D. #
MUNICIPALITY Of ANCHORAGE
DEPARTMENT OF HEALTH & HUMAN SERVICES
Division of Environmental Services
On-Site Services Section
P,O. Box 196650 Anchorage, Alaska 99519-6650
(907} 343-4744
CERTIFICATE OF HEALTH AUTHORITY
APPROVAL FOR A SINGLE FAMILLY DWELLING
015-071-20
1. GENERAL INFORMATION
Completelegal description SUMMIT ESTATES SUBDIVISION: LOT 12. BLOCK 5
Location (site address or directions) 5521 E. 99TH AVE. ANCHORAGE. AK 99516
Property owner DOM GLICK
Mailing address 5521 E 99TH AVE.
Lending agency
Mailing address
Day phone 7 -4
ANCHORAGE. AK 99516
Day phone
Agent DAVE AQUINO w/ PRUDENTIAL JACK WHITE Dayphone (907) 762-5120
Address 3201 "c" STREET. SUITE 100. ANCHORAGE. AK 99503
Unless otherwise requested, HAA will be held for pickup.
2. NUMBER OF BEDROOMS: 3
3. TYPE OF WATER SUPPLY:
Individual well xxx
Community well
Public water
NOTE: ff community well system, provide written confirmation from State ADEC attest-
ing to the legality and status of system.
4. TYPE OF WASTEWATER DISPOSAL:
Individual on-site
Holding Tank
Community on-site
Public sewer
NOTE:
XXX
If community wastewater system, provide written confirmation from State ADEC
lng to the legafity and status of system.
72-025 (Rev. 1/91) Front MOA ¢¢21 Computer version
Note: Alaska Water and Wastewater Consultants, Inc,. shaft be paid $650.00 at,
or prior to, closing for the engineering services proviaea. J
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 vedfy that based on the information obtained from the Municipality of
Anchorage files and from my investigation and insl~ection, the on-site water supply and/or wastewater
disposal system is in compliance with aH Municipal'and State cedes, ordinances, and regulafions in effect
on the date of this inspection.,/ ,,,', .
Name of Firm ALASKA WA-~& W/[STE'-'WATER CONSULTANTS, INC. Phone (907) 337-6179
· ~,,// .~ ,'1-'/~.'-.._ ~2 ~
·
system in accordance with ADEC and MOA DH~S Guidelines & Regulations, The reported results described the
performance of the system under the conditions encountered at the time of the test, and separation distances
measured to readily identifiable features. The operational life of all wells and septic systems depend /
on the local soils condition, ground water 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
AWWC, lnc. canthereforenotprot4deanywarran~yforfutureestimateofhowlongtho~'
system will continue to meet the operational requirements of the ADEC or MOA DHHS. ~ ...
The contentofthisreportis forthesole benefitoftheownerlistedabove. A~y ~ ~ ?
reliance upon er use of this report by any other person or party is not authorized, .
.........
bedrooms
nor will it confer any legal right whatsoever·
6. DHHS SIGNATURE
~ Approved for "~
Disapproved
Conditional approval for
A. G'6rae~s..'
_ bedrooms, with the following stipulations:
Additional Comments
Date '7" c o
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. 1t91) Back MOA #21 Computer Version
Municipality of Anchorage ~ ' ""
DEPARTMENT OF HEALTH & HUMAN SERVICL~J: ~, J:: J V ~
Environmental Services Division
825 "L' Street, Rm 502 Anchorage, Naska 99501 (907) ~ 27 2000
I~UNICIPALITY OF ANCHOI~AGI~
Health Authority Approval Checklist 'VlI:'ONMENTAL SERVICES DiVi~i~
Legal Desc~ption:
A. WELL DATA
Well Type PRIVATE
Leg present (Y/N) N
Toteldepth 75' PER 1979 HAA
Sanrmw es~ (Y/N)
SUMMIT ESTATES S/D; LOT 12, BLOCK
Parcel I.D.: 015-071-20
If A, B, or C, attach ADEC letter. ADEC water system number N/A
Date completed PRIOR TO .1975
, ~ ~ ~,~'~ ,,
Cased to ~. ,7,,,.~ :~ Ca~ing'helght (a_bove ground) 18.5
YES :, ; ' Wires properly protected (Y/N) YES
Date of tsst
Static water level
Well production
FROM WELL LOG
g.p.m.
AT INSPECTION
8/19/98
22'
5:1
g;p.m.
· WATER SAMPLE RESULTS:
Coliform '~
Date of esmpla: [o//~,,/~O
B. SEPTIC/HOLDING TANK DATA
Date installed 9/25/98 Tank size
Foundation deanout (y/N) YES
Date of Pumping 6/19/2000
Collected by:
A.W.W.C., INC.
1250 Number of Compartments 2 Clesnouts (Y/N) YES
Depression (y/N) NO High water alarm (Y/N) YES
Pumper BILL McDONALD
C. ABSORPTION FIELD DATA
Date installed 9/25/98
62' (30..5'
Length + 31.5') Width
Soil rating (g.p.d./fl2 or fl2/bdrm) 1.2
5' Gravel thick~__~_ below pipe
System type TRENCH
2' Total depth 5'
Effective abes~pfion area 443 SQ FT
Date of adequa=/test -
Fluid depth in abeo~ption field before test (in.);
Fluid depth - (ins) Minutes later:.
Peroxide treatment (past 12 months) (Y/N)
72-026 (Rev. 3/96)* Coml~ter Vemlon
Monitoring Tube present (Y/N) YES Depression over field (Y/N) NO
Results (Pass/Fall) - For. - Bedrooms
__.gal. water added (in.): -
- Immediately aftsr
- Absorption rate =
- If yes, give data
D. LIFT STATION
Date installed
Manhole/Accees (Y/N)
High water alarm level at'
Cycles tested
NEW
9/25/98
YES
45"
Size in gallons. 1250
'Pump on" level at* 41" "Pump off= level at*
*Datum BoTroM OF TANK
E. SEPARATION DISTANCE8
· SEPARATION DISTANCES FROM WELL ON LOT 'tO:
SepticJholdlng tank on lot 1 oo'+
Absorption field on lot 100'+
Public sewer main N/A
Sewer/septic service fine 25'+
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Foundation 5'+ Property fine 5'+
Water maln/sewlce line 10'+ Surface water/drainage 100'+
SEPARATION DISTANCES FROM ABSORPTION FIELD ON LOT TO:
On adjacent Iot~ 1 oo'+
On adjacent Iota__ 100'+
Public sewer manhole/cleanout N/A
Lift station_ 100'+
Absorption field
Wells on adjacent lots
5'+
100'+
Property line 10' Building foundation 10'+ .Water main/service line
Surface water. 100'+ Driveway, parldng/vehlde storage area
Curtaln drain NONE KNOWN Wells on adjacent lots
F. ENGINEER'S CERTIFICATIOI~. /
of Munlcipsl ff~cord~; tl~th~ aJ~veI ,ysterns are in conformance
SIgn ~u ra .~L~.~_h,,;:~
Date_~m~ ~ q~,,i * · ........ '
10%
10%
HM Fee $ ~_~'Jc'~, ~'~
Date of Payment ~,~'7/~O
R~lpt Num~r D{~(~
72~ ~. ~)* ~p~V~n
Waiver Fee $
Date of Payment
Receipt Number
08-N-O0 1~:44 FRO~-CTE ENVlRONBENTAL
ZtK~ CT&E E~lvironmental Services Inc.
5615301
T-608 P.02/03 F-811
CT&E Ref,~
Client Name
Project Name/#
Client Sample ID
Matrix
Ordered By
PW$ID
Sampl~ gcmazKs;
1003169001
AK Wa~er & W~tcw~te~ ConsulIma~a Inc.
S~mit ~smtes Lei 12 B& 3
S~it Esm~s LoT 12 B~ 3
D~g Wat~
~a[er~ Department
Nitra:e-a
5.20 0.500 m9/t EPA ~oo.o
Client PO#
Printed Date/Time 06/23/2000 1807
Collected Date/Time 06/19/2000 N.:O0
Received Date/Time 06/19/2000 15:30
AttO~aete Prep
10 max 06/19/00 SCL
cot/lOOmJ. SM18 92~B
06/19/00 lOOP
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 1 2: Block 3: Summit Estates
Location (site address or directions) 5521 E. 99th Avenue
Anchorage, AK
Property owner Don Glick
Mailing address 703 D'Jon
Day phone (830) 663-4229
Devine, Texas 78016
Lending agency
Day phone
Mailin. g address
Agent ~,~o_~- LxJ~-~ ~-J:=-~-- ~---~
Address '~'Z.o ( ~-~ ~,,rL~.-~i- 3
Day phone -7~ -
Unless otherwise requested, HAA will be held for pickup.
NUMBER OF BEDROOMS:
TYPE OF WATER SUPPLY:
Individual well
XX
Community well
Public water
NOTE: 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
Xx
Holding tank
Community on-site
Public sewer
NOTE: If community wastewater system, provide written confirmation from State ADEC
attesting to the legality and status of system.
ordinances, and regulations in effect on the date of this inspection.
. Alaska W (mr &
r~ame of Firm ~ ,, ~ /' /~7- Phone
ddr.s
bng,neer s signature ~, ~ ~,~-, -X ~~ Date
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 MunicipaJity 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,
33'7-4/7
DHHS SIGNATURE
I,-"" Approved for -/'H ~, ~' F__ bedrooms.
Disapproved.
Conditional approval for
bedrooms, with the following stipulations:
Additional Comments
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 oeu rtesy to pu rchesers 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.
- OCT
Municipalib~ of Anchorage
DEPARTMENT OF HEALTH & HUMAN
Environmental Services Division , ,~ONM
825 L Street, Room 502 · Anchorage, Alaska 99501 · (907) 343-4744
Health Authority Approval Checklist
Legal Description: £oT J 7_ ~ ~L. oc~- ~ ,, ~"J~l~41T- ~7'~=s Parcel I.D.:
A. WELL DATA
Well type
Log present (Y~ ~]o . Date completed
Sanitary seal ~/N) YF--~
If A, B, or C, attach ADEC letter. ADEC water system number /~/A
Date of test
Static water level
Well production
FROM WELL LOG
Nitrate
~'~4 ~o~ -F~ 1~775-
Casing height (above ground) /~. ~
Wires properly protected {~',l) "/~-~
AT INSPECTION'
g.p.m. ~. ~ g.p.m.
~ 0¢3,,,,,J0o,~ 'To 3Z.~/
WATER SAMPLE RESULTS:
Coliform ' ~
Date'of sample:.
B, BEPTICI~TANK DATA
Date installed ~J/'Z.~/ff¢ Tanksize J'z,~3 Number of Compartments ~-- Cleanouts~'~) ~/~--~
Foundation cleanout (~t), ' ~'..s Depression.~[r~ /~c) High water alarm ~
Date of Pumping I'~ P_.u5 Pumper -
C. ABSORPTION FIELD DATA
Date installed ~
Length ~,Z~ Ll ~sl.~'./Width
Effective absorpt On area..
Date of adequacy test j~
Soil rating O °~'~'~m~ l. '~. System type
Gravel thickness below pipe ~ I Total depth
Monitoring Tube present(~ll~¥~ Depression over field (~i~).
Results (Pass/Fail) For --~ bedrooms
Fluid depth in absorption field beforetest (in.); ~ - Immediately after ~gal.'water added (in.):
Fluid depth - (ins) Minutes later: ~ Absorption rate = ~- _g.p.d.
Peroxide treatment (past 12 months) (Y/N) '----- If yes, give date --
72-026 (Rev. 3/96)*
D. LIFT STATION
Date installed
Manhole/Access(~/N)
High water alarm level at*
Cycles tested
E. SEPARATION DISTANCES
Size in gallons
"Pump on" level at*
*Datum
SEPARATION DISTANCES ,FRO. M WE!~L ON LOT TO:
Septic/holding tank on lot
Absorption field on lot
Public sewer main
Sewer/septic service line
"Pump off" level at* ~1"
On adjacent lots
On adjacent lots
Public sewer manhole/cleanout
Lift station
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Foundation ~ °~---+ Property line '~E~14' Absorption field
Wells on adjacent lots Ioo Lic
Water main/servkJe line }ol~-, Surface water/drainage ]ool~r
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOTTO:
Property line JOI Building foundation JZI-'P-
Water main/service line I o I_/_
Surface water ) c,¢ I .y Driveway, parking/vehicle storage area ~'o ~-+-
Curtain drain /do,4~ ~.,4o~Jt'~ 4 Wells on adjacent lots I°o1-~
/
ENGINEER's CERTIFICATION // ./.,~"~."~'~:%'~,~
.
/
, ce,ify that ,~ de,~in~u fi4ld inspections and review of Municipal rec~ [~¢¢E~ ~s are
in conforma~e wi}h ~A ~uideJines..tn effect on thts date. , ~,~ j'~ ~~,~ ~/ % {'.~' ?~ ,
Engineer's Name
Date /o 8
~[~ ~O.FESS~
HAA Fee $_
DateofPayment //z¢/~/ ¢~
Receipt Number ,~:~ .,~z~ ¢ ~.,~
72-026 (Rev. 3/96)*
Waiver Fee $
Date of Payment
Receipt Number __
Facsimile Transmittal
Alaska Water & Wastewater Consultants, Inc.
Date:
TO:
From:
I°/~///~ Number of Pages
ALASKA WATER & WASTEWATER CONSULTANTS, INC.
Jeffrey A. Garness, P.E., M.S.
Comments:
7320 East Chester Heights Circle ~ Anchorage ~ Alaska 99504
Phone (907) 337--6179 ~ Fax (907) 338-3~246
OCT-02-1~S i~:,0~ CT~E ESI ~NCHO~E ~07~6~5~01 P.G2~06
CT&E P. ef,#
¢lleut Name
Project Name/#
Client Sample ID
,~Iatrix
Ordered By
985612001
AK Water & Wastewat~r Ceasul~ts I~c.
~m~ Estates, Lt 1~ Bg 3
~it Esmto~, Lt 12 Bk 3
Dfi~ Water
Cllent I'0#
Printf~l Date/Time 10/02198 09:29
Coli~:tadDatc/Tlme 09128/98 13:10
Recelvefl Date/Time 0.9/28198 13:50
Technical Ditcher: Stephen C. Erie
~.51 0.100 mg/L EPA ~00.0 10 max 0g/28/9~ 09/28/98
OCT OB
DRILUNG LOG
¢li~t I~vls ._ Usa ~ Well
OwneL , ,
Location (ad, tess d: Town'p, ~e, ~etion, ~ ~ow~ or~lstance main road
Size ;of ca~ing ~ Depth of Hole , ~.~ {eat C~ed to 7~ ' {eat
~tattc water level , R~ ~t (a~ (below) l~d suthce. FMish d web (~eek cna) open
D~crt~ ~n or perioratio~
WeE 9~p~ t~t a~gallons per ~) (minute) for ! hours wii~ l~
)I
Date oi completlo~_
Depth in £eet from
ground surfac,e
.. ~ TO~_I-I~
~ ~0~
~TO ~o
WEI,t LOG
Give details oi lormaUons penetrated, ~ize o£ material, color ~d harness
TO
.... TO
TO
_____.__TO
,,,.TO
TO__
Post. It'" brand fax transrnitM rnemol~711"=,....
.___._--TO
' 'ALASI~ WATER & WASTEWATER
WELL FLOW TEST DATA
NUMBER OF BEDROOMS ~ F.H,A. - FOUR ~FLOW TEST:
TEST DATE START ~/~-9~ TEST DATE END ~-~-F~
WE~ DEPTH (PER WE~ LOG): ~ ~ /~5/~
CASING DEPTH (PER WE~ LOG): ~
CASING HEIGHT (ABOVE GROUND)[ /8'~' ,-
DEPRESSION AROU~WE~ YES /~
FLOWRATE WATER LEVEL
TIME METER READING (G.P.M.) (BELOW TOP OF CASING)
MUNICIPALITY OF ANCHORAGE
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION DEPT. OF ~',!T;I &
ENVIRONMENTAL ENGINEERING DIVISION ~HJI'J 2~ r? i,~Z~J
Telephone 264-4720
REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER~J~(~[']JI~[ D
DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed, Please allow ten (10) days for processing.
PHONE
PROPERTY OWNER .~3~3 d ,.~'
AILING ADDRESS
PHONE
~ROPERTY RESIDENT (If different from above)
PHONE
BUYER
MAILING ADDRESS
3. LENDING INSTITUTION
4. REALTOR/AGENT
MAILING ADDRESS
PHONE
5. LEGAL DESCRIPTION
L,~'F ,'2. f~Z/c'
;TREET LOCATION '/
6. TYPE OF RESIDENCE NUMBER OF BEDROOMS
[] One [] Four
[~/' SINGLE FAMILY [] Two [] Five
[] MULTIPLE FAMILY [~ Three [] ~ Six
[] Other
7. WATER SUPPLY [~ INDIVIDUAL~
[] COMMUNITY
[] PUBLIC UTILITY
* ATTACH WELL LOG. A well log is required for all wells drilled
since June 1975. For wells drilled prior to that date, give well
depth (attach loll if available,) /~;¢'//:'_,E~7'- f/?,¢)
8. SEWAGE DISPOSAL SYSTEM
~ INDIViDUAL/ON-SITE**
[] PUBLIC UTI LITY
** f individual/on-s te, fl'ye installation date /'~ 7~¢
If system is over two (2) years old an adequacy test is required
by this Department.
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
72-010(3/78)
THIS SIDE FOR OFFICIAL USE ONLY
DATE RECEIVI_:D
INSPECTION APPOINTMENTS
TIME TIME TIME
DATE DATE DATE
INSPECTOR INSPECTOR INSPECTOR
DIRECTIONS:
NUMBER OF BEDROOMS
TYPE OF RESIDENCE
[] SINGLE FAMILY
[] MULTIPLE FAMILY
2. WATER SUPPLY
[] INDIVIDUAL
[] COMMUNITY
[] PUBLIC UTILITY
Connection Verified
3. SEWAGE DISPOSAL SYSTEM
[] I NDIVI DUAL/ON -SITE
[]PUBLIC UTILITY
Connection Verified
[~]Septic T..~r~ or []Holding Tank
Size: Ir-~')~) If Tank is homemade
give dimensions;
TYPE OF TANK
TOTAL ABSORPTION AREA
4. DISTANCES
WELL TO:
Absorption Area to nearest Lot Line
[] ONE [] THREE [] FIVE
[] TWO [] FOUR [] SIX
[] OTHER
PERMIT NUMBER
DEPTH OF WELL
DATE DRILLED
LOG RECEIVED
PERMIT NUMBER
DATEINSTALLED
INSTALLER
SOILS RATING
Septic/Holding Tank Absorption Area Sewer Line
_[Nearest Lot Line
5, COMMENTS
~APPROVEDFOR --~ BEDROOMS
[] CONDITIONAL APPROVAL (letter must accompan
[] DISAPPROVED
DATE
LEGAL DESCRIPTION
72-010 (Rev. 3/78)
icipalit
of
]horage
ice of
I4unic.
orney
ch 6-650
2525
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
NOTICE OF VIOLATION
Please take notice that the undersigned authorized
representative of the Director has reason to believe that
or about April 13, , 19 77 , at or near
Approximate location: Lot 12 Block 3 Summit Estates
Name: G & G Builders
on
Address: Box 8438 Anchoraqe, Alaska 99508
within the Municipality of Anchorage did unlawfully
Install and use an unapproved sewer system consisting_of a
holdinq tank in lieu of a septic-tank - seep_~ge system. __
which is a separate violation of ~ 15.65.022
of the Anchorage Code of ordinances each and every day
condition exists.
such
A copy of this notice and ~ 15.65.020 , attached
hereto and made a part of this notice, have been served upon
Name: Richard L. Griggs
Address: Box 8438 Anchoraqe, Alaska ' 99508
either by personal service, by registered mail, or where such
person cannot be found after diligent effort to do so, by
posting this notice on or about the location described in this
notice.
If the violation or violations referred to herein have
not been corrected by July 30, , 1977., legal proceedings
may be initiated as provided by law.
Dated this 29
~ia,y' 6f June , 19 77
Environmental Specialist
Title
FUN CE[~'£1FIE~i IVIAIL-~3(l~ (plus posta~e)~
rl~YUl~t~ ~ ~. Slmws to ~/hOUl and da o de ve ed ....... 15~
DELIVER TO AD~RE~EE ONlY ;...,~..:::5...,..,~:::.: ................ 50~-
SPECtAL DELIVE~ ~Oxtro ~c~ ,;~quJred~: ........... ~.,.,~ ......
PS i:or.~ DO INSUIiARCE COVERAGE PROVIDED--
N0¥ FOR INYEflNATIONAL UAIL
(See ofher side)
ILNB/ljh - R~ n'roceipt requested.
· 1, Th~J following service is requested (check. one),
[] Show to whom and date delivered..; .........
[] 8how to wli0m~ 'dfftec& address of delivery,.
~ DELIVER oNLY TO~DDRESSEE 'a~d-
' r 'hOWt~ ~d~?nd date
~ D~LI.VBR~"'O~LY'TO XDDRESSEE ~nd
~hoo' ~¢ wh~m~ date, and' address of
. ddi~¢r~-...L..3~ ...................................
2. A~T CL~:AO~R~S[O To:
R~ahar~ ~.- ,~ggs/Dav~d M.G~lk
3ox 84:38i /Anchoraqe, 99508
SIGNED
DATE
gedi~orm ®
4S 469
poly Pal~ (SO $e1514P469
I')FTACH AND FiLE FOR FOLLOW-UP
icipalit~
of
chorage
i ce of
Munic.
orney
ch 6-650
-2525
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH
,'i 9
& ENVIRONMENTAL PROTECTION
NOTICE OF VIOLATION
Please take notice that the undersigned authorized
representative of the Director has reason to believe that on
or about April ~3r , 19 77 , at or near
Approximate location: Lot 12 Block 3 Summit Estates
Name: G & G Builders
Address: Box 8438 Anchoraqe, Alaska 99508 .
within the Municipality of Anchorage did ~nlawfully
Install and use an un~p_proved sewer system consistinq of a
holdinq tank in lieu of a septic-tank - seepaqe system.
which is a separate violation of ~ 15.65.02.0
of the Anchorage Code of ordinances each and every day such
condition exists.
A copy of this notice and ~ 15.65.020 , attached
hereto and made a part of this notice, have been served upon
Name: Richard L. Griggs.
Address: Box 8438 Anchorage, Alaska' 99508
either by personal service, by registered mail, or where such
person cannot be found after diligent effort to do so, by
posting this notice on or about the location described in this
notice.
If the violation or violations referred to herein have
not been corrected by July 30, , 1977 , legal proceedings
may be initiated as provided by law.
Dated this 29
day of June , 19 77 ·
Nafae '-'" ~
Environmental Specialist
Title
If you hav~ a~y
Sa~ita~ia~
:' ' MUNICIPALITY
OF ANGHORAGE
POUCH 6-650 ANCHORAGE, ALASKA
Department of Health and
Environmental Protection
3330 C Street
Anchorage, Alaska 99503
274-4561
99502
January 9, 1976
4.1
G. G. Builders
Richard'L. Griggs &
David M. Gilbert
Box 8438
Anchorage, Alaska 99508
Subject: Lot 12 Block 3 Summit Estates
Account ~ 015-071-20
RE: Improper discharge of manure and putrescible wastes
Dear Mr. Griggs and Mr. Gilbert:
~olation I
A problem of possible human wastes being deposited on the surface
of the ground beside the residence on Lot 12 Block 3 Summit Estates
has come to this department's attention.
An inspection revealed fecal matter and pools of urine on the
property. The current condition is in violation of the Municipal
Ordinance 18.15.020 (a), (g) and (h).
At this time the person or persons occupying the residence apparently
have no approved sewage facilities. A number of attempts have been
made to contact the tenants, however, no one has been home, therefore,
this department is contacting you, the property owner, who is legally
responsible for conditions on the lot with an official request to
correct the violations as noted:
all fecal matter must be removed
pools of frozen urine must be disinfected with ½ gallon
of household chlorox and covered with earth
areas where fecal matter has accumulated must be disinfected
by saturation with a chlorine solution of household chlorox
Sinoe the area is a health hazard, failure to correct the violations
within two (2) days after receipt of this letter will result in legal
prosecution.
~. Griggs and Mr. Gilbert
January 9, 1976
Page Two
On November 30, 1972 this department notified you of violations
involving the construction of the sewer system serving the subject
lot. The existing system is not approved. The lot has a drilled
well and therefore must have an approved water carried sewage
system. Failure to upgrade the sewer system or continue use of the
existing system places you in violation of Municipal Ordinance
16.45.020 (a). Continued occupancy will be allowed only if some
type of sewage disposal system approved by this department is used
and so stated in writing. Continued use of the existing sewer system
beyond two (2) weeks from receipt of this letter will result in
legal action as you have been previously notified by ~his department
of the existing discrepancies.
If you have any further questions concerning the above, please
contact me at this office, 274-4561, extension 135.
Sincerely,
~ae~i~r~aU~hh°lz ~
LNB/ljh
DEPT. OF ENVIRONMENTAL CONSERVATION /
SOUTttCENTRAL REGIONAL OFFICE / 338 DENALI STREET
R00~ 850
Mr. Les Bucholz
Dept. of Environmental Quality
Greater Anchorage Area Borough
3330 C Street
Anchorage, Alaska 99503
SUBJECT: Lot 12, Bik 3 -Summit Estates Subdivision (Richard Griggs)
Dear Mr. Bucholz:
We have reviewed the plot plan submitted by Mr. Griggs and
find that while his solution to his sewage disposal problem is
somewhat unique, it is not in conflict with the requirements of~
the Wastewater Disposal Regulations. As this is an existing lot
with an existing dwelling, we have no objection to the placement
of one of the septic tanks 60 feet from the well.
Yours truly,
Kyle J. Merry, P.E.~
Regional Environmental Engineer
cc:
Richard Griggs
Star Rte. A
Box 8IR
Anchorage, Alaska 99507
July 17, 1974
Hrs and Mrs. Griggs
P. O. Box 8438
Anchorage, Alaska
99504
SUBJECT: Overflowing sewage complair~#1574
Lot 12, Block 3, Summit Estates
Dear Hr. and Hrs.Grtggs.'
On Friday, July 12, 1974 I sppke with Nrs. Griggs concerning drainage of
your waste vJater from your temporary dwelling on Lot 12, Block 3, Summit
Estates. At present you are draining waste water from a kitchen sink
into an open hole and ditch outside the building. This is in violation
of the Greater Anchorage Area Borougl~ Ordinance 28~68 Article VI Section
9-66 paragraph (B) ~hich states, in part, "No human excreta, kitchen
~astes, laundry water, sink water o o . or other wastes shall be allowed
to discharge or flow upon the surface of the ground or into any ditch,
gutter, . . . so as to create a nuisance condition or health hazard."
Nrs. Griggs told me that you plan on having your home built and connected to
a newly installed smver system by the fall of this year. This Depar~)ent
will allow you to temporarily drain your waste water from the kitchen into
a septic tank properly sealed at one end to be placed in the open ditch now
being used for your water drainage.
Please understand that this procedure is temporary and that the new sewer
system should be installed and approved by this Deparim~ent within 90 dsys
of this date. A permit will be required bef6re installing the system and
can be obtained at this office at 3330 "C" Street.
An inspection must also be made of the temporary installation of the septic
tank.
Thank you for your cooperation in this matter and should you have any
problems or questions, please do not hesitate to contact me at 274-4561o
Sincerely,
Denise Co Bashaw,
Environmental Control Officer II
DCB/ko
NUISANCE COMPLAINT FORM
Complainant's Name:_~~../ ~~
Street Address:
~/~ / ~-
Phone No. _3-~-/~'~// Box No.
Name of Person Against Whom Complaint is Made:
Owner of Property Where Nuisance Exists:
Owner's Address:
Phone No.
Location of Complaint: ~/..~w~./~ ~_~ .~
/d~-~~ 3 ~ ~x~7~. Street Address: /
Person Receiving Complaint:
I'certify that such statement ~f ~acts is true to the best of my be-
lief and knowledge. I request that the foregoing matter be investi-
gated and that appropriate action thereafter be taken. I am willing
to testify to the facts stated in the foregoing complaint in court
if necessary.
Complainant
sc?~ur s'/st:.x whic:~kwus S~'.)"vii~: ~:riu tr::iier. '[~is consisBeJ of ~
4~lc;QCeY~ll~d~. I~i~ 9'['70 '; yuL C~L- bY3~* ' t.o
c~;f~acc go ~;nis office.
iN will ~,~:: nec~ssary for yo~ co e t~ler u~]r,:u.h. C,i~ exiscin~ sewer
SySL~s;i ~]a Bh'is lot or pruvid::' a new systeu~. Plttasa coi~cact this
office for a perJyi~ or discuss any probl¢;u:s yuu mi:)h'c 'ldv.~ coJlcerning
Chis
'Four cocperatioa wilt be !;raatly
Si r, cercly,
Denise Bashaw
Envirom;~entai Corltrol Officer