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T14N, R1W, Section 17
T14N RIW Sec. 17 E2 SE4 NW4 (Whitestone Estates Unit#8) #067-311-01-008 Municipality of Anchorage Page / of DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 • Anchorage, Alaska 99519-6650 0 Telephone: 343-4744 On -Site Wastewater Disposal System and/or Well Inspection Report Permit Number: 7f`)�9 Z�° p PID Number: D r0 3 Name: �S��T1EGt=,� MSS Wastewater System: 9i New ❑ Upgrade Address: P go ABSORPTION FIELD Phone: j No. of B Brooms: ❑Deep Trench YShallowTrench ❑Bed ❑Mound ❑Other LEGAL DESCRIPTION Soil Rating: /`1J^ Total Depth from original grade: 70 GPD/So. Ft. Lot: Jk-\kT 6 Block: t Subdivision: Depth to pipe bo om from original grade: Gravel depth beneath pipe 15 { BIW I •O Ft. Ft. Township: 1 Range: / Section: t---' Fill added above original grade: Gravel length: a Ft. Ft. WELL: New 11 Upgrade Gravel width: �' Number of lines: Distance between lines: Ft. Ft. 01 Ifdication (Private, A,B,C): Total Depth: CD Cased To: i Total absorption area: Pipe material:��'v1T t ` Ft. i Permit No, 50 CA 00JU � Page a of .2— Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 a Anchorage, Alaska 99519-6650 *Telephone: 343-4744 On -Site Wastewater Disposal System and/or Well Inspection Report Legal Description: IIE114 5EI14 90'14 '7_14>J Klv✓ S -c/7 PID No.: 2' TH 12 ",111UNIT 9 WELL 8 WELL BIOCYCLE MODEL TH 7 \ 6000 " A C � C UNIT 8 TH PRIMARY TRENCH 5' X 25' T T. - �� TH 15 TH 1 61 +1 (NOT TO SCALE) 671 B.M. - SE HOUSE CORNER, TOP FOUNDATION ELEVATION - (ELEV. - 674.5) RVE TRENCH 25' 20 TH 21 670 / 656 / CWT 656 DISTANCES A - C 16.5 A - D 23.3 B -C 43.1 B - D 63.5 CiFJ1D 0 TEST T BY OTHERS • TEST PIT Y PTS era CLEANOUT '"T' MONITORING TUBE SCALE 1" = 50' �' 9L s• ,e N •NaN •a••••••�I•• 1• �•a•N••MNY •N •�•• i • Dean A. Kar : � r a �, CE -8303 : _moi Q • • Munlelpeft of Anchorage. DEPARTMENT OF HEALTH &HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION TEST G. SCOTT CROW Tm PERFORMED FOR: &,IA7//e SfOHe Esfp/es DATE PER LEGAL 1 ervcJh ,r, /Y- y 54011-/ (511n) 2 ti/ kk E..I..el 3 4 5 /,�r�wi1 ��n�y Eira✓eI ��PJ w/fh ca did/eS 6 60V I d ers 9� TP #21 94 10 11 12 s 13 14 15 16 17 18 19 WAS GROUND WATER ENCOUNTERED? UC S IF YES, AT WHAT / DEPTH? /Z 11" Is WAV Aft mufti"? aft 20�PERCOLATION RATEQ/ (minuteminch) FERC HOLE DIAMETER G '/ TEST RUN BETWEEN . 4 FT AND _ FT COMMENTS prep sadkecl 'ye✓eC'le,f/0h fP f- 17'q le Section: PERFORMED BY: 6 S C rClt ri 12 Ph I A 1406�RTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE DATE 72-M lRw. 4!851 • 0 PROPERTY OWNER AGREEMENT FOR THE MAINTENANCE OF AN ARM ON-SITE WASTEWATER DISPOSAL SYSTEM This agreement, dated �L/cbetweens made Anchorage Department of Health and Human Services owner(s) of: (DHHS) and ththe pr Municipality of This agreement is made for the purpose of maintaining an on-site wastewater disposal System on the subject property. The property owners agree to the following: Submit to the Municipality of Anchorage, on an annual basis, an inspection and Operation statement from a registered professional engineer. This inspection and operation statement shall verify that the engineer has inspected all effluent and air Pumps, timers, and alarms, and that any deficiencies have been repaired and that the system is functioning as designed. 1 (Signature) G�Z- (Printed Name) (Printed Name) -------------------------------- Notarize Here ----------- State of (� On this 5 day of �° Q00 personally appeared before me, ' who is personally known to mei N y] whose identity I proved on the basis of/��� whose identity I proved on the bath/affirmation of , a credible witness to be the 7NOTAR f the above document, and he/she acknowledged that he/she signed it. OFFICIALS T EAL C��/I o OL.F in Notary Public y Pl��L9C Y commission expires -C,L Qw?rtifirb Prilling 1a$ by o0c . co " SULLIVAN WATER WELLS P.O. BOX 670272, CHUGIAK, ALASKA 99661 • TELEPHONE 688.2759 OWNER OF LAND IPjGCts A 9,4LIX' BORE HoLE DATA ADDRESS DEPTH Fmm TO LEGAL DESCRIPTION 7{9/J,ejuj uIL I4 Agj n d —.4,;44.-13liL 4 &2Aj 1:S7t*jjC &; A PERMIT NUMBER--" Date of Issue--? TAX INDENTIFICATIONNUMBERi�S`0 Is well located at approved permit location? 4t3�eis Q No Method of Drilling: Ir rotary Q cable tool Depth of well; ei/ Casing Type Thickness a dS`O inches Diameter 16 inches, depth L feet Liner Type; AYvra � � SIG S i ',rg w►,t S JAL [c — Casing Stickup Above Ground: a . feet Static Water Level (from ground level); „)7_ feet Pumping level:—feet after hrs. pumping gpm Recover Rate: P pm Method of Testing: �12 Well Intake Opening Type: aA�POn End Q Open Hole Q Screened; Start feet Stopped Feet Q Perforations Start 81t Stopped feet Grout TYPe: fia& Tr/arrGT glume 100 Depth: from D feet, to feet Pump Intake Depth: feet Pump Size hp Brand Name Well Disinfected Upon Completion? CAls' Q No Method of Disinfection: �11to.4,.�1 10�,y1 MAY 3 1 2004 _ De uniapahtyotAnchorage -- - ---- — l Comments: vI u:v, a ,lame y� ATTENTION: It is the responsibility of the property owner to submit a copy of the well log to the proper authority. Municipality of Anchorage: Department of Health & Human Services and/or Department of Environmental Conservation. Matsu Borough: Department of Environmental Conservation. ZO'd bbbbbbbbbbbb65ZZ 889 S1713M 8310M NWAi11r1S Wd Zb=ZT a3m oo-T£-htlW lid MUNICIPALITY OF ANCHORAGE Gj r� 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 / WATER SUPPLY PERMIT Renewal Permit Number: SW990260 Legal Description: T14N R1 W SEC 17 NE4SE4//NVy4 Design Engineer: 0098 PTS &)� ���a Owner Name: Masterpiece Homes, Inc. Date Issued: Aug 06, 1999 Expiration Date: Aug 05, 2000 Parcel ID: 050-362-06 Site Address: 020610 PTARMIGAN BLVD Lot Size: 0 SQ. FT. Owner Address: PO Box 773471 Total Bedrooms: 4 Permit Bedrooms: 4 Eagle River , AK 99577-3471 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 Chapters 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. 5. The following special provisions. Biocycle system for Unit #8 This permit is a renewal of permit #SW980286 issued August 6, 1998. Received By: Date: !d A Ci Issued By: �, �('ifluW Date: eo -6 ' MUNICIPALITY OF ANCHORAGE Department of Health and Human Services lJ' On -Site Services Program 825 L Street, Room 502 P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-4744 ONSITE WASTEWATER DISPOSAL SYSTEM I WATER SUPPLY PERMIT Initial Date Issued: Aug 06, 1998 Expiration Date: Aug 06, 1999 Permit Number: SW980286 Parcel ID: 050-362-06 Legal Description: T14N R1 W SEC 17 NEttca W4 ❑ O(A *Design Engineer: 354 QHS_ Cr, Site Address: Owner Name: MASTERPIECE HOMES, INC. Lot Size: 871200 SQ. FT. Owner Address: PO BOX 773471 Total Bedrooms: 4 Permit Bedrooms: 4 EAGLE RIVER , AK 99577-3471 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 Chapters 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. 5. The following special provisions. THIS PERMIT ISSUED FOR THE CONSTRUCTION OF AN ALTERNATIVE WASTEWATER SYSTEM. THE ATTACHED PROPERTY OWNER MAINTENANCE AGREEMENT SHALL BECOME A PART OF THIS PERMIT PACKAGE. THIS PERMIT FOR UNIT 8. Received B Issued B By Date: pa By / % • Date:.9 — 6 ' 7 f7 Pre&SMOne/ andTecbeical SeMces, iec. 4155 Tudor Centre Drive, Suite 103, Anchorage Alaska 99508 (907) 561-6237 fax: (907) 563,3813 July 13, 1998 Daniel Roth, Civil Engineer On -Site Services Section Health & Human Services 825 L Street, Suite 502 Anchorage, AK 99501 Re: White Stone Estates Condominiums Unit 8 -Permit Dear Mr. Roth: This letter transmits the application for the well and septic system permit for Unit 8 of White Stone Estate Condominiums located on an unsubdivided tract of land south of Ptarmigan Boulevard in Eagle River. The legal description for the property is the East 1/2 of the Southeast 1/4 of the Northwest'/4 of Section 17, Township 14 North, Range 1 West, Seward Meridian. The project proposes to construct nine (9) single family style units. Previous permit applications have been received by your office for units 1, 2, 3, and 4 and one (1) well and septic permit has already been issued for a home site on this development, proposed Unit 7. Transmitted with this submittal package will be permit applications for units 5, 6, 8, and 9. Test pits were excavated and percolation tests performed by Crowther Associates. Test Pit 15 has been utilized to design the drain field for Unit 8. Test Pit 15 was excavated to seventeen feet (17') and silty sand was encountered through the depth explored. No ground water was encountered in this hole, based on ground water monitoring. The percolation rate of 7 minutes per inch was used to size the drain field. A Bio -cycle system is proposed to be incorporated into the septic system for Unit 8, allowing the reduction of 50% of the required drain field area. The intent of the drain field design is to install a five-foot (5') wide drain field with a gravel depth of one and a half feet (1.5') beneath the perforated pipe. The table below summarizes the calculations for the septic system drain field for Unit 8. ALASKA PROPERTY DEVELOPMENT SPEC/AL7STS White Stone Estates Condominiums Unit 8 07/13/98 P.T.S., Inc. Page 2 UNIT MAX. FLOW (GPD) I PERCOLATION RATE (MIN/IN.) APPLICATION RATE (GPD/SF) ABSORPTION AREA (SF) 50% RED, LENGTH OFAREA OF S'WIDE FOR BIOCVCLE TRENCH (SF) (FT) GRAVEL DEPTH BENEATH PERF. PIPE (FT) RF FOR GRAVEL DEPTH REVISED LENGTH OF S' WIDE 8 600 7 .80 750 375 75 1.5 .78 58.5 The proposed disposal field for Unit 8 is not anticipated to have negative impacts on adjacent properties. The proposed drainage field is located greater than one hundred feet (100') from the eastern property line of this undeveloped tract. Surface drainage from the area around Unit 8 drains to the west of the tract. Thank you for your prompt review of the application information. If you have any questions, please call me at 561-6266. Sincerely, Professional & Technical Services, Inc. 441 -.Dean ALkL. z,P Vice President Enclosures ALASKA PROPERTY DEVELOPMENT SPECIALISTS 1 TH 12 f 1 f� / U /T 8 r (PROPOSED L TH UNIT 8 RESERVE TRENCH 5' X 58.5' C� �0 M L 6QQ,0 PVC 02% \ UNIT 8 14 i TH 10 R/MARY TRENCH TH 11 5' X 58.5' .a 5 OOM 06�F 6 � F 00� LEGBw OF q�,���. o TEST PIT BY OTHERS •��P .'..................♦♦�� o n TEST PIT BY PTS AV St 49t ; CLEANOUT ,,,,,,,,,,,h,,,, % •"' MONITORING TUBE �,ka- ...DEAN ............. ��«� SITE PLAN ft^ ; DEAN A. KAR �'- UNIT 8 �'•.�• NO. CE-8303 '�,� �i�' ..• •• r�xec,�rwc� mWHITE STONE ESTATES amr�nxu tr FlGURE 21 SCALE 1'=50' 1 7/8/98 MANHOLE COVER; 3" INSULATION ON LID --, — L , — - 4" DIA. PVC ]7 FROM HOUSE, S = 2% 1-1/4" DIA. PVC FROM B/OCYCLE BIOCYCLE MODEL 6000 MONITORING MOUND SURFACE TUBE FOR DRAINAGE NATIVE SOIL BACKFILL 3 20 y 4" PERF. PIPE 5' NOTES 1. GROUNDWATER DEPTH GREATER THAN 17' BELOW GROUND SURFACE. 2. BEDROCK GREATER THAN 17' BELOW GROUND SURFACE. J. LENGTH OF PIT = 5B.5'. •.•�E OF.. �G 941% ......... Sib Aff 49t /.....5 .........�... ...........a.....� �t`�'; •••DEAN •A••KARC••••••�'W% SECTIONS NO. CE-8303mmw ,��. ,� WHITE STONE ESTATES �%it,ROFESS I••• m� mw„.,,�,,.�.® .W� woa. FlGURE 3 SCALE 1'=50' 7/8/98 e 4 Municipality of Anchorage . DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION TEST PERFORMED FOR: wk /E 5-1v"le C S //TPS DATE PER LEGAL DESCR FEET) 1 Gray S%!�y 5'unt� CSrn) c�/fh 9raV? z dense / mn/ST 3 4 � 5/� I 5 6 7 8- 9- 10- 11 91011 G/v 12- 13- 14- 15- 16- 17-- 18- 19--1 21314151617 --- 1819 bra y Sant/y Cra✓P/ �% cense, maisl- hr0 r ISDN l7' pYc 1, k) 5 oIle C/ Section: SLOPE WAS GROUND WATER ENCOUNTERED? VD S IF YES, AT WHAT L DEPTH? J O P E Depth to Water After Monitoring? None Date -f /7 7-/41V /r/w SITE PLAN Reading Date Gross Net Time Time Depth to Net Water Drop 261F Are5o, ar 0:367mr5 r/¢, U 9 :00 G /� 2 :OU 22 17f0a 27 24 :00 24 i 20 IL_ll PERCOLATION RATE 7 (minutes/inch) PERC HOLE DIAMETER 11 / TEST RUN BETWEEN 5 FT AND 6 FT COMMENTS IRii"P�/Jp7l af/ D?rr/��g �i�,'y' SPS?' i70/P PERFORMED BY: '67, S 1 7l 140 4:9' �>'�' CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE 72-008 (Rev. 4188) PROPERTY OWNER AGREEMENT FOR THE MAINTENANCE OF AN ON-SITE WASTEWATER DISPOSAL SYSTEM This agreement, dated July 16th 199 8, is made between the Municipality of Anchorage Department of Health and Human Services (DHHS) and the property owner(s)of. White Stan Estatea Ccndomin_Tums Unit 8 located at: East 1/2 of the Southeast 1/4 of the Northwest 14 of Section 17, Township 14 North, Range 1 West, Seward Meridian/ This agreement is made for the purpose of maintaining an on-site wastewater disposal system on the subject property. The property owners agree to the following: Submit to the Municipality of Anchorage, on an annual basis, an inspection and Operation statement from a registered professional engineer. This inspection and operation statement shall verify that the engineer has inspected all effluent and air Pumps, timers, and alarms, and that any deficiencies have been repaired and that the system is functioning as designed. (Signature) , (Si (Printed Name) (Printed Name) ----------------------------- Notarize Here ----------- ---------- ---------------- State of On this day of =� personally appeared before me, _ who is personally known to me whose identity I proved on the basis of whose identity I provdd on the bath/affirmation of to be the e a credible witness acknow d that he/s gned it. No ar P is ssion expires PrdTec/%%e/sei Vega /1►e 4155 Tudor Centre Drive, Suite 103, Anchorage Alaska 99508 (907) 561-6237 fax. (907) 563-3813 May 22, 2000 Dan Roth Department of Health and Human Services 825 "L" Street Anchorage, AK 99502-0650 Re: Whitestone Estates, Unit 8. #SW 990261 Dear Mr. Roth: Enclosed please find the following: 1. On -Site Wastewater Disposal System and/or Well Inspection Report (2 pages) 2. Soils Log — Percolation Test (1 page) If you have any questions, please feel free to contact me. Sincerely, PROFESSIONAL & TECHNICAL SERVICES, INC. LKarV14'�'cz, P.E. Vice President Enclosures ALASKA PROPERTY DEVELOPMENT SPECIALIST Municipality of Anchorage `.aa On -Site Water & Wastewater Program'_ (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL 0(�-7- 311-01-00? Parcel I.D. - - Expiration Date: / 1. GENERAL INFORMATION i (yN rzliV SEc fi EZS'14 uwy Complete legal description WHITESTONE ESTATES UNIT #8 Location (site address) 20640 PTARMIGAN BLVD *EAGLE RIVER AK 99577 Current Property owner(s) DARREN & CRISTINE MEZNARICH Day phone Mailing address Real Estate Agent 20640 PTARMIGAN BLVD *EAGLE RIVER AK 99577 Day phone 306-8290 2. TYPE OF DWELLING: Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) TA L 3. NUMBER OF BEDROOMS: 4 MAR 2 8 2014 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well Individual On-site 0 Individual Water Storage ❑ Individual Holding tank ❑ Community Class Well ❑ Community On-site ❑ Public Water System ❑ Public Sewer ❑ WaiverNarlance request Received by: �✓ Date: q- COSA to be eased to the er)g' oer, unless otherwise requested by the engineer. COSA Fee $ �2 I� ^ Waiver Fee $ Date of Payment �J (z1s �►`! Date of Payment Receipt Number C),9 Receipt Number COSA # - 0 �1�-1 t 1 V 6 Waiver # Distance: — 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, 1 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. 1 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. Address 3701 E. TUDOR ROAD, SUITE 101 k ANCHORAGE, AK 99507 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Engineer's Comments: In conducting this evaluation, GEG, LfD. attempted to provide a thorough, conscientious engineering analysis of the system in accordance with ADEC and MOA DSD 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 rife of all wells and septic systems depend on the local soils condition, groundwater levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of the system. Satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. GEG, LTD. can therefore not provide any warranty or future estimate of how long the system will continue to meet the operational requirements of the ADEC or MOA DSD. The content of this report is for the sole benefit of the owner listed above. Any reliance upon or use of this report by any other person or party is not authorized, nor will it confer any legal right whatsoever. 6. DSD SIGNATURE System #1 Approved for System #2 Approved for Disapproved. Conditional approval for '"r bedrooms. bedrooms. Phone 337-6179 Date .S /a bedrooms, with the following stipulations: OF 116, Qrr`i. ON-SITE WATER AND WASTEWATER Z1_ BY: �te �. A— irZ!! Original Certificate Date: ©' l� The nicvp lit or chorage Develop, emt Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the represenatations 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. ATTCHMENTS: COSA Checklist Septic System Advisory Well Flow Advisory tp.� 11M Nitrate Advisory Arsenic Advisory Other 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 067- 311-01-003 Legal Description: WHITESTONE ESTATES UNIT #8 Parcel ID: 85A�982=@fr A. WELL DATA Well type PRIVATE If A, B, or C provide PWSID# N/A Well Log (Y/N) YES Date completed 2/10/00 Sanitary seal (Y/N) YES Wires properly protected (Y/N) YES Total depth 61 ft. Cased to 61 ft. Casing height (above ground) 24+ in. FROM WELL LOG AT INSPECTION Date of test 2/10/00 3/5/14 Static water level 30 ft. 29 ft. Well production 8 g.p.m. 4.24 g.p.m. WATER SAMPLE RESULTS: Coliform � colonies/100 ml. Nitrate -? mg./L. Collected by: GEG. Ltd. Arsenic: l'40 ug./L. Date of sample: 3/5/14 BI OCYCLE B. SEPTIC/HOLDING TANK DATA Tank Type/Material BIOCYCLE/Fl BERG LASS Date installed 3/22/00 Tank size 1500 gal. Number of Compartments MULTI Cleanouts (Y/N) YES Foundation cleanout (YIN) YES Depression over tank (Y/N) NO High water alarm (Y/N) N/A Date of pumpingsec /4i 6ccheckumper /Acta i tencu L c i2 e oor C. ABSORPTION FIELD DATA -BELOW EXISTING GRADEBIOCYCLE Date installed 3/22/00 Soil rating (.p.d./ft r ftlbdrm) 4.0 System type SHALLOW TRENCH Length 26 ft. Width 5 ft. Gravel below pipe 4 ft. Total depth *9.87 ft. Eff. absorption area 260 ft' Monitoring tube YES Depression over field NO Date of adequacy test 3/5/14 Results (Pass/Fail) PASS For 4 bedrooms Fluid depth in absorption field before test S in. Water added 980 gal. New depth 13.5 in. Elapsed Time: 158 min. Final fluid depth 4_5 in. Ahsorption rate >= 600+ g.p,d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) NONE If yes, give date D. LIFT STATION Date installed Size in gallons Manhole/Access(YIN) "Pump on" level at in. "Pump off' level High water alarm level at in. Cycles tested Meets alarm & circuit requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tanknift station on lot 100,+ On adjacent lot Absorption field on lot 100'+ On adjacent lots Public sewer main N/A Sewer/septic service line 25'+ Animal containment areas 50'+ Public sewer manhole/cleanout M Holding tank N/A Manure/animal excrete storage areas 100'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation ')" 5'+ Property line 5'+ Absorption field 5'+ Water main N/A Water service line 10'+ Surface water 100'+ Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ Building foundation 10'+ Water main N/A Water service line 10'+ Surface water too'+ Driveway, parking/vehicle storage 10'+ Curtain drain NONE KNOWN Wells on adjacent lots 100'+ F. COMMENTS k V.12 2/2z/za0D JXVAC- los (LfE?Or' — G. ENGINEER'S CERTIFICATION I ceriffy that I have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSH guidelines in effect on this date. Engineer's Printed Name JEFFREY A. GARNESS Date 3/ ZglIV tom. »rosy BiOC%cle Alaska i97I Thoznp%,Tn Drive Ilo -mcr- AK OQNI', ist Qootur'"0'14 226-247t,,,Il-1ty 394-Q1,31 cell Imaii: hit>;�cl.ala�ka�i"�ti.net Ptarmon BW Rver. AK'9577 MAINTENANCE DESCRIPTION l AERAITO\ CTIAWIFR X Ai.RAII0\ SI;II \1 i11S)N1 RCiti. 'm Z�) I m k \I,A AIR\iioAPRt.1si;Rk-y�3_h. W01 IOV - \014I i 9I S. .,)A 1tItiR1 til AI R -4I 4,oAI)IIIo\ IN SS 5T1 Te itR 1 i TFti t1t. I to N MR IM I I' l is U1, Ni I'I'3 1 t\h)R "fix 11) 11 f 4)R 5Y)\ttiIlt)\ 10(X)1, tk 115 CLARII WAIIOA ('11'NNui �R �I t ix;i. Ac`( r11 tV 11<)t'I'I R i) III'M C1, 1R[1Y"11111-1'1:AI tti))R Imp i'loim DISCHARGE: CTIA\1I3I'R E)3SLHARt;1. PlAIt'OITRAMta {'�1'ii Ml V 1LAR',4kS CIIE:CKLES A`:U t)PI:RAI INN, AIR MUIR 1' \i) IUOJuATIR i \tit t\A9,tt;1 ti A11 i�15 "Rt' ` ilii ' W1 ON I st Quarter 2014 maintc»anec TTgc y)cit'AmI utt p F3fi': J 1 R]vAtSS LBfi;.'4id�il!?t 121 -*1741 Generated by CamScanner M X b v a W tr ASBUIIT SEUARD & I HEREBY CERTIFY THAT I HAVE SURVEYED THE SCALE'���o / FOLLOWING DESCRIBED PROPERTY- - DATA. AND THAT NO FNCROACHMENTS/a�//TEXIST EXCEPT AS ��� INDICATED. IT IS THE RESPONSIBILITY OF THE OWNER TO DETERMINE THE EXISTENCE OF ANY GRID�o� EASEMENTS, COVENANTS, OR RESTRICTIONS WHICH DO NOT APPEAR ON THE RECORDED SUBDI- VISION PLAT. UNDER NO CIRCUMSTANCES SHOULD FS! ANY DATA HEREON CIE USED FOR CONS'iRUCTION OF FENCE LINES, OR FOR ESTABLISHING BOUND- ARY LINES. �-M Dti�er OF AI s h 0.". Merle S�wsrd • 15-59 8 er ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND REPAIR AGREEMENT BETWEEN MUNICIPALITY OF ANCHORAGE AND Carson A. Lee THIS MAINTENANCE AND REPAIR AGREEMENT made and entered into as of this 28 Day of March of 2014, by and between Carson A. Lee herein the "OWNER," and the Municipality of Anchorage, herein the "MUNICIPALITY." In consideration of the mutual covenants contained herein, the parties to this Maintenance and Repair Agreement agree as follows: 1. Advanced Wastewater Treatment Systems. Municipality grants permission to Owner to utilize and operate an Advanced Wastewater Treatment System (AWWTS), described as located at (legal description). Whitestone Estates #8 T14N R1W SEC 17 E2SE4NW4 WHITESTONE ESTATES 2. Definitions. Alteration. Any change to the design or function of an AW WTS that includes the installation or removal of any parts, components or pieces not included in the original construction permit and design. Certificate of On -Site Systems Approval (COSA). An approval by the Municipality of existing water and wastewater disposal systems given at the time of property sale and title transfer in accordance with Anchorage Municipal Code (hereinafter, "AMC") 15.65. These approvals certify that the systems are adequate for the homes that they support and meet the codes that were in place at the time of system construction. Damage. Any man-made or natural change in a system that would inhibit the system from performing as designed. Maintenance and Repair. The scheduled and as needed replacement of existing parts, components and pieces of an AW WTS that were included in the original design which would allow the AWRrfS to continue to perform as designed. Permit. An On -Site Wastewater Disposal Permit as required by AMC 15.65 to construct and operate an AW WTS. 3. Term. The term of this Maintenance and Repair Agreement shall begin on the date of approval by the Municipality to operate the installed system or issuance of a COSA, and shall continue while the AW WTS is in use or is operational or until the property is sold or title is transferred by the owner and a new COSA is issued to the new owner or transferee of the property. 4. Alterations, Installation and Removal of Additional Eaul nrent. Prior to performing any alterations to an AW WTS, the owner agrees to obtain an On-site Wastewater Disposal Permit from the Municipality in accordance with AMC 15.65. 5. Maintenance and Repairs. A. Throughout the term of this Maintenance and Repair Agreement, the Owner shall maintain their AW WTS in a satisfactory condition capable of producing treated septic effluent in accordance with the equipment's approval for operation in the Municipality. The owner shall enter roto a service agreement with an AW WTS service and maintenance provider approved by the municipality and the manufacturer of the AWWTS for the entire term of the AWWTS. In addition, it shall be the responsibility of the Owner during the term of this Maintenance and Repair Agreement, and any renewals thereof, at the owner's sole expense, to pay for any and all: (1) repair(s), (2) maintenance, (3) adjustment(s), (4) replacement costs, and (5) inspection costs. B. Owner agrees to comply with all applicable ordinance, laws, regulations, rules and orders for the AWWTS. C. Upon request by the Municipality, the owner agrees to provide the Municipality a written schedule of routine maintenance and repairs which have been performed on the system. When a record of maintenance is documented and maintained by the system vendor, the owner agrees to allow the Municipality access to this information. D. Owner acknowledges that the fine for failing to maintain and repair an AWWTS may be assessed in accordance with AMC 14.60 for improper discharge. E. Owner agrees that only maintenance and repair personnel approved by the Municipality will inspect and make any necessary maintenance, repairs or permitted alterations to the system. F. Owner agrees to grant the Municipality reasonable access to test and inspect the AWWTS upon 24 hours written notice. G. Owner agrees that any sale or transfer of title of the property will not occur without a new Certificate of On -Site Systems Approval. H. Owner agrees that the AW WrS installation and maintenance requirements as provided by the AW WTS vendor/installer and approved by the Municipality are the governing guidelines for the construction, maintenance and repair of the Owner's AWWTS. 6. Nonwaiver. The failure of either party at any time to enforce a provision of this Maintenance and Repair Agreement shall in no way constitute a waiver of the provisions, nor in any way affect the validity of the Maintenance and Repair Agreement or any part hereof, or the right of such party thereafter to enforce each and every provision hereof. 7. Amendment. A. This Maintenance and Repair Agreement shall only be amended, modified or changed by a writing, executed by authorized representatives of the parties, with the same formality that this Maintenance and Repair Agreement was executed with, and such writing shall be attached to this Maintenance and Repair Agreement as an amendment. B. For the purposes of any amendment modification or change to the terms and conditions of this agreement, the only authorized representatives of the parties are: a. Owner. Carson A. Lee b. Municipality: Director Community Development or desigoted authority C. Any attempt to amend, modify, or change this contract by either an unauthorized representative or unauthorized means shall be void. 8. Jurisdiction: Choice of Law. Any civil action arising from this Maintenance and Repair Agreement shall be brought in the Superior Court for the Third Judicial District of the State of Alaska at Anchorage. The laws of the State of Alaska shall govern the rights and obligations of the parties under this Maintenance and Repair Agreement. 9. Severability. Any provisions of this Maintenance and Repair Agreement decreed invalid by a court of competent jurisdiction shall not invalidate the remaining provisions of the Maintenance and Repair Agreement. OWNER: B46, �1 (signature) Date: 3/9( 6Ns /, Ite (print name) STATE OF ALASKA ) ) ss, THIRD JUDICIAL DISTRICT ) The foregoing instrument was acknowledged before me this2(v day of (Yl Aer H 24)0 ,by C pPSon P - ja �. NOTAW PULIC FOR ALASKAN® M ?. LIC My Commission expires: /a QOJ MUNICIPALITY: By: (signature) Date: (print name) Title: Municipality of Anchorage • '� Development Services Department Building Safety Division s E On -Site Water & Wastewater Program 4700 Bragaw Street P.O P.O..Box 196650 Anchorage, AK 99519-6650 / www.muni.org/onsite ✓/ (907)343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING 067- 311-01 Parcel I.D. COSA# Or)q,�01- 1. GENERAL INFORMATION Expiration Date: — Complete legal description Location (site address) Current Property owner(s) Mailing address Lending agency Mailing address Real Estate Agent Mailing address T14N R1W SEC 17, E2, SE4, NW4 20640 PTARMIGAN BLVD. * EAGLE RIVER, AK TRUST GOLIE Day phone PO BOX 773153 * EAGLE RIVER, AK 99577 Day phone DEBBIE CLOUTIER w/REMAX PROPERTIES Day phone 110 W, 38TH SUITE 100 *ANCHORAGE, AK 99503 Unless otherwise requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 4 694-3275 276-2761 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well 0 Individual On-site IN Individual Water Storage ❑ Individual Holding tank ❑ Community Class Well ❑ Community On-site ❑ Public Water System ❑ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of On -Site Systems Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues COSAs upon request to homeowners. Certificates of On -Site Systems Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water samples. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, i 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. Address 3701 E. TUDOR ROAD, SUITE 101 * ANCHORAGE, AK 99507 Engineer's Printed Name DONNA C. MEARS, P.E. Engineer's Comments: In conducting this evaluation, GEG, LID. attempted to provide a thorough, conscientious engineering analysis of the system in accordance with ADEC and MOA DSD 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, groundwater levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of the system. Satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. GEG, LTD. can therefore not provide any warranty or future estimate of how long the system will continue to meet the operational requirements of the ADEC or MOA DSD. The content of this report is for the sole benefit of the owner listed above. Any reliance upon or use of this report by any other person or party is not authorized, nor will it confer any legal right whatsoever. 5. DSD SIGNATURE Approved for Disapproved. Conditional approval for Attachments: COSA Checklist Septic System Advisory Well Flow Advisory bedrooms. Phone 337-6179 Date oc�OF A�'ok .......... . o* : 49TH P DONNA C. ME S. P CE -11135 �O bedrooms, with the fllowing stipulations: Arsenic Advisory Maintenance Agreements Supplemental Engineer's Reort Nitrate Advisory Other By: (Rev. 11105) ON-SITE WATER AND WASTEWATER PROGRAM Original Certificate Date: 10 " -2, t " 07 Municipality of Anchorage ' Development Services Department s Building Safety Division On -Site Water & Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description: T14N R1W SEC 17, E2, SE4, NW4 Parcel ID: 0 6273l1-©/ A. WELL DATA Well type PRIVATE If A, B, or C provide PWSID# N/A Date completed 2/10/2000 Sanitary seal (Y/N) YES Total depth 61 ft. Cased to 61 ft. FROM WELL LOG Date of test 2/10/2000 Static water level 30 ft. Well production is g.p.m. WATER SAMPLE RESULTS: Coliform 0 colonies/100 ml. Arsenic: Mag./L. B. SEPTICIHOLDING TANK DATA Well Log (Y/N) YES Wires properly protected (YIN) YES Casing height (above ground) 18+ in. AT INSPECTION 10/12/2007 f6�1 4.5 — 9 -p.m - Nitrate i • y3mg./L. Other bacteria colonies/100 ml. Date of sample:10/10/2007 Collected by: GEG Ltd. Tank Type/Material BIOCYCLE/FIBERGLASS Date installed 2/22/2000 Tank size 1500 gal. Number of Compartments 1 Cleanouts (YIN) YES Foundation cleanout (Y/N) YES Depression over tank (Y/N) NO High water alarm (Y/N) YES Date of pumping NOT NEEDED C. ABSORPTION FIELD DATA Date installed 2/22/2000 Soil rating (g.p.cldft2o � 1.2 Length 26 ft. Width 5 ft. I ]16IN[l112 System type SHALLOW TRENCH Gravel below pipe 4 ft. Total depth *8.25 ft. Eff. absorption area 260 ft2 Monitoring tube YES Depression over field NO Date of adequacy test 10/12/2007 Results (Pass/Fail) PASS For 4 bedrooms Fluid depth in absorption field before test DRY in. Water added 675 gal. New depth DRY in. Elapsed Time: E min. Final fluid depth DRY in. Absorption rate >= 600+ g,p,d, Any rejuvenation treatment (past 12 mo.) (Y/N & type) NONE KNOWN If yes, give date D. LIFT STATION *INSPECTED BY BIOCYCLE Date installed 2/22/2000 Size in gallons 1500 Manhole/Access (Y/N) YES "Pump on" level at TIMER in. "Pump off' level atTIMER in. High water alarm level at * in. Datum * E. SEPARATION DISTANCES Cycles tested * Meets alarm & circuit requirements? YES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot 100'+ On adjacent lot: Absorption field on lot 100'+ On adjacent lots Public sewer main Sewer /septic service line Public sewer manhole/cleanout N/A Holding tank Animal containment areas 50'+ Manure/animal excrete storage areas 100'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Absorption field 5'+ Water main N/A Water service line 10'+ Surface water 100'+ Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ Building foundation 10'+ Water main N/A Water service line 10'+ Surface water 100'+ Driveway, parking/vehicle storage 10'+ Curtain drain NONE KNOWN Wells on adjacent lots 100'+ F. COMMENTS G. ENGINEER'S CERTIFICATION I certify that I 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. Engineer's Printed Name JEFFREY A. GARNESS Date COSA Fee $ q-) -V O Waiver Fee $ _ Date of Payment 10 / 0 U % Date of Paymenl Receipt Number Receipt Number (Rev. 11105) 49TH �Z Tt.6'NNA C. ME RS. CE -11135 m� �4 s1f�e�' • � . /O./�07. �' • cAo�O �Q�t\d pyo ression�o� All Dates/Times are Alaska Standard Time Printed Date/Time 10/18/2007 1622 SGS Ref.# 1075458001 Client Name Garness Engineering Group, Ltd. Project Name/# White Stone Estates Unit No 8 Client Sample ID White Stone Estates Unit No 8 Matrix Drinking Water PWSID 0 All Dates/Times are Alaska Standard Time Printed Date/Time 10/18/2007 1622 Collected Date/Time 10/10/2007 8:15 Received Date/Time 10/10/2007 10:35 Technical Director Stephen C. Ede, Sample Remarks: Allowable Prep Analysis Parameter Results PQL Units Method Container ID Limits Dare Date Init Metals by ICP/MS Arsenic ND 5.00 ug/L EP200.8 C (<10) 10/16/07 10/17/07 MH Waters Department Total Nitrate/Nitrite-N 1.43 0.100 mg/L SM20450ONO3-F B (40) 10/12/07 LCP Microbiology Laboratory Total Coliform 0 coVl OOmL SM20 9222B A (<I) 10/10/07 SDP t MUNICIPALITY OF ANCHORAGE / ' DEPARTMENT OF HEALTH & HUMAN SERVICES �Iff Division of Environmental Services On -Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. # cf(�� - - C HAA # + ICCC t-:- 1. GENERAL INFORMATION Complete legal description =TE_ 1 /L S� 1 /L Trl'r 1 L T1 1, °r _R7 T: 17 Location (site address or directions) Unit 8, hJ- testone Estates Prdperty owner Masterpiece �3omes Dayphone 4L7/ -0/-732n Mailing address P.O. Box 773 /, 71 Pa,T' e P zrp- Q it 00577 Lending agency Day phone . Mailing address Agent Address — Day phone Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: /, 3. TYPE OF WATER SUPPLY: Individual well X Community well Public water NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 4. TYPE OF WASTEWATER DISPOSAL: Individual on-site Holding tank _ Community on-site Public sewer NOTE: if community wastewater system, provide written ccnrirma Xn from Stara ACEC attesting to the legality and status of system. 72-025 Rev 1/91) Front MOAX21 5. 14 M_ 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. l further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm Address Engineer's signature DHHS SIGNATURE Approved for bedrooms. Disapproved. Conditional approval for Additional Comments Phone 907/561-6237 chor=7e, AK QQ508 _r i _Date OF A a4a,�A •gyp :...«..,, � Mo. ""ft�i: GNn'-A Karo ' ; ct r bedrooms, with the following stipulations: Date —4--- 3 ! - G 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 � above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineers work. 72-025 (Rev. 191) Pact MOA n21 Municipality of Anchorage R F ICC i V E DEPARTMENT OF HEALTH & HUMAN SERVIC(Y 30 2000 Environmental Services Division A§ 825 L Street, Room 502 • Anchorage, Alaska 99501 • (Wk 4+iA4uioRAGE "'%R 'NMENTAL SERVICEF DIV"' Health Authority Approval Checklist Legal Description: Unit 8 -NE 1/4 SE 1/4 NW 1/4 Parcel I.D.: T14N R1W Sec. 17 A. WELL DATA Well type Private If A, B, or C, attach ADEC letter. ADEC water system number Log present(Y/N) Datecompleted 2/10/2000 Total depth 61 Ft. Cased to 61 Ft. Casing height (above ground) 4 Ft. Sanitary seal (Y/N) Date of test Static water level Well production FROM WELL LOG 2/10/2000 30 0 WATER SAMPLE RESULTS: Coliform -- Nitrate 1.0 Wires properly protected (Y/N) AT INSPECTION Date of sample: 5/3/2000 Collected by: DEA B. SEPTIC/HOLDING TANK DATA Date installed N/A Foundation cleanout (YIN) Date of Pumping C. ABSORPTION FIELD DATA Dateinstalled 2/22/2000 Other bacteria 1 Tank size Number of Compartments Cleanouts (Y/N) Depression (Y/N) High water alarm (Y/N) Pumper Shallow Soil rating (g.p.d./ft2 or ft2/bdrm) 1 .2 System type Trench Length z6 Width 5 Gravel thickness below pipe 4 Ft. Total depth 7 Ft. ;.2(,o Effective absorption area --34-R SF Monitoring Tube present (YIN) Y Depression over field (YM) N Date of adequacy test Results (Pass/Fall) For - bedrooms Fluid depth in absorption field before test (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. M)M BTOCYCLE Date installed 2/22/2000 Size in gallons 1 500 Manhole/Access(Y/N) High water alarm level at* Cycles tested E. SEPARATION DISTANCES "Pump on" level at* *Datum SEPARATION DISTANCES FROM WELL ON LOT TO: "Pump off" level at* Septic/holding tank on lot N/A On adjacent lots + 1 5n t Absorption field on lot 116.5 Ft . On adjacent lots 1 R 5 _ 7 Pt_ Public sewer main N/A Public sewer manhole/cleanout N/A Bioc cle Sewer /septic service liner 1 ng. /, Ft. _ BTOCYCLE SEPARATION DISTANCES FROM KXlX0 TANK ON LOTTO: Foundation 13.2 Ft. Property line 100.0 Ft. Absorption field 10-R Ft. _ Water main/service line N A Surface water/drainage - Wells on adjacent lots u 0. 6 Ft, - SEPARATION t.. SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOTTO: Property line Surface water Curtain drain F. ENGINEER'S CERTIFICATION Building foundation 20.8 Ft. Water main/service line Driveway, parking/vehicle storage area 5 Ft. Wells on adjacent lots 145.3 F t. / certify that 1 have determined thru field inspections and review of Municipal fift in conformance with MOA HAA guidelines in effect on this date. 0* io Signature •..2 WA ��-0 1 Engineer's Name h � s Date ftt HAA Fee $ Joe- n� Date of Payment` Receipt Number 0J7 7 72-026 (Rev. 3/96)* Waiver Fee $ Date of Payment Receipt Number systems are ^� N 22,2007 1;50PM ARCTEC FR :} BioCycle Alaska Mr. Kyle Maus Garness Engineering Group Ltd, 3701 E Tudor Rd, Ste. 101 Anchorage, AK 99503 NO 641 P. 1 aerated wastewater treatment systems October 22, 2007 Re: BioCycle wastewater treatment system at 20640 Ptarmigan Blvd, Eagle River, AK 99577 Legal: TIAN RI W Sec 17 East to SEI/4 NWl/4 Dear Kyle This letter will provide documentation that quarterly maintenance has been performed by BioCycle Alaska on the referenced system since it was installed. In addition to regularly scheduled maintenance, this system was also pumped approximately one year ago. If you need any additional information regarding this installation, please contact me at the numbers below. Regards, Crus Andress, .E. 1504 W 47`" Ave, Unit B Anchorage, AK 99503 563-1646 voice/fax 398-6574 cell Email; biocyclealaska@alaska.net U z O I i � collo 0 '\` Lim m c� A N O z z G) W r i NORTH ` / 3ID / Q I ! bV ao I , n , TO NORTH V 0 L PROVERftl - I vO RORTY D PROPERTY 2 v S 0 m y a 11 \ q x n o F,I N S o O Jo 2 o I x . ® FFI r �.. I I� ' F F F F_F� Imo,FI—F_FFI 1 5l< U �F—� �F— i