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Home My WebLink AboutGINAMI HILLS LT 7Binc mi Hill Lo1' 7 015-461 -31 MUNICIPALITY OF ANCHORAGE Development Services Department Phone: 907-343-7904 On-Site Water & Wastewater Section Fax: 907-343-7997 Pump Installation Log Well Drilling Permit Number: _______________ Date of Issue: ____-____-____ Parcel Identification Number: ____-____-____ Legal Description Block Lot Property Owner Name & Address: Pump Installation Date: _____-_____-_____ Pump Intake Depth Below Top of Well Casing: __________ feet Pump Manufacturer’s Name: ___________________________ Pump Model: _____________________________________ Pump Size: ____________hp Pitless Adapter Burial Depth: _________ feet Pitless Adapter Manufacturer’s Name: _________________________ Pitless Adapter Installer: ____________________________ Well Disinfected Upon Completion? XX Yes No Method of Disinfection: _____________________________ Comments: Pump Installer Name: __________________________________ Company: ___________________________________________ Mailing Address: ______________________________________ City: ___________________ State: __________Zip: _________ Attention: The pump installer shall provide a pump installation log to On-site within 30 days of pump installation. , Municipality of Anchorage Page I of 2_ 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: ~'WqqOZgZ PID Number: 01~-4(~ IZ/ Name: Wastewater System: [] New {~ Upgrade Address: ABSORPTION FIELD ~ No. oG Bedrooms: ~c~, ~ GG~/~ '~' D Deep Trench ~ Shallow Trench ~Bed ~Mound OOther LEGAL DESCRIPTION so, Rating: ~.GGPD/~q. Ft. Total Depth from original Lot: D~oc~: Subdiv~ion: Depth to pipe bosom from original grade: Gravel depth beneath pipe Township: ~ Range: ~ Section: ~ Fill added above original grade:~ ~t. Gravel length: /~¢~ Ft. I I WELL: D New D Upgrade Gravel width: /~ Ft. Number of lines:~ lDistancebetween~es:~ Ft. Classification (Private, A,B,C): ~X/~ Total Depth: Cased To: Total absorption area: Pipe material: Driller: Date Drilled: Static Water Level: Installer: Date installed: Ft. ~E~ '~V~I~ 7 - 'Yield: I Pump Set at: Casing Height Above Ground: TAN K GPM~ Ft. Ft. SEPARATION DISTANCES o Septic D Holding ~S:T.E.P. TO Septic Absorption Li~ Holding ~ublic/Private Manufacturer: Capaci~ in gallons: From Tank Field Station Tank Sewer Lines ~~ ]~ Number of Compa~ments: Sudace Water /~ ,~ ~'~ /~'+ ~ ~ LIFT STATION Lot Size in gallons: Manufacturer: Foundation ~, ~'I'G' ~ ~ "Pump °n" 'eva'at: I"Pump °""'eva'at: IHigh water a'arm at:~" cudain Pump Make & Model Eiectrical Inspections pedormed by: ;- BENCH MARK Remarks: Location and Description: Assumed /~U, ~ ~, Elevation: S & S ENGINEERING Inspections performed by: ,~t. my... AIn,~n g9~ DateS:2nd 7-zol st 7 - lq -q~.e~ Department of Health and Human So.ices approval 72-013 fRev. 9/91) MOA 25 Permit No. SW940232 2 of 2 Municipality of Anchorage 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 Legal Description:(;INAMI HILLS SUBDIVISION, LOT 7B PID No.: 01546131 FC0 18.0 16.0 - C01 20.0 18.0 - C02 24.5 22,0 - M.H. 25.5 23.5 - MT1 - 75.5 73.0 lvlT2 - 80.0 70,0 MT3 - 110.0106,0 MT4 - 112.0104.0 ~5' "'"'::'" ~'2TO'" MT6 - 97,0 76,0 MT7 - 114.0101.0 MT8 - 122.0 104.0 ~SING VALVE PRESSURE BEDS 15~0 GAL. S.T.E.P. ~v/ N ENG ~ SCALE 1" = 40'i LOT 713 72-013 A (1/93) * PAGE 1 OF 2 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGP~ADE) PERMIT PERMIT NUMBER:SW940232 DESIGN ENGINEER:S & S ENGINEERING OWNER NAME:LATHROP RICHARD C & OWNER ADDRESS:8440 SULTANA DR ANCHORAGE, ALASKA 99516 PARCEL ID:01546131 LEGAL DESCRIPTION: GINAMI HILLS LT 7B LOT SIZE: 41453 (SQ. FT.) NUMBER OF BEDROOMS: 4 THIS PERMIT: 4 DATE ISSUED: 7/12/94 EXPIRATION DATE: 7/12/95 THIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK SYSTEM 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 343-4744 (24 HOURS) 4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING WEATHER MUST BE EITHER: A. OPENED AND CLOSED ON THE SAME DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING 5. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: THE SAND USED IN THE FILTER LAYER MUST BE A CLEAN COURSE SAND WITH 4% OR LESS PASSING THE #100 SIEVE AND 2% OR LESS PASSING THE #200 SIEVE. A SIEVE ANALYSIS MUST BE PROVIDED OR THE SAND USED CAN BE O/B~INED FROM A PRE-APPROVED SOURCE. RECEIVED BY.' ~~~,//'~---~. ' ......... DATE: ISsuED BY: A-'/~ /~' '~/~ DATE: ROBERT SHAFER, P.E. ROGER SHAFER, P.E. July 08, 1994 CIVIL ENGINEERS (907) 694-2979 FAX 694-1211 HEALTH AUTHORITY APPROVALS SEWER & WATER MAIN EXTENSIONS SEWER & WATER INSPECTION ENGINEERING STUDIES AND REPORTS WELL INSPECTION & FLOW TEST SITE PLANS ROAD [3ES~GN SOILTEST PERCOLATION TEST Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES 825 'L' Street P.O. Box 196650 Anchorage, Alaska 99519-6650 REFERENCE: Ginami Hills Subdivision;. Lot 7B Request you issue a permit to upgrade the septic system serving the four bedroomhouseonthe referenced property. Test holes were excavated and percolation tests performed in the area of the proposed upgrade. The approximate locations of the test holes are located on the attached site plan. At the time of excavation no water was encountered and after seven day ground water monitoring water was found at 10' in test holes #1 and #2. We do not anticipate any adverse effects on neighboring properties by the installation of the proposed septic system. If you have any questions, or require additional information for your review, please contact us. '~/~S/LSU/jk STRUCTURAL & MECHANICAL INSPECTIONS ON SITE WASTE WATER DISPOSAL SYSTEM DESIGN 17034 NORTH EAGLE RIVER LOOP · SUITE 204 · EAGLE RIVER, ALASKA 99577 1"=50' SCALE ISITE PLAN O0 ~ R ~ ~}~ t~"~ r. jZ-d N.T.S. SCALE IX-SECTION/DETAIL F 1 2 3 4 § 6 7 8 9 10 11 12 13 14 15 16 17 18 19 2O Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST DATE Township, Range, Section: SLOPE ~,'/, WAS GROUND WATER ENCOUNTERED? S L IF YES, AT WHAT .... O DEPTH? P E SITE PLAN Depth t0 Water After Monitoring? l0 ~ Date: Gross Net Depth to Net Reading Date Time Time Water Drop ~ ', ~ [ ~ ~ '/¥~' i ,/~ PERCOLATION RATE '~) (minutes/inch) PERC HOLE DIAMETER CERTIFY THAT THIS TEST WAS PERFORMED IN Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST 1 2 3- 4- 5- 6- 7 8 9- 10- 11 12 13 14 15- 16 17 18 19 20- Township, Ran§o, Soction: WAS GROUND WATER ~,.~ ENCOUNTERED? S IF YES, AT WHAT ~ ~ DEPTH? P E SLOPE SITE PLAN Depth to Water After , 6, ['~/"~','/ Moniloring? [0 Dele: Gross Net Depth to Net Reading Date Time Time Water Drop 1:o~ -- t~ ,, ....__ /.,,z~ : ,-~,.,,, p. ~1~ PERCOLATION RATE (~ (minutes/inch) PERC HOLE DIAMETER __ TEST RUN BETWEEN ,,~,5 FTAND '~'~'~ FT COMMENTS lZ~;66 e]lSel'q 'aeAl~I elB~~ ~ CERTIFY THAT THIS TEST WAS PERFORMED IN PERFORMED BY~ ACCORDANCE WITH ALL STATE AI~I~JII~I~I~-.~INES IN EFFECT ON THIS DATE. DATE: 72-008 (Rev. 4/85) PERFORMED FOR: Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST 10 11 12 13 14 15 16 17 18 19 2O Township, Range, Section: SLOPE WAS GROUND WATER ENCOUNTERED? S L IF YES, AT WHAT O DEPTH? p E Depth to Waler After Monitoring? '~"'?~ Date: SITE PLAN Gross Net Depth to Net Reading Date Time Time Water Drop PERCOLATION RATE ~'~'~ (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN ~- FT AND (~ FT COMMENTS PERFORMED BY: 17034 Eagle Rivm' Leop Road NO,~,.~..~ .,/~~ .~- CERTIFY THAT THIS TESTWAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 72-008 (Rev. 4/85) ON-SIT~ WAS'£~A'£~ DISPOSAL CONSTRUCTION ~RACTIC~S MA'£~KIAL SPECIFICATIONS R]f~(ENC~: Ginami Hills Subdivision; Lot 7B The scope of this project includes the installation of a 500 gallon septic tank effluent pumping (S.T.E.P.) system and two absorption beds to serve the four bedroom residence located on the referenced property. The existing septic tank is to be excavated to verify its integrity. If of poor integrity, the tank is to be excavated, pumped, crushed and abandoned in place and a new 1500 gallon septic tank effluent pumping (S.T.E.P.) system installed. The existing trench is to be abandoned in place. Construction shall be in accordance with the approved site plan and design drawings, Municipal permit with any special provisions or conditions, and all applicable State and Municipal Wastewater Disposal Regulations. The contractor shall be responsible for obtaining any necessary underground utility locates. Unless specifically agreed otherwise, the property owner shall be responsible for final grading areas subsequently depressed from soil settling. On all leachfield mound systems, the property owner shall be responsible for ensuring a satisfactory vegetation growth over the mounded area. Contractors installing wastewater disposal systems must be certified by the Municipal Health Department for system installations. Owners installing their own systems must also receive prior approval from the Municipal Health Department. 1. A septic tank is to be constructed by a certified septic tank manufacturer. Construction shall include two 4" cleanouts for pumping access. The septic tank shall be sufficiently bedded to prevent settling or shifting of the tank. Ail standpipes on the septic tank shall extend a minimum of 12 inches above final grade. 4. Septic tanks installed with less than 4' of cover shall be insulated. Page Two Ginami Hills Subdivision; Lot 7B July 08, 1994 5o e A foundation cleanout shall be installed one to four feet from the building foundation. In the line between the tank and the leachfield there shall be two adjacent cleanouts (unless an effluent pumping system exists within the septic tank). These cleanouts shall be located on undisturbed soil not more than 10' from the tank. The first cleanout, in line, shall be to clean toward the leachfield. The second cleanout shall be to clean toward the septic tank. Final grading over the septic tank shall be such that a positive slope exists away from the septic tank. P~F. qSURIZED M(]~ND ~"fSTEM INSTALLATION: 1. Any peat or organic matter must be removed from the elevated mound site. 2. The bottom of the basal bed area as well as the top of the sand filter is to be within two inches of level. 3. The distribution piping is to be of P¥C (ASTM D3034 or equal). Ail joints are to be solvent cemented. 4. The side slopes of the top layer of the mound system must not be steeper than 33% (3:1). 5. The top of the mound shall be covered with a minimum of 6 inches of topsoil and vegetated sufficiently to prevent erosion. e The distribution pipes are to be embedded in sewer rock. Care should be taken to backfill in such a way as to prevent damage to the piping system. e Silt barrier material must be installed between the final gravel layer and the native soil backfill. Ensure the silt barrier covers the entire gravel surface before placing backfill. Backfill over the final gravel layer must not be less than twenty-four (24) inches. Insulation must be installed when the backfill depth is less than thirty-six (36) inches. MINI34UM MATERIAL SPECIFICATIONS: 1. Any septic tank proposed for installation must be constructed by a Municipally approved septic tank manufacturer. Page Three Ginami Hills Subdivision; Lot 7B July 08, 1994 2. The following pipe materials are approved for use in septic system installations in the Municipality of Anchorage: Type of Pipe Perforated Solid Cast Iron Yes Yes ASTM D3034 (PVC) Yes Yes ASTM FS10 (HDPE) Yes No ASTM D2662 (ABS) Yes Yes Use of a type of pipe other than listed above must be approved the inspecting engineer. Insulation shall be at least 2" thick extruded direct burial polystyrene (Dow Chemical Company Styrofoam HI or equal). Septic tank inlets and outlets shall be fitted with watertight couplings (Caulder, Fernco, or equal). A permeable nontoxic silt barrier (Typar 3401, Mirafi 140/N, or equal) must be installed between the final leachfield gravel layer and the native soil backfill. Ail leachfield gravel (sewer rock) shall be 0.5"-2.5" screened gravel with less than 3% passing the ~200 sieve. When sand is being used as a filter material, its gradation specifications must conform to current M.O.A. or D.E.C. requirements. INSPECTIONS: Typically there will be a minimum of three (3) inspections required during the installation of the wastewater disposal system. These inspections will occur as follows: The first inspection must be conducted after the excavation of ditches, pits, trenches, or beds and before the installation of any gravel. A septic tank may be set in place, but may not be backfilled before this inspection. e The second inspection must be conducted after the placement of the silt barrier, gravel, distribution lines, standpipes, cleanouts, and insulation, but before the placement of any other backfill. Page Four Ginami Hills Subdivision; Lot 7B July 08, 1994 3. The final inspection is to occur upon final grading of the property. Often there will be more than these 3 inspections required, especially with the installation of multiple trenches, sand filters, pressurized distribution systems, etc. Thus, the inspecting engineer is to be contacted at least 24 hours prior to the start of construction. If necessary, a pre-construction meeting will take place on-site. The inspecting engineer will not coordinate, direct or control in any way the contractor's activities. The owner shall contract with the contractor to perform the work outlined in these specifications and plans and in accordance with the attached M.O.A. permit. There will be no contractual arrangement existing between the contractor and S & S Engineering. S & S Engineering shall be the owner's representative and will inspect the work as stated above to document the contractor's activities. Final acceptance of the contractor's work rests with the owner and the M.O.A. S & S Engineering shall have no liability to the owner or to others for acts or omissions of the contractor or any other persons performing work on this project or the failure of the contractor to carry out the work in accordance with these construction documents. S & S Engineering's inspecting engineer will not be responsible for the construction means, methods, techniques, sequence, procedures or the safety precautions incident to this project. CONTRACTOR/INSTALLER MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMEN~'AL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street- Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME MAILING ADDR ES~p ~ LEGAL DESCRIPTION LOCATION ~/~ ' Absorption area~ Dwelling Inside length W dth DwelHng Foundation Total len,~,~d~.~o.~f lines Material Nearest lot li~e~) t ~ Trench w~h~¢~ inches Material beneath, tit t Depth Crib depth Building foundation Driller Sewer line IPHONE NO. OF BEDR~OMS [~NEW [~5-~'~DE_~_~ PERMIT NO. iV oo /3 No. of compartments Liquid depth PERMIT NO. Liquid capacity in gallons PERMIT. s) 13,2~ Distance b~A"nes I~ ~:r'~ Total effective absorption area -¢ PERMIT NO. PERMIT NO. Total effective absorption area Nearest lot line Distance to lot line O v ,DISTANCE TO: ~" Z I Manufacturer Liq. capacity inoallons I ' /~,~ ~'~ F HOMEMADE: I~, ~ Z~ DISTANCE TO: Well Manufacturer 12 [ Well ~: J DISTANCE TO: J ~ u. z No. of hnes . J Length of each line =z~ / I I--~ T°P °f tile t° finish grade ' ~-'~'~ Lu I Length Width ~ I- ~ -- Crib diamete~ u~ J DISTANCE TO: ~, jCl~s Depth Septic tank Absorption area(s) OTHER PIPE MATERIALS SOl L TEST RATING INSTALLER ~,~/G~t~ ~,~'C ,~ REMARKS APPROVED DATE LEGAL RE2 REID ENVIRONMENTAL ENGINEERING SRA BOX '1584R ANCHORAGE, ALASKA 99507 (907) 344-'1205 276.-,!36! MAY 6 :[980 MUNICIPALITY OF ANCHORAGE DEPT. OF i i-'LT':[ & FNVIRONME:~i'/'.L ~i _:i.LCTION RTCF. AR.) !... A";' H :~;; 0 F:' 900 RECEIVED SELLER SAME S UI!i~D :T. V Z S:): 0 N- C:;:~: N A H Z BLOCK.-.O [..OT.-.TE: TI-IIi!: 'trYF'E O,r.;' AE:SORF]:TZON SYSTEM ]:S A TRENCH NZTH AN AREA OF' 71.~ SQYT~ THE QUAN'~':~TY OF' NATER A!~:SORDED DURZNG '¥'HE TEST NAS 78 C.;Ai...LONS~ THE SO:I:LS RAT:i:NG 0t::' THE SYSTEM AT CONSTRUC'?:ZON NAS 250 AND THE REQU:~:RED AR~]~:A i::'(:)l:~ A zf I~FZDROC)~ HOUSE ZS 1388 SDFT~ THIS HOHE HAS 7:Lzf SQF:'T, BASE~: TEST DATA THE SYSTEH ::CS NOT ACCEPTADL. E F'OR A H 0 :~'. 00 H S, 8PPLICANT LOCBTION LEGBL RICHRRD LRTHROP UPPER HLIFFMRN 900 W. FIREWEED HERLTH 8ND ENVIRONMENTRL OTECTION STREET, RNCHORRGE., 8K. 99~di ~ 264-4720 272-8422 LT. 7'B GINRMI HILLS .LOT SIZE 42000 SQURRE FEET TYPE OF SOIL RBSORPTION SYSTEM IS: TRENCH MRXlMUM NUMBER OF BEDROOMS = 4 SOIL RRTING <SQ FT/BR)= ~._0 THE REQUIRED SIZE OF THE SOIL 8B__RFTION SYSTEM IS: [:.EPTH= ::LB L E I'-.!,3 T H = 30 GRA%~'EL [~EPTH= 6 THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRRINFIELD. THE DEPTH OF 8 TRENCH OR PIT IS THE DISTRNCE BETWEEN THE SURFRCE OF THE GROUND RND THE BOTTOM OF THE EXCRVRTION (IN FEET). THERE IS NO SET WIDTH FOR TRENCHES. THE GRBVEL DEPTH IS THE MINIMUM DEPTH OF GRRVEL BETWEEN THE OLITFRLL PIPE 8ND THE BOTTOM OF THE EXCBVBTION (IN FEET). RFFJ>!Li I RE[:, SE.PT I '--: TRf-IK S I ZE= 125£", ,"]F~LLC~-,IS ~ ~ , TO INFORM THIS DEPRRTMENT DURING THE PERMIT 8PPLICRNT HRS THE RE~PON_IBILITY INSTRLLRTION INSPECTIONS OF 8NY WELLS 8DJRCENT TO THIS PROPERTY 8ND THE NUMBER OF RE_IDEN/.E~ THRT THE WELL WILL SERVE. TI--~IO ,:: 2 ::, I I'-.~SPEC:T I 01%15 RRE REQLI I RED B~CKFILLING OF 8NY SYSTEM WITHOUT FINRL INSPECTION RND RPPROVRL BY THIS DEpRRTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTRNCE BETWEEN R WELL 8ND 8NY ON-SITE SEWRGE DISPOSRL SYSTEM IS 280 FEET FOR R PRIVRTE WELL OR i50 TO 200 FEET FROM R PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL. MINIMUM DISTHNCE FROM R PRIVBTE NELL TO 8 PRIVRTE SEWER LINE IS 25 FEET RN~ TO 8 COMMUNITY SEWER LINE IS 75 FEET. OTHER REQUIREMENTS WRY 8PPLY. SPECIFICHTIONS AND CONSTRUCTION DIRGRRMS 8RE 8VRILRBLE TO INSURE PROPER INSTBLLRTION. F'ERf"I I T F>-=.'P I E:ES DECEfIE:EF-: "~:l.. i98~-3 I CERTIFY THRT 1: I 8M FRMILIRR WITH THE REQUIREMENTS FOR ON-SITE SEWERS RND WELLS RS SET FORTH BY THE MUNICIPBLITY OF RNCHORBGE. 2~ I WILL INST~LL THE SYSTEM IN 8CCORDBNCE WITH THE CODES~ ~ I UNDERSTRND THRT THE ON-SITE SEWER SYSTEM M~Y REQUIRE ENLARGEMENT IF THE RESIDENCE IS REMODELED TO INCLUDE MORE THBN 4 BEDROOMS. 8PPLIC/RNT RICHRR12, LRTUROF' ,,~$ MUr-.~ I c 'r. P~b I T"-,-' C_~F RI"-,ICH,3F:Rt]E (,.,/ -. ~l./ 0u DEPRRTMENT OF HEflLTH fiND EN',/IF.:ONMENTRL F'ROTECTION (~t ~ ~.'"~ 825 ~'L" STREET, RNCHORRGE., PK. 9950t "' ,¢'~ I~., 264-4720 ~ /' ' ~,~i"~--S I Ti SEI..-IER IJF'IJRRE:.E F'ER~I 3E T PERMIT NO. (x888874 ) MRXIMUM NUMBER OF BEDROOMS = 4 SOIL F.:RT~.~ '::SQ THE REQUIF.'ED SIZE OF THE SOIL RESORPTION ~STEM THE LENGTH DIMENSION IS THE~-NG~'~t~.IN FEE"Ok? OF~'TRE""~RENCH OR DRRINFIELD. THE DEPTH OF R TRENCH OR PIT IS THE E~STR, NC:E\ BETWEEN THE SURFRCE OF THE GROUND RND THE BOTT~ OF' THB E~'~CR'v'RTIO~t, ',IN F~EET::'. THE TRE[-It-:H ~I~D, TH ~\S % ¢~. ~-~E"~O FEET. THE GRRVEL DEPTH IS' ~E,,MI~IZr'~u~ DEPTH 0~ GRRV~K BETWEEN THE OUTFRLL F'IPE RND THE 80TTOM OF THE~,-'-,CR',RT'~ON ':.'IN FEE%). REI2~.Li I RED SEPT., I F: ~'.~ AI"-,IF".z: S\I ZE= :.t25~-----~ GALLF'~'-.i:.E; INSTRLLRTION IWSPECTIONS OF~ RN~¢ WELLS RD..TRCE~,IT TO THIS PROPERT'r RND THE NUMBER OF RESIDENCES THRT T~E__ -../WELL ~'~,ILL SERVe. BRCKFILLING OF RN'¢ =.~_TEM WI"CHOUT FINR~---I44SF'ECTION RND 8PPRO'./RL B'¢ THIS DEF'RRTMENT WILL B~ SLIE:JECT TO\PROSECUTION. . \ MINIMUM DISTRNCE B~EEN 8 NEL'~ 8ND RNY ON-SITE SEWRGE [:,ISPOSRL S'¢STEM IS ±£~0 FEET FOR R PRIVR]~E WELL OR ~50 TO 2~90 FEET FROM R PUBLIC: WELL DEPENE~ING UPON THE TYPE OF PU~L~t,,'WELL. TO R COMMLNIT'¢ SE~ER ~IN~"':;I~ ¢5¢~EET. , OTHER RE~LIIREMENT~ MR~ RPF'~T. =.~CIFICRTIONS RND CONSTRUCTION DIH~RRM- PRE RVRILRBLE TO INSURE PROPER I}'~STRL~RTION. F'EF=~I I T E:=-=:P I RES DECEf4BER Z41. i~88 I CERTIFY THRT i: I RM FRMILIRR WITH '[HE REQUIREMENTS FOR ON-SITE SEWERS RND WELLS RS SET FORTH BY THE MUNICIPRLITY OF 8NCHORRGE. 2: I WILL INSTRLL THE SYSTEM IN RCCORDRNCE WITH THE CODES. 3: I UNDERSTRND THRT THE ON-SITE SEWER SYSTEM MRY REQUIRE ENLRRGEMENT IF THE RESIDENCE IS REMODELED TO INCLUDE MORE THRN 4 BEDROOMS. '" , RPPLI CRNT R lhgHRRD LRTHROP GREA _R ANCHORAGE AREA. BORL ~ of Environmental Quality Department 3330 C Street Anchorage, Alaska 99503 .6H INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM LOCATION _~U/~/'4/-~ LEGALOESCR,P*,ON ,g'74' ~'Z'~,~/,' ./~/ZX~ ~ ~ ~ ~ NUMBER OF FROM WELL/~ MANUFACTURER~'~i--, ~ MATERIAL ~ COMPARTMENTS '~- INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH LIQUID CAPACITY.__ GALLONS. TI L.'- ..... DISTANCE FROM WELL //,¢~)..,¢z_ /C7" ,~..~ TOTAL LENGTH FOUNDATION NEAREST LOT UNE Z~F7- OF UNES NUMBER OF LINES / DISTANCE BETWEEN LINES '/~/,/~ TRENCH WIDTH ~-'~'IN. TOTAL EFFI~CTIVE ABSORPTION AREA /~)~)~p SQ. FT. LENGTH OF EACH LINE DEPTH OF FILTER DEPTH: TOP OF TILE TO FINISH GRADE ~t~J''~)'~- MATERIAL BENEATH TILE IN, ABOVE TILE --~ IN. WELL: ~/~ 4 S' DEPTH_ ' DISTANCE FROM: ~'~.~ ~ ~p i~,~e~ BUILDING ~ NEAREST .. NEAREST ~ SEPTIC . ~ SEEPAGE //~ FOUNDATION ' LOT LINE SEWER LINE__ TANK /~ , SYSTEM ~~ /' OTHER SOURCES CESSPOOt , APPROVED DISAPPROVED REMARKS DISTANC..~: (~ ~('""/042L'¢'¢7'~ INSTALLED BY: SEWER LINE DEPTH:' PIPE MATERIAL: LOT SLOPE: DIAGRAM OF SYSTEM ,? ', Well Owner. M-W DRILLING, Inc. P. O. Box 4-1224 · 1310C International Airport Road (907) 274-461 ] ANCHORAGE ALASKA 99509 DRILLING LOG MUNICIPALITY C~ ANCHOP~GE DEPT. OF HEALTH ENVIRONMENTAL PROTE¢11ON JUN 1 ? 1976 RECEIVED Use of Well ' ' Location (address of: Township, Range, Section, if known; or distance main road Size of casing_ Static water level Screen ( Dep.th of Hole 2'~-~ feet Cased to 4O ); ?.2 ,~ '3 feet ft. yab~OVe) (below) land surface. Finish of well (check one) Perforated ( ). Describe screen or perforation Well pumping test at ;; gallons per of drawdown from static level. Date of completion- ], q ~',~v (minute) fo-T~ I hours with WELL LOG Depth in feet from ground surface Give details of formations penetrated, size of material, color and hardness J) open end ( " ); TO TO TO TO TO TO_ TO_ -- TO. TO. TO TO TO _TO TO N~VA Certfficd Canwactor Certinca[e No's. 8~4 & 973 2 STATE PERMIT N0. ' nv SRA E,L ..-. APPLICANT E J SCHUSTER LOCflT I ON SULTANA LE'3RL L7B GtNRMI HILLS TYPE OF SOIL ABSORBTION SYSTEM IS: TREN..H l~XI~ll~ll NUMBER OF BEDROOMS = 4 SOIL R~TING THE R. EE~UIRED SIZE OF THE SOIL ~BSORPTION =,¢_,TEH IS: C, EPTH= i2 L. Er-~GTH= :B4- G~:A'-/EL. LOT .=,I,..E 4. i..::.,¢.,-, '=,E'UAF.:E FEET ' F' THE LENGTH DIMENSION IS THE LENGTH <IN FEET::, OF THE TF..ENCH OR [:,F..:RINFIELD. THE DEPTH OF A TRENCH OR pIT IS THE [:,ISTANCE BETWEEN THE SURFFICE OF THE GROUND RND THE BOTTOM OF THE EXCRVRTION (IN FEEl':'-'. THERE IS NO SET ~IDTH FOR TREN.:HE~. THE 6RRVEL DEPTH IS'THE MINIMUM DEPTH OF GR~VEL BETWEEN THE OUTFRLL F'IPE ~N6¢ THE BOTTOM OF THE EX[:RVRTION (IN FEET). F-f-lC~iqGE F-L~NT ~:E6~i_I I RE[~ EITHER R CLASS I 0R II NSF RPPROVED PLANT MAY BE INSTAL. LEI:,. 8 CONTINUOUS MRINTENRNCE AGREEMENT IS RE~UIRED. IF 8 MRIHTENRNCE AGREEMENT IS NOT KEPT CURRENT YOU MAY BE REQUIRED TO ENLRRGE THE SOIL ABSORPTION SYSTEM RNDdOR 90U MAY BE SUBJECT TO PROSECUTION. IF R CLRSS I S~:,TEM IS U=,E[ THE LENGTH IS 59. 0 FEET. IF 8 CLASS II SVSTEM IS USED THE'LENGTH IS 76. 0 FEET. BRCKFILLING OF 8NY SYSTEM WITHOUT FINRL INSPEC:TION RND RF'PROVRL BY THIS DEPRRTMENT WILL' BE SUBJECT TO PROSECUTION. MINIMUN DISTRNCE BETWEEN R WELL RNC' RNY ON-SITE SEWRGE [:,ISPOSRL SYSTEM IS :10~ FEET FOR R PRtVRTE WELL OR 20C4 FEET FOR 8 F'UBLIC WELL. [.,IRURRfl=, RRE R'v'RILABLE TO IN'=;IIRE F'I~'qF'ER SPECIFICRTIONS RND CONSTRUCTION ............ NS'TRLLRT I ON. PERf'I I T ~/RL I [:' FCi~: C~['~E ~'FRR F-RC~'1 I Si;LiE I CERTIFY 'THAT i: I FIM FAMILIAR WITH THE RE6!UIREMENTS FIDR ON-SITE SEWERS 8NF:' ',4ELLS AS; SET FORTH BY THE MUNICIPALITY OF RNC:HORRGE. 2: I WILL INSTALL THE ....,-r-',TEf~ IN 8CCORE:'ANCE WITH THE CO[."E'c';. _~: I UNDERSTAND THAT THE ON-SITE SEWER ._z,~_,fEfl MAY RE~.JIF, E Ef-~LHF...~EMEH1 IF THE RESTDENCE IS REMODELE[:' TO INCLLIDE MOF.:E THFIN 4 BEDROOMS. Fipp~z~IC:RNT E .7 SCHUSTEF.. 4040 ".B" STREET, ANCHOI~AGE, ALASKA 99503 PHONE: 907~279-2581 May 17, 1976 W.O. 17679 Grid 2741 E. J. Schust~'~. SRA Box 393-R Anchorage, AK Subject: Subsurface Investigation - Lot 7-B Genami Hills Dear Mr. Schust~'~>: Transmitted herein in accordance with your instructions are the results of the above referenced investigation as performed by us on. May 10 and 11, 1976. The scope of this p~oject for suitability of an on-site sewerage system. Included in this transmittal are: Vicinity Map Test Hole Location Sketch Test Hole Log Explanatory Information Figure 1 Figure 2 Table A Sheets 1-3 The exploration was conducted using a Nodwell mounted Mobile Drill model B-50 drill rig with a continuous flight solid stem auger. The rig is owned and operated by Denali Drilling Inc. Drilling was supervised and the test holes logged by Mr. Terry Barber, 'geologist with Alaska Testlab. The percolation test was run by Mr. R. Mark Hansen~ engineer with Alaska Testlab. The test hole was placed at the approximate location shown on Figure 2. The log of this test hole is included as Table A of this report. In interpreting the log it would be helpful to utilize the explanatory information contained in sheets 1 to 3 of this report. When dri. lling was completed a 3/4" slotted PVC pipe was inserted in the hole to aid in determining the free water level. For the percolation test, the test hole was filled with water and left overnight to saturate. On returning the next day the hole was refilled with water and the drop in the water level carefully monitored over the next two hours. E. J. Schuster May 17, 1976 Page 2 This procedure is not a standardized percolation test, however, we understand that the Anchorage Department of Environmental Quality prefers tests performed in this manner to evaluate a site for a p~oposed on-site sewerage system. using the above test, the observed minimum percolation rate was 24 minutes per inch. No water table was observed during drilling, but ~t should be noted that the free water level normally fluctuates seasonally and with precipitation. We hope this report meets your present needs. If we can be of further service, please feel free to contact us. Very truly yours, ALASKA' TE.S TLAB R. Mark u~ ~ ~n~en Approved: Laboratory Supervisor P~[H: mm Attachments O'4 Test Hole No. 1 Depth in Feet From To 0.0 2.0 2.0 6.0 6.0 16.0 TABLE A WO~ 17679 SOIL DESCRIPTION Brown Pe__a~., Pt, roots, trace gravel. F-4, brown slightly San_~_q~_ Silt___~ NL, with coarse sand, damp, stiff, NP. F-4, Gravelly Sa~nd~ Silt, GM & ML layering, damp, NP. Bottom of Test Hole: Frost'Line: Free Water Level: SA. NO. Depth I 2.5 2 5.0 3 10.0 4 16.0 16.0 ft. 1.5-2.0 ft. None observed Type of Dry M% Sa~e Strength unified G -- ML __ G '-- ML __ G __ GM/Mb GM/ML Remarks: 1 2 3) 4) 5) 6) TYpe of Sample, G=Grab, SP=Standard Penetration Dry Strength: N=None, .L=Low, M=Medium, H=High Group refers to'similar material this study only. General information, see Sheet 1 Frost & Textural Classification, see Sheet 2 unified Classification, see Sheet 3 //L/~ f • • PUt Bpi • Municipality of Anchorage 't - On-Site Water and Wastewater Program a (907) 343-7904 SA ETi CERTIFICATE OF ON-SITE SYSTEMS APPROVAL Parcel I.D. 015-461-31 Expiration Date: Cl ` 2 �� 1. GENERAL INFORMATION Complete legal description GINAMI HILLS LOT 7B Location (site address) 8441 SULTANA DRIVE,ANCHORAGE,AK 99516 Current Property owner(s) KIRKLAND & LINDSAY GIBSON Day phone Mailing address 8441 SULTANA DRIVE,ANCHORAGE,AK 99516 Real Estate Agent Day phone 2. TYPE OF DWELLING: Z Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ® Individual Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ Waiver/Variance request for: Distance: �//l� Received by:-- Date: &Arrrr COSA to be released to er,unless otherwise requested by the engineer. COSA Fee $ 6j fi — ` Waiver Fee $ n Date of Payment (0— -- nCk (06103 Date of Payment Receipt Number 221102-611 Receipt Number COSA# ertgla"1 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 ANDERSON CONSTRUCTION & ENGINEERING Phone 345-3377 Address 4640 SHOSHONI DRIVE,ANCHORAGE,AK 99516 Engineer's Printed Name MICHAEL N.ANDERSON,PE Date 06/18/2018 ,, iee 071 "S. fie °•� r ♦`j 6. DSD SIGNATURE Ofep °. N. ANDERSON , : System #1 Approved for1.4 bedrooms. "A„., rc' System #2 Approved for bedrooms. -%r •,;; . ,.:,, •• �. Disapproved. Conditional approval for bedrooms, with the following stipulations: * ,c S a, F i 2 '14./e.r.s L j ♦ F AltAeiy -Q, � a .e .�-f �C o C S , 4,54,w1 z ON-SITE WATER AND m WASTEWATER PROGRAM Sa _ ti 4rQ-\I\C- y: __ � ' / / 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 Advisory -•• . Well Flow Advisory • Other ° COSA blue sheet 10-10-12.doc If more than 1 septic system is on the lot: COSA Checklist# of_ Structure served by this system Certificate of On-Site Systems Approval Checklist Legal Description: GINAMI HILLS LOT 7B Parcel ID: 015-461-31 A. WELL DATA Well type Private If A, B, or C provide PWSID# Well Log (Y/N) Y Date completed 05/19/1976 Sanitary seal (Y/N)Y Wires properly protected (Y/N) Y Total depth 260 ft. Cased to 22.2 ft. (INTO BEDROCK) Casing height(above ground) 24+ in. FROM WELL LOG AT INSPECTION Date of test 5/19/76 6111/2018 Static water level 40 ft. 42 ft. Well production 3 g.p.m. 0.47 g.p.m. WATER SAMPLE RESULTS: Coliform ND colonies/100 mL Nitrate 6,(o4 mg/L Arsenic: ND ug/L Date of sample: 6/11/2018 Collected by: Brent Western B. SEPTIC/HOLDING TANK DATA Tank Type/Material STEP 1 STEEL Date installed 7/20/1994 Tank size 1500 gal. Number of Compartments 2 Cleanouts(Y/N) Y Foundation cleanout(Y/N) Y Depression over tank(Y/N) N High water alarm (Y/N) Y Date of pumping 6/11/2018 Pumper A+ C. ABSORPTION FIELD DATA Date installed 7/20/1994 Soil rating (g.p.d./ft2 or ft2/bdrm) 0.4 System type DUAL BED Length (2 @ 50') 100 TOTAL ft. Width 15/15 ft. Gravel below pipe 0.5 1 0.5 ft. Total depth 3.0-4.1 ft. (Measured 6/11/18) Eff. absorption area 1500 ft2 Monitoring tube Y Depression over field N Date of adequacy test 6/11/18 Results (Pass/Fail) PASS For 4 bedrooms Fluid depth in absorption field before test 010 in. Water added 700 gal. New depth 512.5 in. Elapsed Time: 45 min. Final fluid depth 0/0 in. Absorption rate >=600 g.p.d. Any rejuvenation treatment(past 12 mo.) (Y/N & type) N If yes, give date D. LIFT STATION Date installed 7/20/1994 Size in gallons 1500 Manhole/Access (Y/N) Y "Pump on" level at 43 in. "Pump off' level at 33 in. High water alarm level at 45 in. Datum Bottom of Tank Cycles tested 2 Meets alarm&circuit requirements? Y E. SEPARATION DISTANCES WELL ON LOT TO: Septic tank/lift station on lot 100'+ On adjacent lots 100'+ Absorption field on lot 100'+ On adjacent lots 100'+ Public sewer main 75'+ Public sewer manhole/cleanout 100'+ Sewer/septic service line 25'+ Holding tank 100'+ Animal containment areas 50'+ Manure/animal excrete storage areas 100'+ SEPTIC/HOLDING TANK ON LOT TO: Building foundation 7'+ Property line 10'+ Absorption field 5'+ Water main 10'+ Water service line 10'+ Surface water 100'+ Wells on adjacent lots 100'+ ABSORPTION FIELD ON LOT TO: Property line *5'+(2011 WAIVER) Building foundation 10'+ Water main 10'+ Water Service line 10'+ Surface water 100'+ Driveway, parking/vehicle storage 10'+ Curtain drain 50'+(None Known) Wells on adjacent lots 100'+ F. COMMENTS 120-GALLON WATER STORAGE TANK IN GARAGE. STEP TANK IS 24-YEARS OLD,BUT APPEARS TO BE OPERATING SATISFACTORILY. l G. ENGINEER'S CERTIFICATION r • 4 • *;•49TH °•'� / 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. I •MICHAEL N. ANDERSON ;� g rrC • . oil 9169/ ••‹ Engineer's Printed Name MICHAEL N.ANDERSON,PE '��' G •• Date 06/18/18 �,P!\`SSI�>. \ "" COSA canary sheet_2-6-15.doc MUNICIPALITY OF ANCHORAGE �. . DEVELOPMENT SERVICES DEPARTMENT �' . / j�� 907-343-7904 On-Site Water and Wastewater Section h`; ` Fax: 343-7997 www.muni.org/onsite Well Water Advisory Certificate of On-Site Systems Approval # OSC181276 Subdivision: Ginami Hills, Lot: 7B This well's productivity was determined to be .47 gallons per minute. The minimum well productivity required under (AMC 15.55) for a 4-bedroom residence is .41 gallons per minute or 150 gallons per day per bedroom. Although the subject well currently exceeds this minimum requirement, the production capacity can fluctuate. 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 ;:..._.. Development Services Department Phone. 907-3, 2 791;4 On-Site Water & Wastewater Section - Fax: 907-3, ? 79 -7 f�5 e r7 - -3,11 • 528- Lift Station/Pump Vault Maintenance Log Ovvner� mss� o�a�nr� Street Address . 844 �-c,r-a v'r — !=:h-:n<_ 921 14:)'}7 Legal Dese. .._...� PID 5eptic Tank: -Sludge level inches -Pumping: required -Pumping cfl ipleied Fs, •Pump basket cleaned ira, a . -Effluent filter cleaned +� no -Control floats clean le , . -Proper float settings confirmed e„•rr -Operation satisfactory Oven Al m_Sy$tera: •Cudicatec electrical alarm circa t no -Audible and visual alarm inside dwelling Eti3 no -Alarm system operation �i~ tga#ssll Manhole -Ground water intrusion at nser to tank connection xes .61 -Ground water intrusion around pipe penetrations -Weep hole functional ) nc, Manhole lid: Functional ygg insulated jjg.. Properly Secured o t!t Other Foxes 8y eh r ri:iriu`acturcr required inspections and maintenance completed o Comments .6 �.1_....... f. .-. 8... .F c S ... _... . ..._.. . mailltela c„ rorisk!: moi . Tethrit aarn ��l.r Date of mainter+_an _ Company -/9 • -- ig n.atu re A__G,t/ Date 'Mailing Address; P.O.Box 1956.50*+4ncharage,AFdsk0 59519-6650 ^ www-muni.orq ` gilt;° CERTIFICATE FOR A Parcel I.D. 015-461-,31 1. GENERAL INFORMATION [ unicipality of Anchorage Development Se, ices Department Building Safety Division On-Site Water & Wastewater Program .... 4700 Elmore Road '~ , ~' // P.O. Box 196650 "' Anchorage, AK 99519-6650 www.muni.orglonsite ,,,,' (907) 343-7904 OF ON-SITE SYSTEMS APPROVAL SINGLE FAMILY DWELLING Expiration Date: ~ 0 // Complete legal description Location (site address) Current Property owner(s) Mailing address Lending agency Mailing address Real Estate Agent Mailing address GINAMI HILLS S/D; LOT 7B 8441 SULTANA DRIVE * ANCHORAGE, AK * 99516 DAWN STORM Day phone 8441 SULTANA DRIVE * ANCHORAGE, AK * 99516 Day phone Day phone Unless.otherwise requested, COSA will be held by DSD for pickup. NUMBER'OF BEDROOMS: 4 227-9306 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well · Individual On-site · Individual Water Storage [] Individual Holding tank [] Community Class Well [] Community On-site [] Pub'.lc 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. STATE!~ENT OF !NSPECT~ON BY ENGINEER As certified by my seal affixed hereto and as of the vafidation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On-Site Systems Approval Guidelines for this appfication, shows thst 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 infonTiation obtained from the Municipality of Anchorage files and from my investigation and inspection, t,he 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. Phone 557-6179 Address 5701 E. TUDOR ROAD, SUITE 101 * ANCHORAGE, AK 99507 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Date o Engineer's Comments: In conducting this evaluation, GEG, LtD. attempted to provide a thorough, conscientious engineering analysis of the system in accordance with ADEC and MOA DSD Guidelines & 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 dhow long the system will continue to meet the operational requirements of the ADEC or MQA 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 wil! it confer any legal right whatsoever. DSD SIGNATURE Approved for Disapproved, Conditional approval for bedrooms. ; WASTEWATER : PROGRAM bedrooms, with the following stipulations: ' ~,t ~,~ iFFi~i itS. ~J~,~ Checklist Septic System Advisory Well Flow Advisory (Rev. 11105) Arsenic Advisory Maintenance Agreements Supplemental Engineer's Report Other ~"~')~~ Original Certificate Date:. &.,_;zoo.-// Municipality of Anchorage Development Se ices Department 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: GINAMI HILLS S/D; LOT 7B Parcel ID: 015-461-51 WELL DATA *BEDROCK AT 18'. Well type PRIVATE If A, B, or C provide PWSID# N/A Date completed 5/19/1976 Sanitary seal (Y/N). YES Total depth 260 ff. Cased to *22.2 ff. Well Log (Y/N) Wires properly protected (Y/N) Casing height (above ground) YES YES 12+ in. FROM WELL LOG Date of test 5/19/1976 Static water level 40 ¸ft. AT INSPECTION 5/13/2011 36 Well production 3 g.p.m. 0.56 g.p.m. WATER SAMPLE RESULTS: Coliform 0 colonies/lO0 mi. Arsenic: ~r'~ug./L. Date of sample: 5/13/2011 Collected by: GEG, Ltd. ABSORPTION FIELD DATA Date installed 7/19-20/1994 (2 o 50) Length 1 O0 TOTAL ft. B. SEPTIC/HOLDING TANK DATA Tank Type/Material S.T.E.P./STEEL Tank size 1500 gal. Number of Compartments 2 Foundation cleanout (Y/N) YES Depression over tank (Y/N) NO ~';//3:/~J 0 Pumper Date of pumping ~ ~ ~ C. I'BELOW EXISTING GRADEI Soil rating ~or ft2/bdrm) 0.4 Width 15/15 ft. '3.0-3.4/ Total depth *3.3-4.3 ft. Eft. absorption area 1500 ft2 Monitoring tube YES Date of adequacy test *'5/13/2011 Results (Pass/Fail) PASS Date installed 7/19-20/1994 Cleanouts (Y/N) YES High water alarm (Y/N) A+ HOME SERVICES System type DUAL BED Gravel below pipe 0.5/0.5 ft. Fluid depth in absorption field before test 0 in. Elapsed Time: - min. Final fluid depth 0 Any rejuvenation treatment (past 12 mo.) (Y/N & type) NOTE: DRAINFIELDS WERE INSULATED PER 1994 INSPECTION REPORT. 24" **TESTED EAST BED ONLY. WEST BED WAS ALSO DRY. Water added 974 gal. New depth 0 in. in. Absorption rate >= 600+ g.p.d. NONE KNOWN If yes, give date - SOIL COVER ACHIEVED. Depression over field NO For 4 bedrooms LIFT STATION Date installed 7/'19-20/'94 Size in gallons 1,500 "Pump on" level at 43 in. "Pump off" level at 33 in. Datum BOTTOM OF TANK Cycles tested 3 Manhole/Access (Y/N) YES High water alarm level at 45 Meets alarm & circuit requirements? Y .in. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot Absorption field on lot 100'+ Public sewer main N/'A Sewer/septic service line 25'+ Animal containment areas 50'+ 100'+ On adjacent lots 100'+ On adjacent lots 100'+ Public sewer manhole/cleanout Holding tank N/'A Manure/animal excrete storage areas N/A 100'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Water main N/'A Water service line, 10'+ Wells on adjacent lots 100'+ Absorption field, Surface water 5'+ 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line ~ ,~ ' Building foundation. 10'+ Water service line 10'+ Surface water 100'+ Curtain drain NONE KNOWN Wells on adjacent lots 100'+ Water main N,/A Driveway, parking/vehicle storage 10'+ F. COMMENTS G. ENGINEER'S CERTIFICATION ! 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 ~ /l"~ /,I COSA Fee $ ~0" Date of Payment ~:~- ~'~ --~ ~ Receipt Number C){~' L.~(.~ ~ (Rev. 11/05) Waiver Fee $ Date of Payment Receipt Number GARNESS ENGINEERING GROUE Ltd. CO N S U LTANTS & :G EN ERAL CO NTRACTO:RS June 7, 2011 Municipality of Anchorage Development Service Department On-Site Water & Wastewater Program 4700 Elmore Rd. P.O. Box 196650, Anchorage, Ak 99519-6650 (907) 343-7904 Ref: Lot Line Waiver Request for Ginami Hills Lot 7B, To whom it may concern: We request that your department issue a 5-foot lot line waiver from the north property line to the existing drainfield. The existing drainfield on lot 7B has a separation distance of approximately 5 feet to the north property line, which borders Sultana Drive. In short, there are no drainfields on adjacent properties for at least 60 feet. We are unaware of any adverse impacts this waiver would have on adjacent wells or septic systems. If you have any questions, please contact us at 337- 6179. Thank yo? for your assistance. ~ ST~bcrely,:: G~rness;' P.E., M.S. Pres!dent-' 3701 E. Tudor Road, Suite 101 * Anchorage, AK 99507-1259 Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: www.gamessengineering.com Municipality of Anchorage P.O. Box 196650 ® 4700 Elmore Road Anchoraqe, Alaska 99519-6650 ® (907) 343-7904 ® Fax (907) 343-7997 http:llwww.muni.or.qlOnsite Development Services Department On-Site Water and Wastewater Pro,qram **** VARIANCE/WAIVER REVIEW **** WR#: 111107 HA#: 000095 Permit: PID#: 015-461-31 Legal Description: Ginami Hills ~I~7B Engineer: Garness Engineering Group Applicant: Dawn Storm Your request for a waiver of the required l 0 feet horizontal separation from the absorption field to the property line has been approved. The approved separation distance is 5.0 feet. This waiver approval applies to the existing absorption field to property line separation only. Any future upgrade to the on-site wastewater disposal system will require all separation distances be met or another approval from this department. Waiver is Granted: X Waiver is not Granted: y=ale=:. .... rove : c~ar~ 6_./~/=~i i App d by eviewer Rec~: 008001 Amount: $200.00 Date Paid: 6-15-11 **** VARIANCE/WAIVER REVIEW **** Municipality of Anchorage Development Services Department Building Safety Division On-Site Water and Wastewater Program 4700 Elmore Street P.O. Box 196650 Anchorage, AK 99519-6650 www. ci. anchorage, ak .us (907) 343-7904 Water Well Advisory Certificate of On-Site Systems Approval (COSA) # 111107 During a recent COSA on-site inspection and test of the potable water supply well on Block , Lot 7B of Ginami Hills subdivision, the well's productivity was determined to be 0.56 gallons per minute. The minimum well productivity required by this Department (AMC 15.55) for a 4-bedroom residence is 0.41 gallons per minute. Although the subject well currently exceeds this minimum requirement, all parties concerned are advised that the production capacity of the well may fluctuate. Restriction of non-critical water uses such as washing cars and watering lawns and gardens may be required. This advisory must be attached to all copies of the subject Certificate of On- Site Systems Approval. SULTANA DRIVE S 89'55'59" W 280.19' O / ~ ~'.... ,~_~,, ..-.~ / ~, . ~ "~'". ..... '~ ~ NO~: ~IS DRA~NG IS NOT TO [(ff]~~ . --- A PLOT PLAN. ...... ~~=~.~. , , ~ ...... - ~ , OCT. 2~. Page 1 of 1 Andrew Gray From: Sent: To: Cc: Andrew Gray Monday, May 16, 2011 9:05 AM 'dstorm@alaska.com' Jeff Garness; Sonja Blewett Subject: Deficiencies Dawn, We discussed the deficiencies of your septic system while on site. Home Services (227-0476 Mike) to fix these deficiencies. The deficiencies were as follows: I would recommend you contact A+ 1. The high water alarm is present but not functioning. This could caused by a bad float or some other electrical problem. 2. The first septic tank pipe is cracked and missing a cap. Also, the foundation cleanout is flush with grade and missing a cap. Both of these caps should be extended and fitted with watertight caps. Feel free to forward this description to A+ so they can understand the scope of work. Please notify us when these deficiencies are corrected so when can proceed. Thank you. Andrew J. Gray Engineering Technician Garness Engineering Group 3701 E. Tudor Road, Ste 101 Anchorage, Alaska, 99507 Ph: 907-337-6179 Cell: 907-727-0290 Fax: 907-338-3246 email: andrew@garnessengineering.com website: www.garnessenqineering.com 5/16/2011 INVOICE GARNESS ENGINEERING' Ltd. CONSULTANTS & GENERAL CONTRA ~ 3701 E. Tudor Rd, Suite 101 Anchqr~L~ll ~1~~259 Phone: (907) 337-6179 Fax:~)~':-3246 1 BILL TO: PROJECT: INVOICE # 3769 t~ATE: 12/7107 ~ DUE: Due on receipt 8441 Sultana Drive Anchorage, Alaska 99516-2560 CDESCRIPTION Spread imported soil over the existing drainfields. Imported 11 loads of fill to spread over drainfields so as to provide adequate soil cover Installation of 1 monitoring tube. Time spent looking for diverter valve that was supposed to be installed after the existing lift station. We were unable to find it in the general vicinity it was supposed to be at. Ref: Ginami Hills L7B HRS/QTY RATE AMOUNT ,) 1 2,400.00 2,400.00 11 175.00 1,925.00 1 500.00 500.00 4.25 125.00 531.25 Thank you for your business! Total: $5,356.25 O All invoices over 30 days old are assessed late charges of 0.875 ~ per month, beginning from the invoice date. A property lien will be filed if the invoice remains unpaid after 60 days. There is a $150.00 charge for filing and releasing of the lien. INVOICE GARNESS ENGINEERING G:P~<~UE Ltd. co.su,T^.Ts & ~E.E.AL CO.T~C~~' 3701 E. Tudor ed, Suite 101 Ancho~ll ~//1~;2§9 Phone: (907) 337-6179 Fax:~')~246 INVOICE # 3658 DATE: 10/9/07 ~ DUE: Due on receipt BILL TO: PROJECT: 8441 Sultana Drive Anchorage, Alaska 99516-2560 CDESCRIPTION HRS/QTY RATE AMOUNT Excavation Services to include the repair of the separated sewer line on the onsite septic system. 2,287.00 2,287.00 GINAMI HILLS, L7B Thank you for your business! (Total: $2,287.00 ) O All invoices over 30 days old are assessed late charges of 0.875 ¼ per month, beginning from the invoice date. A property lien will be filed if the invoice remains unpaid after 60 days. There is a $150.00 charge for filing and releasing o£the lien. (,,.~_,' MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION DIVISION OF ENVIRONMENTAL HEALTH CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY 264-4720 Appfication Date GENERAL INFORMATION (a) Legal Description (include lot, block, subdivision, section, township, range) Location (address or directions) (b) Applicant Name//~'>c-f/P~ ,¢//~;-~,,~,¢~L_ Telephone: Home3¢J~-O~-p-~(¢ ?' Business Applicant Address ~ ~Z'~f"O -~ ~ /'~t~'~ ':-'f~)~ /~----~'/'~-~' (c) Applicant is (check one): Lending Institution []; Owner/builder []; Buyer []; Other [] (explain); (d) Lending Institution L~"~-~?~''~ ~-X~- ,'~Tr~--~>'~ Telephone Address (e) Real Estate Company and Agent Address Telephone (f) Mail the I-IAA to the following address:. !: .:.ti ~';: ~.: ',:z.{.,,.? ? ~' TYPE OF RESIDENCE Single-Family/~' Multi-Family [] Number of Bedrooms ~ Other WATER SUPPLY Well}7;~" Community L~ Public [] Individual Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 4. SEWAGE DISPOSAL Onsite.~ Public [] Community [3 Holding Tank [] Note: If community well system, must have written confirmation from the State Department of Environ mental Conservation attesting to the legality and status. 72-025 (1 lZ84} Page 1 of 2 ENGINEERING FIRM PROVID'I~ INSPECTIONS, TESTS, FILE SEARCH, ~'~A AND INFORMATION As cerlified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. 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 in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm'''--'~'O-'4~2c~-<;~/~-¢-/'¢'¢O/'~ ~'~,.~,Sd::)C. Telephone "----~"¢/'-J'"-~ Date ~ ~-1¢~ ~' Approved for ~-7~/~- bedrooms by ~!~;/~ ~;~'~'¢~-'~"~-L;'.. ~te -- - .,'. Approvee ~., Disapprove Conditional Terms of Conditional Approval CAUTION The Muncipality of Anchorage Department of Health and Environmental Protection {DHEP) issues Health Authority Approval certificates based solely upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHEP does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHEP do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. Page 2 of 2 72-025 (11/84) DEPT. OF HEALTFI & ~ MUNICIPALITY OF ANCHORAGE (M0'~"~' ENVIRONMENTAL PROTECTION MUNIC~P^t-tTY OF ~-/~I~TI~/t(~I[=UTHORITY APPROVAL (HAA) D,P'r. oFeUECKUST- FEBRUARY 984 '; 1§86 81§B6 Legal Description: WELLDATA RECEIVED Well Olassification ?/¢"~ / ~/~¢3 ;/-- ~ If A, B, G, D.E.G. Approved (Y/N) Well Log Present (Y/N)/ ~L¢~/' Date Completed ! ~"¢¢/~'~/~ '~'~' Yield ~ TotalDepth ~.._~2('~ Casedto *~"~' ~-' Depth of Grouting Pump Set At ~-~ ~f ¢' Sanitary Seal on Casing (Y/N) ,~ Static Water Level _5"' ~ ( Casing Height Above Ground Electrical Wiring in Conduit (Y/N) Separation Distances from Well: To Septic/Holding Tank on Lot Depression Around Wellhead (Y/N) [ .2-_~/ ; On Adjoining Lots To Nearest Edge of Absorption Field on Lot ¢_~(~/~;On Adjoining Lots To Nearest Public Sewer Line ¢'~,/"¢ ~ To Nearest Public Sewer Cleanout/Manhole //(_./CO/"? L'~ TO Nearest Sewer Service Line on.ct Water Sample Collected by ~/: ~--~-~.;~,~--4~¢¢''''L~ Date Water Sample Test Results ~ ¢~-~c'~ ,~f ' Comments ~-~ SEPTIC/HOLDING TANK DATA Standpipes (Y/N) /V' Air-tight Caps (Y/N) Depression over Tank (Y/N) Pumping/Maintenance Contract on File (Y/N) Holding Tank High-Water Alarm (Y/N) No. of Compartments Foundation Cleanout (Y/N) Date Last Pumped ; for Temporary Holding Tank Permit (Y/N) /db To Building Foundation TO Disposal Field "~'~¢" £ Separation Distances from Septic/Holding Tank: To Water-Supply Well To Property Line -~ ~"~ To Water Main/Service Line ~7///~ To Stream, Pond, Lake, or Major Drainage Course ~/.~'¢,'~ Comments ~,/Z/~2~[ ' ~ " Page I of 2 72-026(11/84) ABSORPTION FIELD DATA Soils Rating in Absorption Strata ?~ ~ (~)- ~/~. Type of System Design ,,~¢/'-=~,~:~¢" Date Installed _6 ~ ~' / /¢~-'~(:~ (~ ~ength of Field ~/"-~/~-'~--~. / Width of Field ?)d~ ~ (~ Depth of Field Gravel Bed Thickness Square Feet of Absorption Area Depression over Field (Y/N) Results of Last Adequacy Test Separation Distance from Absorption .Fie. J)~ TO Water-Supply Well /~/1~.~--~(.~.'~/"-". TO Building Foundation Lot To Water Main/Service Line To Stream/Pond/Lake/or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area comments~A~O/¢ .~,,/'/~:2~ ("~/~¢/¢ . ..~£~_.~ //O 7'¢¢-'' Standpipes Present (Y/N) ~'~ · /~ Date of Last Adequacy Test To Prope~y Line To Existing or Abandoned System on ; On Adjoining Lots To Cutbank (if p[esent) D. LIFT STATION Date Installed Size in Gallons "Pump On" Level at High Water Alar~ Tested for Dimensions Manhole/Access (Y/N) "Pump Off" Leve~J.a~___ __V~-ff (Y/N) ____ ~./Pumping Cycles during Adequacy Test. Meets MOA Electrical Codes (Y/N) Co m m an ts ** Checi Permitted Bedroom R~inst HA~quest ** signedlce rtify that I have chec~fied,~ or c°nf°ramed t° aI~A andDte %, HAA guidelines in effect on the date of this inspection. Company MOA Receipt No. ~-[O(:, J, --~'2, c~ i ~ Date of Payment ~,;') "' ~;-'?~'~ Amount: $ ~¢ ,~'(<~-~ -~ Engineer's Seal Page 2 of 2 72-026 (11/84) JAMES SIZEMORE & ASSOCIATES Consulting Engineers & Surveyors 6410 Switzerland Drive Anchorage, Alaska 99516 Mr. &. Mrs. Richard Lathrop Following is a brief summary of the tests performed on your well and septic system. WELL A four hour flow test was performed on the well. The test indicates the well to be producing water at a rate of 3 gallons per minute. ABSORPTION FIELD The type of absorption system is a trench with a total absorption area o 1074 sqft. The soils rating for the system at the time of construction was 250 sqft per bedroom. The system accepted water at approximately this rate during the test. Based upon the test performed~ the system is operating satisfactorily for a home of four bedrooms. X MUNICIPALIFY Oh ANCHONA~? /.~\, DEPARTMENT'~..~F HEALTH AND ENVIRONMENTAl-PROTECTION ,,~'~~] 825 L Street, ~chorage, Alaska 99501 - ' ~- ~/ . Date Received: March / let InspeCtion: Time ~/~:~ ~. 2nd Inspection: Time Da~e ~i~ ~D ~[~ Date Inspector /~/~/ Inspector REQUEST FOR APPROVAL OF INDIVIDUAL SEWER ~D WATER FACILITIES Lending Institution Request: Alaska Mutual Savings Bank Mailing Address: Post Office Box 1120 99510 Phone: 275-3561/235__ Property Owner: Mailing Address; 3, Legal Description: Richard/Nancy Lathrop 900 West Fireweed Lane Lot 7B Ginami Hills SubdiVision Single Family Residence: ~) Multiple Family Residence: ( ) Phone: 344-0420/h 272-84'22/w 5. Well Data: Type Individual Construction 6. Sewage Disposal System: Number of Bedrooms: 4 N]mmber of Bedrooms: Depth Well Log Filed ( ) Bacterial Analysis On-site system (~ Public Utility ( ) Installed /q'~ Installer Permit ~ Septic Ta'nk Size ~.~ /~' Manufacturer Absorption Area Soils Rate Distances: Well to Septic Tank to Sewer Lines Nearest Lot Line Absorption Area to Nearest Lot Line Material to Absorption Area MUNICIPALITY OF ANCHORAGE ~VIRoNiw~NTAL DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION t AR$ ~1977 2510 East Tudor Road, Anchorage, Alaska 99504 276-2221 REQUEST FOR APPROVAL OF RECEi V£D INDIVIDUAL SEWER and WATER FAglLITIES 1. Type of Inspection: 2. Property Owner: Mailing Address: 3. Name of Buyer: CMRO VA FHA LATHROP, Richard and Nancy CONV X 900 West Fireweed LATHROP, Ricahrd and Nancy Day Phone: HOME-344-0420 WORK~ 272~8422 Mailing Address: Same 4. Name of Lending Institution: Mailing Address: 5. Name of Realtor or Agent: Mailing Address: 6. Legal Description: Location: Day Phone: Alaska Mutual Savings Bank Same O. Box 1120 Phone: N/A 274-3561 ext. 235 N/A Phone: Lot 7B Ginami Hills Subdivision N~ Sultana Drive, Anchorage, Alaska 7. Type of Facility to be Inspected: 8. Water Supply · Type of Supply: SF No. Bdrms. 4 Public Utility. If Individual, number of dwellings presently served If Individual, depth of well Sewage Disposal System Type of System: Public Utility If Individual, date of installation x ,Individual Individual (on-site) X 72-003(3/76) Dage ~wo ~'~ ~.~ , Department of Health and Environmental Protection , Request for Approval of Individual Sewer and Water Facilities Legal Description: Comments: Lot 7B Ginami Hills Subdivision Affadavit Attached: ( ) Letter Attached Appr ove d' .'~~~.~ .~ ~. Date: ~'~ /3 D zsapproved: ~ i~/,~~~~-Date - ~ G~ Department Worksheet: Arctic - Chain Plumbing ~t Heating Ina. 805 West Fireweed Anchorage, Alaska ~74-1~-78 276-1225 SERVICE CONTRACT MULTI-~LO WASTEWATER TR.EAT~NT PK~NT and between the user of a multt-flo waste water plant and Arctic Chain Plumbing & Heating Inc. the servicer, WITN~S: THIS AGREE~NT is executed concurrently by the user and the dealer service manager at the time of installation. The dealer covenants and agrees to furnish twenty-four (24) months service on the user's waste treatment plant fromdate of installation. The purchaser-user covenants and agrees by the presents to, and does hereby contract with Arctic Chain Plumbing and Heating Inc to service the user's waste treatment plant upon expiration of the dealer's aforesaid free service period of twenty-four (24) months. The user understauds by signing this agreement that the user accepts responsibility for the service after the dealer free service period, and also understands the necessity and responsibility for the service requirements that are advised by the dealer. Service Contract - Continued Page Two This service guarantees to make two (2) service and inspection calls per year at regular intervals and to respond promptly to any emergency calls for repair service. Unscheduled emergency or service calls not due to malfunction of or defective sewage treatment units shall be paid for by the sewage treatment plant owner~ Although the regular service and inspection calls 'during the first twenty-four (24) months of installation will be free to the sewage treatment plant owners, the sewage treatment plant owner shall be required to pay the Service Contractor's road time for travel on an average scale computed by averaging road time costs for the number of plant customers in the area of the service call. Inspection service calls will include the following: 1. An effluent quality inspection consisting of a visual check for color and examination for odors. 2. Adjustment and servicing of any mechanical and electrical components that are out of order· 3. Ba.ckwashi. ng of filter media or replacement of filter media with pre* vio~ly washed filters. 4° Periodic sampling, twice a year if necessary, of the effluent quality, and of the settled solids in the aeration tank. Any ~dditional work necessary will be done upon written authority from the homeowner and at additional charge. Service call cost $~OoOq per call plus travel charges, if any. ,Cu~tD~er's Name and. Address Service Representative Please feel free to call u.s at any time if we can be of further ~ssistance.