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GRANITE VIEW BLK 7 LT 6
Granite View Block 7 Lot 6 #014-302-14 Municipality of Anchorage Page l of Z 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: �I LCt-� �iin PID Number: C)1Li - I[) — 19 Name: G<Je Rlrick Wastewater System: ❑ New X Upgrade Address: 3072 N�1, Clyde .�'j1 ABSORPTION FIELD Phone: 56 / ��/ J No. of Bedrooms: 7 Deep Trench ❑Shallow Trench ❑Bed 1:1 Mound ❑Other LEGAL DESCRIPTION soil Rating: 8 Total Depth from original grade: /2 77 GPD/Sq. . Ft. Subdivision: Lot:Block: / 6 / -7 Grave V Depth to pipe bottom from original grade: Y. Gravel depth beneath pipe 7.5 - f 7 -5 Ft. Ft. Township: Range: Section: Fill added above original grade: O Gravel length: 38 Ft. Ft. WELL: New ❑ Upgrade Gravel width: C 2- Number of lines: l Distance between lines: I /y ✓ FL /A Ft. Classification (Private, A,B,C): pnvaie- Total Depth: 9y Ft. Cased To: 9 A7 Ft. Total absorption area: 56 3 So. Ft. Pipe material: PVC Driller: , Foss I�rillin Date Drilled 1o//a/?5 Static Water Level. 68 Ft. Installer:r f� �n2 Date installed: 993 Yield: ` Pump Set at - 97- Casing Height Above Ground: 1 3 TANK • J GPM Ft, Ft. SEPARATION DISTANCES XSeptic ❑ Holding ❑ S.T.E.P. To Septic Absorption Lift Holding Public/Private Manufacturer: Gr r Capacity in gallons: / 000 From Tank Field Slat ion Tank Sewer Lines Well I / i ' /H / ' nl' , �% IVI Material: 54�l Number of Compartments: 2 Surface Water �//p /� / I VIA IV/(1 /Y j /I// IV IV1 LIFT STATION Lot>/O n / , /I Size in gallons: Manufacturer: Line L. /VIV Foundation 33 / �0 n! / 7l N "Pump on" level at: "Pump off" level at: High water alarm at: Curtain/ N Pump Make & Model Electrical Inspections performed by: Drain / Remarks: BENCH MARK Location and Description: Q-ncK4-, Fkvy- Assumed Elevation: /00 ENGINEER'S SEAL AW IP la r4msLA 9� Inspections performed by: o Dates: 1st 93 2nd 9/93 ��e°0,0y� 0 '®aa �o e,o�e000 00 a ° a ®o.�® 0e.0 0 ov°`mee Department of Heal nd Human Services approval • ��� m SABLE Y. ALT,% S1fi �#"� °°e®CE °e -1393 Oaee6eona � � Reviewed and approved by: '� Date: 9 /L-93 72-013 (Rev. 9/91) MOA 25 Permit No 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: 3'k• 7, 14 6, G-oz"`kViet,) s/b PID No.: Page 'y of 2— Co Co NoV': SEPrlc ?ANK1s INTEGRrrY W&_5 G,445CKEA AND CAAJ 69- PCU ED. No CoFAb5/ N _ _ _ oR G_a && /41set�vA%, _ (162 �7T R 1 6 co t 151 27 Cot HB 97 Co 3 86; 83 5T Y NZ 6Y .M -r 6!/ No 6EPCOCK @ 10' j /w' 4Sc#E-rKED DotlN6 4S C0.4J y.t Rve- 10tj. I", 307 72-013 A (Rev. 9/91) MOA 25 MT MT RECEIVEI SCP 10 1993 10 8 93.68' Nitanicipaiily of Archy >RF5kNr 4 Dept. Health & Human CO/ tibJB�'- 8Q No 111A4e� "d No% 2-1 3e -!wee„ foo k 0.d' _-/as *- ' sysk , 2 iefw°� Z*Itd' 04�` sys*/Yn "'d /a/ /inp2. v, AJiOtfti well O" A� o a ° a..... ascan ne�tlf3 OPOo° CE 41343 a 0 po,Q PAGE 1 OF 1 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 Oi - I -q's ANCHORAGE, ALASKA 99519-6650 s 30 ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT C)A_� a PERMIT NUMBER:SW930276 DATE ISSUED: 8/10/93 DESIGN ENGINEER:POLARCONSULT EXPIRATION DATE: 8/10/94 OWNER NAME:PARTCH GALE E & OWNER ADDRESS:3072 NORTH CIRCLE WAY �CJ`Ui� ANCHORAGE, AK 99507 9_3_9_3 PARCEL ID:01430214 LEGAL DESCRIPTION: GRANITE VIEW BLK 7 LT 6 LOT SIZE: 14400 (SQ. FT.) NUMBER OF BEDROOMS: 3 THIS PERMIT: 3 THIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD 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 343-4329 OR 343-4681 AFTER BUSINESS 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: DURING CONSTRUCTION, THE ABSENSE FIRMED TO A DEPTH OF 18 FEET.., - RECEIVED BY: ISSUED BY: BEDROCK MUST BE CON - DATE DATE:- 7� poiarconsult alaska, inc. ENGINEERS • SURVEYORS • ENERGY CONSULTANTS August 4, 1993 DHHS, Environmental Services, On-site Services P.O. Box 196650 Anchorage, Alaska 99519 Attn: Permit Review Officer Re: Design and Construction Approval for On-site Sewer System Upgrade at Lot 6, Block 7, Granite View S/D. Dear Sir or Madam: Please accept the following design for review and permitting. The proposed system upgrade does not affect the current use of the adjacent properties and will have minimum future impact. Polarconsult will inspect the septic tank to determine if it may be reused. The existing trench will be reused at the site which will involve the removal and disposal of the existing sewer rock and biomat. If you have any questions, please give me a call. Sincerely, David Ausman, CE Attachments: On-site Sewer/Well Permit Application Site Plan, Sheet 1 of 3 System Design Calculations, Section, Sheet 2 of 3 Percolation Test, Sheet 3 of 3 $200 Check for Permit Fee 1503 WEST 33RD AVENUE • SUITE 310 • ANCHORAGE, ALASKA 99503 PHONE (907) 258-2420 • TELEFAX (907) 258-2419 PROXTX4i S 9kSbW)205-1(a ded)j®mc..croW.wmOWL ToOrde,PHMTOLL FREE IMD—M M aMMT204iJROS )205-1(PW4®Ic.,cmc.M=.mni.ToaaiMMTOLL FREE i-M225-eo e Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION TEST II L %r -q Oa 9 PERFORMED FOR: Ga/E Porlck DATE PERFORMED LEGAL DESCRIPTION: r' �, '-DTownship, Range, Section: Grrq.nl'te V%e%✓ S/D SLOPE SITE PLAN (FEET) I Q 1 _ 2 4 } t; 5t 7 8 f 9- 10- 12 10 12 13 14- 15- 16 4 1516 17- is- 19 - 20 7181920 COMMENTS T9 WAS GROUND WATER A/ ENCOUNTERED? �_ IF YES, AT WHAT N/A DEPTH? Depth to Water After 8/j/93 Monitoring? N Date: ■■■■.■■R■■ Date Gross Time ■■■■■■■N■■ Depth to -Water Net Drop or_n`n� KNEE■.■ NY 3 — W,—••■.■E©■ r 10 NEW ME\1Moom ONOMMOMENE on MENNEM V2;7/17 Irn;n MENNEEMMEM i NEENNERNME 2 9T Z EMEMMMMEME 3 r ■■■■■■■E■■ ;7127193 3 mfn *Nefe ; DAa+,ees •{e /o>L /ingr &,re cifprox,'� v,4 Reading Date Gross Time Net Time Depth to -Water Net Drop R vAl< NY 3 — — r V2;7/17 Irn;n i Z 2 9T Z i 3 r 3 ;7127193 3 mfn Mn 18 29/ 3III min i cMrn 5 '/ „ 5 713 5 h,in 1 ih.h 31/ 8 72913 G wh ! �8` 7 � 3 in 1 rein l ' �g $ 2i S 4 r,in ! Mir 8 „ min PERCOLATION RATE (minutes/inch) PERC HOLE DIAMETER „ TEST RUN BETWEEN FT AND 5 FT PERFORMED BY: -DAuf b ALKHAw I iL-ka_z • CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 72-008 (Rev. 4/65) Munr-Jpality of Ancl arage Department of Health and Human Services dhh5 Tom Fink, 825 "L" Street Mayor P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 August 17, 1993 Earle Ausman, P.E. Polarconsult Alaska 1503 West 33 Avenue Suite 310 Anchorage, Alaska 99503 Subject: Waiver Request for Lot 6 Block 7 Granite View Subdivision Waiver Request #WR930053, PID #014-302-14 Dear Mr. Ausman: Your request for waiver of the required 10 foot separation between a septic system and a lot line has been approved. The waived distance is 2 feet to the west property line. This approval applies to the existing septic system separation only. Any future upgrade to the septic require all separations be met or another approval department. Sincerely, �__7 / Robert W. Robinsin Civil Engineer On-site Services lot line system will from this MUNICIPALITY OF ANCHORAGhJ Department of Health and Human Services On-site Services Section Waiver Review Worksheet WR# WR930053 PID# 014-302-14 HA# Permit # SW930276 Date Received: August 26, 1993 Legal Description: Lot 6 Block 7 Granite View Subdivision Engineer: Earl Ausman, P.E., Polarconsult Alaska 1503 West 33 Avenue #310, Anchorage, Alaska 99503 Applicant: Gale Partch Waiver Requested: Lot line - west lot line Criteria: 1. Geology: A. Water Table B. Soil Sorption C. Permeability D. Water Table Gradient E. Horizontal Separation TOTAL: 2. Special Conditions: 3. Other: Points: Waiver is Granted: Waiver is NOT Granted: Rec #: ����ia1 Amount: $ Date Paid: �-,)(,"�_s polarconsult alaska, inc. ENGINEERS • SURVEYORS • ENERGY CONSULTANTS August 26, 1993 DHHS, Environmental Services, On-site Services P.O. Box 196650 Anchorage, Alaska 99519 Attn: Permit Review Officer Re: Waiver Application for On-site Sewer System Upgrade at Lot 6, Block 7, Granite View S/D. Dear Sir or Madam: PECEIVF AUG 2 G 1993 IVlun, pai. 31 AiCi}ora9e Dept. Health & Human Services We are applying, on behalf of Mr. Gale Partch, for a lot line waiver for a system replacement/upgrade at the above property. We are requesting permission to waive the separation distance requirement from the absorbsion field to the west lot line. There are no easements on the west lost line. We would also like to request a waiver for the separation distance from the septic tank to the absorbsion field, as it will probably be within five feet. Enclosed is a check for $115 to obtain the waiver. If you have any questions, please give David Ausman or me a call. Sincerely, oe� Z_ Matthew Korshin POLARCONSULT 1503 WEST 33RD AVENUE • SUITE 310 • ANCHORAGE, ALASKA 99503 PHONE (907) 258-2420 • TELEFAX (907) 258-2419 WATER WELL RECORD STATE OF ALASKA 0EPARTMENT OF NATURAL. RESOURE5 vxtS7. tr Division Of GeDlogi001 a i3kOphysidul Surveys Drilling Permit No, IN OP WELL IPlaate complete elther la. to Of 1oJ A•0, 6. No. fagh 9uadlviolen Lot Sloes E-1 /+dtte,. 6iafi bn NO, TgrnnMp N� Range E� Merldlo>' -- Cil of—of— 9 w TANCfi AND DIRECTION FROM ROAD INTERSECTIONS S. OwNUR OF WELL: GalC s a.rkCh mml Address and area of will Loeafian E. WHLL L00 Material Type 1'30 I 7 j t '' �nm ti at san ente,l .9 '1 r_rt.d .Yr e7U g -pm rL• . f®. WATER WELL CONTRACTORS GERTI Thu Wra-ii-sa+ drilled under ml JYrier AlaplrA t�rw�well'"Vea .I ^ Registered Business Name. Addrasv ' I.2241 iI.'YJy.+O U, 9t i -' .. Autherla qA. Foim 02•WWR 011"1111 dt LZ Addril 3 G '72 t_''; %�ri 3:�G rri r•r�t. �eiilG F£ur aver 4• wE 1L6o mi: i ����!�•.`�1� WATER WELL LOG �p� FOSS DRILLING 1336 Ingra Street Anchorage, Alaska 99501 WELL OWNER M V6 h 1K,0;1,5 m p USE OFF WELL P LOCATION L O Z %, A16A /� 1.SJA u✓ LS v 0 n SIZE OF CASING_LLDEPTH OF HOLE_�VJT. CASED TO % FT. STATIC WATER LEVEL b � FT. YIELD10�LGAL.PER.MIN. WITH c /� eel oW S: r-qa&t, FEET OF DRAWDOWN. REMARKS DATE COMPLETED I D - / D — 2, PUMP TO BE SET AT c/c-,? ,F t Oto cep» d 0 tom �ki_ ZLto_�Lp ) Gt h oto y�V. ,atopy _t o_ i^wve, C 1. ' Certified Well.,3j C ...1 f Driller For: a =- ...Ko11, ... �. Location -101 Date Completed ......::. Depth of well 13361NGRA PH. 279.2549 K , Size of Distance to water while pumping .......................F.'.e.at----------- ....----------- at rate of ----- ,.3.g4:. .......... .gallons ,per hour: 4 i, ;'- We advise you to attach- this certificate to. your deed. Description of Formation"from. to Sand & Gravel Grp' s a• -rd 0__ C1av,Sand av � r ,a; C 1. PW f Driller FOSS MILLING t 13361NGRA PH. 279.2549 ANCHORAGE„ALASKA 99501 4 i, ;'- We advise you to attach- this certificate to. your deed. PW �ww GREA.�tR ANCHORAGE AREA BORA; jGH �), ��G1�0'�,t Department of Environmental Quality `°°"` 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME//� JL9J /1/( 'i�'1" MAILING ADDRESS -0/ a ; 6, 643 PHONE LOCATION LEGAL DESCRIPTION SEPTIC TANK: DISTANCE j _ NUMBER OF FROM WELL 899 MANUFACTURER VL60 MATERIAL COMPARTMENTS 67 INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH LIQUID CAPACITYAUt"L-GALLONS. TILE DRAIN FIELD: l TOTAL LENGTH j/C DISTANCE FROM WELL �l + FOUNDATION !�Y_ NEA&1A �RES/TT LOT LINE I0 OF LINES 3 NUMBER OF LINES DISTANCE BETWEEN LINES �F`1 TRENCH WIDTH3( �IN. TOTAL EFFECTIVE ABSORPTION AREA SQ. FT. LENGTH OF EACH LINE l DEPTH OF FILTER DEPTH: TOP OF TILE TO FINISH GRADE MATERIAL BENEATH TILE %�� .'t'�1. ABOVE TILE _ IN. WELL: TYPE_ L CONSTRUCTION BUILDING NEAREST NEAREST FOUNDATION LOT LINE , SEWER LINE CESSPOOL OTHER SOURCES APPROVED DISAPPROVED REMARKS DISTANCES: INSTALLED BY: SEWER LINE DEPTH: PIPE MATERIAL:---���-- LOT SLOPE: REMARKS:r Form EQ -032 SEPTIC TANK_ DEPTH DISTANCE FROM: SEEPAGE DIAGRAM OF SYSTEM DATE ` 7S APPROVED GREATER ANCHORAGE AREA BOROUGH DEPARTMENT OF ENVIRONMENTAL QUALITY 3330 "C" STREET ANCHORAGE, ALASKA 99503 TELEPHONE 274-4561 �L�,ho1 a PERMIT NO. r°e uw SEWAGE DISPOSAL SYSTEM - APPLICATtIONz AND PERMIT NAME OF APPLICANT ' ,�^'�� ✓SS`t��� - -- MAILING ADDRESS ^s 4�` y L�`S PHONE^l INSTALLATION LOCAT LEGAL DESCRIPTION INSTALLATION OF: SEPTIC TANK TYPE AND SIZE OF FACILITY TO BE SERVED SEEPAGE PIT DRAIN FIELD OTHER FINANCED THROUGH} 4� TO BE INSTALLED BY SOIL TEST RESULTS `^' "�-'�'NOTE: THIS PERMIT IS NOT VALID WITHOUT SOIL TEST COMPLETION DATE ANTICIPATED FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION. (It )0 SEPTIC TANK SIZE / oc'o TYPE -�°'�° I `-L SEEPAGE AREA SIZE MINIMUM DISTANCES, REQUIREMENTS a• - FOUNDATION TO SEPTIC TANK FOUNDATION TO SEEPAGE PIT DRAIN FIELD i SEPTIC TANK TO SEEPAGE PIT WALL Q SEPTIC TANK v I , SEEPAGE PIT J DRAIN FIELD TO NEAREST LOT LINE. r WELL TO SEPTIC TANK II✓ � SEEPAGE PIT DRAIN FIELD ALSO CONSIDER AREA WELLS. f f WATER MAIN TO SEPTIC TANK A) SEEPAGE PIT 1/0 , DRAIN FIELD 'XN SEPTIC TANK, 4)0 , SEEPAGE PIT DRAIN FIELD TO RIVER, LAKE, STREAM. CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF EXCAVATION 5 FEET INTO UNDISTURBED SOIL. 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT FITTED WITH AIRTIGHT REMOVABLE CAPS. .GRAVEL BACKFILL CONFORM TO BOROUGH REGULATIONSREGA OI INSTALLATION. r G.A A.B. OR LICENSED DESIGNER lAi7 DIAGRAM OF SYSTEM 1 CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUG7c:: 8 AND THAT THE ABOVE DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE. 1 , n/ DATE �/ APPLICANT'S SIGNATURE � i 1 az C i n. TE 1 CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUG7c:: 8 AND THAT THE ABOVE DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE. 1 , n/ DATE �/ APPLICANT'S SIGNATURE � V Performed forte Legal Description: This form reports: Depth Feet 2 3 4 5 6 oils Gi)N- aP-5 UKLA I tK ANUHUKAUL AKLA LSUKUM "Department of Environmental Qua..-ty 3330 "C" Street Anchorage, Alaska 99503 SOILS LOG - PEROLATION `PEST 13 - I 14 A, Was ground water encountered? )w Date Performed ation test S/,o pP If yes, at what depth? jJ Reading Date Gross Time Net Time Depth to water Net Drop Percolation rate minute. Proposed installation: Seepage Pit Drain Field _ Depth of Inlet _ —_ —_ Depth to bottom of pit or trench COITIENTS : --- f- -------- --- -— ---- ---- - - -- — -- Performed Certified Qy: Date: - - EQ -040 (6/74) Q�GE 6�r Municipality of anchorage Y On -Site Water and Wastewater Program ` (907) 343-7904 E Certificate of On -Site Systems Approval Parcel I.D. 014-302-14 1. GENERAL INFORMATION: Expiration Date: � 15 o' Complete legal description GRANITE VIEW; BLOCK 7, LOT 6 Location (site address) 3072 North Circle. *Anchorage 99507 Current Property owner(s) Michael & Petra Gibson Day phone 952-4164 Mailing address Real Estate Agent 2. TYPE OF DWELLING: © Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) Day phone 3. NUMBER OF BEDROOMS: 4 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well Individual ❑ Individual Water Storage ❑ Holding Tank ❑ Community Class_Well ❑ Community ❑ Public Water System ❑ Public Sewer WaiverNariance request for: Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ 2W Date of Payment b/�U Receipt Number COSA # (SSG 21/5) -7 Waiver Fee $ Date of Payment Receipt Number Waiver # 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm: Garness Engineering Group Ltd (GEG) Phone: 907-337-6179 Address: 3701 East Tudor Road Suite 101- Anchorage Alaska 99507 j Engineer's Printed Name: Jeffrey A. Garness Date: i' 01, In conducting this evaluation, GEG provided an engineering evaluation of the well and/or septic system in accordance with the guidelines and regulations established by the Municipality of Anchorage and industry practices. The reported results describe the condition of the system/s on the date/s of the evaluation. Separation distances were measured to readily identifiable features. Hidden defects or encroachments may exist that were not identified during the evaluation. The operational life of all wells and septic systems depend upon a variety of variables, including but not limited to, soil conditions, groundwater levels (that may fluctuate during the year), quality of construction (materials and workmanship), and the water usage of the family utilizing the system/s. These conditions can vary, and are outside the control of GEG. Satisfactory test results do not guarantee future performance of the system/s; therefore, GEG makes no warranty (express or implied) regarding the future performance of the well or septic system. GEG makes no representation whether an alternative well or septic system can be installed on the property in the event either of the current systems fail to perform adequately in the future. The content of this report is for the sole benefit of the person/party that retained GEG to perform the evaluation. Reliance upon the information provided in this report by any other person or party (including subsequent property purchasers) is not authorized, nor will it confer any legal right whatsoever. '71 DSD SIGNATURE System #1 Approved for q bedrooms #AECC884 System #2 Approved for bedrooms`��kW(F (((((O ���(// Disapproved ``\\SQ0 Conditional approval for bedrooms, with the following sti Ik�lonsON-SITE �� W g ATER AND Z o WA o GE 1 SER`��G,��`,, Original Certificate Date: 0 5)),00- 1 The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist_ Nitrate Advisory Septic System Advisory Arsenic Advisory X Well Flow Advisory Other CASA Checklist Legal Description: GRANITE VIEW; BLOCK 7, LOT 6 If more than 1 septic system on lot: COSA Checklist # of A. WELL DATA ❑ Well log is filed with Onsite (or attached) Date drilled 9581986 Total depth 166 ft Cased to 93 ft Al Sanitary seal is functioning correctly ❑ Wires are properly protected Casing height (above ground) 18+ in. Date of flow test for COSA 5/28/21 Static water level at beginning of test 69.1 ft. Comments B. TANK DATA Age of tank(s) years Tank type/material Measured operating fluid level in septic tank ❑ Standpipes/foundation cleanout per record drawing Date of pumping D. ABSORPTION FIELD DATA Which system tested (date installed) ❑ ALL standpipes present per record drawing Total measured depth from grade ft (rr Measured depth to pipe invert from grade ❑ N/A — pressurized field Parcel ID: 014-302-14 Structure served by this system Well production at time of test 5.1+ gpm Water storage tank volume N/A gallons Well disinfected for coliform test? ❑ Yes 511 No Coliform bacteria is Negative Nitrate /"O mg/L ❑ Nitrate less than MRL (ND) Arsenic lUr a q ug/L ❑ Arsenic less than MRL (ND) Collected by GEG, LTD. Date of Sample 5/28/21 C. LIFT STATION Required maintenance completed Age of lift station years Lift station material Comments: P� dequacy test date Results ❑Pass For bedrooms Fluid depth prior to test in (min) Water added gal New depth in ❑ Monitor tubes go to bottom of ctive. If not, state depth into effective ❑ Code -required soil co r over field ❑ System presoa d (Required if v nt for greater than 30 days prior t date of tes Gal s introduced gallons Co encs/Deficiencies: COSA Checklist yellow sheet Elapsed time min Final fluid depth in Absorption rate gpd o Any rejuvenation treatment (past 12 months) If yes, enter date AWWU SEWER E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well) Septic Tank/Lift Station on Lot > 100' NSA Community Sewer Manhole/Cleanout > 100' No ft [7Yes if No ft Q Yes if Neighboring Tank > 100' ❑✓ Yes if No ft Private Sewer/Septic Line > 25'✓❑ Yes if No ft Absorption Field on Lot > 100' ❑ Yes if No N/A ft Holding Tank > 100' ❑✓ Yes if No ft Neighboring Absorption Fields > 100' ❑ Yes Animal Containment > 50' ❑✓ Yes if No ft F� Yes if No ft Manure/Animal Excreta Storage > 100' ❑ Yes Community Sewer Main > 75' ❑✓ Yes if No ft f7l Yes if No ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' ❑ Yes if No ft Surface Water > 100' ❑ Yes i ft Property Line > 5' ❑ Yes if No ft Wells on Adjacent Lots: Absorption Field > 5' ❑ Yes if No ft Private Wells > 100' ❑ Yes if No ft Water Main > 10' ❑ Yes if No ftCommunity s > 200' ❑ Yes if No ft Water Service Line > 10' ❑ Yes if No ft \S,1\If se ' ank is under driveway comment below From Absorption Field on Lot to: (Please enter distan less than required) ❑ Yes if ft If field is under drNfeway comment below Building Foundation > 10' absorption Property Line > 10' es if No ft Wells on Adjacent Lots: Water Main > 10' ❑ Yes if No ft Private Wells > 100' ❑ Yes if No ft Water Serv' ine > 10' ❑ Yes if No ft Community Wells > 200' ❑ Yes if No ft ace Water > 100' ❑ Yes if No ft F. ENGINEER'S COMMENTS AWWU SEWER G. ENGINEER'S CERTIFICATION I certify that / have determined through field inspections and review of Municipal records that the above systems are in conformance with Q 60 y MOA COSA guidelines in effect on this date. :x' .m freyA. Garres.s:, COSA Checklist yellow sheet �Q�d prof e s ",Of\ #AECC884 I MUNICIPALITY OF ANCHORAGE DEVELOPMENT SERVICES DEPARTMENT 907‐343‐7904 On‐Site Water and Wastewater Section Fax: 343‐7997 www.muni.org/onsite Mailing Address: P. O. Box 196650 * Anchorage, Alaska 99519‐6650 * www.muni.org Arsenic Advisory Certificate of On‐Site Systems Approval # OSC211317 Subdivision: Granite View, Block: 7, Lot: 6 A water sample revealed an arsenic concentration of 16.4 micrograms per liter (ug/L). The Environmental Protection Agency (EPA) has established a maximum contaminant level (MCL) of 10.0 ug/L for public drinking water systems. While private wells are not subject to this regulation, EPA standards are based on existing health information and can therefore be used to gauge the relative quality of water from private wells. Information on arsenic is available from the On‐Site Water and Wastewater Program website (www.muni.org/onsite) or at 343‐7904. This advisory must be attached to all copies of the subject Certificate of On‐Site Systems Approval. ,e Municipality of Anchorage On -Site Water & Wastewater Program (907)343-7904 ti CERTIFICATE OF ON—SITE SYSTEMS APPR6VA ^ri 6 ii)1n Parcel I.D. 014-302-14 Expiration Date: 1. GENERAL INFORMATION Complete legal description GRANITE VIEW BLOCK 7 LOT 6 Location (site address) 3072 NORTH CIRCLE Current Property owner(s) Mailing address Real Estate Agent 2. TYPE OF DWELLING: O'BRIAN & DENISE MORTON Day phone 229-2128 Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4. TYPE OF WATER SUPPLY: Day phone TYPE OF WASTEWATER DISPOSAL: Individual Well individual E Individual On-site U Water Storage Class Well ❑ Individual Holding tank El Public Water System ❑ Community On-site ❑ Public Sewer WaiverNanance request for: Distance: — Received by: f r Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ 5 a r w Waiver Fee $ Date of Payment �U RI t ^,/� Date of Payment Receipt Number t��- tlo q Receipt Number COSA # _ 630045"' 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 dutlined 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. Phone Address 3701 E. TUDOR ROAD, SUITE 101 * ANCHORAGE, AK 99507 Engineer's Printed Name Engineer's Comments: JEFFREY A. GARNESS, P.E. 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 of how long the system will continue to meet the operational requirements of the ADEC or MOA bSD. 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 3 bedrooms System #2 Approved for Disapproved. Conditional approval for M bedrooms bedrooms, Date 337-6179 .J ffr y. A'a Gar essr CE—79'5 s 9 Pro t ass (tOF tANC�O/11 OwsvTE r'n with the following stipulations` WPTER ATER o �o WAS�EwA.e -CO, Original Certificate Date: J The Mi nicoblity op nchorage Develop, amt 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 (Rev_ 11105) tr 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 Legal Description: GRANITE VIEW BLOCK 7 LOT 6 Parcel I D: 014-302-14 A. WELL DATA *PER SURROUNDING WELL LOGS Well type PRIVATE If A, B, or C provide PWSID# N/A Well Log (Y/N) YES P+ Date completed 10/10/1975 Sanitary seal (Y/N) YES Wires properly protected (Y/N) Yee, Total depth 94 ft. Cased to *40+ ft. Casing height (above ground) 18+ in. FROM WELL LOG Date of test 10/10/1975 Static water level Well production 6•5 g.p.m. WATER SAMPLE RESULTS: Coliform 0 colonies/100 ml. Arsenic3n_-L ug./L. B. SEPTIC/HOLDING TANK DATA Tank Type/Material Tank size gal. Number of Compartments Foundation cleanout (Y/N) _ Depression over tank (Y/N) AT INSPECTION 08/19/2014 79 Nitrate N+:�:)mg./L. Date of sample: 8/19/2014 PUBLIC SEWER Date of pumping C. ABSORPTION FIELD DATA Date installed Length ft. Total depth ft. Eff. Date of adequacy test Fluid depth in Elapsed Toe Pumper 3.09 g. p. m. Collected by: GEG. Ltd. Date installed Cleanouts (Y/N) High water Soil rating (g.p.d./ft2or ft'/bdr System type Width 77 ft. Gravel below pipe ft. absorption a ft Monitoring tube_ Depression over field Results (Pass/Fail) For bedrooms before test _ in. Water added _gal. New depth _in. min. Final fluid depth _ in. treatment (past 12 mo.) (Y/N & type) Absorption rate >= g.p.d. If yes, give date D. LIFT STATION Date installed "Pump on" level at in. E. SEPARATION DISTANCES Size in gallons Manhole/Access "Pump ofP level High water alarm level at in. Cycles tested Meets alarm & circuit requirements? SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot N/A Absorption field on lot- N/A Public sewer main 75'+ Sewer/septic service line 25'+ Animal containment areas 50'+ On adjacent lots 100'+ On adjacent lots 100'+ Public sewer manhole/cleanout 100'+ Holding tank Manuretanimal excrete storage areas 100'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation Property line Absorption Water main Wells on adjacent lots SEPARATION DISTANCE FROM Properly line . Water service Cu rain F. COMMENTS G. ENGINEER'S CERTIFICATION Water service line ON LOT TO: foundation _ Water Surface water Wells on adjacent lots l 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 i Date 1 Z 0/ m `t (Rev. 11/05) Driveway, parking/vehicle storage Municipality of Anchorage Community Development Department Development Services Division a On -Site Water and Wastewater Program 4700 Elmore Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907) 343-7904 Arsenic Advisory Certificate of On -Site Systems Approval # 141455 A Certificate of On -Site Systems Approval inspection and test of potable water was recently conducted on the well water supply on Block 7, Lot 6 of Granite View Subdivision. This inspection revealed an arsenic concentration of 39.1 micrograms per liter (ug/L) for the property's well water sample. The Environmental Protection Agency (EPA) has established a maximum contaminant level (MCL) of 10.0 ug/L for public drinking water systems. While private wells are not subject to this regulation, EPA standards are based on existing health information and can therefore be used to gauge the relative quality of water from private wells. Information on arsenic is available from the On -Site Water and Wastewater Program website (www.muni.org/onsite) or at 343-7904. This advisory must be attached to all copies of the subject Certificate of On - Site Systems Approval. MUNICIPALITY OF ANCHORAGE WATER & WASTEWATER UTILITY 3000 ARCTIC BLVD. PHONE: (907)664-2762 WASTEW TE CONNECT PERMIT DATE OF APPLICATION: 08116/2010 SCHEDULED COMPLETION DATE: 12/31/2010 BLOCK/LOTITRACT: BLK 7 t LT 6 / 0 SINGLE FAMILY SUBDIVISION: GRANITE VIEW ❑ MULTI -DWELLING No, APTS ❑ COMMERCIAL TAX CODE: 01430214000 GRID: SW2334 STREETADDRESS: 3072 NORTH CIR Anchorage, AK 99607 OWNER: NORTON O`BRIEN G & DENISE C MAIL ADDRESS: 3072 NORTH CIRCLE ANCHORAGE, AK 995073955 PHONE: CONTRACTOR �j 4 tJ ASSESSMENTS ❑ Repair Existing Service © Main Line Extension X❑ On Property Only ❑ City Tap ❑ Have Been Levied ❑ Hydrant Only ❑ To Be Levied Main Tap - To Property Line Only Comments: ❑ Maui Tap & On Property Connect Row No. ❑ Disconnect ❑ R & R - Main Tap Only Ipwner I Stan CONNECT SIZE 4 in ISSUED WWSAP INSPECTION FEE $ 98.00 QIPAID ❑ CASH PERMIT FEE $ 53.00 CHECK #_S' $ 0.00 r] OTHER r REIMBURSABLE DEPOSIT $ 0.00 INSPECTED BY K H, )1-5 NUMBER TOTAL$ 161.00 DATE/jq 0 REMARKS PERMITEE (Please Print) PHONE MAIL ADDRESS SIGNATURE A CONSPICUOUS PLACE AT THE JOB SITE INSPECTOR COPY DATE SCHEDULED ,z 29 * ,z + INSPECTOR. SUBDIVISION ANI»w BmmmG9e cae wo#oma { \ Af .. . } az �^ .� Q s qq \ 6 y % 3 � e , o t> SIZE MAIN: 2a » DEPTH AT & 2 PROP. AE \� CONNECT LOCATION: y2_ rp COMMENTS: lys 0 Dip a a2 S/ ,L-3 % ' 3 cR « E Az o e r jh : (nf\% c, T -q E .1)07-0 \\ ams/E22 m yy 2 /fs@ §` cif, . zz «eyr� c77-6 'c a� N " L � Id in°•"aao ,OS' Oa��e e�Da x.� ti0tm� Z�Se° ogzo 10 _ 1N3 Y_Sb x` Ossb.:�, U -1 u 0 CD a � m N OS / w ,t o 9�SNOA, 9,01 lSly SZi k p m J Q 4M O� N � aQ U 0 ii eH V) ¢ Q J NV aJ p Z ON y .9 69,E Sz dad o Z�a N �k O 's v T MUNICIPALITY OF ANCHORAGE • DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On -Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. # O 14 — c)Z— 14- HAA # 1. GENERAL INFORMATION Complete legal description Location (site address or directions) % ? /\ D AIS. Property owner �� l .�z aUS Day phone �t" C7t' 6_ /-5 C'/ Mailing addressy(� �=�' `� �'�'` P✓?��S Lending agency Day phone r Mailing address AgentC-!�.° Day phone S-1— G I I Address Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: Individual well 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: Y Individual on-site /\ Holding tank Community on-site Public sewer NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025(Rev.1191) Front MOAN21 G 6. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I furtherverify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compli nce with all Municipal and State codes, ordinances, and regulations in effect on the date of tl}i/inspection. Name of Firm ALASKA Address Engineer's signature I �'tJ.t'� 1L� L'u L!'j�/�'—. }� l�l..:A'�`; ;� L✓��'_7'�J � � S �'? �,h ice\ f" !2L• �,' . {� c-� . DHHS SIGNATURE Approved for bedrooms. Disapproved. Conditional approval for Additional Comments WTIC _ Phone Date �� c OF rt n�J ffrey : Garnet+ , i V A .7953 V' a J119 e� .#°. bedrooms, with the following stipulations: Date 2-2-6--7L7 The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 72-M (Rev. 1/91) Back MOA #21 t �LOVL Municipality of Anchorage FEB 10 19 DEPARTMENT OF HEALTH & HUMAN SERVICES 0* Environmental Services Division MUNICIPALITY OF AN E V ® F AL SERVIC it 825 L Street, Room 502 • Anchorage, Alaska 99501 • (907)- Health Authority Approval Checklist Legal Description: U \Ew I— (z> I U4 Parcel I.D.: A. WELL DATA Well type RR I UA -Z Fz- If A, B, or C, attach ADEC letter. ADEC water system number W F L,(- (/JAs Log present Y/) Two J)EaPE4050 ll* Date completed I6 1 �S� IiEPN�� 5 36 Total depth Cased to b 6 Casing height (above ground) 36 14 Sanitary seal Cyk Ye's Wires properly protected GYVN) '/I 64&]D&j �bs� FROM WELL LOG AT INSPECTION Date of test Static water level 9C Well production C;� g. P.M. ¢ I �i1/N, 9— p.m- WATER SAMPLE RESULTS: Coliform 5;0 Nitrate ` Date of sample: ILZ7A7121 Collected by: B. SEPTIC/HOLDING TANK DATA Other bacteria A-k,Ju1C-, fJc Date installed �� _�2_ �S Tank size M6 Number of Compartments Cleanouts ON) uNOF--t } Foundation cleanout Depression (Y/O L� High water alarm Date of Pumping I Pumper TS,4A<j C. ABSORPTION FIELD DATA -r�> t�r=l Tr-cW • p Date installed 3 ��az Soil rating (g.p.d./ 2 or ft2/bdrm)y' o System type F! Ec O /w ES Length 3g Width A - S Gravel thickness below pipe ° S Total depth )6,3' ° A&7. Effective absorption area 5q,�j Sr VftLC) Monitoring Tube present QYN) I Depression over field (Y Ng x Date of adequacy test 16 9 8 Results (0"/Fall) S-5 For E1Q�� bedrooms r� n , Fluid depth in absorption field before test (in.); LI Immediately after ISO X gal. water added (in.):ro II ' I Fluid depth_ (ins) Minutes later: \���� Absorption rate = vl so f- a.p.d. Peroxide treatment (past 12 months) (y/14 t`U� �I Kn�`% If yes, give date NIA 72-026 (Rev. 3/96)' IFT STATION Date installed Manhole/Access (Y/N) High water alarm level E. SEPARATION DISTANCES *Datum SEPARATION DISTANCES FROM WELL ON LOT TO: Size in gallons "Pump off" level at* Septic/holding tank on lot 106 �4 On adjacent lots (0U 4 - Absorption field on lot /t�1 00 On adjacent lots ( y,3 -/, Public sewer main //r7' Public sewer manhole/cleanout /,L//'t Sewer /septic service line GZS Lift station Al/f'� SEPARATION DISTANCES FROM SEPTIC/kms TANK ON LOT TO: �- ^ Foundation �� Property lineAbsorption field ZNsO r c27• i _ Wells on adjacent lots ' In I AI uEo Water main/service line Surface water/drainage SEPARATION DISTANCE FROM ABSORPTION FIELD .ON LOTTO: Property line —,Building foundation )6 t Water main/service line Surface water I U � Driveway, parking/vehicle storage area 1 en '.1 5 I 1 - N i✓ � Curtain drain 0 Kul"Jwry Wells on adjacent lots (dt% -l-- F. ENGINEER'S CERTIFjA TION t�Ni v� (��v�S' i E✓�" I certi that 1 ve de in d ru field inspections and review of Municipal records t 17 h � ; �re in conformarl e wi h -lf� gui lines in effect on this dale. •�`�y °• j�� ° Signature Engineer's Name Date A% C-) •'.�<'�'AV HAA Fee $ %` Date of Payment �%y�- 7 Receipt Number gi�- � �© 72-026 (Rev. 3/96)* Waiver Fee $ Date of Payment Receipt Number Municipality of Anchorage Department of Health and Human Services 825 "L" Street Rick Mystrom, P.O. Box 196650 Anchorage, Alaska 99519-6650 Mayor http://www.ci.anchorage.ak.us February 26, 1999 Jeff Garness, PE Alaska Water & Wastwater Consultants, Inc. 6901 De Barr Road, Suite 2B Anchorage, Alaska 99504 Subject: Waiver Request for Lot 6 Block 7 Granite View Subdivision Waiver Request #WR930053 Parcel ID #014-302-14 HA990052 - Waiver Modification Dear Mr. Garness: Your request for a waiver of the required 10 feet horizontal separation from the absorption field to property line has been approved. The approved separation distance is 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. If there are any further concerns or questions regarding this waiver, please call our office at 343-4744. Sincerely, Daniel J. Roth Civil Engineer On -Site Water Quality Program MUNICIPALITY OF ANCHORAGE Department of Health and Human Services On-site Services Section 'CL olr �en1 Waiver Review Worksheet WR#[ PID# 014-302-14 HA# HA990052 Permit # Date Received: Feb 10, 1999 Legal Description: Lot 6 Block 7 Grante View Engineer: Jeff Garness PE Alaska Water & Wastewater Consultants. Inn. 6901 De Barr Road Suite 2B Anchorage, Alaska 99504 Applicant: Jeff Woods Waiver Requested: Modification of a lot line waiver:of 0 feet from the septic system to the west property line Criteria: .1. Geology: A. Water Table B. Soil Sorption C. Permeability D. Water Table Gradient E. Horizontal Separation TOTAL: 2. Special Conditions: 3. Other: Points: Waiver is Granted: >4 Waiver is NOT Granted: List Conditions or Reasons for above: SEF Ex161NFEfl 'S 6)7_ ►CHFj9 tE pQ OF Su57'lP/c47-/ N Date: 2-25--77 By : PIN Name of Reviewer Rec #: Amount: $ Date Paid. _ Alaska Water & Wastewater Consultants, Inc. 6901 Debarr Road, Suite 2-13 — Anchorage — Alaska 99504 Phone (907) 337-6179 — Fax (907) 338-3246 Consulting Engineers Q February 9, 1999d.' Municipality of Anchorage Department of Health & Human Services Division of Environmental Services On -Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 Subject: Modification to Lot Line Waiver for Lot 6, Bk 7, Granite View Subdivision To whom it may concern: When the septic system was upgraded on the subject property in September of 1993, by Polarconsult Alaska, Inc., a waiver was granted, allowing the septic system to be within 2 feet of the west lot line. A recent as -built (12/12/98), prepared by Lantech Surveying, indicated that, in fact, the septic system is 2 feet into the road right-of-way. A right-of-way encroachment permit has been applied for and we are currently awaiting its issuance. We are requesting that you modify the original waiver to reflect a 0 foot separation distance to the lot line. The encroachment permit will be delivered to your office prior to the issuance of the health certificate. If you have any questions please contact me at 337-6179. Thank you for your consideration in this matter. M.S. President / \ Q N �;2 1% 6 0, � 2 m r ��� k�rri � /� � �/ f�jk at 'I C . !q �( , ' k 9 \ Q MUNICIPALITY OF ANCHORAGE Department of Public Works D c, a t t&sell o r Street Maintenance Division Pu Works ENCROACHMENT PERMIT 19990141 THIS AGREEMENT, made this 10th day of February, 1999, by and between JEFF WOODS and his heirs, administrators, and assigns, hereinafter called "PERMITTEE", and the Municipality of Anchorage, a municipal corporation organized and existing under its Charter and the laws of the State of Alaska, hereinafter called the "PERMITTER". WITNESSETH: WHEREAS, PERMITTEE is the owner of the following described real property: LOT 6, BLOCK 7, GRANITE VIEW SUBDIVISION, according to the official records thereof, on file in the office of the District Recorder, Anchorage Recording District, Alaska, and; WHEREAS, PERMITTER owns and/or maintains the real property more particularly described as follows: THE SIXTY FOOT (60') RIGHT OF WAY OF NORTH CIRCLE, immediately to the west of the PERMITTEE'S property, as shown on Plat #2-P-433, Sheet 1 of 1, on file in the office of the District Recorder, Anchorage Recording District, Alaska, and; WHEREAS, PERMITTEE has placed a two -foot (2) septic sewer pipe upon the above- described real property which encroaches upon the PERNUTTER'S North Circle Right of Way. NOW, THEREFORE, it is mutually agreed between the parties hereto that: 1. The PERMITTER, acting through the Director of Public Works, hereby grants to the PERMITTEE the privilege of allowing his septic system two -foot (2') pipe to encroach upon the PERMITTER'S North Circle Right of Way, as shown on "Attachment A", included herewith. 2. The PERMITTEE agrees forever to indemnify, defend, save and hold harmless, the Municipality, its officers and employees, from any and all lawsuits, claims or actions brought by any person for or on account of damage to property or injury, disease, illness or death of persons, including all costs and expenses 'incident thereto, arising wholly or in part from or in connection with the existence of, alterations, maintenance, repair, renewal, reconstruction, operation, use or removal of the encroaching septic system two -foot (2') pipe, as placed upon the PERMITTER'S North Circle Right of Way. 3. The PERMITTEE shall not assign or transfer any of the rights granted herein to another individual or company without first notifying and securing the approval of the Director of Public Works. 4. This Agreement and Permit grants PERMITTEE no interest in PERMITTER'$ real property whatsoever, except only the encroachment rights described herein. 5. The PERMITTER reserves the right to revoke this permit upon twenty days (20) written notice to the PERMITTEE. The PERMITTEE agrees upon such notice of revocation, to move said encroachment from the North Circle Right of Way in which it is placed. Should the PERMITTEE refuse or fail to comply with said written notice, the PERMITTER may, without further notice to the PERMITTEE, remove or cause to be removed the encroachment, and the PERMITTEE hereby agrees to reimburse the PERMITTER for all costs incidental to the removal thereof. In addition to the mutual promises heretofore made, the PERMITTEE hereby promises to pay the PERMITTER a one-time permit fee of one hundred dollars ($100.00). IN WITNESS WHEREOF, the parties hereto have hereunto set their hands and seals the day and year first hereinabove written. Grantor: MUNICIPALITY OF ANCHORAGE wvuQS � Ro ald D. Goughnour, P.E. Right of Way Engineer 02/11/99 19990141 -Woods 2 STATE OF ALASKA ) )Ss. THIRD JUDICIAL DISTRICT ) THIS IS TO CERTIFY that on this t;!7 ad day of Fe 4r(4fie-! , 19_t9, before me, the undersigned, a Notary Public in and for the State of Alaska, duly commissioned and sworn as such, personally appeared Rana )j D GuL4 n vert. known to me to be the Right of Way Engineer for the Municipality of Anchorage, Alaska, who executed the foregoing instrument, and he acknowledged to me that he executed said instrument as the free and voluntary act and deed of said corporation for the uses and purposes therein mentioned, and that he was authorized to execute said instrument. WITNESS my hand and official seal on the day and year first above written. i4�:, t S qVN NOTARY P IC in and for Alaska My Commission Expires: 2 SJ? -Ow I OFFICIAL SEAL State ofAlaska [SHIRLEYJOHNSON STATE OF ALASKA ) NOTARY PUBLIC My Comm. Expires: June 25, 2000 )SS. THIRD JUDICIAL DISTRICT ) THIS IS TO CERTIFY that on this _ E day of k6rvl19 9 ,before me, the undersigned, a Notary Public in and f the State of Alaska, d ly commissioned and sworn as such, personally appeared J ej4R eti (A. G raRn e s � , known to me to be the individual(s) named herein who executed the foregoing instrument, and he/she/they acknowledged that he/she/they did so freely and voluntarily for the uses and purposes therein mentioned, and on oath stated that he/she/they was authorized to execute said instrument. WITNESS my hand and official seal on the day and year in this certificate first above written. NOTARY P LIC m and for Alaska My Commission Expires: 4rvP.'LS 1.000 r= urviCIALSEAL State oJ(Alaska SHIRLE%rJOHNSON '1A S'Y PUBLIC My Cum.ts. r,.,,., June25,2000 ^••sem:.-.:. .... __ - 02/11/99 19990141 -Woods 3 DEo-11-1.99H 19: 1a Fd IJdb6:Z0 666T ZZ 'Uvf Y"d's oa c� trNpR�,4 LC °..0Op a 9bZ�?� �Z06 'ON 3NOHd b31tiM31SdM ': 21g1NI1 H)ISHly : WON -4 0 municipality Of Anchorage February 10, 1999 Jeff Woods 819 Gold Belt Juneau, Alaska 99801 P.O. Box 196650 Anchorage, Alaska 99519-6650 Telephone: (907) 786-8277 Fax: (907) 561-1057 Rick Mystrom, Mayor DEPAREWNT OF PUBLIC WORKS Street Maintenance Division (3500 E. Tudor Road) Dear Mr. Woods: RE: Fence Encroachment, Lot 6, Block 7, Granite View Subdivision, Grid 2334: Street Maintenance Right of Way Section has reviewed a request from Mr. Woods for a letter of non -objection to an existing fence located in the 10' utility easement on the south and east sides of the referenced lot. The as -built survey dated 12-10-98, submitted with the request, shows the location of the fence. Street Maintenance Right of Way Section issues this letter of non -objection with stipulations, and by using it the petitioner is agreeing to the following: 1. Municipality of Anchorage (MOA) will be held harmless, now and forever, for any damages or injury to any person as a result of the encroachments. 2. All applicable codes and regulations will be observed and maintained within the easement; 3. This letter of non -objection will in no way preclude MOA from full use and enjoyment of its rights within any portion of the easement. 4. Additional and extraordinary costs incurred during any future required construction, repair or reconstruction of MOA improvements to accommodate any or all of the encroachments shall be paid by the property owner. 5. Obtain letters of non -objection from the following utilities; Anchorage Water & Wastewater Utility, Chugach Electric Association, Anchorage Telephone Utility, Enstar Natural Gas Company and GCl/Prime Cable of Alaska. All letters of non -objection should be retained in your permanent files. Should you have any questions, please call me at 343-8246. Sincere , Ronald D. Goughnour, P.E. ROW Permit Manager v -- MUNICIPALITY OF ANCHORAGE • DEPARTMENT OF HEALTH & HUMAN SERVICES i Division of Environmental Services M� 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 l.D.# Qltl-3L);1-1' HAA# Q(\c\ 1. GENERAL INFORMATION // I Complete legal description Lo� 6 D/tT�� 71 &n-vr4 wevev/ Location (site address or directions) 3072 AvA Clrzk- Property owner Gi l< ' o lc Day phone Mailing address Lending agency Day phone Mailing address Agent Day phone Address Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 3 �' 3. TYPE OF WATER SUPPLY: Individual well 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 X Holding tank Community on-site Public sewer NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025(Rev.1/91) Front MOA#21 LZk VOW %398 (L6/L'nay) Gd Z •�aom s, eauibua leuolssa;oid aql ui suoissiwo jo sione aol alglsuodsaa IOU sl a6eaogouy to /aijedioiunyq aql •panssi si aleol;lvao a aaolaq elep azAleue ao suolloodsui lonpuoo IOU op SHHClto saaAoldw3 •sluawailnbai alels pue lejapa; ulelreo /qslles oliepio ui suollnlllsui buipual nagl pus sawoq;o siasegoand of Asel.moo a se slgl saop SHHa aql •e)lsely;o alelS aql ul paaalsiboi aaeui6ue jeuoissaloid luepuedepui ue Aq anoge g gdeibeied ul u0nl6 suoileluasaidaa aql uodn Aluo paseq saleoilllaaQ lenaddy /q!joglny glleaH senssi (SHHCD saolnaaS uewnH pue glleah{ to luawliedaa a6eaogouy to /3!IedloiunlN aql • :suoileindils bulmollo; eql ql!m `swooapaq Is sluawwo0 leuolllppy ao; lenoidde leuolllpuoo •panoaddeslp swooapaq ao; panoaddy X 3unIVNJIS SHHO 96C - 30 �'• iso'J AVM •a 31M auogd ainleu6ls s, eouibu3 ssaippy P waif;o aweN •uolloadsul slgl;o alep aql uo loage ui suolleln6a.i pue 'seoueulpio 'sapoo alelS pue ledlolunw 11e gum eouelldwoo ui si walsAs lesodslp aalemelsem ao/pue Alddns aalem alts-uo agl'uolloodsul pue u01le6llsanul Aw woa; pue sel!j 96eaogouy;o Al!IedloiunlN aql woa; paulelgo uollewaolui aql uo paseq legl A;!aanaaglanl ! -ulaaaq paleolpui ainlonals to ods l pue swooapaq;o aagwnu eql ao; alenbape pue leuolloun;'a;es s! walsAs 1esodslp aalemalsem io/pue Alddns aalem al!s-uo aql legl smogs uolleolldde Jenoaddy Al!aoglny g3leaH s!ql;o u0lle6lls9nui fw legl.t;laan l 'molaq umogs alep uoilep!len agl;o se pue olaaaq pail;;e leas Aw Aq pa!;!luao sy IM a33NION3 AS N01103dSNl d0 1N3W31V.LS 'S Legal Description: A. Well Data Municipality of Anchorage Department of Health and Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Parcel I.D. Well type Alo4 T SkJ If A, B, or C, attach ADEC letter. ADEC water system number Log present (V(N) Date completed Total depth Sanitary seal (Y/N) Date of test Static water level Well flow Pump levels Driller Cased to Casing height WELL LOG SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot Absorption field on lot Public sewer main Sewer service line Wires properly protected (Y/N) AT INSPECTION On adjacent I ; On adjacent lots Public sewer Petroleum tank Z �o o> o O W rn LLJ Q > ^' N P. (W' v jZ W u • J C C5 LU C/ Z o UJ WATER SAMPLE RESULTS: Coliform Nitrate Other bacteria Date of sample: Collected by: B. SEPTIC/HOLDING TANK DATA Date installed 101 22_ /7 Tank size U �4 Compartments 2 Cleanouts �/ (Y/N) Foundation cleanout (Y/N) f Depression (Y/N) N High water alarm (Y/N) LIA Alarm tested (Y/N) N/A Date of pumping 9/9 3 Pumper TSactc SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: ' Well(s) on lot / On adjacent lots q8 Foundation 33 i t (..WaNelr- /n To property line >/O Absorption field Z 06-InfrLW) Water main/service line NIA Surface water/drainage N/A 72-026(3/93)'Front - CONTINUED ON BACK PAGE C. LIFT STATION Date installed /1/A Manufacturer Size in gallons Vent (Y/N) High water alarm level "Pump on" level at= Meets MOA electrical codes (Y/N) SEPARATION DISTANCE FROM LIFT STATION TO: Well on lot -- D. D. ABSORPTION FIELD DATA Date installed 9! g 3 Length 38 Width Total absorption area 563 On adjacent lots Manhole/Access (Y/N) — "Pump off" Level at _Cycles tested — Surface water Soil rating (GPD/Ft2) 0, g System type 5 2'-5 Gravel thickness 7' Tntal rlcn4 FTZ Cleanout present (Y/N) f Date of adequacy test Results (pass/fail) Water level in absorption field before test Peroxide treatment (past 12 months) (Y/N) SEPARATION DISTANCE FROM ABSORPTION FIELD TO: pee, l r nd h 12" Depression over field (Y/N) _Al for — After test — If yes, give date Bedrooms t r i Well on lot % On adjacent lots /0 Property line 2 (WAtvFK 087;4 o ) To building foundation f/0 To existing or abandoned system on lot N -M On adjacent lots _� ZA Cutbank /V�� Water main/service line NIA /( 5 / Surface water �AA /-f Driveway, parking/vehicle storage area Curtain drain _A0 E. ENGINEER'S CERTIFICATION I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the .date.. of this inspection. AV ���tieeoeeeeee e o ee��q�q Signature e 9 �:. a... aaaam.00 o Engineer's Name �Q✓l� iii/5 � 4e,106 oa0o )-o 0 ✓ o.oc® / e tARL� N. A��dA9d EI Date Q13`g3 CE -13 ,qre,`° BUJ 4' �' fa`� akd44 �' HAA Fee $ 360 Date of Payment q i32�9 3 Receipt Number 400 J > �� ,9 r9 �7 72-026 (3/93)' Back Waiver Fee $ Date of Payment Receipt Number r T _ OF"t-ORKL—oriNr> F=-• 203 WFST 15TH. AVENUE SUITE 266 ANCHORAGE, ALASKA 99502-3904 (907) 2.79-3916 RESIDENTIAL WELL •INSPEE_1-11-1w LEGAL: Lot 6 Block 7 Granite view LOCATION: 3072 North Circle OWNER: Gale & Cindy Partch t�_ n TYPE OF WELL: Private, Single Family WELL LOG AV RILAHLE: You; INSTALLATION REQUIREMENTS MET:Yes WEL,.L. YIELD FROM WELL LOG: 20 Gallons per hinute PUMP YIELD FROM TEST: 5 Gallons per Micicttcc DATE: OF TNSPECTION: July, 12 , 1993 TEST PROCEDURE: Well was pumped at a rrnnSL.ej+t r al -r- while the drawdown was monitored with an acoustic probe,-. At. tide hegiiucing of the test water level was found at 81 feet b,•i uw top c.;f caGt reg. At a pumping rate of 5 gallons per minute tha waL.+r lcuvI,i Zotat,x- lized at 92 feet after 60 minutes of pumping. A total of ',60 gallons were pumped. TEST FOR E.COLI AND TOTAL NITROGEN: Water waF, t..tasited +ur I_.i:c)11 and total nitrogen on duly 14, 1993 E. Coli 0. total Nitrogen None Deter. i pcl Max. allowable Total Ni Lr mgr's, 10 mti/1. TEST RESULTS: This well newts the re(Iui.r-uoments of tEj Municipality of Anchorage. THIS WELL WILL PRODUCE MORE THAN 3. G,riLL.I]Nc (111(.. 1'1] N I E I I.JR lif i1{i- TH- AN FOUR HOURS The Municipal requirement for well flaw is 151+ ycyt Ir;n ra cif :cLtr per bedroom per day. This well exreerl thjc_; rr.)cteexremc-11t:. rite assemsment of the condition of the well app i i rs c..in 1 y Lu t t se conditions. as of the day tested. The Flow rate may c ltanr.;.� due t„ subsurface rnnditione that may not he oborrvert ,=r c)cu Llit .Lsur i ;ic:r, and changes in the land use arid ottte+r fartory tteat MAY 1rnpac:l Lhe aquifer feeding the well. T S3F=-L.1R1<L.4L41V]:y F _ 1_:. 203 WEST 15YH. AVENUE SUITE 206 ANCHORAGE, ALASKA 99502-;404 1907) 279-391L SEPTIC YST0M A.DPOI ACY TES t LEGAL: Lot 6 Block 7 Granite view LOCATION: 3072 North Circle OWNER: Gala & Cindy Partch RESIDENCE: Single Family, Bedroams WEL I.: Pri v,atc, on sit. SEPTIC SYSTEM: FROM MUNICIPAL. RECORDS: Bedr 00111 SyStmm TANK: Greer Steell 1000 &LI . Ofle Ci,nsNar t ABSORPTION SYSTEM: r errc j r ABSORPTION AREA: 695 SOIL. HATING: 225 INSTALLATION DATE: art. DATE OF LAST PUMPING: DATE OP TESL; July 12, 15193 ' TEST PROCEDURE: System ware i.nspactwri anti moacr.r/ id. la" ""% I ut,; rd with a l i quid depth of 47 inch+•.. C I E?anr ;u L :t I t c°r tank was dry. 'Trench manitor could not be lni r1LCrl. !;I r•arr wrrt er wau added to the trern..lr .i L• a rater of 5 gallun,. lrrr In"III LtP AiTOr adding 200 gallons the water started to back he k, indicating that the trench was surcharged. TEST RESULT: This System dues not Meet Lttu coda r c.1grr! r e- ments of the Health and Social Servi "'l of pality of Anchorage and must be up graded. Mal.:t ' eeRti c System i rr Alm hor,age Will f ai; l at ter 15 yE•ar •,. F ROM FORTUNE Ph CF'E F. r I ES COMMERCIAL TESTING & ENGINEERING CO. ENVIRONMENTAL LABORATORY SERVICES SINCE 1906 RriFORT of ANAI,YS110 Cheml.ab Ref.# :93.4801-3 Client Sample I'D :3072 NORTH CIRCLE; tiatri.x :WATER Client. Name :TOBBEN SPURNI.,AND, P.E. Ordered By Project Name Project# PWSID :UA Sample Remarks: ROUTING SAMPLE; COLLECTED BY: STUART. 5633 B STREET ANCHORAGE, AK 99518 TEL: (907) 562-2343 FAX: (907) 561-5301 WORK Order :705213 Report Completed :09/16/93 Collected. :09/14/53 @ 15:20 hrs. Received ..09/14/53 @ 17:10 hrs. Technical Di rector: STE_M N C. EDE Released By f` j7 RECEIVED SEP 2 91993 Municipalay of Anchorage Dept, Health & Human Services ____�_______� _==�:=e:: __= eW=._=_:=T=���=_:::-w===� _--_:,=•ter =--_===_=a==�._-__--__._-----__..__.______ _--_--_.__,-_ 'A: See Special. Instructions Above UA = Unavailable �* See Sample Remarks Above. NA = Not Analyzed U = Undetected, Reported value is the practical quantification limit. LT = Cess Than D = Secondary dilution. GT = Greater Than 1"SE3S Member of the SGS Group (Societe Generale de Surveillance) ENVIRONMENTAL SERVICES IN ALASKA, COLORADO, UTAH, ILLINOIS, OHIO, MARYLAND, WEST VIRGINIA, NEW JERSEY, SOUTH CAROLINA QC Allowable Ext, Anal. Parameter ReSkIUS Qual. Units Method Limits Date Date Cnit Nitrate -N 0.10 U mg/L EPA 353.2./300.0 10 09/15 DJS RECEIVED SEP 2 91993 Municipalay of Anchorage Dept, Health & Human Services ____�_______� _==�:=e:: __= eW=._=_:=T=���=_:::-w===� _--_:,=•ter =--_===_=a==�._-__--__._-----__..__.______ _--_--_.__,-_ 'A: See Special. Instructions Above UA = Unavailable �* See Sample Remarks Above. NA = Not Analyzed U = Undetected, Reported value is the practical quantification limit. LT = Cess Than D = Secondary dilution. GT = Greater Than 1"SE3S Member of the SGS Group (Societe Generale de Surveillance) ENVIRONMENTAL SERVICES IN ALASKA, COLORADO, UTAH, ILLINOIS, OHIO, MARYLAND, WEST VIRGINIA, NEW JERSEY, SOUTH CAROLINA LN MUNICIPALITY OF ANCHORAGE /Y1_01� Vf /Y14rus'6" DEPARTMENT OF HEALTH Se ENVIRONMENTAL PROTECTION 825 L Street - Anchorage, Alaska 99501 ki e � � '^ -4b4l.l' rldl i&) ENVIRONMENTAL ENGINEERING DIVISION Q�Sd Telephone 264-4720 Two ❑ Five REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. 1. PROPERTY OWNER �I lCi' C YI�hYYIC� INDIVIDUAL* PHON ) MAILING ADDRESS (� Qcr'( Vv r since June 1975. For wells drilled prior to that date, give well PROPERTY RESIDENT (If different from above) ! depth (attach log if available.) PHONE -t vti(--c� IX INDIVIDUAL/ON-SITE** **If individual/on-site, give installation date 2. BUYER ❑ PUBLIC UTILITY PHONE '') q_4 - L1 '-k Io MAILING ADDRESS 3. LENDING INSTITUTION ( PHONE MAILING ADDRESS ._ 4. REALTOR/AGENT ( PHONE MAILING ADDRESS U 5. LEGAL \ DESCRIPTIO k0 A 1, ir.- --- �� ,-{--- a V Cl ,' 46 l-�- �'t C:�L;` �� o STREET LOCATION 6. TYPE OF RESIDENCE NUMBER OF BFt ROOM ED One our ❑ Other SINGLE FAMILY �01 Two ❑ Five MULTIPLE FAMILY Three ' ❑ Six 7. WATER S PPLY INDIVIDUAL* * ATTACH WELL LOG. A well log is required for all wells drilled COMMUNITY since June 1975. For wells drilled prior to that date, give well ❑ PUBLIC UTILITY depth (attach log if available.) 8. SEWAGE DISPOSAL SYSTEM IX INDIVIDUAL/ON-SITE** **If individual/on-site, give installation date If system is over two (2) years old an adequacy test is required ❑ PUBLIC UTILITY by this Department. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010(3/78) rP S ENVIr� JF �` 5L -+�'v�v�cry ,fir, rrcUtcCrrpy CEI Y ED 043 t (9G z' THIS SIDE FOR OFFICIAL USE ONLY INSPECTION APPOINTMENTS DATFRECEIVED � - TIME TIME TIME DATE DATE DATE INSPECTOR INSPECTOR INSPECTOR DIRECTIONS: 1. TYPEOF RESIDENCE LSINGLE FAMILY ❑ MULTIPLE FAMILY NUMBER OF BEDROOMS ❑ ONE ❑ THREE ❑ FIVE ❑ OTHER ❑ TWO ❑ FOUR ❑ SIX 2. WATER SUPPLY Cu/INDIVIDUAL COMMUNITY ❑ PUBLIC UTILITY Connection Verified PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM [D,I'DIVIDUAL/ON -SITE ❑PUBLIC UTILITY Connection Verified — PERMIT NUMBER DATE INSTALLED INSTALLERS 114 ept'icc Tank or E] Holding Tanl< Size: 10010 If Tank is homemade give dimensions: SOILS RATING o�J TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA 6. (rib MATERIAL _T_-, a�, 4. DISTANCES WELLTO: Septic/Holding Tank Jowl Absorption Area 1 JSr Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line 5. COMMENTS APPROVGDFOR BEDROOMS ❑ CONDITIONAL APPROVAL (letter must accompany certificate) 0— DISAPPROVED DATE FJ ' �-�-- v BY (Title) LEGAL DESCRIPTION 72010 (Rev. 3/78) p .:iM CC7 N:�L'CCAISITS, INC. .,aza ,IGhGOV,\ _ 00;t 61131 1K:ec:,oHA ,e.. AUAS111 .,x I P4. l33 .1 .tx.. 390 2s3,30 a.v o!NseRs .•!.�NNl R_i July 8, 1978 R&M No. 851548 Real Estate Corner of Alaska 555 W. Northern Lights Blvd. Anchorage, Alaska 99503 Attention: Jim Arnesen Subject: Adequacy Test on Existing Sanitary Sewer System; Lot 6, Block 7, Granite View Subdivision, Anchorage, Alaska Dear Mr. Arnesen: At your request of July 5, 1978, we conducted a test of the septic system on the above described property. During this test the liquid level in the septic tank was monitored as water was added to the system. The measurements are summarized in the following table: The meter used during the test was a Rockwell 5/8" standard water meter which had previously been calibrated by R&M Consultants, Inc. If the 4 bedroom residence on the property is to house 8 people, the average load on the system can be expected to be 600 gallons per day or .41 gallons per minute. During the test, the system accepted 225 gallons in 95 minutes. This indicates an average effluent acceptance rate of approximately 2.4 gallons per minute at the time of the test. ANCHOHAGE FA11RUINKS JUNtAU n_u'cZ •NASI -LA Liquid Level Below Top Total Gallons Time of Standpipe Added 8:55 10.4 0 9:00 10.3 25 9:10 10.3 75 9:33 10.25 175 9:45 10.3 225 10:00 10.35 225 10:30 10.4 225 The meter used during the test was a Rockwell 5/8" standard water meter which had previously been calibrated by R&M Consultants, Inc. If the 4 bedroom residence on the property is to house 8 people, the average load on the system can be expected to be 600 gallons per day or .41 gallons per minute. During the test, the system accepted 225 gallons in 95 minutes. This indicates an average effluent acceptance rate of approximately 2.4 gallons per minute at the time of the test. ANCHOHAGE FA11RUINKS JUNtAU n_u'cZ •NASI -LA July 8, 1978 Real Estate Corner of Alaska Page 2 Because the house on the lot is not occupied, we saturated the leach field 24 hours prior to the test. We can therefore conclude that the system is disposing of effluent at an adequate rate for a 4 bedroom residence. We appreciate this opportunity to be of service to you. Please contact us if you have any questions concerning this test or if we can be of additional service. Very truly yours, R&M CONSULTANTS, INC. Lynne Kosikowski Staff Geologist JMB/kky Gary mith Project Manager