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Home My WebLink AboutANOTHER LT 20' ire I rAffrJ I" Municipality of Anchorage page ( or 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: 5Cj 00o0,Q I PID Number: O aG--0613 __31 Name:/BG?i YVI V 11Wastewater System: New '19Upgrade Address: 16q l C woo tame reti AK is 1. _" 30 ABSORPTION FIELD Phone: �% ��— `�� No. of Bedrooms . � ❑Deep Trench ❑Shallow Trench ❑Bed El Mound XOther LEGAL DESCRIPTION Soil Rating: c 0 GPD/Sq. Ft. Total Depth from original grade., c Lot: Block: Subdivision: i70�th Depth to pipe bottom from orig' al grade: 10`3Ft. Gravel depth beneath pipe ;r 3 Ft. Township: Range: Section: Fill added above original grade: Gravel length: 36 o I Ft. Ft. WELL: ❑ New ❑ Upgrade Gravel width: I aFL Number of lines: S Distant between lines: Q�3t FL elassification1(Private, A.B.C): �X Is7//7 f/A �(�' epth: 3 FI. Cased To: Yl FL Total absorption area: ( - QSQ. Ft. Pipe material:(Pv C Sit' rNO Driller: / GfP Qr) 6�i`n�3 rilled: @tA Static Water Level: /qV Ft. Installer: WpO y' 13� Dale inslalletl: � --� 7"-©0 Yield: I Pump S al: S Height -A-bsove GroundTANK ''f GPM Q Ft. SEPARATION DISTANCES DSeptic El Holding KS.T.E.P. To From Septic Absorption Lin Holding Public/Private Manufacturer' Capacity in gallons: Tank Field Station Tank Sewer Lines ,,' 41 _7k I S O i©Q` I(904 (00,4 Materia umber of Compartments; D Surface Water jO i — 100`-h 00` LIFT STATION Lot Line , Y� l rjpi + Size in gallons: /)-5—o Manufacturer: 0,/cµd,1/}c4- Ti4A,C Foundation 77 D' i �6 "Pump on" level al: ' "Pump off' level at: High water alarm at: qd- Sa' 4y Curtainv+ Drain �o / DL • i al. /t slkVMM Pump Make& Model a Electrical Inspections performed by: Remarks: £K,s rimc, foto 7, c 77,4,.,fc BENCH MARK P JMr�laO (', /J Location and Description: (� Loi/ Com' J'R r/pu no 't-7 R� Assumed' ©O ^Elevation: � 1 f r S & S ENGINEERINGd� 1"34 Eagle River Loop Road, N0, Inspections performed by: la la River, Alaska 995Zj Da%s: 1st ��-1 —(3CY 491 f-•« •• rj �dw -- 2nd ' I /' 00 o, 'd 9 7 ROBERT C. COWAN �C Fr`naf CE-E801 r�� Department of Health and Human Services approval it Reviewed and approved by: � Date: 4" 19-on 'j L JA"V_ 72-013 (Rev. 9191) MOA 25 PERMIT NO. SW000021 PAGE 2 OF 3 DEPARTMENT pHEALTH ANDhHUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.D. Box 196650 • Anchorage, Alaska 99519-6650 • Tele hone: 343-4744 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT LEGAL LOT 2, ANOTHER S/D P.I.D. NO. 020-093-31 10' UTILITY EASEMENT LOT I Oa \ : � � ��D RoL•1 lyCA / �e 13 l 9df /TH#3� 1 �1 DBL1 Sc DBL2 MT1 \ FLU VALVES I&S'o ST1 supr.c TgrK MT - SA.VO p.�TQ2 (V•%i T�.�. tfcts� C C. 0. H / STH#2 � MT2 lad w \,G SCALE: 1" = 40' LOT 3P� 1`,'�• ROBERT C. COWAN a Q ��,•� CE -8801 aQC fF ... `; r PERMIT NO. SW000021 PAGE 3 OF 3 Municipa(it of Anchora e DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 • Anchorage, Alaska 99519-6650 • Tele hone: 343-4744 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WPELL INSPECTION REPORT LEGAL LOT 2, ANOTHER S 97.4' P.I.D. NO. 020-093-31 FINAL GRADE MH INSULATION NEW 92.4'__z1250 GALLON S.T.E.P. 92.2' SYSTEM MT1=98.4' -\ 1 //-FINAL GRADE MT2 f MT2=97.7' ORI�— � INSULATION_GINAL GRADE AIR UNE / MT1=93.8'-/ MT2=95.3 (0.5' ABOVE SAND BOTTOM) GROUNDWATER AT 90.8 89.3' B.O.H. N. T. S. JUN-16-00 FRI 0227 PM Dynamic Properties FAX NO, Jun, 16. 2000 2:00P6i REMAX PROPERTIES rug. 21X0, 282MR? sdt 6i'ds:; aJ )AK Nu. Ft,. ":i rin-3J-�at9 17 01 ses av711i8JR4 W7 IN M11 r•emq � 1 roK THE OWN1+It ANCS O lBN: E(lk'i'(iEMAIM'ENANQ6ORAN ON•9YfR WASTEWATRA D16isOSAr+ SYATEM 1bhat}teemJmmseebetweenthe MunlalpJRV/ of Antdiwata DJpJtenam alHoslA and )latwn 1 Wbar`0)NIISI"Oth+prvpoly )-07- /3N a )-[./I& i sl z; Ods st centime b nJdf Tertlep Cpo1f of mJ1mJIMnp an w i to Wutaweter d opesel syetan onttu wt+lsctptepuN. I be properly ""it agree to Ne 44110p1ett Allow deo MuolaipallVel Anrhowfa the potpetopl dfht of entry who property M119 normal uparklns hour$, to illaw ierrmovot 19010ing orotwuldng the µmod Stolear iapalr or (enation rA dw lyJvm yubuiit'fa the Munklp+lhy of MrJroapa ole fn now Duh, m inspecdnn tend opaedon sulfinent Cfom f lelbtwd prorotdunll mtl+ser. Thit leepeedon+ed opuJftioaI'AwmenghrllV0thMdesentinatbus1R)PAWW1ffltu IJndsit pumpk dmerJ, and fhrtne, rad inti Joy dJnoJmolto Wada an rapdrld and dnt the Aynern Is fenctlaoins 91 daiarxl, (Slprntun) (BiaMWlo) (AInuANem.) i � pu�uc :• ��.�UP A17, •',�� STATE ON ALASKA Y' JudiciAl District ss: (Hinted Nana1 TUTn. PtM TCiTSi9TOCERTTPYthat CA,gAvk r OAotcJ r—ga,,. xic- did appear before me and signed the foregoing docu freely and voluntarily for the uses and purposes therein mentioned on the /6""''" day ot•�-� seal the day and year in this Certificate First above written. PUBLIC No i and far Alaska My commission Expires: DEC -15-1994 13:21 +OORDOIA,HISNER & ROBINSON I+ F 1 Y DRILLING Wa8 Water - III nalpraftV 67 ted d 9640 AKULA DRIVE TELEPHONE: ANCHPAAGC. ALASKA 99516 (907) 345 0593 Date Drilled : 7-•29-93 256 851 285E P.02 WBtL loT o2 A✓+07H62 s/O Cleave MCDanald Golden view, Rabbit Creek Ad. Static Water:Level __148 Feet Draw Pown N th Feet Type Malucial Drilled; Gallons Per Minute 7btal Feet of Casing 44�.T„ 0 f F.. to 6" ft. Peal -- ft ft, to 10lt.7..C1ay & Reck w R20_ lU fr_. to 14.ft. _Silty Gravel .-..-- 1.4 ft. to 44 ft. Clay wjGravel 44 ft.. Lo 150 ft. Heclrock (Grey & Ilard) 1500 fL, to 480 ft: Nx)rock (black) _-_- 480 ft. to !iO3 ft. Baclicx:k wl1120 fraci:ur0a to to iil=J:flf QAII.S.IN(i $540 AKU(A DAIVs MOODRAGO, AK DUMB (907) 04&0593 Ie"d MUNICIPALITY OF ANCHORAGE Department of Health and Human Services On -Site Services Program 825 L Street, Room 502 P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-4744 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Permit Number: SW000021 Legal Description: ANOTHER LT 2 Design Engineer: 0003 S & S Engineering Owner Name: Greg Dittmer Owner Address: 16441 CHASEWOOD LANE ANCHORAGE , AK 99516-4830 Upgrade �&no s/i -7/eyn o Date Issued: Feb 29, 2000 Expiration Date: Feb 28, 2001 Parcel ID: 020-093-31 Site Address: 016441 CHASEWOOD LN Lot Size: 51441 SQ. FT. Total Bedrooms: 3 Permit Bedrooms: 3 This permit is for the construction of: Disposal Field [,/ Septic Tank Holding Tank ❑ Privy ❑ Private Well Water Storage All construction must be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations ( 18AAC72 ) and Drinking Water Regulations ( 18AAC80 ). 3. The engineer must notify DHHS at least 2 hours prior to each inspection. Provide notification by calling (907) 343-4744 ( 24 hours ). ( Not required for a Water Supply Permit only ). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. Received By: Issued By: P-10 47.�__ Date: 3-3 �d w �a Date: ff— 00 October 26, 1999 ROBERT C. CIVIL ENGINEERS (907)694-2979 FAX(907)694.1211 HEALTHAUTHORITY MUNICIPALITY OF ANCHORAGE APPROVALS Department of Health and Human Services P.O. Box 196650 Anchorage, AK. 99519 SEWER&WATER MAJNIXTENSIONS REFERENCE: Lot 2, Another Subdivision SEWER&WATER It is requested that you issue a permit to install a septics stem (bottomless 9 Y 11y ` INSPECTION intermittant dosing sand filter) to serve the proposed three bedroom dwelling on the referenced property. ENGANDIREPOTSsTUDIEG Two test holes were excavated and a percolation test was performed. The approximate location of the test holes are located on the attached site plan. Ground water was monitored as shown on the attached soils logs. WELLINSPECTION &FLOWTEST We do not anticipate any adverse effects on neighboring wells, septic systems, reserve areas or drainage patterns by the installation of the proposed septic system. The construction of this system will not prevent any future development on any of the adjacent properties. SITE PLANS If you require additional information, please contact us. ROADOESIGN Sincerely, SOILTEST Robert C. Cowan, P.E. RCC/jhm PERCOLATION TEST Enclosure STRUCTURAL& MECHANICAL INSPECTIONS ONSITE WASTEWATER DISPOSALSYSTEM OESIGN 17034 NORTH EAGLE RIVER LOOP • SUITE 204 • EAGLE RIVER, ALASKA 99577 1" - 60' 1 SITE I DESIGN O :E D <�C x I / 0 z Z- m0 y O0 0 �r 00 mm iw-n CJ " iV O W z D x D N y N z p O Z Z O O `�diU Ny �O m➢N z0 zm s uzi c o 0 t-4 �O� c O y r (106' o m ,oe � pot I I UTILITY EASEM Im maomx� - I � S n - olpsz I E Soaou � I I ri O ey H.. 9NN zU'OH zo.x t� cna<in DSC H Uzp m r-� 0 '.Z�i H H C, / C c� x mpC � CzFj �v yx_� /o• C/) Zz9� dMro NNS O C Y :�O o OWWO �z> nznmi �o oyC zma�m z In<�Zm r mom �iN< 9yC =n 0 om y �n o z N r 0 0 I I no�` I I I omAa I I I I I I I I I I I I I I I I to I I� x I HE 0 z Z- m0 y O0 0 .-i 00 mm iw-n CJ " iV O W z D x D N y N z p O Z Z O O `�diU Ny �O Opp zm s uzi c o 0 t-4 �O� c O y r (106' o m ,oe � pot I I UTILITY EASEM Im maomx� - I � S n - olpsz I E Soaou � :�O o OWWO �z> nznmi �o oyC zma�m z In<�Zm r mom �iN< 9yC =n 0 om y �n o z N r 0 0 I I no�` I I I omAa I I I I I I I I I I I I I I I I to I I� x I HE z Z- m0 y O0 0 .-i 00 �rmop H K O iw-n CJ " iV O W z nmm p o �m N z p O ti='UDm Z m O p -SFPrr Ny �O Opp pmt-" 4R,,4oxZW0m-------- II NII 1\ t-4 �O� c O y z (106' o m ,oe � pot I I UTILITY EASEM :�O o OWWO �z> nznmi �o oyC zma�m z In<�Zm r mom �iN< 9yC =n 0 om y �n o z N r 0 0 I I no�` I I I omAa I I I I I I I I I I I I I I I I to I I� I I Iro � I c z I iw-n CJ " iV O W C mm O O <c I r�adtl �u�� D mr Opp pmt-" II NII 1\ t-4 �O� c O y z I o m ,oe � pot I I Im maomx� - I � S n - olpsz I 0 I I Iro � iw-n CJ " iV O W i ' CD 0 y LTJ I r�adtl �u�� MZU LTJ pmt-" II NII 1\ t-4 �O� cy, Im I I � � I I ri O ey H.. 9NN zU'OH zo.x t� cna<in DSC H Uzp m r-� 0 '.Z�i H H C, M C c� x mpC � CzFj �v yx_� W— C/) Zz9� dMro NNS O C Y of romze. �tl�m �zrn0 < p Om oHmxKm� oco P7�t"Z l7roH �.00 azo yzl z u -3 h co .. Vi C7 tlj [ 'a7 � O tro—i n y K7 roDH Ox �:o oy> zL-i off z Z O O H iw-n i d> ' 1" = 30' DESIGN DETAIL SCALE O W m m 1 ] > X _, O W ^ / OO \ co z , - V� �4 / dl�� U 4 So �qr 3 w C D r m V) V V V rT,o�;uo�;u m�;oOmx �o',' o zY aZ'' m-mAi x r m o O om_ xo t7 K:O -0 C) mry) n�t+7 tl7 O U �'d (-1 o nnx D m o'y F- 'A Z m p Frl C V/ ® C) c �N GQ1 > Z rri < C r /v D D�7� frl O C Z Z 0 m — — — — — — — — — — — — — — — — — — 00' UTILITY EASEMEN J O A bJp b O » WON�'�C oNroG'h�7 £ D C) --i to m N n� m�;oOmx �o',' o zY aZ'' m-mAi x Q o=mn2 Z "..H yJ CsJ N.O 2'P Om Z xo t7 z n mc"1 a800fFR n�t+7 tl7 �'d (-1 otj D C) --i to m N n� m�;oOmx �o',' o zY aZ'' m-mAi x Q o=mn2 Z Om Z M C D z n a800fFR 'p tl7 �'d (-1 o nnx moan m z o'y 'A nom T cl o�mO w z o �m 01 O� od �v y D C) --i to m N n� m�;oOmx �o',' o D C (� aZ'' m-mAi o=mn2 Z Om Z M C D z n a800fFR o N.T.S. DESIGN DETAIL SCALE �^o DOm Z d no mmNp no NN.09 ti• .. [•J � z O C'J [[i^^J b V O - !p OXOX � 1 C � cn £ D b N O W % C O y � ® �.. a r � n d E byy L+J H n N "0 _ ky m O ooLD b l0 zs c° no b Yn or or N9 W �r o O n 9 61 a b s 0 c''� o � '• 7s�dl :� 00 MR � �): m ti i C']S n'Z '�R•i �n �.. i�! py G) NH .Cbl 03n i 1 17034 EAGLE RIVER LOOP ROAD EAGLE RIVER. ALASKA 99577 J 2, ANOTHER, Q 3Y: J.H.M. F CHECKED BY: R.C.C. W MOUND SLOPE NOT � TO EXCEED 3:1 FILTER (&X�TEND TOBOTTMWITH OF SAND =MEI MIT I I �I FABRIC I I W J ARCTIC AIR LINE SLOPE TO DRAIN_ K VALVE BOX 6"-3/6" IL LOT 2, ANOTHER, SUBDIVISION 3Y: J.H.M. E%TEND TO BOTTOM OF PEA GRAVEL) CHECKED BY: R.C.C. I DATE: 0-1 R" ED. 2-7- 4 OF 5 p�}S ROBERT C. COWAN c, .� 1 CE -8801 F �C wsvt 1/2" AIR LINE / 8' ABOVE BOTTOM OF SAND SAND FILTER PERIMETER) SUPPORT FRAME: 1/2" PLYWOOD SHEETS 36' SIDE VIEW 36' X 10' BOTTOMLESS SAND FILTER rvxAP rvl'l'n FLL'i'Ex k'AdxtC) MOUNDED SOIL COVER TO E%TEND TO BOTTOM OF PEA GRAVEL) INCLUDE TOP SOIL AND SEEDING PERFORATED MONITOR PIPE (4(W" R FILTER (&X�TEND TOBOTTMWITH OF SAND 5/4" -AI JACKETED INSULATED FABRIC ARCTIC AIR LINE SLOPE TO DRAIN_ VALVE BOX 6"-3/6" HOLES PEA GRAVEL ARCTIC FACING g IN, J UP FLUSHING VALVE MOUND SLOPE NOT SHIELD `COVERT 2" INSUL. 6'Et PVC TO EXCEED 3:1 14 BACKFILL BETWEEN THE PLYWOOD AND v v o THE EXCAVATED WAI.[S EFFLUENT FROM THE S.T.E.Pfm USE FLEX 1/E' ➢L1. SGH <➢ PVC GTEHALS 2" INSVL. +SS PSI (INSUWTE NA 9CH 40 BOOT (THE SCOT FLANGE PEA GRAVEL BURIAL RATED R BONDED TO THE 90 MQ. LINER) MDDES 2 LusuL +ss PD1 BIIHILL RATED _ - ORIGINAL GRADE wsvt 1/2" AIR LINE / 8' ABOVE BOTTOM OF SAND SAND FILTER PERIMETER) SUPPORT FRAME: 1/2" PLYWOOD SHEETS 36' SIDE VIEW 36' X 10' BOTTOMLESS SAND FILTER 17034 EAGLE RIVER LOOP ROAD EAGLE RIVER, ALASKA 99577 PHONE# (907)694-2979 FAX# (907)694-1211 SCALE: N.T.S EFFLUENT FROM HOUSE LEGAL: LOT 2, ANOTHER SUBDIVISION DRAWN BY:CHECKED BY: DATE: 10-2'y-99 SHEET: ^' 1r�•.•" J.H.M. R.C.C. REVISED: 2-8-2000 1 5 OF 5 PREMIER POLYETHYLENE SEPTIC TANK with PUMP BASIN ASSEMBLY 30" DIAMETER " y� i ROBERT C. COWAN CE.8801 �5a� F86fESS10�� I" VENT J—BOX GASKETEDMANHOLE COVER 4" TO 1" BUSHING (INSULATTES —� � (INSULD TO 2' BELOW GRADE FINAL GRADE 2" INSULATION GEM CAP SCH 40 tC TEES v m NEW 1000 GAL. POLYETHYLENE TANK p SCH 40 z PVC SCH 40 PVC 90' 4" GROMMET 1" CHECK VALVE 1" FLEX DISCH, 1" BALL VALVE ORIGINAL GRADE — EFFLUENT OUTLET 1/16" HOLE FLOAT TREE (HIGH, ON, OFF) PUMP BLASTER GOULDS TURBINE MODEL 20EB05 OR EQUAL EFFLUENT FILTERS 1/8", 1/4", 3/8" FILTER & PUMP ASSEMBLY BLY I e Municipality of Anchorage . DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION TEST PERFORMED FOR: G RP- C. D I ) T MC./L DATE PER LEGAL DESCRIPTION: L 0 / )L 13 -Ju "rli6'lz S/J Township, Range, Section: ,or EP—T-H1I+AR•) PACK S'u,%)vrl" SLOPE SITE PLAN 1 ;V CoQ . s 2 w I.v/ Wct'� G/e�3 D;-1) -- C 3- 4-z 4 5 6- 7 8- 91011 9- 10- 11 12- 13- 14- 15- 16- 17 21314151617 18 19 20 COMMENTS WAS GROUND WATER Y 9 S ENCOUNTERED? S L IF YES, AT WHATSAg fa 0 DEPTH? P E Depth to Water After 3 VC S•%y Monitoring? Date: 9—V Reading Date Gross Time Net Depth to Time Water Net Drop yv la'rz° 3 rte" p V PERCOLATION RATE (minutes/inch) PERC HOLE DIAMETER 6 TEST RUN BETWEEN r�r` FT AND 1 16� FT 5 & S ENGINEERING PERFORMED BY:vul oopo. I CERTIFY THAT THIS TEST WAS PERFORMED IN 17034 ACCORDANCE WA4&L@iY#ATE*bovMZ7pA1- GUIDELINES IN EFFECT ON THIS DATE. DATE: Io /I S` / °I h 72-008 (Rev. 4/85) Municipality of Anchorage . DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION TEST PERFORMED FOR: V- �� ' D (.T T M 4/Z DATE PERF( LEGAL DESCRIPTION: 071a AN 0 7-00—IL SI0 Township, Range, Section: —7E—PT--7r--457PeV19 r_ 7— SLOPE SITE PLAN 10 4{ WAS GROUND WATER y� S ENCOUNTERED? 11 S L IF YES, AT WHAT G O DEPTH? P 12 E Depth to Water After o✓u /��i2,=ry ry 13 Monitoring? Date: 14- 15- 16- 17- 18- 19 41516171819 Reading Date FEET) Net Time Depth to Water Net Drop h S oq K l 2 � s I � w 314Nn & (,-AXV'z 4- :' eFr�z� 3 X`6 4 if h�M a S,tT' wrr 5- R Sl�niA d G24111zL 6- �- t ' IN 7 7 8 9 10 4{ WAS GROUND WATER y� S ENCOUNTERED? 11 S L IF YES, AT WHAT G O DEPTH? P 12 E Depth to Water After o✓u /��i2,=ry ry 13 Monitoring? Date: 14- 15- 16- 17- 18- 19 41516171819 Reading Date Gross Time Net Time Depth to Water Net Drop h S oq K n -/ t ' IN 20 PERCOLATION RATE ) a' 0 (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN __q___ FT AND FT COMMENTS 7-9-S i //O LsL a at a GIVVIIticcrtilYV PERFORMED BY: 17.034 Eagle River Loop Road No. 4CERTIFY THAT THIS TEST WAS PERFORMED IN Eagle River, Alaska 99577 ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: oZ / /0 O 72-008 (Rev. 4/85) EhGlneem"G ROBERT C. COWAN, P.E. a�rvTw. CIVIL ENGINEERS .swan (907) 694.2979 INTERMITTENT SAND FILTER SPECIFICATIONS (Bottomless) (sol) ssa-1211 Lot 2, Another Subdivision October 26, 1999 HEALTHAUTHORITY APPROVALS GENERAL STATEMENT OF WORK SEWER & WATER MAJNEXTENSIONS The work covered by these specifications and the plans consist of famishing all labor, materials, tools, transportation, and equipment necessary to complete an intermittent sand filter system as described herein and on the attached drawings. SEWER&WATER INSPECTION All work under this project shall comply with current Alaska Department of Environmental Conservation (ADEC) Wastewater Regulations. ENGINEERINGSTUDIES ANDREPORTS 3 Bedroom House = 450 GPD Use 2.0 GPD/SF for polished effluent 225 S.F. required 10' x 36' sand filter and absorption area WELLINSPECTION &PLOW TEST Sand filter to be constructed on accepting soil SITE INVESTIGATION- sITEPLANs The Contractor who proposes to complete this project must carefully examine the project documents, have full knowledge thereof, have investigated the site, and be ROADDESIGN satisfied with the conditions affecting the work. Conditions include, but are not limited to those bearing upon transportation, disposal, handling and storage of materials, availability of labor, water, electric power, roads, and uncertainties of weather, physical SOIL TEST conditions at the site including all underground utilities, the conformation and condition of the ground, the character of equipment and facilities needed preliminary to and during prosecution of the work. The Contractor must be satisfied with the character, quality and quantity of surface and subsurface materials or obstacles to be encountered PERCOLATION TEST insofar as this information is reasonably ascertainable from an inspection of the site, including all prior exploratory work, as well as from information presented by the plans and specifications made a part of this project. Any failure by the Contractor to become acquainted with the available information will not relieve him/her from responsibility STRUCTURAL& MECHANICAL for performing the work as stated in these specifications and drawings. INSPECTIONS _ Location of utilities will be the contractor's responsibility. ONSITE WASTEWATER DISPOSN_SYSTEM DESIGN 17034 NORTH EAGLE RIVER LOOP • SUITE 204 • EAGLE RIVER, ALASKA 99577 Page 2 Lot 2, Another SID October 22, 1999 At least twenty-four (24) hours prior to commencing work, the Contractor shall contact all local utility companies to obtain underground utility locates. The Contractor shall exert due care to prevent damage to utilities. Should a utility be damaged, the Contractor shall notify the utility company and shall have repaired at his own expense any damage resulting from failure of the Contractor to request an underground utility locate or to exert due care. If any utility company determines that a utility has to be temporarily raised, lowered, moved, guyed, shored, braced or otherwise protected during construction, it shall be done at the expense of the Contractor to the satisfaction of the utility company. INSPECTIONS Typically, there will be a minimum of eight (8) inspections required during the installation of the waste water disposal system. These inspections will occur as follow: Inspection of work in progress may be made by the Engineer and ADEC at any time. The following schedule of required inspections is to be adhered to. Twenty-four (24) hours notice is required prior to each inspection. Inspections can only be arranged during weekdays and during normal working hours. The following inspection schedule is to be strictly adhered to: 1. Septic tank/lift station is in place, but not backfilled. Sewer piping from building to tank is complete, properly bedded and backfilled. 2. Sand filter pit is excavated and prepared for filter construction. Prior to placement of filter liner material. 3. Engineer to be notified with Contractor's schedule during actual construction of the sand filter to allow spot inspection during construction. Any deviation from reported schedule is to be reported to the Engineer. 4. Final inspection of the sand filter with all pressure piping in place, but prior to placement of cover material. Flow testing of pressure piping at this time will require completion of lift station wiring prior to this inspection. 5. Inspection of final grading. The Owner shall contract with the Contractor to perform the work outlined in these specifications, plans and in accordance with the attached ADEC Authority to Construct. 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. Page 3 Lot 2, Another SID October 22, 1999 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 cavy 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. All landscaping, fences, sidewalks, paving, driveways, utility markers and other improvements, removed to facilitate the Contractor's operations shall be fully restored to their original condition and location by the Contractor unless otherwise directed by the Engineer. Items damaged by the Contractor during removal, storage, or restoration, shall be repaired or replaced in kind by the Contractor. This work shall be considered incidental to the project. MINIMUM MATERIAL SPECIFICATIONS 1. Any septic tank proposed for installation must be constructed by a ADEC approved septic tank manufacturer. 2. The following pipe materials are approved for use in septic system installations in the Municipality of Anchorage: Type of Pip Perforated Solid Cast Iron Yes Yes ASTM D3034 (PVC) Yes Yes ASTM F810 (HDPE) Yes No ASTM D2662 (ABS) Yes Yes ASTM D2241 Yes Yes ASTM D2239-74 Yes Yes Use of a type of pipe other than listed here must be approved by the inspecting Engineer. 1. Insulation shall be at least 2" thick extruded direct burial polystyrene (Dow Chemical Company Styrofoam HI or equal). 2. Septic tank inlets and outlets shall be fitted with water tight couplings (Caulder, Femco, or equal). 3. When sand is being used as a filter material, its gradation specifications must conform to current MOA or DEC requirements. Page 4 Lot 2, Another SID October 22, 1999 SEPTIC TANK/LIFT STATION A. General The work under this section consists of the performance of all operations pertaining to firmishing and installing the septic tank/lift station and piping to the sand filter. B. Materials 1. Tank for Lift Systems a. Septic tank shall be a two compartment steel tank specifically for the use of Orenco Systems, Inc. patented lift station assembly Orenco No. 4200, or approved equal. b. The tanks shall be designed for soil loading conditions as required by ADEC and State regulations. The design or analysis shall be in accor- dance with accepted engineering practice and local regulatory agencies. c. All welding shall be in accordance with applicable codes and standards. 2. Risers a. First compartment shall have a separate 4" pump out riser. The second compartment shall have a separate 4" pump out riser. b. An additional second compartment manhole riser shall be 12 gauge sheet steel and shall extend 12" (minimum), above surface grade, shall have a minimum nominal diameter of 24" and shall be capable of being equipped with the following: 1. A junction (Nema 4x) box or equal, bonded or attached to the riser. c. UL listed electrical cord grips, installed in the J -box. d. A lid - shall be furnished with the riser. It shall be constructed of fiberglass or equivalent aggregate finish, meet H-10 loading requirements and have a latching mechanism. Page 5 Lot 2, Another S/D October 22, 1999 e. Riser installation - each riser shall be sealed or welded to the top of the tank in such a manner as to prevent infiltration of ground water. f. Lid insulation - 4" rigid extruded polystyrene shall be placed in the riser directly below and attached to the lid. g. Riser insulation - 2" sprayed shop applied urethane on circumference of riser with 46465 Tnemec coating. 3. Effluent Pumping Assembly a. Effluent pumping assembly shall be Orenco systems (TM) Model 20-OSI-05-HHF series, or approved equal, consisting of the following: 1. 1/2 H.P. 110 volt or equal U.L. Listed effluent pump. 2. Screened pump vault (U.S. patent No. 4439323) 59" deep, 3/16" thick high-density PVC cylinder houses the pump, level controls and screen and serves as a baffle to prevent the screen from clogging. Fifteen 1 1/2" diameter holes are drilled in the vault at a level that places them at about the midway point in the depth of the septic. Flap check: Allows the vault to drain when removing the tank. Screen: 15" diameter cylinder of high-density polyethylene 1/8" mesh. 3. All piping shall be PVC or other non -corroding material. b. Pump controls and alarm system shall be Orenco systems SICTETMRO 110 volt with the following options consisting of: 1. Event counter 2. Elapsed time meter 3. Program timer Page 6 Lot 2, Another S/D October 22, 1999 4. 10 watt heater 5. Remote alarm panel option with a minimum of 80 DB sound pressure at 24", operating temperature 30AC to 65AC, continuous sound to be located in the home. 6. Oil -tight visual alarm with push -to -silence feature. Automatic audio -alarm reset. 7. 15 amp motor rated toggle switch, double pole, double throw with three positions; manual (man), automatic (auto) and center (off) (H.O.A.). 8. Nema 4x -rated, fiberglass, or equal, enclosure with hinged cover. 9. All controls to be installed as per manufacturer's recommendations. 10. Control panel to be installed on outside wall of home within sight of septic tank/lift station. c. Piping from the septic tank to the sand filter is to be 1 1/4" PVC schedule 40 solvent weld piping properly bedded as described in Materials Specifications and sloped to drain back to the septic tank. Insulation board 2" thick and T wide centered over pipe is to be placed where soil cover is less than 4' depth over pipe. CONSTRUCTION SEQUENCE In order to insure proper inspection procedure, the system is to be installed in the following order: I. Sewer line from house to tank H. Septic tank/lift station III. Sand filter IV. Final grading Page 7 Lot 2, Another S/D October 22, 1999 CONSTRUCTION 1. Pipe Grade and Alignment Variance of individual pipe sections from established line and grade shall not be greater than 0.02 feet, providing that such variance does not result in a level or reverse sloping invert. During the progress of the work, the Contractor shall provide instruments such as transits, or levels, for transferring grades from offset hubs or other construction guides from the control points and bench marks provided to the Contractor by the Engineer. The Contractor shall provide qualified personnel to use such instruments and who shall have the duty and responsibility for placing and maintaining such construction guides. 2. Pipe Laying All pipe shall be laid with Class C bedding, free of large stones and organic matter. Each section of pipe shall be handled carefully and placed accurately, the spigot end shall be fully inserted pointing in the direction of flow and glued in place to make a water tight seal. Each section of pipe shall be properly supported to insure true alignment and an invert which is smooth and free from roughness or irregularity. At all times, when work is not in progress, open ends of pipe and fittings shall be securely and satisfactorily closed so that no undesirable substance will enter the end of the pipe or fittings. 3. Bedding of Pipe for Sewer Lines The pipe should be bedded with Class C bedding materials, compacted to 95%. Native materials may be used as back fill material above the pipe, provided it is free of large stones and organic matter to a point one (1) foot above the top of the pipe. All pumping services shall be installed in accordance with the manufacturer's recommendations and standards. Electrical installation is to be to code by a licensed electrical contractor, with Municipality inspection where required. If MOA inspection is not required, a licensed electrician is to provide a letter to the Engineer stating that the system meets or exceeds all applicable codes. r Page 8 Lot 2, Another S/D October 22, 1999 4. Excavation Excavate to proper depth to allow gravity flow, install tank level, tolerance 0.05 foot, on undisturbed or compacted to 95% classified sand fill material. Line excavated tank pit walls with 2" +35 PSI burial foam full depth of tank. Back fill between tank and foam with sand material and compact in a manner to prevent damage to tank surface coating. Create a level sand surface over the tank and add 2" burial foam +35 PSI directly over tank. Mound unclassified soil over tank location to a depth of 2' above finished grade to allow positive drainage away from tank and counteract buoyancy. 5. Connections All connections to be as per ADEC requirements, PVC 3034 piping with Caulder or equivalent couplings for inlet riser pipes. All tank connections are to be completely water tight. SAND FILTER The work under this section consists of the performance of all operations pertaining to furnishing and installing the sand filter. A. Materials 1. Sand Filter a. The Contractor shall provide a washed sand to meet ASTM C-33 Concrete Sand Specifications with the additional requirement that all but 1% of the materials passing the #100 sieve be removed. A sample of the proposed filter sand must be submitted to the Engineer for testing one (1) week prior to construction. A sample will be taken from the sand bed during construction for purposes of quality control. If the sample does not meet specifications, all sand will be removed and replaced. b. The Contractor shall be responsible for providing pea gravel that shall be a washed material containing no fines (0% passing the 9100 sieve) and a maximum size of 1/4" diameter. c. The Contractor shall provide the manifold assembly. The manifold assembly shall be the Orenco Model SFM 1036 or equivalent with orifice shields and flushing f Page 9 Lot 2, Another S/D October 22, 1999 assembly. All drilled holes to be cleaned of burrs and pipes flushed, prior to assembly. Flushing valve to include riser to finish grade. d. Side walls and top of the filter box to be insulated with 2" direct burial polystyrene insulation and be inside the plywood box. e. The Contractor shall be responsible for providing filter fabric. f The linear air difuser line and compressor is available from Orenco, no model number available. The feed line from the house to the filter is HDPE arctic insulated pipe 3/4"-2" SDR -11 Maskell-Robbins or equivalent. The compressor will have a gauge (0-10 psi) and be installed in a heated area, crawl space, or garage. 2. Construction of Sand Filter The sand filter construction is to follow procedures as outlined in the Orenco Installation Manual as applicable to this design. Pea gravel and filter sand are to be hand leveled to proper depth (tolerance within 0.02 feet) in filter, taking care not to allow mud or fine soil material into the filter or gravel layer. This would include any soil material picked up by excavation machinery buckets while loading specified material. The Contractor should estimate filter material volumes such that allowance is made for wastage of material in contact with the ground at site. Work on the sand filter may be suspended at the Engineer's discretion due to inclement weather conditions, such as rainfall. The sand filter and material stockpiles will be completely covered by a tarp over night during construction until finished. The area over the sand filter to be finish graded with a minimum of 2 feet of cover and to prevent ponding of surface water run off. Side slopes shall not exceed 3:1. Six inches of top soil and seed are required over the entire sand filter when the side slopes approach 3:1, or at the discretion of ADEC. The Engineer will reject any sand or pea gravel that does not meet specifications or is contaminated in transit or while handling. If such material is placed in the filter, all soil material may be required to be removed and replaced with new material. CONTRACTOR/INSTALLER MUNICIPALITY OF ANCHORAGE <`> DE. 4TMENT OF HEALTH AND HUMAN SERI S Environmental Health Division 825 "L" Street, Anchorage, Alaska 99502, Telephone 264-4720 014 -SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Namndleve McDonald DISTANCES Address FROM TO SEPTIC ABSORPTION WELL P.O. Box 110384, Anchorage, AK 99511 TANK FIELD Phone(s) Permit No.--- o.No. of Bedrooms WELL 115' 140' 345-0064 850439 3 LEGAL DESCRIPTION LOT LINE 20' 3 5 ' 10, Lot 2 Block -- Subdivision Another FOUNDATION 40' 75' 60' Township, Range, Section AS -BUILT DIAGRAM (Show location of well, septic system, property lines, foundation, driveway, water bodies, etc.) TANKS ® SEPTIC ❑ HOLDING Manufacturer Capacity in gallons Greer 1000 Material No. of Compartments Steel 2 TYPE OF SYSTEM []TRENCH EX BED ❑ W. DRAIN ❑ OTHER Depth to pipe bottom from Total depth from original grade original grade 3 FT 5 FT Fill added above original grade Gravel depth beneath pipe 2 FT .5 FT GravellengthGravel width 55 FT _ _ 27 FT Total absorption area Distance between lines 148�O FT 6 FT Number of lines Soil rating Pipe material 41 3 3 0 Sp FT PVC Installer Date Installed ATC Enterprises 7/85 WELLS [:X PRIVATE ❑ OTHER (Identifv) Classification (A,B,C) Total Depth Cased to 665 FT 60 FT Installer Date Installed: Rampart Drilling 8/7/85 REMARKS: Two feet of sand fill were placed below the drainfield rock in accor- dance with engineered design for this field. I /�%/ l%LaALZ �' SIN' 0 �7ZS oA1 Municipal and State guidelines in effect on this date: -� Health Department Approval: 72-013 (3/85) Miami it ONE 811011 MIM MISIM' OF SUMEMEEZEMEEMENE ME©SEEMEMENE®®EN MMMMMMMM Scale: NO SCALE Inspections Performed by: 461-4 Date: Q � 0%-+ certify that this inspection was performed according to all Date: ZrZO'"afv OF dqp Alk .491" 9 t f®i- I¢e 0, see d aapaaeaaeas�aaro�aac .a ep a aaioe6i�Y5d�Ko`5ns as vY�{6! '.Michael E. Anderson iP •e 4381 - E' 851U�® 1-1 IJ !%J 1: (= 1: f:�de:N L_ 1 **1"- *V (.-.3 r-:-- ��F:�':: DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L STREET, ANCHORAGEr AK 99501 264-4720 (3 1%J_$3 X 0- EE E3 E" &0 EE FR ak ��L_ F=< M I -r" PERMIT NO: DATE -ISSUED: APPLICANT: ADDRESS: CONTACT PHONE: LEGAL DESCRIP: LOT SIZE: 850439 ENGINEERED DESIGN 07/24/85 CLEVE E MCDONALD P O BOX 110384 ANCHORAGE, AK 99511 561-2985 ' SUBDIVISION: ANOTHER LOT: 2 BLO[Ko NA SECTION: 3 TOWNSHIP: 11N RANGE: 3W 1.18A (SQ.FT. OR ACRES) ` certify that: 1. 1 am familiar with the requirements for on-site sewers and wells as set forth by the Municipality of Anchorage (MOA) and the State of Alaska. 2. I will install the system in accordance with all MOA codes and regulations, and in compliance with the design criteria of Chis permit. 3. I will adhere to all MOA and State of Alaska requirements for the set back distances from any existing well, wastewater disposal system or public sewerage system on this or any adjacent or nearby lot. IF A LIFT STATION IS INSTALLED IN AN AREA COVERED BY MOA BUILDING CODES, THEN (1) AN ELECTRICAL PERMIT AND INSPECTIONMUST BE OBTAINED; (2) AS-BUILTS WILL NOT BE APPROVED WITHOUT AN ELECTRICAL INSPECTION REPORT; AND (3) THE ELECTRICAL WORK MUST BE DONE BY A LICENSED ELECTRICIAN. SIGNED ��-________-_--_--��----------------- DATE: v -�---��--�-��- APPLICANT: CLEVE E MCDONALD ISSUED BY DATE: (akolyn ---------------- __-��__��______ PERFORMED FOR Z SOI LS LOG PERCOLATION TEST 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG —PERCOLATION TEST CLEVE MCDONALD LEGAL DESCRIPTION: Lot 2, Another Subdivision EF Peat (PT) 1 II 2� Organic Silt y� (OL) 4 5 �`.. Sandy Silt with 6 '.;o some Gravel (SM) ra. _ 8 Date Gross Time 9 - Depth to Water Nab aw OF At,, it, 1 7/13 P• •• + ,. 0:00 4" • 11 a • '•os •u.N«• oMwi.. 12 4 3/8" as •••• • Michael E, Anderson �' 3 ®� %oDE e 13 4 5/8" �pNOFESS�� 14 0:45 15 4 7/8" 1/4" 16 0:60 17 5 1/8" 1/4" 18 19 tit =, 4 �'• 4381•E o �� •0 s MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION KI SLOPE c t DATE PERFORMED: July 13, 1985 SITE PLAN 4S GROUND WATER S .COUNTERED? YES L O P YES, AT WHAT 8 FT E PTH? Reading Date Gross Time Net Time Depth to Water Net Drop 1 7/13 0:00 0:00 4" 0 2 0:15 0:15 4 3/8" 3/8" 3 0:30 0:15 4 5/8" 1/4" 4 0:45 0:15 4 7/8" 1/4" 5 0:60 0:15 5 1/8" 1/4" I 1 PERCOLATION RATE 60 (minutes/inch) ll__JJ TEST RUN BETWEEN 5 FT AND 8 FT COMMENTS See Attached Letter 330 FT2/Bedroom PERFORMED BY: M. Anderson CERTIFIED BY: 4'Lt.gti DATE: 7/19/85 72-008 (6/79) 401 E. FIREWEED LANE ANCHORAGE, ALASKA 99503-2197 (907) 276-3770 ANCHORAGE • JUNEAU • BETHEL July 19, 1985 �F ©� q, 40P Municipality of Anchorage Dept. of Health and Environmental Protection 825 L Street Anchorage, Alaska 99501 F� Attention: Susan Oswalt Subject: Lot 2, Another Subdivison On -Site Sewer System Dear. Ms. Oswalt: In early June, I inspected the property described as Lot 2, Another Subdivision. At that time the owner had recently completed excavation of a curtain drain system along the perimeter of the lot. He had also dug several test holes in search of an adequate percolation zone for his septic system. The area shown on the percolation test form was excavated and a lens discovered which appeared to have the acceptable characteristics. The water table was located at 7 feet below the surface so a percolation test was not run. The water table was monitored until July 13, when the attached percolation test was run. At this time the water table had dropped an additional foot to 8 feet. This does not, however, provide the necessary 4 feet separation from the bottom of the recommended drainage bed. The prescribed design for this lot is to remove the approximately 5 feet of organic laden material to the gravelly silt layer and installing two feet of sand. The standard bed system would then be placed atop this sand layer. The system should then be backfilled to the surface using the sandy soil to encourage evapotranspiration and prevent freezing. To prevent surface runoff from contaminating the field the soil should either be mounded one to two feet above original ground or a dike, constructed of impervious material, placed around the perimeter of the field. A detail is attached which describes the recommended design. Sincerely yours, Michael E. Anderson, P.E. xc: Cleve McDonald ENGINEERING, INC. 401 E. FIREWEED LANE ANCHORAGE, ALASKA 99503-2197 (907) 276-3770 JOB SHEET NO. CALCULATED BY.____- _-_-DATE CHECKED BY SCALE A" t� cam- nl�17112A J= I L (, jy 6(L6AOM ` Fr6-k FAQIirG Ir oar / OR st l,T Z /7-5 '.z/BctAMAA a n ey-I -- �x I. 3�v-= i s iA. J PI _—.114C 4403;111-1 A" t� cam- nl�17112A J= I L (, jy 6(L6AOM ` Fr6-k FAQIirG Ir oar / OR st l,T Z /7-5 '.z/BctAMAA a n ey-I -- �x I. 3�v-= i s iA. J A% . . Zaaf�: �. ✓ _ aO 40SO. 471 Ik / Tl LJFLL �l l 7 Plot Plan Certificate: I hereby certify that I have surveyed the following des- cribed property:Lo and that the proposed mprovements and drainage patterns are as shown hereon. It is the responsibility of the owner or builder, prior to construction, to verify proposed build- ing grade relative to finished grade and utilities connections, and to determine the existence of any easements, covenants, or restrictions which do not appear on the recorded subdivision plat. .: OF A s ° ¢c i — ®q °e°a /e •+eats u� na/ra•a •bi.° e a 11 John A. Sraufa �° ar"S': `Af ��j'°e LS 6270 aI Ul,r '+.iUjjj"'A.iV'T JUM1111n(D W��L �ZOAGE ENVIRONMENTAL PROTECTION 1.207 Ramona St. 99515 ArCHORAC.E, ALAsJKA 344-7714 F t. 2 SIX INCH WATER WELL DRILLED ------------OUT TO THE DEPTH OF 665 AEC E I V E D DRILLED AT THE RATE OF X20.00 PER FOOT. Cha44e P& 500 /.t. on.iy PROPERTY OWNER At. Uwe lRcDona ld 561-2985 LOCATION OF WELL SITE Lt. Bik-..-- Sub. DRILLER B¢nn.i a GCa" o� Rainpa t t t &iti.in.g Woff. WELL LOG: 0----17' S44i W 4an4 c i.a.A. 15% /Aae. ga,awet. Seve2at 4mctLt bouLdeu. Wet ma tehicLC. 17---32' Wet 4ttt4 gAgyet. 45% 5-L Niut". 32--665' Bed.,wck. R -dedv' wn taoW t4pe Mock. Illed U m. Ha�td. no 44gAtjtwnt wa test V.i.eid 4hoiata . untit aAe�t 525 A. Thin, a&e" o. ggLu!� .type Mack., and po&ot 4 at,P."p tA,&L ,tvwe4 o�, po&ou a dock y i eidiAq m in,tanat amounts v. wate>t. Uel good cleam wale -t bea&tnq atea-d .atom. 525 to 665 4. The4e water pnoduc -Eve a4Aa4 wtU &&eak in with q4 a te,i V,ie wi th u4e o.- Wed,(.. ZlUt inQ continued Pwa 500 .to 665 A .in, o�tdet .to break ,in ams much wadi a4 pa4,d4bd e. TtU d Welt ddd t ptave the dart 40 A. anon 645 to 665 4, Aecovet o�, p&oductLan die wed. Total. watx.,t V.itU 4houtd 4how 800 .to 900 qad l ono o.� watrut xecave44 dn. a 24 hou�t .t une ?flame. Thies Welt 4houtd a 4o 4nzAza4e aster 4evetat weeks o.� u4e .to overt a thou4and gPD. Wa eA ,vs pumped cCea& (hAet 48 howw ,t ime ed ap4e). One. hoh4e 4ubme4dbd a pump jhouLd be 4n4t aUed on down to 550-600 A. Oven 500 A o� wateA 4tan4ing .in Welt og bo,tton. 1.6 qnt4 pe,t A .&L tedetue. Oven 800 gaUo" o.- wateA .in. &e4ewat t a4xa.. �i�23r98 Coat o� Dn.i.11i 4: $20.00 pest X 500 4: $10,OOQ.00 We ante q -tad ,to 9,We a pod di4coun t an .thi4 We -U,, beta e- o4 .the exce44.i.ve. depth. COST INCLUDES ALL LABOR AND MATERIAL FOR COMPLETION OF SAID DRILLING. WRITE CHECK PAYABLE TO RAMPART DRILLING WORKS FOR THE SUM OF $10tOOo.00 THANK YOU VERY MUCH. \ Municipality of Anchorage ., !� Development Services Department Building Safety Division On -Site Water 8 Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsiteonsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. 612D -6q3 - -3.1 COSA# 0 D ID0i O 1. GENERAL INFORMATION Expiration Date: :% - oZ b pp - 0 O Complete legal description _ANOTHER S/D. LOT 2 Location (site address) 16441 CHASEWOOD _LANE. ANCHORAGE. AK 99516 0 Individual On-site Current Property owner(s) RICK KING Day phone 317-2511 Mailing address Lending agency Mailing address Real Estate Agent Mailing address 16441 CHASEWOOD LANE, ANCHORAGE, AK 99516 Day phone CHRIS SWIRES W/REMAX Day phone 338-8292 110 W. 38TH, SUITE 100. ANCHORAGE AK, 99503 Unless otherwise requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 3 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well 0 Individual On-site Individual Water Storage ❑ Individual Holding tank ❑ Community Class Weil ❑ Community On-site ❑ Public Water System ❑ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given In paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of On -Site Systems Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues COSAs upon request to homeowners. Certificates of On -Site Systems Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water samples. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm GARNESS ENGINEERING GROUP, Ltd. Address 3701 E. TUDOR ROAD, SUITE 101 • ANCHORAGE, AK 99507 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Engineer's Comments: In conducting this evaluation, GEG, LID. attempted to provide a thorough, conscientious engineering analysis of the system in accordance with ADEC and MOA DSD Guidelines & Regulations. The reported results described the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily idontiflable features. The operational life of all wells and septic systems depend on the local soils condition, groundwater levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of the system. Satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. GEG, LTD. can therefore not provide any warranty or future estimate of how long the system will continue to meet the operational requirements of the ADEC or MOA DSD. The content of this report is for the sole benefit of the owner listed above. Any reliance upon or use of this report by any other person or party is not authorized, nor will it confor any legal right whatsoever. 5. DSD SIGNATURE _Z Approved for '_3 bedrooms. Disapproved. Phone 337-6179 Date _0�� ooP�F,. �F.....-95; 40 . Conditional approval for bedrooms, with the fllowing stipulations: Attachments: / COSA Checklist V Septic System Advisory Well Flow Advisory Nitrate Advisory Arsenic Advisory Maintenance Agreements Supplemental Engineer's Reort Other ooq�� i (rrrrfri,,� ``QP��tY OF,tUy�,yO'� ONSITE =�c WATER AND WASTEWATER PROGRAM By. Original Certificate Date: — — (R" 11N5) \ Municipality of Anchorage C• -- Development Services 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: ANOTHER S/D, LOT 2 Parcel ID: 0.2,C) –093,31 *DID NOT DO EXTENDED TEST ON OLD WELL. HOWEVER, TO PERFORM INDIVIDUAL A. WELL DATA WATER SAMPLES, SWITCHED TO OLD WELL AND FLUSHED SYSTEM. CONFIRMED OLD PUMP STILL PRODUCES. Well type PRNATE/PRIVATE If A, B, or C provide PWSID# N/A Well Log (Y/N) YES/YES Date completed 1986/7-29-1993 Sanitary seal (Y/N)YES ES Wires property protected (Y/N) YES ES Total depth 665/503 ft. Cased to BEDROCK/44 ft. Casing height (above ground) 18+ 18+in. FROM WELL LOG Date of test 1986 / 7-29-1993 Static water level UNKNOWN\148 ft. Well production UNKNOWN/1.0 g,p,m, WATER SAMPLE RESULTS: AT INSPECTION •4/15/2008 180 ft. 0.4 — 9 -p.m - Coliform 0/0 colonies/100 ml. Nitrate 0/0 mg./L. Other bacteria 0/0 colonies/100 ml. Arsenic:2.67 0.730 ug./L. Date of sample: 4/15/2008 Collected by: GEG Ltd B. SEPTIC/HOLDING TANK DATA k Qaubi c- 6/o -s pt; vc 4 v Sc f'4 i G Tan k Tank Type/Material S.T.E.P./STEEL Date Installed 5/2000 Tank size 1250 gal. Number of Compartments 2 Foundation cleanout (Y/N&JO Depression over tank (YIN) NO Cleanouts (YIN) YES High water alarm (YIN) YES Date of pumping 1/3/2008 Pumper NORTHLAND PUMPING C. ABSORPTION FIELD DATA Date installed 5/2000 Soil rating .p.d./f or ft'/bdrm) 2_0 System type ••ISF Length 30 ft. - Width 12 ft. Gravel below pipe 0.25 ft. Total depth 0.5 ft. Eff, absorption area 360 ftMonitoring tube YES Depression over field NO Date of adequacy test 4/15/2008 Results (Pass/Fail) PASS For 3 bedrooms Fluid depth in absorption field before lest DRY in. Water added 565 gal. New depth ••'8 in. Elapsed Time: 50 min. Final fluid depth DRY in. Absorption rate >= 450+ g,p,d_ Any rejuvenation treatment (past 12 mo.) (Y/N & type) NONE KNOWN If yes, give date – ••CHECKED AIR COMPRESSOR 4/15/2008. 4.5 PSI. •••INADVERTETLY SURCHARGED THE ISF WITH DELIVERED LOAD OF. WATER D. LIFT STATION *INSPECTED BY A+ HOME SERVICES. Date installed 5/17/2000 Size in gallons 1250 Manhole/Access (Y/N) YES 'Pump on" level at TIMER In. "Pump off' level atTIMER in. High water alarm level at 44 Datum BOTTOM OF TANK Cycles tested ' Meets alarm & circuit requirements? YES E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot 100'+ On adjacent lots 100'+ Absorption field on lot 100'+ Public sewer main N/A Sewer /septic service line 25'+ On adjacent lots 100'+ Public sewer manhole/cleanout N/A Holding tank N/A Animal containment areas 50'+ Manure/animal excrete storage areas 100'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 59+ Absorption field 5'+ Water main N/A Water service line • 10'+ Surface water 100'+ Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ Building foundation 10'+ Water main N/A Water service line *10,+ Surface water 100'+ Driveway, parking/vehicle storage 5' Curtain drain '20'+ Wells on adjacent lots 100'+ F. COMMENTS 'PER YEAR 2000 INSPECTION REPORT G. ENGINEER'S CERTIFICATION 1 certify that I have determined through field inspections and Q e review of Municipal records that the above systems are in 0 •"" conformance with MOA COSA guidelines in effect on this date. Engineer's Printed Name JEFFREY A. GARNESS Qlp OM Date COSA Fee-' -/,;0 y U Date of Payment r'/ 12q to 2 'i Receipt Number. 10 ✓ to (Rev. 11/05) Waiver Fee $ Date of Payment Receipt Number Gar ess: CE— Municipality of Anchorage ' Development Services Department; Building Safety Division On -Site Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907)343-7904 Nater Well Advisory Health Authority Approval # 080108 During a recent Health Authority Approval on-site inspection and test of the potable water supply well on Block , Lot 2 of Another subdivision, the well's productivity was determined to be 0.4 gallons per minute. The minimum well productivity required by this Department (AMC 15.55) for a 3 -bedroom residence is 0.3 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 Health Authority Approval. _: _+: Sep. OS_02:33PMP2 ANALYTICA GROLT Gamess Engineering Group, Ltd. Attn: Jody GEG, Ltd. 3701 E Tudor Road, Suite 101 Anchorage, AK 99507 907-337-6179 Fax: 907-338-3246 Client Sample ID: Sampling Location: Client Project: Sample Matrix: COC #: PWS#: Residual Chlorine: Comments: 1993 Well 1 Private Well Testing Aqueous 63544 Lab#: A0804124-OIA Analytica International, Inc. 4307 Arctic Blvd. Anchorage, AK 99503 Phone: 907-258-2155 Fax: 907-258-6634 Report Date: 4/232008 Receipt Date: 4/152008 Sample Date: 4/152008 Sample Time: 11:45:OOAM Collected By: KM Flae Definitions: MRL - Method Reporting Limit MCL = Maximum Contaminant Limit B - Present also in Method Blank 11= Exceeds Regulatory Limit M - Matrix Interference J = Estimated Value D = Lost to Dilution •• = RL higher than MCL; target not detected INC = Too Numerous to Count - result rejected CF = Confluent Growth - result rejected TCNG = Turbid Culture No Growth - rejected Analysis Method Prep s MRL MCL Method Prep Analysis Parameter Result Units Flags _ Date Date Analyst 200.8200.8 (Aqueous) - Family Well Water 1 Test was conducied by. Analyrica - Thornton Arsenic 2.67 ug/L 0.15 JO 200.8 4212008 4222008 GY Lab#: A0804124 -01B Analysis Method Prep s 11IRL MCL Method Prep Analysis Parameter Result Units Flags Date Dale Analyst 4500-NO3E (Aqueous) - Nitrate Test was conducted by: AnalJ9ica - Anchorage Nitrate as N <MRL mg/L 0.10 JO 4/182008 4/182008 JK Lab#: A0804124 -OIC Analysis Method Prep s MRL MCL Method Prep Analysis Parameter Result Units Flags Date Date Analyst 9222B (Aqueous) - Membrane Filtration h1F Test was conducted by: Analyrica -Anchorage Bacteria, Other <MRL CFU/100mL 1.0 4/152008 4/152008 DC Total Coliform <MRL CFU/IOOmL 1.0 / 4/152008 4/152008 DC Reported by: Steve Gaither, Page 1 of 2 Laboratory Project Manager ANALYTICA GROUP Gamess Engineering Group, Ltd. Atm: Jody GEG, Ltd. 3701 E Tudor Road, Suite 101 Anchorage, AK 99507 907-337-6179 Fax: 907-338-3246 Client Sample ID: Sampling Location: 1986 'Well 2 Client Project: Private Well Testing Sample Matrix: Aqueous COC #: 63544 PWS#: Residual Chlorine: Comments: Lab#: A0804124 -02A Analytica International, Inc. 4307 Arctic Blvd. Anchorage, AK 99503 Phone: 907-258-2155 Fax: 907-258-6634 Report Date: 4/23/2008 Receipt Date: 4/15/2008 Sample Date: 4/15/2008 Sample Time: 12:15:OOPM Collected By: Kh1 Flae Definitions: MRL = Method Reporting Limit MCL = Maximum Contaminant Limit B - Present also in Method Blank 11- Exceeds Regulatory Limit M - Matrix Interference J = Estimated Value D = Lost to Dilution • • = RL higher than MCL; target not detected TNC - Too Numerous to Count - result rejected CF = Conflucnt Growth - result rejected TCNG = Turbid Culture No Growth - rejected Analysis Method Prep s MRL MCL Method Prep Analysis Parameter Result Units Flags Date Date Analyst 200.8/200.8 (Aqueous) - Family Well Water 1 Test was condncled by: Ana/ytica - Thornton Arsenic 0.730 ug/L 0.15 10 200.8 4/21/2008 4/22/2008 GY Lab#: A0804124 -02B Analysis Method Prep Prep Analysis Parameter Result Units Flags MRL MCL Method Date Date Analyst -k 4'1c un/ -,' 0 -IV I est was conaucrea Oy: Anatyttca-Anchorage Nitrate as N <MRL mg/L 0.10 10 4/18/2008 4/18/2008 JK Lab#: A0804124 -02C Analysis Method Prep s MRL MCL Method Prep Analysis Parameter Result Units Flags Date Date Analyst 92228 (Aqueous) - Membrane Filtration MF Test was conducted by. Analyrica -Anchorage Bacteria, Other <MRL CFU/100mL 1.0 4/15/2008 4/15/2008 DC Total Coliform <MRL CFU/IOOmL 1.0 1 4/15/2008 4/15/2008 DC Reported by: Steve Gaither, Laboratory Project Manager Page 2 of 2 DI�R-21-2008 11:19A FROM: 70:3383246 P:1/1 A+ I-Icme %13,ervdces, Inc. Inspections Tank -Type: _�� _ ---- -- —• — Name: -- Address:—/ (o y_cf1Phone Number: Inc ection ti 'timer Setting. 4 Qom- 3o irr:. o yo Air Flow Elapsed Time Event Counter Date k 'PR 11:43P FROM: ME AAROW PUMP & WER SERVICE, LLC P.O. Box 110496 Anchorage, AK 99511 Office: (907) 346-9355 • Fax (907) 333-8978 Eagle River: (907) 622.9335 CUSTOMER I rkokeL�Prl t • *— ).0 70:3383246 P.1 JOB SITE MOO TO N° 08002 J RMICEOA a L4179110.9 WELL DEPTH — 8wl CHLOPoNATED PUMP DEPTH 6 (PERSON OU NTITY DESCRIPTION PRICE AMOUNT Cody,00 LABOR HOURS RATE AMOUNT TOTAL MATERIAL TOTALLABOR WORK ORDERED BY DATE COMP. I TOTAL LABOR PAY THIS AMOUNT Thank You SIGNATURE it Hereby Acknowledge the Satisfactory Completion of the Above Descrlbed Work and agree that It above work Is not paid for In 90 days I agree to allow Aarow Pump 8 Well SeMoe, LLC. the right to remove unpaid for equipment and charge for labor already performed a tabor to remove unpaid for equipment.) TERMS: ACCOUNTS PAYABLE AT 10TH OF MONTH FOLLOWING PURCHASE. SERVICE CHARGE AT RATE OF 1.6% PER MONTH WILL BE CHARGED ON OVERDUE ACCOUNTS. kE kk § z k/ �CL a §} 2/|\U. z ■>< e$ �I§( z i \9 k p ■■ \ \| ,c ma.* =,ma« dam, mmM_ 2 et IZ ■■ \ \| ,c ma.* =,ma« dam, mmM_ ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND REPAIR AGREEMENT MEMORANDUM OF UNDERSTANDING BETWEEN j/�J UNICIPALITY O ANCHORAGE AND C �I %LYI /�l • %) msl fa6( THIS MEMORANDUM OF UNDERSTANDING made and entered into as of this Day of of 20_, by and between &-/" /,/ herein the "OWNER," and the Municipality of Anchorage, herein the "MUNICIPALITY." In consideration of the mutual covenants contained herein, the parties to this Memorandum of Understanding agree as follows: 1. ADVANCED WASTEWATER TREATMENT SYSTEMS. Municipality grants permission to Owner to utilize and operate an Advanced Wastewater Treatment System (AWWTS), described as located at /1*441 GkR5ewood Lan e- , Anchorage, Alaska. 2. Definitions. A. Alteration. Any change to the design or function of an AW WTS that Includes the installation or removal of any parts, components or pieces not included in the original construction permit and design. Prior to performing any alterations to an A W WTS the owner must obtain a Wastewater Disposal System Construction Permit from the Municipality pursuant to Anchorage Municipal Code (hereinafter, "AMC") 15.65. B. Certificate or On -Site Systems Approval. An approval by the Municipality of existing water and wastewater disposal systems given at the time of property sale and title transfer in accordance with AMC 15.65. These approvals certify that the systems are adequate for the homes that they support and meet the codes that were in place at the time of system construction. C. Damage. Any man-made or natural change in a system that would inhibit the system from performing as designed. D. Maintenance and Repair. The scheduled and as needed replacement of existing parts, components and pieces of an AWWTS that were included in the original design which would allow the A W WTS to continue to perform as designed. B. Permit (Construction) An On -Site Wastewater Disposal System Construction Permit as defined by AMC 15.65. F. Permit (Operating) An Advanced Wastewater Treatment System Operating Permit. An annual permit, issued by the Municipality, that allows the Owner to operate an A W WTS, upon meeting all the requirements of this agreement, the conditions of Operating Permit, the requirements of the On -Site Wastewater System Construction Permit and all relevant provisions of AMC 15.65 3. F//e%%e.. Owner shall pay to Municipality an annual fee of l� ($4 $ y'.00), payable on or before the issuance of the operating permit and annually thereafter. The annual fee is due on or before the anniversary date of the approval by the Municipality of installed system. 4. Term. The term of this Memorandum of Understanding shall be for the life of the AW WTS. The term begins on the date of approval by the Municipality of the installed system and shall continue while the AW WTS system is in use or operational or until the property is sold or title is transferred by owner and a new certificate of On -Site approval is issued to the new owner or transferee of the property. 5. Alterations, Installation and Removal of Additional P.guipment. Owner agrees not to make any alterations, removal of parts or additions to the AW WTS without a Construction Permit from the Municipality. 6. Maintenance and Repairs. A. Throughout the term of this Memorandum of Understanding, the Owner shall maintain AW WTS in good repair. In addition, it shall be the responsibility of the Owner during the term of this Memorandum of Understanding, and any extensions or renewals thereof, at the owner's sole expense, to pay for any and all: (1) repair(s), (2) maintenance, (3) adjustment(s), (4) replacement costs, and (5) inspection costs. Further, Owner agrees to comply will all applicable ordinance, laws, regulations, rules and orders for the A W WTS. B. Owner agrees to provide the Municipality a written schedule of routine maintenance and repairs which have been performed on the system pursuant to the terms and conditions contained in the Owner's AW WTS Operating Permit. This schedule shall be submitted to the Municipality annually upon the renewal of the permit. The schedule of maintenance and repair contained in the Owner's AWWTS Operating Permit is: C. Owner acknowledges that the fine s edule for failing to maintain and repair an AW WTS are codified in AMC 14.60. D. Owner agrees that only maintenance, repair personnel certified by the Municipality will inspect and make any necessary maintenance, repairs or permitted alterations to the system. E. Owner agrees to grant the Municipality reasonable access to test and inspect the AW WTS upon 24 hours written notice. F. Owner agrees that any sale or transfer of title of the property will not occur without a new Certificate of On -Site Systems Approval. G. Owner agrees that the relevant provisions of the standard specification guidebook for AW WTS is the governing professional guidelines for the construction, maintenance and repair of the Owner's AW WTS. 7. Nonwaiver. The failure of either party at any time to enforce a provision of this Memorandum of Understanding shall in no way constitute a waiver of the provisions, nor in any way effect the validity of the Memorandum of Understanding or any part hereof, or the right of such party thereafter to enforce each and every provision hereof. 8. Amendment. A. This Memorandum of Understanding shall only be amended, modified or changed by a writing, executed by authorized representatives of the parties, with the same formality of this Memorandum of Understanding was executed and such writing shall be attached to this Memorandum of Understanding as an amendment. B. For the purposes of any amendment modification or change to the terms and conditions of this contract, the only authorized representatives of the parties are: Owner. 4C J i f+o., jAo i Pet.7Y� G; a ? . O�wr $ •t� Anchorage: Purchasing Officer C. Any attempt to amend, modify, or change this contract by either an unauthorized representative or unauthorized means shall be void. 9. Jurisdiction: Choice of Law. Any civil action arising from this Memorandum of Understanding shall be brought in the Superior Court for the Third Judicial District of the State of Alaska at Anchorage. The laws of the State of Alaska shall govern the rights and obligations of the parties under this Memorandum of Understanding. 10. Severability. Any provisions of this Memorandum of Understanding decreed invalid by a court of competent jurisdiction shall not invalidate the remaining provisions of the Memorandum of Understanding. OWIYF,R: By: M G( m , PIV Date: 41Z - IG S STATE OF ALASKA THIRD JUDICIAL DISTRICT MUNICIPALITY: By: Title: Date: ) ss. The foregoing instrument was acknowledged before me 2006, by cif Fl6n QIMS-14end INWARYLOUBLIC FOR ALASK My Commission expires: W%{plao/ STATE Olt ALASKA OFFICIAL SEAL JENNIFER R. HUNTLEY NOTARY PUBLIC mY�cvllo My Commission Expires April 22, 2008 Jody Maus Senior Engineer Gamess Engineering Group, Ltd. 3701 E. Tudor Road Anchorage, Alaska 99507 RE: 16411 Chasewood Lane Dear Jody: I've enclosed the application for the Muni maintenance agreement for the Chasewood Lane property that my wife and I are buying. Thank you for the information that you've shared with me about the septic system. Would you review this maintenance and repair agreement (I'm not sure of the name of this septic system to enter in Item No. 1), and tum it in to the Muni? Also, I understand that your firm is testing the septic and the well for the owners. They have agreed to allow us to review your reports prior to closing. Would you contact me when you have your inspection reports completed, so I can review them. Thank you for your assistance. Sincerely, Clifton M. Olmstead P.O. Box 774462 Eagle River, Alaska 99577 Cell: 229-0648 Municipality of Anchorabe De artment of Health and Human Services li P Division of Environmental Services} I On -Site Services Section 825 "L" Street Room 502 P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907)343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FORA SINGLE FAMILY DWELLING Parcel I.D. 020-093-31 HAA# fllCCC Expiration Date: 1. GENERAL INFORMATION Complete legal description Lot 2, Another Subdivision Location (site address or directions) 16441 Chasewood Lane Current Properlyowner(s) Greg Dittmer Day phone 345-2622 Mailing address 16441 Chasewood Lane, Anchorage, AK 99516 Lending agency Day phone Mailing address Real Estate Agent Day phone Mailing Address Unless otherwise requested, HAA will be held by DHHS for pickup. HAA picked up by: /,o 2. NUMBER OF BEDROOMS: 3 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well Cyj Individual On-site 50 Individual Water Storage ❑ Individual Holding Tank ❑ Community Class Well ❑ Community On-site ❑ Public Water System ❑ Public Sewer ❑ The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Certificates of Health Authority Approval (HAA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. Certificates of Health Authority Approval are required for the transfer of title (except between spouses) on properties served by a single family on-site wastewater disposal and'or water supply system. DHHS also issues HAAs upon request to home owners. Certificates of Health Authority Approval are valid for 90 days from the date of issue for prcperties served by a private or Class C well and may be reissued with new water sample results less than 30 days old. Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municioality of Anchorage is not responsible for errors or omissions in the professional engineer's work. -2 015 P,v p1 CCS' 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 Health Authority Approval Guidelines for the Health Authority Approval application show that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on- site water supply and!or wastewater disposal system is in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. 5 8 5 ENGINEERING Phone l f7 - �- cl 7 41 Loop Name of Firm�7e,¢� ,ver Address Eanle Rfv P Road No. 20q er.-A1aslca 99577 Engineer's Printed 6. DHHS SIGNATURE V- Approved for i bedrooms. Disapproved. Conditional approval for Additional Comments N Date r tt, bedrooms, with the following stipulations. Attachments: HAA Checklist Maintenance Agreements Septic System Advisory Supplemental Engineer's Report Well Flow Advisory Other By: ��{ � _ / �. �c-�� Original Certificate Date: 6 - / 9 C c Expiration Date: 67/ - / e7 - O o Reissue Date: 75-025 iRw 01 001' IF i4iaN1,� " •f ••�� fit^ �t+i .Y ;'FJJGHJFeR 4'i�. �<L tt, bedrooms, with the following stipulations. Attachments: HAA Checklist Maintenance Agreements Septic System Advisory Supplemental Engineer's Report Well Flow Advisory Other By: ��{ � _ / �. �c-�� Original Certificate Date: 6 - / 9 C c Expiration Date: 67/ - / e7 - O o Reissue Date: 75-025 iRw 01 001' Municipality of Anchorage Department of Health and Human Services Division of Environmental Services On -Site Services Section 825 V Street Room 502 P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907)343-4744 RECEIVED JUN 0120 MUNICIPALITY OF ANCHORAGE vIRONMENIAL SERVICES DMV HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: ),OT- M o rHz- R 'S/0 Parcel I.D.: A. WELL DATA 08.0-093-3/ Well type PAlv4 rf. If A, B, or C provide PWSID # — Well Log A rT.ic-t/tiJ Date completed 7/a9 93 Sanitary seal Yl� J Wires properly protected YE S Total depth so 3 ft Cased to it Casing height (above ground) ay{ in. FROM WELL LOG AT INSPECTION Date of test -2 q q 3 Static water level t M g ft °� S~ I ft Well production ) 9 -p.m y S 9 -p.m WATER SAMPLE RESULTS: Coliform O colonies/100 ml Nitrate 0-S7 mg/I Other bacteria' colonies/100 ml Date of sample: 0 o Collected by: S a 5 ENGINEERING., . 17034 Eagle River Loop Road No. 204 B. SEPTIC/HOLDING TANK DATA Eagle River, Alaska 99577 Tank Type /Material Date installed S_// -7 /00 Tank size SV gal , Number of Compartments pug cos Cleanouts Yi S Foundation cleanout TAN< Depression over tank N 0 i High water alarm yE S Date of pumping 141A N4 w Pumper C. ABSORPTION FIELD DATA Date installed 17 /o o Soil rating (g.p.d.M2 or ft2/)drm) a System type 1 • D • S . F. Length 3 0 ft Width I a• ft Gravel below pipe 3 +_ Total depth �ft Effective absorption area3 6 0 1? Monitoring tube y±J Depression over field M v Date of adequacy test N�g '^�i�^- Results (Pass/Fail) For 3 bedrooms Fluid depth in absorption field before test in Water added p_ in. Elapsed Time: min Final fluff in Absorption rate >= g.p.d. Any rejuvenatio past 12 mo.) (Y/N 8, type) If yes, give date 72-026 (Rev. 01/00)* D. LIFT STATION Date installed-rh7/40 Size in gallons P-S'O Manhole/Access Y -f _f "Pump on" level at � *1 in "Pump off" level at 32- in High water alarm levet at 114 in Datum Q a r r a rt Cycles tested oL Meets alarm & circuit requirements y �1 E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot 10 0 F On adjacent lots )OC 'I - Absorption fAbsorption field on lot /00 t On adjacent lots / 0 Public sewer main N /A Public sewer manhole/cleanout V14 i Sewer /septic service line A S Holding tank N 1A SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation '77 Property line LY'Y Absorption field 7 Water main 10 �4- Water service line iy Surface water 1 a 0 4 - Drainage Drainage N 1A Wells on adjacent lots SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line S a , Building foundation Sa I Water main 14 Water Service line 10 Surface water /00 f Driveway, parking/vehicle storage S f Curtain drain a o 4 Wells on adjacent lots 100 t F. COMMENTS G. ENGINEER'S CERTIFICATION I certify that I have determined through field inspections and a !� review of Municipal records that the above systems are in i r conformance with MOA HAAuidelines in effect on this date. r A / g n ROBERT . COWAN ,?•/ CE -8201 Engineer's Printed Name 80,6647- C . Co w4 v /i l.• . ;.;.; Date C13/loo 4 •` HAA Fee $ � `I D Date of Payment Receipt Number 4777 (F.1117) 72026 (Rev. 01/00)• Waiver Fee $ Date of Payment Receipt Number MUNICIPALITY OF ANCHORAGE M E M O R A N D U M WATER WELL ADVISORY HEALTH AUTHORITY APPROVAL NO. Doo a a3 During a recent Health Authority Approval on-site inspection and test of the potable water supply well on Lot Bloc{ -- of ,g N o % i� �%Z Subdivision, the well's productivity was determined to be O. ys' gallons per minute. The minimum well productivity required by this Department (ADiC 15.55) for a 3 bedroom residence is 0.3 / 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 ncn-crit'-cal 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 Health :.uthority Approval. Municipality of Anchorage Development Services Department Building Safety Division On -Site Water & Wastewater Program 4700 South Bragaw SL P.O. Box 196650 Anchorage, AK 99519-6650 www.el.anchorage.ak.us (907)343-7904 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. 020-093-31 HAA# 4M b/0 S y 1. GENERAL INFORMATION Expiration Date: 1 O Complete legal description "ANOTHER SUBDIVISION: LOT 2 Location (site address or directions) 16441 CHASEWOOD LN Current Property owners) Mailing address Lending agency Mailing address Real Estate Agent Mailing address SARAH CHAMBERS Day phone 345-2221 16441 CHASEWOOD LN. ANCHORAGE, AK 99516 Day phone KATHI CHAMBERS (REMAX PROPERTIES) Day phone 257-0147 2600 CORDOVA ST. ANCHORAGE, AK 99503 Unless otherwise requested, HAA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 3 3. TYPE OF WATER SUPPLY: Individual Well Individual Water Storage ❑ Community Class Well ❑ Public Water System ❑ TYPE OF WASTEWATER DISPOSAL: Individual On-site Individual Holding tank ❑ Community On-site ❑ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority Approval (HAA) based only upon the representations given in paragraph 5 by an Independent professional civil engineer registered In the State of Alaska. Certificates of Health Authority 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 HAAs upon request to homeowners. Certificates of Health Authority 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 sample results less than 30 days old. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions In the professional engineer's work. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined In the Health AuthorityApproval 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 Munfclpality 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 Finn ALASKA WATER & WASTEWATER CONSULTANTS, INC. Phone Address 6901 DEBARR ROAD, SUITE 2B • ANCHORAGE. AK 99504 Engineer's Printed Name Engineer's Comments: JEFFREY A. GARNESS, P.E. In conducting this eveluatlon, AINWC, Inc attempted to provide a thorough, conscientious engineering analysts of the system In accordance with ADEC and MOA DSD Guidelines & Regulations. The reported results described Me performance of the system under the condNons encountered at the time of the test and separation distances measured to readily Identilable features. The operational Via 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. AK=, Inc. can therefore not provide any warranty or future estimate of how long the system will continue to meet the operational requirements of the ADEC or MOA DSD. The content of this report Is for the sole benefit of the owner listed above. Any reliance upon or use o/ this report by any other person or party Is not authorized, nor will it confer any legal tight whatsoever. 5. DSD SIGNATURE Approved for bedrooms. Disapproved. 337-6179 Date o Conditional approval for bedrooms, with the fllowing stipulations: The attached septic system maintenance agreement shall be sign owner at transfer of title and returned to this office Attachments: HAA Checklist Septic System Advisory Well Flow Advisory y�{g7..,� ya;s:...P 9G533 00000��t (OFA �G ON-SITE G WATER AND WASTEWATER : PROGRAM v new Manitenance Agreements Supplemental Engineer's Reort 11-< . Other By: Lf% • Original Certificate Date: -7- 31—OL (iw. 11%) \ Municipality of Anchorage (• "l Development Services Department'°: \ Building Safety Division OnSke Water S Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.d.anchorage.akus (907)343.7904 HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: ANOTHER SUBDIVISION; LOT 2 Parcel ID: 020-093-31 A. WELL DATA Well typo PRNATE If A, B, or C provide PWSID# N/A Well Log (Y/N) YES Date completed 7/29/93 Sanitary seal (YIN) YES Wires properly protected (Y/N) YES 1-503 1-32 Total depth 2-665fL Cased to 2-44 ft. Casing height (above ground) 18+ in. FROM WELL LOG AT INSPECTION Data of test 7/29/93 4/29/00 Static water level 148 iL 251 ft, Well production 1 g.p.m. •0.45 g.p.m. WATER SAMPLE RESULTS: *S&S ENGINEERING Coliform 0 colonies/100 ml. Nitrate 0.5 mgA. Other bacteria 0 colonies/100 ml. Data of sample: 7/9/01 Collected by: AWWC. INC. B. SEPTIC/HOLDING TANK DATA TankType/Materlal STEEL Date Installed 5/17/00 Tank size 1250 gal. Number of Compartments 2 Cleanouts (Y/N) YES Foundation cleanout (YIN) YES Depression over tank (YIN) NO High water alar (YIN) YES Date of pumping 7/20/01 Pumper NORTHLAND PUMPING C. ABSORPTION FIELD DATA MONITORING TUBES WERE DRY ON 79 2001 Date Installed 5/17/00 Soil rating 0.p.d r ft'/bdrm) 2_0 System type ISF Length 30 ft. Width 12 JL Gravel below pipe 0.25 fL Total depth ---!—IL Eft. absorption area 360 ft' Monitoring tube YES Depression over field NO Date of adequacy test NEW Results (Pass/Fall) PASS For 3 bedrooms Fluid depth In absorption field before test_ in. Water added _ gal. New depth _In. Elapsed Mme: — min. Final fiuld depth _ in. Absorption rate >_ -- g.p.d. Any rejuvenation treatment (past 12 mo.) (YIN & type) NONE KNOWN If yes, give date – D. LIFT STATION Date installed 5/17/00 Size in gallons 1250 Manhole/Access (YIN) YES 'Pump on' level atTIMERin. 'Pump ofr level atTIMERIn. High water alarm level at 45 in. Datum BOTTOM OF TANK Cycles tested N/A Meets alarm & circuit requirements? YES E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tankAlft station on lot 100'+ Absorption field on lot 100'+ Public sewer main N/A Sewer /sepfic service line 25'+ On adjacent lots 100'+ On adjacent lots 100'+ Public sewer manhole/cleanout N/A Holding tank N/A SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Absorption field 5'+ Water main N/A Water service line *10,+ Surface water 100'+ Wells on adjacent lots 100'+ ' PER YEAR 2000 INSPECTION REPORI SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ Building foundation 10'+ Water main N/A Water service line `10' Surface water 100'+ Driveway, parking/vehicle storage 5'+ Curtain drain '20'+ Wells on adjacent lots 100'+ F. COMMENTS 'PER INSPECTION REPORT G. ENGINEER'S CERTIFICATION I certify that I have determined through field Inspections and review of Municipal records that the above systems are in conformance with MOA HAA guidelines In effect on this date. Englneefs Printed ame JEFFREY A. CARNESS Date _7 2. g' La f HAA Fee $ 300 • civ Date of Payment7 /a q0r Receipt Number '7&9'6 (Rev. 12=) Waiver Fee $ 0 i rp Date of Payment Receipt Number Municipality of Anchorage :.�•,, Development Services Department % Building Safety Division ,. ;.. On -Site Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907)343-7904 Water Well Advisory Health Authority Approval # 010384 During a recent Health Authority Approval on-site inspection and test of the potable water supply well on Block — , Lot 2 of Another subdivision, the well's productivity was determined to be 0.45 gallons per minute. The minimum well productivity required by this Department (AMC 15.55) for a 3 -bedroom residence is 0.31 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 Health Authority Approval. ('` t^ PROPERTY OWNER MAINTENANCE AGREEMENT ON-SITE WASTEWATER DISPOSAL SYSTEM This agreement, dated August 2 , 2001, is made between the Municipality of Anchorage Department of Health and Human Services (DIiHS) and the property owner(s) of Rick L. and Judy C. King This agreement is made for the purpose of maintaining an on-site wastewater disposal system on the subject property. The property owner(s) agree to the following: The property owner(s) will have an annual inspection of the system performed by a registered professional engineer. This inspection shall verify that all effluent and air pumps, timers, and alarms are functioning as designed. Any deficiencies shall be corrected and the engineer's statement that the system is functioning as designed shall be filed annually with the DHHS. Property Owner Name Rick L. King (Notarize Here) p-1millawt �� ,L ! 1- I State of Alaska Judicial District 3rd ss. On thisQday of August in the year 2001 , before me, the undersigned notary public, personally appeared: Rick L. King & Judy C. King known to me to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged that he/she/they executed the same for the purposes therein contained. f\ In wimesi whereof. I hereunto setim hand and nz ef> L � OFFICIAL SEAL (Notary's printed name) Stato Of Alaska My commission expires: 1 ` DEBRA L. STOUT �ON iarn� NOTARY PUBLIC Municipality of Anchorage ° Development Services Department Building Safety Division ° On -Site Water and Wastewater Progrun 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907)343-7904 Water Well Advisory Health Authority Approval # 010384 During a recent Health Authority Approval on-site inspection and test of the potable water supply well on Block — , Lot 2 of Another subdivision, the well's productivity was determined to be 0.45 gallons per minute. The minimum well productivity required by this Department (AMC 15.55) for a 3 -bedroom residence is 0.31 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 Health Authority Approval. n 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 Application Date 1. GENERAL INFORMATION (a) Legal Description (include lot, block, subdivision, section, township, range) Lot 2, Another Subdivision Location (address or directions) February 10, 1986 (b) Applicant Name Cleve McDonald Telephone: Home 345-0064 Business 276-1451 x 213 Applicant Address —P.O. Boa: 110384 Anchorage Ak. 99511 (c) Applicant is (check one): Lending Institution ❑ ; Owner/builder ❑ ; Buyer ❑ ; Other ❑ (explain); (d) (e) M Lending Institution Address Real Estate Company and Agent Address Telephone Mail the HAA to the following address: 2. TYPE OF RESIDENCE Single -Family i7 Multi -Family ❑ Other Number o1 Bedrooms 3 Telephone 3. WATER SUPPLY Individual Well © Community ❑ Public ❑ 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 0 Public ❑ Community ❑ Holding Tank ❑ Note: If community well system, must have written confirmation from the State Department o1 Environmental Conservation attesting to the legality and status. Page 1 of 2 72-025 111,641 5. ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION - I As certified by my seal affixed hereto and as of the validation dale shown below. I verify that my Investigation of this Health Authority Approval shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the Information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm Quadra Engineering Telephone 276-3770 Address 901 East Firm,,eed Lane, Anchorage, Alaska 99503 Date February 10, 1986 at E. And -nun A381 -E Engineer's Seal 6. DHEP APPROVAL Approved for '��`'C3), edrooms by 'Q" 2IC-2.0' Date 2 Zo —S6c Approved �- Disapproved 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 FAWI'1A3I17di_1 Well Classification Private ^ MUNICIPAUTY OF ANCHORAGc DEPT. OF HEALTH & MUNICIPALITY OF ANCHORAGE (MOA) ENVIRONMENTAL PROTECTION HEALTH AUTHORITY APPROVAL (HAA) FEB 131986 CHECKLIST - FEBRUARY 1984 2644720 Legal Description: Lot 2, 1�hFS��Lf7� If A, B. C, D.E.C. Approved (YIN) Weft Log Present (YIN) Y Date Completed 8/7/85 Yield .5 GPM Total Depth 665' Cased to 60' Depth of Grouting Static Water Level 20 Pump Set At 550' Casing Height Above Ground 21 Sanitary Seal on Casing (YIN) y Electrical Wiring in Conduit (YIN) Y Depression Around Wellhead (YIN) N Separation Distances from Well: To Septic/Holding Tank on Lot 115' ; On Adjoining Lots 300'+ To Nearest Edge of Absorption Field on Lot 140' ; On Adjoining Lots 3001+ To Nearest Public Sewer Line N/A To Nearest Public Sewer Cleanout/Manhole N/A To Nearest Sewer Service Line on Lot N/A Water Sample Collected by C. McDonald ;Date 2/12/86 Water Sample Test Results Acceptable Comments B. SEPTIC/HOLDING TANK DATA Date Installed 7/85 Size 1000 Gal - No. of Compartments 2 Standpipes (YIN) y Air -tight Caps (YIN) Y Foundation Cleanout (YIN) _ Depression over Tank (YIN) N Date Last Pumped New Tank Pumping/Maintenance Contract on File (YIN) _ Holding Tank High -Water Alarm (YIN) N Separation Distances from Septic/Holding Tank To Water -Supply Well 115' To Property Line 20' To Water Main/Service Line N/A Course N/A N/A for Temporary Holding Tank Permit (YIN) To Building Foundation To Disposal Field — 40' 35' To Stream. Pond, Lake, or Major Drainage Comments Tank was recently installed and has yet to be put into service. Page 1 of 2 72-02601,64) C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata 330 Ft2/Bedroom Type of System Design Bed Date Installed 7/85 Length of Field 561 Width of Field ' r , Depth of Field Gravel Bed Thickness 21 under drain rock Square Feet of Absorption Area 1512 Ft2 Standpipes Present (Y/N) Y Depression over Field (Y/N) 27 Date of Last Adequacy Test New System Results of Last Adequacy Test New System Separation Distance from Absorption Field: To Water -Supply Well 1401 To Property Line 121 To Building Foundation 751 To Existing or Abandoned System on Lot N/A ; On Adjoining Lots 3001+ To Water Main/Service Line N/A To Cutbank (if present) 3001+ To Stream/Pond/Lake/or Major Drainage Course N/A To Driveway, Parking Area, or Vehicle Storage Area 5' to Drivewa Comments D. LIFT STATION N/A Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at _ Tested for Electrical Codes (Y/N) Comments Dimensions Manhole/Access (Y/N) "Pump Off" Level at Check Permitted Bedroom Rating Against HAA Request •' Vent (Y/N) Pumping Cycles during Adequacy Test. Meets MOA Icertify thatl avechecked,v Wied,orconformedtoall MOA and HAA guidelines ineffect onthe date ofthis inspection. Signed �%G;( 2/11/86 Company QUADRA EngineerinMOA No. ST 85-199 Receipt No. 3-7 Date of Payment R ' i'3--5lSo r ~ •� CE OF .44 %10 tp.,,.. q l Amount: $ �e �� :�,�7-r, �s'r ��, Engineer's Seal Page 2 of 2 72-026 (11,84) 401 EAST FIREWEED LANE ANCHORAGE, ALASKA 99503-2197 Q (907) 276-3770 DATAFAX NO. (907) 279-5092 ANCHORAGE JUNEAU BETHEL FAIRBANKS February 20, 1986 Municipality of Anchorage Department of Health and Environmental Protection 825 L Street Anchorage, Alaska 99501 Attention: Steve Morris Subject: Lot 2, Another Subdivision - Water Sample Gentlemen: I hereby certify the water sample collected from the system located on the subject property was collected in accordance with specifications required by the Municipality of Anchorage and the Chemical and Geological Laboratories of Alaska, Inc. Sincerely yours, 7� Cr a ^' Michael E. Anderson, P.E. MEA/jb R. a ai»..�a�n..e.uou.wu.:u • Ii ......,.....•.. e.... ... . Q. w Mph r^I :. Aodeno� : <:�•`