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Home My WebLink AboutCOLONIAL PARK BLK 2 LT 10Colonial Park Block 2 Lot 10 #050-302-10 Municipelity of Anchorege Poge 1 of. 5 DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 Anchorage, Alaska 99519-6650 Telephone: 545-4744 On-Site Wastewater Disposal System and/or Well Inspection Report Permit Number: SWO00207 PID Number: 050--,~02-- 10 N°me:JIM GRUBBS Wastewater System: [] New · Upgrade kddress: 10215 HILLCREST ST, ~GLE RIVER, AK 99577 ABSORPTION FIELD No. of Bedrooms: Ph°ne:(907) 696--6833 3 ~Oeep Trench DShailow Trench DBed OMound BOther LEGAL DESCRIPTION ~.0 10 2 COLONIAL PARK5.57 - 4.47 - - - 0 - 0.5 WELL: D New D Upgrade 2.5 SEPA~TION DISTANCES = s.¢~ ~ .or~,.~ ~ S.T.~... -rom Tank Reid Stotlon Tank Sewer Unes PREMIER P~STIC 1500 Well 100'+ 100'+ -- -- 25'+ P~STIC 2 ~oo'+ 1aa'+ - - - LIFT STATION Su~oce Water Foundation 5'+ 10'+ - - - ~ NONE KNOWN Drain I ~emerks: THE EXISITNG SEPTIC TANK WAS COMPL~L~ BENCH MARK ABANDONED. BOSOM OF SIDING AT POINT "B" Inspections pe¢or.ed by:. AWWC, INC. Dates:lst 7/25/2ooo 3rd 7/27/2000 Depadment of Health and Human Se~ices approval Reviewed and approved by: ~-~ ~, ~Da[e:~-/ PERM..UM.ER: AS BUILT DRAWING P^ROEL ,D 5W000207 ' 050-302-10 / / / / E USED AS A RESERVE SITE~ _SUMP '~. ~ ~IN~AL~D FLOW PREMIER P~IC ~ A ~ ST1 63.75 73.48 ~~ [ ~ ST2 66.31 75.1 ~ DBL1 68.83 76.79 0 DRY,AY DBL2 69.73 77.44 ~ FD 71.64 78.72 ~ C01 74.89 81.33 MT1 06.36 102.87 C02 107.59 103.87 DAm - 8/28/2000 D~WN CONSULTANTS, INC.,,, , ...... ;. ' - ... ... .... JIM GRUBBS (907) 696-6853 2 OF 3 ~OAL DESCRIPTION:"~v0h%. '~. / 4E-7955 .." ~ COLONIAL PARK SUBmWS~ON: LOT ~0, ~[OCK 2 'PE OF WORK: AS-BUILT OF SEPTIC SYSTEM UPGRADE PERMIT NUMBER: swooo2o7 AS-BUILT DRAWING P^ROEL'DO~O_,O2__,O""MB* *~ / ~ / DATE: 8/28/2000 ~ D~wNREV: .,:8/s~/~°°c ~:~r.~2G:~~~ nF*'~}~ ,. ............ CONSULTANTS, INC.~ ...... : ..... *~ SOA~: . ~ ~AL DESCRIPTION: ~0~ '; ;. ' C ~7953 .." ~ PROFILE AS-BUILT OF SEPTIO SYSTE~ UPGRADE ~ MUNICIPALITY OF ANCHORAGE Department of Health and Human Services On-Site Services Program 825 L Street, Room 502 P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-4744 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade Date Issued: Jul 05, 2000 Expiration Date: Jul 05, 2001 Permit Number: SW000207 Legal Description: COLONIAL PARK BLK 2 LT 10 Design Engineer: 0041 AK Water & Wastewater Consultant Owner Name: Jim Grubbs Owner Address: 10215 Hillcrest St. Eagle River, AK 99577-0000 Parcel ID: 050-302-10 Site Address: Lot Size: 35640 SQ. FT. Total Bedrooms: 3 Permit Bedrooms: 3 This permit is for the construction of: [~ Disposal Field ~ SepticTank [] 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: ,/~ O~/~_~ 6(-~(3f'1~ Date: ,ssuedBy:,~~ ~ ~ ALASI ,¥ATER & WASTEWATER June 20, 2000 Municipality of Anchorage Department of Health & Human Services Division of Environmentai Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 Ref: Well and Septic Design for Colonial Park Subdivision; Lot 10, Block 2 To whom it may concern: The existing 3 bedroom house is served by a private well and septic system. The existing septic system consists of a 1250 gallon septic tank and a deep trench type drainfield. This drainfield is in a state of failure and in need of an upgrade prior to the sale of the house. One test hole was excavated on the property northeast of the existing septic system. The proposed septic system will be designed within the 30 foot radius of this test hole. We are proposing that a 1000 gallon septic tank and a deep trench type drainfield be installed. Comments regarding the proposed design are summarized as follows: 1. SOILS: Attached is a log which shows the soil classifications, groundwater monitoring, and the percolation test results. The soils below the organic layers are a GM to GM/SM material to a depth of 16.5 (bottom of test hole). No groundwater was encountered during fhe excavation of the test hole. A percolation test for this test hole was performed between the depths of 8.0 feet to 8.5 feet which had a percolation rate of <1 minute/inch. It is our opinion that the insitu soils should act as a sand filter due to the increase in density with depth and that an application rate of 1.0 gallons/day/ft2 should be used. 2. TRENCH DESIGN: a. Percolation Rate: <1 minutes/inch b. Allowable Application Rate: 1.0 gallons/day/ft2 c. Number of Bedrooms: 3 d. Design Flow: 450 gallons per day e. Minimum Absorption Area: 450 ft2 f. Total Depth: 10 feet (max.) g. Effective Depth: 6 feet h. Width: 2.5 feet i. Reduction Factor: N/A JUN 6901 DcbmT Road, Suite 2B N Anchorage, AK 99S04 ~ ?h: (90?)33?-6179 - ~ax: (90?)338-3246 j. Minimum Length: 40 feet long k. Effective absorption area = 480 ft2 3. SURFACE WATERS: There are no surface waters within 100 feet of the proposed upgrade. 4. TOPOGRAPHY: As can be seen on the attached design drawing, the area of the proposed upgrade slopes from 5 to 10 percent running from approximately southwest to northeast. The trench is to be installed parallel to slope contours. I am unaware of any adverse impacts this installation would have on adjacent wells or septic systems. If you have any questions, please contact me at 337-6179. Thank you for your assistance. Sincer~ Presi ,~ht I NOTE: Attached ia' a site plan drawing, a design drawing, a soil log, and a 7page construction specification letter which are all part of the design package for this septic system. 6901 Debarr Road, Suite 2B - Anchorage, AK 99504 - Ph: (907)337-6179 - Fax: (907)338-3246 \\ / COLONIAL PARK S/D COLONIAL PARK S/D ~o COLONIAL PARK S/D LOT g, BK 1, LOT 8, BK 1, LOT 10, BK / i \ THIRD STREET /' I~ / SEPTIC SEPTIC __jO, / SYSTEM TH#1 / DRADE. SEE EAGLE CREST S/D #1' ~. ~ i / ~ DESIGN, PAGE ~.,~ I~ / HOUSE ~ i \ > ~ J pARK S/D LOT 9, BK 5, COLONIAL PARK S/D j~ \\ ~ COLONIAL PARK S/D/ COLONIAL \/ LOT 10, BK 3,/-- LOT 8, BK CONSULTANTS, INC. ~ ......... :: . ,~.~,:.~;. SeALOl ,, PREPARED FOR PHONE NUMBER:~¢~ PADE NUMBER= JIM GRUBBS (907) ~-6855 1 OF 2 COLONIAL PARK SUBDIVISION; LOT 10, BLOCK 2, SITE P~N FOR SEPTIC SYSTEM UPGRADE \ THIRD STREET I NOTE: THE CONTRACTOR SHALL HAVE THE EAST PROPERLY UNE FLAGGED t I I PROPOSED DRAINF]ELD UPGRADE. BY A REGISTERED LAND SURVEY'OR EXCAVATE A TRENCH THAT iS 10 FEET PRIOR TO CONSTRUCTION / DEEP, BY 2.5 FEET WIDE, BY 40 FEET I / LONG. ADD 6 FEET OF CLEAN. WASHED SEWER DP, A~NROCK. INSTALL c~ / TRENCH PARALEL TO SLOPE CONTOURS. ~ / . e, ,4' EXISTING TRENCH / I ~ '~/INSTALL DOUBLE RESERVE SITE .... ~ 'X~SX~.,' ~H#I GALLON SEPTIC TANK~",,~ X '~<x. \'~0 // ~PROPOSED 1000 20' UTI~ EASEMENT "'",5 ,','~'*: "l,~" i-","; / -- "!"'.j?:.,;: % AREA- l ~ INSTAkL FOUNDATION bJ z ' '-'--"-'-"::',-', ~;' ,~:,-,~'-' /I/ OLEANOUT UNLESS ~ - -: .... ': ,';/~' !:i'",'. I ONE ,~EAo~ / I ~ // "--/ ~ / / X / X SECOND STREET z ' ~ .~ , ~,o,.,o~..o~,.~,T~.~.*.o~o~.,~o.~o~'..o*.,.o,,,~,-*,,.'.~,*o,,,,.~.~ = 40' ~':':"1"~ PREPPED FOR: PHONE NUMBER: 'PAGE NUMBER: .~, JIM GRUBBS (907) 688-6855 2 OF 2 k :J~flre' A.~Gerne~s: ~ '4 '~ .' LEeAL BESCRIP~O,: ~'~x COLOU~aL PaRn SUUmWS~OU: LO~ ~0, ~LOCK 2 u~'%'"~ DESIGN OF SEPTIC SYSTEM UPGRADE ALASKA WATER& WASTEWATER CONSULTANTS, INC. [SOIL LOG - PERCOLATION TEST[ LEGAL DESCRIPTION: COLONIAL PARK SUBDIVISION; LOT ~0, BLOCK 2, ~_"'.K " ORGANICS I TEST HOLE ~1 I DEPTH ~ (feet) GM CL / SC ~/ DEPTH T0 DATE s ~ Gu/su DRY w/ S0UE DRY ~/20/00 ~ 9 ~RGE BOULDERS % i/ (DENSER WITH ~ 0 DEPTH)~. 11 ; DATE READING CLOCK NE~ WA~V~ ~T ~F - TIME (MINUTES) READING (INCHES) COMMENTS: THE INSITU SANDY SOILS SHOULD ACT AS A SAND FILTER. PERFORMED BY A~SKA WATER & WASTEWATER. I, JEFFR~ A. GARNESS, CERTI~ THAT THIS WAS PERFORM~D IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON DATE: &l ~/~ DEPTH TO DATE GROUNDWATER DRY 6/13/00 DRY 6/20/00 i% ._.. MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street- Anchorage. Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT I PI-J,ON E I ~ NEW MAILING ADDRESS LEGAL DESCRIPT~N LOCATION 2 ~Z ~r,l/ ~~ / NO. OF BEDROOMS ~ ~ Manufacture~DISTANCE TO:~ I Well~ ~ '~ [ Abs~ion ,e~, Mat~D~i~' Li% capacity in gallons Inside length Width Liquid depth /Z .~0 IF HOMEMADE: ~ ~ DISTANCE TO: Well Dwelling PERMIT NO. Z--~O ~ Manufacturer /~ / ~ Material Liquid capacity in galions ~ DISTA~C. TO: ken.t~h I.e,~ Total ,e..th of I.e~ Trench q Di.tance b~.~l No. of lines / -- ,r~ WYb inches - ~ Top ~tile to finis} grade ~t.ial b,,e,,h tile il Total~c~sorptio n area Length Width Depth PER~T NO. ~ Typeofcrib Crib diameter ~ /~ribdepth Total effective absorption area ~ Well Building foundation Nearest lot line ~ DISTANCE TO: ~ Class Depth Driller Distance to lot line PERMIT NO. ~ ~ t~ T/~ ~ ~ Building foundation Sewer line Septic tank Absorption area(s) ~ DISTANCE TO: OTHER PIPE MATERIALS '~ .,- · ........ ., 5.'.? / ~~ (Rev. 3~78) J unicipality Anchorage 825 "L" STREET ANCHORAGE, ALASKA 99501 (907) 2644111 GEORGE M. SULLIVAN, MAYOR DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION July 2, 1981 Greiner Construction % Pete Ostdiek Target, Inc. Realtors 1021 West 25th Avenue Anchorage, Alaska 99503 Subject: Lot 10 Block 2 Colonial Park Subdivision The septic system described below is an approved design acceptable by the Municipality of Anchorage for the above property. For a three(3) bedroom single family dwelling; soils rating 218 square per bedroom x 3 = 654 square feet. Total depth of trench - 10 feet Total length of trench - 47 feet Gravel depth - 7 feet The well must be at least 100 feet from any septic tank or leaching field, If there are any further questions., please call this office at 264,,,4720. Sincerely, James S. Roberts Environmental Specialist JSR/ljw PERMIT NO. DEF'RRTMENT ~ HERLTH RND ENVIRONMENTRL ?ROTECTION 825 "L~ STREE% RNCHORRGE, RK. ~50~. 264-4728 C~l-4--b] I TF] S EL4ER F'EF:I-1 IT 810848 ) RPPLICRNT LOCRTION LEGRL GREINER C:ONST 2ND-HILLCREST LiO 82 COLONIBL PRRK PO BX 25Z ER LOT SIZE 6D4-~485 17000 SQURRE FEET TYPE OF SOIL RBSORPTION SYSTEM IS: TRENCH MRXIMUM NUMBER OF BEDROOMS SOIL RRTING (SQ FT/BR)= 218 THE REQUIRED SIZE OF THE SOIL 88SORPTION SYSTEM IS: [:,EF'TH= 9 L E f-4'-~ T H = 55 ~-~ F-: R ".;,-" E L [:,EPTH== cz-_'; THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRRINFIELD. THE DEPTH OF R TRENCH OR PIT IS THE DISTRNCE BETWEEN THE SURFRCE OF THE GROUND RND THE BOTTOM OF THE EXCR9RTION (IN FEET). THERE IS NO SET WIDTH FOR TRENCHES. THE GRBVEL DEPTH IS THE MINIMUM DEPTH OF GRBVEL BETWEEN THE OUTF8LL PIPE 8ND THE BOTTOM OF THE EXC8V8TION (:IN FEET). PERMIT RPPLICRNT HRS THE RESPONSIBILITY TO INFORM THIS DEPRRTMENT DURING THE INSTRLLRTION INSPECTIONS OF RNY WELLS 8DJRCENT TO THIS PROPERTY RND 'THE NUMBER OF RESIDENCES TH8T THE WELL WILL SERME. TI.4~], (2) I f-~SPECTI~],~S R~:E ~EG!LII ~EB. BRCKFILLING OF RNY SYSTEM WITHOUT FINRL INSF'ECTION RND RPPROVRL BY THIS DEPRRTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTRNCE BETWEEN R WELL RND RNY ON-SITE SEWRGE DISPOSRL SYSTEM IS ±00 FEET FOR R PRIVRTE 14ELL OR 150 TO 200 FEET FROM R PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL MINIMUM DISTRNCE FROM R PRIVRTE WELL TO R PRIVRTE SEWER LINE IS 25 FEET RND TO R COMMUNITY SEWER LINE IS 75 FEET. OTHER REQUIREMENTS MRY RPPLY. SPECIFICRTIONS RND CONSTRUCTION DIRGRRMS RRE RVRILRBLE TO INSURE PROPER INSTRLLRTION. PEF-:f-1 I T E~-::F' I F-:E'5 [:.EC:Er-IE:EF.' _~--2L., I CERTIFY THRT 1: ! RM FRMILIRR WITH THE REQUIREMENTS FOR ON-SITE SEklERS RND WELLS RS SET FORTH BY THE MUNICIPRLITY OF RNCHORRGE. 2: I WILL INSTRLL THE SYSTEM IN RCCORDRNCE WITH THE CODES. ~: I UNDERSTRND THRT THE ON-SITE SEWER SYSTEM MRY REQUIRE ENLRRGEMENT IF THE ~ BEDROOMS. RESIDENCE IS REMODELEJ~ TO INCLU[:,E MORE THRN S I GNED: ~R.~RL ICRNT ' G~,EINEF.' CONST V4. 0 ~VI~ONMENTAL PROTECTION DOC Co. dba SULL~AN WATER WELL~u~ ~ s 198~ ~. o. ~ox ~,~, ~.~,~, ~s~ ~,. OWNER OF LAND /.gg ADDRESS ? ~ LEGAL DESCRIPTION DATE- Started f/ PERMIT NUMBER A::'_,, KIND OF FORMATION: From ' Ft. to From From / Ft. to--Ft. From r ,,,~ Ft. to ,' ,F Ft. From Ft. to .~":5-' Ft. From "~'::~' Ft. to '70 ,Ft. From. ;~ Ft. to 7,~ Ft. From v .~ , ,,~ Ft. to 76 Ft. From Ft. to From :' Ft. to t From Ft. to__Ft From Ft. to Ft From Ft. to Ft From Ft. to Ft From Ft. to__Ft. From Ft. to Ft. From Ft. to Ft. DEPTH OF WELL STATIC LEVEL OF WATER FT. ~' -? ' ~-,~' ~ ,~'~ ':ro''' /~/< '~'''< DRAW DOWN FT. Ended 7/~/r t' GALS. PER HR KIND OF CASING From--Ft. to Ft. From Ft. to Ft. From__ Ft. to Ft. From __ Ft. to Ft. From Ft. to Ft. From__ Ft. to Ft. ~-~From__ Ft. to Ft. From__Ft. to Ft. From__Ft. to Ft. From__Ft. to Ft.. From Ft. to.__Ft. From Ft. to.__Ft. From Ft. to Ft. From__Ft. to Ft. From __Ft. to Ft. From __Ft. to Ft. From Ft. to Ft MISCL. INFORMATION: DRILLER'S NAME .... PERM I T r-lLIr~ I i]:I F~ ~LIT'T' IZIF DEPRRTMENT OF HERLTH RND ENVIRONMENTRL PROTECTION 825 ~L" STREET, RNCHORBGE, 8K. 99501 264-4720 L~ELL PERrd IT ( 8t05~9 ) RPF'L I I]:RNT GRE I NER COI",IST F'. O. BO::< 251 E.R. LOCRTION 2ND STREET., E.R. LEGRL L10 B2 COLONIRL Pi=IRK, E.R. LOT_,-'='IZE 694-~485 -'~":'-'=-'¢'1 -'='I-,IIRPP FEET MINIMUM DISTRNCE BETWEEN R WELL RND RNY ON-SITE SEWRGE DISPOSRL SYSTEM IS t00 FEET FOR R PRIVRTE WELL OR ~50 TO 200 FEET FROM ~ PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL. MINIMUM DISTBNCE FROM ~ PRIVRTE WELL TO R PRIV8TE SEWER LINE IS 25 FEET 8ND TO 8 COMMUNIT9 SEWER LINE IS 75 FEET. WELL LOGS 8RE REQUIRED 8ND MUST BE RETURNED TO THE DEPRRTMENT WITHIN ~0 D89S OF THE WELL COMPLETION. OTHER REQUIREMENTS M89 8PPL9. SPECIFICRTIONS RND CONSTRUCTION DIRGRRMS RRE 8VRIL8BLE TO INSURE PROPER INST8LL8TION. PEF-:r'I I T E::-~P I I:~:E$ [:,E~]Er-IE:EF-: ---=:-_1__. I I]:ERT I F"r' THRT t' I RM FRMILIRR WITH THE REQLIIREMENTS FOR ON-SITE SEWERS RND WELLS RS SET FORTH B"r' THE MUNICIF'RLIT¥ OF RNCHORRGE. 2: I WILL INS-TRLL THE S"r'STEM IN RCCORDRNC:E WITH THE CODES. ~ RF'F'L I CRNT GRE I NER CONST I'-qSUED B"¢ __[.',RTE - V4. 0 0 & E ENGTNEERING & DEVELOP~VIENT CO. Box 90, Davis St., Eagle River, Alaska 99577 694-2774 or 688-2280 Russell Oyster 694-2774 SOIL LOG Earl Ellis 688-2280 Performed for: Name: Legal DescriP~n: .Del~h (feet) 0 1 2~ Mailing Address:~ ~' ' 4~ 5 6~ 7~ 8~ 9~ Tel. No. PLOT PLAN 11~ 12~ 13 14 15~ 16__ Ground Water Encountered: Yes Proposed Installation: Seepage Pit No If yes, what depth Drain Field.~ Comments: PERC. TEST Performed by: Date: Municipality Anchorage 825 "L" STREET ANCHORAGE, ALASKA 99501 (907) 264-4111 GEORGE M. SULLIVAN, MAYOR DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTIQN July 1, 1981 Greiner Construction % Pete Ostdiek Target, Inc. Realtors 1021 West 25th Avenue Anchorage, Alaska 99503 Subject: Lot 10 Block 2 Colonial Park Subdivision The soils test performed on the subject property show the soil is suitable for an on-site sewer system. Neighboring wells and topography should be researched before a sewer system is installed. If there are any further questions, please call this office at 264-4720. Sincerely, Robert C. Pratt, R.S. Associate Specialist RCP/ljw Jim Sullivan 688-2510 COMPLETE WATER SYSTEMS SALES & SERVICE f ~PUMP & WELL, ) ~ SUPPLy ~ ~w~ CE~mE~ ~uu~ ~s~ 2% Discount if paid in 10 days Address _ / Alaska ' .._.. Distributor P.O. Box 197 EagJe R vet Alaska 744 Description Price Amoun! ! .:~; ;:..: !':.. ~ ]'i'~..:: . .... ...?*i~*:t.?i::..~ ':i-: /'::'~' ":".' :::.-:::...:4: "i:: .:.-;'£~;ii:,::']:...::}i;::::-' '.2 ::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::: : j ?:: >.~z::-:'<:''- ::' .-',~. i::':: ':"::' Received in Satisfactory Condition TOTAL *Please pay by invoice. All accounts Past Due will be charged 1 '/~ %. THANK YOU Municipality of Anchorage Development Services Department Building Safety Division On-Site Water & Wastewater Program 4700 South Bragaw St. p.o. Box 196650 Anchorage, AK 99519-6650 _ www.ci.anchorage.ak.us ,~ o~-0 (9o7) -79o CERTIFICATE OF HEALTH AUTHORITY APPROVAL' FOR A SINGLE FAHILY DWELLING Parcel I.D. 050-302-10 t. GENERAL INFORMATION Expiration Date: Current Property owner(s) MaiIing address Lending agency Malling address Real Estate Agent Mailing address Completelegaldescdptlon COLONIAL PARK SUBD~SION: LOT 10, BLOCK 2 Location (site address or directions) 10215 H1LLCREST STREET EAGLE RIVERr AK 99577 JIM GRUBBS Day phone. 10215 HILLCREST STREET EACLE RIVER~ AK 99577 LAND TITLE Day phone 3150 "C" STREET SUITE 101 ANCHORAGE~ AK 9950,3 Day phone 696-6833 563-2522 Unless°~e~lsemqueste~HAAv~llbeheldbyDSD~rplck~. 2. NUMBER OFBEDROOMS: 3 3. TYPE OF WATER SUPPLY: Indivldual Well Individual Water Storage Community Class Well Public Water System TYPE OF WASTEWATER DISPOSAL: Indiv!dual On-s,!te Indiwdual 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 AJaska. 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 cid. (Certificates may be reissued fora 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 rny seal affixed hereto and as of the valida#on date shown below, I vedfy that my investigation, based on procedures outlined in the Health Authedty Approval Guidelines for this application, show~ that the on-site water suppO/ and/or wastewater disposal system is(are) safe, funcEonal and adequate for the number of bedrooms and ty~e of stt~cture indicated herein. I further vedfy that based on the infotmaEon obtained from the Municipality ef Anchorage files and from my investigation and insl:~'tion, the on-site water supp~ and/or wastewater disposal system is(are) In compliance ~th all applicable Municipal and State codes, ordinances, and regulations In effect at the time of Insta#ation. Name of Firm ALASKA WATER &: WASTEWATER CONSULTANTS, INC. Address 6901 DEBARR ROAD, SUITE 2B * ANCHORAGE, AK 99504 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Engineer's Comments: In conducting this evaluation, AWWC, Inc. alfemptsd to provide a thorough, conscientious engineering analyels of the syetem In accordance with ADEC and MOA DSD Guidelines & Regulations. The repotted results described the performance of the system under the cunditJons encountered at the Erne of the test, and separation distances meesured to rcadi~, IdenEfiable fca~uras. The operational life of all walls and septic systems depend on the Iocal softs condition, groundwater levels that may fluctuate during the year, and the water usage of the family being esrwd by the system. These conditions are ou~lde the con~ol of the e~'afuatsr of the s~tsm. Satisfactory test results do not guarantee future pedormance of the system, nor do they guarantee that there are no hidden def~=ts or encroachments. AWWG, Inc. can therofora not provide any warranly or future estimate of how long the system wlil continue to meet the operational r~qulroments of the ADEC or MOA DSD. The content of this repett is for the sole benefit of the owner listed above. Any reliance upon or use of this report by any other person or patty is not authorized, nor v, fli It confer any legal right whatsoever. Phone 557-6179 Date ,~/c~ ! 5. DSD SIGNATURE ~ Approved for Disapproved. Conditional approval for __ Attachments: I-IAA Checldist Septic System Advisory Well Flow Advisory Manltenance Agreements Supplemental Engineer's Reort Other Original Certificate Date: ~ "' I ;),,- D / Municipality of Anchorage Development Services Department Building Safety Division On-Site Water & Wastewafer Program 4700 ~uth Bmgew SL P.O. Box 196650 Anchorage, AK 99519-6650 w~vw.ct.end'~rage.ak,us (~07) ~,3-7g04 Legal Desc~ption: A. WELL DATA HEALTH AUTHORITY APPROVAL CHECKLIST COLONIAL PARK S/0; LOT 10, BLOCK 2 ParcelID: *EXISTING WELL WAS DEEPENED. ff A, B, or C provide PWSID# 050-302-10 Well Log (Y/N), YES Date completed '2/14/00 Totaldepth 541 ft. Date of test Static water level Well production 5 WATER SAMPLE RESULTS: Coliform 0 colonies J100 mi. Saniten/seal (Y/N) YES Cased to .340.54 ft. FROM WELL LOG 2/14/00 275 .ft. g.p.m. Nitrate 0.764 mgJL. D~te of sempla: 2/16/01 & 2/28/Ol Collected by: Wires properly protected (Y/N) YES Casing height (above ground). 18% AT INSPECTION N/^ N/A ft. N/A g.p.m. Jrt. Other bacteria 0 colonies/100 mi. M-W DRILLING & AWWC, INC. 13. SEPTIC/HOLDING TANK DATA Tank Type/Matertal PREMIER PLASTIC TANK Tank size. 1300 gal. Number of Compartments __ Foundation cteanout (y/N)'*YES Date of pumping NEW C. ABSORPTION FIELD DATA Date installed., 7/25/2oo0 Length 40' ft. 2 Depression over tank (y/N) NO Pumper ['SELOW FINN. GRaD£J Soil rating ( .p~.d.~or ~/bdrm) 1.0 Width 2.5 ft. J**AOOITION,% CL[N~IOUT IN OnP. N~FJ Date installed 7/25/2000 Cteanoute (y/N) YES High water alarm (Y/N) N/A System type TRENCH Gravel below pipe ii 6. 13. Toteldepth .~o-~' ff. Eff. abserpUonama 490 ft= Monltorlngtube YES Date of adequacy test NEW Results (Pass/Fall) __ Fluid depth in absorption field before test - in. Water added - gal. Elapsed Time: - min. Final fluid depth - in. Any rejuvenation treatment (past 12 me.) (Y/N & type) - Depression over field NO For .3 bedrooms New depth - in. Absorption rate >= - g.p.d. If yes, give date - D. UFT STATION Date installed Size in gallons ~ "Pump on' level at in. -pump o?~3~?-'17. High wa~r alarm level at _'n. Datum ~ Cycles tested Meets alarm & circuit requirements?. E. SEPARATION DISTANCES Septic tenk/lllt station on lot Absorption field on lot Public sewer main Sewer/septic service line SEPARATION DISTANCES FROM WELL ON LOT TO: 100'+ 100'+ N/^ 25'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Water main 10'4- Water sewice line 10'+ Wells on adjacent lots. 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10' + Building foundation. 1 O' Water sewice line 10' + Surface water 100'4- Curtain drain NONE[ KNOWN Wells on adjacent lots 100'+ On adjacent lots 100'+ On adjacent lots 100'+ Public sewer manhole/cieanout Holding tank N/A N/A Absorption field 5'+ Surfac~ WSter 100'4- Water main 10'4- Driveway, parking/vehicie storage ~ 0'+ F. COMMENTS G. ENGINEER'S CERTIRCATION I certify that I have determined through field inspections end rm4ew of Municipal records that the ebove systems are in conformance with MOA HAA guidelines in effect on this date. Engineers Prln~ed ~ame . JE:FFRE[Y A. CARNESS HAA Fee $ Date of Payment Receipt Number (R~v. Waiver Fee $ Date of Payment Receipt Number Parcel I.D. # MUNICIPALITY Of ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 (907) 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILLY DWELLING 050-302-10 1. GENERAL INFORMATION Complete legal description COLONIAL PARK SUBDIVISION; LOT 10. BLOCK 2. Location (site address or directions) 10215 HILLCREST STREET EAGLE RIVER. AK 99577 Property owner Mailing address Lending agency Mailing address JIM GRUBBS 10215 HILLCREST STREET Day phone EAGLE RIVER. AK 99577 Day phone (907) 696-6833 Agent SHARON MINSICH W/ REMAX OF EAGLE RIVER Dayphone (907) 694-4200 Address 16600 CENTERFIELD DRIVE F~,GLE RIVER, AK 99577 Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 3 3. TYPE OF WATER SUPPLY: Individual well xxx Community well Public water NOTE: ff community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 4. TYPE OF WASTEWATER DISPOSAL: Individual on-site xxx Holding Tank Community on-site Public sewer NOTE: If community wastewater system, provide writfen confirmation from State ADEC lng to the legality and status of system. 72~25 (Rev, 1/91 ) Front MOA ¢21 Cemputer Version INote: Alaska Water and Wastewater Consultants, Inc. shall be paid $1,250.00 at or prior to, closing for the engineering services provided. 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval application shows that the on-site water supply end/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further vedfy that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with ail Municipa, I/~nd State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm ALASKA W~&'~/CS~C;W'A'I1ER'¢//~! CONSULTANTS, INC. Phone (907) 337-6179 / I//////./|/ / Address 6901 DEBARR ROAD, SUrlTE/2B.~/ANCHORAGE, ALASKA 99504 Engineer's Signature~ r ~ ~/~J~ Date In conducting this evaluation, AWWC, Inc./~ttp~l~ted to~prof4de a thorough, conscientious engineering analysis of the system in accordance with ADEC and MOA OHHS Guidelines & Regulations. The reported results described the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the local soils condition, ground water levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of 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. AWWC, Inc. can therefore not provide any warranty for future estimate of how long the system will continue to meet the operational requirements of the ADEC or MOA DHHS. 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 parly is not authorized, nor will it confer any legal right whatsoever. 6, DHHS SIGNATURE ~ Approved for "~ bedrooms Disapproved Conditional approval for . bedrooms, with the following stipulations: Note: The well for this property meets existin§ State and M¥~.icipa] Codes. There are nitrates present. Il; is suggested that periodic testing be performed to insure the wells continued suitability. Current nitrate concentration is 9.~ mt/1. EPA maximum concentration is 10.0 mt/1. More information on nitrates is available from the On-site Services Progran DHHS, 343-4744. The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 72-025 (Rev. 1/91) Back MOA #21 Computer Version RECEIVED Municipality of Anchorage ~ DEPARTMENT OF HEALTH & HUMAN SERVICE/~(; 2 ~) ?OOD Environmental Services Division 825 "L" Street, Rm 502 Anchorage, Alaska 99501 (907) 343-4744 MUNICIPALITY OF ANCHORAGE ENVIRONMENTAL SERVICES DIVISION Health Authority Approval Checklist Legal Description: COLONIAL PARK S/D; LOT 10, BLOCK 2 Parcel I.D.: 050-302-10 A. WELL DATA Well Type PRIVATE Log present (Y/N) Total depth 100,5' Sanitary seal (Y/N) YES Date completed Cased to 100.5' YES IfA, B, or C, attach ADEC letter. ADEC water system number N/A 7/1981 Casing height (above ground) 14" Wires properly protected (Y/N). YES Date of test FROM WELL LOG 7/~9B~ AT INSPECTION 7/51/2000 Static water level 70' 63' 6.2 Well production 15 g.p.m. g.p.m. WATER SAMPLE RESULTS: Coliform 0 Nitrate Date of sample: 8/16/2000 9.65 mg/L Other bacteda 0 Collected by: A.W.W.C., INC. B. SEPTIC/HOLDING TANK DATA Date installed 7/25/2000 Tank size Foundation cleanout (Y/N) ~ YES *PREMIER PLASTIC TANK '1300 Number of Compartments 2 Cleanouts (y/N). Depression (y/N) NO High water alarm (Y/N) N/A YES Date of Pumping NEW C. ABSORPTION FIELD DATA Date installed 7/25/2000 Length. 40' .Width Pumper - Soil rating (g.p.d./ff2 or ft2/bdrm) 1.0 System type TRENCH 2.5' Gravel thickness below pipe 6.13' Total depth 10' - 11' -~ Effective absorpfion area 490 SQ FT Monitoring Tube present (Y/N) YES Depression over field (Y/N) NO Date of adequacy test NEW Results (Pass/Fail) - For 5 Bedrooms Fluid depth in absorption field before test (in.); - Imm. ediately after - gal. water added (in.): - Absorption rate = Fluid depth - iins) Minutes later: - If yes, give date Peroxide treatment (past 12 months) (Y/N) 72-026 (Rev. 3/96)* Computer Version D. LIFT STATION ~ Date installed ~ ~, ~len~ Manhole/Access (Y/N)_ __~~mp~-on" level at* "Pump off' level at* *Datum Septic/holding tank on lot Absorption field on lot Public sewer main Sewer/septic service line E, SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: 100'+ 100'+ N/A 25'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Foundation 5% Property line 5'+ Water main/service line 10'+ Surface wateddrainage 100% SEPARATION DISTANCES FROM ABSORPTION FIELD ON LOT TO: On adjacent lots 100'+ On adjacent lots 100'+ Public sewer manhole/cleanout N/A Lift station N/A Absorption field Wells on adjacent lots Property line Surface water Curtain drain _ 10'+ Building foundation 10'+ Water main/service line 100'+ Driveway, parking/vehicle storage area 5'+ 100'+ NONE KNOWN Wells on adjacent lots 10'+ 10'+ 100'+ F. ENGINEER'S CERTIFI ,TIO/ / I cer#fythat l h~v~ etq~in~q~r~ ~eld inspections and review of Municipal ~cord ~t~tlt~ ~ow ystems am in confo~ance with MOA H~ gui, ~/l~ect , this date. Signature ~-~~ EngineeCs Na~e ,' ~JEFFR~ A. OARNESS Data ~/~ 1~ HA,& Fee $ ~0(~(~ Bate of Payment Receipt Number 72-026 (Rev, 3/96)* Computer Version Waiver Fee $ Date of Payment Receipt Number 09-11-00 16:58 FROM-CTE ENVIRONMENTAL .~t~ ' CT&E Environmental Services Inc. 5615301 T-O§2 P.02/02 F-375 1005343001 AK Water & Wastewater Consultants Inc. Colonial Park S/D 10 B2 Colonial Park S/D L10 B2 Drinking Water CT&E Ret.# Client Cllent Name Printed DatedTime 09/11/2000 14:11 Project Name/~ Collected Bate/Time 09/05/2000 14:00 Client Sample ID Received Date/Time 09/06/2000 14:25 Matrix Technical Dire.craft Stephen C. Ede PWsIDOrdered By 0 Releasc~~]~ Sample Remarks: Allowable Prep Analysis Parameter Results PQL Units Method Limits Date Date Init Nitrale-N 9.79 0.500 mg/L EPA 300.0 10 max 09/06/00 SCL 08-22-00 13:44 FROM-CTE ENVIRONMENTAL '~tK C T&EEnvironmen,aIServiceslnc. 5615301 T-042 P.02/03 R-OS? 1004743001 AK. War~r ,e, Wa,st~water Consultants Inc. Colonial Park S/D LI0 B2 Colonial Park S/D L10 B2 Drinkiag Water CT&E Ref.~ Cltenl~ PO~ Clien~ Name Prin~ed Dam~Time 08/22/2000 13:23 Project Name/~ Collecl:ed Da~c/Timc 08116/2000 13:20 Client Sample ~ Re~ived Dat~ime 0S/17~O00 12:00 Ma~rh Technical Di~z~ S~phen C. Erie Ordered B~ d~a~ ~ PWS~ 0 Release S~ple Remake: EP300 N~a~e: Labomm~ Consol Sample w~ ou~Jde accep~ce c~zaria (89J%). S~]e value may be bias low. P~eI~ Rcsalts PQL Um~ M~lhod Li~ Da~ Ni[rar. e-N 9.65 0,$00 mg/L EPA 300.0 10 max 0~/17/00 SCL Microbiolou¥ Laboraco~-~ Total Coliform 0 CoI/lOOmL SMI8 9222B 08/17/00 IDT DA-rE RECEIVED INSPECTION APPOI NTM ENTS TIME TIME TIME DATE DATE DATE INSPECTOR INSPECTOR INSPECTOR MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION 825 L Street - Anchorage, Alaska 99501 ENVIRONMENTAL SANITATION DIVISION Telephone 264-4720 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 ~.. PHONE MAILING ADDRESS PROPERTY RESIDENT (If different from above) PHONE 2. BUYER PHONE MAILING ADDRESS 3. LENDING INSTITUTION ~ / ' , - PHONE MZ~I-LI N G ADDRESS 4, REALTOR/AGENT / ,~'- I PHONE MA-I-I=J, NG ADDRESS ~:~ '~'~ - / ''/ , - ~/'~.,~. , 5. LEGA~L DESCRIPTION STREET LOCATION / 6. TYPE OF RESIDENCE Z~ SINGLE FAMILY [] MULTIPLE FAMILY 7. WATER SUPPLY INDIVIDUAL* [] COMMUNITY [] PUBLIC UTILITY NUMBER OF~BEDROOMS [] One [] Four [] Other~ [] Two [] Five ?lZ] Three [] Six * ATTACH WELL LOG. A well log is required for all wells drilled since June 1975. For wells drilled prior to that date, give well depth (attach log if available.) 8. SEWAGE DISPOSAL SYSTEM [~ INDIVIDUAL/ON-SITE** [] PUBLIC UTI LITY /..?8/ YEAR ON-SITE SYSTEM WAS INSTALLED. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010 (Rev. 6/79) THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE [] SINGLE FAMILY I--~ MULTIPLE FAMILY 2. WATER SUPPLY INDIVIDUAL [] COMMUNITY [] PUBLIC UTILITY Connection Verified 3. SEWAGE DISPOSAL SYSTEM [] INDIVIDUAL/ON -SITE []PUBLIC UTILITY Connection Verified []Septic Tank or [] Holding Tank Size: /.~, ~'D If Tank is homemade give dimensions: NUMBER OF BEDROOMS [] ONE [] THREE r-~ TWO r~ FOUR PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED [] FIVE r-~ SlX PERMIT NUMBER DATE INSTALLED INSTALLER SOILS RATING TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA 4. DISTANCES WELL TO: Absorption Area to nearest Lot Line MATERIAL Septic/Holding Tank ~Absorption Area I lSewer Line [] OTHER Nearest Lot Line 5. COMMENTS (~ APPROVED FOR ,_'~ BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) [] DISAPPROVED ~ DATE I BY ~ 72-010 (Rev. 6/79) · DAT'E RECEIVED INSPECTION APPOINTMENTS TIME TIME /~ .,~ ,i~.~F%/., TIME DATE DATE DATE ~UNIOIPALITY OF ANCHORAGE MUNICIPALI~ OF ANCHORAGE DEPT. OF H~ALTfl & DEPARTMENT OF HEALTH ~ ENVIRONMENTAL P~OTEOTI~qRONMENTAL P:'OTECTION 82~ L Street - A~hor~]e, Al~sk~ ggE01 ENVIRONMENTAL SANITATION DIVISION d ~ 1981 Telephone 264-4720 ~1 RE~TIO~$: ~mpl~ ~11 para an p~g~ ~. Inoomplote roqu~ will not be 1. PROPERTY OWNER MAILING ADDRE88 PROPERTY ID ~ ' ere t from above) PHONE 2. BUYER PHONE MAILING ADDRESS 3. I PHONE_ 4. REALTOR/AGENT J' [ PHONE MAI LING ADDR ESS 5. LEGAL DESCRIPTION STREET LOCATIOI~I / 6. TYPE OF RESIDENCE ~ SINGLE FAMILY [] MULTIPLE FAMILY NUMBER OF~BEDROOM8 [] One [] Four [] Two [] Five ~ Three [] Six [] Other 7. WATER SUPPLY INDIVIDUAL* [] COMMUNITY [] PUBLIC UTILITY * ATTACH WELL LOG. A well log is required for all wells drilled since June 1975. For wells drilled prior to that date, give well depth (attach log if available.) 8. SEWAGE DISPOSAL SYSTEM 'J~ INDIVIDUAL/ON-SITE" [] PUBLIC UTILITY YEAR ON-SITE SYSTEM WAS INSTALLED. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE [] SINGLE FAMILY [] MULTIPLE FAMILY NUMBER OF BEDROOMS [] ONE [] THREE [] TWO [] FOUR [] FIVE [] SlX [] OTHER 2. WATER SUPPLY [] INDIVIDUAL [] COMMUNITY PUBLIC UTILITY Connection Verified 3. SEWAGE DISPOSAL SYSTEM [] INDIVIDUAL/ON -SITE [~PUBLIC UTILITY Connection Verified I-7]Septic Tank~,.or [] Holding Tank Size: If Tank is homemade give dimensions: PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED PERMIT NUMBER DATE INSTALLED INSTALLER SOl LS RATING TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCES WELL TO: Absorption Area to nearest Lot Line Septic/Holding Tank JAbsorption Area ISewer Line INearest Lot Line 5. COMMENTS DATE r-~.-//~ROV ED FOR '"~ BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) [] DISAPPROVED 72-010 (Rev. 6/79) "~-' b~E RECEIVED ' INSPECTION APPOI NTM ENTS -~ME !TIME TIME DATE DATE DATE I NSP ECTOR INSPECTOR INSPECTOR MUNICIPALll ¥ ur ....... MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH D DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTI~ViRONMENTAL p3:O1'ECTiON 825 LStreet-Anchorage, Alaska 99501 ~./G ~ 4 Ig81 ENVIRONMENTAL SANITATION DIVISION Telepho.e 264-4720 RECEIVED REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES DIRECTIONS: Complete all parts on page 1. Incomplete reques~ will not be proce~ed. Please allow ten (10) days for processing. MAILING ADDRESS [ - ' - PROPERTY R~DENT'(~f different from above) ' ~ PHONE 2. BUYER PHONE MAILING ADDRESS 3. LENDING INSTITUTION PHONE MAI L I'N G'A'~ ~E~S' 4. REALTOR/~ENT ~ PHONE' I MAI LING ADDRESS 5. LEGAL DESCRIPTION 7- /o STREET LOCATION 6. TYPE OF RESIDENCE ~"--SI NG LE FAMILY [] MULTIPLE FAMILY NUMBER OF BEDROOMS [] One [] Four [] Two [] Five [~-.--.T-J3 ree [] Six [] Other 7. WATER SUPPLY J~i"~N DI VI DUAL* [] COMMUNITY [] PUBLIC UTI LITY * ATTACH WELL LOG. A well log is required for all wells drilled since June 1975. For wells drilled prior to that date, give well depth (attach log if available.) ~ ~, ~ 8. SEWAGE DISPOSAL SYSTEM [~'~I-N D I V I DUAL/ON-SITE** [] PUBLIC UTILITY YEAR ON-SITE SYSTEM WAS INSTALLED. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010 (Rev. 6/79) THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE [] SINGLE FAMILY [] MULTIPLE FAMILY [] ONE [] TWO NUMBER OF BEDROOMS [] THREE [] FIVE [] FOUR [] SlX [] OTHER 2. WATER SUPPLY [] INDIVIDUAL [] COMMUNITY [] PUBLIC UTILITY Connection Verified 3. SEWAGE DISPOSAL SYSTEM [] INDIVIDUAL/ON -SITE []PUBLIC UTILITY Connection Verified []Septic Tank or [] Holding Tank Size: If Tank is homemade give dimensions: PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED PERMIT NUMBER DATE INSTALLED INSTALLER SOILS RATING TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCES WELL TO: Absorption Area to nearest Lot Line Septic/Holding Tank IAbsorption Area ISewer Line Nearest Lot Line 5. COMMENTS [] APPROVED FOR BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) [] DISAPPROVED DATE IBY 72-010 (Rev. 6/79) Mu cipali of Anchorage 825 "L" STREET ANCHORAGE, ALASKA 99501 (907) 264-4111 GEORGE M. SULLIVAN, MAYOR DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION October 13, 1981 Greiner Construction Post Office Box 251 Eagle River, Alaska 99577 Subject: Lot 10 Block 2 Colonial Park Subdivision Approval for the individual sewer and water facilities cannot be granted until the following items have been completed: (1) (2) At the time of the inspection, the water was too turbid in order to take a sample. Please call this off for another appointment. The wires to the well head are in violation of the Muncipal codes and must be placed in conduit and reinspected by this office. If there are any further questions, please call this office at 264-4720 .... Sincerely, James S. Roberts Associate Environmental Specialist JSR/ljw CC: Alaska USA Federal Credit Union Pouch 6613 99502 Pete Ostdiek % Target Inc., Realtors 1021 West 25th Avenue 99503 Anchorage 825 -..,Z' STREET ANCHORAGE, ALASKA 99501 (907) 264-4111 GEORGE M. SIJLLIV,AN, MAYO[;I DEPARTMENTOF HEALIH AND ENVIRONMFNTA(.. PROTECTION May 27, .1981 TO: Whom It May Concern SUBJECT: Lot 10 Block 2 Colonial Park Subdivision Public sewer and water facilities are not available to the above subject property, making it economically unfeasible to connect to these facilities. This property will have to be developed using an on-site sewer system. If there are any further questions, please call this office at 264-4720. Sincerely, Les N. Buchholz, R.S. Senior Environmental Specialist LNB/ljw cc: File SWP/060 INDIVIDUAL PROPOS].iD CONSTRUCTION SUBJECT TO INSPECTIONS (2-23-81) 'G~ner,a~ inst~Mctions for submitting requests for det~rm~nation of reasonable value REQUIRED EXtl [111 'r.t; 1. VA Form 26-1805-1 completed by lender (current form). ~./ZOne copy of the Earnest Money Agreement in~'.luding I.l~t~ followt, ng statement: "It is expressly agreed that, notwithstanding any other provisions of this contract, the purchaser shall not incur any penalty by forfeiture of earnest money or otherwise be obligate, d to complete the purchase of the property described herein, if the contract purchase price or cost ex~Ceeds the reasonable value of the property established by the Veterans Administration. The purchaser sha].l, however, have the privilege and option of proceeding with the consummation of this contract without regard to the amount of reasonable value established by the VA." . Statement from builder: A. Number of lots owned in the area, number of unit:a proposed, number of units now under construction, and number of units completed but unsold. B. The request for appraisal is not made for the purpose of establishing a precedent nor to take advantage of or to evade the intent of provisions which prescribe that five or more units must be submitted and appraised by a committee. Three Plot Plans prepared in accordance with VA lh~ml~hlet 26A-3 pages 2, 3, 10 and !1. 5. Three complete sets of plans prepared in accordance with VA Pamphlet 26A-3;page 3, c. Floor plans, d. Heating; page 4, f. Plumbing, g. El. ectrical, h. Equipment, i. Exterior Elevations, J. Cross Sections, and;page 5, k. Details. ~.. Three VA Forms 26-1852, Descriptions of Materials, l!~ie~>ared in accordance with VA ~'~" Pamphlet 26A-3 and include the following 5n .qectinn 21 or 27: A. Carpet-Identify the brand, style, code humbler and In which certified carpet directory Jt is listed. B. Carpet Cushion - Provide complete description and certification that the cushion meets the requirements of HUD UM Bulletin No. 72. ~ Report from soils engineer: A. That assures adequate soil stability and drainal,~2 for the specific site. B. Recommendation as to the need for footing drains to assure subsurface drainage. //One copy of filed and accepted subdivision plat. '~.. One copy of recorded protective convenants. ' Evidence that local authorities have accepted the strec, ts, water, and sewer for maintenance, If an individual on site water or sewage system is involved: 'A. Statement from local authorities that public system is not feasible in the area. GStatement from local health authority that the s~te is suitable for the proposed system.. Statemeht from local health authority approving thc design of the proposed system. If a water supply other' than public or lndividual, provide: A. Name and details of organization and names of pr.[ncipal owners. B. Type and physical specifications of source, incl,d~ng capacity and number of present and potential users. C. Basis of charges (separate meters, assessment.~-;, r~tc.). D. Health authority approval. If Modular or Pre-blanufactured Construction, s~bmil ,.~ copy of thc HUD-FIL~, Structural