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HomeMy WebLinkAboutCAMPBELL POINT BLK 1 LT 5Onsite File Campbell Point Block 1 Lot 5 #011-262-19 MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program PO Box 196650 4700 Elmore Road Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 hftp://www.muni.org/onsite On -Site Wastewater Disposal System Permit Permit Number: OSP201495 Work Type: SepticTank Upgrade Tax Code Number: 01126219000 Site Legal Address. CAMPBELL POINT BLK 1 LT 5 G:2322 Site Mailing Address: 8502 HEATHER CIR, APT 000001, Anchorage Owner: BARNHILL BRENDA S Design Engineer: GARNESS ENGINEERING GROUP LTD This permit is for the construction of. Effective Date: Expiration Date: /pent S G h r:• m 1 eparttneut Lot Size in Sq Ft: Total Bedrooms: 12/10/2020 12/10/2021 21000 ❑ Disposal Field 0 Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage All construction shall 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 wastewater code requires inspections during the installation. The engineer shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing 7 Received By: a Issued By: Date: 1 / D Z Date: 4 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP201495, Rebecca Carroll, 12/10/20 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP201495, Rebecca Carroll, 12/10/20 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP201495, Rebecca Carroll, 12/10/20 DEPT. OF ENVIRONMENTAL CONSERVATION ANCHORAGE/WESTERN 555 CORDOVA STREET ANCHORAGE, ALASKA Mr. Mike Howard PUBLIC SERVICE OFFICE 99501 P.O. Box 240841 Anchorage, Alaska 99524 TONY KNOWLES, GOVERNOR RECEIVED OCT 21995 Dept Healtht&Human Services (907) 269-7519 ot\ - 9Lt0a-10t September 25, 1995 gSl�� C^-Qj Itjt_�n S (: `�% SUBJECT: Lot 5, Block 1, Campbell Point Subdivision, Anchorage, Alaska, Class C Public Water System and Wastewater Disposal System, ADEC Project Number 9621 -WW -202-012; Review Dear Mr. Howard: have reviewed your July 13, 1995 submittal regarding the upgrade of your four bedroom single family home into a three bedroom Bed and Breakfast. Based on this review, I have the following comments: Based on the submitted information and the fact that the demand on the existing water system will not be increased, it appears that the water system will be able to meet the demand without modifications. Therefore, the existing Class C Public Water System serving the three bedroom Bed and Breakfast and the one bedroom single family home located on the above -referenced property is approved for the concerns of this Department. The final Operation Certificate, constituting this approval, is enclosed. The Department is issuing Public Water System Identification numbers to all Public Water Systems. The Public Water System Identification (PWSID) Number assigned to your Class C Public Water System is 2118473. Please place the PWSID number assigned to your public water system on all analytical results submitted to this Department. Please submit one analytical result for total coliform bacteria and nitrate (as nitrogen) by March 30, 1996. 1 recommend yearly sampling for total coliform bacteria and nitrate (as nitrogen). The existing wastewater disposal system was tested on May 10, 1995, to determine if it will accept the waste flow from the one bedroom single family home and three bedroom Bed & Breakfast. On the day of the test, the existing wastewater disposal system was able to accept the minimum amount of water, therefore the wastewater disposal system is C131�1?�1,q Mr. Mike Howard 2 September 25, 1995 acceptable?,'In accordance with the provisions of 18 AAC 72, Wastewater Disposal Regulatiori§'and the Department's guidelines, the wastewater disposal system serving the facility on Lot 5, Block 1, Campbell Point is hereby approved for operation. The enclosed "Approval of On -Site Residential Water and Sewer Systems" certificate constitutes final operation approval for the existing wastewater disposal system. These approvals do not imply the granting of additional authorizations, nor obligate any state, federal, or local regulatory body to grant required authorizations. Thank you for your coordination with this Department. If you have any questions, please do not hesftate to contact me. Sincerely, Keven K Kleweno, P.E. Environmental Engineer KKK/pt Enclosure: As Stated cc: Lynn Johnston, ADEC/SCRO/EH/DW, w/o Enc. Jim Cross, P.E., MOA/DHHS, w/o Enc. Municipality of Anchorage Page of 3 DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 a Anchorage, Alaska 99519-6650 • Telephone: 343-4744 On -Site Wastewater Disposal System and/or Well Inspection Report SW 45V h R PID Number: 0 tt—a2(o a,— 15 Permit Number: Name: ( • 1 11 LL'r� Wastewater System: O New Upgrade Address: G, ABSORPTION FIELD r, O Phone: No of Bea oms: O Deep Trench O Shallow Trench O Bed O Mound Yother LEGAL DESCRIPTION Soil Rating. Total Depth from original grade: ,^ F— GPD/S Ft Lot: Blocs: SubdlviaiT Depth to pipe bottom from original grade: Gravel depth beneath pipe , IO it -� awl Pw.l Ft Ft. Township: Range: I I Section: Fill added above original grade: Gravel length: t Ft FI. WELL ❑New DUpgrade Gravel width: 61, t� Numberoflines: Distancebeln lines: I Ft FI. Classification (Private. A.B.C): Total Deptn: Cased To: Total absorption area: Pipe materiel: 301 Ft. Ft. SO Ft. ST Driller: Date Drilled: Static Water Level: Installer: Date Installed: 8 4S Ft. Yield: Pump Set at: I Casing Height Above Ground: TANK GPM I Ft, Ft. SEPARATION DISTANCES Vseptic ❑Holding OS.T.E.P. To septic Absorplion Lift Holding ublic/Pdgte Manufacturer: j Capacil I gallons: 1s� From Tana Field slaum Tana sewer Llries g W e S 4 Mater ay � Number Compartments: Well its I O-0 Cp,•r ,�( Surface Newt LIFT STATION Water Lot Size In gallons: Manufacturer: Line 3 "Pump on- level at: "Pump oft" level at: High water alarm at: Foundation8„ 0 L •J Curtain Drain `' 00 k �- Pump Maaea Model Electrical Inspections performed by: BENCH MARK Remarks: [a ca.aQ ate v Location and Descriptioy r F. Assumed Elevation: • (R.O r. ENGINEER'S SEAL s bB t� Inspections performed by: l Dates: is 2nd l6 Aa �: e.:.r.r,r� ;r. Department of Health nd Hum JServices appro al i Reviewed and approved by: Date: 72-017 (Rev, 9/91) MOA 25 N 50 0 50 100 150 200 250 300 SCALE, P = 100 FT. I LOT 3 I I F—f-- — i T 4 Izl I� Well o- D 5 5 II I V it I LOT 3 1 � I r J I r -- I I I I III LOT 4 III VACANT �� LJ I L KERI COURT_ � III LOT LOT 61 1 I VACANT I c VACANT I S $U►L 61 4 (qs TOBBEN SPURKLAND P.E. LOT 5 BLOCK 1 CAMPBELL POINT SID SEPTIC SYSTEM LAYOUT 203 W 15TH. AVENUE DATE: AUY1. 1995- ANCH. AK. 99501 BSOI HEATHER CIRCLE ___ ___ __. C.J LITTLE SHEET: //3 GRID: 2322 1500 1 �S �<11L1 (plIt LOT LINE u CONCRETE TANK IVATE TO THE BOTTOM OF AND BACKFILL VITH SEVER TO TOP OF CRIB. 7L AND COMPACT SURFACE FOR 'AVEMENT OSE OF EXCESS MATERIAL 'ITE CONCRETE BLOCK CRIB DEEP j e k to v <� lIGH 95.E ` 8L t PURKLAND TOBBEN SPURKLAND P.E. LOT 5 BLOCK I CAMPDELL POINT SID SEPTIC SYSTEM DESIGN 203 W 1STH. AVENUE 8501 H£ATN£R CIR DATE: MAY 3I, 1995 ANCH__AK: 99501 C.l. UTTL£ SHEET: 1/2 GRID: 2322 PAGE 1 OF 1 MUNICIPALITY OF ANCHORAGE a Dc> DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 C6 A-9 ANCHORAGE, ALASKA 99519-6650 ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT PERMIT NUMBER:SW950098 DESIGN ENGINEER:TOBBEN SPURKLAND, P.E. OWNER NAME:LITTLE C J & CHRISTA R OWNER ADDRESS:8510 HEATHER CIR ANCHORAGE, AK PARCEL ID:01126219 LEGAL DESCRIPTION: CAMPBELL POINT BLK 1 LT 5 LOT SIZE: 21000 (SQ. FT.) NUMBER OF BEDROOMS: 4 THIS PERMIT: 4 THIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: DATE ISSUED: 6/01/95 EXPIRATION DATE: 6/01/96 1. THE ATTACHED APPROVED DESIGN. 2. ALL REQUIREMENTS SPECIFIED IN ANCHORAGE MUNICIPAL CODE CHAPTERS 15.55 AND 15.65 AND THE STATE OF ALASKA WASTEWATER DISPOSAL REGULATIONS (18AAC72) AND DRINKING WATER REGULATIONS (18AAC80). 3. THE ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY CALLING 343-4744 ( 24 HOURS ) . (NOT REQUIRED FOR WELL ONLY PERMIT) 4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING WEATHER MUST BE EITHER: A. OPENED AND CLOSED ON THE SAME DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING 5. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: RECEIVED ISSUED BY BY • f� S DATE • �j(/ DATE: 1 Municipality of Anchorage 4} Department of Health and Human Services 825 "U' Street Rick Mysrrom, P.O. Box 196650 Anchorage, Alaska 99519-6650 Mayor 343-4744 June 2, 1995 Tobben Spurkland, P.E. 203 West 15th Avenue #206 Anchorage, Alaska 99501 Subject: Lot 5 Block 1 Campbell Point Subdivision Waiver Request #WR950022, PID #011-262-19, SW950098 Dear Mr. Spurkland: Your request for a waiver of the required 10 foot separation between a septic system and a lot line has been approved. The waived distance from the seepage pit to the lot line is 0 feet. This approval applies to the existing septic system lot line separation only. Any future upgrade to the septic system will require all separations be met or another approval from this department. 9e9S' cerely, S' C IrLPI) J roes Cross, P.E. Program Manager On-site Services JC/ljm " n MUNICIPALITY OF ANCHORAG_- Department of Health and Human Services On-site Services Section Waiver Review Worksheet WR# WR950022 PID# 011-262-19 HA# Permit # 50 9.fD O'16 Date Received: May 31, 1995 Legal Description: Tobben Spurkland, P.E. Engineer: 203 West 15th Avenue #206, Anchorage, Alaska 99501 Applicant: C.J. Little 1 Waiver Requested: Lnr LINE W41VC—A-- ;��T Criteria: 1. Geology: Points: A. Water Table B. Soil Sorption C'. Permeability D. Water Table Gradient E. Horizontal Separation TOTAL: 2. Special Conditions: 3. Other: Waiver is Granted: Waiver is NOT Granted: Rec #: 00936/3688 Amount: $ 115.00 Date Paid: May 31, 1995 T.SPURKLAND P.E. 203 W. 15th. AVE. SUITE 203 ANCHORAGE, ALASKA 99501 (907) 279-3916 Fax (907)-276-6013 Municipality of Anchorage Division of Environmental Health Department of Health and Social Services 820 I Street Anchorage, Alaska 99501 Subject: Septic System Upgrade Permit Lot 5 Block I Campbell Point Gentlemen; May 31, 1995 MUNICIPALITY OF ANCHORAGE ENVIRONMENTAL SERVICES DIVISION 14AY 3 1 1995 RECEIVED We are applying for an upgrade permit for this property. The existing system was installed without inspection and documentation. We excavated the concrete block crib and verified that no sewer rock was used as backfill as required. We suggest to excavate a pit 1511 x 15ft, 11.5 feet deep and backfill with sewer rock. This will give us an absorption area of 540 sq. Ft., 40 feet in excess of the required 500 feet. When the crib was installed it was located within 5 feet of the property line. We also request a lot line waiver down to 0 feet. The lot line in question is facing the road. ►vn. Wry T.SPURKLAND P.E. 203 W 15th. Avenue, Suite 203 ANCHORAGE, ALASKA 99501 (907) 279-3916 Fax (907)-276-6013 SEPTIC SYSTEM DESIGN LOT 5 BLOCK I CAMPBELL POINT C.J. LITTLE No Ground Water or Impervious Layer to 20 ft. Soil Rating. From test May 9, 1995 2.5 min/in - 1.2 gal / sq. ft. No. of Bedrooms 4 Required Area per Bedroom: 150/. 1.2 = 125 sq.ft.. Total area required: 4 x 125 = 500 sq. ft. Existing tank 1250 gal Existing Crib not backfilled with sewer rock. Crib is 9 feet high. 11.5 ft. Total depth. Excavate a pit 15'x I Y to bottom of crib and backfill with sewer rock. Do not excavate outside of lot line Absorption area: 4 x 15 x 9 = 540 sq.ft. The installation of this septic system will not prevent wells from be installed on the adjacent lots. There are no developed or natural surface / sub surface drainage courses on this or the adjacent lots. The proposed septic system will not change the general slope of the area. Ponding and/or concentration of surface runoff will not result from this installation. pg•1 50 0 50 100 150 200 250 300 SCALE.- 1' = 100 FT. I LOT 3 1 I ISI I 0 o; T 4 I :t I E,. D 1 if ell LOT 5 .rte: A, `9 *# \ tt? 49th ;P- BEN SPURKLAND .00. i No. CE -2225 o1 � II �_ I I 0 LOT 3 � I r J 1 r -- I I I I III LOT 4 III VACANT I I JI L K£RI COURT � I I III LOT LOT 61 I I VACANT I VACANT III I I DINONO I TOBBEN SPURKLAND P.E. LOT 5 BLOCK 1 CA31PEELL POINT SID SEPTIC SYSTEM LAYOUT 203 W 15TH. AVENUE DATE: MAY 1. 1995 ANCH. AK. 99501 850? HCATNCR CIRCLE ,___, ___ __.. CJ LITTLE SHEET: 1/3 GRID: 2322 1500 LOT LINE u CONCRETE TANK VATE TO THE BOTTOM OF AND BACKFILL VITH SEVER TO TOP OF CRIB. CL AND COMPACT SURFACE FOR 'AVEMENT OSE OF EXCESS MATERIAL 'ITE CONCRETE BLOCK CRIB DEEP I1GH �,.• J" 3 49th/ /,CN SPURKLAND No. CE -2225 � TOBBEN SPURKLAND P.E. LOT 5 DL0C6 I CAAIPDELL POINT S/D SEPTIC SYSTEM DESIGN 203 W 15TH. AVENUE 8502 HEM& CIR DATE: MAY 31, 1995 ANCH.-AK. 99501 C.✓. LITTLE SHEET: 1/2 GRID: 2322 T.SPURKLAND P.E. 203 W. 15th. AVE. SUITE 203 ANCHORAGE, ALASKA 99501 (907) 279-3916 Fax (907)-276-6013 Municipality of Anchorage Division of Environmental Health Department of Health and Social Services 820I Street Anchorage, Alaska 99501 Subject: Septic System Upgrade Permit Lot 5 Block 1 Campbell Point Gentlemen; RECEIVED MAY 31 1995 Muniapaf ty of Anchorage Dept. Health & Human Services May 31, 1995 We are applying for an upgrade permit for this property. The existing system was installed without inspection and documentation. We excavated the concrete block crib and verified that no sewer rock was used as backfill as required. We suggest to excavate a pit 1511 x 15ft, 11.5 feet deep and backfill with sewer rock. This will give us an absorption area of 540 sq. Ft., 40 feet in excess of the required 500 feet. When the crib was installed it was located within 5 feet of the property line. We also request a lot line waiver down to 0 feet. The lot line in question is facing the road. Both the tank and the crib is located under the paved driveway. AMC15.65.060(3) states that ...... disposal sites may not have driveways, parking areas or structures over them...." However 15.65.03011 states: " The Department may approve an on-site wastewater disposal system that does not conform to this Chapter if the Department finds, after consideration of relevant test results, engineering data, publications and other materials, that the system will function as effectively as a system that conforms to this Chapter. The applicant shall be responsible for furnishing proof that the system will function ass effectively as a system provided for in this Chapter". Freezing and crushing of the drainfield are two of the concerns addressed in 15.65.060(3). The existing crib was installed in 1976. The crib was examined on May 26. The top consist of a 4 -inch thick concrete slab. The walls are 8 -inch concrete blocks. There was no evidenced of structural distress. The top of the crib is 30 inches below the surface. The vertical pressure on the crib can be computed using Boussinesq's equation ( from Soils Mechanics in Engineering Practice, Terzaghi and Peck). The pressure will be greatest directly under the load and is given by P= 3Q/2i�z z where Q is the total load and z is the vertical distance. The maximum weight of a 3/4 ton vehicle is 8600 lbs. Assuming even distribution of the load, the load under each tire will be 2150 lbs. With this vehicle parked directly over the crib, the load on the crib cover is 164 lbs. Clearly this does not present any structural problem for a 4 -inch concrete slab or a 8 -inch concrete wall. Freezing of the crib and piping can be is not a problem. The piping can be covered with insulation, to obtain the equivalent of 5 feet of cover. The crib is 11 feet deep and the water coming in is at 60 degrees or warmer. The fact that this system has been operating for 19 years with no problems shows that freezing and vertical loading do not affect the operation of the system. Yours T-4a"j T. Sp land P.E. 2 AST. 35 AsT. 35 VERTICAL PRESSURE BENEATH LOADED AREAS 20.3 lese strata. horizontal plane within the body. It is obvious, without computation, •puted with that the intensity of the vertical pressure on any horizontal section building is through the loaded soil decreases from a maximum at the point located directly beneath the load to zero at a very large distance from this point. ubsoil, the A pressure distribution of this kind can be represented by a bell- or an be esti- dome-shaped space, as indicated in Figure 926. Since the pressure exerted 1. However, by the load spreads out in a downward direction, the maximum pressure r to be very on any horizontal section, represented by the maximum height of the grade, and, corresponding bell-shaped pressure space, decreases with increasing r the soil is depth below the loaded surface. Yet equilibrium requires that the total tnecessary increase of pressure on any horizontal section must be equal to the and size of applied load. Therefore, with increasing depth below the surface, the. pressure bells become lower but wider. Both theory and experience have shown that the shape of the pressure bells is more or Iess independent of the physical properties of the loaded anner that subgradc. Therefore, in connection with practical problems, it is custom - the Super- ary and justifiable to compute [hese stresses on the assumptions that the . computa- loaded material is elastic, tomo eneous, and isotropic. On these assump- srts of the Lions, a concentrated vertical load Q, Figure 89a, acting on the hori- ght of the zontal surface of it masa of very great extent pr(Auces at point N within if footings the mass a vertical pressure having the intensity, to founds- r s p, � 3Q 1 1 (35.1) 2xz2 l + (r z)" 'ted by an . Further- In this equation z represents the vertical distance between N and the to contact surface of the mass, and r the horizontal distance from N to the line of esign, the action of the load. • based on F(juation 35.1 is one of a set of strew equations, known as Boussinesq's ly spaced equations, that determine the entire state of stress at point N, Figure fence has 89a. However, in contrast to the vertical pressure p„ most of the other ts. There- components of stress at point N depend to a large extent on the stress- 4tionships deformation characteristics of the loaded material. Since soils are not bution. If even approximately elastic and homogeneous, the other stress equations ibution is or Boussinesq are not suitable for the computation of stresses in soils. ed by in- {� PRESSURE 11Is'ru1nU'1'IOv OV IIORI%Ox7'AL qIi(TIU!+S UE.IZEATII I.O.{ri1:U AREAS D AREAS In computing the vertical pressures in the soil beneath a building, it is commonly assumed that the building is perfectly flexible. If an arca on the surface of a very large mass carries a uniformly distributed and .orizontal perfectly flexible load of intensity q, the intensity of the vertical pressure on every at any point N, Figurc 896, within the mass may be computed by divid- '.Z.. 4 204 SETTLEMENT AND CONTACT PRESSURE Aar. 35 (s) Nw N. M. Xr r4 Fin. 30. (a) intensity of vcrtiad prcasum at point N in interior of wini-infinito solid acted on by fwcint local Q; (b) vertical prmum at Iwint N iw•neath center of circular ams netal on by Iwid q per unit of nook; (c) diagram illustrating use of influence dtart for computing verticil prc�surc. ing the loaded arca into small parts dA, each of which sustains a load, dQ — q dA This load is considered to be concentrated at the centroid of the ele- mentary area dA. According to equation 35.1, each concentrated load produces at point N a vertical prressure, 1 dpr 2,rs' Ll + (ds)'J'' dA (35.2) .� Municipality of Anchorage Department of Health and Human Services 825 V Street Pick htyP.O. Box 196650 Anchorage, Alaska 99519-6650 mayor May 18, 1995 Mr. Tobben Spurkland, P.E. 203 W. 15th Ave., Suite 203 Anchorage, AK 99501 Dear Mr. Spurkland: Ref: Certificate of Health Authority Approval for Lot 5 Campbell Point. Following review of your submittals for the issuance of a Health Authority Approval on this property, we have determined that additional information is required. As this system was installed without a permit and was not inspected or as -built at the time of construction, it is considered an undocumented system. Requirements for undocumented systems are listed in the Health Authority Approval Guidelines available at this office. These requirements include: 1. Perform a soil test near the existing system and determine the percolation rate of the accepting strata and depth to ground water. A valid soils test has been submitted to this office, however the water monitoring information needs to be entered. 2. Determine the total depth of the system. The total depth of the system may not be within four feet of the ground water table, or within six feet of bedrock. The Health Authority Worksheet lists the total depth as "12 ft. to 14 ft." S. Determine the type and dimensions of the existing system. The size of the constructed system must match the required design based on the percolation test. This information must be submitted to this office. 4. Perform and adequacy test on the system to show that the system functions as designed. This test has been performed, and the results have been submitted to this office. 5. Provide the department with an as -built drawing of the system and its relationship to property lines, adjacent wells and wastewater systems. A plan view drawing of this property has been submitted to this office with general Tobben Spurkland, P.E. May 18, 1995 Page 2 locations of wells and septic systems. However, the relationship of the disposal field and the eastern and southeastern property lines must be determined. The need for lot line waivers or other requirements will be determined following the receipt of this information. If you have any further questions on this matter, please contact me at 343-4744. At ames Cross, P.E. rogram Manager On -Site Water Quality PERFORMED LEGAL DESCR DE 1 (�JEJ 2 Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION TEST CAVAav-=L-L ?O l Nr 9mA—dt-I S, LA KLI Tio; y.k- 3 a .0 0 n0.1`�ILjUravtX J 5 t d 4.0. 6 a' and J .r vq 7 COMMENTS (Irl F.• e• r c; c; �'. (ENGINEER'S SEAL) i•. •.... ....•....4/.. nl DATE PERFOR4{EDE'•1 Section: WAS GROUND WATER `o r ENCOUNTERED? 6 S IF YES, AT WHAT L DEPTH? 9 Depth to Water Atter 6111 q5 Mooitoring7 � Date 0 to- if- 1112 12 - r< 13 S- 14- 15 16 r- `�• 17 18- ^<= 1 9 �G ? e ou 20 � o �-c- COMMENTS (Irl F.• e• r c; c; �'. (ENGINEER'S SEAL) i•. •.... ....•....4/.. nl DATE PERFOR4{EDE'•1 Section: WAS GROUND WATER AJ N ENCOUNTERED? S IF YES, AT WHAT L DEPTH? P E Depth to Water Atter 6111 q5 Mooitoring7 � Date SITE PLAN .- PERCOLATION RATE n2. h (mmutevmchh)) PERC HOLE DIAMETER 41 TEST RUN BETWEEN Z FT AND _ 3 FT PERFORMED BY: V—' 'I. 1 ^ —� CERTIFY THAT THIS TEST WAS PERFORMED IN :/ ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE * ` R 9- C/ — 72-008 (Rev. 4/85) M RECEIVED --- APR 2 41995 Municlpamy or Anchorage APR 18 'yg 15:30 MORTGAGEIVISERVICING mSStON COVER SHEET Dept. Health & HuRreil Services FACSWTRANS 5'� Time: ....:�� ........ ... . . Please do er tho fouowing PageW Nw.: ... ......... • ............. ..•...• cor"": ......... .. .............................. .................................... ..... ..,..G. ....Location: / ... ''•3 FAX ......... follow Tole ( ) .:....... .. ... t cover Sheet. N you do not WOWS 0 PAC"W ( ) . • • • . . . ..... .. page e) follow th S ase soon at poa,ai�lo• .. . . FROM: Name' ` • .......... . �Alaeke USA Federal Credlt Union [ )Atoka USA Fedora) Credit Union I 1 . • • • ' . . ' ' ' ' ' ' P.O. Box 91056 •. •••..•'••....••• P.O. Box 198813 Sestds. WA 98111.9168 • • • • • • • • " " " " " " Anohaage, AK 99619.68} •� Depanmant 7�!d ..rT� ... �D .� Telephone: ( ) , FAX Number: •• .•••• .• ........ ............................................... SPECIAL INSTRUCTIONS .. ...................6.......................... .............. ... .. ......... ..... •........................................................... I........•... .....1 .......... ..... ............................... ................... ... NIUY 111p R �fAH APR 18 '95 15:0 MORTGAGE SERVICING. .. ..... P.2 — ALASKA EnuiROWnTAL COMM SMi(,OS, InC. QRtin�plol 6 ERpi�eRlrmol sbairt oto- Qua - JANUARY 17, 1983 GEORGE T MURPHY 8502 HEATHER CIRCLZ ANCNORAGE ALASKA 99502 sE1.LER - GLARGE T MURPHY SUBDIVISION-GiYAft POINT 81ACE-1 IAT -5 CAmObtR4' pu�n� ADEOUACY TEST FOR SEWER SYSTEM szLLER - GEARCE T MURPHY SUBDIVISION-CAMBLL POINT B1ACK-1 LOT-3 ADEQUACY TEST FOR SEWER SYSTEM THE TYPE OF ABSORPTION SYSTEM IS A PIT WITH AN UNKNOWN AREA, THE SYSTEM IS CAPABLE OF ACCEPTING 600 GALLONS 01' WATER PER DAY. THE SURGE CAPACITY OF THE SYSTEM 18 700 GALLONS. BASED UPON THE TEST DATA THE SYSTEM IS ACCEPTABLE FOR A 4 BEDROOM HOW. THE SEPTIC TANK WAS PUMPED ON 1/18/83 THE EXISTING SEPTIC TANK VOLUME OF 1250 It ADEQUATE FOR THIS 4 BEDROOM HOUSE, NOTE: THE VOLUME OF THE SEPTIC TANK IS SHOWN ON THE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION RECORDS AS 1750 GALLON, PUMPING REMOVED 1000 GALLONS. A CHECK WITH A MAGNETOMETER INDICATED A TAWK'APPROEIMATELY 5 FEET WIDE AND 13 FEET LONO. A GREER 1750 GALLON TANK WOULD BE 14 FEST IANC AND A 1250 CALLON WOULD BE 10 FEET LONC. IT CAN SAFELY BE ASSUMED THAT THE TANK IS AT LEAST 1250 GALLON CAPACITY• 1400 Wed 334 Autnut. Suitt B • Anctomgt. Alas6 99503 a (907) 276.1361 -Municipality of Anchorage POUCH 6-650 ANCHORAGE, ALASKA 99502 (907) 279-2511 GEORGE M. SULLIVAN, 1I MAYOR t, 1 DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 1 (875 "L" Stmel) / ` February 28, 1977 _xrister Everston Anc orage, Alaska 99507- 2, Subject: Permit Expiration j 4P, Dear Mr. Everston: A permit isdued by this department for well it/ r on-site sewer installation on Lot 5 Block 1 Campbel oint Subdivision has expired since the issue date exceeds /nd ar. In the event you still plan to install th ell/or on-site sewer system, a new permit is required. soest original may be used to obtain a current permit. If the well has been drilled, a well 1� should be sent to this department to document the installation date. If you have any questions regarding /ove matter, please do not hesitate to contact this a mmediately at 279-25111 extension 224 or 225. , \ Sincerely, �R.S. Les N. Buchholz,f R.S. Sanitarian \ LNB.ljh •—\`�_ �'t� Ali IV -PA _-7 �` February 1, 1978 Fristen Evirtson 8502 Mather Circle Anchorage, Alaska 99502 Subject: Lot 5 Plock 1 Campbell Point Subdivision Before this department may approve the request for sewer and water approval, we will require a percolation test be perfomed. See the attached handout. Before the seepagethe pittest can be and the septic tank dmust be exTpiosed- the At the time of the test we can determine if there is a septic tank and its size. percolationif the there is not tank,anufa bgradeof your system will be required. If the upgaade of the system is needed, please contact this office for details prior to the upgaade. if there areaany further questions, please contact this office at 264-4720. Sincerely, P.obert C. Pratt, R.S. Sanitarian RCP/ljh cc: Earitage Homes 207 East Northern Lights Boulevard 99503 � 1� MUNI I C 1, SIL I TY OF Fir4c F", 2FiGE 'DEPARTMENT OF HEALTH FIND ENVIRONMENTAL PROTECTION -2510 E. TUDOR RD .ANCHORAGE, AK 99507 (T6-2221 44EILIL f r4C-a C : _<3 I TE SELJEFR PERM I T PERMIT NO. (76014) �RISTER EV RTSON Si.,i BOX 461R 3446068 LOCATION KEPI COURT OFF KINCAID RD LEGAL L5 B1 CAMPBELL PT SUBD LOT SIZE 22510 SQFT TYPE OF SOIL ABSORPTION SYSTEM... TRENCH NUMBER OF BEDROOMS 3 SOIL P,ATING,SQFTlBR 150 THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS:DEPTH= 16 LENGTH= 25 THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUT;DILL PIPE AND THE EXCAVATION BOTTOM IS 9 FT THERE IS NO SET WIDTH FOR TRENCHES. FOR THE DEPTH OF TRENCH OR PIT IS THE DISTA' BOTTOM OF THE EXCAVATION. THE LENGTH DIMEFJSIOFJ IS THE LE GTH 0 !E� LENGTH OF THE TRENCH, OR DRAM FIEL THE REQUIRED SEPTIC TANK SIZEvz BACKFILLING OF ANY S4rSTEM WIJA BE SUBJECT TO PROSECUTION. r(FIELD H�WIDTH I5 3FT. ETWEEN GROUND SURFACE AND THE SIDEJeoRA SEEPAGE PIT OR THE MINIMUM DISTANCE FROM WELL TO AF EPTIC TANK SYSTEM IS 100 FT FOR A PRIVATEWE AND 200 FT WELL LOGS MUST BE RETURNED TO E DEPARTMENT ION BY THIS DEPARTMENT WILL PACKAGE PLANT OR SOIL ABSORPTION FOR A PUBLIC I -JELL. WITHIN 30 DAYS OF THE WELL COMPLETION. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SETFORTH BY THE MUNICIPALITY OF ANCHORAGE AND WILL INSTALL IN ACCORDANCE WITH THE CODE. SIGNED. . . .. ................. ISSUED BY. IJ... r11�...... DATE. -7771�.71�- TN -L - 0 9 TESTING • EXPLORATION 9 CHEMICAL 9 MATERIALS 9 INSPECTION 279-2581 1940 POST ROAD ANCHORAGE. ALASKA 99501 July 12, 1974 Mr. Robert Hoffman 2358 Loussac Drive Anchorage, Alaska Subject: LotW� Block I Campbell Point Subdivision, Soils Dear Mr. Hoffman: Transmitted herewith are the results of the test hole placed on 11 July 1974 at the subject site. The exploration was accomplished approximately 82' east of the center of the structure, about 7' from the center line of the existing leaching pit which is 32' east of the septic tank. It is our understanding that the existing tank is 4' in diameter at the top, expanding to about 8' at the third point and being 16' deep. - The exploration showed the following: Depth in Feet 0.0' - 0.3' 3.0' - 7.0' 7.0' - 20.0' Soil Type F-2, Silty Sand, medium density, damp, SM. NFS, Sandy Gravel, dense, GW NFS, Sand, dense, SP Depth to Seasonal Frost: None Observed Depth to Water Table: No Free Water Observed Generally, the soils are rated as follows for use as an absorption bed: GW - 85 square feet per bedroom, SP - 150 square feet per bedroom. SM - 250 square feet per bedroom. The size of concrete block leaching pit computed for the absorption area indicates the existing system is sized for between 2 and 3 bedrooms. MEMBER Mr. Robert Hoffman July 12, 1974 Page 2 We trust the foregoing is sufficient and complete to your present needs though not necessary exhaustive of the possibilities, therefore, should there be questions please do not hesitate to contact the writer. very truly yours, HRL:rb • WELL CONSTRUCTION LOG Drilling CO.Norne, `///h _ r Q DSGS no. OrIIIsrVfj CQ Type of rig 01L ,(� "' j Dale mall completed 5—ZR--77 Well owner ) Q Nearest community i well location: (address & legal description) Location sketcl or remarks v 7 Depth of well It. Casing: depth _S�35 .2Il. diem.l�n-7 Static water larel 059 ft. (ak..►, below) land surface. Dstssz 7 Finish of wall: en -end screen, perforated. open -hole. other) Describe Intervals and size: Well yield tested by 6m Ing bailing, all) at gal/min. forlhours with _ft. of drawdown from static level. DRILLER'S MATERIAL LOG Depth belowland Dive description of strata penetrated surface in le et (size of material, color. hardness of drilling. and water content) / Y/ to tonn Jill to a w +N ) to b' Usti to oa' -'s)) bmtun ' s I Whh ,r-, �.)te 1S"lo IJ -7' )' 1�(0-I � -/_ta 1'la br S' �t 3NA -11't 1to a( �1 3]LV-t o ' C/Q — a to o _t _t o to to /EPL r.c c" Afro -!1'•.... to i h a; _t o to to ® Municipality of Anchorage On -Site Water and Wastewater Program r r� (907) 343-7904 Certificate of On -Site Systems Approval Parcel I . D.011-262-19 1. GENERAL INFORMATION: Expiration Date: 4Cp — Z I _ Complete legal description CAMPBELL POINT; BLOCK 1, LOT 5 Location (site address) 8502 HEATHER CIRCLE ANCHORAGE AK Current Property owner(s) MARY BARNHILL Day phone 541-973-9592 Mailing address Real Estate Agent 2. TYPE OF DWELLING: © Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4 Day phone 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well © Individual Q Individual Water Storage ❑ Holding Tank ❑ Community Class_Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ WaiverNariance request for: Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ 6--7)0 CDU1D Date of Payment Z -u( Z O Receipt Number 0k-7 7INC7 COSA# O�G20167I Waiver Fee $ Date of Payment Receipt Number Waiver # q. 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water Supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm: Garness Engineering Group, Ltd (GEG) Phone: 907-337-6179 Address: 3701 East Tudor Road Suite 101- Anchorage, Alaska 99507 t � Engineer's Printed Name: Jeffrey A. Garness Date: (z/ 3 / Zo In conducting this evaluation, GEG provided an engineering evaluation of the well and/or septic system in accordance with the guidelines and regulations established by the Municipality of Anchorage and industry practices. The reported results describe the condition of the system/s on the date/s of the evaluation. Separation distances were measured to readily identifiable features. Hidden defects or encroachments may exist that were not identified during the evaluation. The operational life of all wells G. CT` ' ;1 i `S< ��• and septic systems depend upon a variety of variables, including but not limited to, soil conditions, \t— ,f groundwater levels (that may fluctuate during the year), quality of construction (materials and % �i I workmanship), and the water usage of the family utilizing the system/s. These conditions can vary, and G•.' •. • •' I. ! ......... are outside the control of GEG. Satisfactory test results do not guarantee future performance of the % I system/s: therefore, GEG makes no warranty (express or implied) regarding the future performance of !/�'� •r the well or septic system. GEG makes no representation whether an alternative well or septic system ��� Je can be installed on the property in the event either of the current systems fail to perform adequately in Q� �. 'r C — "rr the future. The content of this report is for the sole benefit of the person/party that retained GEG to 3f perform the evaluation. Reliance upon the information provided in this report by any other person or YQ�jQa ryr 7 party (including subsequent property purchasers) is not authorized,, nor will it confer any legal right - whatsoever. #AECC884 6. DSD SIGNATURE System #1 Approved for bedrooms System #2 Approved for bedrooms Disapproved ON-SITE WATER,AND Conditional approval for _Lbedrooms, with the 9[CYvirw !AW PRTi R � `1 cr't -ems S -et C PRbGr, ARA •OAA� J Original Certificate Date: 1-6, -21 The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist _ Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other 06 Legal Description: CAMPBELL POINT; BLOCK 1, LOT 5 If more than 1 septic system on lot: COSA Checklist# of A. WELL DATA ❑ Well log is filed with Onsite (or attached) Date drilled 5/8/1977 Total depth 325 ft Cased to 325 ft Cj Sanitary seal is functioning correctly [71 Wires are properly protected Casing height (above ground) 12+ in. Date of flow test for COSA 11119/20 Static water level at beginning of test 244.1 ft. Comments Parcel ID: 011-262-19 Structure served by this system _ Well production at time of test 6.4+ gpm Water storage tank volume NSA gallons Well disinfected for coliform test? ❑ Yes ❑ No ❑ Coliform bacteria is Negative Nitrate mg/L ❑ Nitrate less than MRL (ND) Arsenic 5.67 ug/L ❑ Arsenic less than MRL (ND) Collected by GEG Date of Sample 11119/28 CONDITIONAL COSA - SEE ATTACHE B. TANK DATA SEPTIC TANK DESIGN C. LIFT STATION Age of tank(s) 52 years ❑ Required maintenance Tank type/material 'Onr S7E' Measured operating fluid level in septic tank - Fa -1 Standpipes/foundation cleanout per record drawing Date of pumping NIA D. ABSORPTION FIELD DATA Which system tested (date installed) = ❑ ALL standpipes present per record drawing Total measured depth from grade 9.5+ ft (max) Measured depth to pipe invert from grade * ft (min) ❑ N/A — pressurized field ❑ Monitor tubes go to bottom of effective. if not, state depth into effective "5.8 Age of lift station Lift station mater' Comme Adequacy test date 1112020 Results M✓ Pass For 4 bedrooms Fluid depth prior to test 3 in Water added 608 gal New depth 12 in Elapsed time 220 min FIN] Final fluid depth 4 in Code -required soil cover over field 600+ ❑ System presoaked Absorption rate gpd (Required if vacant for greater than 30 days prior to Any rejuvenation treatment (past 12 months) NO date of test) Ifes, enter date N/A Gallons introduced 2033 gallons y Comments/Deficiencies: *N/A SEEPAGE PIT • TOP OF SEEPAGE PIT TO BOTTOM COSA Checklist yellow sheet CKJ E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well) Septic Tank/Lift Station on Lot > 100' Yes if No Community Sewer Manhole/Cleanout > 100' If absorption field is under driveway comment below Property Line > 10' ✓Q Yes if No ft✓Q Yes if No ft Neighboring Tank > 100' El Yes if No ft Private Sewer/Septic Line > 25'F1 Yes if No ft Absorption Field on Lot > 100' Cj✓ Yes if No ft Holding Tank > 100' M Yes if No ft Neighboring Absorption Fields > 100' Animal Containment > 50' ✓0 Yes if No ft �✓ Yes if No ft Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' M✓ Yes if No ft . ❑✓ Yes if No ft CONDITIONAL COSA - SEE ATTACHED From Septic/Holding Tank on Lot to: (Please enter distances if less than required) TIC TANK DESIGN Building Foundations > 10' ❑ Yes if No ft Surface Water > 100' ❑ Yes ft Property Line > 5' ❑ Yes if No ft Wells on Adjace Absorption Field > 5' ❑ Yes if No Private Wells > 100' [:]Yes if No ft Water Main > 10 if No ft Community Wells > 200' ❑ Yes if No ft Wate me > 10' ❑ Yes if No ft If septic tank is under driveway comment below From Absorption Field on Lot to: (Please enter distances if less than required) Building Foundation > 10' Yes if No ft If absorption field is under driveway comment below Property Line > 10' ❑ Yes if No * ft Wells on Adjacent Lots: Water Main > 10' 0 Yes if No ft Private Wells > 100' Yes if No ft Water Service Line > 10' 0 Yes if No ft Community Wells > 200' Yes if No ft Surface Water > 100' F/1 Yes if No ft F. ENGINEER'S COMMENTS *SEEPAGE PIT OFF PROPERTY - SEE ATTACHED LETTER OF NON -OBJECTION FROM MOA RIGHT -OF -WRY G. ENGINEER'S CERTIFICATION QF ......... I certify that I have determined through field inspections and review ©�',`Q ..7 of Municipal records that the above systems are in conformance with 4 g TH1 Y MOA COSH guidelines in effect on this date. 0• * • • • / lU U Q J/erff%ry�A. Garness. Q �s C05A Checklist yellow sheet QQgo p,o f esslo�% #AECC884 M ENSTAR �' .: a Natural Gas Company December 3, 2020 Brenda S. Barnhill PO Box 220011 Anchorage, AK 99522 Subject: Letter of Non -Objection — drainfield Lot 5, Block 1, Campbell Point Subdivision To whom it may concern: ENSTAR Natural Gas Company A DIVISION OF SEMCO ENERGY Engineering Department, Right of Way Section 401 E. International Airpon Road R 0. Box 190288 Anchorage, Alaska 99519-0288 (907)277-5551 FAX (907) 334-7798 ENSTAR Natural Gas Company has no objection to the existing drainfield encroachment within the fifty feet (SOFT) wide Heather Circle Right -of -Way, adjacent to the east property line of Lot 5, Block 1 , Campbell Point Subdivision, according to Plat No. 66-78, Records of the Anchorage Recording District, Third Judicial District, State of Alaska. ***Be advised, there is natural gas facility located in the area *** Acceptance and use of this letter of non -objection by yourself, your heirs, your assigns, or your successors, will constitute agreement to the following stipulations: ® Landowner/Contractor working near ENSTAR gas facilities shall contact the Alaska Dioline, Inc., (907) 278-3121 or 811 for line locating two (2) business days prior to any related excavation. This service is free of charge. a ENSTAR will be held harmless, now and forever for any damages or injury to any person or property as a result of this encroachment. m Any ENSTAR facility damaged or destroyed, as a result of this encroachment will be repaired at no cost to ENSTAR, • Any costs incurred by ENSTAR for special construction necessitated by this encroachment will be borne by the land owner. ® All applicable safety code regulations will be observed and maintained, • This letter of non -objection will in no way preclude ENSTAR from full use and enjoyment of its rights within any portion of its right-of-way. Sincerely, P14t-'5N/-� Skylar Shavvr ROW & Compliance Technician ENSTAR Natural Gas Company GARNESS ENGINEERING GROUP, Ltd -."•.- --. ENGINEERING -7 SALES -CONSULTING December 911, 2020 Municipality of Anchorage Development Service Department On -Site Water & Wastewater Program 4700 Elmore Road Anchorage, AK 99507 Ref: Request for Conditional COSA - Campbell Point; Block 1, Lot 5 To whom it may concern: We are requesting that your department issue a conditional COSA for the subject property. The existing septic tank is concrete (installed in 1968), located in the driveway, and the inlet/outlet baffles are compromised (according to a camera inspection by One Stop Services); therefore, we are proposing to replace it (see the submitted design). Per the agent, the property sale is closing ASAP; therefore, they would like to obtain a conditional COSA so the septic tank can be replaced in the spring, after the soil in the driveway area is thawed. The existing septic system appears functional, so we do not anticipate any operational problems associated with its use until Spring. If you have any questions, please contact us at 337-6179. Thank you for your assistance. 3701 East Tudor Road, Suite 101 * Anchorage, Alaska 99507-1259 Phone: (907) 337-6179 * Fax: (907) 338-3246 * Website: www.garnessengineering.com CGIVA iL A 1 i ll . If Borrower: Tetpon Loan *:4000030577 This Agreement is by and between the undersigned Seller, Buyer and Escrow Agent of the following described property: 8502 Heather Circle Anchorage, AY. 99502 Whereas, the Seller, Buyer, and Alaska USA Mortgage Company, LLC the ("Lender") have entered into an escrow agreement for the purpose of expeditiously completing the sale of the above described property by allowing closing prior to the following work or improvements being made to the above property, or prior to Seller's paying, discharging, satisfying, and removing the following claims, clouds, liens, or encumbrances affecting the above property: Install new 1250 gallon septic tank and decommission exiting tank via pumping concrete. And whereas, the Lender agrees to act as Escrow Agent and dolluet TWENTY ONE THOUSAND AND NO/100 Dollars ($21,000.00) at closing, said sum to be disbursed to --Setter upon a determination by the inspecting appraiser [ ] and/or authorized agent [X] of the Lender that the above described work or improvements have been completed in a satisfactory workmanlike manner, or that the above described claims, clouds, or encumbrances have been paid, discharged, satisfied, and/or removed. Now, therefore, with the consent and approval of Buyer, the undersigned Seller, in order to induce Alaska USA Mortgage Company, LLC to act as Escrow Agent, agrees with Alaska USA Mortgage Company, LLC and its assigns, if any, as follows: 1. Seller will fully protect, defend, and save the Lender harmless from all loss, including cost, damage, actual attorneys' fees and expenses of every kind and nature which the Lender may incur by reason of the existence of any work or improvement which remain to be done on the above described property, or by reason of any claims, clouds, liens, or encumbrances affecting the above described property. 2. Seller acknowledges, understands, and agrees that the Lender shall have the sole discretion in the choice and designation of any attorneys that may be needed to defend and protect the interests of Alaska USA Mortgage Company, LLC. The Lender may, in its sole judgment, decide whether such legal representation is required. 3. Seller expressly agrees and contracts to perform all of the work or improvements required above, and/or to pay, discharge, satisfy and remove all of the claims, clouds, liens, or encumbrances affecting the property, as described above, on or before the 30th day of June, 2021. In the event that Seller has not performed all of the work or improvements required above, or in the event Seller has not paid, discharged, satisfied, and removed all of the claims, clouds, liens or encumbrances described above by the date specified above, the Lender at its sole option, shall have the right to do such work or improvements or pay, discharge, satisfy and remove such claims, clouds, liens, or encumbrances at Seller's expense. If the sums withheld pursuant to this Escrow Agreement are insufficient to pay such expenses, including attorneys' and consultant's fees and a reasonable fee for the Lenders services, then Seller agrees that any excess amounts paid by the Lender shall become immediately due and payable from Seller, together with the maximum interest allowed by law. If the Lender is required to bring legal action to recover any amounts due from Seller pursuant to this Agreement, Seller also agrees to pay all collection costs, court costs, and attorneys' fees which may be incurred by the Lender. The undersigned Buyer agrees Alaska USA Mortgage Company, LLC will act as Escrow Agent for the uses and purposes enumerated above, and agrees to cooperate fully with the Lender in determining whether the work or improvements described above have been done, and/or in determining whether the claims, clouds, liens, or encumbrances described above have been paid, discharged, satisfied and removed. In order to induce the Lender to act as Escrow Agent, the undersigned Buyer further expressly Mortgage Cadence Document Center (D 11362 02/16 Page 1 of 2 IIIIII�V'lllllllll!IVI�III II�IIIIII�IIIIIII agrees, understands, and acknowledges that the extent of any liability of the Lender to Buyer shall not exceed the sum to be collected by the Lender at closing pursuant to this Escrow Agreement. Buyer and Seller each understand, acknowledge, and agree that Alaska USA Mortgage Company, LLC or its successors and/or assigns is responsible in any way for the suitability and/or habitability of the above described property or for any act or omission of any inspecting appraiser. The Lender has no responsibility for insuring value of the property for determining suitability and/or habitability of the property. The Lender is acting as Escrow Agent only, and assumes no duties, responsibilities or liabilities not expressly set forth in this Agreement. Buyer and Seiler acknowledge that the Lender typically assigns its Escrow Agent duties to Alaska USA Federal Credit Union shortly after loan closing. Contact regarding administration of this escrow should be first directed to Alaska USA FCU Property Management Department. Words in this Agreement in the singular shall be deemed to include the plural, and the plural the singular. Without regard to the residence of any party to this Agreement, Alaska law shall govern the rights of all persons interested in this Agreement. In Witness Whereof, the parties have signed and sealed this Agreement on the dates shown below. r n._ ;., t l..-1 r /�o nda S Te�tpon mate Seller - Brenda Barnhill Date Seller's Fowarding Address: 8502 Heather Circle Anchorage, AVC 99502 lllllllllllllll�llllllllll�lnl�llllllll mortgage Cqdence Document Center C 1135202118 Page 2 of 2 NATMINVIZIMNIVA i. Borrower: Tetpon Loan #:4000030577 This Agreement is by and between the undersigned Seller, Buyer and Escrow Agent of the following described property: 8502 Heather Circle Anchorage, AK 99502 Whereas, the Seiler, Buyer, and Alaska USA Mortgage Company, LLC the ("Lender") have entered into an escrow agreement for the purpose of expeditiously completing the sale of the above described property by allowing closing prior to the following work or improvements being made to the above property, or prior to Seller's paying, discharging, satisfying, and removing the following claims, clouds, liens, or encumbrances affecting the above property: Install new 1250 gallon septic tank and decommission existing tAnk-via pumping concrete. And whereas, the Lender agrees to act as Escrow Agent and collect TWENTY ONE THOUSAND AND N®/100 Dollars ($21,000.00) at closing, said sum to be disbursed to Seiler. upon a determination by the inspecting appraiser [ ] and/or authorized agent [X] of the Lender that the above described work or improvements have been completed in a satisfactory workmanlike manner, or that the above described claims, clouds, or encumbrances have been paid, discharged, satisfied, and/or removed. Now, therefore, with the consent and approval of Buyer, the undersigned Seller, in order to induce Alaska USA Mortgage Company, LLC to act as Escrow Agent, agrees with Alaska USA Mortgage Company, LLC and its assigns, if any, as follows: 1. Seller will fully protect, defend, and save the Lender harmless from all loss, including cost, damage, actual attorneys' fees and expenses of every kind and nature which the Lender may incur by reason of the existence of any work or improvement which remain to be done on the above described property, or by reason of any claims, clouds, liens, or encumbrances affecting the above described property. 2. Seller acknowledges, understands, and agrees that the Lender shall have the sole discretion in the choice and designation of any attorneys that may be needed to defend and protect the interests of Alaska USA Mortgage Company, LLC. The Lender may, in its sole judgment, decide whether such legal representation is required. 3. Seller expressly agrees and contracts to perform all of the work or improvements required above, and/or to pay, discharge, satisfy and remove all of the claims, clouds, liens, or encumbrances affecting the property, as described above, on or before the 30th day of June, 2021. In the event that Seller has not performed all of the work or improvements required above, or in the event Seller has not paid, discharged, satisfied, and removed all of the claims, clouds, liens or encumbrances described above by the date specified above, the Lender at its sole option, shall have the right to do such work or improvements or pay, discharge, satisfy and remove such claims, clouds, liens, or encumbrances at Seller's expense. If the sums withheld pursuant to this Escrow Agreement are insufficient to pay such expenses, including attorneys' and consultant's fees and a reasonable fee for the Lenders services, then Seller agrees that any excess amounts paid by the Lender shall become immediately due and payable from Seller, together with the maximum interest allowed by law. If the Lender is required to bring legal action to recover any amounts due from Seller pursuant to this Agreement, Seller also agrees to pay all collection costs, court costs, and attorneys' fees which may be incurred by the Lender. The undersigned Buyer agrees Alaska USA Mortgage Company, LLC will act as Escrow Agent for the uses and purposes enumerated above, and agrees to cooperate fully with the Lender in determining whether the work or improvements described above have been done, and/or in determining whether the claims, clouds, liens, or encumbrances described above have been paid, discharged, satisfied and removed. In order to induce the Lender to act as Escrow Agent, the undersigned Buyer further expressly ",engage Cadence Document Center 0 1136202118 Page 1 of 2 �I�IIIII�fIVInIIIIIVIIflI�l�f�l�flllllll agrees, understands, and acknowledges that the extent of any liability of the Lender to Buyer shall not exceed the sum to be collected by the Lender at closing pursuant to this Escrow Agreement. Buyer and Seller each understand, acknowledge, and agree that Alaska USA Mortgage Company, LLC or its successors and/or assigns is responsible in any way for the suitability and/or habitability of the above described property or for any act or omission of any inspecting appraiser. The Lender has no responsibility for insuring value of the property for determining suitability and/or habitability of the property. The Lender is acting as Escrow Agent only, and assumes no duties, responsibilities or liabilities not expressly set forth in this Agreement. Buyer and Seiler acknowledge that the Lender typically assigns its Escrow Agent duties to Alaska USA Federal Credit Union shortly after loan closing. Contact regarding administration of this escrow should be first directed to Alaska USA FCU Property Management Department. Words in this Agreement in the singular shall be deemed to include the plural, and the plural the singular. Without regard to the residence of any party to this Agreement, Alaska law shall govern the rights of all persons interested in this Agreement. In Witness Whereof, the parties have signed and sealed this Agreement on the dates shown below. Borrower - Sonda S Tetpon Date S iii y .. Seiler - Brenda Barnhill ''Date Seller's Fowarding Address: 8502 Heather Circle Anchorage, AK 99502 Page 2 of 2 ifl�'IIIIInII�flIII�RIIIIllllllllll�fll' FA ST if 91,1 �aQooLS-6914 5�w 4n d o O4r0 T059t0001 4`y� �44000� o SEWER P/PE . ASBUXTSURVEY III =301 NO CORNERS SEF THIS DATE I HEREBY CERTIFY THAT I HAVE PERFORMED A SURVEY OF THE FOLLOWING DESCRIBED PROPERTY LOTS, BLOCK i CAMPBELL POINTSUB THE INFORMATION HEREON IS FOR THE USE OF LENDING INSTITUTIONS SPECIFICALLY TO SHOW ANY ANCHORAGE RECORDING DISTRICT, ALASKA, AND THAT THE CONFLICTS BETWEEN EXISTING STRUCTURES AND PLATTED LOT LINES AND/OR EASEMENTS; AND IS VISIBLE IMPROVEMENTS SITUATED THEREON ARE WITHIN NOT TO BE USED FOR POSITIONING ADDITIONAL STRUCTURES, IMPROVEMENTS, OR FENCELINES. THE PROPERTY LINES AND NO VISIBLE ENCROACHMENTS EASEMENTS OF RECORD, OTHER THAN THOSE APPEARING ON THE RECORD PLAT , ARE NOT SHOWN EXIST OTHER THAN NOTED. HEREON ( UNLESS INDICATED) MAY DATED AT ANCHdRAGE,ALASKA THIS 16 TN NOTE: FENCELINES THAT MAY APPEAR ON THIS DRAWING ARE NOT 70 BE USED TO DETERMHE DAY OF PROPERTY LINES OR POSITION ADDITIONAL IMPROVEMENTS. OCTOBER , 2619 ANY PAVING SHOWN HEREON MAY BE APPROXIMATE DUE TO EXCESSIVE SNOW AND/OR ICE, HOLT LAND SURVEYING 9309 GROVER DRIVE 201-3 ANCHORAGE,AK 99507 DocuSign Envelope ID: 6E6B52A3-6981-4DE9-ABB5-CA6AD1422192 en r yrs MUNICIPALITY OF ANCHORAGE �a,'SH .�� Development Services Department p Right of Way Section Department THIS AGREEMENT, made this 4th day of December, 2020, by and between BRENDA S. BARNHILL and her heirs, administrators, and assigns, hereinafter called "PERMITTEE", and the Municipality of Anchorage, a municipal corporation organized and existing under its Charter and the laws of the State of Alaska, hereinafter called the "PERMITTER". WITNESSETH: WHEREAS, PERMITTEE is the owner of the following described real property: CAMPBELL POINT, BLOCK 1, LOT 5, according to the official records thereof, on file in the office of the District Recorder, Anchorage Recording District, Alaska, and; WHEREAS, PERMITTER owns and/or maintains the real property more particularly described as follows: The FIFTY FOOT RIGHT OF WAY OF HEATHER CIRCLE, immediately on the east side of PERMITTEES property as shown on Plat No. 66-78, on file in the office of the District Recorder, Anchorage Recording District, Alaska, and; WHEREAS, PERMITTEE has placed a septic crib and seepage pit upon the referenced real property which encroach approximately 3.5 feet upon the PERMITTER'S Heather Circle Right of Way. NOW, THEREFORE, it is mutually agreed between the parties hereto that: I. The PERMITTER, acting through the Director of Development Services Department, hereby grants to the PERMITTEE the privilege of allowing septic crib and seepage pit to encroach approximately 3.5 feet upon the PERMITTER'S Heather Circle Right of Way, as shown on "Attachment A," included herewith. 2. The PERMITTEE agrees forever to indemnify, defend, save and hold harmless, the Municipality, its officers and employees, from any and all lawsuits, claims or actions brought to any person for or on account of damage to property or injury, disease, illness or death of persons, including all costs and expenses incident thereto, arising wholly or in part from or in connection with the existence of, alterations, maintenance, repair, renewal, reconstruction, operation, use or removal of the encroaching septic crib and seepage pit, as placed upon the PERMITTER'S Heather Circle Right of Way. 3. The PERMITTEE shall not assign or transfer any of the rights granted herein to another individual or company without first notifying and securing the approval of the Director of Development Services Department. DocuSign Envelope ID: 6E6B52A3-6981-4DE9-ABB5-CA6AD1422192 4. This Agreement and Permit grants PERMITTEE no interest in PERMITTER'S real property whatsoever, except only the encroachment rights described herein. The PERMITTER reserves the right to revoke this permit upon twenty (20) days written notice to the PERMITTEE. The PERMITTEE agrees upon such notice of revocation, to move said encroachment(s) from the Heather Circle Right of Way in which it is placed. Should the PERMITTEE refuse or fail to comply with said written notice, the PERMITTER may, without further notice to the PERMITTEE, remove or cause to be removed the encroachment(s), and the PERMITTEE hereby agrees to reimburse the PERMITTER for all costs incidental to the removal thereof. In addition to the mutual promises heretofore made, the PERMITTEE has paid the PERMITTER a one-time permit application fee of $120.00. The PERMITTER hereby waives the annual fee of $315.00. IN WITNESS WHEREOF, the parties hereto have hereunto set their hands and seal the day and year first hereinabove written. GRANTEE: GRANTOR: MUNICIPALITY OF ANCHORAGE •DocuSigned by: b{n AJa �((� � �, December 4, 2020 Bren aTffAVff9M-- Jack L. Frost, Jr. Owner Right of Way Supervisor DocuSign Envelope ID: 50AE9F6F-C249-4C64-9C62-A2E2655E0420 POST IN A CONSPICUOUS PLACE c r2 r ALL WORK MUST BE INSPECTED G ° r :-goe Field Inspection Request required 2 working days in advance of starting work and 2 working days in advance for final inspeciton. Call (907) 343-8206 (voice recorder) for scheduling. Permit is not valid without the call-in and also must include the one -call ticket (utility locate) number. MUNICIPALITY OF ANCHORAGE - RIGHT OF WAY DIVISION ll e P a r t m eyn t 4700 ELMORE ROAD TELEPHONE (907) 343-8240 FAX (907) 343-8250 RIGHT OF WAY PERMIT R202647 Type: Encrchmnt Status: Issued Grid: SW2322 Date Applied: 12/03/2020 Date Issued: 12/03/2020 Issued By: claudia.pinard Construction Start Date: Last Updated: 12/04/2020 Last Updated By: PWLMM Permittee: BARNHILL BRENDA S Work Order: Utility: Contact Person: Sonja Blewett (9907) 337-6179 Primary Inspector: Charlie Eliassen (907)343- 8419 Address/Loc: 8502 HEATHER CIR, APT 000001, Anchorage - @ Cramer Place. Legal Description: CAMPBELL POINT BLK 1 LT 5 G:2322 Original Work Description: Septic crib and seepage pit encroach approximately 3.5 feet into the Heather Circle Right of Way. Summarized Financial Transactions Fee Description Quantity Amount Permit 1 $120.00 Total Fees: $120.00 See reverse for. requirements/remarks. I have read and understand both sides of this permit. I agree to the terms and conditions; and t certify that all work will comply with federal, state, and municipal codes and regulations and the provisions of this permit. DocuSigned by: 12/7/2020 1 5:52 PST Signature: t�e_7� �._I�A Vtn �A �((, Date: 158871007C489... DocuSign Envelope ID: 50AE9F6F-C249-4C64-9C62-A2E2655E0420 s OJELL EAST 169.74 THE INFORMATION HER IS FOR THE USE OF LENDING INSTITUTIONS SPECIFICALLY TO SHOW ANY CONFLICTS BETWEEN E%I STZNG STRUCTURES AND PLATTED LOT LINES AHO/OR EASEMENTS; AND IS HOT TO BE USED FOR POSITIONING ADDITIONAL STRUCTURES, IMPROVEMENTS, OR FENCELIHES. EASEMENTS OF RECORD, OTHER TNAH THOSE APPEARING ON THE RECORD PLAT ARE H0T SNOUN HEREON (UNLESS INDICATED) NOTE: FEN CELINES THAT MAT APPEAR ON THIS DRAWING ARE NOT TO BE USED TO DETERMHE PROPERTY LINES BR POSITION ADDITIONAL IMPROVEMENTS. ANY PAVING SHOWN HEREON MAY BE APPROXIMATE DUE TO EXCESSIVE SNOW AHD/OR ICE. m �PNpLT DRNE77A�. OF•A(���o0 49 TH a SHANE A. HOLT LS -6914 p0a TR • .......• v'6 c� QFOsslonal �oo o SEH'FR PIPE A S -BUILT SURVEY f .7 = so r NO COAXERS SET THIS DATE I HEREBY CERTIFY THAT I HAVE PERFORMED A SURVEY OF THE FOLLOWING DESCRIBED PROPERTY LOTS, BLOCS' I C4A4PBELL POINTSUB. ANCHORAGE RECORDING DISTRICT, ALASKA, AND THAT THE VISIBLE IMPROVEMENTS SITUATED THEREON ARE WITHIN THE PROPERTY LINES AND NO VISIBLE ENCROACHMENTS EXIST OTHER THAN NOTED. DATED AT ANCHORAGE,ALASKA THIS 167H DAY OF OCT08ER , 2819 HOLT LAND SURVEYING 9309 GROVER DRIVE ANCHORAGE,AK 99507 Doc uSign Envelope ID: 50AE9F6F-C249-4C64-9C62-A2E2655E0420 I o a 0 a Z Y � �I4 Co new I n. loc. a Set 50. QQz� � I W Lu i N o I 0 1 O •� � JO, J ' A 89'15, - .01W.00' i'PdS8.1J 721.1, A. h J m J LQ 4 Q q V Win' 0 4 e LAYNE' R. RATCL/fFE (Not Subdivided) r 17>Ht r,•.+t c /G 2+Y o r ! 8B0 /•'.80 '�0� KERIr COURT fG'� /L0: 00 12 ri'o ; Ly.d � /CO; 00� JO' /SO.00 :30• �w o C' v � � 9�,OKr •Pv' o 1 � L 1;;.sb0 8 � � J 0 JS OvO=fes /L /LRST ci H -�� /10.00 /t2 110.00 �r 0 � /e,=ir.rj•0 D ,-e)7 14, .� Jo• 0 � I p 6 rrlyd � 6 /rao7 a O .�J ya. JO rw 90.00 //O.oO ~ QO.00 KERIr COURT 12 ri'o ; Ly.d � iio,00 ay.o90 ty 14 ,f��qq :30• �w o C' v � � 9�,OKr •Pv' _ � 4 IBJ oar 1 S .o• mo. 1 V i B,B C K 4 z O'�1C1e:1it� xra>��;t r 2,1iiry.ff. \ � � Rid'>i'f+ir PSz� 210.Oa L RSO, ao /oo. oo /oo, 00 108. oG 2Q t 6 W 3Q 0 Q'' I 6 a\1� 61j 511 r� . Al.... __ . _//�///!,i11111j�/'d!3•,/"/'//rs/�oYi1i�, � . r ' Its I� AREAS `ll/.532.576 eg. fl. 12.23 acres Lots 0� Y 85 471 1.46 High.cSt.. _u-=.�g•P �5+�f. 708,067 • 16.26 ACRES ..1----z�_ �"' LEGEND ---- ....... - -_ --• 9'20'4' 0 BLM Bross Cap Mon. in ploto G FN' ARM = 0 Bross Cap Subdlvieion Monument "--�-�---'---'-""- --- 20' Utii ltY Eo.e mol,' --T . ._ TIDE F_L X�. T ` v"7e •19' D 2'00' ' R HBc -s!79 f FCZ-7sz 97n — CERTIFICATE of OWNERSHIP WE HEREBY CERTIFY THAT WE ARE THE OWNERS OF THE PROPERTY SHOWN AND DESCRIBED HEREON. WE HEREBY REQUEST APPROVAL OF THIS PLAT, SHOWING SUCH EASE- MENTS FOR PUBLIC UTILITIES, ROADWAYS AND ALLEYS DED- ICATED BY US FOR PUBLIC �-USE, Bent ^_bDripercantage of ownanh1P OMA er �aJfOM•I.a, LIQanJCa,� Notary's Acknowledgment t Subscribed and sworn before mo Ills ay of ''`;;j 1 y d MY Comminbn EaPirm^�/J_ RSA -!o %— ,> '•;,,.ii�}i�.: tit Nalorr far Aloska PLAT APPROVAL PLAT APPR$VE't BY THE BOROUGH PLANNING COMMISSION THIS•9 '_DAY OF Aul Off lc a SURVEYORS CERTIFICATE I, THE UNDERSIGNED REGISTERED LAND SURVEYOR HEREBY '1 FY THAT A LAND SURVEY HAS BEEN COMPLETED BY ME T Y DIRECT SUPERVISION AND THAT CORNERS AND UM4}Ty, AVE BEEN LOCATED AND ESTABLISHED AND NSIONS SHOWN HEREON ARE TRUE AND.CORRECT. w �. plslerad Lund SurvoYer-1 �j SCALE I"= 100' CAMPBELL POINT" SUBDIVISION U.S. GOVERNMENT LOT 3, SECTION 9, T 12 N —R 4 W SEWARD MERIDIAN GREATER ANCHORAGE BOROUGH ANCHORAGE RECORDING DISTRICT, ALASKA, PROPERTY of MICHAEL J and ONNOLEE M. O'NEILL of ANCHORAGE, ALASKA. AND PETER J.ond ELIZAOETH J. XALAMARIOES of ANCHORAGE, ALASKA. Parcel I. D. 011-262-19 Municipality of Anchorage On -Site Water and Wastewater Program " (907)343-7904 sz c<v Certificate of On -Site Systems Approval 1. GENERAL INFORMATION Expiration Date: 7_/ ' 1 ` - Complete legal description Campbell Point, Block 1, Lot 5 Location (site address) 8502 Heather Cir. Current Property owner(s) Robert Krenzlok & CB Heliodora Day phone Mailing address Real Estate Agent 8502 Heather Cir. 2. TYPE OF DWELLING: El Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4 Day phone 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well El Individual Fx� Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ WaiverNariance request Received by: ,-, Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ SaiO Waiver Fee $ Date of Payment <'3/it/ Receipt Number COSA# Date of Payment Receipt Number Waiver # 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm Pannone Engineering Services LLC Address P.O. Box 100217, Anchorage Ak. 99510 Engineer's Printed Name Steven R Pannone 6. DSD SIGNATURE System #1 Approved for __q_ bedrooms System #2 Approved for bedrooms Disapproved Phone (907)272-8218 Date 4/4/2014 *:•49TH Steven •R.**nnone ) P CE -8149 Conditional approval for bedrooms, with the following stipulations: By: //l/, /O Original Certificate Date: The niali o Achorage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA blue sheet—C - _, c If more than 1 septic system is on the lot: COSA Checklist # 1 of + Structure served by this system 1 Certificate of On -Site Systems Approval Checklist Legal Description: Campbell Point, Block 1, Lot 5 A. WELL DATA Well type Private If A, B, or C provide PWS ID # _ Date completed 5/12/1977 Sanitary seal (Y/N) Y Total depth 325 ft. Cased to 325 ft FROM WELL LOG Date of test 5/12/1977 Static water level 255 Well production 9 WATER SAMPLE RESULTS: ril Coliform Neg colonies/100 mL Nitrate 0.1 mg/L Arsenic 5.09 ug/L Date of sample: 4/2/2014 B. SEPTIC/HOLDING TANK DATA Tank Type/Material Septic/Steel Tank size 1,250 gal. Number of Compartments 2 Foundation cleanout (Y/N) Y Depression over tank (Y/N) N High water alarm (Y/N) N Date of pumping 8/2/2013 Pumper A+ Home Services Parcel 113: 011-262-19 Well Log (Y/N) Y Wires properly protected (Y/N) Y Casing height (above ground) 18+ in. AT INSPECTION 4/3/2014 254 ft. 5.6+ g.p.m. Collected by: PIES Date installed 6/8/1995 Cleanouts (Y/N) Y C. ABSORPTION FIELD DATA Date installed 6/8/1995 Soil rating (g.p.d./ft2 or felbdrm) 1.2 GPD/BR System type Crib Length 15 ft. Width 15 ft. Gravel below pipe 9 ft. Total depth 12.3 ft. Eff. absorption area 540 ftz Monitoring tube Y_ Depression over field N Date of adequacy test 4/3/2014 Results (Pass/Fail) PASS For 4 bedrooms Fluid depth in absorption field before test 49 in. Water added 629 gal. New depth 51 in. Elapsed Time: 140 min. Final fluid depth 49 in. Absorption rate , 600+ g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) No If yes, give date D. LIFT STATION Date installed "Pump on" level at Datum Size in gallons in. "Pump off' level at _ Cycles tested E. SEPARATION DISTANCES WELL ON LOT TO: Manhole/Access (Y/N) _ in. High water alarm level at Meets alarm & circuit requirements? Septic tank/lift station on lot 100+ On adjacent lots 100+ Absorption field on lot 100+ On adjacent lots 100+ Public sewer main 75+ Public sewer manhole/cleanout 100+ Sewer /septic service line 25+ Holding tank 100+ Animal containment areas 100+ Manure/animal excrete storage areas 100+ SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5+ Property line 5+ Water main 10+ Water service line 10+ Wells on adjacent lots 100+ ABSORPTION FIELD ON LOT TO: Property line 0 Building foundation 10+ Water Service line 10+ Surface water 100+ Curtain drain 50+ Wells on adjacent lots 100+ F. COMMENTS * WR#950022 Absorption field 5+ Surface water 100+ Water main 10+ Driveway, parking/vehicle storage 0** ** See Tobben Spurkland's letter from May 31, 1995 G. ENGINEER'S CERTIFICATION I certify that I have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. Engineer's Printed Name Steven R. Pannone Date 4/4/2014 COSA brown sheet 10-10-12.doc in. I -NF WAL � Municipality of Anchorage ,. o e ' • Development Services Department _• ° iklf Building Safety Division �> On -Site Water and Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. _Q l 1- J6Q_ — 7 HAA # t4 A D 30 o'7 Expiration Date: �.zvz 1. GENERAL INFORMATION Complete legal description t! b 1 5 13K 1 0ArmP a r= LL. 7o I r11 Location (site address or directions) _ A 15o 2 0 1-ArT Ni' rz I rt Current Property owner(s) F_: tZ3F—fZ 1 kA a t.tAa.ADay phone Mailing address Lending agency Day phone Mailing address Real Estate Agent 3Acy Lt r 1i, Y L',q Day phone J-73,-72.5-42.74-ori"1z, Mailing Address Unless otherwise requested, HAA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: L/ 3. TYPE OF WATER SUPPLY: ' TYPE OF WASTEWATER DISPOSAL: Individual Well Individual On-site 15 Individual Water Storage ❑ Individual Holding tank ❑ Community Class Well ❑ Community On-site ❑ Public Water System ❑ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority Approval (HAA) based only upon the representations given in paragraph 4 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. (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 Authority 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 l e bbe k S'n v . V. (a Kot f Address ,2.o> Iy Is-" zo ,% Engineer's Printed Name /o et, !9py i l_ bk N rQ 5. DSD SIGNATURE Approved for _ bedrooms. Disapproved. Phone gjq-39/ 1g, Date til l-) 10 3 Conditional approval for bedrooms, with the following stipulations: Attachments: HAA Checklist X Septic System Advisory . Well Flow Advisory Maintenance Agreements Supplemental Engineer's Report Other By: Original Certificate Date: hAT/oJ (Rev. 01/02) - - ........ r ................ ... _.. ....................r.... �. v..r.vn.... �F..n...r . r..... . .... ... r. .... .......v ... .....�.... .. Municipality of Anchorage Development Services Department Building Safety Division e On -Site Water & Wastewater Program s 4700 South Bragaw St P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: Loi S. gy_ 1 CA MM3 ELLS —3?6 1 m7 Parcel ID:_ C 11 A. WELL DATA Welltype If A, B, or C provide PWSID # _ A Well Log 9 (Y/M Date completed x z%77 Sanitary seal (Y/N) 2/_ Wires properly protected (Y/N) Total depth A 5 ft. Cased to ft. Casing height (above ground) - PZ in. FROM WELL LOG AT INSPECTION Date of test 5/m/7 7 0 3 Static water level 6� ;� 5 ft. ,� 5 5 fL Well production g,p,m. g.p.m. ' WATER SAMPLE RESULTS: Coliform colonies/100 ml. Nitrate N_mg./l. Otherbacteriacolonies/100((m��i. Arsenic: mg./l. Date of sample:N I it, g Collected by: i , Sw . V'(o, „ dC B:-SEPTIC/HOLDING TANK DATA Tank Type/Material S( C. eK "-4(- Date installed 14 77 Tank size fJ2_n gal. Number of Compartments Cleanouts (Y/N) Foundation cleanout (Y/Nj Depression over tank (Y/N) t�,l High water alarm (Y/N) �f Date of pumping ~f!'�1 % Pumper _ At C. ABSORPTION FIELD DATA Date installed - N 77 Soil rating (g.p.d./ft2 or ft2/bdrm) _2 System type _&vlr reCc; -6 Length ! y ft. Width ! tr ft. Gravel below pipe 9 ft. Total depth 12Z ft. Eff. absorption area .h O ft2 Monitoring tube Depression over field hl Date of adequacy test 3 16 io 3 Results (Pass/Fail) _ For bedrooms Fluid depth in absorption field before test in. Water added -7.2o New depth in. f Elapsed Time: 3-6- mia, Final fluid depth2_Z in. Absorption rate >= /o o 'O g.p.d. Any rejuvenation treatment (past 12 mo.) (YIN & type) - t'4 If yes, give date V D. LIFT STATION Date installed "Pump on' level at _ Datum E. SEPARATION DISTANCES 1,zem gallons hole/1 (Y/N) "Pump off' level at _ in./ High water alarm level at in. Cycles tested �L_ Meets alarm & circuit requirements? SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot l f2 fi Absorption field on lot 1 .�-O + Public sewer main t-4�A Sewer /septic service line 1 &0 On adjacent lots i 1 oro On adjacent lots 7 / o -o Public sewer manhole/cleanout rl/A Holding tank N SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation D Property line a1 Absorption field / t)77 Water main SIA Water service line r> Surface water N b Wells on adjacent lots :> /0-0 SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Water main 1`41A Driveway, parking/vehicle storage D Property line 3 Water Service line Curtain drain rt 0 F. COMMENTS . ✓. Building foundation 65_ Surface water N O Wells on adjacent lots / "-) - _ _ - - C..,t- :.coo.._, 1:,. • :, i , i. G. ENGINEER'S CERTIFICATION I certify that l 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. Engineer's Printed Name t olnlo e K �pv �1L�a ►ti� %,%. `Q, r�; Date HAA Fee $ 11 p Waiver Fee $ Date of Payment Receipt Number (Rev. 12101) Date of Payment Receipt Number: Municipality of Anchorage o Development Services Department Building Safety Division On -Site Water and Wastewater Program ; 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. O 11— ,262 l at HAA # H11 03020:z Expiration Date: g .2 1. GENERAL INFORMATION Complete legal description Loi S Gpr N P BI:� LL Po i m T Location (site address or directions) 8 5 O Z I-} i AT -H tr a- C l"I_& Current Property owner(s) N e,r6er iao uraroQ Day phone YB-8�bq Mailing address Lending agency ' ' Day phone Mailing address Real Estate Agent 74L<i k' I- IZi wf Day phone Mailing Address Unless otherwise requested, NAA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: _ 3. TYPE OF WATER SUPPLY:' TYPE OF WASTEWATER DISPOSAL: Individual Well [� Individual On-site IT Individual Water Storage ❑ Individual Holding tank ❑ Community Class Well ❑ Community On-site ❑ Public Water System ❑ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority Approval (HAA) based only upon the representations given in paragraph 4 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. (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 Authority 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 1 o 66tH�pu rlClaK V I L Address 7-0 3 Engineer's Printed Name 1 o bl�e� Sn��lt lti�c� 5. DSD SIGNATURE V Approved for L _ bedrooms. Disapproved. Phone i2-79 -39/,b Date /7/0_3 Conditional approval for bedrooms, with the following stipulations: Attachments: HAA Checklist X Septic System Advisory y Well Flow Advisory WASTEWATER PROGRAM '�/� •_ .•••moi Maintenance Agreements Supplemental Engineer's Report Other By: Original Certificate Date: 3 (Rev. 01102) Municipality of Anchorage os* ' 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.enchorage.ak.us (907)343-7904 HEALTH AUTHORITY APPROVAL CHECKLIST GLOC*- I Legal Description: LOT 5 CA 1-t P •(3 M Lt_ p0 t r4l' Parcel ID: O 1 i- ,?.(o,Z- 1 A. WELL DATA Well type Date completed ✓�� 77 It A, B, or C provide PWSID # NSA Well Log (Y/N) -T Sanitary seal (YIN) 4 Total depth u f ft. Cased to mg --ft. FROM WELL LOG Date of test -$/11-h Static water level 7 J It. Well production 9 g.p.m. WATER SAMPLE RESULTS: Wires property protected (Y/N) �z_ Casing height (above ground) 2.q n. AT INSPECTION e25$ ft. g.p.m. Coliform colontes/100 ml. Nitrate -ba mg./1. Other bacteria N 0 colonies/100 ml. Arsenic: mg.R. Date of sample: S�r •3 Collected by: f Sum k Iwhue B. SEPTIC/HOLDING TANK DATA TankType/Material SeTL'e_ 61"ev4-k Date installed 1477 Tank size JA;; gal. Number of Compartments Cleanouts (YM) Foundation cleanout (YM) 4 Depression over tank (Y/N) N High water alarm (Y/N) 1�1 Date of pumping k5hel 0 > Pumper A+ C. ABSORPTION FIELD DATA Date installed A 71 Soil rating (g.p.d./ft' or ft2/bdrm) -L-?- System type Co w r t ie- cv. b Length j,� ft. Width 1 ft. Gravel below pipe _q _ ft. Total depth ( �„ ft. Eff. absorption area ffy0 ftz Monitoring tube Depression over field t`L Date of adequacy test 4r -I. -O"25 Results (Pass/Fait) _P_ For bedrooms Fluid depth in absorption field before test AA in. Water added I?�al. New depth,,_ in. Elapsed Time: 31MM611- Final fluid depth 21;in. Absorption rate >= g.p.d. Any rejuvenation treatment (past 12 mo.) (YM & type) N If yes, give date '/ j D. LIFT STATION Date installed ize in gallons Manhole/Access (Y/N) "Pump on" level at "Pump ofr level at High water alarm level at in. Datum Cycles tested Meets alarm & circuit requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot 1 15 On adjacent lots 7 ! oV--> Absorption field on lot 12 n f' On adjacent lots > >e -CP 1 Public sewer main N/A Public sewer manhole/cleanout Sewer /septic service line 1 D'O Holding tank N%d. SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation o20 Property line _ -5 Absorption field L5 Water main NlP• Water service line t Surface water i Wells on adjacent lots > Ivoc i SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: i Property line ?✓ Building foundation -10-S Water main P41a I Water Service lineoZ5 f Surfacewater Iq b Driveway, parkinglvehicle storage Curtain drain 14 0 Wells on adjacent lots ?/eo F. COMMENTS G. ENGINEER'S CERTIFICATION s' , ♦4 I certify that I have determined through field inspections and • "Oil C. review of Municipal records that the above systems are in J «. conformance with MOA HAA guidelines in effect on this date. ,c� a Engineer's Printed Name J spd r le.L0.N lX Date b — %— f7 3`ESStO�t aa, HAA Fee $ Waiver Fee $ Date of Payment -� 1O>lb� Date of Payment Receipt NumberRecei P t Number P (Rev. 12/01) 05-03-1995 04:11PM RE/MAX DAN WOLF _ 907 258 4687 P.02 _ 1i1VV 14••••• •.. r. r -. 10/24/94 07!08 $66RG �--_ F "' .;.A nCAN -1-40 TITLE _ tocol TZ, 7 • - t 1 1tA e • N � • lyes r. Oo .. �' - - ft1 1 $ 0 tow" I c7 ,t . Sw��p-et�lss pi� w000RetwAil. SFr r~ C wobn .� a f, •Z=� TA I R S lb �`. L� \� s, TEMP. OUT BLDG. NO FDIV,' pCIS . •CHRTIFICATE O� SURVEY ��` 407- 6 04. C Se &R.,.Pi r hraeb cartlty that 1 he•• tYrveyld the Follovi,n described .ope , A ` BUILT LOYt� $I,QCK 1 GAMI���t_L. Polmr gt gD!VISI~Q�t - BURVEYTITtf. • u � Sete ( -� 4- 0 book No. •.nstora8e Recording Wrtrlrt Atatka, erd tipet the lmprommAtt situated thereon art Ora•nnby+n FG Checked by� .:i-h:n the Property Una% and do not ovortap ev etnoroeeh on th/ property tytnp adjacent ;hereto, that n*"i"on property Mno adieoem thereto envoach on the prsmitte Job No. O3 Grid No.A122,-- ,n quenlon and that there .re no rvatl*m c trentmietion liras or other vlttble eetett+ente On wevitianr. pid W60wzy except as indicated hereon. .jeted at Ancheraga. Alaska, this day of . 6(I r3 R l"1 19 Po14N- 8172 Nota 7671 oat. owl` «, SARNARD ENGINEERING tea we. teal A•%.FfAA CieAnowreee, Am*" w9m ;L o■, Mimi I FOR! KKISTL■R E FZRTSON hre Wrog 1i i�rM�Ft Glii. )-. o Lo G MUNICIPALITY OF ANCHORAGE • ^• DEPARTMENT OF HEALTH & HUMAN SERVICES. Division of Environmental Services i'.1'- ': tr On-Site Services Section ; , P.O. Box 196650 Anchorage, Alaska ::99519-6650' ,..,..� . 3434744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING ' Parcel LD.# r21 2[�2 Iq Y HAA# V LJAg�nl'�n 1. GENERAL INFORMATION �Uf.� t ;:. • ;; - Complete legal description t -c T ~ eA 1-f PH luj- To f Location (site address or directions) B 50� Nta ��rtr C'i re�� Property owner -ar. Day phone Qy3 33?7 Mailing address X 50:2 f!ea�GAe 6'1rC//4e_ Lending agency Day phone Mailing address Agent �a.c� LLyi° P.06,y_ ' Day phone 6 '.2761 Address pL,b tsU �e1 ra[�° ✓4 - Unless otherwise requested, HAA will be held for pickup,',` 2. NUMBER OF BEDROOMS: T 70 r'r, 3. TYPE OF WATER SUPPLY: r o o Individual well Community well ; f. Public water NOTE: if community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system ` 111 � lit 4/ •� r . 4. TYPE OF WASTEWATER DISPOSAL y Individual on-site v s Holding tank y,. •'"'I:1111' '' 'I7) Y •%1}i,'i�.itf� �' i� . ,� 'f Community on-site 3 ;, Public sewer f•':;; ;' NOTE: it community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system.'? r'> 72_M(s.;.1/Y1) Front MOAF21 . , . 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 and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I furtherverify that based on the information obtained from the Municipality of Anchorage files and from my investigation and Inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. n Name of Firm---/O�>6tcr,ora�_ Phone �`'7Q'34/(a Address Engineer's signature 6. DH,HSS IGNATURE Approved for Disapproved. Conditional approval for a Additional Comments bedrooms. �oatiu0"/ bedrooms, with the following stipulations: 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 certaln 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.­;.,'! f Municipality of Anchorage Department of Health and Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description I ^ i - eo^ K -P° t � Parcel I.D. A. Well Data Welt type ?== If A, B, or C, attach ADEC letter. ADEC water system number YA Log present (YM) _�� Date completed S11 Driller tle-rrt/S Pr:II i KA Total depth 302 Cased to 3 A 5 Casing height / Sanitary seal (Y/N) y Wires property protected (YM) y FROM WELL LOG AT INSPECTION RECEIVED Date of test �� i i��s JUN 91995 Static water level o` �� Municipality of Anchorage Well flow 9 g.p.m. Deep kalth & Human Services Pump levetl ri�83 < W6-,( SEPARATION DISTANCES FROM WELL TO: Septictholding tank on lot 115 f ; On adjacent lots I Absorption field on lot ; On adjacent lots t Public sewer main tql/ , Public sewer manhole/cleanout Sewer service line i o Petroleum tank WATER SAMPLE RESULTS: Coliform Nitrate Other bacteria Date of sample: V1/11R Collected by: /�:;,t rhGsS B. SEPTIC/HOLDING TANK DATA Date Installed I g 7 % Tank size 1 2 50 Compartments Cleanouts (YM) _Foundation cleanout (YM) High water alarm (YM) Date of pumping 9-/.:19.%- SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: oz Depression (YM)_ tested (YM) r IJJQ�LG /.i Well(s) on lot 115 + On adjacent lots I rso Foundation c20 To property line f,2,-5 Absorption field j 7 Water main/service line S a Surface water/drainage CONTINUED ON BACK PAGE 72-028 (M3)' FMnt C. LIFT STATION N1 Date.-.-..-- 1 Manufacturer Size In gallons Manhole/Access (Y/N) Vent (Y/N) 'Pump on' level at -"Pump off*, Level at High water alarm level Cycles tested Meets MOA electrical codes (Y/N) 'SEPARATION DISTANCE FROM LIFT STATION TO: Well on lot On adjacent lots' Surface water D. ABSORPTION FIELD DATA Date installed fi R Soil rating (GPD/Ft2) System type G 2 Length I _Width ) 5 Gravel thickness Total depth 1 2 Total absorption area 5 Ll 0 Cleanout present (Y/N) Depression over field (Y/N) _ tjL Date of adequacy test N�.4 - Results (pass/fail) i' for _Bedrooms Water level in absorption field before test ��� �i�i4� After test Peroxide treatment (past 12 months) (Y/N) i \ O If yes, give date SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot 10,20 On adjacent lots Property line 3 To building foundation To existing or abandoned system on lot K e— On adjacent lots _- I" "t Cutbank N e vt -e Water main/service line > > O Surface watera vet— Driveway, -L( y, parkingNehicle storage area Curtain drain { 1 nN-- Q E. ENGINEER'S CERTIFICATION I cerG'fy that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Signature ' Engineer's Name J u r k I A �1Date HAA Fee $ Date of Payment Receipt Number 72-028 (399)• Back Waiver Fee $ Date of Payment Receipt Number T.SPURKLAND P.E. 203 W. 15th. AVE. SUITE 203 ANCHORAGE, ALASKA 99501 (907) 279-3916 Fax (907)-276-6013 Municipality of Anchorage Division of Environmental Health Department of Ilealth and Social Services 8201 Street Anchorage, Alaska 99501 Subject: HAA Lot 5 Block 1 Campbell Point Gentlemen; May 10, 1995 We are requesting an I1AA for this property. According to your file a permit was issued to install a well and septic system in 1976. This permit expired, with the explanation that an existing undocumented system was on the lot. Twice the Ilealth Department approved this undocumented system, but later rescinded the approvals. 1 have tested both the well and the septic systems and have concluded that both operate satisfactory. My test reports are enclosed. The enclosed siteplan shows the locations of the above ground portions of the systems. Except for a possible lot line encroachment of the seepage pit, all separation distances are met. Both the tank and the seepage pit are located in the driveway which is paved. There are one standpipe to both. The tank was pumped on May 5 by Isaac's. Norm reported that approximately 900 gallons were removed, but that water was slowly flowing back into the tank. This water was not coming from the residence whit as-vacantat4l_c time -J" hours atter the pumping 1 measured -12 5 inches of water in the tank/1 adrded 290 gallons to the tank yJ�ich iaisc�u wafer cve to 19.5 inch` This averages 41 gal ons per me . The next morning the water es 25.25 inches. Adding 208 ga�used the water level to raise 5.25 int es; or 39:6 -gallons perm he tank outlet was found at 31 inches. Based on these measurements I have 2oncludcd that this is a rectangular concrete tank with a volume of 1250 gallons. (40 gal x 31 inches) The seepage pit is a concrete ring, with unknown absorption area. Total rock depth is 9 feet with a water level of 75 inches at this time. On May 9 a testhole was drilled adjacent to the seepage pit. The soil conditions found are described on the enclosed "Soil Los'. No ground water was encountered. The monitor is still in place, I do not expect any water to show. The transfer of this property is scheduled for May 17th. Please review this submittal and notify me of any additional information you deem necessary to approve of this septic system. Yours rn g Tobb Spurkland P.E Tn71 O A Z 1 rM Q < a T.SPURKLAND P.E. 201 WEST ISTI I. AVENUE SUITE 203 ANCHORAGE, ALASKA 99502.3904 (907)279.3916 Fax (907)-276-6013 SEPTIC SYSTEM ADEQUACY TEST LEGAL: Lot 5 Campbell Point LOCATION: 8502 Heather Circle OWNER: Dr. C.J. Little RESIDENCE: Single Family WELL: Private On Site SEPTIC SYSTEM: FROM MUNICIPAL RECORDS: TANK:. ABSORPTION SYSTEM: ABSORPTION AREA: Sq. SOIL RATING: INSTALLATION DATE: 1977 WAIVERS GRANTED: None DATE OF LAST PUMPING: Isaac's May 5, DATE OF TEST: May 2 1995 7• a No Records Ft. 1995 TEST PROCEDURE: System was inspected and measured. Tank was found with 3.5 feet of cover and with a liquid level of 32 inches. Drainfield monitor was 11.5 feet deep with 74.5 inches of liquid. 720 gallons of clean water was added to the drainfield while the water levels in the tank and the monitor tube were monitored. The water level in the tank did not change, while the level in the monitor rose 23 inches. During the next four hours the water level dropped 21 inches, indicating that most of the water was absorbed during that time period. TEST RESULT: This system meets the code requirements of the Health and Social Services Department of the Municipality of Anchorage. NOTE: The operational life of all septic systems depends on the local soil conditions, 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 this septic system. We can therefore not give any estimate of how long this system will function satisfactory for current or future occupants. All septic systems ultimately fail. Some systems last 15-20 years, others fail after less than 5 years. I LEGAL: LOCATION: OWNER: WEST 15Ti1. AVENUE SUITE 203 ANCI10RAGE, ALASKA 99502-3903 (907) 279.3916 Fax(907)-276.6013 RESIDENTIAL WELL INSPECTION Lot 5 Campbell Point 8502 Heather Circle Dr. C.J. Little TYPE OF WELL: Private, Single Family WELL LOG AVAILABLE: Yes INSTALLATION REQUIREMENTS MET: Yes WAIVERS GRANTED: None Required WELL YIELD FROM WELL LOG: 9 Gallons per Minute PUMP YIELD FROM TEST: 5 Gallons per Minute DATE OF INSPECTION: May 2,1995 TEST PROCEDURE: Well was pumped at a constant rate while the drawdown was monitored with an acoustic probe. At the beginning of the test water level was found at 255 feet below top of casing. At a pumping rate of 5 gallons per minute the water level did not change. A total of 720 gallons were pumped. TEST FOR E.COLI AND TOTAL NITROGEN: Water was tested for E.Coli and Nitrates on April 11, 1995 E.Coli 0. Other Bacteria 0 Nitrates ND (None Detected). Max. allowable Nitrates 10 mg/l. No Bacteria Allowed TEST RESULTS: This well meets the requirements of the Municipality of Anchorage. The Municipal requirement for well flow is 150 gallons of water per bedroom per day. This well exceed this requirement. The assessment of the condition of the well applies only to the conditions as of the day tested. The flow rate may change due to subsurface conditions that may not be observed from the surface, and changes in the land use and other factors that may impact the aquifer feeding the well. 1 MUNICIPALITY OF ANCHO r- VEPARTM%) OF HEALTH AND ENVIRON EN. "f PROTECTION -825 L Street, Anchoraan. A a 99501 264-4720 #1: Time 9:3 .m. #2: Time Date2-1- 8 Wednesday Date f&) Insp Pra t Insp 1. rived: IJanuary 30, 1978 #3: TimeZy_' DateInsp REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES Lending Institution Request: Transamerican Mailing Address: + Phone: 2. Property Owner: Kristen Evirtson Phone: 243-0383 Mailing Address: 8502 Heather Circle 3. Legal Description: Lot 5 Block 1 Campbell Point Subdivision 4: Single Family Residence: (X) Multiple Family Residence: ( ) Number of Bedrooms: Four Number of Bedrooms: 5. Well System: Individual Well (X) Community/Public System ( ) Permit # Construction Depth of Well 300' Well Log on File 1v) Bacterial Analysis G. Sewage Disposal System: On-site System (X) Permit # Septic Tank Size Absorption Area Installed Public Utility ( ) Installer Manufacturer Soils Rate Material 7. Distances: Well to Septic Tank to Absorption Area to Sewer Line Nearest Lot line Absorption Area to Nearest Lot Line ..1` �� �._1" X1,0 -u1 -e,•+• e, ry 0 I 0,1 �, I XUL,� R a. ^) / o py. MUNICIPALITY OF ANCHORAGE \�b II Dap artment of Health and Environmental Protection a *.Zequest 825 L Street, Anchorage, Alaska 99501 �264-4720 for Approval of Individual Sewer and Water Facilities 1. Property Owner: Mailing Address: ?_a -L- Phone: 7Y3-0383 2. Name of Buyer: Mailing Address: Phone: 3. Lending Institution: �_nn�A -z Mailing Address: G+�-�� A" Phone: ?72-/So9 4. Realtor/Agent: Mailing Address:0-7 e' / "Phone: 476-/333 5. Legal Description: Street Location: 6. Single Family Residence: Number of Bedrooms: 7 Multiple Family Residence: ( ) Number of Bedrooms: 7. Water Supply: *Individual Well (>4) Public/Community System ( ) If Individual Well, well depth 301D If Community System, name of system 8. Sewage Disposal System: *tn-site System V4 Public System ( ) If On-site System, date of installation: *NOTE: A well log is required on ALL wells drilled since 6/75. **If on-site sewer system is over two(2) years old, an adequacy test is required by this department. A fee of $25.00 must accompany each request before processing can be initiated. 3/77'•- Page Two 'Department of Health and Environmental Protection Request for Approval of Individual Sewer and Water Facilities Legal Description: Lot 5 Block 1 Campbell Point Subdivision Comments: Affadavit Attached:/"E ) Letter Attache/ ( ) Approved: 1C Date: Disapproved: Date: Department Worksheet: 00 M t—I A� 1 _ C3 z RECEIPT FOR CERTIFIED MAIL -30e (plus postage) SENT TO POSTMARK OR DATE STREET AND NO. P.O., STATE ANP IIP CODE OPTIO N_IL OaIdateIONAL %EES_ Rr_sY [wEfl nAO EShowslIiChldfivm0r15 RAETUR_N. r Soo only -..-..., 654 [CFIPT ELond whore S.SM.W. n�llrxr/»f5f SERVICES wto deh erYt addrut o oY..........65f D_ELIVER—TO_ADDR_S_EE_ONLY.................................. _............... 60r SPECIAL DELIVERY (rnra far rowiroZ........ ....... ... ............. - — PS Fares _ Ern rrRYloANrr rnurnaer pionvrnrn_ Apr. 1971 a0w NOT FOR INTERNATIONAL MAIL .OPO: Em ee 40-743 . GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 Date Received 7A -Z /7� Time of Inspection Date of Inspection REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR 1. Approval requested by: Mailing Address: 3 .���--s—z �ci �CJG�• Phone: 2. Property Owner: Mailing Address: 3. Legal Descriptio Phone: 4. Location: 5. Type of facility to be inspected No. of bedrooms 6. Well Data: A. Type J\ o w- i C. Construction 7. Sewage Disposal System: A. Installed I qt j d" �a6g C. Septic Tank: 1. Size B.\ Depth D. Bacterial Analysis B. Installer 2. Manufacturer D. Seepage Pit: 1. Absorption Area 2. Material E. Disposal Field: Total length of lines 8. Distances: A. Well to: Septic tank Absorption area Sewer Lines Nearest lot line Other contamination B. Foundation to septic tank , Absorption area C. Absorption area to nearest lot line EQ -034 (1/74) Page 1 of two pages r�- Page 2 of two page r _ R auest for Approval of Individual Sewer & Water Facilities Lel/Description Comments _ Disapproved Date Approval Valid for one year from date signed Greater Anchorage Area Borough, Department of Environmental Quality DIAGRAM OF SYSTEM r 4 -, /,, � , t, `O xo'f A -AA* 671 I certify that the informatiati contained in this accurate representation of the subject sewer and are operating satisfactorily. SIGNED EQ -034 (1/74) 71Q, a � s for a proval to be a true and acilities and these facilities Date