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FISCHER BLK 1 LT 3B2
Fischer Block 1 Lot 3B2 #015-292-24 Municipality of Anchorage Community Development Department Page 1 of 3 On -Site Water $ Wastewater Program 4700 Elmore St. • P.O. Box 195650 Anchorage, AK 99519-8850 • http:/Avww.muni.org/onsits • (907)343-7904 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP141466 PID Number: 015-292-24 ❑ New ®Upgrade Name: CHERYL SHELLABARGER ABSORPTION FIELD ❑ Deep Trench ® Shallow Trench ❑ Bed ❑ Mound ❑ Other Address: 5120 SPRUCE CREEK CIRCLE 99507 Phone: No. of Bedroome: (907) 830-6261 3 Saff Rabng: 4 CPO/Sq. Ft. Total Depth from anginal grade: 4.0 MAX F. LEGAL DESCRIPTION Depth to pipe Invert from anginal grade: Gravel depth beneath pipe: 3.5 MAX Et, 0.5 Ft. Subdivision: Block: Lot: FISCHER 3B-2 owns ip: — anger — ec ion: — F11 aaa.a shave original grade: SEE DWG. Ft Gravel oath: Gravel length:1 25 F. da Number of Ilnes between nose: 5 n. IDistance — Ft.Total SEPARATION DISTANCES a°earytian area:amber 125 SQ. Ft o Iranehw: 1 Dist. between tmnehw: T° Septic Abso ption Lift Holding Public/Private From Tank Field Station Tank Sewer ansa Well too'+ *85'+ 100'+ — 25'+ TANK ❑ Septic ® S.T.E.P. ❑Holdin []Other Surface water 100'+ 100'+ 100'+ — Manufacturer: GREER capaaa, 1500 Gal. Lot Line 5'+ *6'+ 5'+ — Material- Number of rnmpartmente: N/A STEEL 2 Foundation s'+ 10'+ 5'+ — LIFT STATION Curtain Drain NONE KNOWN Manufacturer. capacity: GREER/QUANICS 1500 cal. Remarks: *SEE #OSP141467 Pump on Mel at: TIMER rap o IeM ob TIMER High water ala. at: 46 OLD TANK DECOMMISSIONED PER UPC. Pump Mace s Mmol: Bectrkal Inspections performed by: THIS IS A QUANICS AEROCELE CAT II SYSTEM GOULDS PE51M MOA I PIPE MATERIAL SCH 40 House to tank D3034 Tank to D2665 drainfield Installer NORTHERN EXC. Drainfield D3034 CO/MT D3034 Inspector GEG, Ltd. BENCH MARK (Assumed elevation) 100.00 Inspection Dates: 1st 10/29/2014 2nd 10/29/2014 Location and Description: 3rd 10/29/2314 4th 10/30/2014 BOTTOM OF SIDING AT FCO Community Development Department Approval approval: Date: PJIOINEEB WAL oo�oo �F..s�0 pConditional 49 IJ �� 0 �....:....I......... ............ :• 00 f Garn s0 _ Ne10 aAo OOOpo�� t°PProVed ti Date:Professiona, i.wcuon n.yvn _1 L X A A O c� p m I D m A y T ITT _ z m o m z " cG CS O cvo I 71 m mu n 00 0 O or Az m A z c� -limo I z o O z m o'KZ € m m y N mop 'If If Jw w O It m m'AZ m w > m n z m x I m A co m O n tt c O0 A m m o com CIDW i O i 3 ZOO 0 00000 V O D y D N z z ; Z -0-1 J � -�D�o C) NT o • ` --^ O O c A r-I- -r-I<O v� m m D D )0 m r m 1:' r N W �� c is Z Aiv Z u O C D ti n rD r C m O v IT m A i D r 0 03 z X Z r Z o < -n m z z Im D u r IT go O .A o m xZ O O n O A z0 A n -D_N A D X m yA D 2O y <r o IT, w O Ao Z N DA O r A � D� N y Oz - In -I1 m Do E z o z O c IT IT I O A z �OA m Q �O m D mC7 A m O m Oz 4 �C •` �� SHELLABARGER PHONE NUMBER: 4;'W\v 'of GARNESS ENGINEERING GROUP Ltd 83°-826, PAGE NUMBER- . CNII&ENVIRONMENTALENGINEERSm w nmm n -n a,z r 3 OF 3 ]01E. MOOR ROgp, S01TE 101'ANCHORAGE. PN 9950]'PMONE 90n 33]8P8'iAX (PO 3383296'WE651TE wfm.e LEGAL DESCRIPTION: .�� FISCHER; BLOCK 1, LOT 3B2 D�DNJ.G. TYPE OF WORK: PROFILE ASBUILT DAT11 /5/14 Municipality of Anchorage Community Development Department - Development Services Division P.O. Box 196650 - Anchorage, Alaska 99519-6650 - 4700 Elmore Road Info and Help: (907) 343-8211 INSPECTION: Voice: (907) 343-8300 Fax (907) 249-7777 Inspection Report - Electrical APPLICATION NO. RETROE141610 Master/Standalone Permit Permit Type: Electrical Res Inspection #: 331767 Address of Project: 5120 SPRUCE CREEK CIR Parcel: 01529224000 Contacts Contractor (907)868-3593 INTELLIGENT DESIGN, LLC" 13841 SAVAGE DR Owner PISCOYA THOMAS G & SHELLABARGER CHERYL M Inspector Comments: —n� Inspector: �P pi2 t,NS—i�iL Date:— //— !O —0-0/ � On -Site Wastewater Disposal System Permit MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 Elmore Road, PO Box 196650 Anchorage, AK 99519-6650 Telephone: (907) 343-7904 Permit Number: OSP141466 Tax Code Number: 01529224000 Work Type: Septic Upgrade Permit Effective Dates: October 28, 2014 to October 28, 2015 Design Engineer: GARNESS ENGINEERING GROUP LTD Subdivision: FISCHER Site Legal Address: FISCHER BLK 1 LT 3B2 G:2537 Owner/Address: PISCOYA THOMAS G & SHELLABARGER CHERYL M 5120 SPRUCE CREEK CIR ANCHORAGE AK 995076824 Site Mailing Address: 5120 SPRUCE CREEK CIR, Anchorage Lot Size in Sq Ft: 11370 Total Bedrooms: 3 This permit is for the construction of: Y Disposal Field Y Septic Tank N Holding Tank N Privy N Private Well N Water Storage /o: 3z a�o-o All construction must be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80). 3. The wastewater code requires inspections during the installation. The engineer must notify the Development Services Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either: A. Open and Close on the same day. B. Covered, sealed, and heated to prevent freezing. Received Issued By Municipality of Anchorage Development Services Division On -Site Water and Wastewater Program went NOV� F a y r' epal tment **** VARIANCE/WAIVER REVIEW **** Waiver#: OSP141467 COSA#: Permit#:OSP141466 PID#: 016-292-24 Legal Description: Fischer, Block 1. Lot 3132 Engineer: Garness Engineering Group Applicant: Cheryl Shellabarger Your request for a waiver of the required 10 feet horizontal separation from the absorption field to the property line has been approved. The approved separation distance is 8 feet. Your request for a waiver of the required 100 feet horizontal separation from the absorption field to the two private wells, one on the subject property and one on Fischer, Block 1, Lot 3B1 has been approved. The approved separation distance is 85.0 feet. This waiver approval applies to the proposed absorption field only. Any future upgrade to the on-site wastewater disposal system will require all separation distances be met or another approval from this department. ® The affected adjacent property owner(s) have been given a 7 day notice regarding this waiver. ❑ Notarized letter(s) of non -objection have been received from the owner(s) of the affected adjacent property. ❑ Adjacent properties are not affected by this waiver. ..............................................................................I Waiver is Granted: X Waiver is not Granted: Date: Approved b Name of Reviewer ............................................................................. MUNICIPALITY OF ANCHORAGE Community De artment • p Phone: 907-343-7904 Development Services Fax: 907- 343-7997 On -Site Water & Wastewater Program p Mayor Dan Sullivan UBMITT ,,' On -Site Sewer/Well Permit Application OCT 2 02014 For A Single Family Dwelling Gretchen Stutter Parcel I.D. 015-292-24 Property owner(s) CHERYL SHELLABARGER Day phone 830-6261 Mailing address 5120 SPRUCE CREEK CIRCLE *ANCHORAGE AK 99507 Site address "51_Z0 SPRUCE CREEK CIRCLE *ANCHORAGE AK 99507 Legal description (Sub'd, Block & Lot ) FISCHER BLOCK 1 LOT 3/B2 Legal description (Township, Section & Range) Lot Size Sq. Ft. Number of Bedrooms 3 APPLICATION IS FOR: APPLICATION IS AN: , TYPEOF DEWELLING: all that apply) Initial Absorption Field ® ❑ Single Family (SF) Upgrade ® (w/wo ADU) Septic Tank ® Duplex (D) ElRenewal ❑ Holding Tank ❑ Multiple Dwellings ❑ Privy ❑r.00T ITT Private Well 11�� !Water Storage ❑/ n 20a4� THIS APPLICATION INCLUDES A VARIANCE/ WAIVER REQUEST FOR: DRAINFIELD TO 2 WELLS NORTH LOT LINE AND EXISTING DRAINFIELD Distance 85',85',8' S= 1 certify that the above information is correct. I further certify that this is in accordance with applicable Municipal codes. GARNESS ENGINEERING GROUP Ltd. (Signature of property owner or authorized agent) Permit/Rush Fees: Waiver Fees: Date of Payment: 16la& 14 Date of Payment: l obm/ lc Receipt Number: 53y-7 Receipt Number: �/ Permit No. Waiver No. [3n 5PA/A/ a4�P (Rev. 01/11) � GARNESS ENGINEERING GROUP, Ltd Fido....Id'�a`�� t, CIVdL & ENVIRONMENTAL ENGINEERS -� - October 28, 2014 Municipality of Anchorage Development Service Department On -Site Water & Wastewater Program 4700 Elmore Road Anchorage, AK 99507 Ref: Septic System Upgrade for Fischer; Block 1, Lot 3-132 To whom it may concern: The existing 3 bedroom house is served by a private well and septic system. The drainfield is in a state of failure and needs to be upgraded. We are proposing to install a shallow trench type drainfield, and a MOA CAT II approved system consisting of a 1500 gallon STEP tank, a 650 Aerocell pod and a Quanics control panel. Both a Biocycle & Advantex systems are approved alternatives; however, an MOA approved change -order will be required. One testhole was excavated on the property and the proposed drainfield is designed around the 30 foot radius of this testhole. Comments regarding the design are below; 1. SOILS: See the attached soil log which shows the soil rlassifications, groundwater monitoring, and the percolation test results. 2. DRAINFIELD DESIGN: See attached design drawing for drainfield specifications. 3. SURFACE WATERS: There are no surface water concerns. 4. TOPOGRAPHY: As can be seen on the attached topography drawing, the average topography around the proposed drainfield is flat. In short there are no slope concerns. 5. WELLS TO DRAINFIELD WAIVER REQUEST: We are requesting an 85 foot waiver be granted from the proposed drainfield to the existing wells on Lot 3-132 & Lot 3-131. The following are mitigating factors for the justification of these waivers: Attached is the well log for the subject property. The well depth is 267 feet. The soil appears to be a variation of silty gravel. The topography of the lot is such that if the proposed drainfield were to overflow, the effluent would travel in the opposite direction of the well heads. 3701 East Tudor Road, Suite 101 *Anchorage, Alaska 99507-1259 Phone: (907) 337-6179 * Fax: (907) 338-3246 * Website: www,garnessengineering.com Page 2 of 2 • Water samples results for Lot 3-B1 (8/3/05) indicated no bacteria present and 0.81 mg/L nitrate levels. Recent water samples results for Lot 3-132 (9/12/14) indicated no bacteria present and 2.10 mg/L nitrate levels. In short, the water quality is within MOA, state, and EPA requirements. • We are installing a CAT it septic system which produces an effluent that is much higher quality than standard septic tank effluent. The system will be continually monitored, be under a maintenance contract, and be inspected as required. 6. DRAINFIELD TO LOT LINE WAIVER REQUEST: Due to site constraints, we are requesting an 8 foot lot line waiver to the north lot line. Spruce Creek Circle borders the north property line, in short, there are no other septic systems within 10 feet of the proposed drainfield. We are unaware of any adverse impacts this installation or waivers would have on adjacent wells or septic systems. If you have any questions, please contact us at 337- 6179. Thank you for your assistance. P.E., M.S. 3701 East Tudor Road, Suite 101 *Anchorage, Alaska 99507-1259 Phone: (907) 337-6179 * Fax: (907) 338-3246 * Website: www. garnessengineering.com II ; II I II I rFISCH LOT A3, 1 � 11 OpW� p0 11VFSCHEF \` I lOT 3B5 \ I \ I L_ FISCHER S/6 / I FISCHER LOT 4C2/ K 1 LOT B4 � I I 1 SE 7FISCURH T 3A2, S/D ` BK 1� / FISCHER S/D y I LOT 313, BK 1\/ \10 I 11 I FISCHER/D LOT 386, RK 1 W � Ili I�z � FISCHER S/D I~ / LOT 3B7, SK 1 I �, 1C AREq CSEPTIC— — — ARE S P RtJ-C-E—CIZESK C i r /�# LOT / HOUS \ \ G 1 I S----iHEDQ \s"- - — - — - — - — --- Azo — - — - — -�-- — - — - —- \ \ \\104TH ArVENUE LOUDERMILK S/D LOT 7, GARNESS ENGINEERING GROUP, Ltd ... .ih .............. . — CIVIL & ENVIRONMENTAL ENGINEERS 3701 E. MOOR R . SODS 101 • M HOWE. W 99507. PHONE 907) 337-8179 • FAY (907) 338-5218 • W SRE: wr.gameawngNeeN ... u vuu .. ... ...... PREPARED FOR: PHONE NUMBER: PAGE NUMBER: e A. mes CHERYL SHELLABARGER (907)830-6261 1 OF 3 �j�i°' Cj 7$53 LEGAL DESCRIPTION: DRAWN BY: �♦,j� FQ')c 110 I1l(�••P FISCHER; BLOCK 1, LOT 3B2 D.J.G.TYPE OF P ••. 1 SITEWPLAN DATE: 09/17/2014 ,,�4 5s�** rl N SCHER S/D T 3A1, BK 1 \ \ S/D ` BK 1� / FISCHER S/D y I LOT 313, BK 1\/ \10 I 11 I FISCHER/D LOT 386, RK 1 W � Ili I�z � FISCHER S/D I~ / LOT 3B7, SK 1 I �, 1C AREq CSEPTIC— — — ARE S P RtJ-C-E—CIZESK C i r /�# LOT / HOUS \ \ G 1 I S----iHEDQ \s"- - — - — - — - — --- Azo — - — - — -�-- — - — - —- \ \ \\104TH ArVENUE LOUDERMILK S/D LOT 7, GARNESS ENGINEERING GROUP, Ltd ... .ih .............. . — CIVIL & ENVIRONMENTAL ENGINEERS 3701 E. MOOR R . SODS 101 • M HOWE. W 99507. PHONE 907) 337-8179 • FAY (907) 338-5218 • W SRE: wr.gameawngNeeN ... u vuu .. ... ...... PREPARED FOR: PHONE NUMBER: PAGE NUMBER: e A. mes CHERYL SHELLABARGER (907)830-6261 1 OF 3 �j�i°' Cj 7$53 LEGAL DESCRIPTION: DRAWN BY: �♦,j� FQ')c 110 I1l(�••P FISCHER; BLOCK 1, LOT 3B2 D.J.G.TYPE OF P ••. 1 SITEWPLAN DATE: 09/17/2014 ,,�4 5s�** rl N Ut23ftiN UKI I LNIH: GEG, Ltd. HAS A 8 PAGE SPECIFICATION / \ NUMBER OF BEDROOMS: 3 LETTER THAT PERTAINS TO THIS DESIGN. \ GALLONS PER DAY (GPD): 450 TO OBTAIN A COPY OF THE LETTER CONTACT GEG. BY PROCEEDING FORWARD PERCOLATION RATE<INCH \ PROPOSED APPLICATION RATE: ON RATE: 4.0 (CAT IQ WITH ISELLDRILLEERENGINEER. R, CONTRACTOR AND \ MINIMUM DRAINFIELD SO.FT.: 113 FT2 PROPERTY OWNER AGREE THAT THEY N HAVE READ THESE SPECIFICATIONS AND DRAINFIELD DESIGN: AGREE TO ACCEPT THE TERMS AND S E P -M— — — MAXIMUM DEPTH OF EXCAVATION: 6.0 FT CONDITIONS OUTLINED. WIDTH: 5 FEET AREA SCALE: LENGTH: 25 FEET NOTE: THE CONTRACTOR 1" = 40' M.O.A. APPROVED SAND FILTER: 2 FEET SHALL HAVE THE NORTH & EFFECTIVE: 0.5 FF EAST LOT LINES, ALL WELL REDUCTION FACTOR: N/A RADII, AND APPROVED WAIVER ACTUAL SO.FT.: 125 FT' DISTANCES FLAGGED BY A SPRUCE CREEK CIRCLE REGISTERED LAND SURVEYOR — — — PTI OLD CRIB TO BE FILLED AND PROPOSED 1500 GALLON \ DECOMMISSIONED PER UPC. /.�"�� STEP TANK. FISCHER S/D ARE EXISTING TANK TO l�X —_ —_ LOT 384, BK 1 BE DECOMMISSIONED( PER UPC. Fs�% — — — ` PROPOSED \�TI DRAINFIELD \ o T \ AF�E D M \ �« \\ � // /. RIJEW�. e.� LC —J \ I/ EXISTING 3 FCO FISCHER S/D ARAGE BEDROOM FISCHER S/D \ LOT 3B3, BK 1 HOUSE LOT 381, BK 1 \ r11 1 100, f I 100' WELL RADIUS IJ— — 1 wfk HE �EpU£Sj REQUES 1� \ EAST 104TH AVENUE " GARNESS ENGINEERING GROUP, Ltd " 4 ..... ......... =— CIVIL & ENVIRONMENTAL ENGINEERS 3701 E. IDWR R01D, SME 101 • MCHOP , M 99507 • PHONE (907) 337-6179 FM (907) 338-3248 WEB;RE: xv .9amaeeen9 ^veno ... . ........... ..... PREPARED FOR PHONE NUMBER PAGE NUMBER. e y A. Go nes CHERYL SHELLABARGER 830-6261 2 OF 3 ����� _ 3 LEGAL DESCRIPTION: DRAWN BY: 10110 IN:•' FISCHER; BLOCK 1, LOT 3—B2 DJG f '••••..... • TYPE OF WORK: DATE: ♦♦ �I%FESS\U —b ♦ SEPTIC SYSTEM DESIGN UPGRADE 10/6/14 STANDARD TANK CONFIGURATION NOTE: FLOAT LEVELS ARE FROM BOTTOM OF PUMP. (t) IS FROM BOTTOM OF TANK. 'JANDY VALVE FLOAT IS INSTALLED ONLY ON CAT. 111 INSTALLATIONS. "ON/OFF FLOAT ADJUSTED FOR CAT. II OR CAT. III APPLICATION. ELECTRICAL WIRE/S ( SUPPLIED BY CONTRACTOR) SEE INSTALLATION MANUAL FOR SPECIFICATIONS - 4" CLEANOUT QUANICS AEROCELL CAT. 11 OR CAT. 111 QUANICS AEROCELL SYSTEM CATEGORY 11 OR CATEGORY 111 CONFIGURATION (3 TO 4 BEDROOM SYSTEMS) QUANICS CUSTOM CONTROL PANEL WITH SENSAPHONE REMOTE MONITORING SYSTEM AND OPTIONAL JANDY VALVE ACTUATOR SWITCH (NO LOW LEVEL G"AN" ALARM TERMINALS) . 24" INSULATED LID 4" BY 4' WIDE RIGID INSULATION CENTERED OVER PIPES QUANICS AEROCELL 650 TREATMENT MODULE WITH INTERNAL DIVIDER WALL AND CLEANOUTS SIM/TECH PRESSURE FILTER UL LISTED SPLICE BOX WITH 5 CORD CONNECTORS W 2" UL LISTED LB BOX 0 z= NO Q rA E 0 v W m 24" RISER. TOP 4 FEET W} Z= INSULATED WITH 2 INCHES w c~n 1 M�1 �" URETHANE WITH OPCOAT - V) Z.Lu J J W U m PVC CONDUIT FOR ELECTRICAL W a H Z° m CONNECTIONS ( FLOATS & PUMP) 2" OF INSULATION OVER TANK I � 0.S° J^ U) Q U IS RECOMMENDED ON ALL \\\\ 0J OU.} LUO M (ow M a INSTALLATION REGARDLESS ❑wW 2 m LL - L C� M LU Cf= OF BURIAL DEPTH 2O m� a clf ILL, \ aU w z1,0 2" DISCHARGE LINE 1.25" SUPPLY LINE "--2" RECIRCULATION LINE HIGH WATER FLOAT ----------------------------------" -` TIMER OVERRIDE FLOAT JANDY VALVE FLOAT ( REQUIRED !_----JANDY CAT. III APPLICATION ONLY) 1500 GALLON S.T.E.P. TANK LOW LEVEL CUTOFF FLOAT (ON/OFF) SUPPLIED BY GREER TANK ----------- - - ---- -- 10 GAUGE. RATED FOR 10' BURIAL _ �} GOULDS PE51 M FROM ALASKA PUMP OR BAFFLE ( SEALED) - WELDED EQUIVALENT ( SUPPLIED BY GARNESS ENG.) AROUND ENTIRE PERIMETER I PUMP PLATFORM f 4" VISUAL PORT 4 4" BY 4' WIDE RIGID I INSULATION CENTERED OVER PIPE 2" DISCHARGE LINE BUSHING TO DRAINFIELi DRAINFIE'.:-). SEE APPROVED ENGINEEREI; DESIGN DRAWING/S� INSULATED JANDY VALVE BASIN. OPTIONAL - ONLY REQUIRED FOR CAT. 111 3YSTEMS NOTE: ALL PIPE IS TO BE SCHEDULE 40 PVC UNLESS NOTED OTHERWISE. NOTE: ALL PIPING FROM S.T.E.P TANK TO AEROCELL MODULE SHALL BE PLACED ON SUITABLE BEDDING MATERIAL THAT IS MECHANICALLY COMPACTED. LL LINES SHALL BE GRADED SO THAT THEY WILL DRAIN AFTER EACH PUMP CYCLE AND WILL NOT RETAIN ANY STANDING WATER. Quanics .irr 9.'ta� Trcvbra.�r.S Sy^.:x'� n D �- ELI W o� a z= NO Q rA E v W m W} Z= J w c~n 1 M�1 �" V) Z.Lu J J W U m W W a H Z° m r Ww I � 0.S° J^ U) Q U 0J OU.} LUO M (ow M a \ ❑wW 2 m LL - L C� M LU Cf= z 1 O 2O m� a clf ILL, \ aU w z1,0 z wM z—� is O li LU 000 (D ELu CL L a a a ❑ ❑ ♦-"�tt 'It OF ........ ....... ........... �.... ...... . ....................� i 0. n . J A. Gar ss � = ♦�' CE- 3 �AV # F c �si, i ## F ttt`��♦ / o� a z= NO rA E v W W} Z= / Z Z, w c~n 1 M�1 �" V) Z.Lu J W U m O� Z � W a H Z° m r Ww I � 0.S° J^ rn I- Q U Q o _ a Q r O C� F� m O O o a clf ILL, Y J o U= oNo'O OW om r � (D ELu CL L F- ♦-"�tt 'It OF ........ ....... ........... �.... ...... . ....................� i 0. n . J A. Gar ss � = ♦�' CE- 3 �AV # F c �si, i ## F ttt`��♦ / GROUNDWATER DATE DRY 9/22/2014 13' o•` � OF � �o 12.83' 9130!2014 PSE • ` 10!2!14 ,.. . # GARNESS ENGINEERING GROUP Lt` 4 0' .................................; CIVIL& ENVIRONMENTAL ENGINEERS _.:..:::: _._ .:::-_. • 3701 E. TUDOR ROAD. SUITE 101'ANSHOR E,AK99597-PHONE (907 33]81]9' PAX (MIP 338 SN6WES31TE: wux.gamescenglnrenng.[om •.•.•..••..•.• ..........I SOIL LOG - PERCOLATION TEST •+�� CE-7953 LEGAL DESCRIPTION: RIscHER; BLOCK 1, LOT 3132 �♦ F� , •�D/Z�/1 � :.✓��: PERFORMED FOR: CHERYL SHELLABARGER DATE: 9/24/2014 ��1,� pROFESS��P.��• ,\\\\����•� DEPTH .- (feel) ORG TEST HOLE #1 =="—= Per • dl000 �o�cL�SIFI TIONS SITE PLAN 2 t�vcipORG 3G P ML oo° GM CL GC OL q '>d�{'o°o ON o •sadGP MHSP �e CH OH Q SC GP 7 0o°a 00 ° DEPTH TO P� `,V N 8::°;;';o°o° V SCALE: 0 1" = 100' oo° 12 13 SM/ML 14 15 g.O.H. 16 17 18 PERCOLATION RATE <1 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES) 19 TEST RUN BETWEEN 6 FT. AND 7 FT. 20 A FOUR HOUR PRESOAK WAS PERFORMED: ❑ YES ■ NO SOILS LOGGED BY: DAVID GARNESS PERCOLATION TEST PERFORMED BY: DAVID GARNESS COMMENTS: PERCOLATION READINGS ARE WITHIN 1/16 OF INCH. PERFORMED BY GEG, Ltd. I, JEFFREY A. GARNESS, CERTIFY THAT THIS WAS PER OR ED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: O (qk GROUNDWATER DATE DRY 9/22/2014 13' 9!2512014 12.83' 9130!2014 12.5 10!2!14 DATE READING CLOCK TIME NET TIME (MINUTES) WATER LEVEL READING NET DROP (INCHES) 09/2512014 ABSORBED 10 GALLONS OF WATER IN LESS THAN 10 MIN J 2 v I J f 2B m CO v o c � w o N � m @ Ca o a o a o 0 0 E' 0 0 0 o E o LL E yv0 O M M 1� IO N V N M N Nj Nim � LL OOZff 000 OU 09# OS# 011# ON OZ# 9l# O9## TO O 00 41) O Nr m 04 O O O O ;yBiaM Aq Buissed;uaO-1ad 0 O r m N m am I I I !I I _ _ TO O 00 41) O Nr m 04 O O O O ;yBiaM Aq Buissed;uaO-1ad 0 O r m N m am SGS SGS Ref.# 1144475001 Client Name Garness Engineering Group, Ltd Printed Date/time 09/17/2014 16:31 Project Name/# Fischer; Bl, Lot3 B2 Collected Date/Time 09/12/2014 11:23 Client Sample ID Fischer; B 1, Lot3 B2 Received Date/Time 09/12/2014 14:22 Matrix Drinking Water Technical Director Stephen C. Ede Sample Remarks: Allowable Prep Analysis Parameter Results LOQ Units Method Container ID Limits Date Date Init Metals by ICP/MS Arsenic ND 5.00 ug/L EP200.8 C (Q0) 09/15/14 09/15/14 ACF Waters Department Total Nit'rate/Nitrite-N 2.10 0.100 mg/L SM21 4500NO3-F B (<10) 09/13/14 NLL Microbiology Laboratory E. Coli Negative 1 IOOmL SM21 922313 A 09/12/14 MEV Total Coliform Positive I 100ml- SM21 9223B A 09/12/14 MEV SGS SGS Ref.# 1144560001 Client Name Garness Engineering Group, Ltd Project Name/k Fischer B I Lot 3B2 Client Sample ID Fischer BI Lot 3B2 Matrix Drinking Water Sample Remarks: Printed Date/Time Collected Date/Time Received Date/Time Technical Director 09/22/2014 8:34 09/17/2014 10:12 09/17/2014 11:30 Stephen C. Ede Allowable Prep Analysis Parameter Results LOQ Units Method Container ID Limits Date Date Inst Microbiology Laboratory E. Coli Negative 1 IOOmL SM21 9223B Total Coliform Negative 1 IOOmL SM21 9223B A 09/17/14 MEV A 09/17/14 MEV 08-12-05:16:03 fo-�4 10+ SCS ReLM 1054914001 Client Name Gameas Engineering Group, Ltd. ProjectName/q FiischerLot 3B•I,Block I CUMt Sample ID Fischer Lot 3B-1, Block 1 platrix Drinking Water PWSM 0 Sample Remarks: 907 561 5301 p 2/ 4 All DatWnmes are Alaska Standard Time printedDate/Time 08/!212005 12:58 Collected DatuTime 05/03/2005 9:40 Reeelvod Date/rime 08/03/2005 12:50 Technical Director Stephen C. Ede -- Allowable Pmp Analysis Pa,nm w Ravtts POL Units MaUod CentalmrM Llmiu Date Dam talt Waters Department Nitmm-N 0.810 NScrobiology Laboratory Total Coliform 0 0.100 mg/L EPA 300.0 B 0101 08/03/05 JCM coVtOOmL SM209222B A (<-11 08/03/05 TLF G��QGRC-'``"ER ANCHORAGE AREA BOr"JGH �l Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON—SITE SEWAGE DISPOSAL SYSTEM NAMEDi11 [%1 fiStJatf P41%d 'MAILING ADDRESS IfOi 4, ` `3eb PHONE .2.214 LOCATION —SX% C_ Affil— X�/✓C1ji�-� LEGAL DESCRIPTION /07 -S(32 �, 3jr- I Pt.SLr-/b)0,S(,L SEPTIC TANK: DISTANCENUMBER OF FROM WELL MANUFACTURER 5117 5411 L- MATERIAL1-751J) Ue COMPARTMENTS h INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH " LIQUID CAPACITY GALLONS. SEEPAGE PIT: NUMBER OF PITS /r/,��7 DIAMETER OR WIDTH �LENGTH, DEPTH 6 —7 P LINING MATERIAL L7: CRIB SIZE: DIAMETER IVY_ DEPTH-AL DISTANCE FROM: WELL TIVE BUILDING FOUNDATION'S NEAREST LOT LINES , ABSORPTIONCAREA (WALL AREA) 3? j'� SQ. FT. ADDITIONAL ABSORPTION WELL: TYPE %IUbi\J CONSTRUCTION �Gf[z.f- b DEPTH BUILDING NEAREST NEAREST SEPTIC FOUNDATION LOT LINE SEWER LINE TANK_ CESSPOOL OTHERSOURCES APPROVED i/ DISAPPROVED REMA DISTANCES: As DIAGRAM OF SYSTEM INSTALLED BY: 0 - r PIPE MATERIAL: 6W (iV f_, /PckV LOT SLOPE REMARKS: 4' qL)a /"PS Form No. EQ -031 p I 3QiY ouo-e� iI Y16 Lia + A DATE -1 Iia �� APPROVED DISTANCE FROM: SEEPAGE SYSTEM- DISTANCES: YSTEM_ G.A.A.B. ,�. GREATER ANCHORAGE AREA BOROUGH i 4 DEPARTMENT OF ENVIRONMENTAL QUALITY II�1II'ry�Ye��I�(II1L��'' Y 3330 "C" STREET ANCHORAGE. ALASKA 99303 TELEPHONE 274.4361 �VVVW.e • '' PERMIT NO. 10/ TU) COAIs r. SEWAGE DISPOSAL SYSTEM — APPLICATION AND PERMIT JFLOo✓ J PF06. i"1/ DA/rT /d 0 / E. 53,eO '3 - S6 -3b NAME OF APPLICANT = n _ n MAILING ADDRESS PHONE INSTALLATION LOCATION-.ShL1l LE (�/�/G e/L. �KL/ �CLt7L LEGAL DESCRIPTION LOT INSTALLATION OF: SEPTIC TANK pp SEEPAGE PIT •� DRAIN FIELD/ OTHER TYPE AND SIZE OF FACILITY TO BE SERVED 3 '5,P f ����« G.in FINANCED THROUGH TO BE INSTALLED BY 4 c - SOIL TEST RESULTS 113171 / 3 �/,a / NOTE, THIS PERMIT IS NOT VALID WITHOUT SOIL TEST S -0-W-.2 ' COMPLETION DATE ANTICIPATED �A'/ 7 P/r /'/ z /�/ x FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION. SEPTIC TANK SIZE�J 9- '21- TYPE • SEEPAGE AREA SIZE TYPE MINIMUM DISTANCES, REQUIREMENTS FOUNDATION TO SEPTIC TANK / FOUNDATION TO SEEPAGE PIT DRAIN FIELD SEPTIC TANK TO SEEPAGE PIT WALL SEPTIC TANK SEEPAGE PIT/ DRAIN LD �. TO NEAREST LOT LINE. /i1 C/LOJVO L. .'y / ELL TO SEPTIC TANK GRAIN FIELD /��/ SEEPAGE PIT ALSO CONSIDER AREA WELLS. O WATER MAIN TO SEPTIC TANK . SEEPAGE PIT DRAIN FIELD SEPTIC TANK, —/" SEEPAGE PIT DRAIN FIELD TO RIVER. LAKE. STREAM. CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF EXCAVATION 6 FEET INTO UNDISTURBED SOIL. 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT FITTED WITH AIRTIGHT REMOVABLE CAPS. GRAVEL BACKFILL CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. G.A.A.B. OR LICENSED DESIGNER DIAGRAM OF SYSTEM I CERTIFY THAT 1 AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28•S8 AND THAT THE ABOVE DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE. A, DATE 7/ APPLICANT'S SIGNATURE FORM NO. CO -019 f (�onalzucllon' E7csE xvc ) L "Ont test Is worth a thousand npfnlont" 0010 TUDOR ROAD. ANCNORAO[. ALASKA 00007 a TtLI•"a"S 713.0472 Performed For Eldon Pedderson Date Performed 4-11-_7.4 Legal Description: Lot„.�JLBlock-_Subdivision ELSA •` This Form Renorts Soils Log yes Percolation Test______ Denth Feet Soil Characteristics •Medium 3 ze•Coarse Gravel,.Graded i 'GW -GP (e5) Aln �\ v �Gravely'f)ilty ::and, graded 5M(2y0) 10 Coarse Gravel, graded GW -GP Bottom of Test. Pit 9 minus 12 ft.. Was Ground Water Encountered? no If Yes, At what Depth? Reading Date Gross Time Net Time Depth to H2O Net Or Percolation Rate tlinute Proposed Instatetion: •Seenaae Pit ves Drain Field Deoth of Inlet Depth Yo Bottom Of Pit Or Trench VNIIENTS: 110 sq. ft. drainago area required per bedroom minus 2 ft. to -67 Pt No bedrock or water tablo to minus 12 Pt., 'Test Performed By Jim Mack Data Certified By:Construction Testl Lau tanager Date: -11-74 omm�. �MENEM �'IVER WHO �1 ONE sole N� Reading Date Gross Time Net Time Depth to H2O Net Or Percolation Rate tlinute Proposed Instatetion: •Seenaae Pit ves Drain Field Deoth of Inlet Depth Yo Bottom Of Pit Or Trench VNIIENTS: 110 sq. ft. drainago area required per bedroom minus 2 ft. to -67 Pt No bedrock or water tablo to minus 12 Pt., 'Test Performed By Jim Mack Data Certified By:Construction Testl Lau tanager Date: -11-74 , • - +' „^t Sri.: ' • vG'r ' M -W DRILLING, ine. P. O, Box 4.1224 • 1310C International Airport Road • ° (907) 274-4611 ,r~%•:�" ANCHORAGE, ALASKA 99509 .' • �' DRILLINGLOG 1 Well Owner '•' Nderain i rnctrue+lnp ;; Use of WellUo�r j Location (address of: Township, Range, Section, if known; ordistance main roadr�' Size of casin n . g epth of Hole •( .7 feet Cased to ?67 j tt•'n•'•'� �L `r feet ,; Lx•<.: .,L.'. Static water levet 2/,5 fL aboJa i ( ) (below) land „ d surface. Finish of well (check one) Screen ( ); Perforated ( , open end x 1 .<'. ':. .. ..,. E I•' .. • ..�i rlk t+.,G is Describe screen or perforation ' Well pumping test at ;"_gallons per (horst)( minute) for t h : '•} +' h` "tn... ours of drawdown from static level.. _ wit . fL Date of completion F ' e • 7)• - WELL LOG S. Depth in feet from .. ground surface Give details of formations penetrated, size of material, color and hardnesi TO lr t;sn:!v'W`6)• :;ravnl O f.� -To.. Ciar allty (:r 1 •.v� .;« TO a7 ! slIty'voxd c7 TO FO., bilty' Ci••y<.1' - •, ':.:,,;:, . (7 TO 7q tilt }, iS �r:.-4=1 rY i .. --L—TO-11 Ity Cr:.vvlt eal.cly- rF TO 1�7 a llu (Ir::vsl i... 107 TO 158 c_+11 `C.rn�e� r cilt•�r: , _.._.__ ...._ _ .. 4 ' 1� TO 171, ::ediu� C'ravflt clr-•n. ch.ry :> ' 17 TO4 t::r11 Greve c TO '�llty Crete'r ennll to cadiun t` ( •r. '.✓t TO Lft C.rnvelly rcrdeup 'e' i TO } ectiva "rev 2t rlirhtlI e+ed•: noj:1 uat.r t'+rarep botto•4-of-' :or:::ntlon. TQ r Xeynn L ..Rtberg I.j :t.:•. i Municipality of Anchorage ,rto On -Site Water & Wastewater Program (907)343-7904 ILI NO CERTIFICATE OF ON-SITE SYSTEMS APPROVAL .' Parcel I.D. 015-292-24 Expiration Date: '2� Z' I 1. GENERAL INFORMATION Complete legal description Location (site address) Current Property owner(s) Mailing address Real Estate Agent FISCHER; BLOCK 1, LOT 362 5120 SPRUCE CREEK CIRCLE *ANCHORAGE, AK CHERYL SHELLABARGER Day phone 830-6261 5120 SPRUCE CREEK CIRCLE *ANCHORAGE, AK 2. TYPE OF DWELLING: 0 Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 3 4. TYPE OF WATER SUPPLY: Day phone TYPE OF WASTEWATER DISPOSAL: Individual Well 0 Individual On-site 0 Individual Water Storage ❑ Individual Holding tank ❑ Community ClassWell ❑ Community On-site ❑ Public Water System ❑ Public Sewer ❑ WaiverNariance request for. n/O Distance: Received by: Zee Date: COSA to be released to the engineer, unless othemise requested by the engineer. COSA Fee $/(�S . 5d Waiver Fee $ Date of Payment / ! !rQ �IY Date of Payment Receipt Number Receipt Number COSA # LJS Waiver # 11iZI�ry oV375G 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, 1 verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm GARNESS ENGINEERING GROUP, Ltd. Address 3701 E. TUDOR ROAD, SUITE 101 * ANCHORAGE AK 99507 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Engineer's Comments: In conducting this evaluation, GEG, LtD. attempted to provide a thorough, conscientious engineering analysis of the system in accordance with ADEC and MOA DSD Guidelines & Regulations. The reported results described the performance of the system under the conditions encountered at the time of the test and separation distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the local soils condition, groundwater levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of the system. Satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. GEG, CTD. can therefore not provide any warranty or future estimate of how long the system will continue to meet the operational requirements of the ADEC or MOA DSD. The content of this report is for the sole benefit of the owner listed above. Any reliance upon or use of this report by any other person or party is not authorized, nor will it confer any legal right whatsoever. 6. DSD SIGNATURE X System #1 Approved for '-2)— bedrooms. System #2 Approved for Disapproved. Conditional approval for bedrooms. bedrooms, with the following Phone 337-6179 Date ((I r 7 7 OF ON-SITE iATER AND By' Original Certificate Date: ZY / The Municipality orAnchp age Develop, emt 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 engineerreg,'stered in the State of Alaska. The MunicipalityofAnchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTCHMENTS: COSA Checklist Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other 1p.v llnM If more than I septic system is on the lot: COSA Checklist # of Structure served by this system Certificate of On -Site Systems Approval Checklist Legal Description: FISCHER; BLOCK 1, LOT 3B2 ParcellD: 015-292-24 A. WELL DATA Well type PRIVATE If A, B, or C provide PWSID# N/A Well Log (YIN) YES Date completed 9/6/1974 Sanitary seal (YIN) YES Wires properly protected (YIN) YES Total depth 267 ft. Cased to 267 ft. Casing height (above ground) 12+ in. FROM WELL LOG Date of test 9/6/1974 Static water level Well production — WATER SAMPLE RESULTS: AT INSPECTION 9/12/2014 237 ft. 5.2+ g.p.m. Coliform 0 colonies/100 ml. Nitrate 2.10 mg./L. Collected by: GEG. Ltd. Arsenic: ND ug./L. Dateofsample: 9/17/2014 B. SEPTIC/HOLDING TANK DATA Tank Type/Material SEPTIC/STEEL Date installed 10/29-30/2014 Tank size 1500 gal. Number of Compartments E Cleanouts (YIN) YES Foundation cleanout (YIN) YES Depression over tank (YIN) NO High water alarm (YIN) YES Date of pumping NEW Pumper — C. ABSORPTION FIELD DATA *BELOW EXISTING GRADE Date installed 10/29-10/30/2014 Soil rating .p.d./ft r ft2/bdrm) 4_0 System type SHALLOW TRENCH Length 25 ft. Width 5 ft. Gravel below pipe 0.5 ft. Total depth *4.7 ft. Eff. absorption area 125 ft2 Monitoring tube YES Depression over field NO Date of adequacy test NEW Results (Pass/Fail) PASS For E bedrooms Fluid depth in absorption field before test = in. Water added =gal. New depth =in. Elapsed Time: = min. Final fluid depth= in. Absorption rate >= 450+ g,p,d. Any rejuvenation treatment (past 12 mo.) (YIN & type) NONE If yes, give date — D. LIFT STATION Date installed 10/29-30/2014 Size in gallons 1500 Manhole/Access (YIN) YES "Pump on" level at TIMER in. "Pump ofP level at TIMER in. High water alarm level at 46 in. Datum BOTTOM OF TANK Cycles tested NEW Meets alarm & circuit requirements? YES E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tankAift station on lot 100'+ Property line 5'+ Absorption field on lot *85'+ Public sewer main - N/A N/A Sewer /septic service line 25'+ Animal containment areas **50'+ On adjacent lots 100'+ On adjacent lots Public sewer manhole%leanout N/A Holding tank Manure/animal excrete storage areas 100'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ ASsorption field 5'+ Water main N/A Water service line 101+ Surface water 1004 Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line *8'+ Building foundation 10'+ Water main N/A Water service line 10'+ Surface water 100'+ Driveway, parking/vehicle storage 1'+ Curtain drain NONE KNOWN Wells on adjacent lots *85'+ F. COMMENTS *SEE WR#OSP141467 **SEE AS -BUILT SURVEY; TWO SMALL DOG RUNS 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 COSH guidelines in effect on this date. Engineer's Printed Name JEFFREY A. GARNESS Date 1111111 (Rev. 11/05) ................... p J f rA. Garn ss, CE— m NOTE : NO _4SE&ENTS Ar ,% ON TlIS LOT ON THE RECORD PLAT 70- 170. PROPERTY BOUNDARY IS COMPUTED FROM THE MONUMENTAION ALONG THE SOUTH AND EAST SUBDIVISION LINES. 000ppppO� � `4c-aT—H VAA%y� 'SHANE A. HOLT QO eA .. LS -E91.4 �?O V K Jz SPRUCE CREEK CIRC,-' E O O SINGLE FAM/LY FRAME HOUSE DSCX -- i a lr! L N 89 53'45" W 135.14 7 n5 N 84 53' 10" E 6.70 i' onr« z survey orsered by: AS V -BUILT SU2VEY = ZOO VALESA L MEAN @ NO CORNERS SET THIS KELLER WILLIAB5 A I DATE NOVEMBER IA. 2014 V `3 I TY 141VC'I VCJC _l __ I HEREBY CERTIFY THAT I HAVE PERFORMED A SURVEY ___ OF THE FOLLOWING DESCRIBED PROPERTY I LOT 3 6 2, BLOCK 1, FISCHER SUB. THE INFORMATION HEREONIS FOR THE USE OF LENDING INSTITUTIONS SPECIFICALLY TO SHOW ANY CONFLICTS BETWEEENEXISTING STRUCTURES AND PLATTED LOT LINES ANDIOR EASEMENTS; AND IS ANCHORAGE RECORDING DISTRICT, ALASKA, AND THAT THE NOT TO BE USED FOR POSITIONING ADDITIONAL STRUCTURES, IMPROVEMENTS, OR PENCELINES. VISIBLE IMPROVEMENTS SITUATED THEREON ARE WITHIN EASEMENTS OF RECORD, OTHER THAN TH05E APPEARING ON THE RECORD PLAT, ARE NOT SHOWN THE PROPERTY LINES AND NO VISIBLE ENCROACH"ENTS HEREON C UNLESS INDICATED) EXIST OTHER THAN NOTED. NOTE: PENCELINES THAT MAY APPEAR ON THIS DRAWING ARE NOT TO BE USED TO OETERMNE DATED AT ANCHORAGE,ALASKA THIS _15TH_ DAY OF PROPERTY LINES OR POSITION ADDITIONAL IMPROVEMENTS. _NOVEMBER , 2014. ANY PAVING SHOWN HEREON MAY BE APPROXIMATE DUE TO MESSIVE SNOW AND/OR ICE. HOLT LAND SURVEYING 600 HIGHVIEW DRIVE ANCHMAGEAK 99515 ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND REPAIR AGREEMENT BETWEEN MUNICIPALITY OF ANCHORAGE THIS MAINTENANCE AND REPAIR AGREEMENT made and entered into as of this 0— Day of of 20j_t/by and between herein the "OWNER," and the Municipality of Anchorage, herein the "MUNICIPALITY." In consideration of the mutual covenants contained herein, the parties to this Maintenance and Repair Agreement agree as follows: 1. Advanced Wastewater Treatment Systems. Municipality grants permission to Owner to utilize and operate an Advanced Wastewater Treatment System (AW WTS), described as located at (legal description). `F66)01( 1552- 6 2. Definitions. Alteration. Any change to the design or function of an AWWTS that includes the installation or removal of any parts, components or pieces not included in the original construction permit and design. Certificate of On -Site Systems Approval (COSA). An approval by the Municipality of existing water and wastewater disposal systems given at the time of property sale and title transfer in accordance with Anchorage Municipal Code (hereinafter, "AMC') 15.65. These approvals certify that the systems are adequate for the homes that they support and meet the codes that were in place at the time of system construction. Damage. Any man-made or natural change in a system that would inhibit the system from performing as designed. Maintenance and Repair. The scheduled and as needed replacement of existing parts, components and pieces of an AWWTS that were included in the original design which would allow the AWWTS to continue to perform as designed. Permit. An On -Site Wastewater Disposal Permit as required by AMC 15.65 to construct and operate an AWWTS. 3. Term. The term of this Maintenance and Repair Agreement shall begin on the date of approval by the Municipality to operate the installed system or issuance of a COSA, and shall continue while the AWWTS is in use or is operational or until the property is sold or title is transferred by the owner and a new COSA is issued to the new owner or transferee of the property. 4. Alterations, Installation and Removal of Additional Equipment. Prior to performing any alterations to an AWWTS, the owner agrees to obtain an On-site Wastewater Disposal Permit from the Municipality in accordance with AMC 15.65. 5. Maintenance and Repairs. A. Throughout the term of this Maintenance and Repair Agreement, the Owner shall maintain their AWWTS in a satisfactory condition capable of producing treated septic effluent in accordance with the equipment's approval for operation in the Municipality. The owner shall enter into a service agreement with an AWWTS service and maintenance provider annroved by the municipality and the manufacturer of the AWWTS for the entire term of the AWWTS. In addition, it shall be the responsibility of the Owner during the term of this Maintenance and Repair Agreement, and any renewals thereof, at the owner's sole expense, to pay for any and all: (1) repair(s), (2) maintenance, (3) adjustment(s), (4) replacement costs, and (5) inspection costs. B. Owner agrees to comply with all applicable ordinance, laws, regulations, rules and orders for the AWWTS. C. Upon request by the Municipality, the owner agrees to provide the Municipality a written schedule of routine maintenance and repairs which have been performed on the system. When a record of maintenance is documented and maintained by the system vendor, the owner agrees to allow the Municipality access to this information. D. Owner acknowledges that the fine for failing to maintain and repair an AWWTS may be assessed in accordance with AMC 14.60 for improper discharge. E. Owner agrees that only maintenance and repair personnel approved by the Municipality will inspect and make any necessary maintenance, repairs or permitted alterations to the system. F. Owner agrees to grant the Municipality reasonable access to test and inspect the AWWTS upon 24 hours written notice. G. Owner agrees that any sale or transfer of title of the property will not occur without a new Certificate of On -Site Systems Approval. H. Owner agrees that the AW WTS installation and maintenance requirements as provided by the AWWTS vendor/installer and approved by the Municipality are the governing guidelines for the construction, maintenance and repair of the Owner's AW WTS. 6. Nonwaiver. The failure of either party at any time to enforce a provision of this Maintenance and Repair Agreement shall in no way constitute a waiver of the provisions, nor in any way affect the validity of the Maintenance and Repair Agreement or any part hereof, or the right of such party thereafter to enforce each and every provision hereof 7. Amendment. A. This Maintenance and Repair Agreement shall only be amended, modified or changed by a writing, executed by authorized representatives of the parties, with the same formality that this Maintenance and Repair Agreement was executed with, and such writing shall be attached to this Maintenance and Repair Agreement as an amendment. B. For the purposes of any amendment modification or change to the terms and conditions of this agreement, the only authorized representatives of the parties are: a. Owner: b. Municipality: Director, Community Development or designated authority C. Any attempt to amend, modify, or change this contract by either an unauthorized representative or unauthorized means shall be void. 8. Jurisdiction: Choice of Law. Any civil action arising from this Maintenance and Repair Agreement shall be brought in the Superior Court for the Third Judicial District of the State of Alaska at Anchorage. The laws of the State of Alaska shall govern the rights and obligations of the parties under this Maintenance and Repair Agreement. 9. Severability. Any provisions of this Maintenance and Repair Agreement decreed invalid by a court of competent jurisdiction shall not invalidate the remaining provisions of the Maintenance and Repair Agreement. OWNER: By: (signature) Date: 1?A1OJr 1! S 1� (print name) STATE OF ALASKA ) ) ss. THIRD JUDICIAL DISTRICT ) The foregoing instrument was acknowledged before me this )Ci day of NDdeM er 20& by Ak-RfAa� L • FO.L ..l tlC?px- �"VO 11111t._ n r.ym _Dam,. _� �° 1• NOTARY PUBLIC FOR ALAS ♦ 'x My Commission expires: - "I) ate_ n 11 UMCIPALITY: By: (signature) Date: (printnarne)" Title: 8. Jurisdiction: Choice of Law. Any civil action arising from this Maintenance and Repair Agreement shall be brought in the Superior Court for the Third Judicial District of the State of Alaska at Anchorage. The laws of the State of Alaska shall govern the rights and obligations of the parties under this Maintenance and Repair Agreement. 9. Severability. Any provisions of this Maintenance and Repair Agreement decreed invalid by a court of competent jurisdiction shall not invalidate the remaining provisions of the Maintenance and Repair Agreement. OWNER: By: QZ, A . -N, 41 ti (signature) Date: 1 ltIL4 i:' .r b erlu VAGI kn e,- (print name) STATE OF ALASKA ) ss. THIRD JUDICIAL DISTRICT ) The foregom$instrument was acknowledged before me this iR day of N91tMb , 20 1 by 1Gm (Cl t Ili11eX ```p�NN� Ori, NAVA NOTARY P L FO ALASKA My Commission expires: oZ OC)s MUNICIPALITY: By: (signature) - ))eh (print name) Date: I J LZ --F-Z/ Title: GG MUNICIPALITYANCHORAGE • DEPARTMENT OFFHEALTH &8 HUMAN SERVICES 1 Division of Environmental Services On -Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcell.D.# M1 >-ac°n_Qu HAA# ��°1��LkLj1 1. GENERAL INFORMATION ' &VII Complete legal description I OI B Chi' 14EQ Gi gp 2. 3. 4. Location (site address or directions) 571 70 5,pmce Crank Circle- Property Ir I Property owner Reeve, Dr -ac d E9/)Anra Day phone 34fo- 2742 Mailing address 4ovG Lending agency Day phone Mailing address Agent Ralph WOl rrQa. Dayphone 5GZ-io4G4 Address VISTA Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: TYPE OF WATER SUPPLY: Individual well Community well Public water NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. TYPE OF WASTEWATER DISPOSAL: Individual on-site Holding tank Community on-site Public sewer NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025 (Ra. 1/91) Fwl MOA 621 5. 6. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I furtherverify that based on the information obtained from the Municipality of Anchorage files and from my investigation and Inspection, the on-site water supply and/or wastewater disposal system is In compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm SWA GAsulkarils Phone 34 -5 -L941 - Address Engineer's signature DHHIGNATURE Approved for Disapproved. bedrooms. Date 8-3-93 Conditional approval for bedrooms, with the following stipulations: Additional Comments 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 tending institutions in orderto satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 72m5(R".1/91) 11tk MOAN21 • Municipality of Anchorage Department of Health & Human Services HEALTH AUTHORITY APPROVAL CHECKLIST (� Legal Description: - L302 F15CHER IIID Parcel I.D. n A. WELL DATA x Well type M If A, B, or C, attach ADEC letter. ADEC water system number -NA- Log present (Y/N) Date completed �74 Driller NO Ent on � 1r- nwt Total depth 20.1_0 Casedto-- 2%% l 0, Casing height- 2411 Sanitary seal (Y/N) - y Wires properly protected (Y/N) Y Date of test Static water levet Well flow Pump level AT INSPECTI(?RNICIPALITY OF ANCHORAGE 7-l4 t IRONMENTALSERVICESDIVISION 242. AUG -_4 1993 7 fJA ECTIVED SEPARATION DISTANCES FROM WELL TO: (015TW4CES FRM C&NN(To GO OR MT) Septic/holding tank on lot ® 100 ; On adjacent lots 110 Absorption field on lot -- 108r. ; On adjacent lots 135 Public sewer main h)4 Public sewer manhole/cleanout NA Sewer service line - _NA Petroleum tank "WE VI513LE WATER SAMPLE RESULTS: Coliform - Nitrate Other bacteria Date of sample: 7-13- 83 Collected by: S POLLEN B. SEPTIC/HOLDING TANK DATA Date installed 4--24.74 Tank size 1110135 Compartment 0-h:ar REGORPED Cleanouta (Y/N) � Foundation cleanout (Y/N) Y Depression (Y/N) N High water alarm (Y/N) NA Alarm tested (Y/N)- NA' Date of pumping , %- a_93 . Pumper ' )btD - R6=R SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: ,FROM C.o. TO.C.o. In.T., 02 wru.: CAsIvG) onlot Well s 1—On adjacent lots Foundation • © m t To property line 6 Absorption Iield- 2S 'Watermain/service line NA Surface water/drainage NDNF 72.026 (Rev. 7151) F=1 CONTINUED ON BACK PAGE C. LIFT STATION Date installed Size in gallons Vent(Y/N) High water alarm level "Pump on" level at Meets MOA electrical codes (Y/N) Manufacturer — Manhole/Access (Y/ N) ' -.'Pump off' level at SEPARATION DISTANCE FROM LIFT STATION TO: Well on lot ' On adjacent lots D. ABSORPTION FIELD DATA Cycles tested 1 , Surface`taater ,1 O. , p (D Date installed 4'-24.74 Soil rating I13QAdrm System type Pit r O Length 23 N Width lT Gravel thickness A Total depth 8,7 Total absorption area Cleanouts present (Y/N) N adequacy Depression over field (Y/N) Date of test Results (pass/fail) PA33 for 3 bedrooms Peroxide treatment (pastil months) (Y/N) If yes, give date —NA SEPARATION DISTANCE FROM ABSORPTION FIELD TO: (FRorn {'1•T. To waL C.As)ao op KT-.) Well on lot �G9t © Onadjacentlots -Propertyline 4 % To building foundation . 45 To existing or abandoned system on lot WA Onadjacentlots Cutbank NONE Water main/service line Na Surface water NONE Driveway, parking/vehicle storage area Z8t Curtain drain iJDIJE E. ENGINEER'S CERTIFICATION I certify that I have checked, verified, or conformed to all MOA and HAA guidelines In effect on the date of this Inspection. - .aQ Signature i i t ' 449h Engineer's Name %S r.6 `MrA=er Date �I7604 - D.inxEN Frtorn moe RecoRDs'.. ® sc/sLco reom sur•ve.YAsawnT DA MO 3(&U&90 (, ty pkbfESStON��� -MEAsupzo w/C47rM TAPE OR CALCULATCO F90M , IUOIRCCT mCAsu /Y1E1(TS +�' HAA Fee $ 0 / �% Waiver Fee: $ Date of Payment 8 �� 93 Date of Payment Receipt Number aJ197-9 9339 Receipt Number 72-M (Aw. 3/91) 8�k MOA 21 n i 353 Z9 � � ni„LtL CFLEK C��cGCE � J. E D �O: ' �� a .�'�• / �, �/ h 1 Scor al 14— /047,/70 ¢ we// /04TH _ ..1uCe/ uC _ A _./1. M �E OF Al, —�. * •'40TH : , ASMIL It is the responsibility of the owner to determine the existence of any easements, covenants, or re- V strictions which do not appear on the recorded sub- division plat. Under no circumstances should anyNOTE C m data hereon be used for construction or for estab-� SHOWN ON THE RECORO.O HERT,HARE NOT TH lishing boundary or fence lines. The surveyor take. ON. � HERE responsibility for the initial transaction only. SHOWN HERE LOT fez. F/sc,vCF• <q,F?/)iu/-inn/ (PLAT w. ) ANCHORAGE RECORDING DISTRICT IPREPAREO aT: MWUNG & ASSOCIATE!99501 1426 HYDER STREET ANCHORAGE, ALASKA —• WORK ORDER: ® M47S CAP NOMOAIEMT 0 IROM PIIS 0 REEAR PROP•COR.PMO q Mum • TACK GR NORTHERN TESTING [ABORATORIES, INC. 3330 INDUSTRIAL AVENUE FAIRBANKS, ALASKA 99701 (90714563116• FAX 4563125 2505 FAIRBANKS STREET ANCHORAGE, ALASKA 99503 (907)277 -8378 -FAX 2749645 DRINKING WATER ANALYSIS REPORT FOR TOTAL COLIFORM BACTERIA Reeve Public Water System I.D.f 5120 Spruse Creek Circle Anchorage Ak 99516 Date Received: 07/13/93 Time Received: 16:00 Date Analyzed: 07/14/93 Time Analyzed: 16:30 Date Reported: 07/16/93 Time Reported: 14:04 Next Sample Due: 8/93 Collected by: J Pollen Sample Type: Routine Method of Analysis: Membrane Filtration Comments: Comments: S - Satisfactory U - Unsatisfactory POS . Positive Test Result ND - None Detected TNTC - Too Numerous To Count (>200 Colonies) CG - Confluent Growth HSM - Heavy Sediment Masking, Results May Not Be Reliable SA - Sample Age >30 Hours But <48 Hours, Results May Not Be Reliable Old - Sample Age >48 Hours, Too Old For Analysis R - Resample Required NT . No Test * f Colonies/100 ml ** 0 Colonies/ml Sample Sample Total* Fecal* Other* HPC** Location Date Time Labf Coliform Coliform Bacteria Result Comments -------------------------------------------------------------------------------------------- 1 Bathroom Faucet 07/13/93 13:18 AB1861 0 NT 0 NT S _ �"-J2 Susan C. Tifental Microbiology Supervisor M014000 FA Reeves Anchorage AK Attn: - NORTHERN TESTING LABORATORIES, INC. 3330 INDUSTRIAL AVENUE FAIRBANKS. ALASKA 99701 190714563116•FAX 4563125 2505 FAIRBANKS STREET ANCHORAGE, ALASKA 99503 190712778178 • FAX 274-9605 Our Lab /: Location/Project: Your Sample ID: Sample Matrix: Comments: Report Date: 07/16/93 Date Arrived: 07/13/93 Date Sampled: 07/13/93 Time Sampled: 1318 Collected By: JEP * Definitions * B - Below Regulatory Min. H - Above Regulatory Max. A124720 E - Estimated Value M - Matrix Interference Bathroom D - Lost to Dilution Water MDL - Method Detection Limit Lab Number Method Parameter A124720 EPA 353.3 Nitrate -N S..x 'r)�o Reported By: Susan C. T fental Microbiology Supervisor Unite Result * MDL mg/1 0.6 0.1 Date Date Prepared Analyzed 07/14/93 MUNICIPALITY OF ANCHORAGE • Department of Health & Human Services rt DIVISION OF ENVIRONMENTAL SERVICES 343-4744 CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY FOR SINGLE FAMILY DWELLING Parcel I.D. # HAA # 01C1n, _qm", 1. GENERAL INFORMATION (Must be completed prior to submittal) (a) Legal Description (include lot, block, subdivision, section, township, range) Location (address or directions) _512o ST:kOr t= CeE=K (b) Property ownep +� � (4 '�r�� Telephone:(home) )`) Business �11) . . . A Mailing Address (c) Lending Institution I �' Telephone _ N A Mailing Address (d) Real Estate Company and Agent 14P 2FAI��_ Address N Telephone (e) Mail the HAA to the following address: (or check here 9,1f hold for pick up.) List contact person and day phone number below: CALL. 'n9- gSt,7/r CO2wInl - 2. TYPE OF RESIDENCE Single -Family Number of bedrooms 3 3. WATER SUPPLY Individual Wellx Community ❑ Public ❑ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to th legality and status. 4. SEWAGE DISPOSAL On-site Public ❑ Community ❑ Holding Tank ❑ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legailty and status. 72-025 (Rw. 7/88( I Page 1 of 2 5. ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION 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 shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm CmA IN , AS-z)x. Telephone Z79- 6�366 Address? a , LAX ZiotOO5; Amcfl z;r—D523 Date —iI n Ic/o ;► .... -.rte 0 y,L.•.a ; y Engineer's Seal 6. DHHS APPROVAL Approved for ^p-�!Sedrooms by ^� /"'` L'�'r Date 7 — 26' 9 U Approved Disapproved Conditional Terms of Conditional Approval "".'-'ice , Ui-e'C"�' �••t—cti-c��J � G� The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval cerificated 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 orderto satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 72US(R«.7/Ba)BaCk Page 2 of 2 . MUNICIPALITY OF ANCHORAGE (MOA) Health Authority Approval (HAA) CHECKLIST - FEBRUARY 1984 MUNICIPALITY OF ANCHORAGE ENVIRONMENTAL SERVICES DIVISIC I U L 17 1990 343-4744 RECEIVED Legal Description: 13ISiocI; F%SU VPL_ S)t31? A. WELL DATA Well Classification If A. B. C, D.E.C. Approved (Y/N) Well Log Present (Y/N) 4__ Date Completed 114 Yield — 5 Q t A Total Depth21¢-V Cased to 2L'71 Depth of Grouting I Static Water Level Zia Pump Set At �A Casing Height Above Ground 21 Sanitary Seal on Casing (Y/N) Electrical Wiring in Conduit (Y/N) Depression Around Wellhead (Y/N) SEPARATION DISTANCES FROM WELL: To Septic/Holding Tank on Lot 100, :On Adjoining Lots I Opt To Nearest Edge of Absorption Field on Lot 100 y ; On Adjoining Lots 100"t- To 00"To Nearest Public Sewer Line WIA— To Nearest Public Sewer Cleanout/Manhole To Nearest Sewer Service Line on Lot ' Water Sample Collected by�ti1111=1XF. ;Date �� �3�go It I B. SEPTIC/HOLDING TANK DATA Date Installed .4174 11 Size 100Q�a_� No. of Compartments N I a Standpipes (Y/N) Air -tight Caps (Y/N) _Foundation Cl anout (Y/N) Depression over Tank (Y/N) Date Last Pumped 9n Pumping/Maintenance Contact on File (Y�/1N ; for �� �� Holding Tank High -Water Alarm (Y/N) �` Temporary Holding Tank Permit (Y/N) IACD SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK: i To Water -Supply Weil pD ' To Building Foundation Q I3► To Property Line ��t \ ��� ' To Disposal Field �6 lfi To Water Main/Service Line ` 1 r,,' 0To Stream, PondL , Lake or Major Drainage Course 1 I . Comments 72-M(Rw. 7/W)Font Page 1 of 2 C. ABSORPTION FIELD DATA Q I �y Soils Rating in Absorpti n Striata 113 't' Type of System Design F'I j Jit $Z�F Date Installed A 1� -7Q 4 Length of Field 23' Width of Field Depth of Field Gravel Bed Thickness W I A Square Feet of Absortion Area i�ZO A Statndpipes Present (Y/N) Depression over Field (Y/N) Date of Last Adequacy Test —7 X3192 Results of Last Adequacy Test SEPARATION DISTANCE FROM ABSORPTION FIELD: To Water -Supply Well oo, To Property Line To Building Foundation 2 O%'.� To Existing or Abandoned System on Lot It., ; On Adjoining Lots 1001+ To Water Main/Service Line To Cutback (if present) N J To Stream, Pond, Lake, or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area A Comments J�F(T2�1t1-Xl�nl �rJM P�1 O A Q�CD2JY Date Installe Dimensions Size in Gallons Manhole/Access (Y/N) "Pump On" Level at "Pump Off" Level at High Water Alarm Level at Vent (Y/N) Tested for umping Cycles during Adequacy Test. Meets MOA Electrical Codes (Y/N) Comments "Check Permitt Bedroom Ra g Against HAA Request" I certify that I a checked, if' d, or conformed to all MOA and HAA 9#01 fneSelts�gffect on the date of this Inspection . t^ < y i., A. ". 1. - Signed s z9''• .f P' `.,%qPM Company»--• Engineer's Seal DateC)AJ CI-Z(r x'• a +2.Cow4� wrr MOA No. b. CE3263 � Receipt No. ?QQ .�3 da yo 3 Date of Payment — �% 9U Amount: $ Receipt No. Waiver Fee: $ Date of Payment 72-M (R+v.7/85) Buk Page 2 of 2 r 11, CHEMICAL & GEO TELEPHONE Drinking Water LABORATORIES OF ALASKA, 5673 B Street Anchorage, Alaska W18 lysis Report for Total Coliform Bacteria TO BE COMPLETED BY WATER SUPPLIER ❑ PUBLIC WATER SYSTEM I.D.N t PRIVATE WATER SYSTEM I r ejew I nL Ass oG, { 2-79- S8 6 (o Name Phone No. C>, Savo �c 23o rocJB MaillAddress e-14 City State ` Zip Code SAMPLE DATE: © Mo. Day Yes SAMPLE TYPE: Routine Check Sample (for routine sample with lab ref. no. - I ;i ❑ Treated Water ❑ Special Purpose ❑ Untreated Water SAMPLETime Collected N0. LOCATION Collected By .1 2 3 4 6 W4,191 40 READ INSTRUCTIONS Mad BEFORE Valli COLLECTING SAMPLE Final TNTC = Too Numberous To OB = Other Bacteria gi. i TO BE COMPLETED BY LABORATORY Analysis shows this Witer SAMPLE to be: Satisfactory CI Unsatisfactory ❑ Sample too long In trLnslt; sample should not be over 30 hour�old at examination to Indicate reliable results. Please send new sample via special delivery mall. Date Received 7x13—`16 Time Received 12� Analytical, Method: Membrane Filter No. of colonies/100'ml. Lab Ref. No. Results Analyst 902424 I U U U S BACTERIOLOGICAL WATER ANALYSIS RECdRD p oEc ri s Filter. Dlrsct Count 1PqR 0,1K Colllorm/t00m1 •.a on: LTB_ Oq 808 t"brons Filter Results Cofuonn/100mt If By �.�ra�}Dote Time: A.M. r. ►�i1111tiYJl ,I'OLr�o.4�'.y 'tip 9T!CT r' CHEMICAL & GEOLOGICAL LABORATORIES OF ALASKA, INC. ••^•• ^�•• 5633 B STREET a ANCHORAGE, ALASKA 99518 • TELEPHONE (907) 562.2343 FEDERAL TAX I.D. #92.0040440 I IKILISIS REPORT IT SIMPLE for Mark Order 1 2S182 Date Report Printed: JUL 18 90 4 10:25 Client Sample IMS 12 ►LOCK 1 PISCal Client Naso : CORMIN i ASSOC. PNSID sOl Client lest : CORWIN? Collected JOL 11 90 1 12:2S hu. P.0.1 NONE RECEIVED Reeeired In 13 90 1 12:45 hre. Req 1 Preasated with s13 REQUIRED Meted 11 t IRUCL CORRIN In.lyele Completed :JUL 11 90 Sad Reports to: Laboratory Supertieot :STLPLtN C. LDLReleased By : 1)CORMIK i 1SSOC. ................. ......-----................................................... _....................... sp.e1.1 Instruct: Chenlab Ref 1: 902424 Lab Sopl ID: 1 liattli: NITER far amtor Tested Iseult Units t Method -------------- __________________________________________________________________________ NITRATE•N KD(0.10) sT/1 LPl 051.2 v�[ (� g0 '0 Sample ROUTINE SI)(PLt. SIMPLI COLLICTLD 11 SIC. Remarks: lllowable Limits 10 ......................................... ................. .......... ...................... .................... 1 Iests Perforerd See Special Instruction loot+ UA-Unanllable ND- Nom Detaeted •' See Sample Remarks lbote Il. Kot lnalysed LT-Lers Than, CT-0reater Then MA Pe r0lEiIIIIIIIIIIII 8. LEGAL D IPTION F ANCHORAGE MUNICIPALITY OF ANCHORAGE E T. O,- I -AL; : w ' DEPARTMENT OF HEALTH A ENVIRONMENTAL PROTECTION Eh;pIRON:.';NT:;L i... XTION �sC 825 L Stmt • Anchorpe, Alaska 9880/ ENVIRONMENTAL ENGINEERING DIVISION APR 12 19?9 Telephone 264.4720 REQUEST FOR APPROVAL OF INDIVIDUAL �F E�ED lam/ QJ WATER AND SEWER DIRECTIONS: Complete all parts on page 1. Ineompleq requests will not M prooswd. Plaine allow ten (10) love %P pmmairo 1. PRO TY OWNER ❑ One ❑ Four ❑ Other PHO E �) ❑ MULTIPLE FAMILY 03 Three ❑ Six MAI ING DDR SS / CM INDIVIDUAL' 702 PR T ESIDE (If diffe t from ab since June 1975. For wells drilled prior to that date, give well �TT depth (attach log if available.) . - 0.SEWAGE DISPOSAL SYSTEM +IONE MAFLIN41 ADDRESS . 3. LENDING INSTITUTIO If system is over two (2) years old an adequacy test is required PHONE J G C c 2 _ I��O MA LING ADDRESS �oZ 6 l ALTOR/AOENT rPHONE MAI LINGA R r0lEiIIIIIIIIIIII 8. LEGAL D IPTION STREET L ATI N lam/ QJ 8. TYPE OF RESIDENCE NUMBER F BEDROOMS SINGLE FAMILY ❑ One ❑ Four ❑ Other Cl Two ❑ Five ; ❑ MULTIPLE FAMILY 03 Three ❑ Six 7. WATER SUPPLY CM INDIVIDUAL' ' ATTACH WELL LOG. A well log is required for all wells drilled ❑ COMMUNITY since June 1975. For wells drilled prior to that date, give well ❑ PUBLIC UTILITY depth (attach log if available.) . - 0.SEWAGE DISPOSAL SYSTEM INDIVIDUAL/ON-SITE" "II individual/on-site, give installation date�, ❑ If system is over two (2) years old an adequacy test is required PUBLIC UTILITY by this Department. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. O��v I THIS SIDE FOR OFFICIAL USE ONLY ) I _ - INSPECTION APPOINTMENTS DATE RECEIVED TIME TIME TIME DATE DATE DATE INSPECTOR INSPECTOR INSPECTOR DIRECTIONS: 1. TYPE OF RESIDENCE ❑ SINGLEFAMILY ❑ MULTIPLE FAMILY NUMBER OF BEDROOMS ❑ ONE ❑ TWO ❑ THREE ❑ FIVE ❑ OTHER ❑ FOUR ❑ SIX 2. WATER SUPPLY ❑ INDIVIDUAL ❑ COMMUNITY ❑ PUBLIC UTILITY Connection Verified PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM ❑INDIVIDUAL/ON-SITE ❑PUBLIC UTILITY Connection Verified PERMIT NUMBER DATEINSTALLED INSTALLER ❑Septic Tank or ❑ Holding Tank Size: /000 If Tank is homemade give dimensions: SOILS RATING TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCES WELL TO: Septic Holding Tank Absorption Area r Line meet Lot Line Absorption Aree to nearest Lot Line .. 5. COMMENTS APPROVED FOR 3_ BEDROOMS ❑ CONDITIONAL APPROVAL (letter mu accompany certificate) b DISAPPROVED DATE ,. By(Title) LEGAL DESCRIPTION 72-010 (Rev. 3178) St'RUCE� CRCE4< CIFZC.i x 011 r i 1i •• ' + FtreGr /t 3 1 o SPIrF l¢vel , `C�/ I I�rnn,c 1-�ovSe !U .y��•I I I(I� t, o .. 42 C ' . S�0 "w9s she' l \� Z--. N 2,9°53'45"W 1 da-�o�Qa o F A4 �1 '.',VAUL E. FOX 0o r'•, 3745 - S �,tn EASEMENTS OF RECORD. OTHER THAN THOSE SHOWN ON THE RECORDED PLAT. ARE NOT SHOWN HEREON. rr 11 � PK P W O Zell �. -7 AS -BUILT NO CORNERS SET THIS DATE I hereby certify that I have performed At Mortgegee•a inspection of the following described property " Anchorage Recording Precinct. Alaska, and that the Improvements situated thereon are within the property lines and do not overlap or encroach on the property lying adjacent thereto, that no Improvements on prop- erty lying adjacent thereto encroach on the premises In question and that there are no roadways, trans- mission lines or other visible easements on said prop- erty except as indicated hereon. - Dated at Anchorage• Alaska - t. Z t; ay of A r.+. r— /i 19� ✓/ ,r» to FIELD BOOK No.'17_ R&M CONBULTANTB. INC. •NO.N99R9 09nwour• sLANN9e9 SYR V9VOR9 April 27, 1979 Mr. Dave Hero SRA Box 17185 Anchorage, Alaska 5029 CORDOVA • BOX 9087 • A"CNO.AG9. ALASKA 99502 • IN. 907-279-0441 A Tl%. 09025290 R&M No. 951110 Re: Adequacy Test on Existing Sanitary, Sewer System; Lot 3B-2, Block 1, Fisher Subdivision, Anchorage, Alaska Dear Mr. Hero: Per your request of April 23, 1979, we conducted a test of the sanitary sewer system on the above described property. During the test the liquid level in the seepage pit was monitored as 400 gallons were removed and 1400 gallons were pumped back into the seepage pit to the inlet level. All liquid levels were measured below the top of the standpipe and are shown in the following table: Initial Liquid Second Water Third 24 -Hour Total Reading Removed Reading Added Reading Reading Drop (gallons) (gallons) 8.5' 400 9.2' 1400 6.95' 7.8' .85' The average specific capacity is 49.7 gallons per inch based on two sets of readings showing 47.6 and 51.8 gallons per inch. After twenty four hours the liquid level was measured again at 7.8 feet. It had dropped .85 feet or 10.2 inches. This indicates an average effluent acceptance rate of 506.9 gallons per day for the surrounding soils. If the 3 bedroom residence on the property is to house 6 people, the average load on the system can be expected to be 450 gallons per day. We can therefore conclude that the system is disposing of effluent at an adequate rate for a 3 bedroom residence. We appreciate this opportunity to be of service to you. Please contact us if you have any questions regarding this letter or if we can be of additional service to you. Very truly yours, R&M CONSULTANTS, INC. Ernest R. Rahaim Staff Geologist ERR:GS/rm/AT&SI-B ANCHORAGE 4.Ga7rySmith Manager FAIRBANKS mNUY V.L..z wAS.LLA MUNICIPALITY OF ANCHORAGE DEPARTMEN .OF HEALTH AND ENVIRONMENT. PROTECTION 825 L Street, Anchorage, Alaska •99501 tr/ 279-2511, ext. 224 or 225 C Date Date Received: April 15, 1977 Insp t ) yS{.h #1: Timet/ #2: Time #3: Time Date _ Date tl^-�Q•�7 (/'� �, S Date t4_,19--7-7 c�,Z, Insp i4k�� Insp t ) yS{.h Insp aoll-, REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES w�UAC?uc/,7AP-e t 1. Lending Institution Request: Alaska Mutual Savings Bank 0,,6,Wenirt i - Mailing Address: Post Office Box 1120 99510 Phone: 274-3561 2. Property Owner: George Shafer Phone: _Qt/c1-3�9�1 Mailing Address: NHN Spruce Creek Circle 3. Legal Description: :Lot 3B Fischer Subdivision 4: Single Family Residence: poq Multiple Family Residence: ( ) Number of Bedrooms: 2 Number of Bedrooms: 5. Well System: Public/Community System: ( ) Permit # Construction Depth of Well Individual Well: (x)c Well Log on File ( ) Bacterial Analysis 6. Sewage Disposal System: On-site System (KXF Public Utility ( ) Permit # Installed Installer Septic Tank Size Absorption Area 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 MUNICIPAUTr OF Ar.'C1t0VL2 DEPT. 0.1 ICALT.1 Zt 1 MUNICIPALITY OF ANCHORAGE [rcn::orc,+FNr.+I. r���r.r.TloN DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 2510 East Tudor Road, Anchwapa, Aloka 99504 278.2221 AP 415 19(7 REQUEST FOR APPROVAL OF RECEIVED. INDIVIDUAL SEWER and WATER FACILITIES 1. Type of Inspection: CMRO VA FHA CONY 2. Property Owner: George Shafer Mailing Address: NITN Spruce Creek Circle Day Phone: -- SLI &J - 3 201 S4 . 3. Name of Buyer: MERO, David E. & Jeannette S. Mailing Address: 540 N. Hoyt Day Phone: 344-2416 4. Name of Lending Institution: Alaska Mutual Savings Bank Mailing Address: P• 0. Box 1120 Phone: 274-3561 �. Name of Realtor or Agent: Jim Ward @ Ward Realty Mailing Address: Phone: 6. Legal Description: Lot 3B, Fischer Subd. Location: 7. Type of Facility to be Inspected:— Water & septic No. Bdrrns. 2 8. Water Supply Type of Supply: Public Utility Individual 1oticr If Individual, number of dwellings presently served If Individual, depth of wel 9. Sewage Disposal System Type of System: Public Utility Individual (on-site) xyv If Individual, date of installation 72.00300) Page .Two Department of Realth and Environmental Protection Request for Approval of individual Sewer and Water Facilities ,' Legal Description: Lot 3B Fischer Subdivision Comments: Affadavit Attached: '(') Approved: Disapproved: Letter Attached: ( ) Date: ���;2 57— 2,Z Date: Department Worksheet: 1/ f? 110) tIL-2 I - .' �4 i GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 Date Received /L/<s/7-/- Time of Inspection Date of Inspection REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR 1. Approval requested by: _I Mailing Address: 2. Property Owner: Phone: 3 v 6 el 3f Phone: Mailing Address: Z?or /1/8 X �� rlr g96-07 3. Legal Description: 36Z 4. Location: - u 5. Type of facility to be inspected ,a4 ( ,,. No. of bedrooms 6. Well Data: v A. Type. B. Depth C. Construction �,,�nw D. Bacterial Analysis 7. Sewage Disposal System: A. Installed /o% 1-74z B. Installer C. Septic Tank: 1. Size /oro 2. Manufacturer D. Seepage Pit: I. Absorption Area 3 a o `' / 2. Material 1aV E. Disposal Field: Total length of lines 8. Distances: A. Well to: Septic tank /to I , Absorption area /00 (+ Sewer Lines /o;, Nearest lot line /O f Other contamination B. Foundation to septic tank—,I'/, Absorption area </5 C. Absorption area to nearest lot line - EQ -034 (1/74) Page 1 of two pages .. —.. ... ._--. r.�.n. _ _.._.. .._. .. .. .._.... .... .. .. ♦. 1, _ • fes, Qage'2 of.two pages - R�t for Approval of Individual.' zr & Water Facilities leV '.Description Comments �_ — Approved .Z�4LYt4,- Disapproved Date Approval,Valid for one year from date signed Greater Anchorage Area Borough, Department of Environmental Quality DIAGRAM OF SYSTEM �r L certity that the information contained in this request for approval to be a true and accurate representation of the subject sewer and water facilities and these facilities are operating satisfactorily. SIGNED Date EQ -034 (1/74)