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HomeMy WebLinkAboutTRAILS END BLK 4 LT 3Trails End Block 4 Lot 3 #015-192-08 NOTE: THE PLAYHOUSE AND SHED ENCROACH ONTO ADJACENT LOT 4 AS SHOWN. I/ / — N Lot 3 c;o 32, 800 s.f. C v M M Z C M 4.0' x 16.0' BALCONY ASPHALT PAVEMENT � O O Z N WELL)• BA' CANT 48.9' Lot 2 1'30"E 190.00' MECHANICAL \ 5' UTILITY EASEMENTS \ SEPTIC MANHOLES 2 STORY RESIDENCE DECK WITH PORCH BELOW x{-1.0' x 1.2' CAM }-111.5-CANT 78.5' 8.0� x 11,5' SHED 10' CEA EAS PIPES Lot 9 I �02 = Lot 8 � I U) I II S 89'59'30"W 1190.00' 1 � I 30.0' I / 7.2' x 10.6' WOODSHED \ ^I 12.3' x 12.3' PLAYHOUSE WITH 4.0' DECK AND ATTACHED STORAGE Lot 4 I Lot 7 I MORTGAGE SURVEY X SCALE 1" —=40' GRID SW 2641 Project No. 22-528/At 11500 Daryl Avenue, Anchorage, Alaska 99515-3049 Lang & Associates, i n C . (907) 522-6476 Phone 00000000 (907) 522-4625 Fax Professional Land Surveyors kenOlongsurvey.com o OF q y jonathanOlangsurvey.com OOP''5400 I hereby certify that I have surveyed the following described properly: Lot 3, Block 4, TRAILS END SUBDIVISION (Plat No. P-604) o ` 49?" Anchorage Recording District, Alaska, and that this Mortgage Location Survey is a q/ representation of the conditions that were found on the date the survey was performed. Q i This survey does not constitute a boundary survey and is subject to any Inaccuracies Q • • • • • • • •� that a subsequent boundary survey may disclose. The information contained hereon shall QO KENN Fi NG not be used to establish any fence, structure, or other improvements.�Q t4 4`P� '' •. LS -5202..'''., Dated this the °U Day of P"h 7-o'+•'t- at Anchorage, Alaska o Noo ek4"IorSSIONAL L It is the responsibility of the owner to determine the existence of any easements, �OOpOo�� covenants, or restrictions which do not appear on the recorded subdivision plat. AECC963 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: OSP161312 Tax Code Number: 01519208000 Work Type: Septic Upgrade Permit Effective Dates: November 10, 2016 to November 10, 2017 Design Engineer: GARNESS ENGINEERING GROUP LTD Subdivision: TRAILS END Site Legal Address: TRAILS END BLK 4 LT 3 G:2641 6 H Z: o'0 H:3o Owner/Address: FEDERAL HOME LOAN MORTGAGE CORPORATION 5000 PLANO PARKWAY CARROLLTON TX 750104900 Site Mailing Address: 11281 BROWDER AVE, Anchorage Lot Size in Sq Ft: 22800 Total Bedrooms: 4 This permit is for the construction of: Y Disposal Field Y Septic Tank N Holding Tank N Privy N Private Well N Water Storage All construction must be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80). 3. The 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 By: Co *Vj : Durr ConskruCAD n' W YxorA-1_. Io baa Is 25' 10, soloo� rorY �} taco discovered 1.4�at e�nis++� bed } -%%.a-n records 5�i0Wed- o f f nor+h 1oV line (13' fron'M Lv-1covc_re-d a.roln H1o� nor -1.N). Neta 6ed to%tl, be h e d 9e of e -Tis -41 � loe.d . Bad w;-�0 hp._ .54;Q iyuo \tr& XLtLILZd I OI Z O 16 Issued By: Q (' 'CA (fieU . Date: 11 Municipality of Anchors ew Ucp. u P.O. Box 196650 0 4700 Elmore Road Anchorage. Alaska 99519-6650 o !9071 343-7an4 o FnY rgmr Zdz_7og7 Development Services Division On -Site Water and Wastewater Program **** VARIANCE/WAIVER REVIEW **** Waiver#: OSV161121 COSA#: Permit#: OSP161312 PID#: 015-192-08 Legal Description: Trails End Block 4 Lot 3 CO , t , Ru;ee""S�.} 4r a Wt a��,"MCA Engineer: Garness Engineering Group �uirC_A 20 Ipucn hor'�Zon-6Q Se{aActor\ �om 0.bSorp} o v tie la Applicant: Bankdown rUd1e+�1 Fr°m a S�bSUA�- dra:n� has beer Qp foveal, Q.pprove.dl S P�y.a�}ioA bigncc 'iS 10 {�, Your request for a waiver of the required 50 feet horizontal separation from the absorption field upgradient from a subsurface drain has been approved. The approved separation distance is 20.0 feet. In addition, your request for a waiver of the required 10 feet horizontal separation from an existing absorption field to the proposed absorption field has been approved. The approved separation distance is 0 feet. And your request for a waiver of the maximum 15 feet absorption bed width has been approved. The approved width is'20 feet. See engineer's waiver request. 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 nonobjection have been received from the owner(s) of the affected adjacent property. ® Adjacent properties are not affected by this waiver. ............................................................................... Waiver is Granted: X IWaiver is not Granted: Date: 1 011w6 Approved by: L q (IU/1rC_V ................................................Na ofReviewer ........ •........� **** VARIANCE/WAIVER REVIEW **** MUNICIPALITY OF ANCH Community Development Department Development Services On -Site Water & Wastewater Program Mayor Dan Sullivan On -Site Sewer/Well Permit Application For A Single Family Dwelling Parcell.D. 015-192-08 Property owner(s) Day phone Mailing address 11281 BROWDER AVENUE *ANCHORAGE, AK Site address 11281 BROWDER AVENUE 'ANCHORAGE, AK Legal description (Sub'd, Block & Lot ) TRAILS END; BLOCK 4, LOT 3 Legal description (Township, Section & Range) Lot Size APPLICATION IS FOR: Initial (® all that apply) Upgrade Absorption Field Renewal Septic Tank Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage ❑ Sq. Ft. Number of Bedrooms APPLICATION IS AN: Initial ❑ Upgrade Renewal ❑ A THIS APPLICATION INCLUDES A VARIANCE/ WAIVER REQUEST FOR: P Zoos ); TYPE OF DEWELLING: Single Family (SF) (w/wo ADU) Duplex (D) ❑ Multiple Dwellings ❑ (SF and/or D) DRAINFIELD TO CURTAIN DRAIN I/SEPRKOTI Qr3 To EX1571 N6 6E,p/BED U1�TIi Distance: 20 FEET FT/ZO FT I 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: Date of Payment: Receipt Number: Permit No. ocz?` p ( �0 Waiver Fees: 2-115 Date of Payment: I ollq 11 Receipt Number: a 2OIG Waiver No. DEW 121 (Rev. 01/11) GARNESS ENGINEERING GROUP, Ltd CIVIL & ENVIRONMENTAL ENGINEERS November 9, 2016 Municipality of Anchorage Development Service Department On -Site Water & Wastewater Program 4700 Elmore Road Anchorage, AK 99507 Ref: Proposed Septic System for Trails End; Block 4, Lot 3 To whom it may concern: The existing 4 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 new 1500 gallon step tank with a Quanics CAT II advanced treatment system and rebuilding a portion of the existing bed at an elevation of 0.1 feet higher than the existing bed or 3 feet below existing grade (whichever is higher). A GEG confirmation testhole was excavated in 2004. This testhole was dry down to 8.8 feet during our site visit on 9/29/2016, however, groundwater was noted at 8' below existing grade in September of 2004. Comments regarding the design are summarized as follows: 1. SOILS: See the attached 2004 logs which show the soil classifications and groundwater monitoring. Additionally, see the attached 1995 testhole by Robert A. Schafer, P.E. which shows soil classification, groundwater monitoring and 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 design drawing, the average topography around the proposed drainfield is flat. 5. WAIVERS: Per the MOA records there is a curtain drain that runs east and north of the proposed drainfield. Additionally, we are assuming there is a drain around the foundation of the house. We are requesting that your department waive the required separation distance of drainfield to curtain drain from 50 feet down to 20 feet. We are also requesting that your department waive the requirement from 10 feet from the proposed drainfield to the existing drainfield down to 0 feet. We also requesting that your department waive the requirement of maximum bed width from 15 feet to 20 feet. Justification for granting this wavier are as follows: The existing drainfield is approximately 20 feet from the existing curtain drain. The existing drainfield has enchroached on the existing curtain drain for approximately 21 years. We will be using CAT II advanced treatment. The effluent quality will be much better than that of the existing system. 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 • .Extra care will be taken during the excavation process to ensure equipment does not walk on the bottom of the bed area. • The existing bed which was installed 1995 is 37 feet wide. In short, the proposed bed will be an improvement. • The proposed drainfield is designed for bottom absorption not sidewall absorption. Therefore, creating a barrier to a decommissioned drainfield should be a moot consideration. 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. 7I A. G hki s. 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 DESIGN CRITERIA: NUMBER OF BEDROOMS: 4 GALLONS PER DAY (GPD): 600 PERCOLATION RATEIS: *53.36 PROPOSED APPLICATION RATE: 1.0 MINIMUM GRAINFIELD SQ.FT.: 600 FP 'PER ROBERT A. SCHAFER P.E. DRAINFIELD DESIGN: MAXIMUM DEPTH: LIMITED TO REMOVAL OF CONTAMINATED MATERIAL WIDTH: 20 FEET LENGTH: 40 FEET M.O.A. APPROVED SAND FILTER: AS NEEDED TO REBUILD A PORTION OF THE EXISTING BED AT AN ELEVATION OF 0.1 HIGHER THAN THE EXISTING BED OR 3 FEET BELOW EXISTING GRADE, WHICHEVER IS HIGHER. EFFECTIVE: 0.5 FEET ACTUAL SOTT.: 800 FP UNKOWN PIPE, POSSIBLE FOUNDATION CLEANOUT OR CLEANOUT FOR FOUNDATION DRAIN. PRIOR TO CONSTRUCTION THE CONTRACTOR TO CONFIRM THERE ARE NOT TWO SEWER OUTLETS FOR THE HOUSE. IF SO, THE CONTRACTOR SHALL HAVE BOTH SEWER LINES TIE TOGETHER PRIOR TO THE FIRST COMPARTMENT OF THE SEPTIC TANK 15.24N' APPROXIMATE DWVI LOCATION OF EXISTING ASSUMED LOCATI01 CURTAIN DRAIN OUN DATION DRA I We GEG, Ltd. HAS A 8 PAGE SPECIFICATION PHONE NUMBER: LETTER THAT PERTAINS TO THIS DESIGN. TO NOTE: THE CONTRACTOR OBTAIN A COPY OF THE LETTER CONTACT SHALL HAVE THE NORTH & GEG. BY PROCEEDING FORWARD WITH THIS EAST LOT LINES, AND ALL WELL INSTALLATION, THE ENGINEER, WELL DRILLER, CONTRACTOR AND PROPERTY OWNER AGREE RADII FLAGGED BY A THAT THEY HAVE READ THESE REGISTERED LAND SURVEYOR SPECIFICATIONS AND AGREE TO ACCEPT THE PRIOR TO CONSTRUCTION. TERMS AND CONDITIONS OUTLINED. SEPTIC SYSTEM DESIGN UPGRADE WELL EXISTING A•.: f- 5-10% THE ALTERNATE SITE WILL BE REBUILDING THE PROPOSED DRAINFIELD —PROPOSED 1500 GALLON STEP TANK WITH QUANICS CONTROLS 20, GARNESS ENGINEERING GROUP, Ltd CIVIL & ENVIRONMENTAL ENGINEERS 3701 E.TUDOR ROAO.SUITE 101 -ANCHORAGE. AK 99507 -PHONE 19071837 -6179 -FAX f907)338-024'WEBSITE:xww.vemessemmeennv.wm �• PREPARED FOR: PHONE NUMBER: PAGE NUMBER: GARY COX 727-4279 201 2 PROJECTA-EGAL DESCRIPTION: DRAWN BY: TRAILS END; BLOCK 4, LOT 3 D.J.G. TYPE OF WORK: DATE: SEPTIC SYSTEM DESIGN UPGRADE 11/9/2016 GENERAL LOCATION OF EXISTING CURTAIN DRAIN PER MOA RECORDS. EXACT LOCATION IS UNKOWN PROPOSED DRAINFIELD AEROCELL POD G.E.G. 2004 T.H. DRY ON 912 912 01 6 TO A DEPTH OF 8.8 FEET — 1995 TESTHOLE BY ROBERTA. SCHAFER, P.E. APPROXIMATE OUTLINE OF EXISTING BED VACANT 1"=40' 1.4..1,W., P�bFESS���� E. o�cv•..��'— �516aEP f� zo4% GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS & GENERAL CONTRACTORS 3701 E. TUDOR ROAD. SUITE 101 • ANCHORAGE, AN. 99507 • PHONE: (90))337-61)9 . F.: (907)338-326 • wEBS1TE: 9ornosm...... n9<om SOIL LOG - PERCOLATION TEST LEGAL DESCRIPTION: TRAILS END SUBDIVISION; LOT 3, BLOCK 4 PERFORMED FOR: MAI SCHNEIDER DATE: 10/4/2004 DEPTH ---- (feet) =__= TEST HOLE #1 ORGANICS AND FILL --__ SOIL CLASSIFICATIONS 2 - 7 8 9 10 11 12 13 14 15 16 17 18 DEPTH TO GROUNDWATER 1 DRY 9/21/2004 g' 9/29/2004 GW -__= ORG T 1 j{$SIM GMCL GPwil, ML (� �h p 4 5—! ARE APPROXIMAT ��� 1'•=700' +•} GC SW SP SIM OL MH CH OH o a°o 6 1 SC 7 8 9 10 11 12 13 14 15 16 17 18 DEPTH TO GROUNDWATER DATE DRY 9/21/2004 g' 9/29/2004 CONFIRMATION TH10 Yom.. ig.itn............. (6E-79 ..b ' c Q��?r o f e s vo^°�o� ii DATE ..--------- ..__ CLOCK TIME I y WATER LEVEL READING G.E.G. Ltd. CONFIRMATION TH10 El'I S&S TH+ OTE: TEST HOLE LOCATIONS �h p ARE APPROXIMAT ��� 1'•=700' DATE READING CLOCK TIME NET TIME (MINUTES) WATER LEVEL READING NET DROP (INCHES) G PSR SSS �0 19 PERCOLATION RATE - (MIN./INCH) PERC. HOLE DIA. 6 (INCHES) I�JII TEST RUN BETWEEN X4:0 FT. AND 4-E FT, 0- Ac%} runt P&A J6. 20 A FOUR HOUR PRESOAK WAS PERFORMED: ❑ YES ® NO -•RMC. SOILS LOGGED BY: SUSAN OSWALT PERCOLATION TEST PERFORMED BY: - COMMENTS: THIS IS A CONFIRMATION TEST HOLE TO VERIFY SOIL CONDITIONS AND GROUNDWATER LEVELS. PERFORMED BY GEG, Ltd. I, JEFFREY A. GARNESS, CERTIFY THAT THIS WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELWES IN EFFECT ON THIS DATE: 9/29/2004 P,N`16e ADVANCED WASTEWATER TREATNIENT SYSTEM MAINTENANCE AND REPAIR AGREEMENT BETWEEN MUNICIPALITY OF ANCHORAGE AND Mat`W A,�imc, THIS MAINTENANCE AND REPAIR AGREEMENT made and entered into as of this _ Day of 6c Ci of 20 110, 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 Svstems. Municipality grants permission to Owner to utilize and operate an Advanced Wastewater "Treatment System ('A W W"rS), described as located at (legal description). T(`oAAS Fn� Iii I -D+ 2. Definitions. Alteration. Any change to the design or function of an A W WTS that includes the installation or removal ofany 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. Anv 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 AW%VTS that were included in the original design which would allow the A W WTS to continue to perfomt as designed. Permit. An On -Site Wastewater Disposal Permit as required by AMC 15.65 to construct and operate an A W WTS. 3. "Perm. 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 A W WTS 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. d. Alterations Installation and Removal of Additional Equipment. Prior to performing any alterations to an A W WTS, 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 A W WTS 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 AW WTS service and maintenance provider approved by the municipality and the manufacturer of the A W WTS for the entire term of the A W WTS. 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. Q. Owner agrees to comply with all applicable ordinance, laws, regulations. rules and orders for the AWW"rS. 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 A W WTS may be assessed in accordance with AMC 14.60 for improper discharge. L. 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 aerees that any sale or transfer of title ol' the property will not occur without a new Certificate of On -Site Svstems Approval. PI. Owner aarces that the AWWTS 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 AWWTS. I. Owner agrees to provide and maintain a telephone connection to the A\V\VTS as required by the AWWTS approval. 6. \onwaiver. 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 richt 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. Q. 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: _N►e 4� 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. S. .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. ONVNER: 13N (sienature) _(print name) STATE OF ALASKA ) ss. TTIIRD JUDICIAL DISTRICT ) The foregoinL instrument was acknowledged before me this 20�. b� Comm LNIUNICIPALITY: BLIC FOL2-,ALASKA on cxpires.%��`-/a wi By: (signature) (print name) Date: -7.I , l 1� NOTA' PUBL Date: _ lG Title: Municipality of Anchorage Page' I of Z 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 PermitNumber- PIDNumber: o1s191oS Name: MAav,'bEFcA.acIs Wastewater System: 11New SUpgrade Address: C/O 4f,,cj aItAL.E1 'S ABSORPTION FIELD 51MT'SOr•1 CO. IZS� Ze.loUtii! WA Phone: sba-vaso 3YS- ALN`/ No. of IS rooms: 3 'yRa yST'DI . ❑Deep Trench O Shallow Trench$.eed O Mound ❑Other LEGAL DESCRIPTION Soil Rating: Total Depth from original grade: 03 GPD/S Ft S Lot: Block: s� Subdivision: Depth to pipe Conan from original grade: Gravel depth beneath pipe 3 / TAILS 6Ne' .S' Ft. �1 Ft Township: Range: Section: Fill added above original grade: Gravel length: .s 1 WELL:l,7 New ❑ Upgrade p9 Gravel width: 1 37, Numbaroflines: i Distance between lines: '5' 'saXISTIN Ft, Ft. Classification (Private, A,B,C): Total Depth: Cased To: Total absorption area: Pipe material, ASTM F wFfly If y0 a? p33 ZVC �R tV Arc g i' Fl. 75'Ft. .1331 O Ft. 94 . / Driller. Date Drilled: Static Water Level: Installer. Date Installed: 5'�S-9S KRNS 05 T'AW 104;; y' Ft. YWC3£D Yield: Pump Set at: Casing Height Above Ground: TANK `' q. 1p GPM U k Ft. I1t Ft. SEPARATION DISTANCES ❑Septic ❑Holding �in.T.E.P. TO Sceptic Absorption Lift Holding ubiica rbale Manufacturer. Ajj TAA,K Capacity In gallons: /isv From Tank Field Station Tank Sewer Lines 1PAbe- Welt .Ipy' ItU'. IoY' — eZSt Materiel: gT6SL Number of Compartments: � Waters .lc ,'+ alb 4- — — LIFT STATION Ito'+ Lotr '� 1 1 3'4 — — Size In gallons: 970 Manufacturer: TNK Line afe /;? metio¢abF 1 1 "Pump on" level at: 'Pump off" level at: High watlarm at: er aL/ Foundation (S eZ1 Ir, — `/J e 3 r' 1' Curial " 15'c' 1 1 5l, — 1 7 0 Pump Maks a Model K� Electrical Inspections performed by: M. 0. A. ao er + e-- oS, seo BENCH MARK Remarks: ffi ­bQAIN Lcxarm 20' VTHILL FQ&fiA Location and Description: �ISTRIRuTIoN V.ET1. �`+ OC W1Nn[KJ GILL AT iJ.E. eoeAi�C oa �s� Assumed Elevation: /DO•D , E �OF.gC •4 .......... '9S 17034 Eagle River Loop Road, No. 404 Inspections performed by:Eagle River, Alaska 99577 Dates: 1st aDi'TT C'COWAN i CQ /I• c / C_ • 6501 y' Department of Health and Huma ervices approval rt ...... • .•. o / Date:,TL� ; Reviewed and approved by: 72-013 (A". "I1 MOA 25 Permit No. SW950017 Page 2 of 2 Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 • Anchorage, Alaska 99519-6650 • Telephone: 343-4744 On -Site Wastewater Disposal System and/or Well Inspection Report LOT 3, BLOCK 4, TRAILS END S/D Legal Description: PID No.: 01519208 71-013 A (1)93) - JUN -21-93 WED 10:30 P.01 INS?F.CTION REPORT r� MUNICIPALITY OE ANCHOPArE. BUILDINO SAFETY DIVISI:N 3:,00 EAST TUDOR. BOAC, INFORMAIION: (907) 1'N3PECTIO::S: (907) 5G3-3464 7CG-82 z n:==scsaecasaxsscsasas:sszsacsazaaasaxs=xz====s�3aa PERMITa 4: 95-71392`--xssr NAME: JUDY/SS ENGINEER�'12ec� Jo DATE: OG/09/95 ADDRESS: 11201 8 Y ! PHONE il: 094-2979 PHONE 42: LOT: 3 ?LOCK: 4 SUBDIVISION: TRAIL ENDS COMMENTS: CALL IO MEET YOU -STEPHEN JAMES SIMPSON CO -562-4230 -----�3��__4�'_Eaa----------llnc�,__C�fe#= 34�- �!&-�------------------ REINSPECTION: TYPE OE INSPECTION: 3� 1: Electrical Service 2: _ _ ___ _ ----------------------- C�1 �:0-NONCOMPLIANCE OBSERVED - - C J CORRECTIONS ESSENTIAL AS EXPLAINED BEL, C ] UILL REEXAMINE AT NEXT INSPECTION E I DO NOT CONCEAL UNTIL -REINSPECTED------ - COMMENTS: tPC-Crtrr 1 Fi n eL. b -f L1 'C—t' �tic'ct'fi t� INSPECTOR. -DA IE -------------------_�j -----^---- -- - - L WHEN CORRECTIONS ARE MADE. PLEASE CALL FOR INSPECTION DO NOT REMOVE THIS NOTICE /Zfo 'el PAGE 1 OF 1 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 a (]() ANCHORAGE, ALASKA 99519-6650 ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT PERMIT NUMBER:SW950017 DATE ISSUED: 2/14/95 DESIGN ENGINEERS & S ENGINEERING EXPIRATION DATE: 2/14/96 OWNER NAME:GREEFF DENICE OWNER ADDRESS:11281 BROWDER AVE PARCEL ID:01519208 LEGAL DESCRIPTION: TRAILS END BLK 4 IT 3 LOT SIZE: 22800 (SQ. FT.) NUMBER OF BEDROOMS: 3 THIS PERMIT: 3 THIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: 1. THE ATTACHED APPROVED DESIGN. 2. ALL REQUIREMENTS SPECIFIED IN ANCHORAGE MUNICIPAL CODE CHAPTERS 15.55 AND 15.65 AND THE STATE OF ALASKA WASTEWATER DISPOSAL REGULATIONS (18AAC72) AND DRINKING WATER REGULATIONS (18AAC80). 3. THE ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY CALLING 343-4744 ( 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 PR^"Tnrnw.n_ RECEIVED B ISSUED BY: DATE: Z/, /SIS DATE: HEALTHAUTHORITY APPROVALS SEWER 6 WATER MNN EXTENSIONS SEWERS WATER INSPECTION ENGINEERINGSTUDIES ANDREPORTS WELLYISPECTION & FLOW TEST SITE PLANS ROADDESIGN SOILTEST PERCOLATION TEST STRUCNRAL& MECHANICAL, INSPECTIONS ONSITE WASTEWATER DISPOSAL SYSTEM DESIGN nG February 8, 1995 MUNICIPALITY OF ANCHORAGE Depart-fnent o6 Health and Human Sertvica Attn: Jim Cuss P.O. Box 196650 Anchorage, AK 99519 REFERENCE: Lot 3; Block 4; Tnai.La End Subdivision Dean Ma. Cnoaa, ROBERTC. COWAN, P.E. ROBERT A. SHAFER PE. CIVIL ENGINEERS (907)694.2979 FAX(907)694-1211 MUNICIPALITY RONMZ ENVIRONMENT AAL SERVICESDNISION rEB 0 9 1995 RECEIVED Request you issue a Conditional Heatth Authority Apptovat and a penm.it boa the upgrade o6 the on-site waatewute-t di.apoaal system on the te5erenced property. The existing on-site wastewater di.apotal system was .inataUed in 1982 and included a cuttain drain Located atong the East and North side o6 the paopeaty. Due to the tocation o6 .the existing system and the curtain chain with respect to the wet£ tocated on this property, a duitabte attetnate site is not avaitabte. The existing abaorption area Jailed an adequacy test boa the design capacity o6 3 bedaooma, however it did absorb an adequate amount Jot 2 bedrooms. The attached design 6o.% an upgrade o6 the on-a.ite wastewateA dispotat system propoaea to reconatnuct a bed area above the existing system and .i.ncneaze the area to the maximum area avaiCabte within the con6.inea o6 this property without waivet.a. OutUned speci6ication4 .included on the design site pian cute conai.dered a condition o6 the permit. Upgrading the system as proposed will not e66ect adjacent propvLti.es which remain undevetoped. Even though the existing system was designed Jot a 3 bedroom house, .it should be recognized that the existing stauctun .is a two bedroom home and that the proposed addition to the existing bed providea an adequate area Jot 2 bedrooms based upon aecent soil tests. 16 you tequLLe additi.onat in6otmation ptease contact us. A. CHAFER, P.E. ,dad- OD 6 �i (6l3f 17034 NORTH EAGLE RIVER LOOP - SURE 204 -EAGLE RIVER, ALASKA 99577 LEGAL- 1;,LI!jlit P DRAWW' +CK A SHT. sG LSA% aiL ai. . ArV rF4.. ••*.. T�nY� d� W STRUCTURES, EASEMENTS, OR ENCROACHMENTS M �'k DESIGN CRITERIA: SHOWN ON THIS SITE PLAN ARE AS SHOWN ON "' •�^•� •' . A� A 3 8DRM = 450 GPD AN AS -BUILT SURVEY DRAWN BY: T,••• •• SOILS = 0.3 GPD/SQ.FT. SHANE A. HOLT A. .,;r.��.�"r,+' 450/0.3 = 1500 SO.FT. REO'D IT IS THE RESPONSIBILTIY OF THE CONTRACTOR '-�. A• ,4 A. 1.4 d•% ! yk TO VERIFY EASEMENTS, REQUIRED SEPARATION r . f•;•i,4 FIp(F q,V(N •`•SIN• DISTANCES, AND PROPERTY LINES PRIOR TO T��'•.•,•HM,�.•• �Q.�„• CONSTRUCTION. J�'IOFES- �r`y EXIST. SEPTIC TANK NOTE: REPLACE OLD TANK WITH A NEW 1250 GAL ASSUME WATER TABLE MAYBE 7' S.T.E.P. SYSTEM, UNLESS AN ADVANCED BELOW EXISTING GROUND SURFACE SYSTEM IS SUBSTITUTED WITH PRIOR IF CURTAIN DRAIN HAS FADED . CONTRACTOR IS REQUIRED TO APPROVAL FROM THE PERMITTING AUTHORITY. VERIFY AT TIME OF CONSTRUCTION. OBTAIN UTILITY LOCATES BED AREA MAY BE REDUCED WITH THE PRIOR TO ANY EXCAVATION BED CRITERIA • / INSTALLATION OF AN AOVANC D UWT. LOT 2 WELL & SEPTIC ON THIS WORK. ELEC. & CABLE TV INSTALLTDALL EEP 6' SEWER ROCK LOT DO NOT EFFECT THIS PROJECT AS SHOWN ARE APPROX. OVER & UNDER DIST. PIPES�•yy _ _ _ _ _ _ _ INSTALL FILTER FABRIC & 2" INSULATION FENCE D— !D� I EXIST DED SYSTEM 36' x 62' LJ D� ABANDON IN PLACE AND 1 / EXCAVATE 3' TO INSTAL. x ' X NEW BED OVER EXISTING W X /D/ p I BED. LOCATION TAKEN FROM LOT 3 _ I M.OA RECORDS AS LEGEND: > /' �— I.I SUBMIT0 BY LEE RED (1982) CURTAIN DRAIN--D—D— al D I - UNDERGROUND ELEC.—E—E— /'/ CO j IDI. CABLE TV- — c— c— I o EXIST. c I GAS LINE- —G—G— 3 BDRM 9� 'j%�/�/f� III LOT S WELL & SEPTIC ON THIS WI HOUSE cmc E/ II I LOT DO NOT EFFECT M15 PiO:ECT WELL E I TH ID 3I 2 DECK MT c\� XISTING CURTAIN DRAIN 0 0p' p p7 LOCATION TAKEN FROM M.O.L QfI G RECORD9 AS SUBMITTED BY mIUy I LEE REED P.E. (1985) W E\ 0 N .< LOT 4 a f a TO• ELECTRIC ESMT !L G vPCPNSi INSTAL NEW BED ROPOSED OOVERDEMST.� DITCH -WITH INTERMITENT FLO SEEPAGE BED. EXPAND NEW BD APPROX. 10' TO THE SOUTH & EAST OF OLD BED 7ALLOW PRESSURE DIST. BED: MARGINFOR DENSEE SOILS. PUMP = 20 OSI 05HH - 5 STAGE( -30 GPM EXPANSION WILL NOT BE NECESSARY ) IF A ADVANCED TREATMENT UNIT IS 9 HOLES/LAT. (3' O.C.) - 126 HOLES TOTAL INSTALLED. 14 LATERALS - 28' LONG EA. = 5.31 GPM/LAT. o r =^•0.59 GPM/HOLE N J . 3/16" DIA. HOLES FACED DOWNWARD II M 1-1/4" DIA. LATERALS 3" DIA. SOLID MANIFOLD 30' LONG CLIENT ALL PORTIONS OF SYSTEM WITH LESS THAN 3.5' OF ma o« wx( n as ..r..c.oa w (� (rte. r rm•r. n nrnrtnr.� •^ . •rPA� I DRAwNJ ANDERSON GKD' R.A.S. �r - - - - - - - - - - tv 82' �p.4 e•4t� 3 95 BHT.2 OF 2 ! rYTy MONITOR TUBE W O.C.` • Ci v N . MT 3• DLI. SOLID MANIFOLD -30' IAN 0 R y 1-1/4' DN. FROM S.T.E.P. �-1 N 'O DETAIL MT MT r—FINAL GRADE wr •retry aF hZ.mi� 3/18" DLL HOLES FACED DOWNWARD/ II O /4' wr NDS CAPPED (r".)DLI. LATERALS Z" INSULATION FILTER FABRIC 2' YIN. 2'SIOL PLACED IN 1982 I W oil O O 54 O 0 , 3' DEEPJ I TOP OF OLD BED± H + BOTTOM CLD BED Z • DIST. PIPES LAID WITHIN CROSS SECTION SEWER ROCK, 8' UNDER & 2" OVER DIST. PIPES a P`e1v Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION TEST PERFORMED FOR: le4,2K !lP/ /Q<fCf J / Ue'e v/ .i I Z��IF�G'I" Y4EA r PERFORMED'.,"Z `�•>Z�.- Sri LEGAL • • - . Township, Range, ■IIIA■ ■��■■■■\`\■■ I <eph 761 L a r Gross Time Net Time Depth to Water Net Drop Z�L- a joe 01-7/s " ZS a• i iJ ° N 4ed —411110 9 V S S 10 �r i •a 3o S ! L -C }/ .rIIA14 . SOW,= 9�arrc e iesv fhaa, laym _ veer elemse 1O �R 12 J e • AFTER C.D. 13 j /i.as90atEp 14- 15- 16- 17- 18- 191 4 1516171819 20 COMMENTS WAS GROUNDWATER ENCOUNTERED? A/D IF YES, AT WHAT DEPTH? Depth to Water Alter Monitoring? 772rs 11 1i Reading Date Gross Time Net Time Depth to Water Net Drop Z�L- a joe 01-7/s " ZS i iJ ° N 4ed —411110 S 'Is. a. �r i •a 3o PERCOLATION RATE - 9' 3(mmutestinch) PERC HOLE DIAMETER 6 �r TEST RUN BETWEEN _ 3 FTAND 4 FT - PERFORMED BY17No.e.1 CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE 1� 'ANWATEAOISIIPAL GUIDELIN S I FFECT ON THIS ATE DATE: Z� 72-008 (Rev. 0/85) S& ROBERT C. COWAN, P.E. ROBERT A. SHAFER RE. ON-SITE WASTEWATER DISPOSAL SYSTEM CIVIL ENGINEERS CONSTRUCTION PRACTICES (907)694-2979 and FAX(907)694.1211 MATERIAL SPECIFICATIONS HEALTHAITHORITY APPRwALS REFERENCE: Lot 3; Block 4; Taa.ita End Subdivision GENERAL: SEWER& WATER MAIND(TENSIONS 1. The scope o5 this paoject .Lnctudes .the 4n6tat.Yation o6 a 1250 gatton septic tank e66fuent pumping (S.T.E.P.) system and a paeaautized absoaption bed to leave .the thaee bedaoom tea.idence SEWER&WATER located on .the ae6eaenced paopeaty. The existing 1250 gatton INSPECTION septic tank .is to be excavated, pumped, caushed, and abandoned .in. place. Afro the existing teach6.ietd is to be abandoned .in place. ENGINEERINGSTUDIES 2. Constauction ahaU be in accoadance with the appaoved site plan ANDREPORTS and design dtaw.ings, Municfpat peam.it with any apeciat paov.csdonz oa conditions, tions, and aft appticab.te State and Municipat Waatewatea D.1.6poaat Regutati.on6. WELL INSPECTION 3. The contnactoa shaft be tea onaibte jot obtaining any necesaaa y FLOW TEST undeagaound utitity tocatea. 4. Un.tess zpeci6ica.Cty agaeed otheawi.ae, the paopeaty ownea shah be teapon6ib.te boa 6.inat gaadi.ng ateaa subaequentty depaeaaed SITE PLANS 6tom aoit settti.ng. On a.tt .teach6.ietd mound systema, the paopeaty ownea ahatt be teaponaibte bort ensua,ing a 4ati46actoty vegetation gaowth oven the mounded area. ROAD DESIGN 5. Cont4actoaa .inata.Cting wastewatea dizposat systema must be ceati6ied by the Muni.cipat Health Depaatment boa system .inataUationa. Owneas .cnstaUti.ng thein own systems must afbo aeceive ptioa appaova.t 6tom the MunicEpa.t Heatth Departtment. saLTEsr SEPTIC TANK S.T.E.P. SYSTEM INSTALLATION: PERCOLATION 1. A septic tank S.T.E.P. is to be conataucted by a ceati6.ied TEST septic tank manu6actunea. Conatauction ahatt .cnctude two 4" cteanouts bon pumping access and a manhole boa pumping chambea access. wca r LRAL a 2. The septic tank Ahat.t be 4u66.iei.entfy bedded to paevent INSPECTIONS aettf,ing oa zh.i6ting o6 the tank. 3. AU 4tandpipe6 on the septic tank shaft extend a minimum o6 12 .inches above 6.inat gaade. ONSITE WASTEWATER DISPOSALSYSTEM DESIGN 17034 NORTH EAGLE RIVER LOOP -SUITE 204 -EAGLE RIVER, ALASKA 99577 Page Two Lot 3; Bloch 4; TAait,6 End Subdiv.i.6ion FebnuaAy 8, 1995 4. Septic tank6 .instatted with tend than 4' o6 coven. shall be in rotated. 5. A 6oundation cleanout .c6 in place. 6. Finat gnading oven the 4eptic tank shall be such that a po6.itive Elope ex.i6t6 away 6Aom the septic tank. 7. All efectti.cat wining 6hatt be to M.O.A. apeci6ication6 and con6oAm to the N.E.C. In the M.O.A. building seAvice area, a penm.it and M.O.A. .inapection6 aAe Aegwined. PRESSURIZED BED SYSTEM INSTALLATION: 1. Any peat ot onganic matteA mutt be nemoved 6Aom the elevated mound cite. 2. The bottom o6 the banal bed area a6 welt a6 the top o6 the band 6a,lteA .c6 to be within two inchea o6 .level. 3. The di.6t4ibuti.on piping .c6 to be o6 PVC (ASTM D3034 and SCH 40 ort equal). All 1o.i.nt6 ane to be dotvent cemented. 4. The di6tAibution pipea ane to be embedded in 6eweA nock. Cane should be taken to back6,ill in such a way a6 to pnevent damage to the piping 6yatem. 5. S.iGt bav%i.eA mateti.al must be installed between the 6,inal gAavel tayeA and the native 6o.it back6.rll. Enure the 4itt ba)mieA coven the entire gravel 4uA6ace be6oa.e ptaci.ng back6.ill. 6. Back6,iU oveA the 6.inat gravel tayeA must not be te66 than twenty-6owc (24) .inche6. In6utati.on mutt be .in6talled when the back6.itt depth ca te64 than thin ty-s i.x (36) inches. Page Thaee Lot 3; Btock 4; Tx" End Subdiviaion FebLuany 8, 1995 MINIMUM MATERIAL SPECIFICATIONS: 1. Any aeptic .tank pLopoaed bon inatattation muAt be conatauated by a Muniaipatty app2oved septic .tank manu6aetuy=. 2. The 6ottowing pipe matehia.6 ate apprtoved Sot uae .in septic ayatem .inataR.£ation6 in the Municipatity o6 Anchoaage: Type o6 Pipe Pert6ortated Sotid Ca6t Icon Yea Yea ASTM D3034 (PVC) Yea Ye6 ASTM F810 (HDPE) Yeb No ASTM D2662 (ABS) Yea Yeb ASTM SCH 40(PVC) Yu Ye6 We o6 a type os pipe otheL than tibted above must be approved by the .in6pecting eng.inee%. 3. Inaatation shat,. be at teast 2" thick eztnuded d Aect buni.a.t potyatyune (Dow Chvmicat Company Sty)to6oam HI on equat). 4. Septic tank inters and out.et6 ahat. be S.itted with wateatight coupt.ings (Cautde%, Feanco, oL equat). 5. A peueabte nontoxic aatt baLL.ie1 (Typan 3401, Miu6i 1401N, on equat) mu6t be .in6tatted between the 6.inat teach6.ietd gLavet tayeL and the native so,ie back6.itt. 6. Att teach6.ie.d 92ave. (beweL Lock) aha... be 0.5"-2.5" amened gaavet with teas .than 3% pa66.i.ng the #200 sieve. Page Four. Lot 3; Block 4; Traits End Subdivision Febu=y 8, 1995 INSPECTIONS: Typica,Uy there witC be a minimum o6 three (3) inspections Required duting .the instaUation o6 the wastewater diaposat system. These inspections wctt occuA as 6ottows: 1. The 6itat inspection must be conducted a6ter the excavation o6 ditches, pits, trenches, or beds and be6ore the instattation o6 any grave.t. A septic tank may be set in peace, but may not be backjiUed be6ore this inspection. 2. The second inspection must be conducted a6ter the placement o6 the aitt baktier, gravel, di4tA.ibution tinea, atandpipea, cteanouts, and .inautati.on, but be6ore the placement o6 any other back6itt. 3. The 6inal.inspection is to occuA upon 6inat grading o6 the propWy. 06ten these wilt be more than these 3 inspections requkked, especcat£y with the .i.natattati.on o6 muttipte trenches, sand 6itteas, pressurized dfstnibution systema, etc. Thus, the inspecting eng,ineert .is to be contacted at teaat 24 hours prior to the start o6 construction. 16 necessaAy, a pee -construction meeting wilt take ptace on-a.ite. The inspecting engineer wilt not coordinate, diAect or contAot in any way the contractor's activities. The owner shad contract with the contractor to per6orm the work outlined .in these 4peci6icationa and plans and in accordance with the attached M.O.A. pertmit. There wit be no contractual arrangement existing between the con.thactor and S I S Engineering. S I S Engineering shatt be the owner's representative and witL inspect the work as stated above to document the contractor's activities. Finat acceptance o6 the contractor's work rests with the owner and the M.O.A. S I S Engineering ahate have no tfabitity to the owner or to others Jot acts or omissions o6 the contkaetor or any other peraons per6orming work on .this project or the 6aituAe o6 the contractor to carry out the work in accordance with these construction documents. S I S Engineering's .inspecting engineer witL not be responsible Jot the conatruction means, methods, techniques, sequence, procedwces or the aa6ety precautions incident to this project. C NTRACT R INSTALLER MUNICIPALITY OF ANCHORAGE n DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION I I ENVIRONMENTAL ENGINEERING DIVISION 825 L Street. Anchorage, Alaska 99501 Telephone 264.4720 ONSITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME ('' vZt^N Rusk /A.{�,C. ('+ . PHONE Z76-/SCL NEW ❑UPGRADE MAILING ADDRESS IZZ'o w- 7-S ASt•rf'e- 13 LEGAL DESCRIPTION Tr-�'ts F=kd Sl 3lV t10 3 LOCATION / �o-s'r Slcl� VC t3 re„„c%r NO. OF BEDROOMS u Y DISTANCE TO: Well N Ab$orption area Z' Dwelling PERMIT NO. 2 is E2 W f Manufacturer //.�� Gtr C'.2.s'- Materiel No. of com�(Jlartmentt (� Liq. capacity in gallons .7 O IF HOMEMADE: Inside length Width �- Liquid depth d he Jt72 DISTANCE TO: Well Dwelling PERMIT NO. _ F Manufacturer Material Liquid capacity in gallons O W= DISTANCE TO: Well A/-r I Foundation .tiu N Nearest lot line ' PERMIT NO. 'ZO ZS f Z W No. Of lines Length of each lin �s Total length of I� S,O � Y rrwe� aT+wreh width CJ 6 ;i, , Distance between lines Q !�- ¢a Top of tile to finish grade y Material beneath tile li inches Total effective absorption area 1 3 S Z a' W t! Length Width Depth PERMIT NO. Q H c. W d Type of crib Crib diameter Crib depth Total effective absorption area DISTANCE TO: Well Building foundation Nearest lot line J J Class Depth Driller Distance to lot line PERMIT NO. W DISTANCE TO: Building foundation Sewer line Septic tank a Absorption area OTHER ^ ff 63 Rvt N 0. PIPE MATERIALS PVC O SOIL TEST RATING 2 7 tt'l3t> INSTALLER S &A ktiIe ..L s REMARKS f APPROVED DATE LEGAL cr-Y-ez Trc'lls EA+d S/o 13tic q Got3 72-013 (Rev. 3/781 Department/ ealthLand Environmenta',:-ection I J' 825 'L Street, Anchorage, AK. .3501 � 264-4720 Permit #Rap�aR * * * HANDWRITTEN PERMIT WELL ANDAR ON-SITE SEWER PERMIT Applicant: z,2 f S-�, Mailing Address: /b Location: Phone Number: Legal Description: / 3 � � �� � Et,_A - Lot Size: - Type of Soil Absorption System Is: Trench: Drainfield: Seepage Bed: IK Holding Tank: Maximum Number of Bedrooms: y� Soil Rating(sq.ft/br) -Ic4:z 6 •, 6t ._ The Required Size of the Soil Absorption Sys m Is: �t� A • DEPTH .LENGTH AVEL"DT WIDTH The length dimension is the length(in feet) of the trench or drainfield. The depth of a trench or pit is the distance between the surface of the ground and the bottom of the excavation(in feet). There is no set width for trenches. The gravel depth is the minimum depth of gravel between the outfall pipe and the bottom of the excavation(in feet). * * REQUIRED SEPTIC(HOLDING) TANK SIZE = � GALLONS Permit applicant has the responsibility to inform this department during the installation inspections of any wells adjacent to this property and the number of residences that the well will serve. * *.* TWO(2) INSPECTIONS ARE REQUIRED Backfilling of any system without final inspection and approval by this departmen will be subject to prosecution. Minimum distance between a well and any on-site sewage disposal system is 100 fee for a private well or 150 to 200 feet from a public well depending upon the type of public well. Minimum distance from a private well to a private sewer line is 25 feet and to a community sewer line is 75 feet. Well logs are required and must be returned to this department within 30 days of the well completion. Other requirements may apply. Specifications and construction diagrams are available to insure proper installation. * * * PERMIT EXPIRES DECEMBER 31, 1 9 3 2 I certify that: (1) I am familiar with the requirements for on-site sewers and wells as set forth by the Municipality of Anchorage. (2) I will install the system in accordance with codes. (3) I understand that the on-site sewer system may require enlargement if the 'r" side remodeled to include more that 3 ber. Signeld Issued by: - Appli t Date: SWP/024(1/81) ` ALASKA en�tt,a, 1 '��imGn1 RL COMM0� SERIt,���, it��ffrf,TUry OF A 1 - EIQR✓titl� 6 (vuo mlul Wits its � ENVI{; ,P...;C,af'.,rTN�f4GE �t� 919&2 _JERCOL 71DH 1151 MIA SHEET RECELVED CUEIlT .V&Yn DAZE JI MUSS - -- - 21? CODE LENIL LOCATION `fM i 1OTAL KP1H OF NDU ZWE IESIED Z'1 v tt 10 EAD HING 1 CLOCK VHT HEI IlKi�DUIH 10 I F;E1 h^.OP D. TWi PJl1E (mtn/tn) --- A �; ALJ [-i1 t.A F. c -.j f1�L'Y-v l��,1 L_14J. ElltAt PERCOtAllom RATE �l PERIORKED tY l(ili�._ P ' —_ __j :.' �. '1< t': xr , llrfrr t. I' ' i'h•3 •.4'i)1 .^R-•rxr f1_ Alaska Testlab 4010 RY Street Anchorage, Atas4a 99503 Denali Drilling 6000 "A" Street Anchorage, Alaska 99504 Attn: Harry Hartung Phone (907) 278-1551 (Telecopier (907) 272-5717 August 3, 1982 W.O. #A20729 Grid: 2641 Re: Lot 3, Block 4, Trails End Subdivision, Percolation Test Gentlemen: On July 27, 1982, Mark Holum, an engineer for Alaska Testlab, logged three test borings on the subject property. A Nodwell mounted B-50 drill equipped with a solid flight auger was used to drill the three borings.. Groundwater was encountered at the following depths: It has been.,our;experience,.that ;.the:Municipality does not readily approve on-site sewage disposal for lots where the groundwater is less than ten feet deep. We therefore, did not perform any percolation tests. The three test borings were generally placed on high ground, but all encountered relatively shallow groundwater. The groundwater level did vary while drilling, and the water level generally rose when the auger was withdrawn from the test boring. We suggest that, if use of this lot is to be pursued, site drainage modifica- tion be considered, or other methods be employed to reduce the groundwater level. Please call again if you have any question regarding the suitabil- ity of this site for on-site sewage disposal. Y 7/27/82 7/28/82 Test Boring 1, 6.0' 6.0' Test Boring 2" 9.0' 5.0' Test Boring 3 8.0' Test Boring Filled with Debris It has been.,our;experience,.that ;.the:Municipality does not readily approve on-site sewage disposal for lots where the groundwater is less than ten feet deep. We therefore, did not perform any percolation tests. The three test borings were generally placed on high ground, but all encountered relatively shallow groundwater. The groundwater level did vary while drilling, and the water level generally rose when the auger was withdrawn from the test boring. We suggest that, if use of this lot is to be pursued, site drainage modifica- tion be considered, or other methods be employed to reduce the groundwater level. Please call again if you have any question regarding the suitabil- ity of this site for on-site sewage disposal. Y Test Hole K2 --Depth in Feet From To 0.0 2.5 2.5 10.0 Bottom of Test Pit: Frost Line: Free Water Level: Table B WO OA20729 Soil Description F-4, Brown Organic Silt, damp, soft F-2, Brown Silty Sand, moist to saturated, medium dense 10.0' 9.0' Test Hole #3 Depth in Feet From To 0.0 3.0 3.0 10.0 Bottom of Test Pit: Frost Line: Free Water Level: r"'-�) r` eo�) Table C WO #A20729 Soil Description F-4, Brown Organic Silt, moist, soft F-2, Brown Silty Sand, moist to saturated, medium dense 10.0' 8.0' Denali• Drilling August •3, 1982 Pagu Two Approved: %Q.V-. K.oj1, Melvin R. Nichols, P.E. Partner MH/smb Sincerely, ALASKA eTEST/LLAAD Mark Holum Geotechnical Engineer cc: Alaska Environmental Control Services Vern Rush +pyo OF qt./��3+. •=C'aF tiC,�SLaB CO -:••:`f a .`�' • �o, Ty�ThJy(, .4NNw��_4 •�Y.�9t •N•ii. 4.�/./�y/iy•. �• / � 4. ry 5%0 m : M•tvin R. Ni�hoS � t, Na 471}E : ,c;. • ,. . ,. � -0 ; 1am.s R. rM!aY, Jr. 0 yt.� I���!F•ti CE 471A i �A T L', AIASf..1 Y[STS ns rI 120 00 I 12 0 00 130 �oEti Avenue 6 of 0 G• •a. - p�•86692C' 40.000 - I0 IYV.w N .__ __' I \•ice I i . �.. 1."130 10 30 s STROG • • I Ave . a - ----- -RAL •�Ui3 I... % -- e_.- . i9u 1 0 I �_• 12 00 ..0OU II Y.9. 30 I 9 1101• t 12J CO 12GW 130 's0 .�� 7 I `,� ;1to*C(AjEs.f u � • I I e � I asy c.0 ,. V I s I Ile -CEA Es -t Li"700R" 1 P993_ =�m NORTN IX (n.* co eoI. . _ n i �A rI 120 00 I 12 0 00 130 �oEti Avenue 6 of 0 G• •a. - p�•86692C' 40.000 - I0 IYV.w N .__ __' I \•ice I i �l s II a o, ;1to*C(AjEs.f 4704 Ile -CEA Es -t Li"700R" 1 M 120 00 119 °0 . I1 Avenue Y -� -.-..-. --- •39110 :--- ...- -- Yi NORTH ' �IiT �- 12000 12040 11Y DO J9 13 1 I �••O v - ALASKA RUIROnmRAL COnTROL SRICES, InC. Engmetring & Enuironmtnial Studies SPECIFICATIONS FOR CURTAIN DRAIN — TRAILS END SUBDIVIISION 1.0 GENERAL 1.1 THE DRAWINGS, SHEETS 1 THRU 2, SHALL BE A PART OF THIS SPECIFICATION. 1.2 ALL MATERIALS AND WORKMANSHIP SHALL MEET THE REQUIREMENTS OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION PERMIT. 1.3 ALL EXCAVATIONS AND DEPTHS ARE ADVISORY AND ARE TO BE VERFIED OR MODIFIED IN THE FIELD BY THE ENGINEER. 1.4 IT IS THE RESPONSIBILITY OF THE OWNER TO OBTAIN ALL NECESSARY PERMITS OR EASEMENTS. 2.0 CURTAIN DRAIN 2.1 THE PIPE FOR THE CURTAIN DRAIN SHALL BE RIGID PVC PERFORATED PIPE ASTM D 3350 L06K2B. 2.2 THE ROCK FILL SHALL BE 1/2" — 2 1/2" WASHED GRAVEL. 2.3 THE ENGINEERING FABRIC SHALL BE TYPAR, MIRAFI OR FIBERTEX. 2.4 THE SLOPE OF THE DRAIN SHALL NOT BE LESS THAN 0.45 FT/100 FT. 2.5 THE CURTAIN DRAIN SHALL NOT BE PLACED CLOSER THAN 20 FT TO ANY SOIL ABSORPTION SYSTEM. 3.0 SEEPAGE BED 3.1 THE GRAVEL FOR THE BED SHALL BE SIZED BETWEEN 0.5 TO 1.5 INCH AND RELATIVELY FREE FROM SILT OR SAND. 3.2 THE BOTTOM OF THE EXCAVATION SHALL BE RAKED WITH THE BACKHOE BLADE TO INSURE THAT THE BOTTOM HAS NOT BEEN COMPACTED DURING EXCAVATION. THE BOTTOM ELEVATION SHALL BE PLUS OR MINUS 2". 3.3 THE DISTRIBUTION PIPE SHALL BE 4 INCH RIGID PVC OR POLYETHYLENE. THE PIPES SHALL BE LAID LEVEL. 3.4 AN OBSERVATION PIPE SHALL BE PLACED AS SHOWN IN THE DRAWINGS. IT SHALL BE RIGID PVC, ASTM 3033 D-3034. THE SECTION SHOWN WITH HOLES MAY BE EITHER DRILLED 0.5" HOLES @ 6 INCH CENTERS ON OPPOSITE SIDES OF THE PIPE OR A REGULAR SECTION OF REGULAR PERFORATED DISTRIBUTION PIPE MAY BE CLAMPED TO THE SOLID SECTION WITH A NO HUB COUPLING OR SOLVENT JOINT. A RUBBER RAIN— CAP (JIMCAP OR EQUAL) SHALL BE PLACED ON THE TOP THE PIPE. 3.5 THE GRAVEL SHALL BE COVERED WITH A LAYER OF UNTREATED BUILDING PAPER OR A NONWOVEN FABRIC SUCH AS MIRAFAR FIBRETEX 200 GRADE, OR POLY—FILTER X OR EQUAL. 1220 West 25ih Avenue • Anchorage, Alaska 99503 • (901) 276.1361 1+, ALASKA ENVIROW"'40 "'U JOBs t7+c1 s I CONTROL SERVICL., II\C. SHEET NO. / OF Z 1220 West 25th Avenue ANCHORAGE, -ALASKA 99503 CALCULATED BY i DATE B'�is�PZ + Phone 276-1361 CHECKED BY GATE ' SCALE ViI I I j TNj 1• I • o � I ' ' T I t/,.• _ ip J� I — ...i •' SLY% a ...: ' s/ I I-` i it I l/f •Tl ._ wW I ; zs• - ke ;., I I Step I I , 10 ._-4 — - - i I i •I DB5/6N. -- ( I /i it i ' � I i St�o�rc : T �..•� , s�z�. /oo o �./ . X c? ec../;, o(i/.�....r>� i No Po �.. ... ... .. - ._ _ _• i_. .... i I / �• .._.;Set.;S�cci-/i[r7 %unt 7M' SP! 77// ; t3' }r�-urE a tjaxtz aur -I/ / lac) Gov, !O '. Ilp� wl heB7�i llm \ ' yl ALASKA ENVIRONNtN=AL CONTROL SERVICL , L..: 1220 West 25th Avenue ANCHORAGE, ALASKA 99503 Phone 276-1361 50ezo"Z4eoA5� Tr.2i1r 4-> SL�a.. SHEET NO. // z OF A CALCULATED BY Pf' a DATE D 7/ ¢ 2 CHECKED DATE .Mll&" t wm 1-: I jo 50ezo"Z4eoA5� Tr.2i1r 4-> SL�a.. SHEET NO. // z OF A CALCULATED BY Pf' a DATE D 7/ ¢ 2 CHECKED DATE .Mll&" t wm ALASKA ENVIRONM=N7" t_ +, CONTROL SERVICL , 6... 1220 West 25th Avenue 1 ANCHORAGE, ALASKA 99503 Phone 276-1361 1 'v- 5/ ,DB L °7rri !s e>,.J SLd. SHEET NO. OF 3 CALCULATED BY 2 I DATE CHECKED BY DATE naw awl Mr&37wf lr aim h • ,•. "� Fav i - n . 7' . t �� _.+� ��, • Livor C. id. .i• —.1—; off sjF ,•� Na. 2 1 �,:•'•1\�'w --? Y ' I naw awl Mr&37wf lr aim ALASKA ENVIRONMFR0�)L CONTROL SERVIC.`INC. 1200 West 33rd Avenue, Suite B ANCHORAGE, ALASKA 99503 ton71 6l7T _mmn JOB /—.' y 7 J AI1j^1 C" i SHEET NO. i1 Of CALCULATED BY �� jMA1 DATE r /•.65 - CHECKED BY DATE _ w&I 575i'7. t M Mel n KEW'S COMPANY WATER WELL DRILLING PUMP SALES & SERVICE 30 YEARS ALASKA DRILLING (907) 2432282 9163 LINDEN DRIVE KEN JOHNSON ANCHORAGE, ALASKA 99502 OCTOBER 25g 1982 TRACY & YER11 RUSH 3350seppala ( A ) Anchorage. Alaska 99543 ( H-248-2196 W-265-2251 ) RSA Lot 3 Blk 4 Trails End Subd. dATER 'ffnL LOG 0 ft to 2 ft BlackOrganic peat 2 ft to 7 ft Same. .with gravel.. cobbles• 7 ft to 9 ft Surface water..ccurse grav & cobbles 9 ft to 17 ft Course grav & liCht brown silt 17 ft to 20 ft water bear4ng..course Er•av & sand 8 ft hoad -- 3 GYM tight Formatiorr 20 ft to 31 ft Gravel & b.n silt 31 ft to 34-6 ft Fine with medium Cravel.eH2o.*clean 12 ft hand.. 3 GJ'x 35-6 ft to 59 ft Gravcl & brn e11t..Dry.. 59 ft to 52-4 ft H2O r.•eeped in while welding. -12 ft head Bails dry..clean fine grav & course sand 52-4 ft to 74 ft amvel & broti,n silt.. dry .. 74 ft to 97 ft Caving refusal at 7:1 ft ( GL ) Bedrock.. :verniFht Static -. 15 ft. ( GL ) 97 ft. ... Fractured rock..H2o.. ( Artesian Plus i ft. itatic (GL ) '• Tout bcil,!,j at 12 t,rm 1 hr.. Draw down Io 30 rt. Total •."j;-th �; f t. ( TG:: ) Set rump a•t 70 ft. ( TuC ) . a3.1SV'd BOVA t4om>U04Id wis- NO-dIM6 MUHMPAUTY OF ANCHORAGE Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Parcel I.D. 015-192-08 1. GENERAL INFORMATION Expiration Date: ' Complete legal description Trails End, Block 4 Lot 3 Location (site address) 11281 Browder Ave Current property owner(s) Mark & Gwendolyn Adams Day phone (907) 382-1432 Mailing address 9321 Snow Bear Drive, Anchorage, AK 99516 Real estate agent 2. TYPE OF DWELLING: 0 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: Private Well Private Septic Water Storage ❑ Holding Tank ❑ Community Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ Waiver request for: Distan Received by: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ 5 0 Date of Payment gZ7A I I Receipt Number 002-61D COSA # OSG221 y [ 6 Date: Waiver Fee $ Date of Payment Receipt Number Waiver # 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is (are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. I acknowledge that On -Site staff may visit the site to verify the information submitted. Name of Firm Forge Engineering Phone (907) 522-7773 Address 1399 W. 34th Ave Suite 101, Anchorage, AK 99503 Engineer's Printed Name Benjamin Schiller, P.E. Date 8/16/22 �C �F'�gslll -r 6. DSD SIGNATURE / . .. .. ..,� ..<:. System #1 Approved for bedrooms • • • • • • • . • • • • Benjarpg5chiller System #2 Approved for bedrooms �� �c`c' •. CE 12592 iso, •••��i Disapproved Ill PROFESSIO�P4'� Conditional approval for bedrooms, with the following stipulations: nK[ C I T� �p WATER AND WASTEWATER z^ �G \O J�0 % SER\J�������1 By::77- �14__Original Certificate Date:T-2c(-Z7 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 X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA Checklist blue sheet Legal Description: COSA Checklist Trails End, Block 4 Lot 3 Parcel ID: 015-192-08 If more than 1 septic system on lot: COSA Checklist # of Structure served by this system A. WELL DATA ❑E Well log is filed with Onsite (or attached) Well production at time of test 3.1+ gpm Date drilled 10/25/1982 Water storage tank volume N/A gallons Total depth 97 ft Well disinfected for coliform test? ❑ Yes ❑■ No Cased to 75.5 ft ■❑ Coliform bacteria is Negative ❑■ Sanitary seal is functioning correctly Nitrate 5.29 mg/L ❑ Nitrate less than MRL (ND) R Wires are properly protected Arsenic ug/L ❑■ Arsenic less than MRL (ND) Casing height (above ground) 18 in. Collected by Forge Engineering Date of flow test for COSA 6/27/22 Date of Sample 6/27/22* Static water level at beginning of test 4.5 ft. Comments B. TANK DATA Age of tank(s) 8 years Tank type/material S.T.E.P./STEEL Measured operating fluid level in septic tank N/A ❑■ Standpipes/foundation cleanout per record drawing Date of pumping Quantics System - See maint report D. ABSORPTION FIELD DATA Which system tested (date installed) 12/13/16 ❑E ALL standpipes present per record drawing Total measured depth from grade 2.5 ft (max) Measured depth to pipe invert from grade 2.0 ft (min) ❑ N/A — pressurized field ❑■ Monitor tubes go to bottom of effective. If not, state depth into effective FNI Code -required soil cover over field ❑ System presoaked (Required if vacant for greater than 30 days prior to date of test) Gallons introduced N/_ A gallons Comments/Deficiencies: COSA Checklist yellow sheet C. LIFT STATION ❑ Required maintenance completed Age of lift station 8 years Lift station material STEEL Comments: Adequacy test date 6/27/22 Results [D Pass For 4 Fluid depth prior to test 0 in Water added 611 gal New depth 0 in Elapsed time 1440 min Final fluid depth 0 in bedrooms Absorption rate '600 gpd Any rejuvenation treatment (past 12 months) N/A If yes, enter date N/A E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well) 0✓ Yes Septic Tank/Lift Station on Lot > 100' ft Wells on Adjacent Lots: Community Sewer Manhole/Cleanout > 100' M✓ Yes if No ft M Yes if No ft Neighboring Tank > 100'✓Q Yes if No ft Private Sewer/Septic Line > 25' [D Yes if No ft Absorption Field on Lot > 100' 0✓ Yes if No ft Holding Tank > 100' E✓ Yes if No ft Neighboring Absorption Fields -> 100' if No ft Animal Containment > tin' r✓Iye_8fi F. ENGINEER'S COMMENTS f+ 0✓ Yes if No ft Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' ✓� Yes if No ft P✓ Yes if No ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' 0✓ Yes if No ft Surface Water > 100' ❑✓ Yes if No ft Property Line > 5 0✓ Yes If No ft Wells on Adjacent Lots: Absorption Field > 5' Yes if No ft Private Wells > 100' ❑✓ Yes if No ft Water Main > 10'✓0 Q Yes if No ft Community Wells > 200' 0✓ Yes if No ft Water Service Line > 10' 0 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' 2✓ 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' Q Yes if No ft Private Wells > 100' 0✓ Yes if No ft Water Service Line > 10' Q Yes if No ft Community Wells > 200' ❑✓ Yes if No ft Surface Water > 100'✓Q Yes if No ft F. ENGINEER'S COMMENTS ofq kl1 G. ENGINEER'S CERTIFICATION � certifythat 1 have determined through field inspections and review of Municipalco•��� records that the above systems are /n conformance with ien ,,,,,,,,49 MOA COSA guidelines in effect on this date. .. ......r.. ......jart>NSchiller / �� ��� •. CE 12592 �Jl<c • . 8/16/22 . • '�G�,i �l`>> pROFESS10N1`4� COSA Checklist yellow sheet MUH� PAU T Y OF " FACHOG '` GE DEVELOPMENT SERVICES DEPARTMENT On -Site Water and Wastewater Section www.muni.org/onsite Nitrate Advisory Certificate of On -Site Systems Approval # OSC 221416 Subdivision: Trails End Block 4 lot 3 907-343-7904 Fax: 343-7997 A water sample revealed a nitrate concentration of 5.29 milligrams per liter (mg/L). The Environmental Protection Agency (EPA) has established a maximum contaminant level (MCL) of 10.0 mg/L for public drinking water systems. While private wells are not subject to this regulation, EPA standards are based on existing health information and can therefore be used to gauge the relative quality of water from private wells. Please see the attached "Nitrate Fact Sheet" for important information regarding nitrate. This advisory must be attached to all copies of the subject Certificate of On -Site Systems Approval. Mailing Address: P. O. Box 196650 * Anchorage, Alaska 99519-6650 * www.muni.org Nitrate Fact Sheet From Northern Testing Laboratories, Inc. Nitrate is a negatively charged compound of nitrogen and oxygen, which is very soluble in water. Nitrate is not readily filtered or otherwise removed in the soil and can pass rapidly into ground water wells. SOURCE: Nitrate is a major component of fertilizer and wastewater. Often the nitrate is in the form of ammonia or protein first, which through contact with oxygen and certain bacteria, converts to the oxidized form known as nitrate. Sources of nitrate from wastewater include urea, ammonia cleaners, food solids, and bacterial cells. It may also result from the breakdown of organic matter buried in the soil. TOXICITY: Nitrate is generally not toxic to adults or children over the age of two or three years but is associated with a potentially fatal infant disease called methemoglobinemia. In the digestive system of young children, nitrate converts to nitrite, which can pass through the intestinal wall into the blood stream. There it combines with the hemoglobin and interferes with the ability of the blood to carry oxygen. For this reason, methemoglobinemia is referred to as "blue baby" disease. The EPA limits the concentration of nitrate in public drinking water supplies to 10 mg/L. The standard has been lowered from a previous level of 45 mg/L set by the US Public Health Service and the World Health Organization. TREATMENT: due to its solubility in water and negative ionic charge, filtration and other common home water treatment systems such as softening, or iron filtration does not readily remove nitrate. The best method for limiting nitrate in well water is source control. This can include avoiding overdosing of fertilizer near the well and maintaining good separation distances between septic tank leach fields and the well. A special anion exchange filter that contains a media with a strong affinity for negatively charged ions in water, or by a reverse osmosis treatment system or distillation can remove nitrate. TESTING: Nitrate analysis is usually done by one of the several "wet chemical" methods using a spectrophotometer to read the final color endpoint. Specific ion electrodes also can be used to detect the activity of nitrate in water. This laboratory uses several different wet chemical methods approved under the public water supply laboratory certification program. They also have test kits available, which the laboratory uses to perform an inexpensive "screening test", and with which the homeowner can monitor the change in nitrate levels from their well. They recommend comparing the test kit results against a certified analysis from the lab occasionally to verify the accuracy of the kit. We recommend using a specially prepared bottle that has been rinsed in hydrochloric acid for collecting samples. Mailing Address: P. O. Box 196650 * Anchorage, Alaska 99519-6650 * www.muni.org ARM Septic Services, LLC Maintenance Checklist: Advanced Treatment System Operational Checklist: Advanced Treatment System Legal Description: Street Address: �0 �! Service provided on: Date: _'Z'2- S -Z2Time- iZ Service provided by: Company: _ Date of last service: I — to EnpinNrinO W�tt,r emuuana . Technician: Other. 1. Type of Aerocell Treatment System: Y Cat II -AeroCell Treatment System ❑ Cat III -AeroCell Treatment System 2. Conditions at media filter: ®Acceptable ❑ Unacceptable a. Evaluate presence of odor within 10 It of perimeter of system: None ❑ Mid ❑ Strong ❑ Chemical ❑ Sour b. Source of odor, if present: 3. Manhole Risers and Pipe Caps: [ Acceptable ❑ Unacceptable a. Cover/s intact: 'Yes ❑ No b. Method of securing cover: 5C 0,0 Lt/ S c. Insulation present on all lids? 0 -Yes ❑ No d. Any plumbing leaks or water intrusion: ❑ Yes 1YNo e. Surface water/infiltration into components: ❑ Yes SrNo 4. Venting/Air supply: ZAcceptable ❑ Unacceptable a. Air supply unit operating properly. ff"-, Yes ❑ No b. Venting appears operable. E Yes ❑ No 5. Media surface: igAcceptable ❑ Unacceptable a. Biomat on surface. ErYes ❑ No b. Uniform spray pattern. FRIYes ❑ No d. Ponding in/on media. ❑ Yes X No e. Plugging/clogging of nozzles. ❑ Yes d No f. Media appears to be settling. Yes ❑ No g. Appropriate maintenance performed. 2Yes 01 No h. Pest activity at surface. ❑ Yes 2 No 6. Effluent quality a. Effluent odor after passing through media filter: ®-None LJ Mild ❑ Strong b. Effluent color after passing through media filter: tW Clear ❑ Brown ❑ Black 17933 Old Glenn Highway *Chugiak, AK 99567 office/fax: (907) 688-9433 Email: ARMServicesAK@outlook.com (PAGE 1 of 3) ARNI Septic Services. LLC 7. Tasks for recirculating/discharge flows: .5� Acceptable ❑ Unacceptable a. If applicable, Jandy valve functioning: ❑ Yes ❑ No 4 N/A b. If applicable, Jandy Valve basin dry: ❑ Yes ❑ No YJ N/A `_ "�1��n'�� oo:��'ot o.. ����:.....,- - �,vo 3i r3i —o -r0 d. Design recirculation ratio: 80 : 20 e. Actual recirculation ratio (Estimated):W,:LiL 8. Pump System: %1Accceptable ❑Unacceptable a. Control panel in Auto: aYes ❑ No b. Timer settings IFS Panel (No Override timer): ON: ,r!,�j OFF: Override ON: 2, CJ _.n3 Override OFF: b 170❑ N/A c. Floats in correct placement: Yes ❑ No d. Floats working properly: Yes ❑ No e. High water alarm operational: Yes ❑ No f. High water alarm count: _ g. Pump Run Counts: h. Pump Run Time. � i. Float Error Counts: _ ❑ N/A j. Total Override Counts: ❑ N/A k. Effluent Filter serviced: E�YeS ❑ No I. Tank lids secured after inspection: Yes ❑ No m. Weep hole functional: -di Yes +J No 9. Primary Tank: -M'Acceptable El Unacceptable a. Sludge and scum level checked: N -Yes ❑ No b. Sludge/Scum levels: 1st:i� 11111 2nd: 3rd: (�I✓A c. Tank needs to be pumped: ❑ Yes .2"No d. Water softener backwash discharging on system? ❑ Yes ❑ No e. How many people live on the system?: f. Tank lids/caps secured after inspection: Yes ❑ No g. Last Date Tank pumped 10. Drainfield: a. Type of Drainfield (circle one): Be 5 -wide Deep Trench b. Design Effective depth: L7 14 inches/feet c. Checked Liquid Levels in Drainfield: KYes ❑ No MT#1 Liquid Level: C) Inches MT#2 Liquid Level: r— _ Inches MT#3 Liquid Level: \�, Inches MT#4 Liquid Level: Inches d. Is there any surfacing effluent?-. ❑ Yes No 17911 nlri Glenn HiahwaV *Chuviak. AK 99967 ARM Septic Services, LLC 11. Is the remote monitoring system functionin ? r (if no, describe in comments) Yes 171 No a. Type of Monitoring system: > � t� fi � C �- b. Phone line working? ❑ Yes ❑ No N/A 12. Does this system receive an advisory notice/warning? (if so, describe in comments ❑Yes RNo 13. Is the system in satisfactory con itionf-pgs-c-j-n$ pan2r_ I�cti — nom dem ,;be-in-coli,s�1-! .es No Other Comments: r fa r c l firs h e r' i r:, )A n �� F I t; I 1/1 I -C I" I I 116,; 4-'1 +4 i A nA A . , .o -i /,, �--I.i J -AA 0 — 1 -3 , n V Service Provider. (�� ", b Date:—2 17933 Old Glenn Highway *Chugiak, AK 99567 office/fax: (907) 688-9433 Email: ARMServicesAK@outlook.com (PAGE 3 of 3) MUNICIPALITY Or ANCHORAGE ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND REPAIR AGREEMENT THiS MAINTENANCE AND REPAIR AGREEMENT, herein the "AGREEMENT" made and herein the "OWNER," and the Municipality of Anchorage, herein the "MUNICIPALITY", in accordance with Anchorage Municipal Code (AMC) 15.65.365. In consideration of the mutual covenants contained herein, the parties to this Agreement agree as follows: 1. Advanced Wastewater Treatment Systems. The Municipality grants permission to the Owner to utilize and operate an Advanced Wastewater Treatment System (AWWTS), described as located at (legal description) 2. Maintenance, Repairs and Alterations. Owner is required to read, understand and initial each section) Throughout the term of this Agreement, the Owner shall enter into a service agreement with an AWWTS service and maintenance provider approved by the Municipality or the nnanufacturer's representative. The AWWTS shall be maintained in a satisfactory condition capable of performing as designed and producing treated septic effluent in accordance with the equipment's approval for operation in the Municipality. It shall be the responsibility of the Owner during the term of this Agreement to pay for all rcpair(s), maintenance, adjustimcnt(s), replacement costs, and inspection costs. This includes an annual maintenance fee (typically $400 to $600). Owner agrees that only maintenance and repair personnel approved by the Municipality or tine manufacturer's representative will inspect and make any necessary maintenance, repairs or pernnitted alterations to the system. Owner acknowledges that regular maintenance of an AWWTS reduces the potential Failure of the system, which could Include sewage backup and costly repairs or drainfield replacement. (rev. 05/18/2018) Page I o173 Owner acknowledges that the Municipality may request records of maintenance and repairs from the manufacturer's representative or maintenance provider. Owner acknowledges that the fine for failing to maintain and repair an AWWTS may be assessed in accordance with AMC 14.60.030. Owner agrees to grant the Municipality reasonable access to test and inspect the AWWTS. The Municipality will give at least 24-11our notice. MpOwner agrees that any sale or transfer oftitle ofthc property will not occur without a new Certificate of On -Site Systems Approval. dV Owner agrees that the AWWTS 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 AWWTS. Owner agrees to maintain remote monitoring of the AWWTS as required by the AWWTS approval. 3. Term. The term of this Agreement shall begin on the date of approval by the Municipality to operate the installed system, or upon transfer of title, and shall continue while the AWWTS is operational or until title is transferred. 4. Nonwaiver. The failure of the Municipality at any time to enforce a provision of this Agreement shall in no way constitute a waiver of the provisions, nor in any way affect the validity of the Agreement or any part hereof, or the right of the Municipality thereafter to enforce every provision hereof. 5. Amendment. This Agreement shall only be amended by authorized representatives of the Owner and Municipality. Any attempt to amend this agreement by either an unauthorized representative or unauthorized means shall be void. 6. Jurisdiction: Choice of Law. Any civil action arising from this 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 Agreement. 7. Severability. Any provisions of this Agreement decreed invalid by a court of competent jurisdiction shall not invalidate the remaining provisions of the Agreement. (rev. 05/18/2018) Page 2 01'3 OWNER - By: (signature) Date: (print name) STATE OF ALASKA ) ) 5S. THIRD JUDICIAL DISTRICT ) The foregoin 9PUBLICFObALASKA s acknowledged before me this day of 702 , by — U. PHANMANIVONG Notary PublicNOTAState of Alaska 4+ CLQ �� f My Commission Expires May 20, 2024 My Commission expires: 1�1. MUNICIPALITY: By: (signature) Date: (print name) Title: (rev. 05/18/2018) Pale 3 of 3 Pilar 06 19 09:47a .Anchorage Well e. PW;mP Ser 9072430742 PA Development Services bepartiment Building Safety yivision On -Site Mister & Wcstewater Program ^.:. r.:Lq r :3� E ? 4700 Eirr:ore P.oad _ P.Q. Box 196650 bfsn: gQ i:h Anchorage, AK 99507 Axeyor WS�w_tT.Alni.oro/ohSi;E (407) 343-7904 Pulp Installation Log. -Well Drillinu Pel-init h uii�ber: SW Datea±e of Issue; Parcel Identification Num. ber:_V .( 5 - I 1 qp 2 '08 Legal Description Property Owner Name & Address: -rY`CkI I s C-) d Li L-3 pl,�. - 40t .. PuMp Installatior, L�; tq -_- Punip F-ritake Depth Mum 'lop af'WelI Casing: rd V icet: Pump Mawzfactsnrer',�'Narne: ,A%� Bump Model; Fume Size r1 lip l 1� Pitless Adapter Burial Depth: 10 feet Pitless adapter Manufacturer's Name:.- Pidess Adapter Instalier- Well Disinfected Upon Com.i;letion? � "e`es No Vferthod of Disinfection: Comments: 41f1 f . Pump Installer Name-. Oraf Kim A�C w�i � i Attention: The puna 1?1Sicli2l 3.i:alz provide apump inswila,,joil 'tog to the USD -,vitliin 30 days o7 ptunp ir_stall tiara. C'"dA&t� Municipality of Anchorage On -Site Water & Wastewater Program (907) 343-7904+ e CERTIFICATE OF ON-SITE SYSTEMS APPROVAL Parcel I.D. 015-192-08 Expiration Date: JL/—/Z 1. GENERAL INFORMATION Complete legal description Location (site address) Current Property owner(s) Mailing address Real Estate Agent TRAILS END; BLOCK 4, LOT 3 11281 BROWDER AVENUE *ANCHORAGE MARK ADAMS (BUYER Day phone 11281 BROWDER AVENUE *ANCHORAGE GARY COX Day phone 382-1432 727-4279 2. TYPE OF DWELLING: Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4 4. 'TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well Individual On-site Individual Water Storage ❑ Individual Holding tank ❑ Community Class Well ❑ Community On-site ❑ Public Water System ❑ Public Sewer ❑ WaiverNadance request Por. N/A Distance: - Received by: ���/� Date: / �n COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ 1190 LOO Date of Payment a I/ o g Receipt Number O� �l COSA# ©SCl�D �J2 Waiver Fee $ Date of Payment Receipt Number Waiver # x 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 Finn GARNESS ENGINEERING GROUP, Ltd. Address 3701 E. TUDOR ROAD, SUITE 101 -ANCHORAGE, AK, 99507 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Engineers Comments: In conducting this evaluation, GEG provided an engineering evaluation of the well andlorseptic system in accordance with the guidelines and regulatians estabhmed by the MunkinahlyofAnchomge andindushypnechices. The reported results descdbe the condition of the systeMs on the dates of the evaluation. Separation distances were measured to maddyidenllfiable features. Hidden defects or encroachments may east that ware not identdied during the evaluation. The operational life of all wells and septic systems depend on a varkty of variables including, but not limited to, soil conditions, groundwater levels (that may fluctuate during the yeao, quality of construction (matenals and workmanship), and the water usage of the famhy utilizing the systea✓s. These conditions an vary, and are outside the control of GEG. Satisfactory test resins do not guarantee future performance nine system/s, therefore, GEG makes on warranty (express or implied) regarding the future performance of the well or septic system. GEG makes no representation whether an altemathe well or septic system an be installed on the property in the event either at the cunent systems tail The content of this report is farina sole benefit of the pewnfoarty who retained GEG. Relance upon the information provided in this report byany otherperson orparty, including but not landed to subsequentpropertypurchasers, is not authorized. In short, GEG disavows any legal duty to anyone other than the persoNparty who paid for this report. 6. DSD SIGNATURE System #1 Approved for System #2 Approved for Disapproved. Conditional approval for r bedrooms. bedrooms. Phone 337-6179 Date 11 7 16 ,,t , LICENSE , �' 1 p VFESS`R #AECC8114 aaaaa��` .( bedrooms, with the following stipulations: ����111111IIII C , O ON-SITE WATER AND rr' WASTEWATER o PROGRAM sERV\G�SSi\"' / )11111111)) S� Ga Original Certificate Dater 17 0 ` / The Municipality or Anchorage Develop, emt Services Division (DSD) issues Certificates of Onsite Systems Approval (COSA) based only upon the represenatations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTCHMENTS: COSA Checklist _ Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other (Rev. 1011212) If more than 1 septic system is on the lot: COSA Checklist # _of_ Structure served by this system Certificate of On -Site Systems Approval Checklist Legal Description A. WELL DATA TRAILS END; BLOCK 4, LOT 3 'PER PREVIOUS 1995 INSPECTION REPORT Parcel ID: 015-192-08 Well type PRIVATE If A, B, or C provide PWSID# N/A Well Log (Y/N) NO Date completed UNKNOWN Sanitary seal (Y/N) YES Wires properly protected (Y/N) YES Total depth '97 ft. Cased to '75 ft. Casing height (above ground) 12+ in. Date of test Static water level FROM WELL LOG UNKNOWN Well production WATER SAMPLE RESULTS: `4 ft. `4.9 9— p.m- Coliform 0 colonies/100 ml. Arsenic: ND<5 ug./L. B. SEPTIC/HOLDING TANK DATA Tank Type/Material Tank size gal. Foundation cleanout (Y/N) AT INSPECTION 11/3/2016 15.5 2.8+ — 9 -p.m - Nitrate 5.13 mg./L. Collected by: GEG, Ltd. Date of sample: 10/14/2016 NEW SEPTIC SYSTEM TO BE INSTALLED (SEE ATTACHED LETTER) Date installed Number of Compartments Depression over tank (YIN) Date of pumping Pumper_ C. ABSORPTION FIELD DATA Date installed Soil rating (g.p.d./ft`or Length ft. Width Total depth ft. Eff. absorptiog,2f6a ft Cleanouts(Y/N) High water alarm dr, System type , �—ft. Gravel below pipe Monitoring tube_ Depression over field ft. Date of adequacy test , / Results (Pass/Fail) FAIL For bedrooms Fluid depth'in'ab'so n field before test _ in. Water added _gal. New depth _in. Elapsed T _ min. Final fluid depth _ in. Absorption rate >= g.p.d. Anfr-ejuvenation treatment (past 12 mo.) (Y/N & type) If yes, give date D. LIFT STATION Date installed Size in gallons Manhole/Access (Y/N) "Pump on" level at in. ' "Pump off' level at wa er alarm level at in. Cycles tested Meets alarm &circuit requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot On adjacent lots 100'+ Absorption field on lot On adjacent lots 100'+ Public sewer main 75'+ Public sewer manhole/cleanout 100'+ Sewer /septic service line 25'+ Holding tank 75'+ Animal containment areas 50'+ Manure/animal excrete storage areas 100'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: 'NEW SEPTIC SYSTEM TO BE INSTALLED (SEE ATTACHED LETTER) Building foundation Property line Absorption field Water main Water service line Surface water Wells on adjacent lots SEPARATION DISTANCE FROM ABSORPTION FIELD-OWCOT TO: Property line . Water service F. COMMENTS G. ENGINEER'S CERTIFICATION Surface water Wells on adjacent lots I certify that 1 have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. Engineer's Printed Name JEFFREY A. GARNESS Date III7�Ib (Rev. 10112112) Water main Driveway, parking/vehicle storage L #P Municipality of Anchorage v Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 Elmore Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907)343-7904 Nitrate Advisory Certificate of On -Site Systems Approval # OSC 161534 A Certificate of On -Site Systems Approval inspection and test of potable water was recently conducted on the well water supply on Block 4, Lot 3 of Trails End subdivision. This inspection revealed a nitrate concentration of 5.13 milligrams per liter (mg/L) was reported for the property's well water sample. The Environmental Protection Agency (EPA) has established a maximum contaminant level (MCL) of 10.0 mg/L for public drinking water systems. While private wells are not subject to this regulation, EPA standards are based on existing health information and can therefore be used to gauge the relative quality of water from private wells. Please see the attached "Nitrate Fact Sheet" for important information regarding nitrate. This advisory must be attached to all copies of the subject Certificate of On - Site Systems Approval. Nitrate Fact Sheet From Northern Testing Laboratories, Inc. Nitrate is a negatively charged compound of nitrogen and oxygen, which is very soluble in water. Nitrate is not readily filtered or otherwise removed in the soil and can pass rapidly into ground water wells. SOURCE: Nitrate is a major component of fertilizer and wastewater. Often the nitrate is in the form of ammonia or protein first, which through contact with oxygen and certain bacteria, converts to the oxidized form known as nitrate. Sources of nitrate from wastewater include urea, ammonia cleaners, food solids, and bacterial cells. It may also result from the breakdown of organic matter buried in the soil. TOXICITY: Nitrate is generally not toxic to adults or children over the age of two or three years, but is associated with a potentially fatal infant disease called methemoglobinemia. In the digestive system of young children, nitrate converts to nitrite, which can pass through the intestinal wall into the blood stream. There it combines with the hemoglobin and interferes with the ability of the blood to carry oxygen. For this reason, methemoglobinemia is referred to as "blue baby" disease. The EPA limits the concentration of nitrate in public drinking water supplies to 10 mg/L. The standard has been lowered from a previous level of 45 mg/l, set by the US Public Health Service and the World Health Organization. TREATMENT: due to its solubility in water and negative ionic charge, filtration and other common home water treatment systems such as softening or iron filtration does not readily remove nitrate. The best method for limiting nitrate in well water is source control. This can include avoiding overdosing of fertilizer near the well and maintaining good separation distances between septic tank leach fields and the well. A special anion exchange filter that contains a media with a strong affinity for negatively charged ions in water, or by a reverse osmosis treatment system or distillation can remove nitrate. TESTING: Nitrate analysis is usually done by one of the several "wet chemical' methods using a spectrophotometer to read the final color endpoint. Specific ion electrodes also can be used to detect the activity of nitrate in water. This laboratory uses several different wet chemical methods approved under the public water supply laboratory certification program. They also have test kits available, which the laboratory uses to perform an inexpensive "screening test', and with which the homeowner can monitor the change in nitrate levels from their well. They recommend comparing the test kit results against a certified analysis from the lab occasionally to verify the accuracy of the kit. We recommend using a specially prepared bottle that has been rinsed in hydrochloric acid for collecting samples. Quanics GARNESS ENGINEERING GROUP, Ltd " T o tsy CIVIL & ENVIRONMENTAL ENGINEERS November 5, 2016 Municipality of Anchorage Development Service Department On -Site Water & Wastewater Program 4700 Elmore Road Anchorage, AK 99507 Ref: Proposed Septic System for Trails End; Block 4, Lot 3 To whom it may concern: The existing 4 bedroom home is served by a well and septic system. The existing system is in a state of failure and needs to be upgraded. On 10/17/2016 a proposed septic system design upgrade was submitted to the MOA. Per the request of the buyer (Mark Adams) and owner (Bank), they wish to apply for a conditional COSA and upgrade the septic system after the transfer of the title. Attached is a letter from Residential Mortgage stating that a total amount of $65,990.00 will be held in escrow. Additionally, attached are three bids for the proposed septic system upgrade. , M.S. 3701 East Tudor Road, Suite 101 *Anchorage, Alaska 99507-1259 Phone: (907) 337-6179 * Fax: (907) 338-3246 * Website: www.garnessengineering.com Ecklund, Timothy J From: David Garness <David@garnessengineering.com> Sent: Wednesday, November 9, 2016 9:04 AM To: Mark Adams Cc: Ecklund, Timothy J; Jeff Garness Subject: RE: Trails End; Block 4, Lot 3 Tim, I would also like to address that to our knowledge the system has not backed up into the home, during our site visits there was not effluent daylighting and stated below by the buyer, the home will be unoccupied until completion of the proposed septic system. David J. Garness, EIT Consultant Garness Engineering Group, Ltd. 3701 E. Tudor Road, Suit 101 Anchorage, AK 99507 Phone: 907-337-6179 Cell: 907-632-4528 Fax: 907-338-3246 Website: www.garnessengineering.com From: Mark Adams [mailto:mark.adams1432@gmail.com] Sent: Tuesday, November 8, 2016 3:16 PM To: David Garness <David@garnessengineering.com> Cc: EcklundTJ@ci.anchorage.ak.us; Jeff Garness <Jeff@garnessengineering.com> Subject: Re: Trails End; Block 4, Lot 3 Gentleman. For the record, I have a contractor lined up to do the work as soon as we close. Closing is scheduled for next week. The house will be unoccupied until completion of septic installation. Hope this helps. Mark Sent from my iPhone On Nov 8, 2016, at 3:07 PM, David Garness <David@garnessengineering.com> wrote: Tim, In regards to item #3 on the comment sheet, the existing drainfield has been in place for approximately 21 years (installed in 1985). Based upon this fact, we find it reasonable to assume there is minimal risk in allowing the existing system to operate as is until the proposed system is installed. It is our understanding the proposed system will be installed immediately after closing. David J. Garness, EIT Consultant Garness Engineering Group, Ltd. 3701 E. Tudor Road, Suit 101 Anchorage, AK 99507 Phone: 907-337-6179 Cell: 907-632-4528 Fax: 907-338-3246 Website: www.garnessengineering.com MUNICIPALITY OF ANCHORAGE ._'! _ 'i'41 Ly ; tree s a •t,,DEPARTMENT OF HEALTH 8 HUMAN SERVICES Division of Environmental, Services ,, N - On -Site Services Section _ �9 P.O. Box 196650 •Anchorage Aiaska'99519-6650 - ,. 3434744 '(••!^ j.J' _ �d�o .'�. r - CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY OWELLING Parcel I.D. # 012- 19 A: -,o g "•'I"- HAA'li 2 'iaQq CICl.�i1 1. _GENERAL INFORMATION = SttcC-6:7i:U.iJ.v".itiaa _ Lot 3; Block 4; TrtaiYd End SubdLvcbcon Complete legal description . - Location (site address or directions) 11281 Baowdex- _ Ancho2age, AK--.-.--- , _ --- • : Piope_ity owner':• ' Maxk De.Fnanaa - Day phone " Mailing address 'C70'S•impeon -Co.'- 12350 Indu6tA i beau ` Anchoaaa -AK '99515-77 Lending 99 1 --- Lending agency Day phone Mailing address• .t`_ _ pn co.,Agent ^Day phone i �' ..._ y�• i,•:'(`K. c. ... • ..3 .11r�^!u_.K..?.•l]'^,. L -0.A-.' 1__:._ J•'•1+•••-�T'RT}i 12350 Address` Indttd n� Ulg�'` rAnchoaaAo' AK T99S1S = Unless otherwise requested, HAA will be held forpickup.,,0jq za.n. -.Y.,z. NUMBER OF -BE 6 R 6 6 M j 3. TYPE OF WATER SUPPLY 11 S. i7 e -vm .•,._-,oVi- �7 K< Individual well—,-Community.well. ..( r, ♦ �. 1>�, t r:f: u,�".Y'�: i� > S! 1 i :.l x+ Zf); I 1Z Public water - - NOTE If community well system, provide written confirmation. from State ADEC attest t Ing to the legality and status of system..: y 4. TYPE OF F WASTEWATER DISPOSAL.' _.. Individual on site; r--�­XXX ._..... .,,1 _i -._l.A , •':!L> � ten. tti,J .. .: ':" ..• t t a _ >- :Holding tank .. «Community on site • r -- "iY.j r'`�+. ''iii. c717±rtiiL�7 /Fr3NV.t".N :la: r;3+. I. . o•Y/t r. :r, r Public sewer i,.:.':`-1. NOTE If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system.- _ rtau(a...,nn FMM Maim -'.:. 5. STATEMENT,OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below. I verity 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. If urther verify that based on the information obtained from the Municipality of Anchorage files and from my invest!9ation 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. S i S ENGINEERING :7 Name of Firm -- +m a Ess��s ,r.. tw.p ReW No a Phone E.yi.aMr;AIw&s ssn .._._._..,., Address r _......... c - ------Engineers signature - ` ...Date /tl/,IS OF AC,9`�t. C2 toeear a COWAN ; e AcG CE 8801;' 6- DHHS SIGNATURE - — 1�tPE _ PB-'raaeo'+ proved for "' •� bedrooms -*- �; �' o t r n t -�•�;,-��;.--�-Disapproved_.. _ -- , . i0, t jat 4 C Conditional approval ford (bedrooms with the following stipulations* y •, '� '`-•!+ .� } {1t�r��t _ �r t e�, C r ri fS.taRYt'S C3 Tiry+[I^c#rl iW ti: + I � ` � .. �t 4. .t a + < v-tn..> rte, • w < . i-r..a 1 'irsllu :S ,.f i f -t A.a*,. roe : Z .i , "' r t r ..n .� t ^,` re11 n +. .a•v.r-� ♦ .wan.+ a u , v . ..;! .. a ti..._, q: • r; -. I ' 1 t t •���)'(""' `'� Addition Comments l •�" .::) r .^.r It ' b' 42 JB y Date ...... r.'�r c, - 'a ..-- ., .,. . r. 's'.rt.r :Si> f. z; .• w'••: Hj:: CAUTION The Municipality of Anchorage Department of Health and Human Services (DHHS) Issuee Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes''' -- and their lending institutions in order to satisfy certain federal and state iequirements.EmployeesofDHHSdonot ;..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 -v .. 21 .._rxonOkmIM) :0. -awm Municipality of Anchorage Department of Health and Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: '-'T 3,'$wcK Ll,Tfzqu.s ED 1/0 Parcel I.D. 01519P-08 A. Well Data Well type T RivArE If A, B, or C. attach ADEC letter. ADEC water system number Log present( J) Yes Date completed o<T. a5, 198a Driller KEN s COPA?Ar Y Total depth 4-7 Cased to -715 Casing height I'+ Sanitaryseal ON) YFS Wires properly protected ©N) yss Date of test Static water level Well flow Pump levelt FROM WELL LOG Awres lA,4 AT INSPECTION q -15-9`I Li 1 17 �vM/G� g.p.m. 4.9 g.p.m. °10 SEPARATION DISTANCES FROM WELL TO: RECEIVED JUN 2 21995 U/IC Mun.c Ndhly ul Anchorage Dept. Health & Human Services SeptkAmAdbq tank on lot 10,4 r ; On adjacent lots l oc�+ Absorption field on lot 11 ° ; On adjacent lots I 00 1-t Public sewer main Public sewer manhole/cleanout NIA Sewer service line aSr+ Petroleum tank 0001F KNO&-314 WATER SAMPLE RESULTS: Coliform 0 Nitrate 3.85 "—A S & S UMMM O 17074 gogia River Loup Date of sample: 11-e 914 Collected by: P..a. River. Alaska 99577 B. SEPTIC460hO tG TANK DATA Dateinstalled S'-aS-95- Tanksize ias-0 Compartments a Cleanouts (PN) Nes Foundation cleanout QN) Yv-t Depression (Y& /./o High water alarm ®N) YE -S Alarm tested (Y/N) Date of pumping Nffl / /E -w SYS7s<M Pumper A/�� SEPARATION DISTANCES FROM SEPTIC/HOLOM TANK TO: Well(s) on lot 10'/ On adjacent lots /oa Foundation r S To property line '32' Absorption field Water main/service line Surface water/drainage (00'-0- 72426 P93)•FmM CONTINUED ON BACK PAGE C. LIFT STATION Date Installed S-,1,3 Manufacturer A r 4 e gm 6,= TAN K Size in gallons IRSO Manhole/Access &N) yE 5 Vent (Y/N) 'Pump on' level at y a 'Pump otr Level at -:52" High water alarm level q411 kk Cycles tested Meets MOA electrical codes &/N) Y i 3 SEPARATION DISTANCE FROM LIFT STATION TO: , Well on lot 104' On adjacent lots ` loo kT Surface water I oo k *• , D. ABSORPTION FIELD DATA Dateirstalied S-Oy-9S Soil rating(GPD/F12) 0.3 System type 71?Q%%"R`z%DaEt' Length "63 ,- Width 37 Gravelth�ckness ' Totaldepth 3 Total absorption area :?391 Cleanout present (Y/Q IJo Depression over field (YA& NO Date of adequacy test N/g - Nww35,smr ' Results (pass/fail) 6/ for Bedrooms Water level In absorption field before test After test Peroxide treatment (past 12 months) yes, give date SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot /(0' On adjacent lots /c' �f Property line To building foundation a �, To existing or abandoned system on lot On adjacent lots yo Cutbank NoA14r Water main/service line Surfacewater 1001.c Driveway, parkirgNeNcle storage area 6z) r CuRairttlrairi' Cu¢rai,.i DFuw iS vaNrt[. iaowk Set - E. ENGINEERS CERTIFICATION 1 cen9fy that) have checked, verified, or conformed to all MOA and HA4 guldefines in Signature Engineer's Name Pb =f CAT C in u Ai O' /0 f date of this inspection. �t �,\ ROBERT C. COWAN �% Date 6 �ZI �1� c,% CE -8801 HAA Fee $ Date of Payment Receipt Number 72-028 rSWJ- Back Waiver Fee $ Date of Payment Receipt Number, MUNICIPALITY OFANCHORAGE j DEPARTMENT OF HEALTH & HUMAN SERVICES F .,.-..Division of Environmental Services On-SiteServicesSection:;, '. +r} '` P.O. Box 196850: Anchorage. Aiaski�=!M19-6650 - 343-4744 ri CERTIFICATE OF HEALTH AUTHORITY - APPROVAL FOR A SINGLE FAMILY DWELLING -= Parcel I.D.N i,,-, - .,cHAAw_ 4A95bo!N 1. GENERAL INFORMATION ' .Complete legal description Lot 3; Block 4; Tnait4 End Subdivi6ion Location (site -address or directions) -11281: B) owde% Stuet. -`?t .`ti Anchotage, AK - Ma k DeFiumc i a ,: _ , < "' Property owner ' Day phone C/O Simpson Co.' 12350 Induatay Way " Ancho2age AK 99515 Mailing address ' Lending agency Day phone ' Mailing address __ .. Agent' Ste James/ SIMPSON CO Day phone 562-4280 _ 345-6644 Address" +12350 4ndu4tAy Wau--Anchoicaae, -<'AK-•99515 —____: -- rr, x Unless otherwise requested, HAA will be field for pickup Y ti }-� y`. / .. NUMBER OF BEDROOMS 3 3. TYPE OF WATER SUPPLY _ Individual well , r _ xxx �Community_Wel� .:,::-...u. ....,3.r,: t:- ., — •,._ ° Public water..,-.,- NOTE. ater NOTE. If community.well system, provide written confirmation from State ADEC attest Ing to the legality and status of system. _ - 4. TYPE OF WASTEWATER DISPOSAL jj Individual on-site XXX Holding tank - `,."i� IDT' ry.; TTP•1 l �•,C .+sn'4 C...� �:n ' r^ - . .cw'Community on-site > s, r- .; :`c a ,+ r•: �; S _ �. i .r+.y -'t ✓ it , S '.a. , y _ Public sewer --.I�NIi•1'+t-.::-P.,C• W..Vn ,i,,,+ S. ,, L, z _, ....:�, ,..-. .:-'� ♦. n.'.� NOTE:. If community wastewater system, provlde written confirmation from State ADEC attesting to the legalityand'status of system `72-MMw. 141) NOM MOA 41 S. STATEMENT OF INSPECTION BY ENGINEER - - .. .,. .: - •r• `•_:1 7*.'> T. ?w 4 .F - r- "`•)''� �'.. rya , - - As certified by my seal affixed hereto and as of the validation date shown below. I verify that mn._ 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 invest! ation 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 }.'� E S 3 S ENGINEERING `Name of Firm - "Phone `- 2-979 170-14 g•wr 0 . _ • .Address bRiv�r, As STl :.} t �.o- r r a.. ra.. :�Ra. _ } _• r. Engineers signature - - t Date -2Z —'6 �•9 SYSTEM TO BE UPGRADED PER S'b S ENGINEERING DESIGN PRIOR TO.15 June, �2AGi n a�,1'lt FUNDS ARE TO BE ESCROWED AT TIME OF:CLOSING ;TO COVER COST OF SYST t + 1 'Aw A.'Ei W f3—DHHS SIGNATURE r 1,`ppRO'r..wPy= ' p Approved for t....... ., -�- .Disapprovedii... .. � - r :CondMonal approval f6r�"12=3� alt bedrooms; ­with tthe followmg`sUpulaUons., -- e.- ' . .. _ .. �. ......,...1 .:.�. � s�•.r.a T1 a..l �.� v„S'4 YE i714Si��� ... •''. -r: �.: ='c ?.->r. .... '...-..•. . ..c..,� .: .; :. a/R't2 14c"_a !'r.:.. ,.T,:.: -iv ' •'L.' •+l i'V �i• uT.. _ • n11r aah. Y.[ �}. ; _y i l Comments; idit)ona �A�ii' [i :n:. ;�^�,..[i:tvi.�;H� .: //17�s . Y/ � ���� vi�•1HOf � , . .. r. i. i.., Y���'ry By+ 7�. r-�t�' Date i r' „.,Tile Municipality of Anchorage Department of Health -and Human Services (DHHS) Issues Health Authority tom.; 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 homed and their lending institutions in order to satisfycertain federal and state requirerrrents. Employees of DHHS donot - .;conduct.inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsibie for errors orr missions In the professional Municipality of Anchorage AL Department of Health and Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: L3 644 �MP/LSEA-D Parcel ID. A. Well Data Well type �Pi�If A, B, or C, attach ADEC letter. ADEC water system number Log pres nt (Y ) ,s 5 Date completed OGT I q 2 Driller CN 5 01M Qvi Total depth ���� 9% Cased to %s / Casing height �2 1%4- Sanitary sea((YM) es Wires properly protectedY!) Xe S FROM WELL LOG AT INSPECTION .Date of test O 2 2 q I Isg r Static water level Well flow 12 q ✓� w+ • 41 �.g.p.m. �• 9 9 -p.m. Cn-t•1 o Pump levell K �K rr9 cn v SEPARATION DISTANCES FROM WELL TO: Septic/Fobftg tank on lot /00 ; On adjacent lots Absorption field on lot l3 / ; On adjacent lots /00 Public sewer main /V Z/4 Public sewer manhole/cleanout AJ /4 J KnNOW F--) (0 f Sewer service line 2 S -f-- Petroleum tank N a � WATER SAMPLE RESULTS: \ Coliform (52Nitrate 2, 2 L Other bacteria d Date of sample: 142,1941 Collected by: S a S ENGINEERING lhwer Loop Read No, 204 �%—tr Eagta River, Alaska 99577 B. SEPTIC/M t*M TANK DATA Date Installed Z Tank size /2S OCompartments 2 Cleanouts((Y ) /Foundation cleanou (Y/) Ve S Depression (Y/0__!N D High water alarm (Y/N) /J ,/ Alarm tested (YM) ��A Date of pumping 2-- -7 Pumper 14 4 176 1>11 -re "/, e -,f S SEPARATION DISTANCES FROM SEPTICS TANK TO: i Well(s) on lot SOD On adjacent lots /ZOO Foundation /3 B r �2 /r�- To property line /D f Absorption field Water main/service line O Surface water/drainage /OO �- OrT'Gt-f .ON rJ2oP/�eTy ro SOuTN �S D,Qc� n-026MapFront CONTINUED ON BACK PAGE C. LIFT STATION Installed In gallons (YRV) 'Pump on' water alarm le kM0 a tical codes (YM) Manufacturer Manhole/Access (YIN) off" Level at SEPARATION DISTANCE FROM LIFT STATION TO: h j /� / �l Well on lot ✓ On adjacent lots `� Surface water D. ABSORPTION FIELD DATA Date installed % — — 8 2 Soil rating (GPD/Ft) 2 g Q2 System type �C O Length -:6-2 r Width Z 6 Gravel thickness b Total depth 4 <S— 6:95 Cleanout present (�Y N) :P S Depression over field (Y� N Total absorption area �3S 2 7" . a Date of adequacy test q — /,)--'95/ Results (pass/tail) a2//- F d for 3 Bedrooms Water level In absorption field before test 9• S Aftertest Peroxide treatment (past 12 months)(Yl lei %� If yes, give date I SEPARATION DISTANCE FROM ABSORPTION FIELD TO: / r Well on lot �3� On adjacent lots ADO f Property line /O To building foundation 44 r To existing or abandoned system on lot /Voti/E V^J0wAI ri On adjacent lots Cutbank /VN 6F Water main/service line /O �- Surface water Driveway, parking/vehicle storage area 0 /'f � r Curtain drain ZS NOZTN 3G AST GGl2Zq.1.J C61,afiH !S ulo Aw• P E. ENGINEER'S CERTIFICATION I certify that I have checked verified, o onbrmed to all MOA and HAA guidelines in effect ort the bate of inspection. 11s 1 Signature " Engineers NGIN[ERING ago rver oop r.,, t c 7 ! ; •. . Date Eaale Rtver, Alaska 99577 Z— 6 —qS 47 HAA Fee $ r7l Waiver Fee $ Date of Payment /`��� Date of Payment Receipt Number ��� ( Receipt Number 72-026 (M)* Back r June 20, 1995 ROBERTC.COWAN, P.E. ROBERTA. SHAFER, P.E. CML ENGINEERS (907)694.2979 FAX (907) 694.1211 HEAL,,A�N�TY RECEIVED APPRDNALS MUNICIPALITY OF ANCHORAGE SUN 2 2 i9s5 Department o6 Heatth and Human Se vices P.O. Box 196650 Mwuclpallty of Anchorage SfNER a WATER Anchorage, AK 99519 Dept. Health & Human Services IANN E UENSIONS REFERENCE: Lot 3; BCock 4; T4" End Subdivision SEWER&WATER A Conditi.ona.£ Hea th Authority AppRovaC (HAA) was issued on 2/16/95 INSPECTION bon .the reJeaenced property. The septic system has been upgraded, .theae6orte aU woak Aequiu-d boa .the Conditiowt HAA has been compCeted. ENGINEERINGSTUDIES Ptease .issue a 6aU HeaUh Authority Appnovat at .this .time. ANDREPORTS 16 you requiAe additional .in6ortmation, please contact us. S.i.ncene£y, WELLPAPECTION a FLOW TEST SITEPLANS Robert C. Cowan, P.E. RCC/gk MADDESIGN S0ILTEST PERCOLATION TEST STRUCTURAL& MECNMIICAL INSPECTIONS ONSITE WASTEWATER DISPOSALSYSTEM DESIGN 17034 NORTH EAGLE RIVER LOOP • SURE 204 • EAGLE RIVER. ALASKA 99577 r1 Commercial Testing & Engineering Co. Environmental Laboratory Services r�i",rriii Drinking Water Analysis Report for Total Coliform Bacteria REAnwSTRUt7lONSONREmwesIDEBEFORECOLLECTJNGSAMPI-E t ° PUBLIC WATER SYSTEM LD. N X PRIVATE WATER SYSTEM SedRtsub 1C2 /�► .r 4 Stud Rt+ ° Send Inwlet wr •�• .o..m. SAMPLE DATE: MD t7 Z B91 Month Day Year SAMPLE TYPE: ie( Routint ° Treated Water '0 Be cat Sample (for routine sample O Untreited Water %1th lab ref. no. ) a Special l urpofe Time Collected SAMPLE LOCATION Collected By lam lGu. P,;at 5633 B Street Anchorage. AK 99518.1600 Tel:1907) 562.2343 fax:1907)561.5301 TO BE.CONTLETED 13Y LA UKAI VK Analyst' shows this Water SAMPLE to be' moo' Satisfactory Ct Unsatisfactory ° Sample over 30 bows old, results may be unreliable 11 Sample too long in tramit; sample shot not be over 48 hours old at examinatio to indicate reliable results. Please ten< new sample via special deljaery mail. Date Received Time Received Aaalyfis Began Analytical Method: ft Membrane l ilier ° I&MO-Mu0 • Number of colonies/100a-1. IAVRef.No- fesult* An i! 9Y -55422 Sent to A.D.LC Aneh Fbks Jun ❑ ` Fated Dam: Time; Client notified of unsatisfactory results: D i] Phnntd Spoke "h Taxed Date: Tuve: BACTERIOLOGICAL WATER ANALYSIS RECORD MMO-NUC Result: Total Coliform E Coli Membrane F'dler. Direct Count Colontes/loo nil i Verification: LTB BOB COLIFORM TNTC-L.N....e. r. G --r :r • r Od 9 .Gl.ar.t. • Fecal Coliform Confirmation Finest 111embnneTitter rIR,''njVppp�1s CoGfom1/109 m1 Rr'Reported By Date /I.O?•-1 Tune 16 bra Comments:PART Ohm / OF -: A n. n rnu Aja - r :I VYW i Member of the $OS Oroup (Soe16t6 06n6rale G Survtillanet) ENVIRONMENTAL FACILITIES IN ALASKA, COLORADO. FLORIDA. ILLINOIS. MARYLAND, NEW JERSEY, OHIO. UTAH. WEST VIA OINIA ='Eod VS2'D4 TTZTV69U% • S30If1 M Htn -1111ld3dJ0LII" 320 ZS:LS V6/E,0/11 MUNICIPALITY OF ANCHORAGE • Department of Health & Human Seryices 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 l.D.#C)1�-ICinn9., HAA# �AQ%—nu k 1 1. GENERAL INFORMATION (Must be completed prior to submittal) (a) Legal Description (include tot, block, subdivision, section, township, range) Location (address or directions) (b) Property owner Mailing Address (home) Business (c) Lending Institution ��' �� �� n%elephone Mailing Address (d) Real Estate Company and Agent Address Telephone (e) Mail the HAA to the following address: (or check here if hold for pick up.) List contact person and day phone number below: S & S ENGINEERING 17034 Eagle River Loop Road No "A Eagle River, Alaska 99577 2. TYPE OF RESIDENCE Single -Family Number of bedrooms 3. WATER SUPPLY Individual Well Commbnity ❑ Public ❑ A n\qbB 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-M (n«.7/04) Page 1 of 2 5. ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION As certified by myseal 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 S 8 S ENGINEERING Address Eagle River, Alaska 99577 Date Telephone 4�;,�'2g�9 6. DHHS APPROVAL Approved for _bedrooms by r Date Approved Disapproved Conditional Terms of Conditional Approval f ,,. ±.... CAUTION The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval cerificated based only upon the representations given in paragraph 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 acertificate is Issued. The Municipality of Anchorage is not responsible for errors or omissions In the professional engineer's work. n425 JRr. rrte) auk Page 2 of 2 MUNICIPALITY OF ANCHORAGE (MOA) • r. GE Health Authority Approval (HAA) \4\s CHECKLIST- FEBRUARY 1984 01 343-4744 ttstv NM �� Legal Description:.[�r ao SEQ2(,19, 1�JD A. WELL DATA Caw Well Classificati�t� /AJ I ✓IOdA-tom If A, B, C. D.E.C. Approved (Y/N) Weil Log Present (_QN) _Date Completed 10-V 5-67- Yield 4s 4/'H 4— Total Depth--'7-IL Cased to 24 Depth of Grouting Static Water Level. 4 Pump Set At �o Casing Height Above Ground %/ Sanitary Seal on Casing(flYN) Electrical Wiring in Conduitp/N) Depression Around Wellhead (YRS /J SEPARATION DISTANCES FROM WELL: r To Septic/HolAiog Tank on Lot /oD ; On Adjoining Lots / c To Nearest Edge of Absorption Field ,Jon��Lot �3/ ; On Adjoining Lots (70 To Nearest Public Sewer Line � To Nearest Public Sewer Cleanout/Manhole r' To Nearest Sewer Service Line on Lot 25 - _ Water Sample Collected by Water Sample Test Results B. SEPTIC/HOL-DMG TANK DATA Date Installed Size Z No. of Compartments 2 Standpipes4/N) Y Air -tight Caps(qAN) Foundation Cleanout417iJ) y Depression over Tank (YA6? P D to Last Pumped Pumping/Maintenance Contact on File (Y/N) ; for Holding Tank High -Water Alarm (Y/N) �' Temporary Holding Tank Permit (Y/N) A SEPARATION DISTANCES FROM SEPTIC/tiOt tNG TANK: To Water -Supply Well To Building Foundation 13,8 To Property Line To Water Main/Service Line To Disposal Field r. To Stream, Pond; Lake or Major Drainage Course / r Comments ba: Me 72-M (R«.7/88) F. l Page 1 of 2 C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata ZS? Type of System Design-� Date Installed Length of Field Width of Field. ZVr Depth of Field S Gravel Bed Thickness 0•5 Square Feet of Absortion Area Paz b — Statndpipes Present (VN) Depression over Field (Y/6P Date of Last Adequacy Test Results of Last Adequacy Test S�'rt Sammi . / 3 Pii2 , SEPARATION DISTANCE FROM ABSORPTION FIELD: - r -- y To Water -Supply Well I3 f To Property Line f D ) To Building Foundation ' To Existing or Abandoned System on Lot fj ; On Adjoining Lots 12 r To Water Main/Service Line c, /4, To Cutback (if present) � To Stream, Pond, Lake, or Major Drainage Course / o0 '4- To 4To Driveway; Parking Area, or Vehicle Storage Area Sb '4 - Comments D. LIFT STATION Date Installed Size "Pump On" Level at High Water Alarm Level at Tested for Meets MOA Electrical Codes (Y/N) Comments Dimensions Manhole/Access (Y/N) . "Pump Off' Level at (Y/N) Cycles during Adequacy Test. "Check Permitted Bedroom Rating Against HAA Request" certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this Inspection. Signed Company 17034 Eagle RIYgl Eagle River Loop Road No- 2n4 Date ,9,? 6e/ MOA No.� t� 3 Receipt No. 0 a 7 ` G 2 �� Receipt No. Date of Payment Waiver Fee: $ — Amount: $ �? �� Date of Payment nax (ar. mea) Back Page 2 of 2 X/. c >4 CHEMICAL & GEOLOGICAL LABORAWRIES OF ALASKA, INC. — .r 5633 B STREET ANCHORAGE. ALASKA 99518 TELEPHONE (907) 562-2343 FEDERAL TAX ID N 92-0040440 sowuo+•a 1NALISIS REPORT 91 SANPLI for Work Order 8 9323 Data Report Printed: SEP 23 88 1 10:26 Client Sample IDA3, 14, TRAILS END PW31D :DA Collected SEP 20 88 4 12:20 bro. Received SEP 20 88 1 14:00 his. Preserved with :4 DIC. C Client Name : S 6 S ENGINEERING Client Acct : SNSENGP P.0.1 PONE RLC'D Rag 8 Ordered 1y : 113 Analysis Ccapleted BSEP 22 88 Send Reports to: Laboratory Super rr�EV_%.' EDE � 1)3 i S ENCNIRIN: Released 1y Ca 2) ..................................................................................................................................... Special Instruct: Chemlab Ref 8: 2688 Lab Smpl ID: 1 matrix: N17ER Parameter Tested Result/Units NITRAIE-N 4.1 reg/l Sample ROUTINE SAMPLE. Remarks: SAMPLE COLLECTED 11 RJS. Allowable method Limits -------------------------------- EPI 353.2 SO ✓ �6� Q .............................................................................................................. 1 Iests Performed See Special Instructions Above 01-Dnavailabls ND- None Detected See Sample Remarks Above BA. Not Analyzed LTdess Than, CT -Greater Then MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION DIVISION OF ENVIRONMENTAL HEALTH CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY 264-4720 Application Date tr-& -,?-< 1. GENERAL INFORMATION (a) Legal Description (include lot, block, subdivision, section, township, range) / Lo -r S $G !ex S� ` 7ZfjL5 &�h Ti?-✓ iC34J LY If Location (address or directions) �f 6w e /hla• (b) ApplicantName7�14Y ✓ 774tdTo✓ Telephone: Home 34-1yN Business us'ZZS/ Applicant Address //L8/ §?0'JbL e AvE '*Iewo- lbs; W. (c) Applicant is (check one): Lending Institution ❑ ; Owner/builderX ; Buyer ❑ ; Other 13(explain); - (d) Lending Institutionk. « AWL►, Telephone Address ` 1" (e) Real Estate Company and Agent �LQn^C 1 't1rD� Si�Q ui�Q� Address Telephone (1) Mail the HAA to the fol wing address:• Ire � tD Q 1 . t r.�:u.ci U..4� � • 1 f^ . r G r• �c � �J �-co•� 2. TYPE OF RESIDENCE Single -Family( Multi -Family ❑ Other Number of Bedrooms 3 3. WATER SUPPLY Individual Well X Community ❑ Public ❑ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 4. SEWAGE DISPOSAL Onsite Public ❑ Community ❑ Holding Tank ❑ Note: II community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. J Page 1 of 2 72025 01 e4) L g DV F1V ✓s i«d n 5. ENGINEERING FIRM PROVIDING) pOSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION As certified by myseal affixed herett'f pnd as of the validation date shown below, l verify that my investigation of this Health Authority Approval shows that the o!; aitewater supply and/or wastewater disposal system is safe. f unctional and adequate for the number of bedrooms and tyt," of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchoray" files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in coff'Phance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm oolot. 7�/L SEXdiLQ $ /NL Telephone �/' Sava Address /zvo Hl. 33rei �V` 5�+� a 14i✓ /� 9f>aj Date F_ % gs 6. DHEP APPROV Approved for bedroof'lD Approved �� Oisaf f'f' Terms cl Cond,licnal Approval _ A C. Reid, Jr.�•aw•q Engineer's Seal 2251-E _: ,c; ✓ g CAUTION Date YJ , 6 The Muncipality of Anchorage Dc111",rlment of Health and Environmental Protection (DHEP) issues Health Authority Approval certificates based solely IIV.,ii the representations given in paragraph 5 above by an independent professional engineer registered in the State of t 1.,'ka. The DHEP does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certni - 1„doral and state requirements. Employees of DHEP do not conduct inspections or analyze data before a certificate is I.•••„ec]. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work Page 2 of 2 N��RPGE • tapes N`to `ttoN ti pE1't9PL . �taO� FSG � 9 v V A. WELL DATA n �I MUNICIPALITY OF ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1984 264-4720 Legal Description: jaT 3 $Latif TlMLS Ea%d Tiz.✓ ,f3w sEc ZW Well Classification ;Pt1;1,4 E If A, B. C, D.E.C. Approved (Y/N) A Well Log Present) Date Completed /6 Yield-)_(4t- Total ield 4t- 4Ph ' 11114Total Depth `� % Cased to � Depth of Grouting i Static Water Level 3•/ Pump Set At 70 Casing Height Above Ground — Electrical Wiring in Conduit bl N) Separation Distances from Well: Sanitary Seal on Casing ON) — Depression Around Wellhead (Y(1 To Septic/Holding Tank on Lot MD i ; On Adjoining Lots I To Nearest Edge of Absorption Field on Lot X31 ; On Adjoining Lots To Nearest Public Sewer Line N 4 To Nearest Public Sewer Cleanout/Manhole To Nearest Sewer Service Line on Lot �✓ Water Sample Collected by AE[S �• a/c� ; Date 7 ZS-dS Water Sample Test Results S1j7�CTdf� Comments * AA -Lit. PimJ ?ES% 2�,Qyme-b 7 -ZS -8'f - B. SEPTIC/HOLDING TANK DATA Date Installed 94-97-- Size �ys0 6 ft No. of Compartments y Standpipes (Y N) Air -tight CapsCY)N) Foundation CleanouY N) Depression over Tank (Y& Date Last Pumped 7- -85' Pumping/Maintenance Contract on File (Y/N) Al� ; for <r Holding Tank High -Water Alarm (Y/N) �4 Temporary Holding Tank Permit (Y/N) LI Separation Distances from Septic/Holding Tank: e To Water -Supply Well To Building Foundation /j.P r / To Property Line To Disposal Field Jr, To Water Main/Service Line 'qx_ To Stream, Pond, Lake, or Major Drainage Course Comments Page 1 of 2 72-026(11,84) AIIA r to C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata z97I?,/- H T1. w of System Design Date Installed 9- �'yye r Length of Field SL Width of Field _ ui Depth of Field T• s r Square Feet of Absorption Area Depression over Field (Y©N _ Results of Last Adequacy Test Gravel Bed Thickness • S Standpipes Present(9N) Date of Last Adequacy Test Separation Distance from Absorption Field: r r To Water -Supply Well /- / To Property Line To Building Foundation Lot T To Water Main/Service Line To Stream/Pond/Lake/or Major Drainage Course To ..Existing or Abandoned System on On Adjoining Lots T� To C`utbank (if present) r To Driveway, Parking Area, or Vehicle Storage Area 50 Comments D. LIFT STATION Date In Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Electrical Codes (Y/N) Comments Dimensions Manhole/Access (Y/N) — "Pump Off' Level at •• Check Permitted Bedroom Rating Against HAA Request •' Vent(Y/N) Cycles during Adequacy Test. Meets MOA I certify that I %ye cc ecke�1t, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Signed ,/G��!z Date Company AcGf MOA No. gS OZ•% Receipt No. Z5 2 1����1001 Date of Payment 4+ \q RS=�P�E•OF•eQ�gS�, AS CS •' '•a Amount: $ -C� d y;' •;q% Engineer's Seal Page 2 of 2 ' P C. Rad• Jr. Ifs No. 2251-E 72-026 (11,841 50448 n ALASKA C OIROn EnTAL COnTROL SMCES, InC. Enqincerinq 6 Enuironmental Studies AUGUST 5 1985 ACCENT REAL ESTATE SELLER—SAME ACCENT REAL ESTATE 6112 PETERSBURG STREET 6112 PETERSBURG STREET ANCHORAGE ALASKA ANCHORAGE ALASKA 99507 99507 LECAL:TRAILS END BLACK 4 IAT 3 ADEQUACY TEST FOR SEWER SYSTEM ADEQUACY TEST DATE—AUGUST 2 1985 THE TYPE OF ABSORPTION SYSTEM IS A BED WITH AN AREA OF 1352 SQFT. THE SYSTEM IS CAPABLE OF ACCEPTING 450 GALLONS OF WATER PER DAY. THE SURGE CAPACITY OF THE SYSTEM IS 690 GALLONS. BASED UPON THE TEST DATA THE SYSTEM IS ACCEPTABLE FOR A 3 BEDROOM HOME. SEPTIC TANK ADEQUACY THE EXISTING SEPTIC TANK VOLUME OF 1250 IS ADEQUATE FOR THIS 3 BEDROOM HOUSE. THE SEPTIC TANK/PACKAGE PLANT WAS PUMPED ON JULY 26 1985 . FLOW TEST ON WELL WELL FLOW DATE—AUGUST 2 1985 A FLOW TEST WAS PERFORMED ON THE WELL. 690 GALLONS OF WATER WAS PUMPED AT A RATE OF 6.5 GPM OVER A DURATION OF 3 HOURS. THE DRAWDOWN WAS 9.2 ' WITH A RECOVERY TIME OF 10 MINUTES AND THE STATIC WATER LEVEL WAS 3.1 FEET. THE WELL IS ADEQUATE FOR THIS 3 BEDROOM HOME. z± ay C. Raid, Jr. No. 2251-E ,: n J/b 1200 West 33rd Auenue, Suite B • Anchorage. Alaska 99503&(907) 561-5040 APPLI(7"--�T FILLS OUT UPPER HAI' ,JNLY Tim e Prop -ty Ownwr Time M3JIng Address Zip Code Buyer Date Date Address Zip Code Inspector Lending Institution 4445ett- S%¢%r' -E-7,04� Ins or Phone Address k - +5 Realty Co. d Agent " Phone Address Zip Code Qec .(e•.� NOV i I�OJ �'' �[ Legal Description /o j 3, 171JC14 q, �?/-i/5 &4t r iT'�cr �Jy n,CC �eifr f` Street Location Qo T--3;7,,,,r4O (� )/DISAPPROVED ( )CONDITIONAL ApPPROVAL_ � '��l^a„U.A.JI CO -""„_ ,=-6t> 's. 8�`•' l Type of Residence BY: ctrn, LI XSingle Family Date Sewer Installed Well To Absorption Area O ' Multiple Family No. of Bedrooms C3_ �1 Qj 1 I - -L -S �-• • ❑ Other Septic Tank Size s- Water Supply /1 V Individual 4-).0-j ATTACH WELL LOO. A well log Is required for all wells drilled since June 1975. 13 Community For wells drilled prior to that date, give well depth (attach log if available). ❑ Public Utility Sewer Disposal Individual c�ya?Ir T L— Year Individual Installed: O Public Utility When Connected to Public Utility: ❑ Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. !- of Time Time Tim e Time 410 Date Date Date Date aV8 I` Inspector Inspector Ins or Inspector +5 W s . Field Notes: S *AUNICIPtutry OP ANCHORAGE tf"— tr*ah•p-e t...� C_6M.�µy� , rEPT. Or Its;�T:I e, ENVIAO.\,A:NTAL PROTECTION �L WcQD Qec .(e•.� NOV i I�OJ J+ 2� — RECEIVED ( ) APF OVED BEDROOMS 'CONDITIONS OF APPROVAL (� )/DISAPPROVED ( )CONDITIONAL ApPPROVAL_ � '��l^a„U.A.JI CO -""„_ ,=-6t> 's. 8�`•' l DATE � i- BY: ctrn, LI Solis Rating Date Sewer Installed Well To Absorption Area O ' Well Log Received �1 Qj 1 I - -L -S �-• • IN to Tank Septic Tank Size s- uea rr t} -£•C -S J November 28, 1983 Tracy V. Thornton P. o. box 103933 Anchorage, AK 9951U Subject: Lot 3, Block 4, Trails End Approval for the individual sewer and water facilities cannot be granted until the following items have been completed: ,� _.,�f� A well log submitted to this ottice for our files and �(7 review. ° The depression or pit around the well casing needs to be filled with icapervious type soil so that it slopes away from a wel. casing.__ Llt W� Y�9..�m� Please notify this Department for a reinspection when the noted discrepancies have been corrected. It there are any further questions, please call this oftice at 264-4720. Sincerely, Cory Willis, K.S. Acting Sewer & hater Program Manager CWSU/ej/e1