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SOUTH LAKEWOOD HILLS BLK 2 LT 3
South Lakewood Hills Block 2 Lot 3 #015-511-28 May 09 22 10:52p Anchorage Well & Pump Ser 9072430742 MUNICIPALITY OF ANCHORAGE Development Services Depar On -Site Water & Wastewater cs �1 Phone: 907-343-7904 Fax: 907-343-7997 Pump Installation Log Well Drilling Permit Number: Parcel Identification Number: 015-511 28 Date of Issue: Legal Description SOUTH LAKEWOOD HILLS Block 2 Lot 3 Property Owner Name & Address: SHADE ERIC L & BERTHA M PO BOX 131 DILLINGHAM, AK 99576 Pump Installation Date: os _ 09 1 - 2022 Pump Intake Depth Below Top of Well Casing: 159 feet MEYERS Pump Manufacturer's Name: 8S 1 6 Pump Model: Pump Size: .75 hp Pitless Adapter Burial Depth: 1I0 feet Pitless Adapter Manufacturer's Name: MARTINSON Pitless Adapter Installer: Well Disinfected Upon Completion))? Yes ❑ No Method of Disinfection: PELLETS Comments: Pump Installer Name: _ ANCHORAGE WELL & PUMP SERVICE Company: 7640 1(1 uG STREET ANCHORAGE, AK 99518 Mailing Address: 907-24-0740 City: State:) Zip: Attention: The pump installer shall 'provide a pump installation log to On-site within 30 days of pump installation. U Municipality of Anchorage ar. Development Services Department Building Safety Division -- On -Site Water and Wastewater Program. 4700 S. Bragaw St. P.O. Box 196650 Anchorage. AK 99519-6650 Page I of 2 www.ci.anchorage.ak.us (907) 343.7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number: SWO 2 O 3 Y 2 PID Number: N,m. SQFn deb a^l; Wastewater System: 0 New ® Upgrade A,wna PI•t 13 2/e I120 F "fFrnon AnchoF a3rpQ� fFac 99Srs— ABSORPTION FIELD P•wne 00 Nw of 9.aoum.. 2S0 —3791 3 P Do" Tor 13 Sm"o. Tralm a aW aiau aoffs Sod Rakr.p Total Denr, Yom wpnr WWI LEGAL DESCRIPTION 1.2 GPDTt, 8, W Ff. 6.oa Lor Sueawi.an: Dear N pp. Oollor. Yam rg" gl o Grana Oapr Mrwar pa. 2 3 Scau+n "Icrcuaca Id,IJ 3.2 Fi. S. 2 Ff Tawnana Ranpa SMan' Fa WaW above w9" pap. Oras Lanpr: (� 0. 6, FL lie - r Fi. Nu w ofIwa: I Oniraa D.t+YM IMa Well: Eyc/ST Cl New C] Upgrade 2.S Ff, 1 — Ff CNS%.f"4 .lP..r.. A e. CI Torr DaorCal" io Tar aowrpwi ru Pip. Mauer F— C� 0 rC��` Ft. It a'/ 2/ Fit O -307Y non •ptrf 0.94, 0210 DnIW. Stam Wolff Loroi "aw.. Dara rauu.. Ff Dean 9 119 /02 YNa To From Pump SW SL Ft. Cavy Haps 10« TANK cvM a SEPARATION DISTANCES 14 Septic 0 Holding 0 S.T.E.P. Septic Absorption Lift Holding Pub:iUPdvale kuw1tl1a" Tank Field Station Tank Se•erune Anckic na4e -rAnk vol•° 103, 148' — SJacowaw > tool >(00, — LH L.14 271 10 — lto. ffan H Al 9 e — C.la•n Oraa — — — Luta'al >zs' SI-ee/ S�aa — •Pump M' Nrff at Pump Make a MWaf 0 Other. caps 1000 col N.mD.r of Cffnpanm.ma 2 LIFT STATION N.,4 M"'C:Mr Or •Pump oT a+ff r npn wwr urm r in ot a Elicit" rap. ,radw."Yy Flo a,, BENCH MARK Orayrna 1 fep fic i4a� ".A01+ai J Louaan w O.w�Man VJ.ap{�1� ayC4� dayneai- FoQn• Dl,/. l?oHoyn of S',-A"A (0 SE 60",70,- y Au�mW E..raum C.O. ansfttl/ect 0 po,^f new war/>: of gaf-a�e Ioa.0Ft Ione tea an Az, e%Ft /7'ny 1 the �A+ �/ Engineer's Stamp 17 UJe. Inspections performed by: Fla f{op T -ed Sac- Dates: 13' 9/(610Z 2n0 9 119 /0 2 Development Services Department Approval Reviewed and approved by: ./ Z/,/�,� Date: .e., .. out OF A4`w ............ THE00okE F. JLCIORE CE -3589 PERMIT NO: SW020342 PID NO: 015-511-28 N SWING TIES FROM: COR. "A" COR. "B' COR- "C TO: DBL. C.O. "D" F 13' 46.50 S.T. C.O. "E" 60.5' 46' S.T. C.O."F" 65' 52' DBL. C.O. "G" 70' 58' TR. C.O. "H" 1050 98' TR. M.T. "1" 105' 105' TR. C.O. "J" 109' 113' OF A-"% ., ..G ......... +a"4 L"Ilk r �THEOCCRE F. AA E ; L" �, , . •. CE -3589 I T SOIL COVER 11 ---------------------------------- 11 11 11 5.2' EFFECTIVE BOT. TRENCH ; ; SEWER GRAVEL \ELEV. 83.4' BOT. T.H. #1 ELEV. 76.2' M.T. DRY 9/18/02 PAGE 2OF2 [3-BDRKI DRIVE HOUSE R1 TBM ,"C" - -- E"--- " NEW 1000 -GALLON SEPTIC TANK »F» ❑ »G» T.H. #1 B:YA0116imalRIS SOIL ABS. TRENCH T.H. w. 5.2' EFF. GRAVEL? #1b »J»Ey.....»'. ...�. T.H. #la m PROFILE VIEW NOT TO SCALE PLAN VIEW SCALE: 1" = 30' »H» I FINAL GRADE ELEV. 97.5' 1000 -GALLON \—INV. SEPTIC TANK 92.5' LOT 3, BLOCK 2, SOUTH LAKEWOOD HILLS SEPTIC SYSTEM UPGRADE AS -BUILT INSPECTION REPORT FLATTOP TECHNICAL SERVICES SCALE: AS NOTED 14530 ECHO STREET DRAWN BY TFM ANCIIORAGE, ALASKA 99516 I OCTOBER, 2002 `I(M if 01 MUNICIPALITY OFANCHORAGE `i//`� /P X1 Development Services Department On -Site Water & Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ONSITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade Date Issued: Sep 13, 2002 Expiration Date: Sep 13.2003 Permit Number: SW020342 Parcel ID: 015-511-28 Legal Description: SOUTH LAKEWOOD HILLS BLK 2 LT 3 Design Engineer: 0019 Flattop Technical Services Site Address: 006700 O'MALLEY RD Owner Name: Sam Oehdi Lot Size: 33600 SO. FT. Owner Address: PMB 216 1120 E Huffman Road Suite 23 Total Bedrooms: 3 Permit Bedrooms: 3 Anchorage , AK 99515 - This permit is for the construction of: ❑✓ Disposal Field ❑✓ Septic Tank ❑ Holding Tank ❑ Privy All construction must be in accordance with: 1. The attached approved design. ❑ Private Well ❑ Water Storage 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 DSD at least 2 hours prior to each Inspection. Provide notification by catling (907) 343-7904 ( 24 hours ). ( Not required for a Water Supply Permit only ). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, seated, and heated to prevent freezing. Received By: Issued By: r p Date: `% / /3 / o Z Date: "/6/02 Municipality of Anchorage • Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.cl.anchorage.ek.us (907)343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcell.D. 0l5'Permit Number SWO263¢2 Property owner(s) Scc r. OGDay phone 26'o -3,79y Mailing.address (1) I'mo zle, 112a gf: y,,J;4-o� Ralf X44. Ae 7_3, - Mailing address (2) A�ctiu�asie /ole Zip Code 99S"S- Legal description (Lot, Block & Sub'd.) G f 3, 61& c 4 2 Cc h+ L r l�.�•.« �,c frtrli Legal description (Section, Township & Range) Lot Size -b3 IoW Acre @Ft. Number of Bedrooms 3 THIS APPLICATION IS FOR: Sewer Only ❑ Well Only ❑ Sewer and Well ❑ Water Storage ❑ Sewer Upgrade ER THIS PROPERTY CONTAINS: Hot Tub ❑ Jacuzzi ❑ Swimming Pool ❑ Water Softening Unit ❑ Therapy Pool ❑ I certify that the above information is correct. I further certify that this application is being made for a Single Family Dwelling and is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit Fees: ' 7 U0 Date of Payment: '9 IV/ O2, Receipt Number: (Rev. 12100) Waiver Fees: Date of Payment: Receipt Number: •,k`,•.. *, -- . Ze, 7 Cn'n.6 ENVRONSIENTAL ENGLNEERLNG • ENERGY CONSERVATION & ANALYSIS THEODORE F. MOORE, P.E. PH: (907) 345-1355 September 3, 2002 M.O.A. DSD P.O. Box 19-6650 Anchorage, AK 99519 Dear Sirs: 14530 EC110 ST. ANCHORAGE, ALASKA 99516 The purpose of this letter is to provide the required design narrative in support of our application for a permit to upgrade the wastewater disposal facilities on Lot 3, Block 2, South Lakewood Hills S/D, located at 6700 O'Malley Road. Soils logs, pert test results, a site plan, design drawings and specifications are enclosed for your review. The proposed system will be constructed in the vicinity of test hole # la. As can be seen from the soil log, the native material below 2 feet is a clean coarse gravelly sand with a measured perc rate of less than minutes per inch. Because the native material is predominantly sand there should be no need to install additional sand filter material. Because the soil conditions in this area are somewhat variable we dug an additional shallow test hole # 1 b west of # 1 a to verify continuity of the desired absorption stratum. Groundwater monitoring conducted in T.H. # 1 demonstrated the absence of groundwater within 4 feet of the bottom of the proposed trench. Using the soil application rate of 1.2 gpd/sq. fl. specified in the wastewater ordinance, this 3 -bedroom residence requires a total absorption area of (3 x 150)/1.2 = 375 square feet. The proposed 40 -foot long trench design with an effective gravel depth of 5 feet has a total absorption area of 400 square feet. The topography of the lot in the area of proposed construction is near the bottom of a natural swale that trends downward to the west at approximately 5%. To the south of the proposed trench the topography slopes upwards at 25%, while to the north the swale bottom is relatively level. The original north side of the swale in the vicinity of the existing trench and test hole #I has been filled with up to 7 feet of fill material. The proposed project will have no significant impact on present or future water supply and wastewater disposal systems serving adjacent properties, nor will it have any significant impact on reserved space -surface and subsurface, or on drainage. Please give me a call at 345-1355 if you have any questions on this submittal. Sincerely, Ted Moore, P.E. ---------------- - - - - -- ---- O'MALLEY ROAD N -- ---- — -------- - --R 100'--- WELL-7 R 100' LOT 2,BLOCK 2 �— WELL 0 R 100' , , , o � a SEPTIC , AREA 0 ,1 , , , , RLTH L. ,• . THEODORE F. #A RE F' CE • 3589 1'�Al r ------------------------------------------------------ LOT 3. BLOCK 1, MACBETH SID #1 (VACANT) LOT 3, BLOCK 2, SOUTH LAKEWOOD HILLS SID WELL AND SEPTIC SYSTEM SITE PLAN FLATTOP TECFINICAL SERVICES 1 INCH = 50 FEET 14530 ECI10 STREET DRAWN BY TFM ANCI IORAGE, ALASKA 99516 AUGUST, 2002 NOTE: THIS IS NOT ASURVEYED PLAT . Re�P/�3ro� ALL LOCATIONS SHOWN ARE APPROXIMATE. ✓ INSTALL r----- 3 B FDN. C.O. i DRIVE HOUSEUSS , , ABANDON HOUSE EXISTING c r -1250 -GALLON SEPTIC TANK 0 ABANDON EXISTING 48' 0 SOILAB TRENCH INSTALL NEW ----- '-107 8 — — SHE 1000 -GALLON --------- SEPTIC TANK SEPTIC AREA H T.H. #1 120.8' 50.2' BLDG #1a� 38.1' fr- CONSTRUCT NEW 40 -FOOT LONG SOIL ABS. TRENCH W. 5.0 FT. GVL. BELOW DISTRIBUTION PIPE LOT 4, BLOCK 2 r ------------------------------------------------------ LOT 3. BLOCK 1, MACBETH SID #1 (VACANT) LOT 3, BLOCK 2, SOUTH LAKEWOOD HILLS SID WELL AND SEPTIC SYSTEM SITE PLAN FLATTOP TECFINICAL SERVICES 1 INCH = 50 FEET 14530 ECI10 STREET DRAWN BY TFM ANCI IORAGE, ALASKA 99516 AUGUST, 2002 NOTE: THIS IS NOT ASURVEYED PLAT . Re�P/�3ro� ALL LOCATIONS SHOWN ARE APPROXIMATE. �- D-3034 WASTE LINE FROM NEW FDN. C.O. NEW 40 -FOOT LONG SOILABSORPTION TRENCH W. 5.0 FEET EFFECTIVE GRAVEL BELOW DIST. PI ASTM F-810 PERF. DIST. PIPE "A" --Iw- :" 40 - ------------------ C.O.—/ - C.O. M.T. PLAN VIEW SCALE: 1" = 10' MONITOR CLEANOUT \ MOUND BACKFILL 6"3 1� ORIGINAL GROUND FILTER FABRIC 8 4" DIA. F$10 ; ; 5 5.5 PERF. PIPE ; 1rz"-210 SEWER GRAVEL BOTTOM OF EXC.------ CROSS-SECTION "A - A" SCALE: 1" = 5' �q NEW 1000 -GALLON SEPTIC TANK DOUBLE C.O. Q'�GF A$ s;40, r ..:..................:... '. TtiEODCCE F. MOORE �• � � • CE -3589 p LOT 3, BLOCK 2, SOUTH LAKEWOOD HILLS SEPTIC SYSTEM UPGRADE PLAN AND CROSS-SECTION FLATTOP TECHNICAL SERVICES SCALE: AS SIIOWN 14330 ECI10 STREET DRAWN BY: TFM ANCI IORAGE. AK. 99516 SEPTEMBER. 2002 FLATTOP TECHNICAL SERVICES 14530 ECHO ST. ANCHORAGE, ALASKA 99516 TEST HOLE # 1 SOILS LOG - PERCOLATION TEST LEGAL DESCRIPTION: Lot 3,,Block_2,South Lakewood Hills SID DATE PERFORMED: August'19,2002, PERFORMED FOR: Sam Oehrli. DEPTH a pt (feet) 11- 3- 4 - GM Silty sandy gravel Fill material Pt Original ground SM Sandy loam GM Sandy silty gravel SLOPE 5% w A/50% 0% \2516 Depth to Groundwater Date I OF A. �+• 19TH ✓ •:' e • � N a HCOOCRE F. MOORE'• r' SP Brown medium sand 14- Gravelly, w. cobbles Date Reading Clock Net Time Percometer I Net Drop Time (minutes) Reading (inches) 15- 17— i I 1g- GM Sandy sitty gravel South end of test hole 20- ' 21 B H PERCOLATION RATE (minutesAnch) PERC HOLE DIAMETER TEST RUN BETWEEN FT AND FT COMMENTS:_Perc test not conducted due to extreme depth of optimal stratum_Monitor tube used to verify absence of-groundwater.- T.H. # I a fgroundwater._T_H_#Ia excavated in swate encountered_ better material_at_a shallower depth. PERFORMED BY FLATTOP TECHNICAL SERVICES. I �i.,.0 7�Zo....� CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 9J_? /0Z FLATTOP TECHNICAL SERVICES 14530 ECHO ST. ANCHORAGE, ALASKA 99516 TEST HOLE # la I SOILS LOG - PERCOLATION TEST LEGAL DESCRIPTION: Lot 3 Blodc_2 South_Lakewood Hills SID DATE PERFORMED: August 19 2002 PERFORMED FOR: �$am_Qehrii SLOPE (e�® Pt. 1 SM Reddish sandy loam 2 3- SITE PLAN DRIVE HOUSE � i! i N 4 - Net Time Percometer I �—� 5- (minutes) 5% 67 62.5 SW Clean coarse gravelly sand 271/2 6- Variable coarse fraction 271/ 01 7-. 271/2 — 4TH 27 �50%uT.H :28 -. 1 20- --3J/2— #18- :28 3 0% T.H. :29:30 1 \25% 31/2 9 - 1 17J/4 flame — 10 - Depth to Groundwater Date 11 B.H.-Nogroundwater 8/19/02 5% 12- 13- 14- Dale I Reading Add Clods Net Time Percometer I Net Drop rime (minutes) Reading I (inches) 271/2 271/ 271/2 — 27 231/2--- 312:28_ :28 -. 1 20- --3J/2— 3]/2_:28:30 :28 3 241/8 :29:30 1 20 5/8 31/2 :30:30 1 17J/4 3 3/8 19- i 20 -� I I PERCOLATION RATE i1 (minutes/inch) PERC HOLE DIAMETER_6-_ TESTRUNBETWEEN 4.75_FTAND_5.25_FT COMMENTS__T_F(. #]a encountered superior soils tos H 81 at a shallower depth and not covered by deep fill_so_is a preferable site._ for trench construction. T.H_#1b_was dug to verity continuityof this materialtowards Since material is sand,_ no filter is necessary._ PERFORMED BY FLATTOP TECHNICAL SERVICES. I'.7-�..0, 'Y CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 9 T- attop7echnicalServiat 14530 Echo Street, Anchorage, AX 99516 Tone (907) 345-135S Lot 3, Block 2, South Lakewood Hills S/D 6700 O'Malley Road Wastewater disposal system installation Specifications 1.0 General: 1.1 The scope of the project consists of abandoning an existing 1250 -gallon septic tank and installing a new 1000 -gallon septic tank that discharges effluent into a new 40 -foot long soil absorption trench containing a total of 5.5 feet of sewer gravel. 1.2 Construction shall be as depicted on the approved site plan and design drawings. Minor deviations from these drawings may be allowed or required by the engineer conducting the inspections. All construction procedures and material specifications shall conform to Municipal and State requirements. All separation distances shall be in conformance with Municipal requirements, unless specifically waived. 1.3 The contractor shall be responsible to obtain any necessary utility locates, and to work around any buried utilities. 1.4 The contractor shall provide adequate cover material and rough grading overall, system components to ensure that proper drainage is achieved after settlement and that there are no residual depressions. Insofar as possible the contractor shall minimize damage to trees and existing lawn areas. 1.5 Unless specifically agreed otherwise, the homeowner shall be responsible for finish grading afler the soil is compacted, as well as placement of topsoil and reseeding all areas disturbed by the construction. 2.0 Septic Tank: 2.1 The new 1000 -gallon, 2 compartment septic tank shall be Municipally approved and shall be set level on undisturbed soil. Each compartment shall be equipped with a watertight manhole cover and a 4" cleanout. If the tank is buried less than 4 feet, it shall be insulated with 2 inches of approved burial type, rigid insulation. 2.2 All pipe connections to the tank shall be equipped with waterproof mechanical couplings. The waste line from the residence to the septic tank shall have a minimum slope of 1/4"' per foot, and the waste line between the tank and the soil absorption system shall have a minimum slope of 1/8" per foot. A cleanout shall be installed I - 4 feet from the building foundation, and a double cleanout shall be installed within 5 feet downstream of the septic tank. 3.0 Soil absorption system: 3.1 The soil absorption system shall be constructed by excavating 40 -foot long trench to a depth of 8 -feet below ground level. The trench shall be on the south edge of an existing natural Swale, and the long axis of the excavation shall parallel an existing contour of the land. 3.2 The bottom of the excavation shall be level. Any compacted or smeared surfaces shall be raked to allow proper infiltration. 3.3 A total of 5.5 feet of approved sewer gravel shall be placed in the bottom of the excavation with the perforated distribution pipes laid level such that the pipe inverts are no less than 5.0 feet above the bottom of the sewer gravel. Sewer gravel shall be 0.5" - 2.5" screened gravel, with less than 3% passing the #200 sieve. 3.4 Monitor tubes and cleanout pipes shall be of 4" diameter and installed in the locations shown on the design drawings. The portion of the monitor tube extending through the sewer gravel shall be perforated. 3.5 Approved filter fabric shall be placed over the entire top surface of the sewer gravel. A minimum of 2 feet of soil cover is to be placed over the filter fabric. If the soil cover thickness is less than 3 feet, two inches of rigid, burial type insulation is to be placed over the entire top surface of the gravel, in addition to the filter fabric. 3.6 The top surface of the cover material shall be raised a minimum of 6 inches higher than the surrounding terrain to allow for subsequent settlement, and shall be graded to smooth contours. Fill slopes shall be no steeper than 3:1. 3.7 Unless specifically agreed otherwise the homeowner shall be responsible for arranging to have the site finish graded after the backfill material has stabilized, and for placement of adequate topsoil and seed to promote rapid revegetation of all areas disturbed by the construction. 4.0 Inspections: 4.1 A minimum of 4 engineering inspections will be required during the course of the project: (1) initial stakeout with the contractor to establish the location of the system and to discuss the plans, specifications and construction procedures, (2) after the native material has been excavated to expose the infiltrative surface to ensure that it is level and at the right elevation, and conforms with the soil test information, (3) after the sewer gravel is in place and the distribution pipes have been laid and connected up to the septic tank, but prior to placement of insulation or filter fabric, and (4) after rough backfill and grading is complete. The septic tank requires one inspection after it is set level and the piping connected, but prior to backfill. This inspection may be incorporated with any of the above inspections. 4.2 The installer shall coordinate the timing of the inspections with the engineer sufficiently far in advance to ensure the availability of the engineer. MUNICIPALITY OF ANCHORAGE / • DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street - Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME // ` �(%� (,4t -Li vvE:-�"(�YJFGRADE PRO] E ❑NEW/ MAILING ADDRESS r c LEGAL DESCRIPTION 2 lT< � lJ /�/� SCTZ-t. �L1 IC�Z. C2z[' r..e•-�t/L. LOCATION NO. OF BEDROOMS Well U I Absorption area Dwelling PERMIT NO. U DISTANCE TO: S Y I -Z Manufacturer — Mater _. No. of compartments y Liq. capacity in gall us Inside length Width Liquid depth 1(9 OC) IF HOMEMADE: Y Well Dwelling PERMIT NO. ❑ DISTANCE TO: ,. 2 z'1 Manufacturer ____ Material Liquid capacity in gallons ❑ Well I Foundation Nearest lot line _ i PERMIT NO. DISTANCE ^ LU a Z Noof lines Length of each line Total length of lines Trench width i- Distance between lines �✓/'i Zw q' -tj' inches F _ Top of rile to finish grade , r ( Material beneath rile ( Total effective absorption.�rea ❑ �s ,- inckcs ..3 �..} Length Width Depth PERMIT NO. w 7 Q H Type of crib Crib diameter Crib depth Total effective absorption area wd w w Well Building foundation Nearest lot line DISTANCE TO: Class Depth Driller Distance to lot line PERMIT NO. J J w Building foundation Sewer line Septic tank Absorption areas) DISTANCE TO: OTHER n 11A PIPE MATERIA LnnS SOIL TEST RATING INSTALLER' REMARKS c ----------- APPROVED DAA LEGAL -TE 72-01� 1Rev. 3/78) (1.J ������IF:11 E::- E: 0: 11. C jr, �(_ F:����� PERMIT HPPLICRNT HHS THE RESPONSIBILITY 10 INFQRM THIS DEPHRTMENT DURIHG THE INSTHLLHTION INSPECTIONS OF ANY WELLS HDJHCENT TO THIS PROPERTY HND THE NUMBER OF' RESIDENCES THAT THE WELL WILL SERVE. ��� ��� ����������� ���� ��������� BHCKFILLING OF HNY SYSTEM WITHOUT FINAL INSPECTION HND HPPROVHL BY THIS DEPHRTMENT HILL BE SU8JECT TO PROSECUTlON. MINIMUM DISTHNCE BETWEEN R WELL HND ONY DN -SITE SEWHGE DISPOSRL SYSTEM IS 10� FEET FOR H PRIVHTE WELL/ OR 150 TO 200 FEET FROM F; PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL OTHER REQUIREMENTS MIT-f'HPPLY� 5PECIFICHTIONS HND CONSTRUCTION DI9GRHMS HI HV8ILRBLE TO lNSURE PROPER INSTRLLHTION ������� �������� ��������� I CERTIFY THHT 1 I HM FRMILI8R WITH THE HND WELLS HS �ET FORTH BY THE MUNICIPRLITY OF RNCHORHGE 2� I HILL INSTHLL THE SYSTEM IN WITH THE CODES, ]� I UNDERSTHND 11-11,1I THE ON-SITE WE. F." SYSTEM MHY REQUIRE ENLHRGEMENT IF THE RE(PENCE IS REMDDELED TO INCLUDE MORE TMHN ] BEDROOMS. RPPLICHNT C � Y-�X�_--- o,1^ ISSUED BY_-l�`�\��-_\'�y\)-/--/�7'- yI2 -�-k1, DEPRRTMENT OF HEHLTH FINE, ENVIRONMENFrill- PROTECTION STREET, F�NCHORRGE/ F11--*.. 99501 264�4720 JIIL��clojj_i" �����V�NQ. C.`7984O6 ) � RPPLICANT COWDERY EXC� 8120 LHKE OTIS __�--�--' ]f42407 LOCHTION OMHLLEY ROAD LEG8L L ] GK 2 SOUTH LHKEWOOD HlLLS LOT SIZE 40@00 SQ RRE FEET TYPE OF 11.10 (L HRSORBTION SYSTEM IDR8INFIELD MHXIMUM NUM8ER UF BE�R�PMS RHTINGMOQ&O�iccl THE REQUIRED SIZE OF THE SOIL HBSDRPTION SYSTEM IS� ���������� ��' �-��"Alf "If fl� a:� �� �������' ���-��-�� � THE LENGTH DIMEN�ION IS THE LENGTH (IN FEET) OF THE OR DRHINFIELP THE DEPTH OF H TRENCH OR PIT IS TT|E DISTF*INCE BETWEEN THE SURFHCE OF THE GROUND AN[) THE BOTTOM OF THE EXCRYRTION (IN FEET). T.�-U�� ���S�� ������-y �� �' ��� ����� THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRHVEL BETWEEN THE OUTFHLL PIPE AND THE BOTTOM OF THE EXCH;8TION (IN FEET) ������IF:11 E::- E: 0: 11. C jr, �(_ F:����� PERMIT HPPLICRNT HHS THE RESPONSIBILITY 10 INFQRM THIS DEPHRTMENT DURIHG THE INSTHLLHTION INSPECTIONS OF ANY WELLS HDJHCENT TO THIS PROPERTY HND THE NUMBER OF' RESIDENCES THAT THE WELL WILL SERVE. ��� ��� ����������� ���� ��������� BHCKFILLING OF HNY SYSTEM WITHOUT FINAL INSPECTION HND HPPROVHL BY THIS DEPHRTMENT HILL BE SU8JECT TO PROSECUTlON. MINIMUM DISTHNCE BETWEEN R WELL HND ONY DN -SITE SEWHGE DISPOSRL SYSTEM IS 10� FEET FOR H PRIVHTE WELL/ OR 150 TO 200 FEET FROM F; PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL OTHER REQUIREMENTS MIT-f'HPPLY� 5PECIFICHTIONS HND CONSTRUCTION DI9GRHMS HI HV8ILRBLE TO lNSURE PROPER INSTRLLHTION ������� �������� ��������� I CERTIFY THHT 1 I HM FRMILI8R WITH THE HND WELLS HS �ET FORTH BY THE MUNICIPRLITY OF RNCHORHGE 2� I HILL INSTHLL THE SYSTEM IN WITH THE CODES, ]� I UNDERSTHND 11-11,1I THE ON-SITE WE. F." SYSTEM MHY REQUIRE ENLHRGEMENT IF THE RE(PENCE IS REMDDELED TO INCLUDE MORE TMHN ] BEDROOMS. RPPLICHNT C � Y-�X�_--- o,1^ ISSUED BY_-l�`�\��-_\'�y\)-/--/�7'- yI2 b� SOILS LOG _ MUNICIPALITY OF ANCHORAGE Gross Time Net Time . DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 11 PERCOLATION TEST Pouch 6650. Anchorage, Alaska 99502 276-2221 - SOILS LOG — PERCOLATION TEST "1) PERFORMED FOR: •!' '���- '. �! - DATE PERFORMED: � -'��� � i ��Z- ����`�� LEGAL DESCRIPTION: i \ + 7 1 - SLOPE SITE PLAN DEPTH (FEET) ( 't AI 2 - -' 3 / 4 7 8 10- „4 c I �. WAS GROUND WATER .! _r_. S ENCOUNTERED? �t 7. O 12- 13- 14- 16- 17 213141617 18- 19- 20- COMMENTS 81920 COMMENTS P E IF YES, AT WHAT DEPTH? Reading Date Gross Time Net Time Depth to Water Net Drop PERCOLATION RATE (minutes/inch) TEST RUN BETWEEN FT AND FT 72-008 (7/76) Municipality of Anchorage • Development Services Department Building Safety Division On -Site Water 8 Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 j www.muni.org/onsite (907) 343-7904 j `~ ii���C �� •fiC'r CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. 01 C5-511-28 CosAst HA Oct 0335 1. GENERAL INFORMATION Expiration Date: / o —aZ R - Complete legal description Location (site address) Current Property owner(s) Mailing address Lending agency Mailing address Real Estate Agent Mailing address SOUTH LAKEWOOD HILLS: BLOCK 2, LOT 3 6700 OMALLEY ROAD • ANCHORAGE. AK • 99516 SHAWN LABA Day phone 258-7507 P.O. BOX 241792 • ANCHORAGE AK • 99524 Day phone RICK DARDS W/ SUN PROPERTIES Day phone 272=6336 7831 DURENDA CIRCLE • ANCHORAGE, AK * 99507 Unless otherwise requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 3 3. TYPE OF WATER SUPPLY: Individual Well 0 Individual Water Storage ❑ Community Class Well ❑ Public Water System ❑ TYPE OF WASTEWATER DISPOSAL: Individual On-site Individual Holding tank ❑ Community On-site ❑ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given In paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of on -Site Systems Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also Issues COSAs upon' request to homeowners. Certificates of on -Site Systems ' Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water samples. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm GARNESS ENGINEERING GROUP, Ltd. Phone 337-6179 Address 3701 E. TUDOR ROAD, SUITE 101 • ANCHORAGE, AK 99507 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Date 16 C Engineer's Comments: In conducting this evaluation, GEG, LID. attempted to provide a thorough, conscientious engineering analysis of the system in accordance with ADEC and MOA DSD Guidelines 8 Regulations. The reported results described the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily Identifiable features. The operational life of all wells and septic systems depend on the local soils condition, groundwater levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of the system. Satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. GEG, LTD. can therefore not provide any warranty or future estimate of how long the system will continue to meet the operational requirements of the ADEC or MOA DSD. The content of this report is for the sole benefit of the owner listed above. Any reliance upon or use of this report by any other person or party is not authorized, nor will it confer any legal right whatsoever. 5. DSD SIGNATURE _1Z Approved for 3 bedrooms. Disapproved. Conditional approval for bedrooms, with the fllowing stipulations: Attachments: COSA Checklist Septic System Advisory Well Flow Advisory Nitrate Advisory y Arsenic Advisory Maintenance Agreements Supplemental Engineer's Report Other WASTEWATER : PROGRAM Ali By: /�y OO -Original Certificate Date: - d (R". 11Ni) Municipality of Anchorage Development Services Department Building Safety Division OnSite Water & Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description: SOUTH LAKEWOOD HILLS; BLOCK 2 ,_LOT 3 Parcel ID: 0 11 -22 A. WELL DATA *ASSUMED BASED ON SURROUNDING WELL LOGS: SEE ATTACHED. Well type PRUATE If A, B, or C provide PWSID# N/A Well Log (Y/N) YES Date comp I leted 10/1967 Sanitary seal (Y/N) YES Wires properly protected (Y/N) YES Total depth 178 ft. Cased to *40+ ft. Casing height (above ground) 12+ In. FROM WELL LOG AT INSPECTION Date of test 10/1967 9/9/2006' n Static water level 123 ft. 134 —ft. Well production 10 -9-p-m- 5.89 9.p -m. WATER SAMPLE RESULTS: Coliform colonies/100 mi. Nitrate Other bacteria colonies/1100 mi. Arsenic: Date of sample: 9/9/2009 Collected by: GEG Ltd. B. SEPTIC/HOLDING TANK DATA **DOUBLE CLEANOUTS BETWEEN HOUSE AND TANK. Tank Type/Material SEPTIC/STEEL Date Installed : 9/18-19/2002_ Tank size 1000 gal. Number of Compartments 2 Cleanouts (Y/N) YES Foundation cleanout (Y/N)L*_y_ES Depression over tank (Y/N) NO High water alarm (Y/N) N/A Date of pumping 9 // 0 Pumper A+ HOME SERVICES C. ABSORPTION FIELD DATAI-AFLOW EXISTINGGRADE Date installed 9/18-19/2002 Soil rating (fp_d_J7or ft2/bdrm) 1.2 System type TRENCH Length 40.5 ft. Width 2.5 .1t. Gravel below pipe 5.2 Total depth*8.75 ft. Eff. absorption area42 . 1 ft' Monitoring tube YES Depression over field NO Date'of adequacy test, 9/9/2009 Results (Pass/Fail) ' PASS For 3 bedrooms Fluid depth in absorption field before test DRY in. Water added 470 gal. New depth DRY in. Elapsed Time: = min. Final fluid depth DRY In. Absorption rate >= 450+ - g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) NONE KNOWN I I f yes, give date D. LIFT STATION Date Installed Size in gallons Manhole/Access (Y/N "Pump on" level at in. "Pump off' level High water alarm level at in. Cycles tested Meets alarm & circuit requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tankflift station on lot 100'+ On adjacent lots 100'+ Absorption field on lot 100'+ On adjacent lots 100'+ Public sewer main N/A Sewer /septic service line 25'+ Public sewer manhole/cleanout N/A Holding tank N/A Animal containment areas 50'+ Manure/animal excrete storage areas 100'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 56+ Property line 5'+ Absorption field 5'+ Water main N/A Water service line 10'+ Surface water, 100'+ Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ Building foundation 10'+ Water main N/A Water service line 10'+ Surface water 100'+ Driveway, parking/vehicle storage 10'+ Curtain drain NONE KNOWN Wells on adjacent lots 100'+ F. COMMENTS G. ENGINEER'S CERTIFICATION o Ut' -4K�'......... 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 QQ —7 3 Date - ri A 13 %5 � e. e 9 �18 CA, *0 COSA Fee $ Y90— V Waiver Fee $ Date of Payment 9�/ O CY Date of Payment Receipt Number—0 2 W ri Receipt Number (Rev. 11/05) . Municipality of Anchorage • Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci. anchorage.ak. us (907)343-7904 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING r�2 Parcel I.D. _1i t S $f I Z� HAA # (M V 3 Expiration Date: 1. GENERAL INFORMATION Complete legal description 4<.- f- 30 8/0C k e /4.Y4i Location (site address or directions) 6 76b Current Property owner(s) Pal'ncta f 9 ad Day phone 3 Y9 -Ss"'e Mailing address 6'760 c7'"or/hZR T Lending agency N*AC. Day phone Mailing address Real Estate Agent P*-ual. JZLe&r L&A#Ae Day phone 76 Z -S863 Mailing Address -S7.01 �C " Sf} Scilly zo!e Anc"Q AK Msri? Unless otherwise requested, HAA will be held by DSD for pickup. Phww Cctiti S4an acy.fi alv%:C &_ 7! 2 - 6563 te- V a AAA^ 2. NUMBER OF BEDROOMS: .3 Or Z62-S&V) ^,0( 3. -TYPE OF WATER SUPPLY: Individual Well Individual Water Storage Community Class Well Public Water System The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority Approval (HAA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of Health Authority Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues HAAs upon request to homeowners. Certificates of Health Authority Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water sample results. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. O TYPE OF WASTEWATER DISPOSAL: Individual On-site Q ❑ Individual Holding tank ❑ ❑ Community On-site ❑ ❑ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority Approval (HAA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of Health Authority Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues HAAs upon request to homeowners. Certificates of Health Authority Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water sample results. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Health Authority Approval Guidelines for this application, shows that the on- site water supply and/or wastewater disposal system is(are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm F(ewFf?G -ree,4 ,ec./ Se•.•Phone 3YS' 03s'y Address _ I x/ S 36 ECAQS}. f}, c601 -!ye /}Ac 99s�,, Engineer's Printed Name Tbta o&c a y, riaac�r� Date Auo </ 2 -VO-/ . 80°q 0tl®M •••tlNMM•N 5. DSD SIGNATURE _i .Approved for _ bedrooms.oTNEopo" F, MORE -3589 Disapproved. Conditional approval for bedrooms, with the following stip lattgn r*` Additional Comments Attachments: HAA Checklist X Septic System Advisory Well Flow Advisory VVAI ttt ANU WA CTRAIATFR PROGRAM Maintenance Agreements Supplemental Engineer's Report Other iim By: Original Certificate Date: — % O ' C7 (Rev. 01102) ti , t, rt 8 ..a�anc. ,� ..Y;r'�,a��'4�.a: 2 ��'�'�`�°�a��".r,'�.*>��.�'+ . <"�t •'�. ,. +w:. �:x#. �;� �mx.'�.� �F�•y�.�Sv � hw-`a �'� x • r M�r� xFiisY s����>t '..• x e.?+�T, �'f.,... ,�''��'+S�.u.r„.a�v„viwPr. 'y�, un>tcipa�ty of Anc • orage p,�A,n e� Development I, ervice Department 4 V Building c On -Site Water `& Wastewater Program ' A70b South Bragaw St. ci' rao ge, AK 99519-6650 +t crapc�iorage.ak.us 3"37904 *F. x w ,,i:u «,%Y .;•;`+fir` w as ew1E`rr,",,rt�,. �"9"'�yya^r`.7r x^+� r„'' 4 HE/kLTH�AU7HORITY PPR0 LCHECK ISl scnption:' Sau ke” //.r Parcel Dr ` A�ra�d"m.���°�� M�, `"c,"�a�Sm��`3Y,�,�+x.ii3"*'>Y"`,d.Nx-9uFa.aSx;�"-..� "".A✓a3d,,,B.;U;T any., 'pro ..'u ..��, , t.... .+'s+:, *'^.e••.++3 .vser`t'�r _ 'z7i rs. If A B or C prow a e. 09 ( Sanitary seal (4IN Wires properly protecte �Nf Y yv�J _ Cased' o �ft Cas7ng'� iei�(�abave ground min TRIO- .ttx ? "�", x"��- LK ,`�^ wt za»'v' z,.et •: a e �' 1 w,'?< vt a„ e es vh a5 % � 6� n. s�'.a�•mr`a+3 `n°� s�y"� ,..u- w.mtw u...0 ' m.�, s k >. C� ' ... ... rfi .c. Fkox>wn��'��•-.r�u `a.. . F.:si'I. ����x ..��'s�'r x�p�. z;�-';; s er e e f 2. tt. g �uciori �D ,a. 'M&EMigmifpm S G�� a was 5 a� GL colonies/100 ml Nitrate / mg � er actena ��`� cofonje�sr/1,00 mh "4`R �.,'.x^#w�� '�;'.�`�„����' di,'"-�'� ``�`: ,x`,a'?�„«"r�""(A �s„n:�/QCI► SY < <�.,. M � ` r § & r,„, , ,., � �*"uv'1`Y1"a84 Y"" '.; ^mwmmr,>+i a •a �e a aria ft S s/ Date instal ed 9 / 1 � %C�' 'i. 041 yon cleanout ( _� Depression over tank (Y) High water ala�r„m (Y/f�j Ork IMWw ramping d Pumper it t ka ed ! /0 Soil rafirig (g p d.lftz or ftz/bdrm)�_� � System type �"�ne4 �{C, ft: � 1 ..3'' t. Gravelbelow pipe S Z. ft s y �- p '” . a `sorpt ori area._Lft Monitoring tube epressron oi!�r „field, �,., — ••. S�Rf�i '?s��A``��u' `�°"/z:J�.hcy�^"nL�% ,w�hrxRsd<dF `:akzw+x',s"e&Skka°ks. a.*a '-Sial. „x w"!�"�E',1aSax'�xv ikt e.Ni a„n a equacy�tes < t � o�%,�Resufts (PasslFail) � For _„� bedrooms .,3 .fr,... p m a. §orption fie afore test _ in. afar added gal ew depih_ in rs , bks dy a 1irr�e: mm Final fl€wd depth _ in, Absorption rade >= T gip• , . It 4*lx�i4<R.k.v`5...atv vac nevap date.,�..+1/. A ole/Access (Y/N) vater alarm level at in. alarm & circuit requirements? i scauon on iot ! V 3 On adjacent lots 5 Id on lot �y �' On adjacent lots $y1*ki, nam Public sewer manhole/cleanout service line ? ZS . Holding tank I D�ISTA'NC�'S�Ft'r01`�S�EPC/"�HO�LDING TANK ON LOT TO �1 ation y Property line Z?' Absorption field '+'3' � � N• �. Water service line � to' Surface water � i�� � ig fou ;e wai on ad are in mmmmmm „+�� m u� oma®mp mmoemommaemmmmoa os.oea m o mmm®oem®ooam �°aTFfE060RE:F. MOOREo �. CE - 3589 A, r Or Date of Payment = Receipt Number {31 u`V..m. io r LL 0 W 0 ❑ ❑ m N 3 0 0 0 0 1 _OI MALLEY ROAD___ N 990519100"W 1 25.76'(PROP. 25'RIHT @F WAY TAK{'N T' STATE OF ALASKA FOR PpOJCCT NO. 8. 0512121 . PLAT NO. 99.197\ l� m O DWELL P 12.9 I < E � QyU 9J fOJe eQFaH 4�4 p 4 ASPHALT 4N�4 OUGHT ONCO POLE 9 �a s a s S 89°591DO"E 1 25.761)PROP.) Y J il Y Qaggoopp��4 ❑ q OF At N O�Gj-' 49TH o... _ �° .... NEA.14......... SHANE A. HOLT eo Z �el;_41...�. NOTE: NO EASEMENTS APPEAR ON THIS LOT ON PLAT P-355 THE INFORMATION HEREON IS FOR THE USE OF LENDING INSTITUTIONS SPECIFICALLY TO SHOW ANY CONFLICTS BETWEEN EXISTING STRUCTURES AND PLATTED LOT LINES OR EASEMENTS AND IS NOT TO BE USED FOR POSITIONING ADDITIONAL STRUCTURES OR FENCELINES. EASEMENTS OF RECORD OTHER THAN THOSE SHOWN ON THE RECORDED PLAT. ARE NOT SHOWN HEREON. NOTE: ANY FENCELINES SHOWN ARE LOCATED APPROXIMATELY AND ARE NOT TO BE USED TO DETERMINE PROPERTY LINE OR LOCATE STRUCTURES 4NY PAVING SHOWN MAY BE APPROXIMATE DUE TO SNOW CONDITIONS, AS -BUILT SURVEY SCALE: i' ° 40' I HEREBY CERTIFY THAT I HAVE PERFORMED A MORTGAGEE'S INSPECTION OF THE FOLLOWING DESCRIBED PROPERTY. LOT 3, BLOCK 2. SOUTH LAKEWOOD HILLS SUB, ANCHORAGE RECORDING DISTRICT, ALASKA AND THAT THE VISIBLE IMPROVEMENTS SITUATED THEREON ARE WITHIN THE PROPERTY LINES AND THAT NO VISIBLE ENCROACHMENTS EXIST OTHER THAN NOTED, DATED AT ANCHORAGE, ALASKA THIS _9TH—. DAY NOVEMBER— HO OLAND SURVEYING 8774, FBO TI-63 TEL. 346.6513 1 Municipality of Anchorage Development Services Department Building Safety Division Onsite Water and Wastewater Program 4700 South Brgaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us .. (907)343-7904 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. O 15 - !;-// - Z5 1. GENERAL INFORMATION HAA 9 AO. o 533 Expiration Date: _( - ,Z 2-C 3 Complete legal description ! o t 3, a/cc k 2, So. LG ktce,c co( H,►ll Location (site address er directions) 6 700 0 ' "ck f ey Rooc,( Current Property owner(s) Sa rn GeAr- 1; Day phone 25-o -3791/ Mailing address PrIG 216, 11 ZG E. Haffmt/n Rd� 23 Arvc/t. +1c 99s IS - Lending agency Day phone Mailing address Real Estate Agent Mete D,e& Fox, Rt Maw Day phone _2 r7 - Or ZO Mailing Address 2GGa eord&vcc SA/ /}ncAurctgec , c 99503 Unless otherwise requested, HAA will be held by DSD forpickup. Pleare Call Real/oe forrr.c/k-.y. RF!-er #4,4 cerhj;ea/k q ready 2. NUMBER OF BEDROOMS: 3 VY -1" 3. TYPE OF WATER SUPPLY:' TYPE OF WASTEWATER DISPOSAL: Individual Well ® Individual On-site El Individual Water Storage ❑ Individual Holding tank, ❑ Community Class Well ❑ Community On-siie ❑ Public Water System ❑ Public Sewer [] The Municipality of Anchorage Development Services Department (DSD) Issues Certifijates of Health Authority Approval (HAA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of Health Authority Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues HAAs upon request to homeowners. Certificates of Health Authority Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water sample results. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Health Authority Approval Guidelines for this application, shows that the on- site water supply and/or wastewater disposal system is(are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. NameofFirm Fl tfivj* S&'cr Address /NS -?O Bc�o $>tJ All ye" Engineer's Printed Name 5. DSD SI NATURE 7hQornfore F. I-Yoo.r Phone A -k 99SI� Date 3 ys' - ► 3 SS— to /IS-/07- Phone rs-/oZ Jr. . �.......' i Approved for bedrooms. : rfecDc•; F. MQCa_ ; _. c;-3�dv Disapproved. '•j '�; t•=o a Conditional approval for bedrooms, with the following stipulatfoR�;:�1 Additional Comments Attachments: HAA Checklist Septic System Advisory Well Flow Advisory X By: (R*,A1/02) ���.• ON-SITE • ���r `� ; WATER AND WARTFWATER PROGRAM 41 Maintenance Agreements Supplemental Engineer's Report Other Original Certificate Date: / C -T 2-0/.2 i Municipality of Anchorage • Development Services Department 4,. •.,�; . '. Building Safety Division On -Site Water & Wastewater Program 4700 South Bragaw SL P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.enchorage.ak.us (907)343-7904 HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: L3 f �, 61 a r k Z Sa..c M 4a ke "mcoC,0#1r Parcel ID: O IS- St i - Zb A. WELL DATA Weil type _Ltj- if A, B, or C provide PWSID # N• h. Well Log (YIN) Y Date completed u67 Sanitary seal (YIN) Y Wires properly pied (Y/N) Y Total depth /TS tt Cased to 1 76. R Casing height (above ground) 2 in. FROM WELL LOG AT INSPECTION Date of test to /67 8/a/07 - Static /e/0 -- Static water level 123 it 137 fL Well production 10 g.p.m. 7. oS + g.p.m. WATER SAMPLE RESULTS: . Conform _j? _colonies/100 mi.. Nitrate 50.2 mg,A. Other bacteria G colonies/100 mi. Arsenic: M. A. mgA. Date of sample: 10 / to/o; Collected by: � la Hvr 1 cc �r Sic B. SEPTICfHOLDING TANK DATA Tank TypelMaterial Sep N G l Sf fe I Date installed Tank size 1000 gal. Number of Compartments 02 Cteanouts (YIN) Y Foundation cleanout (YIN) Y Depression over lank (YIN) N High water alarm (YIN) t4. A. Date of pumping M. A. C New) Pumper C. ABSORPTION FIELD DATA Data Installed / / 412- Soil rating (g.p.d.Ate or ft2Axirm) 1_Z qL t System type TrM e -S Length Mo• S it Width 2. S It. Gravel below pipe S L ft Total depth 9.0 fL Efl. absorption area yYtt= Monitoring tube 1r Depression over field N Date of adequacy test N• A. C N cw) Results (Pass/Fail) Pow For 3 bedrooms Fluid depth in absorption field before test _0 in. Water added gal. New depth_!2-_ in. Elapsed Time: _0 min. Final fluid depth 0 in. Absorption rate >= A49'0 g.p.d. Any rejuvenation treatment (past 12 mo.) (YIN & type) N If yes, give date N• ?. D. LIFTSTATION rf. A. Date installed `Pump on" level at _ In. Datum Size in gallons 'Pump off" level at _ In. Cycles tested Manhole/Access (YM) High water alarm level at Meets alarm b circuit requirements? In. E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tankll(ft station on lot 103' On adjacent lots 75 100' Absorption field on lot /'f 6' On adjacent lots > 100' Public sewer main N• A. Public sewer manhole/deanout N• A. Sewer /septic service Ane > 2S' Holding tank N /9 SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation NN' Property One 27' Absorption field 413 ' Water main N. A. Water service line > 10' Surface water > u a0 ' Wells on adjacent lots > Y&0' SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property Ane h'U' Building foundation 9d' Water main P. A. Water Service line 1 (0 ' Surface water 7 (00 ' Driveway, par igl4rehide storage > SO ' Curtain drain Nan t S [fl* Weds on adjacent lots > f ' F. COMMENTS G. ENGINEER'S CERTIFICATION �* L) 91 + f'� •,• y, a1. ..........: h•L 1 certify that 1 have determined through field inspections and I....0 ..... st • • •.5...'.. •' •' •. •, review of Municipal records that the above systems are in / Jr,/- conformance with MOA HAA guidelines in effect on this datee F. raoRe E-35II9a Engineer's Printed Name ?71e0clore F. M&Ord rp 0 Date CW& Lt� li 2002 HAA Fee $ Date of Payment Receipt Number (Rev. 12/01) 27s -20f- h / 1', loz- 770057' 0. Waiver Fee $ Date of Payment Receipt Number .a43 111, N. Bell - 600-30,'N 19n.00 Par cmc c 1.1.p 1 T-4 � • R.O.W. ^ Tro..K llI$ rS TATE Cr= A L AS K4 1 1{ 111 AUia}iCut ii"ln��.Ctiativ+.� r `` ROLL) y1 •1 G� ��.11 � V Q � 1 lavvz til 'li0 1 K.T. g t lU.t.. .: 1161941161111y 11 r JI �j J11SI I a1 /ny 11srM.i • or 11011 g -S OCU y� . M the r1::1011 U::•�i: r MUNICIPALITY OF ANCHORAGE • Department of Health & Human Services DIVISION OF ENVIRONMENTAL SERVICES 343-4744 CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY FOR SINGLE FAMILY DWELLING Parcel I.D. # HAA # 1. GENERAL INFORMATION (Must be completed prior to submittal) (a) Legal_ Description (include lot, block, subdivision, section, township', range) Location (address or directions) 6700 a' "a!(ey RoC (b) Property owner J,, ff ,,-c- : Telephone: (home) 3Y6 -29U2 Business 263 -yS�7 Mailing Address 67Uo oa1Q, Amchgr-, 4/-c 99S/6, (c) Lending Institution u�nnfacarm"Trf/e Telephone 2 7ZS-62 Mailing Address 307 E nlo�fhtrg yhE 6(�d A/7 C6 /i1 -C995-03 J (d) Real Estate Company and Agent %3e MAX Ergeer bb -j — ✓ an e((G Address 2600 6or4x1061V1 SY, .+1?7c6OLI e Ah WYO-3 Telephone 2 76 — 2`76 . (e) Mail the HAA to the following address: (or check here LW, if hold for pick up.) List contact person and day phone number below: Tem (iGo 3'/b --7 2. TYPE OF RESIDENCE Single -Family EA Number of bedrooms 3. WATER SUPPLY - individual Well e' Community ❑ Public ❑ Note:,lf community Well sys Conservation attes t)ng to'th ............ y 72-025 (13m 7/88) J IGIUJ.. ❑ ,x Holding =Tank ❑ " fJ' Page 1 of 2` Z 10 Z abed N.ee (eaic Aea) 9m-ZL ,�aom s,jaaul6ua leuolssatoid ayl ui suoisslwoaosaoaaaaolalglsuodsaa jou sla6eaoyouyto(llledlolunwayl penssisialeoltlliaoeaaotagBlepWleueao suoiloadsul lonpuoo lou op SHH4 to saaloldw3 •sluawaalnbaa alels pug Impel uieliao Als!les of aap.(o ul suoilnIllsui bulpual .)layl pug sawoy to s.(aseyoind of Asaunoo a se slyl saop SHH4 ayl TNsBly to 9181S ey} ul paaals160.( aaeul6ua leuolssato.)d luepuedepul ue Aq anoge 9 4dei6eied ul u9A16 suolieluasaidaa ayl uodn Aluo paseq painitiiao leno.)ddV (luoy;ny ylleaH sansei (SHHO) S801AJBS uewnH pug ylleaH }o luawlieda(i a6eaoyouy to'Alllgdlolunlnl ayl • 066/ f2 - t ✓` "7^1 alae X1566 o ��y7 w�S O7j O£ Sh SSaJPPV ' auoydelal .6»n. �w u 7a Y7 wild to euaBN ` 1 uolloeclsuls!yl to alep ayl uo loette ul suollelnbaa pue'seougulpio'sepoo elelS y, pug ledio!unW lle gjim eouBlldwoo ul sl we1sAs Inodsip J91BMeisum Jo/pug flddns JeleM ells-uo egl'uollOadSu1 Pug uoile6ljSanui,Xw woe; pug sell; ebejoyouV to �(lllediolunlry eyl wont paulelgo uollawio;ul ayl uo paseq ",.lgyl'd}uan iaylinj I •ujajay paleolpul a njonals to ad j pug swoapaq to aagwnu eqj jot alBnbape pug lguollount a}BS sl wels(s-lBsodslp jaiBmelsem Jo/puB,AlddnS JeIBM ells-uo eyl�lgyl sMoysIBnoiddV A41joylny yllvgH' . S!y}to u0ilB6ils9nul Aw leyl (iuen l 'anolaq UM048 e1BP uollepIIBA 941 JO se PUB oleaay pexltte leas Aw (q pall);ago Sy NOI1VWdOdNI ONV V1VO'H3HV3S 3lld `S1S31'SN01103dSNl DNIOIAOHd WUW DNIH33NIJN3 '9 1 c- lenolddy leuo!llouoa to swip r- leuo!1!puop panoiddesla': panoaddy 91B C- (q swooapeq Jot panoaddy 'IVAOIIddV SHHO '9 �'® :q 'SISS2ipf h d ilt s •664£ g ;)'v •• - 3J• • �p Q leas s,aaau16u3a800VI •i ]aoao9HI ..... .... . s %�x� t��Fa1G :tee' 0 'r.'•. Ar • AO 00 066/ f2 - t ✓` "7^1 alae X1566 o ��y7 w�S O7j O£ Sh SSaJPPV ' auoydelal .6»n. �w u 7a Y7 wild to euaBN ` 1 uolloeclsuls!yl to alep ayl uo loette ul suollelnbaa pue'seougulpio'sepoo elelS y, pug ledio!unW lle gjim eouBlldwoo ul sl we1sAs Inodsip J91BMeisum Jo/pug flddns JeleM ells-uo egl'uollOadSu1 Pug uoile6ljSanui,Xw woe; pug sell; ebejoyouV to �(lllediolunlry eyl wont paulelgo uollawio;ul ayl uo paseq ",.lgyl'd}uan iaylinj I •ujajay paleolpul a njonals to ad j pug swoapaq to aagwnu eqj jot alBnbape pug lguollount a}BS sl wels(s-lBsodslp jaiBmelsem Jo/puB,AlddnS JeIBM ells-uo eyl�lgyl sMoysIBnoiddV A41joylny yllvgH' . S!y}to u0ilB6ils9nul Aw leyl (iuen l 'anolaq UM048 e1BP uollepIIBA 941 JO se PUB oleaay pexltte leas Aw (q pall);ago Sy NOI1VWdOdNI ONV V1VO'H3HV3S 3lld `S1S31'SN01103dSNl DNIOIAOHd WUW DNIH33NIJN3 '9 1\0 r; G\QF�`'�tisti . MUNICIPALITY OF ANCHORAGE (MOA) Health Authority Approval (HAA) CHECKLIST - FEBRUARY 1984 343-4744 Legal Description: 1_3, 9 2 So �'& ee"C a Lill( A. WELL DATA Well Classification 1r ✓oe �L If A, B, C, D.E.C. Approved (Y/N) A/.,4, (1, 0( ryG< �'(�d (eyal a(errryftn yr sf+eefade(cz� Well Lo17Present (Y/N) Date Completed 161//7 Yield er to Total Depth17 e9 Cased to / 76 Depth of Grouting N,,4 (,.dyA -a1-90 Static Water Level /36 r Pump Set At un k Casing Height Above Ground 2 G' Sanitary Seal on Casing (Y/N) Y Electrical Wiring in Conduit (Y/N) Y Depression Around Wellhead (Y/N) SEPARATION DISTANCES FROM WELL: To Septic/Holding Tank on Lot F 41 *� c,a • ; On Adjoining Lots 7 Ir%o r To Nearest Edge of Absorption Fieldon Lot FY' f& c • o ; On Adjoining Lots Z- (Oc ' To Nearest Public Sewer Line Nr A. To Nearest Public Sewer Cleanout/Manhole N•11 To Nearest Sewer Service Line on Lot Water Sample Collected by Date Sirs /90 Water Sample Test Results Sce%s r{o y - o co(Wort /rao TR non o[efeJa6/c nihzzk N Comments D(f(iS u-,a,c/er 1(0/Iy (&5 ocl(csu 4 &`/, 'le, S•T � 9ri ` iv exbsorp f-ron fie/o( B. SEPTIC/HOLDING TANK DATA Date Installed 910,9/ 79 SizeGrp No. of Compartments Standpipes (Y/N) Air -tight Caps (Y/N) ' Foundation Cleanout (Y/N) N Depression over Tank (Y/N) N Date Last Pumped 3 / 2 3 / 9U b v Isaa;f Pumping/Maintenance Contact on File (Y/N) ;for Holding Tank High -Water Alarm (Y/N) N, A, Temporary Holding Tank Permit (Y/N) IV -4 - SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK: To Water -Supply Well Pq, S:mm C • a. To Building Foundation (� r To Property Line 0' To Disposal Field 2 3 To Water Main/Service Line 7 25 To Stream, Pond, Lake or Major Drainage Course 7 tGor Comments Oh4(4S Le✓arrrser rssueaP (0 /1Y /85 ar/locvtr+% 8y' cye(l d Log HC aG Sysiem 111s)(6(1en( 4 e�o/e Pao c,G, &Uat rtiy+a{, 72-026 (Rev. vae) From Page 1 of 2. C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata (2,5 v' /0aC Type of System Design %nencj Date Installed &,/29/79 _ _ Length of Field Yr, Width of Field Depth of Field 1 O r Gravel Bed Thickness 3 r Square Feet of Absortion Area 37S /Jen al - t Statndpipes Present (Y/N) —i Depression over Field (Y/N) N Date of Last Adequacy Test Results of Last Adequacy Test AdeuuJ; 3 bec.Lroom1 SEPARATION DISTANCE FROM ABSORPTION FIELD: ..r To Water -Supply Well .0. To Property Line To Building Foundation yo, To Existing or Abandoned System on Lot --- To Water Main/Service Line ; On Adjoining Lots To Stream, Pond, Lake, or Major Drainage Course . To Cutback (if present) To Driveway, Parking Area, or Vehicle Storage Area 2!' 1 Comments 014_µS WQrve0- rsSue�/ 10/iY/F,S a((aCuL 90' senara%b. beA�"eoo cp_,e1/ J sc,r( u.brorohun sV_ lAe -r D. LIFT STATION MA Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Meets MOA Electrical Codes (Y/N) Comments Dimensions Manhole/Access (Y/N) "Check Permitted Bedroom Rating Against HAA Request" I certify that I have checked, verified, or conformed to all inspection. Signed — Z19� 7rzo�� Company F(ccf/r�p %ec�iniccc/ S.cs. Date 3 /2 2/ 90 MOA No. _ 96 -0 / Receipt No. /7 % / (/o a S- Date of Payment �23 - 1 Amount: $ ©- o D "Pump Off" Level at Vent(Y/N) Pumping Cycles during Adequacy Test. MOA and HAA guidelines in effect on the date of t c ` r `6 <»t. 1 `+ p Engineer's S �.. t .• •fi 'JC •.• • SQL ij �'� �; � ttvv re �s o a Receipt No. ®®,ri �• �����'' Waiver Fee: $ Date of Payment 72-026 (Rev. 1r99) Back Page 2 of 2 his M MUNICIPALITY OF ANCHORAGE J DEPARTMENT OF HEALTH & HUMAN SERVICES DIVISION OF ENVIRONMENTAL SERVICES CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY 264-4744 Application Date 340/?�+/ 1. GENERAL INFORMATION (MUST BE COMPLETED PRIOR TO SUBMITTAL) (a) Legal Description (include lot, block, subdivision, section, township, Location (address or directions) 0 G �11 0 L (b) Property Owner �� W2Q t6+C� Telephone: Home i�ata� Business Mailing Address (c) Lending Institution C2 11 ' K -A Telephone 5 ' 21 B % Mailing Address (d) Real Estate Company and Agent L vto�c /�1O�s✓ Address ACo 0 0 (?a loco ✓ 0. Telephone A7G 'i 76 0 (e) Mail the HAA to the followinq address: or: Check here X if hold for pick up. List contact person and day phone number below. n a79 -A" 2. TYPE OF RESIDENCE Single -Family x Number of Bedrooms 3. WATER SUPPLY Individual Well Community ❑ Public ❑ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 4. SEWAGE DISPOSAL Onsite Public ❑ Community ❑ Holding Tank ❑ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. Page 1 of 2 72-0251ne� 8/861 Front 3 04/ 5. ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. 4 Name of Firm Address Telephone A 7 / Date M e,4 /LR/ peg nc�'Ineer's Seal .. N•. •2225-E ..,,, IUNE 2S, t9�1 6. DHHS APPROVAL � j Approved for <�"K bedrooms by r Approved i— Disapproved Conditional — Terms of Conditional Approval dhrl5 CAUTION Date The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesyto purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. Page 2 of 2 72-025 rRev. 8ie6) Back RPC' MUNI(aPA 11 991145VRWCHORAGE (MOA) M�NtG18L�§jW, HORITY APPROVAL (HAA) �RpNtI CHECKLN - FEBRUARY 1984 O 1805284-4720 X1' 3 L-07 SA K 2 SOL*YH ``���a I Description: � R��t� a Ke b&aao ML6S, SCC,23 TIANA) t+% A. WELL DATA Well Classification 2 M & If A, B, C, D.E.C. Approved (Y/N) tVrA" Well Log Present (Y/N)— Date Completed HiQ. 1 Q r2 Yield0 9_�T N -- Total Depth 176 Cased to /7$ Depth of Grouting No Nom" Static Water Level 1 3 9 Pump Set At '.43 Casing Height Above Ground — A L/ Sanitary Seal on Casing (Y/N) y Electrical Wiring in Conduit (Y/N) J Depression Around Wellhead (Y/N) Separation Distances from Well: To Septic/Holding Tank on Lot 1 W On Adjoining Lots i �d To Nearest Edge of Absorption Field on Lot <1012 # ;On Adjoining Lots 1 To Nearest Public Sewer Line a AI To Nearest Public Sewer Cleanout/Manhole �:OyM�L i To Nearest Sewer Service Line on Lot Water Sample Collected by / s Date -sb4_-'r Water SampleT,, es'',,tResults Comments ��'''' B. SEPTIC/HOLDING TANK DATA Date Installed 61_79 Size 100'0 No. of Compartments 7" el0 Standpipes (Y/N) DNF. Air -tight Caps (Y/N) _ !. Foundation Cleanout (Y/N) tv Depression over Tank (Y/N) Date Last Pumped L`�B J401 -0i i �i .f¢r Pumping/Maintenance Contract on File (Y/N) WA ; for "/A Holding Tank High -Water Alarm (Y/N) nVA Temporary Holding Tank Permit (Y/N) "A Separation Distances from Septic/Holding Tank: To Water -Supply Well too> 0 0 s .40 fi- To Property Line ' J To Water Main/Service Line "> I Course Comments Page 1 of 2 72-026(11/84) To Building Foundation AC) To Disposal Field 190 To Stream, Pond, Lake, or Major Drainage C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata /95, Type of System Design /17fe0HC � Date Installedy� % �% Length of Field T L Width of Field Depth of Field g Gravel Bed Thickness 3� Square Feet of Absorption Area 3 &0 Standpipes Present(Y/N) Depression over Field (Y/N) N Date of Last Adequacy Test Results of Last Adequacy Test Separation Distance from Absorption Field: To Water -Supply Well > 9t7 To Property Line To Building Foundation �✓� f Lot it: On Adjoining Lots 0t To Existing or Abandoned System on To Water Main/Service Line i ! To Cutbank (if present) i'1i 0 N To Stream/Pond/Lake/or Major Drainage Course N O N To Driveway, Parking Area, or Vehicle Storage Area :31— _ Comments 'T IN D. LIFT STATION Date Installed Size in Gallons _ "Pump On" Level at High Water Alarm Level at Tested for Electrical Codes (Y/N) Comments Dimensions Manhole/Access (Y/N) Pump Off' Level at ** Check Permitted Bedroom Rating Against HAA Request ** Vent(Y/N) Pumping Cycles during Adequacy Test. Meets MOA I certify that I have checked, verifie or conformed to all A OAnd HAA guidelines in effect on the date of this inspection. Signed_Air Date Company MOA No. Receipt No. G ,% 0 Date of Payment ___3 — ? Q Amount: $ % / 0- 6-2 Page 2 of 2 72-026 (11/84) (IF;A I =}t Engineer's Seal tj y' 9• AVE -C TE V\J ��j �j �f'�Ij\j �(/-.��LJ� �p�p 'OANCHIORIAGE, ALASKAI 995013 CON'5ULTING ENGINEER TELEPHONE. (907) 279-3916 ®l� l� �l%�0 RESIDENTIAL WELL INSPECTION LEGAL: Lot 3, Block 2, South Lakewood Hills LOCATION: 6700 O'Malley Road e� cf_"..... OWNER: Bill Weaver 0 TYPE OF WELL: Single Family*^4e,T'-1,v e- « ........... WELL LOG AVAILABLE: Yes INSTALLATION REQUIREMENTS MET:Yes WELL YIELD FROM WELL LOG: 10 Gallons per PUMP YIELD FROM TEST: DATE OF INSPECTION: ,r1 7o'42 <'Q JUNE 25, 1971<Jh iR 5 Gallons per Minute March 15, 1988 TEST PROCEDURE: Well was pumped at a constant rate while the drawdown was monitored with an acoustic probe. At the beginning of the test water level was found at 139 feet below top of casing. At a pumping rate of 5 gallons per minute the water level dropped to 143 feet after 10 minutes of pumping and remained at that level for the remainder of the test, three hours.. A total of 800 gallons were pumped. TEST FOR E.COLI AND TOTAL NITROGEN: Water was tested for E.Coli and total nitrates on March 18, 1988 E.Coli 0. Total Nitrates 0.10 mg/1. Max. allowable Total Nitrates 10mg/1. TEST RESULTS: This well meets the requirements of the Municipality of Anchorage. THIS WELL WILL PRODUCE MORE THAN 3 GALLONS PER MINUTE FOR MORE THAN FOUR HOURS The Municipal requirement for well flow is 150 gallons of water per bedroom per day. This well exceed this requirement. The assessment of the condition of the well applies only to the conditions as of the day tested. The flow rate may change due to subsurface conditions that may not be observed from the surface, and changes in the land use and other factors that may impact the aquifer feeding the well. 03 7O L7� � _.i �l7Ul/V D9 �p p 2ANCHORAGE, ALASKA 99501 CObdSULTING ENGINEER TELEPHONE, (907) 279-3916 LEGAL: LOCATION: OWNER: RESIDENCE: WELL: SEPTIC SYSTEM ADEQUACY TEST Lot 3, Block 2, South Lakewood Hi1,l�C'",' N, "2, 6700 O'Malley Road Bill Weaver Single Family, Three On Site Single Family y BedroomsF..�.� ,; u� 222.`.1-E•.;� p, 1oiE '.v. 19%i i. 9 SEPTIC SYSTEM: FROM MUNICIPAL RECORDS: TANK: Greer Steel, 1000 gal, 2 Comp. ABSORPTION SYSTEM: Trench ABSORPTION AREA: 380 sq. ft. SOIL RATING: 125. INSTALLATION DATE: August 1979 DATE OF LAST PUMPING: Unknown-T&IMId &4 11/,104 DATE OF TEST: March 15, 1988 TEST PROCEDURE: System was inspected and measured on March 12, 1988. Tank was found with five feet of cover and 49 inches of liquid. Cleanout to trench was eight feet deep and dry. No trench sump was located. On March 29, a monitoring tube and a clean out were installed. The soils at the end of the trench were course grained and dry. 800 gallons of clean water were added to the system. No water accumulated.in the trench. TEST RESULT: This system meets the code requirements of the Health and Social Services Department of the Municipality of Anchorage. NOTE The operational life of all septic systems depends on .the local soil conditions, groundwater levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of this septic system. We can therefore not give any estimate of how long this system will function satisfactory for current or future occupants. Date: April 7, 1988 To: File From: D. N. Bolles Subject: Lot 3 Block 2 South Lakewood Hills A letter received from the excavator on 10/11/85 indicates the absorption field was installed in fill with logs and stumps. There was also a discrepancy regarding the trench width. The excavator's letter states a 5' trench was installed at the department's request. However, the as -built and inspector's notes show that the trench width was 3' and that it was a lack of gravel not width that needed attention. In a phone call to Mr. T. Spurkland, regarding HAA number H88-0112, I addressed the matter of logs and stumps in the area of the trench. Mr. Spurkland advised me the fill was above the trench area and in no way affected the trench. Until such time as the trench width can be fully addressed this system cannot be approved for more than the existing 3 bedroom residence. Should the system fail to pass any future adequacy testing an upgrade will be required as well as verification of the trench's width. MUNICIPALITY OF ANCHORAGE DIVISION OF ENVIRONMENTAL HEALTH DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION APPLICATION FOR HEALTH AUTHORITY. APPROVAL CERTIFICATE 1. General Information Application Date September 18, 1985 (a) Legal Description (include lot, block, subdivision, section, township, range) Lot 3, B1K 2, S. Lakewood Hills, SEC 28, T 12N, R3W Location (address or directions) 6700 O'Malley iload (b) Applicants Name Ganet oehm Telephone _ Home 46 ? usineas _24gQ Applicants AddressSRA_Box-51--C Anchoraee.,Alaska 99516 (c) Applicant is (check one) Lending Institution ; Owner/builder ; Buyer ; Other (explain); (d) Lending Institution N/A _ Telephone Address (e) Real Estate Co. & Agent ReMax - Nancy Eason Address 2702 Gambell., #200, Anchorage, Alaska 99503__ Telephone 276-2761 (f) Mail the HAA to the following address: -' L E 4! C C. �i X Garnet Roehm C() -"7Anc�oragc7-7=1 S 4 2. hof_Residence Single -Family 1:� Multi -Family Other (describe) Number of Bedrooms 3. Water Sup 1y` Individual WellP-X I Community 1:::� Public M 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 Onsite7x� Public Community Bolding Tank Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. [Page 1 of 2] 5.Engineering Firm Providing Inspections, Tests, File Search, Data and Information As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that, based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regula- tions in effect on the date of this inspection. Name of Firm CRW Engineering Group Address 3900 Arctic Blvd., Suite 203, Anchorage, Alaska 99503 1 52 IF" o TH Date_ September 18,19g5 _ � ppptlO,p OOOpYA09�Q�V6MN0% pdo5o5o eo�eapoc ooptl <pa tltl eoa ,� (ENGINEER SEAL) o Devi$5. 6:.©sltc?s �� V, din°m� CE -5123 ° t' 6. DEEP Approval ✓' - ✓�- �- ate Approved for 4-A-1 bedrooms By Approved Disaed Conion.al Terms of Conditional Approv CAUTION THE MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION (DEEP) ISSUES HEALTH AUTHORITY APPROVAL CERTIFICATES BASED SOLELY UPON THE REPRESENT- ATIONS GIVEN IN PARAGRAPH 5 ABOVE BY AN INDEPENDENT PROFESSIONAL ENGINEER REGISTERED IN THE STATE OF ALASKA. THE DEEP DOES THIS AS A COURTESY TO PURCHASERS OF HOMES AND THEIR LENDING INSTITUTIONS IN ORDER TO SATISFY CERTAIN FEDERAL. AND STATE REQUIRE- MENTS. EMPLOYEES OF DEEP DO NOT CONDUCT INSPECTIONS OR ANALYZE DATA BEFORE A CERTIFICATE IS ISSUED. THE MUNICIPALITY OF ANCHORAGE IS NOT RESPONSIBLE FOR ERRORS OR OMISSIONS IN THE PROFESSIONAL ENGINEER'S WORK. (DEEP SEAL) RR4/ej/D18 [Page 2 of 2] 7-19-84 MUNICIPALITY OF ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1984 Legal Description: Lot 3, BLK 2, A. WELL DATA South , „Vpwpnd Hills Subdivision _ Well Classification Private If A, B, cr C, D.E.C. Approved(Y/N) N/A Well Log Present (Y/N) yEs Date Completed 0c,r0rer, 1g67 Yield 10 (-,Pm Total Depth 178• Cased to 78' Depth of Grouting NnNE Static Water Level 144 Pump Set At 170 Casing Height Above Ground Sanitary Seal on Casing (Y/N)vEs Electrical Wiring in Conduit (Y/N) YES ' Depression Around Wellhead (YM) NO Separation Distances from Well: a �w To Septic/Holding Tank on Lot R4' , On Adjoining Lots 100'+ To Nearest Edge of Absorption Field on Lot 90' ; On Adjoining Lots 1001+ To Nearest Public Sever Line N/A To Nearest Public Sewer Cleanout/Manhole N/A To Nearest Sewer Service Line on Lot N/A Water Sample Collected By D. Yanoshek ; Date 9/17/85 Water Sample Test Results Comments B. SEPTIC/HOLDING TANK DATA ACCEPTABLE Date Installed 8/79 Size 1000 4 No. of Ccmpartments 2 Standpipes (Y/N) YE_-, Air -tight Caps (Y/N) YE,S Foundation Cleanout (Y/N) No Depression over Tank (Y/N) No Date Last Pumped 1,,pfPmhPr 18, 1g25 Pumping/Maintenance Contract on File (Y/N) N/A ; for Holding Tank High -Water Alarm (Y/N) N/A Temporary Holding Tank Permit (Y/N) N/A Separation Distances from Septic/Holding Tank: To Water -Supply Well 84' " To Building Foundation 18' To Property Line 13' To Disposal Field 15' To Water Main/Service Line N/A To Stream, Pond, Lake, cr Major Drainage Course N/A Comments (Page l of 21 2-15-84 C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata 125 SF/BR Type of System Design Drain Field Date Installed 8/79 Length of Field 44 Width of Field Unknown (assumed 5') Depth of Field 8'-11' Gravel Bed Thickness 3' Square Feet of Absorption Area 375 Standpipes Present (Y/N) YES Depression over Field (Y/N) No Date of Last Adequacy Test September 17, 1985 ` Results of Last Adequacy 'lost acceptable Separation Distance from Absorption Field: To Water -Supply Well 90' wA'v To Property Line 13' To Building Foundation 36' To Existing or Abandoned System on Lot 15' ; On Adjoining Lots 1001+ To Water Main/Service Line N/A To Cutbank(if present) N/A To Stream/Pond/Lake/or Major Drainage Course N/A To Driveway, Parking Area, or Vehicle Storage Area 13' Comments D. LIFT STATION 1 Date Installed N/A Dimensions Size in Gallons Manhole/Access (Y/N) "Pump On" Level at "Pump Off" Level at High Water Alarm Level at Vent (Y/N) Tested for Pumping Cycles during Adequacy Test. Meets MOA Electrical Codes(Y/N) Comments ** Check Permitted Bedroom Rating Against HAA Request ** I certify that I have checked, verified, or conformed to all MOA HAA .guidelines in effect on the date of this inspection. Signed Company RB1/d5/s uaLe 0-09-85 CRW Engineering Group MOA No. ST 85-253 (Page 2 of 21 2 -ib -84 1 la �� o.(ydL MUNICIPALITY OF ANCHORAGE uµ,br. DEPT. OF HEALTH & ENVIRONMENTAL PROTECTION MUNICIPALITY OF ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1984 RECEIVED A. WELL DATA Legal Description: Lot 3, BLK 2, South Lakewood Hills Subdivision rl Well Classification Private If A, B, or C, D.E.C. Approved(YM)N/A Well Log Present (Y/N) YES ✓ Date Completed October, 1967 Yield 10 GPM Total Depth 1781 Cased to 178' C Depth of Grouting None Static Water Level 134 Pump Set At 170 Casing Height Above Ground 2' ✓ Sanitary Seal on Casing (Y/N) YES Electrical Wiring in Conduit (Y/N) YES Depression Around Wellhead (Y/N) NO Separation Distances from Well: To Septic/Holding Tank on Lot 84' ; On Adjoining Lots 100,+ To Nearest Edge of Absorption Field on Lot 90 w4�G 7 On Adjoining Lots 1001+ To Nearest Public Sewer Line N/A To Nearest Public Sewer Cleancut/Manhole N/A ` To Nearest Sewer Service Line on Lot N/A Water Sample Collected By D. Yanoshek Date 9/17/85 c. Water Sample Test Pesults ACCEPTABLE ` B. SEPTIC/HOLDING TANK DATA Date Installed 8/79 Size 1000 ✓p No. of Ccarpartments 2 r/ Standpipes (Y/N) YES Air -tight Caps (Y/N) YES Foundation Cleanout (Y/N) NO Depression over Tank (Y/N) NO Date Last Pumped September 18, 1985 Pumping/Maintenance Contract on File (Y/N) N/A ; for Holding Tank High -Water Alarm (Y/N) N/A Temporary Holding Tank Permit (Y/N) N/A Separation Distances from Septic/Holding Tank: To Water -Supply Mil 84•q �- To Building Foundation 18' To Property Line 13' ✓ To Disposal Field 15' To Water Main/Service Line N/A To Stream, Pond, Lake, Or Major Drainage Course N/A Comments (Page 1 of 21 2-15-84 C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata 125 SF/BR Type of System Design 'FRENCH Date Installed 8/79 Length of. Field 44 Width of Field 36+" Depth of Field - 8'- n" Gravel Bed Thickness 3' Square Feet of Absorption Area 375 Standpipes Present (YM) YES Depression over Field (Y/N) NO Date of Last Adequacy Test [UNKNOWN Results of Last Adequacy Test N/A Separation Distance from Absorption Field: To Water -Supply Vb ll _ 90' To Property Line To Building Foundation 36' 13' To Existing or Abandoned System on Lot IrpI ; On Adjoining Lots 1001+ To Water Main/Service Line N/A To Cutbank(if present) N/A To Stream/Pond/Lake/or Major Drainage Course N/A To Driveway, Parking Area, or Vehicle Storage Area 131 D. LIFT STATION Date Installed N/A Dimensions Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Electrical Code Manhole/Access (Y/N) "Pump Off" Level at Vent (Y/N) Pumping Cycles during Adequacy Test. Meets MOA ** Check Permitted Bedroom Rating Against HAA Request ** I certify that I have checked, verified, or conformed to all MOA HAA on the date of this inspection. Signed z/" lw/J Z Date 9-18-85 mut � Company CRW Engin Pr`%� g Ernun MOA No. ,ST RF -9 ,R N®n°➢ae KB1/d5/s [Page 2 of 21 Guidelines in effect >sYYiib n RS vo o B•00°•0 ..pn:.� David S. oshek o Q CF -5123 n n'"ROFESSIO�� "�' 2-15-B4 P.O. BOX 6650 ANCHORAGE:, ALASKA 99502-0650 (907) 264-4111 Ancharage I ��_�4r �) TONY KNOWLES. MAYOR DEPARTMENT OF HEALTH G HUMAN SERVICES October 14, 1985 David Yanoshek, P.E. CRW Engineering Group 3900 Arctic Boulevard Anchorage, Alaska 99503 Subject; Waiver Request WR85-031 Lot 3 Block 2 South Lakewood Hills Subdivision Dear Mr. Yanoshek: This department has reviewed your request for waiver of the 100 foot setback requirement between the private well on the subject lot and the septic tank and absorption field on that same lot. Based on the information submitted, the required setbacks to the well have been waived to 84 feet for the septic tank and 90 feet for the absorption field. These waivers are valid for the existing septic system only. Any future upgrades must meet separation distance requirements in effect at the time of upgrade. Sincerely, Stephen S. Morris Civil Engineer On-site Services SSM/ljw �TI.II f''+'i un. i. r: i. It" 1 I I y o r i.nchorrt;tc 1lopor Imam i, oI' ,4.il I i t tnci I?n'vironiaaani al PI orp in ion til vi I,d oit of Rnvir-otimez;Lai 11CinIIh is Sl'. r("f, ,,!tori, Robb :i.o Roh ins o:it r-,pti a.t i_on Waiver ]t, -q uest, Loi .�, ]31 o -h 2 ;Oft :lt [,21<e'wood (ii I Ir; Dear Mr. hob:i_itson df� f,olt;Ili itr,,d the ;tn.'.tsti: <,otaducCc d clic: link l-:1fle „❑ l;li(; a1)o o rerere,nCCac9 Lott. IIc>. reIli rIli be.red ia5i ttl Ii.ng i Ice s} ,item since .. 1. h,ui_ e., be ir71d„nfnl_ a tet, tu� � I i 1nS),r_catorn. :kat t.taclu.d IeCr,out ,bo c:o,ntIo,-toI dJ3(:USs,-s i:hi s iSs1ic. Fc is also .gu, s,� t Hla't yon no I, c the rlate. i n i:ho car t,igfdc hand corner or the pet -mi i.. Ihr7' peobable c orr("a; - ponrl i o r l %tai l i s l_ it ,pec;t. ioit ('i' ii, -ide. i.renrIt) , 2nt1 i it Siwfc1, lo it it t:ncit c�rtle:n,=d ii "s',', olid thc, zittrrl i_wa Peciti_ou. is aur colk, oCti_oil i:Itat t;ho oitIIII, i,oJfl r.i-rrid iitli ir. Chc tv;l.v o pprov.I For the kIAA at;d_ WaIve.r are i.itcoit s istant-. numbers on tit=: k%o; e ,;opp I ied by 1t ho Mon -i c'I p � I iit;y o F Anr hotal;cr witi."it i.s nota tj-yiit,; to force our r• I i ent to hear the CCf "l!F iI I f' Y;in'1ll i njf whi -It 1!. ..-,: r'oi. music ho noiti ib(, adutjuary hast conditrLr -d cit Sr+ptemb:,i 2'"t, 14f;Fi .culttiter -i tsystem ie, adc=gittatc to =rve 3 bodro0WS Tt rh4oil t.uut.: r, [i. i hat i:h lq;?<te)it i.s s, ji:unted in stood s o i 1„ ano -1 i. Ilii „i OI Cir- V.'1£1 np't;etl 'tit ih£r ii_.:'{. 'I I P7i... ? 'I r' colts derin,; IIte :tl,nve ir_trormaI, on, t,e requc:;:11 1.1.11: you a1,proee }xc: tat, i V and ll t.` r-ci Inti ❑t•d;i a.tel_y %tr j,on fl;n, t_'. Linc giter;i;,C)tit, pe t'1. ainln to t,itis mat tk, r', ], lt. a":; o. ,lo molt }i < 3:i (. iii (• i; f) CII1.I.. iii lw E'Xe" I -.I . Q �r e -t1 LTfi�� h `tj.i, 3900 Arctic Blvd, *Suite 203•Anchorage, Alaska 99503•(907) 562-3252 Pucl. [ October 11, 1985 Dave Yanoshek Project Engineer CRW ENGINEERING 3900 Arctic Blvd Suite 203 Anchorage, AK 99503 REFERENCE: SEPTIC SYSTEM Dear Dave; This letter is in regards to a septic system installed by our company in 1979 at 6700 O'Malley Road, more specifically Lot 3, Block 2, South Lakewood Hills, I remember this system quite well because the operator we had broke the line feeding the septic system. This resulted in an irate phone call from the owner when the system backed up. To the best of my knowledge the system was located behind the house and was L-shaped. We had to excavate through fill, i.e. stumps and logs to install the system. When we had the preliminary inspection we were not wide enough and had to come back in and widen the trench to five feet. Les Bucholtz was the inspector at the preliminary inspection. Sincerely, Bill E. McHenry Vice -President COWDERY EXCAVATING & CONSTRUCTION COMPANY, INC. 8020 LAKE OTIS PARKWAY • ANCHORAGE • ALASKA 99507 • (907) 344-2407 'I O i obci , 18£35 P- pnr Went a V Isco L t h and Envi ronment.al Prot ent i on Division of Environmental He" IM, 82N r street Anphoraz e, A l Ma 3£3501 titin: Robbie Robinson I3e. Separation waiver Request, Lot 3, Block NouL.h. Lakewood Hilts Wv h a %e resnhmil i:pf[ the HAA chfuM i.Pii; i'nr the ahouc rorerpucod property with the following revimionm: An adequavy test: was completed am partr,-i this HAA.. We inadvertently noted "Date of Last Adegn.rry Test" o+. unknown, as we thought 1 his rero red 1 o t nsting pr Wr to "i".his HA.i. a ., We have noted the r,r,dtta or field a;; cullcTtriwn. we :Pi_rnt1Y b"Iievn it was installed as 5 feet and that the previous "},prova 1 was improperly marked. It: should be Vn i ui ed out ir:a't there were several other errors on that rmpori, includ W diel arrces from the well to the septic hemir and distance from the well to druinPield. As a final argument we would �Fnint out that the prev=ious approval indicated a total effective fecti_ve. aihsorpt.i au area of 375 square feet which is t L.r � "qu cr i'rival ^Iemeni. in Me dvoigR. Tf you town further questions:, please do not hosiau e to contrua vfx Truly )'titlrv. . CRW ENGINEERING GROUP axltol I_ David 02!, 3900 Arctic Blvd. eSuite 2O3•Anch0rage, Alaska 99503°(907) 562-3252 MU/y!C/pq�l t\\ 6Ep AN, Op OENV I RONMENT qt pq r� 8, ROTECrIOM engineering group—SEP 2 01985 18 September, 1985 RECtIV"® Municipality of Anchorage. Department of Health and Environmental Protection Division of Environmental Health 825 L Street Anchorage, Alaska 99501 Attn: Robbie Robinson Re: Separation Waiver Request, Lot 3, Block 2, South Lakewood Halls Dear Mr. Robinson: We request: a waiver of the 100 foot setback requirement between %x private well and the septic tank and leach field on the above referenced lot. The actual distances are 84' from the well, to the septic tank and 90' from the well to the closest point of the leach field. The well 0178' deep and was installed in October, 1967. The existing, septic system was installed in August, 1979 to replace a seepage pit. Both well and septic system operate properly and are adequate for 3 bedrooms We feel that a waiver should be granted for the following reasons: 1.. The well has been :in use since 1967 and shows no signs of contamination. 2. The septic system :is in good condition. 3. Surface elevation is lower at the leach field then at the well. 4. Area soils are good. 3900 Arctic Blvd.•Suite 203•Anchorage, Alaska 99503•(907) 562-3252 Mr. Robbie Robinson 1.8 September, 1985 Palre Two. 5. System :installation was approved and inspected by the Municipality of Anchorage. If you have any questions pertaining to this matter, please do not hesitate to call. Sincerely, CRW E-NGJINEEERING GROUP David Yanos •k, 1.E, Encl; HAA Form Original Permit Well Log Tank Pumping Receipt