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HomeMy WebLinkAboutTHUNDERBRUSH LT 6Onsite File Th nd rbr sh Lot 6 #015-142-65 Dec_02.2022 10:10 AM Anchorage Well & Pump Service Inc 9072430742 #3926 P 1/ 1 MUNICIPALITY OF ANCHORAGE Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7991 Pump Installation Log Well Drilling Permit Number: Parcel Identification Number: 015_142 _65 Date of Issue: - - Legal Description Block Lot Property Owner Name & Address: HOLCK DETER S THUNDERBRUSH 6 1801 NORWOfO1D AVE BOULDER, CO 80304 Pump Installation Date: 11 - 30 - 2022 Pump Intake Depth Below Top of Well Casing: 165 feet Pump Manufacturer's Name: FE'S Pump Model: —_-... . 7FR07PR-3W30 Pump Size: .75 hp Pitless Adapter Burial Depth: 12 feet Pitless Adapter Manufacturer's Name: MARTIN ON Pitless Adapter Installer: Well Disinfected Upon Completion? X Yes ❑ No Method of Disinfection: PELLETS Comments: Pump Installer Name: i ANCHORAGE WELL & PUMP SERVICE Company: 7640 KING STREET ANCHORAGE, AIC 99518 Mailing Address: 907-243-0740 City: State: Zip: ,Attention: The pump installer shall provide a pump installation log to On-site within 30 days of pump installation. kNev un/uzri a/ Municipality of Anchorage On -Site Water and Wastewater Section • (907) 343-7904 Page 1 of 3 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP201313 PID Number: 015-142-65 Dwelling: ❑ Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New ❑ Upgrade Name Peter Holck ABSORPTION FIELD El Deep Trench OR Wide Trench ❑Bed El Mound Site Address 11401 Thunderbrush Circle ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade (512)788-5393 Four (4) 1.5 GPD/SF 4.7 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade 2.7 Ft. Gravel depth beneath pipe 2.0 Ft. Subdivision Block Lot Thunderbrush 6 Fill added above original grade 0 Ft. Gravel length 70 Ft. Township Range Section Gravel width 5 Ft. Beds: Number of Lines 1 Distance between lines Ft. SEPARATION DISTANCES To Septic Absorption Lift Station Holding I Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Tank Line 500 Ft' 1 Ft. Well >50' >50' >50' N/A '>25 TANK ❑ Septic ❑ S.T.E.P. ❑ Holding X Other Manufacturer F.A.P/Advantex Capacity 1500 Gal. Surface Water >50' >50' >50' N/A Material Number of compartments Lot Line >5' >10' >5' N/A NA Fiberglass 2 Foundation >1 O' >10' I >10' N/A LIFT STATION Manufacturer Capacity Remarks Orenco Pump Vault 100 Gal. Alarm location On Advantex Panel Electrical installed by Power Lighting & Control LLC PIPE MATERIAL House to tank D3034 Tank to drainfield D3034 Installer Northern Excavation Drainfield D3034 CO/MT D3034 Inspector Jake Mlllete BENCH MARK (Assumed elevation) 100 ft Inspection 1st 10/27/20 11/10/20 Location and description 2�d Bottom of siding 3rtl 4`h ON-SITE WATER AND WASTEWATER SECTION APPROVAL Conditional Approval: Date 4.- Benjarr A chiller Septic System Q�F� •. CE 12592 .•��`��� Approved ��,eU' Date 7/ ,2ii Oa •7/20/2 �pROFESSIO�P Note: this approval does not include well permit requireme ts. kNev un/uzri a/ x x x x x x x x EXISTING WELLS 1"=50' 70' LONG x 5' WIDE x 2' EFFECTIVE DEPTH ABSORPTION TRENCH. 4-BDRM DUPLEX 1,500-GAL ADVANTEX TANK w/ AX20 POD & PUMP VAULT PUMP VAULT & TANK ANCHORED CO - CLEANOUT 2CO - DOUBLE CLEANOUT FCO - FOUNDATION CLEANOUT PV - PUMP VAULT MH - MANHOLE MT - MONITORING TUBE SV - SEPTIC VENT TH - TEST HOLE LEGEND PERMIT # OSP201313 PID # 015-142-65 THUNDERBRUSH SUB, LOT 6 A B 2CO 23.9 MH1 28.0 MH2 35.5 A B C C MT1 27.45 MT2 46.5 28.3 PV 38.5 41.15 51.35 49.35 THUNDERBRUSH FEET 0 50 100 CIRCLE SHED 10' UTILITY EASEMENT EXISTING 4,000 GALLON HOLDING TANK DECOMMISSIONED PER UPC MT1 MH1 TH1 EXISTING WELL EXISTING WELL 620 615610605 MT2MH2 PLAN AS-BUILT 2CO PV 38.7 93.7 Benjamin Schiller CE 12592R E GISTEREDPROFE S S I O N A LENGINEERJuly 20, 2021 PROFILE AS-BUILT (NO SCALE) 93.9 89.1 98.7 PERMIT # OSP201313 PID # 015-142-65 THUNDERBRUSH SUB, LOT 6 AX-20 POD AND MANHOLES 100.3 ORIGINAL/FINAL GRADE 70'MTTH#1NO GROUNDWATER 11/3/20 95.6 87.3 95.6MT2' INSULATION & GEOTEXTILE FABRIC DRAINFIELD ROCK 1500 GALLON F.A.P TANK2COMH MHPV97.697.6 Benjamin Schiller CE 12592R E GISTEREDPROFE S S I O N A LENGINEERJuly 20, 2021 Municipality of Anchorage On -Site Water and Wastewater Program P.O. Box 196550 4700 Elmore Road Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 http://www.muni.org/onsite Review Comments Engineer: FORGE ENGINEERING Legal Description: THUNDERBRUSH LT 6 Parcel ID: 01514265000 Permit: OSP201313 Septic Report Type: As Built Review o�'-�XCnr 06-4 f L)epai-tment 6/8/2021 Completed By: R.Carroll The application has been reviewed and the following comments have been generated. These are to be satisfactorily addressed prior to MOA approval: 1. Please provide a current as -built survey. 2. Please fix the soil rating on the inspection report form. 3. Please account for the 2 ft effective depth in the Total Absorption Area on the inspection report form. 4. Please enter the pump vault alarm location on the inspection report form (on AdvanTex panel?) 5. On the site plan, it appears the trench is within the 50 ft radius of the well on the lot. Please address. 6. Please correct the well to field distance on the inspection report form. 7. Please show the test hole, bottom of test hole relative elevation, groundwater level and date of groundwater monitoring on the profile drawing. 8. The field profile drawing indicates that original grade was the same along the entire length of the field. According to the permit drawings, there was a 2 ft difference in original grade along the length of the field. Please address. 9. Please provide pipe invert elevation on both ends of the field on the profile drawing. 1) Survey attached 2) Soil rating corrected 3) Absorption area corrected 4) Alarm location added 5) Plan corrected to match surveyed well locatrion 6) Distances on IR form corrected 7) Test hole added to profile drawing 8) The original design was accounting for lidar contouring nearly the identical from one side to the other. 9) Pipe invert elevation provided for both sides of field. Upon field inspection, OG was 10' UTILITY EASEMENTS .... TREATMENT Lot 40C CHAIN—LINK FENCE Lot 7 CHAIN—LINK SP PIPES I \2? N 2 STORY DUPLEX 50' CANT ECTIVE RADIUS I Lot 6 —WELL I 11,060 S.F. / 't THUNDERBRUSH CIRCLE `CHAIN—LINK FENCE / P �ryry / Lot 5 PLOT PLAN --- AS BUILT _X— SCALE _1=__30__ GRID _ SW 2637Project No. ____20=704181---- 11500 Daryl Avenue, Anchorage, Alaska 99515-3049 Lang & Associates, inc. (907) 522-6476 Phone 000000p0 (907) 522-4625 Fax o F q X04 Professional Land Surve ors kenOiangsurvey.com Y jonothan*langsurvey.com SOP '...... I hereby certify that I have surveyed the following described property: ���' LOT 6, THUNDERBRUSH SUBDIVISION (PLAT No. 70-304) o * 49TH Anchorage Recording District, Alaska, and that the improvements situated thereon are P,•i��rKEN " within the property lines and do not encroach onto the property adjacent thereto, thatno im rovements on the roe I in ad acent thereto encroach on the surve edP P P rtY Y 9 j Y ETH . LANG premises and that there are no roadways, transmission lines or other visible O (^c ( o� easements on said property except as indicated hereon. Q s . J%(l � p 'k� LS -5202.."'. Dated this the i'a _ Day of mow- _��� _, at Anchorage, Alaska p4 Faa N� o Q��_ fS510NA1- o It is the responsibility of the owner to determine the existence of any easements, covenants, or restrictions which do not appear on the recorded subdivision plat. AECC963 MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program PO Box 196650 4700 Elmore Road Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 http://www.muni.org/onsite On -Site Wastewater Disposal System Permit Permit Number: OSP201313 Work Type: Septic Upgrade Tax Code Number: 01514265000 Site Legal Address: THUNDERBRUSH LT 6 G:2637 Site Mailing Address: 11401 THUNDERBRUSH CIR, APT A, Anchorage Owner: HOLCK PETERS Design Engineer: FORGE ENGINEERING This permit is for the construction of: Effective Date Expiration Date: Lot Size in Sq Ft: Total Bedrooms: ,, ent Department 8/27/2020 8/27/2021 11060 Q Disposal Field 171 Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage All construction shall be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80) 3. The wastewater code requires inspections during the installation. The engineer shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing �D Sperm ial Provisions: J A test hole shall be provided prior to construction to verify separations to seasonal high groundwater, as well as confirm percolation rate across entire length of drainfield. Construction may proceed at your own risk prior to 7 - day groundwater reading. If results require a design change, construction shall stop pending Onsite review and approval of a change order. Please submit results with the inspection report (or change order, if required). SI �s -See Roo- V aO k.VP_ for LN?[ .t a ior\ q Se" a (o` 4, +es+ We, Zn 0.8d lion, poi- holes ova a.djcacevJ 1o+S SLyrn{- 6o4vm of 4 -Tench Ca 5 _ e II/y/20Zo Received By: Date: Issued By: Y 7YI&OA Date:02 �a G MUNICIPALITY OF ANCHORAGE Community Development Department Phone: 907-343-7904 Development Services Division Fax: 907-343-7997 On -Site Water & Wastewater Program ON-SITE SEWER/WELL PERMIT APPLICATION Parcel I.D. 015-142-65 Property owner(s) Peter Holck Mailing address 1801 Norwood Avenue Boulder, CO 80304 Site address 11401 Thunderbrush Circle Anchorage, AK Day phone (512)788-5393 Legal description (Sub'd., Block & Lot) Thunderbrush, Lot 6 Legal description (Township, Range & Section) Lot Size 11,060 Sq. Ft. Number of Bedrooms Four (4) APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (M all that apply) Absorption Field ❑X Initial ❑ Single Family (SF) (wlwo ADU) Septic Tank Upgrade 0Duplex ❑ (D) Holding Tank ❑ Renewal ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE ! WAIVER REQUEST FOR: Distance: I certify that the above information is correct, I further certify that this is in accordance with applicable Municipal Codes. -P�' a Q"-� (Signature of property owner or authorized agent) Permit/Rush Fees:q 6, -5 Couj_0 Date of Payment: -a1f1112 D 2-0 Receipt Number: 0 559 7D Permit No. 0SP�0131zj Permit App_-'- : :L. r Waiver Fees: Date of Payment: Receipt Number: Waiver No. Co -;w 1 E 5*, EEEING PO BOX 240773 ANCHORAGE, AK 99524 522-7773 677-7766 (FAX) November 4, 2020 MOA Development Services Department of On -Site Water & Wastewater Program 4700 Elmore Rd Anchorage, AK 99507 Subject: Thunderbrush, Lot 6 —11401 Thunderbrush Circle Septic System Design Dear On -Site Services Engineer: The holding tank on the subject lot is nearing the end of its useful life and must be replaced. We are submitting this permit application for the construction of a new septic system. The existing holding tank will be decommissioned in accordance with the Uniform Plumbing Code. The attached site plan identifies the location of the home and the existing well and septic system along with the proposed location for the new system. No conflicts exist between this proposed system and any other well or septic system on this lot or adjacent lots. The ground surface on the lot is flat in the area of the proposed trench. There are no slopes greater than 25% within 50 feet down slope of the trenches. Ground surface contours are shown on the site plan indicating the grade and direction of flow. Storm water drainage will not impact this septic system. The new trench cannot be constructed parallel to the slope and will have a 2' difference in elevation from the south to the north end. The trench is designed so the effective absorption area is entirely in the receiving soils. The percolation test completed on subsurface soils in 1983 indicated an absorption rate of 24 minutes per inch. A new test hole was recently placed and indicated similar soils, but with a slower percolation rate of 60 minutes per inch. The absorption trench has been designed for the slower percolation rate, but with a conservative application rate of 1.5 gpd/sf. Seeps were encountered in the test hole at a depth of 6'. No accumulation of water was noted in the test hole during the monitoring period and the seeps are probably surface water from recent rainfall filtering through the area. The proposed absorption trench has been moved out of the area of the old absorption pit. If the pit is encountered during construction it will be removed as noted on the Site Plan. The new system will be a minimum of 50' from all wells and surface water, 10' fiom any water service and more than 5' away from the septic tank. Please refer to the attached test hole log and plan and profile sheets for the septic design. If this design is followed, there will be no adverse impacts to adjacent properties. Sincerely, Michael E. Anderson, PE • 49th 's ....... .............. ..................... in - MICHAEL E. ANDERSON + Na. CE -4381 ZN •♦+44 pRQFESSI•���� r THUNDERERUSH, LOT 6 C,O 1 I � � I EXISTING WELL `}� lj i i\ T 12 J i t � 22 L40B41 T12N R3W SEC 22 L f _ 70' LONG x 5' WIDE x Z EFFECTIVE jDEPTH ABSORPTfON TRENCH. / C,._,.—.___MT 1Q' UTILITY E�SE�vtEI T � � � f _ -szo' ® — EXISTING WELL �v PVA _ �TH1 MT / MH. —r ®.� L FCO 1 -1,500AL ADVANTEX TANK W AX20 POD & PUMP VAULT. GROUNDWATER MAY BE IENCOUNTERE,D�z~ANCHOR TANK AND PUMP VAULT'IN ACCORDANCE WITH MANUFACTURER'S RECOMMENDATIONS TO PREVENT FLOTATION. DECOM SSION EXISTING') I DUPLEXES` i4 000 LLON HOLDING/'f �t STAN ER U.B.C. --LOT--5- LOT 1 f LOT - THUNDERSRUSH CIRCLE EXISTING WELL NOTE: AN ABSORPTION RIB AND DRENCH WERE PLACED IN THE AREA OF /! ('1 r I nT Q \ j' THE NEW ADVAN�EX AND IN 1971 THE EXACT LOCATION IS _ UN OL ccr EN ,r KNOWN. ThE NEW TRENCH MUST BE A MINIMUM OF 16' FROM T . E D CRIB AND TRENCH. THE OLD CRIB MUST BE PUMPED, �MPONEN/TS REMOVED QND DISPOSED PER U.P.C. WITH THE SUING EXCAVATED AREA BACKFILLED WITH SAND. i NOTE:A , NO SLOPES >25% WITHIN 50' OR SURFACE WATER WITHIN 100' OF THE LEGEND PROPOSED SEPTIC SYSTEM CO - CLEANOUT ALL WELLS ON SURROUNDING LOTS WITH IMPACTS TO THIS 2CO - DOUBLE CLEANOUT PROPERTY ARE SHOWN. NO CONFLICTS WITH WELLS OR SEPTIC FCO - FOUNDATION CLEANOUT SYSTEMS. PV - PUMP VAULT 0 50 100 MH - MANHOLE FEET MT - MONITORING TUBE SV - SEPTIC VENT 1 "=50' TH - TEST HOLE DESIGN FACTORS: 600 GPD PEAK FLOW PERK RATE: 60 MIN/IN APPLICATION RATE: 1.5 GPD/SF 600 GPD / 1.5 GPD/SF /5' WIDE / 2' DEEP -.7 (RED BOTTOM OF TRENCH: 3' TO 5' BELOW GRADE FLOW LINE ELEVATION: V TO 3' BELOW GRADE TOP OF TRENCH: 0.5' TO 1.5' ABOVE GRADE 115, 2" INSULATION & GEOTEXTILE FABRIC SYSTEM REQUIREMENTS: S WIDE TRENCH SYSTEM 1,500 GALLON ADVANTEX FAP TANK AX -20 POD CC4 � FACTOR) = 56 LF TRENCH REQ. (70 LF SPECIFIED) 2 4" PERFORATED PVC (HOLES DOWN) DRAINFIELD ROCK 5 NORTH END OF TRENCH r- 5' LATION 'EXTILE FABRIC =ORATED PVC (HOLES IELD ROCK SOUTH END OF TRENCH TYPICAL TRENCH SECTION (NO SCALE) NOTES: 1. GRADE AREA OVER TRENCH TO DRAIN AWAY 2. PROVIDE SOF COVER OVER TRENCHES AND 4' OVER SEPTIC TANK, OR 2' WITH 2" OF INSULATION 3. CHECK GROUNDWATER AT TIME OF CONSTRUCTION. IF LEVEL IS HIGHER THAN PREVIOUSLY OBSERVED, CALL ENGINEER IMMEDIATELY i E N G I N E E R I N G� C0 # 1 SOILS LOG AND PERCOLATION TEST " E N G I N E E R I N G LEGAL DESCRIPTION: THUNDERBRUSH, LOT 6 PERFORMED FOR: PETER HOLCK DATE: 10/28/20 PROJECT No.: PARCELID#: 015-14-265 TECHNICIAN: J. MILLETTE DEPTH TEST HOLE 1 (feet) 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 1 1 SLOPE > •` SILT w/COBBLES WAS GROUND WATER ENCOUNTERED? ML DEPTH To WATER (INCHES) WATER SEEPS AT 6' . q4. . NO ACCUMULATION SLOPE > •` READING WAS GROUND WATER ENCOUNTERED? YES DEPTH To WATER (INCHES) ' 11/3 IF YES @ WHAT DEPTH? 6 L 10:50 5-4/16 DEPTH TO WATER AFTER MONITORING: NONE 0 11:30 30 5-12/16 DATE OF MONITORING: 11/3/20 P 11:21 a 5-4/16 4 11:51 30 5-12/16 8/16 5 11:52 5-4/16 6 COMMENTS: DATE READING GROSS TIME (MINUTES) NET TIME (MINUTES) DEPTH To WATER (INCHES) NET DROP (INCHES) 11/3 TEST HOLE PRESOAKED 4 HOURS PRIOR TO TEST 1 10:50 5-4/16 2 11:30 30 5-12/16 8/16 3 11:21 5-4/16 4 11:51 30 5-12/16 8/16 5 11:52 5-4/16 6 12:22 30 5-12/16 8/16 PERCOLATION RATE: 60 (MIN/INCH) PERC. HOLE DIA..6INCHES) TEST RUN BETWEEN: 3 FT. and 4 FT. 7 � G NRI"NICIPALFT'Y OFAVNCHORi , E ADVAN*C1--J) k 'TrINANCE AND REPAIR AGREEMENT IN, THIS �Mi,' INTFNANCL� AND REPAIR A(iRtill-',NMLXE hereirl made and �jf -? (1, b�, and benveen �4 herein flic "O,VNFR.- and the Ancllora!-,:. lierc-in the -�M l.'N J(APA 1_1 I-)". iti-accordance %vitll Code (.A\4C) 1,7.63.36-5. hi con.,4derzition, Of0ieniulual ec,%,e milt." ills LnowiirwJ- hcrcln. the partic-sionlis At-IlMnentaa_rcicaftflkovs Ndvaii? stclvaO�r Trearnient.ivstems. Tiw� Municipa-lity grants 1--eii-ji-zissic 1 ILI I e u(I YN".1 i - - it ti -- (-),o, iter to ud' E Ize and operatean Adv�ijjc�(i IA"astew-aer Ti umnetit System (AWN�I'S), Advantex Waste Water Treatment.Svstem located at (]C4 -,al description) Thunderbrush, Lot 6 2 'M Rvvairs and Alterations. Mslier is rtcliIiiet; Iv understand and inilia", cacli �,cctkfrl) 9 Tllrounhoutlh(1(:nu ofthis Agreeinerti. die Owner stiall enter into aser vict: aorceill !It a c vvilh mn A'VVVTS scnv-ice arid rn 11i nz�nzulx'o provider approved by the IMunicipality or lhu� conkntion capahie- Gil' F, crforming as ajul pruducing tneatedseptheffluent in 'Lliccordance wic1`! TIQ qjuipment's ap!,-wovul 17017 OPCI-ilti,01-1 311 t1IL �Nllfl1il43jmlily, PJ- it shall 111111� .lit rcsponsibil iw, of lhOwner during 01c lem-, 0 C this Agrecirient to pay for o I I rcpw6r(s`). TCOlaCeMC11A Wild 1,11SP, ctiotl c.134T3, fllis Includes am an-nual maimenaiwe fee 5400 to 5600), Own --r a-r,2es tma; Only niaintcnanL, avid repiiir persi-.)nncl apprzwt�,J b,,Y Ube Nclijilicipalitj or the mari id`a�i representati-ve ivij I ilispecl and make ilii repairs or permitted aherations lloflw sysztem_ dint regular mairitcnant�e of an AV,"WTS reduces Efic rA)tcn-,iaj Inctude 1-e I' I NU Q I 'xl C ;I I . (Wer ackn(mledges that Ae NhmkQmHry mav 'cqt cst rocords of mairienance and re -pairs Cromhu mprennu-ti've or maimcna ance pt-w0der. L thal the line IN ndking to nmii-utzLin an- J rcp.,Iirar" AVVAV-F'S Imly he assesstxl in nceordancQ wiui AM(' 1160MO O"vnct, az, �fccs Io zp--int the Munijaky reasonable access zo test and Aspect be AWNVIS. M khmicilmHy wHI gixe at im 24hour noW. O'.vner agrees, that auiySill4 is [ransl7cr of title cAfthe property Will 110t �ICCM Wit]IOLZZ --h 21CW Cen-fificate of On- =tits. Sysionis Apprcwal. ONVIllet a,(.4rees th.--,u the AWW" S instafflation and maintenance req uih-2,mems a,,& provide, d by the vendorinstafler and -jppvoIrcd bov flit Mmnicipalqy are% th;� g overning godeli1x's for tlw miziijimiance amlrej-,idr of -Th,' Owncr's AWYM. i. 01 t I i t� a s i i i r Cd b y I h e (�r AlliCr �'�-T-.-NS to Ili,- ain reinotu moniuwi, 1 Term. Ini'.; tcrni offliis Aprcernent shall begin on the date of appr,.7�Val by the X-Iunicipalft-y to CTMWC we mg. -flied syst mn7 or L,,poji mansfer, of title. and shz-ffl oonthm,� while Ehe AWkV'.FS is op,mationai or until title is transre-FTed, 4. NanwaWen The Agivernent shall in no �vay constitutc, a waim of the pmvision& nor in any way afict ihe Wdly af ke Agmemmu or any pan Smak ordw Hght foci Mc Mmkilkily thmnow, to Mxce every 1}J 'ti hurmcE I Aawndmerq, A', reenticiit shall only be amended by authorized. Yepreseniviv-es of thk4 ov,,11,Y'r and IML-nicipality, Any atlempt to amen' this agreement Iry eimeran imairtlumized representativecw arrauthorixed 313 aii,3 sbaJI lhc void. 6. Jurisdiction. Choict of Law. -Any en,i] action ori -sin,--, rrom this Agm,"ement sh4l be brou,4r,Ju in the Sup-,rior (-*i.-)Liz-t for dit Jbkd Judichl lOU of the Smm of AM% at Anchorage. The la,,vs of tho St of AM shall govern the AgMs mW ohlipdom of we ixirt"es mider this Agmemem, jmk%ion AM nm KNOW Q re-mnjnim�, provi-sions of lie Ap-cement. OW (sipal.iirc) Dale. C-71-- S]'ATE OF ALASKA TMRD JUDICIAL DISTRICT I'lie forephipt ins if - I Notary Public N 61'. - �1 Z Y i " 1-13 1, 1 C T — -0- AF R- , � SIC.. RICK CHARLES PILAPIL NII. i"Z�eLvlo 81alm o,Alnka MY Commis -m E%p1ras Sopt. 24, 2020 Q INJ 17 Bv � NZICIPA IT avug ('sigmthire'.) .. Rti-16 Ccr, arro U _(prinE name) DaLe' /10 2c) Thle: Pnkra3 nf-1 MUNICIPALITY OF ANCHORAGE n � 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. 015-142-65 Legal description THUNDERBRUSH LT 6 Site address 11401 THUNDERBRUSH CIR Current property owner(s) KODIAK MOUNTAIN LLC X The On-site system(s) is/are approved for 4 Conditional approval for Comments or advisories: Expiration Date: bedrooms 2/20/2025 bedrooms, with the following stipulations: By: 7 QOriginal Certificate Date: 4/3/2024 This Certificate of On -Site Systems Approval (COSA) is intended to demonstrate the subject system(s) is/are in substantial compliance with municipal code. The Municipality of Anchorage, Development Services Department (DSD) issues COSAs based upon representations provided by an independent professional engineer. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. ATTACHMENTS: COSA Checklist X Well Flow Advisory Absorption Field Advisory Nitrate Advisory Tank Age Advisory Arsenic Advisory Other COSA Approval—June 2022 MUNICIPALITY OF Development Services Department7 On -Site Water & Wastewater Section ANCHORAGE Phone: 907-343-7904 Fax: 907-343-7997 Certificate of On -Site Systems Approval Application 1. GENERAL INFORMATION Parcel I.D. 015-142-65 Complete legal description Thunderbrush Lot 6 Location (site address) 11401 Thunderbrush Circle, Anchorage, AK 99516 Current property owner(s) Kodiak Mountain LLC Day phone 512-788-5393 2. ON-SITE SYSTEMS SIZED FOR 4 BEDROOMS 3. TYPE OF WATER SUPPLY: Q Private Well ❑ Private Well serving 2 dwelling units ❑ Private Well serving 3+ dwelling units ❑ Community Well or Public ❑ Water Storage 4. TYPE OF WASTEWATER DISPOSAL: X Private Septic ❑ Private Septic serving 2 dwelling units ❑ Holding Tank ❑ Community Septic or Public Sewer 5. SEPTIC TANK: ❑ Steel ❑ Plastic ❑ Concrete ❑E Fiberglass Age 3 - See advisory if steel older than 20 years 6. ABSORPTION FIELD: ❑ AWWTS ❑ Bed ❑ Deep Trench 0 Wide Trench ❑ Seepage Pit Waiver request for: Expedited review requested: ❑ Distance: By applying for this entitlement, this property is subject to inspection by municipal On-site staff to verify the accuracy of the information provided. COSA Fee $--95-0 / J Waiver Fee $ Date of Payment �( / 2 QZy Date of Payment COSA # (- 5C 2, y105� Waiver # COSA Application—June 2022 6.19 3/26/24* A+Home Services N/A N/A N/A Benjamin Schiller, P.E. (907) 522-7773 MUNICIPALITY OF ANCHORAPE ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND REPAIR AGREEMENT THIS MAINTENANCE AND REPAIR AGREEMENT, herein the "AGREEMENT" made and entered into as of this Cn " Day of Qjpf L1a4�,f__ of 20A% by and between 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 Advantex located at (legal description) Thunderbrush Lot 6 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 manufacturer'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 repair(s), maintenance, adjustment(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 the manufacturer's representative will inspect and make any necessary maintenance, repairs or permitted 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 1 of 3 _ 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 A W W'fS may be assessed in accordance with AMC 14.60.030. 0�Owner agrees to grant the Municipality reasonable access to test and inspect the AWWTS. The Municipality will give at least 24-hour notice. _,Owner agrees that any sale or transfer of title of the property will not occur without a new. Certificate of On -Site Systems Approval. _.,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 of 3 OWNE By: (� (signature) � t" S (print name) STATE OF ALASKA ) THIRD JUDICIAL DISTRICT ss. ) Date: r7 C,, 'a The foregoing instrument was acknowledged before me this G day of MarClj 20 9.4, by 515o v� D �8/'q NO Y LIC FOR ALASKA `�� �P,.........,•.• My Co sion expires: I Oq 'Zo- - �oT'�9� moo? �No BL\ PIRFS OF MUNICIPALITY: By: . _(signature) b'n ) . Date:/S z �( (print name) Title: (rev. 05/18/2018) Page 3 of 3 453 595 ■■■■ ■ ■■s■■■■■■■ ■■■■ ■■■ on ■■ ■ lily s ■■■ ■ ■■o■ ■ ■ on ■ ■ ON I� ■ ■■ ■ ■ ■ ■ on ■ ■ ■■■ ■■■ o AcivanTex® Field Maintenance Report RnchorageTank Annual Inspection 907-272-354.1 Property Ownerfrracldng # pH (6-9) Operator Peter Holck Inspect Laterals/Orifices `] A+ Home Services Tech Site Address Pod Bottom] Contact Phone 11401 Thunderbrush Circle, Anchorage AK 99516 2nd Compartment (907) 555-5555 AX Site ID # County ID # Pod # RTU #NL # Date of Last Inspection AX -151959 OSP201313 Floats 4] RTU141726 06/24/2022 Retrieve O&M Info Daily flow Recirc ratio _ Timer settings: Perform Field Sampling/Observations. NTU (15* NTUs) pH (6-9) DO (2-6) Odor Normal ❑ Pungent Inspect Laterals/Orifices `] Clean ❑ Odor of sample Typical X.Musty ❑ Earthy ❑ Moldy Non -typical ❑ Sulfide []Cabbage ❑ Decay Oily film in PVU ❑ Yes NNO Foam in tank ❑ Yes tgNo Check Control Panel Recirc Amps Discharge Amps Audible and visual alarms MOK Dial tone (telemetry only) ❑ Yes ❑ No Inspect/Clean Pump System Inspect Riser/Lid ..................... X( Splice Box .................... Float Cords ................... Floats ........................ Pump..................... Biotube® Filter................. Biotube Pump Vault ............ Recirculating Splitter Valve....... Clean Measure Sludge/Scum Sludoe Cclu.. 1stCompartment Current Previous Odor Normal ❑ Pungent Inspect Laterals/Orifices `] Clean ❑ gib - Pod Bottom] Cu 1-71 Previous 2nd Compartment Current Previous Current Previous Inspect Inspect Clean Riser/Lid Floats 4] Inspect/Clean AdvanTex Filter Odor Normal ❑ Pungent Inspect Laterals/Orifices `] Clean ❑ Biomat: Normal ❑ Excessive Pod Bottom] ❑ BridginglPonding: one/Minor ❑ Excessive Intake Vent ❑ Inspect/Clean Discharge Pump System Inspect Inspect Clean Riser/Lid Floats 4] Splice Box Pump Float cords Inspect/Service Other System Components Inspect Clean Inspect Clean Disinfection Equipment ❑ ❑ Dispersal LateraWOrifices ❑ ❑ Observations Additional Services Rendered ❑ Cleaned textile sheets? ❑ Replaced UV items? ❑ Replaced/Used other items? Parts Used: W = Warranty, B = Billable (✓ appropriate selection) W B Item Number Description Final/Safety Inspection KRSV reinstalled( Lids bolted on �gmanifold reconnected; flush valves closed DaCont.1 panel reactivated Summary/Recommendations ❑ System performing; no further action needed xjank needs pumping ❑ Call for service ❑ Other? Comments 1GUiIh ill 2��"� P�✓h , z`^-}= F;.401�Qt T �`r�� '-t Signature /\� f / \,.Q �..� Date Zy Fax completed form to 1-866-384-7404 Municipality of Anchorage u 64 @ • Development Services Department Building Safety Division R On -Site Water and Wastewater Program 4700 South Bragaw St. 5A P.O. Box 196650 Anchorage; AK 99519-6650 www.muni.org/onsite (907)343-7904 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. 015-142-65 HAA #__W J Expiration Date: t C — — 1. GENERAL INFORMATION Complete legal description Thunderbrush S/D Lot 6 Location (site address or directions) 11401 Thunderbrush Circle Current Property owner(s) Walter & Margie Thomas Day phone 346-1153 Mailing address Lending agency Mailing address Real Estate Agent 11401 Thunderbrush Circle, Anchorage, AK 99516 Day phone Beth Simpson / Dynamic Properties Day phone 727-2384 Mailing Address 3111 C Street, Suite 100, Anchorage, AK 99503 Unless otherwise requested, HAA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 4 3. TYPE OF WATER SUPPLY: Individual Well ❑r 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 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 systema 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. Watkins Engineering, Inc. Phone 349-1851 Name of Firm g g• Address P.O. Box 110443, Anchorage, AK 99511-0443 Engineer's Printed Name Cindy W. Ellis Date 8/16/04 5. DSD SIGNATURE Approved for _ bedrooms. Disapproved. Conditional approval for bedrooms, with the following 4RTH Cind W. Ellis CE -1057 Attachments: HAA Checklist X Maintenance Agreements Septic System Advisory Supplemental Engineer's Report Well Flow Advisory Other By: -- Original Certificate Date: —.2 �~ (Rev. 01102) Muni Develops nn_c+, �eW!11111111111 C�5{CT%X enorage ►epartment "� �� `� x in �ogram s : �'. j e4' Sd A$��"�4aS�V�".'iw VA�%IC`I �I IY%M1I/� STV^"'• •• - 100 ion rating (g.p,tt./tt- or tr/bdrm) system type` Width it. 'GrMl befow'pipe— "ff . a so7p ion area ft� Monitoring`fube _ Depress`iori o3erfield`— esus ass For — bedrooms m ie a ore es n a er a ed New depth in. n.' ina w ep rr; sorpfon ra > g.p.d. 'NA ~ records that the above systems are in Ci dy W. Ellis fOA HAA guidelines in effect on this data �i d -AUG-10-2004 TUE 03;21 PM DYNAMIC PROPERTIES FAX NO. 1 907 261 7670 P. 02 as/MR s/0/0 00414:7S F 07 281 75 M- SCROW IST FLOOR OG WOW •. 'at•',+4eC•:��,,'�'.:.'"' •"".'.1�.'�.,•,mR' a .,aI ml r Y -. SDG �O<� �•' iLu.JG o s, L t t 1• . ..OF�..... aRO J K a9L" .U:1 �. OPd"cr'. THI•H i �'. i3E =Y10dfl OrJ THE hCMOED PLnT. APE 1107 SH0W11 HERE011, tt '•-„ isn= • " +' j i nN r; tlea�eisuaa<<*•r�'�S ti � i;if I:y �✓ J { EOEN D: •LOT SLr'RVEY CERTI FtrjT V rsu= CA. MOOVOINT 0 0O. nrr LOT Fvu/v('!)[r).YX• SVCCL ow 4 vuwc+aue \ TACK _T+�ae�srsa susotvrsron 4h'CF;0R'AGE RECORDING [NSTRICT taut►� sr: OQWLINO •6 'A830CIGTE9 h v,a �' Uatb nT p{04 EAST 101h Ave. 9011e 2 Aasi Jeucv HCHORAGE, ALASKA 99601 tWCirA �1Arr 14AI w nn - ��a3.i' ,1: 0. F•8• Pp10: r1TAPV 9fi�7 7e- 3DB 1 • MUNICIPALITY OF ANCHORAGE Department of Health & Human Services y DIVISION OF ENVIRONMENTAL SERVICES 343-4744 CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY FOR SINGLE FAMILY DWELLING f Parcel I.D. #�i— /��� HAA # 1. GENERAL INFORMATION (Must be completed prior to submittal) (a) Legal Des tion (include lot, block, subdivision, section, township, range) �;> G�3coEa �I� utilus�/ Til �3�J s Z -2 - Location (address or directions) �Tr t.J1E),6Ae0S// C%,t° (b) Property owner Telephone : (home) Business Mailing Address (c) Lending Institution Telephone Mailing Address (d) Real Estate Company and Agent kOh-%d- 1r>RoP&_Te-5 A+4 7-1 Address Telephone SG3'3333 (e) Mail the HAA to the following address: (or check here'P!rif hold for pick up.) List contact person and day phone number below: S !.J/LL P/fid al 2. TYPE OF RESIDENCE Single -Family Number of bedrooms y�g 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 th legality and status. 4. SEWAGE DISPOSAL On-site ❑ Public ❑ Community ❑ Holding Tank Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legailty and status. 72-025 (Rev. 7/88) Page 1 of 2 5. ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, vATA AND INFORMATION As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval shows that the on-site water supply and/or wastewater disposal system is safe, functional .and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm j ArC'S Telephone 7i-Sss3 Address 1y4Z bj _3_34- 177JCol, yyS3 Date 6. DHHS APPROVA _� � ,{/� L7 Approved for bedrooms by a''�_I �te ��% —�� Approved X Disapproved Conditional Terms of Conditional Approval 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 5 above byan independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 72-025 (Rev. 7/88) Back Page 2 of 2 MUNICIPALITY OF ANCHORAGE (MOA) �IPALITY OHI �''I ��hoT - y Approval FEBRUARY 11984) ] NMENTAL SE, VIfS%3.4744 iYU 2 7 19`88 Legal Description: Co! � S� t1A T�'teJ�X'd�EUVI A. WELL DATA RECEIVED Well Classification 1Z11 1 If A, B, C, D.E.C. Approved (Y/N) Well Log Present (Y6)—Date Completed X97/ Yield g F'PM Total Depth /99r Cased to {/ 19 "Depth of Grouting ��� V Static Water Level & ij, 7 Pump Set At Casing Height Above Ground 'f Sanitary Seal on Casing(YN) Electrical Wiring in Condui ON) SEPARATION DISTANCES FROM WELL: To Septic Holding Tank on Lot l>� Depression Around Wellhead (Y&I On Adjoining Lots %7 � �L0 r To Nearest Edge of Absorption Field on Lot W I ; On Adjoining Lots 113 To Nearest Public Sewer Line A41/� To Nearest Public Sewer Cleanout/Manhole �,4 i To Nearest Sewer Service Line on Lots �Q.G ie� ; Water Sample Collected by —, Date Water Sample Test Results Zcf ' Ar&4e Comments& lrt,i i /ci� 7�3T 6•-9 5rr. B. SEPTIC/HOLDING TANK DATA f Date Installed -�Size ovD No. of Compartments Standpipes ON) Depression over Tank (YA Air -tight Caps&Y;N) Foundation Cleanout(9N) Date Last Pumped 7'-Z6 ._ors' 15~5 Pumping/Maintenance Contact on File (Y/N)for Holding Tank,'High-Water.Alafm &/N) Temporary Holding Tank Permit (Y® SEPARATION DISTANCES,FROM SEPTIC/HOLDING TANK: To Water-Supply_Well To Building Foundation To Property Line: To Disposal Field NJ /Y �, To Water Mam/Service Line a` �O 'r To Stream, Pond, Lake dr, Major Drainage Course Comments 1010" J / i c lvvv�S fh�t5� 7tJOz�i Uat1E� 7 tit�D ,Jai ot-JaEk i 72-028 (Rev. 7/88) Front Page 1 of 2 �.rr 77kidicRllv)ii/ C. ABSORPTION FIELD DATA Rating in Absorption Strata gstalled Width of Square Feet of Absorb rea Depression over Field (Y/N) Results of Last Adequacy Test — SEPARATION DISTANCE FROM To Water -Supply Well To Building Foundation Type of System Design Length of Field Depth of Field Gravel Bed Thickness Statndpipes Present(Y/N) Date of Last Adequacy Test FIELD: To Property Line t To Existing or Abandoned System on Lot ; On Adjoini To Water Main/Service Line To To Stream, Pond, Lake, or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area Comments D. LIFT STATION "Date-lustalled . Size in Gallons ---�C "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 Vent(Y/N) "Check Permitted Bedroom Rating Against HAA Request" I certify that I have checked, verified, or conformed to all MOA and HAA inspection. �Q Signed Company Date MOA No Receipt No. (�7�� ? %t Receipt No. Date of Payment /D ' Z-% Waiver Fee: $ — Amount: $ ���� OCA Date of Payment 72-026 (Rev. 7/88) Back Page 2 of 2 Pumping Cycles during Adequacy Test. 0 the date of this •o, 0000o Doo ooa�0o0 o•°o6 lDROY C. REID, !R. o 8 •. CE - 2251 ca�f �fP •••000eo o°O°•``�qc�A' Seal Compliance Inspection Report 0 U.S. Department of Housing and Urban Development NOTE: Reports of Final and Repair Compliance Office of Housing Inspections left at site always require reviewer's signature Federal Housing Commissioner to be Official. Consult mortgagee -for official reports. - - OMB No. 2502-0189 (Exp. 4/30/861 BUILDER - - FHA CASE NO. - a. ❑ Report not left at site. 0 , % b. Highest moisture content of lumber: - c. sport not official without reviewer's sig. - MORTGAGEE'S NAME AND ADDRESS - PROPERTY ADDRESS NO' Explanation of statements checked: Othe!Init(��1`a{$ RET. AS UNACCEP. final Uate Ol rrUp�uVn I -= INSPECTION OF ON-SITE IMPROVEMENTS REVEALS. 1. Conditions at site indicate that construction ❑ was, ❑was not begun prior 8. ❑ Correction essential as explained below: to date of approval for mortgage: insurance shown on commitment. (Applies a. ❑will examine at next inspection. ' / report on new construction) to initla P b. ❑ Do. not conceal until reinspected. - - 2. ❑ Builder other than named in application. 9. ❑ No noncompliance observed. 3. ❑ Unable to make inspection. 10 El Acceptableribed below. ❑Cannot locate property; ❑House locked;❑ Admittance refused. 11. El Extensive noncompliance: lianceapprovedeexh ❑House furnished Mortgagor or his representative riot present. - a from bi(See lV below:) III 4. ❑ FHA approved exhibits not available at site. - b. ❑ Unacceptable construction. (See IV below.) 5. ❑ Individual Water supply system; El Individual Sewage disposal system. 12. ❑On-site improvcr.ants acceptably completed subject to receipt of certift- ❑No noncom _ - _ -. noncompliance. - cation that mortgagee's inspection reveals satisfactory completion of ❑Needs Health Department approval for acceptance. (See l// below.) all items listed below. ❑Correction essential as explained below.. 13. ❑On-site improvements acceptably completed except items listed below. is delayed by conditions beyond control. (Scall/below) 6. ❑ Correction required by report no. not acceptably completed. ompletion of which 7. ❑ Repairs required by commitment not acceptably completed. 14. Onsite improvements acceptably completed. II — INSPECTION OF OFF-SITE IM R • VEMENTS REVEALS, (❑ Completion assured by escrow agreement. 15. ❑-Correction essential as explained below. 17. Off site improvementsSli) ❑ Completion assured by governing authority. f6 f-1 rn,nnior nn u,emial as explained below. - `. ❑ Acceptably completed. NO' Explanation of statements checked: NOT RE CEIVED RET. AS UNACCEP. ACCEPT - ABLE 18. ❑ Correction Essential as noted. Prefabricator's certificate required by related ��\ ✓L,"�'�: ,l lt�t `�- S (.�� ,� -�-.�vtJ>JL� 1� -CI +l .. AC. _ Form ❑ Ind. water Ind. sewage 2573 Supply system disposal system - 20. ❑ Acceptable Compliance with all specific cc difio�ns - not requiring field inspection. f i"� / Termite soil treatment guarantee. None ❑ �,l _ i, _. CERTIFICATION: - Icertify that nave carefully mspecre i ms PruperrY u,1 o1s mar=• ^^•o •.. r...•...•-•• ••^ -.-- — ---- applicant, or proceeds of the mortgage. To the best ofmy knowledge I have reported all - - noncompliance, work requiring correction, and unacceptable work. - - (Signed) Inspector w.n, ocnnr OlalC cict n Ihm Pr(MON - - TYPE OF STATEMENT REQUIRED NOT RE CEIVED RET. AS UNACCEP. ACCEPT - ABLE 18. ❑ Correction Essential as noted. Prefabricator's certificate required by related 19. ❑ Incomplete items as noted. - Engineering Bulletin. Form ❑ Ind. water Ind. sewage 2573 Supply system disposal system - 20. ❑ Acceptable Compliance with all specific cc difio�ns - not requiring field inspection. f i"� / Termite soil treatment guarantee. None ❑ �,l _ i, _. j. APPROVED j ❑Asmodified l�'(D �)'�" ` (Signed) T"""" Chief Architect E�.Deputy 1+ by IV - TO MORTGAGEE: When signed below refer to statement on reverse side corresponding to designation checked �❑ A. NONCOMPLIANCE - ❑ B. COitiMPLIANCE F-1 C. COMPLIANCE Incompleted items. "Mortgagee's ❑ D. FINAL ACCEPT-- i ❑ (a) Variations from exhibits Chad?,, commitment subject 'Assurance of Completion" may be submitted. ANCE ❑ (b) Unacceptable construction to inspection before issuance of - for completion - Closing papers may '- ❑ (c) Premature construction Firm Commitment. $ not later than be submitted. i D / / fvi ned) i -- �/ 1 Housin Division ❑ Deput INSPECTION NO. ❑ FINAL INSPECTION - ❑REPAIR -INSPECTION uv Ands f wiiriA2051 (3-79) w -o 19omonH -SJDCrV'd f 11SOID Ip IM Jl0U1Lagn5 all Anon 'jocuo Ll aacj Dill UO pal MIrUl SP. UOn Compliance Inspection Report • �I U.S. Depallnlenl of Housing -',-7 and Urban Development Office of Housing I r Workmanship Rating Federal Housing Commissioner [j BUILDER a. ❑ Report not left at site. FHA CASE NO. b. Highest moisture content of lumber: % c. Q -Report not official without reviewer's sig. MORTGAGEE'S NAME AND ADDRESS PROPERTY ADDRESS Other Inijials' Final Date of Inspection. HUD -92051 (3-79) 'UJOLUDWUIOD 6111 ilUM DDUPIld010DU011 Ul f0acJaSLll 013urn JOUJ Joj IeAOAddn jo olup of mpni U116011 SOM 11011DIMSUOD lmll slcaAD.I Ilolpad5Ul - uoponJ15110'J aArj QLa .ill (a) '01"elld Il10D 100j11 Ol SP OS pD131MOD Uaall SPIT U011311ASUOD am Will 61111IJM Ill Susmpu aorptjJolll plan 00up Insal B6P6110W Wj O1O161Ia111 paJaplSlloo all IIIM A11odiad Dlll -a- 1!j IPJd IlOnlm lwo, 1,000 10 sj Ualungnhai VI -hl 01CID111dde LIIIM DDllelld LU0DU011 aAIS11D1%0 SIPDAW l011DIIJ15000 - (1011DI1J1511 U'J D fIC1(Ia:>aL'll fj ((j) 'DD6a6j.1ow pill! JoB -P611oU1 Jlp llloll Aq pauris pilo su0lje1JcA @ill 6n1l9DIpuI Apnj'alc Dlldnp ill 'Sbalm'Ip All I"nuu julOODL' all Isnal Amjal s,Ao6e6Uouj 'pDlDajjP sl aouvrpadde I01J01M AD .101AolxD Dill ADg11D Ao '111DU1a611PLAV LM10 Dill 0.10LI j aD6e6uow Ali I)MORldc puP Mfic6u06j All pau6ls'po1DWISUOD 611IDq Mon sP >IJOM alp 6Ulquasap Alin, 'D1eDlldnp uI lollal P All pDlimd -1110032 aq 15001 NUSS000Dd0A AGI lsanbDU 'VH.I ca algeldnDoo punoj s1 slip pue 'palanllsuoD 6uioq Mau s1 11 sP A11JIln -as DO9611o111 Dill jo slscq alp UO I•UISS0001113.1 s1Sallb3I OD6e6jloul salon (L) AO 'DDuopd woD laojjD of so as pa1DDA.1oD oaaq seg >poM ogl kill SoslApe aa6e611ow ssolun (I) aoupnsul 06e61J0W JOj O1q IFIIDUI pnmplSuoa. Dq p1M Al ID(IOJd ag I 's11gIIIxD pMOMif! ulolj suopel.WA 6ulA10nU1 'aDUPIIdumDUOU DAISumxa sleaAW UOpDDdsul - sPgplxl Marl suopulJeA (e) :jo asnPDDg nlolullunuoa palcl a.l mil Ja suum oy1 y;IM oaucploDDe u! 110IIp1nj uaoq lou aneq suopgwoD 0I1I3ads IIP JO al(lcldaDDP lou 51 U0p3n1lsuo0 JONVIIdINOONON 'V =179V9,WOVU 0111 - Al IIJUNn :IOAU-11-I 610Vd NO WI)R):-II ID N01.1-VNOIS:10 0.1. ONI0NOdS-1H2JU? MO URI INJIN:UV LS iL1S LHOdHH iVOI.LOHdSN1'l3NV1-1dVJO') —� -- -- --- ". S E OF QL S Na DEPT. OF E %'IBONMENTAlL CONSE)l ATION ANCHORAGE/WESTERN DISTRICT OFFICE 3601 C STREET, SUITE 1334 ANCHORAGE, ALASKA 99503 August 31, 1988 Alaska Environmental Control Services ATTN: Alan Wien 1412 West 33rd Avenue Anchorage, AK 99503 STEVE COWPER, GOVERNOR 563-6775 SUBJECT: Horizontal Separation Waiver Between Well & Septic System, LOT 6, THUNDERBRUSH SUBDIVISION, Anchorage 8921—WA-004 & 8921—FA-018 Dear Mr. Wien: The Department has reviewed the subject waiver request and cannot approve the waiver. The report did not show that the separation required by 18 AAC 72.021 was clearly not necessary in this situation. Due to the close proximity of the septic system to the Class C Well, a potential for contamination exists. Sincerely, '---Steven W5 ng, PE Distri n9ineer SWE:pkk Marston Properties 20 September ]-2', 1988 D/HUD 605 4th Avenue Suite 081 Anchorage, AK 99501 RE: 11401 Thunderbrush Circle Lot 6 Thunderbrush SID Anchorage, AK 99516 111-019738-203 Dear Ranae; Enclosed are correspondences and documentation pertaining to getting a DEC approval for the above mentioned property. We have a problem because the neighbor has built his septic system too close to the community well. The attached information explains some options (not many) that HUD must consider. Alaska Environmental Control Services cannot do any further work until a decision has been made and persued by HUD. Since we are being transferred to another area this will be the end of my work on attempting to get this DEC approval. I have spent over four months just getting this far with the state and municipality. Talk about dragging their feet. Sincerely, MUNICIPALITY OFANCHORAGE HC/ DEPT. OF HEALTH & ENVIRONMENTAL PROTECTION Marston Properties Ed Tolley OCT 2 1988 D/HUD Properties RECEIVED 4105 TURNAGAIN BLVD. ANCHORAGE, ALASKA 99517 (907) 248-1717 PROPERTY MANAGEMENT * LEASING * SALES 0] _._ REALTOR A \ `C ALASKA RICO MMAL COUROL SkINS, InC. 5 a Cngineerinq & Enuironmental Studies September 12. 1983 Marston Property Management _ i 03 Turnagain 3. va Anchorage, AR. 9907 Attn: Ed Tolley Re: Lot 6, Thunderbrush Subdivision Dear Ed: Attached .is a copy of the submittal to Alaska Department of Environmental Conservation (ADEC) requesting approval of the subject lots Class "C" well which includes a waiver request for the distance from the well to a neighbors sewer system. Also attached is ADEC's denial of the waiver request. This means no approvals will be given for the well. The waiver request. letter (Attachment '.1 of 10) explains the situation of the neighbors sewer system being installed too close to the subject well. This makes the neighbor in violation of maintaining required separation distances. The installation of this system was inspected and approved by a Municipality of Anchorage inspector. I discussed this with an engineer at ADEC and asked what suggestions they might have to remedy the situation. They have no suggestions and indicated that they will not make any due to not having the time to consider it. I explained what the MOA does in a situation like this, of not penalizing the owner of b" subject lot, but approaching the neighbor in violation and forcing them to solve the problem they have created. ADEC's response was that they don't .have time to do things like that, and also, because this neighbor is a single family house, ADEC has no jurisdiction over private systems. They say any solution must be presented by the engineer for review and approval. I then discussed this problem with the }ICA, Department of Health & Human .Services. They said if an offical compliant is filed with them against the neighboring lot explaining that the violation of separation distances will not allow for the necessary approval to sell the subject property, they will attempt to force this neighbor to bring their sewer system into compliance,. This could be a very time consuming process. One possible solution would be to convert the duplex to a single family house. The only other solution I can think of would be to drill a second well on the subject lot, making two private wells, each serving one of the two units of the duplex. Either of these would reduce the required separation distances to 100 feet and the existing well would need a waiver to the neighbor's septic tank. This waiver would be requested through the MOA, and I believe the chances are excellent. 1200 West 33rd Auenue, Suite 6 9 Anchoraqe. Alaska 99503 9 (907) 561-5040 Tor 7ay NO to n0cars Sis with M to see Out they wann to Q. V you any questions. please cnii. Alan C. Shen Engineering Technician Approved by: r or Re N jr.,PhD PE Presid b STATE OF ALASKA DEPARTMENT OF ENVIRONMENTAL CONSERVATION APPLICATION FOR ON-SITE WATER AND SEWER SYSTEM APPROVAL I. GENERAL INFORMATION Type of Water Supply System Legal Description of the Loc a))tion tA, Source of 10 1 Well (Drilled or Driven) ❑Surface (identify) ��pp A®10-`r�cf/Vot=/cf-us� U KNone vkj S,G d -L - ❑Roof Catchment - -Public Applicant Name � e�.,� rye( UD /d'7� //�/S/� / /C / Ap licant is (Check one) Bank ❑Certified Installer No. - Owner/Builtler No. of Bedrooms Andress lStreex or P. O. Boxl / e /d. p� yD Type of Resitlence Total ❑Single FemilY RK MultiFamily U 'r/O/ G 7 �jW1i�T/ City, State and Zip Code ,4KPud. All 99s/ Telephone - /_7/y - Send Approval to: jrd3 E] Applicant Other. )Give Name & Addles,) 7� it1 cJ 9953 IL WATER SUPPLY SYSTEM Water and Containment (Check all that Apply) Type of Water Supply System Treatment Of Water (Check all that Apply) Source of 10 1 Well (Drilled or Driven) ❑Surface (identify) ❑Private KNone - - []Chlorinationrination - ❑Roof Catchment - -Public - o - Serves more than one ❑Filtration ❑Mineral Removal - - - ❑ Other (Identify) _ family) - - - ❑Other: -' - ❑ Mottling Tank tl Asa G " Well Data - - Is the Height of the Well Casing more than 12" above the Ground? 19 Yes ❑ No - - IS a sanitary seal installed On the Well Casing? - - yes ❑ No Is drainage directed away from Or shall nd the casing within a radio, Of tO rest Of the W°II Casing? � Yes ❑ No - le) Date Drilled Depth of Well (F� t) Static Water Level (Feet) Yield (if Available) Pump Rate (If Available) Gal/Min /% 11 / /� ��' Gal/Min Separation Distances from the Well Casing to each or the Following Sources of Contamination: Absorption Area on of Septic/Holding Tank on Lot Sewer Lines On Lot 1 / 73r ¢Closest /�� Closest Septic/Holding T/nk on Adjacent Lot Closest Sewer Lines j ent Lot Edge of an AbsorptiomArea on Adjacent Lot 11 If tonic materials are stored on the property, including fuel tanks, paints, lubricants and other petroleum indicate distance from contaminants to well casing: On Adjacent ALot On Lot �/� A11,4based materials, pesticides, fungicides or herbicides, Sampler Is: Water Sample Taken by: Name ❑ Buyer K Engineer 004" AddressD e¢6 9�3 � �i��.,6er, ❑ Government Official fl /7-00ul 33 /f✓r Water Sample Results: � �/� $'8' ❑ Uniatisfactor Satisfactory - Date: f- • •a• Attach Copy ((qq •�* Commentsi Recommendations: ae i /P e �. e I certify that the above information is correct: •a•• o._ • see as•1 ate ° •O• I' yP etl/Printed Name Tit e Signature � 01111, pe 2 2 51 ••salsassss°° Q% NOTE: Must be signed by aCerriFed Instiller, GroL ss•onal Engineer, Department o/ En4.$ "-Rfl)p+rc?'¢o or he Owner/Builder III. WASTEWATER DISPOSAL ❑ Septic Tank/Absorption �•i Package Treatment: ❑ (Specify Brand Name or Process) mss( Mottling Tank Capacity of Tank Where Waste is Disposed Frequency of Pumping Specify: A/. �T� Soil Type or Rating Type Soil Absorption System Septic Tank Outfall -13Discharged Other ISpe city): ❑ To: [Outhouse, Incinerator, am.) Name of Installer Date Installed ❑ Certified Installer ❑ Other: Typo/Manufecturer 0 Owner/Builder - No. 9���OT Septic Tank Si. (Gallons) Number of Compartments Soil Type or Rating Type Soil Absorption System Dimeneions/Six a Soil Absorption System Type/Quant] Backfill Material used for Soil - Absorption System Percolation Test Results Percolation Test by: (Name) - Minimum Ground Cover over Absorp Minimum Ground Cover over Septic Cleanout Isrs/Cap, Installed on Septic Tan Ianout Pip `s/Caps Installed on Absorption System tion area Tank Yes No Yes ❑ No Feat feet ❑ ❑ ❑ Water Supply Source on Lot Nearest Water Supply Source on Adjacent Nearest 8tly of were; Water Table/BadrOck lot Line Separation - AJ 14 Lot lSeptic nTannk /RNs' 8p I%h/Y—/ Minimum Ground Cove over Absorp. Distance to: Feet Feet Feet Feai Feet Comments/Recommendations ,s/A Yes ❑ No I 4 a, Icertify that the above information is correct: Signature Typod/Printed Name Title, Reg. /Cert. No., Inst No. Date Water Table/Bedrock Lot Line Separation NOTE: Must be signed by a certified installer, professional engineer or DEC Staff. - 15i1T Fvistinn Suefam .- ® i•is i� `➢A a� { aaaeaa OgCM06�1 i s� se is Ar t t ®e0 .a• •11 9 J4 f o - ' r •10red Prolessron R *3iai/aaae P F Name of Installer - - - - Date Imtalled �•d/ - 9���OT ❑Certified Installer E] Other: Owner/Builder Type/Manufacturer -❑ —172-E� Septic Tank Size (Gallons) Number of Compartmams Soil Type or Rating �I fr Type Soil Absorption S stem D imensions/Size Soil Absorption System Type/Quantity Backfill Material used for Soil - - Absorption Syztam 1 Adequacy Test Results: AdequacyTesi Perfo-1rmezd8 y:(Attach Copyoffteport) Date Pumped(/AFttacct, Copy of Receipt) ��`` �L 11 Pass El Fell - N//T - - AJ 14 lSeptic nTannk /RNs' 8p I%h/Y—/ Minimum Ground Cove over Absorp. Minimum Ground Cover over 5e tic Cleanout Pipes/Capz Installed on Septic Tank C leanout Pip.VCaps Installed On Absorption System tion Area ,t /J R Feet Tank - - Feet yes No ,s/A Yes ❑ No I 4 a, Water Supply Source on Lot Nearest Water Supply Source on Adjacent Nearest Body of Waxer Water Table/Bedrock Lot Line Separation Lot - -/ Distance to: 117- Feet Feet (Feat /'/ /% Feat Feet Con-mentjs/Recommendations _ _ /t`6fA/q//—... '- 1 certify that the above information is correct: w.EaL .a•- Signature Typed/Printed Name Title, Reg./Cert, No., Inst No.[S' tA a ®�® east NOTE: Musr be signed by a professional engineer. ® i•is i� `➢A a� { aaaeaa OgCM06�1 i s� se is Ar t t ®e0 .a• •11 9 J4 f o - ' r •10red Prolessron R *3iai/aaae P F A `C, ALASKA CIIUIROflmMAL COnTROL SCRUICCS, IN. o Enginctrinq 6 Enuironmcntal Swdits July 19, 1988 Alaska Department of Environmental Conservation 3601 C Street Anchorage, AK. 99501 Re: Lot 6, Thunderbrush Subdivision The subject lot contains a 4 bedroom duplex served with a Class "C" well and a 4,000 gallon holding tank. The well was drilled in 1971 and is 199 feet deep with a static level of 134.7 feet. In this particular area there is no known bedrock at 199 foot depth, therefore, the well would be cased to the bottom. A 4 hour well flow test was performed on 6/9/88. See attached data sheet: 5.3 GPM ws maintained with a total drawdown of 5.2 feet. Storage Calculations: Instantaneous Demand 8 x 2 x 20 = 320 gal. Pump Yield 5.3 x 20 = 106 gal. Storage Required 320 - 106 = 214 gal. Existing Storage Tank- 40 + casing 82 = 122 gal. Additional Storage Needed 214 - 122 = 92 gal. With a total drawdown of 5.2 feet, the well is capable of producing a higher instantaneous demand. The system has been working adequately since 1971, therefore, we request you approve the existing storage until such time that demand exceeds production. From the attached site plan diagram, we find the separation distance from the subject well to lot .6 septic tank cleanout pipe is 97 feet and to absorption field standpipe is 113 feet. This system was installed on 9/15/80, after the subject well was operating as a Class "C". To the north, lot 40B septic tank cleanout pipe is 141 fee from the well. It ws installed 11/7/74, also after the subject well was operating as a Class "C". At that time the required distance was still 80 feet to the septic tank. We are requesting a waiver of the separation distance to the lot.$ system. There is no well log for the subject Drell. Neighboring well logs show various areas of hardpan, silt and clay from the surface to 180 feet depth. Water samples taken 6/9/88 show no sign of contamination. There are no other sources of contamination within 100 feet of the well. We request that you issue a Certificate to Operate for the subject well. If you have any questions, please call. Sincerely, Alan C. Wien Engineering Techncian �1 i J �G �,��a,PuS�►% 4/5/84 Lee Reid AECS, Inc. 1200 W. 33rd Ave; Ste. B. Anchorage, AK 99503 Dear Lee On this date I called Mr. Kendall Muckey to find out the depth of my well and the approximate date it was put in. Mr. Muckey advised it was 199' deep and was put in in the year of 1971 (approximately). If you should need any further information, do not hesitate to contact me. T nk you, Joan Gustason CHEMICAL & GEOLOGICAL LABORATORIES OF rALASK47 INC. 5633 B STREET ANCHORAGE, ALASKA 99518 TELEPHONE (907) 562-2343 FEDERAL TAX ID N 92-0040440 ILe ORPiORtS ANALISIS REPORT BI SAMPLE fox Work Order 1 7173 Data Report Printed: JUN 17 88 4 15:18 Client Semple ID:L6, THUNDERBRUSH client pane : AECS _ PWSID :UA - Client Acct : AEECSRP Collected JUN 9 88 4 16:25 his. 1.0.1 NONE REC D Received JUN 9 88 4 17:00 hr e. Req i Pleaexved with :4 DEG. C/ACID Ordered by : A. WIEN Analysis Completed :JUN 15 B8 Send Reports to: Laboratory Supervise :STEPHEN C.�L-'D_E / 1)AECS Released By G • �`" " 2) " ..................................................................................... Special - "- Instruct: Chemlab Ref I: 1358 "... Lab Snpl ID: 1 Norris: Water .." Allowable ::Parameter Tested Result/units ------' <:Hetbod Limits INORGANIC CHEMICALS/TITLE 18 ------- n/a n/a ARSENIC 0.0038 eg/1 ASTH D2972 0.05 maxima -- WD(0.05) 29/1 EPA 208.2 1.0 maximum BARIUM WD(0.002) mg/1 NPA 213.2 0.010 maxim CADMIUM ".-CHROMIUM 1D(0.01) mg/1 - 1ZPk 218.2 " 9.05 maxim - -- 0.21 mg/l SM14 414C 2.4 maximum YLUORIDE 9D(0.01) ng/l EPA 239.2 0.05 maxim LEAD mg/l -SN14 3010I 0.002 maxim MERCURY - -" "NITRATE ;I3D(0.0002) - "VD(0.10) mgll SPA 353.2 10 -N -WD(0.001) 09/1 fiSTN D3859 0.01 maxim . SELENIUM " -10 0.01) mg/l - ;Vk 272.2 .:..9.05 maxima - . SILVER SIL - 0.31 WTO EPA 180.1 1.0 maximum EDITI Sample ROUTINE SAMPLE Remarks: SAMPLE COLLECTED BY A. WI EN. ........................................... - --1•-•-•---•e-•-t 12 TestsPerforned -See Special Instructions Above •• 1UA-Unavailable ND- None Detected " See Semple Remarks Above NA- Not Analyzed LT -Less Than, GT -Greater Than ALASKA ENVIRONMENTAL CONTROL SERVICES, INC. 1200 West 33rd Avenue, Suite 8 ANCHORA0GE7) , ALASK040 A 99503 (9561-5 JOB SHEET NO..Of CALCULATED BY lj/g-./ DATE� CHECKED BYDATE� SCALE- vo 3 _ + r,tw ruwirtwb it.)i DATA SHEET PROJECT: /'BUD DATE OF TEST: G-9 8S LOCATION OF WELL (Legal Description): G6 -��b r WELL DEPTH: /%9 FT. CASING: FT � SCR:c'1: 1 DATE DRILLING COMPLETED: 1971 DRILLER: STATTIIC WATER LEVEL (Top of Casing): 1.31-7 FT I JETapsea Time ince Clock Pumping Started/ Depth to - Drawdown/ Punping Remarks. f Tine Stopped, Min. -Water, ft. Recovery Rate, GPM 1 7-x-!5'0 ", /3t 7 s w 1 0 0 Start vGt �Q 30 5 0 z 2-0 / 7�I vu /37,7 L_ $;Z (Irl X4 + - 9j% /57 _ // L , 120 (2 hours) I —T �3 ctn9G as c >-3 "•• rani s.z 3.3 is5 /57 JS2 iSz � So � nouns � S3• / /s9 9y/ g—� 210 /19.9 Ss�_ S.3 473 �S9 //nn RECOVERY re—<5114,j u Race.. ed STATE OF ALASKA DEPARTMENT OF ENVIRONMENTAL CONSERVATION APPLICATION FOR ON-SITE WATER AND SEWER SYSTEM APPROVAL I. GENERAL INFORMATION es_•,P:,nnn•:L0T- SID 6 OGI; 7N"'DL413R05)i ❑ Well (Drilled or Driven) ❑ Surface (Identify) is: (Check one) ApPma�"`• Name Bank ❑Certified Installer No. Bank Z Q G U5 I -1 C �/ -mer Owner Bat Type of Residence Tota' No. of Sed'ooms . Address 'Street or v, pEoxl Multi Family (•y Single Fam ''y �1 O 10AIEPGa'Is ❑ Holding Tank City. State and Zip Code Telephone G Wall DataC] No Is the Height of the Well Casing more than 12" above the Grou ntl? ❑ Yes Send Appr� to: �C Sr tA�L C) _ C Applicant Oaer. (Give Name & Atltl•ess) o L,,,•� _ K JJ - 11. WATER SUPPLY SYSTEM Source of Water and Containment (Chock au that Apply) Type of waxer Supply System Treatment of Waxer (Check all that Apply) ❑ Well (Drilled or Driven) ❑ Surface (Identify) ❑Private ❑NOne ❑Chlorination ❑ Roof Catchment ❑ Public (Serves more than one E] Filtration ❑Mineral Removal ' ❑ Oiher (Identify) family) ❑Other: ❑ Holding Tank Wall DataC] No Is the Height of the Well Casing more than 12" above the Grou ntl? ❑ Yes ❑ Yes ❑ No Is a sanitary seal installed on the wall casing? Is drainage directed away from or around the casing within a radius of 10 feet of the wall casing? ❑ Yes ❑ No Data Drilled Depth of Well tFeet) Static Waxer Level (Feet) Vieltl Ili Available) Pump Pete Uf Av,liable) Gal/Min Gel; Min Saparatwn Distances from the Well Casing to each of the Following Sources of Contamination: Septic. -Holding Tank on Lot Sewer Lines on Lot Absorption Area on Lot Closest Septic/Holding Tank on Adjacent Lot Closest Sewer Lines on Adjacent Lot Clmest Edge of an Absorption Area on AClacent Lot If toxic materiels are stored on the property, including fuel tanks, Paints, lubricants and other petroleum On Loi On Adjacent LOt based materials, pesticides, fungicides or herbicides, indicate distance from contaminants to well casing: Sarnpler 1s: Water Sample Taken by: Name ' ❑ Buyer ❑ Engineer ❑ Banker ❑ Government Official Address Water Sample Results: ❑ ❑ Unutisfactory -Dan: Satisfactory Data: Attach Copy Comments/ Recommendations: 1 certify that the above information is correct: Dat. Siynatu a TVPed/vrintad aha Title Il' oN U LU. �+A'tES ENr r t er I u -TEc / r'r 2 NOTE: MsW bf **ffld by aC*-dr1ed lnttafler, Profrstionsl Enyinefr, Department o/ Emironnannl Conmrntion or tlra Ownar/BuRlier I11. VVMJ I "— -.. - - L Package Treatment ❑ ($peaty B and Name or Processl ❑ Septic Tank: Absorption System No (d i�4�-�- Frequency of Pump; 22g WAsCr� AL1t6M Tank - {t Capacity OE Tank 4 CA' Where /W'aste is Disposed � /� Tsr9r1 I �•4 -4-- A specify: T• /TlJ O[Fa tSpeci(yl 1 1 Septic Tank Outfall t V`4 ❑ IOuthouie, Intinera[Or, etc.l ❑ Discharged To: New System Date Instated Name of Installer C Other: Type r Manufacturer ❑ Certified Installer ❑ Owner Builder No.----�� Tank Size (Gallons Number of Compartments Sal Type or Rating VIA -1 lType Quantity Backfin Material used for Soil Dimensions/SPze Soil l Absorption System Absorption System Type .,,'Absorption System N 14 II N Percolation Tes[ by (Namel Percolation Percolation Test Results if Ground Cover over Caps installed 0° Cleano rss; CapsOsNlole on P1Pesvs[em ' bsorPt-on Ses Minimum Ground Cover over AbsorP area Tank minimum � yySepc -r. Feet Septic Tan ❑ YNo V ❑ Yk k tion Feet Source on Atljace nt Nearest eotly of Rater Water Table. Bedrock Lot ..... Water Supply So.," on Lot Nearest Water BUPDIy Fee[ Feet Separation IZv Lot r �Utat Feet N y4 Feet Distance to: Comments/ Recommence I Feet tions 11.tlf4M Q ffT� �.� it., )k517ECrEO ItSTt1LCNTiC/+ lt,1l— 'If 4114C�sdi Reg. /Cart. NO.. Inst. No. I Date NOTE: Must be signed by a cum tied installer, professional engineer or DEC Staff. Existing System Type: Manufacturer ❑❑ Certified Installer Other: ❑ Owneri Builder No. Septic Tank Size (Gallons) Number of Compartments Soil Type or Rating D;meneionEi Size SOii Absorption System Type Quantity Bat kill Material used for BOII Type Soil Absorption System AhzOrD bO^ System Adequacy Test Results: Adequacy Test Performed BY (Attach COPYOf Report) Da to Septic Tank Ft,mped (Attach Copy of RE ❑ Pass ❑ Fail Septic Tank Absorption SYstem ❑ Minimum Grountl Cover over Absorp Tankmum Grountl Cover over Septic Cleanout Pipes❑'Caps Installed on Cle l oYtos'Pa "am Ins Noe on tion Area Feet ❑ Yes No Feet W a[er BVPpIy Sou tie on Loi lot rest Water Supply Sour<e on Atll acont Nearest Body pt 1\'ate"ILV Ater Table Bedr Feet ock ock LOt L�pf Separation Feet Feet Distance to: Feet Comma n¢Recommendations /0// A-V I certify that the above information is correct: a .F tutee Nam¢ rtle. Reg.. cert. Vo.. `= dY - e• N07"E: Must be signed by a Jr. i$10N�`+v Feet i i a e b) All Structures c) Septic Tank d) Soil Absorption System el Surface Water f) Sources of Contamination g) Property Line (Include Dimensions) ;I h) Closest well on an adjacent property i) Closest septic tank on an adjacent property j. j) Closest edge of an absorption field on an adjacent property .i,,. 2. Show distances between the well and each of the other items listed in 1. 3. Show distances between water bodies and each of the other items listed in 1. 4. In a cross section view of the soil absorption area, identity each component and show the depth (thickness) of the following: al Soil Cover b) Absorption Material c) Water Table d) Bedrock e) Discharge Pipes �HON■■■■�■�■■N�■■■■ten ��� ARCTIC ENGINEERS, INf-- I 1506 West 36th Avenue ANCHORAGE, ALASKA 99503 (907)2 S61-I!,4S P2 ":� �1_ CT At,4cH WE ARE SENDING YOU XAftached ❑ Under separate cover via ❑ Shop drawings ❑ Copy of letter L[EVUrl (11F c 4 S MDUML following items: ❑ Prints ❑ Plans ❑ Samplesnn ❑ Specifications ❑ Change order �'..p0 R T T 1) 1" 1 2 \A✓l h(A COPIES DATE NO. DESCRIPTION ❑ For your use ❑ As requested 70 0. 3 e Alt Z0111t.3 ❑ FOR BIDS DUE 0 o a s� THESE ARE TRANSMITTED as checked below: ❑ For approval ❑ For your use ❑ As requested For review and comment ❑ FOR BIDS DUE ❑ Approved as submitted ❑ Resubmit copies for approval ❑ Approved as noted ❑ Submitcopies for distribution ❑ Returned for corrections ❑ Return corrected prints XeP.TAIQ IN YOUR FIL_lzS 9 ❑ PRINTS RETURNED AFTER LOAN TO US • _1 u I C VT 0 rem oiffili"t rt• �► . . . • r QE -C_ 'F012 W f <LE�aAW LE WA I t'Q COPY TO �— SIGNED: ;jj7�) Psouum 240 Dim. mom.,. xzs oun. - If enclosures are not as noted, kindly notify us at once. � u j !_ i s f J BILL SHEFFIELD, GOVERNOR DEPT. OF ENVIRONMENTAL CONSERVATION i Telephone: (907) 274-2533 Add es:: 437 E. Street T i Suite 200 �I �e �lDo2_Y 2ceSFl S�� Anchorage, AR 99501 October 5, 1983 MUNICIPALITY OF ANCHORAGE DEPT. OF H'ALTH 8 ENVIRONMENTAL PROTECTION Mr. Ted Hawley OCT ti -- Arctic Engineers Inc. 1506 W. 36th Avenue RECEIVE Anchorage, Alaska 99503 Dear Mr. Hawley: Subject: Waiver on Class "C" Well, Lot 6, Thunderbrush Sudivision 11 The Department has reviewed the request to waive the sewer system separation distance to 100 feet on the cannot grant the waiver for the following reasons: 1. Leachfield upgrade would pass under a drive way. This would effectively eliminate that portion of the field because of the tight soils found on the Lot. 150 feet well to subject Lot and /o 2. The Lot is too small for on -lot water and waste systems wjth only 2765 ft2/bed room whereas 5000 ft /bed room would be the minimum amount needed for a waiver. 3. The proposed system upgrade is marginal at best and is probably under sized. 4 6AJI 'I J,� �N There is no information about the well, i.e., well logs, depth, casing type grouting, pump types etc., and no infor- mation on any proposed hardening of the well. Since ly, Bruce E. Erickson Environmental Engineer BEE/msm cc: Robbi Robinson, MOA i4i i Y_= 1 � i_ I i aa° /� E e—i t -J W=_ H (W F°?F-1 - 9 i C-2- DEPARTMENT � C.�EF'FIRTMEhIT u, °IEHLTFI AND ENVIRONMENTAL F 1TECTIONd _25 ''L STREET, ANCHORAGE, AK. 9950! 264-4720 PERMIT NO. 830017 APPLICANT JOHN SAVINA =. R. A. E. 1648—B —E. may_—W 7r'a K CATION THUNDERBRU H to 115TH ,LEGAL LOT E THUNDERBRUSH S/D LUT _IEE 20060 _i=tUAFiE FEET TYPE OF SOIL ABSORPTION SYSTEM IS: TRENCH MAXIMUM NUMBER: OF BEDROOMS _ 4 =OIL EATING (SO FTrBR)= 240 THE REQUIRED SIZE OF THE _OIL ABSORPTION iRPTION _•YSTEM IS: i~• �• W_-8 i. P-$ W� T i—i e_. W_W I.i �_! °^: ° �. G� � �-" i—! = eQ . THE LENGTH DIMENSION I_ THE LENGTH QNd FEET)OF THE TRENCH OR DRAINFIELD. THE DEPTH OF A TRENCH OR PIT IS THE DISTAN'dCE 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 MINdIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE AND THE BOTTOM OF THE EXCAVATION ON FEET:. PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURINdG THE INSTALLATION INSPECTIONS OF ANY WELLS ADJACENT TO THIS PROPERTY AND THE NUMBER: OF RES•IDENC:E_. THAT THE WELL WILL SERVE. -_ _. _ —�' i,°l W_I t ly _I T 14 -° K E=1= _T— i Cl rA <3 FA F Z E_ FR E= W_: LJ .1 FT E= E.:° BACKFILLING OF ANY SYSTEM WITHOUT FINAL INdSPECTION AND APPROVAL BY THIS DEPARTMENT WILL BE SUBJECT TO PROSECUTION. IINIMUM DISTAN'dCE BETWEEN A WELL AND ANY ON—SITE SEWAGE DISPOSAL SYSTEM I_ LOCI FEET FOR A PRIVATE WELL OR 150 TO 200 FEET FROM A PUBLIC WELL DEPENDING IPON•d THE TYPE OF PUBLIC: WELL. IINIMUM DISTANCE FROM H PRIVATE WELL TO A PRIVATE SEWER LINdE IS 25 FEET AND 0 A COMMUNdITY =EWER LINE IS 75 FEET. THER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE VAILABLE TO INSURE PROPER IN•dSTALLATION. F0°E=fm? Y-0 Y T E: CF=j I F_E_° E> E= CD E= P1 E3 E K TA . A "DE3- CERTIFY THAT I AN FAMILIAR WITH THE REQUIREMENTS FOR ON—SITE SEWERS AND WELLS AS SET -ARTH BY THE MUNICIPALITY OF ANdC:HORAGE. I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. I UNDERSTAND THAT THE ON—SITE SEWER "cYSTEM MAY REQUIRE ENLARGEMENT IF THE =IDENdCE I_ REMODELED TO INCLUDE MORE THAN 4 BEDROOMS. IGNED APPLICANT TOHN'd SAVINA _ SSi IED BY "! '_ ,L1eQ -------------- GATE__ l_ G_ -- _— V? 0 iae 4,1 6bd vllvovec✓ okal�l /.,7 up�sa hG1 944, lu/ 4, c/ /s �� q 6G� a�e��✓. culcryla d S�t9s ✓yslam, we �/wu� ct✓ e-c� Ile J'.e�JJ04//je. �,0��p/f .EP p46<¢c.,P; ! c 'wo 4 ra 4�/ � y � , J � ENGINEERING INNOVATION W l HE' FAR NORTH ARCTIC ENGINEERS, INC. September 13, 1983 John Savina 7200 Dawn Drive Anchorage, Alaska 99502 ENGINEEMNG STUDIES a DESIGN o CONSTRUCTION MANAGE4EN"I - $URVFYING AEI# 83-032-01 JSS // �b7' Re: Lot 6, Thunderbrush Subdivision -Septic System Evaluation Dear Mr. Savina: We have completed an evaluation of the septic system and associated problems on Lot 6, Thunderbrush Subdivision. The evaluation was undertaken at your request. The findings of the investigation follow. on-site sewer upgrade permit 830017, issued 1-06-83 by the Municipality of Anchorage, specified that 720 square feet of absorption area (60' of 6' deep trenQh)._must..be added to the existing system. This area requirement was based on a septic system adequacy test performed by Alaska Environmental Control Services, Inc. on 11-17-82. That test resulted in a daily absorption capacity of 200 gallons per_day.,_Qr.,400 gallons per day less than Municipality of Anchorage requirements for a 4 -bedroom dwelling. The excavator who was hired to install the upgrade recognized that the small lot size and well locations at the site would make the upgrade very difficult to install legally. He then contacted Arctic Engineers, Inc. (AEI) to perform -.a soil analysis to Municipality of Anchorage specifications, with the hope of attaining a lower soil rating and consequent smaller upgrade. The soil analysis and pert test performed by AEI resulted in a soil rat;na f.230 squarefeet per bedroom, in c ose agreement with t e previously established 240 square ft. per bedroom. Additionally, AEI encountered groundwat 9feet below surface level, which remained near that level during the observation period, 7/20 - 97_2T9_!_.__ The results of the soils testdidnot yieldany:significant reduction in the size of the required upgrade. Subsequent to the soil tests, all available information concerning the existing property and septic system was assimilated and plotted on the attached site plan, page Al. That drawing shows the surveyed -in house and lot corners, septic system standpipes and well, from a 3-20-74 "As -Built." Additionally, the drawing shows the approximate locations of the underground septic system components as found in the records at the Municipality of Anchorage, Department of Health and locations of adjacent wells determined by AEI. RC` ICNGINEERSINC. 160 VV. 36THAVENUF ANCHGRAcr ALASKA 99,503�Jo//2//8593 5 3909 PAMICIA ANE a ANCHORAGE A4ABKA 99604c 907/3339423(AC000NNNG) n AEI was-alsorequested to perform -a septic system adequacy test to clarify the results of the previous adequacy test. In that test, the surge capacity was given as 10 allons, and the daily a orltion c 't deter be gallons per ay. No information was included in that test report which indicated ow the test was performed or how the results were determined. The surge capacity was suspected to be innaccurate by AEI because the standpipe at the crib.had just a very.. small hole into the crib. If water was input at that point, it would require 10 gallons to fill the pipe- giving misleading surge capacity data. AEI chiselled out the opening into the crib prior to performing the test and achieved a substantially different surge capacity of 350 gallons. The dailv absorption capacitv determined by AEI was 260 qallons per day. The adequacy test report is included with this report. �� The attached site plan along with the attached excerpt from the Munici a ity of Anchorage, Dpeartment of Health and Environmental Protection on-site wastewater system design manual, page A2, shows that with the existing requirements for clearances to wells, no upgrade is possible. However, if variances could be obtained onlv_. on the distance from ,well B, a class C semi- public well, and distance from a driveway, the cross -hatched "possible upgrade area" would become usable. Neta: X4t4 Dec ­// ns-/ pA,*'I yo�ioncc ,n //rc�is�! The necessary variances would be 100 ft. to well B and the upgrade would need to go under driveways on the south portions of the property. Those parts of the system would require insulation. '• The only other alternative which exists, as defined by Dr. Robert Robinson.of Municipality of Anchorage, Department of Health and Environmental. Protection, 'would be to abandon the existing absorption system and install a 4000 gallon holding tank. This would need to be emptied periodically and would/result in / a very high operation cost. nA1j// ,11e O.S�C o/iw. AV �V 7�on.a- CO I'44 /DO /D/ ; Pfg According to the Municipality of Anchorage, Water & Wastewater Utility, there are -no plans to provide that area with public sewer service. The possible upgrade area is about 55 feet long, determined graphically from page Al. From this determination, the calculations on page A3, were computed to determine the maximum system size which the subject lot could support. Two types of systems were evaluated, these being drainfield and trench designs, to meet the Municipality of Anchorage requirements for clearance to ground water as highlighted on page A2. The resultwas that a maximum of 3.64 bedrooms could be provided for with a 4 foot! deep trench upgrade. This system. would require a lift station and insulation as shown on .page A4. The drain field (shallow trench) design resulted in a maximum of 3.44 bedrooms, which would be constructed as also shown on page A4. Both designs would probably require relocation of existing underground utilities (i.e. natural gas service lines). It is realized by AEI that the proposed system does not meet the full Municipality( - of Anchorage standards, and that all figures used assume optimum conditions - soil ratings and distance requirementsarepushed to the limits. However, when the proposed system is compared to a holding tank system, it seems justifiable. A well depth of 199 ft., previous satisfactory fecal coliform analyses, and tYeF�, soil conditions on the property indicate that the proposed upgrade should hav no adverse effects on the well serving the property, nor on neighboring wells, AEI was also requested to make comments on a --letter addressed to Colonial Mortgage Service Company Associates, Inc., dated August 26, 1983, from John Gustason, Brian Walimaa and Joanne Walimaa, which is attached to this report. Referring to item 3, "Raw Sewage is Seeping...", this is unproven - it is our opinion that that water is scummy surface water, because at the time we examined the crib the water level in the crib was several feet lower than the water level on the surface. Proper landscaping so that surface waterwill be diverted from the crib would eliminate that problem, and may improve performance of the absorption unit. Item 6 is similarly unproven. We were also requested to comment on any alleged damage to the absorption unit caused by Mr. Savina operating a backhoe near the soil absorption system during the spring of 1983. We could .find no evidence that any damage other than aesthetic damage to the ground surface occurred. We hope that this sufficiently answers all of the questions which were asked us. No perfect solution exists to this problem, but we hope that a compromise solution) such as we've suggested will be acceptable. If you have any questions, please don't hesitate to call. Sincerely, ARCTI/ICC ENGINE RS,I, INC Ted Hawley OF A� .. Environmental n neer _o_(`._e,..•,..._'Q.o:�s i Q , �'WEL(._ R -ISO' RADIUS DIEL(- A- 100' RAOIUS WE Ll 13 - 100' t3 6 A i 1 20 A_ L V — �\ \ \ 4 OEDROOH EX (STING , DUPLIEX LEACHING AREA \ �' _ A POSSISL POS&IBLE \� LIP(` STATION J\\ Zxr.� � - 'si ,�s :ate-= x f 'e, r THUNDERBRUSH CIRCLE rt 1 p WELL C ARCTIC ENGINEERS INC. ANCHORAGE, AK. O WELL A �J^ RA DI US IO' UTI L. ESM T Vl - WELL SP -- / A PROPERTY LINE. W ELL C -loo ,RADIUS PROJECT NO.$5-OS2 DESIGNED: DRAWN: WTH CHECKED: DATE: cl- Q- 83 SCALE: I' = SO' � APPROX, PROPOSE WELL L0 -r6, THUNDERePUSH SJO SITE PLAN SHEET'. OF j' Municipality of Anchorage Department of Health and Environmental Protection DESIGN OF ON-SITE WASTEWATER DISPOSAL SYSTEMS 1. General The options for a standard on-site wastewater disposal system include deep trench, drainfield (shallow -wide trench) and bed. The option selection will be governed by site con- ditions, available material, and economics. Of these, site conditions will usually be the most critical, and certain guidelines and limitations must be standardized and applied to all designs. These standardizations are defined in the following paragraphs. 2. Location: The configuration of the lot must be such that at east two replacement systems may be installed. The minimum distances required from a drainfield are as follows: (a) individual single family well = 100'; multi -service well - Class C - under 25 service of less than 15 connects = 1501; multi -service well - Class A/B - over 25 service or more than 15 connects = 200'; (b) lake, river, stream or major surface drainage course = 100'; (c) any other existing or anticipated drainfield = 301; (d) lot or property line = 10'; (e) building or structure = 10'; (f) driveway or vehicle storage or parking area = 10'; (g) water main or service line = 101; ($) septic tank = 5'. The drainfield must be installed within 10' of the soils test site. 3. Slope:� The slope of the area in which a drainfield is installed may not exceed 25% (14 degrees). Seepage bed designs must be limited to areas having 2% or less slope. These slope limitations must also be applied to the areas(s) set aside for the two replacement systems. Trench or drain - field systems must be designed and installed so as to conform to the natural slope or contour of the area, and across slope. The grade of distribution lines within a trench, drainfield or bed system must not exceed 6" per 100' of length. If distribution lines are not used, the same grade limitation applies to the trench or bed bottom. 4. Ground Water and Bedrock: In all system designs, the minimum depth from the bottom of the trench or bed to ground water or seep shall be 41. Should there be seasonal fluctuations in ground water depth, the shallowest depth to ground water shall apply. The minimum depth from the bottom of the trench or bed to bedrock or fractured 'bedrock must be 6'..,, LOT' 6_. TNUN F( S/Dn C?/"q/82 ABSoQPTtor( -Aq-A - (-CU(-,A-(IONS DOTES: AVA ¢LE G9-OVND SU12fACL A25SD?-P-T(or-I 2�tr `S'x �" 9 std. FT. SOI L_ 2A T I I-4 Cr F 2 gvvi PEE ICEST CAF -:t a3T. PC12- IIco2auyll ChIO i.�S�sTMan? nnP�lEp� N Cr -A Bso Q P[ t o hl C A Pfl L ICAST, I 9 &s) a6c) C- 6,-j 0 A G 2 D w A 7- C�� L E✓ CA --- a T. EE(- > GNP. i ICIIALLO-) T2EtV(C!( Q EDUC-T�e7N bus Fig G T r/�L P HI DO Sv62CAC C /� �S0IL 2f^TING EDUCT fCM>(AC-T 0762. -<7,S'-.c _ � e D t bArwmS 230 Ell/bed .7 U 1.?3 TO T^ t_ #- 1M CO 906M S iPmL t ."R L E = __I, /\Nf)f\?(LIFr c- TA, 2cQb) L_ � s �4) D q �4 # R ED 12 _D x L ,o (C- �A'T I N G TOTAL -4 _R_Cf)VootmS_PosS_i3L_C,_-_ _ � 3• PAGE A3 TR( --NCH OL.,(N APP2OXI"A7C DaIVEWAYS y�4(ASSUMEp) �Q"H1GH DGNS19Y FOAM INSOL. 2 PERF. DIA - LIFT STATION EX(STINC- T -RF -NCH iJ QA i NEl f.LD-DL_�,! (,P�( 3 �I(Ms UAi 60) S T.l21130T10N L LNE SUMP MOUND DIRT OVE(2 TQC"C.H TO P120VLDE, (.S' COVC2 'OEEP,C w�DE EXISTING TRENCH INSULATION - _=-- 3' I (A"'PERF. DIST21$UT10N .INE r SIIMP PROJECT \/,/-fFf DESIGNED: LOT6, Tv(vN Lx,, ,(2US14 S%D w DRAWN: wiZFf CHECKED: NOPOSt-3 0MA40 Ul, DATE: Q- 12-533 SCALE: 1 1 0' L4 SHEET OF X SOILS LOG MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION M PERCOLATION • +.F TEST 825 L. Street, Anchorage, Alaska 99501 2644720 SOILS LOG - PERCOLATION TEST PERFORMEDFOR: DAyE ') ueo(GT cog -� 1oHN �)AVILIA DATE PERRFORMED:— /2 I/Z 3 ( f LEGAL DESCRIPTION: LOT h -f o g -u E29 QLA(4 2>/D'/ EPTH ^ SLOPE SITE PLAN 1 ��EET) WRQ( t QEDDIStf F (` / SLL?Y L -o^ ( 2 FEL 4 5 6 7 8 6 15 16 17 18 19 20 CKH4kL SILTY GRAVELLY SRND- rQADIK(- TD S IL-zY Sj\rtDY C-QAveu Sm- G Iii SOME t'OCKETS- LhYc2ING, 6.0. N . WAS GROUND WATERS ENCOUNTERED? —E L O Gross Time P IF YES, AT WHAT n E DEPTH? Reading Date Gross Time Net Time Depth to Water Net Drop � t, rr PERCOLATION RATE TEST RUN BETWEEN PERFORMED BY: l6, I"I aof CEFTIFI ED BY: 72 -008 (6/79)4Q. CE - n ENGINEERING INNOVATION IN _� 1 HE FAN NORTH ARCTIC ENGINEERS, INC. September 13, 1983 Mr. John Savina 7200 Dawn Drive Anchorage, Alaska 99502 ENGINEERING STUDIES � DFSION , CONSTRUCTION MANAGEMENT - SURVEYING SEPTIC SYSTEM ADEQUACY TEST LEGAL: Lot 6, Thunderbrush Subdivision OWNER: John Savina DWELLING TYPE: 4 -Bedroom, duplex WATER: On-site well SEPTIC SYSTEM: From MOA records AEI# 83-013-26 SAT Tank: 1250 gallon, concrete, single compartment Absorption Sys.: Log crib seepage pit w/ 40' Trench Absorption Area: 960 sq. ft. Soil Rating: 230-240 sq. ft. per bedroom Approval Date: Original - 10/26/71 Upgrade #1- 6/26/74 TEST DATE: September 7, 1983 PROCEDURE: The occupants were instructed to minimize water use prior to the test. Testing was begun at 1:00p.m. on 9-7-83. 350 gallons of water was added to the standpipe at the crib when itbegan backing up into the septic tank. Water was input in 100 gallon increments, withliquid rise measured between successive inputs. When the crib became full, addition of water was halted, and the septic tank was pumped to isolate the absorption system. Absorption monitoring was then carried out over a 3 -hour period. Data from monitoring was plotted on the attached plot of absorption vs. time. ������ENGINEERS,'f��. 1506W.36r AV[NUe ANGHORAGF,AtASKA99503^90t'�fTW)93 3901 PxirR�ciA LANE ANCHORAGC ALASKA 9960h 9071>33 °KiJ (Ac � ouo�TING) John Savina Adequacy Test 83-013-27 _2_ RESULTS: The resultant daily absorption capacity of this system is 260 gallons per day with a surge capacity of 360 gallons. The Municipality of Anchorage requires a 600 gallon per day absorption" capacity. I • WA 16� AII�O'RBED � gallahs� � 4� S! �Ro2JN0 SURd/IGC ,�,. ;;;, --_ j MCTAL LIO w1 2 URETHAN% II,( SAIL mauNo to E it a Ti9 \! -s 2 V tz 6`[ rr A N C EcEc72iCAL .2"HW--! DENSI7y /NSUL POy,� tat !r/ %Ss0Inco 2'1 PErer PIPE 2 GATE VALVE VAPoQ BA�7r21C2 \ 2 CHOCK VALVE 211cov6RrrNG OF sEP%rc Qoc Fca�T �( ° u"PC(2 pi PE 0 0 60 T2EA/�l� G ')9ECP, o' 0 6 ROCK EXrS7/N<r T2C;/JGH ` I -11(H Ll-IiEL f'&M7 PUMP OA/ Cf., PtRF PIPC t4-0 60vmp Orr) � 2� OIAM E762 GO2QUG. d O 6 R�iNFORCtD cp 'D O O CONC2E7E CSASE _��,� . �, GRE iI, \R ANCHORAGE AREA BORE' 53H" DDepartment of Environmental Quality r ' '' 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME KEA1AjC7`/f 1 &LI/E MAILING ADDRESS -5'`-94 30X /0450 PHONE 34'(/"" /75'3 LOCATION OGF '/ 13/2gf/ LEGAL DESCRIPTION LOT 6 ,8 ..,- TeeNo�/zfs2etsy S/� PTIC TANK: WELL MAN U FACTU R E'I*t�� MATE R I AL N11� SPO MPARTMENTS INSI ENGTH INSIDE WIDTH LIQUID DEPTH LIQUID CAPACITY GALLONS. TILE DRAIN FIELD: TOTAL LENGTH / DISTANCE FROM WELL / /* FOUNDATION /0 /f NEAREST LOT LINE 24 OF LINES NUMBER OF LINES DISTANCE BETWEEN LINES TRENCH WIDTHS IN. TOTAL EFFECTIVE ABSORPTION AREA SQ. FT. LENGTH OF EACH LINE / _ DEPTH OF FILTER DEPTH: TOP OF TILE TO FINISH GRADE h / MATERIAL BENEATH TILE b / +'R. ABOVE TILE _--k—IN. WELL / TYPE_SfFM/+ PU/3L/d-CONSTRUCTION DEPTH 199 DISTANCE FROM: BUILDING /O /f NEAREST NEAREST''//D /* SEPTIC / SEEPAGE FOUNDATION LOT LINE—, SEWER LINE `!` TANK SYSTEM CESSPOOL , OTHER SOURCES APPROVED / DISAPPROVED REMARKS DISTANCES: INSTALLED BY: C/ -Fu USS SEWER LINE DEPTH: PIPE MATERIAL: LOT SLOPE, REMARKS Form EQ -032 " 062A.0 - DIAGRAM OF SYSTEM PIS Gtr O � N�1 DATE APPROVED-/2a4H% G.A.A.B. I@ NAME OF APPLICANT GREATER ANCHORAGE AREA BOROUGH DEPARTMENT OF ENVIRONMENTAL QUALITY 3330 "C" STREET ANCHORAGE, ALASKA 99503 TELEPHONE 274.4561 /'o PERMIT NO. UPGIZA0,' SEWAGE DISPOSAL SYSTEM — APPLICATION AND PERMIT MAILING ADDRESS 8QX /(O -SO 7c4A PHONE 3,1-V- IM INSTALLATION LOCATION - LEGAL DESCRIPTION 1-0-7- 6 D�r �' .VDC/L 6,90411 - INSTALLATION OF: SEPTIC TANK SEEPAGE PIT- , DRAIN FIELD - y —� OTHER TYPE AND SIZE OF FACILITY TO BE SERVED 4- ^"oe!eiy FINANCED THROUGH tj, TO BE INSTALLED BY SOIL TEST RESULTS COMPLETION DATE ANTICIPATED NOTE: THIS PERMIT IS NOT VALID WITHOUT SOIL TEST FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION. SEPTIC TANK SIZE TYPE SEEPAGE AREA SIZE. lVc_—v5 fgoz77-1lL MINIMUM DISTANCES, REQUIREMENTS FOUNDATION TO SEPTIC TANK ✓ FOUNDATION TO SEEPAGE PIT DRAIN FIELD /0 , SEPTIC TANK TO SEEPAGE PIT WALL J {"SEPTIC TANK , SEEPAGE PIT - , DRAIN FIELD TO NEAREST LOT LINE. WELL TO SEPTIC TANK -, SEEPAGE PIT —. DRAIN FIELD / ALSO CONSIDER AREA WELLS. WATER MAIN TO SEPTIC TANK SEEPAGE PIT DRAIN FIELD --. ✓SEPTIC TANK. . SEEPAGE PIT , DRAIN FIELD 00 . TO RIVER. LAKE, STREAM. CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF EXCAVATION 5 FEET INTO UNDISTURBED SOIL. 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT FITTED WITH AIRTIGHT REMOVABLE CAPS. GRAVEL BACKFILL CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. s . ��� G.A.A.B. OR LICENSED DESIGNER TYPE — 3 680`1 ABs02B0704/ DIAGRAM OF SYSTEM I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE. DATE �� 7`7` APPLICANT'S SIGNATURE GAA@HDI _ ( ZR ANCHORAGE AREA BOR( uEPARTMENT OF ENVIRONMENTAL OLIALII.. 3500 TUDOR ROAD ANCHORAGE, ALASKA 99507 279-8686 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM MAILING NAME �/'��� ��- �✓�=��` ADDRESS 19!5�2p U -S._PHONE Z• -L LOCATION-��/��f'��''=1�=;//� G=G''-!.!� LEGAL DESCRIPTION SEPTIC TANK: NUMBER OF S+ DISTANCE FROM WELL —MATERIAL COMPARTMENTS COMPARTMENTS 9%/T�j/ G?� /�i°f�� LIQUID LIQUID CAPACITY X=? �j GALLONS. INSIDE LENGTH INSIDE WIDTH �— DEPTH �— SEEPAGE SYSTEM: SEEPAGE PIT: NUMBER OF PITS OUTSIDE DIAMETER L' OR WIDTH // LENGTH L? DEPTH LINING MATERIAL G'C ��%✓���1=%- . DISTANCE FROM WELL �`-� BUILDING FOUNDATION , F -NEAREST LOT LINE /� TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) �'f �� $Q. FT. TILE DRAIN FIELD: /_-`Il%6D/%1 ytil%��/G �`r.V. Fez% �f%✓G�G��'fr, TOTAL LENGTH DISTANCE FROM WELL FOUNDATION , NEAREST LOT UNE , OF LINES_ NUMBER OF LINE✓-' DISTANCE BETWEEN LINESTRENCH WIDTH IN. TOTAL EFFECTIVE ABSORPTION AREA SQ. FT. LENGTH OF EACH LINE \\ DEPTH: TOP OF TILE TO FINISH/ GRADE DEPTH OF FILTER MATERIAL BENEATH TILE IN. ABOVE TILE f3`/'-//✓',fLfs'=ii;-✓°%�/.°J/.✓✓d-�.�0`✓<%7<£l--'7 6i7 WELL: ° l' DISTANCE FROM / WATER TYPE DEPTH �� :� BUILDING FOUNDATION. '� SAMPLE NEAREST NEAREST , 144v/0 NEAREST e' LOT LINE ate-- ,SEWER LINE -t/a ,TANK SEPTIC ° SEEPAGE ✓OTHER %l%; ,SYSTEM /�-57 , CESSPOOL ✓-�'°�'��, SOURCES�y�/% DISTANCES: 9 r °dGC ✓�; ✓_;-may _r�7r�-✓�< ,�,/v✓�� ��in'vi�' DIAGRAM OF SYSTEM j Cry//!l/G DATE ��1� a -' �./ �� APPROVED - G.A.A.B. GREATER ANCHORAGE AREA BORU GH + DEPARTMENT OF ENVIRONMENTAL QUALITY 3500 TUDOR ROAD POUCH 6-650 ANCHORAGE, ALASKA 99502 TELEPHONE 279-6666 SEWAGE DISPOSAL SYSTEM - APPLICATION AND PERMIT NAME OF APPLICANT IN '/ INSTALLATION LOCATION 6"/CA f `0 ✓C P/ c MAJL NG ADDRESS F,_ `� �'" I //// ./[� LEGAL DESCRIPTION 44 lr 1. �F� (���C��' �zcf (. INSTALLATION OF: SEPTIC TANK ,/J`J t� /• SEEPAGE PIT . DRAIN FIELD TYPE AND SIZE OF FACILITY TO BE SERVED f - - " I FINANCED THROUGH TO BE INSTALLED BY SOIL TEST RESULTS J ,r COMPLETION DATE ANTICIPATED PERMIT NO. OTHER NOTE: THIS PERMIT IS NOT VALID WITHOUT SOIL TEST FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE HEALTH DEPARTMENT AUTHORITY WILL BE SUBJECT TO PROSECUTION. SEPTIC TANK SIZE / ;7 !S / TYPE MINIMUM DISTANCES, REQUIREMENTS FOUNDATION TO SEPTIC TANK A� / m % FOUNDATION TO SEEPAGE PIT C/ DRAIN FIELD SEPTIC TANK TO SEEPAGE PIT WALL t ! / SEPTIC TANK SEEPAGE PIT DRAIN FIELD TO NEAREST LOT LINE. /'} WELL TO SEPTIC TANK Q'`/ SEEPAGE PIT DRAIN FIELD 1210, ALSO CONSIDER AREA WELLS. r / WATER MAIN TO. SEPTIC TANK /""o � SEEPAGE PIT `- y AREA SIZE TYPE _ DIAGRAM OF SYSTEM DRAIN FIELD 'z SEPTIC TANK, '4- f , SEEPAGE PIT DRAIN FIELD TO RIVER, LAKE, STREAM. CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF EXCAVATION 5 FEET INTO UNDISTURBED SOIL. 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT FITTED WITH AIRTIGHT REMOVABLE CAPS. GRAVEL BACKFILL CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. HEALTH AUTHORITY OR LICENSED DESIGNER I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE. DATE G APPLICANT'S SIGNATURE GX SER ANCHORAGE AREA BOROUr `" DEr ENT OF ENVIRONMENTAL QU, 1 A,CASE # 3500 TUDOR ROAD ANCHORAGE, ALASKA 99502 Performed ForDate Performe Legal Description: Lot & Block - Subdivision 7 LuNJ. ,b; This Form Reports Soils--E-og___L_-7 PercolaFio Depth Feet 1--- 2 — 3 — 4- 5- 6 — 7 ---- 8� 9- 10— i 1 -- 10--- it istics SAY 54ljr �.Ar 9MA G v) - 7-01s.s l Was Ground Water Encountered? no If Yes, At What Depth? C i Gross Time Net Time Depth to H2O -+ - erco atinn ama_ II J Reading Date Gross Time Net Time Depth to H2O Net Drop erco atinn ama_ Proposed Insta atTT ion: Seepage Pit ,Drain Field Depth Of Inlet 61 s f/ Depth To Bottom Of Pit Or Tre COMMENTS: /i '//a-�-- -_ ,% , Y: Date: — APPLIO��JT FILLS OUT UPPER HAL/�'`,ONLY ProPe.,, TSwnei.54uI A -fl+ Time vo Phone �¢L Mailing Address LJ0 cY v Zip Code Date Buyer j j A,\.) GU57A 50/,J Inspector Inspector Address - Zip Code Field Notes:DFPT Lending institution' (C04-07wAL- rXf0)—C7-CAC-F— Phone (9r [ [ �sV 3 1982 ��77 .229' Addressx> C Zip Code � y 'CONDITIONS OF APPROVAL Q1, Ctv— ��G�.-L� 6YG �-R—- y� /1 ,{A, /j Realty Co. & Agent 15gA 0 jm&-)ej �/I-tr �L &'�" -J, ✓�+"'��C� �Z,�iCQ/12�. Phone i O Zip'Code q Address Soils Rating Legal Description L 07 6 TjvuljoaR Car?uSN sura. Well To Absorption Area I Street Location Septic Tank Size (per Well to Tank V Type of Residence ❑ Single Family Multiple Family No. of Bedrooms - -N�Other Water Supply >4rIndividual - ATTACH WELL LOG. A well log is required for all wells drilled since -June -1975. ❑ Community /99 r For wells drilled prior to that date, give well depth (attach log if available). ❑ Public Utility Sewer Disposal X Individual Year Individual Installed:. ❑ Public Utility When Connected to Public Utility: ❑ Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. Time Time Time Time vo Date Date Date Date 1 Inspector Inspector Inspector - Inspector Pa VA Field Notes:DFPT - MUNICIPALITY OF ANCH ENVIROil1:1=f.:A- (..u, --TION (9r [ [ �sV 3 1982 RECEIVED ( ) APPROVED BEDROOMS ( ) DISAPPROVED/1vV�V✓ � y 'CONDITIONS OF APPROVAL Q1, Ctv— ��G�.-L� 6YG �-R—- y� /1 ,{A, /j ( j,XCONDITIONA(Ld APPROVAL' DATE � " �L &'�" -J, ✓�+"'��C� �Z,�iCQ/12�. BY: Soils Rating Date Sewer Installed Well To Absorption Area I Well Log Received Septic Tank Size (per Well to Tank V 72023 13 82) W November 3, 1532 John Savina SRA Box 1648 D Anchorage, AK Subject: Lot 6 Thunderbrush Sub. Approval for the individual sewer and water facilities cannot be granted until the following items have been completed: The seater analysis report needs to be submitted to this office from the Chem Lab, 5633 B Street, for our review. ° The septic tank pumped with a receipt submitted to this department. ° An adequacy test needs to be performed on the existing leaching area. This test will determine if the system is adequate according to National Standards. A listing of private firms performing the test is enclosed. This report needs to be submitted to this office for our review. Please notify this Department for a reinspection when the noted discrepancies have been corrected. If there are any further questions, please call this office at 264--4720. Sincerely, Robert C. Pratt Associate Environmental Specialist RP221/p/EIl Enclosure ALASKA RUIRMPTAL COnTROL SORUICOS, InC. Engineering 6 Enuironmental Studies 11/17/82 JOHN SAVINA 7200 DAWN DRIVE ANCHORAGE AK 99502 SELLER — JOHN SAVINA BUYER— SUBDIVISION—THUNDERBRUSH BLOCK -0 LOT -6 ADEQUACY TEST FOR SEWER SYSTEM THE TYPE OF ABSORPTION SYSTEM IS A PIT WITH AN AREA OF 960 SQFT. THE SYSTEM IS CAPABLE OF ACCEPTING 200 GALLONS OF WATER PER DAY. THE SURGE CAPACITY OF THE SYSTEM IS 10 GALLONS. THE SYSTEM IS UNACCEPTABLE BECAUSE THE SURGE CAPACITY IS LESS THAN 75 GALLONS. THE SYSTEM IS NOT CAPABLE OF ACCEPTING 600 GALLONS OF WATER PER DAY. SEPTIC TANK ADEQUACY THE EXISTING SEPTIC TANK VOLUME OF 1250 IS ADEQUATE FOR THIS 4 BEDROOM HOUSE. QF Y r C. Reid, Jr. e' t o. 2251 -E.,..-* 1220 West 25th Auenue 9 Anchorage, Alaska 99503 • (907) 276-1361 IN THE SUPERIOR COURT FOR THE STATE OF ALASKA THIRD JUDICIAL DISTRICT JOAN GUSTASON, BRIAN C. WALIMAA ) and JOANNE G. WALIMAA, ) Plaintiffs, ) V. ) JOHN SAVINA, CROWN ALASKA INC. ) d/b/a ERA CROWN REALTY, ) MARK GURLEY, AND ROBIN BERNARD, ) Defendants. ) Case No. 3AN-85-852 Civil NOTICE OF TAKING DEPOSITION TO: William L. McNall, Esq. 3333 Denali Street, Suite 120 Anchorage, Alaska 99503 Robert A. Hall, Esq. Kenneth A. Norsworthy & Associates 310 K Street, Suite 405 Anchorage, Alaska 99501 Gemini Reporting Services 943 West Sixth Avenue, Suite 110 Anchorage, Alaska 99501 PLEASE TAKE NOTICE that the deposition of Municipality of Anchorage, Department of Health & Human Services., ;will b'e; taken on January 29, 1986, at the hour of... 11:00 o'.,clock, m.." at ,the 'offices of aagans,` Brown & :.. _:. Gibbs;, 310 K Street, Suite 704, Anchorage), Alaska 99501, before a notary public. You are invited to attend and cross-examine. A copy of the subpoena directed to the Municipality of Anchorage, Department of Health & Human Services, is appended hereto. DATED at Anchorage, Alaska, this 22nd day of January, 1986. HAGANS, BROWN & GIBBS Attorneys for ow 1 a, Inc. HAGANS. BROWN d/b/a ERA C alt , rk & GIBBS APAOEESSm.AlCORPURARa4 Gurley an i Ber ATTORNEYS AT LAW 310 K STREET. SUITE 706 _ BY: ANCHORAGE. AK 99501 (90 7) 276.529a - S n IN THE SUPERIOR COURT FOR THE STATE OF ALASKA THIRD JUDICIAL DISTRICT JOAN GUSTASON, BRIAN C. WALIMAA and JOANNE G. WALIMAA, Plaintiffs V. JOHN SAVINA., CROWN ALASKA INC. d/b/a ERA CROWN REALTY, MARK GURLEY, AND ROBIN BERNARD, Defendants. Case No. 3AN-85-852 Civil SUBPOENA DUCES TECUM TO: Municipality of Anchorage, Records Custodian Department of Health & Human Services 825 L Street, Fourth Floor Anchorage, Alaska Pursuant to Alaska Rules of Civil Procedure 30(b)(6) and 45, you are hereby required to designate one or more officers, directors, or managing agents., or other persons who consent to testify on your behalf, and to appear at the law offices of Hagans, Brown & Gibbs, 310 K Street, Suite 704, Anchorage, Alaska, on January 29, 1986, at 11:00 a.m., and then and there to testify as a witness at the request of the defendants, Crown Alaska, Inc. d/b/a ERA Crown Realty, Mark Gurley and Robin Bernard, in the above -captioned cause. Furthermore, you are directed pursuant to Alaska Rule of Civil Procedure 45 to produce all records pertaining to the investigation of application for a permit for a septic system and leach field on property more fully described as: Lot 6, Thunderbrush Subdivision, Anchorage, Alaska, Third Judicial District, and which is HAGANS. BROWN situated at 11401 Thunderbrush Circle., Anchorage, & GIBBS T PxoreeslONAL CORPORn,104 Alaska. ATTORNEYS AT LAW 310 K STREET. SHITE 704 ANCHORAGE. AK 99501 (907)276.5294 HAGANS. BROWN & GIBBS A PROFESSIONAL CORPORATION ATTORNEYS AT LAW 310 K STREET, SUITE 704 ANCHORAGE. AK 99501 (907) 276.5294 HAGANS, BROWN & Attorneys for C d/b/a ERA CrIowil and Robin /e a GOLDEEN GOODFELLOW Clerk of the Trial Courts By:— Dep Clerk _ DATED • 1 - a 1 - IR Alaska, Inc. ty, Mark Gurley If you have any questions, contact the attorney named above. I hereby certify that I served the annexed subpoena on the MUNICIPALITY OF ANCHORAGE, DEPARTMENT OF HEALTH & HUMAN SERVICES, by delivering a copy thereof to it and by tendering to it the fee for one day's attendance and the mileage prescribed by the Rules Governing the Administration of All Courts. DATED: MATTHEW L. ANDERSON Joan Gustason., et al. v. John Savina, et al. Case No. 3AN-85-852 Civil SUBPOENA DUCES TECUM - Page 2 llyo 's nom.((_ GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality r 3330 "C" Street, Anchorage, Alaska 99503 274-4561 Date Received c;2-102 0 % Time of Inspection 9•' 30 a -vi Date of Inspection ��a % REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR �/%q 1. Approval requested by: o Mailing Address: 6 IJ7 s. Phone: 3 eX e/- 7 3 3 2. Property Owner: Phone: Mailing Address: 3. Legal Description 4. Location: -fAl - 5. Type of facility to be inspected No, of bedrooms 6. Well Data: A. Type B. B. Depth C. Construction G D. Bacterial Analysis 7. Sewage Disposal System. A. Installed B. Installerz C. Septic Tank: 1. Size 2. Manufacturer 0 E Seepage Pit: 1. Absorption Area 5"ri.1 2. Material Disposal Field: Total length of lines `t 8. Distances: A. Well to: Septic tank / y 7' , Absorption area 12 % Sewer Lines Nearest lot line Other contamination B. Foundation to septic tank , Absorption area C. Absorption area to nearest lot line EQ -034 (1/74) Page 1 of two pages Page 2 of two pages - Request for Approval of Individual Sewer & Water Facilities ieial Description Comments y 7L y Approve -'-� ed a t�ry� Disapproved Date b Approval Valid for one year from date signed Greater Anchorage Area Borough, Department of Environmental Quality DIAGRAM OF SYSTEM Lrz 71 I certify that the intormation contained in zm s request Tqr apprgva, 6U Vt a 61a= "[I - accurate representation of the subject sewer and water facilities and these facilities are operating satisfactorily. SIGNED EQ -034 (1/74) Date F m9 1974 Mr. Kundall %mom S.R.S. COX IN) :e«rMs Q,aa 00517 gR2 m and viater AaSgm,yw« Lot 6, Thunderbrush mw. War », +69: Following receipt 9 yourlfm_t to eco m6; to !fir ¥ reamer @2m,Ga office d9 grant atemporary approval on the sudect IN - ;««9n e uall aproperly constructed ON the een;«Jn R satisfactory. Qn;e99 area nonds to be increased from Gn nrsent «: sero \<t to %n «sm fact which d ll 6e o & R «e6V« to acre. «9\Wodrooii %WlcX, K;.iifor zthis , r9n hPOnRee to «fir 1. !9 &9 b 1974. new call 9r an 2« 9, of thy ailed «:m«« «iv to backfilling. SceeC, sank one «c 9deM« »xy Ealm cce Veteran's Odm4M, tion February 25, 1974 Seller agrees to put in escrow, funds to be used to Instsll additional drnin€;e field as required by Greater. Anchoro ge Borough standards, Work to be accomplished by July 1, 1974, e�11 L. PAuc