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MAY HEIGHTS LT 3
May Heights Lot 3 #014-311-06 Municipality of Anchorage Community Development Department Page 1 of 3 On -Site Water & Wastewater Program 4700 Elmore St. * P.O. Box 196650 Anchorage, AK 99519-6650-http:/Avww.muni.org/onsite *(907)343-7904 ON-SITE WASTEWATER INSPECTION REPORT Permit Number. OSP161321 PID Number. 014-311-06 ❑ New 0 Upgrade Name: CHERI &ROGER LILLER ABSORPTION FIELD ❑Deep Trench ❑Shallow Trench ❑Bed ound Address: 8859 BROWNING DRIVE *ANCHORAGE ❑ Other Phone: No. of Bedrooms: Sou aadne Taal Depth rmm «gma de: 632-4444 3 Gel Ft Fc, LEGAL DESCRIPTION Depth to pipe meed rmm original grade: Fill added aeove anginal grade: \ I Gave pm earl pipe: G F[ Gavel kup: Subdivision: Block: Lot: MAY HEIGHTS; LOT 3 3 FL FL owns Ip: angerSection: Gravel vndm: v FL ads Numberonmee. olslance eerween lines: Fc. SEPARATION DISTANCESDal ab op aaa. meero ran a: ital larva. TO Septic Absorption Lift Holding Publir/Prieate From Tank Field Station Tank Saxer Lines SD. F,. Fe Well 100'+ 1001+ _ 25'+ TANK ❑ Septic ■ S.T.E.P. ❑Holding ❑ Other Minuracturar capa'mr Surface water 100'+ ti0 100'+ ANCHORAGE TANK 1500 Gal. Lot Line r° Maranae Numberofeemparmants. 5'+4r} 5'+ - N/A STEEL 2 LIFT STATION Foundation 5'+ 51+ - Curtain Drain NONE KNOWN ManNacturar capacity ANCHORAGE TANK *500 Gel. Remarks: PER ARM SERVICES, THE OLD 1000 GALLON SEPTIC TANK 'Pump o^level at: 44" •Pureport'levelac 40" Ngh,aslerala,mat 46" AND THE 1500 GALLON SEPTIC TANK AT SE CORNER OF LOT WERE Pump Make & Model I Electrical Inspections pe,fomed by: DECOMMISSIONED PER UPC. 20 OSI 05 HHF MUNICIPALITY OF ANCHORAGE PIPE MATERIAL 'SECOND COMPARTMENT OF 1500 GALLON STEP TANK. 1765 8 House to tank EXISTING Tank to 13034 drainfield Installer ARM SERVICES, LLC Draintield EXISTING CO/MT EXISTING Inspector GEG, Ltd. BENCH MARK (Assumed elevation) 100.00 Ft Inspection Laaatiouand Desrdpbon: Dates: 1st 11/2/2016 2nd - 3rd - 4th BOTTOM OF TRIM @ SW CORNER OF HOUSE ENGINEERS SEAL Community Development Department ApprovalOF II �����• Conditional approval: Date: 49 �. ......................... .....*., 0 .......... ............. GGaanness e - ♦ %' CE -7 3 2� ♦�i�� %.. I J11 I // Approve r l� Date:IL LICENSE to FESS\�p� #AECC884 Inspectbn Rayon 1-1-12eac PERMIT OSPI61321 : RECORD DRAWING N G PARCEL I1 NUMBER: OSPI61321 014-311-06 A I B I C CO3 1 86.1 1 59.4 1 59.2 C04 87.0 60.0 59.3 F56.6 ONRSrOPNF�ARK 0005 1 45.6 1 33.7 1 55.2 978 TRENCH I I WI 1 I � I i "yp6 �I i A/ a �Oq A wI I �pg� I I W LL TP f I I I I Z \ I ♦\ \ \ f I I O \ I I I s \ ♦ I M ♦ I I 1i. • I' I 3u \ _ EXISTING Sl 978 TRENCH I NEW 1500 GALLON STEP TANK NEWLY CONNECTED MT3 CO2 C05 MT CO3 C04 I BOTH OLD SEPTIC TANKS ON LOT WERE DECOMMISSIONED PER UPC BY ARM SERVICES. I ----------------- I GARNESS LOT 2; MAY HEIGHTS SID 100'WELL RADIUS ------------ WOOD FENCE I I L SAT. I PREPARED FOR: DISH EE 100'WELL RADIUS I 632-4444 W LL PROJECTILEGAL DESCRIPTION: SAT. DRAWN BY: DISH L.K.B. TYPE OF WORK: ♦ ♦ I I ♦ ♦ I 1i. • I' I 3u I EXISTING 3 BEDRo'c)m-- ; f': ♦ HOUSE __i ♦ ffi A XISTI G FCO ° 'll C I7u loenc II 11 NEW 1500 GALLON STEP TANK NEWLY CONNECTED MT3 CO2 C05 MT CO3 C04 I BOTH OLD SEPTIC TANKS ON LOT WERE DECOMMISSIONED PER UPC BY ARM SERVICES. I ----------------- I GARNESS ENGINEERING GROUP, Ltd CIVIL & ENVIRONMENTAL ENGINEERS 3701 E. TUDOR ROAD. SURE 101' ANCHORAGE. M 99507' PHONE (W7)337A179 - FAA (W7)33b33b' WESSRE:.wx pr,r�. PREPARED FOR: PHONE NUMBER: PAGE NUMBER: CHERI & ROGER LILLER 632-4444 2 OF 3 PROJECTILEGAL DESCRIPTION: DRAWN BY: MAY HEIGHTS; LOT 3 L.K.B. TYPE OF WORK: DATE: RECORD DRAWING 11/9/2016 i b r -I v LOT 1; MAY HEIGHT LOT 89, PTN NE4 T12N, R3W, SEC.9 S It N .IF ggq����V-#,:.A-n'-�P\, LICENSE ,,"'\`5,, * #AECC884 �l 0SP161321 RECORD DRAWING 014-3 IDNUMBER: 014-311-06 FINAL GRADE = 99.6 - 99.72 ST1 ST2 MH TOP OF TANK TOP OF TANK AT INLET = 94.73 AT OUTLET = 94.70 INVERT OF BUNG NEW 1TS.T.E.P. AT INLET = 94.11 16*1� tit . .� ? GARNESS ENGINEERING GROUP Ltd 4..... % CIVIL& ENVIRONMENTAL ENGINEERS • .............. i 0 o.. 0101E. MOOR RO/4l, SURE 101'RNCHORAGE.N(9850]' PHONE (9W)03]-01]B'FAX(90])33&0348'WEBSITE: wxw.9emenergiroeiiq mm �,� \ •••••••••'•l••.•� 0 (V= e y X Qa[�1ess : iS wo PREPARED FOR: PHONE NUMBER: PAGE NUMBER: # c '/ ° CHERT &ROGER LILLER 632-4444 3 OF 3 a CE-1795 (( #♦♦/�••' ......... JI�tl,••�(V� 141Fp'" • •1� "'� PROJECT/LEGAL DESCRIPTION: MAY HEIGHTS; LOT 3 DRAWN BV: L.K.B. TWE OF WORK: DATE: RECORD DRAWING 11/9/2016 `SS\ #AECCCea4 1 &* d«,e,ini40517001 Page 1 of I Municipality of Anchorage Community Development Department t Development Services Division P.O. Box 196650 - 4700 Elmore Road +v�„o Anchorage. Alaska 99519-6650 Info and Help: (907) 343-8211 INSPECTION: Voice: (907) 343-8300 Fax (907) 249-7777 11/8/2016 Inspection Report License/AP#: RETROE161538 Parent AP#: Inspection #: 432158 Type: RETRO Status: Issued Address: 8859 BROWNING DR Parcel: 01431106000 Inspector: Victor Fosberg Project: Resp Party: Descr RetrofitWire lift station AJC - Address:Anchorage, AK, 99507 Inspection Item Item Description Evaluation Electrical Electrical Inspection Approved d«,e,ini40517001 Page 1 of I Permit Number: Tax Code Number: On -Site Water and/or Wastewater System Permit OSP161321 01431106000 MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 Elmore Road, PO Box 196650 Anchorage, AK 99519-6650 Telephone: (907) 343-7904 Work Type: SepticTank Upgrade Permit Effective Dates: October 26, 2016 to October 26, 2017 Design Engineer: GARNESS ENGINEERING GROUP LTD Subdivision: MAY HEIGHTS Site Legal Address: MAY HEIGHTS LT 3 G:2335 Owner/Address: LILLER ROGER H & CHERI L 8859 BROWNING DRIVE ANCHORAGE AK 995073964 Site Mailing Address: 8859 BROWNING DR, Anchorage This permit is for the construction of: N Disposal Field Y Septic Tank N Holding Tank Lot Size in Sq Ft: 23982 Total Bedrooms: 3 N Privy N Private Well N Water Storage All construction must be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80). 3. The wastewater code requires inspections during the installation. The engineer must notify the Development Services Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either: A. Open and Close on the same day. B. Covered, sealed, and heated to prevent freezing. Received By: Issued By: /0%6//6 Date: AO/� FrUISH e OCT 25 2015 Ii MUNICIPALITY OF ANCH®RAGE h 2 Community Development Department Phone: 907-343-7904 Development Services Fax: 907- 343-7997 On -Site Water & Wastewater Program Mayor Dan Sullivan Parcel LD On -Site Sewer/Well Permit Application For A Single Family Dwelling 014-311-06 Property owner(s) CHERI & ROGER LILLER Day phone 632-4444 Mailing address 8859 BROWNING DR `ANCHORAGE, AK 99507 Site address 8859 BROWNING DR "ANCHORAGE, AK 99507 Legal description (Sub'd, Block & Lot ) MAY HEIGHTS; LOT 3 Legal description (Township, Section & Range) Lot Size Sq.Ft. Number of Bedrooms 3 APPLICATION IS FOR: ( Mall that apply) ❑ Absorption Field ❑ Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage ❑ APPLICATION IS AN: Initial ❑ Upgrade Renewal ❑ THIS APPLICATION INCLUDES A VARIANCE/ WAIVER REQUEST FOR: TYPE OF DEWELLING: Single Family (SF) (w/wo AD U) Duplex (D) ❑ Multiple Dwellings ❑ (SF and/or D) Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal codes. nAonivcc oKI�FKICCMIKin_ r_Dni io 1 *a (signature OT property owner or aumorizea agent) Permit/Rush Fees: Waiver Fees: Date of Payment: lolZjl�zl6 Date of Payment: Receipt Number: d 200 M Receipt Number: Permit No. (�//A6/`1 Z/ Waiver No. (Rev. 01111) ,� r £. a uanc� �0: m�. GARNESS ENGINEERING GROUP, Ltd; .�Je C.-..xn.. --»+ CIVIL & ENVIRONMENTAL ENGINEERS*"M'`-'.='» """"'""�"""^`="' October 24, 2016 Municipality of Anchorage Development Service Department On -Site Water & Wastewater Program 4700 Elmore Road Anchorage, AK 99507 Ref: Proposed Septic Tank Upgrade and Connection to Existing Trench for May Heights; Lot 3 To whom it may concern: The existing 3 bedroom house is served by private well and septic system. The drainfield is in a state of failure and needs to be upgraded. We are proposing to install a new 1,250 gallon STEP tank and connect to an existing 40 foot long deep trench that was installed (but never used) to serve the neighboring property. The two lots had an easement that allowed for the neighboring property to install their septic system on Lot 3's property. However, when the neighboring lot decided to upgrade their septic system (in 2001) they did so without the approval of the owners of Lot 3. The neighboring lot had to disconnect and abandon in place the newly installed septic system and install another system on their own lot. In short, the existing 40 foot trench we are proposing to connect to is the trench that was abandoned in place that was originally installed to serve the neighboring property. The Comments regarding the design are summarized as follows: We are unaware of any adverse impacts this installation would have on adjacent wells or septic systems. If you have any questions, please contact us at 337-6179. Thank you for your assistance. 3701 East Tudor Road, Suite 101 *Anchorage, Alaska 99507-1259 Phone: (907) 337-6179 * Fax: (907) 338-3246 * Website: www.garnessengineering.com TANK ONLY DESIGN ALL PROPERTIES TO THE WEST OF BROWNING DRIVE ARE SERVED BY PUBLIC WATER & SEWER )ENMFEP`PA l 13, FK SIO )ENN1FER pP I^ /Y ENNIFER PARK SA 'V E JeNNrTfRp 5. _ F2��`OT FgNS/O E Pq 6. 9P iso GEG, Ltd. HAS A 8 PAGE SPECIFICATION TRACT B LETTER THAT PERTAINS TO THIS DESIGN. TO OBTAIN A COPY OF THE LETTER CONTACT GEG. BY PROCEEDING FORWARD WITH THIS INSTALLATION, THE ENGINEER, WELL DRILLER, CONTRACTOR AND PROPERTY OWNER AGREE THAT THEY HAVE READ THESE SPECIFICATIONS AND AGREE TO ACCEPT THE TERMS AND CONDITIONS OUTLINED. S/D LOT 89,PiN NE4 -12N..R9W'. SEC. 9 LOT 5, MAY HEIGHTS S/D GARNESS ENGINEERING GROUP, Ltd CIVIL & ENVIRONMENTAL ENGINEERS 3701 E. TUDOR ROAD, SUITE 101 -ANCHORAGE, AK 99507' PHONE (907) 337-6179' FA%(907) 33&3246' WEBSITE'. w garnessengineeny wm PREPARED FOR: sE =Esml /Z➢Telewm a K3 e�° aPP NR SOPNE G LOT 5, BLOCK PROJECT/LEGAL DESCRIPTION: CHRISTOPHER PARK `L ' 1 or CNRISrpPB<OC/� HER PAF TYPE OF WORK: CirIf SITE PLAN s d c' )ENMFEP`PA l 13, FK SIO )ENN1FER pP I^ /Y ENNIFER PARK SA 'V E JeNNrTfRp 5. _ F2��`OT FgNS/O E Pq 6. 9P iso GEG, Ltd. HAS A 8 PAGE SPECIFICATION TRACT B LETTER THAT PERTAINS TO THIS DESIGN. TO OBTAIN A COPY OF THE LETTER CONTACT GEG. BY PROCEEDING FORWARD WITH THIS INSTALLATION, THE ENGINEER, WELL DRILLER, CONTRACTOR AND PROPERTY OWNER AGREE THAT THEY HAVE READ THESE SPECIFICATIONS AND AGREE TO ACCEPT THE TERMS AND CONDITIONS OUTLINED. S/D LOT 89,PiN NE4 -12N..R9W'. SEC. 9 LOT 5, MAY HEIGHTS S/D GARNESS ENGINEERING GROUP, Ltd CIVIL & ENVIRONMENTAL ENGINEERS 3701 E. TUDOR ROAD, SUITE 101 -ANCHORAGE, AK 99507' PHONE (907) 337-6179' FA%(907) 33&3246' WEBSITE'. w garnessengineeny wm PREPARED FOR: PHONE NUMBER: PAGE NUMBER' CHERI & ROGER LILLER 632-4444 1 OF 2 PROJECT/LEGAL DESCRIPTION: DRAWN BY: MAY HEIGHTS; LOT 3 PNB TYPE OF WORK: DATE: SITE PLAN 10/21/16 f�3 V=ICU! i oo666as 00 'r9 0. = r A. Game s ♦ CE -7 53 :V X00 FESS\ONPoee LICENSE too �peea6*eo #AECC884 CONNECT TO EXISTING TRENCH NUMBER OF BEDROOMS:3 GALLONS PER DAY (GPD): 450 PERCOLATION RATE/S:'25 PROPOSED APPLICATION RATE. •0.6 MINIMUM DRAINFIELD SO. FT.! 750 SO. FEET 'PER BRENT EATON, P E. SOIL LOG 2001 DRAINFIELD SPECS: MAXIMUM DEPTH: N/A WIDTH: 3 FEET LENGTH: 40 FEET & 27 FEET = 67 FEET M.O.A. APPROVED SAND FILTER. N/A EFFECTIVE: 10 FEET REDUCTION FACTOR: N/A ACTUAL SO.FT.: 1340 SO. FEET for, CNRlsrp' &ERP 3 ARK GEE, Ltd. HAS A 8 PAGE SPECIFICATION LETTER THAT PERTAINS TO THIS DESIGN. TO OBTAIN A COPY OF THE LETTER CONTACT GEG. BY PROCEEDING FORWARD WITH THIS INSTALLATION, THE ENGINEER, WELL DRILLER, CONTRACTOR AND PROPERTY OWNER AGREE THAT THEY HAVE READ THESE SPECIFICATIONS AND AGREE TO ACCEPT THE TERMS AND CONDITIONS OUTLINED. PROPOSED 1250 GALLON STEP TANK — EXISTING SEPTIC TANK TO BE DECOMMISSIONED PER UPC � I EXISTING CO I I EXISTING S EXISTING TRENCH TO B —/ CONNECTED AND USED AS A RESERVED SITE LOT 2, MAY HEIGHTS S/D 100WELL RADIUS WOOD FENCE SAT I DISH II SHED II 100' WELL RADIUS'. SAT. W LL DISH EXISTING 3 BEDRC HOUSE "I STING FCO , l i 1ST DECK ON GRADE LOT Y, MAY HEIGHT: LOT 89, PTN NE4 T12N, R3W, SEC.9 PRESSURIZED 1.25' LINE TRANSITION INTO 4" GRAVITY FEED LINE zo-- COAAT -CONNECT TO ABANDONED 4P TRENCH THAT USED TO SERVE NEIGHBORING PROPERTY. NEIGHBORING PROPERTY HAS NEW SEPTIC SYSTEM SERVING ITS PROPERTY. CONTRACTOR TO FIND MT & CO ON EAST END OF TRENCH._ EXISTING CO & MT GARNESS ENGINEERING GROUP, Ltd CIVIL & ENVIRONMENTAL ENGINEERS 3701 ETUOOR ROAD, SUITE 101' ANCHORAGE, AS 99507' PHONE (907) 337-6179' FAX (907) 33&3246"WEBSITE. w+ gamesseWineenn9 mm PREPARED FOR: PHONE NUMBER: PAGE NUMBER: CHERI & ROGER LILLER 632-4444 2 OF 2 PROJECT/LEGAL DESCRIPTION: DRAWN BY: MAY HEIGHTS; LOT 3 PNB TYPE OF WORK! DATE: � SEPTIC SYSTEM UPGRADE 10/24/16 Y CAP END OF�'PRAINFIELD EXISTING SEPTIC TANK TO BE LOCATED AND DECOMMISSIONED PER ML *Fl 4 0 ileif Garn�ss �7 � CE-7$'OR=e LICEN OF E SS 00�**' #AECC884 i 11' X NO NO L.. X —F 10 T F'A J ill I.. _7 11...-0 H. -J, VA k...J1 IC::::. F': I' -I L., 1, 1.I T E U I'A -F i f-1 -OI L- y u=:1u B^ ,dl ._...... : 1 T ItH if F;;r".! F"::11 1E.H: IF." ow 0 :11:: 11 .8 6:7 ..1 F '0 L. C: FIT 1: CI th.-I L L., I' I FI L E:!i..; ID F"! F".:I 11-1 I'll E.: 1'.4 C: H OF- SCI IL OF, THE SI'DIL. S`r'STEH [C -ii F--:� Fll T I I F: L P-�; THE: 1. CjF' T+IE TFRA"..NI.-I-I Cll:''. 'THE: A TRE]"JIM-1 CIR PIT Y.".; THE: BEFTI--JET"I'A C*IF' THE GROLIUM AND THE: FDF" THE (IN FTTET). 'I'*i-IEJ;,.EPAO ;ET H"IF". 1"REI'A1: f -IES. THE'-' G I. FI L PlEf"TI-I 11'.; THE: MINIMUM [:jEP"1*1..Ii'.'1f--Ci1-.,.Fil.e'E..'L..[.':E'l"1.,IEE".'I'-.I THE: CILI"IT-FIL.L. FIIAC, THE: E*.,( -.I -f' -(-i III CIF THE: IE' C A (::I'[' 10 hI F*ET-..:T'.'--. It: Is: all U X IT! EY] ID, F- = F- -11- _11" C- 11- IF'.1 P. -A F. -e:: Co O"..^1 .. . ... .... ... .................. -., I....... :1 11"A -11", C-li --F _E P..J E:['- PT---;TFIL.L.UD I:Tf THE JCI F'CAA C., W I [A G C" 0 I'A l I T 111 N S : '1,. E I MY.'. A (.*I. -f -*:I'.--,'-.-' I CIR 11 AF-T"W)VED PLAI,AT t-11-91-il E:F: it A IS I RE: r.). Tj:- [I IS hIOT KEFIT C*I.JF?.F.,F'I,..I-I- BF- TO 14-11-K FI 13 cl F: P' I- I I.D 1.11 f 'I I'A C" r" 0 R Y f1L) h1f=l Y B- E.: 5IJE.'--TEI.::T TO F'F. C) S -E CJY F f W-4. ...... .. . ...... ... -1, . ...... . ... .. . .. . .. ..... -- ....... . . ...... . ... ..... . . ......... ..... — ... ....... 1., -1.... - . ..... .......... - ...... ...... .. . . ........ . . . ....... B Fi I:: I< F' I L L. 111 G F:, F1 kh., I W 0 Or 10 1 N A L I N 5 Fj E C T 1: 0 N A hl I.", (::i P P k: C., '-e' Fl L B "I F I I S I.L. TO 1:11: I'A 1: I"It III A C.Q.-I-SITE 1.00 F:,F--!I,!,4-iTE WELL OF"j. IdELI.... 1:1'.LliE k', R E I'A Ll I f;?. E. 11 E-'61 MAD I L Fi F.: 1. TO INSURF'- 1 '11, FE: P"A F.'". 0H. if I THI'A'A" J.: I FIN l"FIMILIFIF! WITH I"J-DDI ... FCIF! CIP-1--SITE I"'IND IT A L, -, -: L.: F- C) IR'"I" IA OF FiNCHORFICiE. 2: 1 WILT INSITTILL. TINE SYSTEM IN I'VIDONDF)PACE -1-11TI-I A -1-1 TI - - -;,I I_.11 *P-11 IF' TI.,IE D 7"I-1AI I --IE-MAY N I TO INCIAME VKV'J-':: TI IFIl"I 0 SOILS LOG MUNICIPALITY OF ANCHORAGE • DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION El PERCOLATION Pouch 6650, Anchorage, Alaska 99602 276.2221 TEST SOILS LOG - PERCOLATION TEST PERFORMED FOR: DATE PERFORMED:._ LEGAL DESCRIPTION: /07— e SLOPE SITE PLAN ��/�- b 6on17y Z�5 //I'- reg/ broviri 1 Ccv�daiii3 borne roUf� 2 O O 3-- 4 o Surd �o �rav�//y .end 5 • • �i5:v - 6 ��� • /ova mos�ure �on��r�� 6 0 • ' Con�iaiits ��a�e yc m nor o • <lmoar/d a� crir7Eb 7 8 o 10 0 o�. 11 12- 13 2 13 0 ' 14 ' d .Sa..a; � a �i✓uv� o Loui2� /�in:i of 16 ek�avotion 17 18 19 WAS GROUND WATER S ENCOUNTERED? ND L 0 Depth to Water P IF YES, AT WHAT E DEPTH? Reading Date Gross Time Net Time Depth to Water Net Drop 20 ILII PERCOLATION RATE (minutes/inch) TEST RUN BETWEEN FT AND FT COMMENTS L'�PGe/i7/J'7P/J// y' -/7e �t/6d�m `JP_ i/P.�isnvi �c�r 9 /�/.> n� /40 ga: /„7 T_ /f7D PERFORMED BY: -T. /5;ery CERTIFIED BY: I WOO/ I IIVl-g9kQl DATE: AC�160�f . rn'G . 72-008 (7/70 I municipality Of Anchorage POUC . j-650 ANCHORAGE, ALASKA 99502 (907) 279-2511 GEORGE M. SULLIVAN, MAYOR DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION (825 "L" Street) 0 December 29, 1978 FVVIR �MFN�AO-R v�cl GF JA A, rnoN R431,9? #780064 ��i John Lowel V % Box 42 Chugiak, Alaska 99567 Subject: Lot 3 May Heights Subdivision A permit issued by this department for well and/or sewer system has expired. Permits are issued on a calendar year basis, as stated on the permit, by authority of Municipal ordinance. If you have drilled the well, a well log should be sent to this department to document the installation date. If there are any further questions, please contact this office at 264-4720. Sincerely, ,Yes N.—Buchholz, R.S. Senior Environmental LNB/ljw enc: copy of permit cialist m 0 u, m r W a 7 a wW a� a <0 a°m J U Cb Z a � r, .. N u�i°a0 Y W m Ld w ,: uW o� zN U N m on504 ITAGE 0 6 6 9 TEMPORARY EASEMENT FOR VALUE RECEIVED, JOHN LOWE, an unmarried man, does hereby grant to MICHAEL W. CALLAWAY, an unmarried man, his heirs, successors and assigns, a full and unrestricted easement and right-of-way over, across and under the following described real property: The South sixty feet (S 60') of Lot Three (3), MAY HEIGHTS SUBDIVISION, according to the official plat thereof, filed under Plat Number 66-153, Records of the Anchorage Recording District, Third Judicial District, State of Alaska. The temporary easement and right-of-way over, across and under said strip of land is for the purpose of access to and maintenance of an existing sewage septic tank which serves the below described real property and said maintenance shall be done in a reasonable manner and no unnecessary waste shall occur. The property served by said septic tank is described as follows: A certain parcel or tract of land lying within Section lot Eighty --nine (89), Section 9, Township 12 North, Range 3 West, Seward Meridian, Alaska, Records of the Anchorage Recording District, Third Judicial District, State of Alaska, more particularly described as foa_l.ows : From the Southeast corner of said Section 9, thence North 00°03' West 899.55 feet to a point on the existing center line of Abbot Loop Road; thence West. 50.00 feet to the true point of beginning; thence West 140.00 feet to a point; thence North 00003' West 218.00 feet to a point; thence East 140.00 feet to a point; thence South 00°03' East 218.00 feet to the true point of beginning. This easement and right-of-way shall inure to the owner or owners of the property immediately described above, his heirs, executors, administrators and assigns. Except as herein granted, Grantor shall continue to have the full use and enjoyment of the property. This easement and right-of-way shall run with said property and be binding upon the undersigned, his heirs, executors, administrators and assigns, and any person who shall hereafter acquire title to said property. THIS EASEMENT IS TEMPORARY and shall terminate at such time as public sewer lines are made available by the Municipality of Anchorage, or other requisite governmental authority, to replace the existing sewage septic tank. DATED this ;l ( :Y'day ofti�_ , 1980. �, J0HN LOWE;Grantor aal 504 'PACE 0 8 1 0 STATE OF ALASKA ) )ss. THIRD DISTRICT ) THIS IS TO CERTIFY that on this :�( �;i� day of 1980, before me the undersigned Notary Public, personally ap- peared JOHN LOWE, known to me and to me known to be the individual described in and who executed the foregoing instrument; he acknowledged to me that he signed the same freely and voluntarily for the uses and purposes therein set forth. WITNESS my hand and official seal. Qf Notary Public in ank or Alaska My commission expires:J o -,) S - 2 - -M I -8LG WALL O - 93� - C� D h� .. d O �� Q� R_ - � O C\I yi v -M 3Z� az N I A Ce".:_in parcel `Or tracO of 1. Ln , i'fin�; ,iithin Sectio- Lot]i--ht - :iri_. (8j) - - Section 9s To,anship 12 Horth, Ran' --o 3 'deSt, Se -,char :.er_....��:,r.v Alaska, , t He COi�_o of the Anchorage Recording Dist -rift, Third Judicial Dis-Lrict, State of Alas' --a., more particularly described as follo,ase i'rom the Southeast (SE) corner of said' Section 9, thence -North 00°03' 'nest 899.55 feet to a point on the existin center line of Abbot Loop Road; thence West 70,00 Pee -to t'reotrae po rt of oeUinriir ttleriC. ;fest 14G.CG iEct t0 point; thence North 00 03' blest 218.00 feet to a point; thence East 140.00 fee: -o a point; thence -South 00°03v East 218.00 fa.:t to the tn,e po r cf be -.:inning. I AS -BUILT NO CORNERS SET THIS DATE II �wro`c.�d�04� . , �✓ At !�' '��' .' " �. •' a Vey ' p n °o.� V®A vw D/O •.•0 �•.• NpSp Ow L. 10 t4�o•••♦O��OeY •.. •0•.••^. ••s a Fm `cslolatka Q VJi •,• NO. 3255.5 8 P '•O•w•.a•e •i� ,v 14 ASEMENTS OF RECORD, OTHER THAN HOSE SHOWN ON THE RECORDED r6 71 Fri rw 'LAT ARE NOT SHOWN HEREON. I hereby certify that I have performed a Mortagee's in- spection of the following described property: A �) QI/E5 -- - .Anchorage Recording Precinct, Alaska, and that the improve- ments situated thereon are within the property lines and do not overlap or encroach on the property lying adjacent there- to, that no improvements on property lying adjacent_ thereto encroach on the premises in question and that there are no roadways, transmission lines or other visible easeinents on said property except as indicated hereon. Dated at Anchorage, Alaska this i� _day oi_r�'? _ 9- — FRED WALATKA L ASSOCIATES Engineers and Surveyors O - C� D h� Q d O 3Z� az N I A Ce".:_in parcel `Or tracO of 1. Ln , i'fin�; ,iithin Sectio- Lot]i--ht - :iri_. (8j) - - Section 9s To,anship 12 Horth, Ran' --o 3 'deSt, Se -,char :.er_....��:,r.v Alaska, , t He COi�_o of the Anchorage Recording Dist -rift, Third Judicial Dis-Lrict, State of Alas' --a., more particularly described as follo,ase i'rom the Southeast (SE) corner of said' Section 9, thence -North 00°03' 'nest 899.55 feet to a point on the existin center line of Abbot Loop Road; thence West 70,00 Pee -to t'reotrae po rt of oeUinriir ttleriC. ;fest 14G.CG iEct t0 point; thence North 00 03' blest 218.00 feet to a point; thence East 140.00 fee: -o a point; thence -South 00°03v East 218.00 fa.:t to the tn,e po r cf be -.:inning. I AS -BUILT NO CORNERS SET THIS DATE II �wro`c.�d�04� . , �✓ At !�' '��' .' " �. •' a Vey ' p n °o.� V®A vw D/O •.•0 �•.• NpSp Ow L. 10 t4�o•••♦O��OeY •.. •0•.••^. ••s a Fm `cslolatka Q VJi •,• NO. 3255.5 8 P '•O•w•.a•e •i� ,v 14 ASEMENTS OF RECORD, OTHER THAN HOSE SHOWN ON THE RECORDED r6 71 Fri rw 'LAT ARE NOT SHOWN HEREON. I hereby certify that I have performed a Mortagee's in- spection of the following described property: A �) QI/E5 -- - .Anchorage Recording Precinct, Alaska, and that the improve- ments situated thereon are within the property lines and do not overlap or encroach on the property lying adjacent there- to, that no improvements on property lying adjacent_ thereto encroach on the premises in question and that there are no roadways, transmission lines or other visible easeinents on said property except as indicated hereon. Dated at Anchorage, Alaska this i� _day oi_r�'? _ 9- — FRED WALATKA L ASSOCIATES Engineers and Surveyors I . .................... 0 8 5 1� w cl I L RE 0 C -L D! 6 1 17 fiA L9 LOT SURVEYCERTIFICATION HE CONTRAc rowS RESPONSIBILITY I T IS THE LEGEND I HEREBY C�THAT I HAVE SURVEYED THE TO CHECK TOP OF FOUNDATION IN RELA - 5/8 REBAR RECOVERED PROPERTY 11,0111111 AND DESCRIBED HEREON AND TION TO FINISH GRACE AND BUILDING o 5/8 REBAR SET THIS THAT THEIMPROVEMENTS SITUATED THEREON SET BACKS IN RELATION TO LOT LINES SURVEY ARE V11THIN THE PROPERTY LINES AND NO AND EASEMENTS r) 2'k2- HUB & TACK SET ENCROACHMENTS EXIST, LEGAL DESCRIPTION: EJ EXISTING ELEVATIONS Prepared by: GERALD V. RANDALL, JR. Reg. Land Surveyor "C" LT Lf DATUM ASSUMED 1, 2820 STREr T., SUITE 3 SCALE. I Phoney 2797414 ANCHORAGE, ALASKA 99503 MINIMUM DISTHNCE BETWEEN H WELL HND HNy ON�SITE SEWHGE DISPOSHL SYSTEM IS 100 FEET FOR H PRIVHTE WFI' LI OR 200 FEET FOR H PUBLIC WELL WELL LOGS HRE REQUIRED HND MUST BE^RETURNED TO THE DEPHRT ENT WITHIN ]0 DHYS OF THE WELL COMPLETION. '' OTHER REQUIREMENTS MHY HPPLYSPECIFICHTIOWG HND CONSTRUCTION DIHGRRMS HRE HVHILHBLE TO INSURE PROPER INSTHLLHTION F:.7 F=, :::7� ��.�� Pl. IGN2 [SSUED BY��' TE DH 7__" DATE RECEIVED INSPECTION APPOINTMENTS STREET LOCATION TIME 8� itale. TIME TIME NU BER OF,BEDROOMS DATE One ❑ Four ❑ Other DATE DATE ❑ MULTIPLE FAMILY INSPECTOR 7. WATER SUPPLY R INDIVIDUAL* INSPECTOR INSPECTOR nce June 1975. For wells drilled prior to that date, give well ❑ PUBLIC UTILITY MUNICIPALITY OF ANCHORAGE 8. SEWAGE DISPOSAL SYSTEM • DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION 825 L Street- Anchorage, Alaska 99501 Z,,YEAR ON-SITE SYSTEM WAS INSTALLED. ❑ PUBLIC UTILITY / ENVIRONMENTAL SANITATION DIVISION NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. Telephone 264.4720 WATER AND SEW6 FACILITIES REQUEST FOR APPROVAL OF INDIVIDUAL 1 DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) d yS for processing. 1. PROPERT� I HONE ,3 © `v '�l Ili / R . h"q MAILING DDR SS _ Tf z PROPERTY RESIDENT (If diff rent from above) HONE 2. BUYER P 0 NE // �C MAILING ADDRESS 00 �U c 3. LENDING INSTITUTION PHONE D MAILING ARESS 4. REALTOR/AGENT PH 11 MAI LING ADDRESS Y i� s' 5. LEGAL DESCRIPTION STREET LOCATION 8� itale. A.ve k a`o 6. TYPE OF RESIDENCE NU BER OF,BEDROOMS One ❑ Four ❑ Other �7^ SINGLE FAMILY ❑ Two ❑ Five ❑ MULTIPLE FAMILY Three ❑ Six 7. WATER SUPPLY R INDIVIDUAL* AT ACH WELL LOG. A well log is required for all wells drilled ❑ COMMUNITY nce June 1975. For wells drilled prior to that date, give well ❑ PUBLIC UTILITY /s depth (attach log if available.) 8. SEWAGE DISPOSAL SYSTEM / 3K INDIVIDUAL/ON-SITE** Z,,YEAR ON-SITE SYSTEM WAS INSTALLED. ❑ PUBLIC UTILITY / NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010 (Rev. 6/79) THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE ❑ SINGLEFAMILY ❑ MULTIPLE FAMILY NUMBER OF BEDROOMS ❑ ONE ❑ THREE ❑ FIVE ❑ OTHER ❑ TWO ❑ FOUR ❑ SIX 2. WATER SUPPLY ❑ INDIVIDUAL ❑ COMMUNITY ❑ PUBLIC UTILITY Connection Verified PERMIT NUMBER DEPTH OF WELL DATE DRILLED _ LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM ❑INDIVIDUAL/ON -SITE ❑PUBLIC UTILITY Connection Verified PERMIT NUMBER DATE INSTALLED INSTALLER ❑Septic Tank or ❑ Holding Tank Size: If Tank is homemade give dimensions: SOILS RATING TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL - 4. DISTANCES WELL T0: Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line 5. COMMENTS ❑ APPROVED FOR BEDROOMS ❑ CONDITIONAL APPROVAL (letter must accompany certificate) ❑ DISAPPROVED DATE BY 72-010 (Rev. 6/79) C�cXt,: TATER ANCHORAGE AREA BOROUGH PEALN DF.PARTIME;NT ✓ /,� - cam �_��� r�L� �?��,. 327 EAGLE. STREET ANCHORAGE, ALASKA 99501 279-2511 DATE RECE VE INSPECT: TI1ML: REQUEST FOR APPROVAL OF INDIVIDUAL SEWAGE AND {NATE/RR FACILITIES FOR %I 1 Approval. -Re ues(d By Address Phone (•, c,/, c-. 2. Property Owner 3. Legal Description �vt/11Mn� 4. Type of Facility to be Inspecte( Number of Bedrooms 5. Well Data: A. Type B. Depth C. Size D. Construction E. Bacterial Analysis 6. Sewage Disposal System: Phone STREET: A. Septic Tank (If homemade, show diagram on back) 1. Size,// 2. Agee 3. Manufacturer 4. Installer _ a FCC/ !tr!'ROVAL lR1!7,7J--.f3T FOP SF !r'R ': 1 !;I EP FACILITIE-�' riAc,-E, •vo PIT C. DISPOSAL FIELD )F U TOTAL i'\EnUIRED EASUREMENTS `!ELL TO S!--P*rIC Bl' 1. IrLL TO 0,=vAGE PITt' VJFLL TO PROPERTY Ll. El T LL TO 071ERZ POqr)E,L'.' Clo,',TPJIFATION F. FOUDATIOIN TO SEPTIC TANK'—.1,5/ FOui.,oxriorii To SEEPAGE SEEPAGE PIT TO PROPERTY LINE— M, I Ei ITS / J, / r I l ', Ar 1- 0 11L z, ,Alpp.,o 7AL Il; GREATER ANCHOWE AREA BOROUGH DEPARTMENIT OF Ei.1VIRONMENTAL DUALITY c uD771 FHA Form 2573 Form Approved Rev. July 1958 FEDERAL HOUSING ADMINISTRATION Budget Bureau No. 63-R296.8 HEALTH AUTHORITY APPROVAL INDIVIDUAL WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM PART I.—TO BE COMPLETED BY FHA --- ---- INSURING OFFICE -- -- --- MORTGAGEE SERIAL NO. MATANUSKA VALLEY BANK MATANUSKA VALLEY BANK MORTGAGOR OR SPONSOR PROPERTY ADDRESS GARY LEROY STROMBERG 730 1 Street Anchorage, Alaska SUBDIVISION NAME Lot 3, May Heights Sub. Anchorage, Alaska BLOCK NO. LOT NO. 3 TOTAL NUMBER: BASEMENT New installation ❑ Can attic or other area be made Into additional bedrooms? (If Yes, how many?) LIVING UNIfS BEDROOMS BATHS 2 5 2 11 Yes C] No ❑ Yes F]No WATER SUPPLY BY: ❑ Public system Community system Individual - SYSTEM DESIGNED FOR NO. OF BDRMS. GARBAGE DISPOSAL SEWAGE DISPOSAL BY: Public system Community system Individual 5 Yes ❑ No PART IL—TO RE COMPLETED BY HEALTH DEPARTMENT HEALTH DEPARTMENT INSPECTOR'S SKETCH it It is the opinion of the El State ll County ❑ Local Department of Health that this individual water -supply system is ❑ is not satisfactory as a domestic water supply for the subject property. It is the opinion of the ® State E] County ❑ Local Department of Health that this individual sewage -disposal sys- tem with proper maintenance: ❑ Can be expected to function satisfactorily, and ❑ Cannot be expected to function satisfactorily is not likely to create an insanitary condition DATE SIGNATURE TITLE NOTE: The health authority should complete the appropriate opinion statement above and affix date, signature and title in the spaces provided. Use of the above grid for Health Department Inspector's sketch as well as use of the back of this form is at the option of the health authority. PART Ill.—FOR USE OF FHA OFFICE TO THE CHIEF UNDERWRITER: I have reviewed the foregoing and the pertinent FHA Compliance Inspection Report, and recommend that the Individual water -supply system be considered ❑ Acceptable F� Not Acceptable Sewage disposal be considered ❑ Acceptable ❑ Not Acceptable. DATE SIGNATURE CHIEF ARCHITECT El ❑ DEPUTY FOR CHIEF ARCHITECT HEALTH AUTHORITY APPROVAL rnA Term cava INDIVIDUAL WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM Rev. July 1958 —61 9CO[29—d 0 L961 : 331!30 911I1NIXd 1N3WN83A09 "s -O ", 61 ` uopaadsur ;o zu(j Act papadsul A)ljogpny 1111ED { 1eao-1 ❑ -,tpunoD ❑ -amS ❑ :Xq apew uopaadsul -,Sue ;l 'wgnlxa panoJdde gplm ,ildwoa you saop ❑ saop ❑ uopeltepsul uopdwnsuoa uewnq Jo; AJopae;sms you s: ❑ si ❑ Japem;o Aulena aJep DAF! ••'SOA_ s: Jamsue;I 'ON ❑ sak ❑ �apew uaaq Japem;o uopeulwexa lwaolopapaeq SOLI suo11e8 ',fuaede7/,HAeJ9 ❑ amssaJd ❑ :aBeJops;o adAj ON ❑ sak ❑ :pgBnJapem Sununow dwnd 'ON ❑ •sat ❑ :piuinp Aliadoad woopdwnd .I'd dwnd ❑ •punoJB anoge asnoqdwnd ❑ uiaw3seq jjo wooidwnd ❑ puawaseg ❑ :of papwoZ •apnulw Jad suolle8 'Ximclea dwnd •paa; 'adid doJp;o giVua-I Alam daaQ ❑ Alam mopegS ❑ :dwnd .OK ❑ 'saT, ❑ pgBpJapem Janna Ilam of s8wuadp 'lepayy ❑ -p00% ❑ apaJauo:) ❑ :Janna llajX1 '119plaeq ,SJeu:pio ❑ Ael3 patppnd ❑ -pnw8 luawaD ❑ :qum paleas Rfuim punwe aaeds Jouapxg paa; ;o gpdap op pgBipJapem paleas •apnumw Jad suolle$ 'pla:6 apew3xoJddy 'Jaa; '!tam w Japem;o lana) 8uldwnd of gpdap apew3xoJddy •paa; 'HUISBa;o gpda(l Bumsea;o ad/y 'paa; 'gpdap lepoy sagaul 'Japawela woponnsuos 11sm paa; 'uopnllod alglssod;o minos Jagpo 'paa; 'loodssaa 'paa; 'ud adedaas '.)az; 'play lesodslp'paa; ' luep apdas Ilaa; 'Jamas alp ')aa; 'Jamas uon psea 'laa; 'Jeal ❑ 'aprs ❑ 'puoJ; ❑ pe auq 101 Isamu `.]aa; uouepuno; 8wppng :wOJ; IIeM ;o DOU0451a Alam paJog ❑ Alam 8nQ ❑ Alam ua.vJQ ❑ •tlam papnQ ❑ :woJ; .Slddns Japem tenplA:pul •paa; 'auq 6JJadoJd roof; woJ; Jtaeq Jas duglama daap paa; `apim 13a; :ans 10-1 -swapsAs lesodsip-ag mas pup. ,Stddns-Japem lenpA:pul gpoq qpm padolanap 8waq Jou air ❑ ape ❑ poogJogqBiau w sawadoJd Japem;o ,ilddns apenbape gsluJn; w A31UD:A apelpzww: w sham ;o aJnl:e;;o pJoaaJ IUaaa] ISOM aA:q poogJogqB:au w AJewopsna Jou aie ❑ Div ❑ spam lenp:A1pal ,sagaul `ulew;o azlS -paa; --`mew Jape,n aggnd psaieau op aauepsiQ W31SAS A1ddns-b31VM ivna1AIGN1—N0U313dSN1 d0 lbOd3a t9ISIll 61 uopaadsul;o an(I paradsul •Apuogpny TIUDH I9Do"1 ❑ -,SpunoD ❑ -apepS ❑ :Aq epow uolpadsul '7aa; 'Jp.aJ ❑ 'aprs ❑ 'luoJ; ❑ le awl pot psaJeau'paa; 'uopepuno; 8mplmq 'Jaa; '1laM :ww; aauepsr(j telimui 8wul-I paa; 'gpdaa paa; Ja)awp.lp ap:spnp slid ;o JagwnN :941d eBDdoeS •sagaw atp Jano lenapew Japly;o gpdaa •sagaw 'alp tpeauaq jupapew Japty;o gpdaQ Jagpp -auoJs ua�toJg ❑ -laneJ0 ❑ :lepapew Japly;o adAl 'sagaw 'apeJB gswy w app ;o dop 'ydaQ paa; aull gaea;o q)Vua-I ,paa; aJenbs 'sagauaJa;o woupoq u: ewe uopdJosge aApaaya leJoy saq:u: 'gpp:m gauaJy ,paa; 'saint uaampaq aauus:Q 'saml;o JagwnN 'laa; 'sauil app ;o gi8uat lepoy •Jaa; 'Jeal ❑ 'aps ❑ 'puoJ; ❑ le aull 301 Isamu 'Jaa; 'uouepuno;'paa; '!lair :woJ; aaums:a :pleld Insodsl0 ell! Jagpp -sud a8edaaS ❑ play lesodsip all -b EJ JO spsisooa 1N3W1VUL AIIVCIN033S telrapew 8ulu:-I suolle8 `lq:aedea pinbrl -paa; 'gadaQ 7aa; 'Japawe:p apsul ,paa; 'Jeal ❑ 'ap:s ❑ 'puoJ; ❑ Je auq pot psamau 'paa; 'uouepuno; ''iaa; '11;)A\ :wOJ; aaulnsrQ goodsseD wa; 'ydap pmb:-I laa; 'gjpj,w ap:sul -Jaa; 'gp8ual ap3sul suolle8 'puawpiedwoa palm /JuedeD suope8 '6uaedea pwbil Imoy spuawpJedwoa;o JagwnN 'teuany,J —)a3;—'clam u:oJ; aaueps:Q :31UDL olydeS loodssaD ❑ > um apdaS El JO spslsuoa 1N3W1V381 AHVWIBd W31SAS 1VS0dS1a-30VM3S 1Vfla1A1aN1—N011:)3dSN1 dO 1110d311 Municipality of Anchorage On -Site Water & Wastewater Program (907)343-7904 4 51 " CERTIFICATE OF ON-SITE SYSTEMS APPROVAL Parcel I.D. 014-311-06 Expiration Date: 1. GENERAL INFORMATION Complete legal description MAY HEIGHTS; LOT 3 Location (site address) Current Property owner(s) Mailing address 8859 BROWNING DRIVE *ANCHORAGE CHERI & ROGER LILLIER Day phone 8859 BROWNING DRIVE *ANCHORAGE 632-4444 Real Estate Agent MICHAEL CHOY Day phone 227-4277 2. TYPE OF DWELLING: E Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 3 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well Individual On-site 0 Individual Water Storage ❑ Individual Holding tank ❑ Community Class Well ❑ Community On-site ❑ Public Water System ❑ Public Sewer ❑ WaiverNariance request for. N/A Distance:= Received by: Date: COSA to be releasee to the engineer. unless other ise requested by the engineer. COSA Fee $ OW -5c) Waiver Fee $ Date of Payment a�^l �0 Date of Payment Receipt Number S (0 f l l Receipt Number COSA# OSCIlal55a Waiver# 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm GARNESS ENGINEERING GROUP, Ltd. Phone Address 3701 E. TUDOR ROAD, SUITE 101 - ANCHORAGE, AK, 99507 337-6179 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Date it I t`k�Ib Engineer's Comments: In conducting this evaluation, GEG provided an engineering evaluation of the well andlorsepfs system in accordance with the guidelines and regulations establdhedby the Municipality of Anchorage and industy pracdoes. The reported results describe the comkwn of the systeaVs on the datels of the evaluation. Separation distances were measuredto readily identifiable features. Hidden defects or encroachments may exist that were not identdrtd during the evaluation. The opewonallde of all wells and septic systems depend on a variety of vedables including, but not limited to, sail conddbns, groundwaterlerels (that may fluctuate duhng the year), quality of construction (materials and workmanship), and the water usage of the family udlizirg the syshurps. These candtions can vary, and am outside the control of GEG. Sabstadwy test results do not guarantee future pedonnance of the systees, therefore, GEG makes no warranty (express orimplled) regarding the figure performance of the well orseptic system. GEG makes no representation whether an alternative well or septic system can be installed on the property in the event either of the current systems fail. The content of this report is for the sole benefit of the persoNparty who regained GEG. Reliance upon the information provided in this report by any other pawnor pany, including but not limited to subsequent propertypurchasers, is not authorized. In short, GEG disavows any legal duty to anyone other than the persontparty who paid for this mood. . C .. IT t'�Ib• 6. DSD SIGNATURE ♦♦ '9%FESSt�.'s LICENSE %iiiii,""** System #1 Approved for13 NAECC894 bedrooms. System #2 Approved for Disapproved. Conditional approval for i i bedrooms. OFANC"lttf w�R y Sp� ON SITE bedrooms, with the following stipulatiba: WATER AND o WASTEWATER (ZD Original Certificate Date: J ( " 1 '(9 _/ c0 The Municipality or Anchorage Develop,emt Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. ATTCHMENTS: COSA Checklist rX Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other (Rev. 10/12112) If more than 1 septic system is on the lot: COSA Checklist # _of_ Structure served by this system Certificate of On -Site Systems Approval Checklist Legal Description: A. WELL DATA MAY HEIGHTS; LOT 3 Parcel ID: 014-311-06 Well type PRIVATE If A, B, or C provide PWSID# N/A Well Log (Y/N) NO Date completed 1978(?) Sanitary seal (Y/N) YES Wires properly protected (Y/N) YES Total depth '80.5+ ft. Cased to LINK ft. Casing height (above ground) 12+ in. FROM WELL LOG Date of test Static water level ��� OG " ft O Well production /14 9.p -m. WATER SAMPLE RESULTS: AT INSPECTION 1017/2016 80.5 g, 5.9+ g.p.m. Coliform • 0 colonies/100 ml. Nitrate 4.91 mg./L. Collected by: GEG, Ltd. Arsenic: ND<5 ug./L. Date of sample: 10/15/2016 B. SEPTIC/HOLDING TANK DATA Tank Type/Material STEP/STEEL Date installed 11/2/2016 Tank size 1500 gal. Number of Compartments 3 Cleanouts (Y/N) YES Foundation cleanout (Y/N) YES Depression over tank (Y/N) NO High water alarm (Y/N) YES Date of pumping NEW Pumper C. ABSORPTION FIELD DATA I TELOW EXISTING GRADE Date installed 2/3-4/2001 Soil rating .p.d./ r ft'/bdrm) 0_6 System type DEEP TRENCH Length 40+27=67 ft. Width -3 ft. Gravel below pipe 10 ft. Total depth '14.5+ ft. Eff. absorption area 1340 ft' Monitoring tube YES Depression over field NO Date of adequacy test Results (Pass/Fail) PASS For 3 bedrooms Fluid depth in absorption field before test — in. Water added _gal. New depth _in. Elapsed Time: — min. Final fluid depth — in. Absorption rate >= 450+ g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) NONE KNOWN If yes, give date "CONNECTED TO UNUSED 2001 DUAL TRENCH. RECORDS FOR 1978 TRENCH ARE IN MOA RECORDS. WEST PORTION OF NEWLY CONNECTED 2001 WEST TRENCH IS APPROXIMATELY 4 INCHES SHY ON SOIL COVER. (SEE ATTACHED DRAWING) 'SECOND COMPARTMENT OF 1500 GALLON STEP TANK D. LIFT STATION "PER MOA ELECTRICAL INSPECTION REPORT Date installed 11/2/2018 Size in gallons '500 Manhole/Access (Y/N) YES "Pump on" level at 44 in' "Pump off' level at 40 in. High water alarm level at 46 in. Datum BOTTOM OF TANK Cycles tested NEW Meets alarm & circuit requirements? "YES E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot 100'+ On adjacent lots 100'+ Absorption field on Public sewer main Sewer /septic service line 100'+ On adjacent lots 100'+ Animal containment areas - 50'+ Public sewer manhole/cleanout 100'+ Holding tank 75'+ Manure/animal excrete storage areas 100,+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 51+ Property line 5'+ Absorption fielc Water main 10'+ Water service line 10'+ Surface water Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: 5'+ 100'+ Property line '0.5' Building foundation 104 Water main 10'+ Water service line 10'+ Surface water 100'+ Driveway, parking/vehicle storage 51+ Curtain drain NONE KNOWN Wells on adjacent.lots 100'+ F. COMMENTS '1978 TRENCH - WR#000010 G. ENGINEER'S CERTIFICATION I certify that 1 have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. Engineer's Printed Name JEFFREY A. GARNESS Date I III Irf fIb (Rev. 10/12/12) L #A�........, >�Q.—A o� CO 49 TFi :7� o_ SHANE A. HOLT LS -6914 O THE INFMMATION HEREON 15 FOR TME USE OF IENOIIG MSTITUTIONS SPECIFICALLY TO SMPW AW CONMTCTS BETWEEN EnSTRG 5TRVC ES AND PATTED LOT LUES AND/OR EASEMENTS: AG I5 NOT TO MU SE VSED FOR POSITIONING ADbM"L STRES, IM OVEMENTS, OR FENCELINES. EASEMENTS OF RECORD, OT THANT SE APPEARING ON THE RECORD PLAT, ARE NOT SHOWN HEREW ( VNLESS INDICATED) NOTE: FENCELIAES INAT MAY APPEAR OJ TH[S OU WIN6 ARE NOT TO RE USED TO DEiflRMNE mraLun s z,: z .Tv v :aax � sxa., rs�x �ssmvY LLiG.Gi9ira [}D eCT u":.d6 .cnF +£ �.t-=. COOk3 .m L4Y0 'i.2a St6 i^-- slUcrx x.i A@ MRi AS -BUILT SURVEY 1" = 20' NO CORNERS SE! THIS DATE I HEREBY CERTIFY THAT I HAVE PERFORMED A SURVEY OF THE FOLLOWING DESCRIBED PROPERTY LOT 31 MAYHEIGHTS SUB.( PLAT 66-153) ANCHORAGE RECORDING DISTRICT, ALASKA, AND THAT THE VISIBLE IMPROVEMENTS SITUATED THEREON ARE WITHIN THE PROPERTY LINES AND NO VISIBLE ENCROACHMENTS EXIST OTHER THAN NOTED. DATED AT ANCHORAGE, ALASKA THIS _9TH DAY OF _NOVEMBER , 2016. Municipality of AnchorageI i.o Development Services Department / Building Safety Division On -Site Water & Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 .0 www.ci.anchorage.ak.us (907) 343-7904 CERTIFICATE OF HEALTH AUTHORITY (APPROVAL FOR A SINGLE FAMILY DWELLIING Parcel I.D. 014-311-06 1. GENERAL INFORMATION Complete legal description Location (site address or directions) Current Property owner(s) Mailing address Lending agency Mailing address Real Estate Agent Mailing address HAA# Expira.iion Date: G — 2,Z- O 3 * * Day phone Day phone 4 MIKE JOY w/ PRUDENTIAL JACK WHITE ! Day phone 529-5703 3201 "C" STREET SUITE 200 * ANCHORAGE, AK 99503 Unless otherwise requested, HAA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: Individual Well Individual Water Storage Community Class Well Public Water System 3 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 samples. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. TYPE OF WASTEWATER DISPOSAL: ® Individual On-site ❑ Individual Holding tank ❑ ❑ Community Ori -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 samples. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. Note: Alaska Water and Wastewater Consultants, Inc. shall be paid $ at, or prior to closing for the engineering services provided. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Health Authority Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is(are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm ALASKA WATER & WASTEWATER CONSULTANTS, INC. Address 6901 DEBARR ROAD, SUITE 2B ' ANCHORAGE, AK 99504 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Engineer's Comments: in conducting this evaluation, AKWWC, Inc. attempted to provide a thorough, conscientious engineering analysis of the system in accordance with ADEC and MOA DSD Guidelines & Regulations. The reported results described the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the local soils condition, groundwater levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of the system. Satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. AKWWC, Inc. can therefore not provide any warranty or future estimate of how long the system will continue to meet the operational requirements of the ADEC or MOA DSD. The content of this report is for the sole benefit of the owner listed above. Any reliance upon or use of this report by any other person or party is not authorized, nor will it confer any legal right whatsoever. 5. DSD SIGNATURE L% Approved for 3 bedrooms. Disapproved. Conditional approval for bedrooms, with the fllowing stipulations: 1t(tll(f((f((f�jr��i SOF Aa k Phone 337-6179 I Date Z I- I �`: ON-StIt 0 WATER AND I -. rt' WASTEW tt~. - PROGRArn = a , J. �;: J - R Attachments: J� `�' . • • • • C HAA Checklist Manitenance Agreements JJJ��9/ VZNT Sc�� S` Septic System Advisory Well Flow Advisory Supplemental Engineer's Reort Other By: C y ��� Original Certificate Date: '3 (Rev. 19'01( Municipality of Anchorage Development Services Department Building Safety Division o"ite Water & WastewaterProgram 4700 South Sragaw SL P,0Box 19665D Anchorage. AK 99SI M50 www.ct.anchorage.ek.us (907)343-7904 HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: I MAY HEIGHTS S/D: LOT 3 Parcel lD: 014-x311-06 A. WELL DATA Well," PRIVATE If A. B, or C provide PWSID# N/A Date completed1g.._.. T8_..? .– Sanitary seat(Y/N) YES Total depth 8^ 1+ ft. Cased to 40+ ft. FROM, WELL LOG Date of test Static water level ft• Well production 9•p m Well Log (Y/N) NO Wires properly protected (Y/N) YES ,_ Casing height (above ground) 12+ in. AT INSPECTION 2/11/2003 73 4.0+ g.p.m. WATER SAMPLE RESULTS: Coliform w~ colonlesl100 ml. Nitrate". S_mgJL. Other bacteria 4—colonies/100 ml. Arsenic N/A mgJL. Date of sample: 2/11/2003 Collected by: AKWWC, INC. B. SBPTICIHOLDING TANK DATA Tank Type/Material PLASTIC Date installed 2/23/1978 Tank stye 1000 gat. Number of Compartments 2 Cleanouts (YM) YE Foundation cleanout (YIN) YES Depression over tank (YIN) NO High water alarm (Y/N) N/A Oate of pumping 2/11/2003. Pumper CHUGACH PUMPING iid *"`TETE MONITOING TUBE DCTENDS ONLY C. ABSORPTION FIELD DATA �2H'snNo c _ 4.08' INTO THEORAINROCK. Date installed , 2423l'1078 Sop mUng (g.p.dJRi)r(t /bear)135 System type DEEP TRENCH Length 32_._..,., Width 3 ft. Gravel below pipe 7 Total depth'� . ,ft. Eff. absorption area 448 - fe Monitoring tube **M Depression over field NO Date ofadequacy test , 2/1.1/2003 Results (Pass/Fail) PASS For 3bedrooms Fluid depth in absorption field before test 26.5 in. Water added 6680 gal, New depth 42.5 in. Elapsed Time: 992 min. Final fluid depth 32 in. Absorption rate >= 450+ g.p.d. Any rejuvenation treatment (past 12 mo.) (YIN & type) NONE KNOWN If yes. give date D. LIFT STATION Date installed "Pump on" level at in. E. SEPARATION DISTANCES Size in gallons High water alarm level at in. Cycles tested Meets alarm & circuit requirements? SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot 100'+ Absorption field on lot 100'+ Public sewer main N/A Sewer /septic service line 25'+ On adjacent lots 1001+ On adjacent lots 100'+ Public sewer manhole/cleanout N/A Holding tank N/A SEPARATION DISTANCES FROM SEPTICIHOLDING TANK ON LOT TO: Building foundation 5'+ Property line •4' Absorption field 5'+ Water main N/A Water service line 10'+ Surface water 100'+ Wells on adjacent lots 1000+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 00.5' Building foundation 10'+ Water main N/A Water service line 10'+ Surface water 100'+ Driveway, parking/vehicte storage 10'+ Curtain drain NONE KNOWN Wells on adjacent lots 100'+ F. COMMENTS G. ENGINEER'S CERTIFICATION I certify that I have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA HAA guidelines in effect on this date. Engineer's Printedtime JEFFREY A. GARNESS Date I'll,? HAA Fee $ 215.00.05o. ea 54J.�>;'$ — Date of Payment 3 -,2S— 02 Date of Payment Receipt Number 52 91(n Receipt Number, (Rev. 12101) Sent By: Alaska Water and Wastewater Con; 907 338 3246; r. Mar -25-03 4;OOPM; Page 1/1 id n.= . r yn' Ih STlrlr. SIvuS�- 7 �l.r%iJbff 4f7, j-3 t 3U �? I +V ! t � I l� t tU O i s�'� ANCNOMA c 9f:G• i DISTRICT ; 0 S1 fig BY�'�iX�_ Ai :.•r,+:ass 8$I � ���„�'j,.,pJ I 1 / I I 1 4 IUt SURVEY GERTIi ICwiION IT IS THE CONTRACTON'S RESPONSIBIJ ITY LEGEND I HENEBY CERT/FY THAT I HAVE SUnVEYEDTIIL TOCIIECKTOPOf FOUNDATIONINIILLA •Sf{RlItAR RECOVFRSO EROYERTY S/IJWN AND DESCRIBED HEREON AND TION TO FINISH GIIAOE AND BLMLOING SJ{ Al.IAR SET THIS THATTHEIIAPHOVEUENTSSITUATFDIt1EREON $ ETBACKS IN RELATION TO LOT LINES tuNVEY I A./S IYITHIN T/IE PROFERTV LINES AND NO AND EASEMENTS TI 2'52" .•JBL TACK SE T ENCROACHMENTS EXIST. LEGAL DESCHIPTION: t7 (XIII -NO ELEVATIONS p,@0mVAOV: GFIIALOV.RANOALL.JI1..Res .I"S.I+WOI A`)FiL�ILT Lnl .3 OATI.AASSLNLSO SCALL: ' O 2820 C STREET..SwTE 3 ANCHORAGE. ALASKA 99501 M/"iL-I �-I III �I •" �� /� ';I -