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HomeMy WebLinkAboutSOUTHPOINTE BLK 2 LT 7Onsite File Southpointe Block 2 Lot 7 #020-311-56 Municipality of Anchorage On -Site Water and Wastewater Section - (907) 343-7904 Page 1 of 1 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP231123 PID Number: 020-311-56 Dwelling: A Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: X New ❑ Upgrade Name CORREA-MERLOS ABSORPTION FIELD ❑ Deep Trench ❑■ Wide Trench ❑ Bed ❑ Mound Site Address 6407 SOUTHPOINTE RIDGE DR ❑ Other Phone Number of Bedrooms Soil Rating depth from original grade 6 1.2 GPD/SF JTotal 5 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade 4.5 Ft. Gravel depth beneath pipe 5.5 Ft. Subdivision Block Lot SOUTHPOINTE BLK 2 LT 7 Fill added above original grade 0 Ft. Gravel length 36 FL Township Range Section Gravel width 2.0 Ft. Beds: Number of Lines Distance between lines Ft. SEPARATION DISTANCES To Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Tank Line 180 Ft2 Ft. Well 50'+ 50'+ 50'+ TANK 9 Septic ® S.T.E.P. ❑ Holding i] Other Manufacturer Capacity GREER/ANCH TANK. 3000 Gal. Surface Water 501+ 501+ Material Number of compartments Lot Line 10'+ 10'+ NA STEEL 2 Foundation 10'+ 101+ LIFT STATION Manufacturer Capacity Remarks GREER/ANCH TANK 3000 Gal. Alarm location SE CORNER Electrical installed by BRICKS ELECT. PIPE MATERIAL House to tank 3034 Tank to drainfield 3034 Installer MIKE N ANDERSON PE Drainfield 3034 Co/MT3034 Inspector MIKE N ANDERSON PE BENCH MARK (Assumed elevation) 103 ft Ins daction 1-t 10/19/23 10/23/23 Location and description tes: 2� r TOP OF MH LID 3 a'^ ON-SITE WATER AND WASTEWATER SECTION APPROVAL En St p OF Conditional Approval: Date ' •; ., .ra��;••' 49TH -9 Septic System /� � _ Approved S� , C �r Date Note-. this approval does not include well permit requirements. ,��.. ,.,.,. tee+✓ (Kev uDiurtits) C Permit No. OSP231123 Page 2 of 2 Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 Anchorage, Alaska 99519-6650 Telephone: 343-4744 On—Site Wastewater Disposal System and/or Well Inspection Report Legal Description: SOUTHPOINTE BLK 2 LT 7 PID No.: 020-311-56 10' T&E ESMT I I A MARK A B C01 5 10 02 33 35 TC01 38 37 TCO2 49 50 CO3 54 52 C04 52 53 C05 60 60 C06 70 �3 �01 B II o'Q/�F�qY �1 2 NEW 30 0 GALLON STEEL TANK \ \�H#1 CO C\ \MT11 BENCH, TOP OF M / SCALA "—,50' 1 I I I I I / / SEPTIC SECTION DRY ® MAY 2021 N.T.S. DF. q t1 AV �•49TH �•'♦�� !.....5.....d...................r...::.....� ;.MICHAEL N. ANDERSON: amu= % No. CE 9469 A�ff � %j1-10-24 ,•' AV tit MUNICIPALITY OF ANCHORAGE Development Services Department ® Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Pump Installation Log Well Drilling Permit Number: OSP231123 Date of Issue: 7 _ 7 - 23 23_ Parcel Identification Number: 020 - 311 56 Legal Description Southpointe 131k 2 U 7 G:3738 Block 2 Lotir 7 wner Name & Address: orge Correa-Merlos Pump Installation Date:7 -2 -24 350 Pump Intake Depth Below Top of Well Casing: feet Grundfos Pump Manufacturer's Name: 5 SQE15-540 Pump Model: 1.5 Pump Size: hp 10 Pitless Adapter Burial Depth: feet Campbell B10 Type Pitless Adapter Manufacturer's Name: Unknown Pitless Adapter Installer: Well Disinfected Upon Completion? 0 Yes ❑ No Method of Disinfection: Tabs Comments: Johnny Kay Pump Pump Installer Name: Hefty Drilling, Inc. Company: P,p,Bpx 112130 Mailing Address: Anchorage AK 99511 State: Zip: Attention: The pump installer shall provide a pump installation log to On-site within 30 days of pump installation. MUNICIPALITY OF ANCHORAGE Development Services Department ® Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Well Log Perm it Number: # OSP231123 Date of Issue: 717/23 Parcel Identification Number: 020-311-56 Date Started: 10/23/23 Date Completed: 10/25J23 Is well located at.approved permit location? Yes H No ❑ Legal Description: _Southpointe Blk 2 Lt 7 G:3738 Property Owner Name & Address: Jorge & Hannah Correa-Merlos Borehole Data: Soil Type, Thickness & Water Strata Depth From (ft) To Method of Drilling N air rotary ❑ cable tool Casing type: A53B Steel Wall Thickness: -250 inches Diameter: 8 inches Depth: 58 feet Liner Type: N/A Diameter: — inches Depth: =feet Casing stickup above ground:? feet Casing Stick Up 0 2 Gravel Fill 2 12 Silt & Gravel 12 58 Bedrock 58 383 Static water level (from ground level): 58 feet Pumping level: — feet after =hours pumping _=wpm Recovery Rate: gpm Method of Testing: Air Lift Well Intake Opening Type: ❑ Open End El Open Hole ❑ Screened Start 58 feet Stopped 383 feet ❑ Perforations Start _feet Stopped _feet Grout Type: Bentwde Volume: 2 -Bags Depth: 20 start 2 feet Stopped 22 feet Well Disinfected Upon Completion? Yes No Method of Disinfection: Tabs Comments: LAT: 61.043264 �ar Kw ❑ ❑ Well Driller: hn Company: Hefty Drifting, Inc. Mailing Address: P.O. Box 112130 Anch , AK 99511 LON: -149.762618 Water Sample Results: Arsenic: ug/L Nitrates: 11191 Total Coliform Bacteria: colonies/] 00mL Attention: The well driller shall provide a well log to the On-site Water and Wastewater Section within 30 days of completion. 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 hftp://www.muni.org/onsite On -Site Water & Wastewater System Permit Permit Number: OSP231123 Work Type: WellSeptic Renewal Tax Code Number: 02031156000 Site Legal Address: SOUTHPOINTE BLK 2 LT 7 G:3738 Site Mailing Address: Owner: CORREA-MERLOS JORGE & HANNA Design Engineer: ANDERSON CONSTRUCTION & ENGINEERING This permit is for the construction of: Effective Date: Expiration Date: Lot Size in Sq Ft: Total Bedrooms: trent `odj.,. r lle1)artinent 7/7/2023 7/6/2024 54468 Q Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy Q 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 Special Provisions: • Lots in this subdivision require Category III nitrate -reducing septic systems. Reeeived=By: ��tec� -i�� / ��/� Date: Issued By: Date: L H C F- 0 F-' \\A (3 r=' Development Services Department _ Phone: 907-343-7904 On -Site Water & Wastewater Section '-- ' Fax: 907-343-7997 ON-SITE SEPTIC/WELL PERMIT APPLICATION Parcel I.D. 020-311-56 Property owner(s) JORGE & HANNA CORREA Mailing address UN Site address UN Day phone 351-3695 Legal description (Sub'd., Block & Lot) SOUTH POINTE BLK 2, LOT 7 Legal description (Township, Range & Section) Lot Size 54,468 Sq. Ft. Number of Bedrooms 6 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field 1Z Initial Single Family (SF) 0 (w/wo ADU) Septic Tank X ❑ Upgrade � Duplex (D) El Holding Tank ❑ Renewal Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well 0 Water Storage ❑ THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit/Rush Fees: Date of Payment: I 29 2 Receipt Number: Permit No./JZ3 Waiver Fees: Date of Payment: Receipt Number: Waiver No. GADevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Client Forms\Permit Application.doc June 23, 2023 Municipalities of Anchorage Departments of Health and Human Services P.O. Box 196650 Anchorage, Alaska 99519-6650 Fax 249-7847 Re: Septic re-newal permit Legal: SOUTH POINTE BLK 2, LOT 7 To Whom it may concern: This is a request for a renewed septic permit on the above referenced lot. Nothing has changed with the site or the approved permit. The test hole was checked on June 11 and found to be dry. Please call me if you have any questions. Sincerely Michael N. Anderson, P.E. 4661 Natrona Anch, Ak 99516 Ph 727-8864 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP231123, Deb Wockenfuss, 07/07/23 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 Cin -Site Water & Wastewater System Permit Permit Number: OSP211160 Work Type: WellSeptic Initial Tax Code Number: 02031156000 Site Legal Address: SOUTHPOINTE BLK 2 LT 7 G:3738 Site Mailing Address: Owner: CORREA-MERLOS JORGE & HANNA Design Engineer: FORGE ENGINEERING This permit is for the construction of: Q Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy Effective Date Expiration Date 0 U � L-)Ci3itl'till ell t Lot Size in Sq Ft: Total Bedrooms: 5/27/2021 5/27/2022 54468 2 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 Special Provisions: Lots in this subdivision require Category III nitrate -reducing septic systems. Veronica Pope GE 2021.05.28 Received By: •° •° 11:33:22 -08'00' f Issued By:�i Date: Date: S 7/2- 0 % I. 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. 020-311-56 Property owner(s) Jorge & Hanna Correa Mailing address 6822 Homer Dr, Anchorage, AK 99518 Day phone 351-3695 Site address NHN Southpointe Ridge Dr Legal description (Sub'd., Block & Lot) Southpointe Sub, Block 2 Lot 7 Legal description (Township, Range & Section) Lot Size 54,468 Sq. Ft. Number of Bedrooms 6 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field ❑X Initial ❑X Single Family (SF) ❑X (w/wo ADU) Septic Tank MUpgrade El Duplex (D) ❑ Holding Tank ❑ Renewal ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑X 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. (Signature of property owner or authorized agent) Permit/Rush Fees: � 3 Q 0 Date of Payment: 5121 0119-1 Receipt Number: 016 5 � p Permit No. QS r"n2 If I% D Permit App_'-'- : - Waiver Fees: Date of Payment: Receipt Number: Waiver No. May 21, 2021 MOA Development Services, On-Site Water & Wastewater Program 4700 Elmore Rd Anchorage, AK 99507 5/21/21 Subject: Southpoint Sub, Block 2 lot 7 – Southpointe Ridge Dr Septic system design Dear On-Site Services Engineer: The owner of the above lot intends to build a 6-bedroom home on the property, so we are submitting this permit application for the construction of a new well and septic system. The attached site plan identifies the location of the home as well as the proposed well, septic location and alternate site. No conflicts exist between this proposed system and any other well or septic system, whether on this lot or adjacent lots. The slopes on the lot vary in direction and steepness. The proposed septic is location on the southern part of the lot in an area with slopes between 27-30%. The current design allows for installation within this slope. Contour lines are shown on the site plan showing the grade and direction of flow. Stormwater drainage will not impact this septic system. The new trench will be constructed parallel to the slope as much as possible. There are no adjacent well radii that conflict with this property. The new system will be greater than 50’ from all wells and surface water, and more than 5’ away from the septic tank. The alternate site is located more than 6’ away from the primary. Please refer to the attached test hole logs, plan, and profile pages for the septic design. If this design is followed, there will be no adverse impacts to adjacent properties. Sincerely, Benjamin Schiller, PE Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211160, Rebecca Carroll, 05/27/21 ALTERNATE SITE Benjamin Schiller CE 12592R EGISTEREDPROFES S I O N ALENGINEER 1"=50' CO - CLEANOUT 2CO - DOUBLE CLEANOUT FCO - FOUNDATION CLEANOUT FS - FLOW SPLITTER VALVE MH - MANHOLE MT - MONITORING TUBE SV - SEPTIC VENT TH - TEST HOLE LEGEND CO 1 18 0 SOUTHPOINTE SUB, BLOCK 2 LOT 7 FEET 0 50 100 FCO NOTE: NO SLOPES >46% WITHIN 100' & NO SURFACE WATER WITHIN 50' OF THE PROPOSED SEPTIC SYSTEM NO WELLS OR SEPTICS ON SURROUNDING LOTS WITH IMPACTS TO THIS PROPERTY. 10' T&E EASEMENT SO U T H P O I N T E R I DG E DRI V E 15' T&E EASEMENT 5' PATHWAY EASEMENT 6 -BDRM HOME TH#1 TH#2 CO MT MT ≥10' 3000-GAL ADVANTEX TANK w/ 2-AX20 PODS 40' LONG x 5' WIDE, 0.5' EFFECTIVE DEPTH ABSORPTION TRENCH PROPOSED WELL 50' WELL RADIUS 11 90 11 70 1200 1190 1180May 26, 2021 2CO EXISTING SLOPE IN THIS AREA IS ABOUT 30% OR LESS. THE CURRENT DESIGN MEETS CODIFIED SLOPE CRITERIA. 100' SEPARATION FROM SLOPES >46% NOTE: SLOPE STABILIZATION MUST BE RE-ESTALISHED DOWN GRADIENT AND OVER ABSORPTION FIELD AFTER CONSTRUCTION Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211160, Rebecca Carroll, 05/27/21 SOUTHPOINTE SUB, BLOCK 2 LOT 7 TYPICAL TRENCH SECTION (NO SCALE) NOTES: 1. GRADE AREA OVER TRENCH TO DRAIN AWAY 2. PROVIDE 3' OF 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 Benjamin Schiller CE 12592R EGISTEREDPROFE S S I O N ALENGINEER4" PERFORATED PVC (HOLES DOWN) DRAINFIELD ROCK 5' 6" 6" 4.0' 6" DESIGN FACTORS:SYSTEM REQUIREMENTS: 900 GPD PEAK FLOW PERK RATE: <1 MIN/IN APPLICATION RATE: 5.0 GPD/SF SHALLOW TRENCH SYSTEM w/ 2' SAND LINER 3000-GAL ADVANTEX TANK w/ 2 - AX-20 PODS BOTTOM OF TRENCH: 5' BELOW GRADE FLOW LINE ELEVATION: 4' 6" BELOW GRADE TOP OF TRENCH: 6" ABOVE GRADE 900 GPD / 5 GPD / SF /5' WIDE * 1.0 RED FACTOR = 36 LF TRENCH REQUIRED (40 LF SPECIFIED) MOA APPROVED FILTER SAND 2' May 21, 2021 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211160, Rebecca Carroll, 05/27/21 LEGAL DESCRIPTION: PERFORMED FOR: DATE: PARCEL ID#: SOILS LOG AND PERCOLATION TEST TECHNICIAN: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 DEPTH (feet) PROJECT No.: TEST HOLE 1 SLOPE SLOPE SITE PLAN DATE READING GROSS TIME (minutes) NET TIME (minutes) DEPTH to WATER NET DROP PERC. HOLE DIA. (INCHES)PERCOLATION RATE: (MIN/INCH) TEST RUN BETWEEN: FT. and FT. COMMENTS: (inches)(inches) J. Millette DATE OF MONITORING: WAS GROUND WATER ENCOUNTERED? DEPTH TO WATER AFTER MONITORING: IF YES @ WHAT DEPTH?- .07 4 4 5 3/22 1 2 3 4 5 6 GP (POORLY GRADED SANDY GRAVEL) Professional Engineers Stamp: no NONE 5/19/21 Southpointe B2 L7 03/22/21 020-311-56 Jorge Correa 15:451 2 3 4 5 6 6" - 0" 1' OB 0:28 Benjamin Schiller CE 12592R EGISTEREDPROFE S S I O N ALENGINEER BOH 6" 15:45 6" - 0"0:26 6" 15:46 6" - 0"0:35 6" 15:47 6" - 0"0:48 6" 15:48 6" - 0"0:52 6" 15:48 6" - 0"0:51 6" May 19, 2021 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211160, Rebecca Carroll, 05/27/21 LEGAL DESCRIPTION: PERFORMED FOR: DATE: PARCEL ID#: SOILS LOG AND PERCOLATION TEST TECHNICIAN: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 DEPTH (feet) PROJECT No.: TEST HOLE 2 SLOPE SLOPE SITE PLAN DATE READING GROSS TIME (minutes) NET TIME (minutes) DEPTH to WATER NET DROP PERC. HOLE DIA. (INCHES)PERCOLATION RATE: (MIN/INCH) TEST RUN BETWEEN: FT. and FT. COMMENTS: (inches)(inches) J. Millette DATE OF MONITORING: WAS GROUND WATER ENCOUNTERED? DEPTH TO WATER AFTER MONITORING: IF YES @ WHAT DEPTH?- .28 4 4 5 3/22 1 2 3 4 5 6 GP (POORLY GRADED SANDY GRAVEL) Professional Engineers Stamp: no NONE 5/19/21 Southpointe B2 L7 03/22/21 020-311-56 Jorge Correa 16:101 2 3 4 5 6 6" - 0" 1' OB 0:30 Benjamin Schiller CE 12592R EGISTEREDPROFE S S I O N ALENGINEER BOH 6" 16:11 6" - 0"0:36 6" 16:12 6" - 0"1:02 6" 16:13 6" - 0"1:36 6" 16:15 6" - 0"1:40 6" 16:16 6" - 0"1:42 6" May 19, 2021 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211160, Rebecca Carroll, 05/27/21 Firefox MUNICIPALITY OF ANCHORAGE ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND REPAIR AGREEMENT THIS MAINTENANCE AND REPAIR AGREEMENT, herein the "AGREEMENT" made and entered into as of this 2 1-4 Day of tACk tA of 20 Zi , by and between J0(Tjt C. e cfQk ltACCIOS _F , 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 Waste Water Treatment System located at (legal description) Southpointe Sub, Block 2 Lot 7 2. Maintenance, Repairs and Alterations. (Owner is required to read, understand and initial each. section) Jt� 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. fe L" It shall be the responsibility of the Owner during the term of this Agreement to pay for all repair(s), maintenan.ce,.adjustment(s), replacement costs, And inspection costs. This includes an annual maintenance fee (typically $400 to $600). SL` Owner agrees that only maintenance and repair personnel approved by the Municipality or the manufacturer's representative will inspect and matte 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) Pagel o f 3 about:blank 1 of 4 5/11/2021, 11:34 AM Firefox S(-' Owner acknowledges that the Municipality may request records of maintenance and repairs from the manufacturer's representative or maintenance provider. L Owner acknowledges that the fine for failing to maintain and repair an AWWTS may be assessed in accordance with AMC 14.60.030. C' 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, fr, 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. 3 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. about:blank 2 of 4 5/11 /2(121 11.34 AM .refox about:blank (rev. 05,118,`2018) 0WINER-4- -- By: Date. ITC, Inv print i iamc) STATE, OF ALASKA ss. THIRD JLTDTCTAT-, DISTRICT A I The foregoing instrument was acknowledged before me this 24- clay Of I A _2 0 by - -1 -e Pdcd- hlef�t, Page 2 of 3 Z, A- ALL 80, J- NOIARYPIT' TC I ALAS6 N',�S � A K A Nly Commission e.-,,-pires: MUNICIPALITY: By:Ct-,4A, (signature) RA-CCCC, C7c-v-ri21( (print name) Z10 ........... L P, Date: Title: MUNICIPALITY OF F ANCHORAGE Development Services Department ` _ " Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Parcel I.D. 020-311-56-000 Legal description SOUTHPOINTE BLK 2 LT 7 Expiration Date: 10/14/2025 Site address 6407 SOUTHPOINTE RIDGE DR Anchorage AK 99516 Current property owner(s) CORREA-MERLOS JORGE & HANNA X The On-site system(s) is/are approved for 6 bedrooms Conditional approval for bedrooms, with the following stipulations: Comments or advisories: In Original Certificate Date: 12/4/2024 -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 ANCHORAGE Development Services Department \ / Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Application 1. GENERAL INFORMATION Parcel I.D. 020-311-56 Complete legal description SOUTHPOINTE BLK 2 LT 7 Location (site address) 18161 NORWAY DR. ANCH AK Current property owner(s) CORREA- MERLOS 2. ON-SITE SYSTEMS SIZED FOR 6 BEDROOMS Day phone 3. TYPE OF WATER SUPPLY: ❑■ 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: ❑■ Private Septic ❑ Private Septic serving 2 dwelling units ❑ Holding Tank ❑ Community Septic or Public Sewer 5. SEPTIC TANK: ■❑ Steel ❑ Plastic ❑ Concrete ❑ Fiberglass Age NEW - See advisory if steel older than 20 years 6. ABSORPTION FIELD: ■❑ AWWTS ❑ Bed ❑ Deep Trench ❑ 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 $ L Date of Payment l Z 0 z y COSA # ©S C Waiver Fee $ Date of Payment Waiver # COSA Applicalionjune 2022 Legal Description: COSA Checklist SOUTH POINTE BLK 2 LT 7 Parcel ID: 020-311-56 If more than 1 well andfor septic system on lot, provide separate checklist. Structure served by this system A. WELL DATA ❑E1 Well log is filed with Onsite (or attached) Date drilled 10/25/23 Total depth 383 ft Cased to 58 ft ❑ Sanitary seal is functioning correctly ❑1 Wires are properly protected Casing height (above ground) 24 in. Date of flow test for COSA NEW Static water level at beginning of test 58 ft. Comments B. TANK DATA Measured operating fluid level in septic tank NEW Date of pumping NEW ❑ Required maintenance completed, if AWWTS Comments: D. ABSORPTION FIELD DATA Which system tested (date installed) NEW 0 ALL standpipes present per record drawing Total measured depth from grade 5—ft (max) Measured depth to pipe invert from grade 4.5 ft (min) ❑ NIA – pressurized field. ❑ Per record drawings, field is insulated. Al Monitor tubes go to bottom of effective. If not, state depth into effective _ ❑ Presoaked required if (Required if house vacant or field not used for more than 30 days prior to date of test) Gallons introduced gallons date Any rejuvenation treatment (past 12 months) If yes, enter date Comments/Deficiencies: COSA Checklist June 2022 Well production at time of test 2 gpm Water storage tank volume 0 gallons Well disinfected for coliform test? ❑ Yes No N Coliform bacteria is Negative Nitrate mg/L ❑Q Nitrate less than MRL (ND) Arsenic ug/LArsenic less than MRL (ND) Collected by MNA Date 10/14/24 C. LIFT STATION 0 Required maintenance completed Age of lift station NEW years Lift station material STEEL Comments: NEW INSTALLATION Adequacy test date NEW Results 0 Pass Fluid depth prior to test _ in Water added _ gal New fluid depth _in Elapsed time _ min Final fluid depth _ in Absorption rate 900+ gpd FIELD STATUS – POST RECOVERY Effective depth (per record drawings) 6 in Effective depth used 0 in Effective depth remaining 6 in E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well on lot) Septic Tank/Lift Station on Lot > 100' Q Yes if No _ ft Neighboring Tank > 100' Q Yes if No _ ft Absorption Field on Lot > 100' ❑ Yes if No X50+ ft Community Sewer Manhole/Cleanout > 100' 0 Yes if No _ ft Private Sewer/Septic Line > 25' Q Yes if No _ ft Holding Tank > 100' QYes if No _ ft Neighboring Absorption Fields > 100' Animal Containment > 50' Q Yes if No _ ft ❑i Yes if No ft Manure/Animal Excreta Storage �> 100' Community Sewer Main > 75' Q Yes if No _ ft I jJ Yes if No _ ft ❑ N/A — Served by Community Well (not on lot) or Public Water From Septic/Holding Tank and Absorption Fields) on Lot to: (Please enter distances if less than required) Building Foundations > 10' g Yes if No _ ft Surface Water > 100' F Yes if No _ ft Tank to Property Line > 5' Field to Property Line > 10' Water Main > 10' Water Service Line > 10' Q Yes if No _ ft ❑m Yes if No _ ft ❑N Yes if No _ ft E Yes if No _ ft F. ENGINEER'S COMMENTS " ADVANTEX SYSTEM Wells on Adjacent Lots: Private Wells > 100' Community Wells > 200' 0 Yes if No _ ft g Yes if No _ ft If tank or field is under driveway comment below G. CERTIFICATION & 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, indicates that the on-site water supply and/or wastewater disposal system appears to comply with applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation, unless noted otherwise. Name of Finn M lk C— 140 �l e v4 vyt Pp, Engineer's Printed Name Ut" COSA Checklist—June 2022 Phone 727-8864 LOT 6 BLK 2 SOUTHPO I NTE. RIDGE DGE OR MONOW oft --Room I ANCHORAGE RECORDING DISTRICT, ALASKA ASBUILT OF: SOUTHPOINTE SUBDIVISION LOT 7 BLOCK 2 PLAT 2007-37 S89*50'06"E 261.84' SURVEY CERTIFICATE: 1, John L. Schuller, Have conducted a physical survey of this property as shown on this drawing and that the improvements situated hereon are within the property lines and no enchroachments exist other than noted. Under no circumstance shoul4 any information on this drawing be used for construction of fences, structures, improvements, or for establishing boundary lines. EXCLUSION NOTES: It is the owners responsibility to determine the existence of any easements, covenants, or restrictions which do not appear on the recorded subdivision plat. WORK ORDER NUMBER: DATE- SCALE.E-MAIL )p SEPT 28, 2024 1 =40' schullerok0moil 24-099 DRAWN BY, ICHECKED BY; GRID NUMBER: BooK Ate JLS SW3738 240320 * = FND 5/8" REBAR 0 F SSI 4� AW AW 0 49TH 0 WA * .* • ......... ............ z ?A ........... •IjkN L. SCHULLER: 0 LS -10408 fX . A" �-•, . 1831 Talkeetnca Street Anchorage, Alaska 99508 Ofessjond\ AMW (907) 227-1455 office (907) 274-4992 fax