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SHANGRI-LAESTATES EAST BLK 1 LT 7A
Onsite File Ar- - AV-'= 0 EStuAo%tes 'Aft haa-ft nu, r i � lal% � Lot 7 A Municipality of Anchorage On-Site Water and Wastewater Section • (907) 343-7904 Page 1 of 3 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP231196 PID Number: 020-043-83 Dwelling: 01 Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ■❑ New ❑ Upgrade Name Kyle & Megan Mirka ABSORPTION FIELD ❑ Deep Trench 9 Wide Trench ❑ Bed ❑ Mound Site Address 16280 Mountain Breeze Dr ❑ Other Phone Number of Bedrooms Soil Rating depth from original grade 6 6 GPD/SF JTotal 2.5 Ft. LEGAL DESCRIPTION Depth to pipe invert from original 2.0 grade Ft. Gravel depth beneath pipe 0.5 Ft. Subdivision Block Lot Shangri-La Estates East 1 7A Fill added above original grade 6.3 Ft. Gravel length 34 Ft. Township Range Section Gravel width 5.0 Ft. Beds: Number N/A of Lines Distance between lines N/A Ft. SEPARATION DISTANCES To Septic Tank Absorption Lift Station Holding Sewer Total absorption area Number of trenches 1 Dist. between trenches From Field Tank Line 170 Ft2 N/A Ft. Well >50' >50' N/A N/A >25' TANK ❑ Septic ❑ S.T.E.P. ❑ Holding 0 Other Manufacturer Orenco/Advantex Capacity 3000 Gal. Surface Water >50' >50' N/A N/A Material Steel Number of compartments 2 Lot Line >5' >10' N/A N/A NA Foundation >1 0' > 10' N/A N/A LIFT STATION Manufacturer Orenco Capacity (Advantex tank)Gal. Remarks Advanced treatment system Alarm location Side of house Electrical installed by Frontier Elec Installer PIPE MATERIAL House to tank D3034 Tank to D3034 drainfield BTH Construction Drainfield D3034 co/MTD3034 Inspector B Schiller BENCH MARK (Assumed elevation) 100 ft Inspection 151 7/5/23 7/6/23 Location and description dates: 2n 7/7/23 Garage slab of A D U 3`" 4`n ON-SITE WATER AND WASTEWATER SECTION APPROVAL Engineer's Stamp F'gl�l Conditional Approval: Date Q OTH TH •* Septic System Approved Date / 9 Z Benjaq'r %Schiller % •, / 121 �� �Vsr, • CE 12/232. • ���� w lti`�,0 Note: this approval es not include well requirements. PROFESSIO kW \,®\®.`�� permit kcv VV/VL/ 10) \ PERMIT # OSP231196 \ A B FC01 3.9 75.4 FCO2 72.4 10.5 MH1 13.5 65.7 MI -12 26.2 53.2 C01 31.6 53.6 MT1 1 33.6 1 52.8 CO2 60.5 20.5 MT2 58.0 22.2 CO3 16.6 66.9 EXISTING WELL 1 � ` g 1210 1205 E N G I N E E A 1 N G . NO .49 mmi Benja i Schiller ��c •. • CE 2592 Ldp Jul 13, 2023 . • •�j\ PROFESSIOA� 5-BDRM HOME 3000- ADYANTEX T Wf 2-AX20 P f/ / PID # 020-043-83 .r \ 34' LONG x 5' WIDE, 0.5' EFFECTIVE DEPTH ABSORPTION TRENCH W/ 2' SAND LINER ®TH#1 C01 MT1 MH2 # 50' STREAM TH#2 SETBACK Ir MT2 I CO2 F 1CO2 I I ALTERNATEiSITE B Q I e 2 Cr m 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. FS - FLOW SPLITTER VALVE 0 50 100 MH - MANHOLE FEET MT - MONITORING TUBE SV - SEPTIC VENT 1"=50' TH - TEST HOLE SHANGRI-LA ESTATES BLOCK 1 LOT 7A PERMIT # OSP231196 83.9 PID # 020-043-83 OH 02 92.2 FINISH GRADE v. - =LUENT LINE ;TLY TO FIELD I— O 85.9 ORIGINAL GRADE 75 U nn — 83.4 ----81.4 83.4—/ 34' NO GROUNDWATER 10/14/21 72.9 PROFILE AS -BUILT (NO SCALE) 83.9 =� � skt o ,•STM .'.. �: .......... • ' • • • • • Benja 'n Schiller ' CE 1° 92Ju1 p70FESSIONP���� 0 r --"o' � (D 0) r - 90 ou )o LL 0 <04c�<-'� c co o lz:9 or" ut'r, @ Q) LO 000 a) o Qs :3 �0)0) U)- 10 0 0 C -C m -C 41 0 o_c �.2 -26 C:a-LL-j C) � 4 0 I�h c7t 11 ID Luj L - 'o �C3 C) )o -Air. oc --j 'o < Q - (Z) 10 Qo X—. EL cc) cn (9 Cl - z C-3 Nf 0 Q CL O'Z 112 2, R- 2:1 Z 2 21 C\j Z: < z r,::3 2 2 Zn, -3,"ro rii - -Z �- co -4— rol LJL� Q) (Z:3 --i 0 ,u 'b C'4 iZ3 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,,,, ^^I 3 Day of J 4i of 20�, by and between 1�-- � l �1 , 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 Adve", � located at (legal description) Lo+ 7A Slo-c-k.. ( La - 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. 9�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). 1�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. IT-- Owner acknowledges that regular maintenance of an AWWTS reduces the potential failure of the system, which could include sewage backup and costly repairs or drainfreld replacement. (rev. 05/18/2018) Page 1 of 3 0/V4� Owner acknowledges that the Municipality may request records of maintenance and repairs from the manufacturer's representative or maintenance provider. �O('�AOwner acknowledges that the fine for failing to maintain and repair an AWWTS 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. --/,Cry—Owner agrees that any sale or transfer of title of the property will not occur without a new Certificate of On -Site Systems Approval. 1,' 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. —/O ' wner 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 OWNER: By: 0!�3A (signature) Date: -7-IS-2o23 (print name) STATE OF ALASKA ) ss. THIRD JUDICIAL DISTRICT ) The foregoing instrument was acknowledged before me this 3 day of 20 �?.J", by rrV 9 awl fill' `,,•`` Me9an ;o �••i,1 NOTARY P IC FOR ALA KA �'• ��' My Commission expires: r o �•� MUNICIPALITY: By: (signature) (print name) ;3�NA'Ns _ �A �eLIG N Nin. •�'�. ��Q;'ry.OP AL a Date: ;/ 3 Z -5 Title: (rev. 05/18/2018) Page 3 of 3 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 Water & Wastewater System Permit Permit Number: OSP231196 Work Type: WellSeptic Renewal Tax Code Number: Z L7 OCI 3 3 Site Legal Address: S 14 /1,-(, V-( -L,4 C- Site Mailing Address: Owner: MIRKA KYLE D & MEGAN Design Engineer: FORGE ENGINEERING This permit is for the construction of: Effective Date Expiration Date CISH 61 L 7 I Lot Size in Sq Ft: Total Bedrooms: »>cnr ,i Department 7/12/2023 7/11/2024 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 Received By: [ S ILD(t,C, Date: Issued By: Date: GUI UHMPAUTY 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. 020-043-83 Property owner(s) Kyle & Megan Mirka Day phone Mailing address 4000 Winchester Loop, Anchorage, AK 99507 Site address 16280 Mountain Breeze Drive, Anchorage, AK 99516 Legal description (Sub'd., Block & Lot) Shangri-La Estates East B1 L7A Legal description (Township, Range & Section) Lot Size 40,065 Sq. Ft. Number of Bedrooms 6 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field ❑x Initial ❑ Single Family (SF) (w/wo AD U) Septic Tank ❑x Upgrade ElDuplex (D) ❑ Holding Tank E] Renewal ❑X Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well nx 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: � % `i �- Waiver Fees: Date of Payment: Receipt Number: Permit No. 0 5 P Z-") l l ) L Date of Payment: Receipt Number: Waiver No. Permit App_ '- : - : LT June 28, 2023 MOA Development Services, On-Site Water & Wastewater Program 4700 Elmore Rd Anchorage, AK 99507 Subject: Shangri-La Estates East Block 1 Lot 7 Septic System Permit Renewal Dear On-Site Services Engineer: The permit for the construction of a well and septic system on the subject property has expired. A site visit was conducted, and while the home is in the process of construction, there are no substantial changes to the design or location of the septic system since this permit was originally issued. We request a permit renewal. Sincerely, Benjamin Schiller, PE Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP231196, Curtis Townsend, 07/12/23 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: _______________ Date of Issue: ____-____-____ Parcel Identification Number: ____-____-____ Legal Description Block Lot Property Owner Name & Address: Pump Installation Date: _____-_____-_____ Pump Intake Depth Below Top of Well Casing: __________ feet Pump Manufacturer’s Name: ___________________________ Pump Model: _____________________________________ Pump Size: ____________hp Pitless Adapter Burial Depth: _________ feet Pitless Adapter Manufacturer’s Name: _________________________ Pitless Adapter Installer: ____________________________ Well Disinfected Upon Completion? XX Yes No Method of Disinfection: _____________________________ Comments: Pump Installer Name: __________________________________ Company: ___________________________________________ Mailing Address: ______________________________________ City: ___________________ State: __________Zip: _________ Attention: The pump installer shall provide a pump installation log to On-site within 30 days of pump installation. 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 Water & Wastewater System Permit Permit Number: OSP211449 Work Type: WellSeptic Initial Effective Date Expiration Date: Tax Code Number: 02004348000 Site Legal Address: SHANGRI-LA ESTATES EAST BLK 1 LT 7 G:3239 Site Mailing Address: 16280 MOUNTAIN BREEZE DR, Anchorage Owner: ANCHORAGE DEVELOPMENT & Design Engineer: FORGE ENGINEERING This permit is for the construction of: Q Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy 10/29/2021 10/29/2022 Lot Size in Sq Ft: 40065 Total Bedrooms: 6 R1 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 G0,3�) Zyic<«y,d riLmber ©�- b,2-A1rC0M5, Veronica Pope 2021.10.29 SFU GE Received By: ° ° 11:19:53 -08'00' Issued By: Date: Date: 2 Intl! UHC RA L�TY OF " H C H 0 ,, GF 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. 020-043-48 Property owner(s) Crown Pointe Homes Day phone 907-748-5579 Mailing address 3230 C Street, Anchorage, AK 99503 Site address NHN Mountain Breeze Drive, Anchorage, AK 99516 Legal description (Sub'd., Block & Lot) Shangri-La Estates East B1 L7 Legal description (Township, Range & Section) Lot Size 40,065 Sq. Ft. Number of Bedrooms 6 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field 0 Initial 0 Single Family (SF) 0 Septic Tank El Upgrade El(w/wo AD U) Holding Tank ❑ RenewalDuplex (D) El ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well 0 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:Waiver Fees: Date of Payment: 10/Zol I Date of Payment: 11 1 Receipt Number: 06/ g 0 D Receipt Number: Permit No. 05122 Waiver No. Permit App_::- : .,:c - LT May 4, 2022 UTE E E R I N G PO BOX 240773 ANCHORAGE, AK 99524 522-7773 677-7766 (FAX) FORGECIVIL.COM MOA Development Services, On -Site Water & Wastewater Program 4700 Elmore Rd Anchorage, AK 99507 CSI °� �cgs�ir ... .......... . Benda in Schiller . C 5/4 2292 . • '����® 1 Subject: Shangri-La Estates East B1 L7- NHN Mountain Breeze 'llF�PROFESSION�`� Change Order Request \ Dear On -Site Services Engineer: - --- The owner of the above lot originally intended to build a 4 -bedroom home on the property, however the buyer has decided to increase the septic system size to accommodate future construction. The attached site plan identifies the location of the home as well as the existing 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 ground. surface on the lot slopes toward the northeast portion of the lot. There are no slopes greater than 25% within 50 feet downslope of either the primary or alternate site. Drainage arrows 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. Wells on this and adjacent lots are shown. The new system will be a minimum of 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. Please refer to the attached 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 SHANGRI-LA ESTATES EAST, BLOCK 1 LOT 7 Goy( 140 114"A 1150 \155 \ADVANTEX TANK 3000 -'GAL \ 30' LONG x 5 WIDE, 0.5' EFFECTIVE DEATH LOT 6 \ =AX20 PODS ABSORPTION TRENCH ----_ W�2 .\ W/ 2+ SAND LINES-_ FC 2C0 �� 6-BDRM HOf E� \ \ \ I 10 H#1 CO EXISTING L �TH#2 50' STREAM SET BACK • PLATf D' "BSORPTION \ r TRENCH S / % \ ALTER ATE SITE j '-- 130 1210 V L T 8 I •' /�e�\ /Q 1-1 11$5 EXISTING WELL 1190 1195 120 \ \ 1200\ j \ NO \ \\ NO SLOPES >25% WITHIN 50' OR SURFACE WATER WITHIN 100' OF THE LEGEND ` ll PROPOSED SEPTIC SYSTEM �,�Q,'•••''•�.f�++ CO - CLEANOUT / Ar 49 7H••* 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. FS - FLOW SPLITTER VALVE Benja i Schiller / MH -MANHOLE ��,��%T • �E 1292 •••�����/ 0 50 100FEET MT - MONITORING TUBE ,11�pel ROFESSI==`'m, SEPTIC T 111=50' TH - TEST HOLE \\�� SHANGRI-LA ESTATES EAST, BLOCK 1 LOT 7 CO --5'-1 DESIGN FACTORS: SYSTEM REQUIREMENTS: 900 GPD PEAK FLOW 5' WIDE TRENCH SYSTEM PERK RATE: <1 MIN/IN 3000 -GAL ADVANTEX TANK W/ 2-AX20 PODS APPLICATION RATE: 6 GPD/SF 900 GPD / 6 GPD/SF /5' WIDE *1.0 RED. FACTOR = 30 LF TRENCH REQUIRED BOTTOM OF TRENCH: 4.5' BELOW GRADE FLOW LINE ELEVATION: 4' BELOW GRADE TOP OF TRENCH: 0.5' ABOVE GRADE n =1 11=1 11=1 11=1 11 I- I -I I- I -I I- I -I I -I I -I I I -I I -I I 3'-6" 11-i 11-11 1=I I-111-111 I- 1=1 III—III—III—III=1I I=I I I� GEOTEXTILE FABRIC 1-I 11-I 11-1 11=1 11=1 11=, -1 I I -III -III -III -I ! �-I I I- I -1 6" 4" PERFORATED PVC (HOLES DOWN) 6" r _ 1 --- DRAINFIELD ROCK 2' MOA APPROVED SAND LINER �5'� 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 --cr- TH :* . ..-, . • • • Benja'n Schiller '0�F� •. CE 12592514/22 lh�_ PROFE5SI00P ,� 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) L.Tidwell DATE OF MONITORING: WAS GROUND WATER ENCOUNTERED? DEPTH TO WATER AFTER MONITORING: IF YES @ WHAT DEPTH?N/A <1 6 4 5 10/5/21 1 2 3 4 5 6 SM (SILTY SAND) Professional Engineers Stamp: NO 10.6 10/14/21 Shangri-la Estates East B1 L7 10/07/21 020-043-48 Crown Pointe Homes 3:051 2 3 4 5 6 0-60 16 3:06 3:07 3:08 3:10 3:12 OB 0:36 Benjamin Schiller CE 12592R EGISTEREDPROFE S S I O N ALENGINEER10/19/21 GM 60 16 0-60 160:40 60 16 0-60 160:41 60 16 0-60 160:37 60 16 0-60 160:36 60 16 0-60 160:37 60 16 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211449, Deb Wockenfuss, 10/29/21 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) L.tidwell DATE OF MONITORING: WAS GROUND WATER ENCOUNTERED? DEPTH TO WATER AFTER MONITORING: IF YES @ WHAT DEPTH?N/A <1 6 4 5 10/5/21 1 2 3 4 5 6 SM (SILTY SAND) Professional Engineers Stamp: NO dry 10/14/21 Shangri-La Estates East B1 L7 10/07/21 020-043-48 Crown Pointe Homes 3:211 2 3 4 5 6 0-60 16 3:23 3:25 3:27 3:29 3:31 OB 1:04 Benjamin Schiller CE 12592R EGISTEREDPROFE S S I O N ALENGINEER10/19/21LEGAL 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 60 16 0-60 161:15 60 16 0-60 161:16 60 16 0-60 161:23 60 16 0-60 161:26 60 16 0-60 161:24 60 16 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211449, Deb Wockenfuss, 10/29/21 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) -9 Day of 0c",�-Eo Lou of 20 2 t , by and between herein the "OlvY�TER," and the Municipality of Anchorage, herein the "NIUTTICIPALITY", 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 (A)ATWTS), described as Advantex located at (legal description) Shangri - La Estates East Block 1 Lot 7 2. Maintenance, Repairs and Alterations. (Owner is required to read, understand and initial each section) / Tluoughout the term of this Agreement, the Owner shall enter into a service agreement with an AWWTS ser -vice and maintenance provider approved by the Municipality or the manufacturer's representative. The AW-WTS 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 mance any necessary maintenance, % repairs or permitted alterations to the system. ✓_ Owner acknowledges that regular maintenance of an AWINTS 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 AWWTS may be assessed in accordance with AMC 14.60.030. Owner agrees to grant the Municipality reasonable access to test and inspect the AWWTS. The Municipality will give at least 24-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. `J Owner agrees to maintain remote monitoring of the AVi AVTS 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 goveni the rights and obligations of the parties Linder 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 OWNER: By: (signature) Date: lfr— (print name) STATE OF ALASKA THIRD JUDICIAL DISTRICT The foregoing instrument was 202, ll . by ss. ed before me this`v day of,1�96;t� , NOTARY PUBLIC FOR AbASKA NOTARY PUBLIC My Commission expires: s �r �> S. William Hagood Comm. Ex.p. 5/3112023 N1 1UNICIPALITY: By: kjZ (signature) (print name) Date: 0 Z 21 Title: (rev. 05/18/2018) Page 3 of 3 Nov 29 0� 04:32p Sonshine Enterprises (907) 346-8057 p.2 ALPINE DRILLING & ENTERPRISES Permit Num' ber: #lSW060346 Date of Issue: 10- 4-06 Parcel Idj ntification Number: 020-04g-13 Date Started: 11-10-03 Date Completed: 11-10-03 Is well located at apprgved permit location? 9 -Yes LD No Legal Description: Hompe Tract 2 - Shan d -La Phase 2 Property "ner Name & Address: Anchorage Development & Construction 9441 Abbot Loop Road Anchorage, Alaska 99507-4221 Borehole Data: )[Depth (ft) Method of Drilling ® air rotary ❑ cable tool Soil Type, Thickness & Water Strata From To stick-up 0 2 gravelly silt 2 16 bedrock 16 106 !NATER QUALITY TESTING CoAform Nei CoI/100mL Nitrates 3.16 mg/L Arsenic ND t,tg/L Casing type: stere -1 Wall Thickness: .50 inches Diameter: 6 inches Depth: 20 feet Liner Type: ovvc, Diameter: 4 inched Depth: 40 feet Casing stickup alove gl-ound: 2 feet Static water level (from ground level): 39 feet Pumping level:jiD6 feet after 2 hours pumping g+ gpm Recovery Rate: 4+ gpm Method of Testing: airlift Well intake Opeping Type: ❑ Open End 1Z Open Hole ❑ Screened $tart feet Stopped : feet ❑ Perforations 4tar[ feet Stopped feet Grout Type: henionite granules Volumc: d: bis Depth: Start 0 feet Stopped 4foct Pump: Intake D4pth feet PUMP size ih Brand Flame Well Disinfected Upon Completion? ®Yes ❑ No JJ 11 Method of Disinlectioo: chlorine tablets I Comments: Well Steel cased to 20 feet with 4 inch {finer installed from 0 to t10 feet with shale acker at 40 feet with annulus between bare and liner filled with bentonite:chips. Well Driller: Alpine Drilling 8 Enterprises Ply Box 110496 Arichoreae Alaska 99511 Attention: i The well driller shall provide a well log to the property owner within 30 owner or tl ie well driller shall provide a well log to the Development Services Depat ys of completion and the propdrty ent within 60 days of completion. MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WATER SUPPLY PERMIT Initial Date Issued: Oct 24, 2006 Expiration Date: Oct 24, 2007 Permit Number: SW060346 Parcel ID: 020-043-13 Legal Description: HORACE TRACT 2 Design Engineer: 0060 DHI ENGINEERING Site Address: NHN MOUNTAIN BREEZE DRIVE Owner Name: ANCHORAGE DEVELOPMENT & CONS Lot Size: 1739258 SO. FT. Owner Address: 9441 ABBOT LOOP ROAD Total Bedrooms: 0 Permit Bedrooms: 0 ANCHORAGE. AK 99507-4221 This permit is for the construction of: ❑ Disposal Field ❑ Septic Tank ❑ Holding Tank ❑ Privy Q Private Well ❑ 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 engineer must notify DSD at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 ( 24 hours ). ( Not required for a Water Supply Permit only ). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. 5. The following special provisions. -WHEN THE WELL HAS BEEN COMPLETED AND SATISFACTORY WATER PRODUCTION HAS BEEN DETERMINED, THE WELL DRILLER SHALL PLACE AN APPROVED SANITARY SEAL ON THE WELL HEAD AND NO PITLESS ADAPTER OR PUMP SHALL BE INSTALLED UNTIL AN APPROVED WASTEWATER DISPOSAL SYSTEM HAS BEEN CONSTRUCTED. Received By: Issued By. Date: 10L97100 Date: �� O Municipality of Anchorage Development Services Department Building Safety Division Onsite Water and Wastewater Program ` 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907)343-7904 ON-SITE SEPTICIWELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. _ 02004313 W S[L #L Propertyowner(s) Anchorage Development & Cons tructi onDay phone 346-2147 Mailing address_9441 Abbott Loop Road Anch. AK Zip Code 99507-4221 Site address N/A Zip Code Legal description (Sub'd, Block & Lot) Horace Subdivision - Tract 2 Legal description (Township, Section & Range) N11/2 Sec 2, T 11 N, R S W, S.M. Lot Size 001739258 Sq. Ft. THIS APPLICATION IS FOR (®all that apply): Absorption Field ❑ Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well Water Storage ❑ Number of Bedrooms N/A THIS APPLICATION IS AN: Initial ❑ Upgrade ❑ Renewal ❑ certify that the above information is correct. 1 further certify that this application is being made for a Pagfe-F rtily Dwelling and V in accordance with applicable Municipal Codes. (Signature of property Permit/Rush Fees: 4PI /,5 Date of Payment: Receipt Number: (Rev. 11105) agent) Waiver Fees: _ Date of Payment: Receipt Number: I l Qco of o / IE 10 �/ _ 5 �, 5 \ W N ~ i I '.'I Q O � y 1.0 u to Q O r- W ��—`� Q /r Q o o Q .. Q Li to o CA 0 N Z ^... \ Q I { �. I r n O rl N Qf 9 P O LOT!p • N 2 �Or 6 u �� A \ �V A6 I \ u G O RQ r r v O O COLL / rn W ! 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