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Home My WebLink AboutRABBIT CREEK VIEW & HEIGHTS BLK 1V LT 16ARABBIT CREEK VIEW & HEIGHTS Block I V Lot 16A t: Aq s vu 0 m P"TA a WWXA I 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?  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 and Wastewater Section - (907) 343-7904 Page 1 of 3 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP251057 PID Number: 020-541-24 Dwelling: nE Single Family (SF) n with ADU n Duplex (D) n Two Single Family Project: 9 New F] Upgrade Name Elegant Homes LLC ABSORPTION FIELD El Deep Trench 9 Wide Trench El Bed 9 Mound ❑ Site Address 8200 Leo Circle El Other Phone Number of Bedrooms Soil Rating depth from original grade 4 1.0 GPD/SF ITotal +2.0/+2.0 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade +2.5/+2.5 Ft. Gravel depth beneath pipe 0.5/0.5 Ft. Subdivision Block Lot Rabbit Creek View & Heights 1V 16A Fill added above original grade 5.5/5.5 Ft. Gravel length 60/60 Ft. Township Range Section Gravel width 5.0/5.0 Ft. Beds: Number of Lines N/A Distance between lines N/A Ft. SEPARATION DISTANCES To Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches 2 Dist. between trenches >6 From Tank Field Tank Line 600 Ft2 Ft. Well >50' >50' >50' N/A >25 TANK El Septic 0 S.T.E.P. E] Holding Fol Other Manufacturer Advantex Capacity 1500 Gal. Surface Water >50' >50' >50' N/A — Material Plastic Number of compartments 2 Lot Line >5, >10, >5' N/A NA Foundation >1 0, >1 0, >10' N/A LIFT STATION Manufacturer Orenco Capacity 250 Gal. Remar,ksAWWTS Trenches listed north / south (insulated) Alarm location Noted on ASB Electrical installed by Elegant homes PIPE MATERIAL House to tank D3034 drainfieldTankto D3034 Installer Alex's Enterprises Drainfield D3034 CO/MT D3034 Inspector Jared Earls BENCH MARK (Assumed elevation) 100 ft Inspection 1-6/10/25 9/29/25 Location and description dates: 2nd3rd th of siding (See plan ASB) 4 IlBottom ON-SITE WATER AND WASTEWATER SECTION APPROVAL Engineer's Stamp Conditional Approval: Date 49 TH ...... Benja z� Septic System ` r C 1 Approved z� Date. L I / /2 this approval does not include well permit require2nits. 7N (Rev 05/02/1 ALTERNATE SITE Benjamin Schiller CE 12592R E GISTEREDPROFE S S I O N A L E N GINEER 1"=50' (2)x 60' LONG x 5' WIDE, 0.5' EFFECTIVE DEPTH ABSORPTION TRENCHES. ADVANTEX FAP AWWTS SYSTEM CO - CLEANOUT 2CO - DOUBLE CLEANOUT FCO - FOUNDATION CLEANOUT FS - FLOW SPLITTER VALVE MH - MANHOLE MT - MONITORING TUBE SV - SEPTIC VENT TH - TEST HOLE PV - PUMP VAULT LEGEND PV PERMIT # OSP251057 PID # 020-541-24 RABBIT CREEK V&H, BLOCK 1V LOT 16A A B 2CO 21.3 MH 29.2 PV 27.0 A B C MT1 18.1 MT2 52.7 MT3 33.3 MT4 59.7 24.8 37.5 41.4 44.9 57.8 FEET 0 50 100 2CO LEO CIRCLE 4-BDRM HOME 1155 PLAN AS-BUILT 2/11/26 10' UTILITY EASEMENT 1150 1145 1140 1135 1130 WETLANDS EXTENTS OWNER HAS CORPS OF ENGINEERS WETLANDS PERMIT POA-2024-00286 TH#1 TH#2 MT3 MT1 MT2 MT4 TH#3 WELL C 75.7 89.2 ALARM BENCH MARK PROFILE AS-BUILT (NO SCALE) PERMIT # OSP251057 PID # 020-541-24 RABBIT CREEK VIEW & HIGHTS,BLOCK 1V LOT 16A 102.4 FINISH GRADE 60' DRAINFIELD ROCK MT TH # 3 GROUNDWATER 90.9 2/25/25 98.9 99.4 88.9 98.9 99.4 96.9 ORIGINAL GRADE MT 92.0 Benjamin Schiller CE 12592 R E GISTEREDPROFE S S I O N A L E N GINEER 1500 GAL ADVANTEX FAP 2.0 TANK AX-20 FILTER POD 2/11/26 MH 2" FOAM INSULATION 90.9 91.1 96.1 97.0 100.0 MH MOA - APPROVED SAND SLOPES 3:1, VISUALLY CONFIRMED MUNICIPALITY OF ANCHORAGE Development Services Department Phone: 907-343-7904 On-Site Water & Wastewater Section Fax: 907-343-7997 Well Log Permit Number: #__________ Date of Issue: ________ Parcel Identification Number: __________________ Date Started: _________ Date Completed: _________ Is well located at approved permit location? Yes No Legal Description:_________________________________________________________________________ Property Owner Name & Address: _______________________________________ _______________________________________ _______________________________________ Borehole Data: Depth (ft) Soil Type, Thickness & Water Strata From To Method of Drilling air rotary cable tool Casing type: _________ Wall Thickness: inches Diameter: inches Depth: feet Liner Type: _________ Diameter: inches Depth: feet Casing stickup above ground: feet Static water level (from ground level): feet Pumping level: feet after hours pumping gpm Recovery Rate: gpm Method of Testing: _________ Well Intake Opening Type: Open End Open Hole Screened Start feet Stopped feet Perforations Start feet Stopped feet Grout Type: _________ Volume: _________ Depth: _________ Start feet Stopped feet Well Disinfected Upon Completion? Yes No Method of Disinfection: Comments: Well Driller: _____________________________ Company: _____________________________ Mailing Address: _____________________________ Water Sample Results: Arsenic: _________ ug/L Nitrates: _________ mg/L Total Coliform Bacteria:_________ colonies/100mL 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 http://www.muni.org/onsite On -Site Water & Wastewater System Permit Permit Number: OSP251057 Work Type: WellSeptic Initial Effective Date: Expiration Date: Tax Code Number: 02054124000 Site Legal Address: RABBIT CREEK VIEW & HEIGHTS BLK 1V LT 16A G:3241 Site Mailing Address: 8200 LEO CIR, Anchorage Owner: ELEGANT HOMES LLC Design Engineer: FORGE ENGINEERING This permit is for the construction of: Q Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy 3/24/2025 3/24/2026 Lot Size in Sq Ft: 65524 Total Bedrooms: a-,- Cif 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 Cv0J 4)0U-) & -D.IZO L-)/" Received By: C, Issued By: Date: Date: MUNICIPALITY OF Development Services Department On -Site Water & Wastewater Section ON -SITE SEPTIC/WELL PERMIT APPLICATION Parcel I.D. 020-541-24 Property owner(s) Mykola Selyutin Mailing address Site address 8200 Leo Circle, Anchorage, AK 99516 Legal description Rabbit Creek V&H, Block 1V Lot 16A Number of Bedrooms 3 Phone: 907-343-7904 Day phone 9077154140 Engineering Firm Forge Engineering Building Permit Number fL 2 Not Applicable FEE APPLICATION IS FOR: APPLICATION IS AN: (Z all that apply) Absorption Field FKI Initial FKI Septic Tank Z Upgrade El Holding Tank n Renewal E] Privy EJ Well E THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: Distance: Permit/Rush Fees: lszo Waiver Fees: Date of Payment: / / 9/2-0 7- Date of Payment: f " Z /®r Waiver No. Permit No. (1*5 C.o0 1- GE E E R I N G April 3, 2025 PO BOX 240773 ANCHORAGE, AK 99524 522-7773 677-7766 (FAX) FORG€CIVIC.COM MOA Development Services, On -Site Water & Wastewater Program 4700 Elmore Rd Anchorage, AK 99507 Subject: Rabbit Creek V&H B1V L16A — 8200 Leo Cir Septic system design Dear On -Site Services Engineer: The owner of the above lot intends to build a 4-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 ground surface on the lot is very flat, with a slight slope away from the ROW to the north. There are no slopes greater than 25% within 50 feet downslope of either the primary or alternate site. Contours 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. Due to high groundwater and surface saturation from snowmelt, we were unable to get a valid percolation rate from the perkable soils under the clayish gravel. However, we took a soil sample to the lab and found it was classified as "silty gravel with sand (GM)", containing less than 16% fines. Initial perk results confirmed that the soils do drain, although we couldn't finish 3 tests before the water rose. We have designed trenches with a conservative perk rate of 61-90 min/in, and we request that these results be accepted in lieu of a standard percolation test. 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 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 I I 111'' 11 m 11 47. *49 7H Ben CEY2592 AW 41MS LOT `13 1 LOT 14A WETLANDS EXTENTS OWNER HAS CORPS OF ENGINEERS WETLANDS PERMIT /(2)x6O'LONG x5'WIDE, 0.5'EFFECTIVE POA-2024-00286 — DEPTH ABSORPTION TRENCHES. MAINTAIN 6'SEPARA T -ION BETWEEN TRENCHES AND 10'SEPARATION FROM THE HOUSE AND PROPERTY LINE PROPOSED WELL LOT 16A TH#2 4-BDRM HOME cc ADVANTEX FAP AWWTS SYSTEM 0 ALTERNATE SITE TH#1 '.TH#3 LEO CIRCLE -------- - - -------- - - - - - - - - - - - - LOT iss LOT 19A-1 WELL IS ON EAST SECMON LEGEND CO - CLEANOUT 2CO - DOUBLE CLEANOUT SEPTIC PLAN FCO - FOUNDATION CLEANOUT FS - FLOW SPLITTER VALVE MH - MANHOLE 0 50 100 MT - MONITORING TUBE i ilE 1097-1 FEET SV - SEPTIC VENT 110=50' TH - TEST HOLE PV - PUMP VAULT RABBIT CREEK V&H, BLOCK 1 V LOT 16A c-,o� DESIGN FACTORS: SYSTEM REQUIREMENTS: 600 GPD PEAK FLOW 5' WIDE TRENCH SYSTEM PERK RATE: 61-90 MIN/IN ADVANTEX FAP SYSTEM WITH PUMP VAULT APPLICATION RATE: 1 GPD/SF 600 GPD / 1 GPD/SF / 5' WIDE * 1 RED FACTOR [0.5 DEEP] = 120 LF TRENCH REQUIRED (120 LF SPECIFIED) 2' a Fri CAI BOTTOM OF TRENCH: 2' ABOVE GRADE FLOW LINE ELEVATION: 2.5' ABOVE GRADE PROVIDE ADDITIONAL FILL TO ACCOUNT FOR SETTLEMENT 51 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 14' PVC w/ 20 - 8' ORIFICES EVENLY SPACED @ 5' OC GEOTEXTILE FABRIC MOA-APPROVED SAND DOWN TO RECEIVING SOIL (GM) E N G I N E E R I N G * -- 9 .*. e� ----. .......... •• • • Benja' Schiller ' ��c • CE 12592412/25 .�. �tl�\��pROFE5SI0NP��, LEGAL DESCRIPTION: PERFORMED FOR: DATE: PARCEL ID#: SOILS LOG AND PERCOLATION TEST 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 DEPTH (feet) TEST HOLE 1 DATE READING START TIME NET TIME (minutes) DEPTH to WATER NET DROP PERCOLATION RATE: (MIN/INCH) (inches)(inches) DATE OF MONITORING DEPTH TO WATER AFTER MONITORING 1/21/25 1 (CL) BLUE CLAY W/ GRAVEL Professional Engineers Stamp: Rabbit Creek V&H B1V L16A 1/21/25 020-541-24 Mykola Selyutin 3:15 1 0 16 3' OB 30 Benjamin Schiller CE 12592REGISTEREDPROFESSION A L E N GINEER PERC TEST LOCATION TECHNICIAN: M. Jakubisin 1 0 16 - - COMMENTS: SITE PLAN *0 0 16 USCS SOIL CLASSIFICATION WAS VISUALLY DETERMINED. *PERC TEST UNABLE TO COMPLETE DUE TO 3/6/25 SATURATION OF SOIL AND SURFACE WATER RUNNING INTO BENCH. Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP251057, Curtis Townsend, 03/24/25 LEGAL DESCRIPTION: PERFORMED FOR: DATE: PARCEL ID#: SOILS LOG AND PERCOLATION TEST 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 DEPTH (feet) TEST HOLE 2 DATE READING START TIME NET TIME (minutes) DEPTH to WATER NET DROP PERCOLATION RATE: (MIN/INCH) (inches)(inches) DATE OF MONITORING DEPTH TO WATER AFTER MONITORING 1/21/25 1 (GM) SILTY GRAVEL W/ SAND Professional Engineers Stamp: Rabbit Creek V&H B1V L16A 1/21/25 020-541-24 Mykola Selyutin 4:05 1 0 16 3' OB 30 Benjamin Schiller CE 12592REGISTEREDPROFESSION A L E N GINEER PERC TEST LOCATION TECHNICIAN: M. Jakubisin 0 15 16 - - COMMENTS: SITE PLAN *-0 1 16 USCS SOIL CLASSIFICATION WAS VISUALLY DETERMINED. *PERC TEST UNABLE TO COMPLETE DUE TO 3/6/25 SATURATION OF SOIL AND SURFACE WATER RUNNING INTO BENCH. (GC) HARD PAN CLAY Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP251057, Curtis Townsend, 03/24/25 LEGAL DESCRIPTION: PERFORMED FOR: DATE: PARCEL ID#: SOILS LOG AND PERCOLATION TEST 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 DEPTH (feet) TEST HOLE 3 DATE READING START TIME NET TIME (minutes) DEPTH to WATER NET DROP PERCOLATION RATE: (MIN/INCH) (inches)(inches) DATE OF MONITORING DEPTH TO WATER AFTER MONITORING 2/18 1 (CL) BLUE CLAY W/ GRAVEL Professional Engineers Stamp: Rabbit Creek V&H B1V L16A 2/16/25 020-541-24 Mykola Selyutin 12:554' PEAT/OB 30 Benjamin Schiller CE 12592REGISTEREDPROFESSION A L E N GINEER PERC TEST LOCATION TECHNICIAN: J. Earls 6" 2/25/25 COMMENTS: SITE PLAN 0 7 16 USCS SOIL CLASSIFICATION WAS VISUALLY DETERMINED. 3/6/25 SOIL SAMPLE TAKEN FOR BROWN SILT LAYER. (GM) SILTY GRAVEL W/ SAND 2 1:29 30 - 0 7 16 68 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP251057, Curtis Townsend, 03/24/25 % GRAVEL 46.1 USCS GM % SAND 38.1 USACOE FC N/A % SILT/CLAY 15.8 % PASS. 0.02 mm N/A % MOIST. CONTENT 6.2 % PASS. 0.002 mm N/A N/A N/A N/A SIEVE SIEVE TOTAL %SPECIFICATION SIZE (mm)SIZE (U.S.)PASSING (% PASSING) 152.40 6" 76.20 3"100 38.10 1.5"88 19.00 3/4"77 12.70 1/2"68 9.50 3/8"64 4.75 #4 54 2.00 #10 44 0.85 #20 35 0.43 #40 29 0.25 #60 24 0.15 #100 20 0.075 #200 15.8 ELAPSED DIAMETER TIME (MIN) (mm) 0 1 2 5 8 15 30 60 250 1440 FRACTURE COUNT (ASTM D5821) Double Face DEGRADATION (ATM T-313) LA ABRASION (ASTM C131/C535) SP. GRAV. COARSE AGG. (ASTM C127) CLASSIFICATION: DATE RECEIVED: TESTED BY: REVIEWED BY: UNIFORMITY COEFFICIENT (Cu) COEFFICIENT OF GRADATION (Cc) ASTM D1557 (uncorrected) ASTM D4718 (corrected) OPTIMUM MOIST. CONTENT. (corrected) PROJECT CLIENT: PROJECT NAME: PROJECT NO.: SAMPLE DESC.: NGE-TFT ID #:UNKNOWN UNKNOWN Forge Engineering, Inc. HYDROMETER RESULT N/A SIEVE ANALYSIS RESULT 2025 Material Testing 7293-25 Rabbit Creek V&H B1V L16A TH2 Bottom Soil Layer 25-S-1 Silty gravel w/ sand 2/18/2025 Aaron Kaiser Sean Totzke TOTAL % PASSING 11301 Olive Lane ∙ Anchorage, Alaska 99515 ∙ Phone: 907-344-5934 ∙ Fax: 907-344-5993 ∙ www.nge-tft.com N/A N/A The testing services reported herein have been performed to recognized industry standards, unless otherwise noted. No other warranty is made. Should engineering interpretation or opinion be required, NGE-TFT will provide upon written request. N/A 125 130 135 140 145 150 155 0 2 4 6 8 10 12 14 16 DR Y D E N S I T Y ( p c f ) MOISTURE CONTENT (%) MOISTURE-DENSITY RELATIONSHIP ASTM D1557 SILT or CLAYCOBBLES GRAVEL Coarse Fine SAND Coarse Medium Fine 0 10 20 30 40 50 60 70 80 90 100 0.0010.010.1110100 FI N E R B Y M A S S ( % ) GRAIN SIZE (mm) PARTICLE SIZE ANALYSIS ASTM D6913 / C136 / D422 #200#40#101.5 1/2363/4 #4 #20 #60 #1003/8 U.S.SIEVE OPENING IN INCHES U.S.SIEVE NUMBERS HYDROMETER MUNICIPALITY OF ANCI-IORAGE ADVANCED VN'ASTEWATER "TREATMENT SYSTEM MAINTENANCE AND REPAIR AGREEMENT THIS MAINTENANCE AND REPAIR AGREEMENT, herein the :AGREEMENT" ma entered into as oI'this Day of dt` of 20 by and between ' `v� �,vn 4 w1 (', herein the "OWNER," and the Municipality of Anchorage, herein the "MUNICIPALITY in accordance with Anchorage Municipals (AMC) 15.65.365. In consideration of the mutual covenants contained herein, the parties Agreement agree as follows: I - Advanced Lastewater Treatment Systems. The Municipality grants permissic Owner to utilize and operate an Advanced Wastewater Treatment System (AWE described as Advantex FAP 2.0 located at (legal description) Rabbit Creek View & Heights Block 1 V Lot 16A 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 agre with an AWWTS service and maintenance provider approved by the Municipalit manufacturer's representative. The AWWTS shall be maintained in a satisfactor condition capable of performing as designed and producing treated septic etflueri 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 p repair(s), maintenance, adjustment(s), replacement costs, and inspection costs. `i includes an annual maintenance fee (typically $400 to $600). Owner agrees that only maintenance and repair personnel approved by the Muni or the manufacturer's representative will inspect and make any necessary mai ntc repairs or permitted alterations to the system. Owner acknowledges that regular maintenance of an AWWTS reduces the pQtei failure of the system, which could include sewage backup and costly repairs or replacement. l✓ Owner acknowledges that the Municipality may request records of'maintenance and repairs from the Manufacturer's representative or maintenanceprovider, OW"ler acknowledges that the fine for failing to maintain and repair an AWWTS May be assessed in accordance Nvith AMC 14,60,030, ONVner 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. OVvner'agrees that the AWWTS installation and maintenance requirements as provided by tyre AWWTS vendor/installer and approved by the Municipality are the governing guidelines for the construction. maintenance and repair of the Owner's AWWTS. Owner agrees to maintain remote monitoring ofthe AWWTS as required by the AWWTS approval. 3, T errn. The term of t17is Agreement steal I 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_ Nonwalver. 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. 05/18/2 18) Page 2 of 3 DEPARTMENT OF THE ARMY ALASKA DISTRICT, U.S. ARMY CORPS OF ENGINEERS REGULATORY DIVISION P.O. BOX 6898 JBER, AK 99506-0898 September 23, 2024 Regulatory Division POA-2024-00286 Mikola Selyutin 1431 West Catrina Circle Anchorage, Alaska 99654 Dear Mr. Selyutin: This is in response to your August 27, 2024, application for a Department of the Army (DA) permit to discharge 223 cubic yards of 2-inch gravel to build a 3,000 square foot-building pad for a single family home and 100 cubic yards of 1-inch gravel for a 2,700 square foot-backyard around the house, as well as 67 cubic yards of 1-inch gravel to construct an 1,800 square-foot driveway for a total of 390 cubic yards of fill in 0.16-acre of palustrine wetlands. It has been assigned file number POA-2024-00286, Little Rabbit Creek, which should be referred to in all future correspondence with this office. The project site is located within Section 1, T. 11 N., R. 3 W., Seward Meridian; USGS Quad Map Anchorage A-8; Latitude 61.07583º N., Longitude 149.72795º W.; 8200 Leo Circle, in Anchorage, Alaska. All work would be performed in accordance with the enclosed plan (sheets 1), dated August 27, 2024. DA authorization is necessary because your project will involve placement of fill material into waters of the U.S. under our regulatory jurisdiction. Based upon the information and plans you provided, we hereby verify that the work described above, which will be performed in accordance with the enclosed plan (sheet 1 dated August 27, 2024) is authorized by Nationwide Permit (NWP) No. 29, Residential Developments. Enclosed is a copy of the NWP No. 29, as well as the Regional and General Conditions. These documents are also available on our website at https://www.poa.usace.army.mil/Missions/Regulatory/Types-of-Permits/Nationwide- Permits/. The following Regional Conditions apply to your project: C – Activities Involving Trenching, D – Site Revegetation for Projects with Ground Disturbing Activities, E – Delineation of Project Footprint, and F – Maintenance of Hydrology Patterns. You must comply with all terms and conditions associated with NWP No. 29, as well as with the special conditions listed below: -2- Special Conditions: 1. Credit Purchase Notification: Prior to commencing the work authorized by this permit, the Permittee shall purchase 0.20-credit palustrine credits from an approved credit provider for the loss of 0.10-acre of palustrine wetlands. You must email the signed credit transaction form to mitigationmanager@usace.army.mil and to Estrella.f.campellone@usace.army.mil upon completion of credit transaction (see form attached). If you are unable to complete this transaction, you are required to obtain a permit modification prior to commencing the work authorized by this permit for approval of an alternate mitigation method. 2. Fill Material: The Permittee shall use only clean fill material for this project. The fill material shall be free from items such as trash, debris, automotive parts, asphalt, construction materials, concrete blocks with exposed reinforcement bars, and soils contaminated with any toxic substance, in toxic amounts in accordance with Section 307 of the Clean Water Act. 3. Erosion Control: The Permittee shall install erosion control measures along the perimeter of all work areas to prevent the displacement of fill material outside the authorized work area. The erosion control measures shall remain in place and be maintained until all authorized work is completed and the work areas are stabilized. Immediately after completion of the final grading of the land surface, all slopes, land surfaces, and filled areas shall be stabilized using sod, degradable mats, barriers, or a combination of similar stabilizing materials to prevent erosion. 4. Erosion control material: To the maximum extent practicable, plastic-free erosion and sediment control products such as netting manufactured from 100-percent biodegradable materials like jute, sisal, or coir fiber shall be used for erosion control. 5. Upland Staging/Disposal: All excavated or dredged material being displaced shall be disposed of at an upland location. No stockpiling or side casting of fill materials shall occur in wetlands or other waters of the U.S. including temporary stock piling or side casting of less than three months, that does not have Department of Army authorization. 6. Protection of Water Circulation Patterns: The permittee shall ensure that the project minimizes alterations to water circulation patterns to the extent practicable. If it is determined by the Corps that the project negatively impacts the hydrology within Waters of the U.S., as evidenced by ponding water, or drying of soils and vegetation, change in deposition patterns or other negative secondary impacts adjacent to the project footprint, the permittee may be required to take additional measures (i.e. install additional depressed road beds, culvert(s), or a similar water conduit) in the authorized project to re-establish the hydrology of the area to that of pre-construction conditions. -3- 7. Archeological Discoveries: If human remains, historic resources (which includes resources 50 years or older), or archaeological resources are encountered during construction, all ground disturbing activities shall cease in the immediate area and you shall immediately (within one business day of discovery) notify the U.S. Army Corps of Engineers (Corps), Alaska District, Regulatory Office at (907) 753-2712 or Estrella Campellone at (907) 753-2518 and Estrella.f.campellone@usace.army.mil. Upon notification the Corps shall notify the State Historic Preservation Office (SHPO) and appropriate Tribe/s. Based on the circumstances of the discovery, equity to all parties, and consideration of the public interest, the Corps may modify, suspend or revoke the permit in accordance with 33 CFR Part 325.7. After such notification, project activities shall not resume without written authorization from the Corps. Further, please note General Condition 30 requires that you submit a signed certification to us once any work and required mitigation are completed. Enclosed is the form for you to complete and return to our office. Unless this NWP is modified or revoked, it expires on March 14, 2026. If you commence or are under contract to commence this activity before the date that the NWPs are modified or revoked, you will have twelve (12) months from the date of the modification or revocation of the NWPs to complete the activity under the present terms and conditions of these nationwide permits. It is incumbent upon you to remain informed of the changes to the NWPs. Nothing in this letter excuses you from compliance with other Federal, state, or local statutes, ordinances, or regulations. Please contact me via email at Estrella.f.campellone@usace.army.mil, by mail at the address above, by phone at (907) 753-2518 if you have questions. For more information about the Regulatory Program, please visit our website at www.poa.usace.army.mil/Missions/Regulatory. Sincerely, Estrella Campellone Project Manager Enclosures ENCLOSURE US Army Corps of Engineers Alaska District Permit Number: POA-2024-00286 Name of Permittee: Mikola Selyutin Date of Issuance: September 23, 2024 Upon completion of the activity authorized by this permit and any mitigation required by the permit, sign this certification and return it to Ms. Campellone at regpagemaster@usace.army.mil, or the following address: U.S. Army Corps of Engineers Alaska District Regulatory Division P.O. Box 6898 JBER, AK 99506-0898 Please note that your permitted activity is subject to a compliance inspection by a U.S. Army Corps of Engineers representative. If you fail to comply with this permit you are subject to permit suspension, modification, or revocation. I hereby certify that the work authorized by the above-referenced permit has been completed in accordance with the terms and conditions of the said permit, and required mitigation was completed in accordance with the permit conditions. _________________________ _______________________ Signature of Permittee Date (0.17-acre) POA-2024-00286 Waterway: Little Rabbit Creek Applicant: Mikola Selyutin Project: Single Family Home Date: August 27, 2024 Sheet 1 of 1 29. Residential Developments Discharges of dredged or fill material into non-tidal waters of the United States for the construction or expansion of a single residence, a multiple unit residential development, or a residential subdivision. This NWP authorizes the construction of building foundations and building pads and attendant features that are necessary for the use of the residence or residential development. Attendant features may include but are not limited to roads, parking lots, garages, yards, utility lines, storm water management facilities, septic fields, and recreation facilities such as playgrounds, playing fields, and golf courses (provided the golf course is an integral part of the residential development). The discharge must not cause the loss of greater than 1/2-acre of non-tidal waters of the United States. This NWP does not authorize discharges of dredged or fill material into non-tidal wetlands adjacent to tidal waters. Subdivisions: For residential subdivisions, the aggregate total loss of waters of United States authorized by this NWP cannot exceed 1/2-acre. This includes any loss of waters of the United States associated with development of individual subdivision lots. Notification: The permittee must submit a pre-construction notification to the district engineer prior to commencing the activity. (See general condition 32.) (Authorities: Sections 10 and 404) 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 OSC261030 Parcel ID 020 -541-24 Expiration Date: 6/4/2026 Legal description RABBIT CREEK VIEW HEIGHTS BLK 1V LT 16A Site address 8200 LEO CIR Current property owner(s) ELEGANT HOMES LLC X The On-site system(s) is/are approved for 4 bedrooms 0 Conditional approval for bedrooms, with the following stipulations: Comments or conditions: No comments Original Certificate Date 3/24/2026 This Certificate of On -Site Systems Approval (COSA) is intended to demonstrate the subject sysem(s) is/are in substantial compliance with municipal code. The Municipality of Anchorage, Development Service 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 submittal. ATTACHMENTS: COSA Checklist X Well Flow Advisory Absorption Field Advisory Nitrate Advisory Tank Age Advisory Arsenic Advisory Other ligil 11 '111"ill I I A T. reT,07MM 'gq Development Services DepartmentPhone 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. 020-541-24 Complete legal description Rabbit Creek View & Heights, Block 1V Lot 16A Location (site address) 8200 Leo Circle, Anchorage, AK 99516 Current property owner(s) Elegant Homes LLC 2. ON-SITE SYSTEMS SIZED FOR BEDROOMS 3. TYPE OF WATER SUPPLY: 0 Private Well serving #_1 Day phone (907)715-4140 dwelling units El Other Non-public well as regulated by MOA El Water Storage F] Community Well or Public 4. TYPE OF WASTEWATER DISPOSAL: � Private Septic F-1 Private Septic serving 2 dwelling units Fj Holding Tank El Community Septic or Public Sewer 5. SEPTIC TANK: ❑ Steel RE Plastic R Concrete R Fiberglass Age - See advisory if steel or fiberglass older than 20 years 6. ABSORPTION FIELD: RE AWW*TS R Bed E] Deep Trench 0 Wide Trench 0 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 Waiver Fee $ Date of Payment 17J Date of Payment COSA # 0 ec- (0�%Waiver # COSA Application—Apr2025.doc COSA Checklist_May2025.docx COSA Checklist Legal Description: Parcel ID: If more than 1 well and/or septic system on lot, provide separate checklist. Structure served by this system ____ A. WELL DATA Well log is filed with Onsite (or attached) Date drilled Total depth ft Cased to ft Sanitary seal is functioning correctly Wires are properly protected Casing height (above ground) in. Date of flow test for COSA Static water level at beginning of test ft. Well production at time of test gpm Water storage tank volume gallons Well disinfected for coliform test? Yes No Coliform bacteria is Negative Nitrate mg/L Nitrate less than MRL (ND) Arsenic ug/L Arsenic less than MRL (ND) Collected by Date Comments __________________________________________________________________________________ B. TANK DATA Measured operating fluid level in septic tank Date of pumping Required maintenance completed, if AWWTS Comments: C. LIFT STATION Required maintenance completed Age of lift station years Lift station material Comments: D. DISPOSAL FIELD DATA Which system tested (date installed) ALL standpipes present per record drawing Total measured depth from grade ft (max) Measured depth to pipe invert from grade ft (min) N/A – pressurized field. Per record drawings, field is insulated. 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 Adequacy test date Results Pass Fluid depth prior to test in Water added gal New fluid depth in Elapsed time min Final fluid depth in Absorption rate gpd FIELD STATUS – POST RECOVERY Effective depth (per record drawings) in Effective depth used in Effective depth remaining in Comments/Deficiencies: Fluid Water fluid d ime POST RECOVERY (per record drawings) COSA Checklist_May2025.docx E. SEPARATION DISTANCES From Well on Lot to:(Please enter distances if less than required) Septic Tank/Lift Station on Lot > 100’ Yes if No ft Neighboring Tank > 100’Yes if No ft Disposal Field on Lot > 100’Yes if No ft Neighboring Disposal Fields > 100’ Yes if No ft Sewer Line/Main > 100’ Yes if No ft Sewer Manhole/Cleanout > 100’ Yes if No ft Sewer Service/Septic Line > 25’Yes if No ft Holding Tank > 100’ Yes if No ft Animal Containment > 50’Yes if No ft Manure/Animal Excreta Storage > 100’ Yes if No ft N/A – Served by Community Well (not on lot) or Public Water From Septic/Holding Tank and Disposal Field(s) on Lot to:(Please enter distances if less than required) Tank to Foundation > 10’Yes if No ft Field to Foundation > 10’ Yes if No ft Tank to Property Line > 5’ Yes if No ft Field to Property Line > 10’ Yes if No ft Water Main/Service Line > 10’Yes if No ft Surface Water > 100’Yes if No ft Wells on Adjacent Lots: Wells > 100’Yes if No ft Community Wells > 200’Yes if No ft If tank or field is under driveway comment below F. ENGINEER’S COMMENTS 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 Firm Phone Engineer’s Printed Name Date n ATTENTION: Buyers and owners of a property served by an Advanced Wastewater Treatment System (AWWTS) ** TO AVOID SEWAGE BACKUPS** Prior to using the wastewater system, contact the service provider to ensure that regular maintenance is completed. Many of the systems require remote monitoring, the provider will tell you how to provide this capability. Who to contact: • AdvanTex: Anchorage Tank at 907-343-3704 • Quanics Aerocell: Garness Engineering at 907-337-6179 • Biocycle: Biocycle Alaska at 907-274-0314 • BioBarrier: Tim Ecklund at 907-250-0100 • Intermittent Dosing Sand Filter (IDSF): contact MOA onsite 907.343.7904 Please complete the attached document, Advanced Wastewater Treatment System Maintenance and Repair Agreement. When signing this document, you acknowledge that you are required to provide regular maintenance for your AWWTS. 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 �_._ Day of K aX.P� ` of 20-4, by and between �A4Z01JA) A 15 SiYt r 7erein the "OWNER," and the Municipality of Anchorage, herein the "MUNICIPALITY", in accordance with Anchorage Municipal Code (AMC) 15.65.365. In consideration of the mutual covenants contained herein, the parties to this Agreement agree as follows: 1. Advanced Wastewater Treatment Systems. The Municipality grants permission to the Owner to utilize and operate an Advanced Wastewater Treatment System (AWWTS), described as Advantex located at (legal description) Rabbit Creek View and heights B1V Lot 16A 2. Maintenance Re airs 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. 1' It shall be the responsibility of the Owner during the term of this Agreement to pay for all �'" repair(s), maintenance, adjustment(s), replacement costs, and inspection costs. This includes an annual maintenance fee (typically $400 to $600). Owner agrees that only maintenance and repair personnel approved by the Municipality or the manufacturer's representative will inspect and make any necessary maintenance, repairs or permitted alterations to the system. Owner acknowledges that regular maintenance of an AWWTS reduces the potential failure of the system, which could include sewage backup and costly repairs or drainfield replacement. (rev. 05/18/2018) Page 1 oi'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. ;A� L Owner agrees that any sale or transfer of title of the property will not occur without a new Certificate of On -Site Systems Approval. �� Owner agrees that the AWWTS installation and maintenance requirements as provided by the AWWTS vendor/installer and approved by the Municipality are the governing guidelines for the construction, maintenance and repair of the Owner's AWWTS. Owner agrees to maintain remote monitoring of the AWWTS as required by the AWWTS approval. 3. Term. The term of this Agreement shall begin on the date of approval by the Municipality to operate the installed system, or upon transfer of title, and shall continue while the AWWTS is operational or until title is transferred. 4. Nonwaiver. The failure of the Municipality at any time to enforce a provision of this Agreement shall in no way constitute a waiver of the provisions, nor in any way affect the validity of the Agreement or any part hereof, or the right of the Municipality thereafter to enforce every provision hereof. 5. Amendment. This Agreement shall only be amended by authorized representatives of the Owner and Municipality. Any attempt to amend this agreement by either an unauthorized representative or unauthorized means shall be void. 6. Jurisdiction: Choice of Law. Any civil action arising from this Agreement shall be brought in the Superior Court for the Third Judicial District of the State of Alaska at Anchorage. The laws of the State of Alaska shall govern the rights and obligations of the parties under this Agreement. 7. Sever. Any provisions of this Agreement decreed invalid by a court of competent jurisdiction shall not invalidate the remaining provisions of the Agreement. (rev. 05/1812018) Page 2 of 3 OWNER: By: (signature) Date: (print name) STATE OF ALASKA )ss. THIRD JUDICIAL DISTRICT I -lie fore ' a' ot ng instrument was acknow I edged be lore me this Z q 1Lday of 20'Z( , by NOTARY PUBLIC FOR ALASKA DAVID SANSONE Notary Public S MyConimission expires: Ac_ct, 13, State of Alaska M MyCommiss y Commission Expires Mar 23, 2026 (rev. 051118/2018) signature) Date: ,)rint name) Title: Page 3 of 3 ZZ, LEO CIRCLE Taylor L. Dosch No. 189892 R E GISTEREDPROFESSIO N A L L A N D S URVEYOR ∆ RABB I T C R E E K VIEW & H E I G H T S SUBD I V I S I O N BLOC K 1 V