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Home My WebLink AboutSEACLIFF BLK 1 LT 22Aeacll*ff Block 1 Lot 22A #011-221-23 Municipality of Anchorage On -Site Water and Wastewater Section - (907) 343-7904 Page 1 of 3 ON -SITE WASTEWATER INSPECTION REPORT Permit Number: OSP231344 PID Number: 011-221-23 Dwelling: N Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑■ New ❑ Upgrade Name Matthew Mann &Erika Wessel ABSORPTION FIELD ❑i Deep Trench ❑ Wide Trench ❑ Bed ❑ Mound Site Address 2611 W 100th Ave ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade (907)301-5359 Four(4) 4.0 GPD/SF 11.0 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade 4.0 Ft. Gravel depth beneath pipe 7.Ft. Subdivision Block Lot Seacliff 1 22A Fill added above original grade 0.1 Ft. Gravel length 11.0 Ft. Township Range Section Gravel width 3.0 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 1 Dist. between trenches N/A From Tank Field Tank Line 154 FF Ft. Well >100' > 100' N/A N/A >25' TANK ❑ Septic ❑ S.T.E.P. ❑ Holding 9 Other Manufacturer Anchorage Tank / Advantex Capacity 1,500 Gal. Surface Water > 100' > 100' N/A N/A Material Steel Number of compartments 2 Lot Line >5' *1' N/A N/A NA Foundation > 10' > 10' N/A N/A LIFT STATION Manufacturer Orenco Capacity N/A Gal. Remarks *See waiver OSV231055 Alarm location SE Corner of house Electrical installed by 907 Electric PIPE MATERIAL House to tank D3034 Tank to D3034 drainfield Installer Red Dog Masonry Drainfield D3034 CO/MTD3034 Inspector B. Schiller BENCH MARK (Assumed elevation) 100 ft Inspeection 1-10-21-23 10-21-23 Location and description ction 2nd Front door threshold 3'" 4th ON -SITE WATER AND WASTEWATER SECTION APPROVAL Engineer's Stamp Conditional Approval: Date �, .or or 419 TH Benja6iftSchiller ii i�522 Septic System " Approved Date 1 2%°��. Note: this approval does not include well permit requirements. klk�, PROEESSOO- (Rev 05/02/18) SEACLIFF, BLOCK 1 LOT 22A PERMIT # OSP231344 PID # 011-221-23 120' RADIUS I V 120' RADIUS \ CLASS "A" ALTERNATE SITE \ COMMUNITY WELLS >14' AWAY FROM PRIMARY SITE LOT 20 / 11LONG X 3' WIDE, 7' EFFECTIVE DEPTH ABSORPTION TRENCH n `� c 02 rf TH1'. <u MT1 / j GEG`°, �\ B CO Mkt MH1 C 1500-GAL STEEL TANK �� > / w/ AX20 POD 4 / LOT 21 r.� Benja i Schiller PF •• CE 2592 C�iPl • . 12/17/24 ' •(�� PROFESSIONP��.'� APPROXIMATE WATER LINE Lu I its LOT 22A TOP OF STEEP SLOPES A B C FCO 9.1 34.1 MH1 21.0 16.1 MH2 12.8 15.5 CO 21.3 17.2 C01 12.3 24.2 MT1 13.9 26.3 CO2 30.6 19.2 MT2 1 32.4 16.7 0 50 100 FEET 1 "=50' LEGEND CO - CLEANOUT 2CO-DOUBLE CLEANOUT FCO - FOUNDATION CLEANOUT FS - FLOW SPLITTER VALVE MH - MANHOLE MT - MONITORING TUBE SV - SEPTIC VENT TH - TEST HOLE SEACLIFF, BLOCK 1 LOT 22A PERMIT # OSP231344 97.2 PID # 011-221-23 H GRADE C,4 04 0 02 0 101.3 FINISH GRADE 101.2 ORIGINAL GRADE 2 0 DRAINFIELD ROCK 90.2 90.2 NO GROUNDWATER 9/11/03 -0—* (D 'N — 8 3. 2 r W �— PROFILE AS -BUILT (NO SCALE) 97.2 49 TH .......... .......... BenjaQSchiller CE 12592 From:Ben Schiller To:Townsend, Curtis L. Cc:Cogger, Benjamin M.; Njie, Isatou B. Subject:Re: Updated Separation Distance Waiver - Sand Lake PWS - Seacliff SD Block 1 Lot 22a Date:Monday, October 6, 2025 2:33:06 PM [EXTERNAL EMAIL] Hey Curtis, that is all correct from my understanding. Comments 2 & 3 were just about the DEC waiver, and the email should address those. The record drawings that we sent in previously are the latest. As far as I understand, this should close out the project, but you'll also be getting COSA paperwork from us shortly. Ben Schiller, PE 907-310-9090 On Mon, Oct 6, 2025 at 2:10 PM Townsend, Curtis L. <Curtis.Townsend@anchorageak.gov> wrote: Ben, dropped most of the people from this email communication. See attached list of comments that Deb had previously made on this IR. Looks like comments 2 and 3 were unresolved. From my limited understanding, comments 2 and 3 seem to be related? What am I missing? #2 ADEC full approval for well separation - meets well separation according to communication below, > 120’ from PWS wells. #3 design changes to be approved by ADEC for well waiver - ADEC recognizes that septic features are > 120’ from well according to their email below We are in possession of IR and record drawings dated Dec 2024. Are those your most recent? Curtis Townsend, PE Onsite Water and Wastewater Municipality of Anchorage 907-343-7908 From: Ben Schiller <ben@forgecivil.com> Sent: Monday, October 6, 2025 11:30 AM To: Galido, Darlene E (DEC) <darlene.galido@alaska.gov> Cc: anchoragedweng, anchoragedweng (DEC sponsored) <anchorage.dw.engineering@alaska.gov>; office@forgecivil.com; homewaterllc@hotmail.com; Jana_Littlewood <jana_littlewood@awps.com>; Barnes, Karis M (DEC) <karis.barnes@alaska.gov>; Townsend, Curtis L. <Curtis.Townsend@anchorageak.gov>; Cogger, Benjamin M. <benjamin.cogger@anchorageak.gov>; Njie, Isatou B. <Isatou.Njie@anchorageak.gov> Subject: Re: Updated Separation Distance Waiver - Sand Lake PWS - Seacliff SD Block 1 Lot 22a [EXTERNAL EMAIL] Thank you Darlene! Ben Schiller, PE 907-310-9090 On Mon, Oct 6, 2025 at 10:19 AM Galido, Darlene E (DEC) <darlene.galido@alaska.gov> wrote: Good morning Ben, Thank you for the as-builts and supporting information showing that the Advantex tank, drainfield, and related sanitary sewer components were installed at 2611 W 100th Ave, a minimum of 120 feet away from the public water system wells, PWSID 210485. Please note that any new owner must follow all Municipality and State requirements for maintenance of the sanitary sewer system for the drinking water system waiver to remain valid as outlined in our 4/19/2022 waiver letter. Thank you, Darlene Darlene Galido, PE Engineer II, Drinking Water Program (907) 269-7516 dec.alaska.gov/eh/dw From: Ben Schiller <ben@forgecivil.com> Sent: Wednesday, December 18, 2024 7:52 AM To: Galido, Darlene E (DEC) <darlene.galido@alaska.gov> Cc: Kopnicky, Jen L (DNR) <jen.kopnicky@alaska.gov>; Wockenfuss, Deborah M. <deborah.wockenfuss@anchorageak.gov> Subject: Re: Updated Separation Distance Waiver - Sand Lake PWS - Seacliff SD Block 1 Lot 22a Good afternoon Darlene, Attached are the record drawings for this project, along with the survey. The muni Inspection Report has installer information on it. Will we receive any official review or notification of acceptance? Ben Schiller, PE 907-310-9090 On Tue, Apr 19, 2022 at 2:45 PM Galido, Darlene E (DEC) <darlene.galido@alaska.gov> wrote: Good afternoon all, Attached is a letter updating the previously approved Separation Distance waiver with the new septic design proposed for Lot 22A, Block 1, Seacliff Subdivision. The new design, a Category III Advantex Wastewater System for both the primary and alternate sites, will still remain outside of 120 feet from the nearby Sand Lake Public Water system wells, PWSID 210485. Details of the waiver and the conditions that must be followed are listed in the letter. If you have any questions or concerns, please do feel free to contact me at 907-269-7516 or darlene.galido@alaska.gov. Darlene Darlene Galido, PE Engineer I, Drinking Water Program (907) 269-7516 From: Galido, Darlene E (DEC) Sent: Tuesday, March 23, 2021 5:20 PM To: John Bury <johnburyak@gmail.com>; homewaterllc@hotmail.com; David Kranich <dave@nusalaska.com>; Katharine907@gmail.com; Jeff Garness <Jeff@garnessengineering.com>; Pierce Blewett <Pierce@garnessengineering.com> Cc: Robertson, Roy A (DEC) <roy.robertson@alaska.gov>; Cahill, Jessica D (DEC) <jessica.cahill@alaska.gov>; Nakanishi, Elizabeth D (DEC) <elizabeth.nakanishi@alaska.gov> Subject: Separation Distance Waiver - Sand Lake PWS - Seacliff SD Block 1 Lot 22a Good Afternoon All, Attached is a letter granting a Separation Distance Waiver between a proposed septic system for Lot 22a, Block 1, Seacliff Subdivision and the existing Sand Lake public water system, PWSID 210485. The details of the waiver and the conditions that must be followed are also listed in the letter. If you have any questions or concerns, please do feel free to contact me at 907-269- 7516 or darlene.galido@alaska.gov. Darlene Darlene Galido, PE Engineer I, Drinking Water Program (907) 269-7516 AsBuilt 8/29/24 Feet 0 30 60 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 Wastewater Disposal System Permit Permit Number: OSP231344 Work Type: Septic Renewal Tax Code Number: 01122123000 Site Legal Address: SEACLIFF BLK 1 LT 22A G:2424 Site Mailing Address: 5112 Shorecrest DR, Anchorage Owner: MANN MATTHEW & Design Engineer: FORGE ENGINEERING This permit is for the construction of: Effective Date Expiration Date: Lot Size in Sq Ft: Total Bedrooms: Ment X0 sr• Department 10/19/2023 10/18/2024 19287 Q Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage 4 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 iSpecial Provisions: 1. Septic system installation must meet the requirement of the ADEC for the well waiver. 2. The private sewer line shall maintain 100 ft separation to the public water system, as shown on the engineer's site plan. 3. Prior to Inspection Report approval, a full approval for the well separation from the ADEC is required to be submitted to Onsite. 4. The Onsite inspector must be at the bottom of hole excavation for the trench to confirm insitu soils are sand. Reeeive&By: LJ!5up r1 +0 Date: Issued By: Gv Date: 0// G ZZZ T1 _ 4j i 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. 011-221-23 Property owner(s) Matthew Mann & Erika Wessel Day phone (907) 301-5359 Mailing address 2611 W 100th Ave, Anchorage, AK 99515 Site address NHN Shorecrest Drive Legal description (Sub'd., Block & Lot) Seacliff, Block 1 Lot 22A Legal description (Township, Range & Section) Lot Size 19,287 Sq. Ft. Number of Bedrooms 4 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field ❑X Initial ❑ Single Family (SF) ❑X (w/wo ADU) Septic Tank INUpgrade ❑ Duplex (D) El Holding Tank ❑ Renewal FX -1 Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit/Rush Fees:. '2- 3Z Waiver Fees: $7 Z5 13S Date of Payment:%01,612 Date of Payment: Receipt Number: 0/ 14 6.61) Receipt Number: Permit No. DSP 2 -3 J3 Y L— Waiver No. (20,\jam23 1 D�-S Permit App_':- : ,_.,:c: Municipality of Anchorage 4'"~s — I)r.pon•tinent P.O. Box 196650 0 4700 Elmore Road Anchorage, Alaska 99519-6650 0 (907) 343-7904 0 Fax (907) 343-7997 http://www.muni.org/Onsite Development Services Division On -Site Water and Wastewater Program * * * * VARIANCE/WAIVER REVIEW * * * * Waiver#: OSV231055 COSA#: Permit#:OSP231344 PID#: 011-221-23 Legal Description: SEACLIFF BILK 1 LT 22A Engineer: Forge enqineerinq Your request for a waiver of the required 5 feet horizontal separation from the absorption field to the property line has been approved. The approved separation distance is 1.0 foot. This waiver approval applies to the proposed absorption field only. Any future upgrade to the on- site wastewater disposal system will require all separation distances be met or another approval from this department. ............................................... ■ ............................. ■ 1 Waiver is Granted: X Waiver is not Granted: Date: /o/C( Approved by: Name of Reviewer .............................. ■ ............................. ■ ............... . **** VARIANCE/WAIVER REVIEW **** Page 1 of 3 April 19, 2022 Department of Environmental Conservation DIVISION OF ENVIRONMENTAL HEALTH Drinking Water Program 555 Cordova Street Anchorage, Alaska 99501 Main: 907.269.7623 Fax: 907.269.7650 dec.alaska.gov Matthew Mann File: Sand Lake Services Owner of Lot 22A, Block 1, Seacliff S/D DEC Project ID: 16714 2611 W 100th Ave PWSID: 210485 Anchorage, AK 99515 Class: Community beachbuminak@gmail.com Source: Groundwater Re: Seacliff Subdivision, Block 1, Lot 22A Drinking Water Separation Distance Waiver - Updated Dear Matt Mann, Owner of Lot 22, Block 1, Seacliff Subdivision: On April 18, 2022, this office received an engineering submittal from Forge Engineering requesting an updated waiver from the 200-foot required separation distance between a public water system drinking water well to a proposed onsite wastewater disposal system on Lot 22A, Block 1, Seacliff Subdivision. This letter issues a Conditional Separation Distance Waiver for the requested reduction of the State’s minimum separation distance requirement between drinking water wells and sanitary sewer components, as detailed in the submitted engineering information and outlined below. Project Description This property is located on Shorecrest Drive and backs up to the bluff along Turnagain Arm. Many lots in this area are served by the Sand Lake Services Public Water System, PWSID 210485, or other drinking water wells, and they have individual sewer systems, typically onsite septic tanks and drainfields. Two of Sand Lake PWS’s groundwater wells are nearby (Wells #1 and #3). The majority of Lot 22 is within the 200 foot protection radius around both wells. The only portion outside of 200ft is the steep bluff dropoff to the coastline. Well #1 – Drilled May 9, 1964 to a total depth of about 212 feet. Cased to 206 feet. Well #3 – Completed February 11, 1995. The well log (WELTS #23107) shows it was grouted, and that it was cased to 525 feet with the intake screen starting at 513 feet. The submitted sanitary sewer design (dated 4/5/2022) for this property now proposes to install a Category III Advantex septic tank along with an appropriately designed trench drainfield, no closer than 120 feet to the Sand Lake PWS wells. Components include: - Septic tank: 1,500-gallon Advantex FAP (fully assembled package) two-compartment fiberglass tank with AX20 filter pod - Drainfield: 7-foot effective depth absorption trench system (11 feet long by 3 feet wide, designed for 4 gpd/sf) o Space for a backup disposal field is available >14ft away, towards the bluff - System is designed for a 4-bedroom or less single family residence, with 600 gal/day maximum daily flow Seacliff S/D, Block 1, Lot 22A 4/19/2022 220419 Seacliff SD_Block1_Lot22A Updated Waiver Sand_Lake_210485 WA.docx Page 2 of 3 - All gravity piping from the residence (aka private sewer line) is expected to meet its required separation distance of 100 feet from both wells. Separation Distance Waiver The separation distance encroachment was reviewed based on the following elements to maintain public safety:  Confined Aquifer: Layers of clay or silt can act as confining layers, which can help prevent contamination from reaching the water. The aquifers that these wells access appear to be confined.  Well #1 was drilled through clayey silt from ~72 to 180 feet below ground surface (bgs), according to the soils log.  Well #3 has layers of clay and/or silt from 335-392, 401-432, and 457-478 feet bgs, and a static water level of 53ft bgs according to the well log.  Ground slope: The ground generally slopes away from the wells towards the midpoint of Lot 22. As the property approaches the bluff, there is an increase in elevation. However, groundwater flow through this area is still generally away from the well and towards the coast.  Nitrates: Trends of increasing nitrates can indicate failure of any nearby septic systems. Nitrate samples for Sand Lake PWS 210485 are available from 1993 to the present, and indicate very low levels, typically around 0.2 mg/L.  If operated and maintained correctly, any effluent that passes through this system will be treated to a higher degree than that of the conventional septic system previously approved March 23, 2021, further decreasing the chances of fecal contamination. Based on an evaluation of the available information and endorsement of the submitting engineers, a Separation Distance Waiver to 120 feet for the onsite sanitary sewer components outlined above is issued in accordance with the State’s Drinking Water regulations, 18 Alaska Administrative Code (AAC) 80. Please forward any record drawings and documentation of construction to this office once completed. The separation distance encroachment is approved with the following conditions:  The wastewater system must be installed by a person that meets the requirements of 18 AAC 72.015.  The sewage system must be maintained in accordance with State of Alaska and Municipality of Anchorage requirements for as long as the system is in operation. The lot owner or their Authorized Service Provider should keep all records, such as installation records, septic tank maintenance, inspections, and pumping, and have them available on request. For additional information, see the following:  https://dec.alaska.gov/water/wastewater/engineering/maintain-septic  https://www.muni.org/Departments/OCPD/development-services/wells-septic  Any changes, constructed or natural, may void this waiver and the sewer may be required to be relocated. Seacliff S/D, Block 1, Lot 22A 4/19/2022 220419 Seacliff SD_Block1_Lot22A Updated Waiver Sand_Lake_210485 WA.docx Page 3 of 3 Limitations This determination was based on current site conditions and well information available to the Department. Occurrences of floods, earthquakes, and human activity can change the geophysical, chemical, and biological conditions under which this determination was made. This determination does not preclude the Department from reevaluating this separation distance waiver in the event such conditions change or additional information becomes available to the Department that would warrant further review. Approval of this waiver does not obligate the department to approve future waiver requests proposing the same design, is not an approval of omissions or oversights, and does not guarantee correctness of the functional design or waive the owner’s responsibility for continued compliance with state, federal, and local regulations. Informal Reviews and Adjudicatory Hearings A person authorized under a provision of 18 AAC 15 may request an informal review of a contested decision by the Division Director in accordance with 18 AAC 15.185 and/or an adjudicatory hearing in accordance with 18 AAC 15.195 - 18 AAC 15.340. See DEC’s “Appeal a DEC Decision” web page https://dec.alaska.gov/commish/review-guidance/ for access to the required forms and guidance on the appeal process. Please provide a courtesy copy of the adjudicatory hearing request in an electronic format to the parties required to be served under 18 AAC 15.200. Requests must be submitted no later than the deadline specified in 18 AAC 15. If you have any questions, please contact me at 907-269-7516 or darlene.galido@alaska.gov. Sincerely, Darlene Galido, P.E. Engineer I, DEC Cc: Sand Lake Services PWS 210485 Owner: Homewater LLC, homewaterllc@hotmail.com Sand Lake Services PWS 210485 Operator: Northern Utility Services, dave@nusalaska.com Forge Engineering: Benjamin Schiller, P.E., ben@forgecivil.com and Jacob Millette jake@forgecivil.com Municipality of Anchorage Onsite Water & Wastewater, rebecca.carroll@anchorageak.gov October 10, 2023 MOA Development Services, On-Site Water & Wastewater Program 4700 Elmore Rd Anchorage, AK 99507 10/10/23 Subject: Seacliff, Block 1 Lot 22A – Shorecrest Drive Septic permit renewal, revision, and waiver request Dear On-Site Services Engineer: The permit on this lot has expired, but the builder has let us know that they plan on installing soon. We would like to apply for a permit renewal. In addition to this, we were sent a revised as-built of the building footprint, which prevents the septic tank from being placed in the location on the original permit. We have revised the layout to fit in the tank, trench, and alternate site in the space that is left without encroaching on the well more than the existing waivers allow. Due to the placement of the home, we are unable to achieve 10’ separation from the building footprint as well as from the property line. For this reason, we are asking for a waiver to allow the existing and alternate trenches to be located 1’ from the west property line. This location will not affect neighboring septic, which is on the other side of the lot, and there is no neighboring well. While the soil is sandy, construction will done with equipment that will not create a pit or undermine the neighboring property. There are no other options that will not further encroach on the well, but granting this waiver will not adversely affect this property or the neighboring property. Sincerely, Benjamin Schiller, PE Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP231344, Deb Wockenfuss, 10/19/23 Benjamin Schiller CE 12592REGISTEREDPROFESSION A L E N GINEER 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 SEACLIFF, BLOCK 1 LOT 22A FEET 0 50 100 NOTE: NO SURFACE WATER WITHIN 100' OF THE PROPOSED SEPTIC SYSTEM ALL WELLS ON SURROUNDING LOTS WITH IMPACTS TO THIS PROPERTY ARE SHOWN. NO CONFLICTS WITH WELLS OR SEPTIC SYSTEMS. Oct 10, 2023 SH O R E C R E S T D R I V E 4-B DR M H OM E 10' UTILITY EASEMENT CLASS "A" COMMUNITY WELLS 35' SETBACK FROM SLOPE FOR ADVANCED TREATMENT 11' LONG X 3' WIDE, 7' EFFECTIVE DEPTH ABSORPTION TRENCH MAINTAIN 10' MIN SEPARATION FROM FOUNDATION, 1' MIN FROM PROPERTY LINE, & 5' FROM SEPTIC TANK 1500-GAL ADVANTEX TANK w/ AX20 POD MAINTAIN 5' MIN FROM PROPERTY LINE & 10' MIN FROM FOUNDATION ALTERNATE SITE >14' AWAY FROM PRIMARY SITE PROPOSED WATER LINE CO MT CO FCO TH1 GEG 120' RADII 100' RADII MT TOP OF STEEP SLOPES Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP231344, Deb Wockenfuss, 10/19/23 SEACLIFF, BLOCK 1 LOT 22A 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 3' 6" 6" 3'-6" 7' DESIGN FACTORS:SYSTEM REQUIREMENTS: 600 GPD PEAK FLOW PERK RATE: <1 MIN/IN (SP/SW PER GEG TEST HOLE) APPLICATION RATE: 4.0 GPD/SF (CONSERVATIVE RATE USED) 7' DEEP TRENCH SYSTEM 1500-GAL ADVANTEX TANK w/ AX20 FILTER POD BOTTOM OF TRENCH: 11' BELOW GRADE FLOW LINE ELEVATION: 4' BELOW GRADE TOP OF TRENCH: 6" ABOVE GRADE 600 GPD / 4.0 GPD/SF / 7 DEEP / 2 SIDES = 10.7 LF TRENCH REQUIRED (11 LF SPECIFIED) 4/5/2022 GEOTEXTILE FABRIC Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP221073, Deb Wockenfuss, 04/29/22 Carroll, Rebecca M. From: Carroll, Rebecca M. Sent: Monday, April 11, 2022 8:15 AM To: Ben Schiller (Ben @forgeciviLcom); Office Forge Civil Subject: FW: Public water system to septic waiver Ben, This is in regards to the permit for Seacliff B1 L22A Becea Carroll Onsite Water and Wastewater Municipality of Anchorage 343-7908 From: Galido, Darlene E (DEC) <darlene.galido@alaska.gov> Sent: Friday, April 8, 2022 4:53 PM To: Carroll, Rebecca M. <rebecca.carroll@anchorageak.gov> Subject: RE: Public water system to septic waiver [EXTERNAL EMAIL] Hi Becca, Please ask the new engineer / owner to submit the new design for an updated waiver. No fee will be required. We would like to see a new Applicant Form (https://dec.alaska.gov/media/19772/00a-waiver-only-applicant-certification docx), and waiver checklist (or a letter from the engineer covering how the design is protective of public health) - https://dec.alaska.gov/media/19793/70-waiver-source-2020 docx. Yes, a record drawing / as -built survey (or whatever certification is normally submitted to MOA?) would be great to verify the system was installed as designed. The MOA requirements sound good for installer requirements. It sounds like it meets basically similar requirements if the installer is supervised by a registered engineer. Thank you for checking! Happy to chat more if anyone needs, Darlene Darlene Galido, PE Engineer I, Drinking Water- Program (907) 269-7516 dec. alaska. go v/eh/ dw From: Carroll, Rebecca M. <rebecca.carroll@anchorageak.gov> Sent: Friday, April 8, 2022 10:51 AM To: Galido, Darlene E (DEC) <darlene.galido@alaska.gov> Subject: Public water system to septic waiver You don't often get email from rebecca.carrollpanchorageak.gov. Learn why this -is-important 1 CAUTION: This email originated from outside the State of Alaska mail system. Do not click links or open attachments unless you recognize the sender and know the content is safe. Hello Darlene, In 2021, a waiver was granted between a public water system and a proposed septic system on a vacant lot (Seacliff Block 1 Lot 22A). The owners sold the property and the new owners have hired a different engineer to design a septic system. I have attached the waiver and original septic design, as well as the new proposed design. Does the new owner/engineer need to resubmit for the waiver? They are designing based on the 120 ft waiver granted in 2021 and are proposing an advanced wastewater treatment system. The waiver grants a conditional approval. What are the conditions that have to be satisfied to be given full approval? Do you just need to see the record drawing/as-built survey after installation to verify that they didn't end up installing it closer? Also, the letter states that the wastewater system must be installed by a person that meets the requirements of 18 AAC 72.015. All wastewater systems installed under the MOA's jurisdiction are supervised by a registered engineer or their staff (whether it's one of our certified installers or a homeowner). Is something more stringent needed in this case? Do they need to be a certified installer with the ADEC? Or if the homeowner desires to install the system, do they need to get approval from ADEC? Thank you, Becca Carroll Onsite Water and Wastewater Municipality of Anchorage 343-7908 MUNICIPALITY OF ANCHORAGE ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND REPAIR AGREEMENT THIS MAINTENANCE AND Itf_'.PAIR AGREEMENT. herein the " AGREEMLNT" made and entered into as of this 2Z. Div of _.! , of 20�, by anti between llcrcill the "0\'V\1 R,,, and the MulliciPality of Anchorage, helvitl the "MUNICIPALITY", in accordance with Anchorage Municipal Code (A\,IC) 15.65.365. In consideration of the nuttuul covenants contained herein, the parties to this Agreen'ent agree as follows: 1. r#alvauaectl �1'aastcaa iter "I'reatancrlt S altct'�s. 'I'hc ��tunicipalit<� grants perlllission to the Ovvnlcr to utilize and operate an Advanced Wastewater Treatment System (A\WWTS)• described as Advantex Waste Water Treatment System located at (legal description) Seacliff, Block 1 Lot 22A 2. Maintcmanite, Re .11rs and riltra o-a#ions. ( \ neer is required to read, understand and Initial each sectlotl) 111 Throughout the tern' of this Agteen'ent, tine Ownershall enter into as service agreement with an A\\'VVTS sct�xice and maintenance,provider• :approved by the Municipality or the nlatwf leiurer's representative. The: ANVWTS shall be maintained ill a satisfactor.\ condition capable ofperfornung as designed and producing treated septic effluent in accordance with the equipment's approval for operation in the NIauaicipality. It shall be tile, responsibility of the Owner during the terns of this Agreement to pay for all repair(*). maintenance, adistinetlt(s), rel)lacenletlt cost*, :and inspection costs. TMS includes an annual maintenance tee (typically $400 to $600). ()wncr agrees that only maintenance and repair pe►-sontael approved by the Nlaniciparlih' or the nlnnufacturer's representative will inspect and make any neccssaxti� maintenance, repairs or permitted alterations to the *'stet». Owner acknowledges that regular maintenance of an A\\'\\* S reduces the potctitial failure of the system, which could ilie ltitle sewaage backup and costly repairs or drainheld replacement. (rev. 0S/18/201K) Parc 1 of 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 AWNNITS installation and maintenance requirements as provided by the AWWTS vendor/installer and approved by the Municipality are the governing guidelines for the construction, maintenance and repair of the Owner's AWWTS. Owner agrees to maintain remote monitoring of the AWWTS as required by the AWWTS approval. 3. Term. The term of this Agreement shall begin on the date of approval by the Municipality to operate the installed system, or upon transfer of title, and shall continue while the AWWTS is operational or until title is transferred. 4. Nonwaiver. The failure of the Municipality at any time to enforce a provision of this Agreement shall in no way constitute a waiver of the provisions, nor in any way affect the validity of the Agreement or any part hereof, or the right of the Municipality thereafter to enforce every provision hereof. 5. Amendment. This Agreement shall only be amended by authorized representatives of the Owner and Municipality. Any attempt to amend this agreement by either an unauthorized representative or unauthorized means shall be void. 6. Jurisdiction: Choice of Law. Any civil action arising from this Agreement shall be brought in the Superior Court for the Third Judicial District of the State of Alaska at Anchorage. The laws of the State of Alaska shall govern the rights and obligations of the parties under this Agreement. 7. Severability. Any provisions of this Agreement decreed invalid by a court of competent jurisdiction shall not invalidate the remaining provisions of the Agreement. (rev. 05/18/2018) Page 2 of 3 OWNER: By: _ (sib nature. Date: LUjel---le(print name) S-1-ATi or' A ) SS. 1IIIRD JUDICIAL DISTRICT ) The Ioregoin 7 instrument was ackno«•lcd�-,cd before me this''dav of N0TAIZPI I ILS C 1'OR A+,- [�r� AL1 My Convnissi I expires: 7-14 z MUNICIPALITY: BY: l{% (signature) (print name) Date: E ZZ._. Title: MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program PO Box 196650 4700 Elmore Road Anchorage, Alaska 99519-6650 Phopa�(907)-343-7904 Fax: (907) 343-7997 http://w ,%, muni.oro/onsite On -Site Was Permit Number: OSP221073 Work Type: Septic Initial Tax Code Number: 01122123000 Site Legal Address Iter Disposal wSystem Per it Oe �(� 1'�e )v Date: xpi ion Date SEACLIFF BLK � LT 22A G:2424 01, Site Mailing Address: 5112 Shorecrest qR, Anchorage Owner: MANN MATTHEW & Design Engineer: FORGE ENGINEERING This permit is for the construction of: Q Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy 1�1 c n t n r^ n v. Departin ent 4/29/2022 4/29/2023 Lot Size in Sq Ft: 19287 Total Bedrooms: 4 ❑ 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: 1. Septic system installation must meet the requirement of the ADEC for the well waiver. 2. The private sewer line shall maintain 100 ft separation to the public water system, as shown on the engineer's site plan. 3. Prior to Inspection Report approval, a full approval for the well separation from the ADEC is required to be submitted to Onsite. 4. The Onsite inspector must be at the bottom of hole excavation for the trench to confirm insitu soils are sand. Received By: Issued By: Date: Date: y Q Z ON-SITE SEWER/WELL PERMIT APPLICATION Parcel I.D. 011-221-23 Property owner(s) Matthew Mann & Erika Wessel Day phone (907) 301-5359 Mailing address 2611 W 100th Ave, Anchorage, AK 99515 Site address NHN Shorecrest Drive Legal description (Sub'd., Block & Lot) Seadiff, Block 1 Lot 22A Legal description (Township, Range & Section) Lot Size 19,287 Sq. Ft. Number of Bedrooms 4 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field 0 Initial EX -1 Single Family (SF) ❑X ADU) Septic Tank ❑X Upgrade 1-1(w/wo (D) El Holding Tank ❑ RenewalDuplex ❑ Multiple Multiple Dwellings ❑ Privy El and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. i (Signature of property owner or authorized agent) Permit/Rush Fees: J 5 Waiver Fees: Date of Payment: Q0 �2 a Date of Payment: Receipt Number: 0 1 D/ Receipt Number: Permit No. CS P a a 1 U Waiver No. Permit App_::- : - MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program pOBox 1gaas0 4700 Elmore Road Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 On -Site Wastewater Disposal System Permit Permit Number DSP211087 Work Type: Septic Initial Tax Code Number: 01122123000 Site Legal Address: SEACL|FFBU< Y LT 22A G:2424 Site Mailing Address: 5112Shoneorem1DR, Anchorage Owner BURY JOHN C&SUSAN K5U%& Design Engineer: G/\RNESSENGINEERING GROUP LTD This permit imfor the construction of: Effective Date: Expiration Date: Lot Size in Sq Ft: Total Bedrooms 4/8/2O21 40/2D22 2Disposal Field RISeptic Tank [] Holding Tank El Privy [] Private Well [] Water Storage All construction shall beinaccordance 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 (1OAACG0) 3. The wastewater code requires inspections during the installation. The engineer shall notify the Development Services Department per AMC 15.65.Provide notification bycalling (0O7)343 -79O4(24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall beeither: o. Opened and Closed onthe same day, or b. Covered, sealed, and heated to prevent freezing IN Special Provisions: 1. Tank installed must meet the requirement oythe ADECfor the well waiver. 2. The future house must meet the required separation to the septic system and building setback. 3. Prior to Inspection Report approval, a full approv al for the well separation from the ADEC is required to be submitted tuOnsite. 4. The Onsite inspector must beetthe bottom ofhole excavation for the trench t000nfinninnibusoils are sand. Received By: Issued By: MUNICIPALITY OF ANCHORAGE Community Development Department Phone: 907-343-7904 Development Services Fax: 907- 343-7997 On -Site Water & Wastewater Program Mayor Austin Quinn -Davidson On -Site SewerMell Permit Application For A Single Family Dwelling Parcel I.D. 011-221-23 Property owner(s) John Bury Day phone 907-349-8754 Mailing address 5142 Shorecrest Dr. 'Anchorage, AK 99502 Site address 5112 Shorecrest Dr. *Anchorage, AK 99502 Legal description (Sub'd, Block & Lot ) Seacliff; Block 1, Lot 22A Legal description (Township, Section & Range) Lot Size APPLICATION IS FOR: TYPE OF DEWELLING: ( ® all that apply) Single Family (SF) Absorption Field Upgrade ❑ Septic Tank Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage ❑ Sq.Ft. Number of Bedrooms 4 APPLICATION IS AN: TYPE OF DEWELLING: Initial ® Single Family (SF) Upgrade ❑ (w/wo ADU) El Duplex (D) El Multiple Dwellings ❑ (SF and/or D) THIS APPLICATION INCLUDES A VARIANCE/ WAIVER REQUEST FOR: All waivers are through ADEC Distance I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal codes. GARNESS ENGINEERING GROUP, Ltd. (Signature of property owner or authorized agent) Permit/Rush Fees: 5�'J S Waiver Fees: Date of Payment: _� '2-f Date of Payment: Receipt Number: [ti Lj i 6 Receipt Number: Permit No. �Sp Z I I() 8 7 Waiver No. (Rev. 01/11) Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211087, Deb Wockenfuss, 04/08/21 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211087, Deb Wockenfuss, 04/08/21 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211087, Deb Wockenfuss, 04/08/21 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211087, Deb Wockenfuss, 04/08/21 Lang & Ass 11500 Daryl Avenue (907) 522-6476 0 F A 491h ........ ..... N j" I'S SIONAC Registered Professional Land Surveyors Anchorage, Alaska 99515-3049 (907) 522-4625 Fox SURVEY REPORT SEACLIFF SUBDIVISION Lot 22A, Block 1 (Plot No. 73-68) Z'2 10' UTILITY EASENIENT_�' ___1 FOUND 4" REBAR-/ Lot 21 EDGE OF ROAD ASPHALT *� / RE /f /-POWER POLE D R LWATER WELL I > TRACT 19, WELL NEIGHBOR'S GRAVEL DRfVEWAY ENCROACHES TEST HOLE FOUND REBAR FOUND I" IRON PIPE ON PROPERTY LINE TOP OF BLUFF Lot 22A 19,287 S.F. SET SPIKES AT PROPERTY CORNERS 6A9 16' 0 BOTTOM OF BLUFF EDGE OF LAWN BEING MOWED BY LOT 23A ,,�FOUND J" REBAR ON PROPERTY LINE -CHAIN -LINK FENCE Lot 23A GOVERNOR NfIC-FLUL J, DUNLF—AIPf March 23, 2021 John & Susan Bury Owner of Lot 22A, Block 1, Seacliff S/D 5142 Shorecrest Drive Anchorage, AK 99502 johnburyak@gmail.com Re: Seacliff Subdivision, Block 1, Lot 22A Drinking Water Separation Distance Waiver Dear Owners of Lot 22, Block 1, Seacliff Subdivision: ` 1 1 DIVISION OF ENVIRONMENTAL HEALTH Drinking Water Program 555 Cordova Sfreet Anchorage, Alaska 99501 Main: 907.269.7623 Fax: 907.269.7650 dec.alaska.gov File: Sand Lake Services DEC Project ID: 16714 PWSID: 210485 Class: Community Source: Groundwater This office received an updated submittal from Gayness Engineering Group requesting a waiver from the 200 -foot required separation distance between a public water system drinking water well to a proposed onsite wastewater disposal system on Lot 22A, Block 1, Seacliff Subdivision. This letter issues a Conditional Separation Distance Waiver for the requested reduction of the State's minimum separation distance requirement between drinking water wells and sanitary sewer components, as detailed in the submitted engineering information and outlined below. Project Description This property is located on Shorecrest Drive and backs up to the bluff along Turnagain Arm. Many lots in this area are served by the Sand Lake Services Public Water System, PWSID 210485, or other drinking water wells, and they have individual sewer systems,typically onsite septic tanks and drainfields. Two of Sand Lake PWS's groundwater wells are nearby (Wells #1 and #3). The majority of Lot 22 is within the 200 foot protection radius around both wells. The only portion outside of 200ft is the steep bluff dropoff to the coastline. Well #1— Drilled May 9, 1964 to a total depth of about 212 feet. Cased to 206 feet. Well #3 — Completed February 11, 1995. The well log (WELTS #23107) shows it was grouted, and that it was cased to 525 feet with the intake screen starting at 513 feet. This property proposes to install a septic tank and trench drainfield, and is requesting to place them within the 200ft separation distance, but no closer than 120 feet to the Sand Lake PWS wells. The wastewater system must be installed by a person that meets the requirements of 18 AAC 72.015 and component details include: - Septic tank: 1,500 gallon, dual compartment, polyethylene, single piece construction - Drainfield: deep trench, 500 fe minimum, maximum depth 12 feet o Space for a backup drainfield is available towards the bluff which would require installation of a pump/liftstation and waiver of bluff setback requirements Page 1 of 3 Seacliff S/D, Block 1, Lot 22A 3/23/2021 Limitations This determination was based on current site conditions and well information available to the Department. Occurrences of floods, earthquakes, and human activity can change the geophysical, chemical, and biological conditions under which this determination was made. This determination does not preclude the Department from reevaluating this separation distance waiver in the event such conditions change or additional information becomes available to the Department that would warrant further review. Approval of this waiver does not obligate the department to approve future waiver requests proposing the same design, is not an approval of omissions or oversights, and does not guarantee correctness of the functional design or waive the owner's responsibility for continued compliance with state, federal, and local regulations. APPeal Process The applicant, owner or operator, or other person adversely affected by this decision may request an informal review of this decision in accordance with 18 AAC 15.185, or may request an adjudicatory hearing in accordance with 18 AAC 15.195-15.340. Requests may be sent by mail, email, or facsimile. Informal review requests must be received by the Division Director within 20 days of this decision. Adjudicatory hearing requests must be received by the Commissioner within 30 days of this decision or the decision of the informal review issued by the Division Director; otherwise, the right to appeal is waived. For more information, visit https://dec.alaska.gov/commish/review-guidance. If you have any questions, please contact me at 907-269-7516 or darlene.galido@alaska.gov. Sincerely, Darlene Galido, P.E. Engineer I, DEC Cc: Sand Lake Services PWS 210485 Owner: Homewater LLC, homewaterllc@hotmail.com Sand Lake Services PWS 210485 Operator: Northern Utility Services, dave@nusalaska.com Owner Seacliff SD Block 1 Lot 22A: Katharine LaForest, katharine907@gmail.com Garness Engineering Group: Jeff Garness, P.E. jeff@garnessengineering.com and Pierce Blewett, P.E. pierce@garnessengineering.com 210323 Seacliff SD_Blockl_Lot22A - Waiver Sand—Lake-210485 WA.docx Page 3 of 3 municipality of Anchorage f { � 'T 6i • Tc.VL:c (90 907) 343.8-0(X) PO.9m 19(65)•rV:chomp, laska 510 m s• r.r. 3700 limgaa• Strccl • ,Vuhorngc, AInslm S)!"7 mim.munl.org Dlagor Mark Begich Iluilding Safety Division September 13, 2005 John & Susan Bury 717 Winter Haven Street Anchorage, AK 99504 Subject: On -Site Water and/or Wastewater Permit. Permit Number: SW040434 Legal Description: Seacliff Block 1 Lot 22A Dear Mr. & Mrs. Bury: An On -Site Water/Wastewater Permit, number SW040434, issued by this office for a single-family system, will expire on October 18, 2005. The permit is valid for 365 calendar days. If this was a well permit and the well has been drilled, a well log must be sent to this office for documentation of the installation and to close the permit. If this permit was for a wastewater disposal system, an original as -built inspection report must be sent to this office for review, approval and documentation. This as -built inspection report must be signed by the licensed Professional Engineer who inspected the installation of the system. As -built inspection reports are required to be submitted within 30 days of the completion of the system. If no system was installed under this permit, and you are still planning to install a well or wastewater disposal system, a new permit must be obtained from this office. A new permit for a second year may be issued for a fee of $115.00 if the renewal application is received on or before the expiration date of the original permit. When applying for a new permit, the fees are: $460.00 for a wastewater permit and $175.00 for a well permit. If you have any questions, please call this office at 343-7904. Sincerely Nt I P Daniel J. Roth Program Manager On -Site Water and Wastewater Program Enc: Copy of permit C011111111nity� Secltrity, Prosperity Permit Number: SW040434 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 WASTEWATER DISPOSAL SYSTEM PERMIT Renewal Legal Description: Seacliff Block 1 Lot 22A Design Engineer: 0855 Gamess Engineering Group, LTD Owner Name: John & Susan Bury & Katherine LaForest Owner Address: 717 Winter Haven Street Anchorage , AK 99504 - Date Issued: Oct 18, 2004 Expiration Date: Oct 18, 2005 Parcel ID: 011-221-23 Site Address: 5112 Shorecrest Drive Lot Size: 19287 SQ. FT. Total Bedrooms: 4 Permit Bedrooms: 4 This permit Is for the construction of: Disposal Field ❑✓ Septic Tank Holding Tank ❑ Privy 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. Received By: Date: (0 11 0 Date: 9 0• \ Municipality of Anchorage 1 Development Services Department e` Building Safety Division On -Site Water and Wastewater Program s . 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907)343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. hit — - 2 Permit Number SW r Property owners) t 44ay phone� Mailing address S \ _ � Zip Code GgsOa Site address � � 1, g, :��!`e CQ`� l ��S" Zip Code ��S W; Legal description (Lot, Block & Sub'd.) �eGC.�.� Legal description (Section, Township & Range) 1 Lot Size' 1 O9cM/Sq.Ft. Number of Bedrooms r 1 THIS APPLICATION IS FOR: Sewer Only ❑l_� Well Only ❑ Sewer and Well ❑ Water Storage ❑ Sewer Upgrade ❑ THIS PROPERTY CONTAINS: Hot Tub ❑ Jacuzzi ❑ Swimming Pool ❑ Water Softening Unit ❑ Therapy Pool ❑ certify4at t ve 'r forma ' rrfs correct. I further certify that this application is being made for a Single rn Ili is in accordance with applicable Municipal Codes. Permit/Rush Fees: KVPELL,4L7//.4 Waiver Fees: Date of Payment: 10112-104- Date of Payment: Receipt Number: 057Y 57 Receipt Number: (Rev. 09/04) Permit Number: SW030491 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 WASTEWATER DISPOSAL SYSTEM PERMIT Initial Date Issued: Nov 25, 2003 Expiration Date: Nov 24, 2004 Parcel ID: 011-221-23 Legal Description: fSeadiH Block 1 Lot 22A' Design Engineer: 0041 AK Water & Wastewater Consultani Site Address: 5112 Shorecrest Drive Owner Name: Sandy Sherwood Lot Size: 19287 SO. FT. Owner Address: 717 Winter Haven Street Total Bedrooms: 4 Permit Bedrooms: 4 Anchorage . AK 99504 - This permit is for the construction of. ❑Q Disposal Field ❑✓ Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage All construction must be In accordance with: 1. The attached approved design. 2. All requirements specked 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. Received By: Issued By: (ter 4ya=k Date: // Z2, In � Date: 111.2 5 0j Municipality of Anchorage Development Services Department Building Safety Division On -Site Water & Wastewater Program 4700 South Bragaw SL P.O. Box 196650 Anchorage, AK 99519-6650 www.cf.anchorage.ak.us (907)343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. () II —Z -0 —Z 3 Property owners) SANDY SHERWOOD Mailing address (1) 717 WINTEF AVEN .EE)* • ANCHORAGE, AK Mailing address (2) Permit Number 57lNO'�C4% Day phone Zip Code 337-4692 99504 Legal description (Lot, Block & Sub'd.) SEACLIFF SUBDIVISION: LOT 22A, BLOCK 1 Legal description (Section, Township & Range) �' SI I Z S "-by'u: rLS+ Lot Size `I i nl Acre Sq.Ft. Number of Bedrooms 4 THIS APPLICATION IS FOR: Sewer Only 0 Well Only ❑ Sewer and Well ❑ Water Storage ❑ Sewer Upgrade ❑ THIS PROPERTY CONTAINS: Hot Tub ❑ Jacuzzi ❑ Swimming Pool ❑ Water Softening Unit ❑ Therapy Pool ❑ certify that the above information is correct. I further certify that this application is being made for a Single Family Dwelling and is in accordance with applicable Municipal codes. ALASKA WATER & WASTEWATER CONSULTANTS, INC. Permit Fees: kH no Waiver Date of Payment: Date of Payment: Receipt Number: LI �/ "t 1 C ' \ Receipt Number., ALASKA WATER & WASTEWATER �•�+�+� -----.�a..�.,�....r. CONSULTANTS, INC. — November 13, 2003 Municipality of Anchorage Development Service Department Building Safety Division On -Site Water & Wastewater Program 4700 South Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 Ref: Proposed Septic System for Lot 22A, Block 1; Seacliff Subdivision ADVANTEX"' TREATMENT SYSTEM To whom it may concern: 1. GENERAL: The proposed 4 bedroom home will be served by a public water system and a private septic system. A test hole was excavated on the property. We are proposing to design the septic system around the 30 foot radius of this lest hole. Due to the cutbank to the south, we are proposing to use an Advantex treatment system and a deep trench type drainfield. 2. SOILS: See the attached log, which shows the soil classifications, groundwater monitoring, and the percolation test results. 3. DRAINFIELD APPLICATION RATE: The intent is to install an Advantex Treatment System that will allow the use of a small drainfield in the area around the 30 foot radii of the test holes. The Advantex system has received class III approval and we are going to conservatively assume an application rate of 3.0 GPD/FT2. 4. TRENCH DESIGN: a. Percolation Rate: <1 minutes/inch b. Allowable Application Rate for Class III System: 6.0 gallons/day/fl c. Proposed Application Rate: 3.0 gallons/day/R2 d. Number of Bedrooms: 4 e. Design Flow: 600 gallons per day f. Minimum Absorption Area: 200 n2 g. Total Depth: 12 feet (max.) h. Effective Depth: 7.0 feet i. Width: 2.5 feet j. Minimum Length: 15 feet long k. Effective absorption area: 210 flZ 3701 E. Tudor Road, Suite 101 • Anchorage, AK 99507 Ph: (907)337-6179 • Fax: (907)338-3246 • Website: www.akwwc.com 5.ORENCO PACKAGE SYSTEM: The STEP tank with the Advantex Treatment System will be manufactured by Anchorage Tank & Welding to meet the latest design criteria established by Orenco Systems, Inc. The point of contact at Anchorage Tank is Lowell McNutt. As with their standard STEP tank, it is equipped with a high water alarm per M.O.A requirements. 6. SURFACE WATER: There is no surface water within 100 feet of the proposed septic system upgrade. 7. TOPOGRAPHY: As can be seen on the attached design drawing the average topography in the area of the proposed drainfield is relatively flat. There is a steep bluff approximately 45 feet south/southwest of the test hole. We request that a 35 feet separation distance waiver from the top of this slope to the proposed drainfield be granted. Given the porosity of the soils there will be a great amount of lateral movement and minimal horizontal movement. In short, there is minimal risk with the granting of this waiver. 8. WAIVER TO CLASS "A" WELL: There is a class "A" well to the north east of the property. We a have recently obtained a 140 foot waiver to the class "A" well to the proposed septic system. 9. DISINFECTION SYSTEM: Due to the proximity of this system to the above well, we are required to install a disinfection system per the A.D.E.C. waiver. We are proposing to install a Sanuri) disinfeciton unit and a chlorine contact manhole in the line to the drainfield. 10. CLOSING: I am open to any suggestions from your department that would be an improvement to the proposed system. I am unaware of any negative impacts that this installation would impose on adjacent wells, or septic systems. If you have any questions, please call us at M.S. NOTE: Attached is a site plan drawing, a design drawing, an Advantex detail, a trench detail, a soil log, and a 7 page construction specification letter which are all part of the design package for this septic system. 3701 E. Tudor Road, Suite 101 . Anchorage, AK 99507 Ph: (907)337-6179 • Fax: (907)338-3246 w Website: www.akwwe.com FRANK H. MURKOWSKI, GOVERNOR 555 CORDOVA DEPT. OF ENVIRONMENTAL CONSERVATION ANCHORAGE. AK 99501 Phone: (907)269-7519 DIVISION OF ENVIRONMENTAL HEALTH Fax: (907) 269-7650 DRINKING WATER AND WASTEWATER PROGRAM 269-7650http://www.state.ak.us/dec/ October 31, 2003 Jeffery A. Garness, P.E. Alaska Water & Wastewater 3701 E. Tudor Road, Suite 101 Anchorage, Alaska 99507 Re: Seacliff S/D, Block 1, Lot 22A- Request for a Separation Distance Waiver Between a Class A Public Water Source and a Proposed Soil Absorption System, PWSED # 210485, ADEC Project # 3624, Dear Mr. Gamess: The Department has reviewed your request for a waiver received on October 16, 2003 between the existing class A public water system and a proposed Advantex wastewater treatment system that discharges to an on -lot soil absorption system that serves a 4 bedroom single family house. According to your submittal the soil conditions are rated as sand. The home is designed with a 1500 gallon advance system with a design flow of 600 gallons per day. The absorption field is sized at 210 square feet, based upon a design application rate of 3 gallons per square foot per day. The separation distance requested from the class A source well to the replacement field, and the proposed drain field is 140 feet. The advantex unit is to be located at a scaled distance of 150 feet from the source well. The lot also has a cliff that is located 35 feet from the proposed drain field which will also need to be waived to allow the development to proceed. Waivers Your requests for waivers between the Class A public water source and the proposed on -lot wastewater system along with a review of the well logs, soil reports, current water sample results, and the plan drawings has taken place. Based on the information submitted, it appears the waiver requests are protective of public health, therefore, in accordance with the State Drinking Water Regulations (18 AAC 80.020), the following waivers are granted with two conditions that will follow after the waiver descriptions. The separation distance between the Class A public water well located near Endicott Street and Shorecrest Drive and both the proposed soil absorption system and the replacement soil absorption system serving the home on lot 22A, Block 1, Seacliff Subdivision are waived from 200 feet to 140 feet. The separation distance between the Class A public water well located as stated above and the Advantex treatment on Lot 22A, Block 1, Seacliff Subdivision has been waived from 200 feet to 150 feet. The separation distance between the top of the cutbank and the proposed on -lot soil adsorption system has been waived from 50 feet to 35 feet. Conditions placed on the waivers are as follows: 1. that the waste stre�benfected2. that annual inspecs ted to this office. The distances noted in the waivers are from your submittal. It appears that these distances are from the nearest edge of the wastewater disposal system component to the nearest edge of the existing Class A public water system well or the top of the cutbank. If any wastewater disposal system fails or contamination can be traced back to the system, the waivers will be invalid. This approval does not imply the granting of additional authorizations nor obligate any state, federal or local regulatory body to grant required authorizations. Any person who disagrees with this decision may request an adjudicatory hearing in accordance with 18 AAC 15.195- 18 AAC 15.340 or an informal review by the Division Director in accordance with 18 AAC 15.185. Informal review requests must be delivered to the Division Director, 555 Cordova St., Anchorage, Alaska 99501, within 15 days of the permit decision. Adjudicatory hearings requests must be delivered to the Commissioner of the Department of Environmental Conservation, 410 Wiloughby Avenue, Suite 303, Juneau, Alaska 99801, within 30 days of the permit decision. if a hearing is not requested within 30 days, the right to appeal is waived. Thank you for your cooperation. Please place the ADEC project number 3624 on all future correspondence regarding this project. If you have any question please do not hesitate to contact me at 269-7519. Respectfully, ) r William R. Rieth, P.E. Environmental Engineer cc: David Johnson, DWIWW, ALASKA WATER & WASTEWATER CONSULTANTS, INC. November 11, 2003 State of Alaska f —"e -A "-�. 'r, — Department of Environmental Conservation NOV 112003 Division of Environmental IIealth Drinking Water &- Wastewater Program Attn: Bill Rieth, P.E. 555 Cordova Street Anchorage, Alaska 99501 Subject: ADEC Project #3624. Septic System Upgrade at Seacliff S/D, 22A, Block 1 Dear Mr. Rieth, In order to comply with your October 31, 2003 letter, which granted waivers that were necessary to install the subject septic system, we are proposing to install a chlorine disinfection system. The proposed system will be a Sanuril, tablet type, chlorinator in a manhole between the Advantex system and the pump vault, followed by a chlorine contact tank. As the effluent from the Advantex system flows to the pump vault, it will pass through the Sanuril unit where it will come into contact with the chlorine tablets. The chlorinated effluent will then flow through a contact tank (buried fiberglass basin with access manhole). The contact tank piping will be plumbed in the bottom and out the top so as to maximize the contact time. Effluent from the contact tank will then flow into the pump vault, where it will be transferred to the drainfield for final disposal. We are requesting your concurrence regarding the proposed disinfection system. If you have any questions, or require additional information, please contact me at 337-6179. Thank you for y9F assistance and consideration in this matter. P.E., M.S. 3701 East Tudor Road, Suite 101 • Anchorage, AK 99507 Ph: (907) 337-6179 • Fax: (907) 338-3246 • Website: akwwc.com �N 11/13/03 08:20 FAX 9072897850 DEC DR&RW 001 �in �N'ov.11. 2003 10:31AM No -1018 P. I ALASKA WATER Ftr WASTEWATER CONSULTANTS, INC- November 11, 2003 State of Alaska �l Department of Environmental Conservation Division of Environmental Health Drinking water & wastewater Program Attn: Bill Rieth, P.E. 555 Cordova Street ` D� Anchorage, Alaska 99501 M Subject: ADFC Project 113624. Septic System Upgrade at Seaditf S/D, 22A, Block 1 Dear Mr. Rieth, /V \• In order to comply with your October 31, 2003 letter, which granted waivers that we necessary to install the subject septic system, we arc proposing to install a chlorine disinfc vn system The proposed system will be a i tablet chl ' ator in a manhol een the Advantcx system and the pump vault, followed by a chlorine contact tank. As the effluent from the Advantcx system flows to the pump vault, it will pass through the Sanuril unit where it will come into contact with the chlorine tablets. The chlorinated effluent will then flow through a contact tank (buried fiberglass basin with access manhole). The contact tank piping will be plumbed in the bottom and out the top so as to maximize the contact time. 13flluent from the contact tank will then flow into the pump vault, where it will be transferred to the drainfield for final disposal. We are requesting your concurrence regarding the proposed disinfection system. If you have any questions, or require additional infomtation, please contact me at 337-6179. Thank you for ypprr assistance and consideration in (his matter. P.1:., M.S. 3701 Fast Tl:der Road Suite 101 • Anchorage, AK 99507 Ph: (907) 337-6179 •lax: (907) 338-3246 • Websitc: al,•wwc com RECENM NOV 12 2003 A,t1ZC/ ncho'rroe Emy'.ronrnen:al Heim \ SEACUFF S/D LOT IQ& BLOCK 1 �\ SEACUFF S/D LOT 9A. BLOCK 1 \R/lo SEACUFF S/D LOT 19, BLOCK 1 PROPOSED SEPTIC SYSTEM T' (SEE DESIGN PACE 2 OF 4)-I-� SEACUFF B SCK /LoST021. T LOT 20, BLOCK 1 CUFF S/D 1 BLOCK 1 T12N, R4W, SECTION IS, PARCEL 11, SEACUFF S/0 LOT BA. BLOCK 1 i I TH/I SEACUFF S/O T 23A, BLOCK 1 10/7/2003 ALASKA NATER & «'ASTEIN'ATER C.J.G. CONSULTANTS, INC. SCALE -* c 100) vel a Tllen: Feng GUTe dei . p,q.N'.oAGe Cc o0[0) • 0.,n4e lOnT.t f-n�)(1 • enf lon)mn-Pl.t, PREPARED FOR PHONE NUMBER: PACE NUMBER: SANDY SHERWOOD 337-4692 1 OF 4 SEACLIFF SUBDIVISION; LOT 22A, BLOCK 1 OF WORK: SITE PLAN FOR PROPOSED SEPTIC SYSTEM AND WAIVER 1 I 1 I I I I ! 1 I 1 1 / CLASS A'� / COMMUNITY/ WELL / i ij/.7JJ �nt�djD�o f essio�° ALTERNATE SITE —� PROPOSED DRUNFIELD. EXCAVATE A TRENCH THAT IS 12 FEET DEEP BY 2.5 FEET WIDE BY 15 FEET LONG. ADD 7 FEET OF CLEAN, WASHED SEWER DRAINROCK. INSTALL TRENCH PARALLEL TO SLOPE COMOURS.— �J1�09 CHLORINE �IN BOTTOM TMf.'t' MANHOLE WITH SANURIL\ UNIT PLUMBED INSIDE \ rum To= / \ I CT MANHOLE. \ \ OUT TOP \ —PROPOSED 1500 GALLON \ ADVANTEX TREATMENT SYSTEM r/ PUMP VAULT \ \ TOP OF CUTBANK 10/7/2003 DRAWN BY: C.J.G. ALASKA WATER R WASTENVATER SALE CONSULTANTS, INC. 1 = 40� 3701 F TUOOR ROA°. SURF 101 • ANCNWIAGF. AK 00507 • PNONF (001)337.61M • FAX (007A1P-3746 PREPARED FOR: PHONE NUMBER: PAGE NUMBER: SANDY SHERWOOD 337-4692 2 OF 4 LEGAL DESCRIPTION: SEACLIFF SUBDIVISION; LOT 22A, BLOCK 1, TYPE OF WORK: DESIGN DRAWING OF PROPOSED SEPTIC SYSTEM AND WAIVER ..... ... .. .. ...... Je a '^ .5.:... C —7953 •. `Fv T'FolessioA°oma �440000�0 I NOTE: JIM CRO55, P.E. 1415 THE ADVANTEI( MANUAL AdvanTe)C Treatment System AX20 -Mode l a '?z 40x94Pod =" PROPOSED DRAINFIELD rzr-q v JIM 6' PVC PUMP -Off 9* PVC COUPLING �!� iilil CLUED TO TANK ■ 40.4 � INLET OPTIONALTO PRWOE � V1�11y �,■0 D'�• rMM a 10/7/2003 DRAWN BY: C� ALASKA NVATKR & WASTE NVATRR j.G. ooh: CONSULTANTS, INC. SCALE. N.T.S.O e 5701 F TUDOR ROAD. SUITE 101 • ANCNORAGF. AK 00507 • P ONF (00))35]-0170 • FAX (007)35A-StA6O REPARED FOR: PHONE NUMBER: PAGE NUMBER: MIKE POLZIN (907) 248-6921 3 OF 4 EGAL DESCRIPTION: QO n U.S. SURVEY 3042: LOT 84F 0041 YPE OF WORK: Q DETAIL DRAWING OF ADVANTEX TREATMENT UNIT ORENCO BIOTUBE SCREENED VAULT PUMP t C 7953 `F`O� 13' LONG --------------------------- MT I I FROM ADVAiTEX + I MTO 1 TREATMENT SYSTEM DEEP TRENCH GRADE FABRIC 1140,14 OF EFFECTIVE .. ....IQ: o� O 10/7/2003 0� 0 DRAWN BY: vO �1 ALASKA WATER & WASTEWATER C.J.G.SCAL CONSULTANTS. INCE ° 3701 F TUDROAD. SUITE IOI • ANCHORAGE. AK 99501 • PHONF (90))331-6179 • FAX (907MM-SRS N.T.S. �......... ............... OR PREPARED FOR: PHONE NUMBER: PAGE NUMBER: O SANDY SHERWOOD (907) 337-4692 4 OF 4 et a A. am ss;' LEGAL DESCRIPTION: oO� j C —795 .•.. `a� SEACLIFF SUBDIVISION; LOT 22A, BLOCK 1, TYPE OF WORK: De PFO •••••••' ;�Co� iessl0�°o0 DETAIL DRAWING OF PROPOSED DRAINFIELD �4400000� �qO OO / C ALASKA AVATKR & WASTK�VATKR CONSULTANTS, INC. 0 �' SOIL LOG - PERCOLATION TEST D LEGAL DESCRIPTION: SEACUFF SUBDMSION; LOT 22A, BLOCK 1 ,p ••.J fr A rness.: O PERFORMED FOR: SANDY SHERWOODpgTE; 9/2/2003DEPTH C —7953 (t et) TEST HOLE 1 pp�44p'otess}000� 40000 ORGANICS, SOIL CLASSIFICATIONS 2 ____ OLD FILL, i ---- & SILTY q.,<;o GW cc== ORG cs—ip�c 3 _ SAND •.;.; GP I ML =.c. GM 717171 CL 1 4 ==== GC OL 1 •i•00 o° "°° e" SW MH SEACUFFIS/D THI1 '•o^''•�•• SP CH LOT 21, BLOCK 1 .� 5 • .o a i• °o •l SM / i OH .Q • eoa **Do* SC 6— •..°o° ••ooe � P ••.o°o° V�•t' 7 •••o°� DEPTH TO �� o 0'00 GROUNDWATER DATE tio •° 3 ••.o°°° ..•000 8 00000 DRY 9/2/2003 `. e ��o°oe DRY 9/11/200 ��, ' 9 ,000 .• 008 SITE PLAN ••00°0 �•• oo e 1 •� 100 10—•''O°O 4•e0°O ::• 000 11 • ro°o° SP TO SW 000000 .• p00 •'•o°o 0••000 •• 00°0 .• ooe 13 •••O°o° •10 coo ro°o° •.• oo u 14 •••.o°a ••oo°o .• 000 15 •''O°O ••pOo ••00°0 �.• 000 16 ::°°0, 000 '• 00°0 �•000 17 • .o°o° •ooe • .o°o° ••ooe 18 . ° 0 • B.O.H.PET 19 PERCOLATION RATE <1 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES) TEST RUN BETWEEN 7.0 FT. AND 7.5 FT. 20 A FOUR HOUR PRESOAK WAS PERFORMED: ❑ YES NO SOILS LOGGED BY: SUSAN OSWALT PERCOLATION TEST PERFORMED BY: SUSAN OSWALT COMMENTS: THE INSITU SANDY SOILS SHOULD ACT AS A SAND FILTER PERFORMED BY AKWWC, INC. 1, JEFFREY A. GARNESS, CERTIFY THAT THIS W S ERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: DATE READING CLOCK NET TIME WATER LEVEL NET DROP TIME (MINUTES) READING (INCHES) 9 2/2003 1 1:01 — 6- 12-- — 2 1:05 4 0• 6' 3 1:06 — 6' — 4 1:11 5 0' 6° 5 1:11 — 6• — 6 1:16 5 0' 6' 7 1:16 — 6• — 8 1:21 5 0e 6° 9 1:22 — 6• — 10 1:26 4 0e 6° 11 1:27 — 6' — 12 1:31 4 0' 6' GREATER ANCHORAGE AREA BOROUGH 5�P PN�NORgpF 4qP HEALTH DEPARTMENT P O 9a NEW ADDRFSS. �__ oy �r-,—�r-^o-'rs«�— O P.O. BOX 968 327 Eagle S.{"TERt 'ANCHORAGE. ALASKA 99501 i PHONE 272-6467 a;y January 30, 1968 SUBJECT: Installation of On -Site Sewage Disposal System - Lot 22A, Block 1, Seacliff Subdivision TO WHOM IT MAY CONCERN: The Greater Anchorage Area Borough Health Department will approve the installation of adequately sized, properly constructed septic tank - seepage pit, on-site sewage disposal system to serve the subject lot provided that the system can be installed outside of the well protection radius as described in the Seacliff Subdivision Easement Miscellaneous Book 85, Page 185, Anchorage Recording District 64-9837. Preliminary design for the proposed system shall be submitted to the Borough Health Department for review and approval prior to any construction or installation, and all construction shall be inspected by the Greater Anchorage Area Borough Health Department prior'to backfill. Said system shall not be used until final inspection and approval have been given by this office. Sincerely, DAVID R. L. DUNCAN, M. D. Medical Director BY: / ate«✓ Clif d P. Judkin , R. S. Chi Sanitarian �! CPJ/srr cc: Mr. Edward Powell, Small Business Administration Mr. R. J. Rhodes a' J AIR MAIL TO ALASKA IS FASTER n r f t 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 OSC251456 Parcel ID 011 -221-23 Legal description SEACLIFF BLK 1 LT 22A Site address 5112 SHORECREST DR Expiration Date: 10/8/2026 Current property owner(s) MANN MATTHEW & X The On-site system(s) is/are approved for 4 bedrooms By: Conditional approval for bedrooms, with the following stipulations: Comments or conditions: No comments Original Certificate Date: 10/8/2025 This rtificate n -Site Systems Approval (COSA) is intended to demonstrate the subject This 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 Development Services Department On -Site Water & Wastewater Section Certificate of On -Site Systems Approval Application 1. GENERAL INFORMATION Parcel I.D. 011-221-23 Complete legal description Seadiff) Block 1 Lot 22A Location (site address) 5112 Shorecrest Dr Current property owner(s) Mathew Mann & Erika Wessel Day phone 2. ON-SITE SYSTEMS SIZED FOR 4 BEDROOMS 3. TYPE OF WATER SUPPLY: R Private Well serving # dwelling units F_J Other Non-public well as regulated by MOA ❑ Water Storage * Community Well or Public 4. TYPE OF WASTEWATER DISPOSAL: Fmil Private Septic ❑ Private Septic serving 2 dwelling units El Holding Tank Fj Community Septic or Public Sewer 6. SEPTIC TANK: Fol Steel R Plastic F Concrete R Fiberglass Age NEW - See advisory if steel or fiberglass older than 20 years 6. ABSORPTION FIELD: E] AWWTS F-1 Bed * Deep Trench M Wide Trench M Seepage Pit Waiver request for: Expedited review requested: R 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 $_ 7 5 Date of Payment 10 10 b S COSA # () S C ')LS 14S 6 91 Waiver Fee $ Date of Payment Waiver # COSA Application—Ap2025,doc COSA Checklist Legal Description: Seacliff, Block 1 Lot 22A Parcel ID: 011-221-23 If more than 1 well and/or septic system on lot, provide separate checklist. Structure served by this system 1 LL DATA ❑ Well log is ith Onsite (or attached) Date drilled a th 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 Comments Community well ft Measured operating fluid leve i nk Date of pumping ❑ Required maintenance completed, if AWWTS Comments: NEW D. DISPOSAL FIELD DATA Well production at time of test gpm Water storage tank volume gallons Well disinfected for coliform test? ❑ Yes ❑ No ❑ Coliform bacteria is Negative Nitr mg/L ❑Nitrate less than MRL (ND) Arsenic ❑ Arsenic less than MRL (ND) Collected by Date C. LIFT STATION ❑ Required maintenance completed of lift station years Lift station materia Comments: Which system tested (date installed) NEW y test date A\(per ❑■ ALL standpipes present per record drawing lts ❑ Pass Total measured depth from grade 11 - 1 ft (max) Fth prior to test in Measured depth to pipe invert from grade 4.1 ft (min) de gal ❑ N/A —pressurized field. Nd dept in F-1 Per record drawings, field is insulated. Etime min ❑■ Monitor tubes go to bottom of effective. Fid depth in If not, state depth into effective Aon rate g d F-1 Presoaked required if FTATUS — POST R OV (Required if house vacant or field not used for more e depth (per record dra than 30 days prior to date of test) NSA Gallons introduced NSA gallons date Effective depth used in Any rejuvenation treatment (past 12 months) NSA Effective depth remaining If yes, enter date Comments/Deficiencies: Septic less than 2 years old and has never been in use COSA Checklist_May2025.docx ERY Ings) in ri 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 Sewer Service/Septic Line > 25' ❑ Yes if No Holding Tank > 100' ❑ Yes if No Animal Containment > 50' ❑ Yes if No Manure/Animal Excreta Storage > 100' ❑ Yes if No ❑■ 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' 0 Yes if No ft Surface Water > 100' 9 Yes if No Field to Foundation > 10' ❑■ Yes if No ft Tank to Property Line > 5' Yes if No ft 1 Field to Property Line > 10' ❑ Yes if No ft Water Main/Service Line > 10' ❑E Yes if No ft F. ENGINEER'S COMMENTS *Waiver# OSV231055 Wells on Adjacent Lots: Wells > 100' ❑� Yes if No _ Community Wells > 200' ❑� Yes if No _ If tank or field is under driveway comment below ft ft ft ft ft ft ft ft 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 ofFirm Forge Engineering Engineer's Printed Name Benjamin Schiller, P.E. COSA Checklist_May2025.docx Phone (907) 522-7773 Date 10/2/25 .' SOF A�q�ll �* •'qg TH .. .. .. ... ........ J� '. • Benja. ' . chiller ��F�;l , CE 12592 • .�� 1 tl`F�pROFESSI4N�t.� � 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 / 2., Day of Oc,/t of 20 2,J, by and between (,(IA JO L-e- , 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 System located at (legal description) Seacliff, Block 1 Lot 22A 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. cx_c_,1/4) 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). ILL) 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. C./.4/JOwner acknowledges that regular maintenance of an AWWTS reduces the potential failure of the system, which could include sewage backup and costly repairs or drainfield replacement. (rev. 05/18/2018)Page 1 of 3 ajj Owner acknowledges that the Municipality may request records of maintenance and repairs from the manufacturer's representative or maintenance provider. (4(Ai Owner acknowledges that the fine for failing to maintain and repair an AWWTS may be assessed in accordance with AMC 14.60.030. te_,L) Owner agrees to grant the Municipality reasonable access to test and inspect the AWWTS. The Municipality will give at least 24-hour notice. (6,-)Owner agrees that any sale or transfer of title of the property will not occur without a new Certificate of On-Site Systems Approval. ( g,.(,)Owner agrees that the AWWTS installation and maintenance requirements as provided by the AWWTS vendor/installer and approved by the Municipality are the governing guidelines for the construction, maintenance and repair of the Owner's AWWTS. („-) Owner agrees to maintain remote monitoring of the AWWTS as required by the AWWTS approval. 3.Term. The term of this Agreement shall begin on the date of approval by the Municipality to operate the installed system, or upon transfer of title, and shall continue while the AWWTS is operational or until title is transferred. 4.Nonwaiver. The failure of the Municipality at any time to enforce a provision of this Agreement shall in no way constitute a waiver of the provisions, nor in any way affect the validity of the Agreement or any part hereof, or the right of the Municipality thereafter to enforce every provision hereof. 5.Amendment. This Agreement shall only be amended by authorized representatives of the Owner and Municipality. Any attempt to amend this agreement by either an unauthorized representative or unauthorized means shall be void. 6.Jurisdiction: Choice of Law. Any civil action arising from this Agreement shall be brought in the Superior Court for the Third Judicial District of the State of Alaska at Anchorage. The laws of the State of Alaska shall govern the rights and obligations of the parties under this Agreement. 7.Severability. Any provisions of this Agreement decreed invalid by a court of competent jurisdiction shall not invalidate the remaining provisions of the Agreement. (rev. 05/18/2018)Page 2 of 3 OWNER: By: (signature) Date: (print name) STATE OF AtA`S" T�.XCLS ) ) ss. " T4WAIJUDI0ALDI&TR4GT-- 11 ) The foregoin instrument was acl owledged before me this e_ day of_3�`" 201„ by i —00 __ INRY PUBLIC FO -S yr -.�t��IA ��, Orth� ✓7()'A4 PU L,r mission expires: �^ signature) Date: mint name) Title: (rev. 05/18/2018) Page 3 of 3