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HomeMy WebLinkAboutMOUNTAINSIDE VILLAGE BLK 1 LT 5Mountainside Village Block 1 Lot 5 #020 - 172 - 17 $UBMt d I A IAN 04 2019 Municipality of Anchorage Community Development Department Page 1 of 2 On-Site Water and Wastewater Program 4700 Elmore St. • P.O. Box 196650 Anchorage,AK 99519-6650• http://www.muni.org/onsite•(907)343-7904 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP181078 PID Number: 020-172-17 ❑✓ New ❑ Upgrade Name: WESLEY& KATHERINE McQUILLIN ABSORPTION FIELD Address 17501 SNOW CREST LANE EIDeep Trench ❑ Shallow Trench ❑ Bed ❑ Mound ✓❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 3 2.0 GPD/SF 3.5 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade Gravel depth beneath pipe Subdivision Block Lot 3.0 Ft. 0.5Ft. MOUNTAINSIDE VILLAGE 1 5 Fill added above original grade Gravel length Township Range Section ±1.0 Ft. 60.0 Ft. Gravel width Beds:Number of Lines Distance between lines SEPARATION DISTANCES 5.0Ft. N/A N/A Ft. To Septic Absorption Holding Sewer Total absorption area Number of trenches Dist.between trenches Tank Field Lift Station Tank Line 300 2 1 From Ft N/A Ft. Well 150.9 133.8 162.0 N/A 118.4 TANK ❑Septic ID S.T.E.P. ❑Holding ❑Other Manufacturer Capacity Surface Water 100+ 100+ 100+ 1 N/A ADVANTEX 1500Ga1. Material Number of compartments Lot Line 29.3 10.2 31.2 N/A FIBERGLASS 2 I NA Foundation 43.9 36.3 43.9 N/A LIFT STATION Manufacturer Capacity Curtain Drain 50+ 50+ 50+ N/A ORENCO 250 Gal. Pump on level at Pump off level at High water alarm at Remarks — — _______ TIMED in. in. 45in. Pump make and model Electrical Inspections performed by P2005 MOA BUILDING SAFETY to PIPE MATERIAL House to tank 3034 Tank drainfield 3034 Installer Dean Ford Drainfield 3034 CO/MT 3034 Inspector PANNONE ENGINEERING SERVICES BENCH MARK (Assumed elevation) 90.0ft InspectionLocation and description dates: 1 9/25/18 2"d 9/26/18 --"—_ BOTTOM TRIM AT HOUOSE POINT A 3id 9/26/18 4th 1/2/19 COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL Engineer's Stamp Conditional Approval: Date _ A...1-,7,.7. -- OF, ..- eco,.. `. /� • - --- - --- %*: ' • TH ' -------------- . 1,4<`. FP .... p Steven.4Af . .f5anno.pe r'#%••ICO[ 44,' Approved - —k"- ` ------.............. ...... Date 2-G-17 kk; D tNZ�t1.�1 Inspection Report_1-1-1 2.doc N N. • PRIMARY SEPTIC SYSTEM ) ----- � \ i ����P��c' j1 — ) �'" NO. BEDROOM: 3 (450 gpd) �y� _ J ` p��J � . r TANK SIZE: 1500g ADVANTEX / \ \ ���M� (/ s:, ` .E,. W/ AX20 POD �� 1 1 G� j PERC RATE: 60 MPI ,./ } N; ) c�0 4 / 1 SOIL RATING: 2 GPD/SF WELL (E)JJJ l /EliX AREA ROD: 225 SF i 1‘ �\ SYS. TYPE: WIDE TRENCH— 0.5'ED — X11 I ' MIN LENGTH: 45 LF � \ \ �..-- 7 USED: LO ' S �` y /.60 LFx5'Wx0.5' E.D., 3.5' TO •`• "\- Z ` TOTAL AREA: 300 SF ,�y?�s />:_: / AREA MAPPED BY MoA Q 4\ ` \___.-- /IJ9 li_/ AS 'POTENTIAL WETLANDS y1 _____ , \ • D/ 3BR TH2-1995— /- (TOBEN SPURKLAND) I!_ - •S, HOUSE �I • ZW S A _0 , v 17.EP // in Q .. ---''—'"......jImo\ / . • I J 003 \ u, 1 0 / /O\ \ / TH1 1995 , u I ( - - -�- (T BEN SPURKLAND) T' I l' / % �i.� - INSTALLED 1500g ADVANTEX TANK sn 4 ) T ! ( WITH AX20 POD v� Jo 6.4 + INSTALLED FOUNDATION CLEAN OUT 0 14 Hi r INSTALLED DRAIN FIELD A B1 / \ M co; 6OLF x 5'W x 0.5'ED x 3.5'TD Cri, /INSTALLED MT AND CO AlEACH END CO1 33.8 46.1 N \ Ti 45 f / ADDED FILL TO CREATE 3.0' MIN COVER 3 55.4 T2 56.5 65.0 \\ sn V M---4M�� / CO2 55.5 66.0 1 � / ' �� / \ CO3 38.0 58.7 M1 37.7 57.3 r CD4 92.5 99.7 r 2j / M2 91.8 99.8 1 , z 1- 0,- 1- D Z <0 D o 0 o w z m m z a Dw w � a o' a er o 40o -1 0 U.G.F.C. 4 z 2 FILTER FABRIC o z 87.5 7, 4 z z 4 - .. _-11------_,, �\ . DRAIN ROCK 6•ABOVE PIPE INV AX20 ' \ '" 4"ss DRAIN PIPE - 86.0 = O.C. POD ---- _ - 2m -I ,wm�. esA rH-:SP�n�ww 1500g ADVANTEX CONNECTED11 \ 011 3 2 TANK TO MIDDLE �g1,0 \ .5•DRAIN ROCK 67.0 • OF DRAIN 5 simsAw 5 &MUM Sw° FIELD ° w/uuvn ° w/CRAM 5 7 13 7 Su PROFILE °9 5/29/02 SCALE:NTS 10- 5/29/02 10— 74 1 n 7 1 n- 12- NATE PERIORu00:9/8/95 1! 908 OW 8(109900,9/8/95 NOTES: PANNONE ENG SVC, LLC __--��•\vk�1 Date RECORD DRAWING P.O. BOX 100217 ANCHORAGE, AK 99510 ;, .°F A."�sktl 1/3/2019 PHONE (907) 272-8218 FAX (907) 272-8211 i MUNICIPALITY OF ANCHORAGE On -Site Woter& Wastewater Program POBox 1966s 470nElmore Road Anchorage, Alaska 99518'0058 Ph <90 804 Fax: (907)o43'7997 Permit Number: OSP181078 Work Type: Septic Initial Tax Code Number: 02017217000 Site Legal Address: MOUNTAINSIDE VILLAGE BLK 1 L 5 G:3439 Site Mailing Address: 175O1SNOW CREST LN, Anchorage Owner: MC{JU|LL|NWESLEY K& Design Engineer: PANNONEENGINEERING SERVICES This permit is for the construction of: Effective Date: Lot Size in Sq Ft: 6/7/2018 6/7/2019 21 Disposal Field 2 Septic Tank 0 Holding Tank E1 Privy El Private Well El Water Storage All construction shall beinaccordance with: 1. The attached approved design. 2. All requirements specified inAnchorage Municipal code Chapters 15.55and 15.05and the State ofAlaska Wastewater Disposal Regulations (1 8AAC72) and Drinking Water Regulations (1 8AAC80) 3. The wastewater code requires inspections during the installation. The engineer shall notify the Development Services Department per AMC 15.65.Provide notification bycalling (S07)343 -7Q04(24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall beeither: a. Opened and Closed Vnthe same day, or b. Covered, sealed, and heated to prevent freezing Received By.,_.111� Issued By: CA:t_m"L'u Date: Date: K] IF MUNICIPALITY OF ANCHORAGE Community Development Department Phone: 907-343-7904 Development Services Division Fax: 907-343-7997 On -Site Water & Wastewater Program ON-SITE SEWER/WELL PERMIT APPLICATION Parcel I.D. 020-172-17 Property owner(s) Wesley & Katharine McQuillin Day phone Mailing address 1120 Huffman Road, #24-494, Anchorage, AK 99515 Site address 17501 Snow Crest Lane Legal description (Sub'd., Block & Lot) Mountainside Village, Block 1, Lot 5 Legal description (Township, Range & Section) Lot Size 55,883 Sq. Ft. Number of Bedrooms 3 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field ❑X Initial 0 Single Family (SF) ❑X Septic Tank ❑X Upgrade ❑ (w/wo ADU) ❑ Holding Tank El Renewal (D) Renewal ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑X Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit/Rush Fees: N Waiver Fees: Date of Payment: �L1 `� Date of Payment: Receipt Number: OOM6. , Receipt Number: Permit No. 06pI $ 079 Waiver No. Permit App__- :- :'—.,.c: Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP181078, Rebecca Carroll, 06/07/18 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP181078, Rebecca Carroll, 06/07/18 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP181078, Rebecca Carroll, 06/07/18 U Z 0 ' ~ w l\ W O w vwi ` _� / �Zl� a� j 1� 1 /�� \� ' o t� C) \ _ o LO 901-1 .fool z z\ o ort m 6611 Ln GL1 \ i O a fv W Y.S61 F4p f0 Q`b61o 0' UJ 1C, W 4O �Ld 4j` f \ m 11 AZO (Y /�. - i l ,\ `O O 1192. -. 1/ O W �© 't9 U Uj i ' 111, QD cn �t 5191` J / d _ _ ,tt-- �l v 06_ s J _ O t- ) \ 190 �j//; cl�i,,!�_ / \._ O 00 O -- r o 8/1� 1 rn' o O If LL LLJ0 �f ---,�->� ( -- �� X11 �j� LLJ o, _� / �,c� /fay>Y,— _ v� i 00 =NlI/! t�+ 3 ' i 7 co � �w O Q ® ckf ifs if M i� / / I \ •m /�_A 4 00 s A OO 0 O Maj -1 0 C9 Q Ld Z�r ri 9Q �s w `r° �� ``) 1' 14.0'1 tr o a Z z II -t / / y (11 Ld w o 0 11 14.0'• L_ - O, 0< LL 0 t rn �B.0' o 0 w � 00 ttj of w t `o cn6 0 O cn - 8.0' cv n ! / LL dU~iO O 1 S W \ 12.0' n "' O 06 / ;/, 0 X28.' 0 a. 1 0.0' n o N 0_ Q C) O z Uf J Q m W N of W J LO 0 OO z z J D D J U) w w O � ui Frlr*-Xe-lm W =I= r r_ 0 U I rn r U Q Q W Z ZD 0 < Q z O ~ 0 0_ O Q In v W M d O 0_ Z 0 O Q O Z 1- Q � J Z W W O W O w of � Q z Z r ujm O N N t- z N i O W F- F- Z O < > U U tL W O G O m W O WJZ J z0 >3z J W cn W &0- 0 (if D F}- OOQ _ F- Q Z Q O d• d- m 7)mw a�w ��D M W 0(nO o U U O� Q w O www wcnt,.ou-o �Wz � Z>z U 00�- 0- D OWO w m O04 waJ zz a: - Q O H U- W 0=�*-00 Zoo t tO U-) Er- W=O J OF- << w J W > 0z~> Q cl, z �F-z W ~ _ < ~ z << V -w m �-)0m8 W w W i=- (n U- Z (n 0 F--0 F-Z(n Q J- Z z 0 0 ZZ G 0¢ Z 0 3 Z 0WOt-F- a_Zw U m-JO~>O> W�O J OW w pJ F- U mQWOJ W z U w -r W Z =�Z = E- _ O In W LL U- o-0WOWa_ w0U) tnOtnt-�=d mw>W0 J�ODU mzmzUIwM <-<-<0r m� m�mZ -�F-mQQ W =�cnzof f— W O w O W W- m (naY _l O z =z=0Z2 N t-wF-UF-F-U),-�w000 F-J�O m p .. 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Z MO � f 1 `F Z 0 YLopZW � Oa -0~ W J — Z J �tnm z0�-1� MNWZL,<< ¢0 >-m3: ui� (-) Q O E- W Q� Q g j W F z Q J W 0 _ > <nm mm = F- r ca=W 4ww 0 0of0F-0>D_ F -W - ww Z < w af:2 Z S 0 4= O WO - z o U)t- U O<- O J w o m 0 0 Z 0 mw� F-QQOOz �WOzO~-J J W Z� LZLLJ W =¢LLZJD:JZ-of Il H .Q 0 NM O 0 rnr J 0) Lr) M w0N 0 w O^ Q3 cnwome M � Q Q I ujm Y (Y Z 00W p J m � O O O t� 0 w J W r 3 d - W� N i O O } ;m 0 m p .. o w p Z Mf a aw w Of a_ Of= OC) O Il H .Q 0 NM O rnr J 0) Lr) Y In I 0Qgin w0N C!i w O^ Q3 cnwome � � 9 U � Q MUNICIPALITY OF ANCHORAGE ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND REPAIR AGRE EMENT THIS MAINTENANCE AND REl"AllZ AGREFIMENT, herein tile "AGREEMENT" made and entered into asofthis 3t�� Day of—Pl,��-1 or 20 i by and between herein the "OWNER," and the Municipality oil' Anchora,tae, 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: Z-- 1. Advanced Wastewater Treatment Systems. 'file Municipality grants permission to the Owner to utilize and operate an Advanced WastewaterTreatillent. System (AWWTS), r described as T 0 "i located at (legal description) " Maintenance, Repairs and Alterations. (Owner is required to read., understand and initial each section) ,tll' Throughout the term of this Agreement. the Owner shall enter into a service agreern n e t with all AWWTS service and maintenance provider approved by the Municipality or the manufacturer's representative. The AWWTS shall be maintained in a satisfactory I condition capable of performing as designed and producing treated septic effluent in accordance with the equipment's approval, for operation in the Municipality. ,,-14e . It shall be the responsibility of the Owner during the term of this Agreement to pay for all repair(s), maintenance, ad_justment(s), replacernent costs, and inspection costs. This includes an annual maintenance fee (typically $400 to $600). Owner agrees that only maintenance and repair personnel approve(] by the Municipality, or the manutacturer's representative will inspect and make any necessary maintenance, repairs or permitted alterations to the system. IP4 ! 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) flage I ol-3 c, k: Vj, ­- Owner acknowledges that the Municipality may request records of maintenance and repairs from the manufacturer's representative or maintenance provider. ,q, N" Owner actino -nowledges that the fine for failing to mainWW maintain and repair an ATS 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 withouta 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 AWWT S as required by the AWWTS approval. 3. Term. The term of this Agreement shall begin on the date of approval by the LI - Municipality to operate the installed systern, or upon transfer of title, and shall continue while the AW WT 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 agreementby 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 I . - Jurisdiction shall not invalidate the remaining provisions of the Agreement. (rev. 05/18/2018) Page 2 of 3 Bv: (signature) Date: —(print name) S'I'A'1'1--'(')F ALASKA THIR-DJUDICIAL DISTRICT Ai YIay of The foregoing instrument was acknowledged before me thisL 20 by _ ' -, Nomy ptdkft `NOTARY JC FOR ALASKA IM: ErMILY =EZELL is Commission expires: rd 2j.'12-D'Zj Stdo of Alaska M C�of� y Conunisdon Expkw Aperif 21, 202-1 MUNICIPALITY Bv: (SillflaLure) Je,beCCA 6Z,ri-c U—(print name) Date: Title: (rev. 05.11181"0 18) Page 3 of'3 Sent By: i 3492011; Jun -19-03 12:23PM; Page 1{1 HFTY DRILLING 540 AKULA DRIVE C ORAGE. ALASKA 99516 (907)345-0593 5TA'I'E': OF ALASKA DEPARTMENT OF NA 1-17RAL RESOUV MS MINING, LAND, WATER HYDROLOGIC S KYEY" WATER WELL LOG Drilling Started: 1,36.40—,.Completed:S" ! ! o f CityBorough: SubdivisionN5S:Block Lot Property Owner Name & Addreo - 6 $aO 0q-k-Wn,d �., f „./—a.kg R 4:7 r rh or�r.lQ „ s:a ENT OF NATURAL RESOURCES Meridian-_-„ . 'lbvvnship _ Range, Section '/+ or Y. of .... t/4o _._.._... t1 T. -.u: N ....... Igng: w NAD: 27 Olt 83 Elevation: ATA: f lr +n. -t-r-111111 „rfacel Depth Drilling method: VAir rotary, i I Cable tool, Other nchorage. AK 99501-3577 BOREHOLE Material: Type Color &wetness rom To Well use: U Public supply, A Domestic, Il other t C-. .0 Depth of hole: /,)Z ` A, Casing stickup: Casing type: S�: r, ( Thickness , -, Ua.S _ Casing diameter: tj 'r inches Casing depth 31 Liner type: Uianicwr: inches Depth: inches It ll _7 _ c�-7 Static water lrno, :.,,... 3-3 Ron 34) _.Ql j r - r) 7 J I .S! Pumping level & yield: feet after hours at Rccoveryrate: /.i"- gpnt,Method oftesting: Ar Dcvclopntent method: Dtuatton: 6Ptn - saorrjc, N /'U ..a(As L- t _ r Well intake opening type: U Open end, I'1 Open bole C Screened; Start: ft, Stopped _ ft '- Screen typo. Slotlmesh size _ L Perlbrated;Start: it, Stopped ft Start: 11, Stopped ft Note: Clrout type: _ r hfo S Volume _. . . Depth; from ft, to ft Ptunp intake depth: ft Pump size hp. Brand name: ......... ...... Was well disinfected upon completion? K Yes, 0 No Method of disinfection: CIA&: ; I� Driller commcnts! disclaimers: ...._- ............ Well Driller Nam Company Name: HEPTY'F3R �iNG Mailing Address: 3540 AKULA DRIVE 516 Cily: ANCHORAGE State:_ ALASKA Zip Phone Number: -907-345.0593 Drillers Signature: Statc law rmloIrm that Co^� •i +n . I .. .. .. :!.car al 1ia.4; whhin 45 day>, r;, cs : arest.,,bL (AK sratums 3a.U5.020J8.OS.035, 41.08.020, 46.15.020 J AK rcgotatim- t t AAC 93.140). DEPART ENT OF NATURAL RESOURCES Mining. and & Water Hydrologic survey 5 0 W 7th Ave, Solt! 900A nchorage. AK 99501-3577 Telephone ( 7) 269.9639 and FAX (907) 562-1384 Within the City of Anchorage, it is required }hat a copy c ; the Well log be sent to the appropriate city office widlin 60 days and that tiothercopyof the well log be sent to the wclLrpro',erry owner within 30 ys. Permit Number: Dote of Issue: Parcel ldentirication Number: Is well located at approved permit location'! 0 Yes or ON + 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 ONSITE WATER SUPPLY PERMIT Initial Permit Number: SW020190 Legal Description: MOUNTAINSIDE VILLAGE BILK 1 LT 5 Design Engineer: 0041 AK Water & Wastewater Consultan, Owner Name: Teresa Harrison Owner Address: 8251 Countrywoods Drive Anchorage , AK 99502-4677 Date Issued: Jun 24, 2002 Expiration Date: Jun 24, 2003 Parcel ID: 020-172-17 Site Address: Lot Size: 55883 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: to 7.7 -6 -614 - Issued By: J J— �` Date: lyZ`'� °Z Municipality of Anchorage • Development Services Department Building Safety Division On -Site Water & Wastewater Program 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. 020-172-17 PermitNumber -5�OZ01�74> Property owner(s) TERESA HARRISON Day phone 349-2011 Mailing address (1) Mailing address (2) Zip Code - Legal description (Lot, Block & Sub'd.) LOT 5, BLOCK 1, MOUNTAINSIDE VILLAGE AGE SZD Legal description (Section, Township & Range) N/A Lot Size S5 Acre(E) Number of Bedrooms 4 THIS APPLICATION IS FOR: Sewer Only ❑ Well Only ❑ Sewer and Well ❑ Water Storage Sewer Upgrade ❑ THIS PROPERTY CONTAINS: ❑ Hot Tub E❑ l Jacuzzi ❑ Swimming Pool Water Softening Unit ❑ Therapy Pool I 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. WAT JLTANTS, 11 Permit Fees: waiver Fees -- Date of Payment: 2 Date of Payment: Recei t Number U riU'\Q'\. Receipt Number: 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 021 Date Issued: Jun 18, 2002 Expiration Date: Jun 18, 2003 Permit Number: SW020177 Parcel ID: 020-172-17 Legal Description: MOUNTAINSIDE VILLAGE BLK 1 LT 5 Design Engineer: 0041 AK Water & Wastewater Consultan Site Address: Owner Name: Teresa Harrison Lot Size: 55883 SQ. FT. Owner Address: 8251 Countrywoods Drive Total Bedrooms: 4 Permit Bedrooms: 4 Anchorage , AK 99502-4677 This permit is for the construction of: L 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. 5. `iFie foilowmg special provisioris. application is approved with athe_pbribition is that awwc inc. needs to do a soil log and perc test d � construction. the original soil to and the erctesta docuc_men ati" ion needs fo6`6e'su6iffeii with the as -built. Received By: V` Date: f o — ( (5') C.? Issued By:If Date: (e rS °Z Municipality of Anchorage Development Services Department Building Safety Division On -Site Water & Wastewater Program 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. 020-172-17 Permit Number -SW �2c9 /7� } Property owner(s) TERESA HARRISON Mailing address (1) $aG; Day phone 349-2011 Mailing address (2) / Y -.J -Iy D Gl'e_'_'y A P, Zip Code ` / 56�9 l`i6 7 7 Legal description (Lot, Block & Sub'd.) LOT 5. BLOCK 1: MOUNTAINSIDE VILLAGE S/D Legal description (Section, Township & Range) N/A Lot Size SS 9"3' 5 Acres/Sq.Ft. Number of Bedrooms 4 THIS APPLICATION IS FOR: Sewer Only Well Only ❑ Sewer and Well Water Storage ❑ Sewer Upgrade ❑ THIS PROPERTY CONTAINS: Hot Tub ❑ Jacuzzi ❑ Swimming Pool ❑ Water Softening Unit ❑ Therapy Pool ❑ I 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: `1 OC Waiver Fees` Date of Payment: Date of Payment: Receipt Number: 21 \ (o l Receipt Number: ALASKA WATER Uzr WASTE WA.1'r;Il rmussnamrrsV. t m.. .:..CONSULTANTS, INC. mrnmmeiu` _unn. enem a. June 3, 2002 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 Well and Septic System for Lots 5, Block 1; Mountainside Village Subdivision ADVANTEXTM TREATMENT SYSTEM To whom it may concern: 1. GENERAL: The proposed 4 bedroom home will be served by a private well and septic system. Two test holes were excavated on the property by Tobben Spurkland, P.E. We are proposing to design the septic system around the 30 foot radii of these test holes. On 5/29/2002, groundwater was measured at 7.5 feet below grade in TH#1 and at 9.08 feet blow grade in TH#2. Due to the shallow groundwater and the poor receiving soils, we are proposing to use an Advantex treatment system and a 5 -wide trench type drainfield. The proposed well is to be located in the area shown on the site plan and design drawing. 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. A percolation test was performed in each test hole between the depths of 4.0 to 4.5 feet and found the percolation rate to be 25 and 60 minute/inch. Given that the Advantex system has received class III approval, we are going to use an application rate of 2.0 GPD/FT2. 4. TRENCH DESIGN: a. Percolation Rate: 25 & 60 minutes/inch b. Allowable Application Rate: 2.0 gallons/day/ft2 c. Number of Bedrooms: 4 d. Design Flow: 600 gallons per day e. Minimum Absorption Area: 300 ft2 6901 Debarr Road, Suite 2B — Anchorage, AK 99504 — Ph: (907)337-6179 — Fax: (907)338-3246 f. Total Depth: 3.5 feet (max.- at any point) g. Leveling Sand Filter: 1 foot h. Effective Depth: 0.5 feet i. Width: 5 feet j. Minimum Length: 60 feet long k. Effective absorption area: 300 ftz 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 topography drawing, the average topography in the area for the proposed drainfield is a 15 to 20 percent slope running from approximately east to west. In short, there are no slope concerns.. 8. 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 337-6179. ?.E., M.S. NOTE: Attached is a site plan drawing, a design drawing, an Advantex detail, a trench detail, a topography drawing, two soil logs, and a 7 page construction specification letter which are all part of the design package for this septic system. 6901 Debarr Road, Suite 2B — Anchorage, AK 99504 — Ph: (907)337-6179 — Fax: (907)338-3246 I III II 1 1 1 1 1 1 1 1 II �j1 1 1 \ i 1 1 � 1 \ 1 �l �` It l I 1 1 �N \ BLOCK 1; �\ E VILLAGE S/D'-' TRACT B; NE 1/4, SECTION. 11, T11N, R3W 1 \ 1\ WELL 1 / 1 I � I AP40,v LOCATION I I I \ LOT 3, BLOCK 1; 1, MOUNTAINSIDE VILLAGE S/D I I I I I I � \1 �I 11 I fERNATE t 1 Tli#t 1 ! / LOT' 7, BLOCK 1 MOUNTAINSIDE VILLAGE S/D � \ \ EXISTING SEPTIC \\ \ SYSTEM /' 1 4 BEDSOOMNFVON. \\\ \\\ /�// \\\ \\V�/ Qoo/�/ it PROPOSED SEPTIC SYSTEM (SEE DESIGN, PAGE 2 OF 4) LOT 6, BLOCK 1 MOUNTAINSIDE VILLAGES/ // LOT 2, BLOCK 1• 1 ! 1 I / MOUNTAINSIDE VILLAGE S/D LOT 2, BLOCK 1; MOUNTAINSIDE VILLAGE S/D ALASKA WATER & WASTEWATER I 1.L.M. . .. CONSULTANTS, INC. sem: . _ 6001 flFflARR RODt>. SI IITF JR' GNf HOROf.F GK OQSOL * PHONF !00]I[3].AI]0 FG% lON1i3A_[JLR 1 - 100' TERESA HARRISON 349-2011 1 OF 4 - 4L DESCRIPTION: MOUNTAINSIDE VILLAGE SUBDIVISION; LOT 5, BLOCK 1 OF WORK: SITE PLAN FOR PROPOSED WELL LOCATION AND SEPTIC SYSTEM J y Gar ess: E 7 o Yl i i 1 \ 1\ WELL 1 / 1 I � I AP40,v LOCATION I I I \ LOT 3, BLOCK 1; 1, MOUNTAINSIDE VILLAGE S/D I I I I I I � \1 �I 11 I fERNATE t 1 Tli#t 1 ! / LOT' 7, BLOCK 1 MOUNTAINSIDE VILLAGE S/D � \ \ EXISTING SEPTIC \\ \ SYSTEM /' 1 4 BEDSOOMNFVON. \\\ \\\ /�// \\\ \\V�/ Qoo/�/ it PROPOSED SEPTIC SYSTEM (SEE DESIGN, PAGE 2 OF 4) LOT 6, BLOCK 1 MOUNTAINSIDE VILLAGES/ // LOT 2, BLOCK 1• 1 ! 1 I / MOUNTAINSIDE VILLAGE S/D LOT 2, BLOCK 1; MOUNTAINSIDE VILLAGE S/D ALASKA WATER & WASTEWATER I 1.L.M. . .. CONSULTANTS, INC. sem: . _ 6001 flFflARR RODt>. SI IITF JR' GNf HOROf.F GK OQSOL * PHONF !00]I[3].AI]0 FG% lON1i3A_[JLR 1 - 100' TERESA HARRISON 349-2011 1 OF 4 - 4L DESCRIPTION: MOUNTAINSIDE VILLAGE SUBDIVISION; LOT 5, BLOCK 1 OF WORK: SITE PLAN FOR PROPOSED WELL LOCATION AND SEPTIC SYSTEM J y Gar ess: E 7 o Yl THE CONTRACTOR SHALL HAVE 100 FEET`SETBACK THE CREEK, THE EAST PROPERTY LINES, AND THE PROPERTY LINE FLAGGED BY A REGISTERED LAND / 1 G � YICLL� -w ALTERNATE SITE MTP I I I I II I II II LJ ` I CO PROPOSED 4 BEDROOM FIBERGLASS ADVANTEX TREATMENT SYSTEM \ (SEE DETAIL, PAGE 3 OF 4). C) 0. / `y sir PROPOSED DRAINFIELD. EXCAVATE A TRENCH Cn TRENCH THAT IS 3.5 FEET DEEP MAXIMUM (AT Q ANY POINT) BY 5 OFF CWIDE LEAN, BY 40 FEET SEWERNG. `R�\ 1 / FEET DRNN OCSK. INSTALL PARALLEL TO CONTOURS. �J ,VI ( DETAIL DRAWING, PAGE 4 OF 4) `` i Fort- oG ic-.'e'L-t'4I, � DATE: 6/3/2002 op6ppp0O4 �O.r\� ......... , O DRAWN BY: ..w ..,. .....�,. .�` �..., ,..w. J.L.M. DO 0 SCALE: ALASKA WATER & WASTEWATER ._»:..w„ . CONSULTANTS, INC. 6901 DEBARR ROAD, SUITE 25 ' ANCHORAGE. AK 99SOG ` PHONE (907)337-6179 - FAX (907)338-3246 1„ __ 40, :..... ... . .. Q PREPARED FOR: PHONE NUMBER: PAGE NUMBER: Q TERESA HARRISON 349-2011 2 OF 4 O y� •- CE 953 �ppfe LEGAL DESCRIPTION: MOUNTAINSIDE VILLAGE SUBDIVISION; LOT 5, BLOCK 1, ao 4�eaProfesslO�G\c� �404pov��� 'TYPE OF WORK: DESIGN OF PROPOSED WELL LOCAION AND SEPTIC SYSTEM AdvanTexw. Treatment System p,E Hq5 T{g° E: THE BOARD N TO BE INSTALLED OVER THE SEPTIC OTANK & 4' AX20 ' Mode �a ire G p ADVANTIX MANUAL BEYOND ON ALL SIDES IXCEPT UNDER THE ADD ON FILTER. THIS WILL ALLOW 40x94Pod Orenco Systems "�0f1e4 FOR HEAT T ESCAPE FROM TANK & RISE TO THE FILTER ABOVE R. INLET _ FINAL INLE" SUDE SEC OF B' OVER THIS CONNEC TO PRO SHEER PROTECT! EXTENE BRIDGE EXCAVA ALASKA WATER & WASTEWATER IS 1.L.M. CONSULTANTS INC SCALE nn nenneo anon a "e no nn nunon ne nv oocni Ou nC /O.....] N.T.S. PARED FOR: PHONE NUMBER: PAGE NUMBER: TERESA HARRISON 349-2011 3 OF 4 AL DESCRIPTION: MOUNTAINSIDE VILLAGE SUBDIVISION; LOT 5, BLOCK 1, E OF WORK: DETAIL DRAWING OF FIBERGLASS S.T.E.P. TANK AND ADVANTEX SYSTEM 0 I I 71 r------------------------------------------------------ MTO OMT 16-0 co I--------------------------- --------------------------- ADVANTEX SYSTEM ALASKA WATER & 11 TAN i . FEET WIDE DRAWN BY. J.L.M. SCALE: N.T.S. PARED FOR: PHONE NUMBER: PAGE NUMBER: TERESA HARRISON 349-2011 4 OF 4 kL DESCRIPTION: MOUNTAINSIDE VILLAGE SUBDIVISION; LOT 5, BLOCK 1, 7 OF WORK: DETAIL DRAWING OF DRAINFIELD P,OfAqslorltl� o EIM S N ,pCil % �s -0 cs• Esq n A cn r � e C� -1 o ARAz zHAIED 70 rrl 42 o Al I, I y boa Dr 2 tz V_` a � C r rpJ .�, `V t �<<i -�••- �^�:� �� III z r1 MAY -21-2002 0654 KIEWIT Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 �.yy f` SOILS LOG — PERCOLATION TEST PERFORMED FOR: x.41 LY//LGt.Y9 1� I kY•-04a DATE LEGAL DESCRIPTION:�T ;6 3 k. j Township, Range, Section: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 PE HOVINTA1N SiPO TI U a Lr_A•G � OrgnurLS r -di ? S J � ht S ct,r.t.,pQ �l Y•AV•C/� S of vL S MZo '1.s1 5LUPE 9072229380 P.04i05 r :�\"^ ,gENGINRlER'S'SEA'Cj,.';: WAS GROUND WATER A. D ENCOUNTERED) 1 �I 'f3o"ticrwr rr �aoie s IF YES, AT WHAT L `�� B•CCC rC+G k DEPTH? p •7 E Depth If. Water A���;�, ,,, R Monitoring) � gate: 18 20 Rel a ad �� Date Gross Time Net Time Depth to Water Net Drop A >L P 5 5 z 3 n 1 -- �- �a elk PERCOLATION RATE (minutes/inch) PERC HOLE DIAMETER G =I ; TEST RUN BETWEEN FT AND-!fL FT COMMENTS PERFORMED BY: 1' I� CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE, DATE:) I g 9 aJr 72-008 (Rev. 4/85) MAY -21-2002 06:55 � KIEWIT WW- • e = Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG PERCOLATION TEST PERFORMED FOR: 'ReC.4cat rd w�y�D DATE LEGAL DESCRIPTION:_ - zoT�� JS. 1�lL J _ Township, Range, Section: 1 f-14- V; clay ¢ 2 3- 4- 5- 01 4 56l rot V 6 7 �� Z 10 11 12 13 14 15 16 17 18 19 20 -rv.1-- #1 /Z #1/Z WAS GROUND WATER /`` FNl'flI1NTFCCN I ` 10 9072229380 P.05i05 y! .• ry � i len Spvrkiand CE -2225 ( PERCOLATION RATE--_f¢L�r/ (minutesrintft) PERC HOLE DIAMETER TEST RUN BETWEEN FT AND y� FT COMMENTS C PERFORMED BY: CERTIFY TH THIS EST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: TOTAL P.05 S IF YES, AT WHAT L 0 DEPTH? P Depth to Water q E monitoring? 21L. ; Reading Date Gross Time Not Time Depthto Not Drop ' 2 So < 3;30 5 Az L ( PERCOLATION RATE--_f¢L�r/ (minutesrintft) PERC HOLE DIAMETER TEST RUN BETWEEN FT AND y� FT COMMENTS C PERFORMED BY: CERTIFY TH THIS EST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: TOTAL P.05 Sent By: Alaska Water and Wastewater Can; 907 338 3246; Jun -5.02 14:44; Page 2/3 Municipality of Anchorage Development Services Department • v Building Surety Division On -Site Water and Wastewater Program 4700 Brugaw Street P.U. Box 196650 Anchurage, AK 9951940650 www.ci.unchorAgc.uk.us (907)343-7904 PROPERTY OWNER AGREEMENT FOR THE MAINTENANCE OF AN ON-SITE WASTEWATER DISPOSAL SYSTEM This agreement, dated to -/o ^C I , is made between the Municipality of Anchorage Development Services Department (DSD) and the property owner(s) of: LoT G BLoe.- !yYleeu.av-.rii.�S� �E Vt �e.14 tr� This agreement is made for the purpose of maintaining an on-site wastewater disposal system on the subject property. The property owners agree to the following: Submit to the Municipality of Anchorage, on an annual basis, an inspection and operation statement from a registered professional engineer. This inspection and operation statement shall verify that the engineer has inspected all effluent and air pumps, timers, and alarms, and that any deficiencies have been repaired and that the system is functioning as designed. y ' ( igna re) (Signature) tzlZtise7t4 (Printed Name) (Printed Name) \�O`�GP1►LIIIEIIEU///�, - n and subscribed before me this day of i .1.Z plb'W , Notary Public I.tW"Wy 2Z =06 MUNICIPALITY OF ANCHORA4 Department of Health & Human Services On -Site Sewer/Well Permit Application _f) : — t 1 Q NOTE: Application must be filled out completely. SINGLE FAMILY DWELLING .Parcel Identification Number Property Owner Name 0Z t '� �^� t 6-rc,D Day Phone - P -l0 %". Mailing Address L-{ 04 b LIQ i Legal Description �Zip Code "A Vt section TownahiD _.nge Lot Size 91&S Acres/sc. n. Inspectionswill be Conducted by: 5 in Number of Bedrooms: Y/Approved Engineering Firm a 6� ^' > UQrcn� r\d Municipality (permit fee included) � o LAJ Does your house contain any of the following: Hot Tub, Swimming Pool, Therapy Pool, Jacuzzi, ` Lv 6 or Water Softener Unit? If yes. which one? This application is for: Sewer Only - Sewer and Well Sewer Upgrade _ Well Only I certify that the above information is correct. I further certify that this application is being made for a Single amity Dwelling and in accordance with applicable Municipal codes. Prop y Owner/Well Driller Fees: �liQ r Receipt # G 131 Permit # � 72.012 Ina. 10,86) � g no '0D 3�� �V ;*3 I/l e6ed •`L£:6 ?0-9l-unr :9t+Z£ g££ L06 tuoD J9ZvJA01seM pus u818M sNssTV :/g t.uag ePLAN1) ,,,,, •Ec';� Municipality of Anchorage c,,,, On-Site Water and Wastewater Program I (907)343-7904 �5', ;: . .A Certificate of On-Site Systems Approval C� Parcel I.D. 020-172-17-000 Expiration Date: `S �— ` 1. GENERAL INFORMATION Complete legal description Mountainside Village B1 L5 Location(site address) 17501 Snow Crest Ln Current Property owner(s) Mcquillen, Wesley K& Katharine Day phone Mailing address 1120 Huffman Rd #24-494 Real Estate Agent Day phone 2. TYPE OF DWELLING: O Single Family(w/wo ADU) E Duplex ❑ Multiple Dwellings(Single Family and//or Duplex) 3. NUMBER OF BEDROOMS: 3 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well Q Individual 0 Individual Water Storage ❑ Holding Tank 0 Community Class Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ WaiverNariance request for: Distance: Received by: Date: COSA to be released to the engineer,unless otherwise requested by the engineer. COSA Fee $ 95_W Waiver Fee $ Date of Payment a Mg/19 Date of Payment Receipt Number d 4A� Receipt Number COSA# (34C.14116;3 Waiver# 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation,based on procedures outlined in the Certificate of On-Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is(are)safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection,the on-site water supply and/or wastewater disposal system is(are)in compliance with all applicable Municipal and State codes,ordinances,and regulations in effect at the time of installation. In conducting an adequacy test,I attempt to provide a thorough,conscientious engineering analysis of the system in accordance with MoA COSA guidelines and regulations.The reported results describe the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the local soil condition,ground water levels that may fluctuate during the year,and the water usage of the family being served by the system.These conditions are outside the control of the evaluator of this system. All systems eventually fail and satisfactory test results do not guarantee future performance of the system,nor do they guarantee that there are no hidden defects or encroachments.Therefore we cannot provide any warranty for future performance, nor can we estimate remaining life of the system.The content of this report is for the sole benefit of the owner listed above. Name of Firm Pannone Engineering Services LLC Phone (907)745-8200 Address P.O. Box 1807 Palmer, AK 99645 Engineer's Printed Name Steven R Pannone, P.E. Date 7'7.0Z-0( faro OF� f_qt r*49 Tri i� *fir/ 6. DSD SIGNATURE � � 7K- System#1 Approved for bedrooms i Seven IR. Pannone / System #2 Approved for bedrooms �� c9•, CE-8149 �� Disapproved I\ ESSOO'4 Conditional approval for bedrooms,with the following stipulations: ON-SITEc�, WATER AND WASTFW R 9 PROGRAMe Original Certificate Date: Z^ G�� The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On-Site Systems Approval(COSA)based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA blue sheet r ,. If more than 1 septic system is on the lot: COSA Checklist# 1 of 1 Structure served by this system 1 Certificate of On-Site Systems Approval Checklist Legal Description: Mountainside Village B1 L5 Parcel ID:020-172-17-000 A. WELL DATA Well type Private If A, B,or C provide PWSID# Well Log(Y/N) Y Date completed 05/30/03 Sanitary seal (YIN) Y Wires properly protected(Y/N) Y Total depth 125 ft. Cased to 31 ft. Casing height(above ground) 18 in. FROM WELL LOG AT INSPECTION Date of test 05/30/03 1/25/19 Static water level 33 ft. 32.1 ft Well production 15 g.p.m. 4.5 g.p.m. WATER SAMPLE RESULTS: Coliform — 0 colonies/100 mL Nitrate • mg/L Arsenic K > ug/L Date of sample: 1/23/19 Collected by: P.E.S. B. SEPTIC/HOLDING TANK DATA Tank Type/Material Adventex Date installed 9/25/18 Tank size 1500 gal. Number of Compartments 2 Cleanouts(Y/N) Y Foundation cleanout(Y/N) Y Depression over tank(Y/N) N High water alarm(Y/N) N/A Date of pumping N/A Pumper New C. ABSORPTION FIELD DATA Date installed 9/26/18 Soil rating (g.p.d./ft2 or ft2/bdrm) 2 g.p.d. System type Adventex Length 60 ft. Width 5 ft. Gravel below pipe 5 ft. Total depth 3 5ft. Eff. absorption area 300 ft2 Monitoring tube Y Depression over field N Date of adequacy test New Results(Pass/Fail) Pass For 3 bedrooms Fluid depth in absorption field before test in. Water added gal. New depth in. Elapsed Time: min. Final fluid depth in. Absorption rate >= g.p.d. Any rejuvenation treatment(past 12 mo.)(Y/N&type) None Known If yes, give date D. LIFT STATION Date installed 9/25/18 Size in gallons 250 Manhole/Access(Y/N) Y "Pump on"level at timed in. "Pump off level at in. High water alarm level at 45 in. Datum Cycles tested Meets alarm&circuit requirements? E. SEPARATION DISTANCES WELL ON LOT TO: Septic tank/lift station on lot 100'+ On adjacent lots 100'+ Absorption field on lot 100'+ On adjacent lots 100'+ Public sewer main 75'+ Public sewer manhole/cleanout 100'+ Sewer/septic service line 25'+ Holding tank 100'+ Animal containment areas 50'+ Manure/animal excrete storage areas 100'+ SEPTIC/HOLDING TANK ON LOT TO: 10' Building foundation + Property line 10 + Absorption field + Water main 25'+ Water service line 25+ Surface water 100 + Wells on adjacent lots 100'+ ABSORPTION FIELD ON LOT TO: 10'Property line + Building foundation 10 + Water main 10 + 5 + 100 + , 10'+ Water Service line Surface water Driveway,parking/vehicle storage Curtain drain 50'+ Wells on adjacent lots 100'+ F. COMMENTS • G. ENGINEER'S CERTIFICATION of q4- Ali I certify that 1 have determined through field inspections and ..deCb'�,..,-;,.."39F `� ���� review of Municipal records that the above systems are in 0*;49 TH '''A`k •.*�, conformance with MOA COSA guidelines in effect on this date. 0 *IP �;�► \ Engineer's Printed Name Steven R Pannone, P.E. i :Si 12.•Pannone• Date / ? Zo t CE-8149 f 't # COSA canary sheet_2-6-15.doc MUNICIPALITY OF ANCHORAGE DEVELOPMENT SERVICES DEPARTMENT • Jr 907-343-7904 Tar On-Site Water and Wastewater Section '� Fax: 343-7997 www.muni.org/onsite Nitrate Advisory Certificate of On-Site Systems Approval # OSC191028 Subdivision: Mountainside Village, Block: 1, Lot: 5 A water sample revealed a nitrate concentration of 6.7 milligrams per liter (mg/L). The Environmental Protection Agency (EPA) has established a maximum contaminant level (MCL) of 10.0 mg/L for public drinking water systems. While private wells are not subject to this regulation, EPA standards are based on existing health information and can therefore be used to gauge the relative quality of water from private wells. Please see the attached "Nitrate Fact Sheet" for important information regarding nitrate. This advisory must be attached to all copies of the subject Certificate of On-Site Systems Approval. Mailing Address: P.O. Box 196650 * Anchorage,Alaska 99519-6650 *www.muni.org Nitrate Fact Sheet From Northern Testing Laboratories, Inc. Nitrate is a negatively charged compound of nitrogen and oxygen, which is very soluble in water. Nitrate is not readily filtered or otherwise removed in the soil and can pass rapidly into ground water wells. SOURCE: Nitrate is a major component of fertilizer and wastewater. Often the nitrate is in the form of ammonia or protein first, which through contact with oxygen and certain bacteria, converts to the oxidized form known as nitrate. Sources of nitrate from wastewater include urea, ammonia cleaners, food solids,and bacterial cells. It may also result from the breakdown of organic matter buried in the soil. TOXICITY: Nitrate is generally not toxic to adults or children over the age of two or three years, but is associated with a potentially fatal infant disease called methemoglobinemia. In the digestive system of young children, nitrate converts to nitrite, which can pass through the intestinal wall into the blood stream. There it combines with the hemoglobin and interferes with the ability of the blood to carry oxygen. For this reason, methemoglobinemia is referred to as "blue baby" disease. The EPA limits the concentration of nitrate in public drinking water supplies to 10 mg/L. The standard has been lowered from a previous level of 45 mg/L set by the US Public Health Service and the World Health Organization. TREATMENT: due to its solubility in water and negative ionic charge, filtration and other common home water treatment systems such as softening or iron filtration does not readily remove nitrate. The best method for limiting nitrate in well water is source control. This can include avoiding overdosing of fertilizer near the well and maintaining good separation distances between septic tank leach fields and the well. A special anion exchange filter that contains a media with a strong affinity for negatively charged ions in water, or by a reverse osmosis treatment system or distillation can remove nitrate. TESTING: Nitrate analysis is usually done by one of the several "wet chemical" methods using a spectrophotometer to read the final color endpoint. Specific ion electrodes also can be used to detect the activity of nitrate in water. This laboratory uses several different wet chemical methods approved under the public water supply laboratory certification program. They also have test kits available, which the laboratory uses to perform an inexpensive "screening test", and with which the homeowner can monitor the change in nitrate levels from their well. They recommend comparing the test kit results against a certified analysis from the lab occasionally to verify the accuracy of the kit. We recommend using a specially prepared bottle that has been rinsed in hydrochloric acid for collecting samples. Mailing Address: P.O.Box 196650 *Anchorage,Alaska 99519-6650 *www.muni.org ' 25 0 50 CENTERLINE OF FOOT TRAIL lies.otaiminum' \ ROUGHLY 4' WIDE GRAPHIC SCALE 1 1" = 50' \ I 4• \ ` \ \ \ TRACT A CREEK TOP OF BANK (TYP) -1 \ \ \ __:____T__ 50' CREEK MAINTENANCE - \ N\ \ \ \ S7 EASEMENT (R) --__\_____. I s 00' \ -___ / `26.26-. / / .�N \ \ i ' 2� d \ / 1 tn --- 0 4 t- w us \ \ / i,-, /i -tel_ ' ' /: ------ -----. `\\`-'41,......., / to -r z , N 1 �� '�— i 29.2' / d to \• \LOT 5 50' STREAM / 'BOK \\ 11� 55,883 S.F. (R) \ PROTECTICN� r • • F3 10' DRAINAGE 1 1.283 AC. (C) �. SET3ACK o 3 EASEMENT (R) \� 1 o N o GRAVEL CO CRIVEAVEWAY ..:1.......... \\\ - - ' .D - _� _._ ��\ �1: �- SEE NOTE 4 LOT 44 EDGE OF �. \ 3-STORY 1 R=50' GRAVEL � 1 _ HOUSE ,ii� LOT 7 N ly __ __- - (SEE DETAIL) \ N0 59.5' -.4 _.-.. L 54.7' \ �+, \ \ 37.9 ` 20' UTILITY EASEMENT (R) `4Ce e ' U, ADVANTEX \ \ LOT 3 \ ' SEPTIC SYSTEM ^�`�,1 \ \ N14'00'0O"W 71.31'(R) / K' y� �L� N14'02'38"W 71.31'(M) / f�`i, '5.S \ oso�4ti FIRST FLOOR \ \ \\ 7 `L o DECK t 179' 14.0'X4.9' FIRST \ v' ABANDONED METER ON �\ '� ......4.,,/- FLOOR DECK Z ; ,— UNATTACHED WOOD PEDESTAL 38.1' \ , LOT 6 ` 1 CURVE TABLE p 3-STORY o � �yy ', ,`� o f �N HOUSE ON , [ % CURVE # RADIUS LENGTH 1 DELTA CONCRETE 14.C'� C 25 3 G 25 t 50.00' (R) 36.14' (R) r 41'24'35" (R) i FOUNDATION \.I, 18.0' 22'0' j , H Cl\ J 50.00' (H) 36.17' (C) 41'26'46" (C) �\co 6.0' fl. \o 1 ti1 \ 1 50.00' (R) 114.76' (R) N/A x. -12.11 L ROOF C2 8'X5' PORCH -' OVERHANG 1 50.00' (H) 114.72' (C)1 131'27'54"(C) DETAIL LEGEND ti',' FOUND 1-1/2" ALUMINUM CAP SCALE: 1"=30' 0 FOUND 5/8" REBAR I WELL \OTES: SEPTIC CLEANOUT 1. EASEMENTS OF RECORD, OTHER THAN THOSE SHOWN ON THE e SEPTIC MANHOLE RECORDED PLAT, ARE NOT SHOWN HEREON. SEPTIC PIPE 2. THE 50' STREAM PROTECTION SETBACK LINE IS BASED ON AN ACTUAL (R) RECORD PER PLAT 79-177 SURVEY OF THE EXISTING SOUTH TOP OF BANK. 3. SITE UNDER MINOR CONSTRUCTION AT THE TIME OF SURVEY, ALTHOUGH (M) MEASURED MOST OF THE ACTIVITY WAS INSIDE OF THE CONSTRUCTED HOUSE. (C) COMPUTED 4. GAS METER IS NOT CURRENTLY AT THIS LOCATION, ALTHOUGH THERE (H) HELD IS PIPING AT THIS SPOT THAT SUGGEST METER WILL BE INSTALLED HERE. GAS METER IS CURRENTLY ON AN UNATTACHED WOOD PEDESTAL L GAS METER NEAR THE NORTH WEST CORNER OF THE BUILDING L1 ELECTRIC Iv(E-IER THIS DRAWING REPRESENTS A MORTGAGE LOCATION SURVEY PREPARED IN ACCORDANCE WITH THE ASPLS MORTGAGE LOCATION SURVEY STANDARDS. THIS MORTGAGE LOCATION (AS-BUILT) SURVEY IS A REPRESENTATION OF THE CONDITIONS THAT WERE FOUND AT THE TIME THE LOCATION SURVEY WAS PERFORMED AND DOES NOT CONSTITUTE A BOUNDARY SURVEY AND IS SUBJECT TO ANY INACCURACIES THAT A SUBSEQUENT BOUNDARY SURVEY MAY DISCLOSE. INFORMATION CONTAINED HEREON SHALL NOT BE USED TO ESTABLISH ANY FENCE, I HEREBY CERTIFY THAT AN STRUCTURE, OR OTHER IMPROVEMENTS. ACCURATE SURVEY OF THE UNLESS GROSS NEGLIGENCE IS DISCOVERED, THE LIABILITY EXTENT OF THE PREPARER FOLLOWING DESCRIBED PROPERTY; SHALL BE LIMITED TO THE AMOUNT OF FEES COLLECTED FOR SERVICES IN PREPARATION OF THIS PRODUCT. MOUNTAINSIDE VILLAGE SUBDIVISION BLOCK 1 LOT 5 "- OF �\ engineers L5 E1 MOUNTAINSIDE VILLAGE WAS MADE ON DECEMBER 17, 2018 i� �� "'".":40),i_111Al surveyorsA AS-BUILT SURVEY AND THAT THE IMPROVEMENTS SITUATED ' P ' THEREON ARE WITHIN THE PROPERTY / *..' 49TH • 9 1, PREPARED FOR: LINES AND DO NOT OVERLAP OR / .'.' ' f ENCROACH ON THE PROPERTY LYING � WESLEY MCQUILLIN ADJACENT TO THE PREMISES IN ` _.=�:,.„ '� QUESTION AND THAT THERE ARE NO f y� - • 4 DRAWN BY: WEM FIELD BOOK: ROADWAYS, TRANSMISSION LINES OR 1 c FRANK R. BELL o / CHECKED BY: VS FRB-A-2018-03 j N0. 3252-S • 4., OTHER VISIBLE EASEMENTS ON SAID ( `ifs '• Dec.19,2018 ,•' Q�/ • B01 ANC . FIREWEED IRE E D LN. #201 JOB NO.: MOA GRID: PROPERTY EXCEPT AS INDICATED HEREON. �1 <4s°pyOfESSION" �P\O�J� 2017-2411.01 SW 3439 d (907)274-5257 SCALE: AS SHOWN DATE: 12-19-18 F_ER, _ ��_ /nor .n non�r�c� �\`\.��4--