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HomeMy WebLinkAboutDEITZ LT 7B REMOnsite Fila: t 7 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: OSP241363 Work Type: Septic Renewal Tax Code Number: 01818121000 Site Legal Address: DEITZ LT 7B REM G:3035 Site Mailing Address: 3500 DE ARMOUN RD, Anchorage Owner: SLATTERY JAIME Design Engineer: FORGE ENGINEERING This permit is for the construction of: Effective Date: Expiration Date: Lot Size in Sq Ft: Total Bedrooms: 10/29/2024 10/29/2025 44823 Q Disposal Field © Septic Tank ❑ Holding Tank ❑ Privy ❑ 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 4 Received By: S _S Date: Issued By: Date: Z ON -SITE SEWER/WELL PERMIT APPLICATION Parcel I. D. 0 18-181-21 Property owner(s) Jaime Slattery Mailing address 3500 DeArmoun Road, Anchorage, AK 99516 Site address 3500 DeArmoun Road Day phone 907-441-6450 Legal description (Sub'd., Block & Lot) Deitz Subdivision Lot 713 REM Legal description (Township, Range & Section) Lot Size - 44,823 —Sq. Ft. Number of Bedrooms APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (ED all that apply) Absorption Field [_X� Initial El Single Family (SF) RX (w/wo ADU) Septic Tank 1Z Upgrade R Duplex R (D) Holding Tank F] Renewal RX Multiple Dwellings R Privy R (SF and/or D) Private Well R Water Storage R THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit/Rush Fees: Waiver Fees: 3 Date of Payment: D ate of Payment: Receipt Number: Permit No. Receipt Number: Waiver No. Permit App_'-'-:- October 15, 2024 MOA Development Services, On-Site Water & Wastewater Program 4700 Elmore Rd Anchorage, AK 99507 Subject: Deitz Lot 7B REM – 3500 DeArmoun Rd Septic System Permit RENEWAL Dear On-Site Services Engineer: The permit for the construction of a new septic system at 3500 DeArmoun Road has expired. A site visit was conducted and there have been no substantial changes to this lot or to the surrounding area since the permit was originally issued. The current design and permit conditions meet all code requirements. We therefore request the renewal of the permit for the septic system on this lot. Sincerely, Benjamin Schiller, PE Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP241363, Curtis Townsend, 11/04/24 MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program PO Box 196650 4700 Elmore Road Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 http://www.muni.org/onsite On -Site Wastewater Disposal System Permit Permit Number: OSP231252 Work Type: Septic Upgrade Tax Code Number: 01818121000 Site Legal Address: DEITZ LT 7B REM G:3035 Site Mailing Address: 3500 DE ARMOUN RD, Anchorage Owner: SLATTERY JAIME Design Engineer: FORGE ENGINEERING This permit is for the construction of: Q Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy Effective Date Expiration Date: 1„ent. S, O' Dela rtmerit 8/29/2023 8/28/2024 Lot Size in Sq Ft: 44823 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 Received By: S 7D Fo (-� Issued By: Date: � Date: c 0 2 Z-3 F�I�UH0CPfik COTe 0 F If%H CCHOR A GE tiNM4 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. 018-181-21 Property owner(s) Jaime Slattery Mailing address 3500 DeArmoun Road, Anchorage, AK 99516 Site address 3500 DeArmoun Road Day phone 907-441-6450 Legal description (Sub'd., Block & Lot) Deitz Subdivision Lot 713 REM Legal description (Township, Range & Section) a� Lot Size 44,823 Sq. Ft. Number of Bedrooms / APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (N all that apply) Absorption Field ❑X Initial ❑X Single Family (SF) ❑X ADU) Septic Tank [AUpgrade F](w/wo (D) El Holding Tank ❑ RenewalDuplex ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR: Distance: certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. u (Signature of property owner or authorized agent) Permit/Rush Fees: Sc( S Date of Payment: Receipt Number: -C—,,67q 0.0 Permit No. d �2P2 ? (2 5 - Permit App_:;- : ..:c Waiver Fees: Date of Payment: Receipt Number: Waiver No. August 28, 2023 MOA Development Services, On-Site Water & Wastewater Program 4700 Elmore Rd Anchorage, AK 99507 Subject: Deitz Subdivision Lot 7B REM - 3500 DeArmoun Road Septic system design Dear On-Site Services Engineer: The owner of the above lot intends to convert part of his detached garage/shop into an ADU, so we are submitting this permit application for the construction of a new septic system. The attached site plan identifies the location of the home, well and existing septic as well as the new septic location. No conflicts exist between this proposed system and any other well or septic system, whether on this lot or adjacent lots. The ground surface on the lot slopes very mildly and is essentially flat in the area of the new septic system. There are no slopes greater than 25% within 50 feet downslope of either the primary or alternate site. Contours are shown on the site plan showing the grade and direction of flow. Stormwater drainage will not impact this septic system. The new trench will be constructed parallel to the slope as much as possible. Although the proposed ADU is only 1-bedroom, the necessity of using advanced treatment provides a system with up to a 4-bedroom capacity. We have designed a trench with the same capacity so as to not limit future possibilities. Wells on this and adjacent lots are shown. The new system will be a minimum of 50’ from all wells and surface water, and more than 5’ away from the septic tank. Please refer to the attached test hole log, plan and profile pages for the septic design. If this design is followed, there will be no adverse impacts to adjacent properties. Sincerely, Benjamin Schiller, PE Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP231252, Curtis Townsend, 08/29/23 // // // // // // // // / / // / / / / // // // // // // / / / / / / / / / / / / / / / / / / / / / / / / Benjamin Schiller CE 12592REGISTEREDPROFESSION A L E N GINEER 1"=50' DRIVEWAY EASEMENT (25'x20' 83-43) 1250-GAL ADVANTEX FAP 2.0 TANK w/ PUMP VAULT CO - CLEANOUT 2CO - DOUBLE CLEANOUT FCO - FOUNDATION CLEANOUT FS - FLOW SPLITTER VALVE MH - MANHOLE MT - MONITORING TUBE SV - SEPTIC VENT TH - TEST HOLE LEGEND DEITZ SUBDIVISION, LOT 7B FEET 0 50 100 FCO DE ARMOUN ROAD 3-BDRM HOME 280 SEPTIC PLAN 7/28/23 R.O.W. ACQUISITION BY PLAT NO. 2011-75 33 ' R . O . W . E A S E M E N T ( 2 0 1 1 - 7 5 ) 10' T&E EASEMENT 275 285 GARAGE w/ ADU 20' LONG x 5' WIDE, 0.5' EFFECTIVE DEPTH ABSORPTION TRENCH ENSURE 50' SEPARATION FROM NEARBY WELLS MTMT TH#1 MAINTAIN 10' SEPARATION BETWEEN WATER LINE AND ANY PART OF SEPTIC SYSTEM EXISTING WELL EXISTING WELL ALTERNATE SITE > 6' AWAY Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP231252, Curtis Townsend, 08/29/23 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 12592REGISTEREDPROFESSION A L E N GINEER 7/28/23 DEITZ SUBDIVISION, LOT 7B 5' 6" DESIGN FACTORS:SYSTEM REQUIREMENTS: 150 GPD PEAK FLOW (1 BDRM) DESIGN FOR 600 GPD (SYSTEM CAPACITY) PERK RATE: 2.2 MIN/IN APPLICATION RATE: 6 GPD/SF 5' WIDE TRENCH SYSTEM 1250-GAL ADVANTEX FAP 2.0 SEPTIC SYSTEM BOTTOM OF TRENCH: 1' BELOW GRADE FLOW LINE ELEVATION: 0.5' BELOW GRADE 600 GPD / 6 GPD/SF / 5' WIDE * 1.0 RED FACTOR [0.5 DEEP] = 20 LF TRENCH GEOTEXTILE FABRIC 1.25" PVC w/ 20 - 3 8" HOLES SPACE @ 1.25' OC (HOLES DOWN) 6" DRAINFIELD ROCK ADD ADDITIONAL 6" FILL TO ENSURE MIN 2' COVER AFTER SETTLEMENT 2'INSULATION Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP231252, Curtis Townsend, 08/29/23 LEGAL DESCRIPTION: PERFORMED FOR: DATE: PARCEL ID#: SOILS LOG AND PERCOLATION TEST 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 DEPTH (feet) TEST HOLE 1 DATE READING START TIME NET TIME (minutes) DEPTH to WATER NET DROP PERCOLATION RATE: (MIN/INCH) (inches)(inches) DATE OF MONITORING WAS WATER ENCOUNTERED? DEPTH TO WATER AFTER MONITORING IF YES @ WHAT DEPTH? 2.2 7/10 1 2 3 4 5 6 GM (SILTY SANDY GRAVEL) Professional Engineers Stamp: NO Deitz Lot 7B REM 7/10/23 018-181-21 Dan Slattery 1:42 3 0 16 1:53 2:03 2:14 2:24 2:34 1' OB 30 Benjamin Schiller CE 12592REGISTEREDPROFESSION A L E N GINEER PERC TEST LOCATION TECHNICIAN: M. Jakubisin 9 0 16 - 5.4' 7/17/23 COMMENTS: SITE PLAN 6 016 USCS SOIL CLASSIFICATION WAS VISUALLY DETERMINED 7/29/23 TEST HOLE DONE ~80' FROM WELL 3 0 1610 8 15 16 5 15 16 3 0 1610 7 8 16 4 8 16 3 0 1610 7 9 16 4 9 16 3 0 1610 7 10 16 4 1016 3 0 1610 7 9 16 4 9 16 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP231252, Curtis Townsend, 08/29/23 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 )S Day of of 20_gZ, by and berveen herein the "OVL'\ER," 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: Advanced Wastewater Treatment Sy=stems. Municipality Grants permission to the Owner to utilize and operate an Advanced Wastewater Treatment System (AWWTS). described as Advantex System located at (legal description) Deitz Sub, Lot 7B REM 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 agreenlelu 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: efiluent in accordance with the equipment's approval for operation in the Municipality. a_(� It shall be the responsibility of the Owner during the term of this Agreeniei t to pay for all repair(s), maintenance.. adjustment(s), replacement costs, and inspection costs. This includes an annual maintenance fee (typically $400 to $600). Owner agrees that only maintenance and repair personnel approved by the Municipality or the manufacturer's representative will inspect and make any necessary maintenance, repairs or permitted alterations to the system. Owner acknowledges that regular maintenance of an ANVVi'TS reduces the potential failure of the system, which could include sewage backup and costly repairs or drainfield replacement. (rev. 0/18/2018) Page 1 of 3 Owner acknowledges that the Municipality may request records of maintenance and repairs from the manufacturer's representative or maintenance: provider. '' Owner aclmowledges that the fine for failing to maintain and repair an AWWTS may be assessed in accordance with AMC 14.60.0.30. �A 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 AWAVTS 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. L Owner agrees to maintain remote monitoring of the AAWWTS as required by the AWWTS approval. 3. Term. The tem 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. Nonivafver. 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 O ER: By:UZI % (signature) Date: arc\p 1 (print name) STATE OF ALASKA ) ) ss. THIRD JUDICIAL DISTRICT ) The foregoing instrilment w %no le gqd before a this 20by 1e" r � r! ' Y PUBLIC FO AL SKA My Commission expires: 9_17 ,2o.V MUNICIPALITY: By: / (signature) n -'q C 1 0 w-' S/ 7_ � n (print name) - 01 • tom*;- 1 '"1 Date: Y -2 2o �_ 3 Title: C Iy(,- (rev. 05/18121018) Page 3 of 3 Municipality of Anchorage Development Services Department Building Safety Division On-Site Water and Wastewater Program, 4700 S. Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 Page of www.ci.anchorage.ak.us (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number: SW030358 PID Number: 018-181-21 Name. Jim Pisk Wastewater System: ❑ New ® Upgrade Address: 3500 Dearmoun Rd. Anchorage, AK. 99516 ABSORPTION FIELD Phone: Number of Bedrooms: 345-6882 3 Deep Trench ❑ Shallow Trench ® Bed ❑ Mound ❑ Other: LEGAL DESCRIPTION Soil Rating: Total Depth from original grade: 0.7 GPD/Ft' 2.0+/- Ft. Block: Lot: Subdivision: Depth to pipe bottom from original grade: Gravel depth beneath pipe: 713 Deitz Subd. 1.5 Ft. 0.5 Ft. Township: Range: Section: Fill added above original grade: Gravel Length: Ft. 20' & 35' Ft. Well: ❑ New ❑ Upgrade Gravel width: 15' & 10' Number of lines: 5 Distance between lines: Ft. 5 Ft. Classification (Private, A, B. C): Total Depth: Cased to: Total absorption area: Pipe Material: Private Ft. Ft. 650 Fe D3034 & F810 Driller: Date Drilled: Static Water Level: Installer: Date Installed: Ft. Owner Install 5/10/2004 Yield: Pump Set at: Casing Height Above Ground: TANK GPMJ FL Ft. SEPARATION DISTANCES ® Septic ❑ Holding ® S.T.E.P. ❑ Other: To Septic Absorption Lift Holding Public/Private Manufacturer:Capacity: From Tank Field Station Tank Sewer Line Anchorage Tank 1 250 Gal. Well 100'+ 100'+ NA NA 25'+ Material: Steel Number of Compartments: 2 p Surface Water 1001+ 100'+ NA NA LIFT STATION Lot Line 5'+ 10'+ NA NA V Size: 1250 Manufacturer: Orenco Gal. Foundation 5'+ 10'+ NA NA Pump on" level at: 44ff in. 'Pump ofr level at: 42" in. High water alarm at: 48" in. Curtain Drain NA *50'+ NA NA Pump Make & Model Electrical Inspections performed by: Franklin 24 50401 17-1 /2h Remarks: *none known BENCH MARK Location and Description: tank & field insulated Garage slab in front of door Assumed Elevation: 100 Ft. Engineer's Stamp %%1 1F 44 • •• &� t AW •. .. � Inspections performed by: KND Engineering, Inc.Dates: 1 S5/10/2004 � 0? :: ,0„;woa,490440, •s „ „• 2nd 5/12/2004 •° �••• • •�• • ` Development Services Department Approval !� �� ;• ' �) ` ` Reviewed and approved by: Vej)t ii' � (� Date: 1 a 16 h 0 (8 : ��°; 1� �F9� `0�.? � •• �c��® •• a �. Q� ) (Rev. 12/00 ( n(� _ 0p UUJUC nriQ 2l� ®®OFESS ��� AS -BUILT SYSTEM DETAILS/SITE PLAN Permit SW030358 DEITZ SUBD. LOT 7B PID# 018-181-21 ©► ❑e A -C= 47.0' B -C= 63.4' A -D= 52.8' B -D= 69.5' A-E= 61.5' B-E= 79.3' A -F= 46.5' B -F= 68.2' A -G= 76.8' B -G= 97.5' A -H= 58.3' B-H= 82.5' oaSTV4 7 IDNM HOUSE 11 aIX PREPARED FOR: JIM PISK 3500 DEARMOUN RD, ANCHORAGE, AK. 99516 (907) 345-6882 FlEU) BOOKS DauvUTM. eawAnr. DRAM: VBG STAKM- CEOcm: KMo A r.. DAM 7/24 D"rl nc cnu 3035 AGO RE" 03023.DWG '108 "" 03023 X. SCALE, I' = 50' .r? gg SCALE: NTS 93.9 vA,a t.ac Mll LW ENGINEERING 20441 PTARMIGAN BLVD. EAGLE RIVER. AK 99577-8736 Municipality of Anchorage Development Services Department • Building Safety Division On -Site Water and Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907) 343-7904 ON-SITE SEWERIWELL SUBMITTAL COMMENT SHEET To: KND Engineering Legal description: Deitz Subdivision Lot 78 The attached paperwork has been reviewed and is being returned for the following reasons: ❑ Original signature or stamp missing on _ ❑ Calculation error in design. _ ❑ Additional soils information needed. _ ❑ Water monitoring results inadequate. _ ❑ Discrepancy in information submitted. _ ❑ Topographic information missing or inadequate. ® Incomplete; missing electrical inspection report ® Incomplete; missing letters of non -objection for placement of wastewater disposal system In the easement ❑ Additional adequacy test information needed. ❑ Water sample unacceptable. _ ❑ Measured/proposed distances/dimensions missing. _ ❑ Locations of all soils, percolation and water monitoring tests not shown. ❑ Proposed system too deep for soils information submitted. _ ❑ Well log required. _ ❑ Omission In narrative. ❑ Insufficient fill over tank or field._ ® Other. On-site wastewater disposal system must be installed by an ai Name of reviewer. Julie Makela. P. E. Date: 1/14/2005 Please supply the necessary information and re -submit your request. LEAVE THIS FORM ATTACHED TO THE PAPERWORK MEGGER TEST REPORT Technical Services Company Polar Services PROJECT NUMBER FL V— �kQ� DATE (MIDNYYY) 1 L PROJECT 'S15- " LC --1. `i,-4j(aXQC- STATION 0 MCMUROO 0 PALMER 0 SOUTH POLE FEEDER PANEL IDENTIFICATION CIRCUIT VOLTS/ NUMBERIFEEDER PHASE/ Nur.73ER CYCLES PHASE "A!' TO PHASE "W, PHASE"A!' To PHASE "C" PHAsE"B" TO PHASE "C" PHASE -A" TO NEUTRAL PHASE"B" TO NEUTRAL PHAsE"C" TO NEUTRAL PHAsE"A!' To GROUND CONDUCTOR PHASE "B" To GROUND CONDUCTOR PHASE"C" To GROUND CONDUCTOR '7 t RPSC FIELD ENGINEER PROJECT ENGINEERfDESIGNEE: DATE RPSC ELECTRICAL FOREMAN: —DATE NSF REPITITLE 11 INSPECTOR: EN -NIPS -725c FEMC/RPSC Paget I of I Revision 1 11/16/106 t"Sc>-7 DATE A L 2016 - 029721 - 0 A S Recording District 301 Anchorage K A 07/22/2016 03:19 PM Page 1 of 4 1203-33A Grid 3035 EN16015 018-181-21 This permit is between Chugach Electric Association, Inc., an Alaska non-profit electric cooperative, (herein "Chugach"), whose address is PO Box 196300, Anchorage, Alaska 99519 and James A. and Wendy S. Pisk (herein "Permittee"), whose address is 3500 Dearmoun Road, Anchorage, AK 99516. I Easement. Chugach is the grantee or user of an casement for the construction and maintenance of electrical facilities, as follows: Bureau of Land Management Right -of -Way granted to Chugach, recorded on the 11`h day of August 1955, per Volume 121, Page 278, on file in the office of the District Recorder, Anchorage Recording District, Seward Meridian, Alaska, and Dedicated by Plat 83-43, recorded on the 18`h day of February 1983, on file in the office of the District Recorder, Anchorage Recording District, Seward Meridian, Alaska, (herein "Easement") which pertains to the following described real property: A Twenty Foot (20') Easement centered 20.20 Feet east of the northwest comer of Lot 7B, Deitz Subdivision, according to Plat No. 83-43, recorded on the 18`h day of February 1983, on file in the Office of the District Recorder, Anchorage Recording District, Seward Meridian, Alaska, Permittee acknowledges the validity of the Easement. Permittee warrants and represents that Permittee is the owner of the fee simple interest in the land subject to the Easement and the following described real property to which the Easement is adjacent: Lot 7B, Deitz Subdivision, according to Plat No. 83-43, recorded on the 18'h day of February 1983, on file in the Office of the District Recorder, Anchorage Recording District, Seward Meridian, Alaska, (herein "Parcel") Encroachment Permit - Page 1 of 4 2. Encroachment. Permittee has constructed or purchased the following improvements on or within the real property subject to said Easement: An existing leach field that encroaches a width of approximately Ten Feet (10') for a length of approximately Twenty -Five Feet (25') and an existing rock retaining wall that follows the western edge of the septic boundary, both improvements encroaching into the east side of said Easement, (herein "lncroachment"). 3. Permit. Chugach hereby authorizes Permittee to continue the existence of the Encroachment in its existing location subject to the covenants set forth in this permit. 4. Indemnification. Permittee shall indemnify and hold Chugach harmless from any claims for personal injury, property damage or other loss arising in any way from the continuation of the Encroachment. 5. No Expansion or Increase. Permittee shall not in any way expand or increase the extent to which the Encroachment occupies any of the real property encumbered by the Easement without the prior written consent of Chugach. Chugach has no obligation to provide such consent. b. No Interest in Real Estate Acquired. Permittee hereby acknowledges that the Encroachment and any additions thereto, even if in violation of this permit, has not and shall not in the future give rise to any interest or estate in the real property subject to the Easement or any other real property. Without in any way limiting the foregoing, Permittee acknowledges that the Encroachment is not adverse to any interest of Chugach and its continuation is entirely with the permission of Chugach for purposes of the common law doctrine of adverse possession. This permit creates no interest in the real property subject to the easement. 7. Modification of Utility Facilities. If the electric utility facilities located within the Easement are upgraded, added to, replaced or reconstructed, Permittee shall pay that portion of Chugach's total costs for such modification which is reasonably attributable to accommodating or preserving the Encroachment. If such payment is not made within thirty (3 0) days of written demand for same, Chugach may terminate this permit in accordance with paragraph 9, below. 8. Covenants Running with the Land. The obligations of the Permittee arising from this permit shall be covenants running with the land which shall burden the Parcel and the Pennittee's interest in the land subject to the Easement and shall benefit the Easement. 9. Termination. Chugach may terminate this permit after the giving of thirty (30) days written notice of such termination if: a. The Encroachment is enlarged, increased or extended within the real property affected by the Easement, Encroachment Permit - Page 2 of 4 Page 2 of 4 2016 — 029721— 0 b. The Encroachment is damaged by any means to an extent of more than thirty percent (30%) of its replacement cost at the time of destruction. Permittee fails to make the payment described in paragraph 7, above. 10. Term. This permit shall, if not sooner terminated by Chugach, expire forty (40) years from the date hereof. 11. Entire Agreement. This written permit constitutes the entire agreement between the parties with respect to the subject matter hereof and supersedes all other prior or contemporaneous agreements, oral or written, between the par -ties. No modifications, amendments, deletions, additions or alterations of the pen -nit shall be effective unless in writing and signed by all of the parties hereto. By: Shelly Schmitt, §eirlor Manager Distribution Engineering Date: By: GC"�M1fs f 7- p James A. Pisk Date:_ By: �2t'i/C-- Wendy S. Pisk Date:— 7-2-2 -2-Cl/Le, Encroachment Permit -Page 3 of 4 Page 3 of 4 2016 - 029721- 0 STATE OF ALASKA ) ss THIRD JUDICIAL DISTRICT The foregoing instrument was acknowledged before me this 2P- day of 2016, by .�cim,-s ft -ell NOTARY'. JBLIC.; STATE OF ALASKA ) ss THIRD JUDICIAL DISTRICT 7-11 q 1;� !!I Is :=N Notary P06c in and for the State, of Alaska My commission expires: '7 116 The foregoing instrument was acknowledged before me this "�anj day of 5:16% , 2016, by Shelly Schmitt, Senior Manager, Distribution Engineering of Chugach tlectric Association, Inc., an Alaska corporation, on behalf of the corporation. AFTER RECORDING RETURN TO: Chugach Electric Association, Inc. PO Box 196300 Anchorage, Alaska 99519-6300 Attn: Land Services Department Nota Public in and for the State of Alaska My commission expires: Encroachment Permit - Page 4 of 4 Page 4 of 4 2016 — 029721— 0 Mar 11 05 10:25a March 11, 2005 Jim & Wendy Pisk 3500 De Armoun Rd Anchorage, Alaska 99516 Dear Mr. and/or Mrs. Pisk, p.2 Subject to your agreement to indemnify the company as set forth below, GCI Cable Inc. of Alaska has no objection to the septic field encroaching into the T & E easement on the west property line of Lot 7B, Deitz Subdivision. Known as 3500 DeArmoun Road located in Municipality of Anchorage city grid 3035. This letter of non -objection in no way precludes GCI Cable from full use and enjoyment of any rights it may have within any portion of the utility easement and or the right-of- way, including unlimited access for servicing its facilities. Also any additional and extraordinary costs incurred during any future required construction, repair or reconstruction of GCI's facilities to accommodate any or all of the encroachments shall be paid by the property owner. By signing below, you agree to indemnify and hold GO Cable harmless, now and forever, for any damage, costs, expense (including reasonable attorney's fees), liabilities and injury to any person or property occurring as a result of the encroachment. Please indicate your acceptance by signing as address below. Sincerely, e e�ccaColton OSP Project Manager Date / at the 5151 Fairbanks Street - Anchorage, Alaska 99503 ® 907 / 868-5600 CHUGAIC POWERING ALASMA's FUTUPIE July 25, 2016 James and Wendy Pisk 3500 Dearmoun Road Anchorage, AK 99516 Subject: Encroachment Permit Request for Existing Septic System and Retaining Wall Lot 713, Deitz Subdivision EN 16015, Grid 3 03 5, MOA ID #018-181-21-000 Dear Mr. and Mrs. Pisk, Enclosed is the conformed copy of the Encroachment Permit and Easement, on the above referenced property. If you have any questions, please contact me at 907-762-4753 or Josh Resnick@chugachelectric.com. Sincerely, o rhR e si -c- /gk— Right of Way Agent 11 Enclosures Chugach Electric Association, Inc. 5601 Ele.Jron Dr;v-- PO. 96300, "'r--horcoe, Alosko 995 11 P-6300 0 R07) 563-7494 Fox 19071 562-0027 - !80()) z-,'78-7494 3 cn r-, Ln Ch I 0 0 0 W) r7 C v U U 'b 0 -p 0 N ti Q vp� p C7 U O i C m :yam. ' O �/ C o4 C v p O >' s Q v v cva u o o 'C �� cv cue 3 ok C O M •w U `� p, 4> �,y f.. it "'� y cd 'd . 3 O �. LC Ste. ^ 1�', ^Zn � Q ¢ tC c.. .. Qr 4., -G C j .�. ° 3 0 G = ami ' '° o o CL ctv gi CI _� -�-� •L" .� L y •Y C% i1 '.-�-� ^� Q. �• y ° 0 Q� cc 2 �i b u p p v aJ i U Ir n c '� co4r ., es Lr" 60 o O cw�d 'ti CC .. O V C G bA -00 n G ,� ,V, y cd G �� oo6,0p -0v v0lu304 o0-0 ma CA O 0 EA 0 Cd Vi p V vl 'b m y `i' O O y cxo IU 3ai mymow oo cM. 0mo yai n�0 p o 1-4 Uo a• " o 0E > > a o V p (i v i 40. ac� v ' C7 W C7 c`� V �I p \I g C A p Ei c° va �Y U 3 `' 04 �4 A co C o� qr Q rA w CM O Q I cot T W co cc ca � C N � i O R a O 0 M 0-0 z° a Q r 16-4 CD cm Z # O O cm o 0a U Q N E L g =' � a v 3 Wr ca Uw v o � o o c x `a vO) owC d awr ¢J¢u7Y4 Q U a c E� 4 V 1 W o ►� 1 1 � �v 3 cn r-, Ln Ch I 0 0 0 W) r7 C v U U 'b 0 -p 0 N ti Q vp� p C7 U O i C m :yam. ' O �/ C o4 C v p O >' s Q v v cva u o o 'C �� cv cue 3 ok C O M •w U `� p, 4> �,y f.. it "'� y cd 'd . 3 O �. LC Ste. ^ 1�', ^Zn � Q ¢ tC c.. .. Qr 4., -G C j .�. ° 3 0 G = ami ' '° o o CL ctv gi CI _� -�-� •L" .� L y •Y C% i1 '.-�-� ^� Q. �• y ° 0 Q� cc 2 �i b u p p v aJ i U Ir n c '� co4r ., es Lr" 60 o O cw�d 'ti CC .. O V C G bA -00 n G ,� ,V, y cd G �� oo6,0p -0v v0lu304 o0-0 ma CA O 0 EA 0 Cd Vi p V vl 'b m y `i' O O y cxo IU 3ai mymow oo cM. 0mo yai n�0 p o 1-4 Uo a• " o 0E > > a o V p (i v i 40. ac� v ' C7 W C7 c`� V �I p \I g C A p Ei c° va �Y U 3 `' 04 �4 A co C o� qr Q rA w Ats- O Q cot W a� t o" 4. � a � >, F 4° 4 z° a r # O O o 0a U tf) W �i /Qy 3 a ca Uw v en Q U a Vull VV 1 -uv-: "I-V ul),01 III 1LIU111 V1, V*lrll r MA 11U. I UU( r'40 zlqorj r, Ul/Ull Deriartntent ofTratisp- irtittiol, Ic Fact. TEMPORARY CONSTRUCTION PERMIT TIIL (iRANTOR(S), JAMES A. DISK and WEEDY S. PISK, for and in consideration of MUTkJAL IIINIF(TS, convey(s) and warmnt(s) to the STATE Of ALASKA, DEPARTMENT 0V TRANSPORTATION AND PUBUC FACILITIL'S, its agents or contractors, dining the period of construction of Alaska Project No. 539871STP-0510(2), permission to enter upon all thatportion of the following described tract of land: Lot 7 "B", 0 C Ocitz Subdivision, according to Plat 83-43, filed in the Anchorage Recording District., Third fLielicial DiMict, State of Alaska wliich lies witbiri Oic bowidarics of the parcels of land designiatcd as Parcel P-6 and 13-7 of said project, delineated as to said parcel of land on the plat attached hereto and muse a part hereof as page 2 of Us instrument, containing a pproximately 525sm (5,(x51 square feet), more or less, for the purpose of. Other Provisions: The Grantee Shall leave said promises in a clean and presentablu condition when said constniction has been complutacl- Datcd (Ws—_%7 day of 2002. — A.— Gait:s � An �i�- - - Wundy S. Fisk 11w Smic of Alaska, Deparutictic of Transportation and Public Facilities, hereby accepts this perrnit. R21'r(ON: Centrat T(T: P.6110 7 DEPAI;:IUE'N'r OF TRANSPORTATION AND PU13LIC FACILTUES BY: For the rnmissq-oncr-- Post-it" brand fax transmittal memo 7671 not pages 1, To FrCWID — 1-- - "-- Co. Co. De Phone � 6 7 -06`10 FAX U3 JfS PtzojE-c,r:STP-05t0(2)/53097 ptgu t ol'2 MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water 8 Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ONSITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade Permit Number: SW030358 Legal Description: ;DEITZ LT 7B C.; 171oLl- 1Zhoon Date Issued: Sep 04, 2003 Expiration Date: Sep 03, 2004 Parcel ID: 018-181-21 Design Engineer: 0070 KND Engineering Site Address: 003500 DE ARMOUN RD Owner Name: James A. Pisk Lot Size: 44823 SO. FT. Owner Address: 3500 DeArmoun Total Bedrooms: 3 Permit Bedrooms: 3 Anchorage . AK 99516-3539 This permit is for the construction of: ❑/ Disposal Field Q✓ Septic Tank E] Holding Tank E] Privy ❑ Private Well E] 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 B Issued Municipality of Anchorage Development Services Department \ Building Safety Division % On -Site Water and Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 ON-SITE SEWERMELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel LD 018-181-21 Permit Number SW 030 3SB Property owner(s) James A_ Pisk Dayphone 345-6882 Mailing address (1) 3500 DeArmoun Rd__ Anchorage AK 99516 Mailing address (2) Zp Code Legal description (Lot, Block & Sub'd.) Deltz Lot 7B Legal description (Section, Township & Range) Lot Size -",!W1 44 J! qok_� cres q.Ft. Number of Bedrooms 3 THIS APPLICATION IS FOR: Sewer Only ❑ Well Only ❑ Sewer and Well ❑ Water Storage ❑ Sewer Upgrade 19 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. property owner or authorized agent) Permit Fees: Date of Payment: Receipt Number: (Rev. 12/00) Waiver Fees: Date of Payment: Receipt.Number: MID ENGINEERING, INC. 20441 PTARMIGAN BLVD. EAGLE RIVER, AK 99577-8736 11/FAX (907)696-8111 June 27, 2003 Municipality of Anchorage Development Services Department On -Site Water & Wastewater Program P.O. Box 196650 Anchorage, AK 99519-6650 Subject: New Sewer Permit — Deitz Lot 7B Gentlemen: The owner has requested we proceed forward to obtain a septic permit on the subject lot. The septic system is being upgraded due to the DeArmoun Road upgrade. ADOT is in the process of obtaining non -objection letters to utility easement encroachments due to the necessary placement of the proposed septic upgrade. On January 11, 2001, VEI Consultants performed one testhole. The soils log and ATL soil analysis results are attached. On May 16, 2003 we performed a percolation test and monitored groundwater. The general slope of this lot is from north to south at a grade of approximately 0-10%. We have designed our system utilizing the existing testhole that was excavated for the existing 3 -bedroom house. The lot is served by an individual well, located in the central portion of the lot. Due to the circumstances and the area available for this upgrade, we propose to install an irregular-shaped bed and therefore request a waiver to bed length and width requirements. Water was encountered during the excavation at 9', and during monitoring at 75. There are no public or private wells within 200' of our proposed system location except as noted. There is no surface water within 100' of the proposed system and there are no known curtain drains within 50'. We do not expect there to be any adverse effect on adjacent lots by the development of this system. Subject: Dietz S/D, Lot 7B • Sewer System Upgrade June 27,2003 Page 2 of 2 If you have any questions, please contact meat 696-6111 /FAX 696-8111. Respectfully submitted, KHD Engineering, Inc. Wenneth M. Duffus, P. . Attachments: On -Site Well and Sewer Application Wastewater Absorption System Details/Site Plan KND Percolation Test - - - VEI Consultants Soils Log w/ Location Map ATL Soil Analysis Excavators/Owners Specs WELL & WASTEWATER DISPOSAL I DEITZ SUBD. LOT SYSTEM DETAILS/SITE PLA 7B No FvktC WELLS WITHIN Ear or PROPOSED SYSTEM NO PRIVATE WELLS WITHIN EDD• 6 PROPOSED SYSTEM EXCEPT AS NOTE& NO SEPTIC SYSTEMS WITHIN EDI. 6 PROPOSED WELL EXCEPT AS NOTED. DESIGN DETAILS 3 BDRM X 150 GPD = 450 GPD 450 GPD/0.7 GPD PER SO. FT. (3 MIN/IN.)= 642.9 SO. FT TOTAL 20' (L) X 15' (W) (0.5' OF GRAVEL) = 300 SO. FT. 35' (L) X 10' (W) (0.5' OF GRAVEL) = 350 SO. FT. USE BED - total absorbtion area (300*350) sq.ft = 650 SO. FT. Total depth of system Is 2.0' from original grade. Total depth of gravel below distribution pipe Is 0.5' . PRESSURIZED LINE DETAILS 1. RESIDUAL HEAD - 5' 2. HOLE SIZE = 3/16' = 1.00 GAL. PER HOLE 2 30 PSI 3. 30 GALS (PUMP DELIVERY)/1.00 GALS./HOLE = 30 HOLES 4. 150 LF LATERAL/30 HOLES = 5' SPACING PER HOLE S. ALL HOLES SHALL HAVE CAPS INSTALLED PER MANUFACTURES SPECS. NOTES, 1. USE 1250 GAL S.T.E.P. TANK, INSULATE IF <4' OF COVER. 2. INSULATE TRENCHES WITH 2' HD BURIAL FOAM. 3. CONTRACTOR WILL ENSURE MINIMUM 27 SLOPE INTO SEPTIC TANK. 4. ADDITIONAL FILL WILL BE ADDED OVER SYSTEM TO ACHIEVE MIN. 3' COVER IF REQUIRED. 5. CONTRACTOR WILL ENSURE ALL SEPARATIONS TO ADJACENT WELLS, SEPTICS, LOT LINES, FOUNDATIONS AND ALL OTHER SETBACKS. PREPARED FOR, JIM PISK 3500 DEARMOUN RD. ANCHORAGE, AK. 99516 (907) 345-6882 nELD BOOKS STAIOIIa ASBULT DNa nr. AM F E: ,.,,.•,, COMPUTEa DRAM: vBG CKO'M- KMO DATL 6/27� atla 3035 03023 Scale, 1'= 100' PAGE 1 OF 3 ENGINEERING 20441 PTARMIGAN BLVD. EAGLE RIVER, AK 99577-8736 -611 WASTEWATER DISPOSAL SYSTEM DETAILS DEITZ SUBD. LOT 7B 0 � i ► 1gA001AEXISTING K N p I j VE 5 25' NIB S STEM ° ° S1I I SE 35' IUB S P T BED i► I 10 o�IJE� JAL 1 ► 25' Gam' o 1 ► PRO OS45 I O ING Ln .� GA S.T E:P I IQ °- I 1 1 IR I o I ► o 1 1 � I EXISTING 3 I FCO BDRM HOUSE I 100' WELL RADIUS (EXISTING) I I 1 1 NOTE: CONTRACTOR WILL STAKE EXISTING WELLS & LOT LINES TO ENSURE SETBACKS ARE OBSERVED. DF•AZ'4 i PREPARED FOR, ��, ••' •,'�' 1 JIM PISK / GJ: q •'y 3500 DEARMOUN RD. SC0.12l 1'= 20' * I ....... • • • • • . • • • - • * - 907)ANCHD 345E 6882 99516 PAGE 2 OF 3 f.. j ...,.. .� ........ 3 •... FlELD BOOKS tauwTm CE-7116 wa @a Artn OMA+ : vBG ENGINEERING +� 14 / lw �- "1EO0' KMD 20441 PTARMIGAN BLVD. �` •.....• , ,. A�T: 0AM 7 EAGLE RIVER, AK 99577-8736 PhbFE3310�� 0.c. nc un 3035 ......... .. \``� ACID ^`E 03023.DWG J00 N' 03023 (907)698-6111/FAX (907)696-8111 WASTEWATER DISPOSAL SYSTEM DETAILS DEITZ SUBD. LOT 7B 4• MMITORING 1-I". DIA Sill 40 HDPE DISC "GE LGE FRDN STEL. TANK AND MANIFOLD. 3/4• DIA SCK 40 PVC LATERALS (HOLES . SHIELDS. AND RUSHING VALVES PER ORENCO DESIGN) SEE PLAN VIEW FOR DDENSYNS PLAN VIEW L PLTVmD BARRIER AR"D PERINITER —INSULATION 4• MONITORING TUNE FILTER FAMRIC C MM COVER FINAL GRADE r 5-10% AS NEEDED .............. ..... .. ..�.. ..... � OF AL9sr� 1 ... � KEN ....... D S: CE -7116 a jo INS-'40�0 VA �' fESSIOl , .� PREPARED FOR, JIM PISK 3500 DEARMOUN RD. ANCHORAGE, AK. 99516 (907) 345-6882 FIELD BOOKS cawTED: BQRNDMM _ DRAIN: VBG sTuarNNz _ ND O'm- KMD ASBIRLT. _ DATE: 6/27 DRI.rLL. cao: 3035 ACRD "`L 03021MG 'HDI M°"2 03023 • SEE PLAN VIEW FINAL GRADE PLTVOOD BARRIER MOTH REMOVE TOP C OF SOIL t ORGANICS, L INSTALL C. OF LEVELING SAND FILTER Scale, NTS }� PAGE 3 OF 3 IM ID ENGINEERING 20441 PTARMIGAN BLVD. EAGLE RIVER, AK 99577-8736 (907)696-6111/FAX (907)696-8111 KND ENGINEERING, INC. 20441 PTARMIGAN BLVD. EAGLE RIVER, AK 99577-8736 SOILS PERCOLATION TEST Performed for. Jim Pisk Date Performed: 05/16/03 Project: Deitz, Lot 7B TEST HOLE # VEI 05 Depth (Feet) SEE ATTACHED SITE PLAN 1 FOR HOLE LOCATION 2- 3 - SEE ATTACHED VEI 4- SOILS LOG 5- - TESTHOLE PERFORMED 6- ON 1/11/01 Ground water measured at 9' 7- 8- 9- 10- 11- 12- 13- 14- 15- 16- 17- 18- 19 - HOLE PRESOAKED 20- PRIOR TO TEST Was Groundwater encountered? YES What depth? 9' Depth to water after monitoring7 7S' Date? 5/16/03 Reading Date Gross Time Net Time Depth to Water Net Drop 1 5/16/03 1:00 - 7" - 2 1:10 10 min 311/16" 35/16" 3 " 1:11 - 7- 4 1:21 10 min 313/16" 33/16" 5 " 1:22 - 7" - 6 1:32 10 min 314/16" 32/16" 7 ' 1:33 - 7" - 8 1:43 10 min 4" 3- 9 " 1:44 - 7" - 10 1:54 10 min 315/16" 31/16" 11 1:55 7- 12 2:05 1 10 min 4" 3" " Water Added Percolation Rate 3.33 (min/in) Perc Hole Diameter 6" Test Run between 3.5 feet and 4.5 feet I, Kenneth M. Duffus, certify that this test was performed in accordance with all State and Municipal guidelines in effect on this date. SOILS LOG Boring Number TH-5 Dote Completed: 1/11/01 t SOIL DESCRIPTION 0• 0 aA.B. O APPLE NUMBER o' St. 72, 57.1; B5.`pcl 0, BROWN, SLIGHTLY MOIST, *GRAVELLY 40% o SAND 060% (FILL) O LBLows/Foor SAMPLER TYPE W.O. WATER TABLE i APPROX. STRATA CHANCE b BEDROCK O' O 1O SS. 68. 3.27., SW -SM -2 oeo o. O i GREENISH CRAY, VERY DENSE, SLIGHTLY MOIST, 'p GRAVELLY 39% SAND 51% WITH TRACE SILT 10% O:'} i:0 V W.D. b. MA.B. - �. 'O O SS, 72, -SW GREENISH CRAY, VERY DENSE, WET, SAND •80% WITH .'.O SOME GRAVEL •20% -1 0 i iC GREENISH CRAY, VERY DENSE. -S 1%jJ7• WITH SOME GRAVEL '207. AND T= S 5 � 1 o or •.% •t , J. 4c *i 91H_ cy O SS, 93, -SW �•. ».».«.». •• L.»,iCy V•moW L. Rolf• �W / .0 G% •. No. CE $107 ��Irf•••• e a�S o \ �pROFESSION+l O' DARK CRAY, DENSE, WET, SAND�4S,T.�TIH p TRACE GRAVEL 5% O4 SS, 37. *SW NOTES: 1. TOTAL DEPTH WAS 6.55 M -7 2. *BASED ON FIELD ESTIMATES 3. AFTER BORING WATERTABLE OBSERVED ON 1/12/01 DWN CKD JMB DATE 2/2/01 SCALE ABOVE LOCATION SKETCH SEE LOCATION MAP TEST BORING IS AT TOE OF ROCKWALL AT EDGE OF DRIVEWAY ABOUT 13 METERS SOUTH OF DEARMOUN CENTER LINE, LOT 7B, DIETZ SUBDIVISION EXPLANATION UNFROZEN GROUND ORGANIC MATERIAL Little Y•iYe ice 0-10 Va F7S L­-ICE DESCRIPTION L-FROZEN GROUND W.D.-MARE DRILLING TYPICAL SOIL LOG A.B.-AFTER BORING S• 1.4• SPLIT SPOON WITH 140 LB. HAMMER Sz 1.4' SPLIT SPOON WITH 340 I.B. HAMMER SN 2.5' SPLIT SPOON WITH 340 LB. HAMMER SP 2.5' SPLIT SPOON. PUSHED A AUGER SAMPLE T• SHELBY TUBE T. MODIFIED SHELBY TUBE C CRAB SAMPLE SAMPLER TYPE SYMBOLS O © MATERIICMATERIAL co GRAVELRG ® CLAY ® BEDROCK SILT ® C060LE5 k BOULDERS AN SD . ICE. MASSIVE SOIL SYMBOLS F.B. GRID PROD. N0. a 0• 0 aA.B. APPLE NUMBER St. 72, 57.1; B5.`pcl I OILY DENSITY5' I o L WATER CONTENT • LBLows/Foor SAMPLER TYPE W.O. WATER TABLE APPROX. STRATA CHANCE BEDROCK PISK SEPTIC SYSTEM VEIConsultants =j DEARMOLIN ROAD 99063 DWG. NO. TH-5 N W 1 LL n I Z - - - Si- WOOD FENCE/SHRJ -----1--uTv- i - ITvAr-----+ I DEARMOUN ROAD I I i i ROCK WALL TREES ,, I l Z. I I LAWN - SEWER TH #5 SEWER TH #4 . I ,��� DECK I/--,�--�_ � I I y -j I_L- TH#3 I GRAVEL Q I • I oWELL rr- L Roelb E 5107 , ;�3 TH #2 0 LOT 76 TH #1 LOT 7A SCALE 1:500 STATE OF ALASKA DEPARTMENT OF TRANSPORTATION DEARMOUN ROAD RECONSTRUCTION PISK TESTHOLE AND PUBLIC FACILITIES WESTWIND TO E. 140TH AVE. LOCATION MAP N r' b O W Q mU J N 00 a NMy n �^ � G 00 F• c � V Fay' ¢ >Z. aA� ° Q G W 3aaa Y s b O Q mU J QJ J r � � � G CCN V L� N H Q G X10'0 g c 0 0 O V QiiCiiiC�►�� H G � g o w rT m��mm�m���s 0;0000000$g Hi < 3 00 N 1�1 O h �O 00 N 3 « r, -, o `Lv \o o$ 6 6 6 6 6 6 6 6 6 c d o ♦ nN... ... en .. en Z F ZZZ ZZZZ ZZZZ Fp X10'0 g c 0 0 748WM A4 BUIS*d iugwad E E d u a M Ln m M M 0 Q1 0 N N b Ln N 0 o+ M in1 O1 10 Q cn 0 E m O QiiCiiiC�►�� m��mm�m���s CC�CCLC�CCC ME hmom �.r MMEMEM 748WM A4 BUIS*d iugwad E E d u a M Ln m M M 0 Q1 0 N N b Ln N 0 o+ M in1 O1 10 Q cn 0 E m O KND ENGINEERING, INC. 20441 PTARMIGAN BLVD. EAGLE RIVER, AK 99577-8736 (907) 696-6111/FAX (907) 696-8111 ON-SITE WASTEWATER DISPOSAL SYSTEM CONSTRUCTION PRACTICES AND MATERIAL SPECIFICATIONS LEGAL DESCRIPTION: DEITZ SID, LOT 7B GENERAL: 1. The scope of this project includes the installation of a septic tank and/or drainfield to serve a single famil residence on the referenced property as delineated on the attached Municipality of Anchorage MOA) permit and site plan. 2. Construction shall be in accordance with the approved site plan and design drawings; MOA permit with any special provisions or conditions, and all applicable State and Municipal Wastewater Disposal Regulations. 3. KND Engineering, Inc (KND) assumes no responsibility of the accuracy of the as -built survey provided by the owner or owner's representative. _ _ _ -. _ _ .. ._ . 4. The owner or contractor is responsible to notify the engineer of any discrepancies noted on the design plans or drawings prior to commencing work. These discrepancies could be, but not limited to, possible encroachments, surface water, varying soils, unplatted easements, types or use of dwellings on or adjacent to property, nearby public wells, etc. S. The contractor shall be responsible for locating any necessary underground utilities, easements, property lines and surface water. The owner and/or contractor shall ensure, if deemed appropriate, that a registered land surveyor prior to construction flags all setbacks. 6. The contractor shall be responsible for verifying all pertinent separation distances and COX layout. 7. Unless specifically agreed otherwise, the property owner shall be responsible for final grading areas subsequently depressed from soil settling. On all leachfield mound systems, the property owner shall be responsible for ensuring a satisfactory vegetation growth over the mounded area. 8. The MOA Development Services Department On -Site Water & Wastewater Program must certify contractors installing wastewater disposal systems. Owners installing their own systems must also receive prior approval from said MOA Department. SEPTIC TANK / HOLDING TANK / LIFT STATION INSTALLATION: 1. A septic tank is to be constructed by a certified septic tank manufacturer. Construction shall include two 4" cleanouts for pumping access. 2. The septic tank shall be sufficiently bedded with proper material and compacting to prevent damaging, settling or shifting of the tank. 3. All standpipes on the septic tank shall extend a minimum of 12 inches above the final grade. 4. Septic tanks installed with less than 4 foot of cover shall be insulated. The contractor will ensure that the fill over the tank does not exceed the burial depth rating. 5. A foundation cleanout shall be installed one to four feet from the building foundation. In the line between the tank and the leachfield there shall be two adjacent cleanouts (unless an effluent pumping system exists within the septic tank). These cleanouts shall be located on undisturbed soil not more than 10 feet from the tank. The second cleanout, in line, shall be to clean toward the septic tank. 6. Final grading over the septic tank shall be such that a positive slope exists away from the septic tank. Page 1 of 3 Reference: Deitz, Lot 7[i Date: 06127103 Page: 2 of 3 7. All H.D.P.E. tanks shall have a vertical length of 4 -inch perforated drainpipe besides the tank extending to the bottom of the tank to above grade to monitor ground water. 8. All tanks shall be anchored when there is not enough adequate soil cover to resist buoyancy forces in high -groundwater areas. 9. All holding tanks and lift stations shall have an audible and visual alarm inside the residence. 10. All lift stations shall be wired in compliance with the Uniform Electrical Code and all MOA guidelines. 11. The contractor shall remove the old tank, or abandon it in compliance with the Uniform Plumbing Code. The contractor is solely responsible for the abandonment procedure. ABSORPTION TRENCI11DRAINFIELD INSTALLATION: 1. Excavate the proposed trench to the dimensions shown on the design. The bottom of the excavation shall be within 2 inches of level. If the sidewalls of the excavaction become smeared, they must be raked or scratched (roughed -up) before gravel (sewer rock) placement. 2. Once the sewer rock is installed, the distributionpipe is installed level with the perforations facing downward. Gravel is then to be placed over the distribution pipe to provide a minimum of 2 inches of cover over the pipe. 3. A silt barrier must be installed between the final gravel layer and the native soil backfill. Ensure the silt barrier covers the entire gravel surface before placing backfill. _. . 4. Monitoring tubes shall be four- (4) inch diameter, installed approximately in the locations shown on the design, and extend a minimum of 12 inches above final grade. The portion of the monitoring tube extending through the gravel shall be perforated from the bottom of the trench to the invert of the distribution pipe. This is equivalent to the effective depth of the gravel as noted on the design. 5. Backfill over the final gravel layer must not be less than twenty-four inches. Insulation must be installed when the backfill depth is less than thirty-six (36) inches. The finish grade over the trench must be mounded to prevent the formation of a depression after settling. 6. All advanced technology waste water disposal systems (Advantex, Biocycle, Intermittent Dosing Sand Filter, etc...) shall be constructed, installed, maintained and monitored per manufacturer's specifications and MOA requirements. MINIMUM MATERIAL SPECIFICATIONS: 1. A MOA approved septic tank manufacturer must construct any septic tank proposed for installation. 2. The following pipe materials are MOA approved for use in septic system installations: Typg of Pips PerforateSolid Cast Iron Yes Yes ASTM D3034 (PVC) Yes Yes ASTM F810 (HDPE) Yes No ASTM D2662 (ABS) Yes Yes 3. Insulation shall be at least 2" thick extruded direct burial polystyrene (Dow Chemical Company Styrofoam HI or equal). 4. Septic tank inlets and outlets shall be fitted with watertight couplings (Caulder, Femco, or equal). 5. A permeable nontoxic silt barrier (Typar 3401, Mirafi 140N, or equal) must be installed between the final leachfield gravel layer and the native soil backfill. 6. All leachfield gravel (sewer rock) shall be 0.5"-2.5" screened gravel with less than 3% passing the #200 sieve. If deemed necessary, a sieve analysis should be performed. 7. When sand is being used as a filter material, its gradation specification must conform to current MOA or DEC requirements. Reference: Deitz, Lot 7B Date: 06127/03 Page: 3 of 3 INSPECTIONS: Typically there will be three (3) inspections required during the installation of the wastewater disposal system. These inspections will occur as follows: 1. The first inspection must be conducted after the excavation of ditches, pits, trenches, or beds and before the installation of any gravel. A septic tank may be set in place, but may not be backfilled before this inspection. 2. The second inspection must be conducted after the placement of the sewer rock, distribution lines, standpipes, and cleanouts, but before the placement of the silt barrier, insulation, or any other backfill. 3. The final inspection is to occur upon final grading of the property. Often there will be more than these 3 inspections required, especially with the installation of multiple trenches, sand filters, pressurized distribution systems, etc. The inspecting engineer is to be contacted at least 24 hours prior to the start of construction. If necessary, a pre -construction meeting will take place on-site. The inspecting engineer will not coordinate, direct or control in any way the contractor's activities. The owner shall contract with the contractor to perform the work outlined in these specifications and attached plans and in accordance with the attached MOA permit. All materials, components, and construction practices shall comply with the MOA's and the State of Alaska's _latest ordinances, regulations, or policies regarding wells and septic systems. The failure of the inspecting engineer to notice a material or construction non-compliance does not relieve the contractor of his/her responsibility to correct such deficiency. There will be no contractual arrangement existing between the contractor and KND Engineering, Inc. KND shall be the owner's representative and will inspect the work as stated above to document the contractors activities. Final acceptance of the contractors work rests with the owner and the MOA. KND shall have no liability to the owner or to others for acts or omissions of the contractor or any other persons performing work on this project or the failure of the contractor to carry out the work in accordance with these construction documents. KND's inspecting engineer will not be responsible for the construction means, methods, and techniques, sequence, procedures or the safety precautions incident to this project. BY PROCEEDING FORWARD WITH THE INSTALLATION OF THE WATER AND/OR WASTEWATER SYSTEM (S), THE PROPERTY OWNER, CONTRACTOR, AND WELL DRILLER ACKNOWLEDGES HAVING READ AND ACCEPTED THESE SPECIFICATIONS. Owner: Contractor: NOTE: PRIOR TO CONSTRUCTION -- CONTRACTOR SHALL HAVE THE 100 -FOOT RADII AND THE LOT LINES FLAGGED REGIESTERED LAND SURVEYOR. THE WELL BY A LOCATION OF WELL (Please complete either ]a, lb or Ic.) MI.- .9 h Subdivision Ib, '/4qtfg. Borough - I - — Lo of— of—of Dc. TDISTANCF AND DIRECTION FROM ROAD INTERSECTIONS Street Address and Area of Well Location 2. WELL LOG Material Type I a MM WATER WELL RECORD STATE OF ALASKA DEPARTMENT OF NATURAL RESOURES Division of Geological a Geophysical Surveys Drilling Permit No. iii{ j A.D.L. No. Section Township N Range E Meridian So WE] W Section OWNER OF WELL Address: Below, Feet face Sur fa 4. WELL DEPTH: (final) 1, C o — ft. 5. DATE OF COMPLETION 1 9 — ,I — -22 Top B 0 Itorn 6. 0 Cable toot '4 Rotary 0 Driven 0 Auger oJettecl 0 Bored 0 Dug 0 Other: 7. USEp Domestic 0 irrigation 0 Test Well 0 Public Supply 0 Recharge 0 Other: 0 Industry 0 Commerical L' 8. CASING: '0 Threaded JQ Welded diam.. �1. in. to it. Depth Weight lbs./ ft, diam. in. to ft. Depth Stickup ft. 4—j— 9. FINISH OF WELL: Type: Slot/Mash Size: Set between Bockfilling — Diameter: Length: ft. and Gravel pack ft. _ 10. STATIC WATER LEVEL: Above or [] Equipment used: ft. Below land surface —'LZ 9 / Dote II - PUMPING LEVEL below land surface and YIELD ft, after hrs. pumping 9 -p -m, ft. after hrs. pumping _ g.p.m. 12.GROUTING Well Grouted: Yes E] No Maarterial: Mate ric I: E]7Noot Cement 13- PUMP: (if available) HP Length of Drop Pipe ft. capacity 9 -P.M. 0 Subm. [] Jot 0 Contrifical Other 14. REMARKS: - - -------- 16. WATER AWWROAft -0R T I F I C A T 10 N: (90 7) 345-0593 15. Water Temperature —0 0 F This well was drilled under my jurisdiction and this report is true to the best of my knowledge and belief; RLvj7IL.-1 'I- a XA B se Name Contract License Number— d 'Form 02-WWR (11/81) COPY Di`tlibuliorl: WHITE -Stole OGGS, PINK -Drill ------ er,CANARY - Customer M MUNICIPALITY OF ANCHORAGE Department of Health and Human Services On -Site Services Program 825 L Street, Room 502 P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-4744 ON-SITE WATER SUPPLY PERMIT Upgrade Permit Number: SW980344 Legal Description: DEITZ LT 7B Design Engineer: 0000 None Required Owner Name: James A. Pisk Owner Address: 3500 DeArmoun Anchorage , AK 99516-3539 Date Issued: Sep 08, 1998 Expiration Date: Sep 08, 1999 Parcel ID: 018-181-21 Site Address: 003500 DE ARMOUN RD Lot Size: 48731 SQ. FT. Total Bedrooms: 3 Permit Bedrooms: 3 This permit is for the construction of: ❑ Disposal Field ❑ Septic Tank ❑ Holding Tank ❑ Privy All construction must be in accordance with: 1. The attached approved design. ❑✓ Private Well ❑ Water Storage 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 DHHS at least 2 hours prior to each inspection. Provide notification by calling (907) 343-4744 (24 hours). ( Not required for a Water Supply Permit only). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. 5. The following special provisions. Existing well shall be decomissioned as per AMC 15.55 Received By: Date: 6 /10. Issued By: ✓ /a (?_ NX&O Date: ` -8 -% td I R. - I 0 I a I r- 0 - 7r ST, r- 0 MUNICIPALITY OF ANCHORAGE DEF. . rMENT OF HEALTH AND HUMAN SERV, S Environmental Health Division 825 "L'• Street, Anchorage, Alaska 99502, Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Name DISTANCES Address A TO SEPTIC ABSORPTION WELL _ FROM TANK FIELD SO OGE l �� WELL Phone(s) Permit No. No. of Bedrooms 10-3 IDS 346- 5215;-booupo-3 _ LEGAL DESCRIPTION LOT LINE .20 0 Lot Block Subdiws n (J g 1 FOUNDATION 6 3 6% O Township,Range, Section AS -BUILT DIAGRAM (Show location of well, septic system, property lines, foundation, driveway, water bodies, etc.) TYPE OF SYSTEM TANKS x SEPTIC ❑ HOLDING Manulacturer original grade S FT Capacity in gallons C oe - Gravel depth beneath pipe ' 12sa Material Gravel length No. of Compartments STJ�_:F_L_ FT Total absorption area TYPE OF SYSTEM TRENCH ❑ BED ❑ W. DRAIN ❑ OTHER Depth to pipe bottom from Total depth from original grade original grade S FT 95 FT FIII added above original grade Gravel depth beneath pipe ' FT 5 FT Gravel length Gravel width 7 � FT FT Total absorption area Distance between lines SO FT FT Number of lines Sod rating Pipe material SO FT Aw" 3o 3,/— F8 D Installer Date Instal d WELLS PRIVATE ❑ OTHER (Identify) Classification (A,B,C) Total Depth Cased to _11.e/ //v FTJ FT Installei Date Installed: REMARKS: I Municipal and State guidelines in effect on this date: Health Department Approval: /L -u IJ to/ oz)) Scale: c 60 .�y, F,N�GINEEFi'S.SEAL Inspe t ns Performed by: � � C%t'.: , •' ✓H• t7' - Date: �• f•.. a �s . . certify that [his inspection was performed according to all N Date: :,;N -Sia SE.4 ,.... . i PERM11T NO: 3'6.'26U DATE i.."SUED: APPLICANT: )ARK RUDA ADDRE Sa: 09 0C:-C'-'odVIEw, ANCHiiR„u_. AK 9 9` 16 CONTACT PHONE: 345-52':7 LEGAL DcSC,�I': Su.'DIVISIC-�'d: +i'_ Z LC'T `i=CTICA—. TO'ANSH.IP: 1 C?3 R', -GE: W LOT Slat: 4,3573 (0'(;.FT. OR MAX 6,rDROGMS: 3 LISTED aELOW ARE THE Ca Tl,:A5 AVAIL:;,=L�:, TO YOU Ia; D�.-SIGAINC YOUR S .:QTIL S Y S T M. CHCOSE THE 5PTION THAT .-Z-ST FIT:s YOJR SI,T:,. T hENCF 0 . D. 1i ,i DEPTH TO PIPE '.'_OTTON (FT.) 4. a 4.0 GRAVEL DEPTH (FT.) 5 3.5 TOTAL DEPTH (FT.) 7.5 GRAVEL WIDTH (FT.) GRAVEL L_NGfH (-FT'.) 49.0 GRAVEL VOLUr.E (CU.YD3.) 35.E TANK SIZE- (GALS) 1.000.0 ** SOIL RATING (S I.FT.l3Fs) 1`' 15u 15D k* TAN& MUST H.AGE AT LaA3T T:uG -00V-PAFT`^ENTS I CERTIFY THAT: 1. I AM FAMILIAR WiTY' THE REUIFCMENTS FOR O'l-SITE SEWERS AND ':SELLS AS SET FORTH HY THE: MUNI CIRALITY OF ;ANCHOR::AG= M)A) AND THE STATE OF ALASKA. G. I WILL INSTALL THE SYSTE-Ft IN ACCORDANCE WITH ALL. '4OA CODES AND REGULATIONS AND IN COMPLIANCE WITH THE DEvIaPV CRITERIA OF THI; Sol/1- ISO KID. E L. e oo I- u 5 c� 0 N j A2 i J65�c �. • • . • • •�a/�c/o �a//�// . • :. • • fy gyp. o. 2225-E ` S i�•• JUNE 25. 1971 LOT 73, Pr-/7-r-igWss `rO L6e h Gro rkl a -V4 pP, C - IPPA eV- R V DA ,4,ie: � A-V- IRI SOI LS LOG MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION PERCOLATION TEST 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG — PERCOLATION TEST PERFORMED FOR: A// ��6v7A— DATE PERFORMED: LEGAL DESCRIPTION:_Rl4 Laz 76 .���, 1 %2/V, RJ►'V DEPTH S�— SITE PLAN �/,��r`� Ivff,� (FEET) 2 d �o 6 o° 4 o G�Avtc w Cod.BcEs 5 n °� 6 7 �' z 9 1 8 660 9 g o l G124VEL —GK/ 10 12 0 oa 13 14 Date Gross Time Net Time Depth to Water Net Drop ■✓NI■■■■■■■■ 16 ,�t� • • • '� /1y+ C 0011■■■■E■N ■■NS■■■■NIN ■■N■■■■■E1■ 9TH • etc �� 17 '. ....o. .. •...�: ■■®■■■■■■I�t� 9 18 Y,.a : E ..• •.�: rrabr �i No. 2225-E H■■E••M•■■ JUNE 25a .1971 N■■■ COMMENTS WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? ,/ s /"Zl— L y� tee E l ■■9i■■■E■E■ Date Gross Time Net Time Depth to Water Net Drop ■✓NI■■■■■■■■ 0011■■■■E■N ■■NS■■■■NIN ■■N■■■■■E1■ ■■®■■■■■■I�t� 1 H■■E••M•■■ N■■■ ■INN■■ ■■■E■■■■■■ NEEM■■■■■■ Reading Date Gross Time Net Time Depth to Water Net Drop PERCOLATION RATE (minutes/inch) .r v TEST RUN BETWEEN FT AND FT PERFORMED BY: EZAl 1214, -AAO) &1"s4-4 CERTIFIED BY: -( —s DATE: 72-008 (6/79) • Municipality of Anchorage On -Site Water and Wastewater Program (907) 343-7904 .5 ,,1 � r , CERTIFICATE OF ON-SITE SYSTEMS APPROVAL Parcel I.D. 018-181-21 Expiration Date: Sep �Jr, aoa� 1. GENERAL INFORMATION Complete legal description Deitz Lot 7B rem. Location (site address) 3500 DeArmoun Rd, Anchora Current Property owner(s) James & Wendy Pisk Day phone 907-345-6882 Mailing address Real Estate Agent 3500 DeArmoun Rd, Anchoraae. AK 99516 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4. TYPE OF WATER SUPPLY: Individual Well Individual Water Storage ❑ Community Class Well ❑ Public Water System ❑ WaiverNariance request for: 3 Day phone TYPE OF WASTEWATER DISPOSAL: Individual Holding Tank ❑ Community ❑ Public Sewer ❑ Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ 55b Waiver Fee $ Date of Payment 3117 IW26 Date of Payment Receipt Number IT 4 2q Receipt Number COSA # (3SC a61®g9 Waiver # Distance: 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, —or_dinances,_and_r_egulations_in effect_at_th.e time_of_installation. _ _ Name of Firm ARCTERRA CONSULTING. INC. Phone 696-6111 Address 20441 PTARMIGAN BLVD., EAGLE RIVER, AK 99577 Engineer's Printed Name KENNETH M. DUFFUS Date /7�_.2a Engineer's Comments: This investigation was completed in compliance with ADEC and MOA regulations. The assessment of the condition of the well and septic applies only to the conditions as of the day tested. The flow and absorption rates may change due to subsurface conditions that may not be observed from the surface, changes inland use, local soil characteristics, groundwater levels that may fluctuate during the year and the water usage of the family being served by the system. The operational life of all well and septic systems are subject to these various and dynamic characteristics and are outside the control of the evaluator of the well and septic system. Therefore, ArcTerra can not give any estimate of how long a system will function satisfactory for current or future �� �►\ occupants or can ArcTerra guarantee that no unseen or A T� encroachments, deficiencies or discrepancies exist. T1 I 6. DSD SIGNATURE System #1 Approved for System #2 Approved for bedrooms. +1 ANN I M. llurrus- Is j bedrooms. tra\�o , Disapproved. Conditional approval for bedrooms, with the following stipulations: ON-SITE Vy =. Ev'ATER o J PROGRAM F By: auta, &UA Original Certificate Date: b c� 5 oC 0oC 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 AdvisoryJ'[_� Well Flow Advisory COSA blue sheet 10-10-12.doc Other Legal Description: Deitz Lot 7B If more than 1 septic system on lot: COSA Checklist # of A. WELL DATA Well log is filed with Onsite (or attached) Date drilled 9/9/98 Total depth 160 ft Cased to 160 ft Sanitary seal is functioning correctly ❑ Wires are properly protected Casing height (above ground) 30 in. Date of flow test for COSA 2/19/20 Static water level at beginning of test 46 ft. Comments B. TANK DATA Age of tank(s) 16 years Tank type/material STEP/Steel Measured operating fluid level in septic tank 49» ❑ Standpipes/foundation cleanout per record drawing Date of pumping 2/20/20 D. ABSORPTION FIELD DATA Which system tested (date installed) 5/10/04 ALL standpipes present per record drawing Total measured depth from grade 5.5x ft (max) Measured depth to pipe invert from grade ft (min) FN N/A — pressurized field Monitor tubes go to bottom of effective. If not, state depth into effective Parcel ID: 018-181-21 Structure served by this system 1 Well production at time of test 7+ gpm Water storage tank volume gallons Well disinfected for coliform test? ❑ Yes E No Coliform bacteria is Negative Nitrate mg/L ❑ Nitrate less than MRL (ND) Arsenic ug/L X Arsenic less than MRL (ND) Collected by Arcterra Consulting Date of Sample 2/14/20 C. LIFT STATION FO Required maintenance completed Age of lift station 16 years Lift station material Steel Comments: Adequacy test date 2/19/20 Results ® Pass For 3 Fluid depth prior to test 7 Water added 450 gal New depth 22 in Elapsed time 300 min bedrooms in Code -required soil cover over field Final fluid depth in ❑ System presoaked Absorption rate 4504- gpd (Required if vacant for greater than 30 days prior to Any rejuvenation treatment (past 12 months) date of test) If yes, enter date Gallons introduced gallons Comments/Deficiencies: *NIT extends at least V below gravel into sand layer COSA Checklist yellow sheet E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well) ® Yes if No Septic Tank/Lift Station on Lot > 100' Surface Water > 100' ® Yes if No ft Community Sewer Manhole/Cleanout > 100' Yes if No 0 Yes if No ft [0 Yes if No ft Neighboring Tank > 100' ® Yes if No ft Private Sewer/Septic Line > 25'21 Yes if No ft Absorption Field on Lot > 100' _ ® Yes if No ft _Holding. Tank >__ 1,00'____, __ ®Yes- if No ft ----- Neighboring Absorption Fields > 100' If septic tank is under driveway comment below Animal Containment > 50' ® Yes if No ft ® Yes if No ft Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' Yes _ if No ft ®Yes if No ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' ® Yes if No ft Surface Water > 100' ® Yes if No ft Property Line > 5' Yes if No ft Wells on Adjacent Lots: ® Yes Absorption Field > 5' Yes if No ft Private Wells > 100' ® Yes if No ft Water Main > 10' ® Yes if No ft Community Wells > 200' ® Yes if No ft Water Service Line > 10' ® Yes if No ft If septic tank is under driveway comment below From Absorption Field on Lot to: (Please enter distances if less than required) Building Foundation > 10' 0 Yes if No ft If absorption field is under driveway comment below Property Line > 10' r_1 Yes if No Ox ft Wells on Adjacent Lots: Water Main > 10' ® Yes if No ft Private Wells >' 100 _ ®Yes if No ft Water Service Line > 10' Yes if No ft Community Wells > 200' ® Yes if No ft Surface Water > 100' ® Yes if No ft F. ENGINEER'S COMMENTS * Right-of-way taking by State of Alaska in 2011 after drain field was installed now shows drainfield MT at new property line. G. ENGINEER'S CERTIFICATION l certify that l have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. COSA Checklist yellow sheet Municipality 0i 1 � P.O. Box 196650 0 4700 Elmore Road Anchorage, Alaska 99519-6650 a (907) 343-7904 0 Fax (907) 343-7997 http://www.muni.org/Onsite Development Services Department On -Site Water and Wastewater Section xxKX VARIANCE/WAIVER Xx*X Waiver#: OSV201xxx COSA#:OSC201097 Permit#: PID#: 018-181-21 Legal Description: Deitz Lot 7B REM Engineer: ArcTerra Applicant: James & Wendy Pisk Your request for a waiver of the required 10 feet horizontal separation from the absorption field to the north property line fronting DeArmoun Road has been approved. The approved separation distance is 0.0 feet. This waiver should have been applied for and paid for by DOT as part of the DeArmoun Road Rehabilitation (Plat 2011-75). This waiver approval applies to the existing 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. avaaaavvvavavmmmaavasaavvavaaaamavvvaaIII ®avmeaavvaaaaavaanaavvavavaameavv0aaaaaI Waiver is Granted: X Waiver is not Granted: Date: Approved by: Name of Reviewer Is Is mmvvcaavvvvmmamavveavavvamamvvavavavmaaaaeaaamavamaavvvavavaaaavvacaamavaaaI MUNMPAUTY OF ANCHORAGE Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Owner Septic Tank: -1 - .,Lift Station/Rump Vault__ Street Address 2 D,P -Sludge level 0' inches -Pumping: requiredyes (no; -Pumping completed (Xg, no Lift station: -Pump basket cleaned ( es) no -Effluent filter cleaned (jea) no -Control floats cleaned ygs', no -Proper float settings confirmedNed, no -Operation satisfactory �,n o Alarm System: -Dedicated electrical alarm circuit -Audible and visual alarm inside dwelling es) no -Alarm system operation satisfactory, not satisfactory mannose Kiser -Ground water intrusion at riser to tank connection law, -Ground water intrusion around pipe penetrations Y�es �S_ -Manhole lid: Functional esu no Insulated es y no -Weep hole functional rV_Q__11 no Properly Secured no Other -All manufacturer required inspections and maintenance completed es no Comments: Qualified Maintenance Provider: Technician Company Signature q, Date of maintenance �)e A— Dat4 -k S 89°55'34." E 165.13' TH NOTES � l ,l 1. Bearing p p '. MICHAEL , HORNE � and distance records are pe the tats referenced hereon unless otherwise noted. �yo�� 2 Sufficient boundary evidence was recovered to establish the �c LS -5318 �J AG Not all controlling evidence is sho:✓n hereon. subject parcel on the ground. �FD. '�;!/ S/20 3. Dimensional information on W T&E and Di Easements are � PRdFESSIO�IAI���� 4. This sheet prints at 1" = 40' on _Legal Sheet (11" x 14") at 100% sca( ngPiat No. 83 �3. �yASK,S� �a n �r, LC LEGEND - SURNG, Iv1APPING, LAND PLAf�1N`hNG, Gi,S Monument .; 7Gth Ave., Suite 1 0.1 Anchorage, Alaska 995 Septic Vent FarpointAK.com (907) 522-7770 survey@r'arpointak,corri ASBUILT SURVEY QT SURVEY CERTIFICATION: FARPOINT has condu1. cted a physical Lot 713, Deltz Subdivision. survey of the sublectproperty, the improvements situated _r -' -' -x -' -" `x _ Plat No. 83-43, thereon are within the property lines as shoi th, Existing Fence Anchorage, Alaska ExcC US10R NOT S: It is the owners responsib I tY to determine NARK ORDER Nu. DATE!"� SCALE_ - - - •the existence of any easements, covenants or restrictions whichPREPARED FOR. Zotil ING: P-00-24 Mar. 26, 2020 1 '-40 R6 do not appear.en the Flat used for this survey. NOTE: Under. no 35COf0 it jDRAUVN: C1 iEC ED GRID PJo: FS BooKJPAGE: circumstances should any data hereon be used for construction A e Armoun Rd. I� MC W 0 XXX/y or ?or the establishing o property lines., Anchorage, AI: 99516 Shed ! 1 `� ' ,�rh ���� � �F7���,�?• � ,,22.0 7- 12.0, ' "G,avel Drrver�iay 14.0' �--10' T&E Easement ^ — S 89°55'34." E 165.13' TH NOTES � l ,l 1. Bearing p p '. MICHAEL , HORNE � and distance records are pe the tats referenced hereon unless otherwise noted. �yo�� 2 Sufficient boundary evidence was recovered to establish the �c LS -5318 �J AG Not all controlling evidence is sho:✓n hereon. subject parcel on the ground. �FD. '�;!/ S/20 3. Dimensional information on W T&E and Di Easements are � PRdFESSIO�IAI���� 4. This sheet prints at 1" = 40' on _Legal Sheet (11" x 14") at 100% sca( ngPiat No. 83 �3. �yASK,S� �a n �r, LC LEGEND - SURNG, Iv1APPING, LAND PLAf�1N`hNG, Gi,S Monument .; 7Gth Ave., Suite 1 0.1 Anchorage, Alaska 995 Septic Vent FarpointAK.com (907) 522-7770 survey@r'arpointak,corri ASBUILT SURVEY QT SURVEY CERTIFICATION: FARPOINT has condu1. cted a physical Lot 713, Deltz Subdivision. survey of the sublectproperty, the improvements situated _r -' -' -x -' -" `x _ Plat No. 83-43, thereon are within the property lines as shoi th, Existing Fence Anchorage, Alaska ExcC US10R NOT S: It is the owners responsib I tY to determine NARK ORDER Nu. DATE!"� SCALE_ - - - •the existence of any easements, covenants or restrictions whichPREPARED FOR. Zotil ING: P-00-24 Mar. 26, 2020 1 '-40 R6 do not appear.en the Flat used for this survey. NOTE: Under. no 35COf0 it jDRAUVN: C1 iEC ED GRID PJo: FS BooKJPAGE: circumstances should any data hereon be used for construction A e Armoun Rd. I� MC W 0 XXX/y or ?or the establishing o property lines., Anchorage, AI: 99516 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On -Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. # - a, � HAA # _. �A 120 aQ 19,__1 1. GENERAL INFORMATION Complete legal description Lei '701, C>e4z- S IL> Location (site address or, directions) 35-00 0& Ar-l�?octn 13 aC Property owner T1.n P'rslr Day phone .. 3 Y - 6"662 Mailing address :3 5-00 Pa A, -me ce,,) R,,:,l - A 99S 16' V Lending agency — No r i-ior-tf Day phone Mailing address Agent N Day phone Address Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: Individual well Community well Public water NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 4. TYPE OF WASTEWATER DISPOSAL: Individual on-site Holding tank Community on-site Public sewer NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025(Rev.1/91) Front MOA #21 6. STATEMENT CE INSPECTION Y ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I furtherverify 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 in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. fume of Firm(a�� Tcchn tc« f S rurc�� Phone ,3 4rr5 - +35=_ Address t yS3� r=cti� S/. /�- c(1Q1-c1!7e 411 <99916- Engineer's signature fr�y4s-�c� Date 3 ! 23 19 z Twp'' Y �'-..i',�' a°@'.•��. �YYY .............. Yaeae rY re aeaa @,t� Y Y>4 yY tp'a eeaae eaaeee>aeeeYa Y .w a THCoDG„� F. S.1OJRE > a .a> CE -3589 .' a{{��AV 6. DHHS SIGNATURE Approved for _ bedrooms. Disapproved. Conditional approval for bedrooms, with the fallowing stipulations: Additional Comments By: - fh 51n rrr4 Date 2,1 cl MEF 72-025 (Rev. 1191) Back MOA#21 Municipality of Anchorage Department of Health & Human Services Aim HEALTH AUTHORITY APPROVAL CHECKLIST EN ALITY OF ANCHORAGE ENTAL SERVICES DIVISION EN Legal Description: 1-6,f 7 3 , Dei fz S /n Parcel I.D. A. WELL DATA Wellt e Pr���cFe`"�y C yp If A, B, or C, attach ADEC letter. ADEC water system number IV. Log present (Y/N) IV Date completed 196-5 Driller u^ Total depth > qL3 r Cased to '> If 9 ` Casing height Sanitary seal (Y/N) Wires properly protected (Y/N) Y FROM WELL LOG Date of test Static water level Well flow Pump level SEPARATION DISTANCES FROM WELL TO: AT INSPECTION 3/16,oe r g.p.m. `l. 8 + g.p.m. x'19` Septic/holding tank on lot I G 3 ; On adjacent lots Absorption field on lot 1 03 ; On adjacent lots > I Uo Public sewer main too' Public sewer manhole/cleanout "�- (CUG Sewer service line Petroleum tank None s ee-n WATER SAMPLE RESULTS: Coliform O ce f / !oa M 4 Nitrate 0. 2 I m y Other bacteria co f hoots -C Date of sample: 3 116'12E Collected by: 1= (u Fwd % PG� S I -c B. SEPTIC/HOLDING TANK DATA Date installed 191 2 Cleanouts (Y/N) High water alarm (Y/N) Date of pumping to "', I Tank size ! ZS O ff a Compartments Foundation cleanout (Y/N) Y Depression (Y/N) (V Alarm tested (Y/N) (V• A- Pumper ='s�cacf SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Well(s) on lot 107 On adjacent lots > !GG ` Foundation �3 To property line '20, Absorption field = S r Water main/service line— Surface ine Surface water/drainage > Poo" 72-026 (Rev. 7/91) Front CONTINUED ON BACK PAGE C. LIFT STATION N i4 Date installed Size in gallons Vent (Y/N) High water alarm level "Pump on" level at Meets MOA electrical codes (Y/N) Manufacturer Manhole/Access (Y/N) SEPARATION DISTANCE FROM LIFT STATION TO: Well on lot D. ABSORPTION FIELD DATA Date installed e / e ( 18 611 - On adjacent lots "Pump off" level at Cycles tested Surface water _ Soil rating f 5'G 0' 1r3"(" System type 7"rc^ ch Length k5 Width 2 S Gravel thickness Total absorption area Hs0 r3, Cleanouts present (Y/N) Total depth Y 9•S` Depression over field (Y/N) N Date of adequacy test 3 / f 6 / 9 2 Results (pass/fail) Pas{ for 3 bedrooms Peroxide treatment (Past 12 months) (Y/N) If yes, give date N.A. SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot 103, Onadjacentlots > 120' Propertyline 10 ��er �ns�,• rc�.o�f To building foundation 41-7To existing or abandoned system on lot On adjacent lots > 30 ' Cutbank (\I, a • Water main/service line > 2S' ` Surface water 7> cGc' Driveway, parking/vehicle storage area > to Curtain drain Won s e & n E. ENGINEER'S CERTIFICATION 1 certify that 1 have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Date of Payment Receipt Number 72-026 (Rev. 3/91) Back MOA 21 Date of Payment Receipt Number t)F A 'F'.; • a, Signature �L •.�.�. Engineer's Name Th eo c(G re F. "c a -41 '° `j Date /-larch 23. 1992 �.?a. a.a,e.a,aaea„�a.aaisa.� �.a�. ..,..?:..,� THEODORE °< CE e - '589 AV HAA Fee $ Waiver Fee - Date of Payment Receipt Number 72-026 (Rev. 3/91) Back MOA 21 Date of Payment Receipt Number