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HomeMy WebLinkAboutPARADISE VALLEY BLK 2 LT 14Paradise Valley Block 2 Lot 14 #020-424-07 Municipality of Anchorage • Development Services Department Building Safety Division • On-Site Water &Wastewater Program, 4700 South Bragaw St. S. , 11 P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.sk.us (907) 343-7904 Page 1 of 3 On-Site Wastewater Disposal System and/or Well Inspection Report Permit Number: SWO50381 PID Number. 020-424-07 Name: DENNIS ALBERT Wastewater System: ■ New ❑ upgrade Address: 3210 TURNAGAIN a ANCHORAGE, AK 99517 ABSORPTION FIELD Phone: No. of Bedrooms: (808) 443-6666 4 CI Deep Trench ■Shallow Trench Oaed OMound OOther LEGAL DESCRIPTION Sad "` "° 3.0 Toa opa from 8 MAX om/Se. n. n. Block: Lot: Subdwision: Depth to PO bottom hem odg' Oroee: Onwel depth b~lh pipe: 2 14 PARADISE VALLEY 3.7 MAX n. 4.26 rL Township: Range: Section: rep aaaee above orlslnal Ower Oro.N kupth: - - - SEE DWG. n 30 rL WELL: ■ New ❑ Upgrade Ga"M welh: 5 Nw of inn: 1 Di t Wave, Ines: - r< FL ckwwl,aatcn Pnwn.. A.D.Q. Total Depth: Oona T0*04aaK) Tela) abeop eras: pad lrMedM: D 3034/ F-810 PRIVATE 254 n. 249 In. 300 so. n Drat. Me Dniee: 7/18/2006 Static Malar lM: 205 "aw.. DENNIS ALBERT (OWNER) oota blMosee: 7/27-8/2/2006 HEFTY DRILLING n rwM: " Sat At: Ca" N"ht Abeve Wound: TANK (10 GAUGE TANK) 6 cw UNKNOWN n. 2 n. SEPARATION DISTANCES OSeptic OHalding ■S.T.E.P. OOther To Septic Absorption Lift Holding ' /Private Yah,la t .. ANCHORAGE TANK C.p dy to Oaforw: 1500 From Tank Field Station Tank Seger Lines Well 100'+ 100'+ - - 25'+ Yotwl: STEEL NuniDa W aanpadn nu: 2 Surface water too'+ 100'+ — — — LIFT STATION Lot L vee 5'+ 10'+ - - - Sin in OWcnr 1500 1laMla: .. ANCHORAGE TANK Foundation 5'+ 10.+ — _ _ p an' M.el at: al le.Mat: Hyn water amm at TIMER TIMER 46" Plrmp Yalu ! "aaa: CwctAcal bwpecilone pHamW WCurtain Drain NONE KNOWN iP-SE-13T M.O.A. a] Qu1G BENCH MARK Remarks: loaown and Deeprp : BOTTOM OF SIDING NEXT TO GARAGE AwerW EMveba,. 100.00 rt GEG Ltd. Inspections performed by: Dates: 1st 7/27/2006 ENGINEER'S SEAM - 2nd 7/28/2006 c OF '9Si���o 3rd 8/2/2006 •' Development Services Department Approval /........ ... ......°. Reviewed and approved by: Date: •: ••• ••• •••• f A. Go ess,- Q P CE-79 44p4dr'roress)o^Oo� Date: Z $ 06 Reviewed and approved by: OQ�� (Rn. 4/06) PERMITNUMBER: DRAWING PARCEL ID NUMBER: SW050381 SW0 AS 020-424-07 A C 8 STI 24.41 41.1 CO 25.3 51.8 MH1 25.7 50.2 MH2 32.3 39.2 79.2 — — — — MH3 33.6 37.5 37.5 COI 30.6 41.4 41.4 MTI 35.7 35.5 35.5 �\\ CO2 51.5 24.724.7 \ / MT2 47.2 26.0 26.0 \\ �i =07/ TH/2+ NEW 1500 GALLON S.T.E.P. TANK \ TOP C \ �CUT&V I( "I -DISCHARGE UNE AND RECIRC. UNE INSULATED WITH 4' OF INSULATION 4' WIDE NEW 4 BEDROOM SCAT 810 -FILTER SYSTEM P 35' SETBACK FROM CUTBANK 1 1 1 I NEW I I 810 -FILTER GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS& GENERAL CONTRACTORS �•••••• Ml L R ■WA w 101 . NC -OWL M 0MJ0) . w iwnl+ '" • IM fn>'Mv-mN • �... ....1, r PREPARED FOR: PHONE NUMBER: PAGE NUMBER: Q••• DENNIS ALBERT 1-808-443-6666 2 OF 3 y LEGAL DESCRIPTION: DRAWN BY: OQ� L PARADISE VALLEY SUBDIVISION; LOT 14. BLOCK 2 B. m. O TYPE OF WORK: DATE: AS -BUILT DRAWING OF NEW WELL AND SEPTIC SYSTEM 11/6/2006 (R".01105) yCOr 35; CE -7953 PERMIT: AS -BUILT DRAWING PARCEL IO NUMBER: SW0503810381 - 020-424-07 FINAL GRADE - 92.45 TOP OF MANHOLE UD 92.33 STI MH TOP OF TANK TOP OF TANK AT INLET - 86.61 AT OUTLET 66.60 f— RECIRCULATION NEW 1500 GALLON UNE RETURN INVERT of BUNG S.T.E.P. TANK INVERT OF BUNG AT INLET - 85.98 AT OUTLET - 85.68 1 ORIGINAL GRADE - 102.85 O HIGH POINT RELATIVE ELEVATION OF BOTTOM OF TESTHOLE - 86.85 (NO H20) FINAL GRADE - 104.13 FABRIC INVERT OF PIPE 99.11 (AVG.) BOTTOM OF TRENCH 94.85 (AVG.) GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS b GENERAL CONTRACTORS P0, L RfI0l1 IiMD. fort 101 • MOOK-M m f 7 . rROrt 007)Wn lft • rm tWnM-"f . - PREPARED FOR: PHONE NUMBER: PAGE NUMBER: DENNIS ALBERT 1-808-443-6666 3 OF 3 LEGAL DESCRIPTION: DRAWN BY: PARADISE VALLEY SUBDIVISION; LOT 14, BLOCK 2 B.F.M, TYPE OF WORK: DATE: PROFILE DRAWING OF NEW SEPTIC SYSTEM 11/6/2( (Rw. Of A5) Ptrey A. Gamess: CE -7953 Dll �e�. ••AL1 -1.1 ��' coq# dry silty sand w/ gravel 7 160 Well Log war,r, wcfi Dtill�iny antiPunT Smia 4tncFiorngr, %Iasla (907) 345-vvc93 Drilling Stancd: 0713 2006compkied: OT 18 ! 2006 City Borough: Subdivision: BLOCI: LOTJ Property 0%% t me NaB Address: Dennis Albert 3210 Tumagain Dr. Site:18620 France Circle chorage Paradise Valley 2 14 225 Well intake opening tyre: ( ) Open end. (X) Open hole. Other Anchorage, Ak. 99517 Meridian Township Range Section % of %4 of Y4 of _ Y. BOREHOLE DATA(from top of Cdsing)Depth Drilling method: (X) Air rotary. ( ) Cable tool. Othcr Material: Type. Color & wetness From To _ 225 Wcll usc: ( ) Public supply. (X) Domestic. Other stickup 0 3 Depth of hole: 254_ ft, Casing stickup: 2 ft Perfuratcd. Stan: – ft. Stopped: – ft Start: Il. Stopped: – ft moist silty clay w/ rock 235 Casingtypc:steel Thickness: .250 inches sand & gravel 3 7 Casing diameter. 6 inches Casing depth: 249 ft Liner type: – Diameter.- =inches Depth: fl dry silty sand w/ gravel 7 160 Static water (from top of casing): 2Q5-- ft on QZJ 8:2QQ6 " Pumping level & yield: _ feet after v hours at _ gpm Recovery rate: 6 gpm. Method of testing: airlift clay 8r gravel w/ little H2O 160 166 Development method: airlift Duration: 1 hour dry silty clay w/ rock 166 225 Well intake opening tyre: ( ) Open end. (X) Open hole. Other Screened: Start: fi. Stopped ft moist silty clay 225 235 Screen type: – Slotimcsh size: Perfuratcd. Stan: – ft. Stopped: – ft Start: Il. Stopped: – ft moist silty clay w/ rock 235 248 Note: ................................................................ ............ Grout type: _bMtonite volume – bedrock 248 250 f)cpth; from flround StlrfnC ,to 20 ft bedrock w/ H2O 250 254 Pump intake depth: _ ft PumP siec: hp. Brand name: Was well disinfected upon completion? (X) Yes. ( ) No Method of disinfection:Calclum.H hlorite..(.Chlorine)... Driller comments' disclaimers: ............................................................. ........................ _.................................................................... _....... j ......... . ..................................................... __...... _............................... i ............................................................................................................. Well drillername: Johnny Kay Company name: .... Hefty.Drillingt Ino, ........................................ Mailingaddrcss:... 3540Akula . ... Dr. ......................................................... City: Anchorage _ _ State: AK Zip 99516 Phone number: (-90077/q/) 3^45 - 0593 fax345-4700 Drillers at signure: 77 )„ Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Section 4700 South Btagaw SL P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907)343-7904 Attention: Property owner shall provide a well log to the DSD within 60 days of well completion. Permit Number. SWO50381 Dateof issue: -Oct/050009; Parcel Identification Number. 090 —4?4 — 07 Is well located at approved permit location? ( yt) Ytx or ( ) No Dec 08 06 12t26p ;Pump Installation Log.. 0 rfot�L� CAM PiCess Adzpter Manufacturer's Narnc:CO n bC j1 B—f O X p. 1 Pidess A42pter Trn.W1cr: ALk Kw rfm 54mc-r5,hie u. r. Arra Cl , 027•�. 1� T / ca"uoe a I 9/ ry..I t,•• %-, sa. I t v G,t c.ai. 11IrI/',/ Ssn iJ I ' Oro. Tip. T. 1 1 I Tom. rmn % v To disinfected upon completion. calcium hypochlorite. I GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS & GENERAL CONTRACTORS • •.. • 3MI c nna wow. fort ,o, • NOOMM r tout .nuc (907)"7 fln • F" (WrAMJ " • �v51R: w..ptiry rFfs.w PREPARED FOR: PHONE NUMBER: PACE NUMBER: DENNIS ALBERT 1-808-443-6666 1 OF 1 QQ p 'J LEGAL DESCRIPTION: DRAWN BY: ODE. PARADISE VALLEY SUBDIVISION; LOT 14, BLOCK 2, C.J.G. �Q TYPE OF WORK: DATE: SLOPE DETAIL DRAWING 1 11/6/2006 (RN. OIJ05) V• A .....ess:... :E-7953 ARG GARNESS ENGINEERING GROUP, Ltd. . � CONSULTANTS & GENERAL CONTRACTORS November 7, 2006 Municipality of Anchorage Development Service Department Building Safety Division On -Site Water & Wastewater Program P.O. Box 196650 Anchorage, Alaska 99519-6650 Ref: Waiver for Paradise Valley Subdivision; Lot 14, Block 2, To whom it may concern: A permit (SW050381) was issued on 10/5/2005 for the installation of a SCAT Aerocell Treatmen Unit. The septic system was installed on 7/27-8/2/2006. During the installation of the drainfield it was noted that the 50 feet setback to a cutbank was unable to be achieved. A call was made to your department and a verbal approval of 35 feet was given by Joe Goodall on 7/27/2006. Attached is a profile/cross-section drawing showing the requested waiver. If you have any questions, please contact us at 337-6179. Thank you for your assistance. M.S. 0175 tvA'ver 170/06 $8290 3701 E. Tudor Road, Suite 101 • Anchorage, AK 99507-1259 Ph: (907) 337-6179' Fax: (907) 338-3246' Website: www.gamessengincering.com i�Dec 07 2006 2:54PM Risin6 Son Electric, Inc. 622-6777 f` I�+A. Rising Son Electric. Inc. . `�.. Id916 �Voo&anel Drive . i r ogle liver. AK 99577 (907) 622-6777 December 7, 2006 Brian Albert 3210 Turnagaln Anchorage, AK 99517 #242-0702 Re: Lot 14 Block 2 Paradise Valley Dear Brian: The lift station at the above referenced property has been wired In accordance with NEC and State/Local codes. Thank you. Sincerely, ��,,.. Kevir°S. Hornbudde, Owner. Administrator License Number 1284 Specialty Contractor License Number 27285 P. 1 From ApplledMicrosystems Fri Dec_8 05:16:01_20_06 Page 1 of 1 MUNICIPALITY OF ANCHORAGE, BUILDING SAFETY DIVISION -.. -- 4700 SOUTH BRAGAW INSPECTION INFORMATION & HELP: 343-798" INSPECTION: VOICE 343-8300 INSPECTION: FAX (907)249-7777 www.muni.org/BSD/Inspections.cfm NAME: -Dennis Albert - -" - -- PERMIT #: 05-1297 COMPANY: Owner ,1Z INSPECT DATE: 12/8/2006 PHONE #: 242-0702 PHONE #: PHONE #: ADDRESS: 18620 FRANCE CIR LOT 14 BLOCK 2 SUBDIVISION: PARADISE VALLEY GRID 0: SW3538 ,J COMMENTS or DIRECTIONS AM; lift station 8. fireplace receptacles l%i TYPE OF INSPECTION: Final Electrical COMMENTS: (FOR INSPECTOR USE ONLY) AJ- T, J- PRINTED NAME /l ' ` _ �` DATE' 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 I WATER SUPPLY PERMIT Initial Permit Number: SWO50381 Date Issued: Oct 05, 2005 Expiration Date: Oct 05, 2006 Parcel ID: 020424-07 Legal Description: PARADISE VALLEY SUBDIVISION BLOCK 2 LOT 14 Design Engineer: 0855 Garness Engineering Group, LTD Site Address: 18620 FRANCE CIRCLE Owner Name: DENNIS ALBERT Lot Size: 25853 SO. FT. Owner Address: 3210 TURNAGAIN DRIVE Total Bedrooms: 4 Permit Bedrooms: 4 ANCHORAGE. AK 99517 - 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: ynhlf -r Issued By: 64/f Date: I 0J. -c0 \ Municipality of Anchorage "1 Development Services Department '= Building Safety Division On -Site Water & Wastewater Program s 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907)343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A�7SINGLE FAMILY DWELLING 7 Parcel I.D. 01?o — 44 Ll- O Permit Number Property owner(s) DENNIS ALBERT Day phone (808) 443-6666 Mailing address (1) 3210 TURNNAGAIN DRIVE/j-•ANCHORAGGF. AK all_ address (2) K69D t"�'(1t G &xr�6. Ruz Zip Code 99517 Legal description (Lot, Block & Sub'd.) LOT 14. BLOCK : PARADISE VALLEY SUBDIVISION Legal description (Section, Lot Size -q.5,9 53 Township & Range) Acre Sq.Ft. THIS APPLICATION IS FOR: Number of Bedrooms 4 Sewer Only ❑ Well Only ❑ Sewer and Well Water Storage ❑ Sewer Upgrade ❑ THIS PROPERTY CONTAINS: Hot Tub ❑ Jacuzzi ❑ Swimming Pool ❑ Water Softening Unit ❑ Therapy Pool ❑ certify that the above information is correct. I further certify that this application is being made for a Single Family Dwelling and is in accordance with applicable Municipal codes. GARNESS ENGINEERING GROUP, Ltd. Permit Fees: 1175 / Date of Payment: Q"�g-c Receipt Number. U Waiver Date of Payment: Receipt Number. GARNESS ENGINEERING GROUP, Ltd. - CONSULTANTS & GENERAL CONTRACTORS September 16, 2005 Municipality of Anchorage Development Service Department On -Site Water & Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, Ak 99519-6650 (907)343-7904 Ref: Proposed Well and Septic System for Paradise Valley S/D; Lot 14, Block 2, To whom it may concern: The proposed 4 bedroom house will be served by a private well and septic system. Two test holes were excavated on the property by our firm on 7/2/1998. The drainfield will be designed around the 30 foot radius of test hole #1. We are proposing to install a 1500 gallon S.T.E.P. tank with a Scat bio -filter and a 5 -wide type drainfield. Comments regarding the design are summarized as follows: 1. SOILS: See the attached logs which shows the soil classifications, groundwater monitoring, and the percolation test results. 2. DRAINFIELD DESIGN: See attached design drawing for drainfield specifications. 3. SURFACE WATERS: There are no surface waters within 100 feet of the proposed septic system. 4. TOPOGRAPHY: As can be seen on the attached topography drawing the average slope in the area of the proposed drainfield is a 25+/- percent slope running approximately east to west. There is a slope greater than 25 percent to the north of the proposed drainfield. We will be maintaining a 50 setback to any slope greater than 25 percent. We are unaware of any adverse impacts this installation would have on adjacent wells or septic systems. If you have anylquestions, please contact us at 337-6179. Thank you for your assistance. P.E., M.S. NOTE: Attacked is a site plan drawing, a design drawing, one soil log, which are all part of the design package for this septic systeiu. (Contact G.E.G. Ltd. for 7 page construction specification letter.) 3701 E. Tudor Road, Suite 101 • Anchorage, AK 99507 Ph: (907) 337-6179' Fax: (907) 338-3246' Website: gamessengineering.com LOT 13, BL09�K I PARADISE VjlEY Y ti TH \ 'Te - - -; Q `+THIS/ PROPOSED SCALE: 4 BEDROOM HOUSE o �f PROPOSED SEPTIC SYSTEM (SEE DESIGN PACE 2 OF 4) - LOT 17 BLOCK 2 ARADISE VALL fl. IQ \ POT iB �TII/1+ , I /� \ 'V,�� UtADISC 7 I I \\\ \\ / CPQ / \ +M/2 / P�lI SE y�KZ TT 20 \ JJ/ \1 PARADISEBLOCK VALLEYI/ \ LOT 14\DIS \v&L 1 / \ \ \ \ PMADISE\VVALLEY \ / \\ f 100' WELL RADS? - - - J GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS & GENERAL CONTRACTORS )01 [. TID'JI1 [CMO. WIC 101 .)IILII.WZC. IN MSO) . I110K (00 11)1110 . Iiut 007)1b-S)M . Y[BY2: mow. m PREPARED FOR: PHONE NUMBER: PACE NUMBER: DENNIS ALBERT (808) 443-6666 1 OF 4 LEGAL DESCRIPTION: DRAWN BY: PARADISE VALLEY SUBDIVISION; LOT 14, BLOCK 2, 1 C.J.G. TYPE OF WORK: SITE PLAN FOR PROPOSED WE (R1v.01105) SYSTEM 1 9 )j OF SEDROOMS:4 PER DAY (CPD): 600 (ION RATE/S: 12 MIN./INCH LE APPLICATION RATE:3.0 0 APPLICATION RATE:2.0 DRA)NFIELD SO.FT.:225 MAXIMUM DEPTH:9 FEET WIDTH:5 FEET LENGTH:30 FEET M.OA APPROVED SAND FILTER: N/A EFFECTIVE:4 FEET REDUCTION FACTOR: 0.5 ACTUAL SO.FT.: 300 ALL AREAS WITHIN 50 FEET DOWNHILL OF THE PROPOSED DRAINFIELD WILL BE GRADED TO LESS THAN 25 PERCENT SLOPE. NOTE: THE CONTRACTOR SHALL HAVE THE SOUTH AND EAST LOT LINE FLAGGED PRIOR TO CONSTRUCTION BY A REGISTERED LAND SURVEYOR. LETTER THAT PERTAINS TO THIS DESIGN. TO OBTAIN A COPY OF THE LETTER \ CONTACT CEG. BY PROCEEDING FORWARD WITH THIS INSTALLATION, THE ENGINEER, WELL DRILLER, CONTRACTOR AND PROPERTY OWNER AGREE THAT THEY HAVE READ THESE SPECIFICATIONS AND ,,CP AGREE TO ACCEPT THE TERMS AND ONDITIONS INED. / NOTE: THE WELL DRILLER SHALL FIELD VERIFY THE SEPERATION DISTANCE TO THE SEPTIC SYSTEM ON LOT 10, BLOCK 2, PRIOR TO DRILLING THE WELL.�/e �W 1TMTI I mf ..1 ALTERNATE SITE / GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS& GENERAL CONTRACTORS 3M1 L TAM VOID. All[ lel • MAIAAIDL Mf 99'A7 F (907).W aln • FM (007)Oy-074 . 9[eS11L �w.yra,aw9Yrapsll PREPARED FOR: PHONE NUMBER: PACE NUMBER: DENNIS ALBERT (808) 443-6666 2 OF 4 LEGAL DESCRIPTION: DRAWN BY: PARADISE VALLEY SUBDIVISION; LOT 14, BLOCK 2, C.J.G. TYPE OF WORK: DATE: DESIGN FOR PROPOSED WELL AND SEPTIC SYSTEM 1 9/15/2( (Ra, 01,51 1 - W STOP OF CUTBANK INSTALL FOUNDATION CLEAR OUT PROPOSED 1500 GALLON S.T.E.P. TANK -PROPOSED 4 BEDROOM SCAT BIO -FILTER SYSTEM 50' SETBACK FROM CUTBANK co 4 ..37 D./ P ' CDrness.- Oy CE -795 :O \ed Pro f e e af0^°ate DOo��.��\o� z k {\ / ri § `C K > (< 2i C: 2 rri \0 COO qtr§ !;- eo>� / \ $ j f |§22 2 / \ § § 22 K§|2 i q Q e & ! § mmm� ;o a) k/&$ 9 q 2 \ � � 2§§ \ �k( 2. Wim! |) § | |{§ ! 22 �. F7, 0:) .0 C) //. �, mg ;2 2 v O�< � °m§ _ | 6 A ©/ &e|�Ko§\j � ' ƒ §;-nwz §§| o fn j m ! z } : a En0 \ / ° \ 010, �y>a: �� r d � •• !• � P � 30' LONG T--------------------- w i MTO OMT i, 1L --------------------J FINAL GRADE GRADE (R. OIM5) GARNESS ENGINEERING GROUP, Ltd.4? 4 CONSULTANTS& GENERAL CONTRACTORS ......• •• ••.•• •• ......•••• 5101 L 111008 M.D. LV11F 101 • M4040PAOL M( "501 • R'YI[ ("7)3371" • fM (901)=5 " • MD141[ �w.,a rYym� a PREPARED FOR: PHONE NUMBER: PAGE NUMBER: QQp'';.j •••••• •••••••• Ca DENNIS ALBERT (808) 443-6666 4 OF 4 Y ess.- LEGAL DESCRIPTION: PARADISE VALLEY DRAWN BY: OQ SUBDIVISION; LOT 14, BLOCK 2,y�' %9 3 ,: `�O TYPE OF WORK. DATE: rofesslot! DETAIL DRAWING OF PROPOSED DRAINFIELD. 9/16/2005 (R. OIM5) GARNESS ENGINEERING GROUP Ltd. �.�•.•�� CONSULTANTS & GENERAL CONTRACTORS °)OI G lU°pi I1YD• SUIE IOI • Ii4C1gNAGE. ML •YSO) • PMnE: C07)M7-6179 (W)3U-33"yvm•.rq.rwinp.Can SOIL LOG — PERCOLATION TEST ... LEGAL DESCRIPTION: PARADISE VALLEY SUBDIVISION; LOT 14, BLOCK 2. ••.J f A. amess- PERFORMED FOR: SUSAN FRITSCH DATE: 2 1998 ��. ' E-79 3 :p 7 �p4 I� 9 0 DEPTH pp'd pyo f e ss1°^Oce (feet) ORGANICS TEST HOLE 1 ��O000��� 1 SOIL CLASSIFICATIONS 3 GP ML ` ti GM CIL q GC OL ee °. •°. a SW MH 5 '::•.: SP CH ------- yeeY SM i i OH ` 1 � 1 6 SC / 7 DEPTH TO DATE GROUNDWATER i 8 SM/GM DRY 7/2/1998 DENSER n+�1 T111z 9 w/ DEPTH DRY 7/11/1998 SCALE: tt DATE READING CLOCK NET TIME WATER LEVEL NET DROP 12 13 14 15 16 B.O.fI. 17 18 19 PERCOLATION RATE 12 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES) TEST RUN BETWEEN 4.5 FT. AND 5.0 FT. 20 A FOUR HOUR PRESOAK WAS PERFORMED: N YES [--]NO SOILS LOGGED BY: JIM WILUAMS PERCOLATION TEST PERFORMED BY: SUSAN OSWALT COMMENTS: PERFORMED BY CEG, Ltd. I, JEFFREY A. GARNESS, CERTIFY THAT THIS WAS P RF RMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: q TIME (MINUTES) READING (INCHES) 7/18/1998 1 11:30 — 6" — 2 12:00 30 3 7 16" 2 9 16" 3 12:00 — 6" — 4 12:30 30 3 1 2" 2 1 2" 5 12:30 — 6" — 6 1:00 30 3 1 2" 2 1 2" GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS 6 GENERAL CONTRACTORS LEGAL DESCRIPTION: NAHAVI5e VALLLT WttumsiUN; LUI 14• HLUL;K i SUSAN FRITSCH DAT PERFORMED FOR: (PAGE 1 OF 2) DEPTH 6" - (feet) 4:30 ORGANICS ITEST HOLE #2 5 9/16- 7/16- 16"3 3 4:32 - SOIL CLASSIFICATIONS 2 4 5:02 30 1 5 9/16- 'bo+ GW ORG 3 5:03 GP ML 6" - HIM GM CL q 30 GC OL 16" 7/16 - °C 'o.o., SW MH 5 '� �'• SP CH SM i i OH 6 Sc 7 911 Iw/ENSER DEPTH 10 11 12 13 14 15 16 17 18 19 DEPTH TO GROUNDWATER DATE DRY 7/2/1998 DRY 7/11/1998 4:00 - 6" - DATE READING PERCOLATION CLOCK TIME NET TIME (MINUTES) WATER LEVEL READING NET DROP (INCHES) 7/13/1998 1 4:00 - 6" - 2 4:30 30 5 9/16- 7/16- 16"3 3 4:32 - 6" - 4 5:02 30 1 5 9/16- 7/16- 16"5 5 5:03 - 6" - 6 5:33 30 5 9/16- 16" 7/16 - PERCOLATION RATE 69 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES) TEST RUN BETWEEN 5.5 FT. AND 6.0 FT. 20 A FOUR HOUR PRESOAK WAS PERFORMED: 0 YES ❑ NO SOILS LOGGED BY: JIM WILLIAMS PERCOLATION TEST PERFORMED BY: SUSAN OSWALT COMMENTS: PERFORMED BY GEG, Ltd. I, JEFFREY A. GARNESS, CERTIFY THAT THIS WAS PE FORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: /'7 oS GARNESS ENGINEERING GROUP, Ltd. o�: T y4p �.�.-.�-.r� CONSULTANTS R GENERAL CONTRACTORS Q. 4 1 O p ... ... .............0 3701 E IIgM POnO, WJE 101 . IMUOWG[, N4 00507 • Pr,OJ.E (W7)M7-6179 & FA[ (W7)339-32" • 0S050L pn.ry.wrYq.mm SOIL LOG — PERCOLATION TEST 0 LEGAL DESCRIPTION: PARADISE VALLEY SUBDIVISION; LOT 14, BLOCK 2,••., ey G rness.- 13 PERFORMED FOR: SUSAN FRITSCH DATE --Z/2/1998 Q r CE -79,53 p4 V -.1..1Ig11.pS'�^o0 DEPTH (PAGE 2 OF 2)dPfessl° (feet) TEST HOLE 2 ru ADD fessio a 1 SOIL CLASSIFICATIONS 2 d: o. GW - -- ORG 3 GP ML GM CL 4 GC OL °° •°• a SW MH N �'• SP CH 5 LJ_ SM off SEE SITE PLAN 6 O SC (PAGE 1 OF 2) 7 LE.I DEPTH TO DATE U GROUNDWATER 8 CL 1 Of 9 ZO SrLE P POE H 10 Q U 4 CLOCK NET TIME WATER LEVEL NET DROP 1t to DATE READING TIME (MINUTES) READING (INCHES) 1nll� 12 7/18/1998 1 11:33 - 6' - 13 J O N 14 W W 15 v 16 17 18 19 PERCOLATION RATE 28.2 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES) TEST RUN BETWEEN 4.5 FT. AND 5.0 FT. 20 A FOUR HOUR PRESOAK WAS PERFORMED: M YES ❑ NO SOILS LOGGED BY: JIM WILUAMS PERCOLATION TEST PERFORMED BY: SUSAN OSWALT COMMENTS: PERFORMED BY GEG, Ltd. I, JEFFREY A. GARNESS, CERTIFY THAT THIS WASP FORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: l5 U 2 12:03 30 2 15 16' 3 1 16' 3 12:04 - 6' - 4 12:34 30 2 7 8' 3 1 8' 5 12:34 - 6' - 6 1:04 30 2 15 16' 3 1 16' Municipality of Anchorage 771 On -Site Water and Wastewater Program (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL Parcel I.D. 020-424-07 Expiration Date: 1 I Z�ZC7 1. GENERAL INFORMATION Complete legal description Paradise Valley Block 2 Lot 14 Location (site address) 18620 France Cir. Current Property owner(s) Fabian Wirnkar Day phone Mailing address Real Estate Agent 18620 France Cir. Anchorage AK 2. TYPE OF DWELLING ® Single Family (w/wo ADU) ❑ Duplex -' ❑ Multiple'Di fellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4 4. TYPE OF WATER SUPPLY: Individual Well Individual Water Storage ❑ Community Class ` Well ❑ Public Water System ❑ Waiver/Variance request for: Received by: Day phone TYPE OF WASTEWATER DISPOSAL: Individual Holding Tank ❑ Community ❑ Public Sewer ❑ COSA to be released to the engineer, unless otherwise requested by the engineer. Date: COSA Fee $ � t Z 5 0 (OV) 6 -1_\� Waiver Fee $ Date of Payment 7 -Z I Receipt Number dw©7 COSA# o SCZ C)1 SLI,5 Date of Payment Receipt Number 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, ordinances, and regulations in effect at the 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 S/,Z711-ga Engineers 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 unseenr„ C� <4 encroachments, deficiencies or discrepancies exist. /� v C. T1-1 6. DSD SIGNATURE System #1 Approved for bedrooms. t ,P�, KENNETH M. cV` ",� � System #2 Approved for bedrooms. �, f`'�eo5 �7 ` °�♦ Disapproved. 1 ty�����j��� Conditional approval for bedrooms, with the followin��`s� ations: ON-SITE y aTrR a aAND tai" ti WAS EV,'ATER z PROGRAM �CO r v 01" Original Certificate Date: S 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 10-10-12.doc 'COSA Checklist Legal Description: Paradise Valley Block 2 Lot 14 Parcel ID: 020-424-07 If more than 1 septic system on lot: COSA Checklist # of Structure served by this system A. WELL DATA Well log is filed with Onsite (or attached) Date drilled 7/18/06 Total depth 254 ft Cased to 249 ft Sanitary seal is functioning correctly Wires are properly protected Casing height (above ground) 41 in. Date of flow test for COSA 5/13/20 Static water level at beginning of test 140 ft. Comments B. TANK DATA Age of tank(s) 14 years Tank type/materialStep/Steel Measured operating fluid level in septic tank 49" Standpipes/foundation cleanout per record drawing Date of pumping NA- Bio Filter system see maintenance report D. ABSORPTION FIELD DATA Which system tested (date installed) 8/2/06 ALL standpipes present per record drawing Total measured depth from grade 8 ft (max) Measured depth to pipe invert from grade 4.4 ft (min) ❑ N/A — pressurized field Monitor tubes go to bottom of effective. If not, state depth into effective Code -required soil cover over field ❑ System presoaked (Required if vacant for greater than 30 days prior to date of test) Gallons introduced gallons Comments/Deficiencies`. COSA Checklist yellow sheet Well production at time of test 3+ gpm Water storage tank volume gallons Well disinfected for coliform test? ❑ Yes 0 No ❑ Coliform bacteria is Negative Nitrate 9.15 mg/L ❑ Nitrate less than MRL (ND) Arsenic ug/L 11 Arsenic less than MRL (ND) Collected by Areterra Consulting Date of Sample 5/13/20 C. LIFT STATION Required maintenance completed Age of lift station 14 years Lift station material Steel Comments: Adequacy test date 5/13/20 Results Q Pass For 4 bedrooms Fluid depth prior to test 1 in Water added 600 gal New depth 21 in Elapsed time 1200 min Final fluid depth 1 in Absorption rate 600 gpd Any rejuvenation treatment (past 12 months) If yes, enter date E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well) Septic Tank/Lift Station on Lot > 100' Community Sewer Manhole/Cleanout > 100' ® Yes if No ft Yes if No ft Neighboring Tank > 100' ® Yes if No ft Private Sewer/Septic Line > 25'FO Yes if No ft Absorption Field on Lot? 100' ® Yes if No ft Holding Tank > 100' Yes if No ft Neighboring Absorption Fields > 100' 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: 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' Yes if No ft If absorption field is under driveway comment below Property Line > 10' ® Yes if No 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 i Surface Water > 100' ® Yes if No ft F. ENGINEER'S COMMENTS r: Waver granted 11/7/2006 for 35' cutbank. G. ENGINEER'S CERTIFICATION I 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 Nitrate advisory Certificate of On -Site Systems Approval # OSC 201345 Subdivision: Paradise Valley Block 2 Lot 14 A water sample revealed a nitrate concentration of 9.15 milligrams per liter (mg/Q. 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 atldress P 0 Box 196650 *, Anc�orageC Alaska M6650' * wuvvu mum org .:i.� �. Sys.,,... .,a.m h.+'ri,� lam ...asa. _,n-"� _. m`t _aa .b 5, 3,�4. a✓, .... r+�v v.,, v,..� ,� .tt�.s, .. 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. Hefty Drilling, Inc. P.Q. Box 112130 Anchorage, AK 99511 (907)345-0593 Email : heftydrilling@ao#.corn Web: www.heftydrilling.com Date Site: Q �� �'} !? C;x" l e. Well Camera Inspection Report Well was inspected down to 50 feet. Ivo wetness was encountered, Ah welded joints in the casing were good, and the pitless adaptor was &oma Inspected by: 0�1-1� Jo ny Ka 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 22 lull Day of �Ck-019,r of 20 2 0 , by and between herein the "OWNER," and the Municipality of Anchorage, herein the "MUNICIPALITY", in accordance with Anchorage Municipal Code (AMC) 15.65.365. In consideration of the mutual covenants contained herein, the parties to this Agreement agree as follows: 1. Advanced Wastewater Treatment Systems. The Municipality grants permission to the Owner to utilize and operate an Advanced Wastewater Treatment System (AWWTS), described as BIO -CYCLE located at (legal description) Paradise Valley Blk 2 Lot 14- 18620 France Circle, Anchorage 2. Maintenance. Repairs and Alterations. ,��(O�wner is required to .read, understand and initial each section) ' P��Kt;+' Throughout the term of this Agreement, the Owner shall enter into a service agreement with an AWWTS service and maintenance provider approved by the Municipality or the inanufacturer's representative. The AWWTS shall be maintained in a satisfactory condition capable of performing as designed and producing treated septic effluent in accordance with the equipment's approval for operation in the Municipality. It shall be the responsibility of the Owner during the term of this Agreement to pay for all repair(s), maintenance, adjustment(s), replacement costs, and inspection costs. This includes an annual maintenance fee (typically $400 to S600). qhs 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 pennitted alterations to the system. ?P,� Owner acknowledges that regular maintenance of an AWWTS reduces the potential failure of the system, which could include sewage backup and costly repairs or drainfield replacement. (rev. 05/18/2018) Page 1 of 3 QA� Owner acknowledges that the Municipality may request records of maintenance and repairs from the manufacturer's representative or maintenance provider. t Owner acknowledges that the fine for failing to maintain and repair an AWWTS may be assessed in accordance with AMC 14.60.030. ?Nk Owner agrees to grant the Municipality reasonable access to test and inspect the AWWTS. The Municipality will give at least 24-hour notice. QAc_ Owner agrees that any sale or transfer of title of the property will not occur without a new Certificate of On -Site Systems Approval. ek(IW 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. QA- Owner agrees to maintain remote monitoring of the AWWTS as required by the AWWTS approval. 3. Term. The term of this Agreement shall begin on the date of approval by the Municipality to operate the installed system, or upon transfer of title, and shall continue while the AWWTS is operational or until title is transferred. 4. Nonwaiver. The failure of the Municipality at any time to enforce a provision of this Agreement shall in no way constitute a waiver of the provisions, nor in any way affect the validity of the Agreement or any part hereof, or the right of the Municipality thereafter to enforce every provision hereof. 5. Amendment This Agreement shall only be amended by authorized representatives of the Owner and Municipality. Any attempt to amend this agreement by either an unauthorized representative or unauthorized means shall be void. 6. Jurisdiction: Choice of Law. Any civil action arising from this Agreement shall be brought in the Superior Court for the Third Judicial District of the State of Alaska at Anchorage. The laws of the State of Alaska shall govern the rights and obligations of the parties under this Agreement. 7. Severability. Any provisions of this Agreement decreed invalid by a court of competent jurisdiction shall not invalidate the remaining provisions of the Agreement. (rev. 05/18/2018) Page 2 of 3 OWNS . By: (signature) G� cieFtr E(z rn ! :� (print name) STATE OF ALASKA } ) ss. THIRD JUDICIAL DISTRICT ) Date: I o 42 2- 20 Z 0 The foregoing instrument was acknow edged before e this _ day ofJ�°% 20,C; by NOTARY PUBLIC FOR ALASKA My Commission expires: /0/"u MUNICIPALITY: uiuz�� �By:(signature) Re,� 2 CC C� GLr-r-o (print name) (rev. 05/18/2018) L TE C7F ALASKA OTAPY PUBLIC tAnno M. Picardmmissicn E';,.: Date: f 0/,)-q Title: Page 3 of 3 DocuSign Envelope ID: 33B79AB4-7562-4599-BF10-C783BE3297A1 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 28th Day of 3uly of 20 20 , by and between Lance c wells , herein the "OWNER," and the Municipality of Anchorage, herein the "MUNICIPALITY", in accordance with Anchorage Municipal Code (AMC) 15.65.365. In consideration of the mutual covenants contained herein, the parties to this Agreement agree as follows: 1. Advanced Wastewater Treatment Systems. The Municipality grants permission to the Owner to utilize and operate an Advanced Wastewater Treatment System (AWWTS), described as BIO -CYCLE located at (legal description) Paradise Valley Blk 2 Lot 14- 18620 France Circle, Anchorage 2. Maintenance, Repairs and Alterations. DS(Owner is required to read, understand and initial each section) ughout the term of this Agreement, the Owner shall enter into a service agreement �%i-� with an AWWTS service and maintenance provider approved by the Municipality or the manufacturer's representative. The AWWTS shall be maintained in a satisfactory condition capable of performing as designed and producing treated septic effluent in DS accordance with the equipment's approval for operation in the Municipality. F-CgS'Vshall be the responsibility of the Owner during the term of this Agreement to pay for all repair(s), maintenance, adjustment(s), replacement costs, and inspection costs. This DS includes an annual maintenance fee (typically $400 to $600). ner agrees that only maintenance and repair personnel approved by the Municipality or the manufacturer's representative will inspect and make any necessary maintenance, DS repairs or permitted alterations to the system. --02S%ner 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) Pagel of 3 DocuSign Envelope ID: 33B79AB4-7562-4599-BF10-C783BE3297A1 FF �b ner acknowledges that the Municipality may request records of maintenance and DS repairs from the manufacturer's representative or maintenance provider. DS acknowledges that the fine for failing to maintain and repair an AWWTS may be DS assessed in accordance with AMC 14.60.030. ner agrees to grant the Municipality reasonable access to test and inspect the F_-F AWWTS. The Municipality will give at least 24-hour notice. �ner agrees that any sale or transfer of title of the property will not occur without a new DS Certificate of On -Site Systems Approval. ner agrees that the AWWTS installation and maintenance requirements as provided by the AWWTS vendor/installer and approved by the Municipality are the governing D_02S41—- Guidelines for the construction, maintenance and repair of the Owner's AWWTS. � - ner agrees to maintain remote monitoring of the AWWTS as required by the AWWTS approval. 3. Term. The term of this Agreement shall begin on the date of approval by the Municipality to operate the installed system, or upon transfer of title, and shall continue while the AWWTS is operational or until title is transferred. 4. Nonwaiver. The failure of the Municipality at any time to enforce a provision of this Agreement shall in no way constitute a waiver of the provisions, nor in any way affect the validity of the Agreement or any part hereof, or the right of the Municipality thereafter to enforce every provision hereof. 5. Amendment. This Agreement shall only be amended by authorized representatives of the Owner and Municipality. Any attempt to amend this agreement by either an unauthorized representative or unauthorized means shall be void. 6. Jurisdiction: Choice of Law. Any civil action arising from this Agreement shall be brought in the Superior Court for the Third Judicial District of the State of Alaska at Anchorage. The laws of the State of Alaska shall govern the rights and obligations of the parties under this Agreement. 7. Severabilitv. 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 DocuSign Envelope ID: 33B79AB4-7562-4599-BF10-C783BE3297A1 OWNER: DOCUS' ned by: By: (signature) 702ECA3D976645A... (print name) STATE OF ALASKA ) ss. THIRD JUDICIAL DISTRICT ) Date: 7/28/2020 1 12:05 PM PDT The foregoing instrument was acknowledged before me this day of , 20_, by NOTARY PUBLIC FOR ALASKA My Commission expires: MUNICIPALITY: By: t (signature) (print name) Date: kl—zo-w Title: (rev. 05/18/2018) Page 3 of 3 ARM Septic Services, LLC Maintenance Checklist. Advanced Treatment System Operational Checklist Advanced Ireatment System Legal [Description: Street Address: 7) Service provided on Date Time: IVA Service provided by Company Employee Date of last service: By: ��ou' Other: 1. Type of Aerocell Treatment System: Cat 11 - AeroCell Treatment System ._I Cat Ill -AeroCellTreatnient System 2. Conditions at media filter: r�cceptable J Unacceptable a Evaluate presence of odor within 10 ft of perimeter of system: None Mild Strong Lj Chemical LI Sour t, Source of odor, if present 3. Manhole Risers and Pipe Caps: wcceptable Unacceptable a "'Ovel"s intact 'es No r) Method of s=curing cover c Any plur-n-bing leaks or :eater intrusion Yes No d Surface waterhnfiltration into components: Yes No 4. Venting/Air supply: __'Vcceptable I i Unacceptable a. Air supply unit operating property :�S Yes L No t) Venting appears operable. _Yes II No 5. Media surface: �17�,cceptabie E" unacceptable a. Biomat on surface. Yes � No b, Uniform spray pattern. Yes No d Ponding inion media_ __J Yes No o Ill uggtrig!clogging of nozzles Yes No fvledia appears to be settling "- Yes>5No 9, Appropriate maintenance performed. �t_Yes "Ll' No h Pest activity at surface , - Yes _ ;�Tlo 6. Effluent quality a. Effluent odor after passing through media filter- 'L-,-';-eNone /<Mild ❑ Strong b Effluent color after passing through media filter ',.Clear D7 Brown f Black X 24738 ChLlgiak Drive *Chugiak, AK 99567 Ph: (907) 317-9433 office/fax: (907) 688-.9433 Email: ARMSet-vicesAK@outtook.com (PAGE 1 of 3) 7. Tasks for recirculating/discharge flows: i; Acceptable t_ Unacceptable a. If applicable. Dandy valve functioning 7�t Yes I NoIA V, b. If applicable. Jandy Valve basin dry: I Yes LNo N/A c. Cleaned collection system in Aerocell unit: +J Yes No :�!"ot Necessary d. Design recirculation ratio: 80 : 20 e. Actual recirculation ratio (Estimated): 13. Pump System: acceptable LUnacceptable a, Control panel in Auto: Yes No b. Timer settingsyt? ON: q., `i o "— OFF: Override ON: ", ! Override OFF:. c. Floats in correct placement: des ❑ No d. High water alarm operational: ,.Yes ❑ No e. High water alarm //.count:.__LT,7�;,v f_ Pump run time: g. Pump run counts: 'q4� h. Effluent Filter serviced: `�es Dj No i. Tank lids secured after inspection: 'moi Yes i � No j. Weep hole functional: XYes j_; No 9. Primary Tank: XAcceptable 1- Unacceptable r� < a. Sludge and scum level checked: Yes No Sludge/Scum levels: t b. Tank needs to be pumped: Yes NO c. Tank lids/caps secured after inspection. Yes L_jI No d Last Date Tank pumped: 10. Drainfield: a. Type of Drainfield (circle one): Bed�a 5 -wide Beep Trete..---' b. Design Effective depth: - incheNet c. Checked Liquid Levels in Drainfie : Yes u No MT#1 Liquid Level: Inches MT#2 Liquid Level: 1— Inches MT#3 Liquid Level: Inches MT#4 Liquid Level: Inches d. Is there any surfacing effluent?: -1 Yes 1 No 11. Is the system in satisfactory condition/pass inspection? (if no, describe in comments) s NO 12. Does this system receive an advisory notice/warning? (if so, describe in comments) YesNO 12. Is the remote monitoring system functioning? (if no, describe in comments) _ Yes' _ NO 13. Type of monitoring system?: i_ 24738 Chugiak Drive *Chugiak, AK 99567 Ph: (907) 317-9433 office/fax: (907) 688-9433 Email: ARMServicesAK@outtook.com (PAGE 2 of 3) ARM Scpiic Scrviccs, LI -C Servicr. Provider. } .1+. /� _Date: r' 24738 Chugiak Drive `Chugiak, AK 99567 Ph: (907) 317-9433 office/fax: (907) 688-9433 Email: ARMServicesAK@outtook.com (PAGE 3 of 3) • sir .?5,- • i_ Municipality of Anchorage J`. u "'� �y.z.:-,=,,. .<;._tea- / On-Site Water and Wastewater Program__ •sA 1°i (907) 343-79042 ; SA ETY Certificate of On-Site Syste ft.Approval y Parcel I.D. 020-424-07 —`•ration Date: - . • \ ti 1. GENERAL INFORMATION: Complete legal description Paradise Valley; Block 2, Lot 14 Location (site address) 18620 France Circle*Anchorage,AK 99516 Current Property owner(s) Brian Wolf Day phone 891-6865 Mailing address Real Estate Agent Laura Halverson Day phone 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ® Individual IZ Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community El Public Water System ❑ Public Sewer ❑ WaiverNariance request for: • Distance: Received by: << - Date: IX / 1. /I -9 COSA to be released to the engineer,unless otherwise requested by the engineer. COSA Fee $ 1?. 111/11 Waiver Fee $ Date of Payment 5 loZ6 — Date of Payment Receipt Number 63036'6) Receipt Number COSA# O S C 1'715495 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. Name of Firm: Garness Engineering Group,Ltd (GEG) Phone: 907-337-6179 Address: 3701 East Tudor Road,Suite 101-Anchorage,Alaska 99507 Engineer's Printed Name: Jeffrey A. Garness Date: (Z if If In conducting this evaluation, GEG provided an engineering evaluation of the well and/or septic system o OF A %%v in accordance with the guidelines and regulations established by the Municipality of Anchorage ando K' -..••••••• c� industry practices. The reported results describe the condition of the system/s on the date/s of the _ evaluation. Separation distances were measured to readily identifiable features. Hidden defects or �p P T ��1 •%.-7,t, O encroachments may exist that were not identified during the evaluation. The operational life of all wells / 4- I • , 00 and septic systems depend upon a variety of variables, including but not limited to, soil conditions, groundwater levels (that may fluctuate during the year), quality of construction (materials and Q workmanship),and the water usage of the family utilizing the system/s. These conditions can vary,and are outside the control of GEG. Satisfactory test results do not guarantee future performance of the oO ;e 'r:y A. 'Tr' ss;• system/s;therefore, GEG makes no warranty(express or implied) regarding the future performance of QO CE— 9 3 • �p� the well or septic system. GEG makes no representation whether an alternative well or septic system 9's •. •'�•� can be installed on the property in the event either of the current systems fail to perform adequately in ��fe (• it (4 c'o the future. The content of this report is for the sole benefit of the person/party that retained GEG to D eo'p 0 f e s slon�p , perform the evaluation. Reliance upon the information provided in this report by any other person or �Op�O�000 party (including subsequent property purchasers) is not authorized, nor will it confer any legal right whatsoever. #AECC884 6. DSD SIGNATURE System #1 Approved for L( bedrooms System #2 Approved for bedrooms Disapproved `` � �\\IY OF ',, Conditional approval for ,q bedrooms, • with the followiQg �l.tlations: ti ON-SITE O. WATER ANC. o WASTEW1. ..; PROGRAM • By: Original Certificate Date: )2-l 2_—I 7 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 Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA blue sheet 10.10-12.doc If more than 1 septic system is on the lot: COSA Checklist# of Structure served by this system Certificate of On-Site Systems Approval Checklist Legal Description: Paradise Valley; Block 2, Lot 14 Parcel ID: 020-424-07 A. WELL DATA Well type Private If A, B, or C provide PWSID# N/A Well Log (Y/N) Yes Date completed 7/13/2006 Sanitary seal (YIN) Yes Wires properly protected (Y/N) Yes Total depth 254 ft. Cased to 249 ft. Casing height (above ground) 18+ in. FROM WELL LOG AT INSPECTION Date of test 7/13/2006 11/17/2017 Static water level 205 ft. 145.2 ft. Well production 6 g.p.m. 2.5+ g.p.m. WATER SAMPLE RESULTS: Coliform NEG colonies/100 ml. Nitrate 5.71 mg./L. Collected by: GEG. Ltd. Arsenic: <5 ug./L. Date of sample: 11/17/2017 B. SEPTIC/HOLDING TANK DATA Tank Type/Material S.T.E.P./Steel Date installed 7/27-8/2/2006 Tank size 1500 gal. Number of Compartments 2 Cleanouts (Y/N) Yes Foundation cleanout(Y/N) Yes Depression over tank (Y/N) No High water alarm (Y/N) Yes Date of pumping 11/24/2017 Pumper A+ Home Services, Inc. C. ABSORPTION FIELD DATA *Below Existing Grade At MT2 **Quanics Treatement Systerr Date installed 7/27-8/2/2006 Soil rating k-p.d.. or ft2/bdrm)**3.0 System type Shallow Trench Length 30 ft. Width 5 ft. Gravel below pipe 4.26 ft. Total depth *8 ft. Eff. absorption area 300 ft` Monitoring tube Yes Depression over field No Date of adequacy test 11/20/17 Results (Pass/Fail) Pass For 4 bedrooms 469+611 Fluid depth in absorption field before test **1 in. Water added =1080 gal. New depth 17 in. Elapsed Time: 120 min. Final fluid depth 10 in. Absorption rate >= 600+ g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N &type) None Known If yes, give date — **INTRODUCED 469 GALLONS INTO THE DRAINFIELD PRIOR TO RECEIVING A LIQUID LEVEL READING IN MT2. ***MT#2 ONLY EXTENDS 2.66 FEET BELOW THE INVERT; FUNCTIONALITY OF MT#1 WAS NOT CONFIRMED *SECOND COMPARTMENT OF 1500 GALLON STEP TANK. **SEE ATTACHED MAINTENANCE REPORT ***PER 2007 MOA ELECTRICAL INSPECTION REPORT. D. LIFT STATION Date installed 7/27-8/2/2006 Size in gallons *500 Manhole/Access(Y/N) Yes "Pump on"level at Timer in. "Pump off" level at Timer in. High water alarm level at 46 in. Datum Bottom of Tank Cycles tested ** Meets alarm &circuit requirements? ***Yes E. SEPARATION DISTANCES SEPARATION DISTANCES FROM 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 75'+ Animal containment areas 50'+ Manure/animal excrete storage areas 100'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Absorption field 5'+ Water main 1 O'+ Water service line 10'+ Surface water 100'+ Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ Building foundation 10'+ Water main 10'+ Water service line 10'+ Surface water 100'+ Driveway, parking/vehicle storage 10'+ Curtain drain None Known Wells on adjacent lots 100'+ F. COMMENTS �c>fv-� cuQF flwF�vtnr ey- Z-(3 - 11 oo600p0� G. ENGINEER'S CERTIFICATION v OF ' L \\, p0 •I certify that I have determined through field inspections and p * :: ' - *O0� review of Municipal records that the above systems are invA conformance with MOA COSA guidelines in effect on this . .,f date. I - f y Ga ness. Q Engineer's Printed Name JEFFREY A. GARNESS 1/1%. � h• CE-7 9 �A�po " N�``e,, 1 Date z/I ill � a p ro� ofessio�v ��O0000�� #AECC884 (Rev.11/05) 4 0� 3 2� 0 Z • 00 Co `' CP 7 / W Fr) cO W Co :3) if...k • V 0. • • T° F P����p J5E �p0 /4ilk y • • 0 oo.. J` eN l •C"os6o °'urq�n-F,ey��fNr 0000Dop�4 OF AIN FRANCE 0 �� kl P m s p� CIRCLE �, 49 — Op o 5A.,�, o OV.. SHANE A.HOLT a�0 Q "0,. ... LS-6914 .••.y,�o� AS-BUILT SURVEY 1�° = 3D° �4ppp, o NO CORNERS SET THIS DATE o'es sions%.c 4'000���� I HEREBY CERTIFY THAT I HAVE PERFORMED A SURVEY OF THE FOLLOWING DESCRIBED PROPERTY LOT 14, BLOCK 2, PARADISE VALLEY SUB. THE INFORMATION HEREON IS FOR THE USE OF LENDING INSTITUTIOMS SPECIFICALLY TO SHOW ANY ANCHORAGE RECORDING DISTRICT, ALASKA, AND THAT THE CONFLICTS BETWEEN EXISTING STRUCTURES AND PLATTED LOT LINES AND/OR EASEMENTS; AND IS VISIBLE IMPROVEMENTS SITUATED THEREON ARE WITHIN NOT TO BE USED FOR POSITIONING ADDITIONAL STRUCTURES, IMPROVEMENTS, OR FENCELINES. EASEMENTS OF RECORD, OTHER THAN THOSE APPEARING ON THE RECORD PLAT , ARE NOT SHOWN THE PROPERTY LINES AND NO VISIBLE ENCROACHMENTS HEREON ( UNLESS INDICATED) EXIST OTHER THAN NOTED. NOTE: FENCELINES THAT NAY APPEAR ON THIS DRAWING ARE NOT TO BE USED TO DETERNNE DATED AT ANCHORAGE,ALASKA THIS _4TH DAY OF PROPERTY LINES OR POSITION ADDITIONAL IMPROVEMENTS. DECEMBER , 2017. ART PAVING SHOWN HEREON MAY BE APPROXIMATE DUE TO EXCESSIVE SNOW AND/OR ICE. HOLT LAND SURVEYING 9309 GROVER DRIVE ANCHORAGE,AK 99507 17175. FB /59-40,45.186-35 345-5513 Municipality of Anchorage ' Development Services Department F 'x Building Safety Division SAPEY On-Site Water and Wastewater Program 4700 Elmore Street P.O. Box 196650 Anchorage,AK 99519-6650 www.muni.org/onsite (907) 343-7904 Nitrate Advisory Certificate of On-Site Systems Approval # OSC171565 A Certificate of On-Site Systems Approval inspection and test of potable water was recently conducted on the well water supply on Block 2, Lot 14 of Paradise Valley subdivision. This inspection revealed a nitrate concentration of 5.71 milligrams per liter (mg/L) was reported for the property's well water sample. 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. 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. !� Municipality of Anchorage °.`:=s; On -Site Water &Wastewater Program �= i •. (907)343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL Parcel I.D. 020-424-07 Expiration Date: Zd W 2 & - 1 3 1. GENERAL INFORMATION Complete legal description PARADISE VALLEY S/D; BLOCK 2, LOT 14 Location (site address) Current Property owner(s) Mailing address Real Estate Agent 18620 FRANCE CIRCLE, ANCHORAGE, AK, 99516 DENNIS ALBERT Day phone 18620 FRANCE CIRCLE, ANCHORAGE, AK, 99516 947-8146 JIM MURPHY W/ PRUDENTIAL JACK WHITE Day phone 720-7999 2. TYPE OF DWELLING: Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well Individual On-site Individual Water Storage ❑ Individual Holding tank ❑ Community Class Well ❑ Community On-site ❑ Public Water System ❑ Public Sewer ❑ i Received by: COSA to be release to the engineer, unless otherwise requested by the engineer. COSA Fee $ % tI�/ Date of Payment 1 Lid 1 3 Receipt Number 05 b COSA # cFICkb� 3 11 Date: _ - Waiver Fee $ Date of Payment Receipt Number 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. t 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. Name of Firm GARNESS ENGINEERING GROUP, Ltd. Address 3701 E. TUDOR ROAD, SUITE 101 • ANCHORAGE, AK, 99507 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Engineers Comments: fn conducting this evaluation, GEG, LtD. attempted to provide a thorough, conscientious engineering analysis of the system in accordance with ADEC and MOA DSD Guidelines 8 Regulations. The reported results described the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily identrable features. The operational life of all wells and septic systems depend on the local soils condition, groundwater 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 ofthe system. Satisfactory test results do not guarantee future performance of the system, not do they guarantee that there are no hidden defects or encroachments. GEG, LTD. can therefore not provide any warranty or future estimate of how long the system will continue to meet the operational requirements of the ADEC or MOA DSD. The content of this report is for the safe benefit of the owner listed above. Any reliance upon or use of this report by any other person orparty is not authorized, nor will it confer any legal right whatsoever. 6. DSD SIGNATURE System #1 Approved for 14 bedrooms. System #2 Approved for Disapproved. Conditional approval for bedrooms. Phone 337-6179 Date ' /?) bedrooms, with the following stipulations: ,11,(IOF AA(6 ON-SITE WATER AND o WASTEWATER �. r rncv ter' -,-,RAGA Original Certificate Date: -7 '& - /3 The1M6nicip9iity gVAncli�age Develop,emt Services Division (DSD) issues Cer0cates of On -Site Systems Approval (COSA) based only upon the represenatations 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. ATTCHMENTS: COSA Checklist Septic System Advisory Well Flow Advisory (Rev. 11/05) 1'/ Nitrate Advisory Arsenic Advisory Other If more than 1 septic system is on the lot: COSA Checklist # of Structure served by this system Certificate of On -Site Systems Approval Checklist Legal Description: L1111'dl440r7_\/_1 PARADISE VALLEY S/D; BLOCK 2, LOT 14 Parcel ID: 020-424-07 Well type PRIVATE If A, B, or C provide PWSID# N/A Well Log (Y/N) YES Date completed 7/18/2006 Sanitary seal (Y/N) YES Wires properly protected (Y/N) YES Total depth 254 ft. Cased to 249 ft. Casing height (above ground) 24+ in. FROM WELL LOG AT INSPECTION Date of test 7/18/2006 8/16/2012 Static water level 205 ft, 136 ft, Well production 6 g,p,m, 4.19+ g,p,m. ILTAJi�y_��IJ4W:7x.Yl1NC.y Coliform U colonies/100 ml. Nitrate mg./L. Collected by: GEG, Ltd. Arsenic: ug./L. Date of sample: 6/11/2013 B. SEPTIC/HOLDING TANK DATA Tank Type/Material S.T.E.P./STEEL Date installed 7/27-8/2/2006 Tank size 1500 gal. Number of Compartments 2 Cleanouts (Y/N) YES Foundation cleanout (Y/N) YES Depression over tank (Y/N) NO High water alarm (Y/N) YES Date of pumping 6/7/2012 Pumper AROUND THE CLOCK PUMPING C. ABSORPTION FIELD DATA *BELOW EXISTING GRADE **QUANICS TREATMENT SYSTEM Date installed 7/27-8/2/2006 Soil rating EEN50r ft2/bdrm)**3.0 System type TRENCH Length 30 ft. Width 5 ft. Gravel below pipe 4.26 ft. Total depth *9.1 ft. Eff. absorption area 330 ft2 Monitoring tube YES Depression over field NO Date of adequacy test ***8/16/2012 Results (Pass/Fail) PASS For 4 bedrooms Fluid depth in absorption field before test 16 in. Water added 650 gal. New depth 30 in. Elapsed Time: 165 min. Final fluid depth 24 in. Absorption rate >= 60D+ g,p,d, Any rejuvenation treatment (past 12 mo.) (Y/N & type) NONE KNOWN If yes, give date — ***MT ONLY EXTENDS 36" INTO 51" EFFECTIVE. TOTAL DEPTH AND LIQUID LEVELS ARE CALCULATED. DRAINFIELD WAS DRY UPON INSPECTION ON 6/11/2013. D. LIFT STATION *SEE ATTACHED MAINTENANCE REPORT. Date installed 7/27-8/2/06 Size in gallons 1500 Manhole/Access (Y/N) YES "Pump on" level at TIMER in. "Pump off' level atTIMER in. High water alarm level at 46 Datum BOTTOM OF BASKET Cycles tested * Meets alarm S circuit requirements? YES E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot 100'+ On adjacent Absorption field on lot 100'+ Public sewer main N/A Sewer /septic service line 25'+ Animal containment areas 50'+ e On adjacent lots 100'+ Public sewer manhole/cleanout N/A Holding tank N/A Manure/animal excrete storage areas 100'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Absorption field 5'+ Water main N/A Water service line 10'+ Surface water 100'+ Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ Building foundation 10'+ Water main N/A Water service line 10'+ Surface water 100'+ Driveway, parking/vehicle storage 10'+ Curtain drain NONE KNOWN Wells on adjacent lots 100'+ F. COMMENTS SEE ATTACHED LETTER REGARDING REPAIR & MH RISER. G. ENGINEER'S CERTIFICATION i certify that / 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. Engineer's Printed Name JEFFREY A. GARNESS Date -712)1-? (Rev. 11/05) .J ff A\, Gar ess. 9: T7 3 J Municipality of Anchorage i. rkk,T Community Development Department f _— Development Services Division 5A ETY On -Site Water and Wastewater Program 4700 Elmore Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907)343-7904 Nitrate Advisory Certificate of On -Site Systems Approval # 131311 A Certificate of On -Site Systems Approval inspection and test of potable water was recently conducted on the well water supply on Block 2, Lot 14 of Paradise Valley subdivision. This inspection revealed a nitrate concentration of 5.38 milligrams per liter (mg/L) was reported for the property's well water sample. 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. UNIT # 36 Legal Description: Paradise Valley S/D, Lot 14, Block 2 Street Address: 18620 France cirri Owner Name: Dennis Albert (renters Dan/Rhonda Schmidt) Billing Address: 2831 Wiley Post Anchorage, AK 99517 Phone #1 222-0377 (renters #) Phone #2 947-8146 Phone #3 Start up date: Contract end date: Photos 2404-2406 Dates of service6O a L Timer - Off 10 Override - On 2:30 Override - Off r 5 Timer -On n 2:30 Pump Run Time q 46537 Low Level Count �Z� �. 1812 High Level Count 147-152 Orfice clogged (Y/N) y Office Cleaned (Y/N) Phone Line Working (Y/N) Tank Levels Checked (Y/N) Pumping Needed (Y/N) ? Floats Checked (Y/N) Yi Monitoring tubes 1711 Filter Plates Cleaned (Y/N) Pressure Filter Cleaned (Y/N) All Lids Secured(Y/NA Door Hanger er left on door (Y/N) y y y TO'd Wo OT=90 ZTOZ-6Z-Dn UNIT # 36 Legal Description: Paradise valley SID, Lot 14, Block 2 Street Address: 18620 France CirclL Owner Name: Dennis Albert (renters Dan/Rhonda Schmidt) Billing Address: 2831 Wiley Post Anchorage, AK 99517 Phone #1 222-0377 renters Phone #2 947-8146 Phone #3 Start up date: 1/10/08 Contract end date: 1 /�' Photos 2404-2406 71ti~, `o QJYKP �� IL- Notes: onwue •au[aoreaKar vn. - mayoa mnuarK;au uy heavy surface runoff. Check in fall. "10/10/09 - 17" of water In MT No water In Co's. MT may exten to bottom of sand. — Y� 0 G 6 e. A+' At .% I S VA-er, s v PACpro "f A6 0, r, lxc d.. 00t A10f ('0l3/r l 1963 0(00 Z0'd wo TT=S9 ZTaz-6Z-Dnu •- . • r ;2 IMM03 MN no Kim 01 - • •too were 71ti~, `o QJYKP �� IL- Notes: onwue •au[aoreaKar vn. - mayoa mnuarK;au uy heavy surface runoff. Check in fall. "10/10/09 - 17" of water In MT No water In Co's. MT may exten to bottom of sand. — Y� 0 G 6 e. A+' At .% I S VA-er, s v PACpro "f A6 0, r, lxc d.. 00t A10f ('0l3/r l 1963 0(00 Z0'd wo TT=S9 ZTaz-6Z-Dnu 49TH* ....kHoffman.. a LS -9020 o� G ��� fassiona� �'a SET SPIKE ON PROP. LINE(TYP) LOT 11 TRACT A The location of the structures) as shown on this record drawinij (as -built) compli®a with "fiti6 2"1, AI LOT 10 4O'OO W 2pS,gO, LIFT � STATI ON LOT 14 0 5 N Z3f LIFT STATIONS m 0 N SWELL VALVE EXISTING BUILDING j sS 20.? OS EXISTING GRAVEL ^� PROPOSE[ N PAVED 1.9. DRIVE,, 446.. i 0, Co rk ... FASeMeNr N J LOT 13 LOT 15 I w (_) w z 1 Qv ry ry l�f NOTE: THIS DRAWING IS NOT TO BE MODIFIED FOR USE AS A PLOT PLAN. TET ev, EXCLUSION NOTES: It is the owners' responsibility to determine LEGEND: SET FND the existence of any easements, covenants, or restrictions 5/8"RB W/CAPD 5/8" RB DENNIS ALBERT which do not appear on the recorded subdivision plat. NOTE: 3.25" AL.MON. $ m� MONUMENT Under no circumstances should any data hereon be used for w NUB & TACK El construction or for establishing property lines. FENCE_ —x—x— SURVEY CERTIFICATION: LANTECH has conducted a OVERHANG- VERHANG physical physical survey this property as shown on this ODECKS La drawing and thatt the improvements situated CONCRETE - thereon are within the property lines and no ASPHALT - — ■ encroachments exist other than noted. SEPTIC STANDPIPES -0 AND &CONSTRUCTION SURVEYORS—PLANNERS—ENGINEERS A S— B U I L T O F: LEGAL DESCRIPTION: WAWL ELEv.(TERNoELDA- TUM)-® too.o AAO WEST BENSON BLVD. /j 200 (fax) —6626 ANCHORAGE, ALASKA 99503 6 (907) 562-5291 LOT 14, BLOCK 2, WORK ORDER NUMBER: DATE: SCALE: PLAT NUMBER: 2005—LH—Z�6Abj--SEPT. 1, 2006 =30 J O aRANN BN CHECKED eY GRIa NUMBER: 87-16 PARADISE VALLEY SUBDIVISION BOOK/PAGE: TM APH 3538 659/30 GARNESS ENGINEERING GROUP, Ltd. Um ., , _ . CONSULTANTS & GENERAL CONTRACTORS August 28, 2012 Municipality of Anchorage Development Services Department Building Safety Division On -Site water and Wastewater Program 4700 Bragaw Street Anchorage, Alaska 99519-6650 Ref: COSA for Paradise Valley Subdivision, Lot 14, Block 2 To whom it may concern: Attached is the COSA submittal package for the subject property. The purpose of this letter is to document several issues regarding the septic system (Quarries Aerocell system). The issues are summarized as follows: 1. During a prior maintenance inspection of the Quanics unit by "Around the Clock Pumping", it was noted that there was minimal pressure and spray pattern coming out of the nozzles inside the Aerocell trickling filter. We indicated to the owner, Dennis Albert (who installed the system in 2006) that the line between the STEP tank and the Aerocell pod would need to be replaced. Our intent was to inspect the repair prior to it being buried, so we could confirm that the line was sloped to provide drainage after each pump cycle, and to confirm that board insulation was placed over line for freeze protection. Somehow there was a miscommunication and Mr. Albert completed the repair and buried it without having it inspected by Gamess Engineering Group Ltd. In short, the repair was made, and "Around the Clock Pumping" confirmed that the pressure and spray pattern were now good; however, the work was not inspected by GEG. 2. The MH riser (HDPE) that was installed in 2006 is now vertically out of level. During past inspections there has been no indication that there is any leakage/intrusion around the interface between the MH riser and the STEP tank connection. In short, although the MH riser is slightly out of vertical alignment, it appears to be functional and watertight. If you have any que,�Jions, please contact me at 337-6179. P.1J., M.S. 3701 East Tudor Road, Suite 101 * Anchorage, AK 99507-1259 Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: gamessengineering.com