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HomeMy WebLinkAboutTHOMAS L BOYLE BLK 1 LT 10AThomas L. Boyle Block Lot 1 IOA #015-283-24 trcev uoiuu 10) Municipality of Anchorage On-Site Water and Wastewater Section • (907) 343-7904 Page 1 of 3 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP201390 PID Number: 015-283-240 Dwelling: ❑■ Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑E New ❑ Upgrade Name EMILY CHIANG HUI-JU & JASON GRAHAM ABSORPTION FIELD ❑ Deep Trench ❑ Wide Trench ❑ Bed 0 Mound Site Address 11909 GANDER ST. ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 907-632-7366 4 3 GPD/SF 0.0 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade +0.5 Ft. Gravel depth beneath pipe 0.5 Ft. Subdivision Block Lot THOMAS L BOYLE 1 10A Fill added above original grade 4.2 Ft. Gravel length 30 Ft. Township Range Section Gravel width 5 Ft. Beds: Number of Lines N/A Distance between lines N/A Ft. SEPARATION DISTANCES To Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Tank Line 150 Ftz 1 N/A Ft. Well >50' >50' >50' N/A >25' TANK ❑ Septic ❑ S.T.E.P. ❑ Holding X Other Manufacturer Capacity ADVANTEX 1500 Gal. Surface Water >50' >50' >50' N/A Material Fiberglass Number of compartments 2 Lot Line >5' >5' >5' N/A NA Foundation >10' >10' >5' N/A LIFT STATION Manufacturer Orenco/Anchorage Tank Capacity 150 Gal. Remarks Alarm location INSIDE GARAGE Electrical installed by Owner PIPE MATERIAL House to tank D3034Tank to D3034 drainfield Installer RED DOG Drainfield D3034 CO/MT D3034 Inspector J. MILLETTE BENCH MARK (Assumed elevation) 100 ft Inspection 1m 1/14/21 1/15/21 Location and description dates: aro 1/21/21 nd 411 1/22/21 FRONT DOOR THRESHOLD ON-SITE WATER AND WASTEWATER SECTION APPROVAL Engineer's Stamp Conditional Approval: Date ' �tp �� 49 ..... ... Benjaff4iwSchiller � •, •. � F� CE 12592 'srF Septic System Approve !n, Date s z-C(-Z • 5/21/21 •'�C,�,� F�pRO Note: this approval does not include well permit requirements. FEVQAFESSIONP�� ®�O trcev uoiuu 10) t ENGINEERING 49 THi Ben aI.......... n Schiller CE 12592 �c4� ��1�o-PR0FESSIONQ��-��®� THOMAS L. BOYLE SUB, BLOCK 1 LOT 10A PERMIT # OSP201390 PID # 015-283-24 IX m 1 50 100, ,: FEET1 A B C FCO 32.85 7.4 MH1 46.3 20.7 MI -12 53.4 31.4 PV1 51.7 33.5 MT1 1 156.4 152.6 MT2 147.7 139.1 LEGEND CO - CLEANOUT 2CO - DOUBLE CLEANOUT FCO - FOUNDATION CLEANOUT FS - FLOW SPLITTER VALVE MH - MANHOLE MT - MONITORING TUBE PV - PUMP VAULT TH - TEST HOLE 00 r F- THOMAS L. BOYLE SUB, BLOCK 1, LOT 10A PERMIT # OSP201390 PID # 015-283-24 96.2 GROUNDWATER 1/20/21 00m E N G I N E E R I H G PROFILE AS -BUILT (NO SCALE) 101.4 ORIGINAL GRADE TM Benja in Schiller CE2112/5912 2 NORTHERN GEOTECHNICAL ENGINEERING, INC.,/ 'TERRA FIRMA 'BESTING. � a . '.b�"�� �a�: Pa*--� xis ,.�• - 4`x� �. 7 � 'c,�,�`�"°, y. �`*�9�2 a .� PROJECTCLICNT: _ PROJECTNAME: _ PROJECI•NO.: _ SAMPLE LOC.: _ NU\413 F" R/ 1)EPTi-1: _ DESCRIPTION: _ DATE RECEIVED: _ TESTED I3Y: _ RIE\V1ED BY: 100 90 SO 70 60 z 50 rc 40 z 30 20 10 0 las 140 J 135 z 130 N 125 n 120 I15 0 2 4 6 8 10 12 14 16 MOISTURE CON'rENT (%) Forge Engineering Thomas L. Boyle X665-20 TP #S; Lot l0A/ Block 1 20-S-4 Poorly -graded sand w/ silt 1/18/2021 JA RJPC % GRAVEL 1.2 % SAND 86.8 % SILVCLAY 12.0 % MOIST. CONTENT 18.4 USES SP -SIM USACOE PC N/A % PASS. 0.02 mm N/A % PASS. 0.002 mm N/A UNIFORMITY COCFFICii?NT (C„) UNKNOWN COEFFICIENT OF GRADATION (Q UNKNOWN ASTM D1557 (uncorrected) N/A ASTM D4718 (corrected) N/A OP'T'IMUM ivi01S1'. CONTENT. (corrected) N/A PARTICLE SIZE ANALYSIS ASTM D422/ C 136 U.S. US. SI4:\`i: NU\till:itS 1 II'lUI:U\:1i7'!:!t r 3 u 3; IP_ 3'S 94 alo za 0:1) -Go '100 -200 i i- F—! �I� L� I� I� } I i_I (I , iI I l it I I. f! I 11 I{ I ��T-(� tt 1 l i I� ! i 1 1 1 III!moi 1 I i I_I I I _ IM I I I I ! I I- �l I ! I' i I _ I! I II I I! Mil � I f i 1� Ii I illi I I IIS �. II1!I i _4�(1 �i!^ i! I iii I t I f'I_ !I!! .1-14i I I— I!!I I i —1— l— f ! !Ti , 1 19.00 1 3/4" 12.70 1/2" !_I_i ! I l i !_! � Ti i rl �{—� �i !L i-! WHIL- i !!! i 4.75 �i1;�1•-1-' I I'lil! i( ii!1r i I l iTi f 77-- ('11! I I ��fTi 1—I- —IL ' 0.85 -ILLII I 1 IIj CI_ j I F— III -i I (—all1 I I F T�— 1 1 I I i ! 1 I ! 1 I I I i! JJI !! � I 36 jl�fil '-' 100 iS 0.075 11 i i,!Illl I 1 rri i -i- I ! 1177 -r -I-1#1111 r!!iI! I 1I-�-i- !ii I 100 10 1 0.1 GRAIN SiZE (nun) I GRAVEL I SAND COBBLES SIEVE ANALYSIS RESULT SIEVE SIZE (»I„) SIEVE SIZE (U.S.) TOTAL r SPrCIFICA-n0N PASSING (r PASSING N/A DEGRADATION 152.40 6" PLASTICITY INDEX 76.20 3" N/A 38.10 IS" , 1 19.00 1 3/4" 100 12.70 1/2" 100 9.50 3/8" 100 4.75 1,4 99 2.00 1110 98 0.85 420 97 0.43 #40 94 0.25 1,60 36 0.15 '-' 100 iS 0.075 1200 12.0 0.01 0.001 HYDROMETER RESULT SILT' or CLAY 1\401STURE-DENSITY RELATIONSHIP ASTM D1557 ELAPSED DIAMETER TOTAL % TIME (NIIN) (mm) PASSING 0.5 1 4 8 15 30 60 250 1440 HYDRAULIC GOND. (ASTM D2434) N/A DEGRADATION (ATM T-3 I3) \/A PLASTICITY INDEX —��–ii—'— N/A t—�- , 1 f ' �}t�—j1'�1' ii—f-- T i �j1�71�� —i-(—I =FT:4— I —'1-1 ---- r 1 1 f 11 I I 1 i Ji I ! 1 1 ! �- 1 — 1 -#1#111 —r—r-r 1 ! 1 --i—i— ELAPSED DIAMETER TOTAL % TIME (NIIN) (mm) PASSING 0.5 1 4 8 15 30 60 250 1440 HYDRAULIC GOND. (ASTM D2434) N/A DEGRADATION (ATM T-3 I3) \/A PLASTICITY INDEX 4318 N/A The testing services reported herein have been performed to recognized industry standards; unless otherwise noted. No other warranty is made. Should engineering interpretation or opinion be required, NGL'-'FFI' will provide upon written request. 11301 Olive Lane -Anchorage, Alaska 99515 - Phone: 907-344-5931 - Fax: 907-344-5993 www.ngegft.com Date Drill eds s — 83 Static Wator L l feet Drax Down A feet M�t��ll �x i.l1�d a U toIj _ l to -5� e�,, Gallons Per Minute Total Feet of Casing„ to to Hefty Drilling S.R.A. Box 1553 H yam' "77�0/r»ers j`"%Sah ar Anchomge,Alasks 99507 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: OSP201390 Work Type: Septic Upgrade Tax Code Number: 01528324000 Site Legal Address: THOMAS L BOYLE BLK 1 LT 10A G:2734 Site Mailing Address: 11909 GANDER ST, Anchorage Owner: CHIANG HUI-JU EMILY & Design Engineer: FORGE ENGINEERING This permit is for the construction of: Q Disposal Field El Septic Tank ❑ Holding Tank ❑ Privy Effective Date: Expiration Date: Lot Size in Sq Ft: Total Bedrooms: 1/1 5/Z_ ) _�..JI1 n�cnc , S" i f Department 9/23/2020 9/23/2021 49500 ❑ Private Well ❑ Water Storage II All construction shall be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80) 3. The wastewater code requires inspections during the installation. The engineer shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing /Special Provisions: The proposed drainfield is not within the 30 ft radius of a percolation test. A percolation test and sieve analysis shall be performed prior to construction to confirm application rate and consistent soils to previously provided sieve for Test Hole #5. If results require a design change, construction shall stop pending review and approval of a change order. Please submit results with inspection report (or change order, if required). eo�a, 1✓� �e�, C u� . ` - u� C_ I 12,02,1 Received By: Date: Issued By: ✓vu / Date: 3/2 0:7 0 MUNICIPALITY F ANCHORAGE Run�l Community Development Department _ Phone: 907-343-7904 Development Services Division Fax: 907-343-7997 On -Site Water & Wastewater Program ON-SITE SEWERIWELL PERMIT APPLICATION Parcel I.D. 015-283-24 Property owner(s) Emily Chiang Hui -Ju & Jason Graham Mailing address 3300 Kendall Loop Anchorage, AK 99507 Site address 11901 Gander Street Anchorage, AK Day phone 632-7366 Legal description (Sub'd., Block & Lot) Thomas L. Boyle, Block 1, Lot 10A Legal description (Township, Range & Section) Lot Size 49,500 Sq. Ft. Number of Bedrooms Four (4) APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field ❑X Initial FR Single Family (SF) ❑X (w/wo ADU) Septic Tank ❑X Upgrade ❑ Duplex (D) ❑ Holding Tank ❑ Renewal ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR: a o 1 C "a.u4ceXo+ ftwu'Id 54 Distance: N 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: 7% COUI 0 Waiver Fees: � � 7"0 awl b -1 � Date of Payment: 9116100 Date of Payment: b 0;� D Receipt Number: 046(6 p Receipt Number: Permit No. Waiver No. OS b 5 Permit App_.:-: January 20, 2021 MOA Development Services Department On -Site Water & Wastewater Program 4700 Elmore Rd Anchorage, AK 99507 Subject: Thomas L. Boyle, Block 1, Lot 1OA —11901 Gander Street Septic System Design Dear On -Site Services Engineer: The owner of the above lot intends to build a 4 -bedroom home on the property. An existing well is currently in place on the lot. We are submitting this permit application for the construction of a new septic system to serve the home. The attached site plan identifies the location of the home and the existing well and holding tank. The proposed septic location and alternate site are also shown. No conflicts exist between this proposed system and any other well or septic system on this lot or adjacent lots. The ground surface on the lot is virtually flat with only a minor bias to the west. There are no slopes greater than 25% within 50 feet downslope of either the primary or alternate site. Ground surface contours are shown on the site plan indicating the grade and direction of flow. Stormwater drainage will not impact this septic system. The new trench will be constructed in a flat area with very little difference in elevation from the east to the west end of the trench. The absorption trench will be constructed in association with an Advantex Treatment System with an AX -20 pod and pump vault. The system will be 50' from the well on this and adjacent lots. Please refer to the attached test hole logs, soils lab analysis, plan and profile sheets for the septic design. If this design is followed, there will be no adverse impacts to adjacent properties. Sincerely, Michael E. Anderson, P.E. THOMAS L. BOYLE, BLOCK 1, LOT 10A LOT 11B ( LOT 12B It I ( EXISTING WELL — J w/50' RADIUS ~ V I / jn LOT 10A EX STING HOODING TANK. {. i RE MOVE F�RONI"SITE AND DISPOSE PER U.P.C. ® z BACKFILL WITH MOA w APPROVED SAND. w I 1500—GAL ADVANTEX TANK Wh 4-BDRM HOME ? AX20/POD & PUMP VAULT. TANK &PUMP VAULT MUST BE LOT 9A ANCHORED FOR BOUYANCY. DECK \ A ERNATE SITE A' — --.--~'f SEE MANUFACTURER'S , FCo' RECOMMENDATIONS. ' MT MH PUMP VAULT MUST BE Pv ° t ANCHORED FOR BOUYANCY. SEE MANUFACTURER'S T TH6 RECOMMENDATIONS. Mr p (� f• ® � s '\4 tViITS OF FILL % .'1 SLOPES TH7 ... ' °TH3 777777777 MTT NH. t f PLACE 4" OF INSULATION OVER . LINE UNDER DRIVEWAY. /30'ONG x 15' WIDE x.5\' t\ EFFECTIVE DEPTH LOT ABSORPTION TRENCH. VACANT f\ 1 LOT 9B, ENGIN EE0.ING NOTE: OF 44;,.4®4' �� °®� NO SLOPES >25% WITHIN 50' OR SURFACE WATER WITHIN 100' OF THE LEGEND ® �E,,......, ;`�C q ® ••°•`";'®�® PROPOSED SEPTIC SYSTEM CO - CLEANOUT •°'•49th ALL WELLS ON SURROUNDING LOTS WITH IMPACTS TO THIS 2C0 -DOUBLE CLEANOUT ®., >` .............. .�.....� � .�:• >� PROPERTY ARE SHOWN. NO CONFLICTS WITH WELLS OR SEPTIC FCO - FOUNDATION CLEANOUT ........ � > �.— •••••••••••••••••••••••••••••• ••••;•�•� SYSTEMS. FS -FLOW SPLITTER VALVE ,MICHAEL E. ANDERSON < < ® �® 0 50 100 MH - MANHOLE NO. CE -4381 ,p••.•• 1/20121 .•'F��'� 1/20121 ............... FEET MT -MONITORING TUBE ® Fp �® � �®dAla�®S�®®� 1"=50' SV - SEPTIC VENT TH - TEST HOLE THOMAS L.-BOYLE, BLOCK 1, LOT 10A 0-0-"1 DESIGN FACTORS: SYSTEM REQUIREMENTS: 600 GPD PEAK FLOW 5' WIDE TRENCH w/ENGINEERED PERK RATE: <1 MIN/IN RECEIVING SOILS APPLICATION RATE: 4 GPD/SF 1,500 -GAL FAP ADVANTEX TREATMENT SYSTEM w/AX-20 FILTER POD & PUMP VAULT 600 GPD / 4 GPD/SF /5' WIDE = 30 LF TRENCH REQUIRED (30 LF SPECIFIED) BOTTOM OF TRENCH: EXISTING GRADE FLOW LINE ELEVATION: 0.5' ABOVE GRADE TOP OF TRENCH: 3.0' ABOVE GRADE 4" TOPSOIL & SEED 3:1 SLOPE -j- 210" 6" 6" OG 3' REMOVE ORGANIC MATERIAL UNDER TRENCH AREA AND REPLACE WITH IN SI MATERIAL. 2" DIRECT BURY INSULATION 1.25" PERFORATED PVC (HOLES DOWN) 30-3/16" DIAMETER HOLES PER LATERAL @ 1.0' SPACING 4" TOPSOIL & SEED 3:1 SLOPE DRAINFIELD ROCK 160 REMOVE ORGANIC MATERIAL UNDER TRENC H AREA AND REPLACE WITH IN SITU MATERIAL. MOA APPROVED SAND TYPICAL TRENCH SECTION (NO SCALE) NOTES: 1. GRADE AREA OVER BED TO DRAIN AWAY 2. PROVIDE SOF COVER OVER BED 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 E N G I N E E R I N G! �� OF Ai ®. �� P ............... v �� 49th MICHAEL E. ANDERSON NO. CE -4381 •.� 1(20121 , LEGAL DESCRIPTION: THOMAS L. BOYLE, BLOCK I, LOT IOA PERFORMED FOR: MARK HA DATE: 1/18/21 PROJECT No.: PARCELID#: 015-283-24 TECHNICIAN: J. MILLETTE DEPTH TEST HOLE 8 (feet) WE 11 12 13 14 15 16 17 18 19 20 SLOPE WAS GROUNDWATER ENCOUNTERED? YES IF YES tt WHAT DEPTH? 8' L 2' OB DEPTH TO WATER AFTER MONITORING: 2 MUCL 1/20/21 P 11:00 2.1 0/6 4 —I 2 5 2.5 0/6 6 f' sw 7 a 0/6 8 f 4 11:10 2.5 1 0/6 M LIC L 9 5 11:13 WE 11 12 13 14 15 16 17 18 19 20 SLOPE WAS GROUNDWATER ENCOUNTERED? YES IF YES tt WHAT DEPTH? 8' L DEPTH To WATER (INCHES) DEPTH TO WATER AFTER MONITORING: 5.2' O DATE OF MONITORING: 1/20/21 P 11:00 DATE READING GROSS TIME (MINUTES) NET TIME (MINUTES) DEPTH To WATER (INCHES) NET DROP (INCHES) 1/18/21 1 11:00 2.1 0/6 6 2 11:03 2.5 0/6 6 3 11:06 2.5 0/6 6 4 11:10 2.5 1 0/6 6 5 11:13 2.5 0/6 6 6 11:16 2.5 0/6 6 PERCOLATION RATE: <1 (MIN/INCH) PERC. HOLE DIA.�INCHES) TEST RUN BETWEEN: 3.0 FT. and 4.0 FT. COMMENTS: PERCOLATION RATE LESS THAN I MINUTE PER INCH. 2' SAND LINER REQUIRED. NoRTHERN GEOTECHNicAL ENGINEERING, INC. Z TERRA FIRMA TESTING PROJECT CLIENT: Forge Engineering PROJECTNAME: Thomas L. Boyle PROJECT NO.: 5665-20 SAMPLE LOC.: TP 48; Lot 10A/ Block l NUMBER/ DEPTH: 20-S-4 DESCRIPTION: Poorly -graded sand w/ silt DATE RECEIVED: 1/18/2021 TESTED BY: JA REVIEWED BY: RJPC 100 90 80 70 c/) 60 2 50 m 40 N z 30 20 10 0 145 140 135 Z 130 a 125 C 120 115 % GRAVEL 1.2 % SAND 86.8 % SILT/CLAY 12.0 % MOIST. CONTENT 18.4 USCS USACOE FC % PASS. 0.02 mm % PASS. 0.002 mm SP -SM N/A N/A N/A UNIFORMITY COEFFICIENT (C„) UNKNOWN COEFFICIENT OF GRADATION (Q UNKNOWN ASTM D1557 (uncorrected) N/A 76.20 ASTM D4718 (corrected) N/A IN OPTIMUM MOIST. CONTENT. (corrected) N/A Us s PARTICLE SIZE ANhALYSIS ASTM D422 / C136 HYDROME Tit 6 ISE OPEN' 514 1278 4 4 #10 #20 N40 #60 0100 #200 ■ i ■ 100 10 I 0.1 GRAIN SIZE (mm) GRAVEL SAND COnnLES SIEVE ANALYSIS RESULT SIEVE SIZE (mm) SIEVE,- SIZE (U.S.) TOTAL % SPECIFICATION PASSING (% PASSING) N/A (ASTM D2434) 152.40 6” 76.20 3" IN Igmi■■ 19.00 3/4" 100 12.70 1/2" 100 9.50 3/8" 100 4.75 #4 99 2.00 410 98 0.85 #20 97 0.43 940 94 0.25 460 86 0.15 9100 58 0.075 9200 12.0 u 100 10 I 0.1 GRAIN SIZE (mm) GRAVEL SAND COnnLES SIEVE ANALYSIS RESULT SIEVE SIZE (mm) SIEVE,- SIZE (U.S.) TOTAL % SPECIFICATION PASSING (% PASSING) N/A (ASTM D2434) 152.40 6” 76.20 3" 38.10 1.5" 19.00 3/4" 100 12.70 1/2" 100 9.50 3/8" 100 4.75 #4 99 2.00 410 98 0.85 #20 97 0.43 940 94 0.25 460 86 0.15 9100 58 0.075 9200 12.0 0.01 0.001 HYDROMETER RESULT SILT or CLAY MOISTURE—DENSITY RELATIONSHIP ASTM D1557 0 2 4 6 8 10 12 14 16 MOISTURE CONTENT (%) ELAPSED DIAMETER TOTAL % TIME (MIN) (mm) PASSING 0 _ 0.5 1 2 4 8 15 30 60 250 1440 HYDRAULIC COND. N/A (ASTM D2434) DEGRADATION N/A (ATM T-313) PLASTICITY INDEX N/A ASTM 4318 The testing services reported herein have been performed to recognized industn' standards, unless otherwise noted. No other warranty is made. Should engineering interpretation or opinion be required, NGE- ITT will provide upon written request. 11301 Olive Lane Anchorage, Alaska 99515 Phone: 907-344-5934 Fax: 907-344-5993 www.nge-tft.com DEPTH (feet) 1 - 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 C�� 1 4SOILS LOG AND PERCOLATION TEST E N G I N E E R I N G LEGAL DESCRIPTION: THOMAS L. BOYLE, BLOCK I, LOT IOA PERFORMED FOR: MARK HA DATE: 1/19/21 PROJECT No.: PARCEL ID#: 015-283-24 TECHNICIAN: L. T I DWELL ML/CL F " SW ML/CL TEST HOLE 9 1 SLOPE WAS GROUND WATER ENCOUNTERED? NO IF YES a WHAT DEPTH? DEPTH TO WATER AFTER MONITORING: 5.2 DATE OF MONITORING: 1119121* L 0 P E DATE READING GROSS TIME (MINUTES) NET TIME (MINUTES) DEPTH To WATER (INCHES) NET DROP (INCHES) PERCOLATION RATE: (MIN/INCH) PERC. HOLE DIA. (INCHES) TEST RUN BETWEEN: FT. and FT. COMMENTS: *Water monitoring taken from previous test hole dug 8/16/20 adjacent to TH9 LEGAL DESCRIPTION: PERFORMED FOR: DATE: PARCEL ID#: SOILS LOG AND PERCOLATION TEST TECHNICIAN: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 DEPTH (feet)✏ PROJECT No.: TEST HOLE 5 SLOPE SLOPE SITE PLAN DATE READING GROSS TIME (minutes) NET TIME (minutes) DEPTH to WATER NET DROP PERC. HOLE DIA. (INCHES)PERCOLATION RATE: (MIN/INCH) TEST RUN BETWEEN: FT. and FT. COMMENTS: (inches)(inches) T H O M A S L . B O Y L E , B L O C K 1, L O T 1 0 A ⌥ 9 /2 /2 0 J . M I L L E T T E ⌥ DATE OF MONITORING: WAS GROUND WATER ENCOUNTERED? DEPTH TO WATER AFTER MONITORING: IF YES @ WHAT DEPTH? 7 '⌥ -- -- 7 8 0 1 5 -2 8 3 -2 4 M A R K H A ⌥ --- --- 1' OB Professional Engineers Stamp: 9/18/20 --- Y E S⌥ 2 .7 '⌥ 9 /9 /2 0 ⌥ ML/SM SM SAMPLE TAKEN AT 7' FOR LABORATORY ANALYSIS. Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP201390, Rebecca Carroll, 09/23/20 LEGAL DESCRIPTION: PERFORMED FOR: DATE: PARCEL ID#: SOILS LOG AND PERCOLATION TEST TECHNICIAN: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 DEPTH (feet)✏ PROJECT No.: TEST HOLE 6 SLOPE SLOPE SITE PLAN DATE READING GROSS TIME (minutes) NET TIME (minutes) DEPTH to WATER NET DROP PERC. HOLE DIA. (INCHES)PERCOLATION RATE: (MIN/INCH) TEST RUN BETWEEN: FT. and FT. COMMENTS: (inches)(inches) T H O M A S L . B O Y L E , B L O C K 1, L O T 1 0 A ⌥ 9 /2 /2 0 J . M I L L E T T E ⌥ DATE OF MONITORING: WAS GROUND WATER ENCOUNTERED? DEPTH TO WATER AFTER MONITORING: IF YES @ WHAT DEPTH? 6 '⌥ -- -- 7 8 0 1 5 -2 8 3 -2 4 M A R K H A ⌥ --- --- 1' OB Professional Engineers Stamp: 9/18/20 --- Y E S⌥ 2 .6 '⌥ 9 /9 /2 0 ⌥ ML/SM ML/CL ML Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP201390, Rebecca Carroll, 09/23/20 DEPTH (feet) 1- 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 1 1 SOILS LOG AND PERCOLATION TEST ENGINEERING LEGAL DESCRIPTION: THOMAS L. BOYLE, BLOCK I, LOT IOA PERFORMED FOR: MARK HA DATE: 9/2/20 PROJECT No.: PARCELID#: 015-283-24 TECHNICIAN: J. MILLETTE •C SM M L/CL SM a COMMENTS: TEST HOLE 7 SLOPE INWAffiL WAS GROUNDWATER ENCOUNTERED? Y CJ GROSS TIME (MINUTES) IF YES @ WHAT DEPTH? 2.5' L 1/14/21 DEPTH TO WATER AFTER MONITORING: i . 4' LS 10:04 DATE OF MONITORING: 9/9/20 P 2 10:34 E 316 DATE READING GROSS TIME (MINUTES) NET TIME (MINUTES) DEPTH TO WATER (INCHES) NET DROP (INCHES) 1/14/21 Test Cavity Presoaked Prior to Test 1 10:04 316- 2 10:34 30 316 12 16 3 10:36 316 4 11:06 30 31s 1s 5 11:10 3TO-6 6 11:40 30 316 16 PERCOLATION RATE: 120 (MIN/INCH) PERC. HOLE DIA..6INCHES) TEST RUN BETWEEN: 6.5 FT. and 7.5 FT. In ; MUNICIPALITY OF ANCHORAGE / DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION \ 825 L Street- Anchorage, Alaska 89501 Telephone 2644720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME( \VV��j`�t�+.• PCH/ONE �n1EW O� MAILING �y d ❑UPGRADE AD ES 7 .1� • ,t�U o- 3 LEGAL DESCR PTION O fI c� e LOCATION ^, NO. OF BERROOMS DISTANCE TO: Well Absorption area Dwelhn9 VY PERMIT NO. t2 Manufacturer w F Material No. of compartments Liq. capacity in gallons Insitle length Width IF HOMEMADE: Liquid depth 802 DISTANCE TO: Well //5 ill, Dwelling,,,, PERMIT SZf Manufacturer/' ,, Materi t5— nstT.G aiquid cacynDlions W = DISTANCE TO: Well Foundation Nearest lot Ime PERMIT NO. ZW No. of lines Length of each line Total length of lines Trench width Distance between lines H Top of rile to finish grade Material beneath the Inches p Total affective absorption area w inches Length Width Depth U PERMIT NO. WType of crib Crib diameter Crib depth Total effective absorption area W DISTANCE TO: Well Building foundation Nearest lot line J Class Depth Duller Distance to lot line PERMIT NO. w DISTANCE T0: Building foundation Sewer line Septic tank Absorption area (s) OTHER PIPE MATERIA os SOILTE RATING 12 k-1.4 % CI 6a MrU c INSTALLE V4 G REMARK ,T— ,/// , LEGAL APOVE DATE \ i1 72 3 Rev.3/781 / 1 � i f r NAME OF APPLICANT Z5 INSTALLATION LOCATION LEGAL DESCRIPTION J00�11 GREATER ANCHORAGE AREA BOROUGH DEPARTMENT OF ENVIRONMENTAL QUALITY 3330"C"STREET ANCHORAGE, ALASKA 99303 TELEPHONE.504n09*T a6Y et'2.za SEWAGE DISPOSAL SYSTEM-/ APPLICATION AND PERMIT MAILING /0:s0 Olen. /0 - la -15 PERMIT Nr-? C?/4y2 INSTALLATION OF: SEPTIC TANK SEEPAGE PIT DRAIN FIELD #/ //y(r RH L� THER TYPE AND SIZE OF FACILITY TO BE SERVED �IQt]o/Yi S F D -'---" TO BE INSTALLED BY SOIL TEST RESULTS - LZe,&6!TW TTNAA! [�Ji;M, ✓jA/e/.J NOTE, THIS PERMIT IS NOT VALID WITHOUT SOIL TEST COMPLETION DATE ANTICIPATED FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION. jbilli�TANK SIZE -� TYPE SEEPAGE AREA SIZE TYPE MINIMUM DISTANCES. REQUIREMENTS FOUNDATION TOXWM TANK -'q' FOUNDATION TO SEEPAGE PIT &/,49 Q DRAIN FIELD • SEPTIC TANK TO SEEPAGE PIT WALL.�YYl / T SEPTIC TANK SEEPAGE PIT DRAIN FIELD TO NEAREST LOT LINE. //�11 WELL TO SSPRC TANK loo / SEEPAGE PIT DRAIN FIELD ALSO CONSIDER AREA WELLS. WATER MAIN TOAIIIK!0114fANK � SEEPAGE PIT DRAIN FIELD TEPTIL TANK, /on, SEEPAGE PIT DRAIN FIELD TO RIVER. LAKE, STREAM. CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF EXCAVATION S FEET INTO UNDISTURBED SOIL. 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT FITTED WITH AIRTIGHT REMOVABLE CAPS. GRAVEL BACKFILL CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. OR LICENSED DESIGN R 1 CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE. ��/2� / DATE �� APPLICANT'S SIGNATURE FORM NO. EO -414 DIAGRAM OF SYSTEM ---r GVK/ lUr ORGITAI CE NO. 29•SB AND THAT THE ABOVE SOILS LOG MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION PERCOLATION Pouch 8850, Anchorage, Alrke 98602 278-2321 TEST SOILS LOG — PERCOLATION TEST PERFORMED FOR: Rm-Te2A RW/�CZ� DATE PERFORMED:. A&M ZO. 197., LEGAL DESCRIPTION:_��- 1DA, C3ucc_1< ! 0130IM1 1cCi4 DEPTH L7Qpv' "M *v m/ll kY' SLOE SITE PLAN (FEET) 1 ILL = -- 2-- 3- 4 34 5 6 7 8 8 10 11 12 13 14 15 16 17 18 19 C3QoW N s�-ry sA�l� , ��yS,uoy �It�'i ML Q�w>,� �/a►d O 20 n=P TH IL _ JI PERCOLATION RATE � ((.m�inutetrnch) l'11 TEST RUN BETWEEN }�� FT NO AY3.- FT COMMENTS 1YisTtxt�t_oct>�a>St' ky, j2F l7l pL1L ;e;pmtyG� VES Go- V+ APS cs __sAME __AS So1L. t oo WAS GROUND WATER ENCOUNTERED? IF YES. AT WHAT 10! DEPTH? IZ, Reading Data Titin Not Time / OapM to Water Net Drop 1 z1 d:DG• I N ZI 4:10 30 Z (L I Z1 d: ZO �� IsceN�N t zl 4:30 So � i 1&j ez -t-K PERFORMED BY: L JCPA14 N\ L�IsI[tE CERTIFIED BY: At&!= ^y /r,�tTi` t Grote 72008 (7/761 MC, (Y -CL �0 2. -CCI -- lam �s 1 711., at C.o ASriz-r 363 cl• r poi p + SUBJECT L to ri ✓J I ._ S�` ^ .. %._ MES tl' -CCS 01 1 DATE did tS//AGE LZ U Q �i 1-c�r r i ce, a r 4"-t_c� - f -•tti-c�F�, � � c-�.�G�.c��c-tti�..y .-� G�FL. Y U p 1 B REPLY SIGNED i ,r SIGNED DATE 4S472 SAID PARTS 1 AND 3 WITH CARBON FART 3 WILL EE RETURNW WITH REKY. DETACH AND FILE FOR FOLLOW-UP ra. rr. rw xnr �.n Lj SIGNED DATE 4S472 SAID PARTS 1 AND 3 WITH CARBON FART 3 WILL EE RETURNW WITH REKY. DETACH AND FILE FOR FOLLOW-UP ra. rr. rw xnr �.n A4 ) k k� k k - �\\ Cs \ \ / 4 rl � 0 � k / 0.o/ 0 §w ) k k� k k - �\\ Cs \ \ / �� � � � ' � 0.o/ 0 0 ky Ns'-, ) k k� k k Cs 0.o/ 0 0 Cs � � \ � ( � � rA • , APPLIC" NT FILLS OUT UPPER HALow-ONLY Property Owner Time Phone Halling Address Ve191 ZIP Code _67 Buyer �4'oGfA-/ T.�.�/�'ihr 30v✓ Address _ Zip Code Lending Institution Sf(vvKAf /�dl'/j/iC /Iy/�9. Data Phone Address / — l ZIP Code / Realty Co. 6 Agent//,�lr f 55 Inspector Phone Inspector Address ZIP Code Legal Description ,401-10 1491 U Street Location l- .- ` v,e Typev of Residence Single Family Multiple Family No. of Bedroom N��tl ❑ Other MUNICIPALITY GF ANCHORAGE Water Supply ), Individual ❑ Community ATTACH WELL LOG. A well lop Is required for all wells drilled since June 1975. ❑ Public Utility For wells trilled prior to that date, give well depth (attach lop If available). Sewer Disposal ❑ Individual y IJ Public Utility Year Individual Installed: ' Holding Tank .2- o o a _ When Connected to Public Utility: NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. /hee T Time Time Time Time O :60 D O Date Data Date Date CAAd Inspector Inspector Inspector Inspector v,e Field Notes: N��tl MUNICIPALITY GF ANCHORAGE VCDT C-:-171 P ENVIRJ,L', a..A... O. ;.TION G 7233 RECEIVED ( ) APPROVED BEDROOMS 'CONDITIONS OF APPROVAL ( 1 DISAPPROVED 1 1 CONDITIONAL APP OVAL' DAT Q Y� Soils Rating Date Sewer Installed Well To Absorption Area Well Lop Received �O ' ID- Y Well to Tank SeDtic Tank Size OOG rzon Marx Enterprises, Incorporated BOX 10232 • KLATT ROAD STATION • ANCHORAGE• ALASKA 99502 EXCAVATING & LANDSCAPING CESSPOOL PUMPING AND SERVICE COMPANY Robert Williamson SRA Box 1525-c Anchorage, Alaska 99507 March 3, 1983 Dear Sir: This is to confirm that starting March 3, 1983, Anchorage Cesspool Pumping will pump out the holding tank at Lot 10-A Boyles Subdivision on Gander Road every two months as required. apu num 1611 b ar �'s % CoL611(IS C I February 22, 1983 Winifred Robinson 4619 Spenard Rd. Anchorage, AK 99503 Subject: Lot 10 A Block 1 Boyle Subd. Kana m 19b - Pbi,c/s Approval for the individual sewer and water facilities cannot be granted until the following items have been completed: The top of the well casing should be scaled so that it is !�^ water tight. ° Exposed electrical wires to the well head are in violation of the Municipality of Anchorage codes and must be encased in conduit. The water analysis report neec:s to be submitted to thin office from the'Chen Lab, 5633 B Street, for our review. The standpipe to the sewer system need caps on them. ° _ A pumping contract for the holding tank will be required. A copy if to -be submitted to our office for our revision and our files. Please notify this Department for a reinspection when the noted discrepancies have bean corrected. If there are any further questions, please call this office at 264-4720. Sincerely, 57 Jim Roberts Associate Environmental Specialist JP.108/p/E1 r1 6. LEGAL DESCRIPTIO Sv� DALE HECEIVED INSPECTION APPOINTMENTS :k;h QLvc LoT o A TIME � TIME TIME DATE DATEs� rn.Y GATE PQ SINGLE FAMILY _ go - -So �tC4 INSPECTOR INSP Etr-�. INSPEC 7. WATER SUPPLY �+F �E cY , r I_ALirf d MUNICIPALITY OF ANCHORAGE ENVIRONMENTAL F,-OTECTION DEPARTMENT OF HEALTH& ENVIRONMENTAL PROTECTION �\ 1 825 L Street • Anchorage, Alaska 85601 J U N 9 17 1980 • ENVIRONMENTAL SANITATION DIVISION Telephone 264-4720 RECEIVED depth (attach log if available.) REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. 1. PROPERTYOWNERL PHONE -7. Cl'T1 e� 3'{V -K? SO MAILING ESS aox PROPERTY RESIDENT (It different from above) PHONE 2. BUYER PHONE MAILING ADDRESS 3. LENDING INSTITUTION _ PHONE MAILING ADDRESS 4. REALTOR/AGENT PHONE MAILING ADDRESS 6. LEGAL DESCRIPTIO Sv� e :k;h QLvc LoT o A STREET LOCATION V A11��C 1�ct. 6. TYPE OF RESIDENCE NUMBER OF,BEDROOMS PQ SINGLE FAMILY ❑ One ❑ Four ❑ Other ❑ Two ❑ Five ❑ MULTIPLE FAMILY ❑ Three ❑ Six 7. WATER SUPPLY �R( INDIVIDUAL' *ATTACH WELL LOG. A well log is required for all wells drilled ❑ COMMUNITY since June 1975. For wells drilled prior to that date, give well ❑ PUBLIC UTILITY depth (attach log if available.) 8. SEWAGE DISPOSAL SYSTEM k INDIVIDUAL/ON-SITE'- IO IQ7� YEAR ON-SITE SYSTEM WAS INSTALLED. ❑ PUBLIC UTILITY NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. /L Ulu Inev. w7u) THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE ❑ SINGLE FAMILY ❑ MULTIPLE FAMILY NUMBER OF BEDROOMS ❑ ONE ❑ .'THREE ❑ FIVE ❑ OTHER ❑ TWO ❑ FOUR ❑ SIX 2. WATER SUPPLY ❑ INDIVIDUAL ❑ COMMUNITY ❑ PUBLIC UTILITY Connection Verified PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM ❑INDIVIDUAL/ONSITE ❑PUBLIC UTILITY Connection Verified PERMIT NUMBER DATEINSTALLED INSTALLER ❑Septic Tank or ❑ Holding Tank , Size: ac O ; If Tank is homemade give dimensions: 4i SOILS RATING TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCES WELLTO: Septic/Holding Tank IIS Absorption Area Sewer Line - Nearest Lot Line Absorption Area to nearest Lot Line 5. COMMENTS MI APPROVED FOR �_ BEDROOMS ❑ CONDITIONAL APPROVAL (letter must accompany certificate) ❑ DISAPPROVED DATE A BY 72 010 (Rev. 6/791 Rus MUNICIPALITY F ANCHORAGE Development Services Department _ Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Parcel I.D. 015-283-24 Expiration Date: bp -2 tl -2 / 1. GENERAL INFORMATION Complete legal description Thomas L Boyle Sub, Block 1, Lot 10A Location (site address) 11909 Gander Street Current property owner(s) Jason Graham & Emily Chiang Day phone 350-2195 Mailing address 3300 Kendall Loop, Anchorage, AK 99507 Real estate agent 2. TYPE OF DWELLING: ❑ Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4 Day phone 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Private Well 0 Private Septic ❑■ Water Storage ❑ Holding Tank ❑ Community Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ Waiver request for: Distance: Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ . -+,#;/ 6!3 Date of Payment 5 121 1 �9_ 0 � 1 Receipt Number n 1 4 5-b COSA # Q'S G 2-1 12 Gn 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. 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. I acknowledge that On -Site staff may visit the site to verify the information submitted. Name of Firm Forge Engineering Phone (907) 522-7773 Address 1399 W. 34th Ave Suite 101, Anchorage, AK 99503 Engineer's Printed Name Benjamin Schiller Date 5/19/21 OF ALgl���ir • 49. * / 6. DSD SIGNATURE' System #1 Approved for bedrooms Benjamivrti5chiiler System #2 Approved for bedrooms 1�+j��slF�. cE 12592 Disapproved l,le PROFESSO% Conditional approval for bedrooms, with the following stipulations: F2 WAS.TL v ATER neo ~NUGfiAM —_ By: Original Certificate Date: 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 Checklist blue sheet x Legal Description: Thomas L Boyle Sub, Block 1 Lot 10A Parcel ID: 015-283-24 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 5/17/1978 Total depth 138 ft Cased to 138 ft ❑ Sanitary seal is functioning correctly ❑ Wires are properly protected Casing height (above ground) 33 in. Date of flow test for COSA 11/3/20 Well production at time of test 6 gpm Water storage tank volume N/A gallons Well disinfected for coliform test? OR Yes ❑ No ❑ Coliform bacteria is Negative Nitrate mg/L ❑ Nitrate less than MRL (ND) Arsenic ug/L ❑ Arsenic less than MRL (ND) Collected by AWPS Date of Sample 12/16/20 Static water level at beginning of test 46.4 ft. Comments Well was chlorinated due to 11/4/20 positive coliform result. B. TANK DATA Age of tank(s) <1 years Tank type/material F.A.P. / Fiberglass Measured operating fluid level in septic tank N/A ❑® Standpipes/foundation cleanout per record drawing Date of pumping Installed on 1/15/21 D. ABSORPTION FIELD DATA Shallow Trench Which system tested (date installed) 1/22/21 © ALL standpipes present per record drawing Total measured depth from grade 4.15 ft (max) Measured depth to pipe invert from grade ft (min) F0_1 N/A — pressurized field © Monitor tubes go to bottom of effective. If not, state depth into effective Fm_1 Code -required soil cover over field ❑ System presoaked (Required if vacant for greater than 30 days prior to date of test) Gallons introduced N/A gallons Comments/Deficiencies: COSA Checklist yellow sheet C. LIFT STATION ® Required maintenance completed Age of lift station <1 years Lift station material PVC Comments: Pump Vault for Advantex system Adequacy test date Installed 1/22/21 Results 2✓ Pass For 4 bedrooms Ph�d depth prior to test in Water ed gal New depth in Elapsed time in Final fluid depth i Absorption rate gpd Any rejuvenation treatment (past 12 m ths) 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' ❑ >50 Community Sewer Manhole/Cleanout > 100' ❑ Yes if No ft V Yes if No _ Neighboring Tank > 100' ❑ Yes if No ft Private Sewer/Septic Line > 25' 0 Yes if No _ Absorption Field on Lot > 100' ❑ Yes if No >50 ft Holding Tank > 100' ❑✓ Yes if No _ Neighboring Absorption Fields > 100' Yes if No Animal Containment > 50' ❑✓ Yes if No ❑✓ Yes if No ft if No ft F. ENGINEER'S COMMENTS Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' ❑7 Yes if No ft Q Yes if No _ From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' ❑✓ Yes if No ft Surface Water > 100' _ ft _ ft _ ft ft ft ❑✓ Yes if No ft Property Line > 5' ❑ Yes if No ft Wells on Adjacent Lots: Absorption Field > 5' F� Yes if No ft Private Wells > 100' 0 Yes if No Water Main > 10' Q Yes if No ft Community Wells > 200' Q Yes if No. 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 Water Service Line > 10' ❑✓ Yes if No ft Community Wells > 200' ❑✓ Yes if No Surface Water > 100' 0 Yes if No ft F. ENGINEER'S COMMENTS G. ENGINEER'S CERTIFICATION l certify that 1 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 - �` 01A i co 49 1M Benjarr�rvSchiller ��� •. CE 12592 • �w��° OFESS14Nt'��®��� ft ft ft ft IbTUNIC'IPALITY OF ANCHORAGE ADVANCED WASTEWATER TREATMENT SYSTEM MATNTENANC:'E AND REPAIR AGREEIN ENT 'PHIS MAINTENANCE AND REPAIR .AGREEMENT, herein the "AGREEMENT" rn.ade and entered into as of this Day of of 20 , by and between (�L jj.., herein the "OWNER," and the Miinicipality 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 (AIA[WTS), described as Advantex Waste Water Treatment System located at (legal description) Thomas L Boyle Block 1 Lot 10A 2. Maintenance, Repairs and Alterations. (Owner is required to read, understand and initial each section) ,! Ilu-ou«hout the terns of this Agreement. the Owner shalt enter into a service agreement � Jl with an AWWTS service and maintenance provider approved by the Municipality or the manufacturer's representative. The AWWTS shall be maintained in a satisfactory condition capable of performing as designed and producing treated septic effluent in accordance with the egilipment's approval for operation in the Municipality. cf-`01 It shall be the responsibility of the Owner during the term of this Agreement to pay for all repai.r(s), �rlaintenance, adjustment(s), replacement costs; and inspection costs. This includes an annual maintenance fee (typically $400 to $600). Owner agrees that only maintenance and repair personnel approved by the Municipality or the manufacturer's representative will inspect and make any necessary maintenance, repairs or permitted alterations to the system. Owner acknowledges that regular maintenance of an AWWTS reduces the potential �I failure of the systern, which could include se4vage backup and costly repairs or drainfield replacement. (rPv ()5/1 8001 R) P•ina+ 1 of'2 L Owner acknmvledoes that the Municipality may request records of maintenance and repairs .troln the nlanUfaCtUrei's rej)resentative of niainteanec provider. Owner acknowledges that the line for failing to maintain and repair an AWWTS may be T7 assessed in accordance with AMC 14.60.030. ( � Owner agrees to grant the Municipality reasonable access to test and inspect the AWWTS. The Municipality will give at least 24-hour notice. Owner agrees that any sale or transfer of title of the property will not occur• tivithout a new Certificate of On -Site Systems Approval. Owncr a(YI•ees that the AWW'fS Installation and maintenance requirements as provided by the AWWTS vcndoJ•Ilnstaller and at)pl.'oved by the 'N/lunicipality are the governing ,guidelines for the construction, maintenance and repair of the Owner's AWWTS. Owner agrees to maintain remote monitoring of the AWWTS as required by the AWWTS approval. 3. Term. The term of this Agreement shall begin on the date of approval by the Municipality to operate the installed system, or upon transfer of title, and shall continue while the AWWTS is operational or until title is transferred. 4. Nonwaiver. The failure of the Municip llity 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 Agreeinent or any part hereof; or the right of the Municipality thereafter to enforce every provision hereof. ti. Amendment. This Agreement shall only be amended by authorized representatives of time 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 Agreernc nt decreed invalid by a court of cornpetei)t jurisdictI011 shall not invalidate the remaining provisions of the Agreement. (I.P,, (15JTR/x(11 R1 D Ion 7 �4 z OWNER: By::: (sionatui Date: name) S -KATE OF ALASKA ss. THIRD Jl.jDTCTAL DISTRICT The foregoing instrument was admowledged be -fore ine thisZAlay Of 20x07by-j"a,So"7 NOTARY/ /NJ,IC FOR ALASKA N/lyCon-unissionexpires: 0ec-1J—.?c,.2D MUNICIPALITY: Byl, (signature) (print name) Date: C) Title: (rev Paas I of I .00'99 L M,,00.90000 N .00"59 L Mu00.90000 N O M 13381S N3GNV9 p n llo a❑�JOw8; z ❑ z p Z O w N O V) w 1 0 U ~ t)V)(f) w � Wj U 0 w -�0 o Oww O � zU Ix~W. o zQ� o LS9U p4JwwOwm w U wQ WFp�Vsz C.D z 8 Q w p z z= z w ww0 � U pp,, z CO O to U ❑ CAd, p Q J❑ J LC U) N C O a e�Qd' U)Z m it I Z 0 � C] 4 � Z CV r w ��a_ o V J N O� 3: CL 3 N O U c m N � w N ♦ N N e U d J J .0'29 0 moo• •o• w •O� Qtr o F rya' 0 I CC ❑ IL w w C9 O .00"59 L Mu00.90000 N O M 13381S N3GNV9 p n llo a❑�JOw8; z ❑ z p Z O w N O V) w 1 0 U ~ t)V)(f) w � Wj U 0 w -�0 o Oww O � zU Ix~W. o zQ� o LS9U p4JwwOwm w U wQ WFp�Vsz C.D z 8 Q w p z z= z w ww0 � U pp,, z CO O to U ❑ CAd, p Q J❑ J LC U) N C O a e�Qd' U)Z m it I Z 0 � C] 4 � Z CV r w ��a_ o V J N O� 3: CL 3 N O U c m N �