HomeMy WebLinkAboutRABBIT CREEK VIEW & HEIGHTS BLK 4H LT 17ARabbit Creek View Heights Block 4H Lot 17A #020-551-31 Municipality of Anchorage a° Development Services Department Building Safety Division On-Site Water and Wastewater Program, 4700 Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 Page 1 of 3 www.ci.anchorage.ak.us (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number: SWO60349 PID Number: 020.551.31 Noma'Todd Elmore Wastewater System: ® New ❑ Upgrade Address: 1166 Frances Circle,1 ABSORPTION FIELD Phone: Number of Bedrooms: - ❑ Deep Trench ❑ Shallow Trench ® Bed ❑ Mound ❑ other: LEGAL DESCRIPTION Soil Rating: Total Depth from original grade: 4 GPD/Fts 0.5 Ft. Block: Lot - Subdivision: Depth to pipe bottom from original grade: Gravel depth beneath pipe: 4H 17A Rabbit Creek Heights 0.0 Ft. 0.5 Ft. Township: _ Range: Section: Fill added above original grade: Gravel Length: 3 Ft. 20 Ft. Well: ®New ❑Upgrade Grew[ width Number of lines: Distance between lines: 10 Ft. 2 5 Ft. Classification (Private, A, B, C): Total Depth: Cased to: Total absorption area: Pipe Material: Private 224 Ft. 1 200 Ft. 200 Ff 1 3034 pvc Driller: Date Drilled: Static Water Level: Installer: Date installed Alpine Drilling 6/1112006 1 22 Ft. Alaska Pro Excavation 10/18/2006 Yield: 2 Pump Set at: 210 Casing Height Above Ground: 3 TANK GPM Ft. Ft. SEPARATION DISTANCES ❑ Septic ❑ Holding ® S.T.E.P. ❑ Other: To Septic Absorption Lift Holding ublic/Private Manufacturer:t 1r1U1it ,t13 iy _ p From Tank Field Station Tank Sewer Line Anch Tank - .,,,,1500 Gal. Well 121.2 155.2 130 108 Materiel:-- Steel Number of Compartments: 2 Surfeee Water 100+ 100+ 100+ LIFT STATION Lot Line 11.5 18.6 13 S. 250 Manufacturer: Orenco Gat. Foundation 9 36 13 "Pump on" level at: ;i.11;. :'Pumpoff", IlaW M'l High wafer alarm at: 40 in. 36 in. 45 in. Curtain Drain 20+ 21.5 20+ Pump Make & Model ElecMcal Inspections performed by: 2005 Safe-T-WayElectric/Bill Schill Remarks: 2" Rigid Insulation over field BENCH MARK �� 6e ���, Location and Description: ro L: , p e Sa Garage Finish Floor Assumed Elevation: 100.0 Ft. �.v.f ErIbmBer's Stamp Inspections performed by: PANNONE ENG. SVC, LLC Dates: 1" 1016/2006 %%A% 41 ` .LI 2nd 10/18/2006 :• ��.................oil Development Services Department Approval•„ AV" Conditional Approval Date: 10111107 49TH .................. 3 1 yon. 9'anso;l o-5-ed m 61i 1. Gr�fepCNce amftcr am& belorftwk h� 6-15 �—� ..... .i �• ................}}}��� � ;Steven :Pannone.-i Reviewed and approved by: Date: I� S •., No. CE 8149 ' AV _�/.5 (say. 04/06) ♦����I LOT VACANT NO WELLS OR SEPTICS 146 8 17 163.2 4BR HOUSE AX20 POD & AUX PUMP VAULT (E) NEW DRAIN FIELD SOLID STORM DRAIN PIPE (E) .9 10.0 IN FAILURE RE -USE AS RESERVE FRENCH DRAIN (E) BYRON DRIVE NOTES: SPECIAL PROVISIONS TO SPECIFICATIONS 1. ALL CONSTRUCTION WAS INSTALLED AS SPECIFIED IN THE MOST CURRENT EDITION OF THE MUNICIPALITY OF ANCHORAGE STANDARD SPECIFICATIONS (MASS) FOR COMPONENT PARTS AND MATERIALS USED IN CONSTRUCTION OF ON-SITE WASTEWATER DISPOSAL SYSTEMS. 3. SCOPE OF WORK: INSTALLED NEW SOIL ABSORPTION SYSTEM. 4. GROUNDWATER WAS ENCOUNTERED AT A DEPTH OF 4.7 FEET BELOW EXISTING GRADE AS EVIDENCED BY THE SOIL TEST HOLE. AN APPARENT WATER TABLE WAS NOT OBSERVED IN ANY OF THE EXCAVATIONS LESS THAN 4.7 FEET BELOW EXISTING GRADE. -15.01 1 0 v v GD INSULATION W J 7 ILT J ooz v Y' 0 PERF PIPE W/ a an U n J6" 0 HOLES 18" O.C. a O X /05'.2 /j'/F DRAIN ROCK 6" ABOVE PIPE INV TH-1 DCO F 2.5� -1.5—y,'-v+ OR,.u.-i4lli w- FLOW SPLITTER s.._.. DRAIN ROCK 02.7 X102.2 OG GM 4I2 'SAND TS&V 3.5 -5.0 10/15/05 H-14.0 SW SECTION -15.01 1 0 v v DIP W J 7 0, ¢O J ooz v Z a an U n z U n a O X n 1% J a Q 1500 g S.T.E.P. TANK (E) LEGEND W WATER LINE/ WELL RADIUS — SS — NEW SEPTIC PROFILE DESIGN PARAMETERS RESERVE SEPTIC SYSTEM NO. BEDROOM: 4 (600 gpd) TANK SIZE: 1500g S.T.E.P. W/ AX20 POD & AUX PUMP VAULT (E) PERC RATE = <16 MPI SOIL RATING: 4 GPD/SF AREA ROD: 150 SF SYS. TYPE: BED 14' WIDE MIN LENGTH: 11 LF USED: 18 LF X 12' WIDE, 0.5' E.D., 0.5' TD TOTAL AREA: 216 SF NOTES: PANONL' ENG SVC, LLC RECORD DRAWING P.O. BOX 100217 ANCHORAGE, AK 99510 PHONE (907) 272-8218 FAX (907) 272-8211 RABBIT CREEK VIEW & HEIGHTS, BLOCK 4H, LOT STUART & SUSAN SAMUELSON 7921 BYRON DRIVE DESIGN DETAILS ANCHORAGE, AK 99516 INSULATION ER FABRIC '1 h" 0 PERF PIPE W/ Ys" 0 HOLES 18" O.C. -DRAIN ROCK 6" ABOVE PIPE INV ROCK rmaaa�►•ir_irlolow CU COPPER DIP DUCTILE IRON PIPE TH TEST HOLE FC FOUNDATION CLEAN OUT T# TANK CLEAN OUT NO. C# CLEAN OUT NO. M# MONITOR TUBE NO. R.I. RIGID INSULATION DCO DOUBLE CLEAN OUT DV DIVERTER VALVE FS FLOW SPLITTER BFG BELOW FINISH GRADE OG ORIGINAL GRADE FG FINISH GRADE TS&V TOPSOIL & VEGETATE Date 7/15/2013 *: 49 TH ': * (� NTS P.I.D. NO A,A020-551- 020-551-31 Steven R. annonne---/rrr PERMIT NO. ' PFS, CE 8149 �� OSP131055 s 1�1`'"�OFESSION�'� Sh3eOF 3 On -Site Wastewater Disposal System Permit Permit Number: OSP131055 Tax Code Number: 02055131000 Work Type: Septic Permit Effective Dates: May 01, 2013 MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 Elmore Road, PO Box 196650 Anchorage, AK 99519-6650 Telephone: (907) 343-7904 to May 01, 2014 Design Engineer: PANNONE ENGINEERING SERVICE Subdivision: RABBIT CREEK VIEW & HEIGHTS Site Legal Address: RABBIT CREEK VIEW & HEIGHTS BILK 4H LT 17A G:3340 Owner/Address: SAMUELSON STUART A& SUSAN L 7821 BYRON DR ANCHORAGE AK 995160000 Site Mailing Address: 7921 BYRON DR, Anchorage This permit is for the construction of: Lot Size in Sq Ft: 19913 Total Bedrooms: 4 Y Disposal Field N Septic Tank N Holding Tank N Privy N Private Well N 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 wastewater code requires inspections during the installation. The engineer must notify the Development Services Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either: A. Open and Close on the same day. B. Covered, sealed, and heated to prevent freezing. Received Issued % MUNICIPALITY OF ANCHORAGE Community Development Department Phone: 907-343-7904 Development Services Division Fax: 907-343-7997 On -Site Water & Wastewater Program ON-SITE SEWER/WELL PERMIT APPLICATION Parcel I.D. 020-551-31 Property owner(s) Stuart & Susan Samuelson Mailing address 7921 Drive, Anchorage, AK 99516 Day phone Site address 7921 Byron Drive Legal description (Sub'd., Block & Lot) Rabbit Creek View & Heights, Block 4H, Lot 17A Legal description (Township, Range & Section) Lot Size 19,913 Sq. Ft. APPLICATION IS FOR: (® all that apply) Absorption Field ❑x Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage ❑ Number of Bedrooms 4 APPLICATION IS AN: TYPE OF DWELLING: Initial ❑ Single Family (SF) ❑X (w/wo ADU) Upgrade ❑X Duplex (D) El ❑ Multiple Dwellings ❑ (SF and/or D) THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. (Signature of owner or authorized agent) Permit/Rush Fees: S 30 _ Date of Payment: y1 11-(13 (157 Receipt Number: D (Vol q � Permit No. _ OS V 13 (6557 Permit App_:- : - : L- t - Waiver Fees: Date of Payment: Receipt Number: Waiver No, Pannone Engineering Services LLC Steven R. Pannone, Principal Registered Professional Engineer E-mail: steveftPaneneak.com April 17, 2013 Municipality of Anchorage Development Services Department On -Site Water & Wastewater Program 4700 S. Bragaw Street P. O. Box 196650 Anchorage, Alaska 99519 Subject: Rabbit Creek View & Heights, Block 4H, Lot 17A Septic System Upgrade Permit Request Ladies and Gentlemen: I am writing to request a permit to upgrade the septic system be issued for this property. The proposed systems will serve an existing four (4) bedroom house. Currently the lot is developed. The existing bed is in failure and will be re -used as a reserve. This lot is served by a private well that is over 100 feet from the existing and proposed septic system. The surrounding lots are also served by private wells that are located over 100 feet from this system. 1. Soils. One test hole was excavated by Pannone Engineering Services in August of 2005, and the ground water monitored for seven days. Groundwater was observed in the hole monitor tubes after the seven day monitoring period at a depth of 4.7 feet during the month of October. Bedrock was not encountered in the test hole. It is my opinion, based on the results of the percolation tests and overall soils appearance; an application rate of 4 gallons/day/square feet should be used for a Cat III wastewater system. A diverter valve will be installed in the auxiliary pump vault and the existing drain field will be re- used as a reserve. 2. Soil Absorption System Design. a. See Sheet 2 of the design package. 3. Surface Water: There is no surface water within 100 feet of the proposed septic tank and drain field. The proposed drain field upgrade will maintain at least 100 feet from all surface water and drainage ditches. 4. Topography: The topography slopes from southwest to northeast at approximately 5% in the area of the proposed drain field. There are no steep slopes in the area. S. Drawing Markings: The Drawings are marked "For MoA Review Only". When written notification Mailing: P.O. Box 100217, Anchorage, AK 99510-0217 Physical: 332 East Manor, Anchorage, AK 99501 Telephone: (907) 272-8218 FAX: (907) 272-8211 Page 2 of 2 that the review is complete and that there are no further comments is received from MoA On -Site Department, the note will be removed and `Issued for Construction" drawings will be issued. The proposed installation will not affect the future development of the surrounding or existing lots. There are no wells or septic systems within 100 feet of the proposed septic location. If you have any questions or concerns, please contact me at 272-8218. Sincerely, Steven R. Pannone, P.E. Owner/Civil Engineer Attachments -Soils Log -Septic System Design Mailing: P.O. Box 100217, Anchorage, AK 99510-0217 Physical: 332 East Manor, Ave, Anchorage, AK 99501 Telephone: (907) 272-8218 FAX: (907) 272-8211 CE) 14 15 / �gr '\ LOT VACANT / ._. NO WELLS OR SEPTICS 17 144. ` 18 1500g S.T.E.P. TANK W/ --- AX20 POD & AUX PUMP VAULT (E) DRAIN FIELD (P) -" - BED 1 5L x 14'W x 05ED x 0.5'TD -' i W/ 3.5' SAND ' t .. SOLID STORM DRAIN PIPE (E) 10.0 LL (E) I DRAIN FIELD (E) BED 20LF x 1 O'W x 0.5'ED IN FAILURE RE—USE AS RESERVE \ FRENCH DRAIN (E) A\/ \ 4BR\HOUSE (E) TH—t o 0 BYRON DRIVE a NOTES: PAMONE ENG SVC, LLC —`SOF Q1 -_,q\\>>( 4/30/2013 Uate FOR CONSTRUCTION P•O. BOX 100217 ANCHORAGE, AK 99510 i�•" ••'• l� PHONE (907) 272-8218 FAX (907) 272-82114,9 TH P �y�f Scale ...... .:). .. ... P.I.D. NO RABBIT CREEK VIEW & HEIGHTS, BLOCK 4H, LOT 17A / .... / 020-551-31 STUART & SUSAN SAMUELSON eve R. Pann ne / PERMIT No. '�P/S CE 8149 / 7921 BYRON DRIVE OSP131055 PLAN ANCHORAGE, AK 99516 111pRpSON sn'eoF 2 SPECIAL PROVISIONS TO SPECIFICATIONS 1. ALL CONSTRUCTION SHALL BE INSTALLED AS SPECIFIED IN THE MOST CURRENT EDITION OF THE MUNICIPALITY OF ANCHORAGE STANDARD SPECIFICATIONS (MASS) FOR COMPONENT PARTS AND MATERIALS USED IN CONSTRUCTION OF ON—SITE WASTEWATER DISPOSAL SYSTEMS. 3. SCOPE OF WORK: INSTALL NEW SOIL ABSORPTION SYSTEM. 4. GROUNDWATER WAS ENCOUNTERED AT A DEPTH OF 4.7 FEET BELOW EXISTING GRADE AS EVIDENCED BY THE SOIL TEST HOLE. IF AN APPARENT WATER TABLE IS OBSERVED IN ANY OF THE EXCAVATIONS LESSTHAN 4.7 FEET BELOW EXISTING GRADE NOTIFY THE ENGINEER IMMEDIATELY. INSULATION OR FABRIC '1 Ya" 0 PERF PIPE W/ A" 0 HOLES 18" O.C. -DRAIN ROCK 6" ABOVE PIPE INV TH-i COPPER vZ" OR,.?,'u a v zo o ¢ a n n x TANK CLEAN OUT NO. + 4I2 CLEAN OUT NO. GM MONITOR TUBE NO. ;.�, RIGID INSULATION DCO DOUBLE CLEAN OUT DV 10/15/05 FS SW BFG BELOW FINISH GRADE SECTION w COPPER vZ" ¢o 0, n� 00 z zo o ¢ a n n x 1500 g S.T.E.P. TANK (E) .LEGEND W WATER LINE/ WELL RADIUS — SS — NEW SEPTIC PROFILE DESIGN PARAMETERS RESERVE SEPTIC SYSTEM NO. BEDROOM: 4 (600 gpd) TANK SIZE: 1500g S.T.E.P. W/ AX20 POD & AUX PUMP VAULT (E) PERC RATE = <16 MPI SOIL RATING: 4 GPD/SF AREA ROD: 150 SF SYS. TYPE: BED 14' WIDE MIN LENGTH: 11 LF USE: 15 LF X 14' WIDE, 0.5' E.D., 0.5' TO TOTAL AREA: 210 SF INSULATION ER FABRIC I Ya" 0 PERF PIPE W/ Ye" 0 HOLES 18" O.C. -DRAIN ROCK 6" ABOVE PIPE INV ROCK ABBREVIATIONS CU COPPER DIP DUCTILE IRON PIPE TH TEST HOLE FC FOUNDATION CLEAN OUT T# TANK CLEAN OUT NO. C# CLEAN OUT NO. M# MONITOR TUBE NO. R. 1. RIGID INSULATION DCO DOUBLE CLEAN OUT DV DIVERTER VALVE FS FLOW SPLITTER BFG BELOW FINISH GRADE OG ORIGINAL GRADE FG FINISH GRADE TS&V TOPSOIL & VEGETATE NOTES: PAMONE ENG SVC, LLL.. � "\\ Date FOR CONSTRUCTION P.O. BOX 10D217 ANCHORAGE, AK 99510 �� OF A�qs k� 4/30/2013 r�Q:'• '; Scale PHONE (907) 272-8218 FAX (907) 272-8211 * •49 TM *�j� NTS .... .. . ..... P.I.D. NO RABBIT CREEK VIEW & HEIGHTS, BLOCK 4H, LOT 17A........ 20-551-31 STUART & SUSAN SAMUELSON / Steven R . R. annone / PERMIT NO. O T.•.• CE 6149 .'�/� OSP131055 7921 BYRON DRIVE DESIGN DETAILS ANCHORAGE, AK 99516 �111>1R�0�sso�p�o�G Sheet `� 2 OF 2 Municipality of Anchorage Development Services Department Building Safety Division On -She Water and Wastewater Program, 4700 Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 Pagel of 3 www.ci.anchorage.ak.us (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number: SW060349 PID Number: 020.551.31 ro d Elmore Wastewater System: ® New ❑ Upgrade TM Frances Circle, 99515 ABSORPTION FIELD Plteae NunDera BWro : D o..P Tl.r� O sneno.v Tnrlah ®e.e O Mauntl O om« LEGAL DESCRIPTION rMlRe na TOW Depth ft..arW. 0 0.55 4 000�Fr Ft. Bloch Lot 6ubdMtlan: Dealt b PIP bWM hang 0dq" areae- or" depth benuth PP 4H 17A Rabbit Creek Heights 0.0 Ft. 0.5 Ft Towne 0 Rhnae: 8ecliart: Fu Waal Wove "r W Vr Gnmml Lemp 3 FI. 20 Ft. Well: ® New ❑ Upgrade ar.,,.l.tdat 10 Nur at 1m 2 Datamw tr h w 5 Ft. Ft cleeMfKloan )Pmete. & B. c). Taal Depth: cow b Taal ebeogP «ea Ppe MaterW Private 224 Ft. 200 Ft 200 Fr 3034 Pvc neer Dw DOW. S4hc wwr umra InMtl4r. Det. hn 71'p AI ine Drillinq 611112006 22 Ft. Alaska Pro Excavation 10/1812006 Yi ""t''; ceenPN«ahtAbweorouW: TANK 2 DPM 210 F<. 3 F< SEPARATION DISTANCES ❑ Septic ❑ Holding ® S.T.E.P. ❑ Other: To Septic Lift Holding ublkiPnvate Me W.lw a��rl �,�11tJi11: IfLtlait ..� Anch Tank ty,.. 1500 From TankStation Tank Is~Una ...,,I, ii'a GW we" 121.2 130 toe Steel 2 s"neaeweter 100+ E155.2 100+LIFT.STATION stun. 11.5 13 250 Dtl .n .�,o Orenco 9 36 13 �. t ' •R VfV ertl W.; Found«m 40 h 36 In 45 M. 2O+ 21.5 2O+ Pvnn wee a Malel ENatn Inepeuvane pedwmal try Curwn Drain 2005 Safe•T•Wa Electric/Bill Schill Re M' BENCH MARK 2" Rigid Insulation over field LaliUart cal Deealptwn- Garage Finish Floor n.eum.a Nvelwn. 100.0 FL �,.Engirieer'sStamp Inspections performed by: PANNONE ENG. SVC, LLC Dates: 1" 10/6/2006 2nd 1011812006 .• OF A ,♦ ♦♦ Development Services Department Approval,, �.•°r ♦♦♦ •••••�� Conditional Approval Date: 10,44 07 TN � � �j — i.. r„ .. ``' s / r d d cr. . twfer o.nb�leri:.k ti� 6 15 a�T�eaet See Mwa. . pnr i ....... ............... 0 i� %Steven ka onnone. x ♦♦� No. CE 8149 Reviewed and approved by: Date: (l .owa) ♦ ..........••• .• I, NFAASsalk PERMIT NO: SWO60349 RECORD DRAWING P.I.D. NO: 020-551-30 WASTEWATER DISPOSAL SYSTEM LOT17A BLOCK 4H RABBIT CREEK HTS S/D, UTiL. E MT. OT U --- --- —__ ---------- --- W WELL �A/ —6 t6•A s /IT LOT UNDEVELOPE 'ss Is NO WELLS OR SEPTICS1i ��`88816 1 W/IN 100 FEET 174 b QST HOLE Y � O �� 7js ^ s NEW N° 1 8 g 4 R H� a d FC NEW 1500g w' ,,e STEEL S.T.E.P. TANK11 100. m odd 170 W/ AX20 POD & AUX Cl100' 1 72 LIFT STATION leo T RESERVE FIELD LS ' ,e I ' LOT UNDEVELOPED ED 15LF x 14'W x 0.5'ED 0 ELLS OR SEPTIC 90 W/IN 1 EET PRIMARY FIELD 1 ED 20LFx 10'W x 0.5'ED1 'ee e C g FC 2 .7 SOLID PIPEC1 3 ' 19.61. 176 •8 TH2 'ar 2 T1 18.5 20.4 4.4 27.4 EXIST'G DRAIN A 18z 178 `'90 56.8 18647.7 ?a0 VRrw• WIMLL W/ DRAIN 3.6 186 e•-10• ROCK J nRer FRbk - Wny, RnwIM Cram rock EI W� B•M gJ, EDGE OF Ragp e' Drein Roek , e01TO4 ELEV- Y NOPE CORRUGATED SEE NOTES PERT DRAW NPC w/ FILTER F RI W A -A FRENCH DRAIN SECTION 41) ��*• NOTES: 3) Maintain 10' separation to All work shall be performed in oil lot lines and water lines, AMC15.65. ..,,,• '�P:••'• accordance with unless noted otherwise. 2) Materials used shall be in {E ;' �7 �} ♦ accordance with those specified 4) Lots served by private water in AMC75.65, Wastewater Disposal. systems. No wells within 100• 49TH — G\ .................` ...• % of proposed system. —PREPARED FOR: PANNONE ENG. SVC, LLC •j't'. Steven Panno7 CE 8149 ° Todd Elmore P. 0, BOX 102954 �i 10/3/07 �� 1166 Frances Circle ANCHORAGE, ALASKA 99510 �� �04 Anchorage. AK 99515 227-3522 P, 272-8218 Fox DATE: 10-20—OS PLAN ,,� ,, ��� �1U 250-7935 SCALE: 1 "=40' �' � PERMIT N0: SWO60349 RECORD DRAWING DETAILS P.I.D. N0: 020-551-31 WASTEWATER DISPOSAL SYSTEM LOT17A BLOCK 47H RABBIT CREEK HTS S/D, . rte', • ., 1 49TH CE 8149 Todd Elmore 10/3/07 ,.'S�� Z ES510�•� Anchorage, AK 99515 250-7935 O u W A C 272 je V) b m Le �n � e 0 C; tl W ~ in' ' 00 1 1 O H . rte', • ., 1 49TH CE 8149 Todd Elmore 10/3/07 ,.'S�� 1166 Frances Circle ES510�•� Anchorage, AK 99515 250-7935 i :2 38ft woL on 3lOXXYn 3WIn+.11 wuYOxnw LJ J E O PANNONE ENG. SVC, LLC P. 0. BOX 102954 ANCHORAGE, ALASKA 99510 227-3522 P, 272-8218 Fax ATE: 10 2 07 DETAILS ;ALE: NTS ALPINE DRILLING & ENTERPRISES Permit Number. NSW250 006 Date of Issue: 10-27-05 Pared Identification Number: 020 55131 Date Started: 6-9-06 Date Completed: 6-11-06 Is well located at approved permit location? ® Yes ®No Legal Descriptiost RabU Crock Hahts Elk 4H It 17A Property Owner Name 8t Addrem: Todd Elmore 1166 Francis Circle Anchoreae. Alaska 99515 Borehole Data: Depth (ft) Soil Type, Thickness & Water Strata From To stick-up 0 3 organic & S•'N 3 f 1 silty cobbly gravel 11 43 gravelly s#t 43 65 sMy cobbly gravel 43 112 silty water sand & gravel 11291 114gl gravelly silt 114 198 bedrock 198 224 FMethod of Drilling ® air rotary I --]cable tool Casing type- ¢fie f WallThictmess:,inches Diameter: r inches Depth: 200 feet I lner Type: Diameter. inches Depth: _ feet Casing stickup above ground: I feet Static water level (from ground level): g2 feet Pumping level -_Z23 feet after 2 hours pumping, gpm Recovery Rate: gpm Method of Testing: pkiff Well Intake Opening Type: ® Open End ® Open Hole ❑ Screened Startfeet Stopped _ feet ❑ Perforations Start feet Stopped feet' Grout Type: bentonlre empiu(e Volume: L Depth: StattQ feet Stopped Z feet Pump: Intake Depth_ feet Pump size bp Drand.Name Well Disinfected Upon Completion? ® Yes No Method of Disinfection: chlorine abists Comments: Wall Drillar. Alpine DrXing & Enterprises FO Box 110496 City 99511 zip Attention: The well driller shall provide a well log to the property owner within 30 days of completion and the property owner or the well driller shall provide a well log to the Development Services Department within 60 days of completion. AUG -23-2007 01:498 FROM: 70:2534839 P.V1 ow"WOW+a► 66MAU D1p "Ill anile a" Dwa OR -sits w.tw f wdtftow F..r.m •• 4700 L4*w O.O. ietr 10f 100 • • taw"k AruhvVc All 11816 -WO • e � A*W Pump Istella larr Log >�Y-sr/3-997 won Drufts Fuss a Fl wfWK an of Isful: r ;+ Form 7da"ll"liBa numeen,,._-_. -_ LRa 6> �rcr f� ataes ue fey owr New � �deiwa Nei l�fS loC(M/ ,o c pumF UbIM lx0b U%%v T" A Woe] Cubul �` f n bst hart/ raenlFao„tre rren�l-��,+,��.� ft" Ma ll,i Pr.rrller �,-,-6p Teit•w /WFYr1�1 Dr}t!r � M _/.. 41dtmAdtataM�s4tYetsrlliNrmr rCo l%'�t��i.,�Pi/ IltlmAdtlataZnttiUrn woo DNhdHW up" GrAtdit al ;0 Yu 0 Ns nrAsd afshi rntzel",sP Fre GeeuHYr CALL F011 SERVICE —Complete Water BWM Bervloe — AAROW PUMP & MR StRVICEI LLC _ BRIAN WtLLE ,,._.. ANCMOAAOE CA= FINER (9071 34&9= coon e22 Bd3s Atte & I(1uf�tnWiM►�hdlpewt4�µeepb5ltiteti•alq+eMA.ddd,►lQdq+elpunpiar►tl•dM► Aug 20 07 10:51a Bob Schill 907-349-0838 p.1 Safe -t -way Electric 6208 Mackay St. Anchorage, Alaska 99518 Ph. 561-0059/ Fax 561-I558 Mr. Todd Elmore, This letter is to confirm that the sewer lift station controller system located at 7921 Byron St. in Bear Valley has been installed to manufactures specifications and current National Electrical codes. Sincerely / /t'It'll Bob Schill RABBIT 111=30' 2004-91 RABBIT CREEK VIEW & CREEK HEIGHTS SUBDIVISION LOT 17A, BLOCK 4H 19,913 S.F. N 89.26'52"E 99.90' 10' UTIL ESWr. GASTALDI LAND SURVEYING, LLC JEFF A. GASTALDI, R.L.S. 4726 WEST 88TH AVENUE ANCHORAGE, ALASKA 99502 PHONE 248-5454 GRIDDATE 3240-41 4/13/2007 3340-41 F.B. I JOB NO. 07-04 RCH17A4H N 59.3U'57"E 99.35' O M BYRON DRIVE I HEREBY CERTIFY THAT I HAVE SURVEYED THE PROPERTY DEPICTED ABOVE AND THAT NO ENCROACHMENTS EXIST EXCEPT AS INDICATED. IT IS THE RESPONSIBILITY OF THE OWNER TO DETERMINE THE EXISTENCE OF ANY EASEMENTS, COVENANTS OR RESTRICTIONS WHICH DO NOT APPEAR ON THE RECORDED SUBDIVISION PLAT. UNDER NO CIRCUMSTANCES SHOULD ANY DATA HEREON BE USED FOR CONSTRUCTION OR FOR ESTABLISHING BOUNDARY OR FENCE LINES. ANCHORAGE RECORDING DISTRICT, ALASKA NOTE NO CORNERS SET THIS DATE REPLAT *'oslkItrr �4 POF A �1 'CF ......•.•; gs ♦♦ moi; 49TH :9 yt . . Eery A. Gostoldl :• l 6 tr : .' eR AV �. "o✓'esslonal Va �� Im WELL �• DfCK- 1 Coll DECK X3.6' h eo m rn � �15TING � m 3 BUILDING 3 00 7.9 F i; 23.8' 2"2 C1y,ERED °� � QitKf N N • J N 13 a' 28.5' • 2-5-V b DRIVE GRAIL SEPTIC SYSTEM 46 GASTALDI LAND SURVEYING, LLC JEFF A. GASTALDI, R.L.S. 4726 WEST 88TH AVENUE ANCHORAGE, ALASKA 99502 PHONE 248-5454 GRIDDATE 3240-41 4/13/2007 3340-41 F.B. I JOB NO. 07-04 RCH17A4H N 59.3U'57"E 99.35' O M BYRON DRIVE I HEREBY CERTIFY THAT I HAVE SURVEYED THE PROPERTY DEPICTED ABOVE AND THAT NO ENCROACHMENTS EXIST EXCEPT AS INDICATED. IT IS THE RESPONSIBILITY OF THE OWNER TO DETERMINE THE EXISTENCE OF ANY EASEMENTS, COVENANTS OR RESTRICTIONS WHICH DO NOT APPEAR ON THE RECORDED SUBDIVISION PLAT. UNDER NO CIRCUMSTANCES SHOULD ANY DATA HEREON BE USED FOR CONSTRUCTION OR FOR ESTABLISHING BOUNDARY OR FENCE LINES. ANCHORAGE RECORDING DISTRICT, ALASKA NOTE NO CORNERS SET THIS DATE REPLAT *'oslkItrr �4 POF A �1 'CF ......•.•; gs ♦♦ moi; 49TH :9 yt . . Eery A. Gostoldl :• l 6 tr : .' eR AV �. "o✓'esslonal Va �� Page 1 of 2 Steve Pannone From: Woolley, Oran L (DEC) [oran.woolley@alaska.gov] Sent: Friday, October 05, 2007 4:36 PM To: Steve Pannone; Smyth, William J (DEC) Subject: RE: Surface Water Definitions Steve, Our regulations do not define surface water. A road side ditch with Intermittent flow is not a surface water. Our regulations [ 18 AAC 72.020(b) ] regarding separation distance from water states: The minimum separation distance between the mean annual high water level of a lake, river, stream, spring, or slough, or the mean higher high water level of coastal waters, and a lift station, holding tank, septic tank, soil absorption system, seepage pit, pit privy, or other wastewater collection, treatment, or disposal system is 100 feet, measured horizontally. As you can see, our regs define surface water by specifically listing what we want 100' separation from.... lake, river, stream, spring, slough. A road side ditch does not meet that criteria, and our regs do not state anything about m48 hours after the last rain fall' I do not treat roadside ditches as open waters during my reviews. That requirement is not consistent with the State regulations and it is not something we attempt to enforce. Hope this clarifies things for you. Oran Oran Woolley, ADEC 1700 E. Bogard, Bldg B, Ste 103 Wasilla, AK 99654 (907) 376.1852 From: Steve Pannone [mailto:stevep@ak.net] Sent: Friday, October 05, 2007 3:54 PM To: Smyth, William J (DEC) Cc: Woolley, Oran L (DEC) Subject: Surface Water Definitions O D� Bill, Oran, I would like some clarifications on the definition of surface water. I am being told that a road side ditch is classified as surface water and my septic system must be 100 feet away. The MoA is saying that because the ditch has run-off water in it greater than 48 hours after the last rain fall event that it is classified as surface water. This particular road side ditch has been dry the entire summer. During the month of September, when we had approximately twice the monthly average rainfall, water showed up. Over the past five days on the intermittent rainfalls that we have had, the water has persisted in the road side ditch. The MoA is telling me that the ditch is now classified as a surface water. 10/5/2007 I C'j 7-1 a II 'NMI A I... 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I, t 7J ,-�, •� � rim � w h-a^ Iv i w✓' r i yti d rbr- j -� -.: t..< -"• �,ty..v+s �Te !ti „ >;C ice" � i l +;J%r«. ��tt � � ^� t I>`. I 1.+ F° 1��! tf t j4 dt�.r I + '• w ... ` !n,rl i , �/ � It )�tl �. 1�1 RW , •. 'l IJ �r• ,-I J •� � 1 l� 4 Jar"�7ji !�� �'t14 � . � � Y i ` � `( • tF!!•=...J .,. • i\y(� •,�^Y tl 1. T 1 �i Jlt+ r' a r ,..+���.. + } `ti'l •Jbl„'.:- � r.04 v•1�.. �• .. -, i� 7.1 6.5 ri 4ot 1. JI} .. i'. i ;, ;, • i.: �. �} '.} � �: � � Y I. '', I ; �'. 1 � - _ j» • { , i � � ��: . 1 JI} �,� , • i.: �. '.} � . . � � '', I ; �'. 1 � - _ 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 / WATER SUPPLY PERMIT Renewal Permit Number: SWO60349 Date Issued: Oct 26, 2006 Expiration Date: Oct 26, 2007 Parcel ID: 020-551-31 Legal Description: RABBIT CREEK HEIGHTS SUBDIVISION BLOCK 4H LOT 17A Design Engineer: 0093 G. SCOTT CROWTHER, PE Owner Name: TODD ELMORE Owner Address: 1166 FRANCIS CIRCLE ANCHORAGE, AK 99515 - Site Address: 7921 BYRON DRIVE Lot Size: 19913 SQ. FT. Total Bedrooms: 4 Permit Bedrooms: 4 This permit is for the construction of. [71 Disposal Field E✓ Septic Tank E] Holding Tank ❑ Privy Private Well Water Storage All construction must be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations ( 18AAC72 ) and Drinking Water Regulations ( 18AAC80 ). 3. The engineer must notify DSD at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours). ( Not required for a Water Supply Permit only). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. 5. The following special provisions. -The upper six inches of a mound system must consist of top soil and the mound must be vegetated sufficiently to prevent erosion. Received By: 9.4tst P42 Date: _10.27.01/ Issued By: t Fr ftp Date: I Lp 1 67 ,0 Municipality of Anchorage Development Services Department �•? Building Safety Division On -Site Water and Wastewater Program s r 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907)343-7904 ON-SITE SEPTICMELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. 1041) - 6jr I - Property owner(s) TbDD -LLL #44,11*? ca Day phone Z'0C,- 44 35' Mailing address (1 6 6 T2P,4kAY et -?l c t1zc t ca t ,Aa elf ►AkZip Code `t `f G_'5 Site address 'gg21 --t� Zip Code Legal description (Sub'd, Block & Lot) L o ( 1'7A t'9 u 112�K-T313t-r CR [zz?_lc t}7S Legal description (Township, Section & Range) Lot Size 19 q 13 Sq. Ft. Number of Bedrooms THIS APPLICATION IS FOR (®all that apply): THIS APPLICATION IS AN: Absorption Field ® Initial ❑ Septic Tank ® Upgrade ❑ Holding Tank ❑ Renewal `�{] Privy ❑ Private Well Water Storage ❑ 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. a0iC;• S (Signature of property owner or authorized agent) Permit/Rush Fees: l l Waiver Fees: Date of Payment: 00 lb U Date of Payment: Receipt Number: t) rJ O Receipt Number: (Rev. 11105) Pannone Engineering Services, LLC P.O. Box 102954 Consulting Engineers Anchorage, Alaska, 99510 (907) 272-8218 (907) 272-8211 Fax October 12, 2006 Municipality of Anchorage Development Services Department On -Site Water & Wastewater Program 4700 S. Bragaw Street P. O. Box 196650 Anchorage, Alaska 99519 Subject: Lot 17A, Block 4H Rabbit Creek Heights S/D Well & Septic System Change Order Request Permit Number SWO50406 Ladies and Gentlemen: I am writing to request some minor changes in the design of the soil absorption system for this project and to request that the existing permit be extended for an additional year. Changes I am requesting that the size of the drain fields be modified. During the installation process the house location was placed approximately five feet further south than my original plan indicated. This meant that the reserve field would have been to close to the house. In the review of the situation, we realized that the drain field size was sized using the incorrect application rate, thus making the field larger that necessary. This letter shows the revised drain field calculations. I am attaching a revised site plan, detail sheet and calculation sheet based on this information. While installing the new STEP tank, we noticed a seam of blue till clay that was not present in trench during the installation of the curtain drain or in the original test hole at approximately two feet below ground level. A second test hole was excavated just west of the proposed primary field location. The seam of clay was present. See the attached soils log for test hole 2. Below the clay layer, to a depth of 10.5 feet, was the silty gravel level. A percolation test was performed on this soil. Mr. Joe Goodall was present and saw the presence of the clay layer. 1. Soils. See the attached soils log. A single test hole was excavated during the investigation process and is attached. Ground water was observed originally at a depth of 4.4 feet in the test hole during water monitoring this fall. A curtain drain was installed, and the water level dropped, indicating that the drain worked to lower the water table. The water table was monitored through the spring high water period. The highest water level recorded on May 20, 2006 was 6.8ft below ground level. Bedrock was not encountered in the test holes. It is my opinion that the overall soils appearance of the soils, an application rate of 4 gallons/day/square feet should be used using an advanced treatment system with an auxiliary pump vault (the distribution system will be pressurized). 2. Trench Design. a. Percolation Rate: b. Application Rate: c. Number of Bedrooms: d. Design Flow: e. Min. Absorption Area: f. Total depth: g. Effective Depth: 16-30 Min Per Inch 4 gpdpsf (pressurized system) 4 600 gallons per day 150 sf 0.5 feet 0.5 feet Page 2 of 2 h. Width: i. Reduction Factor: j. Minimum Length: k. Design Length: 1. Effective Absorption Area: m. Septic Tank Size: n. Treatment System: 10 feet 0.0 20 feet 20 feet 200 sf 15008 steel tank Advantex AX20 Pod W/ Aux Pump Vault 3. Surface Water: There is no surface water within 200 feet of the proposed system. There is drainage ditch along the south side of Byron Drive that has intermittent flow of storm water. The ditch is normally dry. 4. Topography: The average topography in the area of the proposed septic system is approximately 20 percent downward to the northeast. 5. Additional Information: A French drain was installed uphill and to the sides of the proposed system. During the seasonal high water event this October, the water levels remained well below the bottom of the proposed system. The drain is a minimum of 12 feet deep and outfalls greater than 100 feet from the proposed SAS. The proposed installation will not affect the future development of the surrounding or existing lots. There are no wells or septic systems within 100 feet of the proposed septic location. If you have any questions or concerns, please contact me at 272-8218. Sincerely, • h a` 4,9L- �f� K� G. Scott Crowther n q1 CE 6491 �l �ti: %4 1 .JO/12/0�iy� G. Scott Crowther, P.E. Civil Engineer Attachments: C:\Work\Letter3\17A-411 Rabbit Creek tits-004.doc PERMIT NO: SWO50406 DESIGN DRAWING P.I.D. NO: 020.551-30 WASTEWATER DISPOSAL SYSTEM LOT17A BLOCK 47H RABBIT CREEK HTS SID, PROPOSED WELL 'O°° UTR ESMT L PE -- — — — — —— -- — — �O�TU NO INV EPT s S a� 166 LOT UNDEVELOPED NO WELLS OR SEPTICS 166 o W/IN 100 FEET 1 T'0 q, FE a �, ® p 4'� TEST PROPOSED 4 HOUSE � 117, / 1 � 0 4 PROPOSED 1500gN �1 149 4 6 c 10 LOT UNDEVEL E �1j0 STEEL S.T.E.P. TANK °aa �� m NO WELLS SEPTICS W/ AX20 POD & AUX g1, LIFT STATION 2 8 : W/ , EET PROPOSED RESERVE FIELD BED 20LFx 10' Wx 0.5 ED 9 1az TH1 7 PROPOSED PRIMARY FIELD 0 BED 20LFx 10' Wx 0.5 ED TH2 0.0 a--• ; I)6 a 0.0 '° q �1 1ea 176 ` 190 '° ..11e1l •11? It B6 I • . v.� eMysuw wlw •t(�o •a, led 11 WIOTNLLSE IlafE ,uvE.o•sorta,ELEvuv\ 71W, aU EDGE OF ROAD ' IM E\. oN lo\nAmwleE BYRON DR. ., W�s,E„�,E ,u.E.D•eonoM elevw\nl n\E: E7 . DRAINAGE DITCH/ » En ee rzMa 7Ea•\INTERMITANT FLOWS �f M/E CD/rY1M\FD IME FNOPes 6EE1 sort fkw- FEar oRA+IF+Ew — �I l eawuear A\A — —(STORM WATE - — —_ SEEM\E] F%W.F CMMI eE/1XM 1M /Et I. M\O \,I MOI FRENCH DRAIN SECTION NOTES: 3) Maintain 1(r separation to all lot OF 1) All work ahal be performed In ones and water Ines, unless noted ............. �Q'(�................ eaadance with AMC15.65. otherwise. • •�1 i Gi' 2) Materials used shao be In 4) Lots served by private water JTN. accordance••••::+ 1•� i' sposalfied � systems. No wells within 100• of �49 AMC75.65, Wastewater Dlose a...../iJ. .. J.-..„.�..1.j.. .••.. proposed system. 0 11 ....PREPARED FOR: 'a�s G.ScohCrow+ner = • PANNONE ENG. SVC, LLC P. O. BOX 102954 •�� ro Todd Elmo f AN • �.ANCHORAGE, ALASKA 99510 10.124-06 � 1168 Frances Clyde �' �� AK 99515 227-3522 P. 272-8218 Fax • Anchorage. 250.7935 DATE: 10.11-06 PLAN SCALE: 1'W 0' U SOILS LOG - PERCOLATION TEST ••�OF �.• 1 ,. .............. PANNONE ENGINEERING SERVICES : 4t P.O. BOX 102954 49 TM �.... h..w ................� ANCHORAGE, AK 99510 ....r.............t k �' �y he ,r"t • (907) 272-8218 'G. Swn Crow11 er d • • CE 6491 ♦ 10.16-06 S1 • �j� PERFORMED FOR: Todd Elmore DATE PERFORMED: 10.1(}-06 .�,.�� �,e'�'�,•�.� ♦441, ' LEGAL DESCRIPTION: LOT 17A, Block 4H Rabbft Creek Hts SID ; �����• TEST HOLE 2 SLOPE SITE PLAN GM Brown SM 2 Gravel 17 CL Blue t9 day 7 4 5 GM HTES Brown Sery TEST OLE Gnwl e T TH1 6 TH2 s 10 11 BOH 12 17 WAS GROUND WATER SLOPE 14 ENCOUNTERED? N TH 2 16 IF YES, AT WHAT DEPTH? 18 DEPTH TO WATER AFTER 17 MONITORING? -7.4 DATE: 10.16-06 15 19 WATER EADNW RG DATE CLOCK( NET TIME LEVEL NETDROP TIME READING 20 1 10-ume 643 - 409 ' 2 6:50 00 MIN 510 l.11 2 6:57 4.44 4 6:27 b MIN 531 137 5 627 4.57 - 6 6:5] 70 MIN e60 1.07 PEROLATION RATE 28 (minAnch) PERC HOLE DIAMETER 6 klches TEST RUN BETWEEN 6 FT AND 7 FT COMMENTS: Test hole excavated by Jim Traxinger. Test Hole was presoaked beforedere test. PERFORMED BY: PES 10. Scott Crowther P.E. CERTIFY TIIAT TIIIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDLINES IN EFFECT ON THE DATE OF THIS TEST. PERMIT NO: SWO50406 DESIGN DRAWING P.I.D. NO: 020.55130 WASTEWATER DISPOSAL SYSTEM LOT17A BLOCK 47H RABBIT CREEK HTS SID, PROPOSED WELL 'te— T, Esur UIND_EV L PED _ _ _ _ — _ yOT EPT A I LOT UNDEVELOPED NO WELLS OR SEPTICS ,� 6 W/IN 100 FEET \I q, tEs7 PROPOSED 4 E 'a4 7 egt HOUSE �� 117 q 4 ♦ 18 m PROPOSED 15008 149.4 0 70 tl STEEL S.T.E.P. TANK LOT UNDEVEL E r'O W/ AX20 POD & AUX� N/ WELLSSEPTICS LIFT STATION 2 g I EET 10. PROPOSED RESERVE FIELD BED 20LFx 10' Wx 0.5 ED 9 'aa �± ♦e TH1 _ PROPOSED PRIMARY FIELD 0 BED 20LFx 10' Wx 0.5 ED �, 5 TH2 °e' _ 0.0 A 176 !ge 'etl �•0 178 4 s 167 to s a 9a — f84 I •b, , .Z 166 tri sasuwvcEUN ' ♦g tEoa o {� 166 't nm 'ph' i h rr rwe. Mn,wN tl dEA 00"M L V r«,eu3Wpq • ,4VN0"eOTTCY EIFV/�1KN '4 eJ) EDGE W ,tE ET, WIn Of ROAD n wEornawueE BYRON DR. • o-.nees — ^•• ..vr•o"sono dUVAnW bW IE DRAINAGE DITCH/ i �e•arEcaaauo..rEo a EatT,:ttaw a"r ITANTFLOWS ranbreev. nisraewrsENE — �' uea FAff"Ta — aft M01E3 «aPH y,,,IL NT4e pFE'1„b 1N EEFl, NIOIEl0110, pkm.p—(STORM WAiE _ FnENdI DnA,N 9ECTtON OF tell ��......••••...,•• NOTES: 1] AA work shall be performed h ones and 3) Maintain 10'separetion r Anes, to e6 lot unless rested 1. socordance with AMC15.65. otherwise. .,.•...v 1� 49 trE 2) Materials used shaA be In 4) Lots served by private insystems. water with No wells within 100' of � ••••� r .. ........ ..... a...«� .«... 1C 5.65• Wastewateran" Disposal.specified proposed system. G. Seat Crowther s � PREPARED FOR: PANNONE ENG. SVC, LLC CE 6491 '� Todd Elmore P. O. BOX 102954 10.12.06 "q' 1166 Frances Circle ANCHORAGE, ALASKA 99510 ., _ �• �\\ - Eu-lC%'���� Anchorage, AK 99515 250.7935 227-3522 P• 272$218 Fax DATE: 10.11J)6 PLAN SCALE: 1 WO PERMIT NO:SW05 DESIGN DETAILS WASTEWATER ABSORPTION SYSTEM LOT 17A BLOCK 4H RABBIT CREEK HTS SID DESIGN CALCULATIONS Number of Bedrooms -4 Total Bedrooms -4 Design flow -150 gal/br/day, Total flow - 600g/day P.I.D. NO: 020.551-31 TANK SIZE: 1500 gallon Advantex tank SOIL ABSORPTION SIZE: Advantex Sewer System AX20 Pod - Class III System Perc Rate= 16-30 min/inch Application Rate= 4 GPD/SF Size Required= 600 GPD/4 GPD/SF =150 SF �>}•i• Use bed, 0.5' effective —1m r' A ` 49 `�[v� • 20' Long by 10' Wide ""';... /' ""',`,.&1 20 LF x 10'x 0.5'= 150 SF Total CE 6491 0.:., ' / I Todd Elmore 10.7-06 .,. jr 1166 Frances Circle .......I...•. ��� Anchorage. AK 99515 i7-t'ec1 250.7935 PANNONE ENG. SVC. P. O. BOX 102954 ANCHORAGE, ALASKA 99510 272-8218 PHONE & FAX CALCS PERMIT NO: SWO50406 DESIGN DRAWING DETAILS P.I.D. NO: 020-55131 WASTEWATER DISPOSAL SYSTEM LOT17A BLOCK 47H RABBIT CREEK HTS S/D, --I t A 30M Wlx O d Ls �p . $t LLI V) 38(U *0~ JL 00 0 d gig "SILUM114414 4 lb '% .................. % % 111 • as inn Wuwxnol ... .. .... .. ... . ..... PREPARED FOR: 0 ,0$ V KOH Crowther ! a 0- ° PANNONE ENG. SVC, LLC P. O. BOX 102954 CE 8491 Todd Elm ♦ 10-12-06 1166 Frances Clyde ANCHORAGE, ALASKA 99510 ............. Anchorage, AK 99515 227-3522 P, 272-8218 Fax 250-7935 DATE: 147-06 DETAILS SME, NTS U SOILS LOG - PERCOLATION TEST ..� q ffff ff PANNONE ENGINEERING SERVICES=�G,�P',.. Off♦ P.O. BOX 102954Mir:' 49 TH 1, ANCHORAGE, AK 99510"""''""'� (907) 272-8218 ■ ;Stevan R. Pannone ■ i �.i °• CE 8149 PERFORMED FOR: Todd Elmore DATE PERFORMED: 8-11-05 ff�.,�24�..•'�� LEGAL DESCRIPTION: LOT 17A, Block 4H Rabbit Creek His SID ff�f0,^1�''.�� faaaa���� TEST HOLE 1 _ SLOPE TOPSOIL _ _ _ _ _ _ _ _ _ _ _ s.u,�r -s T. 1 OR �o TB+ c 2 r� e 3 Brown Silty GM GRAVEL 4 Ja '�t '°•a- 5 18 $ ae 6 „I n a 7 72 00 Silty GRAVEL v 8 GM W/ Silt marbling a 3 @s z 9 X TEST HOLE THI 1 11 1$4B I 'a• � ve 12 —� ' I 69' '9 5� IHO -E 9 13 WAS GROUND WATER - SLOPE 14 ENCOUNTERED? N 15 IF YES, AT WHAT TH 1 BOH DEPTH? -0-' 16 DEPTH TO WATER AFTER 17 MONITORING? 4.7' is DATE: 10-15-05 19 CLOCK WATER 20 PEROLATION RATE 16 (minlinch) PERC HOLE DIAMETER 6 inches TEST RUN BETWEEN 2 FT AND 3 FT COMMENTS: Test hole excavated by Chucks Backhoe. Test Hole was presoaked before perc test PERFORMED BY: Steven R. Pannone, P.E. I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDLINES IN EFFECT ON THE DATE OF THIS TEST. READING DATE TIME NET TIME LEVEL NET DROP READING 1 8-11-05 11:52s" o^ 2 12:02 10 MIN 5t M. 3 12:02 6" 0' 4 12:12 10 MIN 5t 518" 5 12:12 6' U. 6 12:22 10 MIN 5°g" 5!6" SOILS LOG - PERCOLATION TEST ��O♦♦♦ PANNONE ENGINEERING SERVICES roj�P ♦♦♦. P.O. BOX 102954 i ' 49 TM `; ♦0. ANCHORAGE, AK 99510 ` •........`.... 0 (907) 272.8218 i � �• • ••» 00 �--wpD0� G. Seott Crowther•• ��yi•'• CE 6491 ♦ 10.16-06 ••.•j l�� i PERFORMED FOR: Todd Elmore DATE PERFORMED: 10.10-06 ♦♦ �,�, LEGAL DESCRIPTION: LOT 17A. Block 4H Rabbft Creek Hts SID ♦♦♦♦♦,' TEST HOLE 2 SLOPE SITE PLAN GM Brown Silty 1 Gmel 2 17 J Q Blue to clay e S GM Brown Sly TEST Gravel HOLE 6 T TH1 e p TH2 10 11 BOH 12 13 WAS GROUND WATER SLOPE 14 ENCOUNTERED? N TH 2 15 IF YES, AT WHAT DEPTH? 1e 17 DEPTH TO WATER AFTER MONITORING? -7.4 16 DATE: 10.16-06 19 20 PEROLATION RATE 28 (miMnch) PERC HOLE DIAMETER 6 krches TEST RUN BETWEEN 6 FT AND 7 FT COMMENTS: Test hole excavated by Jim hole excavated by Jim Traxinger. Test Hole was presoaked before pere test. Hole was presoaked before pere test. PERFORMED BY: PES 1 G. Scott Crowther P.E. CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDLINES IN EFFECT ON THE DATE OF THIS TEST. WATER READNG DATE CLOCKTIME WATER THE LEVEL NETDROP READING 161006 SI] 4.02 0:55 ]0 MM 0.30 1.11 � 6:5] 4.4H� 6]J 30 MIN 631 1.07 s am433 - 0 0:57 ]0 NM 6.60 1.01 Pannone Engineering Services, LLC P.O. Box 102954 Consulting Engineers Anchorage, Alaska, 99510 (907) 272-8218 (907) 272-8211 Fax October 12, 2006 Municipality of Anchorage Development Services Department On -Site Water & Wastewater Program 4700 S. Bragaw Street P. O. Box 196650 Anchorage, Alaska 99519 Subject: Lot 17A, Block 411 Rabbit Creek Heights S/D Water Monitoring Ladies and Gentlemen: This letter is to document water monitoring for the last year on the above referenced lot. Water Monitoring Stick -Up Depth to Water From Top of Pipe (Stick -Up) 10/8/05 10/15/05 4/15/06 5/1/05 5/7/06 5/14/06 5/20/06 46' 55' 102' 160" 150" 149" 132" 128" If you have any questions or concerns, please contact me at 272-8218. Sincerely, a; 494 - Ci. S-c!t Qrc"lhc, rr 6411 G. Scott Crowther, P.E. Civil Engineer Attachments: MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water Q Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM / WATER SUPPLY PERMIT Initial Permit Number: SWO60406 Date Issued: Oct 27, 2005 Expiration Date: Oct 27, 2006 Parcel ID: 020-551-31 Legal Description: RABBIT CREEK HEIGHTS SUBDIVISION BLOCK 4H LOT 17A Design Engineer: 0062 Pannone Engineering Services Site Address: 7921 BYRON DRIVE Owner Name: TODD ELMORE Lot Size: 19913 SO. FT. Owner Address: 1166 FRANCIS CIRCLE Total Bedrooms: 4 Permit Bedrooms: 4 ANCHORAGE. AK 99515 - This permit is for the construction of: ❑,/ Disposal Field ❑✓ Septic Tank ❑ Holding Tank ❑ Privy ❑Q Private Well ❑ Water Storage All construction must be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations ( 18AAC72 ) and Drinking Water Regulations (18AAC80 ). 3. The engineer must notify, DSD at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 ( 24 hours ). ( Not required for a Water Supply Permit only). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. 5. The following special provisions. Received By: Date: Z ! 0 S Issued B Date: 1 111 Municipality of Anchorage • Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. 020.551.31 Permit Number SW Property owner(s) Todd Elmore Day phone 250.7935 Mailing address (1)1166 Frances Circle AIA Gt9515 maurng-address (2)_ Zip Code Legal description (Lot, Block & Sub'd.) _Lot 17A. Block 4H Rabbit Creek Heights Legal description (Section, Township & nge) Site Location: 7921 Byron Drive 9g51[o Lot Size 19,913 Acre /Sq.Ft. Number of Bedrooms 4 THIS APPLICATION IS FOR: Sewer Only ❑ Well Only ❑ Sewer and Well ® Water Storage ❑ Sewer Upgrade ❑ THIS PROPERTY CONTAINS: Hot Tub ❑ Jacuzzi ❑ Swimming Pool ❑ Water Softening Unit ❑ Therapy Pool ❑ I certify that the above information is correct. I further certify that this application is being made for a Single Family Dwelling and Is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit Fees: qu) .0 9S • Waiver Fees: Date of Payment: H q// %��d�t� Date of Payment: Receipt Number: H 3 q5k /CM Receipt Number: (Rev. 12/00) MUNICIPALITY OF ANCHORAGE Development Services Department Phone: (907)343-7904 On -Site Water & Wastewater Section Fax: (907)343-7997 Certificate of On -Site Systems Approval OSC251186 Parcel ID 020 -551-31 Expiration Date: 5/6/2026 Legal description RABBIT CREEK VIEW HEIGHTS BLK 4H LT 17A Site address 7921 BYRON DR Current propertyowner(s) BOEHMER KIM E X The On-site system(s) is/are approved for 4 bedrooms Conditional approval for bedrooms, with the following stipulations: Comments or conditions: 2 Original Certificate Date: 5/21/2025 This Certificate of On -Site Systems Approval (COSA) is intended to demonstrate the subject syst`em(s) is/are in substantial compliance with municipal code. The Municipality of Anchorage, pevelopment Service Department (DSD) issues COSAs based upon representations provided by an independent professional engineer. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's submittal. ATTACHMENTS: COSA Checklist X Absorption Field Advisory Tank Age Advisory Other Well Flow Advisory X Nitrate Advisory Arsenic Advisory Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Application 1. GENERAL INFORMATION Parcel I.D. o20-551-31 Complete legal description Rabbit Creek View & Heights Block 4H Lot 17A Location (site address) 7921 Bryon Street Current property owner(s) Kim Boehmer 2. ON-SITE SYSTEMS SIZED FOR 4 BEDROOMS Day phone 3. TYPE OF WATER SUPPLY: FM Private Well serving # 1 dwelling units [] Other Non-public well as regulated by MOA F-1 Water Storage ❑ Community Well or Public 4. TYPE OF WASTEWATER DISPOSAL: MN Private Septic [:] Private Septic serving 2 dwelling units ❑ Holding Tank ❑ Community Septic or Public Sewer 6. SEPTIC TANK: 0 Steel EJ Plastic R Concrete R Fiberglass Age 19 - See advisory if steel or fiberglass older than 20 years 6. ABSORPTION FIELD: � AWWTS Al Bed E] Deep Trench ❑ Wide Trench 0 Seepage Pit Waiver request for: Expedited review requested: D Distance: By applying for this entitlement, this property is subject to inspection by municipal On-site staff to verify the accuracy of the information provided. COSA Fee Waiver Fee $ Date of Payment Date of Payment COSA # Waiver # COSA Application_Apr2025.doc COSA Checklist Legal Description: J Rabbit Creek View & Heights Block 4H Lot 17A Parcel ID 020-551-31 If more than 1 well and/or septic system on lot, provide separate checklist. Structure served by this system A. WELL DATA ✓❑ Well log is filed with Onsite (or attached) Date drilled 6/11/06 Total depth 224 ft Cased to 198 ft 0 Sanitary seal is functioning correctly 0 Wires are properly protected Casing height (above ground) 38 in. Date of flow test for COSA 5/6/25 Static water level at beginning of test 29 ft. Comments B. TANK DATA Measured operating fluid level in septic tank 4011* Date of pumping Advantex system ❑✓ Required maintenance completed, if AWWTS Comments: * Pump level set to 40" D. ABSORPTION FIELD DATA Which system tested (date installed) 10/18/06 ❑✓ ALL standpipes present per record drawing Total measured depth from grade 3.8 ft (max) Measured depth to pipe invert from grade ft (min) 0 N/A — pressurized field. 0 Per record drawings, field is insulated. F-7 Monitor tubes go to bottom of effective. If not, state depth into effective ❑ Presoaked required if (Required if house vacant or field not used for more than 30 days prior to date of test) Gallons introduced gallons date Any rejuvenation treatment (past 12 months) If yes, enter date Comments/Deficiencies: COSA Checklist June 2022 Well production at time of test 0.58 qpm Water storage tank volume None gallons Well disinfected for coliform test? ❑ Yes [Z No Coliform bacteria is Negative Nitrate 1.86 mg/L ❑ Nitrate less than MRL (ND) Arsenic ug/L Arsenic less than MRL (ND) Collected by Areterra Consulting__ Date 5/6/25 C. LIFT STATION R] Required maintenance completed Age of lift station 19 years Lift station material Steel Comments: Adequacy test date 5/6/25 Results E]Pass Fluid depth prior to test 0 in Water added 600 gal New fluid depth 0 in Elapsed time 10 min Final fluid depth 0 in Absorption rate 600+ gpd FIELD STATUS — POST RECOVERY Effective depth (per record drawings) 6 Effective depth used 0 in Effective depth remaining 6 in ra E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well on lot) Septic Tank/Lift Station on Lot > 100' ✓❑ Yes if No Community Sewer Manhole/Cleanout > 100' ✓❑ Yes if No ft ✓❑ Yes if No ft Neighboring Tank > 100' 0 Yes if No F Private Sewer/Septic Line > 25' J❑ Yes if No ft Absorption Field on Lot > 100' ❑Q Yes if No rr Holding Tank > 100'✓❑ Yes if No ft Neighboring Absorption Fields > 100' if No ft Animal Containment > 50' ❑J Yes if No ft Yes if No ft ft If tank or field is under driveway comment below Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' © Yes if No ft Q Yes if No ft ❑ N/A — Served by Community Well (not on lot) or Public Water From Septic/Holding Tank and Absorption Field(s) on Lot to: (Please enter distances if less than required) Building Foundations > 10' ✓❑ Yes if No ft Surface Water > 100'J❑ Yes if No ft Tank to Property Line > 5' 0 Yes if No ft Wells on Adjacent Lots: Field to Property Line > 10' ❑ Yes if No 6.9* ft Private Wells > 100' © Yes if No ft Water Main > 10' 0 Yes if No ft Community Wells > 200' ❑✓ Yes if No ft Water Service Line > 10' ❑✓ Yes if No ft If tank or field is under driveway comment below F. ENGINEER'S COMMENTS *Waiver OSP131291 ADDroved 8/27/13 G. CERTIFICATION & STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines, indicates that the on-site water supply and/or wastewater disposal system appears to comply with applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation, unless noted otherwise. Name of Firm Arcterra Consulting Phone (907)-696-6111 Engineer's Printed Name Kenneth Duffus Date ) _.J_ Engineer's Comments: This investigation was completed in compliance with ADEC and MOA regulation The assessment of the condition of the well and septic applies only to the conditions as of the day tested. 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 y 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 evalw of the well and septic system. Therefore, ArcTerra can not give any estimate of how long a system will function satisfactory for current or future occupants or can ArcTerra guarantee that no unseen encroachments, deficiencies or discrepancies exist. COSA Checklist June 2022 02{1IV2025 14:51 Anchorage Tank ■■ ■■■ ■ ■ I� ■■■ ■ NONE on E ■■■ (FAX)l 907 227 3715 P,0001l0009 530 718 ■ me 1 ■■■ in ■ E N e e E N■e ■■ ■ OOOOO *van-MxO Field Maintenance Report Unscheduled ■ ■ ■ 8 ! ■ Ii• AncharageTank 907-272-3543 Property OWncrlr=klng # oporator Tim & Kim Boehmer Tarek Liquid Level ❑ Normal ❑ High L&B Services Technician Site Address Content Phqnq 7921 Byron Drive, Anchorage AK 89516 Recirc........ ❑ Tripped ❑ On (907) 868-1280 A4 SIta 0 # CBunty 1D H Pod # RTU #AJL 8 Date of Latt Inspoction 109945 SW050406 207661 RTU 107476 01/3012025 Dispatcher Comments Date: 02110/2025 Time: 12.00 AM Recirc pump failure and high level Notification of site condition ❑ Made by VeriCommo Monitoring System ❑ Made by Homeowner ❑ Other Site condition at time of call ❑ Alar ❑ Tank Overflow ❑ Odor ❑ Sewage Backup ❑ Other Field Sampling/Observations ❑ Nocassary ❑ Not necessary NTV (15 t NTVs) pH (6-9) DO (2-6) Odor of Satnpl& Typical ❑ Musty ❑ Earthy ❑ Moldy Non -typical ❑ Sultid$ ❑ Cabbage ❑ Decay Conditions at site Alarm On ❑ Yes ❑ No (If yes, alarm type } Tarek Liquid Level ❑ Normal ❑ High ❑ Law Pump Operational? ❑ Yes ❑ No Circuit Breakers Recirc........ ❑ Tripped ❑ On ❑ Off Discharge..... ❑ Tripped ❑ On ❑ Off Controls ...... ❑ Tripped ❑ On ❑ Off VC011VId6 ATRTU Board: V applicable) Document the panel status by shading the appropriate inputs and outputs as indicated by the yellow and rod LEDs. Inputs Outputs Power (Orem LED) ❑ On ❑ Off ❑ Flashing Cause of Malfunction: ❑ Mechanical 0 Process -Related Services Rendered: �rlw Parts Used. W = Warranty, B = Billable (d appropriate selection) Item Number Nates/Final Recommendations: ❑ System performing; no further action needed 0 Additional service needed Final/Safety Inspection: Lids bolted on? Yes ❑ No (if damaged, comment ) Control Panel reactivated? Yes ❑ No Circuit Breakers: Recirc-Cn ❑ off Discharge; On ❑ Off Controls: on ❑ Off Time at Site Trove! Time I Total Time Signature Data / ! 3 Time Fax completed f*rmi to 1-8661-384-7404 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 Day of of 20 25 , by and between Jerry and Christa Bowling , herein the "OWNER," and the Municipality of Anchorage, herein the "MUNICIPALITY", in accordance with Anchorage Municipal Code (AMC) 15.65.365. In consideration of the mutual covenants contained herein, the parties to this Agreement agree as follows: 1 Advanced Wastewater Treatment Systems. The Municipality grants permission to the Owner to utilize and operate an Advanced Wastewater Treatment System (AWWTS), described as AdvanTex with AX20 POD located at (legal description) 7921 Byron Dr, Anchorage - Rabbit Creek View & Heights Blk 4H, Lot 17A 2. Maintenance, Repairs and Alterations. (Owner is required to read, understand and initial each section) .-\C-B Throughout the term of this Agreement, the Owner shall enter into a service agreement with an AWWTS service and maintenance provider approved by the Municipality or the manufacturer's representative. The AWWTS shall be maintained in a satisfactory condition capable of performing as designed and producing treated septic effluent in accordance with the equipment's approval for operation in the Municipality. 3 c5 It shall be the responsibility of the Owner during the term of this Agreement to pay for all repair(s), maintenance, adjustment(s), replacement costs, and inspection costs. This includes an annual maintenance fee (typically $400 to $600). A cd5 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. -S C.-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 A oS Owner acknowledges that the Municipality may request records of maintenance and repairs from the manufacturer's representative or maintenance provider. 3(8 Owner acknowledges that the fine for failing to maintain and repair an AWWTS may be assessed in accordance with AMC 14.60.030. 3U3 Owner agrees to grant the Municipality reasonable access to test and inspect the AWWTS. The Municipality will give at least 24-hour notice. _I £ Owner agrees that any sale or transfer of title of the property will not occur without a new Certificate of On-Site Systems Approval. ...) 03 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. ,(r3 Owner agrees to maintain remote monitoring of the AWWTS as required by the AWWTS approval. 3.Term. The term of this Agreement shall begin on the date of approval by the Municipality to operate the installed system, or upon transfer of title, and shall continue while the AWWTS is operational or until title is transferred. 4.Nonwaiver. The failure of the Municipality at any time to enforce a provision of this Agreement shall in no way constitute a waiver of the provisions, nor in any way affect the validity of the Agreement or any part hereof, or the right of the Municipality thereafter to enforce every provision hereof. 5.Amendment. This Agreement shall only be amended by authorized representatives of the Owner and Municipality. Any attempt to amend this agreement by either an unauthorized representative or unauthorized means shall be void. 6.Jurisdiction: Choice of Law. Any civil action arising from this Agreement shall be brought in the Superior Court for the Third Judicial District of the State of Alaska at Anchorage. The laws of the State of Alaska shall govern the rights and obligations of the parties under this Agreement. 7.Severability. Any provisions of this Agreement decreed invalid by a court of competent jurisdiction shall not invalidate the remaining provisions of the Agreement. (rev. 05/18/2018)Page 2 of 3 OWNER: By: G ` (signature) Date: S 5-Z-5— cwt - _(print name) STATE OF ALASKA } ) ss. THIRD JUDICIAL DISTRICT ) The foregoing i strument wa cknowledged before me this ` day of �f `PATRICIA BEAN NOTAPUBLIC FOR ALASKA, hh _ NM1 Notary Public, state of Texas Comm. Expires 05-15-2027 My Commission expires: 111,011 Notary IQ 1883457 signature) Date: )Tint name) Title: (rev. 05/18/2018) Page 3 of 3 MUNICIPALITY OF ANCHORAGE DEVELOPMENT SERVICES DEPARTMENT 907-343-7904 On -Site water and wastewater Section Fax: 343-7997 www.muni.org/onsite Well Water Advisory Certificate of On -Site Systems Approval # OSC251186 Subdivision: Rabbit Creek View & Heights, Block: 4H, Lot: 17A This well's productivity was determined to be .58 gallons per minute. The recommended well productivity under (AMC 15.55) for a 4 -bedroom residence is .41 gallons per minute or 150 gallons per day per bedroom. Although the subject well currently exceeds this minimum recommendation, the production capacity can fluctuate and may be insufficient to meet your needs. This advisory must be attached to all copies of the subject Certificate of On -Site Systems Approval. • '� Municipality of Anchorage On -Site Water and Wastewater. Program (907)343-7904 Certificate of On -Site Systems Approval, Parcel I.D. 020-551-31 _ Expiration Date:._ 1. GENERAL INFORMATION Complete legal description Rabbit Creek View & Heights, Block 4H, Lot 17A Location (site address) 7921 Byron Drive Anchorage, AK 99516 Current Property owner(s) Thomas & Ellen Randall- Day phone _ Mailing address 7921 Byron Drive Anchorage, AK 99516 Real Estate Agent 2. TYPE OF DWELLING: El Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: Four Day phone 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well Q Individual x❑ Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ WaiverNariance request for: Date: j�LI 1,,� COSA Fee $ Date of Payment /Zb (� C4 Receipt Number O �� t COSA # ©5G 157!6 2-<, 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. Name of Firm Anderson Engineering Address P.O. Box 240773 Anchorage, AK 99524; Engineer's Printed Name Michael E.. Anderson, P.E. 6. DSD SI NATURE System #1 Approved for bedrooms System #2 Approved for bedroom's Disapproved Conditional approval for Phone- 522-7773 Date 1/21/2015 bedrooms, with the following 49?H GE -4381 r � p By: Original Certificate Date: �' O The n' �ti A horage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 5 b 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 engineers work. 7. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSAblueshee[ r ---ta 0 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: Rabbit Creek View & Heights, L17A, B4H Parcel ID:020-31-31 A. WELL DATA Well type Private If A, B, or C provide PWS ID # Well Log (Y/N) Y Date completed 6/11/06 Sanitary seal (Y/N) Y Wires properly protected (Y/N) Y Total depth 223 ft. Cased to 223 ft. Casing height (above ground) >18 in. FROM WELL LOG AT INSPECTION Date of test 6/11/06 1/10/15 Static water level 22 ft. 23.4 ft. Well production 2 g.p.m. 1.25 g.p.m. WATER SAMPLE RESULTS Coliform 0 colonies/100 mL Nitrate 1.62 mg/L Arsenic ND ug/L Date of sample: 1/6/15 Collected by: Anderson Engrg. B. SEPTIC/HOLDING TANK DATA Tank Type/Material Advantex/Steel Tank size 1,500 gal. Number of Compartments 2 Date installed 10/18/06 Cleanouts (Y/N) Y Foundation cleanout (Y/N) Y Depression over tank (Y/N) N High water alarm (Y/N) Y Date of pumping Pumper Anchorage Tank Maintenance C. ABSORPTION FIELD DATA Date installed 6/12/13 Soil rating (g.p.d./ftz orft2/bdrm) 4.0 GPD System type Bed Length 18 ft. Width 12 ft. Gravel below pipe •5 ft. Total depth 3 ft. Eff. absorption area 216 ft Monitoring tube Y Depression over field N Date of adequacy test 1/6/15 Results (Pass/Fail) Pass For 4 bedrooms Fluid depth in absorption field before test 1 in. Elapsed Time: 1,440 min. Final fluid depth 1 Any rejuvenation treatment (past 12 mo.) (Y/N & type) Water added 600 gal. New depth 3 in. _ in. Absorption rate >= 600 g p d N If yes, give date D. LIFT STATION Date installed 10/18/05 Size in gallons 250 "Pump on" level at 40 in. "Pump off' level at 36 Datum Bottom of Tank Cycles tested 4 E. SEPARATION DISTANCES WELL ON LOT TO: >1n0, Manhole/Access (YIN) Y in. High water alarm level at 45 in. Meets alarm & circuit requirements? Y Septic tank/lift station on lot On adjacent lots >100' Absorption field on lot > 100' On adjacent lots > 100' Public sewer main N/A Public sewer manhole/cleanout N/A Sewer /septic service line >25' Holding tank N/A Animal containment areas >50' Manure/animal excrete storage areas >100' SEPTIC/HOLDING TANK ON LOT TO: Building foundation >51 Property line >5' Water main > Water service line >10 Wells on adjacent lots >100' ABSORPTION FIELD ON LOT TO: Property line 6.9Building foundation >10 Water Service line >10' Surface water >100' Curtain drain >20' Wells on adjacent lots >100' F. COMMENTS . **See Lot Line Waiver. G. ENGINEER'S CERTIFICATION I certify that t 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 Michael E. Anderson, P.E. Date 7/21/14 COSA broxm sheet -1 D-1 0-1 2.doc Absorption field >51 Surface water >100' Water main >10' Driveway, parking/vehicle storage >10' OF AC ......... 49TH ICHAn E. ANDERSON +� d CE -4381 �1i0s`wo ��e ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND REPAIR AGREEMENT BETWEEN MUNICIPALITY OF ANCHORAGE AND 1tnw�l�y J'. �oe�tirn e r THIS MAINTENANCE AND REPAIR AGREEMENf made and entered into as of this a1 Day of kuyU_L- r.f of201S,byand between IiP�o�4J. herein the "OWNER," and the Municipality of Anchorage, herein the "MUNICIPALITY." In consideration of the mutual covenants contained herein, the parties to this Maintenance and Repair Agreement agree as follows: 1. Advanced Wastewater Treatment Systems. Municipality grants permission to Owner to utilize and operate an Advanced Wastewater Treatment System (AWWTS), described as Advantex Treatment System located at (legal description). Lot 17A, Block 4H, Rabbit Creek Heights 2. Definitions. Alteration. Any change to the design or function of an AW WTS that includes the installation or removal of any parts, components or pieces not included in the original construction permit and design. Certificate of On -Site Systems Approval (COSA). An approval by the Municipality of existing water and wastewater disposal systems given at the time of property sale and title transfer in accordance with Anchorage Municipal Code (hereinafter, "AMC") 15.65. These approvals certify that the systems are adequate for the homes that they support and meet the codes that were in place at the time of system construction. Damage. Any man-made or natural change in a system that would inhibit the system from performing as designed. Maintenance and Repair. The scheduled and as needed replacement of existing parts, components and pieces of an AWWTS that were included in the original design which would allow the AWWTS to continue to perform as designed. Permit. An On -Site Wastewater Disposal Permit as required by AMC 15.65 to construct and operate an AWWTS. 3. Term. The term of this Maintenance and Repair Agreement shall begin on the date of approval by the Municipality to operate the installed system or issuance of a COSA, and shall continue while the AWWTS is in use or is operational or until the property is sold or title is transferred by the owner and a new COSA is issued to the new owner or transferee of the property. 4. Alterations, Installation and Removal of Additional Equipment. Prior to performing any alterations to an AWWTS, the owner agrees to obtain an On-site Wastewater Disposal Permit from the Municipality in accordance with AMC 15.65. 5. Maintenance and Repairs. A. Throughout the term of this Maintenance and Repair Agreement, the Owner shall maintain their AWWTS in a satisfactory condition capable of producing treated septic effluent in accordance with the equipment's approval for operation in the Municipality. The owner shall enter into a service agreement with an AWWTS service and maintenance provider approved by the municipality and the manufacturer of the AWWTS for the entire term of the AWWTS. In addition, it shall be the responsibility of the Owner during the term of this Maintenance and Repair Agreement, and any renewals thereof, at the owner's sole expense, to pay for any and all: (l) repair(s), (2) maintenance, (3) adjustment(s), (4) replacement costs, and (5) inspection costs. B. Owner agrees to comply with all applicable ordinance, laws, regulations, rules and orders for the AWWTS. C. Upon request by the Municipality, the owner agrees to provide the Municipality a written schedule of routine maintenance and repairs which have been performed on the system. When a record of maintenance is documented and maintained by the system vendor, the owner agrees to allow the Municipality access to this information. D. Owner acknowledges that the fine for failing to maintain and repair an AWWTS may be assessed in accordance with AMC 14.60 for improper discharge. E. Owner agrees that only maintenance and repair personnel approved by the Municipality will inspect and make any necessary maintenance, repairs or permitted alterations to the system. P. Owner agrees to grant the Municipality reasonable access to test and inspect the AWWTS upon 24 hours written notice. G. Owner agrees that any sale or transfer of title of the property will not occur without a new Certificate of On -Site Systems Approval. 11. 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. T. Owner agrees to provide and maintain a telephone connection to the AWWTS as required by the AWWTS approval. 6. Nonwaiver. The failure of either party at any time to enforce a provision of this Maintenance and Repair Agreement shall in no way constitute a waiver of the provisions, nor in any way affect the validity of the Maintenance and Repair Agreement or any part hereof, or the right of such party thereafter to enforce each and every provision hereof. 7. Amendment. A. This Maintenance and Repair Agreement shall only be amended, modified or changed by a writing, executed by authorized representatives of the parties, with the same formality that this Maintenance and Repair Agreement was executed with, and such writing shall be attached to this Maintenance and Repair Agreement as an amendment. B. For the purposes of any amendment modification or change to the terms and conditions of this agreement, the only authorized representatives of the parties are: a. Owner: b. Municipality: Director, Community Development or designated authority C. Any attempt to amend, modify, or change this contract by either an unauthorized representative or unauthorized means shall be void. 8. Jurisdiction: Choice of Law. Any civil action arising from this Maintenance and Repair 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 Maintenance and Repair Agreement. 9. Severability. Any provisions of this Maintenance and Repair Agreement decreed invalid by a court of competent jurisdiction shall not invalidate the remaining provisions of the Maintenance and Repair Agreement. OWNER: By: (� (signature) Date: die (print name) STATE OF ALASKA ) ) ss. THIRD JUDICIAL DISTRICT ) The foregoing instrument was acknowledged before me this -)-7 day of JAtnaCLY"y. , 2015, by Ttmcl. �� .136�z1tity e r . 5���---- STATS OF ALASKA NOTARY PUBLIC FOR ALASKA NOTARY PUBLIC My Commission expires: `{ [ 2011 1p S. BUOh� NW 2D 2018 MUNICIPALITY: By: (signature) Date: (print name) Title: 01 Parcel I.D. 020-551-31 Municipality of Anchorage fb On -Site Water and Wastewater Program (907)343-7904 sx E,r Certificate of On -Site Systems Approval 1. GENERAL INFORMATION Complete legal description Expiration Date: 11 '02 :2 / �3 Rabbit Creek View & Heights, Block 4H, Lot 17A Location (site address) 7921 Byron Dr. Current Property owner(s) Stuart & Susan Samuelson Day phone Mailing address Real Estate Agent 7821 Byron Dr. 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: Individual Well Fx_1 Individual 0 Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ WaiverNariance request for: Received by: COSA to be released to the unless otherwise requested by the engineer. COSA Fee $ Date of Payment sJ 1 IBJ f Receipt Number 05-0)9 1 Ct COSA# CSC 13)gx 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. 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 Pannone Engineering Services LLC Address P.O. Box 100217, Anchorage Alk. 99510 Engineer's Printed Name Steven R Pannone 6. DSD SIGNATURE V System #1 Approved for bedrooms System #2 Approved for bedrooms Disapproved Phone (907)272-8218 Date 8/44713 Conditional approval for bedrooms, with the following stipulations: By: i/ ; Original Certificate Date: The 4 nici liry f chorage 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 f I., c If more than 1 septic system is on the lot: COSA Checklist # 1 of Structure served by this system 1 Certificate of On -Site Systems Approval Checklist Legal Description: Rabbit Creek View & Heights, Block 4H, Lot 17A Parcel ID: 020-551-31 A. WELL DATA Well type Private If A, B, or C provide PWS ID # Well Log (Y/N) Y Date completed 6/11/06 Sanitary seal (YIN) Y Total depth 223 ft. Cased to 223 ft. FROM WELL LOG Date of test 6/11/06 Static water level 22 Well production 2 WATER SAMPLE RESULTS: ft. g.p.m. Coliform colonies/100 mL Nitrate mg/L Arsenic W n ug/L Date of sample: 13 201 3 B. SEPTIC/HOLDING TANK DATA TankType/Material Septic/S.T.E.P/Steel Wires properly protected (Y/N) Y Casing height (above ground) 42 in. AT INSPECTION 8/13/13 •1 iil Collected by: � e S Date installed 10/18/06 Tank size 1,500 gal. Number of Compartments 2 Cleanouts (Y/N) Y Foundation cleanout (Y/N) Y Depression over tank (Y//N`)�/N- �nHigh water alarm (Y/N) Y Date of pumping ZC�1 J Pumper_ 1 /t/�1' Vl.Lrl t`�C17� C. ABSORPTION FIELD DATA Date installed 6112/13 Soil rating (g.p.d./ft2 or ft2lbdrm) 4.0 GPD/SF System type Shallow Trench Length 18 ft. Width 12 ft. Gravel below pipe 0.5 ft. Total depth 3 ft. Eff. absorption area 216 ft2 Monitoring tube Y Depression over field N Date of adequacy test New Results (Pass/Fail) PASS For 4—bedrooms Fluid depth in absorption field before test New in. Water added New gal. New depth New in. Elapsed Time: New min. Final fluid depth New in. Any rejuvenation treatment (past 12 mo.) (YIN & type) No Absorption rate >= 600+ g.p.d. If yes, give date D. LIFT STATION Date installed 10/18/05 "Pump on" level at 40 in. Datum Bottom of Tank E. SEPARATION DISTANCES WELL ON LOT TO: Size in gallons 250 "Pump oft" level at 36 Cycles tested 4 Septic tank/lift station on lot 100+ Absorption field on lot 100+ Public sewer main 25+ Sewer /septic service line 75+ Animal containment areas 100+ in. Manhole/Access (YIN) Y High water alarm level at 45 Meets alarm & circuit requirements? Yes On adjacent lots 100+ On adjacent lots 100+ Public sewer manhole/cleanout 100+ Holding tank 100+ Manure/animal excrete storage areas 100+ SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5+ Property line 5+ Water main 10+ Water service line 10+ Wells on adjacent lots 100+ ABSORPTION FIELD ON LOT TO: pt Property line 6' I Building foundation 10+ Water Service line 10+ Surface water 100+ av N Curtain drain t+1tL Wells on adjacent lots 100+ F. COMMENTS G. ENGINEER'S CERTIFICATION I certify that t 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 Steven R. Pannone Date 8/15/13 COSA brown sheet 10-10-12.doc Absorption field 5+ Surface water 100+ Water main 10+ Driveway, parking/vehicle storage 110+ Municipality of Anchorage -. e Development Services Department =k�= Building Safety Division > E .' On -Site Water and Wastewater Program 4700 Elmore Street P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907)343-7904 Water Well Advisory Certificate of On -Site Systems Approval (COSA) # 131428 During a recent COSA on-site inspection and test of the potable water supply well on Block 4H, Lot 17A of Rabbit Creek View & Heights subdivision, the well's productivity was determined to be 0.9 gallons per minute. The minimum well productivity required by this Department (AMC 15.55) for a 4 -bedroom residence is 0.41 gallons per minute. Although the subject well currently exceeds this minimum requirement, all parties concerned are advised that the production capacity of the well may fluctuate. Restriction of non-critical water uses such as washing cars and watering lawns and gardens may be required. This advisory must be attached to all copies of the subject Certificate of On - Site Systems Approval. Municipality of Anchorage P.O. Box 196650 • 4700 Elmore Road Anchorage Alaska 99519-6650 • (907) 343-7904 • Fax (907) 343-7997 hftp://www.muni.org/Onsite Development Services Division On -Site Water and Wastewater Program nlent S, do H V. apartment **** VARIANCE/WAIVER REVIEW **** Waiver#: osp131291 PID#: 020-551-31 COSA#: osc131428 Permit#: osn131055 Legal Description: Rabbit Creek View & Heights 1341H L17A Engineer: PES Applicant: Sruart & Susan Samuelson Your request for a waiver of the required 10 feet horizontal separation from the absorption field to the property line has been approved. The approved separation distance is 6.0 feet. This waiver approval applies to the existing absorption field only. Any future upgrade to the on- site wastewater disposal system will require all separation distances be met or another approval from this department. ® The affected adjacent property owner(s) have been given a 7 day notice regarding this waiver. ❑ Notarized letter(s) of nonobjection have been received from the owner(s) of the affected adjacent property. ❑ Adjacent properties are not affected by this waiver. ............................................................................... Waiver is Granted: X Waiver is not Granted: Date: Z, 3 Approved by: ame f ieer ...................... 0................... �...J ... . ......................... Rec#: 166934 Amount: $200.00 Date Paid: 8123113 **** VARIANCE/WAIVER REVIEW **** Pannone Engineering Services uc Steven R. Pannone, Principal Registered Professional Engineer E-mail: stevertnanengalccom July 15, 2013 Municipality of Anchorage Development Services Department On -Site Water & Wastewater Program 4700 S. Bragaw Street P. O. Box 196650 Anchorage, Alaska 99519 Subject: Rabbit Creek View and Heights, Block 4H, Lot 17A Lot Line Waiver Request Ladies and Gentlemen: Due to limited space available, and to avoid placing fill from the system mound on the existing lift station the upgrade drain field on this lot was installed within 10 feet for the lot line. I am requesting a waiver for the minimum distance to a lot line to six feet from the drain field. Granting this waiver is not likely to affect the health and safety of this lot or the surrounding lots now or in the future. If you have any questions or concerns, please contact me at 272-8218. Sincerely, Steven R. Pannone, P.E. Owner/Civil Engineer Mailing: P.O. Box 100217, Anchorage, AK 99510-0217 Physical: 332 East Manor, Anchorage, AK 99501. Telephone: (907) 272-8218 FAX: (907) 272-8211 \ Municipality of Anchorage Development Services Department Building Safety Division On-Site Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 t ,� www.muni.org/onsite tp,+ G(iV (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROV LL FOR A SINGLE FAMILY DWELLING Parcel I.D. 020-551' _� I COSA 11 I / t"h Li Expiration Date: 1. GENERAL INFORMATION Complete legal description Rabbit Creek Hts. Block 4H. Lot 17A Location (site address) 7921 Byron Drive Current Property owner(s) Todd Elmore Day phone 250-7935 Mailing address 1166 Frances Circle, Anch. AK Lending agency Day phone Mailing address Real Estate Agent Day phone Mailing Address Unless otherwise requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 4 3. 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 ❑ The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 4 by an Independent professional civil engineer registered In the State of Alaska. Certificates of On -Site Systems Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues COSAs upon request to homeowners. Certificates of On -Site Systems Approval are valid for 90 days from the date of Issue for properties served by a private or Class C well and may be reissued with new water sample results. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions In the professional engineer's work. 4. 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 Pannone Engineering Services, LLC Phone 272-8218 Address P.O. Box 102954, Anchorage, AK 99510 Engineer's Printed Name Steven R. Pannone, P.E. Date 10/8/07 Engineers Comments: In conducting an adequacy test, I attempt to provide a thorough, conscientious engineering analysis of the system in accordance with MOA DSD Guidelines & Regulations. The reported results describe the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily identifiable features. ...�,1 The operational life of all wells and septic systems depend on the local soil condition, ground water �� OF levels that may fluctuate during the year, and the water usage of the family being served by the system. : . """" q� These conditions are outside the control of the evaluator of this system. All systems eventually fail and �� v 1� satisfactory test results do not guarantee future performance of the system, nor do they guarantee that �%p' ..49TH there are no hidden defects or encroachments. PES can therefore not provide any warranty for future . "••••• j Pperformance nor give an estimate of how long the system will continue to meet the operational y-" gi Y g Y P �.ar..............�.,.y...............;.�/yy..� requirements of the MOA DSD. The content of this report is for the sole benefit of the owner listed fn ;Steven R. PonnoneS a 100 above. Any reliance upon or use of this report by any other person or party is not authorized nor will it 4" ' No. CE 8149 5ferany legal right DSD SIGNATURwhatsoever. •���1441. Approved forbedrooms. le Disapproved. / _ Conditional approval for --�, bedrooms, with the following stipulations: Attachments: COSA Checklist X Septic System Advisory Well Flow Advisory Nitrate Advisory Arsenic Advisory Maintenance Agreements Supplemental Engineer's Report Other By: Original Certificate Date: % (a - Q-7 Municipality of Anchorage • Development Services Department Building Safety Division On -Site Water & Wastewater Program 4700 Bragaw Street P.O. Boa 196650 Anchorage, AK 99519-6650 www.muni.org/onstte (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST A. WELL DATA Well type Privet e If A, B, or C provide PWSID ff Date completed Oil I Sanitary seal (Y/N) Xn Total depth -22§—ft. Cased to _222_ft. FROM WELL LOG Date of test 6/11/2006 Static water level 22 ft. Well production 2 g.p.m. WATER SAMPLE RESULTS: Well Log (Y/N) Yes Wires properly protected (Y/N) Yes Casing height (above ground) _36 n. AT INSPECTION 22 ft. 2 g.p.m. Coliform gnolonies/100 mL Nitrate &.2ffmig/L Other bacteria —' CP—colonies/100 mL Arsenic: hn ugil Date of sample: Collected by: S.R. Pannone B. SEPTIC/HOLDING TANK DATA Tank Type/Material S.T.E.PJSteel Date installed 10/612006 Tank size 1250 gal. Number of Compartments g Cleanouts (Y/N) Yes Foundation cleanout (Y/N) Y4f1 Depression over tank (Y/N) Yn High water alarm (Y/N) Yes Date of pumping 10/6/2006 Pumper New Installation C. ABSORPTION FIELD DATA Date installed 1011{}(2008 Soil rating (g.p.d./fe or ft'/bdrm) g_ System type -W Length 20 ft. Width 10 ft. Gravel below pipe 0.5 ft. Total depth a ft. Eff. absorption area &„fly Monitoring tube Yfts Depression over field Date of adequacy test 10/18/2006 Results (Pass/Fail) Pass For!J bedrooms Fluid depth In absorption field before test _ In. Water added_ gal. New depth_ in. Elapsed Time: min. Final fluid depth _ in. Absorption rate >= Any rejuvenation treatment (past 12 mo.) (Y/N & type) No If yes, give date ... D. UFT STATION Date installed 1101118/2006 Size In gallons 250 Manhole/Access (Y/N) Yes "Pump on" level at sQ in. "Pump ofr level at V in. High water alarm level at 45 in. Datum Bottom of tank Cycles tested Now Meets alarm d circuit requirements? yes E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/Iift station on lot 1212 On adjacent lots 1100+ Absorption field on lot 1552 Public sewer main N/A Sewer /septic service line 100 Animal containment areas 1100+ On adjacent lots 100+ Public sewer manhole/cleanout _ N/A Holding tank _100+ Manure/animal excrete storage areas 100+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 9 Property line 11.5 Absorption field 10+ Water main N/A Water service line 25+ Surface water _100+ Wells on adjacent kits 100+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 18.6 Building foundation 36 Water main _NLA Water Service line 25+ Surface water 100+ Driveway, parking/vehicle storage 1 Curtain drain 20 Wells on adjacent lots 100+ F. COMMENTS G. ENGINEER'S CERTIFICATION I cerW that I have determined through field inspections and : '/ `•Y ' review of Municipal records that the above systems are in 4"" `—"conformance with MOA COSH guidelines kr effect a1 this dateEngineer's Printed Name Steven R. Pannone. P.E. �tcn R. Pcnno nej 1•%'� No. CE 8149 5444: Date 10/8/2007 ••e. �{O....�/:'. COSA Fee $ , - �1U r+)' (/ Date of Payment / U % p yy�,I' Receipt Number lal o�I Z kmk (Rev. 11/0.5) Fee $ Date of Payment Receipt Number Pannone Engineering Services, LLC P.O. Box 102954 Consulting Engineers Anchorage, Alaska, 99510 (9071272-8218 (907) 272-8211 Fax October 12, Municipality of Anchorage Development Services Department On -Site Water & Wastewater Program 4700 S. Bragaw Street P. O. Box 196650 Anchorage, Alaska 99519 Subject: Rabbit Creek Heights S/D, Block 4H, Lot 17A Conditional Certificate of Onsite Approval Request Ladies and Gentlemen: 1 am writing to request a conditional Certificate of Onsite Approval (COSA) be issued for this property. The septic system has been installed, reviewed and approved by your department. There are two outstanding issues that will be addressed in the spring. They are as follows: 1. Topsoil & Seed mound. The cover over the drain field is pit -run gravel and is required to be top -soiled and seeded before final approval. Due to the lateness of the season, top -soiling the mound at this time will cause more damage that do good. There is insufficient time for the seeds to germinate. Although, dormant seeding is an acceptable method of seeding, the Owner wishes to perform this operation under more ideal spring conditions. The side slopes of the mound will be built out to the required 3h to 1v slopes. 2. Final landscaping below Tank. The rough landscaping below the septic tank has created a low spot where storm water accumulates. Your Department feels that this is considered surface water and all parts of the septic system has to be over 100 feet away from surface water. Though we do not agree that a depression in rough -grading where storm water accumulates is considered surface water, we will, in the spring, rcgradc this area and place top -soil and seed to prevent storm water from accumulating in the final grading. 3. Escrow Amount: A recent Conditional COSA (050073 for Skyway Park Est, Block 6, Lot 3) of similar scope required escrowing $1,000 to cover the mount and perform final grading around the septic tank (the actual cost to perform this work came in at $750). This amount will be escrowed to cover the cost to perform this work. All work will be completed by July 1, 2008. If you have any questions or concerns, please contact me at 272-8218. Sincerely, Steven R. Pannone, P.E. Owncr/Civil Engineer Attachments: / �t� INSTALLMENT CONTRACT TO: FW irst ort Q�e INC COLLECTION AGREEMENT 1500 4drst 33rCArenu rSufls 100 Contmct No. Anc6orapr, Af=kp 99SO3 (907) 271-1S41 TAX (907) 272-1046 This is your authorization to set up an installment collection account, and the following documents are handed you herewith: r 1. ' Promissory Note, F Mortgage, r'• Contract, Other (tem #7) In the principal sum of g n/a with a balance due of $ n/a payable in Other $ nra or more, including interest at n/a %perannumfrom n1a Installments of First Installment due on or before n1a Interest will be calculated on a r• 365 day / r, 360 day basis Payments in excess of the scheduled payment r: wilt n wilt not sallsy future payments due. Maturity Date: For determining Payer delinquency to terminate the collection agreement, scheduled payments are delinquent 30 days after due date. Addendums Attached: r Exhibit A- Special Payment Provisions DZ Exhibit B- Reserves F 1.(a) In addition to the payments set forth in #1 above, Irregular/balloon payments are due, see attached Exhibit A. r 1.(b) In addition to the payments set forth in #1 above, you are to collect reserves , see attached Exhibit B. r 1.(c) Late Charges of r2. r3. r4. r 5. r. B. after Special Provisions: Deed of Trust wherein Payers are Trustors and Payees are Beneficiaries, securing payment of the Promissory Note described above. r Request for Full Reconveyance r Request for Partial Reconveyance r. Deed of Full Reconveyance r Deed of Partial Reconveyance Satisfaction of Mortgage r 6. Deed. Upon payment in full release documents to: DZ 7. Other Holding Funds Legal Description: Lot 17A Block 4H Rabbit Creek Heights Subdivision Replat Special Instructions This Is set up between Highlander Development LLC and M.O.A. to assure the completion of work ona septic system i.e.( topsoil and seed over leach field) when completed funds will be returned to H.I. if not M.O.A. receives funds. First NbAgage, Inc. is hereby authorized to disburse the payments received pursuant to the above described documents, as follows: DeposltdireclytoPayee's account at First National Bank of Alaska/HighlanderInvestments AccounlNo. 30216345 Other First Nbrtgage, Inc. reserves the right to assign and/or transfer an its duties in this installment contract provided that ten (10) days written notification of its intent to assign and/or transfer is sent to the parties signed below at the addresses indcated. First Nbrtgage, Inc. Is a representative of Payer only for the purposes of disbursement of the documents and for PayeelBeneficiary for the purpose of receipt and disbursement of funds collected hereunder at PayearBenericiarys drection. Provided however, Net an funds directed to be paid to underlying deeds of trust secured by the property subject to this collection contract shell be redirected only by the written request of the Payer and the Payea/Beneficiary. The undersignec have read the foregoing agreement inducing the GENERAL PROVISIONS on the reverse, and understand the content thereof and admowledge that the terns of the collection agreement are satisfactory. First Nbrtgage, Inc. is hereby relieved of all liability except for the receipt and disbursement of the funds and documents provided for herein. FirstNbrtgage,Inc. hereby, without accepting any liability other than previously noted. expressly assumes no liability for prepayment penalty clauses. due on sale clauses, balloon payments, orfor securing any releases or paying any amounts owing to release, and deeds of trust paid by a wraparound deed of trust. Upon execution of this contract the parties herein agree to pay fees in accordance with the current fee schedule. Set Up Fee'. r Paid r tolled from first pay to be paid by: Annual Fee to be paid by: (Fees Subject to Change Without Notice) Unless otherwise instructed, all service charges win be charged to Payer. Dated: Wednesday, November 7, 2007 M.O.A Payer/Trustor Printed Name Signature Po BOx l96�SO,AutN, fIK� 995/9 Address Address S.S.N. S.S.N. t" :Reset Form " PayeriTrustor Payee/senencaryintiats For audit purposes: Fees to be paid in addition to payments r: Yes r+ No Dated: Wednesday, November 7, 2007 Highlander Development Ilc Payee/Beneficiary Printed Name Sgnaure Payee/Beneficiary Printed Name Signature 1325 L street Anch, AK 99501 Address Address S.S.N. Received and accepted by First Mortgage Inc. this day of By eceived Fees: Page 1 of 2 (; Print Form ' S.S.N. 1 11=30' 2004-91 RABBIT CREEK VIEW & CREEK HEIGHTS SUBDIVISION LOT 17A, BLOCK 4H 19,913 S.F. N 89.26'52"E 99.90" 10' UnL ESMT. GASTALDI LAND SURVEYING, LLC JEFF A. GASTALDI, R.L.S. 4726 WEST 88TH AVENUE ANCHORAGE. ALASKA 99502 PHONE 248-5454 I GRID3ATE 2440-41 0-41 I 4/13/2007 I F.B. JOB NO. 07-04 1 RCH17A4H " ov-J J' 6 vu..,' 0 17 BYRON DRIVE I HEREBY CERTIFY THAT I HAVE SURVEYED THE PROPERTY DEPICTED ABOVE AND THAT NO ENCROACHMENTS EXIST EXCEPT AS INDICATED. IT IS THE RESPONSIBILITY OF THE OWNER TO DETERMINE THE EXISTENCE OF ANY EASEMENTS, COVENANTS OR RESTRICTIONS WHICH DO NOT APPEAR ON THE RECORDED SUBDIVISION PLAT. UNDER NO CIRCUMSTANCES SHOULD ANY DATA HEREON BE USED FOR CONSTRUCTION OR FOR ESTABLISHING BOUNDARY OR FENCE LINES. ANCHORAGE RECORDING DISTRICT, ALASKA NOTE. NO CORNERS SET THIS DATE REPLAT ,$*S/ / 11 ' . i *: 49L = *� /... .................... era cuel°Tal s �6091 w� AV jcacx4lp �0jeeti°n°11.� � •����/lklt**• WELL ~DECK l Cog PECK I 43.6' O� 01 m 4 pc1511NG y U gU110 t G 3 I.3. F m 23 8. 2.2' CV�FitEp o N V oN S 8 = • N 130 = 28-5- N . b 255' ORNE GRA`1E� SEPTIC SYSTEM m GASTALDI LAND SURVEYING, LLC JEFF A. GASTALDI, R.L.S. 4726 WEST 88TH AVENUE ANCHORAGE. ALASKA 99502 PHONE 248-5454 I GRID3ATE 2440-41 0-41 I 4/13/2007 I F.B. JOB NO. 07-04 1 RCH17A4H " ov-J J' 6 vu..,' 0 17 BYRON DRIVE I HEREBY CERTIFY THAT I HAVE SURVEYED THE PROPERTY DEPICTED ABOVE AND THAT NO ENCROACHMENTS EXIST EXCEPT AS INDICATED. IT IS THE RESPONSIBILITY OF THE OWNER TO DETERMINE THE EXISTENCE OF ANY EASEMENTS, COVENANTS OR RESTRICTIONS WHICH DO NOT APPEAR ON THE RECORDED SUBDIVISION PLAT. UNDER NO CIRCUMSTANCES SHOULD ANY DATA HEREON BE USED FOR CONSTRUCTION OR FOR ESTABLISHING BOUNDARY OR FENCE LINES. ANCHORAGE RECORDING DISTRICT, ALASKA NOTE. NO CORNERS SET THIS DATE REPLAT ,$*S/ / 11 ' . i *: 49L = *� /... .................... era cuel°Tal s �6091 w� AV jcacx4lp �0jeeti°n°11.� � •����/lklt**•