HomeMy WebLinkAboutTHE TABLELANDS BLK 8 LT 10Th Tabl land Block 8 Lo? 10 #05! -801 -§0 Municipality of Anchorage Page 1 of Development Services Department On-S~te Water and Wastewater Program 4700 South Bragaw Street P,O. Box 196650 Anchorage, AK 99519-6650 www. cLanchorage.ak.us (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number, SW050405 PID Number:, 051-801-50 Spinell Homes WastewaterSystem: New 1900 W, Northern Lights Anch,, AK 99518 ABSORPTION FIELD 344-5678 . : :. /.7C 5' Wide Trench 8 10 The Tablelands I F,. 2 1-3 Ft. 44 F,. Ft. F! ..6LaO' ~' I dr' F~' ASTM 3034 PVC F, Palsano's Dirtworks 11/10-14/2005 oM F,. F~ TANK SEPARATION DISTANCES Advantex Treatment System Tank Field etation Tank s~,~r,~ Anchorage Tank 1,500 w,, >200' >200' >200' N/A >25' Steel Two(2) ~.w.,. >100' >100' >100' N/A ~ / LIFT STATION 500 c~ Anchorage Tank/Orenco ~,~,~,,None Noted Orenco Allied Alaska Electric "'""~ BENCH MARK See Lot Une Waiver. Insulation Placed Over Entire Flnished Floor Engineer'a Stamp Inspections performed ky: I'LK dates: 11/ o/os Department of Health and Human Services approval Z C~o ,il'gal. A~8G.-"O.O0 N Municipality of Anchorage DEVEOPMENT SERVICES DEPARTMENT 4700 South Bragaw Street Anchorage, AK. 99519-6655 - 343-7904 On-Site Wastewater Disposal System or Well Inspection Report Permit Number. SW050405 Page 3 of 3 PID No. 051-801-60 Cover 1/°'3a II Seeer Rock Horizon 90.5 // PROFILE AS-BUILT Scale: NONE LOT 10, BLOCK 8, THE TABLELANDS SUBDIVISION ALTERNATE SITE DESIGN FACTORS: SYSTEM REQUIREMENTS: Four Bedroom Home 5' Wide Pressurized Trench System Peru. Rate: 5-30 Min./Inch Four Bedroom Advantex Treatment System Application Rate: 3 GPD/SF 2' Drainfield Rock 4 Bedrooms" 150 GPD/Bedroo,m. = 600 SF Absorption Area 600 SFI3 GPD/SFI5 SF (Width) .7(Red. Factor) = 28 LF Trench Length THEREFORE: Construct A 30' Long x 5' Wide x 2' Effective Depth Absorption Trench. Flow Line Elevation in Trench to be at 1' Below Odginal Ground Surface. Total Depth to be 3' Below Existing Ground. Provide 3' Cover Over Absorption Trench and 4' Cover Over Septic Tank. 3' ,~ ~atu._m.! ~ 2" Insulation an.d ~otexble Fabric 6" ",,, O 1" Perforated ,,~ PVC (Holes Down) 3/16" Holes @ 1.5' Spacing 4' -- Drainfield Rock TYPICAL 5' WIDE TRENCH SECTION (NO SCALE) ~.. ,.~,~ ~...L~... ..... NOTE: Grade Area Over Trench to Dra~n Away. , .~ / __.. Minimum 6 Separation From Bedrock. e..,.., .................. ,,.,.,..,.,,,..,~ Minimum 4' Separation From Groundwater. t ~'J.~,c,~,~_~ M~.imum 200' Separation F~om PuUic We,s in the Are~. Minimum l00' Separation From Surface Water or Streams.- ~,,% No. ~-~-~ ,."'.~-~ Minimum 10' Separation From Water Services. ~',~"~...~..'"~_~,~' ~a~ 04 OG 07:10a Rllied Rlask& Electric (90?) 373-3894 May 4, 2006 Anderson Engineering At*m: Mike Anderson P.O. Box 240773 Anchorage, AK 99524 Subject: Lift Station Inspections at properties stated below. This letter is to confirm that the llft station(s) at: · Lot 10 Block 8 - The Tablelands were wired by a licensed Journeyman Electrician in accordancc with thc 2002 National Electric Code requirements. If you would like any further information, please feel frec to call our office at the numbers listed below. Thank you. Sincerely, Allied Alaska Electric, L.L.C. Martin D. Brown President/CFO cc: File P.O. Box 876310. Wasilla. Al~stu~ 99687 (907) 373-3893 ph/ (907) 232-~687 cell~ (907) 373-3894fax ~'ax fro~ : {~I-L~-e~, 89:31.Pg: Z ADVANCED WASTEWATER TREATMENT SYSTEM MAINIENANCE AND REPAIR AGREEMENT MEMORANDUM OF UNDERSTANDING BErW'EEN MUNICIPALITY OF ANCHORAGE AND THIS MEMORANDUM OF UNDERSTANDING rn~e and entered Into as of this her~in the "OWNER," and the Municipality of^nchorage, herein the "~.RINICIPALITY." In ¢omideration ofthe mutual covenent~ contained hete~ the paflles to thi~ Memorandum of Unders~nding agree ~ follow,: !. ADV'ANCEB WASTEWATER TREATMZNT gYSTEM$. Munlcil~Iity gra~ permission to Owner to utilize and olx'rata an Advanced Wast~water Treatment Syru.'m (AWWI'$), descn'b~d ~ k-Io R ~/ ^. Alteration. Any change to the clcsign or function oran AWWTS that ifleludcs the installation or removal of any pfl~, components or pieces not included in the original construction potmit end desigr~ Prior to performing any alterations to an ^WWTS the owner mu~t obtain a Westeweter Disposal Syetern Construction Permit from the Municipality pursuant to Anchorage Municipal Code (hcreinafter,"AMC"') I $.62. B. Certificate of On-Site Systems Approval. An approval by the Municipality of existing water and wa~tewater disl~os~l systems given it thc time of property sale end title transfer in ecoo~dance wl~ AMC 12.65. These approvals certify that the systems are adcquate for the homes that they support and meet the codes that were in place at thc tim~ of system Construc~on. C. Dam,,ge. Any man-made or natural change in a system that would inh~it the system from performing as deslgncd. D. Malatenaaee and Repair. T~e scheduled and as needed replacement of cxis'dng parts, components and pieces oran AWW'I'S that wer~ included in the original d~sign which would ,llow the AWWTS to continue to perform as designed. E. PermR (Coastrucflon) An On-Site Wastcwaler Disposal System Consl3:uction P¢i,nit as &timed by AMC 15.65. F. Permit (Oper~tlag) An Advanced Wastewater Treatmem System Operating Permit. An annual p~rmit, issued by the Municipality, that allows tha (:h~ner to operate an AWWT$, upon meeting all the requirements of this agrccment, thc conditions of Oparatlng Permit, the requirements of the On-Site Wastewater System Construction Permit and all relevant provisions of AMC 15.65 3. Fee. Owner shall pay 1o Municipality an annual fcc of ~ ~ ($.x"~00), payable on or be£or~ thc issuance of the operating permit and annually thez~a~r. The annual fce Is duc on or befog the anniversary daf~ of thc approval by the Municipality of installed sysmm. 4. ~F~n. Thc ~:rm of this Memorandum of Understanding shall be for the lifc of the AWWTS. The term begins on the date ofappcoval by the Municipality of thc installed system and shall continue while the AWWT5 system is irt us~ or operational or unti} the property is ~old or title is trarisferred by owner and a new'certificate of On-Site approval is issued to the new owner or transferee ofthe property. 5. Alterations. lua~llatlop ~ln(] ]{em{real ofAdditloual Equi~)meot. Owner agrees not to make any alterations, re.oval of parts or additions to thc AWWTS without a Cons~uction Permit from the Municipality. A. Throughout thc teml of this Merflorandum of Understallding. the Owner shall maMtain Aww'rs in good repair. In addition, it shall be the responsibility of the Owner daring thc term of ibis Memorandum of Understanding, and any ~nsions or renewals thereof, at file owner's sole: expense, to pay for lny and all: (!) repair(s), (2) maintenance, ¢3) adjustment(s), (4) replacement costs, and (5) inspection costs. Further, Owtler ag~cs to comply will all applicable ordinance, laws, regulations. rules and orders for the ^WWTS. B. Owner ago:cs to provid~ the Municipality a written schedule of routine mainienanc~ and repairs which have been performed on the system ptrrsuailt to the terms and conditions contained in the Owner's AWWTS Operating Permit. This schedule shall be submitted to the Muni¢ipalhy annually upon the renewal ofth~ perlrlit. Thc schedule of mai~ienanc~ and repair contained in the Owner's AWW'I'S Operating Permit is: C. Owner acknowledges that the fine sch~zlule for failing to maintain and r~pair aa AWWTS are codified irt AMC 14.60. D. Owner ~grees that only maintenance, rcl~t l~-rsonnel ce~fi~ Munici~li~ will ~ ~ m~ke ~y ne~ matnten~, ~i~ or ~d ~ O~r a~s to ~m ~ M~ici~li~ ~aso~ble ~ to ~t and i~e~ AW~S ~n 24 ~s ~n nod~. F. ~ n~cs ~ a~ ~lc or ~nsfer of title of~c ~ ~11 ~t o~r wi~o~ a n~ C~ifi~m of ~-Site Syate~ Ap~al. O. ~ a~ ~t ~e ~v~t provisions of~e s~ ~cifi~tioa for A~ ~ ~e gov~i~ ~f~sloml ~ideli~s for ~¢ ~a~nt¢~ce ~d ~{r ofth~ ~r'a A~. ~. ~e faille ofei~ ~ at an~t~e to ~o~ n p~sion Memonn~m of U~d~ ~ll i~ no ~y com~ n ~iver of~e nor ~ ~y way ~eet ~e validi~ of~e M~o~ of Un~in$ or h~f, or ~e fi~t of:~h ~ ~ to eafo<e ea~ nnd ~e~ ~viaion h~f. A. ~a Memo~ of Un~g a~ll'only ~ ~ded, m~ificd or eh~ged fo~li~ of~is Memo~dum of Un~mding ~ executed ~d ~ n~hed ~ ~ia M~omdum of Unde~nding ~ ~ ~end~t. B. For thc purposea of any amendment modification or change to the terms and conditions of this contract, the only authorized r~presentativcs of thc parties ar~: Anchorage: ~ C. Any ~cml~ to amend, modify, or change this contract by either an unauthorized representative or u~authorizcd meana ahall be void. 9. ,~urbdiction: Choioe of Law. Any civil nctlo~ arising from this M~nora~dum of Undcrstamling shall be brought in the Superior Court for the Third Judicial District of thc State of Ala.~a a! Anchorage. The lawa of thc State of Alaska sha~l $ovem the rights and · obligations of the pa~ea under this Memorandum of Understanding. 10. ,~ever~billtV~ Anyprovhions oft~is Memorandum of Understanding decreed invalid by a court of comp~nt Jurisdiction shall not invalidate the remaining provisions of the Memorandum of Un~lcrtn~adlng. / STATE OF ALASKA By: tlc: Date: THIRD JUDICIAL DISTRICT The forgoing instalment ~ acknowledged beforc ~e this ~ day of 20~,by ~ ~ ~ ~o~ ,, NOT~YP~LICFOR~S~ ~? ~O~Aar ~ ~. Ion E~o~t~' ~ MUNICIPALITY OF ANCHORAGE Development Sen/ices Deparlmenl On-Site Waler & Waslewaler Program 4700 Sou~h Bragaw S~reet P.O. Box I~6650, Anchorage, AK gg51g.~650 (907) 343.7904 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Initial Date Issued: Oct 27, 2005 Expiration Date: Oct 27, 2006 Permit Number: SW050405 Parcel ID: 051-801-50 Legal Description: THE TABLELANDS SUBDIVISION BLOCK 8 LOT 10 Design Engineer: 0014 Anderson Engineering Site Address: 22568 SAMBAR LOOP Owner Name: SPINELL HOMES, INC Lot Size: 49410 SQ. FT. Owner Address: 1900 W. NORTHERN LIGHTS BLVD SU Total Bedrooms: 4 Permit Bedrooms: 4 ANCHORAGE, AK 99515- This permit is for the construction of: [] Disposal Field [] Septic Tank [] Holding Tank [] Privy [] Private Well [] Water Storage All construction must be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations ( 18AAC72 ) and Drinking Water Regulations ( 18AAC80 ). 3. The engineer must notify DSD at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 ( 24 hours ). ( Not required for a Water Supply Permit only ). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. Date: Date:~ Parcel I.D. Municipality of Anchorage Development Services Department Building Safety Division On-Site Water and Wastewater Program 4700 South Bragaw SL P.O. Box 196650 Anchorage, AK 99519-6650 www. ci.a nchorage.ak.us (907) 343-7904 ON-SITE SEWER/VVELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING .Permit Number ,SW Property owner(s) Solnell Homes, Inc. Day phone .344-5678 Mailing address (1)J900 W, Northern Ul]hts Boulevard, Suite 200 Anchorage, AK 99515 Mailing address (2)_~.~.,~ Sambar Loop Legal description (Lot, Block & Sub'd.) Lot 10, Block 8, The Tablelands Zip Code Legal description (Section, Township & R-~nge) . Lot Size 49,410 SF Acres~ THIS APPLICATION IS FOR: Sewer Only Sewer and Well Sewer Upgrade THIS PROPERTY CONTAINS: Hot Tub Swimming Pool Therapy Pool Number of Bedrooms Four ~4) [] Well Only [] [-] Water Storage [] Jacuzzi Water Softening Unit 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. ( 'g ture of property owner or authorized agent) Permit Fees: J~ ~..~.c° Date of Payment: Receipt Number. . (Rev, 12/00) Date of Payment: Receipt Number. · , 6227773 ,. rG~'~,~.'~."~6i~[FAX) , ,' J October 21, 2005 Municipality of Anchorage Development Services Department On-Site Water and Wastewater Program 4700 South Bragaw Street Anchorage, AK 99519-6650 Su~e~: Lot 10, Block 8, The Tablelands Subdivision Septic System Design and Permit Application' Impacts to Adjacent Properties Dear Onsite Services Engineer: The owner of Lot 10 Block 8, The Tablelands Subdivision intends to construct a four bedroom home on the lot. We are therefore requesting a permit be issued for a septic system to serve the new home. The soil conditions, lot configuration and house location make the construction of a conventional septic system nearly impossible. We have therefore decided to place an Advantex Treatment System on the lot to provide the most effective treatment of the septic effluent prior to discharge into the surrounding soil strata. The location of the absorption bed is shown on the attached Site Plan. Drainage patterns are also shown on the plan and will not be modified as a result of the proposed construction. The test holes placed on this lot revealed silty sand and gravel. The percolation rate in the materials encountered was 30 minutes per inch. No groundwater was found dudng the excavation and none was noted on October 19, which is typically near the high groundwater elevation of the year. The subdivision, however, is plagued by groundwater problems and our design provides for the bottom of the absorption trench to be as shallow as possible. We are therefore proposing to place a four-bedroom Advantex Treatment System. The absorption trenches will each be 22' long x 5' wide x 2' effective depth. The distribution line in the trenches will be placed at 1' below the existing ground level. Total depth of the trenches will be 3' below the surface. 3' of fill will be placed above the trenches and 4' over the septic tank to meet Municipal Code and prevent freezing. The ground surface of the lot is basically fiat near the location of the pdmary absorption trenches. The trenches will be constructed parallel with the slope as much as possible in conformance with Municipal requirements. All components of the new septic system will be constructed a minimum of 100' from any surface water and 10' from the water Lot 10, Block 8, The Tablelands OCtober 21, 2005 Page Two service proposed for this lot. If the system is constructed in accordance with our design the following statements apply: The system, if constructed as designed, will have no adverse impact on the wells in the area or those to be constructed in the future. 2. The system, if constructed as designed, will have no adverse impact on existing septic systems in the area or those to be constructed in the future. 3. The system, if constructed as designed, will have no adverse impact on reserve space, either surface or subsurface, on any lots located in the area. 4. The system, if constructed as designed, will have no adverse impact on drainage patterns in the area. The current drainage pattern will be maintained. Sincerely, Michael E. Anderson, P.E. Attachments ANDERSON ENGINEERING P.O. BOX 240773 ANCHORAGE, AK 99524 522-7773 677-7766 (FAX) MEMORANDUM DATE: October 27, 2005 TO: Julie Makela, P.E. FROM: Mike Anderson, P.E. SUBJECT: Lot '10, Block 8, The Tablelands Subdivision Septic System Permit We have revised the septic system design for Lot 8, Block 8, The Tablelands to move the absorption system to the north side of the lot. A second test hole (TH5) was performed yesterday to verify the soil conditions. Well graded sandy gravel (SW/GW) was encountered with a percolation rate under 5 minutes per inch was found. We are proposing to place an Advantex System with an application rate of 2 gallons per day per square foot at the location shown. A revised lot line waiver is also attached to allow placement of the trenches within 1' of the north lot line. The house location has been moved to the south to allow more room for the septic system on the lot. We have also paid the $175.00 fee to expedite the review of this permit. Thank you for your assistance with the issuance of this permit. Please let me know if you have further questions. Z mN.. u-~o J~ .J LOT 10, BLOCK 8, THE TABLELANDS SUBDIVISION DESIGN FACTORS: Four Bedroom Home Peru. Rate: 30 Min./Inch Application Rate: 2 GPD/SF SYSTEM REQUIREMENTS: 5' Wide Pressurized Trench System Four Bedroom Advantex Treatment System 2' Drainfield Rock 4_B_e_d_mg._m_s_ * 150 GPD/Bedroo,m. = 600 SF .Absorption Area (Jo ~5F/'2 GPD/SFI5 SF (Width) .7(Red. Factor) = 42 LF Trench Length THEREFORE: Construct 2-22' Long x 5' Wide x 2' Effective Depth Absorption Trenches. Flow Line Elevation In Trenches to be at 1' Below Odginal Ground Surface. Total Depth to be 3' Below Existing Ground. Provide 3' Cover Over Absorption Trench and 4' Cover Over Septic Tank.  2" Insula. tion an.d otextde Fabric 6" ' "% o '1" Perforated  PVC (Holes Down) 2' 3116" Holes ~ 1.5'Spacing -- Drainfield Rock .TYPICAL 5' WIDE TRENCH SECTION Minimum 200' Sepaim°tion From Public ~rlis in Ihe Area .M. n!mu= !_0,0~.S_eparation From Surface WaterorStrea~,.~,~.~ No M,nlmum lU ~Separation From Water Serv cas ' '*e.~','~*,. QI:lVQNV.LS RI3.LSAS OI.Ld=IS O~-XV X3J. NV^QV 0 MUNICIPALITY OF ANCHORAGE DEVELOPMENT SERVICES DEPARTMENT /~700 SOUTH BRAGAW STREET ANCHORAGE, AK 99519-6650 SOILS LOG- PERCOLATION TEST LEGAL DESCRIPTION; PERFORMED FOR; DATE:. 10/11/20Q5 PARCEL ID~. DEFTII (r~t) I OB/OG 2-- 3 4 $ 7 8 9 BOH LOT 10, BLOCK 8, TABLELANDS S/D SPINELL HOMES PROJECT No.: M0560 TECHNICIAN: M. m r~lnGF I TEST IIOLE fl 3 [ DRY WELL GRADED SANDY GRAVELS GW-SW SILTY SANDY-GRAVELS WITH FINES SM-GM SLOP 0% ] SITE PLAN TH5 o j PUE SEE FUTURE ASBUII_T PERCOLATION RATE; 30 (MIN/INCII) PERC. IIOLE DIA, 6 (]NCIIE5 TESTRUN BETWEEN; L,.5 FT. and 5.5 FT. COMMENTS: Test }1o1¢ Presoaked Prior to Percolation Test. TEST PERFORMED BY ANDERSON ENGINEERING. I, MICi IAEL E. ANDERSON CERTIFY TI IAT Tills WAS PERFORMED IN ACCORDANCE WITII ALL STATE AND MUNICIPLE GUIDELINES IN EFFECT ON Tills DATE; ' MUNICIPALITY OF ANCHORAGE DEVELOPNENT SERVICES DEPARTMENT Z*~00 SOUTH BRAGAW STREET ANCHORAGE, AK 9Q519-6650 SOILS LOG- PERCOLATION TEST I LEGAL DESCRIPTION; PERFORMED FOR; DATE: IO/I PARCEL ID#. DEPTII (f~) OB/OG 2 3 4 6 7-- 8-- LOT I0, BLOCK 8, TABLELANDS S/D SPINELL HONES PROJECT No- M0560 TECHNICIAN: M_ ri 13~)nGF I 'rEsT.o. , 4 I DRY WELL GRADED SANDY GRAVELS GW-SW SLOP SILTY SANDY-GRAVELS WITH FINES SM-GM BOH SITE PLAN -- ~UE SFF FUTt~F ASRUR.T COMMENTS: PERCOLATION RATE:36.9 (MIN/INCtl) PERC. IlOLE DIA, 6 TEST RUN BETWEEN: 5.5 FT. and 6.5 FT. WAS GROUND WATER ENCOUNTERED?. NO IF YES ~ WIIAT DEPTH? DEPTI I OF WATER A~ lisR MONiTORiNG: NONE Test i Iole Presoaked Prior to Percolation Tesl. DATE OF MONITORING: 10/19/05 flNCIlES) TEST PERFORMED BY ANDERSON ENGINEERING. I, MICHAEL E. ANDERSON CERTIFY THAT THIS WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPLE GUIDELINES IN EFFECT ON THIS DATE:. MUNICIPALITY OF ANCHORAGE DEVELOPMENT SERVICES DEPARTMENT /*700 SOUTH BRAGAW STREET ANCHORAGE, AK, 99519-6050 SOILS LOG - PERCOLATION TEST DFPTII 1 2 3 4 5-- 7-- 8-- LEGAL DESCRIPTION; LOT IO, BLOCK 8, TABLELANDS S/D PERFORMED FOR; SPINELL HOMES DATE: 10/26/2005 PROJECT No,: MO560 PARCEL ID~/- TECHNICIAN: M_ I T STI10 .E 5 I OB/OG DRY WELL GRADED SANDY GRAVELS GW-SW BOH SLOPE READING 2 3 4 5 6 SITE PLAN / TH/-+ PUE SFF FI. JTtJRF A~Ull T <10% DEPTH OF WATER NET DRQF (INCHES) J UNCHES) TEST tl0LE PRESOAKED FOUR HOURS PRIOR TO TESTING: 1158 1218 1218 1238 1238 1258 Il,0" CHARGE 20 2.375" 8.625" Il.O" RECHARG 20 2.75" 8.25" 11.0" RECHARaE 20 2.75" 8.25" PERCOLATION RATE; 2.4 (MINflNCII) PERC. tlOLE DIA, 6 (INCIIES) TEST RUN BETWEEN: 3.5 FT. and 4.5 FT. COMMENTS:. Test tlole Presoaked Prior to Percolation Test. TEST PERFORMED BY ANDERSON ENGINEERING. I. MICIIAEL E. ANDERSON CERTIFY TtlAT Tills WAS PERFORMED IN ACCORDANCE WITll ALL STATE AND MUNICIPLE GUIDELINES IN EFFECT ON Tills DATE: 10/27/2005 , Mmficipality of Anchorage Mayor Mark Bt~ich ~...,.a~.o~ Building S~cty Dixtsion i 0/27/2005 Anderson Engineering P.O. Box 240773 Anchorage, Alaska 99524 Subject: Waiver Request for The Tablelands Subdivision, Block 8, Lot I 0 Waiver Request #WR050094 Parcel ID #051-801-50 Permit # SW050405 Dear Mr. Anderson: Your request for a waiver of the required I0 feet horizontal separation from the primary absorptionfleld to the northern propertyline has been approved. The approved separation distance is 1.0 foot. This waiver approval applies to the existing primary absorption field to not'them property line separation only. AnY future upgrade to the on-site wastewater disposal system will require all separation distances be met or another approval from this department. If there are any further concerns or questions regarding this waiver, please call our office at 343-7904. Sincerely, Julie Makela, P.E. Civil Engineer On-Site Water & Wastewater Program Community, Securil,y, Prosperity Municipality of Anchorage Development Services Department Building Safely Division On-Site Watcr and Wastcwatcr Program 4700 Bragaw Strcct P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907} 343-7904 Waiver Review Worksheet WRY: WR050094 PID~: 051-801-~ HAg: Permibt: SW050405 Date Received: !0/21/2005 Legal Description: The Tablelands Subdivision. Block 8, Lot Engineer: Applicant: S~)lnell Homes. Inc. Waiver Requested: 1 foot seoaration between ;)rimarv absortotion field and northern ;)rooertv llr'- Cdteria: Geology Points: A. Water Table B. Soil Sorption C. Permeability D. Water Table Gradient E. Horizontal Separation Total: Waiver is Granted: V,/'''' Waiver Is not Granted: list Conditions or Reasons for above: c'"~q'ame o~ Review&r - - --~--- Rec#: 75~1)7 Amount: $175.00 Date Paid:~ ANDERSON ENGINEERING P.O. BOX 240773 ANCHORAGE, AK 99524 522-7773 677-7766 (FAX) October 21, 2005 Municipality of Anchorage Development Services Depadment On-Site Water and Wastewater Program P.O. Box 196650 Anchorage, AK 99519-6650 Subject: Lot 10, Block 8, The Tablelands Subdivision Separation Distance Waiver Absorption Trench to Lot Line Dear On Site Services Engineer: The surface area available for a septic system on this lot combined with the house location and soil conditions require that absorption trenches be placed within 1' of the nodh property line. Placement of the absorption trenches at this location will have no adverse affect on septic systems in the area. The subdivision is currently served by the Municipal water system and all separation requirements from water facilities are easily met. An Advantex Treatment System will be placed on the lot, which is also less harmful to the environment than a standard system. We therefore request a waiver be issued allowing the trenches to be 1' from the north property line. Sincerely, Michael E. Anderson, P.E. 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- www.muni.org/onsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. 051-801-50 1. GENERAL INFORMATION Complete legal description COSA # 05 Expiration Date: THE TABLELANDS, LOT 10, BLOCK 8 Location (site address) 22568 SAMBAR LOOP, CHUGIAK, AK 99567 Current Property owner(s) RAY & JOANNA BRYANT Day phone Mailing address 22568 SAMBAR LOOP, CHUGIAK, AK 99567 Lending agency Day phone Mailing address Real Estate Agent RYAN TOLLEFSEN - PRU Day phone 273-7282 Mailing Address Unless othem/ise requested, COSA will be held by DSD for pickup. 2. N U MI~ R'~OI~ ~;E~EDROO M S: 3. '~'~-PE OF WA?'ER ~,PPLY: '1 ndi~i~'l:;W~tE:r Storage ~m'~bffity Cias¢ ~ Well Public, Water'-S~Stem TYPE OF WASTEWATER DISPOSAL: Individual On-site Individual Holding Tank Community On-site 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. DSD SIGNATURE ~ Approved for J-~ Disapproved. Conditional approval for Name of Firm ARCTERRA CONSULTING, INC. Phone 868-3792 Address 20441 PTARMIGAN BLVD., EAGLE RIVER, AK 99577 Engineer's Printed Name KENNETH M. DUFFUS Date 04/20/2011 Engineer's Comments: This investigation was completed in compliance with ADEC and MOA regulations. The assessment of the condition of the well and septic applies only to the conditions as of the day tested. The flow and absorption rates may change due to subsurface conditions that may not be observed from the surface, changes inland Use, local soil characteristics, groundwater levels that may fluctuate during the year and the water usage of the family being served by the system. The operational life of all well and septic systems are subject to these various and dynamic characteristics and are outside the control 'of the evaluator of the well and septic system. Therefore, ArcTerra can not give any estimate of how long a .~~:.... system will function satisfactory for current or future .~.:~'~...~, occupants or can Ar cTerra guarantee th at no unseen ~... ,'~':~t'~~:"~......~-? ..~,. encroachments, deficiencies or discrepancies exist. . ~: '..:~%{.~ i~[ · - bedrooms. ~~ bedrooms, with the following stipulations: Attachments: COSA Checklist Septic System Advisory Well Flow Advisory Nitrate Advisory X Arsenic Advisory Maintenance Agreements Supplemental Engineer'.s Report Other Original Certificate Date: Municipality of Anchorage Development Services Department Building Safety Division On-Site Water & Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description: 7~-]E TABLFLANDS, LOT 10, BLOCK 8 WELL DATA Well type ]'UBLIC Date completed Total depth ft. IfA, B, or C provide PWSID #__ Sanitary seal (Y/N) Cased to ft. FROM WELL LOG Parcel ID: 051-801-50 Well Log (Y/N) Wires properly protected (Y/N) Casing height (above ground) in. AT INSPECTION g.p.m, g.p.m. Date of test Static water level Well production WATER SAMPLE RESULTS: Coliform colonies/100mL Nitrate Arsenic: __.rng/I Date of sample: B. SEPTIC/HOLDING TANK DATA Tank Type/Material STEin/Steel mg/L Other bacteria Collected by: colonies/lO0 mL Date installed 11/14/2005 Tank size 1500 gal. Number of Compartments _2 Cleanouts (Y/N) _Y Foundation cleanout (Y/N) _Y Depression over tank (Y/N) __N High water alarm (Y/N) Y Date of pumping 4~19j~1 Pumper 1Rs C. ABSORPTION FIELD DATA Date installed 11/10/2005 Soil rating (g.p.d./ft2 or ~/bdrm) 2 System type T~-ench Length ~,4 ft. Width _5 ft. Gravel below pipe 2___ff. Total depth ~ / ~.35 f. (Measured 4/19/11) Eft. absorption area 3:1~t ~ Monitoring tube Y Depression over field Date of adequacy test 4/19~:t Results (Pass/Fail) Pass For ~__ bedrooms Fluid depth in absorption field before test 0 / 0 in. Water added 860 gal. New depth 8.~, / 6.6 in. Elapsed Time: 1380 min. Final fluid depth 0 / 0 in. Absorption rate >= 600+ g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) N__lf yes, give date __ D. LIFT STATION Date installed 11/14/2005 "Pump on" level at 28 in. Datum Bottom of Tank E. SEPARATION DISTANCES Size in gallons 500 "Pump off' level at 28 Cycles tested 2 SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot Absorption field on lot Public sewer main Sewer/septic service line Animal containment areas in. Manhole/Access (Y/N) ~ High water alarm level at 34 in. Meets alarm & circuit requirements? ~ On adjacent lots On adjacent lots Public sewer manhole/cleanout Holding tank Manure/animal excrete storage areas SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation $% Property tine $% Water main :10'+ Water service line 10'+ Wells on adjacent lots 200'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 1' (WR050094) Building foundation :10'+ Water Service line 10'+ Surface water :100'+ Curtain drain 50'+ (None Known) COMMENTS Absorption field 5% Surface water 100'+ Water main :10'+ Driveway, parking/vehicle storage Wells on adjacent lots 200'+ 10'+ ~~~~...'.~'"~'"'~.:'.'~.~ :'.....?.: ....~... w~ ..... MOA COSA ~.:'".:".~1, :~"~ ¥*~" L~}'~ . :''`' /' '. co~fo~8~ gut~8~s m effe~ on ~s ~te. .~~~.: Engineer's Print~ Name KENN~ ~. D~S :'~' COSA Fee $490.00 Date of Payment ~'~'"' ~-'- }[ Receipt Number 0! ~'~q ~-~ (Rev. 11t05) Waiver Fee $ Date of Payment Receipt Number ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND REPAIR AGREEMENT MEMORANDUM OF UNDERSTANDING BETWEEN MUI~ICIPALITY OF ANCHORAGE THIS MEMORANDUM OF UNDERSTANDING made and entered into as of this Day of .' ~...'-~ of 20 /~, by and between ,.. ~ .~ ~4. ,.~. ,.,,.e¥ , herein the "OWNER," and the Municipality of Anchorage, herein the "MUNICIPALITY." In consideration of the mutual covenants contained herein, the parties to this Memorandum of Understanding 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 .,~':< ~ ~ ~',', located '~, t-::,/ ts tt~cl~., ~, Anchorage, Alaska. 2. Definitions. A. Alteration. Any change to the design or function of an AWWTS that Includes the installation or removal of any parts, components or pieces not included in the original construction permit and design. Prior to performing any alterations to an AWWTS the owner must obtain a Wastewater Disposal System Construction Permit from the Municipality pursuant to Anchorage Municipal Code (hereinafter, "AMC") 15.65. Certificate of On-Site Systems Approval. 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 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. C. Damage. Any man-made or natural change in a system that would inhibit the system from performing as designed. D. 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. E. Permit (Construction) An On-Site Wastewater Disposal System Construction Permit as defined by AMC 15.65. F. Permit (Operating) An Advanced Wastewater Treatment System Operating Permit. An annual permit, issued by the Municipality, that allows the Owner to operate an AWWTS, upon meeting all the requirements of this agreement, the conditions of Operating Permit, the requirements of the On-Site Wastewater System Construction Permit and all relevant provisions of AMC 15.65 3. Fee. Owner shall pay to Municipality an annual fee of ~z e ~ C9 ($. /~r .00), payable on or before the issuance of the operating permit and annually thereafter. The annual fee is due on or before the anniversary date of the approval by the Municipality of installed system. 4. Term. The term of this Memorandum of Understanding shall be for the life of the AWWTS. The term begins on the date of approval by the Municipality of the installed system and shall continue while the AWWTS system is in use or operational or until the property is sold or title is transferred by owner and a new certificate of On-Site approval is issued to the new owner or transferee of the property. 5. Alterations~ Installation and Removal of Additional Equipment. Owner agrees not to make any alterations, removal of parts or additions to the AWWTS without a Construction Permit from the Municipality. 6. Maintenance and Repairs. A. Throughout the term of this Memorandum of Understanding, the Owner shall maintain AWWTS in good repair. In addition, it shall be the responsibility of the Owner during the term of this Memorandum of Understanding, and any extensions or renewals thereof, at the owner's sole expense, to pay for any and all: (1) repair(s), (2) maintenance, (3) adjustment(s), (4) replacement costs, and (5) inspection costs. Further, Owner agrees to comply will all applicable ordinance, laws, regulations, rules and orders for the AWWTS. B. Owner agrees to provide the Municipality a written schedule of routine maintenance and repairs which have been performed on the system pursuant to the terms and conditions contained in the Owner's AWWTS Operating Pennit. This schedule shall be submitted to the Municipality annually upon the renewal of the permit. The schedule of maintenance and repair contained in the Owner's AWWTS Operating Permit is: D ~,' c~ rv~c,., ~ C. Owner acknowledges that the fine schedule for failing to maintain and repair an AWWTS are codified in AMC 14.60. D. Owner agrees that only maintenance, repair perso~mel certified by the Municipality will inspect and make any necessary maintenance~ repairs or permitted alterations to the system. E. Owner agrees to grant the Municipality reasonable access to test and inspect the AWWTS upon 24 hours written notice. F. Owner agrees that any sale or transfer of title of the property will not occur without a new Certificate of On-Site Systems Approval. G. Owner agrees that the relevant provisions of the standard specification guidebook for AWWTS is the governing professional guidelines for the construction, maintenance and repair of the Owner's AWWTS. 7. Nonwaiver. The failure of either party at any time to enforce a provision of this Memorandum of Understanding shall in no way constitute a waiver of the provisions, nor in any way effect the validity of the Memorandum of Understanding or any part hereof, or the right of such party thereafter to enforce each and every provision hereof. 8. Amendment. A. This Memorandum of Understanding shall only be amended, modified or changed by a writing, executed by authorized representatives of the parties, with the same formality of this Memorandum of Understanding was executed and such writing shall be attached to this Memorandum of Understanding as an amendment. B. For the purposes of any amendment modification or change to the terms and conditions of this contract, the only authorized representatives of the parties are: Owner: Anchorage: Purchasin~ Officer C. Any attempt to amend, modify, or change this contract by either an unauthorized representative or unauthorized means shall be void. 9. Jurisdiction: Choice of Law. Any civil action arising from this Memorandum of Understanding 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 Memorandum of Understanding. 10. Severabili .ty. Any provisions of this Memorandum of Understanding decreed invalid by a court of competent jurisdiction shall not invalidate the remaining provisions of the Memorandum of Understanding. OWNER: By: STATE OF ALASKA THIRD JUDICIAL DISTRICT MUNICIPALITY: By: Title: Date: The foregoing instrument was acknowledged before me this !~& day of 20/i , by ., the NOTARY PUBLIC FOR ALASKA My Commission expires: Municipality of Anchorage Development Services Department Building Safety Division On-Site Water and Weetewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www. munt.orglonsite (907) 3437904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DVVELLING Parcel I.D. 0sl~ol-so 1. GENERAL INFORMATION Complete legal description Location (site address) . COSA# Expiration Date: - .~'"o ~2. L/~ _ O '7 Lot 10, Block 8, The Tablelands Subdivision 22568 Sambar loop Chuglak, AK 99567 Current Property owner(s) spine~ Ho~es. Inc. Day phone, 344-5678 Mailing address 1~00 w. Norffmm Lights Blvd., Suite 200 Anchemge, AK 99517 Lending agency Mailing address Day phone Real Estate Agent Mailing Address Unloss othenvise requested, COSA w#l be held by DSD for pickup. 2. NUMBER OF BEDROOMS: Four(4) Day phone' 3. TYPE OF WATER SUPPLY: Individual Well Individual Water Storage · Community Class, Well Public Water System TYPE OF WASTEWATER DISPO,'SAL: Individual On-site Individual Holding Tank ~ Community On-site Public Sewer ~ ~pe___M. un, i.ci..p~a~.o.f Angora. ge Dev.e, lopment Se~ces Department (DSD)Issues Certificates of On~. ite Systems provm l,~u~) oase~ omy upon me 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 disposai and/or water supply system. DSD also Issues COS.as upon request to homeownem. 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.) Certir~.,ates ara valid for one year for properties sewed by Class A or R 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 certir~:t by my seal aftixed 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 their the on-sita 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 varify that based on the Information obtained f, rom the Municipality of Anchorage files and from my investigation and Inspection, the on-site water supply and/or wastowatar disposal system is(are) In compliance with all applicable Municipal and State codes, ordinance'?, and regulations in effect at the time of installation. Name of Firm Anders~a Engineering Address. P.O. Box240773 A~d'torage, AK~9524 Engineer's Printed Name Michael E. A~derso~. P.E. Phone Date 5/1/2006 6. DSD SIGNATURE , \~/'" Approved for Disapproved. Conditional approval for bedrooms. bedrooms, with the following stipulations: Attachments: COSA Checklist Septic System Advisory Well Flow Advisory Nitrat~ Advisory X ~ · ON.SITE ---=~ .' ~'co ^fid ~ : WASTEWATER ~; ~X ...... ' ~s~' ' A~nlc Adviso~ Maintenan~ Agr~menb Supplemen~l Engine,s Repo~ Other Original Certificate Date: Municipality of Anchorage Development Services Department Building 8afoty DIv~ion On-Site Water & Wa~tewator Program 4700 Bragaw Street P.O. Box 196~50 AncO, AK 99519-6650 ~w.munLo~g/onslte (9o7) 343-7;04 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST A. WELL DATA Parcel ID:. 051-~)1-50 We~type Date completed Total depth ff A. B, or C provide PWSID # Sanltmy ~eal (Y/N) Cased to FROM WELL LOG Date el' test Static water level Welt production WATER SAMPLE RESULTS: C~lfom~ colonies/100 mL Amenic: m~l SEPTIC/HOLDING TANK DATA Tank Type/Material ~I r.~Steel g.p,m. Date of ~ample: Tanklize, 1Aoo gal. NumberafCampa~ment~'hm FoutldatJoncleartout(Y/N) Y Depms~iona~mrtank(Y/N) N Date of pumping ~ c=r=~__.~_ Pumper ABSORPTION FIELD DATA Date installed ~mo/2oo~ ~' 8oll rating (g.p.d~t2 or ~r~lm~) 2op~mF Fluid dept~ in absorption field before test in. Water added Elated Time: ~ min. Final fluid depth Am reiuvenaUon tmmment (past ~2 mo.) (Y/N & type) We, Log (Y/N) pmper pmtec d (Y/N) Casing height (above ground) AT INSPECTION Ot~er bac~ria Collected by: g.p.m. Date k18talied 11/t4/2005 Cleanouts (Y/N) Y High water alarm (Y/N) colonies/100 mi. Y Gravel below pipe 2 fL Y D~iofl over fl~ld, N For bedrooms --. gal. New depth, in. in. Absorption rate >=, g.p.d. If ye~, give clate D. UFT ~TA11ON Date installed 11/~4r~o~ ~ 'Pump on" level at 2s in. Datum Bolt~a d Tlr, k E. SEPARATION DISTANCES Size in gallons sm "P-~-,p off" level at 29 in. Cyctes tested New cm.auc,m Idanhole/A__~_ (Y/N) Y High water alan.n level at 34 in. Maet~ ilaml & Clll~tt r~ Y SEPARATION DISTANCES FROM WElL ON LOT TO: Septic tanMtlt i~a~;o~ on lot A~so~on ~ekl on lot Public ~ewer main Sewer/sepUc service line J~im~l ~alnment areas SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation Water main Welb on adjacent lots >2oo' Property line ~ On acqacent lots On adjacent lots Public sewer manhole/cleanout Holding taN{ Manure/animal exc,-~te storage areas >1o' SEPARATION DISTANCE FROM ABSORFrRON REID ON LOT TO: Property line t' Water 8eMce line, >t(~ Curtain drain None Nmad Building foundation >1o' SUKaCe water >1oo* Wells on adjacent lots ,Absorption field SuVaco water, >1oo' Water main N/A F. COMMENTS: L,~{I~SemndbyAVVWUW~{meynt~. L~UneWalver~m~ed, O. ENGINEER'8 CERTIFICATION I certify that I have determined through fletd ~ and mv/ew el' Mun/c/pa/ records ~hat /he above systems am /n conformance with MOA CO.SA guidelines in effect on ~his date. Enginem'8 P~qted Name IF, cb.el E.,Aadar, an, P.E. Date CO F. $ Date,,.,.yma, Receipt Number Wal~r Fee $ Date of Payment Receipt Number THE I 2004-25 TABLELANDS SUBDIVISIOI LOT 10, BLOCK 8 49,410 S.F. 1 "=4-0' AS-BUILT (;ASTALDI LAND · SURVEYING, LLC ,JEFF A. GASTALDI, 4726 WEST BBTH ANCHORAGE, ALASKA 99 PHONE 24B-5454 GRID DATE NW1559 1/25/2006 F.B. JOB NO. 05-14 TLS108 .15' T. &: E. HEREBYiCERTIFY THAT I HAVE SURVEYED THE DEPICTED ABOVE AND THAT NO ENCROACHMENTS EXIST EXCEP'I[' AS INDICATED. IT IS THE RESPONSIBILITY OF THE OWNER TO )ETERMINE THE EXISTENCE OFiANY EASEMENTS, OR RESTRICTIONS WHICH DO NOT' APPEAR ON THE RECORDED SUBDIVISION PLAT. UNDER NO CIRCUMSTANCES S~OULD ANY DATA HEREON BE USED FOR CONSTRUCTION OR FOR ESTABUSHING BOUNDARY OR FENCE LINES. m ANCHORAGE RECORDING DIS1 RICT. ALASKA NOTE: NO CORNERS 'SET THIS DATE