HomeMy WebLinkAboutTHE TABLELANDS #2 BLK 9 LT 8The Tablelands #i Block 9 Lot 8 #051-741-65 Municipality of Anchorage Development Services Department 4;� i4* Building Safety Division + On-Site Water and Wastewater Program. 4700 S. Bragaw St. P.O. Boz 196650 Anchorage, AK 99519-6650 Page/ of 3 www ci anchorage.ak.us (907) 343-7904 ONSITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number: _:5b1L'0 5 006 7 PID Number. "a Wastewater System: New El Upgrade Atxtess O 0 t:R At2le&I ABSORPTION FIELD Pn«a NurMx d Baboams _ Z �� (7 Daap Tr«r1i 13 $Nllpw Trarrll O Bet,�i MtW 001!W LEGAL DESCRIPTION Sart«up ^ G Tote DOM vom«pu pass O, 5-Ft. GPD/F1L _ B Lot d 7W� m �(. Dept!,,W ppe W= ham ong 1� T iL Grave dope M Mh ppe 0, r FI To V ,p Ranee seclnn FJ sextet alwve orgy pate 3 Grave L&Vh 30 FI. Ft. Well:/iYt/t4lJ ew ❑ pgrade Graveivns', "umh alms 3 Dnlarcetnweenlnes FI. Ft clomt�caeon (Puree, 0.B 7«e DepnCaws b Total wsarpo Veto 415-0 Rpe Me ?a-?`[ Fl. FL Ft' M(4zO ' '/" DrWor On• O Smrc wn eve n«siw Dee Irounet c FL /C �' /ti � �„J Ynit Pump see Ca"L«wphl a. Grouq TAN K GPM FI. FL SEPARATION DISTANCES ❑ Septic ❑ Holding ❑ S.T.E.P�j9pird!`,", j�rOther. To From Septic Tank Absorption Field Lift Station Holding Tank 2ublictPnvate Sewer Line �'a/"/•,`��• AA ` /V lil'f 0f�i 'r� �/f'i1%/�-� • ty VSO (T Gr Well bat«�Y.// `, "uniWr d Comp«Inwaa s ",.we« /QO/ d'+ /Q4 t — LIFT STATION Af-C 04ere L« U,,*/0 / / O , ^ V Se S wi FaaMean Q /f /a /f. /Q /�- 'Pump tn'ie«« 'Pump of M Nn W,'IP.1.««ma n n Comm bran _ — Pump Mare b Moth ENanoi n pen oy SoN ,— 60 051/ QS jt / r J //V Ram«ka r U BENCH MARK /^� /� Loudon anxt Deaa�p,an K V" /� b�4n r /uaume0 roveuon /QQ FL ,E f ort ��r. /�11 Engineer's Stamp P� ,.......o...'`JS E� f Inspections performed by: R/w, Dates: Ile X47 Of OWN . 00 'n,io a~S� ' "• a; 2n' •may `-`r—S ... Development Services Department Approval slpYen W. Enatom 'gI�'� Reviewed and approved by: Date: "' 7� PE 6255 ��rt,;,•e :<; NVUDCR Cr DEDROOMS: 4 GALLONS PER DAY (CPD): 600 PERCOLATION RATES: 7.5-6.0 MIN/INCH PROPOSED APPLICATION RATE: 2.0 U:N:MUU DRA,4nM SOFT.: 300 DRAINFIELD DESIGN: UM11,11JU DEPTH: 1.5 FEET (REUOVC ALL CRCANICS) w:CTH: IS FEET UHCTH: 20 FEET 'A O k APPROVED SAND FILTER: 2 f FEET ErrECT.VL, C.50 REDUCTION FACTOR; N/A LL4. Ltd. NAa A / PI ,. YLLIOi ltl N LETTER TUT PERTAINS TO THIS DESIGN. TO MAIN A COPY CF THE LETTER CONTACT CEO. ITY PROCEEDING FORWARD WrTH THIS NSTALUTICH. THE ENGINEER, WELL DRILLER. CONTRACTOR AND PROPERTY OWNER AGREE THAT THEY PAVE READ THESE SPECIFICATIONS AND AGREE TO ACCEPT THE TERUS AND CONDITIONS 04M.N17D. PROPOSED WATER LINE STEVE ENC. P.E TEST HOU — NOTE: THE CONTRACTOR SHALL HAVE THE EAST LOT UNE FIACCED BY A RECISTERED LAND SURVEYOR PRIOR TO CONSTRUCTION. _ DEER PARK DRIVE /_59S ENG. / TE57 HOLE PROPOSED 4 DECROCU HOUSE TR:CKUNC FILTER UNIT CEG TH(f A . `-ALTERNATE SITE IV Stalot �iol (fluent Pump asm �--NSTALL FOUNDATION A�AX20 - Mode Ib 1500 Gallon Steel Tank V _ 40 THE TABLELANDS #2 1 BLOCK 9, LOT 8 LAYOUT Dow 11/28/05 2 of 3 OF �q(`M NORTHRIM PAGE 3 OF 3) 4 .:491 �•�..". 2 Tank C. \24 29 Advantex Riser L.S. Riser c[c TH/1 15• UTILITY EASEMENT MTl 48 73 MT2 60 67 MT3 1 4 MT4 T---4tv;t 8 1 PROPOSED 4 DECROCU HOUSE TR:CKUNC FILTER UNIT CEG TH(f A . `-ALTERNATE SITE IV Stalot �iol (fluent Pump asm �--NSTALL FOUNDATION A�AX20 - Mode Ib 1500 Gallon Steel Tank V _ 40 THE TABLELANDS #2 1 BLOCK 9, LOT 8 LAYOUT Dow 11/28/05 2 of 3 OF �q(`M NORTHRIM F.C.G. A 20 .:491 �•�..". 2 Tank C. \24 29 Advantex Riser L.S. Riser c[c TH/1 19 MTl 48 73 MT2 60 67 MT3 1 4 MT4 51 8 PROPOSED 4 DECROCU HOUSE TR:CKUNC FILTER UNIT CEG TH(f A . `-ALTERNATE SITE IV Stalot �iol (fluent Pump asm �--NSTALL FOUNDATION A�AX20 - Mode Ib 1500 Gallon Steel Tank V _ 40 THE TABLELANDS #2 1 BLOCK 9, LOT 8 LAYOUT Dow 11/28/05 2 of 3 OF �q(`M NORTHRIM F.C.G. A 20 .:491 �•�..". 2 Tank C. \24 29 Advantex Riser L.S. Riser c[c TH/1 19 MTl 48 73 MT2 60 67 MT3 1 7 MT4 51 PROPOSED 4 DECROCU HOUSE TR:CKUNC FILTER UNIT CEG TH(f A . `-ALTERNATE SITE IV Stalot �iol (fluent Pump asm �--NSTALL FOUNDATION A�AX20 - Mode Ib 1500 Gallon Steel Tank V _ 40 THE TABLELANDS #2 1 BLOCK 9, LOT 8 LAYOUT Dow 11/28/05 2 of 3 OF �q(`M NORTHRIM F.C.G. A 20 .:491 �•�..". 2 Tank C. \24 29 Advantex Riser L.S. Riser c[c TH/1 19 MTl 48 73 MT2 60 67 MT3 52 7 MT4 51 8 PROPOSED 4 DECROCU HOUSE TR:CKUNC FILTER UNIT CEG TH(f A . `-ALTERNATE SITE IV Stalot �iol (fluent Pump asm �--NSTALL FOUNDATION A�AX20 - Mode Ib 1500 Gallon Steel Tank V _ 40 THE TABLELANDS #2 1 BLOCK 9, LOT 8 LAYOUT Dow 11/28/05 2 of 3 OF �q(`M NORTHRIM syP..•' �s ` ENGINEERING .:491 �•�..". 77237 Bear Pow Circle Eagle R/wr, Alaska 99377 '.m.T•aGa•••"H aur 907.694.7028 PROPOSED 4 DECROCU HOUSE TR:CKUNC FILTER UNIT CEG TH(f A . `-ALTERNATE SITE IV Stalot �iol (fluent Pump asm �--NSTALL FOUNDATION A�AX20 - Mode Ib 1500 Gallon Steel Tank V _ 40 THE TABLELANDS #2 1 BLOCK 9, LOT 8 LAYOUT Dow 11/28/05 2 of 3 W Iri . 1 Dac• 2• ?OR *55Ari udrnuss [nthiest::6�:ir;i. Ltd. Y�.I,tJ�'I�• i tet, December 2, 2405 Gamess Engineering Group 3701 E. Tudor Road, Ste. #101 hncw'acc, ASK W507 Re: Ta*lands #2 Lot 9 Block 9 wear KeRy. Using Ger. i.m7cic. Inc. IGou-S Wvv.il erd rinve eagle P—mer..,'! ,i,7_ 7 ':'ie gVt at t`7 : ab�v: r'erz +ea ? p':, /' �: b en r.?^d Ina::mn nc*= wl+h NEC' errti Stat,/Loco* codes. SfnrnrPly, r Keen S filar r.l ucklc, Cr mcr Ucemse Number 12.4 ramIty Contractor-icanse Nuniter D2E Permit Number: SWO50067 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 PERMIT Initial Date Issued: Apr 06, 2005 Expiration Date: Apr 06, 2006 Parcel ID: 051-741-59 Legal Description: FHE TABLELANDS SUBDIVISION TRACT H' Design Engineer: 0855 Gamess Engineering Group, LTD Site Address: NHN OBERG ROAD Owner Name: THE THOMAS COMPANY Lot Size: 132741 SO. FT. Owner Address: NHN OBERG ROAD Total Bedrooms: 4 Permit Bedrooms: 4 PETERS CREEK. A 99567 - This permit is for the construction of: Disposal Field 0 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. 5. The following special provisions. a.) This wastewater disposal system permit Is for The Tablelands Subdivision Addition No. 2, Block 9, Lot 8 (Recorded final plat 2005-13). Received Issued By: Date: �eS Date: Municipality of Anchorage Development Services Department Building Safety Division On -Site Water 8 Wastewater Program 4700 South Bragaw St. � / P.O. Box 196650 Anchorage, AK 99519.6650d `Y www..anchorage.ek.us (907)343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. hs I -g+l- 5 7 Permit Number Property owners) THE THOMAS COMPANY Day phone 441-2664 Mailing address (1) HCO5 BOX 6929 ' PALMER, AK Mailing address (2) Zip Code 99645 Legal description (Lot, Block & Sub'd.) LOT 8. BLOCK 9: THE TABLELANDS S/D #2 Legal description (Section, Township & Range) . N/A Tk(C Th E GlA rJ OS "Tlz (>(r N Lot Size A s/Sq.Ft. Number of Bedrooms 4 THIS APPLICATION IS FOR: Sewer Only 0 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. GARNESS ENGINEERING GROUP, Ltd. oe Permit Fees: 41�� f Waiver Date of Payment: g -15-0r7 Receipt Number: Date of Payment: Receipt Number: GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS 8 GENERAL CONTRACTORS Sqv April, 2005 Municipality of Anchorage Development Service Department On -Site Water & Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, Ak 99519-6650 (907)343-7904 Ref: Proposed Septic System for The Tablelands Subdivision #2; Lot 8, Block 9, To whom it may concern: The proposed 4 bedroom house will be served by a public water system and private septic system. Several test holes were excavated on the property. Due to the high groundwater, the lot configuration, and the poor soils conditions in the area, we are proposing that a MOA approved recirculating trickleing filter system be installed. We are proposing that a 1500 gallon S.T.E.P. tank, a municipal approved recirculating trickling filter unit, and a bed type drainfield be installed. We are proposing that the drainfield be installed within the 30 foot radius of our test hole #2. Comments regarding the design are summarized as follows: 1. SOILS: See the attached logs which shows the soil classifications, groundwater monitoring, and the percolation test results. 2. DRAINFIELD DESIGN: See attached design drawing for drainfield specifications. 3. SURFACE WATERS: There are no surface waters within 100 feet of the proposed septic system. 4. TOPOGRAPIIY: The area around the proposed drainfield is relatively flat. In short, there are no slope concerns We are unaw a of any adverse impacts this installation would have on adjacent wells or septic systems. TfyAu have a questions, please contact us at 337-6179. Thank you for your assistance. '.E., M.S. is a site plan drawing, a design drawing, a detail drawing, and three soil logs, which are all part !urge for this septic system. (Contact G.E.G. Ltd. for 7 page construction specification letter.) 3701 E. Tudor Road, Suite 101 • Anchorage, AK 99507 Ph: (907) 337-6179 • Fax: (907) 338-3246 • Website: garnessengineering.com THE 17LOT , BLOCK 8; " TABLELANDS S/D #1 � 1 t \ LOT 11, BLOCK 7; / LOT 1E. BLOCK 8; \ \ THE TABLELANDS S/D 12 / THE TABLELANDS S/O PROPOSED SEPTIC SYSTEM (SEE DESIGN PAGE 2 OF 3) S&S ENC. TEST HOLE CEG TH/2 I i• -- ----- ..�, \ d`"y' {�•`; `` �`\ �`\ LELANDS S/D /1 LOT 4. BLOCK 9: + THE TAB_ ; I _ / ALTERNATE SITE :�•. J _� M^ I �� / / / I ltjw " .11f •y,�� � // / / /rte \ +rw / LOT 10, BLOCK 9;/ Ls THE TABLELANDS S/D /1 STEVE ENG P.E. TEST HOLE LOT 9. BLOCK 9: CEG TH/1 THE TABLELANDS S/D /1 / / / / LOT 19, BLOCK 4; THE TABLELANDS S/C LOT S. BLOCK 9; // / (� � / THE TABLELANDS S/D /1 4PROPOSED BEDROOM HOUSE 0. BLOCK / LOT 3. /THE TABLELANDS SD THE TABLELANDS I S/D N / N t' . too' NOTE: ALL PROPERTIES / / LOT 21, BLOCK 4; SHOWN ARE SERVED BY / / THE TABLELANDS S/D PUBLIC WATER ON—SITE SEPTIC SYSTEMS. / GARNESS ENGINEERING GROUP, Ltd. p *OQ CONSULTANTS d GENERAL CONTRACTORS •.... .. .. ..........D lfil L n.°ae .o•°, vmc ,°l • AW WOPA c M r.. (YO)IS W" PREPARED FOR: PHONE NUMBER: PAGE NUMBER: ••• ......... •••.....D THE THOMAS COMPANY (907) 746-0682 1 OF 3 .. Q p tr Gar ss.: D LEGAL DESCRIPTION: DRAWN BY: OVO • • CE- FO� LOTS 8, BLOCK 9; THE TABLEANDS S/D, ADDN #2 C.J.G./J.L.M. TYPE OF WORK: DATE SITE PLAN FOR PROPOSED SEPTIC SYSTEMS 4/1/2005 �04ppoo�� tKev.ul=) NUMBER OF BEDROOMS: 4 GALLONS PER DAY (CPD): 600 PERCOLATION RATES: 7.5-9.0 MINANCH PROPOSED APPLICATION RATE: 2.0 MINIMUM DRAINFIELD SO.FT.: 300 MAXIMUM DEPTH: 1.5 FEET (REMOVE ALL ORGANICS) WIDTH: 15 FEET LENGTH: 20 FEET M.OA APPROVED SAND FILTER: 2+ FEET EFFECTIVE: 0.50 REDUCTION FACTOR: N/A TO OBTAN A COPY OF THE LETTER CONTACT CEG. BY PROCEEDING FORWARD WITH THIS INSTALLATION. THE ENGINEER, WELL DRILLER, CONTRACTOR AND PROPERTY OWNER AGREE THAT THEY HAVE READ THESE SPECIFICATIONS AND AGREE TO ACCEPT THE TERMS AND PROPOSED WATER LINE STEVE ENC. RE TEST HOLE - NOTE: THE CONTRACTOR SHALL HAVE THE EAST LOT LINE FLAGGED BY A REGISTERED LAND SURVEYOR PRIOR TO CONSTRUCTION. GEG _ DEER PARK DRIVE _ — - _ — _ — _ — _ — Shy ENC. TEST HOLE PROPOSED DRAINFIELD (SEE DETAIL DRAWING, PROPOSED 4 BEDROOM HOUSE 15' UTILITY EASEMENT ------------- MUNICIPAL APPROVED RECIRCULATING TRICKLING FILTER UNIT CEG THI/ of ALTERNATE SITE 1311 PROPOSED 1300 GALLON S.T.E.P. TANK GARNESS I✓NGINEER �NG�GROUP, Ltd. p°�¢'?• . 9 CONSULTANTS & GENERAL........... Mi L TDM 00-0. YAC 101 • ANODWU - M 0Y . /1D1[ (WrM) IT • ANI (Y01)1T ".SIL• w� ysn PREPARED FOR: PHONE NUMBER: PACE NUMBER: .• ..... •••••.•.... THE THOMAS COMPANY (907) 441-2664 2 OF 3A. G mess.: LEGAL DESCRIPTION: DRAWN BY: oOp°P• CE- i� TYPE THE TABLELANDS S/D #2; LOT 8, BLOCK 9, C.J.G./J.L.M. p �s, 'pt �so-o 0000a Or OATS: QO DESIGN FOR PROPSOSED SEPTIC SYSTEM 4/1/2005 'OO000�� In W. u,m) FROM M.OA APPROVED RECIRCULATING TRICKLE FILTER SYSTEM r— — — — — — — — — — — — — — — — — — — I OMT MTO I I 1 I OMT ►ro L- - - - - - - - - - - - - - - - - - - J 2' 14' 1 2. 20 FEET NOTE: FINAL GRADING TO INCLUDE 6 INCHES OF TOPSOIL AND SEEDING (PERFERABLLY H(DROSEEDING). 15 i 15' WIDE I / .��o GARNESS ENGINEERING GROUP, Ltd. r's: 4 6. CONSULTANTS OENERR.... • •• •• ......•• ••••..... =I C TAM ►]M. UM 101 • MIOAMWL MI N 7 • FA,[ (,O)IOJ)-017♦ . fM[ (907) " PREPARED FOR: PHONE NUMBER: PAGE NUMBER: •• •• . .................... THE THOMAS COMPANY (907) 441-2664 3 OF 3 �Q T ey A. Gayness: LEGAL DESCRIPTION: DRAWN BY: CEjj--7 53 :G THE TABLELANDS S/D 02; LOT 8, BLOCK 9, C.J.G./J.L.M. 4n .'�1.5�0�'.6°°d/ TYPE OF WORK: DETAIL OF PROPOSED �� 00006 pp0�o GARNESS E--N--,G- GROUP, Ltd. ��. V2 CONSULTANTS 6 GENERAL CONTRACTORS Yr 4 O G >°i L noon ww, wire sol . AIDOVDL M. -u« , ....... . .. ... .............. SOIL LOG - PERCOLATION TEST D LEGAL DESCRIPTION: TABLELANDS SUBDMSION 2; LOT 8, BLOCK 9, p ff A. orness PERFORMED FOR: THE THOMAS COMPANY DATE: 3 17 2005 '� 79 3 4p EPTH °. l�•� yr OE�°o ( eet) ___- ORGANICS �dpror°°s}°^d 1 TEST HOLE 1 �r0000�f ML w/CM SOIL QLAS IFI ATION -� GW =__= ORG it GP ML S&S ENC' GM CL TEST HOLE ----------------- a GC OL N °• •°° o SW MH g '•°• SP CH T A2 SM OH 8 SC STEVE ENG. P.E. GM/SM/ML TEST HOLE 7 GROUNDWATER DATE 8 DRY 3/17/2005 9 2.0' 3/25/2005 +TMII SCALE: 10 1w. t t DATE READING CLOCK NET TIME WATER LEVEL NET DROP TIME (MINUTES) READING (INCHES) 12- 13- 14- 15— 2 13 1a 15 Q�ko t0 16- 17- 18 8 17 18 19 PERCOLATION RATE - (MIN./INCH) PERC. HOLE DIA. - (INCHES) TEST RUN BETWEEN - FT. AND - FT. 20 A FOUR HOUR PRESOAK WAS PERFORMED: ❑ YES NO SOILS LOGGED BY: JODY MAUS PERCOLATION TEST PERFORMED BY: - COMMENTS: PERFORMED BY GEG. Ltd. I, JEFFREY A. GARNESS. CERTIFY THAT THIS WAS PEP,FORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: GROUNDWATER DATE DRY 3/17/2005 5.5' 3/22/2005 4.0' 3/25/2005 GARNESS ENGINEERING GROUP Ltd. 6• 0 CONSULTANTS 6 GENERAL CONTRACTORS {' _ ' 70, roi nwop pow. swrz �o, . ........ . ...................D 4" SOIL LOG — PERCOLATION TEST ••. Q 0 LEGAL DESCRIPTION: TABLELANDS SUBDIVISION 2; LOT 8. BLOCK 9, A. C rness. PERFORMED FOR: THE THOMAS COMPANY DATE: 3 17 2005 a r C 795 30 2" 4" DEPTH (feel)_»a RGANICS TEST HOLE 2 ��o oos, r,6 1 – 6• _ SOIL CLAS IFICAT] ON -� 3:47 30 2• q• GW ORG 3 GP ML S&S ENC`'GM ---'---- CL TEST HOLE ---a GC OL SW MH Isc 5 SP CH TH®2 SM . OH 6 GM/SM STEVE ENC. V.E. I to TEST HOLE 7 SM/ML DEPTH TO N1 8 N 9 SCALE: to- 0 11 11 DATE READING CLOCK NET TIME WATER LEVEL NET DROP 12—M B.O.fI. 13 3 2:47 – 14 15 16 17 18 19 PERCOLATION RATE 7.5 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES) TEST RUN BETWEEN 2.0 FT. AND 2.5 FT. 20 A FOUR HOUR PRESOAK WAS PERFORMED: 0 YES ❑ NO SOILS LOGGED BY: JODY MAUS PERCOLATION TEST PERFORMED BY: CALEB CALL COMMENTS: PERFORMED BY GEG, Ltd. I, JEFFREY A GARNESS, CERTIFY THAT THIS WAS PRF RMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: GROUNDWATER DATE DRY 3/17/2005 5.5' 3/22/2005 4.0' 3/25/2005 a.o' a/1/loos TIME (MINUTES) READING (INCHES) 3/18/2005 1 2:17 – 6• _ 2 2:47 30 2' 4" 6• _ 4 3:17 30 2" 4" 5 3:17 – 6• _ 6 3:47 30 2• q• SOILS LOG - PERCOLATION TEST T -,INEERWG Date Performed: 9/17/04 Performed For= Rex Turner/ Rick Besse Legal Descriptions Lot 8 DEPTH (FEET) Organic andy Gravel /Low Silt L o -r 8 , B uL q 'J' 9LEL"eS rkZ Slope < 5% Groundwater? No Depth -- Water Depth After Monitnrinn At N Date GrossTime 2 - •o `d 3 - •.d :. 4 __ 5 O 6 - 10 7 8.5' 6- 3 9/19 9 - 0• 10 - 4 9/19 ti 13 - 8.25• 14 - 5 9/19 15 - -- 16 - 17 - 90 18 - 8.25• 19 - 20 - 21 - Organic andy Gravel /Low Silt L o -r 8 , B uL q 'J' 9LEL"eS rkZ Slope < 5% Groundwater? No Depth -- Water Depth After Monitnrinn At N Date GrossTime Net -Tine De th Net Drop 1 9/19 0 __ 7.25• 2 9/19 10 10 nln. 8.5' 1.25' 3 9/19 40 - 7' 4 9/19 50 10 min. 8.25• 1.25' 5 9/19 80 -- 7' 6 9/19 90 10 n(n. 8.25• 1.25' Percolation Rate D Mln-/Inch Perc Hole Diameter Test Run Between 4• end 5, Performed By NorthRir, Eng, I Performed in Accordance with ON THIS DATE. DATEr 9/23/04 NORTHRIM ENGINEERING 17237 V~ Paw arclo toy. Rrw, Moro "377 907-694-7028 Sz CERTIFY THAT THIS TEST WAS unicipal Guidelines In Effect TESTHOLE LOG GEOTECHNICAL T. H. 4 4 Moans Eng Municipality of Anchorage -. Development Services Department Building Safety Division On -Site Water and Wastewater Program , r 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 Parcell.D. 051-`aUI-iP5 COSA# Expiration Date: 1. GENERAL INFORMATION Complete legal description Th!g %ifBCEC.At/d S 4'Z BGDC-/< T E Location (site address) 2 2 S83 DEER Pfre/c ilelVF- Current Property owner(s8)AA - fl1f YZr hn 1 Day phone Mailing address Lending agency Day phone Mailing address Real Estate Agent Mailing Address .4/Isoly, LA,Rlf Dayphone 7G2- 7sy'z Unless otherwise requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: Individual Well Individual Water Storage Community Class Well Public Water System TYPE OF WASTEWATER DISPOSAL: ❑ Individual On-site P ❑ 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 Onsite 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 Onsite 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 Address Engineer's Printed Name .57_46V� G S. DSD SIGNATURE ✓ Approved for bedrooms. Disapproved. Phone 4<!� 7Q.2 cP Date 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 G Original Certificate Date: S—/5-67 (Rev. 11105) Municipality of Anchorage ' Development Services Department Building Safety Division OnSke water & wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-66W www.muni.org/onske (907)343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description: rzYe 7,?f& Et 4A(4! '2, B1-OQ/c yt L dT -P Parcel ID: A WELL DATA Iq1gLX: C0,41reA Well type _ tf.A, B, or C provide PWSID # Date completed _ / Sanitary seal (YM) Total depth ft. Cased to ft. FROM WELL LOG Date of test Static water el ft. Well ction g.p.m. WATE SAMPLE RESULTS: Col cdoniesl100 mL Nitrate nic: mgll Date sample B. SEPTIC/HOLDING TANK DATA Tank TypelMaterial %r<b��� %f�L Weilkog (YM) Wires y proteGed (YM) Cas g height (above ground) . INSPECTION ft. mg/L Other bacteria 1— colonies/100 mL Date Installed 7/� -7/05- Tank / 05 Tank size gal. Number of Compartments Z Cleanouls (Y/N) Foundation cieanout(Y/N) Depression over tank (YM) N High water alarm (Y/N) Date of pumping .G 17&2 Pumper /�ff6�1>r� cSF1Lt//(�S C. ABSORPTION FIELD DATA Date installed-� 7 03wrating (g.p.d./ftz or ft=Podrm) Z System type M0 (x'V Q Length 3a ft. Width /S ft. Gravel below pipe 0. S ft. Total depth ft. Eff. absorption area 4s ftp Monitoring tube T Depression over field N Date of adequacy test /-617 Results (Pass/Faii) P'TJ For 2v— bedrooms Fluid depth in absorption field before test _Q in. Water added gal. -O' New depth—0 in. Elapsed Time: 6 o min. Final fluid depth 0 in. Absorption rate >= 16�6 (3 g.p.d. 1- Any rejuvenation treatment (past 12 mo.) (Y/N & type) If yes, give date D. LIFT STATION Q / _S C H`A e C OASId Date installed a %/0s Size in gallons _ VOCS 'Pump on' level at ? 3 in. Datum _ 80M^ E. SEPARATION DISTANCES 'Pump off level at _3 in. Cycles tested 2 Manhole/Access (YM) V High water alarm level at -PSS in. Meets alarm & circuit requirements? SEPARATION DISTANCES FROM WELL ON LOT TO: PvBLic r '47;,EK Septic tankRlft station on lot Absorption field on lot Public sewer main Sewer /septic service Animal containmeaf areas On adjacent lots On adjacent lots Public sewer Holding tank excrete storage areas SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation /D t Property line /D , Absorption field /©.1 Water main /O'r Water service line /o �t Surface water /AD Wells on adjacent lots 00'x' SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 16' Building foundation O ,"' Water main Water Service line /O ,& Surface water _/GO r + Driveway, parkirgNehicle storage S r* Curtain drain F. COMMENTS G. ENGINEER'S CERTIFICATION Wells on adjacent lots 200 '+ I certify that I 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 S EVF FiV G' Date % COSA Fee $ yv Date of Payment TrIl! f0 % Receipt Number S y % 6 (Rev. 11/05) Waiver Fee $ Date of Payment Receipt Number So~ W: Eng PE 6756 ; V�j OROFES;:O �f AdvanTex° Treatment Systems Date: � %LU✓ D % \' 'ON"'- SI:FZ'V'ICI:S. IN( - 7501 E. 140th Avenue. Anchorage. Alaska 99515 Authorized Service Provider We stopped by to perform routine maintenance on your AdvanTex Treatment System. Everything Looks Good! /❑ Everything Looks Good Except: (Please refer to notes on the back of this card.) ❑ We Have Questions / Comments. Please Call at 345 -1890. Monitoring M . and Maintenance Program Ensunng a long life for your onsite wastewater treatment system Verlcomm• p(yVerff@x, Cb71 �58��d eer ADVANCED WASTENVATER TREATMENT SYSTEM MAINTENANCE AND REPAIR AGREEMENT NIEN1ORANDU1%i OF UNDEILSTANDING BETWEEN NIMICIPALITY OF ANCHORAGE AND THIS MEMORANDUM OF UNDERSTANDING made and entered into as of this _ Day of Gla of 200%, by and between P 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: L ADVANCED NVASTEWATER TREATMENT SN'STENIS. Municipality grants permission to Owner to utilize and operate an Advanced Wastewater Treatment System (AWWTS), described as �t *51/0 '-L,-' 2 located 7/ /� at W ��� tJ�i , Anchorage, Alaska. 2. Definitions. A. Alteration. Any change to the design or function of an AWWiS that Includes the installation or removal of any parts, components or pieces not included in the original construction permit and design. Prior to perforating any alterations to an AW WTS the owner must obtain a Wastewater Disposal System Construction Permit from the Municipality pursuant to Anchorage Municipal Code (hereinafter, "AMC") 15.65. B. 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 ANIC 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 (5.00), 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 lire 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 F,nuipment. 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. Tltroughout 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 AW%TS. 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 Permit. "Ibis schedule shall be submitted to the Municipality annually upon the renewal of the permit. The schedule of maintenance /and jrepair contained in the Owner's A W WTS Operating Permit is: Swo- �? D l C. Owner acknowledges that die fine schedule for failing to maintain and repair an AWWTS are codified in AMC 14.60. D. Owner agrees that only maintenance, repair personnel 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 A W WTS 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. C. Owner agrees that the relevant provisions of the standard specification guidebook for AW % rS 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. 71iis 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. E. 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: Purchasing 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. Severability. 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. ON%'NF,R: By: Date: _F—Icl- 0- STATE OF ALASKA THIRD JUDICIAL DISTRICT MUNICiPAL1TY: By: Title: Date: The foregoin instrument was acknowledged before me this day of R m5 20�,by_ ,n,�'erPi�Fnrel apt �01;i t`�X4 rer10 OFFICIAL SEAL NOTARY PUBLIC FOR ALASKA STATE OF ALASKA My Commission expires: 314(r /to NOTARY PUBLIC C. S. PALMATEER « My C M. expire,,: March 26,22010 rk Roodn J W h t4 ti a -\ 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 - 7Ul - l o,5 COSA #_ _ 1-rar'. 7 1a 1.DMi n_ 1. GENERAL INFORMATION Expiration Date: Complete legal description TMr— 7-;443415 M J` *_-/�Loc,(G 9 40r -- Location (site address) Z 25'3 17t��.� �A{2/< li2tJE Current Property owner(s)14f 77f4^4J /dk r_AJ Dayphone y[/l-zeie r Mailing address /-fes Of Sox 02-9 PA4?rE2 f % pec/S Lending agency Mailing address Real Estate Agent Mailing Address Urdess otherwise requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: Individual Well Individual Water Storage Community Class Well Public Water System Day phone Day phone 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 Onsite 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 Onsite 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 Onsite 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 Address Engineers Printed Namp T�tij:� Fill G Phone�%� 7dZds Date/Z 2 2 o S OF 4( 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:-J#(x (R".11105) e449TH, Y'1 ay.n W. E • •.4%'r S. DSD SIGNATURE ' '• . � Approved for bedrooms. t� �,��,�...• •�, ,•r.'y� —•Y/ 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:-J#(x (R".11105) Municipality of Anchorage ' Development Services Department Building Safety Division On -Site Water & Wastewater Program " 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us j (907) 343-7904 HEALTH AUTHORITY APPROVAL CHECKLIST I Legal Description:? T.48Lf1,�lNQ f �� �Q(-k 9parcel ID: OE�I -7Nl -lo'i A. WELLDATA PJ16LIc "4r<_.c. Well type _ If A, B, or C provide WSID # _ Well Log (Y/N) Date completed _ /WELOG (YIN) _ Wires properly protected (Y ) i. Total depth ft. ft. Casing height (above g und) in. FROAT INSPECTIONDate of test Static water level ft. Well production g.p.m. g.p.m. WATER SAMPLE R ULTS: Coliform colonies/100 ml. Nitrate mg.A.Other bacteria colonies/100 ml. Arsenic: mg./I. Date of sample: Collected by: B. SEPTIC/HOLDING TANK DATA Tank Type/Material A l� dT Date installed %1.2 240s Tank size /04 gal. Number of Compartments z Cleanouts (YIN) Foundation cleanout (YIN) 4— Depression over tank (YIN) High water alarm (YIN) Date of pumping IVE" Pumper C. ABSORPTION FIELD DATA Date installed - Z42 Soil rating (g.p.d.e or ft2/bdrm) Systemd d//,Q tYPe Length _� ft. Width S ft. Gravel below pipe Q, S ft. Total depth- ft. Eft. absorption area ftZ Monitoring tube --Y Depression over field A It - Date of adequacy testeli Results (Pass/Fail) — Forbedrooms Fluid depth in absorption field before test _ in. Water added_ gal. New depth_ in. Elapsed Time: _ min. Final fluid depth _ in. Any rejuvenation treatment (past 12 mo.) (YIN & type) Absorption rate >= g.p.d, If yes, give date D. LIFT STATION L D(",OCE 6*14 Date installed Qs Size in gallons A0S00 Manhole/Access (Y/N) "Pump on' level �at 2 in. "Pump off level at,A0 in. High water alarm level at SS' in. Datum �gd w g0rreCycles tested 77—_ Meets alarm &circuit requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: "UG WATT Septic tank/lift station on Absorption field on Public sewer Sewer /septjeservice line On On adia6ent lots sewer manholelcleanout Holding tank SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: i Building foundation Property line �� Absorption field r Water main G r �" Water service line /O t Surface water r Wells on adjacent lots ZOG f SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: I i Property line /_(L_ Building foundation F Water main a r Water Service line /Q r Surface water /QQ If Driveway, parking/vehicle storage _ /F Curtain drain Wells on adjacent lots 2015 F. COMMENTS -:�4. '•+�"'� i��'8' G. ENGINEER'S CERTIFICATION 1 certify that 1 have determined through field inspections and ,: ; o.�, -._' ; :. ; ;; ,) review of Municipal records that the above systems are in conformance with MOA HAA guidelines effecton1this ... �- • ;? �• cam' ' ^� /inn +date. Engineer's Name '��/Yfi� F iD tit'.•<`. 4. Sie:c�N _.+' E, �, •, re c:�c �Pn�o�ted Date " .,; .' •.. e HAA Fee $ � Weivur Fee $ tj�•eb Date of Payment a/.lig Date of Payment!a% Receipt Number Receipt Number iq ,,:7 1 AM (Rev. 12/01) ("k �EeR PARK DRIVE M ` Li�.•92 R � JJo. oo' b� Go ro ku m n i� 0 b 0 W Seit-� n v? 15' TELECOM do ELECTRIC EASEMENT 0 • : SEPTIC CLEANOUTS 15.5' .`• := o o UFT STATION 2, 21.3 o' 19.0 MANHOLES LOT 9 N V e.o'TM'o 57tMY 44.3' `6.0' X 19.0' it2 COVERED PORCH 1.5'X4.4'CANT 10.0' X 4.2' BALCONY • 13.7' X 10.1' DECK LOT 8 51,665 s.t S 25' VECETATNE BUFFER EASEMENT � / / / / 8 o�y / S OS S0 / ie'a / .�~ / ,^ / COQ. �C� 5' TELECOM do LECTRIC EASEMENT PLOT PLAN _ AS BUILT X SCALE 1' - 50' GRID NW 1559 Project No. 05-042 Lang & `Associates, Inc. 11500 Daryl Avenue, Anchorage, Alaska 99515-3049 907 522-6476 Phone Registered Land Surveyors 907; 522-4625 Fax www.langeurvoyors.com / InfoOlangsurveyors.com -,*'-OF �1�4 1 hereby certify that 1 have surveyed the following described property: '``•............. Lot 8, Block 9, THE TABLELANDS SUBD., ADDN /2 (PLAT 2005-013) Anchorage Recording District, Alaska, and that the Improvements situated thereon are within the property lines and do not encroach onto the property adjacent thereto, that a 491U ,,,•,Is no Improvements on the property lying adjacent thereto encroach on the surveyed promises and that then are no roadways, transmission line• or other visible easements on said property except as Indicated hereon.Q.t:�rn. ° M KENNETH LAN Q• Dated this the U%u Day of rL , 1=5 at Anchorage. Alaska °°o-..p.L;lw2os .: o N 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. Q�4po�