HomeMy WebLinkAboutTHE TABLELANDS BLK 7 LT 4The Tablelands Block 7 Lot 4 #051-801-36 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 (907) 343-7904 Page 1 of 3 On -Site Wastewater Disposal System and/or Well Inspection Report Permit Number: SW050154 PID Number: 051-801-36 Name: JOHN THOMSOM Wastewater System: ■ New ElUpgrade Address: ABSORPTION FIELD 17343 SANTA MARIA DRIVE * EAGLE RIVER, AK 99577 Phone: No. of Bedrooms: (907) 240-2020 4 ❑Deep Trench ❑Shallow Trench ❑Bed ❑Mound ■Other LEGAL DESCRIPTION Soil Rating: 2 O GPD/Sq. SEETotal Depth from original grade: Ft. Block: Lot: Subdivision: Depth to pipe bottom from original grade: Gravel depth beneath pipe: 7 4 TABLELAND S/D SEE DWG. Ft. 0.5+ Ft Township: Range: Section: — — — Fill added above original grade: Grovel length: 30 SEE DWG. Ft. Grovel width: Number of linea: Distance between linea: WELL: ■ New ElUpgrade 10 Ft. 1 — Ft. Classification (Private, A9,C): Total Depth: Cased To:(BmRaCK) Total absorption area: Pipe material: D 3034/ F-810 Q Ft. Ft. 300 SQ. Ft. Installer. GREEN GENERAL Date installed: 11/9/2005 Driller. '\ ' to Drilled: Static Water Level: �P TANK Yield: �� \ Casing Height Above Ground: V GPM Ft Ft. SEPARATION DISTANCES ❑ Septic ❑ Holding ❑ S.T.E.P. ■ Other* To Septic Absorption Lift Holding Public/Private Manufacturer. GREER / ZABEL TECH Capacity in gallons: 1500 From Tank Field Station Tank Sewer unee Material: STEEL Number of compartments: Well — — — — — 2 Surface Water 100'+ 100'+ 100'+ — — LIFT STATION Lot Line 5'+ 10'+ 5'+ — — Size In gallons: 1500 Manufacturer. GREER ZABEL TECH 'Pump on' level at- ump off level at, High water alarm at: Foundation 5'+ 10'+ 5'+ — — TIMER TIMER 1 45" Pump Make do Model: Bectrical Inspections performed by. Curtain Drain NONE KNOWN P—TE-30 PLUS RISING SON Remarks: *THIS IS A ZABEL AEROCELL (SCAT) SYSTEM BENCH MARK Location and Description: BENCH MARK 1: TOP OF MANHOLE BENCH MARK 2: BOTTOM OF SIDING NEAR POINT B Assumed Eevation: BM1:97.01 Ft. BM2: 102.3 Ft. ENGINEER'SSL 0600 I �4 �ec GEG, Ltd.Inspections performed by: Dates: 1st "x8/2005 I .� 2nd 7/9/2005 3rd 11/9/2005 Qom_/ . . ......................� QO J�I rE A. G rness. Development Services_D partment Approval 4�9: f f� ci 53 0oQ 4 �c Z/ Reviewed and approved by _ zz —�Date:T 3 - 1 44ere � Op° r0fesSiOV4 (Rev. 12/01) 1�QDDOpO� PERMIT NUMBER: SW050154 A ST1 29.31 0.56 ST2 35.42 16.58 MH1 38.85 16.20 MH2 47.01 35.58 uH3 48.76 3a.03 COl 43.11 32.27 MTl 43.96 33.00 CO2 45.74 32.68 MT2 50.19 35.89 CO3 67.68 52.57 MT3 64.35 59.48 C04 70.32 62.87 MT4 68.76 60.28 SP 50.41 39.98 AS -BUILT DRAWING G1, / APPROXIMATE LOCATION / J / OF WATER SERVICE / UNE -\// MEL AEROCELL / PROPOSED 1500 GALLON / / S.T.E.P. TANK co / / =n //. Z, F r• - F � , PARCEL ID NUMBER: 051-801-36 r Box THOS DRNNFIELD L-4• INSULATION. 4' WIDE OVER UNE. FROM TANK TO AEROCELL UNIT LOT S. BLOCK 7: TABLELANDS S/D 1VACANT) SITE GARNESS ENGINEERING GROUP, Ltd. p; 4 CONSULTANTS& GENERAL CONTRACTORS Q'••"'""" M L wca0 low cart 101 • /eomlur. M 0 -0 0011aa-01n • M PREPARED FOR PHONE NUMBER: PAGE NUMBER: .• ••• ••••• •••••••:••. JOHN THOMSON 240-2020 2 OF 3 DO P ' ey amess: LEGAL DESCRIPTION: DRAWN BY:CE-795 .`� TABLELAND S/D; LOT 41 BLOCK 7. B.F.M. TYPE OF WORK: DATE' �04poofesslo� AS—BUILT FOR NEW SEPTIC SYSTEM 12/15/2005 (R".01m) PERMrTNUMBER: PARCEL ID NUMBER: SW0 AS -BUILT DRAWING I SW050154 051-801-36 TOP OF FILTER - TOP OF TANK AT INLET - 91.76 INVERT OF BUNG AT INLET - 91.16 1.51 'MAX. D 4' FROM VAL GRADE FINAL GRADE - 99.69 -101.15 - FINAL GRADE - 98.06 TOP OF MANHOLE - 97.01 ST1 SM MH TOP OF TANK / AT OUTLET - 91.76 N 1500 GALLO S.T.E.P. TANK 2' TOPSOIL AND SEEDING TO BE I FILTER DONE IN SPRING OF 2006 , R OF DISTRIBUTION UNE - 97.13 OF SYSTEM - 94.36 L-L--�—RELATIVE ELEVATION OF BOTTOM OF TEST HOLE 81.56 GARNESS ENGINEERING GROUP, Ltd. * CONSULTANTS E GENERAL CONTRACTORS �""' =I L 11Aa ICN• Ort tot • YogNL M ••ert) • woK W1NJ 1" • W (90*) " • p w.^•�w/�r•I PREPARED FOR PHONE NUMBER: PAGE NUMBER: JOHN THOMSON 907-240-2020 3 OF 3 QOQ om' LEGAL DESCRIPOON: DRAWN BY: TABLELAND S/D; LOT 4, BLOCK 7, B.F.M. 0 TYPE OF WORK: AS -BUILT FOR PROFILE DRAWING 12/15/2005 t". 01105) ORIGINAL GRADE - 96.06 .••••• mess:: 79 �16fl5«4�c •a Dec 15 05 11:40a p.1 • ■ • Dec 15 2005 11s3GRM HP LASERJET FAX 622-6777 `` , Rising Son 6.lecEric. Inc. l; Oo. 6 Voodland Drive �� •� �/ 9agLe River, AV, 99577 (907)622-6777 ro December 15, 2005 C &T Construction John Thomson 17343 Santa Maria Eagle River, AK 99577 FAX #696-5072 Re: Lot 4 Block 7 Tableland Subdivision Dear]ohn: The lift station at the above referenced property has been wired In accordance with NEC and State/Local codes. Thank you. Sincerely, P,a , p- Kevin 5. Hornbuckie, Owner Administrator License Number 1284 Specialty Contractor License Number 27285 MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water d Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Initial l610f) 3pM 5 pm Date Issued: Jun 02, 2005 Expiration Date: Jun 02, 2006 Permit Number: SWO50154 Parcel ID: 051-801-36 Legal Description: THE TABLELANDS SUBDIVISION BLOCK 7 LOT 4 Design Engineer: 0855 Gamess Engineering Group, LTD Site Address: NHN WHISPERING BIRCH DRIVE Owner Name: JOHN THOMSON Lot Size: 40920 SQ. FT. Owner Address: NHN FALLOW CIRCLE Total Bedrooms: Permit Bedrooms: Ty CHUGIAK , AK 99567 - 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. 5. The following special provisions. a.) The upper six inches of the mound absorption field shall consist of topsoil and be vegetated sufficiently to prevent erosion. -7/4 20 �4*%noA A"%A�Swc�.. '.17,doo5 o.Wc o.A. _%n 1/q,-tD5 16<50I bc.a S,o V11 -SPO\ Received By. Issued By. Date: 6131US' 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 (907)343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. (— ?01 _moo Permit Number Property owner(s) JOHN THOMSON _ Day phone 240-2020 Mailing address (1) 17343 SANTA MARIA DRIVE • EAGLE RIVER, AK. Mailingaddr86s (2) N R* J Fh t I0 Cl r -C c "-6— Zip Code 99577 Legal description (Lot, Block & Sub'd.) LOT 4, BLOCK 7; TABLELANDS SUBDIVISION Legal description (Section, Township & Range) N/A Lot Size yo.qgD Acres 11 Number of Bedrooms 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 ❑ certify that the above information is correct. I further certify that this application is being made fora Single Family Dwelling and is in accordance with applicable Municipal codes. GARNESS ENGINEERING GROUP, Ltd. Permit Fees: gl� q1 c ' �0 Date of Payment: Receipt Number: I =515 _ e0)I Waiver Fees* Date of Payment: Receipt Number: GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS & GENERAL CONTRACTORS June 30, 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 Tableland Subdivision; Lot 4, Block 7, To whom it may concern: Your department issued a permit for a 3 bedroom septic sytem on the referenced property (SW050154). The owner requested that we re -design his septic system to accommodate 4 bedrooms. The length of the drainfield is the only change that is made in this design. Comments regarding the design are summarized as follows: 1. SOILS: See the attached logs which shows the soil classifications, groundwater monitoring, and the percolation test results. 2. DRAINFIELD DESIGN: See attached design drawing for drainfield specifications. 3. SURFACE WATERS: There are no surface waters within 100 feet of the proposed septic system. 4. TOPOGRAPHY: As can be seen on the attached design drawing the average area around the proposed dminfields is relatively flat. In short, there are no slope concerns. We are unaware of any adverse impacts this installation would have on adjacent wells or septic systems. If please contact us at 337-6179. Thank you for your assistance. , M.S. NOTE: Attached is a site plan drawing, a design drawing, one soil log, which are all part of the design package 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: gamessengineering.com LOT 4. BLACK 8; LOT 8. BLACK 8; TABLELANDS S/D LOT ETABLELANDS Nin TABLELANDS ABLLANDS/D — — — _ _ _. LAT 7. BLOCK 8; (VACAN» � TABLELANDS S/D Lor e. BLOCK e: (VACANT) TABLELANDS S/D Nom» i ABLEIANDS S/D NAC0 LOT 2. BLOCK 7. TABLELANDS S/D HATE CVACANT)iSITE TH S LOT 3. BLOCK 7: TABLELANDS S/D TH/ ,i (NO CONCERN) 1. BLOCK 7 TABLELANDS SA r PROPOSED SEPTIC / PROPOSED SYSTEM OFD 261CN• / 4 BEDROOM HOUSE LOT S. BLACK 7; j \�\(ApL�XON) TABLELANDSs/D I / / TABABLEIANDS S/D % / Q (VACANT) % 4Z- LOT ZLOT 8. BLACK 7: \� / LOT 7. BLACK TABLELANDS S/D \ (NO CONCERN) � � � / / TABLELANDSbin D ) / O4/ / NOTE: ALL PROPERTIES SHOWN WILL BE SERVED BY PUBLIC N WATER. / GARNESS ENGINEERING GROUP, Ltd. Bo, : :�„ CONSULTANTS & GENERAL CONTRACTORS PREPARED FOR: PHONE NUMBER: PACE NUMBER (/ �•-� JOHN THOMSON (907) 240-2020 1 OF 3 Q0 '• 1 y a ese. TABLELAND SUBDIVISION: LOT 4. BLOCK 7. R.A.L. E OF WORK DATEREVISEI SITE PLAN FOR PROPOSED SEPTIC SYSTEM 6/30/2C (Rev. 0105) OF BEDROOMS:4 PER DAY (OPD): 600 DON RATE/S: <1 MIN./INCH D APPLICATION RATE: 2.0 DRAINFIEID SO.FT.: 300 Yvx*IP_L`11 WELL DRILLER. CONTRACTOR AND PROPERTY OWNER AGREE THAT THEY HAVE READ THESE SPECIFICATIONS AND AGREE TO ACCEPT THE TERMS AND i AIIMUM DEPTH:1.5 FEET A ' 64 FEET Op` .OA APPROVED SAND FILTER.,2 FEET/A KEY BOI FFECTIVE:*0.5 FEETEDUCTION FACTOR: N/A A V CTU& SO.FT.: 320 `CI` WATER SEERVOCE ALTERNATE SITE / 1SOOPROPOSG ED /NDA APPROVED S.T.E.P. TANK -,,,/TRICKLING RECIRCULATING / / / TM/S FILTE (StZED ALL 4 / � / FOUNDATION / /� / CLEANOUT `* rb / PROPOSED \ F,9 \ \o4l \F GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS & GENERAL CONTRACTORS L 1OMM bh \IR 101 • MOOMOL MI MIO/ • OIOY[ QO1III1- IM • M[ 0049&�W" • MMllp �.Iw�m"OwwV4� JOHN THOMSON 907 240-2020 1 2 OF 3 LEGAL DESCRIPTION: DRAWN BY. TABLELAND SUBDIVISION; LOT 4, BLOCK 7, R.A.L. TYPE OF WORK: DATE SITE PLAN FOR PROPOSED SEPTIC SYSTEM 6/30/2C (11".01M5) (SEE DETAIL PAGE 3 OF 3) LOT S. BLOCK 7; TABLELANDS (VACANT) FROM MOA APPROVED RECIRCULATING TRICKLE FILTER SYSTEM - I F O CO OUT FINAL PLYWOOD BRACING W/ VISOUEEN BARRIE INSULATION BRIG FILTER I•—s'—�l -PLYWOOD BRACING W/ VISOUEEN BARRIER GRADE GARNESS ENGINEERING GROUP, Ltd. p: ' •'-:y CONSULTANTS i GENERAL CONTRACTORS.......... ......... . . 1 L N AWA 11M 101 • NOOWM MI OMOI 1101[ (OOY)3A-1111 M CWPA " PREPARED FOR: PHONE NUMBER: PACE NUM ... •••••••••• JOHN THOMSON 907 240-2020 3 OF 3 Q a ':Je f A. mess. - LEGAL DESCRIPTION: AWN BY: QO�i Edi TABLELAND SUBDIVISION; LOT 4, BLOCK 7, R.A.L. �e, 7�cJ�q$'''�oo TYPE OF WORK: DA'REVI5ED ���OPro p 1101 DETAIL FOR PROPOSED DRAINFIELD 6/30/2005 (11«.0105) GARNESS ENGINEERING CONSULTANTS 10i • AIOOMM ML GROUP, Ltd. E GENERAL CONTRACTORS In • N • WOOL- ,srrgYMgem. .oQ�pF ��oop a►",' ••• ....... 1 ■DI . 7UR 1/29/04 SOIL LOG - PERCOLATION TEST 4' LEGAL DESCRIPTION' TABLELANDS SUBDMSION; LOT 4, BLOCK 7, OQ •.J fre OTe34.� C QO •q`�. —753DEPT14 PERFORMED FOR: JOHN THOMSON DATE: 1/21/2004 �' j 0• 6• O��DO°Oo�o�� =Z: (feet) =___ ORGANICS TEST HOLE 4 1 4 4:44 30 0• LOAM SOIL CLASSIFICATIONS 5 2 — 6• 6 5:14 30 3 6• a t GP ML GM CL / q GC OL .•°.° SW MH TH#5 5 • •'• : SP CH TH#4 .RAMSM : OH 6 SC 7 SM/ML w/ SOME e GRAVEL N:.`�.Y. 9 SITE PLAN 1'100' 10 it 12 13 14 B.O.H. 15- 5 16 16- 17- 17 18 18- PERCOLATION RATE <1 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES) 19 t9 TEST RUN BETWEEN 1.5 FT. AND 2.0 FT. 20 A FOUR HOUR PRESOAK WAS PERFORMED: N YES ❑ NO SOILS LOGGED BY: JODY MAUS PERCOLATION TEST PERFORMED BY: RICK LYON COMMENTS: *MAY BE INFLUENCED BY SNOW MELT RUNNING INTO BENCH. GEG. Ltd. I, JEFFREY A. GARNESS, CERTIFY THAT THIS WAS PERFORMED IN ACCORDANCE PERFORMED BY WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: DEPTH TO GROUNDWATER DATE SEEP O 13.5' 1/21/04 •10� 1/29/04 12.5' 4/6/04 4' 5/10/2005 DATE READING CLOCK TIME NET TIME (MINUTES) WATER LEVEL READING NET DROP (INCHES) 5 18 2005 1 3:44 — 6' 2 4:14 30 0• 6• 3 4:14 — 6• 4 4:44 30 0• 6� 5 4:44 — 6• 6 5:14 30 0� 6• o�o60ppp0o GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS 6 GENERAL CONTRACTORS 9* 701 L ROM. ELITE 101 • NKNORME. N DOW7 • RQL (07)M?—R179 • FA - i0) —]3N • RFHLTL ,mr•••gwwp.c•m SOIL LOG - PERCOLATION TEST LEGAL DESCRIPTION: TABLELANDS SUBDIVISION; LOT 4, BLOCK 7, DO o f rey Garness. PERFORMED FOR: JOHN THOMSON DATE: 1/21/2004 �O CE -7953 ;'`4` DEPTH �44�0 Pofeso 0000 (reef) ORGANICS TEST HOLE 5 �pppoo�� LOAM SOIL CLASSIFICATIONS f 2 o= GW ---- ORG 3 r:+ GP ML GM CL 4 GC OL °• •0 o SW MH ,/� �� TH#5 5• : SP CH fi �� TH 4 SM OH 6 SC 7 SM/MLDEPTH TO DATE 1� w/ SOME 8 DRY 1/21/04 GRAVEL 9 SITE PLAN 10 ' � 1' % 11 12 13 14--1 1111 B.O.1I. 15 16 17 18 19 PERCOLATION RATE 30 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES) TEST RUN BETWEEN 4.5 FT. AND 5.5 FT. 20 A FOUR HOUR PRESOAK WAS PERFORMED: N YES ❑ NO SOILS LOGGED BY: JODY MAUS PERCOLATION TEST PERFORMED BY: RICK LYON COMMENTS: *MAY BE INFLUENCED BY SNOW MELT RUNNING INTO BENCH. PERFORMED BY GEG, Ltd. I, JEFFREY A. GARNESS, CERTIFY THAT THIS WA P RFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: GROUNDWATER •10.5' 1/29/04 13.5 4 8 04 4.0, S/1e/dam � 100' DATE READING CLOCK NET TIME WATER LEVEL NET DROP TIME (MINUTES) READING (INCHES) 1/22/2004 1 14:16 — 6" — 2 14:46 30 5' 1' 3 14:46 — 6' — 4 15:16 30 5" 1" 5 15:16 — 6' — 6 15:46 30 5' 1' GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS & GENERAL CONTRACTORS May 25, 2005 Municipality of Anchorage Development Service Department On -Site Water & Wastewater Program 4700 South Bmgaw Street P.O. Box 196650, Anchorage, Ak 99519-6650 (907)343-7904 Ref: Proposed Septic System for Tableland Subdivision; Lot 4, Block 7, To whom it may concern: Your department issued a permit for the referenced property on 4/23/2004. The permit expired on 4/232005. On 5/102005 we took a groundwater reading in test hole #4, and found the liquid level at 4 feet below original grade. We have redesigned the septic system and are proposing that a new 1500 gallon S.T.E.P. tank, a MOA approved recirculating trickling filter (sized for 3 bedrooms), and a 5 -wide trench type drainfeld be installed. Due to high groundwater we also propose that 2 feet of MOA approved sand filter be installed. The drainfield will be designed around the 30 foot radius of test hole #4. Comments regarding the design are summarized as follows: 1. SOILS: See the attached logs which shows the soil classifications, groundwater monitoring, and the percolation test results. 2. DRAINFIELD DESIGN: See attached design drawing for drainfield specifications. 3. SURFACE WATERS: There are no surface waters within 100 feet of the proposed septic system. 4. TOPOGRAPHY: As can be seen on the attached design drawing the average area around the proposed drainfields is relatively flat. In short, there are no slope concerns. We are unaware ofjjiny adverse impacts this installation would have on adjacent wells or septic systems. If you have any quer ns, please contact us at 337-6179. Thank you for your assistance. P.E., M.S. NOTE: Attached is a site plan drawing, a design drawing, one soil log, which are all part of the design package for this septic system. (Contact G.E.C. Ltd. for 7 page construction specification letter.) 3701 E. Tudor Road, Suite 101 • Anchorage, AK 99507 Ph: (907) 337-6179' Fax: (907) 338-3246' Website: gamessengineering.com LAT 4. BLOCK 8: LOT S• BLOCK 8: TABLELANDS /D LOT 8. BLACK 8; TABLELANDS S/D (VAC_ _ _ — TABLELANDS S/D (VACANT) /' LOT 7. BLOCK 8; (VAUNT) TABLELANDS S/D �i LOT 8. BLOCK 8: NAUNO � TABLELANDS S/D (VACANT) AT 9, BLACK 8: i' TABLELANDS LOT Z. BLOCK 7: TABLELANDS S/D TLRNATE NANn SITE TMs LAT J, BLOCK 7; TABLELANDS S/D TH/ ,, ; ; (NO CONCERN) 1. BLOCK 7: TABLELANDS S/D r i (VACANT) / PROPOSED SEPLIC / SYSTEM (SEE DESIGN.PROPOSED / 3 BEDROOM PAGE 2 OF 2) / Fq HOUSE LOT S. BLOCK 7; / \/O TION) %jOCATABLELANDS S/D ��\ C //''I \ LAT S. BLOCK 7: / Q TABLELANDS S/D / Q- i (VACAN) LOT 8. BLOCK 7: LAT 7. BLOCK 7; TABLELANDS CONCERN) \��� // TABLELANDS S/D WILL BE PRO RVEDEBYEPUBLICWN /� (VACANT) (N) WATER. GARNESS ENGINEERING GROUP, Ltd.,pG�: y' CONSULTANTS& GENERAL CONTRACTORS �••••.• •• •••• •••• ......•••••• 5101 L TIWI1 b10. /IA[ 101 MOIOIUOL Mf pA0) ROK - IN • fUt M �OCIC w� a PREPARED FOR: PHONE NUMBER: PAGE NUMBER ••• •• •• ••••••• JOHN THOMSON (907) 240-2020 1 OF 3A .• e f A. mess.- LEGAL DESCRIPTION: DRAWN BY: QOD°v+ 79 •• G TABLELAND SUBDIVISION: LOT 4. BLOCK 7. R.A.L TYPE OF WORK IOATLREVISED (R".01.05) NUMBER OF BEDROOMS 3 GALLONS PER DAY (GPD): 450 PERCOLATION RATES: <1 MIN./INCH PROPOSED APPLICATION RATE: 2.0 MINIMUM DRAINFIELD SO.FT.: 225 LETTER THAT PERTAINS TO THIS DESIGN. TO OBTAIN A COPY OF THE LETTER CONTACT GEG. 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 i MJWMUM uLYIm"'"I WIDTH:5 FEET P M.0 AAAPPROVED SAND FILTER: 2 FEET \9EFFE0.5 FEET REDUCTION FACTOR: N/A ACTWL SO.R.: 250 7 WATER / SERVICE LINE BOX C\\ALTERNATE SITE / ZI SOOR GALLON /MOA APPROVED y� STEP. TANK RECTRICKLIIRCULM.UFlLTER (SIZED FOR 3 / BEDROOMS) / INSTALL FOUNDATION / CLEANOUT y't PROPOSED DRAINFIELD (SEE DETAIL PACE 3 OF 3) �. LOT 5. BLOCK 7: TABLELANDS S/D .r: •i.SY.•' (VACANT) Jt- Fq< \ Cp GARNESS ENGINEERING GROUP, Ltd.p '?•' CONSULTANTS & GENERAL CONTRACTORS Q' L TIOM1 MMl lIIR 101 • Mna1ML MI /MOT • 111ML 001AWL �IM • PA (90/)3A CM M1M10 w#.�M� PREPARED FOR: PHONE NUMBER: PACE NUMBER: JOHN THOMSON (907) 240-2020 2 OF 3 29 ' TABLELAND SUBDIVISION; LOT 4, BLOCK 7, R.A.L. E OF WORK: a -m -TUM SITE PLAN FOR PROPOSED SEPTIC SYSTEM 5/25/2( (Rm.Olft) V ................. A. Gamess.: FROM MOA APPROVED RECIRCULATING TRICKLE FILTER SYSTEM — O CO OMT II J 50. FINAL GRADE MT CO 2' INSULATION PLYWOOD BRACING W/ VISOUEEN BARRIER T4 ABRIC FILTER PLYWOOD BRACING w/ VISOUEEN BARRIER 1.5' 1 5. GRADE GARNESS ENGINEERINGGROUP, Ltd. ••T, CONSULTANTS & GENERAL CONTRACTORS........ 1 L TCM WA Wft 101 • "C OWAL M M!O) ACK 00Y)WAlln • W (607)�", IIWR: w,#^ r, O • PREPARED FOR PHONE NUMBER: PAGE NUMBER: •• •••••• •• JOHN THOMSON (907) 240-2020 3 OY A. nese e � LEGAL DESCRIPnON: DRAWN BY: O ai E-795 7 ,r TABLELAND SUBDIVISION; LOT 4, BLOCKI, R.A.L 004 a�.ti �oo� TYPE OF WORK: a REVISED °jDrofesst0e DETAIL FOR PROPOSED DRAINFIELD 5/25/2005 04000 (Rw. 01005) GARNESS ENGINEERING GROUP, Ltd. 0, CONSULTANTS & GENERAL CONTRACTORS A . 4 e N1 ?"A kM 101 • M OOVAL M 09W - F Q - IN - /M: . ...... • ... •• • • • • • ............ • SOIL LOG — PERCOLATION TEST LEGAL DESCRIPTION: TABLELANDS SUBDIVISION; LOT 4, BLOCK 7, QO 9 '.� f y mess: •E-7953 PERFORMED FOR: JOHN THOAISON DATE:_!/21/2004 QQ%a car ^• (feet ____ ORGANICS TEST HOLE 4 PTtielyp ���Oo/o�a�o 1 ---- LOAM SOIL CLASSIFICATIONS 2 �• b o GW =__= ORG 3 a4, +. GP ML GM 4 GCOCL OL e •°•°• SWMH TH#S 5 '••. SPCH TH#4 SM OH 6 Sc 7 SM/MLGROUNDWATER DATE DEPTH TO .: W/ SOME e SEEP O 13.5' 1/21/04 010' 1/29/04 GRAVEL ri.. 9 12.5' 4/8/04 SITE PLAN 10 4' 5/10/2005 1'f 100' 11 12 13 14 B.O.fI. 15 16 17 18 19 PERCOLATION RATE <1 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES) TEST RUN BETWEEN 1.5 FT. AND 2.0 FT. 20 A FOUR HOUR PRESOAK WAS PERFORMED: N YES ❑ NO SOILS LOGGED BY: JODY MAUS PERCOLATION TEST PERFORMED BY: RICK LYON COMMENTS: •MAY BE INFLUENCED BY SNOW MELT RUNNING INTO BENCH. PERFORMED BY GEG, Ltd. I, JEFFREY A. GARNESS, CERTIFY THAT THIS WAS ERF RMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: 2 r J - DATE READING CLOCK NET TIME WATER LEVEL NET DROP TIME (MINUTES) READING (INCHES) 5/18/2005 1 3:44 - 6' - 2 4:14 30 0� 6' 3 4:14 - 6' - 4 4:44 30 0• 6' 5 4:44 - 6• - 6 5:14 30 0• 6' • � PGE B` •, 1"-r Municipality of Anchorage K.:iOn-Site Z Onn-Site Water and Wass tewwater Program a� �;�j��i (907) 343-7904s n ETY CERTIFICATE OF ON-SITE SYSTEMS APPROVAL Parcel I.D. 051-801-36 Expiration Date: 1 - 1. GENERAL INFORMATION Complete legal description THE TABLELANDS BLOCK 7,LOT 4 Location (site address) 23605 FALLOW CIRCLE,CHUGIAK,AK 99567 Current Property owner(s) JAMES R & TRACY L GLYNN Day phone Mailing address 1127 SE TURNBULL ST.,COLLEGE PLACE,WA 99324 Real Estate Agent Day phone 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well _ Individual Individual Water Storage ❑ Holding Tank ❑ Community Class _Well ❑ Community ❑ Public Water System ® Public Sewer ❑ WaiverNariance request for: Distance: Received by: -- Date: Date: 4/9//� COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ G 2 ( Waiver Fee $ Date of Payment 'a - 2 - \ S Date of Payment Receipt Number0�KDN Receipt Number COSA# sDC- 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 CONSTRUCTION & ENGINEERING Phone 345-3377 Address 4640 SHOSHONI DRIVE,ANCHORAGE,AK 99516 Engineer's Printed Name MICHAEL N.ANDERSON,PE Date 08/02/2018 ja�.�1 ,,371,` J I f ,:r4-;°.•‘ ',e„y'i} 7H ,� ° �• 6�. 6. DSD SIGNATURE F 1 rL:,•: Avh��5i✓r�,e Q::,e ?e� System #1 Approved for I-I bedrooms. s'o e=;°,,%,.c}Acr 9. c,;;;;.-System#2 Approved for bedrooms. << e j;. ,, cr Disapproved. Conditional approval for bedrooms, with the following stipulations: ON-SITE . WATER AND . WASTEWATER o PROGRAM a; 00, BY Original Certificate Date: ¶r R -1 ? The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On-Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA blue sheet10-10-72.doc If more than 1 septic system is on the lot: COSA Checklist# of Structure served by this system Certificate of On-Site Systems Approval Checklist Legal Description: THE TABLELANDS BLOCK 7,LOT 4 Parcel ID: 051-801-36 A. WELL DATA - PUBLIC WATER Well type If A, B, or C provide PWSID# Well Log (YIN) — Date completed Sanitary seal (Y/N)__ Wires properly protected (Y/N) Total depth ft. Cased to ft. Casing height(above ground) in. FROM WELL LOG AT INSPECTION Date of test Static water level ft. ft. Well production — g.p.m. g.p.m. WATER SAMPLE RESULTS: Coliform colonies/100 mL Nitrate_ mg/L Arsenic: _ ug/L Date of sample: Collected by: B. SEPTIC/HOLDING TANK DATA Tank Type/Material SEPTIC I STEEL Date installed 1119/2005 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) Date of pumping /maintenance Pumper ARM SERVICES C. ABSORPTION FIELD DATA Date installed 11/9/2005 Soil rating (g.p.d./ft2 or ft2/bdrm) 2.0 System type MOUND 1 BED Length 30 ft. Width 10 ft. Gravel below pipe 0.5+ ft. Total depth 3.4 ft. (Measured 8/1/18) Eff. absorption area 300 ft2 Monitoring tube Y Depression over field N Date of adequacy test 8/1/2018 Results (Pass/Fail) PASS For 4 bedrooms Fluid depth in absorption field before test 0 in. Water added 600 gal. New depth 1 in. Elapsed Time: 20 min. Final fluid depth 0 in. Absorption rate >= 600+ g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N &type) N If yes, give date D. LIFT STATION Date installed 11/912005 Size in gallons 1500 _Manhole/Access (Y/N) Y "Pump on" level at TIMER in. "Pump off' level at TIMER in. High water alarm level at 45 in. Datum BOTTOM OF TANK Cycles tested 2 Meets alarm&circuit requirements?Y E. SEPARATION DISTANCES WELL ON LOT TO: - NA/ PUBLIC WATER Septic tank/lift station on lot On adjacent lots Absorption field on lot On adjacent lots Public sewer main Public sewer manhole/cleanout Sewer/septic service line Holding tank Animal containment areas Manure/animal excrete storage areas SEPTIC/HOLDING TANK ON LOT TO: Building foundation 10' Property line 10'+ Absorption field 5'+ Water main 10'+ Water service line 10'+ Surface water 100'+ Wells on adjacent lots 200'+ ABSORPTION FIELD ON LOT TO: Property line 10' Building foundation 10'+ Water main 10'+ Water Service line 10'+ Surface water 100'+ Driveway, parking/vehicle storage 10'+ Curtain drain 50'+(None Known) Wells on adjacent lots 200'+ F. COMMENTS Vacant field presoaked per code prior to testing. G. ENGINEER'S CERTIFICATIONOF At I certify that / have determined through field inspections and .:''gyp:•'• ••71.s. ' review of Municipal records that the above systems are in j •'• ` •'may s1 • 49TH conformance with MOA COSA guidelines in effect • on this date. •�r d� Engineer's Printed Name MICHAEL N.ANDERSON,PE /• •• MICHAEL N. ANDERSON .".' g' Date 08/0212018 � .•. C j� 69 ••,�� COSA canary sheet_2-6-15.doc 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 r% Day of P\‘..)1LY c of 20 is~'_,by and between CAA 04,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 located at(legal description) 0-3(00C— JN `l C3 C',r L\ e C • . 2. Maintenance,Repairs and Alterations. (Owner is required to read,understand and initial each section) 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. c-tTeIt 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). �Z- 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. W----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 Owner acknowledges that the Municipality may request records of maintenance and repairs from the manufacturer's representative or maintenance provider. Owner acknowledges that the fine for failing to maintain and repair an AWWTS may be assessed in accordance with AMC 14.60.030. Owner agrees to grant the Municipality reasonable access to test and inspect the AWWTS. The Municipality will give at least 24-hour notice. Owner agrees that any sale or transfer of title of the property will not occur without a new Certificate of On-Site Systems Approval. 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. _ 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 ARM Ser\ ices. II(' Maintenance Checklist:Advanced Treatment System I c) -1 Ali ,1 Operational Checklist Advanced Treatment System cwt`'""'1 "I'„m,=.� Legal Description:TM., liriktedCakil-S + Q7- 1- Li Street Address: /(:;iO--V Il: C-IP+ - - - Service provided on Date4 13-W4 i 3Time Service provided by Company APA1ilif Employee OA`f 0 A dilv‘ t)ate of last service _l, oo� __ _ By You Other 1 Type of Aerocell Treatmepcstem: ��//Cat II-AeroCell Treatment System -:-. Cat Ill-Aer ell Treatment System 2.Conditions at media filter: .Acceptable Unacceptable a I-valu a presence of odor within 10 ft of perimeter of system None Milo - Strong . Chemical . .Sod! b Source of odor if present ,A”/ 3. Manhole Risers and Pipe Cap . !Acceptable Unacceptable a Covens intact es . ...No J� h Method of securing cover 'St1C±..sE /A /3 1+'-/f c Any plumbing leaks or water intrusion —Yes -14 No d Surface water/infiltration into components . YesYNo 4.Venting/Air supply: -/'Acceptable . Un9eceptable a Air supply unit operating properlly//V Yes - Nc b Venting appears o erable " Yes No tw i�'`���`a L i6 fr`� N, te.l ( [ttN s/$ijl 5.Media surface: `_ Acceptable .._ Unacceptable r P P a Biomat on surface '.Y s ._.No b Uniform spray pattern Yes ._Ny d Ponding in/on media . YesNo e Pluggingrclogging of nozzles Yes Nq7 f Media appears to be settling Y r No g Appropriate maintenance performed es Nom h Pest activity at surface __ Yes VQo 6.Effluent quality a Effluent odor after passing through media filter _... __ Mid Strong b Effluent color after passing through media filter Clear ._.Brown .__: Black 24738 Chugiak Drive'Chugiak, AK 99567 Ph: 19071 317-9433 office/fax: (907) 688-9433 Email: ARMSeivicesAK(ioutlook.com PAGt 1 11111P- ARM Services, 1.1-C 7. Tasks for recirculating/discharge flows: acceptable Unacceptable a If applicable. Dandy valve functioning _Yes to N/A b If applicable Jandy Valve basin dry ;.._Yes NoY/1�A c Cleaned collection system in Aerocele unit ..... Yes No .- Not Necessary d Design recirculation ratio 80 : 20 e. Actual recirculate ratio (Estimated): ;8O : p�prat� L ,� '� EXTRAS: ��1� T� 8. Pump System: LYAcceptable .Unaccept le a Control panel in Auto. es No -Remote monitoring working?: b Timer settings — — -Phone line working?_—__- _ N/A ON ).M+A._.. OFF I ✓ Override ON �M i n- Overnde OF`F/ 6 M A V/QG I c Floats in correct placement .Yes _ No d High water alarm operational ,Yes No e High water alarm count-------- I Pump run time 3DDLO87- n g Pump run counts i ? 3t_./'t� h Effluent Filter serviced ` No i Tank lids secured after inspection Y I_ No l Weep hole functional 1/Yes No 9 Primary Tank Zptable ._.Unacceptable / i 9 v� ,�"'I°4 l Sludge and scum level checked __Yes �� b lank needs to be pumped Y _, No c Tank lids/caps secured after inspection .— Yes No 10.Drainfield a. Type of Drainfield(circle one) 5-wide Deep Trench b. Design Effective depth (;:it. _feet c. Checked Liquid Levels in Drainfield _�.Yes No MT#1 Liquid Level A et Inches MT#2 Liquid Level 6 R 7 Inches MT#3 liquid Level Indies MT#4 Liquid Level _" //Inches d. Is there any surfacing effluent Yes VNO Other Comments: Service Provider:A " " 1..0 f t L (IA(.C_g Date: S/9/I D r- r Distributor: U`iuf %S 6-41,11r-e-trt, J 24738 Chugiak Drive 'Chugiak, AK 99567 Ph: (907) 317-9433 office/fax: (907) 688-9433 Email: ARMServicesAK®outlook.com PAGE 2 OWNER: v1 (signature) Date: g /m /15') r A Q..(a . C-\R.2V (print name) STATE OF ALASKA ) )ss. THIRD JUDICIAL DISTRICT ) The foregoillg instrument was acknowledged before me this '4 ay of A r - 2018 ,by ico.kii S (Xcx- r r blr c) NOTARY PUBLIC NOWY ItJBLIC FOR ALASKA TIFFANY BLANCHARD My ntin.mission expires: ( -1.=S- 2-02.1 STATE OF ALASKA A MY COMM.EXPIRES MARCH 28,2021 MUNICIPALITY: By: _ (signature) Date: (print name) Title:_ (rev. 05/18/2018) Page 3 of 3 Municipality of Anchorage Development Services Department Building Safety Division Onsite Water & Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.cl.anchorage.ak.us (907) 343-7904 Cndl 'O v� CERTIFICATE OF HEALTH AUTHORITY APPROVAL IQ� FOR A SINGLE FAMILY DWELLING Parcel I.D. _L_�,1�— &Q/ R�:� — HAA# 05C&3'4 1. GENERAL INFORMATION Expiration Date: to /i 5/a Complete legal descriptionTABLELAnNDS 5/U* LUUI a ULUUK/i Location (site address or directions) -3(005 Fa I.f m n� p (,f'VL):Q' K 9951o74 Current Property owner(s) JOHN THOMSON Day phone (907) 240-2020 Mailing address Lending agency Mailing address Real Estate Agent 17343 SANTA MARIA DRIVE • EAGLE RIVER, AK 99577 Day phone EVA LOKEN w/PRUDENTIAL VISTA Day phone (907) 689-6476 Mailing address 16635 CENTERFIELD DRIVE • EAGLE RIVER. AK 99577 Unless otherwise requested, HAA will be held by DSD for pickup. CONDITIONAL HAA 2. NUMBER OF BEDROOMS: 4 3. TYPE OF WATER SUPPLY: Individual Well ❑ Individual Water Storage ❑ Community Class Well ❑ Public Water System E 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 Health Authority Approval (HAA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of Health Authority 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 HAAs upon request to homeowners. Certificates of Health Authority 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 samples. (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, 1 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 Address GARNESS ENGINEERING GROUP, Ltd. 3701 E. TUDOR ROAD, SUITE 101 * ANCHORAGE, AK 99507 Engineer's Printed Name Engineer's Comments: JEFFREY A. GARNESS, P.E. In conducting this evaluation, GEG, LtD. attempted to provide a thorough, conscientious engineering analysis of the system in accordance with ADEC and MOA DSD Guidelines & Regulations. The reported results described the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the local soils condition, groundwater levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of the system. Satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. GEG, LTD. can therefore not provide any warranty or future estimate of how long the system will continue to meet the operational requirements of the ADEC or MOA DSD. The content of this report is for the sole benefit of the owner listed above. Any reliance upon or use of this report by any other person or party is not authorized, nor will it confer any legal right whatsoever. 5. DSD SIGNATURE Approved for bedrooms. Phone 337-6179 Date i -?- h b10 S­ OF X=1 IQ 9 �* y-e—yorn ess: CE -795 p5 SAN ZD .fr0fessioo°aoG Disapproved. Conditional approval for bedrooms, with the fllowing stipulations: Money to placed in escrow for the amount of 1.5 times the attached cost estimate for placement of six (6) inches of top soil and sufficient vegetation of the mound absorption bed. Money in escrow shall not be released until thiG affire has given final approval. The work shall be completed no later than June 15, 200`:;(+ � g c t x"L,5 G ems.• fs �` N sir •: _ Attachments: �l ��,r;AND COSA Checklist_ Arsenic Advisory 5r� Septic System Advisory Manitenance Agreements �� +• , GRA Well Flow Advisory Supplemental Engineer's Reort ��J��'.' • • `•�Q�,��,��� Nitrate Advisory Other �JJJ�/S}�j1���} By: Original Certificate Date: (Rev. 12/01) Municipality of Anchorage •. •1', Development Services Department Bonding Safety Division On.Stte Water & Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 995196650 www.ci.ancf orage.ak.us (907)343.7904 HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: TABLELANDS S/D: LOT 4. BLOCK 7. Parcel ID: 051-801-36 A. WELL DATA Well typera MX Total depth PUBLIC WATER If A, B, or C provide PWSIDN _ Won Sanitary seat to ft. FROM WELL LOG Date of test Static water level ft. Well production g.p.m. WATER SAMPLE RESULTS: Coliform colonies/100 ml. Nitrate property protected (Y/N) Casing height (above ground) in. AT INSPECTION of sample: Collected by: ft. -9-P.M. S. SEPTICIHOLDING TANK DATA THIS IS A ZABEL AEROCELL (SCAT) SYSTEM Tank Type/Material GREER / STEEL Date installed 11/9/2005 Tank size 1500 gal. Number of Compartments 2 Cleanouts (YM) YES Foundation cleanout (YM) YES Depression over tank (YIN) NO High water alarm (YM) YES Date of pumping NEW Pumper C. ABSORPTION FIELD DATA ,� Data installed 11/9/2005 Solt rating OE> ftlbdnn) 2_0 System type BED / MOUND Length 30 ft. Width 10 ft. Gravel below pipe 0.5+ ft. Total depth 0&13-4.69 ft. Eft. absorption area 300 ft' Monftoring tube YES Depression over field NO Date of adequacy test NEW Results (Pas&'Fall) PASS For 4 bedrooms Fluid depth in absorption field before test = in. Water added =gal. New depth =in. Elapsed Time: = min. Final fluid depth = in. Absorption rate >- 600+ g,p.d. Any rejuvenation treatment (past 12 mo.) (YM & type) NONE KNOWN If yes, give date - D. LIFT STATION Date installed 11 /9/2005 Size in gallons 1500 Manhole/Access (Y/N) YES "Pump on" level at TIMERin. "Pump off, level at TIME n. High water alar level at *2 45 in. Datum BOTTOM OF TANK Cydes tested NEW Meets alar & circuit requirements? YES E. SEPARATION DISTANCES PUBLIC WATER SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot On adjacent lots Absorption field on lot Public sewer main Sewer /septic service On sewer manhole/deanout Holding tank areas Manure/animal excrete storage areas SEPARATION DISTANCES FROM SEPTICIHOLDING TANK ON LOT TO: Building foundation 5'+ Property Ane 5+ Absorption field 5'+ Water main 10'+ Water service line 10'+ Surface water 100'+ Wells on adjacent lots 200'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ Building foundation 10'+ Water main 10'+ Water service line 10'+ Surface water 100'+ Driveway, parkinglvehide storage 10'+ Curtain drain NONE KNOWN Welts on adjacent lots 200'+ F. COMMENTS TO BE TOP SOILED AND G. ENGINEER'S CERTIFICATION I car* that I have determined through field inspections and review of Municipal records that the above systems ars in conformance with MOA COSA guidelines in effect on this date. Engineer's Printed NJEFFREY A. GARNESS Date 1-t/167 � COSA Fee s .1 + WE Waiver Fee $ Date of Payment w-o,� Date of Payment Receipt Number -1 ti U ai � Receipt Number (rw. 17)01) F.Ec-Dec.21 i ■ 2005111:25AMM Garness Ensineerina Group, Ltd. NO -1370 P. 1P. el ••1 ly 1.1 Dec•21. 2005 11:26AM Garness Ensineerina Group, Ltd•" G'No.1370 P. 2 121 MWARD & ASSOCIATES LAND SURVEYING 694-0829 1 HEREBY CERTIFY -THAT 1 HAVE SURVEYED THE SCALEs,. FOLLOWING DESCRIBED PROPEHTYt �'T� +• QF A % J 'Elw�ld4S�u�C. yeq. 7 DATE, ` P(�....... �.Q3`�/ AND THAT NO ENCR04 4ENTS 61ST EXCEPT A5 INDICATED. IT IS THE RESPONSIDILITY OF THE OWNER TO DETERMINE THE EXISTENCE OF ANY GRID:•• .... t EASEMENTS, COVENANTS, OR RESTRICTIONS i WHICH DO NOT APPEAR ON THE REcORDEb SU8O1- �� •. w.. M.h s«a i VISION PLAT. UNDER NO CIRCUMSTANCES SHOUI�Felolwvl 44v is 6918 • ANY DATA HEREON BE USED FOR CONSTRUCTION- �1 OF PENCE LINES, OR FOR ESTABLISHING BOUND- A�+kslarul�'�. BOUND- ARY LINES. �>•erwsw ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND REPAIR AGREEMENT MEMORANDUM OF UNDERSTANDING BETWEEN MUNICIPALITY OF ANCHORAGE AND , \(% Go 1.1 Ck THIS MEMORANDUM OF UNDERSTANDING made and entered into as of this ,2qDay of, 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 eh n located at 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. 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 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 ($--.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 AWNVTS. 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. 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: 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 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 AW 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. G. Owner agrees that the relevant provisions of the standard specification guidebook for AW WTS is the governing professional guidelines for the construction, maintenance and repair of the Owner's AW WTS. 7. Nonwaiver. The failure of either party at any time to enforce a provision of this Memorandum of Understanding shall in noway 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: 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 I.aw. 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. STATE OF ALASKA THIRD JUDICIAL DISTRICT MUNICIPALITY: By: Title: — Date: ) ss. The foregoing instrument was acknowledged before me this V day of &I, 20_, by -S1Cilh - �T �IL1Q , the Tf):%C)4.ra. j nr t:�" NO RY P BLIC FORA ('A,S)' ����j�\? ,I ; ;1 /0Y oo My Commission expires: PUBLIC Ala A USA Mortgage Company 01109106 RE: Mortgage Loan C&T Construction to Glynn Loan # 9699856 23605 Fallow Circle Chugiak AK 99567 Lot 4 Block 7 Tablelands To whom it may concern, Upon closing, we will be escrowing for 4520.25, 1 '/z tunes proposed bid from Land -tech, for soil, hydroseed, and labor, to cover drain field mounds on above referenced property. A copy of the bid is attached. Sincerely, Diane Perez Senior Loan Processor Alaska USA Mortgage Alaska USA Mortgage Company, LLC P.O. Box 196850 - Anchorage. Alaska 99519-6850 • 907.563-3033 - Fax: 907.261.14n1 •www .i..c..... .,r .--- --- 199-1 E00/200 d 010-1 99ye19Z oaea11on YSn 21selY-void 6041 90-80-utr J2a-12-2000 12+OI Froe- USA Federal Credit Union January 12, 2006 MOA Attn: Julie Makelo Re: 23605 Fallow Circle Chugiak. AK 99567 T-024 P.001/001 F-849 In regards to the subject properly, the money shall be held In escrow until such time as a final unconditional Certificate of On -Site Systems Approval Is issued by the On -Site Water & Wastewater Program Thank You. Dunkin Mortgage Closing Manager P.O. Box 196613 • Anchorage, Aavka M19-8613 • Admi&traWve Offim: 907.2775577' WWWJ 3$c3Use.or9 Member Service Center. M Anehoraga: 563++587 Long DlsWnce Too Free: 1.800.629.8094 - TOD/Hearing Impaired: 1.800-742.7084 OZO-d Z00/Z00'd 821-1 WE 192 Healtoh Vsn e:1selY-a01d Emil 90 -21 -ver Jan 09 06 12:2Bp Dec 23 OS 01131p load -tech 20919 Elsie Place Chuglak, Ak. 99567 SCOTT JRHISCH I ~1ADDRESS I JORNTHOMSON 17143 SANTA MAIUA CR EAGLE RJVTdt AK 99577 1-907-668-0552 p.1 PROPOSAL DATE ESTIMATE NO. 1rn=3 115 p.I L99-1 600/600'd OLS -1 9996191 61121Jon YSO 11sely-moll 5011 90-80-otf P.O. Na. TERNS DUE DATE RE' FOS PROJECT Due m mcdpl 11 MODS TTEPJ DESCRIPTION QTY COST TOTAL H7DROSEED INCLUDES SOLJtYDROSEED AND LABOR PER SO FT. 1AT 2.400 0A9 1.176.00 W7 TABLELAND SUB,COVBR DRAIN MEW MOUNDS HYDROSEM INCLUDES SOIL.HYOROSMD AND LABOR PER SQ. 1T: LOT 1.730 0.49 I.M.50 T.BLK 7 TABLELANDS SUB. COVER DRAIN FIELD MOUNDS TOPSO4 AT$ -17.110 PERYD.HYDRO tst.12 SQ FT. Total J4 o13eo L99-1 600/600'd OLS -1 9996191 61121Jon YSO 11sely-moll 5011 90-80-otf Municipality of Anchorage Development Services Department • Building Safety Division *A1 On-Site Water and Wastewater Program4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907)343-7904 ON-SITE SEWER/WELL SUBMITTAL COMMENT SHEET To: harness Engineering Group Legal description: The Tablelands Subdivision, Block 7. Lot 4 The attached paperwork has been reviewed and is being returned for the following reasons: ❑ Original signature or stamp missing on _ ❑ Calculation error in design. _ ❑ Additional soils information needed. ❑ Water monitoring results inadequate. _ ❑ Discrepancy in information submitted. ❑ Topographic Information missing or inadequate. ❑ Incomplete; missing ❑ Incomplete; missing ❑ Additional adequacy test information needed. ❑ Water sample unacceptable. _ ❑ Measured/proposed distances/dimensions missing. _ ❑ Locations of all soils, percolation and water monitoring tests not shown. ❑ Proposed system too deep for soils information submitted. _ ❑ Well log required. ❑ Omission in narrative. ❑ Insufficient fill over tank or field._ ® Other. d)1�rNeed maintenance agreement signed by buyer. 2.) Need one (1) cost estimate 1_-J ---- :__ __- ---a._ C__ 4-- --:1 -.d---,J:-.. ......-.J .....a--.. 7 % K1- 4 1 -tea-- J: --- Name of reviewer: Julie Makelo. P.E. Date: 12/22/2005 Please supply the necessary information and re -submit your request. LEAVE THIS FORM ATTACHED TO THE PAPERWORK