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Home My WebLink AboutILIAMNA ACRES LT 5D:Eliomno Acre Lot 5D #017-101-31 MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program PO Box 196650 4700 Elmore Road Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 hftp://www.muni.org/onsite On -Site Wastewater Disposal System Permit Permit Number: OSP241160 Work Type: SepticTank Upgrade Tax Code Number: 01710131000 Site Legal Address: ILIAMNA ACRES LT 5D G:3037 Site Mailing Address: 5301 RIVERTON AVE, Anchorage Owner: ADLER 2007 REVOCABLE TRUST Design Engineer: GARNESS ENGINEERING GROUP LTD This permit is for the construction of: Effective Date: Expiration Date: Lot Size in Sq Ft: Total Bedrooms: 7/5/2024 7/5/2025 49562 ❑ Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage All construction shall be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80) 3. The wastewater code requires inspections during the installation. The engineer shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing Received By: �_-TO C� (=� Date: Issued By: -- Date: 7 4 ON -SITE SEPTIC/WELL PERMIT APPLICATION Parcel I.D. 017-101-31 Property owner(s) KURT ALDER C/O ARM SEPTIC SERVICES Day phone 907-688-9433 Mailing address 5301 RIVERTON AVE., ANCHORAGE, AK 99516 Site address 5301 RIVERTON AVE., ANCHORAGE, AK 99516 Legal description (Sub'd., Block & Lot) ILLIAMNA ACRES; LOT 5D Legal description (Township, Range & Section) Lot Size Sq. Ft. Number of Bedrooms APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (0 all that apply) Absorption Field Fj Initial D Single Family (SF) FX_j (w/wo ADU) Septic Tank ❑ Upgrade 7X Duplex (D) 7 Holding Tank D Renewal 0 Multiple Dwellings El Privy ❑ (or and/or D) Private Well D Water Storage n THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit/Rush Fees: $ -'7Z 5 Waiver Fees: Date of Payment: QAl h_ q Date of Payment: Receipt Number: C-07396 Receipt Number: Permit No. C5,0 2. q I I CC) Waiver No. GADevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Client Forms\Permit Application.doc 10 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP241160, Curtis Townsend, 07/05/24 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP241160, Curtis Townsend, 07/05/24 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP241160, Curtis Townsend, 07/05/24 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 Poge 1 of On-Site Wastewater Disposal System and/or Well Inspection Report Permit Number:. SW060022 PID Number:. 017-101-31 N°me:BILL WILCO Wastewater System: · New r-I Upgrode 16701 RANSOM RIDGE * ANCHORAGE, AK ABSORPTION FIELD No. of Bedrooms: ph°ne:(907) 242--5443 4 t'lDeep Trench · Shallow Trench I'1 Bed QMound I-IOther LEGAL DESCRIPTION 3.0 ~/s~. - 5D ILIAMNA ACRES SEE DWG. - - - SEE DWG. WELL: · New n Upgrode :5 PRIVATE 120 n. 120 n~ 200 so.. D 3.054/ F-810 ~ ~. ~.~: s~o~ V,o~- L,~: ~'"~' ""~' ~'~:11-12/2006 HEFTY DRILLING 3//25/06 61 ~ WILCO CONTRACTING 2:5 ~ UNKNOWN n. 2 ,, TANK SEPARATION DISTANCES =so.~: a,o,d~.~ .S.T.[.,. Tonk Field *:ta[ion Tonk S~... U.., OREER 1500 wea 100'+ 100'+ 100'+ - 2.5'+ STEEL 2 ;urface Water 100'+ 100'+ 100°+ -- - LIFT STATION Lot Une §'+ 10'+ 5'+ - -- 1500I GREER roundot;on 5'+ 10'+ 5'+ -- "TIMER"I "TIMER"I 46" Curtain Dram N/A 25'+ N/A - OUNI CS P-TE-30-PLUS M.O.A. %morks: DRAINFIELD TOPSOILED AND SEEDED. BENCH MARK THIS IS A SCAT AEROCELL TREATMENT UNIT. BOTTOM OF' TANK Inspections performed by: GEG, Ltd. Dates: 1st 4/11/2006 2nd 4/12/2006 ~_ O~" /~,. 3rd 4/12/2006 ,,~'~.""'/ Development Services Department Approval ' ~.co..~ 4D]~ ~, ".?.' ,_~..:.l..tI..c .............. '.... Reviewed and approved by: Dote: ~ ./'~,~ ~;'"~ R~viewed and approved b AS BUILT DRAWING ~£~' ~u~8£~: 017-101 SW060022 - ~2 33.9 40.5 C02 78.5 28.7 I ~2 77.1 26.8 I I SP 59.1 23.2 ~ ~ -;.'. .....~... [ I ~02 ~ '~' ~''' f~'"' "; I ~ I I I ,~ . '=.'"7',;:'~?' i ~,~ , ~ ~ : ~.~ ,.,: ;..,' .: I ~' ~ll ~ ....... .,..., , ~E~ UNff~ I , ~ r~ ------ :: "'~.. ~.'..',"~ . ~-- - ~....~..~..~ ~..~ / I ~~ _ ~ I .. / /~SU~URF~ D~N · ~ I · ?..' ..; t. ~- GAYNESS ENGINEERING G~OUP, Ltd. CONSULTANT8 & GENE~L CON~CTOR$ ~ m ILIAMNA ACRES SUBDIVISION; LOT 5D C.J.G. ~1.3.~./~/ AS-BUILT 0F NEW SEPTIC SYSTEM ,/za/zuu/ p~.,,.U.,ER: AS BUILT DRAWING "~CE~'0 "U"'~": 5W060022 - 017-101-31 DRAINFIELD TOPSOILED AND SEEDED I TOP OF' SAND FILTER - 92.46 - 96.13+ RLTER OF PIPE INSULA~ON- - 93.13 (AVG.) 93.08 O HIGH POI~ TH#1 OF APPROVED *.~ ~..~. RE:LA"IW~ EI. EVA'RON OF' GROUNDWATER ~ BOT'(OM OF SYSTEM 88.92-90.58 CONSULTANT~ & GENERAl. CONTRACTORS BILL WILCO ~ 907-242-5443 ~ OESCRIP~: JO~WN ILIAMNA ACRES SUBDIVISION: LOT 5D AS-BUILT OF NEW SEPTIC SYSTEM ~ 1/29/2007 Rr'LA3'IV~ IFLLr'VA'I~ON 0F 9o"rrOM OF I"¢STHOLE - 83.08 nnn~OH : PHOM~ NO. : Jan. 28 2~07 07:~H P~ imm , .~ .- ) ~., iNSPECTION: VOICE 343-8300 NAME: CHARLES From appl ledk~tc rosys't e'T's MUNICIPALITY OF ANCHORAGE, BUILDING SAFETY DIVISION 4700 sOUTH BRAGAW INSPECTION INFORMA'tlON & HELP: ~.3-79~t2 INSPECTION. FAX (~07)24g-777-/ ww'w rn mr .ur~/~SD/tr~$pecticns.ufm PERMIT ~': 0f~-0109 COMPANY: LYNX'ELECTRIC · PHONE ~': 240.-~270 PHONE ~. ADDRESS: 5301 RIVERTON AVE EOT 5D ~UBDIVIStON: ILIAMNA ACRES INSPECT DATE: 1/26/~007 pHONE #: GRID #: SW3037 COMMENTS er DIREC'I'ION~ AM RE[NSPECT - CALL 30 MIN B~- FOR ACCESS Fir~l Electdc&l TYPE OF INSPECTION: COMMENT,.~; (FOR INSPECTOR USE ONLY) ~..~- ~. /--"-?"' /. ,~ .,~./_/~__~ .... Meridian 'l'ownddp p-! Well Log I31.I)('K LOT P,,,~..n.~ O,w,cr Na,m' & Addr.~:Wi~cO Con~a~ng ~ 16701 Ransom Ridge IAnchorage, Ak. 99516 BO~t£HOLE DA'l',X(from top of casing)Depth stickup peet & clay sand & gravel sand wi fine gravel sand w/coarse rock wet gravel & sand wet silty gravel sand & gravel gravel w/H20 coarse gravel w/H20 0 2 8 33 53 58 2 33 63 63 7O 92 112 1120 7O 92 112 Municipality of Anchorage Development Services Department Building Safety Division On-Site Water and Wastewater Section 4700 Soulh Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907) 343-7904 Drilling n~cthod: [ X ) Air rotary. ( ) (:'able tool. C~her Well u~:: ( ) Public supply. (X) Don~t~¢. Other .............. Dcpfl~ ur hul¢: _._1~C~__ Ii. Casing szickup: 2 ti Casing z)pe: _steel .... '1 hlckness: . ~_.... inches Liner lype: [)i:nne~cr: .... inches Dcpti:: - Recover. nde: 25 gpn~ Mc~hod of~esdng: a~rl~ Dctclol)mCnl method: aifl~ Duration: 1 hour Well intake opening ~T~: ( X ) Open end. t ) Open hole. Other Perlb~tcd; 51aR: - ri. Stopped: ........ IL Slup~d: I1 Grou! type:., bentonite Vulumc P~plh: from _ground surface . tn ...... ~ . .. Pump inlake depth: _____ I{ Pump size: hp. Brand name: \\'as wcli &sinl;:ctcd upon compictio:17 ( X ) Yes. ( ) No M¢flmd or disinfection:Calcium Hypochlorite..(Chlorine)... ~,\ ¢il ddilcr name: ..Cul~.He~'y ....................................................... r',~ n~. n~ -',~--' Hefty Dnlh'"'n~ Inc f',l illin2 i I i s'~ 3540 Akula Dr c'i~;: _ _A.n._c_ho.rage' . s,,~te: .A~ Zip 99516 Pl,.,,~ n.,,,[~er: ~ 907 ~ 34~ - 0593 fax:345-4700 D~ill¢~ signature: Atten~on: Property owner shall provide a well log to the DSD within 60 days of well completion. Permit Numhcr: SW0600~. D~lcofJss.e: F6b 21 ~2006 ?arccl Idcmdi¢,qt'i'on :~.n;,b~'~:-OiT-T101 -31 It, well Iocaled ;ti npprovt'd p,~mlil IOealk)n? t X) Yes or ( ) No ~-eu'Feb'__ 5._.2007~12:52P~._. -., Garness Ensineerins Grou~, Ltd. Ho.6979 P. Ip., ~Pump Installation Log ~-.?¢~ ! well was disinfected upon completion. method: calcium hypochlofito. MUNICIPALITY OF ANCHORAGE Development Services Department On-Site Water & Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchocage, AK 9951g-6650 (gO7) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM I WATER SUPPLY PERMIT Initial Date Issued: Feb 21, 2006 Expiration Date: Feb 21, 2007 Permit Number: SW060022 Legal Description: ILIAMNA ACRES LOT 5D Design Engineer: 0855 Garness Engineering Group, LTD Owner Name: WILCO CONTRACTING Owner Address: 16701 RANSOM RIDGE ANCHORAGE, AK 99508- Parcel ID: 017-101-31 Site Address: 5301 RIVERTON AVE Lot Size: 49562 SQ. FT. Total Bedrooms: 4 Permit Bedrooms: 4 This permit is for the construction of: [] DisposalField [] SepticTank [] 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. Issued By:.~ Date: Date: .7/z~/~(~ Municipalit3, 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) 343-79O4 ~[-~ "-~ ' ON-SITE SEPTIC/VVELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. Legal description (Sub'd, Block & Lot) Day phone Zip Code q~--~ Zip Code Legal description (Township, Section & Range) Lot Size. '/~--~' Sq. Ft. Number of Bedrooms THIS APPLICATION IS FOR ([]all that ap.ply): Absorption Field Septic Tank ~[ Holding Tank ~ Privy Private Well ~ Water Storage [] THIS APPLICATION IS AN: Initial ~ Upgrade ~ Renewal I certify that the above information is correct. I further certify that this application is being made for a Single Family Dwelling and is in accordance with applicable Municipal Codes. (Signature of property owner or au'ff{orized age't) Date of Payment: Receipt Number: GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS & GENERAL CONTRACTORS '"~". .................. January 19, 2006 Municipality of Anchorage Development Service Department On-Site Water & Wastewater Program ,~700 South Bragaw Street P.O. Box 196650, Anchorage, Ak 99519-6650 (907) 343-7904 Ref: Proposed Well and Septic System for lliamna Acres Subdivision; Lot SD, To whom it nmy concern: The proposed 4 bedroom house will be served by a private well and septic system. We are proposing to install a SCAT Biofilter system which will consist of a 1500 gallon S.T.E.P. tank and a 5-wide trench type drainfield. Two test holes were excavated on the property. The drainfield will be designed around the 30 foot radius of GEG, Ltd test hole. Comments regarding the design are summarized as follows: I. SOILS: See the attached logs which shows the soil classifications, groundwater monitoring, and the percolation test results. 2. DRAINFIELD DESIGN: Sec attached design drawing for drainfield specifications. 3. SURFACE WATERS: There are no surface waters within 100 feet ofthe proposed septic system. 4. TOPOGRAPIIY: As can be seen on the attached design drawing the average topography below the drainfield is a 10-15 percent slope running approximately northeast to southwest. In short, there are no slope concerns. We are unaware of any adverse impacts this installation would have on adjacent wells or septic systems. Ifyou have any questions, please contact us at 337-6179. Thank you for your assistance. E., M.S. NOTE.. Attached is a site plan drawing, a design drawing, two soil logs, which are all part of the design package for this septic system. (Contact G. E.G. Ltd. for T page construction specification letter.) 3701 E. Tudor Road, Suite 101 * Anchorage, AK 99507 Ph: (907) 337-6179 * Fax: (907) 338-3246 * Webslte: garnessengineering.com ~ I I ~ I I \ I I / I I \ I I / I I \ I I ! \ / I I ,. I I / I I C~n¢ "--.. I 4,/ I ~.~ ----I' I I I I I I I I I ~u~ ~c~£s s/u; ~tJ~L~ ~ES S/U; I I ~ ~ S/~; I I LO~ 5c LOT ~ I I ~ 4~ ', ,, I I I , ~. I I I I I ~ H~ I I ~ .~, Ii I i~ ~s s/o; I I ~!~ ~ ,o~ I I I I " I I ~ ~, RIVERTON OOURT ,-- --~- z - / I% -,~, I I ~ ~ ~ · t I " ~ll I B~RCH ~ ~A~S; ~ ~ I ~T&BL~ ~. ~ LOT2, eL~. ~ / l~ I I ~ - , GARNESS ENGINEERING GROUP, Ltd. I~q~'"' 9B ~ ~.~ ~,~,~,,,~ ~ ~,~ =~,,~=,~,~--~--- - ~..... ..... ,./ ...... :....~[ v~[v~[~ to.: I~.o.t .uu~.: I v~[ .~u~[a: ]~ 5-q..~ .............. :....~ ~ _ f · A mess ~ DESIGN CRITERIA: (;EG. Ltd. HAS A 7 PAGE SPECtFICAZtON NUMBER OF' BEDROOMS:4 LL~ITER THAT ptrRTAJNS TO THIS DESIGN. TO OBTAJN A COPY OF THE L['I'fER GALLONS PER DAY (GPD): 600 ~ CONTACT GEG. BY PROCEEDING FORWARD PERCOLATION RATE/S: 2 MIN./INCH WITH THIS INb'TA/.LATION, THE PROPOSED APPUCATION RATE: 3.0 WEtt DRIU.[R, CONTRACTOR AND HAVE READ THESE SPECIFICATIONS AND AC.ER TO *CCE~T THE teRMS AND I~RAINIF'I[LD DESIGN: ./*--BRENT EATON PE IAAXIMUM OEPTH:2.$ FEET I"E~T HOI.~ ' ' CONDmONS M.O.&. APPROVED SAND F1LT~R: 2.0 FEET EFFECflvE'O$ FEET~/caPROPOSED · ' GALLON S.T.E.P. TANK REDUCTION FACTOR:N/A / '~ SCAT 810FILTER .~CTUN. SO. FT.: 200 I I / S¥S'TEM CONTROI. S INSTALL EOUNOA'IION PROPOSED 650 GPO I / / I ..VA" -\\\ I..' HOUSE ~xx.~'~ / ......: .., . ....... 4 \ I I , ?/ · ' ' ° 2'"~'"'' otE. co. CtOR I THE WEST LOT LINE AND THE I /~;-~ };?:7 REGISTERED LAND SURVEYOR ~ /.~: ~:'.:'~.~ \ I DILL WILCO 907-242-5445 2 OF 5 ~, ~,.~ '..., eJ ~ ~ A. Garrj ,ss.: ,~.,~ ~UAMNA ACRES SUbDIVISiON: LOT SD. C4.G DESIGN FOR PROPOSED WELL AND SEPTIC SYSTEM 1/19/2006~--'"'"~'"~'~'~- ~ROId SCAT UNrT CO L ¢0 FEET LONC , ,,;0 I E ~rro.I I MOUND TO BE TOPSOILED AND SEEDED AFTER NSTALLATON GARNESSc?,?u~?~,I~sN~5~R~I¢oN~?,~Go~OUP, Ltd. /~ ':~'..~(.9.~ PREPPED FOR: PHONE NUMBER: P~E NUMBER: ILIAMNA ACRES SUBDIVISION; LOT 5D C.J.G. ~ '"~'T~Ii'2'PROFILE OF SEPTIC SYSTEM UPGRADE I 3/19/2006 ~ING GROUP, Ltd. ~&~.-"~d"~ "...~0~\ SOIL LOG - PERCO~TION T~ST '~] .........{~.~......~ LEG~ DESCRIP~ON' I~M~ ACRES SUBDMSION; LOT 5D. )~ t[~ ~ ~y ~nes~.: ........ ~.' CE 795 .' ~ * '.. .t..t, ;,~,, I IF ATI N ~... ~ ' j 2-- ~,~:~,s, ~ -- I-~ ................................... ~..-k~ :...:' '.~ GW ~=~: O~G j I ,{~;~ ~../so~ oP ~ HL ...................................... 5~. rT~=.. ~,C SILT MIXED J ..~ · ~ j THROUGHO~ ~ GH~ CE 'j ~ I BRE~ ~TON P.E. .~'~ GC OL I ~ ~ 5__~,~' ?t~'~, Sp CH I j ~ SM OH j j sc i ~ 6-- ~ I I 7~ DEPTH TO I J GROUNDWATER DATE ~ CP TO CP/GM I I ~- ,ocK~s oF s~..~ s' ~/,~/~oo~ i i 10~~ t J ~'' ~' B.O,II. 11-- DATE READING CLOCK NET TIME WATER LEVEL NET DROP. TIME (MINUTES) READING (INCHES) 12__ 1/12/2006 1 3:55 - 6- - 2 4:05 10 1" 13~ 3 4:05 - 6- - 4 4:15 10 1' 14~ 5 4:15 - 6- - 6 4:25 10 1' 5' 15~ 7 4:25 - 6- - t6~ 8 4:35 tO 1' 5" 9 4:35 - 6- - 17~ 10 4:45 10 1' 11 4:45 - 6- - 18~ 12 4:55 10 1' PERCOLATION RATE 2 (HIN./INCH) PERC. HOLE DIA. 6 (INCHES) 19~ TEST RUN BETWEEN. 1.5 FT. ~D 2.0 FT. 20 ~ ~ A FOUR HOUR PRESO~ WAS PERFORHED: ~ YES D NO SOILS LOGGED BY: JODY MAUS PERCOLATION TEST PERFORHED BY: ROB ~PBELL COHHENTS: PERFORMED BY GEO, Ltd. I, JEFFR~ A. GARNESS, C/RTI~ THAT THIS WA~ P~FORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: DEPTH TO GROUNDWATER DATE SEEP O 5' 1/12/2006 ~' ~ {,~/o~ Municipality of Anchorage Development Services Department Suilding Sat'e~' Division On-~te Water and Wastewater Program 4700 South Smgaw SL P.O. Box 196650 Anchorage. AK 99519-~650 (907) 043-7904 Soils Log - Percolation Test 10- 11- 12- 13- 14- 16- 17- 18- 19- 20- COMMENTS S;te Plan , ~ . PERCC~ON ~ ~ (~e~) PERC HCLE D~ETER ~'~ II - + PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: .~',-.-"~..~)~,~-"~ Municipality of Anchorage Development Services Department Building Safety Division On-Site Water and Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907) 343-7904 ON-SITE SEWEPJVVELL SUBMITTAL COMMENT SHEET To: Gar'ness Enqineer'incj Legal description: l'liamna Acres Subdivision, Lot 50 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 class ¢ wetlands permit 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. P roposed system too deep for soils information submitted. Well log required. Omission in narrative. Insufficient fill over tank or field. Name of reviewer. 3ulie Makele, P,E, Date: 1/20/2006 Please supply the necessary information and re-submit your request. LEAVE THIS FORM ATTACHED TO THE PAPERWORK OPINION OF COMPLIANCE ANCHORAGE GENERAL PERMIT 93-10N Permittee: Wilco Contractors~ Bill Wilkinson File Number: POA-2006-281~ Rabbit Creek Municipal Reference Number: Rabbit Creek 06-A The permitee will perform work in waters of the U.S. (wetlands) in accordance with the terms and conditions of the Anchorage General Permit, as specified below. Work Description: Construction of a sin.qle-family home, driveway~ and septic system totalinq 0.16 acres in wetlands. No additional fill fora yard is included in this permit.. All work will be performed In accordance with the attached Plot Plan (1126106) and sheets 1-6 of 6, dated (1119106). Project Location: Lot Sd, Illiamna Acres Subdivision, {5301 Riverton Ave), Anchoracle, AK. Anchora.cle Wetlands Map #101~ Wetland Unit #79a. Anchorage General Permit Conditions: General conditions: Water Quality Ce~ficaflon. You must comply with all conditions specitied as part of the Alaska Department of Environmental Conservation Water Quality Certification, which is part of these General Permits (GPs). Historic and Archaeological Sites. These GPs do not authorize activities, including the use of material borrow sites, in or that advemely affect known historic properties listed or potentially eligible for the National Register of Historic Places, nor any such sites listed or found to be potentially eligible in the future. The permittee shall stop work when cutiural resources are inadvertently discovered during the course of work and notify the Corps. The Corps will enter into consultation with the Alaska State Historic Preservation Office to determine if historic properties will be affected by the permitted work. Work shall resume after cultural resources have been evaluated pursuant to Section 106 of the National Historic Preservation ACt. Inspections. You must permit the District Engineer, or his designated representatives, to inspect the authorized activity at any time deemed necessary to ensure that it is being, or has been accomplished in accordance with the terms and conditions of these GPs. Malntenance. You must maintain the authorized activity in good state, and in conformance with the terms and conditions of these GPs. You are not relieved of this requirement even if you abandon the authorized activity, although you may make a good faith or legal transfer to a third party, as described below. Should you wish to cease to maintain the activity or abandon it without a good faith transfer, you must obtain a modification of the GP authorization from the Corps Regulatory Branch either directly, or through Municipal Planning Staff. Such modification may require restoration of the area. Wilco Contractors POA-2006-2g 1 Sale or Transfer of Property. If you sell or transfer the property associated with the authorized activity, you must obtain the signature of the new property owner as the transferee in the space provided on this document and submit a copy of that page to the Municipal Planning Department and/or Corps Regulatory Branch, along with appropriate documentation of the transaction. You must submit this information within 30 days of the property transfer, to validate transfer of the GP authorization to the new party, Project site restrictions and design criteria: Setback. Where there are wetlands along or around a stream or waterbody, the project shall include and maintain a non-disturbance setback, measured hofizontaIly from the ordinary high water mark, as specified in Table 4. The setback area shall be cieafly depicted on the proposed plans submitted with the GP application. No~s: a. Applicants should contact Municipal Planning or Corps Regulatory staff to obtain or confirm delineation of the setback; b. For cun~ntly mapped or unmapped waters, standard setbacks shaft be: L 25'frornnaturalorcons/ructeddrainageways, asdefinedand/ormappedbythe Municipal Watershed Management Section. Construction Timing Window. To protect nesting migratory birds, as required by the Migratory Bird Treaty Act, no work (i.e., clearing, grading, excavation, stockpiling, or placing of fill) may occur on the site between April 15 and July 15, unless: a) the site is sufficiently disturbed prior to April 15 to eliminate suitable nesting habitat; and, b) construction activity will occur continuously through June 15. Note: Clearing or other disturbance of the site ~ April t5 may require Corps or other authorization. Surface Water Features. The project shall incorporate design features and construction methods to maintain flow of surface water across the site. To accommodate this requirement, the applicant shall assess the project site to identify drainage patterns and previously unmapped surface conveyances, such as streams and drainageways. These features must be field verified by Corps Regulatory, or Municipal Planning or Watershed Management staff. The applicant shall contact the Office of Management and Permitting (te1.269-8690), Alaska Department of Natural Resoumes, if the proposed project will cross any surface flowing waterway. Surface flow features shall be clearly depicted, along with any appropriate setback(s), on the proposed plans submitted with the GP application, as shall the measures proposed to maintain such flows. Cress-drainage, may be directed around the development area, but the project must maintain downstream flows similar in quality, quantity and direction to the pre-project condition. As discussed under Setbacks, the GPs may allow crossings of unmapped waterways, but do not authorize permanent diversions, channelizafion, or other alteration. Local Flooding. The project shall incorporate design and construction features/methods necessary to ensure that the proposed project will not cause flooding of adjacent properties or public infrastructure. Stormwater Functions. The applicant shall demonstrate that the project plans include sufficient measures to effectively replace the site's pre-project stormwater retention and fllfration capacity. The measures shall be sufficient to approximate zero net runoff increase for storms with 2-year frequency and no more than two times net runoff increase for storms with a 10-year frequency, including flows from subdrains. Verification that the project's stormwater design meets this criterion must be obtained from the Municipal Wetland Management Section or its designee, and must be included with the GP application package. Project-specific conditions: Time Limit. GP authorization of this project expires on 2/13108. If you need more time to complete the authorized activity, submit a request for extension under these GPs to the Municipal Planning Department prior to the expiration date. You may not continue work beyond the Wilco Contractors POA-2006-281 expiration date until receiving notification to that effect from the Municipal Planning Department or the Corps Regulatory Branch. Note: Perm/trees should allow at least one month for processing of extension requests. Other Approvals Required Before Starting Work. You must not disturb wetlands for this project until you have obtained all applicable Municipal and State approvals required for the work. These approvals include, but are not limited to: Municipality of Anchoraoe! [] Grading & Fill Pemlit [] Building Permit [] Right-of-Way Permit [] Flood Hazard Permit [] Wastewater Disposal Alaska Departmen~ (~f ~nvironmental Conservation: [] Stormwater Treatment Plan [] Wastewater Disposal I-1 Soil Remediation Plan If any of these--or other--approvals result in a change to the attached plans, you must provide a description of the change and a revised plan(s) to either Municipal Planning Department Staff or the Corps Regulatory Branch, and may not proceed with the project until the change is authorized. Offset Unavoidable Impacts. To offset the unavoidable adverse impacts of the project to the aquatic environment, the perm/tree: Note: Excluding lots located in new subdivision developments, single family homes impacting less than 16,500 square feet of wetlands are exempt from this requirement. Waterbody Setback(s). You must maintain a 25-foot non-disturbance setback from Platted Drainageway, as measured horizontally from its ordinary high water mark. This setback area shall be treated as 'A' wetlands. Field Detineaflon of Site and Project Features. You must not disturb wetlands for this project until you cieady mark the following permitted features at the project site: [] Drainageway Setback(s) 7. Limits on Work Area. You must not conduct any of the following activities in wetlands or waterbodies beyond the approved project footprint (or in any other avoidance area identified above) during either construction or operation of the project~acitity: Discharge of §11 material (even temporarily), including stockpiles; or, Excavation and sidecasting/backfllting; or, Mechanized landdeadng; or, Operation, parking/storage or servicing of equipment. 8. Construction Runoff. You must employ runoff control measures necessary to preclude or minimize both erosion and the transport of sediment, pollutants, and solid waste beyond the approved project footpdnL These measures shall include, but are not limited to: Phasing of Site Preparation (to minimize the extent of exposed soil); Silt Fence; Reroute Offsite Runoff around Disturbed Soils (e.g., dike/ditch) Matting (e.g., jute, straw, co/r) to stabilize fill slopes; Sheeting for Stockpiles, Temporarily Exposed Slopes (e.g., plastic, geotextile fabric); Outlet Filtering/Stabilization for Constroction Dewatering; Revegetation of Fills and Disturbed Soils Contaminated Soil. If contaminated soils are discovered during construction, you must immediately cease all work in the vicinity of the contamination, contact the Alaska Department of Wilco Contractors POA-2006-281 Environmental Conservation for instructions, and defer any further activity until you receive ADEC approval to continue. 10. Endangered Species. The activity must not jeopardize the continued existence of a threatened or endangered species, as identified under the Endangered Species Act, nor endanger the critical habitat of such species. Your signature below, as permittee, confirms that you accept and agree to comply with the terms and conditions of Anchorage General//3~ermit 93-10N, as supplemented in this document. · C,,.,, 4w.. c ( PERrI~I'i'TE E)-NAI~E. AN D TITLE {DATE~' / Opinion of Compliance The signature below confirms the Municipality of Anchorage's opinion that the project described above meets the terms and conditions of Anchorage General Permit 95-10N · MUNICIPAL OFFICIAL NAME~ TITLE (DATE) When the work authorized by the Anchorage General Permit is still in existence at the time the property is transferred the terms and conditions of the permit will continue to be binding on the new owner(s) of the property. To validate the transfer of the permit and the associated liabilities associated with compliance with its terms and conditions have the transferee sign and date below. (TRANSFEREE) (DATE) Attachments: Plot plan (1/26106), sheets 1-6 of 6, dated (1119106). Wilco Contractors POA-2006~281 .'Municipality of Anchorage Development Services Department Building Safety Division On-Site Water & Wastewater Program 4700 Braaaw Street Anchorage, AK 99519-6650 ~ www.muni.org/onsite // wU,-'-" ~ (907) 343-7904 CERTIFICATE OF 0N-SITE SYSTEHS APPROVAL FOR A SINGLE FAHILY. DWELLING Parcel I.D. 017-101-31 1. GENERAL INFORMATION Expiration Date: ,~ '-- / Z-~- //' Complete legal description Location (site address) Current Property owner(s) Mailing address Lending agency Mailing address Real Estate Agent Mailing address ILIAMNA ACRES S/D; LOT 5D 5301 RIVERTON AVENUE * ANCHORAGE, AK * 99516 ROSS RISVOLD Day phone P.O. BOX 100216 * ANCHORAGE, AK * 99510 Day phone TAMMY GILLS W/ DYNAMIC PROPERTIES Day phone 3111 C STREET * ANCHORAGE, AK * 99503 529-1899 727-8115 Unless otherwise requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 4 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well · Individual On-site · Individual Water Storage [] Individual Holding tank [] Community Class Well [] Community On-site [] Public Water System [] Public Sewer [] The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of On-Site Systems Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of On-Site Systems Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues COSAs upon request to homeowners. Certificates of On-Site Systems Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water 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, t 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 afl applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm GARN.ESS ENGINEERING GROUP, Ltd. Address 5701 E. TUDOR ROAD, SUITE 101 * ANCHORAGE, AK 99507 Phone 337-6179 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Date | ~/'7/J¢ Engineer's Comments: 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 afl 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. DSD SIGNATURE '/ Approved for ~ Disapproved. Conditional approval for ~ bedrooms. ON-S E WATER AND :m¢ WASTEWATER ; ' ......... · . PROG M ., - bedrooms, with the TO .OWing supu~auons::~ ~ .. .. ~ ~ .,,%,... ... ",~)_"~l~J b~~'-' ~,, A~achments: COSA Checklist Septic System Advisory Well Flow Advisory ,~,, ~ Advisory (Rev. 11/05) Arsenic Advisory. Maintenance Agreements Supplemental Engineer's Report Other ~~ Odginal Certificate Date: Welt Log(Y/N) · :~resprol~er!y,pro~ed (Y/N) casi~iheight (at)ovegmund) YES YES 2~+ in. F~: ~L LOG I::)ete of test ' 5'/23/~006~ ~ic wa{er,:,teve,I ' 6'1' . ,-ft. Well priori 25 g~p.m. AT INSPECTI,ON .56 ,: "6.2~2" .ft. .g~p,m. C~lff,°rm ~. ceti~lies/$oo, ml. Amenic: ~,u~L. N~O'~mg,lL. Other :ba~ia 0 cole, iesttOOml. Date Of, sampte:',i 1,,/2_4/20t0 Celiected:~y;. GEG 'Ltd, 2 Depmssionove~~ tank'~/N):'~NQ., Pum'.,~'r Date, inStalled.,4/:1~ t,. t.2/2Q06 . YES ? H~,-w~erat~m,.(YtN) , YES ~:; MA~,A~ENcE REPORT Sys{em,Wf~e: .SHA~LO~V- T~ENCH G, ra~el, ~piPe, 0~5 ff. · .Res~tts?:(Pass/Faii) ;.:~SS ~E~:Time,:,-_ .miR: F~-'~id depth',DRY in. At)serption'~-a~e >= AnY,'.~uv~ ~r~:(~ 1~2 me.). (Y/N & type) N~~N. If yes:~, give date ',NOTE:. 'B'R*I~IE~'::i~ iNSeTs-D:.' **QuANIOs: ADVANCED ~R~:ENT. 'SYSTEM: .'. ' DePression~ov~f~ NO FO~- 4': b~eems New d~pthi-,DRY in. 600+ .g,p.d, '~".instal:led; 4/11.~ 12/06 "Pu:~.on" level at T.[~. ;in. DatUm BOTT/OM OF TANK E. *SEE' A'ITF~'~D' iNSpECTION REPORT. Size,.~!~i~ohs 1500 , ManholelAC,~s (YIN') "Pumpoff"l~Vel ~tTIMER. in', C,yCl~test~d . . YES 46 ~ in. Meets a~I & ~mu,~ ~ui:rements? :YES ~Sepfirc tank/tJ~.stati~n on 'lot , 10,0f+ Absorption field,on lot , .. 1,00'+ 'Public sewer main N/A Sewer/septic serviceline 25'+ On adjacent lots 1~00'+ On adjacent,lotS tOO'+ Public sewer man~:le/clea3eut Holding ,tank N/A Animal containmentamas ' 50'+ Manure/animal excrete StO~e areas SEPARATION D~A~s FROM~;EPTICIHOLD. ING TANK 'ONLOT TO: .Building foundation 5'+ P~-operty line' 5'+ Water'main N/A Water secvice line .10'+ Wetls on adjacent I~.s 1 ~30,+ SEPARATI~-I~I:S~E .FR~ ABS~TION,FIELDON LOT TO: Pm~ line 1.,0;+ B~ilding foundation 10'+ Wate~ service .line 10'+ Surface Wate~ 100'+ Curtain dram NO:~I KNOWN Wetls en adjacent lotS 100'+ .cOma TS 100'+ Absm3~ti0n field' 5'+ Surface wate~ . 1,00'+ Water main N/A Driveway, parking/vehicle storage 10,+ Engine's Printed Name ;JEFF~ A.~ .~;ARN£SS Date , */'1'~Il> CO~ Fee (Rev~ '11/05) and Waiver Fee $ Date' of Payment Receipt Number SGS ReL# 1106311001 Client Name Garness Engineering Group, Ltd Printed Date/Time 12/07/2010 15:32 Project Name/# Iliamna Acres Lot 5D Collected Date/Time 11/24/2010 10:29 Client Sample ID Iliamna Acres Lot 5D Received Date/Time 11/24/2010 11:15 Matrix Drinking Water Technical Director Stephen C. Erie Sample Remarks: Allowable Prep Analysis Parameter Results LOQ Units Method Container ID Limits Date Date Init Metals by ICP/MS Arsenic ND 5.00 uod~ EP200.8 C (<10) 11/29/10 12/01/10 NRB Waters Department TotalNitrate/Nitrite-N 0.984 0.100 mg/L SM20 4500NO3-F B (<10) 12/02/10 AYC Microbiology Laboratory E. Coli Negative I 100mL SM20 9223B A 11/24/10 DLC Total Coliform Negative 1 100mL SM20 9223B A 11/24/10 DLC & 164.93° · daub. ~.~ L:~X3? ~.2:13PI1 p! NA'FJP, AL DP, AJN~Ay ' PR I,~:' 101 LOT 8(: LOT SD. \ \ / --e------~x- RIVERTON AVENUE / '----- LanJj &: Associates, inc ::~ ~,n~ ~-..., ^.:ho.,... ~:,~o ,,::~.~,. ~ - · ~' -- ° (gO7) 522-~47~ PhOnE UNIT # 14 Legal Description: ~,amn~r." a'SD Street Address: s3o~ Riverton AVE Owner Name: F~o~8 & Mary Beth Risvold Billing Address: PO Box ~oo2~s Anchorage, AK 99510 Phone #1 677:5903 Phone #2 Phone ~ Start up date: 2/1/07 Contract end date: 2/10/10 .... Dates of service '"f"'/~,:~ ]~.,. ' ~ 10/10/09 "' Timer - Off '!,,',e ' "~,::: 10 Override - On ..... "Z: ....... " 3 '..'.. oveJ'ride - Off C ..... 6 .... pump 'Run Time, ~-~.q.,:~ ' '7'.'," "~.',~ Low Level Count ~ .., 6 High LeVel Count ~:'i .... 51 ..... Orfice cleanbd 'YIN'(. ~:., . .. T~....~- .. y phone' £Jne Working "YIN' .~ ~,. ,~. . ~ o ... Y Tank Levels Checked (Y/N :~,',~. c. ~""i .... Y~ FlOats Checked /Y/N) "~ ~:''' /0, c?, : n ' 'M'onitoring Tbbes ~.,.., ~,~.., .'C) ~.,,j 'all dry ' Filter Plates 'Ciean~Jd 'Y1Ni ','¢. t.., ~'~,.~" - y P~essure Filter-Cleaned 'YIN'v~:,.,. T'~.:~ . "y ' ' All Lids ~'ecured 'Y/N'...i~: .~: -~,,..~" D0_o..r Hanger Left Y/N)-,f ,:. ,, ~,bffi.~... y Notes: Photos 3345 10/20o8 photos 173,172,171 ;photos 2433,2434 ADVANCED WASTEWATER T~A.Ti~IENT S~,~ 'S,FIkM REPAIR AGREEMENT M:EM()RAN 1)[ 'M OF UNDERSTANDING BETWEEN MUNICIPALITY OF 4NCHORAGE ?v' ' ~ ' ...... ' ' i~ THIS ~EMOR~'\NDL M OF., NDI:RSIAN DIN(i made and entered into as herein the "OWN[~R,"' and the Municipality of Anchorage, herein ML~ICIPALtTYf' In consideration of the mutual: covenants contained he~min, the ?~ies to this Memorandum of Understanding agree as fbllows; ' .... ' RLA I MEN l S5' a~l EMS.= MLmicipaHty 1, ADVANCED ~AS] E~ATER T ;' ~' ' ....'g grants pc~fission Io Owner ~o utiIize and o~mte an Advanced Wastewater Treatment System (AWW'TSL described Iocaled 2, Definitions. A, Altera rio n. A n..5~ chan =<:,e to the design or fUncti on of a.n A W W TS I nct:udes the h~sta~a'tion or removal of any parts, components or pieces not inck~ded in the origina[ con:;lmcfion permit and desigm :',-" W astewate r I )i:sposa} S y:stem Con strut ilion Pcm~it tk~m lhc M unic ~: Certificale of ()n-gik~ Systems Approval. An approval by Mu.n c pa iw of existing.. 'wa~er and ',~ aslewatcr d~spoz;a, s'~ ~n'~s ..... ibc :time o:{'p'ropcrb,, sale and ~itle mms~k:r ia accordance wk~ AMC 15.65.. c,o~ stmdio:n~ (7, Damage, A~w, :~ the system tkom p:erRm~}% as dc:signe& D. 5:iaititenance and Repair,: The schedukd and as needed rep~accmcm of existing p:aas~ components and pieces of an AW W'I'S t}~at w'c~e included the original design which would allow the AWWTS ~o continue to pc.rl.b~ as designed, E, Permit (Construction) An On-Site Wasiewater Disposal System (..:oasm~ction Pen'nit as defined by AMC ] 5.65. F. Permii (Operating} ~ Advance:ed Was~cwatcr Tream~ent S?slcm ai lows ~he O'~vncr ~:~') operate afl ~,!~U~VTS, upon meeting ali the requirements of the Om:Sile Was~ewater System Construcfiort Poma. it and all relevant provi, sions of AMC ] 5.65 Fee. Ow~er shalsi pay to Municipa~ib,, an an:hunt fee of ~:~reai~er, Thc annual '~e is du:c: on. or be~bre ~t~e anniversary ~aate of thc approval by , ~,. t.c:m~ oi:' d'~s Memo ra,"ld um of t..: nde:rsl, ar'~dm~ shall he ~"",~'" ' W W TS, th~ now owner or ~mt~sf'er~c of thc 5, A__!.ter~a/~'~:ous, !~.s_~allation and Removal of Additi0.'~,~!:~,:}~~n!~ ()whet agrees not to make any :a]teratior~s, ~mo~ a:] of pans or additions ~o the AW WTS wi~hom a C ons~mction Perm ff ~kom the Municipal iud, 6, Maintenance aud Repaj~. A. I~roughoc~t the term of ~his Memorandum of Understanding, the Owner shall maintain A WWTS in good repair, tn addition, ff shal} be the .re:sponsibiti~y of the Owner duriag lhe lenn of this .Memorandum o f Undersmndin g, and m~y extensions or renewals thereof, at the owncr's sole expense. [o pay Gr any and mMntenance. (3) a4~t~stment(s), (4)rep.[accmcnt cos~.s, and (5~ in. spcc~ion Fun~er, Owner agnes to comply will all applicable ordiaancc, Jaws, regulariorls, rules and orders for ~he A WWTS. B. Owner agrees to provide the Municipality a wrfften schedule maintenance and repairs which have ~een performed on the system p:ursaant to thc schedule shal} be submitted ~o the Municipa{ky annually upon the renewal of the pc:m~it, ']'he schedule of mahz~enance a:r~d repair contained in thc O,a, ner's A WWT"S A WW'I'S are codified h~ AMC t4.60. AWWTS up,an 24 hours wrhtc:n F, Owner agrees tha'[ any :sale or transfer of tkle of thc prope~y wilt not occur wkho~i a new Ce~xificate of On-Site Systems Approval. G, Owner agrees that the re'k:vant provisions of the s~ndard specification guidebc~ok lk:~r A WWTS is thc governing profbssi,onal guidelines for the cosstmcdon, man.[enancc and repair of the Owner's AWWTS~ 7. Nouwaiver. The hilure of either puny at any time to cnfb~:e a prov~s~on of t}~is Memorandun:t of Understanding shall in so way constitute a wai,~er cfi'the provisions.~ nor in an> ,,~ay ell'bet the va~idity ~;~f thc Memorandum of [ Jsdcrsianding or any part hcrco:f} or the rig;hr of such puny thereafter to e:nfome each and eveu, provisior~ hereofi A, This Mcmomndm~ of l,,~nde:rstanding sha~] only be amendcd~ modified or changed by a wrhing~ e'~ecuted by a:u~horized 2>m~a.lk} of~;h:is Mcmonmdum of L:ndersmr~ding was executed and ssch ~,~,rifing shati b,e attach.cd io {his Mem(xra. ndum of'Understand[ag as an amcndmcnl~ ¢ondiikms of this con:Ir:act, the only authorized representat:i¥cs or'the parties are: Purchasing Officer C. Any a~ernpt ~o amc.nd? modffy'~ or change Ibis, corn:fac[ by either Statc of'Alaska al Anchoraae 'D~e }aws of {he Si;ate of Alaska shaN sc,~ ~.rn tine ~,'iahts and ot',,~iaations of th e: parties re'ldo r thl~, Memorandum o f [ Jnderstandin o ~0, Severabilitv, Any provisions of this Memorandum of Undcr¢~mding decreed invalid by a court of competent jurisdktion shall n.oI invalidate the remaining provisions of Ihe Memorandum of Undcrslanding~ MUNICIPALITY: Tide: Date:: ,) ') Municipality of Anchorage Development Services Department. Building Safety Division On-Site Water & Wastewater Program ~_~ ...,.~. 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.o~g/onsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEFIS ~,PPROVAL FOR A SINGLE FAMILY DWELLING ParcelI.D. ~i'7- /~.~° 3! 1. GENERAL INFORMATION cos^# HA Expiration Date: 0700.2 o Complete legal description Location (site address) Cu~Tent Property owner(s) Mailing address Lending agency Mailing address Real Estate Agent Mailing address ILIAMNA ACRES SUBDIVISION; LOT 5D, 5301 RIVERTON AVENUE · ANCHORAGE, AK 99516 BILL WILCO Day phone 16701 RANSOM RIDGE * ANCHORAGE, AK 99508 Day phone 242-5443 Day phone Unless otherwise requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 4 3. TYPE OF WATER SUPPLY: Individual Well Individual Water Storage Community Class Well Public Water System TYPE OF WASTEWATER DISPOSAL: Individual On-site ~r~ Individual Holding tank Community On-site ~r~ Public Sewer The Municipality of Anchorage Development Se~ces Department (DSD) Issues Certificates of On-Site Systems Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil · engineer registered in the State of Alaska. Certificates of On-Site Systems Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues COSAs upon request to homeowners. Certificates of On-Site Systems Approval ara 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 seat affixed hereto and as of the vatidation 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/orwastewater 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 Anchorege 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 GARNESS ENGINEERING GROUP. Ltd. Address 5701 E. TUDOR ROAD. SUITE 101 * ANCHORAGE, AK 99507 Engineer's Printed Name JEFFREY A. GARNESS. P.E. Phone 337-6179 Date Engineer's Comments: In qonducting this evaluation, GEG, LtD. attempted to prot4de a thorough, conscientious engineering analysis of the system in accordance ~,fth ADEC end MOA DSD Guidelines & Regulations. The mporfed msutts described the peffon'naece of the system under the conditions encountered at the time of the test, and separation distances measured to readily identifiable features, The operational lifo of all wells and septic systems depend on the local soils condition, groundwater levels that may fluctuate dudng the year, and the water usage of the family being served by the system. These conditions ara outside the control of the evaluator of the system. Satisfactory test results do cot guarantee future performance of the system, nor do thoy guarantee that there are no hidden defects or encroachments. GEG, LTD. can therefore not prevfde any wamanty 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 ._L_/ Approved forJ'3L': bedrooms. Disapproved. ._ · ~ ~ WAS'rEWATER bedrooms, with the fllowing stipulations: __ Attachments: COSA Checklist Septic System Advisory Well Flow Advisory Nitrate Advisory Areenic Advisory Maintenance Agreements Supplemental Engineer's Reort Other Original Certificate Date: .~ - -~- -- 0 7 Municipality of Anchorage Development Se ices Department Building ~afet~ DNision On-Site Water & Wastewater Program 4700 Bragaw Sa'sst P.O. Box lg6650 Nlchomge, AK 99519-665O (g0?) 343-7g04 CERTIFICATE OF ON-SITE SYSTEHS ,/ PPEOVAL CHECKLIST Legal Description: A. WELL DATA ILUAMNA ACRES SUBDIVISIONi LOT 5D~ Well type I~I~VA~; If A, B, or C provide PWSID~ N/A Data c~mpleted 5/23/2006 Sanits~/seal (Y/N) YES Totaldedth 120 ft. Data of tast Static water level Well production WATER SAMPLE RESULTS: Cased to 120 ft. FROM WELL LOG 3/23/2008 61 ft. 25 g.p.m. Coliform (~ oolonies]100 mi. Arsenic: ~ ug./L. NiUata ~[~.. mg Jl.. Date of sample: 1/25/2007 Parcst o: 017' 101-.31 wst Log (Y/N) Wires probady protected (y/N) Casing height (above ground) AT INSPECTION B. SEPTIC/HOLDING TANK DATA Tank TypeJMatarist STEEL/GREER Tank size 1500 gal. Number of Compartments Foundation deanout (Y/N) YES Data of pumping NEW Pumper C. ABSORPTION FIELD DATA ft. g,p.m. YES YES 18+ in. Other bacteria (~ colonies/100 mi. Collected by: GEG~ Ltd. Data installed 4./11 - 12/2006 2 Cleanouts (Y/N) YES Depmseldn over tank (Y/N) ~ High water alarm (Y/N) YES PBELOW FINN- GRADE TO TOP OF' ,~NDI Date installed 4/tl-12/200S Soil rating ~r ft~13drm) 3.0 System type Length 40 ft. Width 5 ft. Gravel below pipe Total depl~ ,5.67 ft. Eft. absorption area 200 fi2 Monitadng lube YES Data of adequacy test NEW Results (Pass/Fail) - Fluid depth in absorption field before test - in. Water added - gel. Elapsed Time: - min. Final fluid depth - in. Absorption rata >= Any rejuvenation treatment (past 12 mo.) (Y/N & type) NONE KNOWN THIS IS A SCAT AEROCELL TREATMENT UNIT 5-WIDE New depth 600+ If yes, give date 0.5 ft. Depression over field NO For 4 bedrooms - in. g.p.d. D. LIFT STATION Data installed 4//11-12//06 'Pump on" level at TIM£Rin. Datum BO1TOM OF' TANK E. SEPARATION DISTANCES Size in gallons 1500 "Pump off' level at TIM.EF~n. Cycles tasted. NEW SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot Absorption field on lot 100'+ Public sewer main N/A Sewer/septic sewice line 25'+ Animal containment areas 50'+ 100'+ ManholeJAccess (Y/N) YES High water alarm level at 46 in. Meets alarm & circuit requirements? YES On adjacent lots 100'+ On adjacent lots 100'+ Public sewer manhole/cleanout Holding tank Manure/animal excreta storage areas 100'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Water main N//A Water service ine 10'+ Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ Building foundation 10'+ Water service line 10'+ Surface water 100'+ Curtain drain 25'+ Wells on adjacent lots 100'+ F. COMMENTS Absomtlon field 5'+ Surface water. 100'+ Water main N/A Driveway. parking/vehicle storage 10'+ G. ENGINEER'S CERTIFICATION 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 JEFFREY A. GARNE$S Date cos^ Fee S ?. DsteofPaymant /-- (R~. 11/06) Waiver Fee $ Data of Payment Receipt Number ...... SGS.._, ... SGS Environmental Services Inc · 200 W. Potter Drive .............. Anchorage, AK 99518 Tel: (907) 562-2343 Fax: (907) 561-5301 SGS Ref. #: Client Name: Project Name: · Client Sample ID: Matrix: PWSiD 1070349 Gamess Engineering Illiamna Acres, L5D III[arena Acres, LSD Drinking Water Sample Remarks: All dates/Jmes ere Alaska Standard Time Printed Date/Time: 02/05/07 7:10 Collected Date/rime: 01/25/07 15:45 Received Daterrime: 01/25/07 16:07 Technical Director:. S~ephen Ede .. Parameter Results Allowable Prep . Analysis PQL Units Method Limits Date Date Init Bacteda Nitrate Arsenic 0.00 0.78 ND 9222B 01/25/07 01/25/07 dpt 0.10 mg/L EPA 300.0 10.00 01/26/07 01/26/07 Jds 5.00 ugJL 200.8 10.00 02/01/07 02/01/07 tk LOT 5A ~ 10' TELECOM & F~.I:)'LCTRIC F'A~EMEN~ · 17-- ' S 89'57'15-~-E 1,4.93". ' .... /-- 45.6' Jan. 24 2007 12: 13PH P1 "-- APPROXJMATE UNE OF NATURAL. DRAJN~Ay ' PER ~ 101 laOA WgTt,~DS Art. AS I I LOT 5C / I LOT SD. 49.582 N / ~ RIVERTON AVENUE / IPLOT I AN ._J BUILT ..~1'=40' ~057 No. 05-266 jLonij & Associofes. inc. · 907) 522-6476 Ph6ne Registered Land Surveyor~I~o~) ~2~-~e~ ro~ ~'2LU~"."* *_C.R[S $ ..U~_ *oN (~T~e-~o) - ~ F, ~ ~J*~ ~. ~ . s~, .~+~ ~ of ~oh~ ~. _ .. '~%'... ~s~02 ...'~ · ~,. ~,~~,~