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SUNNY VALLEY LT 24
Sunny Valley Lot 24 #050-354-08 Municipality of Anchorage •;�.� � Development Services Department .1 Building Safety .1 Division On -Site water and wastewater Program, 4700 Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 Page / of 3 www.ci.anchorage.ak.us (907) 343.7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number: rn2 PID Number:Q S4 — 3$L/— dip Name Wastewater System: j$New ❑Upgrade Aaa•u g33 W16,177– ABSORPTION FIELD Ph° 332 -3 Numeerdl B.dndma O O � S Cl DMP Trardl O SMAow TranC, O BW Moixw D Omar LEGAL DESCRIPTION "JRa°"g 4 ��ie\ ( �, TotalD.Pme.mw9i"gr,ea Blah LM SuEmvloon: DPDIFI� Dapm m PPe adeom eorrl i gowi gnda Gra," MPth Oarwat" VM Ft. TownwP Rarpa aaCLM: Q FI. Fal added gouty mp "pada / t, FI Gnv" Longt" Fl. �O Ft. Well: New❑Upgrade Gnw.dm. S S NumoarOt • DlNanw »wean awe Cla•aM1raOan (Pnnu, A, B. ) Tar D.pth.�� Ca•ed m �� TE / Ft. / Ft. Tow adaapaM ane 0 — Ft pipe Matanal Ft Dnnw Data now SwOd Walar Lev" 25 07 ZS Fl Flt mN"lar V• F -E6 VGE d �VC- Dai, Met" d� � ��f• ,/O Ywld O Pump 5.1 at /3� Camp twp"i Al. Grww . F GPM F,. .7 FL TANK SEPARATION DISTANCES ❑ Septic ❑ Holding S.T.E.P. ❑ Other. To from Septic Tank Absorption Field Lift Stati/o�n� Holding Tank ublic[Private Sewer Line oct.. % /(� •iwr„r 2O�Gal wM 12LI f- S4 r4 �Z0 f ^ /tJ0 /f, M. enY.� Nume.rq Calla"mann Z S.1ocawate, 1040,4- 14 O •'r- 00 t — LIFT STATION T kc Lot 4n. 50"0. 36 rr Sa_ .!a eGwer Gal ss• 10010 y6'04" TAti�l� 4 Fawgaiwn 2�/•I•r" Pump on MvM .L�P •ump W NvN at N�p�water alrm at 3 zc Cu"a,n DfYn 0'+ 3 6,4- 0 /t _ N inj 3�1h Pump Make a Modal Eiwndr k,emCOM• anwG by soosf as y Gtl21G T C orez 6X01. Remark. BENCH MARK Loudon all Desotmon. a P OF ecK la W YM /04 FL �t�1l Inspections performed by: 41Q►T111`The. Dates: 1" /D14 2nd d 0 AWL, Oq��' R, ,... .?fit .•• .....,• F�� 3 ,•. 21 Development Services De/p�artmentApproval P ConditionalApproval� r[,/ J(l. O Date: �l `Jr"0,% n ✓ .v:•�Y;' :..' T -o ✓ aA :r yv✓7CuGt t✓w .v w,'f� ar foo p � sysT�/s r, t.ry s`Pr"a..5 A V• •� Reviewed and approved by: L �� Date: �'2 G'O (aw eama) If V �"�'k:Cr .C.O. MH 35 35 46 House i Driveway Drain 2' Wide x 6' Deep Draln Rock w/Geofabrlc NNWtF-Jel o r a =f ZDECK FCU �dvnntex LS Manhoi �/ J THLh\ �\ Schedule 40 U Drainfiel d & Alterr N MT 4 TNy ,\• \ Ln to V: cc n I \ Ss�°O �� \ pp`f \ \S '00 \ �X, 8, \ -tain Drain Wide x 6' Deep xin Rock w/Geofabrlc e�Ilorce Main Site F.C.O. ST CO STCO2 D.C.O. CO2 M.T. CF NORTHRIMo 1��� SI-, ADVANTEX RECORD DWNG PLAN VIEW ENGINEERING '.asm. SUNNY VALLEY S/D LOT 2 PO Box 770724 N••'�......•••••••• £09/e Rt~. aoako 99377 a : f •'......' CLASS B WETLANDS PERMIT . V = 60' 907.891.7018 POA -2006-213 r F 6/7/07 2f` of 3 F.C.O. ST CO STCO2 D.C.O. CO2 M.T. Iii Q § CO. j u V ) \ o® w e� 3 k( � uL� t | « }C4 } G / a a m] ) 0 }41 \w ƒw>» ) }u 0 u ::Dqd( - ae. & | 0 kuj} �kw U WU > \ 3Eoc u�§o q=X� \ tem- p f f �§k \ :5C� _ o- =�£=gip .• 2 � � A - � ��6: {�§$� ■� 0°�- �c� L©y4fUo e�3e X0) o\C,■ \ \ {ice w§ƒ )6,} #/m(50)� ƒ{{; A < >®i 3 ew ajw¥wa �/ G } \ L'i � |;lips �|| § � k } 00 c \ $ u \ � Q CO. w , \ V ) w o® w » 3 � � a Li M x U « Qj w G / a a > w7�_/ \w ƒw>» ::Dqd( � � » CO. LLI LLJ , \ > -j ) h o® za » 3 LLI a Li M x U 7 Qj w G / a a > U \w a G Q 0 /\IL # -K 11 r S❑ILS LOG - PERC❑LATI❑N TEST PI'l I r- ZM Date Performed: 10/30/06 INEERING Performed For. Selwyn Jones Legal Description: Lot 24, Sunny Valley 1 - 2 - 3 - 4 - 5 - 6 - 7 - 8 - 9 - 10 - 11 - 12 - 13 - 14 - 15 - 16 - 17 - 18 - 19 - 20 - 21 - DEPTH Date Gross Time (FEET) Depth Net Drop 1 Organic T.H. Location: -- 5- Flat Terrain 2 10/30 30 30 mb 1. 7.5' 2.5' ,•...� GM 31 -- Silty Gravel -- 4 10/30 61 30 mi 7.5' Groundwater? No 5 10/30 Depth -- 5' Water Depth 6 10/30 After Monitoring. See Attached Design Tin trm # Date Gross Time Net Time Depth Net Drop 1 10/30 0 -- 5- GE❑TECHNICAL 2 10/30 30 30 mb 1. 7.5' 2.5' 3 10/30 31 -- 5' -- 4 10/30 61 30 mi 7.5' 2.5' 5 10/30 62 -- 5' -- 6 10/30 92 30 mit 1. 7.5' 2.5' J Percolation Rate 12 Min./inch Perc Hole Diameter 6' Test Run Between 1' and 2' Comments: Presoaked. Perk Performed By NorthRim Fng. I CERTIFY THAT THIS TEST WAS Performed in Accordance with All State/Municipal Guidelines in Effect ON THIS DATE. DATE: 10/30/06 NORTHRIM SUNNY VALLEY Lot 2 ENGINEERING * �9m ' * TESTH❑LE LOG TH4 PO Box 770724 Eagle Ri~. Alaska 99377 aww 9°7694.7028 ""' GE❑TECHNICAL 10/30/06 DE: e6/04/20a7 17:3E' 6NE225? SLLLlvr4t PAGE 01/01 0 f� tl iff eb �Drillfilig log by occ co. du SULLIVAN WATER WELLS P.O. BOX 070'572, CHUOIAK, ALASKA 975e7 •TELEPHONE $69.2759 OWNEROFLAND: `s�Lw�"`f lJAWE�' ADDRESS: _..-_-•--_-__._ . LEGAL DESCRIPTIC N: 4 r /nl nl V 004e -C c V <o -r y- PERMI7NUMBER:060,719 Date oflssua-r— --?--Q! TAX IDRITIFICAT10»I r.UM9FP: Is well located at approved permit location? O Yes U No Metnod of Drilling: 44Ktay 7 Cable tool Depth of well: f -J o9 Casing Type .r/r /./allT.0kness ✓ Inches // Diameter __._ `rches. depth A - feet Liner Typn: --t-4 �tj.& Casing Stickup Above Oround: CR. _ feet Static Water Level: 02,5— feat Recover Rate: .5 0 gpm Method of Testing: AA— Well intake Openirg Type n end O open hole O greened; Start feet Stopped feet 7P6rforatlonSrJ Star;ge tp3ped feet OrotATypa: " r Volume Depth: from cam— feet. tto,.�a? Q foot Well Disinfected Upon Completion^ 1Yes 0 No Method of Dls.nfection: C4 Q& b Po/Y] Ccnnments: 10? 1 rof.r,,4 S: 1 -e -J4 f6 I -F��� ,3� _�_ .S'I .��<: s.t4r t52%y��rt �t �! S f.40 (i %�_�64 Sl. T , (-# J.p d.<#,ltfL 4d.41 �cIFc C4•f7" ClIt 6A.19E ; - S -,4,J+0 C—w,4.Jec < c..JtM le- Drlller's Name A,�4 L=� ATTENTION: It Is the responsibility of the property owner to submit a copy of the well tog to the proper aulho•ity. Municlpal ty of Anchorage: Department of Heefth & Human S.rvices anc'or Department of Environmental Conservation. MatSu 90rough: Department of Environmental Conservation. Jun OS 07 09:0"a .m :...I.v-•I an7 P,: Pump Installation Log Well Drilling Permit Numtx-r: S%VU60249 Parccl Identification Number: 050-354-08 Date of Issue:8-9-05 Leal Deicrip-.6, 'S11MV V.ttle-: !�rty 0,%mrNamc X Addns": sub ( Sehvin Jones Led 2J Sub umterha%cn st n•__--� l Anrh At: 0010,1 f--- — t 5-25_07 Iv:al: instaasion 1�_.�, Pump Intake Depth Below Top of Well Casing: 136 Pect �'-r.. than:iudurer's Name: Dempster Pump Model.MBF-75-S2 pl:,p Size.314 hp Pia•: ss Adapter Burial Depth -10 feet Pitless Adapter Mank.lfxturer's Name Mat linsn "itl:>s 4d: Ater ht^r. ller Arctic Pump & Well, Inc. Well Disinfected Upen Completion' Yes Method ofDisinf:e:rion Chlorine Comments: Nztnp Installer N--mcr Arc:ic Punip & Well, Inc. 'Irc•lic Pump & Well, Irr_, Page J of I ARCTIC PUMP & WELL INC. Jim Sullivan -'1�� ' � �� 110 nnx^,7019'. . bagla Kixt4 Ak 99)77 (907)158.2310 iLl'2s�t'! Pump Installation Log Well Drilling Permit Numtx-r: S%VU60249 Parccl Identification Number: 050-354-08 Date of Issue:8-9-05 Leal Deicrip-.6, 'S11MV V.ttle-: !�rty 0,%mrNamc X Addns": sub ( Sehvin Jones Led 2J Sub umterha%cn st n•__--� l Anrh At: 0010,1 f--- — t 5-25_07 Iv:al: instaasion 1�_.�, Pump Intake Depth Below Top of Well Casing: 136 Pect �'-r.. than:iudurer's Name: Dempster Pump Model.MBF-75-S2 pl:,p Size.314 hp Pia•: ss Adapter Burial Depth -10 feet Pitless Adapter Mank.lfxturer's Name Mat linsn "itl:>s 4d: Ater ht^r. ller Arctic Pump & Well, Inc. Well Disinfected Upen Completion' Yes Method ofDisinf:e:rion Chlorine Comments: Nztnp Installer N--mcr Arc:ic Punip & Well, Inc. 'Irc•lic Pump & Well, Irr_, Page J of I Wockenfuss, Deborah M. From: Wockenfuss, Deborah M. Sent: Thursday, February 08, 2007 2:26 PM To: NorthRim Engineering (NorthRimEng@aol.com) Subject: Sunny Valley L24 Steve, got the copy of the site plan. Thanks for getting that to me. Unfortunately, it does not print out to scale. Please bring a scalable copy to the office. The site plan needs the engineer's signature too. Also, we talked about the requirements for an engineer's statement regarding why the well location moved and justification for that move. Please bring that in at the same time. If at all possible, could you please respond to this request no later than the close of business Monday, February 12, 2007 in order to stay the pending Stop Work order that will be placed on the construction of the house? Deb Wockenfuss Onsite WaterMastewater 343-7906 House't Driveway Drain 2• Vkfe x 6' Deep Drain Rock w/Geo Febrk G.�;�•*..,. ..,:.:.'„".`�`• 141!1. ` Well 0 3 N SITE U 3 G THLhSchedule 40 Drainfleli a & Altern - �• (WEST NOR THRIMO ENGINEERING kl, .:49m�.'.,r� Po Soy 77072+ Cnyo River• i{loa4o 9'JB77 •Qyq•,.'�� 4.:.w4a 7i)k i Road Drainage �\ \ 6p ,\ \ In Drain e x 6' Deep Rock w/GeoFabric Main eLlSite N Curtain Drain Terminus 304: LAKE CURTAIN DRAIN LOCATION PLAN 'From Contractor Notes VIEW CLASS B WETLANDS PERMIT. 1• = 60' POA -2006-213 001`E1` 2/7/07 1 WE AN a-urk be. do,1*S Vium 01 M1 Vplm tpmj p!= 2,1d srt:F-,, ljS 1.C U po I TTA AUG 1 0 2006 GRETCHEN STULLkK VRELEMINAW1 I hereby cerllfv that I have surveyed the following] described p, -rt r r 10, Anchorage T:ecordin, Prveinct. Ala,lk:,.. and tf,.:!t the pro- I posed improvements. as planned thereon by the "il will be within NeNepr,�pvrtv lines and will not o,�,Alln4-., or encroach nn the property lying, uJjncent thereto. th:I'i no improvements on property hing ziaiacent thereto encroach on the - - fln premise: 96e�o::nd*,,!i;it there ark no roadways. translnissifines or other visible ease- ments on said property (INN-I)l as indicated 11pereun. NOTE Dated at Ea -le River. Alaska t i, the responsibiliq•ol' f the uil,!,.r t(, 2-2 field check di�:anc,e'to lot lines prior. this day of -Y' 200 to commencing cor.,truction. ROBERT C. .101INSON SCALL: Regimored Land Sui-veyor No. -,FSO-LS I"= 4-r. 110 , N 450. Eagle River. Alaska Phone 694-2.343 uss: OP WE AN a-urk be. do,1*S Vium 01 M1 Vplm tpmj p!= 2,1d srt:F-,, ljS 1.C U po I TTA AUG 1 0 2006 GRETCHEN STULLkK VRELEMINAW1 I hereby cerllfv that I have surveyed the following] described p, -rt r r 10, Anchorage T:ecordin, Prveinct. Ala,lk:,.. and tf,.:!t the pro- I posed improvements. as planned thereon by the "il will be within NeNepr,�pvrtv lines and will not o,�,Alln4-., or encroach nn the property lying, uJjncent thereto. th:I'i no improvements on property hing ziaiacent thereto encroach on the - - fln premise: 96e�o::nd*,,!i;it there ark no roadways. translnissifines or other visible ease- ments on said property (INN-I)l as indicated 11pereun. NOTE Dated at Ea -le River. Alaska t i, the responsibiliq•ol' f the uil,!,.r t(, 2-2 field check di�:anc,e'to lot lines prior. this day of -Y' 200 to commencing cor.,truction. ROBERT C. .101INSON SCALL: Regimored Land Sui-veyor No. -,FSO-LS I"= 4-r. 110 , N 450. Eagle River. Alaska Phone 694-2.343 MUNICIPALITY OF ANCHORAGE Development Services Department On -Silo Water 8 Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519.6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM / WATER SUPPLY PERMIT Initial Permit Number: SWO60249 Legal Description: SUNNY VALLEY LOT 24 Design Engineer: 0838 NORTH RIM ENGINEERING Owner Name: LARRY COOL Owner Address: 806 WINTER HAVEN STREET ANCHORAGE. AK 99504 - Date Issued: Aug 09, 2006 Expiration Date: Aug 09, 2007 Parcel ID: 050-354-08 Site Address: 9334 WEST LAKE ROAD Lot Size: 88993 SO. FT. Total Bedrooms: 5 Permit Bedrooms: 5 This permit is for the construction of: ❑✓ Disposal Field Q 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. The Engineer needs to do an additional lest hole during the construction of the septic field. Please submit stamped and signed results with the As -built Inspection Report. If the results require a design change, construction of the system will stop pending Onsite review and approval. Received Date: 446 \ Municipality of Anchorage • .� Development Services Department Building Safety Division "" Onsite Water and Wastewater Program 4700 Bragaw Street s T P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907)343-7904 ON-SITE SEPTIC/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Property Mailing phone .?V o - Q3F % Code S°! Site address 7,'J7k(d7J r L4lor_RU 4,0 Zip Code 9e iS_ 7 -7 Legal description (Sub'd, Block & Lot) SU6&64 -Lem/6 0 L o r .2Q Legal description (Township, Section & Range) Lot Size Agt q43 Sq. Ft. THIS APPLICATION IS FOR (®all that apply): Absorption Field Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well Water Storage ❑ Number of Bedrooms S THIS APPLICATION IS AN: Initial Upgrade ❑ Renewal ❑ 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 ayth6rized agent) Permit/Rush Fees: %:3_s� Waiver Fees: Date of Payment: 2 — o Date of Payment: Receipt Number: Receipt Number: (Rev. 11/05) FE (� INEERING MEMO Steve Eng, PE, PH 17237 Bear Paw Circle, Eagle River AK 99577 (907) 694-7028 tel (907) 694-7026 fax NorthRimEng@aol.com Date: 8/8/06 To: Deb Wockenfuss 1%IOA On -Site Services Subject: Sunny Valley, Lot 24 REVISED DESIGN Debby, Number of Pages: 3 This is in reply to your comments on 8/8/06. 1. We returned to the property to inspect for surface water. We discovered the 6' in diameter shallow pond & one other 2' in diameter minor wet area; Sheet 1. It appears that the larger wet area is due to the excavated soil damming the water behind it. The curtain drain will be extended to this area. The other minor wet area is over 100' from the wastewater system. 2. On 8/8/061 checked MT/ I13 & found no standing water present. The monitor tube was originally 4' deep in early June & found to be dry. We later deepened it to 5' depth. We are officially requesting a groundwater waiver due to the Advantex Category III System. Our early June reading demonstrated 3' of useable unsaturated soil. 3. A cross-section note has been included for 6" of topsoil & seeding. The owner is in a hardship position with crews waiting to work. We would appreciate your expediting this permit. Thanks -Steve I o�LlNEERING IMEMO Steve Eng, PE, PH 17237 Bear Paw Circle, Eagle River AK 99577 (907) 694-7028 tel (907) 694-7026 fax NorthRimEng@aol.com Date: 8/1/06 Number of Pages: 10 To: Dan Roth Program Manager, ACOA On -Site Services Subject: Sunny Valley, Lot 24 REVISED DESIGN This follows our meeting of 6/22/06. I believe we have answered the design questions. • A COE wetlands permit is attached. This was applied for last January. An approval was issued in March. After the approval was questioned by the MOA, the COE once again reviewed the permit and issued approval. • The best site for the Advantex drain -field appears to be the front portion of the lot. I do not believe that the nearby road drainage ditch can be classified as surface water. It has been wet during the spring ground thaw- ice was present in the ground until July 1. No measureable flow has been observed. • The MT has been deepened to 5' following our conversation last week. Perforations were added to the PVC pipe. No groundwater has been encountered to 5'. • The curtain drain has been excavated to 4'. It will be deepened to 6' and graded to promote flow. It will be wrapped with typar geotextile or equal, filled with bone rock/drain rock, and terminated in the location on sheet 1. • This Advantex Category III system allows the best treatment available. The closest neighboring septic system is a conventional system. • A small drain was discovered under the driveway and noted on the plan. This is upgradient of the drain field. The drain had a small weep during spring thaw. No flow was recently observed. • The owner will be happy to come in & sign a AW WTS Maintenance Agreement. Thanks -Steve 1 f ENGINEERING Date: 6/20/06 MEMO Steve Eng, PE, PH 17237 Bear Paw Circle, Eagle River AK 99577 (907) 694-7028 tel (907)694-7026 fax NorthRimEng@aol.com To: Deb Wockenfuss MOA On -Site Services Subject: Sunny Valley, Lot 24 REVISED DESIGN Deb, Number of Pages: 2 We included both monitor tubes on this revised sheet 1 drawing. We are planning on a curtain drain upslope of the absorption field. This should considerably drop the water table in this vicinity. The road drainage ditch has normally had no flowing water until farther downslope as indicated on sheet 1. Both added monitor tubes are included on sheet 1. Monitor tubes were completed by driving a steel pipe into the ground. A smaller diameter steel pipe was then driven through the larger pipe. We were able to get soil samples to a 6' depth with this method. This method is not unlike that obtained with a hollow stem auger. The steel pipes were then removed and replaced by pvc monitor tubes. The monitor tubes did not go the full 6' distance, but far enough to monitor the unsaturated depth for design. The owner is very anxious to begin. We appreciate if your assistance. Thanks -Steve OF s.4-4 n14 Smven W. no •. PE G25fi '9F' •••••..••.••' 41c, 0rc'c , ENGINEERING MEMO Steve Eng, PE, PH 17237 Bear Paw Circle, Eagle River AK 99577 (907) 694-7028 tel (907) 694-7026 fax NorthRimEng@aol.com Date: 6/12/06 To: Deb Wockenfuss AIOA On -Site Services Subject: Sunny Valley, Lot 24 REVISED DESIGN Deb, Number of Pages: 6 The revision includes system relocation & design change. A monitor tube located in the front of the lot has 3' with no groundwater. A percolation test was conducted & similar soil found: The application rate was changed. Another AX -20 pod was added, although Anchorage Tank & Orenco allow one pod in similar cases. Water is present in the road ditch near the east property boundary, over 100' from the site. Thanks -Steve 1\1a2T1NF ENCjINEERING Northitinn Engineering 17237 Bear Paw Circle Eagle River, AK 99577 907.694-7028 May 18, 2006 MOA On -Site Water & Wastewater Program 4700 Bragaw St Anchorage, AK 99519 RE: Sunny Valley S/D, Lot 24 Approval was previously granted by the U.S. Army Corps of Engineers for wetlands development on the referenced property. Neighboring lots have been developed with conventional systems. A sand filter was installed last year across the street. The lot slopes to the south at about 5%. We are proposing an AdvanTex AX -20 Mode b to serve this lot. A Category III drain field has been sized for the highest ground. We are requesting your approval. Sincerely, Steve Eng, PE, P� Design Enclosures DESIGN NOTES: 1. Total Depth of Trench is 1' ® T.H,, Remove Organic Layer.'. iTerrain Is Sloped Toward South. : f,- y 2. ,Sewer.:Service Line minimum 2% slope. S Trench is MinimUm )0`4rom Lot Line. 1.4 4. Lots Served by Private Water, Wells. ` 5. AdvanTex AX20- Mode 1b-to Meet.Installation Requirements` PertOrenco Systems & "Anchorage Tank" \� I=6. Upper 6 Inches of Mound To Consist-of Top-Soil & 86 Vegetated. Lot ,-24 To =Be Developed t; For Single Fariily H6me j Septic .System Construction %4� +;Does Not Preclude ;Adjoining.,Lots'From Sanitation Improvements,•`.Well - ,�I• r�iie NOR THRIM ENGINEERING 17237 Bear Paw Clrcl Eagle R1~. Alaska 9937 907.694.7028 nrvri rioMENT S/D pF'„ LOT 24 _30RY III VICINITY MAP V = 200' Daly. �_of_4 Septic Srem Construction Does Not reclude Adjoining Lots From Sanitation ingle family Home 0; el( House ad (100'x80') > Surf°( o TH CLASS B WETLANDS PERMIT POA -2006-213 Voter 6/8/O6 A 2a. h AX20 P - Alude I C rtaln Drain 2003Gallon S r1 Tank 3 Wide x 6' Deep Ef�uent Pump tasinZ, D ain Rock w/Geofabrlc 3 \\\4\ T 4,Schedule 40 VC I Drainflet orce Main & Altern e \\ 0 DESIGN NOTES: \ 1. Total Depth of \ Trench I . "I®-{... Reme^•Of c r.\ -.F 3y� M Terminuscc Terrain Is Slop M ,d Toward So th. 2. Sewer Service \ ine minimum 2% slope. SS); 3. Trench is Minimum 10' from Lot Lt 4. Lots Served b Private Water Wells. \ /)� \ 5. AdvanTex AX2 Mode 1b to Meet Install ion Requirements Per Orenco Sys\tenrs ht oi,Mound 8 ��Oi• 6. Upper 6 Inch To Consist of Top,,. Soil do Be Veqetal ed. ` Septic Srem Construction Does Not reclude Adjoining Lots From Sanitation ingle family Home 0; el( House ad (100'x80') > Surf°( o TH CLASS B WETLANDS PERMIT POA -2006-213 Voter 6/8/O6 A 2a. h AX20 P - Alude I C rtaln Drain 2003Gallon S r1 Tank 3 Wide x 6' Deep Ef�uent Pump tasinZ, D ain Rock w/Geofabrlc 3 Cl T 4,Schedule 40 VC I Drainflet orce Main & Altern e Site 0 Curtain Drain M Terminuscc L J OO 1 BlrCh Rood Drainage C L. Small Driveway LAKE EST Dram P X RIO ge Tank". NORTHRIM� y���� � ENGINEERING m`. ADVANTEX DESIGN SUNNY VALLEY S/D LOT 24 PLAN VIEW 17237 Boor Pow Cirri :y eayi. Riw, "'°'"° 99377 ••'• �•;d ao�as..7oae......... "" CLASS B WETLANDS PERMIT POA -2006-213 I• = 60' 6/8/O6 i ET.f 4 VI 5 _O O f PO C U O U L y CL N N p L ca U L. 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U ZLn cu o •N Q' d L, N O U •.0 .ti LO CL CL z: I UW J �E: z i LLI W L` e 0 O 0 i 2W I� !n\- I, N W LL] n d i � Z 3 I I I .t O W L J LO 0- W w O Q a_ y - %I- A LLI Ll Oj 0 .z O Z Z f— > L ;DED W �0 CD W J LE wu, on n UW J �E: z ~ LLI W L` e 0 0 N 2W no WC6 A LL] � Z 3 ::D a J LO 0- W w a_ on n Va �Z O i O W 4 0 Z e Z nip 2W no W r Ll S❑ILS LOG – PERC❑LATI❑N TEST o I Hi IM Date Performed: 4/12/06 INEERING Performed For; Selwyn Jones Legal Description; Lot 24, Sunny Valley 1 - 2 - 3 - 4 - 5 - 7 - 8 - 9 - 10 - 11 - 12 - 13 - 14 - 15 - 16 - 17 - 18 - 19 - 20 - DEPTH (FEET) GM Silty Gravel HIGHER SILT -' k AT DEPTH T.H. Location: See Attached Design Flat Terrain Groundwater? Yes Depth 4' Water Depth After Monitorino.2' natP, s/ig/m # Date Gross Time Net Time Depth Net Drop 1 4/12 0 -- 10.75' -- 2 4/12 30 30 mit 1. 11' 1.25' 3 4/12 32 -- 11' -- 4 4/12 62 30 mirp. 12.25' 1.25' 5 4/12 65 -- 11' -- 6 4/12 95 30 mit 1. 12.25' 1.25' 21 - ' IPercolation Rate 24 Min./inch Perc Hole Diameter 6' Test Run Between 1' and 2' Comments Presoaked Performed By NorthRim Eng. I CERTIFY THAT THIS TEST WAS Performed in Accordance with Alt State/Municipal Guidelines in Effect ON THIS DATE. DATES 5/15/06 NORTHRIM ;�"`•'' TESTH❑LE LOG ENGINEERING ••• •• ; T. H. 1 j 17237 Bear Pow Clrcl •.•."'. Eagle River. Alosko 99577 acs 907.694.7028 �'''••••• GEOTECHNICAL•_ - -- — 5/18/06 11f 2 ' TLj� S❑ILS LOG - PERC❑LATI❑N TEST I FIRE E Date Performed: 4/12/06 LrEZ'r-9 Performed For Selwyn Jones Legal Description: Lot 24, Sunny Valley 1 - 2 - 3 - 4 - 5 - 6 - 7 - 8 - 9 - 10 - 11 - 12 - 13 - 14 - 15 - 16 - 17 - 18 - 19 - 20 - DEPTH Date (FEET) Net Time Depth Organic 1 4/12 0 -- 6' -- 2 4/12 30 GM ' ' °.• Silty Gravel 3 4/12 ' HIGHER SILT 6' AT DEPTH 4 4/12 T.H. Location: See Attached Design Flat Terrain Groundwater? Yes Depth 4' Water Depth After Monitorino, Datei # Date Gross Time Net Time Depth Net Drop 1 4/12 0 -- 6' -- 2 4/12 30 30 mit 1. 8' 2' 3 4/12 32 -- 6' -- 4 4/12 62 30 mh 1. 8' 2' 5 4/12 65 -- 6' -- 6 4/12 95 30 mit 1. 8' 2' 21 Percolation Rate 15 min,/inch Perc Hole Diameter 6' Test Run Between 1' and 2' Comments: Presoaked Performed By NorthRim Fng, I CERTIFY THAT THIS TEST WAS Performed in Accordance with All State/Municipal Guidelines in Effect ON THIS DATE. DATES 5/15/06 NORTHRIM ... y�P'' * 149 ENGINEERING 17237 Bear Pow Circle ' ....• £ogle River. Aloska 99377 •. oi-4w 907.694.7028 ••••• TESTH❑LE LOG GE❑TECHNICAL T. H. 2 5/18/06 12 of 2 ' TL S❑ILS LOG - PERCOLATION TEST aI r" I� Date Performed: 6/10/06 INEERING Performed For: Selwyn Jones Legal Description: Lot 24, Sunny Valley DEPTH (FEET) 1 - 2 - 3 - 4 - 5 - 6 - 7 - 8 - 9 - 10 - 11 - 12 - 13 - 14 - 15 - 16 - 17 - 18 - 19 - 20 - Organic T.H. Location: See Attached Design Flat Terrain Soil Sampled By Driving Steel Pipe Into Strata GM Steel Pipe Replaced W/ PVC MT w/Perforations Silty Gravel Groundwater? No Depth Water Depth After Monitoring. None Date: 6/12/06 # Date Gross Time Net Time Depth Net Drop 1 6/10 0 -- 4' -- 2 6/10 30 30 mb 1. 6' 2' 3 6/10 32 -- 4' -- 4 6/10 62 30 mit 1. 6' 2' 5 6/10 65 -- 4' -- 6 6/10 95 30 mh 1. 6' 2' 21 - ' Percolation Rate 15 Min./Inch Perc Hole Diameter 6' Test Run Between 1' and 2' Comments: Presoaked. Perk Test Conduc'-edema jacent To Driven MT, Performed By NorthRim Fng, I CERTIFY THAT THIS TEST WAS Performed in Accordance with All State/Municipal Guidelines in Effect ON THIS DATE. DATE: 6/12/06 NORTHRIM ENGINEERING 17237 Bear Pow Circle Cog/* River. Alaska 99377 907.694.7028 MAM TESTH❑LE LOG GEOTECHNICAL MT/TH3 - ---- 6/12/06 j5 2TI-SIM ENGINEERING $/1/06 Sunny Valley S/D, Lot 24 SPECIFICATIONS & DESIGN GUIDELINES Wastewater Svstem Sizing: This is a new single family home to have 5 bedrooms. A COE Wetlands Permit was received for construction. Groundwater was not present to 5' below the surface @ MT/T113. The Category III absorption system will be located at this site. The Orenco Systems, AdvanTex Treatment System will be utilized. This system requires a 2000 gallon processing tank and 2-AX20 filter pods. A Category III System drain field will be utilized, which will allow an application rate of 4 GPD/FP; This allows a 5' x 37.5' bed; the size will be increased to 5' x 40'. We have not encountered groundwater within 5' of the surface at this site. A 1' thick effective layer will be utilized. No adverse impacts are expected from development. Most of the neighboring lots are developed. No water wells are impacted by this construction. Soil tests found typical soil for this area; a silty gravel, with relatively high groundwater table. Easements will not be encroached upon. A curtain drain has been partially excavated: it will be deepened to 6' depth, typar or equal geotextile wrapping the trench bottom & sidewalls, and drain rock/bone-rock placed in the trench. This revision follows meetings and design changes. Specification Requirements: All components and work must comply with the Municipality of Anchorage Specifications (AMC) & State of Alaska Drinking Water Regulations and Wastewater Regulations, Orenco Systems AdvanTex Treatment System Design/Installation Manuals, Anchorage Tank & Welding requirements. • Installation by an Authorized AdvanTex Installer only; approval issued by Orenco Systems & Anchorage Tank & Welding, Inc. • 2000 gallon, two compartment AdvanTex processing tank, 2-AX20 filter, VeriComm Monitoring System & Mode 1 b package requiring a discharge basin to pump to the elevated absorption field, per AdvanTex Treatment System Manual. • Watertight couplings on inlet & outlet. • 5' minimum between the tank and bed. 10' minimum to property lines. • 3' of cover or insulation is required for trench; an equivalent of I" insulation for each foot soil cover. • Tank & solid pipe must be set on well compacted, stable soil. • 4 inch diameter cleanouts with airtight caps are required I to 4' from foundation wall, prior to any 90 degree bend in 4 inch line, prior to the processing tank compartment, and two opposing cleanouts at either end of the absorption bed. • All cleanouts must extend to at least ground level • In solid pipe runs, ASTM D-3034 may be used in lieu of cast iron • Trench to be placed level, minimum of 3' to groundwater, 6 feet to bedrock from drain -rock • Drain rock to be 1/2 inch to 2 %: inch screened. Drain rock to be distributed uniformly throughout the trench. I- TF��IM ENGINEERING 8/1/06 Sunny Valley S/D, Lot 24 • Perforated pipe to be installed level with perforations down • Silt barrier (filter fabric) to be installed above the drain rock • Smeared trench sides must be raked or scarified before drain rock placement • Backfill over drain rock must not be less than 36" or insulation required • The finish grade must be mounded to promote drainage over the bed • Insulation must be placed over any pipe installed under driveways or parking areas. AdvanTex Treatment System and absorption bed shall not be located under driving or parking areas. • Approved pipe materials include cast iron, PVC ASTM D3034, PVC ASTM F789, ABS ASTM D2661, • Sewer Service Line is minimum 2% slope • Maintenance agreement for the AdvanTex Treatment System is required for approval. • Insulation board shall be extruded direct burial polystyrene (Dow Styrofoam HI or equal) • Distribution pipe shall be 1.25" Schedule 40 PVC w/ 1/8" orifices @ 27" on center. • Force main shall be 1.25" Schedule 40 PVC, conforming to Anchorage Tank & Welding/Orenco Systems specifications. Force main burial to be 4' minimum. • Silt barrier (filter fabric) to be installed above the drain rock • The finish grade must be mounded to promote drainage over the bed ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND REPAIR AGREEMENT MEMORANDUM OF UNDERSTANDING BETWEEN I%IUNJCIPALITY OF ANCHORAGE AND Se/in/t/nl TpJCS THIS MEMORANDUM OF UNDERSTANDING made and entered into as of this or—day of J t4 N e of 20, by and between �e/V(.✓ �0'JP.<� , 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 A 1/d 0— to Lc _ located at S I Z `_ Z I A LLr=�i Anchorage, Alaska. 2. Definitions. A. Alteration. Any change to the design or function of an AWWTS that . includes the installation or removal of any parts, components or pieces not included in the original construction permit and design. Prior to performing any alterations to an AWWTS the owner must obtain a Wastewater Disposal System Construction Permit from the Municipality pursuant to Anchorage Municipal Code (hereinafter, "AMC") 15.65. 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 �Z r' R O 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 ANVWTS system is in use or operational or until the property is sold or title is transferred by owner and a new certificate of On -Site approval is issued to the new owner or transferee of the property. 5. Alterations Installation and Removal of Additional Equipment. Owner agrees not to make any alterations, removal of parts or additions to the AWWTS without a Construction Permit from the Municipality. 6. )Maintenance and Repairs. A. Throughout the term of this Memorandum of Understanding, the Owner shall maintain AWWTS in good repair. In addition, it shall be the responsibility of the Owner during the term of this Memorandum of Understanding, and any extensions or renewals thereof, at the owner's sole expense, to pay for any and all: (1) repair(s), (2) maintenance, (3) adjustment(s), (4) replacement costs, and (5) inspection costs. Further, Owner agrees to comply will all applicable ordinance, laws, regulations, rules and orders for the AWWTS. B. Owner agrees to provide the Municipality a written schedule of routine maintenance and repairs which have been performed on the system pursuant to the terms and conditions contained in the Owner's AWWTS Operating 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 AWWTS upon 24 hours written notice. F. Owner agrees that any sale or transfer of title of the property will not occur without a new Certificate of On -Site Systems Approval. G. Owner agrees that the relevant provisions of the standard specification guidebook for AWWTS is the governing professional guidelines for the construction, maintenance and repair of the Owner's AWWTS. 7. Nonwaiver. The failure of either party at any time to enforce a provision of this Memorandum of Understanding shall in no way constitute a waiver of the provisions, nor in any way effect the validity of the Memorandum of Understanding or any part hereof, or the right of such party thereafter to enforce each and every provision hereof. 8. Amendment. A. This Memorandum of Understanding shall only be amended, modified or changed by a writing, executed by authorized representatives of the parties, with the same formality of this Memorandum of Understanding was executed and such writing shall be attached to this Mem'amndum 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: Se—/U)y Anchorage: Purchasing Officer C. Any attempt to amend, modify, or change this contract by either an unauthorized representative or unauthorized means shall be void. 9. Jurisdiction: Choice of Law. Any civil action arising from this Memorandum of Understanding shall be brought in the Superior Court for the Third Judicial District of the State of Alaska at Anchorage. The laws of the State of Alaska shall govern the rights and obligations of the parties under this Memorandum of Understanding. 10. Severability. Any provisions of this Memorandum of Understanding decreed invalid by a court of competent jurisdiction shall not invalidate the remaining provisions of the Memorandum of Understanding. NIUNICIPALITY: By: r^ By: ,/ Title: Date: Date: STATE OF ALASKA ) ) ss. THIRD JUDICIAL DISTRICT ) The foregoin instrument was acknowledged before me thiszV day of 204!, by the hzPl&� of on ehalf of the Municipality of Anchorage. ,,ttttrrrrrr/i fARY PUBLIC k2jj Commission expires: ;SEN M�:Q/eei �'ClE3tlC• 67 ittt NT or A�6. OA DEPARTMENT OF THE ARMY U.S. ARMY ENGINEER DISTRICT, ALASKA P.O. BOX 6898 ELMENDORF AFB, ALASKA 39506-0898 'JR $1 2006 Regulatory Branch POA -2006-213-D Mr. Steve Eng NorthRim Engineering 17237 Bear Paw Circle Eagle River, Alaska 99577 Dear Mr. Eng: This is in response to your January 23, 2006, application, on behalf of Selwyn Jones, for a Department of the Army (DA) permit to build a single family home on Lot 24 of Sunny Valley Subdivision located within section 16, T. 14 N., R. 1 W., Seward Meridian; Latitude 61.3040 N., Longitude -149.4720 W., in Eagle River, Alaska. It has been assigned file number POA -2006-213-1), which should be referred to in all future correspondence with us. DA permit authorization is necessary became your project would involve placement of dredged and/or fill material into waters of the U.S. under our regulatory jurisdiction. Based upon the information and plans you provided, we hereby verify that the work described above, which would be performed in accordance with the enclosed plan (sheets 1-4), dated July 12, 2006 is authorized by Nationwide Permit (NWP) No. 29, Single Family Housing. NWP No. 29 and its associated Regional and General Conditions can be accessed at our website at www.poa.usace.army.mil/reg or, at your request, a paper copy will be provided to you. Regional Conditions A -D, F, I, L-0, and V apply to your project. You must comply with all terms and conditions associated with NWP No. 29. Further, please note General Condition 14 requires that you submit a signed certification to us once any work and required mitigation are completed. Enclosure 1 is the form for you to complete and return to us. This verification is valid until the NWP is modified, reissued, or revoked. All of the existing NWPs are scheduled to be modified, reissued, or revoked prior to March 18, 2007, It is incumbent upon you to remain informed of changes to the NWPs. We will issue a public notice when the NWPs are reissued. Furthermore, if you commence or are under contract to commence this activity before the date that the relevant nationwide permit is modified or revoked, you will have twelve (12) months from the date of the p "tu Thu artivity indpr tha present terms and conditions of this nationwide permit. Please be advised that this verification does not authorize mechanized land clearing operations, including vegetation removal or other soil disturbances in wetlands, beyond the footprint of the work described above. If such activities are proposed, you must contact us prior to beginning the work. -2 - Nothing in this letter excuses you from compliance with other Federal, State, or local statutes, ordinances, or regulations. Please contact me at (907) 753-2712, toll free from within Alaska at (800) 478-2712, by email at Angela.M.Hunt@poa02.usace.army.mil, or by mail at the letterhead address, ATTN: CEPOA-CO-R-S, if you have questions or to request a paper copy of the terms and conditions of NWPs No. 29. For additional information about our Regulatory Program, visit our web site at www.poa.usace.army.mil/reg. Sincerely, Angela Hunt Regulatory Specialist Enclosures �. Esy sow, Alt'. 1. Kouse NXI 100" x SO! P. DrIVOw1&3? 15' -1(-:150'1, 3, Std�{iplle. (I�ftludcl Iri' Id4rj Pad) 4,. Septic Syi" 51 x 50' q*nl Plitt 10,500: Square: .t Siris Family Horne cc ,A cc House I ad E100'xSOI) TH DE a fwd 3 .Videb'nDeep it '--D aInRock-w/0eofdbrlc 1)r;o�lnflel�l' •Atter.n_ ae. -Site ET1 304: LAKE C<UNNY D.S/DLOT LAN IEW _ '60' POA -2006-213; Eagle River 7l12/06 of .3 July 12, 2006'_ -- Sheet 3 of I c1c_ Ft' _E1aawd Birch WEST NORTKRIM ENGINEERING tT?JT',Baor Pow C7rols "'^ "� '[oyl� Riw,Alwlre 9257.7 s ': �-soza�f.yose ' 1)r;o�lnflel�l' •Atter.n_ ae. -Site ET1 304: LAKE C<UNNY D.S/DLOT LAN IEW _ '60' POA -2006-213; Eagle River 7l12/06 of .3 July 12, 2006'_ -- Sheet 3 of Municipality of Anchorage , . ..,< �.r.� Development Services Department �r:�� • ��:jk' hY Building Safety Division On -Site Water and wastewater Program S. <*. 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519.6650 www.muni.org/0nshe (907)343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING COSA Parcel I.D. � _ 13t_ �% - 0 g Expiration Date: 1. GENERAL INFORMATION LG o Complete legal description S cy33y WEST �..rr,r � n Location (site address) J Current Property owner(s) S%Lw �� 'T—a R(fS Day phone 332 —O o3 7 Mailing address SVC Day phone Lending agency Mailing address Real Estate Agent Day phone Mailing Address Unless otherwise requested. COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: S 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 n Independent n On -Site Systems Approval (COSA) based only upon the representations given In paragraph 4 byova I are required for the transfer of engineer registered in the State of Alaska. Certificates of On -Site Systems App q ter disposal and/or water Approval title (except between spouses) for properties served by a single-family on-site wastewa supply system. DSD also issues COSAs upon request to homeowners. Certificates of On -Site Systems are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water sample results. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineers work. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my Investigation, based on procedures outlined In the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system Is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Finn 'or_L1r_7 �- a Phone Address /'O /QD1C `77n^>_�,i Engineer's Printed Name Dated 2 , p 7 t `F + �a V. tyj •a_ lx . uT.f................. 5. DSD SIGNATURE 00 ste.on W. tag 10 1 Approved for 0�sf PE 6256 �' ..' r bedrooms. �� 9Fp 1'1.1......• p�.v Disapproved. 4t, 90o1 S-11 •r` Conditional approval for bedrooms, with the following stipulations: Additional Comments Attachments: COSA Checklist X Septic System Advisory Arsenic Advisory Maintenance Agreements Well Flow Advisory Nitrate Advisory Supplemental Engineer's Report Other Original Certificate Date:_/ n •- - 7 (Rw. 11)05) Municipality of Anchorage Development Services Department / Building Safety Division Onsite Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.orglonsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. 056 — 3 Sy- 0 8 1. GENERAL INFORMATION Complete legal descripti Location (site address) COSA# D`tDffi Expiration Date: 1 .Z - .r 0_7_ Current Property owners) '.5: 0/ 7_04 - Day phone r3?Z - 4d922 Mailing address Lending agency Day phone - --_ Mailing address Real Estate Agent Day phone Mailing Address Unless otherwise requested. COSH will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: -5 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 Onsite Systems Approval (COSA) based only upon the representations given in paragraph 4 by an Independent professional civil engineer registered in the State of Alaska. Certificates of On -Site Systems Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues COSAs upon request to homeowners. Certificates of On -Site Systems Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water sample results. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined In the Certificate of Onsite Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system Is (are) safe, functional and adequate for the number of bedrooms and type of structure Indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my Investigation and Inspection, the on-site water supply and/or wastewater disposal system Is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Address Firm _ &0r 9 z E PhoneCF41— 7OZXf Z'0a x �7�7 •� Engineer's Printed Name,ST -V6 E61C 5. DSD SIGNATURE Approved for bedrooms. Disapproved. Date o y1d t ,_�� OF ALgsts, •,'f.� 3J Eng ins 6256 •,4�,% Ll_� Conditional approval for -5� bedrooms, with the following stipulations: Attachments: COSA Checklist X Septic System Advisory Well Flow Advisory Nitrate Advisory Arsenic Advisory Maintenance Agreements Supplemental Engineer's Report Other B1"` oC/ Original Certificate Date. (Rev 11)05) Municipality of Anchorage • ^� Development Services Department Building Safety Division ` On -Site Water & Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsile (907)343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description: :af 6LAq,� \/.4LL E-/ LOT Qq — Parcel lD:650-355 - do' A. WELL DATA Well type P If A, B, or C provide PWSID # _ Well Log (YIN) Date completed 4�R5/0 7 Sanitary seal (Y/N) Wires properly protected (Y/N)y � Total depth /SZ ft. . Cased to It. Casing height (above ground) 2�in. FROM WELL LOG Date of test Static water level Well production SO g.p.m. WATER SAMPLE RESULTS: NEf✓ Coliform colonies/100 mL Nitrate mg/L Arsenic: _ ug/L date of sample: B. SEPTICIHOLDING TANK DATA Tank Type/Material () S % A Q. / F.yV STj£L Tank size 2440 a gal. Number of Compartments Z AT INSPECTION NFa fl. Other bacteria colonies/100 mL Collected by: Date installed !/0 7 Cleanouts (Y/N) y/ Foundation cleanout (YIN) * Depression over tank (Y/N) j�(_ High water alarm (YIN) Date of pumping A610L J Pumper C. ABSORPTION FIELD DATA Dale installed `-` /Z Lc Soil rating (g.p.d./ft2 or&!Jb") ! System type M&JA1Q Length 4 ft Width 5. s I ft. Gravel below pipe �_ ft. Total depth 41 ft. Eff. absorption area%24 ftZ Monitoring tube Depression over field Date of adequacy test 50 Results (Pass/Fail) _d/�� For S bedrooms Fluid depth in absorption field before test _ In. Water added_ gat. New depth_ in. Elapsed Time: _min. Final fluid depth _ in. Absorption rate >= g.p•d• Any rejuvenation treatment (past 12 mo.) (Y/N & type) If yes, give date D. LIFT STATION Date installed 'Pump on' level at l�L in. Datum SC7 76ry. E. SEPARATION DISTANCES Size in gallons fill 'Pump off" level at in. Cycles tested - SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot , C22* r� Absorption field on lot / .> Public sewer main _ W114 Sewer /septic service line /0 i0 'f Animal containment areas IV14 Manhole/Access (Y/N) High water alarm level at 34' in. Meets alarm & circuit requirements? Y i On adjacent lots /00 t On adjacent lots / Q Q ,•' Public sewer manhole/cleanout Nf:9 Holding tank AeJ4 Manure/animal excrete storage areas _ 11//A SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation Z0 f Property line _ rF Absorption field Water main N4_ Water service line Q i� Surface water / Od "14 Wellson adjacent lots SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line d `'h Building foundation D �f Water main N�4 r Water Service line 60t- Surface water /O4 rr` Driveway, parking/vehicle storage O r f Curtain drain 30'1& Wells on adjacent lots /00"1' F. COMMENTS G. ENGINEER'S CERTIFICATION <<'�•''••�••�••'a`r'� I cern that I have determined through field ins •••may, • t h' g inspections and I � 49: �+ ••••:: *• review of Municipal records that the above systems are in i '•"" conformance with MOA COSA guidelines in effect on this date. j••"�_ •••••••••••••••••••• 0,�S�awn;W. Engineer's Printed Name % 7-fV6 tW ♦ r%PE azsa • ; ,; •. Date �r%/r�7 It�9cpp••...... ••`��'r 07ES5� COSA Fee $ 57- 5D Date of Payment _ I %I 1).q Receipt Number 4sq!�. d (Rev. 11/05) Waiver Fee $ Date of Payment Receipt Number ZZ. cf . .00 w.sT LAS y. PrrN-a.. s , , AS -BUILT I hereby certify that I have surveyed the following described property,L e� 7— z-� S_. fin-, !E. 7-14,-Nffv, Lf( Anchorage Recording Precinct, Alaska, and that the improve- ments situated thereon are within the property lines and do not overlap or encroach on the property lyrrtg adjacent thereto, that no improvements on property lying ad' t thereto encroach on the premises in question and tFat there are no roadways, 1 transmission lines or other visible easements on said property except as indicated hereon. Dated at Eagle River, Alaska this G ' : Jay, of RO ERT C. JOHNSON SCALE; Registered Land Surveyor No. BOD -LS 1 'jU" . Box 77-04%, Eagle River. Alaska 99577 Phone (907) 694-2543 j t ..•a , r �• �„ N.wfl• N1 1 I I' S :. 'r 1, a ,�,t.' - 4. C f �\ I ! j \ a o• .00 w.sT LAS y. PrrN-a.. s , , AS -BUILT I hereby certify that I have surveyed the following described property,L e� 7— z-� S_. fin-, !E. 7-14,-Nffv, Lf( Anchorage Recording Precinct, Alaska, and that the improve- ments situated thereon are within the property lines and do not overlap or encroach on the property lyrrtg adjacent thereto, that no improvements on property lying ad' t thereto encroach on the premises in question and tFat there are no roadways, 1 transmission lines or other visible easements on said property except as indicated hereon. Dated at Eagle River, Alaska this G ' : Jay, of RO ERT C. JOHNSON SCALE; Registered Land Surveyor No. BOD -LS 1 'jU" . Box 77-04%, Eagle River. Alaska 99577 Phone (907) 694-2543 RTH IM NIOrGINEERING MEMO Steve Eng, PE, PH (907) 694-7028 tel NorthRimEng@aol.com Date: 914/07 To: Jeff Poet 11IOA On -Site Services Subject: Sunny Valley, Lot 24 C.O.S.A. & Inspection Report Number of Pages: 1 This is in reply to the July 25, 2007 Comment Sheet: 1. An inspection revealed no surface water within 100 feet of the absorption field. The driveway was regraded and the previous small seep is no longer present. Photo below. 2. The curtain drain was removed within 25 feet of the well. Photo below. Please issue approval.