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HomeMy WebLinkAboutBENBECCA BLK 2 LT 2ABenbecca Block 2 Lot 2A #051-052-68 Municipality of Anchorage "` e" <, Development Services Department 4. Building Safety Division ;e •*+ On-Site Water and Wastewater Program, 4700 Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 - Page of www.ci.anchorage.ak.us (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number: SW060268 PID Number: 051-052-68 Name: Horizon's LLC Wastewater System: 2 New F1Upgrade Address: 10900 Corrie Way, E. R., AK 99577 ABSORPTION FIELD Phone. 244-8585 Number ofBedrooms: 3 E3 Deep Trench El Trench H Be❑ Mound Other: Soil Rating: Total Depth from original grade: LEGAL DESCRIPTION 2 GPDlFe 3.0 Ft. Block: Lot: Subdivision: 2 2A Benbecca Depth to pipe bottom from original grade: Gravel depth beneath pipe: 0.5 Ft. 0.5 Ft. Township: Range: Section: Fill added above original grade: Gravel Length: 1.73 Ft. 0 Ft. Well: ✓❑ New ❑ Upgrade Gravel width: Number of lines: Distance between lines: I 12 Ft. Ft. Classification (Private, A, B, C): Total Depth:Casad to: Total absorption area: Pipe Material: Private 210 Ft. 210 Ft. 360 Fe D3034/Sch40 PVC Driller: Data Drilled: Static Water Level: Installer. Date Installed: Sullivan 8/30/06 158 Ft. Tweed Excavatinq 8/29/06 Yield: Pump Set at: Casing Height Above Ground: TANK 30 GPM Ft.2 Ft. SEPARATION DISTANCES [-]Septic ❑ Holding ESTER P. ❑ Other: To Septic Absorption Lift Holding ublic/lodvate Manufacturer: Capacity From Tank Field Station Tank Sewer Line Premier Plastic 1300 Gal. Material: Number of Compartments: Well 1004 100'+ 100'+ NA 25'+ H.D.P.E. 2 Surface Water 100'+ 100'+ 100'+ NA LIFT STATION ize: -- - _ - Manufacturer. - -- LotLine 54 104 5'+ NA 1300 Gal. Premier Plastic mp on"level at: "Pump cif" level at, High water alarmatFoundation 5'+ 10'+ 5'+ NA mer r. im-mrL timer in.4�.in. mp Make & Model Electrical Inspections performed by: Curtain Drain NA '50'+ NA NA aoE os Risinci Son Electric Remarks: 'None known BENCH MARK Location and Description: 30'x12' IDSF w/fabric & insulation Top of well casing Assumed Elevation: Air compressor w/ alarm & gauge are Ft. located in qaraqe (SPIS013135 Alarm). Engineer's Stamp Inspections performed by: KND/ArcTerra Dates: is' 8/28/06 �� 2nd 8/29/06 gr ,( �F •A `qs Devell¢pment Services De artment Approval •s9 /� Date: / �10r* �•• i X49 Conditional Approval f4/ •• •.••" »•• If LvAI —IA/(! f04 PeOP /!rr vwvte A6A9EEet Ill % . • •••• �•Q% �• Ke �r•t• 711 Revmiebwed and approved by: Date: -311011-3 00 i��; %'RO., ...N X.. 11 fanaace `�\\\��� a, esn G+l A Q rre.gen So�G w IXaIYl {'taS learn rccrt,"A. AS -BUILT SYSTEM DETAILS / SITE PLAN Permit No. SW06O268 BENBECCA SUBDIVISION Block 2 Lot 2A P.I.D. 051-052-68 EXIST. FENCEILINE I \ I I TH06-2 O B L 0 C K 2 II I I � / I 30'L+12'wxO.5'o TOTAL DEPTH 3' OM ORIGINAL GRADE 1-1/4" PVC PRESSURIZED J! /2 ' I 3 / \ MT SEE "SECTIOP THIS SHEET./ RESERVE FIELD ABBREVIATIONS: BOH - BOTTOM OF HOLE CO - CLEANOUT FCO - FOUNDATION CLEANOUT MT - MONITORING TUBE MH - MANHOLE 91.112 6 SWINC-TIE CHART B_ A-1-12.74' - B-1-56.72' JLMA ON A-2-124.29' e B-2-128.04' 1300 CAL A-3-124.55' STEP B-3-125.26' 11963 `_�C:x,e .-t.. 89.63 AIR Adw OF AL`S PREPARED FOR: / vJ T{� "y HORIZON VENTURES I * - aaL * I 10900 CORRIE WAY EAGLE RIVER, AK 99577 / (907)21 KENN M. D F US FIELD BOOKS CE -71 4 / Ba fn . NA � sfAaRc: NA p %FESS100, -W DWG. NA ACRD rU'O602e Set 1995-2A (97-8) MT 1300 GAL S.T.E.P. 4' SOLID PIP O 2% GRADE MAX. 1 'CO A\ 3 ,IEDROO SFR / / TBM-TOP OF 1 WELL CASING I I 0 15 1 SCALE: 1"- 30' UINSULATION g! AND -Vp.r. FABRIC 0.5' I--12 -'j 4=: i BOH SECTION n.00 SCALE: NTS PACE 1 OF 1 C KITED DRAW : KI OR MED: BMW DAM: 09/10 /( G00: NW1561 06-083 a e_R `�"�' PEA GRAVEL xY� aV • -'- -: SAND •`, K!0 , � l7,00 0.5' I--12 -'j 4=: i BOH SECTION n.00 SCALE: NTS PACE 1 OF 1 C KITED DRAW : KI OR MED: BMW DAM: 09/10 /( G00: NW1561 06-083 nuc 16 2007 11:39nM Rising Son Electric, Inc. 622-6777 P,1 Rising bon EL-Ctric, Inc. y� 14916 NVoodland Drive QgLe River. AV, 995?7 = (907) 622-6777 August 16, 2007 KND Engineering Inc. Attn: Ken Duffus 20441 Ptarmigan Blvd. Eagle River, AK 99577 FAX #868-3793 Re: Lot 1 A, Lot 2A and Lot 3A Benbecca Subdivision Dear Mr. Duffus: The lift station at the above referenced property has been wired In accordance with NEC and State/Local codes. Thank you. Sincerely, Ki ,��evl�()� S. Hombuckle, CivvnerVV Administrator License Number 1284 Specialty Contractor License Number 27285 cc: file 09/26/2007 16:47 6882259 SLILLIVAN PAGE 02 Certifteb 40rt"Ifing log by DOC CO. dw SULLIVAN WATER WELLS P.O. BOX 670272, CHUGIAK, ALASKA 90567 -TELEPHONE 698-2759 OWNEROFLANO: YCA12•eth LCC f1i•7i7:l��aE LEGAL DESCRIPTION: d i&,J 8Z CG DATF•���.�/O�. PERMIT NUMBER: 12-60,94? Date oflssuee-L-/ --C4 TAX IDENTIFICATION NUMBER:. ---fpm Is well located at approved rmit location? tQ No Method of Drilling: air rotary (3 cable toot Depth of well: �� 0 Casing TypeWallThickness -95"0 -inches cf Diameter_6 Inches, depth a%0 feel Liner Type: A-)0tJ1: Casing Stickup Above Ground: a feet Static Water Level: �S &P feet Recover Rate: -3— r Am', l� Method of Testing: m', Well Intake Opening Type: 9•d'perl end o open hole U Screened; Start feet Stopped feet O Perforations Startfeed; op d feet Grout Type: 3, �i saJ! T�=Volume i Depth: from n feet, to f✓ feet Well Disinfected Upon Completion? Q-�rrs`O No Method of Disinfection: 'C1JLA6...;c j*.AI 1 Comments: Driller's Name C. 04!' Su«'JH•-% ATTENTION: It is the responsibility of the property owner to submit a copy of the well log to the proper authority. Municipality of Anchorage: Department of Health & Human Services and/or Department of Environmental Conservation. MatSu Borough: Department of Environmental Conservation. Page 2 of 2 Legal Description:Benbecca Property Owner Name&Address: Lot2A Horizons Block:2 10900 Borrie way Raole River AK 99577 Pump Installation Date: 8-1-07 Pump Intake Depth Below Top of Well Casing: 199 Feet Pump Manufacturer's Name: Dempster Pump Mode1:MBF2-75-S2 Pump Size:3/4 hp Pitless Adapter Burial Depth:10 feet Pidess Adapter Manufacturer's Name: Martinson Pitless Adapter Installer: Arctic Pump & Well, Inc. Well Disinfected Upon Completion? Yes Method of Disinfection: Chlorine Comments: Pump Installer Name: Arctic Pump & Well, Inc. No virus found in this outgoing message. Checked by AVG Free Edition. Version: 7.5.485 / Virus Database: 269.13.6/991 - Release Date: 9/5/2007 2:55 PM 9/6/2007 RUNID ENGINEERING, INC. 20441 PTARMIGAN BLVD. EAGLE RIVER. AK 99577-8 11/rax (907)696-8111 August 23, 2006 Mu of Anchorage Development Services Department On -Site JVater & Wastewater Program P.O. Box 196650 Anchorage, AK 99519-6650 RE: SEPTIC PERMITS — BENBECCA BLOCK 2, LOTS 3A2, 2A & 3A Gentlemen: Per our telephone conversation, the above IDSF septic systems will be modified to retain the absorption field in the native soil given the reduction in separation requirements to groundwater for these category three systems. All three of these systems will maintain 2'+ separation to monitored high groundwater levels and be excavated to 3' from original grade, filled with 2' of MOA approved sand and 0.5' of 1/4" pea gravel. The components of the standard 12' wide by 30' IDSF will be provided through Ray's Services and in accordance with MOA requirements. We do not expect there to be any adverse effect on adjacent lots by the development of these systems. If you have any questions, please contact meat 696-6111 /FAX 696-8111. Respectfully submitted, UMD Engineering, Inc. enneth M. Duffut, MUNICIPALITY OF ANCHORAGE Development Services Department On -Site 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: SWO60268 Legal Description: BENBECCA BLOCK 2 LOT 2A Design Engineer: 0070 KND ENGINEERING Owner Name: HORIZON'S LLC Owner Address: 10900 CORRIE WAY EAGLE RIVER. AK 99577 - Date Issued: Aug 18, 2006 Expiration Date: Aug 18, 2007 Parcel ID: 051-052-68 Site Address: NHN REESE Lot Size: 40144 SQ. FT. Total Bedrooms: 3 Permit Bedrooms: 3 This permit is for the construction of: ❑✓ Disposal Field ❑✓ Septic Tank ❑ Holding Tank ❑ Privy ❑✓ Private Well ❑ Water Storage All construction must be In accordance with: 1. The attached approved design. 2. All requirements specked 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. Received By: Date: ;?-1 —06 Issued Byy OX4� / 40. �a c Date: 9—/2-06 Municipality of Anchorage • Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 Bragaw Street � P.O. Box 196650 &J/nchorage, Alaska 89519650 www.muni.org/onsite r, r(907)343-7904 01 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. -0, Property owners) Horizon's LLC Day phone Mailing address 10900 Corrie Way, Eagle River, AK Zip Code 99577 Site address v� N Zip Code Legal description (Sub'd., Block & Lot) Benbecca. Block 2, Lot 2A Legal description (Township, Range & Section) Lot Size LlU, I" Sq. Ft. THIS APPLICATION IS FOR (® all that apply) Absorption Field N Septic Tank Holding Tank ❑ Privy ❑ Private Well Water Storage Number of Bedrooms 3 1 THIS APPLICATION IS AN: Initial Upgrade Renewal certify that the above information is correct. I further certify that this application is being Single Family Dwelling and is in accordance with applicable Municipal Codes. property owner or authorized agent) Date of Payment: Waiver Fees: Date of Payment: Receipt Number: O Ya7 Receipt Number. (Rev. 11105) 0; for a alKN D ENGINEERING, INC 20441 PTARMIGAN BLVD. EAGLE RIVER, AK 99577-8736 696-6111 /FAX (907) 696-8111 August 17, 2006 Municipality of Anchorage Development Services Department On - Site Water &Wastewater Program P.O. Box 196650 Anchorage, AK 99519-6650 Subject: New sewer/well permit — Benbecca Block 2, Lot 2A Gentlemen: The owner has requested we proceed forward to obtain a well and septic permit on the subJ'ect lot. On June 11, 1995 one testhole was performed for the proposed system. The results of this test are attached. The general slope of this lot is from east to west at a grade of approximately 0-5%. We have designed our system utilizing the existing testhole that was excavated for the proposed 3 -bedroom house. Water was encountered at 9' during 'the excavation and at 6.8' during monitoring. Subsequent monitoring on May 12, 2006 showed groundwater at 9'. The lot will be served by an individual well, located on the eastern portion of the lot. We propose to install one 10' wide by 24' long bed with an IDSF. This system will be manufactured by Anchorage Tank & Welding to meet Orenco Systems, Inc. latest design criteria and in accordance to MOA requirements. The Drainfield Design is based on the following: • 3 -Bedroom Design Flow: 450 gpd • Percolation Rate: 34 min/inch • Category III Allowable Application Rate: 2 gpd/sf • Designed Application Rate: 2 gpd/sf • Minimum Absorption Area 225 sf • Effective Absorption Area 240 sf (10' wide by 24' long) • Effective Depth Below Distribution Pipes: 0.5' There are no public or private wells within 200' of our proposed system location except as noted. There is no surface water within 100' of the proposed system and there are no known curtain drains within 50'. We do not expect there to'be any adverse effect on adjacent lots by the development of this system. RE: Benbecca 62 LIA2 August 17; 2006 Pagc 2 of 2 If you have any questions, please contact meat 696-6111/FAX 696-8111. Respectfully submitted, IKMD Engineering, Inc. Kenneth M. Duffus, P.E. Attachments: On -Site Well and Sewer Application Water/ Wastewater Absorption System Details/Site Plan Soils Log/ Percolation Test WELL & WASTEWATER SYSTEM SITE PLAN BENBECCA SUBDIVISION Block 2 Lot 2A 139 80 J i 11 IA CII i I �(as-iaaJ ------},I 2A 11,♦ 1 11' //- I 1 1 I i 1 u DESIGN DETAILS SURVEYOR SHALL FLAG PROPERTY 3 BDRM x 150 GPD — 450 GPD UNE AND WELL RADII PRIOR TO APPLICATION RATE - 2 GPD/SF CONSTRUCTION. MIN. ABSORPTION AREA a 450 GPD/(2 GPD/SF)-225 SF 225 SF/10'W-22.5' LONG BED USE 1 BED 10'Wx24'LxO.5'D TOTAL DEPTH OF EXCAVATION 2' TOTAL EFFECTIVE DEPTH IS 0.5' PRESSURIZED DISTRIBUTION SYSTEM HOLE SPACING DESIGN 1. RESIDUAL HEAD a 5' 2. HOLE SIZE - 3/16' — 1.00 GAL PER HOLE O 30 PSI 3. 30 GALS (PUMP DELIVERY)/1.00 GALS/HOLE - 30 HOLES 4. 110 LF LATERAL/30 HOLES - 3.67' SPACING PER HOLE — usa 3.5' 5. ALL HOLES SHALL HAVE CAPS INSTALLED PER MANUFACTURES SPECS. NO PUBLIC WELLS WITHIN 200' OF PROPOSED SYSTEM. NO PRIVATE WELLS WITHIN 200' OF PROPOSED SYSTEM EXCEPT AS NOTED. NO SEPTIC SYSTEMS WITHIN 200' OF PROPOSED WELL EXCEPT AS NOTED. -ft\Nk-ft 47 IS *:4 9 �. PUMPING INTERVAL, 450 GPD/8 GAL/CYCLE - 56.25 CYCLES/DAY PUMPING INTERVAL- 1440 MIN/DAY / 56.25 CYCLES/DAY = 25.6 MIN ■SET PUMPING INTERVAL AT 25 MIN AND ADJUST IF NESSASCARY NOTES, 1. INSTALL 1250 GAL S.T.E.P. TANK, INSULATE ON ALL SIDES. SEE ATTACHED SHEETS FOR DETAILS. 2. INSULATE ALL LINES, SYSTEM COMPONENTS, TRENCH AND TANK WITH 2' HD BURIAL FOAM. 3. CONTRACTOR WILL ENSURE MAXIMUM 2% SLOPE INTO SEPTIC TANK. 4. ADDITIONAL FILL WILL BE ADDED OVER SYSTEM TO ACHIEVE MIN. 3' COVER IF REQUIRED. I 5. EXCAVATE ORGANICS AND INSTALL 2' SAND LAYER FOR SEPARATION. PREPARED FOR, I I HORIZON VENTURES 10900 CORRIE WAY EAGLE RIVER, AK 99577 (907)240-9595 CE -7118 cqr tsstoll= oa. FILE ACAD FILE: @ SEPTIC — Rod By Lsgat\Ssmbxa SuCd\Black Scalei 1'= 100' PAGEII OF 3 aEND ENGINEERING, INC. bmw 20441 PTARMIGAN BLVD. DAM 08/17/06 EAGLE RIVER, AK 99577-8736 MO. NW1561 :::•::•:.:::.:::::::::::.::::::::::::::::::::::::::.:::::::::.�:::::::::, jmv— 06-024 (907)888-3791/FAX (907)888-3793 WELL & WASTEWATER SYSTEM SITE PLAN BENBECCA SUBDIVISI❑N Block 2 Lot 2A GENERAL NOTES: 1. MAINTAINED 10 FOOT SEPARATION DISTANCE FROM WATER LINES. 2. MAINTAINED MINIMUM OF 10 FOOT SEPARATION FROM ANY PROPERTY LINES. 3. FOUNDATION CLEANOUT PLACED WITHIN 3 FEET OF FOUNDATION. 4. CONTRACTOR VERIFIED ALL SEPARATIONS TO ADJACENT/SUBJECT WELLS, SEPTICS, LOT LINES, FOUNDATIONS AND ALL OTHER REQUIRED SETBACKS. 5. PLACED A MINIMUM OF 4 FEET OF EARTH COVER (OR EQUIV) OVER ABSORPTION BED. ONE INCH OF WESTERN 'Insulfoam II' (OR EQUIV) MAY BE SUBSTITUTED FOR ONE FOOT OF EARTH COVER UP TO A MAXIMUM OF TWO INCHES OF INSULATION. 6. MAXIMUM OF 2% GRADE TO TANK. 7. USED 3'-11' SEWER ROCK. NOTE: A REGISTERED LAND SURVEYOR SHALL FLAG PROPERTY UNE AND WELL RADII PRIOR TO CONSTRUCTION. NOTE: GRADE FLAT 0-4R NW DIRECTION. OF 49� M. D CE- 04 4ebyrsslvsµ Aw _ _\— 24'1-x10'W0.55'D– TOTAL DEPTH 2' ROM ORIGINAL 0% m r o I` FCO I MTCRNR TYP t — TH1999-2a 1 PRESSURIZED 1250 GAL S.T.E.P. SYSTEM I T�106 AIR LINE \ \ 4"; ID PI� AT 2% I MAX. GRADE I \ PR'OROSED 3 I --qEDROOM, SFR I I SWI G— IE CHART 0 CB DS \ 1 I C 13.95 ,,AA AL EL SLOPE' 8 C=53.66 I0`0 0 \ WING D 71.68 �- A—C B AC D= 1.26 P4.78��4.0 S CT B D MIN. QF B—C BF E=b 06.0 / LOCATION. TH ` 1 I A—D 1 1 B -D SYSTEM PLAN. TYPICAL SCALE: 1'=30' PAGE 2 OF 3 FIELD BOOKS COUwTM I sau"oA . MAW rsm 1K HDENGINEERING, INC. uAKM OfOQD: bmw 20441 PTARMIGAN BLVD. Amur. DATE 08/17/06 EAGLE RIVER, AK 99577-8736 AIA° m' 06024.DWGI 06-024 (907)888-3791/FAX (907)888-3793 WASTEWATER DISPOSAL SYSTEM DETAILS BENBECCA SUBDIVION Block 2 Lot 2A 3/4• " SOL 4D rvc uTERAIS rLug" VALVES I MOLES, SHIELDS, (VELA PROLECTIVE D vmm VALVES PER DRENCO DESIGN ODMENDED ABOVE GRAM 4• MWITURMG AT 24' L► - PLYWOOD /ARIER AROMD PERDaTER PLAN VIEW BOTTOMLESS I F DETAILS V NOaIORING TUBE FINAL GRADE ORIGINAL GRADE V.wm.. . 10' ADR LK 6. ABOVE BOTTCK Or SAND rD.TER PREPARED FORT HORIZON VENTURES 10900 CORRIE WAY EAGLE RIVER, AK 99577 (907)240-9595 FlELD BOOKS KND STAaNQ -- ASK&% DM EEE ACAD FLE nenc, COMPUTED: DRAMA: VBG °a°a - KMD DATE 8/17/ 00. NW156 d0B N": 06083 10' N t4• ISf. XSUR[ ►PDG DESIGNED FINAL! GRADE ORIGINAL GRADE vau"TEO KYVOaD DA."MR Scalei NTS PAGE 13 OF 3 =11V LW ENGINEERING 20441 PTARMIGAN BLVD. EAGLE RIVER, AK 99577-8736 a J -i ti., C i•os.r MuNCIPallly of Anchorage DEPARTMENT OF HEALTH b HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION TEST PERFORMEO FOR:_SteVP R, V e TH!2 -� .� ! I'� DATE LEGAL DESCRIPTION: 0 enbecca' Subd Lot 2 TOWnshlo. Range, Section:( Pre, 2 ?Eec- 3. 4, s- 6- T. 7- 8- 11 .8 11 12 13 14 . 15 16 17 18 19 20 COMMENTS 3" Organics Sf1' `Silty Sand GM with cobbles to 6" SM Silty Sand Medtum density osed Seepage light @ first Increased with time WAS GROUND WATER GMS;M ENCOUNTERED) YFS OH a I (Do 7AT WHAT Q 1 � Seep. ppInc. ww/time E0401h 11 WAW � PERCOLATION RATE (--W—'Mhl PERC HOLE DIAMETEA .4 / TEST RUN BETWEEN 2- FT AND* -FT ..I PERFORMED BY: S c1 K•' l _ KIEa •h.,.. I` i "i cEn11ry THAT 114151EST WAS PERFORMfDIN ACCORDANCE WITH ALL STATE AND MUNICIPAL GLnOELINES IN EFFECI ON 111IS DAM DATE IILI 72-M 111e'r, 1/851 1 ZImi■i��� PERCOLATION RATE (--W—'Mhl PERC HOLE DIAMETEA .4 / TEST RUN BETWEEN 2- FT AND* -FT ..I PERFORMED BY: S c1 K•' l _ KIEa •h.,.. I` i "i cEn11ry THAT 114151EST WAS PERFORMfDIN ACCORDANCE WITH ALL STATE AND MUNICIPAL GLnOELINES IN EFFECI ON 111IS DAM DATE IILI 72-M 111e'r, 1/851 1 KINSI D ENGINEERING, INC. 20441 PTARMIGAN BLVD. EAGLE RIVER AK 99577-8736 (907) 696-6111/ FAX (907) 696-8111 ON-SITE WASTEWATER DISPOSAL SYSTEM CONSTRUCTION PRACTICES AND MATERIAL SPECIFICATIONS LEGAL DESCRIPTION: BENBECCA, BLOCK 2, LOT 2A GENERAL: 1. The scope of this project includes the installation of a septic tank and/or drainfield to serve a single famil residence on the referenced property as delineated on the attached Municipality of Anchorage MOA) permit and site plan. 1. Construction shall be in accordance with the approved site plan and design drawings; MOA permit with any special provisions or conditions, and all applicable State and Municipal Wastewater Disposal Regulations. 1. KND Engineering Inc (KND) assumes no responsibility of the accuracy of the as -built survey provided by the owner or owner's representative. 1. The owner or contractor is responsible to notify the engineer of any discrepancies noted on the design plans or drawings prior to commencing work. These discrepancies could be, but not limited to, possible encroachments, surface water, varying soils, unplatted easements, types or use of dwellings on or adjacent to property, nearby public wells, etc. 1. The contractor shall be responsible for locating any necessary underground utilities, I asements, property lines and surface water. The owner and/or contractor shall ensure, lif deemed appropriate, that a registered land surveyor prior to construction flags all setbacks. 1. The contractor shall be responsible for verifying all pertinent separation distances and component layout. 1. Unless specifically agreed otherwise, the property owner shall be responsible for final grading areas subsequently depressed from soil settling. On all leachfield mound systems, the property owner shall be responsible for ensuring a satisfactory vegetation growth over the mounded area. 1. The MOA Development Services Department On -Site Water & Wastewater Program must certify contractors installing wastewater disposal systems. Owners installing their own systems must also receive prior approval from said MOA Department. SEPTIC TANK / HOLDING TANK / LIFT STATION INSTALLATION: 1. A septic tank is to be constructed by a certified septic tank manufacturer. Construction shall include two 4" cleanouts for pumping access. 1. The septic tank shall be sufficiently bedded with proper material and compacting i o prevent damaging, settling or shifting of the tank. 1. All standpipes on the septic tank shall extend a minimum of 12 inches above the final grade. 1. Septic tanks installed with less than 4 foot of cover shall be insulated. The contractor will ensure that the fill over the tank does not exceed the burial depth rating. 1. A foundation cleanout shall be installed one to four feet from the building foundation. In the line between the tank and the leachfield there shall be two adjacent cleanouts (unless An effluent pumping system exists within the septic tank). These cleanouts shall be located on undisturbed soil not more than 10 feet from the tank. The second cleanout, in line, shall be to clean toward the septic tank. 1. Final grading over the septic tank shall be such that a positive slope exists away from the septic tank. Page 1 of 3 Reference: Benbecn B2, L2A Date: 08/17/06 Page: 2of3 7. All H.D.P.E. tanks shall have a vertical length of 4 -inch perforated drainpipe besides the tank extending to the bottom of the tank to above grade to monitor ground water. 8. All tanks shall be anchored when there is not enough adequate soil cover to resist buoyancy forces in high -groundwater areas. 9. All holding tanks and lift stations shall have an audible and visual alarm inside the residence. 10. All lift stations shall be wired in compliance with the Uniform Electrical Code and all MOA guidelines. 11. The contractor shall remove the old tank, or abandon it in compliance with the Uniform Plumbing Code. The contractor is solely responsible for the abandonment procedure. ABSORPTION TRENCII/DRAINFIELD INSTALLATION: 1. Excavate the proposed trench to the dimensions shown on the design. The bottom of the excavation shall be within 2 inches of level. If the sidewalls of the excavaction become smeared, they must be raked or scratched (roughed -up) before gravel (sewer rock) placement. 1. Once the sewer rock is installed, the distribution pipe is installed level with the perforations facing downward. Gravel is then to be placed over the distribution pipe to provide a minimum of 2 inches of cover over the pipe. 1. A silt barrier must be installed between the final gravel layer and the native soil backfill. Ensure the silt barrier covers the entire gravel surface before placing backfill. 1. Monitoring tubes shall be four- (4) inch diameter, installed approximately in the locations shown on the design, and extend a minimum of 12 inches above final grade. The poition of the monitoring tube extending through the gravel shall be perforated from the bottom of the trench to the invert of the distribution pipe. This is equivalent to the effective depth of thb gravel as noted on the design. 1. Backfill over the final gravel layer must not be less than twenty-four inches. Insulation must be installed when the backfill depth is less than thirty-six (36) inches. The finish grade over the trench must be mounded to prevent the formation of a depression after settling. 1. All advanced technology waste water disposal systems (Advantex, Biocycle, Intermittent Dosing Sand Filter, etc...) shall be constructed, installed, maintained and monitored per manufacturer's specifications and MOA requirements. MINIMUM MATERIAL SPECIFICATIONS: 1. A MOA approved septic tank manufacturer must construct any septic tank proposed for installation. 1. The following pipe materials are MOA approved for use in septic system installations: Type of Pipe Perforated olid Cast Iron Yes Yes ASTM D3034 (PVC) Yes Yes ASTM F810 (HDPE) Yes No ASTM D2662 (ABS) Yes Yes 1. Insulation shall be at least 2" thick extruded direct burial polystyrene (Dow Chemical Company Styrofoam HI or equal). 1. Septic tank inlets and outlets shall be fitted with watertight couplings (Caulder, Fernco, or equal). 1. A permeable nontoxic silt barrier (Typar 3401, Mirafi 140N, or equal) must be installed between the final leachfield gravel layer and the native soil backfill. 1. All leachfield gravel (sewer rock) shall be 0.5"-2.5" screened gravel with less than 7o passing the #200 sieve. If deemed necessary, a sieve analysis should be performed. 1. When sand is being used as a filter material, its gradation specification must conform to current MOA or DEC requirements. Reference: Benbecca B2, I.2A Date: 03/17/06 Page: 3 of 3 INSPECTIONS: Typically there will be three (3) inspections required during the installation of the wastewater disposal system. These inspections will occur as follows: 1. The first inspection must be conducted after the excavation of ditches, pits, trench) s, or beds and before the installation of any gravel. A septic tank may be set in place, but may not be backfilled before this inspection. 2. The second inspection must be conducted after the placement of the sewer rock, distribution lines, standpipes, and cleanouts, but before the placement of the silt barrier, insulation, or any other backfill. 3. The final inspection is to occur upon final grading of the property. Often there will be more than these 3 inspections required, especially with the installation of multiple trenches, sand filters, pressurized distribution systems, etc. The inspecting engineer is to bd contacted at least 24 hours prior to the start of construction. If necessary, a pre -construction meeting will take place on-site. The inspecting engineer will not coordinate, direct or control in any way the contractor's activities. The owner shall contract with the contractor to perform the work outlined in these specifications and attached plans and in accordance with the attached MOA permit. All materials, components, and construction practices shall comply with the MOA's and the State of Alaska's latest ordinances, regulations, or policies regarding wells and septic systems. The failure of the inspecting engineer to notice a material or construction non-compliance does not relieve the contractor of his/her responsibility to correct such deficiency. There will be no contractual arrangement existing between the contractor and KND Engineering, Inc. KND shall be the owner's representative and will inspect the work as stated above to document the contractor's activities. Final acceptance of the contractor's work rests with the owner and the MOA. KND shall have no liability to the owner or to others for acts or omissions of the contractor or any other persons performing work on this project or the failure of the contractor to carry out the work in accordance with these construction documents. KND's inspecting engineer will not be responsible for the construction means, methods, and techniques, sequence, procedures or the safety precautions incident to this project. BY PROCEEDING FORWARD WITH THE INSTALLATION OF THE WATER J ND/OR WASTEWATER SYSTEM (S), THE PROPERTY OWNER, CONTRACTOR, AND WELL DRILLER ACKNOWLEDGES HAVING READ AND ACCEPTED THESE SPECIFICATIONS. I Municipality of Anchorage *AE Development Services DepartmentBuilding Safety DivisionOn-Site Water and Wastewater Program 4700 Elmore Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. 051-052-68 COSA Expiration Date: _ t r C 1. GENERAL INFORMATION Complete legal description Lot 2A, Block 2, Benbecca Subdivision Location (site address) 24260 Reese Road, Chugiak, Alaska 99567. Current Property owner(s) Mailing address Lending agency Mailing address Real Estate Agent Amy & Andrew Eklund -MlT.hft-e T aahVMr-b-5 kP Day phone Day phone Mi rhaP i Schwartz Day phone(907) 351-228 Mailing Address Keller Williams Realty/101 W. Benson, Suite 503 Anchorage, Alaska 99503 Unless otherwise requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 3 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 sample results. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my. investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm Pinard Engineering Phone (907) 357-3647 Address PO Box 871347 Wasilia, Alaska 99687 Engineer's Printed Name Paul E. Pinard, P. E. 5. DSD SIGNATURE Approved for 3 bedrooms. Disapproved. Date 10/15/1 Q Conditional approval for bedrooms, with the following stipulations: t `J ON-SITE 101 WASTEWATER RAM 00 1./i1J;1` Attachments: COSA Checklist X Arsenic Advisory Septic System Advisory Maintenance Agreements Well Flow Advisory Supplemental Engineer's Report Nitrate Advisory Other By: Original Certificate Date: i (Rev. 11105) Municipality of Anchorage Development Services Department Building Safety Division On -Site Water & Wastewater Program 4700 Elmore Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907)343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description: _Lot 2A, Block 2, Benbecca Parcel ID: 051-052-68 A. WELL DATA Well type Private If A. B, or C provide PWSID # Well Log (Y/N) Y Date completed 8/30/06 Sanitary seal (Y/N) Y Wires properly protected (Y/N) Y Total depth 210 ft. Cased to 210 ft. Casing height (above ground) 18+ in. FROM WELL LOG AT INSPECTION Date of test 8/30/06 10/6/10 Static water level 158 ft. 16.5 ft. Well production 30 g.p.m. 4.0 9.p -m. WATER SAMPLE RESULTS: Coliform ,_colonies/100 mL Nitrate 2.42 mg/L Arsenic: _ND ug/L date of sample:11L6 / 10 B. SEPTIC/HOLDING TANK DATA Tank Type/Material Septic/HDPE Tank size 1.300 gal. Number of Compartments 2 Other bacteria 0 colonies/100 mL Collected by: Pinard Engineering Date installed 8/29/06 Cleanouts (Y/N) Y Foundation cleanout (Y/N) Y Depression over tank (Y/N) N High water alarm (Y/N) Y Date of pumping 10/14/10 Pumper _ JRs Pumping C. ABSORPTION FIELD DATA Date installed 8/29/0 Soil rating (g.p.d./ft2 c�dt 2 Length 30 ft. Width _ 12 ft. Total depth 3 ft. Eff. absorption area 360 ft2 Monitoring tube Date of adequacy test 10/6/ 110 Results (Pass/Fail) Pass System type IDSF — Bed Gravel below pipe _ 0.5 ft. VA Fluid depth in absorption field before test 0 in. Water added960 gal. Depression over field N For 3 bedrooms New depth 0 in. Elapsed Time: 240 min. Final fluid depth 0 in. Absorption rate >= 450+ g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) None Known If yes, give date D. LIFT STATION Date installed 8/29/06 Size in gallons 1300 Manhole/Access (Y/N) Y "Pump on" level at -46_ in. "Pump off" level at _4D in. High water alarm level at 4-8 - 5 in. Datum Ton MA Riser Cycles tested 2 Meets alarm & circuit requirements? Y E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot Absorption field on lot Public sewer main 100'+ 100'+ 75'+ Sewer /septic service line 25f+ Animal containment areas 501+ On adjacent lots 1001+ On adjacent lots 1001+ Public sewer manholetcleanout 100' + Holding tank 100' + Manure/animal excrete storage areas 100' + SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 51+ Property line r' + Absorption field 5t+ Water main 101+ Water service line 10' + Surface water 1001+ Wells on adjacent Iots100' + SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10' + Building foundation 10' + Water main 10' + Water Service line 10' + Surface water 1001+ Driveway, parking/vehicle storage 10' + Curtain drain NA Wells on adjacent lots 1 on + F. COMMENTS 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 _ Paul E. Pinard, P. E. Date 10/15/10 COSA Fee$ c� Waiver Fee $ _ Date of Payment / �' / i� Date of Payment Receipt Number 6 7 q -7 Receipt Number (Rev. 11/05) i c1T�TAlr l 4, ATF{ • • 4#�••.• •••• .. •.•�•. E. Pinard "•,' CE -479800 , Is SGS Ref.# 1105406001 Client Name Pinard Engineering Project Name/# 2A/2 Benbecca Client Sample ID 2A/2 Benbecca Matrix Drinking Water Sample Remarks: Printed Date/Time 10/14/2010 10:26 Collected Date/Time 10/06/2010 14:15 Received Date/Time 10/06/2010 15:15 Technical Director Stephen C. Ede Parameter Results LOQ Units Method Container ID Allowable Limits Prep Analysis Date Date Init Metals by ICP/MS Arsenic ND 5.00 ug/L EP200.8 C (<10) 10/07/10 10/13/10 NRB Waters Department Total Nitrate/Nitrite-N 2.42 0.100 mg/l, SM20 450ONO3-F B (<10) 10/08/10 AYC Microbiology Laboratory E. Coli Negative 1 100mL SM20 9223B A 10/06/10 DLC Total Coliform Negative 1 100mL SM20 9223B A 10/06/10 DLC LOCATION: Lot 2A, Block 2, Benbecca Subdivision DRILLER: Sullivan Water Wells DATE WELL COMPLETED: 8/30/06 WELL DEPTH: 210' STATIC WATER LEVEL (top of casing): 16.5' PINARD ENGINEERING P.O. Box 871347 Wasilla, AK 99687 (907) 357-ENGR (3647) WELL FLOW TEST JOB NUMBER: 10-270 DATE OF TEST: 10/6/10 FIELD STAFF: PJ Pinard 1 Time Elapsed Time (Minutes) Static Water Level Flow Rate m) Cumulative Gallons Pumped Remarks 5:00 PM - 16.5' 4.0 - Start Test - Meter 338900 5:15 15 16.5' 4.0 60 338960 530 30 16.5' 4.0 120 339020 5:45 45 16.5' 4.0 180 339080 6:00 60 16.5' 4.0 240 339140 6:15 75 16.5' 4.0 300 339200 6:30 90 16.5' 4.0 360 339260 6:45 105 16.5' 4.0 420 339320 7:00 120 16.5' 4.0 480 339380 7:15 135 16.5' 4.0 540 339440 7:30 150 16.5' 4.0 600 339500 7:45 165 16.5' 4.0 660 339560 8:00 180 16.5' 4.0 720 339620 8:15 195 16.5' 4.0 780 339680 8:30 210 16.5' 4.0 840 339740 8:45 225 16.5' 4.0 900 339800 9:00 240 16.5' - 960 Stop Test 339860 RECOVERY All well protection features are adequate. Recovery measurements are not necessarv. Average Flow Rate: 4.0 gpm Comments: DURING THIS TEST, TIS WATER SUPPLY WELL WAS CAPABLE OF PRODUCING 4.0 GPM. THIS TEST DOES NOT CONSTITUTE A WARRANTY OR GUARANTEE THAT THE WATER SUPPLY SYSTEM WILL CONTINUE TO FUNCTION AND PRODUCE AT THIS RATE. Reviewed by: Paul Pinard Date: 10/11/10 PINARD ENGINEERING P.O. Box 871347 Wasilla, AK 99687 (907) 357-ENGR (3647) ADEQUACY TEST -FIRST ATTEMPT LOCATION: Lot 2A, Block 2, Benbecca Subdivision APPLICANT: Andrew & Amy Eklund 24260 Reese Road Chugiak, Alaska 99567 SEPTIC TANK TYPESIZE: HDPE/1300 Gallon STEP Tank, per MOA Records ABSORPTION SYSTEM: Elevated Seepage Bed, per MOA Records DAILY FLOW: 3 BEDROOMS x 150 GAUBR = 450 Gallons TEST DATA 1d�1 JOB NUMBER: 10-270 DATE OF TEST: 10/6/10 FIELD STAFF: PJ Pinard NUMBER OF BEDROOMS: 3 SCUM: 0.2'+ SLUDGE: NEEDS TO BE PUMPED: Yes XX No CURRENTLY IN USE: Yes No XX Time Flow Rate Volume Cumulative Volume Septic Tank Septic Tank Soil Absorption System Comments pM (GPM) (GALs) (GALs) Liquid Level 0 Level Monitor Tube 1' A SAS Level Monitor Tube 3" A SAS Level 5:15 4.0 - - 4.0' - 0.0' - Start Flow -Meter 338900 5:45 4.0 120 120 4.1' 0.1' 0.0' 0.0' 339020 6:15 4.0 120 240 4.1' 0.0' 0.0' 0.0' 339140 6:45 4.0 120 360 4.1' 0.0' 0.0' 0.0' 339260 7:15 4.0 120 480 4.1' 0.0' 0.0' 0.0' 339380 7:45 4.0 120 600 4.1' 0.0' 0.0' 0.0' 339500 8:15 4.0 120 720 4.1' 0.0' 0.0' 0.0' 339620 8:45 4.0 120 840 4.1' 0.0' 0.0' 0.0' 339740 9:15 - 120 960 4.1' 0.0' 0.0' 0.0' Stop Test - 339860 RECOVERY Date Time ST MT SAS MT "ALL MEASUREMENTS IN FT. TEST: PASSED XXX FAILED COMMENTS: System appears to be operating satisfactorily. There was no measurable liquid in the SAS MT prior to or at any time during the test. Reviewed by: Paul Pinard 1� Date: 10/11 /10 ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND REPAIR AGREEMENT MEMORANDUM OF UNDERSTANDING BETWEENNLNICIPALI Y OF ANCHORAGE AND r r THIS MEMORANDUM OF UNDERSTANDING made and entered into as of this Day of O'c/0 P - y of 20I 0, by and between w., -,r r 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 %�, S, located at 3 v `, c- c_6 ` / , 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. C a ' tlir-&Ilie t of *b+� nt the canditinn a - a JUT 3. Fee. Owner shall pay to Municipality an annual fee of 2 e /,,;, ($ 000), payable on or before the issuance of the operating permit and annually thereafter. The annual fee is due on or before the anniversary date of the approval by the Municipality of installed system. 4. Term. The term of this Memorandum of Understanding shall be for the life of the AWWTS. The term begins on the date of approval by the Municipality of the installed system and shall continue while the AWWTS system is in use or operational or until the property is sold or title is transferred by owner and a new certificate of On -Site approval is issued to the new owner or transferee of the property. 5. Alterations, Installation and Removal of Additional Equipment. Owner agrees not to make any alterations, removal of parts or additions to the AWWTS without a Construction Permit from the Municipality. 6. Maintenance and Repairs. A. Throughout the term of this Memorandum of Understanding, the Owner shall maintain AWWTS in good repair. In addition, it shall be the responsibility of the Owner during the term of this Memorandum of Understanding, and any extensions or renewals thereof, at the owner's sole expense, to pay for any and all: (1) repair(s), (2) maintenance, (3) adjustment(s), (4) replacement costs,. and (5) inspection costs. Further, Owner agrees to comply will all applicable ordinance, laws, regulations, rules and orders for the AWWTS. L n<xmPr arrap� tnrnVl(j th �/r IrI1CTn� a �xrritta+�+Y scii�uui�-vfzvuarle ma'nkTta ee, ar,rl ra�x�hich have been performed on the s� nllrct,?]1t,.to the ncI terms -a peratmg Perms . This be he -permit f maintanana m7Ti�TTC r a mg e 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 Memorandum of Understanding as an amendment. B. For the purposes of any amendment modification or change to the terms and conditions of this contract, the only authorized representatives of the parties are: Owner: Anchorage: Purchasing Officer 4- r t 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. OWNER: BY',D --74 Date: I iD Z / O STATE OF ALASKA THIRD JUDICIAL DISTRICT MUNICIPALITY: Title: Date: i u ss. The foregoing instrument w s cknowledged before me this; j-/ day of,�� 20 j� by %1 1/ , the QUAl NO ARY PUBLIC FOR A/ % `�`a` ° • ®• .®.�.®�® My Commission expires: _ °°�®��lQ�, oor e o °brt jiesl\\ Municipality of Anchorage i �, �.* Development Services Department Building Safety Division 'j On -Site Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING Parcell.D. 051 -n52 -6S COSA* n9 ono';i. Expiration Date: �( f 10S 1. GENERAL INFORMATION Complete legal descriptionBenhecca Rlock 2, Lot 2A Location (site address) .0 .. a. •• Current Property owner(s)Horizon's LI_(' Day phone 244-8585 Mailing address Lending agency Mailing address Real Estate Agent Mailing Address Unless otherwise requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: --a- 3. TYPE OF WATER SUPPLY: Individual Well Individual Water Storage ❑ Community Class Well ❑ Public Water System ❑ Day phone Day phone TYPE OF WASTEWATER DISPOSAL: Individual On-site Individual Holding Tank ❑ Community On-site ❑ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of On -Site Systems Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues COSAs upon request to homeowners. Certificates of On -Site Systems Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water sample results. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my Investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure Indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. .. 1 Engineer's Printed Name KENNETH M- DUFFIIS Date 01 /02/08 Engineer's Comments: This investigation was completed In compliance with ADEC and MOA regulations. The assessment of the condition of the well and septic applies only to the conditions as of the day tested. The flow and absorption rates may change due to subsurface conditions that may not be observed from the surface, changes Inland use, local soil characteristics, groundwater levels that may fluctuate during the year and the water usage of the family being served by the system. The operational life of all well and septic systems are subject to these various and dynamic characteristics and are outside the control of the evaluator of the well and septic system. Therefore, ArcTerra can not give any estimate of how long a OF /�\ �l system will function satisfactory for current or future �,�p� .••"••• t 1� occupants or can ArcTerca guarantee that no unseen r CO .••.,'�y:I encroachments, deficiencies or discrepancies exist. A .. I, 5. DSD SIGNATURE Approved for �_ bedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulations: Attachments: COSA Checklist X Arsenic Advisory Septic System Advisory Well Flow Advisory Nitrate Advisory Maintenance Agreements Supplemental Engineer's Report Other By: Original Certificate Date: Municipality of Anchorage • Development Services Department Building Safety Division On -Site Water & Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519650 www.muni.org/onsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description Retlhecca.RIS, Lint PA ParcellD: 051-052-68 A. WELL DATA Well type PRIVATE If A. B, or C provide PWSID # Well Log (Y/N) Date completed 8/30/06 Sanitary seal (Y/N)Y Total depth 210 ft. Cased to 210 ft. FROM WELL LOG Date of test 8/30/06 Static water level 1 5 8 ft. Well production 30 g.P.m, WATER SAMPLE RESULTS Wires properly protected (YIN) Y Casing height (above ground) 24+ in. AT INSPECTION 0 9.p -m. Coliform -0_colonies/100ml- Nitrate 2.24 mg/L Other bacteria _0Lcolonies/100 mL Arsenic: mg/I Date of sample: 12/14 & 20/07 Collected by: ArcTerra B. SEPTIC/HOLDING TANK DATA Tank Type/Material Septic/H.D.P.E. Date installed _8/29/06 Tank size 1300 gal. Number of Compartments Z Cleanouts (Y/N) Y Foundation cleanout (Y/N) Y Depression over tank (Y/N) N High water alarm (Y/N) Y Date cf pumping NA - New System Pumper C. ABSORPTION FIELD DATA Date Installed 8/29/06 Soil rating (g.p.d./fe or ftZ/bdrm) 2 gpd System type 1DSF - Bed Length 30 ft. Width 12 ft. Gravel below pipe eft. Total depth 2 ft. Eff. absorption area 360 fe Monitoring tube Y Depression over field h1 Date of adequacy test N/A Results (Pass/Fail) -Pass New System For 3_ bedrooms Fluid depth in absorption field before test_n.. Water added gal. 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 8/29/06 Size in gallons 1300 Manhole/Access (Y/N) Y 'Pump on' level at timer in. 'Pump off" level at timer in. High water alarm level at 48.5 n. Datum Bottom of tank Cycles testecLZ Meets alarm 8 circuit requirements? Y E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot 100'+ Absorption field on lot 100'+ Public sewer main 75'+ Sewer /septic service line 25' On adjacent lots 10 0'+ On adjacent lots 100'+ Public sewer manhole/cleanout 10 0'+ Holding tank 100'+ Animal containment areas 50'+ Manure/animal excrete storage areas 10 0'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation �$'+ Property line 5'+ Absorption field 5'+ Water main 10'+ Water service line 10 # + Surface water 100'+ Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ Building foundation 10'+ Water main 10'+ Water Service line 10'+ Surface water _1 00'+ Driveway, parkingivehide storage 10'+— Curtain 0'+Curtain drain 50'+ Wells on adjacent lots 10 0'+ F. COMMENTS ,(IDI% ^ OCCU&lEO — uEw &VjTE+k G. ENGINEER'S CERTIFICATION I certify that 1 have determined through field inspections ands % * j�g�^ , review of Municipal records that the above systems are in r••• ••• ••••••••••• , conformance with MOA COSA guidelines in effect on this „•,,, �,,,;p::. date. ♦ s Kennern n+. r= Engineers Printed Name KENNETH M. DUFFUS ftfF9 Date 01!02/20OS COSA Fee $4a—e-oe 57 cD Waiver Fee $ _ Date of Payment A �l � � OF Date of Payment Receipt Number D 34-/$O Receipt Number, (Rev. 11/05) SCS ReEN 1076517001 Client Name ArcTerra Engineering and Surveying Project Name/N Benbecea B2 L2A Client Sample 11) Benbecca B2 L2A Matrix Drinking Water PWSID 0 Sample Remarks: All Datesfl'imes are Alaska Standard Time Printed Date/rime 1221/2007 15:32 Collected Dateffime 12/142007 12:30 Received Date/rime 12/142007 13:50 Technical Director Stephen C. Ede Parameter Results PQL Units Allowable Mcthod COntalncrlD Limits Prep Analysis Date Date Init Metals by ICP/M3 Arsenic ND 5.00 ug/L EP200.8 C (<10) 12/17/07 1220/07 TK Waters Department Total Nitmtc/Nitritc-N 2.24 0.100 mg/L SM204500NO3-P B (<10) 12/17/07 1DS Microbiology Laboratory Total Coliform TNTC OB coVI00mL SM209222B A (<I) 12/14/07 SDP O ro O ro Ln REESE ROAD `n II II w —� 1 Al I w l I I oLn 1A <� I I � wa Nw I I ! wo X JN v0I I �m QLd �w w w —, Q O >� I I x 0 1A2OJ2A M w N89 52 21 E 314.78 (N89.57'18' E 314.79'Rec) 274.78' WELL, 1 40. 163.5' N n MHO, SEPTIC VENTS GO LOT 2A BLK 2 N89'51'59"E (N89'57'18"E W ANCHORAGE RECORDING DISTRICT ASBUILT OF: BENBECCA SUBDIVISION LOT 2A BLK 2 PLAT 97-8 SURVEY CERTIFICATION: I, John L. Schuller, have conducted a physical survey of this property as shown on this drawing and that the improvements situated thereon are within the property lines and no encroachments exist other than noted. EXCLUSION NOTES:It is the owners responsibiGty.to determine the existence of any easements, covenants, or restrictions which do not appear on the recorded subdivision plat. Under no circumstance should any information on this drawing be used for construction of fences, structures, improvements, or for establishing boundary lines. NOV 26, 2007 1 1-=50- 06-025 -=50'06-025 DRAWN BY: CHECKED BY W K) N UMB E R JLS NW1561 N 06 M 53.3' 314.93' 314.83'REC) WELL OFAils, ^ 49TH , /A0o NL SCHULLERLS-10408 WELL 3A CO L1 N Ln ♦— 1-: Q N Lr), Z_ W N W M w O OT � N N Q O M O 4 Y N89 52 21 E 314.78 (N89.57'18' E 314.79'Rec) 274.78' WELL, 1 40. 163.5' N n MHO, SEPTIC VENTS GO LOT 2A BLK 2 N89'51'59"E (N89'57'18"E W ANCHORAGE RECORDING DISTRICT ASBUILT OF: BENBECCA SUBDIVISION LOT 2A BLK 2 PLAT 97-8 SURVEY CERTIFICATION: I, John L. Schuller, have conducted a physical survey of this property as shown on this drawing and that the improvements situated thereon are within the property lines and no encroachments exist other than noted. EXCLUSION NOTES:It is the owners responsibiGty.to determine the existence of any easements, covenants, or restrictions which do not appear on the recorded subdivision plat. Under no circumstance should any information on this drawing be used for construction of fences, structures, improvements, or for establishing boundary lines. NOV 26, 2007 1 1-=50- 06-025 -=50'06-025 DRAWN BY: CHECKED BY W K) N UMB E R JLS NW1561 N 06 M 53.3' 314.93' 314.83'REC) WELL OFAils, ^ 49TH , /A0o NL SCHULLERLS-10408 WELL 3A