HomeMy WebLinkAboutEAGLE CREST #1 TR A LT 35Eogl
Crest
T oct A
35
#050-303-36
Municipality of Anchorage e':'~ '°
Development Services Department ~,:~
Building Safety Division '~
On-Site Water and Wastewater Program, 4700 S. Bragaw St.
P.O. Box 1~6650 Anchorage, AK 99519-6650 Page ~ of~
v,~w.cl.anchorage.ak.us (907) 343-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
Permit Number: -5{./JO~OC'/'q~' PIDNumber: 0EO-~)3- ~
"""*/~/ ~¢:~/'"¢~ WastewaterSystem: [~New I-]Upgrade
'~"" PII'5/7-~,#,,~//',~.,,,/~*~,¢~-¢~'J,.~,'v,.,.,/]~. ?0577 ABSORPTION F~ELO
'" ~,q¢-73ot' ""'""-" P =o-"-- []s-'-'-- oe. ~....,
· E6A. DESCR,PT~O, '"""~.~G,o., '"'""'-"0"'
,__.,, .... s.,o.. ""'""'"~'" ~ 'q °'-"" 36
Well: I-1 New [-I Upgrade 6,.,,,,.~, lO,,. ..~,..,
o_ ~~ ~ '"'""'"'.. "'"'¥¢¢,4/-,~,,~,~,',,, ,.,..,,.,.. 5-- ;i-
SEPARATION DISTANCES ~septic nHolding r-IS.T.E.P.. BOther:.
Tank Field Station Tank Se~er Line ~tll[.~/,. ~ ~,~
s~.~.w.,o,J~)~ '01~).~ I~ ~ / LIFT STATION
"'~' BENCH MARK /
. ~.~
Inspections pedorme, by: =.% =,v;,. 5,:*: ~5. Dates:
Development Se~ices Depad~ent~proval f~j%/ ~
PERMIT NO. SW030495
PAGE 2 OF 5
Municip. ati'l: of .A.n._c h.o..r' g 9.e,
DEPARTMENT OF HEA~TH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES BlVlSlON
P.O. Box 196650 e Anchorage, Aaska 99519-6650·Tete~hone: 343-4744
ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
LEGAL LOT 55, TRACT A, EAGLE CREST #1 P.I.D. UO. 050-503-36
__ 100' WELL RADIUS
10' UTILITY EASEMENT
~'rVl -FY4
I
Zl~I, % '~,,u%.,.'-;.GALLON HOPE
,.~l TM~SEPTIC TANK
~ J & FCO NEW
J ~1 / 2 BEDROOM J
I 51 / HOUSE I
--
PER&lIT NO. SW030495
PAGE 5 OF 3
Municip. o!.i-t oF Anchor"o.c~e
DEPARTMENT OF HE,~THAND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.D. Box 196650 ·~nchopoge, AJ(lsko 99519-6650·TeJephone: 343-4744
ON-SITE WASTEWATER UISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
LEGAL LOT 35, TRACT A, EAGLE CREST #1
P.I.D. NO. 050-303-36
~-FINAL GRADE
/ /- 98.6' 97.2'
I
550 GALLON FAT ALBERT
WITH PUMP ASSE~(DLY
MTI =76'8' -~TL
DIST. LINE=72.9' J
A B
rCO 27' 18'
ST1 22.5' 21.0'
ST2 24.5' 23.0'
TMT 26.0' 25.0'
MH 29.5' 28.5'
FY1 72.5' 69.0'
FV4 73.5' 6~;.0'
MT1 71,5' 67.5'
~/--FINAL GRADE
~-ORIGINAL GRADE
f INSULATION j
.
~---BOT~OM OF SAND~?0.4'
NO GROUNDWATER FOUND
60.4' B.O.H.
April 28, 2005
Al Roberts
19317 Second Street
Eagle River, AK 99577
Re: Lot 35 Track A Eagle Crest Number
Dear Mr. Roberts:
The lire station at the above referenced pmpe~y has been wired in accordance with NEC
and State/Local codes.
Thank you.
Kevln S. Hombuclde, Owner
Administrator Ucense Number 1284
Spedalty Contractor Ucense Number 27285
SULLIVAN WATER WELLS
~f Anchorage: ~ of Health & Human Service~ an(Yor Department of Envlmflmefltal Coflse~ation. MatSu Borough:
3epartment of Environmental Consecration.
MUNICIPALITY OF ANCHORAGE
Development Services Department
On-Site Water & Wastewater Program
4700 South Bragaw Street
P.O. Box 196650, Anchorage, AK 99519-6650
(907) 343-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM I WATER SUPPLY PERMIT
Initial
Date Issued: Dec 02, 2003
Expiration Date: Dec 01, 2004
Permit Number: SW030495
Legal Description: J_Eagi_e..~C?st #1 Tract A Lot 35 !
Design Engineer: 0003 S & S Engineering
Owner Name: Robert A. Sharer
Owner Address: PO Box 773303
Eagle River, AK 99577-
Parcel ID: 050-303-36
Site Address: 19317 Second Street
Lot Size: 17820 SQ. FT.
Total Bedrooms: ~'__ Permit Bedrooms:
This permit is for the construction of:
[] Disposal Field [] Septic Tank [] Holding Tank [] Privy
[] Private Well [] Water Storage
All construction must be in accordance with:
1. The attached approved design.
2. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska
Wastewater Disposal Regulations ( 18AAC72 ) and Drinking Water Regulations ( 18AAC80 ).
3. The engineer must notify DSD at least 2 hours prior to each inspection. Provide notification by calling
(907) 343-7904 ( 24 hours ). ( Not required for a Water Supply Permit only ).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
must be either: A. Open and closed on the same day.
B. Covered, sealed, and heated to prevent freezing.
Received By;.
Issued By;.
Date: /2- / ?
/
Municipality of Anchorage
Development Services Department
Budding Safe~y Division
On-Site Water and Wastewater Program
4700 South Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.anchorage.ak.us
(907) 343-7904
ON-SITE SEWER,r~%'ELL PERMIT AFF-LICATION
FOR A SINGLE FAMILY DWELLING
Permit Number SWO ~94qg"-
Day phone 2~/~Y~' ~'~----~ ~
THIS
APPLICATION IS FOR:
Sewer Only [] Well Only []
Sewer and Well ~ Water Storage []
Sewer Upgrade
THIS
PROPERTY 'CONTAINS:
Hot Tub [] Jacuzzi []
Swimming Pool [] Water Softening Unit []
Therapy Pool []
I certify that the
Single
s correct. I further certify that this application is being made for a
accordance with applicable Municipal Codes.
(Sign~
owner or authorized agent)
Permit Fees:
Date of Payment:
Receipt Number:
(Rev. 12;C0)
Waiver Fees:
Receipt Number:
November 25, 2003
ROBERT C, COWAN, P.E.
CML ENGINEEP~
(907) 694-2979
FAX (907) 694-121
MUNICIPALITY OF ANCHORAGE
Development Services Department
P.O. Box 196650
Anchorage, AK 99519
REFERENCE: Lot 35, Tract A, Eagle Crest Subdivision
It is requested that you issue a permit to install a 1000 gallon IIDPE septic tank, a 550
gallon Fat Albert S.T.E.P. tank, and an LD.S.F. to serve the proposed bvo bedroom
house on the referenced property.
A test hole was excavated and a percolation test performed. The approximate location of
the test hole is located on the attached site plan. At the time ofexeavation on 11/25/03 no
water was found, and after monitoring ground water for seven days the tube was dry.
We do not anticipate any adverse effects on neighboring wells, septic systems, reserve
areas or drainage patterns by the installation of the proposed septic system. The
construction of this system will not prevent any future development on any ofthe adjacent
properties.
If you require additional information, please contact us.
Enclosure
t 7034 NORTH F~GLE RIVER LOOp ~ SUITE 204 · EAGLE R~VER, ALASKA 99S??
N. T.S. DESIGN PROFILE
PROPERTY
LINE
(Ed II~S EAL)
Municipality of Anchorage
On-Site Water and Wastewater Program
P.O. Box 196650 ~ge, ~ 9951~6~
~.~.~n~.ak.us r. . .~'
~ ~Soi~g. ~rcolation Test
Legal Oes~pflon:/~~(~ T~ ~, --~ --- ~ ~ ~ ~ ~'~nship, Range, Se~.:
S~e Site Plan
4-
6,
7-
8-
WAS GROUND WATER
9- ENCOUNTERED? ~J~/ S
L
IF YES. AT WHAT DEPTH?
Depth to Water A~ter
11- Monitoring?
13-
Reading Date Gro~ ;ime
Net TimeDepth to Water Net D~p
/ //,o-.~ ?'~
~ tl;,~ $~,,~ f]?~' I~"
~ IZ ~ ~.,~ ? Ye" I"
)
~ /~ ~,- ~" /"
~4. B,0.H.
15-
16-
17-
18-
19-
20.
PERCOLATION RATE (m~x~e~'~ch) PERC HOLE DIAMETER
.'~ 1'EST RUN BE'P~EEN~,~ FT ~FT
PERFORMED BY: ~ ' ~~ CERTIFY T~T ,HIS TEST, WAS ,
pERFORMED IN ACCORDANCE W/TH AL~ STA'E ~D ~~tINES '" EFFE~ ON THIS DATE' 'ATE:
ROBERT C. COWAN, P.E.
CIWL ENGINEERS
(9O*0 694-2979
FAX (907) 694-1211
INTERMITTANT DOSING SAND FILTER SPECIFICATIONS
Lot 35, Tract A, Eagle Crest Subdivision
November 25, 2003
GENERAL STATEMENT OF WORK
The work and plans covered by these specifications consist of furnishing all labor,
materials, tools, transportation, and equipment necessary to complete an Intermittent
Dosing Sand Filter system as described herein and on the attached drawings.
All work under this project shall comply with current Municipality of Anchorage (MOA)
Regulations.
3 Bedroom House 450 GPD
Use 10' x 36' Bottomless Sand Filter and absorption area (360 S.F. required)
Sand filter to be constructed on accepting soil with all organics removed. (bottomless
only.)
SITE INVESTIGATION
Thc Contractor must carefully examine thc project documents, have full knowledge thereof,
have investigated the site, and be satisfied with the conditions affecting the work.
Conditions include, but are not limited to those bearing upon transportation, disposal,
handling and storage of materials, availability of labor, water, electric power, roads, and
uncertainties of weather, physical conditions at the site including all underground utilities,
the conformation and condition of the ground, the character of equipment and facilities
needed preliminary to and during prosecution of the work. The Contractor must be satisfied
with the character, quality and quantity of surface and subsurface materials or obstacles to
be encountered. Any failure by the Contractor to become acquainted with the available
information will not relieve him/her from responsibility of performing the work as stated in
these specifications and drawings.
Location of utilities will be the contractor's responsibility.
17034 NORTH EAGLE RNER LOOP SUITE204 EAGLEFUVER, ALASKA 99577
Page 2
Lot35, Tract A, Eagle CrestSubdlvlslon
November2$,2003
SEPTIC TANK / LIPT STATION / AIR COMPRESSOR
General
The work under this section consists of the performance of all operations pertaining to
furnishing and installing the septic tank/lift station, air compressor and piping to the sand
filter.
Materials
1. Tank
a. Septic tank shall be a two compartment tank of at least the minimum size
indicated on the drawings and MOA approved.
b. First compartment shall have a separate 4" pump-out riser. The second compartment
shall have a separate 4" pump-out riser.
2. Manhole Riser or Lift Station Tank
a. An additional second compartment manhole riser shall be capable of being equipped with
the following:
i. A junction (Nema 4x) box or equal, bonded or attached to
the pump basin.
2. UL listed electrical cord grips, installed in the J-box.
b. An additional tank (M.O.A. approved) may be provided for the
effluent pumping assembly and the items in (a.) above.
3. Effluent Pumping Assembly, Controls, Alarm & Piping
a. Effluent pumping assembly shall be of approved materials, including the following:
I. A 110 volt or equal U.L. Listed effluent pump.
Page 3
Lot 35, Tract A, Eagle Crest Subdivision
November 25, 2003
2. High-density PVC cylinder housing the pump, with level
controls and screen, serving as a baffle to prevent the screen
from clogging.
3. All piping shall be PVC or other non-corroding material.
b. Pump controls and alarm system shall be an approved system with the following options
consisting of:
1. Event counter
2. Elapsed time meter
3. Program timer
4. 10 watt heater
5. Remote alarm panel option with a minimum of 80 DB
sound pressure at 24", operating temperature 30AC to
65AC, continuous sound to be located in the home.
6. Oil-tight visual alarm with push-to-silence feature.
Automatic audio-alarm reset.
7. 15 amp motor rated toggle switch, double pole, double
throw with three positions; manual (man), automatic (auto)
and center (off) (H.O.A.).
8. Nema 4x-rated, fiberglass, or equal, enclosure with hinged
cover.
9. All controls to be installed as per manufacturer's
recommendations.
10. Control panel to be installed on outside wall of home within
sight ofseptic tank/lift station.
c. Piping from the septic tank to the sand filter is to be 1 1/4" PVC schedule 40 solvent weld
piping properly bedded as described in Materials Specifications and sloped to drain back
to the lift station. Insulation board 2" thick and 2' wide centered over pipe is to be placed
where soil cover is less than 4' depth over pipe.
Page4
Lot 3S, Tract A, Eagle Crest Subdivision
November 25, 2003
d. The airline from the house to the filter is to be HDPE arctic insulated pipe 3/4"-2" SDR-
11. The compressor will have a gauge {0-10 psi) and be extended into the living area or
garage for easy monitoring by home occupants.
4. Air Compressor
a. Air compressor shall be a THOMAS LINEAR SERIES model number 5060-A or 5070V-A or
M.O.A. approved equal.
CONSTRUCTION SEQUENCE
In order to insure proper installation, the system is recommended to be installed in the following order:
I. Sewer line from house to tank
II. Septic tank/lift station
III. Sand filter
IV. Leachfield bed (if required)
V. Final grading
CONSTRUCTION
1. Construction Instruments
Contractor shall provide instruments such as transits, or levels, for establishing proper
elevations and levelness of pipe or materials.
2. Pipe Laying
All pipe shall be laid with material free of large or sharp rocks and organic matter.
Each section of pipe shall be handled carefully and placed accurately. The spigot end
shall be fully inserted pointing in the direction of flow and glued in place to make a water
tight seal.
Each section of pipe shall be properly supported to insure tree alignment and an invert
which is smooth and free from roughness or irregularity.
Page $
Lot 35, Tract A, Eagle Crest Subdivision
November 25, 2003
At all times, when work is not in progress, open ends of pipe and fittings shall bc closed
so that no undesirable substance will enter the end of the pipe or fittings.
3. Bedding of Pipe for Server Lines
The pipe should be bedded with materials free of large or sharp rocks and organic matter,
compacted. Native materials may be used as back fill material above thc pipe, provided it is
free of large rocks and organic matter.
All lift stations shall be installed in accordance with the manufacturer's recommendations
and standards. Electrical installation is to bc in accordance with thc National Electric Code
(latest adopted edition) by a licensed electrical contractor, with M.O.A. inspection where
required. If MOA inspection is not required, a licensed electrician is to provide a letter to thc
Engineer stating that thc system meets or exceeds all applicable codes.
4. Excavation
Excavate to proper depth to allow gravity flow, install tank level, tolerance 0.05 foot, on
undisturbed or compacted classified sand fill material.
Create a level sand surface over thc tank and add 2" burial foam +35 PSI directly over
tank. Mound unclassified soil over tank with a minimum of 2 feet of cover and anti-flotation
weights that may be required in areas of shallow ground water.
5. Connections
All connections to be as per MOA requirements, PVC 3034 piping with Caulder or
equivalent couplings for inlet riser pipes.
All tank connections are to bc completely water tight.
SAND FILTER
Thc work under this section consists of the performance of all operations pertaining to furnishing and
installing the sand filter.
A. Materials
1. Sand Filter
a. Liner (if required - not required for bottomless sand filter) - OSI Model LI or
equivalent. 30 mil PVC cut and fabricated to provide water tight enclosure of filter
sand volume. Seams to be permanent as per Manufacturer's recommendations. All
Page 6
Lot 35, Tract A, Eagle Crest Subdivision
November 25, 2003
connections, such as boot flanges, through sand filter to be permanently bonded to
liner.
b. The Contractor shall provide a washed sand to meet ASTM C-33 Concrete Sand
Specifications with the additional requirement that all but 1% of the materials
passing the #100 sieve be removed. All aand shall be approved for use by the
Municipality of Anchorage (M.O.A.). If the sample does not meet specifications,
all sand will be removed and replaced.
c. The Contractor shall be responsible for providing pea gravel that shall be a
washed material containing no fines (0% passing the #100 sieve) and a maximum
size of i/4" diameter.
d. The Contractor shall provide the manifold assembly. The manifold assembly
shall be of approved materials with orifice shields and flushing assembly. All
drilled holes to be cleaned of burrs and pipes flushed, prior to assembly. Flushing
valve to include riser to finish grade. Lateral distribution piping is to be laid level
(@ +_ 0.053.
c. Side walls and top of the filter box to be insulated with 2" direct burial polystyrene
insulation.
f. The Contractor shall be responsible for providing filter fabric.
g. Air coil in sand filter to be geoflow WF16-4-24 150 LF placed 6" above bottom
of sand.
Construction of Sand Filter
The sand filter construction is to follow procedures as outlined below, as applicable to this
design.
Pea gravel and filter sand are to be hand leveled to proper depth (tolerance within 0.05
feet) in filter, taking care not to allow mud or fine soil material into the filter or gravel layer.
This would include any soil material picked up by excavation machinery buckets while
loading specified material. The Contractor should estimate filter material volumes such that
allowance is made for wastage of material in contact with the ground at site.
Thc area over the sand filter to be finish graded with a minimum of 2 feet ofeover and to
prevent ponding ofsurface water run off. Side slopes shall not exceed 3:1.
Page 7
Lot 35, Tract A, Eagle Crest Subdivision
November25,2003
Thc Engineer will reject any sand or pea gravel that does not meet specifications or is
contaminated in transit or while handling. If such material is placed in the filter, all soil
material may be required to be removed and replaced with new material.
CONTRACTOR / INSTALLER
Municipality of Anchorage
Development Services Department
Building Safety Division
On-Site Water and Wastewater Program
4700 Elmore Road
P.O. Box 196650
Anchorage, AK 99507
www. muni.org/onsite
(907) 343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL
FOR A SINGLE FAMILY DWELLING
Parcel I.D. 050~303-36
GENERAL INFORMATION
Complete legal description
Expiration Date:
Eagle Crest #1 S/D, Tract A, Lot 35
Location (site address)
19317 Second Street, Eagle River, Alaska 99577
Cu~rrent Property owner(s)
Travis or Jan Cline
Day phone 250-9476, 227-1423
Mailing address
Lending agency
Day phone
Mailing address
Real Estate Agent Audrey Mason of ReMax of Eagle River Day phone
Mailing Address 11525 Old Glenn Hwy., Eagle River, AK 99577
Unless otherwise requested,. COSA will be held by DSD for pickup.
NUMBER OF BEDROOMS: 3
622-3344
TYPE OF WATER SUPPLY:
Individual Well []
Individual Water Storage []
Community Class ~ Well []
Public Water System []
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 vedfy 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 Douglas T. Kenley, P.E;
Address 9806 E. Nor[hstar Circle, Palmer, AK 99645
Engineer's Pdnted Name
DSD SIGNATURE
~L.,' Approved for
Disapproved.
Conditional approval for
Phone (907) 746-1073
DouglasT. Kenley Date [,0/I /
bedrooms.
bedrooms, with the following s~pu~:
Attachments:
COSA Checklist X
SeptiC System AdVisory
Well Flow Advisory
(Rev. 11/05)
Arsenic Advisory
Maintenance Agreements
Supplemental Engineer's Report
Other
Municipality of Anchorage
Development Services Department
On-SReWater & Wastewater P~gram
4700 Elmore Road
"P.O. Box 196650
-i Anbhorage, AK .99519-6650
wWW. muhi.org/onsite
(907) 343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST
A~' WELL DATA
Pa~:~J ID: 050-303,.36
Well type p~vate
Date completed' ~17m4
Total depth 303 ff.
If A, B, or C provide PWSID #
Sanitary seal (Y/N) Y
Cased to ' ~:r~
FROM WELL LOG
Date of test 5/17104
Well production 15
WATER SAMPLE RESULTS:
.Coliform Nega~e~ies/100 mL
Well Log (Y/N) Y
Wires propedy protected (Y/N)
ff. Casing height (above ground)
AT INSPECTION
9/27111
246.2 ft.
g.p.m. 3.7 g.p.m.
Nitrate .o..?oo Umg/L Collected by: F Kenley
SEPTIC/HOLDING TANK DATA
Tank Type/Material S_~c/Premier Plastic
Tank size l.O0O~SSo gal. Number of Compartments
'Foundation' cleaneut (yj~N)~ y
Date installed 5t29/04
2 Claanouts (y/N) __ ¥.
Depression over tank (Y/N) N High water alarm (Y/N) Y
28 in.
Da~e of pumping '~013/2011 Pumper
C. ABS(g:~PT~I~ F~, IDATA
_,:c~e ~stellad'~311~
To~ld~th ~ ff.
Date of ~un~ t~
Fluid ~h in aborn field ~
EI~ ~me: ~ m~. Fi~ flu~ ~ , 0,
Any ~u~n ~t (~ 12 mo.)
,J:Rs Pumpir~ .
Soil rating (g.p.d./ft2 0r'ft2/bdmi) 2 System type
f~ wrct~ '~o fL Gravel be~w pipe .2~ ft.
Eft=. absorption area 360,ft2 Monitoring tube Y Depression over field N
9127/11 Results(Pass/Fail) Pass For 3 bedrooms
Water added ,886 .gal. New depth 0 in.
, , in. AbsOrptkm rate >= 450 g.p:d.
N If yes, give date
I.D.S.F.
LIFT STATION
Date installed 5/29J~)4 Size in ga!.Jons 550 "
"Pump on," level at, ,.44 in, "Pump off" level at
Datum ~ ~ pump & float housing Cycles tested 3
E. SEPARATION DISTANCES
Manhole/Access (Y/N) Y
High water alarm level at 48 in.
Meets.alarm & circuit requirements? Y
SEPARATION DlSTANC~. S.FROM,V~LL:ON LOT TO: ~
Absoq~tion field on lot
Public sewer main
Sewer/septiC sewice line
Animal containment areas
Septic tank/lift station on lot 100 ft.
100+ ff;
N/A
25+ ft.
50+ ft.
100+ ff.
On adjacent lots
On adjacent lots 100 ft.
Public sewer manhole/cleanout
Holding tank N/A
Manure/animal excrete storage areas
SEPARATION DISTA~S FROM SEPTIC/HOLDING TANK oN LOT TO:
aam~ng ~~ 16Tr. Property m~e 38ft. nbsomaon ~
Water main N~A VVater service line 10+ fl:. surface wa~r
N/A
l~+ff.
5+ ft.
Wells on adjacent tots 100+ fL
COSA Fee
Receipt Number.
(Rev. 4/10)
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line 11 fiT' Building foundation ,34 ft. VVater main N/A
'Water Service line 10+ ff. Surface water '100+' ft.
Curteindrain NoneKnown Wells on adjacent lots 100ft.
'
mvi._~ of ,~ . ,nici~al , re~,!:~ ~ ~ .~ve. sy~ems am ,in,, ~? i'~:~.~,~,~"~.~'~{~~-~ ~'~.'~
conformen~ wilh MOA COSA ~nes in effect on this date.
Er~fineer's Printed Name
Douglas T. Kenley P.e.
"° ...... - ......... -- -
Waiver Fee
89/27/2811 16:20 8686770 APLUS PAGE 01
A+ Home Services, i nc,
Inspections .~:.,
'l-at~ k. Type: ..................................
· %'.
Name:
AddreSs: _L'..¢/. $,/.7 ................. ' .......... ~ ...........
Phone Number: "
Inspection fl .........................
Elapsed'l"ime ....,V~ ~'~ ,vt~dL.
Event Counter //O_'(.C:,~_~5...L.:_
Date& Time ........ '..'.&. '/ F~t~'4"/fat
Problem :.__~,./vS/t t~ _ L__~~ +
ASBUI LT .
I HEREBY CERTIFY-THAT I HAVE SURVEYED THE
FOLLOWING DESCRIBED PROPERTY:
AND THAT NO F. NCROACHMFNT~ EXIST EXCEPT AS
INDICATED. IT IS THE RESPONSIBILITY OF THE
OWNER TO DETERMINE THE EXISTENCE OF ANY
EASEMENTS, COVENANTS~ OR RESTRICTIONS
WHICH DO NOT APPEAR ON THE RECORDED SUBDI-
VISION PLAT, UNDER NO CIRCUMSTANCES SHOULD
ANY'DATA HEREON BE USED FOR CONSTRUCTION -
OF FENCE LINES, OR FOR ESTABLISHING BOUND-
ARY LINES.
DATE:.
GRID:
FB;
DRAWN
!
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:: '~,~¢?.3 ~ ">%. '.~
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SEWARD & ASSOCIATES LAND SURVEYING 6~4-0829
ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND
REPAIR AGREEMENT
MEMORANDUM OF UNDERSTANDING
BETWEEN MUNICIPALITY OF ANCHORAGE
AND S'/,t,t.~, A. A,.,~,'--
THIS MEMORANDUM OF UNDERSTANDING made and entered into as of this
i t~' L/~DaY of ('-) C 'i 0/~'1,"_ of 20 I { , by and between _~'. '3/(:),P/{. '. ~t,~. ,/4' .~ a~/~,?,~4.
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 ~--.,.I) .fi, /2', located
Definitions.
, .Anca,o~'asc, Alaska.
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.
The tenrt 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.
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: ~//~&//' l~e '
C. Owner acknowledges that the fine sched for failing to maintain and repair an
AWWTS are codified in AMC 14.60.
Owner:
Anchorage: Purchasina Officer
C. Any attempt to anaend, 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. Severabilitv. 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: ~-k~kc~.
Date: // ocr
STATE OF ALASKA
THIRD JUDICIAL DISTRICT
MUNICIPALITY:
By:
Title:
Date:
The foregoing instrument was acknowledged before me this __
20 \(, by ., the
NO~TARY PUBLIC FOR ALASKA
My Commission expires:
day of C~Q:W~-
Municipality of Anchorage
Development Services Department
Building Safety Division
On-Site Water and Wastewater Program
4700 Bragaw Street
P.O. Box 196650
Anchorage, AK 99519-6650
www.muni.org/onsite
(907) 343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL
FOR A SINGLE FAMILY DWELLING
Parcel I.D. 050-303-36
1, GENERAL INFORMATION
Complete legal description
Lot
Expiration bate:
Location (site address) 19317 Re~nnri .~t'. F~,l,~ P{v~r: AF' qq977
Current Property owner(s)
A1 Roberts
Day phone696-7301
Mailing address same
Lending agency
Day phone
Mailing address
Real Estate Agent
Sherrie Sapp / Remax
Dayphone 317-6302
Mailing Address
Unless otherwise requested, COSA will be held by DSD for pickup.
NUMBER OF BEDROOMS: 3
3. TYPE OF WATER SUPPLY:
Individual Well
Individual Water Storage
Community Class __
Public Water System
Well
[]
[]
[]
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 i~sues 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
o
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 Ihe Municipality of Anchorage files and from my investigation and inspection, the on-site water
supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes,
ordinances, and regulations in effect at the time of installation.
Name of Firm $ &
Address 17034 N.
Engineer's Printed Name
DSD SIGNATURE
~ Approved for
Disapproved.
Conditional approval for
bedrooms.
Z9577~
bedrooms, with the following stipulations:
Additional Comments
Attachments:
COSA Checklist
Septic System Advisory
Well Flow Advisory
Nitrate Advisory
X
Arsenic Advisory
Maintenance Agreements
Supplemental Engineer's Report
Other
Original Certificate Date: / [~ ' / C~ ,. D ~' '
Municipality of Anchorage
Development Services Department
Buildtng Safety Division
On-Site Water & Wastewater Program
4700 Bragaw Street
P.O. Box 196650
Anchorage, AK 99519-6650
w.muni.org/onsite
(907) 343-79O4
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST
A. WELL DATA
Well type'~, vR-T~
Date completed .~/I ~/OV
Totel depth ~.~fl.
Date of test
Static water level
Well production
WATER SAMPLE RESULTS:
If A, B, or C provide PWSID # ~
Sanitary seald~l) _~
Cased to ~ft.
Well Loi~IN)
Wires properly protected~) VLr-"5
Casing height (above ground) /~'~ in.
FROM WELL LOG AT INSPECTION
¢ ,,
/~ gp.m. '~- ~'
g.p.m.
Coliform 0 colonies/100 mL Nitrate '/J~ ma/L
Arsenic: /LID mga Date of sample.~'//_~/2
/'/
B. SEPTIC/HOLDING TANK DATA
Tank Type/Material ~:-i~T'IC.
/
Tank size /OR gal. Number of Compartments
Other bacteria O colonies/100 mL
Date installed
Cteanouts(~N)
Foundation cteane,dufq,/N) x/~.Deprassion over tenk (y(~ ,L.']lo
Date of pumping ~ Pumper
C. ABSORPTION FIELD DATA .. .... ~ ................... --- '-"~'
Dateinstalled_.~/_~//2y SoilratingOorft;/tx:lrm)~-0 Systemtype
Length ~' 'ft. Width /O / ft. Gravel below pipe O,,,~.~ ! ft.
Total depth ~ ft. Eft. absorption area ~ Monitoring tube ~ Depression over field
Deteofadedu.c, te,, Fo,
Fluid depth In absorption field before test ~" in. Water edded ~i~ gal. New depth O in.
Elapsed Time: ~ . min. Final fi-id depth ~ in. Abso¢on rate >= ~,~t~:) + gp.d.
Any rejuvenation lraatment (past 12 mo.) (Y~:]~ type) A'~* If yes, give date
D. UFT STATION
Date installed
"Pump on' level at. ~1~ n.
Datum ~
E. SEPARATION DISTANCES
Size in gallons ~'zj~)
'Pump off level at ~ in.
cy s rated '5
Manhole/Access~l) y~'5
High water alarm level al ~" in.
Meets alam~ & circuit requirements? ~
Absorption field on lot
Public sewer main
Sewer/septic sen/ice line
Animal containment areas
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tank/lift station on lot /~C~ ~
On adjacent lots /~3~ ~
/
On adjacent lots /~
Public sewer manhole/cleanoul ~
Holding tank AD//=~
Manure/animal excrete storage areas,
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Building foundation /~ ~ Property line ~ ~
Water main ~ l.~I Water sen/ice line /
Wells on adjacent lots / ~ ~/
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line // I Building foundaUon '~
Water Sewice line I~ ~ Surface water /~/-/-
Curtain drain ~0,~ y.~_~[e~,) Wells on adjacent lots.
Al~,orption field
Sur[ace water
Water main /~3/.~
Driveway, pmktog~ehide storage
I
F. COMMENTS
G. ENGINEER'S CERTIFICATION
I certify that I have detennined~h field inspections and
review of Municipal records ~t~.at tl~ above systems 'are ~
conformance with MOA CO~_./~u~rnes i~ ~is da~./
Engineer's Printed ,am. /~d ~_/~/' f/"~ ~ /1 ~
Data /o/?% D
COSA Fee $ ['~ ~ '~ Waiver Fee $
Data of Payment /0//~ ~/~)~.. Date of Payment
Receipt Number / ~<'~D Receipt Numpe.
(Re~. 1 I/o5)
SGS Ref.#
Client Name
Project Name/#
Clien( Sample ID
Matrix
1065489001
S & S Engineering
Lot 35 Tract A Eagle Crest SD
Lot 35 Tract A Eagle Crest SD
Drinking Water
All DalesYl'imem ale Alanka Standard Time
Printed Date/Time 09/29/2006 11:03
Collected Date/Time 09/14/2006 12:00
Received Date/Time 09/14/2006 12:45
Technical Director Stephen C. Ede
PWSID 00000
Sample Remarks:
Allowable Prep Ana{ysis
Nitrate-N ND 0.100 mg/L EPA 353.2 B 09/I 4/06 ALR
Nitrite-N ND 0.100 mg/L EPA 353.2 B 09/14/06 ALR
Hurdness as CaCO3
148 5.00 mg/L SM202340B D 09/18/06 09/23/06 MIl
Aluminum ND 200 ug/L EP200.8 C 09/18/06 09/23/06 Mil
Antimony ND 1.00 ug/L £P200.8 C (<6) 09/18/06 09/23/06 hill
Arsenic ND 5.00 ug/L £P200.8 C (<101 09/18/06 09/23/06 Mil
Barium 32.0 3.00 ug/L EP200.8 C (<2000) 09/18/06 09/23/06 Mil
Cadmium ND 0.500 ug/L EP200.8 C (<51 09/18/06 09/23/06 Mil
Calcium 15200 500 ug/L EP200.8 C 09/18/06 09/23/06 Mil
Chromium ND 1.00 ug/L EP200.8 C (<1001 09/18/06 09/27/06 Mil
Copier ND 1.00 ug/L EP200.8 C (<13001 09/18/06 09/23/06 Mil
Iron ND 250 ug/L EP200.8 C (<300) 09/18/06 09/23/06 Mil
Lead 1.43 0.200 ug/L EP200.8 C (<151 09/18/06 09/23/06 Mil
Magnesium 26700 50.0 ug/L EP200.8 C 09/18/06 09/23/06 MIl
Manganese 10.2 1.00 ug/L EP200.8 C (<50) 09/18/06 09/23/06 MI1
Phosphorus ND 200 ug/L EP200.8 C 00/18/06 09/23/06 Mil
Chloride 1.72 0. I00 mwL EPA300.0 B (<250) 09/15/06 09/15/06 DSll
Fluoride ND 0.100 mg/L EPA300.0 B (<21 09/15/06 09/15/06 DSII
Potassium 906 500 ug/L EP200.g C 09/Ig/06 09/23/06 Mil
Selenium ND $.00 ug/L EP200.8 C (<50) 09118/06 09/23/06 hill
Sodium 7970 500 ugYL EP200.8 C (<250000) 09/18/06 09/23/06 Mil
Silicon 6700 200 ug/L EP200.8 C 09/18/06 09/'23/06 Mil
Silver ND 1.00 ug/L EP200.8 C (<100) 09/18/06 09/23/06 MI1
Thallium ND 1.00 ug/L EP200.8 C (<21 09/18/06 09/23/06 hill
Sulfate 26.9 0.100 mg/L EPA300.0 B (<250) 09/15/06 09/15/06 DSll
SGS Ref.#
Client Name
Project Name/#
Client Sample ID
Matdx
1065489001
S & S Engineering
Lot 35 Tract A Eagle Crest SD
Lot 35 Tract A Eagle Crest SD
Drinking Water
All Dates/Times are Alaska Standard Time
printed Date/Time 09/29/2006 11:03
Collected Date/Time 09/14/2006 12:00
Received Date/Time 09/14/2006 12:45
Technical Director Stephen C. Ede
PWSID 00000
Allowable Prep Analysis
private Ind£vidual Analysis
Total Dissolved Solids 172 10.0 mg/L SM20 2540C D (<500) 09119/06 KP
Zinc 141 5.00 ug/L EP200.$ C (<5000) 09/18/06 09/23/06 Kill
Nickel ND 2.00 ugtL EP200.8 C (<100) 09/18/06 09/23/06 Mil
IICO3 Alkalinity 124 20.0 mg/L SM20 2320B D 09/21/06 PLW
CO3 Alkalinity ND 20.0 mg/L SM20 2320B D 09/21/06 PLW
Oil Alkalinity ND 20.0 mg/L SM20 2320B D 09/21/06 PLW
Conductivily 300 1.00 umhos/cm SM202510B D 09114/06 CRY
pll 8.33 0.100 pllunits EPA 150.1 D (6.5-8.5) 09II4/06 CRY
Alkalinity 124 20.0 mg/L SM20 2320B D 09/21/06 PLW
TotalColifonn 0 col/100mL SM209222B A (<1) 09114/06 TLF
ex¢c.ed$10. ' '
Drinking W. ater Analysis R~por...... ut~., c.u,mrm I~acteria
MUST BE COMPLETED By WATER SUPPIJER
~-~ PUBUC WATER ~t'~'TEM ID;I
~ ~d~au~ 0 $e~
200 W. POTTER DRIVE .~, !
Tel 907-562-2343 . .- *'
Fa~9~I~1 ~ ~ ..' - ' '
.
. ~Rof ~..
1 065489-/ rv':''
n sen~ i~
SAMPLE cOLLECTION:
Coliectoc
~b e~ ~ as ~I~r O~en
TO BE COMPLETED BY LA~ORATORY
~amulo Receiving'.
Date:
Temp:
SAMPLE TYPE:
CI Routine
0 Repeat Sample
(refer to lab no.
[] Special Purpose
[] Treated Water
I-I Untreated Water
[] RUS~. sAMP~.E
-- Membrane Fllt~
MMO-MUG (P/A)
~ Satisfactory
[] Unsatisfactory
t~u s e$1n a s01V~II(_G rou~)O ata~PubI~c~OOCUMENT~FORM S~apP roved~CciI From 121703:ds
Fo~'m # FW- 0053 12/17/03
Municipality of Anchorage
Development Services Department
Building Safety Division
On-Site Water and Wastewater Program
4700 South Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.anchorage.ak.us
(907) 343-7904
CERTIFICATE OF HEALTH AUTHORITY APPROVAL
FOR A SINGLE FAMILY DWELLING
Parcel I.D. 050-303-36
1. GENERAL INFORMATION
Complete legal description
HAA#
Expiration Date:
Location (site address or directions) lq'{17 q~.onnd Rt. R.?,la R~v~r
Current Property owner(s).A 1 Robe r t s Day phone
Mailing address 19131 Twenty Grand Rd. Ea~le River,
Lending agency Day phone
696-730!
AK 99577
Mailing address
Real Estate Agent
Day phone
Mailing Address
Unless otherwise requested. HAA will be held by DSD for pickup.
2. NUMBER OF BEDROOMS: 2
3. TYPE OF WATER SUPPLY:
Individual Well
Individual Water Storage
Community Class
Public Water System
Well
TYPE OF WASTEWATER DISPOSAL:
~] Individual On-site ~
[] Individual Holding tank *[]
[] Community On-site []
[] Public Sewer []
The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority
Approval (HAA) based only upon the representations given in paragraph 4 by an independent professional civil
engineer registered in the State of Alaska. Ceffific, ates of Health Authority Approval are required for the transfer of
title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water
supply system. DSD also issues HAAs upon request to homeowners. Certificates of Health Authority Approval are
valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with
new water sampla 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 herelo and as of the validation date shown below, I verify that my investigalion,
based on procedures outlined in the Health Authority 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.
NameofFirm s & s
Address 1703/~ N. Ea,~]/e/~J.~er .hood ~l~ja. 2,~ F~a~Ze
Engineer's Printed Name ,~/~",~// ///
/
Phone
River, AK ,9957~7
5. DSD SIGNATURE
L/ Approved for ~
Disapproved.
Conditional approval for
bedrooms.
bedrooms, with the f,
Additional Comments
Attachments:
HAA Checklist
Septic System Advisory
Well Flow Advisory
X
Maintenance Agreements
Supplemental Engineer's Report
Other
Original Certificate Date:
(Rev 01~2)
Municipality of Anchorage
Development Services Department
Building Safety Division
On-Site Water & Wastewater Program
4700 South Bregaw St.
P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.anchorage.ak.us
(907) 343-7904
Legal Description:
HEALTH AUTHORITY APPROVAL CHECKLIST
A. WELL DATA
Well type~""'~,----t VR~'~-
Date completed ~/'7/Oy
Total depth ;~(/~.
Date of test
Static water level
Well production
WATER SAMPLE RESULTS:
Coliform ~, Dcolonies/100 ml.
Arsenic: ~ mg./l.
IfA, B, or C provide PWSID
Sanitan/seal (~)
Cased to ~ 'ff.
FROM WELL LOG
~ ~ g.p.m.
Well Log
Wires properly pr6tected
Casing height (above ground)
AT INSPECTION
g.p.m.
t 'Z ~ t-l-in.
Nitrate C)o I .mg/l.
Date of sample: ~_~o~
Other bacteria I~D coloniesll00 mi.
Co,ected by:
SEPTIC/HOLDING TANK DATA
TankTypeRVlaterial ~¢'T',c~ / ~P~-
Tank size I ~ gal. Number of Compartments
Date installed
Cleanouts ~)
Foundation cleanouti~N) ~
Date of pumping ~..~Eu,.~ ~-'&,crv~ Pumper F
C, ADSORPTION FIELD DATA
Date installed ~/~1/~ ~ Soil rating (g.p.d./ff~ or ft=/bdrm)
Length "~(o ' ft. Width [~ I ff.
Total depth ~oo (~ft. Eft. ~bsorption area ~) ft= Monitoring tube .
Date of adequacy test ~-'~-~ %¥~ Results (Pass/Fail) ~.3 I~
Fluid depth in absorption field before test /uR-in. Water added
Elapsed Time: ~ min. Final fluid depth /,.-oPt in. Absorption rate >=
Any rejuvenation treatment (past 12 mo.) (YIn8, type).
Depression over tank (Y~) ~ High water alarm
System t,jpe IbSF
Grevel below pipe · ? ~
"{E,~ Depression over field
For ~- bedrooms
New depth ~ in.
g,p.d.
If yes, give date /,-~FI
D. LIFT STATION
Pump on level.___ ~_ . ,..-.~at/'~q in)~j~mp off" level at ..~ in.
Dalum J.~f~"F-~C'ffg~'/~ ' Cycles tested
E. SEPARATION DISTANCES
Manhole/Accessc~N )
High water alarm level at ~/~>' in.
Meets alarm & circuit requirements? "~'~
SEPARATION DISTANCES FROM ~ELL ON LOT
Septic tankJlift station on lot
Absorption field on lot
Public sewer main ~-.~P~
Sewer/septic service line ~,t~
TO:
On adjacent lots
On adjacent lots
Public sewer manhole/cleanout
Holding tank
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Building foundation J/o ~ Property line ~
Waler main ~/G /~/~ter service line
Wells on adjacent Iols '~/~
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
t
Property line I ! Building foundation
Water Service line /~ ~' Surface water fL"'~ 14-
Curtain drain/,.~,L~E- ~.3 Wells on adjacent lois
Absorplion field
Surface water
Water main ,L~/~
Driveway, parking/vehicle storage
F. COMMENTS
G. ENGINEER'S CERTIFICATION ~~
rev,~w of Mun~ipel recess that~ove systems are in ~~1.; ~
confo~ance with MOA H~Ts~t~i~e. ~~ ~ ~
Engin~r's Printed Name ~~ ~ / /~ ~' ;~ /~
HAA Fee $
Date of Payment
Receipt Number
(Rev. 12101)
~':~' ~ Waiver Fee S
~'/~ ~/05~ Date of Payment
~.d~.~//~,_.~,.. Receipt Number
./.::. ..
ASBUILT i
I HEREBY CERTIFY THAT I HAVE SURVEYED THE
FOLLOWING DESCRIBED PROPERTY=
AND THAT NO ENCROACHMENTS EXIST EXCEPT AS
INDICATED. IT IS THE RESPONSIBILITY OF THE
OWNER TO DETERMINE THE EXISTENCE OF ANY
EASEMENTS~ COVENANTS,, OR RESTRICTIONS
WHICH DO NOT APPEAR ON THE RECORDED SUBDI-
IVISION PLAT. UNDER NO CIRCUMSTANCES SHOULD
ANy DATA HEREON BE USED FOR CONSTRUCTION
IOF FENCE LINES! OR FOR ESTA.E~LISHING BOUND-
ARY LINES.
,~I',31AED ~, ^SSOCIATES I,^NI) S~IVEYING ~
DATE,
GRID=
FB:
DRAWNI
t~-O82r~.
Municipality o.f Anchorage i
Development Services Department
Building Safety Division
On-Site Water and Wastewater Program
4700 South Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.anchorage.ak.us
(907) 343-7904
ON-SITE SEWER/VVELL SUBMITTAL COMMENT ~HEET
To: .Bob Sharer
Legal description: Eagle Crest #t Tract A Lot 35
The attached paperwork has been reviewed and Is being returned for the f(~llowing reasons:
Original signature or stamp missing on
Calculation error in design.
Additional soils information needed.
Water monitoring results inadequate.
Discrepancy in information submitted. Depth to pipe bottom from original grade
Topographic information missing or inadequate.
Incomplete; missing No Inspections called In.
Incomplete; missing Maintenance Agreement
Additional adequacy test information needed.
Water sample unacceptable.
Measured/proposed distances/dimensions missing. Distance well to tanks on adlacent lots must be 100'
Locations of all soils, percolation and water monitoring tests not shown.
Proposed system too deep for soils information submitted.
Well log required.
Omission in narrative.
Insufficient fill over tank or field.
Other. Well casing height above grade must be 18'
Name of reviewer: Jeff
Date: 4/14/2005
Please supply the necessary information and re-submit your request.
LEA VE THIS FORM A FI'ACHED TO THE PAPERWORK
10-23-2006
FROH HEA ENG OPS ROW 9~.77619322
P. 2
· MATANUSKA ELECTRIC ASSOCIATION, INC. : '
THIS AGREEMENT i~ mad; and entered Into thl, /~¢" day of ~
20_~_, by and between MATANUSKA ELECTRIC ASSOCIATION, IN(;,, an. ~Jaskan
non-profit member owned elecffic cooperative, whose post office address is Bc k 292g.
Palmer, Alaska, 99645, here;hatter calle~. 'MEA', and ALAN W. ROB~ ~TS &
SHARON K. R~OBERTS , whose address ~s ~19317 2"r~ Street~ Ea.qle R var, Ma~k.~.
~9S?T, hereinafter called 'Owner". :.
V~I-IEREAS, Ovmer covermnts that Owner Is the legal owner of the real, *operty
· described as:
Lot 35, Tract A, F. AGLE CREST #1 .SUBDIVISION, according to Plat
WHEREAS, Owner further covenants that the said property Is owned free em lear of
encumbrances and I~ens of whatsoever character that In any way limit Owner*s. uthodty
to e~.er .into this Agreement with MEAt
VVHEREAS, Owner and MEA hereby covenant that MEA is lawfully .au',ho~ ized to
· occupy the 10 foot w~de utility easement deslgnated along the north po~0r of the
above-described property and depicted on Plat No. 63-?0° Anchorage Re :ording
Disbtc{. Third Judicial DJ~ct of AJaska; end
WHEREAS, Owner acknowledges that therewtllbean encroachment In thl utility
easemeof. Thi~ encreachrnent Is described as foilows:
Flu~h;ng valve~ for alternate leach field site, located within the pla(to
· W~de utility easemenf, alon.g the n, orth ~roperty boundary.
NOW, THEREFORE, for and in consideration of these mutual agreements:
1. Owner, for Owner'a ~elf, plus Ovmer's successors and assigr~, does hereby
grant to MEA, and to its successors or assigns the right to'enter u;on the
property of Owner situated In the Anchora¢3e Record;rig District, State o...[. Uaske,
.and more padJcu[ady descn"oed as folIows: ·
Lot 35, Tract A, EAGLE CREST .#1 SUBDIVISION, according
Plat f/63-?0. .'
being In Sec~lion .7 , Township ~4N . Range ~IW, S.M., and to coi ~struct,
reconstruct, rephese, mpa;r, operate and maintain on, over or under the above
described lands and/or In, Upon or under all streets, roads 0¢ highways~ ~utting
~a;d lands, and ele~ric transmiss;on and/or distn'bution line or system; to nspect
and make such mpaira, ohanges, alterations, improvements, remov~l! from,
substitutions and addi~ns to its fac~3ities as MEA may from time to tir~ deem
.advisable, including by way of example and not by way of I;mitation: the ! ;ght to
m~case of decrease the number of conduits, wires, cables, hand~ holes,
manholes, connection boxes, pedestals, transformer enclosures; to cut. 'ti m and
c.o~...trol the growth by machinery o¢ otherwise of bees and shrubbery,t 3cared
· wimln the. lands specifically described abo_v.e, or that may interfereI /ith or
threaten to endanger the operation and marntenance of said line or' ;ystem
(]nclud~ng any control of the growth of other vegetation In the right of w~ which
may incidentally and necessarily result from the means of control empl~ ed): to
· keep the encroachment easement clear of all bu;Idings, structures other
obstructions, ether than the existing encroachment specifically noted abe e, and
to allow MEA the tight of Ingress and egress over the remainder of said 1~; ~cel as
reasonably necessary to conduct the above activities w~thin the ~cro~ hmen['
e;~sem~nt
10-23-2~0iS 9, A7AM
FROH HEA ENG C}PS ROW ~.77619322
Encroachment Easemanl
Page 2 *
P. 3
2. ME~ for RSeIC Rs successors and assigns, hereby waives its obis(
Owner's exis~ng encroachment as described above on the following cc
which Owner, for Owner's self, plus Owner's successors and assigns,
accepts as covenants that run with the property deschbed above:
^. .C~.ner. Owner's 'successor~ and. Owner's assigns, shall Inder~
nejd MEA. Its susoessors end assigns, harmless from rmbility for ~
or damage to any person or property that may resu/t fro
enc/oachment
ions to
,ditions
hereby
fy and
Injury
said
'.1
B. Owner, for Owner's self, plus Owner's successors a~d ass;gns, ihereby
· a.g _r~es that the ¢~'~tinued exislence of the encroachment descdbe~ I above
snarl not resbIat or limit the current or future ability of MEA to fdl f enjoy
the banal'its of this encroachment easement for any and all utility pi :)ossa
consistent with paragraph 2 above·
C. Owner. for Owner's self, plus Owner's successors and assigns, eroby
stipulates and agrees that they shall each hold MEA. Its succesS, ~rs and
assigns, harmless from liability for any and all damages: Iio the
.. en?.oachment that may msu/t from the existing and future utilify~use of
sa~d encroachment easement by MEA. its contractors, succ~sors.
agents, licensees, or assigns.
D. Any fa~itles.or property of/dF_A, its successors end assigns, Ioc;,I .,d with
the encroachment easement granted herein that are dam! .ed or
destroyed as a result of actions undertaken by Owner. or :C wner's
successors and assigns, shall be repaired or replaced at MEA's d~ r. retion
and such repairs or replacement shall be paid for by Owner, or C wner's
successors and assigns.
Any facdit~es or property of MEA. its successors and assigns,
within the encroachment easement granted herein that must be ~1 ~cated
or modified to accommodate actions undertaken by Owner, Or~ ~,ner's
sucoessors end assigns, In'o~er to remain in compliance w{th al~l~licable
codes and prudent utility practice shall be relocated or modified at.t~e sole
· .xpense of Owner, or Owner's successors and assigns. . |
F. . Owner, Owner's successors and assigns, and the r contractors o~ ~genls.
will not perform work on the encroachment described ab0v/p with
equipment ,'~pable of vlola§ng Any State or Federal law or re~UlaUOn
govemlng tile operation of equipment near energized electd, i utility
Infra~bucture.
By execut;on of this Agreement. Owner further agrees for Owner's self, plus C~wner's
successors and assigns:
(a) that any septic monitc~nng tubes placed vnth~n the sa~d snore-:, hment
easement be visible at all times for a distance of et least ten feet from
any dirac'don.
10-23-2006 9~a7AH
FI::~H ~ ENG OPS ROW 9~.77619322
Encmachrne~ E~ement .
P~e3
IN W1TNES~ WHEREOF, the parties have caused this Agreement to be
executed by theft duly authorized representatives and agents as of the day !Id year
f~m! above mentioned. .
iMATANUSKA ELECTRTC A~$OCIATION, ,, (MEA)
neraIManageror his Representative
~TATE OF ALASKA
:
THIRD JUDICIAL DISTRICT:
The foregoing agreement was acknowledged before me this ,./g' ' day
~ . _. ~ otary Pu. bli.c ~sr the State ofJUas~a ' ]
{~ NOTAI~I ~ My COmm~ssron explres: ~_~/~g~'. I
STATE OF ALASKA :
: SS.
THIRD JUDICIAL DISTRICT:
of.
Alert W. ~oberts
~haron K. Roberts
t
Notary Public for the ~tata of Alaska ' ~
RETURN TO:
MEA
P,O. BOX 2929
PALMER. ALASKA 9954~
October 17, 2006
S&S Engineering
Attn: Yoshi Nix, Engineering Technician
17034 'Eagle River Loop Road
Fmgle River, Alaska 99577
ENSTAR Natural Gas Company
A DIVISION OF SEMCO ENERGY
Engineering Department
401 E. International Airport Road
P. O. Box 190288
Anchorage, Alaska 99519-0288
(907) 334-7753
FAX (907) 334-7798
Re: Letter of Non-Objection
Grid: NW55
To whom it may concern:
ENSTAR Natural Gas Company has no objection to an alternate septic site encroachment into thc
Ten Feet (10 fl) wide Utility 'Easement situated on Lot 35, Tract A, 'Eagle Crest First Addition
Subdivision, according to Plat No. 63-70, located within Section 7, Townsbip 14 North, Range !
West, Seward Meridian, Records ofthe Anchorage Recording District, Third Judicial District, State
of Alaska.
Acceptance and use of this letter of non-objection by yourself, your heirs, your assigns, or yonr
successors, will constitute agreement to the following stipulations:
· ENSTAR will be held harmless, now and forever for any damages or injury to any person or property
as a resuh of this encroachment.
· Any ENSTAR facility damaged or destroyed, as a result of this encroachment will be repaired at no
cost to ENSTAR.
· Any costs incurred by ENSTAR for special construction necessitated by tiffs encroachment will be
borne by the property owner.
· All applicable safety code regulations will be observed and maintained.
· This letter of non-objection will in no way preclude ENSTAR from full use and enjoyment of its rights
within any portion of its right-of-way.
Sincerely,
Andrew Fraiser
Right-of-Way Assistant
ENSTAR Natural Gas Company
cc: File
10/11/2UU~ 15:15 YA/ 907 $$2 082~ A~RU ENGINEERING ~002
Municipality of Ancho ..age
Anchorage Water & Wastewater Ut hty
Engineering Division
http .J/www.awv, u.l~;,
Mayor Marie Begich 3000,,Mx-tic Boulevard- An~orage.,/~n,~,~ 99~o~.]ag~r - Fax (907) 352.0824
Alan & Sharon Roberts
19317 2"d Street
Eagle River, AK 99577
October 11, 2006
Re: Eagle Crest #1 'iR ALT 35 (Gdd NW0055)
Request for Letter of Non-objection to Encroachment
The Anchorage Water & Wastewater Utility received a request on October 11, 2006, for a letter
addressing AWWU's poslfion regarding a proposed alternate septic site Ihat will encroach Into a
utility easement located along the northwest property line of Eagle Crest #1 TR ALt 35.
AWWU has no ut'l[tles located in the uti ity easement, has no objection to the encroachment, and
hereby Issues this letter with stipulations to allow the encroachment of the proposed alternate
septic site and by using the easement the property owner(s).agrees to the following:
1. AWWU will be held harmless, now and forever, for. any damages or injury to any person
as a result of the encroachment;
2. All applicable codes and regulations will be observed and maintained within the easement;
3. This letter will in no way preclude AWWU .fi:om ~ull use and enjoyment of its rights within
any portion of the easement;
4. The property owner shall pay any additi~mi!..and/o~, ex[taordinary costs Incurred to
accommodate the encroachment during ani/'future-requlre~J' construct on or reconstruction
of AWVVU facilities; "
5. AWWU's non-objection does not Imply other appro~Is that may be required for this
encroachment; and, "
6. AWWU does not provide a position *for any ot~er parcel or utility Impacted by the
encroachment.
Should you have any questions, please call the AWWU Planning Section at 564.2739.
Engineering Technician III
Cc: Yoshl Nix, Englneering Technician
S & S Engineering
0CT'll';:>~~' 1;):53 FR~U:IgT~q CCe~TRUCTICt, I 907-761-E64~
T0:91(~]76941E11 p:E~E
NON-OBJECTION TO EASEMENT ENCROACHMENT DOCU1HENT
By this document Ma~uu~k~, Telephone ~oc~fion, Inc. ~TA) d~s that it h~ no objection to ~e
cncmachm~t of a septic system ~ ~e pla~ I0' UtHi~ E~ement located along the w~terly
proper~ line (not ~cluding the no~h lO I~t of said e~emen0 upon ~t 3~, T~ct A, EaSe C~st
Subdivision ~l, Anchorage R~o~ing Dis~c~ ~d Judicial Dis~ic~ S~tc o~ka, situat~ in S~tion 8,
TI4N, RIW, S.M.
Please bc advised that MTA through the issuance ofthis document does not forfeit any of its rights to the use
of tho area ciled. In the exexcise of these rights IVlTA will, if needed, upgrade, ma[n~, repak, aud/or replace
buried or aerial telecommuaicatlons £acilifies wilMn the easement. Any repairs that may be required to the
~ncroachment as a result of utillvy construction will be borne by the property owner of record. This document
does not authorize thc placement of any additional encroachments within the easement area. Property owners
are requh'ed to obtain utility locates before doing any kind of work in the utility easements and will be liable
for any damages caused by their consumcdon work In the easements.
This document is. in no wa',,, aa a~reemeut to vacate a~v uortion of the utili~ easement a~d should not b,,
In t e~'c t e cL.&s...su e.~.
Issued for Ma~nuska Telephone Association, Inc. this 11 th day of October, 2006, by,
Senior Right of Way Agent, Real E~tate and Propc~cs Section
THIS 15 TO CERTIFY. that on this l I th day of October, 2006, before me t~e undersigned, a Notary Public In and
for thc State of Alaska, duly commissioned and sworn as sucth personally appeared Becky Glen~ known to me
and to mc known to be the individual namod in ~uad who executed the foregoing instrument and acknowledged
to mc that he signed and sealed the s.'tme es a voluntat~t act and tined ?or thc u~e.~ and purposes therein
mentioned.
GRANTOR:
Mataous~ Telephone Association, Inc.
.
907.761 .~4~
IN WITNESS . hereunto s~t m~nd and official~seal the day~d ye~ ~st above wri~en.
l%t 'yPu.blic inand for
My commission expires: {'0//~/( o
Local
Long Di~nce
DTV
October 13, 2006
Alan and Sharon Roberts
19317 Second Street
· Eagle River, Alaska, 99577
To whom this may concern,
GCi Cable Inc. of Alaska has objections to the alternate septic site possibly placed in the
Northwestern section of Lot 35, Tract A, Eagle Crest Subdivision. Known as (19317
Second Street, Eagle River, Alaska 99577), in city grid #NW$5.
Rob Hansen
CAD Operator L~vcl 1
E-Mail- I~IANSENI(~GCI.COM
Office # (907) 868-6168
Fax # (907) 868-8580
5151 Fairbanks Street * Anchorage, Alaska 99503 · 907/858.5500