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Home My WebLink AboutCEARK TR D LT 2 Onsite File Ceark Tract D Lot 2 #020 - 441 - 09 Municipality of Anchorage Community Development Department Page 1 of 3 On-Site Water and Wastewater Program 4700 Elmore St. • P.O. Box 196650 Anchorage, AK 99519-6650 • http://www.muni.org/onsite • (907) 343-7904 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: SW060350 PID Number: 020-441-09 ✓❑ New E Upgrade Name: Kathleen James ABSORPTION FIELD Address ❑ Deep Trench ❑✓ Shallow Trench ❑ Bed ❑ Mound 15935 Kings Way Drive Anchorage, AK 99516 E Other Phone Number of Bedrooms Soil Rating Total depth from original grade 429-891-0600 4 2.0GPD/SF 1.5 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade Gravel depth beneath pipe Subdivision Block Lot .5 Ft. 1.O Ft. Ceark 2 Tr. D Fill added above original grade Gravel length Township Range Section 2.5 Ft. 60 Ft. Gravel width Beds:Number of Lines Distance between lines SEPARATION DISTANCES 5Ft. Ft. To Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist.between trenches From Tank Field Tank Line 345JPdEvde0'Ft2 One Ft. Well I >100' >100' N/A N/A >25' TANK ❑Septic ❑ S.T.E.P. ❑Holding 0 Other Manufacturer Capacity Surface Water >100' >100' N/A N/A Advantex/Anchorage Tank/Orenco 1,500Gal. Material Number of compartments Lot Line >5' >10' N/A N/A Steel Two NA Foundation >5' >10' N/A : N/A LIFT STATION Manufacturer Capacity Curtain Drain None Noted i Anchorage Tank/Orenco 500 Gal. Pump on level at Pump off level at High water alarm at Remarks 38 in. 16 in. 49 in. Pump make and model Electrical Inspections performed by OSI P2005-11 A.C. Electric PIPE MATERIAL House to tank D3034 Tank to D3034 Installer drainfield A Plus Home Services Drainfield F810 CO/MT D3034 Inspector A. Harald BENCH MARK (Assumed elevation) 100.0ft Inspection 1S' 11/6/06 �a Location and description dates: 2 11/6/06 3" 11/7/06 4" 11/8/06 Garage Slab. COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL Engineer's Stamp �.--% 9.r• A4,1.•1 Conditional Approval: Date =g9'sP•'•••• ......* % ••••• ��.. • '. 9 w' : 49th O. :.14444* t .� k-•fir`*f i 00 cl• MICHAEL E. ANDERSON • ` 0,C., f No. CE-4381 :•_; .� tee''x..,10/7/1•g.•••'•`y4,4 Approved j _ / i Date /.0A /9 ♦•�J : � ,44 �• / Inspection Report_1-1-12.doc Municipality of Anchorage DEVEOPMENT SERVICES DEPARTMENT Page 2 of 3 4700 South Bragaw Street Anchorage, AK. 99519-6655 - 343-7904 On-Site Wastewater Disposal System or Well Inspection Report Permit Number: SW060350 PID No. 020-441-09 589'56'15-W 647.26 25.0. EI Balt \ 100.0' \ SET 9AQt M1 • THE EXACT LOCATION OF THE CURTAIN DRAIN IS UNKNOWN. IT MAY BE LESS THAN 25' FROM THE WELL. THE GROUND SURFACE ON THE `aG C.� TH MH2 Q LOT SLOPES AWAY FROM THE WELL IT IS -°‘‘11('('18) �51 ® Fie UNLIKELYTHE WELL CAN BE CONTAMINATED 8Y ISTHE CURTAIN DRAIN. A B Site Si 14.7' 48.6' M2 MH1 22.3' 52.9 /.% Z MM2 22.8' 57.9' ® ID% 2na FLOOR OEOc M1 58.7' 96.3' Four Bedroom WELL Home / DOLE 0vEs40 �A _ — % z 25.7 �. — ! SET ORO( ,0'V1IUTr[f N89'57'53'E 988.48 _.•,,,U��•.b+ CEARK SUBDIVISION 4.IPt . ••�oF :.< �4�i LOT 2, TRACT D • .).,• ' •x.1 . 130,811 S.F. 49th V vo�I;MICHAEL E. ANDERSON •{M- PLAN A S BUILT ,1�1-,.% No. CE-4381 f•�� ••..10/7/19�..•'�c,I1� SCALE 1' = 40' ALPINE DRILLING & ENTERPRISES Permit Number: #SW060350 Date of Issue: 10-26-06 Parcel Identification Number: 020-441-09 Date Started: 11-7-06 Date Completed: 11-7-06 Is well located at approved permit location? ® Yes ❑ No Legal Description: Ceark Tr D Lot 2 Property Owner Name& Address: Kathleen James 15935 Kings Way Drive Anchorage, Alaska 99516 Borehole Data: Depth (ft) Method of Drilling® air rotary ❑ cable tool Soil Type,Thickness&Water Strata From To Casing type: steel stick-up 0 2 Wall Thickness: .250 inches gravelly silt 2 17 Diameter: 6 inches Depth: 101 feet sandy gravelly silt 17 25 Liner Type: gravelly silt 25 98 Diameter: inches Depth: feet Casing stickup above ground: 2 feet water sand & gravel 98 101 Static water level (from ground level): 36 feet Pumping level: 101 feet after 2 hours pumping 15 gpm Recovery Rate: 15 gpm Method of Testing: air lift Well Intake Opening Type: ® Open End ❑ Open Hole ❑ Screened Start feet Stopped feet [' Perforations Start feet Stopped feet Grout Type: bentonite granules Volume: 1 Depth: Start 0 feet Stopped 7 feet Pump: Intake Depth feet Pump size hp Brand Name Well Disinfected Upon Completion? ® Yes ❑ No Method of Disinfection: chlorine tablets Comments: Well Driller: Alpine Drilling & Enterprises PO Box 110496 Anchorage Alaska 99511 Attention: The well driller shall provide a well log to the property owner within 30 days of completion and the property owner or the well driller shall provide a well log to the Development Services Department within 60 days of completion. TIII b [)at, November,9th 2006 Agra*.10bAlkIk\ 0111.4011111 \ 0 N‘aaysato To: Anderson Engineering 800 E. Diamond Blvd., Ste. 3-540 Anchorage, AK 99515-2041 Subject: 15935 Kings Way Drive Septic System Lift Stations and the Pump Control Panel Electrical wiring. P.O. Box 140792 Anchorage, AK 99514-0792 ATTN: Mike Anderson T(907)632-1629 Dear Mike, F(907)222-1380 The septic system S.T.E.P. lift station and the add-on Pump Basin are AG.Electrical@hotmail.com wired in accordance with the NEC and State and Local Code(s). Sincerely, _ afro( Ah Samir Halilic. A.C. Electrical LOT 2 HAS 130,811 SQ.FT. OF AREA S89'56.15'W 647.26 \ \ �strnc POPw tO N COSTING GABON— ASEPTIC LIO 1101111' �9DM vorT uv V/ y[J j/r�F—ZM FLOOR OUP ��//l Kyr LM FLOOR oEOf E7OSffM1C NQISE ,t•-.CAN1 POpER POLE _____.....0000001111111111110 CT N 110 01.4Ih'DRY ^^ 1 f -711 N89'S753'E 988.48 ll OF AREA \ \ ._ \ \ \ \ \ \ \ \ \ \ \ „a,� N)? 503. _ — w Z�'s 6,--sirk0, _ . Snc PCP. Le .4' ` _ 77 ...4 2n4 FLCOR COX v� r%/ �' y x e FLOOR oea o/✓rowEx \ St,-.949. 9 \ O DOSING tgUSE / PpP d�' aaModR`-o�. .. . CAP .s> V \ , yrs _. 1 N N u N �— \ O N.—� �1ro'IIIWnEm N. E 988.48 J — — — — — / / — — ---/ / . I / / / a / / / / / 1 / / / / As—built CEARK SUBDIVISION / / / / LOT 2, TRACT D / / LanV ark , Inc . / Engineering & Surveying / 9330 Vanguard Street, Suite 131 / Anchorage, Alaska 99507 / (907) 562-6050 / Designed by CEF I hereby certify that the property described hereon has been surveyed � OF A/ 11 f Drawn by by me, or at my direction, and that the improvements situated thereon ,. .•.........-2.!4S ,,, CEF/DLM are within the property lines and do not overlap or encroach on the ��Q1 property lying adjacent thereto unless otherwise shown. That no — 'i • •p Checked by improvements on the property lying adjacent thereto encroach on the II 49 TH iN •*/� CEF premises in question and that there are no roadways, transmission s�$; �/ lines or other easements on said property except as shown. %•••• •••' 0 Scale I Keld fool MUNICIPALITY OF ANCHORAGE 1//$/ai /0!30 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: SWO60350 Date Issued: Oct 26, 2006 Expiration Date: Oct 26, 2007 Parcel ID: 020-441-09 Legal Description: CEARK TR D LT 2 Design Engineer: 0014 ANDERSON ENGINEERING Site Address: 015935 KING'S WAY DR Owner Name: KATHLEEN JAMES Lot Size: 130811 SQ. FT. Owner Address: 15935 KING'S WAY DRIVE Total Bedrooms: 4 Permit Bedrooms: 4 ANCHORAGE. AK 99516 - This permit is for the construction of: FVJ Disposal Field ❑✓ Septic Tank ❑ Holding Tank ❑ Privy Private Well ❑ Water Storage All construction must be In accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72 ) and Drinking Water Regulations ( 18AAC80 ). 3, The engineer must notify DSD at least 2 hours prior to each Inspection. Provide notification by calling (907) 343-7904 ( 24 hours ). ( Not required for a Water Supply Permit only). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. 5. The following special provisions. This house shall not be occupied until a CCO on the Land Use Permit has been issued by this Department. A CCO will not be issued on the house until the wastewater disposal system is completed and fully functional. Received y: Date: v a Issued By Date: Z tv o6 Municipality of Anchorage Development Services Department / Building Safety Division On -Site Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, Alaska 99519.6650 www.muni.org/onsite (907) 343-7904 ON-SITE SEWERIWELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. 020.441-09 Property Owner(S) Kathleen James Day phone 274-8627 Mailing address 1075 E. 26th Avenue Anchorage, AK Zip Code 99508 Site address 15935 Kings Way Drive Anchorage. AK Zip Code 99516 Legal description (Sub'd., Block & Lot) Lot 2. Tract D, Ceark Subdivision Legal description (Township, Range & Section) Lot Size 130,811 SF Sq. Ft. THIS APPLICATION IS FOR (® all that apply): Absorption Field 0 Septic Tank 0 Holding Tank ❑ Privy ❑ Private Well 0 Water Storage ❑ Number of Bedrooms Four (4) THIS APPLICATION IS AN: Initial ❑ Upgrade ❑ Renewal I certify that the above information is correct. I further certify that this application is being made for a Single Family Dwelling and is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit/Rush Fees: Waiver Fees: Date of Payment: / 2 t7 6 Date of Payment: Receipt Numbe . Receipt Number: (Rev. 11/05) D _ 76 6 0 ANDERSON ENGINEERING P.O. BOX 240773 ANCHORAGE, AK 99524 522-7773 677-7766 FAX MEMORANDUM DATE: October 26, 2006 TO: Dan Roth/Deb Wocken__fuuss FROM: Mike Anderson, P.E. 4 Ea SUBJECT: Lot 2, Tract D, Ceark Subdivision Permit No. SW040326 Revised Septic System Site Plan and Permit Renewal We have reviewed your comments concerning the revised septic system design for Lot 2, Tract D, Ceark Subdivision and have made several modifications. Waiver requests are included for reduction in the separation distance between both groundwater and surface water. We have also provided a new soils log and percolation test for the proposed location of the new absorption trenches. Groundwater has stabilized at 3.5' below the surface in this area. In addition, the pond near the west end of the property is shown on the Site Plan. Some surface water may be encountered during further development of the lot. Grading will be accomplished during the landscaping and final phases of the project to control the drainage and insure it is more than 100' from all septic systems on this and adjacent lots. Any standing water currently found within 100' of the new septic system other than that noted in the separation distance waiver will require immediate grading and filling to insure the 100' buffer is met. Please review the attached information and reissue the permit for the well and septic system on this property based on the revised design. ANDERSON ENGINEERING P.O. BOX 240773 ANCHORAGE, AK 99524 October 26, 2006 Municipality of Anchorage Development Services Department On -Site Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 Attention: On Site Services Engineer Subject: Lot 2, Tract D, Ceark Subdivision Separation Distance Waiver Absorption Trench to Groundwater Dear On Site Services Engineer: Surface area available on the subject lot for placement of a septic system is severely limited by the presence of a stream at the northeast corner and surface water in many other locations. The groundwater elevation on the lot was recently measured at 3.5' below the surface of the cleared and grubbed area designated for the septic system absorption trench. Heavy rains have plagued the area over the past month and the groundwater level is probably at or near its highest level. Monitoring of the groundwater in late June of 2004 indicated the groundwater was at 6' below the surface. Over the majority of the year the groundwater will probably be more than 4' below the bottom of the proposed absorption trench. An Advantex Treatment System has been designed for placement on the lot to reduce the size of the absorption area required to treat effluent generated in the house. We are also requesting the distance to groundwater between the bottom of the absorption trench and the groundwater be waived to 2' to further limit the size requirements for the absorption area. The effluent treatment provided by the Advantex system reduces significantly the chance of contamination to the groundwater. In addition, the lot is 130,811 square feet in surface area and composed of tight silty soils which will provide additional treatment to the effluent before discharge to the groundwater. Wells in the area, with the exception of the well on this lot are more than 200' from the septic system providing an additional factor from contamination of groundwater. We Lot 2, Tract D, Ceark Subdivision October 26, 2006 Page Two therefore recommend the waiver be issued allowing the separation distance from the bottom of the absorption trench to groundwater to be reduced to 2'. Sincerely, g Michael E. Anderson, P.E. i 49th !\ MICHAEL E. ANDERSON ANDERSON ENGINEERING P.O. BOX 240773 ANCHORAGE, AK 99524 522-7773 677-7766 FAX October 26, 2006 Municipality of Anchorage Development Services Department On -Site Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 Attention: On Site Services Engineer Subject: Lot 2, Tract D, Ceark Subdivision Separation Distance Waiver Septic System to Surface Water Dear On Site Services Engineer: Surface area available on the subject lot for placement of a septic system is severely limited by the presence of a stream at the northeast corner and surface water in many other locations. A subdrain has been placed along the south property line to collect surface and subsurface water and channel it away from the septic system location. The outlet of the drain is more than 100' from the septic system on this and adjacent lots. The flow from the drain is directed to the existing drainage ditch along King's Way at the west end of the property. The drain is composed of clean washed rock which fills the ditch along the south side of the driveway on the property. It is essential the drain have a porous surface to allow water to easily access the transportation pipe. Some free surface water has been noted in the slope along the south side of the drain and flowing toward the drain. A waiver is therefore necessary to allow the new septic system to be constructed within 100' of this surface water. The drain is located approximately 26' from the southeast corner of the proposed absorption trench. It is also nearly 3' higher in elevation. The possibility of effluent flowing toward the drain and the surface water is impossible. In addition, soil strata between the drain and the absorption trench is composed of dense silt with some gravel, which is only slightly pervious. The presence of the tight silt further prevents flow from the absorption trench toward the drain. Lot 2, Tract D, Ceark Subdivision October 26, 2006 Page Two The vegetation on the slope on the south side of the drain will eventually reestablish itself and absorb much of the surface water currently seen in the area. Heavy rains in the past month have increased the amount of surface water in the area. During the drier months of the year and through the winter very little surface water should be noted in this area. We therefore recommend the waiver be issued allowing the separation distance from the septic system to the surface water be reduced to 26'. Sincerely, S Michael E. Anderson, P.E. CEARK SUBDIVISION LOT 2, TRACT D 130.811 S.F. a.w WW L. M. IV \ 0= V t == Vie"' 0..y swo, aa.. � onra ab. e tsb M.b e e e ZFm N89'5i53"E 988.48 SITE PLAN SCALE P = 40' e / / F . / h w44 svo, ee.b MUNICIPALITY OF ANCHORAGE DEVELOPMENT SERVICES DEPARTMENT 4700 BRAGAW STREET ANCHORAGE, AK 99519-6650 SOILS LOG - PERCOLATION TEST LEGAL DESCRIPTION: Lot 2. Tract D. Ceark Subdivision PERFORMED FOR: Kathy James DATE: 10/19/2006 PROJECT No.: PARCEL ID#: TECIINICIAN: A. Harala DEr1711 TEST HOLE # l (tett) 1 2 3 4 5 6 7 8 9 10 11 12 1 1 1 1 Poorly Graded Gravel with Silt GP/GM Gravelly Silt ML Very Dense BOH 12' GROUND WATER ENCOUNTERED' Yea IFYES®TORIN11� DFP711®MONITORING DATE OF MONITORING. 10125/0 SITE PAN SEE SITE PLAN DATE READING NUNt NET TIME (MINUTES) WgTER 0 (INCHES) NrFET DROP (INCHES ME (MINUTES) 10/19 TEST HOLE PRESOAKED PRIOR TO TESTING: 1 8:20 4.63" CIMGE 2 8:50 30 5.69" 1.06" 3 8:52 4.69" RECHARGE 4 9:22 30 5.56" .88" 5 9:27 4.56" REaIARGE 6 9:57 30 5.31" .75" PERCOLATION RATEL 40 rMIN/INCIi) PERC. HOLE DIA. 7 (INCHES) TEST RUN IIETWEEN:_2_Fr. and_2_�Ff. COMMENTS: TEST HOLE PRE SOAKED PRIOR TO TEST. TEST PERFORMED BY ANDERSON ENGINEERING. 1, MICHAEL E. ANDERSON CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPLE GUIDELINES IN EFFECT ON THIS DATE; 10262006 LOT 2, TRACT D, CEARK SUBDIVISION DESIGN FACTORS: SYSTEM REQUIREMENTS: Four Bedroom Home 5' Wide Trench System Perc. Rate: 48 Min./inch 4 Bedroom Advantex Treatment System Application Rate: 2 GPD/SF 500 Gallon Lift Station V Drainfield Rock 4 Bedrooms' 150 GPD/Bedroom = 600 SF Absorption Area 600 SF/2 GPD/SF/5 SF/LF"No (Red. Factor) = 60 LF Trench Length THEREFORE: Construct a 60' Long x 5' Wide x 1' Effective Depth Absorption Trench. Flow Line Elevation in Trench to be .5' Below Original Ground Surface. Total Depth to be 1.5' Below Existing Ground. Provide 3' Cover Over Absorption Trench and 4' Cover Over Septic Tank Maintain 100' Separation From Stream to the North and 100' from Subdrain Outlet Revegetate Upper 6" 6" 1'0" 3' Cover or 2" Insulation and 2' Cover Natural /�;�:.—Fabri xtile Backfill � Fabric 5' I" Perforated PVC (Hales Down) 3/16" Diameter Holes @ 2' O.C. Drainfield Rock TYPICAL 5' WIDE TRENCH SECTION (NO SCALE) •••�P�E CF- • �. NOTE: Grade Area Over Trench to Drain Away. 41r 49m Minimum 6' Separation From Bedrock.�....,/....� ...,.y Minimum 2' Separation From Groundwater. k./� Minimum 10' Separation From Water Service Line. �& MSE woer Minimum 100' Separation From Surface Water or Streams.- *#, No. CE. l Minimum 100' Separation From Private Wells. �i,+,r •jo.o FROM : PPH40hE ENO SVC PHONE NO. : 272 8218 BOILS LOO - PERCOLATION PEST PANNONE ENGINEERING SERVICES P.O. BOX 1029$4 ANCHORAGE. AK99SIO (907) 272-8218 PERFORMED FOR: Kathy James DATE PERPORMED 6-19.04 LEGAL DESCRIPTION: Int 2 Tract DCeark S D ^` T&ST IFO1S I IOrgy to btoaa OP/®( po31l9C.aded 9mvel to anly srovel 3 op Cfc— Pocrly Waded 4Au,Ward CP/GM poory Waded TENT Ca el to 29ry a P 7 NL%61N OI+4 Wt to parely _ Its. harder dindrw 18 19 40 WAS GROUND WATER ENCOUNTERIIDP Yes �.*.4"-.... .....•• r- .Yrr.rtr �Q 1'G':L E.• :C "'2:.. a CE • % ,31 , .'r .a DEPM TO WATER AFTER • a ,• ,,,e •4�; ONR'ORINGI -6.0 '�6 .. .• , t v DATE: 6.27.0-4 Y d� k' v G 1".1, J6"F1 50� � moa 6,6V016 wA'qV'*- � COMMENTS: Test hole ezcz vate MOIA77ON RATE 48 in inch FERC HOLE DUMETER 6 inches TESL' RUN 6EVI'EEN 4 PT and 5 FT xP• 12 2606 05:34Rtl P8 R t(O q NO KDPE TEST HOLZ 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 / WATER SUPPLY PERMIT Initial Permit Number: SW040326 Legal Description: CEARK TR D LT 2 Design Engineer: 0062 Pannone Engineering Services Owner Name: KATHLEEN JAMES Owner Address: 15935 KING'S WAY DRIVE ANCHORAGE, AK 99516 - Date Issued: Aug 09, 2004 Expiration Date: Aug 09, 2005 Parcel ID: 020-441-09 Site Address: 015935 KING'S WAY DR Lot Size: 130811 SQ. FT. Total Bedrooms: 4 Permit Bedrooms: 4 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 co ruction ring freezing wea must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezin ��e �N\e- Received By: Date: / l G Issued BI Date: y- r— i it ! 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 ON—SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. 020-441-09 Permit Number SW Property owners) Ms. Kathy James Day phone 273.3903 �M�aaiilliing address (1) 2440 East Tudor Road #W1 Ma ;g address (2) Andwaff AK 151-15 K I N Et�S �n)1aU Al Z Code ,9950T' 119 10 Legal description (Lot, Block & Sub'd.) Lot 2. Tract D Ceark Legal description (Section, Township & Range) Lot Sizes ._L - � j_Acre Ft. THIS APPLICATION IS FOR: Number of Bedrooms 'i Sewer Only ❑ Well Only ❑ Sewer and Well ® Water Storage ❑ Sewer Upgrade ❑ THIS PROPERTY CONTAINS: Hot Tub ❑ Jacuzzi ❑ Swimming Pool ❑ Water Softening Unit ❑ Therapy Pool ❑ certify that the above information is correct. I further certify that this application is being made for a Single Family Dwelling and is in accordance with applicable Municipal Codes. ti. (Signature of property owner or authorized agent) Permit Fees: a 103t W Waiver Fees: Date of Payment: 10004 Date of Payment: Receipt Number. 6&tq -qtrA_ Receipt Number. (Rev. 12/00) Pannone Engineering Services, LLC Consulting Engineers (9071272-8218 July 3, 2004 Municipality of Anchorage Development Services Department On -Site Water & Wastewater Program 4700 S. Bragaw Street P. O. Box 196650 Anchorage, Alaska 99519 Subject: Lot 2, Tmct D Ceark S/D Well & Septic System Permit Request Gentlemen: P.O. Box 102954 ge, Alaska, 99510 )071272-8218 Fax My firm was contacted to investigate the possibility of installing a new septic system serving this lot. Two test holes were excavated on June 19, 2004 by my company in preparation of designing a new septic system. The soils report and a percolation tests result are attached. Ground water was monitored three weeks and the water fluctuated between six and eight feet below the ground surface. Bedrock was not encountered in either test hole. The owner had another engineer perform four test pits in august of last year. Two pits were logged, percolated and water monitored. I am attaching his report as part of my design submittal. The lot is 130,811 square feet (3.003 acres) in size. Lot 2 slopes to the northwest at approximately 10 to 15 percent. The proposed installation will be located in the south center portion of the lot, along the south property line. The proposed well will be located in the southeastern corner of the lot, greater than 100 feet from the proposed system and from the neighboring septic systems. The proposed location of the septic system is greater than 100 feet away from surface water, existing neighboring wells, and 25 feet from the water service lines. The surrounding wells are located greater than 100 feet from the proposed installation. The proposed installation will not affect the future development of the surrounding or existing lots. The primary and reserve systems are based on the use of an Advantex advanced wastewater treatment system. There is adequate room for installing a soil absorption system sized on the use of the Advantex system. See the attached design. If you have any questions or concerns, please contact me at 227-3522 or 272-8218. Sincerely, Steven . nnne, P.E. Civil Engineer Attachments: C:\Work\Letter9\4.2 mt shadows.001.doc . ,. Steven R. 0 PERMIT NO: SW04 NOTE: U 1) ALLWORK SHALL BE IN ACCORDANCE WITFI 2) MATERIALS USED SH4rL ACCORDANCE WITH THQa IN AMC15.85, WASTEWATE 3) DUE TO THE SOILS ON OWNER AGREES THAT THE SEPTIC SYSTEM SHALL BE ANY MOVEMENT OF THE REQUIRE REEVALUATION 0 SYSTEM. NOTIFY THE ENGII MOVING THE HOUSE FROM SHOWN.---- / ,4tTESTHOLES RREtiQQCC//yy 5/8' REBAR AND ASSUMEM DESIGN DRAWING WASTEWATER DISPOSAL SYSTEM LOT 2, TRACT D CEARK SID z� l0 CO U N / O LU to / w of d ! a00 / C15.65. ESPE R THIS I I / I wJCL I V LU U - 0 I z O 8 / I W Z N/ / / / FORMED / BE IN / CIFl / DISPOS LOT, E j THE AND AS SHOWN HOUSE HALL F THE SEPTIC THE PROPERTY CORNER T?,-BLOCK4B ALI TESTHOLES WERE'LOC D US 1V(} A FIB ' TAPE AND COMP / .... to 5) THE BOTTOM THE NEYJ SYSTEM S�HAIL BEVBECOW STING�GRADE- MAXI . \ 8) CO OR SHALL PLACE 2' RIGID SUL OVER IRE TRENCH, AND COVER \' MIN SOF 7 OTAACTOR SHALL STAKE SOUTH PROPERTY E AREAOF PROPOSED SAS ANO WEL4 TO VERItLQ&ATION OF PROPERTY LINE. I / rn I 49^M ren R. Ponm No. CE 8149 Kathy James 2240 E. Tudor Road, #901 Anchorage, AK 99507 273-39M is W z J I 1 I 1 I P.I.D. NO: 020-441-09 E I I 1 i I I I I I I Q m W IX b 1 I I 1 NNONE ENG. SVC, LLC 0. BOX 102954 ICHORAGE, ALASKA 99510 7-3522 P,272-8218 Fax DESIGN I I / I I I / I V I I / I I w I / I W I 1 NNONE ENG. SVC, LLC 0. BOX 102954 ICHORAGE, ALASKA 99510 7-3522 P,272-8218 Fax DESIGN PERMIT NO:SW04 DESIGN DETAILS P.I.D. NO: 020.441-09 INLE CLEAN- 3*1 TO AMBIENT AIR WASTEWATER ABSORPTION SYSTEM LOT 2, TRACT D CEARK SID Ax -20 FILTER DESIGN CALCULATIONS Number of Bedrooms -4 Total Bedrooms 4 Design flow -150 gal/br/day, Total flow - 600g/day ? 49TM !N len R. Po No. CE 81 _M INSTALL 4' RIGID INSULATION OVER TANK 8 DRAINFIELD. EXTEND R.12' BEYOND SIDE OF TANK INSTALL RJ. AROUND AX -20 FILTER ADVANTEX TANK DETAIL TANK SIZE: 1500 gallon Advantex tank [W MANHOLE SOIL ABSORPTION SIZE: Advantex Sewer System AX20 Pod - Class III System Perc Rate= 45 minInch Application Rate= 2 GPD/SF Size Required= 600 GPD/2 GPD/SF = 300 SF Use 5 -Wide Trench, 0.5' effective 60 Feet Long 60 LF x 5'x 0.5'= 300 SF Total Kathy James 2240 E. Tudor Road, 9901 Anchorage, AK 99507 2733903 PANNONE ENG. SVC. P. O. BOX 102954 ANCHORAGE, ALASKA 99510 272-8218 PHONE & FAX DESIGN PERMIT NO:SWD4 DESIGN DETAILS WASTEWATER ABSORPTION SYSTEM NOTE: LOT 2, TRACT D CEARK S/D 1) ALLWORK SHALL BE PERFORMED IN ACCORDANCE WITH, & ALL METERIALS SHALL CONFORM TO AMC15.55. 2) CONTRACTOR SHALL STAID= PROPERTY UNE IN VACINITY OF DRAINFIELD. P.I.D. NO: 020.441-09 3) ADD A MINIMUM OF V OF FILL OVER inoNv= o ENTIRE TRENCH. 0N3 N0V31V o 4) B.O.T. STANDS FOR BOTTOM OF TRENCH 3su aoLNon 5) CONTRACTOR SHALL NOTIFY ENGINEER OF al' ANY VARIATION BETWEEN DESIGN AND FIELD � CONDITIONS. z� � O f� Lc � z� � O f� oc ono Z LE O + o �-- jr 0 U o� 1 w � 38n1 }g11NOn 0ru wit"D �i lnomv3D `9 Z LL 44 46 O M O X110 NV310 r 1110 NV=OF •• ••w..••••••.�� R \� ,noNv30 kp� ♦ . � N011`V11n0! I O 3 ja? 49TM tri�� .Steven R. Ponnoned i PREPARED FOR: Pannone En Svc., LLC 9' � C 8t49 ' ' `�%, `• t ��0�'� •.•'fiat'• Kathy �R18S 2240 E. Tudor Road, 4501 Anchorage, AK 89507 P.O. BOX 102954 ANCHORAGE, ALASKA 99510 VVV • �- 273-3903 18 , PHONE & FAX ATE: T DESIGN �A_ Lc SOILS LOO - PERCOLATION TEST PANNONE ENGINEERING SERVICES P.O. BOX 102954 ANCHORAOE,AK99510 (907) 272-8218 I PERFORMED FOR: Kathy James DATE PERFORMED: 6-19.04 LEGAL DESCRIPTION: Lot 2, Tract D Ceark S/D TEST HOLE I 910PE attE P1. err 49TM ren R. No. CE p10 p 1 CPo��ed SET -BACK GP/GM 2 gravel to oOty grave U"pS PRO ED `\ CP Clean poorly graded 1C SYSTEM \ 4 gravel Cray to brmn TEST HOLE 3 OP/GM poorly graded P gravel to silty --CC THt 6 gravel 7 ML/GM G�sy aharde dam B 9 BOH THt 10 11 TG SEPTIC ------ A XIST'GSEPTIC AREA ----------------- -------------- /-{XIS 11 - 13 WAS GROUND WATER SLOPE 14 ENCOUNTERED? Yes 15 IF YES�AT WHAT DEPTH? -8.0- TEST HOLE 16 DEPTH TO WATER AFTER --- 17 MONITORING? -6.0 DATE: 6-27-04 is 19 READING DATE GROSS NET DEPTH OF NET TIME TIME WATER DROP 20 62041 1 19:08 8' 2008 70 5 3 BIC 20:08 — 6 O.0 2078 20 83M a9" 20:36 s 1w 21'08 20 5&r W COMMENTS: PEROLATION RATE 48 min inch) PERC HOLE DIAMETER 6 inches TEST RUN BEWTEEN 4 FT and 5 FT IN SOILS LOO - PERCOLATION TEST PANNONE ENGINEERING SERVICES P.O. BOX 102954 ANCHORAGE, AK 99510 (907) 272-8218 PERFORMED FOR: Kathy James DATE PERFORMED: I-25-03 LEGAL DESCRIPTION: Int 2 Tract D Ceark S/D TEST HOLE 2 r--1 49TM ien R. PGnnl No. CE 8149 E7 1 Oray to brown OP/OAT p-rty graded 2 gravel to silty m CREEK gravel' TEST HOLE 3 GP Clean pooriy grad a gravel ROUND PROPOSED SEPTIC SYSTEM �'- 5 OP/GM. Cray to brown pooety graded t0 .sty �� PROPOSED ` 6 gravel gravel �C 447 WEtL� 7 ML/GM Gray silt tO gravely silts. harder digging 8 it 9 ----------------- ----------- ----- -------------�- 10 isra SEPTIC %187'0 AREA AREA SEPTIC rosEvm AREA r j i i BOH I1_ _____ _ _______ __________ .r t_ 12 13 WAS GROUND WATER SLOPE la ENCOUNTERED? Yes t5 IF YES, AT WHAT DEPTH? -8.0 TEST HOLE 16 17 DEPTH TO WATER AFTER MONITORIN4? •6 R 18 DATE: 6-27-04 19 READING DATE GROSS NET DEPTH OF NET TIME THE WATER DROP 20 62044 19.40 r — 20:10 30 517 dr 20.10 _ 9 US" 2040 30 5 1? sir 20:40 — 6144 — IIFqEql 2/:10 20 I I Sant 1e' I PEROIATION RATE 48 (min/inch) PERC HOLE DIAMETER 61 TEST RUN BEWTEEN 5 FT and 6 FT COMMENTS: Test ML/GM laver was FROM : • PANNONE ENG SVC PHONE NO. : 272 8218 Jul. 06 2004 02 : 51 AM P2 ADVANCED WAS'TENVATER TREATMENT SYSTEM NL41NTENANCE AND REPAIR AGREEMENT MEMORANDUM OF UNDERSTANDING BETWEEN MUNICIPALITY OF ANCHTORAGE Al�jp l.: &., /.t,i,_-;; TIUS MEMORANDUM OF UNDERSTANDING made and entered into as of this hi— dav of _10 ,9�- 200� by and between &jj en :,..- , herein the "OVaNER," 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 WASTEAVATER TREATMENT SYSTEMS. Municipality grants pennission to Owner to utilize and operate an Advanced Wastewater Treatment System (AVWVTS), described as �..Z�`ri'La e!M2k located at 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 c 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 Page 1 of 5 F'ROn : PANNONE ENO SVC PHONE NO. : 272 8218 Jul. 06 2004 02: 52AM P3 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. p. Maintenance and Repair. The scheduled and as needed replacement of existing parts, components and pieces of an AWWTS that were included in the original design which would allow the AWWTS to continue to perform as designed. E. Permit (Construction). An On -Site Wastewater Disposal System Construction Permit as defined by AMC 15.65. F. Permit (Operating). An Advanced Wastewater Treatment System Operating Permit. An annual permit, issued by the Municipality, that allows the Owner to operate an AWWTS, upon meeting all requirements of this agreement, the conditions of the Operating Permit, the requirements of the On -Site Wastewater System Construction Permit and All relevant provisions of AMC 15.65. 3. Fee. Owner shall pay to Municipality an annual fee of -- 6� ($ —.00), payable on or before the issuance of the operating permit and annually thereafter. The annual fee is due on or before the anniversary date of the approval by the Municipality of installed system. Page 2 of 5 FR t t : * PANNONE ENG SVC PHONE No. : 272 8218 Jul. 06 2004 02: 52AM P4 v 4. Term. The term of this Memorandum of Understanding shall be for the life of the AW ; TS. 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. Rlalntenance 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) adjustrnent(s), (4) replacement costs, and (5) inspection costs. Further, owner agrees to comply with all applicable ordinances, 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 AWNVTS 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: Page 3 of 5 FROM : * PANG ONE ENG SVC PHONE NO. 272 8218 Jul. 06 2004 02: 53AM P5 .t 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 systems. 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. Nonwalver. 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 tide provisions, nor in any way affect the validity of this 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 as this Memorandum of Understanding was executed and such writing shall be attached to this Memorandum of Understanding as an amendment. Page 4 of 5 FROM : PPJ MNE ENG SVC PHONE NO. 272 8218 Jul. 06 2004 02: 53AM P6 B. For the purposes of any amendment modification or change to the terms and conditions of this contract, the only authorized representatives of the parties are: Owner: Anchorage: Purchasing Officer C. Any attempt to amend, modify, or change this contract by either an unauthorized representative or unauthorized means shall be void. 9. Jurisdiction: Choice of 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. ,�:h134 By:� Date: 5 STATE OF ALASKA THIRD RMICIAL DISTRICT MUNICIPALITY: By: J/>p_ 1 Title: Date: 7L S o� ss. -ZZoo Grego' g instrument was acknowledged before me this L�day of Ly , by Q , the ,. �./ of on behalf of cip . Lj of �ie. l .� NO ARY PUBLIC FOR ALASKA i SEAQ ��satc aiz-a-b �� Page 5 of 5 FROM PANNONE ENG SVC ' �,��'illtllllll/j G / PHONE NO. : 272 8218 .. .r ..iin •• z.d0 1 �oTARj My Commission expires:,l� 4-4R? 1aaf y� coi Pa 1)tSStll pZ cb3rd\ASSIGNMEMr%AAACodc Addendvm AMC 15.65 [N004257R4vMranudm of Underswdint Vasion VI.doc Page 6 of 5 • Municipality of Anchorage DEVEOPMENT SERVICES DEPARTMENT 4700 South Bragaw Street Anchorage, AK. 99519-6655-343-7904 On-Site Wastewater Disposal System or Well Inspection Report Page 3 of 3 Permit Number: SW060350 PID No. 020-441-09 CEARK, TRACT D, LOT 2 103.2 102.7 = N nota 2" EPS Insulation Li E. u a ADVANTEX TANK 97.0 N Q H - 87.0 84.5 Finished Grade / Original Grade 2" EPS Insulation & Geotextile Fabric Drain Field Rock 84.0 83.0 81.0' 10/6/06 72.5 04_ 49th / • PROF LE AS - 3UILT MICHAEL E. ANDE ; Scale: NONE ♦ Na.No. CE-4381 ♦♦4p• , pROF Ssl�:i.4•• MUNICIPALITY OF ANCHORAGE Development Services Department Phone: (907)343-7904 On -Site Water & Wastewater Section Fax: (907)343-7997 Certificate of On -Site Systems Approval OSC261033 Parcel ID 020 -441-09 Expiration Date: Legal description CEARK TR D LT 2 site address 15935 KING'S WAY DR Current property owner(s) JAMES KATHLEEN E 6/1/2026 The On-site system(s) is/are approved for bedrooms X Conditional approval for 4 bedrooms, with the following stipulations: Comments or conditions: On or before June 1. 2026 the AWWTS system will be serviced and the missing stand pipes will be located/repaired and brought above grade. An unconditional COSA will be approved at that time. By: Original Certificate Date: This Cdrtificate of On -Site Systems Approval (COSA) is intended to demonstrate toe subjt s stems) is/are in substantial compliance with municipal code. The Municipality of Anchora e Y,p p p Y 9 Development Service Department (DSD) issues COSAs based upon representations provided by an independent professional engineer. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's submittal. ATTACHMENTS: COSA Checklist X Well Flow Advisory Absorption Field Advisory Nitrate Advisory Tank Age Advisory X Arsenic Advisory Other __ MUNICIPALITY OF ANCHORAGE NUNN= Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Application 1. GENERAL INFORMATION Parcel I.D. 020-441-09 Complete legal description CLEARK TR D LOT 2 Location (site address) 15935 KINGS WAY DRIVE ANCHORAGE, ALASKA 99516 Current property owner(s) JAMES KATHKEEN E 2. ON-SITE SYSTEMS SIZED FOR 4 BEDROOMS Day phone 3. TYPE OF WATER SUPPLY: FN_1 Private Well serving # 1 dwelling units ❑ Other Non-public well as regulated by MOA F-1 Water Storage R Community Well or Public 4. TYPE OF WASTEWATER DISPOSAL: � Private Septic 0 Private Septic serving 2 dwelling units El Holding Tank D Community Septic or Public Sewer 5. SEPTIC TANK: A] Steel [-I Plastic F-1 Concrete F-1 Fiberglass Age 19 - See advisory if steel or fiberglass older than 20 years 6. ABSORPTION FIELD: Al AWWTS E] Bed E] Deep Trench � Wide Trench ❑ Seepage Pit Waiver request for: Expedited review requested: ❑ Distance: By applying for this entitlement, this property is subject to inspection by municipal On-site staff to verify the accuracy of the information provided. COSA Fee $_ �t Date of Payment COSA# C)SC- 0 3. Waiver Fee $ Date of Payment Waiver # COSA Application—Apr2025. doe COSA Checklist_May2025 .docx COSA Checklist Legal Description: CLEARK TR D LOT 2 Parcel ID: 020-441-09 If more than 1 well and/or septic system on lot, provide separate checklist. Structure served by this system ____ A. WELL DATA Well log is filed with Onsite (or attached) Date drilled 11/7/2006 Total depth 101 ft Cased to 101 ft Sanitary seal is functioning correctly Wires are properly protected Casing height (above ground) 18 in. Date of flow test for COSA 2/12/26 Static water level at beginning of test 29 ft. Well production at time of test 5+ gpm Water storage tank volume None gallons Well disinfected for coliform test? Yes No Coliform bacteria is Negative Nitrate mg/L Nitrate less than MRL (ND) Arsenic ug/L Arsenic less than MRL (ND) Collected by Date 1/21/26 Comments __________________________________________________________________________________ B. TANK DATA Measured operating fluid level in septic tank NA* Date of pumping **See maintenance report & 2nd page. Required maintenance completed, if AWWTS Comments: C. LIFT STATION Required maintenance completed Age of lift station 19 years Lift station material PLASTIC Comments: D. DISPOSAL FIELD DATA Which system tested (date installed) 11/08/2006 ALL standpipes present per record drawing* Total measured depth from grade 6.7 ft (max) Measured depth to pipe invert from grade ft (min) N/A – pressurized field. Per record drawings, field is insulated. Monitor tubes go to bottom of effective. If not, state depth into effective Presoaked required if (Required if house vacant or field not used for more than 30 days prior to date of test) Gallons introduced 2000 gallons 2/11/26 date Any rejuvenation treatment (past 12 months) N If yes, enter date Adequacy test date 2/12/26 Results Pass Fluid depth prior to test 0 in Water added 600 gal New fluid depth 7 in Elapsed time 1440 min Final fluid depth 0 in Absorption rate 600 gpd FIELD STATUS – POST RECOVERY Effective depth (per record drawings) 12 in Effective depth used 0 in Effective depth remaining 12 in Comments/Deficiencies: *Only 1 of the 2 field MTs could be located in the snow / ice. Attempted several times to locate. COSA Checklist_May2025 .docx E. SEPARATION DISTANCES From Well on Lot to: (Please enter distances if less than required) Septic Tank/Lift Station on Lot > 100’ Yes if No ft Neighboring Tank > 100’ Yes if No ft Disposal Field on Lot > 100’ Yes if No ft Neighboring Disposal Fields > 100’ Yes if No ft Sewer Line/Main > 100’ Yes if No ft Sewer Manhole/Cleanout > 100’ Yes if No ft Sewer Service/Septic Line > 25’ Yes if No ft Holding Tank > 100’ Yes if No ft Animal Containment > 50’ Yes if No ft Manure/Animal Excreta Storage > 100’ Yes if No ft N/A – Served by Community Well (not on lot) or Public Water From Septic/Holding Tank and Disposal Field(s) on Lot to: (Please enter distances if less than required) Tank to Foundation > 10’ Yes if No ft Field to Foundation > 10’ Yes if No ft Tank to Property Line > 5’ Yes if No ft Field to Property Line > 10’ Yes if No ft Water Main/Service Line > 10’ Yes if No ft Surface Water > 100’ Yes if No ft Wells on Adjacent Lots: Wells > 100’ Yes if No ft Community Wells > 200’ Yes if No ft If tank or field is under driveway comment below F. ENGINEER’S COMMENTS **L&S Services / Larry Betts cleaned the filter, checked panel, etc…and all appeared fine w/ no issues anticipated in the spring of 2026, but due to the frozen ground…is currently inaccessible & will have regular maintenance conducted spring of 2026. The buyer will have this maintenance performed per the AWWTS. G. CERTIFICATION & 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, indicates that the on-site water supply and/or wastewater disposal system appears to comply with applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation, unless noted otherwise. Name of Firm FIRST WATER CONSULTING Phone 907-350-9566 Engineer’s Printed Name CURTIS HUFFMAN, PE Date 02/13/2026 Comments: This investigation was completed in compliance with MOA guidelines, regulations, and best industry practices / methods. 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 in land use, local soil characteristics, groundwater levels that may fluctuate during the year, quality of construction (workmanship & materials), the water usage of the family being served by the system and maintenance. 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, any or NO estimate of how long a system will function satisfactory for current or future occupants or guarantee that no unseen encroachments, deficiencies or discrepancies exist can be given by First Water Consulting & 02/13/26 13030 Sues Way, Anchorage, AK 99516 907-350-9566 / FirstWaterAK@gmail.com February 23, 2026 Municipalities of Anchorage On-Site Water & Wastewater Program 4700 Elmore Road Anchorage, AK 99507 RE: CONDITIONAL COSA - CCOSA LEGAL: CEARK TRACT D LOT 2 (15935 KING’S WAY, ANCHORAGE) This Advantex AWWTS system installed in 2006 has not been adequately maintained consistently through the years. L&S Services has been able to clean the filter, inspect the electrical panel and all appears fine. However, the area around the filter pod is frozen and cannot be accessed to complete servicing. Due to the low use, current inspection, etc… Larry Betts of L&S Services does not expect any major issues or additional actions needed. The new owner is and has been working on improving the property and the AWWTS servicing will be completed in the spring of 2026 once conditions improve. Also, the other field septic pipe will be found & installed if needed once these conditions improve as well. The system has been working for the occupants and granting of this Conditional COSA (CCOSA) will not impact any of the neighboring properties or pose a public health risk. Please contact us if you have any questions. Sincerely, Curtis Huffman, P.E. CamScanner Anchorage Tank _ 2723 Rampart Dr Anchorage, AK 99501 Phone: 907-272-3543 Fax: 907-277-3715 www.anchoragetank.com Billed To: Nicholas McCarty 15935 Kings Way Drive Anchorage, AK 99516 Terms: Net 30 Item Code SERVCON Description ADVANTEX SERVICE CONTRACT Annual Service Invoice Invoice Number: 0326058 -IN Customer Number: 0110128 Invoice Date: 3/2/2026 Invoice Due Date: 4/1/2026 e O o Treatment Systems DISCOVER y- ten. On-line payment available! Click the green "Bill Pay" button on our web site. www.anchoragetank.com Invoice Total: Amount 500.00 500.00 j 0r ONE ■■11111■ L#uai x` Field Maintenall w Rept annual Inspection Kathleen Jamas _ — 5lrp A4tlr4/d 15935 Kinrls Way Ddve, Anchorage AK 9951 F � SirO rd / AX -11;414 SWO60350 208405 _- - — RetOeve O&M info oi�lly fIOYY _ _ — .-) Rec[m ratio — rmer settings; Perform Field sampllreo/Observations rvrtl (15 x NTUsj FN (6-9j Ot7 7G P'0M _ Odor of Sample i}pical Musty L FAY Mnldy Non -typical XSulfrQe [—,Cabbage L— Decay Oily film irk AYU I Yes ; No Fo.Bm in tank L Yes No Check Control Panel Recirc AmA�sj [:iSrh7,, Amps Audible and visual alarms ;eOK tial tone (la)emetryr only) ❑ Yes No InspeaUClean Pump System %WJ inspect Clean Riser/Lid ............... I.....X� Splice Box .......:......... Float Gords ........... . ...... . Floats ........................ r Pump....... ............... r �, Siotubec Filter.. .............. siotube Pump Vault ............ i Flecirculating Splitter Valve....... Dior Tellis (nature Fi Archora92 �43 apdrw- ician L&S Services YCchn ___ G�IOM1B .. �(71907) 555-5b55 athGTLgTInW�°� JL 08171002� lScurn Measure SIud9esludge --- -- Crtrrentpngyiau5 Current 1 t'ne'�laus 1St (,ornpartirrdr'i `l __ _— - Current praviou5 Currffnt Previous 2nd ComparM10"t Inspeet/clean AdvanTex Filter Odor_ ❑ NomTal Blomat: L_1 NorMai Bridging/Ponding, [ , NnnefMlnor Inspect/Clean discharge PumP System Inspect Inspe Riserll-id ❑ Floats ❑ Splice Bax Pump ❑ Float cords fnspeatfServlce Other System Components Inspect Cicin Inspect Disinfection Equipment _ Msparsal LateralsfOrifices Observations 4-42 -L--- Additional Services Rendered !{!leaned textile sheets? ;Replaced UV items? ❑ Repla,3MMsed other items? Parts Used: W = Warranty, S = Billable (V appropriate selection) FilnsllSafety Inspection /RSV reinstalled �KLids bolted an ❑ Manifold reconnected; flush valves closed V Control panel reactivated Summa rylRe corn me ndat i o ns ❑ System performing; no further action needed ,❑ Call for service J Date Fax completed form to 1-8$6-384-7404 ❑Sank needs pumping MUNICIPALITY OF ANCHORAGE Phone: 907-343-7904 Development Services Department Fax: 907-343-7997 On -Site Water &•Wastewater Section Lift StabOnlPump Vault Maintenance Log Street Add res Owners Septic Tank: -Sludge Tavel inches -Pumping: required es no wPumping completed es no Lift station: -Pump basket cleaned - Effluent filter cleaned es no -Control floats cleaned _-Proper float settings confirmed a no -Operation satisfactory, no Alarm System: -Dedicated electrical alarm =bsfactor[yy i es no -Audible and visual alarm inside dwelling es no -Alarm system operation not satisfacto Manhole Riser -Groundwater intrusion at riser to tank connection yes no -Ground water intrusion around pipe penetrations_yes n� -Weep hole functional no -Manhole lid: Functionales no insulated es no Properly Secured es no Other -AJI manufacturer required inspections and maintenance completed a no Comments- Qualified Maintenance Provider: Technician Company �.. e}�.� 0 C- w L Signature Date of maintenance 1 e k Date 6Qh ` 6 ATTENTION: Buyers and owners of a property served by an Advanced Wastewater Treatment System (AWWTS) ** TO AVOID SEWAGE BACKUPS** Prior to using the wastewater system, contact the service provider to �nsure that regular maintenance is completed. Many of the systems require remote monitoring, the provider will tell you how to provide this capability. Who to contact: • AdvanTex: Anchorage Tank at 907-343-3704 • Quanics Aerocell: Garness Engineering at 907-337-6179 • Biocycle: Biocycle Alaska at 907-274-0314 • BioBarrier: Tim Ecklund at 907-250-0100 • Intermittent Dosing Sand Filter (IDSF): contact MOA onsite 907.343.7904 Please complete the attached document, Advanced Wastewater Treatment System Maintenance and Repair Agreement. When signing this document, you acknowledge that you are required to provide regular maintenance for your AWWTS. MUNICIPALITY OF ANCHORAGE ADVANCED WASTEWA'ITER TREATMENT SYSTEM MAINTENANCE AND REPAIR AGREEMENT THIS MAINTENANCE AND REPAIR AGREEMENT, herein the "AGREEMENT" made and entered into as of this / O Day of r-41r14a of 20 21a, by and between Mc Cc,� , herein the "OWNER," and the Municipality of Anchorage, herein the "MUNICIPALITY", in accordance with Anchorage Municipal Code (AMC) 15.65.365. In consideration of the mutual covenants contained herein, the parties to this Agreement agree as follows: 1. Advanced Wastewater Treatment Systems. The Municipality grants permission to the Owner to utilize and operate an Advanced Wastewater Treatment System (AWWTS), described as AN ADVANTEX located at (legal description) CEARK TRACT D LOT 2 2. Maintenance Repairs and Alterations. (Owner is required to read, understand and initial each section) Throughout the term of this Agreement, the Owner shall enter into a service agreement with an AWWTS service and maintenance provider approved by the Municipality or the manufacturer's representative. The AWWTS shall be maintained in a satisfactory condition capable of performing as designed and producing treated septic effluent in accordance with the equipment's approval for operation in the Municipality. It shall be the responsibility of the Owner during the term of this Agreement to pay for all i/ repair(s), maintenance, adjustment(s), replacement costs, and inspection costs. This includes an annual maintenance fee (typically $400 to $600). ip Owner agrees that only maintenance and repair personnel approved by the Municipality �or the manufacturer's representative will inspect and make any necessary maintenance, repairs or permitted alterations to the system. Owner acknowledges that regular maintenance of an AWWTS reduces the potential failure of the system, which could include sewage backup and costly repairs or drainfield replacement. (rev. 05/18/2018) Page 1 of 3 J Owner acknowledges that the Municipality may request records of maintenance and repairs from the manufacturer's representative or maintenance provider. Owner acknowledges that the fine for failing to maintain and repair an AWWTS may be assessed in accordance with AMC 14.60.030. AkOwner agrees to grant the Municipality reasonable access to test and inspect the AWWTS. The Municipality will give at least 24-hour notice. Owner agrees that any sale or transfer of title of the property will not occur without a new Certificate of On -Site Systems Approval. Owner agrees that the AWWTS installation and maintenance requirements as provided by the AWWTS vendor/installer and approved by the Municipality are the governing guidelines for the construction, maintenance and repair of the Owner's AWWTS. Owner agrees to maintain remote monitoring of the AWWTS as required by the AWWTS approval. 3. Term. The term of this Agreement shall begin on the date of approval by the Municipality to operate the installed system, or upon transfer of title, and shall continue while the AWWTS is operational or until title is transferred. 4. Nonwaiver. The failure of the Municipality at any time to enforce a provision of this Agreement shall in no way constitute a waiver of the provisions, nor in any way affect the validity of the Agreement or any part hereof, or the right of the Municipality thereafter to enforce every provision hereof. S. Amendment. This Agreement shall only be amended by authorized representatives of the Owner and Municipality. Any attempt to amend this agreement by either an unauthorized representative or unauthorized means shall be void. 6. Jurisdiction: Choice of Law. Any civil action arising from this Agreement shall be brought in the Superior Court for the Third Judicial District of the State of Alaska at Anchorage. The laws of the State of Alaska shall govern the rights and obligations of the parties under this Agreement. 7. Severability. Any provisions of this Agreement decreed invalid by a court of competent jurisdiction shall not invalidate the remaining provisions of the Agreement. (rev. 05/18/2018) Page 2 of 3 OWNER: By; (signature) Date: D1 • • Z �/'C�'IO�QS /� • ` G' (print name) STATE OF ALASKA ) ) ss. THIRD JUDICIAL DISTRICT ) The foregoing instrument��was acknowledged efore me this _0 day of 20�, by (v t�Q,5 AA,af# NOTARY UBLI OR ALASICA XIONG THAO ��, Notary Public My Commission expires: 1-�- State of Alaska My Commission Expires Oct 31, 2028 .I (print name) (rev. 05/18/2018) I Date: Title: Page 3 of 3 MUNICIPALITY OF ANCHORAGE DEVELOPMENT SERVICES DEPARTMENT. '� 907-343-7904 a. On -Site Water and Wastewater Section Fax: 343-7997 www.muni.org/onsite Septic Tank Advisory Certificate of On -Site Systems Approval # 20SC261033 Subdivision: Ceark Block:Tract D, Lot: 2 The septic tank for this property is 20 years old. The average life of an asphalt coated steel septic tank is 20 years. Typical replacement costs are $15,000 or more, not including engineering, surveying, MOA permitting fees or site restoration. Steel septic tanks utilizing "Coal Tar Pitch" coatings are subject to corrosion as the steel reacts to water and rusts. These tanks have a finite lifespan buried in the ground. These tanks can become structurally compromised and pose a health risk. They could collapse and/or leak untreated wastewater directly into groundwater. In the interest of protecting public health and the environment, the Municipality of Anchorage Development Services Department has issued Policy W.05 Standard of Care Regarding the Inspection of Steel Septic Tanks when Performing COSA Inspection. Please request a copy of this policy from the Department if interested. This advisory must be attached to all copies of the subject Certificate of On -Site Systems Approval.