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HomeMy WebLinkAboutLAKE O THE HILLS BLK 1 LT 2Lake O'The Hills Block 1 Lot 2 #015-331-19 Municipality of Anchorage On -Site Water and Wastewater Section - (907) 343-7904 Page 1 of 2 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP241186 PID Number: 015-331-19 Dwelling: ❑■ Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New X Upgrade Name Steve & Merri Noey ABSORPTION FIELD ❑ Deep Trench ❑■ Wide Trench El Bed ❑Mound Site Address 11271 Mountain Lake Drive ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 5 2.0 GPD/SF 7.0 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade 4.0 Ft. Gravel depth beneath pipe 3.0 Ft. Subdivision Block Loi Lake O The Hills 1 2 Fill added above original grade 0 Ft. Gravel length 45 Ft. Township Range Section Gravel width 5.0 Ft. Beds: Number of Lines n/a Distance between lines n/a Ft. SEPARATION DISTANCES To Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Tank Line 387.9 Ftz 1 n/a Ft. Well 50'+ 50'+ 50'+ NA 25'+ TANK ElSeptic XS.T.E.P. El Holding XOther Manufacturer Orenco Capacity 2500 Gal. Surface Water 50'+ 50'+ 50'+ NA Material Number of compartments Lot Line 5'+ 10'+ 10'+ NANA STEEL 2 Foundation 10'+ 10'+ 1 10'+ NA LIFT STATION Manufacturer Capacity Remarks Advanced Treatment Orenco 250 Gal. Alarm location Garage Electrical installed by Capstone Electric PIPE MATERIAL House to tank3034 Tank to drainfield 3034 Installer A+ Home Services, Inc. Drainfield 3034 CO/MT 3034 Inspector PES BENCH MARK (Assumed elevation) 100.24 ft Inspdection 1�t 09/10/24 09/10/24 Location and description 2nd 3'' 09/18/24 411 09/18/24 See Site Plan, FF Garage ON-SITE WATER AND WASTEWATER SECTION APPROVAL Engineer's Stamp AC�SII� Conditional A royal: Date PP ----._ %+'49TH .............. "teven F'ai r.)e j CE Septic System Approved ` Date S1 n 9 Lei �]�s ��` w ; �F,' • ..... 0 ts./�e: this approval does not include well permit re uireme (Rev 05/02/1 PROFILE AX-20 POD AX-20 POD PA N N O N E E N G S V C , L L C ( C . I . 1 0 8 8 ) MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program PO Box 196650 4700 Elmore Road Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 hftp://www.muni.org/onsite On -Site Wastewater Disposal System Permit Permit Number: OSP241186 Work Type: Septic Upgrade Tax Code Number: 01533119000 Site Legal Address: LAKE O THEHILLS BLK 1 LT 2 G:2639 Site Mailing Address: 11271 MOUNTAIN LAKE DR, Anchorage Owner: NOEY STEPHEN W & MERRI ANNE Design Engineer: PANNONE ENGINEERING SERVICES This permit is for the construction of: Effective Date: Expiration Date Lot Size in Sq Ft: Total Bedrooms: 7/8/2024 7/8/2025 54460 Q Disposal Field Z Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage All construction shall be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80) 3. The wastewater code requires inspections during the installation. The engineer shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing Special Provisions: Locate the edges of the existing field to ensure separation to new field. Received By: �'� Date: Issued By: Date: 5 ON -SITE SEWER/WELL PERMIT APPLICATION 114 Parcel I.D. 015-331-19 Property owner(s) Steve & Merri Noey Mailing address 11271 Mountain Lake Drive Site address same Day phone Legal description (Sub'd., Block & Lot) Lake 0 The Hills B1 L2 Legal description (Township, Range & Section) Lot Size - 54,460 —Sq. Ft. Number of Bedrooms 5 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (S all that apply) Absorption Field fx� Initial EJ Single Family (SF) RX (w/wo ADU) Septic Tank RX Upgrade RX Duplex (D) ❑ Holding Tank R Renewal ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit/Rush Fees: Date of Payment: T 'L Receipt Number: Permit No. Waiver Fees: Date of Payment: Receipt Number: Waiver No. Permit App_'-'- : - , Pannone Engineering Services LLC Steven R. Pannone, Principal Registered Professional Engineer E-mail: steve@panengak.com Mailing: P.O.Box 1807, Palmer, AK 99645 Telephone: (907) 745-8200 FAX: (907) 745-8201 Municipality of Anchorage Development Services Department On-Site Water & Wastewater Program 4700 Elmore Road Anchorage, Alaska Subject: Lake O The Hills B1 L2 Septic System Upgrade Permit Request This is a design narrative for a permit to install a septic system upgrade on the subject property. The proposed upgrade will serve an existing five (5) bedroom house. This lot and surrounding lots are served by private wells. Currently there are no wells within 100ft of the proposed upgrade. 1. Soils: A test hole was performed on this lot by Pannone Engineering Services, LLC on 6/10/2024. Groundwater was not observed during the excavation of the test hole, and bedrock was not encountered. No groundwater was observed in the test hole monitor tube after 7-days. Based on the results of the percolation test and overall soils appearance an application rate of 2.0 gpd/SF was used for the design of an advanced wastewater treatment system in the area of the test hole. 2. Soil Absorption System Design: See Sheet 1 of the design package. 3. Surface Water: There is no surface water within 100 feet of the proposed septic tank and drain field. 4. Topography: See attached site plan for area topography. There are slopes exceeding 25% less than 50ft from the proposed drain field. The proposed installation will confirm to the steep slope provision of AMC 15.65. 5. Drawing Markings: The Drawings are marked “For MOA Review Only”. When written notification that the review is complete and no further comments are received from MoA On-Site Department, the note will be removed and “For Construction” drawings will be issued. The proposed installation will not affect the future development of this or the surrounding lots. If you have any questions or concerns, please contact me at (907) 745-8200. Sincerely, SRP Steven R. Pannone, P.E. F. ASCE Owner/Civil Engineer 19 June 2024 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP241186, Curtis Townsend, 07/08/24 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP241186, Curtis Townsend, 07/08/24 PA N N O N E E N G S V C , L L C ( C . I . 1 0 8 8 ) Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP241186, Curtis Townsend, 07/08/24 PA N N O N E E N G S V C , L L C ( C . I . 1 0 8 8 ) A SCALE: 1"= 5' SLOPE SECTION Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP241186, Curtis Townsend, 07/08/24 PA N N O N E E N G S V C , L L C ( C . I . 1 0 8 8 ) COMMENTS: Test hole excavated by A+. PERFORMED BY: PANNONE ENGINEERING SERVICES, LLC. I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDLINES IN EFFECT ON THE DATE OF THIS TEST. ·34.1 (min/inch) ·6" ·3 FT AND 4 FT SOILS LOG & PERCOLATION TEST Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP241186, Curtis Townsend, 07/08/24 THIS DRAWING REPRESENTS A MORTGAGE LOCATION SURVEY PREPARED IN ACCORDANCE WITH THE ASPLS MORTGAGE LOCATION SURVEY STANDARDS. THIS MORTGAGE LOCATION (AS —BUILT) SURVEY IS A REPRESENTATION OF THE CONDITIONS THAT WERE FOUND AT THE TIME THE LOCATION SURVEY WAS PERFORMED AND DOES NOT CONSTITUTE A BOUNDARY SURVEY AND IS SUBJECT TO ANY INACCURACIES THAT A SUBSEQUENT BOUNDARY SURVEY MAY DISCLOSE. INFORMATION CONTAINED HEREON SHALL NOT BE USED TO ESTABLISH ANY FENCE, STRUCTURE, OR OTHER IMPROVEMENTS. 25 0 50 GRAPHIC SCALE 1 "=50' i F:c;i:Nn FOUND REBAR PROPERTY LINES PROPERTY LINES — ADJACENT R SATELLITE DISH FENCE — CHAIN LINK PAVEMENT WOOD DECK =j PAVERS R it i3 _L3. WELL (SEE NOTE 1) I HEIREBY CERTIFY THAT AN ACCURATE SURVEY OF THE FOLIOWMNG DESCRIBED PROPERTY; LOT 2 BLOCK 1 LAKE 0' THE HILLS SUBDIVISION WAS MADE ON JUNE 24. 26. 27 & JULY 2, 2014 AND THAT THE BUILDING SITUATED THEREON ARE WITHIN THE PROPERTY LINES AND DO NOT OVERLAP OR ENCROACH ON THE PROPERTY LYING ADJAICENT TO THE PREMISES IN QUESTION AND THAT THERE ARE NO ROADWAYS, TRANSMISSION LINES OR OTHER VISIBLE EASEMENTS ON SAID PROPERTY EXCEPT AS INDICATED HERE& °F Al-,, ..7AAiY .. .RAM SMITH � No. 10317 July 15: 2014 Amp, 1` A�fESS(ONA��p ' IN 40'42'Ob r- 133.00' 4" SEWER PIPE (TYP) LOT 7-79.53' 3 i� UD N L=77.00' R-320.00' A=13'47'12" BRGC LEN=76.81' QPo N 47 35'39" t< LOT 2 54,460 S.F. ROCK GARDEN DECK 3 46.37' HOUSE a 29.07' t_ 6 DECK STORAGE - SHED . - - N 54.32' cv O LAJ lo- FENCED LOT r. RUN - o W Ln i� d SUPPORTED STRUCTURE 12.67' — - N 45'00`00" E PROPERTY LINE STAKE (TYP) Q O� 00 Op L A K E L20.50' N 367 27' 03" E 801 WEST FIREWEED LANE SUITE 201 ANCHORAGE, ALASKA 99503-1801 PHONE (907)-274-5257 NOTES 1. ONLY THE WELL WAS SURVEYED AND ADDED TO THIS DRAWING BY BELL & ASSOCIATES ON JUNE 25, 2024. AS -BUILT SURVEY PREPARED FOR: STEPHEN W. NOEY DRAWN BY: VFS FLD BK: FRB-2014-01 CHECKED BY: RWS JOB NO.: MOA GRID: 2014-2152 SW2639 SCALE: DATE: 07-14-2014 1 "= 50' MUNICIPALITY OF ANCHORAGE ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND REPAIR AGREEMENT T141S MAINTENANCE AND REPAIR AGREEMENT, herein the "AGREEMENT" made and entered into as of this Day of of 201-�t, by and between "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 here -in, 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 Advantex located at (legal description) Lake 0 The Hills 81 L2 2. Maintenance, Repairs and Alterations. (Owner is required to read, understand and initial each section) Throughout the term ol"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 repair(s), maintenance, ad�justrncnt(s), replacement costs, and inspection costs. This ( includes an annual maintenance fee (typically $400 to $600), OA 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. V 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 I of 3 oe,L Owner acknowledges that the Municipality may request records of maintenance and repairs from the manufacturer's representative or maintenance provider. _VTIfl_ Owner acknowledges that the fine for failing to maintain and repair an AWWTS may be assessed in accordance with AMC 14.60.030. """ Owner agrees to grant the Municipality reasonable access to test and inspect the AWWTS, The Municipality will give at least 24-hour notice. ),M_L4 Owner agrees that any sale or transfer of title of the property will not occur without a new Certificate of On -Site Systems Approval. �'Jff 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. I�K 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 af(ect tile va aliditvl Oft6^ Agro-Meri, -ran,, part 1, Creof, o- the right of the Mu-nicipalit'; thereafter to enibree every provision hereof. 5. 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. E. 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. 05118/2019) Page 2 of 3 OWNER: By: A —A 14 _(signature) Date: jr y (print name) STATE OF ALASKA THIRD JUDICIAL DISTRICT The foregoing instrument was acknowledged before me this,day of 20,9-�, by tlert' jfgLte A OR Oft db ift NOTARY PU14LIC FOR ALASKA EILISH ROBINSON Notary Public My Commission expires: State of Alaska My Commission Expires Nov 27, 2027 MUNICIPALITY: By: L (signature) Date: S 'r 0 s f�—(print name) Title: (A 6/( 0- r,7— (rev. 05/18/2018) Page 3 of 3 Municipality of Anchorage Development Services Department Building Safety Division .. .. On-Site Water and Wastewater Program, 4700 S. Bragaw SL P.O. Box 196650 Anchorage, AK 99519-%% Page ( of 3 www.d.anchorage.ak.us (907)343.7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number. 51.1030 X105 PID Number, 015 -RL 1 g Na": 5 ve ljc3e Wastewater System: ❑ New ❑ Upgrade Ad ,v1 f Lac Q A ti S/6 ABSORPTION-FIED 1-_�71.. Fnw: oC OC D Oe.o T--h O 9wa.Trww O O �wla LEGAL DESCRIPTION so ftw4 Tar D"Yon Saes; a-we Fl. 3'"" 'r Lake t7 He f 0100 b pos Keen anp,r Aram: rrn p� ,7 V FI. Tor p: Prw $Kem: FI W"9 . rJM Lanerc Fl. F . Wel(:rade ❑ New ❑ Vpgj r••••x` ` ra. o. a..c tMa Kaearean oaf: R. FL C4wbean (Pnwle. A B. Tar OSFer: Caswd la Tar arec WDa / A e A. it omw. Ds4 Rirae: YC Wr LM: Ywalrre Ms Ynl~ FL riw: acGew�x TANK M FI. L SEPARATION DISTANCES jjZSep5c OF♦dding 0S.T.EP. 0Other. To Septic Absorption Littwding to Fran Tank FMW Station Tank Seweer[r''Line (7/' e 1150(7 WONJ I L I —^ ca.vwrr.n. 7 f , e Oca eatK watw l Iwf LIFT STATION Lot Um a51 vlq Faagauen L 5 8 L T. 'Rnyan•awl r: tgr.arar rarrn n: h n. No✓Ie Keaw rwe W`si Eley riuscRvu ernanre W "a'r s „, �{rSTtr4 t Ttc j'oJJr� BENCH MARK Loom ane Ce>wa9r: uMP*,0 GiC„S#4,o r0 yj&A Ao^di). Q OF a 51Q6 , „R,t .Vw,meaunauw: �:''a r � -L/ 100 FL a'J rte% t2t r J No. 17034 Eagle River Loop Road, No 204 r 10 n/� -03✓ 9 Inspections performed by. 1 Zm— Q� 7.F_t1 L-..�l�!! . •Jl >� ROBERT C. COWAN ,C Development Services Department Approvall CE.asoI 1 Reviewed by: Date: ze o t F,., -' illi +j ;- ; : , ` - and acproved ,Ro 11 all 1 ri-:`J•�w� PERMIT NO. SWO30405 PACE 2 OF 3 Municipalit of Anchora e DEPARTMENT OF HEA�.TH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 •Anchorage, Alaska 99519-6650 • Telephone 343-4744 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT LEGAL LOT 2 BLOCK 1 LAKE 0 THE HILLS S/D P.I.D. No. 015-331-19 VA / �,q�, / �P 100, / ,> W 4- � � FSC RAD7 FCO / / / CONNECTED INTO / EXISTING LINE DBL1 & DBL2 TBM B / ST2 / CO STI NEW 1500 GALLON SEPTIC TANK \ INSULATION UNDER DRIVEWAY LOT 3 SCALE: V - 40' ROBERT C. COWAN / C, ti C.-8801 .. '�:' PERMIT NO. SWO30405 PACE 3 OF 3 Municipalit of Anchorage DEPARTMENT OF HEZTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 • Anchorage, Alaska 99519-6650 • Telephone: 343-4744 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT LECAL LOT 2 BLOCK 1, LAKE 0 THE HILLS S/D P.I.D. NO. 015-331-19 ST1 S 95.3' FINA170 ADE 91 2' NEW 1500 GALLON 47.0 SEPTIC TANK A B ST1 86.0 61.0 N. T. S ST2 89.5 61.5 EY DBL1 90.0 62.0 DBL2 90.5 62.0 r c� • �; ' ' C01 �.. . �... .. .. .................. OSERT C. IbWAN f C CE -8801 \,`w•� 111. •�/•� - .\\ 47.0 22.0 MUNICIPALITY OF ANCHORAGE Development Services Department Onsite Water 8 Wastewater Program 4700 South Bragaw Sheet P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade ►vlQ�p3- x.30 Date Issued: Sep 29, 2003 Expiration Date: Sep 28, 2004 Permit Number: SW030405 Parcel ID: 015-331-19 Legal Description!WE C THE HILLS BLK . 1 LT_ _2 Design Engineer: 0003 S & S Engineering Site Address: 011271 MOUNTAIN LAKE DR Owner Name: Steve Noey Lot Size: 54460 SO. FT. Owner Address: 11271 Mountain Lake Drive Total Bedrooms: 5 Permit Bedrooms: 5 ANCHORAGE. AK 99516 - 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: F2 Ham, Date: cf/7o /c, -7 �Q/�% `{ • Date: z 103 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.enchorage.ak.us t (907) 343-7904 % ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. 015--3-31 —1 / Permit Number.SWOFC405. Property Mailing address (1)i Mailing address (2) AN c I/o A I C- f- tYK Legal description (Lot, Blocfloe K1141 ! ^4 a e Ice -k 1. L Legal description (Section, Township & Range) Lot Size 5 � L ® Acr/S"Y" THIS APPLICATION IS FOR: Dayphone a:?q_3968 Zip Code 0) 07 S-/ (J I k'. n' 4-40 Y; /Ls S 117-)l Moyjv) "lh I Number of Bedrooms 5 Sewer Only ❑ Well Only ❑ Sewer and Well ❑ Water Storage ❑ Sewer Upgrade R THIS PROPERTY CONTAINS: Hot Tub ❑ Jacuzzi ❑ Swimming Pool ❑ Water Softening Unit ❑ Therapy Pool ❑ 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. / 1 3 S ENGINEERING / 17034 Eayl* River Loop Road No. 204 F_e..Ie Rlver A6.1,2 oo[77 (Signature of property owner or authorized agent) Permit Fees: 4 0a' , u Waiver Fees: Date of Payment: 1/a 143 Date of Payment: Receipt Number: 0,Y L 3 S IReceipt Number: (Rev. 12100) 4 S& September 26, 2003 ROSERTC.COWAN, PE. ROBERT A. SHAFER P.E. CML ENGINEERS (907)694.2979 FAX(907)694-1211 HMTY L3 MUNICIPALITY OF ANCHORAGE Development Services Department P.O. Box 196650 SEW'ERSWATER Anchorage, AK 99519 AWNECTENSONS REFERENCE: Lot 2, Block 1, Lake O' the Hills Subdivision SEWER 6 WATER ISPECTION It is requested that you issue an emergency permit to replace, with a new 1500 gallon septic tank, the existing collapsed septic tank currently serving the existing five bedroom dwelling on the referenced property. ENGNEERINGSTUDES ANOREPORTS We do not anticipate any adverse effects on neighboring wells, septic systems, reserve areas or drainage patterns by the installation of the proposed septic tank. The construction of this system will not prevent any future development on any of the adjacent properties. WELL �+ If you require additional information, please contact us. Sincerely, SITE PIANS Obert C. Cowan, P.E. ROM DESIGN RCCft Enclosure boa TEST PERCOLATION TEST STRUCTURALS AECNMACAL INSPECTIONS ONSRE WASTEWATER 06POSALSYSTEM DEMN 17034 NORTH EAGLE RIVER LOOP • SURE 204 • EAGLE RIVER ALASKA 99577 1" = 50' DESIGN SITE -PLAN Ai r xOn 76..- \ VPLO �Vp• 1-3 \ �C'C3o W ^£e azcG n0 O \ h.9 EXISTING DRIVEWAY \\ R r ^O 4w = l \\ m x t o o \ A O n Z oy CK v 1 ti e,r \\\ Y •' 04fyg c .- O \ O 09 \ \ N \ 0) -3 \ I M \ O ►- �W h F T o ^ pnmo M w C. J Z y>D n l ti ]moo o Dip 2y K<� O Ui % O A Dy0 �~I D m y Icy y N m = O p 1-3 :t 5 ` .f r. $ a S & Sl ROBERTC.COWAN. PE. pneep ing ROBERTA. SHAFER PE. CML ENGINEERS Dim (907)694-2979 FAX(907)694-1211 THALITHMN ONALSS ON-SITE NVASTEWATER DISPOSAL SYSTEM iP CONSTRUCTION PRACTICES and MATERIAL SPECIFICATIONS SEWER & WAIER IAMNEXTENSKM REFERENCE: Lot 2, Block 1, Lake O' the Hills Subdivision September 26, 2003 SEWER&WATER TNSPECTIcN GENERAL: 1. The scope of this project includes the installation of a new 1500 gallon UKiNEESMSTMES ANDREPORTS septic tank to serve the existing five bedroom residence located on the referenced property. 2. Construction shall be in accordance with the approved site plan and design RLLOWWTTE TTS drawings, Municipal permit with any special provisions or conditions, and all applicable State and Municipal Wastewater Disposal Regulations. 3. The contractor shall be responsible for obtaining any necessary a>EPLANS underground utility locates. 4. Unless specifically agreed otherwise, the property owner shall be ROADOESION responsible for final grading areas subsequently depressed from soil settling. 5. Contractors installing wastewater disposal systems must be certified by the SOIL TEST Municipal Health Department for system installations. Owners installing their own systems must also receive prior approval from the Municipal Health Department. PERCOLATION TEST SEPTIC TANK INSTALLATION: 1. A septic tank is to be constructed by a certified septic tank manufacturer. L ET"�,°Rrx MPE0T1" Construction shall include two 4" cleanouts for pumping access. ONSITE WASTEWATER DISPOSALSTSTEM OEMN 17034 NORTH EAGLE RIVER LOOP • SURE 204 • EAGLE RIVER ALASKA 99577 Page 2 Lot 2, Block 1, Lake 01 the Hills Subdivision September 26, 2003 2. The septic tank shall be sufficiently bedded to prevent settling or shifting of the tank. 3. All standpipes on the septic tank shall extend a minimum of 12 inches above final grade. 4. Septic tanks installed with less than 4 ft. of cover shall be insulated. A foundation cleanout shall be installed one to four feet from the building foundation. In the line between the tank and the leachfield there shall be two adjacent cleanouts (unless an effluent pumping system exists within the septic tank). These cleanouts shall be located on undisturbed soil not more than 10 ft. from the tank. The first cleanout, in line, shall be to clean toward the leachfield. The second cleanout shall be to clean toward the septic tank. 6. Final grading over the septic tank shall be such that a positive slope exists away from the septic tank. MINIMUM MATERIAL SPECIFICATIONS: Any septic tank proposed for installation must be constructed by a Municipal approved septic tank manufacturer. 2. The following pipe materials are approved for use in septic system installations in the Municipality of Anchorage: Tvne of Pipe Perforated Solid Cast Iron Yes Yes ASTM D3034 (PVC) Yes Yes ASTM F810 (HDPE) Yes No ASTM D2662 (ABS) Yes Yes Use of a type of pipe other than listed above must be approved by the inspecting engineer. Insulation shall be at least 2" thick extruded direct burial polystyrene (Dow Chemical Company Styrofoam HI or equal). 4. Septic tank inlets and outlets shall be fitted with watertight couplings (Caulder, Femco, or equal). Page 3 Lot 2, Block 1, Lake 01 the Hills Subdivision September 26, 2003 INSPECTIONS: Typically there will be a minimum of two (2) inspections required during the installation of the septic tank. These inspections will occur as follows: 1. The first inspection must be conducted after the septic tank is set in place, but may not be backfilled until after this inspection. 2. The final inspection is to occur upon final grading of the property. The inspecting engineer is to be contacted at least 24 hours prior to the start of construction. If necessary, a pre -construction meeting will take place on-site. The inspecting engineer will not coordinate, direct or control in any way the contractors activities. The owner shall contract with the contractor to perform the work outlined in these specifications and plans and in accordance with the attached M.O.A. permit. There will be no contractual arrangement existing between the contractor and S & S Engineering. S & S Engineering shall be the owner's representative and will inspect the work as stated above to document the contactors activities. Final acceptance of the contractors work rests with the owner and the M.O.A. S & S Engineering shall have no liability to the owner or to others for acts or omissions of the contractor or any other persons performing work on this project or the failure of the contractor to carry out the work in accordance with these construction documents. S & S Engineering's inspecting engineer will not be responsible for the construction means, methods, techniques, sequence, procedures or the safety precautions incident to this project. CONTRACTOR/INSTALLER If MUNICIPALITY OF ANCHORAGE \) DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street- Anchorage, Alaska 89501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT PHONE NEW NAME_ n l/rQJ.✓�p. d -(M, -'t// t 3Yy- 7798 1 OUPGRADE MAILINAADDR ESS J LEGAL DESCRIPTION NO. OF BEDROOMS LOCATION 42. ` Well / Absorp ionprea DwelljngM / PERMIT NO. DISTANCE TO: /�Q I O 1-Z Manufacturer .s/ Materi t No. of c mDartments 1 Q� W h Liq. ca tcity in gallons IF HOMEMADE: Inside length Width Liquid depth �00 Well Dwelling PERMIT NO. d10Z DISTANCE TO: Manufacturer erial Liquid capacity in gallons _? FQ- p Well / 00 Found t n / 7Wa �/PEHAp17rOq fr" J= DISTANCE TO: Z No. of lines Length of eac 9 Total fang ffines ch i th Distance between lines 2 G inches W F ~ Top of tile to finish grade / Material beneath tile /Q / inches Total elfx�.tiyeO sorption area OIs Length Width Depth PERMIT,, NO. W d~ Type of crib Crib diameter Crib depth Total effective absorption area , line wWell Builtling foundation Nearest lot DISTANCETO: Class Depth Driller Distance to lot line=MIT NO. J J W Building foundation Sewer line Sewer Septic tank Absorption areas DISTANCE TO: OTHER PIPE MATERIALS C. j. SOIL TEST RATING B j� INSTALLER .S REMARKS 0 li APPHOVED D/AATE �y pLEGAL / _/�` / V 72-013 (Rev. 3/76) • t•1 �_F r;J I C I f"'�- I T �r• Q F= FF r -•t C H ��! H 4 i E '`� •DLPRRTMENT G. HEALTH AND ENVIRONMENTAL F,,. rECTION JMo •d025 •L• STREET, ANCHORAGE, Ah. 49501 ivv(o 264-4720 '1--IEE: LL F=it -4L-- Ortel I TE _ EWEF_ F•ERr-1 T Ii;f A PERMIT NO. C 780144 ) /i�6h-1-1/�-7�S APPLICANT CARL L!irHSINGER BOX 44 SRA A 344 744$ LOCATION MOUNTAIN LAKE DF: LEGAL L2 61 LAKE OF HILLS S/D LOT SIZE 54000 SQUARE FEET TYPE OF SOIL ABSORBTION SYSTEM IS: TRENCH MAXIMUM NUMBER OF BEDROOMS =SOIL RATING (SO FT/BR>= 225 THE REQUIRED SIZE OF THE SOIL AESOrTior-Ii.'STEM IS: G•EF'TF-1= 14 LEr I GTH= �~C�EL CHEF TH= 1�1 THE LENGTH DIMENSION IS THE LENGTH IN FE ) OF THE TRENCH OR DRAINFIELD. THE DEPTH OF A TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE GROU14D AND THE BOTTOM OF THE EXCAVATION <IN FEET). THERE IS NO SET WIDTH FOR TRENCHES. THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL F'IF'E AND THE BOTTOM OF THE EXCAVATION (IN FEET). F=:Er!1_I I FREC� �.EF=•T I C-r-nr-dF,' - I = E= JL c« GF=HL_LC1t-.a- PERMIT APPLICANT HAS THE RESPONSIBILITY TO IFJFOrM THIS DEPARTMENT DURING THE INSTALLATION INSPECTIONS OF ANY WELLS ADJACENT TO THIS P'ROP'ERTY AND THE NUMBER OF RESIDENCES THAT THE WELL WILL SERVE. --- TL• -10 C FiF -:E F E:G!U I Fi EC7 --- BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS DEPARTMENT WILL BE SUBJECT. TO PROSECUTION.. MINIMUM DISTANCE BETWEEN A WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS 100 FEET FOR A PRIVATE WELL; OR 150 TO 200 FEET FROM A PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL. WELL LOGS ARE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN :�cl DAYS OF THE WELL COMPLETION. OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. F'EF2r•7 I T E::P I RE- C•ECEryBEF �' = 1s 1_L+? -= I CERTIFY THAT 1: I AM FAMILIAR -JITH THE REQUIREMENTS FOR ON-SITE SEWERS AND I -JELLS AS SET FORTH SY ON r I ':IPALITY OF ANCHORAGE. 2: I 1•11L L THE SYSTEM IN ACCORDANCE WITH THE CODES. 3: 1 UND AT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE RESIDENCMOL LED TO INCLUDE MORE THAN 4 BEDROOMS. AFAL.ICANT CARL LUCHSINGER ISSUED ----------- DATE -f+ 4:tt -�-LC------ V3. 2 roo�1 ❑ SOILS LOG MUNICIPALITY OF ANCHORAGE ❑ PERCOLATION .�, DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION TEST Pouch 6.650, Anchorage, Alaska 99502 2762221 SOILS LOG — PERCOLATION TEST PERFORMED FOR:r1,,o6 DATE PERFORMED: LEGAL DESCRIPTION: / 7a �r ! 'v..f .feio SLOPE SITE PLAN DEPTH O (FEET) 1 2 3 4 SnTr sp voy GR'lVE! , 5 GM 6 7 8 9 10 11 121 I SnlvoY 6RHVEL 1 0 l 13 14 c �I u t ry I aV C w V ` n v t to WASGROUND WATER S ENCOUNTERED? L P IF YES, AT WHAT E DEPTH? Date _ s lv Depth to Water i�.lf+i:'Y moi: 7' .A 4 61719 16- 17- P.•�717 I -1 19 c �I u t ry I aV C w V ` n v t to WASGROUND WATER S ENCOUNTERED? L P IF YES, AT WHAT E DEPTH? Reading Date Gross Time Net Time Depth to Water Net Drop !' P.•�717 I -1 I i� ' I i I Reading Date Gross Time Net Time Depth to Water Net Drop !' Reading Date Gross Time Net Time Depth to Water Net Drop I PERCOLATION RATE 30 (minutesfinch) TEST RUN BETWEEN ''� FT AND �' FT COMMENTS -` M '� /"„ // CERTIFIED BY: DATE: PERFORMED BY: 77- f 77008 (7/76) A s. SOIL TEST HOLE AND PERCOLATION TEST y 9 FLAT/ %AREA...) TOE OF SLOPE \� I 1 1•v LOT 2 90 INVY SHED ,` ( (TO of N[MOV[O) PRIVATE DRIVE LOT 3 / i BOX CREST OF RIDGE AND APPROXIMATE LOCATION OF PRIVATE ACCESS DRIVE 1 1 i LOT I I hereby certify that I have surveyed the following described property LOT 2, BLOCK 1, LAKE THE HILLS SUB.,NEV4,SEC.23,712N,R3W.,S.M.,AK. as recorded in the Anchorage Recording Precinct, Alaska E and that the improvements situated thereon are located as shown in this plat, and that there are no Roadways, Transmission Lines or other visible easements on said property except as indicated hereon. - PREPARED BY+ TED FORST AND ASSOCIATES 107 W. 6 TH AVE.[ SUITE 205 ANCHORAGE[ ALASKA 274-9517 NO tc�•OE D SPO"I. EYET[N[ •UOM[O ON THE L•O[ SIDE OF THIS LIN[. LAKE DATE: APRIL, 1978 SCALE: So- 100' DRAWN BY T.H. FIELD BK GRID 2639 JOB 7811 LA <i3p"PP.nN�" u�o W PLOT PLAN LOT 2, BLOCK I LAKE b' THE HILLS SUI Ted Forsi and Associates 107 West Sixth Avenue, Suite 205 • Anchorage, Alaska 99501 • (907) 274-9517 April 21, 1978 Mr. Les N. Buchholz Senior Environmental Specialist 6lmicipality of Anchorage Pouch 6-650 Anchorage, Alaska 99502 Subject: Soils Log and Percolation Test for Carl Luchsinger. Dear Dtr. Buchholz; Please find attached, the completed soils log and percolation test form for testing performed on April 19, 1978. Drilling was done by Denali Drilling Co. using a six inch auger. Soil samples were obtained rt --i the test hole to a depth of 20 feet and cl: asified by visual A six foot hole was then drilled approximately five feet fno ti• iI: tcg hole. A percolati,xt test was then n,md tcted as defined In ! ! Of Septic Tank Practices (Pub. No. '):'.;i, U. ". Pept. H.E.V.) ! ,• Due to rapidly melting snow in this area, uic top 4 1/2 feet ,.,:. :...i I were saturated. This caused more water to porcnlate into (Le Loo Ih vi out. Judging from the nature of the soil and rate or filling. O minutc� per.inch) the percolation rate is estimated to he opproximately ;0 minutes per inch. For the proposed four bedronm house vo n•ccacoend a 1000 square foot absorption area for the septic !.y,— ,tem- If you have any questions or comments please feel free to contact us. Attachments r Sincerely, TED FORSI & ASSOCIATES ,- On Tom Howell Civil Engineer Engineering • Planning 9 Surveying WELL WATER WELI, LOG FOSS DRILLING 1336 Ingra Street Anchorage, Alaska 99501 USE OF WELL S LOCATION./?/0j4,1�- -.1,nZ~I 1j&,K,tl--V7hee HJIs SwbAL!Ws, _mo SIZE OF CASING_LLbEPTH OF HOLEIj6dFT. CASED TO 111.6-, FT. STATIC WATER LEVEL_(D d FT. YIELD_4Q GAL.PER.MIN. WITH_ IS" FEET OF DRAWDOWN. REMARKS DATE COMPLETED %I- 2 2-_* (� PUMP TO BE SET AT c PiQJ/J Qt o Ls2to3a GrowVtj .y5 ..r, a �, ,r� \✓w r zat dA 'Jitoz.,qp lly—ot66t§. \ MUNICIPALITY OF ANCHORAGE MUNICIPALITY CF ANCHORAGE DEPARTMENT OF HEALTH 6 ENVIRONMENTAL PROTECTION DEPT. OF SACTH & I" P� J' Cf 10 • \\I an L Street • Anchorage, Alaska 98801 ENVIRONMENTAL ENGINEERING DIVISION ENVIRONMENTAL (� ,p1 l� Telephone 2644720 i 6. TYPE OF RESIDENCE NUMBER OF BEDROOMS D REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWN DIRECTIONS: Complete all pans on page 1. IncoropMu rageasta will not be Processed. Plaasa allow ten 11D) days for processing. 1. PROPERTY OWNER / /O L ` /1/ C.• ❑ Three ❑ Six PHOS / !T/ MAI LI ADDRESS _ ' ATTACH WELL LOG. A well log is required for all wells drilled PRO ER V RESIDENT f different Tram eboval ❑ PUBLIC UTILITY PHONE S. SEWAGE DISPOSAL SYSTEM "If individualgive installation date_c�. * INDIVIDUAL/ONSITE" oversite, If system is over two (2) years old an adequacy test is required 2. BUYER by this Department. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. PHONE MAILING ADDRESS 3. LENDING INS J ON PHONE MAILING AD;ROS Ale - 4. REALTOR/AGENT PHONE MAILING ADDRESS 6. LEGAL ESCRIPTION STREETO L 7T 6. TYPE OF RESIDENCE NUMBER OF BEDROOMS ❑ One ❑ Four ❑ Other SINGLE FAMILY ' ❑ Two Five \ ❑ MULTIPLE FAMILY ❑ Three ❑ Six 7. WATER SUPPLY m' INDIVIDUAL' ' ATTACH WELL LOG. A well log is required for all wells drilled ❑ COMMUNITY since June 1975. For wells drilled prior to that date, give well ❑ PUBLIC UTILITY depth (attach log if available.) 1, S. SEWAGE DISPOSAL SYSTEM "If individualgive installation date_c�. * INDIVIDUAL/ONSITE" oversite, If system is over two (2) years old an adequacy test is required ❑ PUBLIC UTILITY by this Department. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 7241013!781 (�CILA I Ll U, b-19 nm6 J -J THIS SIDE FOR OFFICIAL USE ONLY INSPECTION APPOINTMENTS DATE RECEIVED TIME TIME TIME DATE DATE DATE INSPECTOR INSPECTOR INSPECTOR DIRECTIONS: 1. TYPE OF RESIDENCE ❑ SINGLE FAMILY ❑ MULTIPLE FAMILY NUMBER OF BEDROOMS ❑ ONE ❑ THREE ❑ FIVE ❑ OTHER ❑ TWO ❑ FOUR ❑ SIX 2. WATER SUPPLY ❑ INDIVIDUAL ❑ COMMUNITY ❑ PUBLIC UTILITY Connection Verified PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM ❑INDIVIDUAUON -SITE ❑PUBLIC UTILITY Connection Verified PERMIT NUMBER DATEINSTALLED INSTALLER SOILS RATING 2 a� ❑Septic Tank or 13 Holding Tank Size: _ % S�0 If Tank is homemade give dimensions: TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCES WELL TO: Sept- /Holding Tank Absorption Area Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line 5. COMMENTS CTI—APPROVED FOR BEDROOMS ❑ CONDITIONAL APPROVAL (letter must accompany certificate) ❑ DISAPPROVED DATE BY Title LEGAL DESCRIP ION 2-010 iR". 3//61 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 Parcel I.D. 015-331-19-000 Expiration Date: Legal description LAKE O THEHILLS BLK 1 LT 2 Site address 11271 MOUNTAIN LAKE DR Anchorage AK 99516 Current property owner(s) GRIMM ATHENA & CHARLES E IV 10/1/2025 X The On-site system(s) is/are approved for 5 bedrooms Conditional approval for bedrooms, with the following stipulations: Comments or advisories: M Original Certificate Date: 10/28/2024 is Certificate of On -Site Systems Approval (COSA) is intended to demonstrate the subject system(s) is/are in substantial compliance with municipal code. The Municipality of Anchorage, Development Services 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 work. ATTACHMENTS: COSA Checklist X Well Flow Advisory Absorption Field Advisory Nitrate Advisory Tank Age Advisory Arsenic Advisory Other COSA Approval_June 2022 MUNICIPALITY OF ANCHORAGE Development Services Department Phone: 907-343-7904 N _; On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Application 1. GENERAL INFORMATION Parcel I.D. 015-331-19 Complete legal description Lake O The Hills Block 1 Lot 2 Location (site address) 11271 Mountain Lake Drive Current property owner(s) Steve & Merri Noey 2. ON-SITE SYSTEMS SIZED FOR 5 BEDROOMS Day phone 3. TYPE OF WATER SUPPLY: X Private Well ❑ Private Well serving 2 dwelling units ❑ Private Well serving 3+ dwelling units ❑ Community Well or Public ❑ Water Storage 4. TYPE OF WASTEWATER DISPOSAL: 0 Private Septic ❑ Private Septic serving 2 dwelling units ❑ Holding Tank ❑ Community Septic or Public Sewer 5. SEPTIC TANK: 0 Steel ❑ Plastic ❑ Concrete ❑ Fiberglass Age New - See advisory if steel older than 20 years 6. ABSORPTION FIELD: 0 AWWTS ❑ Bed ❑ Deep Trench 0 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 $ ,? yc' Date of Payment COSA # S Z Waiver Fee $ Date of Payment Waiver # COSA Application_June 2022 COSA Checklist_June 2022 COSA Checklist Legal Description: Parcel ID: 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 Total depth ft Cased to ft Sanitary seal is functioning correctly Wires are properly protected Casing height (above ground) in. Date of flow test for COSA Static water level at beginning of test ft. Well production at time of test gpm Water storage tank volume 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 Comments __________________________________________________________________________________ B. TANK DATA Measured operating fluid level in septic tank Date of pumping Required maintenance completed, if AWWTS Comments: C. LIFT STATION Required maintenance completed Age of lift station years Lift station material Comments: D. ABSORPTION FIELD DATA Which system tested (date installed) ALL standpipes present per record drawing Total measured depth from grade 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 gallons date Any rejuvenation treatment (past 12 months) If yes, enter date Adequacy test date Results Pass Fluid depth prior to test in Water added gal New fluid depth in Elapsed time min Final fluid depth in Absorption rate gpd FIELD STATUS – POST RECOVERY Effective depth (per record drawings) in Effective depth used in Effective depth remaining in Comments/Deficiencies: COSA Checklist_June 2022 E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well on lot) Septic Tank/Lift Station on Lot > 100’ Yes if No ft Neighboring Tank > 100’ Yes if No ft Absorption Field on Lot > 100’ Yes if No ft Neighboring Absorption Fields > 100’ Yes if No ft Community Sewer Main > 75’ Yes if No ft Community Sewer Manhole/Cleanout > 100’ Yes if No ft Private Sewer/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 Absorption Field(s) on Lot to: (Please enter distances if less than required) Building Foundations > 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 > 10’ Yes if No ft Water Service Line > 10’ Yes if No ft Surface Water > 100’ Yes if No ft Wells on Adjacent Lots: Private 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 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. In conducting an adequacy test, I attempt to provide a thorough, conscientious engineering analysis of the system in accordance with ADEC & MOA guidelines and regulations. The reported results describe the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the local soil condition, ground water levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of this system. All systems eventually fail, and satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. Therefore, we cannot provide any warranty for future performance, nor can we estimate remaining life of the system. The content of this report is for the sole benefit of the owner listed above. Name of Firm Phone Engineer’s Printed Name Date MUNICIPALITY OF ANCHORAGE ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND REPAIR AGREEMENT THIS MAINTENANCE AND REPAIR AGREEMENT, herein the "AGREEMENT" made and entered into as of this nom— Day of (�Abfl*" of 2V4, by and between Tom" CkCA..Y (CSV Cvv, 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 Advantex located at (legal description) Lake o The Hills B1 L2 2. Maintenance, Repairs and Alterations. Twner 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 repair(s), maintenance, adjustment(s), replacement costs, and inspection costs. This includes an annual maintenance fee (typically $400 to $600). 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 I of 3 /Owner acknowledges that the Municipality may request records of maintenance and repair§ 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. Owner 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. 5. 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 STATE OF ALASKA (signature) Date: I22 /i:aV - Ov(print name) ) ss. THIRD JUDICIAL DISTRICT The foregoing instrument was acknowledged before me this ZZ day of Q Ckabey , 2028, by k.} ,P, G C-;�-,)4 ��n � C46es &f ftM. to &a, /n - NOTARY PUBLIC FOR KA State of Alaska My Commission expires: NOTARY PUBLIC Carrie Nordlof My Commission Expires Jan 10, 2027 ature) Date: lo name) Title: (rev. 05/18/2018) Page 3 of 3 25 0 50 GRAPHIC SCALE 1"=50' NOTES 1. EASEMENTS OF RECORD, OTHER THAN THOSE SHOWN ON THE RECORDED PLAT, ARE NOT SHOWN HEREON. 2. PER NOTE ON THE RECORD PLAT, ALL LOT LINES EXTEND TO THE EDGE OF WATER. I Fr,FNn N 40'42 UO 133.00' 7_ 10' UTILITY EASEMENT (R) boa. SEPTIC TANK LOT A0ly-' FOUND REBAR PROPERTY LINES —PROPERTY LINES - ADJACENT SATELLITE DISH -� FENCE - CHAIN LINK PAVEMENT WOOD DECK PAVERS a WELL 0 SEPTIC CLEANOUT • SEPTIC VENT A GAS METER 0 ELECTRIC METER © ELECTRIC PEDESTAL © COMMUNICATIONS PEDESTAL (R) RECORD PER PLAT 72-236 i� N to M W d'I "r m L= 77.00' X20.00 A=13'47'12" LOT 2 w 54,460 S.F. 1.250 AC. N ROCK GARDEN N j N E 46.4' 54.1' r 3 -STORY O V - n HOUSE O n n o� \ M M 1pOO i LO 29.0', \ M .5' FF CEO LOT iv ,C ,16.� RUN � /DECK% 43.2, 20.50' N 315 27'03" E (R) I HEREBY CERTIFY THAT AN ACCURATE SURVEY OF THE FOLLOWING DESCRIBED PROPERTY; LOT 2, BLOCK 1, LAKE 0' THE HILLS SUBDIVISION WAS MADE ON OCTOBER 01, 2024 AND THAT THIS PLAT REPRESENTS A SURVEY MADE BY ME OR UNDER MY DIRECT SUPERVISION, AND THAT ALL DIMENSIONAL AND OTHER DETAILS ARE TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE. ��'�� •�F q�gs�ll CO 9 LH ..%j.jj....../. ./j � �,...: i 1 •• . ., WERNER MACEDO •. �o �J, .• NO. 141895 l �F9 • , Oct. 08, 2024. , • • �JQi ll\� "OPESS 10NA� �- 12.67' N 45'00'00" E (R) �1 5 �L O° O° L A K E THIS DRAWING REPRESENTS A MORTGAGE LOCATION SURVEY PREPARED IN ACCORDANCE WITH THE ASPLS MORTGAGE LOCATION SURVEY STANDARDS. THIS MORTGAGE LOCATION (AS -BUILT) SURVEY IS A REPRESENTATION OF THE CONDITIONS THAT WERE FOUND AT THE TIME THE LOCATION SURVEY WAS PERFORMED AND DOES NOT CONSTITUTE A BOUNDARY SURVEY AND IS SUBJECT TO ANY INACCURACIES THAT A SUBSEQUENT BOUNDARY SURVEY MAY DISCLOSE. INFORMATION CONTAINED HEREON SHALL NOT BE USED TO ESTABLISH ANY FENCE, STRUCTURE, OR OTHER IMPROVEMENTS UNLESS GROSS NEGLIGENCE IS DISCOVERED, THE LIABILITY EXTENT OF THE PREPARER SHALL BE LIMITED TO THE AMOUNT OF FEES COLLECTED FOR SERVICES IN PREPARATION OF THIS PRODUCT. / b gineers veyors 801 W. FIREWEED LN. #201 ANCHORAGE, AK 99503 (907)274-5257 CoA No. AECC582 L2 B1 LAKE O' THE HILLS SUBDIVISION AS -BUILT SURVEY PREPARED FOR: COLIN ROTH DRAWN BY: VFS/WEM FIELD BOOK: CHECKED BY: RWS WEM FRBA 24-02 JOB NO.: 2024-3022 MOA GRID: SW 2639 1" = 50' DATE: 10/08/2024