HomeMy WebLinkAboutVALLEY VIEW TERRACE BLK 3 LT 7Valley View
Terrace
Block 3
Lot 7
#050-352-04
Municipality of Anchorage
Development Services Department
Budding Safety Division ' • "'
On-Site Water and Wastewater Program, 4700 Bragaw Sl.
P.O. Box 196550 Anchorage, AK 99519-6550 Page/ of
www.ci anchorage ak.us (907) 3417904
ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
Permit Number: PID Number: 4050-3S2^ D
N'""E 4
Wastewater System: New E) Upgrade
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Dates: 1° G
Engineer's Stamp
Inspections performed by: F1r4_
CP1IONFJ /N6Y 1j�4r-f C/Z<6A)) V 2n5�6 :7
Development Services Department Approval
/.' >� �'•. 5"J
Conditional Approval Date:
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Reviewed and approved by: �� Date: '1 0^
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NOP. THRIM
VALLEY VIEW TERRAC
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BLOCK 3 LET 7
RECORD
EIJGINEERING
Po Sam 77072 ::;;;;;::;;
Eogle Rl~. Alaska 99577 •. asw
DRAWING
907.694.7028 ��`•.�
SEPTIC SYSTEM
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Cct 31 08 07:4+a fdcDonelc Center 907 6GE C092 PA
Certifteb �Mrirttng 'Log
by
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SULLIVAN WATER WELLS
P.O. BOX 670272, CHUMAK. ALASKA 99567 -TELEPHONE 689-2759
Y:NEEROFLAND: 4 140-0 Ali_
DRESS:
_GAL DESCR'PT10N: L_= 0,ll -L = T i_ e ilw-)
y
C.F
A:E:
ERMIT NUMBER: 0 L, ;C1(2' Date of Issue I _LL -,_*'
1X IDENTIFICATICN NUMSERi 250 - 5 - 39
well located at approved permit location? U-wcg ONO
e3tod of Drilling: J air rotary _j cable tool
epth of well:
asingType S'T:Fr_'4, Wail Thickness , :+1 U inChes
ia'ne'er <% inches, death S4 feet
LiAlr�
)eT Type: , w
asing Stickup Aoove Ground: feet
wic Water Le4ef: y'rl feet
� rr:
ecover Rate: 3o L'„ry
ethod of Testing: T , 14-
ell
Lell Intake Ooening Type: 5tper erd O coen hole
Screened; Start feet Stopped feet
Perforations Start feet Stcpoecl feet
`.fff D
rout Type .? i ^ e -r: Volume
epth: from feet, to % f=_et
efi Disinfected Upon Completion? Q -Yrs' O No
ethod of Disinfection: Q; /i'ld-1
:omments:
i '-- ��i�i•f•y
Driller's Name :
TENTION: It Is the responsbility of the prope ty ownor to sutmit a copy of the well log to the groper 3ut rorty. Municipality
Anchorage Department of Health 3 Hurtan Se vicos and/or Department of Environmenta, Conservation. Ma:Su Borough:
apartment of Environmental Conservation.
ARCTIC PUMP & WELL INC.
F� F Jim Sullivan, CPI
1}11 PO Box 770197
Eagle River, AK 99577
auai (907) 688-2510
i+ (907)258-2510
(907)745-2510
anw ncg incl
Pump Installation Log
Well Drilling Permit Number: SW070148
Parcel Identification Number: 050-352-04
Date of Issue: 7-10-08
Legal Description:Valley View Ter Property Owner Name & Address:
Lot:7 Reid McDonald
Block:3 25238 Cates ave
P..In Rivor 4K 0OC77
Pump Installation Date: 8-3-07
Pump Intake Depth Below Top of Well Casing:388 Feet
Pump Manufacturer's Name: Dempster
Pump Modcl:LBF2-100-S2
Pump Size:I hp
Pitless Adapter Burial Depth: 10 feet
Pitless Adapter Manufacturer's Name:eampbell
Pitless Adapter Installer: Arctic Pump & Well, Inc.
Well Disinfected Upon Completion? Yes
Method of Disinfection: Chlorine
Comments:
Pump Installer Name:
Arctic Pump & Well, Inc.
Arctic Pump & Well, Inc.
Page I of I
September 17, 2008
RE: Wiring of Advantex Septic System
McDonald Residence
To Whom It May Concern:
Wiring has been completed on the McDonald Residence Advantex Septic System in
accordance with the National Electrical Code.
Sincerely,
KC Kennedy
R
Ic" 30.03
MUNICIPALITY OFANCHORAGE
Development Services Department
On -Site Water d Wastewater Program
4700 South Bragaw Street
P.O. Box 196650, Anchorage, AK 99519-6650
(907) 343-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM I WATER SUPPLY PERMIT
Initial
Permit Number: SWO70148
Date Issued: Jul 10, 2007
Expiration Date: Jul 09, 2008
Parcel ID: 050-352-04
Legal Description: VALLEY VIEW TERRACE BLOCK 3 LOT 7
Design Engineer: 0848 EAGLE RIVER ENGINEERING SEI Site Address: NHN UPPER TERRACE STREET
Owner Name: REID MCDONALD
Owner Address: 25238 CATES AVE
EAGLE RIVER. AK 99577 -
Lot Size: 213008 SO. FT.
Total Bedrooms: 4 Permit Bedrooms: 4
This permit is for the construction of:
n 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.
PROVIDE WATER MONITORING FOR NEW TEST HOLE WITH INSPECTION REPORT.
CONSTRUCTION OF SYSTEM MAY PROCEDE AT YOUR OWN RISK WITHOUT THE 7 DAY WATER
MONITORING.
Received By: �l
I/
Date: /y12 6'lc3
Issued By. U NDate: J011—;107
Municipality of Anchorage
Development Services Department
Building Safety Division
On -Site Water and Wastewater Program
4700 Bragaw Street
P.O. Box 196650
Anchorage, AK 99519-6650
www.muni.org/onsite
(907)343-7904
ON-SITE SEPTICIWELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLING
Parcell.D. 056" :03.qA_04�
Propertyowner(s)ID
M c� O K I A:L_b Day phone �U/ - $� g�F
Code c1015-4-+
Mailing
mqkj Site address IAt?Pet¢ �t="A-« ST Zip Code q°IS��
Legal description (Sub'd, Block & Lot) V LLTi JI ey 1 -rEt_ Kul C,r_—_ IS 3 L -3 -
Legal description (Township, Section & Range)
Lot Size X13, 06 Sq. Ft.
THIS APPLICATION IS FOR (®all that apply):
Absorption Field
V)
Septic Tank
19
Holding Tank
❑
Privy
❑
Private Well
IZI
Water Storage
❑
Number of Bedrooms f
THIS APPLICATION IS AN:
Initial
❑
Upgrade
❑
Renewal
❑
certify that the above information is correct. I further certify that this application is being made for a
Single Famiix Dwelling and is in accordance with applicable Municipal Codes.
(Signature of property owner or authorized agent)
Permit/Rush Fees:
Date of Payment: F 0
Receipt Number:
(Rev. 11/05)
Waiver Fees:
Date of Payment:
Receipt Number:
Eagle River Engineering Services
Christopher R. Wood, P.E.
10421 VFW Road Suite 201 (907) 694-5195 tel
Eagle River, AK 99577 (907) 694-3297 fax
October 11, 2007
Deb Wockenfuss
Review Engineer, On -Site Services
Municipality of Anchorage
P.O. Box 196650
Anchorage, AK 99519
Re: Valley View Terrace Lot 7 Block 3
Construction Change Request
Dear Ms. Wockenfuss:
Eagle River Engineering Services (ERES) is requesting a construction change to move the
leachfields for this property to a more desirable location. We wish to move the leachfield farther
uphill from a cutbank directly above the house location. The new location will be more than 50
uphill from this cutbank.
We have conducted a very deep test hole and soils percolation test to verify the soil conditions at
this location. The test hole measures 20' deep from the original ground surface, and the
percolation test was conducted 8' below the ground surface.
We are requesting to install the system deep enough so that the 35' at 25% rule (see original
cross-section and slope waiver request) is met. The bottom of the 5' wide, 4' deep 25' long
drainfield must be installed at 12' below the original ground surface to meet the slope setback
criteria. At this depth of install on a 36% slope, the theoretical 25% at 35' would then be met
approximately 37' downslope of the proposed new leachfield.
Water monitoring will be conducted during the installation of the leachfields, and we ask that
you let the contractor proceed at his own risk regarding any appearance of a water table. We
believe this risk to me minimal. Several deep cuts up to 18' deep on the lot show no evidence of
groundwater.
If we can provide any more information for you to expedite this construction change request,
please call our office at 694-5195.
Sincerely,
EAG N SERVICES
Christopher R. ood, P.E.
Principal
\2003%07.057nCON57RUCnONCiIANGELErrER
Eagle River Engineering Services
Christopher R. Wood, P.E.
10421 VFW RD. Suite 201 (907) 694-5195 tel
Eagle River, AK 99577 (907) 694-3297 far
June 27, 2007
Dan Roth
Manager, On -Site Services
Municipality of Anchorage
P.O. Box 196650
Anchorage, AK 99519
Re: Valley View Terrace Lot 7 Block 3
Narrative & Permit Application
Dear Mr. Roth:
Eagle River Engineering Services (ERES) was contacted by the owner of the property noted
above to design a well and septic system system for new construction. It was determined that the
A test hole and soils percolation test has yielded slightly silty sand with gravel, GM, with a
percolation rate of 3 minutes per inch. We propose to utilize an Advantex treatment system to
minimize the size of the leachfield due to topography constraints created by steep slopes, the
proposed on-site well radius, and a small seasonal creek drainage located to the east of the
proposed drainfield site. Please see attached site plan showing locations of each of these design
parameters. The leachfield will be installed on, and the reserve site located above slopes that do
not exceed 25% for a distance of 35'. We have made use of a naturally occurring bench in the
hillside and augmented with fill excavated from the proposed house site and road excavation.
There is a seasonal drainage ditch approximately 100' from the proposed leachfield site. The
septic tank and leachfield shall be located more than 100' from this flowing seasonal drainage
ditch.
The proposed 4 bedroom septic system and well will have very limited impact on adjacent
properties for the following reasons:
1. The surrounding lots are large, so there is room for wells, septic systems and
alternate sites.
2. Immediate neighboring lots are undeveloped, and no private (or community) wells
within 200' of the proposed septic system.
3. Drainage will not be affected and is not a major consideration in our design.
4. A Category Ill Advanced Wastewater Treatment System shall be utilized thereby
reducing any chance of or potential contamination of drinking water sources or to
the environment.
\2003\07-057 S EPTI CNAR RATI V E
Installation of this 4 bedroom septic system and well, to our best available knowledge, will not
adversely affect the wells or septic systems or reserve areas on adjacent lots. If you have any
questions please call our office at 694-5195.
Sincerely,
EAGLE R E E IN ER G SERVICES
I topher R. Wood, P.E.
Principal
\2003\07.057SEPTICNARRATI VE
iv ®1INSTAL
EEs
,lD LOCATI
OLD
,[� \ LOCATION
. ..•,,•.•. TM_7 'Of ..9
WELL
L• I
LOT 6 I• •• . PROPOSED HOUSE
(UNDEVELOPED
/ NO WELL +200' CT
NO SEPTIC +30'
INST
EW -15 CAL
VAANTEX
!I.I �X- MX . l ✓ V
G,o
\q�'F
WELL
I Vf'AI .\/All
LOT 8
(UNDEVELOPED)
LOT 7
WELL +200'
SEPTIC +30'
' 0 — TEST HOLE
• — MONITOR TUBE
o — SEWER CLEAN OUT
— WELL
•• ,:., — — — EASEMENT
PROPOSED LEACH FIELD
'• * �� —
EXISTING LEACH FIELD
o — DRNEWAY
1. NO KNOWN SURFACE WATER +100'.
2. NO KNOWN CURTAIN DRAINS
3. NO SEPTICS WITHIN 30' UNLESS NOTED
4. NO WELLS WITHIN 200' UNLESS NOTED
SEPTIC SITE PLAN
VIEW TERRACE LOT 7 BLOCK 3
OWNER: REID McDONALD
CONTRACTOR: GUARANTEED SERVICES
JOB# 07-057 1 DATE:6/26/2007 I SCALE 1 "=50'
EAGLE RIVER ENGINEERING SERVICES
10421 VFW RD. SUITE#201
EAGLE RIVER, AK. 99577
(907) 694-5195 FAX: (907) 694-3297
�•�� OF
i cl)
... 0 ....
RISTOPHER R. WOOD.'
CE -10387
1�1► EsswN► 44
Eagle River Engineering Services
Christopher R. Wood, P.E.
10421 VFW RD Suite 201 (907) 694-5195 tel
Eagle River, AK 99577-3294 (907) 694-3297 fax
SPECIFICATIONS FOR ON-SITE SEPTIC SYSTEM— NIOA CERTIFIED INSTALLER
LEGAL: Valley View Terrace Lot 7 Block 3
June A t"
2007 ED
A. GENERAL n t""` Z'' �"'�''�
1. The septic plan is for a4 bedroom single fam {e4gfic opiyn
2. The drawing and or site plan shall be a part of this specification.
3. All materials and workmanship shall meet the Anchorage Department of Development Services and
State Department of Environmental Conservation requirements.
4. All soil tests are advisory to the design and arc to be vcrificd or modified in the field by the engineer.
5. All excavations and depths arc advisory and arc to be verified in the field by the contractor to meet
Municipality of Anchorage, Department of Environmental Conservation requirements.
6. It is the responsibility of the owner to obtain all necessary permits or easements and to locate any
adjacent multi -family wells. A licensed surveyor should locate any utility casements and exact 100'
radius from the existing and neighboring onsite wells.
7. The excavation is to be exactly in the area shown on the site plan, any deviation requires engineer
approval.
8. Any remainingopen test hole excavations shall be filled and monitor tube removed.
9. It is mandatory that a licensed land surveyor mark the location of the 100 -foot well radius and
visible surface water offset prior to installing the septic tank and leachfield.
B. ADVENTEX SYSTEM AND SEPTIC TANK
1. Septic tank shall be a fiberglass or steel 1500 -gallon tank capacity of MOA approved construction for
use with Advantex system. Install as per current manufacturers recommendations for conditions in
Alaska.
2. Install one AX -20 f ilter pod over septic tank capable of treating 600 gallons per day of waste flow. Set
floats and timers per OSI Instruction.
3. Install one Orcnco Pump Basin compatible with the Advantex system and meeting all MOA Code
requirements.
4. A municipal inspection report or receipt from a licensed electricial contractor shall be provided
to the engineer verifying lift station wiring to all applicable codesand installation Instructions
C. DRAiNFIELD G^rl?t
1. The drainfneld is to be located as shown on the site plan. -�
2. The total depth of the initial drainfield excavation is to be approximate) 7' deep) relative to existing
ground elevation and end in native sandy GM -type soil --�
3. A four and a half foot (4.25') layer of sewer rock is to be placed in the level excavation. The 1.25"
effluent piping is to be buried within the gravel layer with 2" of gravel cover over the piping.
4. The completed drainficld gravel and piping is to be covered with typar fabric material.
5. Soil or combination of soil and extruded board insulation to a depth of Y or equivalent is to be placed
over the bed. Mounded side slopes on uphill side and ends arc not to exceed 3:1.
\2003W7-057-Advantex spec
SPECIFICATIONS FOR ON-SITE SEPTIC SYSTEM — AIOA CERTIFIED INSTALLER
LEGAL: Valley View Terrace Lot 7 Block 3
June 27,2007
13%,PE ED
Continued:
6. The septic tank and leachficld must not be closer than 100' to any existing private well or visible
surface water, 150' to any Class "C" well, or 200 feet to any community well.
RECOMMENDED LEACHFIELD DIMENSIONS
TOTAL DEPTH= T maximum GRAVEL DEPTH = 4.0' under effluent pipe, 2" over pipe (4.25
feet total)
DRAINFIELD LENGTH= 20' DRAINFIELD WIDTH = 5'
SOIL RATING= 6 GPD1W BEDROOM CAPACITY= 4
EFFLUENT PIPE = 1.25" ASTM 3034 as required by AMC 15.65 with 1/4" holes drilled at 1.0 feet on
center.
SEPTIC TANK = 1,500 Gal Advantcx compatible tank w/ AX20 filter pod and lift basin
Twenty-four (24) hours notice required for all inspections
\2003\07-057-Advantex spec
EAGLE RIVER
ENGINEERING SERVICES
P.O. Box 773294
Eagle River, Alaska 99577
(907) 694-5195
ERES Project No.: 07-057
Calculated By: CW
Date: 10/11/2007
Legal: Valley View Terrace Lot 7 Block 3
Single Family 4 Bedroom Dwelling
Advantex System
TEST HOLE 1
Shallow Trench Subsurface Wastewater Disposal Field
Water use at 150 gallons per bedroom = 600 gallons
Percolation rate = 8 minutes per inch
Wastewater application rate = 5 gallons per day per square foot
Required absorption area = 120 square feet
Trench width (W) = 5 feet
Gravel depth (D) = 4 feet
Required length = Shallow trench factor' Required absorption area / W
Shallow trench factor = (W + 2) / (W + 1 +2 D)
Shallow trench factor = 0.50 1 Aa7l--r
Total Excavation Depth = 12.5 feet
Required length = . 2 feet
kA 5 L�'
25
MM
god C)r 5ys,�
TO RE IZt 0.G.5-
07-57 AdvantexdrainfieldCalc 7:57 PM10/11/2007
Eagle River Engineering
Christopher R. Wood, P.E.
10421 VFW Road Suite 201
Eagle River, AK 99577
July 9, 2007
Dan Roth
Manager, On -Site Services
Municipality of Anchorage
P.O. Box 196650
Anchorage, AK 99519
0:50 -3`—AL D `-,
Services
(907)694-5I95tel
(907)694-3297 fax
Re: Valley Vicw Terrace Lot 7 Block 3
Waiver Request from on-site septic system leachfield to slope greater than 25%
Dear Mr. Roth:
Eagle River Engineering Services (ERES) is applying for a waiver of separation distance from
50' to 35' from edge of leachfield to slope steeper than 25%. Please see attached leachfield cross
section showing exact distances and slopes.
We list the following factors and characteristics in support of this waiver:
Soil Characteristics:
The native GM material is relatively free -draining (pert. rate of 3 min per inch) and consistent
with depth, with no horizontal strata or silty layers. The leachfield effluent would be expected to
percolate downward and NOT horizontally.
Other Factors:
The homeowner will be utilizing a Category III treatment system (Advantex). Using this
technology would greatly reduce any chance of contamination due to effluent daylighting
downslope of the leachfield.
ERES will conduct a field percolation test at the time of installation to verify soil type for the
reserve site.
Thank you for your timely consideration of this Waiver Request. If we can provide any more
information for you to expedite this waiver request, please call our office at 694-5195.
Sincerely,
Whristoppher
INE RING ERVICES
�WAIVER FEE:, P.E. PAYMENT DATE: I O
Principal
RECEIPT #: 9c�r�5
\2003\07-0576 W AivERLEMR
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EAGLE RIVER ENGINEERING
10421 VFW RD, SUITE 201
EAGLE RIVER, AK. 99577
(907) 694-5195 FAX: (907) 694-3297 j
SOILS LOG -PERCOLATION TEST #,�s RlsCE-10387Y°0D ,_
PERFORMED FOR: REID MCDONALD DATE PERFORMED 5/19/2006 '�� JORt V� VO4�
LEGAL DESCRIPTION: VALLEY VIEW TERRACE LOT 7 BLOCK 3 TOWNSHIP RANGE SECTION T14N. R1W SEC.15
TEST HOLE N 1 SLOPE SITE PLAN NOT TO SCALE
DEPTH
(FEET)
1
4
5
6
15
18
17
18
19
21
BROWN
o '• ' °
BROWN SAI
•., a •. ,'
SILTY SAND
NETDROP
1
�e
4.03
0.00
3'
• �••
CM—BROWN/TAN
' ••
SILTY SAND AND GRAVEL
r;
08/0512008
4:13
0:10
u e•.
7
114
4
A
e
3
06/0512008
4.14
v
` 0 WAS GROUND WATER
P:•; ENCOUNTERED? NO
• e WATER TABLE DATA
�o DATE WATER LEVEL
05/19/2006 NONE 1�
06I05/2006 NONE
PERC TEST RESULTS
LOT 7
READING
DATE
GROSSTIME
NETTIME DEPTHTOWATER
NETDROP
1
08/05/2000
4.03
0.00
3'
3
0
2
08/0512008
4:13
0:10
3'
7
114
4
1/4
3
06/0512008
4.14
0:00
3'
3
0
4
06/05/2006
4:24
0:10
3'
7
4
5
06/05/2006
4:25
0:00
3'
3
0
8
06/05/2006
4.35
0:10
3'
8
7/6
3
718
7
06/05/2008
4:36
0.00
3'
3
0
8
06/05/2006
4.46
0:10
3'
6
718
3
718
9
06/05/2006
447
000
3'
3
0
10
1 06/05/2006
4:57
I 0:10 1
3'
8
718
3
7/8
11
1 05/0517uoul
4:58
1 0.00 1
3'
3
1 0
12
1 06/0512008
5:08
1 0:10 1
3'
a
SOILS L G HRS OPHER WOOD PERCOLATION TEST BY: CHARLES BALZARINI
I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE
AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: G O o6
Municipality of Anchorage
044sDevelopment Services Department
Building Safety Division
On -Site Water and Wastewater Program
4700 South Bragaw SL
P.O. Box 196650 Anchorage, AK 9951"650
1rww.d.snchomos.sk.us
(907)743-7904
Performed For.
Legal Description:
7
19
Depth
l;
i '
16-
17-
Is-
40
6-
17-18-40
(��Soils Log - Percolation Test
_lam! eft Date Perfc
we ) 7A'-PPAP6 I�? "', LTownship,
tlRAtAeVt iv?5$L-
$V0t^j0 Sti(^4FLY
STt.T`/ 5An11�) �
GIN t1EL
�r? M
fro RCt o xv-
WAS GROUND WATER
ENCOUNTERED?
NO
6
IFYES,ATWHATDEPTH7
L
Depth to WaterARar
0
rAoneMrg7
�
Reading I Dale I Gross Time I Net Time I Depth to Water I Net Drop
PERCOLATION RATE
TEST RUN BETWEEN
Ma+aftfthl PERCHOLEDWUETER
FT ANDfj FT
v
PERFORMED BY: _ C I'if, 1/�JOr?tj I CERTIFY THAT THIS TEST WAS
PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: QI/V S
ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND
REPAIR AGREEMENT
MEMORANDUM OF UNDERSTANDING
ItET\VEENNICIPALITY OF ANCHORAGE
AND WI✓ l t, Me001.)&
THIS MEMORANDUM OF UNDERSTANDING made and entered into as of this
' Day of of 2001, by and between 4 ,
herein the "OWNER," and the Municipality of Anchorage, herein the
"MUNICIPALITY." In consideration of the mutual covenants contained herein, the
parties to this Memorandum of Understanding agree as follows:
1. ADVANCED WASTEWATER TREATMENT SYSTEMS. Municipality
grants permission to Owner to utilize and operate an Advanced Wastewater
Treatment System (AWWTS), described as {DVM -77,i located
at
Z. Deuumuub.
Anchorage, Alaska.
A. Alteration. Any change to the design or function of an AW\\QTS that
includes the installation or removal of any parts, components or pieces not
included in the original construction permit and design. Prior to
performing any alterations to an AW WTS the owner must obtain a
Wastewater Disposal System Constriction Permit from the Municipality
pursuant to Anchorage Municipal Code (hereinafter, "AMC") 15.65.
B. Certificate of On -Site Systems Approval. An approval by the
Municipality of existing water and wastewater disposal systems given at
the time of property sale and title transfer in accordance with AMC 15.65.
These approvals certify that the systems are adequate for the homes that
they support and meet the codes that were in place at the time of system
construction.
C. Damage. Any man-made or natural change in a system that would inhibit
the system from performing as designed.
D. )Maintenance and Repair. The scheduled and as needed replacement of
existing parts, components and pieces of an AWWTS that were included in
the original design which would allow the AWWTS to continue to
perform as designed.
E. Permit (Construction) An On -Site Wastewater Disposal System
Construction Permit as defined by AMC 15.65.
F. Permit (Operating) An Advanced Wastewater Treatment System
Operating Permit. An annual permit, issued by the Municipality, that
allows the Owner to operate an AWWTS, upon meeting all the
requirements of this agreement, the conditions of Operating Permit, the
requirements of the On -Site Wastewater System Construction Permit and
all relevant provisions of AMC 15.65
3. Fee. Owner shall pay to Municipality an annual fee of .9L(—)
(S 6b.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.
4. Term. The temp of this Memorandum of Understanding shall be for the life of the
AWWTS.
The terns begins on the date of approval by the Municipality of the installed system and
shall continue while the AWWTS system is in use or operational or until the property is
sold or title is transferred by owner and a new certificate of On -Site approval is issued to
the new owner or transferee of the property.
5. Alterations. Installation and Removal of Additional Equipment. Owner agrees
not to make any alterations, removal of parts or additions to the AWWTS without a
Construction Permit from the Municipality.
6. Maintenance and Repairs.
A. Throughout the term of this Memorandum of Understanding, the Owner shall
maintain AWWTS in good repair. In addition, it shall be the responsibility of the
Owner during the term of this Memorandum of Understanding, and any extensions or
renewals thereof, at the owner's sole expense, to pay for any and all: (1) repair(s), (2)
maintenance, (3) adjustment(s), (4) replacement costs, and (5) inspection costs.
Further, Owner agrees to comply will all applicable ordinance, laws, regulations,
rules and orders for the AWWTS.
B. Owner agrees to provide the Municipality a written schedule of routine
maintenance and repairs which have been performed on the system pursuant to the
terns and conditions contained in the Owner's AWWTS Operating Permit. This
schedule shall be submitted to the Municipality annually upon the renewal of the
permit. The schedule of maintenance and repair contained in the Owner's AWWTS
Operating Permit is:
C. Owner acknowledges that the fine schedule for failing to maintain and repair an
AWWTS are codified in AMC 14.60.
D. Owner agrees that only maintenance, repair personnel certified by tlhe
Municipality will inspect and make any necessary maintenance, repairs or permitted
alterations to the system.
E. Owner agrees to grant the Municipality reasonable access to test and inspect the
AWWTS upon 24 hours written notice.
F. Owner agrees that any sale or transfer of title of the property will not occur
without a new Certificate of On -Site Systems Approval.
G. Owner agrees that the relevant provisions of the standard specification guidebook
for AWWTS is the governing professional guidelines for the construction,
maintenance and repair of the Owner's AWWTS.
7. Nonwaiver. The failure of either party at any time to enforce a provision of this
Memorandum of Understanding shall in no way constitute a waiver of the provisions,
nor in any way effect the validity of the Memorandum of Understanding or any part
hereof, or the right of such party thereafter to enforce each and every provision
hereof.
8. Amendment.
A. This Memorandum of Understanding shall only be amended, modified or changed
by a writing, executed by authorized representatives of the parties, with the same
formality of this Memorandum of Understanding was executed and such writing shall
be attached to this Memorandum of Understanding as an amendment.
B. For the purposes of any amendment modification or change to the terms and
conditions of this contract, the only authorized representatives of the parties are:
Owner:
Anchorage: Purchasing Officer
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 govem 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.
ONNER:
Date:
STATE OF ALASKA
THIRD JUDICIAL DISTRICT
MUNICIPALITY:
By:
Title:
Date:
) ss.
The foregoing instrument was acknowledged before me this oZ day of
200, by At Chn p kJ t
Municipality of Anchorage
�Oy,- y04
Development Services Department
Building Safety Division.
On -Site Water and Wastewater Program , ^ , T,
4700 Elmore Street
P.O. Box 196650
Anchorage, AK 99519-6650
www.muni.org/onsite
(907)343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL
FOR A SINGLE FAMILY DWELLING p
Parcel 1.D.G —352-041 COSA# b$03` 6
Expiration Date: %L — / O — D 9
1. GENERAL INFORMATION
Complete legal description Valle!,
Vim r /e
rl mea B3 L
Location (site address)%Ei�PgCF—
Current Property owner(s) .fE/p
Ale b
A Day phone 30/— 8 41 AP
Mailing address 23�'O/
42z4fee
rjF I? C —
Lending agency
Day phone
Mailing address
Real Estate Agent
Day phone
Mailing Address
Unless otherwise requested, COSA will be held by DSD for pickup.
2. NUMBER OF BEDROOMS:
3. TYPE OF WATER SUPPLY:
TYPE OF WASTEWATER DISPOSAL:
Individual Well
Individual On-site 19
Individual Water Storage
LJ
Individual Holding Tank ❑
Community Class Well
❑
Community On-site ❑
Public Water System
❑
Public Sewer ❑
The Municipality of Anchorage Development Services Department (DSD) issues Certificates of On -Site Systems
Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil
engineer registered in the State of Alaska. Certificates of On -Site Systems Approval are required for the transfer of
title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water
supply system. DSD also issues COSAs upon request to homeowners. Certificates of On -Site Systems Approval
are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued
with new water sample results. (Certificates may be reissued for a period of up to one year with valid water
samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system.
The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work.
4. STATEMENT OF INSPECTION BY ENGINEER
As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation,
based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application,
shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate
for the number of bedrooms and type of structure indicated herein. I further verify that based on the information
obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water
supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes,
ordinances, and regulations in effect at the time of installation.
Name of
Address
Firmwda6h?,�'. ' •
P/ E/•
Engineer's Printed Name STta/r FSG' Date
5. DSD SIGNATURE
Approved for bedrooms.
Disapproved.
Conditional approval for bedrooms, with the following stipulations:
Attachments:
COSA Checklist X
Septic System Advisory
Well Flow Advisory
Nitrate Advisory
Arsenic Advisory
Maintenance Agreements
Supplemental Engineer's Report
Other
By: Original Certificate Date: "/ Q
(Rev. 1115(
Municipality of Anchorage V
Development Services Department ,
Building Safety Division
On -Site Water i Wastewater Program
4700 Elmore Street
P.O. Box 196650
Anchorage, AK 99519-6650
www.muni.org/onsite
(907)343-7904
CERTIFICATE O, F/ ON-SITE SYSTEMS APPROVAL CHECKLIST
Legal Description: (, rC Vr p� (���c• e - 93 47 Parcel ID:O SO' 362'Q�.i
A. WELL DATA �J
Well type 1P If A. B, or C provide PWSID # _ Well Log (YIN)
Date completed7L/3/0 7 Sanitary seal (YIN) V Wires properly protected (YIN)
Total depth �%V–Lft. Cased to -ft. Casing height (above ground) �[�in.
Date of test
Static water level
Well production
FROM WELL LOG
lag ft.
d. S g.p.m.
WATER SAMPLE RESULTS:
Coliformolonies/100 mL Nitrate/ a mg/L
Arsenic:, ry ug/L date of sample:
B. SEPTICIHOLDING TANK DATA
Tank TypelMaterialq bVAAKF�7 FAL:
Tanksize /Sad gal. Number of Compartments?
AT INSPECTION (AM -J.)
ft.
g.p.m.
Other bacteria U colonies/100 mL
Collected by: r"J'((�� �R
Date installed`]
Cleanouts (YIN)
Foundation cleanout (YIN) * Depression over tank (YIN) 14 High water alarm (YIN)_
Date of pumping Plfe% Pumper
C. ABSORPTION FIELD DATA
Date installed 16 % Soil rating (g.p.d./fh orSi'lbdmi) –S System type keV 7R42A�
Length Z ft. Width ft. Gravel below pipe ft.
Total depth/2_ ft. Eff. absorption area ZOO If Monitoring tube _ �/ Depression over field -/J
Date of adequacy test & Results (Pass/Fail) —%� For _ bedrooms
Fluid depth in absorption field before test _ in. Water added_ gal. New depth_ in.
Elapsed Time: _min. Final fluid depth _ in.
Any rejuvenation treatment (past 12 mo.) (YIN & type)
Absorption rate :>= g p d•
If yes, give date
D. LIFT STATION
Date installed O (�
'Pump on" level at J� Z in.
Datum Abel// tfe F"
E. SEPARATION DISTANCES
Size in gallons a Manhole/Access (Y/N) \4
'Pump off" level at 2f in. High water alarm level at in.
Cycles tested Cl?, Meets alarm 8 circuit requirements?
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tank/lift station on lot i BGG 74
Absorption field on lot lOG
Public sewer main 1614
r
Sewer /septic service line
Animal containment areas znn ' f
On adjacent lots /do i74
On adjacent lots d' C r r
Public sewer manhole/cleanout Ae-
114
Holding tank /JlA
Manure/animal excrete storage areas
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Building foundation 3Q •f' Property line /06 'f Absorption field
Water main A1114 ----Water service line Sd Surface water X 00 ��-
Wells on adjacent lots leo
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line Q r fi Building foundation 166' r'f Water main
Water Service line 00 r Surface water l00 rr Driveway parkinglvehicle storage 1610 ?74
Curtain drain I Wells on adjacent lots /46 1 1
F. COMMENTS
G. ENGINEER'S CERTIFICATION , -"�f� OF QCq Ftp
i�V� ,•••... .,�� S+
1 certify that 1 have determined through field inspections and AV 5�
review o/ Municipal records that the above systems are in / � �• �4 a ; � ��
conformance with MOA COSA guidelines in effect on this date.
EnEngineers ...., ...0
g s Printed Name S 7F✓� 15 JJ J p l l •E
Date
COSA Fee $ �'
Date of Payment
Receipt Number ��Ll�07VA,
(Rev. 11/05)
Waiver Fee $
Date of Paym
Receipt Number
ANALYTICA
GROUP
Northrim Eng
Attn: Steve Eng
17237 Bear Paw Circle
Eagle River, AK 99577
907-694-7028
Fax: 907-694-7026
Client Sample ID:
Sampling Location:
Client Project:
Sample Matrix:
COC #:
PWS#:
Residual Chlorine:
Comments:
Valley View Terrace B3 L7
Northrim Eng
Aqueous
Lab#: A0809153-OIA
SP-Analytica, Inc. -Anchorage
4307 Arctic Blvd.
Anchorage, AK 99503
Phone: 907-258-2155
Fax: 907-258-6634
Report Date:
10/1/2008
Receipt Date:
9/162008
Sample Date:
9/152008
Sample Time:
2:00:00PM
Collected By:
Steve
Flag Definitions:
AIRL = Method Reporting Limit
MCL = Maximum Contaminant Limit
B = Present also in Method Blank
11= Exceeds Regulatory Limit
M = Matrix Interference
1= Estimated Value
D = Lost to Dilution
r• = RL higher than MCL; target not detected
TNC = Too Numerous to Count - result rejected
CF = Confluent Growth - result rejected
TCNG = Turbid Culture No Growth - rejected
Analysis Method Prep Prep Analysis
Parameter Result Units Flags MRL MCL Method Date Date Analyst
:
92228 (Aqueous)-TCbyMembFiltEnumerat Test was conducted by: Analytica - Anchorage
Bacteria, Other <MRL CN/l00mL 1.0 9/162008 9/162008 DL
Total Coliform <MRL CFU/100mL 1.0 1 9/162008 9/162008 DL
Lab#: A0809153-OIB
Sample Comment: Valley View Terrace B3 L9
Analysis Method Prep Prep Analysis
Parameter Result Units Flags MRL MCL Method Date Date Analyst
4500-NO3E (Aqueous) - Nitrate+Nitrite Pres
Nitrate -Nitrite as Nitrogen 1.61 mg/L
Lab#: A0809153 -OIC
Sample Comment: Valley View Terrace B3 L9
Test was conducted by: Analytica - Anchorage
1.3 10 9/162008 9/1620081Q
Analysis Method Prep Prep Analysis
Parameter Result Units Flags MRL MCL Method Date Date Analyst
200.8200.8 (Aqueous) - Family Well Water I Test was conducted by: Analytica - Thomson
Arsenic 0.394 ug/L 0.15 10 200.8 9222008 9242008 GY
Page 3 of 3
ASBUILT _ SE1ARD h
I HEREBY CERTIFY THAT 1 HAVE SURVEYED THE
SCALE: ,
FOLLOWING DESCRIBED PROPERTY:
DATE.
GyELE✓ i/%� T�iP�C/Y6fl/dCor7 /'l3
AND THAT NO ENCROACHMENTS EX`ST EXCJEPT AS
INDICATED. IT IS THE RESPONSIBILITY OF THE
GRID:
OWNER TO DETERMINE TK. E:SISTENCE OF ANY
EASEMENTS, COVENANTS, OR RESTRICTIONS
WHICH DO NOT APPEAR ON THE RECORDED SUBDI-
VISION PLAT. UNDER NO CIRCUMSTANCES SHOULD
FB:
ANY DATA HEREON BE USED FOR CONSTRUCTION
OF FENCE LINES, OR FOR ESTABLISHING BOUND-
DRAWN]
ARY LINES.
p�f
694-082
••—'Wol 14%a
�•�� �Fzl;. A�gS�s
r
Doane MerF ywerr
•••. IS - 91 ° �