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MOUNTAIN VALLEY ESTATES BLK 3 LT 5
Mountain Volley Estates Block 3 Lot 5 #050-631-05 �VVowl I I I /1 Municipality of Anchorage Development Services Department Building Safety Division 5 On -Site Water and Wastewater Program, 4700 S. Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 Page of www.ci.anchorage.ak.us (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number: SW080131 PID Number: 050-631-05 Name: Joseph & Kristen Gregoire Wastewater System: ® New ❑ Upgrade Address: 4908 Hiland Road, Eagle River AK 99577 ABSORPTION FIELD Phone: Number of Bedrooms: ® Deep Trench ❑ Shallow Trench ❑ Bed ❑ Mound ❑ Other: LEGAL DESCRIPTION Soil Rating: z Total Depth from original grade: 3 Ft Block: Lot: Subdivision: Depth to pipe bottom from original grade: Gravel depth beneath pipe: 3 5 Mountain Valley Estates 1.9 Ft. 1.1 Ft. Township: Range: Section: Fill added above original grade: Gravel Length: 2.03-2.05 Ft. 38 Ft. Well: ®New El upgrade Gravel width: Number of lines: Distance between lines: 5 Ft. 1 Ft. Classification (Private, A, B, C): Total Depth: Cased to: Total absorption area: Pipe Material: Private 245 Ft. 42 FL 218 Ft? D3034 Driller. Date Drilled: Static Water Level: Installer: Date Installed: M -W 7/16/2009 40 Ft. Owner&721:nch7-TmIr& k19 7/7/2009 Yield: Pump Set at: Casing Height Above Ground: 3 GPM 220 Ft. 3 FL TANK SEPARATION DISTANCES ® Septic ❑ Holding ® S.T.E.P. ❑ Other: To Septic Absorption Lift HoldingPublic/Private Manufacturer: Capacity: From Tank Field Station Tank Sewer Line Anchorage Tank 1500 Gal. Well 100, 100'+ 1001+ NA 25'+ Material: Number of Compartments: Steel 2 Surface Water 100'+ 100'+ 1001+ NA LIFT STATION Lot Line 5'+ 101+ 5'+ NA Size: Manufacturer: 1500 Gal. Orenco / Anchorage Tank Foundation 5'+ 10'+ 51+ NA "Pump on" level at: "Pump off" level at: High water alarm at: Timer in. Activated in. 46 in. Curtain Drain NA * 501+ NA NA Pump Make & Model Electrical Inspections performed by: Franklin 244504 117-1/2h Remarks: * None known. Adavantex System BENCH MARK Location and Description: Top of Electrical Pedestal Assumed Elevation: 100 Ft. Engineer's Stamp AW OFZ4 `'7 Inspections performed by: ArcTerra Dates: 1"& 2ND 7/7 & 23/09 `���r� 3RD 04/07/2011 Development Services Department Approval (_ 'L KENNETH U8 DUFF Reviewed and approved by: CS�y� e Date: /13/1 CE 711 (Rev. I=;'00) ':y JJ '"-— Agr �FF.'S51c�'�'L m A—C=124.5' AS -BUILT SYSTEM DETAILS/SITE PLAN B—C=140' A—D=136.5' PID 050-631-05 B—D=146.5' MOUNTAIN VALLEY ESTATES BLOCK 3, LOT 5 PERMIT#: SWO80131 A kp 07-2 O GRINDER/PUMP �G Q w, 4- CARRIER PIPE W/ 1. - PRE ZED PVC n GLYCOL HEATING, 4- IN LA71 & PHONE LINE V� ELEC. PED. / TBM Ti -1 25--35% 1500 GAL ST �"-2 VAN VARIES' W/ CO C 46 5 D B T WELL >- TH 08-1 GRAVEL D/W SEPTIC M PAD L 0 T 5 E m BLK 3 V-) M NED 50' SETS TO ANY OPE BREAK > S 0 A.D/OR SLOPE AN S W/ WN SUBAUTT o 0 P��`� 0 , TH10-1 1 i A—C=124.5' C B—C=140' A—D=136.5' W B—D=146.5' oW A—E=159.5' B—E=150' ar o-: o¢ SCS SCALE SCALE: 1:40 HOUSE TANK �\ \ BOH =BOTTOM OF TESTHOLE OF CO = CLEANOUT MT = MONITORING TUBE PREPARED FOR: DENNIS GREGOIRE / * 9TH * I 6136 MACKAY STREET ANCHORAGE, AK 99518-1738 244-6073 KENNETH M. D, S / FIELD BOOKS COMPUTED: / CE -7116/ BOUNDARY: DRAWN: BMW 4lea STAKING: CHECKM:KMD 1,7%a.���1_ . - �,�� / \a / ' ASBUILT: SCHULLER DATE. 4/11/11 fpESSIC�A owc. ALE. GRID- SW658 ACAD ALE JCB No.:08-047 \\Server\storage\WELL & SEPTIC — Filed By Legal\Mountain Valley Est\dwg\Lot 5, 81k 3 AsB.dwg =NCH 88.23 1 38' I SCALE: NTS BOH 82.23 SCALE: NTS PAGE 1 OF 3 ��CTE � D � cr ate' z z� 9�2F�C AIND �R `1K 99577-g736 AS -BUILT SYSTEM DETAILS/SITE PLAN PID 050-631-05 MOUNTAIN VALLEY ESTATES BLOCK 3, LOT 5 PERMIT#: SW080131 o hyo J GRAVEL D/W GO A s 07-2 GRINDER/PUMP 4" CARRIER PIPE W/ 1. PRIES IZED PVC GLYCOL HEATING, 4" IN LATIO & PHONE LINE jOU� O ELEC. PED. TBM —1 / AX -2 CO 1500 GAL ST OVANTE POD W/ L co c t�6 CO D B T WELL W TH 08-1 G D/\ a CL SEPTIC LOT 5 MT PAD E Scale: F'= 30' OF AL\ . ..... NQS. 1 PAGE 2 OF 3 PREPARED FOR: c� 1 *TH * + DENNIS GREGOIRE 6136 MACKAY STREET RCTER ti 4 / ANCHORAGE, AK 99518-1738 244-6073 / �y I D / a FIELD BOOKS COMPUTED: souNDARY: BOUNDARY DRAWN: BMW CE -71181 � sTAKINc: STAKING CHECKED: KMD �c F,cn DATE: SCHULLER 4 11 11 AWASBUILT: " ESSIa�� l ��b�' .i ti , DWG. RLE: GRID: SW658 '� 9AD sA3'0 9 �R. g7 36 AcaD FILE : FILE JOB No.: 08_047 99571- \\oarver\acoraga\ncLL ac acruU — ruea by L.egal\Mountam Vauay LSt\awg\Lot a, tlIK 3 A811dwg ARC 1 ERRA CONSULTING, INC 212 E. 51" Ave, Anchorage, AK. 99503 Office (907) 868-3791, Fax (907) 868-3793 SOILS PERCOLATION TEST 9v 00. i e • �y ieo000 a 094061641 •o,°' e ..41419 • 2.9. 0 Kenneth 1v Du; u � ' '•e C= 7116) \�0y ° a% ,10F[SSi��y� Performed for: Dennis Gregoire Date Performed: 06/14/2010 Project:_ Mountain Valley Estates B3, L5 TEST HOLE # TH 10-1 Depth (Feet) SEE ATTACHED SITE PLAN 1- FOR HOLE LOCATION 10- 11- 12- 13- 14- 15- 16- 17- 18- 19- 20- GM/gp w/ boulders < 1' Moist — bottom 2' B.O.H. — Bedrock HOLE PRESOAKED PRIOR TO TEST Was Ground water encountered? NO What depth? NA Depth to water after monitoring? DRY Date? 6/22/10 Reading Date Gross Time Net Time Depth to Water Net Drop 1 6/22/10 1:00 - 6" - 2 1:30 30 min 0" 6" 3 * 1:31 - 6" - 4 2:01 30 min 0" 6" 5 * 2:02 - 6" - 6 2:32 30 min 0" 6" 7 8 9 10 11 12 * Water Added Percolation Rate 5 (min/in) Perc Hole Diameter. 6" Test Run Between 3 feet and 4 feet I, Kenneth M. Duffus, certify that this test was performed in accordance with all State and Municipal guidelines in effect on this date. Municipality of Anchorage C 11 t s `; 1 rrr -�� Ucpartmcnr P.O. Box 196650 • 4700 Elmore Road Anchorage, Alaska 99519-6650 • (907) 343-7904 o Fax (907) 343-7997 http://www.muni.org/Onsite Development Services Division On -Site Water and Wastewater Program * * * * VARIANCE/WAIVER REVIEW * * * * Waiver#: OSV121336 COSA#: Permit#: SWO80131 PID#: 050-631-05 Legal Description: Mountain Valley Estates Block 3 Lot 5 Engineer: ArcTerra Applicant: Joseph & Kristen Gregoire Your request for a waiver of the required 50 feet horizontal separation from the absorption field to the excessive slope has been approved. The approved separation distance is 38.0 feet. See engineer's waiver letter and profile drawing for justification. This waiver approval applies to the existing absorption field only. Any future upgrade to the on- site wastewater disposal system will require all separation distances be met or another approval from this department. ❑ The affected adjacent property owner(s) have been given a 7 day notice regarding this waiver. ❑ Notarized letter(s) of nonobjection have been received from the owner(s) of the affected adjacent property. ® Adjacent properties are not affected by this waiver. Waiver is Granted: X Waiver is not Granted: Date: 1'J o Approved by: lCl/I /rite Name of Reviewer **** VARIAN C E/WAIVER REVIEW **** ARCTERRq r f % ARCTERRA ti CONSULTING, INC R 212 E. 51" Ave, Anchorage, AK. 99503 f�'f'✓�S/LTING.�e Office (907) 868-3791, Fax (907) 868-3793 fp 'K assn—ary September 27, 2012 Municipality of Anchorage Development Services Department On -Site Water & Wastewater Program P.O. Box 196650 Anchorage, AK 99519-6650 0SY3 6 fitt 0/C3 -('l 6 ��OC� - rr✓� �1v�r DSU -�'??- (ns— Subject: Inspection Report & Slope Waiver— Mountain Valley Est. B3, L5 During the construction and inspection process it was noted that the system was within 50' of a slope greater than 25%. Attached is the profile slope drawing analysis per MOA April 7, 2004 Slope Setback Memo. The new reserve area, with corresponding and attached testhole data has the 50' setback to the top of slope. We respectfully request that the waiver to slope be granted at this time. We do not expect there to be any adverse effect on adjacent lots by the development of this system. If you have any questions, please contact me at 868- 3792 / FAX 868-3793. Respectfully submitted, ArcTerra Consulting, Inc. Kenneth M. Duffus, P. . Attachments: As -Built System Details Slope Analysis Soils Log/ Percolation Test Well & Pump Logs Electrician Letter Water Analysis - SGS SLOPE ANALYSIS MOUNTAIN VALLEY ESTATES BLOCK 3, LOT 5 40%+ SLOPE �OFAL4'\ �k � � � *. TH� ` KENNETH M. D,, S CE -7116 W9: / 1 \ . �FESSIOIIF+ \o_®41111111", PROFILE SECTION PID 050-631-05 PERMIT#: SWO80131 35.0' EXISTING GRADE 5-14% SLOPE (V 25% SUOpE SCALE:1 "=10' PREPARED FOR: DENNIS GREGOIRE 6136 MACKAY STREET ANCHORAGE, AK 99518-1738 244-6073 FIELD BOOKS COMPUTED: BOUNDARY DRAM: BMW STAKING CHECKED: KMD SCHULLER DATE: 4/11 /11 GRID: SW658 \\Server\storage\WELL k SEPTIC — Fled by Legal\Mountain Valley Est\dwg\Lot 5. 81k 3 FsB.dwg 1: 41W7 PAGE 3 OF 3 Safe-T-waq Electric Ine, Electrical Contractor 6208 Mackay St. Anchorage, Alaska 99518 Sept. 26, 2012 Re: 4908 Highland Rd Eagle River, Alaska 99577 To whom it may concern: The lift station at the above referenced property has been wired in accordance with NEC and State/Local codes. Sincerely, Todd Zietlow President, Safe -T -Way Electric Inc. Electrical Administrator's License #1147 Alaska USA Finance Center Job No. 09-119 M -W Drilling, Inc. ♦ P.O. Box 110389 ♦ Anchorage, AK 99511 ♦ 907-345-4000 ♦ 907-345-3287 Fax GROUNDWATER WELL AS -BUILT & LOG Well Owner: Joe Gregoire Use of Well: Domestic Legal Description: Mountain Valley Estates Block 3 Lot 5 CONSTRUCTION Hole Depth: 245 Casing Size: 6" Cased To: 42' Material: A 53 Steel GR B Wall: Drill Method: Air Well Completion: Open end X Screen Perforated Perf. Method: Screen/ Perforation description: Grout Notes: ( 12 ) Sack(s) of Bentonite in annulus between casing and 10" hole to 40' Notes: Bed rock at 1', drilled 10" hole to 40' & ran 42' of 6" casing Disinfected: Method: CL PILLS Well Development Method _Air Surge Notes: Static water level (SWL) 40' below top of casing (TOC). Well yield test at 3 Gals. per minute (GPM) for 1 hour(s) with 100% of drawdown (DD) from static level(SWL). Method: Air Lift Start Date: 7/15/09 Completion Date: 7/16/09 Pump Install Date: WELL LOG Depth in feet from top of.casing. Details of formations penetrated, size of material, color and miscellaneous details. 0 TO 3 Casing Stick Up 3 TO 4 Fractured bed rock 4 TO 245 Bed rock - black gray siltstone argillite w/small water seaps TO in sporadic fractures around: 120'& 205 - 220' TO TO TO TO TO WAYNE E; WEST R TO TO _ President, M-wn Ing, Inc, rt'-fi&PkSW-Greendrater�onttacto�— Ak Gen Contr LIC No 1000 TO TO TO ColCform TO Nitrates O , 1 3 /q/1 C' �►on� ��.�-� 1 �� c.o17,�o rwL Development Services Department Building Safety Division ®n -Site Wafter &Wastewater Program o P GE BG `�- 4700 Elmore Road z. z P.O. Box 196650 Mark Begieh Anchorage, AK 99507 Mayor www.muni.org/onsite (907) 343-7904 Pump Installation Log Well Drilling Permit Number: SW 03 01.31 Date of Issue: 1/2 1 0$ Parcel Identification Number: 050- (o31-05 Legal Description E -(;r -u -fie. s S3 L5 Pump Installation Date: 8- l S .-0y Pump Intake Depth Below Top of Well Casing: U10 feet Pump Manufacturer's Name: ` j f1'0 S Pump Model: Cl f1 �,LL Pump Size 1 hp Pitless Adapter Burial Depth: (, feet Pitless Adapter Manufacturer's Name: Pitless Adapter Installer: Q� �� Q; I Well Disinfected Upon Completion? ❑ Yes [M No Method of Disinfection: Comments: Pump Installer Name: Property Owner Name & Address: 7.7 Attention: The pump installer shall provide a pump installation log to the DSD within 30 days of pump installation. PWSID 0 Sample Rcnmrks: ?srameler Metals by ICP/N.S Arsenic Waters Department Total NitratelNitrite-N Microbicloav Laboratory Colony Count Total Colirorm Fecal Coliform Mmv;rblc Prcp Ualvsis Results QQ Units Method Container ID Litnis Dale Date Init 5.00 U .00 uo%L 61,200.8 C (<10) 03/08110 03;10110 SCL 0.136 1.100 mgn. SM20450ONO3-F B (<10) 03/11/10 AYC 167 0 0 eoVIOOmL SM20 9222B A (<200) 03/04/10 DLG wl/100md. 3M20 9222B A (<I) 03iO4/10 DLC coli100mL SM2U 9222B A (<l) U3/04/10 DLC Z -d 691�Z-699 xoG 6n91S 139b 06 06 ZZ AV SGS ReLft CilentName 1100774001 Gregoire, Kristen Z,, rintcd DatelTlme 03112/2010 15,57 Pro .i -et dame/tr Kitchen Sitilc Collected Date'Titne 03!04/2010 12:00 Client Sample 1D Kitchen Sink Received Daterritne 03/04/2010 12:45 Matrix Drinking Water Technical Director Stephen C. Ede PWSID 0 Sample Rcnmrks: ?srameler Metals by ICP/N.S Arsenic Waters Department Total NitratelNitrite-N Microbicloav Laboratory Colony Count Total Colirorm Fecal Coliform Mmv;rblc Prcp Ualvsis Results QQ Units Method Container ID Litnis Dale Date Init 5.00 U .00 uo%L 61,200.8 C (<10) 03/08110 03;10110 SCL 0.136 1.100 mgn. SM20450ONO3-F B (<10) 03/11/10 AYC 167 0 0 eoVIOOmL SM20 9222B A (<200) 03/04/10 DLG wl/100md. 3M20 9222B A (<I) 03iO4/10 DLC coli100mL SM2U 9222B A (<l) U3/04/10 DLC Z -d 691�Z-699 xoG 6n91S 139b 06 06 ZZ AV MUNICIPALITY OF ANCHORAGE Development Services Department On-SiteWater& 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: SW080131 Date Issued: Jul 21, 2008 Expiration Date: Jul 21, 2009 Parcel ID: 050-631-05 Legal Description: MOUNTAIN VALLEY ESTATES BLOCK 3 LOT 5 Design Engineer: 0070 ARC TERRA ENGINEERING & SU Site Address: NHN HILAND ROAD Owner Name: JOSEPH GREGOIRE Lot Size: 139253 SO. FT. Owner Address: 4745 MANYBELL AVE Total Bedrooms: 4 Permit Bedrooms: 4 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 Date: Date: �% �' Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, Alaska 99519650 www.muni.org/onsite (907)343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. 050-631-05 Property owner(s)JOSEPH GREGOIRE Day phone Mailing address4745 MANYBELLAVE. ANCHORAGE, AK Zip Code 99516 Site address MW HILAND ROAD, EAGLE RIVER, AK Zip Code 99577 Legal description (Sub'd., Block & Lot) MOUNTAIN VALLEY ESTATES, BLOCK 3, LOT 5 Legal description (Township, Range & Section) Lot Size 139253 Sq. Ft. Number of Bedrooms 4 THIS APPLICATION IS FOR (® all that apply): THIS APPLICATION IS AN: Absorption Field ID Initial Septic Tank El Upgrade ❑ Holding Tank ❑ Renewal ❑ Privy ❑ Private Well 0 Water Storage ❑ 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. ARCTERRA ENGINEERING & SURVEYING, INC. (Signature of property owner or authorized agent) Permit/Rush Fees: $635.00 Waiver Fees: Date of Payment: 6/27/08 Date of Payment: Receipt Number: .1—r-2716 Receipt Number: (Rev. 11105) June 27, 2008 ARClERRA ENGINEERING AND SURVEYING, INC. Municipality of Anchorage Development Services Department On -Site Water & Wastewater Program P.O. Box 196650 Anchorage, AK 99519-6650 Subject: New Sewer & Well Permit — Mountain Valley Estates, B3, Lot 5 Gentlemen: The owner has requested we proceed forward to obtain a septic and well permit on the subject lot. A testhole (TH08-1) was performed on June 7, 2008. The general slope of this lot is from east to west at a grade of approximately 17-252% over the septic area and greater than 257o elsewhere. The owner has re- contoured the septic area to create an area of less than 25% slope and to maintain a 50' separation to steeper slopes. We have designed our 4 -bedroom system utilizing the TH08-1 that was excavated for the proposed 4 -bedroom system. These soils are similar to the attached soils performed by Garness Engineering. We propose to install one 5' wide shallow trench with an Advantex System. Water was not encountered at time of excavation or monitoring. There is no surface water within 100' of the proposed system and there are no known curtain drains within 50'. We do not expect there to be any adverse effect on adjacent lots by the development of this system. If you have any questions, please contact me at 868-3792/FAX 868-3793. Respectfully submitted, AreTerra Engineering & Surveying, Inc. Kenneth . Duffus, P Attachments: On -Site Sewer Application Wastewater Absorption System Details/Site Plan Soils Log/ Percolation Tests Owner/ Contractor Specs 20441 PTARMIGAN BLVD • EAGLE RIVER, AK 99577-8736 • PEI (907) 868.3791 • FAX (907) 868.3793 WELL & WASTEWATER DISPOSAL SYSTEM DETAILS/SITE PLAN MOUNTAIN VALLEY ESTATES BLOCK 3, LOT 5 No niaue Nees NmaN mo a rR0lOSeD srsriix No nrv�ra Nees NR{lai moor rRoroseD aYaIYM e%orrASrg1ID. NO SEIrIC SYrtaN3 Nfr1aN mV d rRC40SPD NkL,E%Ct]T AS NOTFA OF A44 / Pfr91 * 49 TH* e ..�.... CE -711 ' 4r 4 BDRM X 150 CPD - 6D0 GPD 600 GPD/3 GPD PER SQ. FT. (ADVANTEX SYSTEM)" 200 SQ. FT (200/5'(W))X.87(RF) (1.0'GRAVEL) -35 FT. TRENCII USE I TRENCITE - 35 (L) X 5' (W) X 1.0'(D) Total depth of system is Y from original grade. Total depth of gravel below distribution pipe is 1.0' . NOTES: 1. INSULATE SEPTIC TANK IF LESS TITAN 4' COVER 2. INSULATE TRENCHES WITH 2" HD BURIAL, FOAM. 3. CONTRACTOR WILL ENSURE MINIMUM r/r SLOPE INTO SEPTIC TANK. 4. ADDITIONAL FILL WILL BE ADDED OVER SYSTEM TO ACKIIEVE MIN. 3' COVER IF REQUIRED. 5. CONTRACTOR WILL ENSURE ALL SEPARATIONS TO ADJACENT Scale: 1"= 10( WELLS & SEPTICS, EASEMENTS, & OTHER SETBACK REQUIREMENTS. PAGE 1 OF 4 PREPARED FOR: DENNIS GREGOIRE 6136 MACKAY STREET ANCI IORAGE, AK 99518.1738 2446073 FIELD BOOMS ao"of" BOUNC sT.w«c: STAKIP "sauan SCHUL owe ear: raa FILE eawre¢ DRAM: scam: aA16 ao .R8 N0.1 h�R wrC nnt.ptr WASTEWATER DISPOSAL SYSTEM DETAILS MOUNTAIN VALLEY ESTATES BLOCK 3, LOT 5 PVC DIVERTER MT I \ T 007-1 •O TN0�7-2 PROPO` MAI TAM ' SETBACK WELL TO ANY SLOP BREAK > 25% 17-2 25-3�' VARIES MT w 117.75% z J ul \ LOT 5 /. 9T ?� AV gb' FESS100, - PREPARED FOR: 6136 MACKAY STRUT ANCHORAGE, AK 99518-1738 244.6073 FIELD BOOKS Cowu7m: Bouomr. BOUNDARY DRAW MW °TAI(' - STAKING LfcD'M- KMD ASEIMT' CHUL ER °ATL 6/27/0 oc. fKr; Pact SW658 A°fc"`F FILE "` 08-047 Fn\""e\L"f S. Bit ] "." I Scale: l"= 30' PAGE20F4 111 � �Iw�_�mm AK �9f11•�fj6 AdvanTex Treatment System AX 20 Series - Mode I Inlet Riser/Lid Inlet - iIew . -vPackage Na. Riser/Lid arg 1/ etum Line Filtrate Dia. ling ORENCO PACKAGE SYSTEM: 1. INSTALL 1500 GAL SEPTIC TANK W/ INTEGRATED ADVANTEX SYSTEM - OR TANK WILL BE SIZED PER ANCHORAGE TANK FOR A 4 BDRM RESIDENCE. 2. INSULATE TANK, EXCEPT BELOW ADVANTEX PADS TO ALLOW HEAT TRANSFER. 3. NO AIR LINE REQUIRED. OF AL`S Air / * 9E * / KENNETH DU S. CE -71 yr'� \ �FESSIONN— I R SFPIIC — FIM Rv Illnnl\uo ntnln Vnllw PREPARED FOR: DENNIS GREGOIRE 6136 MACKAY STREET ANCI IORAGE, AK 99516.1739 244-M3 FIELD BOOKS aalrllrm wutnm-BOUN AR °RARR'E3MW Sr" ' STAKING 0c0rc - KMO ASR'"`'-' SCHULLER °A": 6/27/0 `AD "L' FILE ce "' 08-047 Fil\nrn\Int 5 Ric ].Ore, End View Scale: NTS PAGE 3 OF 4 WASTEWATER DISPOSAL SYSTEM DETAILS 4" MONITORING TUBE MOUNTAIN VALLEY ESTATES BLOCK 3, LOT 5 Ar e OF AL` S 49TfIr KENNETH M. F ` CE -7118 �A:04 ' FESS101i1'V PLAN VIEW LEACHFIELD DETAILS 4" MONITORING TUBE INSULATION 4" CLFAI r ' FILTER FABRIC T MIN COVER W/ INSUTATION 1' SEWER ROCK EXISTING STRATA OF ACCEPTING SOIL PROFILE VIEW LEACHFIELD DETAILS NOTE: BOTTOM OF SEWER DRAINROCK MUST BE 4 t FEET ABOVE GROUNDWATER AND 6+ FEET ABOVE BEDROCK PREPARED FOR: DENNIS GREGOIRE 6136 MACKAY STREET ANCI IORAGE, AK 99518-1738 244-6073 HELD BOOKS cotwao: 9aeourr. BOUNDARY oa"""' MW sr.n.lc STAKING °'E°`� KMD �•1• "T' HU R :A: 6 7 O8 0t - Fa: CRO ewaca I Om rac FILE I +os Ma: — Filed Rv lennl\M.Misin Vnlle Fit\n.n\let h. Rik -ld.n Scale: NTS PAGE 4 OF 4 4 A.Yp 5 d �'� AI( HST -•j16 •• • / 4"MONITORING TUBo Ar e OF AL` S 49TfIr KENNETH M. F ` CE -7118 �A:04 ' FESS101i1'V PLAN VIEW LEACHFIELD DETAILS 4" MONITORING TUBE INSULATION 4" CLFAI r ' FILTER FABRIC T MIN COVER W/ INSUTATION 1' SEWER ROCK EXISTING STRATA OF ACCEPTING SOIL PROFILE VIEW LEACHFIELD DETAILS NOTE: BOTTOM OF SEWER DRAINROCK MUST BE 4 t FEET ABOVE GROUNDWATER AND 6+ FEET ABOVE BEDROCK PREPARED FOR: DENNIS GREGOIRE 6136 MACKAY STREET ANCI IORAGE, AK 99518-1738 244-6073 HELD BOOKS cotwao: 9aeourr. BOUNDARY oa"""' MW sr.n.lc STAKING °'E°`� KMD �•1• "T' HU R :A: 6 7 O8 0t - Fa: CRO ewaca I Om rac FILE I +os Ma: — Filed Rv lennl\M.Misin Vnlle Fit\n.n\let h. Rik -ld.n Scale: NTS PAGE 4 OF 4 4 A.Yp 5 d �'� AI( HST -•j16 ACIERRA ERING AND SURVEYING, INC. SOILS PERCOLATION TEST Performed for: Dennis Gregoire Date Performed: 06/07/08 Project•. Mountain Valley Estates 133, L5 TEST HOLE p TII 08-1 Depth (Feet) SEE ATTACHED SITE PLAN ® ORG/OL FOR HOLE LOCATION 10- It- 12- 13- 14- 15- 16- 17- 18- 19- 20 - GM/sm w/ boulders < V Moist— bottom 2' 6.0.11. — Bedrock IIOLE PRESOAKED PRIOR TO TEST PERC RATES SIMILAR TO EXISTING SOILS (GARNESS 2007) Was Groundwater encountered? NO Whatdepth? NA Depth to water after monitoring? DRY Date? 6/17/08 Reading Date Gross Time Net Time Depth to Water Net Drop 1 6/17/08 1:00 6- 2 1:30 30 min 5" 1" 3 • 1:31 6" 4 2:01 30 min 5" I" 5 • 2:02 6" 6 2:32 30 min 5" 1" 7 8 9 10 1 12 ■ Water Added Percolation Rate 6 (min/in) Pere Hole Diameter 6.' Test Run Between 3 feet and 4 feet 1, Kenneth M. Duffus, certify that this test was performed in accordance with all State and Municipal guidelines in effect on this date. _ JUN -04-2008 WED 12:34 PM NORCOAST MECHANICAL #1 FAX NO. 9075612461 P. 02 Jai• 4. 2009 12:15PM Garness Enaineerins Groso, Ltd. No -3030 P. 2 GARNESS ENGINEERING GROUP, T.td. CON]VLTANTO •GENERAL CONTRACTORS • 1 • ' � r@16�1i�'L`••+1 FY!'1•iCIP]C1J�4••-+-�"�• na. • LL�>111 )RGANICS BFDROCK TEST HOLE 1 • _ •• xm 1 cm 11111111, 511191 9ZZZ/. 100WO-9 RUIN, IIIIIIII tR �lulll� 4'd� SEE ATTACHED DRAWING FOR TESTHOLE LOCATIONS AND NOTES ON SITE CONSTRAINTS PERCOLATION RATE 5 MIN./INCII) PERC. HOLE. DIA. 6 (INCI'I_S) TEST RUN BCTWCGN 5.0 FT. AND 5.5 F F. -- A FOL:R I10UR Pr*iOAK WAS PERFORMtO: 0 YES 13 NO SOILS L03GE0 BY: ROB CAMPBELL FLNCOLATION TCST PCR`ORMED L{Y: BENNY MAUS COMMENTS: PERFORMED BY GEG, Ltd. I, JEFFREY A. GARNESS, CERTIFY TWIT THISWASP ORMED IN ACCORDANCE WriH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: � /4 1• JUN -04-2008 WED 12:34 PM NORCOAST MECHANICAL 01 FAX NO. 9075612461 P. 03 Jun. 4. 2008 12:15PM Garness Ensineerins GfouD. Ltd. No -3030 P. 3 GARNESS ENGINEERING CROUP, Ltd. CONSULTANTS t GENERAL CONTRACTORS ' LEGAL DESCRIPTION: MOUNTAIN VAU.EY SUBDMVON; BLOCK 3. LOT 5 PERFORMED FOR: STEWART & SONJA HUETTLE DAl OEP PEST HOLE 2 ORGANICS 3 4 5 6 7 6 9 10 11 12 13 14 16 17 18 GM/SM DEPTH TO DATE GROUNDWATER !DRY 5/29/2007 10.5' 6/7/07 SEE ATTACHED DRAWING FOR TESTHOLE LOCATIONS AND NOTES ON SITE CONSTRAINTS DATE READING 11• mmx WATER LEVEL READING NET DROP (INCHI7.S) umo 4:55 11111116 V11141 — %//% %/. 30 RUN 6' 3 IIIIIIIII 6' ilii. 'litlil 1 5:55 • 0' 6' 5 DEPTH TO DATE GROUNDWATER !DRY 5/29/2007 10.5' 6/7/07 SEE ATTACHED DRAWING FOR TESTHOLE LOCATIONS AND NOTES ON SITE CONSTRAINTS DATE READING CLOCK TIME NET TIMF (MINUTES) WATER LEVEL READING NET DROP (INCHI7.S) 5/30/2007 1 4:55 — 6' — 2 5:25 30 0' 6' 3 5:25 6' — 4 5:55 30 0' 6' 5 5:55 6. — 5 6:25 30 0' 6' 19--� I PtHCOLAIION RAPE 5 (MIN./INCH) PERC. MOLL DIA. 6 (INCNLS) I—L—JI TCST RUU BCTWCCN 5.0 FT. AND 5.5 FT. 20 A FOUR HOUR PRFSOAK WAS PFRFORHED: N YFS ❑ NO SOILS LOGGED UY: ROB CAMPBELL rtNCOLA'f10N ILSI PtRtORMtO UY: BENNY MAUS COMMENTS: PERFORMED BY GEC. Ltd. I. JEFFREY A. GARNESS. CERTIFY THAT THIS WAS PE FORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: Iw a ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND REPAIR AGREEMENT MEMORANDUM OF UNDERSTANDING BETWEEN MUNICIPALJTY OF ANCHORAGE AND j OSeD%l�k LlLl�i� If Q l�Dl i� THIS MEMORANDUM OF UNDERSTANDING made and entered into as of this Day of of 20�� , by and between QR�"h_ 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 fan Advanced Wastewater Treatment System (AWWTS), described as r+ku—M- located II ; at T Q ICAA l 1 !% 1A It a e.5 Anchorage, Alaska. 2. Definitions. A. Alteration. Any change to the design or function of an AWWTS that Includes the installation or removal of any parts, components or pieces not included in the original construction permit and design. Prior to performing any alterations to an AWWTS the owner must obtain a Wastewater Disposal System Construction Permit from the Municipality pursuant to Anchorage Municipal Code (hereinafter, "AMC") 15.65. B. Certificate of On -Site Systems Approval. An approval by the Municipality of existing water and wastewater disposal systems given at the time of property sale and title transfer in accordance with AMC 15.65. These approvals certify that the systems are adequate for the homes that they support and meet the codes that were in place at the time of system construction. C. Damage. Any man-made or natural change in a system that would inhibit the system from performing as designed. D. Maintenance and Repair. The scheduled and as needed replacement of existing parts, components and pieces of an AW WTS that were included in the original design which would allow the AW WTS 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 AW WTS, 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 ($ .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 term of this Memorandum of Understanding shall be for the life of the AW WTS. 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 F.nuipment. Owner agrees not to make any alterations, removal of parts or additions to the AWWTS without a Construction Permit from the Municipality. 6. Maintenance and Repairs. A. Throughout the term of this Memorandum of Understanding, the Owner shall maintain AWWTS in good repair. In addition, it shall be the responsibility of the Owner during the term of this Memorandum of Understanding, and any extensions or renewals thereof, at the owner's sole expense, to pay for any and all: (1) repair(s), (2) maintenance, (3) adjustment(s), (4) replacement costs, and (5) inspection costs. Further, Owner agrees to comply will all applicable ordinance, laws, regulations, rules and orders for the AWWTS. B. Owner agrees to provide the Municipality a written schedule of routine maintenance and repairs which have been performed on the system pursuant to the terms and conditions contained in the Owner's AWWTS Operating Permit. This schedule shall be submitted to the Municipality annually upon the renewal of the permit. The schedule of maintenance and repair contained in the Owner's AWWTS Operating Permit is: C. Owner acknowledges that the fine schedule for failing to maintain and repair an AWWTS are codified in AMC 14.60. D. Owner agrees that only maintenance, repair personnel certified by the Municipality will inspect and make any necessary maintenance, repairs or permitted alterations to the system. E. Owner agrees to grant the Municipality reasonable access to test and inspect the AWWTS upon 24 hours written notice. F. Owner agrees that any sale or transfer of title of the property will not occur without a new Certificate of On -Site Systems Approval. G. Owner agrees that the relevant provisions of the standard specification guidebook for AWWTS is the governing professional guidelines for the construction, maintenance and repair of the Owner's AWWTS. 7. Nonwaiver. The failure of either party at any time to enforce a provision of this Memorandum of Understanding shall in no way, constitute a waiver of the provisions, nor in any way effect the validity of the Memorandum of Understanding or any part hereof, or the right of such party thereafter to enforce each and every provision hereof. 8. Amendment. A. This Memorandum of Understanding shall only be amended, modified or changed by a writing, executed by authorized representatives of the parties, with the same formality of this Memorandum of Understanding was executed and such writing shall be attached to this Memorandum of Understanding as an amendment. B. For the purposes of any amendment modification or change to the terms and conditions of this contract, the only authorized representatives of the parties are: Owner: Anchorage: Purchasing Officer 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. MUNICIPALITY: By: Title: Date: STATE OF ALASKA ) ) ss. TIIIRD JUDICIAL DISTRICT ) The foregoing instrument was acknowledged before me this day of, 20_aby� V1 6-)Ak,5Dty- ,the QU)t\0J Commission expires:_ %/fid pff �`T: pTAfrj a s'_..'� vcDco1 8 9 101 • Municipality of Anchorage 2x18 On-Site Water and Wastewater Program ��;ti" • (907) 343-7904 s a Y Cu h Certificate of On-Site Systems Approval !! Ol 6 8 L Parcel I.D050-631-05 Expiration Date: /O 2S-1 8 1. GENERAL INFORMATION Complete legal description Mountain Valley Estates Block 3 Lot 5 Location (site address) 4908 Hiland Rd. Current Property owner(s) Kristen & Joseph Gregoire Day phone Mailing address 4908 Hiland Rd. Eagle River, AK 99577 Real Estate Agent Day phone 2. TYPE OF DWELLING: E Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 3 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well Individual Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ WaiverNariance request for: '141,, Distance: Received by: Date: COSA to be released to the engineer,unless otherwise requested by the engineer. COSA Fee $ S `k• 60 Waiver Fee $ Date of Payment —1/116/1 /1' /lDate of Payment Receipt Number o G, Receipt Number COSA# dECl81334t Waiver# 5. 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. In conducting an adequacy test,I attempt to provide a thorough,conscientious engineering analysis of the system in accordance with MoA COSA 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 Pannone Engineering Services LLC Phone (907) 272-8218 Address P.O. Box 100217, Anchorage Ak. 99510 Engineer's Printed Name Steven R Pannone Date 07/11/2018 -4.1" 4 V . A�gSli4 *oP• Ili %\ '�,9��I 6. DSD SIGNATURE 0'''- V- • ' XSystem #1 Approved for 3 bedrooms 1 :Steven R..'unnone System #2 Approved for bedrooms �� t.�, CE-8149 r/ Disapproved ��k -�OFESSO�A�'"~ Conditional approval for bedrooms, with the following stipulations: V j ON SITP , . ' ` WATER AND o WASTEWA►ER o 0.- PROGRAM y CC 0d,,Pr. L.rn\l\CG 7 By: v �- I.�F� I'� Original Certificate Date: — 2-5--Ig The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On-Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory _ Other COSA blue sheet f .• If more than 1 septic system is on the lot: COSA Checklist# 1 of 1 Structure served by this system 1 Certificate of On-Site Systems Approval Checklist Legal Description: Mountain Valley Estates Block 3 Lot 5 Parcel ID: 50-631-05 A. WELL DATA Well type Private If A, B, or C provide PWSID# Well Log (Y/N) Y Date completed 7/"l 6/2009 Sanitary seal (Y/N) Y Wires properly protected (Y/N) Y Total depth 245 ft. Cased to 42 ft. Casing height(above ground) 22 in. FROM WELL LOG AT INSPECTION Date of test 7/16/2009 6/1/2018 Static water level 40 ft. 196.9 /l ft Well production 3 g.p.m. �� -` f g.p.m. WATER SAMPLE RESULTS: Coliform NEG colonies/100 mL Nitrate 0.469 mg/L Arsenic ND ug/L Date of sample: 7/2/2018 Collected by: PES B. SEPTIC/HOLDING TANK DATA Tank Type/Material Septic/Steel/S.T.E.P. Date installed 7/7/2009 Tank size 1500 gal. Number of Compartments 2 Cleanouts (Y/N) Y Foundation cleanout(Y/N) Y Depression over tank(Y/N) N High water alarm (Y/N) Y Date of pumping N/A Pumper SEE ATTACHED C. ABSORPTION FIELD DATA s' 1.,/ .412 P 7/7/20092 z 3 GPD/SF - - • •S Date installed Soil rating (g.p.d./ftor ft2/bdrm) System type Length 38 ft. Width 5 ft. Gravel below pipe 1 .1 ft. Total depth 3 ft. Eff. absorption area 218 ft2 Monitoring tube Y Depression over field N Date of adequacy test 7/2/2018 Results(Pass/Fail) PASS For 4 bedrooms Fluid depth in absorption field before test 0 in. Water added 600 gal. New depth 0 in. Elapsed Time: 170 min. Final fluid depth 0 in. Absorption rate >= 600+ g.p.d. N Any rejuvenation treatment(past 12 mo.) (Y/N &type) If yes, give date A , D. LIFT STATION Date installed 7/7/2009 Size in gallons Manhole/Access (Y/N) "Pump on" level at in. "Pump off' level at in. High water alarm level at in. Datum Cycles tested Meets alarm&circuit requirements? E. SEPARATION DISTANCES WELL ON LOT TO: Septic tank/lift station on lot 100+ On adjacent lots 100+ Absorption field on lot 100+ On adjacent lots 100+ Public sewer main 75+ Public sewer manhole/cleanout 100+ Sewer/septic service line 25+ Holding tank 100+ Animal containment areas 50+ Manure/animal excrete storage areas 100+ SEPTIC/HOLDING TANK ON LOT TO: Building foundation 10+ Property line 5+ Absorption field 5+ Water main 10+ Water service line 10+ Surface water 100+ Wells on adjacent lots 100+ ABSORPTION FIELD ON LOT TO: Property line 10+ Building foundation 10+ Water main 10+ Water Service line 10+ Surface water 1 00+ Driveway, parking/vehicle storage 10+ Curtain drain 50+ Wells on adjacent lots 100+ F. COMMENTS SURVEY ON FILE G. ENGINEER'S CERTIFICATION +4'�`mik I certify that I have determined through field inspections and ''''�P �� review of Municipal records that the above systems are in F*• -•• % *ro conformance with MOA COSA guidelines in effect on this date. •••• ��l�J I Engineer's Printed Name Steven Pannone 0••:t}everi W.•Paririorie:••li Date 7/11/2018 CE-8149ir/ COSA canary sheet_2-6-15.doc MUNICIPALITY OF ANCHORAGE DEVELOPMENT SERVICES DEPARTMENT ; • ` � 907-343-7904 On Site Water and Wastewater Section \\ Fax: 343-7997 www.muni.org/onsite Well Water Advisory Certificate of On-Site Systems Approval # OSC181334 Subdivision: Mountain Valley Estates, Block: 3, Lot: 5 This well's productivity was determined to be .41 gallons per minute. The minimum well productivity required under (AMC 15.55) for a 3-bedroom residence is .31 gallons per minute or 150 gallons per day per bedroom. Although the subject well currently exceeds this minimum requirement, the production capacity can fluctuate. This advisory must be attached to all copies of the subject Certificate of On-Site Systems Approval. Mailing Address: P.O.Box 196650*Anchorage,Alaska 99519-6650 *www.muni.org 8474V I I Lot 4 N X5013,42 �V 343. OS 30 0.6• r4) retaining o. wall Ni Lot 5 = (tYP) 11 > — Z f_ w _ o to O 70 0 \<rn 170.2 �6 I N) N)• chain 0 • link s 2S�o e o rn fence `oo Fca�se I 0 ,o Nos .9. o tank—_Jo/tank O e� deck A* • ------____.septic • O 0 vents (typ) - • o well ‘9", ,� // 1 •M OCL / O or / q•. / 0 boy / Z / / 1 / yard light r\ // • _yard // co W / / Chugach // // cr o State Park / // ems\ 6cP / • / // a5e� '�1 / N / / 1,03W //, Qed p / Well Site /// �o – 5 ,5 13,A , tIN ,, // !�, Lot6 /905 co // �2.ti 2 // -- \ 30 / // / / / / // Note: Agreement to Provide Access, document number 2014-045292-0, gives permission to use well site for driveway. I `�\\\xl AS-BUILT NO CORNERS SET THIS DATE �� �C '. .;4�q 1' I hereby certify that I have performed a Mortgagee's inspection ..../... :• • •S,- i of the following described property:Lot 5, Block 3, '� • 4 9th ��� ••"9 ,/ Mountain Valley Estates di of•• •e, • Anchorage Recording District,Alaska,and that the %�'�' i improvements situated thereon are within the property lines •�o b•••• . • and do not overlap or encroach on the property lying / .Elizabeth L. Walatka:log s , Q, adjacent thereto,that no improvements on the property lying i �`n'.�,•• 8036 - LS ••• •JQ..ki- adjacent thereto encroach on the premises in question and #''9Fo • • • • • • .' -' that there are no roadways,transmission lines or other �F• • • • • 4.0 visible easements on said property except as indicated SCALE: 1"= 50' � 1X\\\•-•♦ Dated at Anchorage,Alaska EASEMENTS OF RECORD, OTHER THAN /—!7— le) this 3rd day of June ,2018. THOSE SHOWN ON THE RECORDED FRED WALATKA&ASSOCIATES,L.L.C. PLAT ARE NOT SHOWN HEREON FB 18-3, 56-59 BE 907-248 1666 Engineers and Surveyors UNLESS OTHERWISE NOTED. pg 0711 11201 8 10:41 Anchorage Tank fAX)907 277 3715 P.0011001 07/10/2018 12:47 8686770 APLUS PAGE 03 __.. —. �____ -- — f109(17 2713115 P.001l091 07/02i2018 14:57 Anchorage Tank 343■4.110 ■ ■fi 1 w■■ ■ atlw 11.1. 0 VII 1111 0101 11 II ■ ■ t>• me VMS ■ ■ ■■■ I I ill MI I ■ I •■ ■ ■■ ■M III is Vallrifr xA Field Maintenance itepert AnchorageTank 907-272-3543 Annual Inspection cm.._..._ .:;-----_......_____ �M. —.__w-1 pm-rlr ,..Rr^ck"r" Mike Blakeslee _ Joe Gregoire_ ---- ---.-.-_--..._—_... ..^...Mike — —--- Contact Prom -oto ntl Arne T ntact622-15Rfi 4908 Hil and Road,Eagle River AK 99577 MU u,yt,u (907)p or 6t Insp 1 58�- 00..0 n{ Pool° r r 11/1012015 lAX-1n. a 408642 R Ul i 66F6 AX-121834 SW080131 Retrieve 044111 Info Measure Sludge/Scum stent scum � _ Daily row -- —r- .- cunAnt Prnvipvs 11.6r0 rphir., ICornpftnment Curr9nt —I-Pram; Timer sntilrxls: ¢nd r;;omprrcnarn Ctrr«nt Previous Clement previous This is a COSA inspection ton.Please call Joe at 350-1561 beforehand, pis oct>CIeart AdvenTax Filter Ins��pcct Goan 000x. I .1Normng al 1..IPvent Letnrsle/Onah;ea V yi PArf0fl Field Sampling/Observations eiomat: JNurrnal L Excemsiue Pod Bottom �( I 4 NTV81 pil(6-3) DO 04) ntiegino/Ponding: Ilialonr�AMor L Excessive Intake Vont Y/, i tri.c 7 Inspect/Clean Wsafiarya Pomp System F,sp,cl Clean l Inspect L Odor of Sample Floats f-.l Riaerrtld Tyle Oill /Musty 1 Emily �J t�,Idr Splice Box 0 Pump I_.. ❑ NOn-typ,r$l';QSt/flde :(30)0098 ❑DetaV Float coma F.:I ellyftlm to PVU [i Yes liNo Inspect/Service Other System Components Koam In kink ;_:IY�S /.1N0ct Clean Inspect Clews Inapt Check Control Panel D v nf,x tion EtZiilxrMnt 1 C)lsprr tel I atnmWCtilk:ntl 71. ... fir , y _ RecireAiwa --I—DischargeAmpsCpservettons �—J__ _ _ t r, Additional Services Rendered 1 12 Coaned textile sheets? 12 Replaced 1N home? Audible and visual 91Mms OK 1 Replacod/Uaed other kerns? Dial tone(telemetry ontoE Yes Noappropriate Selection) Parts Used:W-Warranty,© 2ilakle V 9 PP P Insrpect/Clean Pump Syetum w e Item Number Description �__, �__� Inspect Clean • Rlser'Ud . . . . . . . . . . Y - .—. Splice Sox .7 - _^_-_...__ Flnm Cords - times k 7 Flna_I/Safety Inspection Lids bolted on y J� I R:v reheatedpump /• _j ntrolpanel reacilvata Biotvbe"Filter s. 11�{/�/`� Manifold reconnected;flash valves closed niotube Pump Vault /_.� Summery/Recommendations - 'flack nfCd9 punlpin�� Recirculating Splitter Valve.. V tV ;,_]System performing;no Further action needed I LJ Ctll for 1(:N!CP oihor? — — Comments Signature__________________ _...�--.._ (( Fax completed form to 1.866- • : - I MUNICIPALITY OF ANCHORAGE ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND REPAIR AGREEMENT THIS MAINTENANCE AND REPAIR AGREEMENT, herein the "AGREEMENT" made and entered int9 asof this ii Day of v l l of 20 *.>. by and between ?*D i-t) i ^0I/4; i .- i .- , 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 located at (legal de cript' n) 47/906 ;1J U. E� L i\-' AL: 76--?- 2. Maintenance. Repairs and Alterations. '--\ (Owner is required to read. understand and initial each section) -'<3_ hroughout the term of this Agreement. the Owner shall enterservice g into a 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 --r'7) accordance with the equipment's approval for operation in the Municipality. bt shall be the responsibility of the Owner during the term of this Agreement to pay for all r repair(s). maintenance, adjustment(s), replacement costs, and inspection costs. This udes an annual maintenance fee (typically $400 to $600). L - Owner agrees that only maintenance and repair personnel approved by the Municipality or the manufacturer's representative will inspect and make any necessary maintenance, r" airs or permitted alterations to the system. Owner acknowledges that regular maintenance of an AWWTS reduces thep otential failure of the system, which could include sewage backup and costly repairs or drainfield replacement. (rev. 05118.2018) Page 1 of 3 Owner acknowledges that the Municipality may request records of maintenance and Oh. re+airs from the manufacturer's representative or maintenance provider. Owner acknowledges that the fine for failing to maintain and repair an AWWTS may be as -ssed in accordance with AMC 14.60.030. Owner agrees to grant the Municipality reasonable access to test and inspect the AW TS. 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 Cert. cate of On-Site Systems Approval. =D• Owner agrees that the AWWTS installation and maintenance requirements as provided by the A i-WTS vendor/installer and approved by the Municipality are the governing •uidelines for the construction, maintenance and repair of the Owner's AWWTS. Dk_ 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 t, i 0 . : iz: '► (X: By: I (sic, ture) Date: , ` ii, ALS. (.i . •i ' k -1( int name) STATE OF ALASKA ) ) ss. THIRD JUDICIAL DISTRICT ) The foregoing instrument was acknowledged before me this /1diday of , 20 /f ; by ke.l,l LJ J Title.S i " ��4�C.‘L% 1001__ _dekslandlboalbyinhade KELLY J.TITUS NO AR P :LIC FOR ALASKA I Notary Public My Commission expires: p --i'q I State of Alaska i pi I My Commission Expires Aug 19,2021 f MUNICIPALITY: 4 - e By: J ln�— (signature) Date: .-7—Z —( (print name) Title: (rev. 05/1812018) Page 3 of 3