The URL can be used to link to this page

Home My WebLink AboutVILLAGES VIEW ESTATES WEST LT 2ViDilage View Estates West Lot 2 #020-311-41 Municipality of Anchorage Community Development Department Page 1 of 4 On-Site Water and Wastewater Program 4700 Elmore St. • P.O. Box 196650 Anchorage, AK 99519-6650 • http://www.muni.org/onsite • (907) 343-7904 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP131131 PID Number: 020-311-41 ❑✓ New ❑ Upgrade Name: Ronald 8 Rebecca Cotheren ABSORPTION FIELD ❑ Deep Trench Q Shallow Trench ❑Bed Mound Address 19701 Villages Scenic Parkway ❑ Other Phone Iyumber of Bedrooms Soil Rating Total depth from original grade MSG = it z a_ RV = IPaa- 5 6GPD/SF +j Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade +1.5 Ft. Gravel depth beneath pipe 0.5 Ft. Subdivision Block Lot Villages View Estates West 2 Fill added above original grade 4.0 Ft. Gravel length 30.0 Ft. Township Range Section Gravel width 5Ft. 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 150 Ftp 1 N/A Ft. Well 126.5 271.1 212.3 NIA 125+ TANK ❑ Septic p S.T.E.P. ❑ Holding ❑ Other Manufacturer Anchorage Tank / Orenco Capacity Surface Water 100+ 100+ 100+ N/A 00.15ba b%Gt2Gal, Material f F Of she Numberofcompartents Lot Line 61.7 53.0 61.7 N/A NA Advantex Septic Z 2 Foundation 11.7 337.8 258.0 N/A LIFT STATION Manufacturer Capacity Curtain Drain 50+ 50+ 50+ NIA Orenco 500 Gal. Remarks Pump on level at 43 in, Pump off level at 40 in. High water alarm at 45 in. Pump make and model P2005 Electrical Inspections performed by MOON Installer PIPE MATERIAL House to tank 3034 Tdrainfield n eld 3034 Homeowner Drainfield 3034 CO/MT 3034 Inspector Pannone Engineering Services BENCHMARK (Assumed elevation) 100ft Inspection t" 7/18/13 dates: 2 ° 7/25/13 Location and description 3" 7/29/13 e 9/16/14 Top of House Foundation COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL Engineer's Stamp Zlk�� Conditional Approval: DateOF •. g�P. .T.' *: Llii 4` Cven onnorae i CE Approved Date, inspection Heporm-1-12.doc TH-21 RESERVE DRAIN FIELD (P) ' "�f' • I _ , i 301F X 5'W X 0.5'ED X+10TD.• X53.0• /�L I, W/ ±3' SAND INSTALLED NEW DRAIN FIELD 30LF X 5'W X 05ED X +1.0'10 / W/ t3• SAND � 2 I M1 -TH-22 I. ' -- SHEER SHE: DC3 LS t TRUE NORj T3 SCALE 1 -6 NEW 1500g S.T.E.P. TANK - - _ DC2 W/ AX20 POD _ INSTALLED DCO AFTER TANK - AND CO EVERY 50LF --- MSMM SHED 2y ON LINE TO FIELD - -- 272.3 3 WELL (E)ci " F I WELL (E) I m NEW 12508 SEPTIC TANK y WITH DCO 1-)6.n B __ - �. OCT Tl 1 - _p FC , i I \ k'� W- W NEN 4 BR A \ I' XI HOUSE - (+1 RV DUMP) --- LEGEND ,_ 4 W WATER LINE/ - WELL RADIUS _ - - - SS NEW SEPTIC NOTES: PAMONE ENG SVC, C, LLC +� OF A \\i 2/1 / RECORD DRAWING P.O. BOX 100217 ANCHORAGE, AK 99510 - S'(�• Cgsli1 2 12 201' PHONE (907) 272-8218 FAX (907) 272-8217 p �9++ Scale 49TH VILLAGES VIEW ESTATES WEST, LOT 2 "�'�_ 020-311-41 RONALD &REBECCA COTHREN Steven 'R. Pannone PERMIT NO. VILLAGES SCENIC PARKWAY%Pci lCE 8149 �� OSP131131 PLAN ANCHORAGE, AK ��il`fDy'p Sheet �� "�� 2OF4 A B FC 18.8 - T1 21.2 43.0 T2 24.7 47.2 DC1 27.1 49.5 C1 115.8 123.4 C2 203.6 204.6 DC2 253.2 254.4 T3 259.6 258.3 LS 269.3 267.0 DC3 278.0 276.0 C4 315.9 308.4 CS 350.8 339.2 M.1 353.5 341.7 C6 372.9 364.2 M2 371.6 363.1 TH-21 RESERVE DRAIN FIELD (P) ' "�f' • I _ , i 301F X 5'W X 0.5'ED X+10TD.• X53.0• /�L I, W/ ±3' SAND INSTALLED NEW DRAIN FIELD 30LF X 5'W X 05ED X +1.0'10 / W/ t3• SAND � 2 I M1 -TH-22 I. ' -- SHEER SHE: DC3 LS t TRUE NORj T3 SCALE 1 -6 NEW 1500g S.T.E.P. TANK - - _ DC2 W/ AX20 POD _ INSTALLED DCO AFTER TANK - AND CO EVERY 50LF --- MSMM SHED 2y ON LINE TO FIELD - -- 272.3 3 WELL (E)ci " F I WELL (E) I m NEW 12508 SEPTIC TANK y WITH DCO 1-)6.n B __ - �. OCT Tl 1 - _p FC , i I \ k'� W- W NEN 4 BR A \ I' XI HOUSE - (+1 RV DUMP) --- LEGEND ,_ 4 W WATER LINE/ - WELL RADIUS _ - - - SS NEW SEPTIC NOTES: PAMONE ENG SVC, C, LLC +� OF A \\i 2/1 / RECORD DRAWING P.O. BOX 100217 ANCHORAGE, AK 99510 - S'(�• Cgsli1 2 12 201' PHONE (907) 272-8218 FAX (907) 272-8217 p �9++ Scale 49TH VILLAGES VIEW ESTATES WEST, LOT 2 "�'�_ 020-311-41 RONALD &REBECCA COTHREN Steven 'R. Pannone PERMIT NO. VILLAGES SCENIC PARKWAY%Pci lCE 8149 �� OSP131131 PLAN ANCHORAGE, AK ��il`fDy'p Sheet �� "�� 2OF4 VISIONS TO SPECIR 1. ALL CONSTRUCTION WAS INSTALLED AS SPECIFIED IN THE MOST CURRENT EDITION OF THE MUNICIPALITY OF ANCHORAGE STANDARD SPECIFICATIONS (MASS) FOR COMPONENT PARTS AND MATERIALS USED IN CONSTRUCTION OF ON—SITE WASTEWATER DISPOSAL SYSTEMS. 2. SCOPE OF WORK: INSTALLED NEW 12509 SEPTIC TANK, 1500g S.T.E.P. TANK WITH AX20 POD, RV DUMP, AND SOIL ABSORPTION SYSTEM. 3. GROUNDWATER WAS NOT ENCOUNTERED TO A DEPTH OF 5 FEET BELOW EXISTING GRADE AS EVIDENCED BY THE SOIL TEST HOLE. AN APPARENT WATER TABLE WAS NOT OBSERVED IN ANY OF THE EXCAVATIONS LESS THAN 5 FEET BELOW EXISTING GRADE. RIGID INSULATION FILTER FABRIC �� 4" 0 PERF PIPES ' DRAIN ROCK 6" ABOVE PIPE 3 6" TS&V—, FINISH GRADES ",/ 34.2 y PT/ DIP `DRAIN ROCK w RIGID INSI x � / -2.0 a- 6.0 27.3 �'o a� DRAIN ROCK 6' ABOVE PIPE M# MONITOR TUBE NO. GM REMOVED ORGANICS DCO DOUBLE CLEAN OUT z EXISTING GRADE D FS t3' SAND z o BELOW FINISH GRADE 0 OR w� ¢ U N SECTION m= N a a ow DU w U = U I nn r-1 n w om COPPER DIP DUCTILE IRON PIPE w RIGID INSI x � FOUNDATION CLEAN OUT a- FILTER Fi �'o a� DRAIN ROCK 6' ABOVE PIPE n 4" A PERF P t3 SEE SECTION & PARAMETERS PROFILE DESIGN PARAMETERS PRIMARY/RESERVE SEPTIC SYSTEM NO. BEDROOM: 4 (600 gpd) TANK SIZE: 15009 S.T.E.P. W/ AX20 POD PERC RATE = <1 MPI - SOIL RATING: 6.0 GPD/SF AREA ROD: 100 SF SYS. TYPE: WIDE TRENCH 0.5' E.D. MIN LENGTH: 20 LF USED: 30 LF X 5' WIDE, 0.5" E.D., +1.0' TD WITH 3' SAND TOTAL AREA: 150.0 SF 3 To DRAIN NEW 1500 g 35 FIELD 35.0 S.T.E.P. TANK WI AX20 POD ABBREVIATIONS SEPTIC CU COPPER DIP DUCTILE IRON PIPE TH TEST HOLE FC FOUNDATION CLEAN OUT T# TANK CLEAN OUT NO. C# CLEAN OUT N0. M# MONITOR TUBE NO. R.I. RIGID INSULATION DCO DOUBLE CLEAN OUT DV DIVERTER VALVE FS FLOW SPLITTER BFG BELOW FINISH GRADE OG ORIGINAL GRADE FG FINISH GRADE TS&V TOPSOIL & VEGETATE NOTES: 7��NN N EN SVC LLC s�kk Date RECORD DRAWING P•O BOX 1010217 ANCHORAGE AK 99510 5(F.�F A�.lok 2/12/2015 PHONE (907) 272-8218 FAX (907) 272-8211%g�P Scale j*: 9TH *l) NTS ... .. ........ P.I.D. NO VILLAGES VIEW ESTATES WEST, LOT 2 / 020-311-41 RONALD & REBECCA COTHREN Steven Pannone PERMIT N0. P�_ CE 814 ., ��/ OSPI31131 VILLAGES SCENIC PARKWAY I � -z DESIGN DETAILS ANCHORAGE, AK +1�iF9fa 5.•.pE � Sheet 0 s 3 OF 4 VE S TI "PIPEINV ATION RIC E DRAINV6" TFINISH GRADE0.5 - Q EXISTING P , . DRAIN ROCKI[6'O 2G REMOVE ORGAN S� I GM 33' SAND SECTION NOTES: PANNONE ENG SVC, LLCoF q ��i Date RECORD DRAWING Sl , 2/12/2015 P.O.POBOX 100217 ANCHORAGE, AK 99510 �� q PHONE (907) 272-8218 FAX (907) 272-8211 oe4,- Fy+)/ Scale *: 49T *II INTO P.LD. No VILLAGES VIEW ESTATES WEST, LOT 2 / 020-311-41 RONALD & REBECCA COTHREN / S 'PannoR % PERMIT NO. VILLAGES SCENIC PARKWAY �jlP�� rC�E 8149 OSP131131 hee DETAILS ANCHORAGE, AK 1116 �J 'pLE St l t�� 4 OF 4 On -Site Wastewater Disposal System Permit Permit Number: OSP131131 Tax Code Number: 02031141000 Work Type: Septic Permit Effective Dates: July 08, 2013 MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 Elmore Road, PO Box 196650 Anchorage, AK 99519-6650 Telephone: (907) 343-7904 to July 08, 2014 Design Engineer: PANNONE ENGINEERING SERVICE Subdivision: VILLAGES VIEW ESTATES WEST Site Legal Address: VILLAGES VIEW ESTATES WEST LT 2 G:3738 OwnerlAddress: COTHREN RONALD & REBECCA 7102 AMBER LN #2 ANCHORAGE AK 995040000 Site Mailing Address: 19701 VILLAGES SCENIC PKWY, Anchorage This permit is for the construction of: Y Disposal Field Y Septic Tank N Holding Tank N Privy Lot Size in Sq Ft: 156380 Total Bedrooms: 5 N Private Well N 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 wastewater code requires inspections during the installation. The engineer must notify the Development Services Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either: A. Open and Close on the same day. B. Covered, sealed, and heated to prevent freezing. Received By: Issued By: Date: 7/917 i MUNICIPALITY OF Community Development Department Development Services Division On -Site Water & Wastewater Program Phone: 907-343-7904 Fax: 907-343-7997 ON-SITE SEWER/WELL PERMIT APPLICATION Parcell.D. 020-311-41 Property owner(s) Ronald & Rebecca Cothren Mailing address 7102 Amber Ln #2, Anchorage, AK 99504 Day phone Site address Villages Scenic Parkway Legal description (Sub'd., Block & Lot) Villages View Estates West, Lot 2 Legal description (Township, Range & Section) Lot Size 156,380 Sq. Ft. Number of Bedrooms 4+1 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: 69 all that apply) Absorption Field ❑X Initial 0 Single Family (SF) ❑X (w/wo ADU) Septic Tank ❑X Upgrade ElDuplex (D) ❑ Holding Tank E]Renewal ElMultiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR: Distant!. 4s5= - I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. property owner or authorized agent) Permit/Rush Fees:Q� Date of Payment: Receipt Number: dU�� Permit No.SpL3,�13/ Permit App_: Waiver Fees: 4,2-0c) Date of Payment: % 3 Receipt Number: Waiver No. 0 5 P /311 R Z t Municipality of Anchorage P.O. Box 196650 • 4700 Elmore Road Anchorage Alaska 99519-6650 • (907) 343-7904 • Fax (907) 343-7997 htti)://www.muni.orci/Onsite Development Services Division On -Site Water and Wastewater Program n,enc sin z r n Department **** VARIANCE/WAIVER REVIEW **** Waiver#: OSPI31192 COSA#: Permit#:OSP131131 PID#:020-311-41 Legal Description: Villages View Estates West Lot 2 Engineer: Pannone Engineering Services Applicant: Ron Cothren Your request for a waiver of the required 50 feet horizontal separation froTAKe--absoption field to the excessive slope has been approved. The approved separation dista e is 33:4 fet. O'per -)9 This waiver approval applies to the proposed absorption field only. Any 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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I Waiver is Granted: X Waiver is not Granted: Date: 7 /3 Approved by;�� Name of Reviewer ........................................................ ...................... Rec#: 8453G Amount: $200.00 Date Paid: 7/8113 **** VARIANCEIWAIVER REVIEW **** Pannone Engineering Services Lac Steven R. Pannone, Principal Registered Professional Engineer E-mail: steve@Dpanengak.com July 8, 2013 Municipality of Anchorage Development Services Department On -Site Water & Wastewater Program 4700 S. Bragaw Street P. O. Box 196650 Anchorage, Alaska 99519 Subject: Villages View Estates West, Lot 2 Septic System Permit Request Ladies and Gentlemen: I am writing to request a permit to install a septic system be issued for this property. The proposed systems will serve a proposed four (4) bedroom house. The house will be served by a 1250 gallon septic tank which will discharge into a 1500 gallon S.T.E.P. tank with an AX20 pod near the proposed RV pad and RV dump station. Currently the lot is undeveloped, with the exception of a driveway and well that were installed in 2001. This lot is served by a private well that is over 100 feet from the existing and proposed septic system. The surrounding developed lots are also served by private wells that are located over 100 feet from this system. 1. Soils. Five test holes were excavated by Anderson Engineering in May of 2001, and the ground water monitored for seven days. Groundwater was not observed in the hole monitor tubes after the seven day monitoring period to a depth of 5.0 feet during the month of May. Bedrock was encountered at a depth of 5.0 feet in the test hole. It is my opinion, based on the results of the percolation tests and overall soils appearance; an application rate of 6 gallons/day/square feet should be used for a Cat III wastewater system, and an application rate of 1 gallon/day/square feet should be used for the conventional system for the RV dump station. 2. Soil Absorption System Design. a. See Sheet 2 of the design package. 3. Surface Water: There is no surface water within 100 feet of the proposed septic tank and drain field. The proposed drain field upgrade will maintain at least 100 feet from all surface water and drainage ditches. 4. Topography: The topography slopes from east to west at approximately 20% in the area of the proposed drain field with a slope of approximately 25% that begins 40 — 50 feet below the drain field. Mailing: P.O. Box 100217, Anchorage, AK 99510-0217 Physical: 332 East Manor, Anchorage, AK 99501 Telephone: (907) 272-8213 FAX: (907) 272-8211 Page 2 of 2 There is a slope of approximately 25%-30% that begins a See waiver request. 5. Waiver Request: There is a slope of approximately 25%-30° ha' east of the reserve field. When the reserve field is built fill will be placec of 4:1 for a distance of 50' from the field to prevent the potential for effI sheet 4 of 4). 1 request a waiver to the minimum distance from a slope e to the east of the reserve begins approximately32_%.to e d"nhill from the field a slope enj to daylight (see sqefion on cee ' % e possible future construction of the reserve field. Granting this waiver will not affect the health or safety of this lot or surrounding lots now or in the future. 6. Drawing Markings: The Drawings are marked "For MoA Review Only". When written notification that the review is complete and that there are no further comments is received from MoA On -Site Department, the note will be removed and "Issued for Construction" drawings will be issued. The proposed installation will not affect the future development of the surrounding or existing lots. There are no wells or septic systems within 100 feet of the proposed septic location. If you have any questions or concerns, please contact me at 272-8218. Sincerely, Steven R. Pannone, P.E. Owner/Civil Engineer Attachments -Soils Log -Septic System Design Mailing: P.O. Box 1007217, Anchorage, AK 99510-0217 Physical: 332 East Manor Ave, Anchorage, AK 99501. Telephone: (907) 272-8218 FAX: (907) 272-8211 MLJ1 NORTH TH-21 j RESERVE DRAIN FIELD (P) - 3OLF X 5'W X 0.5•ED X +1.0'TD / W/ f3SAND / 85.8 - ;H-22 j DRAIN FIELD (P) MILE X 5'W X 0.5'ED X +1.0'TD / 202.3 M —M n 1� M h /M 41 _. 1500g S.T.E.P. TANK (P) _ ? W/ AX20 POD 213.4 INSTALL DCO AFTER TANK oRIVEWAr AND CO EVERY 50LF ON LINE TO FIELD -- NO EXCESSIVE SLOPES - _ AT DRIVEWAY WELL (E)� 3 11 \ WELL (E) n 231.0 w v w w—*E I, LEGEND1250g SEPTIC TANK (P) INSTALL DCO AFTER TANK W WATER LINE - AND CO EVERY 50LF ON LINE - 4 BR -- - - WELL RADIUS HOUSE (P) SS NEW SEPTIC - NOTES: PANNONE ENG SVC, LLC of a V� Date FOR CONSTRUCTION P.O. BOX 100217 ANCHORAGE, AK 99510 ��• 4sll� 5/28/2013 PHONE (907) 272-8218 FAX (907) 272-8211 /�g�Qy+r Scale j *: 49 r•=so' .... .... .... P.I.D. NO VILLAGES VIEW ESTATES WEST, LOT 2=. .. ... 20-311-41 RONALD & REBECCA COTHREN Steven R. PaJ.nnone PERMIT No. VILLAGES SCENIC PARKWAY ��s. CE 8149� osP131131 PLAN ANCHORAGE, AK �1ll FROFES"-� � .......Sheet hIeOF 4 SPECIAL PROVISIONS TO SPECIFICATIONS 1. ALL CONSTRUCTION SHALL BE INSTALLED AS SPECIFIED IN THE MOST CURRENT EDITION OF THE MUNICIPALITY OF ANCHORAGE STANDARD SPECIFICATIONS (MASS) FOR COMPONENT PARTS AND MATERIALS USED IN CONSTRUCTION OF ON—SITE WASTEWATER DISPOSAL SYSTEMS. 2. SCOPE OF WORK: INSTALL NEW 1250g SEPTIC TANK, 15009 S.T.E.P. TANK WITH AX20 POD, RV DUMP, AND SOIL ABSORPTION SYSTEM. 3. GROUNDWATER WAS NOT ENCOUNTERED TO A DEPTH OF 5 FEET BELOW EXISTING GRADE AS EVIDENCED BY THE SOIL TEST HOLE, IF AN APPARENT WATER TABLE IS OBSERVED IN ANY OF THE EXCAVATIONS LESS THAN 5 FEET BELOW EXISTING GRADE NOTIFY THE ENGINEER IMMEDIATELY. RIGID INSULATION FILTER FABRIC 4" 0 PERF PIPE—� DRAIN ROCK 6" ABOVE PIPE 3 6" TS&V' 1 �� FINISH /PT/ L�`-DRAIN ROCK 20 60 SEE SECTION &PARAMETERS W om PROFILE MGM REMOVE ORGANICS 'z"� RIGID INSULATION z t3' SAND j EXISTING GRADE -50 o ? 0 BR wo a o t.0 SECTION o� �o T# TANK CLEAN OUT NO. o OU L? L U o i„ W om SEE SECTION &PARAMETERS W om PROFILE IUI 4.0 'z"� RIGID INSULATION w� TO INT 15008 S.T. E.P. �z FILTER FABRIC az NO. BEDROOM: 4 (600 gpd) OF FIELD TANK (P) W! t.0 DRAIN ROCK 6" ABOVE PIPE IN �o T# TANK CLEAN OUT NO. AX20 POD ¢z SOIL RATING: GPD/SF ¢� AREA ROD: 1000 SF z SYS. TYPE: WIDE TRENCH 0.5' E.D. 4" 0 PERF PIPE MIN LENGTH: 20 LF DCO DOUBLE CLEAN OUT DV DIVERTER VALVE USE: FS FLOW SPLITTER 30 LF X 5' WIDE, 0.5' E.D., +1.0' TD YD'o I oollo WITH 3' SAND OG ORIGINAL GRADE TOTAL AREA: 150.0 SF FG FINISH GRADE TO ADVANTEX 125 g SEE SECTION &PARAMETERS SEPTIC PROFILE TANK(P) ABBREVIATIONS DESIGN PARAMETERS CU COPPER PRIMARY/RESERVE SEPTIC SYSTEM DIP DUCTILE IRON PIPE NO. BEDROOM: 4 (600 gpd) TH TEST HOLE TANK SIZE: 1500g S.T.E.P. FC FOUNDATION CLEAN OUT W/ AX20 POD T# TANK CLEAN OUT NO. PERC RATE _ <1 MPI SOIL RATING: GPD/SF C$ CLEAN OUT N0. AREA ROD: 1000 SF M# MONITOR TUBE NO. SYS. TYPE: WIDE TRENCH 0.5' E.D. R. 1. RIGID INSULATION MIN LENGTH: 20 LF DCO DOUBLE CLEAN OUT DV DIVERTER VALVE USE: FS FLOW SPLITTER 30 LF X 5' WIDE, 0.5' E.D., +1.0' TD BEG BELOW FINISH GRADE WITH 3' SAND OG ORIGINAL GRADE TOTAL AREA: 150.0 SF FG FINISH GRADE TS&V TOPSOIL & VEGETATE NOTES: PAMN EN P.O BOX 1j010217 ANC ANCHORAGE, 9950 PHONE (907) 272-8218 FAX (907) 272-8211 �� F.A�q\s�l� /�GU�p9'` /,t:49TH ... . ?.. .:.. D/8/2013 FOR CONSTRUCTION Scale NTS P.I.D. NO VILLAGES VIEW ESTATES WEST, LOT 2 RONALD & REBECCA COTHREN S'te've'n 'R"Pannone'%PERMIT 020-311-41 NO. VILLAGES SCENIC PARKWAY I �P�c� CE 8149 ..�� I OSP131131 DESIGN DETAILS ANCHORAGE, AK _ `l>t�OESSiOP� Sheet `�\ 2 OF 4 4" JIM 4" PUMP - SLIDE SEC] OF 6" F OVER THIS CONNECT TO PRO\ SHEER PROTECTILI.- EXTEND TO BRIDGE EXCAVATION ADVANTEX DESIGN ADVANTEX FOOT VALVE DRAIN COVER rSLOPE BASIN TO DRAIN PUMP BASIN NOT PASSIVE AIR VENT 716 1500 GALLON ANCHORAGE TANK RV DUMP STATION FOOT & FINISH GRADE CON( DUMP CONNECTTO 4' SEWER LINE NOTES: PAMONE ENG SVC LLC �� P.O. BOX 100217 ANCHORAGE, AK 99510 PHONE (907) 272-8218 FAX (907) 272-8211 ��F A \\k O r • �qs��1 * `49 �y*f1l ' 'S'te've'n'R. Pa'nnone'AV CE 8149 5149 .�� It �i\ FOROFI .... � � i\�'\ S9 Date 6/zs/zo13 FOR CONSTRUCTION Scale INTS P.I.D. NO 020-311-41 PERMIT NO. OSP131131 VILLAGES VIEW ESTATES WEST, LOT 2 RONALD & REBECCA COTHREN VILLAGES SCENIC PARKWAY ANCHORAGE, AK DETAILS Sheet 3 OF 4 NOTES: FOR CONSTRUCTION DETAILS RESERVE SYSTEM SECTION FINISH EXISTING RIGID IN FILTER 4" 4 PERF DRAIN ROCK 6" ABOVE PIPE INV 6"TS&V 4 1 � 0.5 DRAIN ROCK REMOVE ORGANICS t3" SAND PAMONE ENG SVC, LLC P.O. BOX 100217 ANCHORAGE, AK 99510 PHONE (907) 272-8218 FAX (907) 272-8211 VILLAGES VIEW ESTATES WEST, LOT 2 RONALD & REBECCA COTHREN VILLAGES SCENIC PARKWAY ANCHORAGE, AN -5.0 SECTION GM .. HLgsli� 6/28/2013 i��P''• Scale --49 TH •*�� INTO ...`—,.. �.... �.. .:.. P.I.D. NO Steven R. •Pannone j 20-311-41 (9Fc. CE 8149 S r PERMIT NO. OSP131131 I�1��RZOFESSION�'� SheetS, \\\\�� aOF 4 ooOF At like ow��rZ .� 4911• Munlcipality of Anchorage Department of Health & Human Services 825 L Street, Anchorage, AK 99502-0650 SOILS LOG - PERCOLATION TEST Performed For: Kin Shaw Date Performed Legal Description: tot 2. Mllag -s View West Subdivision SLOPE SITE P 1 PTIOL GP Bedrock Was Groundwater 9 Encountered? No If Yes, What Depth? 10 Depth to Water After Monitoring None 11 Date: 5117/01 sem'. MICHAEL F. ANDERSCN;Q ��•i •. CE .4381 r411ttil PROFESSlOOFo�♦ See Site Plan Perc. Rate: >1 MinAnch Perc. Hole Diameter: 6' Test Run Between 5 Fl. and 6 Ft. Comments: Percolation Cavity Presoaked Prior to Testing. Water Absorbed Immediately. Performed By: Alan Harnts I, Michael E. Anderson Certify That This Test Was Performed In Accordance With All State and Municipal Guidelines In Effect On This Date: 6125101 Municipality of Anchorage Department of Health & Human Services 825 L Street, Anchorage, AK 99502-0650 SOILS LOG - PERCOLATION TEST Performed For: Kin Shaw Date Performed: Legal Description: Lot 2. Viling .s View West Subdivision SLOPE SITE P PTfOL GM TESTHOLE NO, 22 Some Silt Bedrock Was Groundwater 9 Encountered? No If Yes, What Depth? 10 Depth to Water After Monitoring None 11 Date: 5/17101 14 15 Reading 49D 4EL E. ANDERSCN o W , CE -4381 ;:�`�', See Site Plan Perc. Rate: >1 Min./Inch Perc. Hole Diameter: 6" Test Run Between 5 Ft. and 6 Ft. Comments: Percolation Cavity Presoaked Prior to Testing. Water Absorbed Immediately. Performed By: Alan Harala. I, Michael E. Anderson Certify That This Test Was Performed In Accordance With All State and Municipal Guidelines In Effect On This Date: 6125101 Ronald G. Cothren 7102 Ambler Ln, #2 Anchorage, AK 99504 cell: 570-8232 July 18, 2013 RE: Permit # OSP131131 for Water and Wastewater MOA, Development Services Division Water and Wastewater Department Dear Deb, Steve Pannone, P.E. advised me to send a letter to the MOA regarding my construction experience related to sewer systems. He advised this as I would like to complete the construction for my sewer system for our new home at 19701 Villages Scenic Parkway. Steve Pannone, P.E. will also be supervising the installation of the system and calling for an inspection by MOA staff at the appropriate time. Although my professional license is as a Registered Land Surveyor in Alaska, my college background includes as BS in Civil Engineering Technology from Oregon Institute of Technology and a Masters Degree in Civil Engineering from Oregon State University. In 20011 retired after teaching 20 years in the School of Engineering at UAA. During my tenure at UAA, I worked during the summers performing civil engineering design for DOWL Engineers, High and Phukan Engineering, and the US Army Corps of Engineers. After retiring from UAA in 2001, I completed engineering design and geomatic work for Michael Foster Engineering until 2008. This work included design and construction management of a sewage lagoon in Glennallen, Alaska and water and wastewater systems in various locations in Alaska. I believe that with my experience and with the oversight of Steve Pannone, P.E. that the waste water system for our new home will be installed in a responsible and professional manner, meeting all code specifications required. Thank you for this opportunity to solicit approval from the MOA to install the waste water system for my home. With this approval, I will be present at all times during the installation work. No monies will be paid to another person for the installation of the wastewater system on Lot 2, Villages View Estates West. R2Respectfully, - r,�'P/ o . Ronald G. Cothren ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND REPAIR AGREEMENT BETWEEN MUNICIPALITY OF ANCHORAGE AND CoNALW (!�,_ CO ThF{E�/ THIS MAINTENANCE AND REPAIR AGREEMENT made and entered into as of this 26 of 2013, by and between '1 oNALY) 6. herein the "OWNER," and the Municipality of Anchorage, herein the "MUNICIPALITY." In consideration of the mutual covenants contained herein, the parties to this Maintenance and Repair Agreement 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 located at (legal description). V, ! I aGyzs V, ,EH1-'�S'4`�,4—eS �l%Xt- L-o� Z i 2. Definitions. Alteration. Any change to the design or function of an ANVWTS that includes the installation or removal of any parts, components or pieces not included in the original construction permit and design. Certificate of On -Site Systems Approval (COSA). 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 Anchorage Municipal Code (hereinafter, "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. Damage. Any man-made or natural change in a system that would inhibit the system from performing as designed. 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. Permit. An On -S ite Wastewater Disposal Permit as required by AMC 15.65 to construct and operate an AWRrf S. 3. Term. The term of this Maintenance and Repair Agreement shall begin on the date of approval by the Municipality to operate the installed system or issuance of a COSA, and shall continue while the ANVWTS is in use or is operational or until the property is sold or title is transferred by the owner and a new COSA is issued to the new owner or transferee of the property. 4. Alterations, Installation and Removal of Additional Enuipment. Prior to performing any alterations to an AWWTS, the owner agrees to obtain an On-site Wastewater Disposal Permit from the Municipality in accordance with AMC 15.65. 5. Maintenance and Repairs. A. Throughout the tenn of this Maintenance and Repair Agreement, the Owner shall maintain theirAWLVTS in a satisfactory condition capable of producing treated septic effluent in accordance with the equipment's approval for operation in the Municipality. The owner shall enter into a service agreement with an AW WTS service and maintenance provider approved by the municipality and the manufacturer of the AWWTS for the entire term of the AWWTS. In addition, it shall be the responsibility of the Owner during the term of this Maintenance and Repair Agreement, and any 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. B. Owner agrees to comply with all applicable ordinance, laws, regulations, rules and orders for the AWWTS. C. Upon request by the Municipality, the owner agrees to provide the Municipality a written schedule of routine maintenance and repairs which have been performed on the system. When a record of maintenance is documented and maintained by the system vendor, the owner agrees to allow the Municipality access to this information. D. Owner acknowledges that the fine for failing to maintain and repair an AWWTS may be assessed in accordance with AMC 14.60 for improper discharge. E. Owner agrees that only maintenance and repair personnel approved by the Municipality will inspect and make any necessary maintenance, repairs or permitted alterations to the system. F. Owner agrees to grant the Municipality reasonable access to test and inspect the AWWTS upon 24 hours written notice. G. Owner agrees that any sale or transfer of title of the property will not occur without a new Certificate of On -Site Systems Approval. H. Owner agrees that the AWWTS installation and maintenance requirements as provided by the AW WTS vendor/installer and approved by the Municipality are the governing guidelines for the construction, maintenance and repair of the Owner's AWWTS. 6. N onwaiver. The failure of either party at any time to enforce a provision of this Maintenance and Repair Agreement shall in no way constitute a waiver of the provisions, nor in any way affect the validity of the Maintenance and Repair Agreement or any part hereof, or the right of such party thereafter to enforce each and every provision hereof. 7. Amendment. A. This Maintenance and Repair Agreement shall only be amended, modified or changed by a writing, executed by authorized representatives of the parties, with the same formality that this Maintenance and Repair Agreement was executed with, and such writing shall be attached to this Maintenance and Repair Agreement as an amendment. B. For the purposes of any amendment modification or change to the terms and conditions of this agreement, the only authorized representatives of the parties are: a. Owner: rd NA Lb 6 , C e �4t b. Municipality: Directorr.Community Development or designated authority C. Any attempt to amend, modify, or change this contract by either an unauthorized representative or unauthorized means shall be void. 8. Jurisdiction: Choice of Law. Any civil action arising from this Maintenance and Repair 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 Maintenance and Repair Agreement. 9. Severability. Any provisions of this Maintenance and Repair Agreement decreed invalid by a court of competent jurisdiction shall not invalidate the remaining provisions of the Maintenance and Repair Agreement. OWNER: yy�� / J By: f 11J- 666`1 � i'c'-- (signature) Date: CJN/* A-V) G CoT-ti--/2=N (print name) STATE OT ALASKA ) ) ss. THIRD JUDICIAL DISTRICT ) The foregoing instrument was acknowledged before me this )sw day of 205,byhz;1a NOTARY PUBLIC FOR ALASKA My Commission expires: _fir i "i< MUNICIPALITY: ��11 /i By: to., (signature) Deb Z y 5 (print name) STATE OF ALASKA . NOTARY PUBLIC Sheila Collins My Commission Expires: Date: 7 l Title: l_ D F L. r r. r 0 F r r F o Well Owwer. Job No.: 01-202 rem h NO- MOWN IN0jM No.: N/A M -W trilling, Inc. 0.0. Box 110378 *Anchorage, AK 99511• •907-345-4000 ♦ 907-3415-3287 Fox• Groundwater Well As -Built A Lop Shaw, Kln 4Use OfWen: Domestic of 2. ViUstes View Subdivision Treat IB Constracdon oHokDgM: 361' ♦CeshrrShe: 6" o{'ered ro: 47.1' #Alamtld: A 53 Stml o"MNAod: Air ltot+ry Pelf. •Wdl Cawpletlpn• open end x Semew ^ PedbraW Mahod: ♦Serew✓Perforotlow defer"Nbw: 4 CroxiNota: 10" bole drilled to "%6" Coins run to 43.8' mod moulus trcmie Vw and wttb most cement to surke. ♦W4aDerAop vmp McOod: Airstnge Nola: 4Sm* wear krd (Swl) +1 (♦bowel Ns&W'J top efCa t (MCA ♦WellykldkWal 2 sdlowspdmbare(GPAIJ/se/kweyerAo+i(6Ptgfw 2 Avers wk1 100% ofdmwdown(DD)It"2kfkkwl(SWL). #MesAod: Air lift •nese#fCmxpWArn: 160ember2001 • PUNT lwsNll: w.n t r. Deptb In het fYrom to otusle Det+Us of ferm+tio+f +etnt fiu et m+leri+ eobr++d herd+nf, 0 TO 3 Casing stickup 3 TO 5 Clay: brown silty 5 TO 15 Boulder vel: brown, Vey SiLtyLcla 15 TO -.24 Bedrock: broken/weathered, brown clay mixed in 24 TO 193 Bedrock: siltstone/ cla stone Njillitc, blue -black, competent/ hard. TO no detectable water 193 TO 199 As above: reddish streak very small water sea 199 TO 368 Bedrock_ as above: blue -black, small water sins radic fractures TO TO TO� TO TO TO.___........____ TO _ MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WATER SUPPLY PERMIT Initial Permit Number: SWO10400 Legal Description: VILLAGES VIEW ESTATES TR 1 B Design Engineer: 0014 Anderson Engineering Owner Name: Kin Shaw Owner Address: PO Box 110637 Anchorage , AK e955t5=6555 �i01sI 1— 0 's 7 Date Issued: Sep 27, 2001 Expiration Date: Sep 27, 2002 Parcel ID: 020-311-38 Site Address: Lot Size: 844149 SQ. FT. Total Bedrooms: 0 Permit Bedrooms: 0 This permit is for the construction of: ❑ Disposal Field ❑ Septic Tank Holding Tank ❑ Privy All construction must be in accordance with: 1. The attached approved design. ❑,/ Private Well ❑ Water Storage 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. WHEN THE WELL HAS BEEN COMPLETED AND SATISFACTORY WATER PRODUCTION IS DETERMINED, THE WELL DRILLER SHALL PUT AN APPROVED SANITARY SEAL ON THE WELL HEAD AND NO PITILESS ADAPTER OR PUMP SHALL BE INSTALLED UNTIL AN APPROVED WASTEWATER DISPOSAL SYSTEM HAS BEEN CONSTRUCTED. THIS PERMIT FOR WATER WELL NUMBER 1 Received By: Issued By: Date: Date: J_ 2 7-0/ DATE: September 24, 2001 TO: Dan Roth FROM: Mike Anderson, P.E. SUBJECT: Tract 1B, Villages View Estates Subdivision Proposed Subdivision The owner of Tract 1 B, Villages View Estates Subdivision is attempting to subdivide the property into 4 lots. A condition of plat approval is providing evidence of water availability. We are therefore requesting to place 3 wells on the property at the locations shown on the attached drawings. If the wells are found to be sufficient, they will be used to served homes to be constructed on the lots in the future. Please review the attached drawings and issue the permits so the wells can be placed on the tract. Let me know if additional information is required. Municipality of Anchorage ® Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. 020-311-38 Permit Number SW 0I0W0 Property owner(s) Kin Shaw Day phone 345-9617 Mailing address (1) P.O. Box 110637 Anchorage, AK 99511 Mailing address (2) Zip Code Legal description (Lot, Block & Sub'd.) Tract 1 B, Villages View Estates ( Well No. 1 ) Legal description (Section, Township & Range) Lot Size 844,149 SF Acres/Sq.Ft. Number of Bedrooms THIS APPLICATION IS FOR: Sewer Only ❑ Well Only Sewer and Well ❑ Water Storage ❑ Sewer Upgrade ❑ THIS PROPERTY CONTAINS: Hot Tub ❑ Jacuzzi ❑ Swimming Pool ❑ Water Softening Unit ❑ Therapy Pool ❑ I certify that the above information is correct. I further certify that this application is being made for a Single Family Dwelling and is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit Fees: Waiver Fees: Date of Payment:g9 f Date of Payment: Receipt Number: f �' Receipt Number: (Rev. 12/00) SCALE 1" = 200' Parcel I.D. 020-311-41 Municipality of Anchorage EL ` On -Site Water and Wastewater Program (907) 343-7904 Certificate of On -Site Systems Approval Expiration Dater 1. GENERAL INFORMATION Complete legal description Villages View Est. West, Lot 2 Location (site address) 19701 Villages Scenic Parkway Current Property owner(s) Ronald & Rebecca Cothren Day phone Mailing address Real Estate Agent 19701 Villages Scenic Parkway. Anchorage, AK 99516 2. TYPE OF DWELLING: Fx1 Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) Day phone 3. NUMBER OF BEDROOMS: 4+1 RV 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well F Individual El Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ Waiver/Variance Received by: \ 1 II k V" Date: g q ! 2� S COSA to be released to the en ner, unless otherwise requested by the engineer. COSA Fee $ L Waiver Fee $ Date of Payment n 7 �h�/ Date of Payment Receipt Number /��Vls Receipt Number COSA # �� / ��y Waiver # 5. STATEMENT OF INSP'-,TION 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 2/2/2015 6. DSD SIGNATURE 7 �V X •"' _L,L� System #1 Approved for S bedrooms R. FSan ore "" CE -8149 System #2 Approved for bedrooms �¢�s• y ?�,.,r Disapproved Conditional approval for bedrooms, with the following stipulations: Original Certificate The/Muriicipality 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. ATTACHMENTS: COSA Checklist X Septic System Advisory Well Flow Advisory COSA blue sheet 5 .. Nitrate Advisory Arsenic Advisory Other If more the AS system is on the lot: COSA Checklist # + of + Structure served by this system + Certificate of On -Site Systems Approval Checklist Legal Description: Villages View Est. West, Lot 2 Parcel ID: 020-311-41 A. WELL DATA Well type Private If A, B, or C provide PWSID # 8/16/2001 Y Well Log (YIN) Y Date completed Sanitary seal (Y/N) _ Wires properly protected (YIN) Y Total depth 368 ft. Cased to 43.8 ft. Casing height (above ground) 18+ in. Date of test Static water level Well production FROM WELL LOG' 8/16/2001 1 L AT INSPECT1614 ft. ft. g.p.m. Z. Z WATER SAMPLE RESULTS: Coliform Neg colonies/100 mL Nitrate 0129 mg/L Arsenic ND ug/L Date of sample: 1/14/2015 Collected by: B. SEPTIC/HOLDING TANK DATA PES Tank Type/Material Septic/Steel & Advantex/Fiberglass Date installed 7/18/2013 1 250+1,5oo ADv 4 Y Tank size gal. Number of Compartments _ Gleanouts (YIN) Foundation cleanout (Y/N) Y Depression over tank (YIN) N High water alarm (Y/N) Y Date of pumping New Pumper C. ABSORPTION FIELD DATA 7/29/2013 6 GPD/SF Mounded Shallow Trench Date installed ,Soil rating (g.p.d./ftz or ftzlbdrm) System type Length 30 ft. Width 5 ft. Gravel belovy, pipe 0.5 ft. Total depth 3 ft. Eff. absorption area 150 ftz Monitoring tube Y Depression over field N Date of adequacy test New Results (Pass/Fail) For 4+'Rv bedrooms Fluid depth in absorption field before test. New . in. Water added New gal. New depth New in. Elapsed Time: New. min.. Final fluid depth New in. Absorption rate >= N/A g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) No If yes, give date 0 D. LIFTSTATION Date installed 7/18/2013 "Pu—mp on" level at 43 in. Datum Bottom of Tank E. SEPARATION DISTANCES WELL ON LOT TO: Size in gallons 500 "Pump off"level at 40 Cycles tested New Septic tank/lift station on lot 100+ Absorption field on lot 100+ Public sewer main 75+ Sewer /septic service line 25+ Animal containment areas 50+ in. O 0 Manhole/Access (Y/N) Y High water alarm level at 45 Meets alarm & circuit requirements? Yes On adjacent lots 100+ On adjacent lots 100+ Public sewer manhole/cleanout 100+ +folding tank 100+ Manure/animal excrete storage areas 100+ SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5+ 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 100+ Driveway, parking/vehicle storage 10+ Curtain drain 50+ Wells on adjacent lots 100+ F. COMMENTS *Field to slope waiver for 35 feet on file. WR#OSP131192 G. ENGINEER'S CERTIFICATION ,,Zl certify that f have determined through, field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. Engineer's Printed Name Steven R. Pannone Date COSA brown sheet 10-10-12.doc 2/2/2015 in.