The URL can be used to link to this page

Home My WebLink AboutRABBIT CREEK VIEW & HEIGHTS BLK 5H LT 16ARabbit Creek View & Heights Block 5H Lot 16A #020-561-23 11ILL. a .....� Municipality of Anchorage On -Site Water and Wastewater Program • (907) 343-7904 Page t of ON-SITE WASTEWATER INSPECTION REPORT 2 Permit Number: Cx� P t" ( Z tp to PID Number: O20 - 45 -LP( - 2 7 Dwelling: Single Family (SF) ❑ Duplex (D) ❑ Multiple (SF and/or D) Project: New ❑ Upgrade Name: C ABSORPTION FIELD r jr eL ❑ Deep Trench Shallow Trench *ed ❑ Mound Address X3,0 � a f Or ,❑-, taarDther Phone r n Number of Bedrooms Soil Rating Total ^depth from original grade 1 I f D GPD/SF 1-G. !; Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade -� 2 . 0 Ft. Gravel depth �be eath pipe V r Ft. Sub/d�ivisil!on� Block Lot / � r• ,I II,, ' / /� 1�sZ 4 C"..k. tAtVWj-l�frf kf S' ttv Fill added above orig�iyn.a,�l grade / Gravel length 5, � Township Range Section fL Ft t Gra*Wi t q K Ft. Beds: Number of Lines Distance between lin s KCS Ft, SEPARATION DISTANCES To Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Tank Line 0 Ft' Ft. Well / DO ! / / d 0 f A / r Q I TANK Septic ❑ S.T.E.P. Holding Other ❑ E] Manufactdyrer /� 1 / Capacity Surface Water ��Vr� / tl0r� 1z rt L l`Nn k (.9 Material F_ �)e%r 45 Number of compartments 1 ZL Lot Line y� /V /F NA Foundation1 /) F l d f LIFT STATION Manufacturer Capacity Curtain Dra_int /tp* TC 0't rvn to Gal. Remarks A{� / ,tom j �f 1 (\ a Falx Pump on level at y v,r sa,cD/ m. Pump off level at Pv-r- N S 4—lin . High water alarm at in. t LL7 A V BCl �F 7�I �atM Pump make and model _ Vv"PN't Electrical Inspections performed by OwwrU'. Installer PIPE MATERIAL House to tank ' ovT Tank to eld "VI drainfild Mike A( Drainfeld 70 CO/MT7U Inspector r ,// j 'n BENCHMARK (Assumed elevation) ACft Inspection .� dates: t / / 2"" /J I I Location and description f -;'41' hOM1cl.rr� LJ Tt p 4YI 3" 4!" COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL OF At ^�a! Conditional Approval: DateOW ✓ ��'��• ` f'� /O V*. MICHAEL N. ANDERSON ^:fl C�Z bl, ttl�`�; Approved Date -� L \\\\\Sr��4~� inspection Repork j - i- i z.aoc Permit No. OSP141266 Page 2 of 2 Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 Anchorage, Alaska 99519-6650 Telephone: 343-4744 On—Site Wastewater Disposal System and/or Well Inspection Report Legal Description: RABBIT CREEK VIEW & HEIGHTS, BLK 5H LOT 16A PID No.: 020-561-23 EXTERNAL PUMP BASIN 1500 GALLON FIBERGLASS ADVANTEX TANK / / 1 I 1 I I I I I I I TH#T 1 � 1 / / I / BENCH ELEVA / STAIR LANDIN / I I I I I /1 \ / WELL /AASBUII I / SCALE: I"= 0' SEPTIC SECTION H2DM4 APRIL 2014 N.T.S. a �LLA4 .. �.. aG / .. -MICHAEL N. ANDERSONe L.n. .. No.&EA469 MARK A B C Col 8 22 CO2 13 24 MT01 18 38 �2 EXTERNAL PUMP BASIN 1500 GALLON FIBERGLASS ADVANTEX TANK / / 1 I 1 I I I I I I I TH#T 1 � 1 / / I / BENCH ELEVA / STAIR LANDIN / I I I I I /1 \ / WELL /AASBUII I / SCALE: I"= 0' SEPTIC SECTION H2DM4 APRIL 2014 N.T.S. a �LLA4 .. �.. aG / .. -MICHAEL N. ANDERSONe L.n. .. No.&EA469 zxxi EXTERNAL PUMP BASIN 1500 GALLON FIBERGLASS ADVANTEX TANK / / 1 I 1 I I I I I I I TH#T 1 � 1 / / I / BENCH ELEVA / STAIR LANDIN / I I I I I /1 \ / WELL /AASBUII I / SCALE: I"= 0' SEPTIC SECTION H2DM4 APRIL 2014 N.T.S. a �LLA4 .. �.. aG / .. -MICHAEL N. ANDERSONe L.n. .. No.&EA469 04/09;2014 21:04 907-345-0202 ALPINE DRILLING PAGE 02/02 Alpine Drilling & Enterprises Well Log Permit Number: #SW 149266 Date of Issue: T- 2-14 Date Started: 7- 29-19 Date Completed: 7-29-1 - Parcel ItlentificMion Number: 02056123000 Legal Description: Block SH, Lot I6A Rabbit Creek View & Hghts t locaied at approved perYnit Location? x yes ❑ No Property Owner Name 8, Address: Tara$ S llnitskiy 4516 E 8 � A ve #2 Borehaloe Data; Soil T}pe, Thickness & Water Strata Depth (ft) From To Stick-up 0 2 Organlay &sill 2 9 self 9 18 gravellysfit is 23 siltygrave1H2O 23 26 gravelly cobbip silt 46 77 gravelly silt 71 116 silty water sand & gravel 116 120 3111 120 121 WATER QUALITY TESTING Colifonn N c � COY100ML Nitlat@8 O • m911 - Arsenic NA ug/L no Method of Drilling x air totar, . 0 cable�--- Casing type; mel Wa]I Thickness: 6 inches Diameter; .250 inches Depth: 121 feet Liner Type: Diameter: — inches Depth: feet Casing stickup aboveroun` d 2 feet Static water level (frnm ground leveI): 0 feet Pumping level: IZ-feet after 2 hcurs pumping i gpm Recovery Rate; 7 gpm Method of Testing: air Jig Well Intake Opening Tape; X Open End ❑ Open Hole ❑ Screened Start feet [� Perforations Start _ _ feet Grout Type: bentonlr�,,:1� Pump; Intake Depth — feet Pump size — hp grand Name Stopped feet Stopped , feet Volume: 11, eet Cm•,.,aa a r ,.. Well Disinfected Upon Completion xYes ❑ No Method of Disinfection: chlorine tablets Comments; Well Driller: Alpine Drilling & Enterprises PO Box 110496 Anchorage AK 99511 Development Services Department Building Safety Division ! On -Site Water & Wastewater Program e"G� 86, 4700 Elmore Street r° o P.O. Box 196650 Mark Be ich Anchorage, AK 99519-6650 s A } rhr r 9 Mayor www.muni.ora/onsite (907)343-7904 Pump Installation Log Well Drilling Permit Number: 19 ({ 2-6G Date of Issue• Parcel Identification Number: D _ 4791 z3 Legal Description Block Lot Property Owner Name & Address: Pump Installation Date: Pump Intake Depth Below Top of Well Casing: 1 o U feet Pump Manufacturer's Name Pump Model: S t b ? LI - Pump Size %hp Pitless Adapter Burial Depth: g feet rr Pitless Adapter Manufacturer's Name: LRry p bit Pitless Adapter Installer: ;M Az,�sv,, Well Disinfected Upon Completion? X Yes ❑ No Method of Disinfection: Comments: Pump Installer Name: 16trar Company: Ouw�� LMailing Address: �� a 5-- of Ta State: A-E-- zip: 41 S�( Attention: The pump installer shall provide a pump installation log to DSD within 30 days of pump installation. / 10' Util. Esmt./ 3 0 A /,!<' / / �,`� t / /t J �O/ RE BOBBYE BURNMY 2941 Carriage Drive Anchorage, Alaska 99507 (go 7) 350-5541 GRAPHIC SCALE.. I Inch = 40 Feet / x 4 20 10 0 10 20 40 80 o a v v ®oUBF® P � 4 O w4 O a �0 o feu AS82014 I hereby certify that the property described hereon has been surveyed by me, or at my direction, and that the imiprovements are within the property lines and do not overlap or encroach on the property lying adjacent thereto unless otherwise shown. That no improvements on the property lying adjacent thereto encroach on the premises in question and that there are no roadways, transmission linea or other easements on said property except as shown. VIEW & HEIGHTS REPLAT � of A \ 1 i�ce... 4.- BOBBY F. BUIOWff LS -5484 '00, �'8ssroxts. i Permit Number: OSP141266 Tax Code Number: 02056123000 Work Type: Septic Permit Effective Dates: July 22, 2014 On-Site Wastewater Disposal System Permit MUNICIPALITY OF ANCHORAGE Development Services Depadment On-Site Water & Wastewater Program 4700 Elmore Road, PO Box 196650 Anchorage, AK 99519-6650 Telephone: (907) 343-7904 Initial to July22,2015 Design Engineer: ANDERSON CONSTRUCTION & ENG'G Subdivision: RABBIT CREEK VIEW & HEIGHTS Site Legal Address: RABBIT CREEKVIEW & HEIGHTS BLK 5H LT 16A G:3341 Owner/Address: ILNITSKIY TARAS S 4516 E 8TH AVE #2 ANCHORAGE AK 995082714 Site Mailing Address: 8305 Byron DR, Anchorage Lot Size in Sq Ft: 23858 Total Bedrooms: 4 This permit is for the construction of: Y Disposal Field N Septic Tank N Holding Tank N Privy 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: ~['~ ~-.-//~t"p Date: "-,',',',',',',',; 2~, ~ 7,/(-~ MUNICIPALITY OF ANCHORAGE 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 ' RUSH/ Parcel I.D. (~.-~'-_'~1~ ~¢(--~.-'~' Property owner(s) - t.. . 'P I t , & t,~,---7 ~'~' ~ '" "7 Day phone Mailing address .~V"'~' Zl l -$J(i ~ Site address Legal description (Sub'd., Block & Lot) ~ ~ ~ ~, -¢- [~,~-.¢ ~.~ u't,~t,o Legal description (Township, Range & Section) Lot Size ~.~ ~r,~ Sq. Ft. Number of Bedrooms APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (IFil all that apply) Absorption Field [] Initial ~ Single Family (SF) [] (w/we AD U) Septic Tank ~[ Upgrade [] Duplex (D) [] Holding Tank [] Renewal [] Multiple Dwellings [] Privy [] (SF a n d/o r/E),,),~, Private Well [] Water Storage [] THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. (Sig p y wner or authorized agent) Permit/Rush Fees: Date of Payment: Receipt Number: Permit No. '~'~fl~ r Fees: Date of Payment: Receipt Number: Waiver No. Michael N. Anderson, P.E. Civil/Structural Engineering & Construction 4661 Natrona Avenue Anchorage, Alaska 99516 Phone 345-3377 Fax 345-1391 J~y18,2014 Municipalities of Anchorage Departments of Health and Human Services P.O. Box 196650 Anchorage, Alaska 99519-6650 Fax 249-7847 Legal: Septic system Rabbit Creek & Heights S/D Blk 5H, Lot 16A To Whom it may concern: This letter is a request for a new on-site septic and well permit. The test hole was completed in April/May 2014 to monitor the water table. And as expected the water raised during the spring thaw. A curtain drain was installed 50 feet uphill of the proposed system to lower the water table which it did during the spring runoff. The new water table elevation was down 2 feet fi'om the interface of the peat/ML/GM layer during late May reading. The perc was 40 minutes therefore we will be installing an Advantex system with an application rote of 1 GPD/SF. Clean sand MOA filter sand will be used under the proposed bed to raise the system above the water table. The only system near the new proposed well is the neighbor to the south which have permit for a privy, no impact. This system will not impact any of our neighboring wells or septic designs due mostly to vacant land surrounding the site, see the site layout. No open water or steep slopes existing within 100 feet of the proposed design. Pl~f~;1 7'you have any questions. Sinc[r~y{./ ~ '~ Michael N. Anderson, P.E. ; ', ~ ~--TOPSOIL AND VEGATATE DESIGN CRITERIA: 2, ,"'"tt~ ~ 4. BDRM X 150 -- 600 GPD' ~ ~, / ./! HOLES AT 48" O.C. TYP. SOILS = 600/1.0 = 600 GPD X/ '--.~I, / /.j 600 GA/15 = 40' CP, ABE ('m~l) / +2.o "" (1), BED 20 crc ~ ., r,., . 0.0 DEEP · -- -z.u %' ~--.6" OF, SEWER ,ROCK 0.5' EFFECTIVE ' I ~Mo^ APPROVED FILTER 15' WIDE ML/¢M S~ND 40' LONG BUOYANCY CALC: Z,,~O 0~~° -- 1500 GAL./7.SGAL/FTX62.4/,-4wJ~)O/YD--,,.~A'2YDS SEPTIC FIELD SECTION BLOCK SH, LOT SOA /' / /I I'-- \ / BLOCK 5H, LOT 3lA P~R(~PER'Pf LINE~ //J'/' J VIDe/ & HEIGHTS \ ViEW A HEICI~S- .... ~. ~ / ;~1 Jr.~/- //j ~ J BLOCK 5H. LOT 17A ~ BLOCK 5H, RABBIT CREEK VIEW & NEIGHTS BLOCK 5H, LOT 16A ~ 49TH ~ ~ Anchorage, Alaska ~....~~~ = .................. ....... ~,,,~,~ ........ ~,,~ ................... 4661 NATRONA AVE. DRAWN: D JR ANCHO~GE, A~ 99516 .e¢~ ~ ......... (907) 345-3377 / F~: (907) 345-1391 SCALE: 1"=100' RABBIT CREEK BLOCK 5H LOT 30A / / V~EW & HEOHTS / / EXISTINO CURTAIN DRAIN / / WAS INSTALLED MAY / \ . 2o1~ ~ ~L /\' / / ~ :I ~\ :~--- .... ~_~ /--PROPOSED DRAINFIEL~ W/ 1,500 GALLON RABBIT CREEK VIEW & NEIGHTS BLOCK 5H, LOT 16A Anoho e, ................. ~,.. Michael N. P.E. ~.~ MICHAEL N, AND~RSON2~ ..n_erson, OA~: ~o~4 ,,.~ ~ . ANCHO~G~, ALA~ ~16 (907) 34~-3377 L F~: (~07) 34~-~ 391 SOALE: Performed For: Legal Description: 6- 7- 8- 9- 11- 12- 13- 14- 15- 16- 17- 18- 19- 20- COMMENTS Municipality of Anchorage Deve,opment Services Department Building Safety Division On-Site Water and Wastewater Program ~,~. ~ ....'~. ~_--~ 4700 Elmore Road P.O. Box 196650 Anchorage, AK 99507 www.ci.anchoraqe.ak.us (907) 343-7904 Soils Log- Percolation Test ~, ~.~' [ Fl ~' ¢"~[' ~1 Date Perfo~ Township, Range, Section: Slope Site Plan WAS GROUND WATER ENCOUNTERED? *~ ~' ~'~ S L IF YES, AT WHAT DEPTH? O Depth to Water After ~.~ p Monitoring? Reading Date Gross Time Net Time Depth to Water Net Drop (1 0 PERCOLATION RATE (minutes/inch} PERC HOLE DIAMETER TEST RUN BETWEEN ~ FT AND PERFORMED BY: ,'~/I,/~,,~ ~ I CERTIFY THAT THIS TEST/WA~) PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THiS DATE. DATE: ~t('7/l~ • Municipality of Anchorag ' r On-Site Water and Wastewater Progra (907) 343-7904 1!":: CERTIFICATE OF ON-SITE SYSTEMS APPROVAL Parcel I.D. 020-561-23 Expiration Date: I -1 1. GENERAL INFORMATION Complete legal description _RABBIT CREEK VIEW & HEIGHTS BLK 5H LT 1 6A Location (site address) _8305 BYRON DR ANCH. AK Current Property owner(s) _TARAS ILNITSKIY Day phone Mailing address SAME Real Estate Agent Day phone 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4 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: SeP*'ic. S SQuttccce 4)o. -t,' Distance: 5 0 Received by: 1144-- Date: 1' // 1 p__ COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ 221(0 - + 21 ".\4e t J Waiver Fee $ $ / W1. C fO Date of Payment 7- 6' � ��J Date of Payment (VDl(7" 2. f(n13Z Receipt Number App �S - CSS 9 Receipt Number # O jj3 7 COSA# 06C C P7IgC 9 Waiver# OU1 WO99 5. STATEMENT OF INSPECTION BY ENGINEER I As certified by my seal affixed.taereto 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 wer supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedroomsaand 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 Firm MIKE N ANDERSON. P.E. Phone 727-8864 Address 4661 NATRONA AVE. Engineer's Printed Name MIKE N ANDERSON. PE Date 9/5/17 • ae< ! a, 6. DSD SIGNATURE �• f. ' ANDERSON • ` System #1 Approved for �( bedrooms. °,,.., • 4 69 System #2 Approved for bedrooms. i, ?� •f' "' • ' 4J Disapproved. Conditional approval for bedrooms, with the following.stjpulations: .vc Y OF.4A+ ON-SITE WATER AND m:- =T�rf WAST m Pn�EwATER R RAM . SERVC0.0; Y Original Certificate Date: II 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 COSH blue sheet 10-10.12 doc • f If more than 1 septic system is on the lot: COSA Checklist# of Structure served by this system _ Certificate of On-Site Systems Approval Checklist Legal Description: RARRIT CREEK VIEW & HEIGHTS BLK 5H LT 16A Parcel ID: 020-561-23 A. WELL DATA Well type Private If A, B. or C provide PWSID # Well Log (YIN) Y Date completed 7.29.14 Sanitary seal (YIN)Y Wires properly protected (Y/N) Y Total depth 121 ft. Cased to 121 ft. Casing height(above ground) 1 + FROM WELL LOG AT INSPECTION Date of test 7-29-14 8/712017 Static water level 0 ft. 0 ft. Well production 7 g.p.m. 5+ g.p.m. WATER SAMPLE RESULTS: Coliform NEG colonies/100 mL Nitrate 0.322 mg/L Arsenic: ND ug/L Date of sample: 8-7-17 Collected by: Mike Anderson B. SEPTIC/HOLDING TANK DATA Tank Type/Material S cIADVANTEX/F, rel IG4-f . Date installed 10-15-14 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 ADVANTEX Pumper ADVANTEX REQUIREMENTS C. ABSORPTION FIELD DATA— Date installed 10-15-14 Soil rating (GPD/SF) 1.0 System type BED Length 25 NORTH ft. Width 30 WEST ft. Gravel below pipe 0.5 ft. Total depth 3.2 ft. Eff. absorption area 600 ft2 Monitoring tube Depression over field N Date of adequacy test 8-7-17 Results (Pass/Fail) PASS For 4 bedrooms Fluid depth in absorption field before test 0 in. Water added 600+ gal. New depth 1 in. Elapsed Time: 1440 min. Final fluid depth 0 in. Absorption rate >= 600 g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) UNKNOWN If yes, give date D. LIFT STATION Date installed_10-15-14 Size in gallons 1500 Manhole/Access(Y/N) Y "Pump on" level at PRESET __ in. "Pump off' level at PRESET in. High water alarm level at PRESET in. Datum PER ORENCO Cycles tested 3 Meets alarm&circuit requirements? Y 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 100'+ Manure/animal excrete storage areas 100'+ SEPTIC/HOLDING TANK ON LOT TO: Building foundation 10' Property line 10' Absorption field 5' Water main 100'+ Water service line 25'+ Surface water 30'* Wells on adjacent lots 100'+ ABSORPTION FIELD ON LOT TO: Property line 10'+ Building foundation 10'+ Water main AM 6c {- Water Service line 50'+ Surface water 65'+ Driveway, parking/vehicle storage 50'+ Curtain drain 50'+(None Known) Wells on adjacent lots 100'+ F. COMMENTS *WAIVER REQUESTED PER THE PROPOSED NEW CODE WITH ADVANTEX SYSTEM G. ENGINEER'S CERTIFICATION ‘, l certify that I have determined through field inspections and •,.'�'�$:•' 's review of Municipal records that the above systems are in h' • •;j' rr conformance with MOA COSA guidelines in effect on this date. '�. 49T • * st .� • Engineer's Printed Name MIKE N. ANDERSON, P1; 7c...?„,..MICHAEL N. AND!RSON Date 9/5/2017 � ;, qC�E-9469 •. 11( ‘‘‘-1 /— .••,• ','` �A��`tS J" -.. COSA canary sheet_2-6.15.doc Municipality of Anchorage rz.� t greindot par tmen t P.O. Box 196650 • 4700 Elmore Road Anchorage, Alaska 99519-6650 • (907) 343-7904 • Fax (907) 343-7997 http:llwww.muni.org/Onsite Development Services Division On-Site Water and Wastewater Program **** VARIANCE/WAIVER REVIEW ** ** Waiver#: OSV171099 COSA#: OSC171409 Permit#: PID#: 020-561-23 Legal Description: Rabbit Creek View & Heights Block 5H Lot 16A Engineer: Mike N. Anderson Applicant: Taras Ilnitskiy Your request for a waiver of the required 100 feet horizontal separation from the absorption field and septic tank to surface water has been approved. The approved separation distance is 50.0 feet. Existing system is a CAT III advanced wastewater system with fiberglass tank. This waiver approval applies to the existing absorption field and septic tank 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: 0/020 1 7 Approved glined4 (ittrzeg Name of Reviewer **** VARIANCEIWAIVER REVIEW **** Sept. 5, 2017 Municipalities of Anchorage Departments of Health and Human Services P.O. Box 196650 Anchorage, Alaska 99519-6650 Fax 249-7847 Re: Waiver request for COSA Legal: RABBIT CREEK VIEW & HEIGHTS BLK 5H LT 16A To Whom it may concern: This is a request for a waiver from the septic tank to open water along the north and west property lines for the above existing Advantex system. The neighboring lot has been built-on and now we have open water within 25' of the Advantex tank. Originally this was not the case when this system was installed. Therefore we are requesting a waiver of 25' from the tank to open water. The leach field is over 50' from the open water thus we are requesting an approval under the proposed new code which reduces the distance to 50'. Justification is when the neighboring lot is finished developing the open water will be removed. The current open water will be removed after grading and construction has been completed on the lot. The granting of this waiver will not impact any of the neighboring lot and will meet all of the local Municipality of Anchorage On-site requirements. Please call me if you have any questions. Sincereloyl!'1 Michael N. Anderson, P.E. 4661 Natrona Anch, Ak 99516 Ph 727-8864 ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND REPAIR AGREEMENT BETWEEN MUNICIPALITY OF ANCHORAGE AND THIS MAINTENANCE AND REPAIR AGREEMENT made and entered into`as of this 7 Day of .Sefile r,her of 201 , by and between <k.510)21,.. :S LC 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: I. Advanced Wastewater Treatment Systems. Municipality grants permission to Owner to utilize and operate an Advanced Wastewater Treatment System (AWWTS), described as Ad vaAth X located at(legal description). / 66 ( Viet,/ ,Je�, /s L/6A 135/-/ 2. Definitions. 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. 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-Site Wastewater Disposal Permit as required by AMC 15.65 to construct and operate an AWWTS. 3. Term. The term of this Maintenance and Repair Agreement shall begin on the date of approval by the Municipality tooperate the installed system or issuance of a COSA, and shall continue while the AWWTS 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 Equipment. 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 term of this Maintenance and Repair Agreement, the Owner shall maintain their AWWTS 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 AWWTS 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 AWWTS vendor/installer and approved by the Municipality are the governing guidelines for the construction, maintenance and repair of the Owner's AWWTS. I. Owner agrees to provide and maintain a telephone connection to the AWWTS as required by the AWWTS approval. 6. Nonwaiver. 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: _ {, ( b. Municipality: Director, 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: By: Q-'ra (signature) Date: "1 1I.1 T._ MAC (print name) STATE OF ALASKA ) )ss. THIRD JUDICIAL DISTRICT ) The foregoinj instrument was acknowledged before me this `'day o� -1. 20_11, by c`�tixz.... NO ARY PUBLIC FO RA 4 Notary Public My Commission expires: f `z/70Z011/4_ KATISATUCKER State of Alaska My Commissbn Expires July 12,2020 MUNIC[PAL1TYll/ By. �. 9 (signature) Date: I ( i 7 _(print name) Title: