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Home My WebLink AboutSHANGRI-LA ESTATES EAST BLK 3 LT 1han!gri -Ln Estates East Block 3 Lot 1 #020-043-62 Inspection Report _1-1-12.doc Municipality of Anchorage Community Development Department Page 1 of 3 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: OSP151058 PID Number: 020-043-62 ❑✓ New ❑ Upgrade Name: Crown Pointe, Inc. ABSORPTION FIELD ❑ Deep Trench ❑✓ Shallow Trench [:1 Bed ❑ Mound Address 16071 Mountain Air Drive Anchorage, AK 99516 ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 4 5.0 GPD/SF 6 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade 4 Ft. Gravel depth beneath pipe 2.0 Ft. Subdivision Block Lot Shangri La Estates East 3 1 Fill added above original grade 0-1 Ft. Gravel length 25 Ft. Township Range Section Gravel width 5FL. Beds: Number of Lines Distance between lines I Ft. SEPARATION DISTANCES To Septic Absorption Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Lift Station Tank Line 178.6 Ft= One FL well >100' >100' >100' >75' >25' TANK ❑ Septic ❑ S.T.E.P. ❑ Holding I] Other Manufacturer Advantex/Anchorage Tank/Orenco Capacity 1,500Ga1, Surface water >100' >100' N/A N/A Material FAP/Fiberglass Number of compartments Two Lot Line >5' >10' N/A N/A NA Foundation >5' >10' N/A NIA LIFT STATION Manufacturer Capacity Gal. Curtain Drain None Noted Pump on level at Pump off level at High water alarm at Remarks in. in. in. Pump make and model Electncal Inspections performed by Dependable Services Elec. -- — PIPEMATERIAL Housetotank D3034 Tank to D3034 drainfield Installer Sanders & Sanders �a �gJO ��Dramflela HDPE CorMT D3034 Inspector MEA BENCH MARK (Assumed elevation) 100.Oft Inspection 1., 5/1/15 5/2/15 Location and description dates: 2nd Bottom of Siding at Foundation Cleanout. 31d 9/22/15 4'" COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL Eng4l p�'1+, Conditional Approval: Date . 02: •:7� ,o 49 LH �....... i..�..�......... � ,A-.MICHAEL E. ANDERSON•: c• J : CE-4381` Approved Date / D AO„ `9 Inspection Report _1-1-12.doc D r m I O C�j N p rwi m' . o D 3 W N W N b p 90 P m O n N \Q so, 65.2' N08'04'20'•E 10' T. & E ESM / 232.22' T r m V/I I D U) U) U. Z O O N 0 O A W O N A J O O m o p 6< 0m a0 3mo $Zv oM= m' m� DM ?�m0 m �C,)0 yob m �O D m rn� �mK m A Z W J O A M (D CD3 N ^ 0 Z w wcr 6 CO CO 'O m Municipality of Anchorage DEVEOPMENT SERVICES DEPARTMENT 4700 Elmore Road Anchorage, AK. 99519-6655 - 343-7904 Page 3 of 3 On -Site Wastewater Disposal System or Well Inspection Report Permit Number: OSP151058 PID No. 020-043-62 5-15-15 PROFILE AS -BUILT Scale: NONE 85.5 ALPINE DRILLING & ENTERPRISES Permit Number: #SW060347 Date of Issue: 10-24-06 Parcel Identification Number: 020-043-13 Date Started: 11-11-06 Date Completed: 11-12-06 Is well located at approved permit location? E Yes [INo Legal Description: Horace Tract 2 - Shangra-La Block 2 Lot 1 Property Owner Name & Address: Anchorage Development & Construction g han�, la, ESf0'fvs �a 9441 Abbot Loop Road 6 3 L 1 dnnhnrnnp dlackn 99.516 Borehole Data: Depth (ft) Method of Drilling ® air rotary ❑ cable tool Soil Type, Thickness & Water Strata From To Casing type: steel stick-up 0 2 Wall Thickness: .250 inches gravelly silt Bedrock 3 30 30 406 Diameter: 6 inches Depth: 33 feet Liner Type: pvc 0-60 feet Diameter: 4 inches Depth: 60 feet Casing stickup above ground: 2 feet Static water level (from ground level): 29 feet Pumping level: 406 feet after 8 hours pumping 2 gpm Recovery Rate: 2 gpm Method of Testing: airlift Well Intake Opening Type: ❑ Open End ® Open Hole ❑ Screened Start feet Stopped feet ❑ Perforations Start feet Stopped feet Grout Type: bentonite granules Volume: 1 Depth: Start 0 feet Stopped ? feet Pump: Intake Depth feet Pump size hp Brand Name Well Disinfected Upon Completion? ® Yes ❑ No Method of Disinfection: chlorine tablets Comments: Annulus around PVC filled with bentonite chips from 60'to 10'. Casing has granules from surface to bedrock. Well Driller: Alpine Drilling & Enterprises PO Box 110496 Anchorage Alaska 99511 Attention: The well driller shall provide a well log to the property owner within 30 days of completion and the property owner or the well driller shall provide a well log to the Development Services Department within 60 days of completion. is Development Services Department Building Safety bivision On -Site Water & Wastewater Program 4700 Elmore Road P.O. Box 196650 MarkBegieh Anchorage, AK 99507 Mayor www.muni.ora/onsite (907)343-7904 PUMP installation Log Well Drilling Permit Number: SW 060347 Date of Issue• 10/24106 Parcel Identification Number: 020043-13 GE e4 4T Pump Installation Date: 8/512015 Pump Intake Depth Below Top of Well Casing: 390 feet 'f Pump Model: IOSB15 Pump Size 1.5 hp Legal Description Horace Tract 2 Block3 Lot 1 Shangd-La Property Owner Name & Address - Crown Pointe P.O. Box 112313 Anchorage, AK 99511-2313 Pump Installation Date: 8/512015 Pump Intake Depth Below Top of Well Casing: 390 feet Pump Manufacturer's Name: Goulds Pump Model: IOSB15 Pump Size 1.5 hp Pitless Adapter Burial Depth: wA feet Pitless Adapter Manufacturer's Name: WA Pitless Adapter Installer: N/A Well Disinfected Upon Completion? V1 Yes No Method of Disinfection: Chlonnc 11-01blef9 CPAU,"re. Comments: Pump Installer Name: Aarow Pump a well Service, LLC P.O. Box 110496 Anchorage, AK 99511-0496 Attention: The pump installer shall provide a pump installation log to the DSD within 30 days of pump installation. DEPENDABLE SERVICES ELECTRICAL PO BOX 4357 Palmer, AK99645 To Whom it May Concern, Oct 1, 2015 This letter is to confirm that the lift station at 16071 Mountain Air Dr, Anchorage, has been wired according to N.E.C. standards by Dependable Services with the license .34142. Sincerely, Andrew Wessel (907)317-9954 office (907)677-1372 fax akde pendableservices@gmall. com September 22, 2015 Chris Houghton 16071 Mountain Air Drive Anchorage, Alaska 99516 Alaska Communications has no objection to the well encroaching into the 10'T & E easement located along the south eastern boundary Lot 1, Block 3, of Shangri-La Estates -East Subdivision, otherwise known as 16071 Mountain Air Drive as depicted on the drawing submitted. Acceptance, (your signature below), and use of this letter of non -objection by yourself, your heirs, your assigns, or your successors, will constitute agreement to the following stipulations: 1. Alaska Communicaflons will be held harmless, now and forever, for any damages or injury to any person or property as a result of this encroachment. 2. Any Alaska Communications facility damaged or destroyed as a result of this encroachment will be repaired at no cost to Alaska Communications. 3. Any costs incurred by Alaska Communications for special construction necessitated by this encroachment will be bome by the property owner. 4. All applicable safety code regulations will be observed and maintained. 5. This letter of non -objection will in no way preclude Alaska Communications from full use and enjoyment of its rights within any portion of this easement 6. Alaska Communications is under no obligation to restore any structure damaged as a result of Alaska Communications full use and enjoyment of its rights within any portion of easements or right-of-ways. IY, Lang m , ngPee4ngForeman AI a munications utside Plant Engineering, MSN14 600 Telephone Ave. Anchorage, AK 99503 ACCEPTANCE SIGNATU DATE: RCW 9 A 2015- 044069-0 K S Recording District 301 ANCHORAGE A 09/2212015 02:45 PM Page 1 of 4 020-043-62 ENCROACHMENT PERMIT This permit is between Chugach Electric Association, Inc., an Alaska non-profit electric cooperative, (herein "Chugach"), whose address is P. O. Box 196300, Anchorage, Alaska 99519 and Crown Point Inc. (herein "Permittee"), whose address is P.O. Box 112313, Anchorage, Alaska 99511. 1. Easement. Chugach is the grantee or user of an easement for the construction and maintenance of electrical facilities, as follows: Dedicated by the plat of the subdivision known as Shangri-La Estates - East Subdivision, according to Plat Number 2011-62, recorded on the 12a' day of August 2011, on file in the office of the District Recorder, Anchorage Recording District, Seward Meridian, Alaska, (herein "Easement") which pertains to the following described real property: The Easterly Ten Feet (E'ly 10') of Lot One (1), Block Three (3), Shangri-La Estates - East Subdivision according to Plat Number 2011-62, recorded on the 12s` day of August 2011, on file in the office of the District Recorder, Anchorage Recording District, Seward Meridian, Alaska. Permittee acknowledges the validity of the Easement. Permittee warrants and represents that Permittee is the owner of the fee simple interest in the land subject to the Easement and the following described real property to which the Easement is adjacent: Lot One (1), Block Three (3), Shangri-La Estates - East Subdivision according to Plat Number 2011-62, recorded on the 12s' day of August 2011, on file in the office of the District Recorder, Anchorage Recording District, Seward Meridian, Alaska, (herein "Parcel"). 2. Encroachment. Permittee has constructed or purchased the following improvements on or within the real property subject to said Easement: A well that encroaches approximately One Foot (1') into the easterly side said Easement for a distance of approximately One Foot (1'), 1Etl ►5�� (herein "Encroachment"). Gti d 3 2 19 IIC-)'J •C?ZA Encroachment Permit - Page 1 of 4 3. Permit. Chugach hereby authorizes Permittee to continue the existence of the Encroachment in its existing location subject to the covenants set forth in this permit. 4. Indemnification. Permittee shall indemnify and hold Chugach harmless from any claims for personal injury, property damage or other loss arising in anyway from the continuation of the Encroachment. 5. No Expansion or Increase. Permittee shall not in any way expand or increase the extent to which the Encroachment occupies any of the real property encumbered by the Easement without the prior written consent of Chugach. Chugach has no obligation to provide such consent. 6. No Interest in Real Estate Acquired. Permittee hereby acknowledges that the Encroachment and any additions thereto, even if in violation of this permit, has not and shall not in the future give rise to any interest or estate in the real property subject to the Easement or any other real property. Without in any way limiting the foregoing, Permittee acknowledges that the Encroachment is not adverse to any interest of Chugach and its continuation is entirely with the permission of Chugach for purposes of the common law doctrine of adverse possession. This permit creates no interest in the real property subject to the easement. 7. Modification of Utility Facilities. If the electric utility facilities located within the Easement are upgraded, added to, replaced or reconstructed, Permittee shall pay that portion of Chugach's total costs for such modification which is reasonably attributable to accommodating or preserving the Encroachment. If such payment is not made within thirty (30) days of written demand for same, Chugach may terminate this permit in accordance with paragraph 9, below. 8. Covenants Running with the Land. The obligations of the Permittee arising from this permit shall be covenants running with the land which shall burden the Parcel and the Permittee's interest in the land subject to the Easement and shall benefit the Easement. 9. Termination. Chugach may terminate this permit after the giving of thirty (30) days written notice of such termination if: a. The Encroachment is enlarged, increased or extended within the real property affected by the Easement. b. The Encroachment is damaged by any means to an extent of more than thirty percent (30%) of its replacement cost at the time of destruction. C. Permittee fails to make the payment described in paragraph 7, above. 10. Term. This permit shall, if not sooner terminated by Chugach, expire forty (40) years from the date hereof. Encroachment Permit - Page 2 of 4 Page 2 of 4 2015-044069-0 11. Entire Agreement. This written permit constitutes the entire agreement between the parties with respect to the subject matter hereof and supersedes all other prior or contemporaneous agreements, oral or written, between the parties. No modifications, amendments, deletions, additions or alterations of the permit shall be effective unless in writing ancjsigned,by all o�k rties hereto. CHUGACHELECTRIC ASSOCIATION, INC. By: cLL6h�� Shelly Schmi , enior Manager Distribution Engineering Date: Ii laalaVl5 for Crown Pointe, Inc. Date: Encroachment Permit - Page 3 of 4 Page 3 of 4 2015— 044069 — 0 STATE OF ALASKA ) ) ss: THIRD JUDICIAL DISTRICT ) The foregoing instrument was acknowledged before me this c)V'day of �iRke-W- 2015, by WPAe� W, lliam Cl Ab (PRINT NAME(S) OF PERSON(S) SIGNING DOCUMENT) STATE OF ALASKA ) ) ss: THIRD JUDICIAL DISTRICT ) N ary Public in and for the State of Alaska My commission expires: q161/5 instrument was acknowledged before me this jZ'W day of 2015, by ghco/y se -XI IIC7f , T Senior Manager, Distribution Engineering of Chugach Electric Association, Inc., an Alaska corporation, on behalf of the corporation. NOTARY PUBLIC. AFTER RECORDING RETURN TO: Chugach Electric Association, Inc. P.O. Box 196300 Anchorage, Alaska 99519-6300 Attn: Land Services Department / � Z'�l� Notary PtrbKc in and for the State of Alaska My commission expires: e -'91-2O1B Encroachment Permit - Page 4 of 4 Page 4 of 4 2015-044069-0 On -Site Water & Wastewater System Permit 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 Permit Number: OSP151058 Tax Code Number: 02004362000 Work Type: WellSeptic Initial Permit Effective Dates: April 02, 2015 to April 01, 2016 Design Engineer: ANDERSON ENGINEERING Subdivision: SHANGRI-LA ESTATES EAST Site Legal Address: SHANGRI-LA ESTATES EAST BLK 3 LT 1 G:3239 Owner/Address: ANCHORAGE DEVELOPMENT & CONSTRUCTION LLC 9441 ABBOTT LOOP ROAD ANCHORAGE AK 995074221 Site Mailing Address: 16071 MOUNTAIN AIR DR, Anchorage This permit is for the construction of: Y Disposal Field Y Septic Tank N Holding Tank N Privy Lot Size in Sq Ft: 40179 Total Bedrooms: 4 Y 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 Issued By i6ekn Community Development DepartmentAa 78 Development Services Division x.907234-997 On -Site Water & Wastewater Program ON-SITE SEWER/WELL PERMIT APPLICATION MAR 2 J 2015 Parcel I.D. 020-043-62 Property owner(s) Anchorage Development & Construction LLC Day phone Mailing address 9441 Abbot Loop Road Anchorage, AK 99507 Site address 16071 Mountain Air Drive Anchorage, AK 99516 Legal description (Sub'd., Block & Lot) Shangri-La East, Block 3, Lot 1 Legal description (Township, Range & Section) Lot Size 40,179 Sq. Ft. Number of Bedrooms Four (4) APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field ❑X Initial ❑X Single Family (SF) ❑X (w/wo ADU) Septic Tank 1ZUpgrade ❑ Duplex ❑ (D) Holding Tank F1Renewal ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑X 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. owner or Permit/RushFees: 0F7V_ Waiver Fees: Date of Payment: OA L6: Receipt Number: 093 Cie Permit No. 0SP/5-In'bJ Permit App__ .:�..:c. Date of Payment: Receipt Number: Waiver No. ANDERSON ENGINEERING P.O. BOX 240773 - ANCHORAGE, AK 99624 522-7773 677-7766` (FAX) March 23, 2015 Municipality of Anchorage Development Services Department On -Site Water and Wastewater Program 4700 South Bragaw Street Anchorage, AK 99519-6650 Subject: Lot 1, Block 3, Shangri La Estates East Subdivision Septic System Design and Permit Application Impacts to Adjacent Properties Dear Onsite Services Engineer: The owner of Lot 1, Block 3, Shangri La Estates East Subdivision intends to construct a new four-bedroom home on the lot. We are therefore requesting a permit be issued for the construction of a new well and septic system to accommodate the home. The attached Site Plan and backup documentation identify the location and configuration of the proposed well and septic system along with the alternate site. Lots on all sides of the lot are currently vacant so no conflicts exist between the proposed septic system and well or septic systems and wells on adjacent lots. Drainage arrows are shown on the site plan showing the grade and direction of flow on the lot. The drainage pattern will not be changed as a result of this project. The test holes placed on the lot in the area of the absorption trench and alternate site. indicate silty gravel with sand (GM) to a depth of 4'. This lense is underlain by well graded gravel (GW). The percolation rate of the soil was determined to be less than 1 minute per inch. No groundwater was found during the placement of the test hole and none was noted during the monitoring period. Plat notes require the use of nitrate reducing septic systems on the lot. We have therefore specified an Advantex Treatment System to accommodate four bedrooms. An application rate of 5.0 gallons per day per square foot was used in the design of the absorption system. We are proposing to place a new 1,500 gallon Advantex Tank and AX -20 Pod and a 25' long by 5' wide by .5' effective depth absorption trench to treat and dispose of the effluent generated in the house. A minimum of 2' of filter sand will be placed beneath the drainfield rock to slow the percolation of the septic effluent. The elevation of the distribution line in the absorption trench will be 3.5' below the surface and the total depth will be 4' plus 2' for the filter sand. A minimum of 3' of fill or 2" of insulation and 2' of fill will be placed over the absorption trench and 4' over the septic tank. The Lot 1, Block 3, Shangri La East Subdivision March 23, 2015 Page Two surface of the lot will allow gravity flow from the pod to the absorption trench so an add on lift station is not required. The ground surface on the lot in the area of the septic system slopes to the northeast. The new trench will be constructed parallel with the contours of the slope as much as possible in conformance with Municipal requirements. The new septic system will be constructed a minimum of 100' from all wells and any surface water and 10' the proposed and existing water services in the area. If the system is constructed in accordance with our design the following statements apply: 1. The system, if constructed as designed, will have no adverse impact on the wells in the area or those to be constructed in the future. 2. The system, if constructed as designed, will have no adverse impact on existing septic systems in the area or those to be constructed in the future. 3. The system, if constructed as designed, will have no adverse impact on reserve space, either surface or subsurface, on any lots located in the area. 4. The system, if constructed as designed, will have no adverse impact on drainage patterns in the area. The current drainage pattern will be maintained. Sincerely, -A -- Michael E. Anderson, P.E. Attachments W, 49th _ MICHAEL E. ANDERSON M, Y U O J m tT O J H z Q Q Lij 06 s x a � • ° \\ ``moo 0. \ S QI J w J a U LOT 1 BLOCK 3, SHANGRI-LA EST. EAST SUBDIVISION DESIGN FACTORS: SYSTEM REQUIREMENTS Four Bedroom Home 5' Wide Trench System Perc. Rate: 1.2 Min./Inch Four Bedroom Advantex Treatment System Application Rate: 5 GPD/SF with AX -20 Pod - Gravity Flow 2' Drainfield Rock 4 Bedrooms * 150 GPD/Bedroom = 600 SF Absorption Area 600 SF/5 GPD/SF/5 SF (Width)*.7 (Red. Factor) = 16.8 LF Trench Length THEREFORE: Construct a 25' Long x 5' Wide x 2' Effective Depth Absorption Trench. Flow Line Elevation in Trench to be 3' Below Original Ground Surface. Total Depth to be 5' Below Existing Ground. Provide 3' Cover Over Absorption Trench and 4' Cover Over Septic Tank. Gravity Flow From Pod to Absorption Field. 5' TYPICAL 5' WIDE TRENCH SECTION (NO SCALE) NOTE: Grade Area Over Trench to Drain Away. Minimum 6' Separation From Bedrock. Minimum 4' Separation From Groundwater. Minimum 100' Separation From Private Wells in the Area. Minimum 100' Separation From Surface Water or Streams: 49th MICHAEL E. ANDERSON No. CE -4381 1 2 3 4 5 6 7 8 9 C01 MUNICIPALITY OF ANCHORAGE DEVELOPMENT SERVICES DEPARTMENT/ON-SITE WATER AND WASTEWATER PROGRAM 4700 ELMORE ROAD, ANCHORAGE, AK 99519-6650 SOILS LOG - PERCOLATION TEST PROJECT #: PERFORMED FOR: Crown Pointe Homes DATE PERFORMED: 4/8/2015 LEGAL DESCRIPTION: Lot 1 Block 3 Shanari La Estates East TEST HOLE # 1 SLOPE SITE PLAN OG/OL Silty Gravel GW/GM BOH WAS GROUNDWATER ENCOUNTERED? No S L IF YES, WHAT DEPTH? 0 DEPTH OF WATER None P AFTER MONITORING: E DATE: 4/9/2015 .. 49tf'V h `* ............ . . f MI ............. .......;... MICHAEL E. ANDERSON ty° No. CE -4381 s •., �TFa_•.LI- A�4n•�4.'� See Site Plan READING DATE GROSS TIME NET TIME DEPTH TO WATER NET DROP 1 4/8 12:42/12:52 10 1.13/9.75" 8.62" 2 12:53/1:03 10 1.00"/9.62" 8.62" 3 1:04/1:14 10 1.25"/9.87" 8.62" 4 1:15/1:25 10 1.00"/9.62" 8.62" 5 1:26/136 10 1.25"/9.87" 8.62" 6 1:37/1:47 10 1.00"/9.62" 8.62" FERC RATE: 1.2 MIN./INCH PERC. HOLE DIAMETER: 6" TEST RUN BETWEEN 4.S FT. AND--1-5--FT. COMMENTS: Test Hole Pre Soaked Prior To Percolation Test. TEST PERFORMED BY: MEA I, MICHAEL E. ANDERSON, CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES ON THIS DATE: 4/9/15 W.O.# 05716 DHI CONSULTING ENGINEERS \ �+ 800 E. DIMOND BLVD. SUITE 3-545 ANCHORAGE, ALASKA 99515 SOILS LOG -PERCOLATION TEST(�TH •' f ` TEST HOLE LOG # L183 -4:..... PERFORMED FOR: ANCHORAGE DEVLOP. & CONST. DATE PERFORMED: 2/01/06 LEGAL DESCRIPTION: LOT 1, BLOCK 3 SHANGRA-LA EAST SUBD FROZEN ORGANIC MAT/ROOTS ✓V 1 ,^" 2 RED, SILTY SAND '•'' WITH GRAVEL 3 ' 4 6 7 8 9 10 11 12 13 14 15 16 17 BROWN, WELL GRADED, SANDY GRAVEL, TRACE SILT, GW SLOPE �OLJNNID Utt cylum. p �•, CE 5807 fere �'•..... ••'�� \, � Vww�iA lk Date:$1?_f.1_ SITE PLAN WAS GROUND WATER S ENCOUNTERED ? NO L IF YES, AT WHAT 0 DEPTH ? P BROWN, WELL GRADED, SANDYDEPTH OF WATER E GRAVEL, TRACE SILT, AFTER MONITORING ? NONE MAY 16, 2011 OCCA. ROIllDFR 1R" DATE: B.O.H. (BEDROCK) RFlDR1G DAZE CROSS ]WE NET TMEMET DROP iEAORAT: ISS MIN. 1Y 12' U41 2 2/2/06 to 2.0 5:10 MIN. 1Y 12" 0.43 3 2/2/06 1.34: 00� 4:00 MIN. 6` 6" 0.67 4 2/2/06 ! :1013-3:57 0:57 MIN. 6" B` 0.65 5 2/2/06 :4: — 1.46:1 4:10 MIN. 6' PERCOLATION RATE: 0_70 (MINUTES/INCH.) PERCHOLE DIAMETER: 6„ TEST RUN BETWEEN: 3.5 FT. AND 4.O FT. COMMENTS: THIS TEST HOLE INFORMATION IS PROVIDED TO COMPLY WITH THE SUBDIVISION APPROVAL PROCESS AS OUTLINED IN AMC 15.6.1803.1. ANY USE OF THIS DATA FOR ANY OTHER PURPOSE, INCLUDING THE DESIGN OF AN INDIVIDUAL SEPTIC SYSTEM IS STRICTLY PROHIBITED, WITHOUT THE WRITTEN CONSENT OF THE ENGINEER OF RECORD. ALL SOILS WERE PRE—SOAKED PRIOR TO STARTING THE PERCOLATION TEST. PERFORMED BY: DHI CONSULTING ENGINEERS. I DEE HIGH CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 2 07 O6 716CSSID MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water B 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: SW060347 Legal Description: HORACE TRACT 2 Design Engineer: 0060 DHI ENGINEERING Owner Name: ANCHORAGE DEVELOPMENT & CONS Owner Address: 9441 ABBOT LOOP ROAD ANCHORAGE, AK 99507-4221 Date Issued: Oct 24, 2006 Expiration Date: Oct 24, 2007 Parcel ID: 020-043-13 Site Address: NHN MOUNTAIN BREEZE DRIVE Lot Size: 1739258 SO. FT. Total Bedrooms: 0 Permit Bedrooms: 0 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, seated, and heated to prevent freezing. 5. The following special provisions. -WHEN THE WELL HAS BEEN COMPLETED AND SATISFACTORY WATER PRODUCTION HAS BEEN DETERMINED, THE WELL DRILLER SHALL PLACE AN APPROVED SANITARY SEAL ON THE WELL HEAD AND NO PITLESS ADAPTER OR PUMP SHALL BE INSTALLED UNTIL AN APPROVED WASTEWATER DISPOSAL SYSTEM HAS BEEN CONSTRUCTED. Received By: Issued By: Date: a7 1310 Date: O Z G6 Municipality of Anchorage o • Development Services Department Building Safety Division Onsite Water and Wastewater Program 4700 Bragaw Street "" "• P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907)343-7904 ON-SITE SEPTIC/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. 02004313 weuc Ili" Propertyowner(s) Anchorage Development & Cons tructionDayphone 346-2147 Mailing address 9441 Abbott Loop Road Anch AK Zip Code 99507-4221 Site address N/A Zip Code Legal description (Sub'd, Block & Lot) Horace Subdivision - Tract 2 Legal description (Township, Section & Range) Lot Size 001,739258 Sq. Ft. THIS APPLICATION IS FOR (Sall that apply) Absorption Field ❑ Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well Water Storage ❑ N1/2 Sec 2, T 11 N, R S W, S.M. Number of Bedrooms N/A THIS APPLICATION IS AN: Initial ❑ Upgrade ❑ Renewal ❑ I certify that the above information is correct. I further certify that this application is being made for a Sipste-Fkmily Dwelling and is In accordance with applicable Municipal Codes. (Signature of property Permit/Rush Fees: agent) Waiver Fees: Date of Payment: ZO' 1ZG O ' Date of Payment: Receipt Number. X3%6%5 Receipt Number: (Rev. 11/05) I l Qco of o / IE 10 �/ _ 5 �, 5 \ W N ~ i I '.'I Q O � y 1.0 u to Q O r- W ��—`� Q /r Q o o Q .. Q Li to o CA 0 N Z ^... \ Q I { �. I r n O rl N Qf 9 P O LOT!p • N 2 �Or 6 u �� A \ �V A6 I \ u G O RQ r r v O O COLL / rn W ! O reM —�070 r �'� QF QN r J'y9 O ; c, / O H P co O -1 L" Ila N — / HUlzIA001.r SUBDIVISI0" TRACT B r O Ect00 W J � GOLDENVIEV DR m p 2m m N N oA rn -0-01 x O O r N n y Z Z r T •( O Z Z N Z A W Q -I A� nr m p � Ul Z DK � A A m O • 4 d u O oz mmA D � nA 55 OR. HILL r' EOR j. IU W N M R3W R2W Ect00 r m p 2m m G) oA rn -0-01 x O $p S m r m - n y Z Z r T •( O mr N AO Q -I A� nr m p Z DK � m O O O oz mmA D O OR. z Parcel I.D. 020-043-62 Municipality of Anchorage On -Site Water and Wastewater Program (907)343-7904 Certificate of On -Site Systems Approval Expiration Date: 57H! 1. GENERAL INFORMATION Complete legal description Shangri La Estates East, Block 3, Lot 1 Location (site address) 16071 Mountain Air Drive Anchorage, AK 99516 Current Property owner(s) Crown Pointe Inc. Day phone Mailing address P.O. Box 112313 Anchorage, AK 99511 Real Estate Agent 2. TYPE OF DWELLING: Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4. TYPE OF WATER SUPPLY: Individual Well Individual Water Storage Community Class Well Public Water System WaiverlVariance request for:. Four Day phone i y l ! e w.'v✓Y Ye j jOK poi cr.��e r fv# Y�C/'� TYPE OF WASTEWATER DISPOSAL: I] Individual I] ❑ Holding Tank ❑ ❑ Community ❑ ❑ Public Sewer ❑ Received by: COSA to be released to. the engine ess otherwise requested by the engineer. Date: COSA Fee $ 10111-1603 Waiver Fee $ Date of Payment d(�/S�5 Date of Payment Receipt NumberQo��I C� Receipt Number COSA#- Q �JC�%JJ`—� Waiver # 6 5.. STATEMENT OF INSPECTION BY ENGINEER As certif$p-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 Or. -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm Anderson Engineering Address P.O. Box 240773 Anchorage, AK 99524 Engineer's Printed Name Michael E. Anderson, P.E. 6. DSD SIGNATURE System #1 Approved for bedrooms System #2 Approved for bedrooms Disapproved Conditional approval for bedrooms, Phone 522-7773 Date 10/5/2015 °49 TNR � e..................... .... t„ °MICHAM' Er'ANDERSON ae 0 CE - 4381 44 with the following stipulations By: _ Original Certificate Date: The Municipality of Anchorage�ilevelopment 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 Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA blue sheet r .. 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: Shangri La Estates East, Block 3, Lot 1 Parcel ID: 020-043-62 A. WELL DATA Well type Private If A, B, or C provide PWSID # Well Log (Y/N) Y Date completed 11-12-06 Sanitaryseal (YIN) Y Wires properly protected (Y/N) Y Total depth 406 ft. Cased to 33 ft. Casing height (above ground) >181,n. FROM WELL LOG AT INSPECTION Date of test 11-12-2006 10-6-2015 Static water level 29 ft. 91 ft. Well production 2_ q.p.m. 4.83 g.p.m. WATER SAMPLE RESULTS Coliform --2--colonies/100 mL Nitrate '359 mg/L Arsenic ND ug/L Date of sample: 9/21 /15 B. SEPTIC/HOLDING TANK DATA TankType/Material Septic/Fiberglass/Advantex Tank size 1,500 gal. Number of Compartments 2 Foundation cleanout (Y/N) Y Depression over tank (Y/N) N Date of pumping New Pumper Construction Collected by: MEA Date installed 511115 Cleanouts(Y/N) Y High water alarm (Y/N) Y C. ABSORPTION FIELD DATA Date installed 5/2/15 Soil rating (g.p.d./ftz or ft2/bdrm) 5 GPD/SF System type 5' Wide Length 25 ft. Width 5 ft. Gravel below pipe 2 ft. Total depth 6 ft. Eff. absorption area 178.6 ftz Monitoring tube Y Depression over field N Date of adequacy test New Const. Results (Pass/Fail) For _bedrooms Fluid depth in absorption field before test in. Water added gal. New depth in. Elapsed Time: min. Final fluid depth in. Absorption rate >= g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) If yes, give date D. LIFT STATION Date installed "Pump on" level at Datum _ Size in gallons Manhole/Access (Y/N) in. "Pump off" level at in. High water alarm level at 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 manholelcleanout >100' Sewer /septic service line >25' Holding tank >75 Animal containment areas >50' Manure/animal excrete storage areas > 100' SEPTIC/HOLDING TANK ON LOT TO: Building foundation > Property line >5 Water main >100' Water service line >10 Wells on adjacent lots >100' ABSORPTION FIELD ON LOT TO: Property line >10' Building foundation >10' Water Service line > Surface water >100 Curtain drain None Noted Wells on adjacent lots >100' Absorption field >5, Surface water >100' Water main >10' Driveway, parking/vehicle storage >10' F. COMMENTS **A 4" PVC Well Liner is Located Inside the Casing and Extends to a Depth of 60' Below Grade. G. ENGINEER'S CERTIFICATION I certify that I 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 Michael E. Anderson, P.E. Date 10/4/15 COSA brown sheet -1 0-10-1 2.doc M MiAn E ANDERSON :4 - CE - 4381 4CE-4381 '*Rorisswo QI O v N no `rn Iw "o o E^ z o � m d'1 2 o -c W co c CU 'o N 0 00 N Nmz2vvvgz�x Z D Ixo-Ax m n oo�z� omm p =mp�zZm�°g zm zomm;a ca:: mo o m EU inmm�moz,v� n m o p cm ;muz n 8�DWoD mo 2 jom090�QQo-� m y 2 C U) O -n m Z m v -I � ?cvicv=m ��. ��jvc _ m O 0(j) i — g z Dv 7c �M z IK�POv m iDn O--Di��mOo m m �y�25.00, \ l O 0 0. O� s� o� 30. N CO �X ` 00 \ 0 \ I F w cu 'so 85.2• - _ w �z m� 2 D 0 m of . Qa';•�. ►oar .9�0 .(.0 SSA .00 v o� o mw ^ AS 7 a . s .� •a AIV D -I �y�25.00, \ l O 0 0. O� s� o� 30. N CO �X ` 00 \ 0 \ I F w cu 'so 85.2• - _ w �z m� 2 D 0 m of C Q U) \ OD� J � \ Z s� %0s N 08°04'201,,, 10' T. &E. ESMT. 232.22' Om� D -I z Nr ^l VJ N I N T r^ C Q U) \ OD� J � \ Z s� %0s N 08°04'201,,, 10' T. &E. ESMT. 232.22' ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND REPAIR AGREEMENT BETWEEN MUNICIPALITY OF ANCHORAGE AND /ZoNez /) ljTci�F/E -�S THIS MAINTENANCE AND REPAIR AGREEMENT made and entered into as of this $7 Day of QC roe,&la of 20 /1-, by and between 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 Advantex Treatment System located at (legal description). Lot 1, Block 3, Shangri La Estates East 2. Definitions. Alteration. Any change to the design or function of an AW WTS 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 AW WTS that were included in the original design which would allow the AW WTS 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 to operate the installed system or issuance of a COSA, and shall continue while the AW WTS 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 Eauiyment. 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 AW WTS 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 aereement with an AW WTS service and maintenance provider approved by the municipality and the manufacturer of the AW WTS for the entire term of the AW WTS. 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 AW WTS 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 AW WTS 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: �q�ISS Ct�'J(Vlix� d�1 By: i rsignature) Date: T l )G (print name) �� (_aLW6' Vh W STATE OF ALASKA ) ) ss. THIRD JUDICIAL DISTRICT ) The foregoing instrument was acknowledged 20tt, by n l Q . PUBLIC FOR ALASKA My Commission expires: MUNICIPALITY: By: /ji% (signature) De'b W ck —k n -'y (print name) OF Date: / 0A / 5 Title: C r Recording Return To: SPACE ABOVE THIS LINE FOR RECORDER'S USE ONLY POWER OF ATTORNEY (SPECIAL - ALASKA) KNOW ALL MEN BY THESE PRESENTS: Ronel D. Stephens of P.O. Box 240485, Anchoraee, AK 99524 has made, constituted and appointed, and ese is does make constitute, and appoint Laura M. Brewer of 24 3 blot60gd0_ l9K gS2.4- as his/her true and lawful attorney for ier and in his/her mime, place and stead, and for his use and benefit regarding the following described real Block 3, Shangri-La Estates- East Subdivision, according to the official plat thereof Sled under Plat No. 1-62, in the records of the Anchorage Recording District, Third Judicial District, State of Alaska. ING and GRANTING unto his/her said attorney full power and authority to do and perform all and every act thing whatsoever requisite and/or necessary to be done in and/or about the premises, as fully to all intent and loses as he might or could do if personally present, including but not limited to: contract, agree for, purchase, ive and convey lands, tenement, hereditament, convey, mortgage, hypothecate, bargain, sell and/or sign any intent for remise and release. Also for him/her and in his/her name and as his/her act and deed to sign, seal, ute, deliver, and/or acknowledge such deeds, leases and assignment of leases, covenants, agreements, ]gages, hypothecations, bills, bonds, notes, receipts, evidence of debt, releases and satisfactions of mortgage, meat, and/or any and all other debts, and such other instruments in writing, of whatsoever kind or nature, as be necessary or proper in the premises hereby ratifying and confirming all things that Mather said attorney, ra M. Brewer, shall lawfully do or cause to be done by virtue of these presents. This Power of Attorney expire and terminate on: )f Alaska } Judicial District }ss. this 1{41- rF AttGblL p.0 5 before me, a notary public, personally appeared Ronel D. Step] Nto me to be the 'vidual(s) described in and who executed the within and foregoing instrument, iowledged that helshe signed the same as he/she free and voluntary in act and deed, for the uses and pulp :in mentioned. of AK