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HomeMy WebLinkAboutNORTH SLOPE BLK 2 LT 8 8Gba p _; . Municipality of Anchorage ., . On-Site Water and Wastewater Program • (907) 343-7904 CEC 1 of ' ON-SITE WASTEWATER INSPECTION REPORT '20/5 Permit Number: OSP 161192 PID Number:05051120 Dwelling: 0 Single Family (SF) ❑ Duplex(D) ❑ Multiple (SF and/or D) Project: ❑l New ❑ Upgrade Name: ABSORPTION FIELD JAMES JENKINS, NICOLE WARD Address ❑ Deep Trench ❑■ Shallow Trench ❑ Bed ❑ Mound 31027 PRUDHOE BAY AVE ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 5 5 GPD/SF 0.17 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade Gravel depth beneath pipe Subdivision Block Lot -0.67 Ft.0.5 Ft. NORTH SLOPE 2 8 Fill added above original grade Gravel length Township Range Section 4.17 Ft.50 Ft. Gravel width Beds:Number of Lines Distance between lines SEPARATION DISTANCES 5 Ft. -- -- Ft. To Septic Absorption j Holding Sewer Total absorption area Number of trenches Dist.between trenches Tank ' Field Lift Station Tank Line --From 250 Ft' 1Ft. Well +100 +100 -- -- +25 TANK ❑Septic ❑S.T.E.P. ❑Holding 0 Other Manufacturer Capacity Surface Water +100 +100 __ -- ANCH TANK (ADVANTEX) 2500 Gal. Material Number of compartments Lot Line +5 +10 -- -- STEEL 3 NA LIFT STATION Foundation +5 t10 -- -- Manufacturer Capacity Curtain Drain +25 +25 NO LIFT Gal. Remarks 2' MOA SAND INSTALLED BELOW Pump on level at Pump off level at High water alarm at SEWER ROCK. in. in. in. VEGETATION TO BE PLANTED IN 2017 Pump make and model Electrical Inspections performed by PIPE MATERIAL House to tank 3034 Tank tod 3034 Installer drainfield DAKOTA DIGGERS Drainfield 3034 CO/MT3034 Inspector CHARLES BALZARINI BENCH MARK (Assumed elevation) 100.0 ft Inspection Location and description dates: 1s, 11/11/16 2" 11/15/16 3rd 11/15/16 4th ADVANTEX POD LID COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL Engineer's Stamp „`4�\\‘tR •.•� OF.q iii Conditional Approval: Date •�p� ••"•' lel.1 .. 1 : / ` "T5 fl/eN rOT 2 fit\\\�� SWING TIES/ / - ~ `444` / D A t45 32.3 / •• E 24.934.1 ` , * .(! TM ) .* 6 s__... rjo/- I .„, ` >: ES G BALZARIN( NEIGHBOR'S 100" , C 1E •••��k' WELL RADIUS / I., • ! ,,/ y i . \,f,DRIVEWAY [aC/s/ f(( ( • [`�C� :/ N, o1‘`PROFESS'\c ‘Z\\\tom it FUTURE \. . GARAGE I 4 .` WELL 100 - . RAO,. • �� •' FCO :� C •� HOME ADVANTEX SYSTEM \.: W/2500 GAL TANK & 2AX-30 FILTER PODS. \ .� LOT 8 / / t � TH-1 • \ Y / ^` ,.//ERES TH-t ERES TH-4 ` — — \ 4111110,-1/4.*-- 5'40' TRENCH, 14 0.5' EFFECTIVE SEWER \ THERE; TH-2 ROCK. 2' MOA FILTER TH2 SAND ti 5•x30• RESERVE ..E-S3 �• '•� SITE ;, LOT 9 RETAINING WALL (UNDEVELOPED) LEGEND '. '• o CLEANOUT . ./ • MONITOR TUBE ® TEST HOLE L� PLAN — SCALE: 1" = 40' ONITOR TUBE BLUE BOARD INSULATI• —+100.0' AOVANTEX UD AL FABRIC '8.67 WISHED i ' • i GRADE IESTNOLE 2 4 1111 .0,„99. 94.5' ORIG. GRADE TESTHOLE ELEVATIONS BASED +4' COVER - ON IESTHOLE 2 AND MAY 2016 GROUNDWATER MEASUREMENTS. ����.' �'� �� �� NOTE THAT GROUNDWATER MONITOR LUBE T 1;.e .i.:!;1;:, '5.17 IN SHOWED GROUNDWATER AT APPROXIMATELY 8' DURING CONSTRUCT1ON. 94.67 4.67 95-a 2500 GAL ADVANTEX TANK 4.0 DISTRIBUTION PIPE 0.5 EFFECTIVE SEWER ROCK GROUNDWATER 90.5 (WORST CASE) FILTER SAND NOT SHOWN SCHEMATIC PROFILE VIEW SHOWS ELEVATIONS OF INSPECTED ELEMENTS BUT DOES NOT DEPICT SYSTEM IN ITS ENTIRETY. SCHEMATIC ELEVATION — SCALE: NTS LEGAL DESCRIPTION: NORTH SLOPE BLOCK 2 LOT 8 C&M ENGINEERING SERVICES OWNER: NICOLE WARD DATE:12/06/1E REV: II DRAWN: CB REF: 907-854-5558 SEPTIC RECORD DRAWING Tom Fink, Mayor Anchor Department of Health and Human Services 825 "L" Street P.O. Box 196650 Anchorage, Alaska 99519-6650 January 8, 1990 Gary Gearhart PO Box 770951 Eagle River, Alaska 99577 Subject: Lo% 8 Block 2 North Slope Subdivision #1 Permit #890056, PID #050-511-20 The subject permit, issued by this office for a single family well and/or on-site wastewater system has expired as of December 31, 1989. Permits are issued on a calendar year basis by authority of the Municipal Code of Regulations. A new permit must be obtained from this office for an well and/or on-site wastewater system not installed by the expiration date. If you have drilled the well, a well log needs to be sent to this office for documentation of the installation and to close the permit. If a private engineer inspected the installation of the on-site wastewater system, the original as~built inspection report (three-part form) must be sent to this office for review, approval and documentation. -. When applying for a new permit, the fees are: $90.00 for an on-site wastewater permit; $50.00 for a well permit; $140.00 for a combined on-site wastewater and well permit. If you have any questions, please call this office at 343-4744. Sincerely, John Smith, P.E. Program Manager On-site Services JW/ljm:200 enc: Copy of Permit "Kids Are Our Future" M U N :!; C ii: P A L. }: T Y 0 F:' A N C H 0 R A G E D,.;?ai-,'l:..mer"d:. c~{' Heal't'..h 8..' I-'[Ltmart ~!~,":..'~..r~,i L.. !!!?Li'"6~E,'L~ ~'.'tr'~E:J'lQP..'3. g~¢r, Alaska 9950:t 34:1~;-4720 0 N ..... S t 'T E S E W E R 8.: W lei: L.. L. Name:', GARY GEClI~.IART ¢~(::J4::Jl"(.?.)!]ii!i~.:.;J I:::', 0,, BOX 77095 EAGLE R]:VER, AK 995'7'7 ).",)ay J::'h ,'.:)n e 428...-. ]. 758 J...cd:.. I...ega ].: .%ul::) d :L v i s i tin J', NOR*I'H SL..EtI:::'E St..lBO ~ ~ :L I....c)'l:.: 8 Lot S:i. ze J..gA (sq,'f t,, of acpes) J"Jax Bed r' oc)ms: 'l"h :i. s Per' m J.'L :t 2 Tot a 1 [:;ap ac i t y = 2 B 1 c~c: k: 2 SEP'T'];C 'f'ANK~: M:Ln:i. rnum 't'.crl:..al septic: 'i:.ap.k c:apac:i'Ly: ;L,()O() ga:l.].,'.:)ns,, Each sep'L'.i.c: 'Lank must have at least 2 compartmerd:.s. Dep{h 'Lo top of septic 'Larik (~.~s) ':;: 4,,() · i'eE?tL P(.~}!qt,.tii"(.?.,)!!!~ :J.l'"d.,?.Lt'.l. aticiFi (:!V(.:~:'P '[L.~?d"lk (.cj.;) . WEL..I...i L. og mus'L be subra:L'Lted to Mur't:i. cipali.'Ly o{: Anchc.~paqr.,~, Depar, tm~z~rrL of I,l,~.,d..~,t',.h and Human Sepvic::es within 3;0 days oJ' ~el]. c:cJmpteticlr]. ]:Nt:::ORH D.H.I"I.S. I='RIOR TO 1S'1" 8,: 2ND ];NSF:'IECTIEq'4S BY ENGINEEEI::;.'~ AI:::']'ER OFFICIE Ht3URS CAL.L. 34;;5"'"4681 AND LEAVE A IdE!:S,~AGE,, C]ONSTRUCT PIER ENG!IqI~:ERS ATTACHED AI::"PROVED DESIGN. TH:I;S t:::'IERMtT E×F::'IRES :1.2/3:t./89 ~lql;) MAL. ID I;::'CIR A ,"BZNGLE F'AMIL..¥ HOME,, CERT ];I::'Y THAT ~ :l: am farn:i.l'_i, ar' w:i.'Lh the r'equ:i, pemen'Ls ~'(:~r. on-s:Lte ~e~geps and v~ells as set :[ t,¢:i.l]. :Ln~ta].:L the sys!'..em in ac:eot'dance ~i'Lh all MOA c:ades ~r~(::l pegulat:i.c)ns~ and in compliarlce ~J.T..h 'l:.he clesJ, gn Cr'iter':i.a c:~¢ this per'mit,, I ~J.:!.:l. ac:lhepe t(::) al:L MC)A and State c:)~' A].aska r'equii*ement~ ¢c)p the set bacl< dis'Lances f'r'(:)m any existing well, waste~ater dispc)sal system op public ! t.(rqder's'Land 'Lha'L 'l;.hJ, s I::)epmi'L J.s valid any c~¢Fi].ar'gemeFlt J4:i. 1]. I"ec:lL.(J. Pe ar'i acJd:('t..¢.c)na], pepm:J.t,, (O~.vner') GARY GIENEHAF;W ssued By:: . DATE~ .~.~ Tom Fink, Mayor unicipality of Anchorage Department of Health and Human Services 825 "L" Street P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 May 8, 1989 Lou Butera, P.E. Eagle River Engineering Services PO Box 773294 Eagle River, Alaska 99577 Subject: Waiver Request for Lot 8 Block 2 North Slope Subdivision Waiver Request ~WR890018, Permit ~890056, PID 9050-511-20 Dear Mr. Butera: Your request for waiver of the required 10 foot separation between a septic system 'and a lot line has been approved. waived distance is 0 feet. ' The This approval applies to the existing septic system lot line separation only. Any future upgrade to the septic system will require all separations be met or another approval from this department. Sincerely, Daniel J. Roth Civil Engineer On-site Services DJR/ljw~7 EAGLE RIVER ENGINEERING SERVICES Lou Butera, P.E. P.O. Box 773294 Eagle River, Alaska 99577 Telephone (967) 694-5195 April 19, 1989 Mr. Dan Roth Civil Engineer P.O. Box 196650 Anchorage, Ak. 99519-6650 RE: Lot 8 Block 2 North Slope Subdv. Dear Mr. Roth On behalf of my client, Gary Gerhart, I am applying for a septic system permit and desire a zero lot line waiver. The waiver will allow use of an area of natural mounded soil with a rating of 139. I believe that the extra effort will be worthwhile in providing a longer lasting septic system. The adjacent lot is presently vacant and is a similarly large lot. We are presently contacting the owner to obtain his consent. If you have any questions or if there is any problem please give me a call at 694-5195. Sincerely, Louis Butera, P.E. g69- ~ELL UTILITy E~SEHENT LOT 9 LOT 8 1,895Ac- CREEK SETBA[ ~PBLE N75-23'-10" ~/ PRII'I]HFIF BAY AVENI IE E~SEMENT ~LEA~BUT -o SCALE~ i' = 50' WELL AN]] SEPTIC SITE PLAN _EGAL~LDT 8 BLSCK 2 NORTH SLOPE SUB, D~NER:GARY GERHART C~NTRACTDR:REX TURNER, TURNER CDN3TRUCTIBN EAGLE RIVER ENGINEERING SERVICES :D BX 773294 EAGLE RIVER, AK, 99577 ~94-5195 SPECIFICATIONS FOR ON-SITE SEPTIC SYSTEM LEGAL: LOT 8, 8LOCK 2, NORTH SLOPE St)S. Aa GENERAL 1. The well and septic plan are for a single family r'esidence only. 2. The drawing and or site plan shall be a part of this specification. 3. All materials and workmanship shall meet the Anchorage Department of Health and State Department Of Environmental Conservation require- ments. 4. All soil tests are advisory to the design and are to be verified or modified in the field by the engineer. 5. All excavations and depths are advisory and are to be verified or modified in the field by the contractor to meet Municipality of Anchorage, Department of Environmental Conservation requirements. 6. The excavation is to be exactly in the area shown on the site plan, any deviation requires engineer approval. ?. It is always recommended that a surveyor locate the nearest lot line position and the location of any easements. B o DRAINFIELD 1. The drainfield 2. 3. 5. 6. ?. is to follow the natural land contour to maintain uniform total depth of the trench bottom. The bottom of the drafinfield shall be level, plus or minus 1.5" The total depth of the drainfield excavation is not to exceed 1' at any point. The drainfield gravel is to be covered with typar or fa.bric material. Soil or combination of soil and extruded beard insulation to a depth of 4' or equivalent is to be placed over the drainfield. The area over the drainfield is to be finish graded to prevent ponding of surface water runoff. The septic tank and leachfield must not be closer than 100' to any existing private well, 150' to any Class "C" well, or 200 feet to any community well. RECOMMENDED LEACHFIELD DIMENSIONS TOTAL DEPTH = 1' DRAINFIELD LENGTH = 73' Soil Rating = 183 8edroom Capacity = 2 Septic Tank Size = 1000 GRAVEL DEPTH = 6" DRAINFIELD WID~~. SOILS LOG MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG-- PERCOLATION TEST [-I PERCOLATION TEST PERFORMED FOR: DATE PERFORMED: LEGAL DESCRIPTION; SLOPE SITE PLAN .8 9 10 11 12 13 14 15 16 17 ROUND WATER S ENCOUNTERED7 /V'~;- j' L O P E YES, AT WHAT /' DEPTH? '~ /-'/~ EN IF DE I PEF Gross Net Depth to Net Reading Date Time Time Water Drop 18- 19- 20- COLATION RATE '"1-/~ (minutes/inch) TEST RUN BETWEEN FT AND -- FT COMMENTS PERFORMED BY: 72-008 Eagle R:ver Engineering Services P. 0. 9"-× 773294 Eagle River, AK 99577 69~-5195 CERTIFIED BY: DATE: [] SOILS LOG MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION [] PERCOLATION TEST 825 L. Street. Anchorage, Alaska 99501 264-4720 SOILS LOG- PERCOLATION TEST PERFORMED FOR: DATE PERFORMED: Z~'/.~/ LEGAL DESCRIPTION: ~7L- C~' /~/'~' ''~ /9//~-7~ ~--J~_~ ~- 7'///-.-.-.-~ ./V' /~'~/~c- ._~'~¢ .~).~. SLOPE SITE PLAN ENCOL IF YES DEPTH PERCO 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 ; GROUND WATER S )NTERED? /~/~'.3- P E AT WHAT ~>/-7/ // Gross Net Depth to Net Reading Date Time Time Water Drop :OLATION RATE "~ c~ ,~"~"~"~"~"~"~-,,~-- {,, ,:,..[.~., :,,apg TEST RUN BETWEEN FT AND ft COMMENTS ~-'~.r~ ~.~/~,~ ~ ~/~G ~ ~M~ u~ ~ ~, ~, ~' PERFORMED BY: 72-008 (6/79) Eagle River Enginearing ServiCeS P. O. 90× 773294 ~agle River, AK 99577 694-5195 CERTIFIED BY: MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG- PERCOLATION TEST PERCOLATION TEST PERFORMED FOR: DATE PERFORMED: LEGAL DESCRIPTION: 3 7 0 10 12 14 20- SLOPE SITE PLAN WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? Gross Net Depth to Net Reading Date Time Time Water Drop PERCOLATION RATE TEST RUN BETWEEN .~-// (minutes/inch) ~, FT AND ,'~ COMMENTS Eagl~ River Engineering Services CERTIFI ED BY: PERFORMED BY: · , 0. ~u~ 7732~4 E,~glg River, AK 99577 694~5195 72-008 (6/79) MUNICIPALITY. OF ANCHORAGE DEPARTMENT OF HEALTH AND ENV'I RONMENTAL PROTECTION 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG- PERCOLATION TEST SOILS LOG PERCOLATION TEST PERFORMED FOR: DATE PERFORMED: LEGAL DESCRIPTION: SLOPE SITE PLAN 2 3 7 8 g 10 WAS GROUND WATER 11 ENCOUNTERED? IF YES, AT WHAT DEPTH7 13 1 Gross Net I Depth to Net Reading Date Time TimeI Water Drop 14 15 16 17 18 20- PERCOLATION RATE //~ (minutes/inch) TEST RUN BETWEEN ~ FT AND ~:~ FT COMMENTS PERFORMED BY: Eagle R;ver Enging0rino Service.., CERTIFIED BY: ~~ DATE: P. 0. Box 773294 Eagle Rivgr, AK 99577 604-5195 72-OO8 (6/79) r U5 '4c..., Municipality of Anchorage °". On-Site Water and Wastewater Program (907) 343-7904 Certificate of On-Site Systems Approval Parcel I.D. 05051120 Expiration Date: (%''-II 7 1. GENERAL INFORMATION Complete legal description NORTH SLOPE BLOCK 2 LOT 8 Location (site address) 31072 PRUDHOE BAY AVE Current Property owner(s) NICOLE WARD, JAMES JENKINS Day phone Mailing address 30723 SAGWON AVE, EAGLE RIVER Real Estate Agent Day phone x___ 5„ 1 ti y 10 77 2. TYPE OF DWELLING: r� RUSH! '4 [J Single Family (w/wo ADU) 111 Duplex ii JUN0 5 2017 '" E] Multiple Dwellings (Single Family and/or Duplex) KIP-il A ^'3. NUMBER OF BEDROOMS: 5s e 9 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well 0 Individual 0 Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ WaiverNariance request for: NONE Distance: NA 6/( 7Received b, : �_ Date:6/ COSA to be relea . . engineer,unless otherwise requested by the engineer. COSA Fee $ iii• 107 Waiver Fee $ Date of Payment 62/6Date of Payment Receipt Number D a WqD Receipt Number COSA# 041C/WV/ Waiver# 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On-Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm C&M ENGINEERING Phone 854-5558 Address 30840 PRUDHOE BAY Engineer's Printed Name CHARLES BALZARINI Date 06/01/17 �•° • �'4 .57k * " 49TH0' * p 6. DSD SIGNATURE • • • • . r ot System #1 Approved for , bedrooms bedrooms 6 . •RLES G BALZARINT _dr System #2 Approved for bedrooms � ' gE-13854 Disapproved �lFAEU/I/I'�'0\..‘,- 4101.' 0� pR0 ESSION Conditional approval for bedrooms, with the following s;� t ���"°� �'��Q�;t.ITY pc • wig sl rE' �� AA ER RqM �o By: w, (— Original Certificate Date: The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On-Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA blue sheet_.c If more than 1 septic system is on the lot: COSA Checklist # 1 of 1 Structure served by this system 1 Certificate of On-Site Systems Approval Checklist Legal Description NORTH SLOPE BLOCK 2 LOT 8 — Parcel ID. 05051120 A. WELL DATA Well type PRIVATE If A, B. or C provide PWSID# Well Log (YIN) Y Date completed 9/28/16 Sanitary seal (Y/N) Y Wires properly protected (Y/N)Y Total depth 142 ft. Cased to 142 ft. Casing height (above ground) 24 in. FROM WELL LOG AT INSPECTION Date of test 9/28/16 NEW Static water level 57 ft NEW ft. Well production 7 g p.m NEW g.p.m. WATER SAMPLE RESULTS: Coliform NEG colonies/100 mL Nitrate 0.1 17 mg/L Arsenic ND ug/L Date of sample 05/25/17 Collected by: C&M ENGINEERING B. SEPTIC/HOLDING TANK DATA Tank Type/Material ADVANTEX/STEEL Date installed 11/ 15/1& Tank size 2500 gal Number of Compartments 3 Cleanouts (Y/N) YES Foundation cleanout (Y/N) Y Depression over tank (YIN) N High water alarm (Y/N) NO Date of pumping NA Pumper NA C. ABSORPTION FIELD DATA Date installed 177 1t Soil rating (g.p.d./ft2 ) 248 � System type shallow Length 50 ft. Width 5 ft Gravel below pipe 0.5 ft. Total depth 4 ft. Eff. absorption area 250 ft2 Monitoring tube Y Depression over field N Date of adequacy test NA Results (Pass/Fail)PASS For 5 bedrooms Fluid depth in absorption field before test 0 in Water added 0 gal. New depth 0 in. Elapsed Time: 0 min. Final fluid depth 0 in Absorption rate >= 750 g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) NONE KNOWN If yes, give date NA D. LIFT STATION Date installed NA Size in gallons NA Manhole/Access (Y/N) NA "Pump on" level at NA in. "Pump off' level at NA in. High water alarm level at NA in. Datum NA Cycles tested NA Meets alarm & circuit requirements? NA 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 +100 Public sewer manhole/cleanout +100 Sewer/septic service line +25 Holding tank +100 Animal containment areas +50 Manure/animal excrete storage areas +100 SEPTIC/HOLDING TANK ON LOT TO: Building foundation +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 -C:c( 5rWt ( ( stdpI P.e4Z . 2, PAsth,,„,f G. ENGINEER'S CERTIFICATION QF viAk. . , !1St 4 I certify that I have determined through field inspections and review of Municipal records that the above systems are in ****451%.,;°°#, conformance with MOA COSA guidelines in effect on this date. �• . Engineer's Printed Name CHARLES BALZARINI Date 6/01/2017 HARLES G BALZARINI ft,t ` , CE-13854ti� COSA canary sheet_2-6-15.doc LOT 3, BLOCK 3 / NORTH SLOPE SUBDIVISION #1 / --. ,i / LOT 2, BLOCK 3 NORTH SLOPE SUBDIVISION #1 5 5' UTILITY EASEMENT _ _ 69`03$„ f- 302•35. v- . OT 7 / ' , — �. \ 1 69.7' �_ _ _ r N / WELL ® CONCRETE I I r \ ` I o /FOUNDATION \\)---- — to 1 \ o ra.p p NI- to 'O0 o • o lv \ ` J�; 4ao �? 0 49 7 g PO \. Gi• p Q/' ..zz.o: '..o �- LOT 8 \ q �� SSMH� ° co m \ D ia ocri a ;y \ N 9�- ,-n SSCO (TYP)--- 4.1• 0 Z \s,,,.1.:,,, s2 24-0 0 o LOT 9 POWER METER \ �0 ro i r-? • i _ %� / r / ~ ----,O/ POWER fps 1 'O E /,-, ~ • NOTES: \ 1. UTILITIES OTHER THAN THOSE SHOWN MAY EXIST ON THIS SITE. ONLY THOSE UTILITIES SEEN ON THE DATE OF SURVEY ARE SHOWN HEREON. 2. IT IS THE RESPONSIBILITY OF THE OWNER TO DETERMINE THE EXISTENCE OF ANY EASEMENTS, COVENANTS, OR RESTRICTIONS WHICH DO NOT APPEAR ON THE RECORDED SUBDIVISION PLAT. 3. THIS DRAWING WAS PREPARED IN ACCORDANCE WITH THE A.S.P.L.S. MORTGAGE SURVEY STANDARDS. THIS SURVEY DOES NOT CONSTITUTE A BOUNDARY SURVEY AND IS SUBJECT TO ANY INACCURACIES THAT A SUBSEQUENT BOUNDARY SURVEY MAY DISCLOSE. UNDER NO CIRCUMSTANCES SHOULD ANY DATA SHOWN BE USED TO CONSTRUCT ANY FUTURE STRUCTURE, FENCE, OR ANY OTHER IMPROVEMENTS. 4. ALL BEARINGS AND DISTANCES SHOWN ARE RECORD, UNLESS OTHERWISE NOTED. ASBUILT SURVEY ©BULL MOOSE SURVEYING 2016 LOT 8, BLOCK 2, NORTH SLOPE SUBDIVISION ANCHORAGE RECORDING DISTRICT, ALASKA440 "V,h REVISION BY DATE �� OF At 04 MORTGAGE SURVEY CERTIFICATE: '\�.••"'••.•`I / BULL MOOSE SURVEYING I HEREBY CERTIFY THAT I, OR 0%P••* '.. • SOMEONE UNDER MY DIRECT 0 c").. 'Jr- Y' • ROBERT S. HOFFMAN SUPERVISION, HAVE PERFORMED A TH* ; 49I' •'. * or 200 HYGRADE LANE, WASILLA, ALASKA 99654 MORTGAGEE'S INSPECTION ON THE (907) 357-6957 FAX (907) 357-6977 FOLLOWING DESCRIBED PROPERTY, % Certified Drilling Log DOG CO dba ' N 8. E ULLIVAN WATER WELLS 110111-11-- P.O. Box 670269, Chugiak,AK 99567 688-2759 OWNER OF LAND: Nicole Ward &James Jenkins Bore Hole Data ADDRESS: 31027 Prudhoe Bay Ave Eagle River AK 99577 Depth LEGAL DESCRIPTION North Slope Block 2 Lot 8 From To DATE: 11-10-16 0 2 Casing Stickup PERMIT NUMBER: OSP161192 DATE OF ISSUE: 9-28-16 TAX IDENTIFICATION NUMBER 05051120000 2 4 Overburden Is well located at approved permit location: ®Yes nNo 4 28 Silty Sand &Gravel w/Boulders Method of Drilling: ®air rotary cable tool 28 90 Tight Silty Sand &Gravel w/Clay& Boulders Depth of Well: 142' 90 104 Silt & Sand Casing Type: Steel Wall thickness _250 inches Diameter: 6 inches, depth 140 feet 104 125 Hardpan & Boulders Liner type 125 139 Hardpan w/Clay 3 GPM Static Water Level: 57 feet Recovery Rate 7 ® gpm ❑ gph 139 142 Bleeding Hardpan 7 GPM Method of Testing Air Well Intake Opening Type:®open end ❑open hole ❑ Screened Start feet Stopped ❑ Perforations Start feet Stopped Grout Type: Bentonite Volume: 50 lbs Depth:from 2 feet,to 42 feet Well Disinfected Upon Completion: Elyes IT no Method of Disinfection: Chlorine 50 PPM Comments: WATER UALITY TESTING Conform 2` ,Col/100ml Nitrates tes a'l i mg/L Arsenic ug/t. Drillers Name: Cole Sullivan ATTENTION: It is the responsibility of the property owner to submit a copy of the well log to the proper authority. Municipality of Anchorage: Department of Health & Human Services and/or Department of Environmental Conservation. MatSu Borough: Department of Environmental Conservation. ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND REPAIR AGREEMENT BETWEEN MUNICIPALITY OF ANCHORAGE AND Nilolt iny,rii -5-00t-ins THIS MAINTENANCE AND REPAIR AGREEMENT made and entered into as of this Day of Fkm y e r of 2016 , by and between iV Lite wtYd 4 "Ju n^QS -3-4-1‘t(411. 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 AtV4:r located at(legal description). NotsiAs‘or_ lodi VI s or) LA:4- toc Z. 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 to operate 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: J"1"5 ��n -i S c.nt} Nlc.° tQ. 44)4f j" 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�, r„a By: e. 4J / (signature) Date: '�/2 / N‘rco t e_vx,1T , jt' nt name) STATE OF ALASKA ) ) ss. THIRD JUDICIAL DISTRICT ) The foregoing instrument was acknowledged before me this 2 day of 59'ize-iicrE 20 IG by N:Cafe wMd/4'd fi'roes JcaNfr.5 1„av,f)4-e" N AR PUBLIC FOR ALASKA , Notary Public A i y Commission expires: ,4 yzvJ ZG�761 i MYKHAYLO KRAVTSEV State of Alaska My Commission Expires May 20,2020 0 go-, MUNICIPALITY: By: !)j ) (signature) Date: 97z,c1// (print name) Title: