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HomeMy WebLinkAboutROVIER BLK 1 LT 3Rovier Lot 3 Block 1 #017-121-06 MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program PO Box 196650 4700 Elmore Road Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 hftp://www.muni.org/onsite On -Site Wastewater Disposal System Permit Permit Number: OSP221210 Work Type: Septic Upgrade Tax Code Number: 01712106000 Site Legal Address: ROVIER BLK 1 LT 3 G:3138 Site Mailing Address: 6440 RABBIT CREEK RD, Anchorage Owner: DEAN MARK & ESTHEFANY Design Engineer: FIRST WATER CONSULTING This permit is for the construction of: Effective Date Expiration Date: t»enr �° J � n � Del)ai-t anent Lot Size in Sq Ft: Total Bedrooms: 7/1/2022 7/1/2023 25900 Q Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage All construction shall 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 shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing co 4�_( Gita -t> q br �eSrgr�, -Reeeived-Bry-, _ s S rA e j tO �G C, Issued By: Date: Date: �i�2 `i�Z� 4 ON-SITE SEPTICM/ELL PERMIT APPLICATION Parcel I.D. 017-121-06 Property owner(s) ESTHEFANY & MARK DEAN Day phone Mailing address 6440 RABBIT CREEK RD, ANCHORAGE, AK 99516 Site address 6440 RABBIT CREEK RD, ANCHORAGE, AK 99516 Legal description (Sub'd., Block & Lot) ROVIER BLK 1 LT 3 Legal description (Township, Range & Section) Lot Size 25,900 Sq. Ft. Number of Bedrooms APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field Q Initial ❑ Single Family (SF) 0 (w/wo ADU) Septic Tank 0 Upgrade Q (D) ❑ Holding Tank ❑ RenewalDuplex ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit/Rush Fees: f� 59 15 _ Waiver Fees: Date of Payment: (o/ 7 a 0- a Date of Payment: Receipt Number: R-6 7 13 Receipt Number: Permit No. OSPlq2,1 :� 1 D Waiver No. GADevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Client Forms\Permit Application.doc 0 F�Fst Wder C O N S U L T I N G : t t fil 13030 Sues Way, Anchorage, AK 99516 907-350-9566 / firstwaterAK@gmail.com April 5, 2023 Municipalities of Anchorage On -Site Water & Wastewater Program 4700 Elmore Road Anchorage, AK 99507 RE: OSP221210 - SEPTIC SYSTEM UPGRADE PERMIT LEGAL: ROVIER BLK 1 LT 3 In lieu of removing and replacing the existing absorption bed as previously permitted, Mike N. Anderson, PE has conducted soils excavation (MNA #1 TH) as attached and the design has been modified to install the proposed deep trench with a diverter to have two absorption fields. Also, as MOA requested, attached is the MOA AWWTS of the new owner. The installation of this Advantex septic system was delayed due to supply chain and weather issues. Mike N. Anderson would like to install the septic system next week. The lot and area are served by private wells. The design is based on the existing soils, slopes, and available documents. The separations will be staked prior to construction and a new as -built survey completed after installation. The design will not impact any of the neighboring properties. Please contact us if you have any questions. Sincerely, Curtis Huffman, P.E. F"[S[ Weil, ^iial f c 2 A( DESIGN CALCS: 4BR X 150 GPD = 600 GPD 600 GPD/2.0 GPD/SF = 300 SF SAS 300 SF / (2 X 5'ED) = 30 FT. TRENCH USE 1 TRENCH — 35'(L) X 2'(W) X 5'(ED) TOTAL MAX DEPTH FROM EXISTING GRADE: —8' NOTES: STAKE PROPERTY LINE & WELL RADIUS PRIOR TO CONSTRUCTI❑N NO DOWN SLOPES >25% WITHIN 50' OF PROPOSED FIELD. i A%AOFfM IIpJ2 K. aw ! fill XAw mm W mac FAAwm FFD/ mm M CrIm 1 um /E917E't[Fq X Ulm % C YAX °FPM liXHpl -'r ►NW1II W 9GPE KW FA%VEM1%X° d� Lot Y STM. W. W PINA7F ML RAO% d AXT KWAM RAIM NO PRIVATE WELLS u* s WITHIN 100' OF PROPOSEC ADVANTEX SEPTIC TANK ROVIER BLK 1 LT 3 PREPARED FOR: ESTHEFANY & DEAN MARK 6440 RABBIT CREEK RD ANCHORAGE, AK 99516 10(f coo `-to' TkE FASQIENI' FIRST WATER CONSULTING 13030 SUES WAY ANCHORAGE, AK 99516 907-350-9566 FirstWaterAK@gmoil.com DESIGN BASED ON RECENT LANG ASB & MOA RECORD DOCUMENTS & MNA #1 ATTACHED TEST HOLE. SUPPORToSERVICES: OF ALS 9 TH DATE: 4/5/2023 urtis Huffman SURVEY: LANG "f CE 128991 of DRAWN: FWCS 4/5/2023x41 SCALE: 1" = 50'N,phbsslo�Py PAGE: 1 OF 2 DESIGN DETAILS: INSTALL NEW 1500—GAL ADVANTEX W/ AX20 POD SEPTIC TANK SYSTEM. MAINTAIN 10'+ FROM FOUNDATION, 50' TO PRIVATE WELLS, 5' TO FIELD & DECK SUPPORTS WITH 4' OF COVER OR INSULATION. INSTALL 1 35'L x 2'W x 5'ED TRENCHES —8' FROM GRADE w/ INSULATION &/OR 2'+ OF COVER MAINTAINING 50' TO PRIVATE WELLS / SURFACE WATER, 5' TO LOT LINE,.... INSTALL PER AMC 15.65, 15.55, & MASS ... TANK BEDDING, SEPARATIONS, MATERIALS. EDGE OF PAVEMENT NEW AX20 FAP2.0 OR 1500 -GAL TANK W/ AX20 POD W/ NEW DCO & DIV TO ORIGINAL BED & PROPOSED TRENCH MAINTAINING 5' FROM TANK TO FIELDS EXISTING BED TO REMAIN AS ADDITIONAL ABSORPTION BED STAKE PL, ESMT & WELL RADII PRIOR TO CONST. GRAVITY FLOW FROM THE DIVERTER TANK. NEW 35' LONG X 5' ED X 8' MAX DEPTH TRENCH. INSTALL PARALLEL TO SLOPE. NEW 35' LONG X5'EDX8' -1 MAX DEPTH TRENCH , Lot 2 STAKE & MAINTAIN 50'+ TO PRIVATE WELL RADII & ANY SURFACE WATER. 0 o� N I u2 POND ROVIER BLK 1 LT 3 PREPARED FOR: ESTHEFANY & DEAN MARK 6440 RABBIT CREEK RD ANCHORAGE, AK 99516 FIRST WATER CONSULTING 13030 SUES WAY ANCHORAGE, AK 99516 907-350-9566 FirstWaterAK@gmoil.com SUPPORTOSERVICES: ®®� A �OFA 4' ®> rwcs 9 TH* DATE:4/5/2023 urtis Huffman LANG FWCS SURVEY: CE 128991 ' DRAWN: 4/5/2023 e SCALE: 1"=30' PAGE: ®ss>o��' -AV 1 OF 2 SOILS LOG - PERCOLATION TEST LEGAL DESCRIPTION: ROVIER Bl, L3 PERFORMED FOR: MARK & ESTHEFANY DEAN DATE PERFORMED: 3/24/2023 DEPTH FEET OG SOILS ORG/OL SM/gm BOH 3/25/23 30 MIN 6" 11/16" 6" 11/16" 6" 11/16" 10 12 14 1-5 16 17 19 19 20 TESTHOLE #1 MNA SEE SITE PLAN FOR SLOPE & LOCATION WAS GROUND WATER ENCOUNTERED? NO IF YES, AT WHAT DEPTH? NA DEPTH TO WATER AT MONITORING: DRY DATE: 4/5//2023 Reading Date Gross Net Depth to Time Time Water Net Drop 3/25/23 30 MIN 6" 11/16" 6" 11/16" 6" 11/16" PERCOLATION RATE 44 (MIN / INCH) TEST RUN BEWTWEEN 5 & 6 FT PERC HOLE DIAMETER 6" PRE-SOAKED PRIOR TO TEST & ALL READINGS TO THE 1/16TH COMMENTS: PERFORMED BY: FWCS / MNA - I MIKE N. ANDERSON CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE & MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 4/5/2023 .o' ENCE Lot 4 —V— 10' T&E EASEM ENT Lot 5 Lot4 PLOT PLAN AS BUILT -2L SCALE 1' 330' GRID SW 3138 Project No. 22-375/A1 11500 Daryl Avenue, Anchorage, Alaska 99515-3049 Lang & Associates, inc. (907) 522-6476 Phone 000F o0�4� Professional Land Surveyors (907) 522-4625 Fax I hereby certify that I have surveyed the following described property: LOT 3, ROVIER SUBDIVISION (Plat No. P-572) Anchorage Recording District, Alaska, and that the Improvements situated thereon are within the property lines and do not encroach onto the property adjacent thereto, that no Improvements on the property lying adjacent thereto encroach on the surveyed premises and that there are no roadways, transmission lines or other visible easements on said property except as Indicated hereon. Dated this the 1 -�f, Day of JDs` -E , WZ , at Anchorage, Alaska 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. 49TH l KENNETH. • .............. •. •o Q�'A .,{_S-5202.•' gJp� pq Ngo AECC963 Municipality of Anchorage Page of �- 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 Permit Number: &W 4f 0 Z'L6 PID Number:. 0171 12.1 0 ( — Name: R ^ VLr•� �e_I�—_ Wastewater System: E) New IS( Upgrade ��� "ddfB33 — (oVNl 6b Cvree_! V�— ABSORPTION FIELD A— Phone: No. of BZ oo e: ❑ Deep Trench ❑ Shallow Trench XBed ❑ Mound ❑ Other LEGAL DESCRIPTION�� Soil Rating: — Total Depth from original grade: I 6.7 GPD/Sq. FL Dt-- 15' Lot:z — Block: Subdivision: Depth to pipe bottom from original grade: Gravel depth beneath pipe J 1 mg, 7- 7- I U Ft. bfl Township: 17ange: Section: 3 Fill added above original grade: Gravel length: 2 12 5— -15t- FL Ft. WELL: ❑ New ❑ Upgrade Gravel dfi trtdiIj Number of lines: Distance between lines: x,o Ft. 5 Ft. Classification (Private, A,B,C): Total Depth: Cased To: _ Total absorption area: Pipe material: Ft. gbi0 So. Ft. — 310 --_ _ _FL Driller; Date Drilled: Static Water Level: Ft e , Installer.— �n Date stpl 8/,e—�q41 Yield:Pump Set at: Casing Height Above Ground: TANK Ft. -- __=PM SEPARATION — ---Ft. DISTANCES ---- ❑ Septic ❑ Holding ❑ S.T. E. P. To Septic Absorption Lift Holding Public/Private Manufacturer: — Capacity in gallons: From Tank Field Station Tank Sewer Lines — Wel — lV/� Material: — Number of Compartments: I o S to S+ -� ®.®®__ v®®>m®��. - LIFT STATION —_ _Watere--- Lot Line 1(D" (U� -' Size In gallons: Manufacturer: Foundation 141 1 �' _ _, — "Pump on" level at: _ Pump off' level at: High water alarm at: Curtain — Pump Make & Model E=lectrical Inspections performed by: BENCH MARK Remarks: — — Location and Des riptio n: — — Assumed Elevation: &lV lhi_-) ENGINEER isft SEAL 1 by: 0"`' '��� Dates: 1st Inspections performed b �3 8 IS l4 `c` rr 2nd . 1 4i S`o t , r - Department of Hew" nd Flu ervices apprc vol / Reviewed and approved — ^— Date: 72-013 (1/91) MOA 25 Permit No. -S W q1 D — Page a of o2_ — Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL. SERVICES DIVISION P.O. Box 196650 G Anchorage, Alaska 99519-6650 • Telephone: 343-4744 On -Site Wastewater Disposal System and/or Well Inspection Report Legal Description: 3/1 120 v i e✓ PID No.:Oil - _la -I - O(o_ 72-013 A (2/91) MOA 25 PAGE 1 OF 1 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT PERMIT NUMBER:SW910226 DESIGN ENGINEER:JEFFREY A. GARNESS OWNER NAME:MCGUIRE ROBERT W & OWNER ADDRESS:6440 RABBIT CREEK RD ANCHORAGE AK 99516 PARCEL ID:01712106 LEGAL DESCRIPTION: ROVIER BLK 1 LT 3 LOT SIZE: 25900 (SQ. FT.) NUMBER OF BEDROOMS: 3 THIS PERMIT: 3 THIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD SYSTEM ALI. CONSTRUCTION MUST BE IN ACCORDANCE WITH: u-ISIi eeGl . M Q DATE ISSUED: 8/02/91 EXPIRATION DATE: 8/02/92 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 FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: ENGINEER MUST NOTIFY DHHS AT INSPECTION. A TWO FOOT T ICK BECAUSE THE GWMATk7//A1/ RE (W MINUTE PER INCH. / / RECEIVED BY: ISSUED BY: JOIftJ �C llrl } ST TWO HOURS PRIOR TO EACH ND FILTER IS REQUIRED E IS FASTER THAN ONE DATE: DATE: �/ Dv�,: A- OT=:it Alaska Water 8e Wastewater Services "Preserving the Last Frontier" RECEIVED AUG 1 1991 Municipality of Anchorage July W, 1991 Dept, Health & Human Services Municipality of Anchorage Department of Health and Human Services Division of Environmental Services On-Sito Services Section F.0 Box 196650 Anchorage, Alaska 09519-6650 Rot: Application for leachfield replacement. Lot: 3, Block 1, Rovier Subdivision. To whom it may concern: Attached is the application, site plan, and design/drawings for the subject loach'fiold replacement. Comments regarding the proposed work are itemized as follows. 1. The proposed bed system is located on a ridge - which runs in the east/west direction._ Approximately .10 feet north of the bed, the property drops off at a slope of .55% down to Rabbit Creek Road, and approximately 10 tool, youth of the bed, the property drops off at slope of 25%_ Installation of the bed at this location does not comply with the 50 too(.. setback required by requlation. However, duo to the fact. that this is the only suitable site on the property for the bed, we are requesting a waiver. Further justification for this waiver can be based upon the fact that the soil layer below the bod is very porous. Consequently, wastewater should percolate downward rather rapidly, minimizing the possibility of wastowater Leaching out the side of the hill 2. The design is based on a percolation rage of ..7 UPD/saq.ft., For the nand f.i.l.tnr layer. A sand falter was required because the gravel soil layer, below the bed, „perked" faster than I minutes per inch. Since the home has three bedrooms, it has a daily design flow of 450 GPD. The required bed area 450/.-7 = 643 sq.ft.. The bed dimensions arca 18'-0" X 36'-0", for a total area of 648 sq. fit. Telephone - Fax 3380246 0 8471 Brookridge Drive 0 Anchorage, Alaska 99504 pAkGF 2 of -� . ]: am not: aware of ,iny impacts that; this ins°talLation would impose on adjacent wet Is, septic systems, or drainag.,:.) Sys hems. Thoro, however, wilt be minimal suitable area on the property for a future replacement field. lF vols have any questions and/or comments please feel free 110 contact me. - RECEIVED Sincerely, - trey W,ghrness, PV., or/Consultant JAG/ jag mega . re . wps AUG 1 1991 Municipality of Anchorqp Dept. Healthy & Human Sona &P V>A/�e 3 OF I mal !✓ II f--�`l C'�'-- 1,.�-- Municipality of Anchorage DEPARl'MENT OF HEAL'rH & HUMAN SERVICES 825 '12' Street, Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION 'TEST PERFORMED FOR: RpB 'TT Ik"lC6t.)I = DATE PERFORMED: LO'r' 3/J Bt•OcK i LEGAL DESCRIPTION: Rovia.. Su6D,VISIOnI Township, Range, Section: BI-im 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 S I LST'`/ Mp-'T`F�IA-L w� oav�wic t„w T-h�lA-t-s 41-01/ SILT 5(ANDy 6 RAvf b• V-6 // WAS GROUND WATER 0 ENCOUNTERED? N S IF YES, AT WHAT A L DEPTH? O P E Depth to Water All / Monitoring? -LA- Dale: -74/ 9 � I Soun7l P�oP UN6 Reading Date Gross Time Net Time Depth to Water Net Drop I -7Iz I II=°" -I/ 30 Mtn N a I A" Mill N A 11A Iz 9l ?-=-IZ 3o In N 1A 117 20 PERCOLATION RATE Ek 7 (minules/inch) PERC HOLE DIAMETER TEST RUN BETWEEN 5—(' )4AND 6 FT 'OMMENTS T�S-T I�l �A/A PP -a 5oal:�f_D Fol; 4 N-ouP-s PERFORMED BY: .�F�_F" 6/k,27,/E5-5 1 ���f CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 72-008 (Rev. 4/85) A �-P� t- LA-yF� fit= A- OF=Munlclpallty of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION TEST PERFORMED FOR: Qo REIN' He�Uui F— DATE PERFORMED: LOT'; , BLOC4 A—. I I n LEGAL DESCRIPTION: DEPTH (FEET) 1 2 3 4 5 �,P-4\JC-- . LA"JF9- 6 7 8 9 10 it 12 13 14 15 16 17 18 19 Township, Range, Section: SLOPE SITE PLAN A (y A. Garness CE -7953 3 CF -7 FT -L] I I I I I I I i l l I-1 WAS GROUND WATER ENCOUNTERED? S L IF YES, AT WHAT DEPTH? N P E Depth to Water Alter Monitoring? _ Bate: % 7 I'�,,Raading I Data I Gross I Net I Depth to I Net Time Time Water Drop 20 PERCOLATION RATE 0 y I (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN 8 / 6 g /FT AND _1—FT I 'OMMENTS Pi —�Ia'I-%I rJ� (AJ/\f; /U07— i2--F-QPuYP.EO 51,JG6— /%� �:Z 41 -IA -7)E.1- 1,J �-65S `7714. 3 MiN n7 so AB_cOP�9D PERFORMED BY: I CERTIFY THAT THI$ TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 72-008 (Rev. 4/85) Lar 21 BLCc-'K 2,W> LE- ap-ook SUB . SEPTIC Sys. NDT WMA10 200' RADIUS Of= Sw,!,rP1.J(s o12, WF -w =tyr ON U)T 3, BLouG1 20V t E R . LDCAIII J of PRIVATI WELL NDT VFjLtPtEp. SEP- ARATIO,\J NI --M"Oa IS &RCA-TEQ TION 100'. _g LOT 1 BL/�GK 2 EA<�rLE912 sU(3DIVISION - WELL 4 sept -I N0'r WtTNIM 200' RADIUS OF- o9- Fo2 NEVJ SEPTIC LOT' 3 BLOGK 1) Rov I E_R pAGa 4-5 of 7 n1EW BF—D -LOT 2 � gLo�k 1) 2a 1IsR SV6DIV15101.1 , UNDEVELOPED LOT-. LKEEK LOT 3J 5V6DIV I ALL LAND TD s.otA-n4 of QovIG2 SuC3. IS UNOF_\IELDPED . FaXISTING TP -EE aA- -} b as ABANDON EP JS PLACE 4o I ,H+C/o SEPTIC -rnNK sEvrtc.-rr�N. F/4_--- / N �o O � Extsrl.sC+ W ELL. I 6 yjaLL. -- �K 1�.) RC7�IEP. LOT 4� BLOGK�; � �'0V1EQ \ SU6DIV IS IOfJ r LEac11 FI ✓LiD 2EPlALE_M1 1J 5" LOT 3 BLocK f2Ov1E2 v . Au� uoe e.e PL-'�.P.c�P� FoK'.. RoBE2T M�C�uI�E ... ... ... •. ror A'cernes c" Fi�EPAP,r O V3\/ : AL/k` a WATER. wPSTEv (A i EJ; SF-R\J cE:s Qty •e CE -7953 p����� Da�E: 7�31�91 I>RAWN Ga2NG55 SCAIE- I (�O ®eO®aoOA®�v NoT�s APPROX• C�+I-� oF-1'ES-1- FW LE Pia (0 OF 7 I I o M a`naM 10' SE.PA2A-1-1 MINIMUM �4 ' I �'EXI�TII.IG 3Q��'T1_'F�u'•jD � —QBE aaAr�DnNED IN P��E EXI TinlCr FIQER�+�-ASS SEPTIL -rz*NK, PARTIALN - W umpr_- A`rjIA•L-T- DR11:iFwA`-1 - Z 1000 GAU-ONS. I—�-,� — j L --UNE Alp 21 I>0WRl nZEAN1 EXisTj0G- FP'Df-1 "'TX�NK �N EVJ� `i•� LINE •Et's�l C TArJ� �-' �O � A- � I�awiJs\��A.r^ c=c�oM '.t• Pry^_- 1 i�nl4d.: �NEW� 9 ALL IAA•T P-IAI S SUALL 6E 1M CDHPLI"(e E� W ITN " STAWDAQos 4 sPE:e1 Flcf4mops FOR, Cp IPONENTS�PAP-TS,54 MATE21AL5 USED IN CoKie,T9-UGTlow OF: ON-SITE wA-sI-F_WA'TEfZ- DIsPoSAL S�/SrEJIS'� WSLI>H�D 6Y M•O.A .AN.1VA-P_y \9q o . 20 �OEW TS2.E>`1G4 51�AL1. Bic COr� 'P._.uLV-F_P IN M.0,A WAGrEWt>Tf.Q. D1SPOSA-f_ �.<=G�.� 5ECT1OW 15 .(o5 . o60.3 E L�hCN FI DLD �>=Pl n CEh1E�11"i l_OT 3� l3lOC_k i. ROV1 P�`rPnP_�=D �oi2 � P�SE�T MSC-�UI�� P EPAPED s3q S ALAF\-A WA"T YiaST�wATE� S v1C s PATE : -7/51/91 D2Aw N GA'<NE SS LLl 2 3 B�D��r1 �ousE W t=x I s,-WG- %NeuL— )y A. Ga CE -7953 •......- PROFESSIOtIa PSE -q- of I. No'rE 1DZPtNFIE4.P Ct.EA�JouTS 514AV - F-A7ajp 1Z" AsoVE ,;2oQND N. C) bwV5:-• u 4q,(' --ne' H -r- WS • CLE4AJO 7-S M • 0 , A SPECS CL17- JOUTS Nal SH-uwN IrJ NIEW, SES PrcE= -OF DGSI(-oi PACKA�� FOP- C -/O LO CA OF- S. NtouND solL @ 4 11 P PvC MorJITo1?4A6TVBF- MDUOD) 50'L-5uRFE;Dept. C/^ C w1•rH CAP. -NBE- Is -r0 RECEIVED C G I Be- PLAaE-D oN aoTR3ti1 vF BED � PERFo,�I•EP pI.IL?f w 12" OPAiN fwcK� AUG 11991 [\-WD SOLID '�r�,:� 70 17-" A$ONp- 6200tJO Municipality of Anchora Health & Human Ser I s I> L $p GKFll1 wlT 1Pa4G�CFILI 111I NA-TIV& SOIL.�i_ _ W v1 = �E z � ?3-0 (./-066^v. 1 3ro�, ^p - 4I a of DRPi„I 8 s� . N a"a o' o o a `T<{1 I I •, d Qj - n ed.d,. •. y+A •a :, •.. °�q •� b:tl. G, •D'.'Q ��•pi ��: -O -.,••• 2" ..� SAND Flll'7=P� — 'l�0 BE IrJ P.ccvR-GA�•1cE � - w1•rN 15.65•ob��D• ��� Z- 4" r'~ irils n t G2AvEL.' So1L L �ILTF� FFlf321C PIPE wI` A "LESS SILT BAR21�L o2 oowN ws-M" -D IcvEl- INSULA-rlc Jj �(E tNrsc�= DEIN R -(Y --K nusr BE I/2 IncH -ro zI/2 SCeEF�ED ROCK y w 1'I'W LESS 7AA�1' 317> PASSW6 34 zoo sIEvE eO J fray A. Garness•• �W \N 'T�Vs/F��.P s=�V 1C 5 o tP • • CE -7953 DC'S= i — 10 �pR0FES51���P 131 �91 DeAwN ca�nJ�ss �g"= I -o" ��0��o0a® 4D51GREm i ER ANCHORAGE AREA BONUGH .J Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL, SYSTEM NAME _ rL�AWv . �L'/SJ>L f-�1�- MAILING ADI_RESS __ '0 JJ��� PHONE LOCATION G'/11 ..�.p`G dAk,- LEGAL DESCRIPTIOt` �_ SEPTIC TANK: c �Lj DISTANCE _ MANUFACTURER - MATERIAL_P�� COM ARTMENTS _ NUMBER OF FROM WELL_ ���� ��' ' '� INSIDE LENGTH INSIDE WIDTH__.___— LIQUID DEPTH ____ LIQUID CAPACITY! GALLONS. TILE DRAIN FIELD: DISTANCE FROM WELL 1� FOUNDATION ��-_NE�AyR�EST LOT LINE _/L "'�- TOTAL LENGTH H� NES ,� NUMBER 01= LINES DISTANCE BETWEEN LINES _­3`__TRENCH WIDTH -16- IN. TOTAL EFFECTIVE ABSORPTION AREA_ "') o SQ. FT, LENGTH OF EACH LINE DEPTH OF FILTER L�, DEPTH: TOP OF TILE TO FINISH GRADE '/ MATERIAL BENEATH TILE �_>1ABOVE TILE —IN. WELL:�(�J�/'+f yy�/ TYPE�/.re `-�- _.CONSTRUCTION -_1 t-�-L/-LD/� _DEPTH I..!__.C_DISTANCE FROM: BUILDING NEAREST FOUNDATION_ LOT LINE CESSPOOL _-- /-, OTHER SOURCES APPROVED.. DISAPPROVED_ DISTANCES: INSTALLED BY:1 / / SEWER LINE DEPTH: I{ PIPE MATERIAL: LOT SLOPE: (e5� REMARKS: Form EQ -032 NEAREST SEPTIC SEWER LINE , TANK_ REMARKS SEEPAGE SYSTEM_ DIAGRAM OF SYSTEM QN 11% ;3[3)'CJ1 Q (-L u- DATEZ"L� APPROV G.A.A.B. / ����X��U_���������� DEPHRTMENT OF HEHLTH HND ENVlRONMENTRL PROTECTION 2510 ETUDOR RD./ ANCHORAGE, HK507 276~2221 �F-E. L- I--- g.�� I EA :1 A E. PERM). I- N0. ( 76]42 ) HPPLlCHNT ROBERT UIRE 2601 GUHM ]44~8420 LOCHTION Cvf:;:EK RE) LEGRL L] 81 RUVIER SUBD LOT SIZE 24]79 SQUHRE FE5T TYPE OF SOIL, H8SORBTlON SYSTEM IS: TRENCH MHXlMUM NUMBER UF BEDROOMS = SOlL RHTIHG (SQ FT/BR)= 120 THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: J.- K-,-) �������� �� K������ ��F���� THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH DR DRHlNFlELD THE DEPTH OF H TRENCH OR PIT IS THE DISTRNCE BETWEEN THE SURFHCE OF THE GROUND AND THE BOTTOM OF THE EXCRVHTION (IN FEET). THERE IS NO SET WIDTH FOR TRENCHES. THE GRRVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFRLL PIPE HND THE BOTTOM OF THE EXCAVATION (IN FEET), 8HCKFILLINQ OF ANY SYSTEM WITHOUT FINAL- lNSPECTION AND HPPROVHL BY THI-S 0EPHRTMENT WILL 8E SUBJECT TO PROSECUTION. MlNlMUM DISTANCE BETWEEN H WELL AND ANY ON-SITE SEWAGE DISPOSAL. IS Lf -30 FEET FOR H PRIVATE WELL OR 280 FEET FOR 0 PnBiIC WELL N�LL LOGS 8RE REQUIRED AND MUST 8E RETURNED TO THE DEPHRTMENT WITHIN ]0 DHYS OF THE WELL COMPL5TION. SP�CIFlCHTlONS AI -ID CONSTRUCTION DIHGR8MS RRE 8VRILR8LE TO INSURE PROPER INSTHLLHTlON. [ CERTIFY 'THAT 1� l HM FHMILIHR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WB -LS RS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE 2� l WILL- INST8L1- THE SYSTEM IN ACCORDANCE WITH THE CODES. ]� } UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE RESIDENCEREMODEL INC E MORE THAN -31BEDROOMS- SIGNED�_�4����� _-^. HPPLICHNT ROBERT MCGUlR� /J ^/ ISSUED BY ' ' r` A03 ge9 9 Performed for1r job ,* r crux _ Da Ce Perforricd Lural DescripLio t,r; ,,, -- - —'- -- J}n_4.-1 74 OQ...],f.?�Vl 1L111V.. /inL-n 1:^. ,.._1,'� this form reports. Soil' log ^ `— -- - -- - Percolation test — - - -` --- Dep til Feet F - Topsoil 2 (22-) 3 - 01-' ( 200 ) 4 - ;k' (120) 5 - (1^0) 6 - G" (120) 7 - r, (n,G) 8 - GW (8n) g - GW (120) 10 - C.- (120) 11 - —' (120) 12 - (2oo) 13 - 3" (203) 11 - Was ground water encountereu? Flat IBJ_ I --_---- -- If yes, at what depth? ---- ----- - - -- lcadrn9 Uate Gross Ti re net ii me Depth to "Trtcr Not Drop - - I'r�rcnlatiun rate --- -- mi nu Cc. _-....--------- ---,--.__._..... ._.......-.._-_.�_. 'ropowerl.iusLallaElon. ',ucpTlc PitDrain field 5UP0 of Inlet .-........ -- — • L'upth Cn hucLuni of pit or trr�nci, . (.Oi1f:I:iIS _......... - - I'i:rfor'mcil I:y OrLifi d By.lt� fT Jt,p., .. AM H( U-lu rf,„'!•!) ?ich A. 1Tshn, P.?. � "i.cherc9 A. 7rshn p 7 i B'"`f Cl PA I p.,'_ X F' fl IL_. I `Y"'e Co F:' DEPARTMENT HEALTH AND EtdVIF:Cir'ME:N'T'AL ?OTECTION 2510 E. I I_DOR RD., ANCHORAGE, HI<::. 9950'r' 276-2221 f..... l__ n VA E':" lr_4 f' N PERMIT NO. 76253 ) FIE'PL,I:MtdE' ROBERT EIS"I' Mf WLIIQ 260:1 rsuRN 344-8420 L..cir;Frrlrq'•d E�:r-iEE;IT' `C't2L:F.k.'.--F.'C: I....GGf=11_ L3 f31 RI:IVIEr=: SUE:,D LOT STYE: .r•Clu!IO SQUARE FEET TYPE: OF _;OIL ASSORBTIT:N SYSTEM IS: TRENCH MAXIMUM NUMBER OF BEDROOMS = 3 SOIL_ RtT"' CSQ F.r,?BR:;•- ct S HE REQUIRED SIZE OF THE SOIL nBSOR&JpN SYSTEM" I S : G'�=" E'a: 8�....u... Y _f -�= :Jl. �c; 1._.. ff�: f'-.! �.� .�" F-1:-�: °�� �tR o� f��: i=B "•.•' F": L_. � :" � f.:;= _.tl_,. tl-6 ::-,-_ ,,:p. TTiE': LENGTH DIMENSION I`=, •HE= LENGTH Clyd� EET") C:IF THE,•z:ENC:H Cir: r.RAINFIE:LD. THE DEPTH OF A TRENCH E:iR IT IS 'THE CIS `hdC:E F:ETbIEEyr THE: SURFACE OF THE GROUND iUND ANC; THE BOT'.rOt'1 OF 'r �� ;E-VATION P 'N FEET`).' E'WE:Fsf:: IS NO SET ,E WIDE FC7T: T : tdl::W�:S. ; TIES C;k:E-l'v'EL. CEF'TW IS THE P1IhdIt:t4 C;tF`rH OF 131- ti+EL�ETkIEGtd 'I"HE: C1UTF1=tLL F'T.PE: AND THE BOTTOM OF THE EXCAV1 J CIN FEET). . E. 0ACKl'=lL.gING OF ANY VS'' E:f:F'AI iME.td WILL BE ). I'9lydlh1l_II'4 C: T; `TIx-L EIE:"r I :I.00 FEET FOR " PRIVAT WE�L.L. LO ARE :QUIREL-; OF THE WELL. COM ETION. SPECIFICATIONS AN CON: INSTALLATION. � WIT TO H WELL LL OR D MUST ION Cil FIN'CL IN PE&ION AND APPROVAL BY THIS ANY dAvSIT-F SEWnOE DISPOSAL. SYSTEM I'_; EET FOR A PUBLIC WELL. ETURNEC; TO THE DEPARTMENT WITHIN . n C:n ARE AVAILABLE TO INSURE=' PROPER E='Y :oF}a ��ef-fly neE:EHIE=: 1 !":3IS- tjLE I CERTIFY THAT _L: 1 AM FAMILIAR Ll TMLL FORTH BY THE 1'TUNIC:IPA : 1 WILL. INSTAL_L.. TETE 0S .: I UNDERSTAND THAT THE ON RESIDENCE IS REMODELED TO I S 10 N L aC��!�Lti1LCti'trc� APPLICANT ROBERT. I_IIW.EMENT'S FOR ON—SITE. SEWERS AND WELLS AS SET ANCHORAGE. IN ACCORDANCE WITH THE CODES. ITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE I_UDE MORE THAN 3 BEDROOMS. IRE I SSUE�, � I � — ' 7 G Wel I Log For.. .............. ...... .......... ..................... I ........ Location ......... ................ Z ...... 4r"" Date completed.... ............................... I ...... Depth of well. .. . . . . ... ............ Size of casing...., -.-.Z, ........ . ...... .. .. I ....... 1-11, Z Distance to water.. ........................ .......... . Distance to water while pumping./vw,/ /-w/at rate .f,111W,. ........gallons. per hour. Formation from to <�&.eorc1 6 136 <--Z4 v ol 1 M Z (15 36 141 j i— -13 <-� 1� G vv e- .-FnF 4/zo 41de-0 /04/u 14 q s-6 T i, s' ,pkv 1-70 717e -ms -74 77 Driller DELTA DRILLING COMPANY SRA BOX 394 S ANCHORAGE, ALASKA 99507 the 2-11A o7ts2 P Io& Y)vu u Io�,c JG S Yi1 c rc,Znc�• MUNICIPALITY OF ANCHORAGE Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Parcel I.D. 017-121-06 Expiration Date: 1. GENERAL INFORMATION Complete legal description ROVIER BLOCK 1, LOT 3 Location (site address) 6440 RABBIT CREEK ROAD, ANCHORAGE, AK 99516 Current property owner(s) MARK & ESTHEFANY DEAN Day phone Mailing address Real estate agent 6440 RABBIT CREEK ROAD, ANCHORAGE, AK 99516 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) Day phone 3. NUMBER OF BEDROOMS: 4 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Private Well ® Private Septic Water Storage ❑ Holding Tank ❑ Community Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ Waiver request for: Distance: Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ a SD 4- 't' a 9 U CO Waiver Fee $ Date of Payment -7 115 2 0a� Date of Payment Receipt Number 05 1 q4 Receipt Number COSA # OS C XZ 1 S 51 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. I acknowledge that On -Site staff may visit the site to verify the information submitted. Name of Firm FIRST WATER CONSULTING Phone 907-350-9566 Address 13030 SUES WAY, ANCHORAGE, AK 99516 Engineer's Printed Name CURTIS HUFFMAN, PE Date 7111122 Comments: This investigation was completed in compliance with MOA guidelines, regulations, and best industry practices / methods. The assessment of the condition of the well and septic applies only to the conditions as of the day tested. The flow and absorption rates may change due to subsurface conditions that may not be observed from the surface, changes in land use, local soil characteristics, groundwater levels that may fluctuate during the year, quality of construction (workmanship & materials), the water usage of the family being served by the system and maintenance. The operational life of all well and septic systems are subject toAt �1�� these various and dynamic characteristics and are outside the control of the evaluator of the•� well and septic system. Therefore, any estimate of how long a system will function satisfactory g�Q:. • •,9 ��r for current or future occupants or guarantee that no unseen encroachments, deficiencies or AVIr discrepancies exist can be given by First Water Consulting & fWCS *� TH •'* 6. DSD SIGNATURE�i ... CiH/ • • • Curtis Huffman System #1 Approved for bedrooms �� �Fc��• CE 128991 .��� ��l �F,�FQ7,1111�2�A���.� System #2 Approved for bedrooms �l PROFESSIO Disapproved Conditional approval for / bedrooms, with the following stipulations: rL4_S.+ "�-C �l e, . �`� QiL�% �(/l V 221 Z1 c f ; 1 `l�lQp,UTY OK��,��� QA/. do VVIA 01� IAIA p Tr: vi%gTFR -� BOriginal Certificate Date:_ ^ 1 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 Legal Description: ROVIER BLOCK 1 LOT 3 Parcel ID: 017-121-06 If more than 1 septic system on lot: COSA Checklist # of A. WELL DATA ® Well log is filed with Onsite (or attached) Date drilled 6/30/1976 Total depth 117 ft Cased to 117 ft ® Sanitary seal is functioning correctly ® Wires are properly protected Casing height (above ground) 12+ in. Date of flow test for COSA 5/20/2022 Static water level at beginning of test 20 ft. Comments B. TANK DATA Age of tanks) *NEW TANK PENDING years Tank type/material ADVANTEX / FIBERGLASS Measured operating fluid level in septic tank NA ® Standpipes/foundation cleanout per record drawing Date of pumping * D. ABSORPTION FIELD DATA — NEW FIELD PENDING Which system tested (date installed) NA ❑ ALL standpipes present per record drawing Total measured depth from grade ft (max) Measured depth to pipe invert from grade ft (min) ❑ N/A — pressurized field ❑ Monitor tubes go to bottom of effective. If not, state depth into effective Structure served by this system Well production at time of test 4+ gpm Water storage tank volume NA gallons Well disinfected for coliform test? ❑ Yes ® No ® Coliform bacteria is Negative Nitrate mg/L ® Nitrate less than MRL (ND) Arsenic ug/L ® Arsenic less than MRL (ND) Collected by fRCea Date of Sample 6/16/22 C. LIFT STATION ❑ Required maintenance completed Age of lift station _ years Lift station material Comments: Adequacy test date NEW FIELD PENDING Results ❑ Pass For bedrooms Fluid depth prior to test _in Water added gal New depth in Elapsed time min ❑ Code -required soil cover over field Final fluid depth in ❑ System presoaked Absorption rate gpd (Required if vacant for greater than 30 days prior to Any rejuvenation treatment (past 12 months) N date of test) If yes, enter date Gallons introduced gallons Comments/Deficiencies: THIS IS A REMOVE & REPLACE (R&R) OF THE EXISITNG SYST WITH AN AX SYST EWES E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well) Septic Tank/Lift Station on Lot > 100' ® Yes if No ft Wells on Adjacent Lots: Community Sewer Manhole/Cleanout > 100' ® Yes if No ft ® Yes if No Neighboring Tank > 100' ® Yes if No ft Private Sewer/Septic Line > 25' ® Yes if No Absorption Field on Lot > 100' ® Yes if No ft Holding Tank > 100' ® Yes if No Neighboring Absorption Fields > 100' Surface Water > 100' ® Yes Animal Containment > 50' ® Yes if No ® Yes if No ft Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' ®Yes if No ft ® Yes if No From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' ® Yes if No ft Surface Water > 100' ft ft ft ft ft ® Yes if No ft Property Line > 5' ® Yes if No ft Wells on Adjacent Lots: Absorption Field > 5' ® Yes if No ft Private Wells > 100' ® Yes if No _ Water Main > 10' ® Yes if No ft Community Wells > 200' ® Yes if No Water Service Line > 10' ® Yes if No ft If septic tank is under driveway comment below From Absorption Field on Lot to: (Please enter distances if less than required) Building Foundation > 10' ® Yes if No ft If absorption field is under driveway comment below Property Line > 10' ® Yes if No _ ft Wells on Adjacent Lots: Water Main > 10' ® Yes if No ft Private Wells >' 100 _ ®Yes if No _ ft Water Service Line > 10' ® Yes if No ft Community Wells > 200' ® Yes if No Surface Water > 100' ® Yes if No ft F. ENGINEER'S COMMENTS *PROPOSED SYSTEM MEETS CAT III SEPARATION DISTANCE REQUIREMENTS. G. ENGINEER'S CERTIFICATION I certify that l 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. o Ak �1�� A •• 7H • ' Curtis Huffman • .' CE 128991 .• i�,d'� ��fF�•.7/11/22,.•��Cn ,d oPROFESSWO w ILI MUNICIPALITY OF ANCHORAGE ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND REPAIR AGREEMENT THIS MAINTENANCE ,yA,ND REPAIR AGREEMENT, herein the "AGREEMENT" made and entered into as of this i " ' Day of I%,4 114— of 20 *;)-,s , by and between c} ('r�� r ; t r•t �(j��t��.��,� C , herein the "OWNER," and the Municipality of Anchorage, herein the "MUNICIPALITY", in accordance with Anchorage Municipal Code (AMC) 15.65.365. In consideration of the mutual covenants contained herein, the parties to this Agreement agree as follows: 1. Advanced Wastewater Treatment_ Systems. The Municipality grants permission to the Owner to utilize and operate an Advanced Wastewater Treatment System (AWWTS), described as AN ADVANTEX SYSTEM located at (legal description) J 2. Maintenance, Repairs and Alterations. (Owner is required to read, understand and initial each section) '�A Throughout the term of this Agreement, the Owner shall enter into a service agreement with an AWWTS service and maintenance provider approved by the Municipality or the manufacturer's representative. The AWWTS shall be maintained in a satisfactory condition capable of performing as designed and producing treated septic effluent in accordance with the equipment's approval for operation in the Municipality. It shall be the responsibility of the Owner during the term of this Agreement to pay for all repair(s), maintenance, adjustment(s), replacement costs, and inspection costs. This includes an annual maintenance fee (typically $400 to $600). Owner agrees that only maintenance and repair personnel approved by the Municipality or the manufacturer's representative will inspect and make any necessary maintenance, repairs or permitted alterations to the system. �Ff Owner acknowledges that regular maintenance of an AWWTS reduces the potential failure of the system, which could include sewage backup and costly repairs or drainfield replacement. (rev. 05/18/2018) Page 1 of 3 Owner acknowledges that the Municipality may request records of maintenance and repairs from the manufacturer's representative or maintenance provider. Owner acknowledges that the fine for failing to maintain and repair an AWWTS may be lassessed in accordance with AMC 14.60.030. Owner agrees to grant the Municipality reasonable access to test and inspect the AWWTS. The Municipality will give at least 24-hour notice. Owner agrees that any sale or transfer of title of the property will not occur without a new Certificate of On -Site Systems Approval, M 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. Owner agrees to maintain remote monitoring of the AWWTS as required by the AWWTS approval. 3. Term. The terrn of this Agreement shall begin on the date of approval by the Municipality to operate the installed system, or upon transfer of title, and shall continue while the AWWTS is operational or until title is transferred. 4. Nonwaiver. The failure of the Municipality at any time to enforce a provision of this Agreement shall in no way constitute a waiver of the provisions, nor in any way affect the validity of the Agreement or any pari hereof, or the right of the Municipality thereafter to enforce every provision hereof. 5. Amendment. This Agreement shall only be amended by authorized representatives of the Owner and Municipality. Any attempt to amend this agreement by either an unauthorized representative or unauthorized means shall be void. 6. Jurisdiction: Choice of Law. Any civil action arising from this Agreement shall be brought in the Superior Court for the Third Judicial District of the State of Alaska at Anchorage. The laws of the State of Alaska shall govern the rights and obligations of the parties under this Agreement. 7. Severability. Any provisions of this Agreement decreed invalid by a court of competent jurisdiction shall not invalidate the remaining provisions of the Agreement. (rev. 05/18/2018) Page 2 of 3 OWNER: (signature) Date: I,1, -c-.(print name) STATE OF ALASKA ) ) ss. THIRD JUDICIAL DISTRICT ) The foregoing instrument was acknowledged before me this O day o&Lc—c \ , 20a, by Ebbi ,id NOTA UBLIC FOR ALASKA •o(i�cial seal" My Commission expires:1�3(dc��7 Nypublic Abbi Bridle Statc ofAiaska VCMN'�o.1300s im or. 3x0.'7 MUNICIPALITY: BY: (signature) (print name) Date. Title: (rev. 05/18/2018) Page 3 of 3 First Water `- CONSULTING As s, t s 13030 Sues Way, Anchorage, AK 99516 907-350-9566 / firstwaterAK@gmail.com July 6, 2022 Municipalities of Anchorage On -Site Water & Wastewater Program 4700 Elmore Road Anchorage, AK 99507 RE: CONDITIONAL COSA LEGAL: ROVIER BLOCK 1, LOT 3 Due to unprecedented events contributing to material and labor shortages, we are requesting a Conditional COSA for the above referenced property. The pending permitted 4 -bedroom septic system upgrade has been impeded due these conditions and other factors with no known date on when the Advantex system components may be available. The system will be installed once the components become available. The system has been working for the occupants and granting of this Conditional COSA will not impact any of the neighboring properties or pose a public health risk. Please contact us if you have any questions. Sincerely, Curtis Huffman, P.E. Frpl July 25, 2022 R28101011-UsUllwa Phone: (907) 865-4700 Fax: (907) 865-4750 www,remaxdynamicproperties.com RE: Escrow Held in Trust - 6440 Rabbit Creek Drive — Souliotis/Morgan vs Deans To Whom It May Concern, It is agreed between parties, Lea Souliotis & Scott Dorgan - Buyers, and Mark & Esthefany Dean — Sellers, that a new four-bedroom septic system shall be installed on property located at 6440 Rabbit Creek Drive. Specs shall be approved by the Municipality of Anchorage. Seller has agreed to escrow 1.5% of the estimated quote for installation of septic less the contribution from buyer of $10,000 or $15,000 (1.5 times the cost). Estimate escrowed to be $60,000 or 1.5% of final quote. RE/MAX Dynamic Properties agrees to hold in trust the entire amount (1501) of the estimated cost of the septic and release final payment upon successful completion of the project. The final disbursement of any escrowed funds shall not be disbursed until final MOA approval. Any remaining funds shall be returned to Buyer (25% - up to $5,000) and seller (75%) of the balance. Respectfu Dynamic Properties Northern Excavation and Construction, LLC 15861 South Birchwood Loop Road Chugiak, AK 99567 (907)694-1373 Northern ExcavationCa)Gmail.com Estimate ADDRESS ROVIER BLK-1 LOT -3 ESTIMATE # 2192 DATE 07/13/2022 DATE ACTIVITY QTY RATE AMOUNT Services 41,800.00 ROVIER BLK-1 LOT -3 6440 RABBIT CREEK RD ADVANTEX SEPTIC UPGRADE Thank you for the opportunity to provide you with this estimate. Acceptance of this estimate will be acknowledged upon either receipt of a signed copy to Northern Excavation and Construction (NEC) or an email stating acceptance and notice to proceed. Changes that affect or increase specific tasks and machine time shall be submitted and agreed upon in writing. All agreements are contingent upon circumstances beyond NEC's control, i.e. weather, design changes, unforeseen site conditions, etc. NEC is licensed, bonded, insured, and maintains safe digging practice. All methods and material shall be in accordance with MOA and SOA regulations. NEC shall not be held liable for affects that may occur to the property during or after install. Affects such as, trees left in close proximity of where machine work takes place, having to stock and later retrieve displaced excavated material around trees, damage or structural integrity of retaining walls or fences that may need to be partially removed or traveled close too, disturbance to driveways/landscaping, etc. Client is encouraged to contact NEC prior to start of construction for clarification of specific affects that may occur on the property. Payment in full is due upon completion of backfill. Payments received after 30 says of completion shall be charged a 1.5% monthly fee on any unpaid balance. Description: Install new Advatex septic tank w/ AX pod and rebuild septic bed in accordance with First Water Consulting's MOA approved septic design. Please note that a 48 hour notice to start digging is required by the State of Alaska for utility locates. NEC is not liable for any utility lines not located by 811 public utility locate i.e., any lines running to detached structures. An extra charge will be incurred for private locate services. DATE ACTIVITY QTY RATE Inclusions: Machine/labor/compaction time, 1500 gallon steel Advantex septic tank w/ AX pod, pipe/supplies/conduit, tank bedding, drain rock, filter sand, 4 loads of brush haul off, pumping, surveying for property lines and well radius, electrical work, & existing septic tank decommissioning Exclusions: Re -landscaping or re -seeding "NOTE :An estimated 4- ten yard loads of brush will need to be hauled off, if more loads are required to be hauled off then it shall be billed out @ $250 per ten yard load and will reflect upon the final invoice. **NOTE:Shed to be moved before NEC begins install Acceptance of this estimate will be acknowledged upon either receipt of a signed copy to Northern Excavation and Construction (NEC) or an email stating acceptance and notice to proceed. Changes that affect or increase specific tasks and machine time shall be submitted and agreed upon in writing. All agreements are contingent upon circumstances beyond NEC's control, e.g. weather, design changes, unforeseen site conditions, etc. NEC is licensed, bonded, insured, and maintains safe digging practice. All methods and material shall be in accordance with MOA and SOA regulations. NEC shall not be held liable for affects that may occur to the property during or after install. Affects such as, trees left in close proximity of where machine work takes place, having to stock and later retrieve displaced excavated material around trees, damage or structural integrity of retaining walls or fences that may need to be partially removed or traveled close too, disturbance to driveways/landscaping, etc. Accepted By TOTAL Accepted Date AMOUNT Please note that a 48 hour notice to start digging is required by the State of Alaska for utility locates. NEC is not liable for any utility lines not located by 811 public utility locate i.e., any lines running to detached structures. An extra charge will be incurred for private locate services. Proposal Michael N. Anderson, P.E. CiviUStructural Engineering and Construction 4661 Natrona Ave. Anchorage, Alaska 99516 Phone 727-8864 Fax 345-1391 July 12, 2022 Mark & Esthefany Dean 6440 Rabbit Creek Road Anchorage, AK 99516 Re: New Septic System 4BR AX Remove & Replace Existing Legal: Rovier 131, L3 Description of Excavation Services Provided: 1. Excavation for new AX septic system per the design by First Water Consulting. Total Proposal $40,000.00 PGE 6G • '� Municipality of Anchorage ° On -Site Water and Wastewater Program a � (907) 343-7904 5 A [ TY CERTIFICATE OF ON-SITE SYSTEMS APPROVAL Parcel I.D. 017-121-06 1. GENERAL INFORMATION Complete legal description ROVIER BLOCK 1, LOT 3 Expiration Date: q —2-7 4 Location (site address) 6440 RABBIT CREEK ROAD, ANCHORAGE AK 99516 Current Property owner(s) DAVID & JULIE DUNSTON Day phone Mailing address Real Estate Agent 6440_ RABBIT CREEK ROAD ANCHORAGE AK99516 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 ❑ Waiver/Variance request for: Received by: COSA to be released to the engineer, unless 3 Day phone TYPE OF WASTEWATER DISPOSAL: Individual Holding Tank ❑ Community ❑ Public Sewer ❑ by the engineer. Date: COSA Fee $ 'l o ® Waiver Fee $ Date of Payment (p�(l ff� Date of Payment Receipt Number (��j���,/ Receipt Number COSA# ®`HCl(®IoCJY 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 Onsite 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 ARCTERRA CONSULTING, INC. Phone 868-3791 Address 20441 PTARMIGAN BLVD., EAGLE RIVER AK 99577 Engineer's Printed Name KENNETH M. DU_FFUS Date 6/20/2016 Engineers Comments: This investigation was completed in compliance with ADEC and MOA regulations. The assessment of the condition of the well and septic applies only to the conditions as of the day tested. The flow and absorption rates may change due to subsurface conditions that may not be observed from the surface, changes inland use, local soil characteristics, groundwater levels that may fluctuate during the year and the water usage of the family being served by the system. The operational life of all well and septic systems are subject to these various and dynamic characteristics and are outside the control of the evaluator of the well and septic system. Therefore, ArcTerra can not give any estimate of how long a system will function satisfactory for current or future occupants or can ArcTerra guarantee that no unseen ® OF ALS encroachments, deficiencies or discrepancies exist. S' 6. DSD SIGNATURE System #1 Approved for -3 bedrooms. System #2 Approved for bedrooms. Disapproved. a KS," v. bueb1 C 4n �rr6� / �hba'essloNar, r Conditional approval for bedrooms, with the following stipulations: BY: Original Certificate Date: r - The Municipality of Anchorage Development Services Division (DSD) issues Certificates of Onsite 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 sheeLl00.10.12.dw If more than 1 septic system Is on the lot: COSA Checklist # of _ Structure served by this sys—tem Certificate of On -Site Systems Approval Checklist Legal Description: ROVIER BLOCK 1. LOT 3 Parcel ID: 017.121.06 A. WELL DATA Well type PRVT If A, B, or C provide PWSID # Date completed 613011976 Sanitary seal (Y/N) Y Total depth 117 ft. Cased to 117 ft. FROM WELL LOG Date of test 6/3011976 Static water level 3i ft. Well production 5 g.p.m. WATER SAMPLE RESULTS: e) Coliform oolonies/100 mL Nitrate N 0 mg/L Arsenic:A/(,) g/L Date of sample: 6/8/2016 B. SEPTIC/HOLDING TANK DATA Well Log (Y/N) Y Wires properly protected (Y/N) Y Casing height (above ground) 18+ in. AT INSPECTION 41812016 i# Collected by: ARCTERRA Tank Type/Material SEPTIC I FIBERGLASS Date installed 9/1011976 Tank size .1000 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) N Date of pumping Pumper ®ne S�eh C. ABSORPTION FIELD DATA Date installed 8/1511991 Soil rating �or ftz/bdrm) 0,7 Length 42 ft. Width Total depth 7.8 ft. (Measured vwi6) Elf. absorption area 840 fe ft. System'type BED Gravel below pipe 0.5 ft. Monitoring tube Y Depression over field N Date of adequacy test 4/812016 Results (Pass/Fail) PASS For 3 bedrooms Fluid depth in absorption field before test 0 in. Water added 560 gal. New depth 0 in. Elapsed Time: -.0 min. Final fluid depth 0 in. Absorption rate >= 450+ g,p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) N If yes, give date D. LIFT STATION Date installed "Pump on" level at Datum Size in gallons in. "Pump off level at in. Cycles tested E. SEPARATION DISTANCES WELL ON LOT TO: Septic tank/Iift station on lot 1001+ Absorption field on lot 1001+ Public sewer main 751+ Sewer /septic service line 25'+ Manhole/Access(Y/N) High water alarm level at Meets alarm & circuit requirements? On adjacent lots *93'_(HIR#000018) On adjacent lots 100'+ Public sewer manhole/cleanout 100'+ Holding tank 100'+ Animal containment areas 50'+ Manure/animal excrete storage areas 1001+ SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Absorption field 5'+ Water main 10'+ Water service line 101+ Surface water 100'+ Wells on adjacent lots 1001+ ABSORPTION FIELD ON LOT TO: Properly line 101+ Building foundation 10'+ Water main 10'+ Water Service line 10'+ Surface water 100'+ Driveway, parking/vehicle storage 10'+ Curtain drain 50'+(NONEKNOWN) Wells on adjacent lots 1001+ F. COMMENTS G. ENGINEER'S CERTIFICATION I certify that t 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 KENNETH M. DUFFUS Date 612012016 COSA canary sheet. 2.6.15.doc OF AL 4, \ t 4 Adr MOO in. Municipality of Anchorage ° On -Site Water & Wastewater Program' (907) 343-7904 PC - i SSLA_aaC I!f _ CERTIFICATE OF ON-SITE SYSTEMS APPROVAL Parcel I. D. 017-121 -06 Expiration Date: 1. GENERAL INFORMATION Complete legal description ROVIER S/D; BLOCK 1, LOTS -2-& 3 Location (site address) Current Property owner(s) Mailing address Real Estate Agent 6440 RABBIT CREEK ROAD *ANCHORAGE, AK 99516 ELLEN VERLANIC Day phone 227-5497 6440 RABBIT CREEK ROAD *ANCHORAGE, AK 99516 JUDY ROSENBERG W/ PRUDENTIAL Day phone 2. TYPE OF DWELLING: E Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 3 229-1097 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL - Individual Well Individual On-site E Individual Water Storage ❑ Individual Holding tank ❑ Community Class Well ❑ Community On-site ❑ Public Water System ❑ Public Sewer ❑ Received by: COSA to be release engineer, unless otherwise requested by the engineer. Date: /� L /7 COSA Fee $ok) X Waiver Fee $ Date of Payment �t1/+/ l y to Date of Payment Receipt Number _ oqcre3;,/ r7- Receipt Number COSA # C I a 1,5'd? Waiver # 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, t 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. l 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 — GARNESS ENGINEERING GROUP, Ltd. Address 3701 E. TUDOR ROAD, SUITE 101 * ANCHORAGE, AK 99507 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Engineer's Comments: In conducting this evaluation, GEG, LtD. attempted to provide a thorough, conscientious engineering analysis of the system in accordance with ADEC and MOA DSD Guidelines & Regulations. The reported results described the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the local soils condition, groundwater levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of the system. Satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. GEG, LTD. can therefore not provide any warranty or future estimate of how long the system will continue to meet the operational requirements of the ADEC or MOA DSD. The content of this report is for the sole benefit of the owner listed above. Any reliance upon or use of this report by any other person or party is not authorized, nor will it confer any legal right whatsoever. 6. DSD SIGNATURE System #1 Approved for 3 bedrooms. System #2 Approved for Disapproved. Conditional approval for bedrooms. bedrooms, with the following Phone 337-6179 Date 2,1 7, 43 ®rrmur:�® CE -795 P *2f�.i3. ON-SITE s WATER AND WASTEWATER o` PROGRAM tis®_•. �)SERU\tI`,`, The Municipality or Anchorage Develop, emt Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the represenatations 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. ATTCHMENTS: COSA Checklist Nitrate Advisory Septic System Advisory Arsenic Advisory Well w Advisory Other By: (Rev, 11/05) Original Certificate Date: 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: ROVER S/D; BLOCK 1, LOT 3 ParcellD: 017-121-06 A. WELL DATA Well type PRIVATE If A, B, or C provide PWSID# N/A Date completed 6/30/76 Sanitary seal (YIN) YES Total depth 117 ft, Cased to 117 ft. FROM WELL LOG Date of test 6/30/76 Static water level 37 ft. Well Log (YIN) YES Wires properly protected (YIN) YES Casing height (above ground) 12+ in. AT INSPECTION 7/12/12 32 ft. Well production 5 —9 P.M. 3.78 g.p.m. WATER SAMPLE RESULTS: Coliform 0 colonies/100 ml. Nitrate ND mg./L. Collected by: CEG. Ltd Arsenic: ND ug./L. Date of sample: 2,/7/13 B. SEPTIC/HOLDING TANK DATA Tank Type/Material SEPTIC/FIBERGLASS Date installed 9/10/76 Tank size 1000 gal. Number of Compartments E Cleanouts (Y/N) YES Foundation cleanout (YIN) YES Depression over tank (YIN) NO High water alarm (YIN) N/A Date of pumping 7/10/12 Pumper ONE STOP SERVICES C. ABSORPTION FIELD DATA BELOW EXISTING GRADE Date installed 8/15/91 Soil rating (g.p.d./ft`or /bdrm 0.7 System type BED Length 42 ft. Width 20 ft. Gravel below pipe 0.5 ft. Total depth *7.8 ft. Eff. absorption area 840 ft2 Monitoring tube YES Depression over field NO Date of adequacy test 7/12/12 Results (Pass/Fail) PASS For 3 bedrooms Fluid depth in absorption field before test 0 in. Water added 800 gal. New depth 0 in. Elapsed Time: 0 min. Final fluid depth 0 in. Absorption rate >= 450+ g.p.d. Any rejuvenation treatment (past 12 mo.) (YIN & type) NONE If yes, give date — D. LIFT STATION Date installed Size in gallons Manhole/Access (YM) "Pump on" level at in. "Pump oft" level High water alarm level at in. Cycles tested Meets alarm $ circuit requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tanknift station on lot 100'+ On adjacent lot; Absorption field on lot 100'+ On adjacent lots Public sewer main Sewer /septic service line 25'+ Public sewer manhole/cleanout N/A Holding tank Animal containment areas 50'+ Manurefanimal excrete storage areas 100'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Properly line 5'+ Absorption field 5'+ Water main N/A Water service line 10'+ Surface water 100'+ Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Properly line 10'+ Building foundation 10'+ Water main N/A Water service line 10'+ Surface water 100'+ Driveway, parking/vehicle storage 10'+ Curtain drain NONE KNOWN Wells on adjacent lots 100'+ F. COMMENTS *WR#000018 G. ENGINEER'S CERTIFICATION I certify that I have determined through field inspections and W'4review of Municipal records that the above systems are in "'""conformance with MOA COSH guidelines in effect on this date. . Garness.: JEFFREY A. GARNESS 793Engineer's Printed Name . " 2 13 0�4ta^ 'Z�ZD 1,� Date (Rev. 11/05) Municipality of Anchorage On -Site Water & Wastewater Program (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL Parcel I.D. 017-121-06 Expiration Date: 1. GENERAL INFORMATION Complete legal description ROMER S/D; BLOCK 1, LOTS 3 Location (site address) Current Property owner(s) Mailing address Real Estate Agent 2. TYPE OF DWELLING: 6440 RABBIT CREEK ROAD *ANCHORAGE, AK 99516 ELLEN VERLANIC Day phone 227-5497 6440 RABBIT CREEK ROAD *ANCHORAGE, AK 99516 JUDY ROSENBERG W/ PRUDENTIAL Day phone E Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 229-1097 3. NUMBER OF BEDROOMS: 3 COSA Fee $ 4. TYPE OF WATER SUPPLY: Waiver Fee $ TYPE OF WASTEWATER DISPOSAL: Individual Well lig/olig/o Individual On-site Individual Water Storage ❑ Individual Holding tank ❑ Community Class Well ❑ Community On-site ❑ Public Water System ❑ Public Sewer ❑ COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ q -(Q Waiver Fee $ Date of Payment lig/olig/o Date of Payment Receipt Number OW Receipt Number COSA* asC (a l U 7 Waiver # 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, t 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 GARNESS ENGINEERING GROUP, Ltd. Phone 337-6179 Address 3701 E. TUDOR ROAD, SUITE 101 s ANCHORAGE, AK 99507 Engineer's Printed Name ,JEFFREY A. GARNESS, P.E. Date 11 21 Engineer's Comments In conducting this evaluation, GEG, LtD. attempted to provide a thorough, 0oo��4p4 conscientious engineering analysis of the system in accordance with ADEC and MOA P l OF. q DSD Guidelines & Regulations. The reported results described the performance of the Op ...S O system under the conditions encountered at the time of the test, and separation 0� distances measured to readily identifiable features. The operational life of all wells and * 4 septic systems depend on the local soils condition, groundwater levels that may ........ .. ............ fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of the system. Satisfactory test . . .. .... results do not guarantee future performance of the system, nor do they guarantee that QQ J f r A. arness,: there are no hidden defects or encroachments. GEG, LTD. can therefore not provide CE any warranty or future estimate of how long the system will continue to meet the �O see!(.� ?! J!.� operational requirements of the ADEC or MOA DSD. The content of this report is for ��'� Pro..... �°oma the sole benefit of the owner listed above. Any reliance upon or use of this report by any D000 00 other person or party is not authorized, nor will it confer any legal right whatsoever. (((( 6. DSD SIGNATURE V� System #1 Approved for 3 bedrooms. j= ON-SITE WATER AND System #2 Approved for bedrooms. So WASTEWATER o �� PROGRAM Disapproved. � �n � 0 Conditional approval for bedrooms, with the following stipulations r9j"ZEt}/r��� iM The Municipality or Anchorage Develop,emt Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the represenatations 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. ATTCHMENTS: COSA Checklist Septic System Advisory — 11-� Nitrate Advisory Arsenic Advisory Well w Adviso Other Original Certificate Date: (Rev. 11/05) 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: ROVIER S/D; BLOCK 1, LOT 3 A. WELL DATA Parcel ID: 017-121-06 Well type PRIVATE If A. B, or C provide PWSID# N/A Well Log (Y/N) YES Date completed 6/30/76 Sanitary seal (Y/N) YES Wires properly protected (Y/N) YES Total depth 117 ft. Cased to 117 ft. Casing height (above ground) 12+ in. FROM WELL LOG AT INSPECTION Date of test 6/30/76 7/12/12 Static water level 37 ft. 32 ft, Well production 5 g.p.m. 3.78 g.p.m. WATER SAMPLE RESULTS: Coliform 0 colonies/100 ml. Nitrate ND mg./L. Collected by: GEG. Ltd. Arsenic: ND ug./L. Date of sample:11 /2/12 B. SEPTIC/HOLDING TANK DATA Tank Type/Material SEPTIC/FIBERGLASS Date installed 9/10/76 Tank size 1000 gal. Number of Compartments E Cleanouts (Y/N) YES Foundation cleanout (YIN) YES Depression over tank (Y/N) NO High water alarm (Y/N) N/A Date of pumping 7/10/12 Pumper ONE STOP SERVICES C. ABSORPTION FIELD DATA *BELOW EXISTING GRADE Date installed 8/15/91 Soil rating (g.p.d./ftor '/bdrm 0.7 System type BED Length 42 ft. Width 20 ft. Gravel below pipe 0.5 ft. Total depth *7.8 ft. Eff. absorption area 840 ft2 Monitoring tube YES Depression over field NO Date of adequacy test 7/12/12 Results (Pass/Fail) PASS For 3 bedrooms Fluid depth in absorption field before test 0 in. Water added 800 gal. New depth E in. Elapsed Time: o min. Final fluid depth 0 in. Absorption rate >= 450+ g,p.d, Any rejuvenation treatment (past 12 mo.) (Y/N & type) NONE If yes, give date — D. LIFT STATION Date installed Size in gallons "Pump on" level at in. "Pump ofF' Manhole/Access water alarm level at Cycles tested Meets alarm & circuit requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tankAift station on lot 100'+ On adjacent lots *93' Absorption field on lot 100'+ On adjacent lots 100'+ Public sewer main N/A Sewer/septic service line 25'+ Public sewer manhole/cleanout N/A Holding tank Animal containment areas 50'+ Manurelanimal excrete storage areas 100'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5+ Property line 5'+ Absorption field 5'+ Water main N/A Water service line 10'+ Surface water 100'+ Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ Building foundation 10'+ Water main N/A Water service line 10'+ Surface water 100'+ Driveway, parking/vehicle storage 10'+ Curtain drain NONE KNOWN Wells on adjacent lots 100'+ F. COMMENTS *WR#000018 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. Engineers Printed Name JEFFREY A. GARNESS Date 'I IZi I j 2 - (Rev. 11105) rz APR -17-00 110N 10:05 AN Dynamic Properties �o FAX N0. P. 02 EEK'' to RABg����5C �G2�0�r I aI )a i 29'135S.F �� �F h! Ih �I �s 222>/3T Z6—z 1'/L. WEST . e ..o a ,J/ ... .., ... ..-9._.y... .... �... .. .r..3..eg Lol 20 , Block Poor/- Suf'iuis�on. Anchorage Recording District, Alaska LOT SURVEY CERTIFICATION I haweny tertify Inco lea.q o°rvayad the properly #heal vod deaerjaad hitu", Gold IMI IM Improv enla oitoa od Inerech Oro rllhtn Iha Prof. ally Unre and do not &'4110por dnctowt oh od jaeanl prapxoy and ?dad nG IPVO" .nle on adiaeent property &&flop or enueoeh oh the promhoo 1A W010 GAO Mer Ihue on no rood.dya, of Rty A ee, Gr oche rl.lbla eGoemwo on wid property ptppl Ge IoldlcGbd hone,. 5z ®3 aGr y.w o +moi o✓ m L.J s+ItD - ZJy �?S S.F WC . EOaernvnta of rsoatd OfhGP than thoeo enomG od the ptOt Of record Oro aof oherh earavn unlete olherrloe noted. LEGEND ® Broca Or Aluminum eoppdd monument rocovered O Iron pipe and/or rebCr reCCaered 0 2 x 2 hub ,& tack racavared 0 518"920' rebor set this survey Sacle Nt r Date Prepared by: R. L. BUTTON (907)279-6200 lldgr3ytrtdl.W Surveyor 5/9 W, 6i hrhAvt. AnchorageAfaOa9$50t Ref Municipality of Anchorage Development Services Department Building Safety Division Onsite Water & Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907)343-7904 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. 0/ 9 —1,91-4%r HAA# 05 ZJ 1414 a 1. GENERAL INFORMATION Expiration Date: Z. — :)— — (9 .S Complete legal description ROVIER SUBDIVISION: LOT3. BLOCK 1. Location (site address or directions) 6440 RABBIT CREEK ROAD ► ANCHORAGE. AK. 99516 Current Property owner(s) MIKE AND LACE FENWICK Day phone _(907) 338-7820 Mailing address Lending agency Mailing address Real Estate Agent Mailing address 6440 RABBIT CREEK ROAD * ANCHORAGE. AK. 99516 Day phone BETH WEISER w/PRUDENTIAL JACK WHITE Day phone 727-4488 3801 CENTERPOINT DRIVE SUITE J200 • ANCHORAGE, AK. 99503 Unless otherwise requested, HAA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 3 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well 0 Individual On-site E Individual Water Storage ❑ Individual Holding tank ❑ Community Class Weil ❑ Community On-site ❑ Public Water System ❑ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority Approval (HAA) based only upon the representations given in paragraph 4 by an Independent professional civil engineer registered in the State of Alaska. Certificates of Health Authority Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also Issues HAAs upon request to homeowners. Certificates of Health Authority Approval are valid for 90 days from the date of Issue for properties served by a private or Class C well and may be reissued with new water samples. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, 1 verify that my investigation, based on procedures outlined in the Health Authority 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 ofAnchorage 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 GARNESS ENGINEERING GROUP, Ltd. Address 3701 E. TUDOR ROAD. SUITE 101 • ANCHORAGE, AK 99507 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Engineer's Comments: In conducting this evaluation, GEG, Ltd. attempted to provide a thorough, conscientious engineering analysis of the system in accordance with ADEC and MOA DSD Guidelines B Regulations. The reported results described the performance ofthe system under the conditions encountered at the time ofthe test, and separation distances measured to readily identifiable features. The operational life of alt wells and septic systems depend on the local soils condition, groundwater levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of the system. Satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hiddon defects or encroachments. GEG, Ltd. can therefore not provide any warranty or future estimate of how long the system will continue to meet the operational requirements of the ADEC or MOA DSO. The content of this report Is for the sole benefit of the owner listed above. Any reliance upon or use of this report by any other person or party Is not authorized, nor will it confer any legal right whatsoever. 5. DSD SIGNATURE Approved for 3 bedrooms. Disapproved. Phone 337-6179 Date Conditional approval for bedrooms, with the following stipulations: Attachments: HAA Checklist Septic System Advisory Well Flow Advisory t� Maintenance Agreements Supplemental Engineer's Report Other By: rel Original Certificate Date: I ^ Z^ O 7 411r (Rw 11101) Municipality of Anchorage Development Servlces Department Building Safety Division On -Site Water & Wastewater Program 4700 South Bragew St. P.O. Box 196650 Anchorage. AK 995198650 www.ci.enchoraga.ak.us (907)343.7904 HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: ROVIER SUBDIVISION: LOT 3. BLOCK 1. Parcel ID: 0 17 - ) 2 ) - 0 (e A. WELL DATA Well" MATE If A, B, or C provide PWSID# N/A Data completed 6/30/1976 Sanitary seal (YIN) YES Total depth 117 ft. Cesed to 117 ft. FROM WELL LOG Date of test 6/30/1978 Static water level 37 ft. Well production 5 g.p.m. illLRUM1.41041 �-isi414 Collform �, colonies/100 ml. Nitrate OAQ-mgJL. Well Log (YIN) YES Wires property Protected (YM) YES Casing height (above ground) 26 In. AT INSPECTION 8/24/2005 3 ft. 4.0 9— p.m- Other bacteria �&—coloniesl100 ml. Arsenic: N/A mgiL. Date of sample: 8/24/2005 Collected by: GEG. UD. S. SEPTICIHOLDING TANK DATA Tank TypelMateriel FIBERGLASS Date instatled 9/10/1976 Tank size 1000 gal. Number of Compartments 2 Cleenouts (Y/N) YES Foundation cleanout (YIN) YES Depression over tank (YIN) NO High water alar (Y/N) N/A Date of pumping 7/14/2005 Pumper DENALI PUMPING C. ABSORPTION FIELD DATA Date installed 8/15/1991 Sob rating 4.pA ftibdr) 0_7 System type BED Length 42 ft. Width 20 ft. Gravel below pipe 0.5 ft. Total depth 24-9-0 ft. Eff. absorption area 840 ft' Monitoring tube YES Depression over Geld NO Date of adequacy test 8/24/2005 Results (Pass/Fall) PASS For 3 bedrooms Fluid depth in absorption field before test —01n. Water added 452 gal. New depth 0In. Elapsed Time: 0 min. Final fluid depth 0 in. Absorption rate >. 450+ Any rejuvenation treatment (past 12 mo.) (YIN 6 type) NONE KNOWN If yes, give date D. UFT STATION Date installed "Pump on' level at _in. E. SEPARATION DISTANCES Size In gallons High water alar level at in. Cycles tested Meets alarm & circuit uit requirements? SEPARATION DISTANCES FROM WELL ON LOT TO: Septic WWlft station on lot 100'+ Absorption field on lot 100'+ Public sewer main N/A On adjacent lots 0930+ On adjacent kits 100'+ Public sewer manhole/deanout N/A Sewer /septlo service line 25'+ Holding tank N/A SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property fine 5'+ Absorption field 50+ Water main N/A Water service line 100+ Surface water 100'+ Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 101+ Building foundation 10'+ Water main N/A Water service line 10'+ Surface water 100'+ Driveway, parkingIvehide storage 10'+ Curtain drain NONE KNOWN Wells on adjacent lots 100'+ F. COMMENTS *WAIVER 0. ENGINEER'S CERTIFICATION I certify that I have determined through field inspections and t!, 1 ! r* review of Municipal records that Bre above systems are in ................. ... conformance with MOA HAA guidelines In affect on this date. ass:• Engineers Printed Name JEFFREY A. GARNESS CE/ -79 Date3I3t�a0nJ_ P�ofo�sio� OG HAA Fee i 0 Waiver Fee S Date of Payment KDate of Payment Receipt Number 73316" Receipt Number, Mo. 1911) 0 »� _ Mayor Mark lkcgich Municipality of Anchorage September 21, 2005 1:11. Da I!XX ) •.tnvh m gc_%htsLt • 371X1 Brammw Street Ullire: 11M171333 -SM • 14n: 0171US-821M1 hap:/Nim..numLoq( DcArlolnncnt Scr%iccs DeIntrtntcnt Mike Fenwick 6440 Rabbit Creek Road Anchorage, AK 99516 RE: Encroachment: Water Well in Utility Easement Block 1, Lot 3, Rovier Subdivision, Grid 3138 Dear Mr. Fenwick: runt Department The Right -of -Way Division has reviewed a request for a letter of non -objection to an existing water well , which encroaches one foot into the 5' Utility Easement on the eastern property boundary. On the as -built survey dated April 14, 2000, submitted with the request, the petitioner has shown the existing water well. This letter of nonobjection is issued with stipulations, and by using it the petitioner is agreeing to the following: I. Municipality of Anchorage (MOA) will be held harmless, now and forever, for any damages or injury to any person as a result of the encroachments. 2. All applicable codes and regulations will be observed and maintained within the easement. 3. This letter of nonobjection will in no way preclude MOA from full use and enjoyment of its rights within any portion of the easement. 4. Additional and extraordinary costs incurred during any future required construction, repair or reconstruction of MOA improvements to accommodate any or all of the encroachments shall be paid by the property owner. 5. Obtain letters of nonobjection from the following utilities: ®Anchorage Water & Wastewater Utility ®Alaska Communications Systems ®Chugach Electric Association, Inc. ❑Matanuska Telephone Association ❑Matanuska Electric Association, Inc. ®Enstar Natural Gas Company ❑Municipal Light and Power ®GCI Cable of Alaska ❑Eyecom (Girdwood cable TV) All letters of nonobjection should be retained in your permanent files. Should you have any questions, please call me at 343-8033. �Sinc�erely,—Concur, Jack L. Frost, Jr. Right of Way Supervisor �CtcriJ%wurcG�J Property Owner(s) C0111Intill ity, Security, Prosperity APR -17-00 MON 10:05 AM Dynamic Properties FAX NO. P. 02 CREEK' R A1313 6014 3p E ;o ZT E9,r35S.Fe 52' • 9�TI Lot 2'f.3 ,, t310Ok / Rovier Sufx�i�ision. Anchorage Recording District, Alaska LOT SURVEY CERTIFICATION 1 husby ttrtlly Ines IN" t.rrryed the praperly he., and described herlan, and that IM Ila0rdv11e111 01111d 10,111, dr, within Its trap - Illy line, and do not evlrlap Of enarooeh on odloclm property end that " Ingronm.nle on adjacent property peerlop or ener010h ae the pr/esus, In 00erlon dad mot then ore no rood,aye, utility lines, or other alelGl, e411n11n9 an sold properly sleep# al lndleoled h,roon. lel i� m lJ STIED 10T 25, 376s.F Casements of rsoord Ctnar than those thorn on the plat of record are not thorn Gorton unless olher.lte noted. LEGEND 0 Bruce or Aluminum topped monument fdtaVefed O Iron pipe and/or tabor recovered D 2 x 2 hub & tack recovered 0 3/8"X20"rebor set this survey 15.1192 F Scale It r. , I DoteY 1 I Prepared by: R. L. BUTTON _ /4 _ /w (907)279-6200 $/9 W. Z'j�hrlhApe. Anchaope A/asha9950/ Ref. 383 3 I F5, NorY7—n72 A Property of: -/%nr/h &(-lr7//ice MUNICIPALITY OF ANCHORAGE • '� DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On -Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 (907)343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILL.Y DWELLING Parcel I.D. # 01-7- I a I -` 4� HAA #flPOM15 I 1. GENERAL INFORMATION Complete legal description _I30YIE.R sUBDIV iDLI LOT 3_@ QQE__L --. Location (site address or, directions) 6440 RABBIT CREEK ROAD, ANCHORAGE AK. 9951 6 Property owner LINDA McGUIRE _—Dayphone (907) 345-1647 Mailingaddress 6440 RABBIT _K ROAD. ANCHORAGE AK. 9951 Lending agency Mailing address Day phone AgentDYNAMIC PROP —Day • • •a Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: Individual well Community well Public water 3 XXX NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 4. TYPE OF WASTEWATER DISPOSAL: Individual on-site XXX Holding -rank Community on-site Public sewer NOTE: If community wastewater system, provide written confirmation from State ADEC ing to the legality and status of system. 72-025 (Rev. 1191) Front MOA #21 Compular Verslon Note: Alaska Water and Wastewater Consultants, Inc. shall be paid $1300.00 at, or prior to, closing for the engineering services provided. 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 of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is 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 in compliance with all Municipal an State codes, ordinances, and regulations in effect on the date of this inspection. V Name of Firm Phone (907) 337-6179 Engineer's Signature Date 41 In conducting this evaluation, AWWC,Yn ate fed to provide a thorough, conscientious engineering analysis of the system In accordance with ADEC and EJA DH Guidelines & Regulations. The reported results described the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the local soils condition, ground water levels that may fluctuate during the year, and the wafer oo�opp usage of the family being served by the system. These conditions are outside the control of o OFA 4 the evaluator of the system. Satisfactory test results do not guarantee future performance v . • q �O of the system, nor do they guarantee that there are no hidden defects or encroachments. p� AWWC, Inc. can therefore not provide any warranty for future estimate of how long the J ;' 4 y' system will continue to meet the operational requirements of the ADEC or MOA DHHS. ...... .. • •............... The content of this report Is for the sole benefit of the owner listed above. Any reliance upon or use of this report by any other person or party is not authorized, . ........ ........ nor will it confer any legal right whatsoever. OO m .J ff A. ess; 6. DHHS SIGNATURE QO s '•. E-7953 Approved for 3 bedrooms o440odPrefeeeio�°o�P Disapproved Conditional approval for bedrooms, with the following stipulations. Additional IN Date} -28-DO The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 72-025 (Rev. 1191) Back MOA #21 Computer Version RECEIVED Municipality of Anchorage Apfs 2 U 200 DEPARTMENT OF HEALTH & HUMAN SERVICEICIPALITY OF A Environmental Services Division rn 825 "L" Street, Rm.1502 Anchorage, Alaska 99501 (907) 343-4u/�NMENTAI seavi Health Authority Approval Checklist Legal Description:_ ROVIER SUBDIVISION; LOT 3, BLOCK 1 _ Parcel l.D.:_--_ A. WELL DATA Well Type_ PRIVATE_ If A, B, or C, attach ADEC letter. ADEC water system number_— N/A _ Log present (Y/N)_--YES--Date completed --�30 76 _ Total depth _— 117' —_Cased to 117' _Casing height (above ground)26" Sanitary seal (Y/N)_--- YES --Wires properly protected (Y/N)._ YES FROM WELL LOG AT INSPECTION Date of test —_ 6/30/76 —. _-- 4/10/2000 — Static water level _--37' — 66' Well production _— 5_--,9.p.m. --5.3 g.p.rn. WATER SAMPLE RESULTS: Coliform — 0 --Nitrate— 0.5 rng/L—Other bacteria - Date Date of sample: _-- 4/10/2000 Collected by: _-- A.W.W.C., INC. --_ B. SEPTIC/HOLDING TANK DATA Date Installed 9/10/76 _Tank size_ 1000 _ Number of Compartments -2 Cleanouts (Y/N) YES Foundation cleanout (Y/N)_ YES — Depression (Y/N) NO — High water alarm (Y/N)—NZ.� — Date of Pumping X10 2000 _ Pumper A+ HOME SERVICES C, ABSORPTION FIELD DATA *PER 1991 INSPECTION REPORT **TO BOTTOM OF SAND PER T.S. INSPECTION REPORT Date installed—X15/91 Soil rating (g.p.d./ft2 orft21b(irm)_ *0.7 —System type_ BED Length _ *42' Width _ *20' _Gravel thickness below pipe_ *6" _Total depth **10' — 13' Effective absorption area 40 SQ tL Monitoring Tube present (Y/N) YE.S Depression over field (Y/N) No *8 Date of adequacy test_ 4/10/2000 Results(Pass/Fail)_ PASS—For _— 3 —_Bedrooms Fluid depth In absorption field before test (in.); _ DRY Immediately after 532 gal. water added (in.): DRY Fluid depth _�A _(Ins) Minutes later: ---NZA Absorption rate =-- 450+— Peroxide treatment (past 12 months) (Y/N) NONE KNOWN If yes, give date - 72 -026 (Rev. 3/96r Computer Version D. LIFT STATION Date installed Size Manhole/Access (YIN) level at" "Pump off' level at* High water alarm level * *Datum �ycl ested E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: *93' WAIVER REQUESTED Septic/holding tank on lot 100'+ On adjacent lots Absorption field on lot 100'+ On adjacent lots 100'+ Public sewer main N/A Public sewer manhole/cleanout N/A Sewer/septic service line L5 + Lift station SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Foundation 5'+ Property line 5'+ Absorption field 5'+ Water main/service line 10'+ Surface water/drainage 100'+ Wells on adjacent lots 100'+ SEPARATION DISTANCES FROM ABSORPTION FIELD ON LOT TO: Property line Surface water Curtain drain F. ENGINEER'S CERTIFICATION I certify thatAheAlnof MunicipaltIl with MOA Ha Building foundation 100'+ I�[7�1�8�Ci]'dl�l Water main/service line 10'+ Driveway, parking/vehicle storage area 10'+ id Inspections and review stems are In conformance this date. Engineer's Name v JEFFREY A. GARNESS Date HAA Fee S 3 Bb ` by Date of Payment Receipt Number s(° $r 72-026 (Rev. 3/86)' Computer Version Wells on adjacent lots 100'+ 0oo6��O0 0 ............. I .............� fr A. Garness,: 0 oOQPs'• E-7953 4nn°r_............. ••.•• . Waiver Fee $ Date of Payment Receipt Number s � Rick Mystrom, Mayor May 2, 2000 Nltmic ipahty ®f Anchorage Department of Health and Human Services 825 U' Street P.O. Box 196650 Anchorage, Alaska 99519-6650 http:/1www a anchorage.ak.us 343-4744 Wayne A. & Tamara S. Hunt P.O. Box 113325 Anchorage, Alaska 99511-3325 Re: Separation Encroachment, Lot 4 Block 1 Rovier Subdivision, P.I.N. 017-121-07 r+Z�i'i�t C�:�►�I�Ialliiil The property described as Lot 3 Block 1 Rovier Subdivision recently had the on-site wastewater disposal system and water well evaluated to obtain a Certificate of Health Authority Approval. The engineer performing the evaluation discovered that the well serving the home on this property is being encroached upon by the wastewater system serving the home on Lot 4 Block 1 Rovier Subdivision. According to our records you are the owners of lot 4. The separation is 95 feet from your septic tank to lot 3's water well. The required separation distance is 100 feet. This is a violation of Chapter 15.65 of the Anchorage Municipal Code for On -Site Wastewater Disposal Systems. The well on lot 3 was constructed on June 30, 1976 and the septic tank serving the home on lot 4 was constructed on October 6, 1977. It is the responsibility of the property owner of lot 4 to resolve this encroachment matter because the well on lot 3 was in place at the time the septic tank on lot 4 was constructed. Anchorage Municipal Code chapter 15.65.033 requires that all single family homes within the Municipality of Anchorage served by a wastewater disposal system and/or a water well shall obtain a Certificate of Health Authority Approval from the Department of Health & Human Services prior to the title transferring. Your property is not eligible to obtain this Certificate of Health Authority Approval until the separation encroachment between your septic tank and lot 3's water well has been resolved. If you have questions of the above, please contact me at 343-4761. Sincerely, Daniel J. Roth Civil Engineer On -Site Services Program MUNICIPALITY OF ANCHORAGE Department of Health & Human Services On -Site Services Waiver Review Worksheet WR#: WR000018 PID#: 017-121-06 HAM HA000159 Permit#: — Date Received: April 20, 2000 Legal Description: Rovier Subdivision, Lot 3, Block 1 Engineer: Alaska Water & Wastewater Consultants, Inc. 6901 Debarr Road, Suite 2-13, Anchorage AK 99504 Applicant: Linda McGuire Waiver Requested: Waiver between well on subject property to septic tank on Rovier, Lot 4, Block 1 of 95.1 feet Criteria: 1. Geology Points: A. Water Table ---_ B. Soil Sorption C. Permeability _---_ D. Water Table Gradient E. Horizontal Separation _---_ Total: 2. Special Conditions: 61yN&A 61y&OF Ldp OW go I 1r)? PX_A 9/ - 4?L- 07 ANf-NOI?RbE� 41.,A�`�}3-- -- 3. Other: --_.--- Waiver is Granted: /1 _ Waiver is not Granted., _ -- List Conditions or Reasons for above: SEE/Q�l rH&Q ----- Date: 4-28-00 ---- By: 194AI— -- ********** Name of Reviewer Rec#: none Amount: Date Paid: (g4 FO)e L 0 r 3 OVIER Sumlvis/ov WAIVER REQuESr NUHaER W 80000/8 WATER WELL SEPT/c rgNk WAIVER nF4QUESr FOR ON -10T -94TO prat 0A1 107-¢ Of' V -d FEE), SEPTI( TFfNN 0,17,9— TO SrU 2 PTie-came rgNkamfo wqs c'ovsr,puoTEocr D /N #saez, of /977, Ir If A 7OMfPM frreL 2 toAtP/ItrrA�iNT � 3ids 5`6PT/e rpNk 7'N/a SrPric PH/Plvb rH/f 5IPl4 A,qf Co.vs rR tjrE;O wlrm INVtiRTS OA/ /"l16T- OkrL6 r_ PuM)ar)U7f ro it ;-IL/2,E m*T61'1 3'161/7 e014PLIN6f ?v 4r7*ey rr-fE PIPES 7-0 r/./E• MA,/t r"R SEPric r•qA//C If LOemloD UN7•KE OPMOfIrfi S'AOE OCA RIPiE a.?nuNl' IAvrN6 SulPpb[r roPokIt,,,iky FROH, •rug rKa"er AwimW w aTsr? w>cGL, TNvS SkAfAer rON7'PLtIN147'/OA/ FROM rk4 S6prlc, r)-Owk rO 7.4fi WgrEl? 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T1 RotAtrHour 7A4F *R64. nelf w66L It LOe4rap uPe-RM91$AN7' to xlve Tuv 3'EPTIc ryvA lA- tp WESrIoA,. r/YE tiG.LL /f Alp&gvS;? 0A1 714E s/4 Fag ,4PPre&xr"„bre NYDa1�kLlc CdvrOuK As rae 56Prlc TAvK 0 %p. W»rr°R JgAtiPL�f PaoAq Y14jr 4,ELL I" jwirrrrov /APiCarE NO 04c77ERM 4Nli NO M1rh*M.% Pxrax cT/10LF, /, www F Fk= wum www mo`m www wµ VVI NtiH of ,9• D. E. C. S. D. W. WA r6 PQ TA {Io_ Sbprit mpre N 8 1upr6,p olqu,fjoq /OS ".'. So�e9T'iau 01L2% (!os)D t (-cs)/.s+ 10 (los>4.s+ 1.25# f.B- l.V (i as) ,Pem eaoic, rY �- Q+ (los (Ics) 1.25# f.B- l.V (i as) .q (10s) im CONJElevgr,✓e 00/0 . C0N(L_ttflo,v /Q/}Nr W)41 t/9)? x=,8f 2 {'.r s. C. R. O PeiNrs 7 2.8 1.3 2.6 GR)9N0 ToTpL U.8 ALASKA WA' IER & 'tWACsT"EOWAYER CONSULTANTS. INC. - - April 18, 2000 Municipality of Anchorage Department of Health & Human Services Division of Environmental Services On -Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 Attention: Mr. Dan Roth Ref: Waiver Request for Well Separation to Adjacent Septic Tank for HAA Rovier S/D, Lot 3 Block 1 WELL AND SEPTIC TESTING: The existing referenced 3 bedroom house is served by a private well and septic system. On April 10, 2000, we performed a well flow test and a septic adequacy test at the subject property. As per MOA records, the septic system consists of a 1000 gal tank installed in September 1976, and a 42 ft x 20 ft bed -type drainfield, installed in August 1991. A total of 532 gallons of water were introduced into the cleanout in the drainfield, with no fluid measured in the monitoring tube. Elevations of the bottom of the monitoring tube and cleanouts were verified with a transit. During the well flow test, the well produced an average of 5.32 gallons over 100 minutes. These results are sufficient for a 3 bedroom house. WAM,',R REQUEST: The well on the subject property is located 95.1 ft from the septic tank on the adjacent property at Rovier S/D, Lot 4 Block 1. This distance was measured with a Topcon GPT -1003 surveying instrument. The well on the subject property was completed on June 30, 1976. The septic system on Lot 4 was installed in October 1977. No waiver was obtained at that time. Attached are a site plan, a detail drawing, and a topography site plan showing the encroachment that exists. As can be seen on the detail drawing, the well encroaches upon the adjacent septic system at Rovier S/D Lot 4 Block 1. We request that your department issue a 93 foot separation distance waiver from the well on Rovier S/D Lot 3 Block I to the adjacent septic system at Rovier S/D Lot 4 Block 1. Justification for the waiver is as follows: • As can be seen on the topography site plan, the ground surface elevation in the area of the septic system is lower than the ground surface elevation at the well, so that if any effluent were to surface, it would flow away from the well. • The location of the septic system is in a very visible area so that if any effluent was to surface, it would be noticed and the problem corrected. 6901 Debarr Road, Suite 213 - Anchorage, AK 99504 - Ph: (907)337-6179 - Pax: (907)338-3246 f LOT 1, BLOCK 2 \ EAGLEBROOK S/D \ 1 - \ \ LOT 2, BLOCK 2 _ \ \ EAGLEBROOK S/D \ \ \ LOT 5, BLOCK 3 n i EAGLEBROOK S/D b \ ALASIU NArATLR & wwri l wxr JR K.D.W. CONSULTANTS, INC.. I SCALE: 6901 DEBARR ROAD, SUITE 2B • ANCHORAGE, AK 99504 • PHONE (907)337-6179 • FAX (907)338-3246 1 " = 100, PREPARED FOR PHONE NUMBER: PAGE NUMBER: LINDA McGUIRE (907) 345-1647 1 OF 1 ROVIER SUBDIVISION; LOT 3, BLOCK 1 SITE PLAN LOBLOCK 1 ROMERS/D I I I I I I I I II 1 II I .................. A. Garness; —7953 A°- --.. 0BOG 1.0 ftp\ER 5/0 13/ II II 1 / 11 I I I I LOT 2, BLOCK 1 ( I ROVER S/D 1 1 I I I 1 I I ALASIU NArATLR & wwri l wxr JR K.D.W. CONSULTANTS, INC.. I SCALE: 6901 DEBARR ROAD, SUITE 2B • ANCHORAGE, AK 99504 • PHONE (907)337-6179 • FAX (907)338-3246 1 " = 100, PREPARED FOR PHONE NUMBER: PAGE NUMBER: LINDA McGUIRE (907) 345-1647 1 OF 1 ROVIER SUBDIVISION; LOT 3, BLOCK 1 SITE PLAN LOBLOCK 1 ROMERS/D I I I I I I I I II 1 II I .................. A. Garness; —7953 / � I /\�oo`�� / 049' I I I I 1 \ \ 10' UTILITY EASEMENT I � I N I I I LOT 4, BLOCK 1 EAGLEBROOK S/D I / I / .-_-_./i/IL''�_ ���+�►�7A...._w__. DRAWN BY: /� •'' .'s��� AIf.ASKA WATER & wAs'rE WATER K.D.W.-- I CONSULTANTS, INC. SCALE: � *.: 1 ......... ........ 901 Dr:BARR ROAD, SUITE 2B • ANCHORAGE, AR 99504 •PHONE (9W)337�6A9' FAX (907)338-3246 1 = 30' �' =PARED FOR: PHONE NUMBER: PAGE NUMBER: LINDA McGUIRE (907) 345-1647 1 OF 1 J fr A. ness;' 'AL DESCRIPTION: Q 9 7953 oG ROVIER SUBDIVISION; LOT 3, BLOCK 1"t 2lo 'E OF WORK:----�-- —� 4444otl pr01fos.... WAIVER REQUEST �Oppp�oo�� \I 0 LOT 5, BLO 3 EAG EBR00 S/D 1, BLO 2 p FAGL OR OK LOT 2, BLOCK -2 EAGLEBROOK S/D\ � y LO01 R IER /D T LOCK -4-_ OVA ER -5'D`__ — --- ---------- DATE: 4/14/2000 DRAWN BY: -- K.D.W. 6901 DEBARR ROAD, SUITE 20 • ANCHORAGE AK 99504 • PHONE (907)337-6179 • FAX (907)358-3246 -�1�----- SCALE: 1 " - 100, _ PREPARED FOR PHONE NUMBER: ---------- PAGE NUMBER: LINDA McGUIRE (907) 345-16471 ----------- OF' 1 --------- LEGAL DESCRIPTION: ROVIER SUBDIVISION; LOT 3, BLOCK 1 ---� TYPE OF WORK: TOPOGRAPHICAL DRAWING