Loading...
HomeMy WebLinkAboutBLUEBERRY HILL BLK 4 LT 3Blueberry Hill Block 4 Lot 3 #050-202-11 On -Site Water System Permit MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 Elmore Road, PO Box 196650 Anchorage, AK 99519-6650 Telephone: (907) 343-7904 Permit Number: OSP111285 Tax Code Number: 05020211000 Work Type: Well Upgrade Permit Effective Dates: October 12, 2011 to October 11, 2012 Design Engineer: Subdivision: BLUEBERRY HILL Site Legal Address: BLUEBERRY HILL BILK 4 LT 3 G:0058 Owner/Address: FORDHAM WILLIAM R & CONNIE S 21919 BARCLAY DRIVE EAGLE RIVER AK 995779516 Site Mailing Address: 21919 BARCLAY DR, Eagle River Lot Size in Sq Ft: 247420 Total Bedrooms: 3 This permit is for the construction of: N Disposal Field N Septic Tank N Holding Tank N Privy N Private Well Y Water Storage All construction must be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80). 3. The wastewater code requires inspections during the installation. The engineer must notify the Development Services Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either: A. Open and Close on the same day. B. Covered, sealed, and heated to prevent freezing. Received By: Issued By: Date: M /'7 / Date:l0 Z MUNICIPALITY OF ANCHORAGE Community Development Department .� Phone: 907-343-7904 Development Services Division Fax: 907-343-7997 On -Site Water & Wastewater Program Mayor Dan Sullivan ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. 65-0 ?-,0- i I ` 0t30 _ Property owner(s) W 6 LL I A ^ 'P,, -i- C.e-t-j iC- S. tf-b q A'**%Day phone 95 ` - SOCA Z - Mailing address Z,I q 1 `1 J3A2C_t_AY bF2 a 1A4("cC ElvF"i ,, Ak 9577 Site address 5AM 6 Legal description (Sub'd., Block &Lot) LT 3 , �3 i 4 , ;zv +� �� � =�% Ia I ��- V • Legal description (Township, Range & Section) Lot Size ZO, 4Zo Sq. Ft. Number of Bedrooms 3 THIS APPLICATION IS FOR: THIS APPLICATION IS AN: (® all that apply) Initial ❑ Absorption Field ❑ Septic Tank ❑ Upgrade Holding Tank ❑ Renewal ❑ Privy ❑ Private Well ❑ Water Storage THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR: I certify that the above information is correct. I further certify that this application is being made for a Single Fiamily Dwelling and is in accordance with applicable Municipal Codes. (S J Com-,- _AA' -- property owner or authorized agent) Permit/Rush Fees: Waiver Fees: Date of Payment: i -1- + 1 G k III N Date of Payment: Receipt Number: Receipt Number: Permit No. `0 �) ` ` Waiver No. GABuilding\On Site\Forms\Client Forms\Permit App 010411.doc (Rev. 1 /11) %c - O -N - - - - - --------- - -------- ----- Municipality of Anchorage _ ' Development Services Department `` _ Building Safety Division r - On -Site Water & Wastewater Program, 4700 South Bragaw St. - ,�; , , , , P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 Page 1 of 3 On -Site Wastewater Disposal System and/or Well Inspection Report Permit Number. SW020205 PID Number. 050-202-12 Name: BILL FORDHAM Wastewater System: ■ New ❑ Upgrade Y 6008 E. 12TH AVENUE APT 18 a ANCHORAGE, AK 99504 ABSORPTION FIELD Phone: No. of Bedrooms: (907) 240-9398 3 0 Deep Trench ■ Shallow Trench 0 Bed 0Mound 00ther LEGAL DESCRIPTION Sol Rang: 3.0 Total Depur from or" 9a : 3.5 GPD/Sa n. n Block: lot: Subdivision: Depth to pipe bottom from ongirwl gross. Gravel d.pth Dena pipe: 4 3 & 4 BLUEBERRY HILLS 0.86 In. 0.62 R Township: Range: Section: nl em.e abaw original Poec Gravel length: - - - 1.46-1.76 In. 30 n WELL: ■ New ❑ Upgrade Grovel .win: 5 Number Of Errc 1 Dlelanae W ..n Knee: - n n Ckwiremuon Prk*.. &D.0 : Tool Depth:card To: Total aboorptian ergo: pipe ma1orW: PRIVATE 338 n 40 n eo. n 150 D 3034/ F-810/ SCH 40 PVC DraMr. Date pulled: Slava wotor Laval: YwtaNr: OWNER INSTALL Dote Wlawe4 8/1-5/2002 M—W DRILLING 7 26 02 33.85 n Yleld: Pomp Set At: Coelng Haight Above Ground: TANK 1.0 GPw UNKNOWN n 2 n. SEPARATION DISTANCES 0Septic (3 Holding 0S.T.E.P. ■Othea To Septic Absorption Lift Holding Publle/Pdvats 1lwwlaatu . ANCHORAGE TANK Copedty In 2.11m : 1500 From Tank Field station Tank SO~ unas Wall 100'+ 100'+ — — 25'+ rat.wh FIBERGLASS w 2 Surface water 100'+ 100'+ — — — LIFT STATION Lot Una 5'+ 10'+ — — — Ste In gobs: 1500 hlanufoo .. ANCHORAGE TANK ORENCO SYSTEMS p M I a1: -Pump off el wt: Koh watts worm at Foundation 50+ 10'+ — — — TIMER TIMER 53" pump Moe. ! Iba.b a.ctrwa lrupreorr "Hmw br: Curtain Drain NONE KNOW ORENCO% 6WNEf2 Remarks: *THIS IS AN ADVANTEX TREATMENT SYSTEM BENCH MARK lo0o4an and D.ecuptwn: THE SYSTEM HAS BE OPERATING SINCE DECEMBER TOP OF FINISHED FLOOR NEAR POINT "A" OF 2002 WITH NO ADVERSE EFFECTS REGARDING THE DISTRIBUTION LINE BEING A 1.25 INCH SCH 40 PVC I Awurrd EJ twin 106.02 rt I ENGINEERee I GRAVITY FLOW LINE. THE HOMEOWNER IS AWARE OF HIS RESPONSIBILITY TO oaoo�o 0 MAINTAIN THE SEPTIC SYSTEM. (VERBALLY APPROVED BY DAN ROTH ON 3/18/2003) �•. y S�� ovov AKWWC, INC. Inspections performed by: Dates: 1st 8/1 /2002 • • 0� p • • •: :..4. 2nd 8/2/2002 3rd 8/5/2002 QO ffr y arne Development ervices Departallent Approval �p �; .. E 9 ` �O �4 T 4e • .. erre • �t`Ao Opp°P,are„tanoo, Reviewed and approved by Date: (Rev. 12/01) �4Oo0p INUMBER: PARCEL ID NU SW0 AS—BUILT DRAWING 1 SW020205 050-202-1212 ALTERNATE SITE - TH/24L 2_5 NEW A B ST1 12.0 33.4 POD 16.3 35.3 MH 21.7 39.4 MT1 22.3 21.0 MT2 41.0 47.0 ALTERNATE SITE - TH/24L 2_5 NEW NOTE: THE GRADE 35 FEED OWNHILL FROM DRAINFIELD 1 LESS THAN 25 PERCENT. OF SLOPE NEW DRAINFIELD \ .—r IXISTINC •`�'•�` \ GABION WALL 12/18/2003 00— O LL .. •'. 4� DRAWN BY: ALASKA WATER & «'ASTI31VATER p Ci. a �� .• .... V �0 SCALE." \ ---^------^- ----- CONSULTANTS. INC. -�-�------- 1" = 50• 0 ........... ... ......... 3701 F TIOOR ROAD SIIITF 101 • AWHu ,PA" AK 00107 • VI.O4F (0071X%7"70 • FAX (007MA-17n6 O O PREPARED FOR: PHONE NUMBER: PACE NUMBER: BILL FORDHAM (907) 240-9398 2 OF 3 Q f r Gar ess- LEGAL DESCRIPTION: oo� •' C 5 .•'• BLUEBERRY HILL SUBDIVSION; LOTS 2 & 3, BLOCK 4, 0 �^�• • 4���40000��� FFG • • • oov TYPE OF WORK: AS—BUILT DRAWING OF NEW WELL AND SEPTIC SYSTEM NOTE: THE GRADE 35 FEED OWNHILL FROM DRAINFIELD 1 LESS THAN 25 PERCENT. OF SLOPE NEW DRAINFIELD \ .—r IXISTINC •`�'•�` \ GABION WALL 12/18/2003 00— O LL .. •'. 4� DRAWN BY: ALASKA WATER & «'ASTI31VATER p Ci. a �� .• .... V �0 SCALE." ---^------^- ----- CONSULTANTS. INC. -�-�------- 1" = 50• 0 ........... ... ......... 3701 F TIOOR ROAD SIIITF 101 • AWHu ,PA" AK 00107 • VI.O4F (0071X%7"70 • FAX (007MA-17n6 O O PREPARED FOR: PHONE NUMBER: PACE NUMBER: BILL FORDHAM (907) 240-9398 2 OF 3 Q f r Gar ess- LEGAL DESCRIPTION: oo� •' C 5 .•'• BLUEBERRY HILL SUBDIVSION; LOTS 2 & 3, BLOCK 4, 0 �^�• • 4���40000��� FFG • • • oov TYPE OF WORK: AS—BUILT DRAWING OF NEW WELL AND SEPTIC SYSTEM IPEW020 05 AS -BUILT DRAWING PARGE<ID NUMBER: SW020205 050-202-12 TOP OF ADVANTE% POD ' 105.72 (AVG.) FINAL GRADE ATION 0 (AVC.) ATONE TOP OF " 10' PER RECOLLECTION OF AKWWC FIELD TECHNICIAN, JODY MADS, BRACING AND STAKING W/ VISOUEEN BARRIER ON DOWNHILL SIDE OF DRAINFIELD WAS INSTALLED. � FILTER Ile TOP D 02.54 (AVC.)- VERBAL APPRUV BY VAN / ROTH ON 3/18/2003. FOR GRAVITY FLOW SYSTEM USING A PRESSURIZED LINE. 1 OF MANHOLE " 105.72 (AVG.) )P OF TANK 101.24 OU'l m AL GRADE " 5.48-105.78 INSLIATION . INVERT OF PIPE — 103.18 (AVG.) THE DISTRIBUOON LINE IS 125 INCH PVC W/ ] INCH HOLES SPACED 11 INCHES ON CENTER (30 HOLES TOTAL). •BOTTOM OF TRENCH " 100.51 (AVG.) RELATIVE ELEVATION OF BOTTOM OF TESTHOLE - 98.01 CrESIHOLE DRY) ALASKA N'E'ATER & WASTE «'ATER CONSULTANTS, INC. 3)01 F TUDOR POAD. SURF 101 • ANGHOPAGP. AK 00507 • MONF (907)537�170 • PAX (907)W-3746 PREPARED FOR: PHONE NUMBER: BILL FORDHAM (907) 240-9398 LEGAL DESCRIPTION: BLUEBERRY HILLS SUBDIVISION; LOT 2 & 3, BLOCK 4, TYPE OF WORK: PROFILE AS -BUILT DRAWING OF NEW SEPTIC SYSTEM C.J.G. LE: i"=40' 3 OF 3 FROM :FIC,LLC FAX NO. :6220850 Aug. 11 2005 02:45PM P1 Jil P . i ��.14916 VoodLand LagLe Zver. A4 99577 (907)6:22-6777 August 11, 2005 Bill Fordham 21919 Barclay Eagle River, AK 99577 Re: Lot 3 Block 4 Blueberry Hill Subdivision - 21919 Barclay - Eagle River, AK 99577 Dear Mr. Fordham: The lift station at the above referenced property has been wired In accordance with NEC and State/Local codes. Thank you. Kevin S. Hombuckie, Owner Administrator License Number 1284 Specialty Contractor License Number 27285 M -W trilling, Inc. P.O. Box 110378# Anchorage, AK 99511♦ •907-345-4000 • 907-345-3287 Fax• Job No.: 02-146 Project No.: N/A Permit No. jW020205 Groundwater Well As -Built & Loi ♦ Nell owner. Fordham,. Bill ♦ Use of Well: Domestic ♦Legal Description: Blueberry Hill Block 4 Lot 2 Construction ♦Hole Depth: 338' ♦Casing Size: 6" ♦Cased To: 40' *Material.. A53Steel ♦ Drill Method: Air Rotary Perf. ♦ lVell Completion- open end X Screen Perforated _ Method: ♦Screen/Perforotion description: None ♦Grout Notes: (1) Sack- No. 8 bentonite granules • Nota: Grouted 6" to 38' ♦ Well Development: Method: Air surge Nota. #Stade water level (SWL) 33.85' (above) (below) top of casing (T0Q- ♦ Weli'ield test at 1 gallons per minute (GPMl/gaBenaP&4wN (61r11) for 1 hours with I W1. of drawdown (DD) from static level (SWL). ♦Method: Airlift *Date of completion: 26 July 2002 —,-1, V -_1,- -- ♦ Pump lnstad: Depth In feet from top of casing. 0 TO 2 Details of formations penet rat Casing stickup size ormaterial, color and hardness. 2 10 TO 10 TO 338 Fill ditch Bedrock: black/gmy siltstone ar illite, small water sea s insporadic fractures throughout TO TO TO TO TO 7EET,roonE TO TO ,�—(3eatlfied TO MUNICIPALITY OFANCHORAGE Development Services Department On -Site Water 8 Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ONSITE WASTEWATER DISPOSAL SYSTEM / WATER SUPPLY PERMIT Initial Permit Number: SW020205 0 d- /.•3a V.la e /Z'-S6F"q Date Issued: Jul 02, 2002 Expiration Date: Jul 02, 2003 Parcel ID: 050-202-12 Legal Description: BLUEBERRY HILL BLK 4 LT 2 Design Engineer: 0041 AK Water & Wastewater Consultarr Site Address: Owner Name: Bili Fordham Lot Size: 178160 SO. FT. Owner Address: 6008 E 12th Ave #8 Total Bedrooms: 3 Permit Bedrooms: 3 Anchorage , AK 99504 - This permit is for the construction of: ❑✓ Disposal Field ❑✓ Septic Tank ❑ Holding Tank ❑ Privy ❑✓ Private Well ❑ Water Storage All construction must be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations ( 18AAC72 ) and Drinking Water Regulations ( 18AAC80 ). 3, The engineer must notify DSD at least 2 hours prior to each Inspection. Provide notification by calling (907) 343-7904 (24 hours). ( Not required for a Water Supply Permit only). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. 5. The following special provisions. This Permit is for Lot 2 and Lot 3 but is listed under the PID for Lot 2 only Received By: Issued By: Date: 7-2 —d9 Date: 2 02 Municipality of Anchorage Development Services Department Building Safety Division On -Site Water & Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us tj S (907) 343-7904 F` ON-SITE SEWER/WELL PERMIT APPLICATION p( `iaws' A FOR A SINGLE FAMILY DWELLING (SSwe S„aw=e- Parcel I.D. ASID Permit Number stano205 Property owner(s) BILL FORDHAM Day phone 740-9398 Mailing address (1) 6 ong? E Ai lee -d Mailing address (2) L�k e1) rcta 44 Zip Code 9 !?S-0 Legal description (Lot, Block & Sub'd.) __ LOTS 9 & 3. BLOCK 4• PLUEF3FRRY H11 IS ai BDIyISION Legal description (Section, Township & Range) N/A e-'3 c.a Lot Size-2e{7e1aD + 179/611) Acre Sq.Ft. Number of Bedrooms 3 THIS APPLICATION IS FOR: Sewer Only ❑ Well Only ❑ Sewer and Well Water Storage ❑ Sewer Upgrade ❑ THIS PROPERTY CONTAINS: Hot Tub ❑ Jacuzzi ❑ Swimming Pool ❑ Water Softening Unit ❑ Therapy Pool ❑ I certify that the above information is correct. I further certify that this application is being made for a Single Family Dwelling and is in accordance with applicable Municipal codes. ALASKA WATER & WASTEWATER CONSULTANTS INC. agent) Permit Fees: 00 50 Waiver Fees Z Date of Payment: to'28 -02 Z/1/t) �4ate of Payment: 22001 �2D$� Receipt Number: Receipt Number. ALASKA WATER & WASTEWATER "„•.•.z.... •�—,.�...-.-�.s.—'� CONSULTANTS. INC...•..m.^.w."W,....�,.•."..'""W'm"'"'°"""'""'" June 28, 2002 Municipality of Anchorage Development Service Department Building Safety Division On -Site Water & Wastewater Program 4700 South Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 Ref: Proposed Well and Septic System for Lots 2 & 3, Block 4; Blueberry Hill Subdivision ADVANTEXT" TREATMENT SYSTEM To whom it may concern: 1. GENERAL: The proposed 3 bedroom home will be served by a private well and septic system. Two test holes were excavated on the property. We are proposing to design the septic system around the 30 foot radii of these test holes. Due to the shallow bedrock, the limited amount of receiving soils, and the steep slopes, we are proposing to use an Advantex treatment system and a 5 -wide trench type drainfield. The well is to be located in the area shown on the site plan and design drawing. 2. SOILS: See the attached log, which shows the soil classifications, groundwater monitoring, and the percolation test results. 3. DRAINFIF.LD APPLICATION RATE: The intent is to install an Advantex Treatment System that will allow the use of a small drainfield in the area around the 30 foot radii of the test holes. A percolation test was performed in each test hole between the depths of 4.0 to 4.5 feet and found the rates ranged from 3.3 to 5 minute/inch. The Advantex system has received class III approval and we are going to conservatively assume an application rate of 3.0 GPD/FT'. 4. TRENCH DESIGN: a. Percolation Rate: 3.3 & 5 minutes/inch b. Proposed Application Rate: 3.0 gallons/day/ft2 c. Number of Bedrooms: 3 d. Design Flow: 450 gallons per day e. Minimum Absorption Area: 150 ft2 f. Total Depth: 3.5 feet (max.) g. M.O.A. Approved Sand Filter Depth: 2+ feet 6901 Debarr Road, Suite 2B — Anchorage, AK 99504 — Ph: (907)337-6179 — Fax: (907)338-3246 h. Effective Depth: 0.5 feet i. Width: 5 feet j. Minimum Length: 30 feet long k. Effective absorption area: 150 ft2 5.ORENCO PACKAGE SYSTEM: The STEP tank with the Advantex Treatment System will be manufactured by Anchorage Tank & Welding to meet the latest design criteria established by Orenco Systems, Inc. The point of contact at Anchorage Tank is Lowell McNutt. As with their standard STEP tank, it is equipped with a high water alarm per M.O.A. requirements. 6. SURFACE RATER: There is no surface water within 100 feet of the proposed septic system upgrade. 7. TOPOGRAPHY: the homeowner has excavated a pad on the property. The test holes were dug at original grade and the area uphill of the test holes was excavated and placed on the downhill side of the test holes. The homeowner has created a flat area 25 feet south of test hole 41. The proposed drainfield is to be placed on the same contour line as the test holes and the homeowner will excavate and fill until no slope exceeds 25 percent grade 35 feet from the drainfield. We request that the required 50 feet setback to a cutbank be waived to 35 feet. Given the porosity of the soils and the high level of effluent treatment from the Advantex system, it is our opinion that there is little risk with the granting of this waiver. We are also recommending that a geofabric and seeding be layed down on the cutbank for stabilization. 8. CLOSING: I am open to any suggestions from your department that would be an improvement to the proposed system. I am unaware of any negative impacts that this installation would impose on adjacent wells, or septic systems. If you have any questions, please call us at 337-6179. M.S. NOTE: Attached is a site plan drawing, a design drawing, an Advantex detail, a trench detail, two soil logs, and a 7 page construction specification letter which are all part of the design package for this septic system. 6901 Debarr Road, Suite 2B — Anchorage, AK 99504 — Ph: (907)337-6179 — Fax: (907)338-3246 BLUEBERRY HILL S/D; LOT 2, BLOCK 4, ALTERNATE SITE. WILL REQUIRE FILL TO BE PLACED DOWNHILL TO A17TH12 J �� EXISTING CUTBANK BLUEBERRY HILL S/D; LOT 3, BLOCK 4, • PROPOSED SEPTIC SYSTEM (SEE DESIGN PACE 2 OF 4) / 3 BEDROOM --- HOUSE I I \ I I STH/1 \ I BLUEBERRY HILL S/D;/�--- LOT 3. BLOCK 2. DATE: 6/28/2002 � I DRAWN BY: Al AS 1170'ER & «'ASTENVIVI LR SCALE: C.J.G. r.a ".1.0 .•.W...v CONSULTANTS. INC. "` - _"_'�—"....•. 1" = loo, PAPP POI SviTF TP • ANCNOPAGF AN 00"4 • FNONF (V0111D.600 • FAY (007MS.374M1 PREPARED FOR PHONE NUMBER: PAGE NUMBER: BILL FORDHAM 240-9398 1 OF 4 _EGAL DESCRIPTION: BLUEBERRY HILLS SUBDIVISION. LOT 2 & 3, BLOCK 4, SITE PLAN FOR PROPOSED WELL AND SEPTIC SYSTEM LOCATION -_ . BARC�9 Y pR�Vf ....... .. .. ... ........ .. . ... .. ........ v A. Go ess.: E 7953Ne e, PROPOSED DRAINFIELD. EXCAVATE A TRENCH THAT IS 3.5 FEET DEEP MAXIMUM BELOW THE TOP OF THE NATURAL ORGANIC LAYER BY 5 FEET WIDE BY 30 FEET LONG. ADD 2 FEET OF M.OA. APPROVED SAND FILTER THEN 0.5 FEET OF CLEAN. WASHED SEWER DRAINROCK. THE DISTRIBUTION UNE IS TO BE 1 J' PVC PIPE WITH J' HOLES SPACED EVERY it INCHES ON CENTER (30 HOLES TOTAL). (SEE DETAIL. PAGE 4 OF 4) ALTERNATE SITE / TH12 0 iaK FILL SHALL BE PLACED SO AS TO CREATE A 35' SEPARATION DISTANCE BETWEEN THE NEW DRAINFIELD AND ANY SLOPES GREATER THAN 25% NOTE: DEPENDING ON THE HOUSE ELEVATION, lHE LIFT STATION MAY NOT BE REQUIRED. IF IS NOT REQUIRED, THEN THE DRAINFIELD TO BE A GRAVITY FLOW TRENCH. OF SLOPE -PROPOSED 4 BEDROOM FIBERGLASS ADVANTEX TREATMENT SYSTEM AND A UFT STATION (SEE NOTE) (SEE DETAIL. PACE 3 OF 4). 'ED \ \ \\ DRft;v4r `\ i EXISTING CABIMI WALL �� ``.•�.� // DATE: Q,opQiDOpQ Ill lltll6/28/2002 0 i 1 DRAWN BY: v l.. AIASICA «TATER & «TASTI:«'ATI:R SCALE: INC.._ ...,.. F X(........._._.. 1 — 50 Q °.:.. .. F. P, e•�^' pp SdCF CPAD SilrtAN; T9 • CNCwOPAf.F. AK 00504 • OwONF 100)pL0 Je9 • FAX (007I338.5746 — O PREPARED FOR: PHONE NUMBER: PAGE NUMBER: Q BILL FORDHAM (907) 240-9398 2 Of 4 ness. Q LEGAL DESCRIPTION: oOQ �. E 7953 00� BLUEBERRY HILL SUBDIVSION; LOTS 2 & 3, BLOCK 4, ya0 TYPE OF WORK: 44 ^vy x`'o� DESIGN OF PROPOSED WELL AND SEPTIC SYSTEM LOCATION ��� I oop�� NOTE JIM CROSS, P.E. PAS THE ADVANTEX MANUAL AdvanTex" Treatment System 000 AX20 -Mode l a 40x94Pod NYL 6' 6' PVC PIMP—OUI C".Vl 6' PJC COUPLING CLUED TO TANK c".2) SLIDE SECIION OF r PPE OVER THIS C0NNECTKIN TO PROVIDE SHEER PROTECTION - EXTEND 70 BRIDGE EXCAVATION 1 � e 3 BEDROOM FIBERGLASS ADVANTEX.TANK t " ALASKA WATER & WASTEWATER CONSULTANTS, INC. BILL FORDHAM (907) 240-9396 AL DESCRIPTION: BLUEBERRY HILL SUBDIVISION; LOTS 2 & 3, BLOCK 4 E OF WORK: DETAIL DRAWING OF ADVANTEX TREATMENT SYSTEM C.J.G. N.T.S. NUMBER: 3 OF 4 F�� SCREENED VAULT EFFLUENT PUMP THE DISTRIBUTION UNE IS TO BE 1 J' PVC PIPE WITH J' HOLES SPACED EVERY 11 INCHES ON CENTER (30 HOLES TOTAL) MT �r----------------------------- pl O.I MT----------------- ---------� 30 fff r LONG NOTE: THE FINAL GRADE 35 FEET WEST FROM THE TRENCH MUST BE GRADE AND FILLED TO LESS THAN A 25 PERCENT SLOPE. FINAL GRADE DISTRIBUTION UNE IS TO BE 1 J' PVC PIPE WITH J' HOLES SPACED EVERY 2 FEET ON CENTER ORIGINAL GRADE—\iCOVER / NATURAL SLOPE INSTALL BRACING AS NEEDED ALASKA «TAITR & «'AS7'I:«TATI:R SCALE: C.J.G. ......_ .... CONSULTANTS. INC..._.._ N.T.S. ♦.�. �'cAR9 RAAt S:IITC 7R • AN!NMAr,' AA 0050!. • P..(.NR (0071117.6179 • FAX (0071114-771.6 PREPARED FOR: PHONE NUMBER: PACE NUMBER: BILL FORDHAM (907) 240-9398 4 OF 4 BLUEBERRY HILLS SUBDIVISION; LOT 2 & 3, BLOCK 4, OF WORK: DETAIL FOR PROPOSED SEPTIC SYSTEM OF EFFECTIVE • 2.0'+ OF MOA APPROVED SAND FILTER NOTE: THE BOTTOM OF THE SEWER ROCK WILL BE 6'+ FEET ABOVE BEDROCK. .. ... ..... ........ y A. GOrn ss. E ALASKA LR & NVASTLNVAI'LR ....- .._..-.......... CONSULTANTS- INC..._.._._-._..., SOIL LOG — PERCOLATION TEST LEGAL DESCRIPTION: BLUEBERRY HILL SUBDIVISION: LOT 2 & 3, BLOCK 4, PERFORMED FOR: BILL FORDHAM DATE: 6/11/2002 DEPTH - - -- (IeetORGANICS ITEST HOLE 1 1 I'll. II 71 8 BEDROCK 9- 1011 10- 11 12- 13- 14- 15- 16- 17 21314151617 18 SOIL CLASSIFICATIONS DATE DRY 6/11/2002 GW 6/13/2002 DRY ORG ' : • GP 6_.-____--- III 11 ML 2 GM 10 ' ///, CL GC 8:45 'ILII OL - SW 4 I MH �� '• SPS/%%/ 5 CH 1;1"t SM - i' OH X060 SC 4' 2- DEPTH TO GROUNDWATER DATE DRY 6/11/2002 DRY 6/13/2002 DRY 6/24/2002 --8:35--- --- PROPOSED SEPTIC SYSTEM (SEE DESIGN PAGE 2 OF 3) TOE OF SLOPE c Z�- TH12 IE - / TH/1 I � EXISTING 1 \� CUTBANK 1 PROPOSED�.._ 1\3 BEDROOM HOUSE SITE PLAN 1"=100' DATE READING CLOCK TIME NET TIME (MINUTES) WATER LEVEL READING NET DROP (INCHES) 6/13/2002 1 -- --8:35--- --- 6_.-____--- 2 8:45 10 4' 2" 3 8:45 - 6" - 4 8:55 10 4' 2' 5 8:55 - 6' - 6 9:05 10 4' 2- 7 9:05 - 6" - 8 9:15 10 4' 2" 9 9:15 - 6" - — --- 10 10 4 2" _9:25_ -- 9:2.5 __. - — — 11-- _1 12 9:35 10 4- 2' 19� PERCOLATION RATE 5 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES) TEST RUN BETWEEN 4.0 FT. AND 4.5 FT. 20 A FOUR HOUR PRESOAK WAS PERFORMED: N YES ❑ NO SOILS LOGGED BY: CALEB GALL PERCOLATION TEST PERFORMED BY: CALEB GALL COMMENTS: PERFORMED BY AKWWC, INC. I, JEFFREY A. GARNESS, CERTIFY THAT THIS WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: DATE GROUNDWATER (MINUTES) READING (INCHES) 6/13/2002 Qoo6�pp0 _ _DRY 6/24/2002 6" - AEASKA NN ATER & NVASTENVATER � .. _..,...._..u....., --- _ ....._......._,_,. CONSULTANTS INC.."_.,�...._._._..�..-..._.......... - n n ....... . . .... ... 6901 OEBMF ROAD, SURE 2B • ANC110RAGE, M. 99501 • Pn0NE�907 }}]-6179 • fAx: 907 }39-]b6 • •E9LiE: or".c.eom .......... 0 --- SOIL LOG - PERCOLATION TEST — LEGAL DESCRIPTION: BLUEBERRY HILL SUBOMSION: LOT 2 Qi 3, BLOCK 4, O P e r y am SSS O PERFORMED FOR: BILL FOROHAM DATE6/11/2002 oh9 —795 p0� DEPTH ---- ----- ORGANICS TEST HOLE #21 n444a p,0Ils-iOn0\�,�0 p0p0�0�66 1 -=-- 6 6 1 el SOIL CLASSIFICATIONS 3" 2 i �I I 7 9:20 J i '1 -o GW--- - ORG PROPOSED SEPTIC SYSTEM 3 'i J f GP 1 1 1 1 1 1 ML (SEE DESIGN PAGE 2 OF 3) 10 - �i rt UI GM '/%/ CL 4 _ 1 'S�/.i� GC ' i ' I ', OL TOE OF SLOPE Lw vrV�V- 0 0. SWMH --- — 6 1 GM • �'•'• SP / CHTHII 11 6' - SM OH 12 9:50 10 3" 3" `\ 7 ., ;Ili;DEPTH TO I - I I 8 :I I V Exlrnr+clb DRY �/l 1/2002CUTBANK 1 PROPOSED r I wl DRY6/ 13/2002 \3 BEDROOM HOUSE 9 K BEDROCK SITE PLAN "-100' 1 10 Hon- DATE READING CLOCK NET TIME WATER LEVEL NET DROP tt 12 13 3 9:00 6-- 4 _9:10 10 14 5 9:10 . -_ 15 16 17 18 19 PERCOLATION RATE 3.3 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES) TEST RUN BETWEEN 4.0 FT. AND 4.5 FT. 20 A FOUR HOUR PRESOAK WAS PERFORMED: 0 YES F-1NO SOILS LOGGED BY: CALEB GALL PERCOLATION TEST PERFORMED BY: CALEB GALL COMMENTS: BY AKWWC, INC. 1, JEFFREY A. GARNESS, CERTIFY THAT THIS WAS PERFORMED IN ACCORDANCE PERFORMED WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: DATE GROUNDWATER (MINUTES) READING (INCHES) 6/13/2002 1 _ _DRY 6/24/2002 TIME (MINUTES) READING (INCHES) 6/13/2002 1 8:50 - 6" - — — —2. 10 3" 3" — — —9:00— --- ----- ---_- ---- — — 3 ' ---3" _--- --- ----- - - — ---- 6 9:20 10 3" 3" 7 9:20 8 9 9:30 9:30 10 - 3" 5" 3" - 10 9:40 10 3" 3" 9:40 - 11 6' - 12 9:50 10 3" 3" 'M -03-2002 17[07 S&S ENGINEERING 907 694 1211 P.02/02 Ay EASEMENT AGREEMENT The undersigned, in consideration of mutual agreement set forth below, grant, convey and affirm the following easement, effective this 3rd day of May, 2002, and agree to the conditions and restrictions as follows: 1, William Fordham, hereinafter referred to as grantor, owner of certain real property herein after referred to as "Lou 2; Block 4; Blueberry Hill Subdivision". According to the official plat thereof flied in the records of ANCHORAGE RECORDING DISTRICT, Third Judicial District, State of Alaska, do hereby grant to William Fordham, hereinafter referred to as the grantee, as owner of certain real property hereinafter referred to as "Lot 3; Block 4; Blueberry Hill Subdivision" according to the official plat thereof Met][ in the records of ANCHORAGE RECORDING DISTRICT, Third Judicial District, State of Alaska. I An easement for the on-site wastewater disposal system to be placed on Lot 2; Block 4; Blueberry Hill Subdivision, as shown on the attached site plan, together with right to maintain the on-site wastewater disposal system to include reasonable egress and ingress for pumping the septic tank and maintenance of the absorption area. The easement to be effective upon the signing of this agreement by the parties. 1. It Is understood and agreed that sewer service to Lot 3; Block 4; Blueberry Hill Subdivision is to be provided by connection beginning on Lot 2 and extending onto Lot 3; Block 4. It is further agreed that the cost of maintenance of the Inplace sewer lines shall be bom by the grantee. 2. There shall be no charge for the use of the on-site wastewater disposal facilities so long as this casement Is in affect unless a charge Is arranged between the parties of their heir or assigns or successors In interest by separate written agreement. 3. Grantor makes no warranty as to the adequacy of the wastewater disposal system and shall not be liable for any damages caused by the system failing to work adequately. 4. The grantor further covenant and agrees that the grantee shall have full, free and uninterrupted use of said easement for reasonable domestic use as long as such use does not create an unreasonable, adverse impact upon the grantor. 5. Failure to make use of the on-site wastewater disposal system herein described shall not be deemed abandonment of the said easement. 6. The grantee further agree to bear all cost, if any, for the operation, [maintenance and/or abandonment of the on-site wastewater disposal system and/or easement. 7. This easement from grantor to grantee shall be binding upon the inure to the benefit of the parties hereto, their bele, legal representative, successors and assigns, and shall run with the land. Crrattior' /la, •'� S �t� Grantee. \ C pv I t ` T �Ot1� r� tLi A 1, � If A, � (J�— x1'ioa � J ? Wall ,Fo`rrdham(Lot2) 6AjQI,`3.ltd—N0�^ William Fordham (Lot3) (ou�s� fe4etirt.^ ytd swornto before me this %�>� day of 2002 for William Fordham. i e-4 t rissitbnexpires &IB1OZ otary Public C CP TOTRL P.02 Certificate of On -Site Systems Approval Parcel I. D. 050-202-11 Legal description BLUEBERRY HILL BLK 4 LT 3 Site address 21919 BARCLAY DR Expiration Date: Current property owner(s) BRASHEAR DAPHNE L & STEPHEN W 7/23/2025 X The On-site system(s) is/are approved for 3 bedrooms Conditional approval for bedrooms, with the following stipulations: Comments or advisories: By: Original Certificate Date: 8/6/2024 This Certificate of On -Site Systems Approval (COSA) is intended to demonstrate the subject system(s) is/are in substantial compliance with municipal code. The Municipality of Anchorage, Development Services Department (DSD) issues COSAs based upon representations provided by an independent professional engineer. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. ATTACHMENTS: COSA Checklist X Well Flow Advisory X Absorption Field Advisory Nitrate Advisory Tank Age Advisory Arsenic Advisory Other COSA ApprovaIjune 2022 MUNICIPALITY OF ANCHORAGE R05H Development Services DepartmentPhone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Application 1. GENERAL INFORMATION Parcel I.D. 050-202-11 Complete legal description BLUEBERRY HILL BLOCK 4 LOT 3 Location (site address) 21919 BARCLAY DRIVE, EAGLE RIVER, AK 99577 Current property owner(s) STEPHEN & DAPHNE BRASHEAR_ Day phone 2. ON-SITE SYSTEMS SIZED FOR 3 BEDROOMS 3. TYPE OF WATER SUPPLY: N Private Well r-1 Private Well serving 2 dwelling units F-1 Private Well serving 3+ dwelling units R Community Well or Public F-1 Water Storage 4. TYPE OF WASTEWATER DISPOSAL: Z Private Septic F-1 Private Septic serving 2 dwelling units R Holding Tank r_1 Community Septic or Public Sewer 5. SEPTIC TANK: F-1 Steel E] Plastic E] Concrete Z Fiberglass Age 22 - See advisory if steel older than 20 years 6. ABSORPTION FIELD: Z AWWTS F-1 Bed F] Deep Trench Z Wide Trench n Seepage Pit Waiver request for: Expedited review requested: R Distance: By applying for this entitlement, this property is subject to inspection by municipal On-site staff to verify the accuracy of the information provided. COSA Fee $--550 1-4 V150 Waiver Fee $ Date of Payment ! 3/ZZ-02_ / Date of Payment f COSA # Qc-) c 2LA 1-2 7 � Waiver # COSA Application.doc COSA Checklist.docx COSA Checklist Legal Description: BLUEBERRY HILL BLOCK 4 LOT 3 Parcel ID: 050-201-11 If more than 1 well and/or septic system on lot, provide separate checklist. Structure served by this system ____ A. WELL DATA Well log is filed with Onsite (or attached) Date drilled 7/26/2002 Total depth 338 ft Cased to 40 ft Sanitary seal is functioning correctly Wires are properly protected Casing height (above ground) 18 in. Date of flow test for COSA 7/23/24 Static water level at beginning of test 190 ft. Well production at time of test 0.24 gpm Water storage tank volume 1000 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 Date 7/23/24 Comments __________________________________________________________________________________ B. TANK DATA Measured operating fluid level in septic tank NA Date of pumping *NA Required maintenance completed, if AWWTS Comments: *ADVANTEX MAINT REPORT C. LIFT STATION Required maintenance completed Age of lift station years Lift station material Comments: D. ABSORPTION FIELD DATA Which system tested (date installed) 8/5/2002 ALL standpipes present per record drawing Total measured depth from existing grade 3.6 ft (max) Measured depth to pipe invert from grade ft (min) N/A – pressurized field. Per record drawings, field is insulated. Monitor tubes (MT) go to bottom of effective. (ED) If not, state depth into effective Presoaked required if (Required if house vacant or field not used for more than 30 days prior to date of test) Gallons introduced gallons date Any rejuvenation treatment (past 12 months) N If yes, enter date Adequacy test date 7/23/24 Results Pass Fluid depth prior to test 0 in Water added 450 gal New fluid depth 1 in Elapsed time <10 min Final fluid depth 0 in Absorption rate 450 gpd FIELD STATUS – POST RECOVERY Effective depth (per record drawings) 7.4 in (MOA 0.62’ED) Effective depth used 0 in (Final Fluid Depth) Effective depth (ED) remaining 7.4 in Comments/Deficiencies: Approximate total measured depths from existing grade. ED per measurements, visual observations & MOA docs ED appears approximate. Per MOA request all lift station data was removed from this COSA checklist and per MOA record documents, this is an approved gravity Advantex septic system with no field cleanouts. COSA Checklist.docx E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well on lot) Septic Tank/Lift Station on Lot > 100’ Yes if No ft Neighboring Tank > 100’ Yes if No ft Absorption Field on Lot > 100’ Yes if No ft Neighboring Absorption Fields > 100’ Yes if No ft Community Sewer Main > 75’ Yes if No ft Community Sewer Manhole/Cleanout > 100’ Yes if No ft Private Sewer/Septic Line > 25’ Yes if No ft Holding Tank > 100’ Yes if No ft Animal Containment > 50’ Yes if No ft Manure/Animal Excreta Storage > 100’ Yes if No ft N/A – Served by Community Well (not on lot) or Public Water From Septic/Holding Tank and Absorption Field(s) on Lot to: (Please enter distances if less than required) Building Foundations > 10’ Yes if No *5+ ft Tank to Property Line > 5’ Yes if No ft Field to Property Line > 10’ Yes if No **0 ft Water Main > 10’ Yes if No ft Water Service Line > 10’ Yes if No ft Surface Water > 100’ Yes if No ft Wells on Adjacent Lots: Private Wells > 100’ Yes if No ft Community Wells > 200’ Yes if No ft If tank or field is under driveway comment below F. ENGINEER’S COMMENTS *TANK IS 5’+ TO FOUNDATION PER CODE AT TIME OF INSTALL. **TRENCH ACROSS PROPERTY LINE WITH PREVIOUSLY GRANTED EASEMENT – SEE MOA FILE. FUNDATION CLEANOUT INSIDE. G. CERTIFICATION & 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, indicates that the on-site water supply and/or wastewater disposal system appears to comply with applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation, unless noted otherwise. Name of Firm FIRST WATER CONSULTING Phone 907-350-9566 Engineer’s Printed Name CURTIS HUFFMAN, PE Date 7/29/24 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 to these various and dynamic characteristics and are outside the control of the evaluator of the well and septic system. Therefore, any or NO estimate of how long a system will function satisfactory for current or future occupants or guarantee that no unseen encroachments, deficiencies or discrepancies exist can be given by First Water Consulting & 7/29/24 MUNICIPALITY OF ANCHORAGE DEVELOPMENT SERVICES DEPARTMENT -g", 907-343-7904 "N On -Site Water and Wastewater Section r Fax: 343-7997 www.muni.org/onsite Well Water Advisory Certificate of On -Site Systems Approval # OSC241274 Subdivision: Blueberry Hill, Block: 4, Lot: 3 This well's productivity was determined to be .24 gallons per minute. The minimum well productivity required under (AMC 15.55) for a 3 -bedroom residence is .31 gallons per minute or 150 gallons per day per bedroom. Although the well production does not meet this requirement, water storage has been provided to meet minimum code requirements. This advisory must be attached to all copies of the subject Certificate of On -Site Systems Approval. 0810112024 08:48 Anchorage Tank To: null �FAX)907 277 3715 P.0011001 Pape: 06$ of 146 2024-07-02 21:32:4$ GMT 15073086608 From: Was Anderecn 492 938 rrttll M NONE a #■■M MUMMER ■ sEE 0 11101111 Ire ■ ■ K EE M EE■ E !1 ■ 0 E M ■ 1000 NINE ON Mono■■MM U now ME ■ U■■ ■ ■ NON 5qvarffXW Meld Maly mance Report Annual Inspection pmo.y owftVtftwklep e Stephen Brashear N& AWma 21919 Barclay Drive, Eagle River AK 95577 AN NM I] f eaanty Ip f♦ Pod 4 AX -100101 ISM20205 1200228 Retrieve O&M Into Dally now Raahc retia Ttm*r swWrox: Perform Field Sampling/Olasorvatlous NTU (16 a NTUs) pM (6-9) 00(2-M Clean Rlser/l-id ............. . .. „ . Ynd Compartm*nt Odor of B—Plle TYph%w Iu* ❑ Earthy ❑ moldy Nan -"Irl ❑ SLOW$ ❑ Cabb"t I1 DaceY city film In PVD ❑ Yee NNa Poam In tank ❑ Y" N No 0heek Contra] Panel ReclrctAmps pischaW Amps Aredlble and visual slarms 0 OK Dial tan* (talemetrY Only) 1Yba ❑ Ma Inspevt/Clann Pump Sim Cu my t Inspect Clean Rlser/l-id ............. . .. „ . Ynd Compartm*nt 8phoo 90x .. ................ 1olu,s Float Cords .............. . ... . Pr6viaus Fkaa#s........................ ❑ Pump ...............« ......I ❑ ektalowFitter................. Q Bk tube pump Vault ............ ❑ Realroul*tlno Spatter Valve..... ❑ Commentst 1"�5 � Pump A *1 dut- UP &OWe Siynpturs V+ AnchorageTank 907-272-3543 op"Or A+ Home Services Tech (907) 6876543 rrru -I/M# p#m or Las kmPwaun RTU123058 07/27/2023 Measure Sludge/Scum 21...I— scum 1St C,emparhn*rd Cu my t Previous Currant PWADU, Ynd Compartm*nt Curtem 1olu,s Curr*nt Pr6viaus lnsp*WClean AdvanTex Flltgr Inspect Olean odor Normal ❑pungent Lawmie/crfHcss ❑ 11310171et: NDMNd ❑ ExoUWVO pad Bottom ❑ I BridginP/Pandlep; ❑ NonaUnar 5 Exa*eshro Intake Vent ❑ Inepec=ean Discharge Pump SVS%kw Inspact In sot clean ❑ Plser/Lld Floals Splice Bax Pump ❑ Rost abed■ InspoWS6INle9 Otl ifr SysWm Components lnapact C1oan 1PI"at Cloven pisinfrctlon EqulprrMnt ❑ Dwporerl Lateraleldllikes ❑ ❑ obeervatlpn4 Addid6nel Fervltso hands ❑ Cleaned tsottlia sheath ❑ R ptnoad UV Moms? ❑ Repleo*WV"d other Items? Pa,rta Usodl W . Warranty, B a Billable Of aPProPrlate Wee lonj W B harm Numbw Dewiptlon FineVSlafety Inspactlon RSV i*lnsWl*d fSLlds bolted an Nmanlfald rsoonnsatabl flush valves dossill KConnol panel marctvaw #ummary/Recommendatlans Mayehm p*rrarmino; no tlrlhar acUfM n*adOd ❑ Tarlk Oat* a — Fax contplated farm to 1-868-684-7404' MUNICIPALITY OF ANCI-10RA(VE ADVANCED WASTEWATER TRE ATNIE NT SYSTEM MAINTENANCE ANDRE PAIR AGREEMENT TI -ITS MAINTENANCE AND REPAIR AGREEMENT. herein the "A(iREEMENT" made and entered into as of this 15�bay of -TC11 %J of 20,) by and between herein the "OWNER," and the Municipality of Anchorage., herein the ICIPALITY-, in accordance with Anchorage Municipal Code (AMC) 15-65.365. In consideration of thv mutual covenuras contained herein, the parties to this Agreement agree as follows: 1. Advanced 'Wastewater Treatment Systems The Mui-deipality grants pen-nission to the Owner to utilize and operate an Advanced Wastewater "Treatment System, (AWWTS), described as AN ADVANTEX SYSTEM located at (legal description) BLUEBERRY HILL BLOCK 4, LOT 3 2. Maintenance, Repairs and Alterations. (Owner is required to read, understand and initial each section) .96 Throughout the term of this Agreement, the Owner shall enter into aservice agreement with an AWW7S service and inaintenance 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, adiustment(s), replacement costs, and inspection costs. 'chis 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, W repairs or permitted alterations to the system. Owner acknowledges that regular maintenance of an AWVv'TS reduces the potential failure of the system, which could include sewage backup and costly repairs OT drain-rield 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 acicnowledges that the fine for failing, to maintain and repair an AWWTS may be assessed 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. 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 term ol'this Agreement shall begin on the (late of approval by the Municipality to operate the installed system, or upon transfer of title, and shalt continue while the AWWTS is operational or until title is transferred. 4. Nortwaiver. Tlie 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 part 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 agM0111011L by either an unauthorized representative or unauthorized means shall be void. 6. Jurisdiction: Choice of Law. Any civil action arising from this Agreement shall he brought in the Superior Court for the Third Judicial District of the State of Alaska at Anchorage. I'he 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 STATE OF ALASKA THIRD RITDICIAL DISTRICT The foregoiaginstrumteras as ackno 20A, by _ lip Pf , NOTARY PUBLIC FUR Mly Commission expires: >nature) Date: nt name) ged before. me thij�day of -Play S14ARON G, CRUZ A Notary Public f State of Alaska 011,XMy commission Expires Sep 1, 2024 MUNICIPALITY: By: (signature) Date: Ll (Print name) Title: (rev. 05/18/2018) Page 3 of 3 2024- 021413- 0 KRecording District aoi Anchorage 08/09/2024 12:44 PM rase i of a ccc Recording District: Returnto: S'-�Q p e w. 6ntskeute- 6 q r 6. S�. , she /0 0 , # ?-&* Akic4ae-a3e, Ak q`iSo 1 THIS COVER SHEET HAS BEEN ADDED TO THIS DOCUMENT TO PROVIDE SPACE FOR THE RECORDING DATA. THIS COVER SHEET APPEARS AS THE FIRST PAGE OF THE DOCUMENT IN THE OFFICIAL PUBLIC RECORD, DO NOT DETACH May 8, 2018 PROPERTY EASEMENT The undersigned grant, convey, and affirm the following easement, effective this 9 A day of August 2024, and agree to the conditions and restrictions as follows: I, Stephen W. Brashear, and I, Daphne L. Brashear, hereinafter referred to as grantor, am the owner of certain real property hereinafter referred to as "Lot 2; Block 4; Blueberry Hill Subdivision", according to the official plat thereof filed in the records of ANCHORAGE RECORDING DISTRICT, Third Judicial District, State of Alaska, and do hereby grant to the owners, hereinafter referred to as grantee, of certain real property hereinafter referred to as "Lot 3; Block 4; Blueberry Hill Subdivision", according to the official plat thereof filed in the records of ANCHORAGE RECORDING DISTRICT, Third Judicial District, State of Alaska, an easement for the on-site wastewater disposal system to be placed on Lot 2, Block 4, Blueberry Hill Subdivision, as shown on the attached as -built drawing, together with right to maintain the on-site wastewater disposal system to include reasonable egress and ingress for pumping the septic tank, maintenance of the septic tank and absorption area (the leach field), and installation of a new septic system in an alternative location if it becomes necessary due to a failure of the original septic system. The easement will be effective upon the signing of this agreement by the grantor with the following terms and conditions. 1. There shall be no charge for the use of the on-site wastewater disposal facilities so long as this easement is in effect unless a charge is arranged and agreed upon between the parties or their heirs or assigns or successors in interest by a separate written agreement. 2. The grantor makes no warranty as to the adequacy of the wastewater disposal system and shall not be liable for any damages resulting from the system failing to function adequately. 3. The grantor further covenants and agrees that the grantee shall have full, free, and uninterrupted use of said easement for reasonable domestic use as long as such use does not create an unreasonable adverse impact on the grantor. Id,1411tlIIIIGIVIVI!dlPlllV�;;d'IIIIIN�VIVI;IIIuIV Page 10l d 301-2014-021413-0 4. Failure to make use of the on-site wastewater disposal system herein described shall not be deemed abandonment of the said easement. 5. The grantee shall bear all costs, if any, for the operation, maintenance, and/or abandonment of the on-site wastewater disposal system and/or easement. 6. This easement from grantor to grantee shall be binding upon the inure to the benefit of the parties hereto, their heirs, legal representative, successors and assigns, and shall run with the land. Grantor: A14 Stephen W. Brashear Daphne L. Brashear State of Ala aka Judicial District (or County of (or Municipality of Subscribed and sworn to me on this 9 day of PU 2024 before me, the undersigned personally appeared: Stephen W. Brashear and aphne L. Brashear known to me to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged that he/she/they executed the same for the purposes therein contained. f �IiIIIII:U!II'dIIII�IIIRll9'pllllll'' IIIIlPnllll lllnln Page a of a aoi— zona— oziaia—o SW020205 AS—BUILT PARCEL050ID NUMBER: a50-ao2-�12 ST1 12.0 33.4 POD 16.3 35.3 MH 21.7 39.4 MT1 22.3 21.0 MT2 41.0 1 47.0 ALTERNATE SATE j TH12� 2_6 NEW 1500 CALLON ADVANTEX✓/ TREATMENT SYSTEM NOTE: THE GRADE 35 FEED DOWNHILL FROM DRAINF"IELD 1 LESS THAN 25 PERCENT, TOE OF SLOPE NEW DRA1NFIELD \I � S 1 WELe .tA.t 1�ti V. EXISTING ••.��, Q,•,,., CABION WALL R `— CIIIIIIf�1611111�11'IIIlIIIIIPI IIIIII�IIiIIRI!pllll Page 4 0l d 301-202<-021<13-0 GATE: 12/18/2003 DRAWN 8Y: MASIU iiATN"R&♦ASTIJ'A ATER 5701 F TUOnR conn Su1TF 101 • Ay^HrRAr,c AK 400.07 • Pw(wF @ SSE, (ag71S17.-6170 FAX (001)tlA•lAh PREPARED FOR: PHONE NUMBER: PAGE NUMBER: O D BILI. FORDHAM .... (907 240-9308 ) 2 OF 3 f r C Ger ess� � 5 4.p LEGAL, VESCRIPTION: BLUEBERRY HILL SUBDIVSION; LOTS 2 & 3, BLOCK 4, OD's Ode 'Cr(y TYPE OF WORK: AS—SUILT DRAWING OF NEW WELL AND SEPTIC SYSTEM CIIIIIIf�1611111�11'IIIlIIIIIPI IIIIII�IIiIIRI!pllll Page 4 0l d 301-202<-021<13-0 United States of America State of Alaska I J, THIS IS TO CERTIFY that the foregoing is a full, true and correct copy of the document as it appears in the records and files of my office. IN THE WITNESS WHEREOF, I have hereunto set my hand and have affixed my official seal at Anchorage, Alaska, this q �-�' day of By Vy Rec r -Z zoo If more than 7 septic system is on the lot: COSA Checklist # _of _ Structure served by this system Certificate of On -Site Systems Approval Checklist Legal Description: Blueberry Hill S/D; Block 4, Lot 3 Parcel ID: 051-202-11 A. WELL DATA Well type Private If A, B, or C provide PWSID # - Well Log (Y/N) Yes Date completed 7/26/2002 Sanitary seal (Y/N) YeS Wires properly protected (Y/ -N) Yes Total depth 338 ft. Cased to 40 ft. Casing height (above ground) 18+ in. FROM WELL LOG AT INSPECTION Date of test 7/26/2002 10/29/2015 Static water level 33.85 ft 206 ft Well production 1.0 g.p.m.. "0'10 g.p.m. WATER SAMPLE RESULTS: Coliform 0 colonies/100 mL Nitrate alk mg/L Arsenic fi.)D ug/L Date of sample: 10/29/2015 Collected by: AK RICIN Engineering B. SEPTIC/HOLDING TANK DATA Tank Type/Material STEP/FiberglassDate installed 8/1-5/2002 Tank size 1500 gal Number of Compartments 2 Cleanouts (Y/NYes Foundation cleanout (Y/N)**Y Depression over tank (Y/N) NO High water alarm (YM) Yes Date of pumping - Pumper See attached maintenance report C. ABSORPTION FIELD DATA _ 8/1-5/2002 x z 3.0 Shallow Trench Date installed Soil rating (g.p.d./ft or ft /bdrm) System type 4� 30 -- a w'dtn 5 ft Grave I baow e I i 0.5 ft qI Total "" ft Dat,, #adeq.,.. te99 Fluiao� ptlq in abssrptio �'��' • . JM aMn�� Any rejA�tieatfj i p p pbsorption area 150 . fe Monitoring tube Yes Depression over field NO 015 Results (Pass/,Fail) Pass For 3 bedrooms 1 before test Dry in. Water added 4 50 gal. New depth' Dry in. �® Final fluid depth Dry in. Absorption rate >= 450+ g.p.d. iast 12 mo.) (YIN & type) None Known If yes, give date _ D. LIFT STATION Date installed 8/1=5/2002 "Pump on" level at Timer in. Datum Bottom of tank E. SEPARATION DISTANCES WELL ON LOT TO: Size in gallons 1500+ "Pump off" level at Timer in. Cycles tested See attached Septic tank/lift station on lot 100'+ Absorption field on lot 100'+ Public sewer main 75'+ Sewer /septic service line 25'+ Animal containment areas 50'+ SEPTIC/HOLDING TANK ON LOT TO: Manhole/Access (YIN) Yes High water alarm level at 53 in. Meets alarm & circuit requirements? Yes On adjacent lots 1001+ On adjacent lots 100'+ Public sewer manhole/cleanout 100'+ Holding tank 10'+ Manure/animal excrete storage areas 100'+ Building foundation Property line 5 + Absorption field 51+ Water main 101+ Water service line 10'+ Surface water 100'+ Wells on adjacent lots 100'+ ABSORPTION FIELD ON LOT TO: Property line *** 0. Building foundation 104 Water Service line 10'+ Curtain drain None Known Surface water 1004 Wells on adjacent lots 100'+ Water main 10'+ Driveway, parking/vehicle storage .10'+ F. COMMENTS *1000 gallon storage tank inside garage. **Inside house. ***Easement was granted for trench to cross property line. Filed in MOA records. 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 C SA guidelines, in effecfon this date. Engineer's Printed Name1 e�t �2 Date It1g�.a©lti COSA brown sheet 10-10-12.doc Municipality of Anchorage ' Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 Elmore Street P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907)343-7904 Water Well Advisory Certificate of On -Site Systems Approval (COSA) # OSC151620 During a recent COSA on-site inspection and test of the potable water supply well on Block 4, Lot 3 of Blueberry Hill subdivision, the well's productivity was determined to be 0.1 gallons per minute. The minimum well productivity required by this Department (AMC 15.55) for a 3 -bedroom residence is 0.31 gallons per minute. Restriction of non-critical water uses such as washing cars and watering lawns and gardens may be required. This advisory must be attached to all copies of the subject Certificate of On - Site Systems Approval. Municipality of Anchorage • Development Services Department Building Safety Division 5 E r On -Site Water & Wastewater Program 4700 Elmore Road P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING ii Cos Parcel I.D. 050-202-W 1. GENERAL INFORMATION Expiration Date: Complete legal description Location (site address) Current Property owner(s) Mailing address Lending agency Mailing address Real Estate Agent Mailing' -address BLUEBERRY HILL; BLOCK 4 LOT 3 21919 BARCLAY DRIVE *EAGLE RIVER, AK 9957 WILLIAM & CONNIE FORDHAM Day phone 952-5002 21919 BARCLAY DRIVE *EAGLE RIVER, AK 9957 Day phone DAR WALDEN W/ KELLER WILLIAMS Day phone 865-6500 101 W BENSON BLVD # 503 *ANCHORAGE AK 99503 Unless otherwise requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 3 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well Individual On-site ❑ Individual Water Storage ❑ Individual Holding tank ❑ Community Class Well ❑ Community On-site El Public Water System ❑ Public Sewer The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of On -Site Systems 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 COSAs upon request to homeowners. Certificates of On -Site Systems 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, I verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm Address GARNESS ENGINEERING GROUP, Ltd. 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. 5. DSD SIGNATURE Approved for bedrooms. Disapproved. Phone 337-6179 Date 10 43 If Conditional approval for bedrooms, with the following stipulations: Attachments: COSA Checklist Septic System Advisory Well Flow Advisory Arsenic Advisory Maintenance Agreements Supplemental Engineer's Report Nitrate Advisory Other By:— (Rev. y:(Rev. 11/05) UF,��� , �N-SITE c` . • 1t'ATER AND : 'R' WASTEWATER %PROGRAM - Original Certificate Date: l ( ")— l — // '• .Je fr A. ss.= O9� '• E 795 �pf�,. �•.Ic��3�it.. bpi �� 04�a Pr o f e s s!ov\o;zg�o Conditional approval for bedrooms, with the following stipulations: Attachments: COSA Checklist Septic System Advisory Well Flow Advisory Arsenic Advisory Maintenance Agreements Supplemental Engineer's Report Nitrate Advisory Other By:— (Rev. y:(Rev. 11/05) UF,��� , �N-SITE c` . • 1t'ATER AND : 'R' WASTEWATER %PROGRAM - Original Certificate Date: l ( ")— l — // Municipality of Anchorage Development Services Department °< Building Safety Division On -Site Water & Wastewater Program 4700 Elmore Road P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description: BLUEBERRY HILL; BLOCK 4, LOT 3 A. WELL DATA *1000 GALLONS OF WATER STORAGE IN RESIDENCE. Parcel ID: 050-202-12 Well type PRIVATE If A, B, or C provide PWSID# N A Well Log (Y/N) YES Date completed 7/26/02 Sanitary seal (Y/N) YES Wires properly protected (Y/N) YES Total depth 338 ft. Cased to 40 ft. Casing height (above ground) 18+ in. FROM WELL LOG Date of test 7/26/02 Static water level 33.85 ft. Well production WATER SAMPLE RESULTS: 1.0 g.p.m. AT INSPECTION 9/30/11 166 ft. *0.07 g.p.m. Coliform 0 colonies/100 ml. Nitrate ND mg./L. Collected by: GEG, Ltd. Arsenic: NQ Date of sample: 10/3/11 B. SEPTIC/HOLDING TANK DATA *C/O IN CRAWLSPACE Tank Type/Material STEP/FIBERGLASS . I Date installed 8/1-5/02 Tank size 1500 gal Number of Compartments 2 Cleanouts (Y/N) YES Foundation cleanout (Y/N) *YES Depression over tank (Y/N) NO High water alarm (Y/N) YES Date of pumping Pumper C. ABSORPTION FIELD DATA *BELOW EXISTING GRADE Date installed 8/1-5/02 Soil rating (g.p.d./ftzor /bdrm 3.0 System type TRENCH Length 30 ft. Width 5 ft. Gravel below pipe 0.62 ft. Total depth *3.08 ft. Eff. absorption area 150 ft2 Monitoring tube YES Depression over field NO Date of adequacy test 10/7/11 Results (Pass/Fail) PASS For 3 bedrooms Fluid depth in absorption field before test 0 in. Water added 500 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) NONE KNOWN If yes, give date — D. LIFT STATION *SEE MAINTENANCE REPORT Date installed 8/1-5/02 Size in gallons 1500 "Pump on" level at TIMER in. "Pump off" level atTIMER in. Datum BOTTOM OF TANK E. SEPARATION DISTANCES Manhole/Access (Y/N) YES High water alarm level at 53" in. Cycles tested * Meets alarm & circuit requirements? YES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot 100'+ Absorption field on lot 100'+ Public sewer main N/A Sewer /septic service line 25'+ On adjacent lots 100'+ On adjacent lots 100'+ Public sewer manhole/cleanout N/A Holding tank . N/A Animal containment areas 50'+ Manure/animal 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 -A 0' 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 G. ENGINEER'S CERTIFICATION v �F .......... certify that 1 have determined through field inspections and 4 TH •.7* review of Municipal records that the above systems are in �' • ' • • ' ' ' • • . ' • . . . • .. . . . . . . . . conformance with MOA COSA guidelines in effect on this ..... .................... date. O Gar ss. - Engineer's Printed Name JEFFREY A. GARNESS 009 E-795 epi Date 1 h, 40��professio�oo� COSA Fee S `L 6 Date of Payment /U//g!'/ Receipt Number a 4;^A3 2 (Rev. 11/05) Waiver Fee $ Date of Payment Receipt Number ASBUI1_T I HEREBY CERTIFY THAT I HAVE SURVEYED THE FOLLOWING DESCRIBED PROPERTY, AND THAT NO ENCROACHME'N'TS EXIST EXCEPT AS INDICATED. IT IS THE RESPONSIBILITY OF THE OWNER TO DETERMINE THE EXISTENCE OF ANY EASEMENTS, COVENANTS, OR RVITRICTIONS WHICH DO NOT APPEAR ON THE RECORDED SUBDI— VISION PLAT. UNDER NO CIRCUMSTANCES SHOULD ANY DATA HEREON BE USED FOR CON:+TRUCTION i OF FENCE LINES, OR FOR ESTABLISHING BOUND- ARY LINES. SEMARD & ASSOCIATES LAND SURVEYING 694-01 SCALE: At °'iy•� DATE: Ar nTH — GRiD* r...... ...,.:.. t '. DVany Mv.kxwa.d ' fox'..X71 [ x�� F$� /�.•�'� �•• J',�%' / . AV DRAWN !�if�x.t-��.�•.� '