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SOUTH HILLS BLK 5 LT 5
South Hills Block 5 Lot 5 #01 7-071 - 20 r Municipality of Anchorage :.:: .. •, Development Services Department BuiklirV Safely Division ...,: On -Site Water and Wastewater Program. 4700 S. Bragaw SL P.O. Box 196650 Anchorage. AK 9951&6650 Page ( of 2 www.ci.anrhorage.akus (907)34}7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number. PIDNumber. 0/7 -07/ -ZO Nam. Da4.0 7-o/I+tt-F Wastewater System: ®Ne•.v ❑Upgrade Ar'baa P.o. 00M 23 ZS'Yf �AnCA 995'Z3 • - ABSORPTION FIELD Pnme SZi —Zi7b ra,msH �.aeame y•.4AA O1olO w fee/G( D DeepTlerair p sn.ro.Trerrn Dew O Yarre Ouw LEGAL DESCRIPTION Sea RabrV 3.0 TOW D.PA from wop grade , ., -1. or F,. It r LmSrLbduwd Dealt1, FSP• amara Ir monS�rtalPte••: or" deem berranr pipe. $o" 1i4f11 -2.) n. I O.b- Fi. TQ. P: Ra„Ce SeCim Fa adld abo.. odVW grade: Grata LW.M SI -S, Fr. y1% Ft. Well: ® New ❑ Upgrade 0 41.3m S Num eral Mee I WLWr Mrwen Gua: FL 1 PL' Ciaa>:noam (Pm are. A 0. Cr ToW D.Pac cased W. Tear aburom Y.4 Py4 Ya:ana (. Z,>; P a-1 &-a 10 a/ Ft. S9 FL 2 20 Ft fcb/ v ro omen calve DrlbQ Suac WYH Lava atlaled OHe aWaen 1-t -W $IZ7/O i S 7 Fr 04"O%er- 9 /9 /03 Y:NG Paw S« a Camp Hew 7 Gran¢ TANK GPM it I •S 'ir' FL SEPARATION DISTANCES []Septic []Holding ❑S.T.E.P. IS Other. To Septic Absorption Lift Holding Pubrx/Pdva1 M "aamaer. fj/OC caparm/. From Tank Field Station Tank Saver Line C/ /S-00 GW. wen 1(91 I or, 119' 7,I 7 — y 24" LUlwf 1 NYRLH 01 DomJar:memF s.xradew«H > 1004 > too, > 1w, _ LIFT STATION L«W'.1 gel to, 91'1 - S+ R/ Gat 3%CYC CiC Faurda:+cn g t' 3z' - •Puym rr«a ZJ'/8 'Puy m'anel at s'/6 HKn.«.r aurin aL Zoe k h 26'/t h Pure Yale a YodN E:HPval elFecrne PMHmed by. C~ Drain — - — i7 'tr fH@YO lY•G.AA BENCH MARK Looeon w o.ecyucn W-9c(oG" i0if Feel~ of Mu.mea E •Haar. /1 Ca.tAn 041 R Q 2 FL Engineer's Stamp ^� OF tat laffo Tic/1 Stec Dates: 1f1 9/3/0.3 performed by: F � A•{:, I;GT_i,Inspettions 2nd 9 /4'/O 3 o .................: r Development Services Department Approval TMEOLC?E F. A OCRE Reviewed - 2r{ -D C. ss' r • �M ' ••,iJ/Oy `;?' and approved by:Date: r •v`.''r�f 10.0 Gml . . 1• A^ R Ir. 1s �l F r Municipality of Anchorage Development Services Department • Building Safety Division On -Site Water and Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.orglonsite (907)343-7904 ON-SITE SEWER/WELL SUBMITTAL COMMENT SHEET To: Flattop Technical Services Legal description: South Hills, Block 5. Lot 5 The attached paperwork has been reviewed and is being returned for the following reasons: ❑ Original signature or stamp missing on _ ❑ Calculation error In design. _, ❑ Additional soils Information needed. _ ❑ Water monitoring results inadequate. ❑ Discrepancy in information submitted. _ ❑ Topographic information missing or inadequate. — ® Incomplete; missing final electrical inspection r_port ® Incomplete; missing well separation distance from holding tanks ❑ Additional adequacy test information needed. _ ❑ Water sample unacceptable. _ ❑ Measured/proposed distances/dimensions missing. ❑ Locations of all soils, percolation and water monitoring tests not shown. _ ❑ Proposed system too deep for soils information submitted. _ ❑ Well log required. ❑ Omission In narrative. _ ❑ Insufficient fill over tank or field. Name of reviewer. Julie Makela. P. E. Date: 2/4/2005 Please supply the necessary information and re -submit your request. LEAVE THIS FORM ATTACHED TO THE PAPERWORK V " C�Municipality of Anchorage •% •; Development Services Department BuBding Safety Division ...,. On -Site Water and Wastewater Program. 4700 S. Bragaw St. P.O. Box 196650 Anchorage. AK 99519.6650 Page I of 2 www CUnchorage.akus (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number. Sw030363 PIDNumber. 0/7 -07/ _20 Nam.: DaCAG iolLee f Wastewater System: ®New [I Upgrade Add,ti P.O. pox 23 ZS'Y1 AnCA 99SZ3 ABSORPTION FIELD Pne,»: Nlwew`•29 —Z�78 y 7aiprW a w•PTnnd, p SNroarrs,M D BVI DLwaA �•./„ o aftof0 Fs•1cC LEGAL DESCRIPTION 3.0 Taal DpN tran grade: Isposp .1. or Fl. Bktl Lot Sub&Vi papm Ia Cc• boeorrl Yeln alypml Veda: GrnW depm brrath pipe: Sae. H111J —2.1 Ft. Orb- Ft Toenship. Range. Saobort FA addM ab" GrOW grade: Wavy Lar -M Ft. Well: ®New ❑ Upgrade Grata aagt S tAartwrasrea: dsuK•b•t ."rrs: Ft. f Ft ClissiliclUa,(P.Ne, A S. C1 Told D*pdo CasedW Tact absorption area: PV* Material: e.Zs� V ag P F'1 &w toy Fl. Ft 2 20 Fe scbiol tv DMIw.. Das Drdee stseewatw Lawt NaUeaf. ON*YWY.ad: M -w 6/2-7/0z S7 Ft v&*A^tr, 9 /9103 Y:Nd: Pump sat at casing mes" Atwa Grano TANK GPLt FL LS+• FL SEPARATION DISTANCES [I Septic ❑Holding ❑S.T.E.P. &Other. To Septic Absorption Lift Holding PubricfPsival r""aditl1" IS capauly From Tank Field Station Tank SeAerLine 14' C.V C/ /S-CJWGal. t"eF119' 115", 119' - >?,s" Malaml F*!. /cel NlartN el CCmpaw.enu: s,.la«Wal« > 100' > loot > lGoe _ LIFT STATION Su*. MarWaLlrer: Latare 90'' 10a 9S' yw ore/ Gal 3)c,C C/C Feundation � z 3 7.' — 'Pupm WNrt a 'Pump W le,•I at 1 ec High voter alarm•L 20• ti. . h 2.6"O'k h , Pup Marta & Mcdel E.K"" tnpe peNcrm*d by. CurtVrID4n _ - — t1!O• M@'Yo H.O. /} Ramuka: BENCH MARK Lemm� w onayan WanduW tel/ p*♦ o/' /oec,h& a Aaai.med Ee.•ucn Acwn on ar ¢ Z oft too. Engineer's Stamp Inspections performed by: rf&F o� TrC4 SfC Dates: 1" 3310.3 v 49T" �'v •'.. t�';� p91 2rd 00*0.0.000040 Development Services Department Approval ;ORE n. a,; CE -3589 Reviewed and approved by: Date: x:, rte PERMIT NO: SW030363 , , PID NO: 017-071-20 SWING TIES: FROM: COR. "A" COR. "B" COd. "C" TO "BIOCYCLE" 32.5' 23' D.F. M.T. "E" 17' 40:5' D.F. M.T."F" 48' 64': , w�P \!; it •+1. to ................. THEODORE F. MOORE CC -358947 ,•�,�� C' Tii:,7\6.f. Lm FROM 187.8' "BIOCYCLE'• AEROBIC "D" TREATMENT DI;IYi PLAN VIEW SCALE: 1" = 30' T SOIL COVER INV. 2 1' ISF SAND 94.8' ...................... "F" BOT. GVL. i\ ELEV. 94.1' BOT. SAND) BOT. T.H. # 1 1114- SCHED.40 PVC ELEV. 92.0' ; ; ELEV. 85.5' bISCH. LINE TO SOIL 5' WIDE DRAINFIELD WATER @ 90.0' INV. ABS. DRAINFIELD iY� 5/29102 I33 "BIOCYCLE"TREATMENT UNIT CROSS-SECTION NOT TO SCALE RightFax '7/28/2004 B:07 PACE 1/1 RightFax Inspection Report Municipality of Anchorage, Building Safety Division 4700 South Bragaw 111 LL -10C LJ,. ./ I-_ �.d✓r l+ U F' 01-n P�A161 el le • f1b . Page I of I INSPECTION: VOICE 343-8300 INSPECTION: PAX (907)249-7777 INFO: 343-7962 Name NG OvJOE-Z' Permit M-0309 Address Legal Subdivision Comments or Directions 7536 HILLSIDE WAY BK5LT5 SOUTH HILLS -PM Phone 336-3655 42-4213 Insdection Date /29/1004 Inspection • nal Electrical - inspection N (� NO NONCOMPLIANCE OBSERVED / ❑ CORREMONS ESSENTIALAS EXPLAINED BELOW ❑ WILL RE-EXAMINE AT NEXT rB DO NOT CONCEAL UNTIL REINSPECTIOH� INSPECTION COMMENTS: (for Inspector use only) L)Pry I✓R L -.E-„ t I E t_EC.-1- w � r --Q.344- AP Pkv 'JCr�.. [,oWF_F, (�E�/F� f S u, RR-F_NT L� ( U f� �►J t SI -4 E 1�- �/ Etc, lc/ L0ti E R I -IVF-. Inspector ( I it 1-1 A Date:—I—� ! flit://C::'Yrogram%2OFilcs\RightFax\ChltgoingVMOW IPCS.WO 7/28/2004 M -W Drilling, Inc. •P.O. Box 110378* Anchorage, AK 99511• •907-345-4000 ♦ 907-345-3287 Fax• Job No.: o2-159 Project No.: N/A Permit No. SW020260 ♦ Well owner: ♦ Legal Description: Groundwater Well As -Built A Loc Construction ♦ Use of Well: Domestic +Hole Depth: 104' ♦Casing Size. 6" ♦Cased To: 58.7' ♦Afaterlal. A 53 Steel ♦Drill Method: Air Rotary _ Perf. ♦Well Completion- - Oprn end X ScreenPerprated MetGod: ♦Screen/Perforadon description: None ♦GroutNores. (1) Sack- No. 9 bentonite granules ♦ Notes: *Well Development. Merliod: Air -surge Nota: •Sfadc water level (SWL) 57' (obeve) (below) top of easing (TOC). ♦ Well yield tat at 4 gallons per minute (GPAJ)/ )for I /roue with 100% of drawdown (DD) from static level (SWL). •Medsod. Airlift ♦ Date of completion: 27 August 2002 ♦ pump Install: Well r no Depth in feet from top of casing. Details of formations penetrated, size of material,color and hardness. 0 TO 3 Casing stickup 3 TO 51 Silty clay: some gravel lenses 51 TO 59 Gravel: coarse, layers of clay and sand 59 TO 62 Fractured bedrock: Siltstone ar illite, /black, water sea s in fractures 62 TO 104 As above: fewer fractures TO TO TO TO TO TO TO TO TO rl TO TO -A-Gortified-Contractor be No's. 814 & 973 da[+w[ a[e+4•Aw.I[. w+w[[+wo re rw[ w[oowo Fur Awo rawwo wowlw[wTATIow w n.[ A+[.A. o.n ro rw[ •+aw[wry ww[++[ 0.L1.woww re Tw[ ."Cg, roor A.mwmwwv. The location of the structure(s)as shown on thigrec ra:r'rt� (as- ui) com�' �s w' Title 21, AMC. ©y: Date: 0 MUNICIPALITY OF ANCHORAOF m TRAFFIC OEPARTWNT N O APPROVED AS SUBMIYrrt O APPROVED AS AWNOEL' 3 OAPPROVED ASNOTW O ONOTAPPROVEO.RE6110— O 2 THE I,FOPMATKIH HEREON B FOR THE WE OF LENDING NS1TRRgR1 SPECIFICALLY TOSHOW AMY CONEUCTS BETWEEN EXISTING STRUCTURES AND PLATTED LOT LINES OR EASEMENTS AND B NOT To BE USEO FOR POBITgNNG ACCITIOHAL STRUCTURES OR FENCELNE3. EASEMEHfS OF RECORD. OTHER THAN THOSE SH CvM ON THE RECORDED PUT. ARE NOT 311DMN HEREON NOTE. ANY FEHCELNES SHDNN ARE LOCATED APPROXSAATELY AND ARE NOT TO BE LISED TO DETERW NE PRDPERTV LINE OR LOCATE STRUCTURES. ANY PAYING SHOWN MAY BE APPROI TE CUE TO SHOW CONDITIONS. FINAL STRUCTURE AS -BUILT , ,e. ..�F'•4..,95�� a SHANE A. HOLT: LB -6914 i 66 As -BUILT SURVEY SCALE: 1 ' w 4W I HEREBY CERTIFY THAT I HAVE PERFORMED A MORTGAGEE'S INSPECTION OF THE FOLLOWING DESCRIBED PROPERTY. LOT 5. BLOCK S, SOUTH HILLS SUB. ANCHORAGE RECORDING DISTRICT. ALASKA ANO THAT THE VISIBLE 110N10VEMENTS SITUATED THEREON ARE WITHIN THE PROPERTY LINES AND THAT NO VISIBLE ENCROACHMENTS EXIST OTHER THAN NOTED. DATED AT ANCHORAGE. ALASKA THIS 28TH DAY OF JULY YI�200.� HOLT LAHO SURYV 425. ToT11pJ3 TEL 345-5513 N8342 -W I 1 53.50 I I � � � i I � � I � i I � � Ir r tn i I , M[T.TAnow jji � Q ;I N II I I W 811 o IL-- I O oI +o� N \ eA •' re` I I I I I I I I ew[u ------ - _ —• IC NnAwrbm[wT—------ S 86°53'45"E 7 52.77 da[+w[ a[e+4•Aw.I[. w+w[[+wo re rw[ w[oowo Fur Awo rawwo wowlw[wTATIow w n.[ A+[.A. o.n ro rw[ •+aw[wry ww[++[ 0.L1.woww re Tw[ ."Cg, roor A.mwmwwv. The location of the structure(s)as shown on thigrec ra:r'rt� (as- ui) com�' �s w' Title 21, AMC. ©y: Date: 0 MUNICIPALITY OF ANCHORAOF m TRAFFIC OEPARTWNT N O APPROVED AS SUBMIYrrt O APPROVED AS AWNOEL' 3 OAPPROVED ASNOTW O ONOTAPPROVEO.RE6110— O 2 THE I,FOPMATKIH HEREON B FOR THE WE OF LENDING NS1TRRgR1 SPECIFICALLY TOSHOW AMY CONEUCTS BETWEEN EXISTING STRUCTURES AND PLATTED LOT LINES OR EASEMENTS AND B NOT To BE USEO FOR POBITgNNG ACCITIOHAL STRUCTURES OR FENCELNE3. EASEMEHfS OF RECORD. OTHER THAN THOSE SH CvM ON THE RECORDED PUT. ARE NOT 311DMN HEREON NOTE. ANY FEHCELNES SHDNN ARE LOCATED APPROXSAATELY AND ARE NOT TO BE LISED TO DETERW NE PRDPERTV LINE OR LOCATE STRUCTURES. ANY PAYING SHOWN MAY BE APPROI TE CUE TO SHOW CONDITIONS. FINAL STRUCTURE AS -BUILT , ,e. ..�F'•4..,95�� a SHANE A. HOLT: LB -6914 i 66 As -BUILT SURVEY SCALE: 1 ' w 4W I HEREBY CERTIFY THAT I HAVE PERFORMED A MORTGAGEE'S INSPECTION OF THE FOLLOWING DESCRIBED PROPERTY. LOT 5. BLOCK S, SOUTH HILLS SUB. ANCHORAGE RECORDING DISTRICT. ALASKA ANO THAT THE VISIBLE 110N10VEMENTS SITUATED THEREON ARE WITHIN THE PROPERTY LINES AND THAT NO VISIBLE ENCROACHMENTS EXIST OTHER THAN NOTED. DATED AT ANCHORAGE. ALASKA THIS 28TH DAY OF JULY YI�200.� HOLT LAHO SURYV 425. ToT11pJ3 TEL 345-5513 MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519.6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM / WATER SUPPLY PERMIT Renewal Permit Number: SW030363 Legal Description: SOUTH HILLS BLK 5 LT 5 Date Issued: Sep 08, 2003 Expiration Date: Sep 07, 2004 Parcel ID: 017-071-20 Design Engineer: 0019 Flattop Technical Services Site Address: Owner Name: Dave Tolbert / Elyce Nage Lot Size: 35430 SO. FT. Owner Address: PO Box 232541 Total Bedrooms: 4 Permit Bedrooms: 4 Anchorage , AK 99523 - This permit is for the construction of: M 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 specked 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. Received By: Date: i I PO (OD IssuedBy:. �C%1�c(A �' /� Date: B G3 Municipality of Anchorage Development Services Department Building Safety Division � �'- �_ / On -Site Water and Wastewater Program '„' ; ,; 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 ON-SITE SEWEP,/WFLL PERMIT APP(.!CATION FOR A SINGLE FAMILY DWELLING 038363 Parcel I.D. 0 % - D % - O Permit Number SWC' Property Mailing address (1) P O BOX 2 3254/ Mailing address Legal description (Lot, Block & Sub'd.) Legal description (Section, Township & Range) Lot Size -,5-4 30 Acre q.Ft. THIS APPLICATION IS FOR: Day phone Zip Code Number of Bedrooms 4 Sewer Only ❑ Well Only ❑ Sewer and Well 10 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. (Signature of property owner or authorized agent) Permit Fees: ..X-/ O o Date of Payment: - 0 Receipt Number: 3 9 (Rev. 12100) RENEW j'ue,i 9� Waiver Fees: Date of Payment: Receipt Number: MUNICIPALITY OFANCHORAGE Development Services Department On -Site Water & 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: SW020260 Legal Description: SOUTH HILLS BLK 5 LT 5 Date Issued: Jul 31, 2002 Expiration Date: Jul 31, 2003 Parcel ID: 017-071-20 Design Engineer: 0019 Flattop Technical Services Site Address: Owner Name: Dave Tolbert / Eiyce Hage Lot Size: 35430 SQ. FT. Owner Address: PO Box 232541 Total Bedrooms: 4 Permit Bedrooms: 4 Anchorage . AK 99523 - 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)343-79D4 (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. Received By: Issued By: Date: — g S_ U '7- Date: Date: 2 Municipality of Anchorage • Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.cl.anchorage.ek.us (907) 343-7904 ON-SITE SEWERIWELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. 01-7— O? If — 00 Permit Number SWOZOZ 60 Property owner(s) Da&,e 72'44er P / E1 yc a 1�7 e Day phone _ 336 —36rs— Mailing. address 0 L P.O- Crux 2 3 2S Y / Mailing address (2) 4AcA0o--z9a err Zip Code 99S ZC Legal description (Lot, Block & Sub'd.) C.oP S', 010c` Jc _C../4 h4 //j S /A Legal description (Section, Township & Range) Lot Size _S514 30 Acre Sq. THIS APPLICATION IS FOR: Number of Bedrooms y 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. ir /' 0� (Signature of property owner or authorized agent) Permit Fees: h'OD + rSD = 'S—Se Waiver Fees: Date of Payment: 7/ 2Y/012 Date of Payment: Receipt Number: 'Z P-0?_Receipt Number: (Rev. 12100) [NICAL--_S CIVIL & ENVIRONMENTAL ENGINEERING • ENERGY CONSERVATION d ANALYSIS THEODORE F. MOORE, P.E. 14530 ECHO ST. PH: (907) 345-1355 July 22, 2001 ANCHORAGE, ALASKA 99516 M.O.A. DSD P.O. Box 19-6650 Anchorage, AK 99519 Dear Sirs: The purpose of this letter is to provide the required design narrative in support of our application for a permit to construct wastewater disposal facilities on Lot 5, Block 5, South Hills S/D, located on Hillside Way in South Anchorage. Soils logs, perc test results, a site plan, design drawings and specifications are enclosed for your review. As can be interpreted from the logs for test holes 42 and #3, the soils on much of this lot are unsuitable for construction of on-site wastewater disposal systems, however we were able to identify a relatively small area in the vicinity of test hole #1 where an original and replacement absorption system can be installed, if it utilizes advanced technology to pre -treat the effluent prior to disposal. The owner has chosen to install a "Biocycle" system to serve his proposed 4 -bedroom residence on this lot. The proposed residual disposal trench will be constructed in the vicinity of test hole # 1. As can be seen from the soil logs, the native material between 0.5 and 2.5 feet below ground level is silty gravelly sand with a measured perc rate of 4 minutes per inch. A percolation test conducted in the underlying silt stratum demonstrated that this material is not impermeable. While DSD's guidelines for Category lI advanced treatment effluent allow a soil application rate of 4 gpd/sq. ft. for the proposed absorption stratum, we have used a slightly conservative rate of 3 gpd/sq.ft. in this design. Thus, the required absorption area is (4 x 150)/3 = 200 square feet. The gravel in the proposed 40 -foot long by 5 -foot wide drainfield has a basal area of 200 square feet. Because the sewer gravel is underlain by filter sand that (lairs out to 10 feet wide at the contact surface with the native subsoil, the effective soil application rate into this soil will be more like 1.5 gpd/sq. ft. The natural topography of the lot in the area of proposed construction slopes downwards towards the north at approximately 15%. The proposed project will have no known significant impact on present or future water supply and wastewater disposal systems serving adjacent properties, nor will it have any significant impact on reserved space -surface and subsurface, or on drainage. Since the owner plans to do the earthwork himself, he will come into your office to provide documentation of his construction experience as well as to sign the required advanced treatment system maintenance agreement. Please give me a call at 345-1355 if you have any questions on this submittal. Sincerely, Ted Moore, P.E. N i i I LOT 5 HOU BLOCK 4 , 1 `- 1 - ------------------- R100'. 1 _ 1 ------------ LOT 6 WELL CASIN BARN V , , , T.H. ' #3 , , .1 , , QUO 1 1 `♦ LOT 5 5 BLOCK - -; J'� 1 , 100' R�- WELL4 WELL HILLSIDE WAY "BIOCYCLE" AEROBIC TREATMENT UNIT PROPOSED WELL SITE ---------- ----------------------- ----------------------'HOLDING 34.5' I�T.H. - #1 1 rs� PROP. GARAGE 4-BDRM HOUSE LOT 12 PROPOSED WELL SITE ---------- ----------------------- ----------------------'HOLDING HOLDING TANK r --;----'--- 1 GARAGE ; LOT 12 LOT 11 ; BLK5 R1 BLOCK 5 ; 1 , HOLDING TANK ---------- � -- SEPTIC SEPTIC -` SYSTEM 1 1 lw' T.H. #2 7 R 100' LOT 4 (VACANT) x 5' WIDE DRAINFIELD SITE FOR SIMILAR REPL. DRAINFIELD r r GF.Ai•5 ...:................... THEODORE F. MOORE�� �..'. CE 3589 ------------------ ----------------- ------------------- -------------- LOT LOT 13, BLK 5 (VACANT) -------------- N ---- , ---------------- , LOT 6 , , , , , WELL CASING , , , , " BARN , ------------------- ' HOLDING TANK LOT 11 BLOCK 5 HOLDINGTANK---4; , , , , , 11 ', OUSE LOT 5 BLOCK4 -0 ; R 100' p �I WELD eA \ ` � 1 WELL HILLSIDE WAY — — , , T.H. , #3 LOT 5 BLOCK 5 ; , 4100' r, "BIOCYCLE" _ AEROBIC TREATMENT UNIT T.H. #1 ROP. -BDRM OUSE T.H. #2 PROPOSED „ `,R 75' WELL SITE R 100' 40' -LONG x 5' WIDE SOIL ABS. DRAINFIELD SITE FOR SIMILAR REPL. DRAINFIELD LOT (VACANT) IIi9TH �tV1!�H H•HNHHN•i••• I•�•••i•i•aa..&AAT,*• I _ _ if . THEODORE F. NOORE R1 �110T'i3;T3LK6�sp°1� LL ' LOT 6, BLOCK 6, SOUTH HILLS SID WELL AND SEPTIC SYSTEM SITE PLAN FLATTOP TECHNICAL SERVICES 1 INCH = 50 FEET 14530 ECIIO STREET DRAWN BY TFM ANCHORAGE, ALASKA 99516 MAY, 2002 NOTE: THIS IS NOT A SURVEYED PLAT. ALL LOCATIONS SHOWN ARE APPROXIMATE. , i LOT 12 BLK5 R10 r� , SEPTI C - . SYSTEM , , , , , , , w ' 40' -LONG x 5' WIDE SOIL ABS. DRAINFIELD SITE FOR SIMILAR REPL. DRAINFIELD LOT (VACANT) IIi9TH �tV1!�H H•HNHHN•i••• I•�•••i•i•aa..&AAT,*• I _ _ if . THEODORE F. NOORE R1 �110T'i3;T3LK6�sp°1� LL ' LOT 6, BLOCK 6, SOUTH HILLS SID WELL AND SEPTIC SYSTEM SITE PLAN FLATTOP TECHNICAL SERVICES 1 INCH = 50 FEET 14530 ECIIO STREET DRAWN BY TFM ANCHORAGE, ALASKA 99516 MAY, 2002 NOTE: THIS IS NOT A SURVEYED PLAT. ALL LOCATIONS SHOWN ARE APPROXIMATE. 4" DIA D3034 INLET FROM - DWELLING 1.25" DIA. PVC DIST. PIPE WITH 4D -FOOT LONG x 5 -FOOT WIDE 3116" HOLES SPACED @24" IN BOT. VSOIL ABSORPTION DRAINFIELD M.T. 40' I "BIOCYCLE" TREATMENT UNIT M.T. "A 1 1!4" SCHEDULE 40 PVC DISCHARGE LINE TO NEW SOIL ABSORPTION DRAINFIELD ' PLAN VIEW 2" RIGID INSULATION 5 FILTER2' SOIL FABRIC MONITOR TUBE 4" DIA D3034 3 6 INFLUENT LINE SIOCYCLE COVER 1 1/2"-2112" 1.5 FROM HOUSE LOT 5, BLOCK 5, SOUTH HILLS S/D SEWER GVL. 2'+ FILTER SAND - AERATION CHAMBER AIR COMPRESSOR PLAN AND CROSS-SECTION SAND CLARIFICATION CHAMBER FLATTOP TECIMICALSERVICES SCALE: 1"-5'-0" NATIVE GRAVELLY DISCHARGE CHAMBER 14530 ECHO STREET DRAWN BY: TFM ORIGINAL GROUND 1.25" DIA. PVC ANCHORAGE. AK. 99516 JULY. 2002 DIST. PIPE W. BOTTOM OF i 3116" HOLES EXCAVATION L SPACED 24" CHED. 40 PVC , � OF ll4� �4 i LINE TO SOIL PTION TRENCH � Ecs.. ✓....... �"+"i`••• �• O O O [TSAND �—BACKFILL TH........: INS. ON fl........ %1•b EXT. OF BIOCYCLE .� ...... 0. . THEODORE f. MOORe C 8got •. Cl - 3589• 3 a DISCHARGE 2" BLUE BOARD INS. y , , t �',, `-; ••.. .•• 4' PUMP SAND LEVELING 44" n r LEGEND: TREATMENT UNIT CROSS-SECTION "A - All O1 PRIMARY SETTLING CHAMBER LOT 5, BLOCK 5, SOUTH HILLS S/D O2 AERATION CHAMBER PROPOSED WASTEWATER SYSTEM PLAN AND CROSS-SECTION O CLARIFICATION CHAMBER FLATTOP TECIMICALSERVICES SCALE: 1"-5'-0" O4 DISCHARGE CHAMBER 14530 ECHO STREET DRAWN BY: TFM ANCHORAGE. AK. 99516 JULY. 2002 FLATTOP TECHNICAL SERVICES 14530 ECHO ST. — -- —ANCHORAGE, ALASKA 99516 TEST HOLE #1-1 SOILS LOG — PERCOLATION TEST LEGAL DESCRIPTION: _Lot 5, Block 5 South Hills eA7 DATE PERFORMED: May 222002 PERFORMED FOR: Dave Tolbert DEPTH pL (feet) 1' SM/GM Silty gravelly sand —Water seeps 3 4 ML Gray cobbley silt 5 Dense, dry, cohesive Scattered boulders 6 7Z B.H. 8 9 10 11 12 13 14 15 16 17 18 SLOPE 20% 15% 10% Depth to Groundwater Seeps 2.5' WaterJy2.5' Date /22/02 5/29/02 Net Time (minutes) Percometer Net Drop Reading (inches) 528 12" Presoak 27 318 14 `*'r�`i9ta11� 4 THEODORE F. A40ORE A, ;kCE-3569 X ei SITE PLAN 5% 10% Date Reading Clock Time Net Time (minutes) Percometer Net Drop Reading (inches) 528 12" Presoak 27 318 529 12" Resoak 27.3/8 Start 2:07:15 2312 #1 2:3715 30 213/16 2.5/16 d3_water 2:38:30. 23 9/16 #2 3:08:30 30 i 217/16 1 2106 Addwater 3:0915235/8 i _ #3 3;39:15 30 1 15/16 25/16- 19 20 PERCOLATION RATE 15_ (minutesAnch) PERC HOLE DIAMETER 6 TEST RUN BETWEEN 3.0_ FT AND 3.5 FT COMMENTS: Perc test conducted on downhill side of test hole excavation to determine whether upper portion of ML stratum is permeable._ Perc test hole penetrated 12" Into ML stratum. The, perc test results for the SM/GM stratum In TH #1 are shown on the log of TH #2. PERFORMED BY FLATTOP TECHNICAL SERVICES. 1_ j CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 7/27 -/Oz. FLATTOP TECHNICAL SERVICES 14530 ECHO ST. ----- ANCHORAGE, ALASKA 99516 TEST HOLE # 2 SOILS LOG - PERCOLATION TEST LEGAL DESCRIPTION: _Lot -5 Block 5 -South Hills DATE PERFORMED: 20 May 222002_ PERFORMED FOR: Dave Tolbert DEPTH (feet)Pt. 12"resoak 1 SM/ML Sitty sand 2- Addwater 8 start :080 3- 27 4- 2:23:30 15--321(8 47/8_ ML Gray cobbley silt 5- Dense, cohesive 6- #2 2:39:25 7 2212 412_ Addwater 2:40 B.H. It- t91011 it3 9- 15 22 5/8, 10 - 11 12 13 11 Note:This perc test 15 was conducted slightly east of TH #1 16- 8171E 17- is- SLOPE \20% 1 15°/. 110% Depth to Groundwater Seeps 176' Water 1.5' Date 122/02 5129/02 Net Time Percometer Net Drop (minutes) Reading Qnches) 529 12" Presoak_ 31 a8 THEODCRE F. MOORE w �, •, CE - 3589 ? SITE PLAN T.N. #3 \\ '\ 30 LT.H. N #1 30 T.H. #2 `------------- A I N 5% 10% --------- -- Date Reading Clock Time Net Time Percometer Net Drop (minutes) Reading Qnches) 529 12" Presoak_ 31 12"resoak 31 Addwater 8 start :080 27 01 2:23:30 15--321(8 47/8_ Addwater 2:24:25_ 27= #2 2:39:25 15 2212 412_ Addwater 2:40 273/8 it3 2:55 15 22 5/8, 4.3/4. 20— PERCOLATION RATE 4 (minutesMch) PERC HOLE DIAMETER 6= TEST RUN BETWEEN 2.7 FT AND 2.r FT COMMENTS: The soils. encountered in test -hole, #2 are unsuitable for construction of an on-site absorption system. The perc test results, shown on this sheet apply to a_post hole dug slightly east of TH 01 where the-SM/GM stratum extended to a depth_of 2.7 feet PERFORMED BY FLATTOP TECHNICAL SERVICES. I ' - `�CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 7 / 22 /O Z FLATTOP TECHNICAL SERVICES 14530 ECHO ST. ANCHORAGE, ALASKA 99516 TEST HOLE # 3 SOILS LOG - PERCOLATION TEST LEGAL DESCRIPTION: Lot 5, Block 5South Hills ND DATE PERFORMED: May 22 2002_ PERFORMED FOR: Dave TolbeR DEPTH SLOPE (feet)Pt 1—, 2 3 ' ML Gray tobbley sift 4— : 'Small seeps throughout 5- 6— B.H. 6B.H. 5 9 11 12 13 14 15 1s 19 20 Depth to Groundwater I Date T. TKODORS 1. MOORC i a-3539 r,c ,. 4Y SITE PLAN HILLSIDE Wqy T.H. 11 #371 100 IN 30 LJ.H. 65 #1 30 T.H. #2 80 5% 10% UPERCOLATION RATE (minutesAnch) PERC HOLE DIAMETER TEST RUN BETWEEN FT AND FT COMMENTS: Soil unsuitable for construction of on-site_ wastewater disposal_ system. No monitor tube set. PERFORMED BY FLATTOP TECHNICAL SERVICES. I :..e 74L+..`_ CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: -7/-ZZ Aa Z Tfattop 7echnica[Sen*es 14530 Echo Street, Anchorage, AX 99516 Thone (907)34S -13S5 Lot 5, Block 5, South Hills S/D Hillside Way Wastewater disposal system upgrade specifications 1.0 General: 1.1 The scope of the project consists of installation of a "Biocycle" aerobic treatment unit that discharges effluent into a 40 -foot long by 5 -foot wide soil absorption drainfield underlain by 2 -feet plus of filter sand. 1.2 Construction shall be as depicted on the approved site plan and design drawings. Minor deviations from these drawings may be allowed or required by the engineer conducting the inspections. All construction procedures and material specifications shall conform to Municipal and State requirements. All separation distances shall be in conformance with Municipal requirements, unless specifically waived. 1.3 The contractor shall be responsible to obtain any necessary utility locates, and to work around any buried utilities. 1.4 The contractor shall provide adequate cover material and rough grading over all system components to ensure that proper drainage is achieved after settlement and that there are no residual depressions. 1.5 Unless specifically agreed otherwise, the homeowner shall be responsible for finish grading after the soil is compacted, as well as placement of topsoil and reseeding all areas disturbed by the construction. 2.0 "Biocycle" Aerobic Treatment Unit 2.1 The new 1500 gallon "Biocycle" aerobic treatment unit shall be manufactured, furnished and equipped by Pegasus Engineering in accordance with the Municipal and State approved design. 2.2 The contractor shall be prepare a suitable site for the "Biocycle" unit and install it as follows: The depth of the excavation for the `Biocycle" treatment unit shall be sufficient to allow connection to the 4" waste line leaving the house at a minimum slope of %," per foot, but no deeper than 10' - 2" below finish grade in the vicinity of the unit. A cleanout shall be installed within 1-4 feet of the building foundation. All pipe connections to the "Biocycle" shall be equipped with waterproof mechanical couplings. The bottom of the excavation for the "Biocycle" treatment unit shall be carefully leveled and smoothed by the placement of a layer of clean sand. Two inches of rigid, burial type, insulation with a minimum compressive strength of 30 psi shall be placed on the sand prior to installation of the "Biocycle" treatment unit. The space between the sidewalls of the excavation and the `Biocycle" unit shall be carefully backfilled with sand. The top of the manhole riser shall extend at least 4" above finish grade, and the final ground surface graded as necessary to provide surface drainage away from the "Biocycle unit. 2.3 The contractor shall be responsible to obtain the necessary electrical permit and inspections and shall provide a copy of the electrical inspection report to the engineer. 2.4 The control and alarm floats shall be set and their proper operation verified by the "Biocycle" supplier. The high level alarm shall be installed inside the residence at a location selected by the owner. 2.5 The discharge line from the `Biocycle" treatment unit to the soil absorption system shall be 1.25" dia. Sched 40 PVC. 3.0 Soil absorption system: 3.1 The soil absorption system shall be constructed by removing the topsoil from a 45 -foot long by 10 -foot wide area to expose the top surface of the underlying silty gravelly sand stratum at a depth of approximately 0.5 feet below ground elevation in the vicinity of test hole # 1. The long axis of the excavation shall parallel a natural contour of the ground. The owner shall be responsible for obtaining sufficient survey control to identify the property line and maintain a 10 -foot separation from it. 3.2 The bottom of the excavation is not expected to be level. Any compacted or smeared surfaces shall be raked to allow proper infiltration. A minimum of 2.0 feet of coarse, MOA approved ISF filter sand (measured on the high side of the excavation) shall be placed in the excavation and compacted to create a 5 -foot wide by 40 -foot long level top surface at a minimum height of 1.5 feet above ground level. The ISF filter sand shall as manufactured by John Waters at North Star Sand and Gravel (Ph. 745- 1111) or equal. Sufficient backfill material may be placed on the sloping sides of the sand mound at this time to create a dike that will contain the sewer gravel. 3.3 A total of 0.75 feet of washed sewer gravel shall be placed on top of the sand mound, with the 1.25" diameter schedule 40 PVC perforated distribution pipes laid level such that the pipe invert is no less than 0.5 feet above the bottom of the sewer gravel. 3/16" diameter holes shall be drilled in the bottom of the distribution pipe at 24 -inch intervals. All PVC pipe joints shall be glued and the end of the distribution lateral shall be capped. Sewer gravel shall be 0.5" - 2.5" washed and screened gravel, with less than 3% passing the #200 sieve. 3.4 Monitor tubes shall be of 4" diameter and installed in the locations shown on the design drawings. The portion of the monitor tube extending through the sewer gravel shall be perforated. 3.5 Approved filter fabric shall be placed over the entire top surface of the sewer gravel and a minimum of 2 feet of backfill. Two inches of rigid insulation shall also be placed over the surface of the gravel prior to backfill. 3.6 The top surface of the cover material shall be raised a minimum of 6 inches higher than the surrounding terrain to allow for subsequent settlement, and shall be graded to smooth contours. Fill slopes shall be no steeper than 3:1. 3.7 Unless specifically agreed otherwise the homeowner shall be responsible for arranging to have the site finish graded after the backfill material has stabilized, and for placement of adequate topsoil and seed to promote rapid revegetation of all areas disturbed by the construction. 4.0 Inspections: 5.1 A minimum of 5 engineering inspections will be required during the course of the project: (1) initial stakeout with the contractor to establish the location of the system and to discuss the plans, specifications and construction procedures, (2) after the native material has been excavated to expose the infiltrative surface to ensure that it conforms with the soil test information, (3) after the filter sand has been placed and compacted to create a 5- x 40' level surface at the design elevation. (4) after the sewer gravel is in place and the distribution pipes have been laid and connected up to the "Biocycle" tank, but prior to placement of insulation or filter fabric, and (5) after rough backfill and grading is complete. The "Biocycle" unit requires one inspection after it is set level and the piping connected, but prior to backfill. This inspection may be incorporated with any of the above inspections. 4.2 The installer shall coordinate the timing of the inspections with the engineer sufficiently far in advance to ensure the availability of the engineer. p4 E,. C4i • u Municipality of Anchorage =° On -Site Water and Wastewater Program < (907) 343-7904 Certificate of On -Site Systems Approval r Parcel I.D. 017-071-20 Expiration Date: g- f 2 1. GENERAL INFORMATION Complete legal description South Hills Blk 5 Lt 5 Location (site address) 7536 Old Hillside Way Current Property owner(s) Stacy & David Goade Day phone 907-952-4331 Mailing address 7536 Old Hillside Way Anchorage, AK 99516 Real Estate Agent Lora Nordstrom Day phone 2. TYPE OF DWELLING: 0 Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well 0 Individual Fx7l Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ WaiverNariance request for: Distance: Received by: 14�_ Date: S 7 3/76 COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ 5---)G Waiver Fee $ Date of Payment '1�1" a' Date of Payment Receipt Number Receipt Number COSA # Waiver # 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm Mundahl Nordic Services Address 5620 E 99th Ave Anchorage AK 99507 Engineer's Printed Name Erik D. Mundahl, P.E. Phone 507-458-1936 Date �// ✓ ��� 0 2P�SOFAk9S�s9 G�¢r: 49TH•, 6. DSD SIGNATURE r / W a System #1 Approved for bedroomsn A • e ik: OALE1FUtdDAHL pP s•`� System #2 Approved for bedrooms t rF •, No. EV W420 Disapproved Conditional approval for bedrooms, with the following stipulations: By -L T� �wi.l `I�� S lZ Original Certificate Date: ZZ Co ' (5 The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA blue sheet r - .. c If more than 1 septic system is on the tot: COSA Checklist # _L_of 1 Structure served by thi's system 1 Certificate of On -Site Systems Approval Checklist Legal Description: SOUTH HILLS B5 L5 A. WELL DATA Well type PRIVATE If A, B, or C provide PWSID #- Date completed 8/27/02 Sanitary seal (Y/N) Y Total depth 104 ft. Cased to 59 ft. FROM WELL LOG Date of test 8/27/02 Static water level ;57 Well production 4 WATER SAMPLE RESULTS: ft. Parcel ID: 017-071-20 Well Log (Y/N) Y Wires properly protected (Y/N) Y Casing height (above ground) 18+ in. AT INSPECTION 8/16/15 51.5 ft g.p.m. 5.9 g.p.m. Coliform N colonies/100 mL Nitrate 1.19, mg/L Arsenic NO ug/L Date of sample: 4/27/2016 B. SEPTIC/HOLDING TANK DATA Tank Type/Material FIBERGLASS Tank size 1500 gal. Number of Compartments 4_ Foundation cleanout (Y/N) Y Depression over tank (Y/N) N Date of pumping CONTRACT Pumper BIOCYCLE Collected by: ERIK MUNDAHL Date installed 9/16/03 Cleanouts (YIN) Y High water alarm (Y/N) Y C. ABSORPTION FIELD DATA Date installed 9/6/03 Soil rating (g.p.d.flf orft'lbdrm) 5.0 System type 5 -WIDE Length 44 ft. Width 5 ft. Gravel below pipe 0.5 _ ft Total depth _2'7 ft. Eff. absorption area 220 ftz Monitoring tube Y Depression over field N Date of adequacy test 8/16/15 Results (Pass/Fail) PASS For 4 bedrooms Fluid depth in absorption field before test 0/0 in. Water added 60_ gal. New depth 0/0 in. Elapsed Time: 0- min. Final fluid depth 0/0 in. Absorption rate >= 800 g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) N If yes, give date D. LIFT STATION Date installed 9/9/03 "Pump on" level at 23 Datum BOTTOM _ Size in gallons 1500 in. "Pump oft' level at 5_ Cycles tested 2+ E. SEPARATION DISTANCES WELL ON LOT TO: Septic tank/lift station on -lot 100'+ Absorption field on lot 100'+ Public sewer main NA Sewer /septic service line 25'+ Animal containment areas 50'+ SEPTIC/HOLDING "TANK ON LOTTO: Manhole/Access (Y/N) Y in. High water alarm level at 26.5 Meets alarm 8 circuit requirements? YES On adjacent lots100+ On adjacent lots 100'+ Public sewer manhole/cleanout NA Holding tank NA Manure/animal excrete storage areas 100'+ Building foundation + Property line, 51+ Water main NIA Water service line 10+ Wells on adjacent lots 100'+ ABSORPTION FIELD ON LOT TO: Property line 10+ Building foundation 10+ Water,Service line 10+ Surface water 100'+(N.O.) Curtain drain 50'+ (N.O.) Wells on adjacent lots 1001+ F. COMMENTS Absorption Feld 5'+ Surface water 1001+ Water main NA Driveway, parking/vehiclestorage10+ G. ENGINEER'S CERTIFICATION \i I certify that t have determined through field inspections and OFA, review of -Municipal records that the above systems are in , s conformance with MOA COSA guidelines in effect on this date. I S ERIK D. MUNDAHL, P.E. % a Engineers Printed Name EMKOALEMUNIX Date No EV54420 COSA brown sheet 10-10-12.doo in. PGE B4 • '� Municipality of Anchorage On -Site Water and Wastewater Program o (907) 343-7904 Certificate of On -Site Systems Approval / °� Parcel I.D. 017-071-20 Expiration Date: I —� J `� �® 1. GENERAL INFORMATION Complete legal description South Hills Blk 5 Lt 5 Location (site address) 7536 Old Hillside Way Current Property owner(s) Stacy & David Goade Day phone 907-952-4331 Mailing address 7536 Old Hillside Way Anchorage, AK 99516 Real Estate Agent FSBO Day phone 2. TYPE OF DWELLING: Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well 0 Individual Fx7l Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ WaiverNariance request for: Distance: Received by: Ae&"Le�= Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee Date of Payment Receipt Number COSA# V SC Waiver Fee $ _ Date of Payment Receipt Number Waiver # 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm Mundahl Nordic Services Phone 507-458-1936 Address 5620 E 99th Ave Anchorage AK 99507 Engineer's Printed Name Erik D. Mundahl, P.E. 6. DSD SIGNATURE System #1 Approved for bedrooms System #2 Approved for bedrooms Disapproved Date 1 /,2 /,5" OF ;r '04n R 09TH, Kda rrUNOAHL Wo . Evil 420 Conditional approval for bedrooms, with the following stipulations: Original Certificate Date: .3 D 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. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA blue sheet r '- c If more than 7 septic system is on the lot: COSA Checklist # 1 of 1 Structure served by this system 1 Certificate of On -Site Systems Approval Checklist Legal -Description: SOUTH HILLS B5 L5 A. WELL DATA Well type PRIVATE If A, B, or C provide PWSID #- Date completed 8/27/02 Sanitary seal (Y/N) Y Total depth 104 ft Cased to 59 ft FROM WELL LOG Date of test 8/27/02 Static water level 57 ft. Well production 4 g.p.m. WATER SAMPLE RESULTS: Coliform N colonies/100 mL Nitrate 2.02 mg/L Arsenic ND ug/L Date of sample: 12/16/15 B. SEPTIC/HOLDING TANK DATA ParceHID: 017-071-20 Well Log (Y/N) Y Wires properly protected (Y/N) Y Casing height (above ground) 18+ in. AT INSPECTION 8/16/15 51.5 ft 5.9 gp.m. Collected by: ANSON MOXNESS Tank Type/Material FIBERGLASS Date installed 9/16/03 Tank size 1500 gal 4 Y Foundation cleanout (YIN) Y Date of pumping CONTRACT C. ABSORPTION FIELD DATA Number of Compartments _ Cleanouts (YIN) _ Depression over tank (Y/N) N High water alarm (Y/N) Y Pumper BIOCYCLE Date installed 9/6/03 Soil rating (g.p.d.e orft2/bdrm) 5.0 System type 5 -WIDE Length 44 ft. Width 5 ft. Gravel below pipe 0.5 ft. Total depth ,2.7 ft. Eff. absorption area 220 ft Monitoring tube Y— Depression over field N 8/16/15; PASS 4 Date of bdequacy test Results (Pass/Fail) For—bedrooms Fluid depth in absorption field.before test 0/0 in. Water added 600 gaL New,depth 0/0 in. Elapsed Time: 0 min. Final fluid depth 0/0 in. Absorption rate >= 6d0 g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) N If yes, give date D. LIFT STATION Date installed 9/9/03 Size in gallons 1500 "Pump on. level at 23 in. "Pump off" level at 5 Datum BOTTOM Cycles tested 2+ E. SEPARATION DISTANCES WELL ON LOT TO: Septic tankllift station on lot 100'+ Absorption field on lot 100'+ Public sewer main NA Sewer /septic service line 26+ Animal containment areas 50+ _ Manhole/Access (Y/N) Y in. High water alarm level at 26'5 in. Meets alarm & circuit requirements? YES On adjacent lots 100'+ On adjacent lots 100'+ Public sewer manhole/cleanout NA Holding tank NA Manure/animal excrete storage areas 100'+ SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5+ Property line 5'+ Water main N/A Water service line 101+ Wells on adjacent lots100+ ABSORPTION FIELD ON LOT TO: Property line 10+ Building foundation 101+ Water Service line 10+ Surfacewater 100'+(N.O.) Curtain drain 50'+ (N.O.) Wells on adjacent lots 100'+ F. COMMENTS G. ENGINEER'S CERTIFICATION I certify that I have determined -through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. Engineer's Printed Name ERIK D. MUNDAHL, P.E. Date COSA brown sheet -1 0-1 0-12.doe Absorption field 5'+ Surface water 1001+ Water main NA Driveway, parking/vehicle storage 10,+ Municipality of Anchorage =" ,E On -Site Water and Wastewater Program (907)343-7904 s,re,. Certificate of On -Site Systems Approval Parcel I.D. 017-071-20 Expiration Date: 1. GENERAL INFORMATION Complete legal description South Hills Blk 5 Lt 5 Location (site address) 7536 Old Hillside Current Property owner(s) Stacy & David Goade Day phone 907-952-4331 Mailing address 7536 Old Hillside Way Anchorage, AK 99516 Real Estate Agent FSBO Day phone 2. TYPE OF DWELLING: 0 Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4 4. TYPE OF WATER SUPPLY: Individual Well 1XI Individual Water Storage ❑ Community Class Well ❑ Public Water System ❑ WaiverNariance request for: TYPE OF WASTEWATER DISPOSAL: Individual 0 Holding Tank ❑ Community ❑ Public Sewer ❑ Received by:TUs�` COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ FB. 0 Date of Payment 1t���"% Receipt Number —(s--3 Y1741 COSA# OtC15NS61 Date: Waiver Fee $ Date of Payment Receipt Number Waiver # 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below. I verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm Mundahl Nordic Services Phone 507-458-1936 Address 5620 E 99th Ave Anchorage AK 99507 Engineer's Printed Name Erik D. Mundahl, P.E. Date/fs! 6. DSD SIGNATURE t/ System #1 Approved for System #2 Approved for Disapproved Conditional approval for bedrooms bedrooms 49TH i. !o. EV14420 bedrooms, with the following stipulations: By:Original Certificate Date: 0 — % The Aqu ipa}I o o evelopment 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 OOSAbluesheetr l- c If more than 1 septic system is on the lot: COSA Checklist # 1 of 1 Structure served by this system 1 Certificate of On -Site Systems Approval Checklist Legal Description: SOUTH HILLS B5 L5 A. WELL DATA Well type PRIVATE If A, B, or C provide PWSID # - Date completed 8/27/02 Sanitary seal (Y/N) Y Total depth 104 ft. Cased to 59 ft. FROM WELL LOG Date of test 8127/02 Static water level 57 Well production 4 WATER SAMPLE RESULTS In Parcel ID: 017-071-20 Well Log (Y/N) Y Wires properly protected (Y/N) Y Casing height (above ground) i8+ in. AT INSPECTION 8/16/15 5.9 g. p. m. Coliform N colonies/100 mL Nitrate 2'18 mg/L Arsenic NO ug/L Date of sample: 8/16/15 Collected by: ANSON MOXNESS B. SEPTIC/HOLDING TANK DATA Tank Type/Material FIBERGLASS Tank size 1500 gal. Number of Compartments 4 Foundation cleanout (Y/N) Y Depression over tank (YIN) N Date of pumping CONTRACT pumper BIOCYCLE C. ABSORPTION FIELD DATA Date installed 9/16/03 Cleanouts(Y/N) Y High water alarm (Y/N) Y Date installed 9/6/03 Soil rating (g.p.d./ft2 or felbdrm) 5.0 System type 5 -WIDE Length 44 ft. Width 5 ft. Gravel below pipe 0.5 ft. Total depth 2'7 ft. Eff. absorption area 220 ft2 Monitoring tube Y Depression over field N Date of adequacy test 8/16/15 Results (Pass/Fail) PASS For 4 bedrooms Fluid depth in absorption field before test 0/0 in. Water added 600 gal. New depth 0/0 in. Elapsed Time: 0 min. Final fluid depth 010 Any rejuvenation treatment (past 12 mo.) (YIN & type) N in. Absorption rate >= 600 g p d If yes, give date D. LIFT STATION Date installed 9/9/03 Size in gallons 1500 "Pump on" level at 23 in. "Pump off' level at 5 in. Datum BOTTOM Cycles tested 2+ E. SEPARATION DISTANCES WELL ON LOT TO: Septic tank/lift station on lot100 + Absorption field on lot 100'+ Public sewer main NA Sewer /septic service line 25+ Animal containment areas 50'+ Manhole/Access (Y/N) Y High water alarm level at 26.5 Meets alarm & circuit requirements? YES On adjacent lots 100'+ On adjacent lots 1004 Public sewer manhole/cleanout NA Holding tank NA Manure/animal excrete storage areas 1004 SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5+ Property line 51+ Water main NIA Water service line 10+ Wells on adjacent lots100 + ABSORPTION FIELD ON LOT TO: Property line 10+ Building foundation 10+ Water Service line 10+ Surfacewater 100'+(N.O.) Curtain drain 50+ (N.O.) Wells on adjacent lots 100'+ 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 ERIK D. MUNDAHL, P.E. Date 14/s COSA brown sheet 10-10-12.doc Absorption Feld 5'+ Surface water 100'+ Water main NA Driveway, parking/vehicle storage 104 ERIK DALE MUNDAHL No. EW4420 in. BioCycle Alaska 3705 Arctic Ave. 4313 Anchorage AK 99503 (907)274-0314 E-mail: crbioak@gmail.com 7536 Hillside Anchorage. AK MAINTENANCE DESCRIPTION COMMENTS PRIMARY CHAMBER SCUM LEVEL WGH BE SURE. YOUR ALARM IS AERATION CHAMBER & AERATION SYSTEM BLOWER SIZE 60 60 120 L/MIN ALWAYS ON "NORMAL" NOT ON AERATION PRESSURE HIGH LOW "MUTE" NOISE LEVEL 0 HIGH GENERAL CONDITION O POOR SYSTEM: AIRLEAKS LEAKS AIR DIFFUSERIAIR SUPPLY POOR MIXED LIQUOR CONDITION ODOR YES CLARIFICATION CHAMBER SLUDGE ACCUM IN HOPPER LO HIGH CLARITY OF EFFLUENT E FAIR CLOUDY. DISCHARGE CHAMBER DISCHARGE PUMP OPERATING NO ALARMS C14ECKED AND OPERATING AIR/POWER NO HIGH WATER S NO IA Quarter Maintenance performed by: BY: LARRY BETTS 1862-7434/CHRIS 331-7978) DATE: g�(3 B1oCycle Alaska 3705 Arctic Ave. #313 Anchorage AK 99503 (907)274-0314 Email: biocyclealaska@gei.net Hillside )rade. AK MAINTENANCE DESCRIPTION COMMENTS PRIMARY CHAMBER SCUM LEVEL 0 HIGH BE SURE YOUR ALARM IS AERATION CHAMBER & AERATION SYSTEM BLOWER SIZE 6080 120 UMIN ALWAYS ON "NORMAL" NOT ON AERATION PRESSURE OK HIGH LOW "MUTE" NOISELEVEL 0 HIGH GENERAL CONDITION POOR ' SYSTEM: AIR LEAKS OK LEAKS AIR DIFFUSER/AIR SUPPLY K POOR - MIXED LIQUOR CONDITION ODOR YES CLARIFICATION CHAMBER SLUDGE ACCUM IN HOPPER HIGH CLARITY OF EFFLUENTCLE FAIR CLOUDY DISCHARGE CHAMBER DISCHARGE PUMP OPERATING ES NO .- ALARMS CHECKED AND OPERATING AIRIPOWER YES NO. :] HIGH WATER YE, NO ce performed by: 1 st Qu5YVS'(086,2-7434/CHRIS BY, 331-7978) DATE:_. \ ZOL" BioCycle Alaska 3705 Arctic Ave. #313 Anchorage AK 99503 (907)274-0314 Email: biocyclealaska@gci.net Customer David and Stacey Goade 7536 Hillside — vv Wi Anchorage, AK 336-3655 SoCacle Location I Date: MAINTENANCE DESCRIPTION COMMENTS PRIMARY CHAMBER SCUM LEVEL OK HIGH BE SURE YOUR ALARM IS ALWAYS ON "NORMAL" NOT ON AERATION CHAMBER & AERATION SYSTEM BLOWER SIZE 86 120 L/MIN AERATION PRESSURE 0 HIGH LOW "MUTE" NOISE LEVEL HIGH GENERAL CONDITION O POOR SYSTEM: AIR LEAKS 0 LEAKS .. AIR DIFFUSER/AIR SUPPLY POOR MIXED LIQUOR CONDITION ODOR YES l CLARIFICATION CHAMBER SLUDGE ACCUM IN HOPPER G HIGH CLARITY Of EFFLUENT C"LEA�! FAIR CLOUDY, DISCHARGE CHAMBER DISCHARGE PUMP OPERATING (YESI NO y� ALARMS CHECKED AND OPERATING AIR/POWER YES NO I41GH WATER YES NO 4th Quarter Maintenance performed by: / BY: LARRY BETTS (862-7434/CHRIS 331-7978) DATE:! 4 Bi®Cycle Alaska 3705 Arctic Ave. #313 Anchorage AK 99503 (907)274-0314 Email: biocyclealaska@gci.net 7536 Hillside Anchorage, AK 336-3655 3rd Quarter Maintenace r IBioCVcle Location I MAINTENANCE DESCRIPTION COMMENTS PRIMARY CHAMBER SCUM LEVEL O HIGH _ BE SURE YOUR ALARM IS AERATION CHAMBER &. AERATION SYSTEM BLOWER SIZE 0 8 120 L/MIN ALWAYS ON "NORMAL" NOT ON AERATION PRESSURE HIGH LOW 'MUTE" NOISE LEVEL HIGH GENERAL CONDITION POOR SYSTEM: AIR LEAKS LEAKS ~ AIR DIFFUSER/AIR SUPPLY POOR MIRED LIQUOR CONDII N ODOR YES CLARIFICATION CHAMBER SLUDGE ACCUM IN HOPPER HIGH CLARITY OF EFFLUENT FAIR CLOUDY DISCHARGE CHAMBER DISCHARGE PUMP OPERATING gE$ NO ALARMS CHECKED AND OPERATING AIR/POWER E NO HIGH WATER NO 3rd Quarter maintenance Performed by: (� BY: LARRY BETTS (862-7434/CHRIS 331-7978) DATE: 6 Municipality of Anchorage Development Services Department a • Building Safety Division On -Site Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.orgtonsite (907)343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. 0/ 7 - 07/ - 20 COSA #_L70105 Expiration Date: 1. GENERAL INFORMATION Complete legal description of S� Otc c c S. s6"/- HII& S /n Location (site address) _ 7S3L< Hf11sarJc &-Iciy a 5-29 - 2 -17,6 Current Property owners) Dave Tol ierl / E/yc� �Qe Day phone 'e Y2 - N3 <i Mailing address Lending agency Mailing address Real Estate Agent Mailing Address P.O. 170 23 25- Y/ A^ cAonop� , /Fk 9952.7 Y un k Day phone fn 4 Day phone Untess otherwise requested, COSA wX be held by DSD for pickup. Plea re eca (f 04yn e�-s @ 2-1/2 -Y3r3 2. NUMBER OF BEDROOMS: or 629- Z'? 79 Z. sAtn CGufS rf react'. {or /7 cc tc- -c.e 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 ❑ Public Water System ❑ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Onsite 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 Onsite 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 Onsite 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 sample results. (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 engineers 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 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 rIgMv4 7_ec4n 1 cu( Phone T 11r— /.r5 -_,r Address /'IS3O Echo lcrnvo� Ro1, /MthC)LIV _hoc Wril, Engineer's Printed Name -Aec c& 7 r. 1-rao-e Date 42r'l /7 Z007 tt9tHK 5. DSD SIGNATURE k:00R:-; $; �.7•:, cs sse� . ,.t•f. ✓ Approved for bedrooms. Disapproved. ��I_ „.,_• ,f,a Conditional approval for bedrooms, with the following stipulations: COSA Checklist X Septic System Advisory Well Flow Advisory Nitrate Advisory Arsenic Advisory Maintenance Agreements Supplemental Engineer's Report Other By: // /�,--, / fid �.�1 Original Certificate Date: 7 (RWAIMS) Municipality of Anchorage ., F/ Development Services Department Building Safety Division On -Site Water & Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsde (907)343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description: Lof E 13/0c4c 9 .So-fA ffirG -`;/O ParcelID: 017 -0-rr -2 o A. WELL DATA Well type PL -1- If A, B, or C provide PWSID # Date completed 6/Z7/40t Sanitary seal (Y/N) Y Total depth 1 OY ft. Cased to S& 7 ft. FROM WELL LOG Date of test 8/7.7/402, Static water level 5-71 ft. Well production y g.p.m. WATER SAMPLE RESULTS: Coliform g colonies/100 mL Nitrate 2.27 mg/L Arsenic: ppb date of sample: XZ/07 B. SEPTIC/HOLDING TANK DATA Well Log (Y/N) Y Wires properly protected (Y/N) Y Casing height (above ground) 2 y in. AT INSPECTION Y/9 /off S 2 ft. S.9'+' g.p.m. Other bacteria _0 colonies/100 mL Collected by: - Fya Tec/ Svc Tank Type/Material L3 r a c y c 1 e / F.6ti a /ccf Date installed 9 /6 /0 3 Tank size f SOO gal. Number of Compartments �_ Cleanouts (YIN) Y Foundation cleanout (Y/N) Y Depression over tank (Y/N) N High water alarm (Y/N) Y Date of pumping y / 17 / 0 7 Pumper C. ABSORPTION FIELD DATA Date installed 910O Soil rating (g.p.d./ft2 or ftZ/bdrm) . •09^W System type S"'-wwde drr1#AF,1.c i Length Sri/ ft. Width S ft. Gravel below pipe O.'r ft. Total depth? ft. Eff. absorption areaZggft2 Monitoring tube r Depression over field t4 Date of adequacy test 84/2/07 Results (Pass/Fail) Parr For 4bedrooms y 6s Fluid depth in absorption field before test _o in. Water addedggg gal. New depth_ in. ,u' Elapsed Time: I?- min. Final fluid depth _0 in. Absorption rate >= 606 g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) Non. knoa.w- If yes, give date N• 4 D. LIFT STATION Date installed 9121613 Size in gallons Inl+e1 rut Manhole/Access (Y/N) Y 'Pump on' level at ?3 r/Oin. 'Pump off" level at"1 in. High water alarm level at 26 r/i in. Datum tae Fin. Cycles tested St Meets alarm ti circuit requirements? Y E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot 119 On adjacent lots > too Absorption field on lot Ili' . On adjacent lots '> 14AO � Public sewer main N. A. Public sewer manhole/cleanout N. A. Sewer /septic service line > 1S' Holding lank > 7S"' Animal containment areas N. A, Manure/animal excrete storage areas N• A% SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 191 Property line 60 ' Absorption field 7 r Water main V. A. Water service line > /0Surface water y to Wells on adjacent lots > too ' SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line it, Building foundation t 2 1 Water main N• 4. Water Service line > t0 ' Surface water 1 100 ' Driveway, parking/vehicle storage > 20 Curtain drain Abn[ 50en Wells on adjacent lots > tGb' F. COMMENTS T.rroelraafton Ite7urnal 6y 2/9/Os T••1�[ htaAe/a �rnte S/00 .,•._..z r., G. ENGINEER'S CERTIFICATION ac• AL I certify that 1 have determined through field inspections and ���ti.�. '• �••• �� W1 review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. `r i?:•..,f"„ r . • ,. y. Engineer's Printed Name Tlr.ro�&rc /=. more �i / 17, Z04 7 {A CE F F. a7oORE Date �4p ,A V COSA Fee $ Ll 340 Waive Fee 5 Date of Payment (4Date of Payment Receipt Number 9 t{ly Receipt Number (Rev. 11/05) MUNICIPALITY OF ANCHORAGE Poet, Jeff W. From: Ted Moore [tgmoore@gci.netj Sent: Thursday, April 19, 2007 5:12 PM To: Poet, Jeff W. Subject: RE: aaaa-PinkSheet_0201071.doc Page 1 of 1 Hello Jeff, I don't think your first conclusion is supported by the test data. I did the construction Inspections and verified that the drainfield was level at the time of construction. In virtually all adequacy tests of systems with multiple monitor tubes different fluid levels are observed in each tube. In this case I believe the reason there was some fluid in the southwest monitor tube is that it is adjacent to the upstream end of the horizontal distribution pipe. Thus, each pump cycle tends to discharge fluid in that area first, which can lead to localized fluid buildup and clogging of the monitor tube perforations in that immediate area only. I believe the fact that the monitor tube at the far end of the drainfield never had any fluid buildup whatsoever is a much more conclusive demonstration that the system is still adequate. As to your second statement, 1 thought the buyer was aware of this requirement and had already come in and signed the maintenance agreement. I will pass the word on to my client. Please give me a call if this does not resolve your concerns with respect to this COSA submittal. Ted Moore --Original Message— From: Poet, Jeff W.[mailto:Poet]W@ci.anchorage.ak.us] Sent: Thursday, April 19, 2007 3:23 PM To: tgmoore@gci.net Subject: aaaa-PinkSheeL0201071.doc ,.•... % Municipality of Anchorage ' (• Development Services \ Department Building Safety Division Onsite Water and Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907)343-7904 ON-SITE SEWER/WELL SUBMITTAL COMMENT SHEET To: Zed Moore Legal description: outhHilis_Block�5�ot3=Ra.w-1albert The attached paperwork has been reviewed and Is being returned for the following reasons: 1.According to adequacy test readings wide trench is not level. 2.Maintenance Agrement Name of reviewer: ,teff 4/23/2007 Date: April 19, 2007 �-� I-I�LSID�-WAY ... O,[["[..MC,(• T.PI.LIfw.[nIC(R[O.g LINCAMC MP.ryL' ,ryCTry(T.0(1 .1 pFT.ryC[F r•Rr Ae(R[ary•v. The location of the stru &2U s)as shov.In on this reC rarr;n (as• ui ) com' s w' Title 21, AAdC. f3y: Date: MUNICIPALITY OF ANCHORA01 TRAFFIC DEPARTMENT m N 83 42'W O APPROVED AS SuOMITTEI 153.r 3 I ., 0 NOTAPPROVEO. Re000MI1 I � � I � i I � � r 4 I I � un [T.NRry d CII I DI it I I Ll 31 o IL I � m 0 OI a`• POU'` I I I I I I I I •ry[R I I •MLI ----------- 5 86°53145"E 1 52.77 ... O,[["[..MC,(• T.PI.LIfw.[nIC(R[O.g LINCAMC MP.ryL' ,ryCTry(T.0(1 .1 pFT.ryC[F r•Rr Ae(R[ary•v. The location of the stru &2U s)as shov.In on this reC rarr;n (as• ui ) com' s w' Title 21, AAdC. f3y: Date: MUNICIPALITY OF ANCHORA01 TRAFFIC DEPARTMENT m N O APPROVED AS SuOMITTEI O APPROVED AS AMENOECH 3 0APPROVED ASNOTty ., 0 NOTAPPROVEO. Re000MI1 2 THE INFORMATION HEREON B FOR THE ME OF LENDING MSTINTONS SPEOFIMLy TO S,,, ANY CONFLICTS BETAKEN EXISTING STRUCTURES AND FLATTED LOT UNES OR EASEMENTS ANO LS NOT TO BE USED FOR POSHTIONNO ADDITHDIAL STRUCTURES OR FENDELNES. EASEMENTS OF RECORD. OTHER THAN THOSE SPHOAN ON THE RECORDED PUT. ARE NOT SH01LN HEAEON NOTE. ANY FENCELRES SHORN ARE LOCATED APMKB ATELYANO ARE NOT TO BE USED To DETERWNE PROPERTY LME'. OR LOCATE STRUCTURES. ANY PAVING SHOWN MAY BE APPROIMATE DUE TO SHOW CONDITIONS FINAL STRUCTURE AS -BUILT AB -BUILT BURVEY SCALE: 1 a - AD- 1 HEREBY CERTIFY THAT I HAVE PERFORMED A MORTGAGEE'S INSPECTION OF THE FOLLOWING DESCRIBED PROPERTY. LOT B. BLOCK B. SOUTH MILLS SUB. ANCHORAGE RECORDING DISTRICT. ALASKA AND THAT THE VISIBLE w1FROVEMENTS SITUATED THEREON ARE WITHIN THE PROPERTY LINES AND THAT NO VISIBLE ENCROACHMENTS EXIST OTHER THAN NOTED. DATED AT ANCHORAGE. ALASKA THIS 38TH DAY OF MY SOW HOLT LAND SURYV _C_ 77 14,25. iB 110.73 TEL 745-6515 ADVANCED NVASTENVATER TREATMENT SYSTEM MAINTENANCE AND REPAIR AGREEMENT MEMORANDUM OF UNDERSTANDING BETWEEN] UNICIPAL TY OF ANCIIORAGE AND THIS MEMORANDUM OF UNDERSTANDING made and entered into as of this a3 Day of a M , - of 20PI, by and between I �� herein the "OWNER," and the Municipality of Anchorage, herein the "MUNICIPALITY." In consideration of the mutual covenants contained herein, the parties to this Memorandum of Understanding agree as follows: 1. ADVANCED NVASTEWATER TREATMENT SYSTEMS. Municipality grants permission to Owner to utilize and operate an Advanced Wastewater Treatment System (AWWTS), described as located at SOt)Tl4 gIUSk 6 Lcrr fp� Anchorage, Alaska. 2. Definitions. A. Alteration. Any change to the design or function of an AWWTS that includes the installation or removal of any parts, components or pieces not included in the original construction permit and design. Prior to performing any alterations to an AWWTS the owner must obtain a Wastewater Disposal System Construction Permit from the Municipality pursuant to Anchorage Municipal Code (hereinafter, "AMC") 15.65. B. Certificate of On -Site Systems Approval. An approval by the Municipality of existing water and wastewater disposal systems given at the time of property sale and title transfer in accordance with AMC 15.65. These approvals certify that the systems are adequate for the homes that they support and meet the codes that were in place at the time of system construction. C. Damage. Any man-made or natural change in a system that would inhibit the system from performing as designed. D. Maintenance and Repair. The scheduled and as needed replacement of existing parts, components and pieces of an AW WTS that were included in the original design which would allow the AW WTS to continue to perform as designed. E. Permit (Construction) An On -Site Wastewater Disposal System Construction Permit as defined by AMC 15.65. F. Permit (Operating) An Advanced Wastewater Treatment System Operating Permit. An annual permit, issued by the Municipality, that allows the Owner to operate an AW WTS, upon meeting all the requirements of this agreement, the conditions of Operating Permit, the requirements of the On -Site Wastewater System Construction Permit and all relevant provisions of AMC 15.65 3. Fee. Owner shall pay to Municipality an annual fee of ($ 0 .00), payable on or before the issuance of the operating permit and annually thereafter. The annual fee is due on or before the anniversary date of the approval by the Municipality of installed system. 4. Term. The term of this Memorandum of Understanding shall be for the life of the AWWTS. The term begins on the date of approval by the Municipality of the installed system and shall continue while the AWWTS system is in use or operational or until the property is sold or title is transferred by owner and a new certificate of On -Site approval is issued to the new owner or transferee of the property. 5. Alterations, installation and Removal of Additional Equipment. Owner agrees not to make any alterations, removal of parts or additions to the AWWTS without a Construction Permit from the Municipality. 6. Maintenance and Repairs. A. Throughout the term of this Memorandum of Understanding, the Owner shall maintain AWWTS in good repair. In addition, it shall be the responsibility of the Owner during the term of this Memorandum of Understanding, and any extensions or renewals thereof, at the owner's sole expense, to pay for any and all: (1) repair(s), (2) maintenance, (3) adjustment(s), (4) replacement costs, and (5) inspection costs. Further, Owner agrees to comply will all applicable ordinance, laws, regulations, rules and orders for the AWWTS. B. Owner agrees to provide the Municipality a written schedule of routine maintenance and repairs which have been performed on the system pursuant to the terms and conditions contained in the Owner's AWWTS Operating Permit. This schedule shall be submitted to the Municipality annually upon the renewal of the permit. The schedule of maintenance and repair contained in the Owner's AWWTS Operating Permit is: nj t lLlAew-w C. Owner acknowledges that the fine schedule for failing to maintain and repair an AWWTS are codified in AMC 14.60. D. Owner agrees that only maintenance, repair personnel certified by the Municipality will inspect and make any necessary maintenance, repairs or permitted alterations to the system. E. Owner agrees to grant the Municipality reasonable access to test and inspect the AW WTS upon 24 hours written notice. F. Owner agrees that any sale or transfer of title of the property will not occur without a new Certificate of On -Site Systems Approval. G. Owner agrees that the relevant provisions of the standard specification guidebook for AW WTS is the governing professional guidelines for the construction, maintenance and repair of the Owner's AWWTS. 7. Nonwaiver. The failure of either party at any time to enforce a provision of this Memorandum of Understanding shall in no way constitute a waiver of the provisions, nor in any way effect the validity of the Memorandum of Understanding or any part hereof, or the right of such party thereafter to enforce each and every provision hereof. 8. Amendment. A. This Memorandum of Understanding shall only be amended, modified or changed by a writing, executed by authorized representatives of the parties, with the same formality of this Memorandum of Understanding was executed and such writing shall be attached to this Memorandum of Understanding as an amendment. B. For the purposes of any Amendment modification or change to the terms and conditions of this contract, the only authorized representatives of the parties are: Owner: Anchorage: Purchasing Officer C. Any attempt to amend, modify, or change this contract by either an unauthorized representative or unauthorized means shall be void. 9. Jurisdiction: Choice of Law. Any civil action arising from this Memorandum of Understanding 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 Memorandum of Understanding. 10. Severability. Any provisions of this Memorandum of Understanding decreed invalid by a court of competent jurisdiction shall not invalidate the remaining provisions of the Memorandum of Understanding. OWNER: 17 By: Date MUNICIPALITY: By: Title: Date: STATE OF ALASKA ) ) ss. THIRD JUDICIAL DISTRICT ) The foregoing mstrument was acknowledged before me thiso�5day of yyL 20L7, by -)iu� ! My Commission expires: