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Home My WebLink AboutSHANGRI-LA ESTATES EAST BLK 1 LT 1Shangri-La Estates East Block 1 Lot 1 #020-043-42 MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program PO Box 196650 4700 Elmore Road Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 http://www.muni.org/onsite On -Site Water System Permit »>ent 10 G G Oar 11 `I 1 lav Department Permit Number: OSP231250 Effective Date: Work Type: Well Initial Expiration Date: Tax Code Number: 02004342000 Site Legal Address: SHANGRI-LAESTATES EAST BLK 1 LT 1 G:3239 Site Mailing Address: 16115 LOST HORIZON DR, Anchorage Owner: DACHOWSKI RYAN & JESSICA Lot Size in Sq Ft: Design Engineer: Total Bedrooms: This permit is for the construction of: 8/10/2023 8/9/2024 41576 ❑ Disposal Field ❑ Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well Q Water Storage All construction shall be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80) 3. The wastewater code requires inspections during the installation. The engineer shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing Received By: C\ dT LJA j r_ {_ Date: Issued By: Date: O z 4 MUNICIPALITY OF ANCHORAGE Development Services Department ®(� Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 ON-SITE SEPTICMELL PERMIT APPLICATION Parcel I.D. 0,� (" Z1 J5 e/ zdC6 Property owner(s) nV) J 1'SSr Za Day phone Mailing address zV �f -54c-_- joy Site address /G A`_75- � �� ,��r 7�r� F//— A,, Z/, Legal description (Sub'd., Block &Lot) 5`, '6/e-�_7 Z -K 2 Legal description (Township, Range & Sectionj Lot Size %/,S 74 Sq. Ft. Number of Bedrooms APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption. Field ❑ Initial ❑ Single Family (SF) ❑ (w/wo ADU) Septic Tank ❑ Upgrade ❑ Duplex (p) ❑ Holding Tank El Renewal ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage M � Yo✓ed 30,0 jot' �SC� 7 c/ l/ zf12 S-`� THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. ature of property owner or authorized agent) Permit/Rush Fees: Date of Payment: b 0 Waiver Fees: 20 Z� Date of Payment: Receipt Number: �`� 2 3 D Permit No. 05P 13 12-5O Receipt Number: Waiver No. GADevelopment Services\Building Safety\On Site Water and WastewaterTorms\Client corms\Permit Application.doc Municipality of Anchorage On -Site Water and Wastewater Program • (907) 343-7904 Page of ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP151326 PID Number: 020-043-42 Dwelling:❑ Single Family (SF) ❑ Duplex (D) []Multiple (SF and/or D) Project: X New ❑ Upgrade Name: Crown Pointe, Inc. ABSORPTION FIELD ❑ Deep Trench fi❑ Shallow Trench ❑ Bed ❑ Mound Address P.O. Box 112313 Anchorage, AK 99511 ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 229-1886 1 Five 5.0 GPD/SF 5.1 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade 3.1 Ft. Gravel depth beneath pipe 2 Ft. Subdivision Block Lot Shangri La Estates East 1 1 Fill added above original grade 2 Ft Gravel length 22 Ft. Township Range Section Gravel width 5 Ft. Beds: Number of Lines Distance between lines Ft SEPARATION DISTANCES To Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Tank Line 157 Fe One Ft. well >100' >100' >100' >75' >25' TANK ❑ Septic ❑ S.T.E.P. ❑ Holding E Other Manufacturer Advantex/Anchorage Tank Capacity 1 2,500 Gal. Surface Water >100' >100' NA NA Material Number of compartments Lot Line >5' >10' NA NANA Steel Two Foundation >5' >10' NA NA LIFT STATION Manufacturer Capacity Curtain Drain None Noted Gal. Remarks Pump on level at in. Pump off level at in. High water alarm at in. Pump make and model Electrical Inspections performed by MOA PIPE MATERIAL House to tank D3034 Tank to D drainfeld 3034 Installer Sanders & Sanders Drainfield F810 CO/MT Inspector MEA BENCHMARK (Assumed elevation)100.0 ft Inspeection 1� 4/5/16 d 4/5/16 Location and description ction 2 304/6/16 4'n Lower Level Finished Floor COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL :nglne4r;jJJm; OF Conditional Approval: Date �P.� 0..�......... `. e..........� MICHAEL E. ANDERSON . r y CE -4381 mr �+If�,�F.,a Approved �,,,�-�� Date1'i ` ��► Inspection Report_9-1-12.doc Ni7R.11 onaliik3% Municipality of Anchorage Page 2 of 3 DEVEOPMENT SERVICES DEPARTMENT 4700 Elmore Road Anchorage, AK. 99519-6655 - 343-7904 Permit Number: OSP151326 PLAT NO. 2011-62 SHANGRI-LA ESTATES -EAST LOT 1, BLOCK 1 41,576 S.F. p0 R=120 0p. I I s I I I I I I I MH I I S1 I FCO I Five Bedroom I Home I I I oc�vE` °R�vE 51 MH M1 M I O I � I z L� s Bs•, �� o s3�5jF 1b45 Al7itC2 11 Mi C3 1 NaTE'. SfPc V1619161s locgtEO 7 60 fem Duca I.J SnaDV1C61C DKtv6 VZO Aa* e. Aon a$ Na M I MEP, °M 1 N N / 2 / LEG END: / CO — Cleanout SV — Septic Vent TH — Test Hole MT — Monitor Tube FCO — Foundation Clean Out MH — Man Hole PLAN AS BUILT SCALE t' = 50' Permit Number: OSP151326 78.6 NO Grc 7-11-04 Municipality of Anchorage DEVEOPMENT SERVICES DEPARTMENT 4700 Elmore Road Anchorage, AK. 99519-6655 - 343-7904 On -Site Wastewater Disposal System or Well Inspection Report SHANGRI LA BLOCK ESTATES EAST 4, LOT 1 Page 3 of 3 PID No. 020-043-42 PROFILE Scale: NONE /IRMO M 91.7 MICHAEL E. ANDERSON Alpine Drilling & Enterprises Well Log tit Number: #SW151326 Date of Issue: 9-22-15 Parcel Identification Number: 02004342000 Started: 2-1-16 Date Completed: 2-3-16 is well located at approved permit location? x Yes ❑ No I Description: Shangri-La Estates East Block 1 Lot 1 erty Owner Name & Address: Crown Pointe, Inc. PO Box 112313 Anchoraqe Alaska 99511 chole Data: Depth (ft) Type, Thickness & Water Strata From To 0 3 silt 3 12 12 446 WATER ALITY TE8TING Coliform Im CoV100mL Nitates (a mg/L Arsenic , C�s ug/L Method of Drilling x air rotary ❑ cable tool Casing type: steel Wall Thickness: .250 inches Diameter: 6 inches Depth: 20 feet Liner Type: PVC Diameter: 4_5 inches Depth: 43 feet Casing stickup above ground: 3 feet Static water level (from ground level): 25 feet Pumping level: 446 feet after 2 hours pumping 1_5 gpm Recovery Rate: I_5 gpm Method of Testing: air li Well Intake Opening Type: ❑ Open End x Open Hole ❑ Screened Start feet Stopped feet ❑ Perforations Start feet Stopped feet Grout Type: bentonite granules Volume: 4 8gs Pump., Intake Depth feet Pump size — _ hp Brand Name �I Well Disinfected Upon Completion? x Yes ❑ No II Method of Disinfection: chlorine tablets Comments: Well Driller: Alpine Drilling & Enterprises PO Box 110496 Anchorage AK 99511 Z'd 909[ -9b£ -L06 e90:90Zl L£6ny Development Services Department Building Safety Division �d On -Site Water $ Wastewater Program 4700 Elmore Road P.O. Box 196650 Mark Begich Anchorage, AK 99507 Mayor www muni oro/onsite (907)343-7904 Pump Installation Log Well Drilling Permit Number: SW 1'51 v� Parcel Identification Number: Ojovq_J 44w -b Date of Issue: LZtZo1- L�Descriptippn roper(y Oer N e & Address- ! i L Q 1'� i�] l WIT') t_) Pump Iosta ation Date: 3� �-jy Pump Intake Depth Below Top of Well Casing: (1 g feet Pump Manufacturer's Name: c -pi , i4,5 Pump Model: ( Cl J f Pump Size hp j la Adapter Burial Depth:" I feet Adapter Manufacturer's Name: F EQ r�t✓ j'�jE�j Pitless Adapter Installer. Well Disinfected Upon Completion? iq Yes El No Method of Disinfection. T Comments: , Pump Installer Name: Aarow Pamp & Well Service P.O. Box 110496 Anchorage, AK 9951 t-0496 Attention: The pump installer shall provide a pump installation log to the DSD within 30 days of pump installation. L'd 909E-9tt6-L06 e9080ZL l£S Permit Number: Tax Code Number: On -Site Water & Wastewater System Permit OSP151326 02004342000 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 Work Type: WellSeptic Initial Permit Effective Dates: September 22, 2015 to September 21, 2016 Design Engineer: ANDERSON ENGINEERING Subdivision: SHANGRI-LA ESTATES EAST Site Legal Address: SHANGRI-LA ESTATES EAST BLK 1 LT 1 G:3239 Owner/Address: CROWN POINTE INC PO Box 112313 ANCHORAGE AK 99511 Site Mailing Address: Lot Size in Sq Ft: 41576 Total Bedrooms: 5 This permit is for the construction of: Y Disposal Field Y Septic Tank N Holding Tank N Privy Y Private Well N Water Storage All construction must be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80). 3. The wastewater code requires inspections during the installation. The engineer must notify the Development Services Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either: A. Open and Close on the same day. B. Covered, sealed, and heated to prevent freezing. The entire subsurface disposal field and/or alternate is not within a 30 foot radius of a percolation test. The Engineer needs to do an additional percolation test prior to the construction of the septic field. Please submit stamped and signed results with the As -built Inspection Report. If the results require a design change, construction of the system will stop pending On -Site review and approval. AMC 15.65.060.B.3 Received Issued By MUNICIPALITY OF ANCHORAGE 1 Community Development Department Development Services Division On -Site Water & Wastewater Program Parcel LD ON-SITE SEWER/WELL PERP 020-043-42 Property owners) Crown Pointe, Inc. Mailing address P.O. Box 112313 Anchorage, AK 99511 Site address NHN Sandpiper Drive Anchorage, AK 99516 Legal description (Sub'd., Block & Lot) Shangri-La Estates East, Block 1, Lot 1 I Legal description (Township, Range & Section) Lot Size 41,576 Sq. Ft. Number of Bedrooms Five (5) APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: IN all that apply) Absorption Field ❑x Initial ❑x Single Family (SF) ❑x (w/wo AD U) Septic Tank ❑X Upgrade ❑ Duplex (D) ❑ Holding Tank ❑ Renewal ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑X Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE 1 WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. Ajt'� C— a44 sY� (Signature of property owner or authorized agent) D Permit/Rush Fees: Date of Payment: Receipt Number: t05`f TV; Permit No. "I Qa24 Permit App__ Waiver Fees: Date of Payment: Receipt Number: Waiver No. ANDERSON ENGINEERING P.O. BOX 240773 ANGHORAGE, AK 99524 522-7773 677-7766(FAX) September 18, 2015 Municipality of Anchorage Development Services Department On -Site Water and Wastewater Program 4700 South Bragaw Street Anchorage, AK 99519-6650 Subject: Lot 1, Block 1, Shangri La Estates East Subdivision Septic System Design and Permit Application Impacts to Adjacent Properties Dear Onsite Services Engineer: The owner of Lot 1, Block 1, Shangri La Estates East Subdivision intends to construct a new five -bedroom home on the lot. We are therefore requesting a permit be issued for the construction of a new well and septic system to accommodate the home. The attached Site Plan and backup documentation identify the location and configuration of the proposed well and septic system along with the alternate site. Lots on all sides of the lot are currently vacant so no conflicts exist between the proposed septic system and well or septic systems and wells on adjacent lots. Drainage arrows are shown on the site plan showing the grade and direction of flow on the lot. The drainage pattern will not be changed as a result of this project. The test hole placed on the lot in the area of the absorption trench and alternate site. indicate silty sand with gravel (SM) to a depth of 16'. The percolation rate of the soil was determined to be 1.2 minutes per inch. No groundwater was found during the placement of the test hole and none was noted during the monitoring period. Plat notes require the use of nitrate reducing septic systems on the lot. We have therefore specified an Advantex Treatment System to accommodate five bedrooms. An application rate of 5.0 gallons per day per square foot was used in the design of the absorption system. We are proposing to place a new 2,000 gallon Advantex Tank and 2 -AX -20 Pods and a 21' long by 5' wide by 2' effective depth absorption trench to treat and dispose of the effluent generated in the house. The elevation of the distribution line in the absorption trench will be 3' below the surface and the total depth will be 5'. A minimum of 3' of fill or 2" of insulation and 2' of fill will be placed over the absorption trench and 4' over the septic tank. The surface of the lot will allow gravity flow from the pod to the absorption trench so an add on lift station is not required. Lot 1, Block 1, Shangri La East Subdivision March 23, 2015 Page Two The ground surface on the lot in the area of the septic system slopes to the northwest. The new trench will be constructed parallel with the contours of the slope as much as possible in conformance with Municipal requirements. The new septic system will be constructed a minimum of 1 00' -from all wells- and -any- surface --water and 10' the proposed and existing water services in the area. If the system is constructed in accordance with our design the following statements apply: 1. The system, if constructed as designed, will have no adverse impact on the wells in the area or those to be constructed in the future. 2. The system, if constructed as designed, will have no adverse impact on existing septic systems in the area or those to be constructed in the future. 3. The system, if constructed as designed, will have no adverse impact on reserve space, either surface or subsurface, on any lots located in the area. 4. The system, if constructed as designed, will have no adverse impact on drainage patterns in the area. The current drainage pattern will be maintained. Sincerely, 771� r Michael E. Anderson, P.E. Attachments �,:• ,,y. 1V 49th MICHAEL E. ANDERSON No. CE -4381 PLAT N0. 2011-62 SHANGRI-LA ESTATES -EAST LOT 1, BLOCK 1 41,576 S.F. \\ LOT ,, BLOCK 2 / \ VACANT % \ LOT 2. BLOC( 2 \ VA gg` t I I I I LOT 11 I / \> �Ir 0� 1 I of �J \ I g LOT 2, BLOCK 1 VACAM - \ / \ LOT 12 I LOT 10 y I 18¢' I ,L LOT V BLOCK i ��••' OF 49th � *00 AREA MAP MI�HgNDERSDN ; or No, cE-asei SCALE 1° = 100' ti� PLAT N0. 2011-62 SHANGRI-LA ESTATES-EAST LOT 1, BLOCK 1 41,576 S.F. R—\ I FU o'. 6� L-4) 040, Sq�Op/pFR 1092' X O I 9 6634 �, f2 .4S, I I ` ®m'} 21' Long x 5' Wide x } I O w 2' Effective Depth o0i R / Absorption Trench. w 2.000 Gallon Advantex Septic Tank I \ I M I i Y• Five Bedroom � Z � I "° Home Y. "io O I 30' o I \ / O a x / 2 a `o Five bedroom Advantax with Treatment System with ,j o ` 2—AX20 Pods and Gravity I 0 Z I pRCIE Flow to Absorption Trench. I PG PRY ELL EO l I •��' I 1 I n I N I I = \ I LEGEND, \N F� I CO — Cleanout �' — ♦♦♦♦ OF 4' SV — Septic Vent ♦♦ "(� .........,No TH — Test Hole ♦♦�P:'" MT — Monitor Tube FCO — Foundation Clean Out b I 49th f MH— Man Hole z L %..................... .. S z \ ........:.. %.......... .............. SITE PLAN 1142 X g '.MICHAEL E. ANDERSON 34 S>�. Sg 33 ^yam �♦. (.381 tii SCALE V = 50' �� Sys; :♦♦♦ LOT 1 BLOCK 1, SHANGRI-LA EST. EAST SUBDIVISION DESIGN FACTORS: SYSTEM REQUIREMENTS Five Bedroom Home 5' Wide Trench System Perc. Rate: 1.2 Min./Inch Five Bedroom Advantex Treatment System Application Rate: 5 GPD/SF with 2 -AX -20 PodS - Gravity Flow 2' Drainfield Rock 5 Bedrooms' 150 GPD/Bedroom = 750 SF Absorption Area 750 SF/5 GPD/SF/5 SF (Width)`.7 (Red. Factor) = 21 LF Trench Length THEREFORE: Construct a 21' Long x 5' Wide x 2' Effective Depth Absorption Trench. Flow Line Elevation in Trench to be 3' Below Original Ground Surface. Total Depth to be 5' Below Existing Ground. Provide 3' Cover Over Absorption Trench and 4' Cover Over Septic Tank. Gravity Flow From Pods to Absorption Field. 5' TYPICAL 5' WIDE TRENCH SECTION (NO SCALE) NOTE: Grade Area Over Trench to Drain Away. Minimum 6' Separation From Bedrock. :.... Minimum 4' Separation From Groundwater. i Minimum 100' Separation From Private Wells in the Area. ' Minimum 100' Separation From Surface Water or Streams: MICHAEL E. ANDERSON . No. CE -4381 0 • - ` `� - MUNICIPALITY OF ANCHORAGE 1 • DEVELAI, 1}:lJ'f SERVICES DEPARTMENT/131111-DOG SA DIVISION, ' ON-SITE WATER AND WASTEWATER PROGRAM 4700 SOUTH BRAGAW ANCHORAGE, AK 99519 SOILS LOG - PERCOLATION TEST PROJECT It: J PERFORMED FOR: LuTech Inc DATE PERFORMED: 7/02/2044 L1 �3 t LEGAL DESCRIPTION: Lot 7 Block 1 Shanari La East Subdivision TEST HOLE # 1 SLOPE SITE PLAN organic Layer - OL 51 4 'A Silty Sand With gravel a' SN ,A• a �• r� :•q.. WAS GROUNDWATER ENCOUNTERED? No IF YES, WHAT DEPTH? DEPTH OF WATER None AFTER MONITORING: DATE: 7/11/2004 He. "m 7�✓�- tG FERC RATE: PERE. HOLE DIAMETER: TEST RUN HETWEEN__i!-k--FT, AND 6.5 FT• COMMENTS: Test Hole Pre Soaked Prior to Percolation Test. - TEST PERPoRMED BY: ED SANDERSON E, MICHAEL E. ANDERSON, CERTIFY .1HAT I HIS I E57 WAS PERFORMED ACCONUANbt WITH ALL STATE AND MUNICIPAL GUIDELINES ON THIS DATE: 7/16/2004 " S L 0 P E READING DATE GROSS4NF70r-pTH NETTIME . DROP - Start 7/2 9:15 -9:25 8.25"Recharge 9:262 9:36 Recharge 9:37. 3 9:47 10 Dr Parcel I.D. 020-043-42 Mnuicipalfty of Aare On -Site Water and Wastewater (907)343-7904 s . �ae�a„ u Aug 3,1°P. Certificate of On -Site Systems Approval 9. GENERAL INFORMATION Expiration Date: f 2- 0 `P `! L Complete legal description Shangri La Estates East, Block 1, Lot 1 Location (site address) 16115 Lost Horizon Drive Anchorage, AK 99516 Current Property owner(s) Crown Pointe Inc. Day phone _ Mailing address Real Estate Agent P.O. Box 112313 Anchorage, AK 99511 2. TYPE OF DWELLING: Fx] Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: Five Day phone 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well Q Individual Fx I Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ WaiverNadance request for: unless otherwise requested by the engineer. COSA Fee $ 1 1 1• l4g Date of Payment s 131 Igo 1 l0 Receipt Number 09 15tf06) COSA# OS�1lP1J Waiver Fee $ Date of Payment Receipt Number Waiver # 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my $ell'14f axed 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 S(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm Anderson Engineering Address P.O. Box 240773 Anchorage, AK 99524 Engineer's Printed Name Michael E. Anderson, P.E. 6. DSD SIGNATURE _ System #1 Approved for S bedrooms System #2 Approved for Disapproved Conditional approval for bedrooms Phone 522-7773 Date 8/3012016 bedrooms, with the following 4?H r0 P pMICHAEL E. ANDERSON - & • Ni,, fJPOFES510�e��,' By: Original Certificate Date: The Municipality of Anchorage Development Services Division (DSD) issues Certifcates 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 COSAbluesheet-( : : c If more than 1 septic system is on the lot: COSA Checklist # _of _ Structure served by this system Certificate of On -Site Systems Approval Checklist Legal Description: Shangri La Estates East, Block 1, Lot 1 Parcel ID: 020-043-42 A. WELL DATA Well type Private If A, B, or C provide PWSID # Well Log (Y/N) Y Date completed 2-3-16 Sanitary seal (Y/N) Y Wires properly protected (Y/N) Y Total depth 446 ft. Cased to 43 ft. Casing height (above ground) >1811 in. FROM WELL LOG AT INSPECTION Date of test 2-3-16 Static water level 25 ft. Well production 1.5 9.p -m. WATER SAMPLE RESULTS: Coliform 0 colonies/100 mL Nitrate -535 mg/L Arsenic ND ug/L Date of sample: 7/26/16 fi# Collected by: Anderson Engineering B. SEPTIC/HOLDING TANK DATA Tank Type/Material Septic/Steel/Advantex Date installed 4/6/16 Tank size 2,500 gal. Number of Compartments 2 Cleanouts (Y/N) Y Foundation cleanout (Y/N) Y Depression over tank (Y/N) N High water alarm (Y/N) Y Date of pumping New Pumper Construction C. ABSORPTION FIELD DATA Date installed 4/5/16 Soil rating (g.p.d./fe or felbdrm) 5 GPD/SF System type 5' Wide Length 22 ft. Width 5 ft. Gravel below pipe 2 ft. Total depth 6.9 ft. Eff. absorption area 157 fe Monitoring tube Y Depression over field N Date of adequacy test New Const. Results (Pass/Fail) For 5 bedrooms Fluid depth in absorption field before test in. Water added gal. New depth in. Elapsed Time: min. Final fluid depth in. Absorption rate >= g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) If yes, give date D. LIFT STATION Date installed Size in gallons "Pump on" level at in. "Pump off'level at in. Datum Cycles tested E. SEPARATION DISTANCES WELL ON LOT TO: Septic tanMift station on lot Absorption field on lot_ Public sewer main Sewer/septic service line. Animal containment areas >100' >100' >75' >25' >50' Manhole/Access (Y/N) High water alarm level at in. Meets alarm & circuit requirements? On adjacent lots >100, On adjacent lots >100' Public sewer manhole/cleanout >100' Holding tank >75' Manure/animal excrete storage areas SEPTIC/HOLDING TANK ON LOT TO: Building foundation >5 Property line > 51 Water main >100 Water service line > 0 Wells on adjacent lots >100' ABSORPTION FIELD ON LOT TO: Property line >10, Building foundation >10' Water Service line >10 Surface water > Curtain drain None Noted 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 Michael E. Anderson, P.E. Date 8/31/2016 COSA brown sheet 10-10-12.doc Absorption fiel Surface water >100' d >5, >100' Water main >10' Driveway, parking/vehicle storage >10, It 6-r.4 , P` - * AEL E. ANDERSON CE - 4381 w i 1 "-4.0' PIAT N0. 2011-62 SHANGRI-LA ESTATES -EAST LOT 1, BLOCK 1 41,576 S.F. "—'20 ` 20 �0, okEIING 8U11Dl"'G z A S- B U I LT 56.3' GASTALDI LAND I I N � I 30' r g I ANCHORAGE, ALASKA 99507 APPS ON THE RECORDED SUBDIVISION PLAT. do kill GRID G'pVE� ORNE I co I � o I okEIING 8U11Dl"'G z A S- B U I LT I I I I I I I �I GASTALDI LAND W Ld SURVEYING, LLC � I � r rn COVENANTS OR RESTRICTIONS WHICH DO NOT ANCHORAGE, ALASKA 99507 APPS ON THE RECORDED SUBDIVISION PLAT. do UNDER NO CIRCUMSTANCES SHOULD ANY DATA GRID DATE co SW3239 o I o z F.B. JOB NO. S B okEIING 8U11Dl"'G z A S- B U I LT I HEREBY CERTIFY THAT I HAVE SURVEYED THE GASTALDI LAND PROPERTY DEPICTED ABOVE AND THAT NO ENCROACHMENTS EXIST EXCEPT AS INDICATED. SURVEYING, LLC R IS THE RESPONSIBILITY OF THE OWNER TO JEFF A. GASTAIAL R.L.S. DETERMINE THE EXISTENCE OF ANY EASEMENTS, 2000 E. DOWLING RD., SUITE 8 COVENANTS OR RESTRICTIONS WHICH DO NOT ANCHORAGE, ALASKA 99507 APPS ON THE RECORDED SUBDIVISION PLAT. PHONE 248-5454 UNDER NO CIRCUMSTANCES SHOULD ANY DATA GRID DATE HEREON BE USED FOR CONSTRUCTION OR FOR SW3239 6/15/2016 ESTABLISHING BOUNDARY OR FENCE LINES. ANCHORAGE RECORDING DISTRICT, ALASKA F.B. JOB NO. 15-05 SLE11 NOTE: NO CORNERS SET THIS DATE 1 BUILDING DETAIL SCALE: 1"-20' .'*su%moi ♦t�� of aL� �. P. •`r i ��' ■ k 49TH ; *. j ,.• ............. a•o Jeffery A. Gasinldl : > At so9f �� w mAV "a r0fessionol ��'� ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND REPAIR AGREEMENT BETWEEN MUNICIPALITY OF ANCHORAGE AND Ryan and Jessica Dachowski THIS MAINTENANCE AND REPAIR AGREEMENT made and entered into as of this 18 Day of August of 20 16, by and between Ryan and Jessica Dachowski herein the "OWNER," and the Municipality of Anchorage, herein the "MUNICIPALITY." In consideration of the mutual covenants contained herein, the parties to this Maintenance, and Repair Agreement agree as follows: 1. Advanced Wastewater Treatment Systems. Municipality grants permission to Owner to utilize and operate an Advanced Wastewater Treatment System (AWWTS), described as Advantex Treatment System located at (legal description). Shangri la Estates East Ll Bl 2. Definitions. Alteration. Any change to the design or function of an AWWTS that includes the installation or removal of any parts, components or pieces not included in the original construction permit and design. Certificate of On -Site Systems Approval (COSA). An approval by the Municipality of existing water and wastewater disposal systems given at the time of property sale and title transfer in accordance with Anchorage Municipal Code (hereinafter, "AMC") 15.65. These approvals certify that the systems are adequate for the homes that they support and meet the codes that were in place at the time of system construction. Damage. Any man-made or natural change in a system that would inhibit the system from performing as designed. Maintenance and Repair. The scheduled and as needed replacement of existing parts, components and pieces of an AWWTS that were included in the original design which would allow the AWWTS to continue to perform as designed. Permit. An On -Site Wastewater Disposal Permit as required by AMC 15.65 to construct and operate an AWWTS. 3. Term. The term of this Maintenance and Repair Agreement shall begin on the date of approval by the Municipality to operate the installed system or issuance of a COSA, and shall continue while the AWWTS is in use or is operational or until the property is sold or title is transferred by the owner and a new COSA is issued to the new owner or transferee of the property. 4. Alterations. Installation and Removal of Additional Equipment. Prior to performing any alterations to an AWWTS, the owner agrees to obtain an On-site Wastewater Disposal Permit from the Municipality in accordance with AMC 15.65. 5. Maintenance and Repairs. A. Throughout the term of this Maintenance and Repair Agreement, the Owner shall maintain their AWWTS in a satisfactory condition capable of producing treated septic effluent in accordance with the equipment's approval for operation in the Municipality. The owner shall enter into a service agreement with an AWWTS service and maintenance provider annroved by the municipality and the manufacturer of the AWWTS for the entire term of the AWWTS. In addition, it shall be the responsibility of the Owner during the term of this Maintenance and Repair Agreement, and any renewals thereof, at the owner's sole expense, to pay for any and all: (1) repair(s), (2) maintenance, (3) adjustment(s), (4) replacement costs, and (5) inspection costs. B. Owner agrees to comply with all applicable ordinance, laws, regulations, rules and orders for the AWWTS. C. Upon request by the Municipality, the owner agrees to provide the Municipality a written schedule of routine maintenance and repairs which have been performed on the system. When a record of maintenance is documented and maintained by the system vendor, the owner agrees to allow the Municipality access to this information. D. Owner acknowledges that the fine for failing to maintain and repair an AWWTS may be assessed in accordance with AMC 14.60 for improper discharge. E. Owner agrees that only maintenance and repair personnel approved by the Municipality will inspect and make any necessary maintenance, repairs or permitted alterations to the system. F. Owner agrees to grant the Municipality reasonable access to test and inspect the AWWTS upon 24 hours written notice. G. Owner agrees that any sale or transfer of title of the property will not occur without a new Certificate of On -Site Systems Approval. C. Any attempt to amend, modify, or change this contract by either an unauthorized representative or unauthorized means shall be void. 8. Jurisdiction: Choice of Law. Any civil action arising from this Maintenance and Repair Agreement shall be brought in the Superior Court for the Third Judicial District of the State of Alaska at Anchorage. The laws of the State of Alaska shall govern the rights and obligations of the parties under this Maintenance and Repair Agreement. 9. Severability. Any provisions of this Maintenance and Repair Agreement decreed invalid by a court of competent jurisdiction shall not invalidate the remaining provisions of the Maintenance and Repair Agreement. OWNER: By: a l a9 r c¢ —9.PP Cit �G4 (signature) Date: Y/a�aD J (o &/E `/ SS i � R O 6A0—*b* LJ (print name) STATE OF ALASKA ) ) ss. THIRD JUDICIAL DISTRICT ) The foregoing instrument was acknowledged before me this z3 day ofUSi 2016 , by �— NOTAR UB IC FOR ALASKA My Co i ion expires: ✓ilawcCi 2026 MUNICIPALITY: w (signature) name) STATE OF ALAS"A NOTARY PUBLIC Joyce B. Cayanan My Commission Expires: March 17, 2020 Date: Title: