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SOUTHPOINTE BLK 1 LT 3
outhpointe Block 1 Lot 3 #020-311-48 Municipality of Anchorage On -Site Water and Wastewater Program • (907) 343-7904 Page 1 of 3 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP161121 PID Number: 020-311-48 Dwelling: 9 Single Family (SF) ❑ Duplex (D) ❑ Multiple (SF and/or D) Project: W New ❑ Upgrade Name: Crown Pointe, Inc. ABSORPTION FIELD ❑ Deep Trench ® Shallow Trench ❑ Bed ❑ Mound Address PO Box 112313, Anchorage, AK 99511 ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 4 4.0 GPD/SF +2.4 - 2.5 FL LEGAL DESCRIPTION Depth to pipe invert from original grade +2.9-3.0 Ft. Gravel depth beneath pipe 0.5 Ft. Subdivision Block Lot Southpointe Sub 1 3 Fill added above original gradeGravel 6.4-6.3 Ft. length 30 Ft. Township Range Section Gravel width 5 Ft. Beds: Number of Lines Distance between lines I Ft. SEPARATION DISTANCES To Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Tank Line 150 Fe One Ft. Well >100' >100' N/A NIA >25' TANK ❑p septic ❑ S.T.E.P. ❑ Holding 9 Other Manufacturer Advantex/ Anc. Tank/Orenco Capacity 1 1500 Gal. Surface Water >100' >100' N/A N/A Material FAP/Fiberglass Number of compartments 2 Lot Line >5' 10' N/A N/A NA Foundation>5' >10' NIA NIA LIFT STATION Manufacturer Capacity Gal. Curtain Drain None I Noted RemarksGravity flow from tank to absorption Pump on level at in. Pump off level at in. High water alarm at in. trench. Trench is not a mound and has been contoured Into the finished slope. Pump make and model Electrical Inspections performed by Dependable Srvcs Elec PIPE MATERIAL House to tank D3034 Tank to drainfield D3034 Installer Sanders & Sanders Drainneld F810 C01MT D3034 BENCH MARK (Assumed elevation) 100.0 It Inspector M. Anderson Inspection . pdates: 1 8/3/16 813116 Location and description p 2� �I � S I ( 3b 4m `o 6 l,— Q.b COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL Enn ve�%dS{a�n8 gC�sf.°Be Conditional Approval: Date sP�E 'af AV ,% 1 is t P v 3 Zf —' o0� Approved bw Date aq`s' Inspection ReporL9-1-1240c Permit Number: OSP161121 120 LEGEND FCO — Foundation Clean Out C2 — L M1 — Monitor Tube TH — Test Hole MH — Man Hole S1 — Z O aP� N 00. w Q .v. NA mG P w N LEGEND FCO — Foundation Clean Out C2 — Clean Out M1 — Monitor Tube TH — Test Hole MH — Man Hole S1 — Septic Vent Municipality of Anchorage Page 2 of 3 DEVEOPMENT SERVICES DEPARTMENT 4700 South Bragaw Street Anchorage, AK. 99519-6655 - 343-7904 PID No. 020-31148 N 7g•49'27 .E 345.24• \\ U) •. BRTH ® C5 \ 9! HDPE \ r^ a S Lliiiner \ rn O o TH2(D M1 \ \ (rt N 4 \\ tV% 3� �I A B C pp'' MH1 12.3' 19.3' Alternate Site '0� MN2 8.7' 27.5' QR . Q I C4 65.7' 35.2' ®\ \ 3 N M1 66.1' 35.2' Well \ (t1 p C5 95.8' 62.8' \ ZI TH10 MH2 A \ MH1 FCO ••'. \ \ Four it droom \ 0 \ HOn17e. \\ �w ) N\ ............ ................... too OF \ SOUTHPOINTE SUBDIVISION �.•*P-E •••• N\ GJ.• • a.\ LOT 3, BLOCK 1 - • �\ 84.984 S.F. • . 49th... ................^- - a�\ w\ \ \ d PLAN AS BUILT SCALE 1' = 50' N SCHILLER CE -12592 Municipality of Anchorage DEVEOPMENT SERVICES DEPARTMENT 4700 Elmore Road Anchorage, AK. 99519-6655 - 343-7904 On -Site Wastewater Disposal System or Well Inspection Report Permit No.: OSP161121 UE SOUTHPOINTE SUBDIVISION LOT 3, BLOCK 1 Page 3 of 3 PID No. 020-311-48 96.8 IN Finished Grade HDPE Liner OT\b;]� Geohortile Fabric 91.5I JJ�1 93.4 90.4 a_ . — _ _- _ LLLL T 92.9._/ HDPE Liner Onginal Grade ORGANICS EXCAVATED 30' Trench Length 86.4 1686.5 Bedrock No Groundwater 7-23-13 NOTE : HDPE Liner Placed 1' Above Original Grade to 2.5' Above Distribuiton Line Fronting At Organic Material Removed and Replaced with Coarse Sand. Coarse Sand Placed to 2.5' Ab,,, PROFILE AS -BUILT Scale: NONE U 96.8 �1 91.5 90.5 Onginel Grade MUNICIPALITY OF ANCHORAGE DEVELOPMENT SERVICES DEPARTMENT 4700 BRAGAW STREET ANCHORAGE, AK 99519-6650 SOILS LOG - PERCOLATION TEST LEGAL DESCRIPTION: Lot 3, Block 1, Southpointe Subdivision PERFORMED FOR: Crown Pointe Inc. DATE: 8/2/16 PROJECT No.: PARCEL ID#: TECHNICIAN: MEA DEPTH EST HOLE 2 (feet) 1 OB/OG SM/SW 2 SAND W/SILT ki 4 BEDROCK 5 6 7 8 9 10 11 12 13 14 15 1 SLOPE WAS GROUND WATER ENCOUNTERED? No IF YES @ WHAT DEPTH!--- DEPTH EPTHDEPTH OF WATER AFTER MONITORING: None DATE OF MONITORING: 9/9/I6 DATE READING GROSS TIM (MINUTES) NET TIME (MINUTES) DEPTH TO W4TER NET DROP INCHES) (INCHES) TEST HOLE PRE SOAKED PRIOR TO TEST 8/2 1 8:58 1.13" 2 9:28 30 8.63" 7.50" 3 9:29 1.25" 4 9:59 30 8.75" 7.50" 5 10:00 1.25" 6 10:30 30 8.75" 7.50" PERCOLATION RATE 4�_0 (MIN/INCH) PERC. HOLE DIA .6(INCHES) TEST RUN BETWEEN: 2 FT. and 3 FT. COMMENTS: TEST HOLE PRE SOAKED PRIOR TO PERCOLATION TEST. TEST PERFORMED BY ANDERSON ENGINEERING. 1, MICHAEL E. ANDERSON CERTIFY THAT THIS WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPLE GUIDELINES IN EFFECT ON THIS DATE: 3/20/17 MUNICIPALTY OF ANCHORAGE (SERVICES OF... NET TIME DEVELOPMENT DEPARTMENT • �` 4700 BRAGAW STREET ANCHORAGE, AK 99519-6650 � •49th SOILS LOG - PERCOLATION TEST . 0... HEN SCHILLER �0' LEGAL DESCRIPTION: Lot 3 Block 1 Southpointe Subdivision NO. CE -12592 ' �1. PERFORMED FOR: Crown Pointe Inc. PROJECT No DATE: 8/2/16 .: :�::::.'`'� PARCEL ID*: T'ECHNICIAN: MEA P.f.ioml En i.reo Sup: DEPTH EST HOLE BRT (feet' 1 OB/OG SLOPE SITE PLAN SM/SW Z SAND W/SILT 3 4 BEDROCK 5 e 6 7 8 9 10 WAS GROUND WATER ENCOUNTERED? No IF YES @ WHAT DEFTHI 11 DEPTH OF WATER AFTER MONITORING: l2 DATE OF MONITORING: 13 DATE READING GROSS TIME (MINUTES) (MINUTES) (INCHES) (INCHES) 14 15 16 17 18 19 20 PERCOLATION RATE(MIN/INCH) PERC. HOLE DIA (INCHES) TEST RUN BETWEEN: FT. and FT. COMMENTS: TEST HOLE TO VERIFY BEDROCK DEPTH. TEST PERFORMED BY ANDERSON ENGINEERING. I, MICHAEL E. ANDERSON CERTIFY THAT THIS WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPLE GUIDELINES IN EFFECT ON THIS DATE. 3/20/17 NET TIME Dy RD gTE NET DRQ 11/22/2016 22:47 907-345-0202 ALPINE DRILLING PAGE 03/03 Alpine Drilling & Enterprises Well Log Permit Number: #SW161121 Date of Issue: 7-1-16 Parcel Identification Number: 02031148000 Date Started: 8-12-16 Date Completed: 8-13-18 Is well located at approved permit location? x Yes ❑ No Legal Description: Southpointe Block i Lot 3 Property Owner Name & Address: Crown Pointe Inc PO Box 112313 Anchorage, Alaska 99511 Borehole Data: Depth (ft) Soil Type, Thickness & Water Strata From To stick-up bedrock rij 2 QUA ^slRti Cot/100ML MWL Ua 2 166 Method of Drilling x air rotar ❑ cable tool Casing type: ,steel Wall Thickness- -250 inches Diameter: 6 inches Depth: 42.3 feet Liner Type: Diameter: inches Depth: _ feet Casing sticknp above ground: 2 feet Static water level (from ground level): 57 feet Pumping level:_L66 feet after 2 hours pumping 7 gpm Recovery Rate: 7 gpm Method of Testing: air ULI Well Intake Opening Type: ❑ Open End x Open Hole ❑ Screened Start ` feet Stopped feet ❑ Perforations Start feet Stopped, feet Groat Type: Pump: Intake Depth — feet Pump size z hp Brand Name Volume: 11 Well Disinfected Upon Completion? x Yes ❑ No Method of Disinfection: chlorine tablets Comments: Well Driller: Alpine Drilling & Enterprises PO Box 110496 Anchorage AK 99511 lDeafr, �lton� P r0 rtyj ter Nast & Address: 041 � c Pump Installation Date: I I I'S I Zt-'I Pump Intake Depth Below Top of Well Casing: 1J4eet C-,c1i� Pump Manufacturer's Name: 4 � ��J Pump Model: I tiS o j Pump Size 61� hp Pitless Adapter Burial Depth! �� I feet Pitless Adapter Manufacturer's Name: r r( Pitless Adapter Installer: lj It_1 Well Disinfected Upon Completion'? Yes Q No Method of Disinfection:: -i Comments: Pump Installer Name: Aaraw PumP & Well Service P.O. Boz 110496 AIRCh ege, AK 99511-0496 Attention: The pump installer shall provide a pump installation log to the DSD within 30 days of pump installation. Development Services Department Building Safety Division On -Site Water At Wastewater Program 4700 Elmore Road P.O. Box 196650 Mark Begtcn Mayor Anchorage, AK 99507 w W,Mum.ora/onsite (907)343-7904 Pump Installation Log r Well Drilling Permit Number: SW�(tl �� Date of Issue: 1 Parcel Identification Number. CAU ( 60 O lDeafr, �lton� P r0 rtyj ter Nast & Address: 041 � c Pump Installation Date: I I I'S I Zt-'I Pump Intake Depth Below Top of Well Casing: 1J4eet C-,c1i� Pump Manufacturer's Name: 4 � ��J Pump Model: I tiS o j Pump Size 61� hp Pitless Adapter Burial Depth! �� I feet Pitless Adapter Manufacturer's Name: r r( Pitless Adapter Installer: lj It_1 Well Disinfected Upon Completion'? Yes Q No Method of Disinfection:: -i Comments: Pump Installer Name: Aaraw PumP & Well Service P.O. Boz 110496 AIRCh ege, AK 99511-0496 Attention: The pump installer shall provide a pump installation log to the DSD within 30 days of pump installation. On -Site Water & Wastewater System Permit MUNICIPALITY OF ANCHORAGE ` Development Services Department On -Site Water & Wastewater Program 4700 Elmore Road, PO Box 196650 1)ehar4uient Anchorage, AK 99519-6650 Telephone: (907) 343-7904 Permit Number: OSPI61121 Tax Code Number: 02031148000 Work Type: Welseptic Initial Permit Effective Dates: July 01, 2016 to July 01, 2017 Design Engineer: ANDERSON ENGINEERING Subdivision: SOUTHPOINTE Site Legal Address: SOUTHPOINTE BLK 1 LT 3 G:3738 Owner/Address: CROWN POINTE INC PO Box 112313 ANCHORAGE AK 99511 Site Mailing Address: 6148 SOUTHPOINTE RIDGE DR, Anchorage Lot Size in Sq Ft: 84984 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. Special Provisions: 1. Bedrock confirmation testholes are to be placed prior to installation. 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. 2. Required fill, topsoil, and vegetation to be in place prior to Inspection Report approval. Received Issued By By: <' ��«�o �l`%i . Date:l��t��l �r Date:_ Municipality of Anchorage ' P.O. Box 196650 ® 4700 Elmore Road Anchorage, Alaska 99519-6650 ® (907) 343-7904 ® Fax (907) 343-7997 http:11www.munLorg10nsite Development Services Division On -Site Water and Wastewater Program * * * * VARIANCE/WAIVER REVIEW * * * * Waiver#: OSV161055 COSA#: Permit#:OSP161121 PID#: 020-311-48 Legal Description: Southpointe B1 L3 Engineer: Pannone Engineering Services Applicant: Crown Pointe Your request for a waiver of the required 50 feet horizontal separation from the absorption field to the excessive slope has been approved. The approved separation distance is 12.0 feet. This waiver approval applies to the proposed absorption field only. Any fiiture upgrade to the on-site wastewater disposal system will require all separation distances be met or another approval from this department. ❑ The affected adjacent property owner(s) have been given a 7 day notice regarding this waiver. ❑ Notarized letter(s) of nonobjection have been received from the owner(s) of the affected adjacent property. ® Adjacent properties are not affected by this waiver. ............................................................................... Waiver is Granted: X Waiver is not Granted: Date: 6 Approved by: Name of Reviewer,,-' ................ **** VARIANCE/WAIVER REVIEW **** 'I Municipality of Anchorage 3 P.O. Box 196650 ® 4700 Elmore Road Anchoraae. Alaska 99519-6650 ® 19071 343-79n4 o Fax rgn71 ad3-7gg7 Development Services Division On -Site Water and Wastewater Program * * * * VARIANCEIWAIVER REVIEW * * * * Waiver#: OSV161055 COSA#: Permit#: OSP161121 PID#:020-311-48 Legal Description: Southnointe B1 L3 Engineer: Pannone Engineering Services Applicant: Crown Pointe Your request for a waiver of the required 50 feet horizontal separation from the absorption field to the excessive slope has been approved. The approved separation distance is 12.0 feet. This waiver approval applies to the proposed absorption field only. Any future upgrade to the on-site wastewater disposal system will require all separation distances be met or another approval from this department. ❑ The affected adjacent property owner(s) have been given a 7 day notice regarding this waiver. ❑ Notarized letter(s) of nonobjection have been received from the owner(s) of the affected adjacent property. ® Adjacent properties are not affected by this waiver. ............................................................................... Waiver is Granted: X Waiver is not Granted: Date: 6 Approved by: fir/ 4 Name of Reviewer ............................................................ ................. **** VARIANCE/WAIVER REVIEW **** MUNICIPALITY OF ANCHORAGE Community Development Department Phone: 907-343-7904 Development Services Division Fax: 907-343-7997 On -Site Water & Wastewater Program ON-SITE SEWER/WELL PERMIT APPLICATION Parcel I.D. 020-311-48 Property owner(s) Crown Pointe, Inc. Day phone 229-1886 Mailing address P.O. Box 112313 Anchorage, AK 99511 Site address 6148 Southpointe Ridge Drive Anchorage, AK 99516 Legal description (Sub'd., Block & Lot) Southpointe, Block 1, Lot 3 Legal description (Township, Range & Section) Lot Size 84,984 Sq. Ft. Number of Bedrooms Four (4) APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (Z all that apply) Absorption Field ❑ Initial 0 Single Family (SF) ❑ Septic Tank ❑ Upgrade ❑ (w/wo ADU) Duplex (D) ❑ Holding Tank F1Renewal F-1Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well 0 Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR: Absorption Trench to Excess Slope Distance: 12' I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit/Rush Fees: 70'4 Date of Payment: 5-Iztl/� Receipt Number: (i 5q5 C_ Permit No. D ` J� l% // 2. I Permit App_9-1-12.doc Waiver Fees: 2 I Date of Payment: S�ZO l6 Receipt Number: 0377ZG Waiver No. 0_�11116105_5_ ANDERSON ENGINEERING P.O. BOX 240773 ANCHORAGE, AK 99524 522-7773 677-7766 (FAX) May 19, 2016 Municipality of Anchorage Development Services Department On -Site Water and Wastewater Program 4700 South Bragaw Street Anchorage, AK 99519-6650 Subject: Lot 3, Block 1, Southpointe Subdivision Septic System Design and Permit Application Impacts to Adjacent Properties Dear Onsite Services Engineer The owner of Lot 3, Block 1, Southpointe Subdivision intends to construct a four- bedroom home on the lot. We are therefore requesting a permit be issued for construction of a new well and septic system to serve the new home. The size of the septic system and the proximity of bedrock to the ground surface in the subdivision limit the available area for the sewage disposal system and make it difficult to place a conventional septic system. We therefore intend to construct an Advantex Treatment System on the lot in conformance with subdivision plat notes to provide the most effective treatment of the septic effluent prior to discharge into the surrounding soil strata. The location of the absorption system is shown on the attached Site Plan. Drainage patterns are also shown on the plan and will not be modified as a result of the proposed construction. The test hole placed on this lot revealed silty sand with gravel soils (SM/SW) underlain by bedrock. The percolation rate in the materials encountered in the area near the new system was 4.1 minutes per inch. No groundwater was found but bedrock was encountered at 3.5'. Our design provides for the bottom of the absorption trench to be 6' above the bedrock layer. We are therefore proposing to place a four-bedroom Advantex Treatment System. The absorption trench will be 30' long x 5' wide with .5' effective depth. The distribution line in the trench will be placed at 3' above the existing ground level. The total depth of the trench will be 1' to remove the organic material. The organic material will be replaced with coarse sand which will also be used to raise the trenches 2.5' above existing ground. A minimum of 2' of fill will be placed above the trench along with 2" of insulation. A minimum of 4' of fill will be placed over the septic tank to meet Municipal Code and prevent freezing. The ground surface of the lot slopes at 25% to 40% to the west, but is less steep near Lot 3, Block 1, Southpointe Page Two May 19, 2016 the location of the primary absorption trench site. Slopes become extreme further to the west. The trench will be constructed parallel with the contours of the slope as much as possible in conformance with Municipal requirements. All components of the new septic system will be constructed a minimum of 100' from any surface water and 100' from the well proposed for the lot. No conflicts exist between the proposed well and septic system and those 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, Michael E. Anderson, P.E. Attachments :. 49th MICRAEL E. ANDERSON 1. No. CE -4381 _________________________ __ J_r- _______ _________________ I 0--, 1 I 1 1 I 1 1 1 I 1 1 1 I It 1 / 1 1 ' 1 1 I 1 1 I 1 1 , � 1 I 1 1 Lot 1 1 1 Lot 2 f' Lot 1 I I If I I j I 11 I l T l 1 I I I* l I ice, I i �----- -- ' I __ — -----------f ---__ II , Existing r !Y LOCK 2 / Well ! ', II BLOCK 1 ----- Lot 2 Lot 2" i i VACANT` 11 ' -1 -' /1 Lot 3 VACANT --- /I ___�+1 I/ k ,+ 1L + I t \! 0+ G \\ ®Existing a \ Well i \\ r of 3 \\\ Prop +\ 1.;3 ' \+ + Wello ed \\ fi' k + � 1 Lot 3 Existing Well ' _ Lot a •���rr��a i Pro sq :. `"1...................... �'t•C� S�.eu.../ \\, Lot 4 T` `-- -- MICHAEL E. ANDERSON i�- 9� •I��fT:, No. CE-4381Ar ,AV AREA M A P 411% E Ilk SCALE 1' = 100' _0oz n ib F --i H a °FTI S N O O o O 0 FTI x o� a (D CO < 600 II V /m'V'J "3"go -- 0 i � o m cn K: i cz: F- �u<=S oo FF1 = L G Ln W� 0 N OO 0 C C1 a0 'J _ ° <o ° 0 00 n � 0 o n 3 m - o e rt a D 5 Ali aid Nva p39�lliS�pNn 0-3 N 00'21'18"W 123.01' omD3 14191/3.., X4'01-- -- —— -- a Lq �S ib F --i H FTI x F- m AF* m O�.`* n II V /m'V'J "3"go -- 0 i i z A �S KVA c l 55 �g1 oq o :.................. aA A F --i H FTI x F- m AF* m O�.`* n II V /m'V'J 0 m Lf) 0 i i z A !� z KVA c l 55 �g1 oq o :.................. aA A SOUTHPOINTE LOT 3, BLOCK 1 DESIGN FACTORS: SYSTEM REQUIREMENTS 4 Bedroom Home Shallow Trench System Pere. Rate: 1-5 Min./Inch Advantex Treatment System Application Rate: 4 GPD/SF .5' Effective Depth 4 Bedrooms X 150 GPD/Bedroom = 600 Gallons per Day (Design Flow) 600 Gallons/4 GPD/SF/5 LF (Width) = 30 LF Trench Length THEREFORE: Construct a 30' Long by 5' Wide by No Effective Depth Absorption Trench at the Location Shown on the Site Plan. Distribution Pipe to be Placed at 3' Above Existing Ground. Place 2" of Insulation and 2' of Cover Over Absorption Trench. Maintain 100' Separation From Private Well on the Lot. Place 6" of Topsoil and Vegetation. Vegetation Must be Established Prior to Final Approval. atural Backfill 2' 2" Insulation and Geotextile Fabric 2 2 .5' 1 F / 1 I/ O .5 Delta Drain or Equal 4" PVC Impermeable Banner Holes Down 2.5' Drainfield Rock Ground Existing Ground 1' Coarse Sand In Situ Soil 5' f� NOTE: Impervious Barreier (Delta Drain) Extends from 1' Above Existing Grade to 2.5' Above the Distribution Pipe Flowline. NOTE: TYPICAL TRENCH SECTION (NO SCALE) Grade Area Surrounding Bed to Drain Away. Minimum 6' Separation From Bedrock. Minimum 4' Separation From Groundwater. Minimum 100' Separation From Private Wells in the Area. Minimum 100' Separation From Surface Water or Streams. Minimum 10' Separation From Water Service Line. MUNICIPALITY OF ANCHORAGE DEVELOPMENT SERVICES DEPARTMENT 4700 BRAGAW STREET ANCHORAGE, AK 99519-6650 SOILS LOG - PERCOLATION TEST LEGAL DESCRIPTION: Lot 3, Block 1, Southpointe Subdivision PERFORMED FOR: Crown Pointe Inc. DATE: 4/27/16 PROJECT No.: PARCEL ID#: TECHNICIAN: MEA DEPTH TEST HOLE 1 (feet) 1 OB/OG 2 SM/SW SAND W/SILT 3 4 BEDROCK 5 6 7 8 9 II 13 14 15 16 17 18 19 SLOPE WAS GROUND WATERENCOUNT IF YES �r WH DEPTH OF WATER AFTER MOM DATE OF MO FRED? S AT DEPTH? O TOffiNG: None P NITORING: 5/15/16 E DATE READING GROSS TIME (MINUTES) NET TIME (MINUTES) DEPTH R TO WATE (INCHES) NET DROP (INCHES) TEST PRESOAKED PRIOR TO TEST. 4/27 I 1:13 0.38" 2 1:43 30 7.75' 7.37" 3 1:45 0.25" 4 2:15 30 7.63" 7.58" 5 2:16 0.25" 6 2:46 30 7.63" 7.38" PERCOLATION RATE: 4.1 (MIN/INCH) PERC. HOLE DIA. 6 (INCHES) TEST RUN BETWEEN: 2 FT. and 3 FT. COMMENTS: TEST HOLE PRESOAKED PRIOR TO PERCOLATION TEST. TEST PERFORMED BY ANDERSON ENGINEERING. I, MICHAEL E. ANDERSON CERTIFY THAT THIS WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPLE GUIDELINES IN EFFECT ON THIS DATE: 5/18/16 ANDERSON ENGINEERING P.O. BOX 240773 ANCHORAGE, AK 99524 522-7773 677-7766 (FAX) May 19, 2016 Municipality of Anchorage Development Services Department On -Site Water and Wastewater Program 4700 South Bragaw Street Anchorage, AK 99519-6650 Subject: Lot 3, Block 1, Southpointe Subdivision Absorption Trench to Slope Waiver Dear Onsite Services Engineer: Lot 3, Block 1, Southointe Subdivision has limited area for construction of a septic system due to steep slopes to the west and the presence of bedrock. The developer of the lot has located the house on the flattest area of the lot further reducing the area available. We have located an area with acceptable soils, but it is situated slightly more than 12' from a break in grade greater than 25%. The alternate site is 17' from the break. We are therefore applying for a waiver allowing placement of the absorption trench at this location. The soil encountered in the test hole is well graded sand with silt (SM/SW) which is very good for the absorption of septic effluent. In addition, an Advantex Nitrate Reducing Treatment System is installed on the lot. No migration of effluent is expected to occur to the steep slope. Fill will be provided fronting the absorption trench. In addition an impermeable membrane will be placed alongside the western edge of the raised absorption trench. The 25% slope when extended downward from 2' above the bottom of the membrane does not daylight for 35'. This is a variance to the engineer's bulletin for excessive slopes, but it has been approved recently. No septic effluent can escape the area of the absorption trench without travelling at least 35' to daylight. A condition which is rarely or never seen. The slope fronting the absorption trench is nearly 2.5:1 at 45' from the edge of the trench. It is difficult to construct a 2:1 fill slope at this location which will meet existing ground without substantial fill. We are therefore proposing to place a 1.5:1 slope at this point to the existing ground catch point. The face of the slope will be covered with jute mesh to stabilize the slope until revegetation has been completed. The slope will be Lot 3, Block 1, Southpointe Subdivision June 27, 2016 Page Two constructed primarily of fractured bedrock which has an angle of repose of 1:1. The fractured faces will lock together to produce a stable slope not prone to erosion. Sincerely, / Michael E. Anderson. P.E. Attachment .....ex -Ti \ { CTI Cil F- - »I C. . _ . . C. }/3 3 z J; o ~\? / 0 0 (D m \Cli a\o\j - o } <>`« ,2 UD Cf) }w z O oXD - Cf) /�\§{ao ci 21 ± � ± & ® . q 0 S 0000 > ®� ® - m . U) S� m - CA \ g} \�\ z- » , \W -P,A ®. ƒ\\\ AraCD ° Jm .0,Ul :(\ � � ANDERSON ENGINEERING P.O. BOX 240773 ANCHORAGE, AK 99524 522-7773 677-7766 (FAX) June 24, 2016 Municipality of Anchorage Development Services Department On -Site Water and Wastewater Program 4700 South Bragaw Street Anchorage, AK 99519-6650 Subject: Lot 3, Block 1, Soputhpointe Subdivision Trench Side Slopes Dear Onsite Services Engineer: Absorption system sites on Lot 3, Block 1, Southpointe Subdivision are limited by the presence of bedrock with few areas acceptable for the placement of an absorption trench. The most suitable area to place the new absorption is close to a slope steeper than 25%. The fill above the trench will be approximately 5.5' above ground. The 3:1 side slope will extend an incalculable distance down the steep slope to an eventual catch point resulting in an extreme amount of fill. We therefore request a waiver allowing the fill slopes off the raised trench to be 2:1. The slopes will be covered with topsoil and seeded with grass. Maintenance will be provided until a flourishing stand of grass is achieved. The 2:1 slope is standard for fill slope requirements in the Municipality. No erosion of the slope is anticipated once revegetation is complete. Sincerely, Q" Michael E. Anderson, P.E. .' 49th E. ANDERSON CE -4351 . ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND REPAIR AGREEMENT BETWEEN MUNICIPALITY OF ANCHORAGE AND �tu_ ,� .�A�•tZ THIS MAINTENANCE AND REPAIR AGREEMENT made and entered into as of this Day of '5j e- .420_16, by and between Civ v_^ (13 hyz 1 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). Lot 3, Block 1, Southpointe Subdivision 2. Definitions. Alteration. Any change to the design or function of an AW WTS 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 aereement with an AWWTS service and maintenance provider approved by the municipality and the manufacturer of the AWWTS for the entire term of the AWWTS. In addition, it shall be the responsibility of the Owner during the term of this Maintenance and Repair Agreement, and any renewals thereof, at the owner's sole expense, to pay for any and all: (1) repair(s), (2) maintenance, (3) adjustment(s), (4) replacement costs, and (5) inspection costs. B. Owner agrees to comply with all applicable ordinance, laws, regulations, rules and orders for the AWWTS. C. Upon request by the Municipality, the owner agrees to provide the Municipality a written schedule of routine maintenance and repairs which have been performed on the system. When a record of maintenance is documented and maintained by the system vendor, the owner agrees to allow the Municipality access to this information. D. Owner acknowledges that the fine for failing to maintain and repair an AWWTS may be assessed in accordance with AMC 14.60 for improper discharge. E. Owner agrees that only maintenance and repair personnel approved by the Municipality will inspect and make any necessary maintenance, repairs or permitted alterations to the system. F. Owner agrees to grant the Municipality reasonable access to test and inspect the AWWTS upon 24 hours written notice. G. Owner agrees that any sale or transfer of title of the property will not occur without a new Certificate of On -Site Systems Approval. 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:// (signature) Date: 6(� eB t7401 (print name) STATE OF ALASKA ) ) ss. THIRD JUDICIAL DISTRICT ) The foregoing instrument was acknowledge#el n-;dnQ 20 16 , by Q i C5aorgRr NOTARYIPUBLIC FOR ALASKAd * My Commission expires: 7Ltt- ,Dory) MUNICIPALITY: By: (signature) (print name) day of � e , Date: Z7 6 Title: Certificate of On -Site Systems Approval Parcel I.D. 020-311-48 1. GENERAL INFORMATION Complete legal description SOUTHPOINTE BLOCK 1, LOT 3 Expiration Date: R.1b 1 6, 90 Q o' Location (site address) 6148 SOUTHPOINTE RIDGE, ANCHORAGE AK 99516 Current property owner(s) ANDREW S. WAKEFIELD Day phone Mailing address Real estate agent 6148 SOUTHPOINTE RIDGE, ANCHORAGE AK 99516 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) Day phone 3._ NUMBER OF BEDROOMS: 4 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Private Well ® Private Septic Water Storage ❑ Holding Tank ❑ Community Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ Waiver request for: Distance: Received by: _ _ Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ 550 Date of Payment 11 Receipt Number -71 A 1'5 y COSA # O S c- Q.1 \ � � 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. I acknowledge that On -Site staff may visit the site to verify the information submitted. Name of Firm FIRST WATER CONSULTING Phone 907-350-9566 Address 13030 SUES WAY,_ ANCHORAGE, AK 99516 Engineer's Printed Name CURTIS HUFFMAN, PE Date 11/12/2021 Comments: This investigation was completed in compliance with MOA guidelines, regulations, and best industry practices / methods. The assessment of the condition of the well and septic applies only to the conditions as of the day tested. The flow and absorption rates may change due to subsurface conditions that may not be observed from the surface, changes in land use, local soil characteristics, groundwater levels that may fluctuate during the year, quality of construction (workmanship & materials), the water usage of the family being served by the � system and maintenance. The operational life of all well and septic systems are subject to a� OF �°�t�� these various and dynamic characteristics and are outside the control of the evaluator of the • • well and septic system. Therefore, any estimate of how long a system will function satisfactory ���Q:•' • !f for current or future occupants or guarantee that no unseen encroachments, deficiencies or �•'.v �� discrepancies exist can be given by First Water Consulting & F�i 5 . iii '. V� .- 6. DSD SIGNATURE "" "' . • • Curtis Huffman •1 ✓ System #1 Approved for bedrooms �¢j�Fc�s• CE 128991.11/12121 ���'� Sstem #2 Approved pproved for _ bedrooms `�FDP OFESSIOHP��.:p Disapproved Conditional approval for bedrooms, with the following stipulations: OF ANCr(� ate`Q`'' •�—tet 5 U. /VT, SIER0 By: Original Certificate Date: The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA Checklist Legal Description: SOUTHPOINTE B1, L3 Parcel ID: 020-311-48 If more than 1 septic system on lot: COSA Checklist # of Structure served by this system A. WELL DATA Well log is filed with Onsite (or attached) Date drilled 8/13/2016 Total depth 166 ft Cased to 42.5 ft Sanitary seal is functioning correctly Wires are properly protected Casing height (above ground) 18+ in. Date of flow test for COSA 11/11/2021 Static water level at beginning of test 56 ft. Well production at time of test 3.4+ gpm Water storage tank volume NA gallons Well disinfected for coliform test? Yes No Coliform bacteria is Negative Nitrate 7.58 mg/L Nitrate less than MRL (ND) Arsenic ug/L Arsenic less than MRL (ND) Collected by ARCTERRA Date of Sample 10/20/2021 Comments __________________________________________________________________________________ B. TANK DATA Age of tank(s) 4 years Tank type/material ADVANTEX FAP / FIBERGLASS Measured operating fluid level in septic tank * Standpipes/foundation cleanout per record drawing Date of pumping *2/8/2021 C. LIFT STATION Required maintenance completed Age of lift station years Lift station material Comments: *SEE AX MAINT. REPORT D. ABSORPTION FIELD DATA Which system tested (date installed) 8/3/2016 ALL standpipes present per record drawing Total measured depth from grade 5.8 ft (max) Measured depth to pipe invert from grade 5.3 ft (min) N/A – pressurized field Monitor tubes go to bottom of effective. If not, state depth into effective Code-required soil cover over field System presoaked (Required if vacant for greater than 30 days prior to date of test) Gallons introduced gallons Adequacy test date 11/11/2021 Results Pass For 4 bedrooms Fluid depth prior to test 0 in Water added 600 gal New depth 5 in Elapsed time <15 min Final fluid depth 0 in Absorption rate 600 gpd Any rejuvenation treatment (past 12 months) N If yes, enter date Comments/Deficiencies: E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well) Septic Tank/Lift Station on Lot > 100’ Yes if No ft Neighboring Tank > 100’ Yes if No ft Absorption Field on Lot > 100’ Yes if No ft Neighboring Absorption Fields > 100’ Yes if No ft Community Sewer Main > 75’ Yes if No ft Community Sewer Manhole/Cleanout > 100’ Yes if No ft Private Sewer/Septic Line > 25’ Yes if No ft Holding Tank > 100’ Yes if No ft Animal Containment > 50’ Yes if No ft Manure/Animal Excreta Storage > 100’ Yes if No ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10’ Yes if No ft Property Line > 5’ Yes if No ft Absorption Field > 5’ Yes if No ft Water Main > 10’ Yes if No ft Water Service Line > 10’ Yes if No ft Surface Water > 100’ Yes if No ft Wells on Adjacent Lots: Private Wells > 100’ Yes if No ft Community Wells > 200’ Yes if No ft If septic tank is under driveway comment below From Absorption Field on Lot to: (Please enter distances if less than required) Building Foundation > 10’ Yes if No ft Property Line > 10’ Yes if No ft Water Main > 10’ Yes if No ft Water Service Line > 10’ Yes if No ft Surface Water > 100’ Yes if No ft If absorption field is under driveway comment below Wells on Adjacent Lots: Private Wells > 100’ Yes if No *50+ ft Community Wells > 200’ Yes if No F. ENGINEER’S COMMENTS *SYSTEM MEETS CAT III SEPARATION REQUIREMENTS 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. 11/12/21 MUNICIPALITY OF ANCHORAGE DEVELOPMENT SERVICES DEPARTMENT 907‐343‐7904 On‐Site Water and Wastewater Section Fax: 343‐7997 www.muni.org/onsite Mailing Address: P. O. Box 196650 * Anchorage, Alaska 99519‐6650 * www.muni.org Nitrate Advisory Certificate of On‐Site Systems Approval # OSC211664 Subdivision: Southpointe, Block: 1, Lot: 3 A water sample revealed a nitrate concentration of 7.58 milligrams per liter (mg/L). The Environmental Protection Agency (EPA) has established a maximum contaminant level (MCL) of 10.0 mg/L for public drinking water systems. While private wells are not subject to this regulation, EPA standards are based on existing health information and can therefore be used to gauge the relative quality of water from private wells. Since nitrates are known to slowly increase, we recommend you monitor the water quality. Please see the attached “Nitrate Fact Sheet” for important information regarding nitrate. This advisory must be attached to all copies of the subject Certificate of On‐Site Systems Approval. Mailing Address: P. O. Box 196650 * Anchorage, Alaska 99519‐6650 * www.muni.org Nitrate Fact Sheet From Northern Testing Laboratories, Inc. Nitrate is a negatively charged compound of nitrogen and oxygen, which is very soluble in water. Nitrate is not readily filtered or otherwise removed in the soil and can pass rapidly into ground water wells. SOURCE: Nitrate is a major component of fertilizer and wastewater. Often the nitrate is in the form of ammonia or protein first, which through contact with oxygen and certain bacteria, converts to the oxidized form known as nitrate. Sources of nitrate from wastewater include urea, ammonia cleaners, food solids, and bacterial cells. It may also result from the breakdown of organic matter buried in the soil. TOXICITY: Nitrate is generally not toxic to adults or children over the age of two or three years, but is associated with a potentially fatal infant disease called methemoglobinemia. In the digestive system of young children, nitrate converts to nitrite, which can pass through the intestinal wall into the blood stream. There it combines with the hemoglobin and interferes with the ability of the blood to carry oxygen. For this reason, methemoglobinemia is referred to as “blue baby” disease. The EPA limits the concentration of nitrate in public drinking water supplies to 10 mg/L. The standard has been lowered from a previous level of 45 mg/L set by the US Public Health Service and the World Health Organization. TREATMENT: due to its solubility in water and negative ionic charge, filtration and other common home water treatment systems such as softening or iron filtration does not readily remove nitrate. The best method for limiting nitrate in well water is source control. This can include avoiding overdosing of fertilizer near the well and maintaining good separation distances between septic tank leach fields and the well. A special anion exchange filter that contains a medi a with a strong affinity for negatively charged ions in water, or by a reverse osmosis treatment system or distillation can remove nitrate. TESTING: Nitrate analysis is usually done by one of the several “wet chemical” methods using a spectrophotometer to read the final color endpoint. Specific ion electrodes also can be used to detect the activity of nitrate in water. This laboratory uses several different wet chemical methods approved under the public water supply laboratory certification program. They also have test kits available, which the laboratory uses to perform an inexpensive “screening test”, and with which the homeowner can monitor the change in nitrate levels from their well. They recommend comparing the test kit results against a certified analysis from the lab occasionally to verify the accuracy of the kit. We recommend using a specially prepared bottle that has been rinsed in hydrochloric acid for collecting samples. 07/12/2021 08:41 8686770 APLUS PAGE 09 son ■ an ■■ soon ■ r on ■ ■ ■ ■ ■ t. ■ ■1■ ■■■n■ ■■■ 396 396 ■■■■■■■ ■ ■ ■ ■ ■ on ■ ■ ■■s van Teix ' Field Maintenance Report Annual Inspei :tion properly �er/nacking x Andrew Wakefield Ssa Address 6148 Southpointe RI Ige Drive, Anchorage AK 99516 Ax Sao Ip x Courcy to a Pod x AX -141554 OSP161121 422166 Retrieve O&M Info Deily flow Realm ratio -- Timer settings: Perform Field Sample ng/Observations Nil!U// 5 : NpTUs) pi (6.9) DO (2-6) 7 �S ! /r ! y_i Float Cords ................... Odor of sample Typical OMust ❑ Earthy ❑ Moldy Non-lypical ❑ Sulflc o ❑ Cabbage ❑ Decay Ogy flim In PVU [ f Yee E]r- �No y� Foam In tank I- IYes No Check Control Pane. Retire Amps Discharge Amps Audible and visual slat 11s 0OK Dial tone (talemetry of ❑ No Inspect/Clean Puml System Current Previous Inspect Riser/Lid .......... ........... ,0 Splice Box .................... y_i Float Cords ................... ❑ Floats ............. ..... .....❑ Cunha Pump................... ......© Curtgr�j� Simubs° Filter ................. ❑ Blotube Pump Vault ........... Pump Recirculating Splitter 'alve....... VJ /�I Comments 95-11 Signature Clean Measure Sludge/Scum AnchorageTank 907-272-3543 Operator Larry Betts Cortlict Paonto 907)76 -03( 7 6 est2matepaedo 0e/01/1RU *ML nn RTU133415 202 Scum 1st Compartment Current Previous Current ra Previous ❑Excessive Inspect/Clean Discharge Pump System Inspect Intake Vent Rlser/Lid ❑ 2nd Compartment Cunha Previous Curtgr�j� Previous Inspect/Clean AdvanTex Filter Odor ?"onnal ❑ Pungent Biomat: / Normal Excessive Bridging/Ponding: yiNonefMinor ❑Excessive Inspect/Clean Discharge Pump System Inspect Intake Vent Rlser/Lid ❑ /Clean Spllce Box ❑ Inspect Float cords ❑ Floats Inspect/Service Other System Components Inspect Clea Inspect Clle���a(((n y l Disinfection EquipmoM Dispersal LateraW(Drifice yJ obsotvatlons Additional Services Rendered ❑ Cleaned textile Sheets? ❑ Replaced w items? ❑ Replaced/Used other Nems? Parks Used: W = Warranty, B = Billable (V appropriate selection) ... n ireen Numher Description Final/Safety Inspection RSV reinstalled Manifold reconnoemed; flush valves closed Sum ary/Recommendations 7sowtem performing; no further action needed [:]Call for service pate _ Fax completed form to 1-866-384-7404 ZUds bolted on LSI a.ontrel panel neactivatad ❑ Tank needs pumping ❑ Other? Inspect clean Laterals/Odflcea� /Z Pod Bottom I z — 'z Intake Vent /Clean Inspect Floats ❑ ❑ Pump ❑ Cl Inspect/Service Other System Components Inspect Clea Inspect Clle���a(((n y l Disinfection EquipmoM Dispersal LateraW(Drifice yJ obsotvatlons Additional Services Rendered ❑ Cleaned textile Sheets? ❑ Replaced w items? ❑ Replaced/Used other Nems? Parks Used: W = Warranty, B = Billable (V appropriate selection) ... n ireen Numher Description Final/Safety Inspection RSV reinstalled Manifold reconnoemed; flush valves closed Sum ary/Recommendations 7sowtem performing; no further action needed [:]Call for service pate _ Fax completed form to 1-866-384-7404 ZUds bolted on LSI a.ontrel panel neactivatad ❑ Tank needs pumping ❑ Other? MUNICIPALITY OF ANCHORAGE ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND REPAIR AGREEMENT THIS MAINTENANCE AND REPAIR AGREEMENT, herein the "AGREEMENT" made and entered into as of this _7 Day of October of 20 21 , by and between Dustin & Cecile Davis , herein the "OWNER," and the Municipality of Anchorage, herein the "MUNICIPALITY", in accordance with Anchorage Municipal Code (AMC) 15.65.365. In consideration of the mutual covenants contained herein, the parties to this Agreement agree as follows: 1. Advanced Wastewater Treatment Systems. The Municipality grants permission to the Owner to utilize and operate an Advanced Wastewater Treatment System (AWWTS), described as Advantex Treatment System located at (legal description) Southpointe Blk 1 Lot 3 - 6148 Southpointe Ridge Dr., Anchorage 2. Maintenance, Repairs and Alterations. (Owner is required to read, understand and initial each section) 4A4� hroughout the term of this Agreement, the Owner shall enter into a service agreement with an AWWTS service and maintenance provider approved by the Municipality or the manufacturer's representative. The AWWTS shall be maintained in a satisfactory condition capable of performing as designed and producing treated septic effluent in accordance with the equipment's approval for operation in the Municipality. It shall be the responsibility of the Owner during the term of this Agreement to pay for all repair(s), maintenance, adjustment(s), replacement costs, and inspection costs. This includes an annual maintenance fee (typically $400 to $600). Owner agrees that only maintenance and repair personnel approved by the Municipality or the manufacturer's representative will inspect and make any necessary maintenance, repairs or permitted alterations to the system. Owner acknowledges that regular maintenance of an AWWTS reduces the potential failure of the system, which could include sewage backup and costly repairs or drainfield replacement. (rev. 05/1812018) Page 1 of 3 Z4G�wner acknowledges that the Municipality may request records of maintenance and repairs from the manufacturer's representative or maintenance provider. Z;WADOwner acknowledges that the fine for failing to maintain and repair an AWWTS may be assessed in accordance with AMC 14.60.030. ZIZ6 Owner agrees to grant the Municipality reasonable access to test and inspect the AWWTS. The Municipality will give at least 24-hour notice. Zia -0 Owner agrees that any sale or transfer of title of the property will not occur without a new Certificate of On -Site Systems Approval. f�4ib Owner agrees that the AWWTS installation and maintenance requirements as provided by the AWWTS vendor/installer and approved by the Municipality are the governing guidelines for the construction, maintenance and repair of the Owner's AWWTS. LI_40Owner agrees to maintain remote monitoring of the AWWTS as required by the AWWTS approval. 3. Term. The term of this Agreement shall begin on the date of approval by the Municipality to operate the installed system, or upon transfer of title, and shall continue while the AWWTS is operational or until title is transferred. 4. Nonwaiver. The failure of the Municipality at any time to enforce a provision of this Agreement shall in no way constitute a waiver of the provisions, nor in any way affect the validity of the Agreement or any part hereof, or the right of the Municipality thereafter to enforce every provision hereof. 5. Amendment. This Agreement shall only be amended by authorized representatives of the Owner and Municipality. Any attempt to amend this agreement by either an unauthorized representative or unauthorized means shall be void. 6. Jurisdiction. Choice of Law. Any civil action arising from this Agreement shall be brought in the Superior Court for the Third Judicial District of the State of Alaska at Anchorage. The laws of the State of Alaska shall govern the rights and obligations of the parties under this Agreement. 7. Severability. Any provisions of this Agreement decreed invalid by a court of competent jurisdiction shall not invalidate the remaining provisions of the Agreement. (rev. 05/18/2018) Page 2 of 3 OWNER: (signature) Date: (print name) (LIP) STATE OFCALASKKA t S ss. THIRD JUDICIAL DISTRICT ) The foregoing instrument was acknowledged before me this Z day of 6C1hbr , 202) , by _ C NOTA J Notary Public PUBLI F R ALASKA ANGELA ,EIBERT My Commission expires: ky � z -( State of Alaska my Commission Expires October 16, 2024 MUNIC ITI': By: YdA&A(signature) 9C&!CCA (A)7r-60 (print name) Date: Title: (rev. 05/18/2018) Page 3 of 3 Parcel I.D. 020-311-48 45 Municipality of Anchorag X 6 '1 E 9 70 177 On-Site Water and Wastewater Program Usq ► ' (907) 343-7904 a. MA 2 1 2017 �6 I2% c Certificate of On -Site Systems Appro� n' _ a C j 1. GENERAL INFORMATION Complete legal description Expiration Date: 6�_�z� Southpointe, Block 1, Lot 3 ;.; Location (site 2d$ a s) 6255 Southpointe Ridge Drive Anchorage, AK 99516 Current Property owri�r(s) CrOWn POlnte Inc. Day phone Mailing address.: P.O. Box 112313 Anchorage, AK 99511 5tealt ge _�..: "0 2. TYPE 'OF, UWeLLING: ix Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: Four Day phone 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well 0 Individual F Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ WaiverNariance request for: Distance: iJ Received by: Date: COSA to be rete ed to the sneer, ss otherwise requested by the engineer. COSA Fee $ ll't(-y Waiver Fee $_ Date of Payment Date of Payment Receipt Number 077746 l G 742VE67 Receipt Number, COSA# rnJS����U��J� 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 Anderson Engineering Address P.O. Box 240773 Anchorage, AK 99524 Engineer's Printed Name Benjamin Schiller, P.E. 6. DSD SIGNATURE System #1 Approved for q bedrooms System #2 Approved for bedrooms Phone 522-7773 Date 3/20/2017 Disapproved 90-m Conditional approval for bedrooms, with the following stipulations: By: T { C1 .—f/ Original Certificate Date: The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineers work. 7. ATTACHMENTS: COSA Checklist X Nitrate Advisory _ C Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA blue sheet_! - c If more than 1 septic system is on the lot: COSA Checklist # _of Structure served by this system Certificate of On -Site Systems Approval Checklist Legal Description: SOuthpolnte, Block 1, Lot 3 Parcel ID: 020-311-48 A. WELL DATA Well type Private If A, B, or C provide PWSID # Well Log (Y/N) Y Date completed 8-13-16 Sanitary seal (Y/N) Y Wires properly protected (Y/N) Y Total depth 166 ft. Cased to 42.5 ft. Casing height (above ground) >2411in. FROM WELL LOG Date of test 8-13-16 Static water level 57 ft. Well production 7 g.p.m. WATER SAMPLE RESULTS: Coliform 0 colonies/100 mL Nitrate 7.60 mg/L Arsenic N/D ug/L Date of sample: 2/24/17 B. SEPTIC/HOLDING TANK DATA Tank Type/Material Septic/FAP/Advantex Tank size 1,500 gal. Number of Compartments 2 Foundation cleanout (Y/N) Y Depression over tank (Y/N) N Date of pumping New Pumper Construction C. ABSORPTION FIELD DATA AT INSPECTION ft. g.p.m. Collected by: And. Engineering Date installed 8/3/16 Cleanouts(Y/N) Y High water alarm (Y/N) Y Date installed 8/3/16 Soil rating (g.p.d./ft2 or ft2/bdrm) 4 GPD/SF System type 5' Wide Length 30 ft. Width 5 ft. Gravel below pipe .5 ft. Total depth 6.4 ft. Eff. absorption area 150 ft2 Monitoring tube Y Depression over field N Date of adequacy test New Const. Results (Pass/Fail) For 4 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 "Pump on" level at Datum _ Size in gallons in. "Pump off' level at Cycles tested Manhole/Access (Y/N) in. High water alarm level at Meets alarm & circuit requirements? E. SEPARATION DISTANCES WELL ON LOT TO: > 100' >100' Septic tank/lift station on lot On adjacent lots Absorption field on lot >1 00' On adjacent lots > 100' Public sewer main >75' Public sewer manhole/cleanout >100' Sewer /septic service line >25 Holding tank >75' Animal containment areas >50 Manure/animal excrete storage areas SEPTIC/HOLDING TANK ON LOT TO: Building foundation >5 Property line >5' Water main > 10 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' Curtain drain None Noted Wells on adjacent lots >100' F. COMMENTS >inn, Absorption field >51 Surface water > 100' Water main >10' Driveway, parking/vehicle storage > 10' R �e®086®®E G. ENGINEER'S CERTIFICATION ... 'NA I certify that I have determined through field inspections and tP•'•••••� •.. review of Municipal records that the above systems are in d conformance with MOA COSA guidelines in effect on this date. Engineer's Printed Name Benjamin Schiller, P. E. ° Date 3/20/2017 i2Myw �•' COSA brown sheet 10-10-12.doc Municipality of Anchorage p,6r ' Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 Elmore Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907)343-7904 Nitrate Advisory Certificate of On -Site Systems Approval # OSC171098 A Certificate of On -Site Systems Approval inspection and test of potable water was recently conducted on the well water supply on Block 1, Lot 3 of Southpointe Ridge Dr subdivision. This inspection revealed a nitrate concentration of 7.6 milligrams per liter (mg/L) was reported for the property's well water sample. The Environmental Protection Agency (EPA) has established a maximum contaminant level (MCL) of 10.0 mg/L for public drinking water systems. While private wells are not subject to this regulation, EPA standards are based on existing health information and can therefore be used to gauge the relative quality of water from private wells. Please see the attached "Nitrate Fact Sheet" for important information regarding nitrate. This advisory must be attached to all copies of the subject Certificate of On - Site Systems Approval. Nitrate Fact Sheet From Northern Testing Laboratories, Inc. Nitrate is a negatively charged compound of nitrogen and oxygen, which is very soluble in water. Nitrate is not readily filtered or otherwise removed in the soil and can pass rapidly into ground water wells. SOURCE: Nitrate is a major component of fertilizer and wastewater. Often the nitrate is in the form of ammonia or protein first, which through contact with oxygen and certain bacteria, converts to the oxidized form known as nitrate. Sources of nitrate from wastewater include urea, ammonia cleaners, food solids, and bacterial cells. It may also result from the breakdown of organic matter buried in the soil. TOXICITY: Nitrate is generally not toxic to adults or children over the age of two or three years, but is associated with a potentially fatal infant disease called methemoglobinemia. In the digestive system of young children, nitrate converts to nitrite, which can pass through the intestinal wall into the blood stream. There it combines with the hemoglobin and interferes with the ability of the blood to carry oxygen. For this reason, methemoglobinemia is referred to as "blue baby" disease. The EPA limits the concentration of nitrate in public drinking water supplies to 10 mg/L. The standard has been lowered from a previous level of 45 mg/L set by the US Public Health Service and the World Health Organization. TREATMENT: due to its solubility in water and negative ionic charge, filtration and other common home water treatment systems such as softening or iron filtration does not readily remove nitrate. The best method for limiting nitrate in well water is source control. This can include avoiding overdosing of fertilizer near the well and maintaining good separation distances between septic tank leach fields and the well. A special anion exchange filter that contains a media with a strong affinity for negatively charged ions in water, or by a reverse osmosis treatment system or distillation can remove nitrate. TESTING: Nitrate analysis is usually done by one of the several "wet chemical' methods using a spectrophotometer to read the final color endpoint. Specific ion electrodes also can be used to detect the activity of nitrate in water. This laboratory uses several different wet chemical methods approved under the public water supply laboratory certification program. They also have test kits available, which the laboratory uses to perform an inexpensive "screening test', and with which the homeowner can monitor the change in nitrate levels from their well. They recommend comparing the test kit results against a certified analysis from the lab occasionally to verify the accuracy of the kit. We recommend using a specially prepared bottle that has been rinsed in hydrochloric acid for collecting samples. PLAT NO. 2007-37 SOUTHPOINTE SUBDIVISION LOT 3, BLOCK 84,984 S.F. N -79`Af I I of I HEREBY CERTIFY THAT I HAVE SURVEYED THE N PROPERTY DEPICTED ABOVE AND THAT NO I 31 00 ^I ENCROACHMENTS EXIST EXCEPT AS INDICATED. $I =I I I IT IS THE RESPONSIBILITY OF THE OWNER TO JEFF A. GASTALDI, R.L.S. DETERMINE THE EXISTENCE OF ANY EASEMENTS, 2000 E. DOWLING RD., SULTE 8 \ ANCHORAGE, ALASKA 99507 \ PHONE 248-5454 UNDER NO CIRCUMSTANCES SHOULD ANY DATA N\ aP,\ rn \ rn\ w\ SEPTIC SYSTEM Cltq 't4 0R 0 5"IG I REVISED 3/20/2017 ADDED MISSING SEPTIC VENTS. AS—BU I LT I HEREBY CERTIFY THAT I HAVE SURVEYED THE PROPERTY DEPICTED ABOVE AND THAT NO I GASTALDI LAND ENCROACHMENTS EXIST EXCEPT AS INDICATED. SURVEYING, LLC IT IS THE RESPONSIBILITY OF THE OWNER TO JEFF A. GASTALDI, R.L.S. DETERMINE THE EXISTENCE OF ANY EASEMENTS, 2000 E. DOWLING RD., SULTE 8 COVENANTS OR RESTRICTIONS WHICH DO NOT ANCHORAGE, ALASKA 99507 APPEAR ON THE RECORDED SUBDIVISION PLAT. PHONE 248-5454 UNDER NO CIRCUMSTANCES SHOULD ANY DATA GRID DATE HEREON BE USED FOR CONSTRUCTION OR FOR SW3738 8/22/2016 ESTABLISHING BOUNDARY OR FENCE LINES. ANCHORAGE RECORDING DISTRICT, ALASKA F.B. 16-03 JOBSNO. NOTE: NO CORNERS SET THIS DATE BUILDING DETAIL SCALE: 1"=20' 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: (signature) Date: I 6 Se` e (print name) STATE OF ALASKA ) ) ss. THIRD JUDICIAL DISTRICT ) The foregoing in trument was ackno ledge{ before me this day of 20LI, by Qt�( NOTARY PUBLIC NOT PUBLIC FOR LASKA NATALIE GABLER My Commission expires: MUNICIPALITY�:�f By: (signature) STATE OF ALASKA Date: - 2. P! -17 name) Title: