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HomeMy WebLinkAboutTRAILS END BLK 8 LT 3, 8Trails End Block 8 Lot 3,8 #015-191-68 Municipality of Anchorage Community Development Department Page 1 of 3 On-Site Water&Wastewater Program 4700 Elmore St.•P.O. Box 196650 Anchorage,AK 99519-6650. http://www.muni.org/onsite•(907)343-7904 ON-SITE WASTEWATER INSPECTION REPORT • Permit Number: OSP161219 PID Number: 015-191-68 ❑ New ■Upgrade Name: DAN BEARDSLEY ABSORPTION FIELD Address: ❑ Deep Trench ❑ Shallow Trench 0 Bed ■Mound 11480 BROWDER AVENUE ❑Other Soil Rating: Total Depth from original grade: Phone: No.of Bedrooms: 830-4893 4 *2.0 GPD/Sq.Ft ** Ft. Depth to pipe Invert from original grade: Gravel depth beneath pipe: LEGAL DESCRIPTION SEE DWG. Ft. 0 5 Ft Subdivision: Block: Lots: FIII added above original grade: Gravel length: TRAILS END 8 3& 8 SEE DWG. Ft 21 Ft. Township: - Range: - Section: - Gravel width: Beds Number or lines: Distance between goes: 15 Ft. 3 5 Ft. SEPARATIONDISTANCES Total absorption area Number of trenches: Dist.between trenches: To Septic Absorption Lift Holding Public/Private From Tank Field StationTank Sewer Lines 315 SQ.Ft. - - FI. Well 100'+ 100'+ 100'+ - 25'+ TANK ❑ Septic ■ S.T.E.P. ❑Holding ❑Other IAanufacturer. Capacity: Surface Water 100'+ 100'+ 100'+ - ANCHORAGE TANK 1500 Gal. Lot Line 5'+ 10'+ Material; Number of compartments: 5+ - N/A STEEL 2 Foundation 5'+ 10'+ s'+ LIFT STATION Curtain Drain 50'+ - Manufacturer. Capacity. ANCHORAGE TANK ***500 Gal. Remarks: OLD SEPTIC TANK DECOMMISSIONED PER UPC.-PER CONTRACTOR -Pump on level at: 'Pump off'level at: High water alarm at: TIMER TIMER 46 *QUANICS CAT II ADVANCED TREATMENT SYSTEM. Pump Make&Model: Electrical Inspections performed by: "LIMITED TO THE REMOVAL OF CONTAMINATED MATERIAL. PE51 M MUNICIPALITY OF ANCHORAGE ***SECOND COMPARTMENT OF 1500 GALLON STEP TANK. PIPE MATERIAL House to tank EXISTING/D3034 Tank to D3034/1778 drainfield Installer WILCO EXCAVATION, LLC Drainfield D3034 CO/MT D3034 Inspector GEG, Ltd. BENCH MARK (Assumed elevation) Inspection 100.00 Ft. Dates: 1St 9/7/2016 2nd 9/8/2016 Location and Descnpbon: 3rd 9/9/2016 4th 9/12/2016 BOTTOM OF TRIM @ SW CORNER OF HOUSE(POINT B) ENGINEER'S SEAL Community Development Department Approval .��..•�F %Ii�♦♦ Conditional approval: Date: "'�?• '�'1 I. �. • a 4 �i. % • • 0 c1 etilt 'A. - .-ss♦ J, 1E79 3 ;- Approved: ] k Date: ("W-1 ( ♦.neo �..rr- ,��``P• \."�4• LICENSE,�P,;`S",'�. #AECCB64 Inspection Report_t-1.12.doc -- .LI-) e 7 9y = 'A' 0--,-(,-;.) -e,s--- . m PERMIT HUMBER: PARCEL ID NUMBER: OSP161219 RECORD DRAWING 015-191-68 A B n�,r-•y2 P��•. yiq,C,,9 N �/yC�' °✓v r'',"----- FCO 67.9 3.5 �'� . +�, DBL1 116.0 74.1 4•*/ H 3 c y, DBL2 116.7 74.9 R, �r »• ••••�»• /�' ST1 117.5 76.1y 04 1 1, MH 124.7 86.6 r+,%•J; 1 4. i/ ----------------rch Games, 4) Al 133.8 99.5 A2 135.4 101.8 TRAILS8.ELOT 2 LOCK iOA,s�'�1 t,�.CF-7953 �V,g / i CO1 140.8 102.2 (VACANT) c'd Z�•►Q�\,. ' /,i V rRAtL`5 N°d'(bapSBl el CO2 144.0 107.2 a rft.gea r'. ' 1/ 1 CO3 147.1 111.6 / i 1, C04 130.9 105.1 /' f CO5 126.6 99.2 / 1 APPROXIMATE LOCATION OF CURTAIN DRAIN APPROXIMATE LOCATION of PER HOME OWNER,NO DISCHARGE FROM „1 C06 123.1 94.1 CURTAIN DRAIN OUTFALL I OUTLET PIPE NOTED DURING GEG SITE VISIT MT1 139.8 101.0 ;' ON 7/14/2016 OR DURING THE INSTALLATION MT2 147.8 112.5 / MT3 132.1 106.4 / I MT4 122.6 93.3 i /, 1 A 1 1 100'WELL•.plug. • ' A • • ABANDONED 1984 DRAINFIELD z v • 4 f I- 111111IIIII' Ar •t •• • OLD TANK DECOMMISSIONED PER w w w IIIIIIIIIIIII . 1‘ • •a UPC PER CONTRACTOR;BOTTOM L 6 w 4 •. ` • OF EXCAVATIONN INSPECTED BY 0 w • BEDROOM \MOA ON-SITE EMPLOYEE TIM w HOUSE ECKLUND ON 917/2016. 7 o •• C • • c • s . a d.'' ------------'- NEW OUANICS 650 AEROCELL POD CO4 C05 J 1 e"yam" T3 CO6 NEW 1500 GALLON- 1 / . STEP TANK 1 NEW DRAINFIELD MT4 Co ` 4 -, *-7*--.------.: -- - `... , MH ST �•\ ' , G -_ M.' \ •, ' LOT 3 CO3CO2 MT1 LOT 8 ••` ,� CO 1 • <` DBL1&DBL2 i �', J L 71 �� 5'UTILITY EASEMENT 5'UTILITY EASEMENT / \ •/ / N / r / TRAILS END;BLOCK I APPROXINV+TE 8.LOT 4 (VACANT) TRAILS END:BLOCK SCALE: 8,LOT 7 100'WELLRADIUS 1"-40' A • GARNESS ENGINEERING GROUP, Ltd oir >L • 49.: P1\ ••�• •- - • CIVIL&ENVIRONMENTAL ENGINEERS,. ,I i t 3701 E.TUDOR ROAD,SUITE 101•ANCHORAGE,AK 99507•PHONE(907)337.6179•FAX(907)339.3246•WEBSITE:www.gemessengIneemq.com 0,.. • ". . .• PREPARED FOR: PHONE NUMBER: PAGE NUMBER: 0 Cn•. :le .Gam ss.: /,. DAN BEARDSLEY 830-4893 2 OF 3 .•�1'=' VCE- :',"1 PROJECT/LEGAL DESCRIPTION: DRAWN BY: ♦•♦� '..- (� I '.§:: TRAILS END; BLOCK 8, LOTS 3&8 L.K.B. 1�Fp •I•••�,•',,�P\, �• TYPE OF WORK: DATE: LICENSE 44�,r PROFES .4. RECORD DRAWING 9/20/2016 O LICENSE a PERMIT NUMBER: RECORD DRAWING PARCEL ID NUMBER: 1 0SP161219 015-191-68 GROUND NEAR MANHOLE LID=95.8 — SIM/TECH PRESSURE FILTER 2'INSULATION OVER LINES-PER FINAL GRADE=94.595.84'VISUAL PORT CONTRACTOR L0 e+1 p r f t t 4F • 4 'i:-.ii I t I 8 2 L Uri- 3 - y(j LO al N IY C ,� - ! z ;o10 .1 0 w� . I i p Q� < a SIR•.I TOP OF TANK INLET=89.20 -Mill '• ¢i: .117 m .:_ 1 11 liC -L 1 `OVANICS AEROCELE 650 TREATMENT MODULE �70 DRAINFIEL� ` I I J" WITH INTERNAL DIVIDER WALL AND CLEANOUTS �/ I1 I - / I — 1.25"SUPPLY LINE : C 0)/ •—• V. LLIa i r — 2'RECIRCULATION LINE Z1 �—IT` 2"DISCHARGE LINE \\\-WEEP HOLE J z Zi 1 .1 Js HI\._ GH WATER ALARM FLOAT� ^/�� 1 OP OF TANK OUTLET=89.20 F�1 pp to OVE RF IDE FLOAT 2g 1500 GALLON S.T.E.P. TANK W�3 .a MANUFACTURED BY GREER TANK y1:01..........____________ — W Zx M z�= ON/C FF FLOAT >' HIGH WATER ALARM 34'(461 2 J GOULDS PE5IM OVERRIDE FLOAT 32"(44") r`�/'1 WFFF ON/OFF FLOAT 24"(36T �J E5 INVERT OF BUNG-88.76 NOTE:FLOAT LEVELS ARE FROM BOTTOM OF PUMP.(8)IS FROM BOTTOM OF TANK. 06 F—Ij POST IN A CONSPICUOUS PLACE .c'ci e n t S ALL WORK MUST BE INSPECTED �G • er,—d Field Inspection Request required 2 working days in advance of starting work h" and 2 working days in advance for final inspection. Call(907)343-8206• (voice recorder)for scheduling. Permit is not valid without the call-in and also _ must include the one-call ticket(utility locate)number. Department MUNICIPALITY OF ANCHORAGE RIGHT OF WAY DIVISION 4700 ELMORE ROAD TELEPHONE(907)343-8240 RIGHT OF WAY PERMIT R191081 Type: Encrchmnt Grid: SW2641 Date Issued: 1/24/2019 Construction Start: Last Update by: PWMER Last Updated: 01/24/2019 Permittee: BEARDSLEY DANIEL W& Contact Person: Dan Beardsley,907-830-4893 Primary Inspector: 343-8240 iz-awLead. Site Address: 11480 BROWDER AVE,Anchorage-@ East Klatt Road Legal Description: TRAILS END BLK 8 LT 3,8 G:2641 Original Work Description: Encroachment of existing septic system across 5'Utility Easement along eastern boundary of Lot 3, Block 8,Trails End Subdivision. Financial Summary Fee Description QTY AMT Permit 1.00 115.00 Total Fees: 115.00 See reverse for requirements/remarks. I have read and understand both sides of this permit. I agree to the terms and conditions;and I certify that all work will comply with federal, state, and municipal codes and regulations and the provisions of this permit. Signature: f � Date: /41- 6 !�' A 2019-002307-0 A Recording Dist: 301 -Anchorage s 1/23/2019 01:32 PM Pages: 1 of 4 A 111111111111111111111111111111 II 101111111111111111111 1203-24A Grid 2641 EN 19002 015-191-68-000 ENCROACHMENT PERMIT This permit is between Chugach Electric Association,Inc.,an Alaska non-profit electric cooperative, (herein"Chugach"),whose address is P. O. Box 196300,Anchorage,Alaska 99519 and Daniel W. Beardsley and Mary Ellen Beardsley(herein"Permittee"),whose address is 11480 Browder Avenue, Anchorage, Alaska 99507. 1. Easement. Chugach is the grantee or user of an easement for the construction and maintenance of electrical facilities, as follows: Described in that certain written instrument recorded on the 29th day of September 1952,in Volume 79, Page 381, on file in the office of the District Recorder,Anchorage Recording District, Third Judicial District, Seward Meridian, Alaska, Described in that certain written instrument recorded on the 9th day of October 1979, in Book 443, Page 721, on file in the office of the District Recorder, Anchorage Recording District, Third Judicial District, Seward Meridian, Alaska, Described in that certain written instrument recorded on the 22nd day of August 1980, in Book 518, Page 925, on file in the office of the District Recorder, Anchorage Recording District, Third Judicial District, Seward Meridian, Alaska, Dedicated by the plat of the subdivision known as Trail's End Subdivision, according to Plat Number P-604, recorded on the 19th day of July 1961, on file in the office of the District Recorder,Anchorage Recording District,Third Judicial District,Seward Meridian, Alaska, (herein "Easement")which pertains to the following described real property: The East Ten Feet(E 10')of Lot Three(3), AND the West Ten Feet(W 10')of Lot Eight (8),Block Eight(8),Trail's End Subdivision,according to Plat Number P-604,recorded on the 19th day of July 1961, on file in the office of the District Recorder, Anchorage Recording District, Third Judicial District, Seward Meridian, Alaska. Encroachment Permit- Page 1 of 4 eRecorded Document Permittee acknowledges the validity of the Easement. Permittee warrants and represents that Permittee is the owner of the fee simple interest in the land subject to the Easement and the following described real property to which the Easement is adjacent: Lot Three(3), AND Lot Eight(8), Block Eight(8),Trail's End Subdivision, according to Plat Number P-604, recorded on the 19`h day of July 1961, on file in the office of the District Recorder,Anchorage Recording District,Third Judicial District,Seward Meridian, Alaska, (herein"Parcel"). 2. Encroachment. Permittee has constructed or purchased the following improvements on or within the real property subject to said Easement: A septic line that crosses Easements along the East Ten Feet(E 10') of Lot Three(3), AND the West Ten Feet (W 10') of Lot Eight, at a location approximately Thirty-six Feet(36')north of the south property lines,for a width of approximately Two Feet(2'), (herein "Encroachment"). 3. Permit. Chugach hereby authorizes Permittee to continue the existence of the Encroachment in its existing location subject to the covenants set forth in this permit. 4. Indemnification. Permittee shall indemnify and hold Chugach harmless from any claims for personal injury,property damage or other loss arising in any way from the continuation of the Encroachment. 5. No Expansion or Increase. Permittee shall not in any way expand or increase the extent to which the Encroachment occupies any of the real property encumbered by the Easement without the prior written consent of Chugach. Chugach has no obligation to provide such consent. 6. No Interest in Real Estate Acquired. Permittee hereby acknowledges that the Encroachment and any additions thereto, even if in violation of this permit,has not and shall not in the future give rise to any interest or estate in the real property subject to the Easement or any other real property. Without in any way limiting the foregoing, Permittee acknowledges that the Encroachment is not adverse to any interest of Chugach and its continuation is entirely with the permission of Chugach for purposes of the common law doctrine of adverse possession. This permit creates no interest in the real property subject to the easement. 7. Modification of Utility Facilities. If the electric utility facilities located within the Easement are upgraded,added to, replaced or reconstructed, Permittee shall pay that portion of Chugach's total costs for such modification which is reasonably attributable to accommodating or Encroachment Permit- Page 2 of 4 IIIIIIIIIII ItIIIIII1I III 2 of 4 eRecorded Document 2019-002307-0 preserving the Encroachment. If such payment is not made within thirty(30)days of written demand for same,Chugach may terminate this permit in accordance with paragraph 9,below 8. Covenants Running with the Land. The obligations of the Permittee arising from this permit shall be covenants running with the land which shall burden the Parcel and the Permittee's interest in the land subject to the Easement and shall benefit the Easement. 9. Termination. Chugach may terminate this permit after the giving of thirty(30)days written notice of such termination if: a. The Encroachment is enlarged, increased or extended within the real property affected by the Easement. b. The Encroachment is damaged by any means to an extent of more than thirty percent (30%) of its replacement cost at the time of destruction. c. Permittee fails to make the payment described in paragraph 7, above. 10. Term. This permit shall,if not sooner terminated by Chugach,expire forty(40)years from the date hereof. 11. Entire Agreement. This written permit constitutes the entire agreement between the parties with respect to the subject matter hereof and supersedes all other prior or contemporaneous agreements,oral or written,between the parties. No modifications,amendments,deletions,additions or alterations of the permit shall be effective unless in writing and signed by all of the parties hereto. CHUGACH ELECTRIC ASSOCIATION,INC. PER A TTEEi� t 4 By: �Q.c+,iclt- Fog ss By: I. /t. Sh lly Schmitt, Senior Manager Daniel W. Beardsley Distribution Engineering Date: I/2-1//1 Date: J /22/i7 By: `..74112.4...7 /'Y brae /, Mary Rilen Beardsley Date: /422 ( Encroachment Permit- Page 3 of 4 I IIIII Ill IIIIIIIIIII 3of4 eRecorded Document 2019-002307-0 STATE OF ALASKA ) ) ss: THIRD JUDICIAL DISTRICT ) The foregoing instrument was acknowledged before me this 7Il/'i(day of _-ll_:__c_t_, , 2019, by Daniel W. Beardsley and Mary Ellen Beardsley. \11111111I111////A. 130,9/ ' SM • '-7 : • o ary Public-'n and for the State of Alaska PUBLIC 1 My commission expires: D7- 6/-ze tinll11111 - STATE OF ALASKA ) ) ss: THIRD JUDICIAL DISTRICT ) The foregoing instrument was acknowledged before me this 4541 day of ,2019,by ferry 1reeWcIer , Ai t4j enior Manager,Distribution Engineering of Chugach Electric Association,Inc., an Alaska ecrporation, on behalf of the corporation. ' / Jp\p,.A Rp 6� L/42C-- 1 U; O NOTARY CPO Notary Public i d for the State of Alaska 6.,. PUBLIC'�4. My commission expires: 0/-0/-2Z Milli NO AFTER RECORDING RETURN TO: Chugach Electric Association,Inc. P.O.Box 196300 Anchorage,Alaska 99519-6300 Encroachment Permit- Page 4 of 4 111 1111111 11111111111 III 4 of 4 eRecorded Document 2019-002307-0 December 28, 2018 Jeffrey Ga mess Garness Engineering Group 3701 E.Tudor Road Anchorage,AK 99507 Re: Letter of Non-objection ON BEHALF OF:Dan Beardsley Dear Mr. Gayness: Subject to your agreement to indemnify the company as set forth below, GCE Communication Corp has no objection to the previously constructed septic system that crosses through the 10ft CEA and 5ft utility easements of Lots 3 and 8, Block 8,Trails End Subdivision,also known as 11480 Browder Avenue, city grid 2841,GCl WO# 18-0058-71. This letter of non-objection in no way precludes GCI Communication Corp from full use and enjoyment of any rights it may have within any portion of the utility easement and or the right- of-way,including unlimited access for servicing its facilities. Also any additional and extraordinary costs incurred during any future required construction,repair or reconstruction of GCI's facilities to accommodate any or all of the encroachments shall he paid by the property owner. By signing below,you agree to indemnify and hold GCI Communication Corp harmless, now and forever, for any damage, costs;expense(including reasonable attorney's fees), liabilities and injury to any person or property occurring as a result of the encroachment. Please indicate your acceptance by signing and returning this letter to me at the address below. Sincerer � C / P- 1 l �: Acceptan e 3 t /1 .� (i �C" Date i Rebecca Colton Manager Outside Plant Construction OCT Communication Corp 515I Fairbanks St. • Anchorage,AK 99503 • December 31,2018 Dan Beardsley 11480 Browder Avenue Anchorage,Alaska 99507 Alaska Communications has no objections to the existing septic system encroaching into the 5'utility easement located along the western boundary of Lot 3&8, Block 8 of the Trails End Subdivision,otherwise known 11480 Browder Avenue,Anchorage,Alaska as depicted on the drawing submitted by Garness Engineering Group,Ltd. Alaska Communications currently is utilizing this easement and has no objection to the encroachment. Alaska Communications hereby issues this letter with stipulations to allow the encroachments of the above mentioned into the easement. Acceptance,(your signature below),and use of this letter of non-objection by yourself,your heirs,your assigns,or your successors,will constitute agreement to the following stipulations: 1. Alaska Communications will be held harmless,now and forever,for any damages or injury to any person or property as a result of this encroachment. 2. Any Alaska Communications facility damaged or destroyed as a result of this encroachment will be repaired at no cost to Alaska Communications. 3. Any costs incurred by Alaska Communications for special construction necessitated by this encroachment will be borne by the property owner. 4. All applicable safety code regulations will be observed and maintained. 5. This letter of non-objection will in no way preclude Alaska Communications from full use and enjoyment of its^'hts within any portion of this easement 6. Alaska Communications is under no obligation to restore any structure damaged as a result of Alaska Communications full use and enjoyment of its rights within any portion of easements or right-of-ways. Please sign both copies,retain one copy for your use and return the other to Alaska Communications. incere y, Lajr' ith,Ne ork Engineering Foreman aska Communications Outside Plant Engineering,MS#14 600 Telephone Ave. Anchorage,AK 99503 ,iCC.EPTANCE1SIGNATU 1=: P DATE: . Lkez-kta.e6 Grid OMWC 2641 (/ /' ENSTAR ENSTAR Natural Gas Company A DIVISION OF SEMCO ENERGY like11111111W Engineering Department,Right of Way Section Natural Gas Company 401 E.International Airport Road P.0.Box 190288 Anchorage,Alaska 99519-0288 (907)277-5551 FAX(907)334-7798 December 26,2018 Subject: Letter of Non-Objection: septic line Lots 3 &8,Block 8,Trails End Subdivision To whom it may concern: ENSTAR Natural Gas Company has no objection to the septic line encroachment into the two ten foot (10FT)CEA Easements and into the five foot(5FT)utility easement between Lots 3 and 8,Block 8, Trails End Subdivision,accorc,ag to Plat No.P-604,Records of the Anchorage Recording District,Third Judicial District, State of Alaska. Acceptance and use of this letter of non-objection by yourself,your heirs,your assigns,or your successors,will constitute agreement to the following stipulations: • Landowner/Contractor working near ENSTAR gas facilities shall contact the Alaska Digline, Inc., (907)278-3121 or 811 for line locating two(2)business days prior to any related excavation. This service is free of charge. • ENSTAR will be held harmless,now and forever for any damages or injury to any person or property as a result of this encroachment. • Any ENSTAR facility damaged or destroyed,as a result of this encroachment will be repaired at no cost to ENSTAR. • Any costs incurred by ENSTAR for special construction necessitated by this encroachment will be borne by the land owner. • All applicable safety code regulations will be observed and maintained. • This letter of non-objection will in no way preclude ENSTAR from full use and enjoyment of its rights within any portion of its right-of-way. Sincerely, Cassie Acres Right of Way and Compliance Technician ENSTAR Natural Gas Company Anchorage Water & Wastewater Utility ; A:: Engineering Division ty, Mayor Board Chair Ethan Berkowitz Aaron D. Dotson December 27, 2018 Daniel and Mary Beardsley 11480 Browder Ave. Anchorage, AK 99507 Re: TRAILS END BLK 8 LT 3, 8 (SW2641) Request for Letter of Non-objection to Encroachment (Tax ID# 015-191-68) The Anchorage Water and Wastewater Utility received a request from your Representative Garness Engineering on December 27, 2018 in regards to an existing on-site septic line encroaching within the Utility Easement abutting the east property line of Lot 3 and the west property line of Lot 8, TRAILS END BLK 8 LT 3, 8 AWWU is currently not using this Utility Easement and has no objection to the encroachment. AWWU hereby issues this letter with stipulations to allow the encroachment of the existing on-site septic line to encroach into the utility easement, property owner(s) agrees to the following: 1. AWWU will be held harmless, now and forever, for any damages or injury to any person as a result of the encroachment; 2. The property owner(s) shall call for utility locates before excavation in the easement; 3. All applicable codes and regulations will be observed and maintained within the easement; 4. This letter will in no way preclude AWWU from full use and enjoyment of its rights within any portion of the easement; 5. The property owner(s) shall pay any additional and/or extraordinary costs incurred to accommodate the encroachment during any future required construction or reconstruction of AWWU facilities; 6. AWWU's non-objection does not imply other approvals that may be required for this encroachment; and, 7. AWWU does not provide a position for any other parcel or utility impacted by the encroachment. Should you have any questions, please call the AWWU Planning Section at 564-2739. David Duke Engineering Technician Anchorage Water & Wastewater Utility G Clearly 3000ArcricBoulevard•Anchorage.Alaska 99503 Phone 907-564-2774 • Fax 907-562-0824 •«1tiw.mr ubiz f� Permit Number: Tax Code Number: Work Type: On-Site Wastewater Disposal System Permit OSP161219 01519168000 Septic MUNICIPALITY OF ANCHORAGE Development Services Department On-Site Water & Wastewater Program 4700 EImore Road, PO Box 196650 Anchorage, AK 99519-6650 Telephone: (907) 343-7904 Upgrade Permit Effective Dates: August 30, 2016 to August 30, 2017 Design Engineer: GARNESS ENGINEERING GROUP LTD Subdivision: TRAILS END Site LegalAddress: TRAILS END BLK 8 LT 3, 8 G:2641 Owner/Address: GARNESS ENGINEERING GROUP LTD 3701 E TUDOR RD STE 101 ANCHORAGE AK 99507 Site Mailing Address: 11480 BROWDER AVE, Anchorage Lot Size in Sq Ft: 45574 Total Bedrooms: 4 This permit is for the construction of: Y Disposal Field Y Septic Tank N Holding Tank N Privy N 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 ~ovlsions: A Letter of Non-objection from MOA ROW is required prior to Inspection I. Received By:~ '~. MUNICIPALITY OF ANCHORAGE Community Development Department Development Services On-Site Water & Wastewater Program Phone: 907-343-7904 Fax: 907- 343-7997 Mayor Dan Sullivan On-Site SewerNVell Permit Application 015-Iq[- ¢~ ForA Single Family Dwelling ParcelI.D, 015-191-35 & 015-191-48 Property owner(s) DAN BEARDSLEY ~; Mailing address 11480 BROWDER AVENUE *ANCHORAGE, AK Day phone 850-4893 Site address 11480 BROWDER AVENUE *ANCHORAGE, AK Legal description (Sub'd, Block & Lot ) TRAILS END S/'D; BLOCK 8, LOT 3 & LOT 8 Legal description (Township, Section & Range) Lot Size Sq. Ft. Number of Bedrooms 4 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DEWELLING: ( ~;~11 that apply) Initial [] Single Family (SF) [] Absorption Field [] (w/wo ADU) Septic Tank [] Upgrade [] Renewal [] Duplex (D) [] Holding Tank [] Multiple Dwellings [] Privy [] (SF arid/or D) Private Well [] Water Storage [] THIS APPLICATION INCLUDES A VARIANCE/WAIVER REQUEST FOR: N./A Distance: - I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal codes. GARNESS ENGINEERING GROUP, Ltd, (Signature of property owner or authorized agent) Permit/Rush Fees: Date of Payment: Receipt Number: Permit No. Waiver Fees: Date of Payment: Receipt Number. Waiver No. (Rev. 01/11) GARNESS ENGINEERING GROUP, Ltd ~ ClVIL&ENVIRONMENTALENGINEERS ~ ~ July 21, 2016 Municipality of Anchorage Development Service Department On-Site Water & Wastewater Program 4700 Elmore Road Anchorage, AK 99507 Ref: Proposed Septic System Upgrade for Trails End S/D; Block 8, Lot 3 and 8 To whom it may concern: The existing 4-bedroom house is served by a pdvate well and septic system. The septic system consists of a 1250 gallon septic tank located on Block 8, Lot 8 (installed in 1984) and a drainfield located on Block 8, L3 (installed in 1986). The drainfield was initially installed to replace the drainfield that was originally installed on Block 8, Lot 8, in 1984 after it was deemed to be submerged in groundwater. A recent investigation found the operational drainfleld to be in a state of failure. In addition, the drainfleld on Block 8, Lot 8 was deemed to be encroaching upon groundwater.. In short, the septic system is in need of replacement. All adjoining properties are either undeveloped or served by a holding tank. In short, the area is marginal in regards to suitability to support an onsite septic system. There is a curtain drain somewhere on Lot 8, which has an outfall pipe near the northwest corner of Lot 8. During our site visits to the property (including the most recent site visit on 7/14/2016) no water has been observed discharging from the curtain drain. On 7-13-2016 groundwater was found in the 1984 drainfield at a depth of 5.3 feet below grade. The operational drainfield (Lot 3) was found to be surcharged on 5/11/2016 to within ~"f~et of the ground surface. For design purposes, we are assuming that the liquid depth in the~/drainfield on 5/11/16 represents the spring groundwater eve . We are proposing to decommission the existing septic tank and install a new Quanics CAT II Aerocell system on Lot 8, and rebuild the drainfield on Lot 3 to receive the CAT II effluent. Comments regarding the design are summarized as follows: 1. SOILS: See the attached 1986 soil log by Bruce J. Cowin, P.E. which show the soil classifications, and the percolation test results. It should be noted that although 7-day groundwater monitoring did not occur, the bottom of the proposed drainfield will be at grade. Additionally, during our site visit on 7/13/2016, the groundwater in the abandoned drainfield on Lot 8 was at approximately 5.3 feet below existing grade. 2. DRAINFIELD DESIGN: See attached design drawing for drainfield specifications. 3. SURFACE WATERS: There are no surface water concerns. 3701 East Tudor Road, Suite 101 * Anchorage, Alaska 99507-1259 Phone: (907) 337-6179 * Fax: (907) 338-3246 * Website: www.garnessengineering.com Page 2 of 2 4. TOPOGRAPHY: See attached design drawing. We are unaware of any adverse impacts this installation would have on adjacent wells or septic systems. If you have any questions, please contact us at 337-6179. Thank you for your E"Pre" ~ ~ 3701 East Tudor Road, Suite 101 * Anchorage, Alaska 99507-1259 Phone: (907) 337-6179 * Fax: (907) 338-3246 * Website: www. garnessengineering.com N II II -' / / TRAI,Lo~' STREI~T I ,-_-,Do. ,, ,, , , ."~,L. ~,.s, i ED II II I II / 0 IIII ' ~ T~S ~; II / ~LS ~; ~ IIII I ~xx~°~ ~' LOT ~ Il / ~o~ ~x~_. II / i H ~ ~ C - T- 3 ~__.~ C II I~- -- - II I HOLDING. TANK~ I ~ II II i II T~ ~ II II O "LOCK 8, LOT 2 ~ BLOCK ~fLOT~-- -- 00' ~[Lk f ,01~ II II ~ II / t ' I II~ll i>' ,, , , ~ II [ II II ]~ ' ' I1~ IIII ,,,, ]~ II IP- ' T~ILS END; II I O TANK] 100' N~LI~Iu,,, , II II III ' II (VAST) II I , Il I T~LS EN~; ~ / IlII i ~xSL~K 8. LOT 7 / IIII II I I / II II ~ .... II II II Ii ~ II II ' T~LS END; II II TRAILS END; ~ II II  BLOCK 8, LOT 5 II I[ BLOCK 8, LOT 6 * II II ii II GARNESS ENGINEERING GROUP, Ltd ~....~..: .~.., r4...~....: ....... DAN DEARDSLEY (907)8~0-489~ 1 OF 4 TRAILS END S/D; BLOCK 8, LOT 3 AND 8 D.J.G. SEPTIC SYSTEM DESIGN UPGRADE DESIGN CRITERIA:' ~ ~ ' GEG, I~td. HAS A B PAGE SPECIFICATION NUMBER OF BEDROOMS: 4 LETTER THAT PERTAINS TO THIS DESIGN. GALLONS PER DAY (GPD): 600 TO OBTAIN A COPY OF THE LETTER PERCOLATION RATE/S: **SEE DESIGN LETTER CONTACT GEG. BY PROCEEDING FORWARD PROPOSED APPLICATION RATE: ,2.0 WITH THIS INSTALLATION. THE ENGINEER, MINIMUM DRAINFIELD SO.FT.: 300 FT~ WELL DRILLER. CONTRACTOR AND ProPErTY OWNER AGREE THAT THEY **CAT II ADVANCED TREATMENT; ~[HIS HAVE READ THESE SPECIFICATIONS AND APPLICATION ALLOWS UP TO A ~ AGREE TO ACCEPT THE TERMS AND / MIN/INCH PERCOLATION RATE CONDITIONS OUTLINED. DRAINFIELD DESIGN: MAXIMUM DEPTH OF EXCAVATION: WIDTH: 15 FEET I HOLDING TANKI/ /SCALE: ~ LENGTH: 21 FEET/ // / ' r M.O,A. APPROVED SAND FILTER: AS NEEDED 1" ---- 40' EFFECTIVE: 0.5 FEET BLOCK B, LOT 9 I TRAILS ENO: / NOTE: THE CONTRACTOR BLOCK B LOT 2 / SHALL HAVE THE SOUTH & (VAC~qT) / I ~ APPROXIMATE LOCATION OF CURTNN FLAGGED BY A J DURING GEG SITE VISIT ON 7/14/2016 PRIOR TO CONSTRUCTION. / ~ ,' OFAI .................. ON 7 13 2016 OF EXISTING BED TO BE / / ~ J I 15~ ~ ~~ INSTALL 10 FOOT ~ . J~ I " I k ~ ~ ~ z BEDROOM ~ ' TH[ AEROCELL POD SHALL NOT BE ~ - EXISTING SEPTIC TANK TO BE / 5' ~TILI~ EASEMENT 5' UTILI~ EASEMENT / ~ PROPOSED 1500 GALLON STEP T~K WITH QUANICS CONTROLS AND AEROCELL POD IN ~T / CVACxNT) TRAILS EN~; GARNESS ENGINEERING GROUP Ltd ,, PREPARED FOR: J PHONE NUMBER: PAGE NUUBER: ~ ~j J~ frcy ~rness/ TRAILS END S/D; BLOCK 8, LOT 3 · 8, (907)850-4895 2 OF 4 ~p}~ I CE~7953 TRAILS END S/D; BLOCK 8, LOT 3 A 8 D.J.G. ~ SITE PLAN ~' MOUND TO BE TOPSOILED AND VEGETA~D MT CO CO MT ' · OF CONTAMINATED MATERIAL AND Iq . '~ -=' !'.', ' ':' ~ EX ST NG DRA NF ELD FOOTABOV ~. ,' .... = . ~" APPROXIMATE SO1 rOM OF EXISTING EED SCALE: GARNESS ENGINEERING GROUP, Ltd CIVIL & ENVIRONMENTAL ENGINEERS #AECC884 "TANDARD TANK CONFIGURATION TANK"~"'~" !QUANICS AEROCELL CAT Ii ~soo ,o~:A~,o0 ~.Le, ') OEO RECOMMENDS ALL PiPE PENTRATIONS/JOINT8 AND RISER DIAMETER ~1~" 8,T.E.P,?ANKI6 TO a~ CONNECTION ASSOGIATED WITH A TANK THAT WILL BE SUBMERGED l TOYALi. EN~TH 1~ USEDFORA3OR4 IN GROUNDWATER BE ENCASED IN BENTONITE CHIPS. COMPArTMeNT · IF GROUNDWATER IS ENCOUNTERED, THE CONTRACTOR SHALL QUANICS AEROCELL SYSTEM .. cONTACT T.E E.O,.EER TO EVALUATE,F T.E EX,CT,.O SO,L COVER CONFIGURATION HiGH WATERALAf;~I 34~(~5.} lB ADEQUATE TO RESIST BUOYANCY FORCE8 OR IF ADDITIONAL CATEGORYII OVE~RI[~EFLOAT . 24"I~{ BALLASTING WILL BE NECE88ANY TO OVERCOME BUOYANCY FORCE~. o~.~.~ , (3 TO 4 BEDROOM SYSTEMS) ¢OMFONENT~ BUPFLY HOTE; ~-- QUANIGS CUSTOM CONTROL % 11~' 'rANK' "L~I'~ eA'KI~" 'O aLO1~NLn'"--' 'O" r~ ~ PANEL WITH SEN~APHONE FLANGE ARE 8UPPLIEO BY ORBEB TANK. 2. THE INSULATIID mSEI~LJO, BOLT ON FLANGE, PUMP, FLOATS, ! / AND ACTUATOR CONTROLE INTERNAL PipING, GROMMETS, CONTROL PANBL~ AND AIJROGELL WIllING, IHSULATiON, ERG,, SHALL BB SUPFUED BY THE /--'QUANICS AEROCELL 650 TREATMENT MODULE CONTIMGTO"' 7'-- /WITH INTERNAL DIVIDER WALL AND CLEANOUT8 ~ / ~ 4" BY 4! WIDE RIGID ELECTRICAL WIRE/S (SUPPLIED BY CONTRACTOR). / / ~ NSULAT ON CENTERED SEE INSTALLATION MANUAL FOR SPEC[FlOAT,ONE ~ / ~ERPIPE , ~ ~ 4" BY 4' WIDE RIGID / ~ 4 VISUAL PORT ~ /~ ,.su~T,o. CENTERED / ,"CL~NOU. / ,, /, OVERP,PES -- ,,--, F / ~4"NSU~TED L'D7 ~ ~ / F i; ES~;M/TECH / I ..... ~ ~ i / ~2X4 BUSHING URETHANEWITHTOPCOAT---~ I [] ~-t.J-'--"~ [] I H ~ ILlin- - 2' OF INEULATION OVER TANKk ~ IE~'III / Illl ~D,SCHARGEL,.E~ -- \ REC,RCULAT,ON L,NE ~ ~~%~o AERocELL - -- -- ~HAT'S MECHAN'~A'L¥ COMPACTED ' 1500 GALLON S.T.E.P. TANK ~ ~ I ALL LINES SHALL BE GRADED SO THAT THEY WILL SUPPLIED BY GREER TANK ~ ~~C~ ~I~O'~ILL NOT / i. ~ GOULD$ PE51M FROM ALASKA PUMP OR sNOHTEE~iALL PREESURIZEDPIP:'S ARE TO BE ~ E IVALENT UPP I ~ C ULE 40 PVC UNLESE NOTED OTHERWISE EA LE(SEA' ED,- LDED __/ I ,0PVCUNLEEENOTEDOTH :., ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND REPAIR AGREEMENT BETWEEN MUNICIPALITY OF ANCHORAGE THIS MAINTENANCE AND REPAIR AGREEMENT made and entered into as of this s . _ ~j_l_ $ [ ~ by and between 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 Wastewatcr Treatment System (AWWTS), described as located at (legal description). 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 H. 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. t 6. Nonwaiver. The failure of either party at any time to enforce a provision of this Maintenance and Repair Agreement shall in no way constitute a waiver of the provisions, nor in any way affect the validity of the Maintenance and Repair Agreement or any part hereof, or the right of such party thereafter to enforce each and every provision hereof. 7. Amendment. A. This Maintenance and Repair Agreement shall only be amended, modified or changed by a writing, executed by authorized representatives of the parties, with the same formality that this Maintenance and Repair Agreement was executed with, and such writing shall be attached to this Maintenance and Repair Agreement as an amendment. B. For the purposes of any amendment modification or change to the terms and conditions of this agreement, the only authorized representatives of the parties Director ~J b. Municipality: ' , Community Development or designated authority 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 AIaska shall govern the rights and obligations of the parties under this Maintenance and Repair Agreement. 9. Severabili ,ry. Any provisions o£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: '~,4,.,-/t' / ~. (print nmne) STATE OF ALASKA ) THIRD JUDICIAL DISTRICT ) The foregoing ins~ent was ae~owledged before me this'-/ 20 ! ~ by ~9o.,~ MyCommissioncxpires:~¢ ~;~-°'7-.L/ ,~0,~ \~. MUNICIPALITY: (print name) Title: BKf12338P 088 The Grantors, Dante1 W. Beardsle~ ~nd Nary Ellen Beardsley, Husband and Wife, v/nose address 11480 Browder Avenue, Anchorage, Alaska 99516, for and in consideration of mutual benenfits do hereby convey and v~rrant to Daniel W. Beardsley and J/ary Ellen BeardslsF, Husband end Wife, whose address is 11480 Browder Avenue, Anchorage~ Alaska, an easement for septic s~stem purposes upon, over and across the followin~ described land o~uned b~ Grantors within the Anchorage, Recording District, Third Judicial District, State o£ Alaska, to wit: Lot Three (3), Block Eight (8), of TRAILS END SUBDIVISION, according to Plat P-60¢, filed in the Anchorage Recording District, Third Judicial District, State of Alaska~ PROPERTY BENEFITTED BY THE EASRMENT. The easement shall be appurtenant to and for the benefit of the follo~ing described real property: Lot Eight (8), Block Eight (8), of TRAILS END SUBDIVISION, according to Plat P-60¢, filed in the Anchorage Recording District, Third Judicial District, State of Alaska. C~RRNTEE'S RIGHT TO USE. The Grantee shall have the right to uss the easement for construction, operation, maintenance and repair of a septic system for the benefit of Lot 8. I~W!TNESBWHEHEOF, Grantors have signed this easement this ~?Z=day of October, 1992. I~RY~LLEN eE,~DSLEY, d 4 '~T&TE OF' ALAS~ ~ ~T~I~ ifs TO CERTiFy that one ~u~deret o~ the ~ day ~tober, 1992, before ~ed, a No~ ..... ~ of in and for the ~tate of Alaska, perao~ll~ Danie~ ~. Beards~e~ and With -" full kn~l ir free ~nd vol me that therein edse o2 its contents ~_ .~t~rv act a~ d~ I~ ~I~ ~R~OF, I ~ve hereunto sot ~ hen~ afflXedd mF official seal the da~ and ~ear above ~ltten. Hary Ellen Beardsley 11480 ~rowder Avenue Anchorage, Ali 99516 ~;~-- 0'{9383 / ANCHORAG£ REC. I% DISTRICT ST '92 N~U ~ aa 8 30 EpjftA/S J is// • � u r U i Municipality of Anchorage •2; ` On-Site Water and Wastewater Program (907)343-7904 Certificate of On-Site Systems Approval p� Ex iration Date: `/ SO —I? Parcel I.D. 015-192-17 1. GENERAL INFORMATION: Complete legal description TRAILS END; BLOCK 8, LOT 3&8 Location (site address) 11480 Browder Ave.`Anchorage,AK 99516 Current Property owner(s) Dan Beardsley Day phone 830-4893 Mailing address Real Estate Agent Day phone 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ® Individual Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ WaiverNariance request for: Distance:__ Received by: Date: COSA to be released to the engineer,unless otherwise requested by the engineer. COSA Fee $ g s v Waiver Fee $ Date of Payment //.21i /19 Date of Payment Receipt Number /n� Q,2106V 6 Receipt Number U COSA# S0/9/ Ua`i 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: Garness Engineering Group, Ltd (GEG) Phone: 907-337-6179 Address: 3701 East Tudor Road, Suite 101-Anchorage,Alaska 99507 Engineer's Printed Name: Jeffrey A. Garness Date: /49 ��000p.,� In conducting this evaluation, GEG provided an engineering evaluation of the well and/or septic system ` OF A 4�� in accordance with the guidelines and regulations established by the Municipality of Anchorage and "S "•••'•""• '4 n)1 industry practices. The reported results describe the condition of the system/s on the date's of the ti v evaluation. Separation distances were measured to readilyidentifiable features. Hidden defects or ' j ..� (�I encroachments may exist that were not identified during the evaluation. The operational life of all wells * •-9/H I 7,t and septic systems depend upon a variety of variables, including but not limited to, soil conditions, p vngroundwater levels (that may fluctuate during the year), quality of construction (materials andworkmanship),and the water usage of the family utilizing the system/s. These conditions can vary,and to .� ..• VAare outside the control of GEG. Satisfactory test results do not guarantee future performance of the .//n� ,;:f . n: ssystem/s: therefore. GEG makes no warranty(express or implied) regarding the future performance of to N '• 7o�the well or septic system. GEG makes no representation whether an alternative well or septic system U�n i, '• t ' •' .cam can be installed on the property in the event either of the current systems fail to perform adequately in V�n`\P �c c:/- the the future. The content of this report is for the sole benefit of the person/party that retained GEG to v�14' ro f ess,cl'O'.c • z . perform the evaluation. Reliance upon the information provided in this report by any other person or �k044 ' party (including subsequent property purchasers) is not authorized, nor will it confer any legal right whatsoever. #AECC884 6. DSD SIGNATURE XI System #1 Approved for bedrooms System #2 Approved for bedrooms Disapproved -e ->"et iL 7 Conditional approval for bedrooms, with the followi stipt c E C. WATER AND m WASTEWATER z PROGRAM SER\,W5 - , y rr Original Certificate Date: I 30-17 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 Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA blue sheet_10-10-12.doc COSA Checklist Legal Description: TRAILS END; BLOCK 8, LOT 3 & 8 Parcel ID: 015-192-17 If more than 1 septic system on lot: COSA Checklist# 1 of 1 Structure served by this system 1 A. WELL DATA 0 Well log is filed with Onsite (or attached) Well production at time of test 2.8+ gpm Date drilled 9/23/84 Water storage tank volume N/A gallons Total depth 205 ft Well disinfected for coliform test? ❑ Yes 0 No Cased to 205 ft UI Coliform bacteria is Negative El Sanitary seal is functioning correctly Nitrate 1.59 mg/L ❑ Nitrate less than MRL (ND) 0 Wires are properly protected Arsenic ug/L 0 Arsenic less than MRL(ND) Casing height(above ground) 12+ in. Collected by GEG, Ltd. Date of flow test for COSA 1/9/19 Date of Sample 1/9/19 Static water level at beginning of test 61.2 ft. Comments B. TANK DATA C. LIFT STATION Age of tank(s) 2 years 0 Required maintenance completed Tank type/material STEEL Age of lift station 2 years CI Standpipes/foundation cleanout per record drawing Lift station material STEEL Date of pumping 6/14/18 Comments: QUANICS SYSTEM SEE ATTACHED DOCUMENTS D. ABSORPTION FIELD DATA Which system tested (date installed) 9/12/6 Adequacy test date 1/9/19 0 ALL standpipes present per record drawing Results ✓0 Pass For 4 bedrooms Total measured depth from grade 3.8+ ft(max) Fluid depth prior to test 0 in Measured depth to pipe invert from grade 3.3 Lit(min) Water added 853 gal 0 N/A—pressurized field New depth 0 in 0 Monitor tubes go to bottom of drainfield. If not, state Elapsed time 0 min depth into effective 0 Code-required soil cover over field Final fluid depth 0 in Absorption rate 600+ gpd ❑ System presoaked NONE (Required if vacant for greater than 30 days prior to Any rejuvenation treatment(past 12 months) date of test) If yes, enter date Gallons introduced gallons Comments/Deficiencies: 2016 BED IS INSULATED;THIS IS A QUANICS TREATMENT SYSTEM 50'+REQIRED DISTANCES COSA Checklist yellow sheet 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' Community Sewer Manhole/Cleanout> 100' 0 Yes if No 50'4" ft ✓l Yes if No ft Neighboring Tank> 100' ✓QYes if No ft Private Sewer/Septic Line > 25' 0 Yes if No ft Absorption Field on Lot> 100' 0Yes if No 50 + ft Holding Tank> 100' ❑Yes if No *75'k ft Neighboring Absorption Fields > 100' Animal Containment> 50' []Yes if No ft 0 Yes if No ft Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' 0 Yes if No ft :Yes if No ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' 0Yes if No ft Surface Water> 100' ❑Yes if No 50+ ft Property Line> 5' 0 Yes if No ft Driveway/Parking > 0' ✓E Yes if No, comment Absorption Field > 5' 0Yes if No ft Wells on Adjacent Lots: Water Main > 10' 0 Yes if No ft Private Wells> 100' ❑Yes if No 50'+ ft Water Service Line > 10' 0 Yes if No ft Community Wells> 200' �✓ Yes if No ft From Absorption Field on Lot to: (Please enter distances if less than required) Building Foundation > 10' 0 Yes if No ft Driveway/Parking > 0' 2 Yes if No, comment Property Line > 10' 2 Yes if No ft Wells on Adjacent Lots: Water Main > 10' 0 Yes if No ft Private Wells> 100' 0 Yes if No 50'4- ft Water Service Line > 10' E Yes if No ft Community Wells> 200' 0 Yes if No ft Surface Water> 100' 0 Yes if No 50 + ft F. ENGINEER'S COMMENTS *MET CODE AT TIME OF INSTALL VEGETATION ON MOUND WAS UNABLE TO BE VERIFIED AT TIME OF INSPECTION DUE TO THE PRESENSE OF SNOW 4—`z> OF ,, opt G. ENGINEER'S CERTIFICATION 475 C ,..•••• �•.•••Al QCO 1 certify that I have determined through field inspections and review • of Municipal records that the above systems are in conformance with 1.4C )..: 44) 1-e ••3 DOS MOA COSA guidelines in effect on this date. V i 4 QQ . . f v Gorn:ss: G • Oh( . C —79'. 1.p nQ ,• l ,� I •.c,coo COSA Checklist yellow sheet 4%04O4o f e ssio�C #AECCua �0�0 __._ .......___, - r .. ; . • ..• - it • . -------_______. • ! ' . LC:7 2 I V:T 2 1 I I IL. . . ' I I 1 30' i - it: I I i I N 89*59'30"E 189.78' N 89°59'30" I.00' IV' 1 rr 1 / . ...Awl' 141, • . • . , Romp 5' -1-5.--- - -—1029'-44. --___ I I.;1- I r--.,,,, c . 24 Cr i — E-, - ... b r I<4 I ; ni- no: c71,„, iya. 1 -, C/2 1 s-- LOT 3 o i 4! V I .:4 .,'', 1 __ . — .-- 14• LOT 8 . x I- im I. :•• ::: I pa tr) sefr& IT I ... o :4 Vents : t c.) cv . . 6 i - 24.0. I ------------ lir- I ,2 c? cil . ..°9•N__ - R. I 1 L . I S.. sem- to I tbultY.7) Cle.on ,......._ Ovl 471.2f.OH.'"'O" I T I , E — -5-tatu7?"asTrite7N-R7V1 e7Fil— TT T —5'u7VTr riMmarri perNAT-10=0— — -1 1 i I i N 89°59'30"E 189.88' N 89°59'30"E 190.00' i I 30 30' I I ' 1 I I I I 1 I I I II i.C:T 4 1 1 1 I NOTES I. Bearings and distances are record per referenced plat wriest otherwise noted 2. Sufficient boundary evidence was recovered to establish the subject parcel on the ground.Not aN controlling evidence is shown hereon. wObillellell:Nro, Farpoint Land Services, LLC 11 "'GEM ....:74e. ..A.,,:!4-9. *J ...co.*. •49 TH„W SURVEYING. D EYING. MAPPING. LANPI ANNING. GIS g 1131 E. 7th Ave. Suite 101 Anehneln• et....a...ome.0 IjM.... Septu • . . , 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 21 Day of S/tNUkizy of 20 V1 , by and between Nom} ,� SMZ-VAt , 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 ON)€1,6!-CS kelp Gall located a (legal description) WAD Z.CLUDr✓L AUC 1 at ) -geld -63 oe 2. Maintenance, Repairs and Alterations. (Owner is required to read, understand and initial each section) ,NS Throughout the term of this Agreement, the Owner shall enter into a service agreement with an AWWTS service and maintenance provider approved by the Municipality or the manufacturer's representative. The AWWTS shall be maintained in a satisfactory condition capable of performing as designed and producing treated septic effluent in accordance with the equipment's approval for operation in the Municipality. Ns 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. 05/18/2018) Page 1 of 3 )Jc Owner acknowledges that the Municipality may request records of maintenance and repairs from the manufacturer's representative or maintenance provider. pc Owner acknowledges that the fine for failing to maintain and repair an AWWTS may be assessed in accordance with AMC 14.60.030. 05 Owner agrees to grant the Municipality reasonable access to test and inspect the AWWTS. The Municipality will give at least 24-hour notice. pc, Owner agrees that any sale or transfer of title of the property will not occur without a new Certificate of On-Site Systems Approval. VS 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. jJ5 Owner 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: By: d (signature) Date: (4.0( — (ct \ iMht' k _ ' _ t_L.. (print name) STATE OF ALASKA ) ) ss. THIRD JUDICIAL DISTRICT ) The foregoing instrument was acknowledged before me this, day of 20 /k S ys • , e4. NOTARY PUBLIC R ALASKA •..113J.1 My Commission expires���Qirt \nJ %\%\ t� T =__' ..SKP, • MUNICIPALITY: B c I titer (signature) Date: t' k (print name) Title: (rev. 05/18/2018) Page 3 of 3