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HomeMy WebLinkAboutHAMANN ADDN #1 BLK 1 LT 2Hamann Block 1 Lot 2 #050-611-22 Municipality of Anchorage On -Site Water and Wastewater Section • (907) 343-7904 Page of ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP211081 PID Number: 050-611-22 Dwelling: ® Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New ®Upgrade Name JOHN & MEREDITH WITTE ABSORPTION FIELD - EXISTING ❑ Deep Trench ❑ Wide Trench ❑ Bed ❑ Mound Site Address 24516 COLEMAN CIRCLE, EAGLE RIVER ❑ Other Phone Number of Bedrooms Soil Rating depth from original grade 4 LEGAL DESCRIPTION JTotal GPD/SF Ft. Depth to pipe invert from original grade I Gravel depth beneath pipe Ft. Ft. Subdivision Block Lot HAMANN ADD #1 1 2 Fill added above original grade Ft. JGravel length Ft. Township Range Section Gravel width Ft. Beds: Number of Lines Distance between lines Ft. SEPARATION DISTANCES To Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Tank Line Ft' '- -- Ft. Well 50'+ __ __ 25'+ TANK ® Septic ❑ S.T.E.P. ❑ Holding ® Other ADVANTEX Manufacturer Capacity Surface Water 50'+ __ __ ORENCO / ANCH. TANK 1500 Gal. Material Number of compartments Lot Line 5'+ __ __ NA COMPOSITE PLASTIC 2 Foundation 10'+ __ __ LIFT STATION Manufacturer Capacity Remarks ORENCO 1500 Gal. Alarm location Electrical installed by GARAGE DRS ELECTRIC Installer JRS PIPE MATERIAL House to tank 3034 Tank to 3034 drainfield Drainfield 3034 CO/MT 3034 Inspector FWC BENCH MARK (Assumed elevation) 100 ft Inspection 1s' 11/8/2021 dates: 2�d 11/9/2021 Location and description p 3'd 4th BOTTOM OF SIDING ON-SITE WATER AND WASTEWATER SECTION APPROVAL Conditional Approval: Date *: 49 TM .....:* •• •••• ••••�.•� Septic System Approved % Curtis Huffman f �� �� Date ll z ci�; •, • CE 128991 • •, ��9��� �� rF� . i ii><aizo�l �� Note: this a roval does not include well permit requirements. '°ROFESSIO� (Rev 05/02/18) PID: 050-611-22 PERMIT: OSP211081 RECONNECTED i TO EXISTING FIELD THAF�FCos Dcp 23 00'Iv 1>8S8 A -C=65 5' B -C=51.3' A -D=77.1' B -D=63.0' 6J THB �k?Fo RETAINING WALL X4.0' DECK GRAVEL DRIVE JJ y a MH EXISTING DECOMMISSIONED EXISTING M 4BR 1250—GAL S.T. & INSTALLED NEW HOUSE 1500—GAL AX FAP TANK WITH NEW DCO. FCO WIRE FENCE DCO 100' PROTECT/WE RADIU SEPTIC SECTION SCALE1 NTS HAMANN ADDN. #1 BLOCK 1, LOT 2 SUPPORT, SERVICES: - F�\ �� PREPARED FOR: ' JOHN & MEREDITH WITTE C. s 24516 COLEMAN CIRCLE �* 9 TI EAGLE RIVER, AK 99577 FIRST WATER CONSULTING DATE: 11/12/21 /` rtis Huffman / SURVEY: KGL 1 CE 128991 13030 SUES WAY DRAWN: FWCS' 11/12/21G� ANCHORAGE, AK 99516 SCALE: 1" = 30' \ I'diDSSIO�Pti 907-350-9566 FirstWaterAK@gmoil.com \\_'� 13030 Sues Way, Anchorage, AK 99516 907-350-9566 / firstwaterAK@gmail.com November 9, 2021 Municipalities of Anchorage On-Site Water & Wastewater Program 4700 Elmore Road Anchorage, AK 99507 RE: HAMANN ADD. #1 BLOCK 1, LOT 2 – 4-BEDROOM SYSTEM Per previous discussion with MOA On-Site staff, with the recent installation of the Advantex FAP -- the existing field is sized for 4+ bedrooms based on the total existing absorption area of 1051 square feet (SF) and a conservative CAT III soils rating of 1.0 GPD/SF per MOA record documents. A 4BR system with 600 GPD divided by 1.0 GPD/SF = 600 SF required absorption area. The system passed a 4-bedroom septic adequacy test. Please contact us if you have any questions. Sincerely, Curtis Huffman, P.E. LEMS CIRCLE 3 81'35'00 E 125.16' LR -SO 36.00, a < 101.00' R 5� Lot 5 m, 4'x8' SHED Lot 1 N Lot ` R qr RETAINING WALL 100,057 S.F. \ TREATMENT 4.0' DECD s'(9 POD / V� \ 1 STORY RESIDENCE �-MANHOLE s w/ WALKOUT BSMT. V �I� _- - —- — SEPTICV- / \ PIPES \ O4.0• BALCONY \ / O' 66' \ 4.0'x16.2' CANT q�� / 8.3'x10.3' SAUNA w/ I 30' UTILITY 300 rY J \ \F NCE 3.6' PORCH IN FRONT & 7 3.c' STORAGE IN REAR EASEMENT V ss8 ipp' PROTECTIVE RADIUS \11 \ / `WELL / \ �20' DRAINAGE I / \ EASEMENT / OCI), \ry � \ 15' M.E.A. EASEMENT / \ \ 41, \ f (Doc. No. 2000-002482-0) \ � so PLOT PLAN AS BUILT x_ SCALE _1"_= 60__ GRID _ SW 0161project No. 11500 Daryl Avenue, Anchorage, Alaska 99515-3049 \ Lang & Associates, inc. (907) 522-6476 Phone 000000p0 \ (907) 522-4625 Fax oo Professional Land Surveyors ken®longsurvey.com o OF q �p jonothon®langsurvey.com I hereby certify that I have surveyed the following described property: QQO�P LOT 2, BLOCK 1, HAMANN SUBDIVISION — ADDITION No. 1 (PLAT No. 81-168) o * 49?H'�+� Anchorage Recording District, Alaska, and that the improvements situated thereon are �* . . . . . . . . . . . . . . . . . . 0 within the property lines and do not encroach onto the property adjacent thereto, that Q O . ........... no improvements on the property lying adjacent thereto encroach on the surveyed ...... .....TF.. G... G e premises and that there are no roadways, transmission lines or other visible �O �, 00 easements on said property except as indicated hereon. Dated this the —11}l� Day of NC�.iur�f',�tt _ZC 2-\ 40 RFp• ....-5202 at Anchorage, Alaska jO .' gJpQ �4 RppeSSIONA� X300 It is the responsibility of the owner to determine the existence of any easements, O��OOp0000 covenants, or restrictions which do not appear on the recorded subdivision plat. AECC963 / / / Lot 4 Lot 3 MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program PO Box 196650 4700 Elmore Road Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 http:/Avww.muni.org/onsite Permit Number: OSP211081 Work Type: SepticTank Upgrade Tax Code Number: 05061122000 Site Legal Address: HAMANN ADDN #1 BLK 1 LT 2 G:0161 Site Mailing Address: 24516 COLEMAN CIR, Eagle River Owner: 1NI t t E JOHN M& MEREDITH H L Design Engineer: FIRST WATER CONSULTING This permit is for the construction of: Effective Date Expiration Date: Lot Size in Sq Ft: Total Bedrooms: 3/25/2021 3/25/2022 100057 ❑ Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage f99f VVI/3itYii ii V�j�Ip11UG I11 pV4V�it G�9VG YY 1Lt//: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80) 3. The wastewater code requires inspections during the installation. The engineer shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a Openedand Closed on the. same day, or b. Covered, sealed, and heated to prevent freezing 4-o a.. y - be d i-oo rvi Ta,�e S t S` Sef o v\ 4-a V41-1 cid sk&JU wo+ b:e- to ca, eg undo,, 4,� &r i Ve C EZ -,-j, rc,�,Ile a`y`� U _A_ . - r/ Received By: Date: Issued By: Date: 3 5 2oV 3 8"ANUNICIPALITY OF Development Services Department On -Site Water & Wastewater Section Parcel I.D. 050-611-22 ON-SITE SEPTICM/ELL PERMIT APPLICATION Property owner(s) JOHN & MEREDITH WITTE Day phone Mailinq address 24516 COLEMAN CIRCLE, EAGLE RIVER, AK 99577 Site address 24516 COLEMAN CIRCLE, EAGLE RIVER, AK 99577 Legal description (Sub'd., Block & Lot) HAMANN ADD.#1 131, L2 Legal description (Township, Range & Section) Lot Size 100,057 Sq. Ft. Number of Bedrooms 3 APPLICATION IS FOR: (® all that apply) Absorption Field ❑ Septic Tank El Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage ❑ APPLICATION IS AN: Initial ❑ Upgrade El Renewal ❑ THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: Phone: 907-343-7904 Fax: 907-343-7997 TYPE OF DWELLING: Single Family (SF) El (w/wo ADU) Duplex (D) ❑ Multiple Dwellings ❑ (SF and/or D) Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. nature of property owner or autrionzed agent) Permit/Rush Fees: :92Z6_ Waiver Fees: Date of Payment:3�Z5A1 Date of Payment: Receipt Number: 6/52.75 Receipt Number: Permit No. O�PZ. I 1 Dg I Waiver No. GADevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Client Forms\Permit Application.doc OF14st Water s Q" CONSULTING m U P s66_.},..a:. 13030 Sues Way, Anchorage, AIC 99516 907-350-9566 / firstwaterAK@gmai 1. coin August 12, 2021 Municipalities of Anchorage On -Site Water & Wastewater Program 4700 Elmore Road Anchorage, AK 99507 RE: OSP211081 SEPTIC TANK UPGRADE DESIGN CHANGE LEGAL: HAMANN ADDITION #1 BLOCK 1, LOT 2 The owner has requested that we amend the referenced septic permit to upgrade the existing aged 1250 -gallon steel septic tank on the above referenced lot to an Advantex FAP tank system to accommodate a 4 -bedroom residence as noted on the attached permitted design. The lot and area are served by private wells. The design will not impact any of the neighboring properties. Please contact us if you have any questions. Sincerely, Curtis Huffinan, P.E. �" .bar St; ;it�� SEts ICES ?PiiGPtA1N lC DESIGN CHANGE TO AN ADVANTEX FAP 8/12/21 WES DESIGN DETAILS: INSTALL NEW 1250—GAL HDPE SEPTIC TANK. MAINTAIN 10'+ FROM FOUNDATION, 100' TO WELLS, 5' TO FIELD, LOT LINE & DECK SUPPORTS WITH 4' OF COVER OR INSULATION. INSTALL PER AMC 15.65, 15.55, & MASS ... TANK BEDDING, SEPARATIONS, MATERIALS,... BEDDING MATERIAL MUST BE ON SITE AT CONSTRUCTION INSPECTION DESIGN IS BASED ON DIGITIZED HAND—DRAWN MARK SEWARD (DMS) AS—BUILT SURVEY. STAKE 100' WELL DECOMMISSION EXISTING RADIUS PRIOR 1250 -GAL S.T. & INSTALL NEW TO CONST. 1250 -GAL HDPE SEPTIC TANK Fri RECONNECT WITH NEW DCO. SYNC TO EXISTING P/ 40s FIELD DCO O GRAVEL CO DRIVEO ' �O !� MH Cl O� ryO n O EXISTING 3BR HOUSEA�• / HAMANN ADDN. #1 BLOCK 1, LOT 2 PREPARED FOR: JOHN & MEREDITH WITTE 24516 COLEMAN CIRCLE EAGLE RIVER, AK 99577 FIRST WATER CONSULTING 1-3030 SUES WAY ANCHORAGE, AK 99516 907-350-9566 FirstWaterAK@gmoil.com FCO NO PRIVATE WELLS W/IN 100' OF PROPOSED TANK 10. DATE: 3/12/2021 SURVEY: DMS DRAWN: FWCS SCALE: 1" = 30' Mt1NICIPALITY 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 f ZDay of AtA of 20 2 1 , by and between J D�`W , 4cr herein the "OWNER," and the Municipality of Anchorage, herein the "MUNICIPALITY", in accordance with Anchorage Municipal Code (AMC) 15.65.165. 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 AN ADVANTEX SYSTEM located at (legal description) HAMANN BLOCK 1, LOT 2 2. Maintenance,. Repairs and Alterations. (Owner is required to read, understand and initial each section) Throughout the terns of this Agreement, the Owner shall enter into a service agretrment 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 pennitted alterations to the system. Owner aclaiowledges 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) Pa -e I of3 4V-Z Owner acknowledges that the Municipality may request records of maintenance and repairs from the manufacturer's representative or maintenance provider. Owner acknowledges that the fine for failing to maintain and repair an AWWTS may be assessed in accordance with AMC 14.60.030. Owner agrees to brant the Municipality reasonable access to test and inspect the AWWTS. The Municipality will give at least 24-hour notice. /�4VOwner agrees that any sale or transfer of title of the property will not occur without a new Certificate of On-Site Systems Approval. Owner agrees that the AWWTS installation and maintenance requirements as provided by the AWWTS vendor/installer and approved by the Municipality are the governing guidelines for the constriction, maintenance and repair of the Owner's AWWTS. Owner agrees to maintain remote monitoring of the AWWTS as required by the AWWTS approval. 3. Term. The term 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. 0/18/2018) Page 2 of 3 OWNER: By: (signature) Date: 12A06 2©2! Y ` _ 30 lot t,J �'TrL- (print name) STATE OF ALASKA ) ss. THIRD JUDICIAL DISTRICT ) The foregoing instrument was acknowledged before me tliis c2"" day of A, l s t' 209 ( , b,, )ov\n NOTARY PUBLIC F(JR ALASKA My Commission expires: 1)G-c5-2REM:] oZZ MUNICIPALITY: B -Iue� (signature) Date: 00/1 e ,ZO 2% Y %% / /C��('>eCC� �,,--✓-o Z( (print name) Title: (rev. 05/18/2018) Page 3 of 3 Municipality of Anchorage Page _ Lof DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 • Anchorage, Alaska 99519-6650 A Telephone: 343-4744 On -Site Wastewater Disposal System and/or Well Inspection Report Permit Number: S U> i -4d z31/ PID Number: Name:110- J Wastewater System: [mw 11 Upgrade �� Address,/! S 77 !i / ABSORPTION FIELD 17 .tee Phone:/ 6 1y �77 D No. of�BSedrooma: El Deep Trench W'ShallowTrench 1i Bed [I Mound 11 Other LEGAL DESCRIPTION Soil Rating: . o, s Total Depth from original grade: ", GPD/Sq. Ft. N o Lob Block: LLS''ubdivision: X I&IAae /fyd Depth to pipe bottom from original grade: ` Gravel depth beneath pipe . Ft. /. Ft. Township•,7 /, Range: / Section: /5 Fill added above original grade: Gravel length: c°_ r &"e4+ t. /6./ Ft. WELL: RMew 0Upgrade Gravel depth: Numberoflines: Distance between lines: I 7t F // Ft. Classification (Private, A,B,C): Total Depth: Cased To: Total absorption area: Pipe material: ,vim, 3DO Ft. y0 Ft. /G7 S SC. Ft. 10.4 F -$/G 36g Driller: Date rills z �I I Z Stalic Water Level: Installer: / ,( Date Installed: Ft. o CAH ( 4, Yield: Dp PumSet t: a I sing Height Above Ground: /, S' TANK . GPlvf Z Ft. Ft. SEPARATION DISTANCES 12 >ptio ❑Holding ❑S.T.E.P. To Septic Absorption Litt Holding Public/Private Me ufactuSer: Capacity In gallons: From Tank Field Staff= Tank Sewer Lines -,-_ /247-49 Well /y/ /YO /✓� PIA 7Z2 Material: S rCe/ Number of Compartments: z SurfaceLIFT Water /00 �� /Od, M14/ /t 5-O+ STATION Lot i //� /� Size In gallons: Manufacturer: / Foundation r/ i l% / x / �i �/ A "Pump on" level at: "Pump off' level at: High water alarm at: Curtain /, d //� �/� �� Pump Make 6Model Electrical Inspections pertormedby: Drain /�� Remarks: BENCH fAARIC �l ,[ Location and Description: /cru O n 'c Zcz.// e y" � y" Frjprtr�L /c eoS: u Assumed Elevation: :Tel.d yn - 30n ENN`aiAL %%v a4,.c� - rt A� v- see �� O4r A?el"?i�ee 4"A Ave, Inspections performed by: zvr_/14�7 Dates: 1st go/s//C12 �. .rjlz ./ln rf'Yg 2nd O / Z2 2. 6eY960®o°Z eooea° 's,g Vernon L. Roelfs Department of Health and Human Services approval t=Oo' No. CE 5107 0° r���`�pRDi Date: ESStO��r� Reviewed and approved by: 72-0f3 (1/91) MOA 25 AS -BUILT PERMIT N0. SW920234 LEGAL DESC. L2,BI,HAMANN 1st ADD D Z H v A r tC m z M y 69 g9% Me`oZ�g%N S Ob 0 co P � � s s w on � I x / \\co / I \oRH��Y V F n 35P) m H 0 i r 0 O n r N y N / S3q. lq, 2p9 so / m ( 77 No m� Z m� -Zi Z ti Z w v _'OF A9�� � � 6 '� aue oe y , p ec a. eo oectl a®oaa oa aeano a' AAAA J rM• DATE. 'oaaeoa•o oo ••.o.ee .° °o DESIG oa Vernon L. Roelfs a� DRAx °o No. CE 5707 CHEC Sf��gqr�CO MPR �7dpf7o F[S`.'i1or SCAL PID 05061122 1 O A AS-BUILT PERMIT N0. SW920234 LEGAL DESC. L2,BI,HAMANN 1st ADD A PID 05061122 AS -BUILT PERMIT N0. SW920234 LEGAL DESC. L2,61,HAMANN 1st ADD PID 05061122 m x • IA z Z O f l A r r rri D 0 m O p O rl Iz� \ Z z, m OKI O� N 0 z c� : K-� is uewr OLIOIJV 266L peelio4n NnP OAHDI� MI ill z W 0 071 pn 0 tv > w > ::� �W- 0 0 1;j -14 0 0 0 0 o z W 0 071 pn 0 tv > w > ::� �W- Lo n C) z > IV t� on R 17 i3 3 (D M CA . Ro CA VEIConsultants Civil Engineering and Surveying Consultants 1345 Rudakof Circle, Suite 201 Serving All of Alaska Anchorage, Alaska 99508 Fax: (907) 338-5386 Phone: (907) 337-3330 June 4, 1993 RECEIVED Municipality of Anchorage JUN 71993 Department of Health and Human Services 825 L Street Municipality of Anchorage Anchorage, AK 99501 Dept. Health &Human Services Re: Lot 2, Block 1, Hamann Subdivision, 1st Addition Well and Septic System, Permit # SW920234, PID # 05061122 Gentlemen, Attached are well and septic as -built information and a well log for the above referenced lot. The system was put into service last December. As a condition of the well and disposal permit, the Engineer is required to verify that there is no effluent surfacing after three months of operation. I have made two site visits and verified that there was no effluent surfacing at either time. The first visit was made on March 27th and the second visit on May 29th. Please review this information and enter it into your files. If you have any questions or concerns, please do not hesitate to call. Sincerely, VEI CONSULTANTS Aw //66 Vernon L. Roelfs, Principal Attachments: Sewer As-Builts (4 Sheets) Well Log CC: Bradley Young Bob Hamann Oil (•- .hH C000006 pUeeqF `�1,J U O 4 Fj J O �pU9fU 8..0 O8 Coco 000, ��'1'saneenoc.p..e ooa. oeoa." "seoee Vemon L. Poelis P 0 ''' e No. CE 5107 a Ey "`L! O0'3o oena `'\fir"� MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 PAGE 1 OF 1 I ST /tisP�c T cl ANCHORAGE, ALASKA 99519-6650 9 0/'Q L n m ON-SITE WELL AND WASTEWATER DISPOSAL SYSTEM PERMIT PERMIT NUMBER:SW920234 DESIGN ENGINEER:VEI CONSULTANTS OWNER NAME:HAMANN ROBERT J & OWNER ADDRESS:PO BOX 770617 EAGLE RIVER, AK 99577 PARCEL ID:05061122 LEGAL DESCRIPTION: HAMANN BLK 1 LT LOT SIZE: 100057 (SQ. FT.) NUMBER OF BEDROOMS: 3 THIS PERMIT: 3 2 THIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD / WELL SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: DATE ISSUED: 8/14/92 EXPIRATION DATE: 8/14/93 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 FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: MAXIMUM DEPTH OF WIDE DRAIN CANNOT EXCEED 3.51. SEPTIC ROCK MUST REMAIN BELOW ORGANIC LAYER. MAINTAIN 100' SEPARATION TO STREAM ON PROPERTY. NOTIFY DHHS OF ANY CHANGES TO DESIGN PRIOR TO CONSTRUCTION. MAXIMUM DEPTH OF SYSTEM FOR REPLACEMENT SITE CANNOT EXCEED 4.51. SYSTEM TO BE CONSTRUCTED ON A SLOPE >25% ENGINEER MUST VERIFY THE SYSTEM IS FUNCTIONING PROPERLY AND THAT THE EFFLUENT DOES NOT SURFACE THREE (3) MO S AFTER THE HOME IS OCCUPIED. — / 1 � 14 DATE . RECEIVED BY: ISSUED BY: DATE: l� VEIConsultants Architectural, Engineering and Surveying Consultants Serving All of Alaska Offices: Anchorage, Eagle River, and Palmer August 10, 1992 Municipality of Anchorage Department of Health and Human Services 825 L Street Anchorage, AK 99501 Re: Lot 2, Block 1, Hamann Subdivision, 1st Addition Well and Septic System Gentlemen, 1345 Rudakof Circle, Suite 201 Anchorage, Alaska 99508 Fax: (907) 338-5386 Phone: (907) 337-3330 our client, Bradley Young, requests an on-site well and sewer permit for the above referenced lot. Attached is the design for the septic system, consisting of three (3) 8-1/2" x 11" sheets with five (5) soils log -percolation tests. Lots in the area are generally in excess of two (2) acres in size and there is little chance of interference with neighboring lots. The subject lot and the adjacent lots slope toward Eagle River Road to the south. Slopes generally range from 20% to 25%. Soils consist of well -drained silty -sandy gravel with one (1) foot of topsoil. Groundwater was monitored over a month from July 7 to August 7, 1992. During that time we had high altitude snow melt and wet weather and the highest groundwater measurements were recorded. Depths to groundwater ranged from 7.6 to 10.1 feet. There is a easonal drainage across the lot (note drainage easement). We are maintains g oo-foot separation between this drainage and the septic system. The slope of the lot and the subsurface gradient is toward the Eagle River Road right-of-way; and there will not be any impact on any of the three (3) adjacent lots. The proposed well is near the center of the lot; and with the sparse population, we anticipate no biological problems with the well. If you have any questions or concerns, please do not hesitate to call. Sincerely, VEI NSULTANT Vernon L. Roe , PE Principal Attachments as noted. CC: Bob Hamann 01- Al��� Vernon L. Roelfs No. CE 5107 PERMIT N0. LEGAL DESC. L2,BI,HAMANN 1st ADD D n D Z A A - 1, m m D J_ Z I2 / \ r PID PERMIT N0. T r LEGAL DESC. L2,B1,HAMANN 1st ADD PID 0 o 0 0 v O o 0 0 0 S co m fel r D O O K N m z y 3 m - O O m A � D O N pp\ OAV J' •. Jw g 1/49th PN IF Als VERNON L. RC CE -5107 (A-0 01)A �O =O o(A cm No m A m=0 Z�m r O �m*m D m<n mm O S W PERMIT N0. LEGAL DESC. L2,BI,HAMANN 1st ADD PID m x z m 0 m m r D a N m W A O O T O N Z � A D 0(P N O^ m T W W 00 OBJ m - 0 ;m N N N VDO0 O � O my o0,Z o N N y D CD D� O Z N O CAC f� O O m W � W Z Au � O 0� Z c: Fri U) m 0060 Ar Aw C� s� ss sll�,,.9th . �-� ......... ..�.. e .... . DATE: 8/6/92 RENSIONS Q+EET cONTo+is VERNON L. ROELFS / SHEET NO. CE -5107 s w DESIGNED BY:VLR NO. DATE PROFILE ♦��'�'•.,••• �•�.•' AV DRAWN BY: MET 1. 1.5' EFF. DEPTH P80VELL 6 SEPTIC SYSTEM 3 / ♦� SS�ooeosAs APPROVED BY:VLR L2 Bl HAMANN 1st ADD OF 3 naevee SCALE ,„-20 % HORIZ _ V �,Consulteats NO Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION TEST �� MGINEI Vernon L. Roelfs !* J \c No. CE 5107 x PERFORMED FOR: Zr` ,"C 7DGLf�t �i A DATE PERFORMED: LEGAL DESCRIPTION: L�p��, ryit}Yll�t„� QCT n�trl Township, Range, Section: ��s f �(/o% Not -�Cl� SLOPE SITE PLAN TiP�� 8- 9 8 9 v 10- 11 12- 13- 14- 15- 16- 17 21314151617 81920 18- 19- 20 COMMENTS — GA 6/r 7 i4 L 5 914/) NOON I■/'■ ■■'®. ■.U■ NEEM NEON ■NOO NOON NEON NNOO WAS GROUND WATER ENCOUNTERED? yes S IF YES, AT WHATQ L DEPTH? / P _ E Depth to Water Alter// Monitoring? 7,91Date: Z Reading DGross to 2 Time Net Time Depth to Water Net Drop .„ 'K; iz /z 0 31,W ” 7_3;52 3 a Z / Y PERCOLATION RATE / (minutes/inch) PERC HOLE DIAMETER 6 TEST RUN BETWEEN J FT AND Y, s FT PERFORMED BY: VFI C,.l,rljs(„r�f,}t -' I v �..GL� �DP /�; CERTIFY THAT THIS TEST WAS PERFORMED IN 1345�it�CP�ba 9e> ,* 9��f}' �y [� ACCORDANCE WITH ATEA GUIDELINES IN EFFECT ON THIS DATE. DATE: O / /2 7 72-008 (Rev. 4/85) /✓V fl/z/ M PERFORMED Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 °� Vernon L. P.oelfs e �� SOILS LOG — PERCOLATION TEST <' rlo. CE 5107 �� o LEGAL DESCRIPTION: 4/'d -Z, All( J. NQl 2 ITf I I_ 3 G 4 5 G ci 6 4" 7 U /o 8- 91011 9- 10- 11 12- 13- 14- 15- 16- 17- 18- 19- 20 21314151617181920 COMMENTS sw4G,/ 1Sf ?oP 50 /( )Ptk c -r6-,5'r 14 Pi, Ll '&-11,6 y DATE PERFORMED: MY�I Z Township, Range, Section: -5S7 /ADL. e ' Z SLOPE IF YES, AT WHAT DEPTH? Depth to Water After '/• Monitoring? Date: SITE PLAN r�' ■■■■■■■■■■ Reading Dto Gross 9 2. Time Net Time Depth to Net Water Drop v ;Z _ 9 d ou x:36 7= PERCOLATION RATE v (minutes/inch) PERC HOLE DIAMETER �7 TEST RUN BETWEEN ^' F FT AND -3' 8 FT PERFORMED gY:VEI COl VS�.J:..,�IQ,r1b7T I //� �1 OC° /7 CERTIFY THAT TH S TE T WAS PERFORMED IN 1 u o trc e,Suite �y �%9 ACCORDANCE WITHAt10'g1rA$@,AtAIB9IAbtft®ISL GUIDELINES IN EFFECT ON THIS DATE. DATE: 72-008 (Rev. 4/85) tss Cj (ENGINEEK!§ Sr=%J'°t e� V..� o° �_ ° 7 ' 1960e., one lea °e"ee Municipality of AnchorageDEPARTMENT OF HEALTH & HUMAN SERVICES s 825 "L" Street, Anchorage, Alaska 99502-0650 e Vernon (. !toll a �Q a No. CE 51 ms's SOILS LOG — PERCOLATION TEST fin. °" Co ��h_°ole",-a�'f �r PERFORMED FOR: .U!^Gtr1C �%GtiZ Wil' / DATE PERFORMED: 9 / LEGAL DESCRIPTION: z�/J 1 �Yayi'tlrr)/9 /S/ i'W'�t' OWnShIP, Range, Section: -7-11 3 JV 2 D. 3 a 4 5- 6- 7- 8- 10 67810 11 6 12 13 14 15 16 17 18 19 •. -NONE INIONE ONE ■■FA. ■■N■ NONE IN 0 NONE .E■. ■■■■ MEMO WAS GROUND WATER �{ S ENCOUNTERED? S IF YES, AT WHAT L O DEPTH? p E Depth to Water After Monitoring? /0, / Date: SITE PLAN 3 Reading Dto Gross z Time Net Time Depth to Water Net Drop 7'<'T1/ 7 '/z 3 07:37 20 L.__ PERCOLATION RATE y (minutes/inch) PERC HOLE DIAMETER 6 TEST RUN BETWEEN 6 FT AND FT COMMENTS PERFORMED BY: UF!S O New if f.A_N 1'-c; I lee I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH A��b��E A Circle.Naffl t GUIDELINES IN EFFECT ON THIS DATE. DATE: 72-008 (Rev. 4/85) S JF leg�a� a Municipality of Anchorage ® ° f T{l 1 00 e 9 tae naa0 ee a¢e¢ °°e° DEPARTMENT OF HEALTH 8r HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION TEST s Vernon L. Roelfs < 4 ®®.�!n.°°„ No. CE 5107, a �� PERFORMED FOR: DATE PERFORMED:"' --`Z LEGAL DESCRIPTION: +-/ z, /�1 , 11A Ma �s�iJ.�ciTownship, Range, Section: D/ P SLOPE SITE PLAN 1 D.. m• 2 'o 3 4 5 „Q 6 �1 e 7 a �o 8 G� 9 u 10 11 12 13- 14- 15- 16- 17 314151617 18 19 20 COMMENTS /)C re— Gi`9 WAS GROUND WATER e 5 ENCOUNTERED? S IF YES, AT WHATL DEPTH? A0 ) O P E Depth to Water After Monitoring? Date:—"7-2 Reading Date/ % 22 j Z Gross Time Net Time Depth to Water Net Drop s' io. SU �.iO:u3 S / S e':2.5'3C. 5 YS S %8 . 3 PERCOLATION RATE / S 6 (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN J FT AND 3, S FT CO PERFORMED BY: 1345 vEl udakoj Circle, uite 201 INOu1" I A1� 1 S I //PrI1 �DF/t S CERTIFY THAT THIS TEST WAS PERFORMED IN u a o ACCORDANCE WITH1l]f-b fWA►Zh*&JNffW GUIDELINES IN EFFECT ON THIS DATE. DATE: 7, 72-008 2 72-008 (Rev. 4/85) fir" v Municipality of Anchorage.o° DEPARTMENT OF HEALTH & HUMAN SERVICES �° °°°•`°°°® •°° °°°'° 825 "L" Street, Anchorage, Alaska 99502-0650 •°°°°•° •°•� g SOILS LOG — PERCOLATION TEST ®®�m� Vernon L. 10 i CE 5107 •�� PERFORMED LEGAL DESCRIPTION: L 21 /?j , DEPTH 1 777 2 U 3- 4- 5 4 5 6 6 U b 7 v g v 9 j VZ11 12 13- 14- 15- 16- 17 314151617 18 19 20 COMMENTS Q Fp °°°°4•_ �,_� P 1. DATE PERFORMED: ®® Township, Range, Section: %77 B SLOPE SITE PLAN WAS GROUND WATER ENCOUNTERED? e � 3 S IF YES; AT WHAT L DEPTH? /� O P E Depth to Water After g Monitoring? / t7 Date:—F47 z Reading Date Gross Time Net Time Depth to Water Net Drop / 8;36:3U 3 y6'37 T, 97 7 g 7j- 57 79'0.3 /`/,65 it PERCOLATION RATE 5 (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN FT AND -?, f FT PERFORMED BY: VFICONSULTANT'S I //LI X /�C CERTIFY THAT THIS TEST WAS PERFORMED IN 1345 Rudakof Circle Suite 201 /6 ACCORDANCE WITHAh �Rjr 'CEAa 1 t�gft GUIDELINES IN EFFECT ON THIS DATE. DATE: 72-008 (Rev. 4/85) MUNICIPALITY q' _4 Development Services Department NIXPhone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Parcel I. D.050-611-22 1. GENERAL INFORMATION Expiration Date: 2-,Z/"V2_2_ Complete legal description HAMANN ADDN. #1 BLOCK 1, LOT 2 Location (site address) 24516 COLEMAN CIRCLE, EAGLE RIVER, AK 99577 Current property owner(s) JOHN & MEREDITH WITTE Mailing address Real estate agent Day phone 24516 COLEMAN CIRCLE, EAGLE RIVER, AK 99577 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: Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ 55o Waiver Fee $ Date of Payment f A /Z I Date of Payment Receipt Number 70%d y2. Receipt Number COSA # O 5 G'D \ Xpb A Waiver # Distance: 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 11/8/2021 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 toAt 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 �g.�Q: • • • . �t. for current or future occupants or guarantee that no unseen encroachments, deficiencies or discrepancies exist can be given by First Water Consulting &FWCS ' *' 49 TH •'* 6. DSD SIGNATURE Curtis Huffman j System #1 Approved for ���FT'F,�•CE 128991bd • 11/s/�9 • •��,: • System #2 Approved for bedrooms II,FoPROFESSIO Disapproved Conditional approval for bedrooms, with the following stipulations: 0 -SI p R JJJJ)))))1111� By: Original Certificate Date: The Municipality of Anc//rage 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 X Other COSA Checklist Legal Description: HAMANN ADD. #1 BLOCK 1, LOT 2 Parcel ID: 050-611-22 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 8/24/1992 Total depth 300 ft Cased to 40.33 ft Sanitary seal is functioning correctly Wires are properly protected Casing height (above ground) 18 in. Date of flow test for COSA 9/21/2021 Static water level at beginning of test 94 ft. Well production at time of test 0.8 gpm Water storage tank volume 240 gallons Well disinfected for coliform test? Yes No Coliform bacteria is Negative Nitrate 0.274 mg/L Nitrate less than MRL (ND) Arsenic ug/L Arsenic less than MRL (ND) Collected by Date of Sample 10/5/21 Comments __________________________________________________________________________________ B. TANK DATA Age of tank(s) 0 years Tank type/material ADVANTEX FAP / PLASTIC Measured operating fluid level in septic tank * Standpipes/foundation cleanout per record drawing Date of pumping * C. LIFT STATION Required maintenance completed Age of lift station years Lift station material Comments: *NEW TANK D. ABSORPTION FIELD DATA Which system tested (date installed) 9/1/1992 ALL standpipes present per record drawing Total measured depth from grade *4.1 ft (max) Measured depth to pipe invert from grade *2.7 ft (min) N/A – pressurized field Monitor tubes go to bottom of effective. If not, state depth into effective *1.4’ OF THE 1.5’ ED 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 9/21/2021 Results Pass For 4 bedrooms Fluid depth prior to test 0 in Water added 710 gal New depth 2 in Elapsed time 5 min Final fluid depth 0 in Absorption rate 600 gpd Any rejuvenation treatment (past 12 months) N If yes, enter date Comments/Deficiencies: *AT MT & PER ELEVATION SHOTS. TESTED UPPER TRENCH ONLY. NE PORTION OF FIELD HAS <2’ COVER WITH NO KNOWN FROST ISSUES PER OWNER. LOWER TRENCH HAD 5” OF FLUID. 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 ft Community Wells > 200’ Yes if No F. ENGINEER’S COMMENTS MEETS CODE SEPARATION REQUIREMENTS FOR CAT III SYSTEM. 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. 11/9/21 Well Water Advisory Certificate of On -Site Systems Approval # OSC211081 Subdivision: Hamann Addn #1, Block: 1, Lot: 2 This well's productivity was determined to be .8 gallons per minute. The minimum well productivity required under (AMC 15.55) for a 4 -bedroom residence is .41 gallons per minute or 150 gallons per day per bedroom. Although the subject well currently exceeds this minimum requirement, the production capacity can fluctuate and may be insufficient to meet your needs. This advisory must be attached to all copies of the subject Certificate of On -Site Systems Approval. Mall"mg Address P O, Box 196650 *:Anchorage, Alaska 99519 6650 * www muni org 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 Day of Akjkfw 3� of 20 P, 1 , by and between �NRtSToZ �)Zv ► �'""� 'N1A2�� , 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: I. Advanced Wastewater Treatment Systems. The Municipality grants permission to the Owner to utilize and operate an Advanced Wastewater Treatment System (AWWTS), described as located at (legal description) AN ADVANTEX SYSTEM i:rl&Imn : »rz.jajjjgN 2. Maintenance, Repairs and Alterations. (Owner is required to read, understand and initial each section) �j Throughout the term of this Agreement, the Owner shall enter into a service agreement Amwith 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. CR -3j Owner acknowledges that regular maintenance of an AWWTS reduces the potential pV failure of the system, which could include sewage backup and costly repairs or drainfield replacement. (rev. 05/18/2018) _ _ Page 1 of 3 Owner acknowledges that the Municipality may request records of maintenance and repairs from the manufacturer's representative or maintenance provider. Wf4) Owner acknowledges that the fine for failing to maintain and repair an AWWTS may be assessed in accordance with AMC 14.60.030. 0MOwner agrees to grant the Municipality reasonable access to test and inspect the AWWTS. The Municipality will give at least 24-hour notice. Owner agrees that any sale or transfer of title of the property will not occur without a new Certificate of On -Site Systems Approval. � �(l�t�'.. ( TS Owner agrees that the AWWTS installation and maintenance requirements as provided fCf�' 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. R h f h UOwner agrees to maintain remote monitoring of the AWWTS as required by the f�►l� AWWTS approval. 3. Term. The tern of this Agreement shall begin oil 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. Nonrvaiver. 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 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 ��' ��(signature) Date: C"W lr-fz- (print name) STATE OF ALASKA ) ss. THIRD JUDICIAL DISTRICT ) The foregoing instrument was acknowledged before me this 5 day of noQ , 20?�J, by YYtftLA%Ac.et al NOTARY PUBLIC FOR ALASKA STATE of ALASKA NoWyPubk My Commission expires: O�5 06 IB.S Breanna MartucG 6,4.Whm a tornom an■:+m Fxr. MUNICIPALITY: By: —1 (signature) Date: (print name) Title: (rev. 05/18/2018) Page 3 of 3 • • c,t De • Municipality of Anchorage ca, On-Site Water and Wastewater Program K (907) 343-7904 s Milli ' CERTIFICATE OF ON-SITE SYSTEMS APPROVAL Parcel I.D. 050-611-22 Expiration Date: 0 -�1 (o--1 15 1. GENERAL INFORMATION Complete legal description HAMANN ADD.#1 BLOCK 1, LOT 2 Location (site address) 24516 COLEMAN CIRCLE, EAGLE RIVER,AK 99577 Current Property owner(s) JONATHAN TACTO Day phone Mailing address 10437 LINDBERG AVE.#3000. JBER, AK 99506 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: 3 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ® Individual Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ Public Water System El Public Sewer 0 WaiverNariance request for: Distance: Received by: d671 - Date: ii/it° 1 7 COSA to be released to the engineer,unless othe .'s-ituested by the engineer. COSA Fee $ 62Co Waiver Fee $ Date of Payment //1/41//7' Date of Payment Receipt Number OW. 91) Receipt Number COSA# 00C/1 /63 a 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 ARCTERRA CONSULTING, INC. Phone 868-3791 Address 20441 PTARMIGAN BLVD., EAGLE RIVER, AK 99577 Engineer's Printed Name KENNETH M. DUFFUS Date 11111/2017 Engineer's Comments:This investigation was completed in compliance with ADEC and MOA regulations. 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 inland use, local soil characteristics,groundwater levels that may fluctuate during the year and the water usage of the family being served by the system. The operational life of all well and septic systems are subject to these various and dynamic characteristics and are outside the control of the evaluator of the well and septic system. Therefore, ArcTerra can not give any estimate of how long a system will function satisfactory for current or future 4110.-�'►\ occupants or can ArcTerra guarantee that no unseen ,r OF AL encroachments,deficiencies or discrepancies exist. .. <S .q *4 • 1ll ! f 6. DSD SIGNATURE � • �� � System #1 Approved for 3 bedrooms. + sf"k s ` � � System #2 Approved for _ bedrooms. 'o II 1/ 'Ale Disapproved, w`��� Conditional approval for bedrooms, with the following st' r. s:; ON-SITE `6-•--. WATER AND t1; WASTEWATFR •;c‘ PROGRAM ,0- . i s `� By: - t,_ 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 blue sheet 10-10-12.doc 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 HAMANN ADD. #1 BLOCK 1, LOT 2 Parcel ID: 050-611-22 A. WELL DATA Well type PRVT If A, B, or C provide PWSID# Well Log (YIN) Y Date completed 8/2411992 Sanitary seal (Y/N)Y Wires properly protected (Y/N) Y Total depth 300 ft. Cased to 40,33 ft Casing height (above ground) 18 in. FROM WELL LOG AT INSPECTION Date of test _8/24/1992 10/26/2017 Static water level 125 ft. 86 ft. Well production 2.0 g.p.m. 1.2 g.p.m. WATER SAMPLE RESULTS: Coliform NEG colonies/100 mL Nitrate 0.161 mgIL Arsenic: NO ug/L Date of sample: 10126/2017 Collected by: ARCTERRA B. SEPTIC/HOLDING TANK DATA Tank Type/Material SEPTIC I STEEL_ Date installed 911/1992 Tank size 1250 gal. Number of Compartments 2 Cleanouts (YIN) Y Foundation cleanout (YIN)rY Depression over tank (YIN) N High water alarm (YIN) N Date of pumping f 0 (.7 _ Pumper JRs C. ABSORPTION FIELD DATA — Tested East trench only—West trench had 6"of fluid. Date installed 9/1192 Soil rating (g.p d./ft` or ft2/bdrm) 0.5 System type SHALLOW TRENCH Length (2 X 82') 164 TOTAL ft. Width 5 Gravel below pipe 1.5 ft. Total depth 4.5/5.3 ft. (Measured 10/26/17) Eff. absorptio fe@, DJt2' Monitoring tube Y Depression over field N Date of adequacy test 10.26.2017 Results (Pass/Fail) PASS For 3 bedrooms Fluid depth in absorption field before test 0 in. Water added 600 gal. New depth 5 in. Elapsed Time: 25 min. Final fluid depth 0 in. Absorption rate >= 450+g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) N _ _ If yes, give date D. LIFT STATION Date installed Size in gallons Manhole/Access (Y/N) "Pump on" level at in. "Pump off' level at in. High water alarm level at in. Datum Cycles tested Meets alarm &circuit requirements? E. SEPARATION DISTANCES WELL ON LOT TO: Septic tank/lift station on lot 100'+ On adjacent lots 100'+ Absorption field on lot 100'+ On adjacent lots 100'+ Public sewer main 75'+ Public sewer manhole/cleanout 100'+ Sewer/septic service line 25'+ Holding tank 100'+ Animal containment areas 50'+ Manure/animal excrete storage areas 100'+ SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Absorption field 5'+ Water main 10'+ Water service line 10'+ Surface water 100'+ Wells on adjacent lots 100'+ ABSORPTION FIELD ON LOT TO: Property line 10'+ Building foundation 10'+ Water main 10'+ Water Service line 10'+ Surface water 100'+ Driveway, parking/vehicle storage 10'+ Curtain drain 50'+(NONE KNOWN) Wells on adjacent lots 100'+ F. COMMENTS Two 120-gallon water storage tanks located in laundry room. This investigation seems consistent with most recent 2015 COSA. G. ENGINEER'S CERTIFICATION 1 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. OF , Engineer's Printed Name KENNETH M. DUFFUS Date 11/11117 * 4• TH 1* 0 %// COSA canary sheet_2-6-15.doc ��► , r KEINE bur , � 7 6 T 1 ;b // ' . / 'F'E 'SO, .. Municipality of Anchorage On -Site Water & Wastewater Program (907)343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL Parcel I.D. 050-611-22 Expiration Date: Ce ^ / 3-- /J 1. GENERAL INFORMATION Complete legal description HAMANN : BLOCK 1, LOT 2 Location (site address) 24516 COLEMAN CIRCLE, EAGLE RIVER, AK, 99577 Current Property owner(s) - BRAD YOUNG - Day phone 694-9652 Mailing address 24516 COLEMAN CIRCLE, EAGLE RIVER, AK, 99577 Real Estate Agent BOB BAER W/ REMAX/DYNAMIC Day phone 261-7505 2. TYPE OF DWELLING: Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 3 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well Individual On-site Individual Water Storage ❑ Individual Holding tank ❑ Community Class Well ❑ Community On-site ❑ Public Water System ❑ Public Sewer ❑ WaiverNanance request for: N/A Distance: COSA to be released to the engineer, unless COSA Fee $ 6" Date of Payment .3110116-- Receipt 3110 15 --Receipt Number 001(o6 COSA# 015CI510?6) Waiver Fee $ Date of Payment Receipt Number Waiver # 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm GARNESS ENGINEERING GROUP, Ltd. Address 3701 E. TUDOR ROAD, SUITE 101-' ANCHORAGE, AK, 99507 Engineer's Printed Name Engineer's Comments: JEFFREY A. GARNESS, P.E. In conducting this evaluation, GEG provided an engineering evaluation of the well andlm septic system io accordance with the guidelines and regulations established by the Municipality of Anchorage and industry practices The reported results describe the condition of the systeMs on the date/s of the evaluation. Separation distances were measured to readily identifiable features. Hidden defects ov encroachments may exist that were not identified during the evaluation. The operational life craft wells and septic systems depend on a variety of variables including, but not limited to, soil conditions, groundwater levels (that may fluctuate during the year), quality of construction (materials and workmanship), and the water usage of the family utilizing the systems. These conditions can vary, and are outside the control of GEG. Satisfactory test results do hot guarantee future performance of the systeMs; therefore, GEG makes no warranty (express or implied) regarding the future performance of the well or septic system. GEG makes no representation whether an alternative well or septic system can be installed on the property in the event either of the current systems fail. The content of this report is for the sale benefit of the personlipairy who retained GEG. Reliance upon the information provided in this report by any otherperson or party, including but not Bated to subsequent property purchasers, isnot authorized. In short, GEG disavows any legal duty to anyone other than the persoapaq who paid for this report. 6. DSD SIGNATURE System #1 Approved for System #2 Approved for Disapproved. Conditional approval for 9 bedrooms. bedrooms. bedrooms, with the following Phone 337-6179 Date 3 t C, )/,5— (Rev. ys P%FESsko_� , ( OF,4N yofr ON-SITE �p,%y WATER AND z WASTEWATER o_ PROGRAM Original Certificate Date: 3 l 3 — 115� The MufVipality or Anc11-ci`rage Develop, emt Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the represenatations 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. ATTCHMENTS: COSA Checklist Septic System Advisory Well Flow Advisory (Rev. 10112112) Nitrate Advisory Arsenic Advisory Other 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: HAMANN ; BLOCK 1, LOT 2 Parcel ID: 050-611-22 A. WELL DATA **PER WHEATON WATER WELLS REPORT. Well type PRIVATE If A, B, or C provide PWSID# N/A Date completed 8/24/92 Sanitary seal (YIN) YES Total depth 300 ft. Cased to 4033 ft. FROM WELL LOG Date of test 8/24/92 Static water level 125 ft. Well production 2.0 g.p.m. WATER SAMPLE RESULTS Well Log (YIN) YES Wires properly protected (YIN) YES Casing height (above ground) 12+ in. AT INSPECTION Coliform 0 colonies/100 ml. Nitrate 0.128 mg./L. Arsenic: ND ug./L. Date of sample: 2/5/2015 B. SEPTIC/HOLDING TANK DATA Tank Type/Material SEPTIC/STEEL Tank size 1250 gal. Number of Compartments 2 **7/30/2013 **JJ SP&G i ft. **1.3 g.p.m. Collected by: GEG, LTD. Date installed 8/31-9/1/92 Cleanouts (YIN) YES Foundation cleanout (YIN) YES Depression over tank (YIN) NO High water alarm (YIN) N/A Date of pumping 4/23/2014 Pumper SANITARY PUMPERS C. ABSORPTION FIELD DATA Date installed 8/31-9/1/92 Soil rating 61id.lft r ft2/bdrm) 05 System type DUAL TRENCHES 2®s2' Length 164 TOTAL ft. Width 5 ft. Gravel below pipe 1.5 ft. Total depth *4.50/5-33 ft. Eff. absorption area 1051 ft' Monitoring tube YES Depression over field NO Date of adequacy test **7/2113 Results (Pass/Fail) PASS For E bedrooms Fluid depth in absorption field before test E in. Water added 500 gal. New depth 11 in. Elapsed Time: 180 min. Final fluid depth 1 in. Absorption rate >= 450+ g,p,d, Any rejuvenation treatment (past 12 mo.) (YIN & type) NONE If yes, give date **TESTED EAST TRENCH ONLY. WEST TRENCH HAD 17 INCHES OF LIQUID AT TIME OF INSPECTION. PORTIONS OF EAST TRENCH HAVE APPROXIMATELY 36" OF SOIL COVER OVER INVERT. NO FREEZING ISSUES REPORTED BY HOMEOWNER. OK PER JEFF POET. D. LIFT STATION Date installed Size in gallons Manhole/Access (YIN "Pump on" level at in. "Pump off'level High water alarm level Cycles tested Meets alarm & circuit requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot 100'+ On adjacent lots 100'+ Absorption field on Public sewer main 1 Do'+ On adjacent lots 100'+ Public sewer manhole/cleanout N/A Sewer /septic service line 25'+ Holding tank N/A Animal containment areas 50'+ Manure/animal excrete storage areas 100'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Absorption field 5'+ Water main N/A Water service line 1o,+ Surface water 100'+ Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ Building foundation 10'+ Water main N/A Water service line 10'+ Surface water 100'+ Driveway, parking/vehicle storage 10'+ Curtain drain NONE KNOWN Wells on adjacent lots 1 OD'+ F. COMMENTS SEE ATTACHED LETTER REGARDING WELL & WATER CISTERN STATUS. SEPARATION BETWEEN WATER SERVICE LINE AND SEWER SERVICE LINE IS UNKNOWN. G. ENGINEER'S CERTIFICATION I certify that t have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. Engineer's Printed Name jj JEFFREY A. GARNESS Date �IIV/r5 (Rev. 11/05) GARNESS ENGINEERING GROUP, Ltd CIVIL & ENVIRONMENTAL ENGINEERS March 10, 2015 Municipality of Anchorage Development Service Department On -Site Water & Wastewater Program 4700 Elmore Road, P.O. Box 196650, Anchorage, Ak 99519-6650 ,�.t;; REFERENCE: Hamann S/D j"; Block 1, Lot 2. Configuration and Status of Well and Water System. To whom it may concern, The subject property is served by a private well and septic system. In June of 2014, GEG was contracted to inspect the well and septic system for the purpose of obtaining a COSA for the property. The property owner revealed to us an undocumented water cistern, collecting surface water from a creek, connected directly to the well. Surface water was feeding through a pipe directly into the well casing. We discussed the legal status with your department and the homeowner was instructed to have the cistern disconnected by a certified well and pump contractor. Brian Wille with Wheaton Water Wells disconnected the cistern from the well (see attached report/receipt), performed a well flow test and chlorinated/flushed the well. GEG, Ltd. pulled a new water sample on 2/5/2015 which showed no bacteria and nitrate levels of 0.128 mg/L. The water cistern could potentially be retrofitted and used for agricultural purposes in the future. It is our understanding that he cistern is constructed with concrete. It has a steel lid that was locked during our inspection. In short, the cistern does not appear to pose a significant threat to the safety of future owners and is no longer connected to the potable water system. If you have any questions, please contact us at 337-6179 .E., M.S. 3701 East Tudor Road, Suite 101 * Anchorage, Alaska 99507-1259 Phone: (907) 337-6179 * Fax: (907) 338-3246 * Website: www.garnessengineering.com Wheaton Water Well Inc. Flow test/Work Report 907 715-1340 907 376-2041 24516 Coleman Circle, Eagle River, AK, On 7/30/2013 Wheaton Water Well performed a flow test over the top of the well after cistern was shut off for 19 days as per customer. After 4 hours of pumping, well showed a production rate of 1.3 gallons per minute. After consulting with the MOA Onsite department we decided to use a shaved and sealed pitless half. Pictures of unit will accompany this report. Unit was coated with Balzona bonding material that will prevent unit from being removed from inside the well. N 1, l„/: i L ✓ �. �. "-[ ✓i 1"J . /�/ '� %GC r i i C� i �, �` �✓'' S to �O �, Brian R. Wille Wheaton Water Well Inc. q r r I '�r ARCTIC PUMP & WELL INC. Jim Sullivan PO Box 770197 --N Eagle Cagle River, AK 99577 �Eosrsms'-� (907) 688-2510 sins a sora (907) 258-2510 (907)745-2510 qt) w ci,eci.net Pump Installation Log Well Drilling Permit Number: SW Parcel Identification Number: Date of Issue: Arctic Pump & Well, Inc. Page 1 of I Legal Description: Hamann Property Owner Name & Address: Lot:2 Brad young Block:l PO BX 771364 Fanla R k,P, AK QQ577 Pump Installation Date: Pump Intake Depth Below Top of Well Casing: Feet Pump Manufacturer's Name: Dempster Pump Model: Pump Size: hp Pitless Adapter Burial Depth: feet Pitless Adapter Manufacturer's Name: Pitless Adapter Installer: U/K Well Disinfected Upon Completion? Yes Method of Disinfection: Chlorine Comments: MOA well seal and conduit installed Pump Installer Name: Arctic Pump & Well, Inc. Arctic Pump & Well, Inc. Page 1 of I w ..IV I Y -i f ?L'E3`r' cr-R nFY THAT 1 HAVE URVEYrD THE SCh` � ,,LLConkyio!iYj DESCRIBED PROPERTY- AND a 4AT WO MCROACHMENTS EXIS-(fCEPT AS r INDW NISO. IT IS THE RESPONSIBILITY OF THE LWI I CR () DETERMINE THE E)SISTENCE OF ANY GRID. ASEtJlk'; l'i" , COVENANTS, OR RESTRICTIONS MACH hO WTAPPEAR ON THE RECORDED I- VlmoN P, -%T UNDER NO CIRCUMSTANCES SWUM F& %moi Z-7ANY bATA. HEREON USED FOR CONSTRUCTION OF PI Ili;l i' IWi *aa OR FOR MABLISHING D- DRAWN.' �4%1%wv► OF Al Ig Dunnet Mork Uwnrd LS — S�Rit $./I