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HomeMy WebLinkAboutMOUNTAIN PARK ESTATES #2 BLK 2 LT 5Mt. Park Estates #Z Block 2 Lot 5 #017-022-05 CQ STATE OFALASKA WARTSIENT OF ENVIRONMENTAL CONSMVAT70,N CONSMUCl'ION AND OPERATION L'P3tTMCATE FOR DOMESTIC WASTE WATER DISPOSAL SYSTEMS �t.DE.e ,� 992i�j3W,�WW% 2a'/=3�'fi A. APPROVAL To cON9 mcr Flint for dwomistruction f 1407' E, BLC CG c 2- /'?oagtMJ foceted iu jJ G by t-rl+jA j� VF -j-PXl Nl(�,n.F -P, ,� apptovaa. PSR Yau� svl�3f�t��Atr conditionally approved (pec AWIted coodidons) Wf ,�klaska, aubmhW in accmdsace with 18 AAC 32.2113 have Firm rovlwvad and ate OF 8 SEOZMER 19:98 if owntrntdlon has notstasted wi&k two yrars of the approval data, this certificate is void sad new plans and apecificat cros mase be sabmfttedhrftvfew and approvel befansoonstri"Do.. a. Ai' OVEDMANGEORDERB Chettgefeont actordcr>tmnber or desetiptive m cc) Approved by pace P — .. S C. AP)MOVAL'TOOPFRATE The "APP1titVAL TO OPERATE" sectfon mast be completed and signed by dw cpwtnmtbofore this system is made available WOO. Tbe:cwta wd000ftho domestic wastewater "POW systeat was cotapleted on {data} The ayA j$,b reby'&a Wd igterltm approval to operate forgo days fuflow*& the compltd= date. ON BY IME ow,a roa6oned that t ho 4ameadc The system 1$ bereby granted r mte axTa Dhoibkieom- {. Writ ` (CqMWAW3wtlop C,) T. Yd6w40wm"I1(comoma:sgodun C) 3.W Piat:Na r . ugh ;..(nt=e wftomUk0t0?pIuaoSwdnC) ADEr,#9921-DWMW-251-365 I , — —FLUSMNG VALVE EWLOBUR" " —I= MAL. C4 SWMIC TANK 'mr7=17-1 SM, All LOW RMWDUAL 1, jt IN FROM; COM 4A* COR "00 CMIL V' TD: &T, C.O. "a" 20 4w OBL C.m "E* 30.1' 4&V' LA. M.K *P 42 52.8 VALVE coy, agr w a, ISE ACT. "W ev ?w VALVE COV. T ?V all SAAW. PORT "J" 814 all TP. Ciol *K* ev Tit M.T. *t." w sr 0 PAGE I OF 2 LOT 84 MAICKlo MM PAW MT 02 IAT a. am A wrt PARK T. #2 SmvM S"TRM U"o" A34UILT INSPECTMN I1WPMT, -PLM kWe'"M KeW At AMrA 02SM NOVEMBER. toot ADEC # 9921-DWANW 251-355 MGMTOR TUBE FLUSHING V) ENCLOSURE TUBE ; CO. ff 44:SLOTEU PV UNDERORAIN 4" F-810 PERF DJ9T PIPE 21- SO(L COVER -RL7tR FABRIC 7'>RIOID'INBULATIO N 318" PEA GRAM, LINE .—we -PEA GRAvEL 4z LoNe RESIDUAL DISPOSAL TRENCH wiTH8:9GRAVELBETW 9.5'a7B•&G.L ARE RELATTVETO AN A48UMEt/ DATUM OF OF THESIDINGATTfM 11WCORNER OF THE PMOL BOM LOGATBB INSIDE THE GARAGE )F THE BUIL1XNG ESSURE GUAM AND AIR FLOW GUA©E ARE PAGE 2 OF 2 NEW 500 COAL — ANCHMdIfTANK LIEF MT C N wpREmw PUMP $ CONTROLS - LOT % BUL 2, MTM. PARK UT. 02 asmo sYSTem'u"RADL AA&SLALTINSPL=C"i1o1 AEPOliT . PROMM LATTDP-r1•xxrra,catl. z-utc�NOT70SCALE 4514;,it iitl-S1`ltli$9' DRAWN aY" yntaaty AR aaxrarth:ansrx I NOVEM$5R; M lot m "I VII o, FLATTOPTECHNI CAL SERVICES t4M EGA 6T - ANCHORAGE. ALASKA 9"18 TEST HOLE,M I SOILS LOG -- PERCOLATION TEST tEGAI. 6fIICR�TIOHt. -- -I nt x �� z �,�•��, Patk �4SQ9,.LInII VATZ PERl�RMM �pu®L2B 19AS _ Pt. ML (FYI) Pt am sandy W" ML Grey, sonwom moi' all rimae eeoomessome*0morm omm below 10, sumo =vW boMm 3 feet BIOPE 1 As Tiwe PayT�aa�m�atat nClyrvYY (1{Alal�% A�XI[Q � �Inalmal j —`' B H. 20 PROCOI ATlON BATE ,app (m asrmthl FEM HOLE QAMETEE TESTRUNWINIV€€tf_.7'1_NFTAIMQ _ FT- Cc�MMEertQ: 14>�nrFlUantrsiri wtidi a:arad ori lso�dWr dpenro teat cornea ate lest resWts m appser Waesu tllm+�#hem�a crab w9h.otyc"vegnRlR tl�ofess.MetaWGnerc (lI A13 ammeenboybaall rt n__. PERFORMEOBY FLOkTCW TECHNICAL SRAMM 1 '� 9140"'t..- ._.-. CMFY THArpmTmwA6 PERpolti HIN AC.MRnAt4WWTHALLATAV-AktutdHIcIAALGUIS IIWAIN"FMTCM"iSflATE VAT- 1,919& PLATTOP TECHNICALSERVICES tZ 18630 ECHO Sr �I �F-ALMKkR05s9 TEST Hoke* re 3 I SOILS LOG — PERCOLAnON I ES7 :LE6l�LDE86RiPTlON 4at9.itlock3..l1PYAtP tMnil3,�.. _._� DATE PERFORME9. Ai . IiE�B PERFORM£DFDIr, ...s...Qft➢adI9aF1 Pt SM Sandy loam ESA MY sand Sal! *ft �T9L4PE __ 1 m 0 SPM taMpsanti.'- 37/#9 CabMmbobNmm POODDLATON RATE _ 6 ii b PERC HOLE DIAMETER 2E Ekh Ro salon rock TES K* BvmtN _ 13.0 FT AND ib 5 Ft CDMt NTs,_.re�kl+cle eabrcmowrvnndino�a r we -430h __ "0 bft*h" . PERMWED 9Y FiATMMCHNIM BERVr.F � . CERTFFy1mATTHI&1ESTVMA6 PERF;oRmED iN A=01VANCE WnItA L.$7ATE AND MUNM]MALCUDELFRE9 IN CtTECTON P419 VATS. DATE GAAB-HD-1 GRATER ANCHORAGE AREA BOROp*H HEALTH DEPARTMENT 327 EAGLE ST. ANCHORAGE, ALASKA 99501 279-2511 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME MAILING 6,c?x a pp 1�/ FZ T ir71 ADDRESS �ri 0'%, �! ��/qV,��-T7 y�� PHONE 71. LOCATION ,moi VrYLC+T.LU1 -V- 1 J I L /`'3 1 V &- LEGAL DESCRIPTION PC / a , 11 L 3bLaD 4 : rL.A r r - SEPTIC TANK: ' NUMBER OF DISTANCE FROM WELL �rrt MATERIAL //✓� 7 , —COMPARTMENTS. of%5A1 0 LIQUID CAPACITY / 56 GALLONS. INSIDE LENGTH INSIDE W DTH DEPTH SEEPAGE SYSTEM: SEEPAGE PIT: NUMBER OF PITS/ �� / OUTSIDE DIAMETER OR WIDTH /v LENGTH s �� DEPTH , LINING MATERIAL&Atel �! N`�d . DISTANCE FROM WELL 45�'�o / BUILDING FOUNDATION le)/ NEAREST LOT LINE L'r� TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) 7t1eP SQ. FT. TILE DRAIN FIELD: DISTANCE FROM W NUMBER OF LINES ABSORPTION AREA FOUNDA ISTANCE BFb EEN LINES SQ. FT. LENGTH OF EACH LIN NEAREST LOT LI TRENCH WIDTH TOTAL LENGTH OF LINES_ IN. TOTAL EFFECTIVE DEPTH: TOP OF TILE TO FINISH GRADE DEPTH OF FILTER MATERIAL BENEATH TILE. IN. ABOVE TILE WELL: �`, �'C.1 jC/ / DISTANCE FROM / WATER TYPE DEPTH I ` BUILDING FOUNDATION.- SAMPLE NEAREST l� NEAREST � / SEPTIC / SEEPAGE` �l/ CESSPOOL "� SOURCES LOT LINE �✓n SEWER LINE Z T , TANK 'f SYSTEM / DISTANCES d --7 45 7' 7o / DATE APPROVED HEALT AUTHORITY { i/ .13 -HD -2 ? GREATER,. -ANCHORAGE AREA L_.,)R®UGH Case No. ill_ /$ HEALTH DEPARTMENT e 327 Eagle St. Anchorage, Alaska 99501 279-2511 SEWAGE DISPOSAL SYSTEM - APPLICATION & PERMIT - t6 NAME OF APPLICANT�C��IU`t Vv� o' �� MAILING ADDRESSvIo�j � y�upp`>`Ik�� PHONE NO2/; ff VS NAME RESIDENCE ADDRESS Yf�i LOCATION OF INSTALLATION_ e ketywwj \i t�tas ayr - LEGAL DESCRIPTION c''l a', PjiD� i; �i/r�f /��t t%' !?z C� f'ii3 ,Sub Av1� APPLICATION TO INSTALL: SEPTIC TANK_, SEEPAGE PIT �- d DRAIN FIELD , OTHER TO SERVE THE FOLLOWING FACILITY FINANCED THROUGHEJ)�-e A"It- it Pi& ki TO BE INSTALLED BY (3C -i sJ lam_ PERCOLATION TEST RESULTS 252?' xP_✓1'a° ANTICIPATED DATE OF COMPLETION BELOW TO BE FILLED OUT BY HEALTH DEPARTMENT THIS IS TO SERVE AS y"- WOOD (V) Ai PERMIT TO INSTALL A AS DESCRIBED BELOW. SIZE OF UNIT TO BE SERVED SEPTIC TANK SIZE TYPE SEEPAGE AREA SFJ _C4/6-5- TYPE � DIAGRAM OF SYSTEM �`Kl� DISTANCES: I a t.1 Health Authority certify that I am familiar with the requirements of Greater Anchorage Area Borough Ordinance No. 28-68 and that the ve described system is in accordance with said code. APPLICANTS SIGNATURE 4 0} 1 2 4 5 6 7 8 9 10 C;REATER ANCHORA' -: ARRA JBOROUG, HEALT,i DDPAETIIENT 327 EAGLE STREET ANCHORAGEs ALASKA 99501 CASE 7_ Performed for t -a to r+ x9jU ffLgn Date Per�ormed I„ A� �.�y�.s.�� Legal Des,rxi tion: Lot�P>sock SubdivisionPar fat" This Form R.ePO-ts a; S I'S Log Percola ion Tesr.� Depth , r S Characteristics Location Sketch <.( Was Ground Water Encountered?a 0� If Mess At What Depth Proposed Instal]:atSeepage Pit Drain Field Depth Of Inlet Depth To Bottom Of Pit Or Trench --Q-r —"""""®"` COMMENTS��{;p�gp�jd � �ruizt �`iald be used in lieu_of Seepage x)it. "`�"" Test Performed Bt.: Data Certified By: William x. Date: 26 August 5, 1969 Mr. William Q Duncan 2227 SpenaF d Road Anchorages Ak. 99503 SUBJECT: Soil and Percolation Test For Lots 4 i, 52 Upper Kung in Park Estates Subdivision #2 Dear Mr. Duncan* This Department received the subJect test and has the following comments: 1. A iercclati.on test :nun at the bottom of a nit is not valid or representative of the pert rate for the entire strata to that ? dept . Only percolation tents run in aufQrea holes completely pletelya saturated and filled with :neater to around level, are considered valid, 2, if these: comments were just an added observation, then they are helpful. During the period when the test was run, this area experienced cavy rains which could have caused sever- error in results, Please be informed that any future percolation tests ::arra to be run in angered holes done by mt;m']ers of your st<':if, .in:0oreI DAVID R. L. DUNCAM5 M. D. Medical. Director BY: Sanitarian RRS:rn August 1, 1969 Captain Woodman 4001 Seward, Apt. X Anchorage, Alaska Re: Percolation Fest Lot 4 & 5 Block 2 Upper Mt. Park Estates Sub -No. 2 Dean Captain Ttocdman> `'his letter is to certify that a percolation test has been conducted on the above-mentioned property. It was determined at the time of our investigation that a percolation test was necessary and the information enclosed here -in decribes the soil charteristics and percolation rate for your property which is adequate for a sewer syetesn. Location of the septics tante and seepage pit is shown on the attached Greater Anchorage Area Borough health Department form. This test was performed in accordance with the Greater :anchorage Area. Borough Health Department specifications and the Public Health Service Publication No, 526. 1 Respectfully submitted, um. William E. Duncan Manager 14 ' s gd molt Form cc: Greater Anchorage Area. Borough Health Department REQPEST FOR APPROVAL _ 00 iiiuivIDWL Mt r ViATtP.FACILITi8s Name of perspnrequestjnQ atptoval c- 3*' Name of ptop6rtp, owner. V —13-((. 7. Sewage disprsall. of- '',this -7 e. PercolaTi.on T"tresuiu:s f. Percolation Test performed by -- p_ Use the reverse ,side of this -form to show diaprari. Diagram should include __` the following information: property lineS'-well location, house location, ryap-ti-c tank location, disposal area location, lacation of percolation test, an�1 direction of ground slope. The l�formatora.on tti;,form-i true and correct to the best of y knowledge. IS�.gnatvre of 1;ppli'cant Date Signed TO BE FILLED OUT BY HEALTi= DEPARTMENT PERSONNEL �'The above described sanitary faciliti-s are hereby approved, subject to the ...'-­ f6llowing conditions: Conditions:, The :above described sanitary facilities are disapproved for the followint: reasons: m Signatur 61 off, iC Approval is valid for one year following thedateof .approval.. CPJ:cw MUNICIPALITY OF ANCHORAGE Development Services Department Phone: (907)343-7904 On -Site Water & Wastewater Section Fax: (907)343-7997 Certificate of On -Site Systems Approval OSC251517 Parcel ID 017-022-05 Expiration Date: i i � / Legal description MOUNTAIN PARK ESTATES #2 BLK 2 LT 5 Site address 12920 HILLSIDE DR, DUPL B Current property owner(s) WILLIAMS WALTER & AUDRIE X The On -site system(s) is/are approved for 5 bedrooms Conditional approval for bedrooms, with the following stipulations: Comments or conditions: No comments By: Curtis Townsend I— ( � F_g- Original Certificate Date: 11 /19/2025 This Certificate of On -Site Systems Approval (COSA) is intended to demonstrate the subject system(s) is/are in substantial compliance with municipal code. The Municipality of Anchorage, Development Service Department (DSD) issues COSAs based upon representations provided by an independent professional engineer. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's submittal. ATTACHMENTS: COSA Checklist X Well Flow Advisory Absorption Field Advisory Nitrate Advisory Tank Age Advisory Arsenic Advisory Other MUNICIPALITY OF ANCHORAGE mi Development Services Department Phone: 907- 43-7904 x' On -Site Water & Wastewater Section Fax. 90 7-343-7997 Certificate of On -Site Systems Approval Application 1. GENERAL INFORMATION Parcel I.D. 017-022-05 Complete legal description MOUNTAIN PARK ESTATES #2 BLOCK 2 LOT 5 Location (site address) 12920 HILLSIDE DRIVE ANCHORAGE, ALASKA 99516 Current property owner(s) WILLIAMS WALTER & AUDRIEDay phone 2. ON -SITE SYSTEMS SIZED FOR 5 BEDROOMS 3. TYPE OF WATER SUPPLY:; ❑ Private Well serving # 2 dwelling units ❑ Other Non-public well as regulated by MOA ❑ Water Storage ❑ Community Well or Public 4. TYPE OF WASTEWATER DISPOSAL: ❑ Private Septic ❑ Private Septic serving 2 dwelling units ❑ Holding Tank ❑ Community Septic or Public Sewer 6. SEPTIC TANK: ❑ Steel ❑ Plastic ❑Concrete ❑ Fiberglass Age 56 - See advisory if steel or fiberglass older than 20 years 6. ABSORPTION FIELD. ❑ AVWVTS ❑ Bed ❑Q 'Deep Trench ❑ Wide Trench ❑ Seepage Pit Waiver request for: Distance: Expedited review requested: By applying for this entitlement, this property is subject to inspection by municipal On -site staff to verify the accuracy of the information provided. COSA Fee $ Waiver Fee $ Date of Payment Date of Payment COSA # 0 Waiver # 0''_V 'z- 105c) COSA Application Apr2025.doc COSA Checklist_May2025 copy.docx COSA Checklist Legal Description: MOUNTAIN PARK ESTATES #2 BLOCK 2 LOT 5 Parcel ID: 017-022-05 If more than 1 well and/or septic system on lot, provide separate checklist. Structure served by this system ____ A. WELL DATA Well log is filed with Onsite (or attached) Date drilled *CIRCA 1969 Total depth *148 ft Cased to *UNKNOWN ft ** Sanitary seal is functioning correctly ** Wires are properly protected Casing height (above vault ground) **6 in. Date of flow test for COSA 10/31/25 Static water level at beginning of test 75 ft. Well production at time of test 0.5 gpm Water storage tank volume 250 gallons Well disinfected for coliform test? Yes No Coliform bacteria is Negative Nitrate 5.29 mg/L Nitrate less than MRL (ND) Arsenic ug/L Arsenic less than MRL (ND) Collected by Date 11/3/25 Comments: *Well data per MOA record documents. **Well head is & has been sealed with no known issues for decades. The well / vault is in middle of garage with positive surface drainage away from the well, has been sealed with heavy caulking, protective steel cover rated to prevent any vehicle damage & appears to be water tight per 15.55.060 A2 along with correspondence with MOA Curits Townsend. See attached Sullivan Letter. We would assert that the existing recorded documentation be considered as a well log & scoping would be unnecessary in this high nitrate area. B. TANK DATA Measured operating fluid level in septic tank 61" Date of pumping 10/28/25 Required maintenance completed, if AWWTS Comments: Concrete tank fluid levels appear normal. C. LIFT STATION Required maintenance completed Age of lift station 27 years Lift station material STEEL Comments: D. DISPOSAL FIELD DATA Which system tested (date installed) 1998 ALL standpipes present per record drawing Total measured depth from grade 21 ft (max) Measured depth to pipe invert from grade 10.3 ft (min) N/A – pressurized field. Per record drawings, IDSF field is insulated. Monitor tubes (MT) go to bottom of effective. (ED) If not, state depth into effective Presoaked required if (Required if house vacant or field not used for more than 30 days prior to date of test) Gallons introduced 2000 gallons 10/30/25 date Any rejuvenation treatment (past 12 months) N If yes, enter date Adequacy test date 10/31/25 Results Pass Fluid depth prior to test 0 in Water added 750 gal New fluid depth 5 in Elapsed time 1440 min Final fluid depth 0 in Absorption rate 750 gpd FIELD STATUS – POST RECOVERY Effective depth (per record drawings) 102 in (MOA 8.5 ED) Effective depth used 0 in (Final Fluid Depth) Effective depth remaining 102 in Comments/Deficiencies: Measured depths of existing grade & appears added field cover may have been installed over the southern portion of trench for additional buffer protection from drive. COSA Checklist_May2025 copy.docx E. SEPARATION DISTANCES From Well on Lot to: (Please enter distances if less than required) Septic Tank/Lift Station on Lot > 100’ Yes if No *60+ ft Neighboring Tank > 100’ Yes if No ft Disposal Field on Lot > 100’ Yes if No *85+ ft Neighboring Disposal Fields > 100’ Yes if No ft Sewer Line/Main > 100’ Yes if No ft Sewer Manhole/Cleanout > 100’ Yes if No ft Sewer Service/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 N/A – Served by Community Well (not on lot) or Public Water From Septic/Holding Tank and Disposal Field(s) on Lot to: (Please enter distances if less than required) Tank to Foundation > 10’ Yes if No ft Field to Foundation > 10’ Yes if No ft Tank to Property Line > 5’ Yes if No ft Field to Property Line > 10’ Yes if No **2’+ ft Water Main/Service Line > 10’ Yes if No ft Surface Water > 100’ Yes if No ft Wells on Adjacent Lots: Wells > 100’ Yes if No *90+ ft Community Wells > 200’ Yes if No ft If tank or field is under driveway comment below F. ENGINEER’S COMMENTS *Waivers issued in DEC documents. **Per as-built survey with pipe locations & field dimensions in DEC record documents it appears the lined IDSF is approximately 2’+ from property line and the deep trench is approximately 4’+ from property line & request a MOA waiver be issued to clarify. All adjacent septic systems are 20’+ away from, with no known issues and the septic has operated also with no known issues. DEC approved the installation & operation with waivers previously. G. CERTIFICATION & 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, indicates that the on-site water supply and/or wastewater disposal system appears to comply with applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation, unless noted otherwise. Name of Firm FIRST WATER CONSULTING Phone 907-350-9566 Engineer’s Printed Name CURTIS HUFFMAN, PE Date 11/11/2025 Comments: This investigation was completed in compliance with MOA guidelines, regulations, and best industry practices / methods. The assessment of the condition of the well and septic applies only to the conditions as of the day tested. The flow and absorption rates may change due to subsurface conditions that may not be observed from the surface, changes in land use, local soil characteristics, groundwater levels that may fluctuate during the year, quality of construction (workmanship & materials), the water usage of the family being served by the system and maintenance. The operational life of all well and septic systems are subject to these various and dynamic characteristics and are outside the control of the evaluator of the well and septic system. Therefore, any or NO estimate of how long a system will function satisfactory for current or future occupants or guarantee that no unseen encroachments, deficiencies or discrepancies exist can be given by First Water Consulting & 11/11/25 13030 Sues Way, Anchorage, AK 99516 907-350-9566 / firstwaterAK@gmail.com November 15, 2025 Municipalities of Anchorage On-Site Water & Wastewater Program 4700 Elmore Road Anchorage, AK 99507 RE: MOUNTAIN PARK ESTATES #2 BLOCK 2, LOT 5 – FIELD TO LOT LINE WAIVER Although the DEC granted previous approval to operate as installed, per visual observations and the recently completed as-built survey it appears the existing deep trench absorption field is 4’+ from property line and the lined IDSF is approximately 2’+ from property line and therefore respectfully request a field to lot line waiver of 2’ be granted at this time. Granting of this waiver is justified since the existing field & IDSF has been in operation since 1998 with no known issues or ill effects to the adjacent properties and it is anticipated that this system will not impact the neighboring property. There is a 60’ ROW for Saunders Road to the west and the adjacent septic fields on the lots to the west and north are 20’+ from this septic system. The 7’& 8’ ED trenches to the north on Lot 4 are 20’+ away from this septic system. Per the recent survey, it appears that the subject well to deep absorption field is 85’, but that the existing concrete tank is approximately 60’ to the well. Thus, the well to field will be adjusted to 85’, but the well to tank will remain at 60’. As a side note, any current of future owner may consider adding a remote alarm to the referenced property’s IDSF to permit 50’ separations to the surrounding private adjacent wells and subject property private well. Please contact us if you have any questions. Sincerely, Curtis Huffman, P.E. Municipality of Anchorage �)E''l:i l't 111 f11t P.O. Box 196650 0 4700 Elmore Road Anchorage, Alaska 99519-6650 0 (907) 343-7904 0 Fax (907) 343-7997 http://www.muni.org/Onsite Development Services Division On -Site Water and Wastewater Program * * * * VARIANCE/WAIVER REVIEW * * * x Waiver#: OSV251050 COSA#:OSC251517 Permit#: PID#: 017-022-05 Legal Description: MOUNTAIN PARK ESTATES #2 BILK 2 LT 5 Engineer: First Water Consulting Your request for a waiver of the required 10 feet horizontal separation from the disposal field to the property line has been approved. The approved separation distance is 4.0 feet. The separation from the lined IDSF bed to the property line is approved at 2 feet. The waivers granted by the State of Alaska will be amended to show separations determined by the new survey, the disposal field to well on Mountain Park Estates 42 Block 3 Lot 5 is 90 feet and the disposal field to the subject well on lot 5 is 85 feet and the separation to tank is 60 feet. This waiver approval applies to the existing disposal field only. Any future upgrade to the on- site wastewater disposal system will require all separation distances be met or another approval from this department. Waiver is Gra ed: Waiver is not Grante Date: Approved by; am 9 of 4erviewer none. among ...............................................................� **** VARIANCE/WAIVER REVIEW **** MUNICIPALITY OF ANCHORAGE ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND REPAIR AGRE EMENT THIS MAINTENANCE AND REPAIR AGREEMENT, herein the "AGREEMENT" made and entered into as of this I I Day of Nof 20 A5, by and between herein the "OWNER," and the Municipality of Anchorage, herein the "MUNICIPALITY", in accordance with Anchorage Municipal Code (AMC) 15.65.3,65. 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 INTERMITTENT DOSING SAND FILTER - IDSF located at (legal description) MOUNTAIN PARK ESTATES #2 B21 L5 (Owner is required to read, understand and initial each section) 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 s representative. The AWWTS shall be maintained in a satisfactory ition 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. 0 wner 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 Owner acknowledges that the Municipality may request records of maintenance and repairs :from the manufacturer's representative or maintenance provider. Owner assesse Owner AWW' Owner Certific Owner that the fine for failing to maintain and repair an AWWTS may be in accordance with AMC 14.60.030. to grant the Municipality reasonable access to test and inspect the . The Municipality will give at least 24-hour notice. that any sale or transfer of title of the property will not occur without a new of On -Site Systems Approval. 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. 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: (signature) Date: By: -/1 �, V4.vo L4 % c "" yea (print name) STATE OF ALASKA ss. THIRD JUDICIAL DISTRICT The foregoing instrument was ackno edged before me this I day of A.V CA?*4- 2015 by =ioo"slanc NOTA PBLIC FOR ALASKA ,()TAR), My Co ission expires: � OF N '47 MUNWIPALITY: By: (signature) Date: S j✓VQ (print name) Title: L (rev. 05/18/2018) Page of OF-gtq�;4p 49 TFi Y 0 0 N SHANE A. HOLT �� c �pP LS-6914 Q�a �� °fessiona\ Lo ..uvu ttNC SURI/EYORDERED BY. dor walden - KW THE INFORMATION HEREON IS FOR THE USE OF LENDING INSTITUTIONS SPECIFICALLY TO SHOW ANY CONFLICTS BETWEEN EXISTING STRUCTURES AND PLATTED LOT LINES AND/OR EASEMENTS; AND IS NOT TO BE USED FOR POSITIONING ADDITIONAL STRUCTURES, IMPROVEMENTS, OR FENCELINES. EASEMENTS OF RECORD OR OTHER RIGHTS OF WAY, OR ANY ENTITY NOT ON THE RECORD PLAT ARE NOT SHOWN HEREON, UNLESS NOTED. NOTE.: FENCELINES THAT MAYAPPEAR ON THIS DRAWING ARE NOT TO BE USED TO DETERMNE PROPERTY LINES OR POSITION ADDITIONAL IMPROVEMENTS. ANY PAVING SHOWN HEREON MAY BE APPROXIMATE DUE TO EXCESSIVE SNOW AND/OR ICE. ONLY VISIBLE IMPROVEMETNS ARE SHOWN HEREON ti (/) � J � J SEWER SYSTEM PIPE FENCE AS -BUILT SURVEY 1 " = 30' NO CORNERS SET THIS DATE / HEREBY CERTIFY THAT I HAVE PERFORMED A SURVEY OF THE FOLLOWING DESCRIBED PROPERTY LOTS BLOCK 2 MOUNTAIN PARK ESTATES 2 ANCHORAGERECORDING DISTRICT, ALASKA, AND THAT THE VISIBLEIMPROVEMENTS SITUATED THEREONARE WITHIN THE PROPERTYLINES AND NO VISIBLE ENCROACHMENTS EXIST OTHER THAN NOTED. DATED ATANCHORAGE,ALASKA THIS 3 RD DAY OF NOVEMBER , 2025 7825 244-64 87-5 ON HOL TLAND SURVEYING 9309 GROVER DRIVE ANCHORAGEAK 99507 223-8615 M INXI ►,t rt}r OF AWCRC*,mxP Community DmIopment Depo mtew • Ole -Sias wow A W=Wwsw i 11 "7-343-7904 * F: 907-343-7997 • P.O Box 1966" And'oMe. AK W 19-6650 - httpJhrww.rnumi mgVbm'1d'l'`kT Intermittent Dosing Sand Filter • Maintenance Log Owner Street Address >r �� �'{ 1 061 Phone Legal Desc. PID Se t'c *JY- Sludge level _inches -Pumping: required YL no -Pumping complefied Absorption Fi 1 *Liquid level _ Z inches -Flushing valves per approved design a •All flushing valves opened, distribution lines flushed, and flushing valves closedn Litt station: -Pump basket cleaned yes no-&otube effluent filter cleaned es o *Timer float settingLILinct)es -High level float settingj jLinches -Reference pointLp I.; er- •Tump on-Q_seconds -Pump off _minutes -Cumulative lifetime cycles z 16 •Cumulative run time 2 =,, .yours -Operation satisfactory (A� no Air System- - Air pump filter cleaned s ]]g -Air pressure ,psi -Date of latest install or rebuild V -Air system operation satisfacto not sat4ictory Alarm System: -Dedicated electrical circuit 110 -Audible and visual alarm inside dwelling(iRL� -Float setting inches -Alarm system operation satisfacto�r not satisfactont Comments: .............................................................................................................................................................. ............................................................................................................................................................... maintenanr,e Provider: Technician LaV �f4 W, }ice r Date of maintenance u Company Signature SF Maintenance l.og_„Q 4W13.doc Date: 11/12/25 P.O. Box 670269 Chugiak, AK 99567 P: (907) 688-2759 F: (907) 688-2259 Brent Western First Water Consulting Services RE:12920 Hillside Dr., Anchorage After inspecting the well (in a small vault in the garage) for the potential of surface water contamination, it would appear that precautions have been made to prevent this from occurring. The concrete slab of the garage floor was poured higher around the access hole to prevent water from draining in. the seal on the well is a rubber split seal with the holes silicone sealed where the wire comes out. We cannot guarantee that water cannot get in the well and cause contamination but believe it is not likely. Any other attempt to prevent this would be out of our scope as it most likely would require some concrete or garage modifications.