HomeMy WebLinkAboutHYLEN CREST #3 BLK 6 LT 1Hyl
n Cr'e
1'
lock 6
Lo1' I
./ 050-474
-2:7
Municipality of Anchorage
Development Services Department
Building Safety Division '"'~
On-Site Water & Wastewater Program, 4700 Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.anchorage.ak.us (907) 343-7904 Page 1 of 3
On-Site Wastewater Disposal System and/or Well Inspection Report
Permit Number: 0SP101277 PID Number: 050--474--27
I Name:
DOUG & BRENDA MORSE WastewaterSystem: [] New · Upgrade
Address:
10303 STEWART DRIVE * EAGLE RIVER, AK ABSORPTION FIELD
Phone: No. of Bedrooms:
(907) 854-2589 3 [] Deep Trench [] Shallow Trench · Bed i-IMound []Other
LEGALDESCRIPTION so,, RoUng= *5.0 *ADVANCED GPD/sq.TREATMENTFt. Total Depth f .... 2.3riglnalMAXgrade: Ft.
Block: Lot: Subdivision: Depth to pipe bottom from original grade: Grovel depth beneath pipe:
6 1 HYLEN CREST #3 1.77 MAX Ft. 0.55' Ft.
Township: Range: Section: Fill added above original grade: Gravel length:
- - - SEE DWG. Ft. 20 a.
J Gr~vel width: Number of lines: Distance between lines:
WELL: [] New [] Upgrade 5 Ft. 1 - rt.
Classification (Private. A.B.C): Total Dept/tJ:~/ Cased TO:(BEDROCK) Total absorption area: Pipe moterioh
? ~,~9,,..---~~ Ft. rt. 100 SO. Ft. D 3034/ F-810
DH,er: Date Drilled: Static Water Level: Installer: Date installed:
rt. WILCO CONTRACTORS 12/17-18/2010
Pump Set At: Casing Height Above Ground:
CPM rt. rt. TANK
SEPARATION DISTANCES [] Septic [] Holding · S.T.E.P. [] Other'
T~To Septic !Absorption Lift Holding Public/Private Manufacturer: Capacity in gallons:
Tank Field Station Tank Sewer Lines GREER 1 500
Material: Number of compartments:
Well 200'+ 200'+ 200'+ - 25'+ STEEL 2
Surface Water 100'+ 100'+ 100'+ - - LIFT STATION
Size in gallons: I Manufacturer:
Lot Line 5'+ 10% 10% - - 1 500I QUANICS
"Pump on" level at: "Pump off" level at: High water alarm at:
Foundation 5'+ 10'+ 10'+ -- -- TIMER TIMER 46"
Curtain Drain - NONEi KNOWNi . PUmpp_sE_41TMake & Model: Electrical Inspections performedM.o.A.bY:
Remarks: BENCH MARK
Location and Dsscription:
OLD TANK WAS ABANDONED IN PLACE PER CODE BOTTOM OF TRIM, AT HOUSE CORNER SOUTH OF Fca
Assumed Elevation: 93.45 Ft.
ENGINEER'S SEAL
Inspections performed by: OEO, Ltd. Dates: 1st 12/17/2010
2nd 12/18/2010 ~='~ OF .~h
......
3rd -' '-
"...7.
Development Services Department Approval ~.'::'""
Conditional approval: Dete: _.;y.:. · · .~
Reviewed and approved by: {~~~~c,/. /~e~ote:/2 Zi-/3 u~o. "*-""~':~
(R.v. ¢¢/.F..// -
PERMIT NUMBER: AS BUILT DRAWING PARCEL ID NUMBER:
OSP 101277 - 050-474-27
HYLEN CREST
#3; BLOCK 6,
LOT 2
NEW
MT1
PRESSURE LINE AND
RECIRCULATION LINE
INSULATED WITH 4."
BLUEBOARD, 4-'
NEW 1500 GALLON
S,T,E,P, TANK
I r
EXISTING
CONNECTED AS
RESERVE SITE
10' PER 1985.
REPORT
ST W, F T
HYLEN CREST
PARK TRACT L
NOTE: OLD SEPTIC
TANK WAS REMOVED
AND D SCARDED
a b
CO1 25.75 22.47
ST1 27.12 24.30
MH 34-.89 31.96
C02 30.52 23,12
ACL1 34.55 54,24
ACL2 32,24. 52,62
C03 37.53 56,52
C04 27.79 49,95
MT1 27,77 50.97
C05 4.7.71 64.,25
MT2 4-7,39 63.03
APPX
LOCATION OF
LINE
!
SCALE:
I
1"=40'
GARNESS ENGINEERING G'ROUP, Ltd.
CONSULTANTS & GENERAL CONTRACTORS
E. TUDOR ROAD, SUITE 101 * ANCHORAGE, AK 99507 * PHONE (907)337--6179 * FAX (907)3,38-3246 * WEBSITE: www.gan-mssenglneering.com
PREPARED FOR: I PHONE NUMBER:
DOUG & BRENDA MORSEI 907-854-2589
LEGAL DESCRIPTION:
HYLEN CREST #3; BLOCK 6, LOT 1
TYPE OF WORK:
AS BUILT DRAWING OF NEW SEPTIC SYSTEM
PAGE NUMBER:
2 OF3
DRAWN BY:
A,J.G,
DATE:
12/21/2010
(Rev. 01/05)
'ness.-
PERMIT NUMBER: AS BUILT DRAWING PARCELID NUMBER:
OSP101277 - 050-474-27
CO FINAL GRADE=
TOP OF TANK
86.56--
TO DRAINFIELD
650 QUANICS
I / LINE AEROCELL W/
INTERNAL JANDY
........... VALVE.
INVERT OF 1500 GALLON 10 GAUGE STEEL -~
BUNG = DEEP BURIAL STEP TANK
85.89
~ ~ F FINAL GRADE =
~ I~' / 100.92-101.38
/
TH~I
/ ~ ORIGINAL GRADE --
/~ ; ~-:~;,:/;t:; .... .~,:2.q?;.: ' ~ INVERT OF PIPE
~ , :~'~":::'.. APPROVED ~:~.<~". ~, ,,
/ ,?..":5~'. SAND ILTER
~ ':?-' ',.' < 1..;¥..':'~' ':'q ':~,' '~7~ ~-:.;.
TOP OF SAND ~: .~:,-;.., ,.,- ,.~..;;.? ;-,. :~. -.
= 97.20 ~ ................
Of TESTHOLE = 93.00 (DRY)
GARN'ESS ENGINEERING OROU'P, Ltd. 7ff~]";~]'[Sp~~
DOUG a BRENDA MORSE 907-854-2589 m 5 OF 3 k~
, ' ' ' h~
~PE OF WORK: DATE: ~¢rofes sio~
PROfiLE ~S ~U~LT DR~Wm~ OF NEW SEPnC SYSTEM ~2/2~/20~0
(Rev. 01/05)
ED'S ELECTRIC, INC.
P.O. Boz 22100:5
Anchorage, AK 99522
ANCHORAGE
Bus: 2724.591
Fax: 272 4.590
December22,2010
Wilco/Games
~.$701 Ransom Ridge
Anchorage, AK 995'16 .~ JO
TO: Whom it may concern
Subj: Septic Lift Station 10309 Stewart Drive
Ed's Electric, Inc, Installed electrical on subject project to the code requirements
Of the National I~lectrical Code and the Municipality of A'nchorase. The subject property is in the Land
use area of Ea§le River and does not require an electrical permit. All work is :L00 % complete,
Thank you,,
Ed's Electric, Inc.
Municipality of Anchorage
P.O. Box q 96650 ® 4700 Elmore Road
Anchorage, Alaska 995'19-6650 · (907) 343-7904 · Fax (907) 343-7997
http:llwww, muni.or.qlOnsite
Development Services Department
On-Site Water and Wastewater Pro,qram
partment
**** VARIANCE/WAIVER REVIEW ****
WP~: OSP10t279 HA#: Permit~: OSP101277
PID~: 050-474-27
Legal Description: H¥1en Crest #3, Block 6, Lot 1
Engineer: GEG
Applicant: Douglas & Brenda Morse
Your request for a waiver of the. required 6 feet vertical separation from the absorption field to
.the bedrock has been approved. The approved separation distance is 4 feet.
This waiver approval applies to the existing absorption field to berock separatiOn 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 Granted: X Waiver is not Granted:
Date: 12/22/2010 ~~
Approved by' ·
Name o evlewer
ReC#: 076986 Amount: $200.00 Date Paid: 11130110
**** VARIANCE/WAIVER REVIEW ****
Permit Number:
Tax Code Number:
Work Type:
On-Site Wastewater Disposal System Permit
OSP101277
05047427000
Septic
MUNICIPALITY OF ANCHORAGE
Development Services Department
On-Site Water & Wastewater Program
4700 Elmore Road, PO Box 196650
Anchorage, AK 99519-6650
Telephone: (907) 343-7904
Upgrade
Permit Effective Dates: December 13, 2010 to December 13, 2011
Design Engineer: GARNESS ENGINEERING GROUP LTD
Subdivision: HYLEN CREST #3
Site LegalAddress: HYLEN CREST#3 BLK 6 LT 1 G:0057
Owner/Address: MORSE DOUGLAS L & BRENDA L
10303 STEWART DRIVE EAGLE RIVER AK 995779514
Site Mailing Address: 10303 STEWART DR, Eagle River
Lot Size in Sq Ft: 20652
Total Bedrooms: 3
This permit is for the construction of:
Y Disposal Field Y SepticTank 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 Provisions: 3 bedrooms per the appraisal
lz Tfio or-,
Received By:
Issued By:
Date:
Date:
ON-SITE
Municipality of Anchorage
Development Services Department
Building Safety Division
On-Site Water & Wastewater Program
4700 Bragaw St.
P.O. Box 196650
Anchorage, AK 99519-6650
www.ci.anchorage.ak.us
(907) 343-7904
SEWER/WELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLING
& BRENDA MORSE Day phone 854-2589
Parcel I.D. 050-474-27
Property owner(s) DOUG
Mailing address P.O. BOX 763 *
Site address 10303 STEWART DRIVE
Legal description (Sub'd, Block & Lot )
Legal description (Township, Section & Range)
Lot Size Sq. Ft.
OZARK, KS * 72949
* EAGLE RIVER, AK Zip Code
HYLEN CREST #5; BLOCK 6, LOT 1
N/A
Number of Bedrooms
99577
5
THIS
APPLICATION IS FOR ( [] all that apply):
Absorption Field []
Septic Tank []
Holding Tank []
Privy []
Private Well []
Water Storage []
THIS APPLICATION IS AN:
Initial []
Upgrade []
Renewal []
I certify that the above information is correct. I further certify that this application is being made for a
Single Family Dwelling and is in accordance with applicable Municipal codes.
GARNESS ENGINEERING GROUP, Ltd.
Permit/Rush Fees:
Date of Payment:
Receipt Number:
(Rev. 11/05)
Waiver Fees:
Date of Payment:
Receipt Number:
GAR'NESS ENGINEERING GROUP,
CONSULTANTS & GENERAL CONTRACTORS
Ltd.
November 23, 2010
Municipality of Anchorage
Development Service Department
On-Site Water & Wastewater Program
4700 Elmore Road
P.O. Box 196650,
Anchorage, Ak 99519-6650
(907) 343-7904
Ref: Proposed Septic Upgrade for Hylen Crest S/D #3; Block 6, Lot 1,
To whom it may concern:
The existing 3 bedroom house is served by a community well and a septic system. The drainfield is
in a state of failure and needs to be upgraded We are proposing to install a new 1500 gallon S.T.E.P.
tank with Quanics controls/floats and a 5-wide trench type drainfield. One test hole was excavated on
the property. The drainfield will be designed around the 30 foot radius of this test hole. Comments
regarding the design are summarized as follows:
1. SOILS: See the attached logs which shows the soil classifications, groundwater monitoring, and
the percolation test results.
2. DRAINFIELD DESIGN: See attached design drawing for drainfield specifications.
3. SURFACE WATERS: There are no surface waters within 100 feet of the proposed septic
system.
4. TOPOGRAPHY: As can be seen on the attached design drawing the average topography below
the drainfield is 25% percent slope running north to south.
5. VARIANCE TO BEDROCK: We request you waive the distance from the bottom of the
drainfield to bedrock to 4'. The following items are justification of this variance:
The effluent being discharged to the drainfield is from an MOA Category III wastewater
treatment system (Quanics Aerocell), which has CBOD and TSS levels that are expected to be
less than 10 mg/L. In addition, the total nitrogen levels (expected to be less than 30 mg/L) are
less than the effluent from a lined Intermittent Sand Filter, which is typically over 40 mg/L.
Effluent from an ISF (nitrates of 40 mg/L) can be discharged into a drainfield that is only 4 feet
from bedrock or impermeable soils.
The Quanics Aerocell treatment process involves passing the wastewater through a 2+ foot thick
layer of open cell foam cubes that act as a receiving soil. In short, the wastewater is already
passed through 2 feet of receiving "soils" before being discharged to the drainfield.
3701 E. Tudor Road, Suite 101 * Anchorage, AK 99507-1259
Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: www.garnessengineering.com
There will still be a 4+ feet separation distance between the bottom of the drainfield and
groundwater.
There will be no discernible benefit (reduced BOD, TSS, or total nitrogen) achieved by
passing the effluent through 6 feet of soil vs. 4 feet of soil. It is generally agreed upon that
the pathogen reduction occurs within the first 2 feet of soil, hence the conservative
requirement for a 4 feet separation distance to groundwater. It is reasonable to assume that
by the time the effluent passes through 4 feet of imported sand and receiving soil that the
BOD and TSS levels will be essentially zero (0). The highly treated effluent will probably
not see further reduction in nitrogen levels without introduction of a carbon source (as is the
case with ISF effluent).
We are unaware of any adverse impacts this installation would have on adjacent wells or septic
systems. If you ha?ep any questions, please contact us at 337-6179. Thank you for your assistance.
./~
Pr~
P.E., M.S.
NOTE: Attached is a site plan drawing, a design drawing, one soil log, which are all part of the design package for
this septic system. (Contact G.E.G. Ltd. for 7page construction specification letter.)
3701 E. Tudor Road, Suite 101 * Anchorage, AK 99507-1259
Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: www.gamessengineering.com
HYLEN CREST PARK TRACT L
NOTE: ALL THE PROPERTIESi
SHOWN ARE SERVED BY
PUBLIC WATER.
X.¥'ENCREST V
\~LOCK s, LOT 2 \ ~ //
-IYLEN CREST #5; HYLEN CREST #5 HYLEN CREST #3; \ ~ \ ~'~. ,] - /'~'~ ~ . ~ "" ',-..
,,Y BLOCK ~, LOT *^~ "¥LEN CREST ~3:~
I S(SAt~E I ~" BLOGK 5, LOT 4A
1" = 100' ~__~
GAR-NES~ ENGINEERING GROUP, Ltd..,,/[j.o A4,~'~q~
~701 E TUDOR ROAD SUIT~ 101 * ANCNOI~E A~ gg§07 ~ PHONE (gO7)g37-~17g * F~ (g07)~-~2~ * W~$~
N~MBER:
PREPARED
DOUG & BRENDA MORSE 907-854-2589 I I OF 5 t~.'~ ..~ffr~ A?~or9~ss.:
S~TE P~N 11/22/2010
DESIGN CRITERIA: GEG, Ltd. HAS A 7 PAGE SPECIFICATION
LETTER THAT PERTAINS TO THIS DESIGN.
NUMBER OF BEDROOMS: :3 TO OBTAIN A COPY OF THE LE'FFER I NOTE: CONTRACTOR SHALL HAVE
GALLONS PER DAY (GPD): 450 CONTACT GEG. BY PROCEEDING FORWARD I THE WEST LOT LINE FLAGGED BY
PERCOLATION RATE/S: 7.5 WITH THIS INSTALLATION, THE ENGINEER, A REGISTERED LAND SURVEYOR
PROPOSED APPLICATION RATE: *5.0 GPD/FT2 WELL DRILLER, CONTRACTOR AND PRIOR TO CONSTRUCTION
MINIMUM DRAINFIELD SQ.FT.: *90 ~ PROPERTY OWNER AGREE THAT THEY
HAVE READ THESE SPECIFICATIONS AND [ NOTE: SHED WILL NEED TO BE
*ADVANCED TREATMENT SYSTEM AGREE TO ACCEPT THE TERMS AND / I~OVED TO INSTALL PROPOSED
DRAINFIELD DESIGN: , CONDITIONS OUTLINED. ~ DRAINFIELD.
/ ~¢F¢ F *"'"~ u'~^~ ' HYLEN CREST
PROPOSED 650 X
AEROCELL UNIT ~ --
SHED &~,,~DECK NOT
DRAWN TO~LE.
1500 GALLON'~S.T,E,P. TANK
MAXIMUM DEPTH: *'4.5'
WIDTH: 5'
LENGTH: 25'
M.O.A~ APPROVED SAND FILTER: *'2'
EFFECTIVE: 0,5'
REDUCTION FACTOR: N/A
ACTUAL SQ.FT.: 125
**4' WAIVER REQUESTED TO BEDROCK
PROPOSED DRAINFIELD ~
DIVERTER
INSTALLED IN SAME L~CATION AS
TO
BE
NEIGHBORING ISF DOUBLE CLEANOUTS/
HYLEN CREST
#3; BLOCK 6,
LOT 2 ~D£.~DNp'
LOCATION OF OLD TANK.
OLD TANK TO BE REMOVED
EXISTING D~
~ AND DISCARDED
~ - ~ -- STEm~T D~'' ~ sc~: ,
1"= 40'
~ev. 01/05)
IPROFILE VIEW OF
PROPOSED TRENCH
[SCALE 1"=4']
2" INSULATION 3
\ ,,~ PROPOSED TRENCH
2.5' ~ ~ 1. ............ I -'"'"'.~
~ / ~._Pb' ............ _L
41;E,TTO,TA' ~ ~'.'~ O.~--~ECT,VE
I ;%!;4~..:: APPROVED .":~.~.,'¢.'.'..~,! /
I -~..~.~.?£:SAND FILTER$:L.~:'"d ,, ,,;
! ....... ~'~ ........ ~'?'" "~'~';~' REQUESTED
= 5' = TO BEDROCK
I~ESS ENGINEERING' GRoUp, Ltd. //'2~~~'"'..~.\
I,,o, ,..,,,,,o,,,o,,,.s,.,~,o, ...,c,o,,,,,,.,.o,
PREPARED FOR: I PHONE NUMBER: I PAGE NUMBER:
Fness
~o~ ~ .R~D~ ~OR~ I ~0=-~-2~ I
LEGAL DESCRIPTION: DRAWN BY:
TYPE OF WORK: '
PaOF~LE Da*W~NO OF PaOPOSED SEPTIC SYSTE.
(Rev. 01/05)
LEGAL DESCRIPTION' HYLEN CREST ~3; BLOCK 6, LOT 1
PERFORMED FOR: DOUG ~ BRENDA MORSE DATE: 11/18/10
DEPTH ~
(feet) ~ ORGANICS TEST HOLE ~1I
2 __ ~[~?~ SOIL C~SSIFICATIONS
'"': .......... ~': ~w ~ ~-~ o~
$ .... i
~:D:~t ~ G N CL
4 -- GW-GM~ GC OL
<'~:?'~ SM OH
~_~}~}: sc SEE ATTACHED SITE
~ ~o~ocx ~ ~'s' D:PT. TO PLAN
~ ~/2~/~o
~0~
11- DATE READING CLOCK NET TIME WATER LEVEL NET DROP
TIME (MINUTES) READING (INCHES)
12_ 11/18/2010 1 5:18 - 6,, _
2 5:48 50 3/4" 5 1/4"
15 -- 5 3:48 - 6- _
4 ~: 18 50 2" 4"
14-- 5 4:18 - 6,, _
6 4:48 50 2" 4,,
PERCOLATION RATE 7.5 (~IN./INCH) PERC. HOLE DIA. 6 (INCHES)
19~
TEST RUN BETWEEN 2.5 FT. AND 3.5 FT.
20 ~ A FOUR HOUR PRESOAK WAS PERFORNED: ~ YES ~ NO
SOILS LOGGED BY: ROB CAMPBELL PERCOLATION TEST PERFORMED BY: ANDREW GRAY
COMMENTS:
PERFORMED BY GEG, Ltd. I, JEFFREY A. GARNESS, CERTI~ THAT THIS WAS ~ERF~RMED IN ACCORDANCE
WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: !1/~/1~
DEPTH TO
GROUNDWATER DATE
DRY 11/18/10
DRY 11/29/10
mc)
m~
i-
enO
F-
: ....,,~. : . ~,.., ~. t.j...~ '..¢ .:' ,..'.,, .¢
;'...';.'.'3,".:,..,¢ ~'.~'.;~. ~. I
0"0
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zC.) r--
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Frl F-
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DATE: IDP, AWN BY:
11/23/2010 IA.J.G.
LEGAL DESCRIPTION:
HYLEN CREST #3; BLOCK 6, LOT 1
'PFPE OF WORK:
DESIGN OF QUANICS AEROCELL SYSTEM
PREPARED FOR:
DOUG MORSE
CONSULTANTS & GENERAL COWTF~ACTOES
907-854-2589 OF 5
>- z
<2 ZO
Fr'l
F-
ro
THIS MEN'}ORA NDi,iM OF UNDERSTANFJiNG made and cmcrcd isto
'~Q_ Day of A~:o~ e~ ~e /' of'7.o ~ 0~ by and between ~ ~ ,/~re~c:~
hereto the ~OWNE~R," :and Ihe Mtmic~pality of A, nehomgc~ heroin
~MU?<IC. tPALITY/' In cansideration of ibc mutgaI covenants contain:cd hereby,
paaies t.o this Memora:nd~m~ of Understanding agrcg as tBllows:
t, ~VANCED '~¥A.STEWATER TREATMENT SYSTEMS,
grants permission ts ()w~e:r to utilize asd operate an Advanced Wast:cwater
'f'ream~er~t Sys~x:m {AV~ '~ l S), described as
2, De~nilion.s~
A,, Alter~tioa. Asy c:han~c m thc design or i~:r~ctior~ of a~ AWWTS that
Includes ibc installation or remov~[ o f any p~,rls, compoae~ts
pcr;}~brmi~g g~l)ly aheration:s [o an AWWTS ~he owner musI obtain ,~
r
the system fi:om pe'r~brmin2 as d~sJ~ned,.
poi'fora: as d~signed,
Construction Permii, as dells.od by AMC 1
Operating P~zmIZ, A.n annual permit, issued b> the Mtmi~,cipalh?~
requircmenl, s of the: On-Siie ~ astew'ater Sys~.gm Conslruction Pea:mit and
alt releYant provisions ol AMC 15.65
O,.,..i~or~ ~ = .: to
the new owner o'r wanslbrsc ,;' i thc pre pe ~}:
C)tl~4[f'~Ct .O~1 Permh 6rom the Mm~kSpal:iI}:,.
& Maint:eaaa~:e and
A. Throushout lhc tcm~ of this Memorandum of Underslanding, ~h.c Owner shal!
mai.nlain AW%'TS in good rcpair~ In addition, it shall be the responsibilit,> of thc
Owm~r during the term of this Memorandum of Undc:.rstanding, and any extensions
renewals thereof, at ~.he owner's sole e:xpen~e, to pay for any and ali: (
mia; and arde=r's for thc:
B, Owner agrees to provide the Mtm'icipa~iiy a wrktc:n scheduJe ,:';[ routin~:
maintenance arid repairs which ha;e becm pcrlbmtcd or/~he ?stern p~.~rsua.r~t. ~,:::~
~.,.. P>~.!..: ::~.~,._....~....'........~d~..u...~,....t
A % arc c<:,d~J~c:d i~ AMC ~4,60~
AWW'['S upon 24 ~our:s wrkt~n nodce~
~[:;'~ O',~ ncr agrees tha a~y saIe or lra,nsikr of titJe of the pmpe~y w~;I :m~ occur
w3thoui a new C:c:r'titicate of On-Site S>'ste:ms Approval~
G, Owner agrees that ~hc rclcvam, provisions ofd'~e standard spcciiicadot~ guidebook
far AWWTS is the goven'6ng profcssia~al guidelines fbr {he
mainmnanc:e and rcpak of ~:he Owner's AWWTS.
No~wah.'er. '1 he ~hi{ um of tither ~a~y a:l any t:ime l:<J enfi>n;e a pRo:vision of this
Memorandum of Understanding shall ia n.o way constkt~te a waiver of the proviskms,
nor in any wa} cflk~c:i thc validity of the Memorandum of Undersm~di.ng er any pan
hcreoL .or d~e r'ight ,:',f at, ch party therea~er to enforce each and c:vc
}mrcof.
Ameadment..
A. "iSis Memonmdtml oi Understandhmg sh:al~ only bc amended, modifiied c,r changed
by a '~rHing, executed b} aulhorized representatives of~he pani.cs, ~i;h {ho same
l O. Severabiii~'. Any pro~'isions ofI,h~s Memora~Mum of U'nda~standmg diccrced
im. aliid by a court, of competent jurisdkdon shall not invalidae the remaining provisions
NIUNIC!PALiTY:
MUNICIPALITY OF ANCHORAGE
Dr RTMENT OF HEALTH AND HUMAN SEP 'ES
Environmental Health Division
.1'~¢/.,/~,¢.~ /o.e,.., ,.. ~.~ 825 "L" Street, Anchorage, Alaska 99502, Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
N~me, DISTANCES
~ ~ '--'~ ,/¢, ~ ,'_~C~dd z,,'~,.?),%,~ ~ TO SEPTIC ABSORPTION
Address ' FROM ~ TANK FIELD WELL
/~-/~o ~ ,~,,¢// /P~,~ -
Phone(s) I Perm,t No. No. ol Bedrooms WELL r~or¢ P ~'o ¢-
~,e^~ p~.sca~.T~O~ LINE rio /O
Lot / Block Subdiwsion --
/¢ ~./c,.., ~ ~,_r}"- FOUNDATION ~ ~ Z/ /
Township, Range, Section
AS-B UILI' DIAGRAM tShow Iocahon of well. septic system, property hnes, foundahon,
~ SEPTIC ~] HOLDING __ ~
Manu~ac[urer Capacdy m Canons
TYPE OF SYSTEM ,/ ' '*f/% ~
~TRENCH ~ BED ~ W. DRAIN ~ OTHER '*~ ~,';;;~e
origlnaIOeplht° pipe bottom frOmgrade / J:~ 7otaldepthlrom or,gmalgrade ~ FT - ~* ~ (; ~.~"[~L, "~
Fill added at)eve or,g,na} grade Gravel deptb ber, eaU, p,pe ~ ~ t¢'~' b
.~ ~ FT ~ FI
Tota~ absorption area Distance between nnes [~
Number ol lines J 8o~1 ratulg P~pe msterml
Instaner ' Date Installed ~ [ ~
WELLS ____
~ PRIVATE ~ OTHER (Identify) ---
Classmcabon {~,B.C/ ~olal Depth CaseO to
/~ ~
REMARKS:
Scale:
P: 0. Box 773294 ~, %? ,.o %; ,,,%~
I ~ %~Z ~~ cedify Ihal this inspection was pedormed according to all '¢~,'* "P.~ '4.;, Louis ,~,.
Municipal and Slate guidelines in effect on this date: ~/J~ ~;
Health Depadment Approval: Date:
72-013 (3/85)
MUNICIPALITY OF ANCHORAGE
E' ATMENT OF HEALTH AND HUMAN SEI ES
Environmental Health Division
825 "L" Street, Anchorage, Alaska 99502, Telephone 264-4720
ON-SITE SFWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
Name
Address
Phone(s) J Pmm,t No. No. ~;edrooms
LEGAL DESCRIPTION
Lol J 1 Block Subdiws~on
Township, Range, Soclion
TANKS
TYPE OF SYSTEM
~TRENCH [] BED [] W. DRAIN [] OTHER
Dep[h to p~pe bottom from ~ Tota~ depd/from original grade
original grade / F
Fdl added above original grade -- Orave~ d~p~-~ p~pe
~ __t-F~T~ ~' .'--~.r
Gravel lengtb rave~ w~dI~
Distance between hnes
Pipe material
Oa~e Installed
WE[bLS
~ PRIVATE [~r OTHER fldenlifv)
" "J FTJ
-]~lel~ -- Date Installed:
REMARKS:
DISTANCES
SEPTIC
TANK
ABSORPTION
FIELD
WELL ,.~_o ¢ t- .) ,, ,., 't'
LOT LINE io
FOUNDATION
AS-BUILT DIAGRAM tBhow iocahon el well, sephc system, property hnes, loundahon,
__ driveway, water bodies, otc.~
Scale:
Eagle River AK, 9~' 7~
Municipal and State guidelines in effect on Ihis date:
Heailh Depadment Approval:
72-013 (3/85)
OS
ENGLNEE R'$ SEPAL
J) Ei]::'AR'rf~vlIi.:.']",IT ~]1:::' I'nll~iilf'~l~..,,"f'l~l AND EI''IV:[REJNMENTAL. F'ROTECTIL~N
F:'Ei:RM I T NEJ:
DA'TIE ISStJED:
L, 0 V E L A CIE E X I] A V A T I N G
15140 E',URVE..'LL DR I VE
AN[;HI]RAGE, Al'::: 99516
345- 1 ;~8'7
I...IEEiAI,,,. DI)ZSCI::;~ I I:::' ~ L;iI.JBD I V .'t: S I L'Ilxt,',' I"'IYI_Et',I C)RES'T' LEIT:
,EilEI:,71" :1:13N ." El 'T'OWIq~.H :[ F': 1 4N I'"~ANGIE: :t, W
I...I]'1" S:I: ZIE: 1. OA (S[;!,, F"T. CIR AEiFdiii:S)
I'"IAX BIEDI::i'.O[:IMS: 3
tl 01,1.., 6
sys't;,i.:.;mi. Chciose 'Lh£+:, op'L:i, orl 'Ll"~at'. bE, st f':i.'Ls yot.q" !-~ii'Le.
DISI:::'TH 'f'O F:':t:PE :I3CI'TT[IM (FT.)
G~AVEL DE}]::'TH (I:::'T,,
T'OTAL DIEF'TH (F:T.)
GRAVEL WIDTH (F:'T.
GRAVI~i;L. I....EIxlGTI'4 (I:::'T~)
GRAVE].,. VOI..,,UME ([]U. YD~i,, )
TANI< SIZIS (GAI..,.S)
SOIL. RATING (SQ.F"I"~ /BR)
.~-H,~. GF;:AVI!i~I,,.. I...IEi'4C...iTH > "-='/,..., I:::"T. REQI,.I;I:I:~Iii~S MUL"FII%.E Fi:LJNS (NOT E. XL,f.-_EI.)llqG' ........ .... 7..:~' I::"T'. IEAI::;H)
-~'-~ TAI',II< i"IUS'I" HAVIE AT t.,.1::.~.:~.,~1 'T'.IAII] C[IMF'AR]"MtEI"4TB
:1: c e r' 'L :i. ~' y t h a'L:
1,, :1: am tam:i,:l.:i, ar' w:i.'Lh thE., r'equ:i, pement!;il fop cin'"'.si'Le sewel"s ar'id we:l.;I.!:~i as set
Fcn"'l'.h by 'Lluil0 Iflun:i. cil:;ial:Lty of Ar're:hot'age (MOA) ar'id the State of Alasl.::a,,
2. I will :itls'l'..a].l the system in ac:Coif'dar'ice with a],l MDA c:cx:les ar'id
Eir'l(::l :i.l"i (:::clltlp].:i. arll:¢,~ NJ. th 't'..hE~ dE~:[gl"l cr':i, ter:ia of th:i.s per'mit.
:5. I w:[],l adher, e 'Li:i a].l Iff[IA arid Sta'l:.(.~.) (::if A1asl.;:a r.(0(:luir, emerits fcip tile s6):L I:)ac:l,::
I:]:i.s'Lal"ices f Porn ariy ex is'L :i.l"l(.t we1 ]., ~aste~a'LeP d:i. sposa], system of I::) ul::i ], :i.c
Eii;!i~i~:D*<'~/gE'::' !~iy!~i'[,E')lll Ell] 't:,h:i,s I;:)l* any i::d~jac:er'it i:}p r'leapl::iy ].,:::ri',.,,
4. ~ LU'idE'H"~S'Ii, ai"Id that tl"i:[i~!i 1:]6)f'lll:i.'l'.. :i. Ei valid Fop a Itlai.l;i,~tLl~l [}t' 3 I:)E'[Ir'oI::HliS
Eil]y er'i].ar'gE~m~?~rTh w:i.].]. PeC:lUiPe ~'::'~rl adclJ, t:i, clria].
IF:' A I,..II::'T S"I"A'I":[CiN IS ].N.:~IAI.,.M::.D ]:lq AN AREA []OV;E]RIED BY MOA BIJIL.DII',IE~
Ti"lIEN (1) AN EI...E;C-I"RIi]AI.... I:::'ERM:i;T AND INSI::'IECTICIN MUST BE OBT~INED~ (2) AS'"'BLI:I:I_,,TS
WII,,I. NUT BE API::'I:IOVED WI'H"IEIUT' ~N I:.I....[E[.1 Ix.[CAI.... ]:NSI::'ECT]:EIN I:~IEF'I]RT~ AND 3) THE;
IEI_.EC;TR:ECiAI,.. WORI< MUST I31E DONIS: BY A t...IC;IEIxlEiED ELIECTFIICIAIxl.
APF:'!... :1: CANT ~ I...OVE:I,...AC;E I::.,,I,.AVA 1 ]: NG
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 L, Street, Anchorege, Alaska' 99501 264-4720
SOILS LOG - PERCOLATION TEST
SOILS LOG
PERCOLATION
TEST
PERFORMED FOR:
LEGAL DESCRIPTION:
SLOPE
DATE PERFORMED: ~'"~ ~'/'~'~--'
SITE PLAN
1
2
3
4~
WAS GROUND WATER
ENCOUNTERED?
O
P
IFYES, ATWHAT ,)~/ ?/~-3/~¢' E
DEPTH? // ·
Gross Net Depth to Net
Reading Date Time Time Wetqr Drop
PERCOLATION RATE / --~ (minutes/inch)
TEST RUN BETWEEN ~ "'FT AND ~ ~ FT
PERFORMED BY:
72-008 (6/79)
P, 01 Box 773294
Eagle River, AK 99577
6S,t-5195
CERTIFIED BY: ~
DATE:
A cb or ge
POD I 6-650
ANCHORAGE, ALASKA 99502-0650
(907) 2(5¥4 I11
MA YE)l?
DEPARTMENT OF HEAL'rI-I AND ENVIRONMENTAL PROTECTION
Permit %: 840783
January 31, 1985
TO: Permit Applicant
SUBJECT: Lot 1 Block 6 Hylen Crest Subdivision
A permit issued by this Department for an individual well
and/or on-site sewer system has expired as of December 31,
1984.
Permits are issued on a calendar year basis by autho=ity
of Municipal Ordinance. A new permit must be obtained from
this Department for any well and/or on-site sewer system not
installed by the expiration date.
If you have drilled the well, a well log needs to be sent
to this Department for documentation of the installation
and to close the permit.
If a private engineer inspected the installation of the
on-site sewer system, the original as-built inspection report
and the yellow copy must be sent to this office for review
and approval, and for documentation.
If there are any further questions, please call this office
at 264-4720.
Sincerely,
Environmental Engineering Program
KEB/ljw
enc: Copy of Permit
SWP/057
DEPARTMENT' OF; I"IEALTIJ AND IZI',IVIRONMENTAL F:'RC)TIECTIfN
D .... L STRIZE]', AIll..,HORAbI=, AK 9950
264-472 }
84()'783
09 / 13 / 84.
AF'F"L. i CANT:
ADDRESS:
CON"I"ACT' Ir:'HONE:
L. E G A L D E S C R I I::',
L[I'T'
MAX BIEDF~[]OMS:
I"IOWAI::i:D FIE I G
% S&.S ENGIIgE]ZRi
EAGLE RIVER, Al< 99577
69/$-'2979
SIJBDIVI,~3ICIIx!: I".IYI_I:ZI~ [::REST
SI!i!CT' I ON: ~3 "T'C)WNSH :1: F:':
20652 (SQ,,FT. OR ACRES)
3
I....C)T: :1.
14N I'iANGE: 1W
BLOCI<: 6
z.:.,l..e.d be:l. ow ape: t. he Ol::)'Lion~i ava:i.].able t.o you in cles;i, gn:i. ng yo~ r' sept:Lc:
:E~ IhT< :LE) tb~J ~, ]]), IF;,Z ~1% ][: I1',,11
DEF:'TH TO F:'IF:'E 'BOTTOM (I:'T,,) 2.0 --~.-~. R,, 0 ~"~
GFIAVEI.... DEI:::'TH (FT.) ' 0,, [5 1 ,, 0
'I'T)TAL DEF:'TH (F'T,) 2.5 3,, 0
GRAVEl.... WIDTH (F:T',,) 19..0 5, 0
GF~AVEI_ I-lENGTH (F:'T.) 36, 0 '79,, 0 '~"~'
GF/AVEI.... VCIL. UlflE (CLI. YDS,, ) 25.4 22.0
TANI< S I ZE (GAI_S) :t, 0()0 ,, 0 .~..~. 1,000,, 0 .~..~.
SOIL.. RA]'IIxlG (SD. FT, /BR) :1.50 150
'~'~,'DE[I:"TH TO F:'IF:'E BOT'T'OM < 3,,5 1=1". REC~!LIIFi:EF..i INE;LJI_ATIOIq
.x-.~,DIZF'TH TO F"IF'E B[FI""I"(3M < 4,,0 FT. MAY REC,!UIRE A L. IFT' STATIOI',I
',~"~ GRAVEL I....EN£'iTH > 75 I=]",, F;:IEDL]IF~ES MUI...TIF'LIZ F;:LJNS (NOT EXCEIEDING 7L5 FT. EACH)
'~".~.'.' TANI< MLIST HAVE AT' L.IE~ST "FNO COI"IF'AI:T1]~'IIENTS
I c e,. r' 'L :i. f y 'L h a t:
1. .'1: am fam:i. 1;i. ap wJ.t.h t. he r'equir'emei:'rLs for' on.-site set, eps and w(M.:t.~ a:~i se'k
t'o~th by the Idunicil:)ali'Ly c)f Anch~page (MOA) m"ld the Stat. e of A].ask~i:t,,
2. I will :i. ns'La].l the. system in acc:opdaric:e v,,:[t.h all MEIA (:::ode~:~ and r'egula'!:..:i, or~s,
and :i.n cc)ml:)l:i, ance with 'Lhe design cr'iter':i.a of' this l:)er'mi'L,,
:3,, I ~,,Ji].]., a(:Jher'e t.o ali. MOA and St. ate of A:l. asl.::a r'equipemtm'-rLs rOI' the set. bacl.::
(::list~';H"H::e?~ [l"(:)tli any existing we].]., wastewat, ep d:i. sposal system or' public
sl,~)l,~i~,H"~lge ~Jy~i'~.~:.)lll Ol] t.h:i,s of any adja[:E~rTL OP near'by lot.
4. I ur'ldepstarld t,l"h~*t. 'Lhis pepffli'L is Mai. id ~oi" a maximL~m of 3 bedpoo~ls arid
ariy'en].ar'gemerrL w:i. 1]. pe~quir'e an achJ:i.'Lior'la], per'mit.
IF: A
'l]..ll!:.]xl
WII..J.... NOT BE!: APl:
E L E C T IR I C A L
S I GIIED
AF:'F'I_ t
I S SI..IEi:D B Y
I....II=T' ,~]TA'l"If'llq IS INo]AI_I_I~:.D IN AN AREA COVEI::~ED BY MOA BUII_D'[IxI['~) CODE,::~,
(1) AN t1.. F:'IERMIT AND ].N,z~FECFION MUST BE OBTAIIxlED; (:2) AS'--BUIt_TS
WITHOUT AN Ed_E;CtI'~.[C,,gL :I:ItSF'FZCT~ON RIS/I:::'ORT; AND C5) TI'"IE
BY A L1CE. NSI::D .::L.E.C]I'~.t.C,[AN,
F:E I G .
IClPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 L, Street, Anchorage, Alaska 99501 264-4720
SOILS LOG - PERCOLATION TEST
1
2
----, 3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
SOILS LOG
PERCOLATION
TEST
SITE PLAN
WAS GROUND WATER
ENCOUNTERED?
IF YES, AT WHAT
DEPTH?
Gross Net Depth to Net
Reading Date
Tirne 'rime Water Drop
,,%
PERCOLATION RATE
(minutes/inch)
COMMENTS
TEST RUN BETWEEN FT AND FT
PERFORMED : :~. ~'~,~.
72-008 (6/79)
CERTIFIED BY:
DATE:
OU*
o
Municipality of Anchorage
On -Site Water and Wastewater Program
(907) 343-7904
Certificate of On -Site Systems Approval
Parcel I.D. 050-474-27
1. GENERAL INFORMATION:
Expiration Date: -//•c% 2"Z -
Complete legal description HYLEN CREST #3; BLOCK 6, LOT 1
Location (site address) 10303 STEWART DRIVE, EAGLE RIVER, AK 99577
Current Property owner(s) JOHN AND KATHRINE MCGREGOR Day phone
Mailing address 10303 STEWART DRIVE, EAGLE RIVER, AK 99577
Real Estate Agent AUDREY MASON Day phone 242-7777
2. TYPE OF DWELLING:
Z 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
❑C
Individual Water Storage
❑
Holding Tank
❑
Community Class Well
❑
Community
❑
Public Water System
®
Public Sewer
❑
Waiver/Variance request for:
Received by:
COSA to be released to the engineer, unless otherwise requested by the engineer.
Date:
COSA Fee $ 550 Waiver Fee $
Date of Payment 7.2-021 Date of Payment
Receipt Number 0 81 5 S G Receipt Number
COSA # 0 SC 211 a 2 2- 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.
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: S ��
In conducting this evaluation, GEG provided an engineering evaluation of the well and/or septic system ( �F
in accordance with the guidelines and regulations established by the Municipality of Anchorage and
industry practices. The reported results describe the condition of the system/s on the date/s of the Q ,�
evaluation. Separation distances were measured to readily identifiable features. Hidden defects or <�
encroachments may exist that were not identified during the evaluation. The operational life of all wells �•' Q� l i
and septic systems depend upon a variety of variables, including but not limited to, soil conditions, � u • • • • • . •
groundwater levels (that may fluctuate during the year), quality of construction (materials and
workmanship), and the water usage of the family utilizing the system/s. These conditions can vary, and
are outside the control of GEG. Satisfactory test results do not guarantee future performance of the . Garness,-
systemis; 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 to perform adequately in llvf` �� e�.2'
the future. The content of this report is for the sole benefit of the person/party that retained GEG to
ie f ess o
perform the evaluation. Reliance upon the information provided in this report by any other person or �opo
Oppp�>>
party (including subsequent property purchasers) is not authorized, nor will it confer any legal right
whatsoever.
6. DSD SIGNATURE
X System #1 Approved for 3 bedrooms
System #2 Approved for bedrooms
Disapproved
Conditional approval for bedrooms,
t�0�#'ECC884
j
DNER
g WAT , �rp,TER Zo'
o WAST '� co
PROGF AM p�
with the follov�v%� latio
SE�`��
lUeeahol c e ajde� /f rt e .
By: Original Certificate Date: S
The Municipality of Anchor e Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only
upon the representation „iven 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: HYLEN CREST S/D #3; BLOCK 6 LOT
Ifmore than 1septic system nnlot: COSAChecklist # 1 of 1
[] Well log_"M�d with Onsite (or attached)
Date drilled 1 .
13
Total depth I:
Cased to ft
r_lSanitary seal is functioning
171 Wires are properly protectedCasing height (above ground) i �nDate of flow test for CStatic wat&�.� 1<1 at beginning of test ft.
Parcel ID: 7
Structure served bythis system
_/
Well production at time of test
Water storag;e tank ii:)lu gallons
Well disinfec r coliform test? Yes 100 No
bacteria is Negative
Nbratemg/L E] Nitrate less than MRL (ND)
_ ug/L [-] Arsenic less than MRL (ND)
Collected
Date of Sample
B. TANK DATA C. LIFT STATION
Age ofbenk(s) 11 yoeno XRequired maintenance completed
Tonkh/oe/mabehareeL o| Age oflift station 11years
Measured operating fluid level inseptic tank °45" Lift station material »rssL
FEWStandpipes/foundation cleanout per record drawing Comments:
*SEE 8/21/2OARM SEPTIC SERVICES
**SEE MAINTENANCE L[l(� MAINTENANCE -:P-^i.'�4 ru��eD
Date of pumping ~' �
*LIQUID DEPTH IN ST1. "THIS IS A QUANICS AEROCELL SYSTEM VX�-_7'e;'D 3 1:5-12)
D. ABSORPTION FIELD DATA 5-Wm(TEST 2010mRAINFIELD ONLY)
Which system tested (date installed) 12Y17-18/2010
� ��ALL standpipes peaoontperreoorddrawing
Total measured depth from grade 21 (max)
Measured depth topipe invert fr2-5omgnade � ft (min)
FlN/A-pnaomurizedfim|d
11011 Monitor tubes go to bottom of effective. If not, state
dpn,thintnp—ffpcwm-
---- Adequacy test date_
2/25/212/25/21Results [DPasn For
_
d b
ednooma
Fluid depth prior b/test u in
Water added 507 gal
New depth 0 in
Elapsed time 0 min
°^ FCode-required soil cover over field Final fluid depth 0
in
Absorption dnabm 45O+Qo
�]8yo�ompreaoaked ' ~~--- '
NONE
(Required �vacant for greater than 3Odays phorho Any juvonabon�eatment(past 12month
o)
date oftest)
If yes, enter
Gallons introduced __
oduood ___AaUona ' ----'
Comments/Deficiencies: F|EDvw\S NOTFOUND DURING SEPTIC ADEQUACY TEST.
**25.75"-27" OF COVER FROM GRADE TO TOP OF DISTRIBUTION LINES FOR CO'S AT THE ENDS OF DRAINFIELD;
HOWEVER. MT2MAY HAVE ONLY HAVE 23'OFCOVER. DRA|NRELUMAY 8E SHY ON COVER ON SOUTHWEST
COSChecklist yellow sheet
8
E. SEPARATION DISTANCES PUBLIC WATER
From-Phvat& Well on Lot to: (Please enter distances if less than required or if community well)
Septic Tank/LiftStation t > 100' Community Sewer Manho anout> 100'
if No ft
Neighboring Tank > 100' ❑ Yes if No
Absorption Field on Lot > 100' ❑ Yes if N ft
Neighboring Absorption Fiel _ 0'
❑ Yes if No ft
nity Sewer Main > 75' ❑ Yes if No ft
Yes if No ft
e Sewer/Septic Line > 25' ❑ Yes if No ft
Rate' Tank > 100' ❑ Yes if No ft
Animal Containm _ 0' ❑ Yes if No ft
Manure/Animal Excreta Storage >
Yes i ft
From Septic/Holding Tank on Lot to: (Please enter distances if less than required)
Building Foundations > 10'
❑ Yes
if No
*5'+ ft
Surface Water > 100'
Q Yes if No ft
Property Line > 5'
❑✓ Yes
if No
ft
Wells on Adjacent Lots:
Water Main > 10'✓❑
Absorption Field > 5'
❑✓ Yes
if No
ft
Private Wells > 100'
❑✓ Yes if No ft
Water Main > 10'✓❑
Yes
if No
ft
Community Wells > 200'
0 Yes if No ft
Water Service Line > 10'
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
If absorption field is under driveway comment below
Property Line > 10'✓❑
Yes
if No
ft
Wells on Adjacent Lots:
Water Main > 10'✓❑
Yes
if No
ft
Private Wells > 100' El Yes if No ft
Water Service Line > 10'
Yes
if No
ft
Community Wells > 200' Q Yes if No ft
Surface Water > 100'
Q
Yes
if No
ft
F. ENGINEER'S COMMENTS
`MET SEPARATION DISTANCE AT TIME OF INSTALLATION. *'2010 DRAINFIELD IS 10+ FEET FROM HOUSE FOUNDATION
AND 1985 DRAINFIELD IS 4'+ TO HOUSE FOUNDATION PER 1985 INSPECTION REPORT. (1985 DRIANFIELD CURRENTLY
NOT IN USE - SUMP DRY ON 2/25/21). **t41985 DRAINFIELD IS 10'+ PER 1983 ENGINEERS INSPECTION REPORT.
..SEE ATTACHED LETTER REGARDING 2010 RECORD DRAWING SHOWING 1985 DRAINFIELD.
G. ENGINEER'S CERTIFICATION `0460
I certify that l have determined through field inspections and review
of Municipal records that the above systems are in conformance with p H
MOA COSA guidelines in effect on this date., :. , . , . ...., ..
COSA Checklist yellow sheet
9. CE 79 3 e` `
d0�a pro
#AECC884
If "10 -
<"IM i
E v ENGI EERIl lG , SALES ---CONSULTING
March 5, 2021
Municipality of Anchorage
Development Services
On -Site Water & Wastewater Program
4700 Elmore Road
Anchorage, Alaska 99507
Phone: (907) 343-7904
Reference: Record Drawing for Hylen Crest S/D #3; Block 6, Lot 1
To whom it may concern:
It is has come to our attention that one of the 2010 record drawings for the septic installation may
have a discrepancy shown on it. Our 2010 record drawing, Page 2 of 3 shows the 1985 trench to be
shorter than the recorded distance on the 1985 record drawings. On our 2010 record drawing, it only
reflects the northwest leg of the 1985 drainfield to be only approximately 25 feet; however, according
to the 1985 record drawings, this leg should have been 31 feet. It is assumed that the separation
distance between the new tank and old drainfield was verified during the 2010 GEG inspections;
however, it is possible that the separation distance may be slightly less than 5 -feet. If such
encroachment exists, it would have no adverse effects. If you have any questions, please contact us
at 337-6179. Tianlyou for your assistance.
Garness, P.E., M.S.
3701 East Tudor Road, Suite 101 * Anchorage, Alaska 99507-1259
Phone: (907) 337-6179 * Website: www.garnessengineering.com
ARM Septic Services, LLC
Maintenance Check1W Advanced Tmatinent SWm
Operational Checklist: Advanced Treatment System
Legal Description:
Street Address: —III-) 3c -s
Service provided on: Date: i'- Time:
Service provided by: Company: Ni\ Employee: <_7
Date of last service: I By: You Other:
1. Type of Aerocell Treatment System:
11 Cat 11 -AeroCell Treatment System
-N'''Cat III - AeroCell Treatment System
2. Conditions at media filter: I;TAcceptable F-1 unacceptable
a. Evaluate presence of odor within 10 ft of perimeter of system:
one F-1 Mild 11 Strong F Chemical D Sour
b. Source of odor, if present:
3. Manhole Risers and Pipe Caps: -/N Acceptable FUnacceptable
a. Cover/s intact: 'Nes � No
b. Method of securing cover:
c. Any plumbing leaks or water intrusion: 0 Yes No
d, Surface water/infiltration into components: F7 Yes M -No
4. Venting/Air supply: L"Acceptable 0 Unacceptable
a. Air supply unit operating properly. Yes F1 No
b. Venting appears operable. es 1❑ No
5. Media surface: .-icceptable El Unacceptable
a. Biomat on surface. les 01 No
b. Uniform spray pattern.Yes No
d. Ponding in/on media. ��r—Yes N.e-
A-o
e. Plugging/clogging of nozzles, Ire No WA
f. Media appears to be settling. F1 Yes Nt"No
g- Appropriate maintenance performed. es L1 No
h, Pest activity at surface. 1-1 Yes 'E�No
H
6. Effluent quality
a. Effluent odor after passing through media filter: -15" 17 Mid EJ strong
b. Effluent color after passing through media filter: 15��bear F Brown 1-1 Black
24738 Chugialk Drive 'Chugiak, AK 99567
Ph: (907) 317-9433 office/fax: (907) 688-9433 Email: ARMServicesAK@outtook.com (PAGE 1 of 3)
ARM Septic Services,
LLC
7. Tasks for
recirculating/dischargeflows: -K~^~~"="= M unacceptable
a/fapplicable, Jandvvalve /bnohoninQ:`~~ — El N/A
$.|[���W*.�n���be�nd�� '�—[]No �
� ��m LJNo E -I N/A
c Cleaned collection system osmi»AeroneUunit: [�Yna No +t~�n|Neoesaory
recirculation_ratio:_80 :2O
a.Actual recirculation (Estimated): e��
m Pump o**m ' -~^~-='
. System: °-�]�z�p��� 1-1 Unacceptable
a Control panel |nAuN� -
� LJYes [J No
b.
Timer
C.
f.91h.
_-`~
ON: � ��`�� OFF�V2.±'��
��,�_
Override ON: Override OFF:
Floats in-----
connopmoomam: F!IT�o No
High water alarm operational: Yeo a�N
count.
Pump run counts: -1
Effluent Filter serviced:
i Tank lids secured after inspection:
i. Weep hole functional:
���
��.=,
No
�2Yom
No
F]Yes
�
v
9. prima, Tank: , '1)°6eptame F] unacceptable ^
a. Sludge and scum level
checked: ��Yes S; -No S' +'
u Tank needs tobepumped: [�Yes F-1 No
'~~u~'�~="'="�'��
C. Tank lids/caps oec d �
u []Yes No
U Last Date Tank pumped:
I~
10. Drainfield:'
a - Type ofDminfield (circle one): Bed 5�d
»�e Deep Trench
u. Design E0activedepth: _______inches/feet
u. Checked Liquid Levels inDroinfie|d:No
MT#1Uqu�Lev�: Inces
mw2L�u�L�� Inches
xxm0Liquid Level: Inches
MT*4 Liquid Level: Inches
d' Is there
any surfacing effluent?: F71 Yes N4W—
11-haUhenyetmm|noaUpf ctorycvndiupn4paos/nspecuion?Ufoqdoarhbeinoummen
12.Does this system receive unadvisory noUcplwarning?(if ao d�ec�� i
12. (sthe remote monihoh^-'ng ' e nnomwment�
13'Type ufmunihohngsymhsmbeinu�mmentm)
VMM
24738
Chugiak Drive *Chugiak, AK 99567
Ph: (907)]17-9433nfMce/tax
`� ' 688-9433 Ernait: ARMSer, cnmU9\QE2of3y
ARM Septic Services, LLC
Service Provider.
A
24738 Chugiak Drive Thuglak, AK 99567
Ph: (907) 317.9433 office/fax: (907) 688-9433 Email: ARMServicesAK@outtook.com (PAGE 3 of 3)
MUNICIPALITY OF ANCHORAGE
ADVANCED WASTEWATER TREATMENT SYSTEM
MAINTENANCE AND REPAIR AGREEMENT
THIS MAINTENANCE AND REPAIR AGREEMENT, herein the `'AGREEMENT" made and
entered intp as of this Day of of 20 % , by and between
.a herein the "OWNER," and the Municipality of
Anchorage, helein ie "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
located at (legal description)
2. Maintenance, Repairs and Alterations.
(Owner is required to read, understand and initial each section)
t
N •' 1} r- shout the term of this Agreement, the Owner shall enter into a service agreement
with an AWWTS service and maintenance provider approved by the Municipality or the
manufacturer's representative. The AWWTS shall be maintained in a satisfactory
condition capable of performing as designed and producing treated septic effluent in
accordance with the equipment's approval for operation in the Municipality.
It shall be the responsibility of the Owner during the term of this Agreement to pay for all
repair(s), maintenance, adjustment(s), replacement costs, and inspection costs. This
includes an annual maintenance fee (typically $400 to $600).
X611
�L 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.
J 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) Pagel of3
-t� Owner acknowledges that the Municipality may request records of maintenance and
repairs from the manufacturer's representative or maintenance provider.
l 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 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.
p t�J 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.
Owner agrees to maintain remote monitoring of the AWWTS as required by the
AWWTS approval.
3. Term. Tile 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. Non waiver. 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. Severabilitv. 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
;nature) Date:
nt name)
STATE OF ALASKA )
ss.
THIRD JUDICIAL DISTRICT )
The foregoing ulstrtt{�hent was a�knowledd before me this —day of (A v►
20 , by �� C.sr c lUl c� v ►L
sNor7-.,g
rrrr
`
NOTARY PUBLIC FOR ALASKA r , •• • `� ';
My Commission expires: /(— 7,J-��r! '�.`�: NGTARI- ;den
MUNICIPALITY:
By: �(/� (signature)
(print name)
Title:
(rev. 05/18/2018) Page 3 of
Development Services Department
Building Safety Division /
On-Site Water & Wastewater Program
P.O. Box 196650 //
Anchorage, AK 99519-6650
www.muni.org/onsite ~/'
(907) 343-7904
CERTIFICATE
FOR A
Parcel I.D. 050-474-27
--- - -.- --.Municipality ofAnchorag'e , ,~ ~
1. GENERAL INFORMATION
OF 0N-SITE SYSTEMS APPROVAL
SINGLE FAMILY DWELLING
Expiration Date: / ~ -~ /-- / !
Complete legal description
Location (site address)
Current Property owner(s)
Mailing address
Lending agency
Mailing address
Real Estate Agent
~, Majl!ng address
HYLEN CREST S/D #5; BLOCK 6, LOT 1
10505 STEWART DRIVE * EAGLE RIVER, AK * 99577
DOUG & BRENDA MORSE Day phone 854-2589
10505 STEWART DRIVE * EAGLE RIVER, AK * 99577
Day phone
JAN DEERING W,/ REMAX Day phone 694-4-258
16600 CENTERFIELD DRIVE * EAGLE RIVER~ AK * 99577
Unless'otherv;t~erequested, COSA will be held by DSD for pickup.
NUMBER OF 'BEDROOMS: 5
3. 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 []
The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of On-Site Systems
Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil
engineer registered in the State of Alaska. Certificates of On-Site Systems Approval are required for the transfer
of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or
water supply system. DSD also issues COSAs upon request to homeowners. Certificates of On-Site Systems
Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may
be reissued with new water samples. (Certificates may be reissued for a period of up to one year with valid water
samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system.
The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work.
4. STATEMENT OF INSPECTION BY ENGINEER
As ce~'ified by my sea. xed heieto and as of t~te va,;~ati'on date shown below, I verify ,*,fiat ,,my
investigation, b~e~,(C~ p~edures outlined in the Certificate of On-Site Systems Approva~Guidelines for this appfication,
shows th.~t t'h~'~'o~¢. ~t~r supply and/or wastewater disposal system is (are) safe, func~'"nal and adequate
for th~. :um berP? b~rooms and type of structure indicated herein. I further verify that based:~b~'the ;i:
informa~n 5btained from the Municipality of Anchorage files and from my investigation and ins~btiq~, 'ihe ,::
on-site Water supply and/or wastewater disposal system is(are) in compfiance with all appficable Municipal
and State codes, ordinances, and regulations in effect at the time of installation.
Name of Firm GARNESS ENGINEERING GROUP, Ltd.
Phone 557-6179
Address 5701 E. TUDOR ROAD, SUITE 101 * ANCHORAGE, AK 99507
Engineer's Printed Name JEFFREY A. GARNESS, P.E.
Engineer's comments:
. In conducting this evaluation, GEG, LtD. attempted to provide a thorough,
conscientious engineering analysis of the system in accordance with ADEC and MOA
DSD Guidelines & Regulations. The reported results described the performance of the
system under the conditions encountered at the time of the test, and separation
distances measured to readily identifiable features. The operational life of all wells and
septic systems depend on the local soils condition, groundwater levels that may
fluctuate during the year, and the water usage of the family being served by the system.
These conditions are outside the control of the evaluator of the system. Satisfactory test
results do not guarantee future performance of the system, nor do they guarantee that
there are no hidden defects or encroachments. GEG, LTD. can therefore not provide
any warranty orfuture estimate of how long the system will continue to meet the
operational requirements of the ADEC or MOA DSD. The content of this report is for
the sole benefit of the owner listed above. Any reliance upon or use of this report by any
other person or party is not authorized, nor will it confer any legal right whatsoever.
DSD SIGNATURE
jJ Approved for
Disapproved.
Conditional approval for
bedrooms.
Date
Attachments: COSA Checklist
Septic System Advisory
Well Flow Advisory
,~,.~e
Arsenic Advisory,
Maintenance Agreements
Supplemental Engineer's Report
Other
Original Certificate Date:
ONFSI?E SY,S~:b~ APPROVAL CHECKLIST
AT¸
lng ,IL.
Da{e'ofsamce: . -
¸in,
g,p,,m.
Ot~r"ba~eria- ' ~d'O0 mi.
YES
YES'
~:, ' Mort!feting tu~ :~'i'Es
. Results,(~assi;Faii) PA'.~'
__ il3.
,Fic~i'~'~'.,~iePth.- :in.
·,g;p~d.
D. MFT STATION
Date, instat[ed 12//.1'7,,18/I:0. Size ,in gallons 1500
"P,~'off" level atTIMER in.
'Cycles .tested *NEW
Pump on level at. ~R m.
~m BO~3~OM 9F ITANK
E. SEPAP. ATE~:'D~.~ES
*SEE A'F~ACHED ·.ELECTRICAL INSPECTIr0N REPORT.
Mar~hol,~, .Access (Y/N). YES.
High,water alarm level at , ~6~,./i · in.
S~ ~P,A~tON DrS~...~C~S FROM'WELL ON ,LOT TO:
Meets alarm & circuit requireme~S? YES
I'PUgEIC WATER1
septic tenl~.ift sta~.on lot
On adjacent lots
Absorption'f',~ld on lo~ On adjacent lots
PUblic ,sewer ,main ~anoUt
Sewer. ~ Holding te~nk
~nt a~as Manure/animel excrete storage'areas
SEPARATION DIS~SFROMSEPTIC/HOLDING TANK ON:LOT TO:
BUitdin~ four~dation 5'+ 5'+
Water main , 1,0 + . 10'+
Wells o'n a~aCent: ~ 20~'+
SEPARAT[~ D.ISTANOE PROM~ORP~ION FIELD.ON LOT TO:
Property line
Water service line.
Abso~tion 'field 5 '+
Sur[ace water. 100'+
I 20i'OTRE~'H;"~:E~) I
W~er:'~i~ line ~o~+ ~e water . ]~"+ Driv~, ~ng/ve'hiC~ storage. ~o~+
:~ .
-C~in. d~ N~ KNOWN,, ~s on.ad~c~t lots. 200'+
'F.
*PER 1~:9~5 ~:EERS ,I~P£~'I~ON REPORT.
date.
-.Date
cfions and,
in
this
. '~ ,.JEFFRE~'~ 'A.', GARNESS
Waiver Fe,~ -~
Date o~..~
Receipt Numbe~ _
N 89 56'
N 89 59'
FOUND 1/2 REBAR
45"
W
W
10o00
9,89
RECORD)
MEASURED)
FND.
I 1/2" ALUM CAP
EENTERLINE P.E.
Z
/AERO£ELL POD$~
/ i
LIFT
STATION
0
'7O
COMPUTED POSITION
BY PROPORTION
°o
o
SINOLE FANfLY
FRAM?' HOUS£
S
.00
THE INFORMATION HEREON IS FOR THE USE OF LENDING INSTITUTIONS SPECIFICALLY TO SHOW ANY CONFLICTS BETWEEN
EXISTING STRUCTURES AND PLATTED LOT LINES OR EASEMENTS AND IS NOT TO BE USED FOR POSITIONING ADDITIONAL
STRUCTURES OR FENCELINES.
EASEMENTS OF RECORD, OTHER THAN THOSE SHOWN ON THE RECORDED PLAT, ARE NOT SHOWN HEREON.
NOTE: ANY FENCELINES SHOWN ARE LOCATED APPROXIMATELY AND ARE NOT TO BE USED TO DETERMINE PROPERTY LINES
OR LOCATE STRUCTURES.
,FOUND I/2' REBAR
CENTERLINE P.C
AS-BUiLT SURVEY
NO CORNERS SET THIS DATE SCALE:l" = 30'
[ HEREBY CERTIFY THAT I HAVE PERFORMED A
MORTGAGEE'S INSPECTION OF THE FOLLOWING
DESCRIBED PROPERTY.
LOT 1, BLOCK 6, HYLEN CREST NO. 3 SUB.
ANCHORAGE RECORDING DISTRICT, ALASKA AND THAT
THE IMPROVEMENTS SITUATED THEREON ARE W~THIN THE
PROPERTY LINES AND NO VISIBLE ENCROACHMENTS EXIST
OTHER THAN NOTED.
DATED AT ANCHORAGE, ALASKA THIS 20TH
DAYOF DECEMBER 2010.
HOLT LA-ND SURVEYING
TEL. 345~5513 11461, FB 143-68
THIS MEMORANDUM oF UN~DERSTANDING made and entered into ~ of this
he.in the "OWNER," and the Municipalib' of Anchorage, herein the
"~IC~ALITY.'' in consideration of~c mutual coven~ contained herein, fl~e
p~ies to this Memorandum of Understanding a~ ~ follows:
1. ~V~CED WASTEWATER TREATMENT SYSTEMS. MunicipaliW
~ts pe~issio, to, 0;~ to utili~ and opera~ an Advanced Wastewater
%eament System (AWWTSL described as ~'~'S ~ror ~ll located
2. Definitions.
A. Mteration. ~y Change to ~e'desi~ or ~nction of an AWWTS that
I'ncludes thc ~sUllatlon or removal' of any p~s, eomponen~ or pieces not
included in the original construction pe~it ~d desi~. Prior to
pctFoming any akemtions to an AWWTS the o;m~er must obtain a
W~tewater Disposal System Con--etlon Pemit from the Municipality
pursuant to Anchorage Mtm~cipaI Code (hereinafter, "AMC") 15,65,
B. Cedificate of On-Site Systems Approval. An. approval by the
· Municipality or e~sthg water ~d wastewater dis~sal s,ysmms given at
the time of pmpe~ sale, md title transfer in accordance with AMC 15.65.
These approvals Certify that ihe SyStems are adequate for the homes lhat
~hey support and meet the ~codes that Were in place at, the time of System
construction.
C. Damage.· Any man-made or natural change in a system that would inhibit
the system from performing as deslgned~
D. Maintenance and Repair. The scheduled and as i~eeded replacement of
.existing parts, components m~d pieces of an AwWTS that were included in
the original design which would allow' the AWWTS 'to continue to
perform as designe&
E~ Permit (COnstruction) An On,Site Wastewater'Disposal System
C0nstmcti0n Permit as defined by ~MvlC 15,65.
F.' Permit (Operating} An Advanced Wastewater Treatment System
Operating Permit. ,tin annual permit, issued by the Municipality, that.
allows the Owner m operate an AWWTS, upon meeting ali ~he
requirements of this agreement, the conditions of Operating Permit, the
requirements of the OnzSite Wastewater SyStem Construction Permit and
ail relevant provisions of AMC 15.65
3. F~, Owner shall pay to Municipality an annual fcc of O
· ($. O ~00), payable on or before the issUance of the operating permit and annually
thereafter. The annual t~ee is due on or bcfbrc the artniversary date of the approval by
Municipality of installed system~
4~ Term., The term c~f this Memorandum of U~derstm~ding shall be For the life o f the
AWWTS.
'The lerm begins on the date of aPproval by '[he Municipality of the installed sydtem and
shall continue While the AWWTS system is in Use or operational or Until the property is
s01d or title is transferred by owner and a new certificate of On-Site approval is issued to
the new'owner or transferee Of the property.
5. Alterations~ Installation an~ Removal of Additional Fatuipmcnt. Owmer agrees
not to make any alterations, removal of parts or additions to the AWWTS with'out
Construction Permit from the Municipality.
6. Maintenance and Repairs.
A. Throughout the term of this Memorandum of Understanding, thc. Owner shall
maintain AWW'FS in good repair. In addition, it shall be the responsibility of the
Owner during the term of this Memorandum of Understanding, and any extensions Or
renewals thereof, at the ovmer's sole expense, to pay for any and ali: (1) repair(s), (2)
:maintenance, (3) adjustment(s), O) replacement costs, and (5) inspection costs.
Further, Owner agrees to comply will all applicable ordinance, laws, regulations,
rules and orders for the AWWTS.
B~ OYmer agrees to provide the MUnicipality a written schedule of murine
maintenance and repairs which have been' performed on the system pursuant to the
t0rms and conditions contained in the Owner's AWWTS Opcraling Permit. This
schedule slia[I be submitted to the Municipality annually upon the renewal of thc
permit. The schedule of maintenance and repair contained in the Owner's A'WWTS
Operating Permit is:
C. Owner acknowledges that the fine schedule for hiiing to maintain and repair an
AWWTS are cedifi.ed in AMC 14.60..
........ D. o~s.~er a~ees that onlY maintenance, repair personnel .c.e~ti~ied bY the
MuniCipality will inspect and make any necessary maintenance, repairs or permitted
alterations to the system.
E. owner agrees to grant the Municipality reasonable access to. test and insp¢¢~ The
AWWTS upon 24 hours wriaen notice.
F. Owner agrees that any sale or transtar of title of the property will not occur
without a new Cc. rtificate of On-Site Systems Approval.
G. Owner agrees that thc re'icvant provisions of the standard slpecifiCation guidebook
for AWWTS is the governing professional guidelines for the construction,
maintenance and r~pair ofth~ Owner's A~TS.
7. Nonwaiver. The failure ofe~ither party at any time to enforce a provision of this
Memorandum of Understanding shall in no way constitute a waiver of the provisions,
nor in any wa}' effect the validity of*he Memorandum of Understanding or any part
he. reof, or the right of such party thereafter to enforc-e each and ~vcry provision
hereof.
8. Amendment.
A. This Memorandum of UnderStanding Shall only be amcndcd, raodified or changed
by a writing, execu~d by authored rcp~sentatives of'the parties, with Ibc same
formality' of this Memoraudum of Understanding was executed and such writing shall
be attached to this Memorandum of Understanding as an amendment.
For the Purposes o.~' any amcada~e~t modification or change to the terms and
~ond~tioas of this ccmtract, the only authorized representatives of the parties are:
Anchorage: purch~ing Officer
C. Any attempt to amend, modify, Or change this contract by either an
unauthorized representative or unauthorized means shall be void.
9. Jurisdiction: Choice of Law. Any civil action arising from this Memorandum of'
Understanding :shall be brought in the Superior Court for the Third. Judicial District of the
STate of Alaska at Anchorage. The laws ofthe State of Alaska shal! govern 'the rights and
obligations, of the parties under this 'Memorandum of UnderStanding.
1 O, SeVerab~ Any provisions of this Mem. orandum of Understanding decreed
invalid by a court of competent jurisdiction shall not invalidate the remaining provisions
0fthe MemorandUm of UnderStanding.
OWNER:
MUNICIPALITY:
By:
Title:
Date:
S/ATE 0F ALASKA )
THIRD JUDICi AL DISTRICT )
The £oregoing instrument was acknowledged before n~¢ this[~oay o~-~r~
'~ State of Al~'s~
~ Alfred J. Romaszewski
My commission expires: 11/10/2013
MUNICIPALIT~ OF ANCHORAGE
DEPARTMENT OF HEALTH & HUMAN SERVICES
Division of Environmental Services
On-Site Services Section
P.O. Box 196650 Anchorage, Alaska 99519-6650
343-4744
Parcel I.D. # O .~o
CERTIFICATE OF HEALTH AUTHORITY
APPROVAL FOR A SINGLE FAMILY DWELLING
_ . .... '~,{ .~
GENERAL INFORMATION
Complete legal description
Lot 1, Block 6, Hylen Crest #3
Location (site address or directions) 10303 Stewart Drive
" '-~ Eagle River, AK
,P[opertyowner Ron & Linda Parkhouse Dayphone 727-5126
10303 Stewart Drive, Eagle River, AK 99577
Mailing address
Lending agency Day phone
Mailing address
Agent Kathi 01mstead/Rema× Eagle River Day phone 694-4200
Address1'6600 Centerfield Dr., Suite 201, Eagle River, Ak 99577
Unless otherwise requested, HAA will be held for pickup.
2. NUMBER OF BEDROOMS:
3. TYPE OF WATER SUPPLY:
Individual well
Community well
Public water
NOTE:
4. TYPE OF WASTEWATER DISPOSAL:
Individual on-site
Holding tank
Community on-site
Public sewer
NOTE:
If community well system, provide written confirmation from State ADEC attest-
ing to the legality and status of system.
XXX
If community wastewater system, provide written confirmation from State ADEC
attesting to the legality and status of system.
72-025 (Rev. 1/91) Front MOA #21
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 of this Health Authority Approval application shows that the on-site water supply
and/or wastewater disposal system is 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 in compliance with all Municipal and State codes,
ordinances, and regulations in effect on the date of this inspection.
Name of Firm S & S ENGINEERING Phone ~
17u~4 Eagle River Loop Road No. 204
Address Eagle River, A!aska. 9957~,
Engineer's signature V/~ ¢-~ ~-/4-~ r*~---- Date
DHHS SIGNATURE
/,// Approved for 'T'/-//~'~-_E bedrooms.
Disapproved.
Conditional approval for
bedrooms,
: ' ....
~ ~ ROBERT
with the following stipulations:
Additiona~ Comments
By: ~J::~.,,.v.z_.~ / ~. /0~ Date
The Municipality of Anchorage Department of 'Health and Human Services (DHHS) issues Health Authority
Approval Certificates based only upon the representations given in paragraph 5 above by an independent
professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes
and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not
conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not
responsible for errors or omissions in the professional engineer's work,
RECEIVED
MuniciPality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVIO~ 29 1999
Environmental Services Division~c~p~u~ot_A.nc.~Munici Ii' fAnc' r
' o no age
825 L Street, Room 502° Anchorage, Alaska 99501~~1~R[~.1~ Services
Health Authority Approval Checklist
Legal Description: ,K -~ 3 Parcel I.D.:
A. WELL DATA
Well type~ If A, B, or C, attach ADEC letter. ADEC water system number
Log present (Y/N)
Total depth
Sanitary seal (Y/N)
Date of test
Static water level
Well production
WATER SAMPLE RESU .'~~
Coliform J
Dat ~o~ample:
Date completed
Cased to Casir~g 'h~e ground)
Wires pr~ protected (Y/N)
FROM WELL LOG : ~AT~ INSPECTION
~ g.p.m, g.p.m.
Nitrate Other bacteria
Collected by:
B. SEPTIC/HOLDING TANK DATA
Date installed Tank size
Foundation c~an0ut (y/N)/(y'.~,M~'!Z)~-) Depression (Yl~
c. DATA ..i '
Date installed
! !
· ""Z~_ !
NO
Pumper ~/~V
Number of Compartments
High water alarm (Y/N) ~///~t_
/
System type
Total depth
SO)I rating (g.p.d./ff20~ /*~.~
~ Gravel thickness below pipe ~:)
Monitoring Tube present ~N) I/~'''~ Depression over field (Yi~
Results (Pass/Fail) ~'~'5' For ,~
Date of adeq?cy test
Fluid depth in absorption field before test (in.); ~-/]°/~ Immediately afte~L~gal, water added (in.):
Fluid depth ~/~ (ins) Minutes later: ~ Absorption rate = ~ ~ ~:g.p.d.
Peroxide treatment (past 12 months) ( ~ ~ K~lf yes, give date
bedrooms
72-026 (Rev. 3/96)*
LIFT STATION
Date installed
Manhole/Access (Y/N)
~i~ater ala~, *Datum
Size in gallons
"Pump off" level at*
E. SEPARATION DISTANCES
SEPARATION DISTANCES FRO WELL ON LOT TO:
Septic/holding tank on lot
Absorption field on lot ~nt lots
Public sewer main ~ Public sewer manhole/cleanout
Sewer~e~~~~ e Lift station
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Foundation ,~ ~ Property line //~)
/
Water main/service line //{~ -~/--Surface water/drainage
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOTTO:
Property line
Surface water /~)~/~/-'
Curtain drain /V~OA~[~''--
F. ENGINEER'S CERTIFICATION
Absorption field ~" /"~-
Wells on adjacent lots A/~
Building foundation ~ ' ~- Water main/service line //O ~"
Driveway, parking/vehicle storage area /O /:~"'-
Wells on adjacent lots
I certify that I have determined thru field inspections
Signaturein conformance.~with MOA~A~ ~guidelines in effect on this date.
Engineer's Name
Date
HAAFee $ ~,.
Date of Payment "~
Receipt Number (~- ~v~I "~\~
72-026 (Rev. 3/96)*
Waiver Fee $
Date of Payment
Receipt Number
SCALE
l"= ~ O'
·
I"I-IEI~EBY CERTIFY- THAT AN ACCURATE SURVEY DF THE PROPERTY SHOWN HEREON WIS
SAiD PROPE~'il EXCEPT AS ~NDICA~ED HEREON ' - ~'~'
,'
~-..;.,-,... - ...~,,? ~ .
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
DIVISION OF ENVIRONMENTAL HEALTH
CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL
OF ON-SITE SEWER AND WATER FACILITY
264-4720
Application Date 2/28/86
GENERAL INFORMATION
(a)
Legal Description (include lot, block, subdivision, section, township, range)
Lot 1, Block 6, Hylen Crest T14N, R1W, Sec. 8
Location (address or directions)
Eagle River
(b) Applicant Name Steven Curry 'Telephone:Home349-3783 Business 349-3783
Applicant Address 231 Fawn Court~ Anchorage~ AK.
(c) Applicant is (check one): Lending Institution []; Owner/builderY~ i Buyer []; Other [] (explain);
(d) Lending Institution Home Savings and Loan Telephone
Address 1001 E, Benson, Anchorage, Al(,
(e) Real Estate Company and Agent N/A
Address
272-1451
Telephone
(f) Mail the HAA to the following address:
Pickup, by applicant
TYPE OF RESIDENCE
Singler-Family r~ Multi-Family []
Number of Bedi0oms 3
Other
WATER SUPPLY
Individual Well [] Community [] Public []
Note: If community well system, must have written confirmation from the State Department of Environmental Conservation
attesting to.the legality and status.
SEWAGE DISPOSAL
Onsite [] Public [] Community [] Holding Tank []
Note: If community well system, must have written confirmation from the State Department of Environmental Conservation
attesting to the legality and status.
Page 1 of 2 72-02§ (11,84)
ENGINEERING FIRM PROVID, INSPECTIONS, TESTS, FILE SEARCH, E' ~. AND INFORMATION
As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health
Authority Approval shows that the on-site water supply and/or wastewater disposal system is 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 in compliance with all Municipal and State codes, ordinances, and regulations in effect on
the date of this inspection.* with approval of setback distance changes and tank loc.
Name of Firm Telephone
Address EAGL-E--RIVE ,q F,~,~NEERtN G-S E RVICES
..~.,/~/~, EAGLE RIVER, Al( 99577
Date
P. O. BOX 773294
694-5195
Seal
DHEP APPROVAL
Approved for ~,h ,-~-.~'---
Approved Disapproved
Terms of Conditional Approval
bedro0'ms by ,~ '~' '"~~ Date
Conditional
CAUTION
The Muncipality of Anchorage Department of Health and Environmental Protection (DHEP) issues Health Authority
Approval certificates based solely upon the representations given in paragraph 5 above by an independent professional
engineer registered in the State of Alaska. The DHEP does this as a courtesy to purchasers of homes and their lending
institutions in order to satisfy certain federal and state requirements. Employpes of DHEP do not conduct inspections or
analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the
professional engineer's work.
Page 2 of 2
72-025 (11/84)
Notice of Indemnity
Agreement Re: Placement of Septic Within Five Feet of House Foundation
In consideration of the agreement of the Municipality of Anchorage to
issue health authority approval for a septic system serving Lot 1 Block 6
Hylen Crest Subdivision, the undersigned owner gives notice that he has
agreed to indemnity the Municipality of Anchorage, its agents or successors
for problems that may result from locating a septic tank within five feet
of the house foundation on this lot.
Steven Curry, Owner
STATE OF ALASKA
Third Judicial District
This is to certify that on the 28th day of February, 1986, before me
a notory public in and for the State of Alaska, duly commissioned and sworn
as such, personally appeared STEVEN CURRY, known to be the individual named
herein, who acknowledged to me that he executed the foregoing instrument
freely and voluntarily for the purposes mentioned therein, and that the same
was his act.
Notary PUblic for Alaska
My Commission Expires
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
DIVISION OF ENVIRONMENTAL HEALTH
CERTIFICATE OF NSPECTION FOR HEALTH AUTHORITY APPROVAL
OF ON-SiTE SEWER AND WATER FACILITY
264-4720
GENERAL INFORMATION
(a)
Application Date
Legal Description (include lot, block, subdivision, section, township, range)
Lot 1~ Block 6, Hylen Crest T14N R1W Sec.8
Location (address or directions)
Eagle River
2/14/86
(b) ··Applicant Name Stcven Curry Telephone: Home 349-3783 Business 349-3783
Applicant Address 231 Fawn Court, Anchorage AK. 99515
(c) Applicant is (check one): Lending Institution []; Owner/builder [~; Buyer F].; Other [] (explain);
(d) Lending Institution Home SAgIngs and L~an Teleph'one
Adaress 100]. E. Benson, Anchorage AK.
(e) ,Real Estate C0rnpany and Agenl N/A
- ' ' Address
..... ::·Telephone ,
.... !f) Mail the HAA to the following address: - '
''p±ckup by appl±cant
Individual Well~[]~ ~'Community [] Public []
Note: If community well system, must have written confirmation from the State Department o! Environmental Conservation
attes![ng to the legality and status,
· 4,, SEWAGE DISPOSAL
,.- Onsite [2~,:~.~ Public ~ Community [] Holding Tank []
Note: If community well system, must have written confirmation from the State Department of, Environmental Conservation
a~esu~" '=--..~. , _ .._~o~ue.~e~a..~yandstatus. .~,_..~ ., .
72-025 (~ 1/84)
Page '1 of 2 ',
ENGINEERING FIRM PROVIDIN~ INSPECTIONS, TESTS, FILE SEARCH, DA, ,,~ AND INFORMATION
As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health
Authority Approval shows that the on-site water supply and/or wastewater disposal system is 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 in compliance with all Municipal and State codes, ordinances, and regulations in effect on
the date of this inspection. * with approval of setback distance changes.
Name of Firm F.C, GLE RIVER ENGINEERIN¢, SERVICES Telephone
EAGLE RIVER, AK 99577
Address
P;-07BOX 773z~4
Date 2/~ 4/86 694-5!95
Engineer's Seal
6. DHEP APPROVAL
~,,~C~,"'t-, o,,v~i. ~.. /'~--~ ~' ~~ Date
Approved for ~ bedrooms by
Ap~ved Disapp~ed Conditional ~
Terms of Conditional Approval ¢~S ~ ~ ~ ~~
CAUTION
The Muncipality of Anchorage Department of Health and Environmental Protection (DHEP) issues Health Authority
Approval certificates based solely upon the representations given in paragraph 5 above by an independent professional
engineer registered in the State of Alaska. The DHEP does this as a courtesy to purchasers of homes and their lending
institutions in order to satisfy certain federal and state requirements. Employees of DHEP do not conduct inspections or
analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions 'in the
professional engineer's work.
Page 2 of 2
72-025 (11/84)
WELL DATA
Well Classification
Well Log Present (Y/N)
MUNICIPALITY OF ANCHORAGE (MOAi
HEALTH AUTHORITY APPROVAL (HAA)
CHECKLIST - FEBRUARY 1984
264-4720
Legal Description:
/'¢~i~Ci~ALL¢~'¥ O1: ANCHORAG~
DI~PI', OF HEALTH &
L~NVIE.ON/'~NTAL PROTECTION
Total Depth Cased to
Static Water Level
Casing Height Above Ground
Electrical Wiring in Conduit (Y/N)
Separation Distances from Well:
To Septic/Holding Tank on Lot
To Nearest Edge of Absorption Field on Lot
To Nearest Public Sewer Line
Cleanout/Manhole
Water Sample Collected by
Water Sample Test Results
Comments
,~ If A, B, C, D.E.C. Approved (Y/N)
Date Completed Yield
Depth of Grouting
Pump Set At
Sanitary Seal on Casing (Y/N)
Depression Around Wellhead (Y/N)
; On Adjoining Lots
; On Adjoining Lots
To Nearest Public Sewer
To Nearest Sewer Service Line on Lot
; Date
B, SEPTIC/HOLDING TANK DATA
Date Installed
Standpipes (Y/N) /V Air-tight Caps (Y/N)
Depression over Tank (Y/N) ~
Pumping/Maintenance Contract on File (Y/N)
Holding Tank High-Water Alarm (Y/N)
Separation Distances from Septic/Holding Tank:
To Water-Supply Well ~;x?Oo c-
To Property Line ¢,/O /
To Water Main/Service Line "f-/o /
Course /~//~ '¢"/'~ ~ '
Size /'¢~¢:'<:~ NO. of Compartments
Foundation Cleanout (Y/N)
Date Last Pumped
; for
Temporary Holding Tank Permit (Y/N)
To Building Foundation ~
To Disposal Field
To Stream, Pond, Lake, or Major Drainage
Comments
Page 1 of 2
72-026(11/84)
C. ABSORPTION FIELD DATA
Soils Rating in Absorption Strata
Date Installed
Width of Field '-..~ / '
/,¢ 3
Type of System Design
Length of Field ~,~",~
,,~..~,
Depth of Field ~
Gravel Bed Thickness
Standpipes Present (Y/N)
Date of Last Adequacy Test
To Property Line
¢¢,- ~.,¢v" To Existing or Abandoned System on
; On Adjoining Lots 5o '°
To Cutbank (if present)
Square Feet of Absorption Area
Depression over Field (Y/N)
Results of Last Adequacy Test
Separation Distance from Absorption Field:
To Water-Supply Well ~:~o
To Building Foundation ,/--,/--,/--,/--,/-~' / ~:~'""
To Water Main/Service Line /O /
To Stream/Pond/Lake/or Major Drainage Course
To Driveway, Parking Area, or Vehicle Storage Area
Comments b~'~ ~,,~ ,,- ~,,?¢~/,,'~'¢../ ~ ~
D. LIFT STATION
Date Installed
Size in Gallons
"Pump On" Level at
High Water Alarm Level at
Tested for
Electrical Codes (Y/N)
Dimensions
Manhole/Access (Y/N)
"Pump Off" Level at
Vent (Y/N)
Pumping Cycles during Adequacy Test. Meets MOA
Comments
** Check Permitted Bedroom Rating Against HAA Request **
I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection.
Signed J~ Date 2///'1/'~ 4
Company ~,-/~,~---'~"¢, MOA No. .~"7- ~ g..~; ~-
Receipt No. '"~
Date of Payment
Amount: $
Page 2 of 2
72-026 (11;84)
Health Department
825 L Street
Anchorage, Alaska 99501
Ref:Lot l, Block 6, Hylen Crest
Dear Susan;
I am submitting a revised asbuilt for the above referenced
lot. After the secound inspection the contractor shifted the
house location due to lot size restrictions. The situation that
exists shows the NE corner of the septic tank located under the
house footing and the end of the leachfield 4' south of the house
foundation. I do not believe that these locations will cause
a health concern and therefore I am asking for a wavier on behalf
of the general contractor, Steven Curry.
The septic tank is overlapped by the foundation only on
one corner, as the foundation is a poured concrete type any load
applied to the tank should be taken up by the surrounding soil
assuming that th~ foundation is placed on undisturbed ground.
The lack of a cleanout between the house and the 'tank is not
a problem as there is a cleanout in the crawlspace adjacent to
the foundation which provides the same function. The location
of the leachfield 4' from the house should not be a problem as
it is located downslope and vertically, 4' lower than the found-
ation level. This would direct lechate away from the foundation.
The contractor is asking for approval of the revised inspect-
ion report and subsequent issue of a HAA which is included. If
there are any questions please call my office at 694-5195.
Sincerely,
Lou Butera, P.E.
BILL SHEFFI£LD, GOVEIZNOR
DEPT. OF ENVIRONMENTAL CONSERVATION
ANCHOrAGE/WESTERN DISTRICT OFFICE
437 "E" STREET, SUITE 303
ANCHORAGE, ALASKA g9501
Telephone: (907)
Address:
274-2_533
*%%?,,>
~.~,~.' o~ o,,.
To Whom it May Concern:
According to records on file in this office the~.
'~-~'~"" Water System is in compliance wi(h the State Drinking
Water Regulations
Sincerely,
-¥