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Home My WebLink AboutBARONIK LT 1Onsite File Baronik Lot 1 #015-142-60 Municipality of Anchorage On -Site Water and Wastewater Section • (907) 343-7904 Page of ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP211276 PID Number: 015-142-60 Dwelling: ® Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New ® Upgrade Name JEFFREY & EMILY KEWIN ABSORPTION FIELD - ADVANTEX ® Deep Trench El Wide Trench El Bed El Mound Site Address TH 5600 E 115 AVE, ANCHORAGE ❑ Other Phone Phone f Bedrooms Soil Rating Total depth from original grade 7�� 6 1.5 GPD/SF 11 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade 3 Ft. Gravel depth beneath pipe 7 Ft. Subdivision Block Lot BARONIK 1 Fill added above original grade VARIES 0.65'— 0.84 Ft. Gravel length 43 Ft. Township Range Section Gravel width 2 Ft. Beds: Number of Lines NA Distance between lines NA Ft. SEPARATION DISTANCES To Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Tank Line 602 FF 1 NA Ft. Well 50'+ 50'+ 25'+ TANK ® Septic ❑ S.T.E.P. ❑ Holding ® Other ADVANTEX Manufacturer GREER Capacity 3000 Gal. Surface Water 50'+ 50'+ Material STEEL/ADVANTEX Number R compartments (2 AX20 PODS). 2 Lot Line 5'+ 5'+ NA Foundation 10'+ 10'+ LIFT STATION Manufacturer ORENCO / ADVANTEX Capacity 3000 Gal. Remarks EX. DUG 14'+ PER PERMIT & IR DWG & NO EXISTING FIELDS WERE FOUND — VIRGIN GROUND. FIELD WAS Alarm location Electrical installed by PROTECED FROM PARKING AREA WITH TREATED WOOD / BASEMENT DRS ELECTRIC GRAVEL IN PARKING & GRASS IN TRENCH AREA AS PRIOR. Installer ,JRs PIPE MATERIAL House to tank 3034 Tank to 3034 drainfield Drainfield 3034 CO/MT 3034 Inspector FWC BENCH MARK (Assumed elevation) 100 ft Inspection 1'` 6/20/22 2nd 6/21/22 Location and description 3`d 6/22/22 4"' 6/23/22 BOTTOM OF SIDING ON-SITE WATER AND WASTEWATER SECTION APPROVALOF A Conditional Approval: Date ter, / •• •••• ••••••••• Septic Syste Approved -%/V,4- t� �•• Curtis Huffman . � �� ) (tJ Date �o Z c�ci•. CE 128991 �`� / .. • •�G�� 1�'l�c 7/27/2022. l;F�pROFESSIONPC..� Note: this approval does not include well permit requirements. 1RCv VJ/VL/ 10) PERMIT: OSP211276 PID: 015-142-60 EXCAVATOR DUG & FOUND NOTHING — JUST VIRGIN GROUND W/ 14'+ TO NEW DEEP TRENCH. I IT b VALVE 70 pry EIOSTNG— G CRIB �H o E MT / b AX20 PODS I " z D0 APPROX. 0 TRENCH � 0 P DOCS" I (n �dDfGIX m 0 v GRAVEL D/W I 115th AVE C4 APPROX00 1' O WELL RADIUS IT GRAVEL PARKING 50' Wfll u FCO RADIUS DEI iC ffffff Ittn EXISTING BUILDING 0 ZSIN CARPORT LOT 1 \ 10' U11UTY ESMT 30' N89'59'00"W 133.00' T12N R3W SEC 22 LOT 48 S2 I A—C=21,6' B-15=90,3' B—C=70,9' A—H=25.6' fDFC098.30 AX2X2 98.21 j / °C0 DIV CO A—D=19,9' MH MH A—I=26,9' B—D=74,3 INSULATION A—J=47,3' A 0'8 PREPARED FOR: 94.10 WELL I DECK A—E=13,0' A—K=46.9' 5600 E 115TH AVE. B—E=86,8' GAL 93.5 s3m TANK 5.93 A -F=15,1' AD ANTER OURET°I1EV SYSIEM FROM AXPODS B—F=89.1' AT —2.5' FROM TOP OF RISER A—G=16.3' B-15=90,3' TANK ' FROM FOUNDAATIN1IN A—H=25.6' fp SM/ML IN SITU SOILS. B—H=93.3' A—I=26,9' B—I=92.3' BARONIK LOT 1 A—J=47,3' A 0'8 PREPARED FOR: B—J=52,8' WELL I DECK JEFFREY & EMILY KEWIN A—K=46.9' 5600 E 115TH AVE. B—K=54,6' ANCHORAGE, AK 99516 FIRST WATER CONSULTING 13030 Sues Way Anchorage, Alaska 99516 (907)350-9566 firstwaterAK@gmoil.com Z CWS U) D_' WQ CD W—' 01 WP LOT 2 00 .Z7 v �ILa• - m SEPTIC AREAS __________ SCALE, 1` = 40 FINAL GRADE M7 CO FILTER FABRIC A INSULATION SEWER ROCK r ED SEPTIC SECTION SCALE, NTS )E TH21-1 0.5' ORG/OL SM/ML W/ ap veins GRND.WIR. O 14• 10/22/21 DRY 6/20/22 1i 8,.J,/ 0.16 BOH SUPPORT®SERVICES: AdIr OFA4� ®• �� J- TH * DATE: 7/27/2022 tis Huffman SURVEY: JLS CE 128991 �� DRAWN: FWCS 7/27/20226 SCALE: 1" = 40' nssio-'0 z fp o 0 o0 OO 0 C A 0'8 2' O j WELL I DECK Z CWS U) D_' WQ CD W—' 01 WP LOT 2 00 .Z7 v �ILa• - m SEPTIC AREAS __________ SCALE, 1` = 40 FINAL GRADE M7 CO FILTER FABRIC A INSULATION SEWER ROCK r ED SEPTIC SECTION SCALE, NTS )E TH21-1 0.5' ORG/OL SM/ML W/ ap veins GRND.WIR. O 14• 10/22/21 DRY 6/20/22 1i 8,.J,/ 0.16 BOH SUPPORT®SERVICES: AdIr OFA4� ®• �� J- TH * DATE: 7/27/2022 tis Huffman SURVEY: JLS CE 128991 �� DRAWN: FWCS 7/27/20226 SCALE: 1" = 40' nssio-'0 MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program PD um 190650 4700 Elmore R -Dad ATchuragt% AwMa 99519�UZB Phone: t -907j W-79 4 Pax: (947) 348.7951 htip Jfwww.murii.orgrorljte Orr -Site Wastewater Disposal System Permit Perm it N umber: GS P21 127E Work Type, Septi Upgrade Tan Gcrdo Nuinn trcr: 01614 260000 Site Legal Address= SALON I K LT 1 G2637 Site Mailing Address= 000E 115TH AVE, A rage Owner: K EM N J EFFR.EY B& EM ILY L Design Engineer: FIR-STYMATER CONSULTING This permit is for the mrstructinn of: Effectivc Date Expiration Date: Lot 3i;Ee in Sq Ft; Total Bedrooms_ %,It'nr . I]L!laartIn-Ijik# 1 05,02 1 1012512022 17984 10 Disposal Field d Septic Tank 0 Hol-dInrg Tank ❑ Privy ❑ Primate Well ❑ Water Storage All cunstrurtion shall be in accordance with - 1 - ith-1- The attached approved 4esign. 2- All requirements specifiad in Anr horagi� MuniuipaI code Chapters 15-55 and 15.0.5 anal the State of Alaska Wastewater DisposaI Reg ulotions (ISAA072)and Drinking Water Regulations (1 f;SO) $, The Vrae1lswatepr oodo re qu irva innpastiono du ring the irkrtal latlQn. Th o 4; noncr_r She If rectif y tl iL: Du xulu PiTwn t Services DGpa rtmenl per AMC 15-65- Provide notihearlion by cal Ii ng (907) 343-7904 (2417). 4. From October 15 to April 15, a subsurfa" so iI Gibsorption syutern un der construction during freezi nq weaI r shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing r. speolie I Pro ilsions: 6 1) At time of construcilon, the minimum 14 R separation between the proposed ab%orplion 5eld aind existing fields shall be canfirmed- 2) If it is determined that the existing absorption field is partially off property, a th+ ht-of-Vyay enrroadhment permit and applicable waivers shall be obtalned, A ROW use permit shall bo abtained prior to any work within the ROUV, Raceived By ,r By - 10125/2021 Date'. Date: a 0 MUNICIPALITY NCH Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 ON-SITE SEPTIC/WELL PERMIT APPLICATION Parcel I.D. 015-142-60 Property owner(s) JEFFREY & EMILY KEWIN Day phone _ Mailing address 10360 SCHNEITER DRIVE, ANCHORAGE, AK 99504 Site address 5600 E 115TH AVE., ANCHORAGE, AK 99516 Legal description (Sub'd., Block & Lot) BARON I K LOT 1 Legal description (Township, Range & Section) Lot Size 17,964 Sq. Ft. Number of Bedrooms 6 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field Fx� Initial ❑ Single Family (SF) 0 (w/wo ADU) Septic Tank El Upgrade Q Duplex (D) ❑ Holding Tank ❑ Renewal❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit/Rush Fees: 4 59 5 Date of Payment: Z /2.12 1 Receipt Number: 3121 h Ll Permit No. U SP ) 11 � 1 Waiver Fees: Date of Payment: Receipt Number: Waiver No. GADevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Client Forms\Permit Application.doc 13021 Montego Circle, Anchorage, AK 99516 907-350-9566 / FirstWaterAK@gmail.com July 30, 2021 Municipalities of Anchorage On-Site Water & Wastewater Program 4700 Elmore Road Anchorage, AK 99507 RE: SEPTIC SYSTEM UPGRADE PERMIT LEGAL: BARONIK LOT 1 The septic crib has been found failed and the owner has requested a septic permit to upgrade the system on the above referenced lot. We propose to install one deep trench with and Advantex system to serve the existing 6-bedroom residence. The design is based on the recent test hole conducted on June 16, 2021. The location of the existing crib and trenches will be determined at construction and the necessary, required ROW permits and/or waivers will be obtained to work in the ROW for this determination, complete removal decommission or continuation of use. Required separations between the proposed trench and these existing fields / crib will also be determined at this time with proper action (silt plug, waiver request if needed, ). The slopes are moderate at 0-5% at the proposed upgrade location. The lot and area are served by private water. The design will not impact any of the neighboring properties. Please contact us if you have any questions. Sincerely, Curtis Huffman, P.E. Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211276, Rebecca Carroll, 10/25/21 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211276, Rebecca Carroll, 10/25/21 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211276, Rebecca Carroll, 10/25/21 4661 13030 Sues Way - Anchorage, Alaska 99516 Tel. 907-350-9566 firstwaterAK@gmail.com SOILS LOG - PERCOLATION TEST LEGAL DESCRIPTION: BARONIK LOT 1 PERFORMED BY: FWCS / FWC - I CURTIS HUFFMAN CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE & MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 6/25/2021 DEPTH FEET OG SOILS 1 ORG/OL 2 3 4 SM/ML w/ small sp veins 5 6 7 8 9 10 11 12 13 14 15 16 17 BOH 18 19 20 Reading Date Gross Time Net Time Depth to Water Net Drop 6/24/21 30 min 6 10/16 30 min 6 10/16 30 min 6 10/16 PERCOLATION RATE 48 (MIN / INCH) TEST RUN BEWTWEEN 6 & 7 FT PERC HOLE DIAMETER 6 PRE-SOAKED PRIOR TO TEST & ALL READINGS TO THE 1/16TH. GROUND WATER ENCOUNTERED: NO IF YES, AT WHAT DEPTH: NA DEPTH TO WATER AT MONITORING: DRY DATE: 6/24/2021 TESTHOLE # 21-1 DATE PERFORMED: 6/16/2021 SEE SITE PLAN FOR SLOPE & LOCATION COMMENTS: VERIFY GROUNDWATER MT AT TIME OF CONSTRUCTION PERFORMED FOR: JEFFREY KEWIN 6/25/2021 GROUNDWATER AT 14' 10/22/21 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211276, Rebecca Carroll, 10/25/21 ANCHORAGE RECORDING DISTRICT, ALASKA AS -BUILT OF: BARONIK SUBDIVISION LOT 1 PLAT 70-199 SURVEY CERTIFICATE: 1, John L. Schuller, Have conducted a physical survey of this property as shown on this drawing and that the improvements situated hereon are within the property lines and no enchroachments exist other than noted. Under no circumstance should any information on this drawing be used for construction of fences,, structures, improvements, or for establishing boundary lines. EXCLUSION NOTES: It is the owners responsibility to determine the existence of any easements, covenants, or restrictions which do not appear on the recorded subdivision plat. WORK ORDER NUMBER: DATE: SCALE: E-MAIL JUNE 3, 2021 1 "=30' schullerfak.net 21-058 DRAWN BY: CHECKED BY 13RID NUMBER: -83& Acs JLS SW2637 210165 Q = F"ND 5/8" REBAR .i " �. • .......A,L \ �L LAND / [`may • . ,� �,�, /••' 4 9TH •• off, 1 s ♦ • a • • • e • • • • • • . • /1 RA )� Q c� ••,J'HN LSCHULLER• • L. . tv o ' LS --10408 , . • �� / 1831 Talkeetna Street �� • • :. • ' �� Ar �� 6 AW Anchorage, Alaska 99508 ..ter a fe \ �- ® (907) 227-1455 office 1�ri s s ioo��,�•�• (907) 274-4992 fax 115th AVE N89051'53"W 132.80' 0 1 (N89"59100 W 133.00' R) GRAVEL PARKING C-4 w :a v SEPTIC • • •_ DECK VENT 2, i (t yP) 88.0' �g z o EXISTING z z D 0 BUILDING � o 0 0 0 O o LOT 1 40.0' $ 2' oo 0 z o � P WELL DECK 48.0' o �7 � ---' DECK CONC 6.8' --' Cs1 ' M -� � 28.0' ul � 0 0 00 GRAVEL � � CARPORT D �W p cv C� �,} � 24,0' o j= < 06 t C!) � Cd Q LJ 10' UTILITY ESIUT 28.0' 8.9' Ln i 30' N 89 °59' 00" W 133.00' ANCHORAGE RECORDING DISTRICT, ALASKA AS -BUILT OF: BARONIK SUBDIVISION LOT 1 PLAT 70-199 SURVEY CERTIFICATE: 1, John L. Schuller, Have conducted a physical survey of this property as shown on this drawing and that the improvements situated hereon are within the property lines and no enchroachments exist other than noted. Under no circumstance should any information on this drawing be used for construction of fences,, structures, improvements, or for establishing boundary lines. EXCLUSION NOTES: It is the owners responsibility to determine the existence of any easements, covenants, or restrictions which do not appear on the recorded subdivision plat. WORK ORDER NUMBER: DATE: SCALE: E-MAIL JUNE 3, 2021 1 "=30' schullerfak.net 21-058 DRAWN BY: CHECKED BY 13RID NUMBER: -83& Acs JLS SW2637 210165 Q = F"ND 5/8" REBAR .i " �. • .......A,L \ �L LAND / [`may • . ,� �,�, /••' 4 9TH •• off, 1 s ♦ • a • • • e • • • • • • . • /1 RA )� Q c� ••,J'HN LSCHULLER• • L. . tv o ' LS --10408 , . • �� / 1831 Talkeetna Street �� • • :. • ' �� Ar �� 6 AW Anchorage, Alaska 99508 ..ter a fe \ �- ® (907) 227-1455 office 1�ri s s ioo��,�•�• (907) 274-4992 fax MUNICIPALITY OF ANCHORAGE ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND REPAIR AGREEMENT THIS MAINTENANCE AND PAIR AGREEMENT, herein the "AGREEMENT" made and entered into as of this ay of ` y of 20 a/ , by and between ✓�, herein the "OWNER," and the Municipality of in the "MUNICIPALITY", in accordance with Anchorage Municipal Code (AMC) 15.65.365. In consideration of the mutual covenants contained herein, the parties to this Agreement agree as follows: 1. Advanced Wastewater Treatment S stems. The Municipality grants permission to the Owner to utilize and operate an Advanced Wastewater Treatment System (AWWTS), described as AN ADVANTEX SYSTEM located at (legal description) BARONIK LOT 1 2. Maintenance, Repairs and Alterations. (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 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). aJ'� 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. 1.�/ Owner acknowledges that regular maintenance of an AWWTS reduces the potential failure of the system, which could include sewage backup and cosily repairs or drainfield replacement. (rev. 05/18/2018) Page I of 3 Owner acknowledges that the Municipality may request records of maintenance and repairs from the manufacturer's representative or maintenance provider. Owner acknowledges that the fine for failing to maintain and repair an AWWTS may be assessed in accordance with AMC 14.60.030. Owner agrees to grant the Municipality reasonable access to test and inspect the AWWTS. The Municipality will give at least 24-hour notice. fzXOwner agrees that any sale or transfer of title of the property will not occur without a new Certificate of On -Site Systems Approval. 0KOwner 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. 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. 0511812018) Page 2 of 3 , ature) Date: i , name) STATE OF ALASKA ) ) ss. THIRD JUDICIAL DISTRICT ) The foregoing instrument was acknowledged before me this q day of 2011 , by An NOT Y LIC FOR ALASKA notary Public ANGELA SE6BERT My Commission expires: U ' (P State of Alaska My Commission Expires ®ciaber 16, 2024 MUNICIPALITY: &X—(signature) BBy: fixtcA �elecco— C -0t -,r ro L (print name) Date: t a s ao2 Title: (rev. 05/18/2018) Page 3 of 3 unicipality Anchorage Department of Health and Human Services Tom Fink, 825 "L" Street Mayor P.O. Box 196650 Anchorage, Alaska 99519-6650 January 8, 1991 Daryl Stearns 5600 East 115 Avenue Anchorage, Alaska 99516 Subject: Lot 1 Baronik Subdivision Permit #900117, PID #015-142-60 The subject permit, issued by this office for a single family well and/or on-site wastewater system has expired as of December 31, 1990o A new permit must be obtained from this office for a well and/or on-site wastewater system not installed by the expiration date. If you have drilled the well, a well log needs to be sent to this office for documentation of the installation and to close the permit. If a private engineer inspected the installation of the on-site wastewater system, the original as-built inspection report (three-part form) must be sent to this office for review, approval and documentation. All inspection reports must be submitted within 30 days of construction completion. When applying for a new perm,it, the fees are: $90.00 for an on-site wastewa.ter permit; $50.00 for a well permit; $140.00 for a combined on-site wastewater and well permit. If you have any questions, please call this office at 343-4744. J~n ~mi~h~/-P.E. / ~og~am ~anager ~n-site Services JW/ljm:200 enc: Copy of Permit "Kids Are Our Future" MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES PO BOX 196650 ANCHORAGE, ALASKA 99519 343-4744 HAND WRITTEN PERMIT Permit Number: SW90~%%q Date Issued: /W~¢~ Design Engineer: Owner Name: ~,f& Owner Address: ,~o~ ~ //~~ '~¢~ Permit Type:O~ £P~//~ /~'~ Expiration Date: ~3'J~ Day Phone: ~-$~/~ Parcel ID: ~/J'-i~2-~O Lot Legal: Subdivision: ~~//< Lot: / Section: ~ Township.' /~ ~ Range: Lot Size: ;~6k~O (sq.~ or acres) Max Bedrooms: This Permit: ~' Total Capacity: Block: SEPTIC TANK: Minimum septic tank capacity: /~'OO gallons. Each septic tank must have at least 2 compartments, insulation is required if depth to 'top of septic tank(s) is less than 4.0'. Lift stations require an appropriate electrical inspection. WELL LOG: A copy of the well log must be sent to DHHS within 30 days of the well's completion. I CERTIFY THAT: 1. I will install the on-site sewer system and/or well in accordance with all codes and regulations of the Municipality of Anchorage (MOA) and State of Alaska , and in compliance with the design criteria of this permit. 2. I will adhere to all MOA and State of Alaska requirements for separation distances from any existing well, septic system, or surface water on this or any adjacent or nearby lot. 3. I understand that this permit is valid for a single family dwelling with a maximum of ~6' bedrooms. I also understand that any enlargement will require an additional permit. 4. I understand this permit is issued for the calendar year and expires on December 31 of the year issued. 5. I will notify DHHS prior to all inspections by the engineer or well driller. SIGNED: ISSUED (owner[~signee) ..... DATE: DATE: ~"/~ -~/~ db/ll5 O ARchorag(::~ Alaska 9" :" M ....... ~, ~.., ....... : .... ~ .~.Oo~!. 502 Anc'hor,;~ge ~ ,Aia::~k.;'t 99501 SUBJECT Permi. h Application for .£,o-h I }3aronik Subdivision DATE 7 / ] 6 /90 MEBSAQE A permit was applied !~or and has been issued, however, it to be signed and picked up. iJ: the installation/work has been completed an J_.nspeci~J.on report done by your engiamer needs to be submitted to 'this office~ The peumit was issued May 23, 1990 p].ea~e come in and sign for your permih and pick ~p y~ur copies at:. your earliest convenience~ SIGNED On-site Serv.ice:~ REPLY 343-4744 /}e:-x'~ >' / / ~~e 4S 472 PART 3 WILL BE RETURNED WITH REPLY. DETACH AND FILE FOR FOLLOW-UP HOOI / ~'~ / 2 39 ~FENWICK )' 57 5600~56~[ tlR;1340" Q; 11525 HILL TOP BOYS HOME .... I J ";:, JUM~R J. KLATT ROAO ~ ' GR. 2637 ~ ~ DeArmoun Area Reference Map--P14 215 ~ 217 231 unicipality of Torn Fink, Mayor P.O. BOX 196650 Anchorage, Alaska 99519-6650 January 8, 1990 Christian Church National Benevolent Association 11780 Borman Drive #200 St. Louis, MO 63146 Subject: Lot 1 Baronik Subdivision Permit #890151, PID #015-142-60 The subject permit, issued by this office for a single family well and/or on-site wastewater system has expired as of December 31, 1989. Permits are issued on a calendar year basis by authority of the Municipal Code of Regulations. A new permit must be obtained from this office for an well and/or on-site wastewater system not installed by the expiration date. If you have drilled the well, a well log needs to be sent to this office for documentation of the installation and to close the permit. If a private engineer inspected the installation of the on-site wastewater system, the original as-built inspection report (three-part form) must be sent to this office for review, approval and documentation. When applying for a new permit, the fees are: $90.00 for an on-site wastewater permit; $50.00 for a well permit; $140.00 for a combined on-site wastewater and well permit. If you have any questions, please call this office at 343-4744. Sincerely, John Smith, P.E. Program Manager On-site Services JW/ljm:200 enc: Copy of Permit "Kids Are Our Future" M U I',! I C :t: I:::' A i .... :1:T Y 0 t:::' A I'4 C I"'I 0 R A G D(.:.:.;par'tmer'~t i::ii' Hea:l. th,:?-.." Humar"~ Ser'v':i. c6,,,:~ ....... ,~"i '"" '= "~." ~ ":- 4 '7'") c) ;.,:::.,..¢ I.. S'.Lr'ee'L, Anr.::h(:.)r'age, A].aska 995('):1 I:::'E, r' ¢'N :i. 'L l'...h.~. It'd:;)l.:.:~, r' ,", ,::, '~ -./ Up !:;j r' ad Oat(.:.:.? :1: !~.isue:,cf ',~ ~" 8/f') ?/89 ti;:r'l(.~:.l :i. r'i,:~.:.:,6.'., ". Des :J. gne,:::l 'f' A N K F:' IE R M :I: T O~,,.m~(.:.:.:,r' Name: E' HI::?. :1: S'T I AI',I CHURCH N"t"I ...... BI!EI',Ili.:.:VOI....IENT AS Owner" Addr'.,~:.:.!ss: :1.:I. 7(!i1() .BEII::;:MAN DR,, !"i ............. MO 63 146 : I , I....LIU.I.;:~, L.c,'t'.. L,:.:.:.:,ga :1.: Sub d i v :i. '~i~ i or'f :: BAR[)N .1: K Sec t :i. c:,rl :f 2'i'.;:2'T'owI] sh :i. p: Max Bed ~' oc, ms ~: 'l"h .i. s t'-".',:.:.>:,~" m :i. 'I'.. ~ 5 Tot a :1. Cap ac :i. 't'.. y: Lot.: .1, Blt)ok: 00 .I. ,.-:.1.,t R a n g e: 3 SEI:::"T' :1: E: 'TANI<: M :i, n :i. mum L '::)t..,.::, :I. sept :i. (::: 't:.ar'~k capac i ty :~ 1,50() ~.:: a :1. lons ,, leach Sel::)'L :i. i::: rani.:: m~, st have a'L :l, easl'.. 2 coml:::,ar"Lmer'lts,, Depth to top c,f' set::)t:i.c tank (s) .::: 4,,() {: (..:;.:, E, t P (.;.:~ (::j~...t :J. P 6.) !~i:, :i. l"r !ii; l..t ]. <'..':'~ t :J. (::)ri (;:) V (..'.:.~ r' t a i"'~ k ( !ii~. ) . THIS SYSTEM iS SIZED:, PERMITTED AN][) APPROVED FOR A 5 BEDROOM SII'4GL.E FrAMILY RESIDENCE []NLY, AND ANY FUTURE AD][:)ITION OF BED ..... RE)E)MS OF;~ COMMERC ]: AL l.J!i~E: I~:i:i_L. RIF6;!UIRE AN UF'GRADE PERMI"f' 'T'O EN ..... LARGIE ]"HE SY.<3TEM. THIS F.:'ERM:I:T IEXPIRES ON :1.2/.".5:i./89, DHHS MUST :SE NOT :I: F' :1: lED PR :t: E)R 'T'O ALI .... :1: NSF:'EC'T' 101'4S ,, :i:. NS]"AI....LAT t ON (::!1::;' A 1.... :I: FT STA]'. .... :t: ON W I L.t .... REG!U I RE THE APF'I::;:OPI::~ :1: ATliii: IE[...ECTF:~: I CAL .t: CtEI::;.'T :1: I:::'Y 'T'HA'T': :1.,, :[ am ',<'am:i.l:i. ar'. w:i.'Ll"~ 't'..l"l(..:.: r'(.:;.:qu:i.r'eri~er'~ts ~'c,r' c)t'"~.....s:i.'L8 s(~(:~t.,,let"?:i ...':':~.r'lc;I wE.~,:L:l.'..:il ,.?:',.'..ii~. ':ii;et t:'c)r"l;.h t:::,y the Mur~:i.c:i. pa ]. :i.'l:.y ol' Anchc)r'age (Id[:)P,) ar'id the State o£ A]..:'.::':ska, ?.,, :[ t.,~J:i. 11:i. ns'Lal :1. 'Ll"le system :i.n acc:¢::)r'danc:e t,,.~:i.'t:.h al 1 MOA cc)des and i"egu].a'L :i. ons~ ai"~::l J.n comp I :i. ar'1ce ~.,~;i. tl"l the desi(.:;ir'l cf' iter' ia ot:' th:i.s i::)er'fn:i,t, :::.!;, ]: ~?,~:i. ]. 1 aclhc..};.?r'r;;;, to al 1 MOA ...',.':xr"~d State (:~{' A:l. asl-..:a r'equ;i, r'(:;:..~¢r~el"'~'Ls i(::)t" 'LI"'~(:~.:, set back d :Ls'l.'..ar'i(::0:~,s {' r'.,:::h"f'~ any ex :i. st .ir'lg wel t, t,,,~ast(.:.;.:,~.,tE,.'l;..er, d :i. sl::)c,:i~.~a:t, s'../s'l:..ef'N (::)r' pt..d::)1 :L(::: '..iL~8~/,i(.}:.)r' 4:'~9(.:.:.) !!iFy"i!iFt'..(.:..)ffi (:;)r'~ th :i. ![!~ oP ~'~,.ny adj ac(.;.*n'L or' r'te:.,h?..',.Pby ]. (::)..1::.. ,, ,.':i.,, :!: ur'~der'star",d 'Lhat 't:.h:i.s per'm:i.t :i.s va].:i.d For' a msx:i, rm.u'~', (::)~;' 5 I;:) ,;!.:.:, ,::.'l i" (::;, c}. ffy:!ii. ,, :I: ~'i..'~. :! .i~.(::) Lir"~d(.:i.:,r'. S'L<'¢:'~Fi.r.:l '('..l"/~!~t 'f;..1"1(.;.:.? (;;:~.'=tt:::~<'¢~(:: i '1.:.':¥, (::)i '[;. h (.:,:.? 'l.'.cyt'..,'.¢=~..1. <.i[~¥s'l:..(.i:..h'¥'~ :i. !ili ~JJ bed r' ar'iy t~.:.:,rt :t. aF.(.:,!ementw:i. :I. ]. i"e,'.:~L~.:i.r'e ,.'..~',.r"~ <?:tdd :i.t :i.c,r"~at i::)ei"f'r.,;i.t,, :!: s [?; ,..,~. e d B y D A T E:: / unicipality of Anchorage Tom Fink, Mayor P,O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 August 3, 1989 Lou Butera, P.E. Eagle River Engineering Services PO Box 773294 Eagle River, Alaska 99577 Subject: Waiver Request for Lot 1 Baronik Subdivision Waiver Request 9WR890041, Permit 9SW890151 PID 9015-142-60 Dear Mr. Butera: Your request for waiver o~ the required 10 foot separation between a septic system and a lot line has been approved. The waived distance is 5 feet. ~' This approval applies to the existing septic system lot line separation only. Any future upgrade to the septic system will require all separations be met or another approval from this department. Sinc ty, Civil Engineer On-site Services RWR/ljw:97 EAGL RIVER ENGIN VIC .$ Lou Butera, P.E. lC, '- 1 1989 August 1, 1989 Mr. John Smith, P.E. M.O.A. - D.H.H.S. 825 L Street Anchorage, AK 99501 P.O. Box 773294 Eagle River. Alaska 99577 RECEIVED Telephone (907, 694-5195 RE: Baronik Sub., Lot i Dear Mr. Smith, On behalf of our client, National Benevolent Association, we are applying for a septic construction permit for the above referenced property. The existing septic system was permitted and approved by M.O.A. in 1972 as a 4 bedroom duplex dwelling. In 1974 a permit to upgrade to 8 bedroom capacity was issued by O.A.A.B. with subsequent completion of the upgrade. The system has failed and the owner wishes to downgrade the home to a 5 B.R. single family dwelling. The submitted plan calls for a bed system with 5' lot line waiver adjacent to a roadway. Due to the waiver location there is no conflict with neighbor sewers or utilities. The existing septic tank will be inspected and if found deficient in any way will be replaced. The existing well will be abandoned to A.W.W.A. standards with a new well to be placed in location as shown. At this time the owner would like to obtain the septic permit with necessary waiver. We will apply for a well permit prior to drilling. If there are any questions regarding this matter, please contact me at 694-5195. Sincerely, Louis A. Butera, P.E. 7O SPECIFICATIONS FOR ON-SITE SEPTIC SYSTEM LEGAL: BARONIK SUB., LOT t GENERAL 1. The well and septic plan ere for- a single family residence only. 2. The drawing and or site plan shall be a part of this specification. 3. A'lt materials and workmanship shall meet the Anchorage Department of Health and State Department of Environmental Conservation requirements. 4. All soil tests are advisory to the design and are to be verified or modified in the field by the engineer. 5. All excavetfons and depths are advisory and are to be verified or modtffted in the field by the contractor to meet Municipality of Anchorage, Department of Environmental Conservation requirements. 6. It is the responsfbilftty of the owner to obtain all necessary permits or easements and to locate any adjacent multi-famft]y we~l]s. ?. The excavation ts to be exactly fn the area shown on the sfte plan, any deviation requires engineer approval. 8. It fts always recommended that a surveyor locate the nearest 'lot line positlon and the 'location of any easements. BED 1. The bed is to fo'llow the natural land contour' to maintain untform total depth of the bed bottom. 2. The bottom of the bed shall be level, plus or minus 1.5". 3. The total depth of the bed excavation is not to exceed 3' at any polnt. If necessary, the bed may be stepped down or, bul]t up at one end to maintafn proper total depth. 4. The sewer line is to replace the exfstfng sewer line that "leads to the existfng pit. 5. The bed gravel is to be covered with typar fabric material. 6. Soft] or combftnation of soil and extruded board insulation to a depth of 4' or equfva]en~ is to be placed over the leachfteld. ?. The area over the bed is to be finish graded to prevent pondftng of surface water runoff. 8. The septic tank end leachfteld must not be closer than 100' to any existing private welt, 150' to any Class "0" well, or 200 feet to any community well. RECOMMENDED LEACHFIELD DIMENSIONS (varies TOTAL DEPTH =3' GRAVEL DEPTH =6" BED LENGTH =(see plan) BED WIDTH= see plan) Soi'l Rating = 150 Bedroom Capacftty = 5 Septic Tank Size = 1500 gel. · *~NOTE: EXISTING CONCRETE TANK AND FLOW LINES TO BE UNCOVERED FOR INSPECTION.IF FOUND TO BE DEFICIENT, THEN THE EXISTING CONCRETE TANK TO BE ABANDONED BY PUMPING, CRUSHING, FILLING AND REPLACED WITH 2 COMPARTMENT STEEL TANK. · **~NOTE: PARKING BARRICADES TO BE ERECTED ALONG ROAD SIDE OF LEACHFIELD BOUNDARY. Z E] <11 TH ~ EXIST ~REA II (APPROX.) 115 TH, AVE E×IST~NG LEACH 133,00' NEIGHBOR WELL 100' BOUNDARY F. XT~T T~K ~ TH 4 ~ FR DWELLING LO NB SEPTIC CO I ~--~ SYSTEM ~_~ ~ WELL (ABANDON) f TH SHBP UTIL, ESMT, ~TED NEW "'~Et_L LOCATION [] - TEST HOLE · - MONITOR TUBE o - SEWER CLEANDUT -¢- - WELL -- - LEACHLINES ..... EASEMENT~ .................................... ?; ~"*, .... MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG - PERCOLATION TEST SOILS LOG PERCOLATION TEST PERFORMED FOR: ./'/,/'~r ~,~ ! LEGAL DESCRIPTION: ,~J/" // DATE PERFORMED: 1 2 3 4 5 6 7 8 SLOPE SITE PLAN 9 10 11 WAS GROUN[ ENCOUNTER IF YEs. AT'W DEPTH7 Reading PERCOLATI( WATER 12 VHAT 13 Gross Net Depth to Net Reading Date Time Time Water ' Drop 14 15 16 17 18 19 2O RATE ~ (minutes/inch) TEST RUN BETWEEN FT AND ~ FT COMMENTS _/~'~- ¢,~,,,~ ~,~'.o 7~ ,~ c~/~ ~r/.~p-,~$ ,/~.~ ~..4 ~ ~-~ ~ , PERFORMED BY: 72-008 (6/79) Eagle River Engineering Services Eagle River, AK 99577 6t4-5195 CERTIFIED BY:~ SOl LS LOG MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L, Street, Anchorage. Alaska 99501 264-4720 SOILS LOG - PERCOLATION TEST PERCOLATION TEST PERFORMEO FOR: DATE PERFORMED: LEGAL DESCRIPTION: 1 DEPTH -'%. (FEET) 4 7 --_ /~.~.,~/, WAS ( ENCO . DEPTI .oe ~o? P~RC~ SLOPE SITE PLAN 10 11 12 13 14 15 16 17 18 19 2O GROUND WATER S :OUNTERED? ~V~_C L /- ~',4¢~-~¢rE' pO E , AT WHAT Gross Net Depth to Net Reading Date Time Time Water Drop :OLATION RATE ~"¢/~ (minutes/inch) TEST RUN BETWEEN FT AND FT COMMENTS ~/~'x"~4 ~4 ~",~ ~/~ c ~ ~ ~/~ /~ ~ ~ ~ ~A . PERFORMED BY: Eagle River Engineering Se~Ices CERTIFIED BY: ~~ Eagle River, AK ~577 6~-5195 72-008 (6/79) DATE: "' ~' ~ SOl LS LOG MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVl RONMENTAL PROTECTION 82B L, Street, Anchorage, Alaska 99501 264-4720 SOILS LOG - PERCOLATION TEST PERCOLATION TEST PERFORMED FOR: DATE PERFORMED: 7/"''~ 5-/''¢~ LEGAL DESCRIPTION= -~"~ 7~' / TH~,3 ~ ..,....~' ~ - ~&~ , ', ,'; WAS /'~ ;' ENC' ~O,~, IFY DEP' PER 3 4 5 6 SLOPE SITE PLAN 7 8 9 10 11 13 14 15 16 17 18 19, GROUND WATER ~UNTERED? , AT WHAT Gross Net Depth to Net Reading Date Time Time Water Drop / " /~; /'~-"'"" ~" :~ ~ '% " , . 5__£ ,v/" 2O ATION RATE ...'~, 0 (minutes/inch) TEST RUN BETWEEN ~'. FTAND ~ FT COMMENTS PERFORMED BY: 72-008 (6/79) Eagle River Engineering Services Eagle River, AK 99577 6~-5195 CERTIFIED BY: DATE: SOILS LOG PERFORMED FOR: LEGAL DESCRIPTION: MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG - PERCOLATION TEST PERCOLATION TEST 1 2 3 4 5 6 7 SLOPE SITE PLAN ,;,~., :: ," ~ .... WAS GR( ~ , .,. .. ENCOUN IF YES, / Z~ ~,,~'. DEPTH? _ PERCOL IND WATER S 8 9 10 11 'ERED? //~/0 L O /P2o,.,/ro4',~'o P E 12 WHAT 13 Gross Net Depth to Net Reading Date Time Time Water Drop I ,, /.z,',,zo /,9,...,:, 5-:~- ~ 3 14 15 16 17 18 19, 20 ~/ I: o5- " ~'~- 7 'Y~'" 7o ATION RATE ~" (minutes/inch) TEST RUN BETWEEN ~ FT AND ~ FT COMMENTS PERFORMED BY: 72-008 (6/79) Eagle River Engineering Servfces ;~. ~. 6ox ~i~zu4 Eagle River, AK 9957? 694-5195 CERTIFIED BY:~ PERFORMED FOR: LEGAL DESCRIPTION: MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG - PERCOLATION TEST DATE PERFORMED: SOILS LOG PERCOLATION TEST 1 2 3 4 5 6 7 8 SLOPE SITE PLAN E I 10 WAS GRC ENCOUN IF YES, ~ DEPTH? Lou~s A. Buter~ , /,~,~ PERCOL ~ND WATER S 1 1 'ERED? /~'~ L 0 P 12 'WHAT E 13 Gross Net Depth to Net Reading Date Time Time Water Drop 14 15 16 17 18 19. 20 ATION RATE /~J/,~ (minutes/inch) TEST RUN BETWEEN . FT AND . FT COMMENTS PERFORMED BY: 72-008 (6/79) Eagle R~ver Engineering Services P. O. Box 773294 Eagle River, AK 99577 694-5195 CERTIFIED BY:~~~~'~'~'~ 'DATE: MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG -- PERCOLATION TEST SOILS LOG PERCOLATION TEST DATE PERFORMED: LEGAL DESCRIPTION: 8 9 10 1.1 12 13 14 15 16 17 18 19, 20 SLOPE SITE PLAN WAS GROUND WATER S ENCOUNTERED? ~'~ ,.~,~...,, ,;~ ~ ,.- 4/ P E IF YES, AT WHAT DEPTH? Gross Net Depth to Net Reading Date Time Time Water Drop I 71/,,'/r~ /? '* ?,o;.. /,~,~ ,.., 4/5s ~ / ~ , ._~ 1~>~', /~ .~,~ G' - .~ ~'~ 2 '/ 1; ~-y .~ ~I ~ ~:~ /.~,L 4~ I~z~" PERCOLATION RATE ~'", d ? (minutes/inch) TEST RUN BETWEEN ~/ FT AND /"/~ FT COMMENTS PERFORMED BY: 72-008 (6/7g) Eagle flivor Eng.ineerlng Services P. 0. Gux Eagle River, AK g9577 694~5195 GRE,' ER ANCHORAGE AREA BOF 'JGH Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM LOCATION I/~~ '/,~;,'CI~ LEGAL DESCR,PT,ON DISTANCE ~--~ FROM WELL MANUFACTURER ~~¢ MATERIAL INSIDE LENGTH INSIDE WIDTH. LIQUID DEPTH NUMBER OF COMPARTMENTS ~' LIQUID CAPACITY__ GALLONS. TILE DRAIN FIELD: ~-~XJ..~/~, ..~/,0~..,,.~'~/;/'"-- ~'-~--~"-- ~¢¢ ~I Z~, ~-/Z- 7~ / ~i TOTAL LENGTH DISTANCE FROM WELL /~ FOUNDATION NEAREST LOT LINE NUMBER OF LINES ~ DISTANCE BETWEEN LINES ~ TRENCH WIDTH ~ IN. ABSORPTION AREA /~ ~ ' SQ. FT. LENGTH OF EACH LINE ~/~ DE~TH OF F~LT~ DEPTH: TOP OF TILE TO FINISH GRADE MATERIAL BENEATH TILE~zl TOTAL EFFECTIVE IN. ABOVE TILE ~, Il IN. WELL: BUILDING NEAREST FOUNDATION__ LOT LINE__, CESSPOOL OTHER SOURCES APPROVED __ DISAPPROVED CONSTRUCTION NEAREST SEWER LINE__ REMARKS DEPTH . SEPTIC SEEPAGE TANK , SYSTEM DISTANCE FROM: DISTANCES: DIAGRAM OF SYSTEM INSTALLED SEWER LINE DEPTH: PIPE MATERIAL: LOT SLOPE: Form LQ-032 GREATER ANCHORAGE AREA BOROUGH DEPARTMENT OF ENVIRONMENTAL QUALITY 3330 "C" STREET ANCHORAGE, ALASKA 99503 TELEPHONE 274-4561 PERMIT NO, SEWAGE DISPOSAL SYSTEM APPLICATION AND PERMIT NAMe OF APPLICANT INSTALLATION LOCATION LEGAL DESCRIPTION PHONE INSTALLATION OF: SEPTIC TANK TYPE AND SiZE OF FACILitY TO BE SERVED __ FINANCED THROUGH COMPLETION DATE ANTICIPATED SEEPAGE PIT- /:ro.s TO BE INSTALLED BY , DRAIN FIELD OTHER NOTE: THIS PERMIT IS NOT VALID WITHOUT SOIL TEST FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION. SEPTIC TANK SIZE TYPE ~ SEEPAGE AREA SIZE TYPE MINIMUM DISTANCES. REQUIREMENTS FOUNDATION TO SEPTIC TANK FOUNDATION TO SEEPAGE PIT SEPTIC TANK TO SEEPAGE Pit WALl SePTiC tANK , SEEPAGE Pit TO NEAREST LOT LINE. DIAGRAM OF SYSTEM DRA,N P'ELD /O / ~ ., DRAIN FIELD WELL TO SEPTIC TANK SEEPAGE PIT DRAIN FIELD -- /~ I ALSO CONSiDEr area WELLS. WATER MAIN TO SEPTIC TANK SEEPAGe Pit DRAIN FIELD ., DRAIN FIELD SEPTIC TANK, .,SEEPAGE PiT TO rIVER, LAKE, STREAM. CAST IRON INTO AND OUT Of SEPTIC TANK AND INTO CRIB CROSSING GAP OF EXCAVATION 5 FEET INTO UNDISTURBED SOIL. 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT FITTED WITH Airtight REMOVABLE CAPS. GRAVEL BACKFILL CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. G .A .A .B. OR LICENSED DESIGNER I CERTIPY THAT ! AM FAMILIAR With THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE FORM NO, ECI-OI 6 GAAB-HD-I GR' ~'ER ANCHORAGE AREA BOROV 't D~,~TMEIIT OF ENVIRONMENTAL ~UALI~. 3500 TUDOR ROAD ANCHORAGE, ALASKA 99507 279-8686 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM SEPTIC TANK: MAILING ,~--~-.?,~ "~/~,)(/ '/7'/'~',~ PHONE.__ ADDRESS DISTANCE FROM WELL x~'~ LIQUID CAPACITY "~ ~ ~'~"~ .GALLONS. · ,,"/ BER OF MATERIAL 6'/~,"~/~/~'-,7-,~ /~' ~'~'¢/~'~"~'d'~J'~PARTMENTS iNSIDE LENGTH /~ / INSIDE WIDTH ~' / LIQUID DEPTH SEEPAGE SYSTEM: SEEPAGE PIT: NUMBER OF PITS___ LINING MATERIAL-~.~ NEAREST LOT LINE _OUTSIDE DIAMETER OR WIDTH '-~ / ~'~/,~'.~ ~-~/: X~ ~7~ISTANCE FROM WELl /~ / TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA} /, LENGTH ~.~,,~ , DEPTH BUILDING FOUNDATION_-~'/'~) / SQ. FT. TIL~IN FIELD: DISTANCE FROM WELl NUMBER OF LINES ABSORPTION AREA ~ :~ON , NEAREST LOT LINE DISTANCE BETWEEN LINES ~"'~"~'~.-~ TRENCH WIDTH SQ. FT. LENGTH OF EACH LINE ~ DEPTH: TOP OF TILE TO FINISH GRADE ~;~ p ~ ('~" ~,,~-/,¢,,~) WELL: TYPE 4g,/'~xZ/_. ,~".~ DEPTH LOT LINE /~' /'/- NEAREST SEWER LINE TOTAL LENGTH OF LINES IN. TOTAL EFFECTIVE DEPTH OF FILTER MATERIAL BENEATH TILE IN. ABOVE-g'~'~-~ ~:~ DISTANCE FROM WATER , BUILDING FOUNDATION SAMPLE /(/~.,"l,/~'~ , NEAREST SEPTIC SEEPAGE OTHER · TANK ~ /~/'' , SYSTEM /~Z~ / , CESSPOOL /(/'~,~'~- , SOURCES DISTANCES: j '/~T/~ DIAGRAM OF SYSTEM _1 DATE G.A.A.B. 437 "E" STREET: SUITE ANO. I(ORAfiE, ALASKA gqS,ql ~74-7533 August 3r~, lqR4 Alaska Environmental Control Services 12~,D West 33rd Avenue Suite "B" ~knchorage, Alaska 99503 [~ear Si r: MUNiCiPALITY OF ANCHORAOE DEPT, OF HEALTH &, ENVIRONMENTAL PROI'ECTIOI~ .SEP 5 1984 R CF..IV£D Subject: Let 1, .qlock O, Baronik S/l) ~)astewater Plan Approval, Special Note ~ 4 ,Se!ow. 85~1 ;,'e have reviewed the plans and specifications for the subject project. The plans are approved, conditioned on adherence to the following t. screened rock back fill in deen and wide trenches Screened rmck back fill in absorption bed (3.!~" - 1 t/?"). 3. Sufficient area ptott~d nn a.~-huilt for replacement system. 4. Existing septic tank be checked for leaks. This letter constitutes the permit required by A.g. plan approval o¢ sewerage systems. it snouid he rem,~b, ered :hat final approval v, ill necess; tare th~ ~jbmission of ~ngineer As ~uilt ~!ans to include photographs as indicated on page 13 of enclosure. Thi.~ will cen.~eque~tly mandate that a professionel engineer conduct basic inspection of this project so as to be able to sign off on as built plans. Arrange,~,,.~nt for this inspection work is the re.~ponsihility of the developer. Sincerely, JFN/dd Enclos:~re cc: Robbie q~?inson (M~IA) As f~uiit Plans sub~Htted by ,lames F. Hayden Environment.~l Field ~.fficer n3te Acproved by GreaTer ANCHORAGE ArEA BorOUGh DEPARTMENT OF ENVIRONMENTAL QUALITY 3500 TUDOR ROAD POUCH 6-650 ANCHORAGE, ALASKA 995102 TElePHONe 279-8586 PerMit NO. 2 ] -~ -~ SEWAGE DISPOSAL SYSTEM m APPLICATION AND PERMIT INSTALLATION LOCATION LEGAL DESCriPTION L.~ ~ INSTALLATION OF: SEPTIC TANK TYPE AND SIZE OF FaCilitY TO BE SERVED SEEPAGE .IT~ ?j.''''~ DRAIN FIELD TO BE INSTALLED BY PHONE OTHER SOIL TEST RESULTS COMPLETION DATE ANTICIPATED NOTE: THIS PERMIT IS NOT VALID WITHOUT SOIL TEST FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE HEALTH DEPARTMENT AUTHORITY WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCES. REQUIREMENTS__ FOUNDATION TO SEPTIC TANK FOUNDATION TO SEEPAGE PIT <~/ , DRAIN FIELD SEPTIC TANK TO SEEPage PIT walt SEPTIC Tank ~ , SEePage PIT , ~ ., Drain FIEld ~' JJ~S ~E E~P~Gf~/e~, PIT ALSO CONSIDEr AREa WELLS. TO NEAREST LOT Line. WELL TO SEPTIC TANK Drain Field WATER MAIN TO SEPTIC TANK Drain Field (/~ SEEPAGE Pit ('/"~' TO rivEr, LAKE, STREAM. CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRiB CROSSING GAl~ OF EXCAVATION 5 FEET INTO UNDISTURBED SOIL. 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE Pit FITTED WITH AIRTIGHT rEMOVABLE CAPS. GRAVEL BACKFILL CONFORM TO BOROUGH REGULATIONS regarding INSTALLATION. .EalTH?Or,TY "- LICENSED DESIGNER TYPE DIAGRAM OF SYSTEM I CERTIFY THAT I AM FAMILIAR WITH THE rEQUIREMENTS OF Greater ANCHORAGE~EA BOROUGH ORDINANCE NO. 28.68 AND THAT THE ABOVE DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE. ~ / / ~ ~/~ ~ 4-/7 ZATER ANCHflRAGE AREA BOROt, DEPARTMENT OF ENVIRONI!ENTAL QUALITY 3500 TUDOR ROAD ANCHORAGE, ALASKA 99502 CASE # Performed For B~d Allison Leaal gescriotion: Lot 1 Block This Form Reoorts Soils Lo~ x Date Performed~6/2e/72 Subdivision. Percolation Test ~epth Feet Soil Characteristics 7 8-- 9__ sw well graded gravel & sands (125)with intergradi ~g s ty s ds (eSo) Was Ground Water Encountered? no I* Yes, At what Depth? Readinfl Date Gross Ti me Net Ti me Deoth to H20 Percolation Rate Minute Proposed Installation: Seepage Pit._ ~ Drain Field Deoth of Inlet Depth To Bottom Of Pit Or Trench COMMENTS: de~th of test hole ~~ sw & sm f~d ~, 188 ft2 per be~o~ Test Performed B.y~~ ~~ Data Certified By: Date · Net Drool Special Services-lOt6 E. 4th ri -'. 7 >', ~l;t.';z'©V Od T'ro'7is ~o .~£.]. acc c:!: t E:nco (see reP:.rk:] ) · ' ~ .... cos,:?'kfar',c,::~ with the ZOIi. O;':Z!~ f l'-"'1'a !?{;S".ii,~ ±n ~4arch 5,. 1 g74 Hr. Bud Allison S.R.A. Dox 1688 Anchoraoe, Alaska SU!~J~CT: Lot 1 ~aronik Subdivision Dear Hr. Allison: As I explained on the telephone today, this office will not oppose the use of the Uv~ellinq on the sub,lect lot for a foster home. The final tnsoection on the se~er system shows only enough absorption for a l%ur (C) bedroom duplex (854 sq. ft.). The present system ~ill not be capable of with- standing th~ additional load which ,you are presently placing on it. ~e would recoJm~end that an appropriate amount of additional absorption be installed to accommodate 16 children and two adults (equivalent to n bed- rooms with a soil test of 188 sq. ft. per bedroom), Due to space limita- tions, adding d~atnfield would be advantageous. Please come to our offi¢~ to obtain m permit to inst~ll the ~hsorntion area; this offic6 will assist you in designing the ~y~tem. Si ncerel y, Susan [. Plckerson, Sanitarian SF~,/ko e e e GREATF-R ANCHORAG~ AREA BOROUGH D.~partment of ~nv{ronmen%a] (~.u~l~%v 3500 Tudor Road, Anchora.~, Alaska 99507 279-96~6 Ttme of Inscec~ion.~/J~/~~ // '~Eq,3{ST FO~,~ APu~O',!AL OF INg!VIDUAL SEiN~R & ~ATF. R ?ACII. ITI~S ~09 Approval Requested ~: ~~ ~/~/~/~: ~/~- ~~~~_ .; Address: ,~ /-.. ~/~ /~/~ Phone: p~o~,~ ~, ~¢~ _ ~~~/~ . ,, p~o~,,_ 3 9~. ~ 771 .... ~/~~. ,, , ~ Number . ~ · A Installed 7~ /_4- ~ .~ ~. Installer ~~-' .'... C. septic Tank, 1. Size__ 2. ~a_ ~W~. .... / Dlst~nc~ A, Well To: Se~tic~~Tank , Abs~ /' , Se~e~ Ltne~ ..... , Nearest Lot [fne_ / , Other Contamination B, Foundation to ~?,~__ "~ AbSorption Are~ ~~rea to Nearest lot C~ne F~bruary 15, 1973 ~ir. Wayne Plnquoch State Division of Corrections 530 E. 4th Avenue Anchorage, Alaska Subject: Lo~ l, 5aronik Subdivision Dear Nr. Pinquoch: This department conducte~ ail Inspect. ion of sewer wa~er faciliCies on the subject lot on February 9, lP73. The final ~nspection of the sewer and water sysLen~.s is in our files and the water sal))ple recently taken is satisfactory. If you have airy further questions, please contact this office at 274-4561 Sincerely, Susan E. Dickerson Sanitarian kt Enclosure GREATER ~ICHO?~GE AREA BO~. ' 104 West Northern Lights Boulevard Anchorage, Alaska 99503 S- 202O Pla: Status:· Final BOROUGH: Engineer ' health Department Public Works Department Sand Lake Fire Department School District Street games Tax Assessor A~aska Department of Highways 'Alaska Railroad Anchorage Natural Gas Corp. Central Alaska Utilities Chugach Electric Association Date; 6/4~?'0 CITY OF ~I~ORAG~: Fire Harshal Hunicipal Light & Power Department Property Management Officer- Public Works Depart~nent Telephone Utility Traffic Engineer Water Utility GAB Telecommunications, Inc. Matanuska Electric Association ~latanuska TelePhone A~sociation ' Assistant Superintendent of Mails P~: ~a~ti~v~gai/t ! Resubdivtsion / Xl{~i~ Description'of Property: See attached plat Owner: Joe Baronik Gentlemen: Petition has been received by the Creater Anchorage Area Borough PlanntX~ and Zoning Commission for the proposed Re~_ub. . .of subject property. Attached is a copy of ~e proposed plat. ~11 you please submit your comments in writiug~ specifying any easements or other requirements that your department or agency may need. If we do not hear from you by you do not wish to submit any comments. , we will assume that If you have no further use for the attached print, please return it with your comments. Plannin~ Department Emclosure JUN 8 1970 GR~.ATZm ANC~(D~ Ai~ Request for Approval o~ Individua] Sewer & Water Facilities Page Two 9. Comments: Aoor oved D ~ s approved Ds t e Approval Valid for One Y~ar From Date S~oned Greater Anchorage Ares Borouoh, Detriment of Environmental Quality DIAGRAM OF SYSTEM ! certtf~' that the Information con%aine~ in this request for approval to be ~ true and accurate representation of the ~ub~ect sewer and waC, er facilities located at~ Signe~ Da%e. ol ' i ' ~ I ~ '~ O~/Oa ~o HOEII8 m Z 0 · J Z n 0 n-- 133 z 0 z v (.,1 ,,~ I- 0 z 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 Parcel I.D. 015-142-60 Expiration Date: f{ y Z3 1. GENERAL INFORMATION Complete legal description BARONIK LOT 1 Location (site address) 5600 E 115TH AVENUE, ANCHORAGE, AK 99516 Current property owner(s) ANTHONY DEHAVEN Day phone Mailing address 5600 E 115TH AVENUE, ANCHORAGE, AK 99516 Real estate agent Day phone 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 6 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Private Well ® Private Septic Water Storage ❑ Holding Tank ❑ Community Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ Waiver request for: Distance: Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ Waiver Fee $ Date of Payment Date of Payment Receipt Number Receipt Number COSA # Waiver # 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is (are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. I acknowledge that On -Site staff may visit the site to verify the information submitted. Name of Firm FIRST WATER CONSULTING Phone 907-350-9566 Address 13030 SUES WAY, ANCHORAGE, AK 99516 Engineer's Printed Name CURTIS HUFFMAN, PE Date 8/1/2022 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�i well and septic system. Therefore, any estimate of how long a system will function satisfactory �i.�P;•' • • !� } for current or future occupants or guarantee that no unseen encroachments, deficiencies or discrepancies exist can be given by First Water Consulting &FWCS *' 9 TH .: ...... r 6. DSD GNATURE •Curtis Huffman bedroomsS stem #1 Approved for CE128991• �.• ��` i srF�,•.$l1/22,.7 r System #2 Approved for bedrooms`\ ESS10 Disapproved Conditional approval for bedrooms, with the following stipulations: a Original Certificate Date: a The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other Legal Description: BARONIK LOT 1 Parcel ID: 015-142-60 If more than 1 septic system on lot: COSA Checklist # of A. WELL DATA ❑ Well log is filed with Onsite (or attached) Date drilled CIRCA 1973 Total depth UNK. ft (161'+ PER ACOUSTIC READINGS) Cased to UNK. ft ® Sanitary seal is functioning correctly ® Wires are properly protected Casing height (above ground) 12+ in. Date of flow test for COSA 5/20/2021 Static water level at beginning of test 151 ft. Comments B. TANK DATA Age of tank(s) NEW TANK years Tank type/material ADVANTEX / STEEL Measured operating fluid level in septic tank NA ® Standpipes/foundation cleanout per record drawing Date of pumping NEW D. ABSORPTION FIELD DATA — NEW ADAVANTEX FIELD Which system tested (date installed) 6/23/2022 ® ALL standpipes present per record drawing Total measured depth from grade 11.8 ft (max) Measured depth to pipe invert from grade 4.8 ft (min) ❑ N/A — pressurized field ❑ Monitor tubes go to bottom of effective. If not, state depth into effective Structure served by this system Well production at time of test 4.4 gpm Water storage tank volume gallons Well disinfected for coliform test? ❑ Yes ® No ® Coliform bacteria is Negative Nitrate mg/L ® Nitrate less than MRL (ND) Arsenic ug/L ® Arsenic less than MRL (ND) Collected by WE Date of Sample 10/27/21 C. LIFT STATION ❑ Required maintenance completed Age of lift station _ years Lift station material Comments: Adequacy test date NEW FIELD Results ❑ Pass For bedrooms Fluid depth prior to test in Water added gal New depth in Elapsed time min ❑ Code -required soil cover over field Final fluid depth in ❑ System presoaked Absorption rate gpd (Required if vacant for greater than 30 days prior to Any rejuvenation treatment (past 12 months) N date of test) If yes, enter date Gallons introduced gallons Comments/Deficiencies: F`C E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well) ® Yes if No ft Septic Tank/Lift Station on Lot > 100' Absorption Field > 5' Community Sewer Manhole/Cleanout > 100' ❑ Yes if No *50+ ft ® Yes if No Neighboring Tank > 100' ® Yes if No Private Sewer/Septic Line > 25' ® Yes if No ft if No ft Community Wells > 200' ® Yes if No Surface Water > 100' ❑ Yes if No *50+ ft Holding Tank > 100' Yes ® if No Absorption Field on Lot > 100' F-1Yesif No *50+ ft Animal Containment > 50' ® Yes if No Neighboring Absorption Fields > 100' ® Yes if No ft Manure/Animal Excreta Storage > 100' ® Yes if No Community Sewer Main > 75' ® Yes if No ft ft ft ft ft ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' ® Yes if No ft Surface Water > 100' ❑ Yes if No *50+ ft Property Line > 5' ® Yes if No ft Wells on Adjacent Lots: Absorption Field > 5' ® Yes if No ft Private Wells > 100' ❑ Yes if No *50+ ft Water Main > 10' ® Yes if No ft Community Wells > 200' ® 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 *5+ ft Wells on Adjacent Lots: Water Main > 10' ® Yes if No ft Private Wells > 100' ❑ Yes if No *50+ ft Water Service Line > 10' ® Yes if No ft Community Wells > 200' ® Yes if No Surface Water > 100' ❑ Yes if No *50+ ft F. ENGINEER'S COMMENTS *SYSTEM MEETS CAT III SEPARATION DISTANCE REQUIREMENTS. G. ENGINEER'S CERTIFICATION l certify that / have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. JAQ ,+sem' `•'••.t�A l ''gam• •H ••,k .. .. .... .......... Curtis Huffman FFG,/•, CE 128991 �� f1��., 8/1/22, . • `4.�U MUNICIPALITY OF ANCHORAGE ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND REPAIR AGREEMENT THIS MAINTENANCE AND REPAIR AGREEMENT, herein the "AGREEMENT" made and entered into as of this �h Day of D& e o%)o Prof 20 01 , by and between herein the "OWNER," and the Municipality of Anchorage, herei the "MUNICIPALITY", in accordance with Anchorage Municipal Code (AMC) 15.65.365. In consideration of the mutual covenants contained herein, the parties to this Agreement agree as follows: 1. Advanced Wastewater Treatment Systems. The Municipality grants permission to the Owner to utilize and operate an Advanced Wastewater Treatment System (AWWTS), described as AN ADVANTEX SYSTEM located at (legal description) BARONIK LOT 1 2. Maintenance, Repairs and Alterations. (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 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). --A Owner agrees that only maintenance and repair personnel approved by the Municipality or the manufacturer's representative will inspect and make any necessary maintenance, repairs or permitted alterations to the system. Owner acknowledges that regular maintenance of an AWWTS reduces the potential failure of the system, which could include sewage backup and costly repairs or drainfield replacement. (rev. 05/18/2018) Page 1 of 3 44�- Owner acknowledges that the Municipality may request records of maintenance and repairs from the manufacturer's representative or maintenance provider. Owner acknowledges that the fine for failing to maintain and repair an AWWTS may be assessed in accordance with AMC 14.60.030. Owner agrees to 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. 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. The term of this Agreement shall begin on the date of approval by the Municipality to operate the installed system, or upon transfer of title, and shall continue while the AWWTS is operational or until title is transferred. 4. Nonwaiver. The failure of the Municipality at any time to enforce a provision of this Agreement shall in no way constitute a waiver of the provisions, nor in any way affect the validity of the Agreement or any part hereof, or the right of the Municipality thereafter to enforce every provision hereof. 5. Amendment. This Agreement shall only be amended by authorized representatives of the Owner and Municipality. Any attempt to amend this agreement by either an unauthorized representative or unauthorized means shall be void. 6. Jurisdiction: Choice of Law. Any civil action arising from this Agreement shall be brought in the Superior Court for the Third Judicial District of the State of Alaska at Anchorage. The laws of the State of Alaska shall govern the rights and obligations of the parties under this Agreement. 7. Severability. Any provisions of this Agreement decreed invalid by a court of competent jurisdiction shall not invalidate the remaining provisions of the Agreement. (rev. 05/18/2018) Page 2 of 3 OWNER: By: ' f o' signature) Date: 11,1J1202-1 tt h e t�0`y O -A (print name) STATE OF ALASKA ) ) ss. THIRD JUDICIAL DISTRICT ) The foregoing instrument was acknowledged before me this day of 9&-Cr`, c FURY PUBLIC FOR ALASKA Commission expires: jACLO MUNICIPALITY: By: X(signature) (print name) ``tttttU t U n r. , rz rr rgr' P(JB0G OF IN •.......... r�'rr�f'rl' j' Date: 12,42 �i.2Oz Title: (rev. 05/18/2018) Page 3 of 3 MUNICIPALITY OF ANCHORAGE Development f. Services Department P `��' Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Parcel I.D. 015-142-60 1. GENERAL INFORMATION Complete legal description BARONIK LOT 1 Expiration Date: _PIA Location (site address) 5600 E 115TH AVENUE, ANCHORAGE, AK 99516 Current property owner(s) JEFFREY & EMILY KEWIN Day phone Mailing address Real estate agent 10360 SCHNEITER DRIVE, ANCHORAGE, AK 99504 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) Day phone 3. NUMBER OF BEDROOMS: 6 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Private Well ® Private Septic Water Storage ❑ Holding Tank ❑ Community Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ Waiver request for: Distance: Received by: COSA to be released to the engineer, unless otherwise requested by the engineer. Date: COSA Fee $ 550 t 2 � O Waiver Fee $ Date of Payment 12 Q F 1,2021 Date of Payment Receipt Number c U S 0 13 Receipt Number COSA # 0 S C,� i 1 10 '1 Waiver # 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is (are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. I acknowledge that On -Site staff may visit the site to verify the information submitted. Name of Firm FIRST WATER CONSULTING Phone 907-350-9566 Address 13030 SUES WAY, ANCHORAGE, AK 99516 Engineer's Printed Name CURTIS HUFFMAN, PE Date 12/7/2021 Comments: This investigation was completed in compliance with MOA guidelines, regulations, and best industry practices / methods. The assessment of the condition of the well and septic applies only to the conditions as of the day tested. The flow and absorption rates may change due to subsurface conditions that may not be observed from the surface, changes in land use, local soil characteristics, groundwater levels that may fluctuate during the year, quality of construction (workmanship & materials), the water usage of the family being served by the system and maintenance. The operational life of all well and septic systems are subject to these various and dynamic characteristics and are outside the control of the evaluator of the •�,• l well and septic system. Therefore, any estimate of how long a system will function satisfactory g�Q: •' •z •� �� for current or future occupants or guarantee that no unseen encroachments, deficiencies or ' •• �� discrepancies exist can be given by First Water Consulting & FWE�C. y✓ 6. DSD SIGNATURE " • • Curtis Huffman . System #1 Approved for bedrooms %#�"9, •• CE 128991 �F,p' • .12/7/29 •'F� System #2 Approved for bedrooms �l�F�PROFESS1* Disapproved Conditional approval for �O bedrooms, with the following stipulations: Co nd 14--i o+M +o b e c o le4e. I lo!j u -n e 30a.o a :2. (i ON-SITE r Z-.xiVVrnTr—R AND Chr r, WAST!.:.V'ATER o PROGRAM ti`s\1 � SC 1 By: b� 1 Z ZI Z 1 Original Certificate Date: The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA Checklist Legal Description: BARONIK LOT 1 Parcel ID: 015-142-60 If more than 1 septic system on lot: COSA Checklist # of Structure served by this system A. WELL DATA Well log is filed with Onsite (or attached) Date drilled CIRCA 1973 Total depth UNK. ft (161’+ PER ACOUSTIC READINGS) Cased to UNK. ft Sanitary seal is functioning correctly Wires are properly protected Casing height (above ground) 12+ in. Date of flow test for COSA 5/20/2021 Static water level at beginning of test 151 ft. Well production at time of test 4.4 gpm Water storage tank volume gallons Well disinfected for coliform test? Yes No Coliform bacteria is Negative Nitrate mg/L Nitrate less than MRL (ND) Arsenic ug/L Arsenic less than MRL (ND) Collected by Date of Sample 10/27/21 Comments B. TANK DATA Age of tank(s) *NEW TANK PENDING years Tank type/material ADVANTEX / STEEL Measured operating fluid level in septic tank NA Standpipes/foundation cleanout per record drawing Date of pumping * C. LIFT STATION Required maintenance completed Age of lift station years Lift station material Comments: D. ABSORPTION FIELD DATA – NEW FIELD PENDING Which system tested (date installed) NA ALL standpipes present per record drawing Total measured depth from grade ft (max) Measured depth to pipe invert from grade ft (min) N/A – pressurized field Monitor tubes go to bottom of effective. If not, state depth into effective Code-required soil cover over field System presoaked (Required if vacant for greater than 30 days prior to date of test) Gallons introduced gallons Adequacy test date NEW FIELD PENDING Results Pass For bedrooms Fluid depth prior to test in Water added gal New depth in Elapsed time min Final fluid depth in Absorption rate gpd Any rejuvenation treatment (past 12 months) N If yes, enter date Comments/Deficiencies: E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well) Septic Tank/Lift Station on Lot > 100’ Yes if No *50+ ft Neighboring Tank > 100’ Yes if No ft Absorption Field on Lot > 100’ Yes if No *50+ ft Neighboring Absorption Fields > 100’ Yes if No ft Community Sewer Main > 75’ Yes if No ft Community Sewer Manhole/Cleanout > 100’ Yes if No ft Private Sewer/Septic Line > 25’ Yes if No ft Holding Tank > 100’ Yes if No ft Animal Containment > 50’ Yes if No ft Manure/Animal Excreta Storage > 100’ Yes if No ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10’ Yes if No ft Property Line > 5’ Yes if No ft Absorption Field > 5’ Yes if No ft Water Main > 10’ Yes if No ft Water Service Line > 10’ Yes if No ft Surface Water > 100’ Yes if No *50+ ft Wells on Adjacent Lots: Private Wells > 100’ Yes if No *50+ ft Community Wells > 200’ Yes if No ft If septic tank is under driveway comment below From Absorption Field on Lot to: (Please enter distances if less than required) Building Foundation > 10’ Yes if No ft Property Line > 10’ Yes if No *5+ ft Water Main > 10’ Yes if No ft Water Service Line > 10’ Yes if No ft Surface Water > 100’ Yes if No *50+ ft If absorption field is under driveway comment below Wells on Adjacent Lots: Private Wells > 100’ Yes if No *50+ ft Community Wells > 200’ Yes if No F. ENGINEER’S COMMENTS *PROPOSED SYSTEM MEETS CAT III SEPARATION DISTANCE REQUIREMENTS. G. ENGINEER’S CERTIFICATION I certify that I have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. 12/10/21 MUNICIPALITY OF ANCHORAGE ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND REPAIR AGREEMENT THIS MAINTENANCE AND REPAIR AGREEMENT, herein the "AGREEMENT" made and entered into as of this V' Day of Da p oNb Q r- of 20 0�. 1 , by and between INI�\o be 1 , herein the "OWNER," and the Municipality of Anchorage, hereJ the "MUNICIPALITY", in accordance with Anchorage Municipal Code (AMC) 15.65.365. In consideration of the mutual covenants contained herein, the parties to this Agreement agree as follows: 1. Advanced Wastewater Treatment Systems. The Municipality grants permission to the Owner to utilize and operate an Advanced Wastewater Treatment System (AWWTS), described as AN ADVANTEX SYSTEM located at (legal description) BARON I K LOT 1 2. Maintenance, Repairs and Alterations. (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 manufacturer's representative. The AWWTS shall be maintained in a satisfactory condition capable of performing as designed and producing treated septic effluent in accordance with the equipment's approval for operation in the Municipality. It shall be the responsibility of the Owner during the term of this Agreement to pay for all repair(s), maintenance, adjustment(s), replacement costs, and inspection costs. This includes an annual maintenance fee (typically $400 to $600). Owner agrees that only maintenance and repair personnel approved by the Municipality or the manufacturer's representative will inspect and make any necessary maintenance, repairs or permitted alterations to the system. Owner acknowledges that regular maintenance of an AWWTS reduces the potential failure of the system, which could include sewage backup and costly repairs or drainfield replacement. (rev. 05/18/2018) Page 1 of 3 '7°7- Owner acknowledges that the Municipality may request records of maintenance and �n repairs from the manufacturer's representative or maintenance provider. !' Owner acknowledges that the fine for failing to maintain and repair an AWWTS may be assessed in accordance with AMC 14.60.030. Owner agrees to 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. 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. 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: t By: (signature) Date: 11 2021 hf k -MY D e 90,\1 e''X (print name) STATE OF ALASKA ) ) ss. THIRD JUDICIAL DISTRICT ) The foregoing instrument was acknowledged before me this day ofPc�Wlt`, c 20 0�� , by i�'li�-hC1-n t.� �.. ��.G�y'P t1_. PKRY PUBLIC FOR ALASKA Commission expires: MajA -7 ;L9 MUNICIPALITY: By: ��1� (signature) J e,beccG �yvl ( (print name) (rev. 05/18/2018) - PtJB OF P��>' ljllllllilli t�«ti�� Date: % a 2L Z l Title: Page 3 of 3 13030 Sues Way, Anchorage, AK 99516 907-350-9566 / firstwaterAK@gmail.com December 10, 2021 Municipalities of Anchorage On-Site Water & Wastewater Program 4700 Elmore Road Anchorage, AK 99507 RE: CONDITIONAL COSA LEGAL: BARONIK LOT 1 Due to unprecedented events contributing to material and labor shortages, we are requesting a Conditional COSA for the above referenced property. The pending permitted 6-bedroom septic system upgrade has been impeded due these conditions and other factors with no known date on when the Advantex system components may be available. The system will be installed once the components become available. The system has been working for the occupants and granting of this Conditional COSA will not impact any of the neighboring properties or pose a public health risk. Attached are the installation bids and the escrow letter from title for the pending installation. Please contact us if you have any questions. Sincerely, Curtis Huffman, P.E. First American Title Insurance Company 892 E USA Circle, Suite 101 Wasilla, AK 99654 Phn - (907)376-5248 Fax - (907)376-6010 December 20, 2021 To Whom It May Concern, 1.5 times the highest bid will be placed in escrow for the septic. Full release of any remaining funds cannot be released until MOA has issued their final approval. Thank you, Sara Houser First American Title Escrow Officer 907-376-6218 Please note that a 48 hour notice to start digging is required by the State of Alaska for utility locates. Northern Excavation and Construction, LLC 15861 South Birchwood Loop Road Chugiak, AK 99567 (907)694-1373 NorthernExcavation@Gmail.com Estimate ADDRESS BARONIK L1 5600 E 115TH AVE ESTIMATE #DATE 1988 10/26/2021 DATE ACTIVITY AMOUNT Services BARONIK L1 5600 E 115TH AVE SPETIC UPGRADE Thank you for the opportunity to provide you with this estimate. Changes which increase the specific tasks of machine/labor time spent of this contract, will be submitted in writing and accepted by the property owner and the contract modified accordingly. Payment to the Contractor for modifications to this contract which increase the work will be charged. All agreements are contingent upon accidents, design changes, or delays beyond our control. Northern Excavation & Construction, (NEC) shall not be held liable for the affects that may occur to the property during and after the install. Affects such as damage and structural integrity of decks or deck supports in or close by the work zone, trees left in close proximity of where machine work takes place or having to stock displaced excavated material around trees to be retrieved, damage and structural integrity of retaining walls that may need to be partially removed or traveled close too, disturbance to driveways, disturbance to any landscaping, etc. NEC shall not be held responsible for any cost derived from defective products from the manufacture. All methods and materials shall be in accordance with MOA regulations. Payment is due upon completion of backfill. Payments received after 30 days shall be charged a 1.5% monthly fee on unpaid balances. DESCRIPTION: Install new septic system in accordance with First Water Consulting's design. INCLUSIONS: 3000 gallon tank w. 2 AX-20 pods. Bedding material. Concrete parking stops. Pumping. Disposal of existing tank. Pipe/Supplies. Drain rock. ROW permit. Surveying for lot line and well radius. Machine/Labor/Compaction time. Export excess material. EXCLUSIONS: Re-landscaping or seeding. Repairing driveway if disturbed. 47,700.00 Please note that a 48 hour notice to start digging is required by the State of Alaska for utility locates. **Northern Excavation and Construction, LLC is not liable for any utility lines not located by 811 public utility locate e.g., any lines running to detached structures. Please notify contractor of any power/gas/communications lines, prior to starting the job, so private locate services can be called. An extra charge will be incurred for private locate services. TOTAL $47,700.00 Accepted By Accepted Date Proposal Michael N. Anderson, P.E. Civil/Structural Engineering and Construction 4661 Natrona Ave. Anchorage, Alaska 99516 Phone 727-8864 Fax 345-1391 Nov. 16, 2021 JEFFREY & EMILY KEWIN 10360 SCHNEITER DRIVE ANCHORAGE, AK 99504 Re: Septic Installation Legal: BARONIK LT 1 Description of Excavation Services Proposed: 1. Excavation for installation for a new 6 bedroom Advantex septic system per the design by First Water. Total Proposal $44,500 JR’S SEPTIC PUMPING AND EXCAVATION LLC P.O. Box 773415 Eagle River, AK 99577 Office:(907)694-6454 Fax:(907)688-1506 Email: jrsseptic@gmail.com PROPOSAL Submitted To: Brent Western Phone: 907-440-4601 Email: FirstWaterAK@gmail.com Project Location: 5600 E 115th Ave. Project Description: Septic Tank and Field Installation PRICE INCLUDES: 1.Decommission existing tank per municipal code. 2.Install new 3000g HDPE Advantex tank per engineered design. 3.Install new leach field per engineered design. 4.Install double cleanouts after the tank. Estimated price for the above work: $42,571.50 PRICE DOES NOT INCLUDE: SURVEY PROJECT LAY OUT ENGINEERING FEES ELECTRICAL IN EXCESS OF $2000.00 TOPSOIL AND SEEDING UTILITIES NOT LOCATED BY LOCATE CENTER (NONE EXPECTED) REMOVAL OF ANY MATERIALS FROM SITE UNLESS OTHERWISE STATED IN BID PURCHASE AND INSTALLATION OF INSULATION IF NEEDED. PAYMENT: 50% DOWN PAYMENT PRIOR TO WORK COMMENCING UNLESS OTHER ARRANGEMENTS ARE MADE. BALANCE DUE 30 DAY AFTER THE INVOICE DATE. Limitations Project layout will be the responsibility of the engineering firm or a licensed surveyor if needed. A. Bid amount includes installation, materials, and labor and equipment to install the septic system as designed. Unless stated otherwise, the bid amount does not include engineering services. B. Unless stated otherwise, the bid amount does not include export of overburden, trees, stumps, etc. They will be disposed of on-site unless otherwise stated. C. Final grading will consist of backfilling the construction area with onsite native soils to create a rough construction grade that meets the minimum M.O.A. soil cover requirements and provides drainage away from, or around, the septic system. Prior to landscaping, most excavation sites will require hand raking and shoveling to remove larger rocks, sticks and debris. This work is not included in the bid and unless stated otherwise landscaping is not included in the bid. D. There are limitations regarding the quality of final grading. Typically, there is settlement that may occur. JR’s Septic Pumping and Excavation LLC will not be responsible for any ground settlement. E. Unless stated otherwise, the bid does not include reconstruction or restoration of decks, fences, driveways, and asphalt, trees, grass that must be removed or disturbed as part of the construction. F. If this is an engineered project, layout will be the responsibility of the engineer. All work will be in accordance with M.O.A. and State Guidelines All work will be performed as per Engineering Plans and Specifications Any alterations or deviations from the above specifications involving extra costs will be executed only upon written orders or verbal and will become an extra charge over and above the estimate. All work will be done in a workmanlike manner in accordance with standard construction practices. This is a legally binding contract between the client and JR’s Septic Pumping and Excavation. All collection fees, attorney’s fees, and late fees plus a 15% rate of interest will be applied to all accounts 30 days past due. Both parties acknowledge the right to lien the work site if the balance of this contract is not paid within 30 days of invoicing the work performed. This proposal will be void if not accepted within 14 days of the proposal date. By signing this construction proposal, you authorize JR’s Septic Pumping and Excavation to proceed in the work listed above and are agreeing to all terms and conditions listed. Accept of Proposal / Contract _______________________________________Date: ________________ Jeffrey or Emily Kewin _______________________________________ JR’s Septic Pumping and Excavation LLC Date: ________________ Michael R Wehr 2 I ANCHORAGE RECORDING DISTRICT, ALASKA. AS -BUILT OF: BARONIK SUBDIVISION O = FND 5/8" REBAR LOT 1 PLAT 70-199 AMW SURVEY CERTIFICATE: I, John L. Schuller, Have conducted a aWOAdwF • . AL �� physical survey of this property as shown on this drawing and that the WLSA improvements situated hereon are within the property lines and no �AW cC ' enchroachments exist other than noted. Under no circumstance should49 any information on this drawing be used for construction of fences, j, , f TH structures, improvements, or for establishing boundary lines. EXCLUSION NOTES: It is the owners responsibility to determine .' the existence of any easements, covenants, or restrictions which s .•J? N L. SCHULLER, do not appear on the recorded subdivision plat. LS -10408 CIA WORK ORDER NUMBER:DAre SCALIZ, E-MAIL P AUG 4, 2022 1 "=30' schuller0ok net ��aA P� 22-07-1 DRAYN BY: CHECKED BY GRID NOmsm BO O K AGE AO f e s sl o n & L� JLS SW2637 220241 5 G .yv 5071 0 qL 1831 Talkeetna Street Anchorage, Alaska 99508 (907) 227-1455 office (907) 274-4992 fax 115th AVE w N89°51'53"W 132.80' o (N89°59'00"W 133.00' R) GRAVEL %Hw®SEPTIC PARKING MHVENT QSEM TIC (typ) VAULT DECK 2' z 0 EXISTING z 0 zz co 0 BUILDING 91 o 00 0 0 o 0 o LOT 1 40.0' 1812- 0 WELL DECK z I(1) 48.0' TJ M -, CACONC DECK 8 8' -� W -. cn _ __ zs.o' 6 CTI � LOT 2 0 00 GRAVEL o a CARPORT Z 24.0' o f- Q o v to Qf Q W 0 — — 10' UTILITY ESMT 28.0'— 8.9' v, 30 N89.59'00"W 133.00' �n I ANCHORAGE RECORDING DISTRICT, ALASKA. AS -BUILT OF: BARONIK SUBDIVISION O = FND 5/8" REBAR LOT 1 PLAT 70-199 AMW SURVEY CERTIFICATE: I, John L. Schuller, Have conducted a aWOAdwF • . AL �� physical survey of this property as shown on this drawing and that the WLSA improvements situated hereon are within the property lines and no �AW cC ' enchroachments exist other than noted. Under no circumstance should49 any information on this drawing be used for construction of fences, j, , f TH structures, improvements, or for establishing boundary lines. EXCLUSION NOTES: It is the owners responsibility to determine .' the existence of any easements, covenants, or restrictions which s .•J? N L. SCHULLER, do not appear on the recorded subdivision plat. LS -10408 CIA WORK ORDER NUMBER:DAre SCALIZ, E-MAIL P AUG 4, 2022 1 "=30' schuller0ok net ��aA P� 22-07-1 DRAYN BY: CHECKED BY GRID NOmsm BO O K AGE AO f e s sl o n & L� JLS SW2637 220241 5 G .yv 5071 0 qL 1831 Talkeetna Street Anchorage, Alaska 99508 (907) 227-1455 office (907) 274-4992 fax