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HomeMy WebLinkAboutMAJESTIC VALLEY ESTATES BLK 3 LT 13stic lock Lot I 050- 731 -21  o Municipality of Anchorage ~' Development Services Department ~~; Building Safety Division ~ ~ On-Site Water and Wastewater Program. 4700 Elmore Road P.O. Box 196650 Anchorage, AK 99507 Page of www.ci.anchorage.ak.us (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number: OM' lOtt':[. ~ PID Number: O 50- 73/- 2..I Name: F~p~g~. ,/1~;~..l /~or~7¢ 4>.<or_., wastewater System: [] New J~ Upgrade Address: ~oo Co,~,,~,./~,?,I~ l,v'~7/ $V-t5 ~,,,; ~ll~lt ABSORPTION FIELD Phone: Number of Bedrooms: [] Deep Trench J~Shallow Trench [] Bed [] Mound [] Other: Total Depth from originalEde: LEGAL DESCRIPTION sci, Rating: q o 0 GPD/Ft2~ Ft. Block: Lot: Subdivision: Depth to pipe bottom from original grade: Gravel depth beneath pipe: $ v,4 c y ;;t Ft. .3 Ft. Township: Range: Section: Fill added above odginal grade: Gravel Length: 1 -'Z. Ft. 30 Ft. Well: ~Xi~t}l [] New [] Upgrade Grave, width: S Ft. Number of lines:l IDistancebe~een"nes:--- Ft. Classification (Private. ~. B. C): Total Depth: Cased to: Total absorption area: Pipe Material: Driller: Date Drilled: Static Water Level: Installer: Date Installed: Yield: Pump Set at: [ Casing Height Above Ground: SEPARAIION DISTANCES ~Septic ~ Holding ~ S.T.E.P. ~Other: '~~~ Septic Absorption Lift Holding )ubli~Privato Man~acturer: k/ Capacity: l~ Tank Field Station Tank Sewer Line ~,,~or~, ~, ./~ 9' 1~ GaL Size: Man~a~ure~ Foundation S'~ 10'+ s'+A on',eve,at: "Pump o,' ,evel a,: High water ala~ a,: Cudain Drain ~l + 50 [~ 501 ~ ~[~1 Pump~Make & Model Electrical Inspections pefformed~.{by: Remarks: [~sh~, ~o[{~ A~one~ ~ ~0~ BENCHMARK * Lo.rich and Description: ~ Assumed Elevation: J~ i Ft. ~.~n~er,s 7~~ ,nspectionspedormedb,: L~,S ~Ou[~t~.~, Dates: 1st 10/1~ Zo[0 2nd Development Se~ices Depa~mentApproval , · ztOTH ~,~'~ '. 9 . z ............. Conditional Approval Date: ~.~~-/_' ~ Reviewed and approved by: ~/~'~',~ ........ g'~ j .-~,~-~i / ABANOONEO EXISTING SEPTI~ INSTALL 5-BEORO0~ SEPTIC SYS~ Lo~ J~ ER UPC REOUIRE~EN~ 1000 GALLON SEPTIC TANK w/ ~ ~A~// ~ ~..:~ LENGTH 30 FEET I ~¢ ~ ~-'..~ ro":~ ~r,~:~ ~. , I 0~ ~~.' ,..t~ ROCK DEPTH 3 FE~ ~ ~ ~ ~~ N~. .: . COYER 3.0 FE~ , Lof ~ ~ ~ L o f 8 ~ F [ ~ ~ae~r ~oc~urto~. ~tt tocarto~s s~o~ ~ I ~'m~'"'.~.~...m.~ I SPURK~ND ENGINEERING ~JESTIC VALLEY ESTATES B~ 3 LOTI3 SEPTIC SYSTE~ DESIGN 203 · 15TH. AVENUE ANCH. AK. 99501 FNmA ~ORTAGE DATE: NOK 22, 2010 (907~ 279-5916 2~2~0 ~HITE SPRUCE DR., EAGLE RIVER, AK 995~7 SHEET: 2/4 GRID:S~365 PERMIT ~0~P]01176 PID ~ 050-73]-~] Noje~ic VolleyEs~o ~esB3L]3D] A B C 25.0' 78.0' D 31.0' 79.0' E 35.0' 76.0' F 152.0 ~05.0' r~/~. ~ ~ ~ ~ ~CT/YATEO SL~OGE ~ ~ ~ ~4'P~W~T E~=85.9' , , E~.=85.0' ,'-{o'+- ~u~r ~ i - . ~/OCYCLE SYS~M OPERA,NC WA ~R LEVELS N~ I "~ ~ L~ ~PU~KL~N~ -- E.O.M E~K: 6~.5' EE~CH ~A~K TOP flECK PIER CLOSEST TO SEP~C TA~K ASSU~Efl ELE~ATIO~ I00' SPURK~ND ENGINEERING MAJESTIC VALLEY ESTATES B3 LI3 SEPnC SYSTE~ DESIGN 20~ W 15TH. AVENUE ANCH. AK. 9950~ FNmA DATE: NOV. 22, 20~0 ~907~ 279-~916 26240 WHITE TREE DR., EAGLE RIVER, AK 99567 SHEET: ~/4 GRID: PERMIT ~ O2P] OH 76 Piti ~0~0- 730-~ MAJE2TICVALLEYE2TA Proposal Submitted To: Bob Dean/Spurldand Engineering Job address:White Spruce/M.O.A. permit no. OSP100176 Widng for Biocycie septic system has been installed per N.E.C 2008 edition by Solid Ground Electric LLC., lic no. 1668. Respectfully submitted- Scott Chambers, Solid Ground Electric LLC 727-8O08 ...................... On-Site Wastewater Disposal System Permit OSP101176 05073121000 Septic MUNICIPALITY OF ANCHORAGE Development Services Department On-Site Water & Wastewater Program 4700 EImore Road, PO Box 196650 Anchorage, AK 99519-6650 Telephone: (907) 343-7904 Permit Number: Tax Code Number: Work Type: Upgrade Permit Effective Dates: September 13, 2010 to Design Engineer: SPURKLAND ENGINEERING Subdivision: MAJESTIC VALLEY ESTATES September 13, 2011 Site Legal Address: MAJESTIC VALLEY ESTATES BLK 3 LT 13 G:0363 Owner/Address: FEDERAL NATIONAL MORTGAGE ASSOCIATION 400 COUNTRYWIDE WAY SV-35 SIMI VALLEY CA 930656298 Site Mailing Address: 26240 WHITE SPRUCE DR, Eagle River Lot Size in Sq Ft: 59017 Total Bedrooms: 5 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: The inspection report will not be approved without the AWWTS Maintenance Agreement. Received By: Issued By: Date: Municipality of Anchorage P.O. Box 196650 · 4700 Elmore Road Anchorage, Alaska 99519-6650 · (907) 343-7904 · Fax (907) 343-7997 http:llwww.muni.or.qlOnsite Development Services Department On-Site Water and Wastewater Pro,qram **** VARIANCE/WAIVER REVIEW **** Waive~: OSP101195 COSA#: Permit~: OSP101176 PID#: 050-731-21 Legal Description: Majestic Valley Estates Block 3 Lot 13 Engineer: Spurkland Engineering Applicant: PNC Mortgage Your request for a waiver of the required 50 feet horizontal separation from the absorption field to the excessive slope has been approved. The approved separation distance is 35 feet. This waiver approval applies to the proposed absorption field to Error! Reference source not found, 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: ~~0 Approved by: ~ ~~ Name of Rev'~ver Rec~: 072117 Amount: $200.00 Date Paid: 8126/10 **** VARIANCE/WAIVER REVIEW **** Municipality of Anchorage Development Services Department Building Safety Division On-Site Water and Wastewater Program 4700 Elmore Road P.O. Box 196650 Anchorage, Alaska 99507 www. muni.org/onsite (907) 343;7904 ON-SITE SEWER/VVELL PERMIT APPLICATION 0.SPl~ll~ I'/*'"'~"CFORA SINGLE FAMILY DWELLING ParcelI.D. ~ OE'O 731 Property owner(s) i~A]~. ~-¥c~. Mailing address Site address .~,~'~,HO '~/k;~rc ~'.~;-,.~. Legal description (Sub'd., Block & Lot) ~&~f,'~ Legal description (Township, Range & Section) Lot Size ~¢r O I 7 Sq. Ft. Day phone .Zip Code Zip Code Number of Bedrooms ..~ 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. (Signature of I~roperty owner or authorized agent) Permit/Rush Fees: Date of Payment: Receipt Number: (Rev. 11/05) .b- O Waiver Fees: Date of Payment: Receipt Number: Environmental Consulting and Design SEPTIC SYSTEM DESIGN MAJESTIC VALLEY ESTATES BLOCK 3 LOT13 Municipality of Anchorage Development Services Department On Site Water and Wastewater Program 4700 South Bragaw Street Anchorage, Alaska 99519 August 26, 2010 Subject: Septic System Installation Permit 26240 White Spruce Drive Ladies and Gentlemen: I am writing to request a permit to upgrade the septic system for the above referenced property. The proposed system will serve a 5-bedroom single-family residence. The existing system is over 19 years old and no longer meets COSA operational requirements. Soil logs, design calculations, a site plan, design drawings and construction specifications are enclosed for your review. Design Calcs: Groundwater observed at a depth of l O. 5 feet below ground surface (8/23/2010) Soil Rating (w/ A WWT) : From Test hole 8/5/2010 3 min/in = 4 galper sq:ft/day (TH#2) No. of Bedrooms 5 Required Area per Bedroom: 150/4:3 7.5 sq.fi. Minimum area required: 37.5 x 5 = 187.5 sq.fi Depth of Rock 36 inches. Reduction factor O. 58 Minimum Trench Length 187.5/5'0.58=21.75feet System: We are proposing a 1000 gallon septic tank with a BioCycle advanced wastewater treatment system, and a shallow trench absorption field. The absorption field will be 30 feet long and 5 feet wide with 3 feet (259 sq.ft, effective) of sewer rock. Soils: Two test holes were excavated on August 5th, 2010. See the attached soil logs. Gravelly silty soils were observed. Ground water was monitored for through August 23, 2010. Ground water was observed 10.5 feet below the ground surface. A percolation test was conducted at the 203 West 15th Avenue Suite 203, Anchorage, AK 99501, Phone: (907) 279-3916 Fax: (866) 354-1597, Lspurkland~gci.net depth 3 feet. Environmental Consulting and Design I Surface Water: There are no surface waters within one hundred feet of the proposed septic system upgrade. Topography: The lot slopes steeply to the south. Areas of the lot have been terraced to allow for a house and driveway. A bench on the east end of the property with a slope of approximately 20 % is proposed for the location of the drain field. A cut bank exists along Imperial Drive. The slope of the cut bank is 65%. Waivers: A slope waiver will be required. See drawing 4/4. The installation of this septic system will not prevent wells and septic systems from being installed on the adjacent lots. The proposed septic system will not change the general slope of the area. Ponding and/or concentration of surface runoff will not result from this installation. If you have any questions or concerns, please contact me at 279-3916. Sincerely, Lars Spurkland, P.E. Civil Engineer 203 West 15th Avenue Suite 203, Anchorage, AK 99501, Phone: (907) 279-3916 Fax: (866) 354-1597, Lspurkland~gci.net ! I Lot 7 NOTE: THIS IS NOT A SURVEYED PLdT. WELL dt SEPTIC LOCATIONS TAKEN FROI~ ON-SITE WATER AND WASTE WA~ER DEPARTIitENT DOCU~IENTATION. ALL LOCATIONS SHOWN ARE APPROXIMATE. 50 0 50 100 150 £00 £50 SCALE~ 1' = 100 FE Lot 1~ \ VACENT 300 SPURKLAND ENGINEERING 203 PI 15TH. AVENUE ANCH. AK. 99501 (907) 279-3916 J JIg4JESTIC V,4LL~Y ESTATES BIZ 3 LOTI3 PNC kIORTAGE 26240 PIHITE SPRUCE DR., EAGLE RIVER, Al( 99567 SEPTIC SYSTEbl DESIGN DATE: AUGUST 11, 2010 SHEET: I/4 GRID: SW563 PERMIT # SWO8OXXX PID # 050-731-~1 MajestJcVo#e~vEs$o ~es33L13JN ~s ~ / ~ ~.~ Z ~ ".'.. ~ WlOTH 5.0 FEET , ~ ~ - / ~ .'",.~ TOTAL DEPTH 5 FEET JlNSTALL OlVERTER VALVE TO J~ ~ ~~.' ...'.~ ROCK OEPTH 3 FEET J3 / I / .... / ~ NOra TH/S IS NOT ~ SURVEYED PUn WEU · SEPTIC ~ ..... [2. ....... --.....-.-....~ ..... ~ ..... I ~ DEPARTMENT DOCUMENTATION. ALL LOCATIONS SHOWN ~RE ~...~....:~.~~ .......... ~ , ~ -.~'.......~ ~...."~ / SCALE, 1 = 50 FL ' ~~ SPURK~ND ENGINEERING ~JEST[C VALLEY ESTATES B~ 3 LOT13 SEPTIC SYSTEU DESIGN 205 · 15TH. AVENUE PNC WORTAGE DATE: AUGUST I1, 2010 ANCH. AK. 99501 (907) 279-~916 26240 ~NITE SPRUCE DR., EAGLE NIGER, AK 99567 SHEET: 2/4 GRID:S~563 PERMIT ~S~080XXX PID ~ 050-73]-~] Mojes$icVolleyEs$o$esB3Ll3B] r~~/4" P~ ~ ~/ ~ ACTIVATED SLU~E RETURN BIOCYCLE SYS~M OPERA'NC WA ~R LEVELS N~ INSTALLA ~ON ~ACT AS ~. SPURK~ND ENGINEERING MMESTIC VArY ESTATES ~3 Z13 SEPTIC SYSTE~ DESIGN 20J · tSrH. A VEN~E (907) 279-5916 26240 WHITE TREE DR., EAGLE RIVER, AK 99567 SHEEh 3/4 GRID: SWJGJ PERMIT ~ Piti ~050- 730-~i MAJESTICVALLEYESTA TES~3L13fl~G 0 0 0 .--, o 0% O0 Performed For: Legal Description: Bob Brock Municipality of Anchorage Development Services Department Building Safety Division On-Site Water and Wastewater Program 4700 Elmore Road P.O. Box 196650 Anchorage, AK 99507 www.ci.anchoraqe.ak.us (907) 343-7904 Soils Log - Percolation Test Majestic Valley Estates BIk 3 Lot 13 Slope Date Performed: Augu Township, Range, Section: Site Plan 2- 3- 4- 5- 6- 7- 8- 9- 10- 11- !2- 13- 20- WASCROUNDWATER ENCOUNTERED? Water Seep s YES, AT WHAT DEPTH? 12' L Depth to Water After O P Monitoring? E Date: COMMENTS Reading Date Gross Time Net Time Depth to Water Net Drop PERCOLATION RATE (minutes/inch) TEST RUN BETWEEN FT AND PERC HOLE DIAMETER FT PERFORMED BY: I Lars Spurkland CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: Performed For: Legal Description: Bob Brock Municipality of Anchorage Development Services Department Building Safety Division On-Site Water and Wastewater Program 4700 Elmore Road P.O. Box 196650 Anchorage, AK 99507 www.ci.anchoraqe,ak.us (907) 343-7904 Soils Log - Percolation Test Majestic Valley Estates BIk 3 Lot 13 Slope Township, Range, Section: Site Plan 2- 3- 4- 6- 7- 8- 9- 10- 11- 12- 13- 14- 15- 16- 17- 18- 19- 20- COMMENTS Pre-soaked WAS GROUND WATER ENCOUNTERED? Water Seep s IF YES, AT WHAT DEPTH? 12' L O Depth to Water After p Monitoring? ( O ~ S t E Date: Reading Date Gross Time Net Time Depth to Water Net Drop 8/5/2010 11:40 am 0 min 11" 7.5" 8/5/2010 11:50 am 10 min 11.125" 3.5" 7.625" 8/5/2010 12:00 pm 20 min 11" 3.5" 7.625" 8/5/2010 12:10 pm 30 min 11" 3.375" 7.625" 8/5/2010 12:20 pm 40 min 11.125" 3.375" 7.5" 8/5/2010 12:30 pm 50 min 11" 3.625" 7.625" 8/5/2010 12:40 pm 60 min 3.375" PERCOLATION RATE 3.0 (minutes/inch) TEST RUN BETWEEN 3 FT AND 4 PERC HOLE DIAMETER 6 FT PERFORMED BY: I Lars Spurkland CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: Municipality of Anchorage Page DEPARTMENT OF HEALTH AND HUMAN SI:-.'RVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 · Anchorage, Alaska 99519-6650 ® Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report Permit Number: _ 5/_/-/ ~/d2 .~,.~ ~ PID Number:_ ~,5--'~ '~_~ / Name:(7-'~')/~'q '~, ,~ ~L ~'~/(--- Wastewater System: ~ New [] Upgrade Address: /f'.,~.,,~,~ 77,,~?¢' ~,.¢,¢Z,~/¢,~,,-.~/4' ~,?~,-~, ABSORPTION FIELD No. of Bedrooms: ,~Deep Trench [] Shallow Trench [] Bed [] Mound [] Other Phone: ~----~:~Y--~,~:¢.~. Total Depth from/original grade: LEGAL DESCRIPTION s°' Rating: (~, ~:/ GPD/Sq. Ft. ?~"~. Lot: Block: Subdivision; Depth to pipe bottom fro~ original grade: Gravel depth beneath pipe Range:~ Fill added abov~ originS, grade: Gravel length: 'rownshi~/¢~ ]~ Section¢~ ~ ~ 0~~ Ft. ~ X ~F Ft. Number of lines: Dislance between lines: WELL: ~New D Upgrade Gravel depth: 2~ Ft. ~ /¢ ~// Ft. Classification (Private, A,B,C): Total Depth: Cased To: TotaJCb~orp[ion area: Pipe material: P~~ ~o F~. //7 Ft. ~(~op~-~~ SQ.~. Driller: Date Drilled: Static Water Level: Installer: Date installed: Pump Set at: Caaing Height Above Ground: Yield: ~ GPM Ft. 13 ,~" TANK SEPARATION DISTANCES ~Septio U Ho~i,~ U S.T.E.P. To Septic Absorption Lilt Holding Public/Private Manufacturer: Capacity in gallons: From Tank Field Station Tank Sewer Lines ~C~ ~ J Material: Number of Compartments: we~ /¢G /~/ ~ ~ ¢~ 5~ S.r~.Oew.t~ / ~ ~ / / ,.M, LIFT STATION Lot o~cluror: --Line 70 1~ ~ ~ ~ Size in gall Foundation ~ ~ ~ ~ ~ "Pump on" level at: "Pump off" level at: Curtain / / ~. ~ ~ Pump Make & Model Electrical Inspections performed by: Drain Remarks: ~ //~ ~,~- ~.~. BENCH MARK IAssumoO Elovation: ' ENGINE~R'S,SE~ Inspections performed by: ¢~¢~ ~, Dates:lst 1'~,{ Department of Health and Human Services approval ¢~, ..>.. ~ Reviewed and approved by:, ~'~'~ {~-~ Date: }/-/'~- ~ "'~' ~'>. . ' .. '. ........ ,,., ..., .,: -..'~.. ~"'" 72-013 (1/91) MOA 25 by DOC Co. (IDa SULLIVAN WATER WELLS P.O. BOX 670272, CHUGIAK, ALASKA 99567 · TELEPHONE 688.2759 OWNER OF LAND 'xJ -~ ~ ('~,-~,,o 5'~" DEPTH OF WELL ADDRESS fl O (~B~ -77 /a.~ STATIC LEVEL OF WATER LEGALDESCRI~ION ~/J l&c3 ~4');sF)c (fl~2~ DRAW DOWN FT' DATE-Started Ended 7/7/ GALS. PERHR _ PERMIT NUMBE~ KIND OF CASING KIND OF FORMATION: From_ ~ Ft. to~ Ft._ ~&'~ ,('~,¢{(/]_A From Ft. to Ft., From ~ Ft. to 4 ..Ft. O(]~O~'~ _ From .Ft. to _Ft. From_ Ft. to_ Ft. &)/ '~ ~a~ff From~Ft. to .Ft.. From~ ~_ Ft FronL .Ft. to Ft.~)(~ffZ~ From Ft. to_ Ft. F~om//~ .Ft. t0/T6 Ft. ~ff~4,~cff ~ From~Ft. to Ft. From .Ft. to_~Ft.. From I~ ~ Ft to~D :Ft..6d~'O¢~ t6~Cm~ From_ Ft. to .... Vt. FromQ~ b Ft. to~Ft.-Em~ff3& Ft. ~9~ ~P3 F krom_ Ft. to___ Ft.. From Ft. t From~,~ Ft. to.~ Ft..:~aq~ &~ From~Ft. to- _Ft From_~Ft. to Ft.fi~fl~:7O~4~ ~3 ~ eft From F~. to_~Ft. ~ff~ Vrom Ft. to Ft. From Ft. to ._Ft._ From Ft. to~_Ft~ MISCL. INFORMATION: tt7 4," c.,qr,,'2 6 DRILLER'S NAME Permit No. "~'5u/ c//42 ,,~-33 Page Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report 72-013 A (2/91) MOA 25 Page . of Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744 On-Site Wastewater Disposal System and/or Wel~ Inspection Report Legal Description: ~,~'7- /5 ~/~' .~ /v/A-~'"FCS-"~-/d., ~.~.,~y PID No.: 72-013A(2/91)MOA 25 November iCI, 1991 0 & E ENGINEERING P.O. BOX 671651 CHUGIAK, ALASKA 99567 688-3941 THOMAS FLODIN P.E. STEVEN FLODIN P.E. Municipa[tity ef Anchorage Departmen% ef Heal%h &. Human Services P. O. Box 196650 Anchorag'e, AK 99519-6650 RE: Lo% 13 BK 3 Majestic Valley Estates T 14N, }~, 1. W, See '-" A1 .tEN 4) Susan Oswalb The clmanou~.s have been ins'galled at the Eastern end of each trench and shown on -the as-built drawing. The inspeo-bion report bears my engineering s'bamp and signature. Wha% addi-bional seal are you referring t,o. '?here appears to be a 3' discrepancy, however, ~.he si'be had 3' of material removed beLween the 'hi. me of -Les'ting and censqruction. The hol~le excavaLion mal;erial s were later spread over I;he sil:,e bo increase bhe depth over %lhe sop%it sys%em by 3 ..... ~"~ Based upon %he dept, h and materials encoun'bered in TH-Z, the we].l depict'ts to bedrock and lack of reck oubcropping 'ho'Lb up %errain and down terrain, il have no reservations in c. erbifyln~ %he bedrock dep%h exceeds 19 feet',. ?35 ncere] 5/, S'teven f!'lodin, P.E, PAGE 1 OF 1 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WELL AND WASTEWATER DISPOSAL SYSTEM PERMIT PERMIT NUMBER:SW910233 DATE ISSUED: 8/09/91 DESIGN ENGINEER:O & E ENGINEERING, INC. EXPIRATION DATE: 8/09/92 OWNER NAME:PALLISTER JOSHUA F. OWNER ADDRESS:PO BOX 771294 ANCHORAGE, AK 99577 PARCEL ID:05073121 LEGAL DESCRIPTION: MAJESTIC VALLEY ESTATES BLK LT 13 SEC 23, T14N, R1W, SM LOT SIZE: 59017 (SQ. FT.) NUMBER OF BEDROOMS: 4 THIS PERMIT: 4 THIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD / WELL SYSTEM 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 (iSAAC80). 3. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST LEGAL DESCRIPTION: Z¢"/"' t~ ~3 //~A'~''r/'~'''j~' Township, Range, Section: · 4 7 8 ~'11 12 13 14- 15- 17- 18" 19.- 20- SLOPE SITE PLAN WAS GROUND WATER ENCOUNTERED? S L IF YES, AT WHAT .-,-,.-'--~ O DEPTH? p E Monitoring? /4¢ Dote: _ _ Gross Net Depth to Net Reading Date Time Time Water Drop PERCOLATION RATE . }~--- _ (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN /* ~2 FT AND // FT ,~~ CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE, DATE: //~ */¢:~/ 72-008 (Rev. 4/85) PERFORMED FOR: LEGAL DESCRIPTION:L¢'¢- ~. 2 3 4 5 6 7 8 9 10 12 13 14- 20 Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST DATE PERFORME[)~ Township, Range, Section: SLOPE SITE PLAN WAS GROUND WATER ENCOUNTERED? S IF YES, AT WHAT DEPTH? p E Deplh to Water Alter/ ~oniloring7 /7 ' "~ Dale: Gross Net Depth to Net Reading Date Time Time Water Drop PERCOLATION RATE ~ ?~--__ Iminmes/inch) ~ERC BQLE DIAMETER TEST RUN BETWEEN 'J/ FTAND / wg"~--- FT ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 72-008 (Rev. 4/85) Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST LEGAL DESCRIPTION: L Township, Range, Section: i,~? / '¢'t '3 1 2 3 4 5 "r'~' 8 9 10 11 12 13 14 15 16 17 18 19 20 SLOPE WAS GROUND WATER ENCOUNTERED? S IF YES, AT WHAT ~/ QL DEPTH? p E Deplh Io Water Monitoring? /~.O Date: _"~/"'~l SITE PLAN Gross Net Depth to Net Reading Date Time Time Water Drop PERCOLATION RATE J '~''' (minutes/inch} PERC HOLE DIAMETER ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 72-008 (Rev. 4/85) PERFORMED FOR: LEGAL DESCRIPTION:ZO'~ Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG m PERCOLATION TEST DATE PER FORM'I~-~'-~"'/~ ;;~'/ //~'~1'/~ Township, Range, Section: .~f ,,u[ 1 2 3 4 5 6 7 8 9 SLOPE SITE PLAN ..71>-1 10 11 12 13 14 15- 16- 17- 18.- 19- 20-- WAS GROUND WATER ENCOUNTERED? S L IF YES, AT WHAT DEPTFI~ 7 0 · p E Depth Io Water After~. ~onitorinD? '~' Date: Reading Date Gross Net Depth to Net Time Time Water Drop PERCOLATION RATE __ (minutes/inch) PERC HOLE DIAMETER __ TEST RUN BETWEEN __ FTAND __ FT COMMENTS /~/~ ~I~/~,~L,- ("~ '"T-~'~'~J~ ~'~ ~ ~ ~ ~ ~// ~/~~ ~ ~ AOCORDANOE WITH ALL STATE AND MUNICIPAL GUIDEUNES IN EFFEOT ON THIS DATE. DATE: ~/¢/ 72-008 (Rev. 4/85) / / / ~0 & E Ei"~GIi"~EERIb..IG Chugiak, ~1( 9955'7, .P~one 688-394'i /1/ I 0 & E ENGINEERING P. O. Box 67165] Chugiak, AK9956Z Phone688.3941 P. O. Box 671 651 /¢~ /~ ~/~ ~ Phone688-3941 .~ Z,¢c/ ~-, c,. 7;,~ ~o° Phone 688-3947 08-E Russell Oyster 694-2774 Soils 8- Foundations performed for: ,,' O~;O :~$ / ~ / . GEO, ~CHNICAL 8- DEVEL ~PMENT CO. Box 90, Davis St., Eagle River, Alaska 99577 694-2774 or 688-2280 SOIL LOG, Name: ,, Mailing Address: Legal Description: Earl Ellis 688-2280 Land Development Tel. Ob L soll Characteristic). 10 _ 11 ~ 12~ 13 14 15 16 Ground Water Encountered: Yes Proposed Installation: Seepage Pit . Comments: If yes, what depth Drain Field ,. : L ' ,; Performed by: Date: Municipality of Anchorage Development Services Department Building Safety Division On-Site Water and Wastewater Program 4700 Elmore Street P.O. Box 196650 Anchorage, AK 99519-6650 www. muni.org/onsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. O 50- -~31 - ;~ [ GENERAL INFORMATION Complete legal description Expiration Date: Location (site address) Current Property owner(s) FNMA Day phone Mailing address Lending agency Day phone Mailing address .__ Real Estate Agent I~o~ B£odq- Day phone Mailing Address Unless otherwise requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: ~ 3.. TYPE OF WATER SUPPLY: Individual Well Individual Water Storage Community Class ~ Well Public Water System TYPE OF WASTEWATER DISPOSAL: Individual On-site Individual Holding Tank Community On-site Public Sewer [] [] [] The Municipality of Anchorage Development Services Depadment (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 sample results. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for propedies 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 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 verity 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. N~me ofFirm ~, ur~J~ Address ~ ~ ~. Engineer's Printed Name 5. DSD SIGNATURE //"' Approved for Disapproved.. bedrooms. Phone Date ~ ~. OF AL - tt Conditional approval for bedrooms, with the following stipulations: Attachments: COSA Checklist Septic System Advisory Well ,Flow Advisory Nitrate Advisory By: (Rev 11105) X Arsenic Advisory Maintenance Agreements Supplemental Engineer's Report Other Original Certificate Date: ~-~- J ~ '-'// Municipality of Anchorage Development Services Department Building Safety Division On-Site Water & Wastewater Program 4700 Elmore Road P.O. Box 196650 Anchorage, AK 99519-6650 www. muni.org/onsite (907) 343=7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description: A. WELL DATA Well type Dc[~/~,~.. IfA, B, or C provide PWSID #__ Date completed "~lt Sanitary seal (Y/N) Total depth 34X) ft.' ' Cased to lit ft. FROM WELL LOG Date of test ~l[ q t Static water level [~ ~ ft. Well production '~ g.p.m. Parcel ID: 050- Well Log (Y/N) Y Wires properly protected (Y/N) Casing height (above ground) 'AT INSPECTION G[~3/'z.o fo , ft. 5.8 g.p.m. in. WATER SAMPLE RESULTS: Coliform J~...~ colonies/100 mL' Nitrate /~D mg/L Arsenic: 1~.0~'J ug/L(~lO date of sample: ~/t/JJl B. SEPTIC/HOLDING TANK DATA Tank Type/Material ~nc~tOr~?~, T~n~l_/$~, ~ ~o~'~c~.. Tank size [000 gal. Number of Compartments ~ Foundation cleanout (Y/N) ~ Depression over tank (Y/N) __ Date of pumping /Mew Pumper .... Collected by: Date installed [011~11 Zolo Cleanouts (Y/N) "/ High water alarm (Y/N) A/' C. ABSORPTION FI:ELD DATA Date installed Length Total depth (~ ft. Date of adequacy test ~/bdrm) Soil rating (~or ft. Width ~ ft. Eft. absorption area ?.5~ ft~ Monitoring tube . A/~. ~/ Results (Pass/Fail) ~ System type .,C/,l~ l l"-~ Tr~s4ck Gravel below pipe ~ ft. ¥ Depression over field /~/~ For- bedrooms Fluid depth in absorption field before test -'- in. Water added --- gal. New depth '-- in. Elapsed Time: ~ min. Final fluid depth '"' in. Any rejuvenation treatment (past 12 mo.) (Y/N & type) Absorption rate >= -- If yes, give date g.p.d. D. LIFT STATION Date installed [o~l~//%om "Pump on" level at ~.5 in. Datum Mit ~ E. SEPARATION DISTANCES Size in gallons "Pump off" level at N~zin. Cycles tested SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot |0Ot~- Absorption field on lot [00~.!· Public sewer main ,,~/~. Sewer/septic service line "Z5 ~' Animal containment areas ~o~ ~- Manhole/Access (Y/N) . High water alarm level at zz Meets alarm & circuit requirements? On adjacent lots J OD On adjacent lots tOO ~- Public sewer manhole/cleanout Holding tank Manure/animal excrete storage areas in. SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation ~' ~ Property line .~'~ Water main /V'[A Water service line Wells on adjacent lots t0 SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line ~ c ¥ Building foundation t0 t.{. [ I Water Service line [o Curtain drain ~'0[~' {~J~.0. .F. COMMENTS Absorption field ,5 I+. Surface water JO0 ~ '~ Water main Driveway, parking/vehicle storage I0 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. Engineer's Printed Name LAI~_ ..~3ul~ =.1~ COSAFee $ Date of Payment Receipt Number Waiver Fee $ Date of Payment Receipt Number (Rev. 4/10) SGS Reft# 1110858001 Client Name Spurkland Engineering Printed Date/Time 03/16/2011 13:38 Project Name/# Water Samples Collected Date/Time 03/09/2011 19:45 Client Sample ID MVE B3 LI3 Received Date/Time 03/10/2011 12:07 Matrix Drinking Water Technical Director Ste0hen C. Ede PWSID 0 Sample Remarks: Allowable Prep Analysis Parameter Results LOQ Units Method Container ID Limits Date Date Init Waters Department TotalNitrate/Nitrite-N ND 0.100 mg/L SM20 4500NO3-F B (<10) 03/11/11 AYC Microbiology Laboratory E. Coli Total Coliform Negative I 100mL SM20 9223B A 03/10/11 DLC Negative 1 100mL SM20 9223B A 03/10/11 DLC UNDER N0 CIRCUUSTANC~S SHOULD AN AS-BUILT BE USED FOR C.Q~TRUC'rlON OR IrO~ £SI'A~LI%-H.%N~G BI~UNOAR¥ OR FE~NCE ILIN~L~ THE SURVEYOR TN~£S RESP~N~BILITY FOR THE ~hilTIAL TRANe~ACnQN ONLY AND A,'i~U~ FINANCIAL UA~UTY ONLY FOR ~IE COST OF' THE b"I.iRVEY. US)lID O~TANCE.~ laNE'VAIL O~¢-R ~CALING~ REPRQDMcT, I~¢ MAY GMJ~ ~ IN ~ at =~ SURVEY TYPE PLOT PLANS ~ LOT SUR~ CQN&~UC~ON, TO VERIFY ~R~O~ ~UILDiNC ~E RELA~ TO F[NIS~ED ~ADE AND U~Y C~N~C~ONS ~O TO DETERMLNE SUR_VEY CERllFiCATION PLOT PLAN m d~m i ~ ~an ~ I~ i~ km~ of m~ FOUNOAIION AS-~T ONLY 1HOSI[ {MPROVEI~£NTS ABOVE GROUND AND ~18~ N~ 8E ETC.. ~[ ~O~ tN ~[IR APPRO~MR~ L~A~ON. ~LY. SNOW ALL OI~TAN~ AR~ ~CORO uNLES~ OT~ERWI~ NOLO. Prepared by ~oberLI E. dohns, dr. ~ ~"~- ~= 11/5/10 ~o.. ~ F 1116/10 =t¢":sWc ~ b~tc Or~: D3 BLOCK 3 LOT Assoc. Professional Land Surveyors lReo. Lot $,F. 1R~c, Plat F~* No. 1°"~:sW0363lw'° 1329 THIS MEMORANDUM OF UNDERSTA~N~D1NG re:de md entered/nfo as of this herein the "OWNER," alld the Municipality o£Anchorage, herein the "/~JNICIPALITy." In consideration of the mutual covenants conta/ncd herein, the par~es to tiffs Memorandmn o£'Ur~dersttmd~ug agree as follows: 1. ADYANCED WASTEWATER TREATMENT S¥S~.~MS~ Mu~ic~n~:,~ grants p~ssio~ to O~er to utilize ~d operate ~ AdvaDced Wastewamr Trea~mt System-(A~S), described as ~. located 2, Defl~fioa~. A. ~terafi~a, ~y cha~ge to ~¢ desi~ or flaction ora A~TS that Includes ~e ~s~lahoa or removal of ~y pros, ~mponmB or pieces not included ~ ~e ohg/nal ~n,~ction p~t ~d dmi~.: Pno~ to peffo~ng my al~mho~s m m A~TS: ~e owner m~t obt~n a Wasmwa~r Disposal System Co:si:l:ctior: P~t ~em ~:e M~icip~ity pmu~: m ~chorage M~cipal Code (herema~er, "~C") 15.65. Mmicip~i~ of existing water and w~tewat~ ~posa[ systms givea at · e ~e ofpmpe~ sale ~d title ~sfer in accord~ce wi~ ~{C 15.65. MAR-~E~-~Oll i?:48 From:90T689~3G AK L~A FCU ~ EAGLE RI~R BRANC Pa~e:2z5 ~ey ~u~ ~d ~e~ ~e code~ ~a~ wer~ ~ place at ~e time of system C. Damage. ~y m~-ma~ or na~l ch~ge ~ a system ~at would ~bit ~e s~tem kern pe~ox~g as desired, D, Ma~nance an~ Rep~. The scheduled ~d as a~ded replacment e~s~g p~, components md pie~s of m A~ ~at wm included the off.al ~si~ which would a~ow ~e A~S to tongue p~o~ as desi~e~ Co~c~ P~it ~ de~ed by AMC 15,65. F. ~er~t (Opera~ ~ Adv~ced Wa~tewater Trea~t Sy~m Opem~g P~it, ~ m~l p~t; is~u~ bY ~e M~ieip~, ~at allows ~e ~ner to operate m AwaitS, upon mee~g aH ~e requ~enm of ~is a~em~t, ~e condihons of Operating Pemit, requ~men~ of ~e On-Site Wastewater Sys~ C~acfion Pe~it all relevant pro~ions or.lC 15,65 3. F~_e. Om~ $~ll pay to Mmcipfli~ ~ ~ual fee of :~_ ($ ~ ,00), pa~ble on or before ~e issumce of~e opera~g pe~it ~d a~ly ~ere~er, '~e a~u~ fee is due on or bef~e ~e ~vers~ date of~e approv~ by 4. ~. ~e te~ efta Memormdm o~Und~mmd~g ~h~ b~ for ~e life A~S. MAR-08-~011 17:48 From:9076893~.J~ · At< USA FCU'~~ EAGLE RIVER BRi~qC Pa~e:3~5 The ~erm b~ fipaljty sold or ~tie is ~f~d by o~er md a new c~fficate off-Site a~mv~ is i~sued to · e new o~er or ~msf~ee of~e prope~. 5. Altera~~t~la~o~d Rem~v~ of A~o~. O~er a~ees nvtm ~e ~y alt~fions, x~o~ ofp~ or add~fion~ m ~e A~TS w/~out a Cons~c~oa Pcmit ~om ~e Municipally. 6. A. ~ou~mt ~e t~ offs MemO~ ofUn~<~ng, ~e ~er shall mm~h A~ h good r~ak. M ad~fioa~ it shall be ~e ~sponsibiliW Omer d~g ~e t~ offs Memor<dum of UnderaCting, md my exte=ions or rmewals ~ereo~ at ~e o~'s sole exp~e, m ~ay for ~y mam~n~, O) ~jus Fmheri O~er a~ees ~ ~es <d orde~ for ~e AWWTS. B. ~er a~ees m provide ~e M=icipa[i~ ~ wfi~en schedule of rouble ~m~ ~d r~a~ which have beea peffo~ed o~ ~e system pmu~t m ~e schedule shall be subm/tterl to the Municfpaliw annually upon the renewal of' the permit The schedule of maintenance and repak coma~aed in the Ovraer's AWWTS C.( WWTS ate codified tn AMC D. Owner agrees that o~y maintenance, repair personnel certified by alterations to the system. E. AWWTS upon ~' reasonable access to test and inspect the notice. F. Owner agrees that any sale or tr~asf~ of title of the property will not wi~out a new Ce~ficate of On-Site Sy~e~ A~oval. G. Om~ a~es ~at the rel~t ~ovisian$ ef~e s~d~d specification ~debook for A~S is ~e goyc~ng prof~s/on~ ~es for ~e ~tmmee and repair of the ~or'a A~S. 7. Ne~wMve~. ~¢ fail~e ofeit~ p~ at ~y time to ~force a provision of M~r~dm of Undera~dMg ~MI in ao way comfim~ a waiv~ of ~e provisions, cur ~ my way ei~ct ~e 'vMi~ of~e Memor~d~ of Uad~d~g or ~y hereof, or ~e ri~t ofs~[ p~ ~a~er ~ enf°r~ e~h ~d ev~ hereo/ A. ~s Mem~dm ofUa~tm~g ~all only be ~md~ modified or ebbed by a ~g, ~eeuted by au~ed ~resentafive~ of the p~es, wi~ ~e same fo~a~w offs Memormd~ of Undezs~g was excreted ~d such wring be arched ~ ~is Mmomn~ of UnderdOg as ~ B. For tlxe purposes of may muendmeat modification or et~moge to the terms and conditions of this contract, the on[¥ authorized representatives of [he parties are: MAR~OS~L~311 AK USA'FCU -,EAGLE RIUER 8~C . Pa~e:5~5 Anchora 12. un'authorized representative or unauthorized means shall be void. 9. ~u__ri~dic_tion: C ~ 'c ol'.L~w. Any clvtl action arising from this Memorandum of Understanding shall be brought in the Superior Court for the Third Judicial District o£the State of Alaska at Anchorage. The laws of the State of Alaika shall govm th, rights and obligations of thc parties under this Memorandum of Utldersta.nding. 10. 5eversh,fli~t~. Any provaiorts of'this Memor~dum of'Understanding cleon:ed MVr,~(CIPA~ By:. Date: C~' ] Title: Date: STATE OF ALASKA THIRD JUDICIAL DISTRICT Thc fore in~t~aent was 20J. Lo by.__ me this