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HomeMy WebLinkAboutSUNNY SLOPES LT 64A FROM RAYS _ PHONE NO, 6967295 Sep. 15 2004 02:12PM P1/2 UA ri rONY KNOWLES. GOVERNOR DEPT. OF ENVIRONMENTAL CONSERVATION DIVISION OF ENVIRONMENTAL. HEALTH DRINKING WATER and WASTEWATER PROGRAM 555 CORDOVA STREET Telephone: (907) 269-7521 ANCHORAGE, AK 99501 Fax: (907) 269.7650 h am: /Iwww+. s t a te. a k- us/dee/h o m efh t m May 14, 1999 Mr. Robert C. Cowan, P.E. S & S Engineering 17034 N_ Eagle River Loop, 9204 Eagle River, Alaska 99577 Subject: Lot 64A, Sunny Slopes Subdivision; On -Site Wastewater Treatment and Disposal System; ADEC Project Number 535; Operation Approval. Dear Mr. Cowan: The Department has reviewed the submitted as -built information for the wastewater treatment and disposal system serving llte 6 -bedroom duplex on the above -referenced location. Based on this review, final operational approval is hereby given for the wastewater system, which consists of a biocycle wastewater treatment system discharging to a deep trench. Any future expansion or modification of the subject project will rewire additional approval from this office. An Operation Certificate, constituting this approval, is enclosed. These approvals do not imply the granting of additional authorizations, nor obligate any federal, state, or Iocal regulatory body to grant required authorizations. Thank you for your cooperation with this Department. If you have any questions, please contact me. Sincerely, Steven A. Petits Env, Eng. Asst. II SPlcf Enc: As stated ate . eyed ' E E IV E STATE OF ALASKA APR 2 1999 DEPARTMENT OF ENVIRONMENTAL CONSERVATION DEPAA ENT OF 'ON!:�*_ APPLICATION FOR ON-SITE WATER AND SEWER SYSTEM APPROVAL 1, GENERAL INFORMATION Legai Dascrlp[ion of the Location Applicant Name Ap licant is: (Check oneY $ank ❑Certified Insiell0r No. o Q� OwnerlBuilder Address (Street or 1'- /0. sox 3 Type of Residence Total No. of Bedrooms r , d r ❑Single Family x Multi -Family City, State end ZIP Code Telephone 6q 2i�� �� 907 Send Approve to: ❑ Applicant P Other: (Give Name & Address) S S ENGINEERING NO -204— V -1a Vir_ Alaskn 49577 II. WATER SUPPLY SYSTEM Sour" of Water and Containment (Check all that of water Supply System Treatment of Water (Check all that Apply} rrT--'Iype ❑ well 10rllled or ❑riven) cc liden[ify) u private 'lone []Chlorination ❑ Roof Catch ]Filtration than QMineral Removal ❑ Other ildentlfyl Public (SenreS more rine ❑ H no Tank (amity) Clothe'. Well Data Is the Height of the Well Casing mora than 12" above the Ground? ❑ yes ❑ No is a sanitary seal Installed on the well casing(' ❑ yea ❑No Is drainage directed away from or around the casing within a radiu} of i0 feet of the well c55ing7 ❑ Yes No Oats Dri(lad Oapth of Well (Fee Static Water Level ;Pearl Yield {If Available) p Rata (if Available) G n Gal/Min $Egaretl0n Distances From the WBII Cesing to each of the Follpwiny $dU rcYs of Contam lnaiip n; SeoticlHolding Tank on Lot Sewer Lines on Lbt Absorption Aran on Lot Glossal SeptiClFtalding Tank on Adjacent Lot Closest Sower Linesn Ad oiac o[ Closest Edge Of an Al7sorpxlomArea On Adjacent Lpt If toxic mateelais are stored on the property; Includlny fuel tanks, p , lubricant( and other petroleum On Lot Lot basad mtizarfals, pesticides, fungicides or herbl6ldes, Indicated cc Irom contaminant( to well easing: 7"�i�cnl Water Sample Taken by: Name -. Sampler Is: ❑ Buyer ❑ Engineer Address ❑ Banker ❑ oovernment Officlel Water Sample Res ❑ ❑ Llnsatisfeetory Satisfactory - Date: - Date: Attach Coq Comm. is/Recommendations: I cartIfy that the above Information is correct: Signature Typed/Printed Name T(tla Date NO TF: Must be signed by aCartlflad Installer, l0rofastlonal Engineer, department of Envlronmenral Conrervatlon or the OwnerRullder ! M. WASTEWATER DISPOSAL Sentlo TankiAWoiptfon System dd (specTreatment: t (Spacl7iqee y Brand Mame or Precesis laofding Tenk Cepaclty of -rank /� } Whore Wspe is Disposed t/t/�� �sq� Frequency o4 Pumpfng L Specify, f SOI.' 6q 1 r V I'v'.; ! to � �C; S� r /► �i� Coe�/o k; Septic Tank Outfall t + Other tSpacify}t Discharged To: , 'w ! C /i) 1A;P ❑ (OuthoLise, Inciniratoi, etc.) NBW SVstem Name of tnstaitarDate _rwae 4fq �Carts4"arc d� Installed 1 71q$ v No. fit Certified Installer ❑ Ownir/SUItdar ❑ other: Type/Manufaa rer �� r {' t �r'fC �C3►'1]C No. - Abso on System 1 C Pr a rC Septic Tank Size (I3illdnsl Number of Compartments Sol! Type or R Ing V:(Attach Copy of Report Date Septic Tank Pumped (Attach Copy of Receipt) ) Type Sofl Absorption System 71 0Irnaannslons/Sizo Soil Absorptlo Sys^te�m 4 Type/Guantity SackfFll MaterlO used forSqfI Z.oertotlon System �r O'L )Q S x �� 1 r c e+L W /rO ]� W6 i Percolatioin Test q suits e t ( Peropletldn Tait bVI [Hamel C C 5 m f n+x��S 2.?C i'i' —5C Minimum Ground Cover over Absorp- t(on area MlnlmU n Ground Coves over Septic Tank Cleanout PI es/Caps In tailed on SeptTenk 2606—out PFpes/Caps Installed on bsorptfon System (� n t V Feat on Adjacent Nearest Body of Water Water Table/Badrock Lot LI-* /'� � Lir Feet w Yes ❑ No ❑ Yes No Separation Water Sup ource on Lot Nearest W Supply Source on Adjacent Lot Nearer dy of Water Water Y le/Bedrock [��i S l Lo[ Lln� Distance to: Fie. Feet Feet TRT T Feet ,�( Feet CommentURecommendatl ns I - FlZ(4,ts4nt 0F f1-Ainrru .r 16I104 3u Mmt_&L j i1r6 nr 4 CJK—LY sr'12-c-r1 o y N A G rL rJ rJ u W n+ w H �t,. LT f N I.• /� . A- A k /I :Lrr4 C I r�, c i_. c•Q T t Q h r ry E IG L pr*t �7l CJGV C T 1G }}+^� rAlrv< f NLrbr• fN S T 4LLrt k I certify thjft t06 dliciviP infor tiatt It correct: Signa [V re ',— Typed/Printed Name Title, Rag, 'Cart, No_ Inst. IVO. Cul,,alir, Date A Q$,c C. c i-Ert, I y 7 NOTE: Mast be Signed by 4 seriMid installer, professiondl engineer or DtC Staff. " Exlstina System Name of Installer Date Installed ©CertlFled Instaltai ❑ oiher- ❑ Owner/f3ullder Typo/Manufacturer No. Septic Tank Size (Daltons) Number of Compartments Solt Type or Rating Type So 11 Absorption System Dlmensions/Size Soil Absorption System Type/QV ty Backfill Material used for Soil - Abso on System Adequacy Test gesu"s: Adequacy Test Per wmed 8 V:(Attach Copy of Report Date Septic Tank Pumped (Attach Copy of Receipt) ❑ Pass ❑ Fail Minimum Ground Cover over Absorp- Mlnimurn Ground Cover over Septic Cleanout es/Ceps Installed on Cleanout Ptpes/Gaps Installed on tion Area Tank S9 tink Absorption System Feet Feet Ya# F1 No yes Na Witter Supply Source on Lot Nearest Water Supply S on Adjacent Nearest Body of Water Water Table/Badrock Lot LI-* Separation Lot .-, Distance to: Feet Feet Feet Feat Feat Comments/R ac o m men d a d o n a .- I certify thdt abnV6 IitfatiiiiUbii H ported: Signature TypedlPrinted Name . , - Title, RogJCart. No., Inst. No. N. NC YE: Musi be sigded by a professional engineer. �( , 7 • AL.. -.-r„ ..ter.:/! ys r ROBERT C_ COWAN",•t{ C y' istereCILtroPal r M v Engineer ,y E�Q Municipality of Anchorage' DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 »• SOILS LOG -- PERCOLATION TEST r F aoat:�r�c. cowaN� � PERFORMED FOR: �r 6c��- LJUrJ DATE PERFORMODt," `i 7�• - '� LEGAL DESCRIPTION: T 14 _,5wy,,t-)/ Township, Range, Section: DEPTH SLOPE S1TE PLAN 1 2 3 4 5 6 �N 9 10 11 12 13 14 15 16 17 18 19 WAS GROUND WATER ENCOUNTERED?� IF YES, AT WHAT DEPTH? Depth to Water Alter r _ Monitoring? Date: .■■■■■■"■■ ■■■■■■■N■■ Depth to Water I Net I Drop ■■■■■■■■■■ EAWAN ■■■o.►f mmom■ ■■ENERN■■■ ■■■®®m■■■■ ■■.mmum■■ ■■■■■■■■■■ '11■■111■■■ ■■■■■■■■■■ ==mml Depth to Water I Net I Drop EAWAN 20 r lul PERCOLATION RATE 3 {minuIesnnch} PERC HOLE DIAMETER 1 TEST RUN BETWEEN � FT AND 3L FT COMMENTS .SCG I�l� ..,� S & S ENGINEERING PERFORMED BY: I CERTIFY THAT THIS TEST WAS PERFORMED IN age Iyer Loop Road N.. 2 ACCORDANCE W{TH ALLSTATE AND MUNICIPAL DATE. DATE. 72-008 (Rev. 4185) 1nG PERFORMED FOR: 0 LA LEGAL DESCRIPTION:GL)? 6EPT {� FEETI 1-0- 2 Q--2 U 3 c�f4 L = J 6 t j 16 17 18 19 ROBERT C. COWAN, P.E. ROBERT A. SHAFER, PE - CML ENGINEERS (907)694-2979 FAX (907) 694-1211 c2 a - Ll 11 S C) V, j S �1fC1YjIR1 C CT. RI+ CR� ip, Range, Section: WAS GROUND WATER � ENCOUNTERED? I V S IF YES, AT WHAT _� L DEPTH? p e Depth to Wafer After Monitoring? Dalt SITE PLAN Reading Date Gross Net bepth to Net Time Time Water Drop 20 PERCOLATION RATE Imrnutewinchy PERC HOLE DIAMETER TEST RUN BETWEEN FT AND FT COMMENTS I 6 c 7. - 11,J.S' 7A4 -L L 5 S S ENGINEERING PERFORMED BY: 1743 4 Eagle R iver10a l 204 I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WTIT-iJ&FhxfLAJ4* ;PAL GUIDELINES IN EFFECT ON THIS DATE. DATE. r0' /16 ' 7 r•n, rn IAS! fa �� ROBERT C. COWAN j % CE•8801 DATE PERFORMED- ip, Range, Section: WAS GROUND WATER � ENCOUNTERED? I V S IF YES, AT WHAT _� L DEPTH? p e Depth to Wafer After Monitoring? Dalt SITE PLAN Reading Date Gross Net bepth to Net Time Time Water Drop 20 PERCOLATION RATE Imrnutewinchy PERC HOLE DIAMETER TEST RUN BETWEEN FT AND FT COMMENTS I 6 c 7. - 11,J.S' 7A4 -L L 5 S S ENGINEERING PERFORMED BY: 1743 4 Eagle R iver10a l 204 I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WTIT-iJ&FhxfLAJ4* ;PAL GUIDELINES IN EFFECT ON THIS DATE. DATE. r0' /16 ' 7 r•n, rn IAS! 11 S ^ 5 N. IF YES, AT WHAT LO r DEPTH? P 12 V' E ' 9 Depth to Wattr Alter 13 Monitoring? Bait H IT t�. 14 f Q t Reading Date Gress Net 6epth to Time Time Water 15 16 17 18 19 20` I�I� PERCOLATION RATE (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN FT AND FT COMMENTS l I -J -S 7-/G,—' L Net Drop PERFORMED BY; 1704 7,0FF 2���iiailleeeRi-vCQ�F he q r. ' t �" �"� s`% �`' CERTIFY THAT THIS TEST WAS PERFORMED 1N ACCORDANCE WNffiktAVhE]4ND'�1CtRtWt AL GUIDELINES IN EFFECT ON THIS DATE. DATE: l d �� L I q 7 119f, rn .. •l RFI �S ROBERT C. COWAN, P.E. 9k S1 ROBERTA. SHAFER, P.E. tneea�LnG - J CML. ENGINEERS ROBER (907) 6942978 FAX (907) 694-1211 ``� CI PERFORMED FOR: JC L �D �L.� `I _ +J r� r - DATE PERFORMED: Zo { i /� 5�ee�J reship, Range, Section: LEGAL DESCRIPTION: ^ DEPTH SLOPE SITE PLAID FEET] 2- 3 3 4- 0 6 0 (Z- 16�lf —7 Sl LT J 8 � �r 9 [ Id 10 f WAS GROUND WATER ENCOUNTERE07 11 S ^ 5 N. IF YES, AT WHAT LO r DEPTH? P 12 V' E ' 9 Depth to Wattr Alter 13 Monitoring? Bait H IT t�. 14 f Q t Reading Date Gress Net 6epth to Time Time Water 15 16 17 18 19 20` I�I� PERCOLATION RATE (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN FT AND FT COMMENTS l I -J -S 7-/G,—' L Net Drop PERFORMED BY; 1704 7,0FF 2���iiailleeeRi-vCQ�F he q r. ' t �" �"� s`% �`' CERTIFY THAT THIS TEST WAS PERFORMED 1N ACCORDANCE WNffiktAVhE]4ND'�1CtRtWt AL GUIDELINES IN EFFECT ON THIS DATE. DATE: l d �� L I q 7 119f, rn .. •l RFI 1" = 40' .,I , PLAN ❑ESIGkv C ,� "' a a a x I r- O 1 rq ►--� CJS O �x� I 0 �an� 7�! 4 m ❑ r C) LA -i � co -u (M�j a 0 ans>�or0 n ❑ rrN)Ln; n ~ ZnIz� cin>c�m II a If `r r- m NC��QC N : o o M ��� �QZ-0 � D V LZn� yr . pon��ll c m II I Z;uM0G7 a o I nom. V? I p7 waaurd I I , z .V 0 O 3�+ranav , M :C] m I � I Q m C) V1aL r V1 z-4 sowmUi >*Cp0 cn-= i C yp 1 nyTOMS mC- m r-; V) cn FQm% !M UO o o � a I LN n zz ,Cm Lnr r�EA �I ❑ mZ{MM yF;K z a r.n cn yii;rri DrJDO*2O-1 C rcI�x�7° N I O�px �7 0 � = A �zM -0, O O v O '000 U) xi -< m r�*IZ�j O rN*I r a 02 0> m M -UIn M a A50� TOY 1 aOn� ter, a -�>_� f� LL I [11 f7 V1 no y� �?' dao zi °° -Mao x x a n CO AC) n N C ;v i z a) C3 X rri C r z x 1T1�{r'I �tn y C'i• O z k d m m y n rn r am t O MN O � 0 �yji I O � G 4� N.T.S. SCAU DL,AIL PROFILE Ny pC)❑r� II nm r� mz� m ��5�� Ln m r LN C -� ? 0 rn cnymp _n zp � n �mnm❑ C) m C7 o p D p � �LN n ❑ ❑ ❑a z ❑ a n V _ m r Lo -, c) y m x m o C) m C v 2 M C C? C) i- o � o r v � a m d m cn i--� (.° C m CN C/)m ❑ 70 goy V ❑ ❑ 0 a r� 00 C ---n ❑ r- M n n o� z z ❑< z n x, I m G7 _►�rE1 �a�\►�� 70 w '�++�■ ❑ Q ; tri co - M m,r Vit' a �. caf pr ❑? C) = ; iy�`•y: Jy, rn r' • a• [ kvk N�j �yw� N.T.S. X-ZEL i lON DETAIL SCALE FTA m cn r --,r �y �J 0 m T. m„� m I r co �Q O Cn A A V n amx n y w m �9 0,.q0 g n Ul �® n0W n o C oz N x�oU) m S pZf>On a m a0 EnM y-0 o m m C7 s- ao ;:o b y 6.0 6' 2.fi' 0 U] x d { 1 SSOmm ] {800mm f )PD �I FTA �, > Z -3 n C cn� N m Cd v; N G Lq C C:Z m O i C/) ro� L an V `D x N M V �! W C = 3 Ln3 V 3 o a 3 _ W z O t,+ tok m ` i 3 '= n ''^ tiC1 t ('1 n �l 3 A 3 V j 3 al �� :0 OZ 1i � O i > :U REQUEST FOR APPROVAL OP INDIVIDUAL SEWAGE AND WATER FACILITIES (Pill out in Triplicate) 2. 3. q. Name .of person requesting approval Name of property owner Legal description Number of bedrooms in house 5, Water Analysis: a, Bacterial b. Detergent 6. Well data: a. Type, , b, Depth c. Casing Size . d0 Dist?nce2°l., SepticSeWerfr°mlinetankWell to closeit existin~ 3. Seepage Area . ~ q. Cesspool' . . 5. Property Line . 6. Other sources of possible co i;e., creeks, lakes, houses, barn, drainage ditch, etc. 7. Sewage disposal system. a. Age of syste,. b. Septic tank capacity in gai.l.ons e0 Name of septic tank manufactu~'er 1. If "home made" show diagram on reverse side of this form. d.· Disposal field or seepage pit size and type 1. Distance to property llne ~ ~ ~ to house foundation e. Percolation Test results f. Percolation Test performed by ~SfL~ 'T'~%?~'<.~~-~ Use the reverse side of this fo~m to show diagram. Diagram should include the following znformatmon. ~roD~rty lines~ .well location, house location, septic tank location~ disposal ~ea location, location of percolation test~ and direction of ground slope. The information on this form is true and correct to the best of my knowledge. Signature df Applicant Date Signed TO BE FILLED OUT BY HEALTH DEPARTHENT PERSg~,NEL above described sanitary facilities are hereby approved, subject to the The above described sanitary facilities are disapproved fop the following reasons: ,, Approval is valid for one year following the date of approval. CPJ:cw LOCATION LOT ~'"~ FHA NUIVlBER SOIL CLASS -VISUAL-UNIFIED ARCTIC ALASKA TESTING LABORATORIES 1940 POST ROAD BOX ANCHORAGE FAIRBAN KS PERCOLATION TEST DATA BLOCK SUBDIVISION LOCATION SKETCH TEST HOLE NO,, ,/ W.O. NO,, DATE.. ~-..~o - ~'~" TECHNICIAN.., f~'. ~ LEGEND GRAVEL. SAND SILT CLAY ORGANIC CONTENT PEAT TEST HOLE LOB APP. TOPOG. FROST READING SATURATE 0 I 2 3 4 5 6 7 8 9 I0 II .PERCOLATION RAT~' I"/ ,, GROSS TIME NET TI~E DEPTH TO HzO NET DROP MIN. WATER YABLE ARCTIC ALASKA Tr-STING LABO,~ATORIES 1940 POST ROAD BO~ ANCH O~AGE FAIR,AN .PERCOLATION TEST DATA LOCATION LOT ~ RLOCK. FHA NUMBER ' SOIL, CLASS -VISUAL -UNIFIF. D TEST HOLE NO.- ~ _ · DATE. _~-/?-~"~' TECHNICIAN. _(~..~'. SUBDIVISION LOCATION SKETCH _~TEST HOLE LOG ,qPP. TOPOG. FROS1 READING DATE GROSS TII'~E NET ' "~' j F, ,,- DEPTH TO HzO NET DROP I SATURATE O <' . . . I .- 2 ..LEGEND GRAVEL" BAND SILT CLAY ORGANIC CONTENT PEAT WATER TABLE PERFORMED FOR: LEGAL DESCRIPTION: 11 12 13 15 16 17 18- 19- 20 COMMENTS 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 ENCOUNTERED? 0 P IF YES, AT WHAT E DEPTH? "~';; '~'~ PERCOLATION RATE · ..~- ~ (minutes/inch) TEST RUN BETWEEN FT AND FT Reading Date Gross Net Depth td [-' Net Time Time Water Drop PERFORMED BY: 72-008 S & S F. ngineeidng MUNICIPALITY OF ANCHORAGE Development Services Department s Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Parcel I.D. 050-152-45 Legal description SUNNY SLOPES LT 64A Site address 17015 MONTE RD Current property owner(s) THOMAS CHRISTOPHER C Expiration Date: 5/24/2025 6 The On-site system(s) is/are approved for 6 bedrooms Conditional approval for bedrooms, with the following stipulations: Comments or advisories: By: L /Z Original Certificate Date: 5/24/2024 This Certificate of On -Site Systems Approval (COSA) is intended to demonstrate the subject system(s) is/are in substantial compliance with municipal code. The Municipality of Anchorage, Development Services Department (DSD) issues COSAs based upon representations provided by an independent professional engineer. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. ATTACHMENTS: COSA Checklist X Well Flow Advisory Absorption Field Advisory Nitrate Advisory Tank Age Advisory x Arsenic Advisory Other COSA Approval_June 2022 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 Application •'" 1. GENERAL INFORMATION Parcel I.D. 050-152-45 Complete legal description Sunny Slopes Lot 64A Location (site address) 17015 Monte Road, Eagle River, AK 99577 Current property owner(s) Christopher Thomas 2. ON-SITE SYSTEMS SIZED FOR 6 BEDROOMS Day phone (907) 381-1232 3. TYPE OF WATER SUPPLY: ❑ Private Well ❑ Private Well serving 2 dwelling units ❑ Private Well serving 3+ dwelling units 0 Community Well or Public ❑ Water Storage 4. TYPE OF WASTEWATER DISPOSAL: u Pr; &te pri X Private Septic serving 2 dwelling units ❑ Holding Tank ❑ Community Septic or Public Sewer 5. SEPTIC TANK: X Steel ❑ Plastic ❑ Concrete ❑ Fiberglass Age 25 - See advisory if steel older than 20 years 6. ABSORPTION FIELD: ❑ AWWTS ❑ Bed X Deep Trench ❑ Wide Trench ❑ Seepage Pit Waiver request for: Expedited review requested: ❑E Distance: By applying for this entitlement, this property is subject to inspection by municipal On-site staff to verify the accuracy of the information provided. COSA Fee $ $ �!D Waiver Fee $ Date of Payment COSA # D S C_ 2 `y it Y' Date of Payment Waiver # COSA Application—June 2022 Sunny Slopes Lot 64A 050-152-45 Property is served by public water. 48" 5/24/24 & 9/8/23 4/27/99 N/A N/A N/A 4/15/24 7/7 > 900 84 Benjamin Schiller, P.E.5/17/24 (907) 522-7773 Septic Tank Advisory Certificate of On -Site Systems Approval # OSC241149 Subdivision: Sunny Slopes Block: , Lot: 64A The septic tank for this property is 25 years old. The average life of an asphalt coated steel septic tank is 20 years. Typical replacement costs are $10,000 or more, not including engineering, surveying or MOA permitting fees. This advisory must be attached to all copies of the subject Certificate of On -Site Systems Approval. This is an example of what the metal of a 30 year old steel tank MAY look like. Ma�lmg Address P� O Box 196650 �` Anchorage, glaska 99519 6650 *www muri� org MUNICIPALITY OF ANCHORAGE ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND REPAIR AGREEMENT THIS MAINTENANCE AND REPAIR AGREEMENT, herein the "AGREEMENT" made and entered into as of this j C' Day of j• r Ik- ; of 20, by and between herein the "OWNER," and the Municipality of Anchorage, herein the "MUNICIPALITY", in accordance with Anchorage Municipal Code (AMC) 15.65.365. In consideration of the mutual covenants contained herein, the parties to this Agreement agree as follows: 1. Advanced Wastewater Treatment Systems. The Municipality grants pennission to the Owner to utilize and operate an Advanced Wastewater Treatment System (AWWTS), described as Biocycle located at (legal description) Sunny Slopes Lot 64A 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). Z� 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 - 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. C - Owner agrees to grant the Municipality reasonable access to test and inspect the AWWTS. The Municipality will give at least 24-hour notice. ZZ- Owner agrees that any sale or transfer of title of the property will not occur without a new Certificate of On -Site Systems Approval. ZOwner 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:L(signature) Date: (/-r, la (P (print name) STATE OF ALASKA ) ) ss. THIRD JUDICIAL DISTRICT ) The foregoing Inst ument was acknowledged before me 2021, by i e.0 rN�2 c--t_P NOTARY PUBLIC FOR I- SKA My Commission expires: ?( MUNICIPALITY: By: (signature) (print name) thisa of , \\\ \\\\ LLE Y \�� Gj�.�omrriissio� C0�j NOTARY • U�Lr F ?A� OP�' �O\� Date: ZZ Z (, Title: (rev. 05/18/2018) Page 3 of 3 Inspection Report 3705 Arctic Blvd #313 Anchorage AK 99503 Email: crbioak@gmail.com (907) 274-0314 Homeowner Info Initial Inspection: System Inspection Customer Name:Tank #: Install Date: Is System Lid Locked? Inlet plumbing in working order? Are all aerators functioning? Pump float operating? Date: Filter cleaned?Discharge line condition: Alarm float functioning?Any buildup of solids? Clarification return system operating? pH Reading: (pH of 6-8 is ideal) Dissolved Oxygen PPM (2-5 is ideal) Turbidity of discharge (in FTU) (Under 35 FTU is considered compliant.) Solids pillow normal? Any buildup of solids? Any buildup of solids? Lid hardware in working order?Is there any noticeable odor? Alarms Tested: Air High Water Does system have a septic tank ? Battery Tested:Yes No Yes Yes Yes Good Replaced Yes Yes Yes Yes Yes Yes Strong Mild None No Yes Yes Repaired Replaced Replaced Replaced Replaced No Adjusted Requires Pumping No No Yes Repaired N/A Primary Chamber Aeration Chamber Clarification Chamber Effluent testing result Discharge Chamber Yes Comments: Inspected By: N/A (Recommend pumping tank every 2 years) (Please make sure alarm is on "normal", not "mute") Address:Area: Has emailing or mailing of form been requested? (contact office to request...)Yes No Municipality of Anchorage On -Site Water and Wastewater Program (907) 343-7904 E T w F �+ Certificate of On -Site Systems Approval Parcel`I.D. 050-152-45 Expiration Date: C� 1. GENERALINFORMATION: Complete legal description SUNNY SLOPE; L64A Location (site address) 17015 Monte Road*Eagle River 99577 Current Property owner(s) YiYong Day phone 830-2192 Mailing address Real Estate Agent bay 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: Individual Well ❑ Individual Individual Water Storage ❑ Holding Tank Community Class Well ❑ Community ❑ Public Water System ® Public Sewer ❑ WaiverNariance 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 /fit l t g Date of Payment Receipt Number Q�J���? Receipt Number COSA # cJCl�.I ,� : Waiver # 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm: Garness Engineering Group, Ltd (GEG) Phone: 907-337-6179 Address: 3701 East Tudor Road, Suite 101- Anchorage, Alaska 99507 Engineer's Printed Name: Jeffrey A. Garness Date: it In conducting this evaluation, GEG provided an engineering evaluation of the well and/or septic system o&.S in accordance with the guidelines and regulations established by the Municipality of Anchorage andoindustry practices. The reported results describe the condition of the system/s on the date/s of the pevaluation. Separation distances were measured to readily identifiable features. Hidden defects or �'encroachments may exist that were not identified during the evaluation. The operational life of all wellsand septic systems depend upon a variety of variables, including but not limited to, soil conditions, r�"""""'groundwater levels (that may fluctuate during the year), quality of construction (materials and V,workmanship), and the water usage of the family utilizing the system/s. These conditions can vary, andare outside the control of GEG. Satisfactory test results do not guarantee future performance of the eff e system/s; therefore, GEG makes no warranty (express or implied) regarding the future performance of �O 9 E 795 �� G the well or septic system. GEG makes no representation whether an alternative well or septic system can be installed on the property in the event either of the current systems fail to perform adequately in 4��er' �•l�;y� I ed the future. The content of this report is for the sole benefit of the person/party that retained GEG to � Profess o� o perform the evaluation. Reliance upon the information provided in this report by any other person or �DOOpoo�� party (including subsequent property purchasers) is not authorized, nor will it confer any legal right whatsoever. #AECC884 6. DSD SIGNATURE System #1 Approved for edrooms System #2 Approved for bedrooms _` ON-SITE AND Disapproved l�J,�TI-R m VVAS-r"EV --,TER Conditional approval for bedrooms, with the followin ✓ ' ulaftWSC - AN 1, r Z ll y: t,,._ Original Certificate Date: 2 3 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 Septic System Advisory Well Flow Advisory COSA blue sheet 10-10-12.doc Nitrate Advisery ;n . Arsenic Advis.Q Other® t - - COSA Checklist Legal Description: SUNNY SLOPE; L64A Parcel ID: 050-152-45 If more than 1 septic system on lot: COSA Checklist # 1 of 1 Structure served by this system 1 A. WELL DATA ❑ Well log is filed with Onsite (or attached) Date drilled Total depth ft Cased to ft ❑ Sanitary seal is functioning correctly ❑ Wires are properly protected Casing height (above ground) in. Date of flow test for COSA Static water level at beginning of test Comments "I B. TANK DATA Age of tank(s) 21 years Tank type/material STEEL Measured operating fluid level in septic tank Al Standpipes/foundation cleanout per record drawing Date of pumping 11/4/19 Well production at time of test gpm Water storage tank volume gallons Well disinfected for coliform test? ❑ Yes ❑ Nc ❑ 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 C. LIFT STATION ❑ Required maintenance completed Age of lift station years Lift station material Comments: UNABLE TO MEASURE THROUGH SOLIDS D. ABSORPTION FIELD DATA *AT MONITORING TUBE #1 Which system tested (date installed) 417/98 Adequacy test date 1111119 ❑ ALL standpipes present per record drawing Results ❑✓ Pass For 6 bedrooms Total measured depth from grade *13.5+ ft (max) Fluid depth prior to test 2 in Measured depth to pipe invert from grade ft (min) Water added 1024 gal ❑ N/A — pressurized field New depth 5 in ❑ Monitor tubes go to bottom of effective. If not, state Elapsed time 60 min depth into effective 01Code-requiredsoil cover over field Final fluid depth 2 in ❑ System presoaked Absorption rate 900+ gpd (Required if vacant for greater than 30 days prior to Any rejuvenation treatment (past 12 months) date of test) N/A Gallons introduced gallons If yes, enter date N/A Comments/Deficiencies: "THE BOTTOM OF THE MONITORING TUBES ONLY VARY 1 INCH COSA Checklist yellow sheet N/A 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 Community Sewer Manhole/Cleanout > 100' ❑ Yes if No ft ❑ Yes if No Neighboring Tank > 100' ❑ Yes if No ft Private Sewer/Septic Line > 25' ❑ Yes if No Absorption Field on Lot > 100' ❑ Yes if No ft Holding Tank > 100' ❑ Yes if No Neighboring Absorption Fields > 100' Yes if No Animal Containment > 50' ❑ Yes if No ❑ Yes if No ft Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' ❑ Yes if No ft ❑ Yes if No From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' ❑ Yes if No *51+ ft Surface Water > 100' ft ft ft ft ft ❑✓ Yes if No 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. Water Main > 10'✓❑ Yes if No ft Community Wells > 200'✓❑ Yes if No Water Service Line > 10' ❑✓ Yes if No ft If septic tank is under driveway comment below From Absorption Field on Lot to: (Please enter distances if less than required) Building Foundation > 10' ❑✓ Yes if No ft If absorption field is under driveway comment below Property Line > 10' ❑✓ Yes if No ft Wells on Adjacent Lots: ** Water Main > 10'✓❑ Yes if No ft Private Wells > 100' Q✓ Yes if No Water Service Line > 10' 7❑ Yes if No ** ft Community Wells > 200' 0✓ Yes if No Surface Water > 100'✓❑ Yes if No ft F. ENGINEER'S COMMENTS *MET CODE AT TIME OF INSTALL **UNKNOWN SEPERATION TO OLD H2O SERVICE LINE AND H2O MAIN FOR SUNNY SLOPES PUBLIC WATER SYSTEM. UNKNOWN IF THE H2O SYSTEM IS STILL OPERATIONAL 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. COSA Checklist yellow sheet #AECC884 ft ft ft I, DEVELOPMENT SERVICES DEPARTMENT ( I On -Site Water and Wastewater Section www.muni.org/onsite Septic 'Tank Advisory Certificate of On -Site Systems Approval #OSC191587 Subdivision: Sunny Slope Lot 64A 4 FRI Starting at 20 years of age the MOA issues Advisory's for steel septic tanks. The septic tank for this property is 21 years old. Typical replacement costs range from $8,000 to $11,000. This advisory must be attached to all copies of the subject Certificate of On -Site Systems Approval. This is an example of what the metal of a 20 year old steel tank MAY look like. �✓��` 's�" s' ` Ma�lrng Adressec. �� ait�196650�* Anch`"o'r.*a' ggera`,=t- lasYkas `cx '; „�,`.�.. /1�oir/r�r" .Q. I A f�01111 Y i :-°•VMV.4-. 51SWA D & ASSUC1A ES LAND SURVEYING 694-0829 r HEREBY CERTIFY THAT 1 HAVE SURVEYED THE SCALE'. ,�, FOLLOWING DESCRIBED PROPERTY= _ Za CIF A --: DATE- AND THAT NO ENCROACHi NTS EXIST Ems. CCEPT AS- INDICATED IT IS THE RESPONSIBI LI 7Y OF THEe J T H OWNER TO DETERMINE THE EXISTENCE OF ANY GRID- � "' • °'°° r • • � EASEMENTS, COVENANTS, OR RESTRICTIONS �/U�/S� _� , WHICH DO NOT APPEAR ON THE RECORDED SUBDI- +_ Duane Mere saward .... ' -- VISION PLAT. UNDER NO CIRCUMSTANCES SHQIA_D FB` L5-5 B ��' ANY DATA HEREON BE USED FOR CONSTRUCTION ��y5�r OFFENCE L.NES, OR FOR ESTABLISHING SOUND- BRAWN- ARY LINES. DATE SCHEDULED TIME INSPECTOR SUBDIVISION SUNNY SLOPES BLOCK/LOT/TRACT LT 64A INDICATE '40RTH < 3 Pt,rr SIZE CONN I" X DOMESTIC ONLY BOTH FIRE & DOMESTIC CORP. STOP FIRE LINE ONLY FIRE HYDRANT ONLY CURB STOP C TO C DATE OF TAPE /67 ?� BY Ttj-e4 FT. COPPER PIPE SIZE MAIN ALLEY X STREET EASEMENT A_ tj 1 1 1/4" OR 2" KEY BOX TYPE MAIN d EXCAVATOR FT. THAW -WIRE DISCONNECTS YES X NO SIZE OF DISCONNECT THAW-PLATE/NUT COMMENTS KEARNY CONNECTOR KEY BOX LOCATION g t o -tc ✓P L (- 01' 6ctr-W O -C— Pall-e—m-e-riT OTHER INSPECTION REPORT LINE BLOWN OUT J-571 t INSULATED INSPECTOR K.B. & T.W. - OK AFTER BACK -FILL DATE OPEN BORE FLUSH COMMENTS 200 LB. TEST MAIN CHLORINATED CHLORINE FLUSHED OK TO TURN -ON DO NOT TURN -ON