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HomeMy WebLinkAboutROVIER BLK 1 LT 4'0 Rovi r Block 1 Lot 4 #017- 121-07 Municipality of Anchorage a° Development Services Department Building Safety Division Onsite Water and Wastewater Program, 4700 Elmore Road P.O. Box 196650 Anchorage, AK 99507 Page of www.a.anchorage.ak.us (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number: OSP111265 PID Number: 017-121-07 Name: JULIA POLAND Wastewater System: E] New R1 Upgrade Address: 6460 RABBIT CREEK RD., ANCHORAGE, AK ABSORPTION FIELD Phone: Number of Bedrooms: Q ❑Deep Trench ®Shatlow Trench 11 Bed ❑ Mound ❑ Other. LEGAL DESCRIPTION Soil Rating: 4 Total Depth fram original grade: 4.5 GPDIFt' Ft. Block: Lot: Q Subdivision: ROWER Depth to pipe buffom from original grade: Gravel depth beneath pipe: 2.5 Ft. 2.0 FL Township: Range: Section: Fill added above original grade: Gravel Length: 1 Ft" 40 Ft" Well: El New ❑ Upgrade Grevelvidth: Numberuflines: 1 Distance between lines: 5 R. - Ft. Classification (Private, A. B, C): Total Depth:Cased ta: Total absorption area: Pipe Material: F. Ft. 286 F SCH 40 PVC Driller. Data Drilled: Static Water level: Installer: Date Installed: Ft_ DEAN CONST. 10/10/11 Yield: Pump Set at:Casing Height Above Ground: TANK GPM FL Ft. SEPARATION DISTANCES ❑ Septic ❑ Holding ❑ S.T.E.P. 0 Other: To Septic Absorption Lift Holding ubliclPdvate Manufacturer. capadry: From Tank Field Station Tank Sewer Line BIOCYCLE 1$00 out. Well 100'+ 100'+ 100'+ N/A 25'+ Material: FIBERGLASS Number of Compartments. 4 Surface Water 100'+ 100'+ 100'+ N/A LIFT STATION Sze: Manufacturer: Lot Line 51+ 10'+ 5'+ N/A 1500 Gal. BIOCYCLE "Pump on level at `Pump ofr level at: High water alarm at: Foundation $.+ 10'+ 5'+ N/A 25 44.5 12,5 in. in. in. Curtain Dmin $0'+ 50'+ 50'+ N/A Pump Make & Model (�� �Q Electrical Inspections redeemed by: MOA Remarks: BENCH MARK Location and Description: EXISTING TANK ABANDON PER MOA GARAGE SLAB Assumed Elevation: REQUIREMENTS. OLD DRAINFIELD 100 FL CONNECTED VIA VALVE IN BIOCYCLE Engineer's Stamp Inspections performed by: LARS SPURKLAND Dates: 131 10/10/2011Ak 10/11/2011 r (E•�F ... 11 2nd Development �P9ttl Services Department Approval 49TH 1� �/ Conditional ApprovalDate: s % / SPURKLAND Ilt Revby: pR iewed and approved ate: FE CREEK READ/ RABBIT EK s Septic! Area 3 r INSTALLED 4-B£OROOM SEPTIC SYSTEM BIOCYCLE AWTS W/ SHALLOW TRENCH LENGTH 40 FEET WIDTH 5.0 FEET MAX DEPTH 4.5 ffET ROCK DEPTH 2.0 FEET INSULATION 2 INCHES I I SWING TIES A B BIO LID C 89' 45' DF. MT. D 82' 74' DT. MT. £ 61.5' 87.5' OF. C.O. f II 48' 39.5' P �J 1 (a 0 ¢wu Lot 4 III RLot 5 i - NOTE., TRIS IS NOT A SURVEYED PLAT. WELL & SEPTIC LOCATIONS TAKEN FROM ON -S77£ WATER AND WASTE WATER DEPARTMENT DOCUM£NTARON. ALL LOCATIONS SHOWN ARE APPROXIMATE. 25 0 25 50 75 100 125 150 SCALE., 1' = 50 FT. SPURKLAND ENGINEERING I I ROVER LOT 4I I SEPTIC SYSTEM ASBUILT 203 W 15TH. AVENUE JULIA POLAND DATE.- OCT. 17, 2011 ANCH. AK. 99501 SHEET.• 2 3 GRID. 3138 (907) Z79-3916 6460 RABBIT CREEK, ANCHORAGE, AK 99516 /� PERMIT #17SP111265 PID # 017-121-07 RVIVERL4SCIOODV6 T. H. E.G. ELEV.= 94.9' 4' Fawm ..w am OUT ASTMN 3054 3034P GRADE TO DRAIN SLOPE FINISHED GRADE AWAY 2-GEOTEXTILE IN PnttAnav 24' fav NIR FROM TOP DV ALL DIRECTDHS ELEV.= 96' � � 6'MY Q o BACK FIL 25, -1/ PVC DISCHARGE SEWER ROCK £LEI!= 92.4' 4' PVC INTLIENT ° 2-1/2' NDAIS (, 0 0 m PPRINARY CHAMBER 0AERAUOV CHAMBER ODIMMRGE aAN&'R e h £L£V.=90.4' BDTTON OF IANC I STANDARD TRENCHa-u' -� DINSOATEW 4' SANBICRAM NTS LEVELING COMSE, 18.0. H. ELEV.= 81.9' .INSTALLATION C 1. EXCAVATE A 10' x 10' x 10' BEEP HDLE FOR B19CYCLE SYSTEM. 2. PLACE A MINIMUM L7F 4' SAND 17R GRAVEL FOR LEVELING COURSE IN THE BOTTIIM DF TME EXCAVATION COMPACT AS REQUIRED 3 PLACE 4 SHEETS OF 2' x 8' x 2' DIRECT BURIAL RIGID INSULATION ON TOP OF COMPACTED LEVELING COURSE TO PROTECT BOTTOM OF FIBERGLASS TANK. TAKE EXTRA CARE TO ASSURE THAT INSULATIDN COURSE IS LEVEL IN ALL DIRECTIONS 4. BACKFILL AROUND TANK UP TO INVERT DF 4' INFLUENT AND 1-114' EFFLUENT LINES WITH FREE-FLOVING NSF MATERIAL FREE DF LARGE STONES DR BOULDERS SAND16RAVEL BACKFILL AMT17R TUBE CAP END O 1-114' SCHEDULE 40 PVC V/ 118' WILES P 30' "/. 2-I/2' MINUS SEVER ROCK BENCH NARK GARAGE SUB ASSUMED ELEVATION IS 100' NE SPURKLAND ENGINEERINGI ROVIER LOY' 4 I SEPTIC SYSTEM ASBUILT 203 W 157H. AVENUE Ill JULIA FOLAND DATE: OCT. 17, 2011 ANCH. AK. 99501 (907) 179-3916 6460 RABBIT CREEK RD., ANCHORAGE, AK 99516 SHEET3/5 GRID: 3138 PERMIT # OSP111XXX PID # 017-121-07 ROIVERL4D3dw9 On -Site Wastewater Disposal System Permit MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 Elmore Road, PO Box 196650 Anchorage, AK 99519-6650 Telephone: (907) 343-7904 Permit Number: OSP111265 Tax Code Number: 01712107000 Work Type: Septic Upgrade Permit Effective Dates: October 05, 2011 to October 04, 2012 Design Engineer: SPURKLAND ENGINEERING Subdivision: ROVIER Site Legal Address: ROVIER BLK 1 LT 4 G:3138 Owner/Address: FOLAND JULIA B 14300 HANCOCK LANE ANCHORAGE AK 995150000 Site Mailing Address: 6460 RABBIT CREEK RD, Anchorage Lot Size in Sq Ft: Total Bedrooms: This permit is for the construction of: 29000 4 Y Disposal Field Y Septic Tank 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. ftA Received By: —L Issued By: Date: 10 1,511) Date:S l/ MUNICIPALITY OF ANCHORAGE Community Development Department Development Services Division Phone: 907-343-7904 On -Site Water & Wastewater Program Fax: 907-343-7997 Mayor Dan Sullivan ON-SITE SEWER/WEI L PERMIT APPLICATION FOR A SINGLE AMILY DWELLING Parcel I.D. aJ-1 L1-6 T Property owner(s) 7� ( j.,, F-0 Mailing address i `( 9�,c L V\a-y " Day phone 9G -31 -7-V35 tel`+�\ X515 Site address to4(, 1��,��, ; } Cre���. A n c (,or'kj e j AK `t.15 j Legal description (Sub'd., Block & Lot) _6VI -P _ L c�)± y � Legal description (Township, Range & Section) Lot Size Z% 000 Sq. Ft. Number of Bedrooms 11 THIS APPLICATION IS FOR: (® all that apply) THIS APPLICATION IS AN: Absorption Field Initial ❑ Septic Tank Af Upgrade Holding Tank ❑ Renewal ❑ Privy ❑ Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR: I certify that the above information is correct. I further certify that this application is being made for Single Family Dwelling and is in accordance with applicable Municipal Codes. /"�. I 1 (Sig -na�ure%f' roperty ui dutnorizea agent) Drm Rush Fees: Waiver Fees: Date of Payment: C� I �� `; 1 Date of Payment: Receipt Number: Receipt Number: Permit No. _ , +', 3 Waiver No. GABuilding\On Site\Forms\Client Forms\Permit App_0 1041 1.doc (Rev. 1/11) 13 13 SpUft�andEngfleaTung Environmental Consulting and Design SEPTIC SYSTEM DESIGN ROIVER LOT 4 Municipality of Anchorage September 21, 2011 Development Services Department On Site Water and Wastewater Program 4700 South Bragaw Street Anchorage, Alaska 99519 Subject: Septic System Installation Permit 6460 Rabbit Creek Road 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 4 -bedroom single-family residence. The existing system is 34 years old and is no longer functioning adequately. A soils log, design calculations, a site plan, design drawings and construction specifications are enclosed for your review. Design Calcs: No groundwater observed to a depth of 13 feet below ground surface (9/23/2011) Soil Rating. From Testhole 9/13/2011 1 min/in = 4 gal per sq.ft/day No. of Bedrooms 4 Required Area per Bedroom: 150/ 4 =37.5 sq.ft. Total area required: 37.5x 4 = 150 sqft System: We are proposing a BioCycle AWWTS, and a shallow trench absorption field. The absorption field will be 40 feet long and 5 feet wide and contain 2 feet (286 sq.ft. effective) of sewer rock. Soils: A test hole was excavated on September 13th, 2011. See the attached soil logs. Ground water was monitored for through September 23, 2011. Ground water was not observed. Surface Water: No surface waters were observed with 100 feet of the proposed septic system. Topography: The lot slopes to the north at approximately 5%. Waivers: None Required 203 West 15th Avenue Suite 203, Anchorage, AK 99501, Phone: (907) 279-3916 Fax: (866) 354-1597, Lspurkland@gci.net a g g �:. 13 13 Environmental Consulting and Design 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. L�Y's "land, 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 I J I \ Lot 5 J Lot 1 Lott 1 KRDAi/ III KBIT ARE% I I III G rtic� I I I I I I I ISI I 1 1 S I I I III ISI I i �R I I III I I �I N I I II 1 0I 11 Lot 6 I I Lot 2 11 Lo 3 I I p Lot 4 1 1 Lot 5 11 III --------JL------IL ------ NOTE.- THIS IS NOT A SURVEYED PLAT. WELL & SEPTIC LOCATIONS TAKEN FROM ON-SITE WATER AND WASTE WATER DEPARTMENT DOCUMENTATION. ALL LOCATIONS SHOWN ARE APPROXIMATE. 50 0 50 100 150 200 250 300 SCALE- 1' = 100 FT SPURKLAND ENGINEERING ROMER LOT 4 SEPTIC SYSTEM DESIGN ANC H. AK. 99501 15TH. AVENUE ANCJULIA FOLAND DATE. SEPT. 9, 2011 (907) 279-5916 6460 RABBIT CREEK, ANCHUMACiE, AK YY.770 SHEET: 1/'3 UNIV.- JIJLt PERMIT # 0SPI110XX PID # 017-121-07 R01 VERL 4SC100.DWG RABBIT CREEK ROAD/ ,lox Connec-A &54l^ a IDCyc" Septic Area d�scl�e L�ne.� ABANDONED £XIS1 YSTEM PER UPC L&t 3 INSTALL 4—BEDROOM SEPTIC SYSTEM B/OCYCLE AWTS W/ SHALLOW TRENCH LENGTH 40 FEET WIDTH 5.0 FEET MAX DEPTH 4.5 FEET ROCK DEPTH 2.0 FEET INSULATION 2 INCHES COVER 3 FEET 'PT DEMENTS ¢weu r z v� o I s r •�)t4 N t � 1 C �v J T I ¢ Feu Lo(I Lot 5 NO WELL OR SEPTIC SYSTEMS WITHIN 200 OF SOUTHERN PROPERTY UNE NOTE: THIS IS NOT A SURVEYED PLAT. WELL & SEPTIC LOCATIONS TAKEN FROM ON—SITE WATER AND WASTE WATER DEPARTMENT DOCUMENTATION. ALL LOCATIONS SHOWN ARE APPROXIMATE. 25 0 25 50 75 100 125 150 SCALE., 1' = 50 FT. SPURKLAND ENGINEERING ROMER LOT 4 SEPTIC SYSTEM DESIGN 203 W 157H. AVENUE DATE. SEPT. 9, 2011 ANCH. AK. 99501 JULIA POLAND (907) 279-3.776 6460 RABBIT CREEK, ANCHORAGE, AK 99516 SHEET.- 213 GR/D: 3138 PERMIT # OSPI110XX PID # 017-121-07 R01 VERL 4SC100.DWG T.H. E.G. ELEV.= XXXXX' 4' MONITOR ASTM 3034 GRAD TO BRAIN 2 -IAA INSULATION ELEV.= XXX' GEOTEXTIL£ BACK,%l '�' ` 2.5' SEVER ROCK 4�9 ELEV.= XXXX' 2-1/2' MINUSir`�r q ti;���ly+l I2 ELEV.=XXX ' 40' ► STANDARD TRENCH NTS '80-H- ELEV.= Xxxxx' INSTALLATION 24' MAX DISCHARFC FOUNDDATION CLEAN OUT SLOPE FINISHED GRAD AWAY FROM TD DJ ALL DIRECTIW y v 4' PVC IAB'LU£NT m PPRINARY CHAMBER ® AERAT101V CHAMBER iL m CLARIFIER ORISCHAR[E CHAMBER to _BOTTOM OF TAW V' BLAEBOARD INSULATION L EXCAVATE A 10' x 10' x 10' DEEP HOLE FOR BIOCYCLE SYSTEM, 2. PLACE A MINIMUM OF 4' SAND OR GRAVEL FOR LEVELING COURSE IN THE BOTTOM OF THE EXCAVATION. COMPACT AS REQUIRED, 3. PLACE 4 SHEETS OF 2' x 8' x 2' DIRECT BURIAL RIGID INSULATION ON TOP OF COMPACTED LEVELING COURSE TO PROTECT BOTTOM OF FIBERGLASS TANK, TAKE EXTRA CARE TO ASSURE THAT INSULATION COURSE IS LEVEL IN ALL DIRECTIONS 4, BACKFILL AROUND TANK UP TO INVERT OF 4' INFLUENT AND 1-1/4' EFFLUENT LINES WITH FREE-FLOWING NSF MATERIAL FREE OF LARGE STONES OR BOULDERS, MONITOR TUBE — r-- CAP END O 1-1/4' SCHEDULE 40 PVC V/ 1/8' HOLES 8 30' 2-1/2' MINUS SEVER ROCK BENCH MARK XXXXXXXXXX ASSUMED ELEVATION IS 100' SAND/GRAVEL BACKFILL m SPURKLAND ENGINEER/NG ROVIER LOT 4 SEPTIC SYSTEM DES/GN 203 W 15TH. AVENUE JUL/A POLAND DATE. • SEPT. 21, 2011 ANCH. AK. 99501 (907) 279-3916 6460 RABBIT CREEK RD., ANCHORAGE, AK 99516 SHEET. 3/3 GRID: 3138 PERMIT # OSPIIIXXX PID # 017-121-07 ROIVERL 4D3.dwg Municipality of Anchorage Development Services Department Building Safety Division �r On -Site Water and Wastewater Program 4700 Elmore Road P.O. Box 196650 Anchorage, AK 99507 www.ci.anchoraoe.ak.us (907)343-7904 Soils Log - Percolation Test Performed For: Julia FOland Legal Description: ROlver Lot 4 Depth 1-j"1///'j CUA+ '10 2- // Ij 31 Ry Lo -1 3- Q q t f (rfr.",J 4- 6- 7- 8- 9- 10-1 11- / 12- 13- 14- 15- 16- 17- 18- 19- 20- 11- 12- 13- 14- 15- 16- 17- 18- 19- 20- COMMENTS / (LA 0,C)w4t — tCl��r�Pt�w1 r i ' 49 THv /r �SFURKLAND.'�; r 15 0 Date Performed: 1) Township, Range, Section: Site Plan WAS GROUND WATER Date ENCOUNTERED? NO Net Time Depth to Water S IF YES, AT WHAT DEPTH? --- L Depth to Water After O P Monitoring? DRY E Date: 9/23/11 9/13/11 Reading Date Gross Time Net Time Depth to Water Net Drop 9/13/11 10:50 AM 0 MIN 6" 0" 9/13/11 10:57 AM 7 MIN 6" 6" 0" 9/13/11 11:04 AM 7 MIN 6" 6" 0" 9/13/11 11:11 PM 7 MIN 6" PERCOLATION RATE 1.2 (minuteslnch) PERC HOLE DIAMETER 6 TEST RUN BETWEEN 2.5 FT AND 3.5 FT PERFORMED BY: Lars Spurkland I fL �4 �J CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDE INES IN EFFECT ON THIS DATE. DATE: 9/23/11 ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND REPAIR AGREEMENT MEMORANDUM OF UNDERSTANDING BETWEEN MUNICIPALITY OF ANCHORAGE AND JMAR �u L_" V> THIS MEMORANDUM OF UNDERSTANDING made and entered into as of this 3 Day of 0 CIrO Lei_ of 20A, by and between J Ili L1 & , herein the "OWNER," and the Municipality of Anchorage, herein the "MUNICIPALITY." In consideration of the mutual covenants contained herein, the parties to this Memorandum of Understanding agree as follows: 1. ADVANCED WASTEWATER TREATMENT SYSTEMS. Municipality grants permission to Owner to utilize and operate an Advanced Wastewater Treatment System (AWWTS), described as B 10 Gy L -f- located at t ay (5� 1-6'r + , Anchorage, Alaska. 2. Definitions. A. Alteration. Any change to the design or function of an AWWTS that Includes the installation or removal of any parts, components or pieces not included in the original construction permit and design. Prior to performing any alterations to an AWWTS the owner must obtain a Wastewater Disposal System Construction Permit from the Municipality pursuant to Anchorage Municipal Code (hereinafter, "AMC") 15.65. B. Certificate of On -Site Systems Approval. An approval by the Municipality of existing water and wastewater disposal systems given at the time of property sale and title transfer in accordance with AMC 15.65. These approvals certify that the systems are adequate for the homes that they support and meet the codes that were in place at the time of system construction. C. Damage. Any man-made or natural change in a system that would inhibit the system from performing as designed. D. Maintenance and Repair. The scheduled and as needed replacement of existing parts, components and pieces of an AWWTS that were included in the original design which would allow the AWWTS to continue to perform as designed. E. Permit (Construction) An On -Site Wastewater Disposal System Construction Permit as defined by AMC 15.65. F. Permit (Operating) An Advanced Wastewater Treatment System Operating Permit. An annual permit, issued by the Municipality, that allows the Owner to operate an AWWTS, upon meeting all the requirements of this agreement, the conditions of Operating Permit, the requirements of the On -Site Wastewater System Construction Permit and all relevant provisions of AMC 15.65 3. Fee. Owner shall pay to Municipality an annual fee of Z FFLO ($_0.00), payable on or before the issuance of the operating permit and annually thereafter. The annual fee is due on or before the anniversary date of the approval by the Municipality of installed system. 4. Term. The term of this Memorandum of Understanding shall be for the life of the �rilrih 17C� The term begins on the date of approval by the Municipality of the installed system and shall continue while the AWWTS system is in use or operational or until the property is sold or title is transferred by owner and a new certificate of On -Site approval is issued to the new owner or transferee of the property. 5. Alterations, Installation and Removal of Additional Equipment. Owner agrees not to make any alterations, removal of parts or additions to the AWWTS without a Construction Permit from the Municipality. 6. Maintenance and Repairs. A. Throughout the term of this Memorandum of Understanding, the Owner shall maintain AWWTS in good repair. In addition, it shall be the responsibility of the Owner during the term of this Memorandum of Understanding, and any extensions or renewals thereof, at the owner's sole expense, to pay for any and all: (1) repair(s), (2) maintenance, (3) adjustment(s), (4) replacement costs, and (5) inspection costs. Further, Owner agrees to comply will all applicable ordinance, laws, regulations, rules and orders for the AWWTS. B. Owner agrees to provide the Municipality a written schedule of routine maintenance and repairs which have been performed on the system pursuant to the terms and conditions contained in the Owner's AWWTS Operating Permit. This schedule shall be submitted to the Municipality annually upon the renewal of the permit. The schedule of maintenance and repair contained in the Owner's AWWTS Operating Permit is: C. Owner acknowledges that the fine schedule for failing to maintain and repair an AWWTS are codified in AMC 14.60. D. Owner agrees that only maintenance, repair personnel certified by the Municipality will inspect and make any necessary maintenance, repairs or permitted alterations to the system. E. Owner agrees to grant the Municipality reasonable access to test and inspect the AWWTS upon 24 hours written notice. F. Owner agrees that any sale or transfer of title of the property will not occur without a new Certificate of On -Site Systems Approval. G. Owner agrees that the relevant provisions of the standard specification guidebook for AWWTS is the governing professional guidelines for the construction, maintenance and repair of the Owner's AWWTS. 7. Nonwaiver. The failure of either parry at any time to enforce a provision of this Memorandum of Understanding shall in no way constitute a waiver of the provisions, nor in any way effect the validity of the Memorandum of Understanding or any part hereof, or the right of such parry thereafter to enforce each and every provision hereof. 8. Amendment. A. This Memorandum of Understanding shall only be amended, modified or changed by a writing, executed by authorized representatives of the parties, with the same formality of this Memorandum of Understanding was executed and such writing shall be attached to this Memorandum of Understanding as an amendment. B. For the purposes of any amendment modification or change to the terms and conditions of this contract, the only authorized representatives of the parties are: Owner: - J W -Ll k fq LP NP Anchorage: Purchasing Officer C. Any attempt to amend, modify, or change this contract by either an unauthorized representative or unauthorized means shall be void. 9. Jurisdiction: Choice of Law. Any civil action arising from this Memorandum of Understanding shall be brought in the Superior Court for the Third Judicial District of the State of Alaska at Anchorage. The laws of the State of Alaska shall govern the rights and obligations of the parties under this Memorandum of Understanding. 10. Severability. Any provisions of this Memorandum of Understanding decreed invalid by a court of competent jurisdiction shall not invalidate the remaining provisions of the Memorandum of Understanding. OWNER: Date: 19 S. / STATE OF ALASKA THIRD JUDICIAL DISTRICT MUNICIPALITY: By: Title: Date: ) ss. The foregoing instrument was acknowledged before me this 20 ,by NOTARY PUBLIC FOR ALASKA My Commission expires: 0 y �� day of 0 C� 0 Rick Mystrom, Mayor May 2, 2000 Municipality of Anchorage Department of Health and Human Services 825 "L" Street P.O. Box 196650 Anchorage, Alaska 99519-6650 http://www.ci. anchorage.ak. us 343-4744 Wayne A. & Tamara S. Hunt P.O. Box 113325 Anchorage, Alaska 99511-3325 Re: Separation Encroachment, Lot 4 Block 1 Rovier Subdivision, P.I.N. 017-121-07 Dear Mr. & Mrs. Hunt: The property described as Lot 3 Block 1 Rovier Subdivision recently had the on-site wastewater disposal system and water well evaluated to obtain a Certificate of Health Authority Approval. The engineer performing the evaluation discovered that the well serving the home on this property is being encroached upon by the wastewater system serving the home on Lot 4 Block 1 Rovier Subdivision. According to our records you are the owners of lot 4. The separation is 95 feet from your septic tank to lot 3's water well. The required separation distance is 100 feet. This is a violation of Chapter 15.65 of the Anchorage Municipal Code for On -Site Wastewater Disposal Systems. The well on lot 3 was constructed on June 30, 1976 and the septic tank serving the home on lot 4 was constructed on October 6, 1977. It is the responsibility of the property owner of lot 4 to resolve this encroachment matter because the well on lot 3 was in place at the time the septic tank on lot 4 was constructed. Anchorage Municipal Code chapter 15.65.033 requires that all single family homes within the Municipality of Anchorage served by a wastewater disposal system and/or a water well shall obtain a Certificate of Health Authority Approval from the Department of Health & Human Services prior to the title transferring. Your property is not eligible to obtain this Certificate of Health Authority Approval until the separation encroachment between your septic tank and lot 3's water well has been resolved. If you have questions of the above, please contact me at 343-4761. Sincerely, Daniel J. Roth Civil Engineer On -Site Services Program --�'[UNICIPALITY OF ANCHORAGE Hea- and Environmental Protec Jn Fourth Floor West 825 L Street Anchorage, Alaska 99501 264-4720 — INSPECTION REPORT ON-SITE SEW,,AGE DISPOSAL SYSTEM 1 NAME - ��� Mc oiL^�� MAILING ADDRESS V " si w00J PHONE ZME"Y Gd LOCATION M1• OLIS!7r R4&d(A 'LdEGALDESCRIPTION OR*U;er �I SEPTIC TANK: DISTANCE I C NUMBER OF FROM WELL_[_--_—.– MANUFACTURER 6a"lf MATERIAL �+ COMPARTMENTS INSIDE LENGTH – INSIDE WIDTH LIQUID DEPTH LIQUID CAPACITA34"'GALLONS. TILE DRAIN FIELD: PL(N //�� 11I TOTAL LENGTH � DISTANCE FROM WELL W T FOUNDATION --_;I __NEAREST LOT LINED OF LINE # of Lines ( DISTANCE BETWEEN LINES "' TRENCH WIDTH14IN. TOTAL EFFECTIVE ABSORPTION AREA _– 1C1 SQ. FT. LENGTH OF EACH LINE DEPTH OF FILTER ���� ` DEPTH: TOP OF TILE T�(O FINISH GRADE MATERIAL BENEATH TILE _(00 IN. ABOVE TILE —OF-5—IN. 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T All A hip: Q1 AN 111hil-ow4wom ii jlw- c"b""V11011 AJ19- •'• - - - - - ANCHORAGE - - - FAIRBANKS CONSULTANTS INC. JUNE:IU . 249 EAST SIST AVENUE P -O. BOX 8087 ANCHORAGE. ALASKA 99503 TELEPHONE 907-279-0483 •_ TELEX 090 -33419 - September 18, 1975 R & M No. 562116 Cowdery Excavating 8120 Lake Otis Parkway 3 Anchorage, Alaska RE: Test Hole and Soil Log Report for Sanitary System Lot 4, Block ;1,Rovier Subdivision it Dear Mr. Cowdery: I We are submitting herewith the test boring results and our comments regard- ing soil conditions encountered at the subject site. This investigation ?II was performed in accordance with your request of September 18, 1975,1.and those procedures outlined in a letter dated July 15, 1975, by Mr. Rolf Strick-' land of the Greater Anchorage Area Borough Department of Environmental Quality. j A single test hole was put down within the Lot 4 area for the purpose of de. ;I fining general subsurface soil conditions for the proposed sanitary system. Excavation was accomplished with a tractor -mounted backhoe and the test hole was extended to a total depth of 14.0 feet below ground surface. The final log prepared for the test hole has been included in Drawing A-01. i Ground water was not encountered in the test hole. We appreciate being given this opportunity to be of service to you. Should you have any questions with regard to the above, please do not hesitate to contact us. Very truly yours, R & M CONSULTANTS, INC. 1�1James W. Roone%� Vice President -6 j JWR/WED/ja xc: -GAAB `i Jr -1 !_.$ r-4 I r—'- I f—� F=C 9..._ I '-F e.g." e -e F_- f::j r'-.1 C: 1-4 Q Ea=° FA DEPARTMENT OF HEALTH FIND 04VIRi_iNMENTEIL PROTECTION 2510 E. TUDOR RD. , ANCHORAGE, AK. 99507 I _T` a PERMIT NO. C. 762665' APPLICANT LTE t 1PJi' _Ti fHtd C lCDf_iFdRLC:, 4.20 LAKE �OT T LOCATION RABB I R CREW: RLQ N1 2. E. LEGAL L4 Bi ROVIER SUB F LOT SIZE +iCtFt SQUARE FEET MINIE'11_M DISTANCE BETWEEN A Wd LL HNE, 100 FEET FOR A PRI'•rATE WELL WELL LOGE. ARE REQUIRED AND MOST E�E < OF THE WELL COMPLETION. SPECIFICATIONS AND CONSTRUCTION DIA INSTALLATION. ON-` TTE`: SEWAGE DISPOSAL. =YSTEN I' FOR A E;J_IE:L I C: [,JELL. NE D TO'THE' DEPARTMENT WITHIN DAYS AVAILABLE 'TO INSURE PRCrF'ER ]Ex�t-U:- i9_A � �q "e° ¢ 1��e �� C: 1171 Lirz_ 4 I CERTIFY THAT -� 1: I Aro FAMILIAR 6•.IITE-l._THE REQUIRE:t�E`MF,_R ON—SITE SEWERS AND WELLS AS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE. T WILL INSTALL T E ;SYSTEM iN ACCORDANCE WITH THE CODES. c. SIGNE ISSUE July 6, 1977 #76266 Mr. John Mc Donald 8020 Lake Otis Anchorage, Alaska 99502 Subject: Permit Expiration Dear Mr. Mc Donald: A permit issued by this department for well and/or on-site sewer installation on Lot 4 Block 1 Rovier Subdivision has expired since the issue date exceeds one (1) year. In the event you still plan to install the well and/or on-site sewer system, a new permit is required. The original soil test may be used to obtain a current permit. If the well has been drilled, a well log should be sent to this,department to document the installation date. if you have any questions regarding the above matter, please do not hesitate to contact this office immediately at 279- 2511, extension 224 or 225. Sincerely# Les N. Buchholz# R.S. Sanitarian LNB.ljh } Ah r MUNICIPALITY OF ANCHORAGE'- NCHORAGEDEPARTMENT DEPARTMENTOF HEALTH & ENVIRONMENTAL PROTECTION; &ut ' u' s' 825 L Street - Anchorage, Alaska 99501 ENVIRONMENTAL ENGINEERING DIVISION reek Road a the riQbt Telephone 264-4720 NUMBER OF BEDROOMS REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES ❑ One Four ❑ Other DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. wo Five 1. PROPERTYOWNER PHONE 7. WATER SUPPLY Joh n C. mcd)onald 10 INDIVIDUAL* * ATTACH WELL LOG. A well log is required for all wells drilled MAILING ADDRESS since June 1975. For wells drilled prior to that date, give well r5ox to - -e os Anc., �Z elg5 i depth (attach log if available.) PROPERTY RESIDENT (If different from above) PHONE ® INDIVIDUAL/ON-SITE** 2. BUYER PHONE If system is over two (2) years old an adequacy test is required MAILING ADDRESS by this Department. 3. LENDING INSTITUTION PHONE I -4-' oria I bartk c MAILING ADDRESS 5oLtfh 0-en+orra h 4. REALTOR/AGENT PHONE MAI LING ADDRESS 5. LEGAL DESCRIPTION jft Lot 4 bloo-kiuier &ut ' u' s' STREET LOCATION a N rn, reek Road a the riQbt 6. TYPE OF RESIDENCE NUMBER OF BEDROOMS ❑ One Four ❑ Other SINGLE FAMILY wo Five ❑ MULTIPLE FAMILY Th ❑ Six 7. WATER SUPPLY 10 INDIVIDUAL* * ATTACH WELL LOG. A well log is required for all wells drilled ❑ COMMUNITY since June 1975. For wells drilled prior to that date, give well ❑ PUBLIC UTILITY depth (attach log if available.) 8. SEWAGE DISPOSAL SYSTEM - _ **If individual/on-site, give installation date FQI1 191i . ® INDIVIDUAL/ON-SITE** If system is over two (2) years old an adequacy test is required ❑ PUBLIC UTILITY by this Department. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010(3/78) THIS SIDE FOR OFFICIAL USE ONL. INSPECTION APPOINTMENTS DATE RECEIVED TIME TIME TIME DATE - DATE DATE INSPECTOR INSPECTOR INSPECTOR DIRECTIONS: 1. TYPE OF RESIDENCE ❑ SINGLE FAMILY ❑ MULTIPLE FAMILY NUMBER OF BEDROOMS ❑ ONE ❑ THREE ❑ FIVE ❑ OTHER ❑ TWO ❑ FOUR ❑ SIX 2. WATER SUPPLY INDIVIDUAL ❑ COMMUNITY - ❑ PUBLIC UTILITY Connection Verified PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM G]J.NDIVIDUAL/ON -SITE ❑PUBLIC UTILITY Connection Verified PERMIT NUMBER DATE INSTALLED /U k '-7`7 INSTALLER Sep����tic `T`���a,n��k or E:1 Holding Tank Size: � If Tank is homemade give dimensions: SOILS RATING i a TYPE OF�VK n MANUF T¢� URER TOTAL AABSdO—Rx•P—T_IOON AREA MATERIAL 4. DISTANCES WELL TO: Septic/Holding Tank Absorption Area 0o Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line 5. COMMENTS qi' APPROVED FOR 3 BEDROOMS ❑ CONDITIONAL APPROVAL (letter must accompany certificate) LXJ,' DISAPPROVED DATE BY (Title) LEGAL DESCRIPTION (1 0 72-010 (Rev. 3/78) J-�