HomeMy WebLinkAboutKIMBERLY MANOR BLK 1 LT 8101,,MTW-�
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i-.' . Municipality of Anchorage �_
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On-Site Water&Wastewater Program �j _ ^=
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CERTIFICATE OF ON-SITE SYSTEMS A OVAL w
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Parcel I.D. 017-074-47 Expiration Date: l//-7 ---d- CI — t/
1. GENERAL INFORMATION
Complete legal description KIMBERLY MANOR S/D; BLOCK 1, LOT 8
Location (site address) 7740 UPPER DEARMOUN ROAD,ANCHORAGE,AK 99516
Current Property owner(s) JOHN&ROBIN LONAS Day phone 463-4467
Mailing address P.O. BOX 112682, ANCHORAGE,AK 99511
Real Estate Agent BRYAN EPLY WI REMAX Day phone 223-9799
2. TYPE OF DWELLING:
• Single Family(w/wo ADU)
P1 Duplex
(1 Multiple Dwellings (Single Family and/or Duplex)
3. NUMBER OF BEDROOMS: 4
4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL:
Individual Well IN Individual On-site III
Individual Water Storage ❑ Individual Holding tank n
Community Class Well n Community On-site ❑
Public Water System ❑ Public Sewer El
WaiverNanancerequest for.. WELL TO DRAINFIELD 140k A V ✓`tel. t.1/Z7I: {/' 14Q-44-) Distance: 88 FEET
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Received by: /�^�Y�� Date: 3/Al i
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COSA to be released to the engineer,unless otherwi3'as requested by the engineer.
COSA Fee $ '2-(,o / Waiver Fee$
Date of Payment 37221 1 b Date of Payment
Receipt Number D$\b'°\ V\ Receipt Number
COSA# 3- IRI 10 S 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. Phone 337-6179
Address 3701 E.TUDOR ROAD, SUITE 101 *ANCHORAGE,AK,99507 / il
Engineer's Printed Name JEFFREY A. GARNESS, P.E. Date Z ` 2/ 0
Engineer's Comments:
In conducting this evaluation,GEG provided an engineering evaluation of the well and/or septic system in accordance with the �.�,,MC,•ii
guidelines and regulations established by the Municipality of Anchorage and industry practices.The reported results describe the •1 <' O 1, •
condition of the systems on the date/s of the evaluation.Separation distances were measured to readily identifiable features.
Hidden defects or encroachments may exist that were not identified during the evaluation.The operational life of all wells and septic i(',. q 1♦
systems depend on a variety of variables including,but not limited to,soil conditions,groundwater levels(that may fluctuate during -h: `4,••• •
the year),quality of construction(materials and workmanship),and the water usage of the family utilizing the system/s.These a *' 4� /\I •'5* ♦♦♦
conditions can vary,and are outside the control of GEG.Satisfactory test results do not guarantee future performance of the • • 9
•
system/s:therefore,GEG makes no warranty(express or implied)regarding the future performance of the well or septic system. \� lf/• 0
GEG makes no representation whether an alternative well or septic system can be installed on the property in the event either of the �� y r( •
currents systems fail.The content of this report is for the sole benefit of the person/partywho retained GEG.Reliance upon the ♦
ys ♦ e ley A`Ga ss
information provided in this report by any other person or party,including but not limited to subsequent property purchasers,is not ♦• •% // CE-753
authorized.In short,GEG disavows any legal duty to anyone other than the person/party who paid for this report. • d j• ••• V
6. DSD SIGNATURE P ;FE �� tiyVC
// LICENSE 1�► •
r!* #AECC884 �� /Y
System#1 Approved for �`" bedrooms.
/ . %
:J-. ON-SITE
System #2 Approved for bedrooms. - WATER AND rrh
Disapproved. m WASTEWATER z
T PROGRAM
Conditional approval for bedrooms, with the following stipulations:< �J
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V\ s-E- vvd c es 14(0-e C . WL£-e4 . Ccv '
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is Coote .- 0t as dr 1c0 i ;e6/(in ,lkh.!/
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gym i w\__ -, Original Certificate Date: 3 Z t`-( 1 )
The Municipality or Anchorage Develop,emt Services Division(DSD)issues Certificates of On-Site Systems Approval(COSA)based only
upon the represenatations 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. ATTCHMENTS:
COSA Checklist 1( Nitrate Advisory
Septic System Advisory Arsenic Advisory
Well Flow Advisory Other
(Rev.10112112)
If more than 1 septic system is on the lot:
COSA Checklist# of
Structure served by this system
Certificate of On-Site Systems Approval Checklist
Legal Description: KIMBERLY MANOR S/D; BLOCK 1, LOT 8 Parcel ID: 017-074-47
A. WELL DATA
Well type PRIVATE If A, B, or C provide PWSID# N/A Well Log (Y/N) YES
Date completed 7/29/2003 Sanitary seal (YIN) YES Wires properly protected (Y/N) YES
Total depth 267 ft. Cased to 241 ft. Casing height (above ground) 24+ in.
FROM WELL LOG AT INSPECTION
Date of test 7/29/2003 3/14/2018
Static water level 183 ft. 195 ft.
Well production 7 g.p.m. 6.2 g.p.m.
WATER SAMPLE RESULTS:
Coliform NEG colonies/100 ml. Nitrate 2.52 mg./L. Collected by: GEG, Ltd.
Arsenic: ND ug./L. Date of sample: 3/14/2018
B. SEPTIC/HOLDING TANK DATA 'SEE ATTACHED MAINTENANCE REPORT FROM SERVICE PROVIDER
Tank Type/Material STEEL (ADVANTEX TANK) Date installed 6/12/2003
Tank size 1500 gal. Number of Compartments 2 Cleanouts (Y/N) YES
Foundation cleanout(Y/N) YES Depression over tank(Y/N) NO High water alarm (Y/N) YES
Date of pumping *AS REQUIRED Pumper *
C. ABSORPTION FIELD DATA
Date installed 6/12/2003 Soil rating (�p.d./f or ft2/bdrm) 1.0 System type BED
Length 40 ft. Width 15 ft. Gravel below pipe 0.5 ft.
Total depth *2.6-3.7 ft. Eff. absorption area 600 ft2 Monitoring tube YES Depression over field NO
Date of adequacy test 3/14/2018 Results (Pass/Fail) PASS For 4 bedrooms
"7/
Fluid depth in absorption field before test—0/0 in. Water added 721 gal. New depth 5.25 in.
Elapsed Time: 185 min. Final fluid depth-0/0 in. Absorption rate >= 600+ g.p.d.
Any rejuvenation treatment (past 12 mo.) (Y/N &type) NONE KNOWN If yes, give date -
*BELOW EXISTING GRADE.THE INSPECTION REPORT DOES NOT STATE INSULATION WAS INSTALLED;HOWEVER,DESIGN DETAIL DRAWING
SHOWS INSULATION.DRAINFIELD MAY BE SHY OF COVER IF NO INSULATION.HOMEOWNERS HAS PROVIDED A STATEMENT SAYING THAT
THEY HAVE NOT ANY FREEZING ISSUES WITH THE SEPTIC SYSTEM (SEE ATTACHED EMAIL) .
"NORTHWEST MONITORING TUBE (MT1) /SOUTHEAST MONITORING TUBE (MTZ
*SEE ATTACHED MAINTENANCE REPORT FROM SERVICE PROVIDER
**GEG DID NOT REMOVE LIDS. MIKE ANDERSON, P.E. INSPECTION REPORT STATES 500 GALLONS,
D. LIFT STATION BUT IT IS BELIEVED TO BE 24"PUMP VAULT. SIZE NOT VERIFIED BY GEG.
Date installed 6/12/2003 Size in gallons */*' Manhole/Access (Y/N) YES
"Pump on" level at * in. "Pump off' level at * in. High water alarm level at * in.
Datum * Cycles tested * Meets alarm &circuit requirements? *
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tank/lift station on lot 100'+ On adjacent lots 100'+
Absorption field on lot 100'+ On adjacent lots 85' (SEE WAIVER REQUEST)
Public sewer main 75'+ Public sewer manhole/cleanout 100'+
Sewer/septic service line 25'+ Holding tank 75'+
Animal containment areas 50'+ Manure/animal excrete storage areas 100'+
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Building foundation *5'+ Property line 5'+ Absorption field 5'+
Water main 10'+ Water service line 10'+ Surface water 100'+
Wells on adjacent lots 100'+ *DECK NEXT TO TANK APPEARS TO BE SUPPORTED BY PIER BLOCKS.
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line 10'+ Building foundation 10'+ Water main 10'+
Water service line 10'+ Surface water 100'+ Driveway, parking/vehicle storage 10'+
Curtain drain NONE KNOWN Wells on adjacent lots 100'+
F. COMMENTS
MONITORING TUBES FOR DRAINFIELD APPEAR TO BE F810 PIPE.STANDPIPES APPEAR IN GOOD WORKING ORDER.
REQUESTING ADVISORY IN ATTACHED WAIVER LETTER.
♦♦' c OF A/144..„
G. ENGINEER'S CERTIFICATION ♦♦•P;.••'"' ""`I 1
4'ifi . -I._..
I certify that I have determined through field inspections and �' , !
review of Municipal records that the above systems are in • t I i
conformance with MOA COSA guidelines in effect on this •C11....... . '•.-• "'r' 'i
date. ♦ rill. _ A< G °rness; �v=
11�� *J C —79545 ' 'No
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Engineer's Printed Name JEFFREY A. GARNESS #ad , °
Date „
1 I t FESS\ ♦•
LICENSE �%INw `a�4�
#AECC884
(Rev. 10/12/12)
GARNESS ENGINEERING GROUP, Ltd
ENGINEERING SALES CONSULTING
March 21 , 2018
Municipality of Anchorage
On-Site Water and Wastewater
4700 Elmore Road
Anchorage, Alaska 99501
Attn: To who it may concern
Re: Waiver Request from Well on Kimberly Manor S/D; Block 1, Lot 8 to
Drainfield on Aspen Highlands S/D #3; Block 3, Lot 15
Well Waiver: We have recently performed a well flow test and septic adequacy test on
the subject property for the purpose of obtaining a Certificate of Onsite System Approval
(COSA). When verifying separation distances, it came to our attention that the
separation distance from the well on property was less than the required 100 foot
separation distance to one of the drainfields located on the property to the north (Aspen
Highlands S/D #3; Block 3, Lot 15). Attached is a site plan showing this encroachment
from the well to the drainfield. As can be seen on the attached site plan, we are
requesting an 85 foot waiver from the well to this drainfield. The well for the referenced
property was drilled in 2003 and the drainfields for Aspen Highlands S/D #3; Block 3,
Lot 15 were installed in 2011. In short, the well was installed prior to the drainfields and
it should be the responsibility of the property owners of Aspen Highlands S/D #3; Block
3, Lot 15 to pay for any waiver fees. The drainfield is served by an Advantex treatment
system and under current regulations, the separation distance from this type drainfield
to a well is now 50 feet. We have also recently pulled water samples for this well and
will provide you a copy of the results. Upper Dearmoun Road is between the well and
drainfield which has ditchlines on both side of the road. Based upon these mitigating
factors, it is our opinion that there is minimal risk with granting this waiver.
Standpipe Advisory Request: During our septic adequacy test, we observed the
standpipes for the monitoring tubes in the drainfield appeared to be non-spec pipe. The
standpipes appeared to be F810 pipe, but there was no marking on the standpipes
themselves. The standpipes appeared to be functional and in good working order with
nor indication of breaking, kinks, or crushing. We request an advisory be issued with the
COSA for this non-spec pipe.
3701 East Tudor Road,Suite 101 *Anchorage,Alaska 99507-1259
Phone: (907)337-6179*Fax: (907)338-3246*Website: www.garnessengineering.com
Page 2 of 2
Please do not hesitate to call us at 337-6179 if you require further information. Thank
you for your time .. d consideration.
Sincerely,
i illii
Jef�e}' . ( .1r esc4 P; ., M.S.
Preside
3701 East Tudor Road,Suite 101 *Anchorage,Alaska 99507-1259
Phone: (907)337-6179*Fax: (907)338-3246*Website: www.garnessengineering.com
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/// \ 1 WINDCHIMES SID;
li LOT 1
ASPEN HIGHLANDS S/D#3; ASPEN HIGHLANDS S/D#3;I
BLOCK 3,LOT 14 BLOCK 3,LOT 15 i
1 S EXISTING DRAINFIELDS
/ 1 \ INSTALLED IN 2011
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ra=T EXISTING SEPTIC SYSTEM N ��
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100'WELL RADIUS T I _=al I /, 100'WELL RADIUS
APPROX.LOCATION LJ 1— / APPROX.LOCATION
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7---71100-7-7171- 71 ----.------------- --
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: GENERAL--USE 71-ESMT. 1
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GARNESS ENGINEERING GROUP, Ltd • •
_L-,..„-_-_-_-.,,,_.7„-.3„, CIVIL&ENVIRONMENTAL ENGINEERS • I I/ ••
3701 E. TUDOR ROAD.SUITE 101•ANCHORAGE.AK 99507•PHONE(907)337-6179•FAX(907)338-3246•WEBSITE:www.gameeeengk eertg.00m .
PREPARED FOR: PHONE NUMBER: PAGE NUMBER: 0 • ' •r- _ :mess•
JOHN&ROBIN LONAS 463-4467 1 OF 1 •j J,° C7-7943
II
PROJECT/LEGAL DESCRIPTION: DRAWN BY: I� '. 3 ?' I"Do'<?f
KIMBERLY MANOR S/D; BLOCK 1, LOT 8 J.L.M. ♦ �•••. ....
TYPE OF WORK: •DATE: 4. ' SSIR .
\ ,4•
SITE PLAN FOR WAIVER REQUEST 3/21/2018 #AECC884 1�
ADVANCED WASTEWATER TREATMENT SYSTEM
MAINTENANCE AND REPAIR AGREEMENT
BETWEEN MUNICIPALITY OF ANCHORAGE
AND 01111 Uvvl.ce/n
II IIS MAINTENANCEy�,, IAND REPAIR AGREEMENT made and entered into as of this
Day of MOM f/1/l of 20 by and between CANiij J-0'1f vt ,
herein the"OWNER,"and the Municipality of Anchorage, herein the
"MUNICIPALITY." In consideration of the mutual covenants contained herein,the
parties to this Maintenance and Repair Agreement agree as follows:
I. Advanced Wastewater Treatment Systems. Municipality grants permission to
Owner to utilize and operate an Advanced Wastewater Treatment System
(AWWTS),described as ri01A-1
frW Stith() sV-or cv'ct u�rt I
located at(legal description).
"Re 771 tour -De Arniath ?-(1-
2. Definitions.
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.
Certificate of On-Site Systems Approval (COSA). 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 Anchorage
Municipal Code (hereinafter, "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.
Damage. Any man-made or natural change in,a system that would inhibit
the system from performing as designed.
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.
Permit. An On-Site Wastewater Disposal Permit as required by AMC
15.65 to construct and operate an AWWTS.
3. Term. The term of this Maintenance and Repair Agreement shall begin on the
date of approval by the Municipality to operate the installed system or issuance of a
COSA, and shall continue while the AWWTS is in use or is operational or until the
property is sold or title is transferred by the owner and a new COSA is issued to the
new owner or transferee of the property.
4. Alterations, Installation and Removal of Additional Equipment. Prior to
performing any alterations to an AWWTS,the owner agrees to obtain an On-site
Wastewater Disposal Permit from the Municipality in accordance with AMC 15.65.
5. Maintenance and Repairs.
A. Throughout the term of this Maintenance and Repair Agreement,the Owner shall
maintain their AWWTS in a satisfactory condition capable of producing treated
septic effluent in accordance with the equipment's approval for operation in the
Municipality. The owner shall enter into a service agreement with an AWWTS
service and maintenance provider approved by the municipality and the
manufacturer of the AWWTS for the entire term of the AWWTS. In addition, it
shall be the responsibility of the Owner during the term of this Maintenance and
Repair Agreement, and any 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.
B. Owner agrees to comply with all applicable ordinance, laws, regulations, rules
and orders for the AWWTS.
C. Upon request by the Municipality, the owner agrees to provide the Municipality a
written schedule of routine maintenance and repairs which have been performed
on the system. When a record of maintenance is documented and maintained by
the system vendor, the owner agrees to allow the Municipality access to this
information.
D. Owner acknowledges that the fine for failing to maintain and repair an AWWTS
may be assessed in accordance with AMC 14.60 for improper discharge.
E. Owner agrees that only maintenance and repair personnel approved by the
Municipality will inspect and make any necessary maintenance, repairs or
permitted alterations to the system.
F. Owner agrees to grant the Municipality reasonable access to test and inspect the
AWWTS upon 24 hours written notice.
G. Owner agrees that any sale or transfer of title of the property will not occur
without a new Certificate of On-Site Systems Approval.
H. Owner agrees that the AWWTS installation and maintenance requirements as
provided by the AWWTS vendor/installer and approved by the Municipality are
the governing guidelines for the construction, maintenance and repair of the
Owner's AWWTS.
6. Nonwaiver. The failure of either party at any time to enforce a provision of this
Maintenance and Repair Agreement shall in no way constitute a waiver of the
provisions, nor in any way affect the validity of the Maintenance and Repair
Agreement or any part hereof,or the right of such party thereafter to enforce each and
every provision hereof.
7. Amendment.
A. This Maintenance and Repair Agreement shall only be amended, modified or
changed by a writing,executed by authorized representatives of the parties,with
the same formality that this Maintenance and Repair Agreement was executed
with, and such writing shall be attached to this Maintenance and Repair
Agreement as an amendment.
B. For the purposes of any amendment modification or change to the terms and
conditions of this agreement,the only authorized representatives of the parties
arc: r'^,, l f
a. Owner: J'''`"1I
4/14101
b. Municipality: Director, Community Development or designated authority
C. Any attempt to amend, modify,or change this contract by either an unauthorized
representative or unauthorized means shall be void.
8. Jurisdiction: Choice of Law. Any civil action arising from this Maintenance
and Repair 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 Maintenance and Repair
Agreement.
9. Severability. Any provisions of this Maintenance and Repair Agreement decreed
invalid by a court of competent jurisdiction shall not invalidate the remaining
provisions of the Maintenance and Repair Agreement.
OWNER:
By: dG%VOAJit/( (signature) Date: �' 7,0/10
LIM/ V 1 (print name)
J
STATE OF.ALkSKA CO/or'cd p )
) ss.
TI#IRD1 171CIAL DIS 1RIC'I' - )
The foregoing instruMent was acknowledged before me this cQUiday of 1-'(Ct-4'C t
20 J1, by g/m i I y j-e°-nSP,c1
WARY
RENEE GOODWIN
�/ NOTARY PUBLIC
COLORADO SPATE OF COLOMDO
NOTARY ID 20164038540
N ARY PUB 24611-ta-
C FOR Add►�p/a c'Gzd a MY COMMISSION EXPIRES OCTOBER 10 2020
My Commission expires: (0 /I D 1 a0 2O _.
MUNICIPALIT •
r4(4 y L I... (signature) Date:
(print name) Title:
P-476
KIMBERLY MANOR SUBDIVISION
LOT 8, BLOCK 1
34,800 S.F.
UPPER DEARMOUN ROAD
0
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S 89°54'00"E 150.00'
• •
WELL
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10' GENERAL USE ESMT.
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S 89°54'00"E 150.00'
FINAL STRUCTURE AS—BUILT
AS -B U I LT I HEREBY CERTIFY THAT I HAVE SURVEYED THE
PROPERTY DEPICTED ABOVE AND THAT NO OF *
GASTALDI LAND SURVEYING ENCROACHMENTS EXIST EXCEPT AS INDICATED. • ��•,...... �,4 ��
JEFF A. GASTALDI, R.L.S. IT IS THE RESPONSIBILITY OF THE OWNER TO • P
•�
4726 WEST 88TH AVENUE DETERMINE THE EXISTENCE OF ANY EASEMENTS
• em •
ANCHORAGE, ALASKA 99502 COVENANTS OR RESTRICTIONS WHICH DO NOT �• :• 49TH /\ •:
9
APPEAR ON THE RECORDED SUBDIVISION PLAT. -"�
PHONE 248-5454 ••• •••••
UNDER NO CIRCUMSTANCES SHOULD ANY DATA :