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Home My WebLink AboutLINTNER (PLAT 84-484) LT 2Onsite File • Neither well shall be put'into operation until an approved septic system has been r +,Ck" I- �,- D C it/ 20 , vi, S ; , C j "S 7, cL � , Municipality of Anchorage Community Development Department On -Site Water & Wastewater Program 4700 Elmore St. ■ P.O. Box 196650 ■ Anchorage, AK 99507-6650 ■ www.muni.org/onsite ■ (907) 343-7904 Well Decommissioning log Legal Address: ree- S 1— Subdivision Z J'If - -- j� + gy_ / y) Block Lot 2— T R Section Lot On-site Water & Wastewater /Program certified contractor performing the well decommissioning: Name: �° f -Sri Signatur Company: Well decommissioning date: Method of decommissioning: AMC 15:55.060L1 a. Location: Use the space below to provide a drawing of the property showing the following items; • North Arrow • Decommissioned well, • Other water wells on the property, • Two separate swing -tie distances for each well shown in the drawing, Note: The swing -tie distances shall be measured from either permanent structures of property corners. t T 0 ❑ b. ❑ c. A /j lvc� 461 SCa�� - - 1% Municipality of Anchorage On -Site Water and Wastewater Section - (907) 343-7904 Page 1 of 1 ON -SITE WASTEWATER INSPECTION REPORT Permit Number: OSP 201284 PID Number: 051 15138 Dwelling: RE Single Family (SF) El with ADU El Duplex (D) R Two Single Family Project: F] New RN Upgrade Name ARROWHEAD PROPERTIES ABSORPTION FIELD R Deep Trench F-01 Wide Trench F-1 Bed El Mound Site Address 20228 CRABTREE El Other Phone Number of Bedrooms Soil Rating depth from original grade 14 4 GPD/sF JTotal 5.9 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade 2.9 Ft. Gravel depth beneath pipe 3 Ft. Subdivision Block Lot LINTNER LOT 2 Fill added above original grade -0.2 Ft. Gravel length 30 Ft. Township Range Section Gravel width 5 Ft. Beds: Number of Lines Distance between lines Ft. SEPARATION DISTANCES To Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Tank Line 258 Ft� 1 - Ft. Well +50 +50 - - +25 TANK 9 Septic E] S.T.E.P. 171 Holding [I Other Manufacturer ORENCO / ADVANTEX Capacity 1500 Gal. Surface Water +100 +100 - - Material Number of compartments Lot Line +10 +10 - - NA FIBERGLASS 12 Foundation 10 +10 - LIFT STATION Manufacturer Capacity Remarks ADVANTEX SYSTEM. Gal. See Narrative regarding permit conditions Alarm location Electrical installed by PIPE MATERIAL House to tank 3034 Tank to 3034 drainfield Installer GUARANTEED SVCS — Drainfield 3034 CO/MT 3034 Inspector C.BALZARIN1 BENCH MARK (Assumed elevation) 100 ft Inspection Ist 8/27/20 8/28/20 Location and description dates: 2nd th ADVANTEX LID V 8/29/20 4 ON -SITE WATER AND WASTEWATER SECTION APPROVAL Engineer's Stamp k� Conditional Approval- Date AW VOFAq 11W /L 49 TH Septic System Approved Date l V Vzo •... X0 t;HARLES G BALZARINI Y 61"p, - - CE-13854 r\s� Aw � V this does include law PROFESS0' approVal not well permit requiremen(S. iNote: �h, 11/2 Rev 05/02/18) SiMNGl1ES A B _C..__.,...,., 32 36.8 D 40.9 34.7 E 44.2 34.7 F 45.5 35.9 G 32.4 53.4 H 34.3 56.1 1 57 34.8 J 54.9 33 5'X30' TRENCH W/3' EFFECTIVE SEWER ROCK Item EleNDepth Note Advantex Lid 100.0 Benchmark Tank Inlet 96.2 Invert Pod Outlet 97.3 Invert Bottom of Tank 91.8 Final Grade at tank 99.8 Cover over tank 2.7 depth of cover over tank Cover over field 2.3 depth of cover field Dist Pipe Invert 96.6 Btm of Field 93.6 Final Grade at Field 99.3 Effective Depth 3.0 sewer rock below invert Orig Grade 99.5 TH and Feld BTMTH 87.5 Bottom of Test hole Ground water none 7/25/2020 Fill Added -0.2 Flloverfield Ex Depth at Field 5.9 Excavation Depth 1500 GAL ADVANTEX TANK W/ AX-20 FILTER POD INSULATED MANHOLE RISER AT FIRST COMPARTMENT ,am 111INFA 'ir1117 — Si AI F• 1" — SEE TABLE FOR INAL ONITOR TUBE DEPTHS AND ELEVATIONS BLUE BOARD INSULATIO GRADE BM FILTER FABRIC INISHED ADVANTEX LI GRADE TESTHOLE 1 FINAL GRADE AT TANK FIELD COVER ORIG. GRADE IST PIPE INVERT B TANK INLET TMFIELD4"O DISTRIBUTION PIPE 1500 GAL ADVANTEX TANK FIELD 2` INSULATION OVER TANK 3' EFFECTIVE SEWER ROCK AND DISCHARGE NO GWT SCHEMATIC PROFILE VIEW SHOWS ELEVATIONS OF INSPECTED ELEMENTS BUT DOES NOT DEPICT SYSTEM IN ITS ENTIRETY. BTM INSPECTION FOR GENERAL CONFORMANCE TO DESIGN AND MOA TESTHOLE SCHEMATIC ELEVATION —SCALE: NTS REQUIREMENTS ONLY. LEGAL DESCRIPTION: LINTNER LOT 2 C&M ENGINEERING SERVICES OWNER:ARROWHEAD PROP I DATE: 11 /21/241REV: DRAWN: CB REF: 907-854-5558 SEPTIC RECORD DRAWING C&M ENGINEERING SERVICES Ph: 907-854-5558 Municipality of Anchorage Onsite Water & Wastewater Program 4700 Elmore Rd Anchorage, Ak 99507 RE: Septic System replacement for Lintner Lot 2 Dear Curtis, OSP 201284 permit conditions required that an existing well inside the home be decommissioned and that percolation test results be submitted. The well, which is inside the home, was reportedly decommissioned, according to the property owner. That was apparently done by removing electrical components and welding a steel cap to the top of the pipe. It was not properly decommissioned by qualified personnel until 11/2024. Future permit conditions may require well decommissioning logs be submitted prior to proceeding with construction. In this case, with the well being inside the home, and an AWWTS being used, the risk of contamination was much lower than the previously installed seepage pit system on the lot. The exact location of the well relative to the septic is unknown, however, it appears that the absorption field was greater than 50' from the well. A percolation test was performed on site in accordance with MOA requirements near the north end of the trench at the top of the siltier layer shown on the 7/1/20 soil log. The results are shown below: Depth to Reading Date Time Net Water Drop 1 8/27/2020 5:35 0 0.000 0.000 2 8/27/2020 6:05 30 1.250 1.250 3 8/27/2020 6:35 0 0.000 0.000 4 8/27/2020 7:05 30 1.375 1.375 5 8/27/2020 7:35 0 0.000 0.000 6 8/27/2020 8:05 30 1.250 1.250 Percolation Rate 24 minutes per inch Test run between 4 and 5 ft The perc test was performed by charles Balzarini. Please do not hesitate to contact me at 907-854-5558 or by email cgbalzarini(c)gmail.com with any questions or concerns. Sincerely, Charles Balzarini, PE 11/24/24 oF CHARLES G BALZARINI CE13854rN Ail `�r 1�� FI�AAnnree LOT A PLAT #74-103 w H E o LOT 1 w PLAT #84-484 m N LOT B PLAT #74-103 50' (N 89'54'32" E 150.31') 61.4' I I I — E W E 20.0, ( co 0 U I o cl)z de W $ a A B.r_ 56.3' � r V,1 z s.2- ' �w I z I cn N 7.9' M ^ Z 12,5' I C._ _ _ 0)-.—. —. 23.4, g a I L4 � N TWO STORY 34.5' 23.4, GARAGE L T O N N I i BLM LOT 94 ( I I I ( I I I I I I LOT 2 I rn 30' PLAT #84-484 132.2' i m co m I I D � 0 I I I --------------------- -------------J I L_ 15' BLM RESERVATION (S 89.59'57" W 150.11') ETA YHA WK DR BLM LOT 115 ASPLS MORTGAGE LOCATION SURVEY NOTES: NO TITLE REPORT WAS PERFORMED FOR THIS SURVEY, EASEMENTS SHOWN PER THE RECORD PLAT. THERE MAY BE ADDITIONAL EASEMENTS NOT SHOWN HEREON. THIS MORTGAGE LOCATION SURVEY HAS BEEN PREPARED IN ACCORDANCE WITH ASPLS MORTGAGE LOCATION SURVEY STANDARDS. IT IS A REPRESENTATION OF THE CONDITIONS THAT WERE FOUND AT THE TIME OF THE SURVEY. THIS SURVEY DOES NOT CONSTITUTE A BOUNDARY SURVEY AND IS SUBJECT TO ANY INACCURACIES THAT A SUBSEQUENT BOUNDARY SURVEY MAY DISCLOSE. THE INFORMATION CONTAINED IN THIS DRAWING SHALL NOT BE USED TO ESTABLISH ANY FENCE, STRUCTURE, OR OTHER IMPROVEMENTS. UNLESS GROSS NEGLIGENCE IS DISCOVERED, THE LIABILITY EXTENT OF THE PREPARER SHALL BE LIMITED TO THE AMOUNT OF FEES COLLECTED FOR SERVICES IN PREPARATION OF THIS PRODUCT. LEGEND () RECORD DATA PER PLAT #84-484 O FOUND 5/8" REBAR, NO CAP - - - - - GRAVEL DRIVEWAY -^-�--- EDGE OF ASPHALT " n " FENCE - E — E — OVERHEAD UTILITIES pp -a POWER POLE 8 SEPTIC PIPE ATU ADVANTEX UNIT �H SEPTIC TANK LID O WELL DECK 0' 40' 80' SCALE: 1" = 40 FEET (11"X17") WINTER SURVEY NOTE. +/- 6INCHES OF SNOW ON -SITE AT TIME OF SURVEY. ONLY VISIBLE IMPROVEMENTS SHOWN HEREON. �E 0F• A�q lkl *: 49TH ••* • Ryan G. Johnson.-0- No ' 192159 j AW AW AS -BUILT OF: Municipality of Anchorage Community Development Department On -Site Water & Wastewater Program 4700 Elmore St. x P.O.Box 196650 * Anchorage, AK 99507-6650 a E(907)343-7904 T4= I t' wil Legal Address: Subdivision I_ (,y-1 ') Block Lot 2- T R Section Lot On -site Water & Wastewater Program certified contractor performing the well decommissioning: Name: Company: &" Well decommissioning date: Ll - _/_Q Method of decommissioning: AMC 15:55.06OL1 a. Location: Use the space below to provide a drawing of the property showing the following items; • North Arrow • Decommissioned well, • Other water wells on the property, • Two separate swing -tie distances for each well shown in the drawing, Note: The swing -tie distances shall be measured from either permanent structures of property corners. trl' El b. I —I c - A I '% 4, �1 _PI MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program PO Box 196650 4700 Elmore Road Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 http://www.muni.org/onsite On -Site Wastewater Disposal System Permit Permit Number: OSP201284 Work Type: Septic Upgrade Tax Code Number: 05115138000 Site Legal Address: LINTNER (PLAT 84-484) LT 2 G:1257 Site Mailing Address: 20228 CRABTREE ST, Chugiak Owner: ARROWHEAD PROPERTIES INC Design Engineer: C&M ENGINEERING SERVICES This permit is for the construction of: Effective Date: Expiration Date o�t»cnt S Q MOO f Department Lot Size in Sq Ft: Total Bedrooms: 8/6/2020 8/6/2021 44456 Q Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage All construction shall 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 shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing Special Provisions: 4 1. The &Rtife soil strata from 4 ft to 12 ft was not percolated. An additional percolation test is required prior to construction of the proposed drainfields,,4 tom in the lower soil strata. If results require a design change, construction shall stop pending review and approval of a change order. Please submit results with the inspection report (or change order, if required). 4 An additional test hole and percolation tests are required for the proposed reserve drainfield (or a different reserve drainfield shall be identified) prior to inspection report approval. t4(A - CO# 1 4A splitter valve shall be installed to split the effluent equally between the two trenches. IJ I R- c tt 4. The well located next to the house shall be properly decommissioned by a certified well professional prior to construction of the septic system. The well decommissioning form shall be submitted to the MOA. 1 ' 'vh co n v e.r\-- a vlJ 3-ey -h` Jrb A to WT S Received By: Date: Q Issued By: /�� 1/ Date: U d MUNICIPALITY OF ANCHORAGE Development Services Department - Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 ON-SITE SEPTIC/WELL PERMIT APPLICATION Parcel I.D. 051 151 38 Property owner(s) ARROWHEAD PROPERTIES Mailing address Site address 20228 CRABTREE Day phone 2297099 Legal description (Sub'd., Block & Lot) LINTNER (PLAT 84-484) LOT 2 Legal description (Township, Range & Section) Lot Size 44,456 Sq. Ft. Number of Bedrooms 4 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field ❑ Initial ❑ Single Family (SF) ❑ ADU) Septic Tank 0 Upgrade ED(w/wo (D) El Holding Tank ElRenewal ElDuplex Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: none Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. C&M ENGINEERING (Signature of property owner or authorized agent) Permit/Rush Fees: 471q Cou117 Date of Payment: 7 f 3L) 3'o �D Receipt Number: n2 6Sb Permit No. 05PZ012Gy Waiver Fees: Date of Payment: Receipt Number: Waiver No. G:\Development Services\Building Safety\On Site Water and Wastewater\Forms\Client Forms\Permit Application.doc C&M ENGINEERING SERVICES Ph: 907-854-5558 Municipality of Anchorage Onsite Water & Wastewater Program 4700 Elmore Rd Anchorage, Ak 99507 RE: Proposed Septic System replacement for Lintner Lot 2 Dear Reviewer, The owner would like to install a new septic system on the subject lot. We are proposing to install a new septic tank and a new drainfield. The system will be sized for 4 bedrooms. The existing septic system and wells on the lot have been taken out of service. The well near the house will be permanently decommissioned and the well near the road will be brought back into service. Included with this letter is a permit application and design package, including plans, and calculations. A test hole was excavated and revealed good soils with no groundwater encountered. The Homeowner may install the septic system himself and will submit the appropriate paperwork in advance of doing so. The proposed improvements will have no apparent adverse impacts on adjacent properties. A test hole revealed silty soils on the lot. Additional percolation tests will be performed during construction and the design will be subject to modification. Thank you for your time in reviewing this permit request. Please do not hesitate to contact me at 907-854- 5558 or by email cgbalzarini@gmail.com with any questions or concerns. Sincerely, Charles Balzarini, PE 7/27/20 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP201284, Rebecca Carroll, 08/06/20 Co-# i [4:111 k7l Ph: 907-854-5558 Municipality of Anchorage Onsite Water & Wastewater Program 4700 Elmore Rd Anchorage, Ak 99507 RE: Proposed Septic System replacement for Lintner Lot 2 Dear Reviewer, The owner would like to install a new Advantex system on the subject lot instead of the previously permitted conventional system. The Homeowner will not install the septic system himself as was previously planned. We are submitting revised plans and calculations. Thank you for your time in reviewing this permit request. Please do not hesitate to contact me at 907-854- 5558 or by email cgbalzarini(a-)amail. com with any questions or concerns. Sincerely, Charles Balzarini, PE -.� 8/20/20 iAh,. CHARLES G BALZARINi` CE13854 �0.� PRO- F ESSIO��. �� Ef 0 C&M ENGINEERING SERVICES 907-854-5558 Septic Design Calculations Residence: Lintner Lot 2 RESIDENCE%LOT INFO number of bedrooms 4 br Water usage/bedroom 150 gpd/br Water Usage 600 gpd CALCULATIONS ARE FOR REFERENCE PURPOSES ONLY USE DIMENSIONS SHOWN ON PLANS CALCULATIONS ARE FOR REFERENCE PURPOSES ONLY USE DIMENSIONS SHOWN ON PLANS Calc By: CGB Date: 8/20/2020 CHARLES G BALZARINF CE13854 �� ppRGFESSIO�A bRAINFIELD type: SHALLOW Application Rate 4 gpd/sgft required absorption area 150 sqft width (W) 5 ft minimum effective depth 3 ft below distribution pipe see narrative Shallow Trench Factor 0.5833333 Min Required Length: 17.5 ft Effluent Pipe: 4" ASTM 3034 CALCULATIONS ARE FOR REFERENCE PURPOSES ONLY USE DIMENSIONS SHOWN ON PLANS Calc By: CGB Date: 8/20/2020 CHARLES G BALZARINF CE13854 �� ppRGFESSIO�A — LEGEND CLEANOUT a MONITOR TUBE �4 TEST HOI LINTNER LOT 1 u F / SLOPE l 5'X30' TRENCH W/3' EFFECTIVE SEWER ROCK MAXIMUM EXCAVATION DEPTH IS 6' (RESERVE SITE SIMILAR) 100' WELL RADIUS - DOUBL CLEANOUTS-"-- 1500 GAL ADVANTEX TANK W/ AX -20 FILTER POD INSULATED MANHOLE RISER AT FIRST COMPARTMENT / 3 BEDROOM 1' MOA HOUSE NTOURS r I - PROPERLY AND COM – ,A ANDON THIS WELL DRIVEWAY / 50' WELL RADIUS 1 I BEDROOM GARAGE OF TH •'CHARLES G BALZARINI (��'c��,•, CE -13854 .•��`�� ESSIONP�- "I n / 100' WELL ADIUS I �U \ \ r71 r7I LINTNER LOT 2 NOTE: PROVIDE ADDITIONAL FILL AND RAISE APPROX DRAIN LINE AT HOME AS NEEDED TO 100' WELL RADIUS CREATE GRAVITY FLOW TO SEPTIC. SEPARATION DISTANCE NOTES: C&M ENGINEERING SERVICES 907-854-5558 SCALE: 1" = 30' LEGAL DESCRIPTION: LINTNER LOT 2 OWNER: ARROWHEAD I DATE: 7/12/; THE PROPOSED SEP11C IS GREATER THAN: 100' FROM ANY PRIVATE WELLS 200' FROM ANY PUBLIC WELLS 100' FROM ANY SURFACE WATER 10' TO ANY PROPERTY LINE OR FOUNDA11ON i SITE PLAN CHARLES G BALZARINI CE-13854R EGISTEREDPROFES S I O N ALENGINEER8/5/20 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP201284, Rebecca Carroll, 08/06/20 MUNICIPALITY OF ANCHORAGE ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND REPAIR AGREEMENT THIS MAINTENANCE AND REPAIR AGREEMgNT, herein the "AGREEMENT" made and e ed into as thi Day of r' of 20 PO, by and between MA treherein the "OWNER," and the Municipality of Anchora e, 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 permission to the Owner to utilize and operate an Advanced Wastewater Treatment System (AWWTS), described as ADVANTEX located at (legal description) LINTNER LOT 2 2. Maintenance, Repairs and Alterations. e er is required to read, understand and initial each section) hroughout 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). �61 Owner agrees that only maintenance and repair personnel approved by the Municipality tY 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. PQ Owner acknowledges that the fine for failing to maintain and repair an AWWTS may be assessed in accordance with AMC 14.60.030. Owner agrees to grant the Municipality reasonable access to test and inspect the AWWTS. The Municipality will give at least 24-hour notice. XOwner agrees that any sale or transfer of title of the property will not occur without a new Certificate of On -Site Systems Approval. Owner agrees that the AWWTS installation and maintenance requirements as provided by the AWWTS vendor/installer and approved by the Municipality are the governing 5 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- �� ^ (,1 (signature) Date:' nn i (print name) STATE OF ALASKA ) ) ss. THIRD JUDICIAL DISTRICT ) The foregoing instrument was acknowledged before me this day of 20 20 , by / . P�,r i� ✓is NOTARY PUBLIC OR ALASKA My Commission expires: g oc i 2 oa-z- ga y r�r�K I '-� CO—` 1U18)'ILLH'IYlliiiCO-:YC }!d1127{ Coll, missiu[j91805040M Eipirev:INOV2022 MUNICIPALITY: By: JI��W 0�_(signature) kJoe.QCk (print name) (rev. 05/18/2018) Date:$ 7 �0 Q D Title: Page 3 of 3 Ciytl'&, Environmental Engineering -General Contactor James "Jay" Crewdson, P.E. Email: CELLC.1@outlook.com Cell/Text: (907) 280-9493 Fax: (907) 688-2295 February 26, 2020 Municipality of Anchorage On-site Water & Wastewater Program 4700 Elmore Road Anchorage, AK 99519-6650 Reference: Lintner, Lot 2 Completion of Required Well and Septic Conditions to Sell Without a COSA Final Report This report completes the MOA requirements allowing the subject property to be sold without a COSA. The details shown below indicate all of the requirements have been satisfied. 1. Septic System: a. Septic tank: It was completely removed from the property and disposed of at the MOA landfill. The hole was backfilled to be level with the existing ground surface. b. Drainfield: Originally it was thought to be a crib, but was discovered to actually be a trench, which was abandoned in-place. c. Asbuilt Survey: A copy of the existing Lintner Lot 2 asbuilt (Duane Mark Seward, dated 1-14-91) is attached to this letter. -2. Water System There are two wells on the property. Both wells have been taken out of service, are currently non -operational, and will not be allowed to be put back into service until a new septic system is installed on the property. The MOA required conditions to render the wells non -operational have been completed as detailed below. a. Well 1 i. Location: In the front yard alongside the driveway, approximately 30 feet from the street. ii. Water Quality: (lab report attached) 1. E. Coli and Total Coliform Bacteria: Negative Note: The initial sample came back positive for total coliform. The well was chlorine shocked by Sullivan Water Wells and resampled. 2. Nitrates: Non -Detect iii. Electrical: All excess wiring cut off and removed. iv. Casing Cap: %" steel plate continuously welded onto the top of the well casing. PO Box 671389 e 18368 Amonson Road e Chugiak, Alaska 99567 Page 2 of 2 February 26, 2020 Lintner, Lot 2 b. Well 2 i. Location: Inside the house, approximately 60 feet from the street ii. Water quality: (lab report attached) 1. E. Coli and Total Coliform Bacteria: Negative 2. Nitrates: Non -detect iii. Electrical: All excess wiring cut off and removed. iv. Casing Cap: %" steel plate continuously welded onto the top of the well casing. Sincer y, J mes "Jay" Crewdson, P.E.-►`��'X 33 aures A. Crewdson C11527 aAA J • F A L, PO Box 671389 9 18368 Amonson Road a Chugiak, Alaska 99567 ad Wo ma U r mr Q ti tD b x 0 d W cc W W ri Y Q rn Y� QC? r c� CO 2 U z O H U. LT. 0 0 z H } w ' O I t . w a a � a owOL w w a VS r� LL LL � W LIr LL W S S cd 0 0 0 0 0 w 0 . -.-. 2L9 / I ti o . -.-. 2L9 / I 0 •�'e�Q � ® '• j.' •/fit` ;Q.• •• ; p �V a o � rt you � d .- GR ZO E I • .Ti9)''/�/i9s-YY�'' : /.,cif-� ASBUILT-NO CORNERS SET THIS DATE. SEW,ARD & ASSOCIATES LAND •3URVLXII 2§-4556 1 HEREBY CERTIFY THAT I HAVE SURVEYED THE SLE` FOLLOWING DESCRIBED PROPERTY► 1"m30' Lintner Subd. ,Lot 2��, OF A4,1, AND THAT NO ENCROACHMENTS EXIST EXCEPT AS DATE= •�' ..... • . INDICATED. IT IS, THE RESPONSIBILITY OF THE 1-14-91 `9LN .' r�'Y�0 � ER TO DETERMINE THE. EXISTENCE OF ANY GRID, �iaoo®eo �®® o9oe�t EASEMENTS, COVENANTS= OR RESTRICTIONS NW 1257 ® • r,�t:�� ICH DO NOT APPEAR ON THE RECORDED SURE?!- �• •• VISI T. UNDER NO CIRCUMSTANCES S FB: ® • Duna Mark Sow®rd Y DATA H BE USED FOR CONSTRUCTION 18-30'- � +�,1*i 6. «• 6918 OF FENCE LINES, OR !`C7R EST4 ISHING BOUND- ��' •''"•"'• �'r ARY LINES. DRAWN=DMS CZCarroll, Rebecca M. L I ST��Y=- s From: Carroll, Rebecca M. Sent: Thursday, November 14, 2019 4:51 PM To: James Crewdson Subject: RE: Lintner Lot 2 Request to Sell Without a COSA Follow Up Flag: Follow up Flag Status: Flagged Jay, Under the required conditions for the Septic System, please add that the crib will also be decommissioned (to include pumping and backfilling). Under the required conditions for the Water System, we would like water sample results for both wells to make sure they aren't a present source of contamination, prior to capping them. We will want to receive the results prior to capping, in case the results show that disinfecting or camera'ing needs to be done. Once the work is complete, we will want a report documenting that all is complete. Becca Carroll Onsite Water and Wastewater Municipality of Anchorage 343-7908 From: James Crewdson <Cellc.l@outlool<.com> Sent: Wednesday, November 13, 2019 1:53 PM To: Carroll, Rebecca M. <rebecca.carroll@anchorageak.gov> Subject: Lintner Lot 2 Request to Sell Without a COSA Rebecca, Please see the attached request letter. Thanks Jay James "Jay" Crewdson, P.E. Crewdson Engineering LLC PO Box 671389 18368 Amonson Rd. Chugiak, AK 99567 907-280-9493 CELLC.l@outlool<.com 1 �i(&ei?�ronrnental Engineering: ®General Contactor lames "Jay" Crewdson, P.E. Email: CELLC.1@outlook.com Cell/Text: (907) 280-9493 Fax: (907) 688-2295 November 13, 2019 Municipality of Anchorage On-site Water & Wastewater Program 4700 Elmore Road Anchorage, AK 99519-6650 Reference: Lintner, Lot 2 Request to Sell Without a COSA Required Conditions The owner is deceased and her son, Brian Rathbun (Executor) is in the process of preparing the property for sale. The home is in poor condition and Brian believes the only time efficient cost-effective way to sell the property is to price it to attract buyers who would want to demolish/dispose of the house and build a new one in its place. As such, we will be requesting below that the MOA allow the property to, be sold without a COSA if the listed conditions are satisfied. History 1. Septic System Although there is no documentation on file indicating this is an approved system, it was approved by the department for at least two prior property sales. Currently, the septic tank is substantially collapsed and as well as no longer working properly is also considered a serious safety concern. The water elevation in the drainfield (crib?) is approximately 2.5 feet below the ground surface, which given this is a gravity fed system on a relatively flat lot, it's likely submerged in shallow groundwater and not just plugged by sewage. The septic system is obviously failed and would need to be upgraded prior to any future use. 2. Water System There are two wells on the property. ® Well 1: Per the Executor, it has never been operational during the time his mother owned the property. Currently, the electrical wires to it are cut off and it is not operational. It is approximately 50 feet from the septic system. ® Well 2: It is currentlyprovidingwater to the home and is 100+ feet fromtheseptic system. Required Conditions Due to the poor condition of the home and the condition/issues discussed above regarding the septic and water systems, we are requesting the following conditions be satisfied so that the property can be sold without the need to acquire a COSA. PO Box 671389 18368 Amonson Road ® Chugiak, Alaska 99567 Page 2 of 2 November 13, 2019 Request to Sell Without a COSA 1. Septic System: a. Decommission the septic system in place by pumping the septic tank, removing its top and backfilling it and the.associated excavation with soil to match existing grade. b. Submit a copy of the Lintner Lot 2 asbuilt (Duane Mark Seward, dated 1-14-91) to the MOA. Note: It shows the current location of the septic standpipes and would be helpful information to have when designing a new septic system. 2. Water System The intention is to render the wells unusable until a new approved septic system is installed by a future owner, while at the same time not degrading their potential value to prospective buyers. Further, it is our intention to provide the new owner with the utmost flexibility in deciding which well(s) to either use or fully decommission in accordance with the code. a. Well 1 and Well 2 i. Electrical 1. Remove all excess electrical wiring coiled up inside the well casing and cut it off at least 1 -foot below the top of the casing. ii. Well Cap 1. Weld a %" minimum thickness steel cap on the top of the well casing. 3. Inspection Report a. In lieu of obtaining a COSA, an engineer's report indicating the conditions outlined above have been satisfied shall be submitted to the MOA. Please feel free to contact me if you have any questions. Thanks, a es "Jay" Crewdson,'P.E. A��' •.'` �j TH . ....... /B James A. Crewdson w C1 15V N1`OROFES ,\ .PO Box_671389 ® 18368 Amonson Road 9 Chugiak, Alaska 99567 0 'E~ E GEO,,~CHNICAL Russell Oyster 694-2774 Soils ~t Foundations 8- DEVEL Box 90, Davis St., Eagle River, Alaska 99577 694-2774 or 688-2280 SOIL LO§, Perfomed for: Name: ~7-~V'~ /f~OZ/A/E Mailing Address: Legal Description: ~m7~ //~ ~,,,ME NT CO. Earl Ellis 688-2280 Land Development Tel. No. S~*- / 7.°6 Date: Comments: Performed by: F~'~.~ ~7~1£ ApPLICaNT FILLS OUT UPPER HAL .ONLY ~ ' . Phone Type of Resi~nce ~ Single Family ~ ~ Multiple Family No. of Bedroo~ ~ Other Water Supply ~ Individual A~ACH WELL LOG. A w¢l log is required for all wells drilled since June 1975. ~ Community For wells drilled prior to that date, give well depth (attach log if available). B Public Utility Sewer Disposal ~ Individual Year Individual Installed: ~ Public Utility When Connected to Public Utility: ~ Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH RE~EST BEFORE ~OCESSlNG CAN BE INITIATED· Time ;(~') APPROVED BEDROOMS .... ¢ ........ ' 'CONDITIONS OF APPROVAL ( ) DISAPPROVED ( ) CONDITIONAL APPROVAL' Soils Rating Date ~wer Installed Well To Absorption Area .,/~-,0 Well Log Received Well to Tank 99567 '"""=¢'.,.,.~.~.~o ad..qitional, xtems nee(i tn ~.l~,,,. ' '~ .... ~' '-'" .)~f,>v'~ approval can bo qrant ed. ~/c5~° 'dhe top '~ the well casinq should ~ ....... '~q ~ . o:~. , ..........1 ....... hhat it Is ~:~--,~-',ed ,~l~,c,~-ri.~ai ~,i --=- tn '~'~ well '"~-: ,~r,~ violation of the HunicJ. pality of Auchorage codes and must be encase::] Of.{ioe lfiTOt~! the (.ne.fl L,a}:}~ o The depression over the sewer system will need ho be fi. hied ' ~ so that surface water ur~id,o away fro~n the sewer P]~a~e notifv this Department ~ ' a ........ . <o~ reins~pec~ion ~}hen the noted discrepancies ]~ave been corrected. If there are any further questions, please call this office at 264--472{}. Sincerely~ STATEMFNT & SRB 196X EAGLE RIVER, AK 99577 PHONE: 694-2979 DESCRIPTION AMOUNT TOTAL .-'~ ~ ,. '"'"' BALANCE DUE ON RECEIPT. 1¥~% PER MONTH ON ACCOUNTS OVER 30 [~AY$. EXCAVATION ROBERT A. SHAFER WORK CIVIL ENGINEER 694-2979 February 24, 1983 Finis Realty Mile 20, Old Glenn Highway Chugiak, Alaska 99567 Reference: BLM Lot 114: Section 8: T15N: R1W: The Russell Sewell property A sewer system adequacy test was performed on the system located on the referenced property as you requested. The septic tank was pumped and verified to have a capacity in excess of 1000 gallons. The drainfield was tested by continuously flowing water through the system at a rate of approximately 10 gallons per minute. The system accepted a full charge of 500 gallons without any adverse effect. ~ It can be concluded from this. test that the waste water disposal system serving the three bedroom residence located on this property is still functioning adequately. However the system cannot be guaranteed against subsequent failures. If We may be of further assistance, please do not hesitate to cont ac~tf is. - /-- Si~r~/~Z, (/R~ERT ~%. SHAFER,/P.E. cc: Municipality of Anchorage Department of Health and Environmental Protection MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION 825 L Street - Anchorage, Alaska 99501 ENVIRONMENYAL ENGINEERING DIVISION Telephone 264-4720 REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow tan (10) days for processing. PROPERTY RESIDENT (1{ different from above). 2. BUYER ' 7~"~) ~1 MAILING ADDRESS 3. LENDING INSTITUTION PHONE PHON[ PHONE MAILING ADDRESS ~--(L~6 ADDRESS " L''ALDE O"'PT'O"' ;..O " ..... ' .-¢:: ...... . .... ': lC~ 6. T~E OF RESIDEN'~E i c- ~'" SINGLE FAMILY ~ Two ~ Five ~ MULTIPLE FAMILY ~¢'- Three L~ Six 7, WATER S~P~L-Y ~.] -' iNDIVIDUAL* [] COMMUNITY [] PUBLIC UTILITY * ATTACH WELL LOG. A well log is required for all wells drilled since June 1975. For wells drilled prior to that date, give well depth (attach log if avai!able,) /~.'/~/~ 8. SEWAGE DISPOSAL SYSTEM [7~/'' tN DIVI DUAL/ON-SITE*'* PUBLIC UTILITY **if individual/on-site, give installation date (~ ~',' ... If system is over two (2) ,/ears old an adequacy test is required by this Department. ~ NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72.010(M78) 1. TYPE OF RESIDENCE / I]~' SINGLE FAMILY IZ] MULTIPLE FAMILY 2. WATER SUPPLy ,', I~//INDIVIDUAL [~-] COMMUNITY [Z] ! PUBLIC UTILITY Connection Verified 3. SEWAGE DISPOSAL SYSTEM ~'~INDIVIDUAL/ON -SITE ~PUBLIC UTILITY Connection Verified Size:___~!d2~ If Tank is homemade give dimensions: TY'PE OF TANK / TOTAL ABSORPTION 4. DISTANCES WELL TO: Area to near'es! Lot Line 5. COMMENTS l~] ONE E] TWO PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED PERMIT NUMBER SOILS RATING MANUFACTURER MATERIAL NUI'~BER OF BEDROOMS ~J~'"'/TH R E E ~ FIVE FOUR L~ SIX OTHER /¢7'/ ~;~' APPROVED FOR ..... Z~.__~ BEDROOMS ~] CONDITIONAL APPROVAL (letter must accompany certificate} [~ DISAPPROVED ~,0~..v.~ ~ ~,:-~ -" _x"~.Z~I./ /~ t'/l../ ..... '~ ,MUNICIPALITY~ OF ANCHORAGI _?ARTME, OF HEALTH AND ENVIRONMEN, PROTECTION 825 L Street, Anchoraa~-. Alaska 99501 264-4720 Date Received: March 17, 1978 #1: Time l:30/p.m. Date 3- 2~-~ 8 i=s #2: Time Ot ~,~,~w-~ #3: Time Date .%-~q-~ [~3;-e~ Date Insp O3~m~~ L~?,OO LOaf3. Insp REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES 1. Lending Institution Request: First National Bank of Anchorage 4.' Mailing Address: Post Office Box 4-2090 Propertyi!~Owner: Steven A. Moline Mailing ~ddress: Box 444 99577 99509 Phone: 274-1521 Phone: 688-2326 Legal Description:/ T15N ~iW Section 8 Lot 114 Single Family Residence: (x) Number of Bedrooms: Multiple Family Residence: ( ) Three Number of Bedrooms: Well System: Permit 9 Construction Individual well (xk Community/Public System ( ) Depth of Well 80' Well Log on File ( ) Bacterial Analysis Sewage Disposal System: Permit # Septic Tank Size Absorption Area On-site System (x) Public Utility ( ) Installed ~//~,/~/ Installer /~d Manufacturer ~". ~ ~- Soils Rate Material ~ Distances: Well to Septic Tank ~ to Absorption Area to Sewer Line Nearest Lot line Absorption Area to Nearest Lot Line ~ ~'~' ~/'~-'' ,J ~-'~"-~ -'--- MUNICIPALITY OF ANCHORAGE . ~ kki Depavtment of Health and Environmental Protection //~~-/ ' 825 L Street, Anchorage, Alaska 99501 ' ~quest for Approval of Individual Sewer and Water Facilities o Property Owner: Mailing Address: Name of Buyer: ?~35~/ Mailing Address: Mailing Address: 2o I Realtor/Agent: Mailing Address: Phone: Phone:~7~- /~-~ / Phone: 5o Legal Description: ~'~7 Street Location: Single Family Residence: (~- Number of Bedrooms: Multiple Family Residence: ( ) Number of Bedrooms: 7. Water Supply:. *Individual Well (~'~Public/Community System If Individual Well, well depth ~O ~+ If Community System, name of system 8. Sewage Disposal System: *~n-site System If On-site System, date of installation: ( ) (~'~ublic System ( ) *NOTE: A well log is required on ALL wells drilled since 6/75. ** If on-site sewer system is over two(2) years old, an adequacy test is required by this department. -. A fee of $25.00 must accompany each request before processing can be initiated. 3/77 De~artment of Health and Environmental Protection Request for Approval of Individual Sewer and Water Facilities Legal Description: T15N R1W Section 8 Lot 114 Comments: L.oc~TE ~4,,~LL poP,. oUR.- '~' -, Af fadavit Attached Disapproved: Letter Attached: ( ) Date: Date: ~--/ Department Worksheet: ~O~d 39VB]A03 ]3NVaflSHI ON 008~ IL6I 01 l~3S ..od Snld) ~O£--]IVIAI Q31Jll~33 ~lOJ Jdl333~1 P P March 23, 1978 R&M No. 851511 Mr. Stephan Moline P.O. Box 444 Eagle River, Alaska 99577 Subject: Adequacy Test on Existing Sanitary Sewer System; Lot 114, Sec. 8, T15N R1W, SM, Alaska Dear Mr. Moline: At your request of March 17, 1978, we conducted a test of the septic system on the above described property. During this test the liquid level in the septic tank was monitored as water was added to the system. The measurements are summarized in the following table: Liquid Level Below Top Total 'Gallons Time of Standpipe Added 9:37 6.35 50 9:51' 6.25 110 10:13 , 6.10 160 10:27 6.05 210 10:37 6.20 210 10:45 6.30 210 10:52 6.40 210 The meter used during the test was a Rockwell 5/8" standard water meter which had previously been calibrated by R&M Consultants, Inc. If the 3 bedroom residence on the property is to house 6 people, the average load on the system can be expected to be 450 gallons per day or .31 gallons per m~nute. During the test, the system accepted 210 gallons in 82 minutes. This indicates an average effluent acceptance rate of approximately 2.6 gallons per minute at the time of the test. March 23, 1978 Mr. Stephan Moline Page -2- Because the house on the lot is occupied, we assume that the leach field was at its normal degree of saturation. We can therefore conclude that the system is disposing of effluent at an adequate rate for a 3 bedroom resi- dence. We appreciate this opportunity to be of service to you. Please contact us if you have any questions concerning this test or if we can be of additional service. .Very truly yours, R&M CONSULTANTS, INC. Cherie McCracken Lab Technician Jim McCaslin Brown, Ph.D. Head, Earth Science Department JMB/kah MUNICIPALITY OF ANCHORAGE Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Parcel I.D. 051-151-38-000 Expiration Date: 10/23/2025 Legal description LINTNER (PLAT 84-484) LT 2 Site address 20228 CRABTREE ST Chugiak AK 99567 Current property owner(s) ARROWHEAD PROPERTIES INC X The On-site system(s) is/are approved for 4 bedrooms Conditional approval for bedrooms, with the following stipulations: Comments or advisories: IA Original Certificate Date: 12/3/2024 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 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. 05115138000 Complete legal description Lintner (Plat 84-484) L2 Location (site address) 20228 Crabtree St. Chugiak, AK 99567 Current property owner(s) Arrowhead Properties, Inc. (Gary Perkins) Day phone 907-229-7099 2. ON-SITE SYSTEMS SIZED FOR 4 BEDROOMS 3. TYPE OF WATER SUPPLY: ❑ Private Well ❑■ Private Well serving 2 dwelling units ❑ Private Well serving 3+ dwelling units ❑ Community Well or Public ❑ Water Storage 4. TYPE OF WASTEWATER DISPOSAL: ■❑ Private Septic FN� Private Septic serving 2 dwelling units ❑ Holding Tank ❑ Community Septic or Public Sewer 5. SEPTIC TANK: ❑■ Steel ❑ Plastic ❑ Concrete ❑ Fiberglass Age 4 years _ See advisory if steel older than 20 years 6. ABSORPTION FIELD: ❑ AWWTS ❑ Bed Deep Trench ❑ Wide Trench ❑ Seepage Pit Waiver request for: Expedited review requested: ❑ 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 $_550 Date of Payment I_ILZZ.IZ 9 COSA # OSGZ (-11 SL Waiver Fee $ Date of Payment Waiver # COSA Application—June 2022 COSA Checklist_June 2022 COSA Checklist Legal Description: Parcel ID: If more than 1 well and/or septic system on lot, provide separate checklist. Structure served by this system ____ 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 ft. Well production at time of test gpm Water storage tank volume gallons Well disinfected for coliform test? Yes No Coliform bacteria is Negative Nitrate mg/L Nitrate less than MRL (ND) Arsenic ug/L Arsenic less than MRL (ND) Collected by Date Comments __________________________________________________________________________________ B. TANK DATA Measured operating fluid level in septic tank Date of pumping Required maintenance completed, if AWWTS Comments: C. LIFT STATION Required maintenance completed Age of lift station years Lift station material Comments: D. ABSORPTION FIELD DATA Which system tested (date installed) ALL standpipes present per record drawing Total measured depth from grade ft (max) Measured depth to pipe invert from grade ft (min) N/A – pressurized field. Per record drawings, field is insulated. Monitor tubes go to bottom of effective. If not, state depth into effective Presoaked required if (Required if house vacant or field not used for more than 30 days prior to date of test) Gallons introduced gallons date Any rejuvenation treatment (past 12 months) If yes, enter date Adequacy test date Results Pass Fluid depth prior to test in Water added gal New fluid depth in Elapsed time min Final fluid depth in Absorption rate gpd FIELD STATUS – POST RECOVERY Effective depth (per record drawings) in Effective depth used in Effective depth remaining in Comments/Deficiencies: E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well on lot) Q Yes Septic Tank/Lift Station on Lot > 100' ft +50 Community Sewer Manhole/Cleanout > 100' ❑ Yes if No ft 0 Yes if No Neighboring Tank > 100' 0 Yes if No ft Private Sewer/Septic Line > 25' Q Yes if No Absorption Field on Lot > 100' ❑ Yes if No +50 ft Holding Tank > 100' Q Yes if No Neighboring Absorption Fields > 100' Community Wells > 200'■❑ Yes if No _ Animal Containment > 50' Q Yes if No ❑■ Yes if No ft Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' ❑■ Yes if No ft Q Yes if No ❑ N/A — Served by Community Well (not on lot) or Public Water From Septic/Holding Tank and Absorption Field(s) on Lot to: (Please enter distances if less than required) Building Foundations > 10' Q Yes if No ft Surface Water > 100'■❑ Yes if No _ Tank to Property Line > 5' 0 Yes if No ft Wells on Adjacent Lots: Field to Property Line > 10' 0 Yes if No ft Private Wells > 100' ❑■ Yes if No _ Water Main > 10' 0 Yes if No ft Community Wells > 200'■❑ Yes if No _ Water Service Line > 10' M Yes if No ft If tank or field is under driveway comment below F. ENGINEER'S COMMENTS ft ft ft ft ft ft ft ft G. CERTIFICATION & 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, indicates that the on-site water supply and/or wastewater disposal system appears to comply with applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation, unless noted otherwise. Name of Firm ARE, LLC. dba Alaska Rim Engineering Engineer's Printed Name Charles A. Leet COSA Checklist June 2022 Phone 907-775-2347 Date 11/22/24 1111912024 08:16 Anchorage Tank 482 894 s ■■1 ..1■ 111■■ 111■ ■ ■ 1o■ 1� ■ 1 1 1■1 111 ■ 1■ 1 ■1 1 ■1■ ■111 1 ■1 1 *varawe Field Maintenance Report Annual Inspection Property Ownerfrracking V Cary Perkins alts Address 20228 Crabtree Street, Chugiak AFC 89567 Ax [sits ID # county 10 q Pad K AM 50466 0,9P201284 X434967 Retrieve O&M Info Daily flow Recirc natio_ Timor settings: Perform Field Sampling/Obegi vations NTIJ Its m NTUs) pH t3-9) DO (2-6) Odor of BarnI Typical Tysulfido sty [I Earthy C] Moldy Non -typical ❑ Cabbe❑ Decay oily 11111m In PVU El yes L_[I No Foam In tank ❑ Yes [�No Cheek Control Panel R 1 ire Aa Discharge Amps Audible sualalarm,# OIC Dial tons et only) ❑ Yes ❑ No Inspect/Clean Pump System In ct Clean Rlser/Lid ............ ........ Splice Box .. .. . Float Cords .......... ....... . Floats ........................ Pump................... .... Blotubee Filter ................ . Blotube Pump Vault ............. ........ Ff �( Recirculating Splitter Valve....... Comments Signature �FAX)907 277 3715 1■ ■ 11■ 1 � I 1■ 1 ■ ■11■■1 ■1 P.0011006 AnchorageTank 907-272-3543 Operator L&S Services Technician Contact Phone (907) 229-7099 IR7"U WUL # nate of Last Inspection RTLJ142967 08/16/2023 Measure Sludge/Scum at..don scum tat Compartmentrarer nt Previous Current Previous 2nd Compartment Currant Previous Current Previous Odor: ormal �Normal ❑ Pungent Laterals/Orifices Inopect/Clean AdvfanTex Filter InsPe Clean Odor: ormal �Normal ❑ Pungent Laterals/Orifices Blomst: ❑ Excessive Pod Bottom I / Hrldging/Ponding: INone/Mlnor ❑ Excessive Intake Vans L,!{ Inspect/Clean Discharge Pump System Inspect Inspect Clean Riser/Lid ❑ Floats ❑ ❑ Splice Box ❑ Pump ❑ ❑ Float corns ❑ inspect/Service Other System Components Inspect Clean In" P clrey�5n Disinfection Equipment , L13 Disparsal Lateraworifices VJ Observations �t Additional Services Rende d ❑ Cleaned textile sheets? [] Replaced UV Items? ❑ ttepiaced/used other Items? Parts Used: W . Warranty, 9 . Billable (./ appropriate selection) IN a It.m Number Descrtpuon Flna Safety inspection fFIaSreinstalled Lids bolted on V nifold reconnected; flush valves closed Control panel reactivated 1umTpaary/Recommendations V] System performing; no further action needed ❑ call for service Cate .r Pax corrrpleted form to 1466-384-7404 ❑ Tank needs pumping Q Othar? 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 �_ Dayof_hbVtYYNl0CC of 20 Z�, by and between HUNTER WMTESELLAND REVETOMI_INl , 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 permission to the Owner to utilize and operate an Advanced Wastewater Treatment System (AWWTS), described as ADVANfEXTREATT fENr SYSTEM located at (legal description) 20228 CRABTREE ST CHUGIAK AK 99567 2. Maintenance, Repairs and Alterations. (Owner is required to read, understand and initial each section) Y� Throughout the term of this Agreement, the Owner shall enter into a service agreement Ho 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. I It shall be the responsibility of the Owner during the term of this Agreement to pay for all V4 repair(s), maintenance, adjustment(s), replacement costs, and inspection costs. This includes an annual maintenance fee (typically $400 to $600). Owner agrees that only maintenance and repair personnel approved by the Municipality or the manufacturer's representative will inspect and make any necessary maintenance, repairs or permitted alterations to the system. Owner acknowledges that regular maintenance of an AWWTS reduces the potential failure of the system, which could include sewage backup and costly repairs or drainfield replacement. (rev. 05/18/2018) Pagel of 3 ,- O%%Mer acknowledges that the Municipality may request records of maintenance and 14%V repairs from the manufacturer's representative or maintenance provider. Owner acknowledges that the fine for failing to maintain and repair an AWWTS may be W assessed in accordance with AMC 14.60.030. Owner agrees to grant the Municipality reasonable access to test and inspect the �W AWWTS. The Municipality will give at least 24-hour notice. S Owner agrees that any sale or transfer of title of the property will not occur without a new Certificate of On -Site Systems Approval. Owner agrees that the AWWTS installation and maintenance requirements as provided by the AWWTS vendor/installer and approved by the Municipality are the governing guidelines for the construction, maintenance and repair of the Owner's AWWTS. Owner agrees to maintain remote monitoring of the AWWTS as required by the ANVWTS approval. 3. Term. The temi 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 ,vhile 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: Bv: .�._ ��_ —--(Srf!n3ltlrC) 1btC: �Q,UC �yYY��\t1_Iprint Warne) STATE OF ALASKA ) ) SS. THIRD JUDICIAL DISTRICT ) the forcgoin instnmicnt avas acknowledged beforc nic this day of .. A)OV�,Y� 20�{, by��-vC�im \ r CASSANDRA RIGGS ,'OT� iC T R�I�La%g6 Notary PublicState of Alaska My Commission cxpil'Cs: My Commission Expires Oct 28, I028 18/2018) Datc: 1 D e) Title: Page 3 of 3 0\1'�I:R: I3�: �-1,�__ Si nature Date: % l ' ZyZ-I i• ----- -() � 1-Z I(print name) STATE OF ALASKA ) SS. THIRD JUDICIAL DISTRICT ) The foregoing instrument was acknowledged before me this day of e: 20x6, by I --j v -.N+ W 1 0 S t l _ CASSANDRA RIGGS NOTARY PUBLI R LAS Notary Public M Commission expires: State of Alaska My ip My Commission Expires Oct 28, 2028 (rev. 05/18/2018) signature) )rmt name) LOT A PLAT #74-103 LOT 1 PLAT #84-484 ------------- ASPLS MORTGAGE LOCATION SURVEY NOTES: NO TITLE REPORT WAS PERFORMED FOR THIS SURVEY, EASEMENTS SHOWN PER THE RECORD PLAT. THERE MAY BE ADDITIONAL EASEMENTS NOT SHOWN HEREON. THIS LOT BMORTGAGE LOCATION SURVEY HAS BEEN PREPARED IN ACCORDANCE WITH ASPLS MORTGAGE LOCATION SURVEY STANDARDS. IT IS A REPRESENTATION OF THE PLAT #74-103 50 CONDITIONS THAT WERE FOUND AT THE TIME OF THE SURVEY. THIS SURVEY DOES BLM LOT 94 NOT CONSTITUTE A BOUNDARY SURVEY AND IS SUBJECT TO ANY INACCURACIES THAT A SUBSEQUENT BOUNDARY SURVEY MAY DISCLOSE. THE INFORMATION CONTAINED IN THIS DRAWING SHALL NOT BE USED TO ESTABLISH ANY FENCE, STRUCTURE, OR OTHER IMPROVEMENTS. UNLESS GROSS NEGLIGENCE IS DISCOVERED, THE LIABILITY EXTENT OF THE PREPARER SHALL BE LIMITED TO THE AMOUNT OF FEES COLLECTED (N 89`54'32" E 150.31') G'�ji FOR SERVICES IN PREPARATION OF THIS PRODUCT. � I � I I I 61.4' E E / LEGEND pp CID E � RECORD DATA PER PLAT #84-484 20.0' > O FOUND 5/8" REBAR, NO CAP o GRAVEL DRIVEWAY °M9J,�H H EDGE OF ASPHALT cu ° $ A'4 A a.r� 56.3 I m y FENCE — E E — OVERHEAD UTILITIES N I pp POWER POLE 79 I2.s' z °° SEPTIC PIPE M � I �_ ATu ADVANTEX UNIT cl co -- O O 23.9' - — — — — I — v I CA M N N TWO STORY — _ N _ MH SEPTIC TANK LID 34.5' 23.q, GARAGE ` � = ® WELL co _ _ BLM LOT 115 DECK co W \ i coo jzgzo 00 LOT OF A l 30° I ,.,,� . � 111 PLAT #84-484 ICD c' 0 40 80 ��Q.,. •' �s,� D % * *49TH 132.2' i m > SCALE:cn 1 'x1_ 4 0 FEET ... .. . 41 WINTER SURVEYNOTE. +/- 6INCHES OF rj '.Ryan G. Johnson oz SNOW ON-SITE AT TIME OF SURVEY. ONLY` No. 192159 �1 VISIBLE IMPROVEMENTS SHOWN HEREON. ��• .11/25/20�4�•S AW SIONK� -4w 15' BLM RESERVATION AS -BUILT OF: —F — LOT 2 (S 89°59'57" W 150.11') LINTNER SUBDIVISION JA YHA WK DR — t - - - - - - -