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Home My WebLink AboutT12N R2W SEC 30 N2NW4SW4NE4SE4Onsite File E s k a 5 b � �; vc c k . {tiS 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 hftp://www.muni.org/onsite On -Site Water & Wastewater System Permit Permit Number: OSP241027 Work Type: WellSeptic Renewal Tax Code Number: 02102218000 Site Legal Address: T12N R2W SEC 30 N2NW4SW4NE4SE4 G:2943 Site Mailing Address: 13424 ALPWEG, Anchorage Owner: CONNOLLY JOSEPH A & BROOK M Design Engineer: PANNONE ENGINEERING SERVICES This permit is for the construction of: Effective Date: Expiration Date , G � � - •er �• �y,.•z L n ' Department Lot Size in Sq Ft: Total Bedrooms: 3/5/2024 3/5/2025 54450 Q Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy Q 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: The septic system serving the lot to the north is to be located by a registered land surveyor prior to drilling any new water well under this permit. Received By: "'✓' ��" Date: Issued By: Date: 3 S 2'0 2 `/ 2 MUNICIPALITY OF ANCHORAGE Community Development Department Phone:907-343-7904 Development Services Division Fax: 907-343-7997 On -Site Water & Wastewater Program ON -SITE SEWER/WELL PERMIT APPLICATION Parcel I.D. 021-022-18 Property owner(s) Connolly Joseph, and Brook Mailing address 13424 Alpweg, Anchorage, AK 99516 Site address 13424 Alpweg Drive Day phone Legal description (Sub'd., Block & Lot) T12N, R2W, Sec 30, N2NW4SW4NE4SE4 Legal description (Township, Range & Section) Lot Size 54,450 Sq. Ft. Number of Bedrooms 2 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (N all that apply) Absorption Field X❑ Initial ❑ Single Family (SF) ❑X Septic Tank 0 Upgrade El(w/wo ADU) Holding Tank ElRenewal 0 Duplex (D) El Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well K Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR: Drain Field to Lot Line Distance:l 1 certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit/Rush Fees: Waiver Fees: Date of Payment: Date of Payment: Receipt Number: Receipt Number: Permit No. ©S 122 Li / O27 Waiver No. Permit App__- : ._.,:c; Pannone Engineering Services LLC Steven R. Pannone, Principal Registered Professional Engineer E-mail: steve@panengak.com Mailing: P.O. Box 1807, Palmer, AK 99645-1807 Telephone: (907) 745-8200 FAX: (907) 745-8201 DATE 2/27/24 Subject: Expired On-Site Water and Wastewater Permit Permit Renewal Request Permit Number: OSP231026 Legal Description: T12N R3W Sec 15 L27 This is a request to renew the permit for the above mentioned lot. All site conditions remain the same. The construction still will not affect the health, safety, or development of the surrounding lots. Sincerely, SRP Steven R. Pannone, PE, F. ASCE Owner/Civil Engineer Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP241027, Curtis Townsend, 03/05/24 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 Water & Wastewater System Permit Permit Number: OSP231002 Work Type: WellSeptic Initial Tax Code Number: 02102218000 Site Legal Address: T12N R2W SEC 30 N2NW4SW4NE4SE4 G:2943 Site Mailing Address: 13424 ALPWEG, Anchorage Owner: CONNOLLY JOSEPH A & BROOK M Design Engineer: PANNONE ENGINEERING SERVICES This permit is for the construction of: Effective Date Expiration Date Lot Size in Sq Ft: Total Bedrooms: �1»cnt Department 1/31/2023 1/31/2024 54450 Q Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy 0 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: • The required separation for the septic system serving the lot to the north is to be located by a registered land surveyor. ,i I day_ J -5r,( AeA 4, Issued By: /� w Date: Date: / 3( Z MUNICIPALITY OF Community Development Department Development Services Division On -Site Water & Wastewater Program Phone: 907-343-7904 Fax: 907-343-7997 ON-SITE SEWER/WELL PERMIT APPLICATION Parcel I.D. 021-022-18 Property owner(s) Connolly Joseph, and Brook Day phone Mailing address 13424 Alpweg, Anchorage, AK 99516 Site address 13424 Alpweg Drive Legal description (Sub'd., Block & Lot) T12N, R2W, Sec 30, N2NW4SW4NE4SE4 Legal description (Township, Range & Section) Lot Size 54,450 Sq. Ft. Number of Bedrooms 1 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (N all that apply) Absorption Field X❑ Initial FK Single Family (SF) ❑X (w/wo ADU) Septic Tank FX] Upgrade ElDuplex (D) ElHolding Tank F-1Renewal ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well X❑ Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR: Drain Field to Lot Line Distance:1 I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit/Rush Fees: Waiver Fees: 9;2 5 - Date of Payment: Date of Payment: 1111120 23 Receipt Number: LIM a 6 Receipt Number: Permit No. 05 P 11,3 100A Waiver No. 0 6 V A31 OW Permit App_:- : - - uicnr S' Municipality of Anchorage'° uc11 t,»e„t P.O. Box 196650 • 4700 Elmore Road Anchorage, Alaska 99519-6650 • (907) 343-7904 o Fax (907) 343-7997 http://viww.muni.org/Onsite Development Services Division On -Site Water and Wastewater Program * * * * VARIANCE/WAIVER REVIEW * * * * Waiver#: OSV231001 COSA#: Permit#:OSP231002 PID#: 021-022-18 Legal Description: T12N R2W SEC 30 N2NW4SW4NE4SE4 Engineer: Pannone Engineering Services Your request for a waiver of the required 10 feet horizontal separation from the absorption field to the property line has been approved. The approved separation distance is 1.0 foot. This waiver approval applies to the proposed absorption field only. Any future upgrade to the on- site wastewater disposal system will require all separation distances be met or another approval from this department. Waiver is Granted: X Waiver is not Granted: Date: Approved by: Name of Reviewer ............................................................. ............... 1 **** VARIAN C E/WAIVER REVIEW **** Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP231002, Deb Wockenfuss, 01/31/23 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP231002, Deb Wockenfuss, 01/31/23 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP231002, Deb Wockenfuss, 01/31/23 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP231002, Deb Wockenfuss, 01/31/23 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP231002, Deb Wockenfuss, 01/31/23 Development Services Department Building Safety Division G t. G £ B h , I On -Site Water & Wastewater Program o 4700 Elmore Road r P.O. Box 196650 Mark Begich Anchorage, AK 99507 Mayor www.muni.org/onsite (907)343-7904 Pump Installation Log Well Drilling Permit Number: SW Date of Issue: Parcel Identification Number: 0 2- D z Z— 1$ Legal Description 112 N RZU) Sec 3 C7 Pyrorty OwnerN,a�mf �& Address: L y` V !2N z Le(ns� °�lCa Pump Installation Date: 10� T01- Pump Intake Depth Below Top of Well Casing: 1%6 feet Pump Manufacturer's Name: Pump Model: KS 12 Pump Size 1/.Z1 hp Pitless Adapter Burial Depth: feet Pitless Adapter Manufacturer's Name: — Pitless Adapter Installer: Well Disinfected Upon Completion? 2<es ❑ No Method of Disinfection: /A Comments: ,+aa+;;� ANCHORAGE WELL & PUMP SERV. Pump Installer Name: 330 EAST 76TH AVENUE ANCHORAGE, AK 99518 PHONE: 907-243-0740 AW PS.COM Attention: The pump installer shall provide a pump installation log to the DSD within 30 days of pump installation. JAN -6-2009 10:31A FROM: 70:3491934 P.2 �-Cefty DHCCing, Inc. Well Log hater R'c(f Drirlfnq and 41tnf Service ilmh nn :, 71(asCr 007) :45-0593 Drilling Siarted.08 r18 fL008etxnpleted:0819 2008. City/Borough: Suhdivixion. 13LOCKL(YI' Property(TmerName & Address: BrianChol 4740 Sandy Beach Dr. Anchorag Anchorage, AK 99502 Meridian Township 12N Range 2W Scetimt 30 N2NW4SWq E4SS4k % of BOREHOLE DATA(fronl top of casing)Depth Drilling method: (X) Air rotary. ( ) Cable tool, Other_ ^ _. Material: 1'ype, Color & wetness Fro"' Tn Well usc: ( ) Nblic su I ,Other_.__._ PP Y IX I Domestic. stickup 0 2 DcPth ofhole: 80 n. Casing srickup: 2 fl Casingtype:steel_._ _ Thickness: _250_._inches Casing diameter. _ 6_ inches Casing depth:.^_ 46 _ ft gravel 2 6 Lincr type: PVC Diameter: 4.5 inches Depth: 60 ft soft bedrock 6 15 Static water (from top or casing): 42 fion 08'-L912000 Pumping Icvcl & yield: __ __ .. feet af,er _ hours at .__ _ gpm Recovery rate: 15 6Tntkiethud ortcsting: airlift bedrock 15 80 Devclopmemnicthod: airlift Duration: 1 hour Well intake opening r)7rc:1 1 Open crd, (X) Open hole, Other_ Screened: Start: Il, Stopped __ -ft Screen type: _ Siot,mesh size: Performed: Start: — 11, Stopped: Start: ft. Stopped: fl Note: ...... 0 ............................................... ................................ .... . . ... Grout typc:__bentonite Volume _ Depth; from _grQUnd Surface Pump imakc depth: _ fl Pump size: hp. Brand name: -- Was well disinfected upon completion'! (X) Yes. 1 ) No Method ofdisinfcction:Calcium.H ochfcdte..(.Chlorine)... Drillercommcniv disclaimers:.„ .. ...................... _0 ............ —.............. drilled 8" to 40'for purpose, _ ...... ............................. _.............. ....... 0 ........ ........ Nclldrillcrnamc:. Cur* ., Company tiamc:.._ Doty! pr!p '. It1C............ Mailing address: .... 3540, Akula. Dr...... ................. ..................... City: Anchn9e _ Swe: AK zip 99516 Phnne numher • ( 907) 345. 0593 fax:345-4700 Drillers signature: Municipality of AnchorageAttention: Property owner shall provide a well log to the Development Services Department DSD within 60 days of well completion. Building Safety Division M080168On-Site Water and Wastewater Section Permit Vumhcr: 4700 South Bmpw St. Datc of Issuc: _AU 14j;) nng_ P.O. Box 196650 Anchorage, AK 99519.6650 Parcel Identification , umber: 021 — 022-18 Www.muni.Org/onsite is well located at approved permit location.' 1 X) Yea ur ( ) No (907)343-7904 JAN-6-2CC9 10:31A FROM: Pump Installation ABM 'I.o.C,=Tep a4 Ges��y «a.° i TO:3491934 P.1 Log DATE /OX105 4n ttlt rasic Sin % ob. Tpe CAM H" rwn ry0 L To y g , i MTAXC SMCRWK TV* rnrn (� To onEw NarC rn,m 7 f0 Te b well was disinfected upon completion. method: calcium hypochlorite. ofiy Drilling, 7 Water Wd and Pun p Scnicc Anchorage, ACaska (907) 345-0593 PlttessAdapter Manufacturer's Name: C64e h/j-X IRI NNWMims Adapter Installer. A447 Dv"1;4J �,tL• 0 0 trvE 51,brU.A,; c t r AIYP o c � H J YAIfC � O � corn w1 Y �' 9EPoAL R Amp i� Lotor u11 DowT,TE: T,p �yi`Stn ' POMFR t:AAC Tre. d N10t(. C... YIeIAl itl MCT CAL WIs IWAM TANG T," 4n ttlt rasic Sin % ob. Tpe CAM H" rwn ry0 L To y g , i MTAXC SMCRWK TV* rnrn (� To onEw NarC rn,m 7 f0 Te b well was disinfected upon completion. method: calcium hypochlorite. ofiy Drilling, 7 Water Wd and Pun p Scnicc Anchorage, ACaska (907) 345-0593 MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water 8 Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WATER SUPPLY PERMIT Initial Date Issued: Aug 14, 2008 Expiration Date: Aug 14, 2009 Permit Number: SWO80168 Parcel ID: 021-022-18 Legal Description: T12N R2W SEC 30 N2NW4SW4NE4SE4 Design Engineer: 0000 ZZ - NONE NEEDED Site Address: Owner Name: BRIAN CHOI Lot Size: 54450 SO. FT. Owner Address: 4740 SANDY BEACH DRIVE Total Bedrooms: 3 Permit Bedrooms: 3 ANCHORAGE, AK 99502 - This permit is for the construction of: ❑ Disposal Field ❑ Septic Tank ❑ Holding Tank ❑ Privy Q Private Well ❑ 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 engineer must notify DSD at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 ( 24 hours ). ( Not required for a Water Supply Permit only). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. Received Issued By: 0,(Date: — _ar B Zjblt��Yte'7 Date: Municipality of Anchorage r .Development Services Department: ` Building Safety Division On -Site Water and Wastewater Program S ° «. 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.orglonsite (907)343-7904 ON-SITE SEPTICMELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. —Property Mailing —Site ad( Code 7145�—' 2_/ Legal description (Sub'd, Block & Lot) Legal description (Township, Section & Range) Lot Size 5� y� Sq. Ft. THIS APPLICATION IS FOR (®all that apply) Absorption Field ❑ Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well Water Storage ❑ tgofwApg .d t'OTOM THIS APPLICATION IS AN: Initial Upgrade ❑ Renewal ❑ I certify that the above information is correct. I further certify that this application is being made for a Single Family Dwelling and is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) IMI Permit/Rush Fees: Waiver Fees: Date of Payment: Date of Payment: Receipt Number. Receipt Number: (Rev. 11/05) 4�:� X&U) Gv�- w/ d Fs 106`��''S Dr 4 S N 00°03'30'W 165.14' 0 CS o N co 01 w � �J(r.GASEASEMENT A i AS -BUILT Based upon an asbullt survey by Jeffery A. Gastaldi. L&6091 - Dated: July 8. 2008. using a digital rile. GRAVEL ROAD -(AI?PROXIMATE) Portion of drainfield over the north lot Cine was abandon( / CO2 dIT2 ~ 01 IF Sampringport to 0 0 0 0 m N Co ,j posing T2 / \ 51PI'00 ST1 A EXISTING Pc0 HOUSE P, �R ® 13424 A34 Dr. Iq Gravel Drive N 00'03'30-W 165.14' "DWELL L T12N RZWScc 30, NR, NW/4, SW/4, NE/4, SE/4 Record Drawing of Septic Upgrade Estate of Hcicn Bieme Parcel Io- 021.022-18 Watkins Engineering, Inc - Permit No. SW070314 Cindy W. Ellis, RE F.W. July 22, 2008 Anchorage, Alaska 99511-0443 Scale 1 Inch - 40 ft Phone: (907) 349.1851, Fax (907) 349.1934 Municipality of Anchorage Development Services Department ?jam YJ O Building Safety Division gram. on-Ste Water and Wastewater Program, 4700 Elmore Road Page of 3 P.O. Boz 196650 Anchorage, AK 99507 www.cf.anchorage.ak.us (907)343-7904 ONSITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number. SW070314 PID Number. 021-022.18 Yen* Estate of Helen Blame Wastewater System: ❑ New © Upgrade Aaa..F 13424 Alpweg, Anchorage ABSORPTION FIELD F1nr" Fasror r Bquonn 3 O DW Trercm 0 Sr Tnam OW O Yana O Om WR" Tar oepn rmm ongema irecie LEGAL DESCRIPTION 2.0 IDSF 3.5 Ft. tiwin 0 FVe Oopan fim 0" VW GnW MOU ElnY0. P" em �a Si°0"ep` N2 NW4 SW4 NE4 SE4 3.0 Ft. 0.5 F1 Fre BtMO*9- tracts CXrv11 LWVM '-"P 12N Range 2W s.csm30 1.0 F1. 23+23.46 F1. Gre+r worm FAarnr a Y"1 Dutra er.e•n w1F Well: ❑ New ❑ Upgrade 5.0 m, 2 6 Ft cw� (Flwete. A a, C). Tar osgn Me1N1" G.10o 46 1t"aplanrw m. � 460 Ft' F 810, ASTM 03034 pry.r or. orrw SYx Wrr 1e.r + H Den `"t1i0 Ft AHome Services 6123!08 vera wrpsrr c..+q".,""°"""""° TANK GPY fl, FL SEPARATION DISTANCES 0 Septic ❑ Hording ❑ s.T.E.P. [3 other: To septic Absorption -bft Holding utgaIl"Nate ° *` T From Tank Field Stadml Tank Sewer Line Anchorage Tank S. Welding, Inc. 1250 Dr mat NueCer a Y converiner Wal 101 195 ISO ISF NA 72 steel 2 s'eacewrr 100,+ I00•+ Imo,+ NA LIFT STATION Lot un. 33 0.5 0.5 NA Gr •Nnip m•".rr 'Euro ar "wr "iyi.""r rrmr Fwdeton 29 95 175 NA w In n NWYruiYOOr E" VJP*=" pwbnneO Of cwt. Oren NA NA NA NA a ENCH MARK Tank has dosing siphon: Oren Model OSI-2D4. w�uo� w North end of west trench was at off. Trench was extended Top of concrete foundation at NW comer of house wa1 8 ft to the southwest. Portion of sand filter box over the north Top of manhole a 99.74 100.00 FL lot line was at o8. SW oalw or ISF • 74.41 Engineet's Stamp Inspections performed by: Cindy W Ellis Dates: 1" 6123108 2nd 6124108 (k Q�•A�� Development Services Department Approval QQoQ� 49 TH. Conditional Approval Date: p " Q . C�f1DY W. Et.U4 to677 ; 03 Reviewed and approved by: Date: Dq�,, •' " C AS -BUILT Based upon an asbuilt survey by Jeffery A. Gastaldi, LS -6091, Dated: July 8, 2008, using a digital file. T12N R2WSec 30, N/2, NW/4, SW/4, NE/4, SE/4 Record Drawing of Septic Upgrade Estate of Helen Bierne Parcel ID: 021-022-18 Watkins Engineering, Inc Permit No. SW070314 Cindy W. Ellis, P.E. P.O. Box 110443 July 22, 2008 Anchorage, Alaska 99511-0443 Scale 1 Inch - 40 ft Phone: (907) 349-1851, Fax: (907) 349-1934 k A 8 C D FCO 6.15 20.19 STI 30.22 153.85 ST2 36.29 60.13 Sampling Port 36.04 6.72 MTI 12.351 24.05 MT2 18.86 33.48 C01 6.06 29.74 CO2 13.47 39.97 AS -BUILT Based upon an asbuilt survey by Jeffery A. Gastaldi, LS -6091, Dated: July 8, 2008, using a digital file. T12N R2WSec 30, N/2, NW/4, SW/4, NE/4, SE/4 Record Drawing of Septic Upgrade Estate of Helen Bierne Parcel ID: 021-022-18 Watkins Engineering, Inc Permit No. SW070314 Cindy W. Ellis, P.E. P.O. Box 110443 July 22, 2008 Anchorage, Alaska 99511-0443 Scale 1 Inch - 40 ft Phone: (907) 349-1851, Fax: (907) 349-1934 k W[',S'r TRENCH N.T.S. rives rnenr = nn v MT2 CO2 23.0 NOTE: Top of Sand filler box at southwest corner is 74.41 elevation Trench was extended to the southwest, and the northeast end was abandoned. The bottom of the trench was matched with the existing trench and new pipe was installed at the same AS—BUILT elevation as the existing pipe. The design was based upon Ted Moore's test hole dated 5/8/87. T12N R2WSec 30, N/2, NW/4, SW/4, NE/4, SE/4 �0000pp.� OF A Cq`r��00 Record Drawing of Sesptic Upgrade D Estate of Helen Bierne Watkins Engineering, Inc O �' TH Y. o> : 49- .: t p ......................... ' ... �C Parcel ID: 021-022-18 Permit No. SW070314 �Q.:: '•. 6 w.o n is O Cindy W. Ellis, RE P.O. Box 110443 Alaska 99511-0443 June 24, 2008 Anchorage, Phone: (907) 349-1851, Fax: (907) 349-1934 No Scale MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program IO �ni 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519.6650 (907) 343-7904 lY d ON-SITE WASTEWATER DISPOSAL SYSTEM PERMITUW Upgrade Date Issued: Nov 27, 2007 Expiration Date: Nov 26, 2008 Permit Number: SW070314 Parcel ID: 021-022-18 Legal Description: T1 2N R2W SEC 30 N2NW4SW4NE4SE4 Design Engineer: 0844 WATKINS ENGINEERING Site Address: Owner Name: HELEN BEIRNE REBOCABLE TRUST Lot Size: 54450 SQ. FT. Owner Address: 10047A CHANDALAR Total Bedrooms: 3 Permit Bedrooms: 3 EAGLE RIVER. AK 99577 - This permit is for the construction of: 0 Disposal Field ❑ Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ 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 engineer must notify DSD at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 ( 24 hours ). ( Not required for a Water Supply Permit only). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. Received By. Date: I 130/07 Municipality of Anchorage 1!0. Na 19(Xi7l) - Awhonige, Alaska !KS19.66N) . 47 (X) Ehiiorc 2wd \ 011ier: (9117) 31.3-R3Ol • F=(!X)7) 313.R:(X) hllp:H%%1%1e.mmiLnrg Mayor Mark Begich Development Scmices Department November 27, 2007 Cindy Ellis Watkins Engineering P.O. Boz 110443 Anchorage, Alaska 99511 Subject: Waiver Request for T12N R2W See 30 N2 NW4 SW4 NE4 SE4 Waiver Request WR#: 070064 Parcel ID If 021-022-18 SW070314 Dear Cindy Ellis: Ment A n �r1JJ� Department Your request for a waiver of the required 10 feet horizontal separation from the absorption field to the propertyline has been approved. The approved separation distance is 0.5 feet. This waiver approval applies to the existing absorption field to property line separation only. Any future upgrade to the on-site wastewater disposal system will require all separation distances be met or another approval from this department. If there are any further concerns or questions regarding this waiver, please call our office at 343-7904. Sincerely, Debeb Gl/ Wockeqdss Civil Engineer On -Site Water & Wastewater Program Conlvnfill ity, Security, Prospci'-ity Municipality of Anchorage Development Services Department +r Building Safety Division On -Site Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchoragc.ak.us (907)343-7904 Waiver Review Worksheet WR#:070064 PID#:021-022-18 HA/Permit# SW070314 Date Received: November 27, 2007 Legal Description: T12N R2W Sec 30 N2 NW4 SW4 NE4 SE4 Engineer: Cindy Ellis Watkins Engineering P.O. Box 110443 Anchorage, Alaska 99511 Applicant: Helen Beirne Revocable Trust Waiver Requested: .5 foot lot line waiver Criteria: Geology A. Water Table B. Soil Sorption C. Permeability D. Water Table Gradient E. Horizontal Separation Total: Points: lease......................................................mass........... Waiver is Granted: X Ust Conditions or Reasons for above: Waiver is not Granted: Date: 11/27/07 By: Deb Wockenfuss Name of Reviewer @seem..... m..ew... seems ... ....aaas...... ..m.maaa........ m.maa..... .msees.. Rec#:01 2483 Amount: $M Date Paid: 11127!2007 Municipality of Anchorage Development Services Department Building Safety Division Onsite Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, Alaska 99519-6650 www.muni.org/onsite (907) 343 7904 � ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. 021-022-18 Property owners) Helen Beime Revocable Trust Day phone Mailing address clo Sonnet Farrell, 10047A Chandalar, Eagle River Zip Code 99577 Site address 13424 Alpweg, Anchorage Zip Code 99516 Legal description (Sub'd., Block & Lot) Legal description (Township, Range & Section) TI 2N R2W Sec 30 N2 NW4 SW4 NE4 SE4 Lot Size 54.450 Sq. Ft. THIS APPLICATION IS FOR (® all that apply): Absorption Field El Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage ❑ Number of Bedrooms 3 THIS APPLICATION IS AN: Initial ❑ Upgrade Renewal ❑ certify that the above information is correct. I further certify that this application is being made for a Single Family Dwelling and is in accordance with applicable Municipal Codes. (Signature oiproperty owner or authorized agent) Permit/RushFees: L/&O.u11 f / giver Fees: VD Date of Payment: If/P& 0 Date of Payment: '/;& LD Receipt Number. 109119 13 Receipt Number. 10;q63 (Rev. 11/05) Watkins Engineering, Inc P.O Box 110443, Anchorage, AK 99511 (907)349-1851 cwellis®gci.net November 23, 2007 Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program P.O. Box 196650 Anchorage, AK 99519-6650 Watkins Engineering, Inc. P.0 Box 110443, Anchorage, AK 99511 (907)349-1851 cwellis@gci.net November 23, 2007 Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program P.O. Box 196650 Anchorage, AK 99519-6650 RE: T12N R2W Sec 30 N2 NW4 SW4 NE4 SE4 13424 Alpweg, Anchorage Proposed Septic System Work To Whom It May Concern: Attached please find the application and supporting documentation for work proposed on the septic system for the referenced 3 bedroom house. An asbuilt survey conducted by LanTech on July 24, 2007 shows a portion of the septic system over the north lot line. It is proposed to abandon the portion over the lot line and extend the drainfield to the southwest. The house has been sold and closing is pending approval of the Certificate of Onsite Systems Approval. The septic system consists of a lined sand filter and 2 drainfields installed in 1993. The construction specifications required staking of the north lot line, and the engineer's septic system installation drawing shows a 5 ft separation to the north lot line. However, a new survey conducted in July 2007 shows a small portion of the sand filter encroaching onto the lot to the north. Also, based upon the location of the cleanout and monitoring tube, one of the drainfields must lie over the lot line. The absorption of the drainfields was tested on September 26, 2007 with excellent results. The sand filter is also fully functional, as observed from an inspection area at the surface. It is proposed to abandon the portion of the sand filter and the drainfield lying over the lot line, and extend the drainfield to the southwest, to achieve sufficient absorption area for 3 bedrooms. The sand filter will have adequate absorption area even after removal of a portion of it. The required area for a sand filter serving 5 bedrooms is 360 ft'. The existing dimensions of the sand filter are 11 ft by 33 ft, which yields an area of 363 ft2. Based upon the survey, only about 0.5 ft2 must be removed. Sewer Upgrade Permit Application for 13424 Alpweg Watkins Engineering, Inc.; November 23, 2007; page 2 This work is proposed to be carried out in the spring, due to the location. It is located near the Glen Alps parking lot, and it is unsafe to attempt to haul sewer rock before the roads are clear of snow and ice. Due to the elevation, we expect spring by June 30. Based upon the survey, approximately 7.5 ft of drainfield must be abandoned. It is proposed to extend the western trench by 7.5 ft to the southwest to replace the abandoned area. The lateral distribution pipe will be installed at the same elevation as the existing lateral, with 0.5 ft of sewer rock beneath it. The replacement area will lie within a 30 ft radius of the test hole. A lot line waiver to 0.5 ft is requested to the north lot line. I believe that this will not adversely affect the adjacent property's water or wastewater disposal needs. They have dug 2 test holes in that area and do not plan to use the test hole near the sand filter for a replacement drainfield. There are no surface waters or private wells within 100 ft of the proposed septic system. am not aware of any adverse effect that this upgrade would have on any adjacent properties' water and wastewater treatment needs. Thank you for consideration of this permit application. If you have any questions or need further information, please call me at 349-1851. Sincerely, �ZV4 W • �- Cindy Ellis', P.E. President T12N R23 SEC 30 SE4 NE4 NW4 SE4 \ \ T12N R2W SEC 30 NE4 NE4 SW4W4 NW4 WE4 SE4 T12N RZW SEC 30 YV2 SE4 NW4 NE4 SE4 T12N RZW SEC 30 E2 SE4 NW4 NE4 SE \ \ \\ \ \ \ septic area / WELL T12N FOW SEC 30 SE4 12311 WELL / 13INE4 13 13363 unshine Loop I WEL Existing Sand Filter \/� / drainfield to berm ved \ _ -- — � south of th loot line � — — \ \ TH \N 3 BR \ \ \\ OUSE WELL I T12N M SEC \ N2 NW4 SW4 NE44 i \ / 13424 Alpweg ----- Vacant T12NRZWSEC30 W2 NE4 SW4 NE4 SE4 / Vacant T12N R2W SEC 30 Vacant / E2 NE4 SW4 NE4 SE WELL r-------- WELL T12N RZW SEC 30 E2 SE4 NW4 SE4 T12N R2W SEC 30 SW4 WE4 SE4 W PTN / / \� / T12N R2W SEC 30 E2 SE4 SW4 NE4 SE / T12N R2WSec 30, N/2, NW/4, SW/4, NE/4, SE/4 Septic QF.A%D System Sand Filter & Drainfield�P E. q � s �� Estate of Helcn Bieme Watkins Engineering,Inc. o h: f 0 497N '•�,p Parcel ID: 021-022-18 �. 0 o �... g Cl X00=; o Cindy W. Ellis, P.E. P.O. Box 110443 ` a �ih577 .%, Gc,AK November 99511-0443�O�ppoo�bo Quo �` 1 0' Scaly. l' -100' Phone: (Anchora907) 3491851 Fax: (907) 349-1934 • Abandon portion of the trench over the lot line. Existing Piping to be re-routed. 2 existing trenches: I 5' wide x 23' long 0.5 ' effective 1 LINED SAND FILTER: 1 ft2 inch encroachment to be cut off by 2 ft. i / / NORTH PROPERTY LINE to be marked by a land surveyor 4# prior to excavation / t I I 1 TH Proposed t / Piping EXISTING \ 30' 3 BR HOUSE I 13424 Alpweg add 7.5 ft of trench I 1 She \ Sand Fitter Area Calculations Required area for 5 BR = 360 ft2 Existing Sand Filter Dimensions 11 ft x 33 ft. Area = 363 ft2 Area over the lot line = 0.5 ft2 0 10 R 1250 gal septic \ w l medius tank w/siphon. \ Siphon to be _ replaced. Based upon a survey by LanTech M4=07 T12N R2WSec 30, N/2, NW/4, SW/4, NE/4, SE/4 0000��°40 OF At °4 Proposed Septic System Work �d ��• ..I I) Estate of Helen Blerne Watkins Engineering Inc $."?P49IN s'��4p Parcel ID: 021-022-18••••••;•••••••••••••••••••••••••p / ......... p Cindy W. Ellis, P.E. P.O. Box 110443 0�:: cir+ win s : o November 23, 2007 Anchorage, Alaska 99511-0443 , opo Scale 1 Inch = 30 ft Phone: (907) 349-1851, Fax: (907) 349-1934 Do' • ......, o 0 � On„• A N 90'00'00" W 328.93' OLD REFRIGERATOR WITH PUMP INSIDE \ WOOD PLATFORM WITH \ �O• \ GREEN ASRTO TURF \\Cil\\ 3 FEET ABOVE GROUND \ SF \ N4 NW4 SW4 NE4 SE4 \�A<P T12N R2W SEC 30 S.M. \CPO \ OF A •...........gA \ \ OMij: O e ....: A. A \ Y \ I;Anth y 4c' ... ni 0 \� \ 920 kA 0�4 a0 ��•(•�V I�C�O \ \ 4��04004 000�C�� \ \ \ \ LAND & CONSTRUCTION SURVEYORS 440 West Benson Boulevard. Suite 200 July 24. 2007 own Sy- NRB Order: 20061_784R1 Checked Br APH N 90'00'00" W 1 328.93' \ \ s Water WeilCan O's_ {Ovarhan9 Lii4 Fence—x—x— �:� Wood Deck,= EXISTING BUILDING N 90'00'00" W 328.93' OLD REFRIGERATOR WITH PUMP INSIDE \ WOOD PLATFORM WITH \ �O• \ GREEN ASRTO TURF \\Cil\\ 3 FEET ABOVE GROUND \ SF \ N4 NW4 SW4 NE4 SE4 \�A<P T12N R2W SEC 30 S.M. \CPO \ OF A •...........gA \ \ OMij: O e ....: A. A \ Y \ I;Anth y 4c' ... ni 0 \� \ 920 kA 0�4 a0 ��•(•�V I�C�O \ \ 4��04004 000�C�� \ \ \ \ LAND & CONSTRUCTION SURVEYORS 440 West Benson Boulevard. Suite 200 July 24. 2007 own Sy- NRB Order: 20061_784R1 Checked Br APH N 90'00'00" W 1 328.93' Ordered By Sennett Farrell, Trustee of Helen Beime Revokable Trust =h Legal Description: AS -BUILT SURVEY CERTIFICATION: LANTECN hos conducted a physicalsurvey of the poparty as shown on this drowing and certifies that the Ynprownents 4ERS—ENGINEERS N4 NW4 SW4 NE4 SE4 situated thereon are within the property lines and no encr acnments e.let other than noted. Phone: 562-5291 T12N R2W SEC 30 S.M. EXCWSIONARY NOTE: It Is the owners responsibility to determine the Fax: 561-6626 existence of any easements• covenants. restrictions or right—of—way Scda: 1"=3Q� takings which do not oppeer on the recorded subdivision plat Under no cgcumstances should any data hereon be used for construction. Grid: 2943 FD/Pa: 672/33 & 693/6 far establishing property linea or for plot—plan purposes. d Legend: S1-} r::''�'I Water WeilCan O's_ {Ovarhan9 Lii4 Fence—x—x— �:� Wood Deck,= EXISTING BUILDING •W - - . _ ,srno z COP O I' Ln � SHE i rn (Jl OO O 5 v Ordered By Sennett Farrell, Trustee of Helen Beime Revokable Trust =h Legal Description: AS -BUILT SURVEY CERTIFICATION: LANTECN hos conducted a physicalsurvey of the poparty as shown on this drowing and certifies that the Ynprownents 4ERS—ENGINEERS N4 NW4 SW4 NE4 SE4 situated thereon are within the property lines and no encr acnments e.let other than noted. Phone: 562-5291 T12N R2W SEC 30 S.M. EXCWSIONARY NOTE: It Is the owners responsibility to determine the Fax: 561-6626 existence of any easements• covenants. restrictions or right—of—way Scda: 1"=3Q� takings which do not oppeer on the recorded subdivision plat Under no cgcumstances should any data hereon be used for construction. Grid: 2943 FD/Pa: 672/33 & 693/6 far establishing property linea or for plot—plan purposes. d Legend: Septic Standpipe(S) r::''�'I Water WeilCan O's_ {Ovarhan9 Lii4 Fence—x—x— �:� Wood Deck,= N 90'00'00" E 164.56' TO, 4-Z4 �kIQv1P� in 0 GUY WIRE Q POWER POLE a TELE d GUY WIRE W4 NEJ SWJ NEJ SEJ T12N R2W SEC 30 S.M. wp�N. oan o � � � area slonot o 0. CAS GRID?9 _ ��)BK 2561 PG`�� 255`' S 89'56'00" )TE: THS DRAWING IS NOT TO BE MODIFIED FOR USE AS A e.� 'p ion; AS -BUILT W4 NE4 SWC NE4 SE4 T12N R2W SEC 30 S.M. ND do CONSTRUCTION SURVEYORS—PLANNER'S— ),West Benson Boulevard. Suite 200 Phone: ......—_ 1 PLAN. water *ei ® r"we—X—x— or.n,o,p SURVEY CERTIFICATION: t�U1TEaH hoe conductea a phpkot ar.ry o/ the proDertY w shorn on NIs drurng and cerUfles Nat the knprovements situated thereon on within the property lines and no encroachment, ..let other than nota. EXCLUSIONARY NOTE It is the Own", responsibility to dstermine the existence of any easements• aovenonts, restrlctlone or right—of—woy takings which do not oppeor on plot Under the reaordea subdlNslUnderno circumstancespprroMould any data heron be used for construction. for establishing perty Mea, or lar plot—plane purposes. Sept. 25. 2006 10rawn A, NGp Municipality of Anchorage Page 1 of DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 ! Anchorage, Alaska 99519-6650 6 Telephone: 343-4744 On -Site Wastewater Disposal System and/or Well Inspection Report Permit Number: S Lv 9 2 03 33 _ __ PID Number: _ 021 0 2 2 18 Name: Hell (3efrne Wastewater System: D New C3 Upgrade Address: P• O• (3 ox I I I 12,s /}n ch f} k y 9 S 1/ ABSORPTION FIELD Phone: 3 LYS- _ I Z9 y No. of Be2rooma L] Deep Trench SA Shallow Trench ❑ Bed [IMound I8 Other LEGAL DESCRIPTION Soil Rating Total Depth from original grade: 3.s' 2, o GPD/S . Ft Lot: Block: Subdivision. t / Depth to pipe bottom from original grade: Gravel depth beneath pipe N '/2 N w '/N S w V'1 IV E /y, S 3. O FL 0• S Ft. Township: Range: Section: Fill added above original grade: Gravel length: ro 1 Ft, )cs2 Ft. WELL: EXlSi CI New ❑ Upgrade Gravel width S ,. Number of lines: 2 Distance between lines: 10 Ft. Classification (Private, A,B:e(al Total Depth_ Cased To. Intal me xphon area Pipe material. Perf r Ft h'60 so. Ft. F'B/0 Driller Dale Drilled. Slzhc bVelci Loci II Installer Cart's C_ cava%» Date installed' 8/3/93 - 9/10 /93 Yield: . Casing Height above Ground TANK GPM Ft. Ft. SEPARATION DISTANCES qq Kl Septic w. Do �nHoldingP an r o S.T.HP. C7 rento 1 0 Septic Al Tt� HolOmg Pewec/Private. Manufacturer /4/,ehGr le Tank Capacity in gallons: 123'0 From Tank Pmld �rorr t r,nk se.,erLee, Material: SI eel Number of Compartments: 2 Well 101' 195 I&0' N.A. >?S' Surface LIFT STATION Water 7lCa�' >i y lcot LotSize in gallons: Manufacturer: Line 2q' S11 S _ 'Pump on level at "Pump off' level a['. High water alarm at: Foundation 2% 9S� 75 curtain Pump Make B Model Electrical Inspections performed by'. Drain _ Remarks: Ass is an e?cper,pzfecf BENCH MARK - n per m, f-fyi,f S�cn c/ �'rIl-er (nS fr�llQi-row, Location and Description: To o� Cin rre l{' dun o(af on Se¢ a 2S 2'`{ .inr ct,t- bc;rrf• Nt Corner o� but(cirn Assumed Elevation: P F% (00.0 ENGINEER'S SEAL ��AVAtl1q 'A'.t°4bIL (ct><{o Tech Svc 8/3/93 Inspections performed by: _ _ / _— __ Dates: lst W'�1r, 49L_ 0 ...................... .> 2ndB/3/93 �°�a�ec�'! n ..... ..u.H.uu�.a . THEODO;:C r, MOORE •_ Department of Healt nd Human Services approval `, 4 6` IU :p CE -3589 .^ Date: %0 14� Reviewed and approved by: 72-013 me, . 9/91) MOA 25 SAMPLING PORT K j H6 5'x 23' F A RESIDUAL WELL DISPOSAL D 3 BDRM DRAINFIELDS HOUSE i t' x 33' INTERMITTENT c od SAND FILTER 3" DIA. Q� SCHED. 40 PVC 0 o D E 1250 GALLON SEPTIC TANK W. DOSING SIPHON FL - SWING TIES FROM: COR "A" COR "B" COR "C" COR "F' COR "G" TO: C.O. "D" 77' 30' M.H. "E" 82' 38' ISF COR "F" 120' 95' 139' ISF COR "G" 109' 89' 143' C.O."H" 6' 32' M.T. T' 12' 26' C.O.'U" 16' 36' M7. "K" - 18' 35' 20 0 20 40 60 80 100 �e Qyi" At. X19 FEET N1/2, NW1/4, SWI/4, NE11/4, SEI/4, iv itf S Y ' 43 SEC 30, Tl 2N, R2W, S.M. `��°°°°°`°°°°`°°° c 6e` INTERMITTENT SAND FILTER SITE ....... ,... I'°°• i1 AS -BUILT PLAN THEOOQi CL �31339 `rb7. �PA�I'fs�f?51.id FLATTOP TECHNICAL SERVICES 1 INCH= 50 FEET 14530 ECHO STREET DRAWN BY TFM ANCHORAGE, ALASKA 99516 OCTOBER, 1993 PERMIT # SW920333 PAGE 2 OF 4 NOTE: THIS IS NOT A SURVEYED PLAT. ALL LOCATIONS SHOWN ARE APPROXIMATE. PERMIT NO: 920333 PID NO: 02102218 1/2"AWW PLYWOOD PAGE 3 OF 4 FINAL GRADE 2" x 6" JOIST HEADER 4" RIGID FOAM BLOCKING (BETWEEN JOISTS) 30 MIL PVC LINER 2" RIGID FOAM INSULATION 1'2"AWW PLYWOOD 2" x 4" AWW FRAMING (STUDS 2' ON CENTER) .../......�./.............." '. THBODOU F. ldOORE 19. ''--,,•.• CE - 3539 • ray 4" DIA. ASTM D-3036 SLOTTED UNDERDRAIN 2" RIGID FOAM INSULATION LEVELING LAYER OF EXCAVATION •.. 0.4:.:4.0 4d :4::.. J.p $:J'iJ:: :::J::::::.iJ :i!•i:i::i f:fA:f:OJ:4:•J4%... ;s -- -- -- -- .OD . ;.;` 0 ;:. '0. .< .; .• .-1p -imam i n: vi 30 MIL PVC LINER 2" RIGID FOAM INSULATION 1'2"AWW PLYWOOD 2" x 4" AWW FRAMING (STUDS 2' ON CENTER) .../......�./.............." '. THBODOU F. ldOORE 19. ''--,,•.• CE - 3539 • ray 4" DIA. ASTM D-3036 SLOTTED UNDERDRAIN 2" RIGID FOAM INSULATION LEVELING LAYER OF EXCAVATION PERMIT NO: 920333 PID NO: 02102218 TBM 100.0- w -NW COR. HOUSE FOUNDATION T M,wi INV 92.5 1250 GALLON SEPTIC TANK W. DOSING SIPHON 3" SCHED 40 PVC ---- SIPHON DISCHARGE LINE NOTE: THE SEPTIC TANK AND ALL PIPE WITH LESS THAN 3' SOIL COVER WAS INSULATED WITH 2" RIGID, BURIAL TYPE INSULATION 49 ........... •"> °. THEOM.E P. ;AGO", CE -3589 y PAGE 4OF4 ROUND SURFACE EFFLUENT DISTRIBUTION PIPES INV 71.8 SAMPLING 4IR DISTRIBUTION PIPES INV 70.8 PORT - 4" UNDERDRAIN INV 68.7 NV 67.5 NTERMITTENT SAND FILTER INV RESIDUAL DISPOSAL N1/2, NW1/4, SW1/4, NE1/4, SE1/4, SEC. 30, T12N, R2W, S.M. ISF WASTEWATER DISPOSAL SYSTEM PROFILE - AS -BUILT FLATTOP TECHNICAL SERVICES NO SCALE 14530 ECHO STREET DRAWN BY: TFM ANCHORAGE, AK 99516 OCTOBER. 1993 PAGE 1 OF 1 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT PERMIT NUMBER:SW920333 DESIGN ENGINEER:FLATTOP TECHNICAL SERVICES OWNER NAME:BEIRNE HELEN DITTMAN OWNER ADDRESS:P.O. BOX 111125 ANCHORAGE AK 99511 PARCEL ID:02102218 LEGAL DESCRIPTION: T12N R2W SEC 30 N2NW4SW4NE4SE4 LOT SIZE: 54450 (SQ. FT.) NUMBER OF BEDROOMS: 2 THIS PERMIT: 2 THIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: DATE ISSUED:10/13/92 EXPIRATION DATE:10/13/93 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 FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: THE ENGINEER MUST NOTIFY DHHS AT LEAST 24 HOURS PRIOR TO EACH INSPECTION. THE PROPERTY OWNER AGREES TO THE ATTACHED SPECIAL PROVISIONS. _ RECEIVED BY: ISSUED BY: �crlila DATE: //zA%4b, DATE: % /c -l2 SPECIAL PROVISIONS FOR PERMIT NO. SW920333 The subject permit is for the construction and testing of an innovative intermittent sand filter wastewater disposal system. 1. The property owners will allow the Department of Health and Human Services (DHHS) and its representatives access to the subject property as required during construction and testing of the wastewater system. 2. If the system does not receive final operating approval from DHHS, the property owner agrees to install a holding tank or construct a conventional on-site wastewater disposal system. 3. It is expected that the effluent discharged from the filter will meet or exceed the following parameters: BODS 10 mg/l TSS 10 mg/l N as NO3 30 mg/l Fecal coliform 500/100ml It is expected that, as a minimum, 12 sampling events will be required, 1 per month for 12 months. Additional or extended sampling and testing may be required should the system not perform as expected during the 12 month test period. F(attop Technical Services 14530 Echo Street, Anchorage, AK99516 Phone (90 7) 345-1355 NZ, NW -1 SW4, NF! SO Section 30, T12N, R2W, S.M. 13424 Alpweg, Glen Alps Intermittent Sand Filter Specifications 1.0 General: 1.1 The scope of the project consists of the installation of a 1250 gallon septic tank with an integral dosing siphon which discharges effluent to a 11' x 33' intermittent sand filter. The effluent from the intermittent sand filter is then collected and,discharged into 2, 5' x 23' residual disposal drainfields. 1.2 Construction shall be as depicted on the approved site plan and design drawings including lsf, 2msf and residual disposal drainfield. Minor deviations from these drawings may be allowed or required by the engineer conducting the inspections. All construction procedures and material specifications shall conform with Municipal and State requirements. 1.3 All separation distances shall be in conformance with Municipal requirements, unless specifically waived. The residual disposal dr-ainfields shall be no closer than 2' from the property line. 1.4 The contractor shall be responsible to obtain any necessary utility locates, and to work around any buried utilities. 1.5 Finish grading, including placement of 4" of topsoil and seeding is required by the Municipality, however it is the responsibility of the owner and is not covered by the engineering inspections. 1.6 Prior to the start of construction, the owner shall arrange for a surveyor to flag the property line in the vicinity of the residual disposal drainfields. 2.0 Septic Tank: 2.1 The septic tank shall be a Municipally approved, 2 -compartment STEP tank with a capacity of 1250 gallons set level on undisturbed soil. The second compartment shall be equipped with an "Orenco" model 204 dosing siphon or an equivalent dosing device as approved by the Municipality and the inspecting engineer. Each compartment of the tank shall be equipped with a 4" diameter cleanout, and physical access to the second compartment shall be provided by means of a watertight, insulated riser and manhole cover. 2.2 The tank shall be buried a minimum of 2 feet, and if the burial depth is less than 4 feet it shall be insulated with 2 inches of approved burial type, rigid insulation. 2.3 All pipe connections to the tank shall be equipped with waterproof mechanical couplings. The 4" wasteline from the residence shall have a minimum slope of 1/4" per foot, and a double cleanout shall be installed within 5 feet of the building foundation. The discharge line from the tank to the intermittent sand filter shall be 4" (D-3034) plastic with a minimum slope of 1/4" per foot and shall be fitted with a double cleanout near the midpoint of the line. A 4" diameter configured as shown on the cross section shall be installed within 5' of the septic tank. Note: Due to the presence of shallow bedrock, care will be required in determining the optimum alignment of these waste lines and some jack hammering may be required. 2.4 The dosing siphon intake shall be set at the elevation specified by the supplier, and the dosing siphon shall be equipped with a dosing cycle counter. 3.0 Intermittent Sand Filter: 3.1 Site preparation consists of excavation of a 12' x 34' level pad set as deep as practical tip to 6 feet below ground level. Due to the presence of shallow bedrock, some jack hammering may be required. The finished surface of the excavation shall be prepared by placing and compacting approved medium sand to achieve a carefully leveled sand surface within +/- 0.1'. 3.2 Next the 4' high sidewalls of the 11' x 33' sand filter enclosure shall be constructed of 1/2" exterior plywood, framed as necessary to hold in position during placement of the filter materials. Any portions of the enclosure that will be within 3' of the finished graded surface shall be insulated with 2" or rigid, burial type insulation. To maintain the stability of the enclosure daring filling, the space between the plywood and the sidewalls of the excavated area shall be filled with sand at the same rate as the inside is filled. 3.3 A 30 mil PVC liner as supplied by "Orenco" shall be laid inside the filter box prior to placement of filter materials. A 4" diameter underdrain of slotted ASTM D-3034 pipe shall be laid longitudinally in the bottom of the filter box passing out through a 4" diameter PVC "boot" where a sealant strip and stainless steel band is to be installed to insure water tightness. The 4" diameter (D-3034) PVC discharge line between the sand filter and the residual disposal drainfield shall be equipped with a sampling well consisting of a cross fitting configured as shown on the cross-section drawing, providing a 2' deep capped sump and 4" riser extending 2' above final grade to allow for pumping of the sump and subsequent sampling. 3.4 A total thickness of 8" of 1/4" "Block Pea Gravel" shall be placed in the bottom of the filter box surrounding the 4" diameter underdrain. MOA approved "sewer gravel" may be substituted for the material immediately surrounding the underdrain. Care shall be taken to ensure that the top surfaces of each material layer is level. 3.5 On top of the pea gravel layer a total thickness of no less than 24" of "Concrete Sand"shall be placed. The sand supplier shall be requested to test and designate that portion of their "Concrete Sand" stockpile for which less than 4% passes the #100 sieve, and only this material shall be utilized in the sand filter. The contractor shall supply a copy of the sieve analysis report to the engineer. 3.6 On top of the filter sand a total of 9" of 1/4" "Block Pea Gravel" shall be placed. The distribution pipe network consisting of a 2" Schedule 40 PVC manifold and 1" diameter Schedule 40 PVC laterals shall be buried level in this pea gravel stratum such that the pipe inverts are no less than 6" above the top of the underlying sand filter layer. The PVC laterals shall have 1/8" diameter orifices drilled in the tops spaced on 2' centers, and shall have capped upturns at the ends configured as shown on drawing Isf. 3.7 The top of the upper pea gravel stratum shall be covered with approved filter fabric plus 2" of rigid burial type insulation, plus a minimum of 2 feet of soil cover. The top 4" of the soil cover shall be topsoil, and the soil cover shall be mounded at least 6" above the surrounding terrain and graded to drain off the top of the sand filter. Side slopes shall be no steeper than 2:1. The owner shall be responsible for final grading of the topsoil and seeding to prevent erosion. 4.0 Residual disposal drainfields 4.1 The 2, 5' x 23' residual disposal drainfields shall be configured as shown on the plans, with the required absorption area being 1/2 that required for a typical septic tank effluent soil absorption trench, based on the pert test results. The drainfields shall be excavated to a depth of 3.5' below the natural ground surface on the uphill sides of the drainfields. 4.2 The bottom of the drainfields shall be level and the 4" diameter perforated distribution pipe shall be buried level in 12" of approved sewer gravel such that the invert of the pipe is no less than 6" above the bottom of the sewer gravel. The 4" diameter non -perforated pipe linking the two drainfields shall be configured with a 6" high bump retaining the initial flow in the upper drainfield. 4.3 The top of the sewer gravel shall be covered with approved filter fabric plus 2" of rigid, burial type insulation, before backfill with no less than 2' of soil cover. The top 4" of the soil cover shall be topsoil and the soil cover shall be mounded at least 6" above the elevation of the surrounding terrain and graded to drain. The owner shall be responsible for final grading and seeding of the topsoil. 5.0 Inspections: 5.1 A total of 7 engineering inspections will be required during the course of the sand filter construction: (1) initial stakeout with the contractor to establish the locations of the system components and to discuss the plans, specifications and construction procedures, (2) after the filter pad has been constructed and plywood sidewalls erected, (3) after the PVC liner and underdrain have been installed, (4) after the underdrain pea gravel has been placed, (5) after the filter "concrete sand" has been placed, (6) after the upper pea gravel has been placed and the distribution pipe network is in place but prior to placement of filter fabric or insulation, and (7) after final backfill and grading is complete. 5.2 A total of 3 additional engineering inspections during the course of the project will be required as follows: (1) After the septic tank with dosing siphon has been set level and all piping is connected, but prior to backfill, (2) after the excavation for the residual disposal trench is complete, but prior to placement of sewer gravel, and (3) after the sewer gravel and distribution piping is in place, but prior to placement of filter fabric, insulation and final backfill. These inspections may be incorporated with any of the above inspections, if feasible. 5.3 The installer shall coordinate the timing of the inspections with the engineer sufficiently far in advance to ensure the availability of the engineer. PV r lOU'+ rU WB44 2'Pa IN 2, S'x27' REfloug47:H. 4t2 DIS poSA4 7RdNeN4eS '\'o W&.44 T. H, #I•--n� I1'X39'XNreRHlrreN ' fgND Fl47d R ! VACANr Da"6L,F C. o. S"M Ph 1 1116 Wd 44 329' FuruR WE°h4 S ITC- 15 TE8 xlr r l NG 2 dSORoor7 House 65'S 55� OOLfQ4♦: C. a o4D o 0lSer+rlC 1,q Vg /YSo 644pN ier+rlc TNNly O4p W. ow"Wr SlPNON EeP. 110T I I/ACRNr L -or flattop Technical Services 14530 Echo Street Anchoracte: [,.1,«t,a 905,r Al '/Z, N W'/y, 5 W'/Y/ N a '/,v/ S 5 '1Y, S t -C. 30 T 12 N, (? 2 li; WNrERMITT6NT SAND C-'IL.TErj WASTEWATER DISPOSAL• SYSTEM S ITr PG RN SCAhE: DATE : 3/92 1) WN. 13Y; TFM NorE7: T141S IS N07 A SUQUO4laf> Pl.Ar, AFL. LOCATIONS ARE APPROXIMArc-, WEaI. K KII.re, FABRIC 11 A A x3 M. r., T 'YN" r0RF Plre (F' -81o) -- - - - - � - - z = ::� = - I [.- - - - = = = 111�!{ . 6+?41 N" NON -PERP Pipe (D-303 H) " — s' IN41"NIF IN NE M. r. POR;�PIrE'�� 6' N" NON -PERF P1PB L"4 PLAN 'ViEkl III X51_0„ SECTION A -AI N r4/N6� wG*44 QISCHARd;AW FRoh XNr, SAND "NDeI? PRAIN H"SAI�rd.lN6waati y" cRoss 2' OROP juHP GAP Y•o'..e ........•..' °_5.°THBUDOfie F, MOORE ; cF-ssav rr ®a%��,, .tj�� • oda N vL Nw'1� Sr�Yr, N49'iv se yy, sec 3a, TizN, rt z r NrfMNirreNT 54NO Pl6rE1'? F3ESID14AA DUPOJ44 TRa'NCNAU PLAN � CR0-SS-SI5=CrlON PILIN, Or.' TFP'I DAM: 3!912 rlattop Technical Services 14530 Echo Street Municipa.uaty ®i Anchorage May 21, 1987 P.O.. , X 196650 ANCHORAGE, ALASKA 99519-6650 (907) 264-4111 TONY KNOWLES, MAYOR DEPARTMENT OF HEALTH & HUMAN SERVICES Ted Moore, P.E. Flattop Technical Services 14530 Echo Street Anchorage, Alaska 99516 Subject: Waiver of Separation Distance to Bedrock N1/2, NWI/4, SWI/4, NE1/4, SEI/4, Sec 30, T12N, R2W, Seward Meridian Dear Mr. Moore: I have conferred with Mike Lewis of ADEC regarding your letter of May 15, 1987. According to Mike it is now ADEC's policy not to render decisions on waivers as far as single family dwellings are concerned. For this reason you will not receive a written response to your request from ADEC for a determination of whether a six foot separation to bedrock is required in this case. Since this decision has been left to the Municipality, I am required to make a determination within the bounds of the municipal wastewater ordinance. AMC 15.65.060 states: "A subsurface disposal field may not be constructed, installed. or used where there is bedrock or any other impermeable barrier or where there is fractured or weathered bedrock within six feet of the bottom of the absorption area." Your soil tests, the well log for the property, and your written description of the difficulties encountered while excavating the soil test hole clearly indicate that the seepage pit is discharging directly into fractured bedrock. The Municipality does not have the authority to waive the required separation to bedrock. In order to obtain a Health Authority Approval for this property the existing seepage pit must be abandoned and replaced with a wastewater disposal system that meets current Municipal code requirements. Sincerely, Stephen S. Morris Civil Engineer On-site Services cc Gus Andress, P.E. Manager, On-site and Water Quality Programs Mike Lewis, ADEC rr ` CIVR. & ENVIRONMENTAL ENGINEERING • ENERGY CONSERVATION & ANALYSIS THEODORE P. MOORE, P.E. May 15 1987 14530 ECHO ST. , PH: (907) 345-1355 ANCHORAGE, ALASKA 99516 Mike Lewis Alaska Dept. of Env. Conservation 437 E. Street Anchorage, AK 99501 RE: Bedrock Determination - N1/2, NWI/4, SWI/4, NEI/4, SEI/4, Section 30, T12N, R214, S.M. Dear Mr. Lewis: This letter follows up on our meeting of May 8 with Helen Beirne regarding Health Authority Approval of her two bedroom, single family wastewater disposal system in Glen Alps. As you requested, I am enclosing a site plan, adequacy test data, well log and soils log. First, a summary of what is known about the system. The Municipal Health Department has no direct record of the wastewater disposal system dating back to the time of construction. There was a Health Authority Approval. issued in 1977, which refers to installation having been done in 1968. The well was drilled in 1972. The wastewater disposal system includes a steel. septic tank, with a capacity of 1300 gallons reported on a 1985 pumper's receipt. This is followed by a crib type seepage pitt of unknown dimensions. The septic tank c.o. pipe is about 10 feet lower and 88 feet away from the well, which was a legal separation at the time of installation. 'hie seepage pit ._.O. is 102 feel: from 1_h - well. As shown on the site plan, there is only one well oblique- ly downslope from the seepage pit, and that is 190 feet away. On May 8, I conducted adequacy tests of the well and septic systems; see enclosed data sheet. At the start of the test the seepage pit contained 31 inches of fluid, and the addition of 326 gallons of water at 6.6 gpm brought this level up an additional 22.75 inches. Over the next hour the level receded 8 inches, and I was then able to put in an additional 90 gallons to bring the level back up. There is no evidence that wastewater from this system has surfaced in the past. Based on this test I concluded that the absorption rate is adequate for a two bedroom residence. Since the system is undocumented, proof of appropriate vertical separation from groundwater is required by Municipal. directive. Accordingly, I arranged to have a backhoe excavate test holes on either side of the system. As shown on the enclosed soil log, fractured bedrock prevented effective digging below four feet, which corresponds to the approximate depth of the bottom of the seepage pit. At this depth the rock still had many fissures, and it was possible to separate it with a pick and shovel.. The material removed from the hole was visually classified as GP. According to the well log, the driller was able to drive the six inch casing 20 feet into the ground before the rock became too hard to drive it further. This would tend to indicate that the fractured zone extends to approximately 20 feet. Despite the fact that this residence is one of the highest in Glen Alps and on a ridge crest, the total depth of the well. is only 75 feet, and has a yield well in excess of 6.5 gallons per minute. This indicates that there is a strong confining strata surrounding the aquifer. Water samples taken from the well showed no bacterial contamination, and only 0.33 mg/l of nitrate. A perforated monitor tube installed to a depth of 45 inches in the hole dug adjacent to the seepage pit- was dry on 5/15/87. This fact, plus the observed fractures in the rock and the demonstrated absorption of the system, all support a conclusion that there is neither a high water table, nor an impermeable bedrock strata immediately below the seepage pit. Since there is no evidence of groundwater contamination, and the system continues to perform adequately, I would tend to give the benefit of the doubt to the people who installed the system over 15 years ago. While the Municipality has the responsibility to rule on the adequacy of this single family system, Steve Morris at the health Department requested that I get a clarification from D.E.C. regarding whether the underlying fractured rock strata should be classified as bedrock for vertical separation distance require- ments. At our meeting you indicated that you felt that the separation requirement was not applicable in this case, since the strata does not appear to be impermeable. If, after reviewing this letter, you still hold this opinion, would you please confirm it in writing to Mr. Morris, with a copy to me. Thank you for your review and assistance in this matter. Sincerely, Ted Moore, P.E. cc: Steve Morris, M.O.A. DHHS Helen Beirne -Flattop Technical Services 14530 Echo Street Anchorage, Alaska 99518 —7 N 1/7 tq w 1/y V Cu T 12 N F32w Sm w 1/z N r— NEVy ;C-PA6�0 Pfr . ... . ....... P Dt-7 V for CA N r VerCAN7- J 1. or 6 a7 J 'r5 YyE V)- SE '/Y .d�� am VA V' 4 A 'A OF At ®k ........... ........... .......... THEODORE F. MOORE .-. 9 CE - 3589 .. t,� 4f4Y e§6 ON, -S 17-E- pt AN 5 Cu '/'I NG- pq S S V'y S�--e 3 11 T/2 N DATE Sl IS /6T SCAB 0, !:z'- too, Otuty 7-K'/'7 I/ THIS u Nor 4 sQr?"-y PiAr 4G 497CA'r (6N_r A'3,1 APIOAOA1147, FLATTOP TECHNICAL SERVICES TIME 120 METER 14530 Echo St., Anchorage, AK 99516 - Ph. (907) 345-1355 C 4 ADEQUACY TEST DATA SHEET Legal 'Description:__A.117-, N /y Scu'/y NE/y SEXY Sc�3o TizN RZw Street Address: 13 yey_4lpuieG 0 Client Name: 14elen het -Ae Iz;Y2 er9y6� le) Test Date:__T/7/87 Tested By: 'i>'h Initial Conditions: l: as &?v67 Float #1in Se,4ke Go. set 2Y " b.t.o. a itpipe w. rs " fluid Float #2 in SQe�,T C set 8 It b.t.o, 6 " pipe w. 3i " fluid Float #3.in set " b.t.o.. " pipe W. " fluid Float #4 in set " b.t.o. Water added tlirough: Seq!-ic c, o, -- " pipe w. " fluid (6 BZ(G� 32� H� ACTION TAKEN TIME 120 METER NET. GAL WELL LEVEL - srih, C 4 C-0. O 36 0 0 Iz;Y2 er9y6� le) ys l: as &?v67 -2- 2- + S (6 BZ(G� 32� H� i. tzz3iY! 21 Yo o 3 g a o rf7 z _ r P:oQ e 2 t G� f p 39 `/, 2:11 822yp t 7y 99 +Y� {Zai 31y X26 O t2 -(3l 2: 2� o n. Measured Wwzj�3 YieldGGS9 y� min rM Unit Absorption Capacity n326s-1 Average Absorption Rate .. 905Y-V4r Adequate for -> 2 Bdrms Surge Capacity = 3vacya( Adequate for 21- Bdrms S . M, QO SOILS LOG MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION PERCOLATION TEST 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG - PERCOLATION TEST PERFORMED FOR: geleo Beirne DATE PERFORMEM SZf5 I6? LEGAL DESCRIPTION: N N W t/N SW t /Y NE SAY sE Vy Scrc .36 Tie Ny /; z w S hl DEPTH oI. SLOPE SITE PLAN 1 6 P Sof-f Frac iurL•oC Rock 2 and Gravet n+tlr he re, 3 Frac4�rect RacF 4 —6H 5 6 7 8 9 10 11 12 13 14 was®4q 15 nk n ®`� OF AC �® 16 m 9TH 17 •••;-'y74 17 p ...................... 18 ®Q THEODORE F, MOORE ; f CE -3589 19 X10`®Nprotessiona� ®�°`�� 20 WAS GROUND WATER S ENCOUNTERED? N L 0 P IF YES, AT WHAT E DEPTH? Reading Date Gross Time Net Time Depth to Water Net Drop PERCOLATION RATE '% If. 'I TEST RUN BETWEEN FT AND FT COMMENTS_ ys�• How /er �..e St n l"Itrce "n b(S�/e/87 iiG cencr of fi�p riC rte e.( PERFORMED BY: _F(a tt% %ec/njcy,/ Sgrvote CERTIFIEDBY: DATE 72-008 (6/79) 5!, 4 1 �r6 x c4 00 �t roI Ci i u c d y; c: . = C c7 a� w" w w w Ld ii .i Fi �y Fi Fi Ei Fi Fi `H �r Fi H �Fy EHyy �Fu� ��Fyy �Fy� DHy� DHy ��Fyy SFry DHyy �Fyy a ° C z . ti Wi 7i i w z q � Vl: �: V1i w W a 3 °oC4w �• °a a a a a a 0 ° q Ch x w 6i w N. w CC w W w 0.'i W N.. w fC w Du' w Nw w Pi w rz W x c4 00 �t roI _j7/51=S0 1 PC G �Qmc% k�8s O c d y; c: . c7 a� w" w w w ii .i H �Fy EHyy �Fu� ��Fyy �Fy� DHy� DHy ��Fyy SFry DHyy �Fyy C . ti Wi 7i i 7 i i Vl: �: V1i y F vI� x w 6i w N. w CC w W w 0.'i W N.. w fC w Du' w Nw w Pi w rz W a w ? 3 a a x _j7/51=S0 1 PC G �Qmc% k�8s O Municipality of Anchorage Development Services Department Building Safety Division _ Onsite Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 995196650 www.muni.org/onsfte (907)343-7904 Parcel I.D. CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING 021-022-18 1. GENERAL INFORMATION COSA # D 9 O n I y - Expiration Date: y- — ;z 3 "'D 9 Complete legal description T12N R2W Sec 30 N2 NW4 SW4 NE4 SE4 Location (site address) 13424 Alpweg Dr., Anchorage, AK 99516 Current Property owner(s) Brian 6 Young Chd Day phone Mailing address 13424Alpweg.AndroraW.AK 99516 Lending agency Day phone Mailing address Real Estate Agent Chris swtres / ReMax Properties Day phone 338-0292 Mailing Address 110 W. 36th Ave., Andwrage, AK 99503 Unless otherwise requested, COSA will be held by DSD for pickup 2. NUMBER OF BEDROOMS: 3 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well 0 Individual On-site ✓❑ Individual Water Storage ❑ Individual Holding Tank ❑ Community Class Well ❑ Community On-site ❑ Public Water System ❑ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) issues Certificates of On-SRe Systems Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of Onsite Systems Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues COSAs upon request to homeowners. Certificates of Onsite Systems Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water sample results. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seat affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of Onsite Systems Approval Guidelines for this application, shows that the on-sfte 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 Watkins Engineering, Inc. Phone 907-349-1851 Address PO Box 110443, Anchorage, AK 99511-0443 Engineer's Printed Name Cindy W. Ellis 6. DSD SIGNATURE _Aeff'�' Approved for ?Z bedrooms. Disapproved. Date VfG.•..�%F......A. 4q�� 49T" s : tyIn CE iow Conditional approval for bedrooms, with the following Attachments: COSA Checklist _X Arsenic Advisory Septic System Advisory Maintenance Agreements Well Flow Advisory Supplemental Engineer's Report Nitrate Advisory Other By Original Certificate Date: I — .2_ 3 "0 (R« 11M) Municipality of Anchorage • ' 1 Development Services Department ' Building Safety Division On -Site Water & Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-0650 www.muni.org/onsite (907)343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description: T12N R2W Sec 30 N2 NW4 SW4 NE4 SE4 Parcel ID: 021-022-18 A. WELL DATA Well type prom If A. B, or C provide PWSID # Date completed 814/08 Sanitary seal (YIN) Yes Total depth IL_ft. Cased to 45 ft. FROM WELL LOG Date of test 8114/08 Static water level 42 Well Log (YIN) Yes Wires properly protected (YIN) Yes Casing height (above ground) 24 in. AT INSPECTION NA- new ft. NA -new ft. Well production 15 g.p.m. WATER SAMPLE RESULTS: Coliform 0 colonies/100 mL Nitrate 0.522 mg/L Arsenic: <0_005 mgA Date of sample: tn2= B. SEPTICIHOLDING TANK DATA Tank Type/Material steel septic tank Tank size 1250 gal. Number of Compartments 2 NA -new g.p.m. Other bacteria 0 colonies/100 mL Collected by: Cindy SUIS Date installed 8/3/93 Cleanouts (YM) Yes Foundation cleanout (YIN) Yes Depression over tank (YM) High water alarm (YIN) NA Date of pumping 1014/07' Pumper A. HOME SERVICES C. ABSORPTION FIELD DATA ** 6/23/08 & Date Installed 8110/93 Soil rating (g.p.d.&' or ft2/bdnn) 2.0 System type shallow trench Length 46 ft. Width 5.0 ft. Gravel below pipe 0.5 ft. Total depth 3.5 ft. Eff. absorption area 460 f? Monitoring tube Yes Depression over field n Date of adequacy test 9/26107 Results (Pass/Fail) Pass For 3 bedrooms Fluid depth in absorption field before test 0 in. Water added2707.5 gal. New depth 0 in. Elapsed Time: 0 min. Final fluid depth 0 in. Absorption rate >= 450 g.p.d. Any rejuvenation treatment (past 12 mo.) (YIN & type) no If yes, give date D. LIFT STATION Date installed NA Size in gallons 'Pump on' level at _in. 'Pump oft level at_ in. Datum Cycles tested E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot 100'+ Absorption field on lot 100'+ Public sewer main 100'+ Sewer /septic service tine 90+ Manhole/Access (YIN) High water alarm level at Meets alar & circuit requirements? On adjacent lots 100'+ On adjacent lots 100'+ Public sewer manhole/cleanout 100'+ Holding tank 100'+ Animal containment areas 100'+ Manurelanimal excrete storage areas 100'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 25+ Water main 100'+ Welts on adjacent lots 100'+ Property tine 30+ Absorption field 100'+ Water service line 70+ Surface water 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 0.5 (waiver 0701364) Building foundation 20+ Water main 100'+ Water Service tine 100'+ Surface water 1()0'+ Driveway, parkingNehicle storage 100'+ Curtain drain None known Wells on adjacent lots 100'+ F. COMMENTS: House was vacant from June 2007 to December 2008. "Trench was extended to the south and the portion north of the lot line was abandoned In June 2008. Intermittent Dosing Sand Filter system uses siphon for dosing - no lift station. New wen was drilled in August 2008. G. ENGINEER'S CERTIFICATION Aly rq I certify that I have determined through field inspections and *' 49TH /.p review of Municipal records that the above systems are in 40 conformance with MOA COSA guidelines in effect on this date. _ Engineer's Printed Name Cindy W. Ellis cilli C Date I-2/'D� ��•.._ CE-tosn .` to COSA Fee Date of Payment Receipt Number, (Rev. 11105) Waiver Fee $ Date of Payment Receipt Number ffil 111=60' N1/2 NW1/4 SW1/4 NE1/4 SE1/4 LOCATED WITHIN SECTION 30, T12N, R2W, S.M., ALASKA CONTAINING 1.25 ACRES, MORE OR LESS. N 90.00'0( SEPTIC SYSTEM mor o/ 10' GAS ESMT. (PER MOA GRID 2943) (6K 2561. PG 254) GRAVEL ROAD' (APPROXIMATE) GASTALDI LAND SURVEYING, LLC JEFF A. GASTAL.DI, R.L.S. 2000 E. DOWLING RD., SUITE 8 ANCHORAGE, ALASKA 99507 PHONE 248-5454 GRID DATE 2943 1/8/2009 F.B. JOB NO. 07 -OSA WITKNUK2 N 90.00'00"E 328.93' FOUND 5/8" REBAR 33.2' Dp FOUND MONUMENT I HEREBY CERTIFY THAT I HAVE SURVEYED THE PROPERTY DEPICTED ABOVE AND THAT NO ENCROACHMENTS EXIST EXCEPT AS INDICATED. IT IS THE RESPONSIBILITY OF THE OWNER TO DETERMINE THE EXISTENCE OF ANY EASEMENTS, COVENANTS OR RESTRICTIONS WHICH DO NOT APPEAR ON THE RECORDED SUBDIVISION PLAT. UNDER NO CIRCUMSTANCES SHOULD ANY DATA HEREON BE USED FOR CONSTRUCTION OR FOR ESTABLISHING BOUNDARY OR FENCE LINES. ANCHORAGE RECORDING DISTRICT, ALASKA NOTE. NO CORNERS SET THIS DATE OF A i .•• •. r m ' Je ery A. Gastoldi t ' LS -6091 : o� �A Vol 4V "lo jessionol'-pP �6 4w ��Ikr•*s V V I V V 11 \ V V V 1 SCALE. 111=20' r ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND REPAIR AGREEMENT MEMORANDUM OF UNDERSTANDING BETWEEN MUNICIPALITY OF ANCHORAGE AND Joseph Connolly THIS MEMORANDUM OF UNDERSTANDING made and entered into as of this Day of °"r7 of2009 , by and between Joseph Connolly 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 Intermittent Dosing Sand Filter Treatment System (A W WTS), described as located at 13424 Alpweg Dr. / T12N R2W Sec 30 , Anchorage, Alaska. N2 NW4 SW4 NE4 SE4 2. Definitions. A. Alteration. Any change to the design or function of an AW WTS 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 AW WTS 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 AW WTS 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 AW WTS, 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 ZERO ($ .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 A W WTS. 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: ANNUAL 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 AW WTS 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 AW WTS is the governing professional guidelines for the construction, maintenance and repair of the Owner's AW WTS. 7. Nonwaiver. The failure of either party 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 party 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: Joseph Connolly 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..Turisdiction: 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. ONNF.R`�� By: Date. STATE OF ALASKA THIRD JUDICIAL DISTRICT The foreg+ 20LQJ by expires: MUNICIPALITY: By: Title: Date: ) ss. d before me this�� day of , -r . v a% i NOTARY A PUBLIC. Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 995195650 www.muni.org/onsite (907)343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. 021-022-18 1. GENERAL INFORMATION ZD COSA # Dg ogl5D Expiration Date: 0 ^dZ ' D ri Complete legal description T12N R2W Sec 30 N2 NW4 SW4 NE4 SE4 Location (site address) 13424 Alpweg Dr., Anchorage, AK 99516 Current Property owner(s) Helen Beime Revocable Trust Mailing address Lending agency Mailing address Real Estate Agent Mailing Address Day phone Go Sonnet Farrell, Trustee; 10047 "A" Chandalar, Eagle River, 99577 Day phone Wendy Stevens /Dynamic Properties Day phone 240-4029 3111 C Street, Suite 100, Anchorage, AK 99503 Unless otherwise requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: Individual Well ✓❑ Individual Water Storage ❑ Community Class Well ❑ Public Water System ❑ TYPE OF WASTEWATER DISPOSAL: Individual On-site s❑ Individual Holding Tank ❑ Community On-site ❑ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of On -Site Systems Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues COSAs upon request to homeowners. Certificates of On -Site Systems Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water sample results. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineers work. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further 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 Finn Watkins Engineering, Inc. Phone 907349-1851 Address PO Box 110443, Anchorage, AK 99511.0443 Engineer's Printed Name Cindy W. Ellis 5. DSD SIGNATURE i/• Approved for bedrooms. Disapproved. Conditional approval for Date bedrooms, with the following ON-SITE Attachments: COSA Checklist X Septic System Advisory Well Flow Advisory Nitrate Advisory Arsenic Advisory Maintenance Agreements Supplemental Engineer's Report Other By: Original Certificate Date:" 02 (Rw 1IMS) Municipality of Anchorage •,o, Development Services Department `^ \\\ Building Safety Division On -Site Water & Wastewater Program - ' • °' 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 995196650 www.muni.org/0nsde (907)343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description: T12N R2W Sec 30 N2 NW4 SW4 NE4 SE4 Parcel ID: 021-022-18 A. WELL DATA Well type pri If A. B, or C provide PWSID # = Well Log (Y/N) Yes Date completed 6/21/1972 Sanitary seal (Y/N) Yes Wires properly protected (Y/N) Yes Total depth 75 ft. Cased to 20 ft. Casing height (above ground) 21 in. FROM WELL LOG AT INSPECTION Date of test 6/20/72 926/07 Static water levet 36 ft. 31 ft, Well production 15 9.p,m. 6.5 g.p.m. WATER SAMPLE RESULTS: Coliform 0 colonies/100 mL Nitrate 0.536 mg/L Other bacteria 1 colonies/100 mL Arsenic: <0_005 mgA Date of sample: 9/24/07 Collected by: Rocky Trainor B. SEPTIC/HOLDING TANK DATA Tank Type/Material steel septic tank Date installed 8/3/93 Tank size 1250 gat. Number of Compartments 2 Cleanouts (YM) Yes Foundation cleanout (Y/N) Yes Depression over tank (Y/N) n High water alarm (YM) NA Date of pumping 10/4/07. Pumper A+ HOME SERVICES C. ABSORPTION FIELD DATA Date installed 8/10/93 Soil rating (g.p,d.e or f?/bdrm)2.0 System type shallow trench Length 46 ft. Width 5.0 ft. Gravel below pipe 0.5 ft. Total depth 3.5 ft. Eff. absorption area 460 ft? Monitoring tube yes Depression over field n Date of adequacy test 9/26/07 Results (Pass/Fall) Pass For 3 bedrooms Fluid depth in absorption field before test 0 in. Water added 2707.5 gal.. New depth 0 in. Elapsed Time: 0 min. Final fluid depth 0 in. Absorption rate >= 450 g.p.d. Any rejuvenation treatment (past 12 mo.) (YM & type) no If yes, give date D. LIFT STATION Date Installed NA Size In gallons Manhole/Access (YM) 'Pump on' level at_ in. 'Pump otr level at _ in. High water alarm level at in. Datum Cycles tested Meets alar & circuit requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tanknift station on lot 100'+ On adjacent lots 100'+ Absorption field on lot 100'+ Public sewer main 100'+ Sewer /septic service line 60+ On adjacent lots 100'+ Public sewer manhole/cleanout 100'+ Holding tank 100'+ Animal containment areas 100'+ Manurelanimal excrete storage areas 100'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 25+ Property line 30+ Absorption field 100'+ Water main 100'+ Water service line 70+ Surface water 100'+ Wells on adjacent lots 1004 SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 0 - will be moved Building foundation 20+ Water main 100'+ Water Service line 100'+ Surface water 100'+ Driveway, parking/vehicle storage 100'+ Curtain drain None known Wells on adjacent lots 100'+ F. COMMENTS: House has been vacant since June 2007. Intermittent Dosing Sand Filter system uses siphon for dosing - no lift station. Siphon was Inspected and repaired, sand filter lines were hydrojetted and flushed by A+ Home Services. Well is located on adjacent lot to the east, with ingress/egress agreement Maintenance agreement attached G. ENGINEER'S CERTIFICATION .e/00011fteA._ I certify that I have determined through field in P�** 'S4 �9 inspections and �. review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. *,.' �`t�-9TH 7 7 Engineer's Printed Name Cindy W. Ellis Date II - 23-0% Cin y W. Ellis COSA Fee Date of Payment J I ,•,, vD Receipt Number (Rev. 11105) Date of Payment �� Receipt Number_ Watkins Engineering, Inc. RO Box 110443, Anchorage, AK 99511 (907)349-1851 cwellis@gci.net November 23, 2007 Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program P.O. Box 196650 Anchorage, AK 99519-6650 RE: T12N R2W Sec 30 N2 NW4 SW4 NE4 SE4 13424 Alpweg, Anchorage Request for Conditional COSA To Whom It May Concern: A conditional COSA is requested for the subject property, which will require work on the septic system. A recent survey shows the existing septic system to partially lie over the north lot line, and a permit has been applied for to move the septic system in the spring. Due to the location of the property near Glen Alps in the Chugach Mountains, it is unsafe to attempt to haul sewer rock and other heavy equipment during the winter. A deadline of June 30, 2008 is requested for completion of the work. Three bids (copies attached) have been obtained from excavators for the work, and funds have been escrowed in the amount of 150% of the estimated costs. Funds are not to be released until approval of the final COSA. Thank you for consideration of this conditional COSA application. If you have any questions or need further information, please call me at 349-1851. Sincerely, Cindy Ellis, P.E. President Municipality of Anchorage Development Services Department Building Safety Division Onsite Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519.6650 www.muni.org/onsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. 021-022-16 1. GENERAL INFORMATION COSA# Uo�SO Expiration Date: Complete legal description T12N R2W Sec 30 N2 NW4 SW4 NE4 SE4 Location (site address) 13424 Alpweg Dr., Anchorage, AK 99516 Current Property owner(s) Helen Beime Revocable Trust Day phone Mailing address Go Sonnet Farrell, Trustee; 10047 W Chandalar, Eagle River, 99577 Lending agency Mailing address Real Estate Agent Mailing Address Day phone Wendy Stevens /Dynamic Properties Day phone 240-4029 3111 C Street, Suite 100, Anchorage, AK 99503 Unless otherwise requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: Individual Well ✓❑ Individual Water Storage ❑ Community Class Weil ❑ Public Water System ❑ TYPE OF WASTEWATER DISPOSAL: Individual On-site El Individual Holding Tank ❑ Community On-site ❑ Public Sewer ❑ C 1, � 4 The Municipality of Anchorage Development Services Department (DSD) issues Certificates of Onsite Systems Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of On -Site Systems Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also Issues COSAs upon request to homeowners. Certificates of Onsite Systems Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water sample results. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions In the professional engineer's work. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure Indicated herein. I further 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 Watkins Engineering, Inc. Address PO Box 110443, Anchorage, AK 99511.0443 Phone 9177-349-1851 Engineer's Printed Name Cindy W. Ellis Date //-Z3- a-7 A •.{y }• y 49h ,,. 5. DSD SIGNATURE "`•t Ctr(tly W, Ellis Approved for bedrooms. CE.1osn Disapproved. C Conditional approval for '_ bedrooms, with the following stipulations: Attachments: COSA Checklist X Septic System Advisory Well Flow Advisory Nitrate Advisory Arsenic Advisory Maintenance Agreements Supplemental Engineer's Other e - ,.`Q?: '•. Gam% z � • ��ca Pp10„ ' , By; �O(�y lam( �n%4Cttt r. Original Certificate Date: (Rw IiM) Municipality of Anchorage Development Services Department Building Safety Division On -She water 6 Wastewater Program 4700 SM98w Street P.O. Box 198850 Anchorage, AK 99519-6850 www.munLorglonske (907) 343.7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description: T12N R2W Sae 30 N2 NW4 SW4 NE4 SE4 Parcel ID: 021-022-18 A. WELL DATA Well type Pi If A, B, or C provide PWSID i = Date Meted 8/21/1972 Sanitary seal (YIN) yes Total depth 75 R. Cased to 20 fl. FROM WELL LOO Data of teat 6120772 Static water level 38 R. Well production 15 g.p.m. WATER SAMPLE RESULTS: Coliform 0 colomeal100 ml Nitrate 0.838 mg/L Arsenic: <0_005 mgA Date of sample: =4107 B. SEPTICIHOLDING TANK DATA Wali Log (YIN) Yea Vires property protected (YAC Yes Casing Might (above ground) ZL_ih. AT INSPECTION 9/28/07 31 fl. 6.5 9.p.m. Other bacteria 1 coloniea1100 mL Collected by: Rocky Trainor Tank Type/Material steel septic tank Date installed 813193 Tank size 1250 gat. Number of Compartments 2 Cleanouts (YIN) Yes Foundation cleanout (YAV) Yes Depression over tank (YIN) n High water alarm (YM) NA Date of pumping 1014107 Pumper A+ HOME SERVICES C. ABSORPTION FIELD DATA Date installed 8110193 Soil rating (g.p.d.A't° or felbdrm)2.0 System1ype shallow trench Length 45 fl. Width 5.0 fl. Gravel below pipe 0.5 fl. Total depth 3.8 fl. Eft absorption area 450 fe Monitoring tube Yes over field n Date of adequacy test 94MM Results (Pass/Fog) Pass For 3 bedrooms Fluid depth in absorption field before test 0 in. Water add Zed 7Q7.5 gal. New depth 0 n. Elapsed Time: 0 min. Final fluid depth 0 in. Absorption rate >= 450 g.p.d. Any rejuvenation treatment (past 12 mo.) (YIN b type) no It yes, give date D. LIFT STATION Date installed NA 'Pump on' level at _ in. Size in gallons ManhoWAecess (YIN) 'Pump off* level at _, in. High water alarm level at in. Datum Cycles tested E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tenkAilt station on lot 109+ Absorption field on lot 100'+ Public sewer main 100'+ Sewer /septic service fine 60+ Animal containment areas 1001+ Meets alarrn b circuit requirements? On adjacent lob 100'+ On adjacent lots 100'+ Public sewer manhole/cleanout 100'+ Holding tank 100'+ Manurelanimal e=ete storage areas 1004 SEPARATION DISTANCES FROM SEPTICIHOLDING TANK ON LOT TO: Building foundation 25+ Property one 30+ Absorption flak! 100'+ Water main 100'+ Water service line 70+ Surface water 100'+ Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property fine 0 - wo be moved Building foundation 20+ Water main 100'+ Water Service fine 100'+ Surface water 100'* i)rivervay, parkirglvehide atorags 100'+ Curtain drain None known Wells on adjacent lots 100'+ F. COMMENTS: House has been vacant since June 2007. Intermittent Dosing Sand Fiffer gstens cess siphon for dosing - no fiR Gation. Siphon was impeded and repaired, sand Alter lines were hydroMled and flushed by A+ Home Services. Wefi is located on adjacent lot to Are east, With ingress/agrees agreement Maintenance agreement attarired G. ENGINEER'S CERTIFICATION �AMSBAraw— I aerflly that l have determined Alrotrgh field arspectlons and t"1 F......:.....*1"1 review Of Munk*W records that Me above Systems era in 'A confarnarroe with MOA COSA guidelines in effect on this date.' 4 9� Engineer's Printed Name Cindy W. Ellis . - Date I1- 23-07 �.. Cin�Y W. EINs C y COSA Fee $ S1�VOblier ea Date of Payment i 7.I Data of Payment li Receipt Number Iiia -i A 3 Receipt Number 10,743 (Rev. 11A6) Watkins Engineering, Inc RO Box 110443, Anchorage, AK 99511 (907)349-1851 cwellis@gci.net November 23, 2007 Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program P.O. Box 196650 Anchorage, AK 99519-6650 RE: T12N R2W Sec 30 N2 NW4 SW4 NE4 SE4 13424 Alpweg, Anchorage Request for Conditional COSA To Whom It May Concern: A conditional COSA is requested for the subject property, which will require work on the septic system. A recent survey shows the existing septic system to partially lie over the north tot line, and a permit has been applied for to move the septic system in the spring. Due to the location of the property near Glen Alps in the Chugach Mountains, it is unsafe to attempt to haul sewer rock and other heavy equipment during the winter. A deadline of June 30, 2008 is requested for completion of the work. Three bids (copies attached) have been obtained from excavators for the work, and funds have been escrowed in the amount of 150% of the estimated costs. Funds are not to be released until approval of the final COSA. Thank you for consideration of this conditional COSA application. If you have any questions or need further information, please call me at 349-1851. Sincerely, Cindy Ellis, P.E. President FIRST,' AMERICAN T1TLEOfAlaska ANCHORAGE 7015 C Sum. 99501 19071 S61.1844 IFas1561.1948 November 27, 2007 Municipality of Anchorage EAGIf MIR Municipality Onsite Water and Wastewater 10928 EaRle R.n Rd., 5w1e 1:0.995;7 Bragaw & Tudor 190; 7 6914156 IFas1694.1474 RE: 13424 Alpweg, Anchorage, AK JRANSA6ASYA TITU COWANAS Onsite Water and Wastewater: HOMER 7670 lake 51"L Su3e 700.99607 First American Title will hold one and one—half times the 190712155201 IFa0275S203 estimated amount for repairs of the septic system on the above described property. Funds in the amount of $15,000.00 (Repairs estimate $10,000.00 plus $5,000.00) will be held R,'NFA7; from seller proceeds and released after First American Title 2227 Nwh knbn A,~. 99801 has received approval of the Municipality of Anchorage for 007) 789 525.1 INN 7897193 release of funds. These funds will be held in escrow at First American Title KENAI after closing provided that the buyer and seller have signed 105 had.nS Bar Roil, So4e 101.99611 First American's Escrowed Funds Agreement. M07) 283 7501 (Fu) 281-7719 Please eejlet me know if you need further information. KODIA (90714K Sincerely, ly, 126 Ceram Saw. Sink 205,9961S 19071/868 U811as)48687A1 � �/ Bernice Baker sroARo Senior Escrow Officer 909 Thud A,ewe, Bos 469, 99664 79077274.5:721Fas1224.5291 176 Nosh 8.xh, 99669 M77 2625708 IFasl 262 9594 NNS81A 165 EaO Pahs Hwg Surae 101.99654 190713765248 6a41766010 ' " +, First Amencan Title Insurance Company ' 'y 3035 C street First American Anchorage, AK 99503 11�_z'P-44 � Phn - (907)561-1844 (800)770-0510 Fax- (907)561-1948 ESCROWED FUNDS AGREEMENT (Seller/Buyer) This Agreement made this Twenty-seventh day of November, 2007, by and between Helen Dittman Beime Revocable Trust (hereinafter referred to as "Seller"), party of the first part, and Brian Choi (hereinafter referred to as "Purchaser"), party of the second part, and First American Title Insurance Company (hereinafter referred to as"Escrow Agent"), party of the third part; WITNESSETH: WHEREAS, the Seller owns the following described real estate: The North one-half of the Northwest one-quarter of the Southwest one-quarter of the Northeast one-quarter of the Southeast one-quarter (N1/2 NW3/4 SW3/4 NEI/4 SE1/4) in Section 30, Township 12 North, Range 2 West, Seward Meridian, Anchorage Recording District, Third 3udicial District, State of Alaska. A.P.N. 021-022-18 WHEREAS, the real estate has been sold to Purchaser; and WHEREAS, the Purchase Agreement dated September 21, 2007 provides for Seller to complete certain improvements to the above property; and WHEREAS, weather and/or supply prevent the completion of said items; and WHEREAS, it Is the desire of the Seller and Purchaser to close the sale prior to the completion of the improvements and at the earliest possible date; NOW THEREFORE, for and in consideration of the premises hereinabove set forth and in order to make possible the immediate delivery of possession of the property to the Purchaser and at the same time assure the satisfactory completion of said improvements, the parties hereto agree as follows: 1. The Seiler covenants and agrees to complete the improvements enumerated below on or before 3une 30, 2008. 2. The Seller agrees to pay for all labor and material necessary to complete the work and Improvements. 3. The Seiler additionally agrees that he/she/they is/are personally liable to the Purchaser for the satisfactory completion of the work, free and clear of all material and labor liens, and indemnifies the Purchaser and the Escrow Agent for any liability for Gaims of Lien filed against said property for the improvements mentioned herein after the closing of this sale. 4. The Seller herewith deposits with the Escrow Agent and the Escrow Agent acknowledges receipt of the sum of $15,000.00 which said sum shall be held by the Escrow Agent in a Non -Interest Bearing Account and disbursed as follows: Page 1 of 3 First American Title Insurance Company File No.: 0201-1044117 (BEB) Date: November 27, 2007 (a) In the event the Seller completes the work and Improvements in full accordance with this Agreement and to the satisfaction of the Purchaser, Seller shall file written notice to Escrow Agent to disburse funds. Escrow Agent shall, within a reasonable time thereafter, mail by certified mail, one copy of the notice to each of the Purchasers at the address stated in this Agreement and request mutual written instructions stating same. If Purchaser has not filed written objection to disbursements of funds with the Escrow Agent within fifteen (15) calendar days after date of mailing or otherwise does not respond, Escrow Agent is authorized, at its option, to comply with the notice and thereupon pay to the Seller the sum deposited, plus accrued interest, if any. (b) In the event the Seiler fails to complete all or any part of the improvements enumerated below, on or before the date specified in Paragraph 1, the Purchaser shall have the right to enter Into a contract with any third party for the completion of such part of the work as the Seller has failed adequately to perform. In such event Purchaser shall file written notice to Escrow Agent to disburse funds. Escrow Agent shall, within a reasonable time thereafter, mail by certified mail, one copy of the notice to each of the Sellers at the address stated in this Agreement and request mutual written Instructions stating same. If the Seller has not filed written objection to disbursement of funds with the Escrow Agent within fifteen (15) calendar days after date of mailing or otherwise does not respond, Escrow Agent is authorized, at Its option, to comply with the notice and thereupon pay over to the Purchaser, at the direction of Purchaser, all or any part of the escrowed funds in such amounts and to such persons as may be specified in the presentation of bills for work performed. (c) If an objection is filed with the Escrow Agent by one of the parties or a dispute arises regarding the disbursement of the escrowed funds, the Escrow Agent shall not be required to take any action or disburse any funds but may withhold and stop all further proceedings without liability until such time as mutually agreeing written instructions have been delivered to the Escrow Agent, or court order. (d) In the event the sum herewith deposited proves insufficient for any reason to effectuate completion of said work, the Seller agrees to pay any and all sums needed over and above the amount of this deposit to complete said work. S. It is the intention of the parties that this Agreement is made for the benefit of the Purchaser. The Escrow Agent, in the execution thereof, shall act solely on the request and instructions of the parties as specified herein with respect to all sums deposited hereunder and for so doing, the Seller hereby expressly releases and relieves the Escrow Agent of any and all liability or claim of any nature. 6. The Escrow Agent shall have a prior lien on the funds deposited herewith for any costs, including costs and reasonable attorneys' fees, which may be incurred by It consequent to its being made a part to all legal or equitable proceeding which is brought by any of the parties hereto, concerning the disposition of the funds held. 7. Schedule of Improvements To Be Completed: I rT Total Escrowed Septic System ApDai (MOA must approve release of funds $ 10,000.00 $ 15,000.00 IN WITNESS WHEREOF, the parties hereto have caused these presents to be executed on their behalf and their seals affixed the day and year first above written. Dated the day of 20_ Page 2 of 3 First American Title Insurance Company Helen Dittman Beirne Revocable Trust Address: 10047-A Chandalar Street, Eagle River, AK 99577 Telephone: Dated the day of _ . 20_ Brian Choi Address: 13424 Alsweg, Anchorage, AK 99516 Telephone: (907)250-3566 Page 3 of 3 File No.: 0201-1044117 (BEB) Date: November 27, 2007 NOV.27.2007 2:53PM FIRST AMERICAN TITLE A :2007-0-f 07.ca3i" . 2/3 A Recording Dist: 301 - Anchorage a 11/27/2007 2:08 PM Pages: 1 of 4 K A Dllllllllllliglllllllllllllllll�llllll�llll�lull�llllli�lBll�llllil�l� EASBMrU DECLARATrON (Existing Well) IVIS DECLARATION, made and entered into this - 93 ri day of A)ad 4- , 2007, by HELEN DITTMAN SSIRNE REVOCASLr TRUb?, 'of 10047-A, ndalar Street. Eagle River, Alaska 99577, owner of both parcels hereinafter described, hereinafter referred to as Declarant. 1. YNTParr. It is the intention of the Declarant to provide a perpetual and mutually beneficial access and maintenance easement of an existing well on Parcel 91, for the benefit of Parcel ¢2, both of which are presently owned by Declarant. 2. QMM1VERA_=. The declaration of this Easement is made in consideration of Ten Dollars ($10.00) and other valuable consideration, including the terms and provisions hereof, the receipt and sufficiency of which are hereby acknowledged. The West one-half of the Northeast one- quarter of the Scuthweat one-quarter of the Northeast one-quarter of the Southeast one- quarter (W1/2 NEI/4 SWI/4 NEI/4 SEI/4) in Section 30, Township 12 North, Range 2 West, Seward Meridian, Anchorage Recording District, Third Judicial District, State of Alaska. The North one-half of the Northweec one. quarter of the Southwest one-quarter of the Northeast one-quarter of the Southeast one- quarter (NI/2 AA1/4 SWI/4 NEI/4 SEI/4) in Section 30, Township 12 North, Range 2 West, Seward Meridian, Anchorage Recording District, Third Judicial District, State of Alaska. (a) Location. See Lantech, Inc. 'Legal Description for Well Easement", dated November 14, 2007, and attachment thereto, showing said existing well, which is attached hereto as E]_=BTT •A" and incorporated herein by reference as if set forth in full. (b) Dectaration. Por the considerations hereinabove mentioned, Dael■rant does hereby declare, convey and transfer the herein described well easement for the benefit of present and future owners of the above described parcels for ingress and Page 1 of 2 �q M'- " Lw K4 A��A ♦I.t• IMC, em1 D�Lpj CC- NOV-27.2007 2:53PM FIRST AMERICAN TITLE N0.0226 P. 3/3 i egress on, over and across the easement hereinabove described for access and maintenance purposes. i (e) Maintensnee. All Coate of upkeep and maintenance for the easement shall be the joint responsibility and obligation of the owners of both parcels. S. QUALITY AND LI(1jj'ATIONS OF EASEMENT. i (a) Pet•pe tui Lv. :)ur 1. ar, eate:bant and as such shall be a covenant running with the land. (b) Private. This is not a public easement, but )e only for the private and exclusive use of the hereinabove described benefitted parcels, and public use may be physically restricted in any manner which the parcel owners shall agree upon. (c) Other tt... This easement shall be used only for purposes of a well easement, and for no other purpose. (d) ComClianee with Law. All usages must at all times comply with any and all statutes, ordinances, regulations and rules of any duly constituted public authority currently in force or hereafter enacted which affect or pertain to the easement granted. (e) Indemnity. Each benefitted parcel owner agrees to indemnify, defend and hold the other parcel owner harmless from any and all claims of any nature which may arise out of or by virtue of such parcel owners use of the easement area. 7. BINDING. This agreement is binding upon and inures t -- the benefit of the Declarant, and the future owners of all above described parcels, their heirs, successors, transferees, assigns and tenants. TH WITNESS WHEREOF, the Declarant has hereunto set its hand* the day and year hereinabove first written. DECLARANT: HELEN DITTMAN B IRNE -VOCABLE . 1RVS,Y'� gy I { STATE OF ALASKA Sonnet Farrel , Succ or Trus ) Cs. THIRD JUDICIAL DISTRICT ) The tore Cin9 'Instrument was acknowledged before me this 3 day of Y 2007, by SONNET pARRELL, Successor Trustee of t e fiE1.HN DITTMAN BEIRNB REVOCABLE \�V�Z��`r�•LEUI/(��/`� TRUST. CAMq%/u ID n L R Notary Public in an orANV6RdwDBMeorniesion expires: 2--f g INTO TARY . E8, 20, 2010 *t PUBLIC f * c AFTER RECORD NG RETURN To: 2 of 2 111111111111H111111 2 of 4 2007-073831-0 Exhibit A " Kv .xwts•• a. b RPv�rwrT.•w.: !. November 14, 2007 W.O #2007-L-242 Legal Description for Well Easement An easement for access to and maintenance of an existing well over and across the following described property: A tract of land lying within the West one-half of the Northeast one-quarter of the Southwest one-quarter of the Northeast one-quarter of the Southeast one-quarter (WM NE1/4 SW1/4 NEi/4 SE1/4) of Section 30, Township 12 North, Range 2 West of the Seward Meridian, Anchorage Recording District, Third Judicial District, State of Alaska, being Iocated10 feet north, south and east of an existing well and being more particularly described as follows: Beginning at the northwest comer of said W1/2 NEi/4 SW1/4 NEi/4 SEi/4 of Section 30; thence S00°00'25"E along the west line of said W1/2 NE1/4 SWIM NEi/4 a distance of 51.25 feet to the TRUE POINT OF BEGINNING of the easement herein described; thence leaving said west line, N89a5935"E a distance of 13.60 feet to a point; thence S00°00'25"E a distance of 20.00 feet to a point; thence S89"59'35"W a distance of 13.60 feet to a point on the west line of said W1/2 NE1/4 SW1/4 NEi/4 SE1/4; thence N00"0025"W along said west line a distance of 20.00 feet to the True Point of Beginning. Said easement containing 272 square feet, more or less. Also attached, and by this reference made a part of this description, Is Exhibit A. Exhibit A UNSUBDIVIDED P.O.B. N .GAF EXISTING BUILDING f N1/2 NW1/4 SW1/4 NE1/4 SE1/4 Section 30, T 12 N. R 2 W LOT 1 WHITE KNUCKLE HEIGHTS SCALE: 1 50' N N 90'00'00' E 164.56- . N 8939'35' E 13.60' *—WELL EASEMENT S 00'00'25' E 20.00' S 8939'35' W 13.60' 0 n n 3 W1/2 NE1/4 SWI/4 NE1/4 SEI/4 N Section 30, T 12 N. R 2 W 0 0 r3 r 4,� [ •4i • S 89'56'00' W 164.52- W _a EXHIBIT A Well Easement W1/2 NE1/4 SW1/4 NEI/4 SE1/4 �� Section 30, Township 12 North, Range 2 West, Seward Meridian f i GREATER ANCHORAGE AREA BOROUGH 01 '00 0 Foe 1 Department of Environmental Quality ;2 -el-%' `I+o„<o 3330 "C" Street, Anchorage, Alaska 99503 274-4561 Date Received January 31, 1977 Time of Inspection 1'3, 0 a.m Date of Inspection 2-1-77 T u€2 ay REQUEST FOR APPROVAL OF Buchholz DIVIDUAL SEWER & WATER FACILITIES FOR Ccny. Mitt 1. Approval requested by: Alaska Ajtgl Savings Bank Mailing Address: Post Office Box 1120 Phone: 274-3561 2. Property Owner: 0. Thomas & Helen Beirne _ Phone: 276-2230 Mailing Address: post Office Box 4 -BB _ 3. Legal Description: T12N R2W Section 30 NZ NWQ SW, NEn SE4 (Glen Alps) 4. Location: Meet him at the corner of O'Malley/Hillside, brown/white jeep Christian Family Center 5. Type of facility to be inspected Single Family No. of bedrooms 1 6. Well Data: 0- A. Type individual B. B. Depth _ c C. Construction - l D. Bacterial Analysis �•�. - 7. Sewage Disposal System: On-site system A,IQ� �rz/d ,�s A. Installed 1968 B. Installer _ C. Septic Tank: 1. Size 2. Manufacturer D. Seepage Pit: 1. Absorption Area 2. Material E. Disposal Field: Total length of lines 8. Distances: A. Well to: Septic tank , Absorption area Sewer Lines Nearest lot line Other contamination B. Foundation to septic tank , Absorption area C. Absorption area to nearest lot line EQ -034 (1/74) Page 1 of two pages r MUNICIPALITY OF ANCHORAGE MUMCIPALrfY Or• ANCHORAGtd DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION pET• Of HEALTH & E 2510 East Tudor Road, Anchorage, Alaska 99504 276.2221 NVIRONMF.NT�L PROTECTION —� REQUEST FOR APPROVAL OF JAN 3 1197 INDIVIDUAL SEWER and WATER FACILITIES ppww;CC ��ff�aapp 1. Type of Inspection: CMRO VA F,HA CONS 2. Property Owner: ( GI 1�0zo/V /7 'OT--)'elLC Mailing Address:—?, O� a0y Day Phone: _-2 ;2��I` 02 L' 3 C7 3. Name of Buyer:_ Mailing Address: Day Phone: 4. Name of Lending Institution:Q'/r Mailing Address: �Phone:_2_7T-3-5l/ 5. Name of Realtor or Agent: �Z� Mailing Address: Phone: '✓6. Legal Description:_/V--? i a W11,.14dti1 AICD S (F t! S_e� 7-, ,, _,4 Location:,<i�r� 7. Type of Facility to be Inspected: 774`3_ e- 8. Water Supply Type of Supply: Public Util If Individual, number of dwellings presently served If Individual, depth of well 9. Sewage Disposal System No. Bdrms. Individual 2 Type of System: Public Utility Individual (on-site) If Individual, date of installation_ /9hlf i _�� 7( -2 C) 72003(3/76) 1-21Y Page 2 of two pages - Re, st for Approval of Individual ' �r & Water Facilities Legal Description T12N R2W Section 20 N% NW's SWC NE -14 SES (Glen Alps) Approved Disapproved Date c'Y-Z Approvhf.,Valid for one year from date signed Greater Anchorage Area Borough, Department of Environmental Quality DIAGRAM OF SYSTEM n I certify that the information contained in this request for approval to be a true and accurate representation of the subject sewer and water facilities and these facilities are operating satisfactorily. SIGNED EQ -034 (1/74) Date