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HomeMy WebLinkAboutT15N R1W SEC 18 LT 213 OL - 1E - IO# EIE 4,0"1 81 on MRI NQLL Municipality of Anchorage Community Development Department Page 1 of 3 On-Site Water&Wastewater Program 4700 Elmore St. •P.O. Box 196650 Anchorage, AK 99519-6650•http://www.muni.org/onsite•(907)343-7904 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP171153 PID Number: 051-231-70 0 New •Upgrade Name: ABSORPTION FIELD KENNETH &LISA LEAF Address: 0 Deep Trench ❑ Shallow Trench ■ Bed ■ Mound 19413 SPRUCE CREST DRIVE, CHUGIAK,AK 99567 El Other Phone: No.of Bedrooms: Soil Rating: Total Depth from original grade: 529-5212 3(*4) ***4.0 GPD/sq.Ft. SEE DWG. Ft Depth to pipe invert from original grade: Gravel depth beneath pipe: LEGAL DESCRIPTION SEE DWG. Ft 0.65 Ft Subdivision: Block: Lot: Fill added above original grade: Gravel length: - - 213 SEE DWG. Ft. 15 Ft I ownshlp: 15N Range: 1W Section: 18 Gravel width: 'Beds Number of lines: Distance between lines: 10 Ft 2 5 Ft. SEPARATIONDISTANCES Total absorption area: Number of trendies: Dist between trendies: TO Septic Absorption Lift Holding Public/Private From Tank Field Station Tank Sewer Lines 150 so.Ft. - - Ft. Well 100'+ 100'+ 100'+ - 25'+ TANK • Septic ■ S.T.E.P. ❑Holding 0 Other - Manufacturer Capacity: Surface Water 100'+ 100'+ 100'+ - INFILTRATOR SYSTEM, INC. 1060/540 Gal. Material: Number of compartments: Lot Line 5+ 10'+ 5'+ - N/A . PLASTIC 1 /1 Foundation 5+ io'+ 5+ LIFT STATION Curtain Drain **10'+ **10'+ **10'+ - Manufacturer Capacity: INFILTRATOR SYSTEM, INC. 540 Gal. Remarks: *HOUSE IS CURRENTLY 3 BEDROOMS/SEPTIC SIZED FOR 4. "Pump on"level at "Pump off'level at High water alarm at TIMER TIMER 36" **CONTRACTOR RELOCATED 4"SOLID PIPE FOR DRAIN TO INSURE Pump Make&Model: Electrical Inspections performed by: DURING CONSTRUCTION. WAIVER#OSV171058. PE51 M MARK IV ENTERPRISES ***THIS IS A CAT II QUANICS AEROCELL TREATMENT SYSTEM. PIPE MATERIAL Tank to D1785/ House to tank D3034 kftold D2665 draiInstaller SOUTHFORK CONSTRUCTION Drainfield D3034 CO/MT D3034 Inspector GEG, Ltd. BENCH MARK (Assumed elevation) Inspection 100.00 Ft. Dates: 1st 7/6/2017 2nd 7/6/2017 Location and Description: 3rd 7/6/2017 4th 7/12/2017 BOTTOM OF SIDING @ SE CORNER OF HOUSE(POINT"B") ENGINEER'S SE Community Development Department Approval 4•.�.ss m, _•6 4' Conditional approval: Date: = / a'1;_ '••;Y • 49�'l• VAA i 1,4 ..1j '% i PERMIT RECORD DRAWING 051-2IDNUMBER 051-231-70 I A B C 'NOTE:PER THE CONTRACTOR THE INSTALLATION AND FCO 51.7 23.0 - BALLASTING INSTRUCTION PROVIDED BY INFILTRATOR SYSTEMS,INC.WERE FOLLOWED.THE OLD SEPTIC TANK ST1 59.0 18.3 - WAS DECOMMISSIONED PER UPC CODE PER CONTRACTOR. ST2 64.2 16.9 - OBL1 65.8 17.0 , - OLD DRAINFIELD DBL2 66.7 17.2 - ABANDONED IN PLACE MH 68.7 17.7 - POD1 - 32.1 29.3 PGD2 - 33.7 31.7 .------ VP1_ - 35.2 34.4 COVERED DOG KENNEL - VP2 - 33.0 37.0 _ -- MT1 - 31.9 38.6 -- --- 001 - 23.8 26.5 - -- - 1CO2 28.2 25.7 - I MT2 29 0 24.3 `N NEW IM-540 INFILTRATOR_ D TANK WITH QUANICS oa PUMP AND CONTROLS \ TH#2 NEW IM-1060 SINGLE LiCOMPARTMENT PER THE CONTRACTOR. INFILTRATOR TANK \ \ THE 4"SOLID PIPE OUTFALL FOR V. 11111111 <111, \ FOUNDATION DRAIN. • ' '146* i OUTFALL LINE WAS .; / �? RELOCATED LOCATED IN i���� Co �' OTR TO PROVIDE 10 FOOT SEPARATION TO A 1 `F J MSS NEW SEPTIC SYSTEM EXISTING 3 BEDROOM HOUSE - �y2 PER CONTRACTOR. • (SEPTIC SIZED FOR 4 BEDROOMS)` -` BENCHMARK FOR PROJECT IS BOTTOM, /c,"22 -1 .:? ` a + G� O14 J TH#2(GWM TUBE PULLED ° •n OF SIDING SE CORNER=100. 012 -$$ PRIOR TO CONSTRUCTION) • I •��1 C- N PRIOR CONSria° a• 4 U 4 a n NEW CAT II , •, •° • °▪ • I -1 •iNEW DRAINFIELD AEROCELE UNIT d• •• • I 1 ATED LINES WITH 4" -•° 'a I 7- I OF INSULATION BY 4'WIDE • '° I I •CENTERED OVER PIPE )ii V • • ' TOE OF LOPE I (PER CONTRACTOR). • / I N • • • 4 / / NOTE:IN THE EVENT THE HOUSE IS SCALE. / REMODELED FOR 4 BEDROOMS,THE 1 I1 I • / RESERVE SITE WILL CONSIST OF 1"-30' •4/ a REBUILDING THE BED IN THE EVENT OF A DRAINFIELD FAILURE. ,n‘0441111t II. 4,• ' , 4th .---tr...• y••• ••••. • GARNESS ENGINEERING GROUP, Ltd = 49 '!• . �:: • CIVIL&ENVIRONMENTAL ENGINEERS / ,• 3701 E TUDOR ROAD,SUiTE 101-ANCHORAGE.AK 99507-PHONE(9071337-6179 FAX FAX(907)336-3246'WEBSI I E www gamessenglneenng corn 0. . •R PREPARED FOR: PHONE NUMBER: PAGE NUMBER: ,0 l'n • 1= •,`y ' . Garness ' im •KEN AND LISA LEAF 529-5212 2 OF 3 I.4:3: •.i • -79 3 '[� '. PROJECT/LEGAL DESCRIPTION: DRAWN BY. 7. �••• I • T15N, R1 W, SECTION 18, LOT 213 J.L.M. �1 ♦•••• •••• • .' 4,4. TYPE OF WORK. DATE: LICENSE I��ti1r7TUFtS,♦�4 RECORD DRAWING OF SEPTIC SYSTEM UPGRADE 7/18/2017 #AECC884 • /. PERMIT NUMBER: PARCEL ID NUMBER: OSP171153 RECORD DRAWING 051-231-70 QUANICS CUSTOM CONTROL A 4"BY 4'WIDE RIGID BENCHMARK IS BOTTOM OF SIDING PANEL WITH SENSAPHONE NEAR SE CORNER OF HOUSE=101100 AND ACTUATOR CONTROLS INSULATION CENTERED TOP=1F AEROCELL LIDS (NOTE:BACK DOOR THRESHOLD=96.10) OVER PIPE(PER CONTRACTOR) =104.19-104.20 2"VISUAL PORT 4"VISUAL PORT LL TOP OF 24"INSULATED VP1 VP2 w MANHOLE LID(MH)=97.58 8 J FINAL GRADE=96.03-96.05--I\ ilk < POD1 PGD2 ., U/) ST1 ST2 DBL1 DBL2 — 9 # m N w ch O E- E- M H 7i-f T Ti-1•: '':� 0,Z N .:I . Y w z N w co —i di ti e 1. '��: w O 10 0 Q H • i' ):. PIZ 4"BY 4'WIDE RIGID = r:: 1' 1 :.:Viiiiiii• Vii TOP OF TANK INSULATION(PER TOP OF • = i^ ■lig ', ,, �'_.-1■ LL�� II @ INLET= 93.57 CONTRACTOR) TANK @ = = OUTLET TOP OF i = i'i;;;.//////////� TANK @ :! I:: viiiiiiiii� _ n m = 93.51 INLET `�'''��0 �3-U TO DRAINFIELD All r 1.25"SUPPLY LINE = 93.25 '1 ;!■• a Viiiiiiii iiiiiiiiiiiiiii /iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii /iiiiiiiiiiii.,iii 1 i''Vill....;IViiiiiii iiiiiii i///////i/�/i //i/ilii/ilii/iiiiiiiiiiiii/i/i/Villi/iiiiiiiiiiiiiiiiiiiW i ////iiii'.W'i% I I / /Z.% 4 2"RECIRCULATION LINE 2"DISCHARGE LINE E . - 7�r'i �ti — 1. ___ a , �� QUANICS AEROCELL 650 TREATMENT MODULE WEEP HOLE 0 I 1 WITH INTERNAL DIVIDER WALL AND CLEANOUTS INVERT OF v 4 HIGH WATER FLOAT(@ 36"OFF BOTTOM OF TANK) �� /[I w iLLJ 11 INVERT OF PIPE PIPE TIMER OVERRIDE FLOAT(@ 32"OFF BOTTOM OF TANK) ' � @ INLET= 92.92 z,,i_. C OUTLET Z 1 L QUID LEVEL OPERATING = 92.60 1W \1! LOW LEVEL CUTOFF FLOAT(ON/OFF) C'� 44" INVERT OF (@ 24"OFF BOTTOM OF TANK) Z Zo W PIPE @V I 1 �� J 0 INLET iff N QLL < \ = 92.54 _II IM-540 GALLON SINGLE COMPARTMENT INFILTRATOR g (—p1 IM-1060 GALLON SINGLE `�/ TANK WITH INFILTRATOR PIPE ADAPTER RING Z COMPARTMENT w W INFILTRATOR TANK 0 GOULDS PE51M PUMP IW, Zo 2 w/ 5-o ~ NOTE:THE ENTIRE MOUND HAS TOPSOIL AND HAS BEEN r/ >F- ›- SEEDED SEEDED TO PREVENT EROSION AND DAYLIIGHTING OF N " Z'8 (/) EFFLUENT. ' 7": Wm N U /�' ..� 0- FINAL GRADE=103.41-103.56 ` 4 J� 9 W BENCHMARK IS BOTTOM OF SIDING TOP OF AEROCELL LIDS �y� >° J Vo W NEAR SE CORNER OF HOUSE=100.00 2"OF INSULATION =104.19-104.20 (PER CONTRACTOR) w a Z co �/1co V1 0 FILTER FABRIC ? f0 C01 CA w I Z MT2 CO2 VP2 MT1 ORIGINAL GRADE 5 0 v v NEAR SE CORNER Et o LU Q ��Awiii�iiiaa t OF BED=98.69 O o z� CC � ' i - a Z z O ❑ Imo-+ o a Y 0 3 SLOPES .. .. ..-. I �seaiew�s�17Z 3:1.344OPLc3 o w Z �I- a� .. FEED LINE FROM STEP TANK 1 _� .- II /_ ( H RECIRCULATION LINE BACK TO STEP TANK 4.4'SEPARATION TO JUNE I / ••7�oF,�"It'• GROUNDWATER READINGS *4 '� , . INVERT OF DISTRIBUTION LINES=99.40 (WAIVER GRANTED) *.' VN... v. 18± _ TOP OF SAND , FILTER=98.75 c7 ' ♦� © �/� 0.. , , t FOUNDATION' 15' 13' 9 i. _ / /� / / • ASSUMED FOUNDATION /.:,..,.1, .I • DRAIN LOCATION MAXIMUM EXCAVATION=96.35-96.69(LIMITED GROUNDWATER ON '0 TO THE REMOVAL OF ALL ORGANICS/LOAM) 6/12/2017&6/14/2017 ,/F o a �A. s IN TH#2=94.35 •. 79 . = SCALE: IF •..<,;�0•.,�- Z I (�-9. �(.1 I 1"=5' •♦ r-NOFESS\ ..404 . LICENSE 1111i„"�� #AECC884 J ' Ot141/4 , CHUGIAK, ALASKA KODIAK, ALASKA 688-3199 A *01 1 14 486-4826 *OVDRIKUNO CO. • WE SERVE ALL ALASKA .V POST OF 4 ICI SOX 42-CHUGIAK.ALASKA 10607 OWNER OF LAND---..........Ral .K0.0d$ DEPTH OF WILL-.....1952n.2 ADDRESS.....1 ...kga. %.. #94.../46.1 K19nd.A,.....4.1.x...g.htigiait'T ATIC LEVEL OF WATER FT.,k.........aarr......ill-hfAi...---....... WELL-SITE.14...213...5...1/1...Tamethlp...L.21B.Knget...1...klee t ueAw DOWN FT. Zitica...........i.:_..................?................ DATE-STARTED J1.'16-81-. 'b. GALS.PER NR. '13° EST• ri ), 4. ) ' DATE-ENDED. 12-.1.0.7.U. KIND OF CASING .6.1a.r....§.01.A.14 . I KIND OF FORMATION: -4 FROM 1 FT.TO IQ. Fr.Brawn. auk • FROM FT.TO ........... .. ..FT ....-....... FROM /CI rr.To 42.. Fr.Illu.e .C.lay 1- FROM 42. FT.TO A.IA Fr.lir rkwri._za.t.er a3end FROM. FT.TO ::irT• ., FROM...14.............FT.TO.. .3 Fr.Blue c.lAy FROM- FT.TO FROM. 56 FROM 60 r.To ...Fr. 11:M.S...g14.Y.......... FROM FT_TO F 80 4 , Fr. .............._." . ; ' FROM _____..... / FROM 80 Fr.. To En_ Fr.Roc FROM FT.TO Is FT TO....9.5............Fr.Blue...CJLay.......... FROM ..a3 FROM _______.FT.TO---FT.------ FROM _25 FT.TO 98 rr.O 941 '' FROM .96 FE TO 1.00 PT.=AWE. watar....eand FROM FT-TO FT. . FROM..._,—.....FT.TO FT. FROM FT.TO FROM._________FT.TO Fr. L. FROM PT.TO FT. MISCL.INFORMATION 3Ft. gravel plug in bottom of well to courter act sand. _ i ir. loeoeV 61,1-to C-17, 013115 SSfl A E—/ C/4?cf-el--/-5/9S' .ON 1Y301 DRILLERSNAME J es a e..Spe.r.k.s..........................„......................................._;,.. . �JN,CVettr Oe 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 (-parImen t *4:C On-Site Wastewater Disposal System Permit Permit Number: OSP171153 Effective Date: 6/29/2017 Work Type: Septic Upgrade Expiration Date: 6/29/2018 Tax Code Number: 05123170000 Site Legal Address: T15N R1W SEC 18 LT 213 G:1055 Site Mailing Address: 19413 SPRUCE CREST DR, Chugiak Owner: LEAF KENNETH R & LISA L Lot Size in Sq Ft: 54450 Design Engineer: GARNESS ENGINEERING GROUP LTD Total Bedrooms: 4 This permit is for the construction of: IZI Disposal Field Il Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage All construction shall be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72)and Drinking Water Regulations (18AAC80) 3. The wastewater code requires inspections during the installation. The engineer shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing Special Provisions: Remove groundwater monitoring tube for test hole TH#2 at time of construction of septic drainfield. Received By: Date: 6 30 caxxxiLe Issued By: �J}{,+,Cy, Date: (0 2 I .2 1 1 7 Municipality of Anchorage 1)°pur 11111'111 P.O. Box 196650 • 4700 Elmore Road Anchorage, Alaska 99519-6650 • (907) 343-7904 • Fax (907) 343-7997 http://www.muni.orq/Onsite Development Services Division On-Site Water and Wastewater Program **** VARIANCE/WAIVER REVIEW **** Waiver#: OSV171058 COSA#: Permit#: OSP171153 PID#: 051-231-70 Legal Description:T15N R1W Section 18 Lot 213 Engineer: Garness Engineering Group Applicant: Kenneth & Lisa Leaf Your request for a waiver of the required 4 feet vertical separation between seasonal high ground water and bottom of the proposed absorption field has been approved. The approved separation distance is 3.4 feet. In addition, your requests for a waiver of the required separations between the proposed absorption field and a subsurface drain and test hole have been approved. The approved separation distances are 10.0 feet and 0.0 feet, respectively. See engineer's letter for waiver request and justifications. This waiver approval applies to the proposed absorption field only. Any future upgrade to the on-site wastewater disposal system will require all code requirements be met or another approval from this department. n The affected adjacent property owner(s) have been given a 7 day notice regarding this waiver. n Notarized letter(s) of nonobjection have been received from the owner(s) of the affected adjacent property. IX Adjacent properties are not affected by this waiver. Waiver is Granted: X Waiver is not Granted: Date: 6/29/,2017 Approved by: ' ame of Reviewer **** VARIANCE/WAIVER REVIEW **** r, r MUNICIPALITY OF ANCHORAG , ra JUN Community Development Department V Phone: g -343-7904 : Development Services Fax: 90343 7997 �ti On-Site Water & Wastewater Program b 6 L y Mayor Dan Sullivan On-Site Sewer/Well Permit Application For A Single Family Dwelling Parcel I.D. D5 !- 23 1— 7 Q Property owner(s) KEN AND LISA LEAF Day phone 529-5212 Mailing address 19413 SPRUCE CREST DRIVE, CHUGIAK, AK 99567 Site address 19413 SPRUCE CREST DRIVE, CHUGIAK. AK 99567 Legal description (Sub'd, Block & Lot ) LOT 213 Legal description (Township, Section & Range) T15N, R1 W, SECTION 18 Lot Size Sq.Ft. Number of Bedrooms 3 (SEPTIC SIZED FOR 4) APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DEWELLING: (®all that apply) Initial I Single Family (SF) Absorption Field ® (w/wo ADU) Septic Tank ® Upgrade Z Duplex (D) ❑ Renewal ❑ Holding Tank n Multiple Dwellings ❑ Privy I I (SF and/or D) Private Well _. Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE!WAIVER REQUEST FOR: GROUNDWATER WAIVER/TEST HOLE WAIVER/SUBDRAIN WAIVER Distance: 4.4'/0'/ 10' I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal codes. GARNESS ENGINEERING GROUP, Ltd. (Signature of property owner or authorized agent) Permit/Rush Fees: 6114 — Waiver Fees: 215- Date of Payment: fp b-2-It I Date of Payment: (o), )11 Receipt Number: Oo Receipt Number: 0;-11 561 Permit No. O5.el7 I iS'J Waiver No. o 5v11 IO 52' (Rev.01/11) ti GARNESS ENGINEERING GROUP, Ltd -- CIVIL & ENVIRONMENTAL ENGINEERS June 19, 2017 Municipality of Anchorage Development Service Department On-Site Water & Wastewater Program 4700 Elmore Road P.O. Box 196650, Anchorage, Ak 99519-6650 (907) 343-7904 Ref: Proposed Septic System Upgrade for T15N, R1 W, Section 18, Lot 213 To whom it may concern: The existing 3 bedroom house is served by private well and septic system. The existing septic system consists of 1000 gallon septic tank and a trench type drainfield. The drainfield is currently surcharged and is believed to be encroaching upon groundwater. In short the drainfield is in need of upgrading for the purpose of selling the house. The proposed buyer has requested the septic system be sized for a 4 bedroom residence since the house may be remodeled to accommodate 4 bedroom in the future. Due to high groundwater, separation distance issues from subsurface drains, and slope concerns, we are proposing that a Cat II Quanics Aerocell system be utilized for this property and a mounded bed type drainfield be installed. Two (2) test holes were excavated on property and the entire bed will be encompassed within the 30 foot radius of test hole #2. The conditions of the soils are addressed below. Comments regarding the design are summarized as follows: 1. SOILS AND SPEARATION TO GROUNDWATER WAIVER REQUEST: See the attached logs which show the soil classifications, groundwater monitoring, and the percolation test results. On 5/31/2017, we excavated TH#1 and performed a percolation test on the SM to ML soil strata. Due to owners wanting to size the drainfield for a 4 bedroom system, a second test hole (TH#2) was excavated on 6/9/2017 in order to encompass the proposed bed type drainfield within the 30 foot radius of the test holes. The upper GP to SP strata soil in TH#2 "perked" at a rate of <1 minutes/inch, which requires a MOA approved sand filter. We are proposing the bed excavation be limited to the removal of the organics/loam so as to reach the GP to SP soil strata. MOA approved sand will be imported/placed so as to achieve 4.4 foot separation to the highest ground water elevation in test hole #2 in the month of June. Per the MOA Groundwater Memo, the required separation to the groundwater is 5 feet for the month of June. Since we are utilizing a Cat II advanced wastewater system, we are requesting a 4.4 foot separation distance waiver from the bottom of the drainrock to June groundwater reading. We are requesting that the encroachment be allowed given the proposed wastewater ordinance allows for drainfields that utilize advanced wastewater treatment systems to be installed with only 2 feet to seasonal high groundwater. 2. DRAINFIELD DESIGN: See attached design drawing for drainfield specifications. 3. SURFACE WATERS: There are no surface waters within 100 feet of the proposed septic system. A wetland map is attached for your reference. 3701 E.Tudor Road,Suite 101 *Anchorage,AK 99507-1259 Ph: (907)337-6179 * Fax: (907)338-3246 *Website: www.garnessengineering.com 4. TOPOGRAPHY: The topography (shot with clinometer) is shown on the attached design drawing. We have also attached the MOA Argis Contour map for the property. In addition to this we have also taken elevation shots for the proposed bed corners and tied them into a benchmark. Based upon elevation shots that we have taken, the slopes range from flat in the drainfield area and then increase to 5-15% slopes on the north end of the bed. Approximately 32 feet north of TH#1, the slopes increase to 35 to 40% running generally South to North. The proposed drainfield will be greater than 50 feet from any slope greater than 25 percent. 5. BED OVER TEST HOLE WAIVER AND BED TO SUBDRAIN WAIVER: • We are proposing to construct the new drainfield over TH#2. Given the test hole was backfilled with native material and a 2 foot sand filter will be utilized (with compaction) and that the 4" monitoring tube for the test hole will be pulled prior to placement of sand, it is our opinion that there is minimal risk with allowing the bed to be installed over the test hole. Please note the removal of the test hole GWM tube as a "special provision". • There is an outfall pipe for the foundation drain that runs to the North of the drainfield. We are proposing the outfall drain line for this subdrain be professionally located so that the 10+ feet separation from the drainfield can be achieved. During our excavation of TH#1 we encountered the 4" solid pipe for the foundation drain and it had no running water in it during our multiple site visits. We are requesting that the encroachment be allowed given the proposed wastewater ordinance allows for a bed type drainfield to be installed as closes as 10 feet to a subsurface drain. We are unaware of any adverse impacts this installation would have on adjacent wells or septic systems. If you have any questions, please contact us at 337-6179. Thank you for your assistance. ince ely fro' J Gar -ss, P.E., M.S. Pre -+ 3701 E.Tudor Road, Suite 101 *Anchorage,AK 99507-1259 Ph: (907)337-6179 *Fax: (907)338-3246 *Website: www.garnessengineering.com s. . I I I WERRE;LOT5 I SERVEDT15N,R1 W,SEC.18, BY PRIVATE SEWER AND PUBLIC N2,N2,SE4,SW4,SE4, WATER I / ` / / 7 WERRE;LOT 6 t • SERVED BY PRIVATE S ALE: I APPROX.L SEWER AND PUBLIC T15N,R1W,SEC.18. j Poly 1•=100' S2,N2,SE4,SW4,5E4, 11 I -1 -j I EXISTING • SEPTIC *• ALMA AVE. I SYSTEM ` -J _,..,...7 - T T- ----- T15N,R1W,SEC.18, T15N,R1W,SEC.18. �,. LOT 214 LOT 215 ��G^ ITHAI 6fi P- r--7 '� -- ---111:---'.....--` C PTIC AREA -- t I 7 .� Sfi / /' ,,,, Ba /' o �� N % /T15N,R1W,SEC 18, / w ` / 7• LOT 216 J 4' d 'A '' � / • 8▪ 'Sf1 s•, I TH#2 r n .7/ LY l • ■1, I EXISTING -7 / i /r/'�' ., \ 11 3 BEDROOM % / // PROPOSED 7i/ ' .. \`I, HOUSE - // SEPTIC �if ON- �� I' ., �:` �// UPGRADE I • `� \ I 1' / (SEE DESIGN, \ 1 •• / �: N. t I NOTE:IN THE EVENT THE HOUSE IS REMODELED FOR 4 BEDROOMS,THE NOTE:THE CONTRACTOR SHALL HAVE THE 100 FOOT WELL RESERVE SITE WILL CONSIST OF RADII SHOWN AND THE EAST LOT LINE FLAGGED BY A REBUILDING THE BED IN THE EVENT REGISTERED LAND SURVEYOR PRIOR TO ANY CONSTRUCTION. OF A DRAINFIELD FAILURE. NOTE:THE CONTRACTOR SHALL DESIGN CRITERIA: NOT'WALK'EQUIPMENT IN THE NUMBER OF BEDROOMS: 3(SIZED FOR 4) BED BOTTOM EXCAVATION UNTIL GALLONS PER DAY(GPD): 600 THE PLACEMENT OF SAND FILTER. PERCOLATION RATES: <1 MINUTE/INCH EXISTING DRAINFIELD TO PROPOSED APP.RATE: '4.0 GPOISQ.FT. BE COMPLETELY "NOTE:CONTRACTOR SHALL FOLLOW MINIMUM DRAINFIELD SQ.FT,: 150 ABANDONED IN PLACE INSTALLATION AND BALLASTING 'FOR CAT II QUANICS AEROCELL INSTRUCTION PROVIDED BY DRAINFIELD DESIGN: . MANUFACTURE(SEE ATTACHED). MAXIMUM DEPTH: 2.0 FEET(REMOVE AALLLNICS) COVERED DOG KENNEL .•\ WIDTH: 10 FEET LENGTH: 15 FEET M.O.A SAND FILTER:2.0 FEET EFFECTIVE: 0.5 FEET I ACTUAL SQ.FT.: 150 —--I k--- -- -- \s-; 'PROPOSED IM-540 INFILTRATOR TANK % XISTING 4'SOLID PIPE WITH QUANICS PUMP AND CONTROLS j . BELIEVED TO BE OUTFALL /• FOR FOUNDATION DRAIN. co 'PROPOSED SINGLE COMPARTMENT TO BE PROFESSIONALLY D IM-1060 INFILTRATOR TANK TH#1 LOCATED IN ORDER TO g \\ CONFIRM 10 FOOT J EXISTING SEPTIC TANK TO BE \ SEPARATION TO NEW Lu DECOMMISSIONED PER UPC SEPTIC SYSTEM g o EXISTING FOUNDATION CLEANOUT PROPOSED DRAINFIELD grIIIIIIII \ u (SEE DESIGN CRITERIA // AND IAWING. . t 1D+ PAGEDETAL 4 DROF 4J `` A r7---)/T- 1 EXISTING 3 BEDROOM HOUSE , y",Y ` (SEPTIC SIZED FOR 4 BEDROOMS) , `,� _— ` • a •' • BENCHMARK FOR PROJECT IS BOTTOM ` U i„. SEE CROSS OF SIDING SE CORNER=100... �' SECTION DETAIL B-B //I ` � / ON PAGE 4 OF 4 • �• `' A I 1 i/� TH#2(GWM TO BE PULLED �� '•: — I �� PRIOR TO CONSTRUCTION) ••• • I -- -4- INSULATE LINES WITH 4" PROPOSED CAT II I OF INSULATION BY 4'WIDE AEROCELL UNIT y •:' ' I I -CENTERED OVER PIPE. (SEE PAGE 3 OF 4) - I I TOE OF SLOPE *. • / ) GEG,Ltd.HAS A 8 PAGE SPECIFICATION / J LETTER THAT PERTAINS TO THIS DESIGN.TO / OBTAIN A COPY OF THE LETTER CONTACT . .�i / GEG.BY PROCEEDING FORWARD WITH THIS INSTALLATION,THE ENGINEER,WELL DRILLER, SCALE: i•• CONTRACTOR AND PROPERTY OWNER AGREE -- / THAT THEY HAVE READ THESE 1"=30' -4 / SPECIFICATIONS AND AGREE TO ACCEPT THE • ::./.. .' / TERMS AND CONDITIONS OUTLINED. GARNESS ENGINEERING GROUP, Ltd 4' \* #' CIVIL&ENVIRONMENTAL ENGINEERS - ,, r 3701 E.TUDOR ROAD,SUITE 101'ANCHORAGE,AK 99507'PHONE(9071337-6179'FAX 19071338-3248'WEBSITE www.pameeeen9ineeM1q.aom , •.J 0 PREPARED FOR: PHONE NUMBER: PAGE NUMBER: J ,y Ga ess KEN AND LISA LEAF 529-5212 2 OF 4 ���'�UI o• Cl- ' '��`� PROJECT/LEGAL DESCRIPTION: DRAWN BY: I. •`••..•k f 1•, 1.. ..." `�(` T15N, R1 W, SECTION 18, LOT 213 J,L,M. 0 D'�O���I.. \, TYPE OF WORK: DATE: LICENSE 1� ESS"..4"441.• DESIGN OF SEPTIC SYSTEM UPGRADE 6119/2017 #AECCBB4 1 STANDARD TANK CONFIGURATION INFILTRATOR TANK NOTES: QUANICS AEROCELL CAT. II IM-1060 IM-540 • TANKS ARE TO BE BEDDED AND BACKFILLED PER INFILTRATOR TOTAL CAPACITY 1287 GALLONS 552 GALLONS IM-SERIES SEPTIC TANK GENERAL INSTALLATION INSTRUCTION.- WORKING CAPACITY 1060 475 GALLONS • PER INFILTRATOR SYSTEMS, INC., THESE TANKS HAVE A / WIDTH 12.2 6 .7' QUANICS AEROCELL SYSTEM ¢ WIDTH 62.2" 61.7" MAXIMUM BURIAL DEPTH OF 48 INCHES OVER TOP OF TANK. W HEIGHT 54.7" 54.6" • PER INFILTRATOR SYSTEMS, INC., THE TANKS ARE TO BE J INLOUTLINVERTET 44' N/• BURIED SO THAT THE INVERT OF THE OUTLET OF THE IM-1060 AND CATEGORY II CONFIGURATION < OUTLET INVERT 44' NIA HIGH WATER ALARM N/A 36' THE INLET OF THE IM-540 INFILTRATOR TANKS ARE NOT SUBMERGED (3 TO 4 BEDROOM SYSTEMS) :=OVERRIDE FLOAT NIA n" DURING HIGH GROUNDWATER CONDITIONS. ON/OFF FLOAT N/A 24' - RW❑ N. NOTE:FLOAT LEVELS ARE FROM BOTTOM OF PUMP. • GEG RECOMMENDS ALL PIPE PENTATIONSIJOINTS ASSOCIATED p Z CNI,- &WITH THE INFILTRATOR TANKS BE ENCASED IN BENTONITE CHIPS. m w o COMPONENTS SUPPLY NOTE: • IF GROUNDWATER IS ENCOUNTERED, THE CONTRACTOR SHALL Z Z 0) 7 U. m • 1.TANKS AND RISER ADAPTER RINGS ARE INFILTRATOR"' Q W w(y Z O Z J PRODUCTS AND ARE SUPPLIED BY FERGUSON. CONTACT THE ENGINEER TO EVALUATE IF THE EXISTING SOIL COVER a Y Z to w co - 2.THE INSULATED RISERILID,PUMP,FLOATS,INTERNAL PIPING, IS ADEQUATE TO RESIST BUOYANCY FORCES, OR IF ADDITIONAL a 2 d g GROMMETS,CONTROL PANEL,AND AEROCELL UNIT ARE SUPPLIED BALLASTING WILL BE NECESSARY TO OVERCOME BUOYANCY FORCES. - BY GARNESS ENGINEERING,THE ALASKA STATEWIDE DISTRIBUTOR THE CONTRACTOR SHALL INSURE THAT SOIL COVER AND/OR immI FOR QUANICS INC_ kod BALLASTING IS PROVIDED AS OUTLINED IN THE INFILTRATOR "SEPTIC 3.ALL OTHER EXTERNAL COMPONENTS SUCH AS PIPING,FITTINGS, WIRING,INSULATION,ETC.,SHALL BE SUPPLIED BY THE TANK BUOYANCY CONTROL GUIDANCE" BROCHURE. I CONTRACTOR. Il QUANICS CUSTOM CONTROL QUANICS AEROCELE 650 TREATMENT MODULE PANEL WITH SENSAPHONE WITH INTERNAL DIVIDER WALL AND CLEANOUTSgtml ELECTRICAL WIREJS(SUPPLIED BY CONTRACTOR). I----1ANDACTUATOR CONTROLS SEE INSTALLATION MANUAL FOR SPECIFICATIONS FINAL GRADE(SEE NOTE) n 4"VISUAL PORT �./ v1 4'BY 4'WIDE RIGID gZ INSULATION CENTERED 24 "INSULATED LID (n 4"BY 4'WIDE RIGID OVER PIPE fr CC 4"CLEANOUT 4"CLEANOUT 51MlECH PRESSURE FILTER w 0 INSULATION CENTERED OVER PIPES � Zw ti 4'•• y 4 ,, r ,,,. 4 4 .�. .;:I.- . •li: ••••I �� IZ8 z cii III o I,.:. \••61/ rrr�1 24"RISER.TOP i a 0:::: W 0,q W 4 FEET INSULATED i _ !..1 2"DISCHARGE LINE Z cc" WITH 2 INCHES = is >s (A URETHANE WITH =�1'1= 0; 2X4 BUSHING iJ r Iq Zw co Cl)} 4"OF INSULATION OVER TANKS TOPCOAT .I = I � f �. I• W N IS RECOMMENDED ON ALL I = I . _m�_" = im • •• !///A �"� °� /ii/iii 1- '48"MAXIMUM I = I::: ���: ■ti'��s J" W INSTALLATIONS REGARDLESS IT _ �;.: ��i���_ �! �' � �I��,► , - O U PVC CONDUIT > J OF BURIAL DEPTH 4 = I:::; /!//!//!/, �\ O FOR ELECTRICAL ? �iifiii/!/i ` I.iy V c_ w CONNECTIONS 4 I I�♦ TO DRAINFIELD , Z Q (FLOATS&PUMP) I '•' `-1 1.25"SUPPLY LINE C4 � O _ fI ...IU _ H ilii�i�i>riili iiliililiii: i�.�ililii/irii�i/iiiiiiriiiiiilii/i�iiii�ii/iiiili�ii/ilii ii I I 'iiiiAZ"ii/ii 2"RECIRCULATION LINE - w U ow 1-10:11.44 --- , DRAINFIELD.SEE APPROVED Z 0 �� ‘11.k1. - 1 WEEP HOLE ENGINEERED DESIGN DRAWING/S ''o a W INLET I�11 OUTLET I U OE <51 V " O a_ c. ERATING \ LIQOUID LEVEL �" 11W ,I� HIGH WATER FLOAT NOTE:ALL PIPING FROM PUMP TANK TO AEROCELL ������\\1 �� MODULE SHALL BE PLACED ON SUITABLE BEDDING �••,<_ OF 4 11tae TIMER OVERRIDE FLOAT MATERIAL THAT IS MECHANICALLY COMPACTED. +�,�P��..••'""""'•••. *�♦ �I� ALL LINES SHALL BE GRADED SO THAT THEY WILL + q \ Inki T� LOW LEVEL CUTOFF FLOAT(ON/OFF) DRAIN AFTER EACH PUMP CYCLE AND WILL NOT i RETAIN ANY STANDING WATER. N *• 4 I�. �• ' �• • NOTE:ALL PRESSURIZED PIPES ARE TO BE I ! •• •if ! r 1. 4"MONITORING TUBE 0 4"VISUAL PORT 1/ DESIGN CRITERIA: NUMBER OF BEDROOMS: 3(SIZED FOR 4) N- GALLONS PER DAY(GPD): 600 r LL PERCOLATION RATE/S: <1 MINUTE/INCH 4"PERF.PIPE—\\ N_ PROPOSED APP.RATE: *4.0 GPD/SQ.FT. 4"CLEANOUT 2.5' J a)MINIMUM DRAINFIELD SQ.FT.: 150 Q CO 'FOR CAT II QUANICS AEROCELL • 11• (/) DRAINFIELD DESIGN: /� o=, w N CUJ MAXIMUM DEPTH: 2.0+FEET(REMOVE ALL fet / aoLL°� 2 N m 5 WIDTH: 10 FEET ALL ORGANICS) FEED LINE FROM STEP TANK W Z Z 1 0 z W LENGTH: 15 FEET RECIRCUI ATION LINE BACK TO STEP TANK O O • 5' 10'WIDE ¢W w Z wY ZN wv �-� ui0_ M.O.A.SAND FILTER:2.0 FEET 0 ww O Lo 0 as a EFFECTIVE: 0.5 FEET \ J� a a n. a a ACTUAL SQ.FT.: 150 \--j 650 CAT II 4"CLEANOUT 1 4"PERF.PIPE) AEROCELE UNIT 2.5' J ^i E 4"MONITORING TUBE3 L-2'4. 11 FEET I -2' v 15 FEET LONG Oa g w PLAN VIEW OF DRAINFIELD SCALE: 4 c W 1„=5, I L < Z / Z Z� 'I JX a NOTE:THE ENTIRE MOUND IS REQUIRED TO BE CAPPED Z- WITH 6 INCHES OF TOPSOIL AND THAN HYDRO-SEEDED W w' w TO PREVENT EROSION AND DAYLIIGHTING OF EFFLUENT. �T� 2,':',° W II I�1 Zr Z_ 7 Ow(Jo Q , �a I� Z� � a PROPOSED FINAL GRADE=102.35 '0 c/ 11.12 BENCHMARK IS BOTTOM OF SIDING ea N O NEAR SE CORNER OF HOUSE=100.00Z a I- D- 2”OF INSULATION w ` J.w o 0 FILTER FABRIC z71 r l Uo Jcc D_ i MT ORIGINAL GRADE z • U - I ' - NEAR SE CORNER cL d Z O /Alin. r.aiiir�iiG�+1I 4, OF BED=98.69 o CrvV11 E 0 W •PSS a Q U Z 5, I 3' C W 'N W 'i — i cc F •._ "• - ��''� 0 5'EFFECITV= I S rl J at _ f "° FEED LINE FROM STEP TANK T r,;. s •' f I w w Z Q : ' RECIRCULATION LINE BACK TO STFP TANK `'` 0 W PROPOSED INVERT OF `..' :'� `' 4.4'SEPARATION TO JUNE ' ` a w . . DISTRIBUTION LINES=99.25 GROUNDWATER READINGS v w a 21t PROPOSED TOP OF (WAIVER REQUESTED) ,"„ SAND FILTER=98.75 V + .44 OC , °,' FOUNDATION 15' 1 12' i (�P ......... 'f..•• J .,,..:4 �♦♦.♦ ASSUMED FOUNDATION ,' *• •0 PROPOSED MAXIMUM GROUNDWATER ON et-7) •H. DRAIN LOCATION 4 EXCAVATION=96.69 6/12/2017&6/14/2017 .•401 IN TH#2=94.35 0 0 ;r.......•.. I'.•. . • 0 Imo : - r- . �ss r4.•Ay/. CROSS SECTION DETAIL A-A SCALE �•'•�`�'Fh 4••••.. 6 2Mi! '..•" 1"=5' .4♦ '°ROFESS\�:� LICENSE ,•1vi,s`-k� #AECC884 .•"\P�� , � . +•1 • GARNESS ENGINEERING GROUP, Ltd i' .4-1'. CIVIL&ENVIRONMENTAL ENGINEERS • .. • ey • .9701 E.TUDOR ROAD.SUITE 101•ANCHORAGE.AK 98607.PHONE(9071 337-6179'FAX(907)33&3216'WE&SRE:rxv.prnewer¢.eftoom • •' • : J - -ss /Li: SOIL LOG - PERCOLATION TEST .06: . C -7 53 : LEGAL DESCRIPTION: T15,R1W,SECTION 18,LOT213 �.. ,• • 19 . ` PERFORMED FOR: KEN AND LISA LEAF ,•4 °/DR e cc0"4*• DATE: 5/31/2017 hit." �Uh ESS\ • DEPTH•----- LICENSE ffliiii„ioo• ORGANICS #AECC884 (feet) TEST HOLE #1 1 •., GP TO SP SOIL CLASSIFICATIONS SITE PLAN :;.•.•4 2 —\-.e _:s:i '`? o' GW - ORG ML 1111111191 GM J e CL .r '°� /M GC f OL �` ; 4 —... '. °;",°:, SW I`)), MH Q 5 4131RIRIO SP CH Lo- NIUE SM ,. • OH !G 6 6 . ► !~moi: Sc j ` )i eP DEPTH TO 7 ' ' SM TO ML GROUNDWATER DATE N 8 — I • WITH SOMESEEPS @ 5-6'&9' 5/31/2017 �� Ili6 GRAVELL • 5.5' 6/2/2017 SCALE. • 111 9 . • 5.5' 6/8/2017 1-_100' • . 5.5' 6/12/2017 10 6• ' CLOCK NET TIME WATER LEVEL NET DROP 11 DATE READING B.O.I I. TIME (MINUTES) READING (INCHES) 12 6/1/2017 1 1:31 - 6" - 2 2:01 30 3-3/8" 2-5/8" 13 — 3 2:01 - 6" - 4 2:31 30 3-1/2" 2-1/2" 14 5 2:31 6" - 6 3:01 30 3-1/2" 2-1/2" 15 — 'PERCOLATION TEST PERFORMED IN SM TO ML LAYER 16 — 1 GP TO SP WAS VISUALLY THE SAME AS UPPER SOIL STRATA IN TH#2. 17 — USE TH#2 PERCOLATION RATE FOR THIS SOIL STRATA(<1 MINUTE/INCH) 18 — 19 PERCOLATION RATE 12 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES) TEST RUN BETWEEN 3.0 FT. AND 4.0 FT. 20 A FOUR HOUR PRESOAK WAS PERFORMED: • YES ❑ NO SOILS LOGGED BY: JODY MAUS PERCOLAT ION TEST PERFORMED BY: JODY MAUS COMMENTS: PERCOLATION READINGS ARE WITHIN 1/16 OF INCH. PERFORMED BY GEG,Ltd. I,JEFFREY A. GARNESS,CERTIFY THAT THIS WAS PEPFO MED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: 6//`1/i 7 J a •`-�c OF Ai: *1� t# `c,. _ ••. v. fiq ! GARNESS ENGINEERING GROUP, Ltd ' " • 3701E.TUDOR ROAD.SUITE 101'ANCHORRACGE.I t7EN ENVIRONMENTAL ENGINEERS � I • I • Vim. f', lei�, 0 Gari ess 'e i SOIL LOG — PERCOLATION TEST] • 0• ;• C -79,53 • _� T15,R1 W,SECTION 18,LOT 213 �� LEGAL DESCRIPTION: .F,Q•'••,,lc7 'ZI J ?,.•'*��� PERFORMED FOR: KEN AND LISA LEAF DATE: 6/92017 ��ti'°ROFESS\�P44�• DEPTH rrrr LICENSE ,IfIli i\\v\l• (feet) :�� �� ORGANICS #AECC884 1 •~• ' LOAM (SM TEST HOLE #2 • • . W/ ROOTS) • ...ASOIL CLASSIFICATIONS SITE PLAN *' ••o i .t ,;o , GW �: ORG ".,06.1 MN GP r I ML 3 ;.. ;::.,,•., 11.11191 1 r; ••:� GPTOSP GM / CL 4 -T.-,••.•, w��/ GC ` OL \Q' _•••/ ,o o'o o. SW / I MH 5 ,1•:s'';•••••41 SP CH Intei76/11 SM r' i% OH �6 1•1 SC 7DEPTHTOSMTOMLGROUNDWATERDATE "CCNI45) N • 8 .... WGRAVEEL SEEPS @ 5' 6/9/2017 4.3' 6/12/2017 SCALE: 94.3' 6/14/20171^=100! .. 6/19/201710 CLOCK NET TIME WATER LEVEL NET DROP 11 DATE READING TIME (MINUTES) READING (INCHES) B.O.H. 12 — 6/9/2017 1 - - 6" - 2 - <4 0" 6" 13 — 3 - - 6" - 4 - <4 0" 6"' 14 — 5 - - 6" - 6 - <4 0" 6" 15 — 7 - - 6" - 16 — 8 <4 0" 6" 9 - - 6" - 17 — 10 - <4 0" 6"' 11 - - 6" - 18 — 12 - <4 0" 6" PERCOLATION RATE <1 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES) 19 — TEST RUN BETWEEN 2.0 FT. AND 3.0 FT. 20 A FOUR HOUR PRESOAK WAS PERFORMED: ❑ YES I. NO SOILS LOGGED BY: JODY MAUS PERCOLATION TEST PERFORMED BY: JODY MAUS COMMENTS: PERCOLATION READINGS ARE WITHIN 1/16 OF INCH. PERFORMED BY GEG,Ltd. I,JEFFREY A.GARNESS, CERTIFY THAT THIS WAS PE FO ED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: 6 21 1' J r ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND REPAIR AGREEMENT BETWEEN MUNICIPALITY OF ANCHORAGE AND V enf? e-J r tl"SH Leo' - THIS MAINTENANCE AND REPAIR AGREEMENT made and entered into as of this 2-0 Day of rJUNE of 20/7, by and between IC cnn e#h r L.S.A. herein the"OWNER,"and the Municipality of Anchorage, herein the "MUNICIPALITY." In consideration of the mutual covenants contained herein, the parties to this Maintenance and Repair Agreement agree as follows: 1. Advanced Wastewater Treatment Systems. Municipality grants permission to Owner to utilize and operate an Advanced Wastewater Treatment System (AWWTS), described as C Jx►5 F\e oceIl located at (legal description). 2. Definitions. Alteration. Any change to the design or function of an AWWTS that includes the installation or removal of any parts, components or pieces not included in the original construction permit and design. Certificate of On-Site Systems Approval(COSA). An approval by the Municipality of existing water and wastewater disposal systems given at the time of property sale and title transfer in accordance with Anchorage Municipal Code (hereinafter, "AMC") 15.65. These approvals certify that the systems are adequate for the homes that they support and meet the codes that were in place at the time of system construction. Damage. Any man-made or natural change in a system that would inhibit the system from performing as designed. Maintenance and Repair. The scheduled and as needed replacement of existing parts, components and pieces of an AWWTS that were included in the original design which would allow the AWWTS to continue to perform as designed. Permit. An On-Site Wastewater Disposal Permit as required by AMC 15.65 to construct and operate an AWWTS. 3. Term. The term of this Maintenance and Repair Agreement shall begin on the date of approval by the Municipality to operate the installed system or issuance of a COSA, and shall continue while the AWWTS is in use or is operational or until the property is sold or title is transferred by the owner and a new COSA is issued to the new owner or transferee of the property. 4. Alterations,Installation and Removal of Additional Equipment. Prior to performing any alterations to an AWWTS,the owner agrees to obtain an On-site Wastewater Disposal Permit from the Municipality in accordance with AMC 15.65. 5. Maintenance and Repairs. A. Throughout the term of this Maintenance and Repair Agreement,the Owner shall maintain their AWWTS in a satisfactory condition capable of producing treated septic effluent in accordance with the equipment's approval for operation in the Municipality. The owner shall enter into a service agreement with an AWWTS service and maintenance provider approved by the municipality and the manufacturer of the AWWTS for the entire term of the AWWTS. In addition, it shall be the responsibility of the Owner during the term of this Maintenance and Repair Agreement, and any renewals thereof, at the owner's sole expense, to pay for any and all: (1) repair(s), (2) maintenance, (3)adjustment(s), (4) replacement costs, and(5) inspection costs. B. Owner agrees to comply with all applicable ordinance, laws, regulations,rules and orders for the AWWTS. C. Upon request by the Municipality, the owner agrees to provide the Municipality a written schedule of routine maintenance and repairs which have been performed on the system. When a record of maintenance is documented and maintained by the system vendor, the owner agrees to allow the Municipality access to this information. D. Owner acknowledges that the fine for failing to maintain and repair an AWWTS may be assessed in accordance with AMC 14.60 for improper discharge. E. Owner agrees that only maintenance and repair personnel approved by the Municipality will inspect and make any necessary maintenance, repairs or permitted alterations to the system. F. Owner agrees to grant the Municipality reasonable access to test and inspect the AWWTS upon 24 hours written notice. G. Owner agrees that any sale or transfer of title of the property will not occur without a new Certificate of On-Site Systems Approval. , ,4 • • H. Owner agrees that the AWWTS installation and maintenance requirements as provided by the AWWTS vendor/installer and approved by the Municipality are the governing guidelines for the construction, maintenance and repair of the Owner's AWWTS. 6. Nonwaiver. The failure of either party at any time to enforce a provision of this Maintenance and Repair Agreement shall in no way constitute a waiver of the provisions, nor in any way affect the validity of the Maintenance and Repair Agreement or any part hereof, or the right of such party thereafter to enforce each and every provision hereof. 7. Amendment. A. This Maintenance and Repair Agreement shall only be amended, modified or changed by a writing, executed by authorized representatives of the parties, with the same formality that this Maintenance and Repair Agreement was executed with, and such writing shall be attached to this Maintenance and Repair Agreement as an amendment. B. For the purposes of any amendment modification or change to the terms and conditions of this agreement, the only authorized representatives of the parties are: `` a. Owner: k en n e h L /.5 / rtt b. Municipality: Director, Community Development or designated authority C. Any attempt to amend, modify, or change this contract by either an unauthorized representative or unauthorized means shall be void. i 8. Jurisdiction: Choice of Law. Any civil action arising from this Maintenance and Repair Agreement shall be brought in the Superior Court for the Third Judicial District of the State of Alaska at Anchorage. The laws of the State of Alaska shall govern the rights and obligations of the parties under this Maintenance and Repair Agreement. 9, Sevcrah ility. Any provisions of this Maintenance and Repair Agreement decreed invalid by a court of competent jurisdiction shall not invalidate the remaining provisions of the Maintenance and Repair Agreement. OWNER: By: -Ike4.,nPi•6 lC (signature) Date: 6/ yPOfy • Ke/Ylve 1t JL cc-h-(- (print name) STATE OF ALASKA ) ) ss. THIRD JUDICIAL DISTRICT ) The foregoin l instrument was acknowledge before me this 20 day of , 20 , by •..rti- 4 .. . !W////, NOTARY P MC FOR ALASKA - NOTARY My Commission expire .1 C, 001.9) 7-s-,. PUBLI /mitt MO MUNICIPALITY: By: (signature) Date: (print name) Title: C MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street - Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME Alfie ,n ' (Vl/J -�� PHONE NEW ��'�'�—� UPGRADE MAILING ADDRES �//� /1 //�'� 0.4 /,�/, L,-- 2 4. ICJ ail 6 J 4 Al LEGAL DESCRIPTIONi3 SOC' li i A/ // r prucLOCATIILOO`'f ce_`L/ t ./Gj. NO. OF ROOMS 1 SEPTIC TANK DISTANCE TO: We�OD `` Absorption4ar�a ' 7 Dwelling , / Materia PE Ry (�, S� ��/ 6 No. of compartments 04. Manufacturer ,�. Lig. capa¢itxirygallons IF HOMEMADE: Inside length Width Liquid depth D O, Z S� < DISTANCE TO: Well Dwelling PERMIT NO. Manufacturer Material Liquid capacity in gallons TILE DRAINFIELD TRENCH DISTANCE TO: Well 763:57 (s/ �� r Foundation q O'" Nearest ley �C/ RA PERf)4�T flpn9 6.--402... ! C1 No. of lines ./' Length o�Gaipe �J Total IerytltAf i�aes (lb . Trench v�dth �j 0 inches Distance beryl t/ Top of tile to finish grade /� / (74 -etc— Material beneath the a� inches Total e ectiv absorption area <(V5' SEEPAGE PIT Length Width Depth PERMIT NO. Type of crib Crib diameter Crib depth Total effective absorption area DISTANCE TO: Well Building foundation Nearest lot line J J 1 Class Depth Driller Distance to lot line PERMIT NO. DISTANCE TO: Building foundation Sewer line Septic tank Absorption areas) OTHER Q� PIPE MATERIALS 1d v- SOIL TEST RATING f1 VC INSTALL REMARKS Idtif !D Ckt .44 ....."..Its........... • 1 4 0 O 0 SA N APP VED DATE LEGAL •_ sof al8i ev. PERMIT NO @>1I R N @"•'i1 T:: A::.::.I F::cN @_..::@ ...@... ke CA Fr Fid PA CA—. E:. x 11 n:: ' N_:;: DEPARTMENT OF HEALTH FH AND:: ENVIRONMENTAL PROTECTION 825 'I...' STREET, T, IN HORS:3E; AK. 99501 264-4720 FI 11-4 U;, of r4 --- -i:i,Ei9 ) APPLICANT RALPH W. MOODY I_r❑ t M: Cil1 SPRUCE CREST DRIVE LEGAL L213 SEC. 18 TISN RIW SM SR TYPE OF' SOIL. ABSORPTION SYS'T'EM IS: E:'F:AINFIE.LF+ MAXIMUM NUMBER OF BEDROOMS I l')$_ef ; ( it I:, . " EE::1JE_@E::: ;;. -11 tt.m5 1n -r721 li_ 8ti r.` ; CHUG FIt;:: ._�si":.�t'�� �S'd. 2 ,ir�01 LOT 513 E. 64000 1 5r:'l_IHREi_ FEET SOIL... RATING (5 F T E'F:)— 115 THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: @':>6_:F"°-@-'•@--1...._ .-V... a 1._Ec:@"-NCcN..rEl= .4-5Y::aV=::I R "E:.:@... L Ei_IF`..�...V THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRHIPdFIELE:'. THE DEPTH OF A TRENCH OR F'.T1" IS THE DISTANCE BETWEEN THE SURFACE OF THE GROUND AND M� THE BOTTOM �x OF THE EXCAVATION (IN FEET). — @ ••@ E:_.: " @_: EE @" @ I F "y 11 14 :A: t;� ti -..@... PA 1 .:.. THE GRAVEL DEPTH IS THE: MINIMUM DEPTH OF GRAVEL. BETWEEN THE 0II_ITFALL. PIPE: AND THE BOTTOM OF THE EXCAVATION (1N FEET). FR:FEr _9 :r RE C. SEZIPMIC r N•'^b @°..,dl @- :'j:. '= @." t:::z.: ::.@... q:::A A: '`q A- PERMIT FIF'PL.ICHr'NT HAS THE RESPONSIBILITY TO INFORM THIS DEPHFrrr'IErd`r DURING THE: INSTALLATION INSPECTIONS OF Hfd',' WELLS ADJACENT TO THIS PROPERTY AND 'I!II= NUMBER OF RESIDENCES THAT THE WELL. 141LL SERVE. .._-.....-.....__ 1- @ n.@ CD TE' r4 nE. @'.'- IE: (.2-r 1 ID r•.@'SE ; 1F1 F: E' . @'•y.: IE.._ n.: R. J I FR'. EE E"x BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL DEPARTMENT $41L_L. BE SUBJECT TO PROSECUTION. MINIMUM D:rsrFINCE BETWEEN H WELL FIND A.Ir' ON—SITE SEWAGE E:',ISF'OSAL.. SYSTEM IS 10'' FEET FOR FI PRIVATE WELL 1 L. rr 150 TO 200 FEET FROM A PUBLIC WELL DEPENDING UPON THE TYPE" OF PUBLIC WELL. MINIMUM DISTANCE FROM 11 PRIVATE 1It-I._L TO H PRIVATE SEWER LINE IS 25 FEET AND 10 A COMMUNITY SEWER LINE: 1S; 75 FEET. IIk%l..l... tri3_: ARE REQUIRED AND MUST EE RETURNED TO THE DEPARTMENT WITHIN 3:0 DAYS OF THE WELL COMPLETION. OTHER REQUIREMENTS MAY FIF'F'L'r'. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE ...3 .INSURE: PROPER INSTALL...HTION. r::• lfE. @:;; , r_1 I -F. Er V ` :T F.: @. C. tD IE A::::: Ems" p1 E = F_ @r, vFI::.V.... . � S-31 a 1_ T CERTIFY THAT 1: T FIM FAMILIAR l.'.1:1:1"H THE REQUIREMENTS FOR ON --:;:CTE: SEWERS AND 1IF1..L..:: AS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE. C Idll._k.. INSTALL L T'HE. SYSTEM :rr ACCORDANCE WITH THE CpE:'E::o. T. UNDERSTAND 1ta1 THE ON—SITE SEWER SYSTEM 1 F, REQUIRE ENLARGEMENT IF "THE RESIDENCE IS REMODELED TO INCLUDE MORE THAN 3 BEDROOMS. SIGNED HPPL.ICF � F'FIL.F'Fd I IOOD'r' ISSUED BYsA6rjsfl..1,1,✓ O & E ENG..JEERING & DEVELOE .vIENT CO. Box 90, Davis St., Eagle River, Alaska 99577 694-2774 or 688-2280 Russell Oyster 694-2774 SOIL LOG Earl Ellis 688-2280 Performed for: Name: ri?//6P/1 /('io pJ" Tel No 66 --14- 0 Mailing Address' sitee 1/ Sok35265, /ljLUA//via -57; elf ac/q/< Legal Description. Lor .2/'3, YrC` . /CS', / /S/l/, ,€/ bl/., 5, /Gj , Depth (feet) Soll Characteristics 0 1 491. 5/Lr Top S 0/4.- 2 ic^2 f' r:S, vELGY 6)I1//FO4Al 3 /)7.& '. ji4ND , CLE/9F/- 4 QED. L) ,(/S/rY 5 /217,5,c, 6 7 8 /AOL 5/c -T , /)FAise 9 »awe / 74. 10 11 16 PLOT PLAN kit) 5e4ce PERC. TEST OF `�0 a• f °. �C� 1 Ground Water Encountered: Yes No �If yes, what depth „..4„.N.„ r� `° d• ",- Proposed Installation: Seepage Pit `fc�VtiG Eta® Drain Field • •^ '• °•• • 4 Comments. 9 #6,11; Rs Earl P. Ellis in; 4 L!,• NO. 1745-E ed ti B uJ �,• ..‘,:to rd Performed by: Date /7K721 WE SERVE ALL ALASKA POST OFFICE BOX 42 - CHUGIAK, ALASKA 99567 w w w w w w It w w t; DEPTH OF WELL STATIC LEVEL OF 0 0 0 0 0 0 0 0 0 0 0 0 H F F H H F H F F F F F w w w w w w w w w w w w 0 w 0.. O 3 0 0 0 0 0 0 0 0 0 0 0 0 IL, w w w w w w IL w a a a E" tw w w w w w DATE - STARTED DATE - ENDED 0 O 0 O 0 000000000000 F F F F H H F H F F H F H F H H w w w w w w w w w 0 0 0 0 0 0 0 0 0 0 0 0 w w w w w w w w w w w w MISCL. INFO DRILLER'S NAME INSPECTION APPOI " MENTS DATE RECEIVED TIME. TIME/ Al — 3...0 ` TI /-'do DAT 8 3 Cr t G DA E $ -/2- INS ECTOR INSPECTOR INSPECTOR DEPARTMENT MUNICIPALITY OF ANCHORAGE OF HEALTH & ENVIRONMENTAL PROTECTION 825 L Street - Anchorage, Alaska 99501 SANITATION DIVISION Telephone 264.4720 OF INDIVIDUAL WATER AND SEWER FACILITIES 1r ENVIRONMENTAL i) REQUEST FOR APPROVAL DIRECTIONS: Complete all parts 011 page 1. Incomplete requests will not be processed. Please allow ten. (10) days fo processing. 1. PR RTY OWNSCy ieAtn /'6007 PHONE//L Sri �-� MAILING ADDRESS t� / O / dT G /k �'�� � �a �- �'o x 3 ��S � ytcYi ��. ,/ PROPERTY RESIDENT (If different from above) O A7/7l/f/ 4?eeu ee_ UCeS ola cc.._1,tn'Cr--n e_ PHONE 2. BUYER j, 0 �/ O 6h s 0Yj� ..000 U PHONE �: 9ct – 51..,Z MAILING ADDRESS J i6 . /y 0�a Z^%/yy- �G'5o s-- 770t $O)(172/ ) 3. LEN INC INSTITUTION ' /2 lis IP -C' e�rl � G�27 ;`d :>-� PHONE g7,-.51.0-0 MAI(J.3NG ADDRESS ' / 74 4. REALTOR/AGENT --. ego/0le.- t es <� r.,- x 7 @& ,er / eo /2n PHONE ‘`/$-9/a 5-- MAILANGADDRESS 5. LEGAL DESCRIPTION.9 J/ / �. / .,2r)/A /4 arca/ O )-1,/ t, 7 / s- /Y / ti STREET LOQATIOry / / 6- — /Owsc c72 i" je f7'" / S'/cl'Q- 6. TYPE OF RESIDENCE NUMBER OF‘BEDROOMS ■ One ■ Four, ■ Other SINGLE FAMILY • Two • Five • MULTIPLE FAMILY g Three w Six 7. WATER SUPPLY 0 INDIVIDUAL* * ATTACH WELL LOG. A well log is required for all wells drilled • COMMUNITY since June 1975. For wells drilled prior to that date, give well • PUBLIC UTILITY depth (attach log if available.) 8. SEWAGE DISPOSAL SYSTEM p-. Z INDIVIDUAL/ON-SITE** /20.c- YEAR ON-SITE SYSTEM WAS INSTALLED. • PUBLIC UTILITY NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010 (Rev. 6/79) W THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE NUMBER OF BEDROOMS • SINGLE FAMILY ■ MULTIPLE FAMILY • ONE El THREE O FIVE • OTHER • TWO • FOUR • SIX, 2. WATER SUPPLY PERMIT NUMBER ■ INDIVIDUAL IN COMMUNITY DEPTH OF WELL ■ PUBLIC UTILITY DATE DRILLED Connection Verified LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM • INDIVIDUAL/ON PERMIT NUMBER -SITE • PUBLIC UTILITY Connection Verified DATE INSTALLED / ^ Chi INSTALLER ■ Septic r�Tank �or • Holding Tank Size: id,0:J If Tank is homemade give dimensions: SOILS RATING TYPE OF TANK MANUFACTURER A. �fM, -_v/�' TOTAL ABSORPTION AREA MATERIAL 4. DISTANCES WELL TO: Septic/Holding Tank Absorption Area Sewer Line. Nearest Lot Line Absorption Area to nearest Lot Line 5. COMMENTS • (APPROVED FOR 3 BEDROOMS IN CONDITIONAL APPROVAL (letter must accompany certificate) • DISAPPROVED DATE ,57- y?-V -g BY (�'^ W 72-010 (Rev. 6/79) 1. General (a) • MUNICIPALITY OF ANCHORAGE DIVISION OF ENVIRONMENTAL HEALTH DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION APPLICATION FOR HEALTH AUTHORITY APPROVAL CERTIFICATE Information Application Date /0/03A c,L Legal Description (include lot block, subdivision, section, township, range) 0/3 S/9 lot, block, �/ e-1 Location (address or UR1 rert dections) $I V -CC I /rv7 �// G bj LU00 0, Ut& (b) Applicants Name Telephone - Home Business Applicants Address (c) Applicant is(check on Lending Institution 1 1 ; Owner/builder BuyerIP—I ; Other (explain); (d) Lending Institution Address (e) Real Estate Co. & Agent (f) Address Telephone Telephone C9'/- 41000 the HAA to the following address: 2. Type of Residence Single -Family Number of Bedrooms 3. Water Supply Individual Well Multi -Family) 3 Community Other (describe) Public i Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 4. Sewage Disposal Onsite Public Community I I Holding Tank 1 Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. [Page 1 of 2] 5. Engineering Firm Providing Inspections, Tests, File Search, Data and Information As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval shows that the on—site water supply and/or wastewater disposal system is 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 in compliance with all Municipal and State codes, ordinances, and regula— tions in effect on the date of this inspection. Name of Firm Address Date 6. DHEP Approval Approved for..._, bedrooms & �g;1C98X�tY 1Dl „Cl. ObalasKA 2` 9 . Telephone (ENGINEER SEAL) Approved �/1 Disapproved /� Conditional Terms of Conditional Approval CAUTION THE MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION (DHEP) ISSUES HEALTH AUTHORITY APPROVAL CERTIFICATES BASED SOLELY UPON THE REPRESENT— ATIONS GIVEN IN PARAGRAPH 5 ABOVE BY AN INDEPENDENT PROFESSIONAL ENGINEER REGISTERED IN THE STATE OF ALASKA. THE DHEP DOES THIS AS A COURTESY TO PURCHASERS OF HOMES AND THEIR LENDING INSTITUTIONS IN ORDER TO SATISFY CERTAIN FEDERAL AND STATE REQUIRE— MENTS. EMPLOYEES OF DHEP DO NOT CONDUCT INSPECTIONS OR ANALYZE DATA BEFORE A CERTIFICATE IS ISSUED. THE MUNICIPALITY OF ANCHORAGE IS NOT RESPONSIBLE FOR ERRORS OR OMISSIONS IN THE PROFESSIONAL ENGINEER'S WORK. (DHEP SEAL) RR4/ej/D13 [Page 2 of 2] 7-19-84 A. WELL IATA Well Classificatio• >f.' I If A, B, or C, D.E.C. Approved( Well Log Presen Li1,• naf Completed r� /e i .. „ICeNt Total Depth j Cased to /00 i Dept( of Grouting Static Water Level 63e, ' Pump Set At C.C. tet Casing Height Above Ground jar ¢Q n Sanitary Seal on Casing (Y ) Electrical Wiring in Conduit Depression Around Wellhead (45 Separation Distances frau Wel To Septic/Holding Tank on Lot /00 ; On Adjoining Lots /422 "< To Nearest Edge of Absorption Field on Lot /a) i1 ; On Adjoining Lots AVG 'A To Nearest Public Sewer Line Ai /to- To Nearest Public Sewer Cleancut/Manhole /j To Nearest Sewer Service Line on Lot SO L Water Sample Collected Sy$ %$ fr% /ned/tv/ t Date ///�fi,Afl Water Sample Test Results 4.10,9 T! s /a+1 -c Tot c.j Comments tiU->v IS / MUNICIPALITY OF ANCHORAGE MUNICIPALITY OF ANCHORAGE (MOA) DEP', of HEALTH EkV :ONMENTAI Pnc t.CTiON HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1984 NOV 9 1984 Legal Descriptio G ZOFC Tess ,e/ B. SEPTIC/HOLDING TANK DATA Date Installed /o/e / Size 4)0 No. of Compartments 2. - Standpipe Standpipe /NI' Air -tight Caps % Foundation Cleanou (4)NO Depression over Tank (A'/N)I Date Last Pumped /61 D y4'v Pumping/Maintenance Contract on File Y /4 ; for `-- Holding Tank High -Water Alarm (Y Temporary Holding Tank Permit (74*1t Separation Distances frau Septic/Ett ±ng.Tank: To Water -Supply Well /00 f d To Building Foundation /0 To Property Line /o 1 .i To Disposal Field / tf 1 To Water Main/Service Line ..5D I, To Stream, Pond, Lake, or Major Drainage Course Comments N 0 r.1 ic.) o AJ - Receipt # 3c�8p1 Date Paid: if -9_3c Amount; y5� [Page 1 of 2] 2-15-84 . ABSORPTION FIELD DATA Soils Dating in Absorption Strata r r T Type of System Design 7fritc 1 Date Installed j07,49/ Length of Field S' Z Width of Field Coo rr Depth of Field / '72 4(Gravel Bed Thickness Square Feet of Absorption 3 VS Standpipes Present Depression over Field (3Tv Date of Last Adequacy Test // Results of Last Adequacy Test ,S)% T/S p et c Its 07, Separation Distance from Absorption Field: / To Water -Supply Well /60 Y To Property Line /0 �, To Building Foundation zfic r To Existing or Abandoned System cn Lot MON[ ' : On Adjoining Lots 30 ( F To Water Mate/Service Line SZ) To Cutbank(if present) To Stream/Pond/Lake/or Major Drainage Course A-47 t To Driveway, Parking Area, or Vehicle Storage Area AJo a.r r SV � R.CA/ Comments ti N tr D. LIFT STATION Date Installed Dimensions Size in Gallons Manhole/Access (Y/N), "Pump On" Level at " Off" Level at High Water Alarm Level at Vent (Y/N) Tested for Pumping ycles during Adequacy Test. Meets MDA Electrical Codes(Y/N) Comments �* Check Permitted Bedroom Rating Against HAA Request ** I certify that I have checked, verified, or conformed to all MOA HAA Guidelines on the date of this inspection. Signed 8 & t ENGINEERING SAB 196X • Date Co any t.t.e l k PH 694-2 7KA 1 T,' MOA No. KB1/d5/s [Page 2 of 2] in effect }' 'a as a 457 1,yt- s+>, 2-15-84 7121,1 /D -e August c c� 5, 9£3Y 2 Ralph and Carmon Moody Star Route 1 Box 3465 Klondike St. Chugiak, AK 99567 ems, ,e5fli9,(5S Subject: Lot 213 Section 18 T15N RiW Approval for the individual sewer and water facilities cannot be granted until the following items have been completed: o Exposed electrical wires to the well head are in violation of the Municipality of ?anchorage cordes and must be encased .n conduit. The water analysis report needs to he submitted to this office from the Chem Lab, 5633 U Street, for our review. • The water sample could not he taken due to silt content (turbidity). The well should be flushed clear by turning on a garden hose until clear water is evident over an extended period of time. Please contact this department for a resampling appointment. y base notify this Department for a reinspection when the noted discrepancies have been corrected. If there are any further questions, please call this office at 264-4720 RP17R/n/Efl Enclosure Sincerely, Robert CY Pratt Associate Environmental Special c1/4u-f-'2( LLD I s t. o�. e„ � Municipality of Anchorage /�61 8 9 70 ?/ .•\ y.}__ Q-J..51: On-Site Water&Wastewater Program '•. (907)343-7904 �"� !Al L' JUL 2 7 2017 1r'„ cu CERTIFICATE OF ON-SITE SYSTEMS AP L c," 0199 Parcel I.D. 051-231-70 Expiration Date: / H- 1 �( 7 1. GENERAL INFORMATION Complete legal description T15N, R1 W,SECTION 18: LOT 213 Location (site address) 19413 SPRUCE CREST DRIVE, CHUGIAK,AK 99567 Current Property owner(s) KENNETH&LISA LEAF Day phone 529-5212 Mailing address 19413 SPRUCE CREST DRIVE, CHUGIAK,AK 99567 Real Estate Agent Day phone 2. TYPE OF DWELLING: • Single Family(w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 3 (SEPTIC SYSTEM SIZED FOR 4 BEDROOMS) 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well • Individual On-site U Individual Water Storage ❑ Individual Holding tank ❑ Community Class Well ❑ Community On-site ❑ Public Water System ❑ Public Sewer ❑ WaiverNariance request for. N/A Distance: - f ;-/ D Received by:-ti:__ y Date: S / COSA to be released to the enginder,unless otherwise requested by the engineer. COSA Fee $ J. JD Waiver Fee$ Date of Payment 7 I c9-F"1(1 Date of Payment Receipt Number 0d I ��`�t Receipt Number COSA# O111 27 v� Waiver# 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On-Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is(are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are)in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm GARNESS ENGINEERING GROUP, Ltd. Phone 337-6179 Address 3701 E.TUDOR ROAD, SUITE 101 'ANCHORAGE,AK,99507 JEFFREY A.GARNESS, P.E. y1 " 1/7. Engineer's Printed Name Date 6 Engineer's Comments: In conducting this evaluation,GEG provided an engineering evaluation of the welt and/or septic system in accordance with the 4, %' U tl el t I guidelines and regulations established by the Municipality of Anchorage and industry practices The reported results describe the ..t�� OF 4+ condition of the systems on the date/s of the evaluation.Separation distances were measured to readily identifiable features. ♦�P,.,�..•••"•• * •r• Hidden defects or encroachments may exist that were not identified during the evaluation.The operational life of at!*ells and septic ` •• �•��'••,.„ • •, systems depend on a vada of vadables induct but not limited to,soil conditions,groundwater levels(that mayfluctuate during "� yct P h mg, e M9 s '�• d I 'I the year),quafdy of construction(materials and workmanship),and the water usage of the family utilizing the systenVs.These s � /\ t* ` conditions can vary,and are outside the control of GEG.Satisfactory test results do not guarantee future performance of the M r:•.. .4. lh O. system/s;therefore,GEG makes no warranty(express or implied)regarding the future performance of the well or septic system. J• GEG makes no representation whether an alternative well or septic system can be kidded on the property in the event either of the e. . , .,,4 .1 current systems fait.The content of this report is for the sole benefit of the person/party who retained GEG.Reliance upon the • rn . g(f- ss :�1 a information provided in this report by any other person or party,including but not Wiled to subsequent property purchasers,is not 1. : .••.j f C 79� C authorized.In short,GEG disavows any legal duty to anyone other than the person/party who paid for this report. S v 4 6. DSD SIGNATURE `�.," pROFESSi130% , LICENSE IIrX1A'•ri1+ System#1 Approved for 3 bedrooms. #LICEN as System#2 Approved for bedrooms. Disapproved. ��`� ;1 Y 0/� �filri'S Conditional approval for bedrooms, with the following stipu kttbns: 0N_SIT_ G C . 19 VVA7 ASVD vo-k6 EUVA7 ER PROGRnr, „ vr c: c By "`'-`� `- .. / Original Certificate Date: - 1 — 17 The Municipality or Anchorage Develop,emt Services Division(DSD)issues Certificates of On-Site Systems Approval(COSA)based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTCHMENTS: COSA Checklist , Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other (Rev.10/12112) ' r m If more than 1 septic system is on the lot: COSA Checklist#_of_ P ti. J Structure served by this system 4 -> a Certificate of On-Site Systems Approval Checklist 4 Legal Description: T15N, R1 W, SECTION 18, LOT 213 Parcel ID: 051-231-70 ,� A. WELL DATA *ASSUMED CASED TO 40'+ BASED UPON WELL LOG (SEE ATTACHED) Na 3 Well type PRIVATE If A, B, or C provide PWSID# N/A Well Log (Y/N) YES Date completed 12/10/81 Sanitary seal (Y/N) YES Wires properly protected (Y/N) YES t----- Total depth 100+ ft. Cased to*uNKNOWNft. Casing height (above ground) 18+ in. (Z.so ?) FROM WELL LOG AT INSPECTION Date of test 12/10/1981 5/16/2017 Static water level 12 ft. 22.7 ft. Well production 5 g.p.m. 1.0 g.p.m. WATER SAMPLE RESULTS: Coliform NEGATIVE colonies/100 ml. Nitrate 1.66 mg./L. Collected by: GEG, Ltd. Arsenic: 6.13 ug./L. Date of sample: 5/16/2017 &6/21/2017 B. SEPTIC/HOLDING TANK DATA Tank Type/Material PLASTIC/ HDPE Date installed 7/6-12/2017 1060/ Tank size 540 gal. Number of Compartments 1 /1 Cleanouts (Y/N) YES Foundation cleanout(Y/N) YES Depression over tank (Y/N) NO High water alarm (Y/N) YES Date of pumping NEW Pumper - C. ABSORPTION FIELD DATA ("BELOW FINAL GRADE Date installed 7/6-12/2017 Soil ratingg.p.d./ r ft2/bdrm)**4.0 System type MOUNDED BED Length 15 ft. Width 10 ft. Gravel below pipe 0.65 ft. Total depth *4.7-4.8 ft. Eff. absorption area 150 ft2 Monitoring tube YES Depression over field NO Date of adequacy test NEW Results (Pass/Fail) - For ***3 bedrooms Fluid depth in absorption field before test - in. Water added - gal. New depth - in. Elapsed Time: - min. Final fluid depth - in. Absorption rate >= - g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N &type) NONE KNOWN If yes, give date - **THIS IS A CAT II QUANICS AEROCELL TREATMENT SYSTEM. **"HOUSE IS CURRENTLY 3 BEDROOMS.SEPTIC SYSTEM SIZED FOR 4 BEDROOMS. D. LIFT STATION ,' 'PER ELECTRICIAN'S REPORT Date installed 7/6-12/2017 Size in gallons 540 Manhole/Access (Y/N) YES "Pump on" level at TIMER in. "Pump off' level at TIMER in. High water alarm level at 36 in. Datum BOTTOM OF TANK Cycles tested NEW Meets alarm & circuit requirements? 'YES E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot 100'+ On adjacent lots 100'+ Absorption field on lot 100'+ On adjacent lots 100'+ Public sewer main 75+ Public sewer manhole/cleanout 100'+ Sewer/septic service line 25'+ Holding tank 75'+ Animal containment areas 50'+ Manure/animal excrete storage areas 100'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Absorption field 5'+ Water main 10'+ Water service line 10'+ Surface water 100'+ Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ Building foundation 10'+ Water main 10'+ Water service line 10'+ Surface water 100'+ Driveway, parking/vehicle storage 10'+ Curtain drain "10'+ Wells on adjacent lots 100'+ F. COMMENTS "TO A SUBSURFACE DRAIN. SEE WAIVER#OSV171058 G. ENGINEER'S CERTIFICATION .4P, A,..'.. +t.... .1 I certify that I have determined through field inspections and '�49 �- .. * �� review of Municipal records that the above systems are in • J • conformance with MOA COSA guidelines in effect on this • ■ date. ..A--Pg. f - A si : 4t� Engineer's Pri ed Na e JEFFREY A. GARNESS • SC 795 _� Date /3 -4 10 � PROFESS S� LICENSE ,,Iaa> � � •s � kAECC884 (Rev. 10/12/12) f 1 ...,,,..- ....--_..5-.9 w ldSo tR f s. ig >, y ,, , ! I Y i r i 1f11 - r� IG ,, I ian -7: - 1,,M111111.o _e_ ....... n+ .7 7 1 n 1 • H I xi I •7y 1 `J i ' •1 Ni - c • s 14 ki i ! • \II\ ; t _ o , _ •-, o. c,. i H5'�ic,9-::z1 ---'67 r? ASBUILT SEWARD & ASSOCIATES LAND SURVEYING _694-0820 I HEREBY CERTIFY THAT I HAVE SURVEYED THE SCALE' //_ alli Ili lii 14 FOLLOWING DESCRIBED PROPERTY: / ya (IF ,q 1 a*T. G�T�� s-C. Q6•' ..1"---<574-,-:.fes i DATE. ,r `.. - •-••. 6:4.k. AND THAT ENCROACHMENTS EXIST EXCEPT AS �� /a r'� -- INDICATED. IT IS THE RESPONSIBILITY OF THE _ - -* • � f OWNER TO DETERMINE THE EXISTENCE OF ANY GRID: ` ..7 �' • .,� EASEMENTS, COVENANTS,. OR RESTRICTIONS `'�' WHICH DO NOT APPEAR ON THE RECORDED SLIBDI- ...�1�/ss� 0(1:./ �Dr ya. -e -*?•. .0 Oven. Mark Seward 0 VISION PLAT. UNDER NO CIRCUMSTANCES SHOULD FB. +4.. •. LS-5�9 ,,>jr- „,,-,9_ ANY DATA HEREON BC USED FOR 'CONSTRUCTION _ a8 t�” 70 ,cis`r OF FENCE LINES, OR FOR ESTABLISHING BOUND- DRAWN: �1� �k\-'�'' ARY LINES. G, !-- a,,s,s.v,.,,' ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND REPAIR AGREEMENT BETWEEN MUNICIPALITY OF ANCHORAGE AND —5,e r 2.AA1 fff- THIS MAINTENANCE AND REPAIR AGREEMENT made and entered into as of this Day of --S-‘4--S-‘4of 20\ ,by and between 7e re M !�nQ herein the "OWNER,"and the Municipality of Anchorage, herein the "MUNICIPALITY." In consideration of the mutual covenants contained herein, the parties to this Maintenance and Repair Agreement agree as follows: 1. Advanced Wastewater Treatment Systems. Municipality grants permission to Owner to utilize and operate an Advanced Wastewater Treatment System (AWWTS), described as e( 1113 pY(1Ce C *fi located at (legal description). R ecJ c tot z 2. Definitions. Alteration. Any change to the design or function of an AWWTS that includes the installation or removal of any parts, components or pieces not included in the original construction permit and design. Certificate of On-Site Systems Approval(COSA). An approval by the Municipality of existing water and wastewater disposal systems given at the time of property sale and title transfer in accordance with Anchorage Municipal Code (hereinafter,"AMC") 15.65. These approvals certify that the systems are adequate for the homes that they support and meet the codes that were in place at the time of system construction. Damage. Any man-made or natural change in a system that would inhibit the system from performing as designed. Maintenance and Repair. The scheduled and as needed replacement of existing parts, components and pieces of an AWWTS that were included in the original design which would allow the AWWTS to continue to perform as designed. Permit. An On-Site Wastewater Disposal Permit as required by AMC 15.65 to construct and operate an AWWTS. 3. Term. The term of this Maintenance and Repair Agreement shall begin on the date of approval by the Municipality to operate the installed system or issuance of a COSA, and shall continue while the AWWTS is in use or is operational or until the property is sold or title is transferred by the owner and a new COSA is issued to the new owner or transferee of the property. 4. Alterations. Installation and Removal of Additional Equipment. Prior to performing any alterations to an AWWTS,the owner agrees to obtain an On-site Wastewater Disposal Permit from the Municipality in accordance with AMC 15.65. 5. Maintenance and Repairs. A. Throughout the term of this Maintenance and Repair Agreement, the Owner shall maintain their AWWTS in a satisfactory condition capable of producing treated septic effluent in accordance with the equipment's approval for operation in the Municipality. The owner shall enter into a service agreement with an AWWTS H. Owner agrees that the AWWTS installation and maintenance requirements as provided by the AWWTS vendor/installer and approved by the Municipality are the governing guidelines for the construction,maintenance and repair of the Owner's AWWTS. 6. Nonwaiver. The failure of either party at any time to enforce a provision of this Maintenance and Repair Agreement shall in no way constitute a waiver of the provisions, nor in any way affect the validity of the Maintenance and Repair Agreement or any part hereof, or the right of such party thereafter to enforce each and every provision hereof. 7. Amendment. A. This Maintenance and Repair Agreement shall only be amended, modified or changed by a writing, executed by authorized representatives of the parties, with the same formality that this Maintenance and Repair Agreement was executed with, and such writing shall be attached to this Maintenance and Repair Agreement as an amendment. B. For the purposes of any amendment modification or change to the terms and conditions of this agreement,the only authorized representatives of the parties are: a. Owner: -5-ra (Q M R b. Municipality: Director, Community Development or designated authority C. Any attempt to amend, modify, or change this contract by either an unauthorized representative or unauthorized means shall be void. service and maintenance provider approved by the municipality and the manufacturer of the AWWTS for the entire term of the AWWTS. In addition, it shall be the responsibility of the Owner during the term of this Maintenance and Repair Agreement,and any renewals thereof, at the owner's sole expense, to pay for any and all: (1)repair(s), (2) maintenance, (3) adjustment(s), (4)replacement costs, and (5) inspection costs. B. Owner agrees to comply with all applicable ordinance, laws, regulations,rules and orders for the AWWTS. C. Upon request by the Municipality, the owner agrees to provide the Municipality a written schedule of routine maintenance and repairs which have been performed on the system. When a record of maintenance is documented and maintained by the system vendor,the owner agrees to allow the Municipality access to this information. D. Owner acknowledges that the fine for failing to maintain and repair an AWWTS may be assessed in accordance with AMC 14.60 for improper discharge. E. Owner agrees that only maintenance and repair personnel approved by the Municipality will inspect and make any necessary maintenance, repairs or permitted alterations to the system. F. Owner agrees to grant the Municipality reasonable access to test and inspect the AWWTS upon 24 hours written notice. G. Owner agrees that any sale or transfer of title of the property will not occur without a new Certificate of On-Site Systems Approval. 8. Jurisdiction: Choice of Law. Any civil action arising from this Maintenance and Repair Agreement shall be brought in the Superior Court for the Third Judicial District of the State of Alaska at Anchorage. The laws of the State of Alaska shall govern the rights and obligations of the parties under this Maintenance and Repair Agreement. 9. Severability. Any provisions of this Maintenance and Repair Agreement decreed invalid by a court of competent jurisdiction shall not invalidate the remaining provisions of the Maintenance and Repair Agreement. OWNER: By: N1-4 (signature) Date: \-� D 1 r P 9\c \ 1 f-r- (print name) STATE OF ALASKA ) ss. THIRD JUDICIAL DISTRICT ) The foregoing instrument was acknowledged before me this �j day of ) , 20a, by 37r12_fill � �I ; • Q I ```�1/IIIA,„, � �auvA A'- t #4 IJP/`, _On H086N • N ARY PUBLIC FOR ALASKA = My Commission expires: in (}( -2 A 1Q' 1Agr g,} * PUBOC) Q F. ch "AO .11.1111101 MUNICIPALITY: By: (signature) Date: E4_ f f 7 (print name) Title: Municipality of Anchorage Development Services Department Building Safety Division On -Site Water & 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. OS 1-0231-90 COSA# (1gO2s6/ Expiration Date: 11-0—D1 1. GENERAL INFORMATION Complete legal description T15N, R1W, SECTION 18, LOT 213 Location (site address) 19413 SPRUCE CREST DRIVE is CHUGIAK, AK 99567 Current Property owner(s) ROBERT AND FONTAINE NEWELL Day phone 688-3601 Mailing address PO BOX 774716 • EAGLE RIVER, AK 99577 Lending agency Day phone Mailing address Real Estate Agent Mailing address 16635 CENTERFIELD DRIVE • EAGLE RIVER, AK 99577 BARBARA CRITTENDEN w/PRUDENTIAL Day phone 689-1802 Unless otherwise requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 3 3. TYPE OF WATER SUPPLY: Individual Well Individual Water Storage Community Class Well Public Water System TYPE OF WASTEWATER DISPOSAL: • Individual On-site ❑ Individual Holding tank O 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 op-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 samples. (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. 1 further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm GARNESS ENGINEERING GROUP, Ltd. Phone 337-6179 Address 3701 E. TUDOR ROAD. SUITE 101 • ANCHORAGE, AK 99507 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Engineer's Comments: In conducting this evaluation, GEG, LtD. attempted to provide a thorough, conscientious engineering analysis of the system in accordance with ADEC and MOA DSD Guidelines & Regulations. The reported results described the performance of the system under the conditions encountered at the time of the test• and separation distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the local soils condition, groundwater levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of the system. Satisfactory test results do not guarantee future performance ofthe system, nor do they guarantee that there are no hidden defects or encroachments. GEG, LTD. can therefore not provide any warranty or future estimate of how long the system will continue to meet the operational requirements of the ADEC or MOA DSD. The content of this report is for the sole benefit of the owner listed above. Any reliance upon or use of this report by any • other person or party is not authorized, nor will it confer any legal right whatsoever. 5. DSD SIGNATURE Approved for 2 bedrooms. Disapproved. Conditional approval for Date 9/S/9 ,00�4p vteoF . 000 ry ess!.' O OQ� CE -7g53 . :O ••. B/5/o4 ••.�oov '�cr1p06' tri r �� rr i. �.�`s.• �'Cy�'. J`�� ON-SITE • GGi �-se •WATER AND '. 1n: WASTEWATER : • PROGRAM : S.O•. •0,� bedrooms, with the filowing stipulations: �'�.; •'••.. \\�\ '77 /)1111\\\ Attachments: COSA Checklist Septic System Advisory Well Flow Advisory Nitrate Advisory - (Rev 11/05( a/, Act Arsenic Advisory Maintenance Agreements Supplemental Engineer's Report Other Original Certificate Date: iS •— % 3" 0 9 Municipality of Anchorage Development Services Department Building Safety Division On -Site Water & Wastewater Program • 4700 Bragaw Street P.O. Box 196650 • Anchorage, Al< 99519-6650 • www.muni.orgionsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description: T15N, R1W, SECTION 18, LOT 213 Parcel ID: or -.2.31-70 A. WELL DATA Well type PRIVATE Date completed 12/10/81 Total depth 100 ft If A, B, or &provide PWSID# N/A. Sanitary seal (Y/N) YES Casedto 100 ft, Well Log (WN) YES Wires properly protected (Y/N) Casing height (above ground) FROM WELL LOG AT INSPECTION Date of test 12/10/81 ' 7/15/2009 Static water level 12 ft . 22 ft. Well production 5 g p m 1.21 9 P n1 •WATER SAMPLE RESULTS: YES 24 in Coliform 0 colonies/100 ml. Nitrate3:g1 mg /1 Other bacteria colonies/100 ml. Arsenic NO ug./L. Date of sample: 7/23/2009 Collected by. GEC Ltd. B. SEPTIC/HOLDING TANK DATA Tank Type/Material SEPTIC/STEEL •Date installed 10/22/1981 Tank size 1000 gal. Number of Compartments 2 Cleanouts (Y/N) YES Foundation cleanout (Y/N) YES Depression over tank (Y/N) NO High water alarm (Y/N) Pumper SANITARY PUMPERS Date of pumping 10/25/2008 C. ABSORPTION FIELD DATA Date installed • 10/22/1981 Soil rating (g.p.d./ft2o Length 52 ft. Width 5 'BELOW EXISTING GRADE 115 N/A System type TRENCH ft. Gravel below pipe 2 ft. • Total depth '4.20 ft Eff. absorption area 345 ft2 Monitoring tube YES Depression over field NO Date of adequacy test 7/15/2009 Results (Pass/Fail) PASS For _3 bedrooms Fluid depth in absorption field before test DRY in. Water added iZgaI New depth i2in. Elapsed Tume J1Q. min. Final fluid depth jj5 In. Absorption rate >= 450+ g.p.d. Any rejuvenation treatment (past 12 mo.) (YIN & type) NONE KNOWN If yes, give date D. LIFT STATION Date installed "Pump on" level at in Datu E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: • 101.32' Size In gallons Manhole/Access (Y/N "Pump off" lave High water alarm level at In Cycles tested Meets alarm & circuit requirements? Septic tank/lift station on lot Absorption field on lot Public sewer main 100'+ N/A Sewer /septic service line 25'+ Animal containment areas 50'+ •FROM CENTER OF WELL TO EDGE OF STI On adjacent lots 100'+ On adjacent lots 100'+ Public sewer manhole/cleanout N/A Holding tank N/A Manure/animal excrete storage areas 100'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Absorption field 5'+ Water main N/A Water service line 10'+ Surface water 100'+ Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ Water service line 10'+ Curtain drain NONE KNOWN F. COMMENTS Building foundation 10'+ Surface water 100'+ Wells on adjacent lots 100'+ Water main N/A Driveway, parking/vehicle storage 10'+ G. ENGINEER'S CERTIFICATION I certify that 1 have determined through field Inspections and review of Municipal records that the above systems are In conformance with MOA COSA guidelines in effect on this date. Engineer's Printed Name JEFFREY A. GARNESS Date e>IS1/49 COSA Fee $ V9 0 Date of Payment Receipt Number (Rev. 11/05) 8/6/09 o954/f3 Waiver Fee $ Date of Payment Receipt Number Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 Elmore Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907) 343-7904 Nitrate Advisory Certificate of On -Site Systems Approval # 90254 A Certificate of On -Site Systems Approval inspection and test of potable water was recently conducted on the well water supply on Block , Lot 213 of T15N R1W Section 18 subdivision. This inspection revealed a nitrate concentration of 8.84 milligrams per liter (mg/L) was reported for the property's well water sample. The Environmental Protection Agency (EPA) has established a maximum contaminant level (MCL) of 10.0 mg/L for public drinking water systems. While private wells are not subject to this regulation, EPA standards are based on existing health information and can therefore be used to gauge the relative quality of water from private wells. Please see the attached "Nitrate Fact Sheet" for important information regarding nitrate. This advisory must be attached to all copies of the subject Certificate of On - Site Systems Approval. ASBUILT .41B2' 5 f*a.•• ...CCS7 i• w • •1 .0 n •.• o . •• . cyiirr..4G i0. ' o .✓Sy fry.:(4.1 /6Se SEWARD & ASSOCIATES LAND SURVEYING 694-082° I HEREBY CERTIFY THAT I HAVE SURVEYED THE FOLLOWING DESCRIBED PROPERTY: LoTtiJ .�Y. /P 0725745. •e/4i AND THAT NO ENCROACHMENTS EXIST EXCEPT AS INDICATED. IT 1S THE RESPONSIBILITY OF THE OWNER TO DETERMINE THE EXISTENCE OF ANY EASEMENTS, COVENANTS, OR RESTRICTIONS WHICH DO NOT APPEAR ON THE RECORDED SUBDI VISION PLAT. UNDER NO CIRCUMSTANCES SHOULD ANY DATA HEREON BE USED FOR CONSTRUCTION OF FENCE LINES, OR FOR ESTABLISHING BOUND- ARY LINES. SCALE: , /, yo DATE.. 7/3/2 GRID: FB: DRAWN; it �<P.• ' .1 .5, ' r • r i Chan* Mut S•vud : {S' LS -6 16 y le It it War n•�+