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VALHALLA BLK 2 LT 8
Valhalla Block 2 Lot 8 #015-212-20 Municipality of Anchorage Community Development Department Page 1 of 3 On -Site Water 8 Wastewater Program 4700 Elmore St. • P.O. Box 196650 Anchorage, AK 99519-6650 • http:/Avww.muni.org/onsite • (907)343-7904 ONSITE WASTEWATER INSPECTION REPORT Permit Number: OSP121160 PID Number: 015-212-20 ❑ New ®Upgrade Name:KARIN HAVE ABSORPTION FIELD 2 Deep Trench ❑ Shallow Trench ❑ Bed ❑ Mound Address: 12220 SHILOH ROAD, ANCHORAGE, AK, 99516 ❑ Other Phone: No. of Bedrooms: Sall Rating: Total Depth from original grade: (520) 261 —5776 4 0.5 GPD/Sq. Ft. 9.11 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade: SEE DWG. Ft. Gravel depth beneath pipe: 7.0 FL Subdivision: Block: Lot: VALHALLA 2 8 RII added above original grade: Grovel length: SEE DWG. Ft. 86 Ft. Township: — Range: — Section: — Gravel width: Bads Number of lines Distance between lines: 2.5 Ft. I — — Ft. SEPARATION DISTANCES Total obsorption area: 1204 SQ. Ft. Number of trenches: 1 en trenc Dt. is;.between hes: — T° Septic Tank Absorption Field Lift Station Holding Tank Public/Private Sewer lanes From R Well 100'+ 100'+ 100'+ — 25'+ TANK ❑ Septic ■ S.T.E.P. ❑Holding ❑ Other Manufacturer: Capacity: Surface Water 100'+ 100'+ 100'+ — GREER TANK 1500 Gal. Lot Line5'} F t 5,} — N/A Material: Number of compartments: STEEL 2 Foundation 5'+ 10'+ 5'+ - LIFT STATION Curtain Drain NONE KNOWN Manufacturer: capacity: GREER/QUANICS 1500 Gal. Remarks: QUANICS ADVANCED TREATMENT SYSTEM 'Pump on' level at: TIMER •Pump off- level or. TIMER High water alarm at: 46" OLD SEPTIC TANK WAS ABANDONED PER UPC. pump Make & Model: P—SE-41T Electrical Inspections performed by: M.O.A. 1.v oti�F,Ji— ldS✓}/J L✓iw�}t ,SF �.1 Qin, t PIPE MATERIAL House to tank D3034 Tank to D3034 drainfield Installer A+ HOME SERVICES i ranfieO Dld D3034 CMT D3034/ Inspector GEG, Ltd. BENCHMARK (Assumed elevation) 100.00 Ft. Inspection Dates: 1 St 8/3/2012 2nd 8/6/2012 Location and Deacriptlon: 3rd 4th BOTTOM OF SIDING NEAR FCO Community Development Department Approval EN6INEER98EAL 0o6000p4 Conditional approval: Date: 14gT a° � rh d" 0 f//f..... .. ... Q y"A�tiarness Q p000CE-7953 J�'eff` �dp� 0 r�Q�,2f.i.l2�co4 �p44aP Approved: Date:L I " 1 rof o 0 ess! o0 o D�O000�� PERMIT NUMBER: AS—BUILT DRAWING PARCEL ID NUMBER: - OSP121160 015-212-20 `—I A B ST1 50.39 42.78 MH 57.44 38.91 ACL1 58.88 43.69 ACL2 60.69 43.22 DIV 54.03 46.23 C01 49.26 84.58 MTI 48.52 84.07 CO2 84.02 52.07 MT2 84.22 52.48 / / VALHALLA; BLOCK o0 2, LOT 7 I I I EXISTING DRAINFIELD CONNECTED Q \ I r VIA DIVERTER VALVE \ GARNESS ENGINEERING GROUP, Ltd., CONSULTANTS & GENERAL CONTRACTORS ..__ -....1); . 3701E WWR ROPD SURE 101 • MCHO E. M 9957 • PHONE (907)337-6179 • FM (907)338-3246 • KKIIE ga ewng eeH q.ean PREPARED FOR: PHONE NUMBER: PAGE NUMBER:�� KARIN HAVE 520-261-5776 2 OF 3 DOppT `Ue; LEGAL DESCRIPTION: DRAWN BY: VALHALLA; BLOCK 2, LOT 8 A.J.G. TYPE OF WORK: DATE8/13/2012 Qe AS—BUILT DRAWING OF SEPTIC UPGRADE v., ...f, .......... ... �ey uAJ Garness, CE,\i9I53 �9}� �p21V1?' �000� TH#1FCONEW DRAINFIELD HOUSE DIVST1 \75 100 RAWELL DIUS I�DECK DM II NEW 1500 GALLON S.T.\ .TANKK —' /I 650 AEROCELL'4N( MT1 C \ 1 ORIGINAL TH \ / VALHALLA; / BLOCK 2, LOT 9 0060`; 0 ....... GARNESS ENGINEERING GROUP, Ltd., CONSULTANTS & GENERAL CONTRACTORS ..__ -....1); . 3701E WWR ROPD SURE 101 • MCHO E. M 9957 • PHONE (907)337-6179 • FM (907)338-3246 • KKIIE ga ewng eeH q.ean PREPARED FOR: PHONE NUMBER: PAGE NUMBER:�� KARIN HAVE 520-261-5776 2 OF 3 DOppT `Ue; LEGAL DESCRIPTION: DRAWN BY: VALHALLA; BLOCK 2, LOT 8 A.J.G. TYPE OF WORK: DATE8/13/2012 Qe AS—BUILT DRAWING OF SEPTIC UPGRADE v., ...f, .......... ... �ey uAJ Garness, CE,\i9I53 �9}� �p21V1?' �000� PERMIT NUMBER: BUILT DF ,WING PARCEL ID NUMBER: AS—BUILT 015-212-20 TOP OF INLET = INVERT OF BUNG = 93.26 NORTH PORTION OF TRENCH (15') WAS INSULATED PER A+ HOME SERVICES. THJ 1 FINAL GRADE _ 98.63 -99.06 - 1500 GALLON 10 GAUGE STEEL DEEP BURIAL STEP TANK FINAL GRADE = 96.62-97.44 - INSULATION TO AEROCELL UNIT STOP OF TANK OUTLET= 93.83 RELATIVE ELEVATION OF BOTTOM OF TESTHOLE = 79.40 (WATER 0 79.40) M OF TRENCH = 86.29 _ OF►' �qS 0 0( GARNESS ENGINEERING GROUP, Ltd. rt ..T* CONSULTANTS & GEN'ERAL CONTRACTORS .. ,._;:_ >:. ........ ... .. ... ........ 3701 E. MOOR ROAD, SURE 101 • ANC OPALS, AR 99507 • PHONE (907)337-6179 $ FM (907)336-32 6 • INEBSOE: yrx.gome n9ln"Kn9.cwn Y PREPARED FOR: PHONE NUMBER: PAGE NUMBER: KARIN HAVE 520-261-5776 3 OF 3 O�Q ff $ G rness:: LEGAL DESCRIPTION: DRAWN A.J GY fm, E?.��' VALHALLA; BLOCK 2, LOT 8 TYPE OF WORK: DATE: 4044444of OesEWO\ o PROFILE AS—BUILT DRAWING OF SEPTIC UPGRADE 8/13/2012 (Rev. 01105) MUNICIPALITY OF ANCHORAGE Community Development Department • Phone: 907-343-7904 Development Services Fax: 907- 343-7997 On -Site Water & Wastewater Program Mayor Dan Sullivan On -Site Sewer/Well Permit Application For A Single Family Dwelling Property owner(s) KARIN HAVE Day phone 520-261 —5776 Mailing address 12220 SHILOH ROAD *ANCHORAGE, AK 99516 Site address 12220 SHILOH ROAD *ANCHORAGE, AK 99516 Legal description (Sub'd, Block & Lot) VALHALLA; BLOCK 2, LOT 8 Legal description (Township, Section & Range) Lot Size Sq.Ft. Number of Bedrooms 4 THIS APPLICATION IS FOR: THIS APPLICATION IS AN: (®all that apply) Initial ❑ Absorption Field Septic Tank ® Upgrade ❑ Renewal ❑ Holding Tank Privy ❑ Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE/ WAIVER REQUEST FOR: I certify that the above information is correct. I further certify that this application is being made for a Single Family Dwelling and is in accordance with applicable Municipal codes. GARNESS ENGINEERING GROUP Ltd. (Signature of property owner or authorized agent) Date of Payment: u'T Receipt Number: Permit No. (Rev. 01/11) Municipality of Anchorage Development Services Division On -Site Water and Wastewater Program p enr `o SP n Department * * * * VARIANCE/WAIVER REVIEW * * * * Waiver#: osp121177 PID#: 015-212-20 COSA#: osc121409 Permit#: osp121160 Legal Description: Valhalla B-2 L-8 Engineer: Garness Engineering Group Applicant: Karin Have 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 5.0 feet. This waiver approval applies to the existing 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. ❑ The affected adjacent property owner(s) have been given a 7 day notice regarding this waiver. ❑ Notarized letter(s) of nonobjection have been received from the owner(s) of the affected adjacent property. ❑ Adjacent properties are not affected by this waiver. ............................................................................... Waiver is Granted: X Waiver is not Granted: Date: — Approved by: a eviewer ............................................1a .......................... Rec#: 02266G Amount: $200.00 Date Paid: 715112 **** VARIANCEIWAIVER REVIEW **** On -Site Wastewater Disposal System Permit MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 Elmore Road, PO Box 196650 Anchorage, AK 99519-6650 Telephone: (907) 343-7904 Permit Number: OSP121160 Tax Code Number: 01521220000 Work Type: Septic Upgrade Permit Effective Dates: July 05, 2012 to July 05, 2013 Design Engineer: GARNESS ENGINEERING GROUP LTD Subdivision: VALHALLA Site Legal Address: VALHALLA BLK 2 LT 8 G:2736 Owner/Address: HAVE KARIN 1313 W SAINT CLAIR TUCSON AZ 857450000 Site Mailing Address: 12220 SHILOH RD, Anchorage Lot Size in Sq Ft: 20000 Total Bedrooms: Irl 1 This permit is for the construction of; Y Disposal Field Y Septic Tank N Holding Tank N Privy N Private Well N Water Storage All construction must be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80). 3. The wastewater code requires inspections during the installation. The engineer must notify the Development Services Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either: A. Open and Close on the same day. B. Covered, sealed, and heated to prevent freezing. Special Provisions: Permit includes five foot lot line waiver OSP121177. Received Issued By MUNICIPALITY OF ANCHORAGE Community Development Department Phone: 907-343-7904 Development Services U& Fax: 907- 343-7997 On -Site Water & Wastewater Program Mayor Dan Sullivan On -Site SewerNVell Permit Application For A Single Family Dwelling Parcel I.D. —2 /)_ Property owner(s) KARIN HAVE Day phone 520-261-5776 Mailing address 12220 SHILOH ROAD *ANCHORAGE, AK 99516 Site address 12220 SHILOH ROAD *ANCHORAGE, AK 99516 Legal description (Sub'd, Block & Lot ) VALHALLA; BLOCK 2, LOT 8 Legal description (Township, Section & Range) Lot Size Sq.Ft. THIS APPLICATION IS FOR: (N all that apply) Absorption Field Septic Tank Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage ❑ Number of Bedrooms 4 THIS APPLICATION IS AN: Initial ❑ Upgrade Renewal ❑ THIS APPLICATION INCLUDES A VARIANCE/ WAIVER REQUEST FOR: I certify that the above information is correct. I further certify that this application is being made for a Single Family Dwelling and is in accordance with applicable Municipal codes. GARNESS ENGINEERING GROUP, Ltd. (Signature of property owner or authorized agent) Permit/Rush Fees: Date of Payment: 6?1a(9 lIQ Receipt Number: 002gg0 Ci Permit No. (S�/O1') / 1,6 Waiver Fees: Date of Payment: 7-5- /001 Receipt Number: Qua S�(9 (� Waiver No. o�lq /Q / 1 -:�- (Rev. 01/11) r 0 1 June 25, 2012 Municipality of Anchorage Development Service Department On -Site Water & Wastewater Program 4700 Bragaw Street P.O. Box 196650, Anchorage, Ak 99519-6650 (907)343-7904 Ref: Proposed Septic System Upgrade for Valhalla S/D; Block 2, Lot 48 To whom it may concern: The existing 3 bedroom home (recently been converted to 4 bedrooms) is served by a private well and septic system. The septic system is in a state of failure and needs to be upgraded. We are proposing to install a Quarries Aerocell treatment system which includes the installation of a 1500 gallon S.T.E.P. tank and deep trench type drainfield. Attached are a site plan and a design drawing showing the proposed septic system. One test hole was excavated on the property. The drainfield will be designed around the 30 foot radius of the test hole as well as the original testhole. Comments regarding the design are summarized as follows: 1. SOILS: See the attached logs which show the soil classifications, groundwater monitoring, and the percolation test results. 2. DRAINFIELD DESIGN: See attached design drawing for drainfield specifications. 3. SURFACE WATERS: There are no surface water concerns 4. TOPOGRAPHY: As can be seen on the attached design drawing the average topography is 10-15% running east to west. In, short, there are no slope concerns. . 5. LOT LINE WAIVER REQUEST: We request that your department issue 5 -foot lot line waivers from both the north and south property lines to the proposed drainfield. The separation distance between the proposed drainfield and the neighboring properties (Valhalla; Block 2, Lot 7 & 9) has a separation distance of at least 14 feet. We are unaware of any adverse impacts these waivers would have on adjacent wells or septic systems. If you have any questions, please contact us at 337-6179. Thank you for your assistance. 6. RESERVE SITE: We are proposing to install a flow diverter so that the existing drainfield may be used as the reserve site. The existing drianfield is sized for a four (4) bedroom home but 3701 E. Tudor Road, Suite 101 * Anchorage, AK 99507-1259 Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: www.gamessengineering.com only received a 3 bedroom approval due to the 1000 gallon septic tank (see inspection report filed with MOA). 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. A .E., M.S. NOTE: Attached is a site plan drawing, a design drawing, a detail drawing, and one soil log, which are all part of the design package for this septic system. (Contact G.E.G. Ltd for 7 page construction specification letter.) 3701 E. Tudor Road, Suite 101 *Anchorage, AK 99507-1259 Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: www.gamessengincering.com SHENANDOAH LOT 1 1 SHENANDOAH LOT 2 VALHALLl1 I Vnlnn� BLOCK BLOCK LOT 6� I LOT 1 I I f SHENANDOAH LOT 4 SHENANDOAH LOT 3 VALHALLA;/ - - BLOCK52 I TH1 r I I i DE s - % `ORIGIN L TT VALHALLA; \\ _ I / LOTK 92 BLOCK LOT42 C r VALHALLA; 70, BLOT K10 WE IMUS BLOCVALHALLik;K LOT 3 I / \ I I SEPTIC VALHALLA; BLOCK 3, LOT 6 VALHALLA; BLOCK 3, LOT 5 \ VALHALLA; BLOCK 3, 1 LOT 4 I VALHALLA; / I BLOCK 3• LOT 3 I / QaoP� QF.... C�sI000 GARNESS ENGINEERING GROUP, Ltd. 4 .�°ppp CONSULTANTS S GENERAL CONTRACTORS Q D ]01 E 111008 ROAD. SURE 101 • ANCHORPLi. PI( 9950] •PHONE 90])33]-81'!9 • FNt (90]1338-32" • KEB m .M - Q PREPARED FOR: PHONE NUMBER: PAGE NUMBER: """ 0 KARIN HAVE 520-261-5776 1 OF 3 ��0 : J f CE -79 3 essmp0 LEGAL DESCRIPTION: DRAWN BY: O `ifl0 VALHALLA; BLOCK 2, LOT 8 PNB DATE: 4��O040 elo TYPE OF WORK: 66/12 SITE PLAN (Rev. 01105) DESIGN CRITERIA: NOTE: THE CONTRACTOR NUMBER OF BEDROOMS: 4 SHALL HAVE THE NORTH & GALLONS PER DAY (GPD): 600 SOUTH LOT LINES, AND ALL PERCOLATION RATE/S: 120 WELL RADII FLAGGED BY A PROPOSED APPLICATION RATE: 0.5 REGISTERED LAND SURVEYOR MINIMUM DRAINFIELD SQ.FT.: 1200 PRIOR TO CONSTRUCTION. DRAINFIELD DESIGN: MAXIMUM DEPTH: 10 FEET WIDTH: 2.5 FEET / \ LENGTH: 86 FEET / \ M.O.A. APPROVED SAND FILTER: N/A VALHALLA; EFFECTIVE: 7 FEET ' BLOCK 2, REDUCTION FACTOR: N/A I LOT 7 ACTUAL SQ.FT.: 1204 / GEG, Ltd. ASA 7 AGE SPECI ICATION LETTER THAT PERTAINS TO THIS DESIGN. TO OBTAIN A COPY OF THE LETTERCONTACT GEG. BY j FORWARD WITH THIS INSTALLATION, THIEGENGINEER, WELL DRILLER, CONTRACTOR AND / PROPERTY OWNER AGREE THAT THEY HAVE READ THESE SPECIFICATIONS AND I / 73 AGREE TO ACCEPT THE TERMS AND C NDI IONS OUT LINED. 0 / \\EEDD CO I DRAINFIELD MT 10-1 I EXISTING DRAINFIELD EXISTING 1000 GALLON SEPTIC it I 10-15% 1 10-15% TANK TO BER UPC DECOMMISSIONED a TH#t I IAEUNTCELL 10_15% MH \� HOUSE N r VI ST 100. WELL RADIUS III ^ / I I I I DECK. \ \/ III ORIGINAL \ �� 10_.--15% �II TH T VALHALLA; / BLOCK LOT .. I �5 ALE. GARNESS ENGINEERING GROUP, Ltd. *:'4 p CONSULTANTS & GENERAL CONTRACTORS ......... ... ...... ....:....p 3]01 E MOOR R . SME 101 ^ANCHORAGE, AK 99507 ^ PHONE (907)357-0179 • FAX (907)338-3148 • WE890E: +wwAamewn9lne M.mm PREPARED FOR: PHONE NUMBER: PAGE NUMBER: ' "•. " "' ss. s: O KARIN HAVE 520-261-5776 2 OF 3 ppp T E 7 53 X00 LEGAL DESCRIPTION: DRAWN BY: V 9s (Rev. 01105) I x No ��r gm m r g ; N T I � _ I ;NVNP m N O A � p> Z I O� o Cm A I Z0 r v om w I m� ; m vOi z ZO v ?� m I o<N zOC A0A ~ a Am p I m U) mc N in mo X10m 2�A T < I �m �O Z1w = ao mI G7 I ZN D mo.Zm] C m �r�i m I �= wm 9*� c i=40 ma F I �-OI SS11 O �r N i ;u0 2 I Z m0 0NA r SC oT A I Kr 0Zm m NLn cn m vZi g D2� O 0O y r=r z AN .mw 0 D 0-u = m On v 0 zm ;u r Z m (n 0 Lom ?1 m m m I 02 w ;u -D-A m 5 O C NZ� m N O Z 3 0 E5 Mm rn Z v{ m Z ;u o < O D A0 0 Z r m m o0 z< ou ;urrl 0 m A O C ' r m O m m n 0 D C O Z O m m ... N m N U9 A w 0 C LY C c Z r N r m O \ O' O Z OD m n mAN n A nim m < rzO m ��o Z ? Zcr m o{zr a o r A < D m z m m r 0 m c7 O A fr*1 �L ... ., a .... tF r 0 A 0 c m Z_ 0 0 0- z oaoo�ppp� c .... F9 o�v�P 9 H v��0 DATE: DRAWN BY: _. ....... ..:...... ... . .. ............. 6/25/12 PNB LEGAL DESCRIPTION: .......... VALHALLA; BLOCK 2, LOT 8 J ey G ness:' O GARl`ESS ENGINEERPYG GRo P Ltd. Op m CE 7153 0 TYPE OF WORK: CONSULTANTS S GENERAL CONTRACTORS.. Q s T cRO� DESIGN OF QUANICS AEROCELE SYSTEM srv,cnaon nOA smc ,a, uorowccu ww swwc am a_einw O� axvam�f� p�fe�P'T� �Z. PREPARED FOR: PHONE NUMBER: pAGE: Q4 - p�ofessi000\ o KARIN HAVE 520-261-5776 3 OF 3 ��ppppo��Q GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS & GENERAL CONTRACTORS SOIL LOG - PERCOLATION TEST LEGAL DESCRIPTION: VALHALLA; BLOCK 2, LOT 8 PERFORMED FOR: KARIN HAVE D/ DEPTH (feet) ORGANICS TEST HOLE #1 1 19 SOIL CLASSIFICATIONS 2 GM 6. GW ORG GMCL 4 GC OL oo•o o SW MH GM TO ML o 0 0 0 5 • : SP CH SM % off SEE ATTACHED SITE PLAN 6 SC 7— DEPTHO DATE GROUNDWATER 8 DRY 6/16/12 Itr (o Y 9 10 GM DATE READING CLOCK NET TIME WATER LEVEL NET DROP 11 TIME (MINUTES) READING (INCHES) 12 6/19/12 1 2:55 — 6.00" — 2 3:25 30 5-11/16" 5/16" 13 3 3:25 — 6.00" — 4 3:55 30 5-3/4" 1/4" 14 5 3:55 1 — 6.00° — 6 4:25 30 5-3/4" 1/4" 15- 516 16— B.O.H. 17- 718 18- 19PERCOLATION RATE 120 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES) TEST RUN BETWEEN 5.5 FT. AND 6.5 FT. 20 A FOUR HOUR PRESOAK WAS PERFORMED: N YES ❑ NO SOILS LOGGED BY: ANDREW GRAY PERCOLATION TEST PERFORMED BY: ANDREW GRAY COMMENTS: PERCOLATION RESULTS ARE WITH IN 1/16TH OF AN INCH. PERFORMED BY GEG, Ltd. I, JEFFREY A. GARNESS, CERTIFY THAT THIS WAS /PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: 61 25(,42, MUNICIPALITY OF ANCHORAGE DE tTMENT OF HEALTH AND HUMAN SER FS Environmental Health Division 825 V' Street, Anchorage, Alaska 99502, Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT "ane-- DISTANCES FROM TO SEPTIC TANK ABSORPTION FIELD WELL Addrdss 2 11 Pe Phonee) imn No No-ot oeaooms WELL LOT LINE - LEGALVESCRIPT1oN Let 81ock Sudden ion- _._ y� :� t�' �'/� FOUNDATION _ Township. Range. Section 7AS-BUILT 3 �t1 -5 2 DIAGRAM tShow localmn of wed, septic system. property lines, loundatron. 0,edway. water bodies, ale.) TANKS L� L� SEPTIC ❑ HOLDING Menw_fl c/curer / k Gapaa:y d gallons Materia �' —/1.•, <' No: of Cornpcmin;ems - 7 - ~ TYPE OF SYSTEM TYPE ❑ TRENCH ❑ BED ❑ W. DRAIN ❑ OTHER _ " r Depth to pipe bottom Iwm � ------ onginal grade _____ FT _ Fill adde0_abov_o_ original gratlo FT_ - - e-- Totel Oeprh Iron ony nal g q FT Gravel depth beneal�i pipe _ FT - -- _ - A, p� -- F - T — — Grace longd FT Total absorpt on area 'SO FT Nuber ori od es Sat tg m SQ FT Gravel svrSih ; FT -- — Distance dery cul Imes � FT R po mare aI - --�- - 1" I - - I scatter � Date nslAlletl - - — -- --fit WELLS PRIVATE ❑ OTHER (Idenlifv) " Gassiicai oe LAB G) -"- Instetie' total Depth-'" Gaseo to " - FT FT Date Installed- _ REMARKS: — )k/ _ ��t( i J��r �I _� L'^Y- Si '�- �il-�_,_ Scale: Inspections Performotl by. ENGINEER'S SEAL - _ r� �! cY--L(' z �i l-_'/•�� �i� yl':-r�F_ S.'�2.�/ Data inspection was peliormell according to all _ Date:F� L `. . " L'_—(s` r rt[ i e91 �1/06 U ceRlly that this Municipal and Slate guidelines in ellecl on this dale: e 1 11 b Health Department Approval: t --`'� 72-013 (3)85) Mungcipa qty P.O. B., X 196650 S ANCHORAGE, ALASKA 99519-6650 ® ) (907) 264-4111 3 Anchorage rage TONY KNOWLES. MAYOR DEPARTMENT OF HEALTH & HUMAN SERVICES September 23, 1987 Leroy C. Reid Jr., PhD, P.E. Alaska Environmental Control Services 1200 West 33rd Avenue, Suite B Anchorage, Alaska 99503 Subject: Lot 8 Block 2 Valhalla Subdivision Waiver Request WR87-028 Dear Dr. Reid: Your request for a waiver of the 100 foot separation required between the septic tank on the subject lot and wells on the subject lot and the adjacent lot (Lot 7 Block 2) has been granted. The septic tank is located approximately 90 feet from both wells. This waiver is based on your assessment that the installation has reduced the possibility of contamination from the septic tank. The tank has been equipped with caulder couplings on the inlet, outlet and standpipes. Manhole lids are equipped with "Ramnek" seals to prevent.water infiltration. This waiver is valid for a four bedroom single family dwelling only. Sincerely, Stephen S. Morris Civil Engineer On-site Services cc Gus Andress, P.E. Manager, On-site and Water Quality Programs ALASKA CI iUIROnMenTAL COnTROL SCRU04S, InC. kngmeerinq & (3nuironmeMal Stalin April 14, 1987 Department of Health & Human Services 825 L Street Anchorage, Alaska 99501 Attn: Steve Morris Re: L^t 8, Block 2, Vahalla Subdivision Dear Steve: On inspecting a septic tank upgrade no the subject lot I found that the excavator had installed the tank less than 100 feet from the neighbor's well. I had Cindy Lovelace call you and relay information. Here is the background. The original system was installed before the well was drilled. A^cording to field measurements and the plot on the attached site plan, the tank was subsequently placed about 96 feet from the well on lot 7 and 93 feet from the well on lot 8. The inspection form snows the tank at 7 feet from the field. When Monti Acheson removed the old 1000 gallon tank there was sewage around the tank. The 7 feet to the field was filled with rock so sewage came back around the tank. To get a proper separation he would have to cock the new tank to the SW which would have caused removal of the wooden porch deck. He elected to cock it to the NW. The attaghed site plan show site locations. The edge of the tank is now 91 and 90 feet from the wells on lots 7 and 8 respectively. Tnee action moves the new tank about 5 feet closer to the wells than the old tank location. The new tank is still down slope from the wells. The soils where the tank is buried is silty gravel (CM). The tank has calder couplings on the inlet, outlet, and both standpipes. Ramneck was placed around the lids of the septic tank to prevent water infiltration. It is less prone to leakage than the old tank as it is essentially a water tight vessel. In my professional opinion the new location of the septic tank is less likely to create a health hazard than the old tank. I thereby request that a waiver of the tank distance be granted to 90' to the well on lot 8 and 90 feet to the well on lot 7. If you have any questions please let me know. Sincerely, ��6+°PooP•.•pae ��•7o IP pA 4t•1 1}�® Leroy C. Reid Jr., PhD, PB a°PPnPo soPo+n:1;0..P President REID, JR. C �0 4rot�x��vG`9H� 1200 !.Uesl 33rd Auenue, Swk 13 • Anchoroqe. Alaska 99503 P(907) 561-5040 e w z C z d a - C- Q o o m � G W � u L ..0 z � � J CD w z C z d a - C- timd � 0 G W � u L ..0 z � � J D )WN.. L, R .A, :KD; I DAT E:ICJ ZdBo v I 0 co`� -�' W I GO, Com' ) i 10' VT'IL.ITy EASEMENT Dea,� .m a ALASKA DEIEIOPAOT CONSULTANTS CIVIL Cnc,rl al.• Ls woSwvaro,a Puwwa w• E2. W. INT'L. AINPOIIT FOwD Sun[ 103 wNCI�Cw.f.0 ��l'a. K. 9v �O1 I AgQ'Pul L- LOT O BIrO! � Van i n �, F.B. _ P-10 -1 GRID: 27,3` PROJ NO.:GDoL i t�n I ea-cl ✓- /i' / Y -dry i arm, ! ssrre 1- ;�/s n�//�� r;�/-�/ d /z6 c�//1/%;2 �2h K! �,e;— G'dldd�jy"rl1« �1( 1,d�9L-OL/tZl l�f�Z /%��✓ `�IZ{�(n'�l.�Z/jam;• >_�\\ MUNICIPALITY OI' 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 MAILING ADDRESS3� r) b.�C.V/ PHONEs7 EwR GADE LEGAL DESCR PTIO, n LOCATION `� ' 1 NO. OF BED OMS � U DISTANCE 70: Well Absorption area I Dwelling / PERMIT a Q Le H Manufacturer Material}/_ (� No, of comp Tents m �Liq. r,. �ci(y i.P gallons �J �J IF HOMEMADE: Inside length Width Liquid depth 2 DISTANCE TO: Well Dwelling _ Manufacturer Material PERMIT NO. Liquid capacity in gallons 4 wy � a Z H' Z C h p Well DISTANCE TO: No. of lines) Length of ea h line - --- Top of tile to finish gracle Foundation Total length of tines Material beneath the Nearest lot line Trench th inches PERMIT N0. - Distance betty e e Total effective absorption area w 7 Length Width Depth PERMIT NO. Q f— m Type of crib Crib diameter Crib depth Building foundation Total effective absorption area DISTANCE TO: Well Nearest lot line J J Class Depth Driller Distance to lot line PERMIT NO. w � DISTANCE TO: Building foundation _ Sewer line Septic tank Absorption area(s) OTHER PIPE MATERIA S 7 & 1 lJ f _ _ SOIL TEST FrA TING INSTALLER �% , I• ^ �, REMARKS r A. ROVED DATE LEGAL �a mZ 100.E ZI�A1 o"ok-A VIM 'uR_''uv-�11o_ /' x " " ". -.~. � `-' I--� DEPARTMENT HEALTH AND ENVIRONMENTAL `OTECTION 825 'L STREET/ ANCHORAGE, HK 99ow1 / ~~ 264-4720 VOUSIC, CAKI~- ! 0 1:`I -� F I .-I UE_ P.,! I ' PEPHIT NO. ( 800265 ) /~/ \v' APPLICANT CHESTER WEEKS 352 8OLIN ST. 3372827 LOCATION SHILO / I -A/ LOT SIZE 22000 SQUARE FEET TYPE OF SOIL ABSORPTION SYSTEM IS: TRENCH MAXIMUM NUMBER OF BEDROOMS : 7 SOIL RATING (SQ FT/BR)= 125 THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: � ���k��-�-I�����` /�� ���������� �� ������_ K_- EH:/:,j f� THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRHINFIELD. THE DEPTH OF H TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE GROUND AND THE BOTTOM OF THE EXCAVATION (IN FEET). THERE IS NO SET WIDTH FOR TRENCHES THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE AND THE BOTTOM OF THE EXCAVATION (IN FEET). ����X 11:U...". KF� 1:0 0 IE- to, 0- 1 1:1 -1 1 "n -f LE= ��C.-.D ���C.) PA -n - PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE INSTALLATION INSPECTIONS OF ANY WELLS ADJACENT TO THIS PROPERTY AND THE NUh6ER OF RESIDENCES THAT THE WELL WILL SERVE. 1-0UiClm �2-.! 'a I PA"5FF,E.::C_-1 1 C:u5,A.,E-.; i i ---i Fe F=. ������EF:� RACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS DEPARTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCE BETWEEN A WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS 100 FEET FOR H PRIVATE WELL OR 150 TO 200 FEET FROM H PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL MINIMUM DISTANCE FROM H PRIVATE WELL TO R PRIVATE SEWER LINE IS 25 FEET AND TD R CuMMUNITY SEWER LINE IS 75 FEET, WELL LOGS ARE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN 30 DAYS OF THE WELL COMPLETION. OTHER REQUIREMENTS HAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS HRE AVAILABLE TO INSURE PROPER INSTALLATION. �4 Ii�" I��gg K> EE c! EE tUED EE FT It 0 nL 15 ED IEZ-A I CERTIFY THAI' i: I Ai'| FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE. 2. I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES, ]: I UNDERSTAND THAT THE OM -SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE RESIDENCE IS REMODELED TO INCLUDE MORE THAN ] BEDROOMS. APPLICANT:TER MEEK-; ` ISSUED ^.. -------- ---... «.__-_ v4.0 7� KL�' \� ,Kt SOILS LOG — MUNICIPALITY OF ANCHORAGE El DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION PERCOLATION ' • TEST Pouch &650, Anchorage, Alaska 99502 276-2221 SOILS LOG —PERCOLATION TEST PERFORMED FOR: �� ' �J✓� 'NI��e"��S DATE PERFORMED: LEGAL DESCRIPTIDN. b i /�'� A �� C .,,G. �/��Lr1 :, DEPTH (FEET) 1 2- 3 4 5 L\ 6 7 8 10- 11 12 13 14 15 16 17 18 19- 20- Comm 920 COMM PERFORMED BY: 72-008 (7/76) Reading SLOPE Gross Time SITE PLAN Depth to Water Net Drop Is 41 I SOV (] c WAS GROUND WATER `s'D.A.•"y'-,j l'�'- S LO ENCOUNTERED? - vNl-'V. S �l P IF VES, AT WHAT >ll� -� E .- -i - DEPTH? Reading Date Gross Time Net Time Depth to Water Net Drop PERCOLATION RATE TEST RUN BETWEEN CERTIFIED FT AND (minutes/inch) FT DATE: `' ()�kfA AA k. VL�I %ll�ll"l',Q/�; Co.�✓"%fZ�C7c�.�I�7�}C )�/�)Z.L_I�ti�' C�=Nty��yAex ir,' v f 4. r7 (. A14), %116415 11X0 ir,' v f 4. r7 (. V11 L ))AIOw Dt)wAI ir,' v f 4. r7 (. � U) § ) $ w z < LLI \j0/\ )i\7R «<amw %=Coo ew �g_:LL. ©<2/@ ƒ//f q \\0> ■w> E §6 m } � ± z § o � - \ c \ : Cc) j Q. � \§( 3 / §w OL - ) 2 ; \\ k \� 6 t7 �^- / 4 K t e z ) o \ CL\ / { / ) / \ } \ c \ : Cc) j Q. \ \§( ®/ / §w OL - ) 2 ; \\ k \� = t7 �^- / 4 K t e z ) ® k { \ \§( CL / OL - ) ))� j{ / = t7 a / 4 K / - CL\ \ E / -0± \ 06\� \ \ � / ± ƒ 3 (nJ G Municipality of Anchorage Development Services Department Building Safety Division Onsite Water & Wastewater Program 4700 Elmore Road P.O. Box 196650 Anchorage, AK 99519-6650 www.d.anchorage.ak us (907)343-7904 rJ{ CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I. D. 015-212-20 COSA# o5C, I'D IgOOk 1. GENERAL INFORMATION Expiration Date: / - % � -/ .2 Complete legal description Location (site address) Current Property owner(s) Mailing address Lending agency Mailing address . Real Estate Agent Mailing address VALHALLA; BLOCK 2, LOT 8 12220 SHILOH ROAD *ANCHORAGE 99516 KARIN HAVE Day phone 12220 SHILOH ROAD *ANCHORAGE. 99516 Day phone 520-261-5776 DAR WALDEN W/ KELLER WILLIAMS Day phone 865-6500 Unless otherwise requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 4 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well 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 -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 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, t 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. t 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. 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 evaluatorof the system. Satisfactory test results do not guarantee future performance of the 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. DSeD SIGNATURE ,GNApproved for T bedrooms. Disapproved. Conditional approval for bedrooms, with the following Attachments: COSA Checklist Septic System Advisory Well Flow Advisory Nitrate Advisory V Phone 337-6179 Date `8 (Zt /(Z �. P Tf,. Go asst i2�c�oO �111 OFAN, y `g ON-SITE WATER AND WASTEWATER PROGRAM Arsenic Advisory Maintenance Agreements Supplemental Engineer's Report Other gy: Original Certificate Date: (Rev, MS) Municipality of Anchorage ' Development Services Department Building Safety Division On -Site Water & Wastewater Program 4700 Elmore Road P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description: VALHALLA; BLOCK 2, LOT 8 Parcel ID: 015-212-20 A. WELL DATA Well type PRIVATE If A, B, or C provide PWSID# N/A Date completed AUGUST 1980 Sanitary seal (Y/N) YES Total depth 70 ft. Cased to 70 ft, FROM WELL LOG Date of test AUGUST 1980 Static water level 34 ft. Well Log (Y/N) YES Wires properly protected (Y/N) YES Casing height (above ground) 12+ in. AT INSPECTION 6/4/2012 30 ft Well production 10 g,p,m, 4.44 _9_13 M. WATER SAMPLE RESULTS: Coliform colonies/100 ml. Nitrate 1,33 mg./L. Collected by: GEG, Ltd. Arsenic: NO ug./L. Date of sample: 6/4/2012 B. SEPTIC/HOLDING TANK DATA OUANICS AEROCELL SYSTEM Tank Type/Material STEP/STEEL Tank size 1500 gal. Number of Compartments E Foundation cleanout (Y/N) YES Depression over tank (Y/N) NO Date of pumping NEW PUmOer C. ABSORPTION FIELD DATA *BELOW FINAL GRADE Date installed 8/3-6/2012 Cleanouts(Y/N) YES High water alarm (Y/N) YES Date installed 6/3-6/2012 Soil rating (g.p.d./ftor /bdrm 0.5System type TRENCH Length 86 ft. Width 2.5 ft. Gravel below pipe 7.0 ft. Total depth *10,33+ ft. Eff. absorption area 1204 ft2 Monitoring tube YES Depression over field NO Date of adequacy test NEW Results (Pass/Fail) PASS For 4 bedrooms Fluid depth in absorption field before test = in. Water added =gal. New depth =in. Elapsed Time: = min. Final fluid depth = in. Absorption rate >= 600+ g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) NONE If yes, give date - D. LIFT STATION Date installed 8/3-6/2012 Size in gallons 1500 Manhole/Access (Y/N) YES "Pump on" level at TIMER in. "Pump off' level atTIMER in. High water alar level at 46 in. Datum BOTTOM OF TANK Cycles tested NEW Meets alar & 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 N/A Sewer /septic service line 25'+ Animal containment areas 50'+ Public sewer manholeideanout N/A Holding tank N/A Manurelanimal 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: Properly line* 5 + Building foundation 10'+ Water main N/A Water service line 10'+ Surface water 100'+ Driveway, parking/vehicle storage 10'+ Curtain drain NONE KNOWN Wells on adjacent lots 100'+ F. COMMENTS ` .t wwk%" rSSu,A v.ATa SE4K--/ G. ENGINEER'S CERTIFICATION -=� OF A o ��'..........; I certify that I have determined through field inspections and ... review of Municipal records that the above systems are in"" conformance with MOA COSH guidelines in effect on this date. (7 J r A. Ga ess:.. Engineer's Printed Name JEFFREY A. GARNESS 00096 CE -79 oafP� Slzl. , �A�o Date COSA Fee $St_ ufa �a 0^R Date of Payment Q l k4tl 1'a. LLA Receipt Number Q-101\ G (Rev. 11ro51 0-,- .,c Izkm of Waiver Fee $ Date of Payment Receipt Number Omen ory 1l OF I/,,(:P J. c 4 9T -H . A A 0. pps 'SHANE A. HOLT 4,G J4ngeQ'. LS -691 4.'^r30 THE INFORMATION HEREON IS FOR THE USE OF LENDING INSTITUTIONS SPECIFICALLY TO SHOW ANY CONFLICTS BETWEEN EXISTING STRUCTURES AND PLATTED LOT LINES AND/OR EASEMENTS; AND IS NOT TO BE USED FOR POSITIONING AD DITTONAL STRUCTURES. IMPROVEMENTS, OR FENCELIKE S. EA 5EMENT5 OF RECORD, OTHER THAN THOSE APPEARING ON THE RECORD PLAT, ARE NOT SHOWN HEREON ( UNLESS INDICATED) NOTE: FENCELINES THAT MAY APPEAR ON THIS DRAWING ARE NOT TO BE USED TO DETERMNE PROPERTY LINES OR P05ITIOM ADDITIONAL IMPROVEMENTS. ANY PAYING SHOWN HEREON MAY BE APPROXIMATE DUE TO EXCE551VE SNOW AND/OR ICE. AS -BUILT SURVEY 1" = 3O' NO CORNERS SET THIS DATE I HEREBY CERTIFY THAT I HAVE PERFORMED A SURVEY OF THE FOLLOWING DESCRIBED PROPERTY LOT 8, BLOCK 2, VALHALLA SUB. ANCHORAGE RECORDING DISTRICT, ALASKA, AND THAT THE VISIBLE IMPROVEMENTS SITUATED THEREON ARE WITHIN THE PROPERTY LINES AND NO VISIBLE ENCROACHMENTS EXIST OTHER THAN NOTED. DATED AT ANCHORAGE,ALASKA THIS 18TH_ DAY OF _AUGUST , 2812. 11899. FO 151-17,153-13 HOLT LRNO SURVEYING 600 H16HV EW ORIVE ANCHORNOEAK 99515 305-5513 ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND REPAIR AGREEMENT MEMORANDUM OF UNDERSTANDING BETWEEN MUNICIPALITY OF ANCHORAGE AND kke(,l iSon THIS MEMORANDUM OF UNDERSTANDING made and entered into as of this I�Dayof_ of20_L4, by and between g%cA(�o[gS Motbsa�t, 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 p GC located Treatment System (AWWTS), described as at UZA aha t l [� Anchorage, Alaska. 2. Definitions. A. Alteration. Any change to the design or function of an A W 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 A W WTS that were included in the original design which would allow the AWWTS to continue to perform as designed. E. Permit (Construction) An On -Site Wastewater Disposal System Construction Permit as defined by AMC 15.65. F. Permit (Operating) An Advanced Wastewater Treatment System Operating Permit. An annual permit, issued by the Municipality, that allows the Owner to operate an A W 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 0 ($ O.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 he for the life of the AW 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: 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 A W 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: Anchorage: Purchasing Officer C. Any attempt to amend, modify, or change this contract by either an unauthorized representative or unauthorized means shall be void. 9. Jurisdiction: Choice of Law. Any civil action arising from this Memorandum of Understanding shall be brought in the Superior Court for the Third Judicial District of the State of Alaska at Anchorage. The laws of the State of Alaska shall govern the rights and obligations of the parties under this Memorandum of Understanding. 10. Severability. Any provisions of this Memorandum of Understanding decreed invalid by a court of competent jurisdiction shall not invalidate the remaining provisions of the Memorandum of Understanding. OWNER: By: Date: $ — Z Z - I -?-- STATE OF ALASKA THIRD JUDICIAL DISTRICT MUNICIPALITY: By: Title: Date: ss. The foregoi in tr�m'1enL as acknowledged before me this day of 20_a by l�i V01 x -;; PJ;' (I"& NO Y UBLI FORA ASI STATE OF ALASKA,..,:{.. My Commission expires: ! NOTARY PUBLIC Via= Kell{ K. Whit . My Commission Expires: 22 r M N MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION DIVISION OF ENVIRONMENTAL HEALTH CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY 264-4720 Application Date //'✓ — 1. GENERAL INFORMATION (a) Legal Description (include lot, block, subdivision, Location (address or directions) r / ►1 - Ian-Iq range) I //A.GH_ . (b) Applicant Name.4pj_/\u7znJ -__J ens T,ellep/hone: Home Business _ Applicant Address Z-�� _ lt� (c) Applicant is (check one): Lending Institution, Owner/builder ❑ ; Buyer ❑ ; Other ❑ (explain); (d) Lending Institution Telephone Address — (e) Real Estate Company and Agent — — Address (f) Telephone 2. TYPE OF RESIDENCE Single -Family' Multi -Family El Other Number of Bedrooms -7"" 3. WATER SUPPLY Individual Well Community ❑ Public ❑ 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 ❑ Holding Tank ❑ 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 72-025 (11 84) ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION r_ As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Healtl~ 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 regulations in effect on the date of this inspection. _ Name of Firm M��.,�� `-�bc� G ,n,/G iivrc�d'/'/e✓< Telephone / L� 61W 5-2 e) '7 Address>.c'�,�c��l/�i Date -7L Cw'a✓°-' '�/(i �lC`J, l.�a. 9 6' �:n ✓1✓� �+�vL' 6. DHEP APPROVAL_ Approved for <<�"��� bedrooms by Approved Terms of Conditional Approval i Conditional y 090welp, CAUTION / uW–e –au Engineer's Seal G t f'"rpoo " ylt ° c"�`'j� eoa%°°oeosacc000n vr.v irvve�r�op/°°Vtl (� -44 8 AY �NofeeSioi:�� -1_ The Muncipality of Anchorage Department of Health and Environmental Protection (DHEP) issues Health Authority Approval certificates based solely upon the representations 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 requirements. 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. Page 2 of 2 72-025 (rian) M01'PIPAf ITY OF ANCHORAGE (MOA) d AUTHORITY APPROVAL (HAA) Q�C KLIS264-4720 UARY1984 Qegal Description:{�� A. WELL DATA Well Classification /7 L- If A, B, C, D.E.C. Approved (Y/N) Na Well Log Present�(7Y//N) 0" 1--11-T Date Completed � '� Yield Total Depth X70 / Cased to 70 � Depth of Grouting /�eNc Static Water Level 3 / Pump Set At © , Casing Height Above Ground Sanitary Seal on Casing (Y/N) Electrical Wiring in Conduit (Y/N)Depression Around Wellhead (Y/N) /Vd Separation Distances from Well: I To Septic/Holding Tank on Lot / O On Adjoining Lots / OC -A ` To Nearest Edge of Absorption Field on Lot / ; On Adjoining Lots + To Nearest Public Sewer Line ©Nd5 To Nearest Public Sewer 0 Cleanout/Manhole 0A145 Tn N/earest Sewer Service Line on Lot cY Water Sample Collected by Date Water Sample Test Results �` ) Comments B. SEPTIC/HOLDING TANK DATA Date Installed H $a Size (U©© No. of Compartments Z_ Standpipes (Y/N) Air -tight Caps (Y/N) _—_Ile -45 Foundation Cleanout (Y/N) Depression over Tank (Y/N) /la Date Last Pumped�t Pumping/Maintenance Contract on File (Y/N) i` ; for Holding Tank High -Water Alarm (Y/N) /V��7 – Temporary Holding Tank Permit (Y/N) Separation Distances from Septic/Holding Tank: To Water -Supply Well /00/ To Building Foundation 2 / To Property Line 470/ � To Disposal Field / To Water Main/Serviced Line ( To Stream, Pond, Lake, or Major Drainage Course Page 1 of 2 72-026(11/84) C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata ��. Type of System Design^�G Date Installed lei Length of Field�'�% Width of Field �' Depth of Field P' Gravel Bed Thickness Square Feet of Absorption Area �y�' '� • Standpipes Present (Y/N) Depression over Field (Y/N) Date of Last Ad qu cy Ten Results of Last Adequacy Test es ^d /Foti � y `j 69 Separation Distance from Absorption FielrJ: To Water -Supply Well /00/ To Building Foundation 2D" 7-4 Lot To Property Line ; On Adjoining Lots To Existing or Abandoned System on To Water Main/Service Line —_-a ® To Cutbank (if present) To Stream/Pond/Lake/or Major Drainage Course /Vle� To Driveway, Parking Area, or Vehicle Storage Area Comments D. LIFT STATION Date Installed Size in Gallons "Pump On" Level at — High Water Alarm Level at Tested for Electrical Codes (Y/N) Comments Dimensions Manhole/Access (Y/N) — "Pump Off' Level at ** Check Permitted Bedroom Rating Against HAA Request ** Vent(Y/N) Pumping Cycles during Adequacy Test. Meets MOA I certify that I hav hec d, v rifie or conformed to all M/9Aa/nd H/A,` guidelines in effect on the date of this inspection Signqd/ [a �� „ate . "`/- X9.6 - Company i MOA No. a, Receipt No. 00/ 00 J 1 OFet�B Date of Payment•°°°j°A°(�6d Amount: $ �2�/ C)vfy �G�1 ne2re D u' •[Ir 9TH i. O.°°°.00°.°�°°s+�eeve.o °•i� Page 2 of 2 72-026 (11,04) e. w e r ERtXN • E- 40£3 ° (" °° V� PENINSM A ENGINEERING 440 W. Benson Blvd. Anchorage, Alaska 99808 Suite 206 (907) 861-8107 November 17, 1986 Karin Duren 12220 Shiloah Road Anchorage, Alaska 99516 Re: Lot 8 Block 2 Valhalla Subdivision, File #86-E-153 Sewer System Adequacy Test Dear Karin At your request we have performed an adequacy test on the absorption system on the above referenced lot and offer the following of our findings. The system was tested by adding water directly to the end of the drainfi.eld at 6 gpm until 600 gallons had been added, while monitoring the levels in the field and the septic tank for 2 consecutive days. The septic tank was pumped prior to beginning the test and the results are tabulated below: Date Time Tank End Trench Rate Quantity 11/12/86 0 min. 9.8" 105.5" 0 gpm 0 15 9.8 107.5 6 90 30 9.8 108.5 6 180 50 9.8 110 6 300 75 9.8 112 6 450 105 9.8 115 6 630 11/13/86 0 min. 17.5" 103.5" 0 gpm 0 20 17.5 106.5 6 120 40 17.5 109.5 6 240 60 17.5 112 6 360 80 17.5 115 6 480 100 17.5 117 6 600 11/14/86 0 min. 25" 103" 0 0 A review of the test results indicated that the absorption system is functioning adequately for a 4 -bedroom home. However, the septic tank is only 1000 gallons and 1250 gallons is required for a 4 -bedroom home, which will. have to be upgraded for M.O.A. approval. The well was tested and found to produce and adequate daily load for a 4 -bedroom home at a steady rate of 6 gpm. The water was analyzed in the lab for coilform and was found to be satisfactory. If I can be of any further assistance, please do not hesitate to call. Sincerely, Wayne H /h/der MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION DIVISION OF ENVIRONMENTAL HEALTH CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL �JqLn - al -I cL OF ON-SITE SEWER AND WATER FACILITY 264-4720 Application Date 1. GENERAL INFORMATION (a) Legal Des'n tion (include lot, block, subdivision, section I vvn�ghi, range) A Location (address or directions) 1'7-/,Z0 (b) Applicant Name9/6y-t2) �)LLCeh� Telephone: Home Business Applicant Address 1-a X ea _ (c) Applicant is (check one): Lending InstitutionK, Owner/builder Buyer 11 ; Other 1:1 (explain); (d) Lending Institution Telephone Address (a) Real Estate Company and Agent Address Telephone (f) Mail the HAA to the followi address: 2. TYPE OF RESIDENCE Single -Family Multi -Family 11 Other Number of Bedrooms, 3. WATER SUPPLY Individual Well Community 0 Public 0 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 Onsitex 1:1 Public 0 Community Holding Tank 0 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 72-026 (11/84) 5. ENGINEERING FIRM PROVIDi..J INSPECTIONS, TESTS, FILE SEARCH, L .A 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 regulations in effect on the date of this inspection. Name of Firm -eN ,"o,;,L-1e4�C�A'<�e��� ��_ Telephone ✓ �/ � -7 Address Date ,,-:aD i✓ Engineer's Seal CA l!cpp! � �o a of dT �® 00. d •,o, �uea. ua•e/�eeo•�eo e" O. WAY( Cl/U / G®©aPro%ss{oa+fie 6. DHEP APPROVAL ®m Approved forF&bedrooms by L '' e 6*M V-- ApprovedV�b/Xt-#TlDisapproved Conditional —Terms of Conditional Approval n� x cit t cr c� wL cv /y W '41A cv,% '.07-0 CAUTION yZa g The Muncipality of Anchorage Department of Health and Environmental Protection (DHEP) issues Health Authority Approval certificates based solely upon the representations 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 requirements. 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. Page 2 of 2 72-025 (11/84) .. STEVE COWPER, GOVERNOR DEPT. OF ENVIRONMENTAL CONSERVATION/ ANCHORAGE/WESTERN DISTRICT OFFICE 437 "E" STREET, SUITE 303 ANCHORAGE, ALASKA 99501 274-2533 June 18, 1987 Alaska Environmental Control Services ATTN: Leroy C. Reid, Jr., PhD, PE 1200 West 33rd Avenue, Suite B Anchorage, Alaska 99503 SUBJECT: Horizontal Separation Waiver Between Well and Septic Tank, Lot 7, Block 2, VALHALLA SUBDIVISION Anchorage, Alaska 8721—WA-074 Dear Dr. Reid: The Department has reviewed the subject waiver request and hereby waives the horizontal separation between the well and septic tank to 90 feet on the subject property for a 4—bedroom duplex only. Sincerely, Steveryy Eng, PE District Engineer SWE:pkk 5. LEGAL DESCRIPTION , DATE RECEIVED INSPECTION APPOINTMENTS / flet A, TIME rr-"- TIME TIME DATE DATE DATE SINGLE FAMILY ❑ Two ❑ Five _ INSPECTOR INSPECTOR INSPECTOR MUNICIPALITY GE MUNICIPALITY OF ANCHORAGE HEALTH & DEPT. HEALTH & DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTE RTf(RONMENTAL Pf.OTECfION N 825 L Street -Anchorage, Alaska 99501 ❑ PUBLIC UTILITY ENVIRONMENTAL SANITATION DIVISION Telephone 264.4720 FFII vv REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SE R A�(LfTO' DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. 1. PROPERTYOWNER ,> / PHONE ❑ PUBLICUTILITY MAILING ADDRESS PROPERTY RESIDENT (If different from above)PHONE 2. BUYER PHONE MAILING ADDRESS 3. LENDING INSTITUTION - // / PHONE MAILING ADDRESS 4. REALTOR/AGENT PHONE MAILING ADDRESS 5. LEGAL DESCRIPTION , STREET LOCATION - 6. TYPE OF RESIDENCE NUMBER OF,BEDROOMS ❑ One ❑ Four ❑ Other SINGLE FAMILY ❑ Two ❑ Five Cl MULTIPLE FAMILY Three ❑ Six 7. WATER SUPPLY 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.) S. SEWAGE DISPOSAL SYSTEM INDIVIDUAL/ON-SITE** a YEAR ON-SITE SYSTEM WAS INSTALLED. ❑ PUBLICUTILITY NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010 (Rev. 6/79) !D,0 72-010 (Rev. 6/79) THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE ❑ SINGLE FAMILY ❑ MULTIPLE FAMILY NUMBER OF BEDROOMS ❑ ONE ❑ TWO ❑ THREE ❑ FIVE ❑ OTrjER ❑ FOUR ❑ SIX 2. WATER SUPPLY ❑ INDIVIDUAL ❑ COMMUNITY ❑ PUBLIC UTILITY Connection Verified PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM ❑INDIVIDUAL/ON-SITE ❑PUBLIC UTILITY Connection Verified PERMIT NUMBER DATEINSTALLED ( _ INSTALLER El Septic Tank or ❑ Holding Tank Size: Id_ -)O If Tank is homemade give dimensions: SOILS RATING S TYPE OF TANK MANUFACTURER Aj TOTAL ABSORPTION AREA MATERIAL tie 4. DISTANCES WELL T0: Septic /Holding Tank Absorption Area Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line 5. COMMENTS b ---APPROVED FOR.–._.> BEDROOMS ❑ CONDITIONAL APPROVAL (letter must ac o pany certificate) DISAPPROVED —E' DATE 1� �- — BY 72-010 (Rev. 6/79) ALASKA 6WR0i1 nTRL COnTROL bODUS, IX Engmeerinq 6 Enuironmenlal Studies File #1385-30164-9702 RE: KELT,, Robert April 3, 1984 Sharon Conniff Clair Ramsey Jack White Co. 3201 C Street, Suite 1 Anchorage, Alaska 99503 RE: Valhalla Subdivision 132 L8 Dear Mr. Ramsey: As per our phone conversation of 3 April 1984, I am sending you our bill for services performed on this property. We will hold the DHEP health Authority papers until you reopen the file. As per my inspection on 26 March 1984, I found that the following items were not up to code: (1) The well wires were not in conduit; (2) The well probe hole was unplugged in the sanitary seal; (3) The septic tank had only l' of cover, there were frozen chunks of sludge in the tank. Also, the tank cleanout pipe was loose where it joined the septic tank; (4) Trench depth and area are unknown per DHEP inspection form. Water was encountered at 2.5' below ground level and continued to 11' below ground. The water was slushy and I would suspect that it also is not buried deep enough. If you have any further information, please call me. Sincerely, G en Turner E vironmental Scientist PMFMNER OE mESEARSiINPNcuLNETw, RK 3201 "G"STREET SUITE 100 - ANCHORAGE AK 99503 e e - BUS (907) 563-5500 HES. 333-4062 C3 I7 JACK WHITE CLAIR J. IAMSEV COMPANY A..glial° B,°ke,