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HomeMy WebLinkAboutT14N, R1W, Section 17T14N RIW
Sec. 17
E2 SE4 NW4
(Whitestone Estates Unit#8)
#067-311-01-008
Municipality of Anchorage Page / of
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196650 • Anchorage, Alaska 99519-6650 0 Telephone: 343-4744
On -Site Wastewater Disposal System and/or Well Inspection Report
Permit Number: 7f`)�9 Z�° p PID Number: D r0 3
Name:
�S��T1EGt=,� MSS
Wastewater System: 9i New ❑ Upgrade
Address: P go
ABSORPTION FIELD
Phone: j
No. of B Brooms:
❑Deep Trench YShallowTrench ❑Bed ❑Mound ❑Other
LEGAL DESCRIPTION
Soil Rating:
/`1J^
Total Depth from original grade:
70
GPD/So. Ft.
Lot: Jk-\kT 6 Block: t Subdivision:
Depth to pipe bo om from original grade:
Gravel depth beneath pipe
15 { BIW I
•O Ft.
Ft.
Township: 1
Range: /
Section: t---'
Fill added above original grade:
Gravel length: a
Ft.
Ft.
WELL: New 11 Upgrade
Gravel width: �'
Number of lines:
Distance between lines:
Ft.
Ft.
01 Ifdication (Private, A,B,C):
Total Depth:
CD
Cased To:
i
Total absorption area:
Pipe material:��'v1T
t
` Ft.
i
Permit No, 50 CA 00JU �
Page a of .2—
Municipality of Anchorage
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196650 a Anchorage, Alaska 99519-6650 *Telephone: 343-4744
On -Site Wastewater Disposal System and/or Well Inspection Report
Legal Description: IIE114 5EI14 90'14 '7_14>J Klv✓ S -c/7 PID No.:
2'
TH 12
",111UNIT 9 WELL
8 WELL
BIOCYCLE MODEL TH 7 \
6000 "
A C � C
UNIT 8 TH
PRIMARY TRENCH
5' X 25' T T. -
�� TH 15 TH 1
61
+1
(NOT TO SCALE)
671
B.M. - SE HOUSE CORNER, TOP FOUNDATION ELEVATION
- (ELEV. - 674.5)
RVE TRENCH
25'
20
TH
21 670
/ 656
/ CWT
656
DISTANCES
A - C 16.5
A - D 23.3
B -C 43.1
B - D 63.5
CiFJ1D
0 TEST T BY OTHERS
• TEST PIT Y PTS
era CLEANOUT
'"T' MONITORING TUBE
SCALE 1" = 50'
�' 9L s• ,e
N •NaN •a••••••�I••
1• �•a•N••MNY •N •�••
i
• Dean A. Kar : � r
a �, CE -8303 : _moi
Q • •
Munlelpeft of Anchorage.
DEPARTMENT OF HEALTH &HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG — PERCOLATION TEST
G. SCOTT CROW Tm
PERFORMED FOR: &,IA7//e SfOHe Esfp/es DATE PER
LEGAL
1 ervcJh ,r, /Y- y 54011-/ (511n)
2 ti/ kk E..I..el
3
4
5 /,�r�wi1 ��n�y Eira✓eI ��PJ
w/fh ca did/eS
6 60V I d ers
9�
TP #21
94
10
11
12 s
13
14
15
16
17
18
19
WAS GROUND WATER
ENCOUNTERED? UC S
IF YES, AT WHAT /
DEPTH? /Z
11" Is WAV Aft
mufti"? aft
20�PERCOLATION RATEQ/ (minuteminch) FERC HOLE DIAMETER G '/
TEST RUN BETWEEN . 4 FT AND _ FT
COMMENTS prep sadkecl 'ye✓eC'le,f/0h fP f- 17'q le
Section:
PERFORMED BY: 6 S C rClt ri 12 Ph I A 1406�RTIFY THAT THIS TEST WAS PERFORMED IN
ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE DATE
72-M lRw. 4!851
• 0
PROPERTY OWNER AGREEMENT
FOR THE MAINTENANCE OF AN ARM
ON-SITE WASTEWATER DISPOSAL
SYSTEM
This agreement, dated �L/cbetweens made
Anchorage Department of Health and Human Services
owner(s) of: (DHHS) and ththe
pr Municipality
of
This agreement is made for the purpose of maintaining an on-site wastewater disposal
System on the subject property.
The property owners agree to the following:
Submit to the Municipality of Anchorage, on an annual basis, an inspection and
Operation statement from a registered professional engineer. This inspection and
operation statement shall verify that the engineer has inspected all effluent and air
Pumps, timers, and alarms, and that any deficiencies have been repaired and that the
system is functioning as designed.
1
(Signature)
G�Z-
(Printed Name)
(Printed Name)
-------------------------------- Notarize Here
-----------
State of (� On this 5 day of �° Q00
personally appeared before me, '
who is personally known to mei N y]
whose identity I proved on the basis of/���
whose identity I proved on the bath/affirmation of
, a credible witness
to be the 7NOTAR
f the above document, and he/she acknowledged that he/she signed it.
OFFICIALS
T EAL C��/I
o OL.F
in Notary Public
y Pl��L9C Y commission expires -C,L
Qw?rtifirb Prilling 1a$
by
o0c . co "
SULLIVAN WATER WELLS
P.O. BOX 670272, CHUGIAK, ALASKA 99661 • TELEPHONE 688.2759
OWNER OF LAND IPjGCts A 9,4LIX' BORE HoLE DATA
ADDRESS
DEPTH
Fmm TO
LEGAL DESCRIPTION 7{9/J,ejuj uIL I4 Agj
n
d
—.4,;44.-13liL 4 &2Aj 1:S7t*jjC &;
A
PERMIT NUMBER--" Date of Issue--?
TAX INDENTIFICATIONNUMBERi�S`0
Is well located at approved permit location? 4t3�eis Q No
Method of Drilling: Ir rotary Q cable tool
Depth of well; ei/
Casing Type Thickness a dS`O inches
Diameter 16 inches, depth L feet
Liner Type; AYvra
�
�
SIG
S
i ',rg w►,t S JAL [c
—
Casing Stickup Above Ground: a . feet
Static Water Level (from ground level); „)7_ feet
Pumping level:—feet after hrs. pumping gpm
Recover Rate: P pm
Method of Testing: �12
Well Intake Opening Type: aA�POn End Q Open Hole
Q Screened; Start feet Stopped Feet
Q Perforations Start 81t Stopped feet
Grout TYPe: fia& Tr/arrGT glume 100
Depth: from D feet, to feet
Pump Intake Depth: feet
Pump Size hp Brand Name
Well Disinfected Upon Completion? CAls' Q No
Method of Disinfection: �11to.4,.�1 10�,y1
MAY 3 1 2004
_
De uniapahtyotAnchorage
-- -
---- —
l
Comments:
vI u:v, a ,lame y�
ATTENTION: It is the responsibility of the property owner to submit a copy of the well log to the proper authority. Municipality
of Anchorage: Department of Health & Human Services and/or Department of Environmental Conservation. Matsu Borough:
Department of Environmental Conservation.
ZO'd bbbbbbbbbbbb65ZZ 889 S1713M 8310M NWAi11r1S Wd Zb=ZT a3m oo-T£-htlW
lid
MUNICIPALITY OF ANCHORAGE
Gj r� Department of Health and Human Services
On -Site Services Program
�� 825 L Street, Room 502
P.O. Box 196650, Anchorage, AK 99519-6650
(907) 343-4744
ON-SITE WASTEWATER DISPOSAL SYSTEM / WATER SUPPLY PERMIT
Renewal
Permit Number: SW990260
Legal Description: T14N R1 W SEC 17 NE4SE4//NVy4
Design Engineer: 0098 PTS &)� ���a
Owner Name: Masterpiece Homes, Inc.
Date Issued: Aug 06, 1999
Expiration Date: Aug 05, 2000
Parcel ID: 050-362-06
Site Address: 020610 PTARMIGAN BLVD
Lot Size: 0 SQ. FT.
Owner Address: PO Box 773471 Total Bedrooms: 4 Permit Bedrooms: 4
Eagle River , AK 99577-3471
This permit is for the construction of:
❑✓ Disposal Field ❑✓ Septic Tank ❑ Holding Tank ❑ Privy ❑✓ Private Well ❑ Water Storage
All construction must be in accordance with:
1. The attached approved design.
2. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska
Wastewater Disposal Regulations ( 18AAC72 ) and Drinking Water Regulations (18AAC80 ).
3. The engineer must notify DHHS at least 2 hours prior to each inspection. Provide notification by calling
(907) 343-4744 ( 24 hours ). ( Not required for a Water Supply Permit only ).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
must be either: A. Open and closed on the same day.
B. Covered, sealed, and heated to prevent freezing.
5. The following special provisions.
Biocycle system for Unit #8
This permit is a renewal of permit #SW980286 issued August 6, 1998.
Received By:
Date: !d
A Ci
Issued By: �, �('ifluW Date: eo -6 '
MUNICIPALITY OF ANCHORAGE
Department of Health and Human Services
lJ' On -Site Services Program
825 L Street, Room 502
P.O. Box 196650, Anchorage, AK 99519-6650
(907) 343-4744
ONSITE WASTEWATER DISPOSAL SYSTEM I WATER SUPPLY PERMIT
Initial
Date Issued: Aug 06, 1998
Expiration Date: Aug 06, 1999
Permit Number: SW980286 Parcel ID: 050-362-06
Legal Description: T14N R1 W SEC 17 NEttca
W4 ❑ O(A *Design Engineer: 354 QHS_ Cr, Site Address:
Owner Name: MASTERPIECE HOMES, INC. Lot Size: 871200 SQ. FT.
Owner Address: PO BOX 773471 Total Bedrooms: 4 Permit Bedrooms: 4
EAGLE RIVER , AK 99577-3471
This permit is for the construction of:
❑✓ Disposal Field ❑✓ Septic Tank ❑ Holding Tank ❑ Privy ❑✓ Private Well ❑ Water Storage
All construction must be in accordance with:
1. The attached approved design.
2. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska
Wastewater Disposal Regulations ( 18AAC72 ) and Drinking Water Regulations ( 18AAC80 ).
3. The engineer must notify DHHS at least 2 hours prior to each inspection. Provide notification by calling
(907) 343-4744 ( 24 hours ). ( Not required for a Water Supply Permit only ).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
must be either: A. Open and closed on the same day.
B. Covered, sealed, and heated to prevent freezing.
5. The following special provisions.
THIS PERMIT ISSUED FOR THE CONSTRUCTION OF AN ALTERNATIVE WASTEWATER SYSTEM. THE
ATTACHED PROPERTY OWNER MAINTENANCE AGREEMENT SHALL BECOME A PART OF THIS PERMIT
PACKAGE. THIS PERMIT FOR UNIT 8.
Received B
Issued B
By
Date:
pa
By / % •
Date:.9 — 6 ' 7 f7
Pre&SMOne/ andTecbeical SeMces, iec.
4155 Tudor Centre Drive, Suite 103, Anchorage Alaska 99508 (907) 561-6237 fax: (907) 563,3813
July 13, 1998
Daniel Roth, Civil Engineer
On -Site Services Section
Health & Human Services
825 L Street, Suite 502
Anchorage, AK 99501
Re: White Stone Estates Condominiums
Unit 8 -Permit
Dear Mr. Roth:
This letter transmits the application for the well and septic system permit for Unit 8 of White
Stone Estate Condominiums located on an unsubdivided tract of land south of Ptarmigan
Boulevard in Eagle River. The legal description for the property is the East 1/2 of the Southeast 1/4
of the Northwest'/4 of Section 17, Township 14 North, Range 1 West, Seward Meridian. The
project proposes to construct nine (9) single family style units. Previous permit applications
have been received by your office for units 1, 2, 3, and 4 and one (1) well and septic permit has
already been issued for a home site on this development, proposed Unit 7. Transmitted with this
submittal package will be permit applications for units 5, 6, 8, and 9. Test pits were excavated
and percolation tests performed by Crowther Associates. Test Pit 15 has been utilized to design
the drain field for Unit 8. Test Pit 15 was excavated to seventeen feet (17') and silty sand was
encountered through the depth explored. No ground water was encountered in this hole, based
on ground water monitoring. The percolation rate of 7 minutes per inch was used to size the
drain field.
A Bio -cycle system is proposed to be incorporated into the septic system for Unit 8, allowing the
reduction of 50% of the required drain field area. The intent of the drain field design is to install
a five-foot (5') wide drain field with a gravel depth of one and a half feet (1.5') beneath the
perforated pipe. The table below summarizes the calculations for the septic system drain field
for Unit 8.
ALASKA PROPERTY DEVELOPMENT SPEC/AL7STS
White Stone Estates Condominiums
Unit 8
07/13/98
P.T.S., Inc.
Page 2
UNIT
MAX.
FLOW
(GPD)
I PERCOLATION
RATE
(MIN/IN.)
APPLICATION
RATE
(GPD/SF)
ABSORPTION
AREA
(SF)
50% RED, LENGTH
OFAREA OF S'WIDE
FOR BIOCVCLE TRENCH
(SF) (FT)
GRAVEL
DEPTH
BENEATH
PERF. PIPE
(FT)
RF FOR
GRAVEL
DEPTH
REVISED
LENGTH
OF S' WIDE
8
600
7
.80
750
375 75
1.5
.78
58.5
The proposed disposal field for Unit 8 is not anticipated to have negative impacts on adjacent
properties. The proposed drainage field is located greater than one hundred feet (100') from the
eastern property line of this undeveloped tract. Surface drainage from the area around Unit 8
drains to the west of the tract.
Thank you for your prompt review of the application information. If you have any questions,
please call me at 561-6266.
Sincerely,
Professional & Technical Services, Inc.
441 -.Dean ALkL.
z,P
Vice President
Enclosures
ALASKA PROPERTY DEVELOPMENT SPECIALISTS
1
TH 12
f
1
f�
/ U /T 8
r (PROPOSED L
TH
UNIT 8
RESERVE TRENCH
5' X 58.5' C� �0
M L
6QQ,0
PVC 02% \
UNIT 8 14 i
TH 10 R/MARY TRENCH
TH 11 5' X 58.5'
.a
5
OOM
06�F 6 �
F 00�
LEGBw
OF q�,���. o TEST PIT BY OTHERS
•��P .'..................♦♦�� o n TEST PIT BY PTS
AV St 49t ; CLEANOUT
,,,,,,,,,,,h,,,, % •"' MONITORING TUBE
�,ka- ...DEAN ............. ��«� SITE PLAN
ft^ ; DEAN A. KAR �'- UNIT 8
�'•.�• NO. CE-8303 '�,�
�i�' ..• ••
r�xec,�rwc� mWHITE STONE ESTATES
amr�nxu tr
FlGURE 21 SCALE 1'=50' 1 7/8/98
MANHOLE COVER;
3" INSULATION ON
LID
--, — L , — -
4" DIA. PVC
]7
FROM HOUSE,
S = 2% 1-1/4" DIA.
PVC FROM
B/OCYCLE
BIOCYCLE
MODEL 6000
MONITORING MOUND SURFACE
TUBE FOR DRAINAGE
NATIVE SOIL
BACKFILL
3
20
y 4" PERF. PIPE
5'
NOTES
1. GROUNDWATER DEPTH GREATER THAN 17' BELOW GROUND SURFACE.
2. BEDROCK GREATER THAN 17' BELOW GROUND SURFACE.
J. LENGTH OF PIT = 5B.5'.
•.•�E OF.. �G 941%
......... Sib
Aff
49t
/.....5 .........�... ...........a.....�
�t`�'; •••DEAN •A••KARC••••••�'W% SECTIONS
NO. CE-8303mmw
,��. ,� WHITE STONE ESTATES
�%it,ROFESS I••• m� mw„.,,�,,.�.®
.W� woa.
FlGURE 3 SCALE 1'=50' 7/8/98
e 4 Municipality of Anchorage .
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG — PERCOLATION TEST
PERFORMED FOR: wk /E 5-1v"le C S //TPS DATE PER
LEGAL DESCR
FEET)
1 Gray S%!�y 5'unt� CSrn)
c�/fh 9raV?
z
dense / mn/ST
3
4 � 5/� I
5
6
7
8-
9-
10-
11
91011 G/v
12-
13-
14-
15-
16-
17--
18-
19--1
21314151617 ---
1819
bra y Sant/y Cra✓P/ �%
cense, maisl-
hr0 r
ISDN l7'
pYc
1, k) 5 oIle C/
Section:
SLOPE
WAS GROUND WATER
ENCOUNTERED? VD
S
IF YES, AT WHAT L
DEPTH? J O
P
E
Depth to Water After
Monitoring? None Date
-f /7 7-/41V /r/w
SITE PLAN
Reading Date Gross Net
Time Time
Depth to Net
Water Drop
261F Are5o, ar
0:367mr5
r/¢,
U
9
:00
G /�
2 :OU
22
17f0a
27
24 :00
24 i
20
IL_ll PERCOLATION RATE 7 (minutes/inch) PERC HOLE DIAMETER
11 / TEST RUN BETWEEN 5 FT AND 6 FT
COMMENTS IRii"P�/Jp7l af/ D?rr/��g �i�,'y' SPS?' i70/P
PERFORMED BY: '67, S 1 7l 140 4:9' �>'�' CERTIFY THAT THIS TEST WAS PERFORMED IN
ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE
72-008 (Rev. 4188)
PROPERTY OWNER AGREEMENT
FOR THE MAINTENANCE OF AN
ON-SITE WASTEWATER DISPOSAL
SYSTEM
This agreement, dated July 16th 199 8, is made between the Municipality of
Anchorage Department of Health and Human Services (DHHS) and the property
owner(s)of. White Stan Estatea Ccndomin_Tums Unit 8 located at:
East 1/2 of the Southeast 1/4 of the Northwest 14 of Section 17,
Township 14 North, Range 1 West, Seward Meridian/
This agreement is made for the purpose of maintaining an on-site wastewater disposal
system on the subject property.
The property owners agree to the following:
Submit to the Municipality of Anchorage, on an annual basis, an inspection and
Operation statement from a registered professional engineer. This inspection and
operation statement shall verify that the engineer has inspected all effluent and air
Pumps, timers, and alarms, and that any deficiencies have been repaired and that the
system is functioning as designed.
(Signature) , (Si
(Printed Name)
(Printed Name)
----------------------------- Notarize Here
----------- ----------
----------------
State of On this day of
=� personally appeared before me,
_ who is personally known to me
whose identity I proved on the basis of
whose identity I provdd on the bath/affirmation of
to be the
e
a credible witness
acknow d that he/s gned it.
No ar P is
ssion expires
PrdTec/%%e/sei Vega /1►e
4155 Tudor Centre Drive, Suite 103, Anchorage Alaska 99508 (907) 561-6237 fax. (907) 563-3813
May 22, 2000
Dan Roth
Department of Health and Human Services
825 "L" Street
Anchorage, AK 99502-0650
Re: Whitestone Estates, Unit 8. #SW 990261
Dear Mr. Roth:
Enclosed please find the following:
1. On -Site Wastewater Disposal System
and/or Well Inspection Report (2 pages)
2. Soils Log — Percolation Test (1 page)
If you have any questions, please feel free to contact me.
Sincerely,
PROFESSIONAL & TECHNICAL SERVICES, INC.
LKarV14'�'cz, P.E.
Vice President
Enclosures
ALASKA PROPERTY DEVELOPMENT SPECIALIST
Municipality of Anchorage `.aa
On -Site Water & Wastewater Program'_
(907) 343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL
0(�-7- 311-01-00?
Parcel I.D. - - Expiration Date: /
1. GENERAL INFORMATION
i (yN rzliV SEc fi EZS'14 uwy
Complete legal description WHITESTONE ESTATES UNIT #8
Location (site address) 20640 PTARMIGAN BLVD *EAGLE RIVER AK 99577
Current Property owner(s) DARREN & CRISTINE MEZNARICH Day phone
Mailing address
Real Estate Agent
20640 PTARMIGAN BLVD *EAGLE RIVER AK 99577
Day phone
306-8290
2. TYPE OF DWELLING:
Single Family (w/wo ADU)
❑ Duplex
❑ Multiple Dwellings (Single Family and/or Duplex) TA L
3. NUMBER OF BEDROOMS: 4 MAR 2 8 2014
4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL:
Individual Well
Individual On-site
0
Individual Water Storage
❑
Individual Holding tank
❑
Community Class Well
❑
Community On-site
❑
Public Water System
❑
Public Sewer
❑
WaiverNarlance request
Received by: �✓ Date: q-
COSA to be eased to the er)g' oer, unless otherwise requested by the engineer.
COSA Fee $ �2 I� ^ Waiver Fee $
Date of Payment �J (z1s �►`! Date of Payment
Receipt Number C),9 Receipt Number
COSA # - 0 �1�-1 t 1 V 6 Waiver #
Distance: —
5. STATEMENT OF INSPECTION BY ENGINEER
As certified by my seal affixed hereto and as of the validation date shown below, 1 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.
Address 3701 E. TUDOR ROAD, SUITE 101 k ANCHORAGE, AK 99507
Engineer's Printed Name
JEFFREY A. GARNESS, P.E.
Engineer's Comments:
In conducting this evaluation, GEG, LfD. 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 rife 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 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.
6. DSD SIGNATURE
System #1 Approved for
System #2 Approved for
Disapproved.
Conditional approval for
'"r bedrooms.
bedrooms.
Phone 337-6179
Date .S /a
bedrooms, with the following stipulations:
OF 116,
Qrr`i.
ON-SITE
WATER AND
WASTEWATER Z1_
BY: �te �. A— irZ!! Original Certificate Date: ©' l�
The nicvp lit or chorage Develop, emt Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only
upon the represenatations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska.
The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work.
7. ATTCHMENTS:
COSA Checklist
Septic System Advisory
Well Flow Advisory
tp.� 11M
Nitrate Advisory
Arsenic Advisory
Other
If more than 1 septic system is on the lot:
COSA Checklist # of
Structure served by this system
Certificate of On -Site Systems Approval Checklist
067- 311-01-003
Legal Description: WHITESTONE ESTATES UNIT #8 Parcel ID: 85A�982=@fr
A. WELL DATA
Well type PRIVATE If A, B, or C provide PWSID# N/A Well Log (Y/N) YES
Date completed 2/10/00 Sanitary seal (Y/N) YES Wires properly protected (Y/N) YES
Total depth 61 ft. Cased to 61 ft. Casing height (above ground) 24+ in.
FROM WELL LOG AT INSPECTION
Date of test 2/10/00 3/5/14
Static water level 30 ft. 29 ft.
Well production 8 g.p.m. 4.24 g.p.m.
WATER SAMPLE RESULTS:
Coliform � colonies/100 ml. Nitrate -? mg./L. Collected by: GEG. Ltd.
Arsenic: l'40 ug./L. Date of sample: 3/5/14
BI OCYCLE
B. SEPTIC/HOLDING TANK DATA
Tank Type/Material BIOCYCLE/Fl BERG LASS Date installed 3/22/00
Tank size 1500 gal. Number of Compartments MULTI Cleanouts (Y/N) YES
Foundation cleanout (YIN) YES Depression over tank (Y/N) NO High water alarm (Y/N) N/A
Date of pumpingsec /4i 6ccheckumper /Acta i tencu L c i2 e oor C. ABSORPTION FIELD DATA -BELOW EXISTING GRADEBIOCYCLE
Date installed 3/22/00 Soil rating (.p.d./ft r ftlbdrm) 4.0 System type SHALLOW TRENCH
Length 26 ft. Width 5 ft. Gravel below pipe 4 ft.
Total depth *9.87 ft. Eff. absorption area 260 ft' Monitoring tube YES Depression over field NO
Date of adequacy test 3/5/14 Results (Pass/Fail) PASS For 4 bedrooms
Fluid depth in absorption field before test S in. Water added 980 gal. New depth 13.5 in.
Elapsed Time: 158 min. Final fluid depth 4_5 in. Ahsorption rate >= 600+ g.p,d.
Any rejuvenation treatment (past 12 mo.) (Y/N & type) NONE If yes, give date
D. LIFT STATION
Date installed Size in gallons Manhole/Access(YIN)
"Pump on" level at in. "Pump off' level High water alarm level at in.
Cycles tested Meets alarm & circuit requirements?
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tanknift station on lot 100,+ On adjacent lot
Absorption field on lot 100'+ On adjacent lots
Public sewer main N/A
Sewer/septic service line 25'+
Animal containment areas 50'+
Public sewer manhole/cleanout
M
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'+ Building foundation 10'+ Water main N/A
Water service line 10'+ Surface water too'+ Driveway, parking/vehicle storage 10'+
Curtain drain NONE KNOWN Wells on adjacent lots 100'+
F. COMMENTS
k V.12 2/2z/za0D JXVAC- los (LfE?Or' —
G. ENGINEER'S CERTIFICATION
I ceriffy 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.
Engineer's Printed Name JEFFREY A. GARNESS
Date 3/ ZglIV
tom. »rosy
BiOC%cle Alaska
i97I Thoznp%,Tn Drive
Ilo -mcr- AK OQNI',
ist Qootur'"0'14
226-247t,,,Il-1ty 394-Q1,31 cell
Imaii: hit>;�cl.ala�ka�i"�ti.net
Ptarmon BW
Rver. AK'9577
MAINTENANCE DESCRIPTION
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ASBUIIT SEUARD &
I HEREBY CERTIFY THAT I HAVE SURVEYED THE SCALE'���o /
FOLLOWING DESCRIBED PROPERTY-
- DATA.
AND THAT NO FNCROACHMENTS/a�//TEXIST EXCEPT AS ���
INDICATED. IT IS THE RESPONSIBILITY OF THE
OWNER TO DETERMINE THE EXISTENCE OF ANY GRID�o�
EASEMENTS, COVENANTS, OR RESTRICTIONS
WHICH DO NOT APPEAR ON THE RECORDED SUBDI-
VISION PLAT. UNDER NO CIRCUMSTANCES SHOULD FS!
ANY DATA HEREON CIE USED FOR CONS'iRUCTION
OF FENCE LINES, OR FOR ESTABLISHING BOUND-
ARY LINES. �-M Dti�er
OF AI
s h
0.". Merle S�wsrd
• 15-59
8
er
ADVANCED WASTEWATER TREATMENT SYSTEM
MAINTENANCE AND REPAIR AGREEMENT
BETWEEN MUNICIPALITY OF ANCHORAGE
AND Carson A. Lee
THIS MAINTENANCE AND REPAIR AGREEMENT made and entered into as of this
28 Day of March of 2014, by and between Carson A. Lee
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
located at (legal description).
Whitestone Estates #8 T14N R1W SEC 17 E2SE4NW4 WHITESTONE ESTATES
2. Definitions.
Alteration. Any change to the design or function of an AW WTS that
includes the installation or removal of any parts, components or pieces not
included in the original construction permit and design.
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 AW WTS that were included
in the original design which would allow the AWRrfS to continue to
perform as designed.
Permit. An On -Site Wastewater Disposal Permit as required by AMC
15.65 to construct and operate an AW WTS.
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 AW WTS 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 Eaul nrent. Prior to
performing any alterations to an AW WTS, 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 AW WTS 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 roto a service agreement with an AW WTS
service and maintenance provider approved by the municipality and the
manufacturer of the AWWTS for the entire term of the AWWTS. In addition, it
shall be the responsibility of the Owner during the term of this Maintenance and
Repair Agreement, and any renewals thereof, at the owner's sole expense, to pay
for any and all: (1) repair(s), (2) maintenance, (3) adjustment(s), (4) replacement
costs, and (5) inspection costs.
B. Owner agrees to comply with all applicable ordinance, laws, regulations, rules
and orders for the AWWTS.
C. Upon request by the Municipality, the owner agrees to provide the Municipality a
written schedule of routine maintenance and repairs which have been performed
on the system. When a record of maintenance is documented and maintained by
the system vendor, the owner agrees to allow the Municipality access to this
information.
D. Owner acknowledges that the fine for failing to maintain and repair an AWWTS
may be assessed in accordance with AMC 14.60 for improper discharge.
E. Owner agrees that only maintenance and repair personnel approved by the
Municipality will inspect and make any necessary maintenance, repairs or
permitted alterations to the system.
F. Owner agrees to grant the Municipality reasonable access to test and inspect the
AWWTS upon 24 hours written notice.
G. Owner agrees that any sale or transfer of title of the property will not occur
without a new Certificate of On -Site Systems Approval.
H. Owner agrees that the AW WrS installation and maintenance requirements as
provided by the AW WTS 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. Carson A. Lee
b. Municipality: Director Community Development or desigoted authority
C. Any attempt to amend, modify, or change this contract by either an unauthorized
representative or unauthorized means shall be void.
8. Jurisdiction: Choice of Law. Any civil action arising from this Maintenance
and Repair Agreement shall be brought in the Superior Court for the Third Judicial
District of the State of Alaska at Anchorage. The laws of the State of Alaska shall
govern the rights and obligations of the parties under this Maintenance and Repair
Agreement.
9. Severability. Any provisions of this Maintenance and Repair Agreement decreed
invalid by a court of competent jurisdiction shall not invalidate the remaining
provisions of the Maintenance and Repair Agreement.
OWNER:
B46, �1 (signature) Date: 3/9(
6Ns /, Ite (print name)
STATE OF ALASKA )
) ss,
THIRD JUDICIAL DISTRICT )
The foregoing instrument was acknowledged before me this2(v day of (Yl Aer H
24)0 ,by C pPSon P - ja
�.
NOTAW PULIC FOR ALASKAN® M
?. LIC
My Commission expires: /a QOJ
MUNICIPALITY:
By: (signature) Date:
(print name) Title:
Municipality of Anchorage
• '� Development Services Department
Building Safety Division s E
On -Site Water & Wastewater Program
4700 Bragaw Street
P.O
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
067- 311-01
Parcel I.D. COSA# Or)q,�01-
1. GENERAL INFORMATION Expiration Date: —
Complete legal description
Location (site address)
Current Property owner(s)
Mailing address
Lending agency
Mailing address
Real Estate Agent
Mailing address
T14N R1W SEC 17, E2, SE4, NW4
20640 PTARMIGAN BLVD. * EAGLE RIVER, AK
TRUST GOLIE Day phone
PO BOX 773153 * EAGLE RIVER, AK 99577
Day phone
DEBBIE CLOUTIER w/REMAX PROPERTIES Day phone
110 W, 38TH SUITE 100 *ANCHORAGE, AK 99503
Unless otherwise requested, COSA will be held by DSD for pickup.
2. NUMBER OF BEDROOMS: 4
694-3275
276-2761
3. TYPE OF WATER SUPPLY:
TYPE OF WASTEWATER DISPOSAL:
Individual Well
0
Individual On-site
IN
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, 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.
Address 3701 E. TUDOR ROAD, SUITE 101 * ANCHORAGE, AK 99507
Engineer's Printed Name DONNA C. MEARS, P.E.
Engineer's Comments:
In conducting this evaluation, GEG, LID. 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 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. DSD SIGNATURE
Approved for
Disapproved.
Conditional approval for
Attachments:
COSA Checklist
Septic System Advisory
Well Flow Advisory
bedrooms.
Phone 337-6179
Date
oc�OF A�'ok
.......... .
o* : 49TH
P DONNA C. ME S.
P CE -11135 �O
bedrooms, with the fllowing stipulations:
Arsenic Advisory
Maintenance Agreements
Supplemental Engineer's Reort
Nitrate Advisory Other
By:
(Rev. 11105)
ON-SITE
WATER AND
WASTEWATER
PROGRAM
Original Certificate Date: 10 " -2, t " 07
Municipality of Anchorage
' Development Services Department s
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 CHECKLIST
Legal Description: T14N R1W SEC 17, E2, SE4, NW4 Parcel ID: 0 6273l1-©/
A. WELL DATA
Well type PRIVATE If A, B, or C provide PWSID# N/A
Date completed 2/10/2000 Sanitary seal (Y/N) YES
Total depth 61 ft. Cased to 61 ft.
FROM WELL LOG
Date of test 2/10/2000
Static water level 30 ft.
Well production is g.p.m.
WATER SAMPLE RESULTS:
Coliform 0 colonies/100 ml.
Arsenic: Mag./L.
B. SEPTICIHOLDING TANK DATA
Well Log (Y/N) YES
Wires properly protected (YIN) YES
Casing height (above ground) 18+ in.
AT INSPECTION
10/12/2007
f6�1
4.5 —
9 -p.m -
Nitrate i • y3mg./L. Other bacteria colonies/100 ml.
Date of sample:10/10/2007 Collected by: GEG Ltd.
Tank Type/Material BIOCYCLE/FIBERGLASS Date installed 2/22/2000
Tank size 1500 gal. Number of Compartments 1 Cleanouts (YIN) YES
Foundation cleanout (Y/N) YES Depression over tank (Y/N) NO High water alarm (Y/N) YES
Date of pumping NOT NEEDED
C. ABSORPTION FIELD DATA
Date installed 2/22/2000 Soil rating (g.p.cldft2o � 1.2
Length 26 ft. Width 5 ft.
I ]16IN[l112
System type SHALLOW TRENCH
Gravel below pipe 4 ft.
Total depth *8.25 ft. Eff. absorption area 260 ft2 Monitoring tube YES Depression over field NO
Date of adequacy test 10/12/2007 Results (Pass/Fail) PASS For 4 bedrooms
Fluid depth in absorption field before test DRY in. Water added 675 gal. New depth DRY in.
Elapsed Time: E min. Final fluid depth DRY in. Absorption rate >= 600+ g,p,d,
Any rejuvenation treatment (past 12 mo.) (Y/N & type) NONE KNOWN If yes, give date
D. LIFT STATION
*INSPECTED BY BIOCYCLE
Date installed 2/22/2000 Size in gallons 1500 Manhole/Access (Y/N) YES
"Pump on" level at TIMER in. "Pump off' level atTIMER in. High water alarm level at * in.
Datum
*
E. SEPARATION DISTANCES
Cycles tested * Meets alarm & circuit requirements? YES
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tank/lift station on lot 100'+ On adjacent lot:
Absorption field on lot 100'+ On adjacent lots
Public sewer main
Sewer /septic service line
Public sewer manhole/cleanout N/A
Holding tank
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 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'+ 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
G. ENGINEER'S CERTIFICATION
I certify that I 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
COSA Fee $ q-) -V O Waiver Fee $ _
Date of Payment 10 / 0 U % Date of Paymenl
Receipt Number Receipt Number
(Rev. 11105)
49TH �Z
Tt.6'NNA C. ME RS.
CE -11135 m�
�4 s1f�e�' • � . /O./�07. �' • cAo�O
�Q�t\d pyo ression�o�
All Dates/Times are Alaska Standard Time
Printed Date/Time
10/18/2007 1622
SGS Ref.#
1075458001
Client Name
Garness Engineering Group, Ltd.
Project Name/#
White Stone Estates Unit No 8
Client Sample ID
White Stone Estates Unit No 8
Matrix
Drinking Water
PWSID
0
All Dates/Times are Alaska Standard Time
Printed Date/Time
10/18/2007 1622
Collected Date/Time
10/10/2007 8:15
Received Date/Time
10/10/2007 10:35
Technical Director
Stephen C. Ede,
Sample Remarks:
Allowable
Prep Analysis
Parameter
Results
PQL
Units
Method Container ID
Limits
Dare Date
Init
Metals by ICP/MS
Arsenic
ND
5.00
ug/L
EP200.8
C
(<10)
10/16/07 10/17/07
MH
Waters Department
Total Nitrate/Nitrite-N
1.43
0.100
mg/L
SM20450ONO3-F
B
(40)
10/12/07
LCP
Microbiology Laboratory
Total Coliform
0
coVl OOmL
SM20 9222B
A
(<I)
10/10/07
SDP
t
MUNICIPALITY OF ANCHORAGE
/
' DEPARTMENT OF HEALTH & HUMAN SERVICES �Iff
Division of Environmental Services
On -Site Services Section
P.O. Box 196650 Anchorage, Alaska 99519-6650
343-4744
CERTIFICATE OF HEALTH AUTHORITY
APPROVAL FOR A SINGLE FAMILY DWELLING
Parcel I.D. # cf(�� - - C HAA # + ICCC t-:-
1. GENERAL INFORMATION
Complete legal description =TE_ 1 /L S� 1 /L Trl'r 1 L T1 1, °r _R7 T: 17
Location (site address or directions) Unit 8, hJ- testone Estates
Prdperty owner Masterpiece �3omes Dayphone 4L7/ -0/-732n
Mailing address P.O. Box 773 /, 71 Pa,T' e P zrp- Q it 00577
Lending agency Day phone
.
Mailing address
Agent
Address —
Day phone
Unless otherwise requested, HAA will be held for pickup.
2. NUMBER OF BEDROOMS: /,
3. TYPE OF WATER SUPPLY:
Individual well X
Community well
Public water
NOTE: If community well system, provide written confirmation from State ADEC attest-
ing to the legality and status of system.
4. TYPE OF WASTEWATER DISPOSAL:
Individual on-site
Holding tank _
Community on-site
Public sewer
NOTE: if community wastewater system, provide written ccnrirma Xn from Stara ACEC
attesting to the legality and status of system.
72-025 Rev 1/91) Front MOAX21
5.
14
M_
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 of this Health Authority Approval application 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. l 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
Address
Engineer's signature
DHHS SIGNATURE
Approved for bedrooms.
Disapproved.
Conditional approval for
Additional Comments
Phone 907/561-6237
chor=7e, AK QQ508
_r
i
_Date
OF A a4a,�A
•gyp :...«..,, �
Mo.
""ft�i:
GNn'-A Karo ' ; ct
r
bedrooms, with the following stipulations:
Date —4--- 3 ! - G O
The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority
Approval Certificates based only upon the representations given in paragraph � above by an independent
professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes
and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS 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 engineers work.
72-025 (Rev. 191) Pact MOA n21
Municipality of Anchorage R F ICC i V E
DEPARTMENT OF HEALTH & HUMAN SERVIC(Y 30 2000
Environmental Services Division A§
825 L Street, Room 502 • Anchorage, Alaska 99501 • (Wk 4+iA4uioRAGE
"'%R 'NMENTAL SERVICEF DIV"'
Health Authority Approval Checklist
Legal Description: Unit 8 -NE 1/4 SE 1/4 NW 1/4 Parcel I.D.:
T14N R1W Sec. 17
A. WELL DATA
Well type Private If A, B, or C, attach ADEC letter. ADEC water system number
Log present(Y/N)
Datecompleted 2/10/2000
Total depth 61 Ft. Cased to 61 Ft. Casing height (above ground) 4 Ft.
Sanitary seal (Y/N)
Date of test
Static water level
Well production
FROM WELL LOG
2/10/2000
30
0
WATER SAMPLE RESULTS:
Coliform --
Nitrate 1.0
Wires properly protected (Y/N)
AT INSPECTION
Date of sample: 5/3/2000 Collected by: DEA
B. SEPTIC/HOLDING TANK DATA
Date installed N/A
Foundation cleanout (YIN)
Date of Pumping
C. ABSORPTION FIELD DATA
Dateinstalled 2/22/2000
Other bacteria 1
Tank size Number of Compartments Cleanouts (Y/N)
Depression (Y/N) High water alarm (Y/N)
Pumper
Shallow
Soil rating (g.p.d./ft2 or ft2/bdrm) 1 .2 System type Trench
Length z6 Width 5 Gravel thickness below pipe 4 Ft. Total depth 7 Ft.
;.2(,o
Effective absorption area --34-R SF Monitoring Tube present (YIN) Y Depression over field (YM) N
Date of adequacy test
Results (Pass/Fall)
For - bedrooms
Fluid depth in absorption field before test (in.); - Immediately after= gal. water added (in.): _
Fluid depth - (ins) Minutes later: Absorption rate = - g.p.d.
Peroxide treatment (past 12 months) (Y/N) - If yes, give date -
72-026 (Rev. 3/96)'
D. M)M BTOCYCLE
Date installed 2/22/2000 Size in gallons 1 500
Manhole/Access(Y/N)
High water alarm level at*
Cycles tested
E. SEPARATION DISTANCES
"Pump on" level at*
*Datum
SEPARATION DISTANCES FROM WELL ON LOT TO:
"Pump off" level at*
Septic/holding tank on lot N/A On adjacent lots + 1 5n t
Absorption field on lot 116.5 Ft . On adjacent lots 1 R 5 _ 7 Pt_
Public sewer main N/A Public sewer manhole/cleanout N/A
Bioc cle
Sewer /septic service liner 1 ng. /, Ft. _
BTOCYCLE
SEPARATION DISTANCES FROM KXlX0 TANK ON LOTTO:
Foundation 13.2 Ft. Property line 100.0 Ft. Absorption field 10-R Ft. _
Water main/service line N A Surface water/drainage - Wells on adjacent lots u 0. 6 Ft, -
SEPARATION
t..
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOTTO:
Property line
Surface water
Curtain drain
F. ENGINEER'S CERTIFICATION
Building foundation 20.8 Ft. Water main/service line
Driveway, parking/vehicle storage area 5 Ft.
Wells on adjacent lots 145.3 F t.
/ certify that 1 have determined thru field inspections and review of Municipal fift
in conformance with MOA HAA guidelines in effect on this date. 0*
io
Signature
•..2
WA ��-0
1
Engineer's Name h � s
Date
ftt
HAA Fee $ Joe- n�
Date of Payment`
Receipt Number 0J7 7
72-026 (Rev. 3/96)*
Waiver Fee $
Date of Payment
Receipt Number
systems are
^� N 22,2007 1;50PM ARCTEC FR
:} BioCycle Alaska
Mr. Kyle Maus
Garness Engineering Group Ltd,
3701 E Tudor Rd, Ste. 101
Anchorage, AK 99503
NO 641 P. 1
aerated wastewater treatment systems
October 22, 2007
Re: BioCycle wastewater treatment system at 20640 Ptarmigan Blvd, Eagle River, AK
99577 Legal: TIAN RI W Sec 17 East to SEI/4 NWl/4
Dear Kyle
This letter will provide documentation that quarterly maintenance has been performed by
BioCycle Alaska on the referenced system since it was installed. In addition to regularly
scheduled maintenance, this system was also pumped approximately one year ago.
If you need any additional information regarding this installation, please contact me at the
numbers below.
Regards,
Crus Andress, .E.
1504 W 47`" Ave, Unit B
Anchorage, AK 99503
563-1646 voice/fax
398-6574 cell
Email; biocyclealaska@alaska.net
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