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Home My WebLink AboutMT MCKINLEY VIEW ESTATES BLK 1 LT 1M'I'. Mckinley View states lock I Lot I 020-101 - 15 Municipality of Anchorage Development Services Department Building Safety Division On-Site Water and Wastewater Program, 4700 Elmore Road P.O. Box 196650 Anchorage, AK 99507 Page of www.ci.anchorage.ak.us (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number: 0sP101030 PID Number: 020-101-50 Name: John and Barbara McMullen Wastewater System: [] New [] Upgrade Address: 12800 Killey Street Anchorage, AK 99516 ABSORPTION FIELD Phone: Number of Bedrooms: 4 [] Deep Trench [] Shallow Trench [] Bed ~ Mound [] Other: LEGAL DESC RI PTION soi, Rating: Total Depth fram odginal grade: 3.0 GPD/Ft2+6.2 Ft. Block: 1 Lot: 1 Subdivision: Depth to pipe bottom from odginal grade: Gravel depth beneath pipe: Mt. McKinley View Est. +3.7 Ft. .7 Ft. Township: Range: Section: Fill added above original grade: Gravel Length: 6-7 Ft. 40 Ft. Well: [] New [] Upgrade Grave~ width: Number of Ii .... Dist .... between Ii .... 5 Ft. 1,440 - Ft. Classification (Private. A. B. C): Total Depth: Cased to: Total absorption area: Pipe Material: Private 506 Ft. 23 Ft. 200 Ft2 i ASTM D3034 PVC Driller: Cate Drilled: Static Water Level: Installer: Date Installed: Alpine Drilling 8/24/06 301 Ft. Red Dog Excavating 9/20-21/2010 Yield: GPM Pump Set at: Ft. Casing Height Above Ground: 1.5 485 >2 Ft. TANK SEPARATION DISTANCES [] Septic [] Holding [] S.TE.P. [] Other: T~ To Septic Absorption Lift Holding >ublic/Private Manufacturer: Capacity: From% Tank Field Station Tank Sewer Line Advantex/Anchorage Tank 1,500 GaL Material: Number of Compartments: Well >100' >100' N/A N/A >25' Fiberglass Two (2) surtacewater >100' >100' N/A N/A ~ / LIFT STATION Size: Manufacturer: LotLine >5' >10' N/A N/A 500 Gal. Anchorage Tank/Orenco "Pump on" level at: "Pump off' level at: in. High water alarm at: Foundation >5' >10' N/A N/A 40 in. 40 OSI P2005-11 in. Pump Make & Model Electrical Inspections performed by: Curtain Drain None Noted OSI P2005-11 Municipality of Anchorage Remarks: Final Grading and Landscaping Necessary Over Mound. BENCH MARK Location and Description: Work to be Completed by July 15, 2011. Garage Slab Assumed Elevation: 100.0 Ft. Inspections performed by: A. Harala Dates: 1st 9'20/2010 2nd 9/21/2010 Development Services Department Approval Conditional Approval ~/ /-.~/~ .~,~ ~'~, Date: ~ -,2. '7- l{ ::~..J..~...L.~.,~.~_.~/~.....~_~/_ --. Permit Number: Municipality of Anchorage DEVEOPMENT SERVICES DEPARTMENT 4700 South Bragaw Street Anchorage, AK. 99519-6655 - 343-7904 On-Site Wastewater Disposal System or Well Inspection Report OSP101030 Page 3 of 3 PID No. 020-101-15 O 98.2 Finished Grade urigmal L~rade AX-2O i 1,500 Gallon Advantex Tank 92.8 ~ H 2" Insulation and ~ /L Geotextile Fabdc . 102.15 r,~r ..._ 105.8+ ~_105.1 Coarse San0 DrainfielO Rock ~i{ginal G--~iound -I'- 40' (Trench Length) NTS 99.1 No Water 9/20/2010 PROF LE AS'BU LT Scale: NONE Page 1 of 1 Poet, Jeff W. From: Sent: To: Subject: Mike Anderson [andengr@gci.net] Tuesday, September 20, 2011 3:00 PM Poet, Jeff W. Lot 1, Block 1, Mt. McKinley View Estates Attachments: Slope at Absorption Trench 1.JPG; Slope at Absorption Trench 2.JPG; Slope at Absorption Trench 3.JPG Jeff; The slope fronting the absorption trench on Lot 1, Block 1, Mount McKinley View Estates has been revegetated and is stabilized. The "conditional" status can now be removed from the inspection report. will bring in a new inspection report tomorrow. Mike 9/22/2011 Permit Number: OSP101030 Municipality of Anchorage DEVEOPMENT SERVICES DEPARTMENT 4700 Elmore Road Anchorage, AK. 99519-6655 - 343-7904 Page 2 of 3 PID NO:020-101-15 HENSON DRIVE EAST S 89'58'10" E 249.64' 10' Utility Easement LOT 1 / / / / Well Four Bedroom Home / / / / / M1 ® TH1 Altemate Site TH2 MHI 53'~8 B ' 99.3' MH2 65.4' 108.8' MH3 71.8' I 115.2' M1 58.1' I 75.5' M2 92.4 107.8' MH3 S 80035,00" E 240.36, LOT MCKINLEy VIEW DRIVE 1 PLAN SCALE 1" = 30' I,I LOT 2 Alpine Ori'lling & Enterprises Well Log Parcel Identification Number: 0201011__5000 . ermit Number: #SW~ Date of Issue: ~2~I~s0well located at approved permit location? x Yes ~ No Date Started: 7-~3-10 Date Completed: 7-14-10 Legal Description: Mt McKinley View Estates BIk 1 Lot ~ G:3390 Property Owner Name & Address: McMullen John C & Barbara S 2600 Killey Street 99516 Method of Drilling x air rotary Casing type: stee___~l Data: Depth (ft) Soil Type, Thickness & Water Strata From To 0 2 Stick-up 2 5 Rock fill 5 I1 Gravelly silt 11 396 bedrock [] cable tool Wall Thickness: .25___Q0 inches DiameTer: 6 inches Depth: 1__~5 feet Liner Type: ~ Diameter: 4 inches Depth: 39.._~6 feet Casing above ground: 2_ feet Static water level (from ground level): 197 feet Pumping level: 396 feet after 12 hours pumping 6 gpm Recovery Rate: 6 gpm Method of Testing: ~ Well Intake Opening Type: [] Open End x OpenHole [] Screened Start ~ feet Stopped ____-- feet [] perforations Start _ _ feet Stopped_ _ feet Volume: 5_ Grout Type: b__entonite_ feet Pump: Intake Depth _ -- Pump size _____- h._p.p Brand Name Well Disinfected Upon Completion? x Yes [] No Method of Disinfection: chlorine tblets Comments: Well Driller: Alpine Drilling&Enterpr~es POBox 110496 AnchorageAK99511 392 396 1t20 Mark Begich Mayor Development Services Department Building Safety Division On-Site Water & Wastewoter Program 4700 Elmore P.O. Box :/.96650 Anchorage, AK 99510-6650 www.muni.orq/onsite (907) 343-7904 Pump Installation Log Well Drilling Permit Number: SW Date of Issue: Parcel Identification Number: Replacement Only: YES NO Legal Description Lot 1, Block I, Mt. McKinley View Estates Pump Installation Date: 1/31/2011 Pump Intake Depth Below Top of Well Casing: 378 feet Pump Manufacturer's Name: Goulds Pump Model: 10SB15 Pump Size I 1/2 hp Pitless Adapter Burial Depth: 11 feet Pitless Adapter Manufacturer's Name: Maas Pitless Adapter Installer: Red Dog Well Disinfected Upon Completion? [] Yes [] No Method of Disinfeetion: Recirc Comments: I[Property Owner Name & Address: Loken Construction LLC Pump Installer Name: Aarow Pump & Well Service LLC PO Box l10496,Anchorage, AK. 99511 (907) 346- 9355 Attention: The pump installer shall provide a pump installation log to the DSD within 30 days of pump installation. *Municipality of Anchorage Community Development Department - Development Services Division~*~ P.O. Box 196650 - Anchorage, Alaska 99519-6650 - 4700 Elmore Road Info and Help: (907) 343-8211 . INSPECTION: Voice: (907) 343-8300 Fax (907)249-7777 ~.~ , Inspection Report- ElecFin · APPLICATION NO. El0 0281 .' Subpermit of Master Permit: 10 0281 Permit Type: Electrical New NOtes: Requested bF. Todd HOuston' 522 5678 tOddhouSt0n@alaska.net .... SchedUle Date:06/17/20'~.~i.* Preferences:PM Inspection #: 1~3~22 Address of ProjeCt: 16901-MOUNT MC KINLEY VIEW 'DR parcel: Legal: ' MT MCKINLEY' VIEW ESTATES BLK I LT · 1. G.~3339 . .. ~..~,~?_~,.. Description of WOrk': ~Work Descr. 3485 sq ff living, 1080 sq ff garagel Remarks: tb ~-~ '~/~ ,~) " Contacts Contractor 9078688880 LOKEN CONSTRUCTION, LLC *R 5425 COPE ST. UNIT B .~- Other 9073176407 BRIAN STUMP 5201 E NORTHERN LIGHTS, UNIT 2W Owner MCMULLE, JOHN C & BARBARA S REVOCABLE TRUSTS (50% EACH) MCMULLEN J C Inspector C°mmen~s: On-Site Water & Wastewater System 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: OSP101030 Tax Code Number: 02010115000 Work Type: WellSeptic Initial Permit Effective Dates: May 26, 2010 to May 26, 2011 Design Engineer: S & S ENGINEERING Subdivision: MT MCKINLEY VIEW ESTATES Site Legal Address: MT MCKINLEY VIEW ESTATES BLK 1 LT 1 Owner/Address: MCMULLEN JOHN C & BARBARA S 12800 KILLEY ST ANCHORAGE AK 995162890 G:3339 Permit Site Mailing Address: 16901 MOUNT MC KINLEY VIEW DR, Anchorage Lot Size in Sq Ft: 217800 Total Bedrooms: 4 This permit is for the construction of: Y Disposal Field Y Septic Tank N Holding Tank N Privy Y 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. Received By: ,ssued By: Municipality of Anchorage ONSITE WATER & WASTEWATER PROGRAM CIIANGE ORDER v~D o:749 I Ol /~d:C~ CONTACT PERSON ~3.~.j" TRACT__BLOCK t LOT.~j '~/p_d¢Ol,'¢..,~,). ?.z.D~c~ ~o~7- ,+t=t=~c.7-r~..,o~'- L~.~'W CUSTOHER SIGNATUIi~ On-Site Comments Review Reviewer: Issued Time [ (date) (hours) -- l/ / HOURLY R~TE $130 TOTAL TO BE PAID DATEPAID RECEIPT# wO N¥1d-3llS Parcel I.D. Municipality of Anchorage Development Services Department Bullc~ng Safety Division On-Site Water and Wastewater Program 4700 Elmore Road P.O. Box 196650 Anchorage, Naska ~507 www.muN.org/ons[te (907) ~4~7~04 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING O2,0- Property owner(si JOHN MCMULUN ....... Day phone 529-g129 Mailing address 12800 KILLEY ST. ANCHORAGE, AK Zip Code g9518 Site address 16901 MT.MCKINLEY VI£W DP,. Zip Code Legal description (Sub'd., Block & Lot) LOT 1; BLOC~ t; MT. MCKINLEY VIEW ESTATES Legal des~ption (Township, Range & Section) LOT I; BLOCK 1; MT.MCKINLEY VIEW' ESTATES LotSlze ~/~ c¢~ Sq. Ft. NumberofBedrooms4 ,, THIS APPLICATION I$ FOR ~ all that apply): Absorption Field [] Septic Tank [] Holding Tank [] Pr~,7 [] Pdvate Well Water Storage ti°n (Signature of pmpe~ed agent) PermiURushFees: ~,,~4 .ii ~')~ WalverFees: Date of Payment: ~/V/{/~' Date of Payment: (Rev. 11~$) THIS APPLICATION IS AN: Initial Upgrade Ranc. wal [] O Is being made for a NgIS30 ,001. = .t PER}4IT NO SWXXXXXX PAaE ~ OF ~ Municipe[ity oF An_chor'age DEVELOPMENT SERVICES DEPARTMENT BUILDING SAFETY DIVISION ON-SITE WATER AND WASTEWATER PROGRAM, 4700 BRAGAW STREET P.D. Box I96650 ®Anchor'ege, Atoske 99519-6650 ®Telephone: (907) 343-7904 · www.ci.oncho~oge.~k.us ON-SITE WASTEWATER DISPOSAL SYSTEH AND/OR WELL INSPECTION REPORT Robert A. Shafer, P.E. CIVIL ENGINEERING SEWER & WATER MAJN EXTENSIONS SEWER & WATER INSPECTION ENGINEERING STUDIES AND REPO;tTS WELL INSPECTION & FLOW TEST ROAD DESIGN PERCOLATION TEST STRUCTURAL MECHANICAL INSPECTIONS PH: 907-694-2979 FAX: 907-694-I 21! ON-SITE WASTEWATER DISPOSAL SYSTEM CONSTRUCTION PRACTICES and MATERIAL SPECIFICATIONS REFERENCE: Lotl; Block l;Mt. McKinley ViewEstates May 18,2010 GENERAL: me The scope of this project includes the installation of a new Orenco Advantex AX20 Mode 3B advanced treatment system, and a septic drain field to serve the proposed four bedroom residence to be located on the referenced property. Construction shall be in accordance with Anchorage Tank Residential Installation Guide and the approved site plan, design drawings, Municipal permit with any special provisions or conditions, and all applicable State and Municipal Wastewater Disposal Regulations. 3. The contractor shall be responsible for obtaining an3, necessary underground utility locates. Unless specifically agreed Otherwise, the property owner shall be responsible for final grading areas subsequently depressed from soil settling. Contractors installing wastewater disposal systems must be certified by the Municipal Development Services Department or ADEC if required, for system installations. Owners installing their own systems must also receive prior approval from the respective agency. SEPTIC TANK AND TREATMENT SYSTEM INSTALLATION: A septic tank is to be constructed by a certified septic tank manufacturer. Construction shall include cleanouts and manholes as shown on the attached drawing. 15861S. Birch',~ood Loop Road, Chuglak, Alaska 99567 ~'age 2 L1; B1 Mt. McKinley View Estates May t8, 2010 2. The septic tank shall be sufficiently bedded to prevent settling or shifting of the tank. All standpipes and manhole on the septic tank shall extend a minimum of 12 inches above final grade. Septic tanks installed with less than 4 ft. of cover shall be insulated. All ttDPE septic tanks are required to be covered with a minimum of 2" direct burial insulation, and a maximum of 4 feet of cover. o A foundation cleanout shall be installed one to four feet from the building foundation. In the line between the tank and the leachfield there shall be two adjacent cleanouts (unless an effluent pumping system exists within the septic tank). These cleanouts shall be located on undisturbed soil not more than 10 ft. from the tank. The first cleanout, in line, shall be to clean toward the leachfield. The second cleanout shall be to clean toward the septic tank. Final grading over the septic tank shall be such that a positive slope exists a~vay from the septic tank. ABSORPTION TRENCtl/DRAINFIELD INSTALLATION: Excavate the proposed trench to the dimensions shoam on the design. The bottom of the excavation shall be within 2 inches of level. If the sidewalls of the excavation become smeared, they must be raked or scratched (ruffed-up) before gravel (sewer rock) placement. Once the gravel is installed, the distribution pipe is to be installed level with the perforations faced downward. Gravel is then to be placed over the distribution pipe to provide a minimum of 2 inches of cover over the pipe. A silt barrier must be installed between the final gravel layer and the native soil backfill. Ensure the silt barrier covers the entire gravel surface before placing backfill. Monitor tubes shall be of four (4) inch diameter, installed approximately in the locations shown on the design, and extend a minimum of 12 inches above final grade. The portion of the monitoring tube extending through the gravel shall be perforated from the bottom of the trench to the invert ofthe distribution pipe. This is equivalent to the effective depth of the gravel as noted on the design. Backfill over the final gravel layer must not be less than twenty-four (24) inches. Insulation must be installed when the backfill depth is less than thirty-six (36) inches. The finish grade over the trench must be mounded to prevent the formation of a depression after settling. Page 3 L1; B1 Mt. McKinley View £states May 18, 2010 MINIMUM MATERIAL SPECIFICATIONS: Any septic tank and treatment system proposed for installation must be constructed by a Municipal approved septic tank manufacturer. The following pipe materials are approved for use in septic system installations in the Municipality of Anchomge: Type of Pipe Perforated Solid Cast Iron Yes Yes ASTM D3034 (PVC) Yes Yes ASTM F810 (HDPE) Yes No ASTM D2662 (ABS) Yes Yes Use of a type ofpipe other than listed above must be approved by the inspecting engineer. Insulation shall be at least 2" thick extruded direct burial polystyrene (Dow Chemical Company Styrofoam tli or equal). Septic tank inlets and outlets shall be fitted with watertight couplings (Caul&r, Femco, or equal). A permeable nontoxic silt barrier (Typar 3401, Mimfi 140N, or equal) must be installed between the final leachfield gravel layer and the native soil backfill. All leachfield grovel (sewer rock) shall be 0.5"-2.5" screened grovel with less than 3% passing the #200 sieve. When sand is being used as a filter material, its gradation specifications must conform to current M.O.A. or D.E.C. requirements, which ever requirement applies. Page 4 L1; B1 Mt. McKinley View Estates May 18, 2010 INSPECTIONS: Typically there will be a minimum of three (3) inspections required during the installation of the wastewater disposal system. These inspections will occur as follows: The first inspection must be conducted after the excavation of ditches, pits, trenches, or beds and before the installation of any gravel. A septic tank may be set in place, but may not be backfilled before this inspection. The second inspection must be conducted after the placement of the silt barrier, gravel, distribution lines, standpipes, cleanouts, and insulation, but before the placement ofany other backfill. 3. The final inspection is to occur upon final grading of the property. Often there will be more than these 3 inspections required. Especially with the installation of multiple trenches, sand filters, pressurized distribution systems, etc. Thus, the inspecting engineer is to be contacted at least 24 hours prior to the start of construction. If necessary, a pre- construction meeting ~411 take place on-site. The inspecting engineer will not coordinate, direct or control in any ~vay the contractor's activities. The owner shall contract with the contractor to perform the work outlined in these specifications and plans and in accordance with the attached M.O.A. permit. There will be no contractual arrangement existing between the contractor and S & S Engineering. S & S Engineering shall be the o~er's representative and will inspect the work as stated above to document the contractors activities. Final acceptance of the contractors work rests with the owner and the M.O.A. S & S Engineering shall have no liability to the owner or to others for acts or omissions of the contractor or any other persons performing ~vork on this project or the failure of the contractor to carry out the work in accordance with these construction documents. S & S Engineefing's inspecting engineer will not be responsible for the construction means, methods, techniques, sequence, procedures or the safety precautions incident to this project. CONTRACTOR / INSTALLER ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND REPAIR AGREEMENT MEMORANDUM OF UNDERSTANDING BETWEEN MUNICIPALITY OF ANCIlORAGE AND THIS MEMORANDUM OF WNDERSTANDING made and entered into as of this [ ~' Day of /~/ of 20 ]~, by and between ~'~ ]Y~C ff/o/-x';''/, 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 Treatment System (AWWTS), described as ~L~)~A~'IT/~ located at /t~.(j ] ~/i~F ~/~[ck,t,.i/.~y~ttet.O biz, fi(__ ,Anchorage, Alaska. · (Lot C, ITc,u< ! ) t'Vlr. 2. Dcfimtions. A. Alteration. Any change to thc design or function of an AWWTS that Includes the installation or removal of any parts, components or pieces not included in thc original construction permit and design. Prior to performing any alterations to an AWWTS thc owner must obtain a Wastcwatcr Disposa! System Construction Permit from thc Municipality pursuant to Anchorage Municipal Code (hereinafter, "AMC") 15.65. B. Certificate of On-Site Systems Approval. An approval by thc Municipality of existing water and wastewatcr 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. l)amage. 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 oran AWWTS 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 AWWTS, upon meeting all the requirements of this agreement, the conditions of Operating Permit, the requirements ofthe 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 ~ -~..-/'" o ($ 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 ofthis Memorandum of Understanding shall be for the life ofthe AWWTS. 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 Eqnipment. 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 Repalrs. A. Throughout the term of this Memorandum of D'nderstanding, the Owner shall maintain AWWTS in good repair. In addition, it shall be the responsibility ofthe Owner during the term of this Memorandum oflJnderstanding, and any extensions or renewals thereof, at the owner's sole expense, to pay for any and all: (I) 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 o f 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 ofmaintenance and repair contained in the Owner's AWWTS Operating Permit is: /'~ .o~. ~ ~ / 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 AWWTS 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 AWWTS is the governing professional guidelines for the construction, maintenance and repair of the Owner's AWWTS. 7. Nonwalver. The failure ofeither 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 fight 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 ofany 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. Jurisdiet|on.' Choice ofl,aw. 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. Severabilit¥, Any provisions ofthis Memorandum of Understanding decreed invalid by a court of competent jurisdiction shall not invalidate the remaining provisions of the Memorandum of Understanding. ily)qj/e- ,- ay: v 3._/// ' Date: [~ Title: I O Date: STATE OF ALAS~ ) THIRD JUDICIAL DISTRI~ ) MUNICIPAI,ITY: The foregoing instrument was acknowledged before me this\~ day of ~x{,~ x ~ NOTARY' P-UB LIC~O R- ~LA~;KA Commission expires: Rick MFstrom, Mayor Municipality of Anchorage Department of Health and Human Services 825 "L" Street P.O. Box 196650 Anchorage, Alaska 99519-6650 http://www.ci.anchorage.ak.us June 7,2000 David & Anita Laurence 14800 Mossberry PI. Anchorage, AK 99516 Subject: Mt. McKinley View Estates !l^'g"~ ~ Permit # SW990294 PID # 020-101-15 The subject permit #SW990294issued by this office for a single family ~vell and/or on- site wastewater system, is due to expire 365 days after it's issuance on August 23, 1999. If this is a well permit and you have drilled the well, a well log must be sent to this office for documentation of the installation and to close the permit. If this is an on-site wastewater system and a licensed Professional Engineer has inspected the installation, the original as-built inspection report must be sent to this office for review, approval and documentation. All inspection reports must be submitted within 30 days of construction completion. A new permit must be obtained from this office for a well and/or on-site wastewater system NOT installed by the expiration date. However a new permit can be issued free of charge for a second year if the application for the renewal is received on or before the date of expiration of the original permit for which a fee was paid. When applying for a new permit after the original permit has expired or for more than a second year, the fees are: $320.00 for an on-site wastewater permit and $120.00 for a well permit. If you have any questions, please call this office at 343-4744. Program Manager On-site Services eric: Copy of Permit MUNICIPALITY OF ANCHORAGE Department of Health and Human Services On-Site Services Program 825 L Street, Room 502 P.O. Box 196650, Anchorage, AK 99519-6650 (9O7) 343-4744 ON-SITE WASTEWATER DISPOSAL SYSTEM ! WATER SUPPLY PERMIT Renewal Date Issued: Aug 23, 1999 Expiration Date: Aug 22, 2000 Permit Number: SW990294 Legal Description: MT MCKINLEY VIEW ESTATES BLK Design Engineer: 0003 S & S Engineering Owner Name: David & Anita Laurence, Sr Owner Address: 14800 Mossbery Place Anchorage, AK 99516-0000 Pamel ID: 020-101-15 1LT 1 Site Address: 016901 MT MCKINLEY VIEW DR Lot Size: 217800 SQ. FT. Total Bedrooms: 3 Permit Bedrooms: 3 This permit is for the construction of: [] Disposal Field [] SepticTank [] 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. 1 .) THE SAND USED IN THE FILTER LAYER MUST BE A CLEAN COARSE SAND WITH 4% OF LESS PASSING THE #100 SIEVE AND 2% OR LESS PASSING THE #200 SIEVE. A SIEVE ANALYSIS MUST BE PROVIDED ON THE SAND USED UNLESS OBTAINED FROM AN APPROVED SOURCE. 2.) THE PROPERTY OWNER MAINTENANCE AGREEMENT SHALL BECOME A PART OF THIS PERMIT PACKAGE. Date: MUNICIPALITY OF ANCHORAGE Department of Health and Human Services On-Site Services Program 825 L Street, Room 502 P.O. Box 196650, Anchorage, AK 99519-6650 (9O7) 343-4744 ON-,SITE WASTEWATER DISPOSAL SYSTEM /WATER SUPPLY PERMIT Initial Date Issued: Jul 29, 1998 Expiration Date: Jul 29, 1999 Permit Number: SW980270 Legal Description: MT MCKINLEY VIEW ESTATES BLK 1 LT 1 Design Engineer: 3 '~{ ~ Owner Name: Telemark Construction Owner Address: 14500 Rocky Road Anchorage, AK 99516- Parcel ID: 020-101-15 Site Address: 007000 MT MCKINLEY VIEW DR Lot Size: 217800 SQ. FT. Total Bedrooms: 3 Permit Bedrooms: 3 This permit is for the construction of: [] Disposal Field [] SepticTank [] Holding Tank [] Privy [] Private Well [] Water Storage Ail 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. Date: ROBERT C. COWAN, RE. ROBERTA. SHAFER, RE. SEWER&WATER INSPECTION ENGINEERING STUDIES ANO REPORTS WELL INSPECTION & ELOWTEST SITE PLANS ROAD DESIGN SOILTES? P~RCOLATION TEST STRUCTURAL& MECHANICAL INSPECTIONS ONSITE W~STEWATER DISPO~ALS'~STEM DESIGN July 17, 1998 CIVIL ENGINEERS (907) 694-2979 FAX (907) 694-1211 MUNICIPALITY OF ANCHORAGE Department of Health and Human Services P.O. Box 196650 Anchorage, AK. 99519 REFERENCE: Lot 1, Block 1, Mt. McKinley View Estates Subdivision Request you issue a permit to drill a well and install an innovative (Biocycle) system to serve the proposed three bedroom house on the referenced property. Two test holes were excavated and percolation tests performed. The approximate location of the test holes are located on the attached site plan. At the time of excavation 6/27/98 water was not encountered in test hole #1 or #2. After seven days the ground water monitoring tubes were found to be dry. An innovative system has been chosen for this site based upon the slopes, soil conditions, and general topography. To provide adequate area for both a primary and an alternate absorption field it is necessary to achieve a polished effluent entering the absorption area which will provide sufficient room to meet this objective. We do not anticipate any adverse effects on neighboring wells, septic systems, reserve areas or drainage patterns by the installation of the proposed septic system. The construction of this system will not prevent any future development on any of the adjacent properties. If you require additional information, please contact us. Sincerely, Robert C. Cowan, P.E. RCC/mg Enclosure 17034 NORTH EAGLE RIVER LOOP · SUITE 204 * EAGLE RIVER, AL~KA 99577 ,~,' 1,; . = 60' SITE PLAN DESIGN ~mm -m lO' UT1LI~ DAS~MENT ~ ~ ~ / ~C// ~/ z~' "' ~ r ~ ~ ~ ~. --~m ~ I ~ ~ ~ mmo~ o ~o~ , . m . o ~l_._~ PERFORMED FOR: Municipality of Anchorage. DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L' Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST LEGAL DESCRIPTION: I~'l ? , DEPTH ( F E. ETI,~y 4- 5 6 7 8 9 10- 11- 12- 13- 14- 15- 16- 17 18 19 2O im c ~'~,,~ b,,~, vl,~-, E ¢~'.Township, Range, Section: SLOPE WAS GROUND WATER .~j~ ENCOUNTERED? S ~ L IF YES, AT WHAT O DEPTH? p E Depth to Water After pf.y Date' ~/~/~ ~/ Monitoring? . SITE PLAN Reading Date Gross Net Depth to Net Time Time Water Drop ~/~ ?/¢~ o ~ ,~ ', - ,~,,,.~ ~ ~ ~) :.3 0 '7" ~z ,' ~ ~ ~ ~ ~ "/~" I ~/~" PERCOLATION RATE TEST RUN BETWEEN (minutes/inch) PERC HOLE DIAMETER COMMENTS ACCORDANCE WI~A~L GUIDELINES IN EFFECT ON THIS DATE. 72-008 (Rev. 4/85) PERFORMED FOR: LEGAL DESCRIPTION: 3 4 §- $- 7~ 9 ~2 ~4 15 17 'i8- lg- 20- Municipality of Anchorage. DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L".Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST ,o~,Rr c. cow.,, /~ ~7. Township, Range, Section: WAS GROUND WATER ENCOUNTERED? IF YES, At WHAT DEPTH? pO E rleplh 1o Waler Alter MonitorinD? ,1')/¢ ¥ SLOPE SITE PLAN I ~c4,J Reading Date Gross Net Depth to Net Time Time Water Drop /;/~ ~/~ o - ~'-'/./" - ~.~,,--~ (- 3 ~ 3 ~ ~ '/~ '/ t '/~" PERCOLATION RATE '~ ' '7 TEST RUN BETWEEN I '/.*~ __ (minutes/inch) PERC HOLE DIAMETER __ FT AND ~ '/ 2~ FT COMMENTS S & S ENGINEERING .,e~~~ PERFORMED BY: 17034 Eagle River Loop Roacl ~o. ~1~ - -- ACCORDANCE WITH~j~'J~,~II~III~J~J§~GUIDELJNE8 IN EFFECT ON THIS DATE. 72-008 (Rev. 4185) CERTIFY THAT THiS TEST WAS PERFORMED IN DAT.: SEWER&WATER INSPECTION ENGINEERING STUDIES AND REPORTS WELL INSPECTION & FLOWTEST ROAD DESIGN SOlLTEST PERCOLATION TEST STRUCTURAL& MECHANICAL INSPECTIONS ON-SITE WASTEWATER DISPOSAL SYSTEM ROBERTC. COWAN, P.E. ROBERTA. SHAFER, P.E. CONSTRUCTION PRACTICES and MATERIAL SPECIFICATIONS REFERENCE: Lot 1, Block 1, Mt. McKinley View Estates Subdivision July 17, 1998 GENERAL: CIVIL ENGINEERS (907) 694-2979 FAX (907) 694-1211 The scope of this' project includes the installation of an "innovative"t° o~'0 Biocyclee Wastewater Treatment System and one drainfi' d trench to serve the~[~ee [e~oom residence located on the referenced property. Construction shall be in accordance with the approved site plan and design drawings, D.E.C. certificate with any special provisions or conditions, and all applicable State Wastewater Disposal Regulations. The contractor shall be responsible for obtaining any necessary underground utility lOcates. Unless specifically agreed otherwise, the property owner shall be responsible for final grading areas subsequently depressed from soil settling. Contractors installing wastewater disposal systems must be familiar with construction practices in this area and either certified by the Municipal Health Department or have been previously certified under the D.E.C. certification program. Owners installing their own systems must also receive prior approval from the D.E.C. ABSORPTION TRENCH/DRAINFIELD INSTALLATION: Excavate the proposed trench to the dimensions shown on the design. The bottom of the excavation shall be within 2 inches of level. If the sidewalls of the excavation become smeared, they must be raked or scratched (ruffed-up) before gravel (sewer rock) placement. Once the gravel is installed, the distribution pipe is to be installed level with the perforations faced downward. Gravel is then to be placed over the distribution pipe to provide a minimum of 2 inches of cover over the pipe. ONSITE WASTEWATER DISPOSAL SYSTEM DESIGN 17034 NORTH EAGLE RIVER LOOP · SUITE 204 · EAGLE RIVER, ALASKA 99577 Page Two Lot 1, Block 1, Mt. McKinley View Estates S/D July 17, 1998 A silt barrier must be installed between the f'mal gravel layer and the native soil backfill. Ensure the silt ban/er covers the entire gravel surface before placing backfill. Monitor tubes shall be of four (4) inch diameter, installed approximately in the locations shown on the design, and extend a minimum of 12 inches above final grade. The portion of the monitoring tube extending through the gravel shall be perforated from the bottom of the trench to the invert of the distribution pipe. This is equivalent to the effective depth of the gravel as noted on the design. Backfill over the final gravel layer must not be less than twenty-four (24) inches. Insulation must be installed when the backfill depth is less than thirty-six (36) inches. The finish grade over the trench must be mounded to prevent the formation of a depression after settling. MINIMUM MATERIAL SPECIFICATIONS: 1. Any septic tank proposed for installation must be constructed by a Municipally approved septic tank manufacturer. 2. The following pipe materials are approved for use in septic system installations in the Municipality of Anchorage: Type of Pipe Perforated Solid Cast Iron Yes Yes ASTM D3034 (PVC) Yes Yes ASTM F810 (HDPE) Yes No ASTM D2662 (ABS) Yes Yes Use of a type of pipe other than listed above must be approved by the inspecting engineer. 3. Insulation shall be at least 2" thick extruded direct burial polystyrene (Dow Chemical Company Styrofoam HI or equal). 4. Septic tank inlets and outlets shall be fitted with watertight couplings (Caulder, Femco, or equal). 5. A permeable nontoxic silt barrier (Typar 3401, Mirafi 140N, or equal) must be installed between the final leachfield gravel layer and the native soil backfill. Page Three Lot 1, Block 1, Mt. McKinely View Estates S/D July 17, 1998 All leachfield gravel (sewer rock) shall be 0.5"-2.5" screened gravel with less than 3% passing the #200 sieve. 7. When sand is being used as a filter material, its gradation specifications must conform to current M.O.A. or D.E.C. requirements. INSPECTIONS: Typically there will be a minimum of three (3) inspections required during the installation of the wastewater disposal system. These inspections will occur as follows: The first inspection must be conducted after the excavation of ditches, pits, trenches, or beds and before the installation of any gravel. A septic tank may be set in place, but may not be backfilled before this inspection. The second inspection must be conducted after the placement of the silt barrier, gravel, distribution lines, standpipes, cleanouts, and insulation, but before the placement of any other backfill. 3. The final inspection is to occur upon fmal grading of the property. Often there will be more than these 3 inspections required. Especially with the installation of multiple trenches, sand filters, pressurized distribution systems, etc. Thus, the inspecting engineer is to be contacted at least 24 hours prior to the start of construction. If necessary, a pre-construction meeting will take place on-site. The inspecting engineer will not coordinate, direct or control in any way the contractors activities. The owner shall contract with the contractor to perform the work outlined in these specifications and plans and in accordance with the attached M.O.A. permit. There will be no contractual arrangement existing between the contractor and S & S Engineering. S & S Engineering shall be the owner's representative and will inspect the work as stated above to document the contractors activities. Final acceptance of the contractors work rests with the owner and the M.O.A. Page Lot 1, Block 1, Mt. McKinely View Estates S/D July 17, 1998 S & S Engineering shall have no liability to the owner or to others for acts or omissions of the contractor or any other persons performing work on this project or the failure of the contractor to carry out the work in accordance with these construction documents. S & S Engineering's inspecting engineer will not be responsible for the construction means, methods, techniques, sequence, procedures or the safety precautions incident to this project. CONTRACTOR/INSTALLER PROPERTY OWNER AGREEMENT ~ FOR TI-IE MAINTENANCE OF AN · ON-SITE WASTEWATER DISPOSAL SYSTEM Anchorage Department of Health and Human ~-ervices (DHHS) and the property owner(s) of:a ~., . This agreement is made for the purpose of maintaining an on-site wastewater disposal system on the subject property. The property owners agree to th, e 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. gnatare) (Signature) / (Printed Name) (Printed Name) Municipality of Anchorage Development Services Department Building Safety Division On-Site Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www. muni.org/onsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. 020-101-15 GENERAL INFORMATION Complete legal description Location (site address) COSA# (..0 ~_. /'///' Expiration Date: Mount McKinley View Estates, Block 1, Lot 1 16901 Mount McKinley View Drive Anchorage, AK 99516 Current Property owner(s) John and Barbara McMullen Mailing address 12800 Killey Street Anchorage, AK 99516 Lending agency Mailing address Real .Estate Agent Mailing Address Unles's othe/wise requested, COSA will be held by DSD for pickup. NUMBER OF 'BEDROOMS: Four (4) Day phone 529-9129 Day phone Day phone TYPE OF WATER SUPPLY: Individual Well [] Individual Water Storage [] Community Class ~ Well [] Public Water System [] TYPE OF WASTEWATER DISPOSAL: Individual On-site [] Individual Holding Tank [] Community On-site [] Public Sewer [] The Municipality of Anchorage Development Services Department (DSD) issues Certificates of On-Site Systems Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of On-Site Systems Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues COSAs upon request to homeowners. Certificates of On-Site Systems Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water sample results. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional 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 Anderson Engineering Phone 522-7773 Address P.O. Box 240773 Anchorage, AK 99524 Engineer's Printed Name Michael E. Anderson, P.E. DSD SIGNATURE ~ Approved for ~' bedrooms. Disapproved. Date 9/23/2011 Conditional approval for bedrooms, with the following stipulations: Attachments: COSA Checklist Septic System Advisory Well Flow Advisory Nitrate Advisory X Arsenic Advisory Maintenance Agreements Supplemental Engineer's Report Other Original Certificate Date: (Rev. 11/05) Municipality of Anchorage Development Services Department Building Safety Division On-Site Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www. muni.org/onsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. 020-101-15 GENERAL INFORMATION · Complete legal description Location (site address) Expiration Date: c~ _ ~_ "7'-//// Mount McKinley View Estates, Block 1, Lot 1 16901 Mount McKinley View Drive Anchorage, AK 99516 Current Property owner(s) John and Barbara McMullen Mailing address 12800 Killey Street Anchorage, AK 99516 Day phone 529-9129 Lending agency Day phone Mailing address Real Estate Agent Day phone Mailing Address Unless otherwise requested, COSA will be held by DSD for pickup. NUMBER OF BEDROOMS: Four (4) TYPE OF WATER SUPPLY: Individual Well [] Individual Water Storage [] Community Class Well [] Public Water System [] TYPE OF WASTEWATER DISPOSAL: Individual On-site [] Individual Holding Tank [] Community On-site [] Public Sewer [] The Municipality of Anchorage Development Services Department (DSD) issues Certificates of On-Site Systems Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of On-Site Systems Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues COSAs upon request to homeowners. Certificates of On-Site Systems Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water sample results. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 4. STATEMENT OF INSPECTION BY ENGINEER o 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 Anderson Engineering Address P.O. Box 240773 Anchorage, AK 99524 Engineer's Printed Name Michael E. Anderson, P.E. DSD SIGNATURE Approved for bedrooms. Disapproved. ~ Conditionalapproval for ~ Phone 522-7773 Date 6/24/2011 ~x.~· ........ ' bedrooms, with the followin~ stipulations: Attachments: COSA Checklist Septic System Advisory Well Flow Advisory Nitrate Advisory (Rev. 11/05) X Arsenic Advisory Maintenance Agreements Supplemental Engineer's RePort Other Original Certificate Date: Municipality of Anchorage Development Services Department Building Safety Division On-Site Water & Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Mount McKinley View Estates Subdivision, Block 1, Lot I IfA, B, or C provide PWSID # ... Sanitary seal (Y/N) Y Cased to 15 FROM VVELL LOG 7/4412010 g.p.m. Nitrate N/D mg/L Date of sample: 6/10/2011 Legal Description: A. WELL DATA Well type Pdvate Date completed 7/14/10 Total depth 396 f. Date of test Static water level 197 Well production 6 WATER SAMPLE RESULTS: Coliform 0 colonies/100 mL Arsenic: N/D mg/I B. SEPTIC/HOLDING TANK DATA Tank Type/Material Advantex/Fiberglass Parcel ID: 020-101-15 Tank size 1,500' gal. Foundation cleanout (Y/N) Y Date of pumping New Construction C. ABSORPTION FIELD DATA Number of Compartments Two Depression over tank (Y/N) Pumper Well Log (Y/N) Wires properly protected (Y/N) Casing height (above ground) AT INSPECTION g.p.m. >24 Y in. Date installed 9/21/2010 Soil rating (g.p.d./~ or ~/bdrm)3 GPD/SF Length 4o f. Width 5 f. Total depth 6.2 ft. Eft. absorption area 2oo' ~ Monitoring tube Date of adequacy test New Const. Results (Pass/Fail) Fluid depth in absorption field before test in. Water added Elapsed Time: ~ min. Final fluid depth Any rejuvenation treatment (past 12 mo.) (Y/N & type) System type Paised Bed Gravel below pipe .7 ft. Y Depression over field N For bedrooms ~ gal. New depth in. in. Absorption rate >= g~p.d. If yes, give date Date installed 9/20/2010 Cleanouts (Y/N) Y N High water alarm (Y/N) Y Other bacteria 0 colonies/100 mL Collected by: A. Harala 'UFT STATION Date installed 9/20/2010 Size in gallons 5oo "Pump on' level at 40 .. in. "Pump off" level at 40 in. Datum Bottom of Tank Cycles tested New Const. E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot >100' Absorption field on lot >100' Public sewer main NIA Sewer/septic service line >25' Animal containment areas >50' Property line >10' Water Service line >10' Curtain drain None Noted F. COMMENTS: Manhole/Access (Y/N) ' Y High water alarm level at 45 in. Meets alarm & circuit requirements?Y On adjacent lots >100' On adjacent lots >100' Public sewer manhole/cleanout Holding tank N/A Manure/animal excrete 'storage areas N/A >100' SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOTTO: Building foundation >5' Property line >5' Water main ~N/A Water service line >10' Wells on adjacent lots >1o0' SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Building foundation >1o' Surface water >1oo' Wells on adjacent lots >lOO' Absorption field >5' Surface water >100' Water main >10' Driveway, parking/vehiCle storage >25' G. ENGINEER'S CERTIFICATION ,certifythatlhavedeterminedthroughfieldinspectionsand review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. Engineer's Printed Name Michael E. Anderson, P.E. COSA. Fee $. Date of Payment Receipt Number (Rev. 11/05) Waiver Fee $ Date of Payment Receipt Number ~ HENSON DRIVE EAST- ~ S 89°58'10"E 249.64' 10' Utility Eosement ~) ~ I L=101.92' I1 [ R=331.14' I I I~ 1~ I I~ I ~ I I I z House Detail: 1" = 40' ~ I I LOT ~:1~:?. / ~. ~ ~2:'. ~ ~..~...'. ~. 3 , ~36'~11 r&~:. No LS-53~S -~ NOT~: l) Bearings and dist~ces ~e as per Plat No. 74-80. 5EkrTEG ~u~eying * Engineerin~ S~ C[RT[~[C~T~ON: S[~C b~ ~o~u~ted $ Found prop~y oor. 2525 ~ambell Street, Suite 200, Anohorage, Alaska BB~0~ Tele: (907) 563-3835 Fax: (907) 563-3817 draw~g. AS-BUILT OF: LEG~ DESC~PTION Lot 1, Block 1, Mt. Mckinley View rXC~US~ON NOTES: It is ~e omers responsibili~ Subdivision, ~chorage, Alaska to dete~e ~e existence of~y e~ements, coven~ts, or resections which do not appe~ on ~e recorded ~RK ORDER NUMBER: DATE; SCALE: E~IL; ~ 20~ 201 ] ] "=]Off sc~tec~¢c~tc~.com subd~visb~ p]m. ~OT[: U~dc~ ~o ckc~st~ces ~,~: should ~y data hc~co~ bc used fo~ thc co~s~cfio~ OT GRID NUMBER; 10-5431 ..............J~ ~E SW3339 624/9 for ~e establish~g ofprope~ lines.