Press Alt + R to read the document text or Alt + P to download or print.

No preview available

The URL can be used to link to this page

Home My WebLink AboutGOLDEN VIEW HEIGHTS LT 5A1Gold nview Heights Lot SA-! #020-042-5! Municipality of Anchorage Pago 1 of DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P,O, Box 196650 Anchorage, Alaska 99519-6650 Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report Petmit Numbe~. SW000384 PID Number:. 020--042--51 Name: dim LEVRA w/ ALASKA USA WastewaterSystem: I-I New · Upgrade 15801 AMBERWOOD CIRCLE ANCHORAGE, AK 99516 ABSORPTION FIELD INa. of Bedmomg: Ph°ne:(907) 786--2709 3 ri Deep Trench · Shallow Trench J3 Bed ri Mound [] Other LEGAL DESCRIPTION ~' ~ *,3,0 ~o/s~ ~ 5.64-7.96 5A-1 - GOLDENV1EW HEIGHTS 1.62-3.94 ~ 4,02 -I - - 1.7 - 3.4 r~ 30 WELL: n New [] Upgrade 5 ~ 1 ~,,~.~..~ ~ ~. ,300 s~. r~ ASTM D-3034/SCH 40 PVC r~ DENALI SEWER & DRAIN 11/2/2000 ~,, ~ TANK SEPARATION DISTANCES [] SepU¢ Well -- 100'+ -- -- 25'+ - 1aa'+ - - - LIFT STATION Surface Water Uno -- 10'+ - - -I Foundation - 10'+ -- - - '~"~"--~ ~~ I~--~ Curtain ~ J~-~"-'; ~ ~*~""~ ~' Om;n NONE KNOWN I Remorke: BENCH MARK *THIS IS A J~IOCYCL£ UNIT WHICH WAS INSTALLED IN GARAGE FLOOR. MARCH OF 1999. 'EXCELLENT" SOILS WERE ENCOUNTERED. 106.28 Inspections performed by: AWWC, INC. Dates: 1st 1 ¥2/2oo0 ~ ........................ 2nd 1¥2/2000 Department of Health and Human Services approval ~[...~ {~ :-7953 .... R~viewedandappmvedby: ~/-~,~- //1 /'?.~f' Date: I3_-&"-O0 -~,~,~o,oee~o~,_o~:..== ,...,...8~.: AS-BUILT DRAWING swooo~, o2o-o42-s~ ', ~ NOTE: ~L PONDEDED SURFACE WATER WITHIN 70 ~LL'f OF THE ~ BIO~C~ UN~ AND WffHIN 100 ~ OF ~E N~ D~NRE~ W~ CO.RED W~H 12'+/- OF RNER ROCK AND AN ~DmON~ 6"+/- OF PiT RUN G~VEL. ~ o o '1" ~-~ ~; ' - ~ x ~ /I~ ~ ,' ... . ~, -..,.. ':: t~ ¢ .'., '~ ~....',- .~. ,'. ,-..IL :...,,...., .......... ,....:.:., ~'~'"~ ~'~ ~.C".."~" ".":t.' A B '" ' ' -- ~ luT2 77.9 92.5 . ' I .~,:..... ~ IMT2 77.9 9 . I NOTE: THE EXIS~N~ D~NRELD w~ COUPL~ELY ABANDONED. I GOLDEN WOOD ~NE _ / -- --. / / ~ ~/~/2000 o - ~F~ .......... J,L.M .... - ......... ~SI~ ~WI'ER & ~AS'I'E~ATER ~: ~;~l , , ,~m ~o~: ~o~[ ~u~*[~: ~[ ~u~: ~'~'~ ........... JIM LEVRA w/ A~SKA USA (907) 786-2709 2 OF ~ ~_ ~e~r~ A. Oarness. GOLDENVIEW HEIGHTS S/D; LOT 5A-1 ~[e." ........... "~e~ AS-BUILT OF SEPTIC SYSTEM UPGRADE 020-042-51 .-~' "'~-": AS-BUILT DRAWING SW000384 MfCO /- FII~ ~ ~ ~c ~ o.~ ~ . K.D.W. ~SI~ ~Aq'ER & ~%STE~V~I'ER JIM LEVRA w/ A~SKA USA (:907) 786-2709 3 OF 5 GOLDENVIEW HEIGHTS S/D; LOT 5A-1 AS-BUILT PROFILE OF SEPTIC SYSTEM UPGRADE '~A%~ · Mmficipality of Ancho.ragc Department of Health and Human Serwces 825 #L" Street Rick Mystrom. P.O. BOX 196650 Anchorage, Alaska 99519-6650 Mayor htlp:l/www.cL anchorage.ak,us October 4, 2000 Jeffrey Garness Alaska Water & Wastewater Consultants, Inc. 6901 Debarr Road, Suite 2-B Anchorage, AK 99504 Subject: Waiver Request for Goldenview Heights, Lot 5A-I Waiver Request #WR000064 Parcel ID #020-042-51 SW000384 Dear Mr. Garness: Your request for a waiver of the required 100 feet horizontal separation from the on-site wastewater disposal system to surface water has been approved. The approved separation distance is 70.0 feet. This waiver approval applies to the existing on-sitewastewaterdisposal system to surface water separation only. Any future upgrade to the on-site wastewater disposal system will require all separation distances be met or another approval from this department. If there are any further concerns or questions regarding this waiver, please call our office at 343-4744. Sincerely, Daniel J. Roth Civil Engineer On-SiteWaterQualityProgram MUNICIPALITY OF ANCHORAGE ' Department of Health & Human Services On-Site Services Waiver Review Worksheet WR#: WR000064 PID~: 0204)42-5t Date Received: August 30r 2000 Legal DescHp§on: Goldenview Heightsr Lot 5A-1 Permil~: Engineer:. Alaska Water & Wastewatar Conaultanta~ Inc. 6901 Debarr Roadr Suite 2-B, Anchorage, AK 99504 Applicant: , Waiver Requested: 70 foot separation distance waiver between the Biocycle system and surface water that la to the esst/nmthesst of the ho,-,--e. Ge~egy A. Water Table B. Se~l Seq)tion C. Permeability D. Water Table Gradient E. Horizontal Separation Criteria: 1. Points: Total: 2. Special Conditions: 3. Olher. Waiver is Granted: X Waiver is not Granted: List Conditions or Reasons for above: ~'/~/~Fa(~' I4,~.?E,~ /5' I/E/f~' Rec~: 06312 Amount: $625.00 By Name of Reviewer Date Paid: 8/30/00 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 (907) 343-4744 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade OD Date Issued: Sep 18, 2000 Expiration Date: Sep 18, 2001 Permit Number: SW000384 Parcel ID: 020-042-51 Legal Description: GOLDEN VIEW HEIGHTS LT 5A1 Design Engineer: 0041 AK Water & Wastewater Consultant Site Address: 015801 AMBERWOOD CIR Owner Name: JIM LEVRA w/ ALASKA USA CREDIT Lot Size: 27425 SQ. FT. Owner Address: 15801 Amberwood Circle Total Bedrooms: 3 Permit Bedrooms: 3 Anchorage , AK 99516-5014 This permit is for the construction of: ❑� Disposal Field ❑ Septic Tank ❑ Holding Tank ❑ Privy Private Well 0 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. Received By: Issued By: Date: �C��t✓ �1 Date: f ._ILiq �(/� ALASKA WATER & WASTEWATER CONSULTANTS, INC. August 29, 2000 Municipality of Anchorage Department of Health & Human Services Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 Reft DESIGN REVISION: SW990007 for Goldenview lleights Subdivision; Lot 5A-I To whom it may concern: The existing 3 bedroom house is currently served by a private well and septic system. The septic was upgraded in Mamh of 1999 by S&S Engineering & Tweed Excavating. This upgrade utilized the existing drainfield and a new Biocycle unit. This system has yet to receive M.O.A. approval because the drainfield and Biocycle unit encroach upon surface water. One test hole was excavated on the property. The proposed septic system will be designed within the 30 foot radius of the test hole. We are proposing that a new 5 foot wide trench type drainfield be installed and the existing drainfield be abandoned. Comments regarding the proposed design are summarized as follows: 1. SOILS: Attached is the test hole log which shows the soil classifications, groundwater monitoring, and the percolation test results. In TH#l, the soil below the organic layer is a ML material to a depth of 4 feet, and then transitions to a GM material to a depth of 7.5 feet, and then transitions to a GM/SM to a depth of 16.5 feet {bottom of test hole). No groundwater was encountered during the excavation ofthe test hole. Seven days later, groundwater was found at 16 feet. A percolation test was performed bitween the depths of 8.5 feet to 9.0 feet which had a rate of<l minute/inch. It is our opinion that due to the overall appearance of the soils and the utilization of an innovative septic system (Biocycle), an application rate of 3 gallonsJday/fl2 should be used. 2. TRENCII DESIGN: a. Percolation Rate: <1 minutes/inch b. Allowable Application Rate: 3 gallons/day/ft2 c. NumberofBedrooms: 3 d. Design Flow: 450 gallons per day e. Minimum Absorption Area: 150 ft2 f. Total Depth: 8 feet (max.) g. Effective Depth: 4 feet minimum 6901 Dcbarr Road, Suite 2B * Anchorage, AK 99504 Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: akwxvc.com h. Width: 5 feet i. Reduction Factor: 0.5 j. Minimum Length: 30 feet k. Effective absorption area = 300 ft2 3. SURFACE WATER WAIVER: The area to the east of the existing trench has ponded water throughout. We are proposing to fill all areas within 100 feet of the new trench with approximately 12" of river rock and 6"-12" of pit run gravel. We are requesting that your department issue a waiver to 70 feet for the required separation distance between the Biocycle and the surface water that is to the east/northeast of the house. The Bioeycle is doxvnhill from the surface water; consequently, if an overflow were to occur, it is physically impossible for effluent to reach the surface waters. In addition, the tank is equipped with a high water alarm that will notify the property owner of any high liquid level condition prior to an overflow occurring. The $625.00 waiver fee was submitted with this application. 4. TOPOGRAPIIY: As can be seen on the attached topography site plan, the average topography ofthis property is a 6 to 8 percent running from approximately east to west; in short, there are no slope concerns. The trench is to be installed parallel to slope contours. I am unaware of any adverse impacts this installation would have on adjacent wells or septic systems. If you have any questions, please contact me at 337-6179. Thank you for your assistance. Sincere~ NOTE: Attached is a site plan drawing, a design drawing, a topography site plan, A soil log, and a 7page construction specification letter which are allpart of the design package for this septic system. 6901 Debarr Road, Suite 2B * Anchorage, AK 99504 Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: akwwc.com / ~ v_N ~ ~0 I I o ............ - ~G~ I ...... I I ~ '%_ X X X ,,~ .' -. :::: :::::::::::5 h //;X;:;:;;;; ' ,' ~ ', ~,,/~--_ .... - ,~, LOT 1. ~NBRDGE S/D ,~ ~~ ~ ~ Ga~ m m i GO~EN WOOD ~E I ) ~ . ~ /~ .......... .... ~.,, ..,~_ -.....,~ _. . ..... .~ ,.o~, ~__. I 8/29/2000 ~-~ OF JIM LEVRA WITH A~SKA USA (907) 786-2709 1 OF 2 ~ ~ '~J~ ffl~' A. ~rnes~; ~ ~c,,~o,: ~',&l"4 ~ :-7955 ..' GOLDEN VIEW HEIGHTS SUBBIVISION; LOT 5A-I ~ ..U .- SITE P~N FOR DESIGN OF SEPTIC SYSTEM UPGRADE ~ ....... I /~PROPOSED PRESSURIZED DRAINFIELD. 10 l~lLl~' EASEMENT ~-' -/ EXCAVAT~ A "IR~NCH ~HAT IS S FEET ....... / / DEeP UAX~UUU. BY 5 FEET WIDE BY ~O / / F'~ET LONG. ADD 4 FEET OF' CLEAN / / WASHED SEWER DRNNROCK. /] /OlSI~IEUTION UN£ IS TO BE 1-1/4 / I / INCH SCH 40 PVC ~ 1/4 INCH / I / DIAMET~.R HOLES SPACED 2.0 FEET ON / I / CEN'T~. INST.~. 'mD, iCH p.~,u ~ n TO / I ~ SLOP£ CONTOURS. / I,,-, / ~ / / ~ \ Il I~ ~ / / \ ) )" II I / ~ / ~ / ·§ I~ ~ / u"'\ I ~ /r -'------ [ // [ ' ~~~ I ,._.___ LOCATIONS SHOWN ARE GENERAL ALL SURrAD£ . L~ ~'..''~ *~ ':' :~'. mE BrOCYCLE UNn* SH~aJ. BE CO.RED ~ 12' Or ~ ~:":' · ... ...... · ..... ~-. · R~R ROCKATAICNUUUOF6 PIT RUN GRAV~. t NOTE: THE CONTRACTOR MUST HAVE THE 100 FOOT W£LL RADIUS FROM LOT 1. % BNNBRIDGE S/D AND THE WEST PROPERTf UNE FROM THE SUBJECT PROPERTY _ FLAGGED BY A RECISTER£D LAND ~ GOLDEN WOOD LANE SURVEYOR PRIOR TO ANY CONSTRUCTION, ---7 CONSUt.IANT$, INC.~ ~' = ,o' "'" .... I t~"/'7~'i ........ JIM LEVRA WITH ALASKA USA (907) 786-2709 2 or 2 1.~ -., :]trey A. Gomess..- GOLDEN VIEW HEIGHTS SUBDIVISION; LOT SA-1 ~[~e,,. ''''~ "'.. ........ .'"'~,0~=~'~ DESIGN OF SEPTIC SYSTEM UPGRADE ALASKA WATER690, Dc~.& WASTEWATER CONSULTANTS, INC. PHONE (907) ~37-6179 * F~ (907) 3~-3246 I SO,LLOG - PERCO~TION TESTJ DATE PERFORMED: 8/14/2000 ~~ J TEST HOLE ~ 1 I OR~iCS '~ I IF ATI J ML ~ GP ~ HL ~ ~ il r = oo. SP CH 0 SM OH "~ DEPTHTO ~ ~ ~- ~ROUNDWATER DATE ~~~.. DRY 8/14/00 ~s' ~/2~/oo __~ ~ ~.~WOOD ,o 11 DATE RE. lNG CLOCK NET TIHE WATER LEVEL NET DROP c~ & SP so~. TINE (HINGES) RE. lNG (INCHES) 12 ~RED ~D 8/15/00 13 k99~9 ' 14 15 ~m ~ ~ ~ 50~~ 17 18 19 20 DEPTH TO ~ROUNDWATER DATE DRY 8/14/00 16' 8/21/00 PERCOLATION RATE <1 .(HJN./INCH)~, PERC. HOLE DIA. 6" (INCHES) TEST RUN BETWEEN 8.5 F.T.A~/9.0 FT. -- COMMENTS: /~ ~I/y ' PERFORMED BY ALASKA WATER &: WASTEWATER ,. ' ,J!~/'/'~--~j- , CERTIFY THAT THIS WAS PER~'ORM~D IN ACCORDANCE WITH ALL STA'TE~ ,1~~' JNIC AJP.,~ LIIDEUNES IN EFFECT ON THIS Municipality of Anchorage Page of a DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 • Anchorage, Alaska 99519-6650 • Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report Permit Number: -,SV1 9 �D00 % PID Number: 0�0- Name: Wastewater System: ❑ New ❑ Upgrade Address: j JAG/ AM ��r� ABSORPTION FIELD Phone: No. of Bedrooms: .g Deep Trench ❑Shallow Trench ❑Bed ❑Mound ❑Other LEGAL DESCRIPTION Soil Rating: Total Depth from original grad GPD/Sq. Ft. Lot: _ /} Block: //pp Subdivision: 5 A Depth to pipe bottom from original grade: Gravel depth aih pipe 190�Nfa Vct� f�C i '��S Ft. r I ) Ft. Township: Range: Section: Fill added above original grade: S ravel length: Ft. Ft. WELL: ❑ New ❑ Up Gravel width: Number of lines:Distance between lines: Ft. Ft. Classification (Private, A,B,C): al Depth: Cased To: Total aoption area: Pipe material: j Ft. Ft. SO. Ft. Driller: -} t Date Drilled: Static Water Level: Installer: Date installed: % Ft. ) W ;L (_ 0 1y X . Yield: Pump Set at: Casing Height Above Ground: l; C" YC L TANK GPM Ft. Ft. ) SEPARATION DISTANCES ❑ Septic ❑ Holding ® S.T.E.P. '- To iyJpc:. Lz Absorption Lin Holding Public/Private Manufacturer: J C Capacity in gallons: From Tank Field Station Tank Sewer Lines % 573 Well cC /Qd / `m /LLlf7 o%J i Materiay- F� I A G• U,1-5 S Number of Compartments: 'J -f Watee I cc ,4- /001 /oo P LIFT STATION Lot Line )0 f �� Size in gallons: -1 Manufacturer: nn l il> CyC l 153 /S Foundation i ��; � C•i -, i "Pum on" level at: p "Pum off" level at: p „ High water alarm at: g `iz 3' 8 iv S Y Curtain Drain _ NCr't l/.. Cw;.. Pump Make & ModelElectrical Mlry�,L1 /tic 3, Inspections performed by: M.C?.ii. Remarks: Fels ,-J,aC. s% �j ; t c T/4,-/ %, BENCH MARK Location and Description: Assumed Elevation: ENGI�N_EERSP-SEAL, Jae, •.�'• ••', m+0— Ergi•' 17034 Eagle River Loop Road N Inspections performed by: 48.012 River, Alaske 00577! r Dates: 1s % 2nd ,., -3'e1. ROBERT C. COWAN Department of Health and Human Services approval %P •` E-8801 Q�a�F"�,., Reviewed and approved by: � �T�,, - � r� ate: �• �-'-� � `�;,-;;y�;�:�y 72-013 (Rev. 9/91) MOA 25 PERMIT NO SW990007 PAGE 2 OF 2 Municil:?ati-I: o¢ AnchoraGe DEPARTMENT OF HEALTHAND HUMAN SERVOCES ENVIRONMENTAL SERVICE8 DIVISION P.O, ]3ox 196650 ?=~Anchor'o. ge, A[o, sko, 99519-6650eTeLeDhone: 343-4744 ON=SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT LEGAL LOT 5A1, GOLDEN VIEW HEIGHTS P,LD. NO. 020-042-51 '/ GV~MT NEW BIOCYCLE BlOb DRIVEWAY WELL ~/'k, 10' UTILITY EASEMENT 100' EXISTING DRAINFIELD -~ /, // (WAIVER TO GROUNDWATER '"' ' ':-/I'" ~ ' ':- APPROVED BY ADEC- EXISTING SL , WATER ABSCRPTION; SUPPLEMENTAL ABSORPTION SYSTEM---- EXISTING RADIO WELL CULVERT L GOLDEN LANE A B C D FCO - 14.5' 19.0' _ BIO(] 44.0' 55,0' - - BlOb 45.0' 38.0' - - MT 78.0' 48.0' 77.5' _ CO1 77.5' 47.0' 76.5' _ CO2 - 31.0' 51.5' '- GWMT 67.0' 33.5' 63.0' - C03 - - 85.0' 105.5' SCALE 1" = 40' NOT CONCEAL W(IEN COP, f{EI;'llOIl~ ^FIE NIAI]r~ t':LEA:JE ~AI.L. FOR I Ur,.) HO l' I'{F.,MOVE[ TJ'II9 ttO I ICE ]Il"] ~]lll~,I I I~I~ l~l~l'Ul'~ I MUtJIUIPALII Y gF aNCHgilAg~, ~UlLglN.g ~El'~ LtlVI~I~I,I On-Site Services Program P.O. Box 196650, Anchorage, AK 99519.6650 (907) 343-4744 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade Date Issued: Feb 02, 1999 Expiration Date: Feb 02, 2000 Permit Number: SW990007 Legal Description: GOLDEN VIEW HEIGHTS LT 5A1 Design Engineer:. 0003 S & S Engineering Owner Name: Wendy Osen OwnerAddmss: 15801 Amberwood Circle Anchorage, AK 99516-5014 Parcel ID: 020-042-51 Site Address: 015801 AMBERWOOD ClR Lot Size: 27425 SQ. FT. Total Bedrooms: 3 Permit Bedrooms: 3 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 installation in conjunction with the conditional Health Authority Certificate #HA990017. * 1. The groundwater monitoring tube shall remain in place until the As-Built is approved. 2. The effectiveness of the surface water absorption system shall be evaluated in April/May 1999. Received By: Issued By: Date: Date: ROBERT C. COWAN, RE. ROBERT A. SHAFER, RE. JamiaL3' 13, 1999 HEALTH AUTHORITY APPROVALS SEWER&WATER MAIN EXTENSION~ SEWER&WATER INSPECTION ENGINEERING STUDIES AND REPORTS WELL INSPECTION & FLOW TESI ROAD DESIGN SOIL TEST PERCOLATION TEST STRUCTURAL & MECHANICAL INSPECTIONS ONSIIE WASTEWATER DISPOSAL SYSTEM DESIGN MUNICIPALITY OF ANCHORAGE DepartlnCnt of Health add Human Services PO Box 196650 Anchorage. AK 99519 Reference: Lot 5Al, Golden View Heights Subdivision CIVIL ENGINEERS (907) 694-2979 FAX (907) 694-1211 Request you issue a Conditional Health Authority AppToval and septic upgrade permit for the above referenced property. A BiocycleTM unit is proposed to replace the existing septic tank se~'ing this 3 bedroom single family residence.. The upgrade design ( 3 pages is allachcd for your review. A moniloring tube was installed immedialely a~iaccnl ID thc Icachfield and monitored dwougb October 1998. Ground waler was found to Dncroach within 2 1/2 feet of the bottom of ll~c leachficld. A waiver is being requested from thc Alaska Departmcnl of Environmenlal Conservation for thc encroachment of the existing leachficld to groundwater. Tile encroachment of thc existing drainfield Io the two wells oil the adjacent lot is being resolved b5 your office. Mr. Cross has confirmed that the owner of Lot 4B xvill abandon the two xxclls. This will bring into compliance the horizontal separation distance of the existing drainfield to all surrounding private wells of at least 100 feet. Addilionally. a surface watcr problcm has been corrcclcd by installing a surface water absorplion syslem near thc west propcTty liDe. Thc surfi~cc walcr l)rcviously ran neat the exisling Icachfield but DOW is being redirected underground. A supplemcnlal surface water syslcm is proposed for installation this spring as a precautionary measure because thc existing syslem appcaTs to be ;it near it's maximum capacity. The existing Icachfield passed an adequacy (cst performed by Alaska Water and Wasle~alcT, Inc. There is no eminent heallh hazard posed by the Conditional Health Authority. Please approve The Conditional Hcalll~ Authority and scptic upgrade permit. lfyou require addilional informalion, please conlact us. Sincerely, Robert C. Cowan. P.E. RCC/skh 17034 NORTH EAGLE RIVER LOOP · SUITE 204 · EAGLE RIVER, ALASKA 99577 LEGAL: VIEW D^TE: 1--8--99 HEIGHTS S/D CRIB iS.E~: 1 OF 3 p~RB~i ~RACTOR IS TO R EQ U]~RFD PHON£# (907)694-297g FAX# (907)694-1211 LOT 5Al, GOLDEN S.R,J. R.C.C. TANK WORK. WELL WITH L,ESS THAN' 3.5' OF 'x~OVER ~EQUI~E INSULATION. CD PROPOSED BIOCYCLE DRIVEWAY EXISTING -- STRUCTURES, EASEMENTS, OR ENCROACHMENTS SHOWN ON THiS SITE PLAN ARE AS SHOWN ON AN AS-BUILT SURVEY DRAWN BY: LANTECH IT IS THE RESPONSIBILTY OF THE CONTRACTOR TO VERIFY EASEMENTS, REQUIRED SEPARATION DISTANCES, AND PROPERTY LINES PRIOR TO CONSTRUCTION. TO BE ABANDONED (BY NEIGHBOR) EASEMENT EXISTING DRAINFIELD WAIVER TO GROUNDWATER REQUESTED) EXISTING 1000 GALLON SEPTIC TANK (TO BE PUMPED, CRUSHED, ABANDONED) EXISTING WELL CULVERT ]00' WELL RADIUS - EXISTING SURFACE WATER ABSORPTIO: SYSTEM ~ WATE.~.// GOLDE D LANE CONTOUR INTERVAL = 4' THE ENGINEER MAY VARY THE EXACT DIMENSIONS AND DESIGN PAR. AME~ERS IN THE FIELD. IF NECESSARY,TO MEEf SITE CONDITIONS LE~^L: LOT 5Al GOLDEN VIEW HEIGHTS S/D S.R.J. R.C.C. 1-8-99 2 OF (907)694-2979I (~0~)~-,~' SUPPLEMENTAL SURFACE WATER ABSORPTION SYSTEM 3' 5' x 2 4" NSU~TED SOL D P PE~'~:~ P~T FROM EXISTING [ ~o~o SURFACE WATER D O A~SORPTION SYSTEMS :., ' 2 : )~o o oI ~ ...... D o ~ o Gl° ROCK o O O O O , D~STR~BUT~ON PIPE~ ~~o°o°o°o O O O O , O O O O O O O O ' GRAVEL O O O O O O O DOoOoOoOO erin~ PHONE# (907)694-2979 FAX# (907)594-1211 LOT 5Al, GOLDEN VIEW HEIGHTS S.R.J. R.C.C. 1-8-99 BiOCYCLE WASTE WATER TREATMENT SYSTEM BIOCYCLE UNIT TO BE ASSEMBLED PER }&~NUFACTURE'S INSTRUCTION. SEE MAN. DETAIL FOR PROPER INSTALLATION OF R2SER. PUMP. AIR PUMP. AND ALL PLUMBING CONNECTIONS. OF 3 .9 , ~- 5.28 ' ~ ~--SECTION THROUGH Ooo~m~ Oooomm) COVER 7.6' RISER THROUGH TANK 6.97' X-SECTION 3.94" ON-SITE WASTEWATER DISPOSAL SYSTEM CONSTRUCTION PRACTICES and MATERIAL SPECIFICATIONS REFERENCE: Lot 5Al, Golden View Heights Subdivision January 13, 1999 GENERAL: The scope of this project includes the installation of an "innovative" Biocycle Wastewater Treatment System to serve the three bedroom residence located on the referenced property. Construction shall be in accordance with the approved site plan and design drawings, Municipal Health Department or 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 fi'om 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 phor approval from the Municipal Health Department or D.E.C. BIOCYCLE WASTEWATER TREATMENT SYSTEM INSTALLATION: The Biocycle Wastewater Treatment System must be installed in accordance with the manufacturers instructions. Manufacturers representative must be present during installation. Excavatle~/~ust be of sufficient depth and width to allow for safe and easy placement of the tank. Generally, a hole of 10 ft by 10 fl and a depth determined by the invert level of the drain from the premises to be served by the l~iocycle unit. The bottom of the excavation should be dry and level, with no sharp rocks or large stones protruding. In case of soft or unstable soils it may be necessary to put in place a leveled layer of compacted sand (8 inches) or a concrete pad (about 6 inches thick). Page 2 Lot 5Al, Golden View Heights S/D January 13, 1999 Tank must be truly vertical when placed into the bottom of the excavation. If it is not, it must be raised and the bottom of the excavation relieved until it is absolutely level. The tank inlet port must be in line with the drain from the premises/septic tank being served. The excavation should be backfilled to the inlet invert level with materials such as sand or gravel. Materials from the excavation maybe used provided rocks and large stones are excluded. Builders rubble should not be used. The backfill should be carefully consolidated around the tank. At all stages of installation, care should be taken to avoid accidental entry of foreign matter, (clay, stones, rabble, scrap) into the tank interior. Final grading over the tank shall be such that a positive slope exists away from the lSiocycle. The lifting holes must be sealed with the plugs provided and surfaces sealed with epoxy resin. MINIMUM MATERIAL SPECIFICATIONS: Any kliocycle proposed for installation must be constructed by a Municipally approved manufacturer. 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 NOTE: Use of a type of pipe 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 HI or equal). Biocycle tank inlets and outlets shall be fitted with watertight couplings (Caulder, Fernco, or equal). Page 3 Lot 5Al, Golden View Heights S/D January 13, 1999 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 the pit before the installation of any sand. The second inspection must be conducted after the placement of the biocycle tm~k, but before the placement of any other backfill. 3. The final inspection is to occur upon final grading of the property. 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. penuit. 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. 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 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVtRONIVIENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 LStreet-Anchora§e, Alaska 99501 Telephone 2§4-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OB WELl_ INSPECTION REPORT -~AILING ADDRESS .... ' ~("~- ' LEGAL DESCRIPTION ' DISTANCE TO: l Well Inside length Liq. capacity/in gallons We[~ i~) ~.~O IF HOMEMADE: DISTANCE TO: JWidth Dwelling IPRONE NO. OFBEDROOMS PERMIT NO, UPGRADE No. of compartments Liquid depth PERMIT NO. Manufacturer Material Liquid capacity in gallons We) ] NoD,eSt lot Jine/~.~ i.~l.' DISTANCE TO: ~ /~/)0 I Foundation//¢ I ~Total length o lin~s No. oflines ] .~, Trench wi~,~_ ., inches Top of tile to finish grade '- teriat ben~a~{[~ ~1 Oep{h [riches PERMIT NO, I~. l C ,¢5.~...~ --- Total effective absorption area Length Width PERMIT NO. Type of crib Crib diameter Crib depth Total effective absorption area Well Building foundation Nearest lot line DISTANCE TO: Classj~/)//f2/"~~*]~' I'~- , Depth Driller Distance to lot line PERMIT NO. DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s) OTHER PIPE MATERIALS SOIL TEST RATING REMARKS APPROVED /f DATE LEGAL Well Log For, [~{ (' ~' ~ lq/~. ~ ~- ~r ~ ~ ~,~' Date completed.. 6 - G ~' T×/ MUN~aPAU'r~ oF ANCF,OR^G~ ........................... u...:. .......................................... ~x.,~... oF.,,~-,.~m.~ ....... ENVIRONMENTM plo [ECT ON Depth of well.. I'%1 ~ .... ~f~0i ..... ..................................................d~ 'lU y ' ' 'r~'~) 1 ~':~ ..........."'~.'.: .............................................................. ~.,,~,~..,,.~.~:.n ..... Size Of casing Distance to water ........... r ....................................................................................... Distance to water while pumping ........................................................ at rate of ........... ..................................... gallons per hour. Formation from to q l_r2 Driller DELTA DRILLING COMPANY SRA BOX 394 B ANCHORAGE, ALASKA 99507 F:IF'F'L I E:FINT L 0 C FI T I 0 N LE:GRL DEF'FI[?.'rHEN]" HEFIL'TH RN[:, ENVIRONHENTFK.. .:OTECT 8'25 "'1..'" 5TREE-f'., ~NCHORFIGE., FII<. ;26,4.'--472C~ . '-" ':1'-'=~ '> ':' ,:d. ¢ ,~.. a. ::, CHRIS'TOPHER J. F:'EJES BOX ROBIN HOOD DR 1_SRJ_ GOLDEN 'v'IEH HTS LOT :5IZE T'T'PE OF E;OII_ FIE::~ORF'TII}N E;"r'STEM I%: 'I'REI"JCH MI:%:;II',ILIM I'.,IUHBER OF E:E[:,ROOMS = 75': 50IL RFITING ,::E;t'..:! F:'T,."BF.::: .... 85 'l'Hti.-: F:EC..!UIRED SIZE OF THE ':;OIL. FIBL:;ORF']"IOi",I 5'T'STEi'q IS: TFIE I...E. NGTH [:,IMEI'.4SION IL--., THE: LENGTFI ,::IN FEET) OF THE TRENCH OR [:,RFtlNFIEL[:,. "FHE DEPTH OF Fl TRENCH OF.: PIT IS.i THE [:,IE;TFiI'.,ICE BE:TklEEN TFIE 5;L.IF.'.FFIC.:E OF: THE GROLII'.,I[:, FII'.,I[:, THE E,'OTTOH 01:-- THE EXC:FI'v'FITIOI'.,I ,:: IN FEET). THERE .T.S I'.,10 SET I.qI[:,TH FOR TRENC:HE:.::;. THE GRFIVEL DEPTH IE; THE HIN:[HLIM DEF'TH OF GRFI'v'EL BETI.,.IEEI'.,I THE OIJ'I"FF:tL.L. F'IF'E: FII'.,IL':, "FHE BO'T'TL:d',t OF THE.: E',:.::CFI',,,'RTI ON ,'.: I N FEF£'F >. F'ERH I T RF'F'I._ I C:FINT FIR"q; THE F..:E'_:iF:'Ot'.,Ic_.; I B I L I T'T' TO I NFORH ]'F.I I S [:,EPFIR'I"MENT [:,I_IR ][ NG THE ]: N'::..';TF:II..LI:::IT I ON I NL-T,F'EC:T I CIN5.:; Cfi:: FqN'T' 14Et..L5 FtI:::,JFICEN]' 'TO TH 15; F'F.:OPEF.'.T'¢ FIN[:, THE I'.,ILIME~ER CIF RE.'..--., I [:,['::NCES THRT THE NELL. H ILL. '_:;ER'v'E. .................. -'F fl..ql ,:::, ,-'.: ;.:_-: ::, Z ~'-.tl .".:E; iFTM E C:: "lf" :.I[ C:..~ P.q ."..E:; ¢'-~ F..' IE lf-;~l: EE ,::-':~ ~....~ % [~: E(E E]: ................... E:FIE:KFILLING OF' RN'T' ?T'E;TEM Nt THOIJT F:'INRL INSF'ECTION laND FIPPRO'v'RL E',"r' THI [:,EPRRTH[~:NT I.,.IILL. E:E Elt.IE:,:I'E[::'F 'TO F'ROE;ECLITIOI'.L H]:NIMUI"I [:, I $ 'T FI Iq C: E E:E'r'I.,.IEEi'-4 R klE. LL FIN[:, RN"r' Oi'.,I--SITE .SEHRGE [:,I~SF'OE;F:II_ S'T'STEH IS; :J.C'~EI FEET FOF:: FI F'RI'v'FITE: !-,-!ELL OR :[.SEI TO ;:2EIEi FEET FF.:OM FI F'USLIC t.,.IELL E:'IEF'E:NDING UF'Oi"~ THE 'T"T'F'E OF' I::'UE',I_tC I.,.IEI...L. HINIHLIH [:, ]: STFII",tC:E F'ROM FI PF.'.I'v'FITE klELL TO FI F'R:I:'v'FITE SEP.IEF.: LINE: :1:'_'~ ;25 FEET FIN[:, ]'O R C:C]MMUNI'I"'T' SE.LIE. F~e. LINE I5 '75 F:EET. WELL L. OG5 FIRE' REtl)UIRED FIN[:, f't[.15.?[' E',E F.':ETUF.':NE[) TO THE [:,EF'FtRTMEI'.,fT I.,.IITHII'.,t ]~:~;a DFI'.r':L:; OF 'I"HE 1.4ELL COMPL. ET ION. OTHER F;'.E::L.::!IJIREMEi'.,ITS MR'.e FIPF'L'¢. :'SPEC:IFIClaTIONS FIND CONS;]"RUCTtOI'.,t DZFIGF?.RHS FIF.!E Fl'v'l:l I L.F:IE~L.E 'TCI ! N?:;IJF..'E F'ROF'ER I NS'F'FILL. FfT I CII'.,I. I CEF..'T I F'T' 'THFI"f' ::1..: I FIM FFIH:[LIFIR I.,.IITH THE F..'E[.:!U:[F.:E:HE]'.,ITS FOR ON-SI'!"E SENERL:; RN[':, t.,.IELL::.; FI:.':-: SE:T FOF..:"['I.-I B"r' THE MUN I C I [:'RL I T'T' OF FINCHORFIGE. ;.::::: I I,.IILL INS'TFII...L THE ':];'¢S'FLEM IN FICCOF':'.[:'FtI",ICE I.'.II'FI'~ THE CODES. ii:: I IJNI}ER."2;TFIND THFI'r THE ON-SITE SEklER '.:.;'¢.STEM MFI'T' REL:.!IJIRE ENLRRGEHENT IF THE RES.;I[:,Ei'.,ICE I5 RE:.'MCI[:,ELE[::, TO I I'.,tC:L. Lf[)E HORE TI--IRN Z:: E:E[:,F.:OOMS. 'v'4. I~!1 PERFORMED FOR: Li"'G A L DESCRIPTION: MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L, Street, Anchorage, Alaska 99501 264,4720 SOILS LOG - PERCOLATION TEST SOILS LOG [] PERCOLATION TEST SLOPE SITE PLAN 1 2 3 4 5 10 11 WAS GROUND WATER ENCOUNTERED? /t~) SL 12 P E IF YES, ATWHAT Reading Date Gross Net Depth to Net Time Tirne Water Drop 14 16 '. -. -'A 17 18 PERCOLATION RATE T ~ U ~ (minutes/inch) TEST RUN BETWEEN FT AND FT PERFORMED BY: 72-008 (6/79) 1' LOT SURVEY CERTIFICATION: I HEREBY CERTIFY THATIHAVESURVEYEDTHE' IPROPE RTY SHOWN AND DESCRIBED HERFON AND '.THAT THE IMPROVEMENTS SITUATED THEREON ,AHE WITHIN 'file PROPERTY LINES AND NO ENCROACHMENTS EXIST. GERALD V. RANDALL..IR, 28Z0 '~C" STR EE T., SUITE Pho~: 279-7414 ANCHORAGE. AL~KA 995~3 I! I$ "~HE CONTRACTOR~ RESDONSIBILIT¥ TO CHECK lOP OF fOUNDATION IN Rt LA. TION '[O FINISH GRADE AND BUILDING. 5E3 BACKS IN R[LATION TO LOT LINES AND E*SEMEN,S LEGAL DESCRIPTi. ON:"p/O ~ p/~, LEGEND · 5lB RE[JAR RE. cOvERED e 5~,~ REBAR SET 1H15 SURVEY • Municipality of Anchorage On -Site Water and Wastewater Program 4 (907) 343-7904s 4 E T Y CERTIFICATE OF ON-SITE SYSTEMS APPROVAL Parcel I.D. 020-042-51 Expiration Date. 13Q_P t�- 1 I a P C)or,) C) I 1. GENERAL INFORMATION Complete legal description Golden View Heights Lot 5A1 Location (site address) 15801 Amberwood im. Ci rde On c h oraa P, h k 99 5 l Current Property owner(s) Michael & Amber Soules Day phone Mailing address 15801 Amberwood 1m Circle - Real Estate Agent Day phone 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 3 TYPE OF WASTEWATER DISPOSAL: 4. TYPE OF WATER SUPPLY: Individual Individual Well ® Holding Tank ❑ Individual Water Storage ❑ Community ❑ Community Class _ Well ❑ Public Sewer ❑ Public Water System f ❑ WaiverNariance request for: Distance: Received by: Date: CASA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $-55 4 1 E S O \ Waiver Fee $ Date of Payment q. I 2d 1107-0 Receipt Number U I -Q COSA# a0115 .; Date of Payment Receipt Number Waiver # (_uV �D 'q. 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in .effect at the time of installation. Name of Firm ARCTERRA.CONSULTING, INC. Phone 696-6111 Address. 20441 PTARMIGAN BLVD., EAGLE RIVER AK 99577 Engineer's Printed Name KENNETH M. DUFFUS Date e7a7 Engineers Comments: This investigation was completed in compliance with ADEC and MOA regulations. The assessment of the condition of the well and septic applies only to the conditions as of the day tested. The flow and absorption rates may change due to subsurface conditions that may not be observed from the surface, changes inland use, local soil characteristics, groundwater levels that may fluctuate during the year and the water usage of the family being served by the system. The operational fife of all well and septic systems are .subject to these various and dynamic characteristics and are outside the control of the evaluator of the well and septic system. Therefore, ArcTerra can not give any estimate of how long a system will function satisfactory for current or future occupants or can ArcTerra guarantee that no unseen �F AL�� encroachments, deficiencies or discrepancies exist. t` + s �?A QTT-*_ �. 6. DSD SIGNATURE System #1 Approved for bedrooms. By: System #2 Approved for bedrooms. Disapproved. 9 KENNETH . D FUS 00 � r Ips ,y�1 SIO �G,� Conditional approval for bedrooms, with the following stipulations: o wASTEv'IATEt\ e5^ J` J Original Certificate Date: �/{ I O 26, The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory . Arsenic Advisory Well Flow Advisory X Other COSA blue sheet 10-10.12.doc COSA Checklist Legal Description: Golden View Hts. Lot 5A1 Parcel ID: 020-042-51 If more than 1 septic system on lot: COSA Checklist # _of _ Structure served by this system 1 A. WELL DATA ® Well tog is filed with Onsite (or attached) Date drilled 6/9/81 Total depth 121 ft Cased to UNK ft ® Sanitary seal is functioning correctly ® Wires are properly protected Casing height (above ground) 24 in. Date of flow test for COSA 3/30/20 Static water level at beginning of test 38 ft. Comments B. TANK DATA Age of tank(s) 21 years Tank type/material BioCVCle / Fiberglass Measured operating fluid level in septic tank ® Standpipes/foundation cleanout per record drawing Date of pumping x: See fliocycle maintenance log D. ABSORPTION FIELD DATA Which system tested (date installed) 11/2/2000 N ALL standpipes present per record drawing Total measured depth from grade 8.1 ft (max) Measured depth to pipe invert from grade ft (min) ® N/A — pressurized field ® Monitor tubes go to bottom of effective. If not, state depth into effective ® Code -required soil cover over field ❑ System presoaked (Required if vacant for greater than 30 days prior to date of test) Gallons introduced gallons r:nm mPntS/Ilaficienciar COSA Checklist yellow sheet Well production at time of test 0.7 gpm Water storage tank volume gallons Well disinfected for coliform test? ❑ Yes ® No ® Coliform bacteria is Negative Nitrate mg/L ® Nitrate less than MRL (ND) Arsenic ug/L ® Arsenic less than MRL (ND) Collected by Arcterra Consulting Date of Sample 3/30/20 C. LIFT STATION ❑ Required maintenance completed Age of lift station _ years Lift station material Comments: Adequacy test date 3/30/20 Results Q✓ Pass For '3 bedrooms Fluid depth prior to test _1 in Water added 500 gal New depth 5 in Elapsed time 10 min Final fluid depth 1 in Absorption rate 450+gpd Any rejuvenation treatment (past 12 months) _ If yes, enter date _ E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well) Septic Tank/Lift Station on Lot > 100' ® Yes if No Community Sewer Manhole/Cleanout > 100' Wells on Adjacent Lots: ® Yes if No _ It [z Yes if No ft Neighboring Tank > 100' ® Yes if No It Private Sewer/Septic Line > 25'21 Yes if No ft Absorption Field on Lot > 100' ® Yes if No _ It Holding Tank > 100' 0 Yes if No ft Neighboring Absorption Fields > 100' F. ENGINEER'S COMMENTS Animal Containment > 50' ® Yes if No It ® Yes if No ft _ Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' ®Yes if No _ ft 0 Yes if No _ ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' ® Yes if No _ It Surface Water > 100' ❑ Yes if Nox70 It Property Line > 5' ® Yes if No _ It Wells on Adjacent Lots: Absorption Field > 5' ® Yes if No _ it Private Wells > 100' 0 Yes if No ft Water Main > 10' ® Yes if No _ It Community Wells > 200' 0 Yes if No _ ft Water Service Line > 10' ® Yes if No _ It If septic tank is under driveway comment below From Absorption Field on Lot to: (Please enter distances if less than required) Building Foundation > 10' ® Yes if No _ It If absorption field is under driveway comment below Property Line > 10' ® Yes if No _ it Wells on Adjacent Lots: Water Main > 10' ® Yes if No _ It Private Wells > 100' 0 Yes if No ft Water Service Line > 10' ® Yes if No _ It Community Wells > 200' ® Yes if No _ ft Surface Water > 100' ® Yes if No _ It F. ENGINEER'S COMMENTS *: Waver 4 WR000064 was granted on 9/18/2000 G. ENGINEER'S CERTIFICATION 1 certify that / 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. COSA Checklist yellow sheet MUNICIPALITY OF ANCHORAGE DEVELOPMENT SERVICES DEPARTMENT 907‐343‐7904 On‐Site Water and Wastewater Section Fax: 343‐7997 www.muni.org/onsite Mailing Address: P. O. Box 196650 * Anchorage, Alaska 99519‐6650 * www.muni.org Well Water Advisory Certificate of On‐Site Systems Approval # OSC201154 Subdivision: Golden View Heights, Lot: 5A1 This well’s productivity was determined to be 0.7 gallons per m inute. The minimum well productivity required under (AMC 15.55) for a 3‐bedroom residence is 0.31 gallons per minute or 150 gallons per day per bedroom. Although the subject well currently exceeds this minimum requirement, the production capacity can fluctuate and may be insufficient to meet your needs. This advisory must be attached to all copies of the subject Certificate of On‐Site Systems Approval. YƵĂƌƚĞƌ/ŶƐƉĞĐƚŝŽŶZĞƉŽƌƚ 3705 Arctic Blvd "ODIPSBHF", EmaiMcrbioak@gmail.com ,ŽŵĞŽǁŶĞƌ/ŶĨŽ /ŶŝƚŝĂů/ŶƐƉĞĐƚŝŽŶ͗ ^ǇƐƚĞŵ/ŶƐƉĞĐƟŽŶ Customer Name:Tank *OTUBMM%BUF Is System Lid Locked? Inlet plumbing in working order? ƌĞĂůůĂĞƌĂƚŽƌƐĨƵŶĐƟŽŶŝŶŐ͍ WƵŵƉĨůŽĂƚŽƉĞƌĂƚŝŶŐ͍ Date: Filter cleaned?ŝƐĐŚĂƌŐĞůŝŶĞĐŽŶĚŝƟŽŶ͗ ůĂƌŵŇŽĂƚĨƵŶĐƟŽŶŝŶŐ͍Any buildup of solids? ůĂƌŝĮĐĂƟŽŶƌĞƚƵƌŶƐǇƐƚĞŵŽƉĞƌĂƟŶŐ͍ pH Reading: (pH of 6-8 is ideal) DissolveĚ Oxygen PPM (2Ͳ5 is ideal) Turbi ĚŝtǇŽĨĚŝƐĐŚĂƌŐĞ;ŝŶ&dhͿ (Under 35 FTU is considered compliant.) Solids pillow normal? Any buildup of solids? Any buildup of solids? Lid hardware in working order?/ƐƚŚĞƌĞĂŶǇŶŽƟĐĞĂďůĞŽĚŽƌ͍ Alarms Tested: AirHigh Water ŽĞƐƐǇƐƚĞŵŚĂǀĞĂƐĞƉƚŝĐƚĂŶŬ͍ ĂƩĞƌǇdĞƐƚĞĚ͗Yes EŽ Yes Yes Yes Good Replaced Yes Yes Yes Yes Yes Yes Strong Mild None No zĞƐ YesZĞƉĂŝƌĞĚ Replaced Replaced Replaced Replaced No Adjusted Requires Pumping No No Yes ZĞƉĂŝƌĞĚ N/A Primary Chamber ĞƌĂƟŽŶŚĂŵďĞƌ ůĂƌŝĮĐĂƟŽŶŚĂŵďĞƌ ŋƵĞŶƚƚĞƐƟŶŐƌĞƐƵůƚ Discharge Chamber Yes ŽŵŵĞŶƚƐ͗ Inspected By: N/A ;ZĞĐŽŵŵĞŶĚƉƵŵƉŝŶŐƚĂŶŬĞǀĞƌǇϮǇĞĂƌƐͿ 3OHDVHPDNHVXUHDODUPLVRQQRUPDOQRWPXWH "EESFTT"SFB +DVHPDLOLQJRUPDLOLQJRIIRUPEHHQUHTXHVWHG" FRQWDFWRIILFHWRUHTXHVW<HV 1R 2nd Amber Soules 63 March 1999 15801 Amberwood Circle Rabbit Creek-Goldenview 7.9 3.7 16.7 2019 ✔ Chris 06/04/2019 ✔ YƵĂƌƚĞƌ/ŶƐƉĞĐƚŝŽŶZĞƉŽƌƚ 3705 Arctic Blvd "ODIPSBHF", EmaiMcrbioak@gmail.com ,ŽŵĞŽǁŶĞƌ/ŶĨŽ /ŶŝƚŝĂů/ŶƐƉĞĐƚŝŽŶ͗ ^ǇƐƚĞŵ/ŶƐƉĞĐƟŽŶ Customer Name:Tank *OTUBMM%BUF Is System Lid Locked? Inlet plumbing in working order? ƌĞĂůůĂĞƌĂƚŽƌƐĨƵŶĐƟŽŶŝŶŐ͍ WƵŵƉĨůŽĂƚŽƉĞƌĂƚŝŶŐ͍ Date: Filter cleaned?ŝƐĐŚĂƌŐĞůŝŶĞĐŽŶĚŝƟŽŶ͗ ůĂƌŵŇŽĂƚĨƵŶĐƟŽŶŝŶŐ͍Any buildup of solids? ůĂƌŝĮĐĂƟŽŶƌĞƚƵƌŶƐǇƐƚĞŵŽƉĞƌĂƟŶŐ͍ pH Reading: (pH of 6-8 is ideal) DissolveĚ Oxygen PPM (2Ͳ5 is ideal) Turbi ĚŝtǇŽĨĚŝƐĐŚĂƌŐĞ;ŝŶ&dhͿ (Under 35 FTU is considered compliant.) Solids pillow normal? Any buildup of solids? Any buildup of solids? Lid hardware in working order?/ƐƚŚĞƌĞĂŶǇŶŽƟĐĞĂďůĞŽĚŽƌ͍ Alarms Tested: AirHigh Water ŽĞƐƐǇƐƚĞŵŚĂǀĞĂƐĞƉƚŝĐƚĂŶŬ͍ ĂƩĞƌǇdĞƐƚĞĚ͗Yes EŽ Yes Yes Yes Good Replaced Yes Yes Yes Yes Yes Yes Strong Mild None No zĞƐ YesZĞƉĂŝƌĞĚ Replaced Replaced Replaced Replaced No Adjusted Requires Pumping No No Yes ZĞƉĂŝƌĞĚ N/A Primary Chamber ĞƌĂƟŽŶŚĂŵďĞƌ ůĂƌŝĮĐĂƟŽŶŚĂŵďĞƌ ŋƵĞŶƚƚĞƐƟŶŐƌĞƐƵůƚ Discharge Chamber Yes ŽŵŵĞŶƚƐ͗ Inspected By: N/A ;ZĞĐŽŵŵĞŶĚƉƵŵƉŝŶŐƚĂŶŬĞǀĞƌǇϮǇĞĂƌƐͿ 3OHDVHPDNHVXUHDODUPLVRQQRUPDOQRWPXWH "EESFTT"SFB +DVHPDLOLQJRUPDLOLQJRIIRUPEHHQUHTXHVWHG" FRQWDFWRIILFHWRUHTXHVW<HV 1R 3rd Amber Soules 63 March 1999 15801 Amberwood Circle Rabbit Creek-Goldenview 7.1 3.4 19.2 2019 ✔ Chris 09/10/19 ✔ YƵĂƌƚĞƌ/ŶƐƉĞĐƚŝŽŶZĞƉŽƌƚ 3705 Arctic Blvd "ODIPSBHF", EmaiMcrbioak@gmail.com ,ŽŵĞŽǁŶĞƌ/ŶĨŽ /ŶŝƚŝĂů/ŶƐƉĞĐƚŝŽŶ͗ ^ǇƐƚĞŵ/ŶƐƉĞĐƟŽŶ Customer Name:Tank *OTUBMM%BUF Is System Lid Locked? Inlet plumbing in working order? ƌĞĂůůĂĞƌĂƚŽƌƐĨƵŶĐƟŽŶŝŶŐ͍ WƵŵƉĨůŽĂƚŽƉĞƌĂƚŝŶŐ͍ Date: Filter cleaned?ŝƐĐŚĂƌŐĞůŝŶĞĐŽŶĚŝƟŽŶ͗ ůĂƌŵŇŽĂƚĨƵŶĐƟŽŶŝŶŐ͍Any buildup of solids? ůĂƌŝĮĐĂƟŽŶƌĞƚƵƌŶƐǇƐƚĞŵŽƉĞƌĂƟŶŐ͍ pH Reading: (pH of 6-8 is ideal) DissolveĚ Oxygen PPM (2Ͳ5 is ideal) Turbi ĚŝtǇŽĨĚŝƐĐŚĂƌŐĞ;ŝŶ&dhͿ (Under 35 FTU is considered compliant.) Solids pillow normal? Any buildup of solids? Any buildup of solids? Lid hardware in working order?/ƐƚŚĞƌĞĂŶǇŶŽƟĐĞĂďůĞŽĚŽƌ͍ Alarms Tested: AirHigh Water ŽĞƐƐǇƐƚĞŵŚĂǀĞĂƐĞƉƚŝĐƚĂŶŬ͍ ĂƩĞƌǇdĞƐƚĞĚ͗Yes EŽ Yes Yes Yes Good Replaced Yes Yes Yes Yes Yes Yes Strong Mild None No zĞƐ YesZĞƉĂŝƌĞĚ Replaced Replaced Replaced Replaced No Adjusted Requires Pumping No No Yes ZĞƉĂŝƌĞĚ N/A Primary Chamber ĞƌĂƟŽŶŚĂŵďĞƌ ůĂƌŝĮĐĂƟŽŶŚĂŵďĞƌ ŋƵĞŶƚƚĞƐƟŶŐƌĞƐƵůƚ Discharge Chamber Yes ŽŵŵĞŶƚƐ͗ Inspected By: N/A ;ZĞĐŽŵŵĞŶĚƉƵŵƉŝŶŐƚĂŶŬĞǀĞƌǇϮǇĞĂƌƐͿ 3OHDVHPDNHVXUHDODUPLVRQQRUPDOQRWPXWH "EESFTT"SFB +DVHPDLOLQJRUPDLOLQJRIIRUPEHHQUHTXHVWHG" FRQWDFWRIILFHWRUHTXHVW<HV 1R 4th Amber Soules 63 March 1999 15801 Amberwood Circle Rabbit Creek-Goldenview 7.1 3.5 26.3 2019 ✔ Chris 12/03/2019 ✔ YƵĂƌƚĞƌ/ŶƐƉĞĐƚŝŽŶZĞƉŽƌƚ 3705 Arctic Blvd "ODIPSBHF", EmaiMcrbioak@gmail.com ,ŽŵĞŽǁŶĞƌ/ŶĨŽ /ŶŝƚŝĂů/ŶƐƉĞĐƚŝŽŶ͗ ^ǇƐƚĞŵ/ŶƐƉĞĐƟŽŶ Customer Name:Tank *OTUBMM%BUF Is System Lid Locked? Inlet plumbing in working order? ƌĞĂůůĂĞƌĂƚŽƌƐĨƵŶĐƟŽŶŝŶŐ͍ WƵŵƉĨůŽĂƚŽƉĞƌĂƚŝŶŐ͍ Date: Filter cleaned?ŝƐĐŚĂƌŐĞůŝŶĞĐŽŶĚŝƟŽŶ͗ ůĂƌŵŇŽĂƚĨƵŶĐƟŽŶŝŶŐ͍Any buildup of solids? ůĂƌŝĮĐĂƟŽŶƌĞƚƵƌŶƐǇƐƚĞŵŽƉĞƌĂƟŶŐ͍ pH Reading: (pH of 6-8 is ideal) DissolveĚ Oxygen PPM (2Ͳ5 is ideal) Turbi ĚŝtǇŽĨĚŝƐĐŚĂƌŐĞ;ŝŶ&dhͿ (Under 35 FTU is considered compliant.) Solids pillow normal? Any buildup of solids? Any buildup of solids? Lid hardware in working order?/ƐƚŚĞƌĞĂŶǇŶŽƟĐĞĂďůĞŽĚŽƌ͍ Alarms Tested: AirHigh Water ŽĞƐƐǇƐƚĞŵŚĂǀĞĂƐĞƉƚŝĐƚĂŶŬ͍ ĂƩĞƌǇdĞƐƚĞĚ͗Yes EŽ Yes Yes Yes Good Replaced Yes Yes Yes Yes Yes Yes Strong Mild None No zĞƐ YesZĞƉĂŝƌĞĚ Replaced Replaced Replaced Replaced No Adjusted Requires Pumping No No Yes ZĞƉĂŝƌĞĚ N/A Primary Chamber ĞƌĂƟŽŶŚĂŵďĞƌ ůĂƌŝĮĐĂƟŽŶŚĂŵďĞƌ ŋƵĞŶƚƚĞƐƟŶŐƌĞƐƵůƚ Discharge Chamber Yes ŽŵŵĞŶƚƐ͗ Inspected By: N/A ;ZĞĐŽŵŵĞŶĚƉƵŵƉŝŶŐƚĂŶŬĞǀĞƌǇϮǇĞĂƌƐͿ 3OHDVHPDNHVXUHDODUPLVRQQRUPDOQRWPXWH "EESFTT"SFB +DVHPDLOLQJRUPDLOLQJRIIRUPEHHQUHTXHVWHG" FRQWDFWRIILFHWRUHTXHVW<HV 1R 1st Amber Soules 63 March 1999 15801 Amberwood Circle Rabbit Creek-Goldenview 7.4 3.5 17.5 2020 ✔ Chris 03/13/2020 ✔ Lo~, Municipality of Anchorage Development Services Department Building Safety Division On-Site Water and Wastewater Program 4700 Elmore Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. Expiration Date: GENERAL INFORMATION Complete legal description Location (site address) ~ 5Ai' Current Property owner(s) Mailing address Day phone 35 i - Lending agency Day phone Mailing address Real Estate Agent . Mailing Address Unless otherWise requested, COSA will be held by DSD for pickup. NUMBER~OF..` BEDROOMS: ~ Day phone TYPE OF WATER SUPPLY: Individual Well Individual Water Storage Community Class ~ Public Water System Well 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 ~p~.'~,.l ~r,~ Address '2_ ~ U, J. ~, Engineer's Printed Name L~ DSD SIGNATURE \v'~ Approved for ~ bedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulations: By: Attachments: COSA Checklist Septic System Advisory Well .Flow Advisory Nitrate Advisory · X Arsenic Advisory Maintenance Agreements Supplemental Engineer's Report Other Original Certificate Date: 3'"/? ~'// (Rev. 11/05) Municipality of Anchorage Development Services Department Building Safety Division On-Site Water & Wastewater Program 4700 Elmore Road P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907) 343'7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description: A. WELL DATA Well type ~)¢i~(e,~'~.. Date completed 6-'/- ~l Totaldepth IZJ ft. If A, B, or C provide PWSID # . Sanitary seal (Y/N) ~/ Cased to 7q0 ft. FROM WELL LOG Date .of test Static water level Well production g.p.m. WATER SAMPLE RESULTS: Coliform .Ne e, .colonies/100 mL' Arsenic: /V'D ug/L Nitrate ND mg/L date of sample: 3/zz!Loti Parcel ID: O'Z.O - Ot~ 7_- SI Well Log (Y/N) ~/ Wires properly protected (Y/N) Casing height (above ground) AT INSPECTION 2~ ff. I, Z g.p.m. Y +17_ in. Collected by: L~I~ -~?u.~,.c~ SEPTIC/HOLDING TANK DATA Tank Type/Material I Tank size [/~00... gal, Number of Compartments Foundation cleanout (Y/N) Date installed Cleanouts (Y/N) High water alarm (Y/N) Y Date of pumping C. ABSORPTION FIELD DATA Date installed IJJ2~ ~30Q. Soil rating ~ or ft~/bdrm) Length 30 ft. Width System type SJ~ I/o~ Z~¢~c/x Gravel below pipe ~, 07.. ff. Total depth ~o J ft. Eft. absorption area ~J00 ft2 Monitoring tube Date of adequacy test 312-1ZoH Results (Pass/Fail) Fluid depth in absorption field before test ~ . in. Water added ~) gal. Elapsed Time: ~;~ min. Final fluid depth ~ in. Absorption rate >= Any rejuvenation treatment (past 12 mo.) (Y/N & type) Afo,~. Depression over field For .3 bedrooms New depth ~ in. Z/~O g.p.d. If yes, give date D. LIFT STATION Date installed ~/ZY/~r~ Size in gallons "Pump on" level at 2~q in. 'pUmp off' level at q_~ in. Datum /v[~ol¢ gi,,~ cycles tested E. SEPARATION DISTANCES Manhole/Access (Y/N) '~ High water alarm level at 2Z ~'?.. Meets alarm & circuit requirements? "/' in, SEPARATION DISTANCES FROM ,WELL ON LOT TO: Septic tank/lift station on lot Absorption field on lot /CO Public sewer main ,/V/Z[ , Sewer/septic service line ~ ~' Animal containment areas 5'O~ On adjacent lots On adjacent lots Public sewer manhole/cleanout Holding tank Manure/animal excrete storage areas SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation fO Water main ./v/A t Wells on adiacent lots Property tine Water service line I Absorption field I0 +' Surface water SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10~J~ Water Service line tO ~+ ' Curtain drain ~0 + 0 COMMENTS BUilding foundation !0~-I- Surface water ~/O0'-/- Wells on adjacent lots ICO~-I- Water main /V/~,Z~ Driveway, parking/vehicle storage G. ENGINEER'S CERTIFICATION ... 4~..0.?..A.~4 ?t~ . . ; . . ~ ~?' _~ ".~ ~ I ce~i~ that I have datelined ~ough field tnspections and ~ ~.,'/ %~ ':~ .~. review of Municipal re.ds that the a~ve systems am in 4 ?' ~ T~ . ~', (, ,forma, with MOA COSA guide/ ,o, o, thi, d to. " " Engine.s Printed Name ~ ~[~ ~m~ { ~'~ ff COSA Fee $ ~0 Waiver F~ $ Date of Payment ~!~ I~ Date of Payment Re~ipt Number 0 ~ ~0 ~ Re~ipt Number (Rev. 4/10) © Q AMBERWOOD CIRCLE o i Z'86 46.6£ ,El 00 N 78.4 S 00 03' 09' E 14000 ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND REPAIR AGREEMENT ANcao a THIS MEMORANDUM OF UNDERSTANDING made and entered into as of this herein the "OWNER," and the Municipality of Anchorage, herein the "MUNICIPALITY." In considerution of the mutual covenants contained her~in, the parties to this Memorandum of Understanding agree as follows: I. 'ADVANCED WA_STEWATER TREATMENT SYSTEMS. Municipality grants permission to Owner to utilize and operate an Advanced Wastewater Treatment System (AWWTS), d~s~fibex[ as. ~[~ "' ~ located Arl! tnt ,Anchorage, Alaska. I~flnitions, A. AIt~ratioa. Any ohang~ to the design or function of an AWWTS that Includes the installation or removal of any parts, components or pieces not included in the original construction permit and design. Pri°r to performing any alterations'to an AWWTS the owner must obtain a Wastewater Disposal System Construction Permit from the Municipality pursuant to Anchorage Municipal Code (hor~ina~er, "AMC") 15.65. B. Certificate of On-Site Systems Approval. An approval by the Municipality of existing water and wastewat~ disposal systems given at the time of property sale and title transfer in accordance with AMC 15.6:5. These approvals certify that the systems are adequate for the homes that they support and meet the codes that were in place at the time of system construction. C. Damage. Any man-made or natural change in a system that would inhibit the system from performing as designed. D. Maintenance and Repair. The scheduled and as needed replacement of existing parts, components and pieces of an AWWTS that were included in the original design which would allow the 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 of the On-Site Wastewater System Construction Permit and all relevant provisions of AMC 15.65 3. Fe~.... Owner shall pay to Municipality an annual fee of 2'.~ iD ($. ~ .00), payable on or before the issuance of the operating permit and annually thereafter. The annual fee is due on or before the anniversary date of the approval by the Municipality of installed system. 4. Term. The term of this Memorandum of Understanding shall be for the life of the ~-~WWTS. ' 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 eertifioate of On-Site approval is issued to the new owner or transferee of the property. 5. Aiterations~ Installation and Removal of Additional Equipment. Owner agrees not to make any alterations, removal of parts or additions to the AWWTS without a Construction Permit from the Municipality. 6. Maintenance and Repairs. A. Throughout the term of this Memorandum of Understanding, the Owner shall maintain AWWTS in good repair. In addition, it shall be the responsibility of the Owner during the term of this Memorandum of Understanding, and any extensions or renewals thereof, at the owner's sole expense, to pay for any and all: (1) repair(s), (2) maintenance, (3) adjustment(s), (4) replacement costs, and (5) inspection costs. Further, Owner agrees to comply will all applicable ordinance, laws, regulations, rules and orders for the AWWTS. B. Owner agrees to provide the Municipality a written schedule of routine maintenance and repairs which have been performed on the system pursuant to the terms and conditions contained in the Owner's AWWTS Operating Permit. This schedule shall be submitted to the Municipality annually upon the renewal of the permit. The schedule of maintenance and repair contained in the Owner's AWWTS Operating Permit is: C. Owner acknowledges that the fine schedule for failing to maintain and repair an AWWTS are codified in AMC 14.60. D. Owner agrees that only maintenance, repair personnel certified by the Municipality will inspect and make any necessary maintenance, repairs or permitted alterations to the system. E. Owner agrees to grant the Municipality reasonable access to test and inspect the 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. Nonwaiver. The failure of either party at any time to enforce a provision of this Memorandum of Understanding shall in no way constitute a waiver of the provisions, nor in any way effect the validity of the Memorandum of Understanding or any part hereof, or the right of such party thereafter to enforce each and every provision hereof. 8. Amendment. A. This Memorandum of Understanding shall only be amended, modified or changed by a writing, executed by authorized representatives of the parties, with the same formality of this Memorandum of Understanding was executed and such writing shall be attached to this Memorandum of Understanding as an amendment. B. For the purposes of any amendment modification or change to the terms and conditions of this contract, the only authorized representatives of the parties are: Owller; Anchorage: Purchasing Officer C. Any attempt to amend, modify, or change this contract by either an unauthorized representative or unauthorized means shall be void. 9. Jurisdiction: Choice of Law. Any civil action arising from this Memorandum of Understanding shall be brought in the Superior Court for the Third Judicial District of the State of Alaska at Anchorage. The laws of the State of Alaska shall govern the rights and obligations of the parties under this Memorandum of Understanding. 10. Severability.. Any provisions of this Memorandum of Understanding decreed invalid by a court of competent jurisdiction shall not invalidate the remaining provisions of the Memorandum of Understanding. OWNER: By: By: Title: Date: Date: STATE OF ALASKA ) THIRD JUDICIAL DISTRICT ) The foregoing instrument was acknowledged before me this __ 20 , by day of NOTARY PUBLIC FOR ALASKA My Commission expires: I Maintenance' 2010 BioCycle Alaska 4971 Thomp~oa Drive Homer, AK 99603 , ,- 226-2476 office 399-0331 cell Email: biocyc~ka~gei.net, Customer Bob Mackey Anchem~,AK99516 345-4864 BioCycle Location Rabbit CreeI-Goldenview install Date: :Tank fi: MAINTENANCE DESCRIPTION ..... ~"~'~ ~-~r '~, ...... ~" AERAT[~ C~A~ER ~ AERA~ SY$~M BL0~R SIZE "'~ ~'~ ;~:'.,~c~:~: :~ ~':'60 ~ 120 ~ ~ONP~SS~ ~ ~OH LOW G EN ~ CO~ON ~~ '~' SYS~M: ~R ~ .......... ~ D~FUSE~ S~PLY ~ P~K CLAK~ICATION CH~ER C=~ OF E~UE~ ~f FAIR CLO=Y DISCHARGE CHAMBER DISCHAttGt~ PUMP OPERATING COMMENTS ALARMSAlP~POW~i~CHECKED AND OPERATINo?~. S' HIGH WATER (~y~) NO NO 4th Qtr 201 o Maintenance was performext today I~0/~0 39~d BO:fiT TTO~/TT/EO BioCycle Alaska 4971 Thompson Dri-¢e:?~' Homer, AK 996021 .... 226-2476 office 399-0331 cell Email: biocyclealasI, ia~Ci.iiet Customer Bob Mackey 15801 Amberwood Circle : ;:.,_ Anchorage, AK 99516 345-4864 Miintenance 2010 ,B. ioCycle Location Rabbit CreeI-Goldenwew Install Date: March-99 Tank #: 63 MAINTENANCE DESCRIPTION - PPa-MARY CHA.MiBER SCUM LEVEL (OK) '~ ~TION C~ER & ~TION SYSTE~ ..... BLO~RS~ ... ..... ... ~,c~;-.:mcd ~ 120~ NOISE ~ ' ~ , v'- ,.., , GE~ CO~O~ ~ POOR SYg~: ~ L~8 LE~S A~ D~FUSE~ S~Y POOR CLARIFICATION CHAMBER i,~:l LOW,,'_~ ,t :I~GH . . SLUDGE ACCUM IN HOPPRR; CLARITY OF EFFLUENT '~ ~ ~ CL£AP] FAIR cLoUDy DISCHARGE CHAMBER DISCHARGE PUMP OPERATING NO ALARMS CHECKED AND OPERATING/~ .,," Qt'r 2010 Mainte~ac¢ was performed ,t6 ,da, y LARRY BETTS COMMENTS ~0/E0 39~d DNI VMS~9~ 390^00I~ 9LbZgggL06 80 :§l II05/II/EO BioCycle Alaska 4971 Thompson Drive Homer. AK 99{;03 226-2476 office 399~0331 ¢¢I1 Emaih bio cyclealaska~gci.net Customer Bob Mackey 15801 Ambecwood Circle Anchorage, AK 99516 345.4864 2nd Qtr Maintenance 2010 BioCycle Location Rabbit CmeI-Goldenview Install Date: March-99 ~ ,. Tank #: 63 MAINTENANCE DESCRIPTION~? ................... I COMMENTS PRIMARY CH3-MBER SC~ LE~L~ ~GH AERATION CHAMBER'& ABi~TION , BLOWER SISE . AERATION PRESSURE ~'lgIGH LOW WOTSR LRVF. T, ~ ,. l [~,Y'i~I-IIOH; GENERAL CONDiT~OW .' SYSTEM: AI~ l.,F. ATfi$ AIR DmFUS2R/AIR S~PI,Y ~ PO0: CLARIFICATION CHAMBER DISCI-IARGE CHAMBER D.T.qCHAR ('.~. P~ .~? OP~.RA?'LI,,rO ALARMS CIIECIfJ2D AND OPERATINg....% ~ow~ ( ~:,~..\ NO 1~o 'NO' ' 2nd Qtr 20 i0 Maintenance was performed today/~ PO/Z0 39~d ONI VMS~q~ 3qOAOOI~ 9iPggggLOB 80:EI II0glII/E0 BioCycle Alaska 4971 Thomps°n Dri9¢ Homer, AK 99603 ~ 226-2476 office 39{)20331 cell Email: biocy¢lealaska@gci.ne't. Customer Bob Mackay 1580't Amberwood C~rcie ArlChomge, AK 99516, , !.,: :, ~ ;45-4864 MAINTENANCE DESCRIPTION AERATION CHAMBER BI.eWER SIZE .... , t: ,,-,-~.,'-, ! r:,J 80 120 L/NffN AEKATION PRESSURE GENERAL CONDFI1ON .... SYSTI{,M: AIR LEAKS ~ DI~rFUSEPJAIR $IJ'PPLY IvlIXED LIQUOR CONDITION ODOR. ,~~. 80 1 HiGH LOW 'POOR PIP1NG LF~I<8 ~POOR CLARIFICATION CHAMBER ';"'x- . - SLUDGE AOCUM IN HOPPER ' .. ~OW, ~, .HIGH CLARITY OF EFFLUENT ~.,~ -'FAIR CLOUDY NO DISCHARGE CHAMBER DISCHARGE PUMP OPERATING BioCycle Location Rabbit CreeI-Goldenview Install Date: March-eet Tank #: 631 COMMENTS ALARMS CHECKED AND OPER.ATINO_~,..,,~ HIGH WATER NO NO 1 st Qtr 2010 Maintenance was'performed today' BY: LARRY BETTS DATE: ~ ~0/I0 IIOg/II/EO Municipality of Anchorage Development Services Department Building Safety Division On-Site Water & Wastewater Program 4700 South Bragaw SL P.O. Box 196650 Anchorage, AK 99519-6650 www.d.anchorage.ak, us (~07) 343-7{}O4 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. 020-042-51 HAA~ //~' '1. GENERAL INFORMATION Expiration Date: ~. Completelegaldescription ,COLOENVIEW HEICHTS SUBDIVISION; LOT 5A-1 Location (site address or directions) 15801 AMBERWOOO CIRCLE ANCHORACE, AK 99516 Current Property owner(s) Mailing address Lending agency ROBERT MACKAY 15801 AMBERWOOD CIRCLE JIM LEVRA w/ ALASKA USA Day phone ANCHORACEI AK 99516 Day phone 786-2702 Mailing address Real Estate Agent Day phone Mailing address Unless otherwise requested, HAA will be held by DSD for pickup. 2. NUMBEROF BEDROOMS: 3 3. TYPE OF WATER SUPPLY: Individual Well Individual Water Storage Community Class Well Public Water System TYPE OF WASTEWATER DISPOSAL: Individual On-site Individual Holding tank [] Community On-site [] Public Sewer The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority Approval (HAA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. Certificates of Health Authority 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. DSO also issues HAAs upon request to homeowners. Certificates of Health Authority 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 less than 30 days old. (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. Note:Alaska Water and Wastewater Consultants. Inc. sha/I be paid ~O. O0 at, or prior I to closing for the engineering services provided. I 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I vedA/that my investigation, based on procedures outlined in the Health Authority 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 bedreoms and type of structuree indicated herein. I further veriA/ 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 ALASKA WATER &: WASTEWATER CONSULTANTS, INC. Address 6901 DEBARR ROAD, SUITE 2B * ANCHORAGE. AK 99504 Engineer's Printed Name JEFFREY A. CARNESS, P.E. Phone ,337-6179 Engineer's Comments: In conducting this evaluation. AWWC. Inc. a~tempted to provide a thorough. conscientious engineering analysis of the system in accordance with ADEC and MOA DSD Guidelines & Regulations. The reported results desc~fbed 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 ali 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 ¢ontrol of the evaluator cf the system. Satisfactoq/ test results do not guarantee future pedon'nance of the system, nor do they guarantee that there are no bidden defects cr encroachments. AWWC, Inc. can therefore not provide any warranty or future estimate of how tong 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 refiance upon or use of this report by any other person or party is not authorized, nor will it confer any legal #ght whatsoever. 5. DSD SIGNATURE P/ Approved for ~ bedrooms. Disapproved. Conditional approval for bedrooms, with the fllowing stipulations: ,~'.. .. ~ E~ · ON-SITE · ~ c ~ : WAST~ATER : ~ Attachments: HAA Checklist Septic System Advisow Well Flow Advisory Manitenance Agreements Supplemental Engineer's Reort Other Original Certificate Date: / j- / q' o t (Re~. 12/00) Municipality of Anchorage Development Services Department Buad~g S.;,~ D~don On.Sltll W~ter & Waltewt~ Program 4'700 ~outh Bragaw Bt. P.O. B~ 196850 Andxx'age, AK 99519-6850 Legal Dascdpllon: A. WELL DATA Well type p~VA~ Date completed Totel depth D~ of test 8tetto water level HEALTH AUTHORITY APPROVAL CHECKLIST GOLDENWEW HEIGHTS SUBDMSION; LOT 5A-1 Parcel ID:. 020-042-51 IfA. e, ~ c pnwld~ PWSlD~ N/A wen L.eg (Y/N) YES 6/9/81 Sardmry~d(Y/N) YES ~~ff~) ~ 121 ~ ~m ~'+ ~ ~1~ ~M (~ g~ 16 ~OM ~ L~ AT INSPE~ON 6/9/81 9/12/2001 50 .~ 25 .K 1.8 g.p~ ~[ W~ ~RO~ WNI production 0.75 WATER 8AMPLE RESULTS: C, ollform o colonies/lO0 nd. Date of ~ample: 10/29/01 SEPTIC/HOLDING TANK DATA g.p.m. Tank T~I BIOCYCLE UNIT Tank size 1000 gal. Number of Comparlmante 2 Dapresslon over tenk (Y/N) NO Pumper A+ HOME HOME SERVICES FoundaUm deanout (Y/N) Date of pumping 11/12/01 ABEORt~ION FIELD DATA Dam b~tened 11/2/2000 ~ 30 fL Soil rating ~ f'roctrm)*3.o System type TRENCH Width 5 fL Gravel below pipe 4.02 fL Toteidepth 9.0-9.5fL Eff. abeorplionarea 300 fit Monlloflngtube Y~S Dapmsslonoverfleld NO Date of adequacy test NEW Results (Pass/Fall) ~ For 3 bedrooms Ruld depth In absorption Ileld before test In.. Wa~ Elapsed Time: ~ Absorption rate >-__ g.p.d. nt (past 12 mo.) (Y/N & type) ~fy~, g~e date Date Instafled MARCH lgg9 I"U0h wster 4dsrm (Y/N) YES N;;,-a[e 0.5 mg./L. Other bec~rla 0 c~lonles/lO0 nd. Collected by:. AWWC, INC. pB,o c u..1 D. LIFT 8TA'nON q=ump on' level et In. 'Ptrmp n. High water alaffn level et ~ In. ~ Cy~e~ te~ted Meete al,mn & circuit requirements? E. SEPARA11ON DISTANCES SEPARATION DISTANCES FROM W~ ~ ON LOT TO: 8e~c tenY~lR stet]on on Int 100'+ A~orp~n field on lot 100'+ Put~ ~wer main N/A Sewer I~epl~c ~entce line 25'+ On edj~cent Io~ 100'+ On edjacent Io~ lOO% Pub~o eewer manhole~deanout Holding tank N,/A SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: 8~llolng fOU~K~on. 5'+ Property line 5'+ Water main N/A Water ~ervfce II~. 1 o'+ We~ on adjacent lOts 100'+ SEPARATION DISTANCE FROM ABSORPTION IqELD ON LOT TO: Property 0ne to'+ Water ~en~ce line lO°+ Curtain drain NONE KNOWN COMMENT~ Bulldlng foundation 10'+ Surface water 100'+ We~s on adjacent k~, 100'+ I BIOCYCLE uNrrl Absorption lleld. 5% Surface water. 70'+ Water main N/A O~'tmway, Paddnglvehlcte~orage 10'+ G. ENGINEER'8 CERTIFICATION I certify that I have determined through field In~a end mvlew of Munlclpat mcerda that the above systems are In conformance ~ MOA HAA guldei/nes In effect on ~hls date. Engineer's Printed N~me Date HAA Fees Date of Payment Receipt Number JL~eREY A. GARNESS WaKer Fee $ Oate of Payment Receipt Number. MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On-Site Services Section P,O. Box 196650 Anchorage, Alaska · 99519-6650 343-4744 Parcel I.D. # O · 0 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING -°t~2 -~-I HAA# ~c\,_",,?(~ GENERAL INFORMATION Complete legal description Lot 5Al, Golden View ~elghts Location (s!te address or directions) Property owner Mailing address .~2oo Hamannn Lending agency Mailing address ' Agent Address w~n~y n~n Day phone Road, EaGle R~vert AK 99577 Day phone 265-6589 Day phone Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: 3 TYPE OF WATER SUPPLY: Individual well ~ Community well Public water NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. TYPE OF WASTEWATER DISPOSAL: Individual on-site Holding tank Community on-site Public sewer NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legalib/ and status of system. Se 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. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm Address 17034 Eagle River Loop Road No. 204 ~ag,o Engineers signature 6. DHHS SIGNATURE Approved for bedrooms. Phone Disapproved. Conditional approval for ~ bedrooms, with the following stipulations: The septic system on this lot shall be upgraded pursuant to the attached 9erratt #SW990007 no later tha~ June 15, 1999. Money shall be placed in escrow for 1% times the high bid from a minimum of three(3) bids, The of Health Authority Approval has been issued by this Department. Additional Comments By: The Municipality of Anchorage Department of'Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given In paragraph 5 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 orderto 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 engineer's work. R E C E IV E Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES ,.,, 1 ~ 1999 Environmental Services Division ,,~ u ~ 825 L Street, Room 502 · Anchorage, Alaska 99501 ° (907~F3~t-~ ~,.~;.oax~'~ ~V~ON~.N~N. S~4V~C~S OM310t, t Health Authority Approval Checklist LegalDescription:Lo7 5RI G.o~.o4~,,~ v/~,.., ~a~r $ ParcalI.D.: 0~-0 -0~t3 --~-/' A. WELL DATA Walltype p /~ , ~J ~ T ~ Log present ~N) ~' ~' ~' Date completed Total depth I ~ I / ' Cased lo ~ 0 +- If A, B, or C, attach ADEC letter. ADEC water system number 6 /~/ ~! Casing height (above ground) · Wires properly protected~/N) FROM WELL LOG AT INSPECTION Date of test C~/q/ ?1 ~ /~ ~/q$' Static water level '~ 0 /~ I Well production ~. 7 5" g.p.m. O, 3 ;~ g.p.m. WATER SAMPLE RESULTS: Coliform O Date of sample: ~ / /"t / ~ ~ Nitrate Collected by: Other bacteria $ & S ENGINEERING C. ABSORPTION FIELD DATA Dateinst~Jled -7/1~/~1 Soil rating (g.p.dJfFor~ ~'~' . System type , , , Length ' ~ I Width -~ Gravel thiclmess below pipe ~' Total depth ~' '/~- Effactiveabeorptionarea '~o ~ ~ Monitoring Tube present (~l,~/N] ¥4./Depressionoverflald(Y/l~ ~/0 Data of adequacy test Results ~1:all) /O~. $ J For ~ bedrooms Fluid depth in absorption field before test (in.); Fluid depth P~"/ (ins) = g.p.d. Peroxide treatment (past 12 months) (Y/N) 72,-026 (Rev. 3/96)* ~~o ~, If yes, give date -- D. UFT STATION Date installed Manhole/Access (Y/N) High water alarm level at* Cyol~ E. SEPARATION DISTANCES Size in gallons _-.------ at* SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/holding tank on lot ~3 ' (/'To Ac_ A~,~,~)=.. 4 o ) On adjacent lots Absorption field on lot Public sewer main Sewer/septic sen/ice line On adjacent lots Public sewer manhole/cleanout Lift station SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOTTO: Foundation ff' I-F Property line 3-0 "/- Absorption field. / 0 / -/ Water main/service line Io ~-/ .Surface water/drainage ~o, {/.~. ~'o r~a~Wells,~,~.~./,~..~ '~')on adjacent Iots~' o SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line I0 /./L Building foundation ~. 0 ' 4,- Water main/service line Surfacewater $0 '?t~.[,,,~¢ ,.,.+;~.~ A4~'~',~ s ~r~ ;-~ ~ ,,..tr,~.,c~O ) Driveway, parking/vehicle storage area Curtain drain ~,o..,4 ,<,-,o~., ,,/ Wells on adjacent lots 7] (/'~,~; x~ F. ENGINEER'S CERTIFICATION I certify that I have determined thru field inspections and review of Municipal in conformance w~ ~D~ff_AA~uide/in~ in effect on this date. "./I yl/ /'~ Slgna~re [Iv{"v/' c--. ~ ~ Engineer's Name ~ ,l~.,q ~- ~-. ~"'~ ~, ~, .,~ Date HAA Fee $ Date of Payment Receipt Number 72..o2~ (Rev. Waiver Fee $ Date of Payment Receipt Number MUNICIPALITY OF ANCHORAGE i.! E M 0 R A N D U WATER WELL ADVISORY iiEALTH ~U~.~.~I_Y APPROVAL Durinq ~ r-acent h'ealth Authority Approval on-site inspection and test of t~e po~=bie water supply well on Lot P --_ . te ....... e~ ,o be ~.3'~ gallons per minute. The ~ -: ........ m ....... u... well proaucu~v~ty required by this Departmenu (AMC__.__, ~ -' for a u_droom ~'~- . re~ ...... e is ~ p~ilcns .~um3e~ well currently exceeds =his m .... m ..... rs~uirement, all.parties concerne~ are a~visel uha_- ~ ~n~'.e product!ch capacity of the well may fluctuate. Restriruicn of ncn-critical water uses such as washing cars and lawns an~ tertians, may be re~',~-=~ ~' '.nls a.lv~.zTry must 'm- ~ attached ts all copies cf the suk~ect Health Authority Approval. 01/29/99 16:16 FAX 90726~7650 DEPT. OF ENVIRONMENTAL DIVISION OF ENVIRONMENTAL H~ALTIt DRINKING WATER and WASTEWATER PROGRAM 555 CORDOVA STREET ANCIIORAGE, AK 99501 http://www.state.ak.us/dec/hom e/btm January 28, 1999 ~ uu~ TONY .... KNOWLE$, GOVERNOR I Telephone: (907) 269~7519 Fax: (907) 269-7650 Mr. Robert C. Cowan, P.E- S & S Engineering 17034 N. Eagle River Lp.,#204 Eagle River, Alaska 99577 Lot 5Al Golden View Heights Waiver Request ADEC # 9921-WW-011-462 Dear Mr. Cowan; I roceived the submitted plans for ~pecial construction using a BioCycle unit for was~ewater trealment on Lot 5Al Golden View Heights. The waiver request is in conjunction with a review being done by the Municipality o£ Anchorage (MOA). The MOA review would be to allow a waiver ortho separation distances between the bottom of the existing wastewater disposal system and the seasonal high water table that was observed in a monitoring weld in October of 1998 to be 2-1/2 feet d~stance from the bottom of the fie]d. This waiver of separation distatme is granted fbr 2 feet of vertical separation that must exist between the bottom of the exisling drain field and the observed water table/n the monitoring well all times. If the water table reaches a higher point, this waiver is I~o longer valid and corrective actions will be required. The system shall not be op~rated, and replacement with an approved field shall be made_ Please proceed with obtaining all remai~ing approvals from MOA. Also, ensure that the construction is completed per the plans and specifications you have presented to this office. This approval does not imply the granting of additional authorizations, nor obligate any state, federal, or local regulatory body to grant required authorizations. If construction has not begun within two years after issuance of plan approval is void, and plans must be resubmitted to the Department for review and approval. Any future expansion of the subject project will require additional approval fiom this office. All future correspondence should include the above assigned project number. Respectfidly, William R. tkietb, P.E. .Environmental Engineer WRR/cf Mm' i cipali. - of Department of Health and Human Services 825 ' L' Street P,O Box 196650 Ancl~ora9e Alaska99519-6650 January 13, 1999 Keven K. Klexveno, PE Environmental Engineer Drinking Water & Wastewater Program Alaska Department of Environmental Conservation 555 Cordova Street Anchorage, AK 99501 Re: Golden View Heights Lot 5Al Dear Mr. Kleweno: This officc has no objection to the issuance of a 2' vertical separation distance waiver between the absorption field located on this property and seasonal high groundwater, provided: The waiver applies specifically to tile Biocycle wastewater treatment system permitted for installation. Tile existing surface water uphill fi'om the system is eliminated to a minilnuna separation distance of 100' from the septic tank and/or absorption field during spring break-up conditions, approximately April/May 1999. A horizontal separation distance waiver is obtained for any encroactnnents of the well on the subject lot and the septic tank and/or absorption field. The wells on Golden View Heights Lot 4B which encroach on tile wastexvater disposal systeln on lot 5Al are decommissioned, as per AMC 15.55 by June 15, 1999. This office will issue a conditional Certificate of Health Authority Approval once tile vertical separation waiver is obtained fi'om your office. The Certificate will not become unconditional until all of the above conditions are met. Program Manager, On-Site Water Quality MUNICIPALITY OF ANCHORAGE ON-SITE WASTEWA TER DISPOSAL SYSTEM FIELD AUDIT Date OF_.J~O~P-.f' I~ ~ ~4]~ Document Type LegalDescription ~--~ 0 / C~E,~ 'lp_, uO ,~. L,5'C~ ~ Site Address Engineer/Firm Excavator Follow-up Notes /463-5-92 ..- APPLIC'"'4T FILLS OUT UPPER HALr'-'DNLY. " Phone Buyer A . Phone Lending Insfl~tlon ~e Address Type of Resl~nce ~ultiple Family No. of Bedr~ ~ Other Water Supply A~ACH ~LL LOG. A wall log Is r~ulr~ for all wells drlaed since June 1975. ~mm~lty For wells Wltl~ prior to Ih~ date, give well depth (attach I~ if available). ~ Public Utility ~ Holding Tank NOTE: THE INSPECTION ~E MUST ACCOMPANY EACH RE~EST BEFORE ~OCESSING CAN BE INITIATED. Time Time Time Time ~ DEPT. CF E~IRO~'A~TAL PROTECTION OCT ] RECEI. ED ) APPROVED ~DROOMS ~/~ ~ *CONDITIONS OF APPROVAL ) DISAP~OVED ) CO.D~T~.A~ APPROVAL' Soil a Date ~we~ Instalf~ Well TO ~sor~tion Area ~ Well Log Received ~ ~ [ Well to Tank ~O Septic T~k Size / ~ ~ ~ "~'f',, J RECEIVED INSPECTI ON APPOINTMENTS DATE DATE DATE '.~ _ .~q ~._. I NSPECTO R INSPECTOR INSPECTOR D~PT. OF HEALTH & MUNICIPALITY OF ANCHORAGE ENVIRONMENTAL PT40[ECTION DEPARTMENT OF HEALTH & ENVIRONmeNTAL PROTECTION 8~5 LStreet-Anchorage, Alaska 99501 ~UL ~ 2 Ig81 ENVIRONMENTAL SANITATION DIVISION REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND 8EWER FAOILITIES DIREOTIONS~ Oompiete all parts on page 1. Inoomplote requests will not ba pro~essed. Please allow ten (10) days for pro;essing, 1. PROPERTY O~NER --~ ~ PHONE PROPERTY ~E~IDENT (If differen~ from obove) PHONE 2, BU~hR 3~L~NDINg INSTITUTION . ~ J PHONE MAI EtRG ADDRESS ' ' ' - ~' REALTOR/AGENT / ' I PHONE LEGAL DESCRIPTION 6J~, ~I~E dF~IESlDEN-C~ ',lUMBER OF BEDROOMS [] One ~-I Four ~ SINGLE FAMILY [] Two F-) Five [] MULTIPLE' FAMILY ~] Three ~] Six [] Other 7. WATER SUPPLY INDIVIDUAL* [] COMMUNITY [] PUBLIC UTILITY ATTACH WELL LOG. A wel log is required for all wells drilled since June 1975. For wells drilled prior to that date, give well depth (attach log if available.] 8. SEWAGE DISPOSAL SYSTEM J~ INDIVIDUAL/ON-SITE*~ . ,/~' _,~,/ I%1 PUBLIC UTILITY YEAR ON-SITE SYSTEM WAS INSTALLED NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUI-'ST BEFORE PROCESSING CAN BE INITIATED. 72-010 (Rev. 6~79) THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE NUMBER OF BEDROOMS [] SINGLE FAMILY [] ONE [] THREE [] FIVE [] OTHER [] MULTIPLE FAMILY [] TWO [] FOUR [] SIX PERMIT NUMBER 2. WATER SUPPLY OA \~[~)~.~.~ [] INDIVIDUAL DEPTH OF WELL [] COMMUNITY DATE DRILLED [] PUBLIC UTILITY Connection Verified LOG RECEIVED ("~(~'~ 3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER [] I NDIVl DUAL/ON -SITE DATE INSTALLED []PUBLIC UTILITY Connection Verified INSTALLER []Septi,c~Ta.n~k.p.r [] Holding Tank Size: /(~) ('-(2 ('-') If Tank is homemade SOILS RATING give dimensions: TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL ~' 4. DISTANCES Septic/Holding Tank Absorption Area Sewer Line I Nearest Lot Line WELL TO: ¢o/° Absorption Area to nearest Lot Line 5. COMMENTS [~APPROVEDFOR /~' BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) DATE BY