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HomeMy WebLinkAboutRIVER VIEW ESTATES BLK 5 LT 11River View Estates Block 5 Lot I I #050-792-24 MUNICIPALITY OF ANCHORAGE l� ~' I� I Development Services Department D,_�i� Phone: 907-343-7904 On -Site Water & Wastewater Section Fax. 907-343-7997 Certificate of On -Site Systems Approval Parcel I.D. 050-792-24 Legal description Expiration Date: RIVER VIEWESTATES BILK 5 LT 11 Site address 21140 RIVER PARK DR 6/10/2025 Current property owner(s) BOOKHOUT-O'NEILL SHANE F &O'NEILL VICTORIA W X The On-site system(s) is/are approved for 4 bedrooms Conditional approval for bedrooms, with the following stipulations: Comments or advisories: By: �VOriginal Certificate Date: 9/24/2024 This Certificate of On -Site Systems Approval (COSA) is intended to demonstrate the subject system(s) is/are in substantial compliance with municipal code. The Municipality of Anchorage, Development Services Department (DSD) issues COSAs based upon representations provided by an independent professional engineer. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. ATTACHMENTS: COSA Checklist X Well Flow Advisory Absorption Field Advisory Nitrate Advisory Tank Age Advisory X Arsenic Advisory Other COSA Approval—June 2022 MUNICIPALITY OF ANCHORAGE Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Application 1. GENERAL INFORMATION Parcel I.D. 05079224000 Complete legal description RIVER VIEW ESTATES BLK 5 LT 11 Location (site address) 21140 RIVER PARK DR Current property owner(s) BOOKHOUT-O'NEILL 2. ON-SITE SYSTEMS SIZED FOR 4 BEDROOMS Day phone 223-9293 3. TYPE OF WATER SUPPLY: ❑N Private Well ❑ Private Well serving 2 dwelling units ❑ Private Well serving 3+ dwelling units ❑ Community Well or Public ❑ Water Storage 4. TYPE OF WASTEWATER DISPOSAL: 0 Private Septic ❑ Private Septic serving 2 dwelling units ❑ Holding Tank ❑ Community Septic or Public Sewer 5. SEPTIC TANK: RN Steel ❑ Plastic ❑ Concrete ❑ Fiberglass Age See advisory if steel older than 20 years 6. ABSORPTION FIELD: X AWWTS ❑ Bed ❑ Deep Trench ❑ Wide Trench ❑ Seepage Pit Waiver request for: Expedited review requested: ❑ Distance: By applying for this entitlement, this property is subject to inspection by municipal On-site staff to verify the accuracy of the information provided. COSA Fee $ Waiver Fee $ Date of Payment 2-L-, z:Date of Payment COSA # 0 S c '?a I' z Y-Crf Waiver # COSA Application—June 2022 COSA Checklist Legal Description: RIVER VIEW ESTATES BLK 5 LT 11 Parcel ID: 05079224000 If more than 1 well and/or septic system on lot, provide separate checklist. Structure served by this system _ A. WELL DATA 0 Well log is filed with Onsite (or attached) Date drilled 5/27/03 Total depth 200 ft Cased to 58 ft 0 Sanitary seal is functioning correctly 0 Wires are properly protected Casing height (above ground) 18 in. Date of flow test for COSA 7/3/24 Static water level at beginning of test 41 ft. Comments B. TANK DATA Measured operating fluid level in septic tank 50 Date of pumping 10/2/23 0 Required maintenance completed, if AWWTS Comments: Grinder Pump in Basement D. ABSORPTION FIELD DATA Which system tested (date installed) 12/21/05 Q ALL standpipes present per record drawing Total measured depth from grade 5 ft (max) Measured depth to pipe invert from grade 4.5 ft (min) ❑ N/A — pressurized field. 0 Per record drawings, field is insulated. 0 Monitor tubes go to bottom of effective. If not, state depth into effective ❑ Presoaked required if (Required if house vacant or field not used for more than 30 days prior to date of test) Gallons introduced gallons date Any rejuvenation treatment (past 12 months) If yes, enter date Comments/Deficienci COSA Checklist June 2022 Well production at time of test 1 gpm Water storage tank volume0 gallons Well disinfected for coliform test? ❑ Yes ❑■ No 0 Coliform bacteria is Negative Nitrate mg/L ❑■ Nitrate less than MRL (ND) Arsenic ug/L ❑■ Arsenic less than MRL (ND) Collected by NRim Eng. Date 6/10/24 C. LIFT STATION 0 Required maintenance completed Age of lift station 19 years Lift station material Steel Comments: 500 gallons Adequacy test date 7/3/24 Results Q Pass Fluid depth prior to test 0 Water added 600 gal New fluid depth 0 in Elapsed time 30 min Final fluid depth 0 in in Absorption rate 600 gpd FIELD STATUS — POST RECOVERY Effective depth (per record drawings) 6 Effective depth used 0 in Effective depth remaining 6 in in E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well on lot) Septic Tank/Lift Station on Lot > 100' Q■ Yes Community Sewer Manhole/Cleanout > 100' [E Yes if No ft ❑■ Yes if No ft Neighboring Tank > 100' Yes if No ft Private Sewer/Septic Line > 25' Q■ Yes if No ft Absorption Field on Lot > 100' ❑■ Yes if No ft Holding Tank > 100' ❑■ Yes if No ft Neighboring Absorption Fields > 100' Yes if No ft Animal Containment > 50' Yes if No ft [9 Yes if No ft if No ft If tank or field is under driveway comment below F. ENGINEER'S COMMENTS Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' ■DYes if No ft ■❑ Yes if No ft ❑ N/A — Served by Community Well (not on lot) or Public Water From Septic/Holding Tank and Absorption Field(s) on Lot to: (Please enter distances if less than required) Building Foundations > 10' Q■ Yes if No ft Surface Water > 100'■❑ Yes if No Tank to Property Line > 5' ❑■ Yes if No ft Wells on Adjacent Lots: Field to Property Line > 10' ❑■ Yes if No ft Private Wells > 100' ■❑ Yes if No Water Main > 10' Q■ Yes if No ft Community Wells > 200' ❑■ Yes if No Water Service Line > 10' ❑■ Yes if No ft If tank or field is under driveway comment below F. ENGINEER'S COMMENTS ii ft ft G. CERTIFICATION & 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, indicates that the on-site water supply and/or wastewater disposal system appears to comply with applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation, unless noted otherwise. Name of Finn NorthRim Engineering Engineer's Printed Name Steve Eng COSA Checklist—June 2022 Photic 694-7028 Date 7/18124 * ,49TH.. %C64h Steve Eng CE -6256 7/i8/2 fili MiripALITY OF ANCHORAGE ILA DEVELOPMENT SERVICES DEPARTMENT i '�`'� 907-543-7904 On-Si'.e Water and Wastevi mer Section � % =ax: 343-7997 wwliv.rnuni.org/onsite Septic Tank Advisory Certificate of On -Site Systems Approval # OSC241254 Subdivision: River View Estates Block:5, Lot: 11 The septic tank for this property is 21 years old. The average life of an asphalt coated steel septic tank is 20 years. Typical replacement costs are $15,000 or more, not including engineering, surveying, MOA permitting fees or site restoration. This advisory must be attached to all copies of the subject Certificate of On -Site Systems Approval. This is an example of what the metal of a 30 year old steel tank MAY look like. Maintenance Checklist: A4vanced Treatment System Oporational Checklist Advanced Treatment System LellatCleacdpitiow, .......... Street Address; T A- Se,w,e ProvWed on., Date, Time: Service Providedby: Company, EMPI Date of last service, BY. D You 0 Other .1'j of AeroCell Treatment System-, C3 Cat 0 - AeroCell Treatment System 0. Cat Of - Aer1 Treatment System 2. Coodifians, at media fifter, KAcceptable, 0 Unaco"tabto a, Evaluate presence of odor with I Oft of perimeter of system: 5kNone El Mild F1 Strong 0 Chemical C - j $,our b, Source of odor, It present, I Manhole Risem and Pipe Cape: IZI Accept" 0 Unacceptable a. Coverts and insuLation intact: 0 Yes C) No b. Method of securing cover: ( zzr414 tAAy plumbing leaks or water intrusiow, 0 Yes p No d. Surfs" watwAtifittratior into componenW El Yes A. No 4Wnft*Ajr supply. ki Acceptable 0 Uroocoptable a. Air supply unit operation property. 0 Yes 0 No b. Venting appears operable- K ye -s No 5hle4la surface: R Acceptable C2 Uneco*tabje aSk"t on surface) Cl Yes Q1 NO b. Uniform spray pattem.- Yes 0 No c. Pon" Won mI Y" J4 No d. Pluggingictogong of nortjes� Yes No e. Media appears to besettling.- Yes No f. Appropriate maintenance performed. 09 Yes 0 No 9. Pest activity at surface, U Yes 0 No C Effluent "Ift: I Pill III I 1111R } _111111 PAGE 1 7. Ta ski; for reclirculating/disoherge flows., [j, Acceptable C] Unacceptable a. It applicable. Jandy valve (unctioning. 0 Yes 0 No 0 NIA ti. If appkable, Jandy valve basin dry: L-1 Year 0 No C] N/A c. Design terirwation ratio: 80,20 d. Actual recirculation ratio (Estimaled)- 8. PurnP System: Q Acceptable 0 UnaccepUble �i, Control panel in Auto. Yes 0 No G . Tirmt s"ings, M '71 OFP Override ON: ttyide OFF: c. Floats in cmact. placement IJA Yes 0 No dHigh water alarm operational: Yes 0 No *. Elapsed time reading. f any counter reading: 9, Effluent Filter serviced: Yes No h. Tank lids secured after inspection- Yes No i. Weep ho4e functional: !$Yes Cj No 9. Ptimary Tank: 0 Acceptable 0 UnaccepteMe a, Sludge and scum level checked., [3 Yes No b. Tank needs to be pumped: n Yes No c. Tank llds)caps secured after Ins pectlon- Yes No 10. Drainflold: a. Type of drainfield (check one): V Bad 0 6 -wide Trench b. Design effective depth: inches c. Checked liquid levels In drainfield: � Yes 0 No MT#1 Liquid Level: 0 Inches MT#2 Liquid Level: 6 inches MT#3 Liquid Levek.___.�2_irimes MT#4 Liquid Leve', 6r,, S fn&es d. to *An any omfwkV eMuent- F-1 Yes ONO 00w lCommenfa.- k a �1 '4/B'a'i7 �;FO'w' ASBUILT SFWARA S I HEREBY CERTIFY THAT I HAVE SURVEYED. THE SCALE: FOLLOWING DESCRIBED PROPERTY, .r/vE:�/�/.cvvsss1�J' row' cep// ai t • DATE: AND THAT NO F.NCROACHMENfS EXIST EXCEPT AS INDICATED. IT IS THE RESPONS19ILITY OF THE OWNER TO DETERMINE THZ EXISTENCE OF ANY GRID - EASEMENTS, COVENANTS, OR RESTRICTIONS . tw 3s7 WHICH DO NOT APPEAR ON THE RECORDED SUBDI- VISION PLAT. UNDER NO CIRCUMSTANCES SHOULD FB' ANY DATA HEREON BE USED FOR CONSTRUCTION OFFENCE LINES, OR FOR ESTABLISHING BOUND- DRAWN, ARY LINES. LAND SURVEYING �lw%'k% OF At . q�TM 04 . AJ • Oy..�• Meh S-•� LS -6918 T,T•d 9b2£8£fiL06:01 :wojj b0:01 Ulnentl5lgn IU: tbtl9/4A-26/b-tF11-9y1A-UU224b2VUi.bU MUNICIPALITY OF ANCHORAGE ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND REPAIR AGREEMENT THIS MAINTENANCE AND REPAIR AGREEMENT, herein the "AGREEMENT' made and entered into as of this 17th Day of September of 20 24 , by and between Eric Salinas , herein the "OWNER," and the Municipality of Anchorage, herein the "MUNICIPALITY", in accordance with Anchorage Municipal Code (AMC) 15.65.365. In consideration of the mutual covenants contained herein, the parties to this Agreement agree as follows: 1. Advanced Wastewater Treatment Systems. The Municipality grants permission to the Owner to utilize and operate an Advanced Wastewater Treatment System (AWWTS), described as 21140 River Park Drive, Eagle River, Alaska 99577 located at (legal description) River View Estates L11 B5 2. Maintenance, Repairs and Alterations. �... Owner is required to read, understand and initial each section) Throughout the term of this Agreement, the Owner shall enter into a service agreement with an AWWTS service and maintenance provider approved by the Municipality or the manufacturer's representative. The AWWTS shall be maintained in a satisfactory condition capable of performing as designed and producing treated septic effluent in . accordance with the equipment's approval for operation in the Municipality. UIt shall be the responsibility of the Owner during the term of this Agreement to pay for all repair(s), maintenance, adjustment(s), replacement costs, and inspection costs. This includes an annual maintenance fee (typically $400 to $600). Owner agrees that only maintenance and repair personnel approved by the Municipality or the manufacturer's representative will inspect and make any necessary maintenance, .�.� repairs or permitted alterations to the system. UOwner acknowledges that regular maintenance of an AWWTS reduces the potential failure of the system, which could include sewage backup and costly repairs or drainfield replacement. (rev. 05/18/2018) Page 1 of 3 UOwner acknowledges that the Municipality may request records of maintenance and repairs from the manufacturer's representative or maintenance provider. UOwner acknowledges that the fine for failing to maintain and repair an AWWTS may be .,. assessed in accordance with AMC 14.60.030. Owner agrees to grant the Municipality reasonable access to test and inspect the AWWTS. The Municipality will give at least 24-hour notice. UOwner agrees that any sale or transfer of title of the property will not occur without a new Certificate of On -Site Systems Approval. Owner agrees that the AWWTS installation and maintenance requirements as provided by the AWWTS vendor/installer and approved by the Municipality are the governing guidelines for the construction, maintenance and repair of the Owner's AWWTS. Owner agrees to maintain remote monitoring of the AWWTS as required by the AWWTS approval. 3. Term. The term of this Agreement shall begin on the date of approval by the Municipality to operate the installed system, or upon transfer of title, and shall continue while the AWWTS is operational or until title is transferred. 4. Nonwaiver. The failure of the Municipality at any time to enforce a provision of this Agreement shall in no way constitute a waiver of the provisions, nor in any way affect the validity of the Agreement or any part hereof, or the right of the Municipality thereafter to enforce every provision hereof. 5. Amendment. This Agreement shall only be amended by authorized representatives of the Owner and Municipality. Any attempt to amend this agreement by either an unauthorized representative or unauthorized means shall be void. 6. Jurisdiction: Choice of Law. Any civil action arising from this Agreement shall be brought in the Superior Court for the Third Judicial District of the State of Alaska at Anchorage. The laws of the State of Alaska shall govern the rights and obligations of the parties under this Agreement. 7. Severability. Any provisions of this Agreement decreed invalid by a court of competent jurisdiction shall not invalidate the remaining provisions of the Agreement. (rev. 05/18/2018) Page 2 of 3 nenuSign Wttit I 6/4A-Z40-tt- I OWNER: By: (signature) Date: I'l SSP :2024 Eric Salinas (print name) STATE OF ALASKA ss. THIRD JUDICIAL DISTRICT The foregoing instrument was acknowledged before me this I) day of 'S�bear 2091,1, by Eric SM,'t%af . 4� ........ NOTARY PUBLIC FOR ALASKAti�.. My Commission expires: 19.11toldo)(P MUNICIPALITY: By: (signature) Z-(print name) (rev. 05/18/2018) Date: Title: "'ARY'. or Page 3 of 3 Municipality of Anchorage Development Services Department " Building Safety Division 439;_ a9 On -Site Water 8 Wastewater Program, 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 Page 1 of 3 On -Site Wastewater Disposal System and/or Well Inspection Report Permit Number. SW050454 PID Number: 050-792-24 Name:CALVIN &CYNTHIA ROWE Wastewater System: ❑ New ■ uP9rode Address: 21140 RIVER PARK DRIVE a EAGLE RIVER, AK 99577 ABSORPTION FIELD Phone: No. of Bedrooms: (435) 831-3163 4 D Deep Trench ■ Shollow Trench Deed D Mound 0Othere LEGAL DESCRIPTION Soo! Ito": 3.0 Told or D.pth Born enga Prude: SEE GPD/se. n. DWG. n. Block: tot: Subdivision: 5 11 RIVERVIEW ESTATES Depth to Pipe •atom own "" prod•: SEE DWG. Gr depth bw*dh pp.: 0.5+ ti rt Township: Range. Section: ne oee.d enwe "h4 pea: Growl 1014th: - - - SEE DWG. n. 40 rx WELL: ❑ New ❑ Upgrade Drava ewlm 5 Nlmi.r a enp 1 D'iet.. h t .en 10»e: — n. n cwerlKouen (Prest.. Ae.0 : Teta Depu- Cesed To- Tobi ae•erppon orea: ►pe matelot: n 200+ w. n ertaMr: GEGI,- Ltd. D 3034/ F-810/ SCH 40 PVC pole Irwtalied: 12/20-21/2005 Dryer: w1G ,fled: stow water twel: R Yield: Pomp Sat u: G•"ht ALow Gp,.,d: GX o(o-EY.¢iFf-1 TANK cvu rL&p rL SEPARATION DISTANCES 0Septic ❑Holding ■S.T.E.P. 0Other* 7o Septic Tank Absorption note Lift Station Holding Tank Ec/PrMo1• s•w.r 411.. w'"i1oc1 GREER/ZABEL TECH CopxNlr ti 9°41.1" 500 rrem Well too'+ too'+ too'+ - 25'+ wt«.d: STEEL wne« a eolwarbmnlr 2 Surface water too'+ too'+ too'+ — — .•�t;":'�`'� LIFT STATION Lot Une 5'+ 10'+ 5'+ - .' =" size In gawk: 1500 n wWoplw.r: GREER ZABEL TECH Foundation 5'+ 10'+ 5'+ - - 01 10..I eOILal . TIMER 10.•1 a: TIMER Nph water P7 .n. 45" Curtain Drain NONE KNOWN Pomp w41. s war. E10euwa awwptione penam.d br. P—TE-30 PLUSI RISING SON Remorks:eTHIS IS A ZABEL SCAT AEROCELL SYSTEM , BENCH MARE( teo.uon and 0 ..ript° BACK DOOR THRESHOLD A.wm.d Elwa4on 100.00 ry ENGINEERS 0 oboOF A �O44 96P GEG, Inspections performed by: Ltd. Dates: 1st 12/20/2005 2nd 12/20/2005 o�fij ' d °.:.... ...., „�... 3rd 12/21/2005 Q fr .. arness.. O Development Services Department Approval �0� CE 3 Reviewed and approved by: Dater p°d I�z; Professloh (Rw. lz/ol) a� �40�0000 PERMIT NUMBER: SW050454 rmB-7-1 ST1 52.04 37.08 MH1 55.94 42.15 FD 47.47 39.63 C01 59.38 63.39 MT1 57.35 64.42 CO2 59.72 88.67 MT2 60.39 1 87.90 AS -BUILT DRAWING PARCEL ID NUMBER: GSD -792-24 RIVER PARK DRIVE / :.'•'i 10' UTILITY EASEMENT -- ''------------ --- I �I� EXISIITINC GRINDER PUI 1 I / EXISTING 1250 GALLON SEPTIC TANK (LESS THAN THREE YEARS OLD) i i NEW 500 GALLON UFT STATION r/ SCAT AEROCELL SYSTEM CONTROLS NEW SCAT AEROCELL UNIT ___4 EXISTING DRAINFIELD TO BE USED ASA ` RESERVE SRE , 1 'n• �S&S ENC. TH/2 NEW DRAINFIELD GARNESS ENGINEERING GROUP, Ltd. - * ` LH i CONSULTANTS S GENERAL CONTRACTORS .... )AI L lUl)*R r W (b)jU)�Ii • Fm PREPARED FOR: PHONE NUMBER: PACE NUMBER: •• • • .•••••• CALVIN & CYNTHIA ROWE 435-831-3163 2 OF 3 .10 • LEGAL DESCRIPTION: DRAWN BY:0 C —i LOT 11. BLOCK 5. RIVERVIEW ESTATES SUBDIVISION C.J.G. �� ems' 1 7_, TYPE OF WORK: DATE: �OQ�orore AS—BUILT DRAWING OF SEPTIC SYSTEM UPGRADE 1 1/23/2006 040© I-". Ulm) VN. Garness. X�553 1 I I I I PERMITNUMBER: AS -BUILT DRAWING PARCEL ID NUMBER: SW0 SW050454 050-792-24 FINAL GRADE - 105.49 INSULATION TOP OF MANHOLE 105.15 TOP OF TANK STI MH AT INLET 101.09—\ANK AT OUTLETF T 101.09 TH# 1 INVERT OF BUNG _/ 11 500 GALLON AT INLET - 100.65 LIFT STATION FINAL GRADE 103.91-104.20 102 ORIGINAL GRADE FILTER FABRIC -1\ INSULATION -1 ` y: �:.�•>-w r..�Y: ,•i,•, INVERT OF DISTRIBUTION TOP OF SAND UNE 100.84 (AVC.) 100.31 (AVG.) .,_;.;;r,!,gSAND• FILTER i.,c.* RELATIVE ELEVATION OF BOTTOM OF TEST HOLE - 90.91 I- 5 BOTTOM OF TRENCH 95.31 (AVG.) GARNESS ENGINEERING GROUP, Ltd.tr •' 4 ? CONSULTANTS d GENERAL CONTRACTORS •••••• • >WI L lOOM 000A OMR 101 . YOCO.CL M MOI .1.101[ (101)).1)-0110 . IM (1101)SJ M" • OOyR: ....pw�wywwMOww PREPARED FOR: JPFIONE NUMBER: PAGE NUMBER: CALVIN & CYNTHIA ROWE 435-831-3163 3 OF 3 OQ et re LEGAL DESCRIPTION: DRAWN BY: OQ r ' , E LOT 11. BLOCK 5. RIVERVIEW ESTATES SUBDIVISION C.J.G. 00 ' ••4 TYPE OF WORK: DATE. 444��C PROFILE AS—BUILT OF SEPTIC SYSTEM UPGRADE 12/29/2005 (ROY. 01105) ...... ......... Bee i■ %■ 27 2005 2:21PM HP LASERJET FAX 622-6777 Rising ton Electric. Inc. �C i/ 0916 \Voodland Drive Eagle tZiver. AIC 995T7 (907)622-6777 vj r 9 N December 27, 2005 Gamess Engineering Group, Inc. 3701 E. Tudor Road, Suite 101 Anchorage, AK 99507 Re: 21140 River Park Drive Dear Kelly: P.1 The lift station at the above referenced property has been wired In accordance with NEC and State/Local codes. Thank you. Sincerely, Kevin S. Hornbudde, Owner Administrator License Number 1284 Specialty Contractor License Number 27285 MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water 6 Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade Date Issued: Dec 19, 2005 Expiration Date: Dec 19, 2006 Permit Number: SWO50454 Parcel ID: 050-792-24 Legal Description: RIVER VIEW ESTATES BLK 5 LT 11 Design Engineer: 0855 Garness Engineering Group, LTD Site Address: 021140 RIVER PARK DR Owner Name: Mike Thompson Lot Size: 40135 SQ. FT. Owner Address: PO Box 4042 Total Bedrooms: 4 Permit Bedrooms: 4 Palmer , AK 99645 - 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 DSD at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 ( 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. a.) Property buyer shall sign the attached maintenance agreement prior to title transfer. Received By: Issued By. Date: Z2Jj r Municipality of Anchorage Development Services Department Building Safety Division On -Site Water & Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.cl.anchorage.sk.us +17s (907) 343-7904 '1 1 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. n — �6s—C?'1 Permit Number Property owner(s) CALVIN & CYNTHIA ROWE Mailing address (1) c/o BROOKE STILTNER Day phone 240-8430 w/ Rcuev PROPFRTIFS Mailing address (2) 16600 CENTERFIELD DRrVF • EAGLE RIVER. AK Zip Code 99577 Legal description (Lot, Block & Sub'd.) LOT 11 BLOCK 5• RIVERVIEW FSTATFS SI BONISION Legal description (Section, Township & Range) N/A Lot Size yn ly5 Acre q. t. Number of Bedrooms 4 THIS APPLICATION IS FOR: Sewer Only ❑ Well Only ❑ Sewer and Well ❑ Water Storage ❑ Sewer Upgrade THIS PROPERTY CONTAINS: Hot Tub ❑ Jacuzzi ❑ Swimming Pool ❑ Water Softening Unit ❑ Therapy Pool ❑ I certify that the above information is correct. I further certify that this application is being made for a Single Family Dwelling and is in accordance with applicable Municipal codes. GARNESS ENGINEERING GROUP Ltd. Permit Fees: Li �ri� -► (—) S Waiver Fees• nn (D[05 Date of Payment: I vt I ���/ Vic/ 1 a ate of Payment: Receipt Number: 7q ✓Lr 1 k AReceipt Number: GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS & GENERAL CONTRACTORS w - November 28, 2005 Municipality of Anchorage Development Service Department On -Site Water & Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, Ak 99519-6650 (907) 343-7904 Ref: Proposed Septic Upgrade for Riverview Estates S/D; Lot 11, Block 5, (SCAT Biofilter System) To whom it may concern: The existing 4 bedroom house is served by a private well and septic system. The septic system is will not pass an adequacy test and therefore must be upgraded. The system was installed on 7/23/2003 and consists of a 1250 gallon tank and dual 5 -wide drainfields. We are proposing to install a SCAT Biofilter system which will consist of a 500 gallon S.T.E.P. tank and 5 -wide trench type drainfield. We are proposing to use the existing 1250 gallon septic tank which is less than 2 years old and install the 500 gallon S.T.E.P. Tank. The new drainfield will be installed in the alternate site area shown on the original S&S Engineering design. Two test holes were excavated on the property by Robert C. Cowan, P.E. It appears that Mr. Cowan used the upper soil stratum for his design and so the system was installed very shallow. According to Mr. Cowan's soil logs, water was found at 11 feet on 5/14/2003. We are proposing to install the new drainfield a deeper depth than the existing drainfield and we are conservatively assuming that groundwater will not rise higher than 7 feet below the ground surface. Comments regarding the design are summarized as follows: 1. SOILS: See the attached logs which shows the soil classifications, groundwater monitoring, and the percolation test results. We are proposing to use an application rate of 3.0 gallons/day/ft' with the use of the SCAT Biofilter system. 2. TRENCH DESIGN: a. Percolation Rate: 8.6 minutes/inch b. Proposed Application Rate: 3.0 gallons/day/ft' c. Number of Bedrooms: 4 d. Design Flow: 600 gallons per day e. Minimum Absorption Area: 200 fie f. Total Depth: 5 feet (maximum) g. MOA Approved Sand Filter: 2 feet (minimum) 3701 E. Tudor Road, Suite 101 • Anchorage, AK 99507 Ph: (907) 337-6179 • Fax: (907) 338-3246' Website: gamessengineering.com h. Effective Depth: 0.5 feet (minimum) i. Width: 5 feet j. Reduction Factor: N/A k. Minimum Length: 40 feet long 1. Effective absorption area = 200 ft' 3. SURFACE WATERS: There are no surface waters within 100 feet of the proposed septic system. 4. TOPOGRAPHY: The average slope in the area of the existing and proposed drainfields is a 3 to 5 percent running approximately south to north. In short, there are no slope concerns. We are unaware of any adverse impacts this installation would have on adjacent wells or septic systems. If you have any questions, please contact us at 337-6179. Thank you for your assistance. P.E., M.S. NOTE: A site plan drawing, a design drawing, three detail drawings, two soil logs, and a 7 page construction specification letter which are all part of the design package for this septic system. 3701 E. Tudor Road, Suite 101 • Anchorage, AK 99507 Ph: (907) 337-6179 • Fax: (907) 338-3246 • Website: gamessengincering.com � � \ i I /I J LOT 6, BLOCK 7: RIVERVIEW ESTATfS OT 7, BLOCK 7; I RIVERVIEW ESTATES \ I LOT 8. BLOCK 7; RIVERVIEW ESTATES - - - - - - - - - - - - - - - - - - - - - - - -- r-== 1 / l-- / l RIVER PARK DRIVE 1 I I /LOT 10. BLOCK S; 1 \ a \ RIVERVIEW ESTATES \ \ \ \RC "-SBS ENO. THj2 / \ APPRO,. L 1 LOT 9, BLOCK 5; I \ RT ERMEW ESTATES ( 1 1 I I .•: arLi i e +• ILS •fir„. I � EATING SEPTIC I SYSTEM I LOT 12. BLOCK S; 1 RNERNIFW ESTATES _ 1 \ I 1 PROPOSED SEPTIC UPGRADE 1 / (SEE DESIGN, PACE 2 OF S) CC / To LOT B. BLOCK S '1RE/ / 'yoi RNERVIEW ESTATES \ / t \ / �r� I I I I 1 LOT 6, BLOCK 5; RIVERVIEW ESTATES GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS b -CONTRACTORS— (907" CONTRACTORS1Y0])y) lm . Iu (M1TSY-pM . �Is91C' w. PREPARED FOR: PHONE NUMBER: PAGE NUMBER: CALVIN AND CYNTHIA ROWE 435-831-3163 1 OF 5 LEGAL DESCRIPTION: DRAWN BY: LOT 11, BLOCK 5; RIVERVIEW ESTATES SUBDIVISION I J.L.M. : OF WORK: SITE PLAN FOR PROPOSED SEPTIC (R". 01W) 11/23/2005 mul” RAW ................... , A. Gornessr � I / I /I w, J / of I wl 3�1 �I �I I �\ \ I I .•: arLi i e +• ILS •fir„. I � EATING SEPTIC I SYSTEM I LOT 12. BLOCK S; 1 RNERNIFW ESTATES _ 1 \ I 1 PROPOSED SEPTIC UPGRADE 1 / (SEE DESIGN, PACE 2 OF S) CC / To LOT B. BLOCK S '1RE/ / 'yoi RNERVIEW ESTATES \ / t \ / �r� I I I I 1 LOT 6, BLOCK 5; RIVERVIEW ESTATES GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS b -CONTRACTORS— (907" CONTRACTORS1Y0])y) lm . Iu (M1TSY-pM . �Is91C' w. PREPARED FOR: PHONE NUMBER: PAGE NUMBER: CALVIN AND CYNTHIA ROWE 435-831-3163 1 OF 5 LEGAL DESCRIPTION: DRAWN BY: LOT 11, BLOCK 5; RIVERVIEW ESTATES SUBDIVISION I J.L.M. : OF WORK: SITE PLAN FOR PROPOSED SEPTIC (R". 01W) 11/23/2005 mul” RAW ................... , A. Gornessr NUMBER OF BEDROOMS: 4 GALLONS PER DAY (GPD): 600 PERCOLATION RATE/S: 2.2-8.6 MIN./INCH PROPOSED APPLICATION RATE: 3.0 MINIMUM DRAINFIELD SO.FT.: 200 DRAINFIELD DESIGN: MAXIMUM DEPTH: S FEET WIDTH: S FEET LENGTH: 40 FEET M.OA APPROVED SAND FILTER: 2.0 FEET EFFECTIVE: 0.3 FEET REDUCTION FACTOR: N/A ACTUAL SO.FT.: 200 1 1 WQ In EXI i NG GRINDER I / / ExISTING 1250 / SEPTIC TA / DOUBLE CLEAT PROPOSED 500 GALL( BIOFILTER TANK SYSTEM CONTI RIVER PARK DRIVE \\\ _—To' UTILITY EASEMENT -- _- — _ _— TO OBTAIN A COPY OF THE LETTER PROPOSED 650 GP CONTACT CEO. BY PROCEEDING FORWARD SCAT BIOFILTER UN WITH THIS INSTALLATION, THE ENGINEER, INSTALL FLOW DIRE WELL DRILLER, CONTRACTOR AND PROPERTY OWNER AGREE THAT THEY HAVE READ THESE SPECIFICATIONS AND PROPOSE AGREE TO ACCEPT THE TERMS AND (SEE PRi CONDITIONS OUTLINED. I PAGE 4 REID71NC NOLgP i ----_moi GARNESS ENGINEERING GROgUATE: p'?' CONSULTANTS& GENERAL CONTRACTORS •••• LAI t TWM LIMO. !,I[ 101 • ,Mb10MOt AK MOO) • lIIOMC (907)W- ," • FM (901)1L-, .11098 PREPARED FOR: PHONE NUMBER: PAGECALVIN & CYNTHIA ROWE 435-831-3163 2QeLEGAL DESCRIPTION:OLOT 11, BLOCK 5: RIVERVIEW ESTATES SUBDIVISION TYPE OF WORK: 11/23/2005 DESIGN OF SEPTIC SYSTEM UPGRADE (Rm. OIM5) le r r-------------------------- FROM SGT UNITCO MTO COI 5 DE L --------------------------J r10 FEET LONG -� FINAL GRADE ORIGINAL GRADE FILTER FABRIC INSULATION f GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS d -CONTRACTORS I", L T FON. l 101 • 000VAL W • ML (001).1] o • MIG w. PREPARED FOR: IPHONE NUMBER: PAGE NUMBER: CALVIN & CYNTHIA ROWE 1 435-831-3163 3 OE_5 LEGAL DESCRIPTION: DRAWN BY. LOT 11. BLOCK 5; RIVERVIEW ESTATES SUBDIVISION I J.L.M. OF WORK: DETAIL/PROFILE OF SEPTIC SYSTEM (R..01A5) 11/23/2005 •./I rey A. Gorness: ` 1 I. CE -7953 .a ■9� /§ 4.1 �1.4 m|" § 222_ (■ z,o§ : :� �• �© �{ @ k k� _ 7 % } � � )S £ • _� � ■ 2 A ■9� /§ 4.1 �1.4 m|" .\ 2 (■ z,o§ k©• � @ k k� _ § % ?2 e|| r | § § 4 V) § LjLa�L eee> :-i mo { 0 V) E 2z 5 . �142k 2§§8 (n dz� � §\§\_ ■9� /§ = �\\\�\ _� , \\1 / 11 � � / `/ � •. /� •�� , / ` �% • ��_ ' �' � � � • • �11�, `\\ =' \ � �� \\�� �• �� �� 1�1�1/ �� �� �Ali{■� ,.-� .:::❖:, �::_;. .... ,....❖. �� 1 �� ..�� � 1..:R.� �' t. •�• �� .� �.. W. •• '� •• .. �� � :: .: :: ... .. ;;� ,W .� .. � � I � . ., �� �� 4 �I I �� , •%iii v.T:.....1� • � �,•,•• .• _��� Y ���� � ,� �• ,. • ,••, ••• �� III .. ., `� -� � �;. ���� � ' .. _ - � s• i' • • Municipality of Anchorage Development services Department BtpTwo' 9SafetyDivision • '"'� °"Si� SL 47WSM1h Bwed rw tewater P aT P.O. Bac lae=Acdwrage, AK 995IM650 N w d and,axle ak Us (W7) 343-M Pedwited For. Legal Ceseiption: T1 P4 S 11C RT C. COWAN CE.P301 Soils Log - Percolation Test I `'��===' I M I K II THo n fl Se n1 Date Performed: S-11103 v rwT,.'nstip, Range. Sedore Site Man COMMENTS H L i'I�r 4 I LFA.((. As c,c f � I'/yP' ro a 4 WAS GRC= WATER 'y�'S E\^w^4^lici-JT S IFYES.ATYA'ATDEPTM �' C Depth tOW.terA.4lrIT monitamgT P W E D.t.5'—Int-03 Rea�M Date GrD53Tare I Ne1TYne CrptRlo Waler Net Drop Cl 4f. r. J SA' � �G Y •• 7. FE:OOtAT.ON RATE Y'•+etv:"I rc•... TEST,...LN EET"T_N Fi AND FT S t S ENGINEERING PERFORMED BY: jZQ}! XaSk Riwr t D PERFORMED IN At4kVjWt� )UiM ! _CER, FY THAT THIS TEST VIA THIS DA, DATE. S'I �Y 03 4- L Municipality of Anchorage r C�,' I GINEER' EALI.,-•„ Development Services Department! 9 - BUD&V Safety DivtMM .•�• • yt 0"t a Water and Waste%vater Program �r • • 4700 SWM &agave SL P.O. Box 1?SM Andorap. AK 95148650 •A�>� ROB CEERT .88 1 • and,c.are ak Ln C • CE 6801 Soils Log�Percolation Test /its= ` 34-1 7.CO4 .r,SS, PeAormed For. M, k 2 7.1f°n045 o n/ Dale Perforned: s-/1/0-7 Legal Descripticn:LAT 11 8L4C,K S Rrr1..EV1°V &S;-. Township,Range.Sedon: 7-CS7- NOL --0 Depth 7- 6- 1 13- 16 17 18 COMMENTS PJ R P e t C. Tw SI - ©NI -y VIAS CP.Ol..NDWATER „I A L%cOMT_Ca—°DT E L tFYES.ATNYATCEP .0 c Depth toW,ler Ater P UNft 0! E Dz:r. ReaQng °RG.fotc, Gross Time Net Time Depth to Water .r 1/03 0 R•Lo,,_ a. o. 14. 7- 6- 1 13- 16 17 18 COMMENTS PJ R P e t C. Tw SI - ©NI -y VIAS CP.Ol..NDWATER „I A L%cOMT_Ca—°DT E L tFYES.ATNYATCEP .0 c Depth toW,ler Ater P UNft 0! E Dz:r. ReaQng Dare Gross Time Net Time Depth to Water Net Drcp 1/03 0 R•Lo,,_ o H "/'l" 10 10 esti 10" 1. y '4 ao C1 " y ,,y ,- 41/7', 30 /O 0, ( S' " 11 .. N" �0 9" 14 v.,.. atF.. O k " So 60 PEROOLAr.C:rRATE a -Y t FEnCROLEC=F.TER TEST RLT ETMIEN ;L Fr A,%o 3FT S A S ET4V1nrs.c..... G+[- FcRFOR"E0 817054 [+oN River Loop Road No. 204 t/}, _ CcRTIFY 7YAT T=1S TEST WAS FERFORSIE01Il ftu _ .. . TATE A\21.:U`:IG7.IL G�JIDELPIES IN EFFECT ODITriIS DATE. DATE: •r/1�o3 Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program, 4700 S. Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 PageI of� www.cl.anchorage.ak.us (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number: S Q 0 0 6 PID Number. SD^%9 a-• aLI, T Name /1/1; I _O AOS -50n Wastewater System: New ❑ Upgrade �drOs g ABSORPTION FIELD Phone_ � q 7 Nuwkw of eedroornr 3 S� / O Deep Trendy p(Shalbw Trench O Bea Q f.,pia,d Q Other. LEGAL DESCRIPTION SW Rating Depth from original grade: I O 41Total p ,�, F, Block: Lot: Subdivision: Q a � q II Depth tpe bottom from original grade Gravel depth beneath pipe:S I Cr Ft. O• FI. Township' Rahe, Section: Fill added above original grade:I f + a. Graval Lervily _ I D O T441 ^Q • Ft. Ft. Well: New Upgrade ❑ Gravelvntth. S Num 1Msa: Distance between lines: 1.5 Ft. FL ClaslAqtim lPnvate.tk 9, Ck Total Depen: Cased to Total absorption arae ((//���) O Pipe Material ' ST 3� � a OO FI..53 Ft. V FIs O Driller S Dale DOW:: -5/z-7/031 Static Water Level: Installer, �• F0 3eZt 04 Date Installed �?"oC3 "O lA 1 V Ft NY S 1 YieldPump Settl: Casting lbphttt Above Ground TANK GPM fl. �•• FL SEPARATION DISTANCES J Septic ❑ Holding ❑ S.T.E.P. ❑ Other, To Septic Absorption Lift Holding PubfidPrivat er Manufacua Capedl From Tank Field Station Tank Sewer Line Well I 1 ` 16 1 — — ��1L Matenat S 1 Number Of Compartments' 7 ee �'C) Surface water � LIFT STATION MaMactwer, Lot Line Gat L 'Pump on• level at. fir level Nigh water alarm at: FouWelron GC) In in In. Pump Maks b L Electrical Inspections pedonmed by Curtain Drain Q tie >`W1n Remarks BENCH MARK Location antl Desmpnon: O✓Yi S med Ehivabon: • M I OD ;4 Q FL S Z S CIGINIZLFING Inspections performed by: 17034 Eagle River Loop Road, U Enwhe e 2nd 01 •� i R URI G ttrMAM Y�i��"o, Development Services Department Approval Cc.t Reviewed and approved by: Date: e•it� ••• • �•• v (Rev INmI U PERMIT NO. SWO30062 PACE 2 OF 3 Municipalit of Anchora e DEPARTMENT OF HEALTH AND HURXN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 • Anchorage, Alaska 99519-6650 0 Te'l�ephone: 343-4744 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT LEGAL LOT 11, BLOCK 5, RIVERVIEW ESTATES S/D P.I.D. NO. 050-792-24 SEPTIC c AREA ILOT 12 NEW & DBL2 RIVER PARK DRIVE 10' UTILITY EASEMENT 4 NEvV Hp� OOM E TRENCHES TH C _ ALTERNATE ' D !MH#2' LOT 8 'OTT G COWAN ' CE -8801 40' PERMIT No. SW030062 PAGE 3 OF 3 Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 • Anchorage, Ataska 99519-6650 • Tegl�ephone 343-4744 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT LEGAL LOT 11 BLOCK 5, RIVERVIEW ESTATES S/D P.I.D. No. 050-792-24 ST1 FINAL GRADE ST2 103.1' I NEW 1250 GALLON SEPTIC TANK 105.5' 2" INSULATION 102.9' col • • • •. •• ml 'I • • J 1I ADE INSULATION ' ........ ......... lllw�r100.2: MT1 = 99.6' MT2 = 99.6' MT3 = 101.1' AL WATER FOUND ® 89.6' 87.6' B.O.H. MT4 CO3 = 104.9' C04 = 104.6' CO3 = 101.7' C04 = 101.7' MT4 = 101.1' N. T. S. 01/01/1999 00:03 6882259 SULLIVAN PAGE 02/02 ertifItb DrItting jog by DOC CO.Cba SULLIVAN WATER WELLS P.O. BOX 670272, CHUGIAK, ALASKA 99567 o TELEPHONE 638.2750 OWNER OF LAND:.IM —7-110mlorrovj ADDRESS: n LEGAL DESCRIPTION: afS / '-� �% t E &-j tK S" 40( r DATE: `a :3 PERMIT NUMBER: pL.?msi Q� Date of Issue -4-03-0 TAX IDENTIFICATION NUMBER: Zs -`7�0A - a2 Is well located at approved permit location? `rl u No Method of Drilling: r rotary U cable toot Depth of well: e)6a Casing Types .h/ Wall Thickness' C252 inches Diameterinches, depth Sa feet Liner Type: LQI 'y d I Py L Casing Stickup Above Ground: a• feet Static Water Level: 3 a' feet Recover Rate: —L _ gpm Method of Testing: /9/g Well Intake Opening Type: U open end en hole Screened: Start feet Stopped feet °J Perforations Start feettopped feet Grout Type: LUI) Ta. ft T� vat me Depth: from feet, to 02 0 feet Well Disinfected Upon Completion? L -Y_<0 No Method of Disinfection: Cv-04OQ. Comments: BORE 41 so C -4 D C) lee— R'3 < do .Etil J��c—Z S�•�nS %�G�� Driller's Name L?LtA ATTENTION: It is the responsibility of the property owner to submit a copy of the well log to the proper authority. Municipality of Anchorage: Department of Health & Human Services and/or Department of Environmental Conservation, MatSu Borough: Department of Environmental Conservation. C. MUNICIPALITY OF ANCHORAGE x Building Safety Division SA ETY MEMORANDUM DATE: September 17, 2003 TO: File FROM: Joe Goodall Engineer II, On -Site Water Wastewater Program SUBJ: Riverview Estates Block 5 Lot 11 have been directed by Jim Cross to approve the As -built: On-site Wastewater Disposal System and/or Well Inspection Report. The permit issued was originally issued to Spurkland, P.E. and then was redesigned by S&S Engineering. t MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM / WATER SUPPLY PERMIT Renewal Date Issued: Apr 03, 2003 Expiration Date: Apr 02, 2004 Permit Number: SW030062 Parcel ID: 050-792-24 Legal Description: RIVER VIEW ESTATES BLK 5 LT 11 Design Engineer: 0007 Tobben Spurkland, PE Site Address: 021140 RIVER PARK DR Owner Name: W M Construction Lot Size: 40135 SQ. FT. Owner Address: PO Box 4042 Total Bedrooms: 4 Permit Bedrooms: 4 Palmer , AK 99645 - 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 DSD at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 ( 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. s Zl Received By: Date:/d Issued By: ; L v Date: c Municipality of Anchorage • Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907)343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. 7 Permit Number SW Property owners) W N` Day phone Mailing address (1) Po ti3Y kk 'T\to`kS Mailing address Zip Code Legal description (Lot, Block & Sub'd.) /\O,- 5 gt4 � \ V \ye(- Q\e:-V--) VSk-4CS Legal description (Section, Township & Range) Lot Size "-i d V2f Acre(Sq.Ft. THIS APPLICATION IS FOR: Number of Bedrooms Cj" 4 H Sewer Only ❑ Well Only ❑ Sewer and Well 9 Water Storage ❑ Sewer Upgrade ❑ THIS PROPERTY CONTAINS: Hot Tub ❑ Jacuzzi ❑ Swimming Pool ❑ Water Softening Unit ❑ Therapy Pool ❑ I certify that the above information is correct. I further certify that this application is being made for a Single Family Dwelling and is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit Fees: //-,c , 0 -Waiver Fees: _I[ Date of Payment: ` o]S Date of Payment: Receipt Number: Receipt Number: (Rev. 12/00) S& May 15, 2003 ROBERT C. COWAN, P.E. ROBERTA. SHAFER, P.E. CIVIL ENGINEERS (907) 694-2979 FAX(907)694-1211 PRWAALS HORITY AP MUNICIPALITY OF ANCHORAGE Development Services Department P.O. Box 196650 Anchorage, AK 99519 SEWER& WATER MAIN EXTENSIONS REFERENCE: Lot 11, Block 5, Riverview Estates - .S k� 0 -5 0 6;L SEWER&WATER INSPECTION It is requested that you RP %j,se permit4o install a well and a septic system to serve the proposed four bedroom dwelling on the referenced property. Two test holes were excavated and percolation tests performed. The approximate locations ENGINEERING STUDIES AND REPORTS of the test holes are located on the attached site plan. At the time of excavation (5/1/03), water was found at 11.5 feet. After seven days of monitoring, ground water was found at 11 feet. WELL INSPECTION &FLOWTEST 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. SITE PLANS If you require additional information, please contact us. ROAD DESIGN Sincerely, 12 - " -' SOIL TEST V Robert C. Cowan, P.E. RCC/bj j PERCOLATION Enclosure TEST STRUCTURAL& MECHANICAL INSPECTIONS 4 ONSITE WASTEWATER DISPOSALSYSTEM DESIGN 17034 NORTH EAGLE RIVER LOOP • SURE 204 • EAGLE RIVER, ALASKA 99577 OP Municipality of Anchorage ;. W�;(VGINEER' :.�ry, 4.�ee r. Development Services Department 4 Building Safety Division On -Site Water and Wastewater Program 4700 South Bragaw St. ".} RO6ERT C. COWAN 0, P.O. Box 196650 Anchorage, AK 99519.6650 cG,i %� CE - 8841 6 ` www ci.anchoraoe.akms Vq (907) 343-79N g < Soils Log - Percolation Test Performed For: r'1 J K 7-00 m 4 So Date Performed: Legal Description: Lo % )1 t? " c K S P ry f kv &., Township, Range, Section: Slope Site Plan T rr�r Na. J F—F FT --- I I 1- 2- 7- 8- 10- 11- 12- 13- 14- 15- 16- 17- 18- 19- 20- CONINIEi 1 I S 0"&I c, J L sr� V,AS GROUNDWATER �. ENCOUNTERED? r2G C �C f 5 IF YES, ATIYHA7DEPTH? L JJ +} o Depth to Water After �) P Monitoring? ( E Dater rpt -r33 l3-4.ri 1'/;.` Y-0 a' I P Too) I L- 0i A/ Reading Date I Gross Time ( Net Time I Depth to Water I Net Drop it « 6, rr,iNr. PEROOLATIGN RATE TEST RUN 6ci'.^/EEiJ _ if t_ } •— bO qri TiO is") l3`° (r..inetes5rwti) r FERC HOLE DIAMETER 61, T ANDFND �qZ FF S & S ENGINEERING PERFORtAED BY: 17834 file Riv_ er Ln-,= Rw d tti n�7 Z3Zs---- CERTIFY T'r,A7 THIS TEST )4`!A/g PERFORMED IN Al�iJW� �t1j jfi AND MUNICIPAL GUIDELINES IN EFFECT ON I TnIS DATE. DATE: 'S 3 Municipality of Anchorage Development Services Department Building Safety Division �., On -Site Water and Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-&6:0 www.d.anchcraae.ak. us (907)343-7904 Soils Log - Percolation rest Performed For: wit k %L - jitopl065O h) Date Performed: S— h �Q Legal Description:l.07 it S Lo r,tC S• Riv#Av t 6l &S7-• Township, Range, Section: ROBERT C. COWAN i �? CE • 8801Ott Site Plan TrjT #oL jj_ 0 Depth 1 3' 0 4G-ofN t c - S V 1 �- f/ • Y 2 o Wi fa.W 3 (3.OV N 4- 5- o- 7- 8 - C_ 10- 11- 12- 13- 14- 115- 16- 17- 1,8- 1 20- MMME ITS t WAS C- ROUND WATER / p E.COUNTE. ED? u( q s IF YES, AT Wi-AT DEPTH? t 0 Depth to Water AfterP htoaitoring? E Dave: yt III Fc COL4TIO\! P_aTE 01 (minctes5r0) FERC HOLE DWMETER 6 TEST RUN BE', ,NEEP! FT A.ND 3_ Fr S & S ENGINEERING /,,j' // /G-- PERFORi'A7/�� 7� ED By7034 Eagle River Loop Road No. 204 I 2t CERT IFY THAT T. -,IS TEST 4va.s FERFOR,NAED IiEdowellw _ __ i ATE AND �N'U`flC:PAL GUIDELINES IN EFFECT ON I THIS DATE. DATE: '!hyo 3 Gross Time Net Time Depth to Water Net Drop /03o 4f,/�,t 'T4 „I I I0 „ I '/x A V1 VRePd,n,"jjVate 30 j 60 t e6 Fc COL4TIO\! P_aTE 01 (minctes5r0) FERC HOLE DWMETER 6 TEST RUN BE', ,NEEP! FT A.ND 3_ Fr S & S ENGINEERING /,,j' // /G-- PERFORi'A7/�� 7� ED By7034 Eagle River Loop Road No. 204 I 2t CERT IFY THAT T. -,IS TEST 4va.s FERFOR,NAED IiEdowellw _ __ i ATE AND �N'U`flC:PAL GUIDELINES IN EFFECT ON I THIS DATE. DATE: '!hyo 3 Geogje P. Wuerch. Mayor March 11, 2003 Anchorage Mmicipaliiy of Anchorage All City Building Safety Division 2002 Lee's Custom Design 11517 Old Glenn Eagle River AK 99577 Subject: On -Site Water and/or Wastewater Permit. Permit Number: SW020049 Legal Description: River View Estates Block 5 Lot 11 Dear Lee's Custom Design: An On -Site Water/Wastewater Permit, number SW020049, issued by this office for a single-family system, will expire on April 8, 2003. This permit was valid for 365 calendar days. If this was a well permit and the well has been drilled, a well log must be sent to this office for documentation of the installation and to close the permit. If this permit was for a wastewater disposal system, an original as -built inspection report must be sent to this office for review, approval and documentation. This as -built inspection report must be signed by ` the licensed Professional Engineer who inspected the installation of the system. As -built inspection reports are required to be submitted within 30 days of the completion of the system. If no system was installed under this permit, and you are still planning to install a well or wastewater disposal system, a new permit must be obtained from this office. A new permit for a second year may be issued for a fee of $100.00 if the renewal application is received on or before the expiration date of the original permit. When applying for a new permit, the fees are: $400.00 for a wastewater permit and $150.00 for a well permit. If you have any questions, please call this office at 343-7904. Sincer o'o 0,4W Ja Cross, P.E. Manager On -Site Water and Wastewater Program Enc: Copy of permit P.O. Box 196650 • Anchorage, Alaska 99519-6650 • Telephone: (907) 343-8301 • Fax: (907) 343-8200 54700 South Braga« Strect • Anchorage, Alaska 99507 htip://Nx-x-,-w.ei.anchorage.alK.us MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 South Bragaw Street P.O. Sox 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM / WATER SUPPLY PERMIT Initial Date Issued: Apr 08, 2002 Expiration Date: Apr 08, 2003 Permit Number: SW020049 Parcel ID: 050-792-24 Legal Description: RIVER VIEW ESTATES BLK 5 LT 11 Design Engineer: 0007 Tobben Spurkland, PE Site Address: 021140 RIVER PARK DR Owner Name: Lee's Custom Design Lot Size: 40135 SQ. FT. Owner Address: 11517 Old Glenn Total Bedrooms: 4 Permit Bedrooms: 4 Eagle River , AK 99577 - This permit is for the construction of: Disposal Field 7Septic Tank ❑Holding Tank E] 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 DSD at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 ( 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: q-10 — 0 Date: 4 - B 42 Municipality of Anchorage • Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 ON-SITE SEWERMELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. Ziff% ! �� ` 0j"1 Permit Number SW020049 Property owner(s) L. Ed's cvSTa iti t`D tasi6 N Day phone Mailing address (1) k (S►7 of iD 'f,& LC idly 1E 2 q 17-7 �ddress (2) el La rZip Code Legal description (Lot, Block & Sub'd.) Ltj i l l tj�V_ S� R1 V E 2y i K V- t= s T A % i. Legal description (Section, Township & Range) Lot Size LIDS s Acres/Sq.Ft. THIS APPLICATION IS FOR: Number of Bedrooms L/ Sewer Only ❑ Well Only ❑ Sewer and Well Water Storage ❑ Sewer Upgrade THIS PROPERTY CONTAINS: Hot Tub ❑ Jacuzzi ❑ Swimming Pool ❑ Water Softening Unit ❑ Therapy Pool ❑ I certify that the above information is correct. I further certify that this application is being made for a Single Family Dwelling and is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit Fees: 660 Waiver Fees: Date of Payment: _-5/7/62, 2.-- Date of Payment: Receipt Number: 16 q y n Receipt Number: cRev, 12/00) 4 To6.YJ1 U /i ]]1l V1S.0 P.E. 203 W 15th. Avenue, Suite 203 ANCHORAGE, ALASKA 99501 (907) 279-3916 Fax (907)-276-6013 SEPTIC SYSTEM DESIGN LOT 11 BLOCK 5 RIVERVIEW ESTATE Municipality of Anchorage Development Services Department On Site Water and Wastewater Program 4700 South Bragaw Street Anchorage, Alaska 99519 April 2, 2002 We are submitting an application for the installation of a well and septic system for this lot. The submittal consists of three (3) drawings showing the present improvements on the lot and the adjoining properties, (sheet 1/3), the proposed improvements of the lot, of which only the well and septic system is subject to this permit application, (sheet 2/3), and a schematic of the septic system, (sheet 3/3). Soil logs and percolation tests of applicable testholes are also enclosed. The septic system design is based on the following: Groundwater at 6 Ft. Use Standard Bed with BioCycle Soil Rating. From Testhole 06/09/99. < min/in = 4 gal per sq.ft/day No. of Bedrooms 4 Required Area per Bedroom: 15014 =37.50 sq.ft. Total area required: 37.50 x 4 = 150 sqft Bottom Rock At 3 feet Top Rock At 2.5 feet Rock Depth 0.5 feet Total Bed Length 150 /5 = 30 USE 50 FT SYSTEM CONFIGURATION BIOCYCLE STANDARD 5 -WIDE TOTAL LENGTH 50 FT TOTAL WIDTH 5 FT TOTAL DEPTH 2 FT ROCK DEPTH 0.5 FT COVER 3 FT The installation of this well and septic system will not prevent wells and septic systems from being installed on the adjacent lots. There are no developed or natural surface / sub surface drainage courses on this or the adjacent lots. The proposed septic system will not change the general slope of the area. Ponding and/or concentration of surface runoff will not result from this installation. I VACANT I VACANT I i Lot 7 of 8 Lot 9 a 5v — 7Dn---i5ff — -Pov--"m m — — SCALD 1' = 100 FT. r _7_7�1 I 1 Lo 12 I Lot 11 I RESERVE ( SITE 1 Lot�m I _BrNCE URKLAND ��. 2225 1�+RDFESSI4N�®� 4 V •. O I rs'_en I I __F___7 Lot 10 1 I f'-1 �' ® I I I I I LOT 12 I \ E \\ (� Well I � I Lam- \ Lot SVACANT Q / � . '% Lot 1 AW TOBBEN SPURKLAND P.E. I I LOT 11 BLOCK 5 RIVERVIEW ESTATES I I SEPTIC SYSTEM DESIGN 203 IN 15TH. AVENUE ANCH. AK. 99501 DATE: MARCH f0, 2002 (907) 279-3916 LEE'S CUSTOM DESIGN SHEET: 1/3 GRID: SWO35 PERMIT # SV980OXX PIB # YY RVE05111.B616 ALTERNATIVE DRAINFIELD I I PROPOSED DRAINFIELD ' TOTAL DEPTH: 2 FT. TOTAL LENGTH.• 50 FT EFFECTIVE ROCK DEP771 (� COVER. 3 FT. I ,- - - - - R.B, - - - ------- - - - - -- --:- - - - - -- djO yy. 2;0 I y'*y**•**, 25 0 25 50 75 SCALE., 1' = .'* FT. TOBBEN SPURKL4ND P.E. LOT 11 BLOCK 5 RIVERVIEW ESTATES SEPTIC SYSTEM DESIGN 203 W 15TH. AVENUE DATE.- MARCH f0, 2oo2 ANCH. AK. 99501 LEE'S COSTOM DESIGN SHEET' 21J GRID: SWO35 907 279-3916 PERMIT #S619800XX PID # YY RVE05113,DVG = O o_ _+ AIRCOMPRESSOR AN LINES 6" M/NIf BIOCYCLE 6000 4—INCH INSULATION 1-114 PVC WITH 118` HOLES AT 30" o l 5 X 50.0 DRAINFIELD 2 FT TOTAL DEPTH .5 FT EFFECTIVE ROCK NO SCALE LEGEND: 1. PRIMARY TREATMENT, SEPTIC TANK 2. AERATION TANK J. CLARIFICATION TANK 4. DISCHARGE TANK 5. SOIL ABSORPTION I UL1Lft lV Z�ruKALANU r.t. I R�RVIEW ESTATE, BLOCK 5, LOT 11 WASTEWATER SYST£Al SCHEMATIC 203 W15th Ave BIOCYCLE WASTE WATER SYSTEM DA TE JUNE 16, 1998 27 hg�6 Ak 99501 LEE'S COSOM DESIGN SHEET. 3/3 GRID: SW35 PERMIT # SW9800XX PID # YY RVE05113BV5 r .r PERFORMED FOR: 1'1l Municiiaality of Anchorage DEPARTMENT OF 1EALTH & HUMAN SERVICES 825 "L'F Street, Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION TEST LEGAL DESCRIPTION:_. L0+ I It 6u b Township, Ran SLOPE 1 2 J GYar -11y Sown V J 1 wi co�ibl.e s to $ � 3 4 5 �, �'.� ?. � � Sw�.✓ S.Q. a 10 WAS GROUND WATER ENCOUNTERED? r' r '0 %0. .� y({4�..✓w.0 iso" y c _ 41/f„U in f:: '... W!♦^.') W A[:, :. n:w0. "I ups -d ti "3 �♦L c � :J wdu dee v .N DATE PERFORMED: Section: 1 80 �y vK 0 - s IF YES, AT WHAT ^ I — Q 12 D DEPTH?_ P E 13 Depth to Water After Monitering7%/L Date: 14- 15- 16- 17 4151617 81920 18- 19- 20-4 SITE PLAN Reading to Gross Time Net Time Depth to Net Water Drop E o4{lC t il: 42. _ _ so 2- to 1;0'L /O 0 3 Z ID $ 3 22 fp y L 10 s'a d Sw.+q vett � / wf i N PERCOLATION RATE (minutes/inch) PERC HOLE DIAMETER t TEST RUN B TWEEN A> FT AND '' FT COMMENTS - >4y-cL C1.+ j 4c.,� K41' JA ( It & u . ... 1 ......_... L /n PERFORMED BY: 1 s I J • s CERTIFY THAT /THIS ITEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUICELINES IN EFFECT ON THIS DATE. DATE: 60[ 4' L 9� 72-008 (Rev. 4/85) w Municipality of Anchorage *AE Development Services DepartmentBuilding Safety Division On -Site Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907)343-7904 PROPERTY OWNER AGREEMENT FOR THE MAINTENANCE OF AN ON-SITE WASTEWATER DISPOSAL SYSTEM This agreement, dated is made between the Municipality of Anchorage Development Services Department (DSD) and the property owner(s) of This agreement is made for the purpose of maintaining an on-site wastewater disposal system on the subject property. The property owners agree to the following: Submit to the Municipality of Anchorage, on an annual basis, an inspection and operation statement from a registered professional engineer. This inspection and operation statement shall verify that the engineer has inspected all effluent and air pumps, timers, and alarms, and that any deficiencies have been repaired and that the system is functioning as designed. 4i (Signature) 0'VM]211& Dl��- (Printed Name) /71 `I/ /4 (Si ature) z 4z_Vlw 71byr)E (Printed Name) The Foregoing Instrument was acknowledged before me by C.�'C�. a o.�CCN4".this �'Z 'day of V�' 20 O_P . tness my 1 and seal. 44V t ublic '(Signature) F i�TQ� `CRY' (NotaryA printed name) '•. C My Commission ExpiresMy_r�ssion Expires 4lF OF November 09, 2004 Municipality of Anchorage Development Services Department Building Safety Division On -Site Water & Wastewater Program 4700 Elmore Road P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907)343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING n Parcel I.D. 050-792-24 COSA# ®Sl ; / eZ 1,36q 1. GENERAL INFORMATION Complete legal description Location (site address) Current Property owner(s) Mailing address Lending agency Mailing address Real Estate Agent Mailing address Expiration Date: /0 — 3 0 — /�Z_ RIVER VIEW ESTATES; BLOCK 5, LOT 11 21140 RIVER PARK DRIVE *EAGLE RIVER 99577 PRUDENTIAL RELOCATION COMPANY Day phone C/O AGENT 21140 RIVER PARK DRIVE *EAGLE RIVER 99577 Day phone SALLY GOODRICH W/ PRUDENTIAL Day phone Unless otherwise requested, COSA will be held by DSD forpickup. 2. NUMBER OF BEDROOMS: 865-6556 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ■ Individual On-site 0 Individual Water Storage ❑ Individual Holding tank ❑ Community Class Well ❑ Community On-site ❑ Public Water System ❑ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of On -Site Systems Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues COSAs upon request to homeowners. Certificates of On -Site Systems Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water samples. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, l verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. t further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm GARNESS ENGINEERING GROUP, Ltd. Address 3701 E. TUDOR ROAD, SUITE 101 * ANCHORAGE, AK 99507 Engineer's Printed Name Engineer's Comments: JEFFREY A. GARNESS, P.E. In conducting this evaluation, GEG, LtD. attempted to provide a thorough, conscientious engineering analysis of the system in accordance with ADEC and MOA DSD Guidelines & Regulations. The reported results described the performance of the _ system unde- the conditions encountered at the time of the test, and separation distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the local soils condition, groundwater levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of the system. Satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. GEG, LTD. can therefore not provide any warranty or future estimate of how long the system will continue to meet the operational requirements of the ADEC or MOA DSD. The content of this report is for the sole benefit of the owner listed above. Any reliance upon or use of this report by any other person or party is not authorized, nor will it confer any legal right whatsoever. 5. DSD SIGNATURE i/ Approved for bedrooms. Disapproved. Conditional approval for bedrooms, with the following Attachments: COSA Checklist Septic System Advisory Well Flow Advisory Nitrate Advisory Phone 337-6179 Date Z� Z -L IN I Arsenic Advisory Maintenance Agreements Supplemental Engineer's Report Other j CE 795 Prof esslon�o` ON-SITE WATER AND WASTEWATER PROGRAM By:6/t r<Z-� Original Certificate Date: 7-30-12- (Rev. 11105) Municipality of Anchorage ' Development Services Department Building Safety Division On -Site Water & Wastewater Program 4700 Elmore Road P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description: A. WELL DATA RIVER VIEW ESTATES; BLOCK 5, LOT 11 *CASED TO BEDROCK Well type PRIVATE If A, B, or C provide PWSID# N/A Date completed 5/27/03 Sanitary seal (Y/N) YES Total depth 200 ft. Cased to *58 ft. FROM WELL LOG Date of test 5/27/03 Static water level 37 ft. Well production 1 g.p,m. WATER SAMPLE RESULTS: Coliform�� colonies/100 ml. Arsenic: rvv ug./L. Nitrate�`fng./L. Date of sample: 7/17/12 Parcel ID: 050-792-24 Well Log (Y/N) Wires properly protected (YIN) YES Casing height (above ground) 18+ in. AT INSPECTION 7/17/12 50 ft. 0.64 9.p -m. Collected by: GEG. Ltd B. SEPTIC/HOLDING TANK DATA *GRINDER PUMP IN CRAWLSPACE 12/21/2005 Tank Type/Material STEP/STEEL Date installed 7/23/2003 1250 Tank size 500 gal. Number of Compartments E Cleanouts (Y/N) YES Foundation cleanout (Y/N) *NO Depression over tank (Y/N) NO High water alarm (Y/N) YES Date of pumping Pumper � 6/17/12 C. ABSORPTION FIELD DATA *BELOW EXISTING RADE 12/21/2005 it.a Date installed 7/23/2003 Soil rating (g.p.d./ft or cbdrm 1.2 System type SHALLOW TRENCH Length 40/2050 ft, Width 5/5 ft. Gravel below pipe 0.5/0.5 ft. *5.16/4.91 Total depth *3.66 ft. Eff. absorption area 200 ft Monitoring tube YES Depression over field NO Date of adequacy test 7/17/12 Results (Pass/Fail) PASS For 4 bedrooms Fluid depth in absorption field before test 0 in. Water added 820 gal. New depth o in. Elapsed Time: 0 min. Final fluid depth E in. Absorption rate >= 600+ g,p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) NONE If yes, give date — 'r_S-i`eD 2aD5 "ri D. LIFT STATION Date installed Size in gallons Manhole/Access (Y/'N) "Pump on" level at in. "Pump oft" level High water alarm level at in. Cycles tested Masts alarm & circuit requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot 100'+ On adjacent lob Absorption field on lot 100'+ On adjacent lots Public sewer main N/A Sewer /septic service line 25'+ Public sewer manholetcleanout 100'+ 100'+ Holding tank N/A Animal containment areas 50'+ Manure/animal excrete storage areas 100'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Absorption field 5'+ Water main N/A Water service line 10'+ Surface water 100'+ Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ Building foundation 10'+ Water main N/A Water service line 10'+ Surface water 100'+ Driveway, parking/vehicle storage 10'+ Curtain drain NONE KNOWN Wells on adjacent lots 100'+ F. COMMENTS G. ENGINEER'S CERTIFICATION I certify that I have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. Engineers Printed Name JEFFREY A. GARNESS Date -7&&112 COSA Fee $ �/ q6 Date of Payment &12 Receipt Number OS5(eo (Rev. 11105) Waiver Fee Date of Payment Receipt Number Municipality of Anchorage r Development Services Department s �" Building Safety Division On -Site Water and Wastewater Program 4700 Elmore Street P.O. Box 196650 Anchorage, AK 99519-6650 www. ci.anchorage.aLus (907)343-7904 Water Well Advisory Certificate of On -Site Systems Approval (COSA) # osc121304 During a recent COSA on-site inspection and test of the potable water supply well on Block 5, Lot 11 of River View Est. subdivision, the well's productivity was determined to be 0.64 gallons per minute. The minimum well productivity required by this Department (AMC 15.55) for a 4 -bedroom residence is 0.41 gallons per minute. Although the subject well currently exceeds this minimum requirement, all parties concerned are advised that the production capacity of the well may fluctuate. Restriction of non-critical water uses such as washing cars and watering lawns and gardens may be required. This advisory must be attached to all copies of the subject Certificate of On - Site Systems Approval. ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND REPAIR AGREEMENT MEMORANDUM OF UNDERSTANDING BETWEEN MUNICIPALITY OF ANCHORAGE AND .144NE ZooK HOV OWS—)LI, "PHIS MEMORANDUM OF UNDERSTANDING made and entered into as of this k_ Day ofzi�.,1'_lJ� of20_LI, by and between SH#JG 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 rants permission to Owner to utilize and operate an Advanced Wastewater Treatment System (AWWTS), described as U located L� Anchorage, Alaska. 2. Definitions. A. Alteration. Any change to the design or function of an AWWTS that Includes the installation or removal of any parts, components or pieces not included in the original construction permit and design. Prior 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 (hereinafter, "AMC") 15.65. B. Certificate of On -Site Systems Approval. An approval by the 0Municipality of existing water and wastewater disposal systems given at the time of property sale and title transfer in accordance with AMC 15.65. These approvals certify that the systems are adequate for the homes that they support and meet the codes that were in place at the time of system construction. C. Damage. Any man-made or natural change in a system that would inhibit the system front performing as designed. D. Maintenance and Repair. The scheduled and as needed replacement of existing part's, 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. Fee. Owner shall pay to Municipality an annual fee of C _ (5.00), 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 AWWTS. The term begins on the date ofapproval by the Municipality of the installed system and shall continue while the AWWTS system is in use or operational or until the property is sold or title is transferred by owner and a new certificate of On -Site approval is issued to the new owner or transferee of the property. 5. Alterations, Installation and Removal of Additional Equipment. Owner agrees not to make any alterations, removal of parts or additions to the AWWTS without a Construction Permit from the Municipality. 6. Maintenance and Repairs. A. Throughout the term of this Memorandum of Understanding, the Owner shall maintain AWWTS in good repair. In addition, it shall be the responsibility of the Owner during the term of this Memorandum of Understanding, and any extensions or renewals thereof, at the owner's sole expense, to pay for any and all: ('1) repair(s), (2) maintenance, (3) adjustment(s), (4) replacement costs, and (5) inspection costs. Further, Owner agrees to comply will all applicable ordinance, laws, regulations, rules and orders for the AWWTS. R. 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 _ �(n1, �q��Ca C. Owner acknowledges that the fine schedule for failing to maintain and repair an AWWTS are codified in AMC. 14.60. D. Owner agrees that only maintenance, repair personnel certified by the Municipality will inspect and make any necessary maintenance, repairs or permitted alterations to the system. E. Owner agrees to grant the Municipality reasonable access to test and inspect the A W WTS upon 24 hours written notice. F. Owner agrees that any sale or transfer of title of the property will not occur without a new Certificate of On -Site Systems Approval, G. Owner agrees that the relevant provisions of the standard specification guidebook for AW WTS is the governing professional guidelines for the construction, maintenance and repair of the Owner's 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 otUnderstanding shall oniy 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 terns and a , conditions of this contract, the only authorized representatives of the parties are: Owner: 5A�Jh '( /C` /T -dices' - 0. > r, / 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: Date: STATE OU ALASKA THIRD JUDICIAL DISTRICT MUNICIPALITY: By: Title: Date: } ss. The foregoing instrument was acknowledged before me this �j day of 20? ,by NOTARY PUBLIC FOR ALASKA yo,SE�OFa,,...,, ,o1P y My Commission expires: v7-—/ �., .........................ryi ' ' , NO7g9y'` MY Com i expires �= a i `:. n'•.. PUBLIC 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 0(0 \0 '6' 9P APPROVA� r��,FOR A SINGLE FAMILY DWELLING r% Parcel I.D. 5�i— 7`7� - 24 COSA# O(Df�OI n5 1. GENERAL INFORMATION Expiration Date: Complete legal description Location (site address) Current Property owner(s) Mailing address Lending agency Mailing address Real Estate Agent Mailing address RIVERVIEW ESTATES SUBDIVISION; LOT 11, BLOCK 5, 21140 RIVER PARK DRIVE • EAGLE RIVER, AK 99577 CALVIN do CYNTHIA ROWE Day phone (435) 831-3163831-3163 21140 RIVER PARK DRIVE • EAGLE RIVER, AK 99577 Day phone BROOK STILTNER w/ .REMAX PROPERTIES Day phone 16600 CENTERFIELD DRIVE • EAGLE RIVER, AK 99577 Unless otherwise requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 4 3. TYPE OF WATER SUPPLY: Individual Well 0 Individual Water Storage ❑ Community Class Well ❑ Public Water System ❑ 694-4804 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 Onsite 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 Onsite Systems Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water samples. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seat 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. /further verify that based on the information obtained from the Municipality ofAnchorage riles and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm GARNESS ENGINEERING GROUP, Ltd. Address 3701 E. TUDOR ROAD, SUITE 101 • ANCHORAGE, AK 99507 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Engineer's Comments: In conducting this evaluation, GEG, LID. attempted to provide a thorough, conscientious engineering analysis of the system In accordance with ADEC and MOA DSD Guidelines 8 Regulations. The reported results described the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily Identifiable features. The operational life of all wells and septic systems depend on the local soils condition, groundwater levels that may fluctuate during the year, and the water usage of the family being served by the system. Those conditions are outside the control of the evaluator of the system. Satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. GEG, LTD. can therefore not provide any warranty or future estimate of how long the system will continue to meet the operational requirements o/ the ADEC or MOA DSD. The content of this report is for the sole benerit of the owner listed above. Any reliance upon or use of this report by any other person or party is not authorized, nor will if confer any legal right whatsoever. 6. DSD SIGNATURE ✓/ Approved for 4__ bedrooms. Disapproved. Conditional approval for bedrooms, with the fllowing Attachments: COSA Checklist Septic System Advisory Well Flow Advisory Nitrate Advisory Phone 337-6179 Date -Z &(6 06 Arsenic Advisory Maintenance Agreements Supplemental Engineer's Reort Other By: Original Certificate Date: / pv /R_ IIIKI Municipality of Anchorage Development Services Department Building Safety Division On -Site Water & Wastewater Program t ' 4700 Bragaw Street P.O. Box 1986.50 Anchorage, AK 995196650 www.muni.orglonsite (907) 343.7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description: RIVERVIEW EST. SUBDIVISION; LOT 11, BLOCK 5, Parcel ID: QSiO — 772- I;z� A. WELL DATA Web type PRIVATE If A, B, or C provide PWSID# N/A Date completed 5/27/2003 Sanitary seal (Y/N) YES Total depth 200 ft. Cased to 58 ft. FROM WELL LOG Date of test 5/27/2003 Static water level 37 ft. Well Log (YM) YES Wires property protected (Y/N) YES Casing height (above ground) 18+ in. AT INSPECTION 11/1/2005 51 ft, Well production / g.p.m. 0.8 g.p.m. WATER SAMPLE RESULTS: Coliform 0 colonies/100 ml. Nitrate 0.63 mg./L. Other bacteria 0 oolonies/100 mi. 11/2/2005 2/14/2006 Arsenic: <5.0 ug./L, Date of sample: 2/22/2006 Collected by: GEG, LtD. B. SEPTICIHOLDING TANK DATA *GRINDER PUMP IN CRAWLSPACE 12/21/2005 Tank Type/Material STEEL / S.T.E.P. Date installed 7/23/2003 1250/ Tank size 500 gal. Number of Compartments 2/1 Cleanouts (Y/N) YES Foundation cleanout (Y/N) 'NO Depression over tank (Y/N) NO High water alarm (Y/N) YES Date of pumping 1/11/2005 Pumper JR's PUMPING C. ABSORPTION F19LD'ATA 12/21//2005 Date installed 7/23/2003 Soil rating .p.d. ft'/bdrn) 3,0/1.2 System lype SHALLOW TRENCH Length 40/2050 ft. Width 5/5 ft. Gravel below pipe 0.5/0.5 ft. 3.6-3.9 200f Total depth 3.8-5.3 ft. Eft. absorption area 50 ft' Monitoring tube YES Depression over Heid NO Date of adequacy test NEW Results (Pasa/Fab) PASS For 3 bedrooms Fluid depth in absorption field before test = in. Water added =gal. New depth =in. Elapsed Time: = min. Final fluid depth = in. Absorption rate >= 450+ g.p,d, Any rejuvenation treatment (past 12 mo.) (YM & type) NONE KNOWN If yes, give date • — D. LIFT STATION SCAT AEROCELL SYSTEM Date installed 12/20-21/0 Sim in gallons 500 Manhoie/Aooess (Y/N) YES "Pump on" level at TIMERin. "Pump air level at TIMERn. High water alar level at 36 in. Datum BOTTOM OF TANK Cycles tested NEW Meets alar & circuit requirements? YES E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot 100'+ Absorption field on lot 100'+ Public sewer main N/A On adjacent W 100'+ On adjacent lots 100'+ Public sewer manhole/deanout N/A Sewer /septic service line 25'+ Holding tank N/A Animal containment areas 50'+ Manure/animal excrete storage areas 100'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Absorption field 5'+ Water main N/A Water service line 10'+ Surface water 100'+ Wells on adjacent lots 1001+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ Building foundation 10'+ Water main N/A Water service line 10'+ Surface water 100'+ Driveway, parking/vehicle storage 10'+ Curtain drain NONE KNOWN Wells on adjacent lots 100'+ F. COMMENTS G. ENGINEER'S CERTIFICATION l car* that I have determined through field inspections and s review of Municipal records that the above systems are in "" " conformance with MOA COSA guidettnes in effect on this date. y Oorn as.: Engineer's Printed Name JEFFREY A. GARNESS s CE -79 �.` 4 q. Date 2�z� Zooto orefW •aP'f&290d r COSA Fee1 L ',�D Date of Payment 3 0(0 Receipt Number 00,� 9-11 (Rev. 11105) Waiver Fee $ Date of Payment Receipt Number k a �1 '4/B'a'i7 �;FO'w' ASBUILT SFWARA S I HEREBY CERTIFY THAT I HAVE SURVEYED. THE SCALE: FOLLOWING DESCRIBED PROPERTY, .r/vE:�/�/.cvvsss1�J' row' cep// ai t • DATE: AND THAT NO F.NCROACHMENfS EXIST EXCEPT AS INDICATED. IT IS THE RESPONS19ILITY OF THE OWNER TO DETERMINE THZ EXISTENCE OF ANY GRID - EASEMENTS, COVENANTS, OR RESTRICTIONS . tw 3s7 WHICH DO NOT APPEAR ON THE RECORDED SUBDI- VISION PLAT. UNDER NO CIRCUMSTANCES SHOULD FB' ANY DATA HEREON BE USED FOR CONSTRUCTION OFFENCE LINES, OR FOR ESTABLISHING BOUND- DRAWN, ARY LINES. LAND SURVEYING �lw%'k% OF At . q�TM 04 . AJ • Oy..�• Meh S-•� LS -6918 T,T•d 9b2£8£fiL06:01 :wojj b0:01 Municipality of Anchorage • Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907)343-7904 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. 050-792-24 1. GENERAL INFORMATION Complete legal description HAA �7 Expiration Date: — - Q fL Location (site address or directions) 21140 River Park Dr. Current Property owner(s) Mike Thompson Day phone 354-4947 Mailing address PO Box 4042 Palmer. AK 99645 Lending agency Day phone Mailing address Real Estate Agent Day phone Mailing Address Unless otherwise requested, HAA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 4 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well Ea Individual On-site Individual Water Storage ❑ Individual Holding tank ❑ Community Class Well ❑ Community On-site ❑ Public Water System ❑ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority Approval (HAA) based only upon the representations given In paragraph 4 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. DSD 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. (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. a 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 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 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 S & S Engineering Address 17034 N. Eagle River Loop Ste. 204 Eagle Engineer's Printed Name Robert C. Cowan Phone 694-2979 River, AK 99577 Date /03 'OF f $.}f IGIR F_E . A ROBERT C. COWAN I � 5. DSD SIGNATURE �/4P CE -81301 .%\��`", _AL Approved for bedrooms.. Disapproved. Conditional approval for bedrooms, with the following stipulations: Attachments: HAA Checklist X Maintenance Agreements Septic System Advisory Supplemental Engineer's Report Well Flow Advisory Other By: ? Original Certificate Date: l a- I I- 0 3 taev. olm Municipality of Anchorage •.iii.'.Yt .'iU�'�O • "` Development Services Departmentk. ++: Building Safety Division r; - On -Site Water & Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907)343-7904 HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: LvT I ' -+'il.ct-<S ' 121 VErvi o sT V9 Parcel ID: 0S0 " 0:7-n—z4 A. WELL DATA Well type ll- If A, B. or C provide PWSID # = Well Log (Y/N) V Date completed21103 Sanitary seal (Y/N) y Wires properly protected (Y/N) Y Total depth Z_V ft. Cased to 40 ft. Casing height (above ground) I8'f in. FROM WELL LOG Date of test Izq / O 3 Static water level 31- ft. Well production O g.p.m. WATER SAMPLE RESULTS: Coliform colonies/100 ml. Nitratet1-1Obmg.A. Arsenic: N A mg.A. Date of sample: ]? -g'03 B. SEPTIC/HOLDING TANK DATA Tank Type/Material 1IEPn & ' S�dgta' Tank size fso gal. Number of Compartments 2 AT INSPECTION ft. Other bacteria Z. colonies/100 ml. Collected by. Date installed Z3 0 Z Cleanouts (Y/N) Foundation cleanout (Y/N) Depression over tank (Y/N) til High water alarm (YM) Date of pumping AJ EPumper A C. ABSORPTION FIELD DATA Date Installed ,3�Q3 Soil rating (g.p.d./fe or felbdrm) I_Z• System type 5• 'rrzE�c H Length /00 ft. Width �J ft. Gravel below pipe O • ft. Total depth Z.4 ft. Eff. absorption area sW ft2 Monitoring tube Y Depression over field � Date of adequacy test NE'�J Results (Pass/Fail) 'Plf SS For bedrooms Fluid depth in absorption field before test—,,/ in. Water added_ gal. / New depth_ in. Elapsed Time: _ min. Final fl d deth _ in. Abs orption/f/ate >= g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) /V If yes, give date "" D. LIFT STATION Date installed Al A Size in gallons "Pump on" level at in. "Pump off" level at _ in. Datum Cycles tested E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Manhole/Access (Y/N) High water alarm level at in. Meets alarm & circuit requirements? Septic tank/lift-station on lot 100 1+- On adjacent lots X00 if— Absorption field on lot / bio ft- On adjacent lots d O �+- Public sewer main tilt* Public sewer manhole/cleanout N A Sewer /septic service line ZS �4- Holding tank W 1A SEPARATION DISTANCES FROM SEPTIC/HOtDfNG TANK ON LOT TO: Building foundation 5 j Property y li'ne Absorption field 5 't Water main NIA Water service line _ 10 fi Surface water 100'1' Wells on adjacent lots (1190 't - SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line ( D 't Building foundation O + Water main ^t k Water Service line 10 Surface water l Q7Q /4— Driveway, parking/vehicle storage Curtain drain Mout% WNu-Klj Wells on adjacent lots (170 F. COMMENTS P. ...... ....... : -1 G. ENGINEER'S CERTIFICATION �t,e p I certify that t have determined through field inspections and ;i' S' vY Vim• review of Municipal records that the above systems are in conformance with MOA HAA guidelines in effect on this date. �//' • .• M08mr L. ccwx%; Engineer's Printed Name / `a 4�r R -T C- Ca �✓�9� �s ` 'DE -ZSQ,l Date ���............ ���;:• �V HAA Fee $ 3 %S- Waiver Fee $ _ Date of Payment ) �` �� ° �� Date of Payment Receipt Number t) k S MS -Al Receipt Number (Rev. 12101) A LLI z L� 6 N od In RIVER PARK DRIVE o O M 13 MWWE 167wW (R) AW, M i;a 9 8/11.,03 AS BUILT 59-62 1/22/03 PLOT PLAN 59-40 DATE IFLD. BK. NOTES: Eastnenls "I tppeaep en record subdlrislon Pitt ore out shoes ueleu description of eostraenl Is Provided by clieN• It is the respodsiGdiry of the owner or bonder, prior N corlstractlaa. b Terdl proposed bwldinG Wade r*WIWe to fisusls Grade and willtles cotmecwti, ww to determine the eslstence of any eastnMts. ctweasts. or rsstrltllaas wkch do set appear on the recorded *"b Asion plot. Elevaiioes based on assemed darun "as$ otrwwise Indicaled, and beori%93 and disw►cu ore record dab. S8S Engineering us tela cwt eMe too. eo.e ^a^'°'"o t.alt tas4 nww sestt (pG)JWd-2llp LEGAL DESCRIPTION LOT 11. BLOCK 5, RIVERVIEW ESTATES SUBDIVISION PLAT NO. SCALE GRID 79-5 1'"40' I SW 357 N 0 a Q F 0