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HomeMy WebLinkAboutFLAT TOP VIEW #1 BLK 2 LT 11 E80'Flattop View Block 2 Lot 11 E80' 8-391-93 Municipality of Anchorage On -Site Water and Wastewater Section - (907) 343-7904 Page of ON -SITE WASTEWATER INSPECTION REPORT Permit Number: OSP261029 PID Number: 018-391-93 Dwelling: P1 Single Family (SF) E] with ADU R Duplex (D) R Two Single Family Project: F-1 New V Upgrade Name Jim Clark ABSORPTION FIELD 0 Deep Trench El Wide Trench F] Bed R Mound Site Address 3225 De Armoun Rd. El Other Phone � Number of Bedrooms Soil Rating :Total depth from original grade 3 4.0 GPD/SF1 9.36 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade 3.31 Ft. Gravel depth beneath pipe 6.05 Ft. Subdivision Block Lot Flat To View #1 2 11 Fill added above original grade 0.82-1.37 Ft. Gravel length 11 Ft. Township Range Section Gravel width 3 Ft. Beds: Number of Lines Distance between lines Ft. SEPARATION DISTANCES To Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Tank Line 132Ft2 1 Ft. Well 81' 901* 25+ TANK [Z Septic E3 S.T.E.P. El Holding [Z Other Orenco F.A.P. Manufacturer Capacity Surface Water 100+ 100+ Greer 1500 Gal. Material Number of compartments Lot Line 99 10+ NA Plastic 1 Foundation 10+ 10+ L Advantex IManufacturer Capacity Remarks *: Advantex system, 50'Min separation. Orenco Gal. Alarm location Back room of house Electrical installed by Power Light & Control Installer PIPE MATERIAL House to tank D3034 Tank to drainfield D3034 Northern Excavation Drainfield D3034 CO/MT D3034 Inspector Arcterra Consulting BENCH MARK (Assumed elevation) 100 ft Inspection dates: 1s' 3/19/26 2 nd 3/20/26 Location and description 3rd 3/20/26 4 1h 3/23/26 Garage Slab ON -SITE WATER AND WASTEWATER SECTION APPROVAL Engineer's Stamp wt Conditional Approval: Date *# lie, 491B ------------- A------ -------- KE NETH M. Du F0 zo Septic Systemfl 17 Approved Date J CE 7116 Note: this approval does not include well permit requirements. *%411 E (Rev 05/02/18) II I A- AS —BUILT SYSTEM DETAILS/SITE PLAN Permit ❑SP261029 FLAT TOP VIEW #1 BLOCK 2 LOT 11 PID# 018-391-93 I WEL 1 I I � woo I/ \ (tYP� I w L I ` EHISIT� G— \\� 1 o 3 a ECK O \ e O co I x Z WAL _ GRAVE 11x p \ D lD C7 \ \ m C D=38,3' D=54.3' E=44.8' E=58.4' F=47.7' F=51.6' G=48.3' G=55.7' H=48,5' H=55.7' 1=52.2' I=55,7' 7' ._t d WELL SCALE: 1' = 30' �v o 104.8 0 1043 104,8 FINAL GRADE 104.4 103,5 rarer rAw= T. SEWER ROCK N _ 0F.._eV4.4 1� W AW, •�1 PREPARED FOR: JIM CLARK 3225 DE ARM❑UN RD of g Tk L� TH ANCHORAGE, AK N 1�F N N fi I H M 11 FIELD BOOKS COMPUTED: rn C —7118 � . 4 BOUNDARY: N A ORAvm-' KSD t F r�L .•' �� srAwNG N A "E" KMD a 1 ' ASBUILT: JLS DATE: 31231. DWC, FILE: Gan: NW29: ° ACAD Fly` FILE 1OB No-: 26104 94.15 u' SCALE, NTS C E rf, a � D m a � x i o NSULTING > 6` £� AK.99577��; --x x X OZ . N x O x O O 00 x Ld J Q" w w 00 ^ Ox w � N Ln b) x 00 x'zz Z J � x J 0 0 100.0-� L M «00, 90.0 N X X X X X ,0'0C Y U CD zw W o wov / o • 00�N o W= � • Fw Vj0J ZJ �- Q m W O 3 j ,o'oC _ (D Lri '— � > c00'0-b Mjc00j90o0N o N (n p -J W _1 m 0 z VLC 1NG CO J� a) LO v ?C O W In �a z Z C\2 �MLOM I .--I � CV d C\2 C\2 GCS 4D C\7 O C�O CO'4 O M U u IS" �? Gad Q� cOS I j AdW e o O 0 p �� ° o RA 00 o 00 o .v,o.0 P J) F Q J ®'•, x o a i ��;0 N� z w 0 :D � • S: a o • . . • / Q/ C)~ O Q w 0) W O 00 p U - E c� 5 Cn v 7:d O - E+ O U U l � CZ C O N o U m N �JO � Q •U OU .� 7 4 r � O W � pp N .,�' v � U U cz 7� 1 ^- o � cn ►--� -� U N C) A 4-4 OU� (0 m �;.? o6V) cO � o UO o N W CZ > qj O �+ o � � oC) w Z o o ms N ��►0-1 �-1 N U?��. p�� Z N N CA ur MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program PO Box 196650 4700 Elmore Road Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 http://www.muni.org/onsite On -Site Wastewater Disposal System Permit Permit Number: OSP261029 Effective Date: Work Type: Septic Upgrade Expiration Date: Tax Code Number: 01839193000 Site Legal Address: FLAT TOP VIEW #1 BLK 2 LT 11 E80' G:2934 Site Mailing Address: 3225 DE ARMOUN RD, Anchorage Owner: CLARK JAMES BYRON Design Engineer: ARC TERRA CONSULTING INC This permit is for the construction of: Q Disposal Field 2 Septic Tank ❑ Holding Tank ❑ Privy r: l)cpartincnt 3/17/2026 3/17/2027 Lot Size in Sq Ft: 11200 Total Bedrooms: 3 Non -Public ❑ Water Well ❑ Water Storage All construction shall be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80) 3. The wastewater code requires inspections during the installation. The engineer shall notify the Development Services Department per AMC 15.65. Coodinate with On -Site staff regarding preferred method. 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing ,� S" ' I "V r Issued To: ARC TERRA CONSULTING INC Date: 3/17/2026 Issued By: Curtis Townsend Date: 3/17/2026 Septic Tank Holding Tank Privy Well Water Storage MUNICIPALITY OF Development Services Department On -Site Water & Wastewater Section ON -SITE SEPTIC/WELL PERMIT APPLICATION Parcel I.D. 018-391-93 Property owner(s) James Clark Mailing address PO Box 221301 Anchorage, AK 99522 Site address 3225 De Armoun Rd Legal description Flat Top View #1 Blk 2 Lot 11 E 80' Number of Bedrooms 3 Engineering Firm Arcterra Consulting Day phone Building Permit Number Not Applicable nx APPLICATION IS FOR: (Z all that apply) Disposal Field Fx] El n n APPLICATION IS AN: Initial El Upgrade Renewal ❑ THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: Permit/Rush Fees: S Waiver Fees: Date of Payment: 7, Date of Payment: Permit No. 6�r PL Waiver No. Phone: 907-343-7904 Distance: May 2025 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP261029, Curtis Townsend, 03/17/26 Municipality of Ar diorage On -site Water and Wastewater WASTEWATER DISPOSAL SYSTEM DETAILS/SITE V-, MTomsff FLAT TOP VIEW #1 BLOCK 2 LOT Il PID# 018-391-93 I I I TD BY F O O O 0 O Z 1500 GAL ADVANTEX 29�9 WOOD % FENCE I (typ) EXISTiNG/ 6 / O DECK d CONC WALK O\9w TN 3 a O /— �~ 10 / O /O Z WELL a FLAG PROPERTY LINES DESIGN DETAILS Scale, 1'= 30' WELL RADII & EASEMENTS 3 BDRM X 150 GPD = 450 GPD PRIOR TO CONSTRUCTION 450 GPD/4.0 GPD PER SQ. FT.= 112.5 SQ. FT (112.5 /(2' X 6' ED)) = 9.4 FT. TRENCH o USE 1 TRENCH, 10' (L) X 2' (W> X 6' (D) - Total depth of system Is 11' Max from original grade, o Total depth of gravel below distribution pipe is 6'. NOTES' o NO PUBLIC WELLS WITHIN 200' OF PROPOSED SYSTEM. 1. INSTALL 1500 GAL. ADVANTEX TANK, NO PRIVATE WELLS WITHIN 100' OF PROPOSED SYSTEM EXCEPT AS NOTED. 2, INSULATE TRENCH WITH 2' HD BURIAL FOAM IF < 3' OF FILL. O ND SEPTIC SYSTEMS WITHIN eW OF p PROPOSED WELL EXCEPT AS NOTED. MIN, 2' FILL WITH INSULATION, >3' COVER NO INSUL REQ. a 3. PRE & POST TANK CO'S TO BE INSTALLED. 4. TANK TO HAVE MIN. 20' MANWAY RISER PER CODE, H 5, CONTRACTOR WILL ENSURE MINIMUM 27 SLOPE INTO SEPTIC TANK. 6. CONTRACTOR WILL ENSURE ALL SEPARATIONS TO ADJACENT WELLS, SEPTICS EASEMENTS, PROPERTY LINES, ETC.., ,► '�l PAGE 1 OF 1 s ` , .......�.. >� TH KENNEM M. D S I 4 CE-7116 Phb SIOILA �► PREPARED FOR; JIM CLARK 3225 DE ARMOUN RD ANCHORAGE, AK FIELD BOOKS BOUNDARY: N/A STMNI; N/A ASaUlLT' JLS DWG- FILE - AM FILE: FILE COMPUTED: DRAwN. KSD Q1E°'E'3* KMD DATE 3 /11 / GM: NW29; 'TDB NO' 26104 20' ALLEY x x x x x x x x x x Ntq�0,17 P 00 W 80.00 X WE`. L( BI IVVIL; %.J'Zi VV YY VV.VV DEARMOUN ROAD ANCHORAGE RECORDING DISTRICT, ALASKA AS -BUILT OF: FLAT TOP VIEW SUBDIVISION Nol East 80' LOT 11 BLOCK 2 PLAT P-282 SURVEY CERTIFICATE: I, John L. Schuller, Have conducted a physical survey of this property as shown on this drawing and that the improvements situated hereon are within the property lines and no enchroachments exist other than noted. Under no circumstance shoul; any information on this drawing be used for construction of fences, structures, improvements, or for establishing boundary lines. EXCLUSION NOTES: It is the owners responsibility to determine the existence of any easements, covenants, or restrictions which do not appear on the recorded subdivision plat. WORK ORDER NUMBER: DATE: SCALE: E—MAIL: MAR 4, 2026 1 "=30' schullerak®gmail.com 2 6 — 0 2 2 DRAWN BY. CHECKED BY GRID NUMBER: BOOK/PAGE: JLS SW2934 260134 O Ln , SU,&V 48 F \\ ��'� L A N •.. 0 A o :v ! �° r �a C?A 'c� OHN L. SCH LLER.• � / - �LS-10408 "`• lip ; / � ',�,�j � t ..«�+•�'" e . •' 1831 Talkeetna Street °Q, • '3 !.4!.� a Anchorage, Alaska 99508 o� "'� 227-1455 office `1 °907 fessiona\ �' ( ) \�� (907) 274-4992 fax Municipality of Anchorage Page ! 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 Permit Number: PID Number: Name: · .~o~,4 ~.~r~ Wastewater System: [] New [] Upgrade Address:.~,~ '~ ABSORPTION FIELD ~~ No of Bedrooms: ~ Deep~ D Shallow Trench ~ Bed ~ Mo~ Other Phone: Soil Rating:~D/Sq~ ~t II Total Dep~iginal grade: Lot: '~ LEGALBIock:DESCRIPTION~ Subd.vision:~. ~O~ ~l~' I 3epthtop,~bottomfromorig,n.l~ ~pth beneath pipe FI WELL: ~ New D Upgrade Gravel width:~FI I Number o~l Distance ~tw~ lines:Fl Class,hcat,on,Pnvate. A.B.C):~, V~ TotalDepm:~, Ft CaseuTo:~ ~ Fl Tomlabso~ea: SO Fi Pipemateria,: Dale Dr,lieU: S~al,c Waier Level: In~ Date instalmed: Yield: I Pump Set al: Casing Height Above Ground: )~ o.- .,. ~ ~, TANK SEPARATION DISTANCES ~ Septic ~olding m S.T.E.P. TO Sepbc Absorphon Lmfl Holding ~ubhc Pr~vale Manufacturer: Capacity in gallons: Material: Number of Compartments: We, ~ Sudace Remarks: BENCH MARK Locabon and Descriphon: I Assumed Elevation: ENGINEER'S SEAL Inspections performed by: Dates: 1st ~ ~.~ .....~...~ Department o[ Health and Human Services approval ~{.~.. ;.. ~. ~,0 ...' Reviewed and approved by: Date: MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street- Anchorage. Alaska 99501 Telephone 264-4720 ON~ITE SEWAGE DISPOSA~._~T_EM~&ID~OR WELL INSPECTION REPORT AILING ADDRESS "GAL DESCRIPTION :)CATION ~ ~ NO. OF BEDROOMS Liq. capacity tn gallons I IF HOMEMADE: DISTANCE TO: Wellc~l~ ~ Manufacturer ~ _ I Well DISTANCE TOT--~ , No. of lines I Length of each line Top of t,le to finisi~ grade :lass De,tn DISTANCE TO: Building foundation OTHER IAt3sorDtlon area [ D,,~elling ~ , ~J '~. ~_Clvlaterial I Dwelling.~ ~./ IFounqat]on Nearest tot line ~ inches PERMIT NO. No. of coml3artment$ PERMIT NO.c~,~_. ~).~ ~/_ Liquicl capaci]3/in ~llons PERMIT NO. Distance bergen lines IMaterml beneath tile Driller Sewec.t~e IPE MATERIALS OIL. TEST RATING qSTALLER EMARKS PPROVED DATE LEGAL {Rev. 3~78) '~aC~_y~a DSO r13tlO n area inches~~'~ -- __ I PERMITNO. Nearest lot line DisTance to lot line PERMIT NO. Sel3tic tank · ~ MUNICIPALITY OF ANCHORAGE  DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street- Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME · IPRONE I NEW MAILING~D~RESS ...... LEGAL DESCRIPTION ~ / - LOCATION ~ ' NO. OF BEDROOMS ~ Z Manufacturer ~ Material No. of compartments Liq. capacity in gallons IF HOME.DE: Inside length W~dth ~ ~ ~ ~ DISTANCE TO: Well~ .~ Dwelling3 ~/ PERMIT NO.E~~ . o z M3teria~ Liquid capa;~lons O Z ~ Manufacturer Q Nearest lot hne ~ Z ~~~Well Foundation PERMIT ~ No. of lines Length of each line ~ inches ~ k Top of tde to finish grade Material beneath the ~ ~so~tion area ~ inches W~dth Depth PERMIT ~ k Type of crib Crib diameter ~~ ~absorption area ~ Well Building foundation Nearest lot line ~ DISTANCE TO: ~ Class Depth Driller D~stance to lot hne PERMIT NO. ~ DISTANCE TO Building foundation I ~gwe~ Septic tank Absorption area(s) SOIL TEST RATING I ~ ._ ~. INSTALLER ~ ~1~ ,~,~ APPROVED DATE LEGAL TI~ ~ ~ 72-013 (Rev. 3/78) ~. F'ERMIT [)ATE ISSUED: APPLICANT: ADDRESS: · CONTACT PHONE: DEF. ARTMEN18502480~..' ,8=.o. ~__ :' HOLDING .> ~ OF L ][oTR~ET~ oHEAI-TH T ' '~E -TANK ~I o AhlD~.6~ ANCHORA~_~ z. 1.-47~ _ . ENVIRONMENTAL ..... . ~ ~ '( ' 3 F< ~r _. A~ F _." ~[-.~ oo=,] -. ~,. F'F(O]'ECT I ON ~ 1... .... -~- . ~~ 05/.3~/85 . . . .' ~ '~~ ~OHN & MARY T HANISZE~SKI '. 200 W 34. TF, ~953~--,~ ~~ ANCHORAGE~ AK' 99~L.¢ 562-2277 LEGAL DESCRIP: LO]' SIZE: LOT LOCATION: SUBDIVISION: FLAT TOP VIEW SECTION: 28 TOWNSHIP: t4000 (SQ. FT. OR ACRES) DEARMOUN ROAD LOT: E 80'-11 BLO~.,' .... RANGE: 3W I certi£y that: 1. I am £amiliar ~ith the requiremen£'s £or on-site s~wors and wellc; a~ ~;.mL ~orth by {h~ Municipality o[ Anchorag~ (MOA) and th~ Stat~ o~ Alaska. ~. I will install the system in accordance 'with all MOA c~des and. re,~ulati~n~,,,' and in'compliance ~ith th~ design critePia bf thJ. s p~)rm, it. 3. I will adhere to all MOA and State o~ Alaska requirem~nts for the s~t back distances from any ~xisting ~e~ll, waste~,;a't.~r disposal ~ys'b~m or public sew~rag~ system on this or any adjacent or n,~arby lot. IF A~LIFT STATION IS INSTALLED IN P~N AREA COVERED BY MOA E'UILDII'.~G THEH (1) AN ELECTRICAL F'ERMIT AND INSPECTION MUST BE OBTAINED; (2) AS.-BU!LTS WILL NOT BE APPROVED WITHOUT AN ELECTRICAL INSPECTION REPORT; AND (3) THeE ELECTRICAL WORK MUST BE DONE BY A LICENSED ELECTRICIAN. . ,. · ,. ................. .... MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street- Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT MAILING A~R ESS gqqo ~o' Lot' ~1 LOCATIO~ DISTANCE TO: Manufacturer Well DISTANCE TO: NO. OFBEDROOMS Absorption area , Dwelling ~.~(~ , PERMITNO. ~)C~O '7 / IF HOME.DE: Inside lengt~ Width ~- Liquid dept~. Dwelling PERMIT NO. . ~ound~tion , Nearest,o, Iine , ,ERM,TNO. ~ 0~0 7'! DISTANCE TO: (~ No. of lines Length of es~e Total length of lines Trench width inches ,o finish grade ~, Material beneath tile ~ ~ Total .ffec vel ~t~n area Length th Depth PERMIT NO. diameter Crib depth Total effective absorption area Well Building foundation Nearest lot line 'DISTANCE TO: Depth Driller Distance to lot line PERMIT NO. Building foundation s DISTANCE TO: SOIL TEST RATING OTHER Septictank [O 0 ' Absorption area(s) ' PP ED 72-013 (Rev. 3/78) DATE . LEGAL ·" .',." DEPARTMENT OF HEfl~.TH AND ENVIRONMENTAL PROTECTION.~,~-~ · 825 'L' STREET, ANCHORAGE, AK. ~501 264-472~ ON--SITE ~[4ER PERMIT ~-J~' ~ APPLICANT HERMAN ~ CHARLOTTE WARRi~O BOX 8498 ANCHORAGE ~58S ~74-54~ OC ZON LEGAL [~...~O~'EOT'll'"B'"'Z"FKAT'?OP"YIEW~7 LOT SIZE 14eec SQUARE FEET TYPE OF SOIL ABSORPTION SYSTEM IS: TRENCH MAXIMUM NUMBER OF BEDROOMS = ~l~-- SOIL RATING (SQ FT?BR>= 250 THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: DEPTH= ~!_~ LFNGTH-- ~ GRA"..-"EL DEPTH= 8 THE LENGTH DIMENSION IS THE LENGTH (IN FEET> OF THE TRENCH OR DRAINFIELD. THE DEPTH OF R TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURF8CE OF THE GROUND AND THE BOTTOM OF THE EXCAVATION (IN FEET>. THERE IS NO SET WIDTH FOR TRENCHES. THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTF~LL PIPE 8ND THE BOTTOM OF THE EXCflV~TION <IN FEET>. REQU I RED SEPT I PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE INSTALLATION INSPECTIONS OF ANY WELLS ADJACENT TO THIS PROPERTY AND THE NUMBER OF RESIDENCES THAT THE WELL WILL SERVE. · TWO ( ? > I ~'~SPECT IONS ARE REQU I RED BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS DEPARTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCE BETWEEN A WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS 100 FEET FOR A PRIVRTE WELL OR i50 TO 200 FEET FROM A PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL MINIMUM DISTANCE FROM A PRIVATE WELL TO A PRIVATE SEWER LINE IS ~5 FEET AND TO A COMMUNITY SEWER LINE IS 75 FEET. OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. PFRr~ I T ~<P I RES I CERTIFY THAT l: I AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE. 2: I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. ~' I UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE RESIDENCE IS REMODELED TO INCLUDE MORE THAN ~ BEDROOMS. APPLICANT H~__~&~ CHARLOTTE W~RRACK MUNI~IPA'LI:rY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION Pouch 6-650, Anchorage, Alaska 99602 276-222~ SOILS LOG -- PERCOLATION TEST SOILS LO(; PERCOLATION TEST · EGALDESCRIPTiON:/~e¢4o,~ v~,~ ~/ /o/// 1 2 3 4 5 6 7 8 9 10 11 12 13- 14- 15 16 17 18 19 2O COMMENTS PERFORMED BY: 72-008 (7/76) DATE PERFORMED: h~/~. ~/~ ~ WAS GROUND WATER ~? /. ~l, fe ENCOUNTERED7 IF YES, AT WHAT ~ "/~ , DEPTH? SLOPE SITE PLAN S Reading Date Gross Net Depth to Net Time Time Water Drop 0 ~t/,%o /~:oo o C" J /~: so .,gt) ?.T" /, J'" ~ I1:~ o Zo ?. o I, ~- 3 /4'so3o IO.3~s- /. CERTIFIED BY: : e~ DATE: ~TATF. OF ALASKA l)EPAl%T~EIqT OF NATURAL . RESOu~C~-S DIVISION OF ~EOL0~ICAL AND G£0P/iY$ICAt SURVEYS WATEP. WELL RECORD ;CATION OF WELL ~,~.1-~. ~. L~tlz ... r~ . u~ ~F. ASURING POINT: ~.~tOp ~f casing ~ground su=face [],,~he=: BOREHOLE DATA: Depth type a~a color , HERIDIAN De~h of hole:_,I_q.,'.~_ itl I o, c s,n : "--,tI I STAtiC WAIER ~:%%:L: .~'~ ft. Date MET'IOD OF DRILLING: ~ir rotary USZ OF WELL: ~d~mestic ~.irrigation ~monitor CAS::NG: S tic k- uu../.~/~*~_..f t. Diam: 6 .. in WELl, INTAKE: [] o[:~_n end ~screened [] pecforar.,.~d []open hole Dept.h~ of ope:nimngS: ~ ~:C',.___it $CP4!:EN TYPE: Diam: in $101'/He.-h Size: Length: ft 3et Bet ween aud ft PACK TYPL': used: Depth to top: CONTRACTOR INFORMATION: eg~stered Business Name $1 ture of Authorized Representative Date GROUT TYP-'.: Vclume: Depth: from ft to ft "1 "/ ~'~I~G LEVEL ~D YIELD: I~ft after ~ hr~ pumping ~.~m ~'~ IHTm:E DEPTH: ~ ~ft ~orsepower: Date Pump Installed ~ 5.~/ -~ A'ATE:% C}{EllISTP. Y S~4PLE TAKEN? ~yes Well disinfected upon completion? ~yes PLf&ASE MAIL WHITE COPY OF LOG WITHIN 45 DA~ TO: DGGS PO BOX 77-2116 EAGLE RIVER, AK. 99577 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WELL SYSTEM (UPGRADE) PERMIT PERMIT NUMBER:SWg10259 DESIGN ENGINEER:DUMMY COMPANY OWNER NAME:H._~ JOHN R OWNER ADDRESS:PO BOX 91278 ANCHORAGE, AK 99509 DATE ISSUED: EXPIRATION DATE: PARCEL ID:01839193 LEGAL DESCRIPTION: FLAT TOP VIEW #1 BLK 2 LT 11 E 80',SEC 28, T12N, R3W, SM LOT SIZE: 11200 (SQ. FT.) NUMBER OF BEDROOMS: 3 THIS PERMIT: 3 THIS PERMIT IS FOR THE CONTRUCTION OF: WELL SYSTEM 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 (ISAAC80). 3. THE FOLLOWING SPECIAL PROVISIONS. PAGE 1 OF 1 8/30/91 8/30/92 SPECIAL PROVISIONS: DATE:_~~Z~ MUNICIPALITY OF ANCHORAGE And Development Services Department Phone: (907)343-7904 On -Site Water & Wastewater Section Fax: (907)343-7997 Certificate of On -Site Systems Approval OSC261068 Parcel ID 018-391-93 Expiration Date: Legal description FLAT TOP VIEW #1 BLK 2 LT 11 E80' Site address 3225 DE ARMOUN RD Current property owner(s) CLARK JAMES BYRON X The On -site system(s) is/are approved for 3 bedrooms Conditional approval for bedrooms, with the following stipulations: Comments or conditions: By: Curtis Townsend Original Certificate Date: 4/2/2026 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 Service 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 submittal. ATTACHMENTS: COSA Checklist X Well Flow Advisory Absorption Field Advisory Nitrate Advisory Tank Age Advisory Arsenic Advisory Other 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. 018-391-93 Complete legal description Flat Top View #1 Block 2 Lot 11 Location (site address) 3225 De Armoun Rd Current property owner(s) Tim Clark Day phone 2. ON -SITE SYSTEMS SIZED FOR 3 BEDROOMS 3. TYPE OF WATER SUPPLY: FE Private Well serving # 1 dwelling units El Other Non-public well as regulated by MOA R Water Storage R Community Well or Public 4. TYPE OF WASTEWATER DISPOSAL: � Private Septic R Private Septic serving 2 dwelling units F-1 Holding Tank R Community Septic or Public Sewer 5. SEPTIC TANK: ❑ Steel nE Plastic E] Concrete n Fiberglass Age New - See advisory if steel or fiberglass older than 20 years 6. ABSORPTION FIELD: RN AWWTS R Bed E] Deep Trench E] Wide Trench R Seepage Pit Waiver request for: Expedited review requested: R 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 $ Date of Payment COSA # O's cz, ( (0 Sr Waiver Fee $ Date of Payment Waiver # COSA Application_Apr2025.doc COSA Checklist Legal Description: Flattop View #1 Block 2 Lot 11 E80x Parcel ID: 018-391-93 If more than 1 well and/or septic system on lot, provide separate checklist. Structure served by this system A. WELL DATA ❑✓ Well log is filed with Onsite (or attached) Date drilled 7129/92 Total depth 193 ft Cased to 193 ft © Sanitary seal is functioning correctly ✓❑ Wires are properly protected Casing height (above ground) 14 in. Date of flow test for COSA 3/3/26 Static water level at beginning of test 58 ft. Comments B. TANK DATA Measured operating fluid level in septic tank New install Date of pumping ✓❑ Required maintenance completed, if AWWTS Comments: New install 3/19/26 D. DISPOSAL FIELD DATA Which system tested (date installed) 3/20/26 ✓❑ ALL standpipes present per record drawing Total measured depth from grade 10.69 ft (max) Measured depth to pipe invert from grade 4.13 ft (min) ❑ N/A — pressurized field. ❑ Per record drawings, field is insulated. ❑ 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/Deficiencies: Well production at time of test 5.0 gpm Water storage tank volume None 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 C Date 3/3/26 C. LIFT STATION ❑ Required maintenance completed Age of lift station years Lift station material Comments: Adequacy test date New install Results Il Pass Fluid depth prior to test _ Water added gal New fluid depth in in Elapsed time min Final fluid depth in Absorption rate gpd FIELD STATUS — POST RECOVERY Effective depth (per record drawings) 72 in Effective depth used in Effective depth remaining 72 in COSA Cheddist_May2025.docx E. SEPARATION DISTANCES From Well on Lot to: (Please enter distances if less than required) Septic Tank/Lift Station on Lot > 100' ❑ Yes if No 92** ft Neighboring Tank > 100' ❑ Yes if No 80* ft Disposal Field on Lot > 100' ❑ Yes if No 98** ft Neighboring Disposal Fields > 100' ❑ Yes if No 80* ft Sewer Line/Main > 100' © Yes if No ft Sewer Manhole/Cleanout > 100' ✓❑ Yes if No Sewer Service/Septic Line > 25' ✓❑ Yes if No Holding Tank > 100' 0 Yes if No Animal Containment > 50' ✓❑ Yes if No Manure/Animal Excreta Storage > 100' 0 Yes if No ❑ N/A — Served by Community Well (not on lot) or Public Water From Septic/Holding Tank and Disposal Field(s) on Lot to: (Please enter distances if less than required) ft ft ft ft ft Tank to Foundation > 10' ✓❑ Yes if No ft Surface Water > 100' ✓❑ Yes if No ft Field to Foundation > 10' Yes if No ft Wells on Adjacent Lots_ Tank to Property Line > 5' 0 Yes if No ft Wells > 100' ❑ Yes if No 81** ft Field to Property Line > 10' ✓❑ Yes if No ft Community Wells > 200' ✓❑ Yes if No ft Water Main/Service Line > 10' ✓❑ Yes if No ft If tank or field is under driveway comment below F. ENGINEER'S COMMENTS Waiver WR000109 Approved 1/8/01 ** Advantex system, Min 50' Separation. 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 Firm Arcterra Consulting Phone (907)-696-6111 Engineer's Printed Name Kenneth Duffus Date Engineer's 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 thehlllfOF ' conditions as of the day tested. The flow and absorption rates may change due to ;� ��Lr�+..-+�,tiy ♦off subsurface conditions that may not be observed from the surface, changes inland use, local t -� soil characteristics, groundwater levels that may fluctuate during the year and the water a usage of the family being served by the system. The operational life of all well and septic � * ¢g 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 r any estimate of how long a system will function satisfactory for current or future occupants �;� y or can Arc terra guarantee that no unseen encroachments, deficiencies or discrepancies I a' exist. p /���� CE � 15 COSA Cheddist_May2025.docx +�1:�=„_ E— 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 1 Day of Mire, h of 20 26 , by and between %" 2 i C> CAS (�, O u , 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 Advantex located at (legal description) 3225 De Armoun Rd, Anchorage, AK - Flat Top View #1 Blk 2 Lot 11 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. It 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. fti Owner 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 r, Owner acknowledges that the Municipality may request records of maintenance and repairs from the manufacturer's representative or maintenance provider. Owner acknowledges that the fine for failing to maintain and repair an AWWTS may be assessed in accordance with AMC 14.60.030. 114— Owner agrees to grant the Municipality reasonable access to test and inspect the AWWTS. The Municipality will give at least 24-hour notice. L, Owner agrees that any sale or transfer of title of the property will not occur without a new Certificate of On -Site Systems Approval. 0- 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 By: ' c (signature) Date: / " / 7 A/1 i e> C a t` a zl.6e- (print name) STATE OF ALASKA ) ss. THIRD JUDICIAL DISTRICT ) The foregoing instrument was acknowledged before me this 3 day of ftfry-�, NOTARY PUBLIC FOR ALASKA My Commission expires: j(I.aA q ,?,Ca� MUNICIPALITY: By: (signature) C(-1 n� S �� 1,-/ a j int name) Mai Date: Z Title: C-(y ( I (rev. 05/18/2018) Page 3 of 3