HomeMy WebLinkAboutGATEWAY TO THE PARK BLK 1 LT 2Onsite File
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Municipality of Anchorage
On-Site Water and Wastewater Program • (907) 343-7904 Page of
ON-SITE WASTEWATER INSPECTION REPORT
Permit Number: OSP171039 PID Number: 067-601-12
Dwelling: ® Single Family (SF) ❑ Duplex (D) ❑ Multiple (SF and/or D) Project: ® New ❑ Upgrade
Name:
SONJA AMUNDSEN ABSORPTION FIELD
.
Address ❑ Deep Trench ® Shallow Trench ❑ Bed ❑ Mound
32355 MOUNT KOROHUSK CIR., E.R., 99577 ® Other ADVANTEX
Phone Number of Bedrooms Soil Rating Total depth from original grade
3 2 GPD/SF 4.5 Ft.
LEGAL DESCRIPTION Depth to pipe invert from original grade Gravel depth beneath pipe
Subdivision Block Lot 3 Ft. 1.5 Ft.
GATEWAY TO THE PARK 1 2 Fill added above original grade Gravel length
Township Range Section Var. 5.33 — 5.53 Ft. 38 Ft.
Gravel width Beds:Number of Lines Distance between lines
SEPARATION DISTANCES 5 Ft. -- -- Ft.
To Septic Absorption Holding Sewer Total absorption area Number of trenches Dist.between trenches
Lift Station
Tank Field Tank Line
From 243 Ft2 1 -- Ft.
Well 100+ 100'+ 100'+ NA 25'+ TANK ❑ Septic 0 S.T.E.P. ❑ Holding 0 Other
Manufacturer Capacity
Surface Water 100'+ 100'+ 100'+ NA Anchorage Tank 1500 Gal.
Material Number of compartments
Lot Line 5'+ 10'+ 5'+ NA Steel 2
NA
Foundation 5'+ 10'+ 5'+ NA LIFT STATION
Manufacturer Capacity
Curtain Drain NA *501+ NA NA Anchorage Tank 1500 Gal.
Remarks *None knownPump on level at Pump off level at High water alarm at
.
Timer Act. 46 in. Timer Act. 29 in. 47 in.
Pump make and model Electrical Inspections performed by
30GPM PF3005 Northwire LLC
•PIPE MATERIAL House to tank 3034Tank to 3034
Installer NORTHERN EXCAVATION drainfield
Drainfield 3034 CO/MT 3034
Inspector ARCTERRA BENCH MARK (Assumed elevation) 100 ft
Inspection "
16/20/17 2nd 6/20/17 Location and description
dates:
3'd 6/21/17 4" 11/21/17 Garage Slab
COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL Engin
— A �
Conditional Approval: Date j rp` �' `1,5-,
G1 •
4111/W2!--.4127
, KENNETH N4 C
r 711 :rv /
Approved 1'�jQ a C&'uteQc Date -(2/(„/11 \ f: . >o. \
eer's Stamp
Inspection Report_9-1-12.doc
AS-3UILT SYSTEM DETAILS/SITE PLAN PID 067-601-12
GATEWAY TO THE PARK BLOCK 1, LOT 2 PERMIT#: 05P171039
WELL
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1111000. j6 9 Ilk
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NEW1500—GAL S.T. —if • *
W/ AX-20 POD X11
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TH1
CEO
40'
H MT i
FILL Apo: GCS
GRAPHICS SCALE411
Pe R r 1,
SCALE: 1:40
it
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A—C=26.5' 88.72 88.6
❑RIG. GRADE
B—C=44.0'
( 81,32
W w
A—D=35.5 N0
B—D=52.5' E'L : AX2QA,1 u86.85 FINAL GRADE (86.65
A—E=43.0' i........... = = ,11�'''",=111=11— — — — - — — 1H(
u IN'!ULAT Ii /ARIES
B—E=62.5' AN - Z FILTER FABRIC�a
A—F=42.0' J~ -- 1500 GAL — r 0.5'
$a I ADVANTEX 'I 84.6 78,3
B—F=61 .0' Zr II• TANK *I 78,3 '.t;, $ 1✓ y RQ t�.;',.. ;..c:' ..
A—G=63.7' •—o o ii n ii- 1 . . ..., . .. .. TRENCH
B—G=73.1 ' 83.09 83.6 76.82 (76.8 .
A—H=62.0' I 38'
B—H=71 .0' TH1 GROUND WATER (72.22)
ABBREVIATIONS 5/51 il TH 1 B❑HC.68.32
,,40:446.``\ BOH = BOTTOM OF TESTHOLE
i cv, OF 1 coT = MONITOUT
IN SCALE' NTS PAGE 1 OF 1
MT = MONITORING TUBE
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��,..- SONJA AMUNDSEN 9 CTER�
/�_ 1422 W 10TH AVE, v ns
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/ KENNETH M 0 ta�^7iS / FIELD BOOKS COMPUTED: ; I at3..",11 X
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1 �� aseuiLr: JAG DATE: 11/30/17 `-' - MY
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/Volumes/ArcTerra Shared/Storage/WELL & SEPTIC — Filed By Legal/Gateway To The Park Subd/Block 1/Lot 2/Septic Advantex ASB.dwg
•
Northwire LLC Invoice
1120 East Huffman Date Invoice#
Ste 24 Box 695
Moorage,AK 99515 12/3/2017 2017-791
Bill To .
Homan Inc i
P.O.No, Terms Project
Amundsen
Quantity Description Rate Amount
Install electrical wiring to current NEC to new septic system. Wired b an Alaska 0.01 0.01
licensed journeyman electrician,with the alarm on a separate circuit from the controls.
Owner, Sonja Amundsen, 0.00 0.00
32355 Mt Korohusk Cir,Eagle River AK. Gateway to Park,Blkl lot 2 0.00 0.00
Northwire LLC is licensed in the Municipality of Anchorage as an electrical contractor, 0.00 0.00
#CON 3135 •
Thank you for your business!
Total $0.01
AR cT ER RA �� ,, OF, AL4
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^'�,� CONSULTING, INC /�' '�I �'1- k
212 E. 51st Ave, Anchorage,AK. 99503 ,::;-)4 T I I /\ h
1 z Office(907)868-3791, Fax(907)868-3793 /
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SOILS PERCOLATION TEST I 1 % pi 4/ c;<.
'rt,/H sio..ai
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Performed for: SONJA AMUNDSEN Date Performed: 6/19/2017 \��`��
Project: Gateway To The Park B1,L2 TEST HOLE ft PERC 17-1
Depth
(Feet) SEE ATTACHED SITE PLAN
FOR HOLE LOCATION
•1 f -°; �• Org/OL
Was Ground water encountered? NO What depth? NA
2- ,.
Depth to water after monitoring? NA Date? NA
3
4 4.{'' SM/GM-4'
v'',- Reading Date Gross Net Depth of Net
5- Time Time Water Drop
. :- PERC BENCH
6- -�'' I 6/19/17 1:00 - 6" -
7- 2 1:30 30 min 44/16" 1 12/16"
8- 3 * 1:31 - 6" -
9- 4 2:01 30 min 4 5/16" 1 11/16"
10- 5 * 2:02 - 6" -
11- 6 2:32 30 min 4 5/16" 1 11/16"
12- 7
13- HOLE PRESOAKED 8
PRIOR TO TEST
14- 9
15- 10
16- II
17- 12
18- * Water Added
19- Percolation Rate 18 (min/in)Pere Hole Diameter 6"
20- Test Run Between 5 feet and 6 feet
I, Kenneth M. Duffus, certify that this test was performed in accordance with all State
and Municipal guidelines in effect on this date.
Certified Drilling Log
DOC CO dba
00 BILL 8c COLE WELLS
► ULLIVAN WATER
le. P.O. Box 670269, Chugiak,AK 99567 688-2759
OWNER OF LAND: Homan Inc.—Sonja Amundsen Bore Hole Data
ADDRESS: 12741 Iris Way Eagle River,AK 99577 Depth
LEGAL DESCRIPTION Gateway To The Park Block 1 Lot 2 From To
DATE: 6-14-17 0 2 Casing Stickup
PERMIT NUMBER: OSP171039 DATE OF ISSUE: 5-19-17
TAX IDENTIFICATION NUMBER 06760112000 2 45 Tight Silty Sand &Gravel w/Cobbles
Is well located at approved permit location:MYes nNo 45 63 Hardpan Cobbles
Method of Drilling: ®air rotary ncable tool 63 78 Bleeding Hardpan
Depth of Well: 108' 78 108 Sand &Gravel Water
Casing Type: Steel Wall thickness .250 inches
Diameter: 6 inches, depth 108 feet
Liner type
Static Water Level: 26.5 feet
Recovery Rate 25 gpm n gph
Method of Testing Air
Well Intake Opening Type:IX open end I lopen hole
❑ Screened Start feet Stopped
n Perforations Start feet Stopped
Grout Type: Bentonite Volume: 50 lbs
Depth:from 2 feet,to 42 feet
Well Disinfected Upon Completion: Myes n no
Method of Disinfection: Chlorine 50 PPM
Comments:
WATER QUALITY TESTING
Conform N t9 Col/100m1
Nitrates 0.9 t 5 mgll 11/v(11
Arsenic 1•1.6 ug/L
Drillers Name: Cole Sullivan
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.
DOC CO dba
0111.8,« 84 COLE ULLIVAN WATER WELLS
P.O. Box 670269, Chugiak,AK 99567 688-2759
www.sullivanwaterwells.com
Pump Installation Log
Well Drilling Permit Number: SW OSP171039 Date of Issue 5-19-17
Parcel Identification Number: 06760112000
Legal Description Property Owner Name &Address
Gateway To The Park Block 1 Lot 2 Sonja Amundsen
32355 Mount Korohusk Cir. Eagle River, AK 99577
Pump Installation Date: 6-19-17
Pump Intake Depth Below Top of Well Casing: 92 feet
Pump manufacturer's Name: F&W
Pump Model: 4F07P053015
Pump Size: 1/2 hp
Pitless Adapter Burial Depth: 12 feet
Pitless Adapter Installer: Northern Excavating
Disinfected Upon Completion? ® yes no
Method of Disinfection: Chlorine 50 PPM
Comments: Pitless Manufacturer: Martinson
Pump Installers Name: Sullivan Water Wells
Attention:The pump installer shall provide a pump installation log to the DSD within 30 days of pump installation.
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Municipality of Anchorage
P.O. Box 196650 • 4700 Elmore Road
Anchorage, Alaska 99519-6650 • (907) 343-7904 • Fax (907) 343-7997
http://www.muni.org/Onsite
Development Services Division
On-Site Water and Wastewater Program
**** VARIAN CE/WAIVER REVIEW ****
Waiver#: OSV171032 COSA#: Permit#: OSP171039
PID#: 067-601-12
Legal Description: Gateway to the Park B1 L2
Engineer: ArcTerra
Applicant: Sonia Amundsen
Your request for a waiver of the required 50 feet horizontal separation from the absorption field
to the excessive slope has been approved. The approved separation distance is 0.0 feet.
This waiver approval applies to the proposed absorption field only. Any future upgrade to the
on-site wastewater disposal system will require all separation distances be met or another
approval from this department.
❑ The affected adjacent property owner(s) have been given a 7 day notice regarding this
waiver.
❑ Notarized letter(s) of nonobjection have been received from the owner(s) of the affected
adjacent property.
® Adjacent properties are not affected by this waiver.
Waiver is Granted: X Waiver is not Granted:
Date: VW/7 Approved by: f'ame of Reviev�
I
*** `
VARIANCE/WAIVER REVIEW ****
MUNICIPALITY OF ANCHORAGE
Community Development Department1691rgl' Phone: 907-343-7904
Development Services Division Fax: 907-343-7997
On-Site Water& Wastewater Program
ON-SITE SEWER/VVELL PERMIT APPLICATION
Parcel I.D. 067-601-12 562 -9%' wk
Property owner(s) SONJA K. AMUNDSEN Day phone 907-297-8498 (..it
Mailing address 1422 W 10TH AVE. ANCHORAGE, AK 99501
Site address NHN MT. KOROHUSK CIR., EAGLE RIVER, AK 99577
Legal description (Sub'd., Block& Lot) GATEWAY TO THE PARK B1, L2
Legal description (Township, Range & Section)
Lot Size 53337 Sq. Ft. Number of Bedrooms 3
APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING:
(E)all that apply)
Family (SF) [�
Absorption Field [ Initial Single(w/wo ADU)
Septic Tank Upgrade ❑ Duplex (D) ❑
Holding Tank ❑ Renewal ❑ Multiple Dwellings ❑
Privy ❑ (SF and/or D)
Private Well IR(
Water Storage ❑
THIS APPLICATION INCLUDES A VARIANCE /WAIVER REQUEST FOR:
Distance:
I certify that the above information is correct. I further certify that this is in accordance with
applicable Municipal Codes.
(Signature.ofi-p .e. owner or authorized agent)
Permit/Rush Fees: Ta Waiver Fees: 21 5
Date of Payment: 11l50' Date of Payment: 5427/7
Receipt Number: d aR3gti Receipt Number: 0 Z 6 57D
Permit No. 05,0/71039 Waiver No. OiiVf 7/C) 3Z
Permit App_9-1-12.doc
p cTERR
ARC T ERRA
CONSULTING, INC
NG- . 212 E. 51°Ave,Anchorage,AK.99503
Office(907)868-3791, Fax(907)868-3793
May 9, 2017
Municipality of Anchorage
Development Services Department
On-Site Water Sr Wastewater Program
P.O. Box 196650
Anchorage, AK 99519-6650
Subject: New Well & Septic Permits—Gateway to the Park B1, L2
Per your initial review comments, we have conducted additional seasonal high-
ground water monitoring. Based on these observations conducted on May 5,
2017 that showed groundwater at 9.1' for TH1 and 8.5' for TH2, we have
redesigned the septic system to a 5'-Wide Shallow Trench with an Advantex
System.
The slower percolation rate of the two test holes was used in the design and an
additional verifying percolation test will occur at construction in the soil strata of
TH1 that was not tested.
The general slope of this lot is from northeast to southwest at a grade of
approximately 23-28% over the septic area. The area is right around the average
slope of 25%, but does have some benches and uneven terrain. Due to this
additional fill / grading will be done as necessary to maintain 25% or less slopes
and respectfully request a slope waiver as this is to occur at construction. We see
no adverse effects on this or other properties by granting of such waiver.
There is no surface water within 100' of the proposed system and there are no
known curtain drains within 50'. We do not expect there to be any adverse effect
on adjacent lots by the development of this system. If you have any questions,
please contact me at 868-3791 I FAX 868-3793.
Respectfully submitted,
ArcTerra Consulting, Inc.
Kenneth M. D s, P.E.
Attachments: Wastewater Absorption System Details/Site Plan
20441 PTARMIGAN BLVD • EAGLE RIVER,AK 99577-8736 • PH(907)868-3791 • FAX(907)868-3793
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WASTEWATER DISPOSAL SYSTEM DETAILS
GATEWAY TO THE PARK BLOCK 1, LOT 2
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TO MAINTAIN <25% SLOPES
Scale: 1'= 30'
46:4111":116'111L� PAGE 2 OF 3
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/Volumes/ArcTerra Shared/Storage/WELL & SEPTIC - Filed By Legal/Gateway To The Park Subd/Block 1/Lot 2/Septic Advantex Design_dwg
AdvanTex Treatment System F 90" -I Filtrate Return Line
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❑RENC❑ PACKAGE SYSTEM! End View
1. INSTALL 1500 GAL SEPTIC TANK W/ INTEGRATED ADVANTEX SYSTEM-
PER ANCHORAGE TANK FOR A 3 BDRM RESIDENCE.
a INSULATE TANK, EXCEPT BELOW ADVANTEX PADS TO ALLOW HEAT TRANSFER.
3. NO AIR LINE REQUIRED.
Scale: NTS
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/Volumes/ArcTerra Shared/Storage/WELL de SEPTIC - Filed By Legal/Gateway To The Park Subd/Block 1/Lot 2/Septic Advontex Deeign.dwg
VeTech Engineering Technical Service .r"Tr:,,,:
P.O. Box 873141 Wasilla, Alaska 99687-3141 d .
110:Phone: 907-357-6304 Fax: 907-357-6305 ♦ ;--
SOILS LOG - PERCOLATION TEST ..r• *• 4,
fliCH%ci. E n ,
4: • CC- `:531 ''
LEGAL DESCRIPTION: LOT 2, BLOCK I, GATEWAY TO THE PARK S/D 4.4�l� 7.61 .1/-C7,,,-'�.- .u'u
JEROME MONTAGUE to, if,',,)::.s. ",. •'
PERFORMED FOR: ," �" s.'�
DATE: 5/11/2007 PROJECTNo.: M0709 ilkklaU. tie"*
PARCEL ID#: TECHNICIAN:
T. L. KIMBROUGH Pr°feUUi° n r ersStamp:
TEMP: 48°
DEPTH TEST HOLE 1 Type of Test: ® Percolation ❑Visual
(feet)
1 V.// OB/OG SE OPE SITE PLAN
MOIST/LOSE COMPACT ION/LOAMOUS
2 — POORLY GRADED SANDS >25%
3 — SOME GRAVELS LITTLE FINES
`�
4
5 Vik. .. _.
6 15%
7 MED. COMPACTED / WET
SILTY SANDS WITH TIl L/GRAVELS MIX
8SM-GM 1096
„, (-----
10 Cjee- r ^�
11 �n�sr5 1 e MD(It.0r` / 0% >259'0 < 10%
,%/6.-to /�
c' DEPTH OF
13 BOH �, DATE READING GROSSrilla)E NET WATER N��NCDROP
(INCHES)
14 i000rmh%t. 5/11/07 TEST HOLE PRESOAKED PRIOR TO TESTING:
15 ��'sis•' •A..q��o� 1 1105 11.125 CHARGE
16— ' ••49�, .. '17 • 2 1115 10 1.125 10.0
e ••'•
17 � ►� 3 1115 11.5 CHARGE
o 4 1125 10 1.625 9.875
18— - •. din i8 is a ? a 5 1125 12.0 CHARGE
19 1e o!.' ���1 ` 6 1135 10 2.375 9.625
20 i� �t%woo. a
PERCOLATION RATE: I (MIN/INCH) PERC.HOLE DIA. 6 (INCHES)
TEST RUN BETWEEN: 3 FT. and 4 FT.
WAS GROUND WATER ENCOUNTERED? YES IF YES @ WHAT DEPTH? 10'
DEPTH OF WATER AFTER MONITORING: NONE DATE OF MONITORING: 7/22/2007
..UMMENTS: TEST HOLE PRE SOAKED PRIOR TO PERCOLATION TEST.
TEST PERFORMED BY VETECH ENGINEERING TECHNICAL SERVICE. I,MICHAEL E. ANDERSON CERTIFY THAT
THIS WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPLE GUIDELINES IN EFFECT ON THIS
DATE:
VeTech Engineering Technical Service irrems1' .. ••..,-- �,
P.O. Box 873141 Wasilla, Alaska 99687-3141 ,
Phone: 907-357-6304 Fax: 907-357-6305 p '
M .'• ��,T, `
SOILS LOG - PERCOLATION TEST �('' '`
LEGAL DESCRIPTION: LOT 2, BLOCK I, GATEWAY TO THE PARK S/D f .' ;•,.1'.r-pl,•
PERFORMED FOR: JEROME MONTAGUE O �i' Ap;;r�`,-� .; �w'"
DATE: 5/11/2007 PROJECT No.: M0709 ti.*kiv.tira•t:
PARCEL ID#: TECHNICIAN:
T. L. KIMBROUGH Professional Engineers Stamp:
TEMP: 48°
DEPTH TEST HOLE 2 Type of Test: ® Percolation ❑Visual
(feet)
1 / OB/OG SLOPE SITE PLAN
2 — >25%
3 —
5 —
51\ -----—: _,/
6 — DAMP/MED COMPACTION 15% IlIlc
SILTY POORLY GRADED SANDS
• SOME GRAVELS/COBBLES TO 10' THa..
7 SOME BOULDERS SP-SM
Yll
$ ,5 J� 10%
SO1� '�
se e
10 40, a
w 0,4-e r �� �rM1°J < 10%
0°�
12 DEPTH OF
i� DATE READING GROSS TIME NET TIME WATER NET DROP
13 (MINUTES) (MINUTES) (INCHES) (INCHES)
14 BOH"Air
AA%Ita 5/11/07 TEST HOLE PRESOAKED PRIOR TO TESTING:
15 AL;4.S`s�� 1 1216 10.625 CHARGE
,.y • •'� 2 1246 30 9.125 1.5
16 ti . 49 ?N •i
!,-.Z7.___. .� 3 1246 11.25 CHARGE
17 •• •••• 4 1316 30 10.125 1.125
18 $*0 •, 1 y 5 1316 11.375 CHARGE
19 ..� f?0 r�.•••* 4 6 1346 30 10.25 1.125
20 °°f %
PERCOLATION RATE:26.7(MIN/INCH) PERC. HOLE DIA. 6 (INCHES)
TEST RUN BETWEEN: 4 FT. and 5 FT.
WAS GROUND WATER ENCOUNTERED? NO IF YES(41 WHAT DEPTH?
DEPTH OF WATER AFTER MONITORING: NONE DATE OF MONITORING: 7/22/2007
LUMMENTS: TEST HOLE PRE SOAKED PRIOR TO PERCOLATION TEST.
TEST PERFORMED BY VETECH ENGINEERING TECHNICAL SERVICE. I, MICHAEL E.ANDERSON CERTIFY THAT
THIS WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPLE GUIDELINES IN EFFECT ON THIS
DATE:
ADVANCED WASTEWATER TREATMENT SYSTEM
MAINTENANCE AND REPAIR AGREEMENT
BETWEEN MUNICIPALITY OF ANCHORAGE
AND S0N31k 4 _ /`t vtc�Se
THIS MAINTENANCE AND REPAIR AGREEMENT made and entered into as of this
I' Day of N d of 201 by and between w . c�-�-
herein the "OWNER," and the Municipality of Anchorage, herein the
"MUNICIPALITY." In consideration of the mutual covenants contained herein, the
parties to this Maintenance and Repair Agreement agree as follows:
1. Advanced Wastewater Treatment Systems. Municipality grants permission to
Owner to utilize and operate an Advanced Wastewater Treatment System
(AWWTS), described as
4.Ail 1 wt F SiSfeevi_ 13x2 '; H0.
()Le St.�
located at (legal description). ++ I
L' 1, Si c4-k- 7 ,&a4-ew -(-L 441- S c.:t�n�`�
32-3sS pw.. - Y-oywkwS( . 141.1-
2. Definitions. 44 7
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.
Certificate of On-Site Systems Approval (COSA). An approval by the
Municipality of existing water and wastewater disposal systems given at
the time of property sale and title transfer in accordance with Anchorage
Municipal Code (hereinafter, "AMC") 15.65. These approvals certify that
the systems are adequate for the homes that they support and meet the
codes that were in place at the time of system construction.
Damage. Any man-made or natural change in a system that would inhibit
the system from performing as designed.
Maintenance and Repair. The scheduled and as needed replacement of
existing parts, components and pieces of an AWWTS that were included
in the original design which would allow the AWWTS to continue to
perform as designed.
Permit. An On-Site Wastewater Disposal Permit as required by AMC
15.65 to construct and operate an AWWTS.
3. Term. The term of this Maintenance and Repair Agreement shall begin on the
date of approval by the Municipality to operate the installed system or issuance of a
COSA, and shall continue while the AWWTS is in use or is operational or until the
property is sold or title is transferred by the owner and a new COSA is issued to the
new owner or transferee of the property.
4. Alterations, Installation and Removal of Additional Equipment. Prior to
performing any alterations to an AWWTS, the owner agrees to obtain an On-site
Wastewater Disposal Permit from the Municipality in accordance with AMC 15.65.
5. Maintenance and Repairs.
A. Throughout the term of this Maintenance and Repair Agreement, the Owner shall
maintain their AWWTS in a satisfactory condition capable of producing treated
septic effluent in accordance with the equipment's approval for operation in the
Municipality. The owner shall enter into a service agreement with an AWWTS
service and maintenance provider approved by the municipality and the
manufacturer of the AWWTS for the entire term of the AWWTS. In addition, it
shall be the responsibility of the Owner during the term of this Maintenance and
Repair Agreement, and any renewals thereof, at the owner's sole expense, to pay
for any and all: (1) repair(s), (2) maintenance, (3) adjustment(s), (4) replacement
costs, and (5) inspection costs.
B. Owner agrees to comply with all applicable ordinance, laws, regulations, rules
and orders for the AWWTS.
C. Upon request by the Municipality, the owner agrees to provide the Municipality a
written schedule of routine maintenance and repairs which have been performed
on the system. When a record of maintenance is documented and maintained by
the system vendor, the owner agrees to allow the Municipality access to this
information.
D. Owner acknowledges that the fine for failing to maintain and repair an AWWTS
may be assessed in accordance with AMC 14.60 for improper discharge.
E. Owner agrees that only maintenance and repair personnel approved by the
Municipality will inspect and make any necessary maintenance, repairs or
permitted alterations to the system.
F. Owner agrees to grant the Municipality reasonable access to test and inspect the
AWWTS upon 24 hours written notice.
G. Owner agrees that any sale or transfer of title of the property will not occur
without a new Certificate of On-Site Systems Approval.
H. Owner agrees that the 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.
I. Owner agrees to provide and maintain a telephone connection to the AWWTS as
required by the AWWTS approval.
6. Nonwaiver. The failure of either party at any time to enforce a provision of this
Maintenance and Repair Agreement shall in no way constitute a waiver of the
provisions, nor in any way affect the validity of the Maintenance and Repair
Agreement or any part hereof, or the right of such party thereafter to enforce each and
every provision hereof.
7. Amendment.
A. This Maintenance and Repair Agreement shall only be amended, modified or
changed by a writing, executed by authorized representatives of the parties, with
the same formality that this Maintenance and Repair Agreement was executed
with, and such writing shall be attached to this Maintenance and Repair
Agreement as an amendment.
B. For the purposes of any amendment modification or change to the terms and
conditions of this agreement, the only authorized representatives of the parties
are:
a. Owner: Sc3Vv gl4tit ivel,5€4*A-
t
b. Municipality: Director, Community Development or designated authority
C. Any attempt to amend, modify, or change this contract by either an unauthorized
representative or unauthorized means shall be void.
8. Jurisdiction: Choice of Law. Any civil action arising from this Maintenance
and Repair Agreement shall be brought in the Superior Court for the Third Judicial
District of the State of Alaska at Anchorage. The laws of the State of Alaska shall
govern the rights and obligations of the parties under this Maintenance and Repair
Agreement.
9. Severability. Any provisions of this Maintenance and Repair Agreement decreed
invalid by a court of competent jurisdiction shall not invalidate the remaining
provisions of the Maintenance and Repair Agreement.
OWNER: eBy: signature) Date: a' 2 U f
�1
D#2,.1o. - A kg U nd SSn (print name)
STATE OF ALASKA()
STATE OF ALASKA ) NOTARY PUBLIC
) ss. Faye Lindsay
THIRD JUDICIAL DISTRICT ) My Commission Expires: Q�
The foregoing instrument was acknowledged before me this /k day ofa y ,
20/7 , by t imec.4. J
P41114tAd
NO ARi Blii ! r ALASKA
My Commission expires:/ -0,115- ')I)) 7
MUNICIPALITY:
By: (signature) Date:
(print name) Title:
�E 8
• '-� Municipality of Anchorage 011'i
On -Site Water and Wastewater Program
(907) 343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL
Parcel I.D. 067-601-12
1. GENERAL INFORMATION
Expiration Date: 7-T— [ 3
Complete legal description GATEWAY TO THE PARK BLOCK 1, LOT 2
Location (site address) 32355 KOROHUSK CIRCLE, EAGLE RIVER, AK 99577
Current Property owner(s)
Mailing address
Real Estate Agent
ONJA K. AMUNDSEN
1422 W 10TH AVE., ANCHORAGE, AK 99501
2. TYPE OF DWELLING:
M Single Family (w/wo ADU)
❑ Duplex
❑ Multiple Dwellings (Single Family and/or Duplex)
Day phone
Day phone
3. NUMBER OF BEDROOMS:
3
TYPE OF WASTEWATER DISPOSAL:
4. TYPE OF WATER SUPPLY:
Individual
M
Individual Well
®
Holding Tank
❑
Individual Water Storage
❑
Community
❑
Community Class _Well
❑
Public Sewer
❑
Public Water System
❑
WaiverNariance request for: Distance:
Received by: i� , ;-' Date:
-V�
COSA to be released to the engineer, unless otheri!iviseaequested by the engineer.
COSA Fee $ Waiver Fee $
Date of Payment
Receipt Number d i (0 7l [)
COSA# 0SC t.71
Date of Payment
Receipt Number
Waiver #
5. STATEMENT OF INSPECTION BY ENGINEER
As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation,
based on procedures outlined in the Certificate of On-Site Systems Approval Guidelines for this application,
shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate
for the number of bedrooms and type of structure indicated herein. I further verify that based on the information
obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water
supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes,
ordinances, and regulations in effect at the time of installation.
Name of Firm ARCTERRA CONSULTING,INC. Phone 868-3791
Address 20441 PTARMIGAN BLVD.,EAGLE RIVER,AK 99577
Engineer's Printed Name KENNETH M.DUFFUS Date 12/4/2017
THIS COSA DOCUMENT CANNOT BE USED TO TRANSFER TITLE UNLESS ALL VENDORS(ENGINEERING,SURVEYING,CONTRACTORS,ETC...ASSOCIATED
WITH THIS COSA ARE PAID IN FULL AT OR BEFORE CLOSING. 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 the conditions as of the day tested.
The flow and absorption rates may change due to subsurface conditions that may not be observed from the surface, changes inland use,
local soil characteristics, groundwater levels that may fluctuate during the year and the water usage of the family being served by the
system. The operational life of all well and septic systems are subject to these various and dynamic characteristics and are outside the
control of the evaluator of the well and septic system. Therefore, ArcTerra can not give any estimate of how long a system will function
satisfactory for current or future occupants or can ArcTerra guarantee that no unseen
encroachments,deficiencies or discrepancies exist. r�' Or q
6. DSD SIGNATURE * L� 9 TI l
System #1 Approved for 3 bedrooms. F tce, i
System #2 Approved for bedrooms. , %, /zir
Disapproved. \ '' •FF,ssio:'?'' Air
Conditional approval for bedrooms, with the following stipulations:
r
V ..SR r
ON 0
Waevi E
d �1P�OMo•.
•
ti1ENT SE •
�J\G�
By: 111brAll. Ga.AX Original Certificate Date: e b to .201
/
The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On-Site Systems Approval (COSA) based only
upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality
of Anchorage is not responsible for errors or omissions in the professional engineer's work.
7. ATTACHMENTS:
COSA Checklist X Nitrate Advisory
Septic System Advisory Arsenic Advisory
Well Flow Advisory Other
•
COSA blue sheet 10-10.12.doc •
If more than 1 septic system is on the lot:
COSA Checklist# of_
Structure served by this system ,
Certificate of On-Site Systems Approval Checklist
Legal Description: GATEWAY TO THE PARK BLOCK 1, LOT 2 Parcel ID: 067-601-12
A. WELL DATA
Well type PRVT If A, B, or C provide PWSID#_ Well Log (Y/N) Y
Date completed 6/14/2017 Sanitary seal (Y/N)Y Wires properly protected (Y/N) Y
Total depth 108 ft. Cased to 108 ft. Casing height(above ground) 24 in.
FROM WELL LOG AT INSPECTION
Date of test 6/1412017 --
Static water level 26.5 ft. -. ft.
Well production 25 g.p.m. -- g.p.m.
WATER SAMPLE RESULTS:
Coliform NEG colonies/100 mL Nitrate 0.915 mg/L
Arsenic: ND ug/L Date of sample: 11/21/2017 Collected by: ARCTERRA
B. SEPTIC/HOLDING TANK DATA
Tank Type/Material SEPTIC-ADVANTEX I STEEL Date installed 6/20/2017
Tank size 1500 gal. Number of Compartments 2 Cleanouts(Y/N) Y
Foundation cleanout(Y/N) Y Depression over tank(Y/N) N High water alarm (Y/N) Y
Date of pumping NA-NEW TANK Pumper
C. ABSORPTION FIELD DATA
Date installed 6/21/2017 Soil rating (g.p.d./ft2 or ft2/bdrm)2.0 System type SHALLOW TRENCH
Length 38 ft. Width 5 ft. Gravel below pipe 1.5 ft.
Total depth 9.83+ ft. (Measured 11/21/17) Eff. absorption area 243 ft2 Monitoring tube Y Depression over field N
Date of adequacy test NA-NEW SYSTEM Results (Pass/Fail) For_bedrooms
Fluid depth in absorption field before test in. Water added gal. New depth in.
Elapsed Time: min. Final fluid depth_in. Absorption rate >= g.p.d.
Any rejuvenation treatment(past 12 mo.) (Y/N &type) N If yes, give date
D. LIFT STATION
Date installed 6/20/2017 Size in gallons 1500 Manhole/Access (Y/N) Y
"Pump on" level at Timer Activated(46")in. "Pump off' level at Timer Activated(29")in. High water alarm level at 47 in.
Datum BOTTOM OF TANK Cycles tested 2 Meets alarm&circuit requirements?Y
E. SEPARATION DISTANCES
WELL ON LOT TO:
Septic tank/lift station on lot 100'+ On adjacent lots 100'+
Absorption field on lot 100'+ On adjacent lots 100'+
Public sewer main 75'+ Public sewer manhole/cleanout 100'+
Sewer/septic service line 25'+ Holding tank 100'+
Animal containment areas 50'+ Manure/animal excrete storage areas 100'+
SEPTIC/HOLDING TANK ON LOT TO:
Building foundation 5'+ Property line 5'+ Absorption field 5'+
Water main 10'+ Water service line 10'+ Surface water 100'+
Wells on adjacent lots 100'+
ABSORPTION FIELD ON LOT TO:
Property line 10'+ Building foundation 10'+ Water main 10'+
Water Service line 10'+ Surface water 100'+ Driveway,parking/vehicle storage 10'+
Curtain drain 50'+(NONE KNOWN) Wells on adjacent lots 100'+
F. COMMENTS
G. ENGINEER'S CERTIFICATION
1 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. i�' OFA .4 \
L
Engineer's Printed Name KENNETH M.DUFFUS / SQ~ ,
� _ /\ 9
Date 12/412017 * 49 TFI
1111---10-1717"7"
COSA brown sheet_10-10-12.doc � KENNET' M
7116
I 64-Ale
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