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Home My WebLink AboutRABBIT CREEK VIEW & HEIGHTS BLK 2H LT 8AMunicipality of Anchorage Community Development Department Page 1 of 2 On-Site Water and Wastewater Program 4700 Elmore St. • P.O. Box 196650 Anchorage, AK 99519-6650 • http://www.muni.org/onsite • (907) 343-7904 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP171219 PID Number: 020-531-20 ❑ New [I Upgrade Name: CHARLES & EMILY MARLER ABSORPTION FIELD ❑ Deep Trench El Shallow Trench EJ Bed F-1 Mound Address 16340 DIANE DRIVE ❑✓ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 3 1.0 GPD/SF 0.0-1.0 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade — p • S' -- _*- Q, s Ft. Gravel depth beneath pipe 0.5 Ft. Subdivision Block Lot RABBIT CREEK VIEW&HEIGHTS 2H 8A Fill added above original grade 2.0 -3.0 Ft. Gravel length 2@45 Ft. Township Range Section Gravel width 5.0 Ft. Beds: Number of Lines N/A Distance between lines N/A Ft. SEPARATION DISTANCES To From Septic Tank Absorption Field Lift Station Holding Tank Sewer Line Total absorption area 450 Ft2 Number of trenches 2 Dist. between trenches 7.2 Ft. Well 115.4 141.3 125.7 N/A 102.4 TANK ❑ Septic El S.T.E.P. ❑ Holding ❑ Other Manufacturer ADVANTEX Capacity 1500Gal. Surface Water 100+ 100+ 100+ N/A Material Number of compartments Lot Line 40.3 10.9 45.8 I N/A NA FIBERGLASS 2 Foundation 10.9 38.3 20.7 N/A LIFT STATION Manufacturer Capacity Curtain Drain 50+ 50+ 50+ N/A ORENCO 500 Gal. Remarks Pump on level at TIMED in. Pump off level at in. High water alarm at 45in. Pump make and model P2005 Electrical Inspections performed by J ELECTRIC Installer PIPE MATERIAL House to tank 3034 Tank to 3034 drainfield WILCO Drainfield 3034 CO/MT 3034 Inspector Pannone Engineering Services BENCH MARK (Assumed elevation) 84.0 ft Inspection s1 dates: 6/20/18 2^d 6/21/18 Sd 6/22/18 41h 12/20/18 Location and description O.G. AT FOUNDATION CLEANOUT COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL Engineer's Stamp Conditional Approval: Date kk ,� �G OF d *: TH :.` tteven Pannome CqE� 8149�y Aw Approved l_(�� q� Date 1JjjGutlUII RZpvl I_I-1-1/.000 DESIGN PARAMETERS PRIMARY SEPTIC SYSTEM / NO. BEDROOM: ( TANK SIZE: � I5O0gADVANTEX / AVX PUMP VAULT ' PERCRATE: 60-120 MPI LOT VACANT ' SOIL RATING: 1.0GPD/5F NO WELLS OR SEPTICS —�c-- AREA ROD: 45O3F SYS.TYPE: WIDE TRENCH O.5'ED MIN LENGTH: 7 TRUE NORTH � ,/ (2EA)45LFx5'WxO.5' E.D., 1.0' TD IN - STALLED 1500o ADVANTEX TANKTOTAL AREA: 450 SF W/AX 20 POD & AUX. PUl I VAULTINSTALLED FOUNDATION CLEAN OUT5.0INSTALLED DRAIN FIELDREMOVED ALL ORGAN[ -S/ P'A 1 5.4LEVELED W/ SANDADDED 2" R.I. AND FILL TO CREATE3.0' COVER INSTALLED MONITOR TUBEAAT EACH END"'M3 TH-1 36R DRiVENAY HOUSE Tl FC AUX. PUM 1500gADvANTEX TANK _ P—?SLPTl� (LOT 9A) ��^AREA--/ J� 3.1 DATE PERFORMED: 6/15/2017 FC 4 0 10.8 Z5 32.8 84,9 44.9 52.3 '10' UTILITY EASEMENT 88 TH-1975 RECORD DRAWING TI 32.7 CHARLES & EMILY MARLER 16340 DIANE DRIVE ANCHORAGE, AK 99515 ml 63.5 M2 50.6 Sheet M4 66,5 1500gADvANTEX TANK _ P—?SLPTl� (LOT 9A) ��^AREA--/ J� 3.1 DATE PERFORMED: 6/15/2017 NOTES: PAMONE ENG WC, LLC P.O. BOX 102954 ANCHORAGE, AK 99510 PHONE (907) 272-8218 FAX (907) 272-8211 CE 8149 .- e ....... Date 12/24/2017 RECORD DRAWING Scale CHARLES & EMILY MARLER 16340 DIANE DRIVE ANCHORAGE, AK 99515 DRAWN ACP PERMIT NO. OSP1 71219 SITE PLAN� Sheet NORTH: 86.5 0 2.1 POD 1500gADvANTEX TANK _ P—?SLPTl� (LOT 9A) ��^AREA--/ J� 3.1 DATE PERFORMED: 6/15/2017 NOTES: PAMONE ENG WC, LLC P.O. BOX 102954 ANCHORAGE, AK 99510 PHONE (907) 272-8218 FAX (907) 272-8211 CE 8149 .- e ....... Date 12/24/2017 RECORD DRAWING Scale CHARLES & EMILY MARLER 16340 DIANE DRIVE ANCHORAGE, AK 99515 DRAWN ACP PERMIT NO. OSP1 71219 SITE PLAN� Sheet OWNER OFLAND: ADDRESS: LEGAL DESCRIPTION DATE: 7-3-18 PERMIT NUMBER: 0lpz71219 DATE opISSUE: 10-18- 17 TAX IDENTIFICATION NUMBER 02053I20000 |swell located otapproved permit location: i-JYes| |No F7 �� yNethodofDriUing: ��airrotary L_lcab|etoo| Depth ofWell: 54 Casing Type: Steel Wall thickness .ZSO inches Diameter: 6 inches, depth 53 feet Liner type Static Water Level: 25 feet Recovery Rate 15 [7 8pm | | gph Method ofTesting Air Well Intake Opening Type: L)\ open end | |npenho|e F� Screened Start feet Stopped �� __- �� Perforations Start feet Stopped Grout Type: Bentonite Volume: 50 lbs Depth: from Z feet, to 42 feet Well Disinfected Upon Completion: C -,|yes Ono no Method ofDisinfection: Chlorine 50 PPM Charles &Emi|yMarler Rabbit Creek View & Hgts 1321H L8A Comments: WATER QUALITY TESTING Bore Hole Data Casing Stickup Overburden Peat 8'Clay w/Gravel Silty Sand &Gravel Silty Sand & Gravel Water Tight Silty Sand & Gravel w/Clay Silty Sand & Gravel Water Sand &Gravel 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 G Human Services and/or Department of Environmental Conservation. K8utIu Borough: Department ofEnvironmental Conservation. Well Drilling Permit Number: SW Parcel Identification Number: COC CO dba BILL o& COLE P.OULLIVAN WATER WELLS Box 670269, Chugiak, AK 99567 688-2758 www.suilivanwaterwells.com Pump Installation Log OSP171219 Date of Issue 10/18/17 02053120000 Attention: The pump installer shall provide a pump installation log to the DSD within 30 days of pump installation. .Qi a S 44°32'44" v 123.60' 3Nb0 13nb219 31,99 h M N .0•oZ .o•oz h N Ld 1=— W 0 W O 0 F Z 0. vi a W Z W w O Z O z p W1�.ONNNVI� W W W o W O W W Q 0 O Iwo. N -0w>-uPC3(1CJ - z fa~cn �U1-00 0 ixz U N Z w� U O 1— O W V W � wpWWXOI--Ono 0 z CD�aWZ N ~Ozz 0 •• 3: ; W \cr \ \ W CL UJ Lj O C.) N� G. p Qr E'a, z tai V) CD N J = I a0 N S tOQyD \ th 01 z \ e J Y -" N N Z fC 00 z l- •r Q Q O • \ �sys .� 'O� � y. Zi n ~ W g \ W z O st er 00 .0 (n (n�W =Q 00 La \ pMM 3.1 m \ N .9Z'99Z 3.. t V.90o6V N MUNICIPALITY OF ANCHORAGE ,,, / « On-Site Water& Wastewater Program \� . 03 .l, PO Box 196650 4700 Elmore Road Anchorage,Alaska 99519-6650 Phone:(907)343-7904 Fax:(907)343-7997 1 . ..i 'r http://www.muni.org/onsite I I t FU n t ,hCHOP"VE On-Site Water & Wastewater System Permit Permit Number: OSP171219 Effective Date: 10/18/2017 Work Type: WellSeptic Initial Expiration Date: 10/18/2018 Tax Code Number: 02053120000 Site Legal Address: RABBIT CREEK VIEW& HEIGHTS BLK 2H LT 8A G:3240 Site Mailing Address: 16340 Diane DR, Anchorage Owner: MARLER EMILY & CHARLES Lot Size in Sq Ft: 20266 Design Engineer: PANNONE ENGINEERING SERVICES Total Bedrooms: 3 This permit is for the construction of: Disposal Field El Septic Tank ❑ Holding Tank ❑ Privy El Private 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. Provide notification by calling (907) 343-7904 (24/7). 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 Received By: rr) Date: Issued By: f QI ( .CCsL Ca_7t Date: io iV,/a24r 7 MUNICIPALITY OF ANCHORAGE Community Development Department 7P mil Phone: 907-343-7904 Development Services Division �' Fa7:1210414 On-Site Water & Wastewater Program 7� G092017 1- ON-SITE SEWER/VVELL PERMIT APPLICATION ,; rarnw Parcel I.D. 020-531-20 a g " 63L Property owner(s) CHARLES & EMILY MARLER Day phone Mailing address 16340 DIANE DRIVE, ANCHORAGE AK 99516 Site address NHN DIANE DRIVE, ANCHORAGE AK 99516 Legal description (Sub'd., Block & Lot) RABBIT CREEK VIEW & HTS B2H L8A Legal description (Township, Range & Section) Lot Size 20,266 Sq. Ft. Number of Bedrooms 3 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (E)all that apply) Absorption Field 1X1 Initial ❑ Single Family (SF) ❑X (w/wo ADU) Septic Tank Upgrade ❑ Duplex (D) ❑ Holding Tank ❑ Renewal ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE I 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 of property owner or authorized agent) Permit/Rush Fees: $42,15 WaiverFees: 5�q Date of Payment: Neijo- Date of Payment: /0 /1'?- Receipt Number: 7 11f'a Receipt Number: Q(0 gQ5-6 Permit No. 0510/W g-/ _1 a+ver'No. Permit App_ -. :: .c Pannone Engineering Services ac Steven R. Pannone, Principal Registered Professional Engineer E-mail:steve@panengak-com September 19, 2017 Subject: Rabbit Creek View and Heights, Block 2H, Lot 8A Septic System and Well Permit Request Design Narrative This is a design narrative for a permit to install a septic system and well to be issued for this property. The proposed system will serve a proposed three (3) bedroom house. Currently the lot is undeveloped. The system will utilize a new 1500g advantex tank with and AX20 pod and a drain field. This lot and the surrounding lots are served by private wells. There are no wells within 100' of the proposed septic system. 1. Soils. One test hole was performed in the vicinity of this system by PES in June 2017, and groundwater was monitored for at least seven days. Ground water was observed at a depth of 9.5' below the surface in the test hole monitor tube in June and September of 2017. Bedrock was not encountered in the test hole to 10.0'. Due to a wet summer with water traveling through the organics layer a percolation test could not be performed in the immediate vicinity of this system, so a sieve analysis was performed. Based on the results of the sieve analysis and the percolation tests on the surrounding lots and overall soils appearance; an application rate of 1.0 gallons/day/square was used for a CAT Ill wastewater system in the area of the test hole 2. Soil Absorption System Design. a. See Sheet 1 of the design package. 3. Surface Water: There is no surface water within 100 feet of the proposed septic tank and drain field. The proposed drain field upgrade will maintain at least 100 feet from all surface water and drainage ditches. 4. Topography: The existing topography on the lot generally slopes from south to north, with a slope of approximately 8% in the area of the drain field. There are no steep slopes within 50' of the proposed drain field. The proposed drain field will maintain 50' separation all steep slopes. 5. Drawing Markings: The Drawings are marked "For MoA Review Only". When written notification that the review is complete and that there are no further comments is received from MoA On-Site Department, the note will be removed and "Issued for Construction" drawings will be issued. The proposed installation will not affect the future development of this or the surrounding lots. Mailing: P.O. Box 100217, Anchorage, AK 99510-0217 Physical: 332 East Manor, Anchorage, AK 99501 Telephone: (907) 272-8218 FAX: (907) 272-8211 \ 9r 7 ---- 0 .4,J z (OK TRUE N2 SCALE : 1•- 50• k� � w I NJ NO WE M M----- M • ts // LOT VACANT NO WELLS OR SEPTICS7*--/ • '77/ �1500g ADVANTEX TANK (P) / 21.0\''.WITH AX20 POD & AUX. PUMP VAULT •INSTALL FOUNDATION CLEAN OUT _ �p PRIMARY / RESERVE DRAINFIELD (P) `I HOUSE WELL (P)/ (2EA) 45LF x 5'W x 0.5'ED x 2.0'TD (P) / [ REMOVE ALL ORGANICS/ PEAT LEVEL WITH SAND IF NECESSARY SS - • WELL (E) FILL TO CREATE +3.0' OF COVER OR INSULATE ' - LO T 8 ' INSTALL MONITOR TUBE AT EACH END (TYP) SS TH-1 \ l • — . • , \ . _....\.___\ //' I. A 10' UTILITY EASEMENT . • ' .r1 '\ TH-2 7 TH-1 w W (LOT 11A) (LOT 9A) W .----- \ do,,/,—TH-1975 SEPT AREA P-1—,:--SEPTI (LOT 1 2A) ;E) � (LOT 9A) AREA TH—1I / ss\........ / (LOT 11A) 1 • P-2J (LOT 9A) 12 M M y / ..-' / •. --" P`' `tecc,- \./.. tk. a 1----) � �1 o 67 > . " / . ./ NFOR CONSTRUCTION PANNONE ENG SVC, LLC • Date 3/2017 P.O. BOX 102954 ANCHORAGE, AK 99510 PHONE (907) 272-8218 FAX (907) 272-8211 `1 . Scale l, ,'t 1" = 50' — RABBIT CREEK VIEW & HEIGHTS B2H LBA; - '20-531-20 DRAWN DRM CHARLES & EMILY MARLER ' • • • PERMIT NO. 16340 DIANE DRIVE ` • OSP171219 ANCHORAGE, AK 99515 �` sheet SITE PLAN 1 1 OF TEST HOLE 1 SOILS LOG - PERCOLATION TEST SLOPE SITE PLAN ORGANICS/ 1 OR/OL ORGANIC SILTS 2 4 38R WEL HOUSE 3 (P) 4 5 LOT 8 6 SM/ SILTY SAND ML AND SILT TH-1 7 X 8 TH ' j ` 9 10' UTILITY EASEMENT 10 TH-2TH- BOH (LOT 1 1 A) (LOT 9, 11 TH-1975 SEPT P-1 --)/— 12 AREA (LOT 12A) / (LOT 9A) 13 — WAS GROUND WATER SLOPE 14 ENCOUNTERED? N 15 IF YES. AT WHAT TH 16 DEPTH? -9.5' X 17 DEPTH TO WATER AFTER MONITORING? -9.5' 18 DATE: 6/20/2017 - 19 DEPTH TO WATER AFTER CLOCK WATER READING DATE TIME NET TIME LEVEL NET DROP MONITORING? -9.5' READING DATE PERFORMED: 6/15/2017 DATE: 9/15/2017 1 2 NO PERC 3 `DUE TO WET CONDITIONS 4 5 6 PEROLATION RATE ---- (min/inch) PERC HOLE DIAMETER 6 inches SIEVE SAMPLE BETWEEN 3 FT AND 4 FT COMMENTS:Test hole excavated by A+ HOME SERVICES PERFORMED BY: Dan Moran. I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDLINES IN EFFECT ON THE DATE OF THIS TEST. NOTES: PANNONE ENG SVC, Date FOR CONSTRUCTION P.O. BOX 102954 ANCHORAGE, AK LLC 9510 _ -01...... 10/3/2017 PHONE (907) 272-8218 FAX (907) 272-8211 --466.•• i Scale A__- *` •rl, tort)n NTS �: P.I.D. NO RABBIT CREEK VIEW & HEIGHTS B2H L8• _ \ _ ,�'� S 31-20 CHARLES & EMILY MARLER �°�°"'0" PERMIT NO. DRAWN DRM �� CE 8149 16340 DIANE DRIVE OSP171219 r SOILS LOGS ANCHORAGE, AK 99515 - Sheet % ,711‘47.7 2 OF 3 040.002 Crowther Associates Client: Pannone Engineering Services Projects: Rabbit Creek View and Heights, Block 2H, Lot 8A Date: September 22, 2017 Particle Size Distribution Table Sample Source Sieve Size 3 inch 1-1/2 inch 100% % inch 95 #4 82 #I0 71 #40 53 #100 39 #200 36 0.02 mm Classification Silty Sand (SM) 1632 Bellevue Circle/Anchorage.Alaska 99515 Telephone(907)349-2198/E mail:crowther@alaska.net SPECIAL PROVISIONS TO SPECIFICATIONS 1. ALL CONSTRUCTION SHALL BE INSTALLED AS SPECIFIED IN THE MOST CURRENT EDITION OF THE MUNICIPALITY OF ANCHORAGE STANDARD SPECIFICATIONS (MASS) FOR COMPONENT PARTS AND MATERIALS USED IN CONSTRUCTION OF ON—SITE WASTEWATER DISPOSAL SYSTEMS AND AND IN ACCORDANCE WITH AMC 15.65 AND 15.55. 2. SCOPE OF WORK: INSTALL NEW 1500g ADVANTEX TANK, AND SOIL ABSORPTION SYSTEM. INSTALL WELL 3. GROUNDWATER WAS ENCOUNTERED AT A DEPTH OF 9.5 FEET BELOW EXISTING GRADE AS EVIDENCED BY THE SOIL TEST HOLE. IF AN APPARENT WATER TABLE IS OBSERVED IN ANY OF THE EXCAVATIONS LESS THAN 9.5 FEET BELOW EXISTING GRADE NOTIFY THE ENGINEER IMMEDIATELY. 4. THE CONTRACTOR (BOTH WELL AND SEPTIC SYSTEM CONTRACTORS) SHALL HAVE ANY WELL LOCATION AND SEPTIC LOCATION STAKED AND ANY LOT LINE AND WELL RADIUS SHOWN ON THE PLAN WITHIN 30 FEET OF THE PROPOSED SYSTEM STAKED BY A REGISTERED LAND SURVEYOR BEFORE STARTING THE WORK. 5. THE CONTRACTOR IS RESPONSIBLE FOR ALL R.O.W. AND OTHER REQUIRED PERMITS, OTHER THAN THE ATTACHED. 6. THE CONTRACTOR SHALL CALL FOR LOCATING OF ALL BURIED UTILITIES. 7. THE CONTRACTOR SHALL PROVIDE 24 HOUR NOTICE TO THE ENGINEER PRIOR TO START OF WORK. ALL SURVEYING AND LOCATES SHALL BE IN PLACE PRIOR TO NOTIFYING THE ENGINEER. 8. THE CONTRACTOR SHALL NOTIFY THE ENGINEER OF ANY DISCREPANCY BETWEEN THE APPROVED DRAWINGS AND SITE CONDITIONS/LIMITATIONS POTENTIALLY CAUSING THE NEED TO MODIFY THE DESIGN. 9. AT THE COMPLETION OF THE WORK, THE CONTRACTOR SHALL SUBMIT RED—LINE AS—BUILT DRAWINGS TO THE ENGINEER. THE RED—LINES SHALL INCLUDE PIPE LENGTHS, ORIGINAL GROUND ELEVATIONS, PIPE ELEVATIONS, AND TANK ELEVATIONS. 10. THE CONTRACTOR SHALL PROVIDE PHOTOGRAPHS OF THE SYSTEM INSTALLATION TO INCLUDE BOTTOM OF EXCAVATION, TOP OF PIPE WITH CLEAN—OUTS AND MONITOR TUBES INSTALLED, INSTALLED TANK AND FINAL GRADING. 11. THE CONTRACTOR PROVIDED DATA (UPON WHICH THIS RECORD DRAWING IS BASED) APPEARS TO REPRESENT THE PROJECT AS CONSTRUCTED. THIS DATA IN CONJUNCTION WITH THE PERIODIC FIELD OBSERVATIONS BY THE ENGINEER (OR HIS DESIGNEE) AS REQUIRED BY AMC 15.65 DOES NOT GUARANTEE THAT THERE ARE NO HIDDEN DEFECTS BY THE CONTRACTOR. 12. THE CONTRACTOR SHALL SIGN THE FOLLOWING: I CERTIFY THAT ALL WORK WAS PERFORMED IN ACCORDANCE WITH THE APPEND PERMIT, AND ANY AND ALL CHANGE ORDERS, AND THAT THE AS—BUILT REDLINES ARE TRUE AND ACCURATE REPRESENTATION OF THE PROJECT AS CONSTRUCTED. CONTRACTOR: BY: . TITLE: DATE: DESIGN PARAMETERS PRIMARY SEPTIC SYSTEM NO. BEDROOM: 3(450 gpd) TANK SIZE: 1500g ADVANTEX W/ AX20 POD & AUX PUMP VAULT PERC RATE: 60-120 MPI ABBREVIATIONS SOIL RATING: 1.0 GPD/SF AREA RQD: 450 SF — W W WATER LINE / TH TEST HOLE SYS. TYPE: WIDE TRENCH 0.5'ED WELL RADIUS (P) PROPOSED MIN LENGTH: 90 LF (E) EXISTING ss ss NEW SEPTIC CO CLEAN OUT NO. USE: MT MONITOR TUBE NO. (2EA)45LFx5'Wx0.5' E.D., 2.0' TD TYP TYPICAL TOTAL AREA: 450 SF PANNONE �T 7 FOR CONSTRUCTION OTE PA NONE ENG SVC, LLC NOTES: Dotef f P.O. BOX 102954 ANCHORAGE, AK 99510 �f �.,' Sca le 3 2017 PHONE (907) 272-8218 FAX (907) 272-8211 "�.: NTS *:,I.44 . NO RABBIT CREEK VIEW & HEIGHTS B2H L � � „� ' P.I.D. 531-20 seven l�. annowe DRAWN ORM CHARLES 8c EMILY MARLER CE 8149 PERMIT 21s 16340 DIANE DRIVE DESIGN NOTES ANCHORAGE, AK 99515 Sheet �� 3 OF 3 ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND REPAIR AGREEMENT BETWEENM_UNICIPALITY OF ANCHORAGE AND blades lI THIS MAINTENANCE AND REPAIR AGREEMENT made and entered into as of this 1O+ Day of0C4Qher- of 20 ill , by and between ar + 1dj irttPkGA 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: I. Advanced Wastewater Treatment Systems. Municipality grants permission to Owner to utilize and operate an Advanced Wastewater Treatment System (AWWTS), described as AiuiK located at(legal description). (-04-g Pall9Wri'&Jack Ui e -4- 41)14- Cf;t< U .(~19d. (A19di vi son 2. Definitions. 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. 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: J a. Ownere Mrl( blif3 fmt Al to 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:CM By: C uc2 t (signature) Date: of(0(i r1 C1'iavles '1a /e cC (print name) VI( M ie?J elm STATE OF ALASKA ) )ss. THIRD JUDICIAL DISTRICTCgi) The foregoin instrument was acknowledged before me this/a day of , 20/7, by af'fes Q 61,1117 N4rIe/r s OFFICIAL SEAL NOTARY BLIC OTARY PUBLI FOR ALASKA State ofAl PU My Commission expires: 9U14/ o2'l, 01 �vI' sM•OO�"• �r ca�msaon EON Ali 27,2021 MUNICIPALITY: By: R.Q.L- ef/Artert9 (signature) Date: 1 b!z i 20 r 7 €CCak. I t (print name) Title: Municipality of Anchorage On-Site Water and Wastewater Program (907)343-7904 A, :, , Certificate of On-Site Systems Approval Parcell.D. 020-531-20 Li_ z23-1? Expiration Date: 1. GENERAL INFORMATION Complete legal description Rabbit Creek View & Heights B2H L8A Location (site address) 16340 Diane Drive Current Property owner(s) Charles & Emily Marler Day phone Mailing address Real Estate Agent Day phone 2. TYPE OF DWELLING: i J Single Family(w/wo ADU) ❑ Duplex ❑ Multiple Dwellings(Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 3 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well 0 Individual 0 Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ WaiverNariance request for: Distance: Received by: Date: COSA to be released to the engineer,unless otherwise requested by the engineer. COSA Fee $ l 5 . 0 DWaiver Fee $ Date of Payment 1/?B/ZD/Cl Date of Payment Receipt Number 0 4O9 0 Receipt Number COSA# OSC 19/D1 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. In conducting an adequacy test,I attempt to provide a thorough,conscientious engineering analysis of the system in accordance with MoA COSA guidelines and regulations.The reported results describe 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 soil condition,ground water 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 this system. All systems eventually fail and satisfactory test results do not guarantee future performance of the system,nor do they guarantee that there are no hidden defects or encroachments.Therefore we cannot provide any warranty for future performance, nor can we estimate remaining life of the system. The content of this report is for the sole benefit of the owner listed above. Name of Firm Pannone Engineering Services LLC Phone (907) 745-8200 Address P.O. Box 1807 Palmer, AK 99645 Engineer's Printed Name Steven R Pannone, P.E. Date 1/17/19 OF.ALgs1 �Ar'4: `4 tor 6. DSD SIGNATURE %y•t_444,190-aj� t *�� X) System#1 Approved for .5 bedrooms i••..Steven • •♦Sannone• System#2 Approved for bedrooms i�{ yy' , CE-8149 �� Disapproved 1k D SS Conditional approval for bedrooms, with the following stipulations: \�,�� { LJT r L Yt. - ON-SITE en WATER AND r^ WASTEWATER oz PROGRAM10 • k- / OP ,, By: iOriginal Certificate Date: / o7 q' I 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_f . . r. If more than 1 septic system is on the lot: COSA Checklist# I of 1 Structure served by this system 1 Certificate of On-Site Systems Approval Checklist Legal Description: Rabbit Creek View & Heights B2H L8A Parcel ID:020-531-20 A. WELL DATA Well type Private If A, B,or C provide PWSID# Well Log ) Y Date completed 7/13/18 Sanita YIN Y Y rY seal ( ) Wires properly protected(Y/N) Total depth 54 ft. Cased to 53 ft. Casing height(above ground) 2y in. FROM WELL LOG AT INSPECTION Date of test 7/3/18 Static water level 25 ft. ft. Well production 15 g.p.m. g.p.m. WATER SAMPLE RESULTS: Coliform Neg colonies/100 mL Nitrate ND mg/L Arsenic ND ug/L Date of sample: 1/2/19 Collected by: PES B. SEPTIC/HOLDING TANK DATA Tank Type/Material Advantex / Fiberglass Date installed 6/20/18 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) N/A Date of pumping n/a (new) Pumper C. ABSORPTION FIELD DATA Date installed 6/22/18 Soil rating (g.p.d./ft2 or ft2/bdrm) 1.0gpd/sf other System type Length 2 @ 45 ft. Width 5 ft. Gravel below pipe 0.5 ft. '�� 'yy 450 z Total depth Eff. absorption area ft Monitoring tube Y Depression over field N Date of adequacy test n/a (New) Results(Pass/FailFPA4 S' 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.)(YIN&type) None Known If yes, give date D. LIFT STATION Date installed n/a Size in gallons Manhole/Access(Y/N) "Pump on" level at in. "Pump off level at in. High water alarm level at in. Datum Cycles tested Meets alarm&circuit requirements? E. SEPARATION DISTANCES WELL ON LOT TO: ji Septic tank/lift station on lot 1'00 + On adjacent lots 100 + Absorption field on lot 100 + On adjacent lots 1001+ Public sewer main 75'+ Public sewer manhole/cleanout 1001+ 1Sewer/septic service line 25'+ Holding tank 100 + Animal containment areas 501+ Manure/animal excrete storage areas 100'+ SEPTIC/HOLDING TANK ON LOT TO: Building foundation 101+ Property line 101+ Absorption field 101+ Water main 25'+ Water service line 25'+ Surface water 1001+ Wells on adjacent lots 100 + ABSORPTION FIELD ON LOT TO: Property line 104104foundation 104Water main 104 Water Service line 25'+ Surface water 100 + Driveway, parking/vehicle storage 101+ Curtain drain 50'+ Wells on adjacent lots 1001+ F. COMMENTS Advanced Wastewater Maintenance Agreement, Well & Pump Logs & Survey on file G. ENGINEER'S CERTIFICATION �+"��x\ ��°F e -gskl I certify that I have determined through field inspections and Al(5 P' �� •9�� review of Municipal records that the above systems are in j*:'49'ni ,� *f conformance with MOA COSA guidelines in effect on this date. ,••• -�,� •• ..•.0 Steven R Pannone, P.E. • �� Engineer's Printed Name .S everi 13..Nrinorie: '# Date 1/17/19 rt♦ '.. CE-8149 ,i ��1 roll-::•*, ,., lli,,o of COSA canary sheel_2-6-15.doc