The URL can be used to link to this page

Home My WebLink AboutCROMWELL HEIGHTS BLK 1 LT 1Onsite File CromAs'aft-well Height:7 r Municipality of Anchorage On-Site Water and Wastewater Section e (907) 343-7904 Page 1 of 2 ONSITE WASTEWATER INSPECTION REPORT Permit Number: OSP231175 PID Number: 015-332-06 Dwelling: X Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: FBI New ❑ Upgrade Name Spinell Homes, Inc. ABSORPTION FIELD Deep Trench Wide Trench Bed E] Deep E] Mound Site Address 11460 Hillside Drive ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 4 4.0 GPD/SF +2.0 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade +2,5 Ft. Gravel depth beneath pipe 0.5 Subdivision Block Lot Cromwell Heights 1 1 Ft. Fill added above original grade 6.0 Ft. Gravel length 35 Ft. Township Range Section Gravel width 5.0 Beds: Number of Lines n/a Distance between lines SEPARATION DISTANCES Ft n/a Ft. To Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Tank Line 175 Ft2 1 n/a Ft. Well 100'+ 100'+ NA NA 25'+ TANK ❑ Septic ❑ S.T.E.P. ❑ Holding ❑® Other Manufacturer Orenco/APVAIJT-Ek Capacity 1500 Gal. Surface Water 100'+ 100'+ NA NA Material Number of compartments Lot Line 5'+ 10'+ NA NA NA HDPE 2 Foundation 10'+ 10'+ NA NA LIFT STATION Manufacturer Capacity Remarks Gal. Alarm location Electrical installed by Installer PIPE MATERIAL House to tank 3034 Tank to 3034 drainfield Pomraning Excavation, LLC Drainfield 3034 CO/MT 3034 Inspector PES BENCH MARK (Assumed elevation) 100.0 ft Inspection ection im 07/05/23 Zed 07/05/23 Location and description 31" 07/05/23 411 07/05/23 See Site Plan, FF House ON-SITE WATER AND WASTEWATER SECTION APPROVAL Engineer's Stamp Conditional Approval: Date OF AC�s��@ �••�P,�� d' 49 TH Steven R. Pannone /d Septic Syste �F . CF 8149 Approved Date i� 23 II�6s�F�^' Note: this approvdoes not include well permit requirements. io,... ncinnm � PROFILE PA N N O N E E N G S V C , L L C ( C . I . 1 0 8 8 ) u"W1011,125, 1-40 'Will P.O. Box 670269, Chugiak, AK 99567 688-2759 OWNER OF LAND: Spinell Homes ADDRESS: LEGAL DESCRIPTION Cromwell Heights Block 1 Lot 1 DATE: 8-31-22 PERMIT NUMBER: OSP221024 DATE OF ISSUE: 2-14-22 TAX IDENTIFICATION NUMBER 01533206000 Is well located at approved permit location: ❑Yes ❑No Method of Drilling: ®air rotary cable tool Depth of Well: 120 Casing Type: Steel Wall thickness .250 inches Diameter: 6 inches, depth 116 feet Liner type Static Water Level: Flowing feet Recovery Rate 25 ® gpm gph Method of Testing Air Well Intake Opening Type: ® open end open hole ❑ Screened Start feet Stopped ❑ Perforations Start feet Stopped Grout Type: Bentonite Volume: 50 lbs Depth: from 2 feet, to 42 feet Well Disinfected Upon Completion: ®yes ❑ no Method of Disinfection: Chlorine 50 PPM Comments: Bore Hole Data Depth From To 0 2 2 4 4 62 62 66 66 77 77 109 109 120 Casing Stickup Overburden Silty Sand & Gravel Silty Sand Water Tight Silty Sand & Gravel Wet Tight Silty Sand & Gravel 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 & Human Services and/or Department of Environmental Conservation. Matsu Borough: Department of Environmental Conservation. Well Drilling Permit Number: SW Parcel Identification Number: PTIM M,111 Pump 0 40 80 T= Feet AsBuilt Lot 1, Block 1 Cromwell Heights Sub d. Ordered By. Lauren Spinelli Date.- 8/21/23 Plat: 65-80 1 Grid- SW2639 Drawn: APH I Chk: APH &rve ' y Certification: The Boutet Company has conducted 0 physical survey of the property shown hereon and certifies that the lot corners have been found or established as indicated, and that to the best of our knowledge and abilities, a// dimensions have been measured true and correct Exclusionary Note: It is the owners' responsibility to determine the existence of any easements, covenants, restrictions or right-of-way takings which do not appear on the recorded subdivision plot It is the contractor's responsibility to check top of foundation grade and building setbacks in relation to lot lines and easements. OF A o 49 TH °• ................ •.......... • 0 09 ,0 Anthx� ny P 0 ffman. LS -9020 -3. OCY OfesL a � snO� io M DECK E�J PAVED DRIVEWAY OR WALKWAY CAN 77L EVER L E The Boutet Company, Inc. 601 E. 57th PIpce95#102 Anchora e, AK. 91 8 Ph. 909-522-6776 Fx. 907-522-6779 License No. AECC957 infoOtbcak.com 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 Water & Wastewater System Permit Permit Number: OSP231175 Work Type: WellSeptic Renewal Tax Code Number: 01533206000 Site Legal Address: CROMWELL HEIGHTS BLK 1 LT 1 G:2639 Site Mailing Address: 11460 HILLSIDE DR, Anchorage Owner: SPINELL HOMES INC Design Engineer: PANNONE ENGINEERING SERVICES This permit is for the construction of: Effective Date Expiration Date: Lot Size in Sq Ft: Total Bedrooms: cnt- J Dehartinent 7/5/2023 7/4/2024 31914 Q Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy Q 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: Issued By: 1 S 5 1_/ r -j) T-.0 ��=�` Date: Date: S �2 9 MUNICIPALITY OF ANCHORAGE P Community Development Department Phone: 907-343-7904 Development Services Division Fax: 907-343-7997 On -Site Water & Wastewater Program ON-SITE SEWERIWELL PERMIT APPLICATION Parcel I.D. 015-332-06 Property owner(s) Spine[[ Homes Inc. Day phone Mailing address 1900 W. Northern Lights #200, Anchorage, AK 99517 Site address NSN Hillside Drive Legal description (Sub'd., Block & Lot) Cromwell Heights, Block 1, Lot 1 Legal description (Township, Range & Section) Lot Size 31,914 Sq. Ft. Number of Bedrooms 4 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (N all that apply) Absorption Field ❑X Initial ❑ Single Family (SF) ❑X (w/wo ADU) Septic Tank ❑X Upgrade ElDuplex (D) El ❑ RenewalTank Renewal x❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑X 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 of property owner or authorized agent) Permit/Rush Fees: 731 Waiver Fees: Date of Payment: Date of Payment: Receipt Number: Receipt Number: Permit No. SP 2 3 1/ 5 Waiver No. Permit App_ '- : • Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPUANC Pannone Engineering i 5 LLC OSP231175, Curtis TomseW 07/0S Steven R. Pannone, Principal Registered Professional Engineer E-mail: steve@panengak.com 06/26/2023 Subject: Expiring On -Site Water and Wastewater Permit Permit Renewal Request Permit Number: OSP201055 Legal Description: Cromwell Heights B1 L1 This is a request to renew the permit for the above-mentioned lot. All site conditions remain the same and the construction will not affect the health, safety, or development of the surrounding lots. Sincerely, s;2�P Steven R. Pannone, P.E. Owner/Civil Engineer Mailing: P.O. Box 1807, Palmer, AK 99645-1807 Telephone: (907) 745-8200 PAX: (907) 745-8201 0 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 Water & Wastewater System Permit Permit Number: OSP221024 Effective Date: Work Type: WellSeptic Renewal Expiration Date: Tax Code Number: 01533206000 Site Legal Address: CROMWELL HEIGHTS BLK 1 LT 1 G:2639 Site Mailing Address: 11460 HILLSIDE DR, Anchorage Owner: SPINELL HOMES INC Design Engineer: PANNONE ENGINEERING SERVICES This permit is for the construction of: RI Disposal Field Z Septic Tank ❑ Holding Tank ❑ Privy ,,�1cnt tiox c De partill ell t 2/14/2022 2/14/2023 Lot Size in Sq Ft: 31914 Total Bedrooms: 4 Q 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 B) Issued By: Date: Date: Z MUNICIPALITY OF ANCHORAGE Community Development Department Phone: 907-343-7904 Development Services Division Fax: 907-343-7997 On -Site Water & Wastewater Program ON-SITE SEWER/WELL PERMIT APPLICATION Parcel I.D. 015-332-06 Property owner(s) Spinell Homes Inc. Day phone Mailing address 1900 W. Northern Lights #200, Anchorage, AK 99517 Site address NSN Hillside Drive Legal description (Sub'd., Block & Lot) Cromwell Heights, Block 1, Lot 1 Legal description (Township, Range & Section) Lot Size 31,914 Sq. Ft. Number of Bedrooms 4 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field ❑X Initial ❑ Single Family (SF) 0 Septic Tank 0 Upgrade ❑ (w/wo AD U) Holding Tank ❑ Renewal Q Duplex (D) El Privy ❑ Multiple Dwellings ❑ _ (SF and/or D) Private Well 0 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 of property owner or authorized agent) Permit/Rush Fees: �. /y5 Waiver Fees: Date of Payment: a110,-)2- Date of Payment: Receipt Number: 0 5 d 2- 2-G Receipt Number: Permit No. ®S Pa O.? L/ Waiver No. Permit App__- : :'-.,:c.; Pannone Engineering ServiCeS LLC Steven R. Pannone, Principal Registered Professional Engineer E-mail: steve@panenRak.com DATE 1/4/22 Subject: Expiring On -Site Water and Wastewater Permit Permit Renewal Request Permit Number: OSP201055 Legal Description: Cromwell Heights B1 L1 This is a request to renew the permit for the above-mentioned lot. All site conditions remain the same. The construction still will not affect the health, safety, or development of the surrounding lots. Sincerely, Steven R. Pannone, P.E. Owner/Civil Engineer Mailing: P.O. Box 1807, Palmer, AK 99045-1807 Telephone: (907) 747-8200 FAX: (907) 745-8201 MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program POBox 1S6050 47OUElmore Road Anchorage, Alaska S9519 8650 Ph 804 Fox: (80r)343 -7S97 ATINIINTU Permit Number: OSP211036 Work Type: VVeUSeodoRenevva{ Tax Code Number: 01533206000 Site Legal Address: CROMVVELLHEIGHTS BLK 1 L 1 G:2639 Site Mailing Address: 114Q0HILLSIDE DR, Anchorage Owner: SPINELLHOMES INC Design Engineer: PANNONEENGINEERING SERVICES This permit is for the construction of: Effective Date: Expiration Date Lot Size in Sq Ft: Total Bedrooms: 2/19/2021 2/19/2022 31914 Z Disposal Field 2 Septic Tank [] Holding Tank [] Privy Z Private Well 0 Water Storage All construction shall beinaccordance 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 M8AAC8O\ 3. The wastewater code requires inspections during the installation. The engineershall notify theDeve|opnnent Services Department per AMC 15.G6.Provide notification bycalling (SO7)343-7QO4/24/7\. 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall beeither: a. Opened and Closed onthe same day, or b. Covered, sealed, and heated to prevent freezing Received By: Date: Issued By: Data: El MUNICIPALITY OF ANCHORAGE Community Development Departmentv Phone: 907-343-7904 Development Services Division Fax: 907-343-7997 On -Site Water & Wastewater Program ON-SITE SEWER/WELL PERMIT APPLICATION Parcel I.D. 015-332-06 Property owner(s) Spinell Homes Inc. Day phone Mailing address 1900 W. Northern Lights #200, Anchorage, AK 99517 Site address NSN Hillside Drive Legal description (Sub'd., Block & Lot) Cromwell Heights, Block 1, Lot 1 Legal description (Township, Range & Section) Lot Size 31,914 Sq. Ft. Number of Bedrooms 4 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field ❑X Initial ❑ Single Family (SF) ❑X ADU) Septic Tank ❑X Upgrade El(w/wo Duplex ❑ (D) Holding Tank F-1Renewal Fx Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑X 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 of property owner or authorized agent) Permit/Rush Fees: $145 Waiver Fees: Date of Payment: 2�/5,A- Date of Payment: Receipt Number: 075 / 5G Receipt Number: Permit No. OSP211036 Waiver No. Permit App_-'- :- ::..,:c Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COWUANC. Pannone i n e r t e ry i c e 5 L LC 0SP211036, Deb ft kenfuss, 02219, Steven R. Pannone, Principal Registered Professional Engineer E-mail: steve@panengak.com DATE 2/16/21 Subject: Expiring On -Site Water and Wastewater Permit _•- Y �_ _______. Permit Renewal Request Permit Number: OSP201055 Legal Description: Cromwell Heights 131 L1 This is a request to renew the permit for the above-mentioned lot. All site conditions remain the same. The construction still will not affect the health, safety, or development of the surrounding lots. Sincerely, Steven R. Pannone, P.E. Owner/Civil Engineer Mailing: P.O. Box 1807, Palmer, AK 99645-1807 Telephone: (907) 74.5-8200 FAX: (907) 745-8201 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 Water & Wastewater System Permit Permit Number: OSP201055 Work Type: WellSeptic Initial Tax Code Number: 01533206000 Site Legal Address: CROMWELL HEIGHTS BLK 1 LT 1 G:2639 Site Mailing Address: 11460 Hillside DR, Anchorage Owner: SPINELL HOMES INC Design Engineer: PANNONE ENGINEERING SERVICES This permit is for the construction of: Effective Date Expiration Date >>ncnt 0 -. S Cr II � v Department Lot Size in Sq Ft: Total Bedrooms: 4/14/2020 4/14/2021 31914 Q Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy Q 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: Date: Issued By:Gni/ Date: l U' 4 v ON-SITE SEWER/WELL PERMIT APPLICATION Parcel I.D. 015-332-06 Property owner(s) Spinell Homes Inc. Day phone Mailing address 1900 W. Northern Lights #200, Anchorage, AK 99517 Site address NSN Hillside Drive Legal description (Sub'd., Block & Lot) Cromwell Heights, Block 1, Lot 1 Legal description (Township, Range & Section) Lot Size 31,914 Sq. Ft. Number of Bedrooms 4 APPLICATION IS FOR: APPLICATION IS AN: TYKE OF DWELLING: (® all that apply) Absorption Field ❑X Initial ❑X Single Family (SF) ❑X Septic Tank ❑X Upgrade ❑ (w/wo ADU) (D) ❑ Holding Tank ❑ RenewalDuplex ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑X Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE ! WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this i;s: in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit/Rush Fees: P m .— Date of Payment: YW'16 gp Receipt Number: �I (i0 LlgZ,2 Permit No. USP 96 1�b.7 Permit App__- : • Waiver Fees: Date of Payment: Receipt Number: Waiver No. Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP201055, Deb Wockenfuss, 04/14/20 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP201055, Deb Wockenfuss, 04/14/20 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP201055, Deb Wockenfuss, 04/14/20 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP201055, Deb Wockenfuss, 04/14/20 MUNICIPALITY OF ANCHORAGE ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND RE PAIR AGREEMENT THIS MAINTENANCE AND REPAIR AGREEMENT, herein the "AGREEMENT" made and entered into as of this -7 Day of ___ Sr --LL- of 20.,2- 0 by and between 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 (AW WTS), described as U _� located at (legal description) 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 AW WTS service and maintenance provider approved by the Municipality or the manufacturer's representative. The AWWTS shalt 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. k%_ Owner acknowledges that regular maintenance of an AW WTS reduces the potential failure of the system, which could include sewage backup and costly repairs or drainfield replacement. (rev. 05/18/2018) Page I of 3 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. _7__ Owner agrees to grant the Municipality reasonable access to test and inspect the AWWTS. The Municipality will give at least 24-hour notice. +/ Owner agrees that any sale or transfer of title of the property will not occur without a new 41 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. 05118/2018) Page 2 of 3 t OWNER: BY K `l .(signature) Date:—_6 r�4 re, < D, tapd l (print name) STATE OF ALASKA ss. THIRD JUDICIAL DISTRICT The foregoing instrument was Jacknowledged before me this 01 day of�j'U(��'Yi 20 i l> > by __ r��N'✓esE ¢,y�tsLs�tparai:ttnrrt,e�� (� Oo> b My Commission expires:_ 012 ''6dC0ot �7 r1 0 0 30 0 616 00°``s MUINICIPALRTY: By: Gt/ (Signature) Date: (print name) Title: (rev. 05/18/2018) Page 3 of 3 MUNICIPALITY OF ANCHORAGE Development Services DepartmentPhone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Parcel I.D. 015-332-06 Legal description CROMWELL HEIGHTS BLK 1 LT 1 Site address 11490 HILLSIDE DR Current property owner(s) SPINELL HOMES INC Expiration Date: X The On-site system(s) is/are approved for 4 bedrooms Conditional approval for Comments or advisories: 1/6/2024 bedrooms, with the following stipulations: By: Gi/ Original Certificate Date: 10/6/2023 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 Absorption Field Advisory Tank Age Advisory Other X Well Flow Advisory Nitrate Advisory Arsenic Advisory COSA ApprovWjune 2022 Ll V� U Fl V � @'/ � P\ L � 11 V ® LI O ' U o G EE Development Services Department .r 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. 015-332-06 Complete legal description Cromwell Heights Block 1 Lot 1 /i 4i9 -Hillside Drive Location (site address)) Current property owner(s) Spinell Homes, Inc. 2. ON-SITE SYSTEMS SIZED FOR 4 BEDROOMS Day phone 3. TYPE OF WATER SUPPLY: 0 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: ❑® Private Septic ❑ Private Septic serving 2 dwelling units ❑ Holding Tank ❑ Community Septic or Public Sewer 5. SEPTIC TANK: ❑ Steel M Plastic ❑ Concrete ❑ Fiberglass Age c1 yr - See advisory if steel older than 20 years 6. ABSORPTION FIELD: 0 AWWTS ❑ Bed ❑ Deep Trench ❑® Wide Trench ❑ Seepage Pit Waiver request for: Expedited review requested: 0 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 $-) 2.0 Waiver Fee $ Date of Payment COSA # 0S(; 2-'-) 4; S? Date of Payment Waiver # COSA Application—June 2022 COSA Checklist_June 2022 COSA Checklist Legal Description: Parcel ID: 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 Total depth ft Cased to ft Sanitary seal is functioning correctly Wires are properly protected Casing height (above ground) in. Date of flow test for COSA Static water level at beginning of test ft. Well production at time of test gpm Water storage tank volume gallons Well disinfected for coliform test? Yes No Coliform bacteria is Negative Nitrate mg/L Nitrate less than MRL (ND) Arsenic ug/L Arsenic less than MRL (ND) Collected by Date Comments __________________________________________________________________________________ B. TANK DATA Measured operating fluid level in septic tank Date of pumping Required maintenance completed, if AWWTS Comments: C. LIFT STATION Required maintenance completed Age of lift station years Lift station material Comments: D. ABSORPTION FIELD DATA Which system tested (date installed) ALL standpipes present per record drawing Total measured depth from grade ft (max) Measured depth to pipe invert from grade 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 Adequacy test date Results Pass Fluid depth prior to test in Water added gal New fluid depth in Elapsed time min Final fluid depth in Absorption rate gpd FIELD STATUS – POST RECOVERY Effective depth (per record drawings) in Effective depth used in Effective depth remaining in Comments/Deficiencies: COSA Checklist_June 2022 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’ Yes if No ft Neighboring Tank > 100’ Yes if No ft Absorption Field on Lot > 100’ Yes if No ft Neighboring Absorption Fields > 100’ Yes if No ft Community Sewer Main > 75’ Yes if No ft Community Sewer Manhole/Cleanout > 100’ Yes if No ft Private Sewer/Septic Line > 25’ Yes if No ft Holding Tank > 100’ Yes if No ft Animal Containment > 50’ Yes if No ft Manure/Animal Excreta Storage > 100’ 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’ Yes if No ft Tank to Property Line > 5’ Yes if No ft Field to Property Line > 10’ Yes if No ft Water Main > 10’ Yes if No ft Water Service Line > 10’ Yes if No ft Surface Water > 100’ Yes if No ft Wells on Adjacent Lots: Private Wells > 100’ Yes if No ft Community Wells > 200’ Yes if No ft If tank or field is under driveway comment below F.ENGINEER’S COMMENTS 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. In conducting an adequacy test, I attempt to provide a thorough, conscientious engineering analysis of the system in accordance with ADEC & MOA 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 Phone Engineer’s Printed Name Date MUNICIPALITY DE ANCHORAGE ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND REPAIR AGREEMENT THIS MAINTENANCE AND REPAIR AGREEMENT, herein the "AGREEMENT" made and entered into as of this _ Day of .S R,& k.t, b er of 20A3, by and between Q� to _S e n kfii 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 located at (legal description) e—, roMWR 11 .4 +-& L 1 BJ 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). 64� 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. 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 AOwner acknowledges that the Municipality may request records of maintenance and repairs from the manufacturer's representative or maintenance provider. V4, Owner acknowledges that the fine for failing to maintain and repair an AWWTS may be assessed in accordance with AMC 14.60.030. 6_ Owner agrees to grant the Municipality reasonable access to test and inspect the AWWTS. The Municipality will give at least 24-hour notice. �� Owner agrees that any sale or transfer of title of the property will not occur without a new Certificate of On -Site Systems Approval. 66— 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 OWNER: G i�j 02 By: �-� (signature) Date: 2 r v : / (print name) 1-zl e •J STATE OF ALASKA ) ss. TIIIRD JUDICIAL DISTRICT ) The foregoing instrument was acknowledged before me this-? 5 day of o-, 21 ecyvb 20 93, by � Ec_� Tau `> Tc rc,I,.,;n t. I\TOTARY PUBLIC FOR ALASKA STATE OF ALASI<A My Conunission expires: -� r ,� ,_ y ? � NOTARY PUBLIC-�j��+��= Audra L. Thornton My Commission Expires: June 4, 2024 MUNICIPALITY: By: (signature) (print name) Date: %e Z 2 Title: (rev. 0/18/2018) Page 3 of 3