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HomeMy WebLinkAboutCLEARVIEW LT 10Onsite File Clearview Lot 10 #015-242-49 Municipality of Anchorage On-Site Water and Wastewater Section • (907) 343-7904 Page 1 of 2 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP221-062 PtD-Number. 0-1-5-242-49 Dwelling: ❑■ Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: X New ❑ Upgrade Name DANIEL BOND ABSORPTION FIELD Q Deep Trench ❑ Wide Trench ❑ Bed ❑ Mound Site Address 7995 ALATNA AVE, ANCH AK ❑ Other Phone of Bedrooms Soil Rating — _ Total deepth froln orig'ma grT ade lNumber 4 2.0 GPDISF 8 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade 3 Ft. Gravel depth beneath pipe 5 Ft. Subdivision Block Lot CLEARVIEW LOT 10 Fill added above original grade 0 Ft. Gravel length 30 Ft. Township Range Section Gravel width 2 Ft. Beds: Number of Lines Distance between lines Ft. SEPARATION DISTANCES To Septic Absorption 1 Lift Station Holding Sewer Total absorption area Number of trenches Dist: between trenches From Tank Field Tank Line 300 Ft 2 1 Ft. Well 50'+ 50'+ I 50r+ TANK ❑ Septic ❑ S.T.E.P. ❑ Holding © §ther Manufacturer ANCH TANK/ADVANTEX Capacity 1500 Gal. Surface water 50'+ 50'+ Material Number o. compartments Lot Line 101+ 101+ NA FIBERGLASS 2 Foundation 10'+ 10'+ LIFT STATION Manufacturer ANCH TANK Capacity 250 Gal. Remarks Alarm location WEST SIDE OF HOUSE Electrical installed by BRICKS ELECT. Installer PIPE MATERIAL House to tank3034 Tank to 3034 drainField - - MIKE N ANDERSON, P.E. Drainfield 3034 C0IMT3034 Inspector MIKE N ANDERSON, P.E. BENCH MARK (Assumed elevation) 103.5. ft Inspe tion is, 7/8/23 Location and description 2nd7/10/23 3t° 4'^ TOP OF ADVANTEX MANHOLE ON-SITE WATER AND WASTEWATER SECTION APPROVAL Eng" 'F.,-' rnp� Y,.- Conditional Approval: Date ; 4% A f ' 49rrc J..:............... �} y' MICHAEL N9�u9fRSCV Septic Syste � �`' • . Approved Date l,ZP p' Nat :his approval does not include well permit require ���0FES` kmuv Voruu i7 Permit No. OSP221062 Page 2 of 2 Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 Anchorage, Alaska 99519-6650 Telephone: 343-4744 On—Site Wastewater Disposal System and/or Well Inspection Report Legal Description: CLEARVIEW LOT 10 MARK A B C01 15 22 CO2 34 55 CO3 35 55 TC01 40 55 TCO2 42 56 C04 45 59 C05 45 59 C06 42 49 MT1 55 4y- 007 57 44 i / I I I 1 1 I \ I PID No.: 015-242-49 NEW051 0 GAEL ER GLASS TANK W/ ADVANTEX POD BENCH, TOP OF MH 881 _ _� 1 / \ I ITC 06 — ��07 I \ \ -C MTJ /TH#1 I 1 I \ 1 I WELL / SCALA 1"=50' SEPTIC SECTION NO WATER MAY 2023 N.T.S. �. �OFq 49 TH MICHAEL N. ANDERSON %No. CE 9469 *'%.7-17-23.• 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: OSP221062 Work Type: WellSeptic Initial Tax Code Number: 01524249000 Site Legal Address: CLEARVIEW LT 10 G:2740 Site Mailing Address: 8001 Alatna AVE, Anchorage Owner: COX JAMES H & SUZANNE E P Design Engineer: ANDERSON CONSTRUCTION & ENGINEERING This permit is for the construction of: Effective Date Expiration Date Lot Size in Sq Ft Total Bedrooms: went S, v Department 7/8/2022 7/8/2023 55884 R1 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 Special Provisions: A test hole is required prior to construction of the absorption field, in location shown on site plan. Test hole shall confirm separation to seasonal high groundwater and impermeables, as well as percolation rate of accepting soil. If results require a design change, construction shall stop pending approval of a change order. Please submit results with the inspection report (or change order, if required). Prior to construction, MOA Onsite inspection shall confirm slopes in area of absorption field, to verify slopes of 25% or less. If slopes are determined to be greater than 25%, construction shall stop pending redesign or confirmation that design meets steep slope exception requirements, based on results of test hole. Received By: , Date: �j Issued By: i Date: (1,?1,2 4 MUNICIPALITY OF ANCHORAGE Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 ON-SITE SEPTIC/WELL PERMIT APPLICATION Parcel I.D. 015-242-49 Property owner(s) DAN BOND / J tS co' Day phone Mailing address 8041 ALATNA AVE ANCH AK Site address SAME Legal description (Sub'd., Block & Lot) CLEARVIEW LOT 10 Legal description (Township, Range & Section) Lot Size 59,822 Sq. Ft. Number of Bedrooms 4 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (N all that apply) Absorption Field Initial Single Family (SF) El Septic Tank 0 Upgrade ❑ (w/wo ADU) Duplex (D) ❑ Holding Tank ❑ Renewal ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well X❑ Water Storage ❑ THIS APPLICATION INCLUDES A 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: sZo Date of Payment: 3 - Z 3 " 2 2 - Receipt Receipt Number: (9 Permit No. QS 1�2210�?_ Waiver Fees: Date of Payment: Receipt Number: Waiver No. GADevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Client FormsTermit Application.doc July 2, 2022 Municipalities of Anchorage Departments of Health and Human Services P.O. Box 196650 Anchorage, Alaska 99519-6650 Fax 249-7847 Re: New septic & well permit Legal: Clearview Lot 10 To whom it may concern: This is a request for a septic/well permit on the above referenced lot. Due to winter conditions we are using the test hole data from the neighboring lots 9 and 14. From the MOA files lot 9 has perc rate of 2.6 minutes per inch and lot 14 on the west side has a perc rate of 3 minutes per inch. Given the very limited area available for a new septic system, see the site plan, we are proposing the Advantex system with an application rate of 2.0 GPD/SF if the soils are verified. A new test hole will be completed prior to any installation of the system with 7 day monitoring. If an external pump basin is required it will be installed only for maintaining 4 feet from the water table. The soil log for lot 10 is within 100 feet of our proposed site, see MOA file. The lot has slopes over of 25 percent, see site plan but the slope around the proposed septic area was measured in the field by myself and is 25 percent which is the max allowed. This new septic system and well will not impact any of the surrounding neighbors. Sincerely Michael N. Anderson, P.E. 4661 Natrona Anch, Ak 99516 Ph 727-8864 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP221062, Rebecca Carroll, 07/08/22 SEPTIC FIELD SECTION DESIGN CRITERIA: 5.0' EFFECTIVE 4 BDRM X 150 = 600 GPD SOILS = 600/2.0 = 300 SQ FT REQ'D 300/2(5.0) = 30', USE 30' 2.0' WIDE 30' LONG (1) TRENCH 8.0' DEEP 1.0'2.0' -8.0' -3.0 MOUND OVER FILTER FABRIC SEWER ROCK ‘3,3( GRADE 1"=200' PROPERTY LINE PROPOSED DRAINAGE FIELD PROPOSED HOUSE 5.0'PROPOSED WELL 100' RADIUS SCALE: DJRDRAWN: DATE: CLEARVIEW, LOT 10 Anchorage, Alaska DAN & JACKI BOND 3/22/2022-ALATNA AVE--SNOWLINE C IR- CENTER LINE OF CREEK Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP221062, Rebecca Carroll, 07/08/22 1"=50' PROPERTY LINE PROPOSED HOUSE NEW 1500 GALLON ADVANTEX TANK W/ POD, PUMP BASIN REQUIRED TO MAINTAIN 4' GROUND WATER SEPARATION ONLY PROPOSED WELL 100' RADIUS WELL PROPERTY LINE CLEARVIEW LOT 10 SCALE: DJRDRAWN: DATE: CLEARVIEW, LOT 10 Anchorage, Alaska DAN & JACKI BOND 3/22/2022 -A L A T N A A V E - CLEARVIEW LOT 9 CLEARVIEW LOT 3 CLEARVIEW LOT 14 CLEARVIEW LOT 11 SO U T H F O R K L I T T L E C A M P B E L L C R E E K 50.0'100.0'SEPTIC CO CO MT CO DCO 25% SLOPE25% SLOPETEST HOLE AND PERC TEST REQUIRED PRIOR TO EXCAVATION SLOPES AT THE PROPOSED SITE MEASURED AT 25% Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP221062, Rebecca Carroll, 07/08/22 MUNICIPALITY OF ANCHORAGE Development Services Department `'`� Phone: 907-343-7904 tion Fax: 907-343-7997 On Site Water & Wastewater Sec Well Log Permit Number: # 221062 Date of Issue: 7/8/22 Date Started: 9/12/22 Date Completed: 9/14/22 Legal Description: Clearview Lot 10 G:2740 Property Owner Name & Address: Dan & Jaeki Bond Borehole Data: Depth (ft) Soil Type, 'Thickness & Water Strata From To Parcel Identification Number: DI I-- Z''( Z — 4-9 Is well located at approved permit location? Yes ® No ❑ casing stick up 0 2 overburden 2 4 silt & gravel 4 80 wet silt & gravel 80 83 dry silt & gravel 83 111 silt & gravel w/ little H2O (silty) 111 124 hard slit & gravel w/ wet clay layers 124 156 bedrock w/ soft fractures 156 305 Lat: 61 °6'49.2" Long: 149044'0.9" Water Sample Results: Arsenic: Nitrates: _ Total Coliform Bacteria: ug/L mg/L colonies/ 100mL Method of Drilling Q air rotary ❑ cable tool Casing type: steel Wall "I'hickness:.250 inches Diameter:6 inches Depth: 158 feet Liner Type: PVC Diameter: 4.5 inches Depth: 140.3 feet Casing stickup above ground: 2 feet Static water level (from ground level): 50 feet Pumping level: feet after _hours pumping _wpm Recovery Rate: 2-5 in McthodofTesting: airlift ❑ Open End x❑ Open Hole ❑ Screened Start _feet Stopped _feet ❑ Perforations Start feet Stopped _feet Depth: 20' Start fait Sto cd 20 feet Well Disinfected Upon Completion? (:Y5) No Method of Disinfection: tabs Comments: Well Driller: Johnny Kay Company: Hefty Drilling, Inc. Mailing=. Address: po box 112130 Ane Alf 99511 Attention: The well driller shall provide a well log to the On-site Water and Wastewater Section within 30 days of completion. Development Services Department Building Safety Division On -Site Water & Wastewater Program 4700 Elmore Road 0*P.O. Box 196650 Made Begich Anchorage, AK 99,507 Mayor www.mumor /onsite (907)343-7904 Pump Installation Log Well Drilling Permit Numbers a21 060 Date of Issue: 7" u Parcel Identification Number: X91'^... 2c( 2 - tj9 qE @` pT / O � i O Legal Description Property Owner Name & Address: ClPe�rV1(W (^`� 10 G. �7L/u pcy% 60nck, Pump Installation Date: y - ;,t_ a Pump Intake Depth Below Top of Well Casing: d C1 feet Pump Manufacturer's Name: � IRA4 ' oc-7 Pump Model: 5 5 6L)�" ()7- 3 ? U Pump Size 1 by Pitless Adapter Burial Depth: 1 I feet Pitiless Adapter Manufacturer's Name: Pidess Adapter Installer: AmolCt✓t»" Well Disinfected Upon Completion? I Yes ❑ No Method of Disinfection: OY t k G 105 Comments: Pump Installer Name: Johnny Kay Hefty Drilling, Inc. ZD Attention: The pump installer shall provide a pump installation log to the DSD within 30 days of pump installation. 124 E 7th Avenue Anchorage, Alaska 99501 (907) 306-8104 mail@S4AK.com AKCAN 173042 Land Surveying Land Development Consultants Subdivision Specialists Construction Surveying S4 Group Lot 10 Clearview Subdivision Asbuilt 7/27/2023 MUNICIPALITY OF ANCHORAGE ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND REPAIR AGREEMENT THIS MAINTENANCE AND REPAIR AGREEMENT, herein the "AGREEMENT" made and entered into as ofthis ,A Day of LI/ of 20 2 , by and between y I 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 A -K — located at (legal description) C ltmyrtm Yvy LQ E- (Q 2. Maintenance. Repairs and Alterations. (Owner is required to read, understand and initial each section) f--/ AZ Throughout the term of this Agreement, the Owner shall enter into a service agreement with an AWWTS service and maintenance provider approved by the Municipality or the manufacturer's representative. The AWWTS shall be maintained in a satisfactory condition capable of performing as designed and producing treated septic effluent in accordance with the equipment's approval for operation in the Municipality. It shall be the responsibility of the Owner during the term of this Agreement to pay for all repair(s), maintenance, adjustment(s), replacement costs, and inspection costs. This includes an annual maintenance fee (typically $400 to $600). Owner agrees that only maintenance and repair personnel approved by the Municipality or the manufacturer's representative will inspect and make any necessary maintenance, repairs or permitted alterations to the system. 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 I of y4�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. iv 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. t/ 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. f/ 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: By: (signature) Date: {print name) STATE OF ALASKA ) THIRD JUDICIAL DISTRICT ss. ) The foregoing instrument was acknowledged before me this day of - 2022 40RY BLIC FOR ALASKA Pofftw Sew" My Commission expires: /O. �G►� 3 b State a(AbAs ComimsaimN19t02�010 1a24I10�.I MUNICIPALITY: By: V&UL OS� _(signature) 2e)e-CCG` Co ra l � (print name) (rev. 05/18/2018) Date: 0 rj '2-w') Title: Page 3 of 3 1 Carroll, Rebecca M. From:White, Eric J CIV USARMY CEPOA (USA) <Eric.J.White@usace.army.mil> Sent:Wednesday, July 6, 2022 4:17 PM To:Carroll, Rebecca M. Cc:Mike N. Anderson (MNAnderson58@gmail.com) Subject:RE: POA-2022-00159 South Fork Little Campbell Creek - septic question [EXTERNAL EMAIL]  Hello Becca,                  Thank you for checking with us. The wetland impact footprint and quantity appear to be the same and our  Nationwide Permit 29 authorizes the construction of the building as well as attendant features, so the septic system would  be included. The proposed work would still be covered under the permit.  Thanks,  Eric    From: Carroll, Rebecca M. <rebecca.carroll@anchorageak.gov>   Sent: Wednesday, July 6, 2022 2:46 PM  To: White, Eric J CIV USARMY CEPOA (USA) <Eric.J.White@usace.army.mil>  Cc: Mike N. Anderson (MNAnderson58@gmail.com) <mnanderson58@gmail.com>  Subject: [Non‐DoD Source] POA‐2022‐00159 South Fork Little Campbell Creek ‐ septic question    Hello Eric,    I am reviewing a well and septic system permit for a property.  I would like to make sure that the DA permit that was issued  allows for the septic system to be installed within the wetlands boundary.     For your quick reference, I have attached a copy of the DA permit and the engineer’s site plan showing the proposed  location of the septic system.    Thank you,    Becca Carroll Onsite Water and Wastewater Municipality of Anchorage 343-7908   DEPARTMENT OF THE ARMY ALASKA DISTRICT, U.S. ARMY CORPS OF ENGINEERS REGULATORY DIVISION P.O. BOX 6898 JBER, AK 99506 -0898 June 2, 2022 Regulatory Division POA-2022-00159 Mike Anderson 4661 Natrona Ave. Anchorage, Alaska 99516 Dear Mr. Anderson: This is in response to your April 18, 2022, application for a Department of the Army (DA) permit on behalf of Daniel and Jacki Bond, to discharge 648 cubic yards of fill material into 0.09-acres of wetlands in order to construct a residential home. It has been assigned file number POA-2022-00159, South Fork Little Campbell Creek , which should be referred to in all future correspondence with this office. The project site is located within Section 24, T. 12 N., R. 2 W., Seward Meridian; USGS Quad Map Anchorage A-8; Latitude 61.11373º N., Longitude -149.73239º W.; Municipality of Anchorage; East on O’Malley, Right on Hillside Dr, Left on Alatna Ave., drive to the end of road, lot is on the left, in Anchorage, Alaska. DA authorization is necessary because your project will involve work in or placement of fill material into waters of the U.S. under our regulatory jurisdiction. Based upon the information and plans you provided, we hereby verify that the work described above, which will be performed in accordance with the enclosed plan (sheets 1-3), dated June 2022, is authorized by Nationwide Permit (NWP) No. 29, Residential Developments. Enclosed is a copy of the NWP No. 29, as well as the Regional and General Conditions. These documents are also available on our website at: www.poa.usace.army.mil/Missions/Regulatory/Permits. Regional Conditions D and F apply to your project. You must comply with all terms and conditions associated with NWP No. 29, as well as with the special conditions listed below: Special Condition 1: Erosion Control: The Permittee shall install erosion control measures along the perimeter of all work areas to prevent the displacement of fill material outside the authorized work area. The erosion control measures shall remain in place and be maintained until all authorized work is completed and the work areas are stabilized. Immediately after completion of the final grading of the land surface, all slopes, land surfaces, and filled areas shall be stabilized using sod, degradable mats, barriers, or a combination of similar stabilizing materials to prevent erosion. -2- Special Condition 2: Fill Material: The Permittee shall use only clean fill material for this project. The fill material shall be free from items such as trash, debris, automotive parts, asphalt, construction materials, concrete blocks with exposed reinforcement bars, and soils contaminated with any toxic substance, in toxic amounts in accordance with Section 307 of the Clean Water Act. Special Condition 3: Upland Staging/Disposal: All excavated or dredged material being displaced shall be disposed of at an upland location. No stockpiling of fill materials shall occur in wetlands or other waters of the U.S. that do not have DA authorization. Special Condition 4. The permittee shall ensure that the project minimizes alterations to water circulation patterns to the extent practicable. If it is determined by the U.S. Army Corps of Engineers that the project negatively impacts the hydrology within the wetland, the permittee may be required to take additional measures (i.e. install additional depressed road beds, culvert(s), or a similar water conduit) beneath the road to re-establish the hydrology of the area to that of pre-construction conditions. Special Condition 5. If human remains, historic resources, or archaeological resources are encountered during construction, all ground disturbing activities shall cease in the immediate area and you shall immediately (within one business day of discovery) notify the U.S. Army Corps of Engineers (Corps), Alaska District, Regulatory Office at (907) 753- 2712 or Eric White at Eric.J.White@usace.army.mil and (907) 753-5693. Upon notification the Corps shall notify the appropriate Tribal Historic Preservation Office (THPO) and State Historic Preservation Office (SHPO). Based on the circumstances of the discovery, equity to all parties, and consideration of the public interest, the Corps may modify, suspend or revoke the permit in accordance with 33 CFR Part 325.7. After such notific ation, project activities on federal lands shall not resume without written authorization from the Corps, and/or THPO, SHPO, and federal manager. After such notification, project activities on tribal lands shall not resume without written authorization from the SHPO and the Corps. Further, please note General Condition 30 requires that you submit a signed certification to us once any work and required mitigation are completed. Enclosed is the form for you to complete and return to our office. Unless this NWP is modified or revoked, it expires on March 14, 2026. If you commence or are under contract to commence this activity before the date that the NWPs are modified or revoked, you will have twelve (12) months from the date of the modification or revocation of the NWPs to complete the activity under the present terms and conditions of these nationwide permits. It is incumbent upon you to remain informed of the changes to the NWPs. Nothing in this letter excuses you from compliance with other Federal, State, or local statutes, ordinances, or regulations. -3- Please contact me via email at Eric.J.White@usace.army.mil, by mail at the address above, by phone at (907) 753-5693, or toll free from within Alaska at (800) 478-2712, if you have questions. For more information about the Regulatory Program, please visit our website at www.poa.usace.army.mil/Missions/Regulatory. Sincerely, Eric White Regulatory Specialist Enclosures ENCLOSURE US Army Corps of Engineers Alaska District Permit Number: POA-2022-00159 Name of Permittee: Daniel and Jacki Bond Date of Issuance: June 2, 2022 Upon completion of the activity authorized by this permit and any mitigation required by the permit, sign this certification and return it to Mr. Eric White at Eric.J.White@usace.army.mil, or the following address: U.S. Army Corps of Engineers Alaska District Regulatory Division Post Office Box 6898 JBER, Alaska 99506-0898 Please note that your permitted activity is subject to a compliance inspection by an U.S. Army Corps of Engineers representative. If you fail to comply with this permit you are subject to permit suspension, modification, or revocation. I hereby certify that the work authorized by the above-referenced permit has been completed in accordance with the terms and conditions of the said permit, and required mitigation was completed in accordance with the permit conditions. _________________________ _______________________ Signature of Permittee Date 1"=40' DRIVEWAY CREEK CENTERLINESCALE: DJRDRAWN: DATE: CLEARVIEW, LOT 10 Anchorage, Alaska DAN & JACKI BOND 4/12/2022 PROPOSED 4200 SF OF FILL AREA PROPOSED HOUSE LOCATION CREEK EASEMENT PER THE PLATPROPERTY LINECLASS C WETLANDS 5 0 ' CREEK OFFSET100' CREEK OFFSET FF ELEVATION IN BASEMENT 1090 CROSS SECTION A-A NOTES: ALL STORM WATER BMP (BEST MANAGEMENT PRACTICES) TO BE INSTALLED PRIOR TO EXCAVATION ALL FILL TO BE CLEAN SANDY GRAVEL COVERED WITH TOPSOIL AND SEED FOR FINAL ELEVATION. LOT IS VACANT WITH NO ACTIVITY APPROXIMATELY 648 CUBIC YARDS TO BE PLACED IN 24" LIFTS COMPACTED TO 90 PERCENT PROPERTY HAS SOUTH FORK LITTLE CAMPBELL CREEK RUNNING ON THE NORTH EDGE PROPOSED PROJECT POA-2022-00159 June 2022 Page 2 of 3 10.0' DRAINAGE ESMTLOT 3 1122 1100 1043 1070 1070 1"=50' PROPERTY LINE PROPOSED HOUSE, BASEMENT FF=1090 LOT 10, 55,884 SF PROPOSED WELL WELL PROPERTY LINE DRIV E W A Y -A L A T N A A V E - CLEARVIEW LOT 9 CLEARVIEW LOT 3 CLEARVIEW LOT 14 CLEARVIEW LOT 11 SO U T H F O R K L I T T L E C A M P B E L L C R E E K 50.0'100.0'SCALE: DJRDRAWN: DATE: CLEARVIEW, LOT 10 Anchorage, Alaska DAN & JACKI BOND 4/12/2022 CENTER OF CREEK 50.0'CREEK EASEMENTCREEK OFFSETWETLANDS BOUNDRY WETLANDS BOUNDRY REQUESTE D 4 2 0 0 S F O F CLASS C W E T L A N D S F I L L AREA A A CLASS C WETLANDS PER MOA MAPS CREEK OFFSETPOA-2022-00159 June 2022 Page 3 of 3 29. Residential Developments Discharges of dredged or fill material into non-tidal waters of the United States for the construction or expansion of a single residence, a multiple unit residential development, or a residential subdivision. This NWP authorizes the construction of building foundations and building pads and attendant features that are necessary for the use of the residence or residential development. Attendant features may include but are not limited to roads, parking lots, garages, yards, utility lines, storm water management facilities, septic fields, and recreation facilities such as playgrounds, playing fields, and golf courses (provided the golf course is an integral part of the residential development). The discharge must not cause the loss of greater than 1/2-acre of non-tidal waters of the United States. This NWP does not authorize discharges of dredged or fill material into non-tidal wetlands adjacent to tidal waters. Subdivisions: For residential subdivisions, the aggregate total loss of waters of United States authorized by this NWP cannot exceed 1/2-acre. This includes any loss of waters of the United States associated with development of individual subdivision lots. Notification: The permittee must submit a pre-construction notification to the district engineer prior to commencing the activity. (See general condition 32.) (Authorities: Sections 10 and 404) ALASKA DISTRICT REGIONAL CONDITIONS for the 2021 NATIONWIDE PERMITS (NWP) The Alaska District Regulatory Office has issued the following Regional Conditions to ensure that activities authorized by NWPs in the Alaska District cause no more than minimal adverse environmental effects, individually and cumulatively. Before the Alaska District will verify an activity under one or more NWPs, the proposed activity must comply with the NWP terms and all applicable General and Regional Conditions. APPLICABILITY: The following apply throughout the state of Alaska. RESTRICTIONS: Regional Condition A – Revoked Permits: The following NWPs are revoked within Alaska: 2. Structures in Artificial Canals 24. Indian Tribe or State Administered Section 404 Programs 30. Moist Soil Management for Wildlife 34. Cranberry Production Activities Regional Condition B – Additional Pre-Construction Notification (PCN) Requirements 1. NWP 13, Bank Stabilization: In addition to the PCN requirements specified by NWP 13, a PCN is required for proposed bank stabilization projects in fresh water when the proposed methods and techniques are not included in the Streambank Revegetation and Protection: A Guide for Alaska Revised 2005 (Walter, Hughes and Moore, April 2005) (Guide) or its future revisions. The Guide is available at: http://www.adfg.alaska.gov/index.cfm?adfg=streambankprotection.main. 2. A PCN is required for projects that qualify for NWPs 12, 57 (C), and 58 (D) within the Municipality of Anchorage. 3. NWP 48: A PCN is required for impacts to greater than 1/2 acre of special aquatic sites (wetlands, mudflats, vegetated shallows, coral reefs, etc.). 4. NWP 12, 57 (C), 58 (D). In addition to other triggers for the PCN, a PCN is required for projects located within permafrost soils identified using the appropriate soil survey or other appropriate data. REGIONAL CONDITION C - Activities Involving Trenching Trenches may not be constructed or backfilled in such a manner as to drain waters of the U.S. (e.g., backfilling with extensive gravel layers, creating a French drain effect). Ditch plugs or other methods shall be used to prevent this situation. Except for material placed as minor trench over-fill or surcharge necessary to offset subsidence or compaction, all excess materials shall be removed to a non waters of the U.S. location. The backfilled trench shall achieve the pre-construction elevation, within a year of disturbance unless climatic conditions warrant additional time. The additional time must be approved by the Corps. Excavated material temporarily sidecast into wetlands shall be underlain with geotextile, ice pads, or similar material, to allow for removal of the temporary material to the maximum extent practicable. REGIONAL CONDITION D - Site Revegetation for Projects with Ground Disturbing Activities Re-vegetation of all disturbed areas within the project site shall begin as soon as site conditions allow and in the same growing season as the disturbance, unless climatic conditions warrant additional time. Topsoil (the outermost layer of soil, usually the top 2 – 8 inches) removed from the construction area shall be separated and used for site rehabilitation. When backfilling, topsoil shall be placed as the top layer to provide a seed bed for regrowth. If topsoil is not available from the project site, local native soil material obtained from an approved site may be used. Species used for seeding and planting shall be certified seed sources free of invasive species and follow this order of preference: 1) species native to the site; 2) species native to the region; 3) species native to the state. REGIONAL CONDITION E - Delineation of Project Footprint Prior to commencement of construction activities within waters of the U.S., the permittee shall clearly identify the permitted limits of disturbance at the project site with highly visible markers (e.g. construction fencing, flagging, silt barriers, etc.). The permittee shall properly maintain such identification until construction is complete and the soils have been stabilized. The permittee is prohibited from conducting any unauthorized Corps-regulated activity outside of the permitted limits of disturbance (as shown on the permit drawings). REGIONAL CONDITION F - Maintenance of Hydrology Patterns Natural drainage patterns shall be maintained using appropriate methods. Excessive ponding or drying adjacent to fill areas shall indicate non-compliance with this condition. REGIONAL CONDITIONS G, H, I AND J APPLY TO SPECIFIC NWPs REGIONAL CONDITION G - NWP 40 Agricultural Activities The following activities are not authorized by NWP 40: a. Installation, placement, or construction of drain tiles, ditches, or levees; and b. Mechanized land clearing or land leveling in wetlands within 300 feet of an anadromous water (anadromous water is defined by the state of AK see https://www.adfg.alaska.gov/sf/SARR/AWC/index.cfm?ADFG=main.interactive ). REGIONAL CONDITION H - NWP 44 Mining Activities Placer mining activities are excluded from coverage by NWP 44 (Mining Activities). Placer mining may be authorized by Regional General Permit POA-2014-00055-M1. In Alaska, NWP 44 may only authorize the following activities: 1.Hard rock mining within waters jurisdictional under only Section 404 of the Clean Water Act, not including trenching, drilling, or access road construction. 2.Temporary stockpiling of sand and gravel in waters of the U.S., limited to seasonally dewatered unvegetated sand/gravel bars. Stockpiles shall be completely removed and the area restored to pre- project contours within one year, in advance of seasonal ordinary high water events, or prior to equipment being removed from site, whichever occurs first. REGIONAL CONDITION I – NWP 48, 55 (A), and 56 (B): When an Aquatic Farm Lease is required from the Alaska Department of Natural Resources (ADNR) for a new or modified aquatic farm, the applicant must obtain and submit a copy of the ADNR preliminary decision with a Preconstruction Notification to the USACE. REGIONAL CONDITION J –- NWPs 21, 29, 39, 40, 42, 43, 44, 50, 51, and 52 : The proposed NWP activity must not cause: 1)the loss of anadromous streambed, and/or 2)the discharge of dredged or fill material into waterbodies, including wetlands, adjacent to and/ or upstream of an anadromous waterbody; unless the district engineer issues a waiver by making a written determination concluding that these discharges will result in no more than minimal individual and cumulative adverse environmental effects. -2- MUHMPAUTY OF ANCHORAGE Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Parcel I.D. 015-242-49-000 Expiration Date: Legal description CLEARVIEW LT 10 Site address 7995 ALATNA AVE Anchorage AK 99507 Current property owner(s) BOND DANIEL O & JACQUELYN E 11/9/2023 X The On-site system(s) is/are approved for 4 bedrooms Conditional approval for bedrooms, with the following stipulations: Comments or advisories: Original Certificate Date: $/9/2023 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 X Well Flow Advisory Absorption Field Advisory Nitrate Advisory Tank Age Advisory Arsenic Advisory Other COSA ApprovaLkne 2022 OD 4 Development Services Departments 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. 015-242-49 Complete legal description CLEARVIEW LOT 10 Location (site address) 7995 ALATNA AVE Current property owner(s) BOND 2. ON-SITE SYSTEMS SIZED FOR 4 BEDROOMS Day phone 3. TYPE OF WATER SUPPLY: X 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:t❑ Private Septic ❑ Private Septic serving 2 dwelling units ❑ Holding Tank ❑ Community Septic or Public Sewer 5. SEPTIC TANK: ❑ Steel ❑ Plastic ❑ Concrete ❑■ Fiberglass Age NEW - See advisory if steel older than 20 years 6. ABSORPTION FIELD: X AWWTS ❑ Bed ❑ Deep Trench ❑ Wide Trench ❑ Seepage Pit Waiver request for: Expedited review requested: 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 $ Z Waiver Fee $ Date of Payment ( �'� / o Z Date of Payment COSA # 1 C �— 3 2 b Waiver # COSA Application—June 2022 COSA Checklist Legal Description: CLEARVIEW LOT 10 Parcel ID: 015-242-49 If more than 1 well and/or septic system on lot, provide separate checklist. Structure served by this system CA'17/411a11117111111IF1 A Well log is filed with Onsite (or attached) Date drilled 9/12/22 Total depth 305 ft Cased to 158 ft A Sanitary seal is functioning correctly ❑Q Wires are properly protected Casing height (above ground) 24 in. Date of flow test for COSA NEW Static water level at beginning of test 50 ft. Comments B. TANK DATA Measured operating fluid level in septic tank _ Date of pumping NEW ❑ Required maintenance completed, if AWWTS Comments: *ADVANTEX PRE-SET LEVELS D. ABSORPTION FIELD DATA Which system tested (date installed) NEW A ALL standpipes present per record drawing Total measured depth from grade 8 ft (max) Measured depth to pipe invert from grade 3 ft (min) ❑ N/A —pressurized field. ❑ Per record drawings, field is insulated. ❑N 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 COSA Checklist June 2022 Well production at time of test 2.5 gpm Water storage tank volume gallons Well disinfected for coliform test? ❑ Yes No A Goliform bacteria is Negative Nitrate mg/L ❑Q Nitrate less than MRL (ND) Arsenic ug/L ❑Q Arsenic less than MRL (ND) Collected by HEFTY AND MNA Date 4/28/23 AND 8/1/23 C. LIFT STATION A Required maintenance completed Age of lift station NEW years Lift station material FIBERGLASS Comments: Adequacy test date NEW Results QPass 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) 60 in Effective depth used 0 in Effective depth remaining 60 in E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well on lot) Septic Tank/Lift Station on Lot > 100' ,50,+ ❑Yes If No _ ft Neighboring Tank > 100' Q Yes if No _ ft Absorption Field on Lot > 100' ❑ Yes if No `5� ++ ft Community Sewer Manhole/Cleanout > 100' [j]Yes ffNo_ft Private Sewer/Septic Line > 25' Q Yes if No _ ft Holding Tank > 100' QYes if No ft Neighboring Absorption Fields > 100' Animal Containment > 50' Q Yes if No _ ft ro Yes if No _ ft Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' 0 Yes if No _ ft r2] Yes if No _ ft ❑ N/A — Served by Community Well (not on lot) or Public Water From Septic/Holding Tank and Absorption Field(s) on Lot to: (Please enter distances if less than required) Building Foundations > 10' Q Yes if No _ ft Surface Water > 100' ❑ Yes if No >50 ft Tank to Property Line > 5' Field to Property Line > 10' R Yes if No ft ❑ Yes if No _ ft Wells on Adjacent Lots: Private Wells > 100' ❑ Yes if No >50 ft Water Main > 10' ❑� Yes if No _ ft Community Wells > 200' ❑� Yes if No _ ft Water Service Line > 10' ❑� Yes if No _ ft If tank or field is under driveway comment below F. ENGINEER'S COMMENTS ADVANTEX SYSTEM WELL RADIUS >50'+ REQ. G. CERTIFICATION & STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines, indicates that the on-site water supply and/or wastewater disposal system appears to comply with applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation, unless noted otherwise. Name of Firm /\/ifA L N 4d rr<orr �, Phone 727-8864 Engineer's Printed Name min &nCl Date `li t �6di38 T H........... / A • MICHAEL N. ANDERSON <r CE -94 9 i �PROFESS141'' �- COSA Checklist June 2022 jraPUIN C -IP A1 IT ram Nr•HUR AGE 11 Vl\iV /"'.•11 Vl' t'1L l..iLVltl1VL ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND .REPAIR AGREEMENT THIS MAINTENANCE AND REPAIR AGREEMENT, f3erein tile:"AOR1'.EMENT" made: and entered into as of this 3 f Day of dol of 20 z 3 , by and between herein the "OWNER," and the Municipality of Anchorage, herein the "MUNICIPALITY", in accordance with Anchorage Municipal Code W%1 .) iii. 5. v5. iu wiaSiuCaai oil oftilV innu alai wi`r`�.ilailt :,:,iit8.red ► .,efi fig. pairs t "IIS Agreement agree as follows: 1. AdvancedWastewater Treatment Systems. The Municipality grants permission to the Owner to utilize and operate an Advanced Wastewater Treatment System (AWWTS), described as /A-1>L,,Ij T r x A X located at (legal description) C (- E-A (.- Vn f- LV 1 2P►ei&iii slid rAiiaaiias PU0. (Owner is required to read, understand and initial each section) eThroughout 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 siuiii be the respousibiiity ofii e Ownzr during tiie tern of tl'Lis 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 sy stein Owner acknowledges that regular maintenance of an AWWTS reduces the potential Laiaure Llw sysu.ul, which wu is LLlVlaale sewage backap and costly repairs of drainfield replacement. (rev. 05/18/2018) Page I of 3 " f Owner. acknowledges that tide Nituracipaiittpim requestrecorwi of ddaintensnce aru repairs from the manufacturer's representative or maintenance provider. qf Owner acknowledges that the fine for failing to maintain and repair an AWWTS may be assessed in accordance with AMC 14A0.030. Owner agmes to z � nt the Yviunicipard y reasonable access to test and. ir6peet tate AWWTS. The Municipality will give at least 24-hour notice. j- Owner agrees that any sale or transfer of title of the property will not occur without a new Certificate of On -Site Systems approval. Owner agrees that the A"TTS 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. vLvnei ngrw s to tt `"dt t"ctdit reiuote taioudtoruig ofiaE2e d VV vir Sas required v 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 A)ATWTS 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 taithvk-y of the, Agreednent or any pati hereof, or tite 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_ S. 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 1ddct oiag4. he lwws of= t e State of C' aska. shall govern the ri gE.4s and obligations vt&a 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: �ER: By: (signature) Date: 0 3 A(,,6 '2-3 (print Wade) ►71 Y'l Tc OF I ) ss. THIRD JUDICIAL DISTRICT ) vd The foregoing instrument was acknowledged before me this --5 day of 11 P NOTARY PUBLIC FOR ALASKA My Commission expires: iI z-7 ature) name) State of Alaska NOTARY PUBLIC Leleiga Tauauvea My Commission Expires 2 Date: Title: (rev. 05/18/2018) Page 3 of 3