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Home My WebLink AboutBARNES LT 1Barnes Lot 1 #020-042-96 Municipality of Anchorage \ r, Development Services Department Building Safety Division Onsite Water and Wastewater Program, 4700 Bragaw St. P.O. Box 196650 Anchorage. AK 995198650 Page of www.cl.anchorage.ak.us (907) 343-7904 ONSITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number. SWO60225 PID Number. 020-042-96 Hagen Investments, LLC Wastewater System: ❑D New ❑ Upgrade A N: P.O. Box 240186 Anchorage, AK 99524 ABSORPTION FIELD So 242-0828 N n of e.e.mr 4 O DNP TArW 91sn..m. Tnnai OW D wm D 0n LEGAL DESCRIPTION s"R"` 7aV Dap° °^ztio.o. 4 rpt n ewrx Wc1 & Barnes Dwmwpwp *WAaw gF G. awmernvi P" 1 n. 1 Fl TwrNp RWps a.mac FN. NOWWwW(F.o. Gr um9ft 24 Fr. 30 n. Well: New Upgrade Com. la. O. : DWroe...�r� S n. I F1 C"rft A (Pnwr. A, 6. C} Tar Dwvt Crus w Tar ab. pq m Wr Pq rrrrl Private 167 FL 32 Ft ISO F1 ASTM D3034 PVC D~ D.r DW.a Su•cWr Alpine Drilling 926/06 18 FT Whiners Excavating 7/13.152007 YW Pu SriCNry rrpxb Cm TANK 1s GP„ it 2 FL SEPARATION DISTANCES ❑ Septic ❑ Holding ❑ S.T.E.P. ® othm.. To Septic Absorption Uft Holding uaxJPm.te 'O1'r Fmm Tank Field Station Tank Seer Lkw Anchorage Tank/Advantex 1,500 Gr MrW Mnnr a CaryrnW W vM >700' >100' >100' WA >25' Steel TWO Sar.vwrr >100' >100' >100' WA LIFT STATION La L ' >S >70' >5' WA 500 Gr Anchorage Tank/Orenco 'PPnq W YM T o W r aw-M/ (Y . N Faidib01 >S >10' >5' WA 28 y, 28 „ 34} h PWP &Mm Ern�rep-na+P N br Q.r.Y.Or.in >20' >20' >20' WA Oren Model 20 Municipality of Anchorage BENCH MARK meW .c o.ga4l Garage Slab 100.00 FL „lrrj"gineeYs tar'%(Y �, Inspections performed by: A- Harala Dates: 10 7/142007 �! •' U q . pQ 2nd 7/152007 Development Services Department Approval *: 40ry ....... ,.. Conditional Approval Date: ,,,,,,,,,,,,, �. '+"„�A7CHaEl f. ANCCRSCN� ;^'r 4it� s : Cf -.4331 >"�! `iEOp�"Of[55D��woa Reviewed and approved by: Dater RRLLrt� (w. owar Municipality of Anchorage DEVEOPMENT SERVICES DEPARTMENT 4700 South Bragaw Street Anchorage, AK. 99519-6655 - 343-7904 On -Site Wastewater Disposal System or Well Inspection Report Permit Number. SW060225 83-447 BARNES SUBDIVISION LOT 1 92.867 S.F. Page 2 of 3 PID No. 020-042-96 I I I Lug Ie I� I I I I I I I I I GRAVEL DRIVE w I I S 89'50'48"E 295.21' PLAN AS -BUILT SCALE V = 50' S 89'52'32"E 294.75' `y.\ UNE ESMT. 1 I 1 I \ ; 15' SECTION 1 I I UNE ESMT. 25' T. Open Water Flow I 1 I I I I I I I I I I I I I I I I I I I N11U a W W I I I IW > 35 o z W N I I I I I I I N O to 0 1 1 1 I� Z I I I A 8 Fouras 11 o 0 S+ +er ne Home Z I I I MM aezZ I I I MM vo 944 I I I I Mt 50r 690 !+ I I I I I I I I I I I of ;,1I I I I Lug Ie I� I I I I I I I I I GRAVEL DRIVE w I I S 89'50'48"E 295.21' PLAN AS -BUILT SCALE V = 50' Municipality of Anchorage DEVEOPMENT SERVICES DEPARTMENT 4700 South Bragaw Street Anchorage, AK. 99519.6655 - 343-7904 On-Site Wastewater Disposal System or Well Inspection Report Page 3 of 3 Permit Number. SW060225 PID No. 020-042-96 03.2 102.7 = N n� 2* EPS Insulation ADVANTE( TANK 97.0 a 105.5 106.1 Ground Cover EU loulglism eotextile Fabric Drain Field Rock 101.1 96.0' 6/5/06 90.0 •• E�1 PROFILE AS-BUILT `�`r. �� Scale: NONE • 1aClMR L NIDERSON;:� �1� ° No. aE-13e1 :jai Jul 18 07 02:26p UL.19.2007; 3:17PW NORTHKIN. BANK 9075690035 907569003110. 6070 U (k &ew) .. P. 1 P.1 ALPINE DRILLING & ENTERPRISES P.2 P/ ermit Number: HSW060 5 Date of Issue: 7-2506 Parol Identification Number. 020-042-96 �DaeeStrrted:•9-1Q 06 — ale Completed: 9-Z6-06 is well heated at approved permit location? ®Yer No l3acriptioa: Bames Lot 1 Property Owner Name & Address: Hagen investments, LLC PO Box 240186 Am�hnr na G/nelra A051A Borehole Data: Depth (ft) Method of Drilling ® air rotary ❑ table tool Soil Type. Thickness k Water Strata From To Casing type: gftel stick-up 0 2 Wall Thickness: 250_ inches organics 8 sM 2 14 Diameter. 6 inches Depth: 33 feet gravellyslit bedrock 14 28 28 167 Liner Type:Pvc, Diameter. 4 inches Depth: SS feet Casing stickup above ground: Z feet Static water level (from ground level): f8 fat Pumping level: 767 feet after Z hours pumping 15 gpm Recovery Rate 15 gpm Method of Testing: airfi Well ]stake Opening Type: ❑ Open End ® Open Hole ❑ Screened Start feet Stopped __ feet [I Perforations Start feet Stopped feet Grout Type: bentonite ¢ronuler Volume: j Depth: Start 0 feet Stopped.Z feet Pump: Intake Depth _ feet Pump size ' hp Brand Name Well Disinfected Upon Completion? ® Yes ❑ No Method of Disinfection: Mkdae tablets Comments: bentonite chips from SS feet to /Steer outside pvc liner Well Driller. Alpine Drilling 6 Enterprises PO Box 110496 Anchorage Alaska 99511 Attention: The well driller shall provide a well log to the property owner within 30 days of completion slid the property owner or the well driller shall provide a well log to the Developmern Services Department within 6D days of completion. meJLL-26-2007 11:00P FROM: mom ■r Aanrrrr taaw e.velowa ► Swok a bep iPAO on -aft weer i W80600 r *soma P.O.4M BMW JIfPW Mx t2ifiso AMMOW,AK5$80 W mmmmmmm mun sen woe Pump IAstellat�9r..�Logo TO: 6777766 P.1/1 wan aww Partubtxmbw Dm ettnusl�__. Pared IdemdfkMb draean LsptDrrgpeW fhs! I 1At hujwtj0iimmHm 1 Q�NveS/�[a-f5 Zack (acw Ltlaltatla Dahl _�. .�� ,r,Danw�a,.z+erHw.ncn�r l Yd An lsny IWq�quari NngrGr� v- � 5 rum No ?WWAftPWsIrtoftFIW, ► I u.t Pat11111 ,Ma.d rahxaaa: C w -G Ma_cLs Af tdwr. y weamummvmcousaftalf P�Ya O No Malls/ d 0lddaddes� re c W Conant: CALL FOR SERVICE —Corweb VhMr Syelem Sellae — AAROW PUMP & WEII StRYICE, LLC `+ f SRUW ULLE .� .. ANCHORAGE EAGLE RIVER (Wn 3684LM (8R7) 022.8933 Attesden itis Dmw Ietp11l tistl pwlh a primp truCesM I.A to DAD er(Ihia 70 4�S.fpmip iedte>isa Jul 23 07 10:36a 9075690035 p.2 From %+Pv1ledMicrosyetrrn Fri 20 Sul 2_007 01=001_3 PM MmT Pepe 1 of 1 MUNICIPALITY OF ANCHORAGE, BUILDING SAFETY DIVISION 4700 SOUTH BRAGAW INSPECTION INFORMATION 6 HELP: 343-79x2 INSPECTION: VOICE 343-8300 INSPECTION: FAX (007)249-77 77 www.muni.orgf8SDAnspections.cfm NAME: Stacy PERMIT*: 05-0644 COMPANY: Silva's Services INSPECT DATE: 7/23!2007 AM PHONE*: 892-2488 PHONE v: ADDRESS: 15895 GOLDEN VIEW DR PHONE 0: LOT 1 SUBDIVISION: BARNES GRID *: SW3238 COMMEN T3 or DIRECTIONS .. . Can you please make this an early am inspection thank you TYPE OF INSPECTION: Final Electrical COMMENTS: (FOR INSPECTOR USE ONLY) C6Y�r26G7��vS M�-I'�£ �✓�-'�'1 ��3-J(iry�" INS' <W C L TiZ ( !' 4'L to, r✓ Q -t_ A10 P IZ LV'n— PRINTED NAME V II(/� �J�J2� �� DATE4Z� Jul 18 07 02:26p 9075690035 p.3 Jul.16. 2007 2:00PM anderser engineering 1:.4919 P. 2 ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND REPAIR AGREEMENT MEMORANDUM OF UNDERSTANDING BETWEEN MUNICIPALITY OF ANCHORAGE AND THIS MEMORANDUM OF UNDERSTANDING made and entered into as of this 19 Day of Td 6!� of 206.7 by and between e%ti herein the "OWNER," and the Municipality of Anchorage, herein the "MUNICIPALITY:' In consideration of the mutual covenants contained herein, the parties to this Memorandum of Understanding agree as follows: 1. ADVANCED WASTEWATER TREATMENT SYSTEMS. Municipality, grants permission to Owner to utilize and operate an Advanced Wastewater A,►��*1-�+c Trze*,-�n�� Treatment System (AW WTS), described as _Sjx-r-cm located at r (r �An-►JL5 SJ�IJfSsnl� .Aachor2gc,Alaska. 2. Definitions. A. Alteration. Any change to the design or function of an AW WTS that Includes the installation or removal of any parts, components or pieces not included in the original construction permit and design. Prior to performing any alterations to an AW WTS the owner must obuin a Wastewater Disposal System Construction Permit from the Municipality pursuant to Anchorage Municipal Code (hereinafter, "AMC') 15.65. B. Certificate of On -Site Systems Approval. An approval by the Municipality of existing water and wastewater disposal systctns given at the time of property sale and title ttansfcr in accordance with AMC 15.65. Jul 18 07 02:27p 9075690035 p.4 J01.16. 2001 2:OOFV anderson engineering Ao.4019 P. 3 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. C. Damage. Any man -[Wade or natural change in a system that would inhibit the system from performing as designed. D. Maintenance and Repair. The scheduled and as needed replacement of existing parts, components and pieces of an AW WTS that were included at the original design which would allow the AWWTS to continue to perform as designed. E. Permit (Construction) An On -Site Wastewater Disposal System Construction Permit as defined by AMC 15.65. F. Permit (Operating) An Advanced Wastewater Treatment System Operating Permit. An annual permit, issued by the Municipaliy, that allows the Owner to operate anAWWTS, upon meeting all the requirements of this agreement, the conditions of Operating permit, the requirements of the On -Site Wastewater System Construction Permit and all relevant provisions of AMC 15.65 3. Fw- Owner shall pay to Municipality an annual fee of NDa cz payable on or before the issuanee of the operating permit and annually thereafter. The annual fee is due on or before the anniversary date of the approval by the Municipality of installed system. 4. jerm. The term of this Memorandum of Understanding shall be for the life of the AW WTS. Jul 18 07 02:27p 9075690035 p.5 JO. 16. 2001 MUM Anderson enOttr:ns No.4019 P. 4 The term begins on the date of approval by the Municipality of the installed system and shall continue while the AW WTS system is in use or operational or until the property is sold or title is transferred by owner and a new certificate of On -Site approval is issued to the new owner or transferee of the property. 5. Alterations. Installation and Removal of Additional Euuioneat. Owner agrees not to make any alterations, removal of parts or additions to the AW WTS without a Construction Permit from the Municipality. 6. Maintenance and Reoain. A. Throughout the term of this Memorandum of Understanding, the Owner shall maintain AW WTS in good repair. In addition, it shall be the responsibility of the Owner during the term of this Memorandum of Understanding, and any extensions or 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 (S) inspection costs. Further, Owner agrees to comply will all applicable ordinance, laws, regulations, rules and orders for the AW WTS. S. Owner agrees to provide the Municipality a written schedule of routine maintenance and repairs which have been performed on the system pursuant to the terms and conditions contained in the Owner's AW WTS Operating Permit. This schedule shall be submitted to the Municipality annually upon the renewal of the permit. The schedule of maintenance and repair contained in the Owner's AW WTS Operating Permit is: C. Owner acknowledges that the fine schedule for failing to maintain and repair an AW WTS are codified in AMC 14.6. Jul 18 07 02:27p 9075690035 p.6 Jul.16. 2001 2:01PN andtrsan !Isinettin6 No.4019 P. 5 D. Owner agrees that only maintenance, repair personnel certified by the Municipality will inspect and make any necessary maintenance, repairs or permitted alterations to the system. E. Owner agrees to grant the Municipality reasonable access to test and inspect the AWWTS upon 24 hours written notice. F. Owner agrees that any sale of transfer of title of the property will not occur without a new Certificate of On -Site Systems Approval G. Owner agrees that the relevant provisions of the standard specification guidebook for AW WTS Is the governing professional guidelines for the construction, maintenance and repair of the Owner's AW WTS. 7. Nonwaiver. The failure of either party at any time to enforce a provision of this Memorandum of Understanding shall in no way constitute a waiver of the provisions, nor in any way effect the validity of the Memorandum of Understanding or any part hereof, or the right of such party thereafter to enforce each and every provision hereof. B. Amendment. A. This Memorandum of Understanding shall only be amended, modified or changed by a writing, executed by authorized representatives of the parties, with the same formality of this Memorandum of Understanding was executed and such writing shall be attached to this Memorandum of Understanding as an amendment. B. For the purposes of any amendment modification or change to the terms and conditions of this contract, the only authorized representatives of the panics are: Jul 18 07 02:27p Jul.16. 2001 2:01PY anderson engineering 9075690035 Ao.4C19 Owner: L� y e�—F— Wlv' Anchorage: Purchasing Officer C. Any attempt to amend, modify, or change this contract by either an unauthorized representative or unauthorized means shall be void. F. 6 9. ,lurisdiedoa: Choice of Law. Any civil action arising from this Memorandum of Understanding shall be brought in the Superior Court for the Third Judicial District of the State of Alasi a at Anchorage. The laws of the State of Alaska sball govern the rights and obligations of the parties under this Memorandum of Understanding. 10. Severability. Any provisions of this Memorandum of Understanding decreed invalid by a court of competent jurisdiction shall not invalidate the remaining provisions of the Memorandum of Understanding. o"FR_`/� — c y� Date: 7-1 v F u—+kw � By: Title: Date: STATE OF ALASKA ) ss. THIRD JUDICIAL DISTRICT ) The foregoing instrument was acknowledged before me this sIZ day of S`) ka4 2007• by : ,•.. NOTARY P CFOF.ALAWA " My Commission expires: 302��/ p.7 MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water 8 Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM / WATER SUPPLY PERMIT Initial Permit Number: SWO60225 Legal Description: BARNES LOT 1 Design Engineer: 0014 ANDERSON ENGINEERING Owner Name: HAGEN INVESTMENTS, LLC Owner Address: PO BOX 240186 ANCHORAGE. AK 99516 - Date Issued: Jul 25, 2006 Expiration Date: Jul 25, 2007 Parcel ID: 020-042-96 Site Address: NHN GOLDEN VIEW DRIVE Lot Size: 92867 SO. FT. Total Bedrooms: 4 Permit Bedrooms: 4 This permit is for the construction of: ❑✓ Disposal Field ❑✓ Septic Tank ❑ Holding Tank ❑ Privy ❑✓ Private Well ❑ Water Storage All construction must be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations ( 18AAC72 ) and Drinking Water Regulations (18AAC80 ). 3, The engineer must notify DSD at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 ( 24 hours ). ( Not required for a Water Supply Permit only ). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. 5. The following special provisions. ,'=THIS PERMIT IS ONLY VALID FOR AN ADVANCED WASTER WATER TREATMENT, NITROGEN REDUCING ISYSTEM SYSTEM. -- THE UPPER SIX INCHES OF THE MOUND SYSTEM MUST CONSIST OF TOP SOIL AND THE MOUND MUST BE VEGETATED SUFFICIENTLY TO PREVENT EROSION. Received By: Issued By: Date: ad O Date: Z i c� Municipality of Anchorage � V Development Services Department Building Safety Division _ On -Site Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, Alaska 99519-6650 www.muni.org/onsite (907)343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. 020-042-96 Property owner(s) Hagen Investments, LLC Day phone 242-0828 Mailing address P.O. Box 240186 Anchorage, AK 99524 Zip Code Site address N tto Golden View Drive Zip Code 99516 Legal description (Sub'd., Block & Lot) Lot 1, Barnes Subdivision Legal description (Township, Range & Section) Lot Size 92,867 Sq. Ft. THIS APPLICATION IS FOR (® all that apply): Absorption Field El Septic Tank El Holding Tank ❑ Privy ❑ Private Well 0 Water Storage ❑ Number of Bedrooms Four (4) THIS APPLICATION IS AN: Initial Q Upgrade ❑ Renewal ❑ certify that the above information is correct. I further certify that this application is being made for a Single Family Dwelling and is in accordance with applicable Municipal Codes. G (Signature of property owner or authorized agent) Date of Payment: Receipt Number: Receipt Number. (Rev. 11/05) ANDERSON ENGINEERING P.O. BOX 240773 ANCHORAGE, AK 99524 522-7773 677-7766 FAX June 4, 2006 Municipality of Anchorage Development Services Department On -Site Water and Wastewater Program 4700 South Bragaw Street Anchorage, AK 99519-6650 Subject: Lot 1, Barnes Subdivision Septic System Design and Permit Application Impacts to Adjacent Properties Dear Onsite Services Engineer: The owner of Lot 1, Barnes Subdivision intends to construct a four-bedroom home on the lot. We are therefore requesting a permit be issued for a well and septic system to serve the new home. The available area for the septic system is limited and groundwater elevations are close to the surface which make it difficult to place a conventional septic system. We have therefore decided to place an Advantex Treatment System on the lot to provide the most effective treatment of the septic effluent prior to discharge into the surrounding soil strata. The location of the absorption system is shown on the attached Site Plan. Drainage patterns are also shown on the plan and will not be modified as a result of the proposed construction. The test holes placed on this lot revealed poorly graded gravel with some sand. The percolation rate in the materials encountered was less than 1 minute per inch. Groundwater seeps were found between 6' and 7.25' during the excavation but were noted at 6' below the surface during monitoring. Our design provides for the bottom of the absorption trench to be as shallow as possible. We are therefore proposing to place a four-bedroom Advantex Treatment System. The absorption trench will be 30' long x 5' wide x 1' effective depth. The distribution line in the trench will be placed at 1' below the existing ground level. Total depth of the trench will be 2' below the surface. 3' of fill will be placed above the trenches and 4' over the septic tank to meet Municipal Code and prevent freezing. A sub surface drain was installed in the past along the eastern property line. It outfalls into an existing flowing drainage ditch which traverses the lot near the northern boundary. The ground surface of the lot slopes at 6% to the west near the location of the primary absorption trench. The trench will be constructed parallel with the slope as much as possible in conformance with Municipal requirements. All components of the Lot 9, Barnes Subdivision June 4, 2006 Page Two new septic system will be constructed a minimum of 100' from any surface water and 100' from the well proposed for this lot. No conflicts exist between the proposed well and septic system and those in the area. If the system is constructed in accordance with our design the following statements apply: The system, if constructed as designed, will have no adverse impact on the wells in the area or those to be constructed in the future. 2. The system, if constructed as designed, will have no adverse impact on existing septic systems in the area or those to be constructed in the future. 3. The system, if constructed as designed, will have no adverse impact on reserve space, either surface or subsurface, on any lots located in the area. 4. The system, if constructed as designed, will have no adverse impact on drainage patterns in the area. The current drainage pattern will be maintained. Sincerely, Michael E. Anderson, P.E. Attachments i UCotn ub. II +-`_ I <; LLJ >p II Iry0 Ld Z I I I I L1J - I 1 I� I o ' Lot 2 Barnes Sub. j (Vacant) , , , L��......�� -EAST 160TH Avenue P....... 04 �, .. 9t`: �I '.. ``' AREA MAP �� MICMREL E. MlDERSON �1 f'•., No. CE-4781 -`1......... SCALE Y = 100' F622' NN 1 628'. 4 49th BARNES SUBDIVISION LOT 1 92,867 S.F. L� 5' GAS LINE ESMT. I I—T"�•� I --f'--f-15' SECTION •NNE ESMT. I I I 1 I I I 25' T. do E. EAMT. I I I h, MICHAEL E. ANDERSON 294.74' Open Wate�Flow I 1 1 � I �� I � I 11� �1W II IW I� ra. s.a.e•. �e..M..l umero I. uns�1I Fou Bedroom 1 me I I G. 5 Mw I EL - 648' • 'n— c I 'o I �I �"••� Ilo ,• rnKn» o�, -JL_ b I I I Proposed Well SITE 650' 1 PLAN SCALE 1• = 50' LOT 1, BARNES SUBDIVISION DESIGN FACTORS: SYSTEM REQUIREMENTS: Four Bedroom Home 5' Wide Trench System Perc. Rate: LT 1 Min./Inch 4 Bedroom Advantex Treatment System Application Rate: 4 GPD/SF 1' Drainfield Rock 4 Bedrooms X 150 GPD/4 GPD/SF (Application Rate) = 150 SF Absorption Area 150 SF/5 SF/LF-.87 (Red. Factor) = 26.1 LF Trench Length THEREFORE: Construct an Oversized Trench 30' Long x 5' Wide x 1' Effective Depth. Flow Line Elevation in Trench to be 1' Below Original Ground Surface. Total Depth to be 2' Below Existing Ground. Provide 4' Cover Over Septic Tank and 3' Cover Over Absorption Trench. Natural 6•• Backfill Geotextile Fabric 1" Perforated PVC (Holes Down) 3/16" Holes @ 2' Spacing Drainfield Rock 5' TYPICAL DEEP TRENCH SECTION ...�� (NO SCALE) �.,`p�,...••••••••. NOTE: Grade Area Over Trench to Drain Away. Minimum 6' Separation From Bedrock. :... ,' „„..ae.. . m .„ Minimum 4' Separation From Groundwater. i�/. r.................. Minimum 200' Separation From Wells in the Area. MC MEL E./NDER50N Minimum 100' Separation From Surface Water or Streams -r#,; -..+I No. cE.b, ADVANTEX AX -20 SEPTIC SYSTEM STANDARD #a n• O D 0 a 0 C c CD IZ y g cn \ m CD O w ADVANTEX AX -20 SEPTIC SYSTEM STANDARD o7miFB LDING, W n• O D 0 0 C c CD IZ CD cn CD tp? o7miFB LDING, W MUNICIPALITY OF ANCHORAGE DEVELOPMENT SERVICES DEPARTMENT 4700 BRAGAW STREET ANCHORAGE, AK 99519-6650 SOILS LOG - PERCOLATION TEST LEGAL DESCRIPTION: LOT I, BARNES SUBDIVISION PERFORMED FOR: HAGEN INV STM NTS LLC DATE: 6/1/06 PROJECT No.: PARCEL ID#: TECHMCIAN: A. HARALA DEPTII TEST HOLE A (Incl) 1 OB/OG SLOPE SITE PLAN 2 RUST TO DARK BROWN POORLY GRADED GRAVEL 3 4 GP 5 2% SEE SITE PLAN k 6 7 C013BLES I' TO 4' SEEPS AT 6.25' 8 9 1 o WAS GROUND WATER ENCOUNTERED? YFS - IFYES@WIIATDFPDP 6.25' 11 DEP77I OF WAT[R AFTER MO 96 NG: 6' 6 DATE OF MONRORMOOITNG: 6�Si0n fn m 1 1 1 1 1 DATE READING GROSS TIMEJ (MINUTES) NET TIME (MINUTES) DEPTH of WATER (INCHES) NET DROP (INCHES) TEST HOLE PRESOAKED PRIOR TO TESTING: 6/1 1 2:05 9.25" 2 2:15 10 Dry 9.25" 3 2:16 9.13" 4 2:26 10 Dry 9.13" 5 2:27 9.25" 6 2:37 10 Dry 9.25" PERCOLATION RATE- 1>1 (MIN/INCIt) PERC. HOLE DIA g. �� (INCHES) TEST RUN BETWEE . —FT. and 5 FT. COMMENTS. TEST HOLE PRE SOAKED PRIOR TO TEST. TEST PERFORMED BY ANDERSON ENGINEERING. 1, MICHAEL E. ANDERSON CERTIFY THAT THIS WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPLE GUIDELINES IN EFFECT ON THIS DATE: 6/04/2006 MUNICIPALITY OF ANCHORAGE DEVELOPMENT SERVICES DEPARTMENT 4700 BRAGAW STREET ANCHORAGE, AK 99519-6650 SOILS LOG - PERCOLATION TEST LEGAL DESCRIPTION: LOT I, BARNES SUBDIVISION PERFORMED FOR: HAGEN INVE TM NTS LLC DATE: _6/1/06 PROJECT No.: PARCEL ID#: TECiINICLAN: A. HARALA DEPTH TEST HOLE B (red) 1 2 3 4 5 6 7 8 9 OB/OG RUST TO DARK BROWN POORLY GRADED GRAVEL GP COBBLES I' TO 4' SEEPS AT 7.25' SITE PAN SEE SITE PLAN 4 WAS GROUND WATER ENCOUMURED7 YFS 10 ffYES@WiiAT DEPiri 7.25' r� DEPni OF WATER AFTER MONrrORING: 6.5' L. 6% 11 DATE OF MONTTO m. . 756 teV ,n E 1 1 1 1 COMMENTS: TEST HOLE PRE SOAKED PRIOR DATE READING GROSS TIME (MINUTES) NET TIME (MINUTES) DEPTH of WATER (INCHES) NET DROP (INCHES) TEST HOLE PRESOAKED PRIOR TO TESTING: 6/1 1 3:45 9.88" 2 3:55 10 Dry 9.88" 3 3:56 9.75" 4 4:06 10 Dry 9.75" 5 4:07 9.75" 6 4:17 10 Dry 9.75" PERCOLATION RATE- .'I (MIN/INCH) PERC. HOLE DIA. 8" !INCHES) TEST RLN BETWEEN—FT. and 5 FT. TEST PERFORMED BY ANDERSON ENGINEERING. I, MICHAEL E. ANDERSON CERTIFY THAT THIS WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPLE GUIDELINES IN EFFECT ON THIS DATE: 6/04/2006 ALASKA WATER & WASTEWATE�R�~ CONSULTANTS. INC.•Ud. SOIL LUU — c. rrcl.vv "Xl. LEGAL DESCRIPTION: BARNES SUBDMSION: LOT 1 PERFORMED FOR: BILL IOUCHTON DATE 8/17/2003 DEPTH —_ ORGANICS (feet) ES7 HOLE 1 10- 11- 12- 13- 14- 15- 16 0- 11- 12- 13•14•1516 17 18 e A. Gamess.� -7953 ` ............ .... cS�o PERCOLATION RATE <1 (MINANCH) rttcc-. nu -r- vl. 19lj TEST RUN BETWEEN 2.0 FT. AND 2.5 FT. 20 A FOUR HOUR PRESOAK WAS PERFORMED: ❑ YES ENO SOILS LOGGED BY: SUSAN OSWALT PERCOLATION TEST PERFORMED BY: JOSEPH MARCHETTI COMMENTS: FOWITHALL STATE AND MUNICIPAL I. JEF IJ 6~IN EFFECT ON S DATE' THIS WAS PERFORMED IN ACCORDANCE SOIL mASSIFIcanONs 1 2 GW - ORG ? ML S 3�oK GM CL GC OL 4 a'^Q:e. SW MH ' 1� �rtr GW SP osm 1 5 ;d;..Q � .. OH �• ` ` SC 1 i 10- 11- 12- 13- 14- 15- 16 0- 11- 12- 13•14•1516 17 18 e A. Gamess.� -7953 ` ............ .... cS�o PERCOLATION RATE <1 (MINANCH) rttcc-. nu -r- vl. 19lj TEST RUN BETWEEN 2.0 FT. AND 2.5 FT. 20 A FOUR HOUR PRESOAK WAS PERFORMED: ❑ YES ENO SOILS LOGGED BY: SUSAN OSWALT PERCOLATION TEST PERFORMED BY: JOSEPH MARCHETTI COMMENTS: FOWITHALL STATE AND MUNICIPAL I. JEF IJ 6~IN EFFECT ON S DATE' THIS WAS PERFORMED IN ACCORDANCE ALASKA WATER & WASTKWXMR - - 4 —,,,CONSULTANTS. INC.. LEGA. DESCRIPTION: BnRNEs su tON' Lar 1 PERFORMED FOR: BILL ME ON DATE s/n/2003 ((.el = PEAT/ORGANICS EST HOLE 2 1 E 5 1 SP ':'f1t1 SP&SM 6- 7- 8. 9• 10• 11• 12 13 14 15 16 17 DEPTH TO DATE GROUNDWATER 7.0' 6/17/2003 •. I iillillli II�111!11 %//% NIMvm• i Illllllll 00A �11'Isis, • DEPTH TO DATE GROUNDWATER 7.0' 6/17/2003 CLOCK ) WATER LEVEL NET READING TIME (MINUTES) READING 6/17/2003 POp�p. 6E 1 I R .NPR i I f ,1 i TEST HOLE { LOCATION" ARE 1 � i j ROXIAUTE APP SITE PLAN TNf i 1��100' i CLOCK ) WATER LEVEL NET READING TIME (MINUTES) READING 6/17/2003 POp�p. 6E O GGO� R .NPR �So�0E0 PERCOLATION RATE <1 (MINJINCH) PERC. HOLE DIA. 6 Utv ita! 19 TEST RUN BETWEEN 2.0 FT. AND 2.5 FT. 20 A FOUR HOUR PRESOAK WAS PERFORMED: ❑ YES NO SUILS LUGGED BY: SUSAN OSWALT PERCOLATION TEST PERFORMED BY: JOSEPH MAiCHETR COMMENTS: PERFORMED BY A.W.W.C.. INC. 1. JEFFREY A. GARNESS. CERTIFY THAT THIS WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: ANDERSON ENGINEERING P.O. BOX 240773 ANCHORAGE, AK 99524 z�_ 11 ► MIG DATE: 7/21/2006 TO: Joe Goodall WITH: MoA/On Site FROM: Mike Anderson SUBJECT: Lot 1, Barnes Septic System Permit MESSAGE: Attached is the Corps approval of the work completed on Lot 1, Barnes. 1 hope it is satisfactory for you to issue the permit. Let me know if you need more information. 3 Pages Being Transmitted. Please call 522-7773 if not complete. -Jul .21. 2006LJ MOO E'LV TO mraE+no oO Regulatory Branch POA -2002-1125-4 9015226119 Mr. Hilliam Boughton P.O. Bon, 1743 Palmer AF. 99645-1743 Dear Mr. Boughton: ,,7,,,,, -No . 1550 P. 2/10 DEPART1 eNr OF THE ARMY U.S. ARMY ENGINEER DISTRICT, ALASKA ELMENDORFAFgBA`pSKA 69506-0898 JUN 2 7 2006 This latter is a follow up to our June 7, 200G meeting reviewed the work you performed pursuant to the De g duringWhich file Number POA -2002-1125-/ partment' of thwe BarnesRabbit Creek Road, on the eastlaidebOftGoldenvieyhDrsite is located Permit, BaSubdivision), across the street from the Goldenrive R(Lddle of the Anchorage, Alaska (section 2 T. 11 N. R. 3 W., Seward Meridian; Latitude 61- 04' Longitude 149".17$act ' School, You requested that I write a letter confirming that You have obligations pursuant to the special conditions set forth in concur. that between your efforts and those of nature that tine met your Your property meats the minimum standards set forth in the /our permit. I ritegetaticn on I understand that permit. should transfer the you have sold the property. Please be advised that you shill are the permit to the new property Owner. Until that occurs assist you in makingstheetransfer,I have enclosed a Copy of the You permit to You may contact me at (9071 753-2712, a -mail at meureen.miCzee@us ace.armv.mil, or by mail at the address above, ATTN: CGPOA- CO-R-S, if you havo Regulatory Program, vi3itiour webosited atiwwwl information about our poa.usace.army.mil/reg. Sincerely, 2a�ea Project Manager Enclosures P.2 6 LL'D•pTl 7f lilies Drain Rode Perforated Subdrain Pipe 6 - Ground Surface ! or Subgrade Drain Rock or _ Compacted Drainage �• Sand and Gravel (Seo ' Specifications Bdow) Trench excavation with sides stoped as needed for stability per OSHA requirements �rli�/1 {7�6r1� No. 10 Mesh Sieve to 3/8_ . In. Pea Gravel afleast 6_ in. thick around Pipe u l■ 16111 g g ilk l M h} • • K SPECIFICATIONS FOR ^ DRAWA 33E SAND b C; AVEI % Passing Sieve Size �Cbf8lghL A-1/2 •100 3/4 90 to 100 1/4 7510100. No. 8 65 to 92 No. 30 20 to 65' No.' 50 5 Io 20 No. 100 Oto 2 ' (by we( Wcv4g) - (non-ptesietnes) NOTE . Dimensions shown kt diagram are minimum recommended thicknesses. _— - :rNN10t1 t WILSM M- &u W 2001 wsb. SUBDRAIN PIPE Perforated or slotted pipe; min. 4 Indies dia.; tight joints; stoped to drain min. 1/2 percent; provide dean -outs min.1 per 50 lin. feet. Perforated, pipe fides (1/84n. to 1/44n. dia.) ' to be in lower half of pipe with lower quark:' segment unperforated for water flow. Slotted pipe to have 1/84n. max. width slots. Beneath structures or pavements, drain baddill should be compacted. to of least 95% . of its modified proctor max. density. 4-2002-1125, Little Rabbit Creek 4 FIGURE 6 - Tynical Subdrain Installation . Name: William Boughton - • Pmje ct Primary Homesile Construction Location: The Southwest 1/4 of M Northwest 1/4 or he Northwest 1/4 of Section 2, Township 71 North, Range 3 West. Seward Moridhan Waterbodr.. Unnamed Stream • . Sheet Number 6 of 9 Date: August 2003 _ -Ju1.21. 2006L 9:210 9015226119 so�sssoo 0.1550 P. 3/10 p.3 requiring you to comply with the terns and conditions or your Permit and for the Initiation of legal action where appropriate. You will be required to pay for any corrective measures ordered by this office, and If you tag to comply with such directive, this office may in certain situations (such as those specified in 33 CFR 209.170) accomplish the corrective measures by contract or otherwise and bill you for the cost. 6. Extensions. General Condition 1 establishes a time limit for the completion of the activity authorized by this permit. Unless there are circumstances requiring either a prompt completion of the authorized activity or a reevaluation of the public Interest decision, the Corps will normally give favorable consideration to a request for an extension of this time limit. Your signature below, as permittee, Indicates that you accept and agree to comply with the terms and conditions of (his permit ✓r�l�Y.t°.� l �O4.NIC 3`��p — p� (PERM(TTEE7ANDT E (DATE) This permit becomes effective when the Federal official, designated 10 act for the Secretary of the Army, has signed below.,. =OR: (DISTRICT ENGINEER) T]a7OTHY 3, CALyACHM MA11RM McCRP.A. YROSECC PIANACER (DATE WheC n the structures air work SNZeb by permit are still In existence at the time the ro terns and conditions of this permit win continue (o be binding on the new owners of the Ir Party is transferred the 1date the ;15 r of e d e8 liabliVes associated with compliance with its terrproperty. imsa ndconditions have the I stere sij jfat efow. HAGEN INVESTMENT LLC PO. SM 24.0166 ANCHORAGE. AK 99524.0186 -4- 4 C .�\ Q� v Municipality of Anchorage H On -Site Water & Wastewater Program a 4 = (907) 343-7904 ! f 'r r 0! V CERTIFICATE OF ON-SITE SYSTEMS APPROVAL Parcel I.D. 020-042-96 Expiration Date: 1. GENERAL INFORMATION Complete legal description BARNES; LOT 1 Location (site address) 15895 GOLDEN VIEW DRIVE *ANCHORAGE, AK Current Property owner(s) LARRY FL Mailing address Real Estate Agent Day phone 586-210-0170 Day phone 2. TYPE OF DWELLING: Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4. TYPE OF WATER SUPPLY: Individual Well Individual Water Storage Community Class Well Public Water System 4 WaiverNariance request for. NSA Distance: - Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ Date of Payment—q/16-/1 /`��nQJpQ//�� Receipt Number V(JIJUJQ COSA # (15C 8 it 1 D Waiver Fee $ Date of Payment Receipt Number Waiver # TYPE OF WASTEWATER DISPOSAL: Individual On-site 0 ❑ Individual Holding tank ❑ ❑ Community On-site ❑ ❑ Public Sewer ❑ WaiverNariance request for. NSA Distance: - Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ Date of Payment—q/16-/1 /`��nQJpQ//�� Receipt Number V(JIJUJQ COSA # (15C 8 it 1 D Waiver Fee $ Date of Payment Receipt Number Waiver # 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, 1 verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm GARNESS ENGINEERING GROUP, Ltd. Address 3701 E. TUDOR ROAD, SUITE 101 *ANCHORAGE, AK, 99507 Engineer's Printed Name Engineer's Comments: JEFFREY A. GARNESS, P.E. In conducting this evaluation, GEG provided an engineering evaluation of the well and/or septic system in accordance with the guidelines and regulations established by the Municipality of Anchorage and industry practices. The reported results describe the condition of the systems on the date/s of the evaluation. Separation distances were measured to readily identifiable features. Hidden defects or encroachments may exist that were not identified during the evaluation. The operational life of all wells and septic systems depend on a variety of variables including, but not limited to, soil conditions, groundwater levels (that may fluctuate during the year), quality of construction (materials and workmanship), and the water usage of the family utilizing the systems. These conditions can vary, and are outside the control of GEG. Satisfactory test results do not guarantee future performance of the systems; therefore, GEG makes no warranty (express or implied) regarding the future performance of the well or septic system. GEG makes no representation whether an alternative well or septic system can be installed on the property in the event either of the current systems fail. The content of this report is for the sole benefit of the person/party who retained GEG. Reliance upon the information provided in this report by any otherperson or party, including but not limited to subsequent property purchasers, is not authorized. In short, GEG disavows any legal duty to anyone other than the personlparty who paid for this report. 6. DSD SIGNATURE System #1 Approved for bedrooms. System #2 Approved for Disapproved. Conditional approval for Phone 337-6179 Date 7 11A a 4 �0 ....... .... ........... % . .............. ... ## CE- ��_AW AV LICEN E•44ftFE `, �'• #AECC884 bedrooms. Y��1�Pjm OF(r��/��ii Ali bedrooms, with the following�ation ON-SITE 1AI By: Original Certificate Date: G ` Z7T The Municipality or Anchorage Develop,emt Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the represenatations 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. ATTCHMENTS: COSA Checklist Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other (Rev. 10/12112) I • Legal Description: BARNES; LOT 1 If more than 1 septic system on lot: COSA Checklist # of A. WELL DATA - ❑ Well log is filed with Onsite (or attached) Date drilled 9/26/06 Total depth 167 ft Cased to 32 ft ❑ Sanitary seal is functioning correctly ❑ Wires are properly protected Casing height (above ground) 18+ in. Date of flow test for COSA 3/26/19 Static water level at beginning of test 19.6 ft Comments B. TANK DATA Age of tank(s) 12 years Tank type/material STEPIMIL FOR Standpipes/foundation cleanout per record drawing Date of pumping SEE MAINTENANCE AGREEMENT D. ABSORPTION FIELD DATA Which system tested (date installed) 7/16/07 ❑ ALL standpipes present per record drawing Total measured depth from grade S -Z5, ft (max) Measured depth to pipe invert from grade ft (min) ❑ N/A — pressurized field ❑ Monitor tubes go to bottom of drainfield. If not, state depth into effective ❑ Code -required soil cover over field ❑ System presoaked (Required if vacant for greater than 30 days prior to date of test) Gallons introduced *411 gallons Comments/Deficiencies: 'ADVANCED TREATMENT COSA Checklist yellow sheet Parcel ID: 020-042-96 Structure served by this system Well production at time of test 5.3 gpm Water storage tank volume n/a gallons Well disinfected for coliform test? ❑ Yes ❑ No 211c, oliform bacteria is Negative Nitrate t ? 0 mg/L ❑ Nitrate less than MRL (ND) ArsenicN 0 ug/L ❑ Arsenic less than MRL (ND) Collected by GARNESS ENGINEERING GROUP LTD. Date of Sample 3/26/19 C. LIFT STATION ❑ Required maintenance completed Age of lift station 12 years Lift station material PVC Comments: y "A e74 Q, Adequacy test date 3/26/19 Results [E Pass For 4 bedrooms Fluid depth prior to test 1 in Water added 630 gal New depth 8 in Elapsed time 128 min Final fluid depth DRY in Absorption rate 600+ gpd Any rejuvenation treatment (past 12 months) n/a If yes, enter date E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well) Septic Tank/Lift Station on Lot > 100' 50+ if No Community Sewer Manhole/Cleanout > 100' F] Yes if No ft 0✓ Yes if No ft Neighboring Tank > 100' QYes if No ft Private Sewer/Septic Line > 25' MV Yes if No ft Absorption Field on Lot > 100' ❑Yes if No 50+ ft Holding Tank > 100' MV Yes if No ft Neighboring Absorption Fields > 100' Water Main > 10' Q✓ Yes Animal Containment > 50' ❑✓ Yes if No ft ✓7 Yes if No ft Water Service Line > 10' Q Yes if No ft Community Wells > 200' Manure/Animal Excreta Storage > 100' if No ft Community Sewer Main > 75' M✓ Yes if No ft MYes if No ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' F� Yes if No 6,4" ft Surface Water > 100' F] Yes if No 50+ ft Property Line > 5' Q✓ Yes if No ft Driveway/Parking > 0' F] Yes if No, comment Absorption Field > 5' QJ Yes if No ft Wells on Adjacent Lots: _oo600p Water Main > 10' Q✓ Yes if No ft Private Wells > 100' [-]Yes if No 50+ ft Water Service Line > 10' Q Yes if No ft Community Wells > 200' M Yes if No ft From Absorption Field on Lot to: (Please enter distances if less than required) Building Foundation > 10' R✓ Yes if No ft Driveway/Parking > 0' Yes if No, comment Property Line > 10' [7 Yes if No ft Wells on Adjacent Lots: Water Main > 10' ✓0 Yes if No ft Private Wells > 100' ❑ Yes if No 50+ ft Water Service Line > 10' Q✓ Yes if No ft Community Wells > 200' Yes if No ft Surface Water > 100' ❑ Yes if No 50+ ft F. ENGINEER'S COMMENTS *5' MET CODE AT TIME OF INSTALLATION _oo600p G. ENGINEER'S CERTIFICATION I certify that 1 have determined through field inspections and review H g of Municipal records that the above systems are in conformance with Q :' * Q MOA COSA guidelines in effect on this date. ................... . : .... O ,J f a ness. E-1795 Q �Q44 COSA Checklist yellow sheet ro f essiq°� #AECC884 TAk?907 277 3715 9410912019 1414 A1100"9e Tony, 316775 ,o Rw** moll his 110166 111wlMsgull jj » VI Is11111111115 .� V Jim I lung 0 1»oil Ir ti ■ � s . r� Annual lnspeCfi10' Prop!�Y {Iwn�r7MiaklnP a Larry Flynn .� iltp� 15895 GOldenvlew Brive,`Anrhoora9e 995 6 AX slw to f gt 460225 AX -149453 Retrieve O&M Inia Dally flow Ftarirr: YAtQ — Timer set8ngs: Thls is a bank-0vuned property. please do CASA inspection & Annual Maintenance ¢vr{'orm Fia0.d S+yrnp7in$1 QbsAruatiorls NS4pµ (6-9) OC { 2.5 " I odor 04 SAmple hSuq y ;6 F] Earkhy ❑ hilokiy TyplcRtp Nontypical!J 9ulfrde Cab4a9L1 ❑ DecaY oily film In 1PVU []Y" J 4i Na Foam In tank UYes 14 No Cheok POnlru3 Pa"' RecirC Amps 01scharge Amps Audlblo and v(;ual alarms Ck pial tonFt (tdanwtry only) OYL3 No Insp,eWCleart Pump Systern lriape& Clean Rlser/Lid ..................... y 1. splice Box......... ...--. . Float Cords ...... I............ Floats. ....................... Pump........................ Z BKttube"Filter................. SieAubo Pump Vault ............ j RacirculaGng Splitter Volve....... �I Common" —KR�N .st et Ql signature 2pd U 208410 r.Uu t rani I AnchierageT.Ink (347-272,3543 ar,„rr16r Larry Betts (907) 770.6061 MCI e off-ast 1n5PGC11Qr r'"' IiNL N 06J 1912017 RTU 1079[7 MeasUre SludgefScUM scum $111490 currant CPrPr lNit!U4 ~-� LSYrQnt h1Y16li% FatCempAr"km+ant 1 Current Pr?,vioua rurvnnS prnvious gild CarrsP�'�nt frie�gctflGies.n Advar+T'ex bitter 01P,sn InspicCt Clear. DlsirtteGlicn �quilr,lant t -- ' I I PunslSnt LatrrtwOrm"115 »pto.um V! 4 Addi,tlonad !3ervlces Relnde-red odor:Narrrtivl Normal L1 xcOSaNe Pad i ,y gipmrit VNona/mlnor L5-0tii- IntAkeVVA a yidginglPending; I IrkspecttDleark D!SCbSrge pump system, R3V reinstalledbolted an In�l>aCt Cleov� Manifold WC, --1 idted; flusP valves Cla!S0d w4s - 1 parcel rc accv lnsphot Sjratem noeded — 73 k "leedp, PuhjjpjpS P Ftis9r11.1C1 I Floats J Pump $Plice Sox G rl Ar ratX16 .rCJ Inspeatlaervie,@ Other $ystOrn COMPo"arlts Inspect 01P,sn Inapr`ct Own ahpers;n t-elr ralxl4riGt;a> I r r _ DlsirtteGlicn �quilr,lant t -- ' t0� — - bbse,uaklans -; -- Addi,tlonad !3ervlces Relnde-red I'] Clooned toxtllo �Etoets7 1^ Roplsood UV ItaInA9 Replacod/Usad other Items? pnCIa iDsed: W _ tM1larrartty, D = a5iai7ie (,/ appropriate 9r�ltction) w B item Number De"ription I Fitly Malety Inspection R3V reinstalledbolted an Manifold WC, --1 idted; flusP valves Cla!S0d w4s - 1 parcel rc accv $urmrrlaryf R ecMrnendatiasrs Sjratem noeded — 73 k "leedp, PuhjjpjpS _ Y111 rorscr wit f, Date Fart clalttalaleted form 10 1-866-384-7404 MUNICIPALITY OF ANCHORAGE ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND REPAIR AGREEMENT THIS MAINTENANCE AND REPAIR AGREEMENT, herein the "AGREEMENT" made and entered into as of this 2� Day of :Tu t-' � of 20 /7 , by and between Cf;� 0., 4/nr, k -F , 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 r located at (legal description) 2. Maintenance, Repairs and Alterations. wner 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). c'( 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 ( 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. 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. 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 OWN By: / (signature) Date: C NS L% Nemi lis —T/� (print name) STATE OF ALASKA ) ) ss. THIRD JUDICIAL DISTRICT ) The foregoing instrument was acknowledged before me thisQ�Q day of , 20.E, by l:�k C,,n oT t s� T<( • TARY PURL C FCa' ALASKA 15ffeniea;n8e ' '+: Noiary PuhGoSnie ofAlazka My Commission expires: U U / 0'-7 MUNICIPALITY: By: (signature) (rev. 05/18/2018) Date: (print name) Title: Page 3 of 3 Parcell.D. Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onske (907) 343-7904 f�eCel ) 4, � t• f ar• 4'r CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING 020-042-96 1. GENERAL INFORMATION Complete legal description Lot 1, Barnes subdr0sion COSA # N 097S Expiration Date: 10 -- '-Z ifn ' �7 Location (site address) 15895 Goldenview Drtve Anchorage. AK 99516 Current Property owner($) Hagen Invesunents. LLC Day phone 242-0626 Mailing address Lending agency Mailing address Real Estate Agent Mailing Address P.O. Box 240186 Anchorage, AK 89523 Unless otherwise requested, COSA will be held by DSD for pickup. Day phone Day phone 2. NUMBER OF BEDROOMS: Four (4) 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well El Individual On-site Individual Water Storage ❑ Individual Holding Tank ❑ Community Class Well ❑ Community On-site ❑ Public Water System ❑ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of Onsite Systems Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues COSAs upon request to homeowners. Certificates of Onsite Systems Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water sample results. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 4. 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 Onsite Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Finn Anderson Engineering Phone 522-7773 Address P.O. Box 240773 Anchorage, AK 99524 Engineer's Printed Name Michael E. Anderson, P.E. Date 7262007 S. DSD SIGNATURE V Approved for ___Lf bedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulations: .lb AvSe"14 r• -e- su ZZe. 0-1- 111ic �',me, Attachments: COSA Checklist X Septic System Advisory Well Flow Advisory Nitrate Advisory Arsenic Advisory Maintenance Agreements Supplemental Engineer's Report Other By: Original Certificate Date: —7- a 6� - 07 (R.. „M) Municipality of Anchorage • Development Services Department Building Safety Division On-site Water & Wastewater Program 4700 Bragaw Street P.O. Box 195650 Anchorage, AK 9951945650 www.muni.orprtske (g07) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description: Lot 1. Bwrm subdivision Parcel ID: 020-042.95 A. WELL DATA We" type Pdvete If A, B, or C provide PWSID d _ Well Log (YM) Y Date completed 9rMP Sanitary seal (Y/N) Y Wires properly protected (Y/N) Y Total depth 1e7 fl. Cased 10 R. Casing height (above ground) >24 in. FROM WELL LOG AT INSPECTION Date of test gram Static water level 32 IL ft Well production 15 g.p.m. 9 -P.M. WATER SAMPLE RESULTS: Coftrm o cotaniesH W mL Nitrate fj/ V mg& Other bacteria 0 colonies1100 ml. Arsenic: _ ngA Date of sample: 7n7107 Collected by: F. LeDom B. SEPnC/HOLDING TANK DATA Tank TypelMaterial AdvWOXI5teal Date instatled 7/13!1007 Tank sae 1,500 gal. Number of Compartments Two Cleanouls (YIN) Y Foundation cleanout (YIN) Y Depression over tank (YAC N High water alamr (Y/N) N Date of pumping Now l.a smxsm Pumper C. ABSORPTION FIELD DATA Date installed 7r15rmo7 Soil rating (g.p.d./e or lt2/bdnn)4 GP0W Sym, type s wide Trench Length 30 fL Width 5 fl. Gravel below pipe 1 it Total depth 441 fL Elfabsorption area 300 Ie Monitoring tube Y Depression over field N Date of adequacy Lest NoW Const. Results (Pass/Faiq For _ bedrooms Find depth In absorption field before test in. Water added gel. New depth in. Elapsed Time; min. Final fluid depth in. Absorption rate >= g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) N yea, give date D. LIFT STATION Date kMftl*CL 7wr207 'Pump on' level at 25 in. DatuM BMITI d Tw* E. SEPARATION DISTANCES Size in gallons 5Do Manhole/Access (Y/N) Y 'Pump dr level at m in. High water alarm level at 34 in. Cycles tested SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tankAHt station on lot »Iw Absorption field on lot >iw Public sewer main WA Mesta alar a arcw requs ? Y On adjacent k>ts >IW On adjacent lots >IW Public sewer manhokUdeanout WA Sewer /septic service, fine >25' Holding tank WA Animal containment areas Nam Manure/ammal excrete storage areas Np» SEPARATION DISTANCES FROM SEPTICMOLDING TANK ON LOT TO: Building foundation >V Property line >V Absorption field >5 Water main WA Water service line >t0' Surface water >ton7 Wells on adjacent kits >IW SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line »0' Builft foundation >+0' Water main >ilr Water Service line >tP Surface water >IW Driveway, pgdmgNehide garage >W Curtain drain Now NOW Wells on adjacent krb >IW F. COMMENTS: G. ENGINEER'S CERTIFICATION I certify Met I have determined through field inspections and review of Muncipal records Mat the above systems are it cordormance wtM MOA COSA guidelines it effect on Mrs date. Engineers Printed Name Michael E. Anderson. P.E. Date )262007 COSA Fee E 5� • 9c) I S Waiver Fee $ r _ Date of Payment " /ac' Iy+ Date of Payment Receipt Number qq-�(D Receipt Number, M". III" .1 NLVI * {af 49:h � MICHAEL E. ANDERSON i No CE -1781 -- SIGM -- SGS Ref. M 1073411 Client Name: Anderson Engineering Project Name: Barnes, L1 Client Sample ID: Barnes, L1 Matrbc Drinking Water PWSID Sample Remarks: SGS Environmental Services Inc 200 W. Potter Drive Anchorage, AK 99518 Tel: (907) 562-2343 Fax: (907) 561-5301 All datesl6mes are Alaska Standard Time Printed DaterTime: 07/26/07 13:45 Collected Date/i ime: 07/17/07 1 8 Received Daterrime: 07/17/07 4:12 Technical Director.. -Sl'eohen Edd' Released Allowable Prep Analysis Parameter Results PDL Units Method Limits Date Date Init Nitrate ND 0.10 mg/L EPA 300.0 10.00 07/19/07 07/19/07 )ds 83-447 BARNES SUBDIVISION LOT 1 92,867 S.F. S 89.52'32"E 294.75' 8 I0 5' GAS UNE ESMT. ' I I I I 15' SECTION UNE ESMT. 25' T. do E. ESMT. i I I I I I I I I I I I I I 1 I 1 I I I I I I I rl l l l I w W � I I I I ; i0 p: N f I I I o 1 1 1 Ib g z l I II z EXISTING ' I I I BUILDING 56.5I I I I 68.2' I I I I I I SEPTIC SYSTEM 1 I I I WELL • 1 io I la I I 1 GRAVEL DRIVE REVISED 7/24/2007 ADDED ONE SEPTIC VENT 1 11=50' AS -13U I L TI HEREBY CERTIFY THAT I HAVE SURVEYED THE GASTALDI LAND PROPERTY DEPICTED ABOVE AND THAT NO ENCROACHMENTS EXIST EXCEPT AS INDICATED. SURVEYING, LLC IT IS THE RESPONSIBILITY OF THE OWNER TO JEFF A. GASTALDI. R.LS. DETERMINE THE EXISTENCE OF ANY EASEMENTS, 4726 WEST 88TH AVENUE COVENANTS OR RESTRICTIONS WHICH DO NOT ANCHORAGE. ALASKA 99502 APPS ON THE RECORDED SUBDIVISION PLAT. PHONE 248-5454 UNDER NO CIRCUMSTANCES SHOULD ANY DATA GRID DATE HEREON BE USED FOR CONSTRUCTION OR FOR 3238 7/16/2007 ESTABLISHING BOUNDARY OR FENCE ONES. ANCHORAGE RECORDING DISTRICT, ALASKA F.B.JOB N0. 07-08 BS1 NOTE: NO CORNERS SET THIS DATE BUILDING DETAIL SCALE: 1"=20' �� P�'•OF•• A�:4S f1 • vo,v .................0 effery A. astaldl LS-66{�0�"91 �'•�J •Jqy•'o olesslonol 10 �e �• ♦fff11aus* ** REVISED 7/24/2007 ADDED ONE SEPTIC VENT 1 11=50' AS -13U I L TI HEREBY CERTIFY THAT I HAVE SURVEYED THE GASTALDI LAND PROPERTY DEPICTED ABOVE AND THAT NO ENCROACHMENTS EXIST EXCEPT AS INDICATED. SURVEYING, LLC IT IS THE RESPONSIBILITY OF THE OWNER TO JEFF A. GASTALDI. R.LS. DETERMINE THE EXISTENCE OF ANY EASEMENTS, 4726 WEST 88TH AVENUE COVENANTS OR RESTRICTIONS WHICH DO NOT ANCHORAGE. ALASKA 99502 APPS ON THE RECORDED SUBDIVISION PLAT. PHONE 248-5454 UNDER NO CIRCUMSTANCES SHOULD ANY DATA GRID DATE HEREON BE USED FOR CONSTRUCTION OR FOR 3238 7/16/2007 ESTABLISHING BOUNDARY OR FENCE ONES. ANCHORAGE RECORDING DISTRICT, ALASKA F.B.JOB N0. 07-08 BS1 NOTE: NO CORNERS SET THIS DATE BUILDING DETAIL SCALE: 1"=20' �� P�'•OF•• A�:4S f1 • vo,v .................0 effery A. astaldl LS-66{�0�"91 �'•�J •Jqy•'o olesslonol 10 �e �• ♦fff11aus* ** F.B.JOB N0. 07-08 BS1 NOTE: NO CORNERS SET THIS DATE BUILDING DETAIL SCALE: 1"=20' �� P�'•OF•• A�:4S f1 • vo,v .................0 effery A. astaldl LS-66{�0�"91 �'•�J •Jqy•'o olesslonol 10 �e �• ♦fff11aus* **