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HomeMy WebLinkAboutVILLAGES VIEW ESTATES WEST TR AOnsite File Villages View Estates West Tract A #020-311-44 Municipality of Anchorage Community Development Department Page 1 of 3 On -Site Water and Wastewater Program 4700 Elmore St.. P.O. Box 196650 Anchorage, AK 99519-6650 - http://www.muni.org/onsite - (907) 343-7904 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP1 51277 PID Number: 020-311-44 [71 New E] Upgrade Name: Victoria Loepp ABSORPTION FIELD E] Deep Trench 0 Shallow Trench [:] Bed E] Mound Address P.O. Box 200454 Anchorage, AK 99520 F1 Other Phone Number of Bedrooms Soil Rating depth from original grade 3 5.0GPD/SF ITotal 1 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade +2.5 Ft. Gravel depth beneath pipe -5 Ft. Subdivision Block Lot Villages View Estates West Tract A Fill added above original grade 5.1 Ft. Gravel length 20 Ft. Township Range Section Gravel width 5 Ft. Beds: Number of Lines Distance between lines Ft. SEPARATION DISTANCES To Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Tank Line 100 Fe One Ft. Well >100' >100' N/A N/A >25' TANK El Septic [I S.T.E.P. El Holding R Other Manufacturer Advantex/Anchorage Tank/Orenco ICapacity I 1,500Gal. Surface Water >100' >100' N/A N/A Material FAP/Fiberglass Number of compartments Two Lot Line >51 >10' N/A NIA NA Foundation >5' >10'I I N/A I LIFT STATION Manufacturer Capacity Gal. Curtain Drain None Noted I I Pump on level at Pump off level at High water alarm at Remarks Gravity Flow from Tank to Absorption Trench. in.. in., in. The Absorption Trench is not a Mound and has been contoured into the finished slope. Pump make and model Electrical Inspections performed by Bricks Electric PIPE MATERIAL House to tank D3034 Tank todrainfield D3034 Installer — A Plus Home Services Drainfield F810 CO/MT D3034 Inspector MEA BENCH MARK (Assumed elevation) 100.Oft InspectionLocation 1 s' 6/17/16 6/18/16 and description dates: 2-d Bottom Floor Slab. 3`d6/19/16 4`" COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL OF A Conditional Approval: Date 49 TH -�p . .......... 0 0 M_� �0 46906606...60 ..................... MICHAEL E. ANDERSON CE - 4381 x'' 66 4> -/7-/7 AW Approved_Date Inspection Report-1-1-12.doc 89.05 0875 ME 5'3 00 z y.Q Ujo I w O i '0 1 LO ON CN `_' : ��"4 1 00 LJ I— W ` Zn n i :E W 0-/ O C) r V M Lo ') w 19 O) owe Q W Q U m o> o W �) LUQ C,w 0� w a, >� wm 0 0 ) O 0 ti v a o m Em oN 3 60 Z N N Z a. a n_ E / O in O' O T"E�zq Cp co coLo / c Ln U') 7 M2 \ i lf) N 2 N ca 21!1co 'v as Q u(V' CO B. .+ w \ M M tp co tD ca -60 \ _ \ 0 \ C -10 \ O \ v .2—r=a 0 i �a ooLoo> 3 C o 0 C•_ _\ \\\ �+- o 0 N C N \Y f 0:2i—�(n "•`mow \ Li I ! 1 ! I I vv - w > D \ \ V � / / mow.✓ / / d / / V Q Z Q F— V) U j W> Q wm 0 CD w U QW U IW I:E z !LliU) U) iw V) U IW i� I to I� i I ! I I I / / / / � I I ++ I K7 � Ln r N I 1 � N I \\L \\ /// th�`� PGG <1 I 00 / I I i i I I I I i i z U W m V) U i i O Q � / / / / m F— \ / C) f 1 Q \0 \\L \\ /// th�`� PGG <1 V / Municipality of Anchorage DEVEOPMENT SERVICES DEPARTMENT 4700 Elmore Road Anchorage, AK. 99519-6655 - 343-7904 Permit No.: OSP151277 On -Site Wastewater Disposal System or Well Inspection Report 80.2 Page 3 of 3 1 PID No. 020-311-44 _ � U H 82.8 i Finished Grade (j i 2" Insulation & Geotextile Fabric j I i ----- Drain Field Rock -----� — -- — I � -- Z-79.7 Coarse Sand / 76.7 79.7----/ ----- - OG — --- - ----- --- — ._._.._..---- --- -- `------ 20' Trench Length No Groundwater 73.7 —,,11 6-4-14 am Bedrock RROF LE AS -BU _- scale: NONE 80.2 OG `\-" 75.7 PCI P. ` 49th .................... MICHAEL E. ANDERSON �� ; No, CE -4381 V M -W brilling, Inc. *P.O. Box 110389,-, Anchorage, AK 99511* *907-345-4000 � 907-345-3287 Fax Job No. 1&106 GROUNDWATER WELL LOG Well Owner Victoria Lepp Use of Well: Domestic Legal Description: —Villages View Estates West —TractA ma CONSTRUCT—ION Drill Method: Air rotary Hole Size: 6" Casing Size: 6" Cased to: 40' Material: —k5 -3B -- Hole Depth: 406' Wall: .255--- X —Screen Perforated— me—thod. d; hole drilled to 40% d- 6" casing run to 40', annulus grouted Bentonite granules {grout Notes- 9 ) �Sack(s) of Bentonite Well Development: Air surge Well Disinfected: q1N — ----- M—ethod.--- Yield test at 3 GPM for hour(s) with 100% Of drawdown (DD) from static level(SWL). Method: Ai r surge Start Date:---- 2-/ 12-/ �1 Static Water Level (SWL): 172,6' 6 Completion Date: 2/23/16 Test Pump Date: Final Pump Install Date: — MUM Legal Description Property Owner Name & Address: o A L Pump Installation Date: 14 - `�_ Pump Intake Depth Below Top of Well Casing: 3qo feet Pump Manufacturer's Name: Pump Model: o Pump Size hp Pitless Adapter Burial Depth: feet Pitless Adapter Manufacturer's Name: Pitless Adapter Installer: Z, Well Disinfected Upon Completion? E3Yes n No Method of Disinfection: R I- d -z- o k. Comments: Pump Installer Name: LA/ g 4L � 3 Attention: The pump installer shall provide a pump installation log to the DSD within 34 days of pump installation. Development Services Department Building safety Division On -Site Water & Wastewater Program 4700 Elmore Rood P.0, Box 196650 Mark Begich Anchorage, AK 99507 Mayor Aa�,Munilor�/(Insite (907) 343-7904 Pump Installation Log Well Drilling Permit Number: KVASJA57-11 Date of Issue:NO 2 -OW Parcel Identification Number: OU Legal Description Property Owner Name & Address: o A L Pump Installation Date: 14 - `�_ Pump Intake Depth Below Top of Well Casing: 3qo feet Pump Manufacturer's Name: Pump Model: o Pump Size hp Pitless Adapter Burial Depth: feet Pitless Adapter Manufacturer's Name: Pitless Adapter Installer: Z, Well Disinfected Upon Completion? E3Yes n No Method of Disinfection: R I- d -z- o k. Comments: Pump Installer Name: LA/ g 4L � 3 Attention: The pump installer shall provide a pump installation log to the DSD within 34 days of pump installation. Permit Number: Tax Code Number: Work Type: Permit Effective Dates: Design Engineer: Subdivision: Site Legal Address: Owner/Address: Site Mailing Address: On-Site Water & Wastewater System Permit OSP151277 02031144000 WellSeptic March 08, 2016 MUNICIPALITY OF ANCHORAGE Development Services Department On-Site Water & Wastewater Program 4700 Elmore Road, PO Box 196650 Anchorage, AK 99519-6650 Telephone: (907) 343-7904 Initial to March 08, 2017 ANDERSON ENGINEERING VILLAGES VIEW ESTATES WEST VILLAGES VIEW ESTATES WEST TR A G:3738 FERGUSON VICTORIA AKA LOEPP VICTORIA TERESA PO BOX 200454 ANCHORAGE AK 995200454 6200 SOUTHPOINTE RIDGE DR, Anchorage Lot Size in Sq Ft: Total Bedrooms: epartment 186872 3 This permit is for the construction of: Y Disposal Field Y Septic Tank N Holding Tank N Privy Y Private Well N 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 i18AAC80). 3. The wastewater code requires inspections during the installation. The engineer must notify the Development Services Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either: A. Open and Close on the same day. B. Covered, sealed, and heated to prevent freezing. Issued By:-~~~/~ Date: ~/4~// ~. Municipali of Anchorage P.O, BOX 1966~0 · 4700 Elmore Road Anchom,qe, Alaska 99519-66§0 ® (90'7)"343-7904 · Fax (907) 343-7997 http:llWWW;muni.o~lOn, site Development S 'rv,ces Division On-Site Water,~nd WasteWater Proaram ' VARIANCE/WAIVER REVIEW **** Waiver& OSVt510~99 COSA#: Permit~! OSPt51277 PID#L,.020-31:I..4~ Legal Descdpt on:.Villages Vie~y'E~tates West, :Tract A Engineer: Anderson Enaineerinfl Applicant: VictOria LoeDI3 The requests for~e following~waivers ~e approved_. 1,: Zero (0)fzgt between the absorption field:an~l a 25% or greater slope, and 2. 2 I¢I, oriz0i~tal t~51 ~effi~ MOUnd side slo~e~ ' Thi~ waiv, er appmval'appl~es to the pi~6~sed absorPtion field only. Any future upgrade to~e on-si!e W~teWater disposal. :system will &bq~ire all s~parafion distances be m~t or another approval fr~om tt~,~'S departm6hL [] The affected adjacem property owner(s) have been given .a 7 day hofice regarding this waiver. [] N6~ea letter(s) of non-bbjection adJ ~j~&r/~ property. - have been. received from rite owner(s) of the affected [] Adjacent iJ~0perties are not affected by this waiver. Waiver iS ~nted: .~,~ X . V~_~aiv~r is not ( MUNICIPALITY OF ANC Community Development Department Development Services Division On-Site Water & Wastewater Program PI ON-SITE SEWER/WELL PERMIT APPLICATION Parcel I.D. 020-311-44 Property owner(s) Victoria Loepp Mailing address P.O. Box 200454 Anchorage, AK 99520 Day phone Site address NHN Southpointe Ridge Drive Anchorage, AK 99516 Legal description (Sub'd., Block & Lot) Villages View Estates West, Tract A Legal description (Township, Range & Section) Lot Size 186,872 .Sq. Ft. Number of Bedrooms Three APPLICATION IS FOR: ([~ all that apply) Absorption Field [] Septic Tank [] Holding Tank [] Privy [] Private Well [] Water Storage [] APPLICATION IS AN: TYPE OF DWELLING: Initial [] Single Family (SF) (w/wo ADU) Upgrade [] Duplex (D) Renewal [] Multiple Dwellings (SF and/or D) THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR: Absorption Trench to Slope >25% Distance: 0 I certify that the above information is correct. I further certify that this is in a¢c0rdance with applicable Municipal Codes. (Signature of properly owner or authorized agent) Permit/Rush Fees: Date of Payment: Receipt Number: Permit No. Waiver Fees: Date of Payment: Receipt Number: Waiver No. Permit App_9-1-12.doc August 11, 2015 Municipality of Anchorage Development Services Department On-Site Water and Wastewater Program 4700 South Bragaw Street Anchorage, AK 99519-6650 Su~e~: Tract A, Villages View Estates Subdivision Septic System Design and Permit Application Impacts to Adjacent Properties Dear Onsite Services Engineer: The owner of Tract A, Villages View Estates Subdivision intends to construct a three- bedroom home on the lot. We are therefore requesting a permit be issued for construction of a new well and septic system to serve the new home. The size of the septic system and the proximity of bedrock to the ground surface in the subdivision limit the available area for the sewage disposal system and make it difficult to place a conventional septic system. We therefore intend to construct an Advantex Treatment System on the lot in conformance with subdivision plat notes 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 silty sand with gravel soils (SM/SW) underlain by bedrock. The percolation rate in the materials encountered in the area near the new system was 3.9 minutes per inch. No groundwater was found but bedrock was encountered at 3.0'. Our design provides for the bottom of the absorption trench to be 6' above the bedrock layer. We are therefore proposing to place a three-bedroom Advantex Treatment System. The absorption trench will be 20' long x 5' wide with .5' effective depth. The distribution line in the trench will be placed at 3' above the existing ground level. The total depth of the trench will be 1' to remove the organic material. The organic material will be replaced with coarse sand which will also be used to raise the trench 3' above existing ground. A minimum of 2' of fill will be placed above the trench along with 2" of insulation. A minimum of 4' of fill will be placed over the septic tank to meet Municipal Code and prevent freezing. The ground surface of the lot slopes at 25% to 30% to the west near the location of the Tract A, Villages View Estates West Page Two August 11, 2015 primary and alternate absorption trench sites. Slopes become extreme further to the west. The trench will be constructed parallel with the contours of the slope as much as possible in conformance with Municipal requirements. All components of the new septic system will be constructed a minimum of 100' from any surface water and 100' from the well currently on the lot. No conflicts exist between the proposed well and septic system and those in the area. All adjacent lots are vacant. 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. 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. 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. 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 · : 49th ~......-: ...................... :~..,..~ ~ ~ ~, MICHAEL E. Ai~'DERSON VILLAGES VIEW ESTATES WEST TRACT A DESIGN FACTORS: 3 Bedroom Home Perc. Rate: 1-5 Min./Inch Application Rate: 5 GPD/SF 3 Bedrooms X 150 GPD/Bedroom = 450 Gallons SYSTEM REQUIREMENTS: Shallow Trench System Advantex Treatment System ,5' Effective Depth 450 Gallons/5 GPD/SFI5 LF (Width) = 18 LF Trench Length THEREFORE: Construct a 20' Long by 5' Wide by .5' Effective Depth Absorption Trench at the Location Shown on the Site Plan. Distribution Pipe to be Placed at 3.5' Above Existing Ground, Place 2" of Insulation and 2' of Cover Over Absorption Trench. Maintain 100' Separation From Pdvate Well on the Lot. Place Delta Drain or Equal Irnpearmeable Barrier along west side of absorption trench to prevent migration of septic effluent. Existing Ground 3' 3/16" Diameter Holes @ 8" Spacing - 30 Total Delta Drain or Equal Impermeable Barde~ 5' Min. Place 6" of Topsoil and Vegetation. Construct Drainage Swale to · " - E tablished ,,-- Direct Drainage Away from Vegetation Must De S / , Prior to Final Approval. / Absorption Trench. ~ / Driveway/Parking Natural Backfill ~-.....~.~- 2" Insulation and Geotextile Fabric C~ - 1" PVC ____-.---- Drainfield Rock 2' Coarse Sand -1' Coarse Sand (Din,) I 5' I In Situ GM Soil NOTE: TYPICAL TRENCH SECTION -- _.. ..... G~de Area Surrounding Bed to Drain Away. ; ~/ 49th ~ 2~ Minimum 6', Separation From Bedrock ....... ~~~~ ..................~.. .~,,. Minimum 4 Separation From Groundwater. Minimum 100' Separation From Private Wells in the Ama. ~ Michael E. Anderson Minimum 100'Separation From Su~ace Water or Streams. ~/¢~ No. CE4381 ./;~ Minimum 10' Separation From Water Se~ice Line. 4700 DEPTH (~e0 1 2 3 4 5-- 6 7-- 8-- 9-- 20- MUNICIPALITY OF ANCHORAGE DEVELOPMENT SERVICES DEPARTMENT BRAGAW STREET ANCHORAGE, AK 99519-6650 SOILS LOG - PERCOLATION TEST LEGAL DESCRIPTION: Tract A, Villages View Estates Subdivision PERFORMED FOR: Victoria Loepp DATE: 5/22/15 PROJECT No.: PARCEL ID#: TECHNICIAN: MEA I TEST HOLE OB/OG SH/SW SAND w/SILT SLOPE BEDROCK WAS GROUND WATER ENCOUNTERED? No S b IF YES @ WHAT DEPTH2__ DEPTH OF WATER AFTER MONITORING: None p DATE OF MONITORING: 5/29/15 SITE PLAN DEPTH TO DATE READING GROSS TildE NET TildE WATER XlET DROP (MINUTES) (MINUTES) (INCHES) (INCHES) TEST PRESOAKED PRIOR TO TEST. 5/Z4 I 9:19 0.58" 2 9:49 30 8.13" 7,75" 3 9:50 0.25" 4 10:20 30 8.00" 7,75" 5 10:21 0,25" 6 10:51 30 8.00" 7.75" PERCOLATION RATE: 3.9 (MIN/INCIq) PERC. HOLE DIA. 6 .(INCHES) TESTRUN BETWEEN: 1.5 FT. and 2.5 FT. COMMENTS: TEST HOLE PRE SOAKED PRIOR TO TEST. TEST PERFORMED BY ANDERSON ENGINEERING. I, MICHAEL E. ANDERSON CERTIFY THAT THIS WAS PERFORMED 1N ACCORDANCE WITH ALL STATE AND MUNICIPLE GUIDELINES IN EFFECT ON THIS DATE: 8/11/15 August11,2015 Municipality of Anchorage Development Services Department On-Site Water and Wastewater Program 4700 South Bragaw Street Anchorage, AK 99519-6650 Subject: Tract A, Villages View Estates West Subdivision Absorption Trench to Slope Waiver Dear Onsite Services Engineer: Tract A, Villages View Estates West Subdivision has limited area for construction of a septic system due to steep slopes to the west and the presence of bedrock. The developer of the lot has located the house on the flattest area of the lot further reducing the area available. We have located an area with acceptable soils, but the distribution pipe must be raised 3' above existing ground to provide 6' separation from bedrock. An impervious membrane will be placed on the west side of the trench to prevent migration of septic effluent. Fill will be required to provide a minimum of 35' from a break in grade greater than 25%. We are therefore applying for a waiver allowing placement of the absorption trench at this location. The soil encountered in the test holes is clean well graded sand (SM/SW) which is very good for the absorption of septic effluent. In addition, an Advantex Nitrate Reducing Treatment System is proposed for installation on the lot. No migration of effluent is expected to occur to the steep slope. Sincerely, Michael E. Anderson, P.E. ~ ~ t MICHAEL E ANDERSON Attachment 0 0 (iD Z August11,2015 Municipality of Anchorage Development Services Department On-Site Water and Wastewater Program 4700 South Bragaw Street Anchorage, AK 99519-6650 Subject: Tract A, Villages View Estates West Subdivision Trench Side Slopes Dear Onsite Services Engineer: Absorption system sites on Tract A, Villages View Estates West Subdivision are limited by the presence of bedrock with few areas acceptable for the placement of an absorption trench. The most suitable area to place the new absorption is shown on the attached Site Plan. The fill above the trench will be approximately 5' above ground. The 3:1 side slope will not catch the existing slope. We therefore request a waiver allowing the slope to be 2:1. The slope will be covered with topsoil and.seeded with grass. Maintenance will be provided until a flourishing stand of grass is achieved. The 2:1 slope is standard for fill slope requirements in the Municipality. No erosion of the slope is anticipated once revegetation is complete. Sincerely, Michael E. Anderson, P.E. ¢..,,.~, ........................... ~,.,..~ Municipality of Anchora 4 On -Site Water and Wastewater Progra (907) 343-7904 Xertificate of On -Site Systems Appr I penze|2-a/ / I.D..D . `�Expiration Date 1. GENERAL INFORMATION Complete legal description \/'U@[1eS \/'eVV Estates \8/psf, l-ranf /l Location (site address) ------------ 6200So,th inte Drive Anchorage, AK 99516^ Current pmpedx Victoria koeOO Day phone _ Mailing address P.(l.Box 2OO454 Anchorage, Ak.99520 Real Estate Agent 2. TYPE OFDWELLING: El Single Family (wwoADU) F] Duplex 0 Multiple Dwellings (Single Family and/or Duplex) Day phone 3. NUMBER OFBEDROOMS: Three 4. TYPE OF WATER SUPPLY: TYPE CJFWASTEWATER DISPOSAL: Individual Well El Individual Z Individual Water Storage Fl Holding Tank 1-1 Community Class Well El Community 0 Public Water System Public Sewer R Waiver/Variance request for: Distance: 5. STATEMENT OFINSPECTION BY ENGINEER ^ by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, As certified 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 1,r�"bbNned from the Municipality of Anchorage files and from my investigation and inspection, the on-site water ` - 6[ is(are)m compliance with all applicable Municipal and �a�codes, oo�i#anneo.andregulabonohnefeotatthebmeofinsta|latiun. Name of Firm /\Od8[8OD Engineering phone 522-7773 ` Address P.O. E]OX 240773 Anchorage, AK 99524 Engineer's Printed Name Michael E. Anderson, P.E. Date 8/17qQ4Z,._ 49 -LH 0 G. DSD SIGNATURE System #1 Approved for bedrooms CE - System #2 Approved for bedrooms41, Disapproved ���'"«F\U�°` `~. ' Conditional approval for bedrooms, with the following stipulations: '_ By:' Original Certificate Date: The Municipality ofAnchorage Development Services Division (oSo)issues ComficmtesmOn-Site Systems Approval (COGx)based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineers work. 7' ATTACHMENTS: COGACheoNkst X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other________ If more than 1septic system hsonthe lot: COSAChecklist #_of___ Structure aonmd by this system Legal Description: Villages View E""""== West, Tract A Parcel ID: 020-311-44 A.WELL DATA ' Well type Private If/\ElorCprovide PVVS|D# Well Log (YYN)Y Date completed��q16 ~�~-�" ^- Sanitary seal (YYN)Y Wires properly protected (YYN)Y 4O6 40 >1 811 Tuby|dep�_�� �aaedtoft. Casing height (above ground)'n. FROM WELL LOG AT INSPECTION UyJ�1� � Date oftest ^-'^-~'~ Stab17� Static ' ^-'6 ft. � Well production u 91p.m. y -p -m- VVATERSAMPLERESULTS: Coliform bnn co|onieu10OmL Nitrate '678 __�mg/L Arsenic N/D ug/L Date of sample: 8/8/2017 Collected by: And. Engineering B. SEPTIC/HOLD/NGTANK DATA A8nt'p/��pb��V@�t�X ��17/1�� TankType/K4aheha| ~^ r^'`°' ' ^ '' ^~ Date installed ~' ' ' ' '~ 1�� Tank size ��1,500gal. Number ofCompartments 2~/ C|eanouba(Y7N) ' Foundation cleanout (Y7N)Y 0 Depression over tank (Y/N) High water alarm (YYN) ' Y K|f�VV /�O�Sf[UCf'DD Date ofpumping ^ ` Pumper ~ ' Date installed 6/17-19/16 Soil rating (g.p.e4or ft2 /bdrm)5 GPD/SF System type 5' Wide � Lemgth �^ ft.�Width� Width ft. G�v�bo���pe�5 �fL 3_4 Total depth E�abnoqption�ree100 _.`/`'_f� Monitoring Y�_. Depression 0��_ Date ofmdequooytest New Const. Reou|tu(Poaa/Fai|)For3bedrooms Fluid depth inabsorption field before test in. Water added gal. New depih_____in. Elapsed Time: _______min. Final fluid depth in. Absorption rate >= 0.p.d. N Any n�uvenabonhnatmmnt(past 12mo.)(YYN&type) '` |fyes, give date_________ Q. LIFT STATION Date install"Pump on" level at Datum ed __ Size in gallons __ in. ^Pumpoff'Ieve at — Cycles tested in Manho|e/Aooeas(YYN)______ High water alarm level at_____ Meets alarm & circuit requirements? E SEPARATION DISTANCES WELL (}NLOT TO: ' Sep�otanW|ift�aU>1O0' �"10O station ~~ Onadjouent|otm '~~ Absorption field �|uu e|don|ot Onadjacent lots '°|uu ' Public sewer main >75' Public sewer manhole/cleanout >100' �� Sewer /aapdcnem>~-`' service Holding tank >75' ' Animal containment areas ~� >50'�OManure/animal excrete storage areas ___ SEPTIC/HOLDING TANK ONLOT TO: Building foundation >5' on Property line >51 ' Water main > '~ 10Water service line >1O' Wells onadjacent lots >100/ ABSORPTION FIELD ONLOT TO: ' 10 Property �^ y|ino >1 0, Building foundation >iD` ' VVaterService Une>1 0, Surface water �='~~ 1OO NO�f�hJDt8� ()0' Curtain drain None Noted � VVWells on adjacent lots �1 G. ENGINEER'S CERTIFICATION / certify that /have determined through field inspections and review of Municipal /eom/s that the above systems are in conformance with MOA COSAguidelines /neffect onthis date. Michael E. /\Dd8[SOnP�� Engineer'oPrin�edNome ' ' ' Date A/17/2O17 COSA brown sheet -1 0-10-1 2.doc F-gril"A AboAbsorption field >F7 Surface water >100' �[Y Water main >101'~ Driveway, parking/vehicle storage >10' 0 wC*'A9AjnssUDjOUD41DUOr, WOWASAJMBUDJOUGC XDJ gzgt—zzg (LO6) � 9L 9 --ZZ (L06) 6'trOT-91966 WISON '960.304*UV OnU*A'f JAJDG OOSLL U , 3joAGA.inS u 1"�11DUOISS910-M %Jul S81DIOOSSV )? 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R11r 6 - -**c* P-(2V-ZOOZ IVId) IS3M S31VIS3 MMA 3oYnIA 'Y IOVSI ) 0-0 :Ayedoid poqposep BUIM0110; 041 peAvAins D GADq I tql Ailyso Aqojoq I -A9AjnsSuojOuo44Duoj woo V woo-AsAinsDuolous)i S.JOA9A-inS puDI IDUOISS910.4d xDJ SZ9t-ZZS (/-06) Du*4d 9LV9-ZZS (L06) OUI 'S91DIOOSSV )R f5UD-j M2—GM6 9))1601V $G5DJ043uV 'OnuGAY IAJDa 009 t I NVId 101d UR lrsrOJd 9 -cL -cM s (31HO "iivo� x nins sy �--JSiN3Vq3SV3 3Vi ,0l 73M SnICIV6 3nio3iO OOL=N Vi76 S3NOV 6Z'* 1N3H3SV3 -11dJi oriend ol ,-31OHNVN V" 00d iN3NiV32ii S S3dId Olid3S X S 3cild Olid3,, N 31OHNVY4 X P 10*1 woo" 'Ob '\ AND Victoria Loepp T141S MAINTENANCE AND REPAIR AGREEMENT made and entered into as of this -1 1 Day of hVq V 5t of 20 17, by and between Victoria Loepp V herein the "OWNER," and the Municipality of Anchorage, herein the "MUNICIPALITY." In consideration of the mutual covenants contained herein, the parties to this Maintenance and Repair Agreement agree as follows: 1. Advanced Wastewater Treatment Systems Municipality grants permission to Owner to utilize and operate an Advanced Wastewater Treatment System (AWWTS), described as Advantex System located at (legal description). Villages View Estates Sub, Tract A 2. Definitions. Alteration. Any change to the design or function of an AWWTS that includes the installation or removal of any parts, components or pieces not included in the original construction permit and design. Certificate of On -Site Systems Approval (COSA). An approval by the Municipality of existing water and wastewater disposal systems given at the time of property sale and title transfer in accordance with Anchorage Municipal Code (hereinafter, ."AMC") 15.65. These approvals certify that the systems are adequate for the homes that they support and meet the codes that were in place at the time of system construction. Damage. Any man-made or natural change in a system that would inhibit the system from performing as designed. Maintenance and Repair. The scheduled and as needed replacement of existing parts, components and pieces of an AWWTS that were included in the original design which would allow the AWWTS to continue to perform as designed. Permit. An On -Site Wastewater Disposal Permit as required by AMC 15.65 to construct and operate an AWWTS. 3. Term. The term of this Maintenance and Repair Agreement shall begin on the date of approval by the Municipality to operate the installed system or issuance of a COSA, and shall continue while the AWWTS is in use or is operational or until the property is sold or title is transferred by the owner and a new CASA is issued to the new owner or transferee of the property. 4. Alterations. Installation and Removal of Additional EaUiDment. Prior to performing any alterations to an AWWTS, the owner agrees to obtain an On-site Wastewater Disposal Permit from the Municipality in accordance with AMC 15.65. 5. Maintenance and Repairs A. Throughout the term of this Maintenance and Repair Agreement, the Owner shall maintain their AWWTS in a satisfactory condition capable of producing treated septic effluent in accordance with the equipment's approval for operation in the Municipality. The owner shall enter into a service agreement with an AWWTS service and maintenance provider approved by the municipality and the manufacturer of the AWWTS for the entire term of the AWWTS. In addition, it shall be the responsibility of the Owner during the term of this Maintenance and Repair Agreement, and any renewals thereof, at the owner's sole expense, to pay for any and all: (1) repair(s), (2) maintenance, (3) adjustment(s), (4) replacement costs, and (5) inspection costs. B. Owner agrees to comply with all applicable ordinance, laws, regulations, rules and orders for the AWWTS. C. Upon request by the Municipality, the owner agrees to provide the Municipality a written schedule of routine maintenance and repairs which have been performed on the system. When a record of maintenance is documented and maintained by the system vendor, the owner agrees to allow the Municipality access to this information. D. Owner acknowledges that the fine for failing to maintain and repair an AWWTS may be assessed in accordance with AMC 1.4.60 for improper discharge. E. Owner agrees that only maintenance and repair personnel approved by the Municipality will inspect and make any necessary maintenance, repairs or permitted alterations to the system. F. Owner agrees to grant the Municipality reasonable access to test and inspect the AWWTS upon 24 hours written notice. G. Owner agrees that any sale or transfer of title of the property will not occur without a new Certificate of On -Site Systems Approval. H. Owner agrees that the AWWTS installation and maintenance requirements as provided by the AWWTS vendor/installer and approved by the Municipality are the governing guidelines for the construction, maintenance and repair of the Owner's AWWTS. 6. Nonwaiver. The failure of either party at any time to enforce a provision of this Maintenance and Repair Agreement shall in no way constitute a waiver of the provisions, nor in any way affect the validity of the Maintenance and Repair Agreement or any part hereof, or the right of such party thereafter to enforce each and every provision hereof. 7. Amendment. A. This Maintenance and Repair Agreement shall only be amended, modified or changed by a writing, executed by authorized representatives of the parties, with the same formality that this Maintenance and Repair Agreement was executed Z:) with, and such writing shall be attached to this Maintenance and Repair Agreement as an amendment. B. For the purposes of any amendment modification or change to the terms and conditions of this agreement, the only authorized representatives of the parties are: a. Owner: Victoria Loepp b. Municipality: Director, Community Development or designated authority C. Any attempt to amend, modify, or change this contract by either an unauthorized representative or unauthorized means shall be void. 8. Jurisdiction: Choice of Law. Any civil action arising from this Maintenance and Repair Agreement shall be brought in the Superior Court for the Third Judicial District of the State of Alaska at Anchorage. The laws of the State of Alaska shall govern the rights and obligations of the parties under this Maintenance and Repair Agreement. 9. Severability. Any provisions of this Maintenance and Repair Agreement decreed invalid by a court of competent jurisdiction shall not invalidate the remaining provisions of the Maintenance and Repair Agreement. OWNER�: By: (/!Ci fG U (signature) Date: to rl Q L d (print name) STATE OF ALASKA ) ss. THIRD JUDICIAL DISTRICT ) The foregoi�n� instrument was acknowledged before me this 201-, , by RAOC,., [# NOTARX"PUBLI99OR ALASKA My Commission xpires: t, ` 25, Zo Zd MUNICIPALIT (signature) 3� day of A -�.3� , Date: q l 5 .(print name) Title: