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Home My WebLink AboutGLACIER VIEW HEIGHTS #2 BLK E LT 7 Onsite File Glacier View Heights # 2 Block E Lot 7 #050 - 491 - 42 k-V:JUL /IV) Municipality of Anchorage On -Site Water and Wastewater Section • (907) 343-7904 Page 1 of 1 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP 181274 PID Number: 050 491 42 Dwelling: ❑■ Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New ❑■ Upgrade Name Palmer ABSORPTION FIELD El Deep Trench ❑ Wide Trench E] Bed E] Mound Site Address 22835 Glacier View Dr El Other Phone Bedrooms Soil Rating depth from original grade pNu�m,_erof GPD/SF JTotal Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade Ft. Gravel depth beneath pipe Ft. Subdivision Block Lot Glacier View Heights #2 Block E Lot 7 Fill added above original grade Ft. Gravel length Ft. Township Range Section Gravel width Ft. Beds: Number of Lines Distance between lines Ft. SEPARATION DISTANCES 0 Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Tank Line Ft2 Ft. Well +50 _ _ _ +50 TANK ❑ Septic ❑ S.T.E.P. ❑ Holding N Other Manufacturer Orenco (Advantex) Capacity 1500 Gal. Surface Water +50 _ _ Material Number of compartments Lot Line +5 - - NA Fiberglass 2 Foundation 6 _ _ LIFT STATION Manufacturer Capacity Remarks TANK ONLY - _ Gal. Alarm location - Electrical installed by RISING SON PIPE MATERIAL _House to tank- Tank to 3034— drainfield -Installer — - — -- - - Guaranteed SVCS Drainfield EXISTING cO/MT3034 Inspector CHARLES BALZARINI BENCH MARK (Assumed elevation) 100 ft Inspection 15, 8/28/18 Location and description dates:2 nd 3"d 4`h bottom of siding at house ON-SITE WATER AND WASTEWATER SECTION APPROVAL 4/1/22 Engineer's Stamp OF A`q l`ll Conditional Approval: Date law j GJk' • �'9 �� OF.. .... •% Septic Syste CHARLES G BALZARINI Approved Date Z2 22 (�VIP CE -13854 .•��% Note: this approv does not include well permit requirements. `1i`FOPROFE5S1oNA.�� k-V:JUL /IV) •:x`911 OF AQ AGW 4s TM • ... ..... ...... T;HARLES G BALZARIW 116, • CE -13854 •..�\��`�� ll,,�PROFESSIONP .� BM:+100.0' BOTTOM SIDING AT HOUSE 8.2 AX -20 4.2' COVER POD 1500 GAL B3 FIBERGLASS TANK SCHEMATIC PROFILE VIEW SHOWS ELEVATIONS OF INSPECTED ELEMENTS BUT DOES NOT DEPICT SYSTEM IN ITS ENTIRETY. INSPECTION FOR GENERAL CONFORMANCE TO DESIGN AND MOA REQUIREMENTS ONLY. SCHEMATIC ELEVATION --SCALE— NTS LEGAL DESCRIPTION: GLACIER VIEW HTS BLOCK 3 LOT 7 C&M ENGINEERING SERVICES OWNER: PALMER DATE:4/1/22 REV: DRAWN: 907-854-5558 SEPTIC RECORD DRAWING HOME / EXISTING FOUNDATION DECK SO, 4 R CLEANOUT S NEW 4 BR ADVANTEX SYSTEM-' 1500 GALLON TANK W/ AX -20 FILTER POD. E TANK VERIFIED TO NEW DOUBLE // BE OUTSIDE OF BEARI G --CLEANOUTS / PRISM OF FOUNDATI GLACIER VIEW HEIGHTS#2 BLOCK E LOT 7 / _ LEG ND O CLEANOUT CREEK a MONITOR TUBE \ \ \ ® TEST HOLE \ \ \ \ PLAN SCALE: 1" = 3 ' BM:+100.0' BOTTOM SIDING AT HOUSE 8.2 AX -20 4.2' COVER POD 1500 GAL B3 FIBERGLASS TANK SCHEMATIC PROFILE VIEW SHOWS ELEVATIONS OF INSPECTED ELEMENTS BUT DOES NOT DEPICT SYSTEM IN ITS ENTIRETY. INSPECTION FOR GENERAL CONFORMANCE TO DESIGN AND MOA REQUIREMENTS ONLY. SCHEMATIC ELEVATION --SCALE— NTS LEGAL DESCRIPTION: GLACIER VIEW HTS BLOCK 3 LOT 7 C&M ENGINEERING SERVICES OWNER: PALMER DATE:4/1/22 REV: DRAWN: 907-854-5558 SEPTIC RECORD DRAWING C&M ENGINEERING SERVICES Ph: 907-854-5558 Municipality of Anchorage Onsite Water & Wastewater Program 4700 Elmore Rd Anchorage, Ak 99507 8/15/2018 RE: Proposed Septic System Modification for Glacier View Heights Block E Lot 7 Dear Reviewer, The tank is installed 6 -feet from the foundation. The tank is installed greater than it's height from the foundation and the sewer line exits just below the footing and is at a relatively flat slope — 2%. This puts it beyond the toe of the theoretical (45 -degree) bearing prism of the foundation. There are no deck foundations within 5' of the septic tank. I believe the original maintenance agreement was submitted directly to the MOA in hard copy. I do not have a copy. The tank was installed less than 5 -feet from the field. The 240 sqft/bedroom application rate provided in the original construction records equates to an application rate of 4 gpd/sgft for the CAT III AWWTS. This means that the system requires 600/4 =150 sqft of absorption area to meet the minimum size requirements for 4 -bedrooms. Based on this, we could conservatively discount the first 5 -feet of the field which would change it's area from 759 to approximately 638 square feet. Because the system is deep, and angles away from the field, it is likely that the proximity of tank to field will not have a significant impact on its performance. We are requesting the reduced separation be approved for 1 -foot. Please do not hesitate to contact me at 907-854-5558 or by email cgbalzarini6c gmail. com with any questions or concerns. Sincerely, Charles Balzarini, PE SEE D E T AI L " A" LOT 6 30' SLOPE CON S T R U C T . & M A I N T . E S M T . Lot 7, Block E Glacier View Heights Subdivision Addition No. 2 141,621 Sq. Ft. +/- 22835 Glacier View Drive 3 Story Wood Frame House with Attached 3 Car Garage LOT 8 10' UTILITY EAS E M E N T ℄ GLA C I E R V I E W D R I V E W S SSSSSCS 86. 0 81.8DETAIL "A" SC SCALE: 1" = 40' EDGE OF PAVEM E N T 24. 5 L=56.16 R=230.00 S72° 1 0 ' 4 0 " E 9 8 . 8 9 ' S5 8 ° 1 1 ' 2 0 " E 8 6 . 4 6 'N26° 25' 10"E 584.80'N23° 57' 15"E 681.63'S89° 57' 30"E 235.00' POND CREEK MEANDER LINE 30'R.O.W.128.71 0 0 ' W E L L RAD I US 8.4CHUGACH STATE PARK 80. 9 G 18.5 8.312.1 12.1 25.2 20.936.8 20.241.930.1 E25.922.51 0 . 1 PAV E D D RI V E W A Y 3RD STORY WOOD DECK SHEDW SSSS S GRAVEL DRIVEWAYSCSCPAVER RET. WALL TYP. GRAVEL WALKWAY ADVANTEX SYSTEM 1 CREEK MEANDER LINE8.42nd Story Wood Deck PROFESSIONAL SEAL Date:Frontier Surveys, LLC Project No: 650 W. 58th Ave. Suite E Anchorage, Alaska 99518 As-Built Survey of: www.frontiersurveys.com Frontier Surveys, LLC I, Pierre Stragier, hereby certify that this Mortgage Inspection Survey was performed by me, or under my direct supervision on Plat:Grid:Ordered By: 907.460.1686 - info@frontiersurveys.com This survey complies with the ASPLS Mortgage Location Standards. The survey represents visible improvements and conditions at the time of the survey. This document does not constitute a boundary survey and is subject to any inaccuracies that a subsequent boundary survey may reveal. It is the responsibility of the Owner to determine the existence of any easements, covenants, or restriction which do no appear on the record plat. Under no circumstances should this document be used for construction or for establishing a boundary or fence line. February 22nd, 2022. Legend: Scale 1" = 80' Electric Meter Telephone Pole Lot 7, Block E Glacier View Heights Subdivision Addition No. 2 General Notes: 1. This document is created for the purpose of a single property transaction and is subject to Federal Copyright Laws. 2. Excepting for gross negligence, the liability for this survey shall not exceed the cost of preparing this survey. 3. All measurements/setbacks are to the visual/apparent building footprint. 4. All dimensions to property lines are plus/minus 0.1ft. Charles Balzarini 22-081 02/23/2022 71-159 0059 Fence G Gas MeterE Over Head Utilities Pierre M. Stragier No. L.S. - 9812 R E GISTEREDPROFESSIO N A L LA NDSURVEYOR02/23/2022 SepticS Septic Tank M.H.SC Water WellWSign "'"PA"T` MUNICIPALITY OF ANCHORAGE 4, ... ..__ O, 0 l 11 r On-Site Water& Wastewater Program :, PO Box 196650 4700 Elmore Road , c�' Anchorage,Alaska 99519-6650 Phone:(907)343-7904 Fax (907)343-7997 ;r r. r httpa/www.muni.org/onsite '-' -s < GiLitia i'4, fig 44. HOPPGE I>C ll;lrtlTll'll1 On-Site Wastewater Disposal System Permit Permit Number: OSP181274 Effective Date: 8/21/2018 Work Type: SepticTank Upgrade Expiration Date: 8/21/2019 Tax Code Number: 05049142000 Site Legal Address: GLACIER VIEW HEIGHTS #2 BLK E LT 7 G:0059 Site Mailing Address: 22835 GLACIER VIEW DR, Eagle River Owner: PALMER BRUCE M & DEBBIE L Lot Size in Sq Ft: 141621 Design Engineer: C & M Engineering Total Bedrooms: 4 This permit is for the construction of: ❑ Disposal Field 2 Septic Tank 0 Holding Tank 0 Privy 0 Private Well 0 Water Storage All construction shall be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72)and Drinking Water Regulations (18AAC80) 3. The wastewater code requires inspections during the installation. The engineer shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing Received B('.----Th - \ Date: `-� ` j/` � � p Issued By: r'�i kA, h ,I Date: 0 2 8 Elpadi•kod EPLAWS MUNICIPALITY OF ANCHORAGE !PA Development Services Department ` �.~-. Phone: 907-343-7904 On-Site Water & Wastewater Section Fax: 907-343-7997 ON-SITE SEPTIC/WELL PERMIT APPLICATION DSb` qq/ Q Parcel I.D. 050-049=42 Property owner(s) Bruce and Debbie Palmer Day phone 654-2325 Mailing address 22835 Glacier View Site address 22835 Glacier View Legal description (Sub'd., Block & Lot) Glacier View Heights#2 Block E Lot 7 Legal description (Township, Range & Section) Lot Size 141624 Sq. Ft. Number of Bedrooms 4 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (®all that apply) Absorption Field ❑ Initial ❑ Single Family (SF) Ix (w/wo ADU) Septic Tank 0 Upgrade 0 Duplex (D) [ Holding Tank ❑ Renewal ❑ Multiple Dwellings E. Privy 1 I (SF and/or D) Private Well [ 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. / f (Signature of property owner or authorized agent) Permit/Rush Fees: 3c1 ti Waiver Fees: Date of Payment: Loll \ Date of Payment: Receipt Number: 06,g3P b Receipt Number: n Permit No. 03 �"I g/a9`y Waiver No. G\Development Services\Building Safety\On Site Water and Wastewater\Forms\Client Forms\Permit Application.doc C&M ENGINEERING SERVICES Ph: 907-854-5558 Municipality of Anchorage Onsite Water & Wastewater Program 4700 Elmore Rd Anchorage, Ak 99507 8/15/2018 RE: Proposed Septic System Modification for Glacier View Heights Block E Lot 7 Dear Reviewer, The above referenced property is currently served by an older 3 bedroom septic system. The 1250 gallon tank has failed and is in need of immediate replacement. The drain field passed an adequacy test recently, but the water level was found to rise near the invert elevation indicating that continued long term use may lead to drain field failure. A site inspection in August of 2018 did not show visible standing water in the sump indicating the drain field continues to perform satisfactorily. Due to the site constraints and unavailability of a conventional reserve system location, We are proposing that the existing tank be replaced with a new 1500 gallon Advantex system suitable for 4 bedrooms constructed and installed in accordance with MOA requirements. The conventional 3 bedroom existing drain field is oversized for a 4 bedroom CAT III AWWTS system, so we are seeking approval to upgrade the system to 4 bedrooms without modifying the drain field. The tank shall be covered with a minimum of 2” moa approved insulation and 3’ of cover. The repair shall be performed by a moa certified installer in accordance with MOA requirements. The engineer will inspect the tank before backfilling. Repair of the proposed system will not negatively impact adjacent lots. Upon completion of the installation, a record drawing will be submitted showing the location of the new tank, leach field, well, and other applicable features. Thank you for your time in reviewing this permit request. Please do not hesitate to contact me at 907-854- 5558 or by email cgbalzarini@gmail.com with any questions or concerns. Sincerely, Charles Balzarini, PE Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP181274, Rebecca Carroll, 08/21/18 CHARLES G BALZARINI CE-13854R EGISTEREDPROFESSIONALE NGINEER8/15/18 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP181274, Rebecca Carroll, 08/21/18 ) MUNICIPALITY OF ANCHORAGE · DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street - Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT "'"'~'-~-N'-'~' ~NEW MAILING ADDRESS , / LEGAL DESCRIPTION ~ ' ~'~ -' ~. ~ . / .~ ~ ~t O. OF BEDROOMS ~,.,,/ ./~.,,.¢ 0/7~ ~,~ ~,~. ~. , J Well ~~ / Absorption are~ ,i ii ~lJi~ ~j)d,-~ ~E~ NO DISTANCETO' ~' f ' ~ ~ ~ - ' ~ ~ Manufacturer~)~ Material/~_ ~/~5//' No. of compartments ~__~ Liq. capacity in gallo~s Inside length ~ Width Liquid depth ~O~ DISTANCE TO: Well ~~ Dwelling PERMITNO. ~ ~ ~ Manufacturer ~ Material Liquid capacity in gallons ~ Well Foundation~c~ Nearest lot line , __ PERMIT NO. DISTANCE TO: /~ ' ~ / 2 ~ ' ~ '~ ~o. of lines Length.~c2 *"" ~z~°f each line Total length of lines~ Trench width Distance between lines ~ ~ Top of tile to finish grade Material ~eneath tile z, / _ (~jl~ Total effeotive absorption . , , , ..,..., Length Width Depih /~¢~ ~/~ PERMIT NO, ~ ~ Type of crib Crib diameter ~ _ ~ Total effective absorption area ~ Well Building foundation Nearest lot line ~ DISTANCE TO: ¢ Class Depth Driller ~/~/~ Distance to lot line PERMIT NO. ~ ~ISTA~Cfi TO: Bu[Idh~ ~ounOotion Sewer I~ ~ Septic tank Absorption area(s) OTHER PIPE MATERIALS ~ / ~'~/ ~j~o~' ~ ~ ,4, ~NSTALLER APPROVE~ DA~E LEGAL by ENVIRONMENT,% i, ,~ L CTtON A & L DRILLING COMPANY JAN BOX 97, EAGLE RIVER, ALASKA 99577 · TELEPHONE 694-2588 RECEIVED OWNER OF LAND B//'Q ,r~Z_~4/~ ~ DEPTH OF WELL /~0 -- ~ y~~ L~EL OF WATER FT. LEGAL D~IPTION ~ ~ ~ ~ ~~ ~__ .~ _~DOWN FT. DATE-Started ~/' ~/V ~ Ended_ ~//~/~ GALS. PER HR PERMIT NUMBER 7~ ~ ~ / ~ KIND OF CASING ~ ~ O~ KIND OF FORMATION: From O Ft. to d4 Ft. G~ff~ ~,a~'O~-'°'O From__Ft. to~ ~ ~ ~t.~c~ ~ ~ e~ ~,~ ~ ~ ~,,m Ft. to From I Ft. to _ ~ From ~'~t.~-~t. ~~d Frmn ~_Ft. to From_/03 Ft. to_j/J _Ft. ~O</% fi4~F~OFrom __ Ft. to~ From~Ft. to~Ft.~°~ ~ ~ From Ft. to~ From /// Ft. to /~--~Ft. ~~< Frnm Ft. to_ From_/~--,~Ft. to /6.~' Ft. ~,~,¢Oc.,<. /&",~cg"z-7-o,eE-'~From Ft. to~ From Ft. to Ft. .~ ~ ~ From Ft. to From / 62 Ft. to /~ Ft. _ ~~/~ From Ft. to From. [ff ~ Ft. to / 7 ~Ft. ~ 6%~ ~r~rom, Ft. to From_ Ft. to__Ft. ~/ qO~ ~r ~'~rom Ft. to~ FromJT~Ft. to /~%_Ft. ~o~c~ From~Ft. to From~ Ft. to From ~_Ft. to From Ft. to From~Ft. to~ From Ft. to~ From.__Ft. to--Ft From__Ft. to____Ft. From Ft. to Ft. From Ft. to Ft. From Ft. to__Ft Ft Ft Ft. Ft. Ft. Ft._ Ft. Ft. Ft. Ft. Ft. Ft.__ Ft.__ Ft Ft. Ft. M1SCL. INFORMATION: 5-/ 3 ~' T~ DRILLER'S NAME - ~'' '- ]~- ;' DI!LJ:::'F:II:;?.TI'"tI!!;N T I'!TM ~ I::-'L;'II:?'I'!"I :, i Il'u::.I"ll...Ij'.,l'!'r::.~j:'!:::lj.Tl"' ... ,. ~ I I I; N ::: ':r" "l:,;'l":,t:::tl'.: i' 1:::' !,.I ;[ !'I..I I'HI:: :ii ]..INDt!:i:;;'.:fl];'I F:tND '!q-IF:IT "!! lei: i]':lj'.,!.-:!ii; :!Z TI]i: .::,~::-.L.h: ~. .:::, i ::, I ::! } Nl::!'r~ r,,.l::',.:..I.~ J. l'u:::. !!i:N{ .F::lF;t?::fi?];f'JJ!};?,i'! ![ J::: --) St,.;ven A. Johnson Soils Log [k>x 76 Perco].ation q'ogt Chug[ak, Alaska 99567 Phone: 688-3085 ,' ' i- ' "' ' ~'( FRO[,{ SOILS LC,(; AVi;FS~GE ABSORPTION AREA REQUIRED = _ ...... Total depth this test __~[___ feet ft. 2/bdrm. P~;rcolation }fate Signed Parcel I.D. 050-491-42 Certificate of On -Site Systems Approval Expiration Date: 11 7 Z y Legal description GLACIER VIEW HEIGHTS #2 BLK E LT 7 Site address 22835 GLACIER VIEW DR Eagle River AK Current property owner(s) PALMER 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: 11 /30/2023 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 Approval_June 2022 MUNICIPALITY OF ANCHORAGE Development Services Department c 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. 05049142000 Complete legal description Glacier View Heights #2 Block E Lot 7 Location (site address) 22835 GLACIER VIEW DR Current property owner(s) PALMER Day phone 2. ON -SITE SYSTEMS SIZED FOR 4 BEDROOMS 3. TYPE OF WATER SUPPLY: 0 Private Well ❑ Private Well serving 2 dwelling units ❑ Private Well serving 3+ dwelling units ❑ Community Well or Public ❑ Water Storage 4. TYPE OF WASTEWATER DISPOSAL: ■❑ Private Septic ❑ Private Septic serving 2 dwelling units ❑ Holding Tank ❑ Community Septic or Public Sewer 5. SEPTIC TANK: ❑ Steel ❑ Plastic ❑ Concrete ❑E Fiberglass Age 5 - See advisory if steel older than 20 years 6. ABSORPTION FIELD: ■❑ AWWTS ❑ Bed X Deep Trench ❑ Wide Trench ❑ Seepage Pit Waiver request for: Expedited review requested: ❑ 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 $ Waiver Fee $ Date of Payment 'ZDZ-3 Date of Payment COSA # VS C 2 / 1 Waiver # COSA Application_ June 2022 COSA Checklist Legal Description: Glacier View Heights #2 Block E Lot 7 Parcel ID: 05049142000 If more than 1 well and/or septic system on lot, provide separate checklist. Structure served by this system 1 A. WELL DATA 9 Well log is filed with Onsite (or attached) Date drilled 1978 Total depth 180 ft Cased to 51.25 ft ❑� Sanitary seal is functioning correctly ❑� Wires are properly protected Casing height (above ground) +18 in. Date of flow test for COSA 11 /6/23 Static water level at beginning of test 38 ft. Comments B. TANK DATA Measured operating fluid level in septic tank na Date of pumping awwts ❑■ Required maintenance completed, if AWWTS Comments: D. ABSORPTION FIELD DATA Which system tested (date installed) 1978 0 ALL standpipes present per record drawing Total measured depth from grade 16 ft (max) Measured depth to pipe invert from grade 5•3 ft (min) ❑ N/A — pressurized field. ❑ Per record drawings, field is insulated. ❑ Monitor tubes go to bottom of effective. If not, state depth into effective 10.7 ❑ 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) NA If yes, enter date NA Well production at time of test +3.5 gpm Water storage tank volume NA gallons Well disinfected for coliform test? ❑ Yes ❑■ No 0 Coliform bacteria is Negative Nitrate 0.241 mg/L ❑ Nitrate less than MRL (ND) Arsenic ug/L 0 Arsenic less than MRL (ND) Collected by C&M Engineering nn+o 11 /7/23 C. LIFT STATION ❑ Required maintenance completed Age of lift station years Lift station material Comments: Adequacy test date 11/15/23 Results Q Pass Fluid depth prior to test 0 in Water added 600 gal New fluid depth 0 in Elapsed time 1440 min Final fluid depth 0 in Absorption rate 600 gpd FIELD STATUS — POST RECOVERY Effective depth (per record drawings) 150 in Effective depth used ` 22* in Effective depth remaining '128* in Comments/Deficiencies: * The monitor tube does not extend to the bottom of the 12.5' effective layer, there is 22" of effective depth below the bottom of the monitor tube per record drawings. COSA Checklist June 2022 E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well on lot) Septic Tank/Lift Station on Lot > 100' +50 Community Sewer Manhole/Cleanout > 100' ❑Yes if No ft FE-1 Yes if No ft Neighboring Tank > 100' n Yes if No ft Private Sewer/Septic Line > 25' ❑ Yes if No ft Absorption Field on Lot > 100' FN_1 Yes if No ft Holding Tank > 100' QYes if No ft Neighboring Absorption Fields > 100' Animal Containment > 50' ❑ Yes if No ft no Yes if No ft Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' Yes if No ft Q Yes if No ft ❑ N/A — Served by Community Well (not on lot) or Public Water From Septic/Holding Tank and Absorption Field(s) on Lot to: (Please enter distances if less than required) Building Foundations > 10' ❑ Yes if No 6 ft Surface Water > 100' [:]Yes if No +50 ft Tank to Property Line > 5' 0 Yes if No ft Field to Property Line > 10' Q Yes if No ft Water Main > 10' Fm_1 Yes if No ft Water Service Line > 10' E Yes if No ft F. ENGINEER'S COMMENTS Advantex was tied into 1978 trench in 2018. Wells on Adjacent Lots: Private Wells > 100' Community Wells > 200' Em-1 Yes if No ft n Yes if No ft If tank or field is under driveway comment below New owner must contract for maintenance of Advantex system. 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 C&M ENGINEERING Engineer's Printed Name CHARLES BALZARINI, PE COSA Checklist June 2022 Phone 907-854-5558 Date 11/13/23 p .. s� CWJR47-ES G BALZARWI 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 b% Day of N)t%, of 20 23 , by and between NwMV ' t-U\\ P Y 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: I. Advanced Wastewater Treatment Systems The Municipality grants permission to the Owner to utilize and operate an Advanced Wastewater Treatment System (AWWTS), described as Advantex located at (legal description) Glacier View Heights #2 Block E Lot 7 2. Maintenance, Repairs and Alterations (Owner is required to read, understand and initial each section) Throughout the term of this Agreement, the Owner shall enter into a service agreement with an AWWTS service and maintenance provider approved by the Municipality or the manufacturer's representative. The AWWTS shall be maintained in a satisfactory condition capable of performing as designed and producing treated septic effluent in accordance with the equipment's approval for operation in the Municipality. It shall be the responsibility of the Owner during the term of this Agreement to pay for all repair(s), maintenance, adjustnient(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) Pagel 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 24-1101.11- 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 tile 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 a„ 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. Severabilit . 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 ature) Date: name) STATE OF ALASKA ) ss. THIRD JUDICIAL DISTRICT ) The foregoing instrument was acknowledged before me this kvn day of V, 20-Z--, by NOTARY PUBLIC F ALASKA State of Alaska My Commission expires: \ ho/wIZI NOTARY PUBLIC Carrie Nordlof My Cornmission Expires Jan 10. 2027 MUNICIPALITY: v By: (signature) W (L 11 S ��'' F�v� (print name) (rev. 05/18/2018) Date: f ( 3 c> 0 2� Title: r V/Lf+— Page 3 of 3 6� 897077 • • Municipality of Anchor . _ i On-Site Water and Wastewater Progr.+1T O.y" (907) 343-7904 JUL 5 21317 a "a:I ti E T Y Certificate of On-Site Systems Ap. t, .I c';\�I 68L9 Parcel I.D. 050-491-42 Expiration Date: / Q — 1+ 2- 17 1. GENERAL INFORMATION: Complete legal description Glacier View Heights#2; Block E, Lot 7 Location (site address) 22835 Glacier View Drive*Eagle River,AK 99577 Current Property owner(s) Leah Rawlins Day phone (307)254-4689 Mailing address 22835 Glacier View Drive*Eagle River, AK 99577 . Real Estate Agent Kaman Drager Day phone 301-0208 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) E Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 3 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ® Individual Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ WaiverNariance request for: Distance: Received by: Date: x//3/1 COSA to be released to the engi r, unless otherwise requested by the engineer. COSA Fee $ 52� � Waiver Fee $ Date of Payment LI 61 /1 Date of Payment Receipt Number O2(oG Receipt Number COSA# O3t✓1 \ 127 Lf Waiver # 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On-Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm: Garness Engineering Group, Ltd (GEG) Phone: 907-337-6179 Address: 3701 East Tudor Road,Suite 101-Anchorage, Alaska 99507 Engineer's Printed Name: Jeffrey A. Garness Date: ,l 3�1ii" gooQ000044S In conducting this evaluation, GEG provided an engineering evaluation of the well and/or septic system o OF 4 in accordance with the guidelines and regulations established by the Municipality of Anchorage and o.e\c„..:... • .y \\ industry practices. The reported results describe the condition of the system/s on the date/s of the O '- Qn evaluation. Separation distances were measured to readily identifiable features. Hidden defects or if. "' Un encroachments may exist that were not identified during the evaluation. The operational life of all wells * 4 TH /• .,7 VQ and septic systems depend upon a variety of variables, including but not limited to, soil conditions, Q groundwater levels (that may fluctuate during the year), quality of construction (materials andfVA workmanship),and the water usage of the family utilizing the system/s. These conditions can vary,and 7 are outside the control of GEG. Satisfactory test results do not guarantee future performance of the Q f . •. Go ness•: system/s; therefore, GEG makes no warranty(express or implied) regarding the future performance of l/O cE— • `Q� the well or septic system. GEG makes no representation whether an alternative well or septic system r, � • �eQ can be installed on the property in the event either of the current systems fail to perform adequately in �4 r�, •. , �r°jd the future. The content of this report is for the sole benefit of the person/party that retained GEG to 1� aproressto�°oma perform the evaluation. Reliance upon the information provided in this report by any other person or �IOOOo,*o party (including subsequent property purchasers) is not authorized, nor will it confer any legal right whatsoever. #AECC884 6. DSD SIGNATURE System #1 Approved for 3 bedrooms System #2 Approved for bedrooms Disapproved Conditional approval for ` bedrooms, with the following stip l tion6v-41vc, 3 iebut CN-StI E 4_ }4voAeifte (P IS 2.01/EotS (1-0-41 CATER AND Fn WASTEWATER `S' PRCGR ! tel ` ., ^gin,<<r By: Original Certificate Date: 7-l 2_i The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On-Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist Nitrate Advisory • Septic System Advisory / Arsenic Advisory Well Flow Advisory Other COSA blue sheet ,aiaiz.doc If more than 1 septic system is on the lot: COSA Checklist # of Structure served by this system Certificate of On-Site Systems Approval Checklist Legal Description: GLACIER VIEW HEIGHTS #2; BLOCK E, LOT 7 Parcel ID: 050-491-42 A. WELL DATA Well type Private If A, B. or C provide PWSID# N/A Well Log (YIN) Yes Date completed 9/18/1978 Sanitary seal (YIN) Yes Wires properly protected (YIN) Yes Total depth 180 ft. Cased to 51.25 ft. Casing height (above ground) 12+ in. FROM WELL LOG AT INSPECTION Date of test 9/18/1978 6/22/2017 Static water level 40 ft. 35.5 ft. Well production 4 g.p.m. 2.2+ g.p.m. WATER SAMPLE RESULTS: D.23e Coliform colonies/100 ml. Nitrate mg./L. Collected by: GFG. Ltd. 43117- Arsenic: ND ug./L. Date of sample: 6/22/2016 B. SEPTIC/HOLDING TANK DATA *39 year old steel septic tank is approaching the end of its useful life. Tank Type/Material Septic/Steel Date installed *8/31-9/1/1978 Tank size 1250 gal. Number of Compartments 2 Cleanouts (Y/N) Yes Foundation cleanout (Y/N) Yes Depression over tank (YIN) No High water alarm (YIN) N/A Date of pumping 6/22/2.017 Pumper One Stop Pumping Service C. ABSORPTION FIELD DATA *Below Existing Grade Date installed 8/31-9/1/1978 Soil rating (g.p_d./ft'ort/bdr ) 240 System type Trench Length 30.33 ft. Width 3.5 ft. Gravel below pipe 12-5 ft. Total depth *13.7+ ft. Eff. absorption area 758 ft: Monitoring tube"Yes Depression over field No Date of adequacy test 6/22/2017 Results (Pass/Fail) Pass For 3 bedrooms Fluid depth in absorption field before test 87 in. Water added 1035 gal. New depth "**125 in. Elapsed Time: 120 min. Final fluid depth 117 in. Absorption rate >= 450+ g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) None Known If yes, give date - **MT extends -10.8 feet into effective. ***5" below invert. D. LIFT STATION Date installed Size in gallons Manhole/Access (YIN) "Pump on" level at in. "Pump off" level at .• wa er alarm level at in. I •• Cycles tested Meets alarm & circuit requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot 100'+ On adjacent lots 100'+ Absorption field on lot 100'+ On adjacent lots 100'+ Public sewer main -- 75 + Public sewer manhole/cleanout 100'+ Sewer/septic service line 25'+ Holding tank 75'+ Animal containment areas 50'+ Manure/animal excrete storage areas 100'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation **7' Property line 5'+ Absorption field **3'+ Water main 10'+ Water service line 10'+ Surface water *55' Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ Building foundation 10'+ Water main 10'+ Water service line 10'+ Surface water *55' Driveway, parking/vehicle storage 10'+ Curtain drain None Known Wells on adjacent lots 100'+ F. COMMENTS *WR#OSP121232 **Per inspection report Drainfield is within 50 feet of slopes greater than 25%. 4Q�4p�'0 G. ENGINEER'S CERTIFICATIONOF ' 'AQ I certify that I have determined through field inspections and f ').. 9 la ..7*. O review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. Q ••,J , . Gain ss.•' Engineer's Printed Name JEFFREY A. GARNESS ��9 —1 opt Date f 11 ! - O4p%r@,e •'IQ4)3. 1. c��0 I% aprOfession��o �k�pOQoo #AECC884 (Rev. 11/05) Ivi~;i.JiCli',', ii i ;;~t .'. f J( ~ ii )'.~.~',~;~ ..... ~ALITY OF ANCHORAGE ............. ~.r~~'_ ~ /~_~ ~_~: ............. ~ ~ " t)"J E -_ "IIRI~E '~' FtV[: !-J liP[ I AMILY : qV':O " FOUR [ ) SIX ,,I,~I .... ~[ L',' ~;L~PPL Y J ', DIVII)LJ,~ ~ DE["FH O:- WL'LL DAT-E DRI/ I El~ . ,~I(]U'/' I',Yt: .. ;I !)I21~OSAI fiYS'IFM . . ~ ~.., ~RO\'[ ') F()R ~ _ 13H)R()()L":S I t::~:, i h:.-~ ~i. ~ .....