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JODIE ESTATES LT 2
Jodie Estates Lot 2 #015-143-02 -' Municipality of Anchorage Page 1 of--L— f3DEPARTMENT DEPARTMENTOF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.G. Box 196650 Anchorage, Alaska 99519-6650 Telephone: 343-4744 On -Site Wastewater Disposal System and/or Well Inspection Report Pei mit Number. SW000219 PID Number. 015-143-02 Nome: KEVIN KEELER & MOLLY McCARTY Wastewater System: ❑ New ■ Upgrade Address: 5460 E. 112TH AVENUE ANCHORAGE, AK 995416 ABSORPTION FIELD Phone: (907) 257-2654/345-3475 No. of Bedrooms: 4 o Deep Trench o shallow Trench ■ Bed a Mound ■ other LEGAL DESCRIPTION sal R.": 2.0 rro/so M1 Tdd Depth from pgtnd peen "REMOVED ORGANICS M1 Lot: Block Subdivision: 2 — JODIE ESTATES Depth to pipe beam Brant arlptwl poen 1.32 TO 1.94 Amort pima depth bwwdh ptp� 0.3 n Township: — Range: — Section: — fill eeded ebw Mpna poen Gina ,n.pth: 30 3.77 TO 5.02 M1 M1 WELL: ❑ New ❑ Upgrade Greve! .teen: 12 Nana.. of ;nen 5 OYtww» bw«n l 2 M1 M1 C�mtion Prlwb. A&C : Total Caed Tn Tdd stworption area P" mete tat L I M1 360 so. M1 ASTM D 3034/SCH 40 PVC Draw: Gres D a Ey stave watr te"t twtalNr: DENALI SEWER oat. evtated: 9/1-16/00 M1 da' P.n,p set "L cewq Naght Abme a TANK CPY M1 M1 M SEPARATION DISTANCES aseptic 0Holding ■S.T.E.P. To Septic Absorptionon a Uft HingA IHORAGE TANK CO�F 1500 From Tank stn Tan Well 100'+ 100'+ 100'+ — 25'+ Ndrbk STEEL Nwr"er of awreanm.nw 2 Surface 100'+ 100'+ 100'+ - - LIFT STATION Water Lot 5'+ 10'+ 5'+ — — sue ~1 0 ANCHORAGE TANK Foundation 5*+ 10'+ 5'+ — — W. seal ft —TIMER A amp at TIVATED— Nigh wet,w dorm ab 46" Curtain Pump Meta t YoeN: aMrkel twpeaww penw eY• Drain NONE KNOW 20 01 OS HHF M.O.A. Remarks: * THIS IS A INNOVATIVE BOTTOMLESS BENCH MARK location and o..vyaon: INTERNITTENT SAND FILTER TOP OF MANHOLE ** 2.58' TO 3.45" OF M.O.A. APPROVED SAND FILTER ADDED 99.78 M1 OLD SEPTIC TANK WAS ABANDONED PER UPC. eNowlme� sm a�oaoo WC,INC. Dates: 1st 9/1/2000 Inspections performed by 2nd 9/6/2000 0 ........ •• •....• • 3rd9/7/2000p .. ......... 4th 9/16/2000 Q u e re A. rness; ` 4�0,*•., -7953 Department of Health and Human Servic s approval Reviewed and approved by: Date- (--2 6 -off u�0°dProfeeela�°X c� ��4400��`� ws . 2M) Ida 25 PERMIT NUMBER: AS—BUILT DRAWING PARCEL NUMBER: SW000219015-11 43-02 / I e / +TM12 Q U V7 C / / HO tk E AIR COMPRESSOR \ \ 01AG Nom`' A BL1 NEW 1500 GALLON �BL2 S.T.E.P. TANK B USxED AS TRENCH RESERVE BE E. A I B C NEW BOTTOMLES DBL1 37.86 12.3.13 - INTERMITTENT DBL2 37.91 22.73 - SAND FILTER STI 39.89 21.13 - ST2 45.31 21.81 - MH 46.76 22.39 - MT1 99.14 - 73.86 — — — — — — — — — — — — — - MT2 108.04 - 80.35 MT3 1111.821 - 99.50 MT4 1105.161 - 194.86 DATE: �pdpppp 10/4/2000 ob KA «ATI:R & SVA DRAWN BY: oo �� OF gsoo WASTE SCALE:c.J.c. ALAS CONSULTANTS, BARK INC. 1 - 30, Q , ;;OQ 6901 DEROAD. SUITE 25 • ANCRORAGE. AK 99504' F1101E 901)331-0119 • FAX 901)]75-7266 PREPARED FOR: PHONE NUMBER: PACE NUMBER: O KEVIN KEELER do MOLLY McCARTY 257-2654/345-3475 2 OF 3 QQ .1 f e A. ness: LEGAL DESCRIPTION: Q -7953 s�Q JODIE ESTATES SUBDIVISION; LOT 2,•...........• TWE OF WORK:o AS -BUILT DRAWING OF SEPTIC SYSTEM UPGRADE �440000� PERMIT NUMBER. AS -BUILT DRAWING PARCEL TO NUMBER: 015-143-02 SWO00219 FIN& am .99.45 xr Of mq4i= -99.78 5n %2 Tcr or f" XF or 1" 9 ATUtf-922 �'! ---�K OUILff -92-151 ww 15�� CUON FM=W or amm 5.ff.P. TANK p Af Uff 91.74 Af C=f - 91." 10 6AW� 5SEL fm=oo, 01-1 FVU fA= mr Mf owmam 95M-9630 mRrof -glh2( W V fc,P Of 5w \—AR LN - (AZO 91M (AV0 Of M MOM Of KA MAVEL "81-94.14 DATE: 10/19/2000 DRAWN BY: AlASIU WATIEM & WASTEWATER C.i.G. e'v SCALE. � CONSULTANTS, INC.- PR .. ..... 6901 OEBARR ROAD, WTE rg * ANCHORAGE. AX 99504 - PHONE (9OM37-6179 - VkX (907)358-3246 N.T.S PREPARED FOR.* PHONE NUMBER: PAGE NUMBER: KEVIN KEELER & MOLLY McCARTY 257-2654/345-34751 3 0 F 3 e re A. ss.. 0 —7953 LEGAL DESCRIPTION: JODIE ESTATES SUBDIVISION; LOT 2, ........... TYPE OF WORK: PROFILE DRAWING OF SEPTIC SYSTEM UPGRADE off_ o�l"fac.t-�Y Page 20 of 25 • + + I INSPE RF, POR MUNICIPALITY OF ANCHORAGE - BUILDING SAFETY DIVISION 4700 SOUTH DRACANV STREET, A1`CIIORICE, A1.4tSKA IAWPEC770A5: Voice: (m) 343-8300 Far.,, (407) 343-8235 ' I1,FORifA770N: (90� 343-8111 NAVE: ALCAN PE0fITNU1fBER: 00-9006 ADDRESS: 5460E 112TH AVE - DATE: 9/14/00 FIIO.�T 111: 563-3787 MOAT k:: LOT.2 11LOC1% SUBDI17SION. JODIE EST COAfAlEA7S Alt yEWO.0-ct_ LlF� iia—ttp�t---------- ----- ----- 7 -1 -PE OF 1A 9PF.C770:1:• Elect- c:1 P.ouah No non compliance observed. ❑Correct ons essential es e�cplvned below. ❑ C.O. approved. ❑ 1%i11 re exnnrine et next inspection. ❑ Do not conceal wail re-uLspeckd ❑ C.C.O. approved (continents below). CO3L11EN7S: rl�F�-r��c.aL uN�EtZc� ��u�n -o RECEIVED NOV 07 2000 Municipality of Anchorage Dept Health & Human Services c fu}.,, L. INSPECTOR: Reinspection? ❑ SLWA-cam C Ll (- o\l FIf- DAT%: q- I q -Zai WiIEN CORREC77ONS ARE AIADE, PLEASE,' CALL FOR INSPEC770N 7547 DO NOTRE3f0VE 77115 NO77CF— Permit Number: SW000219 MUNICIPALITY OFANCHORAGE Department of Health and Human Services On -Site Services Program 825 L Street, Room 502 P.O. Box 196650, Anchorage, AK 99519-6650 (907) 3434744 ONSITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade Date Issued: Jul 10, 2000 Expiration Date: Jul 10, 2001 Parcel ID: 015-143-02 Legal Description: JODIE ESTATES LT 2 Design Engineer: 0041 AK Water & Wastewater Consultant Site Address: 005460112TH AVE E Owner Name: Kevin Keeler & Molly McCarty Lot Size: 49377 SO. FT. Owner Address: 5460 E. 112th Ave. Total Bedrooms: 4 Permit Bedrooms: 4 Anchorage , AK 99502 - This permit is for the construction of: G Disposal Field Q Septic Tank ❑ Holding Tank Ej 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 DHHS at least 2 hours prior to each Inspection. Provide notification by calling (907) 343-4744 (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. Received By: Issued By: Date: 7-/ /-ob Date: 7 —11 - oo ALASKA WATER & WASTEWATER CONSULTANTS, INC. June 26, 2000 Municipality of Anchorage Department of Health & Human Services Division of Environmental Services On -Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 Ref: Septic System Upgrade for Lot 2, Jodie Estates (Bottomless Intermittent Sand Filter - ISF) To whom it may concern: The existing 4 bedroom house is served by a private well and septic system. The existing septic system consists of a 1250 gallon septic tank and a trench type drainfield. The existing trench is in need of an upgrade. We are proposing that a 1500 gallon S.T.E.P. tank and an innovative Bottomless Intermittent Sand Filter (ISF) system be installed. Comments regarding the proposed upgrade are summarized as follows: 1. GENERAL: Three test holes were excavated on the property and logged by James P. Williams P.E., to determine an area suitable for a septic system upgrade. Per the homeowners request, the proposed septic system will be designed withing the 30 foot radius of T1191. Due to the high concentration of ML, it is our opinion that a Bottomless ISF system is the most viable option. 2. SOILS: Attached are three logs which show the soil classifications, groundwater monitoring, and the percolation test results. Test hole #1: The soils below the organic layer is a MUGM material to a depth of 5 feet and then transistions to a ML material to a depth of 15 feet (bottom of test hole). Two percolation tests for TIN were performed; the first between the depths of 3.0 feet to 3.5 feet which had a percolation rate of 40 minute/inch and the second between the depths of 6.5 feet to 7.0 feet which had a percolation rate of 120+ minute/inch. No groundwater was encountered during the excavation of the test hole. 6901 Debarr Road, Suite 213 — Anchorage, AK 99504 — Ph: (907)337-6179 — Far: (907)338-3246 Test Hole #2: The soils below the organic layer is a SM/SP material to a depth of 4.5 feet and then tmnsistions to a ML material to a depth of 11 feet (bottom of test hole). A percolation test for T1192 was performed between the depths of 4.0 feet to 4.5 feet which had a percolation rate of 10 minute/inch. No groundwater was encountered during the excavation of the test hole. Test Hole 93: The soils below the organic layer is a SM material to a depth of 5 feet and then transistions to a MUSM material to a depth of 12 feet (bottom of test hole). A percolation test for TIi#3 was performed between the depths of 2.5 feet to 3.0 feet which had a percolation rate of 5 minute/inch. No groundwater was encountered during the excavation of the test hole. 3. DRAINFIELD DESIGN: Bottomless Intermittent Sand Filter (ISF) a. Percolation Rate: 40 minutes/inch (for TH#1 only) b. Allowable Application Rate for ISF: 2 gallons/day/ft2 c. Number of Bedrooms: 4 d. Design Flow: 600 gallons per day e. Minimum Absorption Area: 300 ft2 f. Effective Depth below pressure pipes: 2.5+ inches g. Width: 12 feet It. Length: 30 feet. i. Effective absorption area = 360 fl2 j. Air Supply: Thomas Industries, Model 5070, "Anchorage Tank". k. Air Supply Line: "Wasteflow" emitterline, 1/2 inch I.D, "Anchorage Tank". 1. Sand Material: In accordance with M.O.A. latest standards m. Pea Gravel: 100% passing 3/8" sieve, less than 20% passing the 1/4" sieve, and less than 1% passing the #8 sieve. We are proposing to excavate down to a depth of 1.5 feet (maximum - remove all organics), place a minimum of 12 inches (1.Ofeet) of sand, install the air supply line, and cover it with another 18 inches (1.5 feet) of sand. On top of the sand, we will place 6 inches of 3/8 inch pea gravel, with the pressure laterals midway in the layer. We will use a conventional lift station (Anchorage Tank), equipped with a programmable timer so that flow can be intermittently dosed to the ISF. 4. SURFACE WATERS: There is no surface water within a 100 foot of the the proposed septic system upgrade. 5. TOPOGRAPHY: As can be seen on the attached topography site plan, there are no slope concerns. 6. MATERIALS AND CONSTRUCTION PRACTICES: The materials used, and the construction practices will comply with DHHS' "Intermittent Sand Filter Design, Installation & Maintenance Manual". The contractor should read this document prior to construction. Copies are available at the Municipal Onsite Services office (5th floor, 9th & L St.). 6901 Debarr Road, Suite 2B — Anchorage, AK 99504 — Ph: (907)337-6179 — Fax: (907)338-3246 7. CLOSING: I am open to any suggestions from your department, which would be an improvement to the proposed design. I am unaware of any adverse impacts this installation would have on adjacent wells or septic systems. If you have any questions, please contact me at 337-6179. Thank you for your assistance. M.S. NOTE: Attached is a site plan dratving, a design dratving, a detail drawing, a topography site plan, 3 soils logs, and a 7 page construction specification letter which are all part of the design package for this septic system. 6901 Debarr Road, Suite 2B — Anchorage, AK 99504 — Ph: (907)337-6179 — Fax: (907)338-3246 II /I 1 I 1 1 Fm BOYD S/D BOYD S/0 I i 1 --------- -----------'T E_712th AVE:_-_-_-_ LOT 1 JODIE EST TH/2 PROPOSED SEPTIC SYSTEM UPGRADE, SEE DESIGN PACE 2 OF 3. TM'4 v -- -----r-- / l,� LOT 3 \ / \\JODIE EST 1 I \ I 1 \ 1 \ 1 I 1 \% / I / —EXISTING FOUR BEDROOM HOUSE LOT 4A JODIE EST v EXISTING SEPTIC SYSTEM ------------------------- LOT 39 712N, R3W, SEC 22 NE 1/4 .iI , ti �.. ALASKA VA'ATCR & R'ASTEWATER CONSULTANTS, INC. 6901 DEBARR ROAD. SUTE 2B • ANCHORAGE. AR 9950. • PHONE 907)331-6179 • FAX 07)336-324! PREPARED FOR PHONE NUMBER: KEVIN KEELER AND MOLLY McCARTY (907) 257-2654/345-3475 LEGAL DESCRIPTION: JODIE ESTATES S/D; LOT 2 TYPE OF WORK: SITE PLAN FOR SEPTIC SYSTEM UPGRADE (BOTTOMLES K.D.W. LE: 1" -- 100' E NUMBER: 1 OF 3 ••••ness`.. -7953 .` I � 100 • WELL aD1U5 T THf2 \ F.0ROµ0M SCOMPRES SE (SEE NOTE' 1500 GALLON /FCO \ S.T.E.P. TANK PROPOSED BOTTOMLESS INTERMITTENT SAND FILTER EXCAVATE A BED THAT IS CO 1.5 FEET DEEP MAXIMUM. (REMOVE ALL / ORGANICS) BY 12 FEET WIDE BY 30 / FEET LANG. SEE ATTACHED DETAIL AND / EXISTING SEPTIC TANK PROFILE (PAGE 3 OF 3) FOR i TO BE ABANDONED CONSTRUCTION DETAILS AND L �-_EXISTING TRENCH TO BE USED AS A RESERVE SITE 7 INSULATED NR LINE (SEE NOTES) NOTES: THE AIR COMPRESSOR SHALL BE LOCATED WITHIN THE BASEME CONTRACTOR SHALL PROVIDE A 0-10 PSI PRESSURE GAUGE AT A LO ACCESSIBLE FROM WITHIN THE HOUSE . NOTE: A 30 PSI GAUGE WILL THE NR COMPRESSOR SKULL BE A THOMAS INDUSTRIES MODEL 5070, AS SUPPLIED BY )RAGE TANK. THE AIR UNE SKULL BE 1/2 INCH DIA. HDPE (1 PIECE), INSIDE A 2 INCH 3 PVC .UCKET. THE LINE SKULL BE BURIED TO A MINIMUM DEPTH OF 3 FEET. THE CONTROL PANEL FOR THE STEP TANK SCULL BE INSTALLED OUTSIDE THE ?NCE WITH AN AUDIBLE/VISUAL INDICATOR INSIDE THE HOUSE 6/26/2000 ola�pF DRAWN B7: OP�`. .... ALASKA WATER & WASTEWATER K.D.W. CONSULTANTS, INC. I SCALE` * �' 4 6901 DEBARR ROAD, 5UTE 29 • ANCHORAGE. AK 9950. • PHONE (907)737-0179' FAX 907)336-3266 1" = 30• •• •• •••••• PREPARED FOR: PHONE NUMBER: PAGE NUMBER: D KEVIN KEELER AND MOLLY McCARTY (907) 257-2654/345-3475 2 OF 3 Q e (r A. GG ss; LEGAL DESCRIPTION:j Q4 per/ •• —79 • \a4�O JODIE ESTATES; LOT 2 �0 •...•' TYPE OF WORK: LLpped'oro/esslo0o\�� DESIGN OF SEPTIC SYSTEM UPGRADE (BOTTOMLESS ISF) �40ppo�oo 3/ 4" MA. 5m. 40 PVC (W5.9a!25. AAD I VALVE5 PER ORENCO I I I/ 4"DUl SLN 40Ii7PE 41 n' G MOWL74 Ue Af EACH DISC" Mk LINE PROM LOUR. RITORA217 6E mew for STEP f" A V MANIFOLD OP SAMJ MD DIS1RDItfION PIPs NVERf. (DRD.L I/ 4 NLN DIA HOLES) PLAN VIEW 6" LAYER OF 3/8" PEA CXAVEL WIN ikt PVC LATERAL5 91AED MIDWAY IN 4i 5iM1UM. (GRAVEL KLON PIM - 3"+) IPEEf MW. OF PLTER 5Af d7 OPO P5w 3/ 4" PVC LATERALS (M.4) Rf r-PWPL GRADE 2' MN. OP COVER PROFILE VIEW 12'0' DOffOMLE5515P. NOx3 LNER ON BO(fOM. P�551 PIPING DESIGNED VY OREWO AK) 5LME9PYM1C}IORAa f". I I I I r I I I I (EXIEWADOVE 1 F J�IV�LVVV O F ...�. -..1 DRAWN BY: ALASKA WATER & WASTE WATERsDA� K.D.W. o * :: 4 CONSULTANTS, INC . 0 6901 OERARR ROAD, SUiF 29 • ANCHORAGE AK 99S0A • PHONE 9071337e49 • FAX (907)358."46 N.T.S. ,,,, 'REPARED FOR: PHONE NUMBER: PACE NUMBER: O KEVIN KEELER AND MOLLY McCARTY (907) 257-2654/345-3475 3 OF 3 • f e A. 2 P CAL DESCRIOON: Qa 'y.• 71 JODIE ESTATES; LOT 2 TYPE OF WORK: 44�Odprof9s PROFILE DESIGN OF SEPTIC SYSTEM UPGRADE 0400 • e Municipality of Anchorage • k 491 •/ DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 '•' •� SOILS LOG — PERCOLATION TEST f ��µp Will ice S PERFORMED FOR: _ I Ur^�Sr°tAlr LL�R1C AsuKF�/ DATE PERa,gjA lED: r LEGAL DESCRIPTION:_ �Z d.) .bOZ6 l�t�C . Township, Range, Section: 04P�'11 NOKtM l� �SLOOPE SITE PLAN 1 I`E-T1 ''� QIL(1. It Ht � .g Net Time Depth to Water Net Drop I`� 9� wsJ I.,. 5 Ml' r' „ ML 6 ':I(I 6" /S' IAtx 7- 8 - IX I III l s ` ottto- ' I 1z 13- 14- 15- 16- 17- 18- 19- 20- COMMENTS 31415t617161920COMMENTS _ PERFORMED BY: ACCORDANCEN 72-008 (Rev. 4195) SANu. (µIKTN4 WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? 13,o.H. Depth to waer After Monitoring? ALL STATE AND MUNICIPAL Reading Date Gross Time Net Time Depth to Water Net Drop I`� 9� wsJ 404 for rM Ml' r' „ ADO W : ( 6" ,v " I N" R u 1 6" Ha r r I PERCOLATION RATE > 2 Immuteamch) PERC HOLE DIAMETER .i1Lo TEST RUN BETWEEN 15 FTAND 10 FT UM Y U V I1IILbt CERTIFY THAT THIS TEST WAS PERFORMED IN EFFECT ON THIS DATE. DATE: nc1 tlgh T LOT 1 BOYD S/D OT 2 BO D E. 1 th AVE. h1J4 LOT 1 JODIE EST !2 LOT M JODIE EST LOT 3 JODIE EST TH/1 T12N, LAT 39 , SEC 22 NE 1/4 DATE: 5 16/2000 N BY: K.D. SCALE: 1 100. 6901 BARB RO . SUITE 25 • ANC GE Alf 99504 • 907"7 29 • FAX 90 -5246 PREPID FORP E NUMBER: PAGE NUMBER: 1 OF 1 RIPD JODIE E :n AT S/D LOT 2 TYPE OF WO . TOP AP ,CAL RAWING e v Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION TEST PERFORMED FOR: IJC?�N Z l..�K\` `1`•"^ LEGAL DESCRIPTION: WT r n \ GST Tow DEPTH t� C (FEET) OZ. 2 ML/GM - SttT "�sttTy C& -Dy L Cb a 5 6 e,. 8 9 10 11 12 13 14 15 16 17 18 19 20 COMMENTS PERFORMED BY: ACCORDANCEY 72-008 (Rev. 4/85) M(L - 1�iENSc '7 SIOEb�� 1 mrommj* Dians'Ll `"/DWM ry nano, SLOPE WASGROUNDWATER ENCOUNTERED? INJD 5 IF YES, AT WHAT — L 0 DEPTH? P E Depth to Water Atter �7 Monitoring? m� WIe: DATE Section: PLAN eac .40 f 120 k '11( Reading Date Gross Time Net Time Depth to Water Net Drop \ °la ?CKt eP • r..w I 3,0.35 — 4 IOfAIw O ti C M tk 5'. :L? tSMIW D" &I.- S4313 &&I.- ^^//,( PERCOLATION RATE -7 � Immutevinch) PERC HOLE DIAMETEF(%)— 30{%A' 6S{der TEST SUN BETWEEN Q�F/,T� AND FT C , I Ip0 " Gval ' lV uut� Ag w s' Zr.. f!..a..n. 5,.. M4 -t. I V V W-+...,- I W I e - w'y^" CERTIFY THAT THIS p�TIrIE€STT WAS PERFORMED IN ALLSTATE AND MUNICIPAL GUIDELINE N EFFECT ON THIS DATE. DATE. I I D ll r Municipality of Anchorage DEPARTMENT OF HEALTH 8 HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION TEST PERFORMED FOR: II )Uy+N 't LEGAL DESCRIPTION: Lo -r a'� f `1()Z\rz. GSi TOW DEPTH ( (FEET) 0%. TAt (,04tH 4•„) a z1l4`16M - StIT '"w( SrtTyseoy 6A"4. F6casyS lc—b 4 5 6 8 9 10 it 12 13 14 15 16 17 18 19 20 COMMENTS PERFORMED BY: ACCORDANCEN 72-M (Rev. 4185) 1 � B��«v. �TS2I• t"lDefln &o•N WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? Dep0i to Water Utter Mandating? DATE Range, Section: y4�9!d .* I 'cJ No. 9608 C.E. �\j`PROfES i �� p n �I1MED: �� I I.T:i SITE PLAN IrMENEENNEEN.■ (L' Reading Date Gross Time Net Time Depth to Water Net Drop 1 °I� t eP 46. ♦.K 30 3.5' H.Sy o tN '. 'Y" 41 f " " r,"1 10 '• Syd.-y1f" 6b'- — e Vol ,. 5•.33 6,N.,. 8'k" o" � � �n.�(( PERCOLATION RATE + rZdtminutevtnch) PERC HOLE DIAMETERSI -2.1= 30 4 LS' 6•s'{ 9.0' TEST RUN BETWEEN FT AND FT 11t3� 1 V11J1/++�"- I I g CERTIFY THAT THISS pST WAS PERFORMED IN ALL STATE AND MUNICIPAL GUIDELINE N EFFECT ON THIS DATE. DATE: b`f I I Why Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION TEST PERFORMED FOR: -> scAN 4 EIUC INNKIFY DATE P LEGAL DESCRIPTION: faZ der SotAl- FST Township, Range, Section: SLOPE 1 - 2- 3- 4- 6- 7 - 3-6•7 8 9 10 11 12 13 14 15 16 17 18 19 20 COMMENTS a� Tu. *; SA'L/5p SIL, SRNO 'Io fiNG SMO ML 1Di rolm L"havir H (timiaAn io TI4.01 ZELow5') WAS GROUND WATER A� ENCOUNTERED? �W S IF YES, AT WHAT L O DEPTH? P E Bo* to water After Moniwtng? Bate: PERFORMED BY ACCORDANCE 1 H ALL STATE AND MUNICIPAL 72-M (Rev. 4185) SITE Reading Date Gross Time Net Time Depth to Water Net Drop ton fo ?rax '()a — " — O M W S'/ , / �t 10 m1w 4" 1' 1 SM10. 3/2 Vx'• •AW .7 Y1. '/l •. L r/ PERCOLATION RATE 10 (mmutevmCh) PERC HOLE DIAMETER ..(1..� TEST RUN BETWEEN 1410 FT AND _M; FT JN S'"/.V SOILS oNr-Y• 1 ` CERTIFY THAT TH S TEST WAS PERFORMED IN :5 EFFECT ON THIS DATE. DATE: � I9 I�} Sqnt By: Alaska Water & Wastewater Corsa; 907 338 3246; Jun -30-00 10:18; Page 1/1 PROPERTY OWNER MAINTENANCE AGREEMENT ON-SITE WASTEWATER DISPOSAL SYSTEM rJ tar - This agrecmcrt, dated r S , 20CLR is made between the Municipality of Anchorage Department of Health and Human Services (DiIIIS) and the property owner(s) of Lo -71A sdri Esfufe.s This agreement is [Wade for the purpose of maintaining an on-site wastewater disposal system on the subject property. The propeny owner(s) agree to the following: The property owner(s) will have an annual inspection of the system performed by a registered professional engineer. This inspection shall verify that all effluent and air pumps, timers. and alarms are functioning as designed. Any deficiencies shall be corrected and the engineer's statement that the system is functioning as designed shall be filed annually with the DHHS. FOX44tr WE (Notarize Here) `.. State of At Judicial District lt>W SS. On this _17YM day of 3Ui=V in the year before me, the undersigned notary public, personally appeared: ul0lly A . MCCACTNy - QrY( t e Iy1 R. KCCLE7 known to me to be the person(s) whose na:ne(s) issue subscribed to tte within instrument and acknowledged that he/she/thef executed the same for the purposes therein contained. In witness whereof, I hereunto set my hand and nM ' I al. No Public (signantre) gyne- mmj_e_� (Notary's printed name) hly commission exp¢es: %irn? N S P:lm 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 NAME - SD/4r Picts PHONE 3 t y y ! S Z�y E]UPG ❑UPGRADE MAILING ADDRESS // 32 E" 77'x" An�Ao� ye %ilusKw q 4 yoz LEGAL DESCRIPTION ,Ad' e tSfrcfes Lot ;L Tl2 /{ 3 w Oec 2.-2 LOCATION O'F/ %¢e.+. NO. OF BEDROOMS ur DISTANCE TO: Well / / p Absorption area 3 Dwelling / x PERMIT NO. L) Y 9 h 2 c. 4 Manufacturer �ntAcr e Material $flee / No. of compartments W z Liq. capacity in gallons -o. IF HOMEMADE: Inside leri th g Width - Liqui q d depth / Z r �02 DISTANCE TO: Well _ - Dwelling PERMIT NO. SAF Manufacturer Material Li uid capacity qin gallons D = Well FoundatioNearestn � to —fine S 9 PERMIT NO, 9 Y o J--&-7 w JwZNo of lines Length of each line Total length of lines Trench width Distance between lines P z G 7— 917— 3 O inches GI... 0 Top of tile to finish grade Material beneath the ;16 Total effectives�or�i� area Y inches LJ Length Width _ Depth _ PE RMO IT N. f7 a F W1 Type of crib Crib diameter Crib depth Total effective absorption area twd DISTANCE TO; Well Building foundation Nearest lot line Clas J - Depth Driller Distance to lot line PERMIT NO. J [C.t�G. DISTANCE TO: Building foundation Sewer line ✓ %Z2 Septic tank P Absorption area !/O/ OTHER we t PIPE MATERIALS t SOIL TEST RATING ZiS 1:71 �� INSTALLER A"PPe f tp ? Y /7 - 7 -REMARKS REMARKS 25 N /hs ec*01 t;l R CJel�.ke— A0A.P7_BY071/ s si 201 Y APPROVED DATE LEGAL c6-2-8 cf J6all e E'q f--A-x � f Z, 7_1z /v '022 3 LJ Se. 7z_ T AND EtIVIRONMEPMEL DEPARTMI OF HEALTH -R' F� C3 EZ 8 'L, -TIOr PROTEU 4 STREET, ANCHORAGE, AK. c4q.-Iol t-AEHA L_ 264-4720 PERMIT NO. 820248 -r - APPLICANT STEPHEN L 5'Y%/ERSON LOCATIOP.1 TOTEM SRA BOX 1561 U LEGAL T12NR31,41 L34 NE1,-'4 245-3468 TYPE OF' SOIL ABSORPTION SYSTEM IS: TRENCH LOT SIZE 492"0 -SQUARE FEET MAXIMUM NUMBER OF BEDROOMS = 4 SOIL RATING "SQ FT/BR)= 27Z THE REQUIRED 'SIZE OF' THE SOIL ABSORPTION SYSTEM IS: U�EEPT-FA�= EE� -THE LENGTH DIMEt-ISION IS THE LENGTH (IN FEET) OF 'THE TRENCH OR DRAINFIELD. THE DEPTH OF' A TREN. e' H OR' PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE GROUND AND THE BOTTOM OF THE EXCAVATION (IN FEET.). THERE TS NO SET WIDTH FOR TRENCHES. THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE ANC! THE BOTTFjj*ej OF THE E-.108%-'ATIOP-4 CIN FEET.). - _y_ n P-4 PERMIT Flf'PLICRNT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE INSTALLATION IN.'.PECTIONS OF��ANY WELLS ADJACENT TO THIS PROPERTY AND THE NUMBER OF RESIDENCES THAT FHE WELL 14ILL SERVE. _?`_ 1 - I Co e' T PA _�. V=* EE C-- -T- I Cu #",A � BACf'--.F'ILL_TNG OF ANI' g�-1 f F= F�_z E- 9:7! L-1 1 rR E Y SYSTEM WIFHOUT FINAL DEPARTMENT JAILL INSPECT TON NNID APPRO', AL BY THIS BE SUB...TFCT TO PROeSECUTIONI. MiNimu- olSIIHN-I -p - -E BETWEEN 9 WELL FIND ANY OP -41 -SITE SEWAGE DISPOSAL SYSTEM IS :100 FEET FOR A PRIVATE WELL OR l5f�_l TO 2200 FEET FROM A PUBLIC WELL CIFPENDING UPON THE TYPE OF PUBLIC WELL. MINIMUM Dl- ' T19 ' NCE FROM A PRIVATE WELL TO A PRIVATE SEWER LIN17 TO A COMMUNITY SEWER LINE IS 75 FEE77. - IS FEET AND 14ELL LOGS ARE REQ1 I T ED AND MUST BE RETURNED Ti --j DEPHR HE " OF THE WELL COMPLETION. ITIENT WITHINA "0 D YS ,OTHER RE01 - UREMENTS M.9" APPLY. SPECIFICATIONS AND CONISTRUCTION D TAGFFqMS AVAILABLE TO INSURE PROPER INSTALLATION. ARE FE:F-'Pll_F I CERTIFY THAT 1: 1 AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE S E t � I E R's RIND WELLS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE. 2: 1 WILL INSTALL THE SYSTEM it'! ACCORDANCE WITH THE CODES. 3: 1 UNDERSTAND THAT THE ON -S ' TTE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE RESIDENCE I�S R I EMODELED TO INCLUDE MORE THAN 4 E;EDR'OOrjS. SIGNED:----_ -------------------------------- APPL I C NT S PHEN L SYVERSON ISSUED P.Y__ ---------- DATE-_ 4-J�2 wk• 0 L7 SOILS LOG MUNICIPALITY OF ANCHORAGE / DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION EK PERCOLATION \\ 825 L. Street, Anchorage, Alaska 99501 264-4720 TEST SOILS LOG — PERCOLATION TEST PERFORMED FOR: -32 1 > c/p c%/Ul si•711 DATE PERFORMED: - 02 b 32 LEGAL DESCRIPTin N- c 1 / /' DEPTH (FEET) 1 2 3 4 1 5 6 7 S 9 �2O 11 12 13 14 15 16 17' 18 19- 20 - SLOPE SITE PLAN Y, /. T 0 Ile ct -- 1 �� t v WAS GROUND WATER- N� S C J CP ENCOUNTERED? L O M L / r7$� c� P IF YES, AT WHAT E DEPTH? No. 2251-E N Reading Date Gross Time Net Time Depth to Water Net Drop 3 a6 -e a.og e J 3 /3 �iyD ,`4`•,••...••' ��,� a PERCOLATION RATE (minutes/inchi tit, 410FESSSu TEST RUN BETWEEN FT AND FT COMMENTS lE Z �{ �_ 2/0 Q / /s /;J. / — 6 F /J'illrC, PERFORMED BY: R L � P M /'/ M" -CERTIFIED BY: t DATE: 72-008 (6/79) 5 A e, M ALASKA Ef1UIRMOIR COM-ROL SCR US, K. engineering & 6tronmental Sludies PERCOLATION TEST DATA SHEET CLIENT S Asan DATE ADDRESS ZIP CODE LEGAL LOCATION TOTAL DEPTH OF HOLE / ft. ZONE TESTED v // ft TO f ' ft READING Y CLOCK TIMET,DENET DROP RATE (min/in) o �., �l 12 2 y ' S•"O l o FINAL PERCOLATION RATE PERFORMED BY ILL S"ti Q, f 2 0(---2 00 sliest 25th Auenue o Anchorage, Alaska 99503 ^ (907) 276-1361 n/in) Ilf BOX 1330, STAR I10tiTE A ANCHORAGEo ALASKA 00502 344-7'714 SIX INCH WATER WELL DRILLED AND CASED OUT TO THE DEPTH OF 120 pmt. DRILLED AT THE RATE OF 24.00 PER FOOT. PROPERTY OWNER 11UG. S.teue SyyeyAoa 345-3468 LOCATION OF WELL SITE Lt 2--BAk 1 SUAI nyj n &l / C L fTj�lta DRILLER BeAn a U4" oA RampaAt p&4AG {ttg oo&ke WELL LOG: 0----14' Sttt.V 4aady. ghaue4, 25% cCo* mate2tat. 14---59' Coa/tide #Awet. 15% clay.. 59--104' nwtdpan, mateaLa,L. R cemented ghauet. 104-117' Oet 4itty. c L . 25% f,� gtcau" 117--120' Good coa2ee loa to t be ttn4 q&auet 4howing a u f e td oIt 8 C.PI72. Glatetc back up to aatth e'n♦ 70 deet o� 4uAtace. 1/2 kotue Submetdtbte pump. 4houtd be bLdtatted gue .-eet o" bot tom. \ MUNICIPALITY OF ANCHORAGE �LI 6s DEPT. OF HEALTH & L ENVIRONMENTAL PROTECTION DEC 2 01985 RECEIVED Co4.t oIt DatGtdng: 124.00 pert .,P,t X 120 4: 82880.0o COST INCLUDES ALL LABOR AND MATERIAL FOR COMPLETION OF SAID DRILLING. WRITE CHECK PAYABLE TO RAMPART DRILLING WORKS FOR THE SUM OF 82880.00 THANK YOU VERY MUCH. BERNIE CLAUS OF RAMPART DRILLING WORKS DATE Oct 214.1, 7984 - 7 iACa-4-� SERVICE CHARGE O F I'/a% PER MONTH WILL BE ASSESSED ON PAST DUE ACCOUNTS. Parcel I. D.015-143-02 Certificate of On -Site Systems Approval 1. GENERAL INFORMATION: Expiration Date: 6- - 3- -1 Complete legal description JODIE ESTATES; LOT 2 Location (site address) 5460 EAST 112TH AVENUE *ANCHORAGE,AK Current Property owner(s) SASHA OLSSON Day phone 360-9704 Mailing address Real Estate Agent Day phone 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4 GE O4 Municipality of Anchorage Q- 'a TYPE OF WASTEWATER DISPOSAL: r On -Site Water and Wastewater Program Individual (907)3 43-7904 Individual Water Storage Certificate of On -Site Systems Approval 1. GENERAL INFORMATION: Expiration Date: 6- - 3- -1 Complete legal description JODIE ESTATES; LOT 2 Location (site address) 5460 EAST 112TH AVENUE *ANCHORAGE,AK Current Property owner(s) SASHA OLSSON Day phone 360-9704 Mailing address Real Estate Agent Day phone 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4 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: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ 550 Date of Payment Receipt Number OV 713 6 COSA# OSC211034 Waiver Fee $ Date of Payment Receipt Number Waiver # pal 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 Engineerinq Group, Ltd (GEG) Phone: 907-337-6179 Address: 3701 East Tudor Road, Suite 101- Anchorage Alaska 99507 J / Engineer's Printed Name: Jeffrey A. Garness Date: 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 system/s 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 upon 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 system/s. These conditions can vary, and are outside the control of GEG. Satisfactory test results do not guarantee future performance of the system/s; 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 to perform adequately in the future. The content of this report is for the sole benefit of the person/party that retained GEG to perform the evaluation. Reliance upon the information provided in this report by any other person or party (including subsequent property purchasers) is not authorized, nor will it confer any legal right whatsoever. 6. DSD SIGNATURE System #1 Approved for bedrooms System #2 Approved for bedrooms Disapproved Conditional approval for #AECC884 ON_S j O bedrooms, with the fol ig s*;Q" � y Asl: 0 rn �O-o ~ OG' AlV1 Original Certificate Date: 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 OtherAce0mc.Vy 4 Legal Description: JODIE ESTATES; LOT 2 If more than 1 septic system on lot: COSA Checklist # A. WELL DATA ® Well log is filed with Onsite (or attached) Date drilled 1984 Total depth 120 ft Cased to 120 ft ❑_ Sanitary seal is functioning correctly ®❑ Wires are properly protected Casing height (above ground) 18+ in. Date of flow test for COSA 12/1/20 Static water level at beginning of test 84.3 ft. Comments B. TANK DATA Age of tank(s) 20 years Tank type/material STMSTEE` Measured operating fluid level in septic tank 51" 0 Standpipes/foundation cleanout per record drawing Date of pumping 8/9/20 of D. ABSORPTION FIELD DATA IDSF Which system tested (date installed) 9/2000 ❑ ALL standpipes present per record drawing Total measured depth from grade 3.25 ft (max) Measured depth to pipe invert from grade ft (min) ® N/A — pressurized field Al Monitor tubes go to bottom of effective. If not, state depth into effective 0 Code -required soil cover over field ❑ System presoaked (Required if vacant for greater than 30 days prior to date of test) Gallons introduced N/A gallons Comments/Deficiencies: PIPE FOR RESERVE FIELD WAS NOT LOCATED COSA Checklist yellow sheet Parcel ID: 015-143-02 Structure served by this system Well production at time of test 5.0+ gpm Water storage tank volume NO gallons Well disinfected for coliform test? ❑ Yes © No j Coliform bacteria is Negative JNitrate 'Z- mg/L ❑ Nitrate less than MRL (ND) Arsenic ug/L �4 Arsenic less than MRL (ND) Collected by GEG Date of Sample 12/1/20 C. LIFT STATION ❑ Required maintenance completed Age of lift station 20 years Lift station material STEEL Comments: Adequacy test date 12/1/20 Results ❑ Pass For 4 bedrooms Fluid depth prior to test 0 in Water added 760 gal New depth 1 in Elapsed time 90 min Final fluid depth 0 in Absorption rate 600+ gpd Any rejuvenation treatment (past 12 months) If yes, enter date N/A Ili 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' M Yes if No Community Sewer Manhole/Cleanout > 100' My Yes if No ft 0 Yes if No ft Neighboring Tank > 100' M Yes if No ft Private Sewer/Septic Line > 25' Yes if No ft Absorption Field on Lot > 100' M✓ Yes if No ft Holding Tank > 100' [✓ Yes if No ft Neighboring Absorption Fields > 100' Water Main > 10' 0 Animal Containment > 50' MM Yes if No ft Mv Yes if No ft Water Service Line > 10' MM Yes if No ft Manure/Animal Excreta Storage > 100' comment below Community Sewer Main > 75' MM Yes if No ft 0 Yes if No ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' M Yes if No *51+ ft Surface Water > 100' MM Yes if No ft Property Line > 5'MM 0 Yes if No ft Wells on Adjacent Lots: Water Main > 10' Absorption Field > 5' M Yes if No ft Private Wells > 100' Yes if No ft Water Main > 10' 0 Yes if No ft Community Wells > 200' 0 Yes if No ft Water Service Line > 10' MM Yes if No ft If septic tank is under driveway comment below From Absorption Field on Lot to: (Please enter distances if less than required) Building Foundation > 10'✓[1 Yes if No ft If absorption field is under driveway comment below Property Line > 10' 0 Yes if No ft Wells on Adjacent Lots: Water Main > 10' MM Yes if No ft Private Wells > 100' Yes if No ft Water Service Line > 10' Q Yes if No ft Community Wells > 200' Yes if No ft Surface Water > 100' 0 Yes if No ft F. ENGINEER'S COMMENTS *CODE AT TIME OF INSTALLATION G. ENGINEER'S CERTIFICATION l certify that l have determined through field inspections and review Of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. COSA Checklist yellow sheet OF r 49 T1 vel .l.., ................. aeff! A. Gor�ness: CE—;z-9-5 W G %�\�pr o f e s sio�°ca ,,AECC884 90 MUC :rCCSAL: i r' OrA :Ct car nGs - C vwijoiry DcvcJupmcat Ijcaattm cat • Ga -Site \V2fer & tva: =n-jer Prrgarn P: 307-3434904 -€: 907-343_?9ry7 -P.O. Box 196650 99519-6650-brtpJAvw vrrt=icqVbaUding Intermittent Dosing Sand Filter Maintenance Log Owner_ � r45�rx C11�, Street Address -k* F PhoneA)-n.- q Legal Desc_ PID I SentfC i"ank: -Sludgo level inches Pumping: required ye no -Pumping completed ves no Absorption Field- •7z -Liquid level inches -Flushing valves per approved design -All flushing valves opened, distribution lines flushed, and flushing valvoG closed Lfft station: Pump basket cleaned 0*' _np-Biotube effluent lifter cleaned:�- no •l imer float -High level float setting inches -Reference point -Pump on Y,p _seconds •f ump off Jy, ? minutes + -Cumulative lifetinvc cycfets_ -Cumulalivc run brtw T � � hours -Operation sabsfactcrj no Air System: jiJ-•, -Air purer) filter cleaned Q, no j � -Air pressure s Dain of latest install or rebuild x> fI j -Air system operation a tisfacto not satisf�actory Alarm Sntem: -Dedicated electrical circuity a no -Audible and visual alarm inside dwellir c es no -float setting inches -Alarm system operation �bsfacto not satisfactory. Comments: � i.:. C` .. _..... .............. ............... ----...................... _................................ ........-.......... ....................... .................. �.E7...... ,. j .....•. 11 .................................................. ..............................0�.•...f........... Maintenance Provider. Technician lX z'k� Date of maintenance _� Company d 0/,^ Al* -e- 5,&V, . s •• Signature-_ s Date 4-/00-2© Log_74W! ldee Septic Tank Advisory Certificate of On -Site Systems Approval #OSC211034 Subdivision: Jodie Estates Lot 2 Starting at 20 years of age the MOA issues Advisory's for steel septic tanks. The septic tank for this property is 20 years old. Typical replacement costs range from $8,000 to $11,000 This advisory must be attached to all copies of the subject Certificate of On -Site Systems Approval. This is an example of what the metal of a 20 year old steel tank MAY look like. }t Marling Address P O" Box 196650 *Anchorage, Alaska 99519 6650 *www muni org 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 Day of of 20 U. by and between MUM wi tK , 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 1 - k�,n)/jkrt cSana �4f/r located at (legal description) �`Q '7111 / I ►"L V►��i.�>Yi fi�l DY1.t lP, . A'1cl (n 2. Maintenance. Repairs and Alterations. Jori U'.1 e ��f�J Itt Z -- (Owner is required to read, understand and initial each section) X—Z 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). JL3Owner agrees that only maintenance and repair personnel approved by the Municipality or the manufacturer's representative will inspect and make any necessary maintenance, repairs or permitted alterations to the system. Owner acknowledges that regular maintenance of an AWWTS reduces the potential failure of the system, which could include sewage backup and costly repairs or drainfield replacement. (rev. 05/18/2018) Page I of 3 (~W Owner acknowledges that the Municipality may request records of maintenance and repairs from the manufacturer's representative or maintenance provider. kV Owner acknowledges that the fine for failing to maintain and repair an AWWTS may be assessed in accordance with AMC 14.60.030. (V 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 0VVNER- By: (signature) Date: (print name) STATE OF ALASKA ) ss. THIRD JUDICIAL DISTRICT ) The foregoin- instrument yt , c nowledged before me this A dday of I�L O.• by _-1 �%(j (ti�li�i/y I KATE HANSON 1\OCARY PUBLIC FOR AL SKA NotaryPuBlic J My Commission expires: J State of Alaska My Commission Expires Jul 27, 2021 MUNICIPALITY: �-� (signature) (print name) Date: -5 --z Title: (rev. 05118/ 018) Page 3 of Municipality of Anchorage On -Site Water & Wastewater Program (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL Parcel I.D. 015-143-02 Expiration Date: 7- 7S —13 3 1. GENERAL INFORMATION Complete legal description JODIE ESTATES LOT 2 Location (site address) 5460 EEAST 112TH AVENUE *ANCHORAGE AK Current Property owner(s) MOLLY MCCARTHY Day phone Mailing address Real Estate Agent 2. TYPE OF DWELLING: 5460 EEAST 112TH AVENUE *ANCHORAGE, AK 0 Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) Day phone 350-6890 3. NUMBER OF BEDROOMS: 4 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well Individual On-site E Individual Water Storage ❑ Individual Holding tank ❑ Community Class Well ❑ Community On-site ❑ Public Water System ❑ Public Sewer ❑ Received by: i Date: % i/ Z. COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ &! l Waiver Fee $ Date of Payment 3Date of Payment Receipt Number o1o15-7a G Receipt Number COSA 4 o5C 13)) l) 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. 1 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 * ANC Engineer's Printed Name Engineer's Comments: JEFFREY A. GARNESS, P.E. AK Phone 337-6179 99507 _ Date I2 -I f3 In conducting this evaluation, GEG, LtD. attempted to provide a thorough, conscientious engineering analysis of the system in accordance with ADEC and MOR DSD Guidelines & Regulations. The reported results described the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the local soils condition, groundwater levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of the system. Satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. GEG, LTD. can therefore not provide any warranty or future estimate of how long the system will continue to meet the operational requirements of the ADEC or MOA DSD. The content of this report is for the sole benefit of the owner listed above. Any reliance upon or use of this report by any other person or party is not authorized, nor will it confer any legal right whatsoever. 6. DSD SIGNATURE V System #1 Approved for bedrooms. System #2 Approved for bedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulations: 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 Checklisty Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other By: Original Certificate Date: (Rev. 11/05) ON-SITE WATER AND �Q WASTEWATER PROGRAM 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 Checklisty Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other By: Original Certificate Date: (Rev. 11/05) 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: JODIE ESTATES LOT 2 Parcel ID: 015-143-02 A. WELL DATA Well type PRIVATE If A, B, or C provide PWSID# N/A Date completed 10/21/84 Sanitary seal (YIN) YES Total depth 120 ft. Cased to 120 ft. Well Log (YIN) YES Wires properly protected (Y/N) YES Casing height (above ground) 12+ in. FROM WELL LOG AT INSPECTION Date of test 10/21/84 8/14/12 Static water level 70 ft. 79 ft. Well production 8 g. p.m. 4.03 g.p. M. WATER SAMPLE RESULTS: `r �11 Coliform d colonies/100 ml. NitratJJ' 99 mgdl_. Collected by: _GEG. Ltd. Arsenic: A2 10 Date of sample: 3 /21 /13 B. SEPTIC/HOLDING TANK DATA Tank Type/Material STEP/STEEL Date installed 9/1-16/00 Tank size 1500 gal. Number of Compartments E Cleanouts (Y/N) YES Foundation cleanout (YIN) YES Depression over tank (Y/N) NO High water alarm (Y/N) N/A Date of oumnina 3/22/13 Pumner A+ HOME SERVICES C. ABSORPTION FIELD DATA *BELOW EXISTING GRADE ISF Date installed 9/1-16/00 Soil rating (g.p.ddftlor � 2.0 System type BED (ISF) Length 30 ft. Width 12 ft. Gravel below pipe 0.3 ft. Total depth *2.91 + ft. Eff. absorption area 360 ft' Monitoring tube YES Depression over field NO Date of adequacy test 8/14/12 Results (Pass/Fail) PASS For 4 bedrooms Fluid depth in absorption field before test 0 in. Water added 605 gal. New depth 0 in. Elapsed Time: 0 min. Final fluid depth 0 in. Absorption rate >= 600+ g,p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) NONE If yes, give date 2.7 PSI ON ISF AIR COMPRESSOR ON 8/14/12. D. LIFT STATION *SEE A+ HOME SERVICES MAINTENANCE INSPECTION REPORT. Date installed 9/1-16/00 Size in gallons 1500 Manhole/Access (YIN) YES "Pump on" level at TIMER in. "Pump off" level atTIMER in. High water alarm level at 46" Datum BOTTOM OF TANK Cycles tested * Meets alarm & circuit requirements? YES E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tankllift station on lot 100'+ Absorption field on lot 100'+ Public sewer main Sewer /septic service line 25'+ On adjacent lots 100'+ On adjacent lots 100'+ Public sewer manhole/cleanout N/A Holding tank N/A Animal containment areas 50'+ Manure/animal excrete storage areas 100'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Properly line 5'+ Absorption field 5'+ Water main N/A Water service line 10'+ Surface water 100'+ Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Properly line 10'+ Building foundation 10'+ Water main N/A Water service line 10'+ Surface water 100'+ Driveway, parking/vehicle storage 10'+ Curtain drain NONE KNOWN Wells on adjacent lots 100'+ F. COMMENTS G. ENGINEER'S CERTIFICATION I car* that I have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSH guidelines in effect on this date. Engineer's Printed/Name JEFFREY A. GARNESS Date tf/Z/i3 (Rev. 11ros) 112 th. AVENUE 0 0 N 89°56'19" W 164.54' 3' R.O.W. Easement 7 Per. (179-295) V� � N N Greenhouse n O 0 O O o O Well O41 _ N v Orive ; fn 48.9' 2p .W N� Existing w LOT 1 House 38.4' LOT 3 Zp1 5p3 10 � Grp S pEcw p Ja w Os C4 0 o S sQ 0 o � Shed Zs" Dia. Lift Station Manhole o �! O� s LOT„2 0 �000pp� 10' Telecomm. & Else. Easement N 89°57'07” W 164.54' .OF.AL°g oo�QP 0� 4 TH 0 BLM LOT 39 ...................... WAC� , David M. Dreyer 0O2 LS-10392 .-- �p NOTE: THIS DRAWING SHALL NOT BE MODIFIED FOR USE AS A PLOT ofsssiono\ o ���Ooo�oo PLAN WITHOUT THE EXPRESSED WRITTEN CONSENT OF LANTECH. Legal Description: Ordered BY Molly McCarthy AS-BUILT Legend: Asphalt Lot 2 Septic Standpipe OS-== f Jodie Estates Subdivision Water Well ® Overhang Fence —X—X— �oodbeck SURVEY CERTIFICATION: LANTECH has conducted a physical survey of the LM"&Mr=h property as shown on this Browing and certifies that the improvements situated thereon are within the property lines and no encroachments exist other than noted. LAND & CONSTRUCTION SURVEYORS—PLANNERS—ENGINEERS EXCLUSIONARY NOTE: It is the owners' responsibility to determine the existence of any easements, covenants, restrictions or right—of—woy 440 West Benson Boulevard, Suite 200 Phone: 562-5291 takings which do not appear on the recorded subdivision plat. Under Anchorage, Alaska 99503 Fax: 561-6626 no circumstances should any data hereon be used for construction, for establishing property lines, or for plot—plan purposes. Plat: 84-137 Grid: 2637 Date: August 24, 2012 Drown By. PL Work Order. 2012—L-178 Fb/Pg: 781/71 Ref: 1997—L-4781Scale: 1"=40' iChecked By. DMD 0 MUNICIPALITY OF ANCHORAGE 0 DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION DIVISION OF ENVIRONMENTAL HEALTH CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY 264-4720 Application Date 1 J� 1. GENERAL INFORMATION (a) Legal Description (include lot, block, supdivision, section, township, range) ti' Location (address or directions) � 70 / (b) Applicant Name L� Telephone: Home/� Business Applicant Address �f / -7 19 4 °= _5- i e .W ,/ (c) Applicant is (check one): Lending Institution ❑ ; Owner/builderX , Buyer ❑ ; Other ❑ (explain); (d) Lending Institution Telephone Address (e) Real Estate Company and Agent Address Telephone (f) Mail the HAA to the following addres PrM :x 2. TYPE OF RESIDENCE Single -Family Multi -Family ❑ Other Number of Bedrooms axe. 3. WATER SUPPLY Individual Well [Community ❑ Public ❑ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 4. SEWAGE DISPOSAL Onsite Public ❑ Community ❑ Holding Tank ❑ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. Page 1 of 2 72-025 (11184) t 0 MUNICIPALITY OF ANCHORAGE 0 DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION DIVISION OF ENVIRONMENTAL HEALTH CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY 264-4720 Application Date 1 J� 1. GENERAL INFORMATION (a) Legal Description (include lot, block, supdivision, section, township, range) ti' Location (address or directions) � 70 / (b) Applicant Name L� Telephone: Home/� Business Applicant Address �f / -7 19 4 °= _5- i e .W ,/ (c) Applicant is (check one): Lending Institution ❑ ; Owner/builderX , Buyer ❑ ; Other ❑ (explain); (d) Lending Institution Telephone Address (e) Real Estate Company and Agent Address Telephone (f) Mail the HAA to the following addres PrM :x 2. TYPE OF RESIDENCE Single -Family Multi -Family ❑ Other Number of Bedrooms axe. 3. WATER SUPPLY Individual Well [Community ❑ Public ❑ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 4. SEWAGE DISPOSAL Onsite Public ❑ Community ❑ Holding Tank ❑ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. Page 1 of 2 72-025 (11184) 5. , ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION s 6. As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval shows that the on-site water supply and/or wastewater disposal system is 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 in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm Address Date f' Telephone -1C�- 605W oF ,see�ea� Leroy C. Reid,ya ; #yneer's Seal No. 2251•E y`. DHEP APPROVAL Approved for bedrooms byC7` G� ate Approved Disapproved Condition 7 Terms of Conditional Approval CAUTION The Muncipality of Anchorage Department of Health and Environmental Protection (DHEP) issues Health Authority Approval certificates based solely upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHEP does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHEP do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineers work. Page 2 of 2 72-025 (11/84) ` \ • MUNICIPALITY OF ANCHORAGE (MOJ HEALTH AUTHORITY APPROVAL (MAA) MUNiCIPAUTy OF ANCHOppCKLIST - FEBRUARY 1984 DEPT, OF HEALTH & 284 472U Ai PROTECTION A. ENVIRONN{M[[ENT DEC 2 Q 5 Legal Description: / � Qa/el k! Tai y-c{�P5 WELL DATA pC EIVED IC G Well Classification r 1 Well Log PresenTYN) Date Complet r Total Depth (rR O Cased to logo Depth of Grouting — Pump Set At 6rp7;k''uo crrvl Sanitary Seal on Casing (91V) �oul Depression Around Wellhead (Y/N)! If A, B, C, D.E.C. Approved (Y/N) �� 7 ;d /O- a(- W !K Yield Static Water Level Casing Height Above Ground c2 Electrical Wiring in ConduiOe ) Separation Distances from To Septic/Holding Tank on Lot 4�� Ing SP On Adjoining Lots - /OO / To Nearest Edge of Absorption Field on Lot !/O ; On Adjoining Lots % /00/ To Nearest Public Sewer Line ti To Nearest Public Sewer Cleanout/Manhole &A To Nearest Sewer Service Line on Lot 4,7- Casing T Water Sample Collected by Water Sample Test Results Comments B. SEPTIC/HOLDING TANK DATA Date Date Installeed, g- d-' y Size (a SD No. of Compartments Standpipes N) Air -tight Cap /N) Foundation Cleano if (YYN) / Depression over Tank (Y19 \VJ t Date Last Pumped �P\ lCeo� mcoc�, Pumping/Maintenance Contract on File (Y/N) A18- ; for -- s1 Holding Tank High -Water Alarm (Y/N) �� Temporary Holding Tank Permit (Y/N) 414 Separation Distances from Septic/Holding Tank: �rP kQ To Water -Supply Well ] (Oa To Building Foundation / To Property Line 6'7- A0 To Disposal Field r To Water Main/Service Line ltd To Stream, Pond, Lake, or Major Drainage Course 4�2% n: Comments Page 1 of 2 72-026(11/84) C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata - aotr� Type of System Design Date Installed '2X' 02 Y Length of Field i 02 Width of Field -S Depth of Field y/ Gravel Bed Thickness Square Feet of Absorption Area !T Standpipes PreseT@N) Depression over Field (Y@ Date of Last Adequacy Test Results of Last Adequacy Test //4 Separation Distance from Absorption Field: / To Water -Supply Well 151— Il0 To Property Line �r �o To Building Foundation To Existing or Abandoned System on (1 GGOL�v� / Lot GC � � On Adjoining Lots �� 3O To Water Main/Service Line lT l,1�> To Cutbank (if present) To Stream/Pond/Lake/or Major Drainage Course l /00 i To Driveway, Parking Area, or Vehicle Storage Area �® Comments D. LIFT STATION Date Installed Size in Gallons "Pump On" Level at — High Water Alarm Level at Tested for Electrical Codes (Y/N) Comments Dimensions hole/ ss (Y/N) um Off" Level at ** Check Permitted Bedroom Rating Against HAA Request ** — Vent(Y/N) Pumping Cycles during Adequacy Test. Meets MOA I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Signed - Date Company �5� ��� MOA No.�'�a� Receipt No. pit of •A`. 4 $e Date of Payment la a� arokl 00Or ti�' Amount: $.yo�-w 0* ql ineer's Seal Page 2 of 2 72-026 (11/94)