HomeMy WebLinkAboutH & H LT 4H&H
Lot 4
#050-731-59
WBMITT,k
Municipality of Anchorage
On -Site Water and Wastewater Program • (907) 343-7904 AUG 22 201b 1 of 1
ON-SITE WASTEWATER INSPECTION REPORT
Permit Number: OSP131116 PID Number: 050-731-59-000
Dwelling: ® Single Family (SF) ❑ Duplex (D) ❑ Multiple (SF and/or D) Project: ❑ New ® Upgrade
Name:
Paul & Tarayne Park
ABSORPTION FIELD
❑ Deep Trench ® Shallow Trench ❑ Bed ❑ Mound
Address
25750 White Spruce Dr. Eagle River
❑ Other
Phone
Number of Bedrooms
Soil Rating
Total depth from original grade
4
4 GPD/SF
+1.5 Ft.
LEGAL DESCRIPTION
Depth to pipe invert from original grade
+2.0 Ft.
Gravel depth beneath pipe
0.5 FL
Subdivision Block Lot
H & H 4
Fill added above original grade
5.5'— 6.0' Ft.
Gravel length
50 Ft.
Township Range Section
Gravel width
5 Ft.
Beds: Number of Lines
1
Distance between lines
N/A Ft.
SEPARATION DISTANCES
ToTotal
Septic
Absorption
H olding
Sewer
absorption area
Number of trenches
Dist. between trenches
From
Tank
Field
Lift Station
Tank
Line
250 Fe
1
N/A Ft.
Well
100'+
1004
100'+
-
25'+
TANK ® Septic ❑ S.T.E.P. ❑ Holding ❑ Other
Manufacturer
existing
Capacity
1000 Gal.
Surface Water
100'+
100'+
100'+
-
Material
HDPE
Number of compartments
2
Lot Line
5'+
10'+
5'+
_
NA
Foundation
5'+
10'+
5'+
-
LIFT STATION
Manufacturer
Orenco
Capacity
500 Gal.
Curtain Drain
NA
FNA
NA
--
Remarks Insulation over tank and field
Pump on level at
44 in.
Pump off level at
42 in.
High water alarm at
48 in.
O�a�_( kAS r Y ode6:
Pump make and model
ORB PF20
Electrical Inspections performed by
J Electric LLC
PIPEMATERIAL Housetotank Tank to D3034
drainfield
Installer JR'S SEPTIC PUMPING
Drainfield D3034 CO/MT D3034
Inspector ARCTERRA
BENCHMARK (Assumed elevation) 100 ft
Inspection1s' 6/19/13 6/20/13
Location and description
dates: 2-
3r° 7/25/13 4" 113ottorn
of house sidin
COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL
OF A4
Date
Conditional Approval:
low,
oil 9TH
KENNETH M.
7116 10,
Approve Date ga?�
\�+
Inspection Report.doc
AS -BUILT SYSTEM DETAILS/SITE PLAN Permit; OSP131116
H&H LOT 4 PID#050-731-59
SURFACE H2O
0.05' DEEP x 1.0' NIDE
FLOW UNE?
NO SURFACE H2O AT THIS
LOT 1
D=77.81'
LOT 2
BLK 3
N 89'57'26" E 298.64'
IBA / 10' UTILITY EASEMENT
m
a Q
�
DISCHARGE BARa AX -20
Sao ak u 140• b lar _ w^ur
0
T •• o m c
"i' qq. q 2a.W
1000
EXISSING r N I j Pvc
HOPE S.T. >` 40' o Se c
02y v rq�CY
na a 2x0
�J 0ega
Awl
$. QFAZ .\ 1 PREPARED FOR:
KYLE & JODY WEBER
25750 WHITE SPRUCE
/ Eagle River, AK 99577
x
KENNETH H. FIELD BOOKS coMPUTm:
3 CE -7116 W MUNDARr. BOUNDARY ORANN: KMD
�
srAxinc: STAKING CHECKED: KMD
ffi \ . . �/ ASBmLT: JLS °A�` 8/26/1
ESSIOtb� Dwc. FILE: ORD: SW036:
\�\\ ACRD FILE` FILE ,wR No' 13-142
GRAVES
ryC w� D/W
LOT 4
Wr11
SCALE, V = 30'
AS—BUILT SYSTEM DETAILS/SITE PLAN Perrlitl OSP131116
H&H LOT 4 PID#050-731-59
EXISTING SEPTIC TANK 500 GALLON
LIFTSTATION TANK
TRENCH SECTION
4' MONITORING
ORIGINAL GRADE 89.9
Amp
OF ALej'S� f'1
I * 9TH *�0
I` M. s
CE -7 6 rya
Zoe
�F'ESSIO�=
ARGE
ILTER FABRIC
0.5' SEWER ROCK
1.25' PERF DISTRIBTION LATERAL
FILTER SAND
5' SCALE, NTS
g 95,9 FINAL GRADE
FILTER FABRIC & INSULATION ��
95.7
VARIES
—L
0.5'
92.10
5171
.:."
..::...._..209
0.5'
Sand Filter .
91.47• ':...:;
2
89,40
89.4
50'
i Q 87A'
BOH
SCALE, NTS
P4r�7 P nI P
PREPARED FOR1
KYLE & JODY WEBER
25750 WHITE SPRUCE
Eagle River, AK 99577
FEW BOOKS
BOUNDA . BOUNE
STMNG; STAKIP
ASBuicT: JLS
DWG. RE
ACRO "FILE
COMPUTED:
DRAWN: KMD
cHECKED: KMD
DAA' 8z'2011
GRD: SWO361
" N": 13-142
e''
ELECTRIC LLC
732 E. 99th AVE.
ANCHORAGE, AK. 99507
July 10, 2013
Kyle and Jody Weber
2104 Arcadia Dr.
Anchorage, Ak. 99515
RE: Lift Station
25750 White Spruce
Eagle River, Ak.
This letter is to certify that J Electric LLC wired septic
lift station at the above address in accordance with
the NEC and MOA codes.
Contr. LIG # 34469
Sags$, 0wfter
T�T'd £6)-£898:D1 T28666£L66 9NIdWWd SI1d3S S.Jf:WOd3 TO:£T £T02-6T--Tf
Municipality of Ancho
P.O. Box 196650 • 4700 Elmore Road
Anchorage, Alaska 99519-6650 • (907) 343-7904 • Fax (907) 343-7997
hftp://www.muni.org/Onsite
Development Services Division
On -Site Water and Wastewater Program
went s,
`o F
e ^
p t.
v
.epartment
**** VARIANCE/WAIVER REVIEW ****
Waiver#: OSP131288 COSA#:
PID#:050-731-59
Legal Description: H&H, Lot 4
Engineer: ArcTerra
Applicant: Paul & Taravne Park
Permit#: OSPI31116
Your request for a waiver of the required 100 feet horizontal separation from the
absorption field and septic tank to the surface water has been approved. The approved separation
distance is 70.0 feet.
This waiver approval applies to the existing absorption field and septic tank only. Any future
upgrade to the on-site wastewater disposal system will require all separation distances be met or
another approval from this department.
❑ The affected adjacent property owner(s) have been given a 7 day notice regarding this
waiver.
❑ Notarized letter(s) of non -objection have been received from the owner(s) of the affected
adjacent property.
® Adjacent properties are not affected by this waiver.
...............................................................................
Waiver is Granted: X Waiver is not Granted:
Date: 3 Approved by;�
Name of Reviewer
................................................•.............................1
Rec#: NIA Amount: $0.00 Date Paid: NIA
**** VARIANCEIWAIVER REVIEW ****
o Q+RCTERRq r".
August 8, 2013
ARC 1 ERRA
CONSULTING, INC
212 E. 51"Ave, Anchorage, AK. 99503
Office (907) 868-3791, Fax (907) 868-3793
Municipality of Anchorage
Development Services Department
On -Site Water & Wastewater Program
P.O. Box 196650
Anchorage, AK 99519-6650
Subject: Surface Water Waiver — H&H Lot 4
41PJv✓
SvvA,, c,wJf f WAS W&M
410 OW410 1�11 ale )AIC
",
O13la8�
Per previous discussions with On -Site Staff, a recently installed MOA drainage
system outfalls within 80-100' of the proposed system and appears to have
seasonal / storm event discharge. We are therefore requesting a 70' surface
water to wastewater system waiver at this time.
Due to natural drainage patterns, topography and adjacent wastewater systems —
rerouting existing drainage is not feasible. The requested separation reduction
requested with this waiver is also based on the effluent wastewater treatment
provided by the AdvanTex system.
The effluent treatment of the AdvanTex system creates raw household waste that
is 95-99% cleaner than the typical septic tank effluent. For example, comparing
the BOD (Biochemical Oxygen Demand) and TSS (Total Suspended Solids) make
up of the effluent between AdvanTex effluent and the effluent found in a typical
septic system is as follows:
Type of Effluent
BOD
TSS
Typical Household Raw Waste
450 m /L
500 m /L
Typical Septic Tank Effluent
130 m /L
30 m /L
Typical AdvanTex Effluent
<15 m / L
<15m / L
The AdvanTex system is also continuously monitored 24 hours a day, 7 days a
week remotely via the VeriComm Monitoring System. This ensures that the
system is operating appropriately and if not, the system will be serviced
immediately.
20441 PTARMIGAN BLVD • EAGLE RIVER, AK 99577-8736 • PH (907) 868-3791 • FAX (907) 868-3793
H&H Lot 4
August 8, 2013
Page 2 of 2
If you have any questions, please contact me at 868-3792 / FAX 868-3793.
Respectfully submitted,
ArcTerra Consulting, Inc.
Kenneth M. D/uufffus, I I
On -Site Wastewater Disposal System Permit
Permit Number: OSP131116
Tax Code Number: 05073159000
Work Type: Septic
Permit Effective Dates: June 06, 2013
MUNICIPALITY OF ANCHORAGE
Development Services Department
On -Site Water & Wastewater Program
4700 Elmore Road, PO Box 196650
Anchorage, AK 99519-6650
Telephone: (907) 343-7904
to June 06, 2014
Design Engineer: ARC TERRA CONSULTING INC
Subdivision: H & H
Site Legal Address: H &HLT 4G:0363
Owner/Address: WEBER KYLE & JODY
2104 ARCADIA DRIVE ANCHORAGE AK 995771338
Site Mailing Address: 25750 WHITE SPRUCE DR, Eagle River
This permit is for the construction of:
Lot Size in Sq Ft: 54299
Total Bedrooms: 4
Y Disposal Field Y Septic Tank N Holding Tank N Privy N Private Well N Water Storage
All construction must be in accordance with:
1. The attached approved design.
2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater
Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80).
3. The wastewater code requires inspections during the installation. The engineer must notify the Development Services
Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either:
A. Open and Close on the same day.
B. Covered, sealed, and heated to prevent freezing.
Receive
Issued
MUNICIPALITY OF ANCHORAGE
Community Development Department
Develdpment Services Division 6
n 4itelVater & Wastewater Program
Phone: 907-343-7904
Fax: 907-343-7997
I • ON-SITE SEWER/WELL PERMIT APPLICATION
Parcel I. D. 050-731-59
Property owner(s) KYLE & JODY WEBER Day phone
Mailing address 25750 WHITE SPRUCE DRIVE, EAGLE RIVER, AK 99577
Site address 25750 WHITE SPRUCE DRIVE, EAGLE RIVER, AK 99577
Legal description (Sub'd., Block & Lot)
Ct
Legal description (Township, Range & Section)
Lot Size 54299 Sq. Ft. Number of Bedroom
AUsyi
APPLICATION IS FOR:
APPLICATION IS AN:
TYPE OF DWELLING:
(® all that apply)
Family
In
Absorption Field
Initial ElSingle
(SF)
Septic Tank
[�]
Upgrade
(w/wo ADU)
Duplex (D)
F]Holding
Tank
❑
Renewal ❑
Multiple Dwellings
❑
Privy
❑
(SF and/or D)
Private Well
❑
Water Storage
❑
THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR:
Distance:
I certify that the above information is correct. I further certify that this is in accordance with
applicable Municipal Codes.
Permit/Rush Fees: xyy: IU Waiver Fees:
Date of Payment: Date of Payment:
Receipt Number: /� 3�� Receipt Number:
Permit No. 0SPl31lIto Waiver No.
Permit App_9-1-12.doc
0 0
June 3, 2013
ARC 1 ERRA
CONSULTING, INC
212 E. 51' Ave, Anchorage, AK. 99503
Office (907) 868-3791, Fax (907) 868-3793
Municipality of Anchorage
Development Services Department
On -Site Water & Wastewater Program
P.O. Box 196650
Anchorage, AK 99519-6650
Subject: Upgrade Sewer Permit — H&H Lot 4
It has been determined that the undocumented absorption field of the subject
property is encroaching groundwater. Subsequently, the owner has requested
we proceed forward to obtain a septic permit to upgrade the septic system.
The general slope of this lot is from northeast to southwest at a grade of
approximately 0-5% over the septic area. On May 24, 2013 a testhole was
performed to investigate soils and groundwater. The results of this test are
attached for your review. The proposed upgrade will serve the existing 4 -
bedroom house. We propose to install one 5 -Wide 50' long mounded trench with
an Advantex system. Groundwater was encountered at 5' at excavation and at 3'
at monitoring.
The property and adjacent lots are served by private water. A recently installed
MOA drainage system outfalls within 80-100' of the proposed system and
appears to have seasonal / storm event discharge. There are no known curtain
drains within 50'. We do not expect there to be any adverse effect on adjacent lots
by the development of this system. If you have any questions, please contact me
at 868-3792 / FAX 868-3793.
Respectfully submitted,
ArcTerra Consulting, Inc.
—7
Kenneth M. Duffus, P.E.
Attachments: On -Site Sewer Application
Wastewater Absorption System Details/ Site Plan
Soils Log/ Percolation Test
COSA Submittal
20441 PTARMIGAN BLVD • EAGLE RIVER, AK 99577-8736 • PH (907) 868-3791 • FAX (907) 868-3793
WELL & WASTEWATER DISP❑SAL SYSTEM DETAILS/SITE PLA
H&H LOT 4
APPRDX. wc. /
MOA DRAINAGE
EYSfEM OUTFALL
LOT 2
BLR J
FLAG
WELL
PRIOR
PROPERTY LINES
RADII & EASEMENTS
TO CONSTRUCTION
DESIGN DETAILS
4 BDRM X 150 GPD = 600 GPD
600 GPD/4 GPD PER SQ. FT. (15 MIN/IN.)= 150 SQ. FT
(150 SF / 5' W (0.5' ED) = 30 FT. TRENCH Scaler 1'= 100'
USE 1 TRENCH - 50' (L) X 5' (W) X 0.5' <ED)
Total depth of system Is +1' from origlnal grade. PAGE 1 OF 4
Total depth of gravel below distribution pipe Is 0.5'
Remove top 0.5' of origlnal grade & add 1.5' MOA approved sand.
INSULATE & INSTALL HEAT TRACE TO SEPTIC LINES
NO PUBLIC WELLS VITHIN 200. OF
PROPOSED SYSTEM.
NO PRIVATE WELLS WITHIN 200' OF
PROPOSED SYSTEM EXCEPT AS NOTED,
NO SEPTIC SYSTEMS WITHIN 200' OF
PROPOSED WELL EXCEPT AS NOTED.
AW, ..9F. AZ4 � 1
/ * TH� TIJ/
KENNETH M*6'
�
CE/-7
Air -t eAW
/// SSIO'y
NOTES:
1, INSTALL 500 GAL STEP w/ AX -20 POD INSULATE TANK IF <4' Cl
2. INSULATE TRENCHES WITH 2' HD BURIAL FOAM IF < 3' OF FILL.
MIN. 2' FILL WITH INSULATION, >3' COVER NO INSUL REQ.
3. CONTRACTOR WILL ENSURE MINIMUM 2% SLOPE INTO SEPTIC TANK.
4. CONTRACTOR WILL ENSURE ALL SEPARATIONS TO ADJACENT
WELLS, SEPTICS EASEMENTS, PROPERTY LINES, ETC...
PREPARED FOR,
KYLE & JODY WEBER
25750 WHITE SPRUCE
Eagle River, AK 99577
FIELD BOOKS COMPUTw:
BOUNDARY:BOUNDARY
DRAYM` BMW
STAKiNa STAKING
CHECKED; KMD
ASBUILT' JLS
DAM' 5/31/13
Dwa n1E:
'Mn C/�1. 1
ACRD " FILE
100 N 13-142
WASTEWATER DISP❑SAL SYSTEM DETAILS
H&H LOT 4
APPROX. LOC. /
AOA DRAINAGE
(STEM OUTFALL
LOT 2
BLK 3
10' UTILITY EASEMENT
\
.
dN � ,
s �
LOT 1
i
OF. a44�11
* 49TH *+�
KENNETH M. D
`'. CE-7116AW
Wa
�F'ESSIOTI�
d
N 89'57'26" E
30, <
d R�RIg MT �;
yM
IN TALL NEW 500 GAL LS
W/ AX -20 aoo
QFC ARGE BASIN 2
UQ M/Ss� FLAT aS
00. S�
• P44 ZL ..
Install New MT level'
w/bottom of Tank
ELEC/COM LINE,
OL BOX ALARM
14
PREPARED FOR,
KYLE & JODY WEBER
25750 WHITE SPRUCE
Eagle River, AK 99577
FIELD BOOKS
BOUNDARr. BOUNI
sTAaND: STAKIP
As" JLS
DM nIE:
ACAD Flu" FILE
COMPUTED:
DRANK: BMW
cmECIQD: KMD
DAM' 5/31/1,
MID: SW0363
JOB Na.: 13-119
298.64' (298.•
�,ekiSr/Nc
01
R yO�Se
qq 770
°Fps
Scalel 1e= 30'
PAGE 2 OF 4
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WASTEWATER ABSORPTION SYSTEM DESIGN DETAILS
H&H LOT 4 P.I.D. 050-731-17
Permit ---_---.
w
i FINISHED GRADE (ADD UNCLASSIFIED FILL)
FINAL
4' OF TOPSOIL & SEEDED / VEGETATED GREATER SLOPE
THA
W
w
o
H
W]
ON's below of
on sb«t 4 of
6
z
0
a
y
a
m
FILTER FABRIC AND INSUL
SEWER ROCK
MIN, 15'+. SAND FILTER FOR; SEPARATION, '....,
e
Varies
HIA 1.5'
UI WATER MONITORED !
MN. 5 50' TRENCH 3,0' BELOW GRABE-
PRESSURIZED DISTRIBUTI❑N SYSTEM HOLE SPACING DESIGN
1. RESIDUAL HEAD = 5'
2, HOLE SIZE = 3/16' = 1.00 GAL. PER HOLE @ 30 PSI
3, 30 GALS (PUMP DELIVERY)/1.00 GALS./HOLE = 30 HOLES
BCH e.o•
4. 50 LF LATERAL/30 HOLES = 1.7' SPACING PER HOLE
5, ALL HOLES SHALL HAVE CAPS INSTALLED PER MANUFACTURES SPECS.
1 1/4' PVC FROM TANK TO FIELD
Pod
500 GAL
S,T,E,P,
AW . OF AL` 9\��
49TH *+�
�KENNETH M. s
CE -7119 sva
Aw
"�WrE99ICTT=
N
L11
IYAw�
50 LF 1 1/4' PVC W/3/16' HOLES
@ 1.7' SPACING (TYP)
M.T.
T
LT
CAP ENDS OF PIPE—/ T
Grd. I
50'
NOTES
1. TANK MAYBE INSTALLED IN 3' OF WATER, HEREBY REQUIRING ADDITIONAL WEIGHT
FOR INSTALLATION - INSTALL SADLE WEIGHT.
2. CONTRACTOR WILL ENSURE A BOTTOM OF TANK DEPTH NO GREATER THAN 9' MAXIMUM.
3. FILL OVER TANK WILL BE CLASSIFIED AND COMPACTED,
4. TANK TO HAVE A MINIMUM OF 2.5' OF COMPACTED COVER,
T. 5. CONTRACTOR TO VERIFY GROUND WATER AT 3.0' FROM SURFACE OR GREATER.
6. INSTALL SEPTIC TANK MONTIORING TUBE.
PREPARED FOR,
KYLE & JODY WEBER
25750 WHITE SPRUCE
Eagle Rlver, AK 99577
FIELD BOOKS
BOUNDARY: BOLINC
STAIONC: STAKIP
AMILT.. JLS
Owl FOE:
ACAO MILE:
/Volum«/Stomp/WEU. k SEPTIC — Ffl N by L goVH&H/Lot 4/Mvontw0Ao=dTmnM v2004Awg
COMPUTED:
ORAwN: BMW
cHEcKm KMD
DAA' 5/31/1
GRID: SWO36'
.roe Nw" 13-142
PAGE 3 OF 4
AdvanTex Treatment System
AX 20 Series - Mode I
-
co
DISCHARGE Pump
Ad
DO NOT PLACE
FILTER POD
OVER THE
EXISTING TANK
EXISTING SEPTIC TANK 500 GALLON
LIFTSTATION TANK
1. INSTALL 500 GAL SEPTIC TANK W/ INTEGRATED ADVANTEX SYSTEM-& DISCHARGE BASIN
OR TANK WILL BE SIZED PER ANCHORAGE TANK FOR A 4 BDRM RESIDENCE, SCO.IE'� NTS
2. INSULATE TANK, EXCEPT BELOW ADVANTEX PADS TO ALLOW HEAT TRANSFER.
3. NO AIR LINE REQUIRED. PAGE 4 OF 4
_�ft-ft:710`
OFAL,4�,1
/
KEE
NNETH M. S. /
CE -77
Aff
"�'E3310T1.4V
PREPARED FOR,
KYLE & JODY WEBER
25750 WHITE SPRUCE
Eagle River, AK 99577
FIELD BOOKS
COMPUTED:
000NDARr. 13OUNDARY
DRAWN:
BMW
STAKING STAKING
pEcRED:
KMD
ASBUILT: JLS
DATE:
5/31/13
DWG. nM
GRIM
SWO363
ACAD MLE:
JOB No.;
13-142
a �ItCTER H
R ARcTrRRA
i
CONSULTING, INC
212 E. 51" Ave, Anchorage, AK. 99503
"*g 0 Office (907) 868-3791, Fax (907) 868-3793
77
e9 hq",UcrgS77 _� t�
SOILS PERCOLATION TEST
Performed for: Kyle & Jody Weber Date
Project: H&H LOT 4 TEST HOLE # TH 13-1
Depth
(Feet) SEE ATTACHED SITE PLAN
I-
ORG/OL FOR HOLE LOCATION
GM/SM
seeps
B.O.H.
9-
10-
12-
13-
14-
15-
16-
17-
18-
19 -
HOLE PRESOAKED
20- PRIOR TO TESTING
Was Ground water encountered? YES What depth? 5'
Depth to water after monitoring? 3' Date? 5/31/13
Reading
Date
Gross
Time
Net
Time
Depth to
Water
Net
Drop
1
5/29/13
1:00
6"
-
2
1:30
30 min
3 15/16"
2 1/16"
3
*
1:31
6"
-
4
2:01
30 min
3 15/16"
2 1/16"
5
*
2:02
6"
-
6
2:32
30 min
4"
2'q0
7
8
9
10
11
12
*
Water
Added
Percolation Rate 15 (min/in) Perc Hole Diameter 6"
Test Run Between I feet and 2 feet
I, Kenneth M. Duffus, certify that this test was performed in accordance with all State
and Municipal guidelines in effect on this date.
Jun 0513 04:23p David Mosbeck R51-480-8752 p.1
ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND
REPAIR AGREEMENT
-MEMORANDUNI OF UNDERSTANDING
BETWEEN MUNICIPALITY OF ANCHORAGE
AND i�q l e. owls I jjd?_ .l
THIS MEMORANDUM OF UNDERSTANDING made and entered into as of this
t bay of Tvrv- of 20 13, by and between KyIL # -4y iti)212e/
herein the "OWNER," and the Municipality of Anchorage, herein the
"MUNICIPALITY." In consideration of the mutual covenants contained herein, the
parties to this Memorandum of Understanding agree as follows:
1. ADVANCED WASTEWATER TREATMENT SYSTENIS. Municipality
grants permission to Owner to utilize and operate an Advanced Wastewater
Treatment System (AWWTS), described as HJ H L01 L( located
atZ 7S S 1sc+, r' An chorage, Alaska.
2. Definitions.
A. Alteration. Anv change to the design or function of an AA WIS that
Includes the installation or removal of any parts, components or pieces not
included in the original construction permit and design. Prior to
performing any alterations to an AWWTS the owner must obtain a
Wastewater Disposal System Construction Permit from the Municipality
pursuant to Anchorage Municipal Code (hereinafter, "AMC") 15.65.
B. Certificate of On -Site Systems Approval. An approval by the
Municipality of existing water and wastewater disposal systems given at
the time of property sale and title transfer in accordance with AMC 15.65.
Jun 0513 04:24p David MosbeO Fl;1-480-8752 p.2
These approvals certify that the systems are adequate for the homes that
they support and meet the codes that were in place at the time of system
constriction.
C. Damage. Any man-made or natural change in a system that would inhibit
the system from performing as designed.
D. Maintenance and Repair. The scheduled and as needed replacement of
existing parts, components and pieces of an AWWTS that were included in
the original design which would allow the AWWTS to continue to
perforin as designed.
E. Permit (Construction) An On -Site Wastewater Disposal System
Construction Permit as defined by AMC 15.65.
F. Permit (Operating) An Advanced Wastewater Treatment System
Operating Permit. An annual permit, issued by the Municipality, that
allows the Owner to operate an AWWTS, upon meeting all the
requirements of this agreement. the conditions of Operating Permit. the
requirements of the On -Site Wastewater System Construction Permit and
all relevant provisions of AMC 15.65
3, Fee. Owner shall pay to Municipality an annual fee of____
payable on or before the issuance of the operating permit and annually
thereafter. The annual fee is due on or before the anniversary date of the approval by the
Municipality of installed system.
4. Term. The term of this Memorandum of Understanding shall be for the life of the
AWWTS.
Jun 051304:24p David Mosbeck 6rl-480-8752 p.3
The term begins on the date of approval by the Municipality of the installed system and
shall continue while the ANNrWTS system is in use or operational or until the property is
sold or title is transferred by owner and a new certificate of On -Site approval is issued to
the new owner or transferee of the property.
5. Alterations Installation and Removal of Additional Equipment. Owner agrees
not to make any alterations, removal of parts or additions to the AWWTS without a
Construction Permit from the Municipality.
6. Maintenance and Repairs.
A. Throughout the term of this Memorandum of Understanding, the Owner shall
maintain AWWTS in good repair. In addition, it shall be the responsibility of the
Owner during the term of this Memorandum of Understanding, and any extensions or
renewals thereof, at the owner's sole expense, to pay for any and all: (1) repair(s), (Z)
maintenance, (3) adjustment(s), (4) replacement costs, and (5) inspection costs.
Further, Owner agrees to comply will all applicable ordinance, laws. regulations,
rules and orders for the AWWTS.
B. Owner agrees to provide the Municipality a written schedule of routine
maintenance and repairs which have been performed on the system pursuant to the
terms and conditions contained in the Owner's AWWTS Operating Permit. This
schedule shall be submitted to the Municipality annually upon the renewal of the
permit. The schedule of maintenance and repair contained in the Owner's AWWTS
Operating Permit is:
C. Owner acknowledges that the fine schedule for failing to maintain and repair an
AWWTS are codified in AMC 14.60.
Jun 05 13 04:24p David MosbeO 651-480-8752 p.4
D. Owner agrees that only maintenance, repair personnel certified by the
Municipality will inspect and make any necessary maintenance, repairs or permitted
alterations to the system.
E. Owner agrees to grant the Municipality reasonable access to test and inspect the
AtUWTS upon 24 hours written notice.
F. Owner agrees that any sale or transfer of title of the property will not occur
without a new Certificate of On -Site Systems Approval.
G. Owner agrees that dhe relevant provisions of the standard specification guidebook
for AWWTS is the governing professional guidelines for the construction,
maintenance and repair of the Owner's AWWTS.
7. Nonwaiver. The failure of either party at any time to enforce a provision of this
Memorandum of Understanding shall in no way constitute a waiver of die provisions,
nor in any way effect the validity of the Memorandum of Understanding or any part
hereof.. or the right of such party thereafter to enforce each and every provision
hereof
8. Amendment.
A. This Memorandum of Understanding shall only be amended, modified or changed
by a writing, executed by authorized representatives of the parties, with the same
formality of this Memorandum of Understanding was executed and such writing shall
be attached to this Memorandum of Understanding as an amendment.
B. For the purposes of any amendment modification or change to the terms and
conditions of this contract, the only authorized representatives of the patties are:
Owner.
Anchorage: Purchasing Officer
C. Any attempt to amend, modify, or change this contract by either an
unauthorized representative or unauthorized means shall be void.
9. Jurisdiction: Choice of Law. Any civil action arising from this Memorandum of
Understanding shall be brought in the Superior Court for dhe 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 Memorandum of Understanding.
10. Severability. Any provisions of this Memorandum of Understanding decreed
invalid by acourt of competent jurisdiction shall not invalidate the remaining provisions
of the Memorandum of Understanding.
OWNER:
MUNICIPALITY:
By:�'�G: fn i $y:
�! Title:
Date: '3 Date:
STATE OF ALASKA )
} ss.
THIRD JUDICIAL DISTRICT }
The foregoing instrument was acknowledged before me this day of jVua
20j?, by
OTARY P LIC FOR ALASKA Nj-MWWMVM
y Cotnmiss n expires: ( %3 NIL V31M
."
IEALTHAUTNOPoTY
APPROVALS
ROBERT C. COWAN. P.E.
ROBERTA. SHAFER P.E.
CML ENGINEERS
(907)694.2979
Date: �— FAX(907)694-1211
Municipality of Anchorage
SEWERSWATER DEPARTMENT OF HEALTH AND HUMAN SERVICES
MVNE%TENSIW6 825 L Street
P.O. Box 196650
Anchorage, Alaska 99519-6650
SEWERS WATER
INSPECTION REFERENCE II
ENGINEERINGSTLOES
ANDREPORTS The septic ins gcti ns for the referenced
performed on ' ps -0 and `�- 6-00 Prior to submitting wing
the On-site Wastewater Disposal System and/or ?11 Inspection
Report we are waiting for the _Fo,e-TI�d�TM7 As-bH'.h ua to be
&FLO �T`�TON completed.
If we may be of further service please contact us.
SITE PLANS Sincerely,
ROADOESIGN
Robert C. Cowan, P.E.
SOIL TEST
PERCOLATION
TEST
STWICTL RAL&
MEOIRANIOAL
INSPECTIONS
ONSITE
WASTEWATER
DISPOSAL SYSTEM
DESIGN
17034 NORTH EAGLE RIVER LOOP -SUITE 204 -EAGLE RIVER ALASKA 99577
j
v.
MUNICIPALITY OF ANCHORAGE
Department or Health and Human Services
On -Site Services Program
825 L Street, Room 502
P.O. Box 196650, Anchorage, AK 99519-6650
(907) 343-4744
9
10-06,
10oe5.'-3-�-v�
ON-SITE WASTEWATER DISPOSAL SYSTEM / WATER SUPPLY PERMIT
Initial
Permit Number: SW000272
Legal Description: H & H LT 4
Date Issued: Aug 01, 2000
Expiration Date: Aug 01, 2001
Parcel ID: 050-731-59
Design Engineer. 0003 S & S Engineering Site Address:
Owner Name: Gerrie & Mark Marcott Lot Size: 54299 SQ. FT.
Owner Address: 188402nd Street Total Bedrooms: 3 Permit Bedrooms: 3
Eagle River , AK 99577 -
This permit is for the construction of:
❑✓ Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy ❑✓ Private Well ❑ Water Storage
All construction must be in accordance with:
1. The attached approved design.
2. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska
Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80 ).
3. The engineer must notify DHHS at least 2 hours prior to each inspection. Provide notification by catling
(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.
5. The following special provisions.
Another percolation test shall be performed at time of construction of absorption field conforming with Chapter
15.65.060.
Received By: C-r�
Issued By:/—
Date: P- 1-00
Date: q - /—O 0
July 11, 2000
FEALTHN-THOFM
APPROVALS MUNICIPALITY OF ANCHORAGE
Department of I Iealth and Human Services
P.O. Box 196650
SMR&WATER Anchorage, AK. 99519
WANDREMIM
REFERENCE: Lot 4,11 & 11 Subdivision
ROBERT C. COWAN, P.E.
CML ENGINEERS
(907) 6942979
FAX(907)694-1211
SEWER 6 WATER
MPECTM It is requested that you issue a permit to install a septic system and septic tank to
serve the proposed three bedroom dwelling on the referenced property.
One lest hole was excavated (KND Engineering) and two percolation tests were
�
REPS'UpES performed in May 1996 (KND Engineering) & June 27, 2000 (S & S Engineering).
The approximate location of the existing test hole is indicated on the attached site plan.
Ground water was monitored as shown on the attached soils logs. Aller a week of
monitoring, water was found at 6.4 feet.
WELL NSPECTX N
6 FLOW TEST
Because of the length of field required, a proposed test hole will be excavated at the lime
of installation to confirm soils conditions at the indicated location.
81EP1AW We do not anticipate any adverse effects on neighboring wells, septic systems, reserve
areas or drainage patterns by the installation of the proposed septic system. The
construction of this system will not prevent any future development on any of the adjacent
ROADDES*N properties.
If you require additional information, please contact us.
SOCUST Sincerely,
PERCOLAnON
TEST Robert C. Cowan, P.E.
RCC/jhm
Enclosure
STRUCTMALS
MECNAMCA.
MPECTIONS
ON WE
WASTEWATER
DePOSALSYSTEM
Des"
17034 NORTH EAGLE RIVER LOOP • SUITE 204 • EAGLE RIVER ALASKA 99577
SITE -PLAN
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Municipality o1 Anchorage +Iti 1
DEPARTMENT OF HEALTH & HUMAN SERVICES Of� 1 t9
825 "L" Street, Anchorage, Alaska 99502-0650 01. t y
SOILS LOG — PERCOLATION TEST ..
' ///✓/�� �hn ` j /.R+OBERT C. COWAN
% $801
';7 FOR6;, - DATE PERFORMED%..15 /
LEGAL DESCRIPTION:L T K H , Township, Range, Section:
DEPTH �'OG !!! SLOPE SITE PLAN
(FEET)
1 - I GP T
2 -.:�: N
3-
s- 6M /01 7ri�
7-
9-
n/)/T WAS GROUND WATER
1U
rJV�( ENCOUNTERED? yL�
11- S
IF YES, AT WHAT / L
DEPTH?
12- ` E
13 -} Depth m Walter FBcr b,- (J' -Go
V Monitoring? 5
Date:
14 -(^ ` Not
Reading Date Time Time oss Net DWater th to Drop
15- J �V v loge-sOXX 141�N
V 5a 50 "'IN 5 -Xe.
16- \ -6p- $ 7 X�- ,
(� 30 3or•/1A1 S'/;;," 3'
18-
19- \ Q
20- QPERCOLATION RATE (mmuteymch) PERC HOLE DIAMETER _ 6
TEST RUN BETWEEN / FTAND FT
COMMENTS T7-STlir=r-: � :-rr-' 4R-ri•/E- ZOr-,4-770A /
AS Kn10 :501t-5 V-CIRA(C
S & S ENGINEERING
PERFORMED BY: a: wer Loop Kosd No. "L04 I �,tq� }�.'tr—� CERTIFY THAT THIS TEST WAS PERFORMED IN
1 r wi �ag.o
ACCORDANCE wn546�`LWrIi*TEAFe61Nt*0VWL GUIDELINES IN EFFECT ON THIS DATE. DATE: / 1 M too
72-008 (Rev. 4/85)
Sent.8y: KNU ENGINEERING, 9076968111; Jun -20-00 8:44ALt; Page 414
• . . .w �J.utrycaNy to. Sy
Tor -
or 5 .••• •fs• �1
y�ti tr+'^ieipeF!Y of Arselwcspe �+r :': a; .,
DEPARTMENT OF HEALTH d HUMAN SER:•t: E$ �r ..: „ `H„ *,
623 'L' Street. Anchorage, AlaskE 99502-0650 O
SOILS LOQ — P£ACOLATION TEST I Vel K.:.... :4,
�� s y CE 7118
►ERrORMEu FOR kI! I! 1J 0 A I E ►ER F0RMED•iF ;4
LfGALOF=n1PTICN. Hcd.:�ij, lRrir-! Tomshiv. Range. Semon. -'14'02
ZPT"S" pI- - SLOPE SITE PIAN
C, P loose.
3 \ Pc c: /c""G'7
4 \GMldM �turMJas _ Sr if
fiddles devuJa fo S/" S �%
6-
8-
1Q- 60H WAS GROUND WATER
ENCOUNTERED) �L.S
It- s
IF YES. AT WHAT . • L
DEPTH? 0
12- E
E
small IF wow mff
13-
tleeat0;
14- R..ei.q a„ Gron Not Owth to Not
Tin" Tmo Www Orm
13- O _ 5li/96 10:2,0 — &Y./.
/ 10 : 2 i n••a 6 3/6 ' j/ '
lv tG e. vQ
r7- /v:zf z &•i
18-
20- a
PERCOLATION RATE2& 1���1 PERC HOLE VIAMETEP
TEST RUN seTWEEN -_
PIANO —!5/ FT
COMMENTS Alo l2, 49 lle 151 J9
PERFORMED 6Y, VVD c/TillnfG/'/I'' 1 ee,01 041X3 CERTIFVT TIMIS TEST WASPERFORMEDIN
ACCORDANCE WITH ALL STATE AN 0 M AL GUlDEUNES IN EFFECT ON THIS DAT! DATE: �`
n -m JA". 4651 .
ON-SITE WASTEWATER DISPOSAL SYSTEM
FAP ROVALSA`n CONSTRUCTION PRACTICES
and
MATERIAL SPECIFICATIONS
SEWER& WATER
MAME)(TENSMS
REFERENCE: Lot 2, H & H Subdivision
July 6, 2000
SEWERILWATER GENERAL:
NSPECTION
ROBERT C. COWAN, P.E.
CML ENGINEERS
(907)694-2979
FAX(907)694-1211
1. The scope of this project includes the installation of a 1000 gallon Premier
polyethylene septic tank and a new trench to serve the proposed three
MNEERINOSTLIDIES bedroom residence located on the referenced property.
ANDREPORTS
2. Construction shall be in accordance with the approved site plan and design
drawings, Municipal permit with any special provisions or conditions, and all
MUMPECTIM applicable State and Municipal Wastewater Disposal Regulations.
S FLOW TEST
3. The contractor shall be responsible for obtaining any necessary underground
utility locates.
617E PLANS
4. Unless specifically agreed otherwise, the property owner shall be responsible
for final grading areas subsequently depressed from soil settling.
MAD DESIGN 5. Contractors installing wastewater disposal systems must be certified by the
Municipal Health Department for system installations. Owners installing
their own systems must also receive prior approval from the Municipal Health
SOILTEST Department.
PERCCLATICN
TEST
SEPTIC TANK INSTALLATION:
A septic tank is to be constructed by a certified septic tank manufacturer.
Construction shall include two 4" cleanouts for pumping access.
LIEC CAL 2. The septic tank shall be sufficiently bedded to prevent settling or shifting of
ISPECTIMS the tank.
ONSITE
WASTEWATER
OISPOSALS14TE4
DESIGN
17034 NORTH EAGLE RIVER LOOP • SUITE 204 • EAGLE RIVER. ALASKA 99577
Page 2
Lot 2,HEHIBM
July 6, 2000
All standpipes on the septic tank shall extend a minimum of 12 inches above final grade.
4. Septic tanks installed with less than 4 ft. of cover shall be insulated.
5. A foundation cleanout shall be installed one to four feet from the building foundation. In
the line between the tank and the leachfield there shall be two adjacent cleanouts (unless
an effluent pumping system exists within the septic tank). These cleanouts shall be
located on undisturbed soil not more than 10 ft. from the tank. The first cleanout, in line,
shall be to clean toward the leachfield. The second cleanout shall be to clean toward the
septic tank.
6. Final grading over the septic tank shall be such that a positive slope exists away from the
septic tank.
ABSORPTION TRENCII/DRAINFIELD INSTALLATION:
1. Excavate the proposed trench to the dimensions shown on the design. The bottom of the
excavation shall be within 2 inches of level. If the sidewalls of the excavation become
smeared, they must be raked or scratched (ruffed -up) before gravel (sewer rock)
placement.
2. Once the gravel is installed, the distribution pipe is to be installed level with the
perforations faced downward. Gravel is then to be placed over the distribution pipe to
provide a minimum of 2 inches of cover over the pipe.
3. A silt barrier must be installed between the final gravel layer and the native soil backfill.
Ensure the silt barrier covers the entire gravel surface before placing backfill.
4. Monitor tubes shall be of four (4) inch diameter, installed approximately in the locations
shown on the design, and extend a minimum of 12 inches above final grade. The portion
of the monitoring tube extending through the gravel shall be perforated from the bottom of
the trench to the invert of the distribution pipe. This is equivalent to the effective depth of
the gravel as noted on the design.
5. Backfill over the final gravel layer must not be less than twenty-four (24) inches.
Insulation must be installed when the backfill depth is less than thirty-six (36) inches. The
finish grade over the trench must be mounded to prevent the formation of a depression
after settling.
Papa 3
Lot 2,H3HSM
July 6, 2000
MINIMUM MATERIAL SPECIFICATIONS:
1. Any septic tank proposed for installation must be constructed by a Municipal approved
septic tank manufacturer.
2. The following pipe materials are approved for use in septic system installations in the
Municipality of Anchorage:
Type of Pine Perforated olid
Cast Iron
Yes
Yes
ASTM D3034 (PVC)
Yes
Yes
ASTM F810 (HDPE)
Yes
No
ASTM D2662 (ABS)
Yes
Yes
Use of a type of pipe other than listed above must be approved by the inspecting engineer.
3. Insulation shall be at least 2" thick extruded direct burial polystyrene (Dow Chemical
Company Styrofoam HI or equal).
4. Septic tank inlets and outlets shall be fitted with watertight couplings (Caulder, Femco, or
equal).
5. A permeable nontoxic silt barrier (Typar 3401, Mirafi 140N, or equal) must be installed
between the final leachfield gravel layer and the native soil backfill.
6. All leachfield gravel (sewer rock) shall be 0.5"-2.5" screened gravel with less than 3%
passing the #200 sieve.
7. When sand is being used as a filter material, its gradation specifications must conform to
current M.O.A. or D.E.C. requirements, which ever requirement applies.
INSPECTIONS:
Typically there will be a minimum of three (3) inspections required during the installation of the
wastewater disposal system. These inspections will occur as follows:
Pages 4
Lot 2,H&HSIO
July 6, 2000
1. The first inspection must be conducted after the excavation of ditches, pits,
trenches, or beds and before the installation of any gravel. A septic tank may be
set in place, but may not be backfilled before this inspection.
2. The second inspection must be conducted after the placement of the silt barrier,
gravel, distribution lines, standpipes, cleanouts, and insulation, but before the
placement of any other backfill.
3. The final inspection is to occur upon final grading of the property.
Often there will be more than these 3 inspections required. Especially with the installation of
multiple trenches, sand filters, pressurized distribution systems, etc. Thus, the inspecting engineer
is to be contacted at least 24 hours prior to the start of construction. If necessary, a pre -
construction meeting will take place on-site. The inspecting engineer will not coordinate, direct
or control in any way the contractors activities.
The owner shall contract with the contractor to perform the work outlined in these specifications
and plans and in accordance with the attached M.O.A. permit. There will be no contractual
arrangement existing between the contractor and S & S Engineering. S & S Engineering shall be
the owner's representative and will inspect the work as stated above to document the contractors
activities. Final acceptance of the contractors work rests with the owner and the M.O.A.
S & S Engineering shall have no liability to the owner or to others for acts or omissions of the
contractor or any other persons performing work on this project or the failure of the contractor to
carry out the work in accordance with these construction documents. S & S Engineering's
inspecting engineer will not be responsible for the construction means, methods, techniques,
sequence, procedures or the safety precautions incident to this project.
CONTRACTOR/INSTALLER
(ISext�fY.e�
by
DOC Co. dba
SULLIVAN WATER WELLS
P.O. BOX 670272, CHUOIAK, ALASKA 99567 • TELEPHONE 688-2769
K OWNER OF LAND (,XXX / ? /%%yep' 1I),,« ;ORE HOLE DATA
DEPTH
ADDRESS ,1 From To
P
LEGAL DESCRIPTION t o/ 7[l 3
r PERMIT NUMBER OD od7A- Date of Issue L-L„j,64 / a
�.
*' TA7( NDENTIFICATION NUMB R / S4t
Is well loceteii at apprgved pe it location? b, � Q No
Method of Drilling: roteQ cable tool C/h
Depth of well: �/i / � 1 0
Casing Type SrFCL Wall Thickness , r)17n inches 0110
oZ�S
Diameter % inches, depth r)q feet
Liner Type: w
,()at )44T' c�3z
Casing Stickup Above Ground: .3 feet 0130' aye
Static Water Level (from ground level): 9 S ' feet
Pumping level: feet after hrs. pumping ^gpm
Recover Rate: /0 qpm
i Method of Testing: /9/k
P Well Intake Opening Type: ❑ Open End 43- p n Hole
❑ Screened; Start feet Stopped feet
0 Perforations Start ,f��aa/i�l Stopped.' . •'. feet
Grout Type: jit.u7'O� rz <401 ume r? oa <,r
Depth: from feet, to feet
Pump Intake Depth: feet
Pump Size hp Brand Name
Well Disinfected Upon Completion? 41 -Yes 0 No
Method of Disinfection: C Ad oA• w(7-
Comments:'.
(=Comments:'.
1/7/d a �J
& Cris,•%+G S'r /C -<JP
036,r,?j,ea rj
S4.,I4 bQ4,J�L,5, cz,Yr
,SAn!O 6e.4j, [.
11AK 4 PO4 "i
..S/t.r T SR"o ?
S'O4mJ4 6lti-j-:7,L- wt i
ATTENTION: It is the responsibility of the property owner to submit a copy of the well log to the proper authority. Municipality
of Anchorage: Department of Health & Human Services and/or Department of Environmental Conservation. MatSu Borough:
Department of Environmental Conservation.'
• '� Municipality of Anchorage ° P
On -Site Water and Wastewater Program a '"
(907)343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL
Parcel I.D. 050-731-59
1. GENERAL INFORMATION
Complete legal description
Expiration Date:
Location (site address) 25750 White Spruce Drive Eagle River AK 99577
Current Property owner(s) Paul & Tarayne Park Day phone
Mailing address
Real Estate Agent
25750 White Spruce Drive Eagle River AK 99577
Day phone
2. TYPE OF DWELLING:
® Single Family (w/wo ADU)
❑ Duplex
❑ Multiple Dwellings (Single Family and/or Duplex)
3. NUMBER OF BEDROOMS:
4. TYPE OF WATER SUPPLY:
Individual Well
Individual Water Storage
C orn, I munity Class Well
Public Water System
WaiverNariance request for:
Received by:
COSA to be released to the engineer,
4
TYPE OF WASTEWATER DISPOSAL:
® Individual
❑ Holding Tank ❑
❑ CO.'?m:.inity ❑
❑ Public Sewer ❑
requested by the engineer.
Date:
COSA Fee $ 250.00 Waiver Fee $
Date of Payment
Receipt Number
Date of Payment
Receipt Number
COSA # 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 ARCTERRA CONSULTING, INC. Phone 696-6111
Address 20441 PTARMIGAN BLVD., EAGLE RIVER, AK 99577
Engineer's Printed Name KENNETH M. DUFFUS Date 8/02/2013
Engineer's Comments: This investigation was completed in compliance with ADEC and MOA regulations. The assessment of the
condition of the well and septic applies only to the conditions as of the day tested. The flow and absorption rates may change due to
subsurface conditions that may not be observed from the surface, changes inland use, local soil characteristics, groundwater levels that
may fluctuate during the year and the water usage of the family being served by the system. The operational life of all well and septic
systems are subject to these various and dynamic characteristics and are outside the control of the
evaluator of the well and septic system. Therefore,
ArcTerra can not give any estimate of how long a
system will function satisfactory for current or future
occupants or can ArcTerra guarantee that no unseen of AL
encroachments, deficiencies or discrepancies exist. �Q�� 4
6. DSDSIG ATURE �,'��%All
^�
System #1 Approved for 4 bedrooms. ` KENNETH N. DU 7116 1$w
System #2 Approved for bedrooms.
p' 1''E�StO irP�'AW
Disapproved.
Conditional approval for bedrooms, with the following stipulations:
M
The
Original Certificate
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 X Nitrate Advisory
Septic System Advisory Arsenic Advisory
Well Flow Advisory Other
COSA blue sheet_10.1n-12.doc
If more than 1 septic system is on the lot:
COSA Checklist # _mof _
Structure served by this syste_
Certificate of On -Site Systems Approval Checklist
Legal Description: H&H LOT Parcel ID: 050.731.59
A. WELL DATA
Well type PRVT If A, B, or C provide PWSID #
Date completed 917/2000 Sanitary seal (Y/N) Y
Total depth 241 ft. Cased to 241 ft.
FROM WELL LOG
Date of test 91712000
Static water level 195 ft.
Well production 10 g.p.m.
WATER SAMPLE RESULTS:
Coliform NEG colonies/100 mL Nitrate ND mg/L
Arsenic: ND ug/L Date of sample: 518113
B. SEPTIC/HOLDING TANK DATA
Well Log (YIN) Y
Wires properly protected (YIN) Y
Casing height (above ground) 24+ in.
AT INSPECTION
512412013
205 ft.
6.7 g.p.m.
Collected by: ARCTERRA
HDPE tank approx. 9/6/00 S&S
Tank Type/Material HDPE SEPTIC 1 ADVANTEX Date installed ADVANTEX 6/20/13
Tank size 10001500 (ax20) gal. Number of Compartments 2 Cleanouts (Y/N) Y
Foundation cleanout (Y/N) Y Depression over tank (Y/N) N High water alarm (Y/N) Y
Date of pumping 611912013 Pumper JRs PUMPING
C. ABSORPTION FIELD DATA
Date installed 611912013 Soil rating (g.p.d./ft2 or ftz/bdrm) 4 System type Shallow Trench
Length 50 ft. Width 5.0 ft. Gravel below pipe 0.5 ft.
Total depth 1.0 ft. Eff. absorption area 200 ftp Monitoring tube Y Depression over field N
Date of adequacy test NEW Results (Pass/Fail) PASS For 4 bedrooms
Fluid depth in absorption field before test NA in. Water added NA gal. New depth NA in.
Elapsed Time: NA min. Final fluid depth NA in. Absorption rate >= 600+ g.p.d.
Any rejuvenation treatment (past 12 mo.) (Y/N & type) N If yes, give date
D. LIFT STATION
Date installed 612012013 Size in gallons 500 Manhole/Access (YIN) Y
"Pump on" level at 44 in. "Pump off' level at 42 in. High water alarm level at 48 in.
Datum Bottom of tank Cycles tested new Meets alarm & circuit requirements? Y
E. SEPARATION DISTANCES
WELL ON LOT TO:
Septic tank/lift station on lot 100'+
Absorption field on lot 100'+
Public sewer main 754
Sewer /septic service line 25'+
Animal containment areas 504
SEPTIC/HOLDING TANK ON LOT TO:
On adjacent lots 1004
On adjacent lots 1001+
Public sewer manhole/cleanout 1004
Holding tank 1004
Manure/animal excrete storage areas 1004
Building foundation 5'+ Property line 5'+ Absorption field 5'+
Water main 104 Water service line 10'+ Surface water 1004
Wells on adjacent lots 1004
ABSORPTION FIELD ON LOT TO:
Property line 10'+ Building foundation 104 Water main 104
Water Service line 10'+ Surface water. 1004 Driveway, parking/vehicle storage 10'+
Curtain drain 50'+ (NONE KNOWN) Wells on adjacent lots 1004
F. COMMENTS
G. ENGINEER'S CERTIFICATION
I certify that 1 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.
Engineer's Printed Name KENNETH M. DUFFUS
Date 810212013
COSA brown sheet_10-10-12.doc
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ANCHORAGE RECORDING DISTRICT
AS -BUILT OF:
H & H SUBDIVISION
LOT 4 PLAT 2000-30
SURVEY CERTIFICATION: 1, John L. Schuller, have conducted a
physical survey of this property as shown on this drawing and that the
improvements situated thereon are within the property lines and no
enchroachments exist other that noted.
EXCLUSION NOTES: It is the owners responsibility to determine the
existence of any casements, covenants, or restrictions which do not
appear on the recorded subdivision plat. Under no circumstance should
any information on this drawing be used for construction of fences,
structures, improvements, or for establishing boundary lines.
WORK ORDER NUMBER: IDATE: SCALE: E-MAIL:
AUG 9, 2013 1"=30'
13-020 DRAWN BY: CHECKED BYJ GRID NUMBER: BOOK/PAGE:
JLS SW 363 130132
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ANCHORAGE RECORDING DISTRICT
AS -BUILT OF:
H & H SUBDIVISION
LOT 4 PLAT 2000-30
SURVEY CERTIFICATION: 1, John L. Schuller, have conducted a
physical survey of this property as shown on this drawing and that the
improvements situated thereon are within the property lines and no
enchroachments exist other that noted.
EXCLUSION NOTES: It is the owners responsibility to determine the
existence of any casements, covenants, or restrictions which do not
appear on the recorded subdivision plat. Under no circumstance should
any information on this drawing be used for construction of fences,
structures, improvements, or for establishing boundary lines.
WORK ORDER NUMBER: IDATE: SCALE: E-MAIL:
AUG 9, 2013 1"=30'
13-020 DRAWN BY: CHECKED BYJ GRID NUMBER: BOOK/PAGE:
JLS SW 363 130132
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1831 Talkeetna Street
Anchorage, Alaska 99508
(907) 227-1455 office
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On -Site Water and Wastewater Program
(907)343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL
Parcel I.D. 050-731-59 Expiration Date:
1. GENERAL INFORMATION
Complete legal description H&H LOT 4
Location (site address) 25750 WHITE SPRUCE DRIVE, EAGLE RIVER, AK 99577
Current Property owner(s) KYLE & JODY WEBER Day phone
Mailing address
Real Estate Agent
25750 WHITE SPRUCE DRIVE, EAGLE RIVER, AK 99577
2. TYPE OF DWELLING:
® Single Family (w/wo ADU)
❑ Duplex
❑ Multiple Dwellings (Single Family and/or Duplex)
3. NUMBER OF BEDROOMS:
4. TYPE OF WATER SUPPLY:
Individual Well
Individual Water Storage
Ciornmuni y Class _ Well
Public Water System
WaiverNariance request for:
Received by:
COSA to be released to the engineer, unless
4
Day phone
TYPE OF WASTEWATER DISPOSAL:
®
Individual
❑
Holding Tank
❑
❑
Co,;; n„y
❑
❑
Public Sewer
❑
by the engineer.
Date:
COSA Fee $
5101,0 • /( c i /� , /rcwWaiver Fee $
Date of Payment 61 /3 Date of Payment
Receipt Number 0go Receipt Number
COSA# 05C/3/23/ 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 ARCTERRA CONSULTING, INC. Phone 868-3791
Address 20441 PTARMIGAN BLVD., EAGLE RIVER, AK 99577
Engineer's Printed Name KENNETH M. DUFFUS Date 6/1/13
Engineer's Comments: This investigation was completed in compliance with ADEC and MOA regulations. The assessment of the condition
of the well and septic applies only to the Conditions as of the day tested. The flow and absorption rates may change due to subsurface
conditions that may not be observed from the surface, changes inland use, local soil characteristics, groundwater levels that may fluctuate
during the year and the water usage of the family being served by the system. The operational life of all well and septic systems are
subject to these various and dynamic characteristics and are outside the control of the
evaluator of the well and septic system. Therefore,
ArcTerra can not give any estimate ofhow long a AW
�or r OF A \,
system will function satisfactory for current or future T� L
occupants or can ArcTerra guarantee that no unseen
encroachments, deficiencies or discrepancies exist. Alf 4�11`
49 Tr1
6. DSD SIGNATURE
System #1 Approved for bedrooms.
System #2 Approved for bedrooms.
Disapproved.
, TvTt16 E;SNEH
71w4
Conditional approval for T bedrooms, with the following stipulations:
By: / J Original Certificate Date:
The' unioi ality f A orage 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.
ATTACHMENTS:
COSA Checklist X Nitrate Advisory
Septic System Advisory Arsenic Advisory
Well Flow Advisory Other
COSA blue sheet 10-10-12, o
Conditional approval for T bedrooms, with the following stipulations:
By: / J Original Certificate Date:
The' unioi ality f A orage 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.
ATTACHMENTS:
COSA Checklist X Nitrate Advisory
Septic System Advisory Arsenic Advisory
Well Flow Advisory Other
COSA blue sheet 10-10-12, o
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: H&H LOT 4 Parcel ID: 050-731-59
A. WELL DATA
Well type PRVT If A, B, or C provide PWSID # _
Date completed 91712000 Sanitary seal (YIN) Y
Total depth 241 ft. Cased to 241 ft.
FROM WELL LOG
Date of test 91712000
Static water level 195 ft.
Well production 10 9.p -m.
WATER SAMPLE RESULTS:
Coliform NEG colonies/100 mL Nitrate ND mg/L
Arsenic: ND ug/L Date of sample: 518113
Well Log (YIN) Y
Wires properly protected (YIN) Y
Casing height (above ground) 24+ in.
AT INSPECTION
5/2412013
205 ft.
9.p.m.
Collected by: ARCTERRA
B. SEPTIC/HOLDING TANK DATA — NO INSPECTION REPORT PERMIT #SW000272
Tank Type/Material SEPTIC I HDPE Date installed
Tank size 1000 gal. Number of Compartments 2 Cleanouts (YIN) Y
Foundation cleanout (YIN) Y Depression over tank (YIN) N High water alarm (YIN) N
Date of pumping Pumper
C. ABSORPTION FIELD DATA - NO INSPECTION REPORT PERMIT #SW000272
Date installed Soil rating (g.p.d./f:2 or ft2/bdrm) System type
Length ft. Width ft. Gravel below pipe. ft.
Total depth ft. Eff. absorption area _ft2 Monitoring tube _ Depression over field
Date of adequacy test Results (Pass/Fail) For bedrooms
Fluid depth in absorption field before test in. Water added_ gal. New depth in.
Elapsed Time: min. Final fluid depth in. Absorption rate >= g.p.d.
Any rejuvenation treatment (past 12 mo.) (Y/N& type) N If yes, give date
D. LIFT STATION
Date installed
"Pump on" level at _ in.
Datum
Size in gallons
"Pump off' level at _ in.
Cycles tested
E. SEPARATION DISTANCES
WELL ON LOT TO:
Septic tank/lift station on lot 100'+
Absorption field on lot 100'+
Public sewer main 75'+
Sewer /septic service line 254
Animal containment areas 504
SEPTIC/HOLDING TANK ON LOT TO:
Manhole/Access (Y/N)
High water alarm level at
Meets alarm & circuit requirements?
On adjacent lots 100'+
On adjacent lots 1001+
Public sewer manhole/cleanout 1004
Holding tank 100'+
Manure/animal excrete storage areas 1004
Building foundation 5'+ Property line 54 Absorption field 5'+
Water main 10'+ Water service line 101+ Surface water 1004
Wells on adjacent lots 1004
ABSORPTION FIELD ON LOT TO:
Property line Building foundation Water main
Water Service line Surface water Driveway, parking/vehicle storage
Curtain drain Wells on adjacent lots
F. COMMENTS
NO INSPECTION REPORT (PERMIT #SW000272) -We were in the process of documenting the existing system as it
appeared to correspond with the permitted design when it was discovered that the septic fields are in or encroaching groundwater.
Subsequently, a new design is being to submitted with this COSA submittal.
G. ENGINEER'S CERTIFICATION
I certify that I 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.
Engineer's Printed Name KENNETH M. DUFFUS
Date 0113
COSA brown sheet_10-10-12.doc
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LOT 2
BLK 3
N 89°57'26" E
WHITE SPRUCE DRIVE
298.64' (298.59' R)�
10' UTILITY EASEMENT—
SEPTIC
VENTS
(tYp)
LOT 2
ANCHORAGE RECORDING DISTRICT
AS -BUILT OF:
H & H SUBDIVISION
LOT 4 PLAT 2000-30
SURVEY CERTIFICATION: I, John L. Schuller, have conducted a
physical survey of this property as shown on this drawing and that the
improvements situated thereon are within the property lines and no
enchroachments exist other that noted.
EXCLUSION NOTES: It is the owners responsibility to determine the
existence of any easements, covenants, or restrictions which do not
appear on the recorded subdivision plat. Under no circumstance should
any information on this drawing be used for construction of fences,
structures, improvements, or for establishing boundary lines.
WORK ORDER NUMBER: 'MA'Y 15, 2013 1"=3d SCALE: E-MAIL:
MA
13-020 ORAKN BY: CHECKED BY GRID NUMBER: I BOOK/PAGE:
JLS Sw 363 130132
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(907) 227-1455 office
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(907) 227-1455 office
(907) 274-4992 fax
Owner:
Anchorage: PurchasingiOff car
C. Any attempt to amend, modify, or change this contract by either an
unauthorized representative or unauthorized means shall be void.
9. Jurisdiction: Choice of Law. Any civil action arising from this Memorandum of
Understanding shall be brought in the Superior Court for the Third Judicial District of the
State of Alaska at Anchorage, The laws of the State of Alaska shall govern the rights and
obligations of the parties under this Memorandum of Understanding.
10. Severability. Any provisions of this Memorandum of Understanding decreed
invalid by a court of competent jurisdiction shall not invalidate the remaining provisions
of the Memorandum of Understanding.
OWNER:
By:
Date: til
MUNICIPALITY:
By:
Title:
Date:
STATE OF ALASKA }
ss.
THIRD JUDICIAL DISTRICT }
vr.
The foregoingnstrume t was acknowledged before me this k day of
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