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Home My WebLink AboutASHLAND LT 1Ashland Lot 1 #020-101-25 Municipality of Anchorage Page 1 of 3 Development Services Department Building Safety Division/On-Site Water and Wastewater Program 4700 South Bragaw Street P.O. Box 196650 Anchorage. AK 99519-6650 w .d.anchorage.ak.us (907) 3437904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number: SW000480 PID Number: 020-101-25 Michael and Susan Hale Wastewater System: New 240 Sean Circle Anchorage, AK 99516 ABSORPTION FIELD D""'a "" a'aBaOoa"" 344-0838 Five 5 Bottomless Intermittent Sand Filter LEGAL DESCRIPTION SW Na": 3 T°W DWh km WVw Wl ; 2.5 cpDrFl, Ft. 8b La: S�: Dagn b Dva kaeun kao wqv tpwSa: C a owth karlealh me: 1 Ashland 0 Ft. .5 FL To-Ivrq: AaaW: $erLon: H aeoaa aDo.a o.g. 9na 3.5 Gael Laaph: 30 Fl. F,. Well: New Gavel wcln: 15 Nunes tl b es: 4 Dm Oeh aen anaa: 2 FL n. rca va e• Private D 387 Fl. 20 FL 450 Fe ' ASTM D3034 PVC AlDine Drillin We DrieO: SUIbG Wals laM: 9/25/00 9 Fl. knuYer. Acrea e S stems Dale YniW W: Yi ; Fu sal at: ca" Aho.aC' : 2 TANK 4 n^t Ft. FI SEPARATION DISTANCES S.T.E.P. To Fran Septic Tank Absorption Field Lift Station Holding Tank lijuicIpmate sew Lim Anchorage Tank 2,000 wa >100' 1>1001 >100' N/A >25'N Steel r Three (3) Sulauwss >100' >100' >100' N/A LIFT STATION tnl Lina >5' 5'** >5' N/A e: 250 cat x Anchorage Tank/Orenco Fouxla >5' >10' >5' N/A IN -V°" 43 ti D a: 43 ti .ala, mal: 45 in. C~aaw None NOted Pa pMake aN Orenco ElecerJ knDarasu Da"aa�d by, Municipality of Anchorage "aa•": Well Casing Extended Into Bedrock. BENCH MARK Lot Line Waiver Issued Allowing Encroachment to aen: Top of Northernmost Air Vent Exiting the Middle of Within 5' of the Lot Line. Back or East Wall of House. wt++aneE Ebvakm: 100.0 FL I�fIg.RICE1�6'$taAlp �^ OF,q�°�e� r � 4918 •�4rl Inspections performed by: Mike Anderson Dates: 1" 10/26/00WCHAEt E. ANDERSON•.� v 2n0 10/27/00 �,Cr,. CE -43E1 Department ofHealthand Human Services approval I,c pip P ••N�� .,� ttta.�►�`•�'► G✓. Jas -t (- 3=d 9/03/01 I 1 Reviewed and approved by: ate 1f'Zl pu.. la9ct Q 1V el 9-A1-0/ ANDERSON ENGINEERING P.O. BOX 240773 ANCHORAGE, AK 99524 522-7773 522-6779 (FAX) September 6, 2001 Municipality of Anchorage Department of Heath & Human Services 825 V Street Anchorage, AK 99502-0650 Subject: Lot 1, Ashland Subdivision Separation Distance Waiver Absorption Trench to Lot Line Dear On Site Services Engineer. The new absorption bed recently constructed on Lot 1, Ashland Subdivision encroaches within 5' of the eastern lot line. During construction it was determined this was the best location on the lot for the new system due to the shallow bedrock prevalent in the area. The lot line was not clearly staked during placement of the bed and the edge of the bed was inadvertently placed closer than 10' from the lot line. The property to the east of the bed is currently vacant and the likelihood of development in close proximity to this area is remote. We therefore recommend a lot line waiver be issued allowing placement of the new trench within 5' of the lot line. Sincerely, 74j4i-,, Michael E. Anderson, P.E. . MunlclpainyOTALncrlulage DEVELOPMENT SERVICES DEPARTMENT 4700 South Bragaw Street Anchorage, AK 99519-6650 -343-7904 On -Site Wastewater Disposal System or Well Inspection Report Permit Number SW000480 PID No. 020-101-25 1 ' Ss97 � f � •"O , g , e1 Pressure � at i .H Line Fro Houses 1 / M1 d 171 n 1 TH21M 2 Aisie g, Five Ste ' Bedroom ' IM '33.7 Ilouse c Z 1 5 ZA O � � 'u r O 'U .... 1 w LOT 1 n 011. i.:•::•::. �. O.* . 49 1-H, f `-*"' . 9r.... ..... . *.MICHAEL E. ANDERSCN CE -4331 \Y CQ=0� PLAN AS=BU1 ' ACCESS CASEVENT 1 roR LOT 2 t T0. A 1 o: 1 yl t 1 O ACCESS EASEMENT ro11 LOT 1 l ?X A LOT 2 rage C ul a TR A Air Compr Basement 'AiT_ Gauge Located in y Room. .ed in Garage.: 7Y, SECTION LNC EASEVENT -- . 1 ___ _ -T___ ____--_____- 1 lb' TA£ ESNT. -- -_ 589'56 32-W ASH 30.00 �No Municipality of Anchorage DEVELOPMENT SERVICES DEPARTMENT 4700 South Bragaw Street Anchorage, AK 99519-6650 - 343-7904 On -Site Wastewater Disposal System or Well Inspection Report Permit Number SW000480 PID No. 020-101-25 Pressure Line To Interior Lift Station I N T W E7 E 101.511 96.7 GAL. \,=E STEP Tank 8' u1 If Flushina 102.9 .Geotextile Fabric 2' Filter Sand 30' Page 3 of 3 6" of 3/8" Pea Gravel 98.9 _Airline 88.9 Stft PROFILE AS -BUIL <1 OF NO AE' E. ANDERSON p B� s� CE -4331 �0 rgf0. ...... 4th=tiRoeo«�� SEP -05-2001. 02:08 PM A.BRODIN 907 278 6962 P.Oo I UU/ 183 20.13; AUG -21.61 to:33AM; PAGE 1/1 Municipality of Anchorage r Depiftment of Health and Human Son-keo to %.' Strait not NWP.O. Sox 19at �� 9t161t ttl0 Altar Permit Number: #39JUM Date ofloaa: ll q pared Ideuthlestlon Number. 020 1Qj 2B > ption? 23-00 Dow Compkad:,$43-00 U well located at n;t approved pa locetW ® Ya [] No Pteperty Owner Nems%Adds: f3ener91 Entwp&es 10420 St Jaime Plaos ' • Annh gym* Ab 0e/t4A Rofthoss D Sea ryps. tLi"M et wtfta sum FrDml�th ( TO Method of peilHeS ®air rotary❑ tabic tool Caahap gyps. bf1COi s:•�' Well ThickneiriM'ioc . .,.` ad* -up 0 2 Bed odt 2 307 Dianetec: Q ioehes "-Dopth: & feet.. 1 Liner lype. Dilmeter lichee Depot: h>u Cada` stickup above Sromd: I toot %do water level (@om ®round ]even; Afoot Pampia; IevN:.sy� after A2 holm Pllmptog 1 gp<a Btt»vpy;tate: d ppm Method OfTeedag." ' Wenlatake Opeatnil Type: ❑ Open FM 2 Open Kok ❑ Saretud start tea Stopped feet ❑ Perforations Stan toot Stopped foot Croat Type: BaWAa to >18 Volume: J_U Depth: Slut Q feet Stopped 3 feet Pampt Intake Depth_ feet LaMti>m Brod Name Well Dhttateetad Upon Compted"? a Yes No Method of Dialafectbs: Commeata: Wop.Orlbar: Alphe DArinp A Enterprises P 0 Box11049t Andxnge AK 99511 Aftudsat The wdAdlkF atoll provide a well log to the property owner within 30 days of completion and the property nwrr n. A. .8.4.gw eke" n.~W 0 ILWI bow M 0.. turd %.401.:0 rA Aew, nrw.w....l.t:.n t Received Time SeP. 5• W OPM Municipality of Anchorage George P. 11'uerek, Mayor Department or Public Works Bttilding Safcty Di -vision P.O. Box IW>50 a 4700 S. Bragata Strcct Anchorage, Alaska 99519.6650 a (907) 343-&301 h ttp: //ei%iv.ci.anchorngc.ak.us Anderson Engineering ATTN: Michael E. Anderson, PE PO Box 240773 Anchorage, AK 99524 - September 21, 2001 Subject: Waiver Request forASHLAND LT I Waiver # WR010078 Lot Line Request for Parcel ID 020-101-25 Dear Engineer: Your request for a waiver of the required 10 feet horizontal separation of the on-site wastewater disposal system to the lot line has been approved. The approved separation distance is 5 feet. This waiver approval applies to the current on-site wastewater disposal system and lot line separation only. Any future upgrade to the on-site wastewater disposal system and lot line will require all separation distances to be met or another waiver approval from this department. If there are any further concerns or questions regarding this waiver, please call our office at 343-:791?y Sincerely, 0_� Jeff Poet Engineering Technician III On -Site Water Quality Program MUNICIPALITY OF ANCHORAGE Department of Health S Human Services Onsite Services Waiver Review Worksheet WR#: 010078 PID#: 020401-28 HA#: 010481 Permit#: SW000480 Date Received: 9.6.01 Legal Description: ASHALAND LOT 1 Engineer. PO Box 240773 Anchorage Ak. 99624 Applicant: Michael and Susan Hale Waiver Requested: 5 feet obsorotlon field to lot line Criteria: 1. Geology Points: A. Water Table B. Soil Sorption C. Permeability D. Water Table Gradient E. Horizontal Separation Total: 2. Special Conditions: 3. Other. Waiver is Granted: Waiver Is not Granted: List Conditions or Reasons for above: Date: q - 2 %- o By: .......... Rec#: 941-01 Amount: 116.00 Date Paid: 94-01 Municipality of Anchorage Development Services Department • Bmld n 8 SafCty lhvisun ,. On -Site Wew and Wctewrta Program 4700 Btagaw Street P.O. Box 196650 Anchoty-c, AK 99519-6650 w .dmchwmc.ilcm (907)343-7904 PROPERTY OWNER AGREEMENT FOR THE MAINTENANCE OF AN ON-STCE WASTEWATER DISPOSAL SYSTEM This agreement, dated On is made between the Municipality of Anchorage Development Services D artment (DSD) and the property owner(s) of. This agreement is made for the purpose of maintaining an on-site wastewater disposal system on the subject property. The property owners agree to the following. - Submit to the Municipality of Anchorage, on an annual basis, an inspection and operation statement from a registered professional engineer. This inspection and operation statement shall verify that the engineer has inspected all eMuent and air pumps, timers, and alarms, and that any deficiencies have been repaired and that the system is fimctioning as designed. (Signature) lli �& Z Alxle (Printed Name) (Notary seal Here) (signature) S"VW X' l"r (Printed Name) Z/Z 'd OcSVON Pld6S:Z1 1001 '81'6aS MUNICIPALITY OF ANCHORAGE Department of Health and Human Services On -Site Services Program 825 L Street, Room 502 P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-4744 ON-SITE WASTEWATER DISPOSAL SYSTEM I WATER SUPPLY PERMIT Renewal Permit Number: SW000480 Date Issued: Oct 25, 2000 Expiration Date: Oct 25, 2001 Parcel ID: 020-101-25 Legal Description: ASHLAND LT 1 Design Engineer: 0014 Anderson Engineering Site Address: 017209 ASHLAND DR Owner Name: Michael & Susan Hale Lot Size: 54639 SO. FT. Owner Address: 13240 Sean Cir. Total Bedrooms: 5 Permit Bedrooms: 5 Anchorage . AK 99516 - This permit is for the construction of: Disposal Field Q✓ Septic Tank E] Holding Tank F� 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. 5. The following special provisions. 1.) THIS PERMIT ISSUED FOR THE CONSTRUCTION OF A BOTTOMLESS INTERMITTENT DOSING SAND FILTER (IDSF). 2.) THE PROPERTY OWNER AGREEMENT SHALL BECOME A PART OF THIS PERMIT PACKAGE. 3.) THE BOTTOM OF THE 2 FEET OF SAND IN THE IDSF SHALL BE A MINIMUM OF 4 FEET FROM BEDROCK IN ANY PORTION OF THE FILTER SYSTEM. Received By: Issued By: Date: 19 ryl Date:/ 2 — 2 7 —L'10 t$ owo MUNICIPALITY OF ANCHORAGE Department of Health & Human Services On -Site Sewer/Well Permit Application (V0 —/a/Mot NOTE: Application must be filled out completely SINGLE FAMILY DWELLING Parcel kientificauon Number Property Owner Name/:1-/ �.I �CllRN �A� Day Phone 3yy 0�3� Mailing Address o s, /y c,,*Rrle Alelvfw XK Zip Code ?75AC Legal Description /or iySii�A./o S��d� U� f%dv l.W snrx sub*. . sa Tow p Ranpa Lot Siz —j { I Acr2 F Number of Bedrooms Inspections vrll be condu ted by: JZ Approved Engineering Firm ❑ Municipality (permit fee included) Does your house contain any of the following: ® Hot Tub ❑ Swimming Pool ❑ Therapy Pool ❑ Jacuzzi ❑ Water Softener Unit This application is for: ❑ Sewer Only R]Sewer and Well ❑ Sewer Upgrade ❑ Well Only ❑ Water Storage I certify that the above information is correct. I further certify that this application is being made for a Single Family Dwelling and ",%,�(�jp� 2 Ct Jot in accordance with applicable Municipal Codes. Property owner/Well Driller Receipt # Waiver Fees: Receipt # 72-012 (Rev. IP98)' Permit# Sf1000480 Waiver # IM MUNICIPALITY OF ANCHORAGE Department of Health and Human Services q I I 1 I c yo it s ! �'V On -Site Services Program �"' 825 L Street, Room 502 P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-4744 ONSITE WASTEWATER DISPOSAL SYSTEM / WATER SUPPLY PERMIT Initial Permit Number: SW990400 L I nq sh is nd Legal Description: Design Engineer. 0014 Anderson Engineering Date Issued: Oct 26, 1999 Expiration Date: Oct 25, 2000 Parcel ID: 020-101.84 a�) Site Address: Owner Name: General Enterpirses Lot Size: 435600 SO. FT. Owner Address: 16420 St. James Place Total Bedrooms: 5 Permit Bedrooms: 5 Anchorage . AK 99516-0000 This permit is for the construction of: ❑; Disposal Field Z 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 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. �5. The following special provisions., 1.) THIS PERMIT ISSUED FOR THE CONSTRUCTION OF A BOTTOMLESS INTERMITTENT DOSING SAND FILTER (IDSF). 2.) THE PROPERTY OWNER AGREEMENT SHALL BECOME A PART OF THIS PERMIT PACKAGE. 3.) THE BOTTOM OF THE 2 FEET OF SAND IN THE IDSF SHALL BE A MINIMUM OF 4 FEET FROM BEDROCK IN ANY PORTION OF THE FILTER SYSTEM. Received By: Issued By: Date: Date: ANDERSON ENGINEERING P.O. BOX 240773. ANCHORAGE, AK 99524 522-7773 522.6779 (FAX) RECEIVED MEMORANDUM OCT 251999 Municipality of Anchorage DATE: October 25, 1999 Dept. Health & Human Services TO: Dan Roth ^, pµ� FROM: Mike Anderson, P.E. i Tl" SUBJECT: Lot 1, Ashland Subdivision Well and Septic System Design and Permit Application Revisions have been made to the permit application for the construction of a well and septic system on Lot 1, Ashland Subdivision in accordance with your comments. The revisions include: 1. The package has been modified to specify a 12' x 30' bottomless sand filter instead of 10' x 36'. 2. Testholes No. 1 and 2 have been redesignated as Testholes No. 21 and 22. 3. A section has been included in the specifications referring to the Operation and Maintenance Manual for Design, Construction and Maintenance of Intermittent Sand Filters. All comments have now been resolved and we request the permit be issued. Thank you for your time regarding this matter. ANDERSON ENGINEERING P.O. BOX 240773 ANCHORAGE, AK 99524 `522-7773 522-6779 (FAX) October 1, 1999 Municipality of Anchorage Department of Health and Human Services 825 "L" Street Anchorage, AK 99502-0650 Subject: Lot 1, Ashland Subdivision Septic System Design Permit Application Impacts to Adjacent Properties Dear Onsite Services Engineer: Lots 1 and 2 of Ashland Subdivision were recently created through File No. S10397. The owner now intends to construct a septic system on Lot 1. The attached documentation details the type and size of the absorption bed and septic system. It also shows the location of the well proposed for the lot and provides a 100' separation distance radius. Due to the presence and elevation of bedrock it is necessary to construct a bottomless sand filter to reduce the size of the absorption bed and insure proper treatment of the effluent. The testholes placed on the lot revealed bedrock at varying depths. Soil materials found in the holes was primarily gravel with some silt. Percolation rates were very good and always lower than 5 minutes per inch. No groundwater was encountered during placement of the testhole nor was any noted during the monitoring period. We have therefore designed a bottomless sand filter with the distribution piping placed at or above existing ground to provide a minimum of 6' clearance to bedrock. The ground surface on the lot slopes from east to west at varying grades.. The new absorption bed will be placed parallel to the slope of the ground in accordance with Municipal design requirements. Surface grading will be accomplished to assure drainage is away from the finished bed surface. Efforts will be made to protect the bed from surface runoff water. All wells in the area are more than 100' from the proposed upgrade and no conflicts with other septic systems was noted. If the system is constructed in accordance with our design the following statements apply: The system, if constructed as designed, will have no adverse impact on the wells in the area or those to be constructed in the future. 2. The system, if constructed as designed, will have no adverse impact on existing septic systems in the area or those to be constructed in the future. 3. The system, if constructed as designed, will have no adverse impact on reserved Lo: 1, Ashland Subdivision October 1, 1999 Page Two space, either surface or subsurface, on any lots located in the area. 4. The system, if constructed as designed, will have no adverse impact on drainage patterns in the area. The current drainage pattern will be maintained. Sincerely, Michael E. Anderson, P.E. Attachments IA••i I•S•n„�L 4AJ s } •10 iG ASEu NT/ I 0 n I 5,000 Square Foot Area For 1 3 -12' X 30' Absorption Beds. \\ r I I I I I I MA 1 6AC A li D' — — -�,— = —326:93- \030 \ \ LF\O SCALE: 1'= 100'\�o \ \ SEPTEMBER 9. 1999 X10,000 Square Foot Septic Reserve Area KENO HILLS SUB ADDITION NO ASHLAND SUE TEST HOLE 4M1 -E LOCATIONS Vacant Vacant 1j., i E n L T 21 ra O o L� f e gl n70 �i T 2 210 Drab hto ! O TEp geN.t pe lAir ASHLAND DRIVE --J Line A f Vacant r zIn ra02 A I tSh saii ricket n 3 edde ath ,7 jeZ,1/ rocre Min me Eui OD ipe puede arae°r ur a1 pvC 8 e Asa Proposed ® Well LT 2 (Currently Vacant) SITE PLAN SCALE 1" = 50' 33' Section Line Easement JOB 'ANDERSON ENGINEERING P.O. Box 240773 SHEET NO. OF ANCHORAGE, AK 99524 CALCULATED By DATE (907)563-7155 (907) 337.8855 CHECKED By DATE L.mun�wipy.aw»siwA. LOT 1, ASHLAND SUBDIVISION DESIGN FACTORS: 5 Bedroom Home Perc. Rate: <5 MinJinch Application Rate: 3 GPD/SF SYSTEM REQUIREMENTS: Bottomless Inter. Sand Filter 2,000 Galion STEP Tank 2' Coarse Sand (See Spec.) Air Supply Line (Anch. Tank) 6" of 3/8" Pea Gravel 5 Bedrooms X 150 GPD = 750 Gallons Per Day 750 GPD/3 GPD/SF /12 LF (Width of Bed) = 22.5 LF Length of Bed Therefore: Construct a Bottomless Intermittent Sand Filter System 12 Wide X 30' Long. Distribution Piping to be Placed at Original Ground Surface or 2' Above Depending on Depth of Bedrock. 2" High Density Direct Bury Insulation and 2' Protective Cover Over Filter. 3/ 4" IM 56140 PYC LAIM5 (11=5.9fLD5. AqV Fl.MM V&\rC51Tz0MI DR5W), � �4" 1741. MDt�tf01�JC fI13E Af EI61 C�fK PEi OPAtED t3EtYYEEN fLi' PLYN000 BATM 1 I/ 4" IM 56140 PVC 0r5M17IND plStifUflpN FPE /f'D W D= ISD PL11 iPG VIL1E5 17 `LGWa LM PPDM NVEf'f. (VML 1/ 4 NOi IM I10LE5) . (V M PLYJUTNt C04z) 50f" AI V IJ4�ivfdo PI.Ja CM OH =OM AV VM(EXtEW APM IRPLT) 30(MW I/41,HaZ5 PLAN VIEW.. BOTTOMLESS SAND FILTER DETAILSi•pp� , (NO SCALE) �}a-.4 NOTE: Grade Area to Drain Away. '/r =t"L.LI:.AM Maintain 6' Separation From Bedrock. Provide 4' of Cover or 2" Insulation and 2' Coved .Grade Surrounding Area to Prevent Surface Drainag%k§ ViWrNly LOT 1, ASHLAND SUBDIVISION DESIGN FACTORS: 5 Bedroom Home Perc. Rate: <5 MinJinch Application Rate: 3 GPD/SF SYSTEM REQUIREMENTS: Bottomless Inter. Sand Filter 2,000 Gallon STEP Tank 2' Coarse Sand (See Spec.) Air Supply Line (Anch. Tank) 6" of 3/6" Pea Gravel 5 Bedrooms X 150 GPD = 750 Gallons Per Day 750 GPD/3 GPO/SF /12 LF (Width of Bed) = 22.5 LF Length of Bed Therefore: Construct a Bottomless Intermittent Sand Filter System 1 2' Wide X 30' Long. Distribution Piping to be Placed at Original Ground Surface or 2' Above Depending on Depth of Bedrock. 2" High Density Direct Bury Insulation and 2' Protective Cover Over Filter. 6" LffiM "fFi Direct Bury 'LlUFRW Insulati `YA nt� Cf1YJ N 12' 17-1 2 fEft MN. OF FLiEK SMD Mt LK 18"OElAN TOP GF5MV PROFILE VIEW BOTTOMLESS SAND FILTER DETAIL (NO SCALE) NOTE: Grade Area to Drain Away. Maintain 6' Separation From Bedrock. Provide 4' of Cover or 2" Insulation and 2' Grade Surrounding Area to Prevent Surface of AA ��•. 4'IIt� r ,r9 . nl►I 1�3�"'+� is e. tt`i\�\b�``� PERFORMED FOR .. Municipality of Anchorage . DEPARTMENT OF HEALTH & HUMAN SERVICES 825 -L" Street, Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION TEST John Berggren LEGAL DESCRIPTION'. Lot 1, Ashland Subdivision eFiYfy 'W�O� 5 !"••G"'C�i'ares 8 9. TESTfIOLE NO. 21 0 ,0;i WASGROUNDWATER •/ ENCOUNTERED? COMMENTS IF YES, AT WHAT DEPTH? 1D Depth 10 waur r -f�� I �.1_ PAUAWMC? IUI pry 7 40% • `a DATE PERFORMA�s�' \ N Reading Date Gross Time Net Time Depth to Water Net Drop +r, 1: : o Y 11.01 r PERCOLATION RATE � �' (mrnrtestncn) PERC MOLE DIAMETER � 4' TEST RVN BETWEEN —3 FT AND FT - PERFORMED BY: 1""^"""'VY4r'cRTIFYTHATTH//tSTEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: D r�4 72 -"IR" A.RM Municipality of Anchorage DEPARTMENT OF HEALTH d HUMAN SERVICES 825 -L" Street. Anchorage. Alaska 99502-0650 SOILS LOG — PERCOLATION TEST PERFORMED FOR: John Berggren LEGAL DESCRIPTION: Lot 1, Ashland Su T ' 174. OL, 2 +7 •' 3 J;-, 4 yet D •r 6- 7- TESTIIOLE NO. 22 s1 • 9'J DATE PER ' ID • Net Tune Depth to Water WASGROUNDWATER N 1` 15- TEST RUN BETWEEN ENCOUNTEREDt 11 '1 o,f ,04 17- IF YES, AT WHAT DEPTH' V 12 - l�•al ,f S� 18 - i4,s5i Dep to water Aver 13 12. p.► mm"? NO k6—> 14- d15161718 • Net Tune Depth to Water Net Drop ' 15- TEST RUN BETWEEN FT AND FT 16- '1 o,f ,04 17- 12° :�19 l�•al ,f S� 18 - i4,s5i 19, 12. p.► COMMENTS �4C•{ti.cttl.. �W �•c lltFa i� &"FCAcv"I3 :s \ N Reading Date Gross Time • Net Tune Depth to Water Net Drop ' TEST RUN BETWEEN FT AND FT •4•I:SL '1 o,f ,04 12° :�19 l�•al ,f S� 01 i4,s5i Yb 12. p.► PERCOLATION RATE Z Inunuiesvtnchl PERC HOLE DIAMETER r. TEST RUN BETWEEN FT AND FT PERFORMED BY: 1 -•i (�THAT THIS /JEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE DATE 72.008IRee. 4a8S) ON-SITE WASTEWATER DISPOSAL SYSTEM CONSTRUCTION AND MATERIAL SPECIFICATIONS SUBJECT: LOT 1, ASHLAND SUBDIVISION GENERAL: 1. The scope of this project includes the procurement and placement of a new 2,000 gallon combination septic tank/lift station and pressure distribution system. Work also includes the construction of a new 30' long x 12' wide Bottomless Intermittent Sand Filter. A minimum of 2' of coarse sand material meeting the attached specification must be imported and placed in the filter area. The filter must then be constructed atop the imported material. Distribution piping must be placed at or above existing ground to provide 6' separation from bedrock. 2. Construction shall be in accordance with the approved site plan, design drawings, Municipal Permit with any special provisions or conditions, and all applicable State and Municipal Wastewater Disposal Regulations. 3. The Contractor shall be responsible for obtaining all underground utility locates and for the layout of the septic system. 4. Unless specifically agreed otherwise, the contractor shall be responsible for final grading areas subsequently depressed from soil settling. The property owner shall be responsible for revegetation of affected areas unless specifically agreed otherwise. 5. Contractors installing wastewater disposal systems must be certified by the Municipal Department of Health and Human Services for system installations. Owners installing their own systems must receive prior approval from D.H.H.S. before beginning system installation. SEPTIC TANK/LIFT STATION INSTALLATION 1. The 2,000 gallon septic tank/lift station is to be constructed by a certified tank manufacturer. Construction shall include an 18" manhole for access to the lift station. Lot 1, Ashland Subdivision October 1, 1999 Page 2 2. The septic tank/lift station shall be sufficiently bedded to prevent settling or shifting of the tank. 3. All standpipes shall extend a minimum of 12 inches above final grade. 4. Septic tank/lift stations installed without 4' of cover shall have a minimum of 2" of direct burial insulation. 5. A foundation cleanout shall be installed one to four feet from the building foundation. No cleanouts are required between the I i f t station and the drainfield in a pressure distribution system. 6. Final grading over the septic tank/lift station shall be such that a positive slope exists away from the septic tank. ABSORPTION BED CONSTRUCTION: 1. The absorption bed shall be constructed to the dimensions shown on the design. The bottom of the bed shall be within 2" of level. 2. Distribution piping must be placed level with perforations down atop a level bed of drainfield rock. Rock should then be placed over the pipe to provide a minimum of 2" of cover. 3. A silt barrier or geotextile fabric must be placed between the drainfield rock and the natural soil backfill. 4. Monitor tubes must be 4" in diameter and installed at the locations shown on the design. The portion in the drainfield rock must be perforated. 5. Direct bury insulation must be placed over the distribution system when less than 3' of backfill depth is available. Finish grade over the bed must be mounded to prevent settlement or depressions. MATERIAL SPECIFICATIONS: 1. The lift station must be constructed by a Municipally approved septic tank manufacturer. An Orenco 20 OSI 05 HHF - 5 i s recommended. Lot 1, Ashland Subdivision October 1, 1999 Page 3 2. The following pipe materials are approved for use in septic system installations in the Municipality of Anchorage: Cast iron (perforated and solid), ASTM D3034 or PVC (Perforated and solid), ASTM F810 or HDPE (perforated, but not solid) and ASTM D2662 or ABS (perforated and solid). 3. Insulation shall be at least 2" thick extruded direct burial polystyrene (Dow Chemical Co. Styrofoam HI or equal). 4. Septic tank inlets and outlets shall be fitted with watertight couplings (Caulder, Fernco, or equal). 5. A permeable geotextile fabric (Typar, Mirafi or equal) must be installed between the final drain rock layer and the native soil layer. 6. All drain rock shall be .5" to 2.5" in diameter with less than 3% passing the #200 sieve. EQUIPMENT SPECIFICATIONS: 1. Air Supply Line Shall be a Wasteflow Emitterline, 1/2" Inside Diameter from Anchorage Tank. Line shall be insulated with 1/2" foam pipe wrap inside a 2" Schedule 40 PVC Jacket buried a minimum of 3' below the surface. 2. Air Compressor Shall be a Thomas Industries Model 5070 as supplied by Anchorage Tank. Compressor shall be located in the garage or crawl space. 3. Pressure Gauge from 0 to 10 PSI Shall be furnished and installed in the garage. INSPECTIONS: A minimum of two inspections are required by Municipal Ordinance. These inspections must be conducted under the supervision of a professional engineer registered in the State of Alaska. The first inspection must be conducted after the excavation of trenches, beds or pits and before the installation of any gravel. A septic tank may be set in place, but may not be backfilled. t Lot 1, Ashland Subdivision October 1, 1999 Page 4 The second inspection must be conducted after the placement of the geotextile fabric, gravel, distribution piping, standpipes, cleanouts and insulation. No backfill should be in place at the time of the second inspection. The contractor is responsible during the layout of the system to assure that all separation distances from adjacent wells in the area are met. OPERATIONS AND MAINTENANCE MANUAL An Operation and Maintenance Manual for the Design, Installation and Maintenance of Intermittent Sand Filters is available from the Municipality of Anchorage, Department of Heath and Human Services, Onsite Services Program at 825 L Street, Room 502. It is imperative the system be maintained in accordance with this manual to provide trouble free service. FILTER SAND SPECIFICATION ACCEPTABLE SOURCES: 1. Road sand from Central Paving Producis (Palmer). 2. ASTM D 33 concrete sand from Quality Sand (Wasilla). 3. Pit run sand from Beaver Lake Sand & Gravel (Wasilla). Any sand from a source other than the above must havo a sieve analysis performed which indicates that the product is a sand and has less than 4% passing the #100 seive and less than 20% passing the #200 seive. 0 BR:. ,OCT -13-1999 WED 03:01 PN LANTECH/SLANA FAX N0, 5616626 PROPERTY OWNER AGREEMENT FOR TI3E 1<IAINTENANCE OF AN ON—SITE WASTEWATER DISPOSAL SYSTEM 711a agrecmtnt, dated OW /0 1998, is made between the Municipality of Anchorage Department of Health and Human Services (AH1iS) and the property owncr(s) of: This agreement is made for the purpose of mainta.iaing an oa-site wastcwarer disposal system on the subject property. The property owners agec totoe following: Submit to the Municipality of Anchorage, on an annual basis, an inspection and operatloa stltexaent from a registered professional engineer. This inspection and operation statement shall verify that the engineer has inspected all effluent and air Pumps, tuners, and alarms, and that any deficiencies have been repaired and that Me system is functioning as desigrred, V- (Si, Lure) (Printed Namu) (Signarure) (Printed Nage) _ � ------Wocarize tture — __._n__ i�nnnn y I q State. of "0/ On this �� da of J.0hn V4ji{ki personally appeared brfore mr., who is personally known to me whoee identity I proved fe basic Of whose idexitity I grove0*411',4 thfofFirmation of S.. �G9,P,L- A�: s;,N:•b,;,,•._��%credible wituess to be tba signer of the above dcaur.,w t end e F LnowlbegCdth.7t he/�ssbe. s4i�sadd it, PUBLIC. , ��l••;fy»a�`;.•f,�! li tary I'ub)_i �O//�3'OFP ion expiresIJ�Q i/Z •d Received -Time Oct•13. 1:57PM oi��1,,irii111111v�� 14 z 6 0l P. 01 711a agrecmtnt, dated OW /0 1998, is made between the Municipality of Anchorage Department of Health and Human Services (AH1iS) and the property owncr(s) of: This agreement is made for the purpose of mainta.iaing an oa-site wastcwarer disposal system on the subject property. The property owners agec totoe following: Submit to the Municipality of Anchorage, on an annual basis, an inspection and operatloa stltexaent from a registered professional engineer. This inspection and operation statement shall verify that the engineer has inspected all effluent and air Pumps, tuners, and alarms, and that any deficiencies have been repaired and that Me system is functioning as desigrred, V- (Si, Lure) (Printed Namu) (Signarure) (Printed Nage) _ � ------Wocarize tture — __._n__ i�nnnn y I q State. of "0/ On this �� da of J.0hn V4ji{ki personally appeared brfore mr., who is personally known to me whoee identity I proved fe basic Of whose idexitity I grove0*411',4 thfofFirmation of S.. �G9,P,L- A�: s;,N:•b,;,,•._��%credible wituess to be tba signer of the above dcaur.,w t end e F LnowlbegCdth.7t he/�ssbe. s4i�sadd it, PUBLIC. , ��l••;fy»a�`;.•f,�! li tary I'ub)_i �O//�3'OFP ion expiresIJ�Q i/Z •d Received -Time Oct•13. 1:57PM oi��1,,irii111111v�� 14 z 6 0l �</'Al' c' aae'ela'l- I/eadl Municipality of Anchorage -• Development Services Department o'e• e� ` Building Safety Division % On -Site Water and Wastewater Program SA ITT 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.cl.anchorage.ak.us (907) 343-7904 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. 020-101-25 HAA # 65C)21-2. Expiration Date: BI 3 0 O.'�- 1. GENERAL INFORMATION Completelegal description Lot 1 Ashland Subdivision Location (site address or directions) 17209 Ashland Drive Current Property owners) Michael and Susan Hale Day phone 344-0838 Mailing address Lending agency Mailing address Real Estate Agent Mailing Address 17209 Ashland Drive Anchorage, AK 99516 Unless otherwise requested, HAA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: Individual Well Individual Water Storage Community Class Well Public Water System Five 5 Day phone Day phone TYPE OF WASTEWATER DISPOSAL: ® Individual On-site ❑ Individual Holding tank ❑ ❑ Community On-site ❑ ❑ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority Approval (HAA) based only upon the representations given in paragraph 5 by an Independent professional civil engineer registered in the State of Alaska. Certificates of Health Authority Approval are required for the transfer of title (except between spouses) for properties served by a single family on-site wastewater disposal and/or water supply system. DSD also issues HAAs upon request to homeowners. Certificates of Health Authority Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water sample results less than 30 days old. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affoced hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Health Authority 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 _Anderson Engineering Phone 522-7773 Address P.O. Boz 240773 Anchorage AK 99524 Engineer's Printed Name Michael E. Anderson P.E. Date _ 5/20/2005 5. DSD SIGNATURE /— Approved for 7 bedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulations: Attachments: HAA Checklist X Maintenance Agreements Septic System Advisory Supplemental Engineer's Report Well Flow Advisory Other By: }� • Original Certificate Date: -JI-3/ d (i;tw. +Zoo) Municipality of Anchorage <•, • Development Services Department ` Budding Safety Division On -Site Water 8 Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-66W www.ci.anchorage.ak.us (907)343-7904 HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: rot + Ashland Subdivision Parcel ID: 020.101-25 A. WELL DATA Well type Prhiate If A. B. or C provide PWSID # _ Date completed 9125!2000 Sanitary seal (Y/N))[ Total depth 387 ft. Cased to _22—ft. FROM WELL LOG Date of test 9/25/2000 Static water level 9 ft. Well production 4 g P•m- WATER SAMPLE RESULTS: Coliform Q_colonies/100 ml. Nitrate 1.19 mg.A. Well Log (Y/N) Y Wires property protected (Y/N) Y Casing height (above ground) 24 n. AT INSPECTION 11/4/2004 25 ft. 2.59 g.p.m. Other bacteria 0 colonies/100 ml. Date of sample: 4/19/2005 Collected by: Gamess Engineering Group B. SEPTIC/HOLDING TANK DATA Tank Type/Material STEP/Steel Date installed 10/26/20W Tank size 2.000 gal Number of Compartments 2 Cleanouts (Y/N) Y Foundation deanout (YIN) N Depression over tank (YM) N High water alarm (Y/N) Y Date of pumping 4/29/2005 Pumper A Plus Home Services C. ABSORPTION FIELD DATA Date instatled 10/27/0 Sod rating (g.p.dJfeorft21bdrm)3GPQJSF System type Sand Filter Length 30 ft. Width 15 ft. Gravel below pipe .5 ft. Total depth § ft. Eft. absorption area 4aft Monitoring tube Y Depression over field 1N Date of adequacy test 4/27/05 Results (Pass/Fad) Pass For bedrooms Fluid depth in absorption field before test.Q in. Water added gal. New depthQ in. Elapsed Time: Q min. Final fluid depth Q in. Absorption rate >= 760 g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) N If yes, give date D. LIFT STATION Date Installed 10/27/2000 Size in gallons 250 Manhole/Access (Y/N) Y 'Pump on' level at 43 in. 'Pump ofr level at 43 in. High water alarm level at 45 in. Datum Bottom of Tank Cycles tested 10 Meets alarm & circuit requirements?IL_ E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/Ilft station on lot >100' Absorption field on lot >100 Public sewer main R/A Sewer /septic service line >2S On adjacent lots >JW On adjacent lots >100' Public sewer manhole/cleanout N/A Holding tank N/A SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation >5 Property line >V Absorption field >5' Water main N/A Water service line >10' Surface water >I My Wells on adjacent lots >100' SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 5 *" Building foundation >IV Water main >10' Water Service line > 10' Surface water > 100' Driveway, padrinyvehida storage >2V Curtain drain None Noted Wells on adjacent lots >JW F. COMMENTS G. ENGINEER'S CERTIFICATION I certify that I have determined through Reid inspections and 49th review of Municipal records that do above systems are in coMormance with MOA HAA guidelines in effect on this date. i 1QOM[L waERM Engineer's Printed Name Michael E. Anderson. P.E. ' No. a -43e1 Data 5/20/2005 yA_�Rresecld�� HAA Fee $ V3 •' Date of Payment S- 'AV - 05 Receipt Number 6y «n (Rev. 12000) Waiver Fee $ Date of Payment Receipt Number UfaT•19. 20051 7:37ANr1EEe)arness Engineering GrouP. Ltd '5301 SGS Rer.A 1052039001 CTeu( Name Garnesa Engineering Group, Ltd - td.ProjectNamcN7 Project Natocffl Ashland SID Lot I Client Sample ID Ashland SID LOT 1 Matrts Drt;-1-Ing Water T-54No•605377 P•-3 An DatmMmes are Alaska Standard Time Printed pate/lime 04/272005 10:50 Collected Datemme 04/192005 14:40 Rece)vedDate/Time 04119200515:00 Technical Director Stephen Q Ede $ample Remarks: AOoua6ly Poop Aaalysir ParammT Rauh POL Units Method Conataer10 Limits Date Dam Ina metals DODa-tmnt Hardness as CaCO3 144 5.00 mg/L SM20 2340B D 0420105 0421105 SCL Private Individual Analyais 393 20.0 ug/L 82200.6 D 0420MS 0421105 SCL Aluminum 1.0011 1.00 ug/L EMOM D (<-6) 04.20/05 04.21/05 SCL Antimony S.OD U 5.DO ug/L. EP200.8 D (c-50) 0420105 04121/05 SCL Ars-mc 63.0 3.00 ur)L EP200.8 D (<-2000) o4ims 0421105 SCL Barium 0.500U 0S00 U:tL 82200.8 D (151 0420105 04121/05 SCL Cadmium 41900 Soo ag/L 82200.8 D 04201(15 0421105 SCL Calcium I.00U 1.00 ug/L EP200.8 D (-100) 0420105 0421/05 SCL Chromimn 1.00 ug/L E820D.8 D 01300) 0420105 D421/05 SCL Copp=r 743 250 n8/L EMS D (o-300) MOMS 04MIDS SCL two 250 U 0.200 "JL EP200.8 D ("13) 0420105 0421/05 SCI. Lad 1.14 9660 5D.0 ug/L EP200.8 D 0420105 0421105 SCL Mapp rn 1.00 ug/L 22200.8 0420/05 0421/05 SCL nese Manganese 40.0 0.100 mg/L EPA 300.0 C (-250) 0421105 WAW CWoride 113 200 ug/L $2200.8 D 0420105 0421/05 SCL P)tosphona 2DOU C (�2) p421/05 WAW Fluoride 0.100 U 0.100 mgtL. EPA 300.0 0420/05 O42110S SCL Soo U 500 nglL EMU D Potassium 0.100 mgt 8.PA300.0 C (<-30) 04/19/05 XM NivarrN 1.19 og/L EP200.8 D 0501 DOMMS 0421M5 SCL Selenium 500 U 5.00 ().100 mga. EPA300.0 C (tel) 04119105 XM N)Mte-1( 0.100U MOO.$ D (o-250000) 0420105 0421/05 SCL Sodium 20200 5DO og/L 82200.8 1) 0420!05 0421/05 SCL Silicon 5140 200 n8/L. ng/L EP2DO.8 D (o-lon) 0420105 0421105 SCI Silver 1.000 1.00 a °� LP200.8 D (�21 04120/05 0421105 SCI 71ulliwT 1.00 U 1.00 mg/L EPA300.0 C o-2501 (142IMS WAa 45.5 D.100 Sultan 4dav•19. 2005u 7 : 37AW.-.Ta 0 a r n e s s Engineering GrouP. Ltd•5301 T—s N0.6053.01 P 44 SGS ReLR 1052039001 Client Name Gamess Enrinecring Group. Ltd. project Namem Ashland SID Lot I Client Sample ID Ashland SID Lot 1 Matrix Drinking Water AA DatrYrimef are Alaska Standard Time rriotedDateMme 04/27/2005 IOM CoDected Date/Time 04/19/2005 14:40 Received Datrmtoe OMI9/2005 15:00 Technical Director Stepben C. Ede Allowable hep Analysis PAXwencr Rzsufa PQL UNts Method ConumalD 'Lhnlu DOC Dare wt private Znd:vidual Analysis zinc 5.00i] 5.00 ug/L EP200.8 D (x3000) 04/10/05 04121/05 SCL Total Dissolved Solids 216 10.0 mg/L SM202540C C (<500) 0425/05 KAL Nickel 2.00 U 200 ug/L &'200.8 D (�1-100) 04120105 04121/05 SCL TIC03Alka:kaiy IS3 10.0 mp)L SM2023200 C 04/19/05 KAL 003 Alkalinity 10.0 U 10.0 mg/L Sh120 23201 C 04119/05 KAL OH Alkaliniy 10.0 U 10.0 mCIL SM20 23208 C 04119105 KAL Condwivity 350 1.00 umhoskm ST420251OB C 04119/05 KA 7.60 0.100 pH units EPA 150.1 C (63.8.5) 04/19/05 KAI. PH 153. 10.0 m;JL SM202320B C 04119105 KAL Alkaliaily 0 wV100mL SM209222B A (o-1) 04119/05 TLF TotalColifotm O I_vI-1 Wv Il.L BASKETEALL COURT PLAT NOTE #3. TEMPORARY ACCESS EASEMENT FOR TRACT A OVER LOT 1 SHALL BE AUTOMATICALLY VACATED UPON PROVISION OF ALTERNATIVE ACCESS •, TO TRACT A �' `• `%":: ' LIFT STATION SATELITE-� 2' DIAM. DIST- 60CO IT . �•.' a l !T � 1 a •. .>. rl ' • EICNT SEPTIC Et •e ' .y VALVES' EXISTING s 53.8 VOUSE e! C •..:33 7 a �,i z ` ^ TR A CO s m w I T U N `oW00I t`t `'•'-• �a'i°• ri s�I LOT 1 C) a I : x . L= I - 1 � •4 s5 ti`s' oop000� ACCESS. EASEWL14T `, .OF Ak! o; 0 I POR LOT 2 A: TR. A `L .LOT Z - �v�P . of . $�. ... y0.�� mi `%% �T"...""""" 0.�..:.... . r1; - C��..••, Michael L J°kelp;• LS -7839 i O � Q� s �}:,. ►q _ o,�' S°off SIODOt topes ' sACCESS EASEMENT +Q, •-1 ��ODp00 O O rOP. LCT 1& TP., A 1 �8 I I 33' SECTION LME EASEMENT I 10• TAE ESAIT . SB9.5632'W •.r - 30._00 Gq\ A47 . SO' SECT -ON LINE ROAD RESESVATON (2I ND �" -------------- __ __ cv. xnca e - EXCLUSION NOTES: It Is the owners responsibility to determine LEGEND: SE- aNE E A R B AR A R A M SE Y the ex'st"Ca of any 00a menta, covenants. ar TesUklions S%e'RE W, CAPC' 5/s" RB With DYNAMIC PRCPERTIES wnich do not oppwar on the recorded subdivision plat. NOTE: + .i eU°cner noon or Isa establishing any data hereon be used Icy 38' AL.MON. M0taivEAr 9 property fines. IAM 4 TACK d SURVEY CERTIFICATION: LANIECR has conducted a OVERiAMC- x x — physleal survey o/ NL property oe shown on this WOCC DECKS- dawIng and that the Yespo"rnonle situated there ccN7RETE- on are within the properly Iines and no enorh- AE menta exist other than solooc ed. STmµ-_ & N U ION URVEYORS-PLANNERS-ENGINEERS SEPTIC _ . AS—�U'L- OF; LECALDESCRPTION: GRAVESTANDPIPE$- ANC-WEST BENSON BLVD, 103 WATVR WELL - ANCHORAGE• ALASKA � (fax) 6 -52 1 99503 (907) 562-5291 LOT 1 tiORX ORDER NUMBER: oA scyL SLAT euusEe. APRIL 12. 2005 1'�SO' 99-95 ASHLAND SUBDIVISION 20054-098A A� se L"Ea[D e, a¢D NIYeFp . 15M MW 3338 637/33 ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND REPAIR AGREEMENT MEMORANDUM OF UNDERSTANDING BETWEEN MUNICIPALITY OF � ANCHORAGE AND THIS MEMORANDUM OF UNDERSTANDING made and entered into as of this day of of 20 5, by and between o rC - VIIdl herein the "OWNER," and the Municipality of Anchorage, herein the "MUNICIPALITY." In consideration of the mutual covenants contained herein, the parties to this Memorandum of Understanding agree as follows: 1. ADVANCED WASTEWATER TREATMENT SYSTEMS. Municipality grants permission to Owner to utilize and operate an Advanced Wastewater Treatment System (AWWTS), described as located at Alvz xlvd ,fin T l , Anchorage, Alaska. 3!�,0 9 4,5#4XNO 6/ . / AvelleZ46C, 1q e 99S//i 2. Definitions. A. Alteration. Any change to the design or function of an AW WTS that includes the installation or removal of any parts, components or pieces not included in the original construction permit and design. Prior to performing any alterations to an 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. These approvals certify that the systems are adequate for the homes that they support and meet the codes that were in place at the time of system construction. C. Damage. Any man-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 AW WTS that were included in the original design which would allow the AW WTS to continue to perform as designed. E. Permit (Construction) An On -Site Wastewater Disposal System Construction Permit as defined by AMC 15.65. F. Permit (Operating) An Advanced Wastewater Treatment System Operating Permit. An annual permit, issued by the Municipality, that allows the Owner to operate an AW WTS, 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 ($_.00), 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 AW WTS. The term begins on the date of approval by the Municipality of the installed system and shall continue while the AWWTS 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), (2) 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 ANti VTS. 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 AW\VTS are codified in AMC 14.60. D. Owner agrees that only maintenance, repair personnel certified by the Municipality Hill inspect and make any necessary maintenance, repairs or permitted alterations to the system. E. Owner agrees to grant the Municipality reasonable access to test and inspect the AWWTS upon 24 hours written notice. F. Owner agrees that any sale or transfer of title of the property will not occur without a new Certificate of On -Site Systems Approval. G. Owner agrees that the relevant provisions of the standard specification guidebook for AW WTS is the governing professional guidelines for the construction, maintenance and repair of the Owner's AW WTS. 7. Nonwaiver. The failure of either party at any time to enforce a provision of this Memorandum of Understanding shall in no way constitute a waiver of the provisions, nor in any vvay 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 wTiting 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 parties 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 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. ONYNEER: p �e By: Ata ,C &&,x Date: .��/4OS MUNICIPALITY: By: Title: Date: STATE OF ALASKA ) ) ss. THIRD JUDICIAL DISTRICT ) The foregoing instrument was acknowledged before me this day of nJ�, 20ZCSby iI%rat �nnecN�- �//�7:1n/ ,the tiw6wtG of /)A � t� lc, on behalf of the Municipality of Anchorage. 7y Commission expirBLfC1es: A��a `"k�t�EENru The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority Approval (HAA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. Certificates of Health Authority Approval are required for the transfer of title (except between spouses) for properties served by a single family on-site wastewater disposal and/or water supply system. DSD also issues HAAs upon request to homeowners. Certificates of Health Authority Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water sample results less than 30 days old. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineers work. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seat affixed hereto and as of the validation date shown below, I verify that 'my investigation, based on procedure§ outlined in the Health Authority ApprovalGuidelines•forlhis'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 inve-sfigation`and inspection, the`on-site water supply and/or wastewater disposal system )s(are) in compliance with'all applicable Municipal and State codes, ordinances,- and regulations In effect at thelirnfi of installation. Name'of Firm Anderson Engineering Phone.- 522-7773 77 Address P O Box 240773 Anchorage, AK 99524' Engineer's Printed Name � Michael E Anderson. P.E Date 91612001 s ' OF'A�Id/ r*; 49�^ fa:.C.. �.... I - Akl J44 -L. E ANDERSON � � 5 DSD SIGNATURE a AIO'✓r CE=4381 Approved for.- .Disapproved Conditional approval for - bedrooms; with the following stipulations ul- (tfffrlir .fig, Additional Comments ��: WATERAND . ATER PROGRAM ///JJJJim J 1 I )1111111, Attachments: HAA Checklist X Maintenance Agreements Septic System Advisory Supplemental Engineer's Report Well Flow Advisory Other By: �e7 p / r!! Original Certificate Date: 9 1- o / 40 (P". IZW) Municipality of Anchorage Development Services Department Building Safety Division On -Site Water & Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519.6650 www.ci.anchorage.ak.us (907) 3437904 HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: Lot 1 Ashland Subdivision Parcel ID: 020.101-25 A. WELL DATA Well type Private N A, B, or C provide PWSID # _ Date completed 9R512W0 Sanitary seal (Y/N) Y Total depth 387 ft. Cased to 20 ft. FROM WELL LOG Date of test 912512000 Static water level Well production WATER SAMPLE RESULTS: Coliform 0 colonies1100 mi. ft. 9 - p.m - Nitrate .5 mg.A. Date of sample: 91612001 Collected by. MEA B. SEPTICIHOLDING TANK DATA Tank Type/Material STEPISteel Tank size 2.000 gal. Number of Compartments 3 Foundation deanout (YIN)!! Date of pumping. C. ABSORPTION FIELD DATA Depression over tank (Y/N) N Pumper Well Log (YIN) Y Wires WopefN prolected (Y/N) Y Casing freight (above ground) 24 in. AT INSPECTION ft. 9 - p.m - Other bacteria -L colonies/100 ml. Date installed 1012612000 Cleanouts (Y/N) High water alarm (Y/N) Y Date installed 107/12000 Soil rating (g.p.d.At? or ftlbdrm) 3 GPDfSF System type Bottomless Sand Fitter Length 30 ft. Width 15 ft. Gravel below pipe .5 ft. Total depth 6 ft. Eft. absorption area 450 ftMonitoring tube Y Depression over field N Date of adequacy test Results (Pass/Fa8) 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 8 type) N N yes, give date D. LIFT STATION Date installed 10127f2000 Size in gallons 250 'Pump on' level at 43 in. 'Pump ofP level at 43 in. Manhole/Access (Y/N) High water alar level at 45 in. Datum Bottom of Tank Cycles tested New Const Meets alarm & circuit regWrernents? Y E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot :s1W On adjacent kits >100' Absorption field on lot >100' Public sewer main WA Sewer /septic service line >2S On adjacent lots >1W Public sewer manhole(cleanout Holding tank SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Budding foundation >5' Property line >9 Absorption field >S Water main NIA Water service line >70' Surface water >100' Wells on adjacent lots >IW SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property fine 5' Building foundation >11Y Water main MO' Water Service line >10' Surface water >100' Driveway, parkingNehide storage >2T Curtain drain None Noted Wells on adjacent lots AW F. COMMENTS A lift station in the crawl space feeds the septic tank through a pressure line. See lot line waiver for en i at �q kri ine aelbadc. G. ENGINEEROF'S CERTIFICATION �^ .�4,,. • • • • • • �•� . �, cit �,•• I •�V�, I certify that I have determined through field inspections and review of Municipal records that the above systems are in F* y :7 49 T,{ ` r' conformance with MOA HAA guidelines in effect on this date. F :• �MRvrczscri; Engineer's Printed Name Michael E Anderson. RE `;ems •• CE - 4381 ` Date 916101 HAA Fee $ 3 0 0// Waiver Fee $ 1 IS Date of Payment 4p" CV ' O Date of Payment t7 — 6 -0 f Receipt Number ! % 3r Receipt Number 9 73S' (Rev. 12/00)