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RAMPART #1 LT 9
Rampart Lot 9 #015-071-12 MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program p0Box 1s»ssu 47onElmore Road Anchorage, Alaska yeo19'8GsO P» '7904 Fax: (eor)343'7ser On -Site Wastewater Disposal System Permit Permit Number: OSP201238 Effective Date: Work Type: SapdoTankUpgnsde Expiration Date: Tax Code Number: 01507112000 Site Legal Address: RAW1PART#1 LT Q G2437 Site Mailing Address: 57OOEASTHAVE, Anchorage Owner: SECRETARY {}FVETERANS AFFAIRS Lot Size inSqFt Design Engineer: PANNONEENGINEERING SERVICES Total Bedrooms: This permit is for the construction of: 7/14/2020 7/14/2021 16188 [l Disposal Field 2 Septic Tank ElHolding Tank 0 Privy [] Private Well [] Water Storage All construction shall beinaccordance 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 VVonh*weher Disposal Regulations (18AAC72)and Drinking Water Regulations (i8AAC8O) 3. The wastewater code requires inspections during the installation. The engineer shall notify the Development Services Department per AMC 15.85.Provide notification bycalling (9O7)343-7AO4(24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall beeither: a. Opened and Closed onthe same day, or b. Covered, sealed, and heated to prevent freezing Received B� ` Issued By: 5 -)// �' -a_�) Date. _��, ' MUNICIPALITY OF ANCHORAGE E Community Development Department Phone: 907-343-7904 Development Services Division Fax: 907-343-7997 On -Site Water & Wastewater Program ON-SITE SEWER/WELL PERMIT APPLICATION Parcel I.D. 015-071-12 Property owner(s) Secretary of Veterans Affairs Loan Guaranty Services Day phone Mailing address 3401 West End Ave Ste 760W Nashville, TN 37203 Site address 5700 E 99th Ave Anchorage, AK Legal description (Sub'd., Block & Lot) Rampart #1 L9 Legal description (Township, Range & Section) Lot Size 16,188 Sq. Ft. Number of Bedrooms 5 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (N all that apply) Absorption Field ❑ Initial ❑ Single Family (SF) ❑X Septic Tank ❑X Upgrade ❑X (w/wo ADU) (D) ❑ Holding Tank ❑ RenewalDuplex ❑ 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. (Signature of property owner or authorized agent) Permit/Rush Fees: 64-5. 7� C5)V1D-]gVVaiver Fees: Date of Payment: 71101,--:,Q Date of Payment: Receipt Number: 06525G Receipt Number: Permit No. 015P2-012-'30 Waiver No. Permit App__- :-.,:c Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP201238, Rebecca Carroll, 07/14/20 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP201238, Rebecca Carroll, 07/14/20 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP201238, Rebecca Carroll, 07/14/20 Municipality of Anchorage ,~?~, 6, Development Services Department i~: Building Safety Division On-Site Water and Wastewater Program, 4700 Bragaw St. ~ Y P.O. Box 196650 Anchorage, AK 99519-6650 Page 1 of 3 www.ci.anchorage.ak.us (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number: OSPl11214 PID Number: 015-071-12 Michael & Lindsav Washek Wastewater System: [] New [] Upgrade Address: 5700 E. 99th Avenue ABSORPTION FIELD Phone: Number of Bedrooms: [] Deep Trench [] Shallow Trench [] Bed [] Mound [] Other: LEGAL DESCRIPTION Sol, Rating: Total Depth from original grade: GPD/Ft2 Ft. Block: Lot: Subdivision: Depth to pipe bottom from original grade: Gravel depth beneath pipe: 9 Rampart #1 Ft. Ft. Township: Range: Section: Fill added above original grade: Gravel Length: Ft. Ft. Well: [] New [] Upgrade Orave~ width: Number of lines: I Distance between lines: Ft.I Ft. Classification (Private, A. B, C): Total Depth: Cased to: Total absorption area: Pipe Material: Existing Private Ft. Ft. Ft2 Driller: Date Drilled: Static Water Level: Installer: Date Installed: Ft. Alaska Divers 9123/2011 Yield: I Pump Set at: Casing Height Above Ground: GPMI Ft. Ft. TANK SEPARATION DISTANCES [] Septic [] Holding [] S.T.E.P. [] Other: T~.To Septic Absorption Lift Holding >ublic/Private Manufacturer: Capacity: From~ Tank Field Station Tank Sewer Line BioCycle 1500 Material: Number of Compartments: We, 115.8 25* Fibeqillass 4 Su,aceWater 100+ ~ / LIFT STATION Lot Line 10.0~ Size: Manufacturer: Gal. Foundation 20.7 "Pumpon" level at: "Pump off' level at: I High water alarm at: in. in.J in. Curtain Drain N/A Pump Make & Model Electrical Inspections performed by: Remarks: BioCycle installation only. BENCH MARK Location and Description: FF Assumed Elevation: 100.0 Ft. Engineer's Stamp Inspections performed by: PANNONE ENG. SVC, LLC Dates: 1st 9/2312011 ~'~'~ OF- 2"d .~ ~.'~ T.- .......... <x:7 Development Services Department Approval . ~...' ~ Conditional Approval Date: ~ ~ 4~ '~ ~.~C, Oo. No. CE 8149 Reviewed and approved by: :C// .~o"~, Date: ~/'~O-/'! ";~ ......... /" ' '~,.~C) ~-' ........... ~x~%. ~'~ j/-WELL (E) T //WELL(E)~., EAST 99 i~fi"AVENUE 'TH-1988-2 ? D/W k-. RECIRC 5BP HOUSE WELL (E)' / ~ 115.8 WELL/(E) BS 24A. 7 6~ LS (E)I 24.6 59. T2 (0125.4155. · T1 (E) 27.7 50. C1 (E) 56.0 44. MI(E) 62.9 129. C2 (E) 89.0 41. EXISTING ABANDONED CRIB / NEW 1500g BOICYCLE (P) INSTALL INLINE BEHIND EXISTING 1250g S.T.E.P. TANK (E) TH- 1988-1 ,, M1 (E) DISCHARGE TO FIELD '" EXISTING ~ SEPTIC AREA --,.; /~ / 10 101.0 . EXISTING DRAIN FIELD WELL (E) ........................ Q'~-1988-5-/--"'"'~1~,.... , (6611L(~sxFf'ED 2 W. 6TD ;/.:::: 10' UT~.?..~ E~SEMENT ....... ;[;::/'[~' % / , ................ 1 ...... . ........... 77' - / / *NOT~: RESERVE FIELD WILL BE IN SAME LOC~TION AS PRIMARY. / /' IF RESERVE IS NEEDED, REMOVE A MINIMUM OF 50LF OF ~' ,~O~A~ ~AT~AL ANO ~m~C~ W.T. CLEAN S~W~* OmAV~ P~O~ ~G ~C, g~ ~'~ !RECORD DRAWING PLAN P.O. BOX 100217 ANCHORAGE, AK 99510 PHONE (907) 272-8218 FAX (907) 272-8211 RAMPART //1, LOT 9 MICHAEL & LINDSAY WASHEK 9421 DUNDEE CIRCLE ANCHORAGE, AK 99502 9/23/11 Scole 1"=40' P.I.D. NO 0_Q!15- 071 - 12 PERMIT NO. 0SPl11214 Sheet 2 OF 5 SPECIAL PROVISIONS TO SPECIFICATIONS 1. ALL CONSTRUCTION WAS INSTALLED AS SPECIFIED IN THE MOST CURRENT EDITION OF THE MUNICIPALITY OF ANCHORAGE STANDARD SPECIFICATIONS (MASS) FOR COMPONENT PARTS AND MATERIALS USED IN CONSTRUCTION OF ON-SITE WASTEWATER DISPOSAL SYSTEMS. 2. ALL WORK WAS IN ACCORDANCE WITH THE ATTACHED SPECIFICATIONS. 5. SCOPE OF WORK: INSTALLED NEW MODEL 1500 BIOCYCLE. WELL RADIUS STAKING. zO o B .~ -~u~ ~z o~ ×-~ Luo 0 0 FIRST COMPARTMENT ~ ~ ~ 0~0 MODEk ~500 ~250 ~ S.T.E~ BIOCYCLE (P) EXISTING TRENCH - SEE DESIGN PROFILE DESIGN PARAMETERS A~REVIATIONS PRIMARY/RESERVE SEPTIC SYSTEM CU COPPER NO. BEDROOM: 5 (750 gpd) DIP DUCTILE IRON PIPE TANK SIZE: 1250g S.T.E.P.(E) INLINE TH TEST HOLE BEFORE MODEL 1500 BIOCYCLE (P) FC FOUNDATION CLEAN OUT L~E~D PERC RATE = 16-30 M~I T~ TANK CLaN OUT NO. SOIL RATING: 2 GPD/SF C~ CLEAN OUT NO. --W--- WATER LINE/ AREA RQD: $75 SF M~ MONITOR TUBE NO. WELL RADIUS SYS. ~PE: DEEP TRENCH 5.0' E.D. R.I. RIGID INSU~TION MIN LENGTH: 37.5 LF DCO DOUBLE CLaN OUT -- SS -- NEW SEPTIC REUSE EXISTING: DV DIVERTER VALVE FS FLOW SPLI~ER 61 LF X 2' WIDE, 5' E.D., 6' TD AREA: 610SF O.G. ORIGINAL GRADE F.G. FINISH GRADE NOTES: .... RECORD D~AW~NC P.O. BOX 100217 ANCHORAOE, AK 99510 PHONE (907) 272-82~S FAX (907) 272-S2~ ~.' MICHAEL & LINDSAY WASHEK ~}L CE 8149 .~ PERMIT NO. 9421 DUNDEE CIRCLE *~i~A' ~ 0SPl11214 DETAILS ANCHORAGE, AK 99502 ~0~SS~' ...... "~-~ Sheet (JPEG Image, 2480x3248 pixels) - Scaled (28%) https://mail.google.com/mail/?ui=2&ik=-03e95bl 7aa&view=att&th=l... INSPECTION: Voice: (907) 343-8300 Fax (907) 249-7777 APPLICATION NO. RETROE111457 MastedStandalone Permit Permit Type: Electrical Res Notes: am'; Call 30 min b4 for onsite m gt-~'. Requested b~/: Ray 242~5211 Schedule Date:09/22/2011 Preference:AM Address of Project: E 5700'99TH AVE ...... Legal: RAMPART#~ LT 9 'G:2437 Description'of W6~k: P0we~' add i:onffol for bio cycle lift st~Sti~n upgrade Contacts ~ (907)622-3607 Owner inspectOr=Comments: - Inspection #: 1489t 6 Parcel: 01507112000' POWER LIGHTING AND CONTROL. LLO ~3841 SAVAGE DR WASHEK MICHAEL P & LINDSAY E Inspector: 1 ofl 9/27/2011 10:52 AM Permit Number: Tax Code Number: Work Type: Permit Effective Dates: Design Engineer: Subdivision: Site Legal Address: Owner/Address: On-Site Wastewater Disposal System Permit OSPl11214 01507112000 Septic 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 Upgrade August 26, 2011 to August 25, 2012 PANNONE ENGINEERING SERVICE RAMPART #1 RAMPART#1 LT 9 G:2437 WASHEK MICHAEL P & LINDSAY E 9421 DUNDEE CIRCLE ANCHORAGE AK 995021472 Site Mailing Address: 5700 E 99TH AVE, Anchorage Lot Size in Sq Ft: 16188 Total Bedrooms: 5 This permit is for the construction of: N 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. Date: Date: Community Development Department Development Services Division On-Site Water & Wastewater Program I UNICIPALITY OF ANCHORAGE Phone: 907-343-7904 Fax: 907-343-7997 Mayor Dan Sulfivan ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. OjS"-- 07'J~ _/'Z_, Property owner(s)/~,/¢_¢~.~ ,,~ LId~)~fv, ~J.¢¢i.1~-'~-i( Day phone Mailing address ~Z~ ~o.~-~ ~i~ ~/,~,¢~,~; t~i~ ~- Site address ~7~ ~ '~'1~¢ /V~ Legal description (Sub'd., Block & Lot) ~¢i¢~A-T ~ j i /-~¢% ~! Legal description (Township, Range & Section) Lot Size i~ ~z~,~ Sq. Ft. Number of Bedrooms ,~ THIS APPLICATION IS FOR: (1~ all that apply) Absorption Field Septic Tank Holding Tank Privy Private Well Water Storage THIS APPLICATION IS AN: Initial [] Upgrade Renewal [] THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR: I certify that the above information is correct. I further certify that this application is being made for a Single Family Dwelling and is in accordance with applicable Municipal Codes. '/' ¢' , (Signature of property owner or authorized agent) ush Fees: .--~L~ ¢~.'cc¢',e.~aiver Fees: -"-Date of Payment: ~ \ \¢% / \ ~ Date of Payment: Receipt Number: ('~;L~ ¢..~ lO Receipt Number: Permit No. F~,~.>¢ \ \\ ~ ~,L~ Waiver No. G:\Building\On Site\Forms\Client Forms\Permit App_010411 .doc (Rev. 1/11 ) Pannone Engineering Services LLC Steven R. Pannone, Principal Registered Professional Engineer E-mail: steve@~)anen~ak.corn August 17, 2011 Municipality of Anchorage Development Services Department On-Site Water & Wastewater Program 4700 S. Bragaw Street P. O. Box 196650 Anchorage, Alaska 99519 Subject: Rampart # 1, Lot 9 Septic System Permit Upgrade Request Ladies and Gentlemen: I am writing to request a permit to construct an upgraded septic system be issued for this property. The proposed systems will serve an existing five-bedroom house. The house was originally a three-bedroom house and was expanded to five bedrooms. This upgrade is for a five-bedroom house. The existing drain field is functioning adequately for a three bedroom house and will be used as a five-bedroom upgrade with the addition of a Model 1500 Biocycle making it adequate for five bedrooms as a Cat II system. Currently the lot is developed. The lot is served by a private water supply. The existing septic system is operating adequately. The surrounding developed lots are served by private water systems. The private wells are located over 100 feet from the proposed soil absorption system. 1. Soils. Three test holes were excavated by Flattop Technical Services in May of 1988. See the attached soil logs. Ground water was monitored for seven days. Ground water was not observed in TH- 1988-1 after the monitoring period. Bedrock was not encountered in the test hole. It is my opinion, based on the results of the percolation tests and overall soils appearance; an application rate of 2 gallons/day/square foot should be used, using the existing 1250 gallon S.T.E.P. tank with the addition of a Model 1500 Biocycle that will discharge into the existing deep trench. e Soil Absorption System Design. See Design Drawings sheet 2 of 2 for design calculations. 3. Surface Water: There is no surface water within 100 feet of the proposed septic tank and the existing drain field. The proposed drain field upgrade will maintain at least 100 feet from all surface water and drainage ditches. 4. Topography: The average topography in the area of the proposed septic system slopes from east to west based on the survey information. The proposed installation will not change the existing drain field which is greater than 50 feet from the shoulder of any steep slopes. MaiIing: ILO. Box 10021.7, Anchorag% AK 99S10,..0217 Physical: 6J£5 East 82~'c~ A,,,,e, Cuite B& Anchorage, AK 99503 Tel%~hone; (907) 272-8218 FAX: (907} 272-8215~, Page 2 of 2 5. Drawing Markings: The Drawings are marked "For MoA Review Only". When written notification that the review is complete and that there are no further comments is received from MoA On-Site Department, the note will be removed and "Issued for Construction" drawings will be issued. The proposed installation will not affect the future development of the surrounding or existing lots. There are no wells or septic systems within 100 feet of the proposed septic location. If you have any questions or concerns, please contact me at 272-8218. Sincerely, ~-_~, ~-}..~ ............ .....~ ,,, c~-.;...A '"'...'~**. Steven R. Pannone, P.E. Owner/Civil Engineer Attachments: Mailing: FLO. Box 100227~ Anchorage, Al< 995S. 0,..02S,? Physical: 6~,5 East 82® Ay% Cuite B6~ Anct'~orage~ Telephone: (907) 272-8228 FAX: (907} NOTE: Contractor shall have well radius and east property lin~ staked by an Alaska licensed surveyor before construction. ~, ......................z z x~- WE"'(~) !: '., \ ...// / ~ / ~, , .................. \ E^S~,"*VENUE / ...... ' /. / %'% / ~~ D/W,I(I~~Yff~ DISCHARGE TO FIELD-m "' ............. ' .......... ~; ..... -- ;'~~ 3~ ~ SEPTIC AREA ? ,:'..":' LWELL(E) ................................. {'"/ ~.;'"~, i ......... / 61LFxS'ED, 2W. 6'TD. /'" TH-1988-3j ....... ~1] ,,' .... (610SF) ~ ~.,, ~ ................................. ~-- ................................... ' '.,,.2 ~ .' W /' /' / / /' :' / *NOT~: RESERVE FIELD WILL BE IN SAME LO~TION AS PR MARY ~ / /' IF RESERVE IS NEEDED, REMOVE A MINIMUM OF 50LF OF ~ /' BIO~A~ED MATERIAL AND REP~CE WITH CLEAN SEWER GRAV~ NOTES: P~O~ ~G ~C, L~ ~: OF At ~ FOR CONSTRUCTION P.O. BOX 100217 ANCHORAGE, AK 99510 ~." ...... ~}~"~ ~ Sca~e NO mAUPAm, ~, LO* ~ ~~~. 015-071-1 MICHAEL ~ LINDSAY WASHEK '~e'~:~,%~n°¥~PERMIT NO. 9421 DUNDEE CIRCLE f~.. ..~¢%~ 0SPl11214 PLAN ANCHORAGE, AK 99502 ~ ,'~ ....... ~', l~;%~0~s¢~~ Sh SPECIAL PROVISIONS TO SPECIFICATIONS 1. ALL CONSTRUCTION SHALL BE INSTALLED AS SPECIFIED IN THE IVlOST CURRENT EDITION OF THE MUNICIPALI15' OF ANCHORAGE STANDARD SPECIFICATIONS (MASS) FOR COMPONENT PARTS AND MATERIALS USED IN CONSTRUCTION OF ON-SITE WASTEWATER DISPOSAL SYSTEMS. 2. ALL WORK SHALL BE IN ACCORDANCE WITH THE ATTACHED SPECIFICATIONS. 5. SCOPE OF WORK: INSTALL NEW MODEL 1500 BIOCYCLE. WELL RADIUS STAKING. -- ~m ~z 0 ~ ~ ~0 RECIRC LIN~ TO 1250 g S.T.E.P MODEL 1500 ' ~: ~: BIOCYCLE (P) TANK(E) .: ' :. :..~ ' ~'" ' ' EXISTING TRENCH - SEE DESIGN PROFILE DESIGN PArAMETErS A~EVIATIONS PRIMARY/RESERVE SEPTIC SYSTEM CU COPPER NO. BEDROOM: 5 (750 gpd) DIP DUCTILE IRON PIPE TANK SIZE: 1250g S.T.E.P.(E) INLINE TH TEST HOLE BEFORE MODEL 1500 BIOCYCLE (P) FC FOUNDATION CLEAN OUT LEGEND PERC RATE = 16-~0 MPI T~ TANK CL~N OUT NO. SOIL RATING: 2 GPD/SF C~ CLaN OUT NO. ~ W-- WATER LINE/ AREA RQD: ~75 SF M~ MONITOR TUBE NO. WELL RADIUS SYS. ~PE: DEEP TRENCH 5.0' E.D. R.I. RIGID INSU~TION MIN LENGTH: ~7.5 LF DCO DOUBLE CLaN OUT ~ SS ~ NEW SEPTIC REUSE EXISTING: DV DIVERTER VALVE FS FLOW SPLICER 61 LF X 2' WIDE, 5' E.D., 6' TD AREA: 610SF O.G. ORIGINAL GRADE F.G. FINISH GRADE ~o~s: p~O~ ~G ~C, L~ ~; OF A~ ~ ~ FOR CONSTRUCTION p.o. BOX 100217 ANCHORAGE, AK 99510 ~..- Scole ,HONE (907) 27~-~21S ~AX (907) 272-S~11~ ~~*."~%~'"-* NTS ~~~ ......... ~ P.I.D. NO RAMPART MICHAEL ~ LINDSAY WASHEK r~. CE ~149 -~ PERmiT NO. g~21 DUNDEE CIRCLE ~.. ..~ osP~112~4 DETAILS ANCHORAGE, A~ 99502 ~'~ ...... ~ Sheet BId)CYClE INSTALLATION WITH SEPTIC TANK Acc~s,$ u~ E.,YPOSE TOP ~" TO ACCEPT 1-1./4" LINE FROM ' '2'~'2~z 2" INSULA770N .... 2 ~ 2 BACKFILL AROUND TANK ~F~ ~ ~ ~ ~ / "FLEX" DIS', 8~'' 4'-0"~_ ~ ~._ ~ 8-0" . ~ BLIJEBOA~D INSULATION TANK LENG ZH - - SEPARATION T~NK DIAME~R ~ ~ - ~ 4 ~T~ ~ ~' ~ LE~LtNC COURSE N~S ~ ~T I-1 ~" L ~ ~ARIFiCA ~~ ~ DtSCHARCE ~~ ~ . Da t e CONST~UCZ~oNNOT~S: P~O~~.o. ~G ~C, L~ ~,_o~ ..... a~'~l~ FO~ BOX 100217 ANCHORAGE, AK 99510 ~.~ PHONE (~07) 272-8218 [~X (007) 272-8211 ~ ....... ~ ~.,.~. ~o RAMPART ~1, LOT 9 .~__~._n~.~&.~~~~k~ ~ 015-071-12 942~ DUNDEE CI~C~ ~ -~ ..' BIOCYCLE DETAIL ANCHORAGE, AK 99502 ~ Sheet 3OF5 MUNICIPAMTY OF ANCHORAGE 19i ,,I'~r'MP:N'I- OF NF. AL1-EI AND Hk~tAN SEN ES ~']~'.'c") ' 825 .... Stree Anchorage A aska 99502 Te ephone 264-4720 ~, , A~d,'ess ' :[]Ot~ ~-' '--. TAM( FIELI] WELL S/eel Qapacdy tn gallons on9,nal gcade l, 0 FI , ~, (~ FT 8,0 r¥ 5', O ~'r 6 / n 8. o g'lO so F'r[ i~,~. Numbor ol hnes Soil gatm9 Pipe material [~fl Cche~ ~0 pfc ~S[5~l(<}~mor ~A, B,C) Cased to F T F T cart ~ that th s nspeclion was pcrlorr, d according lo ali Scale: pi .,.~.~Ot Inspectior/s Perlorme¢l by: .SEAL d~,, (}' ¥~::R]:I:::¥ E;E:F:'(:~I::R¢'.~i'T']:C)N l:::'l::~'.Olvl I,~iE'.I..L..Ej ('.'.iN L..CFT'E~ ~{~ ;:~ J.O (.¥T "t :I:t'~IE: Eft::' ;[ C:i~:I::;'.'I" ;[ i:::'Y "I t"'I¢,¥'i' ', :[ (,,~:i.].] :Jr'~:~'t'..u:~].]. '('..I"~E:.~ %y!!vl.L(.~:(,/'/~ :J.i"J ac:c:c:)Pdar'~c::(.:~:, t¢,~J.'t'..h a';~J.~L I*'JC)(.~ (:::¢::)~:[(~:,~. and :[ ',.x~:i. 11 adh(ar'~::.:, t'.o a:I,t VIC)& ~,'='~r'~cl EH:.a't'..,:~,..> (::~f' [.:~:l. asd.::a r.(.:ec!L..(:i.r'(.:~.)m(.:.:¢r'uL~a f'(:)p 'LhE.:, ~(~'.)'~.. !:::,a(:::l-:: s~;c.:.:,w(.:.:.)r',~'~q:.~l~.:.):, ~;V~i~.'t:.~'.o)n'~ (::)r'~ 't'.l"~J.t:~ (::)r' any ,~::u::t.j~:~c:(+~rH:. or' Jne;:?d"l:;:,y 4,, I ~.u'~c:!¢~.)m~wLar'~d ~.J'i;::'cJ;. 'ILhj. E~. j:)(;~:,Pfii:J.'JL :LE~ Va].:J. cJ f'oP a In¢¢U.(:J. fi~LtiJ'i (::)f ::~; J::)E),:::Jl"C:q:;:,ffi~. ~'lattop Technical Servlc~s 14530 Echo Street Anchorage, Alaska 9951R LoT- L. OT* ~ 6 ~.oc t~ I c: IT~ P~AN $~cAI~t~ ttt-- lo~ dor~t't Lot 9, Block 1, Rampart #1 S/D 5700 East 99th - Robert Lewis residence Septic System Upgrade Design Specifications All materials and construction practices shall comply with current M.O.A. requirements, The location and configuration shall be as shown on the site plan and design drawing..1]he.tre~nc~.l!a~ been ~de_~l_ibe~ately_ ove_r~i.z_~d to maximize its useful life. Remove the existing septic tank and replace it with a new 1250 gallon septic tank, equipped with an Orenco lift station as supplied by Anchorage tank (or equal) in the second compartment, and an insulated manhole riser extending approx 12" above ground level providing surface access. Set the floats in the tank to provide a pumped dosage of approximately 50 gal!o~sl ~ith 50<'~llon~'res~%e ~apacky in tt~e tan~ ~b6Ve the leveI at Which tl~e high level alarm triggers. Mount the audible and visible alarm in the garage at a location designated by the owner. The electrical wiring shall be installed by a certified electrical contractor, and inspected per M.O.A. requirements. [~ A four inch gravity discharge line shall also be installed as on a conventiona Iseptic tank, and connected into the line leading to the existing seepage pit. This twilI serve to provide overflow capacity and also serve as an alternative seepage l~rea if needed in the future. The pumped discharge from the lift station shall be carried to the disposal trench by~a_._l_. ,l_~/4."_.ga[v~.a~iz~_d_pi_p.e,, at which point an adaptor shall be installed to transition to the 4" diameter perforated distribution pipe. (<<' --> "xThe alignment of the trench shall be centered in the middle of the carefully 204'-')-straight line distance between the well on this lot and on lot 10. The bottom of the perforated distribution pipe shall be located 1' below original grade of the yard, with sewer rock extending down to 6' below original grade and up to 2" above the pipe. Two inches of rigid, burial type insulation shall be installed over the trench plus a minimum of 2' of soil cover. Cleanout pipes and a monitor tube shall be installed as shown on the drawing. Two inspections will be required: The fit'st after the trench is excavated, and the second after the gravel is placed and the pipe laid, but before backfill. Questions on this design should be directed to Ted Moore at 345-1355. < ': /':-,: / Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST (ENGINEER'S SEAL) PERFORMED FOR: DATE PERFORMED: LEGAL DESCRIPTION: 1 2 3 4 5 7 8 ~0 11 12 13 14 15 16 17, 18- 19 2O t5"0 Township, Range, Section: THEODORE F, MOORE % CE - 3589 SLOPE WAS GROUND WATER ENCOUNTERED? S IF YES, AT WHAT DEPTH? ~ 1 ~'~-' ~ p E SITE PLAN k Depth to Waler Aller Monitoring? ~D~r~'F Date: _ Reading Date Gross Net Depth to Net Time Time Water Drop 1;~ : ~o + g~o I :07 ~],~ PERCOLATION RATE '~"/'~' "~( TESTRUNBETWEEN ~,0 FTAND 7"-~ FT COMMENTS. ~'i ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE, DATE: Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST (ENGINEER'S SEAL) DATE PERFORMED: LEGAL DESC.IPT~ON: /--~ ~_~, 2 3 4 6 8 10 Township, Range, Section: [_-/7//..//:'8[ SLOPE SITE PLAN ~roeell~. 5tH ~u. cob~l~r WAS GROUND WATER ENCOUNTERED? y. 11 12 13 14 15 16 17 18 19- 20 T~ ~2 COMMENTS %.THEODORE F, MOORE -. CE - 3589 S IF YES, ATWHAT L DEPTH? 8~ tl pO E Depth to Water Aller Monitoring? Reading Date Gross Net Depth to Net Time Time Water Drop PERCOLATION RATE -- TEST RUN BETWEEN (minutes/inch) PERC HOLE DIAMETER FT AND FT so,/ ~&co~/l~o,~ s,~/~ ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: ,~/'.-~ I / ,:~,~ 72-008 (Rev. 4/85) Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L' Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST (ENGINEER'S SEAL) PERFORMED FOR: ~oGCr'~ DATE PERFORMED: LEGAL DESCRIPTION: 1 2 4 5 6 7 8 9 10__ 11 12 13 14 15 16 17, 18- 19 20 77. ~3 COMMENTS . 5 ? Township, Range, Section: SLOPE SITE PLAN WAS GROUND WATER ENCOUNTERED? s L IF YES, AT WHAT /qtne~r' .~¢~ O DEPTH? ~ ~.t'" l~o/¢'~,,~ p ~ h~t~ E Depth to Water After Monitorino? _ I~g~ ~ate: ~/~ Reading Date Gross Net Depth to Net Time Time Water Drop PERCOLATION RATE __ (minutes/inch) PERC HOLE DIAMETER __ TEST RUN BETWEEN __ FT AND FT / ,,,-,¢' ,.¢/- PERFORMED BY: _F(~./"'~5~ 7~('//l'¢Cle'! ~'~--(' . I .a~~ '~' ~ERTIFY THAT THIS TEST WAS PERFORMED iN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: ~'*'/~='/ //~' ?2-008 (Rev. 4/RRI oGREX ER ANCHORAGE AREA B0R Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 IGH INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM LEGAL DESCRIPTION SEPTIC TANK: DISTANCE / FROM WELL /~2(i MANUFACTURER~'~,/¢:;(/(~ ,~.i, ,. . ~, ~,,:~, ~. .... NUMBER OF · MATERIAL ~i~':l:I: i/,~-":~'(,'-~ ~ COMPARTMENTS INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH LIQUID CAPACITY GALLONS. SEEPAGE PIT: NUMBER OF PITS I DIAMETER _OR WIDTH,,','2) LENGTH'~!! DEPTH t'~(~' LINING MATERIAL (~:¢}- CRIB SIZE: DIAMETER ~'C'~t' DEPTH ~t:¢ DISTANCE FROM: ~,.... ¢ ~ .') ~ TOTAL EFFECTIVE BUILDING FOUNDATION,'~S f)' -,</O NEAREST LOT LINE ,~,.8 ABSORPTION AREA (WALL AREA) WELL SQ. FT. ADDITIONAL ABSORPTION WELL: TYPE__ItU¢ i~' BUILDING FOUNDATION CESSPOOL APPROVED CONSTRUCTION ~"" (~ (C~'~('~F-i),, NEAREST NEAREST LOT LINE SEWER LINE_ DEPTH DISTANCE FROM: SEPTIC SEEPAGE , TANK / t3't;' '-~, SYSTEM ¢' (bt * '¢ OTHER SOURCES DISAPPROVED REMARKS DISTANCES: INSTALLED BY: '~,~¢~|1~ i~,,¢;,;'~, PIPE MATERIAL: LOT SLOPE: REMARKS, DIAGRAM OF SYSTEM G.A.A.B. ............. ALSO CON!:iIDER ARKA VqELI,E;, t:;R ER ANC!:ORAGE AF,'EA BOROJfiH Deparbm-'_.M: of Environmental ~ual 3330 "C" Streeu Anchorage~ Alaska 99593 Fe~ ~ormed for ..~.~_.__~>~_e<~ YX Date performcd "~3:[s form reports: Soils log / Percolation tes~; Dep ~:h Feet 9~ 1 2 .- 13., Was 9round water encountered? Omo I I If yes, at what depin? I t;,.=:: Net Time Depth to H2O He'!: Prop Reading Date Gross MUNUPALITYOF ANCHORAGE �yy Development Services Department.: Phone: 907-343-7904 On -Site Water & Wastewater Section `` Fax: 907-343-7997 Parcel I.D. 0 15- 071 - 1 Certificate of On -Site Systems Approval Expiration Date: 10 -20 -7,020 1. GENERAL INFORMATION Complete legal description C.[ rv� D ar--g ! L Location (site address) Current property owner(s) VA Day phone Mailing address Real estate agent Day phone 2. TYPE OF DWELLING: Q Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 5- 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Private Well Er Private Septic Water Storage ❑ Holding Tank ❑ Community Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ Waiver request for: Distance: Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ d,. so Date of Payment r 130/C�0ao Receipt Number 957 /G COSA# 05(.2.0121 d Waiver Fee $ Date of Payment Receipt Number 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. In conducting an adequacy test, I attempt to provide a thorough, conscientious engineering analysis of the system in accordance with MoA COSA guidelines and regulations. The reported results describe the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the local soil condition, ground water levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of this system. All systems eventually fail and satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. Therefore we cannot provide any warranty for future performance, nor can we estimate remaining life of the system. The content of this report is for the sole benefit of the owner listed above. Reliance on this report by another person is at their own risk. Pannone Engineering Services LLC highly recommends buyers hire their own engineer to evaluate this report. Name of Firm Pannone Engineering Services Address P.O. Box 1807 Palmer, AK 99645 Engineer's Printed Name 6. DSD SIGNATURE Steven R. Pannone P.E. Phone (907) 745-8200 Date of ..... ..... n... System #1 Approved for bedrooms Steven .�. Panncr:e �,•. ;E 8148 .;�, System #2 Approved for bedrooms�cs =. Disapproved���� Conditional approval for bedrooms, with the following stipulations: By: - 0 t..,4 Original Certificate Date: 7^ Z © " ZO -•The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA Checklist blue sheet COSH Checklist Legal Description: Rampart #1 L9 Parcel ID: 015-071-12 If more than 1 septic system on lot: COSA Checklist # 1 of 1 Structure served by this system 1 A. WELL DATA ❑ Well log is filed with Onsite (or attached) Date drilled 1974 Total depth 84 ft Cased to 60+ ft © Sanitary seal is functioning correctly FE -1 Wires are properly protected Casing height (above ground) 36 in. Date of flow test for COSA 5-29.2020 Static water level at beginning of test 41.6 ft. Comments B. TANK DATA Age of tank(s) 32 years Tank type/material Measured operating fluid level in septic tank 48" © Standpipes/foundation cleanout per record drawing Date of pumping D. ABSORPTION FIELD DATA Deep Trench Which system tested (date installed) 6123.IM H ALL standpipes present per record drawing Total measured depth from grade 11.1 ft (max) Measured depth to pipe invert from grade 3.5 ft (min) ❑ N/A — pressurized field Fffi� Monitor tubes go to bottom of effective. if not, state depth into effective ❑® Code -required soil cover over field © System presoaked (Required if vacant for greater than 30 days prior to date of test) Gallons introduced 1500 gallons Comments/Deficiencies: COSA Checklist yellow sheet Well production at time of test 12+ gpm Water storage tank volume 0 gallons Well disinfected for coliform test? ❑ Yes ❑✓ No OR Coliform bacteria is Negative Nitrate 3.85 mg/L ❑ Nitrate less than MRL (ND) Arsenic 9.69 ug/L ❑ Arsenic less than MRL (ND) Collected by Pannone Eng. Date of Sample 5129/20 C. LIFT STATION H Required maintenance completed Age of lift station 32 years Lift station material Steel Comments: Biocycle follows S.T.E.P. tank S.T.E.P. tank to be replaced under permit OSP201238 Adequacy test date 6r3r2o2o Results ✓❑Pass For 5 bedrooms Fluid depth prior to test 0 in Water added 750 gal New depth 36 in Elapsed time 1440 min Final fluid depth 0 in Absorption rate 750 gpd Any rejuvenation treatment (past 12 months) If yes, enter date N/A No E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well) Septic Tank/Lift Station on Lot > 100' ❑ Yes Community Sewer Manhole/Cleanout > 100' ❑ Yes if No ft ❑ Yes if No Neighboring Tank > 100' ❑✓ Yes if No ft Private Sewer/Septic Line > 25' ❑✓ Yes if No Absorption Field on Lot > 100' Yes if No ft Holding Tank > 100' ❑✓ Yes if No Neighboring Absorption Fields > 100' Yes if No Animal Containment > 50' ❑✓ Yes if No ✓❑ Yes if No ft Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' Yes if No ft � Yes if No From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' ❑✓ Yes if No ft Surface Water > 100' ft ft ft ft ft ❑ Yes if No ft Property Line > 5' ❑ Yes if No ft Wells on Adjacent Lots: Absorption Field > 5' ❑✓ Yes if No ft Private Wells > 100' ❑✓ Yes if No Water Main > 10'✓❑ ft Yes if No ft Community Wells > 200'✓❑ Yes if No Water Service Line > 10' it Yes if No ft If septic tank is under driveway comment below From Absorption Field on Lot to: (Please enter distances if less than required) Building Foundation > 10' ✓❑ Yes if No ft If absorption field is under driveway comment below Property Line > 10' F-1 Yes Yes if No ft Wells on Adjacent Lots: Water Main > 10' 0 Yes if No ft Private Wells > 100' ❑✓ Yes if No Water Service Line > 10' ❑✓ Yes if No ft Community Wells > 200' ❑✓ Yes if No Surface Water > 100'✓71 Yes if No ft F. ENGINEER'S COMMENTS *WR02007 1250g S.T.E.P./1500g Biocycle G. ENGINEER'S CERTIFICATION OF A(qs 1 certify that / have determined through field inspections and review :9 I 49 TH j of Municipal records that the above systems are in conformance with:' MOA COSA guidelines in effect on this date. --to R cnno:,� .^ . COSA Checklist yellow sheet ft ft ft ft Mortgage Company July 20, 2020 To Whom it May Concern, Regarding the septic on property located at : 5700 East 99th Anchorage AK 99507 Work shall be completed within 60 clays after closing of the loan. Closing the loan by the 30th, and recording on the 31St of July. The work must be completed by September 30th, 2020. 1.5 X the highest bid of $17,000.00 ($25,500.00) will be held in escrow for the work to be completed. The money shall be held in escrow until such time as a final unconditional Certificate of On -Site Systems Approval is issued by the On -Site Water & Wastewater Section. Sincerely, David Schuld NMLS Unique ID #204080 Mortgage Loan Originator Alaska USA Mortgage Company Mortgage License #AK157293 500 West 36th, Ste. 110 ( Anchorage, AK 99503 d.schuld@alaslcausamortga e� coin Phone: (907) 261-3451 Fax: (907) 433-5979 P.O. Box 196850 • Anchorage, Alaska 99519-6850 Phone (907) 563-3033 • (800) 737.3033 outside Anchorage • Fax (907) 261-3401 v,,J,Nv.alasl;ausar-lottgage.coni Alaska USA Mortgage Company, LLC, a member of the Alaska USA family of financial service companies Steven R. Pannone, Principal Registered Professional Engineer E-mail: steve@panengak.com July 20, 2020 Subject: Rampart #1 L9 Request for a Conditional COSA I am writing to request a Conditional COSA be issued for the sale of this property. The property is currently Owned by a bank and the buyer cannot perform any improvements to this property until he owns it. The proposed upgrade is to replace a 32 year old tank. The tank levels were normal when we performed the COSA inspection and will not pose a threat to the environment by issuing this conditional COSA. If you have any questions or concerns, please contact me at 907.745.8200. Sincerely, 200720 Steven R. Pannone, P.E. Owner/Civil Engineer E�.0, Boil 1o�J7 Pal nn e .996 TeIel(' hoI-'__ (Ig07" �,%, F__g,fjlG CAV {9J%� 0 L'..J.i. ULLIVNIV TER WELLS Drilling a Piling o Pumps P.O. Box 670269 Chugiak, AK 99567 P: (907) 688-2759 F: (907) 688-2259 TO: Pannone Engineering 5700 E. 991h Anchorage, AK 99507 Flow Test Report Max Drawdown: 59.2' Well Yield: 12+ GPM Resting Static: 41.6' Date: 5-29-20 2nd Ed 4 i 1t, .f i eS Inspection RpoP 20Z(711 Homeowner Info Customer Narne: Gerard and Crystal Dubois Address: 5700 E. 99th Ave. 3705 Arctic Blvd #313 Anchorage AK 99503 Email: crbioak@gmail.com (907) 274-0314 Tank#: 263 Install Date: Sept. 2011 Area: O'Malley Initial Inspection: Alarms Tested: Air 0 High Water ❑ Battery Tested: Yes ❑ No ❑ N/A �] (Please make SUr e al ar in t: on "nor FiFa I"F not "mute") Does system have a septic tank ? No ❑ Yes A (Recommend pumping tank every 2 years) Is System Lid Locked? Lid hardware in working order? Is there any noticeable odor? Yes Repaired ❑ Yes ❑� Repaired ❑ Strong ❑ Mild ❑ None System Inspection t�Y.'l'._.M 'k` jry.� 'y'S�' Sv �j�yyr �„.',..."� � y'.`�. � .y : yn'�'' �b '�- "�Y ?L •'»� ,�«'^�4-•-.. 4 � '}"� � \' 'P �s ,a,.. A ���x,i' y � `,r'^�}h F 'T 'C,+'�`v�. 'M..t.i�A��.T .. �y, F {{} 4��GA..�,��+�'A yr �'��?'} 7uis� i��� f"�� .}s x✓^V ,l ��� ��A' ..+4�}' "� - NF,.+°��5� �` C � *y- � L� St ,t xl,�Y" �+< �1' '�S'+ i+.A ��/� � �"'v d' h -`y,, � t x,. 1�'S {�+�' vRS�' +➢' i+Y `x1' etc t4 Inlet plumbing in working order? Solids pillow normal? Yes ❑ Replaced ❑ Yes [� Requires Pumping ❑ }� y� � C �i,9 kG� X U Y �+S � � Y�,'fi }vY �.l� 3y iv}'Li' ": 2 "'��Lv. v�. fi al' }; 5 35. ¢"r �, �' N'Y"fi2 Fyc ✓ Are all aerators functioning? Any buildup of solids? Yes [� Replaced ❑ Yes ❑ No ❑� l2 � '�, "C f 1 '. .f` JF F � 3 '. k 'i .✓""'� t i`' A'a ,� Y 'vR 4'"?:si, � �.��.�i`����4...d .,..mv.'C.2�?.:�4'... .._A.s,.,.�"�z s�.���..�._,�.."..:_..i•Cr.:?�1s..S-.L.''n'Y>...�,�"�`^».. 'rr ;:..�_:S^"�. £ �....v_�.z..: 'd»'c'Yw..,�..'c.,ss.FSS,N3�',:,.:'v:,_.�g',s��."�".��..;�:a..e.,i...��5..r�£. .a....�. ���.. .V.�`?i Clarification return system operating? Any buildup of solids? Yes Adjusted ❑ Yes ❑ No [� `_.�,,"'s. �r4_ �'Si.:e -�"�'� .�'^.�. {�`�`,�r°': � r .,�^;`.�''��'Y '�5�� c✓�. �s,;,�,-5 ,' ^,'.�:3� •�" �� �'zt � aid ,.t"� �� .,tea �i "`� ,. m:.-, �. :y;�` .�'' '4: � SY�Im` � h `�"S n'S �X,r{� ^l., ✓ P x,';S u�n������Fl `V:J_�It S ,`G ��y. � pH Reading: Dissolved Oxygen PPM Turbidity of discharge (in FTU) (pH of 6-8 is ideal) (2-5 is ideal) (Under 35 FTU is considered compliant.) 7.6 2.88 ��GSCi���e��aIT7,3J-VS-� ���� ,.Y t?= 3' �{."" �'-4'y'43?w��;>i}..:3aX �& ���� d �'�+``'.i', .W't•s� i' IF�tC'�J�' -�,4 �'.,��r' 'k.�'- _.'i gY.e+� � � Pump float operating? Alarm float functioning? Any buildup of solids? Yes [✓� Replaced Yes ❑ Replaced ❑-� Yes ❑ No ❑� Filter cleaned? Discharge line condition: Yes 0 N/A ❑ Good LYS Replaced ❑ Comments: System is Lip apd running (line. Has emailing or mailing of form been requested? Inspected By: Chris Date: 06/25/2020 (contact office to request...) Yes ® No ❑ entered into as of this Day of ttri- of 20 U'? + `•''`c herein .tile OWNE _, anu,u,�, ,vn.unc Anchorage, herein the'`\IUNICIPALITY•-, in accordance with Anchorage Mitn' (AMC) 15.65.365. In consideration of tile mutual covenants contained herein; tl t\greenlent agree as follows: I . Advanced Wastewater i reatment Systems. "file Municipality grants p Owner to utilize and operate an Advanced Wastewater'freatment System described as located at (legal description) �, x- 411 c -10 �i 2. Maintenance, Repairs and Alterations. (Owner is required to read, understand and initial each section) •j JP. Throughout the term of this Agreement. the O\vner shall enter into a servi yith an AWWTS service and maintenance provider approved by. the N,1u» manufacturer's representative. The AWWTS shall be maintained in a sat. condition capable ofperforming as designed and producing treated septic` accordance with the equipment's approval for operationtin the Mwiicipal -;,J G It shall be the responsibility ot'the Owner during the term of this Agreen repair(s).. maintenance, adjustment(s), replacement costs, andinspecti6ij c includes an annual maintenance fee (typically $00 to $600). Owner agrees that only maintenance and repair personnel approti ed by th or the manufacturer's representative will inspect and make any necessary; repairs or. permitted alterations to the system. 11"i f- Owner acknowledges that regular maintenance oi'an AWWTS reduces tF failure of the system, which could include sewage backup and costly rept replacement. (rev. 05/18/2018) Owner aicknowledgcs that the Nlunicipalrty may icgtietit'reco.' repairs 1-1-0111 the 1111nul`aetureCs representative of, manitenai'lc Owner acknowle ILes that the fine for tailing to maintain and assessed in accordance with AMC 14.60.030, Owner agrees to grant the Municipality reasonable access to"t AWW-FS. The IN4 Lill icipality will give at least 24=h6ur notice: t' f O)A'ner agrees that anv sale or transfer ol-title of the property t Certificate of On -Site Systems Approval. lw? ' Owner agrees that the AWWTS installation and maintenance t by the A\V^ N TS vendor; installer and approved by the Nlunicip Ll idelines to,. the construction, maintenance and.repair of the Owner tierces to maintain remote monitoring of the AWWTS AWWTS approval. Term. The term of this Agreement shall begin oil the date ofa, Municipality to operate the installed system, or upon transfer n_ while the AWWTS is operational or ultil title is transferred.= 4. Nonwaiver. The failure of the Municipality at any time to enf< Agreement shall in no way constitute a Nvaiver ofthe provisiow? the validity of the Agreement or any part hereol. or the right of thereafter to enl6rceevery provision hereof. 5- Amendment. This Agreemew shall only be amended by aulho the Owner and Municipality. Any attempt to amend this a greefl 1111'11 it'tlr(`nn-� on I n I ii•r` 11,-4 1 .,.. ..I... t L. (rev. 05118/2018-) IMunici - T Low i Val OWNER- ............... gti C-�1't A [ (Pi tntnarne) J. Ems STATE OF ALASKA F ss THIRD JUDICIAL D1STRIC 9' ) r The foregoing instruzrwent a>: acicnoti ler_ieci before nie this3a o5 _ j �t,�low 20aq.by�k.Ci qnn NOTARY PUBLIC FOR ALASKA My Commission expires: 4 PL � i i �- 1� 1 4 iiiirriiiAV` MUNICIPAIATIN y: w (signature) Date: MEN AM (print name), Title 44 _ fw IONIC 5"Y5 Rol's - F - Y S - f Y c r � t h.a - Paae%3 c (rev. 05118/2010): Was an �wr F Municipality of Anchorage Development Services Department Buildin§ Safety Division On-Site Water and Wastewater Program 4700 Bra§aw Street P.O. Box 196650 Anchora§e, AK 99519-6650 www. muni.org/onsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D...~ o\53-©-1\- Expiration Date: GENERAL INFORMATION Complete legal description Rampart #z, Lot 9 Location (site address) . 5700 E. 99th Avenue Current-Property owner(s) Mailing address Lending agency Mailing address Real Estate Agent Michael & Lindsay Washek 942z Dundee Circle, Anchorage, AK 99502 Mailing Address U.nless otherwise requested, COSA will be held by DSD for pickup. .5 Well Day phone Day phone NUMBER ,OF BEDROOMS: TYPE OF WATER SUPPLY: Individual Well 'Individual Water Storage Community Class ~ Public Water System Day phone TYPE OF WASTEWATER DISPOSAL: [] Individual On-site [~ [] Individual Holding Tank [] [] Community On-site BI [] Public Sewer [] The Municipality of Anchorage Development Services Department (DSD) issues Certificates of On-Site Systems Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of On-Site Systems 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 COSAs upon request to homeowners. Certificates of On-Site Systems 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. (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 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 here~n. 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 .aqd state codes, ordinances, and regulations in effect at the time of installation. Name of Firm Pannone Engineering Services, LLC Phone 272-823.8 Address P.O. Box 3.oo2:t7, Anchorage, AK 995~.o Engineer's Printed Name Steven R. Pannone, P.E. Date 9/23/20:1.3. Engineers Comments: in conducting an adequacy test, ! attempt to provide a thorough, conscientious engineering analysis o£thc system in accordance with MOA DSD Guidelines & Regulations. The reported results describe the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the local soil condition, ground water levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of this system. All systems eventually fail and satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. PES can therefore not provide any warranty for future performance nor give any estimate of how long the system will continue to meet the operational requirements of the MOA DSD. The content of this report is for the sole benefit of the owner listed above. Any reliance upon or use of this report by any other person or party is not authorized nor will it confer any legal right whatsoever. 5. DSD SIGNATURE ? Approved for __ F__ bedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulations: ,,," .... XI'fOP .. .... WATER AND ; WASi-EWATER Attachments: COSA Checklist Septic System Advisory Well Flow Advisory Nitrate Advisory X Arsenic Advisory Maintenance Agreements Supplemental Engineer's Report Other ~)o~/~ Original Certificate Date: ?.--- 3 0 -// Municipality of Anchorage Development Services Department Building Safety Division On-Site Water & Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www. muni.org/onsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Rampart #% Lot 9 IfA, B, or C provide PWSID #~ Sanitary seal (Y/N) Y Cased to ~:::¥- ft. FROM WELL LOG Legal Description: A. WELL DATA Well type Private Date completed O.ul{ Total depth ~ g.p.m. Nitrate /~.78 mg/L Date of sample: 81~_al:zo',a Parcel ID: aaSog S.T.E.P. I ~.5oo9 Bioc¥cle Well Log (Y/N) N Wires properly protected (Y/N) Y Casing height (above ground). 36 Date of test Static water level Well production WATER SAMPLE RESULTS: Coliform Ne§ colonies/100mL Arsenic: ND ug/I B. SEPTIC/HOLDING TANK DATA Tank Type/Material Tank size ~.25o I ~.,;oo gal. Foundation cleanout (Y/N) Y Date of pumping C. ABSORPTION FIELD DATA AT INSPECTION ql2_n/aoax 5.0+ Collected by: PE$ .Date installed ql2atl2Ola Number of Compartments a I t~ Depression over tank (Y/N) N Pumper g.p.m. Date installed 61a~h. e88 Soil rating (g.p.d./~ or ~/bdrm) aSO sf/br Length 6~ ft. Width 2 Total depth _8 ft. Eft. absorption area 6~.o ft2 Date of adequacy test ql:z~_lao.,., Results (Pass/Fail) ~ Fluid depth in absorption field before test/,8 in. Elapsed Time: 360 min. Final fluid depth .4~ in. Any rejuvenation treatment (past 12 mo.) (YIN & type) Cleanouts (Y/N) Y High water alarm (Y/N) Y Monitoring tube Y System type. Deep Trench Gravel below pipe 5 Depression Over field N in. Pass For 5 bedrooms Water added75o gal. Absorption rate >= 750+ New depths8 in. g.p.d. If yes, give date LIFT STATION Date installed 612,.11c~88 "Pump on" level at ~,& in. Datum Bottom of Tank E. SEPARATION DISTANCES Size in gallons ~.25o "Pump off" level at 3~ in. Cycles tested ~ Manhole/Access (Y/N) Y High water alarm level at Meets alarm & circuit requirements? Y in. SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot 1=5.8 Absorption field on lot ~o~.o Public sewer main 7~;+ Sewer/septic service line 2~;+ Animal containment areas ~o+ On adjacent lots ~.oo+ On adjacent lots ~.2~.7 Public sewer manhole/cleanout ~.oo+ Holding tank Aoo+ Manure/animal excrete storage areas loo+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 20.7 Property line lo.o Water main lo+ Water service line Wells on adjacent lots ~o7.9 SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line ,, 5'* Water Service line ~.o+ Curtain drain 50+ F. COMMENTS * WRo2oo7 Building foundation [o+ Surface water ~.oo+ Wells on adjacent lots Absorption field 9-5 Surface water loo+ Water main 75+ Driveway, parking/vehicle storage ~o+ G. ENGINEER'S CERTIFICATION I ce~i'~ that I have determined through fi~ld inspectibns and review of Municipal mcords that the above systems are in ~ ~$' 49~. ~ "t~ ............... ,.......----...............-- conformance w~t~ MOA COSA guidelines ~n effect on this date. Engineers Printed Name Steven R. Pannone. P.E. ..... COSA Fee $ Date of Payment Receipt Number (Rev. 11/05) Waiver Fee $ Date of Payment Receipt Number FROM :Alpine Drillin@. FAX NO. :907 345 0202 $ep. 29 201i il:40AM Ri Aarow Pump & Well Service, LLC P.o. Box 110496 Anchorage, AK 99511 Office: (907) ,346-9355 · Fax (907) 333-8976 Eagle River: (907) 622-9335 No. 9128 CUSTOMER JOB SITE ~BOB HOUB8 flAT[ AMOUNT TOTAL MATB~IAL TOTAL LABOH ~0~k o~DE.EO BY! DATE OOMP. TOTAL I LABOfl PAY THIS' AMOUNT ThankYou SIGNATURE (I Hereby Acknowledge the SMiSf~ctory Completion of the Above Described Work and agree that if above work is not paid for in 90 days I agree Io allow Am'ow Pump & Well Service, gL.C. the right to remove unpaid for equipment and charge for labor already performed & labor to remove unpaid for equipmenl.) TERMS: ACCOUNTS PAYABLE AT 10TH OF MONTH FOLLOWING PURCHASE, SERVICE CHARGE AT RATE OF 1,5% PER MONTH WILL BE CHARGED ON OVERDUE ACCOUNTS. 9_9TH AVENU_E ........ Rebar /2, Found Z N 8g'57'30" E 120.07' i LOT 9 RAMPART ADDITION NO, 1 (e-66Z) Wall · -..- ~crete · ,Retaining WOod Deck Upper Level 2 2--Level Wood ¢~ame House on Concrete 8loCk Foundation ----16.9 Well Elec. Meter Box Wood Stairs: & Lending Brick Retaining Wall 0 Riser Inspection Cover for Septic ~ Riser PVC ~ ,~ Pipes (Typ.) b Wood Stairs & Landing Supports Swing -Lift Station M.H, · Elec. Panel 4' x4,' LOT 10 g Wall 10, Utility Easement 120.00' W ~49~ ~ ~....'...~..x...~ ~~~ LEGEND I hereby Ce~ify that on accurate su~ey of the falloWing described prope~y: LOT 9 ~MP~T SUBDIVISION ~DfftON NO. 1 (P--662) was made on .... ..September 19, 201:1 , and that the improvements Situated thereon ore within the property lines and do not ovedap or encroach on the property: lying adjacent thereto, thai; no improvements on the property lyir~g., adjacent thereto encroach on the premises in question and that there are no roadways, transmisSiOn lines or other vJslble easements on. said property except =as. indicated hereon; 'Anchorage, AlaSka. this 19th day ofS_epte'mbe~,2011, SCALE : 1" = 20' 0' 10' PREPARED FOR; MIKE WASHEK 20' A BUILT JSP 9/19/2011 SW 24,37 FILE NO. F,B. 2011 'jOB NO. 1124 PG; 30 J 1136 KARABELNIKOFF SURVEYING (9o7) 337-3434 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 ~.~'Jk- of 20 I~ ,by and bem,een 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: I. ADVANCED WASTEWATER TREATMENT SYSTEMS. Municipality grants permission to Owner to utilize and operate an Advanced Wastewater Treatment System (AWWTS), described as Definitions. located Anchorage, Alaska. A. Alteration. Any change to the design or function of an AWWTS that Includes the installation or removal of any parts, components or pieces not included in the original construction permit and design. 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 AWWTS that were included in the original design which would allow the AWWTS 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 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 ~ ($ O .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 AWWTS. The term begins on the date of approval by the Municipality of the installed system and shall continue while thc 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 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: :'~A/~tJ~£L ~ C. Owner acknowledges that the fine schedule for failing to maintain and repair an AWWTS are codified in AMC 14.60. 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 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 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 the 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 parties are: 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. OWNER: Date: STATE OF ALASKA THIRD JUDICIAL DISTRICT MUNICIPALITY: By: Title: Date: The foregoingjn~ru, ment wa~ a~knowledged before me this~ day of ~~. , NOTARY PUBLIC FOR ALASKA My Commission expires: NOTARY PUBLIC Municipality of Anchorage Development Services Department Building Safety Division On-Sile Water and Wastewaler Program ,~700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.cLanchorage.ok. Us (907) 343-7904 Parcel I.D. ol 5-071 -17 1. CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Expiration Date: GENERAL INFORMATION Completelegaldescription Lot 9 Rampart Subdivision /~1 Lo'alien (site address or directions) 5700 F~r c~e th, Anr'hnr~E¢, Current Property owner(si Mailing addres~ ' Lending agency' Day phone Day phone Mailing address Real Estate Agent Pat Arnett Day phone 561-7827 Mailing Address 2207 East Tudor, ,qr~, ~'{ Unless olhe~wvise requested, HAA will be held by DSD for picf<up. 2. NUMBER OF BEDROOMS: 3 An~hnrm~P, Ag q0fi07 3. TYPE OF WATER SUPPLY: Individual Well Individual Water Storage Community Class Public Water System Well [] [] TYPE OF WASTEWATER DISPOSAL: Individual On-site Individual Holding tank [] Community On-site [] Public Sewer [] 1'he Municipality of Anchorage Development Services Deparbnenl (DSD) Issues Cedificates of Health Au[horily Approval (HAA) based only upon the representations given In paragraph 5 by an Independent prolesslonal civil engineer registered in the State of Alaska. Cerlificates et Heallh Authority Approval are required for Ihe transfer of lille (except between spouses) for propedles served by a single I'amily on-site wastewater disposal and/or waler supply system. DSD also Issues HAAs upon request to homeowners. Cedificates of Health Authorily Approval are valid for 90 days from Ihe dale of Issue for propedies served by a private or Class C well and may be reissued with new water sample results less Ihan 30 days old. (Certificates may be reissued for a period of up Io one year with valid water samples.) Certi§c~les are valid for one year for properties served by Class A or B wells or a public water system. The Municipality o1' Anchorage Is not responsible for errors or omissions In the professional engineer's work. 4. STATEMENT OF INSPECTION BY ENGINEER As certil~ed by my seal affixed hereto and as o[ the valkJalien da~e shown below, I verity that my Investlga~ion, based on procedures outlined In the Health Authorib/Approval Guldellnes for this application, shows thai Ihe an-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 fudher 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 wilh all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name o[ Firm $ & .~ Fng~n~r~,~g Address 17034 N. EaRle River Loo~ Ste Engineer's Printed Name Robert C. Cowan 204 EaRle Phone River, AK 99577 Date ~/I,/o ~-. 5. DSD SIGNATURE ~ Approved for Disapproved. Conditional approval for Additional Comments Attachments: HM Checklist Septic System Advisory Well Flow Advisory Maintenance Agreements Supplemental Engineer's Report Other Original Certificate Date: M~'niC~p~!ity of AnchOrage Development Sen/ices Department Building Safety Division · On-Site Water & Wastewater Program 4700 Soulh Bragaw ~ P.O. Box 196650 Anchorage, AK 99519-6650 www.ct.anchorage, ak. us (gO7) 343-?g04 HEALTH AUTHORITY APPROVAL CHECKLIST LegalDescdption: CoT' c~ R~fe.t/a/~.4.?-- S/,O /~;g./ ParcellO:Ol~.4_0-/l_/.?.' A. WELl. DATA. weil type Date completed Total depth ~'~+ ff. IfA, B, orC provide PWSID # sa,i,~y seai R/N) ye./ Date of test Static water level Weil production FROM WELL LOG WATER ,~AMPILE RESULTS: Coflform ~- - colonies/100 mL, 6. $EPTIC/HOI nlNG TANK DATA lt. . g.p.m. Nitrate ~:q'~ mgJI. Tankstz· )~5'0 gal. NumbarofCompartments Foundatlorl c~riout (~2N) ~'L) Dapmssion over tank Date of pumping ~1 / ~1 r/ 0 .?-- Pumper ' / .? ,: C. ADsoRPTIoN FIELD DAfA:' Well log (Y(~ ,'v O Wires properly protected (~N) Casing height (above ground) ~ ¥ ~ in. · AT INSPECTION Ot~er bacteria ~ coloniegl00 mi. Coflected ~ & S ENG/I,I~'RINO 17034 F..agte River Loop Road Ne. ~04 Eagle River, AJlskl g95')'7 D~in~,K ~,/;~/ Cieanouts (~/N) Y'~- · High ~ate~' alarm (~1) Lengffi ~ ,[' ft. Width '~- ft. Tatel depth <~' ff. Eft. absorption area ~ ! O ~ Monitoring tube Date of edequacy test c~/~,, /O ?-- Resuits _~r~',',',',',',','~Fai0 ~Od'$J Fluid dep~ in absorption field bafom test ~ 3. in. Water added/~gal. Elapsed T~na: )oo min. Final fluid depth,~'~' in. Absorption rate >= Any rejuvenation treatment Coast 12 mo.) (Y/N & typs) /~0,,,( System type 'T*,~ cCv ~/4 Gravel below pipe ~ ft. Depression over field /v, o For ~ bedrooms New depth ~O in. · / .J-C) g.p.d. If yes. give date ~' D. UFT STATION "Pump on' level at'? q in. E. SEPARATION DISTANCES Size in gallons / 'Pump off' level at ~' I in. Manhole/Access (~q~l) ¥~ J' High water alarm level at 'T / 1~/' in. Meets alan~ & dn=uit requirements? ~'~.~ SEPARATION DISTANCES FROM WELL ON LOT TO: Septic lank/lift station on lot / CO '-/-- Absorption field on lot / O pub,c ,ewa main Sewer/septic sendce ,ne '~- On adjacent lots /o On adjacent lots Public sewer manhole/deanout Holding tank /~' SEPARATION OISTANCES FROM SEP'nC/HOLDING TANK ON LOT TO: Building foundation ~-.o ~ Propert~ line ~/~' Abeorl~on field J" Water main N/~ Water sendce line /0 -/'- Wells on adjacent lets /00 Surfacewatsr / O o ¥- SEPARATION DISTANCE FROM ABSORP I ION FIELD ON LOT,TO: Prope,tty line 5'- C" Building founda~on '20 /'~ Water main Water Senn'ce line /0 ~ Surface Water / o 0 Driveway. pmldng/vehide storage Curtaln~rainlgrl~a~ ~aw~ Wells on adjacent lets /d0 ~ F. COMMENTS G. ENGINEER'S CERTIFICATION .~. m~w of Mun~pal ~s ~at ~e HAA Fee S ,'~ Date of Payment Receipt Number (Rev. 12~1) Waiver Fee $ Date of Payment Receipt Number 09/05/2002 09:32 FA,~ 907 281 2201 -SEP, 6,2002- 8:21A,~-~-LAND TITLE COMPANY NO. 374' P.. 2/2 00/06/2002 ~l Q8:17 [TZ/RX ~0 9397] September I I, 2002 ROBERT C. COWAN, RE. ROBERTA. SHAFER, RE. CML ENGINEERS (~o~) FAX (907) 694-1211 MUNICIPALITY OF ANCIIORAGE DevelopmentServices Depanment P.O. Box 196650 Anchorage, AK 99519-6650 REFERENCE: Lot 9; Rampart Subdivision #1 Request you grant a waiver on the referenced property for the horizontal separation distance between the leachfield and the east property line at 5 feet. We do not anticipate any adverse effect on the adjacent property. If you require additional information, please contact us. Sincerely, Robert C. Cowan, P.E. RC C/tS/miscdramparl.d~< 17034 NORTH EAGLE RIVER LOOP * SUITE 204" EAGLE F~VEP,, ALASKA 99577 Municipality of Anchorage Development Services Department Building SafcO/Division On-Site Water and Waslewater Program 4700 Bragaw Sire. ct P.O. Box 1%650 Anchorage, AK v, ww.cLanchorase.ak.us (9O7) 343-7904 Waiver Review Worksheet WRY: WR0200?~ PIOO: 016-071.12 HAd: HA020468 Permit~: Date Received: ~H2/02 Legal Description: I~amoart ~1 Lot 9 Engineer. I~obert Cowan, P~ $&$ Enolneedna Applicant: Pat Amett Waiver Requested: $ feet from the east properW line to absorotlon field Criteria: Geology A. Water Table B. Soil Sorption C. Permeability D. Water Table Gradient E. Horizontal Separation Total: Points: List Conditions or Reasons for above: Rec#: 26629 Amount: $1E0.00 Date Paid: 911712002 George i: II'uerch. Mayor Municipality of Anchorage Building S~d'cty Di~ision Anchorage AtI.America City 2002 9/17/2002 Robert Cowan, PE S & S Engineering 17034 Eagle River Loop Road, Suite 204 Eagle River, AK 99577 Subject: Waiver Request for Rampart #1 Lot 9 Waiver Request #WR020070 Parcel ID #015-071-12 Health Authority Approval #HA020468 Dear Mr. Cowan: Your request for a waiver of the required l0 feet horizontal separation from the absorption field to property line has been approved. '[he approved separation distance is 5.0 feet. This waiver approval applies to the existing absorption field to property line separation only. Any future upgrade to the on-site wastewater disposal system will require all separation distances be met or another approval from this department. If there are any further concerns or questions regarding this waiver, please call our office at 343-7904. Sincerely, Jeffrey W. Poet Engineering Technician On-Site Water & Wastewater Program MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 Parcel I.D. # CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING 1. GENERAL INFORMATION Complete legal description Location (site address or directions) Property owner Mailing address Lending agency Mailing address Agent Address Day phone ~ L~.]]~J~_ ~"d-'[~'l~'Day phone A ~ k¢~-~i O'¢?/',.'_J./-~'~ '-~:~4..~Z4 Dayphone Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: TYPE OF WATER SUPPLY: Individual well Community well NOTE: TYPE .OF WASTEWATER DISPOSAL: NOTE: Public water If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. Individual on-site Holding tank Community on-site Public sewer If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025 (Rev. 1/91) Front MOA~21 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 of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. NameofFirm "'%l---~Jcb~._ .(~F~/.c~LJ.~.,~f¢_~ '~.-~- Phone~/~_~/J~ Address Engineer's signature /(!~ ' ? ':'!" * ' ' T" _ J.-"~pproved for -~ bedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulations: Additio: By: __ ~7~ Date The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesyto pumhesers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 72-025[Rev. 1/91) I&~Ck MOAI¢21 Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES ..... ~""~'~, ~.,~ Environmental Services Division 825 L Street, Room 502 · Anchorage, Alaska 99501 ° (907) 343-4744 Legal Descr pt/on:, A. WELL DATA Well type _ Log present (Y/N) Total depth Sanitary seal (Y/N) Health Authority Approval Checklist %~1~ ~'¢~./~MPA-P-T ¢¢1 ParcelI.D.: Cased to If A, B, or C, attach ADEC letter. ADEC water system number Date completed FROM WELL LOG Nitrate Date of test Static water level Well production WATER SAMPLE RESULTS: Coliform ~ Date of sample: I J, O ~, B. SEPTIC/HOLDING TANK DATA Date installed g.p.m. Casing height (above ground) ~.,/~ tt Wires properly protected (Y/N) __ ~ AT INSPECTION 7 g.p.m. Collected by: Other bacteria Number of Compartments ,~- Cleanouts (Y/N) ,~ Foundation cleanout (Y/N) Date of Pumping C. ABSORPTION FIELD DATA Date installed ("/~ Length_ ([,, ! Width Effective absorption area Date of adequacy test /[' ~ Depression (Y/N) I¥ High water alarm (Y/N). Pumper Soil rating (9:P:flT/fF or ft~/bdrm) ~ ~c) System type '~,4-~--~,4 ~/1 Gravel thickness below pipe ~ Total depth Monitoring Tube present (Y/N)_¥~/ . Depression over field (Y/N) Results (Pass/Fail) ~"") For . ~ Absorption rate = ._~_~/ If yes, give date Fluid depth in absorption field before test (in.); ~_ ~ ~/z, Immediately after 5~O gal. water added (in.): Fluid depth ~ (ins) Minutes later:_____~?~' g.p.d. Peroxide treatment (past 12 months) (Y/N) ~ 72-026 (Rev. 3/96)* I ~,~, ~'~'e,~ ~['~ ~ bedrooms D. LIFT STATION Manhole/Access (Y/N) 7 High water alarm level at* Cycles tested ~ E. SEPARATION DISTANCES Size in gallons "Pump on" level at* /~/! *Datum ,~ ~Y ~ "Pump off" level at* SEPARATION DISTANCES FROM WELL. ON LOT TO: I Septic/holding tank on lot Absorption field on lot Public sewer main Sewer/septic service line On adjacent lots On adjacent lots Public sewer manhole/cleanout Lift station SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Foundation ¢,~ ~C> Property line / b, Water main/service line ),~--~ Surface water/drainage t-4,J c, SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOTTO: I Property line t L3 Surface water 1'"[ l D Curtain drain F. £NGINEER'S C£RTIRCATION Building foundation ,.,2.0' Absorption field Wells on adjacent lots Water main/service line DHveway, parking/vehicle storage area 3 r_~ Wells on adjacent lots _ .~ / ~ I certify that I have determined thru field inspections and review of Municipal records that the above systems are in conformance with MOA HAA guidelines in effect on this date. Signature Engineer's Name '~~ ~d ~ ~ ~ HAAFee $ ~:_) z~ Date of Payment J?r/} Receipt Number ~ 72-026 (Rev. 3/96)* Waiver Fee $ __ Date of Payment Receipt Number T.SPURKLAND P.E. 203 W. 15th. AVE. SUITE 203 ANCHORAGE, ALASKA 99501 (907) 279-3916 Fax (907)-276-6013 Jim Cross Municipality of Anchorage Department of Health and Social Services 825 L Street Anchorage, Alaska 99501 Subject: HAA for Lot 9, Rampart PIN 015-071-12 5700 E 99 Ave° November 21, 1998 Gentlemen; Per your request we retested the septic system on this lot on November 20, 1998. The residence was vacant and the water depth in the trench monitor was 27 inches, 6 inches lower than what was observed on November 9. 1000 gallons, approximately, was discharged to the drainfield. This caused the water level in the monitor to rise 20 inches. No water was observed to flow back into the tank. 24 hours later the water depth in the monitor was 33.5 inches, the same as observed on November 9. This test indicates that more than 600 gallons were absorbed in a 24 hour period. Yours