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HomeMy WebLinkAboutT12N R3W SEC 4 LT 16 S180'OF W198'Onsite File
T12N R3W Sec 4
Lot 16
S 180' of W 198'
#014-082-01
Municipality of Anchorage
On -Site Water and Wastewater Section • (907) 343-7904 Page I of 3
ON-SITE WASTEWATER INSPECTION REPORT
Permit Number: OSP221252
PID Number: 014-082-01
Dwelling: 0 Single Family (SF)
❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑■ New ❑ Upgrade
Name
Spinell Homes
ABSORPTION FIELD
Deep Trench Q Wide Trench Bed
E] Deep E] Mound
Site Address
6965 Spruce Street
Other
Phone
Number of Bedrooms
Soil Rating
depth from original grade
4
4 gpd/sf GPD/SF
JTotal
4.0 Ft.
LEGAL DESCRIPTION
Depth to pipe invert from original grade
3.5 Ft.
Gravel depth beneath pipe
0.5
Subdivision
Block Lot
LT16 S180 OF W198
Fill added above original grade
0 Ft.
Ft.
Gravel length
40.0 Ft.
Township Range Section
12N 3W
4
Gravel width
5.0 Ft.
Beds: Number of Lines
NA
Distance between lines
NA Ft.
SEPARATION
DISTANCES
To
Septic
Absorption
Lift Station
Holding
Sewer
Total absorption area
Number of trenches
Dist. between trenches
From
Tank
Field
Tank
Line
200 FF,
1
NA Ft.
Well
100'+
100'+
NA
NA
25'+
TANK ❑ Septic N S.T.E.P. ❑ Holding X Other
Manufacturer
Orenco / Anchorage Tank
Capacity
1500 Gal.
Surface Water
100'+
100'+
NA
NA
Material
Number of compartments
Lot Line
51+
10'+
NA
NA
NA
Plastic / Fiberglass
2
Foundation
10'+
10'+
NA
NA
LIFT STATION
Manufacturer
Capacity
Remarks 5w Trench with 50LF x 10'W ERS
Orenco
250 Gal.
Advantex System
Alarm location
Outside Garage - Cnr of House
Electrical installed by
Solid Ground
Installer
PIPE MATERIAL House to tank 3034 dTankto 3034ainfield
Pomraining Construction
Drainfield 3034 CO/MT3034
Inspector PES
BENCH MARK (Assumed elevation) 100 ft
Inspection 1-` 4/11/2023 2nd 4/12/2023
Location and description
3`d 4/13/2023
4"'
See Site Plan, Bottom of house trim
ON-SITE WATER AND WASTEWATER SECTION APPROVAL
Engineer's Stamp
Conditional Approval:
Date
OF
* 49 7H �*
.... .. .......
..Mev an **Re
CE 8149
Septic Syste
/
Approved !it'
Date 2 y
�••.2023-05-17
Note: this approval
oes not include well permit requirements.
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NOTES: PANNONE ENG SVCLLC (C.1. 7088) REVISIONS u""
P.O. BOX 1807 PALNPER, AK 99645 OFA�,d 5/22/2023
RECORD DRAWING PHONE (907) 745-8200 FAX (907) 745-8201 SCALE
TI 2N R3W SEC4 L16 S180' OF W198 "' '.' P.I.D. NO
DRAWN ACP SPINELL HOMES INC "6`�erei, an, 'a 014-082-01
CE 8148PERMIT NO.
SITE: NHN SPRUCE STREET OSP221252
SITE PLAN ANCHORAGE, AK 9 5/22/2023 SHEET
2 OF 3
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NOTES: PANNONE ENG SVCLLC (C.1. 7088) REVISIONS u""
P.O. BOX 1807 PALNPER, AK 99645 OFA�,d 5/22/2023
RECORD DRAWING PHONE (907) 745-8200 FAX (907) 745-8201 SCALE
TI 2N R3W SEC4 L16 S180' OF W198 "' '.' P.I.D. NO
DRAWN ACP SPINELL HOMES INC "6`�erei, an, 'a 014-082-01
CE 8148PERMIT NO.
SITE: NHN SPRUCE STREET OSP221252
SITE PLAN ANCHORAGE, AK 9 5/22/2023 SHEET
2 OF 3
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NOTES:
PANNONE ENG SVC LLC (C.1. 1088)
P.O. BOX 1807 PALMER, AK 99645
PHONE (907) 745-8200 FAX (907) 745-8201
Aj
"' ...
}� onriowe
CE 8149
REVISIONS
DATE
5/19/2023
RECORD DRAWING
SCALE
NTS
T12N R3W SEC4 L16 S180' OF W198
SPINELL HOMES, INC
SITE: NHN SPRUCE STREETOSP221252
P.I.D. NO
014-0 82-01
DRAWN ACP
PERMIT NO.
SHEET
SECTIONS
ANCHORAGE, AK
5/19/2023
3 OF 3
Certified Drilling Log
OWNER OF LAND: Spinell Homes
ADDRESS: 6965 Spruce Street
LEGAL DESCRIPTION T12N R3W Sec 4 Lot 16
DATE: 9-1-22
PERMIT NUMBER: OSP221252 DATE OF ISSUE: 7-22-22
TAX IDENTIFICATION NUMBER 01408201000
Is well located at approved permit location: Yes No
Method of Drilling: air rotary cable tool
Depth of Well: 65
Casing Type: Steel Wall thickness .250 inches
Diameter: 6 inches, depth 65 feet
Liner type
Static Water Level: 8 feet
Recovery Rate 30 gpm gph
Method of Testing Air
Well Intake Opening Type: open end open hole
Screened Start feet Stopped
Perforations Start feet Stopped
Grout Type: Bentonite Volume: 50 lbs
Depth: from 2 feet, to 42 feet
Well Disinfected Upon Completion: yes no
Method of Disinfection: Chlorine 50 PPM
Comments:
Bore Hole Data
Depth
From To
0 2 Casing Stickup
2 4 Overburden
4 52 Silty Sand & Gravel
52 65 Sand & Gravel
Drillers Name: Cole Sullivan
ATTENTION: It is the responsibility of the property owner to submit a copy of the well log to the proper authority.
Municipality of Anchorage: Department of Health & Human Services and/or Department of Environmental Conservation.
MatSu Borough: Department of Environmental Conservation.
Q VWDOette
A ER WELLS
www.suilivanwaterwells.com
Pump installation Log
Well Drilling Permit Number: SW
Parcel Identification Number.
Legal Description
I Pump Installation Date: 6LI- J 3 2- 3
Date of Issue
Property Owner Name & Address
Pump intake Depth Below Top of Well Casting:? feet
Pump manufacturer's Name: Fr, 11A K A v1
Pump Model:
Pump Size: (�� hp
Pitless Adapter Burial Depth: 0 feet
Pitless Adapter installer: Pbry-wo-ni nom) Exco\°ckil Ci -1
Disinfected Upon Completion? ® yes no
Method of Disinfection: Chlorine SQ RPM
Comments: Pitless Manufacturer: Pj -a2,- ; /
Pump Installers Name: Sullivan Water Wells
Attention: The pump installer shall provide a pump installation log to the DSD within 30 days of pump installation.
1
2
3
4
5
6
7
8
9
TEST HOLE 1
OR
GP/
GM
SM
SAND &
GRAVEL
FILL
BOH
DATE PERFORMED
4/11/2023
SOILS LOG
± 6.5' WAS GROUND WATER
SAMPLE ENCOUNTERED? Y
LOCATION
IF YES, AT WHAT
DEPTH? 8.0'
DEPTH TO WATER AFTER
MONITORING? 8.0'
DATE: 4/18/2023
SOIL TEST RESULTS/ANALYSIS
• PERCOLATION RATE SEE SIEVE
(Hydrologic Soils Group: HSG A)
• PERC HOLE DIAMETER 6"
• TEST RUN BETWEEN 6 FT AND 7 FT
COMMENTS: Test hole excavated by POMRANING EXCAVATION.
PERFORMED BY: PANNONE ENGINEERING. I CERTIFY THAT THIS TEST
WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL
GUIDLINES IN EFFECT ON THE DATE OF THIS TEST.
NOTES:UAit
PANNONE ENG SVC LLC (C.1. 1088) REVISIONS
RECORD DRAWING P.O. BOX 1807 PALMER, AK 99645 01=„ 5/19/2023
PHONE (907 745-8200 FAX (907) 745-8201 SCALE
NTS
T1 2N R3W SEC4 —16 S180' OF W198 ... P.I.D. NO
DRAWN AGP SPINELL HOMES, INC .1014-082-01CE 1eren onnowe PERMIT N0.
SITE: NHN SPRUCE STREET e'�s OSP221252
SOILS LOG ANCHORAGE, AK SHEET
5/19/2023
WATER
RATE
READING
DATE
NET TIME
LEVEL
NET DROP
(MPI)
READING
1
PERCOLATION TEST NOT
POSSIBLE AT DEPTH DUE TO
2
HAZARDOUS SOIL CONDITIONS.
SEE SIEVE ANALYSIS.
3
4
5
6
± 6.5' WAS GROUND WATER
SAMPLE ENCOUNTERED? Y
LOCATION
IF YES, AT WHAT
DEPTH? 8.0'
DEPTH TO WATER AFTER
MONITORING? 8.0'
DATE: 4/18/2023
SOIL TEST RESULTS/ANALYSIS
• PERCOLATION RATE SEE SIEVE
(Hydrologic Soils Group: HSG A)
• PERC HOLE DIAMETER 6"
• TEST RUN BETWEEN 6 FT AND 7 FT
COMMENTS: Test hole excavated by POMRANING EXCAVATION.
PERFORMED BY: PANNONE ENGINEERING. I CERTIFY THAT THIS TEST
WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL
GUIDLINES IN EFFECT ON THE DATE OF THIS TEST.
NOTES:UAit
PANNONE ENG SVC LLC (C.1. 1088) REVISIONS
RECORD DRAWING P.O. BOX 1807 PALMER, AK 99645 01=„ 5/19/2023
PHONE (907 745-8200 FAX (907) 745-8201 SCALE
NTS
T1 2N R3W SEC4 —16 S180' OF W198 ... P.I.D. NO
DRAWN AGP SPINELL HOMES, INC .1014-082-01CE 1eren onnowe PERMIT N0.
SITE: NHN SPRUCE STREET e'�s OSP221252
SOILS LOG ANCHORAGE, AK SHEET
5/19/2023
040.002 Crowther Associates
1632 Bellevue Circle / Anchorage, Alaska 99515
Telephone (907) 349-2198 / E mail: crowther@alaska.net
Client: Pannone Engineering Services
Project: 6965 Spruce Street
Date: May 17, 2023
Particle Size Distribution Table
(percent passing subject sieve size)
Sample Source --
Moisture
Content
20.0%
Sieve Size Percent Finer Percent Finer Percent Finer Percent Finer
3 inch 100
1-1/2 inch 100
¾ inch 99
#4 77
#10 60
#40 29
#100 21
#200 20
0.02 mm xx
Classification
Silty Gravelly
Sand (SM)
Invoice 190
50
0\0 4 0 A
W1
Technical Guidance Manual — March 2023
C K,
IN; 11111 1
MwIlmed W=11
0
7 % SAND
A black anti white wi-sion is provideki in Appendix B.
Figure 2-1. United States Department of Agriculture soil textural triangle.
t.0 4- ", S a ;-,-
'Or ensunnn t! e,'
evkirmlf-e'ri c"r
"JtE,, Wconvollr,
2-4
B-1, B-2
C-11, C-2
UNSUITABLE
H
N
Technical Guidance Manual — March 2023
Table 2-4. Soil textural classification design groups.
Soil Design Soil Design Application Rate
Group Subgroup Soil Textural Classification (GPD/ft2)a
NSb NS Gravel NS
Coarse sand_
A A-1 Sand° 1.2
A -2a Loamy coarse sand 1.0
A -2b Fine sand 0.75
Loamy sand
— -..,._e B B-1 Very fine sand 0.6
Sandy loam
Very fine sandy loam
B-2 Loam _ 0.45
Silt loam
Sandy clay loam (5527% clay)
C C-1 Silt 0.3
Sandy clay loamd
Silty clay loamd
C-2 Clay loamd _ 0.2
NS NS Sandy clay NS
Silty clay
Clay
Organic muck
Duripan
Hardpan
Claypan
a. Application rates are for domestic strength wastewater.
b. Not suitable (NS) for installation of a subsurface sewage disposal system.
c. See medium sand definition (section 3.2.8.1.2) for a manufactured material that may be
acceptable for use.
d. Soils without expandable clays.
Notes: gallons per day per square foot (GPD/ftz)
2.1.3 Soil Design Subgroup Corrections
}F.
A soil design subgroup may be lowered as indicated in this section. (Subgroup correction is
used to determine the application rate only; it will not change surface water or
groundwater separation requirements.)
1. Soil with moderate or strong platy structure should be lowered one subgroup for design.
purposes.
kSoil should be lowered one subgroup if 35%-60% is rock fragments (very gravelly; very
stony).
3. Soil should be lowered by two subgroups if 60%-95% is rock fragments (extremely
gravelly, extremely stony).
4. Soil with 95% or greater rock fragments is unsuitable as an effective soil for subsurface
sewage disposal.
5. Uniform fine and very fine sand (e.g., blow sands) should be lowered two subgroups for
design purposes. Soils that qualify for this modification have a coefficient of uniformity
less than three (CL, < 3.0).
ontmllec Dock imunt—U- FL; '` . 3:" Eui3rQ - hcF u. =. . , _._ .�(. z.. ,. . ,
_!
2-7
SP
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U
C
E
S
T
R
E
E
T
AsBuilt
5/3/2023
Feet
0 30 60
.MUNICIPALITY OF ANCHORAGE
Development Services Department ^'�``
p P r.� �= Phone: 907-343-7904
On -Site Water & Wastewater Section Fax: 907-343-7997
Parcel I.D. 014-082-01
Certificate of On -Site Systems Approval
Expiration Date: 8/24/23
Legal description T12N R3W SEC 4 LT 16 S180'OF W198'
Site address 6965 SPRUCE ST
Current property owner(s) SPINELL HOMES INC
XThe On-site system(s) is/are approved for 4 bedrooms
Conditional approval for bedrooms, with the following stipulations:
Comments or advisories:
By: Original Certificate Date: 5/24/23
This Certificate of On -Site Systems Approval (COSA) is intended to demonstrate the subject
system(s) is/are in substantial compliance with municipal code. The Municipality of
Anchorage, Development Services Department (DSD) issues COSAs based upon
representations provided by an independent professional engineer. The Municipality of
Anchorage is not responsible for errors or omissions in the professional engineer's work.
ATTACHMENTS:
COSA Checklist X Well Flow Advisory
Absorption Field Advisory Nitrate Advisory
Tank Age Advisory Arsenic Advisory
Other
COSA Approval_June 2022
R 0 514
NO� -tel{ «t -iDevelopment Services Department
' Phone: 907-343-7904
On -Site Water & Wastewater Section Fax: 907-343-7997
Certificate of On -Site Systems Approval Application
1. GENERAL INFORMATION
Parcel I.D. 014-082-01
Complete legal description T12N R3W SEC4 L16 S180 of W198
Location (site address) 6965 Spruce Street Anchorage, AK
Current property owner(s) Spinell Homes
2. ON-SITE SYSTEMS SIZED FOR 4 BEDROOMS
Day phone
3. TYPE OF WATER SUPPLY: 0 Private Well ❑ Private Well serving 2 dwelling units
❑ Private Well serving 3+ dwelling units ❑ Community Well or Public
❑ Water Storage
4. TYPE OF WASTEWATER DISPOSAL: 0 Private Septic ❑ Private Septic serving 2 dwelling units
❑ Holding Tank ❑ Community Septic or Public Sewer
5. SEPTIC TANK: ❑ Steel ❑N Plastic ❑ Concrete ❑ Fiberglass
Age 0 - See advisory if steel older than 20 years
6. ABSORPTION FIELD: ❑® AWWTS ❑ Bed ❑ Deep Trench ❑ Wide Trench ❑ Seepage Pit
Waiver request for:
Expedited review requested: lip
Distance:
By applying for this entitlement, this property is subject to inspection by municipal On-site staff
to verify the accuracy of the information provided.
COSA Fee$• Waiver Fee
Date of Payment Date of Payment
COSA # 05C23/114-7) Waiver #
COSA Application—June 2022
Legal Description: T12N R3W SEC4 L16 S180 of W198
Parcel ID: 014-082-01
If more than 1 well and/or septic system on lot, provide separate checklist. Structure served by this system 1
A. WELL DATA
FOR Well log is filed with Onsite (or attached)
Date drilled 7/14/21 Total depth 144 ft
Cased to 134 ft
❑ Sanitary seal is functioning correctly
❑ Wires are properly protected
Casing height (above ground) 24 in.
Date of flow test for COSA 7/14/21
Static water level at beginning of test 21.4 ft
Comments
B. TANK DATA
Measured operating fluid level in septic tank n/a
Date of pumping n/a
❑ Required maintenance completed, if AWWTS
Comments: New Tank
D. ABSORPTION FIELD DATA
Which system tested (date installed) 4/13/23
❑ ALL standpipes present per record drawing
Total measured depth from grade ft (max)
Measured depth to pipe invert from grade • '5 ft (min)
❑ N/A — pressurized field.
❑ Per record drawings, field is insulated.
❑ Monitor tubes go to bottom of effective.
If not, state depth into effective
❑ Presoaked required if
(Required if house vacant or field not used for more
than 30 days prior to date of test)
Gallons introduced gallons date
Any rejuvenation treatment (past 12 months) no
If yes, enter date
Comments/Deficiencies:
COSA Checklist June 2022
Well production at time of test 70+ gpm
Water storage tank volume n/a gallons
Well disinfected for coliform test? ❑ Yes ❑ No
On Coliform bacteria is Negative
Nitrate, mg/L _ Nitrate less than MRL (ND)
Arsenic ug/L ❑ Arsenic less than MRL (ND)
Collected by rt:w:)
Date 5,g/23
C. LIFT STATION
❑ Required maintenance completed
Age of lift station 0 years
Lift station material Plastic
Comments: New lift station
Adequacy test date new system
Results ❑ Pass
Fluid depth prior to test in
Water added gal
New fluid depth in
Elapsed time min
Final fluid depth in
Absorption rate 600 gpd
FIELD STATUS — POST RECOVERY
Effective depth (per record drawings) 0.5 in
Effective depth used 0 in
Effective depth remaining 0.5 in
From Private Well on Lot to: (Please enter distances if less than required or if community well on lot)
Septic Tank/Lift Station on Lot > 100'
❑ Yes
if No
Community Sewer Manhole/Cleanout > 100'
❑ Yes
if No
ft
FIN] Yes
if No ft
Neighboring Tank > 100' © Yes
if No
ft
Private Sewer/Septic Line > 25' FO-] Yes
if No ft
Absorption Field on Lot > 100' a] Yes
if No
ft
Holding Tank > 100' © Yes
if No ft
Neighboring Absorption Fields > 100'
if No
ft
Animal Containment > 50' ❑ Yes
if No ft
Q Yes
if No
ft
ft
If tank or field is under driveway comment below
Manure/Animal Excreta Storage > 100'
Community Sewer Main > 75' Q Yes
if No
ft
Fw� Yes
if No ft
❑ N/A — Served by Community Well (not on lot) or Public Water
From Septic/Holding Tank and Absorption Field(s) on Lot to: (Please enter distances if less than required)
Building Foundations > 10'
❑ Yes
if No
ft
Surface Water > 100'
❑ Yes if No _
Tank to Property Line > 5'
Fm] Yes
if No
ft
Wells on Adjacent Lots:
Field to Property Line > 10'
0 Yes
if No
ft
Private Wells > 100'
Fm� Yes if No _
Water Main > 10'
Q Yes
if No
ft
Community Wells > 200'
n Yes if No _
Water Service Line > 10'
R Yes
if No
ft
If tank or field is under driveway comment below
F. ENGINEER'S COMMENTS
ft
ft
ft
G. CERTIFICATION &: STATEMENT OF INSPECTION BY ENGINEER
As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based
on procedures outlined in the Certificate of On -Site Systems Approval Guidelines, indicates that the on-site water
supply and/or wastewater disposal system appears to comply with applicable Municipal and State codes,
ordinances, and regulations in effect at the time of installation, unless noted otherwise.
Name of Firm Pannone Engineering Services Phone 907-745-8200
Engineer's Printed Name Steven R Pannone P.E., F. ASCE
COSA Checklist—June 2022
Date 2369 5-015"
,E 8149 �
MUNICIPALITY OF ANCHORAGE
ADVANCED WASTEWATER TREATMENT SYSTEM
MAINTENANCE AND REPAIR AGREEMENT
THIS MAINTENANCE AND REPAIR AGREEMENT, herein the "AGREEMENT" made and
entered into as of this 1 St Day of May of 20_2a, by and between
, herein the "OWNER," and the Municipality of
Anchorage, herein the "MUNICIPALITY", in accordance with Anchorage Municipal Code
(AMC) 15.65.365. In consideration of the mutual covenants contained herein; the parties to this
Agreement agree as follows:
1. Advanced Wastewater Treatment Systems. The Municipality grants permission to the
Owner to utilize and operate an Advanced Wastewater Treatment System (AWWTS),
described as Advantex
located at (legal description)
T12N R3W SEC 4 L16
2. Maintenance, Repairs and Alterations.
(Owner is required to read, understand and initial each section)
Throughout the term of this Agreement, the Owner shall enter into a service agreement
Isa—
with an AWWTS service and maintenance provider approved by the Municipality or the
manufacturer's representative. The AWWTS shall be maintained in a satisfactory
condition capable of performing as designed and producing treated septic effluent in
accordance with the equipment's approval for operation in the Municipality.
It shall be the responsibility of the Owner during the term of this Agreement to pay for all
repair(s), maintenance, adjustment(s), replacement costs, and inspection costs. This
includes an annual maintenance fee (typically $400 to $600).
Owner agrees that only maintenance and repair personnel approved by the Municipality
or the manufacturer's representative will inspect and make any necessary maintenance,
repairs or permitted alterations to the system.
Owner acknowledges that regular maintenance of an AWWTS reduces the potential
failure of the system, which could include sewage backup and costly repairs or drainfield
replacement.
(rev. 05/18/2018) Pagel of 3
Owner acknowledges that the Municipality may request records of maintenance and
repairs from the manufacturer's representative or maintenance provider.
Owner acknowledges that the fine for failing to maintain and repair an AWWTS may be
41—
assessed in accordance with AMC 14.60.030.
Owner agrees to grant the Municipality reasonable access to test and inspect the
AWWTS. The Municipality will give at least 24-hour notice.
Owner agrees that any sale or transfer of title of the property will not occur without a new
Certificate of On -Site Systems Approval.
Owner agrees that the AWWTS installation and maintenance requirements as provided
by the AWWTS vendor/installer and approved by the Municipality are the governing
guidelines for the construction, maintenance and repair of the Owner's AWWTS.
Owner agrees to maintain remote monitoring of the AWWTS as required by the
AWWTS approval.
3. Term. The term of this Agreement shall begin on the date of approval by the
Municipality to operate the installed system, or upon transfer of title, and shall continue
while the AWWTS is operational or until title is transferred.
4. Nonwaiver. The failure of the Municipality at any time to enforce a provision of this
Agreement shall in no way constitute a waiver of the provisions, nor in any way affect
the validity of the Agreement or any part hereof, or the right of the Municipality
thereafter to enforce every provision hereof.
5. Amendment. This Agreement shall only be amended by authorized representatives of
the Owner and Municipality. Any attempt to amend this agreement by either an
unauthorized representative or unauthorized means shall be void.
6. Jurisdiction: Choice of Law. Any civil action. arising from this Agreement shall be
brought in the Superior Court for the Third Judicial District of the State of Alaska at
Anchorage. The laws of the State of Alaska shall govern the rights and obligations of the
parties under this Agreement.
7. Severability. Any provisions of this Agreement decreed invalid by a court of competent
jurisdiction shall not invalidate the remaining provisions of the Agreement.
(rev. 05/18/2018) Page 2 of 3
OWNER:
By: ,(signature) Date:
Z11-
(print name) —�
STATE OF ALASKA )
ss.
THIRD JUDICIAL DISTRICT )
The foregoing instrument was acknowledged before me this 2- „ day of ,r
20 23 , by j_, _,A- i
M(05TA PUBLIC FOR ALASKA
My Commission expires:.._..t�7 - t -z
MUNICIPALITY:
LITY:
BY :tt/
u` — (signature)
—(print name)
9..z OFFICIAL SEAL
LEZLIE ARNOLD
NOTARY PUBM-STATE Of PLASM
My Comm. Expires keft 14,20
Date: �z 2
Title:
MUNICIPALITY OF ANCHORAGE ,1,cnr
On -Site Water & Wastewater Program
PO Box 196650 4700 Elmore Road G I
Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 n
http://www.muni.org/onsite
k.
Del>arrmell t
On -Site Water & Wastewater System Permit
Permit dumber: OSP221252 Effective Date: 7/22/2022
Work Type: WellSeptic Initial Expiration Date: 7/22/2023
Tax Code dumber: 01408201000
Site Legal Address: TI 2N R3W SEC 4 LT 16 S180'OF W198' 6:2135
Site Mailing Address: 6965 SPRUCE ST, Anchorage
Owner: BRANDT ROBERT F & FELLON L Lot Size in Sq Ft: 35640
Design Engineer: PANNONE ENGINEERING SERVICES Total Bedrooms: 4
This permit is for the construction of:
Cif Disposal Field RI Septic Tank ❑ Holding Tank ❑ Privy Q Private Well ❑ Water Storage
All construction shall be in accordance with:
1. The attached approved design.
2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska
Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80)
3. The wastewater code requires inspections during the installation. The engineer shall notify the Development
Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
shall be either:
a. Opened and Closed on the same day, or
b. Covered, sealed, and heated to prevent freezing
Special -provisions:
• A test hole is required prior to construction of the absorption field, inthe location shown on the site plan, to
confirm minimum separation toimpermeable soil and seasonal high groundwater, as well as
percolation rate. Construction may proceed at your own risk prior to 7-daygroundwater monitoring. If
results require a design change, constructionshall stop pending approval of a change order. Please
submit results withthe inspection report (or change order, if required).
Received B
Issued By:
,r
Y• Date:
Date: 71 Z_. _
U CIPALITY OF ANCHORAGE
Community Development Department = Phone: 907-343-7904
Development Services Division Fax: 907-343-7997
On -Site Water & Wastewater Program
ON-SITE SEWERIWELL PERMIT APPLICATION
Parcel I.D. 014-082-01
Property owner(s) Spinell Homes, INC
Mailing address 1900 W. Northern Lights Blvd #200
Site address NHN Spruce Street
Day phone
Anchorage, AK
Legal description (Sub'd., Block & Lot)
Legal description (Township, Range & Section) T1 2N R3W Sec4 L16 S180' of W198'
Lot Size 35,777 Sq. Ft. Number of Bedrooms 4
APPLICATION IS FOR:
(N all that apply)
Initial rX-1
Absorption Field
❑X
Septic Tank
❑X
Holding Tank
❑
Privy
❑
Private Well
❑X
Water Storage
❑
APPLICATION IS AN: -
TYPE OF DWELLING:
Initial rX-1
Single Family (SF) ❑X
(w/wo ADU)
Upgrade ❑
Duplex (D) E]❑
Renewal
Multiple Dwellings ❑
(SF and/or D)
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.
��Ignaiure or property owner or authorized agent)
Permit/Rush Fees: O Waiver Fees:
Date of Payment: f� I �' D a Date of Payment:
Receipt Number: U 3y j G Receipt Number:
Permit No. 0S 11 10- 5 Waiver No.
Permit App_-'- :- :-..:c:
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP221252, Deb Wockenfuss, 07/22/22
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP221252, Deb Wockenfuss, 07/22/22
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP221252, Deb Wockenfuss, 07/22/22
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP221252, Deb Wockenfuss, 07/22/22
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP221252, Deb Wockenfuss, 07/22/22
MUNICIPAEIiTY OF ANCHORAGE
ADVANCED WAS'T'EWATER TREATMENT SYS'T'EM
MAINTENANCE AND RE, PAIIR AGREEMENT
THIS MAINTENANCE AND REPAIR AGREEMENT, herein the "AGREEMENT" made and
entered into as of this __L.Day of —J) (e,/ of 20 _,? -P-, by and between
AMS , herein the "OWNER," and the Municipality of
Anchorage, herein the "MUNICIPALITY", in accordance with Anchorage Municipal Code
(AMC) 15.65.365. In consideration of the mutual covenants contained herein, the parties to this
Agreement agree as follows:
1. Advanced Wastewater Treatment Systems. The Municipality grants permission to the
Owner to utilize and operate an Advanced Wastewater Treatment System (AWWTS),
described
located at (legal description)
2. Maintenance, Repairs and Alterations.
(Owner is required to read, understand and initial each section)
45— Throughout the term of this Agreement, the Owner shall enter into a service agreement
with an AWWTS service and maintenance provider approved by the Municipality or the
manufacturer's representative. The AWWTS shall be maintained in a satisfactory
condition capable of performing as designed and producing treated septic effluent in
accordance with the equipment's approval for operation in the Municipality.
IIt shall be the responsibility of the Owner during the term of this Agreement to pay for all
repair(s), maintenance, adjustment(s), replacement costs, and inspection costs. This
includes an annual maintenance fee (typically $400 to $600).
Owner agrees that only maintenance and repair personnel approved by the Municipality
or the manufacturer's representative will inspect and make any necessary maintenance,
repairs or permitted alterations to the system.
Owner acknowledges that regular maintenance of an AWWTS reduces the potential
failure of the system, which could include sewage backup and costly repairs or drainfield
replacement.
(rev. 05/18/2018) Page 1 of 3
Owner acknowledges that the Municipality may request records of maintenance and
repairs from the manufacturer's representative or maintenance provider.
5 Owner acknowledges that the fine for failing to maintain and repair an AWWTS may be
assessed in accordance with AMC 14.60.030.
Owner agrees to grant the Municipality reasonable access to test and inspect the
AWWTS. The Municipality will give at least 24-hour notice.
Owner agrees that any sale or transfer of title of the property will not occur without a new
Certificate of On -Site Systems Approval.
Owner agrees that the AWWTS installation and maintenance requirements as provided
by the AWWTS vendor/installer and approved by the Municipality are the governing
guidelines for the construction, maintenance and repair of the Owner's AWWTS.
Owner agrees to maintain remote monitoring of the AWWTS as required by the
AWWTS approval.
3. 'herrn. The term of this Agreement shall begin on the date of approval by the
Municipality to operate the installed system, or upon transfer of title, and shall continue
while the AWWTS is operational or until title is transferred.
4. Nonwaiver. The failure of the Municipality at any time to enforce a provision of this
Agreement shall in no way constitute a waiver of the provisions, nor in any way affect
the validity of the Agreement or any part hereof, or the right of the Municipality
thereafter to enforce every provision hereof..
S. Amendment. This Agreement shall only be amended by authorized representatives of
the Owner and Municipality. Any attempt to amend this agreement by either an
unauthorized representative or unauthorized means shall be void.
6. Jurisdiction: Choice of � aw. Any civil action arising from this Agreement shall be
brought in the Superior Court for the Third Judicial District of the State of Alaska at
Anchorage. The laws of the State of Alaska shall govern the rights and obligations of the
parties under this Agreement.
7. Severability. Any provisions of this Agreement decreed invalid by a court of competent
jurisdiction shall not invalidate the remaining provisions of the Agreement.
(rev. 05/19/2018) Page 2 of 3
OWNER:
By(signature) Date: zo
ndr� S pi e,l (print name)
STATE OF ALASKA )
ss.
THIRD JUDICIAL DISTRICT )
The foregoing instrument was acknowledged before me this 20 day of A2r' I
20�p , by An
AK _?_Xv�.e
N Y BLIC FOR ALASKA
My Commission expires: L{ - Z3 OFFICIAL SEAL
LEME ARNOLD
A tJMARY PUBLIC -STATE OF ALASKA
My GM.E>�ite5 11 14, X23
MUNICIPALITY:
By: (signature) Date: z Z 2Z
(print name) Title:
(rev. 05/19/2018)
Pale 3 of 3
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP221252, Deb Wockenfuss, 07/22/22