HomeMy WebLinkAboutRABBIT CREEK VIEW & HEIGHTS BLK 4H LT 16ARABBIT CREEK VIEW
& HEIGHTS
Lot 16A
#020 - 551 - 30
Municipality of Anchorage
On -Site Water and Wastewater Section • (907) 343-7904 Page 1 of 3
ON-SITE WASTEWATER INSPECTION REPORT
Permit Number: OSP241275 PID Number: 020-551-30
Dwelling: X Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: 0 New ❑ Upgrade
Name
TI Building Group LLC
ABSORPTION FIELD
❑Deep Trench❑ Wide Trench El Bed El Mound
Site Address
7981 Byron Dr
❑ Other
Phone
Number of Bedrooms
Soil Rating
depth from original grade
Four(4)
2.0 GPD/SF
JTotal
1.0 / 1.0 Ft.
LEGAL DESCRIPTION
Depth to pipe invert from original grade
0.5/0.5 Ft
Gravel depth beneath pipe
0.5 / 0.5 Ft.
Subdivision Block Lot
Rabbit Creek View & Heights 4H 16A
Fill added above original grade
2.5/3.4 Ft.
Gravel length
30 / 30 Ft.
Township Range Section
Gravel width
5.0/5.0 Ft.
Beds: Number of Lines
N/A
Distance between lines
N/A Ft.
SEPARATION
DISTANCES
To
Septic
Tank
Absorption
Field
Lift Station
Holding
Sewer
Total absorption area
300
Numberof trenches
TWO(2)
Dist. between trenches
>6
From
Tank
Line
Ft2
Ft.
Well
>50'
>50'
N/A
N/A
>25'
TANK ❑ Septic ❑ S.T.E.P. ❑ Holding 9 Other
Manufacturer
Advantex
Capacity
1500 Gal.
Surface Water
>50'
50'
N/A
N/A
Material
Plastic
Number of compartments
Two(2)
Lot Line
>5'
>10
N/A
N/A
NA
Foundation
>10'
>1 0'
N/A
N/A
LIFT STATION
Manufacturer
Orenco
Capacity
250 Gal.
Remarks AWWTS
Trenches listed south / north (Insulated)
Alarm location
Near FCO
Electrical installed by
North Lit Electric
PIPE MATERIAL House to tank D3034 Tank to
drainfield D3034
Installer
Red Dog Masonry
Drainfield D3034 CO/MTD3034
Inspector M. Jakubisin & J. Opheim
BENCH MARK (Assumed elevation) 100 ft
Inspection 151 10/7/24 10/7/24
Location and description
dates:
Bottom of Siding @ B
31d 10/21 /29 411
ON-SITE WATER AND WASTEWATER SECTION APPROVAL
Engineer's Stamp
Conditional Approval: Date
law
TH`'.
BenlarrSchiller
�
cE �
Septic System
Approved
Date2592
���s�F 1/14/25/25
AW
�Essia��.,
pROFESSIQ
Not . his approval does not include well permit requirements.
�
(Rev u5m2ii 8)
ALTERNATE SITE
Benjamin Schiller
CE 12592
R
E
G
ISTEREDPROFE S S I O N A L E N GINEER
1"=30'
(2) CAT III 30' LONG x 5' WIDE,
0.5' EFFECTIVE DEPTH
ABSORPTION TRENCHES
1500-GAL
ADVANTEX TANK
w/ AX20 POD
CO - CLEANOUT
2CO - DOUBLE CLEANOUT
FCO - FOUNDATION CLEANOUT
FS - FLOW SPLITTER VALVE
MH - MANHOLE
MT - MONITORING TUBE
SV - SEPTIC VENT
TH - TEST HOLE
LEGEND
ANDERSON
PERMIT # OSP241275 PID # 020-551-30
RABBIT CREEK V&H, BLOCK 4H LOT 16A
A B
FCO 35.0
MH 36.6
POD 39.5
AB
CO 34.1
CO1 24.3
MT1 26.0
CO2 30.7
7.4
16.5
18.5
21.2
54.7
55.1
29.5
FEET
0 30 60
FCO
4-BDRM HOME
PLAN AS-BUILT
6/11/25
10' UTILITY EASEMENT
CA
R
L
S
T
R
E
E
T
BYRON DRIVE
DRIVEWAY
DECK
WELL W/ 50'
RADIUS
1335
1330
1325
1320
1340
1345
1350
1355
FS
MT4MT3
CONST. & ENG.
NEIGHBORING
ADVANCED
TREATMENT
SYSTEM OUTSIDE
VIEWPORT
NEIGHBORING
WELL W/ 50'
RADIUS
NEIGHBORING
WELL W/ 50'
RADIUS
MT2
MT1
CO1 CO2
CO
CO3
CO4
POD
MH
MT2 29.329.7
CO3 36.2
MT3 34.5
CO4 40.4
60.6
58.7
39.0
MT4 41.140.8
FS 28.244.4
BM
PROFILE AS-BUILT
(NO SCALE)
95.1
90.0
96.0
98.6
FC
O
MH
PERMIT # OSP241275 PID # 020-551-30
RABBIT CREEK V&H, BLOCK 4H LOT 16A
98.4 FINISH GRADE
DRAINFIELD ROCK
MT
1
TH
94.9
95.4
CO
1
CO
2
94.9
95.4
MT
2
Benjamin Schiller
CE 12592
R
E
GISTEREDPROFE S S I O N A L E N GINEER
1500 GAL ADVANTEX
FAP 2.0 TANK
AX-20
FILTER
POD
1/14/25
97.8 FINISH GRADE
30'
DRAINFIELD ROCK
MT
3
TH
GROUNDWATER @ 90.0 10/11/24
93.4
93.9
CO
3
CO
4
85.4
93.4
93.9
94.4 ORIGINAL GRADE MT
4
NORTH TRENCH
CO
96.1
30'
SOUTH TRENCH
MOA APPROVED SAND
MOA APPROVED SAND
91.9
90.4
GROUNDWATER @ 91.5 10/11/24
86.9
95.9 ORIGINAL GRADE
2" INSULATION
2" INSULATION
MUNICIPALITY OF ANCHORAGE
Development Services Department Phone: 907-343-7904
On-Site Water & Wastewater Section Fax: 907-343-7997
Well Log
Permit Number: #__________ Date of Issue: ________ Parcel Identification Number: __________________
Date Started: _________ Date Completed: _________ Is well located at approved permit location? Yes No
Legal Description:_________________________________________________________________________
Property Owner Name & Address: _______________________________________
_______________________________________
_______________________________________
Borehole Data: Depth (ft)
Soil Type, Thickness & Water Strata From To
Method of Drilling air rotary cable tool
Casing type: _________
Wall Thickness: inches
Diameter: inches Depth: feet
Liner Type: _________
Diameter: inches Depth: feet
Casing stickup above ground: feet
Static water level (from ground level): feet
Pumping level: feet after
hours pumping gpm
Recovery Rate: gpm
Method of Testing: _________
Well Intake Opening Type:
Open End Open Hole
Screened Start feet Stopped feet
Perforations Start feet Stopped feet
Grout Type: _________ Volume: _________
Depth: _________ Start feet Stopped feet
Well Disinfected Upon Completion? Yes No
Method of Disinfection: Comments:
Well Driller: _____________________________
Company: _____________________________
Mailing Address: _____________________________
Water Sample Results:
Arsenic: _________ ug/L
Nitrates: _________ mg/L
Total Coliform Bacteria:_________ colonies/100mL
Attention: The well driller shall provide a well log to the
On-site Water and Wastewater Section within 30 days of
completion.
MUNICIPALITY OF ANCHORAGE
On -Site Water & Wastewater Program
PO Box 196650 4700 Elmore Road
Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997
hftp://www.muni.org/onsite
On -Site Water & Wastewater System Permit
Permit Number: OSP241275
Work Type: WellSeptic Initial
Tax Code Number: 02055130000
Effective Date:
Expiration Date:
Site Legal Address: RABBIT CREEK VIEW & HEIGHTS BLK 4H LT 16A G:3340
Site Mailing Address: 16730 Carl ST, Anchorage
Owner: TI BUILDING GROUP LLC
Design Engineer: FORGE ENGINEERING
This permit is for the construction of:
Q Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy
8/28/2024
8/28/2025
Lot Size in Sq Ft: 25443
Total Bedrooms: 4
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
Received By: G` C �2
Issued By:
Date:
Date: 2 Z
MUNICIPALITY OF
4
Community Development Department
Development Services Division
On -Site Water & Wastewater Program
f
k:
Phone: 907-343-7904
Fax: 907-343-7997
ON -SITE SEWERIWELL PERMIT APPLICATION
Parcel I.D. 020-551-30
Property owner(s) Jay & Melissa Sutherland Living Trust Day phone
Mailing address 944 W 10th Ave, Anchorage, AK 99501
Site address NHN Byron Dr, Anchorage, AK 99516
Legal description (Sub'd., Block & Lot) Rabbit Creek View & Heights Block 4H Lot 16A
Legal description (Township, Range & Section)
Lot Size 25,443 Sq. Ft. Number of Bedrooms Four(4)
APPLICATION IS FOR:
APPLICATION IS AN:
TYPE OF DWELLING:
(® all that apply)
Absorption Field
❑X
Initial X
Single Family (SF)
❑X
(wlwo ADU)
Septic Tank
❑X
Upgrade ❑
Duplex (D)
❑
Holding Tank
❑
Renewal ❑
Multiple Dwellings
❑
Privy
❑
(SF and/or D)
Private Well
❑X
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.
t. f
a1
(Signature of property owner or authorized agent)
Permit/Rush Fees: c� �- Waiver Fees: _
Date of Payment: —U Z L t Date of Payment:
Receipt Number:
Permit No. V -S F I 17
Receipt Number:
Waiver No.
Permit App_:;- :: _.,:c
ALTERNATE SITE
Benjamin Schiller
CE 12592REGISTEREDPROFESSION A L E N GINEER
1"=30'
(2) CAT III 30' LONG x 5' WIDE, 0.5'
EFFECTIVE DEPTH ABSORPTION
TRENCHES. W/ MONITORING TUBES
WITHIN 1' FROM TRENCH END &
INCOMING LINE TO TRENCH CENTER
1500-GAL
ADVANTEX TANK
w/ AX20 POD
CO - CLEANOUT
2CO - DOUBLE CLEANOUT
FCO - FOUNDATION CLEANOUT
FS - FLOW SPLITTER VALVE
MH - MANHOLE
MT - MONITORING TUBE
SV - SEPTIC VENT
TH - TEST HOLE
LEGEND
ANDERSON
RABBIT CREEK V&H, BLOCK 4H LOT 16A
FEET
0 30 60
FCO
NOTE:
ALL WELLS ON SURROUNDING LOTS WITH IMPACTS TO THIS
PROPERTY ARE SHOWN. NO CONFLICTS WITH WELLS OR SEPTIC
SYSTEMS.
4-BDRM HOME
SEPTIC PLAN
8/21/24
10' UTILITY EASEMENT
CA
R
L
S
T
R
E
E
T
BYRON DRIVE
DRIVEWAY
DECK
PROPOSED WELL
W/ 50' & 100'
RADIUS
1335
1330
1325
1320
1340
1345
1350
1355
MT
MT
MT
MT
CONST. & ENG.
≥6'
≥10'
NEIGHBORING
ADVANCED
TREATMENT
SYSTEM OUTSIDE
VIEWPORT
NEIGHBORING
WELL W/ 50'
RADIUS
NEIGHBORING
WELL W/ 50'
RADIUS
PUMP VAULT
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP241275, Curtis Townsend, 08/28/24
RABBIT CREEK V&H, BLOCK 4H LOT 16A
TYPICAL TRENCH SECTION
(NO SCALE)
NOTES:
1. GRADE AREA OVER TRENCH TO DRAIN AWAY
2. PROVIDE 3' OF COVER OVER TRENCHES AND 4' OVER SEPTIC TANK, OR 2'
WITH 2" OF INSULATION
3. CHECK GROUNDWATER AT TIME OF CONSTRUCTION. IF LEVEL IS HIGHER
THAN PREVIOUSLY OBSERVED, CALL ENGINEER IMMEDIATELY
Benjamin Schiller
CE 12592REGISTEREDPROFESSION A L E N GINEER
DESIGN FACTORS:SYSTEM REQUIREMENTS:
600 GPD PEAK FLOW
PERK RATE: 36 MIN/IN
APPLICATION RATE: 2 GPD/SF
5-WIDE TRENCH SYSTEM
1500-GAL FAP 2.0 ADVANTEX TANK
BOTTOM OF TRENCH: 1' BELOW GRADE
FLOW LINE ELEVATION: 0.5' BELOW GRADE
600 GPD / 2 GPD/SF / 5' WIDE * 1 RED FACTOR [0.5 DEEP]= 60 LF TRENCH REQUIRED
(2x 30 LF SPECIFIED)
6"
8/21/24
5'
6"
DRAINFIELD ROCK
GEOTEXTILE FABRIC
& 2" FOAM INSULATION
PROVIDE MIN 2' OF COVER W/
ADDITIONAL FILL TO ACCOUNT FOR
SETTLEMENT
2'
6"3:1 SIDE SLOPES
11
4" PVC w/ 20 - 1
8"
ORIFICES EVENLY
SPACED @ 3' OC
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP241275, Curtis Townsend, 08/28/24
August 21, 2024
MOA Development Services, On-Site Water & Wastewater Program
4700 Elmore Rd
Anchorage, AK 99507
Subject: Rabbit Creek V&H B4H L16A – NHN Byron Dr
Septic system design
Dear On-Site Services Engineer:
The owner of the above lot intends to build a 4-bedroom home on the property, so we are
submitting this permit application for the construction of a new well and septic system. The
attached site plan identifies the location of the home as well as the proposed well, septic location
and alternate site. No conflicts exist between this proposed system and any other well or septic
system, whether on this lot or adjacent lots.
The ground surface on the lot slopes moderately toward the back of the lot, but there is a flatter
area on the north side of the property that the system is intended to be installed in. There are no
slopes greater than 25% within 50 feet downslope of either the primary or alternate site. Contours
are shown on the site plan showing the grade and direction of flow. Stormwater drainage will not
impact this septic system. The new trench will be constructed parallel to the slope as much as
possible.
Wells on this and adjacent lots are shown. The new system will be a minimum of 50’ from all
wells and surface water, and more than 5’ away from the septic tank. The alternate site is located
more than 6’ away. Please refer to the attached test hole log, plan and profile pages for the septic
design. If this design is followed, there will be no adverse impacts to adjacent properties.
Sincerely,
Benjamin Schiller, PE
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP241275, Curtis Townsend, 08/28/24
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP241275, Curtis Townsend, 08/28/24
'NICIPALF11,10FANCtIORMA
I ' 'N NCE .AND REPAIR AGRU7��EN`I_
"" REPAIR AGREEMENT, herein the 'Gli pI l"made and
,_...tc
st
entered t
_mdty and between
Taras linitskiy w _. _ r herein the "OWNER,- and the Municip lity of
Anchorage, herein the 4 WNI IPALIT to accordance with nchora e-Municipal Code
(NM ` l 65,36 . in consideration a the mutual covenants contained herein, the parties to this
Agreement agree as follows:
d art e r e r r 'treatment S stem:s. The Municipality grants permission to the
wner to utilize and operate an Advanced Wastewater Treatment System (AW"WT ,
described as Advantex septic system
a..��.
located at (legal description)
RABBIT CREEK VIEW & HEIGHTS BLK 4H LT 16A
2, MaintenanLe,,,Relagirs and Alterations.
(Owner is required to read, understand and initial each section)
Throughout the tern( 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..
Tj It shall be the responsibility of the Owner during the term of'this Agreement to pay- for all
repairfs , maintenance, ad ustment(sj, replacement casts„ and inspection costs. This
includes an annual maintenance fee (typically 00 to 00),
.... Owner agrees that only maintenance and repair per-orrrr l approved b- the �tunicil� lity
or the manufacturer's representative will inspect and make any 'necessary maintenance,
repairs or permitted alterations to the system.
TI-1- 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
lges that the " r rr cil alit may recfr e,%t f
Tj n � �� �it
repatf crr rtra.rrcr a .trrr r s representative car r�r�ra ntenance provider,
rr r € dine for failing to maintain and re
7- pair an AWW-l
w a be
assessed in accordance, with � f f , �t,f,030
(,)wn r ages to grant the, unicipalit Y reasonable access "I test and inspect the
ANNN`NIT , The N4unicipality will v t least 24-hour not.c
r oWn r agrees that an sale or transf r of'titIe of the proper Will not oc crrr rlrr-rrrt
new
Certificate ofOn-Site Systems Approval,
n oNvneragrees that the AWWTS installation and maintenance requirements as provided
the W``ncfcr installer and approved by the \nracipalit are the Wwemin
" idel'ines fir the construction, rnaintenancc� and repair riff the Owner`s AWWTS,
Ti Owner agrees to maintain remote m nit rin of the AWWTS asrequired by t
he
AWWTS approval,
Term. The terin ofthis Agreement shall begin on the date of'approval by the
unicipalit = to operate the installed s astern, or upon transfer of title, and shall continue
while the NWT is operational or until title is transferred,
, Nonivaiver. The failure of the Municipality at any time to enforce a provision of this
Agreement shall it no way constitute a waiver of the provision,,,„ rrcrr in arty affect
the validity of"the Agreement or any part hereof, or the right of the Municipality
thereafter er to enforce every provision hereof
Amendment. This Agreement shall only be amended her authorized representatives of
the Owner and Municipality, Any attempt to amend this agreement by either an
unauthorized ed representative or unauthorized means shall he void.
risdl tlnn. Choice of t}ate. Any civil action arising from this A-greement wall he
l r q,'h,t in the Superior Court for the Third Judicial District of the State of Alaska at
Anc o rage, The laws of'the State of Alaska shall govern the rights and obligations ns of
Patties under this Aggreejjjerjt.
r fl t Any provisic�rrs ref
this Agri enient decreed invalid bar a curt o nrnpeteat
f fis irtir rr shill n t invalidate the remaining provisions of the Agreement,
(rev ng a
€-!,nature)
1 r24
_(wint name)
TF OF ALASKA
)SS,
THIRD JUDICIAL DISTRICT
Notary Public
C�� isi expires, _. tRiAlaska
Ofllmissi p, Expires Feb 19r 2027
M LAN'ALI
Da
&0(A--n S .,`l.,Sf �!�...... fin ����me `� G (V(c_.. G
MUNICIPALITY OF ANCHORAGE
Development Services Department Phone: (907)343-7904
On -Site Water & Wastewater Section Fax: (907)343-7997
Certificate of On -Site Systems Approval
OSC251244
Parcel ID 020 -551-30 Expiration Date: 6/9/2026
Legal description RABBIT CREEK VIEW HEIGHTS BLK 4H LT 16A
Site address 7981 BYRON DR
Current property owner(s) TI BUILDING GROUP LLC
X The On-site system(s) is/are approved for 4 bedrooms
W
Conditional approval for bedrooms, with the following stipulations:
Comments or conditions:
No comments
Original Certificate Date:
7/14/2025
This rtificate of On -Site Systems Approval (COSA) is intended to demonstrate the subject
Sys m(s) Is in substantial compliance with municipal code. The Municipality of Anchorage,
Development Service 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 submittal.
ATTACHMENTS:
COSA Checklist X Well Flow Advisory
Absorption Field Advisory Nitrate Advisory
Tank Age Advisory Arsenic Advisory
Other
COSA Checklist
Legal Description: Rabbit Creek View & Heights, Block 4H Lot 16A parcel ID:
020-551-30
If more than 1 well and/or septic system on lot, provide separate checklist. Structure served by this system 1
A. WELL DATA
❑■ Well log is filed with Onsite (or attached)
Date drilled 1112124 Total depth 180 ft
Cased to 180 ft
❑■ Sanitary seal is functioning correctly
❑■ Wires are properly protected
Casing height (above ground) >18 in.
Date of flow test for COSA 1/12/24
Static water level at beginning of test 0 ft.
Comments Artesian well
Well production at time of test 5 gpm
Water storage tank volume N/A gallons
Well disinfected for coliform test? ❑ Yes ❑■ No
❑■ Coliform bacteria is Negative
Nitrate 1.49 mg/L E]Nitrate less than MRL (ND)
Arsenic ug/L ❑■ Arsenic less than MRL (ND)
Collected by Mike Anderson
Date 6/9/25
B. K DATA T STATION
Measured ope fluid level in septic tank ❑Required E
Date of pumping Age of lift station
❑ Required maintenance complete WWTS Lift station material
Comments: Comments:
D. DISPOSAL FIELD DATA
ance completed
Which system tested (date installed) 2025
cy test date
❑■ ALL standpipes present per record drawing
lts ❑ Pass
Total measured depth from grade 3.5, 4.4 ft (max)
th prior to test in
Measured depth to pipe invert from grade 3.0, 3.9 ft (min)
d d gal
❑ N/A —pressurized field.
id dep in
❑■ Per record drawings, field is insulated.
time min
\rated
❑■ Monitor tubes go to bottom of effective.
id depth in
If not, state depth into effective
ion rate d❑
Presoaked required if
STATUS — POST R COV(Required
if house vacant or field not used for more
ve depth (per record dr
than 30 days prior to date of test)
Gallons introduced gallons date
Effective depth used in
Any rejuvenation treatment (past 12 months)
Effective depth remaining
If yes, enter date
Comments/Deficiencies: Trench depths listed south to north, see ASB for reference
Trenches insulated
COSA Checklist_May2025.docx
ERY
ngs)
in
in
E. SEPARATION DISTANCES
From Well on Lot to: (Please enter distances if less than required)
Septic Tank/Lift Station on Lot > 100'
El Yes if No >50 ft
Neighboring Tank > 100' ❑� Yes if No ft
Disposal Field on Lot > 100' ❑ Yes if No >50 ft
Neighboring Disposal Fields > 100'
R Yes if No ft
Sewer Line/Main > 100' R Yes if No ft
Sewer Manhole/Cleanout > 100'
❑� Yes if No
Sewer Service/Septic Line > 25'[E Yes if No
Holding Tank > 100' Yes if No
Animal Containment > 50' Yes if No
Manure/Animal Excreta Storage > 100'
❑■ Yes if No
❑ N/A — Served by Community Well (not on lot) or Public Water
ft
ft
ft
ft
ft
From Septic/Holding Tank and Disposal Field(s) on Lot to: (Please enter distances if less than required)
Tank to Foundation > 10' 0 Yes if No ft Surface Water > 100' ❑ Yes if No >50 ft
Field to Foundation > 10'
❑■
Yes
if No ft
Tank to Property Line > 5'
R
Yes
if No ft
Field to Property Line > 10'
❑�
Yes
if No ft
Water Main/Service Line > 10'
❑E
Yes
if No ft
F. ENGINEER'S COMMENTS
AWWTS
Wells on Adjacent Lots:
Wells > 100' ❑ Yes if No >50 ft
Community Wells > 200' 9 Yes if No ft
If tank or field is under driveway comment below
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 ofFirm Forge Engineering
Engineer's Printed Name Benjamin Schiller, P.E.
COSA Checklist_May2025.docx
Phone (907)522-7773
Date 6/19/25
AW
of ACq �1it
*.AQ
TH
.. �*
' • Benja. ' ' chiller f
� ' .
CE 12592 • i0`�/
�) tIF�F�PROFESSI4N�'����'�
ATTENTION: Buyers and owners of a property served by an
Advanced Wastewater Treatment System (AWWTS)
** TO AVOID SEWAGE BACKUPS**
Prior to using the wastewater system, contact the service provider
to ensure that regular maintenance is completed. Many of the
systems require remote monitoring, the provider will tell you how to
provide this capability.
Who to contact:
• AdvanTex: Anchorage Tank at 907-343-3704
• Quanics Aerocell: Garness Engineering at 907-337-6179
• Biocycle: Biocycle Alaska at 907-274-0314
• BioBarrier: Tim Ecklund at 907-250-0100
• Intermittent Dosing Sand Filter (IDSF): contact MOA onsite
907.343.7904
Please complete the attached document, Advanced Wastewater
Treatme"ntSystem Maintenance and Repair Agreement. When
signing this document, you acknowledge that you are required to
provide regular maintenance for your AWWTS.
MUNICIPALITY OF ANCHORAGE
ADVANCED WASTEWATER TREATMENT SYSTEM
MAINTENANCE AND REPAIR AGREEMENT
THIS MAINTENANCE AND REPAIR AGREEMENT, herein the "AGREEMENT" made and
entered into as of this Day of.. j U- �,c�_ of 20 Zj , by and between
rTEUA4Cc WAN N P(E , 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 System
located at (legal description)
Rabbit Creek View & Heights, Block 4H Lot 16 A
2. Maintenance, Repairs and Alterations.
(Owner is required to read, understand and initial each section)
-.1t< )r� Throughout the term of this Agreement, the Owner shall enter into a service agreement
with an AWWTS service and maintenance provider approved by the Municipality or the
manufacturer's representative. The AWWTS shall be maintained in a satisfactory
condition capable of performing as designed and producing treated septic effluent in
accordance with the equipment's approval for operation in the Municipality.
It shall be the responsibility of the Owner during the term of this Agreement to pay for all
repair(s), maintenance, adjustment(s), replacement costs, and inspection costs. This
includes an annual maintenance fee (typically $400 to $600).
5 L_C. 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.
fy -" 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. 0511812018) Page 1 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
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.
�LJVC, Owner agrees that any sale or transfer of title of the property will not occur without a new
Certificate of On -Site Systems Approval.
V/ 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 Municipality at any time to enforce a provision of
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:
"E-, r) Z..�er1 (signature) Date:
] '
(print name)
'A N"
STATE OF ALASKA
) ss.
THIRD JUDICIAL DISTRICT
The foregoing instrument was acknowledged before me this (Q day of _W
20_ 5
_,by
NOTARY PUBLIC FOR ALASKA State ofAlaska
My Commission expires: -.i 12 NOTARY PUBLIC
Christina M. Brugliera.
My Commission Expires Apr 21, 2027
;nature) Date:
nt name) Title:
(rev. 05/18/2018) Page 3 of 3
1 " = 40'
LOT 17A
B LK 4H
N89°30'57"E
I ANCHORAGE RECORDING DISTRICT, ALASKA
ASBUILT OF:
RABBIT CREEK VIEW AND HEIGHTS
LUT 16A BLOCK 4H PLAT 2004-91 REPEAT
SURVEY CERTIFICATE: I, John L. Schuller, Have conducted a
physical survey of this property as shown on this drawing and that the
improvements situated hereon are within the property lines and no
enchroachments exist other than noted. Under no circumstance shoul(
any information on this drawing be used for construction of fences,
structures, improvements, or for establishing boundary lines.
EXCLUSION NOTES: It is the owners responsibility to detennine
the existence of any easements, covenants, or restrictions which
do not appear on the recorded subdivision plat.
WORK ORDER NUMBER: DATE: SCALE: E—MAIL:
JAN 17, 2025 1 "=40' schullerak®gmail.com
25-002 DRAWN BY: CHECKED BY GRID NUMBER: BOOK/PAGE:
JLS SW3340 250102
BYRON DRIVE
-� OF ®®
C1.. 4 9TH �•.� I
® ...................... .....
....:.. ... �-�.. .®
co •.JO N L. SCHULLER.• o
LS -10408 10'
ssion
30'
p� SUR U
L- L .A v D 1
C)
yti
�c
z
1831 Talkeetna Street
Anchorage, Alaska 99508
(907) 227-1455 office
(907) 274-4992 fax