HomeMy WebLinkAboutAMUNDSEN TR AAmundson
Tract
#015-231-98
Municipality of Anchorage
On -Site Water and Wastewater Section • (907) 343-7904 Page 1 of 3
ON-SITE WASTEWATER INSPECTION REPORT
Permit Number: OSP211424 PID Number: 015-231-98
Dwelling: Q Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New 0 Upgrade
Name
Jeff & Susan Koonce
ABSORPTION FIELD
❑ Deep Trench X Wide Trench ❑ Bed ❑ Mound
Site Address
11863 Rockridge Dr. Anchorage, AK99516
❑ Other
Phone
Number of Bedrooms
Soil Rating t,1 2 ic;
Total depth from original grade
907-317-5041
4
2.0 GPD/SF
SEE DWG. Ft.
LEGAL DESCRIPTION
Depth to pipe invert from original grade
SEE DWG. Ft.
Gravel depth beneath pipe
2.02 Ft.
Subdivision Block Lot
Amundsen Tract A
Fill added above original grade
SEE DWG. Ft.
Gravel length
10 & 35 (45 total) Ft.
Township Range Section
N/A
Gravel width
5 Ft.
Beds: Number of Lines
'
Distance between lines
- Ft.
SEPARATION DISTANCES
To
Septic
Absorption
Lift Station
Holding
Sewer
Total absorption area
Number of trenches
Dist. between trenches
From
Tank
Field
Tank
Line
321 Ft z
1
Ft.
Well
501+
TANK ❑ Septic ❑ S.T.E.P. ❑ Holding ❑ Other
Manufacturer
Capacity
Surface Water
50V+
Gal.
Material
Number o mpartments
Lot Line
10'+
NA
Foundation
104
LIFT STATION
Manufacturer
Capacity
Remarks
Gal.
Alarm loc
Electrical installed by
PIPE MATERIAL House to tank Tank to
existing drainrield eXlStlrd
Installer
A+ Home Services
Drainfield D3034 CO/MTD3034
Inspector GEG AND MOA
BENCH MARK (Assumed elevation) 100.00 ft
Inspection im 10/5/21 10/5/21
da
Location and description
2nd
aro 10/6/21 4'" 10/6/21
top of garage slab near drainfield
ON-SITE WATER AND WASTEWATER SECTION APPROVAL
Engineer's Stamp
ooboop
o� OF q pop
Conditional Approval: Date
o . 9s4po
p.......... ...... ........�
. .................0
O 0
Septic System
J fy A.
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ApproveDate to-14-ZI
. CE- 795 o�
1:0�7'
red
Note: this approval does not include well permit requirements.
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PERMIT NUMBER: PARCEL NUMBER:
OSP211424 RECORD DRAWING 015-231-98
A I B
C01 29.%52.8
MTI 27.CO2 60.MT2 57.MT3 62.
SWING TIES
GENERATED FROM
AS -BUILT SURVEY
m
f
50' WELL RADI
N
REBUILT
/ DRAINFIELD
(10'+351=451)
CO2(a
/
\ APPROXIMATE 50' RADIUS
17
PAO
ARN" SS NGINEERIN"
"ROUP, Ltd
ENGINEERING, SALES, CONSULTING
3701 E. TUDOR ROAD, SUITE 101 -ANCHORAGE, AK 99507 -PHONE (907) 337-6179 -FAX (907)3383246-WEBSITE:wvni.g—sseng'neenng.comi
PREPARED FOR:
PHONE NUMBER:
PAGE NUMBER:
JEFF & SUSAN KOONCE
907-317-5041
2 OF 3
LEGAL DESCRIPTION:
DRAWN BY:
AMUNDSEN; TRACT A
PNB
TYPE OF WORK:
DATE:
ASEPTIC SYSTEM RECORD DRAWINGS
10/12/21
EXISTING 4
BEDROOM HOUSE
EW
N
SCALE:
1" = 40'
Aw �; ' #
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PESRMIT NUMBER: PARCEL ID NUMBER:
O 4 RECORD DRAWING
015-231-98
MT CO
FINAL GRADE = 89.17 - 95.42
10' SECTION HAS 2" INSULATION
FILTER FABRIC
o
0
2.02 FEET INVERT OF PIPE = 85.97
o
0
BOTTOM OF TRENCH/TOP OF SAND = 83.95
5' (BOTTOM OF ORIGINAL 2004 SYSTEM = 83.85)
�I (DEPTH BELOW ORIGINAL (PRE -2004)
BOTTOM OF EXCAVATION = 82.00-83,86-/!
2.00-83.86 GRADE WAS NOT EVALUATED BY GEG.)
MOA INSPECTOR TIM ECKLUNO WAS ON SITE
FOR BOTTOM OF TRENCH INSPECTION.
THIS WAS A REBUILD OF THE 2004 TRENCH AS DOCUMENTED BY TOBEN SPURKLAND, PE. SOIL AT THE BOTTOM OF EXCAVATION
VISUALLY LOOKED VERY TIGHT IN THE 35' TRENCH SEGMENT. A CONFIRMATION PERK WAS NOT PERFORMED BECAUSE OF THE
EXCAVATION DEPTH AND SOIL SATURATION. SOIL LOOKED BETTER IN THE 10' SEGMENT. IT WAS DETERMINED TO PROCEED WITH
THE INSTALLATION BASED UPON THE FACT THE ORIGINAL DRAINFIELD FUNCTIONED ADEQUATELY FOR OVER 15 YEARS. LONG
TERM PERFORMANCE OF THE REBUILT TRENCH IS UNCERTAIN
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ENGINEERING -, SALES �� CONSULTING
3701E. TUDOR ROAD, SUITE 101ANCHORAGE, AK99507' PHONE (907) 337-6179- FAX (907)338.3246•WEBSITE w.w..gamessengmeedng.com ••• l •••!�• ••••••e .�•••••'...
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PREPARED FOR: PHONE NUMBER: PAGE NUMBER: o tT` J J y A. Garness t
JEFF & SUSAN KOONCE 907-317-5041 3 OF 3 ®��%,', o C -79 3
PROJECT/LEGAL DESCRIPTION: DRAWN BY: ®� tfb �f�Z� •'•
AMUNDSEN; TRACT A D.J.G.®® FD "•p•�•��V,f���•p�. ®®
TYPE OF WORK: DATE: LICENSE ®Std®®®®a
DRAINFIELD PROFILE DRAWING 10/13/2021 #AECC884
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TTract AAmundsen Subdivision348,776 Sq. Ft. +/-11863 Rockridge Drive2 Story Wood Frame HouseWith 2 Attached 2 Car GarageTRACT-A1℄ ROCKRIDGE DRIVE
20' DRAINAGE EASEMENT
EDGE OF GRAVELLOT 4LOT 2BLOCK 3, LAKE O' THE HILLS EAST SUBDIVISIONPLAT 82-8
LOT 1TRACT DWARRANTY DEED 2010-0393310QUITCLAIM DEED2018-045101-0WSSSSLOT 2 LOT 1
MB
MB EEPA
VEDDRI
VEWA
Y EEE20' DRAINAGE EASEMENT
LOT 3
THE SUMMIT SUBDIVISIONPLAT 94-87LOT 1BREITZMAN SUBD.PLAT 79-167LOT 1LOT 2S0° 00' 32"E 330.75'S0° 00' 32"E 494.18'S89° 58' 14"E 487.50'
N89° 56' 11"W 270.45'
30' PUBLIC USE EASEMENT
1ST STORYWOOD DECK(TYP.)100' WELL RADIUS27.720.5
S89° 56' 04"E 161.60'
10' TEL. & ELEC. EASEMENT
T66.4
53.768.730.2
10' TEL. & ELEC. ESMT.10' TEL. & ELEC. ESMT.FIRE PITLOT 1COVEREDSTORAGE2 STORYSHOPGRAVEL WALKWAYES30' R.O.W.100' SEPTIC SETBACKSTONE RET. WALLDETAIL "A"SHARED GRAVEL DRIVEWAYSEE DETAIL "A"N0° 00' 28"W 816.24' REC.N0° 00' 28"W 815.62' MEAS.SEE COVENANT TO PROVIDE ACCESSDOCUMENT #2004-032271-0ANCHORAGE RECORDING DISTRICTGS7.542.127.610.015.025.235.125.726.312.612.710.411.011.010.19.913.04.08.35.04.316.64.0TILEWALKWAYCONCRETE PAVERDRIVEWAY E15.05.03.00.73.0ROCKPILLARS2ND STORY WOODDECK & AWNINGSCSCSSAVANTEX AX20 W/PUMP CHAMBERGENERATORPREPARED BY:FRONTIER SURVEYS, LLC650 W. 58th AVE. SUITE E, ANCHORAGE, AK 99518907-460-1686DRAWN BY: CHECKED BY: DATE: SCALE:DRAWING ID: SHEET 1 of 11.Excepting for gross negligence, the liability for this survey shall notexceed the cost of preparing this survey. Dimensions to property linesare plus/minus 0.1ft.2.This document is created by Frontier Surveys for the purpose of anas-built survey for Angela Grabar, only.3.This document is based on Plat No. 86-201, Anchorage RecordingDistrict.General Notes DisclaimerLegend1. This survey complies with the ASPLS Mortgage Location Standards. The survey represents visibleimprovements and conditions at the time of the survey. This document does not constitute a boundarysurvey and is subject to any inaccuracies that a subsequent boundary survey may reveal. It is theresponsibility of the Owner to determine the existence of any easements, covenants, or restrictionwhich do no appear on the record plat. Under no circumstances should this document be used forconstruction or for establishing a boundary or fence line.PS1" = 75ft09/20/202121-665JSScale 1" = 75'AN AS-BUILT SURVEY OFTRACT AAMUNDSEN SUBDIVISIONCONTAINING: 348,776 Sq. Ft. +/- (RECORD)RECORD PLAT: 86-201 ANCHORAGE RECORDING DISTRICTEEElectric MeterElec. PedestalTel. PedestalChain Link FenceS
T
A
TEOFALASKA49THROYEVR
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SDNALLANOISSEFORPDERETSIGERPierre M. StragierNO. LS-981209/20/2021GGas MeterConcrete BollardConcrete PaversTSprinklerWWater WellMBSSCMail BoxSeptic CoverSeptic
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
http:/hvww.muni.org/onsite
On -Site Wastewater Disposal System Permit
Permit Number: OSP211424
Work Type: Septic Upgrade
Tax Code Number: 01523198000
Site Legal Address: AMUNDSEN TR A G:2739
Site Mailing Address: 11863 ROCKRIDGE DR, Anchorage
Owner: KOONCE JEFFREY P & SUSAN C
Design Engineer: GARNESS ENGINEERING GROUP LTD
This permit is for the construction of:
Effective Date:
Expiration Date
Lot Size in Sq Ft:
Total Bedrooms
Departine nt
10/4/2021
10/4/2022
348776
Q Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy ❑ 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:
Issued By:
CO41-1 `Yhe, Gll/"eR ema►) )Cher an/4 V1 Vlew
311' Ghavtol� Order, Qingl
Date:
Date: Z
4
R vs
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MUNICIPALITY 017- ANCHORAGE
Development Services Department
On -Site Wafer & Wastewater Seciion Phone. 907 343-7904
Fax: 907-343-7997
ON-SITE SEPTIC/VVELL PERMIT APPLICATION
Parcel I.D. 015-231-98
Property owner(s) JEFF & SUSAN KOONCE Day phone 907-317-5041
Mailing address 11863 ROCKRIDGE DRIVE *ANCHORAGE, AK
Site address 11863 ROCKRIDGE DRIVE *ANCHORAGE, AK
Legal description (Sub'd., Block & Lot) AMUNDSEN; TRACT A
Legal description (Township, Range & Section)
Lot Size Sq.
Ft.
Number of Bedrooms 4
APPLICATION IS FOR:
(® all that apply)
APPLICATION IS AN:
TYPE OF DWELLING:
Absorption Field
Initial
Single Family (SF) []
Septic Tank
❑ x
Upgrade Z
(w/wo AD U)
Holding Tank
❑
Renewal ❑
Duplex (D) ❑
Privy
❑
Multiple Dwellings ❑
Private Well
El
(SF and/or D)
Water Storage
❑
THIS APPLICATION INCLUDES A 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: _, 595 57 Waiver Fees:
Date of Payment: Date of Payment:
Receipt Number: Receipt Number:
Permit No. 2252 2 I 1 L12- L( Waiver No
GMevelopment Services\Building Safety\On Site Water and Wastewater\FormsUient Forms\Permit Application.doc
co I
GA N SS ENGINEERING GROUP, Ltd
ENGINEERING,} SALES � CONSULTING
October 5th, 2021
Municipality of Anchorage
Development Service Department
On -Site Water & Wastewater Program
4700 Elmore Road
Anchorage, AK 99507
Ref: Change Order to Septic System Upgrade for Amundsen; Tract A
To whom it may concern:
The subject lot has an approved permit. During the installation of the trench, it was noted that
the beginning of the trench did not go past the existing monitoring tube as shown on the
inspection report. In short, to get the full 45 feet of length on the drainfield without going into the
easement, the orientation of the drainfield must be changed. We are proposing to re -build the
existing drainfield up to the easement and then change direction and run parallel with the
easement for an additional 10 feet.
We are unaware of any adverse impacts this installation would have on adjacent wells or septic
systems. If you have any questions, please contact us at 337-6179. Thank you for your
assistance.
, M.S.
3701 East Tudor Road, Suite 101 * Anchorage, Alaska 99507-1259
Phone: (907) 337-6179 * Fax: (907) 338-3246 * Website: www.garnessengineering.com
Co --*-I
Wockenfuss, Deborah M.
From: Jeff Garness <Jeff@garnessengineering.com>
Sent: Tuesday, October 5, 2021 3:20 PM
To: Wockenfuss, Deborah M.
Cc: David Garness
Subject: Amundeson, Tract A - Design Revision
[EXTERNAL EMAIL]
Hello Deb. As discussed in our phone call regarding the proposed design change:
I acknowledge that a portion of the proposed 10 foot trench segment may not be parallel to the original slope
contours (that are buried under fill). We won't know for certain until the excavation is complete. It is our
assumption that Mr. Eklund from your department will be present, with our inspector (David Garness, PE), to
confirm the soil conditions.
We will assess the total depth to assure that the drainrock effective depth will not be in the organics. If that
cannot be avoided, will work with you department towards a solution.
We will provide a MT at the transition from the 35' segment to the 10' segment.
If you have any questions, please contact me or David Garness.
Thank you for your time and consideration .....................jeff
Jeffrey A. Garness, P.E., M.S.
President
Garness Engineering Group, Ltd.
3701 E. Tudor Road, Suite 101
Anchorage, Alaska 99507-1259
Phone: (907) 337-6179
Mobile: (907) 244- 9612
Website: www.garnessengineering.com
GARNESS ENGINEERING GROUP, Ltd
ENGINEERING
-SALES- CONSULTING
F1JbXr41r;S o
oknics
XEnft -D
AeroCell
CORPORATION
Afasxa Aulharized Dealcr
Auftrkmd AU*a MAtbsw
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP211424, Deb Wockenfuss, 10/04/21
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP211424, Deb Wockenfuss, 10/04/21
II ;
DESIGN CRITERIA:
GEG, Lid. HAS AN 8 PAGE SPECIFICATION LETTER
THAT PERTAINS TO THIS DESIGN. BY PROCEEDING
NUMBER OF BEDROOMS: 4 FORWARD WITH THIS INSTALLATION, THE
GALLONS PER DAY (GPD): 600 ENGINEER, WELL DRILLER, CONTRACTOR AND CONTRACTOR TO
EL HAVE SOUTH LOT
L
PERCOLATION RATE/S: '35 PROPERTY OWNER AGREE THAT THEY HAVE INE AND 1 WELL RADIUS FLAGGED
PROPOSED APPLICATION RATE: 2.0 READ THESE SPECIFICATIONS AND AGREE TO BY A PLS PR
IOR TO CONSTRUCTION
MINIMUM DRAINFIELD SQ.FT.: 300 FT' ACCEPT THE TERMS AND CONDITIONS OUTLINED.
DRAINFIELD DESIGN:
MAXIMUM DEPTH OF EXCAVATION: AS NEEDED
FOR REMOVAL OF CONTAMINATED MATERIAL SEE ATTACHED LETTER
WIDTH: 5'+ REGARIDNG DESIGN CHANGES
LENGTH: 45 FEET ASSUMED LOCATION OF EXISTING
M.O.A. APPROAVED SAND FILTER: AS PRESSURE LINE TO DRAINFIELD
NEEDED TO REBUILD BOTTOM OF NEW
DRAINFIELD TO THE SAME ELEVATION AS
THE BOTTOM OF THE OLD FIELD
EFFECTIVE: 2 FEET
REDUCTION FACTOR: 0.7
ACTUAL SQ.FT.: 321 Fr-
\R
T- \
7 z I EXISTING TANK, TREATMENT POD AND
p4 I PUMP VAULT TO REMAIN IN PLACE
cL w
> w
EXISTING
�� ' HOUSE
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a
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I DECK i 1 11
I d 41 .d r DRIVEWAY 1
I Q'• - f�35' M
� —— — — — — — — C -------- --
10' UTILITY EASEMENT
DRIVEWAY
APPROXIMATE LOCATION OF EXISTING
DRAINFIELD PERMOA RECORDS AND
- a • '
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AS -BUILT SURVEY; TO BE REBUILT IN PLAC d
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ENGINEERING SALES < CONSULTING
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EAST TUDOR ROADSUITE 101 -ANCHORAGE, ALASKA' PHONE (907) 337-6179' WEBSITE: mmgamesseng'needng.mm
04 ..... �.... ... . • ........ .. e
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FOR:
JEFF & SUSAN KOONCE
HONE NUMBER:
907-317-5041
PAGE NUMBER:
2 OF 2
' J f y A. Garness 4�i s
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PROJECT/LEGAL DESCRIPTION:
AMUNDSEN;
DRAWN BvCG
TRACT A
°®,e"' OFESS\0 .®
TYPE OF WORK:
DATE:
DESIGN OF SEPTIC TANK UPGRADE
10/5/2021
#LICENS 4
TTract AAmundsen Subdivision348,776 Sq. Ft. +/-11863 Rockridge Drive2 Story Wood Frame HouseWith 2 Attached 2 Car GarageTRACT-A1℄ ROCKRIDGE DRIVE
20' DRAINAGE EASEMENT
EDGE OF GRAVELLOT 4LOT 2BLOCK 3, LAKE O' THE HILLS EAST SUBDIVISIONPLAT 82-8
LOT 1TRACT DWARRANTY DEED 2010-0393310QUITCLAIM DEED2018-045101-0WSSSSLOT 2 LOT 1
MB
MB EEPA
VEDDRI
VEWA
Y EEE20' DRAINAGE EASEMENT
LOT 3
THE SUMMIT SUBDIVISIONPLAT 94-87LOT 1BREITZMAN SUBD.PLAT 79-167LOT 1LOT 2S0° 00' 32"E 330.75'S0° 00' 32"E 494.18'S89° 58' 14"E 487.50'
N89° 56' 11"W 270.45'
30' PUBLIC USE EASEMENT
1ST STORYWOOD DECK(TYP.)100' WELL RADIUS27.720.5
S89° 56' 04"E 161.60'
10' TEL. & ELEC. EASEMENT
T66.4
53.768.730.2
10' TEL. & ELEC. ESMT.10' TEL. & ELEC. ESMT.FIRE PITLOT 1COVEREDSTORAGE2 STORYSHOPGRAVEL WALKWAYES30' R.O.W.100' SEPTIC SETBACKSTONE RET. WALLDETAIL "A"SHARED GRAVEL DRIVEWAYSEE DETAIL "A"N0° 00' 28"W 816.24' REC.N0° 00' 28"W 815.62' MEAS.SEE COVENANT TO PROVIDE ACCESSDOCUMENT #2004-032271-0ANCHORAGE RECORDING DISTRICTGS7.542.127.610.015.025.235.125.726.312.612.710.411.011.010.19.913.04.08.35.04.316.64.0TILEWALKWAYCONCRETE PAVERDRIVEWAY E15.05.03.00.73.0ROCKPILLARS2ND STORY WOODDECK & AWNINGSCSCSSAVANTEX AX20 W/PUMP CHAMBERGENERATORPREPARED BY:FRONTIER SURVEYS, LLC650 W. 58th AVE. SUITE E, ANCHORAGE, AK 99518907-460-1686DRAWN BY: CHECKED BY: DATE: SCALE:DRAWING ID: SHEET 1 of 11.Excepting for gross negligence, the liability for this survey shall notexceed the cost of preparing this survey. Dimensions to property linesare plus/minus 0.1ft.2.This document is created by Frontier Surveys for the purpose of anas-built survey for Angela Grabar, only.3.This document is based on Plat No. 86-201, Anchorage RecordingDistrict.General Notes DisclaimerLegend1. This survey complies with the ASPLS Mortgage Location Standards. The survey represents visibleimprovements and conditions at the time of the survey. This document does not constitute a boundarysurvey and is subject to any inaccuracies that a subsequent boundary survey may reveal. It is theresponsibility of the Owner to determine the existence of any easements, covenants, or restrictionwhich do no appear on the record plat. Under no circumstances should this document be used forconstruction or for establishing a boundary or fence line.PS1" = 75ft09/20/202121-665JSScale 1" = 75'AN AS-BUILT SURVEY OFTRACT AAMUNDSEN SUBDIVISIONCONTAINING: 348,776 Sq. Ft. +/- (RECORD)RECORD PLAT: 86-201 ANCHORAGE RECORDING DISTRICTEEElectric MeterElec. PedestalTel. PedestalChain Link FenceS
T
A
TEOFALASKA49THROYEVR
U
SDNALLANOISSEFORPDERETSIGERPierre M. StragierNO. LS-981209/20/2021GGas MeterConcrete BollardConcrete PaversTSprinklerWWater WellMBSSCMail BoxSeptic CoverSeptic
Municipality of Anchorage
. ,
Development Services Department -
Building Safety DMslon +
On-Site Water and Wastewater Program. 4700 S. Bragaw SL
P.O. Box 196650 Anchorage. AK 99519-6650 Page of J7
www.cLanchorage.ak.us (907) 343.7904
ON-SITE WASTEWATER DISPOSAL SYSTEM AAN-jDIOR WELL INSPECTION REPORT
Permit Number. gW D�,0 b-7 0 PIDRNumber. 0/5—. l—ate
Nana
T. 11—00 E
Wastewater System: ❑New [I Upgrade
••�r10oL Lt- G
ABSORPTION FIELD
P• "LrodB•ea
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0 D"P TrenCh Q/ahMbw
LEGAL DESCRIPTION
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SEPARATION DISTANCES
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"a
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Lift
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Inspections performed by: LAr25 St�✓I'I�LAN�Dates: 1'( 9�3�0
nd
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Development Services Department Approval
Akrl o
Reviewed and approved by: Date:
a-
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45 FT LONG
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2 FT COVER
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NG SCALE
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ADVAAM AX2O
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49th f V E
IXN SPURKLAND
No. CE -2225
NO SCALE
UAV. _ l `N ADVANT£X AX20
t
BnrCH MARK:
BOTTOM Som
ASM" ELEV. 100.00 n
TOBBEN AND P.E.
TRACT A "UNDSEN SID
SEPTIC SYSTEM
SCHEMATIC
203 VISth th Ave Ave
Anchornge Ak 99501
JEff£RY P. KOONC£
DATE OCT.
1, 2004
_
RoarRADGY ROAD
SHEET, J,/3
GRID, 2739
P£RUIT SW030267
PIDI0/5-231-98
AMUTRA3.DWG
Municipality of Anchorage
Department of Health and Human Services
825'L' Street
P.O. Box 196650 Anchorage, Alaska 99519-6650
Rick Mystrom httplrwww.d.anchorage.ak.us
Mayor
Permit Number. #SW30 0267 Date of Issue:? 23-03 Parcel Identification Number: 015-231-98
Date Started: 7-12-04 Date Completed: 7-12-04 Is well located at approved permit location? ® Yes ❑ No
Legal Description: Amundsen Tract A
Property Owner Name & Address: JefferyP. Koonce
2508 Brookhlll Circle
Anchorage. Alaska 99516
Borehole Data:
Soil Type, Thickness & Water Strata
Depth (ft)
From To
Method of Drilling ® air rotary ❑ cable tool
Casing type: steel
Stick up
0
2
Wall Thickness: X50 inches
gravell rill
2
4
Diameter: 8 inches Depth: 74 feet
organics & silt
4
8
Liner Type:
gravelly silt
silty water sand &gravel
gravelly silt
silty water sand & gravel
8
17
31
69
17
31
69
74
Diameter: inches Depth: feet
Casing stickup above ground: 2 feet
Static water level (from ground level): 20 feet
Pumping level: 74 feet after
2 hours pumping 8 gpm
Recovery Rate: 8 gpm
Method of Testing: airlift
Well Intake Opening Type:
® Open End ❑ Open Hole
❑ Screened Start feet Stopped feet
❑ Perforations Start feet Stopped feet
Grout Type: bentonite # 8 Volume: 2
Depth: Start 0 feet Stopped ? feet
Pump: Intake Depth feet
Pump size _-hp Brand Name
Well Disinfected Upon Completion? ® Yes ❑ No
Method of Disinfection: chlorine tablets
Comments:
Well Driller. Alpine Drilling & Enterprises
PO Box 110496
Anchorage Alaska 99511
Attention: The well driller shall provide a well log to the property owner within 30 days of completion and the property
My -13-0E U:43on From-MCE PFEFFER PETTIS
+8072747437 T-172 12.02M F -T's
807-3�5-7871 P•S
Feb 2r OC 30:42& RLE :
INSPEC770NREPORT
MI L-NICIPALITY OF ANCHORAGE -- BuLLDLNG SAFETY DIVISION'
4900 SOL-TH BRAGAW STREET, ANCHORAGE, ALASKA
ENTPEC770N5: Voice. (700 Jl1-8360 Fa= (107) 249-7777 INFORNA770N.• (YO)143.821^1�
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DO NOT AEMO M : ex Nob 7671
C73
.�jMunicipality of Anchorage
DevelopmentServices Department
Building Safety Division
On -Site Water and Wastewater Program. 4700 S. Bragaw, SL
P.O. Box 196650 Anchorage. AK 99519-6650 Page/ of J?
www.cLanchorage.ak.us (907) 3417904
ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
Permit Number.pjD�Number. O/rj—, J—CYG
Nam. E F F Z T. jL 00 E
Wastewater System: New Upgrade
aaa O A B 12ooK N L LL L I P
ABSORPTION FIELD
Phone MFa seem
m«
��
Cl Deep Trwch Q Sh.ro« Tnanch O Bed O Ma.m 00~
LEGAL DESCRIPTION
SO4Radnq
TOWDiptl eomon°^"Veda. 7j
Frl
Lw SW«N«we
B,e �A
papal to Pp Wks can wlanl.l Vede
GnM .dsM Dellaaw POs:
a�.
r .C--[ SO
FI.
Fl
Te snipRange s•di
Fa added abase oVM gross:
G" Lwvft _
Fl.
Fl.
Well: New ❑ Upgrade
G"+"'""` —
N«w«ar..:
I
a«.nc.-� «
Ft.
Fi FI
C1assAU n (P04411. A S. Ct
Taal DsM:
7
I Cased W.
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/ 0
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Fl.
FL
Fla
S
DrNN.
AI-PINa
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Mlaw
S
D«e YnaaM
9
c
O FL
3�a
Y.«d
P1Fro S« K
C"O' "" "Anws FQ
TANK
cPM
�T j oM Fl.
OG
n
SEPARATION DISTANCES
❑ Septic ❑ Holding ❑ S.T.E.P. 90ther.
To
Septic
Absorption
Lift
Holding
PUbSoMrinte
manO fW.
cap"
From
Tank
Field
Station
Tank
Sewer Line
AD(/ N i L X
1A5ixal.
Was
110
105
44)
H/A
100 .t
14 P Pt
N1Fnp.ra Cempanmsnlr
,2..
soacewal«
loot
leo4
Ivo
LIFT STATION
La Lw
!1p
10
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5t`v wl.
M«./.a1Fer
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oJ
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h
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i7A�r• n
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/t7
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BENCH MARK
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e /at b
rat
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wtapgl7ee'C s'�e13Yt...
ll�awaAyi
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Inspections performed by: _J A2 S 5 F P, 1,e6AN)Dates: 1" 9/3W
a ;;
Development Services Department Approval b
xa.'°�,°
Reviewed and approved by: Date:
`Ap0 g� ,n�• '�
860
MUNICIPALITY OF ANCHORAGE b 1
Development Services Department I ��
Onsite Water d Wastewater Program
4700 South Bragaw Street
P.O. Box 196650, Anchorage, AK 99519-6650
(907) 343-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT
Initial
Permit Number: SW040340
Legal Description: AMUNDSEN TR A
Design Engineer: 0007 Tobben Spurkland, PE
Owner Name: Jeffrey P. Koonce
Owner Address: 2508 Brookhili Circle
ANCHORAGE. AK 99516 -
Date Issued: Jul 22, 2004
Expiration Date: Jul 22, 2005
Parcel ID: 015-231-98
Site Address:
Lot Size: 348776 SO. FT.
Total Bedrooms: 4 Permit Bedrooms: 4
This permit is for the construction of:
❑.r Disposal Field E✓ Septic Tank ❑ Holding Tank ❑ Privy Private Well Water Storage
All construction must be in accordance with:
1. The attached approved design.
2. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska
Wastewater Disposal Regulations (18AAC72 ) and Drinking Water Regulations (18AAC80 ).
3. The engineer must notify DSD at least 2 hours prior to each Inspection. Provide notification by calling
(907) 343-7904 ( 24 hours ). ( Not required for a Water Supply Permit only).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
must be either: A. Open and closed on the same day.
B. Covered, seated, and heated to prevent freezing.
S. The following special provisions.
Engineer must add distances from system to foundation and property line before system is installecd.
Received By.
Issued By( 411"
Date: $ O
Date: 8 17 0
Municipality of Anchorage
Development Services Department
Building Safety Division
On -Site Water and Wastewater Program
4700 South Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650
www.cl.anchorage.ek.us
(907) 343-7904
ON-SITE SEWER/WELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLING
Parcel I.D. 615-c251- 99 Permit Number SW O 3 6.:�6 9 -
Property
Mailing address (1
phone 4 �747- .39/(0
Mailing address (2) Zip Code
Legal description (Lot, Block & Sub'd.)
Legal description (Section, Township & Range)
Lot Size 5417176 Acr fsq� .
THIS APPLICATION IS FOR:
Number of Bedrooms `f
Sewer Only ❑ Well Only ❑
Sewer and Well Water Storage ❑
Sewer Upgrade ❑
THIS PROPERTY CONTAINS:
Hot Tub ❑ Jacuzzi ❑
Swimming Pool ❑ Water Softening Unit ❑
Therapy Pool ❑
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 prop6rty owner or authorized agent)
Permit Fees: lis 66 Waiver Fees:
Date of Payment: '17/g�Lr1 Date of Payment:
Receipt Number: 66gc:j Receipt Number:
(Rev. 17100)
MUNICIPALITY OF ANCHORAGE
Development Services Department
On -Site Water 8 Wastewater Program
4700 South Bragaw Street
P.O. Box 196650, Anchorage, AK 99519-6650
(907) 343-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM / WATER SUPPLY PERMIT
Initial
Permit Number: SW030267
Legal Description:; AMUNDSEN TR A'
Design Engineer: 0007 Tobben Spurkland, PE
Owner Name: Jeffrey P. Koonce
Owner Address: 2508 Broc khili Circle
ANCHORAGE, AK 99516 -
Date Issued: Jul 23, 2003
Expiration Date: Jul 22, 2004
Parcel ID: 015-231-98
Site Address:
Lot Size: 348776 SO. FT.
Total Bedrooms: 4 Permit Bedrooms: 4
This permit is for the construction of:
Q✓ Disposal Field ❑? Septic Tank ❑ Holding Tank ❑ Privy Q Private Well Water Storage
All construction must be in accordance with:
1. The attached approved design.
2. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska
Wastewater Disposal Regulations ( 18AAC72 ) and Drinking Water Regulations ( 18AAC80 ).
3, The engineer must notify DSD at least 2 hours prior to each inspection. Provide notification by calling
(907) 343-7904 ( 24 hours ). ( Not required for a Water Supply Permit only ).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
must be either: A. Open and closed on the same day.
B. Covered, sealed, and heated to prevent freezing.
5. The following special provisions.
Engineer must add distances from system to foundation and property line before system is installecd.
Received By:
Date: E I C Zi
Municipality of Anchorage
1�l�• Y.
• Development Services Department �•
Building Safely Division :.
On -Site Water and Wastewater Program ` ,, •,
4700 South Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.anchorage.ak.us
(907) 343-7904
ON-SITE SEWER/WELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLING
Parcel I.D. _ �� (� _ Z�` _G Y, Permit Number SW O 3 0.2 ( 7
Property
Day phone
Mailing address (1) Y S k"�� ZS Or—
Mailing address (2) Zip Code
Legal description (Lot, Block & Sub'd.) fAA �� A 9k)
Legal description (Section, Township & Range)
Lot Size `T) Acre q.Ft.
THIS APPLICATION IS FOR:
Number of Bedrooms _ 9
Sewer Only ❑ Well Only. ❑
Sewer and Well El� Water Storage ❑
Sewer Upgrade ❑
THIS PROPERTY CONTAINS:
Hot Tub ❑ Jacuzzi ❑
Swimming Pool ❑ Water Softening Unit ❑
Therapy Pool ❑
I certify that the above Information is correct. 1 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 authciiized agent)
Permit Fees: 5ZJ 0 Waiver Fees:
Date of Payment: -!i Alto '�p
Receipt Number:S% `J f 0
(Rev. 12/00)
Date of Payment:
Receipt Number:
u .SPU .:�LAIM P.E.
203 W 15th. Avenue, Suite 203
ANCHORAGE, ALASKA 99501
(907)279-3916
Fax (907)-276-6013
SEPTIC SYSTEM DESIGN
TRACT A AMUNDSEN S/D
Municipality of Anchorage
Development Services Department
On Site Water and Wastewater Program
4700 South Bragaw Street
Anchorage, Alaska 99519
June 24, 2003
We are submitting an application for the installation of a well and septic system for this lot. The
submittal consists of three (3) drawings showing the present improvements on the lot and the
adjoining properties, (sheet 1/3), the proposed improvements of the lot, of which only the well and
septic system is subject to this permit application, (sheet 2/3), and a schematic of the septic system,
(sheet 3/3). Soil logs and percolation tests of applicable testholes are also enclosed. The septic
system design is based on the following:
Groundwater at 8 Ft. 12/3/02
Use Standard 5 -Wide Trench with Advante:
Soil Rating. From Testhole 11/19/02.
35 min/in = 2 gal per sq.ft/day
No. of Bedrooms 4
Required Area per Bedroom: 15012 = 75 sq.fi.
Total area required: 75 x 4 = 300 sgft
Bottom Rock At 3 feet
Top Rock At 1 feet
Rock Depth 2 feet
Total Trench Length 300/5-60
Reduction factor for 2 feet of rock. 0.7
Adjusted Trench Length 60 x 0.7 = 42
SYSTEM CONFIGURATION
ADVANTEX AX20
STANDARD 5 WIDE
TOTAL LENGTH 45 FT
TOTAL WIDTH 5 FT
TOTAL DEPTH 3 FT
LEVELING SAND AS REQUIRED
ROCK DEPTH 2 FT
COVER 3 FT
The installation of this septic system will not prevent wells and septic systems from being installed on the adjacent
lots.
There are no developed or natural surface / sub surface drainage courses on this or the adjacent lots.
The proposed septic system will not change the general slope of the area. Ponding and/or concentration of surface
runoff will not result from this installation.
Performed For:
Legal Descrption:
0
1-
2-
COMMENTS
Municipality of Anchorage
Development Services Department
Building Safety Division
On-site Water and Wastewater Program
4700 South Bragaw SL
P.O. Bax 196650 Anchorage. AK 99519-6650
www ci.ancherace.ak.us
(907) 343-7904
Soils Log - Percolation Test
Sa..t0Ga 5:,I -
Township. Range. Section:
V.'A5 CACUND WATER
5
IFYES.ATWHATOEPTHI �_ E
0
Dep Montofto ing Atter �.nl E
h!onitortna7 E
FERCCI.A1CH PATE —:2—A2_ leer ') FERC HOLE DIA:.IETER (y
TEST RUN eETHEE.`I—_F. AND_HFT
PERFOR. IED BY: ( • S I 11 S CERTIFY THAT THIS TEST VlAS
PERFOR?.IED IN ACCORDANCE VlITH ALL STATE AND AIU?:ICIPAL GUIDELI?:ES IN EF: ECT Oti Tr.IS DA T E. DATE: 1117,0 DZ
Gross Time
Net Time
Depth to Water
Net Dry
E
:3
rN
I
I '/e,
3:
o
I
FERCCI.A1CH PATE —:2—A2_ leer ') FERC HOLE DIA:.IETER (y
TEST RUN eETHEE.`I—_F. AND_HFT
PERFOR. IED BY: ( • S I 11 S CERTIFY THAT THIS TEST VlAS
PERFOR?.IED IN ACCORDANCE VlITH ALL STATE AND AIU?:ICIPAL GUIDELI?:ES IN EF: ECT Oti Tr.IS DA T E. DATE: 1117,0 DZ
I,
11
I
11
.0011
0
n
ell I
• rty ..
I �
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th
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......................
• TUBB
J uRKLAND •
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SHED I I
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i
25 0 25 75 na
W5
50
SC E,1'=50 FT.
TOBBEN SPURKLAND P.E.20J
TRACT A AMUNDSEN
S D
SE AC SYSTfAI DESIGN
AVENUE
(NCH. AK. 99501
ANC . AK.
JEFFERY P. KOONCE
DA £. JUNE 24, 2003
907 179-3916
ROCKRIDGE ROAD
SHEET 213 GRID: 2739
PERMIT ASV030XXX
PID b xx
AMUTRA2.DVG
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I•TD EN SPURKLAND
♦♦ No. CE -2225
♦i
ttttt��
2OBB£N SPURKUND P.E. TRACT A AMUNDSEN S
(NCH. AK. D SEPTIC SYSTEM DESIGN
1 90703 W 7 K. -3916 TH. AVENUE JEFTERY P. KOONCE DATE: JUNE 24, 2003
99501 ROCKR/DGE ROAD SHEET 1/3 GRID: 1739
79
PERMIT #SV030XXX PID # xx AMUTRAI.DVG
40.0'
�arKTae
1' PVC W //4• HOLES AT 18
QL:j> Eomm O
ADVANTEX AX20
STANWRO S -*W TRENC WON PtW CHUM
40 IT LONG
S ET W/DC
1 IT D7rCIM SEDERROCK
MLIA77ON
2 IT COVER
SRT
2.0 cMo T S
LEVaW
NO SCALE
Mon/tor
49th
CE -2225
NO SCALE
ADVANTEX AX20
a
3
L8
&NLW LURK:
80770M SOW
ASSWED ELEV. 100.00 TT
TOBBEN th Ave .AND P.E.
203 WISth AvTRACT A "UNDSEN SID SEPTIC SYSTEM SCHEMATIC
203
Anchorage Ak 99501 JUT RY P. KOONCE DATE, JUNE 24, 2003
ROCARl" RWD SHEETi 3/3 GRID, ?739
PERMIT SW030XXX XXX AMUTRAI M
Parcel I . D.015-231-98
Municipality of Anchorage
On -Site Water and Wastewater Program
(907) 343-7904
Certificate of On -Site Systems Approval
1. GENERAL INFORMATION:
Complete legal description Amundsen: Tract A
Location (site address) 11863 Rockridge Drive *Anchorage AK
RUSH
Expiration Date: J / '�--'7� Z Z.
Current Property owner(s) Jeff Koonce Day phone 907-317-5041
Mailing address
Real Estate Agent
2. TYPE OF DWELLING:
® Single Family (w/wo ADU)
❑ Duplex
❑ Multiple Dwellings (Single Family and/or Duplex)
Day phone
3. NUMBER OF BEDROOMS:
4
4. TYPE OF WATER SUPPLY:
TYPE OF WASTEWATER DISPOSAL:
Individual Well
®
Individual
Individual Water Storage
❑
Holding Tank
❑
Community Class Well
❑
Community
❑
Public Water System
❑
Public Sewer
❑
Waiver/Variance request for: Distance:
Received by: Date:
COSA to be released to the engineer, unless otherwise requested by the engineer.
COSA Fee $ Z '6 0/ 6 S Waiver Fee $
Date of Payment Date of Payment
Receipt Number Receipt Number
COSA # 05C2 1 6 ( 5 Waiver #
lir
5. STATEMENT OF INSPECTION BY ENGINEER
As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation,
based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application,
shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate
for the number of bedrooms and type of structure indicated herein. I further verify that based on the information
obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water
supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes,
ordinances, and regulations in effect at the time of installation.
Name of Firm: Gamess Engineerinq Group, Ltd (GEG) Phone: 907-337-6179
Address: 3701 East Tudor Road, Suite 101- Anchorage, Alaska 99507 I
Engineer's Printed Name: Jeffrey A. Garness Date: t� 1 / 3I2j
In conducting this evaluation, GEG provided an engineering evaluation of the well and/or septic system
in accordance with the guidelines and regulations established by the Municipality of Anchorage and �o��� !•
industry practices. The reported results describe the condition of the system/s on the date/s of the
evaluation. Separation distances were measured to readily identifiable features. Bidden defects or f L . • t';
encroachments may exist that were not identified during the evaluation. The operational life of all wells r> ' \.• �y` 5� ;'
and septic systems depend upon a variety of variables, including but not limited to, soil conditions,
groundwater levels (that may fluctuate during the year), quality ty of construction (materials and
O = -- a {
workmanship), and the water usage of the family utilizing the system/s. These conditions can vary, and """ ""' ""
are outside the control of GEG. Satisfactory test results do not guarantee future performance of the
system/s; therefore, GEG makes no warranty (express or implied) regarding the future performance of • • • / . • • • • • •
the well or septic system. GEG makes no representation whether an alternative well or septic system f). .J-- f : y Czrn< ss..-
can
s;can be installed on the property in the event either of the current systems fail to perform adequately in Q. E—
the future. The content of this report is for the sole benefit of the erson! art that retained GEG to tli 'r ,� �3 U.• ' P
P P P y -.�. I
perform the evaluation. Reliance upon the information provided in this report by any other person or .."-• �� =J
party (including. subsequent property purchasers) is not authorized, nor will it confer any legal right y,Q01�j1�cv
whatsoever.
#AECC884
6. DSD SIGNATURE
J� System #1 Approved for 4 bedrooms
System #2 Approved for bedrooms
Disapproved
Conditional approval for bedrooms, with the following stipulations:
-ee- N ote oLt 3, &L PI ct rttieors 6L4&-"
By: Original Certificate Date: % 0—I`(—��
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:
I
COSA Checklist Nitrate Advisory
Septic System Advisory Arsenic Advisory
Well Flow Advisory Other
115
Legal Description: Amundesn; Tract A
If more than 1 septic system on lot: COSA Checklist # of
A. WELL DATA
❑ Well log is filed with Onsite (or attached)
Date drilled 7/12/04
Total depth 74 ft
Cased to 74 ft
❑ Sanitary seal is functioning correctly
❑ Wires are properly protected
Casing height (above ground) 18+ in.
Date of flow test for COSA 9/17/21
Static water level at beginning of test 35.9 ft.
Comments
B. TANK DATA
Age of tank(s) 17 years
Tank type/material STEP/FIBER(
Measured operating fluid level in septic tank
❑ Standpipes/foundation cleanout per record drawing
Date of pumping *SEE MAINTENANCE REPORT
D. ABSORPTION FIELD DATA
Which system tested (date installed) NEW
❑ ALL standpipes present per record drawing
Total measured depth from grade 11.4 ft (max)
Measured depth to pipe invert from grade 3.2 ft (min)
❑ N/A — pressurized field
❑ 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 N/A gallons
Comments/Deficiencies: NEW DRAINFIELD - NO SEPTIC TEST PERFORMED
COSA Checklist yellow sheet
Parcel ID: 015-231-98
Structure served by this system
Well production at time of test 4.8+ gpm
Water storage tank volume N/A gallons
Well disinfected for coliform test? ❑ Yes ❑ No
❑ Coliform bacteria is Negative
Nitrate mg/L On Nitrate less than MRL (ND)
Arsenic ug/L ❑ Arsenic less than MRL (ND)
Collected by GEG
Date of Sample 9/17/21
C. LIFT STATION
OR Required maintenance completed
Age of lift station 17 years
Lift station material HDPE
Comments:
Adequacy test date NIA
Results Q Pass For 4 bedrooms
Fluid depth prior to test in
Water added - gal
New depth in
Elapsed time - min
Final fluid depth in
Absorption rate gpd
Any rejuvenation treatment (past 12 months)
If yes, enter date -
E. SEPARATION DISTANCES
From Private Well on Lot to: (Please enter distances if less than required or if community well)
C]✓
Septic Tank/Lift Station on Lot > 100'
if No
*50'+
Community Sewer Manhole/Cleanout > 100'
❑ Yes
if No
ft
❑✓ Yes
if No ft
Neighboring Tank > 100' ❑✓ Yes
if No
ft
Private Sewer/Septic Line > 25'✓❑ Yes
if No ft
Absorption Field on Lot > 100' ❑ Yes
if No
50'+ ft
Holding Tank > 100' ❑✓ Yes
if No ft
Neighboring Absorption Fields > 100'
ft
Community Wells > 200' ❑✓ Yes if No ft
Animal Containment > 50' ❑✓ Yes
if No ft
❑v Yes
if No
ft
Manure/Animal Excreta Storage > 100'
Community Sewer Main > 75' ❑✓ Yes
if No
ft
❑✓ Yes
if No ft
From Septic/Holding Tank on Lot to: (Please
enter distances if less than required)
Building Foundations > 10' ❑ Yes
if No
**5 + ft
Surface Water> 100' ❑ Yes
if No *50+ 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 50'+ ft
Water Main > 10'✓❑ Yes
if No
ft
Community Wells > 200' ❑✓ Yes
if No ft
Water Service Line > 10' 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'
C]✓
Yes
if No
ft
If absorption field is under driveway comment below
Property Line > 10'
❑✓
Yes
if No
ft
Wells on Adjacent Lots:
Water Main > 10'
Q
Yes
if No
ft
Private Wells > 100' ❑ Yes if No *50'+ ft
Water Service Line > 10'
❑✓
Yes
if No
ft
Community Wells > 200' ❑✓ Yes if No ft
Surface Water > 100'
❑✓
Yes
if No
ft
F. ENGINEER'S COMMENTS
*AWWTS **PER 2004 INSPECTION REPORT ***ASSUMED - SEE SKETCH PROVIDED
BY OWNER SHOWING THE APPROXIMATE LOCATION OF THE WATER SERVICE LINE
SEE INSPECTION REPORT (PAGE 3 OF 3) REGARDING DRAINFIELD REBUILD.
G. ENGINEER'S CERTIFICATION o �—
I certify that I have determined through field inspections and review Quo • •. /r l
of Municipal records that the above systems are in conformance with
MOA COSA guidelines in effect on this date. * g �*
OQ .Jer rV A. Gar ss.
Q� 9,. — 953 •• i`G
A ��fP^Pd iv � ; �•�t_•��°���fi
COS Checklist yellow sheet �Q po\ d
rofessioo
#AECC884
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 Day of September of 20 21 , by and between
Rockridge Holdings, LLC , 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: Svsterns. The Municipality grants permission to the
Owner to utilize and operate an Advanced Wastewater Treatment System (AWWTS),
described as Advantex
located at (legal description)
11863 Rockridge Drive, Anchorage, AK 99516; Amundsen TR A
2. ivlaintenance. 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
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 5400 to $600).
SYS 1' Owner agrees that only maintenance and repair personnel approved by the Municipality
or the manufacturer's representative will inspect and make any necessary maintenance,
repairs or permitted alterations to the system.
L4b Owner acknowledges that regular maintenance of an AWWTS reduces the potential
failure of the system, which could include sewage backup and costly repairs or drainfield
replacement.
(rev. 05/18/2018) Page 1 of
�$ Owner acknowledges that the Municipality may request records of maintenance and
repairs from the manufacturer's representative or maintenance provider.
54� Owner acknowledges that the tine for failing to maintain and repair an AWWTS may be
assessed in accordance with AMC 14.60.030.
S Owner agrees to grant the Municipality reasonable access to test and inspect the
AWWTS. The Municipality will give at least 24-hour notice.
5_.v , 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.
5 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 ThirdJudicial 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
0WNC'R:
By: _ , 4,L (signature) Date: q �da-( i
Sem Mr (print name)
STATE OF NEW HAMPSHIRE )
COUNTY OF ROCKINGHAM ) ss.
)
sf-
The Forcgoing instrument was acknowledged before me this day or
20? 11 , by
Llane D. Belcher
NOTARY PUBLIC FC R A=L=A�K=A Notary Public, State of New HampshltO
My Commission expires: - -10192-12910 My Commisslon Explres Oct. 2, 20M
(MUNICIPALITY:
i
B _(signature)
Date: 1-0-(` - Z%
(print name) Title:
(rev. 05/18/2018) Page 3 of 3
Uor ter ztizi rij; 31 dbbb t fu rira_u5
399 436
Mill ME am a game ONE looms
ffil
am a 1
WbvanTem 11 Field MaIntenanCe
Annual lnspe;tfion
FfopRrV pWnerMnrldnp P
Jeffrey Koonce
Site Addrata
11863 Rockridge Di ive, Anchorage AK 99596
Ax Ske ID N nty W N
AK -103944 SW030267
Retrieve O&M Info
Daily flow—_
Recirc ratl4 - .
Timer settings:
Call Jeff at work :'74-7443
control panel is it side
Perform Field samp Ing/Observations
NTU (15 t NTUs) p -1(6-9) DO (2-6)
odor of Sample
Typical { Mus y ❑ earthy ❑ Moldy
Non -typical suifi :lc a cabbage Decay
OW film in PVU { .1 Yes No
Foam In tank 1 .3 Yes /14i No
Check Control Pan( 9
Recirc Amps Discharge Amps
p. )/ ^5",
Audible and visual al firms VOK
bias tone (telemetry t nly) / Yes O No
inspect/Clean Pint()) :t ,'Stent
Inspect Clean
Riser/Lid.......... . .. • ..... .
Spike Box ..... ......... ...
Float Cords .......... ....... .
Floats ............. . ....... ..
Pump ............ ...........:
Biotubed0 Filtor.... .......... .
BiotubG Pump Vault ............ +'
Recirculating SplttU I Valve...... .
comments _///
Signature
rALIt u r
IN a BONN
me
No
a
AnchorageTank
947-272-3543
Operntcr
Larry Betts
Pad N RTU Out, It
203360 RTU 1 D3470
Measure Sludge/Scum
Mudge _
istoompartment Current Previous
A'1 kl
Canftt Room
(9017) 274-7443
Elate ar Lest fnapocUon
02122/2021
Scum _
Current 1prevloug
2nd Compartment ( Currant , Provious 4 currant Previous
Inspect/Clean AldvanTeX Filter
Inspect Clean
odor: Normal ❑ Pungent LateraislOrifices
Blomat: Nr,mtial [� Excessive Pod 50ttom
Bridging/Ponding. None/Minor r] F_Kcessiva intake Vent [
lnspactfClean Discharge Pump System
Inspect Inspect Clean
Riserlud Floats /(�a
splice Box {yL Pump
Float cards
In$p+ect/sorviae other System Components
lnsrpl
oct clean Inspect Clean
Dig -infection ���
nfection Equipment � Dispersal Laterals/Orifices�Z
Observations
,Additional Services Rendered
❑ Cleaned textile shoots? neplwscl UV Items?
El Replaced/Used other Items?
Parts Used. W � Warranty, S = Billable (d appropriate selection)
W R Item Number Description
Final/Safaty inspection
reinstalled Lids baited on�Rsv
Manifold reconnected; flush valvas Closed Control panel reaCttvated
SummaryIRecomtnendations
❑ system performing; no further action needed nTank needs pumping
Call for service ❑ othor? —
bate
Fax complexed foul to 1-806-3134-7404
