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Home My WebLink AboutT15N R1W SEC 5 LT 12T15N RIW Sec 5 Lot 12 #051-032-07 �t Municipality of Anchorage r Development Services Department Building Safety Division On -Site Water and Wastewater Program, 4700 Bragaw St. P.O. Boz 196650 Anchorage, AK 99519-6650 Page ! of� wwwcianchorage.sk.us (907)343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number: Jw Q_700K� PID Number: 051—os:?-0-7 Name-- �r�r Wastewater System: gNew El Upgrade ari Q Kahl ;,r& 6 - ABSORPTION FIELD an Pla g 2_ 6qf V3 NumEar of Baboom, O DesO Trarrh O Snauow Tr� O Ber ❑ Maaq lltgnsr Sal Raeq LEGAL DESCRIPTION Tea DBpm an atpnat para Bim* Lw I -••� .51�rMYM GPDT12 1 0,1 DWh w Fire Donau frau an9malgNe FI. C-(� *M p,@ d IV Rani" I I ' Swim CIL) Fa aabE aoova mpnY era G a N La^Tn ye j NNNNNNNN • — le Ft. 3O F Well: ❑ New ❑ Upgrade Ga.n wan . la Nia D ,, s Dista Ot Dsfwaat N3- ct .'W {Pnv .A8C) Taal DWm �OFI. Cow to / FI Ta/WWWm arw FI. a F V 6 30 P' Ma'"" Duerr Dns Dmror FP 5 4 SIa1K was La « mna a Dna merrier T �J�//S s- 5—D ' Fr r YF 07 roq Pump Sor n Camp 11epa Aoove Csoinp GPM FL ;? FI TANK SEPARATION DISTANCES hrSeptic ❑Holding 0STEP. To Septic Absorption Lift M auver ❑ Other. From Holding u e"rrLin l_ Tank JF'i�eld Station Tank Tank Sewer line Wen 1 6 e 1 5T I 51 5+ Matarul 1 1 D E N^^er a compel $ Surlaca W°In I/ Vr 7J 1 I Fly •FJ T' l�(�T 1 -f LIFT STATION Loi L.. act✓er <ZVI Gal I s p r ��'rlP S FouMnaxr ° D F Pump an' bvN 1 ; 77 1 Fin yyl n H "ter ter air. at VV mgo m C~ Dian me O /% Imp Mae 6 M�0,1 Ela •� mspeq BENCH MARK LCfJIgn Yq Da W�pIg1 o ✓►1 Sl i/J ' tr1 "R'* „mw�/rowum In 1W Ft Inspections performed by: »034 Erb Rp Loop Road, No. Md es: 1" � }-07 Eag a Rlwr, a Development Services Department Approval Conditional Approval IV Date: Reviewed and approved by: Date: '7-V-0 -0, Engineers Stamp PERMIT NO. SW070065 PACE 2 OF 3 DEPARTMENT ANDhHUM9AN SERVICES ENVIRONMENTAL SERVICES DIIpVISION P.D. Box 196650 : 343-4744 ON-SITE WASTEWATER DISPOSAL SYSTEM e, Alaska LAND/OR 9-6650 0 e1WELLeINSPECTION REPORT LEGAL LOT 12 SECTION 5 T15N R1W S.M. P.I.D. NO. 051-032-07 PERMIT No. SW070065 PAGE 3 OF 3 Municipalit of Anchora e MA DEPARTMENT OF HEATH AND HUN SERVICES ENVIRONMENTAL SERVICES DIppVISION P.D. Box 196650hne: 343-4744 ON-SITE WASTEWATER�DISPOSALAnchora,ASYSTEMI9-6650 AND/ORe1WELL INSPECTION REPORT LEGAL LOT 12 SECTION 5 T15N R1W S.M. NAL GRADE /-- 98.6' INSULATION 94.4 95.5' NEW 1300 GAL. POLY. TANK MTI =99.8' MT2=99.5' MT1=97.1 J DIST. LINE -97.4' 94.1' P.I.D. NO. 051-032-07 I 94.7' I$' DISCHARGE PIPE 550 GALLON FAT ALBERT WITH PUMP AS FASB v GRADE YP U.9 ma.J A GROUNDWATER AT 91.1 86.1' B.O.H. INAL GRADE BOTTOM OF SAND -95.1' N. T.S A B C FCO — 28.5 13.0 STI — 22.5 28.0 ST2 — 20.0 31.0 MT — 18.0 33.0 MH — 16.0 36.5 FVI 62.0 89.5 — FV4 58.0 89.0 — MT1 44.0 64.0 — MT2 55.5 94.1' P.I.D. NO. 051-032-07 I 94.7' I$' DISCHARGE PIPE 550 GALLON FAT ALBERT WITH PUMP AS FASB v GRADE YP U.9 ma.J A GROUNDWATER AT 91.1 86.1' B.O.H. INAL GRADE BOTTOM OF SAND -95.1' N. T.S S& nG September 2, 2008 ROBERT C. COWAN. CIVIL ENGINEERING PH: 907-694.2979 FAX: 907.6941211 � w s MUNICIPALITY OF ANCHORAGE Development Services Department P.O. Box 196650 sexFnaw.TEA Anchorage, AK 99519-6650 4WNEXTENSK" REFERENCE: Lot 12; Section 5; T15N; R1 W SEWER& WATER 21331 Original Ave. WSPECTIDN We visited the above referenced property and verified that the trailer has been removed and the old septic system serving it has been properly abandoned. UIC-NEERINGSTUOIES ANDREPORTS 7,e� (el Y, WELLWSPECTION a ILOWTEST SITE RAMS ROADOMQ SOILTESt PERCOLATION TEST STRUCTUR4 uEauWICK NSPECTIONS ONSITE I WASTEWATER DGPO64SYSTEPA DMGN I 15861 S. Birchwood Loop Road - Chugiak, Alaska 99567 Certitf eb log by DOC co. dw SULLIVAN WATER WELLS P.O. BOX 670272, CHLIGIAK, ALASKA 99567 *TELEPHONE 688-2759 OWNER OF LAND: 2.4 I c'• ; r C la a n ADDRESS: LEGAL DESCRIPTION: -7" / tJ rf t r -o c = - DATE: PERMIT NUMBER: _7 c ^ i < Date of Issue TAX IDENTIFICATION NUMBER'- r-/ - i7 ?,) Is well located at approved permit location? ,Q Yet [)No Method of Drilling: ❑ air rotary O cable tool Depth of well: L, Casing TypeWali Thickness +�inches Diameter inches, depth �� feet Liner Type: all �� c Casing Stickup Above Ground: feet Static Water Level: / feet Recover Rate: / C" gpm Method of Testing: a , ,,z Well Intake Opening Type: O open end O open hole O Screened; Start feet Stopped feet O Perforations Start feeLStopped feet Grout Type: Volume Depth: from feet, to feet Well Disinfected Upon Completion? O Yes ❑ No Method of Disinfection: Comments: Driller's Name e7,1— 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: Deoartment of Environmental Conservation. V.. Driller's Name e7,1— 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: Deoartment of Environmental Conservation. ARCTIC PUMP & WELL INC. Jim Sullivan PO Box 770197 WAUX t on 0 Eagle River, AK 99577 (907)688.2510 (907)258-2510 (907) 745-2510 arn- n eci net Pump Installation Log Well Drilling Permit Number: SW070065 Parcel Identification Number: 051-032-07 Legal Description:T15N R1 W S5L12 Lot: Date of Issue: 5-16-07 Property Owner Name & Address: Curtis Parrish POBX672332 Fn(rIP River AIC 00i77 Pump Installation Date: 7-10-07 Pump Intake Depth Below Top of Well Casing: 10 Feet Pump Manufacturer's Name: Dempster Pump Model:MBF2-50-S2 Pump Size: 1/2 hp Pitless Adapter Burial Depth: 10 feet Pitless Adapter Manufacturer's Name:Cambel Pitless Adapter Installer: Arctic Pump & Well, Inc. Well Disinfected Upon Completion? Yes Method of Disinfection: Chlorine Comments: Pump Installer Name: Arctic Pump & Well, Inc. Arctic Pump & Well, Inc. Page 1 of �r` ri'��6� ELECTR/CAL ^ C01bTRACT//NG December 27, 2007 Spinell Homes, Inc Attn: Scott 1900 W. Northern Lights Blvd., Suite 200 Anchorage, AK 99517 Subject: Lift Station Inspection at property stated below. To Whom It May Concern: This letter is to confirm that the lift station(s) at: FAX: (907) 694-9010 • Lot l2 — Chugiak was wired by a licensed Journeyman Electrician in accordance with the National Electric Code requirements. If you would like any further information, please feel free to call our office at the numbers listed below. Thank you. Sincerely, ALLIED ALASKA ELECTRIC, L.L.C. a. 6 P?Z-, Janette L. Brown, Vice President/CFO cc: file n n n., nzcx in [F—;//- 41-„•L., OOX-Q7 /On71 772-i,Q02 n6. //on71 M -Mi Gtr BLM LOT 12 THE NEt/4, SECTION 5, PER BLM PLAT APPROVED JUNE 27,1914; LOCATED WITHIN ALASKA. ANCHORAGE RECORDING DISTRICT, CONTAINING 2.50 ACRES, MORE OR LESS. T15N, R1W, S.M., zo C6 io Z O W ORIGINAL 43.6' 35.6• 116. EI BBE AWElL BNIDON E OFr 4 SEPTIC SYSTEM w .f EXIMOB0.E HOME / TMREMWEO • / fELL • / C MI — -----.— — — — —— — 7 50'._EASEMENT,FOR.ROADWAY do PUBLIC UTILITIES,' / (8K."156," PG:' 252) ' N 90.00'00" E ' 329.80' , ' _ EASEMENT FOR ROADWAY do PUBuc.LMLTTIES . . 50 (BK. 333, PC. 55) BUILDING DETAIL SCALE: V=20' AS -BU I LT I HEREBY CERTIFY THAT I HAVE PROPERTY DEPIFy CTED ABOVE AND THAT NO THE GASTALDI LAND ER ENCROACHMENTS EXIST EXCEPT AS INDICATED. �� OF s �1 SURVEYING, LLC R IS THE RESPONSIBILITY OF THE OWNER TO �� .......;. 0 �. •�Q;�'•. JEFF A GASTALDI, R.L S.' DETERMINE THE EXISTENCE OF ANY EASEMENTS, : 9 . 4726 WEST 88TH AVENUE COVENANTS OR RESTRICTIONS WHICH DO NOT . r �n 491H ANCHORAGE, ALASKA 99502 APPEAR ON THE RECORDED SUBDIVISION PLAT. PHONE 248-5454 •••••••••••••••••• UNDER NO CIRCUMSTANCES SHOULD ANY DATA •al HEREON BE USED FOR CONSTRUCTION OR FOR ; Jetiery a coelalal ; . ; GRID DATE �'6'•• LS -6Q91 ESTABLISHING BOUNDARY OR FENCE LINES.- f/ �+ 8/31/2007 •�J�s�•,'•e'3� a1..•.y° NW 1557 ANCHORAGE RECORDING DISTRICT, ALASKA' • �.'ap�o�eetlonot�°cA +` Joe No. NOTE: NO SET THIS DTE: ��r>•�� i 'F.8 . - ---- CORNERS . _.. u 111=50' :0 ;D MUNICIPALITY OF ANCHORAGE Development Services Department m\ 0 On -Site Water 8 Wastewater Program V 1 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: SW070065 Legal Description: T15N R1 W SEC 5 LT 12 Date Issued: May 16, 2007 Expiration Date: May 15, 2008 Parcel ID: 051-032-07 Design Engineer: 0003 S & S ENGINEERING Site Address: 021331 ORIGINAL AVE Owner Name: CURTIS PARRISH Lot Size: 113599 SO. FT. Owner Address: PO BOX 672332 Total Bedrooms: 3 Permit Bedrooms: 3 CHUGIAK . AK 99567-2332 This permit Is for the construction of: ❑✓ 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 specked 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. Received By: Issued By: B. Covered, sealed, and heated to prevent freezing. Date: 5 UPQi- �itill2 Nrp.1i1�/ -- Date: 6 O Municipality of Anchorage Development Services Department / Building Safety Division'' On -Site Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907)343-7904 ON-SITE SEPTICIWELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. d o Property owners) Cur �'S Pari S%1 Day phone 68 0- 6yo3 Mailing address Po Box Zip Code g7 Site address x133Zip Code Legal description (Sub'd, Block & Lot) ZOf I �) ,1 n Legal description (Township, Section & Range) SeG f tori �- _r15A) % K LW Lot Size l /3. 5-91 Sq. Ft. THIS APPLICATION IS FOR (®all that apply): Absorption Field Septic Tank 19 Holding Tank ❑ Privy ❑ Private Well Water Storage ❑ certify that the above informs Single Family Dwelling and is (Signature of property owner or Permit/Rush Number of Bedrooms 3 THIS APPLICATION IS AN: Initial Upgrade ❑ Renewal ❑ correct. I f rther certify that this application is being made for a rdance wiffi applicable Mipal Codes. Waiver Fees: Date of Payment: Date % Date of Payment: Receipt Number: i 52c1 A'JW Receipt Number: (Rev. 11105) S& HEALTNAITHORITY APPROVALO SEWER & WATER IWNE%TEHSIONS SEWER& WATER INSPECTION i..N14 1 11 i WELLNSPECTION & FLOW TEST SITE PLANS rr� SOIL TEST PERCOLATION TEST STRUCTURAL& MECHANICAL INSPECTIONS ONSITE WASTEWATER OISPOSALSYSTEM OESION ROBERT C. COWAN, P.E. ROBERT A. SHAFER, P.E. CMLENGINEERS (907)694-2979 FAX(907)694.1211 May 1, 2007 MUNICIPALITY OF ANCHORAGE Development Services Department P.O. Box 196650 Anchorage, AK 99519 REFERENCE: Lot 12; Section 5; T15N; RIW; S.M. It is requested that you issue a permit to install a new well and septic system to serve the proposed three bedroom dwelling on the referenced property. A test hole was excavated and a percolation test performed. The approximate location of the test hole is located on the attached site plan. At the time of excavation 4/6/07, ground water was found at 7'. After monitoring, ground water was found at 10'10". We do not anticipate any adverse effects on neighboring wells, septic systems, reserve areas or drainage patterns by the installation of the proposed septic system. The construction of this system will not prevent any future development on any of the adjacent properties. If you require additional information, please contact us. Sincerely, ob . S&.. Enclosure 17(MC.N. NFA^LBfA."a CJ-. ::(�::62Ca•6d;L'.'. .c.. ..- S & S\ ROBERT C. COWAN . �IneelunG CIVIL ENGINEERING May 15, 2007 PH: 907.694-2979 FAX: 907-694.1211 t"THAu,NDFrTM MUNICIPALITY OF ANCHORAGE APPROVALS Development Services Department P.O. Box 196650 Anchorage, AK 99519 SEWERA WATER MANE%TENSIONS REFERENCE: Lot 12; Section 5; T15N; RI W 21331 Original Ave. $EWECTION E"WSPE The fat albeit for the proposed septic system on the above referenced property will not be set at a depth greater than 8.4(101 inches) feet from the surface of the ground to the bottom of the tank. ETICINEERNG Slum$ ANDREPORTS ®rely. WEU*ISPECTION {FLOW TEST SREP ANS ROAD DESIGN SOCTEST PERCCUTIDN TEST SIRUCTIIRALa MECNANICAL MPECTIONS S WASTEWATER WATER DbPOMSYSTEM DESIGN I 15861 S. Birchwood Loop Road - Chugiak, Alaska 99567 3 I o � 0 o O I W QIYO IV gL 5W< I < 5-5 04 wou 4 Mo. }S` W3_ r �" �5o W I J _ < - OJ J< Z I m C/�ow n 2 I a V/ OM&O 01<r!<- /�•t• �/ ~ 0=) WmW Q I WMa< O V WJW =pa .W.IW I �d 'T aOW v/ woo u020 m0 ✓ OJI� �' 40W OWV Om Q 14 �Ovi �000 Eyre., �W I O coz pQ I a I \ duo Z_W �i � 'rte • i Na< �m I F-. lfi 2 3 {S� WN< NO I C L7 n JO t W ~i I O a4 / z LLI ►t7 Q�0�oJ5 I N A3Ln LLJ I LAJ a I o I HIx I U LL (w!1 d WCY JW I O N1lH 13SN0oz c0- NoC11 LO C,4 to mW$ o I Zx II N 11 II =< I W I. C) m II w N L. El in(O I a' Q m 06 M N Sn/O�aSo 3M do0` I { W o I cn `'J F—> 0W I =; m > I .� U CL CL - ilA1 % «� QW e_ I <41 N•1 r. `i^n W WOWOQWM in ,S zz Q ONN O 'O Hy MNO—M I t a NVId-311S NOIS30 ,Ob = 1— I !!IH 13SNono ONIISIX3 �$ O� Z W O O I o H = , I yy O p [r] a � N r W M pt< I 1 I I z Wuu mox W L. 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S. .Itw \ \ UR ` / q 0 b r — Acnes C 000 in,o—co G q N m G O II; II II N II Wcn O A O N O NO cn L o D N� C) �tD Nv -1 O rn m 7 w� t7 � Cn >W zo t7 I h DESIGN I PROFILE W — O N W ONNOO m m zoov U� C) m -n =j m n D m O x1 3E eeelll � ^ �c� Q,9 �8�•�' � D .Itw \ \ UR ` / q 0 b r — Acnes C 000 in,o—co G q N m G O II; II II N II Wcn O A O N O NO cn L o D N� C) �tD Nv -1 O rn m 7 w� t7 � Cn >W zo t7 I h Wk'1'LrFL 5t £PIRJFi Municipality of Anchorage Development Services Department Building Safely Division On -Silo Water and Waslewalor Program 4700 South Bragaw SI. P.O. Dox 196650 Anchorage, AK 995196650 www.cI anchorage ek.ui (907) 343-7904 SolPercolation Test Pedonned rot: _.. r17 121 S 4- Dale P Legal Description: LIZrI Sstir6� Township, Range, Section: COMMENTS C�'ew 6PaiD't;o gT4t�b �- L„2RIlrtL -C,(-fiY �MPtImPCL%�P WAS GROUND WATER ENCOUNTERED? �1e IF YES, AT WINi DEp11N L Depth to Water Atter It it Monnodog7-��//�/rOI-t E .Gm 94)" Reading Date Gross Tlne Net Tkne Depth to Water Net Drop Ib o m GI -F I PERCOIAIIONRATE <j 4m .&4I ) PERC ROLE DIAMETER .--611 � IESTRUNOEIWEEN 1e FT AND FT PERFORMED BY: I CERTIFY THAT 11 IIS TEST WAS PERFORMED IN ACCORDANCE WITII ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON 11115 DATE. DATE: ROBERT C. COWAN. P.E. ROBERT A. SHAFER. P.E. CIVIL ENGINEERS (907) 694-2979 FAX(907)694-1211 INTERMITTANT DOSING SAND FILTER SPECIFICATIONS ,F„LTHALR„Mn. Lot 12; Section 5; T15N; RIW; S.M. APPROVALS May 1, 2007 GENERAL STATEMENT OF WORK SEWER & WATER &M E(TENSONS The work and plans covered by these specifications consist of furnishing all labor, materials, tools, transportation, and equipment necessary to complete an Intermittent Dosing Sand Filter system as described herein and on the attached drawings. SEWER& WATER NSPECRON All work under this project shall comply with current Municipality of Anchorage (MOA) Regulations. The scope of this project includes the installation of a new 1000 gallon HDPE septic tank, a ENIG,E&T„DIE, ANOREPOTRH 550 gallon Fat Albert S.T.E.P. tank, and a new I.D.S.F. septic system to serve the proposed three bedroom residence located on the referenced property. SITE INVESTIGATION WELL WSPECTION &now TEST The Contractor must carefully examine the project documents, have full knowledge thereof, have investigated the site, and be satisfied with the conditions affecting the work. Conditions include, but are not limited to those bearing upon transportation, disposal, SITE, handling and storage of materials, availability of labor, water, electric power, roads, and uncertainties of weather, physical conditions at the site including all underground utilities, the conformation and condition of the ground, the character of equipment and facilities ROAODEMN needed preliminary to and during prosecution of the work. The Contractor must be satisfied with the character, quality and quantity of surface and subsurface materials or obstacles to be encountered. Any failure by the Contractor to become acquainted with the available information will not relieve him/her from responsibility of performing the work as stated in SMTEST these specifications and drawings. Location of utilities will be the contractor's responsibility. PERCUAtm TEST STINCRlML& MECIIAI4Cl1 NSPECTIONS ONSITE WASTEWATER DSP06ALSYSTEM OESKKW :;,>:P�L=_��cTtleor•su!tE20&.EAGLE rr=Tl.ALrsl;-, :. Page 2 Lot 12; Section 5; T15N; R1W; S.M. May 1, 2001 SEPTIC TANK / LIFT PTATIONI AIR COMPRESSOR A. General The work under this section consists of the performance of all operations pertaining to furnishing and installing the septic tank/lift station, air compressor and piping to the sand filter. B. Materials 1. Tank a. Septic tank shall be a two compartment tank of at least the minimum size indicated on the drawings and MOA approved. b. First compartment shall have a separate 4" pump -out riser. The second compartment shall have a separate 4" pump -out riser. ' 2. Manhole Riser or Lift Station Tank a. An additional second compartment manhole riser shall be capable of being equipped with the following: 1. A junction (Nema 4x) box or equal, bonded or attached to the pump basin. 2. UL listed electrical cord grips, installed in the J -box. Mo b. An additional tank (M O.A. -approved) may be provided for the effluent pumping assembly and the items in (a.) above. 3. Effluent Pumping Assembly, Controls, Alarm & Piping a. Effluent pumping assembly shall be of approved materials, including the following: 1. A 110 volt or equal U.L. Listed effluent pump. 2. High-densityPVC cylinder housing the pump, with level controls and screen, serving as a baffle to prevent the screen from clogging. Page 3 Lot 12; Section S; T13N; R1W; S.M. May 1, 2007 3. All piping shall be PVC or other non -corroding material. b. Pump controls and alarm system shall be an approved system with the following options consisting of: 1. Event counter 2. Elapsed time meter 3. Program timer 4. 10 wattheater 5. Remote alarm panel option with a minimum of 80 DB sound pressure at 24", operating temperature 30AC to 65AC, continuous sound to be located in the home. 6. Oil -tight visual alarm with push -to -silence feature. Automatic audio -alarm reset. 7. 15 amp motor rated toggle switch, double pole, double throw with three positions; manual (man), automatic (auto) and center (off) (H.O.A.). 8. Nema 4x -rated, fiberglass, or equal, enclosure with hinged cover. 9. All controls to be installed as per manufacturer's recommendations. 10. Control panel to be installed on outside wall of home within sight of septic tank/lift station. c. Piping from the septic tank to the sand filter is to be 1 1/4" PVC schedule 40 solvent weld piping properly bedded as described in Materials Specifications and sloped to drain back to the lift station. Insulation board 2" thick and 2' wide centered over pipe is to be placed where soil cover is less than 4' depth over pipe. d. The airline from the house to the filter is to be HDPE arctic insulated pipe 3/4"-2" SDR - 11. The compressor will have a gauge (0-10 psi) and be extended into the living area or garage for easy monitoring by home occupants. Pape 4 Lot 12; Section S; T13N; R1W; S.M. May 1, 2007 4. Air Compressor a. Air compressor shall be a THOMAS LINEAR SERIES model number 5060-A or 5070V -A or M.O.A. approved equal. CONSTRUCTION SEQUENCE In order to insure proper installation, the system is recommended to be installed in the following order: I. Sewer line from house to tank H. Septic tank/lift station M. Sand filter IV. Leachfield bed (if required) V. Final grading CONSTRUCTION 1. Construction Instruments Contractor shall provide instruments such as transits, or levels, for establishing proper elevations and levelness of pipe or materials. 2. Pipe Laying All pipe shall be laid with material free of large or sharp rocks and organic matter. Each section of pipe shall be handled carefully and placed accurately. The spigot end shall be fully inserted pointing in the direction of flow and glued in place to make a water tight seal. Each section of pipe shall be properly supported to insure true alignment and an invert which is smooth and free from roughness or irregularity. At all times, when work is not in progress, open ends of pipe and fittings shall be closed so that no undesirable substance will enter the end of the pipe or fittings. Pape S Lot 12; Section S; T15N; R1 W; S.M. May 1, 2007 3. Bedding of Pipe for Sewer Lines The pipe should be bedded with materials free of large or sharp rocks and organic matter, compacted. Native materials may be used as back fill material above the pipe, provided it is free of large rocks and organic matter. All lift stations shall be installed in accordance with the manufacturer's recommendations and standards. Electrical installation is to be in accordance with the National Electric Code (latest adopted edition) by a licensed electrical contractor, with M.O.A. inspection where required. If MOA inspection is not required, a licensed electrician is to provide a letter to the Engineer stating that the system meets or exceeds all applicable codes. 4. Excavation Excavate to proper depth to allow gravity flow, install tank level, tolerance 0.05 foot, on undisturbed or compacted classified sand fill material. Create a level sand surface over the tank and add 2" burial foam +35 PSI directly over tank. Mound unclassified soil over tank with a minimum of 2 feet of cover and anti -flotation weights that may be required in areas of shallow ground water. 5. Connections All connections to be as per MOA requirements, PVC 3034 piping with Caulder or equivalent couplings for inlet riser pipes. All tank connections are to be completely water tight. Page S Lot 12; Section S; T15N; R1 W; S.M. May 1, 2007 SAND FILTER The work under this section consists of the performance of all operations pertaining to furnishing and installing the sand filter. A. Materials 1. Sand Filter a. Liner (if required - not required for bottomless sand filter) - OSI Model LI or equivalent. 30 mil PVC cut and fabricated to provide water tight enclosure of filter sand volume. Seams to be permanent as per Manufacturer's recommendations. All connections, such as boot flanges, through sand filter to be permanently bonded to the liner. b. The Contractor shall provide a washed sand to meet ASTM C-33 Concrete Sand Specifications with the additional requirement that all but 1% of the materials passing the #100 sieve be removed. All aand shall be approved for use by the Municipality of Anchorage (M.O.A.). If the sample does not meet specifications, all sand will be removed and replaced. c. The Contractor shall be responsible for providing pea gravel that shall be a washed material containing no fines (0% passing the #100 sieve) and a maximum size of 1/4" diameter. d. The Contractor shall provide the manifold assembly. The manifold assembly shall be of approved materials with orifice shields and flushing assembly. All drilled holes to be cleaned of burrs and pipes flushed, prior to assembly. Flushing valve to include riser to finish grade. Lateral distribution piping is to be laid level (@ t 0.05'). e. Sidewalis and top of the filter box to be insulated with 2" direct burial polystyrene insulation. f. The Contractor shall be responsible for providing filter fabric. g. Air coil in sand filter to be geoflow WF16-4-24 150 LF placed 6" above bottom of sand. Pape 7 Lot 12; Section 3; T15N; R1W; S.M. May 1, 2007 Construction of Sand Filter The sand filter construction is to follow procedures as outlined below, as applicable to this design. Pea gravel and filter sand are to be hand leveled to proper depth (tolerance within 0.05 feet) in filter, taking care not to allow mud or fine soil material into the filter or gravel layer. This would include any soil material picked up by excavation machinery buckets while loading specified material. The Contractor should estimate filter material volumes such that allowance is made for wastage of material in contact with the ground at site. The area over the sand filter to be finish graded with a minimum of 2 feet of cover and to prevent ponding of surface water run off. Side slopes shall not exceed 3:1. The Engineer will reject any sand or pca gravel that does not meet specifications or is contaminated in transit or while handling. If such material is placed in the filter, all soil material may be required to be removed and replaced with new material. CONTRACTOR/INSTALLER ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND REPAIR AGREEMENT MEMORANDUM OF UNDERSTANDING BETWEEN27� UNICIPAL Y OF ANCHORAGEAGE AND 1t5yf1Q el Stl THIS MEMORANDUM OF UNDERSTANDING made and entered' to as of this Day of of 200, by and between herein the "OWNER," and the Municipality of Anchorage, herein the "MUNICIPALITY." In consideration of the mutual covenants contained herein, the parties to this Memorandum of Understanding agree as follows: 1. ADVANCED WASTEWATER TREATMENT SYSTEMS. Municipality grants permission to Owner to utilize and operate an Advanced Wastewater Treatment System (AWWTS), described as Z, 12, S. �F, located at R) IU 4-ee _ o% / 2 . Anchorage, Alaska. 2. Definitions. A. Alteration. Any change to the design or function of an AWWTS that includes the installation or removal of any parts, components or pieces not included in the original construction permit and design. Prior to performing any alterations to an AWWTS the owner must obtain a Wastewater Disposal System Construction Permit from the Municipality pursuant to Anchorage Municipal Code (hereinafter, "AMC") 15.65. B. Certificate of On -Site Systems Approval. An approval by the Municipality of existing water and wastewater disposal systems given at the time of property sale and title transfer in accordance with AMC 15.65. These approvals certify that the systems are adequate for the homes that they support and meet the codes that were in place at the time of system construction. C. Damage. Any man-made or natural change in a system that would inhibit the system from performing as designed. D. Maintenance and Repair. The scheduled and as needed replacement of existing parts, components and pieces of an AWWTS that were included in the original design which would allow the AWWTS to continue to perform as designed. E. Permit (Construction) An On -Site Wastewater Disposal System Construction Permit as defined by AMC 15.65. F. Permit (Operating) An Advanced Wastewater Treatment System Operating Permit. An annual permit, issued by the Municipality, that allows the Owner to operate an AWWTS, upon meeting all the requirements of this agreement, the conditions of Operating Permit, the requirements of the On -Site Wastewater System Construction Permit and all relevant provisions of AMC 15.65 3. Fee. Owner shall pay to Municipality an annual fee of 2 17E,R 0 ($x.00), payable on or before the issuance of the operating permit and annually thereafter. The annual fee is due on or before the anniversary date of the approval by the Municipality of installed system. 4. Term. The term of this Memorandum of Understanding shall be for the life of the AWWTS. The term begins on the date of approval by the Municipality of the installed system and shall continue while the A\VNVTS system is in use or operational or until the property is sold or title is transferred by owner and a new certificate of On -Site approval is issued to the new owner or transferee of the property. 5. Alterations, Installation and Removal of Additional Eguinment. Owner agrees not to make any alterations, removal of parts or additions to the AWWTS without a Construction Permit from the Municipality. 6. Maintenance and Repairs. A. Throughout the tern of this Memorandum of Understanding, the Owner shall maintain AWWTS in good repair. In addition, it shall be the responsibility of the Owner during the term of this Memorandum of Understanding, and any extensions or renewals thereof, at the owner's sole expense, to pay for any and all: (1) repair(s), (2) maintenance, (3) adjustment(s), (4) replacement costs, and (5) inspection costs. Further, Owner agrees to comply will all applicable ordinance, laws, regulations, rules and orders for the AWWTS. B. Owner agrees to provide the Municipality a written schedule of routine maintenance and repairs which have been performed on the system pursuant to the terms and conditions contained in the Ovmer's AWWTS Operating Permit. This schedule shall be submitted to the Municipality annually upon the renewal of the permit. The schedule of maintenance and repair contained in the O«ner's AWWTS Operating Permit is: C. Owner acknowledges that the fine schedule for failing to maintain and repair an AWWTS are codified in AMC 14.60. D. Owner agrees that only maintenance, repair personnel certified by the Municipality will inspect and make any necessary maintenance, repairs or permitted alterations to the system. E. Owner agrees to grant the Municipality reasonable access to test and inspect the AW WTS upon 24 hours written notice. F. Owner agrees that any sale or transfer of title of the property will not occur without a new Certificate of On -Site Systems Approval. G. Owner agrees that the relevant provisions of the standard specification guidebook for AW WTS is the governing professional guidelines for the construction, maintenance and repair of the Owner's AW WTS. 7. Nonwaiver. The failure of either party at any time to enforce a provision of this Memorandum of Understanding shall in no way constitute a waiver of the provisions, nor in any way effect the validity of the Memorandum of Understanding or any part hereof, or the right of such party thereafter to enforce each and every provision hereof. 8. Amendment. A. This Memorandum of Understanding shall only be amended, modified or changed by a writing, executed by authorized representatives of the parties, with the same formality of this Memorandum of Understanding was executed and such writing shall be attached to this Memorandum of Understanding as an amendment. B. For the purposes of any amendment modification or change to the terms and conditions of this contract, the only authorized representatives of the parties are: Omer: Anchorage: Purchasing Officer C. Any attempt to amend, modify, or change this contract by either an unauthorized representative or unauthorized means shall be void. 9. Jurisdiction: Choice of Law. Any civil action arising from this Memorandum of Understanding shall be brought in the Superior Court for the Third Judicial District of the State of Alaska at Anchorage. The laws of the State of Alaska shall govern the rights and obligations of the parties under this Memorandum of Understanding. 10. Severability. Any provisions of this Memorandum of Understanding decreed invalid by a court of competent jurisdiction shall not invalidate the remaining provisions of the Memorandum of Understanding. ONVNT,R: By: Date: ,-5— OF -0Z STATE OF ALASKA THIRD JUDICIAL DISTRICT )\ tWICIPALITY: By: Title: Date: ) ss. The foregoin instrument -.yyqs acknowledged before me this _J day of zdw 20� by MLA LA I-1aA 4 4,&4— fARY PUBLIC FOR Commission expires: Fell lilliffN101111luel Development Services Department Phone: (907)343-7904 On -Site Water & Wastewater Section Fax: (907)343-7997 Certificate of On -Site Systems Approval OSC251415 Parcel ID 051 -032-07 Expiration Date: 7/24/2026 Legal description T1 5N R1 W SEC 5 LT 12 Site address 21331 ORIGINAL AVE Current property owner(s) PARRISH CURTIS L50%& X The On-site system(s) is/are approved for 3 bedrooms W Conditional approval for bedrooms, with the following stipulations: Comments or conditions: No comments Original Certificate Date: 9/15/2025 This CeptIficate of On -Site Systems Approval (COSA) is intended to demonstrate the subject syst (s) is/are in substantial compliance with municipal code. The Municipality of Anchorage, D elopment 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. COSA Checklist X Well Flow Advisory Absorption Field Advisory Nitrate Advisory Tank Age Advisory Arsenic Advisory Other 1. GENERAL INFORMATION Parcel I.D. 05103207000 Complete legal description T1 5N R1 W SEC 5 LT 12 Location (site address) 21331 ORIGINAL AVE Current property owner(s) PARRISH Day phone 242-5276 2. ON-SITE SYSTEMS SIZED FOR 3 BEDROOMS 3. TYPE OF WATER SUPPLY: ❑ Private Well serving k-1— dwelling units [__1 Other Non-public well as regulated by MOA R Water Storage M Community Well or Public 4. TYPE OF WASTEWATER DISPOSAL: � Private Septic R Private Septic serving 2 dwelling units El Holding Tank ❑ Community Septic or Public Sewer 5. SEPTIC TANK: ❑ Steel ❑ Plastic F-1 Concrete F-1 Fiberglass Age 18 _ See advisory if steel or fiberglass older than 20 years 6. ABSORPTION FIELD: FEW AWWTS E] Bed [-] Deep Trench F] Wide Trench F-1 Seepage Pit Waiver request for: Expedited review requested: ❑ 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 $ 1�0 Waiver Fee $ Date of Payment 111&12'y Date of Payment COSA# 056ZIqlWaiver # COSA App1icat1on_Apr2025.doc COSA Checklist Legal Description: T1 5N R1 W SEC 5 LT 12 Parcel ID: 05103207000 If more than 1 well and/or septic system on lot, provide separate checklist. Structure served by this system _ A. WELL DATA ❑■ Well log is filed with Onsite (or attached) Date drilled 5/25/07 Total depth 69 ft Cased to 69 ft ❑■ Sanitary seal is functioning correctly ❑■ Wires are properly protected Casing height (above ground) 18+ in. Date of flow test for COSA 7/24/25 Static water level at beginning of test 1 ft. Comments B. TANK DATA Measured operating fluid level in septic tank 40 Date of pumping 10/17/24 ❑■ Required maintenance completed, if AWWTS Comments: D. DISPOSAL FIELD DATA Which system tested (date installed) 5/29/07 ❑■ ALL standpipes present per record drawing Total measured depth from grade 4.5 ft (max) Measured depth to pipe invert from grade na 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) If yes, enter date Comments/Deficiencies: COSA Checklist_May2025.docx Well production at time of test 8+ gpm Water storage tank volume na gallons Well disinfected for coliform test? ❑ Yes ❑■ No ❑■ Coliform bacteria is Negative Nitrate mg/L ❑■ Nitrate less than MRL (ND) Arsenic ug/L ❑■ Arsenic less than MRL (ND) Collected by NRim Eng Date 7/24/25 C. LIFT STATION ❑■ Required maintenance completed Age of lift station 18 years Lift station material Plastic Comments: Adequacy test date 7/24/25 Results ❑✓ Pass Fluid depth prior to test 0 in Water added 450 gal New fluid depth 0 in Elapsed time 10 min Final fluid depth 0 in Absorption rate 450 gpd FIELD STATUS — POST RECOVERY Effective depth (per record drawings) Effective depth used 0 in Effective depth remaining 3 in 3 in E. SEPARATION DISTANCES From Well on Lot to: (Please enter distances 9 less than required) Septic Tank/Lift Station on Lot 100' Sewer Servic&lSeptic Line � 25'21 Yes if No � ft _> Yes if No ft Neighboring Tank 5 100' 0Yes if No � ft Disposal Field on Lot > 100' ❑ Yes if No ft Neighboring Disposal Fields > 100' if No ft 2 Yes if No ft Sewer Line/Main > 900' RV Yes if No ft Sewer Man hole/Cleanout > 100' Z Yes if No ft Sewer Servic&lSeptic Line � 25'21 Yes if No � ft Holding Tank > 100' ❑. Yes if No ft Animal Containment > 50' Q Yes if No ft Manure/Animal Excreta Storage > 100' ft ❑ Yes if No ft ❑ N/A— Served by Community Well (not on lot) or Public Water From SepticlFloiding Tank and Disposal Fields) 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 � ft Field to Foundation �: 10' ❑ Yes if No ft Wells on Adjacent Lots: Tank to Property Line > b' ❑ Yes if No ft Wells;,, 100' Yes if No ft Field to Property Line > 10' R]es if No = ft Community Wells > 200' ❑ Yes if No i ft Yater Main1Service Line > 10' ElYes if No ft If tank or field is under driveway comment below F. ENGINEER'S COMMENTS G. CERTIFICATION & STATErAENT 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 NorthRim Eng. Engineer's Printed Name Steve Eng conA Checkrist May2425.do= Phone 694-7928 Date 8!29126 OF Al�s��i * :49TH.. t" Steve En o Ar CE -6256 Ar V29/��* MUNICIPALITY OF ANCHORAGE • Community Development Department • On -Site Water & Wastewater Program P: 907-343-7904 • F: 907-343-7997 • P.O. Box 196650 Anchorage, AK 99519-6650 • http://www.muni.org/building Intermittent Dosing Sand Filter Maintenance Log Owner PARRISH Street Address 21331 ORIGINAL AVE Phone Legal Desc. PID Septic Tank: -Sludge level inches -Pumping: required yes 5 -Pumping completedey s no Absorption Field: -Liquid level 0 inches -Flushing valves per approved design Y.X no -All flushing valves opened, distribution li nes flushed, and flushing valves closed no Lift station: -Pump basket cleaned AV no •Biotube effluent filter cleaned yes no N/A -Timer float setting87" inches -High level float setting inches -Reference point TOP OF RISER -Pump on 3 MIN seconds -pump off 3 minutes -Cumulative lifetime cycles N/A -Cumulative run time N/A hours -Operation satisfactory yVno Air System: -Air pump filter cleaned no -Air pressure 6 psi -Date of latest inVil or rebuild 2007 •Air system operation satisfy ory not satisfactory Alarm System: -Dedicated electrical circuit 4 no -Audible and visual alarm inside dwelling X0no -Float setting 77" inchesfrom top riser -Alarm system operation satisf"ry not satisfactory Comments: ........................................................................................................................... . Tank pumped 10/17/24 ........................................................................................................................... . ...................................... Maintenance Provider: Technician Sean Dolan Date of maintenance 9/6/25 Company Sanitary Pumpers Signature Date 9/6/25 IDSF Maintenance Log_040313.doc 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 SPnFeVrlbCJ of 20 15, by Anchorage, her _T yLt4(floAhcrein the "OWNER." and the ein the "M[JNICIPALzTY", in accordance and between Municl"Pality of with Anchorage Mun]"cipal Code (AMS) 15.65.3b5. In consideration of the mutual covenants contained h Agreement agree as follows,0 . 1 _ Advanced Wastewater Treatment S��stems, "Fhe Municipality grants permission to the erein, the parties to this owner to utilize and operate an Advanced Wastewater Treatment System (AWWTS), described as IoDaSsFe located at (legal description) 2. Maintenance, Repairs and Alterations. (Owner is required to read, understand and �nifial each section) ThRhout the term of thiAgreemen#, the lDSwner shall eniter a service agreement with an AWWTS service and maintenance provider approved by the Municipality or the manufacturer's representative. The ANTS 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. A4It shall be the responsibility of the Owner during the term of this Agreement to pay for all repairs}, maintenance, adjustnierit(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 manufacurer's representative will inspect and make any necessary maintenance, repairs or permitted alterations to the system. WA 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. �� t°filly �i �i�IJ1it '�"i:�� a..��A Owner acknoNvledges flint the Municipality may request records of rnaintenance and pairs Froni tm nu t r r' r- r tai rmaintenance rove r. 0%vneracknowledges flivat the fine for failing; to nuiintain and repair an AWWTS may be assessed in accordance with AMC 14460.030. aa)A Owncr agrees to grant the Municipality rcasonablc access to test and inspect the AWWTS. The Municipality will gine at least 24-hour notice. 0jLJ Y owner agrees that any sale or transfer of title of the property will not occur without a new Certificate of On -Site Systems Approval. ON%rnerAWWTS agrees that the installation and maintenance requirements as provided by the AWVVTS vendorlinstfiilier and approved by the Municipality ars the governing guidelines for the construction, maintenance and repair of the owner's AWWTS. Owncr agrees tv �x�aintain remote monitoring of the AWWTS as required by the�t AWWTS approval. 3. Term. The tenn of this Agreement shall begin on the date of approval by the M«nicip�llity to operate tile installed system, or upon transfer of title, and shall continue while the AVONTS is operational or until title is transferrcd. 4. Nonwaiver. The failure of the Municipality at any time to enforce a provision of this Agreeinent shall in no way constitute a waiver of the provisions, nor in any way affect the validity of the Agreement or any dart 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 NEMENEW the 01mier 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 thc "I"hird Judicial District of the State of Alaska at Anchorage. The haws of the State of Alaska shalt govern the rights and obligations of the P',.'Irfles under this Agreement. ?. Severabil . Any provisions of this Agreement decreed invalid by a court of competent jn0 usdiction shall not invatidate the remaining provisiolis of the. Akyreement. J I _\,(print imnic) STATE OF ALASKA THIRD JUDICIAL DISTRICT The foregoing instrument was acknow ledged before tile this I "Iiay oC.' 2(1 by q EVL -Offov s4v L Puuc NOTARY PUBLIC FOR ALASKAi Eva P*P*Xv0 rr SWO Of AWkA M4 Commission expires: Date: C) Title: