HomeMy WebLinkAboutSOUTHPOINTE BLK 2 LT 4outhpointe
lock 2
Lot 4
020-311
-53
Municipality of Anchorage
Development Services Department
Building Safety Division
On-Site Water and Wastewater Program, 4700 Elmore Road
P,O. Box 196650 Anchorage, AK 99507 Page of
www,cLanchorage.ak.us (907) 343-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
R,e, rmit Number: , o'~¢ t~3, ~"5 PID Number: ~--z-~ ~ ~x
~ ~ ~ Wastewater System: ~ New ~ Upgrade
,,, ~ .... U Deep Tre~ ~Sha,~ T~ ~ Bed U Mound
LEGAL DESCRIPTION so~, Rain'g; To,at De~i'~
E~: Let: S~divisJon: ' ' Dep~ I~ ~pa ~u~m ~mm o~ginal ~ade: G~ve~ de~h benaalh
T~shfp: Ra~e: Sa~;~':' " Fill a~d a~ve o~gi~al ~de: 6ravel
Well: ~ New ~ Upgrade G~ width: Numar of fi .... j Di;t~e be[ween
Classi~tion (Priv~e, A, B. C): Total ~¢h: Cased to: Total abs~rplign ama: Pipe Met~'~"
D~F Date Drilled: Sialic Water Level: 'l'nslall~ Date ~stalled;......
Pump Set al: FI. Ca s'~¢' He,bt ~ove Gm;~d: .......... ' .....
SEPARATION DISTANCES ~ Septic ~ Holding ~ S.T.E.P. ~ Othe~
Septic Abso~tion '"~ifl H0~'~ng ,ublidpdVate Man~a~ 6apacit~
Tank Field Station Tank Sewer Line ~~ t~ Gal,
Material: .......
Number of Compa~menls;
BENCH ~ARK
'[~lion and Descdpi'J;~;
Ass~e~ Elevat~J'
Inspections pefiormed by: ~D~ ~~ Dates: 1'~ ~ Z~ ~'
Development Se~ices Depa~ment Approval
Conditional Approval ....... Da,:
(Rev. 04/06) '
C)
LOT 4, BLOCK 2 HAS
58,846 SQ.FT. OF AREA
N86'48'54"W 262.92
~LAT A~EA
COVERED
PORCH
25
GRAPh
0
TODD B. BETHARD
10463
JO Feet
25 50 ~6oi
FOR: BETHARD
FORBES & ASSOCIATES, INC.
P.O. BOX 232293
Anchorage, Alaska 99523
(907) 227-588~
Date
10-05-11
Scale
1" = 50'
Grid AS-BUILT
SW 3738 2110211
Drawn by
CEF
Field Book
240
Legal Description
Lot 4 Block 2
SOUTH POINTE
SUBDIVISION
I hereby certify that the property described hereon has been surveyed
by me, or at my direction, and that the improvements situated thereon
are within the property lines and do not overlap or encroach on the
property lying adjacent thereto unless otherwise shown. That no
Improvements on the property lying adjacent thereto encroach on the
)remises in question and that there are no roadways, transmission
lines or other easements on said property except as shown.
It is the responsibility of the owner or builder, prior to construction,
to verify proposed building grade relative to finish grade and utility
connections and to determine the existence of any easements, covenants,
or restrictions which do not appear on the recorded subdivision plat.
Listed distances prevail over scaling.
Reproduction may cause distortion.
TODD
2.0
lC
~65.5
EXISTING
HOUSE
27.7
COVERED
PORCH
C)
iNSTALLATiON NO~S
1. INSTALL ADVANTE× TREA~,4ENT SYSTEM AND ~'ANK
PER MANUFACT~JR£R'S RECOMMENDATIONS.
2, PLACE 4" NFS LE"~LtNG COURSE BELOW TANK,
COMPACT,
3, tF BED~:~OCK tS ENCOUNPERED ~AT IS BP, ALLOWER
THAN Ti4E '~ST LOG tNDiCA~D, MOUND FILL OVER
ADVANTEX POD AND IJFT '.STA~ON. GRADE AWAY AT 5:1
FOR AT LEAST 10 FEET.
*$. LOCATE. AOVAN~FEX UPH!LL FROM DRA~NREL.D TO
ALLOW 2% SLOPE FROM SERVICE LINE FROM MOUSE TO
ADVANTEX AND ADYANTEX TO DRAINFIELD,
ADVANTEX
PLAN
--~-~-- FROM HOUSE
CLEANOUT ---~--.~. /¢~,
~ADVANTEX A20 POD~
TO DR AINFiELD
MN RISER AND LID ASSEMBLY
/
PROFILE
L CL~ANOUT \ I
'~ , ADVANTEX A20 POD 7 /
I I t i'~ll
~, ~ I~/ 4-*' ~RA~' LINE TO DRAIN FFL,D
,ous~t
FRO~4
.............
i0663
80UTHPOINT~ LOT4 BLOCK 2
WELL AND SEPTIC
PERMIT APPLICATION DETAILS
I FILENAME:LOT 4- BLOCK 2 Septic,DWg
o1/16Io8
F~gur'e:
4
To whom it may concern:
The wiring on the alarm control box/house side of the septic system at lot 4 block 2 Southpointe
Subdivision was installed by us at Rams Horn Electric and was done so to meet all national and local
electrical codes and standards
Dennis Fisher, Rams Horn Electric
Contact phone: (907) 339-1551
M-W Drilling, l:nc.
eP.O. Box l10389,Anchorage, AK 99511e
· 907-34§-4000,907-345-3287 Fax~
Job No. 11-118
GROUNDWATER WELL AS-BUILT & LOG
WellOwner: Brian Bethard
Legal Description: South Point Block 2 Lot 4
Use of Well: Domestic
6291 South Point Ridge Drive, Anchorage, AK 99506
Drill Method: Air Rotary
Casing Size: 6"
CONSTRUCTION
Hole Size: 6" Hole Depth:
Cased to: 46' J Material: A53B Wall:
306'
.250
Well Completion: Open end
Screen/Perforation description:
bentonite in annulus
X Screen Perforated Method:
Drilled 8" hole to 46', set 46' of 6" casing in hole & installed 9 sacks of
Grout Notes: ( 9 ) Sack(s) of Bentonite
Well Development: Air surge
Well Disinfected: N Method:
Yield test at
Method: Airlift
Start Date:
Test Pump Date:
3 GPM for 1
6/6/11
hour(s) with 100% of drawdown (DD) from static level(SWL).
Static Water Level (SWL): 105,2'
Completion Date: 6/8/11
Final Pump Install Date:
WELL LOG
Depth in feet from top
of casing. Details of formations penetrated, size of material, color and miscellaneous details,
0 TO 3 Casing Stick Up
3 TO 22 Gravel: cobbley, dry
24 TO 210
..... ~'~ ...... t.~-...~6~....B68-F~:.~11~B~.~6..BF~if~t-~.;.7~8~..~.F86.~``i~6i6~;.2~`.~p~-~b-6~-
................. ?b' .................................................................................................................................................................................................................
...................... ?-0
............... -t~ ~A? ~E'"'E :'~-?~'~'8- .......................................................................
TO Ak Gen C0ntr Lfc No 1000
Oot 27 2011 12:31PM M W Orillin~ 9073453287
Development ~ervices Department
Building ~fety Division
On-Site Wa~ee & Wastewatee Progn~
4700 Elmore Road
P.O. Box 1966~0
Anchorage, AK 9~'u07
ww. munLe~_/a nsite
C~07~ 343-7904
Pump Installation Log
Well Drilling Permit Number: SW
Date of Issue: 04/O4~11
Pareel Identification Number: 0~0.3~5~
Legal Description
SOL/THPOINTE BLK 2 LT 4
Pump ~nstallation Date:
Il Property Owner Name & Addre~:
,ANCHORAGE, AK g9516
II ,,,
Pump Intake Depth Below Top of Well Casing: ~0 feet
Pump Manufacturer's Name: GRUNDFOS
Pump Modal:
Pamp Size ~.s hp
Adapter Burial Depth: a feet
Pitless Adapter l~nufaeturer'$ Name: UNtq~OWN
Pitless Adapter Installer: UNKNOWN
Well Disinfected Upon Completion.* [] Yes [] No
Method of Disinfection: OMLOFtINE - DONE BY dMO C. ON~TROGTION
Comments:
Pump Installer Name:
Attention: The pump installer shall provide apump installation Ioglo ~ DSD within 30 days of pump installation.
Permit Number: OSPl11033
Tax Code Number: 02031153000
Work Type: WellSeptic
Permit Effective Dates: April 04, 2011
Design Engineer: Bethard Todd
Subdivision: SOUTHPOINTE
On-Site Water & Wastewater System Permit
MUNICIPALITY OF ANCHORAGE
Development Services Department
On-Site Water & Wastewater Program
4700 Elmore Road, PO Box 196650
Anchorage, AK 99519-6650
Telephone: (907) 343-7904
Initial
to April 03, 2012
Site LegalAddress: SOUTHPOINTE BLK 2 LT 4 G:3738
Owner/Address: BETHARD BRIAN & TRACY
15611 SOUTHPARK LOOP ANCHORAGE AK 995160000
Site Mailing Address:
6291 SOUTHPOINTE RIDGE DR, Anchorage
Lot Size in Sq Ft: 58846
Total Bedrooms: 4
This permit is for the construction of:
N Disposal Field Y Septic Tank N Holding Tank N Privy Y Private Well N Water Storage
All construction must be in accordance with: 1. The attached approved design.
2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater
Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80).
3. The wastewater code requires inspections during the installation. The engineer must notify the Development Services
Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either:
A. Open and Close on the same day.
B. Covered, sealed, and heated to prevent freezing.
Special Provisions: Per note ¢t-4 on the subdivision plat, "Prior to any construction, the owner shall
have a land use enforcement officer verify the limits of clearing on the site, and ensure they are
clearly marked during construction."
Date:
Date:
MUNICIPALITY
Community Development Department ~ ~
Development Services Division
On-Site Water & Wastewater Program
Mayor Dan Sullivan
OF ANCHORAGE
Phone: 907-343-7904
Fax: 907-343-7997
Parcel I.D. <,i~' .~'~"-
Property owner(s)
Mailing address
ON-SITE SEWER/WELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLING
Site address .~ ,:-
Legal description (Sub'd., Block & Lot) (_o" '
Legal description (Township, Range & Section)
Lot Size ? :~'~: ~ Sq. Ft. Number of Bedrooms
THIS APPLICATION IS FOR:
(~ all that apply)
Absorption Field
Septic Tank :?:-~.: ..... ~
Holding Tank "~'"'~ ¢'
Privy
Private Well
Water Storage
THIS APPLICATION IS AN:
Initial ~],, '
Upgrade /'" '
Renewal []
THIS
APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR:
I certify that the above information is correct. I further certify that this application is being made
for a Single Family Dwelling and is in accordance with applicable Municipal Codes.
(Signature of property owner or authorized agent)
Permit/Rush Fees: :~:',~-' ,~. ,~'n,l . ~c~<:. -Waiver Fees:
Date of Payment: 7~b (,),.~- i II Date of Payment:
Receipt Number: ~ ~~lr° ~')- ~- Receipt Number:
"~'~ '¢' '~ i~ C::~'-~ Waiver No.
Permit No. ,,_.~ ~
G:\Building\On Site\Forms\Client Forms\Permit App_010411 .doc (Rev. 1/11 )
Municipality of Anchorage
Development Services Department
On Site Water and Wastewater Program
4700 S. Bragaw Street
Anchorage, Alaska 99519
Submitted by:
Todd Bethard, P.E.,~ }:.
907-561-4733
Please find enclosed an application for the installation of a well and septic system for Lot
4 Block 2 Viewpointe South Subdivision. This application consists of four submittal
items:
1. Existing conditions of Lot 4, Block 2 and adjacent parcels
2. Proposed improvements to Lot 4, Block 2
3. Advantex Septic system details and sections
4. Appendices (soil logs and recommendations)
Design of the system was based on the following design criteria:
Type of system:
Soil percolation rate:
Soil rating:
Number of bedrooms:
Design Flow:
Total area required:
Bed system configuration:
Tank
Filter sand depth:
Rock depth:
Depth to bedrock
Advantex treatment system with gravity drainfield
1 minute / inch (Michael Anderson, 2003)
3 gpd / square foot (conservative for Advantex system)
4 bedrooms
600 gallons / day
200 square feet
40 feet L by 5 feet W by 2 feet deep
1500 gallon coated steel
1 foot
1 foot
6 feet below filter sand
Notes:
There is a bluff on the west side of the lot which is over 25% in grade. The trenches will
be 50' away from this slope.
Test hole was excavated by Micheal Anderson on May 2, 2003. No ground water was
found, and bedrock was found at 8.5 feet bgs.
The bed system shall be located within 30' radius of the original test pit location. Both
well and septic will be situated to not adversely impact the developing of adjacent lots.
The system will not impact drainage on the lot nor will it be adversely affected by
drainage from slopes on the lot. The trench area will be graded to prevent ponding.
UNO.LOP
i\ \ .... ~'~, x' \
~;~;:: .... ~w_ _ WELL AND SE~C R-ure-
~',~:;;;~[~:;;~:~>~ ~r T~. PERM~ APPLICA~ON FIGURE 2 ~ ' -
ooO
LOT 4
TOP OF
REPLACEHENT
30' TESTP1T
CLEAN 0U'i~
18%
28%
SWALE
TO TRENCH
NOTE:
1. MONITOR TUBES SHALL BE LOCATED AT EITHER END Of
THE TRENCH. CLEANOUTS
SHALL BE PLACED AT EITHER END OF THE DRAIN PIPE.
2. 10' SEPARATION BETWEEN REPLACEMENT AND PROPOSED TRENCHES,
3, TRENCHES SHALL BE POSITIONED PARALLEL TO SLOPE CONTOURS.
50 0 25 50
SCALE IN FEET
10463
SOUTHPOINTE LOT4 BLOCK 2
WELL AND SEPTIC
PERMIT APPLICATION FIGURE 3
FILENAME:LOT 4 BLOCK 2 Septic. DWG
Date:
01/16/08
Figure:
3
INSTALLATION NOTES
1. INSTALL ADVANTEX TREATMENT SYSTEM AND TANK
PER MANUFACTURER'S RECOMMENDATIONS.
2. PLACE 4" NFS LEVEUNO COURSE BELOW TANK.
COMPACT.
3. If BEDROCK iS ENCOUNTERED THAT IS SHALLOWER
THAN THE TEST LOG INDICATED, MOUND FILL OVER
ADVANTEX POD AND UFT STATION. GRADE AWAY AT 5:1
FOR AT LEAST 10 FEET.
4-. LOCATE ADVANTEX UPHILL FROM DRAINF1ELD TO
ALLOW 2% SLOPE FROM SERVICE LINE FROM HOUSE TO
ADVANTEX AND ADVANTEX TO DRAiNFIELD.
ADVANTEX
PLAN
- FROM HOUSE
~^DVANTEX A20 F:'00~
I ~J L TO DRAINFIELD
"" MH RISER AND LID ASSEMBLY
ADVANTEX
PROFILE
CLEANOUT --.~ ADVANTEX A20 POD
~ ~- --NN,--,-- MH RISER AND LID ASSEMBLY
/ 4-" GRAVITY LINE TO DRAIN FIELD
FROM HOUSE --~
Date:
~.':~?'~OOO ~ B~'HARD /~jii~ ~ SOUTHPOINTE LOT4 BLOCK 2 01116108
..... PERMIT APPLICATION DETAILS
INSTALLATION NOTES
1. ENSURE 6' VERTICAL SEPARATION BETWEEN LOWEST
PART OF DRA~NFIELD AND BEDROCK. ENSURE MINIMUM
50' HORIZONTALLY FROM LOWEST PORTION OF DRAINRELD
TRENCH TO TOP OF BLUFF TO WEST OF HOME SITE.
2. BACKFILL TO INVERT OF 4." INFLUENT AND EFFLUENT
LINE WITH NFS FREE OF LARGE STONES.
3. PLACE 4." RIGID BOARD INSULATION OVER DRAINFIELD.
PLACE FILTER FABRIC ABOVE INSULATION OVER ENTIRE
DRAINFIELD. COVER ENTIRE DRAINFIELD WITH MINIMUM 3'
UNCLASSIFIED MATERIAL. SLOPE TOP TO DRAIN TO WEST.
TOPSOIL AND SEED.
4.. PLACE 4." RIGID BOARD INSULATION OVER SERVICE
LINE TO AND FROM ADVANTEX.
5. MOUND OVER SEPTIC MUST BE COVERED WITH 6" OF
TOPSOIL AND SEEDED.
DRAINFIELD
TRENCH PLAN
NTS
4-0' TRENCH LENGTH
4" DIA PERFORATED PVC PIPE 4.0' LONG.
4"MONITOR TUBE
5054 (TYP)
*CLEAN OUT
FROM ADVANTEX I
4"CLEAN OUT
D RAIN FI ELD/_.__ MOUND FILL APPROX
PROFILE /3 FEET FOR COVER.
NTS ~ 6" TOPSOIL AND
SEED.
/
/--2' MINIMUM UNCLASSiFiED FILL
4." BOARD INSULATION
TUBE TYP
3034
EXISTING GRADE
EXCAVATION LIMITS
MAXIMUM 2.5' DEEP.
NON WOVEN
FILTER FABRIC
4." DIA PERFORATED PVC PIPE 40'
LONG. GRAVITY FLOW FROM
ADVANTEX SYSTEM.
1' SEWER ROCK
~-~ < m ,,z, WATER FOUND IN TEST PIT /
BEDROCK
8.5' BGS B~
EXCAVA~"~D~(
~k .- ~../:8~e. SO~POI~ LOT4 BL~K2
. 10463
~.:. ....~~G WELL AND 8E~C
-~ss~'~' [~- PERMIT APPLICA~ON D~AIL8
~/~ I ~ i FILENAME:LOT 4 BLOCK 2 Septic. DWG
1' FILTER SAND
Dote:
01/16/08
Figure:
5
Mayor Mark Beglch
Municipality of Anchorage
Department
08 December 08
Brian & Traey Bethard
15611 Southpark Loop
Anchorage, AK 99516
Subject:
Expired On-Site Water and/or Wastewater Permit
Permit Number: SW080002
Legal Description: Southpointe Block 2 Lot 4
Dear Brian & Tracy Bethard:
An On-Site Water/Wastewater Permit, number SW080002 issued by this office for a single-family
system, will expire on 17 Jan 09. Permits are valid for 365 calendar days from date of issue.
If this was a well permit and the well has been drilled, a well log and a pump install log must be sent
to this office for documentation of the installation and to close the permit.
If this permit xvas for a wastewater disposal system, an original as-built inspection report must be
sent to this office for review, approval and documentation. This as-built inspection report must be
signed by the licensed Professional Engineer who inspected the installation of the system. As-built
inspection reports are required to be submitted within 30 days of the completion of the system.
If no system was installed under this permit, and you are still planning to install a well or wastewater
disposal system, a new permit must be obtained from this office. A one-time renewal fee for a
second year may be issued for a $115.00 if the renewal application is received on or before the
expiration date of the original permit. When applying for a new permit, the fees are $460.00 for a
wastewater permit and $175.00 for a well permit.
If you have any questions, please call this office at 343-7904.
Sincerely,
Permit Clerk II
On-Site Water and Wastewater Program
Enc: Copy of permit
Community, Security, Prosperity
MUNICIPALITY OF ANCHORAGE
Development Services Department
On-Site Water & Wastewater Program
4700 South Bragaw Street
P.O. Box 196650, Anchorage, AK 99519-6650
(907) 343-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM I WATER SUPPLY PERMIT
Initial
Date Issued: Jan 18, 2008
Expiration Date: Jan 17, 2009
Permit Number: SW080002
Legal Description: SOUTHPOINTE BLOCK 2 LOT 4
Design Engineer: 0884 TODD B. BETHARD
Owner Name: BRIAN & TRACY BETHARD
Owner Address: 15611 SOUTHPARK LOOP
ANCHORAGE, AK 99516-
Parcel ID: 020-311-53
Site Address: 6291 SOUTHPOINTE RIDGE
Lot Size: 58846 SQ. FT.
Total Bedrooms: 4 Permit Bedrooms: 4
This permit is for the construction of:
[] Disposal Field [] Septic Tank [] Holding Tank [] Privy
[] Private Well [] Water Storage
Ail consb'uction must be in accordance with:
1. The attached approved design.
2. All requirements specified in Anchorage Municipal Cede 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.
PER NOTE ~4 ON THE SUBDIVISION PLAT, 'PRIOR TO ANY CONSTRUCTION, THE OWNER SHALL HAVE A
LAND USE ENFORCEMENT OFFICER VERIFY THE LIMITS OF CLEARING ON THE SITE, AND ENSURE THEY
ARE CLEARLY MARKED DURING CONSTRUCTION."
Rece ved By:. ~~(~^ ~~
:-
Municipality of Anchorage
Development Services Department
Building Safety Division
On-Site Water and Wastewater Program
4700 Bragaw Street
P.O. Box 196650
Anchorage, Alaska 99519-6650
www.muni.org/onsite
(907) 343-7904
ON-SITE SEWER/WELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLING
Parcel I.D.
Property owner(s)
Mailing address
Site address ,
Legal description (Sub'd., Block & Lot)
Legal description (Township, Range & Section)
Lot Size 'S ~'~ ~4 (;, Sq. Ft.
Zip Code
Number of Bedrooms L.~
THIS APPLICATION IS FOR (~ all that apply):
Absorption Field [~]
Septic Tank t
Holding Tank []
Privy []
Private Well
Water Storage []
THIS APPLICATION IS AN:
Initial []
Upgrade []
Renewal []
I certify that the above information is correct. I further certify that this application is being made for a
Single Family Dwelling and is in accordance with applicable Municipal Codes.
(Signature of property owner or authorized agent)
Permit/Rush Fees:
Date of Payment:
Receipt Number:
(Rev. 11/O5)
Waiver Fees:
Date of Payment:
Receipt Number:
Municipality of Anchorage
Development Services Department
On Site Water and Wastewater Program
4700 S. Bragaw Street
Anchorage, Alaska 99519
Submitted by: ~ !
Todd Bethard, P.E. ~.../~tg x,,x
. .
Please find enclosed an application for the installation of a well and septic system for Lot
4 Block 2 Southpointe Subdivision. This application consists ofthe following submittal
items:
1. Design criteria sheet and cover letter (this sheet, Figure 1)
2. Existing conditions of Lot 4, Block 2 and adjacent undeveloped parcels (Figure 2)
3. Proposed improvements to Lot 4, Block 2 (Figure 3)
4. Advantex Septic System and trench details and sections (Figures 4 and 5)
5. Appendices (soil logs and recommendations)
Design ofthe system was based on the following design criteria:
Type of system:
Soil percolation rate:
Soil rating:
Number of bedrooms:
Design flow:
Total area required:
Trench configuration:
Tank:
Filter sand depth:
Rock depth:
Depth to bedrock:
Depth to groun&vater:
Advantex treatment system with gravity dminfield
I minute / inch (Michael Anderson, 2003)
3 gpd / square foot (conservative for Advantex system)
4 bedrooms
600 gallons / day
200 square feet
40 feet L X 5 feet W X 2 feet deep
1500 gallon coated steel
I foot
I foot
6 feet below filter sand (bottom of trench)
4 feet below filter sand (bottom oftmnch)
Notes:
There is a bluffon the west side of the lot which is over 25% in grade. The trenches will
be 50' away from this slope. The slopes are noted on the overall site plan.
Test holes were excavated by Michael Anderson on May 4, 2003 and November 1, 2003.
No ground water was found, and bedrock was found at 8.5 feet and 9 feet bgs. The
percolation rate for both holes was I and 1.2 minutes per inch run between 3-4 feet bgs.
These test holes are labeled in the Appendix as TH 22 and Ttl 22A. Note the actual lot
shape has changed since these holes were excavated. A test pit was dug while checking
for bedrock on October 26, 2007. This test pit found water approximately 6.5 feet below
ground surface. This pit was logged and is included in the Appendix. This additional test
pit is labeled TP 22B and is shown on Figure 2 along with TP 22. This test pit was not a
percolation test or soils test.
The septic system shall be located within 30' radius ofthe original test pit location where
the percolation test was run in 2003. Both well and septic will be situated to not
adversely impact the developing ofadjacent lots. The system svill not impact drainage on
the lot nor will it be adversely affected by drainage from slopes on the lot. The trench
area will be graded to prevent ponding.
llON
/ ~.,.~,. ~o~s3,
SOUTI'I=OIN3~ LOT4 BLOCK 2 01116108
W~LI. AND ~
FIL[NAM[:LOT 4 BLOCK 2 Septic. DWC
LOT 4
TOP
SO~ LOT4 BLOCK 2 01/16/08
WELL AND SEPTIC
PERMIT APPLICATION FIGURE 3 3
FILENAME:LOT 4 BLOCK 2 Septic. OWG
ADVANTEX
PLAN
II
ADVANTEX
PROFILE
j ~ ADVAN'~K A20 POD
· ~r.."; OF.
~." ~
~:...~ ..:~ ..... ~::::: ,,~ Dale:
t~ ~~ ', S~POI~ LOT4 BL~K 2
~ T~DD B. B~HARD /~j ~
~x .~j WELL AND SE~C
~=~... 1~63 ..:~ PERM~ APPLICA~ON D~AILS 4
INSTALLATION NOTES
1. ENSURE 6' VERTICAL ~PARATION BE~EN LOW~ST
PART Of" DRAINF~ELD AND B[DRO~. ENTRE MINIMUM
DRAINFIELD
T~ENCH PLAN
N~
PE.F~AT[D LONG.
FROM ADVAN ~X
DRAINFIELD ~ M~ND Fl~ APPROX
PROFILE /3 FEET F~ CORR. ~ 4'M~iTOR ~BE ~
4'~[AN ~T T~ NTS /6' TOPS~L AND /~034
~2' MINIMUM4UN~~
' BO O INSULAnON ~ ~ EXIS~NG ORA~
~ MAXIMUM 2.5' OEEP. =~ X X~ 4' OIA PERFORA~D PVC PIPE 40'
~ u ~ ~ AOVAN~X
~... ,~3~ ./ PERM~ APPLICA~ON D~AILS 5
~7~ L~ ~0.~,~' FILENAME:LOT 4 BLOCK 2 Septic. DWO
Performed For..
L.g~l ~i
.6
I
B2S L 81~lt. Afl'cf, oreO.. AK
801La.LOG · PERGO~.AT10N ~
.Altar Mofllof~o ' "li~m~".
'17
· 1D
4g'm ~
I
Z
6
7
· _ : ~" HLJ~Ct~ALITY OF' AN~.,HORAGE ' ; ,' ·
DEV~LOFtdENT :~g~R'v1(:E.S .DEPART'PI~NTION.SrTE WATER ANO WA~TEWAI'C~ F)R0~F~)t ·.
.. ' &700 SOLrI'H BRAGA~.SI~I~t A,'~CHOR~G~, AK 9951~-6650
· ' SOIL~. LOG .- PERCCX. A~'ION TEST.
PROJECT #: ' -
T~T H(SLE #
~:H/SP...
SITE PLAN '
· .p LS'.
s)Is71oe! ...
YnT.~ae~ BY:. ~
Performed Fo~
Legal Description:
.--
8-
9-
10-
11-
12-
13-
14-
15-
17-
18-
19-
20-
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
~ c~ anchoraqe ak us
(907) 343-7904
Soils Log - Percolation Test
Slope
V/AS GROUND WATER
ENCOUNTERED? ~.,~
'FYES. ATWHATDEPTH? ~ oL
Township. Range. Section:
Site Plan
~ Date Gross Time Net Time Depth to Water Net Drop
PERCOLATION RATE ~ (,m,v~e~h)~ PERC HOLE DIAMETER
TEST RUN BET~VEE N '"'"~ FT AND ~...
COMMENTS -~'~.% M.t~,~, ~ '['~%"~' ~)tT ~0 ~T ~ ~C¥..."~LL~.,~_~-~-~'IO~4'
I
2
&
5
6
7
8
9
18
JvlUNICIPALITY OF ANCHORAGE
DEVELOPMENT SERVICES DEPARTMENT/ON-SITE WATER AND WASTEWATER PROGRAM
/,700 SOUTH BRAGAW STREET ANCHORAGE, AK gc)519-bbS0
SOILS LOG - PERCOLATION TEST
PROJECT #:
PERFORMED FOR: John Bergljren DATE PERFORMED:
S11/2003
LEGAL DESCRIPTION: Lot 5, Block 2, The Villaqes West Subdivision
TEST HOLE #
OG/O~
Silty Sand
wilh Gravel
GM/SM
Silt
21-A SLOPE SITE PLAN
WAS GROUNDWATER
ENCOUNTERED?
IF YES, WHAT DEPTH?
DEPTH OF WATER
AFTER MONITORING:
DATE:
-'~:; .... A ""..'~"~
· ~.._~. .o .-.,,,
"e,[,p,~ %,,, ..... ,' %-~ ~
No S
L
0
P
None E
READING DATE GROSS NET DEPTH TO NET
TIME TIME WATER DROP
Start 5/3 '/:12 3.88"
1 "/:&2 30 8" /..12"
Recharge l:&3 3.15'
2 8:13 30 'LIS' L-
Recharge 8:1~. 3.'/5'
3 6:&& 30 1 6"/"" &.12'
PERC RATE: I~ MIN./INCH PERC. HOLE DIAMETER:
TEST RUN BETWEEN .5 0 FT. AND 6 0 FT.
COMMENTS:
Test Hole Pre Soaked Prior to Test.
TEST PERFORMED BY: AH l, i A AN ~: H, CERTIFY THAT THIS TEST WAS PERFOF~'IED IN ACCORDANCE
WITI-I ALL STATE ,~',ID MUNICIPAL GUIDELINES ON THIS DATE: 9/"/1200]
ML~IICIPALITY OF ANCHORAGE
DEVELOPMENT SERVICES DEPARTMENT/0N-SITE WATER AND WASTEWATER PROGRAH
&700 SOUTH BRAGAW STREET ANCHORAGE, AJ~ 99519-6650
SOILS LO(:; - PERCOLATION TEST
PROJECT #:
PERFORMED FOR:
5
7
8
II
LEGAL DESCRIPTION:
18,
John Berq~ren
Lot 1, Block 2. T~." ¥~!-.~-~ Subdivision
DATE PERFORMED:
06/0L
Silty Sand
with Gravel
GM/SM
TEST HOLE # 18-A
Boulders to
SLOPE SITE PLAN .
WAS G ROLelDWATER
ENCOUNTERED? No
IF YES, WHAT DEPTH?.
DEPTH OF WATER
AETER MONITORING:
DATE:
P
None E
S/15/200].
T07TST"Z0 0 3
GROSS NET DEPTH TO ' NET
READING . DATE TIME TIME WATER DROP
Start 512 2:12 3.88'
1 2:2T 1S 838" ~..5'
Recharge 2:28 3.'/5"
2
Recharge
3 2:59 15 '/.gl.' ~,.19'
PERC'RATE: /t MIN./INCH PERC. HOLE DIAMETER:
TEST RUN BETWEEN T.0 FT. ANO 80 PT.
CO~MENTS:
Test Hole Pre Soaked Prior to Test. ·
TEST PERFORMED BY: AH I, ~[[,-~, CERTIFY THAT THIS TEST WAS PERi'ORthO IN ACCORDANCE
WITH ALL STATE ,AND MUNICIPAL GUIDELINES ON THIS DATE:. 9/'//2003
Performed For:
Legal Description:
PTIOL ·
5
6
1
11
12
"13
14
15
17
· T~st/hole Numbe~,~'
Munldpality of Anchorage
Department of Health & Human Services
825 L Street, Anchorage, AK 99502-0650
Anderson Engineering Date Performed: 10/30/99
TractA-10, Sec14, TSN, R3W - ~.o~ 1, ]~lock 2
SLOPE SITE PLAN
~'~'~
Was Groundwater 0
EncounterS? No S
If Yes, What Depth? L
Depth to Water
After Monitoring
Date:
~003
of Hole
Reading Date Gross Net Depth To Net
Time ['Ime Water' Drop .
1 30-Oct 12:30 .5"
2 12:40 10 1.5". 1"
3 12:41 . .5'
' 4 12:51 10 1.5" 1'.
5 12:52 .5"
6 13:02 10 1.5" 1'
Perc. Rate: 10 Min/Inch Perc. Hole Diameter:,
Test Run Between: 4' & 5'
#
Comments: Fo.ur hour presoak
Performed By: TLK I, J~J~[~ · Ce~fy That This Test Was Performed
In Accordance With All State and Municipal Guidelines In Effect On This Date: 9/'//2003
I
II
HUNICIPALITY OF ANCHOI~GE
DEVELOPMENT SERVICES DEPARTHENT/ON-SITE WATER AND WASTEWATER PROGRAPI
/~.700 SOUTH BRAGAW STREET .~qCHORAGE, ./~ 9951g-6650
SOILS LOG -PERCOLATION TEST
PROJECT #:
PERFORMED FOR:
LEGAL DESCRIPTION:
TEST HOLE
06lOt.
Silt)' Sand
with Some (~ra~el
SM/SP
John Berqclren
Lot 2, Block 2, T~.~ ¥i!!~q~ ~'es4 SubdNis~on
18
15-A
DATE PERFOPJ-IED:
SLOPE
SITE PLAN
Bed Rock
@ 9.5'
WAS GROUNDWATER
ENCOUNTERED?
IF YES, WHAT DEPTH?.
DEPTH OF WATER
AFTER PIONITORING:
DATE:
._-"Pi
,'
No
s/is/20o3
T07TST-ZO O3
$
L
O
P
GROSS NET DEPTH TO NET
READING DATE TIME TIHE WATER DROP
Start SI] 11:18
1 11:33 15 8.t,l.' 381'
Recharge 11:3~, ~,.56"
2 11:~,9 15 8.25' 369"
Recharge 11:50
3 12:05 15 819" 3.63'
PERC RATE: & ' MIN./INCH PERC. HOLE DIAHETERt (~' ,
TEST RUN BETWEEN ~.~; FT. AND I,.~ FT.
CO~IMENrI's:
Test Hole Pre Soaked Prior to Test.
TEST PERFORt'IED BY: AH I, HICHAEL E. ANOERSON,'CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE
,.,uJ.rU ^.~ ~'r~,T~= Alvin J~IINIC. IPAL GUIDELINES ON THIS DATE: 9/'1/2003
Performed For.
Legal Desdription:
PTIOL
4
5
6
7
10
11 ~ H20
12
13
14
15
16
Municipality'of Anchorage
Department of Health & Human Se~,Ices
825 L Street, Anchorage, AK g9502-0650
,Andemon Englneedng Date Performed: 10/30/99
TmctA-10, Sec14, TSN, R3W_ l,ot: 2, ]~Zoc]~ 2
SLOPE SITE PLAN
Testhole Number 15
Test Run Elevation
Bottom
.~...H ole
Was Groundwater
Encountered?
If Yes, What Depth?.,,
' Depth to Wat~:
^l~er Monitoring
Date:
Yes'-
11'
None p
~03 E
~2003
Reading Date Gross Net Depth To Net
Time Time Water Drop
1 30-Oct 14:10 0.25
2 14:20 10 1' .75"
3 14:21 1'
4 14:31 10 1.75' .75"
5 14:32 .5'
6 14:42 10 1.25" .75'
e~,,..,~O_,O,ooo..~,~.~.~:~,-- Pert. Rate: 13.3 Min/Inch Perc. Hole Diameter.
; ett%,¥~.~.~ Test Run Between: ?' & 8' ,
Comments: Four hour presoak · ·
I
//
/
/
./
Performed By: TLK I, Michael E. Anderson Certify That This Test Was Perfonmed
In Accordance With All State and Municipal Guidelines In Ef[ect On This Data: 9/7/2003 ,
I
2
5
6
7
8
9
18
MUNICIPALITY OF ANCHORAGE
DEVELOPMENT SERVICES DEPARTMENT/ON-SITE WATER AND WASTEWATER PROGRAM
/-,700 SOUTH BRAGAW STREET ANCHORAGE, AK 9951c)-6650
SOILS LOG - PERCOLATION TEST
PROJECT #:
PERFORMED FOR: John Berqqren DATE PERFORMED:
51112003
LEGAL DESCRIPTION:
Lot 5, Block 2, The Viltaqes West Subdivision
TEST HOLE ~...~?_._~_~
( /
Silty Gravel~
~ilh Sand
8ed Rock
WAS GROUNDWATER
ENCOUNTERED? No
IF YES. WHAT DEPTH?
DEPTH OF WATER
AFTER MONITORING:
DATE:
SLOPE SITE PLAN
None
5/15/2003
S
L
0
P
E
READING DATE GROSS NET DEPTH OF NET
TIME TIME WATER DROP
Slarl 5//. 3:50 2.25"
I /.:20 30 55' 325'
Recharge ~,:21 2.13"
2 /.:51 30 5 25' 3,12'
Recharge /.:52 2.25'
3 · 5:2 30 5 25' 3"
PERC RATE: lQ MIN./INCH PERC. HOLE DIAMETER: 6'
TEST RUN BETWEEN ] 0 FT. AND /. 0 FT.
COMMENTS:
Test Hole Pre Soaked Prior to Test.
TEST PERFORMED BY: Aft
Io ~z~.,~, CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE
WITH ALL STATE AND MUNICIPAL GUIDELINES ON THiS DATE: 91'/12003
I
2
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18
MUNICIPALITY OF ANCHORAGE
DEVELOPIflENT SERVICES DEPARTMENT/ON-SITE WATER AND WASTEWATER PROGRAM
~700 SOUTH BRAOAW STREET ANCHORAGE° AK, 99519-6650
SOILS LOG - PERCOLATION TEST
PROJECT #:
PERFORHED FOR: John Ber~cjren DATE PERFORHED:
LEGAL DESCRIPTION:
Lot S, Bloc~ 2, The Villaqes ~/est Subdivision
TEST HOLE #
0G/0L
tg-A SLOPE SITE PLAN
Silty Gravel
with Sand
GH
Bed Rock
@6'
WAS GROUNDWATER
ENCOUNTERED?
IF YES, WHAT DEPTH?
DEPTH OF WATER
AFTER MONITORING:
DATE:
8OH - 16'
No
5/15/2003
S
L
0
P
E
READING DATE GROSS NET DEPTH OF NET
TIME TIME WATER DROP
Slart $//. 3;~,5
I /.:15 30 7.62" 306'
Recharge ~,:16
2
Recharge
3 547 30 1.50' 3'
PERC RATE: 110 MIN./INCH PERC. HOLE DIAMETER:
TEST RUN BETWEEN 2 5 FT. AND ] S FT.
COMMENTS:
Test Hole Pre Soaked Prior to TesL
TEST PERFORtIED BY: AH
I, ~J:~.~_~[~, CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE
WITH ALL STATE AND MUNICIPAL GUIDELINES ON TH~S DATE: 9/7/2003
Municipality of Anchorage
Development Services Department
Building Safety Division
On-Site Water and Wastewater Program
4700 Elmere Street
P.O. Box 196650
Anchorage, AK 9951'9-6650 ·
www.muni.org/onsite
(907) 343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL
FOR A SINGLE FAMILY DWELLING
'l. 'GENERAL'INFORMATION
.COSA# 0_5C
Expiration Date:
Day phone
Day phone
"Day phone
Curreni'Property owner(s)
Mailing addr~s'
Lending agen~
Mailing address
Real Estate Agent
-Mailing Address
Unless otherwise requested, COSA will be held by DSD for pickup.
2,: NUMBER OF BEDROOMS: L.~
3.. TYPE OF WATER SUPPLY:
Individual Well
Individual Water Storage
Community.Class __ Well
Public Water System
[]
[]
[]
[].
TYPE OF WASTEWATER DISPOSAL:
Individual On-site ."~
Individual Holding Tank []
Community On-site I-'1
Public Sewer r--I
The Municipality of Anchorage Development Services Depadment (DSD) issues Certificates of On-Site Systems
. Approval (COSA) based only upon the representations given in paragraph 4 by an independent, professional civil
engineer registered in the State of Alaska. Certificates of On-Site Systems Approval are required for the transfer of
title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water
supply system. DSD also issues COSAs upon request to homeowners. Certificates of On-Site Systems Approval
are valid for 90 days from the date of issue for properties served by a private or Class C well andmay be reissued
with new water sample results. (Certificates may be reissued for a period of up to one year with valid water
samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system.
The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work.
'4. STATEMENT OF INSPECTION BY ENGINEER
As certified by my seal affixed hereto and as of the validation date shown below, I verify that my. investigation,
based on procedures outlined in the Certificate of On-Site Systems Approval Guidelines for this application,
shows that the on-site water supply and/or wastewater disposal system is (are)' safe, functional and adequate
for the number of bedrooms and type of structure indicated herein. I further vedfy that based onthe 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
Address tt%o
Engineer's Printed Name
.~. 'DSD SIGNATURE
//'- ApProved for L[
Disapproved..
Conditional approval for
bedrooms.
Phone
bedrooms, with the following stipulations:
Attachments; '
COSA Checklist
Septic System Advisory
Well Flow Advisory
Nitrate Advisory
X
By:
(Rev. 11/o5)
Arsenic Advisory
Maintenance Agreements
SupplementaJ Engineer's Report
Other
Original Certificate Date: ! l,/~.///
Municipality of Anchorage
Development Services Department
Building Safety Division
On-Site Water & Wastewater Program
4700 Elmore Road
P.O. Box 196650
Anchorage, AK 99519-6650
www. muni,org/onsite
(907) 343~7904
CERTIFICATE.OF ON-SITE SYSTEMS APPROVAL CHECKLIST
Legal Description: t~,~-
Parcel ID:
A..WELL DATA
Well type
Date completed I~o.c~, ~ I
Total depth~.h~ ft.
If A, B, or C provide PWSID # .
Sanitary seal (Y/N).__~
Cased to r'{fo ft.
FROM WELL LOG
Date of test ~, t5. ( (
Static water level [o ~-', 'z.- ft.
Well production ~ g.p.m.
WATER SAMPLE RESULTS:
Coliform O colonies/100 mL Nitrate t ~"/-;'~ mg/L
Arsenic: N ~) ug/L date of sample: ~, ZG, t (
B. 'SEPTIC/HOLDING TAI~K DATA
Tank Type/Material ~(5~.~,~ 5
Tank~$1ze \%"c~ gal. 'Number of compartments '7_
Foundation cleanout (WN) "( ~, Depression over tank (Y/N) /~
Date of-pumping Pumper
C. ABSORPTION FIELD DATA
Date idstalled ~d--,.,'z-~' Soil rating (g.p.d./ft2 or ~lbdrm) "~
Length z~{3 '
Total depth'?,x~' R'.
Date of adequacy test
Fluid depth in absorption field before test in.
Elapsed Time: min. Final fluid depth
Any rejuvenation treatment (past 12 mo.) (YIN & type)
ft~ Width ~ ft.
Eft..absorption area ~-~ fi2 Monitoring tube
Results (Pass/Fail)
Water added.
in.
Well Log (Y/N)
Wires properly protected (Y/N)
Casing height (above ground)'
AT INSPECTION
in.
g.p.m.
Collected by:
Date installed ~e,,~ 7..0 ~,~
Cleanouts (Y/N) ~'(
High water alarm (Y/N) "'(
If yes. give date
System type
Gravel below pipe t ff..
w Depression over field ~
For bedrooms
,., gal. New depth in.
Absorption rate >= g.p.d.
D. LIFT STATION
Date installed~l.-- -/-~ ~
"Pump on" level at .~J, in..~
Datum ~ (re ~
;E, SEPARATION DISTANCES
Size in gallons '
"Pump off" level at 3..~
· Manhole/Access (Y/N) "t
~ in.-~-~-~ High water alarm level at \~"
Cycles tested
Meets alarm & circuit requirements? ~,~
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tank/lift station on lot
AbsorptiOn field on lot
Public sewer main
sewer/septic service line
Animal containment areas
On adjacent lots ~
On adjacent lots '7.~oo''~
Public sewer manhole/cleanout r-' ~-
Holding tank /~ ~
Manure/animal excrete storage areas
SEPARATION DISTANCES ~FROM SEPTIC/HOLDING TANK ON LOT TO:
,Building foundation 't~
Water main /"~"~'
Wells on adjacent lots
Property line ~,~
Water service ,line
Absorption field
Surface water
t
too-t-
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Propetty'line' ~' Building foundation ~"~' Water ma'in
Water Service line ~ O ¢
Curtain drain N~-
Surface water I 03 ~-
Wells on adjacent lots ~.~.~4---
Driveway, parking/vehicle storage
,F, CO'MMENTS
G. 'ENGINEER'S CERTIFICATION
! certify that I have determined through field inspections and ~'1~.TM ~___--~_~.__...~....~
review of Municipal records that the above systems are in
conformance with MOA COSA guidelines in effect on this date.
Engineers Printed Name"* '"'['~OO ~-~'"~W,onf~_~, ~. ,~.~'.- t~ t, ;~,--, ~J~_~63~ ....''''''''~'~lr
COSAFee $, ~,,c~ ~,
Date of Payment /~/'Z-~//~[
Receipt Number (~ ~/~ ~?--~
(Rev. 4/10)
Waiver Fee $
Date of Payment
Receipt Number
S
SGS Re[# l 114660001
Client Name JMD Construction Printed Date/Time 09/30/201] 8:05
Project Name/# 629I S6uthpoint Ridge Drive Collected Date/Time t39/26/2011 I4:30
Client Sample ID 6291 Southpoint Ridge Drive Received Date/Time 09/26/201 l 15:25
Matrix Drinking Water Technical Director Stevhen C. Erie
Sample Remarks:
Allowable Prep Analysis
Parameter Resulls LOQ Units IMethod Container ID Limits Dale Date Init
Metals by ICP/MS
A rsen ic
ND 5.00 ug/L EP200.8 C (<t0). 09/27/11 09/29/11 NRB
Waters Department
Total Nitrate/Nitrile-N 0.823
0.100 mg£L SM204500NO3-F B (<10) 09/28/11 AYC
Microbiology Laboratory,
E. Coli
Total Coliform
Negative 1 lOOmL SM20 9223B A 09/26/11 CR
Negative I 100mL SM20 9223B A 09/26/1 ! CR
I
5
7
8
9
MUNICIPALITY OF ANCHORAGE
DEVELOPMENT SERVICES DEPARTMENT/0N-SITE WATER AND WASTEWATER PROGRAM
/..700 SOUTH BRAGAW STREET ANCHORAGE. Al(, 99519-6650
SOILS LOG - PERCOLATION TEST
PROJECT #:
PERFORMED FOR:
LEGAL DESCRIPTION:
0G/0L
John Bercjcjr en
Lot 6, Block 2, ~* V~e~ ~t Subdivision
DATE PERFORMED:
Silty Sand
with Gravel
SM/GM
TEST HOLE # 32-A SLOPE SITE PLAN
18.
WAS GROUNDWATER
ENCOUNTERED? No
Bed Rock IF YES. WHAT DEPTH?.
~ 9.5' DEPTH OF WATER
AFTER MONITORING: '
DATE:
Non~
511512003
S
L
0
P
E
GROSS NET DEPTH OF NET
READING DATE TIME TIME WATER DROP
Start 7123 5:21 /..B8'
1 5:36 15 9.gt,' 5.06'
Recharge .S:(-1 ~..81'
2 5:56 · 15 9.S0' /..69'
Recharge 5:59 /..gL'
3 6:1t, 15 9.0' /.
Recharge 6:16 /..81'
/. 6:31 15 B ~8'
PERC RATE: /. MIN./INcH PERC. HOLE DIAMETE~
TEST RUN BETWEEN ~1.~ FT. AND /..S FT.
COMMENTS:
Test Hole Pre Soaked Prior lo Test.
TEST PERFORS-IEO BY: AH I. ~, CERTIFY THAT THIS TEST WAS pEI:~ORrJED IN ACCORDANCI:
WITH ALL STATE.,~-ND MUNICIPAL GUIDELINES ON THIS DATE: g/7/2003
3
5--
7
8
MUNICIPALITY OF ANCHORAGE
DEVELOPMENT SERVICES DEPARTHENT/0N-SITE WATER AND WASTEWATER PROGRAM
/-,700 SOUTH BRAGAW STREET ANCHORAGE, AK 9c)51c)-6650
SOILS LOG - PERCOLATION TEST
PROJECT #:
PERFORMED FOR:
II
LEGAL DESCRIPTION:
OG/OL
SiLty Sand
with Gravel
SM/GM
IE
John Bergqren
Lot 6, Block 2, fib.~ V~U~e~-We~' Subdivision
TEST HOLE #
32
DATE PERFORMED:
;LOPE SITE PLAN
I I I/~//I
11/~/99
WAS GROUNDWATER
ENCOUNTERED?
Bottom of Hole IF YES, WHAT DEPTH?
~ lo.o'
DEPTH OF WATER
AFTER MONITORING:
DATE:
~'~ ~\'~,,.---....;..'~ c,, ·
,-' ~;.:" _/L-Z',..~ %
., .................... .-~.~
...~
'~e ~ROFESS
NO
None
5/15/2003
10/15/2003
S
L
0
P
E
GROSS NET DEPTH TO NET
READING DATE TIME TIME WATER DROP
Start SI& 2:25 1.5'
1 2:55 30 3.62' 2.12'
Recharge 2:56 1.'/5'
2 3:26 30 3.'/5' 2'
Recharge 3:2'/ 1.5'
3 3:5'/ 30 35' 2'
PERC RATE: ~ MIN./INCH PERC. HOLE DIAMETER:
TEST RU~ BETWEEN ),~ FT. AND /~.S FT.
COMMENTS:
Test Hole Pre Soaked Prior to Test.
TEST PERFORMED BY: AH I, J~I(,~HAEL E. ANDERSON, CERTIFY THAT THIS TEST WAS PERFO~ED IN ACCORDANCE
ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND
REPAIR AGREEMENT
MEMORANDUM OF UNDERSTANDING
nETW£EN MUNICIPALrr¥ ANCIIOP. XGE
AND
THIS MEMORANDUM OF UNDERSTANDING made and entered into as of this
[~ Dayof "~c~,~q,,~, of20O~, by and between ~t-,Lv-, ~'~f~L,c~r~ ,
herein the "OWNER," and the Municipality of Anchorage, herein the
"MUNICIPALITY." In consideration of the mutual covenants contained herein, the
parties to this Memorandum of Understanding agree as follows:
I. ADVANCED WASTEWATER TREATMENT SYSTEMS. Municipality
grants permission to Owner to utilize and operate an Advanced Wastewater
Treatment System (AWWTS), described as siN-r~v~.-~-)~ located
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
thc 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. l)amage. Any man-made or natural change in a system that would inhibit
the system from performing as designed.
D. Malntenanee 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 WastewaterTreatment 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
($ .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 ofthis Memorandum of IJnderstanding 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 AWWTS system is in use or operational or until the property is
sold or title is transferred by owner and a new certificate of On-Site approval is issued to
the new owner or transferee of the property.
5. Alterations~ Installation and Removal of Additional Equipment. Owner agrees
not to make any alterations, removal of'parts or additions to the AWWTS without a
Construction Permit from the Municipality.
6. Maintenance and Repairs.
A. Throughout the term of this Memorandum of Understanding, the Owner shall
maintain AWWTS in good repair. In addition, it shall be the responsibility ofthe
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: (I) 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,
roles and orders for the AWWTS.
B. Owner agrees to provide the Municipality a written schedule of routine
maintenance and repairs which have been performed on the system pursuant to the
terms and conditions contained in the Owner's AWWTS Operating Permit. This
schedule shall be submitted to the Municipality annually upon the renewal of the
permit. The schedule o£malntenance and repair contained in the Owner's AWWTS
Operating Permit is:
C. Owner acknowledges that the fine schedule for f,ailing to maintain and repair an
AWWTS are codified in AMC 14.60.
D. Owner agrees that only maintenance, repair personnel certified by the
Municipality will inspect and make any necessary maintenance, repairs or permitted
alterations to the system.
E. Owner agrees to grant the Municipality reasonable access to test and inspect the
AWWTS upon 24 hours written notice.
F. Owner agrees that any sale or transfer oftitle ofthe property will not occur
without a new Certificate of On-Site Systems Approval.
G. Owner agrees that the relevant provisions ofthe standard specification guidebook
for AWWTS is the governing professional guidelines for the construction,
maintenance and repair of the Owner's AWWTS.
7..Nonwaiver. The failure of either party at any time to enforce a provision of this
Memorandum of Understanding shall in no way constitute a waiver of the provisions,
nor in any way effect the validity of the Memorandum of Understanding or any part
hereof, or the right of such party lhereafter 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 ofthe parties, with the same
formality or'this Memorandum of Understanding was executed and such writing shall
be attached to this Memorandum of Understanding as an amendment.
B. For the purposes of any amendment modification or change to the terms and
conditions of this contract, the only authorized representatives of the parties are:
Anchorage: purchasing Officer
C. Any attempt to amend, modify, or change this contract by either an
unauthorized representative or unauthorized means shall be void.
9. Jurisdiction: Choice of l,aw. 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 ofthe State of Alaska shall govern the rights and
obligations of the parties under this Memorandum of Understanding.
10. Severability. Any provisions of this Memorandum of Understanding decreed
invalid by a court of competent jurisdiction shall not invalidate the remaining provisions
of the Memorandum of Understanding.
OWNER:
I~IIINICIPAI,ITY:
~ Title:
Date: I - Date:
STATE OF ALASKA
THIRD JUDICIAL DISTRICT )
The foregoing instmm?nt was acknowledged before me this/fff~lay of..
N~ ~RY PUBLIC gO~ AL~ _
My ommission expi~: p, ;~ -~ ?