HomeMy WebLinkAboutPENNINGTON PARK BLK 4 LT 3APennington
Park
Block 4
Lot 3A
#020 � 181 ow 65
GARNESS ENGINEERING GROUP, Ltd Ar
ENGINEERING SALES CONSULTING Alaska Authorized Dealer
December 26, 2023
Municipality of Anchorage
Development Service Department
On -Site Water & Wastewater Program
4700 Elmore Rd. P.O. Box 196650
Anchorage, AK 99519-6650
(907) 343-7904
Ref: Pennington Park, Block 4, Lot 4 (now Lot 3A) -17540 Bettijean Street, Anchorage, AK
Memo concerning converting CAT III AWWTS to CAT II AWWTS septic system
To whom it may concern:
The permitted drainfield was installed on the referenced property in 2009 and started up after the
installation. ARM Septic Services, LLC recently checked the monitoring tubes in the drainfields and
found them to be dry. In order to simplify the operation and maintenance of the system, we are
proposing that this unit be permanently configured as a CAT II system. Our justifications are as
follows:
The receiving soil has a percolation rate of 8.3 minutes per inch. A 3.0 gpd/sq.ft. application rate
is acceptable for a Cat II system. The residence on this property has a total of 4-bedrooms, so
200 sq./ft. of absorption area is required for CAT II effluent (600 gpd / 3.0). The existing 2009
drainfield has 200 sq./ft of absorption area. In short, the drainfield meets the sizing
requirements for 4-bedrooms. The Inspection Report shows a 3.0 gpd/sq.ft.
At this time, we request that your department approve the removal of the jandy valve actuator and
placement of th, valve in the open position.
Sincdrely
, M.S.
APP
C�A_ CY/ [ o/ /Z07- `/
3701 East Tudor Road, Suite 101 * Anchorage, Alaska 99507-1259
Phone: (907) 337-6179 * Fax: (907) 338-3246 * Website: www.garnessengineering.com
J u 12 1 0 9: 10 a Arfcho,ag-3 v"IEM & PiAnlp Set -307243-0742 P.1
ftnccl Identification Number: Mc)- m - �5
Legal Description
�OY\
t'i 0" T.,1 1)''
Purap 1 -Make Di�pth Mow Top of Weil Casing:
4 --r
Pump "Rodej:
P q/'.
L
Pump hp
Pitless Adapter Burial Depth, feet
Pitless Adapter Nhwnufacture.r7s Name:
Pitlfs3 Adapter Instailer:
Well Disinfected Upon Compleflun"
, Ycs -N a
Method of Disinfection:
I ue
Comments: k- -
Pump Installer Name:
Properly Owner Name & Address:
1�0
Attention: The pump installer :hail pr. -)v -de j.1Sta1,,i bite D� 30
.1 1 . . . anlol-4, D ,vialj I days of'putnp installation.
47010 EE i 7, or^f R o a d
0. Ocx '°.6050
t4atk So'gich
AK 93:50-1
Mayor
Rump Installation Log
Well Drilling Permit
Number. SW-- Date of Issae:
ftnccl Identification Number: Mc)- m - �5
Legal Description
�OY\
t'i 0" T.,1 1)''
Purap 1 -Make Di�pth Mow Top of Weil Casing:
4 --r
Pump "Rodej:
P q/'.
L
Pump hp
Pitless Adapter Burial Depth, feet
Pitless Adapter Nhwnufacture.r7s Name:
Pitlfs3 Adapter Instailer:
Well Disinfected Upon Compleflun"
, Ycs -N a
Method of Disinfection:
I ue
Comments: k- -
Pump Installer Name:
Properly Owner Name & Address:
1�0
Attention: The pump installer :hail pr. -)v -de j.1Sta1,,i bite D� 30
.1 1 . . . anlol-4, D ,vialj I days of'putnp installation.
Municipality of Anchorage
Development Services Department
Building Safety Division
On -Site Water & Wastewater Program, 4700 Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.anchorage.ak.us (907) 343-7904
page of
On -Site Wastewater Disposal System and/or Well Inspection Report
Permit Number: SWO80023 PID Number: 020-181-23
Name:
JUSTIN RIPLEY
Wastewater System: 0 New 0 Upgrade
Address:
PO BOX 221893 * ANCHORAGE, AK 99522
ABSORPTION FIELD
Phone: No. of Bedrooms:
(907) 240-7565 4
ClDeep Trench UShollow Trench 08ed ClMound 0 Other
LEGAL DESCRIPTION
Soil RotAg:
3.0
TMW DpM f� orlgi" g�:
GPQ/Sq.
FL 3.5 MAX FL
Block; Lot: Subdivision:
4 4 PENNINGTON PARK
Chipth to p1pe � fn�n "I" 9�:
Gravel d"th bw"h p;":
0.89
FL 0.61 In.
To,enship: Range: Section:
FA xklocl above "if,el gnxk,:
Gravel length:
SEE DWG. FL
40+ FL
WELL: N New 0 Upgrade
Gnm,f �h:
Z= at
Dami.. tt.. limts-.
5 FL
1
n.
Ckn�.f.� (Pnvat% A.S.C):
PRIVATE
1 240
'44
Tatal obewption
P" wat�kfl:
Fj
n.
200+ SO. rL
ID 3034/ F-810
SULLIVAN WATER WELLS
W.
4/2D1N/w2:OO8 �
sto'k' ww. �:
85
"dw,
WHITTERS CONSTRUCTION1
W. ln�l:
5/24-6/2/08
n.
r.4d:
10
' 125 I
CQ*i�g H"ht � G�:
2
TANK
CPWI'—p
FL
FL
SEPARATION
DISTANCES
loseptic ClHolding 0S.T.E.P. 0 Other*
Septic
Tank
Absorption
rm Id I
Lift
Station
Holding
Tank
Public/Petwat.
So~ Linse
W��r
ANCHORAG
co�dy In gql�:
1500
Well
100'+
100'+ 1
100'+
-
25'+
"fw1ol: STEEL
�P�ts.
2
Surface Water
100'+
100'+
100'+
-
-
LIFT STATION
Lot Line
5'+
10'+
5,+
-
Sizo "�:
264
QUANICS
Foundation
5'+
10,+
5'+
I
'P�p on, � ot.
'P� off' � fft
lHigh t., o� ef:
TIMER
TIMER
36"
Curtain Drain
NONE KNOW'N
Punp Wisie & �1:
I E�sl WAP��. "d� br.
I
I
P -TE -30 -PLUS
I M.O.A.
Remarks: *THIS IS A QUANICS AEROCELL UNIT
BENCH MARK
L� ond D�dpt�
kl5tJNE) AND 5.1
AND 5EEDEE) !I! IML
TOP OF MANHOLE LID
102.37
F,
Inspections performed by: GEG, Ltd. Dates: 1st
ENGINEER'S SEAL
_.2/24/2008
2nd 5/29/2008
3rd 5/30/2008
S
Developm Servic Department Approval
(
.. ............
ConditionE IN
Date:
... . ....... ............. P�
I 00 A It &1 jo
f A. arness! P
L� r/) dbN I I W4 C14 Y-1 Ofrk,Aj All 16 Q
c 3
TT
L7 V
eviewed and approved b
R flilze - Date:*W04
Prof 1C
(R�. 4/06)
S
PERMIT NUMBER: PARCEL ID NUMBER:
SWO80023 AS -BUILT DRAWliNTG 020-181-23 1
20- UTILITY EASEMENT
ALTERNATE SITE THO
4 BEDRO00m
HOUSE
IDO' STREAM OFFSET-/�'�'\
9== - - - - - - - - - - -
40' 10' UTILITY EASEMENT
AEROCELL POD
PUBLIC
USE ..
EASEMENT
STREAM
25' STREAM 2
SETBACK
GARNESS ENGINEERING GROUP, Ltd. 41
CONSULTANTS& GENERAL CONTRACTORS . ......... .. ........... ........
L��� �7 � (907)w�m - FM P,
PREPARED FOR: PHONE NUMBER: PAGE NUMBER: . ... . . . ........ ....
JUSTIN RIPLEY 240-7565 2 OF 3 ..Je esS.-
,p. 79 3
LEGAL DESCRIPTION:
PENNINGTON PARK, LOT 4. BLOCK 4 K.D.M. ocj"p,
Il 01' _0 e,;�
TYPE OF WORK: E: -rofessiO�
AS—BUILT DRAWING 3/18/200
CC)
m
I
C_
z
m
m
(R. 01105)
A
B I
C
PENNINGTON PARK.
BLOCK 4, LOT 2
NEW 1500 CALLON
SEPTIC TANK
36 INCH PUMP VAULT
NEW DRAINFIELD -
col - 26.24 10.74
ST1 — 22.89 12.56
ST2 — 16.81 20.01
MH — 15.01 23.29
iv — 19.76 9.58
CO2 72.38 17.35 —
CO3 89.27, 21.02, —
MT1 86.911 21.851 —
C04 59.861 42.521 —
WT2 59.241 40.061 —
20- UTILITY EASEMENT
ALTERNATE SITE THO
4 BEDRO00m
HOUSE
IDO' STREAM OFFSET-/�'�'\
9== - - - - - - - - - - -
40' 10' UTILITY EASEMENT
AEROCELL POD
PUBLIC
USE ..
EASEMENT
STREAM
25' STREAM 2
SETBACK
GARNESS ENGINEERING GROUP, Ltd. 41
CONSULTANTS& GENERAL CONTRACTORS . ......... .. ........... ........
L��� �7 � (907)w�m - FM P,
PREPARED FOR: PHONE NUMBER: PAGE NUMBER: . ... . . . ........ ....
JUSTIN RIPLEY 240-7565 2 OF 3 ..Je esS.-
,p. 79 3
LEGAL DESCRIPTION:
PENNINGTON PARK, LOT 4. BLOCK 4 K.D.M. ocj"p,
Il 01' _0 e,;�
TYPE OF WORK: E: -rofessiO�
AS—BUILT DRAWING 3/18/200
CC)
m
I
C_
z
m
m
(R. 01105)
Apr 17 09 04:01 p Sullivan Water Wells
M
D
El
)E
S
�A
D
U
c
S
Certificb �Drftfing 109
by
Co. d'�
OOC
SULLIVAN WATER WELLS
P.O. BOX 67D272,cnUGIAK, ALASKA 99567 -TELEPHONE 689-2759
fill Te 57.1—ra
�'thority Murficipajity
ner to submit a COPY Of the well 109 to the Proper
ATTENTION It IS he respons&jity Of t,,Ie property oA ron en ion N Boro IT
ol Ancnorage: DeWment of Health & Human Services ancVor Department of Envi m tal Ccnservat 'afSu ug
nannrtrrinnt of ErNimmental Conservatiom
1A1*1 noc.11-t.1
_644
�q
f eA � �-a
It
-c- z
gE
-6-A A Y�
�'thority Murficipajity
ner to submit a COPY Of the well 109 to the Proper
ATTENTION It IS he respons&jity Of t,,Ie property oA ron en ion N Boro IT
ol Ancnorage: DeWment of Health & Human Services ancVor Department of Envi m tal Ccnservat 'afSu ug
nannrtrrinnt of ErNimmental Conservatiom
1A1*1 noc.11-t.1
So 9 am Y-�
Arctic Pump & Wel
Jim Sullivan, CPI
PO Box 770197
Eagle River, AK 99577
(907) 689-2510
(907) 258-2510
(907) 745-2510
arw07jzci.n
Pump Installation Log
Well Drilling Permit Number: SWO80023
Parcel Identification Number:020-181-23
Date of Issue:4-2-08
Legal Description:Pennington Park,
Property Owner Name & Address:
LotA
Justin Ripley
BlockA
PO BX 221893
AV QQ407
Pump Installation Date: 8-18-08
Pump intake Depth Below Top of Well Casing:225 Feet
Pump Manufacturer's Name: Dempster
Pump Model:LBF2-75-S2
Pump Size:3/4 hp
Pitless Adapter Burial Depth: 10 feet
Pitless Adapter Manufactu='s Name:Martinson
Pitless Adapter Installer: Whiters
Well Disinfected Upon Completion? Yes
Method of Disinfection: Chlorine
Comments:
Pump Installer Name:
Arctic Pump & Well, Inc.
Arctic Pump& Well. Inc.
Page I of I
WTC7141
SGS RCEO
1090851001
Client Name
Gamcss Engineering Group, Ltd.
Project NamcI#
Pennington Park R4.L4
Client Simple ID
Pennington Park B414
M I aIrls
Drink, ing Water
Printed Datt/Time
03/13/2009 8:47
Collected DatefTime
03105/2009 13:30
Received DilefTime
03/05/2009 16:10
Technical Director
Stephen C. Ede
Sample Remarks:
EP200.8
Arsenic
ND 5.00
Paiametcr
Allouible
Results PQL, Units Nicthod Container ID Limits
Prep
Date
Analysis
Date Init
Metals by ICP/MS
EP200.8
Arsenic
ND 5.00
Waters Department
NRB
Total Nitratc/Nitritc-N
ND 0.100
Kicrobiologry Laboratory
(<10)
Colony Count
0
Total Coliform
0
Fecal Colifom
0
ug/L
EP200.8
C
(<10)
03/09/09 03/11/09
NRB
mgfL
SM20 450ONO3-F
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03106/09
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S4.12092220
A
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col/100ml.
SN1209222B
A
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SM2092221B
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03/05/09 DLC
03/05/09 DLC
03105/09 DLC
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LEGAL DESCRIPTION: e ey . Go ness-0
PENNINGTON PARK. LOT 4. BLOCK 4
GARNESS ENGINEERING GROUP, Lt CE—
TYPE OF WORK: CCNSULTAN73 &GENERAL CONTFACTOFS
PROFILE AS—BUILT
olp
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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
Permit Number: SWO80023
Date Issued: Apr 02, 2008
Expiration Date: Apr 02, 2009
Parcel ID: 020-181-23
Legal Description: PENNINGTON PARK BLOCK 4 LOT 4
Design Engineer: 0855 GARNESS ENGINEERING GROUF Site Address: NHN BETTIJEAN STREET
owner Name: JUSTIN RIPLEY Lot Size: 67849 SO. FT.
owner Address: PO BOX 221893 Total Bedrooms: 4 Permit Bedrooms: 4
ANCHORAGE. AK 99522 -
This permit Is for the construction of:
r;� Disposal Field [?] Septic Tank Holding Tank E] 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 ( I BAAC72 ) 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.
Received By:
Issued By:
Date: C, / A Lew;.
Date:
Municipality of Anchorage
Development Services Department
Building Safety Division
On -Site Water & Wastewater Program
4700 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. 4(90- 191
Property owner(s) JU rIN RIPL Y Day phone 950-8348
Mailing address P.O- BOX 2?1893 ANCHQE6QF AK
Zip Code 99522 -
Site address YL-�Q
Legal description (Sub'd, Block & Lot ) PFNNINGTON PARK,
Legal description (Township, Section & Range)
Lot Size Alo S 9j Sq.Ft.
THIS APPLICATION IS FOR (E] all that apply):
Absorption Field
0
Septic Tank
0
Holding Tank
1:1
Privy
Private Well
Water Storage
Number of Bedrooms
THIS APPLICATION IS AN.
Initial
0
Upgrade
0
Renewal
1:1
I certify that the above information is correct. I further certify that this application is being made for 8
Single Family Dwelling and is in accordance with applicable Municipal codes.
GARNESS ENGINEERING GROUP, Ltd.
Permit/Rush Fees: V(-, 0
Date of Payment: lqjoe
Receipt Number: 9 1 ZL az__
(Rev. 11/05)
Waiver Fees:
Date of Payment:
Receipt Number:
GARNIESS ENGINEERING GROUP9 Ltd.
11 :: 7 CONSULTANTS& GENERAL CONTRACTORS r 'L:-. �:"`
March 3, 2008
Municipality of Anchorage
Development Service Department
On -Site Water & Wastewater Program
4700 Bragaw Street
P.O. Box 196650,
Anchorage, Ak 99519-6650
(907) 343-7904
Ref: Proposed Septic Upgrade for Pennington Park; Lot 4, Block 4,
To whom it may concern:
The proposed 4 bedroom house is to be served by a private well and septic system. We are proposing to
install a new 1500 gallon septic tank with a quanics acroccil treatment unit and a 5 -wide trench type
drainfield. One test hole was excavated on the property by Robert C. Cowan. The drainfield will be
designed around the 30 foot radius of this test hole. Comments regarding the design are summarized as
follows:
1. SOILS: See the attached logs which shows the soil classifications, groundwater monitoring, and the
percolation test results.
2. DRAINFIELD DESIGN: See attached design drawing for drainfield specifications.
3. SURFACE WATERS: There are no surface waters within 100 feet of the proposed septic system.
4. TOPOGRAPHY: As can be seen on the attached design drawing the average topography below the
drainfield is a 15-20 percent slope running approximately northwest to southeast.
tt,,t u,,,-Arimyrnierit issue a 0 foot lot line waiver from
5. LOT I
field. There is no septic system on lot 3 ' block 4 with in 10
IS: ky e are reques !!
the north propert5 line to the t
feet lus of the rainfield. We are una dversc impacts with he granting of this
V .1 1�x
eibeAlacent wells or septic systems.
adverse impacts this installation would have on ja
is, please contact us at 337-6179. Thank you for your assistance.
create.
We are unaware of
If you have any qjc
M.S.
F —
ached is a siteplan drawing. a design drawing, onesoil 109, which are allpart ofthe design packagefor
systeni. (Contact G.E. G. Ltd. for 7 page construction specification letter.)
3701 E. Tudor Road, Suite 101 * Anchorage, AK 99507-1259
Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: www.gamessenginecring.com
64 cp�2
PENNINGTON PARK.
BLOCK 4. LOT I
10V WELL RADIUS
PENNINGTON PAI
BLOCK 4, LOT
CrEPTIC
AR aD
K.
L
r
I PARK
PENNINGTON
BLOCK 4. LOT 3
r
STREAM
PF
4 BEDROOM KME-/�\
( �4d9
C -PTIC
SE
SAR aD
100- WELL RADIUSI
PENNINGTON PARK.
BLOCK 1. LOT 4A
EPTIC 7E:
ro I
GARNESS ENGINEERING GROUP, Ltd.
I -- - CONSULTANTS& GENERAL CONTRACTORS -
JUSTIN RIPLEY
PENNINGTON PARK. BLOCK
ITYPE OF WORK:
I SITE PLA
(R.. 01105)
PHONE NUMBER: I PAGE
907-240-7565 1
LOT 4
OF 3
K.D.M.
11"A
PENNINGTON PARK.
BLOCK 3. LOT 6
WELL
PENNINGTON PARK.
BLOCK 3. LOT 7
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PECIFICATION NOTE: THE C
FY OF THE LETTER HAVE THE NORTH
n'SIGN CEME T'r'�'t'�TMTPCRTMNS TO LOT
LE R iii�i PERTAINS TOTHIS DESIGN.
NUMBER OF BEDROOMS: 4 TO OBTAIN A GO ALL WELL RADII A
CONTACT GEG. BY PROCEEDING FORWARD SG
U ��LXGUED
GALLONS PER DAY (GPD): 6DO WITH THIS INSTALLATION. THE ENGINEER. REGISTERED kN R XBOR
PERCOLATION RATE/$: 8.3 MIN./INCH WELL DRILLER. CONTRACTOR AND PRIOR TO 22�
PROPOSED APPLICATION RATE: 3.0 PROPERTY OWNER AGREE THAT THEY
MINIMUM DRAINFIELD SO.FT.:200 HAVE READ THESE SPECIFICATIONS AND
AGREE To ACCEPT THE TERMS AND
VMIMUM DEPTH: 4 FEET AND A I FOOT
OF LEVELING SAND
WIDTH: 5 FEEr
LENGTH: 40 FEET
M.O.A. APPROVED SAND FILTER:
EFFECTIVE: 0.5
ACTUAL SOXT.: 200
ALTERNATE SrTE—",,
I
S & S TEST HOLE AS
LOCATED BY FRED
WALATKA SURVEYING
loo' SURFACE
WATER SET BACK__,,,�
�E:
'AL
'; 40'
PENNINGTON PARK.
BLOCK 4. LOT 3
TPROPOSED 36 INCH
PUMP VAULT
ultli
1500 GALLON SEPTIC TANK
AEROCELL TREAMENT UNIT
INSTALL
jANDY VALVE
INSTALL FOUNDATION
CLEAN OUT
— — — — — — — — -----
-5t
/PROPOSED
4 BEDROOM
HOUSE
%
9 STREAM
21411-1
GARNIESS ENGINEERING GROUP, Ltd.
CONSULTANTS& GENERAL CONTRACTORS -----
I L
PAGE UMBER:
2 N F I
tEP�EAREDFOR: PHONE NUMBER: 0 3
JUSTIN RIPLEY 240-7565 2 OF 3
DRAWN BY:
PTI
:GAL DESCRIPTION: K.D.M.
PENNINGTON PAREK.LOT 4. BLOCK 4 T
DATE:
PE OF WORK; 3/6,/1200
SEPTIC
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RAW BY:
DATE: —7
3/3/2008 K.D.M. .... ...... ..
LEGAL DESCRIPTION: Ss:
PENNINGTON PARK, LOT 4, BLOCK 4
GARNESS ENGINEERING GROUP9 Ltd. 'p. 7 53
TYPE OF WORK: �CCN31JILTAHTS AGEIIERALCOWTIRACTOFS�
DESIGN OF QUANICS AEROCELL SYSTEM
PREPARED FOR: PHONE NUMBER: rE: Proresslo"o
JUSTIN RIPLEY 240-7565 3 OF 3
JAN/24/2008/TEU 09:59 AM Walker & Eakes PAX No.907 272 9256 P.007
mF,lY—m:4—;we zv;ei b&b tLtUII`4ttI<1NU wad' OVAI 2-111. r.01 -11w
Municipality of Anlchor'aga
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tale Pelk
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COMMENTS OL _FT AND FT
PERPORKI) BY: 01"JI&CH"IlAw— CERTrY TILATTIIIS JEST
PERFORMED IN ACCOMANtP WITH ALL 3TATC AND ML"CIPAL GUIDELINES Ihl r6FFFC7 757mis rATE. cArr: j- Arlo
a-=. L . armTPr7jw= .
ro 7P07/0"
&
COMMENTS OL _FT AND FT
PERPORKI) BY: 01"JI&CH"IlAw— CERTrY TILATTIIIS JEST
PERFORMED IN ACCOMANtP WITH ALL 3TATC AND ML"CIPAL GUIDELINES Ihl r6FFFC7 757mis rATE. cArr: j- Arlo
Municipality of Anchorage
On -Site Water & Wastewater Program
(907) 343-7904
CERTIFICATE OF ON-SITE SYSTEms APPROVAL
/P
to
Parcel I.D. 020-181 ;.2T
1. GENERAL INFORMATION
Complete legal description
Location (site address)
Current Property owner(s)
Mailing address
Real Estate Agent
Expiration Date: 5? -,2_ 4� - / -?�
17540 BETTIJEAN STREET *ANCHORAGE, AK
JUSTIN RIPLEY — Day phone
17540 BETTIJEAN STREET *ANCHORAGE, AK
240-7565
DEBBIE ROSS Day phone 561-2227
2. TYPE OF DWELLING:
0 Single Family (w/wo ADLI)
F-1 Duplex
F-1 Multiple Dwellings (Single Family and/or Duplex)
3. NUMBER OF BEDROOMS: 4
4. TYPE OFWfATER SUPPLY:
TYPE OF WASTEWATER DISPOSAL:
lndividu�il Well
0
1 ndividual On-site
N
Individual Water Storage
El
Individual Holding tank
El
Comrr uiity Class—Well
R
Community On-site
El
Public I later System
F-1
Public Sewer
0
Received
COSA to be released 4 ti
COSA Fee $—,
Date of Paymel
Receipt Numt�Fr
COSA J S 613143
Date
Waiver Fee $ —
Date of Payment
Receipt Number
Waiver#
5. STATEMENT OF INSPECTION BY ENGINEER
As certified by my seat 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 andlor 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 andlor 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
GARNESS ENGINEERING GROUP, Ltd.
Address 3701 E. TUDOR ROAD, SUITE 101 * ANCHORAGE, AK 99507
Engineers Printed Name
JEFFREY A. GARNESS, P.E.
Engineer's Comments:
In conducting this evaluation, GEG, LID. attempted to provide a thorough,
conscientious engineering analysis of the system in accordance with ADEC and MOA
DSD Guidelines & Regulations, The reported results described the performance of the
system under the conditions encountered at the time of the test, and separation
distances measured to readily identifiable features. The operational life of all wells and
septic systems depend on the local soils condition, groundwater levels that may
fluctuate during the year, and the water usage of the family being served by the system.
These conditions are outside the control of the evaluator of the system. Satisfactory test
results do not guarantee future performance of the system, nor do they guarantee that
there am no hidden defects or encroachments. GEG, LTD. can therefore notprovide
any warranty or future estimate of how long the system will continue to meet the
operational requirements of the ADEC orMOA DSa The content of this reportis for
the sole benefit of the owner listed above. Any reliance upon or use of this report by any
other person or party is not authorized, nor will it confer any legal right whatsoever.
6. DSD SIGNATURE
�� System #1 Approved for __q__ bedrooms.
0
System #2 Approved for — bedrooms.
Disapproved.
Phone 337-6179
Date k-
TH
...... .... ........ ...
*- J ff y Gorn ss.�'
E-79
o,
Conditional approval for — bedrooms, with the following stipulations:
�J\j,? 0 F AIV6
ON-sITE
VVATER AND
WASTEWATER
PpoGRAril
Original Certificate Date: S__ 24 - / -21
The Muh6paffty of AnCWorage Develop, emt Services Division (DSD) issues Certificates of On -Site Systems Approval (COSIjl based only
upon the represerratations given in paragraph 5 by an independent professional civil engineer registered in the State of Alas �I.
The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work.
7. ATTCHMENTS:
COSA Checklist
Septic System Advisory
Well Flow Advisory
(R.v 11 M5)
Nitrate Advisory
Arsenic Advisory
Other
if more than I septic system is on the lot:
COSA Checklist # of
Structure served by this systJ��
Certificate of On -Site Systems Approval Checklist
020-181
Legal Description: PENNINGTON PARK; BLOC 4, LOT,44 Parcel ID:
A. WELL DATA
Well type PRIVATE If A, B, or C provide PWSID# N/A Well Log (YIN) YES
Date completed 4/21/08 Sanitary seal (YIN) YES Wires properly protected (YIN) YES
Total depth 248 ft. Cased to 44 ft. Casing height (above ground) 24+ in.
FROM WELL LOG AT INSPECTION
Date of test 4/21/08 5/1/13
Static water level 85 -ft. 25 —ft.
Well production 10 _g -p M. 6.31 —9 -P -M
WATER SAMPLE RESULTS:
r-N��
Coliform (-"7 colonies/100 mi. Nitrate mg.11L. Collected by: GEG, Ltd
Arsenic: NID ug./L. Date of sample: 5 /1 /13
B. SEPTICIHOLDING TANK DATA
Tank Type/Material STEP/STEEL Date installed 5/24-30ZO8
Tank size 1500 gal. Number of Compartments 2 Cleanouts (YIN) YES
Foundation cleanout (YIN) YES Depression over tank (YIN) NO High water alarm (YIN) YES
Date of pumping t's la- Pumper �5e_e- A:j'VC'_r. �"Cj /VC&I el 4,1 C, '�J
C. ABSORPTION FIELD DATA F8_E_L0_W]E�X1ST1NG GRA�DE
Date installed 5/24-30/08 Soil rating (g.p.d./Worq�� 3,0 System type SHALLOW TRENCH
Length 40+ ft. Width 5 A Gravel below pipe 0*61 ft.
Total depth *5.19 ft. Eff. absorption area 200+ ft2 Monitoring tube YES Depression over field NO
Date of adequacy test 5/1/13 Results (Pass/Fail) PASS For 4 bedrooms
Fluid depth in absorption field before test _0 in. Water added 600 gal. Newdepth 0 in.
Elapsed Time: 0 min. Finalfluiddepth 0 in. Absorption rate >= 600+ g.p.d.
Any rejuvenation treatment (past 12 mo.) (YIN & type) NONE — If yes, give date -
D. LIFT STATION *INSPECTED BY AROUND THE CLOCK PUMPING
Date installed 5/24-30/08 Size in gallons 264 Manhole/Access (Y/N) YES
"Pump on" level at TI M ER n. nPump off" level at TI M ER in. High water alarm level at 36
Datum BOTTOM OF TANK_ CydeSteStqd Meets alarm & circuit requirements9 YES
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tankfitfit station on lot 100'+ On adjacent lots 100'+
Absorption field on lot 100'+— On adjacent lots 100,+
Public sewer main N/A
Sewer /septic service line 25'+
Public sewer manhole/cleanout N/A
Holding tank
Animal containment areas 50'+ Manure/animal excrete storage areas 100,+
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Building foundation 5'+ Property line 5'+ Absorption field 5'+
Water main N/A — Water service line 10'+ Surface water 100'+
Wells on adjacent lots 100'+
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line 10'+ Building foundation 10'+ Water main N/A
Water service line 10'+ Surface water 100'+ Driveway, parking/vehicle storage 10'+
Curtain drain NONE KNOWN Wells on adjacent lots 100'+
F. COMMENTS
G. ENGINEERS CERTIFICATION
I car* that I have determined through field inspections and
review of Municipal records that the above systems are in
conformance with MOA COSA guidelines in effect on this
date.
Engineers Printed Name JEFFREY A. GARNESS
Date i;--/ 4, A2
(Rev. 11/05)
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Unit # 5 6
LegalDescription: pchoinqft�-, Fkrr- Lor &,r- 4 -
Home Owners Name: TveHn' f?�pu�
Billing Address: 1-7 54 o ge/fi' T-M�,
Phone #1 �04 b - 75"C, 5 �wl) Po f� CA—
Phone #2
Phone #3
Start up date: (c) lio 1c),7
Dates of Service
611�'l /Z
Timer -ON (min)
I
Timer -OFF (min)
3
Override -ON (min)
2
Ovenide-OFF (min)
-6
Pump Run Time (min)
194114
-374-7
High Level Count
!FoS
"-P/
Low Level Count
633
(0 -� -3
Orfice Clogged (Y/N
/V
y
Orfice CAeaned (Y/N)
Phone Line Checked
Tank Levels Checked
Pumping Needed (Y/N)
Floats Checked (Y/N)I
Notes:
a
ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND
REPAIR AGREEMENT
MEMORANDUM OF UNDERSTANDING
BETWEEN MUNICIPALITY OF ANCHORAGE
AND /1.Jjj/ jKY k -'j -1_U C, i
THIS MEMORANDUM OF UNDERSTANDING made and entered into as of this
15— Day of of 20 B, by and between A (-CXA-�JOO-A kA L"I I
6y POA
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-SystemiAWWTS), described as autc�/)I,r_3 located
at Pe4n0rolLN PeAlk 6L/ 43A Anchorage, Alaska.
2. Derbiltions.
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 AWVTS 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 0
($ 0 .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 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 Eguipme 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 Repai .
A. Throughout the term 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 Owner'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 Owner's AWWTS
Operating Permit is: TL"Jiet, A
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 inspcct 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 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 AWWTS is the governing professional guidelines for the construction,
maintenance and repair of the Owner's AWWTS.
7. Nonwaive 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 everyprovision
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:
Owner:
Anchorage: Purchasing Officer
C. Any attempt to arnend, 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 Anchor,3ge. 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.
MUNICIPALITY:
OWNER,
By: o i� By:
Title:
Date:
Date:
STATE OF ALASKA
THIRD JUDICIAL DISTRICT
The foregoing instrumentWas acknowledged before me this'�
20 �11 by tf c, c- 7,11 � I , �j t �-, c i v 111W
NOTARY PUBLIC FOR ALASKA
My Commission expires:
rem
Notary Public
JOHN TODD SCHLEGEL
State of Alaska
My Commission ExPires Jun 6, 2016
