HomeMy WebLinkAboutMANN BLK 3 LT 2AMann
Block 3
Lot 2A
#020-041-04
Municipality of Anchorage
Development Services Department
Building Safety Division ^
On -Site Water and Wastewater Program, 4700 Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650 Page 1 of 4
www.ci.anchorage.ak.us (907) 343-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
Permit Number: SW090213 PID Number: 020-041.04
Name:
Wastewater System: ❑ New ® Upgrade
BILL BOSQUET
Address:
16201 GOLDEN VIEW DR
ABSORPTION FIELD
Phone: Number of Bedrooms:
230-1010 3
❑ Deep Trench ®Shallow Trench [I Bed ❑Mound [3 Other:
LEGAL DESCRIPTION
S S Hating:
6
Total Depth from original grade:
4.0
GPD/Ft'
Ft.
Block: Lot: Subdivision:
Depth to pipe bottom from original grade:
Gravel depth beneath pipe:
3 2A MANN
3.5 Ft.
0.5 Ft.
Township: Range: Section:
Fill added above original grade:
Gravel Length:
Ft.
25 Ft.
Well: ®New El Upgrade
Gravel width:
5
Number of lines:
1
Distance between lines:
Ft.
Ft.
Classification (Private, A, B, C):
Total Depth:
Cased to:
Total absorption area:
Pipe Material:
PRIVATE
200 Ft.
42 Ft.
125 Ft2
3034 PVC
Driller:
Date Drilled:
Static Water Level:
Installer:
Date Installed:
uNKNOWN
Ft.
Whitters Excavation
1/5/2010
Yield:
Pump Set at:
Casing Height Above Ground:
TAN K
5 GPM
180 Ft.
1.5 Ft.
SEPARATION DISTANCES
❑ Septic ❑ Holding ® S.T.E.P. IZI Other:
To
Septic
Absorption
Lift
Holding
ublic/Private
Manufacturer:
Capacity:
From
Tank
Field
Station
Tank
Sewer Line
Anchorage Tank
1500 Gal,
Well
102.2
111.7
-
-
00.2
Material:
Steel
Number of Compartments:
2
Surface Water
100+
100+
-
-
LIFT STATION
Lot Line
43.5
71.4
-
-
Size:
2 ea. 250 Gal.
Manufacturer:
ORENCO ANCHORAGE TANK
6.7
25.8
-
-
"Pump on" level at:
"Pump off" level at:
High water alarm at:
Foundation
+40 in.
+36 in.
+45 in.
Pump Make & Model
Electrical Inspections performed by:
Curtain Drain
-
-
ORENCO P2005
I A i V_ t; rZLZi_*J j4A r °
Remarks:
WELL DATA FROM PUMP INSTALLER'S LOG. AX20 treatment pod
BENCH MARK
Location and Description:
installed. Old field abandoined per code.
TOP OF FOOTING ON HOUSE
Assumed Elevation:
100.0 Ft.
Engineer's Stamp
Inspections performed by: PANNONE ENG. SVC, LLC Dates: 1St 1/5/2010
1/5/2010
��qS��♦i
2nd
..tP�E.OF
'�.
Development Services Department Approval
�,.•• ♦�
Conditional Approval Date:
c 49TH
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; R. Pannone; GjAw
Steven
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Reviewed and approved by: , Date: /
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(Rev. 04/06)♦�ESS�i��
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RECORD DRAWING
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DESIGN NOTES
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PANNONE ENG SVC, LLC
P.O. BOX 102954 ANCHORAGE, AK 99510
PHONE (907) 272-8218 FAX (907) 272-8211
Mann S/D, Block 3, Lot 2A
Bill Bousquett
16201 Golden View Drive
Anchorage, AK 99516
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WI P.I.D. NO
020-041-04
Steven R. Pannone ,�-CE pERMIT N0.
8149�SW090213
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PHONE (907) 272-8218 FAX (907) 272-8211
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P.I.D. NO
Mann S/D, Block 3, Lot 2A / 020-041-04
Steven P nnone �
Bill Bousquett PERMIT NO.
Arn . CE 8149 j SW090213
16201 Golden View Drive
PLAN Anchorage, AK 99516 `lFp' p�,�' Sheet
li�\ OFES`=�+• 2 OF 4
EXISTING CESS POOL, / /
ABANDON IN PLACE P COD EASB
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Date
RECORD DRAWING
P.O. BOX 102954 ANCHORAGE, AK 99510
PHONE (907) 272-8218 FAX (907) 272-8211
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P.I.D. NO
Mann S/D, Block 3, Lot 2A / 020-041-04
Steven P nnone �
Bill Bousquett PERMIT NO.
Arn . CE 8149 j SW090213
16201 Golden View Drive
PLAN Anchorage, AK 99516 `lFp' p�,�' Sheet
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SPECIAL PROVISIONS TO SPECIFICATIONS
1. ALL CONSTRUCTION SHALL BE INSTALLED AS SPECIFIED IN THE MOST CURRENT EDITION OF THE MUNICIPALITY OF
ANCHORAGE STANDARD SPECIFICATIONS (MASS) FOR COMPONENT PARTS AND MATERIALS USED IN CONSTRUCTION OF
ON—SITE WASTEWATER DISPOSAL SYSTEMS.
2. ALL WORK SHALL BE IN ACCORDANCE WITH THE ATTACHED SPECIFICATIONS.
3. SCOPE OF WORK: 3—BEDROOM HOUSE, NEW 1250g SEPTIC TANK, ABANDON EXISTING CESSPOOL PER CODE.
4. GROUNDWATER IS NOT EXPECTED TO BE ENCOUNTERED DURING EXCAVATION, AS EVIDENCED BY THE SOIL TEST HOLE
INFORMATION ABOVE 12 FT. IF AN APPARENT WATER TABLE IS OBSERVED IN ANY OF THE EXCAVATIONS LESS THAN 12
FEET BELOW EXISTING GRADE, NOTIFY THE ENGINEER IMMEDIATELY.
5. EXISTING TANK SHALL BE ABANDONED IN ACCORDANCE WITH THE CODE BY PUMPING, CRUSHING, AND FILLING WITH
COMPACTED CLEAN EARTH MATERIAL.
ADVANTEX AX20 POD 24" INSULATED
6" JIM RISER
CAP _
DESIGN PARAMETERS
NO. BEDROOM: 3 (450 gpd)
TANK SIZE: 1,500 gallon STEP
PERC. RATE: <1 MPI
SOIL RATING: 6 gpd/SF
AREA RQD: 75 SF
SYS. TYPE: 5' WIDE, 05ED,
MIN LENGTH: 15 LF
USE:
25LFx5'WIDE,0.5'ED,2.5' TD
TOTAL AREA: 125 SF
NOTES:
RECORD DRAWING
DESIGN NOTES
ABBREVIATIONS
CU
COPPER
DIP
DUCTILE IRON PIPE
TH
TEST HOLE
FC
FOUNDATION CLEAN OUT
T#
TANK CLEAN OUT NO.
C#
CLEAN OUT NO.
M#
MONITOR TUBE NO.
R. 1.
RIGID INSULATION
DCO
DOUBLE CLEAN OUT
DV
DIVERTER VALVE
FS
FLOW SPLITTER
PANNONE
ENG SVC, LLC
P.O. BOX 102954
ANCHORAGE, AK 99510
PHONE (907) 272-8218 FAX (907) 272-8211
Mann S/D, Block 3, Lot 2A
Bill Bousquett
16201 Golden View Drive
Anchorage, AK 99516
PASSIVE AIR VENT ---®
32.0
7ANCHORA�l
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ww WATER LINE/
WELL RADIUS
— ss — ss — EXIST'G SEPTIC
— ss ss — NEW SEPTIC
CHAINLINK FENCE
4������\\� Date
� ' OF Al—gS11 4/27/10
9��+ Scale
NTS
P.I.D. NO
1
PERMITN04
Steven F2. I'annorie
CE 8149�� SW090213
��lil\ �?OFESSIOtJ�AW � Sheet
4 OF 4
Inspection Report
Municipality of Anchorage, Building Safety Division
4700 Elmore Road
INFO & HELP (907) 343-8211
INSPECTION: VOICE (907) 343-8300 • FAX (907)249-7777 • www.muni.org
Name Dave Fish Permit # 08-1043
Company Inspection Date 13 -Jan -2010 A;''"`
Address 5800 E 162ND AVE Phone 250-7942
Grid SW3238
Subdivision MANN LOT 2A BK3 TR n/a
Work Description 3313 SQ FT LIVING AREA, 1302 SQ FT GARAGE
Insp. performed/prepaid 0/0
Permit Technician DAY, JINNY R.
Comments or Directions Underground for a lift station so can be buried.
Inspection Type Electrical: Underground
Electrical
Comments (for inspector use only)
Inspector�w_ �,�/1ct�egi; tj
Date /� —
Aarow Pump & Well Service LLC
(907)346-9355
Perforation Abandonment
Lot 2A, Block 3, Mann Subdivision
Existing water well at this location with a depth of 200' had perforations from 34' to 39' with
casing depth of 42'. A 4" X 25' PVC sleeve was installed with a formation packer down at
bottom of PVC @ 41'. Bentonite chips were used to seal 15' on top of formation packer. Well
was Hydro Fraced giving a production rate of 5 GPM. 1-6-2010
(907)343-7904
Pump Installation Log
Well Drilling Permit Number: SW Date of Issue:
Parcel Identification Number: Replacement Only: YES NO
Legal Description
Lot 2A, Block 3 Mann
Pump Installation Date: 0110712010
Pump Intake Depth Below Top of Well Casing: 180 feet
Pump Manufacturer's Name: Myers
Pump Model: 2NFL7-12
Pump Size 3/4 hp
Pitless Adapter Burial Depth: 14 feet
Pitless Adapter Manufacturer's Name: Maas C-6
Pitless Adapter Installer: Aarow Pump
Well Disinfected Upon Completion? ® Yes ❑ No
Method of Disinfection: Recirc
Comments:
Property Owner Name & Address:
Bousquet Construction
Pump Installer Name: Aarow Pump & Well Service LLC
PO Box 110496,Anchorage, AK. 99511
(907)346-9355
Attention: The pump installer shall provide a pump installation log to the DSD within 30 days of pump installation.
Development Services Department
Building Safety Division
On-Site Water & Wastewater Program�°�;'gmu
<a
4700 Elmore Street
P.O. Box 196650
Mark Begich
Anchorage, AK 99519-6650
s r v
Mayor
www.muni.org/onsite
(907)343-7904
Pump Installation Log
Well Drilling Permit Number: SW Date of Issue:
Parcel Identification Number: Replacement Only: YES NO
Legal Description
Lot 2A, Block 3 Mann
Pump Installation Date: 0110712010
Pump Intake Depth Below Top of Well Casing: 180 feet
Pump Manufacturer's Name: Myers
Pump Model: 2NFL7-12
Pump Size 3/4 hp
Pitless Adapter Burial Depth: 14 feet
Pitless Adapter Manufacturer's Name: Maas C-6
Pitless Adapter Installer: Aarow Pump
Well Disinfected Upon Completion? ® Yes ❑ No
Method of Disinfection: Recirc
Comments:
Property Owner Name & Address:
Bousquet Construction
Pump Installer Name: Aarow Pump & Well Service LLC
PO Box 110496,Anchorage, AK. 99511
(907)346-9355
Attention: The pump installer shall provide a pump installation log to the DSD within 30 days of pump installation.
MUNICIPALITY OF ANCHORAGE
Development Services Department
On -Site Water 8 Wastewater Program
4700 South Bragaw Street
P.O. Box 196650, Anchorage, AK 99519-6650
(907) 343-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT
Renewal
Date Issued: Oct 14, 2009
Expiration Date: Oct 14, 2010
Permit Number: SWO90213 Parcel ID: 020-041.04
Legal Description: MANN BLK 3 LT 2A
Design Engineer: 0062 PANNONE ENGINEERING SERVK Site Address: 006201 GOLDEN VIEW DR
Owner Name: BILL BOUSQUETT Lot Size: 44961 SQ. FT.
Owner Address: 16201 GOLDEN VIEW DRIVE Total Bedrooms: 3 Permit Bedrooms: 3
ANCHORAGE, AK 99516 -
This permit is for the construction of:
Q Disposal Field ❑✓ Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage
All construction must be in accordance with:
1. The attached approved design.
2. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska
Wastewater Disposal Regulations (18AAC72 ) and Drinking Water Regulations ( 18AAC80 ).
3, The engineer must notify DSD at least 2 hours prior to each inspection. Provide notification by calling
(907)343-7904(24 hours). ( Not required for a Water Supply Permit only).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
must be either: A. Open and closed on the same day.
B. Covered, seated, and heated to prevent freezing.
Received
Issued
DatAK D
Date: r'� /
`.
oft
Municipality of Anchorage
Development Services Department
Septic Tank
Building Safety Division
\
On -Site Water and Wastewater Program
Privy
4700 Elmore Road
Private Well
P.O. Box 196650
Water Storage
Anchorage, Alaska 99507
www.muni.org/onsite
(907)343-7904
ON-SITE SEWER/WELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLING
Parcel I.D. Od 0- y y I_ 0 y
Property
4YO H4
phone 907 230- I01C�
Mailing address 162_01 Gal den D,- Zip Codeg9 C151.4
Site address 5akne_ Zip Code
Legal description (Sub'd., Block & Lot) 1 (Iw V1 Ark Lol r94
Legal description (Township, Range & Section)
Lot Size44 14iq 11 Sq. Ft.
THIS APPLICATION IS FOR (® all that apply):
Absorption Field
1�1
Septic Tank
❑
Holding Tank
❑
Privy
❑
Private Well
❑
Water Storage
❑
Number of Bedrooms "z'
THIS APPLICATION IS AN:
Initial
❑
Upgrade
❑
Renewal
Er
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.
of property owner or authorized
Date of Payment:
Receipt Number: C)cj I R q q Receipt Number.
(Rev. 11105)
MUNICIPALITY OF ANCHORAGE
Development Services Department
On -Site Water 8 Wastewater Program
4700 South Bragaw Street
P.O. Box 196650, Anchorage, AK 99519-6650
(907) 343-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT
Upgrade
Date Issued: Oct 23, 2008
Expiration Date: Oct 23, 2009
Permit Number: SWO80234 Parcel ID: 020-041-04
Legal Description: MANN BLK 3 LT 2A
Design Engineer: 0062 PANNONE ENGINEERING SERVK Site Address: 006201 GOLDEN VIEW DR
Owner Name: BILL BOUSOUETT Lot Size: 44961 SO. FT.
Owner Address: 16201 GOLDEN VIEW DRIVE Total Bedrooms: 3 Permit Bedrooms: 3
ANCHORAGE. AK 99516 -
This permit is for the construction of:
0 Disposal Field ❑✓ 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.
B. Covered, sealed, and heated to prevent freezing.
Received By.
Issued By:
Date:
Date: 3 d
Municipality of Anchorage
4SA
Development Services DepartmentBuilding Safety DivisionOn-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. 020.041.04
Property owner(s) Bill Bousguett
Day phone 907.230.1010
Mailing address16201 Golden View Drive
Zip Code 99516
Site address 16201 Golden View Drive
Zip Code 99516
Legal description (Sub'd., Block & Lot)
Mann SID B3 L2A
Legal description (Township, Range & Section)
Lot Size 44,961 Sq. Ft.
Number of Bedrooms 3
THIS APPLICATION IS FOR (® all that apply):
THIS APPLICATION IS AN:
Absorption Field
®
Initial
Septic Tank
®
Upgrade
Holding Tank
❑
Renewal
❑
Privy
❑
Private Well
❑
Water Storage
❑
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.
Pannone
(Signature of property owner or authorized agent)
Permit/Rush Fees:
Date of Payment:
Waiver Fees:
Date of Payment:
Receipt Number: bag375 Receipt Number:
(Rev. 11105)
Pannone Engineering Services, LLC P.O. Box 102954
Consulting Engineers Anchorage, Alaska, 99510
(907) 272-8218 (907) 272-8211 Fax
October 20, 2008
Municipality of Anchorage
Development Services Department
On -Site Water & Wastewater Program
4700 Elmore Road
P. O. Box 196650
Anchorage, Alaska 99519
Subject: Mann SID, Block 3, Lot 2A
Septic System Permit Request
Ladies and Gentlemen:
I am writing to request an upgrade septic permit be issued for the above referenced lot. The upgraded system will
serve a proposed three-bedroom house; the lot is currently developed. The existing cesspool will be abandoned
in place per code. The lot is served by a private water supply that will be reused. The surrounding developed lots
are served by private water systems; the private wells are located over 100 feet from the proposed soil absorption
system.
1. Soils. A single test hole was excavated in October of 2008. Ground water was encountered at a depth
of 10 feet and stabilized at a depth of 9.2 feet below ground level after the monitoring period. Bedrock was
not encountered in the test holes. The accepting soil has a sand content greater than 50 percent so as not to
require a sand filter. Based on the percolation test results and the overall soils appearance, the soils are
excellent for the use of an advanced wastewater septic system with an application rate of 6.0 gpdpsf.
2. Upgrade System
a.
Percolation Rate:
b.
Application Rate:
c.
Design Flow:
d.
Min. Absorption Area:
e.
Total Depth:
f.
Effective Depth:
g.
Reduction Factor
h.
Width:
i.
Minimum Length:
j.
Design Length:
k.
Effective Absorption Area:
1.
STEP Tank Size:
<1 Min Per Inch
6 gpd/sf
450 gallons per day
75 sf
4.0 feet
0.5 feet
5.0 feet
15 feet
25 feet
125 sf
1500 gallon w/AX 20 pod & Aux Pump Vault
3. Surface Nater: There is no surface water within 100 feet of the proposed STEP tank or the drain
field. The proposed drain field upgrade will maintain at least 100 feet from all surface water and drainage
ditches.
4. Topography: The average topography in the area of the proposed septic system is approximately
nine percent based on survey information.
Page 2 of 2
5. Drawing Markings: The Drawings are marked "For MoA Review Only". When written notification
that the review is complete, and that there are no further comments, is received from MoA On -Site
Department, the note will be removed and "Issued for Construction' drawings will be issued.
The proposed installation will not affect the future development of the surrounding or existing lots. There
are no wells or septic systems within 100 feet of the proposed septic location.
If you have any questions or concerns, please contact me at 272-8218.
Sincerely,
Steven R. Pannone, P.E.
Owner/Civil Engineer
Attachments:
iuizu/08
W:\PES Work Files\Letters\Mann SD B3 L2A Letter.doc
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SEPTIC I W -L.
AREA
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SEPTIC I!AREA ~EXISTING WELL + ' SEPTIC
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WATER 1
NOTES. ate
PANNONE ENG SVC, LLC �� OF Atgs1t D10/23/08
P.O. BOX 102954 ANCHORAGE, AK 99510 „rp:-•' I +� scale
ISSUED FOR CONSTRUCTION PHONE (907) 272-8218 FAX (907) 272-8211 % c .49 TN *0 1'=100'
••• P.I.D. NO
Mann S/D, Block 3, Lot 2Ar� 020-oat-04
••leven f�. • onnone / PERMIT N0.
Bill Bousquett V) y •• CE 81a9
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16201 Golden View Drive #04 x . swet
PLAN Anchorage, AK 99516 �Il,%rvl � Sheet
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PRO4 OSED 15uuAL it I Of
TANK WITH AX20 POD 4N I v
$ , z
) I PROPOSED ? AUX. PUMP. VAULT I I :� a
RI EWA PROPOSED PRIMARY, S , Iw N
LW -i
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> 1 PROPOSED I I
W EXISTING .HOUSE / 10.0'; I I
o I WELL I ISHE� I H1 , PROPOSED IRE EVE
F I i' i AS, 5' WID� 51
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SEPTIC itEXISTING WELL
AREA I I 1
ROAD SIDE DI!I
WITH FLOWING I EXISTING & I I
WATER: ,a I II
�H HOUSE I ;
Date
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DESIGN NOTES
Anchorage, AK 99516
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SPECIAL PROVISIONS TO SPECIFICATIONS
ALL CONSTRUCTION SHALL BE INSTA:LED AS SPECIFIED IN THE MOST CURRENT EDITION OF THE MUNICIPALITY OF
ANCHORAGE STANDARD SPECIFICATIONS (MASS) FOR COMPONENT PARTS AND MATERIALS USED IN CONSTRUCTION OF
ON-SITE WASTEWATER DISPOSAL SYSTEMS.
2. ALL WORK SHALL BE IN ACCORDANCE WITH THE ATTACHED SPECIFICATIONS.
3. SCOPE OF WORK: 3 -BEDROOM HOUSE, NEW 1500g STEP TANK, ADVANTAX AX20 POD, AUX. PUMP VAULT, AND NEW
DRAIN FIELD. ABANDON EXISTING CESSPOOL PER CODE.
4. GROUNDWATER IS NOT EXPECTED TO BE ENCOUNTERED DURING EXCAVATION, AS EVIDENCED BY THE SOIL TEST HOLE
INFORMATION ABOVE 10 FT. IF AN APPARENT WATER TABLE IS OBSERVED IN ANY OF THE EXCAVATIONS LESS THAN 8
FEET BELOW EXISTING GRADE, NOTIFY THE ENGINEER IMMEDIATELY.
5. EXISTING CESSPOOL SHALL BE ABANDONED IN ACCORDANCE WITH THE CODE BY PUMPING, CRUSHING, AND FILLING
WITH COMPACTED CLEAN EARTH MATERIAL.
ADVANTEX AX20 POD
6" JIM
CAPD I L.
6"
PUMP—OUT
24" INSULATED
RISER
DISCHARGE
PUMP
BASIN
TO DRAIN
64" FIELD
DESIGN PARAMETERS
NO. BEDROOM: 3 (450 gpd)
TANK SIZE: 1,500 gallon STEP
PERC. RATE: <1 MPI
SOIL RATING: 6 gpd/SF
AREA ROD: 75 SF
SYS. TYPE: 5' WIDE, 0.5'ED,
MIN LENGTH: 15 LF
IaL.
25LFx5'WIDE,0.5'ED,4' TO
TOTAL AREA: 125 SF
NOTES:
ISSUED FOR CONSTRUCTION I
DESIGN NOTES
ABBREVIATIONS
CU
COPPER
1
DUCTILE IRON PIPE
TH
TEST HOLE
120" —1
FOUNDATION CLEAN OUT
ADVANTEX
SYSTEM
DESIGN PARAMETERS
NO. BEDROOM: 3 (450 gpd)
TANK SIZE: 1,500 gallon STEP
PERC. RATE: <1 MPI
SOIL RATING: 6 gpd/SF
AREA ROD: 75 SF
SYS. TYPE: 5' WIDE, 0.5'ED,
MIN LENGTH: 15 LF
IaL.
25LFx5'WIDE,0.5'ED,4' TO
TOTAL AREA: 125 SF
NOTES:
ISSUED FOR CONSTRUCTION I
DESIGN NOTES
ABBREVIATIONS
CU
COPPER
DIP
DUCTILE IRON PIPE
TH
TEST HOLE
FC
FOUNDATION CLEAN OUT
T(/
TANK CLEAN OUT NO.
Ca
CLEAN OUT NO.
M#
MONITOR TUBE NO.
R.I.
RIGID INSULATION
DCO
DOUBLE CLEAN OUT
OV
DIVERTER VALVE
FS
FLOW SPLITTER
PANNONE
ENG SVC, LLC
P.O. BOX 102954
ANCHORAGE, AK 99510
PHONE (907) 272-8218 FAX (907) 272-8211
Mann S/D, Block 3, Lot 2A
Bill Bousquett
16201 Golden View Drive
Anchorage, AK 99516
PASSIVE AIR VENT --Q
1500
GALLON
TANK
LEGEND
w— WATER LINE/
WELL RADIUS
EXIST'G SEPTIC
NEW SEPTIC
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2
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12
13
14
15
18
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TEST HOLE PES 1
OR TOPSOIL
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GRAVELS and
SANDS with
cobbles. Note to
no fines
SLOPE
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162nd
62
1
EAST
- --F- = - ---- - -
,
WAS GROUND WATER
ENCOUNTERED? Y
IF YES, AT WHAT
DEPTH? -10'-
DEPTH TO WATER AFTER
MONITORING? - 9.2' -
DATE: 10-20-08
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PERCOLATION HATE <1 (mUNnch) PERC HOLE OlAMt t tH ti mcnes
TEST RUN at 4 FT.
DATE PERFORMED: 10-10-08
COMMENTS: Test hole excavated by Whitters Excay. Test Hole was presoaked before perc test.
ISSUED
PANNONE ENG SVC, LLC
P.O. BOX 102954 ANCHORAGE, AK 99510
PHONE (907) 272-8218 FAX (907) 272-8211
Mann S/D, Block 3, Lot 2A
Bill Bousquett
16201 Golden View Drive
PLAN Anchorage, AK 99516
y �P� .Or A(,q. �Ak 10/23/08
'49 TH *�/� NTS
... . .... ..... P.I.D. NO
1-0
eleven fi. annode/ PERMIT NC
114.CE 8149 PERMIT
�i . ... I. L Sheet
5 O 5
SLOPE
THI
READING DATE
CLOCK
NET TIME
WATERTIME
LEVEL
READING
NET DROP
1 10,10-08
3:42
4.32'
o'
2
344
2 MIN
10.42-
8.1• (4M
3
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8
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7
I 349
8
351
2MIN
PERCOLATION HATE <1 (mUNnch) PERC HOLE OlAMt t tH ti mcnes
TEST RUN at 4 FT.
DATE PERFORMED: 10-10-08
COMMENTS: Test hole excavated by Whitters Excay. Test Hole was presoaked before perc test.
ISSUED
PANNONE ENG SVC, LLC
P.O. BOX 102954 ANCHORAGE, AK 99510
PHONE (907) 272-8218 FAX (907) 272-8211
Mann S/D, Block 3, Lot 2A
Bill Bousquett
16201 Golden View Drive
PLAN Anchorage, AK 99516
y �P� .Or A(,q. �Ak 10/23/08
'49 TH *�/� NTS
... . .... ..... P.I.D. NO
1-0
eleven fi. annode/ PERMIT NC
114.CE 8149 PERMIT
�i . ... I. L Sheet
5 O 5
SANITARY SEWER SYSTEM
STANDARD SPECIFICATIONS
ADVANTEX SYSTEM
Part 1 GENERAL
1.01 DESCRIPTION. Provide all labor, equipment, material, and supervision to complete the
sewage disposal system for a single family house for the size indicated on the drawings including, but
not limited to, sewer pipe, septic tank, lift station, treatment pod, drain field, and all required fittings
and appurtenances in accordance with the drawings and specifications.
The Contractor shall be Municipality of Anchorage (MoA) certified to install on-site wastewater
disposal systems within the Municipality of Anchorage.
1.03 RESPONSIBILITY
A. Owner
1. The Owner shall contract with the Contractor to perform the work described in these
specification and the accompanying Drawings in accordance with the attached MOA On -Site
Department Permit. There is no contractual relationship between the Contractor and the
Engineer. The Engineer shall inspect the work as required by MOA On -Site Department, so as
to document the installation. Final acceptance of the Contractors work rests with the Owner
and the MOA On -Site Department.
2. The Owner shall notify the Engineer of any conditions that are known that will affect the design
or installation of the septic system, to include locations of drains, utilities, water wells, property
corners, subsurface anomalies or know hazards.
B. Engineer
1. The Engineer is responsible for inspecting the installation of the septic system and preparing
Record Drawings that document the installation to the satisfaction of the MOA On -Site
Department. Inspections are performed as necessary to document the construction of the
system to the satisfaction of the MOA On-site Department. In all cases, inspection shall be
performed as necessary to establish the following:
• The Original grade at the drain fields and site
• The bottom of all excavations for drain fields
• Top of sand on all sand filters
• Top of drain pipe
• Septic tank, lift station or holding tank prior to back filling
• Placement of filter fabric and insulation
• After final grading and seeding is complete.
2. The inspecting Engineer has no direct authority over the contractor's activities or
construction/safety practices. Should the Engineer identify conditions which dictate a design
change, they will recommend that the work be stopped and/or the design modified. If a design
modification is necessary, the engineer shall notify the property Owner or his/her
representative. The inspecting Engineer does not have the authority to direct the contractor to
modify the system design in such a way that it would be in violation of state or MOA
regulations.
Page 2 of 9
C. Contractor
1. Pre -construction lay -out. The Contractor is responsible for locating all buried utilities,
casements, property lines, surface water setbacks, well radii and water service lines which
may been encroaching upon the proposed septic system. The Contractor shall ensure that all
setbacks are clearly marked and flagged by a Registered Land Surveyor, or other appropriate
means prior to construction. PES field inspectors/engineers will not be responsible for
establishing or confirming any of the aforementioned setbacks.
2. Discrepancy Between Deign Drawings and Specifications: Construction shall be in accordance
with the approved site plan, design drawings and any special conditions noted on the MOA
On -Site Department Sewer Permit. The Contractor is responsible to notify the Engineer of any
discrepancies noted on the design plans or drawings prior to starting work. Failure to notify the
Engineer prior to starting work may void the Contractors claim for additional compensation.
1.04 REFERENCES.
A. American Society of Testing and Materials (ASTM)
1. 1. ASTM D2241 - Standard Specification for PVC Pressure Rated Pipe
2. ASTM D638 - Test Method for Tensile Properties of Plastic
3. ASTM D696 - Test Method for Coefficient of Linear Thermal Expansion of Plastics
4. ASTM D792 - Test Methods for Density and Specific Gravity (Relative Density) of Plastics by
Displacement
5. ASTM D1505 - Test Method for Density of Plastics by the Density -Gradient Technique
6. ASTM D1621 - Test Method for Compressive Properties of Rigid Cellular Plastics
7. ASTM D1622 - Test Method for Apparent Density of Rigid Cellular Plastics
8. ASTM D1785 - Specification for Poly (Vinyl Chloride) (PVC) Plastic Pipe, Schedules 40, 80,
and 120
9. ASTM D2240 - Test Method for Rubber PropertyCDurometer Hardness
10.ASTM D2842 - Test Method for Water Absorption of Rigid Cellular Plastics
11.ASTM D2856 - Test Method for Open -Cell Content of Rigid Cellular Plastics by the Air
Pycnometer
12.ASTM D3034 — Specification for Type PSM (PVC) Sewer Pipe and Fittings
13.ASTM D3350 - Specification for Polyethylene Plastics Pipe and Fittings Material
14.ASTM F789 — Specification for Type PS -46 PVC Plastic Gravity Flow Sewer Pipe.
B. Municipality of Anchorage, On -Site Water & Wastewater Department (MOA Onsite)
1. Anchorage Municipal Code (AMC) 15.65 Wastewater Disposal
2. "On -Site" Wastewater Installers Manual.
3. Municipality of Anchorage Standard Specification (MASS)
4. Standard Specification for Component Parts and Materials Used in Construction of On -Site
Wastewater Disposal Systems, Dated January 1991.
C. International Conference of Building Officials (ICBO) 2003 Uniform Plumbing Code as amended
by the Municipality of Anchorage and adopted November 1, 2005.
1.04 SUBMITTALS. The Contractor shall submit their MOA ONSITE Certified Installer certificate
and number along with the date of class and expiration date prior to installation of system.
W:\PES Reference Files\Llbrary & MoA Forms\Specifications\Septic Specs Advantex System.doc(4/11/08)
Page 3 of 9
The Contractor shall provide shop drawings that indicate construction and configuration of septic tank
and soil absorption system.
After the complete system is installed, the Contractor shall submit unqualified as -built drawings and
certificates on MOA ONSITE approved forms to the Engineer for approval to Operate. The
Contractor shall record surrey notes and submit these with the As-builts. All field joint locations shall
be noted on the as -built drawings.
1.04 SOILS REPORT. Pannone Engineering Services, LLC, conducted a soils investigation. The
Investigation can be found attached to the Drawings.
Part 2 MATERIALS
2.01 BEDDING. Bedding shall conform to MASS Section 20.11 Furnish Bedding Material,
Class B Bedding.
2.02 2.03 GRAVITY SEWER PIPE. Pipes shall conform to the material schedule specified by
Reference B-4 above and shall at a minimum be:
a. Solid pipe: Schedule 3034 PVC plastic
b. Perforated: F810 HDPE or 3034 PVC Plastic
2.04 PRESSURIZED SEWER PIPE. Pressurized line from the septic tank to the drain field
shall be 3034 PVC pipe of the size specified on the drawings.
Pressurized distribution line used in the soil absorption system shall be 3034 PVC pipe of the size
specified on the drawings. The pipe shall be perforated with 1/8" diameter holes spaced at 30 inches
on center along the length of the distribution pipe.
2.05 SEPTIC TANK. The septic tank shall be a S.T.E.P. (Septic Tank with Effluent Pump)
Tank. The S.T.E.P. tank shall be a cylindrical welded steel tank, constructed with No. 10 U.S. gauge
(.135 inch thick) material, with an operating capacity of 1500 gallons. The tank shalt be a two-
compartment design constructed in accordance with the 1997 Uniform Plumbing Code, and
fabricated to the approximate dimensions as shown on Drawings. Tanks of alternate dimensions but
equal capacity may be approved at the discretion of the Engineer. The septic tank shall be
manufactured by Anchorage Tank and Welding or approved equal.
The tank shall have a minimum of two access clean -outs, one four Inch diameter over the inlet and
one over the outlet. The lift station access shall have an opening of a minimum of 18 -inch diameter.
The inlet pipe opening shall be Schedule 40 steel in the location shown on Drawings. The inlet shall
be baffled as shown or as approved by the Engineer. The inlet baffle shall penetrate 6 inches below
the liquid levet in the tank.
Lifting lugs shall be attached to the top of the tank for ease in handling.
W:\PES Reference Files\Library & MoA Forms\Specifications\Septic Specs Advantex System.doc(4/11/08)
Page 4 of 9
All steel structural members shall be jointed by electric arc welding with fillets of adequate section for
the joints involved. Welds shall be continuous inside and out, ensuring a watertight tank. Pipe
passing through tank walls shall be welded on both sides for a watertight fitting.
After welding, all inside and outside surfaces of the tank shall be sandblasted to remove rust, weld
flux, oil, and other foreign material. Weld splatter and surface roughness shall be removed by
grinding. Immediately after cleaning all metal surfaces shall be protected from corrosion by using
Madison Chemical Corro Cote Classic coating or approved equal. The exterior and interior shall be
treated with one coat. Coating applications shall follow the manufacturer recommended procedures.
The lift station portion of the tank shall have a working volume of 250 gallons. The pump floats shall
be set to pump a minimum of 150 gallons per cycle.
Pump shall be an Orenco Model P2005, 25 GPM at 65 feet TDH with a Simplex Model A-1 Control
Panel or approved equal.
2.06 EFFLUENT PUMPING ASSEMBLY, CONTROLS, ALARM & PIPING:
A. Effluent pumping assembly shall be of approved materials, including: A 110 volt or equal UL listed
effluent pump; High-density PVC cylinder housing the pump, with level controls and screen,
serving as a baffle to prevent the screen from clogging; All piping shall be PVC or other non
corroding material approved by the MOA.
B. Pump controls and alarm system shall be an approved system with the following options:
a. Event Counter
b. Elapsed Time Meter
c. Program Timer
d. 10 Watt Heater
e. Remote alarm panel option with a minimum of 80 dB sound pressure at 24 inches,
operating temperature 30 AC to 65 AC, and continuous sound to be located in the house.
f. Oil tight visual alarm with push -to -silence feature. Automatic audio alarm reset.
g. 15 amp motor rated toggle switch, double pole, double throw with three positions; Manual
(man), Automatic (auto), and off.
h. Nema 4x rated fiberglass enclosure with hinged cover, or equal.
I. All controls to be installed per manufactures instructions.
C. Control panel to be installed on outside wall of home within sight of septic/lift station.
D. Piping from septic tank to the trickle filter is to be 1 '/4" PVC schedule 40 solvent weld piping
properly bedded and sloped to drain back to the lift station. Insulation board shall be placed over
the line where the cover is less than four feet.
2.07 TRICKLE FILTER
A. Trickle Filter Pod shall be AX20 manufactured by Orenco Systems Inc. and distributed by
Anchorage Tank & Welding.
B. Install all materials according to manufacturers instructions and in accordance with MOA
regulations.
W:\PES Reference Files\Llbrary & MoA Forms\Specifications\Septic Specs Advantex System.doc(4/11/08)
Page 5 of 9
2.08 AUXILIARY PUMP VAULT
A. Auxiliary Pump assembly shall be of approved materials, including: A 110 volt or equal UL
listed effluent pump; High-density PVC cylinder housing the pump, with level controls and
screen, serving as a baffle to prevent the screen from clogging; All piping shall be PVC or
other non corroding material approved by the MOA.
B. Pump controls and alarm system shall be an approved system and manufactured by Orenco.
C. Control panel to be installed on outside wall of home within sight of Pump Vault.
D. Piping from Pump Vault to the Soil Absorption System is to be 1 Yd' PVC schedule 40 solvent
weld piping properly bedded and sloped to drain back to the Pump Vault. Insulation board shall
be placed over the line where the cover is less than four feet.
2.09 SOIL ABSORPTION SYSTEM. All material used in the soil absorption system shall be
approved for their intended use by MOA Onsite and shall be in conformance with the above
references.
Gravel to be used in the soil absorption system shall conform to AMC 15.65.010 Definitions, Gravel.
Pipes used for monitor tubes shall be 3034 PVC with the portion protruding into the drain field either
slotted or perforated the full effective depth as specified on the Drawings.
Clean-out caps shall be rubber "Jim Caps," or approved equal, securable with adjustable metal
bands. Friction fit caps will not be accepted.
Fitter Fabric shall be Mirafi woven or felted fabric, or approved equal.
2.05 RIGID INSULATION. Rigid insulation shall be rigid board extruded or expanded
polystyrene material meeting the following criteria:
• Density: 2 PCF minimum
• Compressive Strength: 35 psi minimum at 5% yield per ASTM D1621
• Water Absorption: 0.25% by volume, maximum per ASTM C272
• Thermal Conductivity: 0.23 BTU -inr F-ft2-H r, per ASTM C177
2.06 FILTER MATERIAL. Filter Material shall conform to that specified in AMC 15.65.060
Subsurface Disposal Fields, Paragraph D Filter Material.
PART 3 CONSTRUCTION
3.01 GENERAL. All construction shall be installed as specified in the most current edition of
the MoA Onsite Regulations (AMC 15.65), the most current edition of the MOA Onsite Installer's
Manual, Specifications, and Special Provisions.
The Contractor shall restore all disturbed property, including drainage swales, which were disturbed
due to construction activities for this item to preconstruction condition or better.
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The Contractor is required to maintain the required horizontal and vertical separation distance
required by the code. Specifically:
Solid pipes transporting wastewater from the house to the septic tank, and from the septic tank
to the drain field shall have a minimum of 36 inches of vertical separation between any storm
drain or footing drain. If 36 inches of separation cannot be maintained, install a minimum four -
inch (4 -inch) thick insulation buffer between the septic system and the storm drain or footing
drain.
Solid pipes transporting wastewater from the house to the septic tank, and from the septic tank
to the drain field shall have a minimum of 11 feet horizontal and 18 inches vertical separation
between water service lines and mains. Sanitary sewer pipes shall be centered over the
crossing and no joint shall be closer than at least half the standard pipe length to the waterline
crossing.
Septic Tanks and Drain Fields shall be placed no closer than:
• 100 feet to any private well, unless previously approved by the MoA;
• 11 feet horizontally measured to any water main, water service, storm sewer, street light,
transformer pad, electrical/telephone/cable box;
• 10 feet horizontally measured to any side lot line
• 50 feet up -gradient or 20 feet down -gradient of any footing drain or curtain drain.
• Those separation distances required under AMC 15.65
The Contractor shall relocate any item installed with less than minimum measured distances prior to
final inspection and at no cost to the Owner.
3.02 LOCATIONS AND GRADES. The Contractor shall verify and record the horizontal and
vertical locations of all utilities encountered in the field and record any changes on the Contractor
Record Drawings.
The Contractor shall hire or employ a Registered Land Surveyor to stake the location of the septic
tank, drain fields, property lines, well, 100' well radius, ten -foot property line setbacks, or any other
required feature. Failure to properly stake these locations shall be at the risk of the Contractor and the
Contractor shall be responsible if the required distances are not met.
The septic tank shall be placed at the locations and elevations as shown on the Drawings. The tank
shall be set level to a tolerance of plus or minus 0.05 feet from end to end.
The drain field shall be placed in the location shown on the Drawing, with minor adjustments allowed
to minimize excavation and accommodate the existing terrain. The drain field piping shall remain
level over the length of the drain field. The drain field shall be constructed entirely within 30 feet of
the test holes shown on the Drawings. Contact the Engineer immediately if the drain field cannot be
installed in the location shown on the Drawings.
3.03 EXCAVATION.
Sewer services pipes shall be bedded. Bedding and trench backfill shall be compacted to 95% of
maximum density.
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Page 7 of 9
Material that is placed while frozen or during freezing conditions shall be removed and replaced
during periods when the material is thawed so proper compaction can be achieved.
3.03 SEPTIC TANK. The S.T.E.P. tank shall be placed on undisturbed soil on a level grade at
a depth as indicated on Drawings. Backfill around the tank with sewer gravel fill. Fill above the
spring -line of the tank shall be installed in 12 -inch lifts, compacted to 95% maximum density. Any
damage to the protective coating during installation shall be repaired as recommended by the
manufacturer. Ground water may be encountered while placing the septic tank.
The tank inlet shall be set at the elevation shown on the drawings. Care shall be taken during
Installation to ensure the proper elevation drop between the inlet and the outlet. Install flexible
"Furnco" rubber fittings at connection from tank to inlet and outlet pipes as indicated on Drawings.
The contractor shall take caution to prevent the tank from floating once it is set in place. The
contractor shall reset the tank to the proper grade if it floats, at no additional cost to the Owner.
The pump and control system shall be connected to the properties electrical supply, per
manufacturer's instructions.
The pump and alarm system shall be tested before approved by the Engineer.
3.04 PIPES. Pipes shall be joined to one another, to the polyethylene fittings, and cleanouts.
A. Plastic Pipe to Cast Iron. The existing cast iron sewer line from the trailer shall be connected
to the new STEP tank using 4" 3034 PVC Pipe. Connect the two pipes with a Furnco "No -hub"
coupling or approved equal, consisting of a rubber gasket, and adjustable metal bands.
B. Insulpex to Insulpex Piping. Pressurized water and sewer pipes shall use brass
compression connectors meeting ASTM F208 NSF61 and CSA B137.5 requirements. All
connections shall be insulated and sealed in the field.
C. Sewer Distribution Lines. Sewer distribution piping shall be joined using two-part PVC
cement. The first part shall prime and clean the PVC pipe. The second part shall join the two
pipes. Each section shall be able to withstand a working pressure of 25 psi.
All piping shall be placed as shown on the Drawings and placed as straight as practical.
In case of conflict between stationing of pipe or fittings, use dimensioned locations relative to the
centerline and property line, the dimensioned locations shall govern. Dimensions and length called -
out and indicated on the drawings shall govern over the scaled distances. Reliance on scaled
distances and length shall not be allowed and is done so at the risk of the scaler.
3.05 SOIL ABSORPTION SYSTEM. The drain field shall be constructed as shown on the
Drawings and in accordance with all applicable regulations described in AMC 15.65 Wastewater
Disposal.
The drain field area shall be excavated to the elevation and dimensions as shown on the Drawings.
Remove all organics and silt. After excavation, the open hole shall be protected from surface runoff
W.\PES Reference Files\Library & MOA Forms\Specifications\Septic Specs Advantex System.doc(4/11/08)
Page 8 of 9
to prevent the entrance of silt and debris. Under no circumstances shall the use of heavy equipment
be permitted on the drain field surface. All smeared or compacted surfaces shall be raked to a depth
of one (1) inch, and loose material removed, before any of the drain rock is placed.
The bottom of the trench shall be level to within 0.2 feet, end to end.
The gravel and distribution piping shall be installed as shown on the Drawings. Perforated PVC pipes
shall be laid in the drain field so that the holes are placed down in the gravel.
The drain field shall then be backfilled with gravel to a depth of a half -foot above PVC distribution
piping invert. Filter fabric and insulation shall be placed over the bedding as required by the
Drawings. Backfill above the filter fabric with material excavated from the excavation to the elevation
shown. The material shall be mounded over the drain field as shown on the Drawings. Backfill of
drain field shall not be compacted.
All slopes and surfaces shall be top -soiled and seeded with a minimum of six inches of topsoil and
MOA Schedule A Seeding.
3.06 Demolition of Existing Septic Tank. This section is to be used oniy it reguirea an [ne
Drawings. The existing septic tank adjacent to the existing drain field shall be demolished in
accordance with Appendix K of the Uniform Plumbing Code and AMC 15.65. The existing septic tank
shall not be demolished until the new septic tank is connected to the existing residence and is ready
for operation, or if temporary provisions are made and approved by the Engineer.
The septic tank shall be exposed and all piping removed and disconnected. All liquid shall be
removed by an MOA ONSITE Certified Sanitary Pumper and disposed of in a certified septage
disposal area. The top of the septic tank shall be removed. The entire inside shall be coated with lime
to stop the biological action. The septic tank shall be crushed in place or removed and disposed of in
a certified landfill. The ensuing hole shall be filled with unclassified backfill and compacted to the
required density. The area shall be covered with topsoil and shall be seeded per MASS Division 75.
The existing drain field shall be abandoned in place. If the drain field is a crib type system, the crib
shall be collapsed and filled with structural material. The entire are shall be top -soiled and seeded in
accordance with Mass Division 75.
The existing piping that remains shall be disconnected from the septic tank and abandoned in place.
All clean -outs or other indications of the piping at the surface shall be removed.
PART 4 BASIS OF PAYMENT
4.01 METHOD OF MEASUREMENT. Sanitary Sewer System is a lump sum item and will not be
measured directly for payment but shall include all work necessary to install an operational system as
detailed in the Drawings and Specifications. All component items necessary to complete operational
systems will be considered subsidiary to this item and will not be measured separately for payment.
Excavation and backfill for this item will be considered subsidiary. This item will be considered
complete when the system is demonstrated to be operational.
W.\PES Reference Files\Library & MoA Forms\Specifications\Septic Specs Advantex System.doc(4/11/08)
Page 9 of 9
Dewatering operations as required will be considered subsidiary to Sanitary Sewer System.
Submittals required as described in this Section will not be measured for payment but will be
considered subsidiary to Sanitary Sewer System.
5.01 BASIS OF PAYMENT. Sanitary Sewer System will be paid for at the contract lump sum price.
Utility location and coordination required to complete this item will be considered subsidiary to this
item and will not be paid for separately.
Payment will be made under:
W.\PES Reference Files\Library & MoA Forms\Specifications\Septic Specs Advantex System.doc(4/11/08)
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' SEPTIC LOCATED , ; Iocue.M 4 ! J
ON FILE WITH MOA i I
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ROAD DITCH �—j7bAD DITCR DRY
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WATER SETBACK
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NOTES: PANNONE ENG SVC, LLC _ ��oFACgsI� Date oa
FOR REVIEW ONLY P.O. BOX 102954 ANCHORAGE, AK 99510 „tp.•' f 1� scale
PHONE (907) 272-8218 FAX (907) 272-8211 h1 *�/� 1'-100•
�•••• ••••I P.I.D. NO
Mann S/D, Block 3, Lot 2A 020-041-04Steven • nnone / PERMIT NO.
Bill Bousquett �� •• CE 8149 j sw.....
E 16201 Golden View Drive O ••i
s
PLAN Anchorage, AK 99516 (��` \ S` -- SheetOF 5
u
Municipality of An rag
1'lil pG£ 8�' s
•; Development Services Department
Building Safety Division a
On -Site Water and Wastewater Program s A E r.
4700 Bragaw Street
P.O. Box 196650
Anchorage, AK 99519-6650
www.muni.org/onsite
(907)343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL
FOR A SINGLE FAMILY DWELLING
Parcel I.D. 020-041-04 COSA#
Expiration Date:
1. GENERAL INFORMATION
Complete legal description Mann SID Blk 3 Lt zA
Location (site address) 5800E 162 n Anchorage Ak
Current Property owner(s) Bill Bousquett Day phone
Mailing address P. O. Box 111612 Anchorage, Ak.
Lending agency Day phone
Mailing address
Real Estate Agent Day phone
Mailing Address
Unless otherwise requested, COSA will be held by DSD for pickup.
2. NUMBER OF BEDROOMS:
3. TYPE OF WATER SUPPLY:
TYPE OF WASTEWATER DISPOSAL:
Individual Well
®
Individual On-site
Individual Water Storage
❑
Individual Holding Tank
❑
Community Class Well
❑
Community On-site
❑
Public Water System
❑
Public Sewer
❑
The Municipality of Anchorage Development Services Department (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 and may 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 verify that based on the information
obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water
supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes,
ordinances, and regulations in effect at the time of installation.
Name of Firm Pannone Engineering Services, LLC Phone 272-8218
Address P.O. Box '10021.7, Anchorage, AK 99rio
Engineer's Printed Name Steven R. Pannone, P.E. Date 170 ?0_5
Engineers Comments: In conducting an adequacy test, I attempt to provide a thorough, conscientious engineering analysis of the system in
accordance with MOA DSD Guidelines & Regulations. The reported results describe 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 soil condition, ground water OF q +1+
��f
levels that may fluctuate during the year, and the water usage of the family being served by the system. ���P,,.•• ........... a ,• 1+
These conditions are outside the control of the evaluator of this system All systems eventually fail and �?••°• •O•. +,
satisfactory test results do not guarantee future performance of the system, nor do they guarantee that �`;° rH °:' �0
there are no hidden defects or encroachments. PES can therefore not provide any warranty for future •••••n •••• • •• .......h••••• j
performance nor give any estimate of how long the system will continue to meet the operational �,,, 11.
...........................�I[[t}Iyyy--..
requirements of the MOA DSD. The content of this report is for the sole benefit of the owner listed Steven R. Ponnone3i
above. Any reliance upon or use of this report by any other person or parry is not authorized nor will it �/��J��,4 No. CE 8149• F �
confer any legal right whatsoever. ++"C.A:'••.,,•
'`O o•' i
5. DSD SIGNATURE +4+++R `� :.•�
✓ Approved for -3 bedrooms.
Disapproved.
Conditional approval for bedrooms, with the following stipulations:
Attachments:
COSA Checklist X
Septic System Advisory
Well Flow Advisory
Nitrate Advisory
Arsenic Advisory
Maintenance Agreements
Supplemental Engineer's Report
Other
By: Original Certificate Date:�_�_
(Rev. 11/05
Municipality of Anchorage 8 ,
Development Services Department
Building Safety Division
On -Site Water & Wastewater Program
4700 Bragaw Street
P.O. Box 196650
Anchorage, AK 99519-6650
www.muni.org/onsite
(907)343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST
Legal Description: Mann SID Blk 3 Lt 2A Parcel ID: 020-042-04
A. WELL DATA
Well type Private If A, B, or C provide PWSID #_
Date completed Unknown Sanitary seal (Y/N) Y_
Total depth zoo ft. Cased to -42 ft.
FROM WELL LOG
Date of test
Static water level ft.
Well production g.p.m.
WATER SAMPLE RESULTS:
Coliform Neg_colonies/100 mL
Arsenic: ND ug/I
B. SEPTICIHOLDING TANK DATA
Tank Type/Material Steel
Tank size 25oo gal.
Nitrate 2.74 mg/L
Date of sample: 2022
Number of Compartments 2
Well Log (Y/N) N
Wires properly protected (Y/N) Y
Casing height (above ground) 28 in.
AT INSPECTION
/912022
ft.
a.8 g.p.m.
Collected by: PES
Date installed 2/5/2o2o
Cleanouts (Y/N) Y
Foundation cleanout (Y/N) Y Depression over tank (Y/N) N High water alarm (Y/N) Y
Date of pumping 7/3.2/2022 Pumper Anchorage Tank and Welding. Inc.
C. ABSORPTION FIELD DATA
Date installed 2 2o2o Soil rating (g.p.d./ft2 or ft2/bdrm) 6 gad/sf System type AdvanTex
Length 25 ft. Widths ft. Gravel below pipe o.S ft.
Total depth 4 ft. Eff. absorption area 2a ft2 Monitoring tube Y Depression over field N
Date of adequacy test 7/9/2022 Results (Pass/Fail) Pass For 3 bedrooms
Fluid depth in absorption field before test o in. Water added48o gal. New deptho in.
Elapsed Time: Zoo min. Final fluid depth o in.
Absorption rate >= 45o+ g.p.d.
Any rejuvenation treatment (past 12 mo.) (Y/N & type) N If yes, give date
D. LIFT STATION
Date installed ilctzozo Size in gallons z ea. 250 Manhole/Access (YIN) Y
"Pump on" level at +&o in. "Pump off' level at 3 in. High water alarm level at +45 in.
Datum Bottom of Lift Station Cycles tested _3_ Meets alarm & circuit requirements? Y
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tank/lift station on lot 3.00+
Absorption field on lot xoo+
Public sewer main 75+
Sewer /septic service line 25+
On adjacent lots Zoo+
On adjacent lots zoo+
Public sewer manhole/cleanout zoo+
Holding tank zoo+
Animal containment areas ioo+ Manure/animal excrete storage areas ioo+
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Building foundation S+ Property line _r± Absorption field g+
Water main io+ Water service line io+ Surface water ioo+
Wells on adjacent lots ioo+
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line zo+ Building foundation io+ Water main io+
Water Service line io+ Surface water ioo+ Driveway, parking/vehicle storage zo+
Curtain drain
F. COMMENTS
G. ENGINEER'S CERTIFICATION
Wells on adjacent lots ioo+
l certify that t 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.
Engineer's Printed Name Steven R. Pannone P.E.
Date /%A ?/p
COSA Fee $ q`LIU -/
Date of Payment
Receipt Number
(Rev. 11/05)
Waiver Fee $
Date of Payment
Receipt Number
U
,en R. Ponn,
No. CE 8149
0
0
ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND
REPAIR AGREEMENT
MEMORANDUM OF UNDERSTANDING
BETWEEN MUNICIPALITY OF ANCHORAGE
AND RRy t kUAA /'� fL tjQl(7H—j-
THIS MEMORANDUM OF UNDERSTANDING made and entered into as of this
po 'T£eu� Rlux-
a Day of of 20 M , by and between-,�A! Ntc L 1�P_) -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:
1. ADVANCED WASTEWATER TREATMENT SYSTEMS. Municipality
grants permission to Owner to utilize and operate an Advanced Wastewater
Treatment System (AWWTS), described as ADVAKMe7 5�4 w located
at 'D AV4 • AN6 lOp&i A� 4g5�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 pen -nit and design. Prior to
performing any alterations to an AWWTS the owner must obtain a
Wastewater Disposal System Construction Pen -nit 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
($_/ .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.
0
0
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 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
terns 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: SW 046-Z)3 ftNNL&AL
C. Owner acknowledges that the fine schedule for failing to maintain and repair an
AWWTS are codified in AMC 14.60.
0
0
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 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. 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:
0 0
Owner:
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.
OWNER:
By:�� ..
�V
Date: si 2�� Zo17
a
STATE OF ALASKA
THIRD JUDICIAL DISTRICT
MUNICIPALITY:
By:
Title:
Date:
ss.
The foregoin instrume . w ackno 1 dged efore mehi ig Z�5 day of �
20J
20L by (�
J���'D�»Np09�i
NOTARY P BLIC FOR ALAS �'
My Commission expires: ®�y' e
:.PUBLIC •
07/20/2011 05:14 86861#9 APLUS 0 PAGE 02
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