HomeMy WebLinkAboutSOUTHPOINTE BLK 3 LT 7outhpointe
Block 3
Lot 7
#020-311-65
Municipality of Anchorage
Community Development Department Page 1 of 3
On -Site Water and Wastewater Program
4700 Elmore St. • P.O. Box 196650 Anchorage, AK 99519-6650 • http://Www.muni.org/onsite • (907) 343-7904
ON-SITE WASTEWATER INSPECTION REPORT
Permit Number: OSPASMPID Number: 020-311-65 ❑✓ New ❑ Upgrade
Name:
Crown Pointe, Inc.
ABSORPTION FIELD
❑ Deep Trench ❑✓ Shallow Trench ❑ Bed ❑ Mound
Address
P.O. Box 112313 Anchorage, AK 99511
❑ Other
Phone
Number of Bedrooms
Soil Rating
Total depth from original grade
4
4.0 GPD/SF
4.6 Ft.
LEGAL DESCRIPTION
Depth to pipe invert from original grade
4.1 Ft.
Gravel depth beneath pipe
-5FL
Subdivision Block Lot
Southpointe 3 7
Fill added above original grade
0-1 Ft
Gravel length
30 Ft
Township Range Section
Gravel width
5Ft.
Beds: Number of Lines
Distance between lines
I Ft.
SEPARATION DISTANCES
To
Septic
Absorption
Holding
Sewer
Total absorption area
Number of trenches
Dist. between trenches
From
Tank
Field
Lift Station
Tank
Line
1500
- Ftp
TWO
10Ft.
Well
>100'
>100'
>100'
>75'
>25'
TANK El Septic ❑ S.T.E.P. ❑ Holding ❑ Other
Manufacturer
Advantex/Anchorage Tank/Orenco
Capacity
1,5000al.
Surface water
>100'
>100'
N/A
N/A
Material
Number of compartments
Lot Line
>5'
>10'
N/A
NIA
Steel
Two
NA
Foundation
>5'
>10'
N/A
N/A
LIFT STATION
Manufacturer
Capacity
Curtain Drain
None
Noted
Gal.
Remarks Gravity Flow from Tank to Absorption Trench.
Pump on level at ..
n.
Pump off level at
in.
High water alarm at
in.
Pump make and model
Electrical Inspections performed by
Dependable Services Elec.
Installer
PIPE MATERIAL HousetotankD3034 Tankto
drainfeld D3034
Sanders & Sanders
Drainfield F810 COIMT D3034
Inspector MEA
BENCH MARK (Assumed elevation) 100.Oft
Inspection 1�
4/4/15 4/5/15
Location and description
dates: 2m
3" 6/6/15 a'"
Back Deck.
COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL
EnginnazAi0p it
it
Conditional Approval: Date
ti
49 DH
®;'
s• . .
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a - MICHAEL E. ANDERSON
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Approved �-�di S�rT Of Date /S'
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Inspection Report 1-1-12.doc
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Municipality of Anchorage Page 3 of 3
DEVEOPMENT SERVICES DEPARTMENT
4700 Elmore Road Anchorage, AK. 99519-6655 - 343-7904
On -Site Wastewater Disposal System or Well Inspection Report
Permit No.: OSP141283
M
U
PID No. 020-311-65
No Groundwater
11-22-14
PROFILE AS -BUILT
Scale: NONE
MUNICIPALITY OF ANCHORAGE
DEVELOPMENT SERVICES DEPARTMENT
4700 BRAGAW STREET ANCHORAGE, AK 99519-6650
SOILS LOG - PERCOLATION TEST
49th
MICHAEL E. ANDERSON
LEGAL DESCRIPTION: Lot 7, Block 3, Southpointe Subdivision
PERFORMED FOR: Crown Pointe Homes
DATE: 4/4/15 PROJECT No.:
PARCEL ID#: TECHNICIAN: MEA
DEPTH
(feet) TEST HOLE A
I OB/OG
2
3
4 sM/sw
SAND W/SILT
5
6
7
8
9
10 WAS GROUND WATER ENCOL
IF YES Q W EI
I I DEPTH OF WATER AFTER MOI
B.O.H. DATE OF MO
12 No Bedrock Encountered
13
14
15
16
17
18
19
Nn
4T DEPTH?
JITORMG:
NITORING:
DATE
READING
GROSS TIME
(MINUTES)
NET TIME
(MINUTES)
DEPTH To
DATER
(INCHES)
NET DROP
(INCDRO
PERCOLATION RATE: 2.1 (MIN/INCL PERC. HOLE DIA. 6 (INCHES)
TEST RUN BETWEEN: 3 FT. and 4 FT.
COMMENTS: TEST HOLE TO VERIFY LACK OF BEDROCK.
TEST PERFORMED BY ANDERSON ENGINEERING. 1, MICHAEL E. ANDERSON CERTIFY THAT
THIS WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPLE GUIDELINES IN EFFECT ON THIS
DATE: 6/8/2015
MUNICIPALITY OF ANCHORAGE
DEVELOPMENT SERVICES DEPARTMENT
4700 BRAGAW STREET ANCHORAGE, AK 99519-6650
SOILS LOG - PERCOLATION TEST
' 49th
MICHAEL E. ANDERSON
LEGAL DESCRIPTION: Lot 7, Block 3, Southpointe Subdivision
PERFORMED FOR: Crown Pointe Homes
DATE: 4WI5 PROJECT No.:
PARCEL ID#: TECHNICIAN: MEA
DEPTH TEST HOLE B
(feet)
1
2
3
4
5
6
7
8
9
1C
I1
13
14
15
16
17
18
19
OB/OG
SM/SW
SAND W/SILT
WAS GROUND WATER ENCOUNTERED?
IF YES u. WH
DEPTH OF WATER AFTER MO
B.O.H. DATE OF MC
No Bedrock Encountered
SLOPE
AT DEPTH?
NITORING:
NITORING:
DATE
READING
GROSS TIME
(MINUTES)
NET TIJVV4,EPTH
(MINUTETER
ro
INCHES)
NET DROP
(INCHES)
PERCOLATION RATE:: 2.1 (MIN/INCH) PERC. HOLE DIA. 2 (INCHES)
TEST RUN BETWEEN: 3 FT. and--4—FT.
COMMENTS: TEST HOLE TO VERIFY LACK OF BEDROCK.
TEST PERFORMED BY ANDERSON ENGINEERING. I, MICHAEL E. ANDERSON CERTIFY THAT
THIS WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPLE GUIDELINES IN EFFECT ON THIS
DATE: 6/8/2015
Alpine Drilling & Enterprises
Well Log
Permit Number: #SWOSP141283 Date of Issue: 8/12/14 Parcel Identification Number: 02031165000
Date Started: 7-21-14 Date Completed: 7-22-14 is well located at approved permit location? x Yes ❑ No
Legal Description: Block 3, Lot 7G.3738 Soutbpointe
Property Owner Name & Address: Shawn Lannen/Crown Pointe
P.O. Box 112313
Anchorage, AK 99511-2313
Borehole Data:
Depth (ft)
Method of Drilling x air rotary El cable tool
Soil Type, Thickness & Water Strata
From To
Casing type: steel
Stick-up
0 2
Wall Thickness: .250 inches
Gravely silt
2 3
Diameter: 6 inches Depth: 44.3 feet
Liner Type:
bedrock
3 326
Diameter: _ inches Depth: _ feet
Casing stickup above ground: 2 feet
Static water level (from ground level):171 feet
F720
315 326
Pumping level: 320 feet after
1 hours pumping 20 + pm
Recovery Bate: 20 + gpm
Method of Testing: airld
Well Intake Opening Type:
❑ Open End x Open Hole
❑ Screened Start _ feet Stopped _, feet
Perforatious Start _ feet Stopped feet
Grout Type: bentonite chips Volume: 5
D the Start 0 fW Stopped 42 fed
Pump: Intake Depth feet
Pump size,_ hp Brand Name _
Well Disinfected Upon Completion? x Yes ❑ No
Method of Disinfection: chlorine tabteu
Comments:
WellDriller: Alpine Drilling & Enterprises
PO Box 110496
Anchorage AK 99511
'.+' "I acus ALVINt DK1LL1NG PAGE 01/02
Development Services Department
Building Safety Division
• On -Site Water dl Wastewater Program *AE
4700 Elmore Read
P.O. Box 196650
MarkBeglch Anchorage, AK 99507
Mayor www atuni.ora/amite
(907)343-7904
Pump Installation Log
WeII Drilling Permit Number: SW OSP141283 Date of Issue: 8%212014
Parcel I cation Number: 02031168000
egai Description Property Owner Name d Address:
BlockLot 7G3738 Southpointe Crown Pointe
"Ew3 per Dr P.O. BOX 112313
Anchorage, aK 99611,2313
Pump lustallation Date: 3124nots
Pump Intake Depth Below Top of Well Casing. 313 feet
Manufacturer's Name: Gmndtos
Pomp Model: 10 SOE 330
Pump Size 1.9 by
Pitless Adapter Burial Depth: wA feet
Pitless Adapter Manufacturer's Name: NIA
Pitless Adapter Installer: WA
Disinfected Upon Completion? Q Yee ❑ No
od of Dlsinfeetton:
Comments:
Installer Nanle: Aarow Pump 8 WeII Service. LLC
Attention: The pump installer shall provide a pump installation log to the DSD within 30 days of pump installation.
ira��irri7�� #
DEPENDABLE SERVICES ELECTRICAL
PO sox 4357
Palmer, AK 99645
To Whom It May Concern,
June 9, 2015
This letter is to confirm that the lift station at Lot 7 Block 3, South Pointe, has
been wired according to N.E.C. standards by Dependable Services with the license
No.34142.
Sincerely,
Andrew Wessel
(907)317-9954 office
(907)677-1372 fax
akdependableservicesL&gmail. cam
�: '7-
On -Site Water & Wastewater System Permit
MUNICIPALITY OF ANCHORAGE
Development Services Department
On -Site Water & Wastewater Program
4700 Elmore Road, PO Box 196650
Anchorage, AK 99519-6650
Telephone: (907) 343-7904
Permit Number: OSP141283
Tax Code Number: 02031165000
Work Type: WellSeptic Initial
Permit Effective Dates: August 12, 2014 to August 12, 2015
Design Engineer: ANDERSON ENGINEERING
Subdivision: SOUTHPOINTE
Site Legal Address: SOUTHPOINTE BLK 3 LT 7 G:3738
Owner/Address: LANNEN SHAWN D
7221 SETTER DRIVE ANCHORAGE AK 995020000
Site Mailing Address: Lot Size in Sq Ft: 161510
Total Bedrooms: 4
This permit is for the construction of:
Y Disposal Field Y Septic Tank N Holding Tank N Privy Y Private Well N Water Storage
All construction must be in accordance with:
1. The attached approved design.
2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater
Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80).
3. The wastewater code requires inspections during the installation. The engineer must notify the Development Services
Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either:
A. Open and Close on the same day.
B. Covered, sealed, and heated to prevent freezing.
Special Provisions:
1. Per note #4 on the subdivision plat, "Prior to any construction, the owner shall have a Land Use
Enforcement Officer verify the limits of clearing on the site, and ensure they are clearly marked
during construction."
2. Bedrock confirmation testholes are to be placed prior to installation. Please submit stamped
and signed results with the As -built Inspection Report. If the results require a design change,
construction of the system will stop pending On -Site review and approval.
Received
Issued By:
Date: &o
Date: g
MUNICIPALITY OF ANCHORAGE
Community Development Department Phone: 907-343-7904
Development Services Division Fax: 907-343-7997
On -Site Water & Wastewater Program
ON-SITE SEWER/WELL PERMIT APPLICATION
Parcel I.D. 020-311-65
Property owner's) Crown Pointe, Inc.
Mailing address P.O. Box 112313
Anchorage, AK 99511
Day phone 229-1886
Site address 6436 Southpointe Ridge Drive Anchorage, AK 99516
Legal description (Sub'd., Block & Lot) Southpointe, Block 3, Lot 7
Legal description (Township, Range & Section)
Lot Size 161,510 Sq. Ft. Number of Bedrooms Four (4)
APPLICATION IS FOR:
(M all that apply)
Absorption Field
0
Septic Tank
0
Holding Tank
❑
Privy
❑
Private Well
0
Water Storage
❑
APPLICATION IS AN: TYPE OF DWELLING:
Initial 0 Single Family (SF) 1]
(w/wo ADU)
Upgrade ❑ Duplex (D) ❑
RenewwalU RMITAtlepwellings4 F and/or D)
'!l JUL 2 9 2014
THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR:
Dis tance:
I certify that the above information is correct. I further certify that this is in accordance with
applicable Municipal Codes.
property owner or authorized agent)
Permit/Rush Fees: q� !J 7D Z—
Waaiiver Fees:
Date of Payment: 2 1
Date of Payment:
Receipt Number: J!3-2-6
Receipt Number:
Permit No. OW Iy I?n3
Waiver No.
Permit App_9-1-12.doc
July 28, 2014
Municipality of Anchorage
Development Services Department
On -Site Water and Wastewater Program
4700 South Bragaw Street
Anchorage, AK 99519-6650
Subject: Lot 7, Block 3, Southpointe Subdivision
Septic System Design and Permit Application
Impacts to Adjacent Properties
Dear Onsite Services Engineer
The owner of Lot 7, Block 3, Southpointe Subdivision intends to construct a four-
bedroom, home on the lot. We are therefore requesting a permit be issued for
construction of a new well and septic system to serve the new home. The size of the
septic system and the proximity of bedrock to the ground surface in the subdivision limit
the available area for the sewage disposal system and make it difficult to place a
conventional septic system. We have therefore decided to place an Advantex
Treatment System on the lot in conformance with subdivision plat notes to provide the
most effective treatment of the septic effluent prior to discharge into the surrounding soil
strata. The location of the absorption system is shown on the attached Site Plan.
Drainage patterns are also shown on the plan and will not be modified as a result of the
proposed construction.
The test hole placed on this lot during the subdivision development revealed silty sand
with gravel soils with some sand (SM/SP) underlain by bedrock. The percolation rate
in the materials encountered in the area near the new system was 14 minutes per inch.
No groundwater was found and no bedrock to nearly 8'. Our design provides for the
bottom of the absorption trench to be as shallow as possible. We are therefore
proposing to place a four-bedroom Advantex Treatment System. The absorption trench
will be 30' long x 5' wide with a .5' effective depth. The distribution line in the trench will
be placed at 1' below the existing ground level. The total depth of the trench will be
1.5'. A minimum of 3' of fill will be placed above the trench and 4' over the septic tank
to meet Municipal Code and prevent freezing. Insulation with 2' of fill may be placed
instead of the total 3' of cover.
The ground surface of the lot slopes at 5% to the northwest near the location of the
primary absorption trench site. The trench will be constructed parallel with the contours
Lot 7, Block 3, Southpointe
Page Two
July 28, 2014
of the slope as much as possible in conformance with Municipal requirements. All
components of the new septic system will be constructed a minimum of 100' from any
surface water and 100' from the well proposed for the lot. No conflicts exist between
the proposed well and septic system and those in the area. All adjacent lots are
vacant.
If the system is constructed in accordance with our design the following statements
apply:
1. The system, if constructed as designed, will have no adverse impact on the wells
in the area or those to be constructed in the future.
2. The system, if constructed as designed, will have no adverse impact on existing
septic systems in the area or those to be constructed in the future.
3. The system, if constructed as designed, will have no adverse impact on reserve
space, either surface or subsurface, on any lots located in the area.
4. The system, if constructed as designed, will have no adverse impact on drainage
patterns in the area. The current drainage pattern will be maintained.
Sincerely, Q
W�L E a -'U -tel
Michael E. Anderson, P.E.
Attachments
MICHAEL E. ANDERSON
No. CE -4781 •
N
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LOT 7, BLOCK 3, SOUTHPOINTE SUBDIVISION
DESIGN FACTORS: SYSTEM REQUIREMENTS
Four Bedroom Home 5' Wide Trench System
Perc. Rate: 14 MinAnch 4 Bedroom Advantex Treatment System
Application Rate: 4 GPD/SF .5' Drainfield Rock
4 Bedrooms ` 150 GPD/Bedroom = 600 SF Absorption Area
600 SF/4 GPD/SF/5 SF/LF = 30 LF Trench Length
THEREFORE: Construct a 30' Long x 5' Wide x.5' Effective Depth Absorption Trench.
Flow Line Elevation in Trench to be 1' Below Original Ground Surface. Total Depth to be
1.5' Below Existing Ground. Provide 3' Cover Over Trench and 4' of Cover Over Tank.
Revegetate Outer
6" of Mounded Area
3' Cover (Minimum)
Natural
Backfill
6� Geotextile Fabric
6" 4" Perforated
6" PVC (Holes Down)
Drainfield Rock
5'
TYPICAL 5' WIDE TRENCH SECTION
(NO SCALE)���4'
.c�?
NOTE: Grade Area Over Trench to Drain Away.
Minimum 6' Separation From Bedrock. .:....::.
Minimum 4' Separation From Groundwater. i fi
Minimum 100' Separation From Wells in the Area.
Minimum 100' Separation From Surface Water or Streams: Q�',",
MICHAELE. ANDERSON
No. CE4381
MUNICIPALITY OF ANCHORAGE
DEVELOPMENT SERVICES DEPARTMENT/ON-SITE WATER AND WASTEWATER PROGRAM
4700 SOUTH BRAGAW STREET ANCHORAGE, AK 99519-6650
SOILS LOG - PERCOLATION TEST
PROJECT #:
PERFORMED FOR: John Berggren DATE PERFORMED: 5/2/2003
LEGAL DESCRIPTION: Lot 7 Block 3 The Villages West Subdivision
TEST HOLE # 45-A SLOPE SITE PLAN
I(� OG/OL
Bed Rack
(al TT
WAS GROUNDWATER
ENCOUNTERED? No
IF YES, WHAT DEPTH? 0
MICHAEL E. ANOERSON
READING DATE
P
DEPTH OF WATER
None
AFTER MONITORING:
E
DATE:
5/15/2003
�%NIII
... 4CN.
10 15 2003
MICHAEL E. ANOERSON
READING DATE
GROSS
TIME
NET
TIME
DEPTH TO
WATER
NET
DROP
Start 5/2
4:20
2.88"
1
4:50
30
5.12"
2.24"
Recharge
4:51
2.81"
2
5:21
30
5.19"
2.38"
Recharge
5:22
2.75"
3
5:52
30
5"
2.25"
FERC RATE: 14 MIN./INCH PERC. HOLE DIAMETER: 6"
TEST RUN BETWEEN 3.0 FT. AND—L-1—FT.
COMMENTS: Test Hole Pre Soaked Prior to Test.
TEST PERFORMED BY: AH
I, MICHAEL E. ANDERSON, CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE
WITH ALL STATE AND MUNICIPAL GUIDELINES ON THIS DATE: 9/7/2003
MUNICIPALITY OF ANCHORAGE
DEVELOPMENT SERVICES DEPARTMENT
4700 BRAGAW STREET ANCHORAGE, AK 99519-6650
DEPTH
(fee[)
1 -
2 -
3 -
4 -
5 -
7-
8 -
9-
10-
11-
14
15
16
17
18
19
SOILS LOG - PERCOLATION TEST
LEGAL DESCRIPTION: Lot 7, Block 3, SOUthpolnte Subdivision
PERFORMED FOR: Crown Pointe Homes
DATE: 11/15/14 PROJECT No.:
PARCEL ID#: TECHNICIAN: AH
TEST HOLE 45B
OB/OG
SM/SW
SAND W/SILT
SLOPE
WAS GROUND WATER ENCOUNTERED? No
IF YES @ WHAT DEPTH?
DEPTH OF WATER AFTER MONITORING: None
B.O.H. DATE OF MONITORING 11/22/14 E
No Bedrock Encountered
1
MICHAEL E. ANDERSON
No. CE -4361
Professional
DATE
READING
GROSS TIME
(MINUTES)
NET TIME
(MINUTES)
DEPTH To
WATER
(INCHES)
NET DROP
(INCHES)
11/15
TEST HOLE PRESOAKED PRIOR TO TESTING:
1
1:14
10
1.50"/6.25"
1 4.75"
2
1:24
10
1.75`/6.50"
4.75"
3
1:25
10
1.75/6.50"
4.75"
4
1:35
10
1.50^/6.25°
4.75"
5
1:36
10
1.50"/6.25"
4.75"
6
1:46
10
1.75"/6.50"
4.75"
PERCOLATION RATE:
21
(MIN/INCH)
PERC. HOLE DIA. 6 (INCHES)
TEST RUN BETWEEN:
3
FT. and 4
FT.
COMMENTS: TEST HOLE PRE SOAKED PRIOR TO TEST.
TEST PERFORMED BY ANDERSON ENGINEERING. I, MICHAEL E. ANDERSON CERTIFY THAT
THIS WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPLE GUIDELINES IN EFFECT ON THIS
DATE: 2/4/2015
• Municipality of Anchorage
On -Site Water and Wastewater Program
(907) 343-7904
Parcel I.D. 020-311-65
Q�7 8 tf,�
a
�a x,2015 A
SaEE
5n
Certificate of On -Site Systems Approval /
Expiration Date: `
1. GENERAL INFORMATION
Complete legal description Southpointe, Block 3, Lot 7
Location (site address) 6492 Southpointe Ridge Drive Anchorage, AK 99516
Current Property owner(s) Crown Pointe Inc. Day phone
Mailing address P.O. Box 112313 Anchorage, AK 99511
Real Estate Agent Day phone
2. TYPE OF DWELLING:
Single Family (w/wo ADU)
❑ .Duplex U5 4
❑ Multiple Dwellings (Single Family and/or Duplex)
3. NUMBER OF BEDROOMS: Four
4. TYPE OF WATER SUPPLY:
TYPE OF WASTEWATER DISPOSAL:
Individual Well
M
Individual
i]
Individual Water Storage
❑
Holding Tank
❑
Community Class Well
❑
Community
❑
Public Water System
❑ .
Public Sewer
❑
Waiver/Variance request for:
COSA Fee
Date of Payment b ! 1
Receipt Number aLtaG
COSA #
requested by the engineer.
Waiver Fee $
Date of Payment
Receipt Number
Waiver #
5. STATEMENT OF INSPECTION BY ENGINEER
As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation,
based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application,
shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate
for the number of bedrooms and type of structure indicated herein. I further verify that based on the information
obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water
supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes,
ordinances, and regulations in effect at the time of installation.
Name of Firm Anderson Engineering
Address P.O. Box 240773 Anchorage, AK 99524
Engineer's Printed Name Michael E. Anderson, P.E.
Phone 522-7773
Date
. 49..
TH X14
6. DSD SIGNATURE
(�,� B
System #1 Approved for �_ bedrooms 0, V0MICHAEL E AN�sonl
BO 1 : GE -4381 �2"e
System #2 Approved for bedrooms 1/ r��. G a8 �s,••��
Disapproved 44tIPR®®O+40'
Conditional approval for bedrooms, with the following stipulations:
B r ur f —rAtT Original Certificate Date: Y ju.>
T e unicipality of Anchorage Development Services Division (DSD) Issues Certificates of On -Site Systems Approval (COSA) based only
upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality
of Anchorage is not responsible for errors or omissions in the professional engineer's work. _
7. ATTACHMENTS:
COSA Checklist X Nitrate Advisory
Septic System Advisory Arsenic Advisory
Well Flow Advisory Other
COSH blue sheet f '.t c
If more than 7 septic system is on the lot:
COSA Checklist # _of
Structure served by this system
Certificate of On -Site Systems Approval Checklist
Legal Description: Southpointe, Block 3, Lot 7
A. WELL DATA
Well type Private If A, B, or C provide PWSID #
Date completed 7/21/14 Sanitary seal (Y/N) Y
Total depth 326 ft. Cased to 44.5 ft.
FROM WELL LOG
Date of test 7/21/14
Static water level 171 ft.
20
Parcel ID: 020-311-65
Well Log (YM) Y
Wires properly protected (Y/N) Y
Casing height (above ground) >18 in.
AT INSPECTION
ft.
Well production g.p.m. g.p.m.
WATER SAMPLE RESULTS:
Coliform 0 - colonies/100 mL Nitrate ND mg/L
Arsenic N/D ug/L Date of sample: 5/19/15 Collected by: JA
B. SEPTIC/HOLDINGJANK DATA
Tarik Type/Material Septic/Steel/Advantex Date installed 14/4-5/15
Tank size 1,500 gal. Number of Compartments 2 Cleanouts (Y/N)
Foundation cleanout (Y/N) Y Depression over tank (Y/N) N High water alarm (Y/N)
Date of pumping New 11 - Construction
C. ABSORPTION FIELD DATA
Y
Y
Date installed 4/5/15 Soil rating (g.p.d./ft2 or ft2/bdrm) 4 GPD/SFSystem type 6 Wide
Length 30 ft. Width 5: ft. Gravel below pipe .5 ft.
Total depth 4.6 ft. Eff. absorption area 150 ft2 Monitoring tube Y Depression over field N
Date of adequacy test New Const. Results (Pass/Fail) For _ bedrooms
Fluid depth in absorption field before test - in. Water added gal. New depth in.
Elapsed Time: min. Final fluid depth in. Absorption rate >= g.p.d.
Any rejuvenation treatment (past 12 mo.) (Y/N & type) If yes, give date
D. LIFT STATION
Date installed
"Pump on" level at
Datum
Size in gallons
in. "Pump off' level at
_ Cycles tested _
Manhole/Access (Y/N)
in. High water alarm level at
Meets alarm & circuit requirements?
E. SEPARATION DISTANCES
WELL ON LOT TO:
> 100' >,i00,
Septic tankAift station on lot
On adjacent lots
Absorption field on lot
>100'
On adjacent lots >100'
Public sewer main
N/A
Public sewer manhole/cleanout N/A
Sewer /septic service line
>25'
Holding tank N/A
Animal containment areas
>50'
Manure/animal excrete storage areas >100,
SEPTIC/HOLDING TANK ON LOT TO:
Building foundation >5f Property line >5V
Water main >100' Water service line >10'
Wells on adjacent lots >100'
ABSORPTION FIELD ON LOT TO:
Property line >10' Building foundation >10'
Water Service line >10' Surface water >100,
Curtain drain None Noted Wells on adjacent lots >100'
F. COMMENTS
G. ENGINEER'S CERTIFICATION
I certify that 1 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 Michael E. Anderson, P.E.
Date 6/8/15
COSA brown sheet 10-10-12.doo
Absorption field >51
Surface water >100,
Water main >10'
Driveway, parking/vehicle storage >10'
in.
111=80'
GASTALDI LAND
SURVEYING, LLC
JEFF A. GASTALDI, R.L.S.
2000 E. DOWLING RD., SUITE 8
ANCHORAGE, ALASKA 99507
PHONE 248-5454
GRID
SW3738
F.B.
15-01
DATE
3/24/2015
JOB NO.
SS73
PLAT NO. 2007-37
SOUTHPOINTE SUBDIVISION
7, BLOCK 3
161,510 S.F.
I HEREBY CERTIFY THAT I HAVE SURVEYED THE
PROPERTY DEPICTED ABOVE AND THAT NO
ENCROACHMENTS EXIST EXCEPT AS INDICATED.
IT IS THE RESPONSIBILITY OF THE OWNER TO
DETERMINE THE EXISTENCE OF ANY EASEMENTS,
COVENANTS OR RESTRICTIONS WHICH DO NOT
APPEAR ON THE RECORDED SUBDIVISION PLAT.
UNDER NO CIRCUMSTANCES SHOULD ANY DATA
HEREON BE USED FOR CONSTRUCTION OR FOR
ESTABLISHING BOUNDARY OR FENCE LINES.
ANCHORAGE RECORDING DISTRICT, ALASKA
NOTE: NO CORNERS SET THIS DATE
49TH
....................
Jeffery A. Gastoldi :
15-6091 : 4' W �
aft ••.�• 'ij/zal �f: J�,O t
— DRIVEWAY ESWT.
(2011-024327-0)
— 28' DRIVEWAY ESMT.
(2008-052829-0)
BUILDING DETAIL
SCALE: 1 "=20'
ADVANCED WASTEWATER TREATMENT SYSTEM
MAINTENANCE AND REPAIR AGREEMENT
BETWEEN MUNICIPALITY OF ANCHORAGE
AND ,96 / i
THIS MAINTENANCE AND REPAIR AGREEMENT made and entered into as of this
2 Day of Yu..c_ of 20 15, by and between 1%%P
herein the "OWNER," and the Municipality of Anchorage, herein the
"MUNICIPALITY." In consideration of the mutual covenants contained herein, the
parties to this Maintenance and Repair Agreement 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
Advantex Wastewater Treatment System
located at (legal description).
2. Definitions.
Alteration. Any change to the design or function of an AW WTS that
includes the installation or removal of any parts, components or pieces not
included in the original construction permit and design.
Certificate of On -Site Systems Approval (COSA). 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 Anchorage
Municipal Code (hereinafter, "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.
Damage. Any man-made or natural change in a system that would inhibit
the system from performing as designed.
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.
Permit. An On -Site Wastewater Disposal Permit as required by AMC
15.65 to construct and operate an AWWTS.
3. Term. The term of this Maintenance and Repair Agreement shall begin on the
date of approval by the Municipality to operate the installed system or issuance of a
COSA, and shall continue while the AWWTS is in use or is operational or until the
property is sold or title is transferred by the owner and a new COSA is issued to the
new owner or transferee of the property.
4. Alterations. Installation and Removal of Additional Equipment. Prior to
performing any alterations to an AWWTS, the owner agrees to obtain an On-site
Wastewater Disposal Permit from the Municipality in accordance with AMC 15.65.
5. Maintenance and Repairs.
A. Throughout the term of this Maintenance and Repair Agreement, the Owner shall
maintain their AWWTS in a satisfactory condition capable of producing treated
septic effluent in accordance with the equipment's approval for operation in the
Municipality. The owner shall enter into a service agreement with an AWWTS
service and maintenance provider approved by the municipality and the
manufacturer of the AW WTS for the entire term of the AW WTS. In addition, it
shall be the responsibility of the Owner during the term of this Maintenance and
Repair Agreement, and any 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.
B. Owner agrees to comply with all applicable ordinance, laws, regulations, rules
and orders for the AW WTS.
C. Upon request by the Municipality, the owner agrees to provide the Municipality a
written schedule of routine maintenance and repairs which have been performed
on the system. When a record of maintenance is documented and maintained by
the system vendor, the owner agrees to allow the Municipality access to this
information.
D. Owner acknowledges that the fine for failing to maintain and repair an AW WTS
may be assessed in accordance with AMC 14.60 for improper discharge.
E. Owner agrees that only maintenance and repair personnel approved by the
Municipality will inspect and make any necessary maintenance, repairs or
permitted alterations to the system.
F. Owner agrees to grant the Municipality reasonable access to test and inspect the
AW WTS upon 24 hours written notice.
G. Owner agrees that any sale or transfer of title of the property will not occur
without a new Certificate of On -Site Systems Approval.
H. Owner agrees that the AW WTS installation and maintenance requirements as
provided by the AWWTS vendor/installer and approved by the Municipality are
the governing guidelines for the construction, maintenance and repair of the
Owner's AW WTS.
6. Nonwaiver. The failure of either party at any time to enforce a provision of this
Maintenance and Repair Agreement shall in no way constitute a waiver of the
provisions, nor in any way affect the validity of the Maintenance and Repair
Agreement or any part hereof, or the right of such party thereafter to enforce each and
every provision hereof.
7. Amendment.
A. This Maintenance and Repair Agreement shall only be amended, modified or
changed by a writing, executed by authorized representatives of the parties, with
the same formality that this Maintenance and Repair Agreement was executed
with, and such writing shall be attached to this Maintenance and Repair
Agreement as an amendment.
B. For the purposes of any amendment modification or change to the terms and
conditions of this agreement, the only authorized representatives of the parties
a. Owner:
b. Municipality: Director, Community Development or designated authority
C. Any attempt to amend, modify, or change this contract by either an unauthorized
representative or unauthorized means shall be void.
8. Jurisdiction: Choice of Law. Any civil action arising from this Maintenance
and Repair Agreement 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 Maintenance and Repair
Agreement.
9. Severability. Any provisions of this Maintenance and Repair Agreement decreed
invalid by a court of competent jurisdiction shall not invalidate the remaining
provisions of the Maintenance and Repair Agreement.
O
By: ff /� (signature) Date: �� "`e 31 5
M�cict-0,1 1 a<L (print name)
STATE OF ALASKA )
) ss.
THIRD JUDICIAL DISTRICT )
The foregoing instrument was acknow edged before me this ?day of
20_15, by Mic Re ( r1kreSa
E.
NOTARY PUBLIC FOR ALASKA v®T49�
My Commission expires: Q g? l /5
MUNICIPALITY:
OF
By: (signature) Date:
(print name) Title: