HomeMy WebLinkAboutRABBIT CREEK VIEW & HEIGHTS BLK 6H LT 7ARebbit ¢
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Block 6H
Lot 7A
#020-561-44
/
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/Municipality
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/On
-Site Water and Wastewater Section - (907) 343-7904ON-SITE
1 of 2Permit
WASTEWATER INSPECTION REPORTPage
Number: OSP1 51363PID
Number. 020-561-44Dwelling:
X Single Family (SF) with ADU Duplex (D) El Two Single Family Project:
New FJ UpgradeNameClaire
Steffens
ABSORPTION FIELDSite
Address8416
Densie Cir
El Deep Trench R Wide Trench El Bed H MoundPhone
Number of Bedrooms Soill Rating Other otal epth from original gradeI
EGAL DESCRIPTION
4.0 GPD/SFJ +2.0 Ft.:Subdivision
Depth to pipe invert from original grade I Gravel depth beneath pipe—fownship
Block Lot
Range Section ill added above o iginal grade Gravel lengthGravel
width Beds: Number of Lines Distance betwee-n lines�5EPARATION DISTANCES
5.010 n/aI Septic Absorption Ft.From Tank Field Lift Station Holding Se IDist, between trenchesWell
100'+ 100
Septic 9 S.T.E.P. El Holding E] Other1+
CapacitySurface
water 100 100'+
nc orage Tank
100'+ n/a 1500
Line 51
Gal,Lot
Material Number of compartmentsFoundation
10'+ 101+
104 n/a LIFT STATIONOrenco
250 Gal.Alarm
location Electrical installed byHouse
Capstone ElectricTank
0toinstaller PIPE MATERIAL House to tank 3034 clZ f, 1 3034inspector
Pannone EngineeringInspection
BENCH MARK (Assumed elevation) 1265.0
is, 7/19/16
ftdates:
2"1 7/20/16 Location and description3
Id
4'11 Top of foundation wall at point BON
-SITE WATER AND WASTEWATER
SECTION APPROVAL Engineers Stamp
conditional Approval:
Septic Sy
Approved S!i&L1M_;,_ �4'1z, Date
Note: this approval does not include well permit requirem
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NOTES: PANNONE ENG SVC. LLC (C.I. 1088) REVISIONS DATE
RECORD DRAWING
A4,1�',,,, RE,
r
�v - , 11 1: 11/5/2020 SCA7/24/2020
LE
C9 RE 2: 4/15/2022 1 = 50'
RABBIT CREEK VIEW & HEIGHTS B6H L.7A P.I.D. 1110
DRAWN ACP CLAIRE STEFFENS 020-561-44
g. St- R. Ponnone
RERMIT NC_:.
SITE: 8416 DENISE CIR. CE -8149 OSP1 51363
SITE PLAN ANCHORAGE, AK
® DOC CO dba
BILL % [;OLE
OPW
ULLIVAN WATER WELLS
VP.O. Box 670269, Chugiak, AK 99567 688-2759
OWNER OF LAND: Claire Steffens
ADDRESS: PO BOX 101847
LEGAL DESCRIPTION Rabbit Crk View & Heights 1361-1 L7A
DATE: 6-24-16
PERMIT OSPIS1363 DATE OF ISSUE: 10/30/15
NUMBER:
TAX IDENTIFICATION 02056144000
NUMBER
Is well located at approved permit location: ®Yes ❑No
Method of Drilling: ®air rotary ❑cable tool
Depth of Well: 100'
Casing Type: Steel Wall thickness .250 inches
Diameter: 6 inches, depth 100 feet
Liner type
Static Water Level: Flowing feet
Recovery Rate 4 ® gpm El gph
Method of Testing Air
Well Intake Opening Type: ® open end ❑open hole
❑ Screened Start feet Stopped
® Perforations Start 70 feet Stopped 75
Grout Type: Bentonite Volume: 50 lbs
Depth: from 2 feet, to 42 feet
Well Disinfected Upon Completion: ®yes ❑ no
Method of Disinfection: Chlorine 50 PPM
Comments:
Bore Hole Data
Depth
From To
0 2
2 4
4 12
12 35
35 65
65 70
70 75
75 100
Casing Stickup
Overburden
Clay & Gravel/Silt
Silty Sand & Gravel
Silty Sand & Gravel w/ Clay
Silty Sand & Gravel Tight
Silty Sand & Gravel Water
Tight Silt Sand & Gravel
Drillers Name: Cole Sullivan
ATTENTION: It is the responsibility of the property owner to submit a copy of the well log to the proper authority.
Well Drilling Permit (Number: SW
Parcel identification Number:
•
Olr111111 44 A XU
,Yr
www.sullivanwaterwells.com
Pump Installation Log
OSP151363 Date of Issue 10/30/15
02056144000
Attention: The pump installer shall provide a pump installation log to the DSD within 30 days of pump installation.
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Permit Number:
Tax Code Number:
Work Type:
On-Site Water & Wastewater System Permit
0SP141346
02056144000
WellSeptic
MUNICIPALITY OF ANCHORAGE
Development Services Department
On-Site Water & Wastewater Program
4700 EImore Road, PO Box 196650
Anchorage, AK 99519-6650
Telephone: (907) 343-7904
Initial
Permit Effective Dates: October 31, 20'14 to October 3'1, 2015
Design Engineer: PANNONE ENGINEERING SERVICE
Subdivision: RABBIT CREEK VIEW & HEIGHTS
Site Legal Address: RABBIT CREEKVIEW & HEIGHTS BLK 6H LT 7A G:3341
Owner/Address: STEFFENS CLAIRE
PO BOX 101847 ANCHORAGE AK 995101847
Site Mailing Address:
Lot Size in Sq Ft: 19267
Total Bedrooms: 3
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.
Received By: /~
Date:
Municipality of Anchorage
P.O. Box 196650 · 4700 Elmore Road
Anchoraqe, Alaska 99519-6650 · (907) 343-7904 · Fax (907) 343-7997
http://www.muni.orqlOnslte
Development Services Division
On-Site Water and Wastewater Pro.qram
**** VARIANCE/WAIVER REVIEW ****
Waive¢: OSP141490 COSA#: Permit-CC: OSP141346
PID#: 020-561 ~44
Legal Description: Rabbit Creek View & Heiqhts, Block 6H, Lot 7A
Engineer: PES
Applicant: Claire Steffens
Your request for a waiver to use proposed code section AMC 15.65.201D3c "Engineered
Receiving Soil" for the absorption field design has been approved.
This waiver approval applies to the proposed absorption field only.
[] The affected adjacent property owner(s) have been given a 7 day notice regarding this
waiver.
[] Notarized letter(s) of non-objection have been received from the owner(s) of the affected
adjacent property.
[] Adjacent properties are not affected by this waiver.
Waiver is Granted: X Waiver is not Granted.'
Date: [ q//_~[: ,~ Approved b '~-
( f N~me of Reviewer
MUNICIPALITY OF ANCHORAGE
Community Development Department
Development Sep,,ices Division
On-Site Water & Wastewater Program
Phone: 907-343-7904
Fax: 907-343-7997
ON-SITE SEWERNVELL PERMIT APPLICATION
Parcel I.D. 020-561-44
Properly owner(s) CLAIRE STEFFENS
Mailing address PO BOX 101847 ANCHORAGE AK 99510
Day phone
Site address DENISE CIRCLE
Legal description (Sub'd., Block & Lot) Rabbit Creek View and Heights, Block 6H, Lot 7A
Legal description (Township, Range & Section)
Lot Size 19,267 .Sq. Ft. Number of Bedrooms 3
APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING:
([~ all that apply)
Absorption Field [] Initial [] Single Family (SF) []
(w/wo ADU)
Septic Tank [] Upgrade []
Duplex (D) []
Holding Tank [] Renewal []
Multiple Dwellings []
Privy [] SUi~Mir~AL(SF and/or D)
Private Well []
Water Storage []
THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR:
*,¢.,~ ~:" .. , Distance:
I certify that the above information is correct. I further certify that this is in accordance with
applicable Municipal Codes.
(Signature of property owner or authodzed agent)
Permit/Rush Fees: 5(~ 't- 2-IS- '~¢¢t'--Waiver Fees: $~/F
Date of Payment: ~'~ [¢t [ ,~"~ C,~c.. 0o~' ~ Date of Payment:
Receipt Number: ~'1,01~'~ Receipt Number: 0~'~'",~-~
Permit NO. C)~i214 ~'~o Waiver NO.
Permit App_?- :-: 2..:c;
Pannone Engineering Services LLC
Steven R. Pannone, Principal
Registered Professional Engineer
E-maih steve~panengak.com
Municipality of Anchorage
Development Services Department
On-Site Water & Wastewater Program
4700 Elmore Rd.
P. O. Box 196650
Anchorage, Alaska 99519
October 28, 2014
Subject:
Rabbit Creel< View & Heights, Block 6H, Lot 7A
Well and Septic System Permit Request
Ladies and Gentlemen:
I am writing to request a permit to install a well and septic system be issued for this property. The
proposed systems will serve proposed three bedroom (3) bedroom house. Currently the lot is
undeveloped. The proposed system will utilize a 1500g S.T.E.P. tank with an AX20 Pod and Auxiliary Pump
Vault. The surrounding lots are a mix of developed and undevelo ~ed. The surrounding lots are served by
private wells and all are 100'+ from the proposed septic.
Soils. One test hole was performed by Pannone Engineering Services in July of 2014, and groundwater was
monitored for seven days. Ground water was observed at two feet (2.00') below the ground surface on
October 24th. It is my opinion, based on the results of the percolation tests and overall soils appearance;
an application rate of 2 gallons/day/square feet should be used for a CAT III wastewater system.
Soil Absorption System Design.
a. See Sheet 2 of the design package.
2. Surface Water: There is no surface water within 100 feet of the proposed septic tank and drain
field. The proposed drain field will maintain at least 100 feet from all surface water and drainage ditches.
3. Topography: The existing topography slopes from the south to the north at approximately 6% in
the area of the proposed drain field. There are no steep slopes in the vicinity of the drain field.
4. Waiver Request for use of Engineered Receiving Soil (ERS). I am requesting a waiver to the 1992
Code to use the proposed Code Update Section of Engineered Receiving Soils (ERS). Below I will detail my
request justifying the use of ERS:
Mailing: P.O. Box 100217, Anchorage, AK 99510-0217
Physical: 332 East Manor, Anchorage, AK 99501
Telephone: (907) 272-8218 FAX: (907) 272-8211
Pa§e 2 of 2
a. One test hole was excavated by PES in 2014. The soils logs are attached. Ground water
was monitored.
b. This design proposes to use two types of ERS. The base soils that will act as an interface
between the existing soils and the soil absorption system (SAS) will be MoA Type II or Type
IIA, which has a specified gradation per MASS. This interface will be approximately two feet
in depth and will be compacted to approximately 80 percent to allow free flow of the
effluent through it into the native soil using MoA Waste Water Code application rates. The
infiltration area of the interface between the ERS and the in-sKu soil was based on the 30-
60 minute per inch percolation rate of the in-situ receiving soil. A two foot thick filter sand
layer will be placed over the MoA Type Il material to act as an interface between the SAS
and ERS.
c. The SAS is sized assuming a percolation rate of the ERS soil, assumed 6-15 MPI, which gives
an application rate of 4 GPDSF.
d. The system will protrude above the ground surface. The cover of the system will produce a
mound, which will have at a minimum, three to one side slopes and six inches of organically
rich soil to promote the growth of vegetation.
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 sur{ounding or existing lots. There
are no surrounding wells 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
Mailing: P.O. Box 100217, Anchorage, AK 99510-0217
Physical: 332 East Manor Ave, Anchorage, AK 99501
Telephone: (907) 272-8218 FAX: (907) 272-8211
-- ' ' ~ ~ ~/~ 1' ~~ '~,~ ~ nE~D e)
~ ; ~ Il / MI~ ' ~J~ ~ 23LFX~'WlDE, OS'ED,~2.0'TD
~NICKLEEN DIT'~H~ ,~ I J ./ N~/ ~ W/' A 2' SAND LAYER TH~N MOA~PEII
% j ~ X~j v ~ LblOA TYPE 9 O' ~ '
'X I I HOUSE(P) ~/~ -2 O' TD
~ '~ ~1 J ~ %V ~ SAME AS PRIMARY /
! '~ --W~" V ' NEW 15OOg S.T E P TANK
' ~, - . ~ W/ AX20 POD~¢ AUX PUblP VAULT
. .... ,/ . z i /' / ~
FOR CONSTRUCTION p,0. BOX 100217 ANCHORAOE, AK 99510
PHONE (907) 272-8218 FAX (907) 272-8211 ~" ~-'J~ljl
~~.. . ~"=so'
P~.D. NO
RABBIT CREEK VIEW & HEIGHTS, BLOCK 6H, LOT 7A ~ 020 561-44
OLAIRE ~TKFFEN~ ~ERMIT ~0.
DKMI~E OI~OL~ osP1413~6
PLAN ANCHORAGE, AK 995~6 ll~?bi~;}i&;~x~p~ Sheet
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 AND ATTACHED SPECIAL PROVISIONS.
2. SCORE OF 'WORK: INSTALL NEW 15009 S.T.E.P. TANK WITH AX20 POD, SOIL ABSORPTION SYSTEbl, AND WELL
$ GROUNDWATER WAS MONITORED AT 20 FEET BELOW EXISTING GRADE AS EVIDENCED BYTHE SOIL TEST HOLE. IFAN
APPARENT WATER TABLE IS OBSERVED IN ANY OF THE EXCAVATIONS LESS THAN 2.0 FEET BELOW EXISTING GRADE
NOTIFY THE ENGINEER IMMEDIATELY
RIGID INSULATION / FILTER FABRIC
~ ///~
5 ~TYP~ '~ / ~ TOPSOIL AND
TE (TYP)
' ~ ~ ~9 O' %MOATYPE II
GM25' (7/5/2014,, '
SECTION
~ ~ 0 ~ ~ ~ ' / / I 25' ~ PERF PIPE
ONBUILDNOPA~ ~ ~ ~ ~ ~ / /,,'/, ~V~E~E(WP)
- ,~ NEW 1500 g
[ W/AX20 POD TRENCH SEE DESIGN
DESIGN P~Rzb,IETERS I. 27.0'
PRIMARY/ RESER,,E SEPTIC S rSTE~4 PROFILE
TAN~ SIZE: I~OOg S.T E.P. LE,OEND DU COPPER
SOIL PATING: ¢ GPD,/SF (for eng fill) c3 FOUNDATION CLEAN OUT
AR[~ ROD: 112.5 SF
SOIL R~TING: 2 GPD/SF (IN-SITU SOIL) ~ 88 ~ NEW SEPTIC T~ T~NF CLEAN OUT NO.
~E~N
~REA ROD: ~25 SF C~ '~' ~ OUT NO.
SYS. TYPE WIDE TRENCH 0.5' E.D M~ M'~,k ~,R TUBE NO,
OCO DCDBLE CLEAN OUT
23 LF X ~' WIDE, Ob' ED., + 20' TO FS FLOW SPLITTER
~' SAND LAYER THEN OO O~IGINAL GRADE
27 LF X 9.0' WIDE 3.0' MOA ~PE II, FG FINISH G~ADE
TOTAL ~REA: 115 SF (EN~ PILL) ~ 2~3 SF {IN-SITU SO!L)
NO S: ENG
FOR CONSTRUCTION P,O, BOX 100217 ANCHORAGE, AK 99510 ~ ~:.'
PHONE (907) 272-8218 FAX (907) 272-8211 ff&~ ~'~lk Scde
CLAIRE STEFFENS )~¢~'. CE 8149 ,'~ff PERMIT NO
DENISE CIRCLE rJl%'...
DESIGN DETAILS ANCHORAGE, AK 99516 q~be~s~t~k~~ Sheet
,~X~.--~ 2 or 4
TEST HOLE 1
OR ORGANICS
WET SILTY
GM
GRAVEL
! BROWN SAND &
GM/SM GRAVEL W/SOME
SILT
BOH
DATE PERFORMED: 0/30/14
SOILS LOG - PERCOLATION TEST
SLOPE
WAS GROUND WATER
ENCOUNTERED? Y
IF YES, AT WHAT TH
DEPTH? -6.0' X
DEPTH TO WATER AFTER
MONITORING? -2.5'-
DATE: 7/8/2014
DEPTH TO WATER AFTER I j j
MONITORING? -2.0'- i READING NETTIME
DATE: 10/24/2014 ~
J 4
PEROLATION RATE (rain/inch) PERC HOLE DIAMETER 6 inches
SOIL SAMPLE TAKEN, SOILS LOG ATTACHED
COMMENTS: Test hole excavated by the Lot Owner, Prec hole was presoaked.
Test run for one hour. Last 3 readings reported
PERFORMED BY: Steven R. Pannone, P,E. I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE
WITH ALL STATE AND MUNICIPAL GUIDLINES IN EFFECT ON THE DATE OF THIS TEST,
NCTES:
FOR CONSTRUCTION
SOILS LOG
PANNONE ENG SVC, LLC
P.O, BOX 102954 ANCHORAGE, AK 99510
PHONE (907) 272-8218 FAX (907) 272-8211
RABBIT CREEK VIEW & HE[GH¥S, BLOCK 6H, LOT 7A
CLAIRE STEFFENS
DENISE CIRCLE
ANCHORAGE, AK 99516
10/28/201
Scale
N TS
PID NO
020 561-44
~ERMIT ~0~
OSP141.346
Sheet
ADVANTEX DESIGN
ADVANTEX
24" PASBIVE
~-" JIM CAP AX20 POD~ INSULATED AIR
'-
OF6 PIPE
OVER THI~ CONNECTOR
TO PROVIDE
SHEER PROTECTION- 10'
EXTEND TO
BRIDGE EXCAVATION
LOCATION OF AX20 POD
TO BE PLACED TO THE
SIDE OF THE TANK AS
SEEN ON SHEET 1 OF
BUOYANCY CALCULATION
TANK BEDDING DETAIL WE~H~CALCULATO~S
NOUT 14,569 ~ Up
~ I 0' NATIVE MATERIAL Sofe¥ Foctors
~ ]_]:-~F ~77~ 1500 S T E P TANK groundwater mon[h.
~¢~, ~ ~( ...... T~nk has weight of 2.000 ~ Down
>~x. ._ OF EXCAVATION Dry
~ ~ 2' TYP. Wet
(135 PCF 62.4 PCF)=72 6PCF
SECTION [(2'x5 55xiO)-(2xPixl~2 )]x72.6 PCF = 7.282 ~ Down
[(l'xS.55xlO)-(lxPix1~2)]120 PCF - 6.O19 ~ Down
OT S: ENG LLC
FOR CONSTRUCTION P,0, BOX 1002W ANCHORA6[, AK 99510
RABBIT CREEK VIEW & HEIGHTS, BLOCK 6H, LOT 7A ' ' ann~'~o ~ U20-561 44
CLAIRE STEFFENS
DENISE CIRCLE *I~¢~¢' ·. ."2~$~ OSP141346
SITE SECTION ANCHORAGE, AK 99516 ~S~~ Shee~
BUOYANCY CALCULATIONS
PUMP VAULT
PUMP VAULT AREA (A)=29.55 CF
GROUNDWATER
AREA ABOVE FOOTING ,(B)=87.94 CF
WEIGHT CALCULATIONS RCV&H B6H LT 7A
Buoyant Force = Weight of Water Displaced
((PIx(2)"2/4)x7.SS)x62 4 PCF - 17-36 # Up
COUNTER WEIGHT
Woter ua 2 FT
Assume bedding does not odd to force down
Assume ongre of repose = 0 Degree
Assume L~ft Station has no weight
Weight of Native Soil
Saturated
(120 PCF 624 PCF)=57 6 PCF
E(PIx(¢')*'2/4)-~PIx(2')^2/4)]x7.$3'xf 57.6 PCF
3977 # Down (From soturated oreo)
Dry
[(Pix(4')^2/4) (Plx(2')^2/¢)]x2.OO'x 120 PCF-
2,261 # Down (From unsotur<]ted soil)
Total Weigbt on Tank - 6,258 # OK!
NOTE: NOT ACTUAL
LOCATION OF AX20 POD
TO BE PLACED TO THE
SIDE OF THE TANK AS
SEEN ON SHEE)~IE~F~-
AREA B~
AX 20 POD
WEIGHT CALCULATIONS RCV&H BGH LT 7A
Buoyant Force - Weight of Water Displaced
7..bxSx0.Sx62.4 PCF - 702 # Up
COUNTER WEIGHT
Water @ 2It
Assume bedding does not odd to force down
Assume angle of repose `50 Degree
AssurnePod hos no weight
Weight of Native Soil
AREA A -1.73 SF
Dry
[(1.75x2xS)+(1.73x2x7 5)]x120 PCF-.3124 4#
Down
AREA B =0.07 SF
(120 PCF 62.4 PCF)=57.6 PCF
[(O.07x2x3)+(0.O7x2x7.5)]XbT.6 PCF- 60.9//
Down
Total Weight on Tank = .5185.3 # OK!
NOTES:
FOR CONSTRUCTION
SITE SECTION
PANNONE ENG SVC, LLC
P.O, BOX 100217 ANCHORAGE, AK 99510
PHONE (907) 272-8218 FAX (907) 272-8211
RABBIT CREEK VIEW & HEIGHTS, BLOCK 6H,LOT7A
CLAIRE STEFFENS
DENISE CIRCLE
ANCHORAGE, AK 99516
O/29/2014
Scole
NTS
020-$61-44
PERM[T NO
OSP141346
5OF 5
I US STD, SIEVE SIZE I US STD, SIEVE NUNgER I HYDRDMETER
~ 1-1/8 2/4 3/B #4 ~10 ~PO ~40 #100
gO
BO
~ GO -
BRAIN ~)~ IN H)LLI~ETERS
GRAV~ J SAND
C~DLES SILT or
SYMDOL SAMPLE SBURCE ~EPTH (¢eet> CLASSIFICATI~
~ Lo~ lA - - Silty OravelJy Sand
+ Lot 7A - - Silly Oravelly Sand
Crowther ~socia[es Panicle Size DistrJb~ion Pla[e
geo~echnical Engineering Se~ices Rabbit Creek Valley Heights, Block 6H
Ancho~ge, Alaska
Job No. 040.002 J ~le No. Pannone RCVH B6h J Date July 2014
ADVANCED WASTEWATER TREATMENT SYSTEM
MAINTENANCE AND REPAIR AGREEMENT
BETWEEN MUNICIPALITY OF ANCHORAGE
THIS MALNTENANCE AND REPAIR AGREEMENT made and entered into as of this
I[ Day of _~e. r~ef of 201~, by and between ~-c~'~_ ~,~e~47
herein the "OWNER," and the Municipality of Anchorage, herein the
"MUNIC/PALITY." In consideration of the mutual covenants contained herein, the
parties to this Maintenance and Repair Agreement agree as follows:
1..Advanced Wastewater Treatment Systerag_ Municipality grants permission to
Owner to utilize and operate an Advanced Wastewater Treatment System
(AWWTS), described as
located at (legal description).
2. Definitions.
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.
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 consWaction.
Damage. Any man-made or natural change in a system that would inhibit
the system from performing as designed.
Maintenance antl 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 Muuicipality 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. Alterafions~ Installation and Removal of Additional Equipment Prior to
pefform/ng 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 Repair,q.
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 a~reement with an AWWTX
service and maintenance provider approved by the municipality and the,
manufacturer of the AWWTS for the entire term of the AWWTS. 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 AWWTS.
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 AWWTS
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
AWWTS 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 AWWTS 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 AWWTS.
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 temps and
conditions of this agreement, the only authorized representatives of the parties
are~
b. Municipality: Director. Community Development or designated anthorit3,
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. SeverabiHt¥. 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.
OWNER:
By: ~---~/?~ ',~1_ ,-a--v~-7 (signature) Date: ,<~;v,a~.'{ [,
STATE OF ALASKA )
THIRD JUDICIAL DISTRICT )
The foregoing inslmmant was acknowledged before me this
20 Icj, by L-L-JO.', c~ ~4 ~(~.~ 5
'%~41~iF~'"~IC FOR ALASKA
My Co~n exp~s~./o, OW
MUNICIPALITY:
By:
.(signature) Date:
.(print name) Title:
MUMUPAUTY OF rm HO SAGE
�l
� c _T�'vr'�'G _.eC � _ - _ _ n .. _ s+m..+.xC'-•4+^fg
Development Services Department Phone. 907-343-7904
On -Site Water & Wastewater Section
Fax: 907-343-7997
Certificate of On -Site Systems Approval
Parcel I.D. 020-561-44
1. GENERAL INFORMATION
Expiration Date: 1 Uma
Complete legal description Rabbit Creek View and Heights 136H L7A
Location (site address) 8416 Denise Cir
Current property owner(s) Claire Steffens Day phone
Mailing address
Real estate agent Day phone
2. TYPE OF DWELLING:
0 Single Family (w/wo ADU)
❑ Duplex
❑ Multiple Dwellings (Single Family and/or Duplex)
3. NUMBER OF BEDROOMS:
3
4. TYPE OF WATER SUPPLY:
TYPE OF WASTEWATER DISPOSAL:
Private Well
0
Private Septic
171
Water Storage
❑
Holding Tank
❑
Community Well
❑
Community
❑
Public Water System
❑
Public Sewer
❑
Waiver request for: Distance:
Received by: Date:
COSA to be released to the engineer, unless otherwise requested by the engineer.
COSA Fee Waiver Fee $
Date of Payment�® Z Date of Payment
Receipt Number Receipt Number
COSA # 0.5C 2 2 1 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.
In conducting an adequacy test, I attempt to provide a thorough, conscientious engineering analysis of the system in accordance with MOA
COSA guidelines and 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 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 this system. All systems eventually fail and satisfactory test results do not
guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. Therefore we cannot
provide any warranty for future performance, nor can we estimate remaining life of the system. The content of this report is for the sole
benefit of the owner listed above. Reliance on this report by another person is at their own risk. Pannone Engineering Services LLC highly
recommends buyers hire their own engineer to evaluate this report.
Name of Firm Pannone Engineering Services Phone (907) 745-8200
Address P.O. Box 1807 Palmer, AK 99645
Engineer's Printed Name Steven R. Pannone P.E., F. ASCE Date
S'YF
57
x.49 TH
6. DSD SIGNATURE _ _. .... ...
-'' ....
System #1 Approved for bedrooms �� ' sten n ,. Pcr:ncne
CE 8149
System #2 Approved for bedrooms
Disapproved`° SOT sio'ai�
Conditional, approval for bedrooms, with the following stipulations:
okM( (w
b (6 � d 2r w\ i --4- P 15 Z (0 2 io
6_6 r b+ OwJ_b TO CJ.c)Se 0 u ` J`' ON-SITE
1 15 P (_r yy t cc h+a C+ t1n VAe (\ - = � � � ` :f
( 3 `A S
i3))il)i'�'��,
By %� ti T� �c1�1an� Original Certificate Date. 5 /go
a a
The Municipality 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
COSA Checklist blue sheet
Legal Description: Rabbit Creek View and Heights 136H L7A
If more than 1 septic system on lot: COSA Checklist # 1 of 1
A. WELL DATA
❑ Well log is filed with Onsite (or attached)
Date drilled 6-24-16
Total depth 100 ft
Cased to 100 ft
❑ Sanitary seal is functioning correctly
❑ Wires are properly protected
Casing height (above ground) 24 in.
Date of flow test for COSA new
Parcel ID: 020-561-44
Structure served by this system 1
Well production at time of test gpm
Water storage tank volume na gallons
Well disinfected for coliform test? ❑ Yes M No
❑ Coliform bacteria is Negative
Nitrate ,(e5 mg/L ❑ Nitrate less than MRL (ND)
Arsenic ug/L 0 Arsenic less than MRL (ND)
Collected by PES
Date of Sample 4/29/22
Static water level at beginning of test flowing ft.
Comments artesian plug installed- no well flow can be done per Cole Sullivan
B. TANK DATA
Age of tank(s) 2016 years
Tank type/material Step/steel
Measured operating fluid level in septic tank
❑ Standpipes/foundation cleanout per record drawing
Date of pumping see maintenance report
D. ABSORPTION FIELD DATA Mound
Which system tested (date installed) 7/20/16
❑ ALL standpipes present per record drawing
Total measured depth from grade 7.5 ft (max)
Measured depth to pipe invert from grade ft (min)
❑ N/A — pressurized field
❑ Monitor tubes go to bottom of effective. If not, state
depth into effective
C. LIFT STATION
❑ Required maintenance completed
Age of lift station 2016 years
Lift station material FG
Comments: Lift is part of the Advantex system
maintenance report attached
Adequacy test date none
Results ❑✓ Pass For 3 bedrooms
Fluid depth prior to test in
Water added gal
New depth in
Elapsed time min
❑ Code -required soil cover over field
Final fluid depth in
❑ System presoaked Absorption rate 450 gpd
(Required if vacant for greater than 30 days prior to Any rejuvenation treatment (past 12 months)
date of test) It yes, enter date
Gallons introduced gallons
Comments/Deficiencies: , this system has never been used since installation. No adequacy testing requiredt ��
COSA Checklist yellow sheet
E. SEPARATION DISTANCES
[Z]
Yes
if No
ft
From Private Well on Lot to: (Please enter
distances if less than
required or if community well)
✓�
Septic Tank/Lift Station on Lot > 100'
if No
ft
Community Sewer Manhole/Cleanout > 100'
F✓ Yes
if No
ft
M Yes
if No ft
Neighboring Tank > 100' 0 Yes
if No
ft
Private Sewer/Septic Line > 25' M Yes
if No ft
Absorption Field on Lot > 100' F/ Yes
if No
ft
Holding Tank > 100' 0 Yes
if No ft
Neighboring Absorption Fields > 100'
0✓
Yes
Animal Containment > 50' E✓ Yes
if No ft
0 Yes
if No
ft
Manure/Animal Excreta Storage > 100'
Community Sewer Main > 75' (�✓ Yes
if No
ft
❑✓ Yes
if No ft
From Septic/Holding Tank on Lot to: (Please enter distances if less than required)
Building Foundations > 10'
[Z]
Yes
if No
ft
Surface Water > 100'
Yes if No ft
Property Line > 5'
✓�
Yes
if No
ft
Wells on Adjacent Lots:
0
Absorption Field > 5'
[Z]
Yes
if No
ft
Private Wells > 100'
F71 Yes if No ft
Water Main > 10'
✓0
Yes
if No
ft
Community Wells > 200'
0✓ Yes if No ft
Water Service Line > 10'
0✓
Yes
if No
ft
If septic tank is under driveway
comment below
From Absorption Field on Lot to: (Please enter distances if less than required)
Building Foundation > 10'
�]✓
Yes
if No
ft
If absorption field is under driveway comment below
Property Line > 10'
❑✓
Yes
if No
ft
Wells on Adjacent Lots:
Water Main > 10'
0
Yes
if No
ft
Private Wells > 100' ❑✓ Yes if No ft
Water Service Line > 10'
❑✓
Yes
if No
ft
Community Wells > 200' (❑✓ Yes if No ft
Surface Water > 100'
✓0
Yes
if No
ft
F. ENGINEER'S COMMENTS
G. ENGINEER'S CERTIFICATION
l certify that l 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.
COSA Checklist yellow sheet
OF At,kk
4
'te'vern .r� Pnnnone
9 C E 8, 17 9
'.'. _As
i
It � J.:'' k -
423 966
FA N 11 Is Wj I W., 0 R 0
pq t MEW 19 R 109 11
OEM ME ME H 11 ME M IN NINE
'XdvanTex" Field Maintenance Report
Annual Inspection
iMW RE
am i
EM
AnchorageTank
907-272-3543
Property Owner/Tracking #
Curren
Operator
Current
Claire Steffens
2nd Compartment
Larry Betts
Previous
Site Address
Previous
Contact Phone
8416 Denise Circle, Anchorage AK 99516
Biotube Pump Vault ............
(907) 345-7058
AX Site ID #
County ID #
Inspect/Servicethen
RTU #NL #
Date of Last Inspection
AX -139888
OSP141346
E424:099::7]
RTU131934
07/06/2021
Retrieve O&M Into
Daily flow
Recirc ratio _
Timer settings:
Perform Field Sampling/Observations
NTU (15 ± NTUs) pH {6-9) DO (2-6)
.'
Odor of Sample
Typical Musty ❑ Earthy ❑ Moldy
Non -typical Sulfide ❑ Cabbage ❑ Decay
Oily film in PVU ❑ Yes No
Foam in tank ❑ Yes KNo
Check Control Panel
Recirc Amps Discharge Amps
I �_ I 1 1 ('q
Audible and visual alarms ifi_ OK
Dial tone (telemetry only) fQYes ❑ No
Inspect/Clean Pump System /
Inspect
Riser/Lid .....................
Curren
Splice Box ....................
Current
Float Cords ...................
2nd Compartment
Floats.......................:
Previous
Pump.......................
Previous
Biotube® Filter .................
Biotube Pump Vault ............
FA
Recirculating Splitter Valve.......
Clean
Measure Sludge/Scum
Sludge
Scum
1 st Compartment
Curren
Previous
Current
Previous
2nd Compartment
Current
Previous
Current
Previous
Inspect/Clean AdvanTex Filter
Inspect Clean
Odor: [ Normal ❑ Pungent Laterals/Orifices ;�" '
Biomat: Normal ❑ Excessive Pod Bottom 1Z L21
Bridging/Ponding: 7None/Minor ❑ Excessive Intake Vent � r
Inspect/Clean Discharge Pump System
Additional Services Rendered ✓
❑ Cleaned textile sheets? ❑ Replaced UV items?
❑ Replaced/Used other items?
Parts Used: W = Warranty, B = Billable (e/ appropriate selection)
W B Item Number Description
Final/Safety Inspection
RSV reinstalled
Manifold reconnected; flush valves closed
Summary/Recommendations
❑ System performing; no further action needed
n Call for servicn
Lids bolted on
Control panel reactivated
El Tank needs pumping
(—) nrha n
ridIx corrrpiexeu Yorm IO 7-tsbb-ut34-74U4
Inspect
Inspect
Clean
Riser/Lid]
Floats
�j
Splice Box
Pump
Float cords
FA
Inspect/Servicethen
System Components
Inspect Clean
Inspect
Clean
Disinfection Equipnt � ( j Dispersal Laterals/Orifices Z
Observations
tr s/ (7
_t �- Cwr� {' .t Xf� L1. Y
Additional Services Rendered ✓
❑ Cleaned textile sheets? ❑ Replaced UV items?
❑ Replaced/Used other items?
Parts Used: W = Warranty, B = Billable (e/ appropriate selection)
W B Item Number Description
Final/Safety Inspection
RSV reinstalled
Manifold reconnected; flush valves closed
Summary/Recommendations
❑ System performing; no further action needed
n Call for servicn
Lids bolted on
Control panel reactivated
El Tank needs pumping
(—) nrha n
ridIx corrrpiexeu Yorm IO 7-tsbb-ut34-74U4
MUNICIPALITY OF AINCHOK&GE
ADVANCED WASTEIVATER fREATMENT SVSTENI
MAINTENANCE AND RFPATR AGREEMENT
THIS IMAINTEN-ANCE AND REPAIR AGREEMENT, herein the -AGREEMENT" made and
ciucred into asofthis 6"L_ Day of' rt,�c, , - ), h),and between
t--- of`10-4--�.. -
herein the "OWNER," and the Municipality- of
Anehorai-,C. herein the"JAUNNICIPALITY-, in accordance with Anchorage Municipal Code
(AMC) 15.65.365. In consideration oi*the mutual covenants contained herein, the parties to this
Agreement agree as follows:
, -m
1, Advanced Wastewater Trtitment Svitems. re.1vianicipalitv granPeiission to the
Owner to utilize and operate an Advanced WastewaterTrearment System (AWWTS),
described as JCOQ _g�& IV
located at (legal description',
—BQVH B6H L7A
Maintenance,Repairs andkiterition,
(Owner is required to read, understand and initial each section)
]IFOW-111OUt the term of'this Agreement, the Owner shall enter into a
with an AWAVIS service and ina-inlenance provider approved by the Municipality or the
=qlufactlurcr's representative. The AWIA'FS shall be maintained in a sairsfacton,
condition capable cif perfornningas designed and producing treated septic effluent in
accordance with the equipment's approval for operation in the itinicipalin%
It shall be the responsibility ofthe (?wirer during the term ofihisAVeenrewtopay for all
repair(s), maintenance, aqjustment(s), replacement costs, and inspection costs. This
includes an annual maintenance fee ttynically 5400 to S600),
fr Owner agrees that only maintenance and repair personnel approved b% the Municipality
or the manufacturer's representative will inspect and make any necessary maintenance,
repairs or permitted alterations to the system.
1'2 0woer acknowledges that regular maintenance of an AWWTS reduces the potcrifial
failure ofthe system, which could include sewage backup and costh repairs or drainfield
replacement,
(rev. 05/18:2018) Page I of
q,§ Owner acknowledges that the Municipality may request records cifmaintenanceand
repairs from the. rararuiactureCs representative or maintenance Provider.
Owner acknowled cs ffiat the fire for failing to maintain and repair an AWW'TS may he
assessed in accordance with %_JC 14.60.0g().
Owner agrees to grata tile Nfunicipalily reasonable access to test and inspect the
AWWTS, The Municipality ca ll give rt least 24-liourtnotice.
Owner agrees traany Sale or iransl'er of I tit I e of the p7o-;:n.y %vi I i not occur -witlhout a ne%,,
Certificate o r Or. -Site Sx s.enis Approve 1,
Owner agrees that the A'4't%WTS installation and inaint.era ance requirements as provided
by the A'WWTS vcridoriinsialler Lndapproved bY , 0, re N'lunicipality are the governing
guidelines for the corsnjjct:c,,r. maintenance and reppir of the Do,-ricr's AIXV,,'TS.
Owner agrees io -Inaintain remote jurnitorina ofthe AWWTS as, rLurired by the
AWWTS approval.
31 jerim The term ofthis Aereeinent shall begin on the date ol'approval by the
Nfunicipality to operate the histallcd system, or upon transfer oClitle. and shall continue
while the AWVT S is operational or unhi title: is
4. Ntinwaiver, Tht faillne of the ,Municipality at way tiune to en once aProvision of this
consiiwzea a iver ofthe pr'ovisi
ons. norm any way affect
the validft) ofthe A,_neenien, or any part htreof. orthe ii,,hi of the Municipalit:11,
thereafter to er"itrrce ,vcn' )rovi-Sion jrereCyf.
Amendment. this; Aun-eament shall only be amended byauthorized rapcscn,3uVe$ 01-
the Owner mid N-lunicipaht%. Any attempt to amend this agreement by either an
unauthorized representative Or unauthorized raoans shall he void.
6. Jurisdictiow Choice of Law. Any civil action arising from !'I's Agreement
_ - n shall be
brought in the Superior Court far the'llurd Judicial District ofthe State of Alaska at
Anchorage, The lasts of the State of Alaska shall govern Llhc rights and obligations of the
parties under this Agreement.
7. Severabffltl,ARY tJroVis(ol!S Of 01k Agreement decreed invalid ba court of competent
jurisdiction shall not invalidate the remaining provision, of tbc Agrecinent.
i rev. 05118/2018.) Page 2 of
(rev. 0511 Ki20 IS) Page 3 of
By: IWI(2"f _(signaturc)
Date:
4A__(print name)
ST,S FE, OF ALASKA
I'MR-DJUDIC-1\1 DISTRICT
The foro.01"Ir instrument was acknowledged before tnc
this Y�d.y of
'A A
Av SN3*�,
I R Yl J
I O I
R
4
ZLA,�SKA
NIV collinlissi, S:
on expires:
..irc 49110a-V
4,
gi "".
zic
4:
IL
MUNICIPALITY:
By: tlsi. 2 navurc)
Date:
CC,CA. (print name)
Title:
(rev. 0511 Ki20 IS) Page 3 of