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Home My WebLink AboutSOUTHFORK NORTH TR FSouthfork North TR F #078 - 141-33 Municipality of Anchorage Community Development Department Page 1 of 2 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: OSP171274 PID Number: 078-141-33 ✓❑ New ❑ Upgrade Name: JASON NOVOTNY ABSORPTION FIELD ❑ Deep Trench ❑ Shallow Trench ❑ Bed ❑ Mound 0 Other Address 2370 W. RIVER ROAD Phone Number of Bedrooms Soil Rating Total depth from original grade 4 4.0 GPD/SF +1.5 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade +2.0 Ft. Gravel depth beneath pipe 0.5Ft. Subdivision Block Lot SOUTH FORK NORTH TR -F Fill added above original grade ±5.8 Ft. Gravel length 30 Ft. Township Range Section Gravel width 5.0 Ft. Beds: Number of Lines N/A Distance between lines N/A Ft. SEPARATION DISTANCES To Septic Absorption Lift Station I Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field i Tank Line 150 Ft2 1 N/A Ft. Well 124.0 114.2 134.4 N/A 52.9 TANK ❑ Septic [D S.T.E.P. ❑ Holding ❑ Other Manufacturer ADVANTEX Capacity 150OGal. Surface Water 100+ 100+ 100+ N/A Material Number of compartments Lot Line 128.2 113.3 131.1 I N/A NA FIBERGLASS 2 Foundation 67.2 52.1 77.6 N/A LIFT STATION Manufacturer Capacity Curtain Drain 50+ 50+ 50+ N/A ORENCO 250 Gal. Remarks Pump on level at TIMED in. Pump off level at in. High water alarm at 45in. Pump make and model 92005 Electrical Inspections performed by Doug Grey/ Northern Exc. Installer PIPE MATERIAL House to tank 3034 Tank to 3034 drainfield Doug Grey Northern Excavating Drainfield 3034 Co/MT 3034 Inspector PANNONE ENGINEERING SERVICES BENCH MARK (Assumed elevation) 1845.Oft Inspection ,, dates: 9/10/18 2�d 9/11/18 3'" 9/11/18 4"' 10/16/18 Location and description p BOTTOM TRIM AT HOUSE POINT A COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL Engineer's Stamp Conditional Approval: Date .e OF At. 44 annorie %f /CE 8149 }t � °°�,`p1`r� Approved Date 113 x019 �C}� rSW \� DESIGN PARAMETERS PRIMARY / RESERVE SEPTIC SYSTEM NO. BEDROOM: 4 (600 gpd) TANK SIZE: 1500g S.T.E.P. W/ AX20 POD PERC RATE: 6-15 MPI SOIL RATING: 4 GPD/SF AREA ROD. 150 SF SYS. TYPE: WIDE TRENCH 05ED MIN LENGTH: 30 LF `', LOT VACANT l� 'AA''~-- NO WELLS OR SEPTICS ` 20 DRAINAGE EASEMENT , t ` USED: WELL 30 LF X 5.0' WIDE, 0.5' E.D.+ 1.5' TD TO IAL AREA: 150.0 SF ' DESIGN PARAMETERS ERS — IN—SITU INTERFACE 114.2 INSTALLED DRAIN! FIELD , , , , 1, `4 NO. BEDROOM: 4 (600 gpd) f 30LF x 5.0'Wx 0.5'ED x +- 1.5'TD PERC RATE: 30-60 MPI 4BR B JC2 W/ 2.0' SAND FILTER SOIL RATING: 2.0 GPD/SF HOUSE AREA ROD: 300 SF I 124.0 USE. A 40 LF X 8.0' WIDE TOTAL AREA: 320 SF . FC L) w ` 2_" R.I. UNDER a_ w DRIVEWAY o w w � \ Q g ts, � ORIV,AY cr C1] wzz 4 Z , 1845 ! I 1850 , , , 1840 40LF x 8.0*W x 45QEEP MOA , t, TH-2 , TH-3 > __t t F ENCi-# AIN E , r W/ AX20 POD & DCO INSTALLED FOUNDATION CLEAN OUT 1830 1815 TYPE II + i I w , > in , w + w w I, w i+ Q I� w w + 18 1825 L 1810 ` 1820 , -rM\A f , CATE PERFORMED: 4/25/15 A B T1 80.5 75.1 LS 89.9 1 82.0 C1 93.9 i 73.7 M1 95.1 73.9 C2 93.3 57.7 M2 91.9 57.2 1845 ! I 1850 , , , 1840 40LF x 8.0*W x 45QEEP MOA , t, TH-2 , TH-3 > __t t F ENCi-# AIN E , r W/ AX20 POD & DCO INSTALLED FOUNDATION CLEAN OUT 1830 1815 TYPE II + i I w , > in , w + w w I, w i+ Q I� w w + 18 1825 L 1810 ` 1820 , -rM\A f , CATE PERFORMED: 4/25/15 NOTES: PANINONTE ENG C7 T P.O. BOX 100217 ANCHORAGE, AK 9.191510 PHONE (907) 272-8218 FAX (907) 272-8211 �� C� QF AL�s�� oj�`y�� 49 -----� Steven R. Pannone � CE 8149 .'c�`�f' �V12—� w�� Date 1 j3/19 RECORD DRAWING Scale SOUTHFORK NORTH, TRACT F JASON NOVOTNY WEST RIVER DRIVE EAGLE RIVER, AK 99577��F�FDFESS;4Nt`�U� NO _141_33 PERMIT NO. OSP171274 PLAN Sheet 2 OF 4 TEST HOLE 2 1 2 3 4 5 6 7 8 9 10 11 12 13 14 ORGANICS GRAY BLUE SILT WITH ±6" ROCKS SOILS LOG - PERCOLATION TEST SLOPE X TH OT VAW4, Slf� PLAN NO WELLS OR S-PT,'cs ZO: DRAINAGE EASEMENT 1795 Ii% HOUSE TH- TH- 1805 1845 1540 1830 115 1835 1825 1810 ,t 1820 % T. F WAS GROUND WATER SLOPE ENCOUNTERED? Y I 15 IF YES, AT WHAT 16 DEPTH? -5' 17 DEPTH TO WATER AFTER MONITORING? 5.0' 18 I DATE: 9111/18 DATE PERFORMED: 9/4/18 COMMENTS: Test hole excavated by JR'S SEPTIC SERVICES. TH X PERFORMED BY: JOSEPH LAWENDOWSKI. I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDLINES IN EFFECT ON THE DATE OF THIS TEST. RECORD DRAWING NOTES: PNE ENG SVC, LLC Date �— .�,q 11/16/2018 P.O. BOX 100217 ANCHORAGE, AK 99510 ..� PHONE (907) 272-8218 FAX (907) 272-8211 CD.Scale NTS ........ . P.I.D. NO SOUTHFORK NORTH, TRACT F . 33 JASON NOVOTNY Steve nnome PERMIT N0. WEST RIVER DRIVE I. CE 8149 ZT OSPII 51358 SOILS LOG EAGLE RIVER, AK 99577 Sheet 3 OF 4 TEST HOLE o OR onoxwxm GRAY BLUE SILT WITH ±6" ROCKS SOILS LOG - PERCOLATION TEST SLOPE m IF YES, AT WHAT m DEPTH? -5- 17 DEPTH TO WATER AFTER MONITORING? -5.0' 18 DATE: 9111/18 DATE PERFORMED: mma COMMENTS: Test hole excavated by]O'S SEPTIC SERVICES. m x PERFORMED BY: JOSEPH LAWENDOWSKI. I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND 4UNICIPAL GUIDLINES IN EFFECT ON THE DATE OF PANNONE ENG SVC, LLC P.O. BOX 100217 ANCHORAGE, AK 99510 PHONE (907) 272-8218 FAX (907) 272-8211 co F, Steven P� ro I CE 149 OFFE Date 11/16/2015 RECORD DRAWING Scale INTS SOUTHFORK NORTH, TRACT F WEST RIVER DRIVE EAGLE RIVER, AK 99577 -078-141-33 PERMIT NO. OSP151358 SOILS LOG Sheet Certified Drilling log DOC CO dba BILL 8� COLE ��► ULLIVAN WATER WELLS P.O. Box 670269, Chugiak, AK 99567 688-2759 OWNER OF LAND: Jason Novotny ADDRESS: Bore Hole Data Depth From To LEGAL DESCRIPTION Southfork North Tract F DATE: 5-21-18 0 2 PERMIT NUMBER: OSP171274 DATE OF ISSUE: 9/28/17 TAX IDENTIFICATION NUMBER 07814133000 Is well located at approved permit location: ®Yes ❑No Method of Drilling: Nair rotary ❑cable tool Depth of Well: 137' Casing Type: Steel Wall thickness .250 inches Diameter: 6 inches, depth 132 feet Liner type 2 4 4 58 58 64 64 122 122 137 Static Water Level: 10 feet Recovery Rate 10 5el >;pm n gph Method of Testing Air Well Intake Opening Type: ® open end ❑open hole ❑ Screened Start feet Stopped ❑ Perforations Start feet Stopped 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: Casing Stickup Overburden Sand & Gravel w/ Clay & Boulders Clay & Gravel Wet Hardpan & Clay w/ Boulders Tight Sand & Gravel w/ Boulders Water 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. Municipality of Anchorage: Department of Health & Human Services and/or Department of Environmental Conservation. MatSu Borough: Department of Environmental Conservation. Well Drilling Permit Number: SVD 8SP171274 Date ofIssue 8-28'17 Parcel Identification Number: 07814133000 Legal Description Southfork North Tract F U Pump Installation Date: 6-7-18 UPump intake Depth Below Top ofWell Casing: 120 UPump manufacturer's Name: F&VV 11 Pump Model: 4FO705301S UPump Size: 1/2 11 Pitless Adapter Burial Depth: 10 PhdessAdapter Installer: Grays Construction Disinfected Upon Completion? yes F-1 no U Method of Disinfection: Chlorine 50 PPM 11 Comments: Pitless Manufacturer: Martinson UPump Installers Name: Sullivan Water Wells Property Owner Name & Address Jason Novotny feet hp Attention: The pump installer shall provide a pump installation log to the DSD within 30 days of pump installation. g r B R Z > o C7 O sr cxs 6 m _ -® C) m 0 M 3> Z �. oc z> �� L G) y 1 0,) a cn D oz o r- o to \ A a o r z + o <.. us o a' o z° / C? C o� CO <Un m 0 { 602.80 N N 0°0'20" E o p c 0 w z u' v� Z_ _ 01 QCb 0d CDCooW sc 9 r ®� QA co z �� U `A, 100 G7 -P N" N to O. N n Y j �@Sror �a Cc Ln W cooo > > z � o z z D 3oas� oc O �co �o,�m 3v�r�i CO- ® c� (() 2i Q m< o o o �n (o(JI u ��'��C�CSI-z**' ! �23Q � � 1 t✓X11 d \ % U J m Q(B O (D -• - - VJ �Q� ov, �0 u,ao C 5 � "� Nss S o m ` D -i Q o m s O. .o ? 0 (D NQ Z, 'o v, o ,< o. o / �3o m o< // 0 ° 0> �o DO o Q .. aroro,-.-.n Saco: - r N m G S ro ro< D mooa �mvoa -1 Z anN� oa�K G7 3 N. �- o o' -o m mm o c° Q ° o o m n na=n ,`art°- TJ .�7 n co 0 N z 5"D m v o°,0 °0 U7 -I O ot& _s ❑ O fTl 3" Z S , N - - _— ��ooa�c��r 602.80 1VUS� 1 'OL �'1 n �.7 r�- t�*i C7 D 1 > D7 T FQ I iW o o D � Dm 3AN(I d3AN 1S3M ans .. xCD a z � c�— -- — — — — -- — — -- — — — — 1 --I a) -0 o MUNICIPALITY OF ANCHORAGE On-Site Water & Wastewater Program PO Box 196650 4700 Elmore Road / Anchorage,Alaska 99519-6650 Phone:(907)343-7904 Fax:(907)343-7997 http://www.muni.orglonsite MILLI 1lchartn eni *kCMORhVf On-Site Water & Wastewater System Permit Permit Number: OSP171274 Effective Date: 9/2812017 Work Type: WellSeptic Renewal Expiration Date: 9/28/2018 Tax Code Number: 07814133000 Site Legal Address: SOUTHFORK NORTH TR F G:0959 Site Mailing Address: 2370 WEST RIVER DR, Eagle River Owner: JSN TRUST Lot Size in Sq Ft: 162847 Design Engineer: PANNONE ENGINEERING SERVICES Total Bedrooms: 4 This permit is for the construction of: El Disposal Field CSI Septic Tank ❑ Holding Tank 0 Privy El Private Well ❑ Water Storage All construction shall 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 shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing Special Provisions: 20' and 40' ERS confirmation testhole results (soils logs) shall be submitted with the final Inspection Report. Received By:� i'`% Date: /0/27.7 Issued By: X`e a (( Date: 7/700 f 7 .ji V kJ N IICDPAUTY OF A NCHO AGE .„„, .. ..,, ..._ . , , (0,,,;..,17-- , , Community Development Department ` ~' j'-' ` Phone: 907-343-7904 Development Services Division Fax: 907-343-7997 On-Site Water & Wastewater Program ON-SITE SEWERNVELL PERMIT APPLICATION Parcel 1.D. 07a^ii-li- 33 Property owner(s) 5.SN -V172-L) 1— Day phone V07- zo1.-75Y9 Mailing address 14t-51 61R-vnc-7-4(rt �1'�, L.t1L�-?-Ev£!rz- rIc 99577 Site address 2-1- 7Q V.5 . 9--IVE9--4q- Legal description (Sub'd., Block & Lot) Sa't,11-N- RAW.- hicre T 4 T- c Legal description (Township, Range & Section) Lot Size (toZ,ay? Sq. Ft. Number of Bedrooms ii APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field 1 Initial ® Single Family (SF) A Septic Tank gl Upgrade ❑ (wlwo ADU) Holding Tank ❑ Renewal NT Duplex (D) ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D s 1,8 9 10 ii Private Well ® �� Water Storage E ry O3- I SrN1s g THIS APPLICATION INCLUDES A VARIANCE I WAIVER REQUEST FOR: V 5a.-- 6 F c2-5 ` Dis �%_ c ' .., h r✓.. I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. (Signature pro rty ow )pr authorized agent) Permit/Rush Fees: F.Zi - 15t- QtlewaI Waiver Fees: ii. 0 Date of Payment: l Date of Payment: Receipt Number: Receipt Number: --- Permit No. OSPr1I7Waiver No. 05\( 151 t`« Permit App 9-1-12.doc Municipality of AnchorAge P.O. Box 196650 o 4700 Elmore Road Anchorage, Alaska 99519-6650 0 (907) 343-7904 0 Fax (907) 343-7997 hftp://www.muni.org/Onsite Devel,opment Services Division On -Site Water and Wastewater Program XVIIII 111,1111,11 Waiver#: OSV151149 COSA#: Permit#: OSPI51358 PID#: 078-141-33 Legal Description: Southfork North, Tract F Engineer: PES Applicant: Arnotd-&-AprH44indin JCON -Fv-"S+ The proposed design is approved to use Engineered Receiving Soil (ERS) in accordance with the proposed wastewater code section AMC 15.65. 41)3c. Q10 Fj The affected adjacent property owner(s) have been given a 7 day notice regarding, this waiver. r -I Notarized letter(s) of non -objection have been received from the owner(s) of the affected adjacent property. Z Adjacent propel -ties are not affected by this waiver. Waiver is Granted: x Waiver is not Granted: Date: Approved by: LAame of Reviewer ............... nummummanal Permit Number: Tax Code Number: Work Type: OSP151358 07814133000 WellSeptic On-Site Water & Wastewater System Permit 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: November 18, 2015 to November 17, 2016 Design Engineer: PANNONE ENGINEERING SERVICE Subdivision: SOUTHFORK NORTH Site LegalAddress: SOUTHFORK NORTH TR F G:0959 OWner/Address: HINDIN ARNOLD & APRIL 12901 STARLING DR ODESSA FL 335560000 Site Mailing Address: 2370 WEST RIVER DR, Eagle River Lot Size in Sq Ft: 162847 Total Bedrooms: 4 l)~ar tmet~t This permit is for the construction of: Y Disposal Field Y SepticTank 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 bi 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 freezina ___~~,,~ - ~ Special Provisions: 20' and 40' ERS confirmation testhole results (soils logs) shall be submitted ~ i with the final Inspection Report. ~ ! Received By: MUNICIPALITY.,OF ANCHORAGE Community Development Department ~ Development Services Division On-Site Water & Wastewater Program Fax: 907~~' ON-SITE SEWER/WELL PERMIT APPLICATION Parcel I.D. 078-141-33 Property owner(s) Arnold & April Hindin Mailing address 12901 Starling Drive, Odessa, FL 33556 Day phone Site address NSN West River Drive Legal description (Sub'd.,' Block & Lot) Southfork North, Tract F Legal description (Township, Range & Section) Lot Size 162,847 Sq. Ft. Number of Bedrooms 4 APPLICATION IS FOR: (r~ all that apply) Absorption Field [] Septic Tank [] Holding Tank [] Privy [] Private Well [] Water Storage [] APPLICATION IS AN: Initial [] Upgrade [] Renewal [] TYPE OF DWELLING: Single Family (SF) [] (w/wo ADU) Duplex (D) [] Multiple Dwellings [] (SF and/or D) THIS APPI~:TION INCLUDES A VARIANCE / WAIVER REQUEST FOR: Use of ERS 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 authorized agent) Permit/Rush Fees:~ Date of Payment: Receipt Number: Permit No. O~ Waiver Fees: Date of Payment: Receipt Number: Waiver No. Permit App_J- :.: 2.,:c; Pannone Engineering Services LLC Steven R. Pannone, Principal Registered Professional Engineer E-maih steve~oanffn~ak.com October 26, 2015 Municipality of Anchorage Development Services Depart,~ent On-Site Water & Wastewater Program 4700 Elmore Road P. O. Box 196650 Anchorage, Alaska 99519 Subject: Southfork North, Tract F Septic System Permit Request Ladies and Gentlemen: I am writing to request a permit to install a new septic system be issued for this property. The proposed system will serve a proposed four (4) bedroom house. Currently the lot is undeveloped. The proposed system will utilize a 1500g Advantex tank, an Orenco AX20 treatment pod. We propose using and engineered fill beneath the proposed drainfield to obtain separation to ground water and to convey the treated effluent to a soil layer that can accept the effluent. This and the surrounding developed lots are served by private wells. There are no wells on surrounding lots within 200 feet of this system. 1. Soils. We performed a single test hole in September of 2015. The groundwater was monitored for 7 days and was observed at two and a half feet (2.5') below the surface at the end of the ~nitoring period, in October. It is my opinion, based on the results of the soils investigation and percolation tests performed and overall soils appearance; an application rate of 2 gallons/day/square feet should be used for a category III wastewater system at the ERS and in-situ interface and 4 gallons/day/square feet should be used at the drain field/ERS interface. 2. SoilA~sorption System Design, a. See Sheet 2 of the design package. 3. Surface Water: There is no surface water within 100 feet of the proposed septic tank and drain field. The proposed drain field upgrade will maintain at least 100 feet from all surface water and drainage ditches. 4. Topography: The existing topography slopes from the west to east at approximately 20% in the area of the proposed drain field. There are no steep slopes within $0' of the proposed drain field. 5. Waiver Request for use of Engineered Receiving Soil (ERS). I am requesting a waiver to the 1992 Mailing: P.O. Box 100217, Anchorage, AK 99510-0217 Physical: 332 East Manor, Anchorage, AK 99501 Telephone: (907) 272-82~.8 FAX: (907) 272-8211 P~ge 2 of 2 Code to use the proposed Code Update Section of Engineered Receiving Soils (ERS). Below I will detail my request justifying the use of ERS: a. One test hole was excavated by PES in 2015. The soils log is attached. Ground Water was noted at a depth of 5 feet during the excavation of the test pit. Ground water was monitored for seven days. Ground water stabilized at a depth of 2.5 feet below ground surface. b. This design proposes to use MoA Type II classified fill. This interface will be approximately four feet (4.5') 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-~itu soil was based on the 30 to 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 II 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 or§anically rich soil to promote the growth of vegetation. e. Shallow Ground water was observed in the test hole. Steps need to be taken to protect this shallow ground water from contamination with sewage effluent. These steps include the use of advanced wastewater treatment system to ensure a high quality effluent and maintaining at least four feet of vertical separation from the highest ground water and the bottom of the drain field (our design is calling for 4 feet vertical separation.) f. Waiver request to requirement for two additional test holes down gradient: PES will perform two test holes down §radient of the drain field at 20' and 40' before construction of the drain field. 6. Drawing Markin§s~ 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. T~e proposed installation will not affect the future development of the surrounding or existing lots. If you have any questions or concerns, please contact me at 272-8218. Sincerely, Steven R. Pannone, P.E. 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 ~ LOT VACANT I 20' DRAINAGE EASEMEN~T · DRAIN FIELD (P) WELL (P) 50.OLF x 5.0'W x O.5'ED x +1.5'TO 1 WITH 2.0' FILTER SAND AND ~. 1¢38 / O~oy y4OLFxS.0'Wx 4.5'DEEP MoA TYPE II P) 77.6~ ~ ~ ~ FRENCH DRAIN (E) ~ Og ADVANTEX TAN < I INSTALL FOUNDATION CLEAN OUT - ~ ~ J ~. I I -~ PHONE (907)272-8218 FAX (907)272-8211~'-* ~----~~"'9 SOUTHFORK NORTH, TRACT F _¢~ ' 078-141-33 I $teven R. Ponno~e~ JASON NOVOTNY ~'... CE 8/49..,-~~ PE~MII ~0. 10F3 SPECIAL PROVISIONS TO SPECIFICATIONS 1. ALL CONSTRUCTION SHALL BE INSTALLED AS SPECIPIED 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 iN ACCORDANCE WITH AMC 15.65. 2. SCOPE OF WORK: INSTALL NEW 150Og ADVANTEX TGNK, ABSORPTION FIELD, AND WELL. 5. GROUNDWATER WAS NOT ENCOUNTERED TO A DEPTH OF 2,5 FEET BELOW EXISTING GRADE AS EVIDENCED BY THE SOIL TEST HOLE. IF AN APPARENT WATER TABLE IS OBSERVED IN ANY OF THE EXCAVATIONS LESS THAN 2.5 FEET BELOW EXISTING GRADE NOTIFY THE ENGINEER IMMEDIATELY ~' MIN 2.0' FILL WITH TS&V LEG END //- RIGID fNSULATION ' W- -- WATER LINE/ ll/r~ 4? * MoA TYPE II FILL TO 8E PLACED% -5050 IN 12-iNCH LIFTS COMPACTED TO 80% ~REMOVE ~ · ~ z DESIGN PARAMETERS ABBREVIATIONS CU COPPER RESIGN PARAMETERS ERS IN-S~TU INTERFACE DIP DUCTILE IROB PIPE PRIMARY / RESERVE SEPTIC SYSTEM NO. BEDROOM: 4 (600 gpd) TH TEST HOLE NO. BEDROOM: 4 (600 gpd) PERC RATE: 50 60 MPI TANK SIZE: 15009 S.T.E.P. SOIL RATING: 2.0 GPB/SF FC FOUNDATION CLEAN OUT W/ AX20 POD AREA ROD: 500 SF T~ TANK CLEAN OUT NO. PERC RATE: 6-~5 MPI C~ CLEAN OUT NO. SOIL RATING: ~ GPD/SF USE: MC MONITOR TUBE NO. AREA ROD: 150 SF 40 LF X 8.0' WIDE R.I. RIGID INSULATION SYS. TYPE: WIDE TRENCH 0.5'ED TOTAL AREA: 520 SF BOO DOUBLE CLEAN OUT MIN LENGTH: 50 LF DV DIVERTER VALVE FS FLOW SPLITTER USE: BFO BELOW FINISH GRADE 50 LF X 5.0' WIDE, 0.5' E.D., +2.5' TD OG ORIGINAL GRADE TOTAL AREA: 150.0 SF FO FINISH GRADE OB GRADE SREAK oxs: ENG LLCi, 11/17/2015 ~¢"~~:' · :" ~ p.ho. NO SOUTHFORK NORTH, TRACT F -- ~~ 078-,4~-55 ~~l gteven R. Ponnorae~ JASON NOVOTNY~". CE 8149 ...~P~TNO. WEST RWER DRIVE ~. .}~ osp~5~55a DESIGN DETAILS EAGLE RIVER, AK gg577 TEST HOLE OR ORGANICS GRAYBLUE GM SILT WITH-~8' ROCKS BROWN SILTY SM SAND BOH DATE PERFORMED: 9/25/15 TH WAS GROUND WATER ENCOUNTERED? ~Y SOILS LOG - PERCOLATION TEST IF YES, AT WHAT DEPTH? -5' DEPTH TO WATER AFTER MONITORING? -2.5' DATE: 10/2/15 !i TH X WATER CLOCK READING DATE NET TIME LEVEL NET DROP TIME READING I 9/25/15 10:35 -- 11.04 -- 2 10:45 10 MIN 8.30 2.74 3- 11:25 ___ 8.30 -. 4 11:35 10MIN 5.58 2.72 5 *SEE NOTE PEROLATION RATE *3.7 (min/inch) PERC HOLE DIAMETER 6 inches TEST RUN BETWEEN 5 FT AND 6 FT COMMENTS: Test hole excavated by JR'S SEPITC. *STANDARD PERCOLATION TEST WAS NOT POSSIBLE DUE TO PRESENCE OF GROUNDWATER. WATER WAS OBSERVED ENTERING THE PERC HOLE APPROXIMATELY EVENLY THROUGH THE SIDEWALLS AND THE BOTTOM OF THE HOLE, AND THAT PATE WAS MEASURED. SOIL WAS TAKEN TO LAB FOR SIEVE ANALYSIS. SEE ATTACHED RESULTS. 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. NOTES: FOR CONSTRUCTION SOILS LOG PANNONE ENG SVC, LLC P.O. 80X 100217 ANCHORAGE, AK 99510 PHONE (907) 272-8218 FAX (907) 272-8211 SOUTHFORK NORTH: TRACT F JASON NOVOTNY WEST RIVER DRIVE EAGLE RIVER; AK 99577 040. 002 Crowther Associates Client: Pannone Engineering Services Projects: 1) Paradise Valley, Lot 6, Block 6 2) South Fork, North, Block 6, Tract F Date: October 3, 2015 Particle Size Distribution Table Sample Source iParadise Valley~ South Fork Wot 6 ! North ock 6 / Block 6 Tract F Sieve Size Pd~cent Finel Percent Finer Percent Finer Percent Finer 1-1/2 inch 100 3A inch 90 95 #4 64 80 #10 42 72 #40 11 58 #100 45 #200 43 0.02 mm Classification Silty Sand (SM) 1632 Bellevue Circle/Anchorage, Alaska 99515 Telephone (907) 349-2198/E mail: crowther~alaska, net ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND REPAIR AGREEMENT BETWEEN MUNICIPALITY OF ANCHORAGE A ,ro THIS MAINTENANCE AND REPAIR AGREEMENT made and entered into as of this 1'7 Dayof ~k/~~_ of 20 l~,byandbetween"~'F~'~.x:~4 ~0V0~' , 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 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 ofproperty sale and rifle 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 consffuct and operate an AWWTS. 3. Term, The term ofthis 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 isin 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 l~lillil)mept~ 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. Maiateaance 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 a~reement with an AWWTS service and maintenance vrovider anoroved by the municipality and the manufacturer of thc 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. I. Owner agrees to provide and maintain a telephone connection to the AWWTS as required by the AWWTS approval. 6. N0nwaiver. 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 fight 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 Maituenanee 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 are: a. Owner: ~--~/ ~'~OV0-T"/~'~' b. Municipality: Director. Community Develooment 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. OWNER: By: (signature) Date: / ::3-4ezv (print name) STATE OF ALASKA ) ) ss. THIRD JUDICIAL DISTRICT ) The foregoing instrument was acknowledged before me this _ day of , 20_, by NOTARY PUBLIC FOR ALASKA My Commission expires: MUNICIPALITY• B 0-kP ____(signature) t`ejDf- CCS C',,'n (print name) Date: (d 2� 2 O 'I el Title: ' "I A ~o'ary public or otne' off'ocr comp[eting*thls certificate verifies only the identity o1' the [ndivfdnal who signe, d the document to which th ~ certificate, e a~aehed, and not the truthfulness, ~ccur~cy~ or raj dty of that document, · State of Call'fornia ) Date. ~ ' - · Her~ lnse~ N~e and 'T~/e of the O~cer Name(~of Sl~e~) -- who proved to me oO the baals of satlsfacto~ evidence to be the ~rson~ whose nam~ -subscdb~ te ~he w[thfn [nstrumen{ and ac~owledged to' me that he/~y ~ecuted ~he same hl~/t~r suthorlzed cap~i~(~), and that by hls/h~t~ slgnature~ on the In~rument the perso~ or ~e entity ?on behalf of which the pemon(~ed, ~ecuted the InStrument - ~ ' I oe~ under PE~L~ OF ~E~JURY under the I~ws ' of the ~te of CalEomi~ that the ~mgolng 'is ~e ~d co,ct. ' WI~ES8 my ~d and. official se~. : Commission # 2071184 Notary Public - California' Riverside Cnunty , Signature P/ace IVo~y .Seal Above .. OPTIO[t[~L 'hough this sect[on i~ optIonal,.completin~ thla Information can deter alteration of the dc~cument or* . fraudulent reattachment of thio form ~ an unfntan.d~d document. ' ' Descfil~'tlon of Attaol~ed Document Title or Type of Document: (~",~=~-*~,..,~ Doc;Jment Date; /! · ;/7 - ~__O[ ~' .Numb?r of Pages: ,~"'. Signer(s) Other Than Named Above . '. ' Capacity(les) CJalmed by,Signer(e) Signer's Name: 1] Corporate Officer --','Title(s}: 1] Partner -- I~. Limited -ri General ri [gdMdual [] Attorney In Fact [] Trustee [] Guardian or Oonservator : ri Other: Signer 19 Repreeentfng:.. " ~Igner's. Name: · 1-1 Corporate Officer .- Tit e(e): .. ri Pe;~tne~' -- [] Umlt~d ri General ri ll~dlvldual . [] Attorney in Fact · [] 'Fruatee [] Guardian or Cons6~vator E] O{hen ' Signer Is Representing: III ERA AIS • • e� Municipality of Anchorage ° On-Site Water and Wastewater Program (907)343-7904 SA ETV Certificate of On-Site Systems Approval Parcel I.D. 078-141-33 LExpiration Date: ( - 7-I c 1. GENERAL INFORMATION Complete legal description South Fork North Tract F Location(site address) 2370 W. River Dr., Eagle River, AK 99577 Current Property owner(s) JSN Trust Day phone Mailing address 4131 Birdsong Dr., Eagle River, AK 99577 Real Estate Agent Day phone 2. TYPE OF DWELLING: El Single Family(w/wo ADU) ❑ Duplex ❑ Multiple Dwellings(Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well El Individual El Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ WaiverNariance request for: Distance: Received by: Date: COSA to be released to the engineer,unless otherwise requested by the engineer. COSA Fee $ 75. Waiver Fee $ Date of Payment i/LIf i J Date of Payment Receipt Number /1 63 5 d/gC) Receipt Number COSA# 050 q /o04-/ 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. Name of Firm Pannone Engineering Services LLC Phone (907) 745-8200 Address P.O. Box 1807 Palmer, AK 99645 Engineer's Printed Name Steven R Pannone Date /470`03 As- • r*'�49 TM y*4 6. DD SIGNATURE ' • System#1 Approved for 1 bedrooms %Sleren •.'Pa none• �+ CE-8149 System#2 Approved for bedrooms Disapprovedk>r`‘ r. `PNOfE`*A N. Conditional approval for bedrooms, with the following stipulations: ON-SITE WATER AND ✓NASI tWATER PROGRAM c By:, Original Certificate Date: 1 — 7 - / 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 blue sheet t . c If more than 1 septic system is on the lot: COSA Checklist# I of 1 Structure served by this system 1 Certificate of On-Site Systems Approval Checklist Legal Description: Southfork North., Tract F Parcel ID:078-141-33 A. WELL DATA Well type Private If A, B,or C provide PWSID# Well Log(Y/N) Y Date completed 9/28/17 Sanitary seal (Y/N) Y Wires properly protected(Y/N) Y Total depth 137 ft. Cased to 132 ft. Casing height(above ground) 24 in. FROM WELL LOG AT INSPECTION Date of test 9/28/17 Static water level 10 ft. ft. Well production 10 g.p.m. g.p.m. WATER SAMPLE RESULTS: Coliform NEG colonies/100 mL Nitrate 0.1 14 mg/L Arsenic ND ug/L Date of sample: 11/20..1212012018 Collected by: PES B. SEPTIC/HOLDING TANK DATA Tank Type/Material Advantex/ Fiberglass Date installed 9/10/18 Tank size 1500 gal. Number of Compartments 2 Cleanouts(Y/N) Y Foundation cleanout(Y/N) Y Depression over tank(Y/N) N High water alarm(YIN) N/A Date of pumping New Pumper C. ABSORPTION FIELD DATA Date installed 9/11/18 Soil rating (g.p.d./ft2 or ft2/bdrm) 4.0 System type Wide Trench Length 30.0 ft. Width 5.0 ft. Gravel below pipe 0.5 ft. Total depth +1 .5 ft. Eff.absorption area 150 ft2 Monitoring tube Y Depression over field N Date of adequacy test New 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 9/11/18 Size in gallons 250 Manhole/Access(Y/N) Y "Pump on"level at Timed in. "Pump off level at in. High water alarm level at 45 in. Datum Cycles tested Meets alarm&circuit requirements? E. SEPARATION DISTANCES WELL ON LOT TO: Septic tank/lift station on lot 1001+ On adjacent lots 1001+ 11 Absorption field on lot 100 + On adjacent lots 100 + Public sewer main 75'+ Public sewer manhole/cleanout 100 + Sewer/septic service line 25'+ Holding tank 100 + Animal containment areas 50'+ Manure/animal excrete storage areas 1001+ SEPTIC/HOLDING TANK ON LOT TO: 1Building foundation 1 Property line 10+ Absorption field 101+ Water main 25'+ Water service line 25'+ Surface water 1001+ Wells on adjacent lots 100 + ABSORPTION FIELD ON LOT TO: 101+ 11 Property line Building foundation 10 + Water main 10 + Water Service line 25'+ Surface water 1001+ Driveway,parking/vehicle storage 1 O'+ Curtain drain 501+ Wells on adjacent lots 100 + F. COMMENTS G. ENGINEER'S CERTIFICATION � ""voF`L,q I certify that I have determined through field inspections and rvib.' `0" .'77 review of Municipal records that the above systems are in 04:49 TH f‘ y conformance with MOA COSA guidelines in effect on this date. el ®W `9 Steven Pannone h Engineer's Printed Name `r t}even Pannone:••� 3 CE—8149 ,; Date `9d0 '0+g le k1 Joao,-e" s COSA canary sheet_2-6-15.doc