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HomeMy WebLinkAboutSAND LAKE #2 BLK 1 LT 22Sand Lake #2 Block 1 Lot 22 #011-132-03 Municipality of Anchorage Community Development Department Page 1 of 4 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: OSP151261 PID Number: 011-132-03 ❑✓ New ❑ Upgrade Name: SPINELL HOMES ABSORPTION FIELD ❑ Deep Trench ❑� Shallow Trench E] Bed E] Mound Address NHN Endicott St [I Other Phone Number of Bedrooms Soil Rating Total depth from original grade 6 6.0 GPD/SF 5.6 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade 5.1 Ft. Gravel depth beneath pipe 0.5Ft. Subdivision Block Lot SAND LAKE #2 1 22 Fill added above original grade 0 Ft. Gravel length 30 Ft. Township Range Section Gravel width Beds: Number of Lines Distance between lines SEPARATION DISTANCES - 5.0Ft. NIA N/A Ft. To Septic Absorgti�nn Ho er Total absorption area Number of trenches Dist. between trenches From Tank Fuld Statio Tank Lin 150 Ft 1 N/A Ft. Well 102.3 112.5 'I, sf TANK I] Septic ❑ S.T.E.P. ❑ Holding ❑other Manufacturer Anchorage Tank/ORENCO Capacity 25000al. Surface Water 100+ 100+ N/A Material Number of compartments Lot Line 10.1 7,8 N/A N/A Steel 3 NA NIA, N/A j Foundation 23.6 36.0 LIFT STATION Manufacturer ORENCO Capacity 500 Gal. N/AN/A Curtain Drain 50+ 50.0+ Remarks ABSORPTION FIELD TO LOT LINE Pump on level at Pump off level at High water_alar t 40 in. 36'n. r1 �' 4 in. SEPARATION DISTANCE WAIVER - 7' Pump make and model P2005-1 Elep rical Inspections performed b F chs Electric/mOA•BS PIPE MATERIAL House to tank 3034 Tnkto 034 Installer drainfield POMRANING EXCAVATION Drainfield 03 3034 Inspector Pannone Engineering Services BENCHMARK (Assumed elevation) 100ft Inspection , 1` 02/01/16 02/10/16 Location and description dates: V- NW CORNER Bottom of trim 3'° 4'h COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL Engineer's Stamp OF A(���t�} Conditional Approval: Date Pp fP� ......... cSfi9 j:.... 7H :# � „ Ite`ve�nc'k:'Pntl ORe ApproveDate E 8149 A�.V�. \J�Z Inspection Report_1-1-12.doc BR" LEX(P) E w / 12-1 —24' O 6 BR DUPLEX(P) 2500 ADVAN T EX SEPTIC TANK 23 AND 2 (EA) AX —20 PODS I 6 BR DUPL -47 .la. 11��U23/ Ir �1 6 BR/ A7RESERVE FIELD/ T1 DUPLEX(P) 30LFx5.0'W5.6'TD W/ CO T ENDS 1T1 T2 _ B MOO M F FIELD C01_ 1 EP O SAREA vv— FIELD N (See RD ANTICIPATE REMOVE & REPLACE OF FIELD IN EVENT OF FAILURE m �1 NO SEPTIC SYSTEMS WPI 100' TO EAST NO WELLS ON L 1 1 OR Ll OA WPI 100' TO EAST 0.0 -- W -Z7�M A B FC 12.6 27. � Ti 36.0 37.11 T2 42.1 27.4 DCO 43.6 37.8 SEPTIC �� C01 49.9 39.3 AREA CO2 43.5 57.3 M MT2 42.2 56.3 NOTE': PANNONE ENG SVC, LLC -� of a� �h ozizzi,6 RECORD DRAWING P.O. BOX 100217 ANCHORAGE, AK 99510 i ��' 4 , PHONE (907) 272-8218 FAX (907) 272-8211 Scale DRAWN I JRL PLAN SAND LAKE #2 31 L22 SPINELL HOMES NHN ENDICOTT ST ANCHORAGE, AK 99502 .49 ........ .......... P.io No 017-132-03 Steven R. ann CE 8149 PERMIT N0. �� CSP151261 ��11�F0pROFEssoaa�=� Sneer 2 oT 4 SPECIAL PROVISIONS TO SPECIFICATIONS 1 . ALL CONSTRUCTION SHALT_ BE INSTALLED AS SPECIFIED IN THE MOST CURRENT EDITION OF THE MUNICIPALITY OF ANCHORAGE STANDARD SPECIFICATIONS (MASS) FOR COMPONENT PARTS AND MATERIALS USED IN CONSTRUCTION OF ON-SITE WASTEWATER DISPOSAL SYSTEMS. 2. ALL WORK WILL BE IN ACCORDANCE WITH THE ATTACHED SPECIFICATIONS. 3. SCOPE OF WORK: INSTALLED ADVANTEX 2500g SEPTIC TANK W/ 2 (EA) AX20 POD AND NEW SOIL ABSORPTION SYSTEM. INSTALLED WELL. 4. GROUNDWATER WAS NOT OBSERVED TO A DEPTH OF 15.0' AS EVIDENCED BY THE SOIL TEST HOLE. AN APPARENT WATER TABLE WAS NOT OBSERVED IN ANY OF THE EXCAVATIONS LESS THAN 15.0 FEET BELOW EXISTING GRADE. 0 PVC PIPE DRAIN ROCK 6" ABOVE PIPE INV ROCK -7.0"_So� 94.2 93.7 SM ° SECTION -15,0 — [ BOH w M�rj? 40 PVC PIP RAIN ROCK 6" ABOV p pPIPE INVERT II 113 POD 25008 AOVANTEM TANK DESIGN PARAMETERS PRIMARY SEPTIC SYSTEM NO. BEDROOM: 6 (900 gpd) TANK SIZE: 25008 ADVANTEX TANK W/ 2EA AX -20 PODS PERC RATE = 1.86 IMPI SOIL RATING: 6.0 GPD/SF AREA ROD: 150 SF SYS. TYPE: `NIDE TRENCH 0.50' E.D MIN SIZE: 30 LF PROFILE LEGEND W WATER LINE/ WELL RADIUS — SS — NEW SEPTIC USED: 30.0' LONG X 5.0' WIDE, 0.50' E.D., 5.6TD TOTAL AREA: 150.0 SF NOTES: PANNONE ENG SVC, LLC REcoRo oRawlNc P.O. BOX 100217 ANCHORAGE, AK 99510 PHONE (907) 272-8218 FAX (907) 272-8211 SAND LAKE #2 31 L22 SPINELL HOMES DRAWN SRL NHN ENDICOTT ST DESIGN NOTES ANCHORAGE, AN 99502 ABBREVIATIONS Cu COPPER KIP DUCTILE IRON PIPE TH TEST HOLE FC FOUNDATION CLEAN OUT T# TANK CLEAN OUT N0, Cn CLEAN OUT NO. M# MONITOR TUBE N0. R.I. RIGID INSULATION DCO DOUBLE CLEAN OUT DV DIVERTER VALVE FS FLOW SPLITTER BFG BELOW FINISH GRADE OG ORIGINAL GRADE FG FINISH GRADE TS&V TOPSOIL AND VEGETATE E EXISTING P PROPOSED IVINZI Steven R"Pannone" 19 CE 8149 EL. Date 02/16/16 Scale 1"=10' F.I.D. NO D11-132-03 'ERMIT NO. OSP151261 Sheet 30F4 ADVANTEX TANK SYSTEM WITH 2 (EA) AX20 POD NOTES: PANNONE ENG SVC, LLC = OF A� t 02/16/16 RECORD DRAWING P.O. BOX 100217 ANCHORAGE, AK 99510 r �. ... (� PHONE (907) 272-8218 FAX (907) 272-8211 �rrp-. �y+) Scale j*:49TH ..*04 NTS .... .. .. . .... P.I.D. NO SAND LAKE #2 B1 L22 ...... .. ....... 1011-13z—o: SPINELL HOMES $'teven R. Pannone'% PERMIT No. DRAWN JRLern'. CE 8149 .'�j OSP151261 NHN ENDICOTT ST f cir DESIGN NOTES ANCHORAGE, AK 99502 ���FaAOFES oP� sheet 1\��___ �� 3 OF 4 Municipality of Anchorage Development Services Division On -Site Water and Wastewater Program r Department ' * * * * VARIANCE/WAIVER REVIEW * * * * Waiver#: OSV161010 PID#: 01103203 COSA#:OSC161132 Permit#:OSP161261 Legal Description: Sand Lake #2. Block 1. Lot 22 Engineer: Pannone Applicant: Spinell Homes Your request for a waiver of the required 10 feet horizontal separation from the absorption field to the property line has been approved. The approved separation distance is 7 feet. This waiver approval applies to the existing absorption field only. Any future upgrade to the on- site wastewater disposal system will require all separation distances be met or another approval from this department. ❑ The affected adjacent property owner(s) have been given a 7 day notice regarding this waiver. X 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: 7 �12 /4 Approved by: arr of Reviewer ............................................................................ Pannone Engineering Services LLC Steven R. Pannone, Principal Registered Professional Engineer E-mail: steve@panenRak.com 16 February 2016 Municipality of Anchorage Development Services Department On -Site Water & Wastewater Program 4700 Elmore Road P O Box 196650 �O Anchorage, Alaska 99519-6650 0 ,01CP Lot � Subject: SAND LAKE #2 k14B Lot Line Waiver Request Ladies and Gentlemen: We request a separation distance waiver for the absorption field to the lot line to seven feet (7'). The new field was installed 7.1' off the lot line on 01FEB2016. Granting this waiver is not likely to affect the health and safety of this lot or the surrounding lots now or in the future. If you have any questions or concerns, please contact me at 907.272.8218. Sincerely, Steven R. Pannone, P.E. Owner/Civil Engineer Mailing: P.O. Box 100217, Anchorage, AK 99510-0217 Physical: 332 East Manor, Anchorage, AK 99501 Telephone: (907) 272-8218 FAX: (907) 272-8211 MUNICIPALITY OF ANCHORAGE Community Development Department Phone: 907-343-7904 Development Services Division Fax. 907-343-7997 On -Site Water & Wastewater Program Mayor Darr Sullivan Hy*aEl To: Affected property owners adjacent to Sand Lake #2 BL Lot 22 Subject: Waiver Notification Notarized Confirmation To Whom It May Concern: The Municipality of Anchorage On-site Water & Wastewater Program (On-site) regulates private drinking water wells and septic systems for single family residences in accordance with Anchorage Municipal Code (AMC) Chapters 15.55 and 15.65. The Chapters include minimum separation distance requirements for private drinking water wells and septic systems. The requirements represent a conservative approach to protecting public health. Occasionally, the construction or upgrade of a property's well or septic system cannot be accomplished without reducing the code required separation distances. In these situations, a waiver to the required separation distance may be approved if an Alaska licensed civil engineer can successfully show that the public health will be maintained. The code requires a septic system drainfield to be located a minimum of ten (10) feet from any property line. The subject property owner's engineer has formally requested a waiver be granted to allow the existing septic system drainfield to be less than the required separation distance from a property line located on Sand Lake #2 BL1 Lot 23. AMC 15.65.140 requires all adjacent property owners be notified seven (7) days prior to issuing a separation distance waiver. This letter and a copy of the as -built survey have been sent to you in accordance with this requirement. Please sign and notarize this letter to acknowledge you have been notified. On-site Water & Wastewater Program Encl.: as -built survey Notary My commission pua�.+o Mailing Address: P.O. Box 196650 •Anchorage, Alaska 99519-6650 • htrpa/cvivuxnuni.ola Certified Drilling Log III BILL &� GALE OC CO dba 0 - VAN WATER WELLS P.O. Box 670269, Chugiak, AK 99567 588-2759 OWNER OF LAND: Spinell Homes ADDRESS: 1900 W. Northern Lights Blvd #200, 99517 Bore Hole Data Depth From To LEGAL DESCRIPTION Sand Lake #2 Block 1 Lot 22 DATE: 10-1-15 0 2 PERMIT NUMBER: OSP151261 DATE OF ISSUE: 8-12-15 TAX IDENTIFICATION NUMBER 01113203000 Is well located at approved permit location: ❑Yes ❑No Method of Drilling: ❑air rotary ❑cable tool Depth of Well: 210' Casing Type: Steel Wall thickness ,250 inches Diameter: 6 inches, depth 209 feet Linertype Static Water Level: 84 feet Recovery Rate 15 ❑ gpm ❑ 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: SO lbs Depth: from 2 feet, to 42 feet Well Disinfected Upon Completion: ❑yes ❑ no Method of Disinfection: Chlorine 50 PPM Comments: 2 4 4 82 82 90 90 110 110 160 160 185 185 190 190 198 198 204 204 210 Casing Stickup Overburden Silt & Sand w/ Gravel Silt & Sand Water Sand & Silt w/ Coal Silt & Sand Water Clay Clay & Gravel Tight Sand & Gravel 8 GPM Clay & Gravel 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. Municipality of Anchorage: Department of Health & Human Services and/or Department of Environmental Conservation. Matsu Borough: Department of Environmental Conservation. P DOC CO dba op �1► "LLI A ELL P.O. Box 670269, Chugiak, AK 99567 688-2759 www.suIlivanwaterweIls.com Pump Installation Log Well Drilling Permit Number: SW OSPIS1261 Date of Issue 8-12-15 Parcel Identification Number: 01113203000 Legal Description Sand Lake #2 Block 1 Lot 22 Pump Installation Date: 2-23-16 Pump Intake Depth Below Top of Well Casing: 190 Pump manufacturer's Name: Goulds Pump Model: 07HS07412CL Pump Size: 3/4 Pitless Adapter Burial Depth: 10 Pitless Adapter Installer: Pomraning Excavation Disinfected Upon Completion? ® yes ❑ no Method of Disinfection: Chlorine 50 PPM Comments: Pitless Manufacturer: Martinson Pump Installers Name: Sullivan Water Wells Property Owner Name & Address Spinell Homes 1900 W. Northern Lights Blvd #200 Anchorage, AK 995172 feet hp feet Attention: The pump installer shall provide a pump installation log to the DSD within 30 days of pump installation. 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: OSP151261 Tax Code Number: 01113203000 Work Type: WellSeptic Initial Permit Effective Dates: August 12, 2015 to August 11, 2016 Design Engineer: PANNONE ENGINEERING SERVICE Subdivision: SAND LAKE #2 Site Legal Address: SAND LAKE #2 BLK 1 LT 22 G2224 Owner/Address: PATELLA DENNIS 8031 WILCOX STREET ANCHORAGE AK 995024151 Site Mailing Address: 8036 ENDICOTT ST, DUPL A, Anchorage Lot Size in Sq Ft: 6750 Total Bedrooms: 6 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 Issued By: EJ -26 1S �> /s MUNICIPALITY OF ANCHORAGE / Community Development Department Phone: 907-343-7904 Development Services Division Fax: 907-343-7997 On -Site Water & Wastewater Program ON-SITE SEWERIWELL PERMIT APPLICATION Parcel I.D. 011-132-03 Property owner(s) Spinnell Homes Day phone None Available Mailing address 1900 W Northern Lights Blvd #200, Anchorage, AK 99517 Site address NHN Endicott St, Anchorage, AK 99502 Legal description (Sub'd., Block & Lot) SAND LAKE #2, 131 L22 Legal description (Township, Range & Section) Lot Size 6750 Sq. Ft. Number of Bedrooms 6 APPLICATION IS FOR: APPLICATION IS AN: (® all that apply) Absorption Field ❑X Initial ❑x Septic Tank ❑X Upgrade ❑ Holding Tank ❑ Renewal ❑ Privy ❑ Private Well ❑x Water Storage ❑ TYPE OF DWELLING: Single Family (SF) ❑ (w/wo ADU) Duplex (D) ❑x Multiple Dwellings ❑ (SF and/or D) THIS APPLICATION INCLUDES A VARIANCE I WAIVER REQUEST FOR: Distance: 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: Waiver Fees: . Date of Payment: Date of Payment: Receipt Number: C:P-- Receipt Number: Permit No. ®vlS-Viy Waiver No. Permit App__- : Pannone Engineering Services LLC Steven R. Pannone, Principal Registered Professional Engineer E-mail: steve(a)paneneak.com 5 August 2015 Subject: SAND LAKE #2 B1 L22 Septic System and Well Permit Request Design Narrative This is a design narrative for a permit to installn i�tta'I-s ptic system and well to be issued for this property. The proposed systems will serve a p posed six ) bedroom duplex. Currently the lot is undeveloped. The proposed system will utili e a antex Wastewater System w/ a 250g auxiliary pump tank and two AX -20 pods with a pressu ' ed d. This lot is to be served by a private well. The surrounding developed lots are served by a comb ation of Class C Community wells and private wells. There are no wells within 100' of the proposed septic system 1. Soils. One test hole was performed in the vicinity of this system by Pannone Engineering Services in April of 2015, and groundwater was monitored for at least seven days. Ground water was not observed to a depth of 15.0' below the surface in the test hole monitor tube in May of 2015. Based on the results of the percolation tests and overall soils appearance; an application rate of 6 gallons/day/square feet was used for an Advantex Wastewater System in the area of these test holes. 2. Soil Absorption System Design. a. See Sheet 1 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 the east at approximately 2% in the area of the septic system. There are no steep slopes within 50' of the proposed drain field. The proposed drain field will maintain 50' separation all steep slopes. 5. Drawing Markings: The Drawings are marked "FOR CONSTRUCTION". The proposed installation will not affect the future development of this or the surrounding lots. Mailing: P.O. Box 100217, Anchorage, AK 99510-0217 Physical: 332 East Manor, Anchorage, AK 99501 Telephone: (907) 272-8218 FAX: (907) 272-8211 Yl Util Es1T 5 `, 2 F;s �.YtA 0 0th AVE SS X355 SS SS SS �5� SS 5 645— 9S SS 33 —% SS s3 SS 55 Gm—GPS G43 G45— GNS G95— GPS G55— so — s � so sG, so sG __ � / ���•�. _'— GPs w WELL P -A- --2� ! N i 6 FR o° DUPUEX(P) I !- _. I DUPLEX(P) �` 10 s a o - -- \ WELL J68R ., ( l�N j23� a OUPLEXP ate` �� I LC 6 BR RPTI N A LD P Bp I I 3OLFx5.D'W.O. E.D.. a.e'TD�PLEO \` .� L25`0 PIPE 5' O.C. ttP. W/ {.F' _--.-.-_ - _ WELL P 0.125" DRILLED HOLES 18' O.C.(P) 1 „1 m 1 y +' AND MT AT ENDS OF FIELD 2000 ADVANTE% SEPTIC TANK P N ( W 2509 AUX PUMP TANK AND 1 N 3 BR SFD J ANTICIPATE REMOVE & REPIACE aF �1` AREA FIELD IN EVENT OF FAILURE ' 11 (See RD - \ E D'• \1 kl U9) NO SEPTIC SYSTEMS W/I 100' TO EAST 11 NO WELLS ON L11 OR L10A W/I 100' TO EAST -4 1 r 5 i i l iI WELL - A SARTII 20 19 00 I ELL NOTES:PANNONE ENG SVC LLC -�oF q ��� Date FOR CONSTRUCTION P.O. BOX 100217 ANCHORAGE, AK 99510 r c .• �q'q 08/11/15 PHONE (907) 272-8218 FAX (907) 272-8211j g�Q �yf�' Sc, Ie 50 /..... . ... / F—LD. NO SAND LAKE #2 81 L22� 011-132-03 DRAWN JRL SPINNELL HOMES / Steven •R. •Pennon' PERMIT NO. NHN ENDICOTT ST I ��. CE 8149 OSP151261 PLAN ANCHORAGE, AK 99502 Mit ROFESSPN� Sheet 1 OF 4 SPECIAL PROVISIONS TO SPECIFICATIONS 1. ALL CONSTRUCTION SHALL BE INSTALLED AS SPECIFIED IN THE MOST CURRENT EDITION OF THE MUNICIPALITY OF ANCHORAGE STANDARD SPECIFICATIONS (MASS) FOR COMPONENT PARTS AND MATERIALS USED IN CONSTRUCTION OF ON—SITE WASTEWATER DISPOSAL SYSTEMS. - 2. ALL WORK WILL BE IN ACCORDANCE WITH THE ATTACHED SPECIFICATIONS. 3. SCOPE OF WORK: INSTALL ADVANTEX 2000g SEPTIC TANK W/ 2 (EA) AX20 POD AND 2509 AUX PUMP VAULT (P) AND NEW SOIL ABSORPTION- SYSTEM. INSTALL WELL (P). , 4. GROUNDWATER WAS NOT OBSERVED TO A DEPTH OF 15.0' AS EVIDENCED BY THE SOIL TEST HOLE. AN APPARENT WATER TABLE WAS NOT OBSERVED IN ANY OF THE EXCAVATIONS LESS THAN 15.0 FEET BELOW EXISTING GRADE. FILTER FABRIC 1.25'4 PIPE 5' O.C. TYPICAL W/ F0.125" DRILLED HOLES 18" O.C. (P) DRAIN ROCK SM Em -TO � 6M i SECTION —1s.o w BOH o 1.25'0 PIPE 5'0.c. NP. W o o m 0.125 ORIILED HOLES 18 O.C. P i w - DRAIN ROCK 6" ABOVE N u a PIPE INVERT In 2000g ADVANTEX TANK (P) w/ 2509 AUX PUMP VAULT DESIGN PARAMETERS PRIMARY SEPTIC SYSTEM NO. BEDROOM: 6(900 gpd) TANK SIZE: 2000g (P) w/ 250g AUX PUMP VAULT PERC RATE = 1.86 MPI SOIL RATING: 6.0 GPD/SF AREA ROD: 150 SF SYS. TYPE: WIDE TRENCH 0.50' E.D. MIN SIZE: 30 LF - PROFILE LEGEND --- WATER LINE/ WELL RADIUS ----------_— NEW SEPTIC USED: 30.0' LONG X 5.0' WIDE, 0.50' E.D., 4.0' TD TOTAL AREA: 150.0 SF - NOTES: PANNONE ENG SVC, LLC FOR CONSTRUCTION P.O. BOX 100217 ANCHORAGE, AK 99510 PHONE (907) 272-8218 FAX (907) 272.-8211 SAND LAKE #2 B1 L22 DRAWN JRL SPINNELL HOMES NHN ENDICOTT ST DESIGN NOTES ANCHORAGE, AK 99502 ABBREVIATIONS CU COPPER DIP DUCTILE IRON PIPE TH TEST HOLE FC FOUNDATION CLEAN OUT T# TANK CLEAN OUT NO. C# CLEAN OUT N0, M# MONITOR TUBE NO. R. 1. RIGID INSULATION DCO DOUBLE CLEAN OUT DV DIVERTER VALVE FS FLOW SPLITTER BFG BELOW FINISH GRADE OG ORIGINAL GRADE FG FINISH GRADE TS&V TOPSOIL AND VEGETATE E EXISTING P PROPOSED EL. 08/11/15 TH ... ......:.. / P.LD. NO W, 011-132-0: Steven R. annone j PERMIT NO. (�Fc/. CE 8149 .<<V�� OSP151261. p,DPROFESSIONa�'� Sheet 2 OF 4 ADVANTEX TANK SYSTEM WITH 2 (EA) AX20 POD NOTES: FOR CONSTRUCTION DRAWN I JRL DESIGN NOTES PANNONE ENG SVC, LLC P.O. BOX 100217 ANCHORAGE, AK 99510 PHONE (907) 272-8218 FAX (907) 272-8211 SAND LAKE #2 31 L22 SPINNELL HOMES NHN ENDICOTT ST ANCHORAGE, AK 99502 08/11/15 *r1 NTS ......:.... ... ... P.I.D. NO 011-132-0. Steven R. Pannone PERMIT NO. I �V"- CE 8149 h2% OSP151261 OFESSIONP`i Sheet \.—__ 3 OF 4 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 TEST HOLE 1 SOILS LOG - PERCOLATION TEST OR TOPSOILSLOPE \y SITE PLAN SILTY SANDS FINE SAND/ SANDY -SILT BOH DATE PERFORMED: 04/29/15 HOLE WAS GROUNDWATER ENCOUNTERED? N IF YES, AT WHAT DEPTH? -0-' DEPTH TO WATER AFTER MONITORING? - DRY - DATE: 05/06/15 SLOPE TH 1 READING GATE CLOCK TIME NET TIME WATER LEVEL READING NETDROP RATE (MPI) 1 0429/15 09.21 4 295" 2 0931 10MIN 11.205 6.91 1.447 3 09.32 4 295" 4 0942 10 MIN 10.070 5.775 1.731 5 09:44 4295" 6 0954 10 MIN 9.745 5.450 1.634 7 09.55 4.295" 6 10:05 10MIN 9.705 5.410 1.846 9 1006 4.295" 10 1016 10MIN 9.665 5.370 1862 11 1017 4.295" 12 1027 10MIN 9:661 5.366 1.863 PERCOLATION RATE 1.86 (min/inch) PERC HOLE DIAMETER 6 inches TEST RUN BETWEEN 3.5 FT AND 4.5 FT - COMMENTS: Test hole excavated by Pannone Enpneering Svc. Test Hole was presoaked before perc test. 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: PANNONE ENG SVC, LLC -���Date FOR CONSTRUCTION P.O. BOX 102954 ANCHORAGE, AK 99510 J c�...... s�l� 08/11/15 PHONE (907) 272-8218 FAX (907) 272-8211 /�g�P �y+j Scale j*:'49TM it/� NTS /..... .: �... ... / P.I.D. NO SAND LAKE #2 B1 L22 %6+=132-03 SPINNELL HOMES Steven nn e / PERMIT NO. DRAWN JRL +�P CE 8149 \���� NHN ENDICOTT ST OSP151261 t♦ _ SOILS LOG ANCHORAGE, AK 99502 (�� . ...soe-_ Sheet eOF 4 \\ �� ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND REPAIR AGREEMENT BETWEEN MUNICIPALITY OF ANCHORAGE AND _ - j�,( THIS MAINTENANCE AND REPAIR AGREEMENT made and entered into as of this i Day of AU41 s of 20L, by and between 5 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), descrilled as located at (legal description). 1, ZZ 2. Defanuions. Alteration. Any change to the design or function of an A W 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 AW WTS that were included in the original design which would allow the AW WTS to continue to perform as designed. Permit. An On -Site Wastewater Disposal Permit as required by AMC 15.65 to construct and operate an A W WTS. 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 COSA, and shall continue while the AW WTS 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 AW WTS, 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 AW WTS 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 AW WTS service and maintenance provider approved by the municipality and the manufacturer of the A W WTS for the entire term of the A W 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 (S) 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 A W 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 AW WTS vendor/installer and approved by the Municipality are the governing guidelines for the construction, maintenance and repair of the Owner's A W WTS. I. Owner agrees to provide and maintain a telephone connection to the AW WTS as required by the AW WTS approval. 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 parry 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 are: a. Owner: b. Municipality: Director, Community DeveIooment or designated authority am C. Any attempt to amend, modify, or change this contract by either an unauthorized representative or unauthorized means shall be void. S. 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 Iaws 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 bycourt of competent jurisdiction shall not invalidate the remaining Maintenance and Repair Agreement. (print name) STATE OF ALASKA ) ) ss. THIRD JUDICIAL DISTRICT } Date:r �' t5 The foregoi instrument wja's acknowledged before me thisZ day of S , i 20 15, by tfcS o(�tW 16At1J 777jj \4`tlq�\ii� SLS:........... f 11si `�1 �n �sa7oo NOTARY PUBLIC F R A ASKA oQ�x' NOFAt;y R9 My Commission expires: :�� ®. _ ®.� u. Vita LtG OF A1LN..,\\N MUNICIPALITY: By: (signature) Date: (print name) Title: • Municipality of Anchorage A On -Site Water and Wastewater Program (907) 343-7904 Certificate of On -Site Systems Approval Parcel I.D. 011 -132-03 Expiration Date: 2 Z 4 C 1. GENERAL INFORMATION Complete legal description Sand Lake #2, Block 1, Lot 22 Location (site address) 8036 Endicott St. Current Property owner(s) Spinell Homes Inc Day phone Mailing address 1900 W Northern Lights Blvd. #200 Anchorage, AK 99517 Real Estate Agent Day phone 2. TYPE OF DWELLING: ❑ Single Family (w/wo ADU) Fx_1 Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 6 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well 0 Individual Fx� Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ Waiver/Variance request for: Distance: Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ o --'1 I ( I 1 Waiver Fee $ Date of Payment cf - Z z !1 G Date of Payment Receipt Number 0 (, 2 Z7 `J Receipt Number COSA # Q SC 1b 1) 3 % Waiver # 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verity 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 andfor 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 Address P.O. Box 100217, Anchorage Ak. 99510 Engineer's Printed Name Steven R Pannone Phone (907)272-8218 Date 4/21/201-6 6. DSD SIGNATURE "" " System#1 Approved for bedrooms:Seven R.annone:" System #2 Approved for bedrooms �� �q . CE -8149 Aw Disapproved �l `fNOFE5S .► Conditional approval for bedrooms, with the following stipulations: By: Original Certificate Date: fir/ 2.Z j „ The Municipality of Anchorage Development Services Division (DSD) issues Certificates of Onsite 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 COSAbluesheetf :.. c If more than 1 septic system is on the lot: COSA Checklist # + of + Structure served by this system i Certificate of On -Site Systems Approval Checklist Legal Description:. Sand Lake #2, Block 1, Lot 22 A. WELL DATA Well type Private If A, B, or C provide PWSID # Date completed 10/1 /20151 Sanitary seal (Y/N) Y Total depth 210 ft. Cased to 209 ft. FROM WELL LOG Date of test 10/1/2016 Static water level 84 ft. Well production 95 g.p.m. WATER SAMPLE RESULTS: Coliform Neg colonies/100 mL Nitrate ND mg/L Arsenic NQ ug/L Date of sample: 4/6/2016 Parcel ID: 01 1-132-03 Well Log (Y/N) Y Wires properly protected (YIN) Y Casing height (above ground) 18+ in. AT INSPECTION New New ft. New 9.p -m. Collected by: PES B. SEPTIC/HOLDING TANK DATA �i' Tank Type/Material Septic/Stee%,,.e,�,co: AJva-v+1s Date installed 2/10/2016 Tank size 2,500 gal. Number of Compartments 2 Cleanouts (Y/N) Y Foundation cleanout (Y/N) Y Depression over tank (YIN) N High water alarm (YIN) Y Date of pumping New Pumper N/A C. ABSORPTION FIELD DATA Date installed 2/112016 Soil rating (g.p.d./ff or ft2/bdrm) 6.0'GPD/SF System type ShallowTrench Length 30 ' ft. Width 5 ft. Gravel below pipe 0.5 ft. Total depth �` ft.' -EfF. absofption area 1 0 fe Monitoring tube Y Depression over field N Date of adequacy test New Results (Pass/Fail) Pass For 6 bedrooms Fluid depth in absorption field before test New, in: r- Water added New gal. New depth New in. Elapsed Time: New min. Final fluid depth New in. Absorption rate >= 900* g.p.d. Any rejuvenation treatment (past 12 mo.) (YIN & type) NO If yes, give date D. LIFT STATION Date installed 2/10/2616 Size in gallons 500 Manhole/Access (Y/N) Y "Pump on" level at 40 in. "Pump off' level at 36 in. High water alarm level at 45 in. Datum Boftom Of Tank Cycles tested New Meets alarm &circuit requirements? Yes E. SEPARATION DISTANCES WELL ON LOT TO: Septic tank/lift station on lot 100+ On adjacent lots 100+ Absorption field on lot 100+ On adjacent lots 100+ Public sewer main 75+ Public sewer manhole/cleanout 100+ Sewer/septic service line 25+ Holdingtank 100+ Animal containment areas 50+ Manure/animal excrete storage areas 100+ SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5+ Property line 5+ Absorption field 5+ Water main 10+ Water service line 10+ Surface water 100+ Wells onadjacentlots 100+ ABSORPTION FIELD ON LOT TO: Property line 7* Building foundation 10+ Water main 10+ Water Service line 10+ Surface water 100+ Driveway, parking/vehicle storage 10+ Curtain drain 50+ Wells onadjacent lots -,l 00t F COMMENTS *Waiver on File G. ENGINEER'S CERTIFICATION I certify that I have determined through field inspection§sand review of Municipal records that the above systems are in, conformance with MOA COSA guidelines In effect on this date. 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