HomeMy WebLinkAboutPARK PLACE LT 10Park Place
Lot 10
#020-092-56
Municipality of Anchorage
On -Site Water and Wastewater Program • (907) 343-7904 Page 1 of 3
ON-SITE WASTEWATER INSPECTION REPORT
Permit Number: OSP141465 PID Number: 020-092-56
Dwelling:
•
Single Family (SF) ❑ Duplex (D) ❑ Mul ple (SF and/or D) Project: ❑ New
•
Upgrade
Name:
WALTER HAYS
ABSORPTION FIELD
❑ Deep Trench •
❑ Other
Shallow Trench ❑ Bed ❑ Mound
Address
16410 SAINT JAMES CIR ANCHORAGE AK 99516
Phone
Number of Bedrooms
5
Soil Rating
5.0 GPD/SF
Total depth from original grade
2.0 Ft.
LEGAL DESCRIPTION
Depth to pipe invert from original grade
0.5 Ft.
Gravel depth beneath pipe
1.5* Ft.
Subdivision Block Lot
PARK PLACE 10
Fill added above original grade
2.0 Ft.
Gravel length
20+24=44 Ft.
Township Range Section
Gravel width
5 Ft.
Beds: Number of Lines
--
Distance between lines
— Ft.
SEPARATION DISTANCES
To
From
Septic
Tank
Absorption
Field
Lift Station
Holding
Tank
Sewer
Line
Total absorption area
282 Ftp
Number of trenches
2
Dist. between trenches
10 Ft.
Well
>100'
>100'
>100'
NA
>25'
TANK ■ Septic ■ S.T.E.P. • Holding • Other
Manufacturer
ADVANTEX/ANCHORAGE TANK
Capacity
2000 Gal.
Surface Water
>100'
>100'
>100'
NA
NA
Material
STEEL
Number of compartments
2
Lot Line
>5'
>10'
>5'
NA
LIFT STATION
Foundation
>5'
>10'
>5'
NA
Manufacturer
ORENCO
Capacity
50 Gal.
Curtain Drain
>50'
>50'
>50'
NA
Remarks *EFFECTIVE ABSOPRTION AREA IN SOIL STRATA
Pump on level at
15 in.
Pump off level at
20 in
High water alarm at
14.5 in.
BELOW ORGANICS. EXISTING ABSORPTION FIELD
Pump make and model
ORENCO PF 20
Electrical Inspections performed by
MOA
CONNECTED VIA VALVE TO USED AS ALTERNATE SITE
Installer
A+ HOME SERVICES
PIPE MATERIAL House to tank 3034 Tank to 1785
drainfield
Drainfield 1785 CO/MT 3034
BENCH MARK (Assumed elevation) 100 ft
Inspector LARS SPURKLAND, ANSON MOXNESS
Location and description
FIELD: GARAGE SLAB TANK: REAR DOOR JAM
Inspection
1" 11/18/14 2nd 11/19114
dates:
3rd 11/19/14 4"
COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL
�"" �� � � �/
Conditional Approval: � 142/1 Date f/ 0
Engineer's Stamp
.....��a0\\
NA
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MOA elecfn ca ( i0 17e. Slnbwrl'fr'er1 b Z/ZN/l •
toy
Approved Date 1 Z�4//Y
nspection Report 9-1-12.doc
LOT 11
CONNECTED DISCHARGE
LINE TO EXISTING FIELD
VIA DIVERTER /N PUMP BASIN
6 SIL.
E
F
G
H
/
SWNG RES
A
38.0
42.0
B
12.0
21.0
C
0
49.0
79.5
62.5
100.0
78.0
102.5
J
64.5
86.5
EXISTING SEPT7C TANK
DECOAIMISIONED
PER MOA REQUIREMENTS
EASE
I�5' DRNG
4' CONTOUR LINES
INSTALLED 5 -BEDROOM SEPTIC SYSTEM
INSTALLED 2000 GAL ADVANTEX AWWTS
2 AX -20 FILTER PODS
TRENCH LENGTH 1 x 20 FEET
TRENCH LENGTH 1 x 24 FEET
TRENCH WIDTH 5 FEET
MAX EXCAVATION DEPTH 2.0 FEET
ROCK DEPTH 1. FEET
2" INSULATION
•
IE: SLOPES EXCEEDING 25X WERE NOT OBSERVED
WITHIN 50 FEET DOWN GRADIENT OF THE PROPOSED
ABSORPTION FIELD LOCATION.
NOTE: THIS 15 NOT A SURVEYED PLAT. WELL & SEPTIC
LOCATIONS TAKEN FROM ON -511E WATER AND WASTE WATER
DEPARTMENT DOCUMENTATION. ALL LOCATIONS SHOWN ARE
APPROXIMATE.
DIMENSIONS OF ONE EXISTING TRENCH:
5' WR#' x 64' LONG W/ 2.5' ROCK
= 500 SQ.FT - SUFFICIENT FOR RESERVE
25 0 25 50 75 100
SCALE 1' = 50 El.
125 150
SPURKLAND ENGINEERING
203 V 15TH. AVENUE
ANCH. AK 99501
(907) 279-3916
PARK PLACE LOT 10
VAL TER HAYS
16410 SAINT JAMES CIR ANCHORAGE AK 99516
SEPTIC SYSTEM ASBU/LT
DAT£ Nov. 20th, 2014
SHEET: 2/3 GRID SV2636
PERMIT N OSP141465
PID A` 020-092-56
PARKPL ACEL IO SC50-ASRAVG
LENGTH 20'
Monitors 10' IN
LENGTH 24' Montors
Soil Absorption System
3/16' holes 30' on Center
10' IN
C'),1. NTS•
')
4—BEDROOM RESIDENCE
Air
a
•
•
•�
..•'
•
4.••
f:, No.
t%1 •, i}
•
6 SPURKLAND
CE -11500 •= ti
Foundation CO
'
v �,r,
'4 ... . , .'P�`c�:� •
•S 1•
NOT ID SCALE
Monitors INSTALLED
2' Cover
KG ELEV.-107.0' Silt Bowler
2000 GAL ADVANTEX Category
W/ PUMP BASIN
-R AWES
E.G fifl!=105. -' 2' Insulation
Foundation CO
F.G
1
'.c. II„Illt
' =J07/
:[[ 7[,�TI�
E.G W=10125'
f.G £YEV.=102.1" FG ELEy,=J01
v.
INV. ELEV.=104.0 ��.. -- -
-- ..
I
+L
■,--_
1
—
...,
:,..:.:.:..
IHv. ElEY.=rgr.B
1.5 ft of Septic Rock
Effective
BON EIEY.=100.1'
H2O ELEV..-%3' Below EG 10/15/14
433`
BM ELEV.=9A6' Below
NO SCALE
2000 GAL DEAI&£ !'OD
ADVANTLX CATEL6Pr-III AWES
1.5,
E.G
TANX BENGHARK.• DOOR JAM REAR SUDI G DOOR
TRENCH BEYCNILIRK• TOP GARAGE SLAB
ASSIRIED ELEVATOR 100'
SPURKLAND ENG/NEER/NG
203 ‘0/15th Ave
Anchorage Ak 99501
279-3916
PARK PLACE LOT 10
WALTER HAYS
16410 SAINT JANES CIR ANCHORAGE AK 99516
SEPTIC SYSTEM ASBUILT
DATE: NOV 20 2014
SHEET: 3/4 GRIDS 3337
PERMIT # OSP141465 PARCEL ID # 020-092-56 ParkPlaceLlaD3-AS&DWG
/' Building Application Information - Windows Internet Explorer
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Application Type DPRETR
PrImatyApplicant
Address
Location
19 SAINT]A
troft Permit9ia DP
CAPSTONE ELECTRIC
ES CIRMchorage AK 99516
plication is Closed.
/Application has been 8nalimd on 11124170143:03:55PM.
/Current unpaid amount of $000.
10 JobDesaipiion
e Application Details
. til Reviews
((, inspections
t
e Conditions
ti Required Licenses
® Fees
ig Bonds
Ca Valuations[ '.
I) Applicants
(�SItes
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Ili Related Records
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Comment
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333765
Electrical Inspection
Electrical
2
Approved
S.Ovitt
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Requested r.
by. Devin
Rateedie
907.688275
devinicapst
Requested
try M.Green
M.Green
1
On -Site Wastewater Disposal 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: OSP141465
Tax Code Number: 02009256000
Work Type: Septic Upgrade
Permit Effective Dates: November 04, 2014 to
Design Engineer: SPURKLAND ENGINEERING
Subdivision: PARK PLACE
Site Legal Address: PARK PLACE LT 10 G:3337
Owner/Address:
November 04, 2015
HAYS WALTER L &
SHORE JO ANN 4051 E BIRCHVIEW DR WASILLA AK 996540000
Site Mailing Address: 16410 SAINT JAMES CIR, Anchorage
t1/p:104 la: 3o
Lot Size in Sq Ft: 179785
Total Bedrooms: 5
This permit is for the construction of:
Y Disposal Field Y Septic Tank N Holding Tank N Privy N 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.
1 Special Provisions: Two AX -20 pods to be installed.
Received By:
Issued By:
11 /l`d/R1 C D 41 Tronwh conC yuara-fron
charied 'Fo (( 10' and I c 30', M'Mcv
Date: //AA/
MUNICIPALITY OF ANCHORAGE
Community Development Department
Development Services Division
On -Site Water & Wastewater Program
Phone: 907-343-7904
Fax: 907-343-7997
ON-SITE SEWER/WELL PERMIT APPLICATION
Parcel I.D. 020-092-56
Property owner(s) WALTER HAYS Day phone
Mailing address 16410 SAINT JAMES CIR ANCHORAGE AK 99516
Site address SAME
Legal description (Sub'd., Block & Lot) PARK PLACE LOT 10
Legal description (Township, Range & Section)
Lot Size Sq. Ft. Number of Bedrooms
APPLICATION IS FOR:
(ID all that apply)
Absorption Field H
Septic Tank 0
Holding Tank ❑
Privy
Private Well
Water Storage
APPLICATION IS AN:
5
TYPE OF DWELLING:
Initial us/
❑ Single Family (SF) 0
Upg (w/wo ADU)
Renewal V3/411,.
Duplex (D)
Ren
®c 2014q ultiple Dwellings El
(SF and/or D)
THIS APPLICATION INCLUDES A VARIANCE / WAIVER AtitURST FOR:
Distance:
I certify that the above information is correct. I further certify that this is in accordance with
applicable Municipal Codes.
LtStilew/V(Signaturof
property owner or authorized agent)
Permit/Rush Fees:
Date of Payment: (011(419
Receipt Number: Oma
Permit No. 05914 14t..5"
Permit App_9-1-12.doc
Waiver Fees:
Date of Payment:
Receipt Number:
Waiver No.
Spurle[and Engineering
Environmental Consulting and Design
SEPTIC SYSTEM DESIGN
PARK PLACE LOT 10
Municipality of Anchorage
Development Services Department
On Site Water and Wastewater Program
4700 Elmore Road
Anchorage, Alaska 99519
October 15, 2014
Subject: Septic System Installation Permit
16410 Saint James Cir Anchorage AK 99516
Ladies and Gentlemen:
I am writing to request a septic system installation permit for the above referenced property. The
existing septic system did not meet COSA operational requirements. The proposed system will
serve a 4 -bedroom single-family residence. Soil logs, design calculations, a site plan, design
drawings and construction specifications are enclosed for your review.
Design Cates: Groundwater observed at depth of 6 feet below ground surface
(10/15/14).
Soil Rating. From Test hole 3/1/78
11.9 min/in = 5.0 gal per sq.fUday
No. of Bedrooms 5
Required Area per Bedroom: 150/ 5.0 = 30 sq.ft.
Total area required: 30 x 5 = 150 sgft
System: We are proposing a 2000 gallon Advantex two pod AX -20 Category III AWWTS
followed by a wide trench absorption field. The absorption field will consist of two trenshes
each 25 feet long and 5 feet wide and contain 1.5 feet (320 sq.ft. effective) of sewer rock.
Soils: Test holes were excavated to the west of the house and existing septic system and were
found to be unsuitable for onsite wastewater disposal. A groundwater monitor was found from
the original test holes in 1978. See the attached soil logs. Alaska Testlab found the soil to have a
percolation rate of 11.9 minutes per inch. A percolation test was conducted by Spurkland
Engineering on Oct. 7th, 2014. A percolation rate of 5.3 minutes per inch was observed. Ground
203 West 15th Avenue Suite 203, Anchorage, AK 99501, Phone: (907) 279-3916
Fax: (866) 354-1597, Lspurkland@gci.net
Spur -Wand. Engineering
Environmental Consulting and Design
water was observed at 6 feet below the ground surface on October 15th, 2014 monitoring will
continue through construction of the septic system.
Surface Water: There are no surface waters within one hundred feet of the proposed septic
system upgrade.
Topography: The ground level slopes down towards the southwest at less approximately a 10%
grade
Waivers: None
Well: The well was initially classified as a class -C well as the property contained a duplex. The
house is a single family residence. The well should be correctly classified as a private well.
The installation of this septic system will not prevent wells and septic systems from being
installed on the adjacent lots. The proposed septic system will not change the general slope of
the area. Ponding and/or concentration of surface runoff will not result from this installation.
If you have any questions or concerns, please contact me at 279-3916.
Sincerely,
Lars kland, P.E.
Civil Engineer
203 West 15th Avenue Suite 203, Anchorage, AK 99501, Phone: (907) 279-3916
Fax: (866) 354-1597, Lspurkland@gci.net
LOT 11
Septa-
n
LOT 1
-v/
c$$epe 6
r n
NOTE: THIS IS NOTA SURVEYED PLAT. WELL & SEPTIC
LOCATIONS TAKEN FROM ON-SITE WATER AND WASTE WATER
DEPARTMENT DOCUMENTATION. ALL LOCATIONS SHOWN ARE
APPROXIMATE.
50 0 50 100 150 200 250 300
SCALE: 1' = 100 FT
LOT 9A
SPURKLAND ENGINEERING
203 W 15TH. AVENUE
ANCH, AK. 99501
(907) 279-3916
PARK PLACE LOT 10
WALTER HAYS
16410 SAINT JAMES CIR ANCHORAGE AK 99516
SEPTIC SYSTEM DESIGN
DATE OCT 1 2014
SHEET: 1/3 GRID 5113337
PERMIT # OSP141XXX
PID # 020-092-56 PARKPLACELIOSC100.DVG
LOT 11
CONNECT DISCHARGE
LINE TO EXISTING FIELD
i
EXISTING SEPTIC TANK
TO BE D£COMMISIONED
PER MOA REQUIREMENTS
I25' DRNG EASE
i
4' CONTOUR LINES
INSTALL 5 -BEDROOM SEPTIC SYSTEM
INSTALL 2000 GAL ADVANT£X AWWTS
2 AX -20 FILTER PODS
TRENCH LENGTH 2 x 25 FEET
TRENCH WIDTH 5 FEET
MAX £XCAVA770N DEPTH 2.0 FEET
ROCK DEPTH 1.5 FELT
2" INSULATION
COVER 2 FEET (MIN.)
-_il/�N
<
NOTE: SLOPES EXCEEDING 25X WERE NOT OBSERVED
WITHIN 50 FEET DOWN GRADIENT OF THE PROPOSED
ABSORPTION FIELD LOCATION.
NOTE.• THIS IS NOT A SURVEYED PLAT. WELL & SEPTIC
LOCATIONS TAKEN FROM ON-SITE WATER AND WASTE WATER
DEPARTMENT DOCUMENTATION. ALL LOCATIONS SHOWN ARE
APPROXIMATE
IPA
DIMENSIONS OF ONE EXISTING TRENCH:
5' WIDE x 64' LONG W/ 2.5' ROCK
= 500 50.FT - SUFFICIENT FOR RESERVE
25 0 25 50 75 100
SCALE' I' = 50 FT
125 150
• SE.........: ,
th
•
•
M
S SPURKLAND
1500 : ti
�virtr. NO. CE-
SPURKLAND ENGINEERING
203 W 15TH. AVENUE
ANCH. AK. 99501
(907) 279-3916
PARK PLACE LOT 10
WALTER HAYS
16410 SAINT JAMES CIR ANCHORAGE AK 99516
SEPT/C SYSTEM DESIGN
DATE: SEPT 29 2014
SHEEP 2/3 GRIM SW2636
PERMIT # OSP141XXX
PID # 020-092-56
PARKPLACELI0.SC5ROWG
•
•
Monitors
Soil Absorption System
2 5' x 25' trenches
2.0' Max Excavation Depth
1.5' Septic Rock (effective)
1 1/4' Distribution Piping
Silt Barrier
2' Insulation
2' Cover Chin)
•
11\nsS
Silt Barrier
NOT TO SCALE
NT..S
IN
Monitors
3/16' holes 30' an Center
4—BEDROOM RESIDENCE
Foundation CD
2000 GAL ADVANTEX Catega y -B AVVTS
11/ PUMP BASIN
Monitors
2' Insulation
Foundation CO
FINAL ;RADE
3
1120 EI£Ve6.0' Below £G 10/15/14
NO SCALE
2000 GIL BOOLE PDD
ADVANTEX CATEGORY -171 AWTS
SPIJRKLAND ENGINEERING
203 0015th Ave
Anchorage Ak 99501
279-3916
PARK PLACE LOT 10
WALTER NAYS
16410 SAINT JAMES CIR ANCHORAGE AK 99516
SEPTIC SYSTEM SCHEMATIC
DATE: OCT 15 2014
SHEET: 3/4 GRID: 3337
PERMIT 0 OSPI4IXX
PARCEL 111 11 020-092-56
ParkPIoceL10.0301/6
Spurkland Engineering
203 W. 15th Ave. Ste. 202A
Anchorage, AK 99501
TEST HOLE # __,£_ SOIL LOG AND PERCOLATION TEST
DEPTH
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
SOIL DESCRIPTION
Gravelly Sill w/ Sand
(GM)
NOTES: PRESOAKED
DATE: 10/7/a__
WAS GROUNDWATER OBSERVED: Yes
•••s
••
S SPURKLAND
44 I
No, CE -11500 if
sJ�j •
PROPS LC
Ita.tt.
..t
IF YES, AT WHAT DEPTH: 7'
AFTER MONITORING PERIOD: _ 6
DATE OBSERVED: 10/15/14
PERCOLATION TEST:
FILL
DATE
GROSS TIME
NET TIME
DISTANCE
DROP
10.875'
10/8/14
10:40 AM
0 min.
30 min
30 min
30 min
4.250»
4.750"
5.125"
6.625°
5.813°
5.750"
10.563»
10.875»
PERCOLATION RATE: 5.3 minutes/ inch
PERC HOLE DIAMETER: 6 inches
TEST RUN BETWEEN 3 FT AND _
SITE PLAN:
4
FT
t
SEE ATTACHED PLOT PLAN
PERFORMED BY: Anson Moxness. I, Lars Spurkland P.E. CERTIFY THAT THIS TEST WAS PERFORMED
ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE.
IN
SPURKLAND ENGINEERING
203 V 15TH. AVENUE
ANCH. AK. 99501
(907) 279-3916
PARK PLACE LOT 10
WALTER HAYS
16410 SAINT JAMES WAY ANCHORAGE AK 99516
SOIL LOG PERCOLATION TEST
DATE+ 10/15/14
GRID N' SW2441
PERMIT #
PID # 020-092-56
11 0' 8" 33' W
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James Sizemore & Assoc
Civil Engineers &
Surveyors
6410 Switzerland Drive
(907) 345-1572
ates
Anchorage, AK 99516
State of Alaska
Department of Environmental Conservation
555 Cordova St..
Anchorage, Alaska 99501
RE: Lot 10 Park Place Subdivision SWI/4 Sec. 3, T11NR3W SM: Approval to
Operate On -Site Class C Well
Gentlemen:.
With the Letter 1 am submitting the material requested in your October 11, 1996 letter
issuing a Construction and Operation Certificate for this system.
1 Copy of Well Log attached. Well location is: Latitude N61 04.34,
Longitude W113 46.53'
2 Well produced water at a rate ogpm during a four hour flow test.
Calculations are attached showing that 370 gallons of storage is required
tomeet a 20 minute peak demand. Pour hundred gallons are furnished,
3 Alpine drilling was the well driller. ✓
4. The Municipality of Anchorage inspected the plumbing of the duplex. ✓
5. Results of the water sample analysis for total coliform bacteria and nitrate
are attached, r/
6. Mr. Walt Hayes or Ms. JoAnne Shore are the owners, and operators of this
system,
Wastewater Disposal System
1. I performed inspections'during construction of the disposal system and it
Was constructed as depicted in the plans & specifications furnished you
. 2. One inch of rigid insulation was added over the septic system/ to aA.chieve
Required four feet of cover. 3 �! ¢
3. Orifice shields were not added. -G 44)44--2." 474 riwm.e
4. As -Built drawing of the system is attached.
5. Monitoring tubes were placed at both ends of the absorption trenches. ✓
If any additional information is required to obtain the certificate to operate this system,
please notify me.
Sincerely yours
James F, Sizemore P. E.
LOCATION OF WELL
)rE OF ALASKA
DEPARTMENT OF NATURAL RESOURCES
DIVISION OF MINING & WATER MGMT
WATER WELL RECORD
CONTRACTOR INF0411 ATION:
/ 4
I I/v
Regis /: Busiaess Nam
1
J
igna
REMARKS:
PLEASE MAIL WFIITE COPY OF LOG TO:
DNR/DIVISP3N OF MINING & WATER MGMT
3501 C St, Suite 800
ANCHORAGE Al( 99603-&935
DAnnn I6ft7nCQ.009tp G.... Mal Wit Al SOS
BOROUGH
SUBDIVISION
®
fr
LOT
o
KLOGIS
per
SECTION WAS
SECTION
anwNSNty
ON
OS
RANGE
OE
❑W
_.
hissmAN
LOCATION/SKETCH:
WELL OWNER:
ait \
DEPTHS MEASURED FROM:Ocasing top
■ ground surface
• Eye
WELL DEPTH:., OF COMPLETION
Depth of hole: 3 fm�� ft
BOREHOLE DATA: - Depth
Material Type and Calor From To
1
Depth of casing:410 - • ft ..2 / 2 `3 / 7 7
�
ittel4.1-
,,�f{7�
C)
+�
L
DEPTH TO STATIC WATER LEVEL: I
30 ft below atop 0
ne
f% ..
,al,
,
of casing ground surface
Date: 2- ...2 , r 1" 7
/f /
4." 1M#1.1 y
p
7
33
METHOD OF DRILLING: $ air rotary . 0 cattle tool
0 ottw
I
*`--
12.
3 3
S '
USE OF WELL: i$1Cdomestic 0 irrigation 0 monitor
❑ public supply 0,other
e ta'_-
✓�.,
CASING STICK-UP: ft. Diam: 6 in. toMalt
Casing type: in. to a:2ft I
WELL
•
Depths
INTAKE OPENING TYPE: • open end 0 screened
perforated open hole
of Openings: to ft
SCREEN TYPE: Diam: in.
Slot/Mesh Size; Length: ft
r7livr �l°�
/r a
it 50
h.-
GRAVEL PACK TYPE:
Volume used: • D • th to top:
GROUT TYPE rnre:: oars e'
_Depth:
from en ft to Tr, ft
DEVELOPMENT METS_
Duration: ..a. ^�
PUMPING LEVEL AND YIELD:
&S ft after -2.. hrs pumping -2 gem
_
PUMP INTAKE DEPTH: It Horsepower:
WELL DISINFECTED UPON COMPLETION? YES 0 NO
CONTRACTOR INF0411 ATION:
/ 4
I I/v
Regis /: Busiaess Nam
1
J
igna
REMARKS:
PLEASE MAIL WFIITE COPY OF LOG TO:
DNR/DIVISP3N OF MINING & WATER MGMT
3501 C St, Suite 800
ANCHORAGE Al( 99603-&935
DAnnn I6ft7nCQ.009tp G.... Mal Wit Al SOS
(2)-5'x64' LONG
TRENCH LEACHFIELD
MONITORING
TUBE
15 EACH, 3/16" DIA HOLES
SPACED AS SHOWN. HOLES
FACE DOWN WITH OROFICE
SHIELD FURNISHED BY
ANCH. TANK.
1 1/4" PVC, CAPPED ON
ENDS, W/ 3/16" HOLES
DRILLED AS PER PLAN
1500 GAL
PLAN S.T.E.P. TANK
1"=20'
MOUND SOIL FOR
3' COVER
4" DIA SEWER LINE
FROM HOUSE
MONITORING
TUBE
SEWER • I f 1 e , ° • 0.P1 "
ROCK • ° ; 1 FILTER
FABRIC
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LOT 10, PARK PLACE SUBDIVISION
PROPOSED SEPTIC SYSTEM
PLAN AND SECTION
JAMES SIZEMORE & ASSOCIATES
ANCHORAGE, ALASKA
TEL: (907)345-1572 FAX: (907) 345-9629
DRWN BY: VN
CHKD BY: JFS DATE: 8-18-96
SCALE: as noted
GRID: 3538 SHT: 2 OF 2
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG — PERCOLATION TEST
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LEGAL. DESCRIPTION: i - J o F-oot 1 [L7c ownship, Range, Section:`py/ t/40 jAfy.'...r ._ '*P. 3
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COMMENTS
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PERCOLATION RATE /'@ (minutes/inch) PERC HOLE DIAMETER
TEST RUN BETWEEN tel T AN FT
PERFORMED BY
ACCORDANCE H ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE:
72-008 (Rev. 4/85)
CERTIFY(T THIS TEST WASTERFORMED IN
--lam/
MUNICIPALITY OF OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 L. Street, Anchorage, Alaska 99501 264-4720
SOILS LOG - PERCOLATION TEST
PERFORMED FOR: HIKE SP/It/kW
SOILS LOG
❑ PERCOLATION
TEST
DATE PERFORMED: 2.'25'82_
LEGAL DESCRIPTION: LOT ID -PARK PLACE.
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IF YES, AT WHAT
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TEST RU BE�T/WJEEE%N f'� FT AND F `� �%
COMMENTS yG1� �(.f/L 4.0•Y WW1 iet'o� r r
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PERFORMED BY: . CERTIFIED BY: 17'
72-008 (6/79)
DATE: 2 ' 2.5-e Z
Parcel I.D. 020- %56
Municipality of Anchorage
On -Site Water and Wastewater Program
(907) 343-7904
Certificate of On -Site Systems Approval
1. GENERAL INFORMATION
Expiration Date: Z. Z t /
Complete legal description PARK PLACE LOT 10
Location (site address) 16410 SAINT JAMES CIR ANCHORAGE AK 99516
Current Property owner(s) WALTER HAYS Day phone
Mailing address
Real Estate Agent
2. TYPE OF DWELLING:
0 Single Family (w/wo ADU)
0 Duplex
0 Multiple Dwellings (Single Family and/or Duplex)
.1
3. NUMBER OF BEDROOMS:
4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL:
Individual Well 0 Individual ❑x
Individual Water Storage ❑ Holding Tank ❑
Community Class Well 0 Community ❑
Public vvatei SybttITl ❑ ruuJnu Jewer ❑
5
Day phone
WaiverNariance request for: NONE Distance:
Received by:
COSA to be released to the engineer, unless otherwise requested by the engineer.
Date: l► 214
COSA Fee $
Date of Payment
Receipt Number
COSA#
7159 lab
It Iv/id
09-05
0 Sc118Wig
X265.5 11'/ I, ( a" 477q cord:4,2.1
Waiver Fee $
Date of Payment
Receipt Number
Waiver #
5. STATEMENT OF INSPECTION BY ENGINEER
As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation,
based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application,
shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate
for the number of bedrooms and type of structure indicated herein. I further verify that based on the information
obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water
supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes,
ordinances, and regulations in effect at the time of installation.
Name of Firm SPURKLAND ENGINEERING
Address 203 W. 15TH AVE.,STE.202A, ANCHORAGE, AK 99501
Engineer's Printed Name LARS SPURKLAND
Phone 279-3916
Date 11/20/14
DSD SIGNATURE
System #1 Approved for
Sys #2 Approved for
•-
12/V°1
bedrooms
bedrooms
15^0
Disapprove j ..c'
It
,�. 11121�7
Conditional approval for .S bedrooms, with the following sitt'a4iibn . __
fiy,07 cfeuhYtctil JtruyecJ-iibn
5M%rvtif%etj % y 2/Z5//,i
rep or ,it�yt(ttlt ttr/f/
S ON-SITE %
WATERAND ml
v WASTFWATER 6 E
PROGRAM
O Ps?,
By: AJo' 44,90-7 Original Certificate Date: 11/1-L0 y
The Municipality of Anchorageevelopment 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 r { c
If more than 1 septic system is on the lot:
COSAChecklist# 1 of 1
Structure served by this system 1
Certificate of On -Site Systems Approval Checklist
Legal Description: PARK PLACE LOT 10 Parcel ID: 020-092-56
A. WELL DATA
Well type PRIVATE
If A, B, or C provide PWSID # Well Log (Y/N) Y
Date completed 2/97 Sanitary seal (Y/N) Y Wires properly protected (Y/N) Y
Total depth 365 ft. Cased to 40 ft. Casing height (above ground) 24+ in.
FROM WELL LOG AT INSPECTION
Date of test 2/23/97 11/18/14
Static water level 30 ft15 ft.
Well production 2 g.p.m. 2.7
g.p.m.
WATER SAMPLE RESULTS:
Coliform NEG colonies/100 mL Nitrate 0'188 mg/L
Arsenic ND ug/L Date of sample: 11/14/14 Collected by: ANSON MOXNESS
B. SEPTIC/HOLDING TANK DATA
Tank Type/Material STEEL/SEPTIC Date installed 11/18/14
Tank size 2000 gal. Number of Compartments 2 Cleanouts (Y/N) Y
Foundation cleanout (Y/N) Y
Date of pumping NEW
Depression over tank (Y/N) High water alarm (Y/N) Y
Pumper
C. ABSORPTION FIELD DATA
Date installed 11/18/14 Soil rating (g.p.d./ftorft2/bdrm) 5'0 System type 5 -WIDE
Length 44 ft. Width 5 ft. Gravel below pipe 1.5 ft.
Total depth 4'0 ft. Eff. absorption area 282 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 11/18/14 Size in gallons 50
"Pump on" level at 15 in. "Pump off" level at 20
Datum
TOP PUMP VAULT
E. SEPARATION DISTANCES
WELL ON LOT TO:
Cycles tested NEW
Septic tank/lift station on lot 100 +
Absorption field on lot 100'+
Public sewer main NA
Sewer /septic service line 25'+
Animal containment areas 50+
Manhole/Access (Y/N) Y
in. High water alarm level at 14.5 in.
Meets alarm & circuit requirements? YES
On adjacent lots 100+
On adjacent lots 100+
Public sewer manhole/cleanout NA
Holding tank NA
Manure/animal excrete storage areas 100 +
SEPTIC/HOLDING TANK ON LOT TO:
Building foundation 5+ Properly line 5'+
Water main NA Water service line 10+
Wells on adjacent lots 100'+
ABSORPTION FIELD ON LOT TO:
Property line 10+ Building foundation 10'+
Water Service line 101+
Surface water 100+
Absorption field 5'+
Surface water 100'+
Water main NA
Driveway, parking/vehicle storage 10
Curtain drain 5(r+ (N'O') Wells on adjacent lots 100+
F. COMMENTS
G. ENGINEER'S CERTIFICATION
! certify that ! have determined through field inspections and
review of Municipal records that the above systems are in
conformance with MOA COSA guidelines in effect on this date.
Engineer's Printed Name LP RS SPURKLAND
Date 11/20/14
COSA brown sheet_10.10-12.doc
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ADVANCED WASTEWATER TREATMENT SYSTEM
MAINTENANCE AND REPAIR AGREEMENT
BETWEEN
/�MUNICIPALITY OF ANCHORAGE
AND / /!AL(C. STCRIJQ+ V l Sl
THIS MAINTENANCE�//AND/REPAIR AGREEMENT made and entered into as of this
9212 /
Day of �VVQ%ibr of 20/9, by and betweenMatt S &uts,,
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
fdvani2x Idem
located at (legal description).
Mark PSace IPI Amigo ra AK
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 construction.
Damage. Any man-made or natural change in a system that would inhibit
the system from performing as designed.
Maintenance and Repair. The scheduled and as needed replacement of
existing parts, components and pieces of an AWWTS that were included
in the original design which would allow the AWWTS to continue to
perform as designed.
Permit. An On -Site Wastewater Disposal Permit as required by AMC
15.65 to construct and operate an AWWTS.
3. Term. The term of this Maintenance and Repair Agreement shall begin on the
date of approval by the Municipality to operate the installed system or issuance of a
COSA, and shall continue while the AWWTS is in use or is operational or until the
property is sold or title is transferred by the owner and a new COSA is issued to the
new owner or transferee of the property.
4. Alterations. Installation and Removal of Additional Equipment. Prior to
performing any alterations to an AWWTS, the owner agrees to obtain an On-site
Wastewater Disposal Permit from the Municipality in accordance with AMC 15.65.
5. Maintenance and Repairs.
A. Throughout the term of this Maintenance and Repair Agreement, the Owner shall
maintain their AWWTS in a satisfactory condition capable of producing treated
septic effluent in accordance with the equipment's approval for operation in the
Municipality. The owner shall enter into a service agreement with an AWWTS
service and maintenance provider approved by the municipality and the
manufacturer of the 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. Nonwaiver. The failure of either party at any time to enforce a provision of this
Maintenance and Repair Agreement shall in no way constitute a waiver of the
provisions, nor in any way affect the validity of the Maintenance and Repair
Agreement or any part hereof, or the right of such party thereafter to enforce each and
every provision hereof.
7. Amendment.
A. This Maintenance and Repair Agreement shall only be amended, modified or
changed by a writing, executed by authorized representatives of the parties, with
the same formality that this Maintenance and Repair Agreement was executed
with, and such writing shall be attached to this Maintenance and Repair
Agreement as an amendment.
B. For the purposes of any amendment modification or change to the terms and
conditions of this agreement, the only authorized representatives of the parties
are:
a. Owner:
410 ref sic -lust
b. Municipality: Director Community Development or designated authority
C. Any attempt to amend, modify, or change this contract by either an unauthorized
representative or unauthorized means shall be void.
8. Jurisdiction: Choice of Law. Any civil action arising from this Maintenance
and Repair Agreement shall be brought in the Superior Court for the Third Judicial
District of the State of Alaska at Anchorage. The laws of the State of Alaska shall
govern the rights and obligations of the parties under this Maintenance and Repair
Agreement.
9. Severability. Any provisions of this Maintenance and Repair Agreement decreed
invalid by a court of competent jurisdiction shall not invalidate the remaining
provisions of the Maintenance and Repair Agreement.
OWNER:
(signature) Date: ADAUC7Apir
�i �/L l� c9tCjV tit Sr (print name)
STATE OF ALASKA
THIRD JUDICIAL DISTRICT
The foregoing instrument
2014-1, by Mari e
) ss.
as acknowledged before me this 2.0 day of November ,
•
fraer
N G TARY PUBLIC FO ALASKA
M' +mmissionexpires:01-Di- 201?
MUNICIPALITY:
By: &i o()(signature) Date: f/ /0-4/V
/V
.Deb ek2n hrint name)Title: C
5 (p