HomeMy WebLinkAboutKIMBERLY MANOR #2 BLK 3 LT 3KI*mberly Manor Block 3 Lot 3 #017mwO73�53 Municipality of Anchorage Development Services Department Building Safety Division On-Sfte Water and Wastewater Program. 4700 South Bragaw Street P.O. Box 19W50 Anchorage. AK 9951 M650 Page I of 5 www.cl.anchorage.ek.us (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number. SWSWO50271 PID Number 017-073-53 keme R*1111 Mich Wastewater System: El New [D Upgrade Address ir Own I ane, 99516 ABSORPTION FIELD RF;R-'44RR A 0 Deep Trorth 13 ShODOW TmXh 0 Sod 0 LWW 13 Oww. LEGAL DESCRIPTION 601 R&bV 4 r.Pnrrt2 TOW DOPM ftm 04PW Waft 3 V, 610& W Sub"sion: 3 3&4 Kimberly Manor D"M to p" bwom Imm ongnal Wade 25 F1 FA added ob" WrW "de 2 F, dspM bewed, p" n -s F1 G," L*Vft 3n F1 Toometep: R -Re se� Well: [I New Upgrade 3 F1 NumberoMm 6 D.� W~ On". 5 F, ciss"� (pd'm@. & B. c� Total Dep1h: 10asedw ToW abwp� erst Ppe me" EXiSV9 Private FL 690 F? 3034 PVC Draw Date ormed SUWWs1*rL". kwulfier Arctic Mt Dvmt pass Vadabed 8126/2005 Ifiold CaskV H60 Abm'e C TANK GMI Fj Ft SEPARATION DISTANCES 0 Septic 0 Holding 0 S.T.E.P. 0 Other. �F�mTo Septic septic Absorption uft Holding )ubnorpovate mamis� capawy Tank Tank Field Station Tank sewe(Line AnchTank 1500" vial 107.4 126.3 25 mate" Steel Number of Ccmp�s 2 S.ftoewstw 1100+ 100+ LIFT STATION W Lm 8 5 58 19.2 a" 250 mb-a� Orenco 117 151 T.W &r *,w M ." otr � a HOZelarmet: Fourodstm 1 1 1 42 In 40 In 50+ 50+ "M"&M0" Elecftel hopeed" pertwmed by P510 Ed Francer BENCH MARK Top of Well Assumed E�: 100.0 Ft Engineer's Stamp -Isw ....... ... A� 44 % Inspections performed by: Pannone Eno., LLC Dates: 1'8/2612005 -v, TH As ..... .. .. .. . ......... .0 2ndO8/2712005 0 Development Services partment approval ..... 1. .......... ................ Ponnone: .Steven . 814 Reviewed and approved by: .0, - LMAQ, J25 Date: /.a IL # No.0 (Rev. 12M) * 11 uss,% M PERMIT NO: SWO50271 RECORD DRAWING WASTEWATER DISPOSAL SYSTEM LOTS 3 & 4 BLOCK 3 KIMBERLY MANOR S/D P.I.D.NO: 017-073-53 ----m ---------------- -------------------------------------- I SWING TIES CO A WELL FC 2.4 DC 114.7106 ' 2 T11 11921103 T2 125.2 115:4 LS 12791178 MI 142:9 128:1 M2 152.8136.6 M3 185.0170.0 M4 163.7149.8 K 1) All work shall be performed In accordance with AMC15.65- 2) Materials used shan be In accordance with those specified In AMC15.65, Wastewater Disposal. 3) Maintain 10' separation to all lot lines and proposed water Ones. 4) Lots served by private water system. No wells within 100' of proposed system. Ka Steven R. PROPOSED RJE1 23)aM.51 NEW 15009 STEEL TA ADVANTEX AX20 POD & AUX PUMP VAULT. INSTALLED DC CLEAWOUTS BEFORE 3 :SrG 3 BR LL USE -I V �' ---------------- NO WELLS OR SEPTICS WAN 207 25% 0 SEPTIC )NED IN 46.4 - — — — — — — — — — OUR OWN LANE ----------- T EX SrG LL Mr. Bill Welch 7741 Our Own Lane Street Anchorage, AK 99516 868-3468 NO WELLS OR WAN 20(r ki Exim SAS IN FAILURE. TO BE ABANDONED IN r- — — — — — — — — — PANNONE ENG. SVC, LLC P. 0. BOX 102954 ANCHORAGE, ALASKA 99510 227-3522 P. 272-8218 Fax ATE: "0-05 1 'Al =- .1... 1 PLAN 25% 19.2 A3 ////5/ NEW SAS - TH1 23'A3(rx 0. 5 D.3'M// EXISI'tr, SEPTIC AREA ki Exim SAS IN FAILURE. TO BE ABANDONED IN r- — — — — — — — — — PANNONE ENG. SVC, LLC P. 0. BOX 102954 ANCHORAGE, ALASKA 99510 227-3522 P. 272-8218 Fax ATE: "0-05 1 'Al =- .1... 1 PLAN PERMIT NO: SWO50271 RECORD DRAWING DETAILS WASTEWATER DISPOSAL SYSTEM LOTS 3 & 4 BLOCK 3 KIMBERLY MANOR S/D P.I.D.NO: 017-073-53 d z 0 it V) L 4110 OF.,, E TH ..... . ............. 1 ..... C� .... .... .... .......... ...... .. St,,en R. Pan . a PREPARED FOR: PANNONE ENG. SVC, LLC :6.6 N P. 0. BOX 102954 % CE 811) Mr. Bill Welch 7741 Our Own Lane Street ANCHORAGE, ALASKA 99510 4 ............... Anchorage. AK 99516 227-3522 P, 272-8218 Fax DATE: I 868-3468 V2-05 DETAILS SCALE: TS PERMIT NO: SW05 DESIGN DETAILS WASTEWATER ABSORPTION SYSTEM LOTS 3 & 4 BLOCK 3 KIMBERLY MANOR S/D P.I.D.NO: 017-073-53 DESIGN CALCULATIONS Number of Bedrooms - 5 Total Bedrooms -5 Design flow - ISO gallbr/day. Total flow - 750g/day La ven R. Ponnone No. CE 8149 � M TANK SIZE: 2000 gallon Steel Advantex tank SOIL ABSORPTION SIZE: Advantex Sewer System 2 EA AX20 PodS - Class III System Perc Rate= 30 mintinch Application Rate= 0.5 GPD/SF Size Required= 750 GPD/2GPDISF = 375 SF Use Bed type system 30' Long by23'Wide 30 LF x 23'x 0.5' ED =690 SF Total Mr. Bill Welch 7741 Our Own Lane Street Anchorage, AK 99516 868-3468 P. 0. BOX 102954 ANCHORAGE, ALASKA 99510 272-8218 PHONE & FAX CALCULATIONS Fmm *1907830SIC7 Lion Aug 29 03;28t32 2005 p4ge I of 2 INSPECTION REPORT MUNICIPALITY OF ANCHORAGE, BUILDING SAFETY DIVISION 4700 SOUTH BRAGAW INGPECTION INFORMATION &HELP. 34"982 INSPECTICN; VOICE 343-&3w INSPECTION: FAX (Do?)249-7777 www.munI.orqA3SDiI�p*ctIons.cfm NAME: edse:acuic PERMrT#; 0-1-8999 COMPANY: INSPECT DATE: B*T2005 PHONEM 272-4591 PHONE#: PHONE 0: ADDRESS: 7"Il OUR OWN LN LOT30LOCK5 SUBDIV15ION: KIMSEALYNtANOR#2 OF11130; SW2940 COMMENTS or DIRECTIONG am call to meet TYPE OF INSPECTION: Reiro Electrical COMMENTS: (FOR INSPECTOR USE ONLY) L 7� 0 PRINTED NAME 7� ' I - . DATE-, a/2412005 5:30 PAGE CO21002 Fax Server A 2005-059605-0 L A RawtTling D*t 301 - Anctmomp III/M006 320 AM Pao": 1 of I I MIAMI I Doc ow Rlo- &nA Well Wow 2AINKILL U, ICLAb - 0" cum Vsk d=04# sft 2OL2 immmd Wailomm I'WokA 744% our 7441 L&n%A"h*n*m,AK9"lC rG&RW W a ft granw. 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Of I to 11% 991-1 112-1 sle133 lead Ismij UJI41JON-Mj� 100NE-10 MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water& Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 9951"650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade Permit Number: SWO50271 Legal Description: KIMBERLY MANOR #2 BLK 3 LT 3 Design Engineer: 0062 Pannone Engineering Services Owner Name: BILL WELCH Owner Address: 7"1 OUR OWN LANE ANCHORAGE. AK 99516-3820 Date Issued: Aug 09, 2005 Expiration Date: Aug 09, 2006 Parcel ID: 017-073-53 Site Address: 007441 OUR OWN LN Lot Size: 29705 SO. FT. Total Bedrooms: 5 Permit Bedrooms: 5 This permit is for the construction of: r7l Disposal Field [?] Septic Tank E] Holding Tank [-] Privy E] Private Well E] 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 AJaska Wastewater Disposal Regulations ( 18AAC72 ) and Drinking Water Regulations ( 18AAC80 ). 3. The engineer must notify DSD at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 ( 24 hours ). ( Not required for a Water Supply Permit only). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. 5. The following special provisions. a.) A recorded ingresslegress easement for placement of on-site wastewater disposal system serving Kimberly Manor #2, Block 3, Lot 3 on the adjacent property (Kimberly Manor #2, Block 3, Lot 4) shall be submitted with the On -Site Wastewater Disposal System Inspection Report. Received By: Issued By. -P F aw-6 a�la*�� Date: Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.cl.anchorage.ek.us (907) 343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING %TV S A Parcel I.D. 017-073-53 —Permit Number SW Property owner(s) Mr. Bill Welch Day phone 868-3468 Mailing address (1) 7741 Our Own Lane Mailing address (2 Anchorage, AK Zip Code 99516 Legal descdption (Lot, Block& Sub'd.) Lots 3 & 4 Block3 Kimberly ManorNo. 2 Legal description (Section, Township& Range) Site Adress: 7741 Our Own Lane Lot Size 2 ea A 29705 —Acres/Sq.Ft. Number of Bedroomsj' s— THIS APPLICATION IS FOR: Sewer Only Well Only El Sewer and Well El Water Storage 13 Sewer Upgrade 0 THIS PROPERTY CONTAINS: HotTub F1 Jacuzzi El Swimming Pool El Water Softening Unit 13 Therapy Pool 13 I certify that the above Information is correct. I further certify that this application is being made for a Single Family Dwelling and is in accordance With applicable Municipal Codes. (Signature of property owner or authorized agent) Date of Payment: Receipt Number: -72 1 It Receipt Number: (Rev. IV00) Pannone Engineering Services., LLC P.O. Box 102954 Consulting Engineers Anchorage, Alaska, 995 10 (907) 272-8218 (907) 272-8218 Fax August 5, 2005 Municipality of Anchorage Development Services Department On -Site Water &. Wastewater Program 4700 S. Bragaw Street P. 0. Box 196650 Anchorage, Alaska 99519 Subject: Lots 3 &. 4, Block 3 Kimberly Manor No. 2 S/D Septic System Upgrade Permit Request Ladies and Gentlemen: I am writing to request a permit to construct an upgrade septic system be issued for this property. The proposed systems will serve an existing three-bedroom house. The lot is currently developed and is served by a private water system. 1. Solls. See the attached soils log. A single test hole was excavated during the investigation process and is attached. No ground water was observed to a depth of 12 feet in the test hole. Bedrock was not encountered in the test holes. It is my opinion that the overall soils appearance of the soils, an application rate of 4 gallons/ day/ square feet should be used using an advanced treatment system. 2. Trench Design. a. Percolation Rate: b. Application Rate: c. Number of Bedrooms: d. Design Flow: e. Min. Absorption Area: f. Total depth: g. Effective Depth: h. Width: i. Reduction Factor: j. Minimum Length: k. Design Length, 1. Effective Absorption Area: m. Septic Tank Size: Cont'd on page 2 C:\Work\Letters\3&4-3 Kimberly manor.001.doc 6 Min Per Inch 4 gpdpsf 5 750 gallons per day 188 sf 3.0 feet 0.5 feet 15 feet 0.0 10 feet 15 feet 225 sf 1500 gallon steel Advantex tank Page 2 3. Surface Water: There is no surface water within 200 feet of the proposed system. 4. Topography: The average topography in the area of the proposed septic system is approximately 3 to 5 percent. The proposed installation will not affect the future development of the surrounding or existing lots. There are no wells or septic systems within 100 feet of the proposed septic location. If you have any questions or concerns, please contact me at 227-3522 or 272-8218. Sincerely, Steven R. Pannone, P.E. Civil Engineer Attachments: C:\WORK\LETTERS\3&4-3 KIMBERLY MANOR.001.DOC PERMIT NO: DESIGN DRAWING WASTEWATER DISPOSAL SYSTEM LOTS 3 & 4 BLOCK 3 KIMBERLY MANOR SID P.I.D. NO: 017-073-53 ----I ---------------- 4 -------------------------------------- P40 WELLS OR SEPTICS — — — — — — — — — — — — — — I - — — — — — — — — — — — — — — — — I — — — — W—/IN-2—W — — — — — — — — — - 1) All work shall be performed in accordance with AMC15-65- 2) Matedals used shall be In accordance with those Specified In AMC15.65, Wastewater Disposal. - — — — — — — — — — OUR OWN LANE 3) Maintain 10- separation to all lot — — — — — — — — — — — — — — — — — — — - - - - - - - - - W 251 25% EXISrG 4) Lots served by private water PR RESERVE SAS system. No wells within 1W of NO WELLS OR proposed system. PROPOSED 15009 STEEL TANK W/ 0 F 114 ADVANTEX AX20 POD & AUXItARy PUMP VAULT. INSTALL DOUBLE X 5% CLEA"N-OUTS BEFORE K. IM 5% \Iri�jl 41 I A-- 3 EXISTG E) SrO 3 SR 120111 1 HOUSE 02.8 r --- ExisrG IDDOg SEPTIC -WPtA 1) All work shall be performed in accordance with AMC15-65- 2) Matedals used shall be In accordance with those Specified In AMC15.65, Wastewater Disposal. - — — — — — — — — — OUR OWN LANE 3) Maintain 10- separation to all lot — — — — — — — — — — — — — — — — — — — - - - - - - - - - lines and proposed water Ines. EXISrG 4) Lots served by private water LL system. No wells within 1W of NO WELLS OR proposed system. WIIN 2W 0 F 114 �#. 4 9 a! Steven R. Pannone Mr. Bill Welch 7741 Our Own Lane Street Anchorage, AK 99516 668-3468 25% ///5 PROPOZIED SA6 BED 15'XIS'XD.5ED?..TTD EXISITO SEPTIC AREA EXISrG SAS IN FAILURE. TO BE ABANDONEDIN r- — — — — — — — — — PANNONE ENG. SVC, LLC P. 0. BOX 102954 ANCHORAGE, ALASKA 99510 227-3522 P. 272-8218 Fax PLAN MIT NO: DESIGN DRAWING DETAILS P.I.D.NO: 017-073-53 WASTEWATER DISPOSAL SYSTEM LOTS 3 & 4 BLOCK 3 KIMBERLY MANOR S/D 49 R! M z 0 U-1 V) a- ...... ..... . Irv- PREPARED FOR: StevenR.Pannone ib7f I Mr. Bill Welch 7741 Our Own Lane Street Anchorage. AK 99516 SM3468 I LLJ -i U- 0 PANNONE ENG. SVC, LLC P. 0. BOX 102954 ANCHORAGE, ALASKA 99510 227-3522 P, 272-8218 Fax OATE: DETAILS 3 PERMIT NO: SWO5 DESIGN DETAILS WASTEWATER ABSORPTION SYSTEM LOTS 3 & 4 BLOCK 3 KIMBERLY MANOR SID DESIGN CALCULATIONS Number of Bedrooms - 5 Total Bedrooms -5 Design flow - 150 gallbr/day, Total flow - 750g1day OtSCH P.I.D.NO: 017-073-53 TANK SIZE: 1500 gallon Steel Advantex tank SOIL ABSORPTION SIZE: Advantex Sewer System AX20 Pod - Class III System Perc Rate= 30 minfinch Application Rate= 4 GPD/SF Size Required= 750 GPD/4 GPD/SF = 188 SF Use Bed type system 15' Long by 1 5'Wide 15 LF x 15'x VED = 225 SF Total R. Panno6e * gi W Bill Welch A 7741 Our Own Lane Street Anchorage, AK 99516 668-3468 PANNONE ENG. SVC. P. 0. BOX 102954 ANCHORAGE, ALASKA 99510 272-8218 PHONE & FAX CALCULATIONS SOILS LOG - PERCOLATION TEST PANNONE ENGINEERING SERVICES P.O. BOX 102954 4 *f^ . ........... I... 0 ANCHORAGE, AK 99510 0 ......... ...... ... ................ (907) 272-8218 %,:&* t StevenR.Pannone PERFORMED FOR. Mr. Bill Welch DATE PERFORMED: 811/05 LEGAL DESCRIPTION: LOT 3 & 4 BLOCK 3 mbedy Manor SID TEST HOLE I organic root m" I — 2— GM Silty GRAVEL 3— w/Sand 4 7- 8 9- 10 12 BOH 13 — 14 — Is — 16 17 Is 19 20 READING DATE I CLOCK :K L2E TIME NET TIME T"A WATER tEVEL READING NETDROP _I 1 8/1/05 6.52 - r r 2 902 bNETE 10 MIN 4- r 3 9:02 j922 - Q* 4 9:12 10 MIN 4' r 5 9:12 - v 0' 6 10 M I'NN r PEROLATION RATE 6 (minAnch) PERC HOLE DIAMETER 6 Inches TEST RUN BETWEEN 3 FT AND 4 FT COMMENTS: Test hole excavated by Buyer. Test Hole was presoaked before perc test. Pannone Engineering Services, LLC P.O. Box 102954 Consulting Engineers Anchorage, Alaska, 99510 (907) 272-8218 (907) 272-82 18 Fax RECERCULATING SEPTIC TANK AND TRICKLE FILTER SPECIFICATIONS Lots 2&3 Block 3 Kimberly Manor No. 2 S/D 1. GENERAL STATEMENT OF WORK 1.1 The work and plans covered by these specifications consist of furnishing all labor, materials, tools, transportation, and equipment necessary to complete an recalculating septic tank with trickle filter system as described herein and on the attached Contract Drawing. All work under this project shall comply with current Municipality of Anchorage (MOA) Regulations and shall conform to the following: -FffuP+qBedroom Private House n V V_ Lc) 1.2 The Contractor shall carefully examine the project documents, have full knowledge thereof, have investigated the site and be satisfied with all conditions affecting the work. The Contractor shall notify the Engineer IMEDIATELY if conditions are encountered during the site investigations that affect the work. Any failure of the Contractor to become acquainted with the available information will not relieve the Contractor from the responsibility of performing the work as stated in these specifications. 1.3 The Contractor shall call for locates of utilities. Damage to utilities by the Contractor if locates are not called for is the responsibility of the Contractor. 2. MATERL1kL 2.1 Tank: Septic: Tank shall be a two (2) -compartment steel tank of at least the minimum size indicated on the drawings and shall be MOA approved. The compartments shall have a separate 4" clean-out riser. Steel tanks shall be protected to SUP3, under ground fuel tank standards. 2.2 Manhole Riser or Lift Station Tank: An additional second compartment manhole riser shall be capable of being equipped with the following: a. A junction box (Nema 4x) or equal, bonded or attached to the pump basin. b. UL listed electrical cord grips, installed in the J -box. C. An additional tank (MOA Approved) may be provided for the effluent pumping assembly and the items above. 2.3 Effluent Pumping Assembly, Controls, Alarm & Piping: a. Effluent pumping assembly shall be of approved materials, including: A 110 volt or equal UL listed effluent pump; High-density PVC cylinder housing the pump, with level controls and screen, serving as a baffle to prevent the screen Q� A� Pannone Engineering Services, LLC Consulting Engineers P.O. Box 102954 Lge, Alaska, 995 10 )071272-8218 Fax from clogging; All piping shall be PVC or other non corroding material approved by the MOA. b. Pump controls and alarm system shall be an approved system with the following options: - Event Counter - Elapsed Time Meter - Program Timer - 10 Watt Heater Remote alarm panel option with a minimum of 80 dB sound pressure at 24 inches, operating temperature 30 AC to 65 AC, and continuous sound to be located in the house. Oil tight visual alarm with push -to -silence feature. Automatic audio alarm reset. - 15 amp motor rated toggle switch, double pole, double throw with three positions; Manual (man), Automatic (auto), and off. - Nema 4x rated fiberglass enclosure with hinged cover, or equal. - All controls to be installed per manufactures instructions. - Control panel to be installed on outside wall of home within sight of septic/lift station. c. Piping from septic tank to the trickle filter is to be 1 1/4" PVC schedule 40 solvent weld piping properly bedded and sloped to drain back to the lift station. Insulation board shall be placed over the line where the cover is less than four feet. d. The Air Compressor shall be a Thomas Linear Series model No. 5060-A or 507OV-A or MOA Approved equal. 2.4 Trickle Filter a. Trickle Filter Pod shall be AX20 manufactured by Orenco Systems Inc. and distributed by Anchorage Tank & Welding. b. Install all materials according to manufacturers instructions and in accordance with MOA regulations. 2.5 Soil Absorption System a) The drain field shall be constructed as shown on the drawings and in accordance with all applicable regulations described in Municipality of Anchorage AMC Title 15.65, "Wastewater Disposal Regulations" (MOA). b) Gravel to be used in the soil absorption system shall be well graded rocks and cobbles with size ranging from 1/2' to 2 1/2" and approved for use in soil absorption systems by MOA. c) Perforated pipes shall be F810 LDPE or PVC 3034 pipe, with two rows of perforations and shall be approved for use in soil absorption systems by MOA. AA,,.�t-,Vilt-� Q� 14� Pannone Engineering Services, LLC P.O. Box 102954 Consulting Engineers Anchorage, Alaska, 995 10 10071 1>79 _A9.1 R (907) 272-8218 Fax d) Clean-out pipes and monitor tubes shall be 3034 PVC solid pipe. e) Clean-out caps shall be rubber"Jim Caps" securable with adjustable metal bands. Friction fit caps will not be accepted. PART 3 EXECUTION 3.1 LOCATION AND GRADE a) The septic tank shall be placed at the locations and elevations as shown on the Drawings. Fiberglass tank shall have a minimum of six inches of sand bedding under the tank and around the sides to the spring line of the tank. b) The drain field shall be placed in the location shown on the Drawing, with minor adjustments allowed to minimize excavation and accommodate the existing terrain. The drain field piping shall remain level over the length of the drain field. c) Dewatering may be required for all excavations that penetrate the groundwater surface. Dewatering costs shall be incidental to the excavation. If ground water is encountered during the excavation for the septic system, notify the engineer immediately. 3.2 EXCAVATION a) General: The Contractor shall accomplish all excavation required by the drawings through whatever substances encountered, to the depth as shown on the plans. All excavation shall be accomplished in accordance with the State of Alaska safety code and other applicable safety requirements. b) Water Removal: Water is expected in the limits of excavation as evidenced by the soil test pit information. If an apparent water table is observed in any of the excavations less than 5 feet below existing grade, notify the engineer immediately. 3.3 INSTALLATION A. Septic Tank I After excavation the tank shall be placed on undisturbed soil on a level grade at a depth as indicated on Drawings. Backfill around the tank with structural fill. Fill shall be installed in 12 -inch lifts, compacted to 95% maximum density. Any damage to the protective coating during installation shall be repaired as recommended by the manufacturer. 2. The tank inlet shall be set at the elevation shown on the drawings. Care shall be taken during installation to ensure the proper elevation drop Pannone Engineering Services, LLC P.O. Box 102954 Consulting Engineers Anchorage, Alaska, 99510 1Qn719.79_Fk21RFax between the inlet and the outlet. Install flexible ofumco" rubber fittings at connection from tank to inlet and outlet pipes as indicated on Drawings. B. Joining Pipe Sections 1. Pipes shall be joined to one another, to the polyethylene fittings, cleanouts, and electrofusion couplings. 2. Cleanouts: (1) All earthwork and fill necessary to install the cleanouts shall be considered incidental. 3. Jointing: a. Fit the heat channel in place, ensuring that ends are deburred and square to allow easy passage of electrocal or glycol heat trace. b. Fit the insulation half -shells snugly in place. Band with strapping to hold tightly in place. c. Heat Shrink Coupling: Cover entire exposed joint plus an overlap of four inches on pipe coated on either end. Heat in accordance with manufacturer's instructions. 4. Installation: a. Install insulation half -shells and heat -shrink wrap at pipe connections. Maximum gap in half -shells shall be 'Ainch. b. Lower assembled insulated pipe carefully into trench. Do not allow joints to deflect greater than the elastic capacity of the heat shrink sleeves. If sleeves are found to be damaged, reduce the deflection and repair the damages sleeves. c. Tolerances: (1) Lay mains to indicated line and grade. Perform earthwork in accordance with the Drawings. (2) Minor Changes in Direction: Pipe deflection will be allowed for small changes in direction, provided that the pipe bending radius is less than 30 times the diameter of the outer jacket of the insulated pipe system. C. Drain Field a) The drain field area shall be excavated to the elevation and dimensions as shown on Drawing. Remove all organic and silt material to the top of the well -graded sand layer. After excavation, the open bed shall be protected from surface runoff to prevent the entrance of silt and debris. Under no circumstances shall the use of heavy equipment be permitted on the drain field surface. All smeared or compacted surfaces shall be raked to a depth of 1 inch, and loose material removed, before any of the drain rock is placed. Pannone Engineering Services.. LDC P.O. Box 102954 Consulting Engineers Anchorage, Alaska, 995 10 (907) 272-8218 (907) 272-8218 Fax b) After all organic and silt material is removed, sand bedding shall be placed to an elevation shown on the drawings. Sand shall not be compacted. c) The bottom of the bed should be as level as practical. d) The gravel -less system and distribution piping shall be installed as shown on the drawings. e) The drain field shall then be backfilled with sand bedding to a depth of 1.0 above gravel -less system. Filter fabric and insulation shall be placed over the sand bedding. Backfill above insulation with material excavated from the building pad to the elevation shown. The material shall be mounded over the drain field as shown on Drawings. Backfill of drain field shall not be compacted. D. Close -Out A. Contractor shall submit unqualified as -built drawings and certificates on MOA approved forms to the Engineer, and MOA for approval to Operate. GRE'..R ANCHORAGE AREA BOF �)GH Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME MAILING PHONE'� LOCATION Z -ale- Z�44�V" ��IVz�'TLEGAL DESCRIPTION SEPTIC TANK: DISTANCE FROM WELL,0-0'f� MANUFACTURER MATERIAL NUMBER OF COMPARTMENTS INSIDE LENGTH_ INSIDE WIDTH— LIQUID DEPTH — LIQUID CAPACITY--�WGALLONS. TILE DRAIN FIELD: 106L -W I TOTAL LENGTH DISTANCE FROM WELLoO�,40,-'� FOUNDATION NEAREST LOT LINE OF LINES X NUMBER OF LINES '51' DISTANCE BETWEEN LINES TRENCH WIDTHI=A� IN. TOTAL EFFECTIVE ABSORPTION AREA Zd'P'4�� SQ. FT. LENGTH OF EACH LINE Z&p ? ' J, DEPTH OF FILTER 6-P '71"' /' (:p -' DEPTH: TOP OF TILE TO FINISH GRADE�:��4- lle'7�7 ILE C;� IN. ABOVE TILE IN. � � � MATERIAL BENEATH T WELL:,.z, �,2 TYPE CONSTRUCTION BUILDING NEAREST NEAREST SEPTIC FOUNDATION- LOT LINE—, SEWER LINE—, TANK CESSPOOL—, OTHERSOURCES APPROVED —DISAPPROVED —REMARKS DISTANCES: INSTALLED BY: SEWER LINE DEPTH: PIPE MATERIAL: 4� LOT SLOPE: — REMARKS - Form EQ -032 SEEPAGE SYSTEM - DIAGRAM OF SYSTEM D A T E5Z- DISTANCE FROM: APPROVED e- G.A.A.B. N APPROVED e- G.A.A.B. GREATER ANCHORAGE AREA BOROUGH DEPARTMENT OF ENVIRONMENTAL QUALITY PERMIT NO. 3330"C"STREET ANCHORAGE, ALASKA 99503 TELEPHONE 274-4561 SEWAGE DISPOSAL SYSTEM — APPLICATION AND PERMIT -9 77 NAME OF APPLICANT MAILING ADDRESS PHONE INSTALLATION LOCATION LEGAL DES CRIPTION //s, INSTALLATION OF: SEPTIC TANK SEEPAGE PIT 3& DRAIN FIELD OTHER - - .- (-,I /, , 14,(,, Al -I ZIJILIZA I- �l IVIO�IA4" rZY��111. TYPE AND �;EE OF �FITY TO 6 VED � I"'- - ' - , , - , - - -- - - - . , . - , w - A� - a'in�e =1=45im -eA� e� 'A/ " v zai FINANCED THROUGH - TO BE INSTALLED BY �7w SOIL TEST RESULTS ;2 -se o NOTE: THIS PERMIT IS NOT VALID WITHOUT SOIL TEST COMPLETION DATE ANTICIPATED v FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION. SEPTIC TANK SIZE I'W TYPE MINIMUM DISTANCES, REQUIREMENTS FOUNDATION TO SEPTIC TANK '!�' FOUNDATION TO SEEPAGE PIT DRAIN FIELD SEPTIC TANK TO SEEPAGE PIT WALL SEPTIC TANK 15� , SEEPAGE PIT DRAIN TO NEAREST LOT LINE. WELL TO SEPTIC TANK / SEEPAGE PIT DRAIN FIELD ALSO CONSIDER WATER MAIN TO SEPTIC TANK L SEEPAGE PIT DRAIN FIELD /9 SEPTIC TANK. /C9-6 , SEEPAGE PIT DRAIN I TO RIVER, LAKE. STREAM. CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB EXCAVATION 5 FEET INTO UNDISTURBED SOIL. 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK FITTED WITH AIRTIGHT REMOVABLE CAPS. GRAVEL BACKFILL CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATI G.A.A.S. OR LICENSED DESIGNER 4qeYSE*EAGE AREA SIZE Ty E DIAGRAM OF SYSTEM I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA E30ROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE DATE APPLICANT'S SIGNATURE rn"m Nn- EQ -01 6 GREATER ANCHORAGE AREA BOROUGH DEPARTMENT OF ENVIRONMENTAL QUALITY Case # 3330 "C" Street ANCHORAGE, ALASKA 99503 Performed For Dated Performed Legal Descripti7on./ Lot 34V Block J' S u b d i v i s i o n This Form Reports Soils Log—)� —Percolat�,/on Test - Soil Test Must Be Logged To 4' Below Proposed Seepage System Depth Feet Soil Characteristics I — 2- 3- 4- 5 71 lyz CU-� 6— ' J11- 7— -T "&"' 8- 9- 10- 12- 13- 14— Was Ground Water Encountered? rlc> If Yes, At What Depth? Reading Date Gross Time Net Time Depth to H 2 0 Net Drop vercoiatiOn Kate minute Proposed Installation: Seepage Pit Drain Field Depth of Inlet Depth to Bottom of Pit or TrencF COMMENTS: Test Performed BY Date Certified BY. - Date: December 4, 1970 Mr. Harold D. Daniel Box 421B, Star Rt. A Anchorage, AlasYa 99502 SUBJECT: Sewer System -4or Harold Daniel Residence at 1:0t 3P Block 3. Kimberly Subdivision W2. Dear Mr. Daniel: This letter is being sent as discussed with you on December 2, 1970 at your home on the subject lot. Tile cesspool that you started to construct before the ground froze is iller ,al; A written permit from this office will be needed before you begin installation of the sewer systen in tile spring when the ground thaws. An approved sewer system normally consists of a septic tank and seepage pit with certain'minimumddistances to any well. This and other information will be discussed with YOU when you come in to apply for the permit to install the system. Sincerely, Lynn S. Coad Sanitarian rn RECEIPT FOR MAIL,20� AND No. CITY, STATE --- AND -Z, P CODE Show, Return 1UH ADDIJ to whom Sh'p -nd when h ows to wh�m �lellvelld w O�, nd whe,� EldellvOled 0 350 fee NoV. jj��' �-Uu NO INs- A to only El 500 f" POSTMARK OR DATE (Sel the, s1del i Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 South Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.cf.enchorage.ak.us (907) 343-7904 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAmiLy DWELLING Parcel I.D. 017-073-53 HAA # rt5j011&0 1. GENERAL INFORMATION Expiration Date: Complete legal description Lots 2. 3, & 4. Block 3 Kimberly Manor S/D W,?— Location (site address or directions) 7441 Our Own Road Current Property owner(s) WilliamWelch - Dayphone 868-3468 Mailing address Lending agency Mailing address Real Estate Agent Mailing Address 7441 Our Own Lane, Anch, AK 99516 Day phone Careen Muir — Day phone 727-2289 Unless otherwise requested, HAA will be held by DHHS forpickup. HAA picked up by., 2. NUMBER OF BEDROOMS: 4 3. TYPE OF WATER SUPPLY: Individual Well 19 Individual Water Storage El Community Class Well El Public Water System El TYPE OF WASTEWATER DISPOSAL: Individual On-site 0 Individual Holding tank El Community On-site 11 Public Sewer El The Municipality of Anchorage Department of Health and Human Services (DHHS) Issues Certificates of Health Authority Approval (HAA) based only upon the representations given In paragraph 5 by an Independent professional civil engineer registered In the State of Alaska. Certificates of Health Authority Approval are required for the transfer of title (except between spouses) on properties served by a single family on-site wastewater disposal and/or water supply system. DHHS also issues HAAs upon request to home owners. Certificates of Health Authority Approval are valid for 90 days from the date of Issue for properties served by a private or Class C well and may be reissued with new water sample results less than 30 days old. Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage Is not responsible for errors or omissions In the professional engineer's work. (Ftev. 11/99) 4. 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 Health Authority Approval Guidelines for this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is 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 In compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm Pannone Ena. Svc. Phone 272-8218 Address P.O. Box 102954, Anch. AK 99610 Engineer's Printed Name Steven R. Pannone, P.E. Date 9/2/2005 Engineers Comments: In conducting an adequacy test, I attempt to provide a thorougX conscientious engineering analysis of ft system in accordance with MOA DIIIIS Guidelines & 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 idcntiriable features. The operational life of all wells and septic systems depend on the local soil condition, ground water levels that may fluctuate during the yew, and the water usage of the family being served by the system. Ibcse 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 arc no hidden dcfccl�' or encroachments. PES can therefore not provide any warranty for future performance nor give any estimate of how long the system will continue to meet the operational requirements of the ADEC or hI0A DI IIIS. The content of this report Is for the sole bcncf*it of the owner listed above. Any reliance upon or use of this report by any other person or party is not authorized nor will it conf1cr any legal right whatsoever. 5. DHHS SIGNATURE _1z Approved for L bedrooms. Disapproved. Conditional approval for Additional Comments Mste�en R. Pannone.9 N,.CE 8149 /,-� bedrooms, with the following stipulations: Attachments: HAA Checklist X Septic System Advisory Well Flow Advisory Maintenance Agreements Supplemental Engineers Report Other Original Certificate Date: 9 1,2:1� I I Reissue Date: r " - -, , Municipality of Anchorage Development Services Department Building Safety Division On-Sfte Water and Wastewater Program 4700 South Bragew Street P.O. Box 196650 Anchonage. AK 99519-6650 www.cLanchorage.sk.us (9D7') 343-7904 HEALTH AUTHORITY APPROVAL CHECKLIST LegelDescrlpaon: Lots 2.3. & 4 Block 3 Kimberly Manor Parcel I.D.: 017-OT"3 - A. WELL DATA Won "a Prtvate Date completed If A. S. or C provide PWSID # _ Sanitary wall Xn Totel depth Unknown Cased to _12_+ft FROM WELL LOG Data of test stew water level Unknown It Won production Unknown Q -p -M WATER SAMPLE RESULTS: conform =0-- cooniestioo mj Nitrate 2 �5- mgn t7 Data of sampie: -* L I r, il by. I. -W S. SEFnC1HOLDING TANK DATA Tank Type/Materlal Steel UM- �-- krBA-71-T, =,,� 7r= FM Casing height (above ground) --M—In. AT INSPECTION 8128/2005 5 It 5+ 9 -p -m Other bacteria — (2— colonleVI 00 ml Arsenic � mgA Date Installed 8r28/2005 Tanksize 1500 gal Number of Compartments a aearxKft M Foundation cleavW Yes Depression over tank H2 High water alarm Yes Date of pumpin mper Now C. A13SORPTION FIELD DATA Data Installed 081 . 2005 Sol rating (g.pd./fe or fe/bdrm) I System "a Bad Length JLft Width 23 It Grevelbelowpips 0.5 It Total depth A ft Effective absorption area 01fe Monitoring tube X Depression over field tL_ Data of adequacy test _ Results (Pass/Fal) NEW For _4 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.) (YIN & type) If yes, give date otev. 111M 0. LIFT STATION Date Installed 8/2812005 Size in gallons 250 Manhole/Access Yes 12ump ono larval at 42 In"Pump ofr level at 40 in High water alarm level at " In Datum Bottom _ Cycles tested_ Meets alarm & circuit requirements? Yes E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tankAIR station on lot 107A On adjacent lots 100+ Absorption field on lot 126.3 On adjacent lots 100+ Public sewer main NIA Public sewer manhole/deenout NIA Sewer /septic service line NIA Holding tank 75+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Budding foundation 117 Property line _N Absorption field 40 Water main NIA Water service line 107 Surfacewater 100+ Drainage 100 Wells an adjacent lots 100+ SEPARATION DISTANCE FROM ABSORP71ON FIELD ON LOT TO: Property line 119,2 Building foundation 140 Water main NIA Water Service line 115 Surface water 100+ Driveway,parkirigNehiclestorage 100 Curtain drain 75+ Wells an adjacent lots 100+ F. COMMENTS 0. ENGINEER'S CERTIFICATION I cedgy that I have determined through field inspections and review of Municipal records that Me above systems are in conformance with MQA HAA guidelines in effect on ft date .�Stpven R Ponnon�:� _. _ j_ Engineer's Printed Name Steven R. Pannone, P.E. 0, 0 #1 - No CE 149 Date 91118/05 HAA Fee & 14,*n . U-1 Date of Payment Receipt Number Rev. i I=) Waiver Fee S Date of Payment Receipt Number C� t5 12 CC) C%j 00 C) C) C; CY) T - C) C) 9 C=) El CA cp I Co w :1 Lf) 4--a 0 -j 09*SZZ AA,,Lg,OOoOON -14UOA OnftS 0 —i 09'ezz Mi,Lg,OOoOON co .1� 0 —i 09'8ZZ AA,,Lg,OOoOON Clq 0 .j 09,9zz M,,LS,OOoOON i S. 00 :�N 4 r 0 ;. t LO Ln V, cn 9 eq a Cq CD ci, (D LU COL!F �) jo -W LL. U) .Lt SA~� 4w (D > a W Oc 09 C) C=) C:) C) Ilf C) C:) C; cn < W w z z 3:1 Ol Ix Z)l C) 01 C) C; m V— Oc 09 Will I [I.& F . 75 f 0 iffl, F 7%1 12 2! 82 w Wm ow, Ol wzx �Ow oj� 0 z Z w w CO w 0 F L I ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND REPAIR AGREEMENT MEMORANDUM OF UNDERSTANDING BETWEEN MUNICIPALITY OF ANCHORAGE AND THIS MEMORANDUM OF UNDERSTANDING made and entered into as of this day of of 20 05, by and between herein the "OWNER," and the Municipality of Anchorage, herein the "MUNICIPALITY." In consideration of the mutual covenants contained herein, the parties to this Memorandum of Understanding 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 -7:Fz/( OtMOWA/ LAv4c located at Llf,-Bs vi.4.vcA--if0? , Anchorage, Alaska. 2. Definitions. A. 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. Prior to performing any alterations to an AWWTS the owner must obtain a Wastewater Disposal System Construction Permit from the Municipality pursuant to Anchorage Municipal Code (hereinafter, "AMC") 15.65. B. Certificate of On -Site Systems Approval. 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 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. C. Damage. Any man-made or natural change in a system that would inhibit the system from performing as designed. D. 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 AWVrrS to continue to perform as designed. E. Permit (Construction) An On -Site Wastewater Disposal System Construction Permit as defined by AMC 15.65. F. Permit (Operating) An Advanced Wastewater Treatment System Operating Permit. An annual permit, issued by the Municipality, that allows the Owner to operate an AWWTS, upon meeting all the requirements of this agreement, the conditions of Operating Permit, the requirements of the On-Sitc Wastewater System Construction Permit and all relevant provisions of AMC 15.65 3. Fee. Owner shall pay to Municipality an annual fee of � C> � ($ --�00), payable on or before the issuance of the operating permit and annually thereafter. The annual fee is due on or before the anniversary date of the approval by the Municipality of installed system. 4. Term. T'he term of this Memorandum of Understanding shall be for the life of the AWWTS. The term begins on the date of approval by the Municipality of the installed system and shall continue while the AWWTS system is in use or operational or until the property is sold or title is transferred by owner and a new certificate of On -Site approval is issued to the new owner or transferee of the property. 5. Alterations, Installation and Removal of Additional Equipment. Owner agrees not to make any alterations, removal of parts or additions to the AVPYVTS without a Construction Permit from the Municipality. 6. Maintenance and Repairs. A. Tbroughout the term of this Memorandum of Understanding, the Owner shall maintain AWWTS in good repair. In addition, it shall be the responsibility of the Owner during the term of this Memorandum of Understanding, and any extensions or 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. Further, Owner agrees to comply will all applicable ordinance, laws, regulations, rules and orders for the AWWTS. B. Owner agrees to provide the Municipality a written schedule of routine maintenance and repairs which have 6cen perfornied on the system pursuant to the terms and conditions contained in the Owner's AWWTS Operating Permit. This schedule shall be submitted to the Municipality annually upon the renewal of the permit. The schedule of maintenance and repair contained in the Owner's AWIVTS Operating Permit is: C. Owner acknowledges that the fine schedule for failing to maintain and repair an AWWTS are codified in AMC 14.60. D. Owner agrees that only maintenance, repair personnel certified by the Municipality will inspect and make any necessary maintenance, repairs or permitted alterations to the system. E. Owner agrees to grant the Municipality reasonable access to test and inspect the AWWTS upon 24 hours written notice. F. Owner agrees that any sale or transfer of title of the property will not occur without a new Certificate of On -Site Systems Approval. G. Owner agrees that the relevant provisions of the standard specification guidebook for AWVv7S is the governing professional guidelines for the construction, maintenance and repair of the Owner's AWWTS. 7. Nonwaiver. The failure of either party at any time to enforce a provision of this Memorandum of Understanding shall in no way constitute a waiver of the provisions, nor in any way effect the validity of the Memorandum of Understanding or any part hereof, or the right of such party thereafter to enforce each and every provision hereof. 8. Amendment. A. This Memorandum of Understanding shall only be amended, modified or changed by a writing, executed by authorized representatives of the parties, with the same formality of this Memorandum of Understanding was executed and such writing shall be attached to this Memorandum of Understanding as an amendment. B. For the purposes of any amendment modification or change to the terms and conditions of this contract, the only authorized representatives of the parties are: Owner: Anchorage: Purchasing Officer C. Any attempt to amend, modify, or change this contract by either an unauthorized representative or unauthorized means shall be void. 9. Jurisdiction: Choice of Law. Any civil action arising from this Memorandum of Understanding shall be brought in the Superior Court for the Third Judicial District of the State of Alaska at Anchorage. Ile laws of the State of Alaska shall govern the rights and obligations of the parties under this Memorandum of Understanding. 10. Severability. Any provisions of this Memorandum of Understanding decreed invalid by a court of competent jurisdiction shall not invalidate the remaining provisions of the Memorandum of Understanding. OWNER- By - Date: ?-9-0-S STATE OF ALASKA THIRD JUDICIAL DISTRICT The foregoing instrument was 202&7, by —Qnco�. (Y —1 MOTARY PUBLIC FOR My Commission expires: MUNICIPALITV: By: Title: Date: )ss. I before me thi&kay of J, the iicipality of Anchorage.