HomeMy WebLinkAboutSOUTHPARK #3 BLK 1 LT 8MUNICIPALITY OF ANCHORAGE
On -Site Water & Wastewater Program
PO Box 196650 4700 Elmore Road
Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997
hftp://www.muni.org/onsite
On -Site Wastewater Disposal System Permit
Permit Number: OSP251297
Work Type: Septic Initial
Tax Code Number: 02049115000
Site Legal Address: SOUTHPARK #3 BLK 1 LT 8 G:3236
Site Mailing Address: 16037 TERRACEWOOD LN, Anchorage
Owner: RODRIGUEZ EDUARDO
Design Engineer: GARNESS ENGINEERING GROUP LTD
This permit is for the construction of:
Effective Date:
Expiration Date:
Lot Size in Sq Ft:
Total Bedrooms:
9/29/2025
9/29/2026
20000
Q Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage
All construction shall be in accordance with:
1. The attached approved design.
2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska
Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80)
3. The wastewater code requires inspections during the installation. The engineer shall notify the Development
Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
shall be either:
a. Opened and Closed on the same day, or
b. Covered, sealed, and heated to prevent freezing
Received By: E ") Date:
Issued By: Date: / 2
5
MUNICIPALITY OF ANCHORAGE
Development Set -vices Department
Phone: 907-343-7904
On -Site Water & Wastewater Section
ON -SITE SEPTIC(WELL PERMIT APPLICATION
Parcel J.D. 020-491-15
Property owner(s) EDUARDO RODRIGUEZ Day phone 907-799-6802
Mailing address 1423 JOYCE DRIVE, FAIRBANKS, AK
Site address 16037 TERRACEWOOD LANE, ANCHORAGE, AK
Legal description
SOUTHPARK #3; BLOCK 1, LOT 8
Number of Bedrooms 5
Engineering Firm
GARNESS ENGINEERING GROUP, LTD.
Building Permit Number i - 2,5 -1 09 y - Not Applicable ❑
APPLICATION IS FOR: APPLICATION IS AN:
(Z all that apply)
Absorption Field
Initial ❑
Septic Tankj
Upgrade ❑
Holding Tank
❑ Renewal ❑
Privy
❑
Well
El
THIS APPLICATION INCLUDES A WAIVER REQUEST FOR:
G" s cop f,
Distance:
Permit/Rush Fees: OC/ S
Date of Payment: 8'/ 1 q a-f
Permit No. 05P2512117
Waiver Fees:
Date of Payment:
Waiver No. "S" rz- 0 y
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP251297, Curtis Townsend, 09/29/25
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP251297, Curtis Townsend, 09/29/25
■
Municiplafity of Anchorage
`::. � Ur�rirfiment
P.O. Box 196650 0 4700 Elmore Road
Anchorage Alaska 99519-6650 0 (907) 343-7904 0 Fax (907) 343-7997
http://www.muni.org/Onsite
DevelopmentiDivision
On -Site Water and Wastewater Program
* * * * VARIANCEIWAIVER REVIEW * * * x
Waiver#: OSV251047 COSA#: Permit#:OSP251297
P I D#: 020-491-15
Legal Description: SOUTHPARK #3 BILK 1 LT 8
Engineer: Garness Engineering Group
Your request for a waiver for construction of the bed on slopes exceeding 10% is approved.
This waiver approval applies to the proposed 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.
Waiver is Granted: X Waiver is not Granted: A
C" /Date: /� Approved by: -
Name of Reviewer
**** VARIANCE/WAIVER REVIEW ****
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP251297, Curtis Townsend, 09/29/25
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP251297, Curtis Townsend, 09/29/25
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP251297, Curtis Townsend, 09/29/25
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP251297, Curtis Townsend, 09/29/25
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP251297, Curtis Townsend, 09/29/25
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP251297, Curtis Townsend, 09/29/25
MUNICIPALITY OF ANCHORAGE
ADVANCED WASTEWATER TREATMENT SYSTEM
MAINTENANCE AND REPAIR AGREEMENT
THIS MAINTENANCE AND REPAID AGREEMENT, herein the "AGREEMENT" made and
entered into as of this Day of of20�, by and between
FlAual &�jn[�fc�" , herein the "OWNER," and the Municipality of
Anchorage, herein the "JMUNICIPALITY", in accordance with Anchorage Municipal Code
(AMC) 15.65.365, In consideration of the mutual covenants contained herein, the patties to this
Agreement agree as follows:
1. Advanced Wastewater Treatment Systems. The Municipality grants permission to the
Owner to utilize and operate an Advanced Wastewater Treatment System (AWWTS),
described as C� nv-i1 ('c., C—,l A-Pni
located at (legal description) I
L.TB
2. Maintenance. Repairs and Alterations.
(Owner is required to read, understand and initial each section)
It Throughout the term of this Agreement, the Owner shalt enter into a service agreement
with an AWWTS service and maintenance provider approved by the Municipality or the
manufacturer's representative. The AWWTS shall be maintained in a satisfactory
condition capable of performing as designed and producing treated septic effluent in
accordance with the equipment's approval for operation in the Municipality.
It shalt be the responsibility of the Owner during the term of this Agreement to pay for all
repair(s), maintenance, adjustment(s), replacement costs, and inspection costs. This
includes an annual maintenance fee (typically $400 to $600).
Owner agrees that only maintenance and repair personnel approved by the Municipality
or the manufacturer's representative will inspect and make any necessary maintenance,
repairs or pennitted alterations to the system.
Owner acknowledges that regular maintenance of an AWWTS reduces the potential
failure of the system, which could include sewage backup and costly repairs or drainfield
replacement.
(rev. 05/18/2018) Page 1 of
' Owner acknowledges that the Municipality may request records of maintenance and
repairs from the manufacturer's representative or maintenance provider.
' Owner acknowledges that the fine for failing to maintain and repair an AWWTS may be
assessed in accordance with AMC t4.60.030.
Owner agrees to grant the Municipality reasonable access to test and inspect the
AWWTS. The Municipality will give at least 24-hour notice.
Owner agrees that any sale or transfer of title of the property will not occur without a new
Certificate of On -Site Systems Approval.
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.
Owner agrees to maintain remote monitoring of the AWWTS as required by the
G'
AWWTS approval.
3. Term. The term of this Agreement shall begin on the date of approval by the
Municipality to operate the installed system, or upon transfer of title, and shall continue
while the AWWTS is operational or until title is transferred.
4. Nonwaiver. The failure of the Municipality at any time to enforce a provision ofthis
Agreement shall in no way constitute a waiver of the provisions, nor in any way affect
the validity of the Agreement or any part hereof, or the right of the Municipality
thereafter to enforce every provision hereof.
5. Amendment. This Agreement shall only be amended by authorized representatives of
the Owner and Municipality. Any attempt to amend this agreement by either an
unauthorized representative or unauthorized means shall be void.
6. Jurisdiction: Choice of Law. Any civil action arising from this 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 Agreement.
7. Severability. Any provisions of this Agreement decreed invalid by a court of competent
jurisdiction shall not invalidate the remaining provisions of the Agreement.
(rev. 05/ 1 S/201 8) Page 2 of 3
signature) Date: j `w ztp---5--
ac�o 1CI5 Z (print name)
STATE OF ALASI;;A )
} S5.
THIRD JUDICIAL DISTRICT )
The foregoing instrument was acknowledged before me this I day of Ue 2 f, i—v)
20,; , by §:j L1 f.,
O- RY Pt7BLIC FOR ALASKA
MM omtnission expires: _SCE\
MUNICIPALITY:
By: 1 (signature)
C V� S PC r'' S I-0 print name)
FAIGA PEREIRA
motary Public
State of Alaska
My Commission Expires Jan 17, 2028
1 z 2-
Date:
Title:
(rev. 05/18/2018) Page 3 of 3
/..~.-., MUNICIPALITY OF ANCHORAGE ~,-,-~
> D[ :TMENT OF HEALTH AND HUMAN SER !S
% · Environmental Health Division
825 "L" Street, Anchorage, Alaska 99502, Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
Na.~e DISTANCES
~O.~TH ~r~¢_,Y_ ~, ~. ~ TO SEPTIC ABSORPTION
[ ~0 ~ ~m~s ~N~ , ~ TANK FIELD WELL
township, Range. Section ~-~ ~S-B UI[~IAGRA~ (Show Iocat,on o[ wail. septic system, property hnes, founder, on,
TANKS U
~ SEPTIC ~ HOLDING
Material No. of Compartments
TYPE OF SYSTEM
~TRENCH ~ BED ~ W. DRAIN ~OTHER
Total absorpt,on area j Distance between I,nes ~ ~
Number o1~ .... Sod ral,ng~, CJ Pipe matebal .~ ~ - · ~ -
~ PRIVATE ~ OTHER fldentifv)
Classlbcat~on (A,B,CJ Total Depth Cased to
I
Scale:
I s~ections Pedormed by:
Health Depa~menl Approval' Date ~
72 013 (3/85)
OE:F:(.~R'FI"IEN'I- [IF' HE(:~LTH ~;~hlD E:NV I R!3NPIE:N-I"¢IL. PF,'O'T'E:C"F I
2~:,4.-4720
:O~TE 1,, ,..flJE.b,, "'1 /:~- /E¢&
I...E:GAL L)EL:;CR:I:F': I-3UBI):[VISION: SOUTHPARI< ~,~:5 LOT:
SECT:iON: ;: -['DWNSH1F': :[ 1N RANGE
LE)']' SIZIE: 20000 (Sg),FT. UR (~CRES)
I'~h:1X B E:DF;'.EIC)I¥tS: 4
BLOCk.. 1
IF '-:~ _.IFI'
I'I"II:EN ( 1 )
N]:l..d.. NDT l.~,~-: (:'~F'F'F,tEI'v%D N:['I"I"I£)LJ'I- (-"~1',1 E:I..['3Z:TF~IC(~L INSPIEECTION RtL"E.F'£)RT~ A/ND
~lr.~[IOII J:li:~ 'rI',ISI'ALL,.E9 IN AN ARE(:'~ CC)',.,'E:F.:ED L ~- MOA 81.JI[_i}:[l\l(:~; CC)DES~
qh.I E[...l::.L, fi-.,.[L,l.~l.. F:'E[I:-:~i"II"f al, Il) I. II,,.FIE.,.., 1OI4 FIUST ~::iE: EiBq(.:~]:NIE:i).~ (2'.) ,..... I..,U.,.I..,.I~
THE
.-.,I I ,...1,_,,.,..,i ..... )UI,I. ,-,.,.[,. DIEV
SEWER SYSTEM
561-6151
LOCATION PLAN
Lot: ~
I BIock: /
Subd= 5 ~/t ~-,~, ~
Prepared for: ~-
Date:
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
LEGAL DESCRIPTION: Loll
DATE PERFORMED:
2
3
4
5
6
7
8
9
10
11
12-
13-
14-
15-
16-
17-
18-
19-
20-
,sm
WAS GROUND WATER
ENCOUNTERED7
IF YES, AT WHAT O
DEPTH? p
E
geCh ID Water Alter
Monitoring? Date;
Gross Net Depth to Net
Reading Date Time Time Water Drop
PERCOLATION RATE
{minutes/inch) PERC HOLE DIAMETER
~ TEST RUN BETWEEN F-T AN~ FT · ¢
PERFORMED BY: /~/~'/~-- ' , , ~ J,d~ CER,IFYTHATTHISTESTWASPERFORMEDIN
I1'' [// I IN FFECT ON THIS DATE DATE I ~ ¢~
(Rev. 4/'85)
VED
PERCOLATION TEST DATA SHEET
ADDRESS
ZIP CODE
LEGAL DESCRIPTION
TOTAL DEPTH OF HOLE W/~ -FT.
ZONE TESTED ._~ FT. TO ~,~ FT.
DATE ~'l~'~
I
READING CLOCK NET TIME DEPTH NET DROP
TIME TO
DATUM
~fhO 3: 4~ 0,4%
~'.~ ~0 m:~ 014.~ 0,05"
FINAL PERCOLATION RATE
PERFORMED BY
(min./in.)