HomeMy WebLinkAboutTHE LANDINGS BLK 1 LT 1The
Land ngs
Municipality of Anchorage
On -Site Water and Wastewater Program - (907) 343-7904 Page 1 of 3
ON-SITE WASTEWATER INSPECTION REPORT
PermitNumber: OSP191004 PID Number: 020-061-08
Dwelling: Fm_1 Single Family (SF) E] Duplex (D) El Multiple (SF and/or D) Project: F71 New FIM� Upgrade
Jerry & Beth Schroppel (Contact)
ABSORPTION FIELD
F -I Deep Trench 9 Shallow Trench F� Bed F-1 Mound
Address
27192 Prairie Dog Way, Evergreen, CO 88439
Other
Phone
Number of Bedrooms
Soil Rating
depth from original grade
ITotal
LEGAL DESCRIPTION
Depth to pipe invert from original grade
3.5 Ft.
Gravel depth beneath pipe
4.0 Ft.
Subdivision Block Lot
The Landings 1 1
Fill added above original grade
0.7 Ft.
Gravel length
20 Ft.
Township Range Section
Gravel width
5.0 Ft.
Beds: Number of Lines
Distance between lines
Ft.
SEPARATION DISTANCES
To
Septic
Absorption
Lift Station
Holding
Sewer
Total absorption area
Number of trenches
Dist. between trenches
From
Tank
Field
Ta
Line
200 Ft 2
1
Ft.
Well
> 50'
>50'
N/A
N/A
>25'
TANK El Septic [I S.T.E.P. El Holding limil Other
IManufacturer
Capacity
Material
Number of compartments
NA
Foundation
> 10'
>10'
N/A
N/A
LIFT STATION
Manufacturer
Orenco / Anchorage Tank
Capacity
100 GaL
Curtain Drain
None
Noted
Remarks No insulation was used.
Pump on level at
Pump off level at
High water alarm at
Pump make and model
PF2005
Electrical Inspections performed by
MCA
Tankto
PIPE MATERIAL House to tank Exist. drainfield D 1785
Installer
\/Vilco Contractors
Drainfield D3034 COIMT [)3034
- ------
Inspector J. Millette
BENCH MARK (Assumed elevation) 100 ft
Inspection nd 3/26/19
Location and description
3 d 4 th
Bottom of front door jam.
COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL
Engineer's Stamp
WCHAEL E. ANDERSON
No. CE -4381 o.
/23
4/10/19
Approved Date
0 "%Fr�SS
fa
mopouoonnoport_�J'i'iu.000
THE LANDINGS, BLOCK 1 LOT.1
PERMIT # OSP191004 PID # 020-061-08
LOT/ _ t
f\ J \ 100' WE'L RADIUS
ADJACENT WELL
\ } t .,
CONTOUR ACCURACY IS \
LIMITED - TRENZSH WAS + P���✓ _ \
INSTALLED IN A FLATAREA
NEW 20' LONG X,5'
\
WIDE x 4' EFFECTIVE\
ABSORPTION TRENCH
� EXISTINGWELL \
MT1 B �.p `� 6Q' WILLvRADIUS
MT2 i O�� / \
.M!
2c
MHJ
LOQ
P�! �''
f. -ILTERNATE ' MH S �. NEW 1500-GAL E 1\ \
S1TE�� �� 4 ADVANTEX FAIP TANK r 1,
4
10-' CEA ELECTRIC,EASEMENT- i
BK 2687 PG 613
/
CEA 40'EASEMENT
�.
r
EXISTING POWER POLE
OVERHEAD LINES
ENGINEERING
1"=50'
A B
2CO
21.5
57.2
MH1
25.6
59.8
MI -12
36.1
67.7
PV
29.7
58.3
MT1
59.1
19.8
C01
56.5
18.8
MT2
65.9
36.0
CO2
64.2
36.7
LEGEND
CO - CLEANOUT
2CO - DOUBLE CLEANOUT
FCO - FOUNDATION CLEANOUT
PV - PUMP VAULT
MH - MANHOLE
MT - MONITORING TUBE
SV - SEPTIC VENT
TH - TEST HOLE
THE LANDINGS Bl Ll
PERMIT # OSP1 91004 PID # 020-061-08
0E_
02E
92.8
ENGINEERING
u `t. li
97.0 FINISH GRADE
,,— 96.3 ORIGINAL GRADE
DRAINFIELD ROCK
F.*B.* UP
Oil
82.3
NO GROUNDWATER 11/26/18
PROFILE AS -BUILT
(NO SCALE)
m
92.8
49th -
MICHAEL E. ANDERSON
No. CE -4381
444'OROFESS\Cl
lillin
LOT 2
LOT
1
EXISTING
HOUSE
50'50'22.91
'10' UTILITY EASEMENT1
0
'
U
T
I
L
I
TY
EASEMEN
T
14.5'
15.2'
2
6
.
0
'4%LOT 1
110'
108'
112'114'116
'
1
3
0
'
12
8
'
1
3
2
'134'124'126'1
2
0
'
130'
1
2
2
'
1
2
4
'
126'
128'
132'
134'
134'R=
3
0
1
3
.
5
8
'
L
=
1
5
2
.
0
9
'
R
=20.0 0 'L =49.36'R=50.00'L=69 .1 0 'S11° 17' 32"E 227.55'S40° 11' 00"W 212.17'
(SE
WARDHI
GHWAY)OL
DSEWARDHI
GHWAYHYA
N
NI
S
CI
R
C
L
E24.3'2
4
.
1
'15.9'2
2
.
2
'40.2'4
6
.
3
'
S41° 58' 30"E 10.32'
POWERPOLE
10' CEA ELECTRC
EASEMENT
BK 2687 PG 61340.0'40' CEA ROW
EASEMENT
PER VOL130 PG367
4 SSP
MH
MH
AT
PV
2 SSP
LOT 1, BLOCK 1,
THE LANDINGS
AS-BUILT
SEPTIC STANDPIPE
WATER WELL
FENCE
LEGEND:
NOTES:
1)THIS DRAWING SHALL NOT BE MODIFIED FOR USE AS A PLOT PLAN WITHOUT THE
EXPRESSED WRITTEN CONSENT OF LCG LANTECH.
2)SNOW AND ICE MAY CONCEAL MINOR SURFACE FEATURES.
3)PLAT NOTE: NO VEHICULAR ACCESS WILL BE PERMITTED FROM LOTS 1, 4, 5, 8, 9,
BLOCK 1 ON TO THE SEWARD HIGHWAY.
4)ELEVATIONS ARE BASED ON MOA GAAB 72 VERTICAL BENCHMARK MONUMENT S-73
WITH AN ELEVATION OF 111.90'. ELEVATION DATA COLLECTED IN THE FIELD WAS
MERGED WITH GIS DATA TO SHOW CONTOURS ADJACENT TO THE PARCEL. CONTOUR
INTERVAL IS 2 FEET.
DRAWN DATE:
DRAWN BY:
SCALE:
CHECKED BY:
4/18/2019
SC
ADS/SC
1" = 40'
PLAT:
WORK ORDER:18162
69-37
FB/PG: 812/10
GRID:SW3235
LEGAL DESCRIPTION:
ORDERED BY:LITA LEWIS SURVEY CERTIFICATION: LCG LANTECH, INC HAS CONDUCTED A PHYSICAL SURVEY OF
THE PROPERTY AS SHOWN ON THIS DRAWING AND CERTIFIES THAT THE
IMPROVEMENTS SITUATED THEREON ARE WITHIN THE PROPERTY LINES AND NO
ENCROACHMENTS EXIST OTHER THAN NOTED.
EXCLUSIONARY NOTE: IT IS THE OWNERS' RESPONSIBILITY TO DETERMINE THE
EXISTENCE OF ANY EASEMENTS, COVENANTS, RESTRICTIONS OR RIGHT-OF-WAY
TAKINGS WHICH DO NOT APPEAR ON THE RECORDED SUBDIVISION PLAT. UNDER NO
CIRCUMSTANCES SHOULD ANY DATA HEREON BE USED FOR CONSTRUCTION, FOR
ESTABLISHING PROPERTY LINES, OR FOR PLOT-PLAN PURPOSES.
250 H Street
Anchorage, Alaska 99501
Survey Department
Phone 562-5291
Mainline
Phone 243-8985
PARCEL #: 020-061-08-000
ADDRESS: 16001 HYANNIS CIRCLE
AT - ADVANTEX TANK
MH - MANHOLE
PV - PUMP VAULT
SSP - SEPTIC STANDPIPE
MUNICIPALITY OF ANCHORAGE
On -Site Water & Wastewater Program
PO Box 196650 4700 Elmore Road
Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997
http:f/www.muni.org/onsite
On -Site Wastewater Disposal System Permit
Permit Number: OSP191004
Work Type: Septic Upgrade
Tax Code Number: 02006108000
Site Legal Address: THE LANDINGS BLK 1 LT 1 6:3235
Site Mailing Address: 16001 HYANNIS CIR, Anchorage
Owner: LEWIS LITA
Design Engineer: FORGE ENGINEERING
This permit is for the construction of:
Effective Date:
Expiration Date:
Lot Size in Sq Ft:
Total Bedrooms:
Ih�parum•ul
1/10/2019
1/10/2020
27213
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:
Issued By:
Date: / o/ -1
Date: 1 /to ,2 U 1 el
MUNICIPALITY OF ANCHORAGE
On -Site Water & Wastewater Program
PO Box 196650 4700 Elmore Road
Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997
http://www.muni.org/onsite
On -Site Wastewater Disposal System Permit
Permit Number: OSP191004
Work Type: Septic Upgrade
Tax Code Number: 02006108000
Site Legal Address: THE LANDINGS BLK 1 LT 1 6:3235
Site Mailing Address: 16001 HYANNIS CIR, Anchorage
Owner: LEWIS LITA
Design Engineer: FORGE ENGINEERING
This permit is for the construction of:
Q Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy
Effective Date
Expiration Date:
Lot Size in Sq Ft
Total Bedrooms:
Dcpartn cnr
1/10/2019
1/10/2020
27213
❑ 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:
Issued By: 1,►-w_y' L�'oulo
Date:
Date: 1 / "( 0 � U 19
M
MUVAMPA, UTY OF ANC HAMA GE
o
Community Development Department Phone: 907-343-7904
Development Services Division Fax: 907-343-7997
On -Site Water & Wastewater Program
ON-SITE SEWER/WELL PERMIT APPLICATION
Parcel I.D. 020-061-08
Property owner(s) Lita Lewis, Jerry Schroppel (contact) Day phone 720-320-7776
Mailing address 27192 Prairie Dog Way, Evergreen, CO 88439
Site address 160001 Hyannis Circle
Legal description (Sub'd., Block & Lot) The Landings Block 1 Lot 1
Legal description (Township, Range & Section)
Lot Size 27,213 Sq. Ft. Number of Bedrooms 3
APPLICATION IS FOR:
APPLICATION IS AN:
TYPE OF DWELLING:
(® all that apply)
Absorption Field
❑x
Initial ❑
Single Family (SF) ❑x
(w/wo ADU)
Septic Tank
❑X
Upgrade ❑x
Duplex
ElHolding
(D)
Tank
❑
Renewal ❑
Multiple Dwellings ❑
Privy
❑
(SF and/or D)
Private Well
❑
Water Storage
❑
THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR:
Distance:
I certify that the above information is correct. I further certify that this is in accordance with
applicable Municipal Codes.
(Signature of property owner or authorized agent)
Permit/Rush Fees:J �I S' Waiver Fees:
Date of Payment: 1 (q Date of Payment:
Receipt Number: 05795? D Receipt Number:
Permit No. 051019106Ll Waiver No.
Permit App_.:- :- :
January 6, 2019
MOA Development Services, On-Site Water & Wastewater Program
4700 Elmore Rd
Anchorage, AK 99507
1/6/19
Subject: The Landing Block 1 Lot 1 – 16001 Hyannis Circle
Septic system design
Dear On-Site Services Engineer:
The owner of the above lot has a septic system that is in failure and would like to upgrade to a 4-
bedroom septic. Due to the amount of available space on the lot, we have determined that it is
necessary to replace the existing septic with a CAT III septic system, so we are submitting this
permit application for the construction of a new septic system. The attached site plan identifies the
location of the home as well as the existing well, septic location and alternate site. No conflicts
exist between this proposed system and any other well or septic system, whether on this lot or
adjacent lots.
The ground surface on the lot slopes toward the southwest between about 5-15% in the area of the
trench. There are no slopes greater than 25% within 50 feet downslope of either the primary or
alternate site. Contours are shown on the site plan showing the grade and direction of flow.
Stormwater drainage will not impact this septic system. The new trench will be constructed parallel
to the slope as much as possible.
Wells on this and adjacent lots are shown. The new system will be a minimum of 50’ from the
existing well, 100’ from all other wells and surface water, and more than 5’ away from the septic
tank.
Please refer to the attached test hole logs, soils lab analysis, plan and profile pages for the septic
design. If this design is followed, there will be no adverse impacts to adjacent properties.
Sincerely,
Benjamin Schiller, PE
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP191004, Rebecca Carroll, 01/10/19
17.0%5.6%11.9
%15.5%17.6%5.6%8.5%ALTERNATE SITE
10050 0
FEET
1"=50'
3-BDRM HOME
NEW 1500-GAL
ADVANTEX FAP TANK
NOTE:
NO SLOPES >25% WITHIN 50' OR SURFACE WATER WITHIN 100' OF THE
PROPOSED SEPTIC SYSTEM
ALL WELLS ON SURROUNDING LOTS WITH IMPACTS TO THIS
PROPERTY ARE SHOWN. NO CONFLICTS WITH WELLS OR SEPTIC
SYSTEMS.
CO - CLEANOUT
2CO - DOUBLE CLEANOUT
FCO - FOUNDATION CLEANOUT
FS - FLOW SPLITTER VALVE
MH - MANHOLE
MT - MONITORING TUBE
SV - SEPTIC VENT
TH - TEST HOLE
LEGEND
TH-A
THE LANDINGS, BLOCK 1 LOT 1
SLOPES > 25%
SLOPES > 46%
HYA
N
NI
S
CIR
CL
E10' UTILITY EASEMENT1
0
'
UT
I
L
I
TY
EASEMEN
TOLD
SEWARD HI
GHWAYEXISTING WELL
ADJACENT WELL
100' WELL RADIUS
50' WELL RADIUS
INSTALL NEW 20' LONG x
5' WIDE x 4' EFFECTIVE
ABSORPTION TRENCH
DOUBLE CLEAN OUTS BEFORE
AND AFTER TANK
INSTALL PUMP BASIN
AFTER TANK
DECOMMISSION EXISTING TANK IN
ACCORDANCE WITH MOA CODE
ABANDON EXISTING
TRENCH IN PLACE
MT
MT
2CO
CEA 40' EASEMENT
Jan 10, 2019
10' CEA ELECTRIC EASEMENT
BK 2687 PG 613
EXISTING POWER POLE W/
OVERHEAD LINES
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP191004, Rebecca Carroll, 01/10/19
THE LANDINGS BLOCK 1 LOT 1
DESIGN FACTORS: SYSTEM REQUIREMENTS:
600 GPD PEAK FLOW
PERK RATE: 6-15 MIN/IN
APPLICATION RATE: 5.0 GPD/SF
4' DEEP TRENCH SYSTEM
1500-GAL ADVANTEX FAP TANK
TYPICAL TRENCH SECTION
(NO SCALE)
4" PERFORATED PVC (HOLES DOWN)
DRAINFIELD ROCK
5'
6"
6"
3'
4'
NOTES:
1. GRADE AREA OVER TRENCH TO DRAIN AWAY
2. PROVIDE 3' OF COVER OVER TRENCHES AND 4' OVER SEPTIC TANK, OR 2' WITH
2" OF INSULATION
3. CHECK GROUNDWATER AT TIME OF CONSTRUCTION. IF LEVEL IS HIGHER
THAN PREVIOUSLY OBSERVED, CALL ENGINEER IMMEDIATELY
BOTTOM OF TRENCH: 7.5' BELOW GRADE
FLOW LINE ELEVATION: 3.5' BELOW GRADE
TOP OF TRENCH: 0.5' ABOVE GRADE
600 GPD / 5.0 GPD/SF /5' WIDE * 0.5 RED. FACTOR = 12 LF TRENCH REQUIRED (20 LF SPECIFIED)
Jan 06, 2019
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP191004, Rebecca Carroll, 01/10/19
LEGAL DESCRIPTION:
PERFORMED FOR:
DATE:
PARCEL ID#:
SOILS LOG AND PERCOLATION TEST
TECHNICIAN:
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
DEPTH
(feet)
PROJECT No.:
TEST HOLE A
SLOPE
SLOPE
SITE PLAN
See Site Plan
DATE READING GROSS TIME
(minutes)
NET TIME
(minutes)
DEPTH to
WATER NET DROP
TEST HOLE PRESOAKED PRIOR TO TESTING:
PERC. HOLE DIA. (INCHES)PERCOLATION RATE: (MIN/INCH)
TEST RUN BETWEEN: FT. and FT.
COMMENTS:
(inches)(inches)
The Landings B1 L1
11/19/18
J. Millette
DATE OF MONITORING:
WAS GROUND WATER ENCOUNTERED?
DEPTH OF WATER AFTER MONITORING:
IF YES @ WHAT DEPTH?
NO
-
NONE
6.7 6
5 6
020-061-08
Jerry Schroppel
3:031
2
3
4
5
6
30
30
30
3
7 9
16 4 9
16
3
7 8
16 4 8
16
3
7 8
16 4 8
16
3:33
3:35
4:05
4:06
4:36
1' OB
GM (SANDY SILTY GRAVEL)
11/26/18
Professional Engineers Stamp:
BOH
Jan 06, 2019
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP191004, Rebecca Carroll, 01/10/19
LOT 1
j / \
`I
0
15.2
ti
4
EXISTING�
HOUSE w N
7. LOT 2
14.5 N
\`
132' N
130, — -
moo. , ..•
S410 58'30"E 10.32' \ \ - LOT "f
4J \ SEPTIC STANDPIPES `
to
40 x
ir
yz
76,
49TH*� .. .... .. ........OD
NOTES:
Q 1) THIS DRAWING SHALL NOT BE MODIFIED FOR USE AS A PLOT PLAN WITHOUT THE
i EXPRESSED WRITTEN CONSENT OF LCG LANTECH.
Q c0 STEVEN CALLA AN..: °
O�Q 2) SNOW AND ICE MAY CONCEAL MINOR SURFACE FEATURES.
V4�r
LS 12034 ��Q 3) PLAT NOTE: NO VEHICULAR ACCESS WILL BE PERMITTED FROM LOTS 1, 4, 5, 8, 9,
p�012.4 Jl (? 0' BLOCK 1 ON TO THE SEWARD HIGHWAY.
44r°fessiono\ �oo0 4) ELEVATIONS ARE WITH AN LEVATION OFD111! OO ELEVATION DATA COLLECTEDB 72 VERTICAL DIN THE FIERK LD ENT 73
D WAS
MERGED WITH GIS DATA TO SHOW CONTOURS ADJACENT TO THE PARCEL. CONTOUR
INTERVAL IS 2 FEET.
ORDERED BY: LITA LEWIS PARCEL #: 020-061-08-000 SURVEY CERTIFICATION: LCG LANTECH, INC HAS CONDUCTED A PHYSICAL SURVEY OF
THE PROPERTY AS SHOWN ON THIS DRAWING AND CERTIFIES THAT THE
LEGAL DESCRIPTION: ADDRESS: 16001 HYANNIS CIRCLE IMPROVEMENTS SITUATED THEREON ARE WITHIN THE PROPERTY LINES AND NO
AS -BUILT ENCROACHMENTS EXIST OTHER THAN NOTED.
EXCLUSIONARY NOTE: IT IS THE OWNERS' RESPONSIBILITY TO DETERMINE THE
LOT 1, BLOCK 1 , EXISTENCE OF ANY EASEMENTS, COVENANTS, RESTRICTIONS OR RIGHT-OF-WAY
TAKINGS WHICH DO NOT APPEAR ON THE RECORDED SUBDIVISION PLAT. UNDER NO
THE LANDINGS CIRCUMSTANCES SHOULD ANY DATA HEREON BE USED FOR CONSTRUCTION, FOR
ESTABLISHING PROPERTY LINES, OR FOR PLOT -PLAN PURPOSES.
LEGEND:
250 H Street SEPTIC STANDPIPE Or i - '
Anchorage, Alaska 99501 Overhang -Gravel
WATER WELL WO
FENCE —X—X— Wood Deck Concrete .„
Survey Department DRAWN DATE: 12/18/2018 WORK ORDER: 18162
Phone 562-5291
:Inc Mainline DRAWN BY: ADS/SC PLAT: 69-37
Phone 243-8985 CHECKED BY: SC GRID: SW3235
G'Au"E2GF.,eCtu/r.2 • En�LnP.PJui•t� • At�/e''`P�vf.�
SCALE: 1" = 40' FB/PG: 812/10
®®
MUNICIPALITY OF ANCHORAGE
ADVANCED WASTEWATER TREATMENT SYSTEM
MAINTENANCE AND REPAIR AGREEMENT
THIS MAINTENANCE AND REPAIR AGREEMENT, herein the "AGREEMENT' made and
entered into as of this Day of of 20 19 , by and between
LIf�L S� l S V�herein the "ONY-NER," and the Municipality of
Anchorage, herein the "MUNICIPALITY", in accordance with Anchorage Municipal Code
(AMC) 15.65.365. In consideration of the mutual covenants contained herein, the parties 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 (AWVJTS),
described as Advantex system
located at (legal description)
The Landings, Block 1 Lot 1
2. Maintenance, Repairs and Alterations.
(Owner is required to read, understand and initial each section)
l/�,UjJI 'throughout the term of this Agreement. the Owner shall enter into a service agreement
with an A% WT5 service and maintenance provider approved by the Municipality or the
manufacturer's representative. The AWNVTS 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 shall 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 permitted 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 drainfreld
.replacement-
(rev-
replacement.
(rev- 05/18/2018) Page i of 3
`Ad Owner acknowledges that the Municipality may request records of maintenance and
repairs from the manufacturers representative or maintenance provider.
Owner acknowledges that the fine for failing to maintain and repair an AWWTS may he
assessed in accordance with AMC 14.60.030.
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
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. \onwaiver. The failure of the Municipality at any time to enforce a provision of this
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. 05/18/2018) Page 2 of 3
OWNRM
By: vt,dfDate;
(pxbai name)
The foregoing instrument was acluiowledoed before me this day of
20 tib, by
NQTARY PUBLIC FOR _ C��L�� ERIN BRADLEY
[Notary Public -State of ColoradoMy Conunission expires: -7 Notary lD 2o1s40t8os2Commission Expires May 11, 2020
MUNICIPALITY:
By: e....X (signature)
uc'cc� cc _V- o (( (Print name)
Date: 1 D bo Lct
Title:
(rev. 05/18/2018) Page 3 of 3
gRE,..,:R ANCHORAGF AREA BOk_JGH
Department of EnvironmentsI Quality
3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAl. SYSTEM
LOCATION
SEPTIC TANK:
DISTANCE
INSIDE LENGTH
MANU FACTU RE R~'%
INSIDE WIDTH
LIQUID DEPTFI
NUMBER OF
COMPARTMENTS
LIQUID CAPAC TY/~'-~)GALLON5.
TILE DRAIN FIELD:
D,STANCE ,:ROM WE'UV;&'"__FOUND^T,ON /0 (,L NEAREST
NUMBER OELINES_ / DISTANCE BETWEEN L,NES 4/1/9
ABSORPTION AREA
DEPTI I: TOP OF TILE TO FINISH GRADE
LOT LINE ~/~) ~ TOTAL LENGTH
.___OF L,NES
TRENCH WIDTH~''~ IN. TOTAL EFFECTIVE
SQ. FT. LENGTH OF EACH LINE ~'0
~,~ I DEPTH OF FILTER '2t
WELL:
TYPE ~ '71 f~f
_ CONSTRUCTION
BUfLDING NEAREST NEAREST
FOUNDATION __ LOT LINE SEWER LINE
DEPTH __ _
SEPTIC SEEPAGE
TANK__ SYSTEM
CESSPOOL
OTIIER SOURCES
APPROVED
. DISAPPROVED
REMARKS __
DISTANCE FROM:
DISTANCES:
INSTALLED BY:
P m.~_i¢,~_'~ ...............
LOT SLOPE:
REMARKS:
Form EQ-032
DIAGRAM OF SYSTEM
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CONSULTING GEOLOGIST
PHON~ 344-707 I
SOILS LOG
Pex£oz n~d -for . . . _.~,~1 'I_ ~
bepth (£ee~_) _ _
Soil. Desori~)~ion
-riO-
-42-
','/as grotmdwater encoum-bered.
Dep'~h to bedrock
What: dep'bh ------..
?
?
Re spe c'~2ul ly/~submit ~ed,
Gary 1~. t~layer
Consulting Geologis b
Location tot /
Date completed
................................................................ Z.:z~.:,. z~.~¥.~.~7 ..........
Depth of well ~/'
................................... ~:o~ - / ~ f:dF/d, /
Size of easing
Distance to water
Dist~ce to water while pumping ........ ~..~ ......................................... at rate
of ............. .~..~.~.. ....................... gallons per hour.
Formation
from to
~ ~?
vtUiqKtlFALii¥ u~LNc'riOF~AGE -
DEPT. OF F{EALTH &
ENO'lEO N M E NT~P~OT E CT[ON-~
1
Driller
;, : ¢ / /
DELTA DRILLING COMPANY
SRA BOX 394 O
ANCHORAGE. ALASKA 99507
PLANS
MUNICIPALITY OF ANCHORAGE
Development Services Department
On-Site Water & Wastewater Section Phone: 907-343-7904
Fax: 907-343-7997
Certificate of On-Site Systems Approval
Parcell.D. 020-061-08 �j
Expiration Date: Z - f ^
1. GENERAL INFORMATION
Complete legal description The Landings, Block 1 , Lot 1
Location (site address) 16001 Hyannis Circle Anchorage, AK
Current property owner(s) Lita Lewis/Jerry Schroppel Day phone 720-320-7776
Mailing address 27192 Prairie Dog Way, Evergreen, CO 88439
Real estate agent Day phone
2. TYPE OF DWELLING:
[ Single Family (w/wo ADU)
❑ Duplex
❑ Multiple Dwellings (Single Family and/or Duplex)
3. NUMBER OF BEDROOMS: Four
4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL:
Private Well LJ Private Septic ❑
Water Storage [ Holding Tank ll
Community Well I i Community
Public Water System [ Public Sewer n
Waiver request for: Distance.
Received by: Date:
COSA to be released to the engineer, unless otherwise requested by the engineer.
COSA Fee $ Waiver Fee $
Date of Payment 511(419 Date of Payment
Receipt Number QT{4-1) Receipt Number
COSA# O5CIR1UO3
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 Forge Engineering
Phone 907-522-7773
Address 1399 W. 34th Ave Suite 203, Anchorage AK 99503
Engineer's Printed Name Michael E. Anderson, P.E. Date 05/13/19
�OF•At 11
i�P • 95,x'+6
6. DSD IGNATURE *: 49 m ,d ..*��
g'vlAnSystem #1 Approved for 4 bedrooms I'
FA .• Michael E.Anderson
System #2 Approved for bedrooms �‘ch---9� '• 4381-E �����
JT••.05/13/19•.'•V"--
1b,(4:980
Disapproved • .. PROFESS+otiA\�7-
Conditional approval for bedrooms, with the following stipulations:
'c,-\-?ALITY0((fi
O•""gi ,, 1114 N 1
t t......R
1/l,/i'140)i}�!1?\!:\�\
By. _ 1.L-s. ` Original Certificate Date: S -2--
C( -/
The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On-Site Systems Approval (COSA) based only upon the
representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is
not responsible for errors or omissions in the professional engineers work.
7. ATTACHMENTS:
COSA Checklist X Nitrate Advisory
Septic System Advisory Arsenic Advisory
Well Flow Advisory Other
COSA Checklist Clue sheet
COSA Checklist
Legal Description: The Landings Block 1 Lot 1 0
Parcel ID: 020-061-08
If more than 1 septic system on lot: COSA Checklist# of Structure served by this system
A. WELL DATA
0 Well log is filed with Onsite (or attached) Well production at time of test 6.9 gpm
Date drilled 6/5/1981 Water storage tank volume NA gallons
Total depth 51 ft Well disinfected for coliform test? ❑ Yes I No
Cased to 51 ft 0 Coliform bacteria is Negative
0 Sanitary seal is functioning correctly Nitrate mg/L 0 Nitrate less than MRL (ND)
0 Wires are properly protected Arsenic ug/L 0 Arsenic less than MRL (ND)
Casing height(above ground) 39 in. Collected by Forge Engineering
Date of flow test for COSA 5/8/19 Date of Sample 4/25/19
Static water level at beginning of test 32 ft.
Comments
B. TANK DATA C. LIFT STATION
Age of tank(s) <1 years 0 Required maintenance completed
Tank type/material Advantex/Fiberglass Age of lift station <1 years
Measured operating fluid level in septic tank Lift station material PVC
0 Standpipes/foundation cleanout per record drawing Comments: There is a pump vault in place.
Date of pumping
D. ABSORPTION FIELD DATA Shallow Trench
Which system tested (date installed) 3/25/19 Adequacy test date New
0 ALL standpipes present per record drawing Results ❑Pass For bedrooms
Total measured depth from grade 7.5 ft(max) Fluid depth prior to test in
Measured depth to pipe invert from grade 3.5 ft(min) Water added gal
E N/A—pressurized field
New depth in
0 Monitor tubes go to bottom of effective. If not, state
depth into effective Elapsed time min
0 Code-required soil cover over field Final fluid depth in
❑ System presoaked Absorption rate gpd
(Required if vacant for greater than 30 days prior to Any rejuvenation treatment(past 12 months)
date of test)
Gallons introduced gallons If yes, enter date
Comments/Deficiencies:
COSA Checklist yellow sheet
E. SEPARATION DISTANCES
From Private Well on Lot to: (Please enter distances if less than required or if community well)
Septic Tank/Lift Station on Lot> 100' Community Sewer Manhole/Cleanout > 100'
0 Yes if No ft 0 Yes if No ft
Neighboring Tank > 100' 0 Yes if No ft Private Sewer/Septic Line >25' 0 Yes if No ft
Absorption Field on Lot> 100' 0 Yes if No ft Holding Tank > 100' 0 Yes if No ft
Neighboring Absorption Fields > 100' Animal Containment> 50' 0 Yes if No ft
0 Yes if No ft
Manure/Animal Excreta Storage > 100'
Community Sewer Main > 75' 0 Yes if No ft 0 Yes if No ft
From Septic/Holding Tank on Lot to: (Please enter distances if less than required)
Building Foundations > 10' 0 Yes if No ft Surface Water> 100' 0 Yes if No ft
Property Line > 5' ✓0 Yes if No ft Wells on Adjacent Lots:
Absorption Field > 5' 0 Yes if No ft Private Wells > 100' 0 Yes if No ft
Water Main > 10' 0 Yes if No ft Community Wells >200' 0 Yes if No ft
Water Service Line> 10' 0 Yes if No ft If septic tank is under driveway comment below
From Absorption Field on Lot to: (Please enter distances if less than required)
Building Foundation > 10' p✓ Yes if No ft If absorption field is under driveway comment below
Property Line> 10' 0 Yes if No ft Wells on Adjacent Lots:
Water Main > 10' 0 Yes if No ft Private Wells > 100' 0 Yes if No ft
Water Service Line > 10' 0 Yes if No ft Community Wells >200' 0 Yes if No ft
Surface Water> 100' 0 Yes if No ft
F. ENGINEER'S COMMENTS
G. ENGINEER'S CERTIFICATION a
4tostaaii4+
C.
1.
1 certify that I have determined through field inspections and review 141 \x..•••••••••�••••••••.9 .
of Municipal records that the above systems are in conformance with z �, `��•••\ �•
MOA COSA guidelines in effect on this date. f . : ;"
� �
:...1.1..L.rt �� i
.r /
•
,7x4.., MICHAEL E. ANDERSON : t
•I S's• No. CE-4381 �'ar
''4,< '..• 05/13/19 •o X4`1
COSA Checklist yellow sheet FQ ••...,,,,,,•,..••
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NOTES:
194144°"---hv:1 C°64Vala,-41',..:0 1) THIS DRAWING SHALL NOT BE MODIFIED FOR USE AS A PLOT PLAN WITHOUT THE
EXPRESSED WRITTEN CONSENT OF LCG LANTECH.
v co .. STEVEN CALLAGHAN.: c..0'
**OA2) SNOW AND ICE MAY CONCEAL MINOR SURFACE FEATURES.LS—12034
...* tagY 3) PLAT NOTE:NO VEHICULAR ACCESS WILL BE PERMITTED FROM LOTS 1,4,5,8,9,
tiqW0 ,421.6,,,•).17 BLOCK 1 ON TO THE SEWARD HIGHWAY.
A‘
4) ELEVATIONS ARE BASED ON MOA GAAB 72 VERTICAL BENCHMARK MONUMENT S-73 WITH AN ELEVATION OF 111.90'. ELEVATION DATA COLLECTED IN THE FIELD WAS
MERGED WITH GIS DATA TO SHOW CONTOURS ADJACENT TO THE PARCEL. CONTOUR
INTERVAL IS 2 FEET.
ORDERED BY. LITA LEWIS PARCELS: 020-061-08-000 f.:.,TvFE.Y c::rri%sicAsTri LegNLATHNTisEgIfito
t.AlmiscNosti,
–A.6°.4C EC)RUTFTg THAPHTYtCEAL SURVEy OF
ImPROvEmENTS SITUATED THEREON ARE
LEGAL DESCRIPTION: ADDRESS: 16001 HYANNIS CIRCLE WITHIN THE PROPERTY LINES AND NO
ENCROACHMENTS ExIST OTHER THAN NOTED
/6‘S—BUILT
EXCLUSIONARY NOTE IT IS THE OWNERS'RESPONSIBILITY TO DETERMINE THE
LOT 1, BLOCK 1 EXISTENCE OF ANY EASEMENTS COVENANTS RESTRICTIONS OR RIGHT-OF-WAY
TAKINGS WHICH DO NOT APPEAR ON THE RECORDED SUBDIVISION PLAT UNDER NO
THE LANDINGS CIRCUMSTANCES SHOULD ANY DATA HEREON BE USED FOR CONSTRUCTION.FOR
ESTABLISHING PROPERTY LINES.OR FOR PLOT-PLAN PURPOSES
LEGEND
PhLc
250 H&reel
SEPTIC STANDPIPE 0 ,,,_–;;;•Overhang::::– r:,::::Oroveil
Anchorage.Alaska 99501
T
WATER wELL Wood Deckii ., Concrete
FENCE ..G ....„,.. .., su r men
Vey Departt
DRAWN DATE: 4/18/20r19 WORK ORDER:18162 one 562-5291 .
antecri Inc Mainline DRAWN BY: ADS/SC _ PLAT: 69-37
•
Phone 243-8985 CHECKED BY: SC GRID: SW3235
engcneen.ing 4taveyinf
FB/PG:812/10
MUNICIPALITY OF ANCHORAGE
ADVANCED WASTEWATER TREATMENT SYSTEM
MAINTENANCE AND REPAIR AGREEMENT
THIS MAINTENANCE AND REPAIR AGREEMENT, herein the "AGREEMENT" made and
entered into as of this 2`( Day of crt-
,V`alc,� of 20 0 , by and between
Thomas Marchesani , herein the"OWNER,"and the Municipality of
Anchorage, herein the"MUNICIPALITY", in accordance with Anchorage Municipal Code
(AMC) 15.65.365. In consideration of the mutual covenants contained herein, the parties 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),
describedas 16001 Hyannis Circle , Anchorage , AK 99516
located at (legal description)
The Landings , Lot 1 Block 1 , Anchorage Recording District
2. Maintenance,Repairs and Alterations.
(Owner is required to read, understand and initial each section)
hroughout the teen of this Agreement, the Owner shall 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 shall 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
in ludes an annual maintenance fee (typically S400 to S600).
` Owner agrees that only maintenance and repair personnel approved by the Municipalityv
or the manufacturer's representative will inspect and make any necessary maintenance,
repairs or permitted 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 3
Owner acknowledges that the Municipality p hty may request records of maintenance and
repairs from the manufacturers representative or maintenance provider.
Owner acknowledges that the fine for failing to maintain and repair an AWWTS
may be
a esscd in accordance with AMC 14.60.030.
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.
O--."-------
wner agrees that the AWWTS installation and maintenance requirements as
provided the AWWTS vendor/installer and
approved by the Municipality are the governing
guidelines for the construction, maintenance and repair of the Owner's AWWTS.
0 Owner agrees to maintain remote monitoring of the A«'WTS as re uired b 4 y the
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. Nonwai_er. The failure of the Municipality at any time to enforce a provision of this
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 Lay. 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. Seve . Any provisions of this Agreement decreed invalid by a court of competent
jurisdiction shall not invalidate the remaining provisions of the Agreement.
(rev. 05/18/2018)
Page 2 of 3
OWNER:
By: , (signature) Date:
name)
STATE OF ALASKA )
THIRD JUDICIAL DISTRICT ) ss.
The foregoing instrument was acknowledged before me this 7.L day of
20.11, by- aLs.. tVC�1�SCL�1
.a Li • 111111111i1/i/1/
NOT• 'Y P ',IC FOR ALASKA ��EY
My Commission expires: '3JCc /23 �� .•'c "^`'t;,'•�,•�o�
:NOT t;
tY
1.p
�;'• �. LIC
NfITNIC,IPALTTY: /*llinnitOw-
By: (signature) Date:
(print name) Title: