HomeMy WebLinkAboutGRECIAN HILLS BLK 2 LT 13Onsite File
Grecian Hills
Block 2
Lot 13
#017-073-78
Municipality of Anchorage
On -Site Water and Wastewater Section - (907) 343-7904 Page 1 of 1
ON -SITE WASTEWATER INSPECTION REPORT
Permit Number: OSP221170 PID Number:
Dwelling: W Single Family (SF) R with ADU n Duplex (D) n Two Single Family Project: El New nN Upgrade
Name
Thomas Mobley
A ORPTION FIELD
El D Tr Trench n Wide Trench El Bed n Mound
Site Address
8011 Lakonia Dr., Anchorage
Other
Phone
Number of Bedrooms
Soil Rating
Total depth from original grade
907-230-5372
3
�D / S F
Ft.
LEGAL DESCRIPTION
Depth to pipe invert from original
Gravel depth beneath pipe
11 Ft.
Subdivision Block Lot
GrecianHills 2 13
Fill added above original grade
Ft.
Gr el length
Ft.
Township Range Section
Gravel width
Ft.
Beds: Number of Lines
Dist e between lines
Ft,
SEPARATION DISTANCES
ToSeptic Absorption Holding Sewer
Lift Station
Total absorption area
Number of trenches
Dist. between t ches
From Tank Field Tank Line
F t2
Ft.
Well 50'+ 25
TANK X Septic E] S.T,E.P. ❑ Holding 9 Other
,
Manufacturer Capacity
Infiltrator** 540,1530 Gal.
1
Surface Water 1 5 01+
Material
Number of compartments
Lot Line 51+ �i NA
H D P E
1,1
Foundation 8.6'
LIFT STATION
Manufacturer
Capacity
Remarks *tank is not in the soil bearing prism.
Gal.
**BioMicrobics BioBarrier 0.5 MBR treatment system
Alarm location
Electrical installed by
PIPE MATERIAL. House to tank 3034 d Tank to 3034
rainfield
Installer
Isabelle Construction & Excavating,
Drainfield CO/MT 3034
Inspector Crewdson Engineering LLC
BENCH MARK (Assumed elevation) 100 ft
Inspection 1st 7/7/2022 7/8/2022
Location and description
dates: 2`1
3 d 411,
Bottom of siding at "BM" on record drawing.
ON -SITE WATER AND WASTEWATER SECTION APPROVAL
OF A4.1
Conditional Approval: Date
;00
Septic System
............
Me$ A. Crewdson 41;
C11117 00
Approved Date z
Note: this approval does not include well permit requiremen s.
(Rev 05/02/18)
A
BM: BOS ELEV = 100'
��POJS/
Lot 13
WATER
SERVICE
BioMicrobics BioBarrier 0.5 MBR
TC: Infiltrator IM-153
SC: Infiltrator IM-54
F1
3BR
SF/y BM
IN
MH1
I
I
LOT 14
PL /
/
/
I /
/ Pg oyN
rp
/
ICP /
O C1 /
BL MH2
O /
MH1 /
/
I /
PLAN
SCALE: 1 "=20'
INSULATION
\ �
\ 7.5I'
\ SC TC
1L
1 \
\ SC ELEVATIONS TC ELEVATIONS
\ FG 99.5' FG LEFT 99.7'
TOT 96.5' FG RIGHT 100.2'
INLET 95.9' TOT 96.1'
OUTLET 95.7' INLET 95.5'
OUTLET 96.6'
merit Engineering, LLC
Grecian Hills, Block 2, Lot 13
Septic System Record Drawing
Plan and Profile
LEGEND
BL - blower
BM - bench mark
BOH - bottom of hole/excavation
BOS - bottom of siding
BR - bedroom
C# - cleanout
CP - control panel
F# - foundation cleanout
ED - effective depth
EG - existing ground
ELEV - elevation
FG - finish grade
IAW - in accordance with
IN - inlet
MH# - 24"0 manhole
MOA - Munic. of Anch.
OUT - outlet
PL - property line
SC - settling chamber
SFH - single family home
ST - septic tank
TC - treatment chamber
SWING
TIES (feet)
A
B
F1
36.9
27.4
F2
50.1
14.1
MH1
60.9
13.3
MH2
74.6
26.0
C1
80.6
33.2
PROFILE
MH2 (-p� SCALE: 1"=5'
� los-r ,"` Prepared for: Date: 8-15-2022
CmI & ° tumnm � °' namng Thomas Mobley
PO Box 671389 Chugiak AK 99567 • cellc.1@outlook.com Permit: OSP221170 Page: 1 of 1
Cell/Text:907-280-9493 • Fax:907-688-2295
ALL INFORMATION SHOWN ON THIS DOCUMENT IS THE PROPERTY OF CREWDSON ENGINEERING, LLC AND SHALL NOT BE USED FOR
ENGINEERING OR CONSTRUCTION PURPOSES WITHOUT WRITTEN PERMISSION FROM CREWDSON ENGINEERING, LLC
OUT
OF A4.0 ko
ame Crewdson /
C11527 'ill!"�
PROFESSIONP���
ALLC #112279
I
I
W
�w
Ln
OW
J
— �
O
� O
l0
4 F
Y
WO
~ N
/
\
O
=
o
O
Z
\ \
W O
\
rl
/
J
I
ML,:
— A
\ 00
SY�LZL 3 90,40,00 N
I
0
III I
LO
I
O
/
J
/
/
00
rzso $
/ ,
/
/
/
W
� N
U
0M
� v
ki
/
/
P
O
Q
z
u
N
N
N
m
/
o
/
.90' —
3,.9L.84.0! N
�V) ,
J Z 04
W
� W
ow J /
U i
v
OJ
l�l^
V!
a�
C
8
N
N
V,
C: O
L.
J CL
O
m
'd
it
1ULn
:ga�ygOOM
a CN ao�o
, �N o D U
HI ri! V1: W Q Q
p4 O
r q
O
Y
N
O
mL
o�
a
v
0.2
o
o
02
m
O.
L
O
m
N c
0 C m
c
0.2
m N
>••-
�n«� CL
O
O
OL
p O N O O
N
O= a`U
a-0m°oo
]
I
O�
�gEa�N
U9
mo.m"cc.'I
a�a o.m_
wo
m m
u Z �
x
Ho awoo
I
mm
v> E t m
o
C M. 0, 0
cm 'a
m O
o V�i o L
E o
L O O O
N f 00.2. U
m
.000
« Dom
3; N
I
p
'oaoo.00
> a
I
`c
am.UY C ' a O
N
I
m 0
jo ° o m
m
••
O
U Q V c x
O O
N o m
N m
a
O
m L
C
> � 0 CL
0
'" 3
L O Q c L m
i
p O
o
N 0
N
o m L
m
O•
..T^UaC�N
w Ec0
«
OF
0 PO
U m m> U 0
N
m`o
y
O t U N C
a N m
0
+
C
-5O
O 0 C
mJoPEEm
m
L
�>
°n
a 3 c a o
o
s
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: OSP221170
Work Type: SepticTank Upgrade
Tax Code Number: 01707378000
Site Legal Address: GRECIAN HILLS BLK 2 LT 13 G:2940
Site Mailing Address: 8011 LAKONIA DR, Anchorage
Owner: MOBLEY PAMELA & THOMAS
Design Engineer: CREWDSON ENGINEERING, LLC
This permit is for the construction of:
❑ Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy
Effective Date:
Expiration Date:
Lot Size in Sq Ft:
Total Bedrooms:
�»ent
llepar•ttric�nt
6/17/2022
6/17/2023
31593
❑ 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: U'�✓��i
Date: i
Date:
3
.MUNICIPALITY
Development Services Department Phone: 907-343-7904
On -Site Water & Wastewater Section Fax: 907-343-7997
ON-SITE SEPTIC/WELL PERMIT APPLICATION
Parcel I. D. 017-073-78
Property owner(s) Pamela & Thomas Mobley Day phone 907-230-5372
Mailing address 8011 Lakonia Dr, Anchorage
Site address Same
Legal description (Sub'd., Block & Lot) Grecian Hills, Bloock 2, Lot 13
Legal description (Township, Range & Section)
Lot Size 31,593 Sq. Ft. Number of Bedrooms 3
APPLICATION IS FOR:
APPLICATION IS AN:
TYPE OF DWELLING:
(N all that apply)
Absorption Field
❑
Initial ❑
Single Family (SF)
Q
(w/wo ADU)
Septic Tank
Upgrade
❑
(D)
Holding Tank
ElRenewal
ElDuplex
Multiple Dwellings
❑
Privy
❑
(SF and/or D)
Private Well
❑
Water Storage
❑
THIS APPLICATION INCLUDES A 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: -K25
Date of Payment: // Z a bd a
Receipt Number: 05a 33G
Permit No. _0.502 LH 70
Waiver Fees:
Date of Payment:
Receipt Number:
Waiver No.
GADevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Client Forms\Permit Application.doc
James “Jay” Crewdson, P.E.
Email: CELLC.1@outlook.com
Cell/Text: (907) 280‐9493
Fax: (907) 688‐2295
PO Box 671389 ● 18368 Amonson Road ● Chugiak, Alaska 99567
June 7, 2022
Onsite Reviewer
Municipality of Anchorage
On‐site Water & Wastewater Program
4700 Elmore Road
Anchorage, AK 99519‐6650
Reference: Grecian Hills, Block 2, Lot 13
Upgrade Septic Tank and AWWTS
Design Narrative
The owners of the 3‐bedroom single family home would like to upgrade the existing septic tank and install
an Advanced Wastewater Treatment System at the same time.
The design proposes to use a BioMicrobics BioBarrier 0.5 MBR AWWTS using Infiltrator tanks. Please see
the design sheets for further details.
There are no anticipated probable adverse impacts to adjacent properties if the septic system is
constructed as designed. This includes: a. Wells; b. Wastewater disposal systems; c. Replacement disposal
sites; and d. Drainage flowing onto and off of the subject property that could adversely affect performance
of the wastewater disposal system.
Please feel free to contact me if you have any questions.
James “Jay” Crewdson, P.E.
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP221170, Rebecca Carroll, 06/17/22
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP221170, Rebecca Carroll, 06/17/22
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP221170, Rebecca Carroll, 06/17/22
Q
�.
T i
CD
CD
L cm
R
4a
N
�..
� T
N
CD N
0
c CQ
cm
o�
cc
¢�au,xa
N
O
N
N
cc
a
Z
W
W
Q C
J�
p w N 0
LL U w
V O W o (D
LU
2 m M
U00
�— C7N E cc I- �aa)i a�
O Y -0 :8o a a) .� 0 0
L C
CL Of
LLI 0 YO aj Z W Q
00 co t (Q
Z CD c*� 0 W C� 0 + E
�o3: -,0 0
m
C7 H 0
a0 Q 1^
0
O CV
co
+�+ D O C7
cD D C 00
LU CY)
AW Ilk
O LLI_
'11W c
. * \C) -
Lu 06
0 CU ca
c �c
w c� Q Z co M J o w (D . r
`7
U) to o U
Q �C �� 'o —01 0000 Q
❑ w
o LLw
a
.ct s�F L)
h I NLfi,fZ.SO 5 rn
U) I k�'7r�j ,\ lV Z Z
<� \o ��� W
Ej
LU 00
U)
�\912o
.fa•go � ,y �
M ,8B'!Bl til,i�,FZ,SO S
a
J
O
I�
_mr o
O N
N �
CL) 04
C N
�v
CL N
-� ca
W
cz
E
0
s
H
m
N
N
O
N
O
0
v
<D
ro
o U
z
0 3
m
a-
=1
J6
N
N
O
N
co
�I
O
N
CL
x
LU
t
CD
E
c
tl
O_
Q
Ca
C
d C%4
a
.Q
i
N m�
'
7
i
1
coQO
m
N
4
�
43
CD
�
r
1
I
C
m
W 00
,
�
c
N
E
a
O
O
co
L�
0
0
to
ca
E
LU
E
O
m
co
a,
o
S
W
cz
E
0
s
H
m
N
N
O
N
O
0
v
<D
ro
o U
z
0 3
m
a-
=1
J6
N
N
O
N
co
�I
O
N
CL
x
LU
t
CD
E
c
tl
O_
Q
Ca
C
d C%4
i
N m�
'
7
i
1
coQO
Lu
A
Y�
i
43
;
_
H c
1
I
J EE
W 00
,
�e 00
C
6D N
Co N
R
CL N
QrQ
C�7
J
F -
J
/
/
/
/
/
/
Q
rn
J
I I j o w
LM O�Q g���g0�0�M
I
" oQ: D�04 zOm
" Qom: '; 0
CY): Z J: 4�a
Z O
O O0 Y
m O m
E ` r
c o+
a°x p cC; u
I�awEm omm o mo
°off
of c mmZ a
al mm"
't m a U m e
Nl a m v Z c -0 M ¢ 0.2
bV) O NO0+�
Oc 16
"IA c o 0:L OTL
9 G
oi.P,0z�
oFx m
() in OI O) Y Oa s m a N c11 C
m a m 10 C C m 0
a�> am— a m
O
N o
ma x�
III O .00 U5
5m«.mc=L I c
sm� o+ e I m o
v c `
♦A� , o"L U o v
wJ►0.p0 U T CL
L) U W mJC UO%C -0I j p
V) t(n=0mrn30I o0
T 0 0 0> Oro ° � c
XI •U V TU O C— O a I C V
Q �••� o a v a 0 °
V V O O mtO
m NJ OYc o Q.Ot «3
_ m
L o n 0 L o
V) I ° o
a Q �-o E +a�m coL
M
O «^"O-�+v
°Cm2mI �-ay+•+
POD
a+ c
+mOac O
V)tI Eco E a `o
>a)W 0— m m
° m m ` m
Om m o
o L m�uzEE0 o r;
a J L c•3°c nm o ±o
Location Of,Well
~¥'"' '['$u,?ivi~lon ILar I I~lock I.~f~tioh'Noj'ro:wp~hlp
~..,..J.~fo~i~""~4 ~J ~1 ....... 1: Isll .....
Tom M0bley
~oll Log FL. Below
brn e IL~_ L I ,len~e~'fierdpen 0 38
herd pon-boulde~s 0 6[' ~ .......... ~0 69
total after perforated 14 ~Pm ......
~e~f0rated G5'-69' . ...........
Well Depth (f't.) DeLe of' CompleLIon
I ' '~'~1 I.e-?-~ '-'1
[rotary I ~
I';*~;~ I
Dlam_o.t:or. Un.)
IZ:__.' b'lt°
.......... I~e
Finish el' ~ell
Ty~e Diameter
I~pen e~d~:~p~ated
I
Static ~ater Level
Level Crt.) DaLe
De,th (fL,) Weight. (lbs/fL)
..... 122l' 17l
I ' "1
Pumping Level
Below T of C (fL,) After (hr~) i Pump.t~g
OrouUng
Pump
HP C.pnct~y
Setting (fL)
Remarks
14
Th~s well was drilled under my jurisdi~;tion and thts report, is true Lo the best of my knowledge and belief.
Vernon L, Newell
',-.. MUNICIPALITY OF ANCHORAGE '~- ~
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
ENVIRONMENTAL ENGINEERING DIVISION
825 L Street- Anchorage, Alaska 99501 Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
· 2,-31i
HO'RAGE Ho,~4E '~oicDE'P...S 4
MAI LING ADDRESS
LEGAL DESCRIPTION
Lo-f- 13 '~cocl<
LOCATION
Well /
DISTANCE TO: I ¢ O O '~'
Manufacturer
ILiq. capacity in gallons IF HOMEMADE:
DISTANCE TO: I
Manufacturer
DISTANCE
TO:
Length of eac~i~
No. of lines /
Top of tile 'ada
I I Absorption area Dwelling
,~.. I0 ' 15,
I- ~ Material~,y~__j~ L
~'< Width
~ I-- Inside length flA
[] UPGRADE
Dwelling
Material
Tot al I e ~;~$...o~ Ii n es I T,enchd~h
Material beneath tile , /
NO. OFBEDROOMS
PERMIT NO.
flaw b
No. of compartments
PERMIT NO.
Liquid capacity in gallons
PERMIT NO.
Distance between lines,
Total effective absorption area
1~3o ~
PERMIT NO. '
Length
Type of crib
DISTANCE TO:
Width
Depth
Building fern lin~ ~
Class Depth Driller
Building Sewer line
DISTANCE TO:
OTHER
PIPE MATERIALS
INSTALLER
~ EXCA~/A,'TI~G'
PERMIT NO.
Absorption area(s)
REMARKS
APPROVED
DATTR C
_E_
72-073 (Rev. 3/78)
Departmentk ,r Hea£tn anm mnvzronmen~a
825 '"~ Street, Anchorage, AK. ~9501
i 264-4720
~' * * * HANDWRITTEN PERMIT * * *
Permit'~~ ~ ON-SITE SEWER PERMIT /q~_~d~_,
Location: Phone Number:
Legal Description: ~ ~ · /~m2~c~ ~ Lot Size:
Type of Soil Absorption System Is:
Trench: ~'~ Drainfield: Seepage Bed': __ Holding Tank:
Maximum Number of Bedrooms: ~ Soil Rating (sq. ft/br)
The Required Size of the Soil Absorption System Is:'
DEPTH // LENGTH ¢~'~ GRAVEL DEPTH ;f WIDTH
Th~e length dimension is the ngth(in fee~) of the trench or drainfield. The
depth of a trench or pit is the distance between the surface of the ground and
the bottom of the excavation(in feet). There is no set width for trenches.
The gravel depth is the minimum depth of gravel between the outfall pipe and
the bottom of the excavation(in feet).
· * REQUIRED SEPTIC(HOLDING) TANK SIZE = /~ GALLONS * *
Permit applicant has the responsibility to inform this department during the
installation inspections of any wells adjacent to this property and the number
of residences that the well will serve.
· * * TWO(2) INSPECTIONS ARE REQUIRED * * *
Backfillin~ of any system without final inspection and approval by this department
will be subject to prosecution.
Minimum distance between a well and any on-site sewage disposal system is 100 feet
for a private well or 150 to 200 feet from a public well depending upon the type
of public well. Minimum distance from a private well to a private sewer line
is 25 feet and to a community sewer line is 75 feet. Well logs are required
and must be returned to this department within 30 days of the well completion.
Other requirements may apply. Specifications and construction diagrams are
available to insure proper installation.
· * * PERMIT EXPIRES DECEMBER 1 9 8 3 * * *
I certify that:
(1) I am familiar with the requirements for on-site sewers and wells as
set forth by the Municipality of Anchorage.
(2) I will install the system in accordance with codes.
(3) I Understand that the on-site sewer system may require enlargement if
the residence is remodeled to include more that 3 bedr~ooms.
Signed: ~f~ ~~-/ Issued by: ~ ~~
Applicant ~ ~/~
Date:
SWP/024(1/81)
.ERFORMED FOR: ~Jr~
LEGAL DESCRIPTION:
1
2--
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19-
20
MUNICIPALITY '~ ANCHORAGE. "'-~
· . · - . ,:...... -. · ~-ZECTiON -~,' -- PER~OJ-AT~bN' -'.':
825 L. Street, Anchorage, Alaska 99501 2~-4720 -' '"-
....
2.0'-/£,o' 5AtOY 5~.T' w/
SLOPE
SITE PLAN
% J011t~ E, SW^NSON?
183~E,
WAS GROUND WATER SL 2 '
ENCOUNTERED? ~ ~ O
E
IF YES, AT WHAT
DEPTH? ~. ~.~
Gross Net ' Depth to Net
Reading Date Time Time Water Drop
/ _7_/'1¢ /2:~ ._ o __ o"
'Z i2:1"[ 3 ~,'~. . ,25"
~ 't 12:2q to ~,~. ,2.~'"
~ l:oq ~o ..;~. ~/I~" I. S'"': ·
PERCOLATION RATE J~- ~' (minutes/inch)
TEsT RUN BETWEEN b FT AND ~' 5 FT
COMMENTS
DATE:,
CT&E Environmental Services Inc.
Laboratory Division ~rj`~J~`~`~`~`~j`~`~`~`~`~j`~`~`~`~`~`~jjjjjjjjj~jjjjj~~
Laboratory Analysis Report
CT&E Ref.#
Client Name
Project Name/#
Client Sample ID
Matrix
Ordered By
PWSID
965614001
S & S Engineering
L13 B2 Grecian Hills
L13 B2 Grecian Hills
Drinking Water
Sample Remarks:
Collected By: Bob C.
Client PO#
Printed Date/Time 10/21/96 20:29
Collected Date/Time 10/17/96 12:30
Received Date/Time 10/17/96 14:45
Technical Director: Stephen C. Ede
Released By, /~tTf/('! ~'.
Allowable Prep Analysis
Parameter Results PQL Units Method Limits Date Date Init
Nitrate-N 0.256 0.100 mg/L SM18 4500-NO3F 10 max 10/19/96 EMB
Total Coliform 0 0 co[/lOOmL SM18 9222B 10/17/96 TAV
33 OB g/O COLI
200 W. Potter Drive, Anchorage, AK 9951 8-1 605 -- Tel: (907) 562-2343 Fax: (907) 561-5301
3180 Peger Road, Fairbanks, AK 99709-5471 --Tel: (907) 474-8656 Fax: (907) 474-9685
ENVIRONMENTAL FACILITIES IN ALASKA, CALIFORNIA, FLORIDA, ILLINOIS, MARYLAND, MICHIGAN, MISSOURI, NEW JERSEY, OHIO, WEST VIRGINIA
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� by and between
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),
described as BioMicrobics BioBarrier 0.5 MBR
located at (legal description)
Grecian Hills, Block 2, Lot 13
2. Maintenance, Repairs and Alterations.
(Owner is required. -to read, understand and initial each section)
Throughout the term 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
includes an annual maintenance fee (typically $400 to $600).
Owner agrees that only maintenance and repair personnel approved by the Municipal(ty
or the manufacturer's representative will inspect and make any necessary maintenace,
repairs or permitted alterations to the system.
owner acknowledges that regular maintenance of an AWxAITS reduces the potential
failure of the system, which could include sewage backup and costly repairs ejr drainfield
replacement,
(rev, 05/18/2018) Page 1 of 3
FA
Owner acknowledges that the Municipality may requcst 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
'e-assessed in accordance with AMC 14.60.030.
Owner agrees to grant the Municipality reasonable access to test and inspcct the
R AWWTS. The Municipality will give at least 24-hour notice.
I 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 ith4 they AWWTS installation and maintenance requirements as provided
by the A)W-WTSr ive4df installer and approved by the Municipality are the governing
guide ihdefor the constructiort,.maintenance and repair of the Owner's AWWTS.
Ow-nq agrees to.maintaif iiemate monitoring of the AWWTS as required by the
AST 5'approval' r `. 3 } ::
_ .' �•.
3. TeritiO e tefnLo�:thtis gr ement shall begin on the date of approval by the
Municipality pt 0fir ,ie6e 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 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.
& 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. Severahility. ,Any provisions of this Agreement decreed invalid by a court of compeLltent _.
jurisdiction shall not invalidate the remaining, provisions of'the Agreement,
(rev. 05/1 S/2018)
Wage 2 of 3
Q)VINIER: j
I3y: (signature) Date:
(print name)
STATE 4F ALASKA )
)Ss.
THIRD JUDICIAL DISTRICT }
The foregoing instrument was acknowledged before me this 4-1day of
2, by
•o ' i
NOTA PUBLIC FOR ALAS' %
My Co 'ssion expires: ok
cn 0P '11300 Qi,.
MUNICIPALITY• �r����O i l i �;J��*`
� t
By: (signature) Date: 1 5 �"� L
TO ^' S f (print name) Title: C- (f f ^f c�
(rev. 05/18/2018) Page 3 of 3
110
8450 Cole Parkway • Shawnee, KS 66227 • Phone:913.422-0707 • Fax:913-422-0808
E-mail: onsiteabiomicrobics.com • www.biomicrobies.com • 800.753•FAST (3278)
FIELD INSPECTION & SERVICE REPORT
BioBarriei' MBR Systems
INSTALLATION
AUTHOR17ED SERVICE PROVIDER
Installation Address r
Nam ,
e !I La�t���
C,
Owner Name
Street
�( ovt6b���!
arC���
Mail.kddn:ss
Olives
Mail Address
State Zip
Cit State 7i
yyCity
Phone Fax c-mail I
Phone Fax r-mail
INSTALLATION INFORMATION
Model No.
Bower Brand and
Serial No.
Da1c ol" Insla llatton
Date of last Pum Pwut
Svc
tiitv
COMPONENT
FUNCTION
PROCEDURE
RESULT
BLOWER
OPERATION
Open blower housing, check to
confirm that blower is running (be
<�
sure blower is ON and shows ON in
the BB panel.
INTAKE FILTER
Remove wing nut from intake
assembly on blower, remove all
debris from filter element. Put
assembly back together.
CONTROL
AUDIO & VISUAL
Place control panel into
PANEL
FUNCTION
MANUAL MODE then turn
the hlower OFF. Sec "Manual
0.
Mode" directions in sere -ice manual
for proper execution of this task.
REACTION
BEING AERATED
Remove cover from manhole over
CHAMBER
BioBarricr system and check to be
sure vigorous boiling is ocurring
(unless panel indicates the system is
in LTRP mode).
SOLIDS
Check Solids Removal
RLMOVAL
procedure in the Service
Q �,
Manual.
COMPONENT
FUNCTION
PROCEDURE
RESULT
VENTS &
CLEAR VENTS AND
Remove any obstructions
INTAKES
INTAKES ON
from the intake louvres on the
0, S S
BLOWER HOUSING
blower housing and vents
SANITF.E®
CLEAN THE
Clean by using the built in
EFFLUENT
SCREEN
swab feature orother methodG7
SCREEN
WATER
VIEW EFFLUENT
Visually observe final
S
QUALITY
effluent of BioBarticr system
Effluent should be clear.
CHECK ODOR
Smell odorat BioBarriervent
it should he a damp, earthy�S
odor
COLLECT SAMPLE
Refer to the "COLLECTION
OF EFFLUENT SAMPLE"_��
section of the Service Manua
MEMBRANE
CLEAN IN PLACE
Check FILT time on control
FILT Reading:
CARTRIDGE
panel. If it exceeded16:00
REST Reading:
CHEMICAL
OR the vacuum reading on
CLEANING
the filtration pump is -7 psi
14" Hg) or LESS, AND the
system floats are operating
�- 0
correctly, then perform the
CIP procedure according to
the instructions in the Servic
Manual.
INTENSE
Perform this cleaning
OXIDATIVE
procedure after four
Ifl�
CLEANING &
consecutive CIP procedures
CITRIC
have been performed. Sec the
ACID CLEANING
Service Manual for proper
procedure
OTHER SYSTEM
COMPONENTS
�$
VI✓C�
OWNER SIGNATURE
TECHNICIAN SIGNATURE
SERVICE DATE
Please send completed form by mail to the address above, FAX to 913-422-0808,
or e-mail to teoulthard(biomicrobics.com
MUNICIPALITY OF ANCHORAG
Al
Development Services Department Phone: 907-343-7904
On -Site Water & Wastewater Section Fax: 907-343-7997
Certificate of On -Site Systems Approval
Parcel I. D. 017-073-78
Legal description GRECIAN HILLS BLK 2 LT 13
Site address 8011 LAKONIA DR Anchorage AK
Current property owner(s) MOBLEY
Expiration Date: 10/26/2024
X The On -site system(s) is/are approved for 3 bedrooms
Conditional approval for bedrooms, with the following stipulations:
Comments or advisories:
M
Original Certificate Date: 8/15/2024
This Certificate of On -Site Systems Approval (COSA) is intended to demonstrate the subject
system(s) is/are in substantial compliance with municipal code. The Municipality of
Anchorage, Development Services Department (DSD) issues COSAs based upon
representations provided by an independent professional engineer. The Municipality of
Anchorage is not responsible for errors or omissions in the professional engineer's work.
ATTACHMENTS:
COSA Checklist X Well Flow Advisory
Absorption Field Advisory Nitrate Advisory
Tank Age Advisory Arsenic Advisory
Other
COSA ApprovaLJune 2022
MPIN
0 1` L40RAGE
UNICIPALITY OF AIN'I
Development Services Deparl(ment Phone- 907-343-7904
On -Site Water & \/Vastewater Section Fax: 907-343-7997
Certificate of On -Site Systems Approval Application
1. GENERAL INFORMATION
Parcel I.D. 017-073-78
Complete legal description Grecian Hills, Block 2, Lot 13
Location (site address) 8011 Lakonia Dr, Anchorage
Current property owner(s) Thomas Mobley Day phone 907-230-5372
C. ON -SITE SYSTEMS SIZED FOR 3 BEDROOMS
3. TYPE OF WATER SUPPLY: OR Private Well R Private Well serving 2 dwelling units
[_1 Private Well serving 3+ dwelling units F1 Community Well or Public
❑ Water Storage
4. TYPE OF WASTEWATER DISPOSAL: 0 Private Septic F Private Septic serving 2 dwelling units
El Holding Tank ❑ Community Septic or Public Sewer
5. SEPTIC TANK: Fj Steel FN Plastic F Concrete F Fiberglass
Age <2 year _ See advisory if steel older than 20 years
6. ABSORPTION FIELD: RE AWWTS R Bed RN Deep Trench E] Wide Trench 0 Seepage Pit
Waiver request for:
Expedited review requested: F-1
Distance:
By applying for this entitlement, this property is subject to inspection by municipal On -site staff
to verify the accuracy of the information provided.
COSA Fee $ S C) Waiver Fee $
Date of Payment 6// Date of Payment
COSA # U Waiver #
COSA AnolicaUon-June 2012
COSA Checklist_June 2022
COSA Checklist
Legal Description: Parcel ID:
If more than 1 well and/or septic system on lot, provide separate checklist. Structure served by this system ____
A. WELL DATA
Well log is filed with Onsite (or attached)
Date drilled Total depth ft
Cased to ft
Sanitary seal is functioning correctly
Wires are properly protected
Casing height (above ground) in.
Date of flow test for COSA
Static water level at beginning of test ft.
Well production at time of test gpm
Water storage tank volume gallons
Well disinfected for coliform test? Yes No
Coliform bacteria is Negative
Nitrate mg/L Nitrate less than MRL (ND)
Arsenic ug/L Arsenic less than MRL (ND)
Collected by
Date
Comments __________________________________________________________________________________
B. TANK DATA
Measured operating fluid level in septic tank
Date of pumping
Required maintenance completed, if AWWTS
Comments:
C. LIFT STATION
Required maintenance completed
Age of lift station years
Lift station material
Comments:
D. ABSORPTION FIELD DATA
Which system tested (date installed)
ALL standpipes present per record drawing
Total measured depth from grade ft (max)
Measured depth to pipe invert from grade ft (min)
N/A – pressurized field.
Per record drawings, field is insulated.
Monitor tubes go to bottom of effective.
If not, state depth into effective
Presoaked required if
(Required if house vacant or field not used for more
than 30 days prior to date of test)
Gallons introduced gallons date
Any rejuvenation treatment (past 12 months)
If yes, enter date
Adequacy test date
Results Pass
Fluid depth prior to test in
Water added gal
New fluid depth in
Elapsed time min
Final fluid depth in
Absorption rate gpd
FIELD STATUS – POST RECOVERY
Effective depth (per record drawings) in
Effective depth used in
Effective depth remaining in
Comments/Deficiencies:
Grecian Hills, Block 2, Lot 13 017-073-78
3+
1983 122 0
122 ■
0.331
24+
5/30/2024 Crewdson Engineering
56 5/30/2024
*45"/34"
*not required
*<2 year old AWWTS, operating and sludge levels are satisfactory
1983
*16.1
*9.1
no
10/26/2022
*0
450+
0
300
0
450+
84
*0
84
*northeast end of drainfield
Drainfield is sized for conventional treatment, which is much larger than required for the installed AWWTS.
■
COSA Checklist_June 2022
E. SEPARATION DISTANCES
From Private Well on Lot to: (Please enter distances if less than required or if community well on lot)
Septic Tank/Lift Station on Lot > 100’
Yes if No ft
Neighboring Tank > 100’ Yes if No ft
Absorption Field on Lot > 100’ Yes if No ft
Neighboring Absorption Fields > 100’
Yes if No ft
Community Sewer Main > 75’ Yes if No ft
Community Sewer Manhole/Cleanout > 100’
Yes if No ft
Private Sewer/Septic Line > 25’ Yes if No ft
Holding Tank > 100’ Yes if No ft
Animal Containment > 50’ Yes if No ft
Manure/Animal Excreta Storage > 100’
Yes if No ft
N/A – Served by Community Well (not on lot) or Public Water
From Septic/Holding Tank and Absorption Field(s) on Lot to: (Please enter distances if less than required)
Building Foundations > 10’ Yes if No ft
Tank to Property Line > 5’ Yes if No ft
Field to Property Line > 10’ Yes if No ft
Water Main > 10’ Yes if No ft
Water Service Line > 10’ Yes if No ft
Surface Water > 100’ Yes if No ft
Wells on Adjacent Lots:
Private Wells > 100’ Yes if No ft
Community Wells > 200’ Yes if No ft
If tank or field is under driveway comment below
F. ENGINEER’S COMMENTS
G. CERTIFICATION & 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, indicates that the on-site water
supply and/or wastewater disposal system appears to comply with applicable Municipal and State codes,
ordinances, and regulations in effect at the time of installation, unless noted otherwise.
Name of Firm Phone
Engineer’s Printed Name Date
8.6*
*Tank is not in the house foundation soil bearing prism (see record drawing).
907-280-9493
■
■
■
■
■
■
■
■
■
■
■
■
■
■
■
■
■
