HomeMy WebLinkAboutBAINBRIDGE LT 2Bainbridge
Lot 2
#020-044-02
On -Site Wastewater Disposal System Permit
MUNICIPALITY OF ANCHORAGE
Development Services Department
On -Site Water & Wastewater Program
4700 Elmore Road, PO Box 196650
Anchorage, AK 99519-6650
Telephone: (907) 343-7904
Permit Number: OSP151332
Tax Code Number: 02004402000
Work Type: Septic Renewal
Permit Effective Dates: October 02, 2015 to October 01, 2016
Design Engineer: PANNONE ENGINEERING SERVICE
Subdivision: BAINBRIDGE
Site Legal Address: BAINBRIDGE LT 2 G:3238
Owner/Address: BEEK DANIEL B & STACEY A
PO BOX 111714 ANCHORAGE AK 995111714
Site Mailing Address: 15883 ELIZABETH ST, Anchorage Lot Size in Sq Ft: 98247
Total Bedrooms: 4
This permit is for the construction of:
Y Disposal Field .Y Septic Tank N Holding Tank N Privy N Private Well N Water Storage
All construction must be in accordance with:
1. The attached approved design.
2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater
Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80).
3. The wastewater code requires inspections during the installation. The engineer must notify the Development Services
Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either:
A. Open and Close on the same day.
B. Covered, sealed, and heated to prevent freezing.
Received By:
Issued By:
Date: lb 2'1,6--
'I
Date:
MUNICIPALITY OF
Community Development Department
Development Services Division
On -Site Water & Wastewater Program
ANCHORAGE
Phone: 907-343-7904
Fax: 907-343-7997
ON-SITE SEWER/WELL PERMIT APPLICATION
Parcel I.D. 020-044-02
Property owner(s) Daniel & Stacey Beek Day phone
Mailing address POI Box 111714 Anchorage, AK 99511-1714
Site address
Legal description (Sub'd., Block & Lot) Bainbridge, Lot 2
Legal description (Township, Range & Section)
Lot Size 98,247 Sq. Ft. Number of Bedrooms 4
APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING:
(® all that apply)
Absorption Field
x❑
Initial ❑ Single Family (SF) X❑
(w/wo ADU)
Septic TankX❑
Upgrade ❑
Duplex (D) F-1Holding
Tank
❑
Renewal ElMultiple Dwellings ❑
Privy
❑
(SF and/or D)
Private Well
❑
Water Storage
❑
THIS APPLICATION
INCLUDES
A VARIANCE / WAIVER REQUEST FOR:
Distance:
certify that the above information is correct. I further certify that this is in accordance with
Permit/Rush Fees: v Waiver Fees:
Date of Payment: q 1),511-5- Date of Payment:
Receipt Number: C)5 -5-)6G Receipt Number:
Permit No. os P16 1332 Waiver No.
Permit App_- :-:L..:c,
On -Site Wastewater Disposal System Permit
MUNICIPALITY OF ANCHORAGE
Development Services Department
On -Site Water & Wastewater Program
4700 Elmore Road, PO Box 196650
Anchorage, AK 99519-6650
Telephone: (907) 343-7904
Permit Number: OSP141006
Tax Code Number: 02004402000
Work Type: Septic Renewal
Permit Effective Dates: January 09, 2014 to January 09, 2015
Design Engineer: PANNONE ENGINEERING SERVICE
Subdivision: BAINBRIDGE
Site Legal Address: BAINBRIDGE LT 2 G:3238
Owner/Address: BEEK DANIEL B & STACEY A
PO BOX 111714 ANCHORAGE AK 995111714
Site Mailing Address: Lot Size in Sq Ft: 98247
Total Bedrooms: 4
This permit is for the construction of:
N Disposal Field Y Septic Tank N Holding Tank N Privy N Private Well N Water Storage
All construction must be in accordance with:
1. The attached approved design.
2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater
Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80).
3. The wastewater code requires inspections during the installation. The engineer must notify the Development Services
Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either:
A. Open and Close on the same day.
B. Covered, sealed, and heated to prevent freezing.
Received By;
Issued By:
Date:
MUNICIPALITY OF
Community Development Department
Development Services Division
On -Site Water & Wastewater Program
ANCHORAGE
Phone: 907-343-7904
Fax: 907-343-7997
ON-SITE SEWER/WELL PERMIT APPLICATION
Parcel I. D. Oa vO44-O a
Property owner(s)
Mailing address I
Site address
Day phone Q4a- 9656
Legal description (Sub'd., Block & Lot) ,.{ Q (1 �_T
Legal description (Township, Range & Section)
Lot Size Qa 2 Sq. Ft. Number of Bedrooms
APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING:
IS all that apply)
Absorption Field Initial ❑ Single Family (SF) ❑
Septic Tank A Upgrade ❑
(w/wo ADU)
Holding Tank El Renewal Duplex (D) El
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
applicabje-Municipal Codes.
property owner or authorized agent)
Permit/Rush Fees: I Y0
Date of Payment: I �11q cha
—T
Receipt Number: D 7 1? 70 G
Permit No. 05P 111006
Permit App_'_'. : - ::..mac;
Waiver Fees:
Date of Payment:
Receipt Number:
Waiver No.
On -Site Wastewater Disposal System Permit
MUNICIPALITY OF ANCHORAGE
Development Services Department
On -Site Water & Wastewater Program
4700 Elmore Road, PO Box 196650
Anchorage, AK 99519-6650
Telephone: (907) 343-7904
Permit Number: OSP121415
Tax Code Number: 02004402000
Work Type: Septic Renewal
Permit Effective Dates: January 11, 2013 to January 11, 2014
Design Engineer: PANNONE ENGINEERING SERVICE
Subdivision: BAINBRIDGE
Site Legal Address: BAINBRIDGE LT 2 G:3238
Owner/Address: BEEK DANIEL B & STACEY A
PO BOX 111714 ANCHORAGE AK 995111714
Site Mailing Address: Lot Size in Sq Ft: 98247
Total Bedrooms: 4
This permit is for the construction of:
Y Disposal Field Y Septic Tank N Holding Tank N Privy N Private Well N Water Storage
All construction must be in accordance with:
1. The attached approved design.
2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater
Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80).
3. The wastewater code requires inspections during the installation. The engineer must notify the Development Services
Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either:
A. Open and Close on the same day.
B. Covered, sealed, and heated to prevent freezing.
C 0'61'Oc_ rde. replaceA cor�ia1 Ava,74ex 9favi-1-/
�e d 5Yy1'c/m_
MUNICIPALITY OF ANCHORAGE
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. 020-044-02
Property owners) Daniel & Stacey Beek
Mailing address P.O. Box 111714, Anchorage, AK 99511
Day phone
Site address Elizbeth Street
Legal description (Sub'd., Block & Lot) Bainbridge, Lot 2
Legal description (Township, Range & Section)
Lot Size 98247 Sq. Ft. Number of Bedrooms 4
APPLICATION IS FOR: APPLICATION IS AN:
TYPE OF DWELLING:
(ID all that apply)
Absorption Field ❑X Initial ❑
Single Family (SF)
❑X
(w/wo ADU)
Septic Tank ❑X Upgrade ❑
Duplex
❑
(D)
Holding Tank El 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.
property owner or authorized agent)
Permit/Rush Fees: 131
Date of Payment:hZQ //"-
Receipt Number: 01'6 89 G
Permit No. O fP /2 (Y ! S
Permit App__ ::'_. c:
Waiver Fees:
Date of Payment:
Receipt Number:
Waiver No.
Pannone Engineering Services uc
Steven R. Pannone, Principal
Registered Professional Engineer
E-mail: steve(@panengak.com
December 19, 2012
Municipality of Anchorage
Development Services Department
On -Site Water & Wastewater Program
4700 S. Bragaw Street
P. O. Box 196650
Anchorage, Alaska 99519
Subject: Bainbridge, Lot 2
Septic System Permit Renewal Request
Ladies and Gentlemen:
ta1a(4IIa
o► I4 -RG
k3o - Pim;+
05p 171415
I am writing to request that the permit (Permit SW100025) to install the previously designed system be
reissued for this lot. I have also attached a change order for this permit, modifying the design to utilize an
Anvantex system in place of the Biocycle from the original permit. A site visit has been performed and it
has been verified that the site conditions at the present time have stayed the same as when the permit
was issued in 2010. The required separation distances can and will be met for all systems.
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 272-8218.
Sincerely,
Steven R. Pannone, P.E.
Owner/Civil Engineer
Attachments
-Change Order Form
-Septic System Design
Mailing: P,O. Box 100217, Anchorage, AK 99510-0217
Physical: 332 East Manor, Anchorage, AK 99501
Telephone: (907) 272-8218 FAX: (907) 272-8211
Pannone Engineering Services LLC
Steven R. Pannone, P.E., Principal
Licensed & Registered in Alaska and Florida
E-mail: steverrpoanengak.com
March 23, 2009
Municipality of Anchorage
Development Services Department
On -Site Water & Wastewater Program
4700 Elmore Road
P. O. Box 196650
Anchorage, Alaska 99519
Re: Bainbridge S/D, Lot 2
Well and Septic System Permit Request -Revised
Ladies and Gentlemen:
('4 L
I am writing to request a well and septic permit be issued for the above referenced lot. The
proposed system will serve a proposed four-bedroom house; the lot is currently undeveloped.
The lot will be served by a private water supply system. The surrounding developed lots are
served by private water systems; the private wells are located over 100 feet from the proposed
soil absorption system.
1. Soils. Two test holes were excavated in February of 2009. Ground water was
encountered at a depth of 17 feet and stabilized at a depth of 15.8 feet below ground level
after the monitoring period. Bedrock was not encountered in the test holes. Based on the
percolation test results and the overall soils appearance, the soils are excellent for the use of a
Category II advanced wastewater septic system with an application rate of 4.0 gpdpsf.
2. Proposed System
a.
Percolation Rate:
b.
Application Rate:
c.
Design Flow:
d.
Min. Absorption Area:
e.
Total Depth:
f.
Effective Depth:
g.
Reduction Factor
h.
Width:
I.
Minimum Length:
j.
Design Length:
<1 Min Per Inch
4 gpd/sf
600 gallons per day
150 sf
4 feet
0.5 feet
0.0
5 feet
30 feet
30 feet
Mailing: P.O. Box 7.02954, Anchorage, AK 99510-2954
Physical: 11301 Olive Lane, Anchorage, AK 99515
Telephone: (907) 272-8218 FAX: (907) 272-8211
Page 2 of 2
k. Effective Absorption Area: 150 sf
I. STEP Tank Size: 1500 gallon BioCycle treatment tank
3. Surface Water: There is no surface water within 100 feet of the proposed tank or the
drain field. The proposed drain field upgrade will maintain at least 100 feet from all surface
water and drainage courses.
4. Topography: The average topography in the area of the proposed septic system is
approximately four percent based on contour information.
S. Drawing Markings: The Drawings are marked "For MoA Review Only". When written
notification that the review is complete, and that there are no further comments, is received
from MoA On -Site Department, the note will be removed and "Issued for Construction"
drawings will be issued.
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 272-8218.
Attachments:
Sincerely,
3/23/09
Steven R. Pannone, P. E.
Principal
Mailing: P.O. Box 1.02954, Anchorage, AK 99510-2954
Physical: 11301 Olive Lane, Anchorage, AK 99515
Telephone: (907)272-5218 FAX: (907)272-8211
LOT 6
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T11N R3W SE — — — — — — —
SE41NW4NW4NW�4 2 8c
1500g S. T. E. P. TANK (P)
NE4SW4NW4NW4 t-4, EXISTING SEPTIC AREA,
-W1 AX20 POD
RESERVE FIELD (P) LOT 11 INSTALL DCO
4
30.OLFX5'WXO.5ED,4'TD
WELL 3
DRAFIELD (E X'STIN GI
.OIN PROPOSED
46.0' 30LFX5'WXO.5ED,4'TD FOUNDATION:
REMOVE 1 1/4" PIPE AND '
CLEAN-OUT
INSTALL 4" PERF PIPE (P)
IIIi DCO bco
2
10..
�4BR HOUSE
UNDEVELOPED
LOT 2
AREA (P)
15;
V
NO WELL 10.1, T.
OR SEPTIC 21.81
WIN 100,
WELL (E�
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T11N R3W SEC IIIT114 R3W SEC 2-SW4SW4N 4 N W4,-"& /S E41E4 N W4 Nffl4
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OR SEPTIC" UNDEVE OPED AREA/
W/IN. 100'
NO WE L OR SEPJIC
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NOTES:PAMONE ENG SVCLLC —:OnF "l Date
ISSUED FOR CONSTRUCTION
, - A 1
P.O. BOX 102954 ANCHORAGE, AK 99510 'ap
12/19/12
PHONE (907) 272-8218 FAX (907) 272-8211Scale
-.-V A
1'=100'
BAINBRIDGE SUB LOT 2
;,w 7 - ' y P.I.D. NO
DAN BEEKP51117� 020-044-02
?, -E�teiVMY: annome l�
242-9650 CE 8149 PERMIT NO.
SW100025
PL ANCHORAGE, ALASKA 99511 Sheet
AN P.O. BOX 111 . 373 1373 1 OF 5
SPECIAL PROVISIONS TO SPECIFICATIONSC0-1
1. ALL CONSTRUCTION SHALL BE INSTALLED AS SPECIFIED IN THE MOST CURRENT EDITION OF THE MUNICIPALITY
OF ANCHORAGE STANDARD SPECIFICATIONS (MASS) FOR COMPONENT PARTS AND MATERIALS USED IN
CONSTRUCTION OF ON-SITE WASTEWATER DISPOSAL SYSTEMS.
2. ALL WORK SHALL BE IN ACCORDANCE WITH THE MANUFACTURERS SPECIFICATIONS.
3. SCOPE OF WORK: INSTALL 1500g SEPTIC TANK W/ AX20 POD. REMOVE EXISTING 1 1/4" PERF PIPE IN DRAIN
FIELD, AND INSTALL 4" PERF PIPE.
4. GROUNDWATER IS NOT EXPECTED TO BE ENCOUNTERED DURING EXCAVATION, AS EVIDENCED BY THE SOIL TEST
HOLE INFORMATION ABOVE 15 FT. IF AN APPARENT WATER TABLE IS OBSERVED IN ANY OF THE EXCAVATIONS
LESS THAN 8.5 FEET BELOW EXISTING GRADE, NOTIFY THE ENGINEER IMMEDIATELY.
SECTION
(RESERVE FIELD IDENTICAL)
TEST HOLE 1 TOPSOIL AND SEED
,� FILTER FABRIC ABOVE DRAIN ROCK
-1.0 3
0.4'
15.75'
DESIGN PARAMETERS
SEPTIC SYSTEM
NO. BEDROOM: 4 (600 gpd)
TANK SIZE: 1500 gallon
PERC. RATE: <1 MPI
SOIL RATING: 6 gpd/SF
AREA RQD: 100 SF
SYS. TYPE: 5 -WIDE TRENCH
MIN LENGTH: 20 LF
USE:
3OLFx 5' WIDE, 0.5'ED, 4' TO
TOTAL AREA: 150 SF
DRAIN FIELD ALREADY INSTALLED
REMOVE EXISTING 1 1/4" PERF PIPE
AND INSTALL 4"0 PERFORATED PIPE
PROFILE
wo
M
O
__W
K =
0 o
�Q
4" PERF PIPE
30.0LFX5'WXO.5'EDX4'TD
TRENCH
ABBREVIATIONS
CU
COPPER
DIP
DUCTILE IRON PIPE
wo
M O
TEST HOLE
FC
FOUNDATION CLEAN OUT
T#
TANK CLEAN OUT NO.
C#
CLEAN OUT NO.
O
F S
R. 1.
RIGID INSULATION
W
FO
m
o
,{�
ri
wo
k
OUHQ
V
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jz
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S Z L4J1
V�
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4.0
" p
—11 .STEL
IIII
IIII
�� II
DESIGN PARAMETERS
SEPTIC SYSTEM
NO. BEDROOM: 4 (600 gpd)
TANK SIZE: 1500 gallon
PERC. RATE: <1 MPI
SOIL RATING: 6 gpd/SF
AREA RQD: 100 SF
SYS. TYPE: 5 -WIDE TRENCH
MIN LENGTH: 20 LF
USE:
3OLFx 5' WIDE, 0.5'ED, 4' TO
TOTAL AREA: 150 SF
DRAIN FIELD ALREADY INSTALLED
REMOVE EXISTING 1 1/4" PERF PIPE
AND INSTALL 4"0 PERFORATED PIPE
PROFILE
wo
M
O
__W
K =
0 o
�Q
4" PERF PIPE
30.0LFX5'WXO.5'EDX4'TD
TRENCH
ABBREVIATIONS
CU
COPPER
DIP
DUCTILE IRON PIPE
TH
TEST HOLE
FC
FOUNDATION CLEAN OUT
T#
TANK CLEAN OUT NO.
C#
CLEAN OUT NO.
M#
MONITOR TUBE NO.
R. 1.
RIGID INSULATION
DCO DOUBLE CLEAN OUT
DV DIVERTER VALVE
FS FLOW SPLITTER
LEGEND
WATER LINE/
WELL RADIUS
EXIST'G SEPTIC
NEW SEPTIC
(FORCE MAIN)
CHAINLINK FENCE
NOTES:
PAMOM
4 GRA CK 99510LC
PHONE (907) 272-8218 FAX (907) 272-8211tScale
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r—'OF A/-gkkk
TH. *�/NTS
../
Steven f2, Panno.e 0'
(l Tn•. CE 81 9 .,� �
�� �s jl/t .•' �i
+�DPROFESSUO,
Date
12/19/12
ISSUED FOR CONSTRUCTION
BAINBRIDGE SUB LOT 2
DAN BEEK
242-9650
P.O. BOX 111373
ANCHORAGE, ALASKA 99511-1373
P.LD. NO
020-044-02
PERMIT NO.
SW100025
DESIGN NOTES
sheet
CSI
ADVANTEX 24" PASSIVE
AX24" JIM CAP 0 POD\ INSULATED AUXILIARY
\\\ AIR
` RISER PUMP VENT.
■ BASIN
4" PUMP—OUT
SLIDE SECTION
OF 6" PIPE
OVER THIS CONNECTION
TO PROVIDE
SHEER PROTECTION—
EXTEND TO
BRIDGE EXCAVATION
NOTES:
ISSUED FOR CONSTRUCTION
ADVANTEX DETAIL
al&
ANC ANRKAGE
PANNONE ENG SVC, LLC
P.O. BOX 102954 ANCHORAGE, AK 99510
PHONE (907) 272-8218 FAX (907) 272-8211
BAINBRIDGE SUB LOT 2
DAN BEEK
242-9650
P.O. BOX 111373
ANCHORAGE, ALASKA 99511-1373
12/19/12
Scale
*; �TH '.*�' NTS
S
/ PERMIT NO.
CE 8149 � SW100025
�'•..... •.C. FS`-� Sheet
5 OF
TEST HOLE 1 SOILS LOG PERCOLATION TEST
OR ORGANICS
I
2 SLOPE
TIE PLAN
3
4
5
II6
7 TH2
WELL GRADED TIE bPLAN
GW GRAVEL AND
SAND MIXTURE
9
/TH i
10 TEST
HOLE
12
13
14 -
15 —
WAS GROUND WATER
16 — ENCOUNTERED? y SLOPE
17 — IF YES, AT WHAT TH 1
18 BCH DEPTH?
19 — DEPTH TO WATER AFTER
MONITORING? -15.75'-
20 - DATE: 2-23-2009 READING DATE CLOCK WATER
TIME NET TIME LEVEL NET DROP
READING
1 2-16-09 1:52
2
4 T COMMEN BELOW
5
6
PEROLATION RATE 61 (min/inch) PERC HOLE DIAMETER G inches
TEST RUN BETWEEN 3,5 FT AND 4,5 FT
COMMENTS: Test hole excavated by Beek's Contracting. Test Hole was presoaked before perc test. Five gallons
of water was added to the test hole, but it seeped away faster than it could be measured.
PERFORMED BY: I, STEVEN R. PANNONE CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE
WITH ALL STATE AND MUNICIPAL GUIDLINES IN EFFECT ON THE DATE OF THIS TEST.
NOTES: 'nl�klk Date
PANNONE ENG SVC, U.0 �Ik!ko
P.O. BOX 102954 ANCHORAGE, AK 99510 • OF. A�,qk 03/23/09
ISSUED FOR CONSTRUCTION PHONE (907) 272-8218 FAX (907) 272-8211 Aw. Scale
TH INTS
BAINBRIDGE SUB LOT 2 ... . .. .... P.I.D. NO
DAN BEEK ... .. ... ....... .
Steven nnone
242-9650 PERMIT NO.
•CE 8149
P.O. BOX 111373 SwXXXXXX
SOILS 1 ANCHORAGE, ALASKA 99 51 1-1 373 �Nzlb*- ..... . Sheet
I k��g ss"00- 2 OF 5
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
TEST HOLE 2 SOILS LOG — PERCOLATION TEST
OR ORGANICS
SLOPE
WELL GRADED
GW GRAVEL AND
SAND MIXTURE
TEST
HOLE
BOH
WAS GROUND WATER
ENCOUNTERED? Y SLOPE
IF YES, AT WHAT TH i
DEPTH? —13.0'— X
DEPTH TO WATER AFTER
MONITORING? —10.91— WATER
DATE 2-23-09 READING DATE CLOCK NET TIME LEVEL NET DROP
TIME READING
1 2-16-09 2:13
2
3
4 S E COMMEN S BELOW
5
6
PEROLATION RATE 41 (Hn/inch) PERC HOLE DIAMETER 6 inches
TEST RUN BETWEEN 3 FT AND 4 FT
COMMENTS: Test hole excavated by Beek's
of water was added to the test hole, but it s,
PERFORMED BY: I, STEVEN R. PANNONE CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE
WITH ALL STATE AND MUNICIPAL GUIDLINES IN EFFECT ON THE DATE OF THIS TEST.
NOTES:Date
PANNONE ENG SVC, LLC —� OF qc�'kkilo,03/23/09
P.O. BOX 102954 ANCHORAGE, AK 99510 r�P..' "gs,FScale
ISSUED FOR CONSTRUCTION PHONE (907) 272-8218 FAX (907) 272-8211 * , ' NTS
BAINBRIDGE SUB LOT 2 ' P.I.D. NO
DAN BEEK"Steven • .'Pannone' PERMIT NO
242-9650 ��+-F•. CE 8149 ,/ SWXXXXXX
P.O. BOX 111373 ,iil �� Oil`... Sheet
OF 5
SOILS 2 ANCHORAGE, ALASKA 99511-1373
ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND
REPAIR AGREEMENT
MEMORANDUM OF UNDERSTANDING
BETWEEN MUNICIPALITY OF ANCHORAGE
AND _j A r.1 c_i -'4,- &;p -v
THIS MEMORANDUM OF UNDERSTANDING made and entered into as of this
1 Day of W A+^c- OR of 200?., by and between 'VZA v5 s Ac+ V ezai4
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
AdVant�x
Treatment System (AWWTS), described astern C �e° located
at-_ A fiF[F� i2i1r__-uc, a Sly Lo i Z Anchorage, Alaska.
2. Definitions.
A. Alteration. Any change to the design or function of an AW WTS 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 AW WTS 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 AWWTS 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 -Site Wastewater System Construction Permit and
all relevant provisions of AMC 15.65
3. Fee. Owner shall pay to Municipality an annual fee of ` O
($&?� 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. The 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 Eauinment. Owner agrees
not to make any alterations, removal of parts or additions to the AWWTS without a
Construction Permit from the Municipality.
6. Maintenance and Repairs.
A. Throughout 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 been performed 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 AWWTS
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 AW WTS is the governing professional guidelines for the construction,
maintenance and repair of the Owner's AW WTS.
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: -T) P N * <5 i A c(
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. The 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:
STATE OF ALASKA
THIRD JUDICIAL DISTRICT
The foregoing instrunic
20J, by `
MUNICIPALITY:
By:
Title:
Date:
) ss.
)
NOTARY PUBLIC FOR AL
My Commission expires;11'a"019
me this day of
PUBLIC
MUNICIPALITY OF ANCHOR4GE
Development Services Department
On -Site Water & Wastewater Program
4700 South Bragaw Street
P.O. Box 196650, Anchorage, AK 99519-6650
(907) 343-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT
Renewal
Permit Number: SWI00025
Legal Description: BAINBRIDGE L2
Design Engineer: 0062 PANNONE ENGINEERING SERVI(
Owner Name: DANIEL AND STACEY BEEK
Owner Address: PO BOX 111714
ANCHORAGE, AK 99511-
Date Issued: Mar 26, 2010
Expiration Date: Mar 26, 2011
ParcelID: 020-044-02
Site Address: NIA
Lot Size: 98247 SQ. FT.
Total Bedrooms: 4 Permit Bedrooms: 4
This permit is for the construction of:
❑✓ Disposal Field ❑✓ Septic Tank ❑ Holding Tank ❑ Privy
All construction must be in accordance with:
1. The attached approved design.
❑ Private Well ❑ Water Storage
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 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.
Received By:
Issued By:
Date: 2-vlb
Date:z'/Z""-ZZ
Municipality € f Ancharage
Deve-fopmettt SelrvIces Department
Building Safety Division
On -Site Water and Wastewater Program
4700 Elmore Road
P.O. Box 196650
Anchorage, Alaska 99507
www.muni.org/onsite
(907)343-7904
ON-SITE SEWER/WELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLING
Parcel I.D. () :.ZO - Off(-- 02
Property owner(s)
Daniel 4- 5facevyGcck,
Septic Tank
Day phone
2N2 - g650
Mailing address
��
�\ �%
Zip Code
4851
Water Storage
❑
Site address
Legal description (Sub'd., Block & Lot)
Legal description (Township, Range & Section)
Lot Size Sq. Ft.
THIS APPLICATION IS FOR (® all that apply):
Absorption Field
Septic Tank
Q
Holding Tank
❑
Privy
❑
Private Well
❑
Water Storage
❑
Code
-2—
Number
2
Number of Bedrooms
THIS APPLICATION IS AN:
Initial
❑
Upgrade
❑
Renewal
❑
Ul4 F=er Oavner /t� �U
I certify that the above information is correct. I further certify that this application is being made for a
Single Family Dwelling andis in accordance with applicable Municipal Codes.
(Signature of property owner or authorized agent)
Permit/Rush Fees: J'3 0 fie igwWaiver Fees:
Date of Payment: Z - -2- D_ — / O Date of Payment:
Receipt Number: nQ 726Receipt Number:
(Rev. 11/05)
MUNICIPALITY OFANCHORAGE
Development Services Department
On -Site Water & Wastewater Program
4700 South Bragaw Street
P.O. Box 196650, Anchorage, AK 99519-6650
(907) 343-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM / WATER SUPPLY PERMIT
Initial
Permit Number: SWO90023
Legal Description: BAINBRIDGE L2
Design Engineer: 0062 PANNONE ENGINEERING SERVI(
Owner Name: DANIEL AND STACEY BEEK
Owner Address: PO BOX 111714
ANCHORAGE, A 99511 -
Date Issued: Mar 25, 2009
Expiration Date: Mar 25, 2010
Parcel ID: 020-044-02
Site Address: N/A
Lot Size: 98247 SQ. FT.
Total Bedrooms: 4 Permit Bedrooms: 4
This permit is for the construction of:
❑✓ Disposal Field 0 Septic Tank ❑ Holding Tank ❑ Privy
All construction must be in accordance with:
1. The attached approved design.
❑✓ Private Well ❑ Water Storage
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 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.
Received By:
Issued By:
Dater del
Date: 3 a
Municipality of Anchorage
n°os
• Development Services Department s QO.
Building Safety Division �: • c
On -Site Water and Wastewater Program
4700 Bragaw Street
P.O. Box 196650
Anchorage, Alaska 99519-6650
www.muni.org/onsite
(907) 343-7904
ON-SITE SEWER/WELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLING
Parcell.D. 020.044.02-000
Property owner(s) Daniel and Stacey Beek Day phone 242.9650
Mailing addressPO Box 111714 Zip Code 99511
Site address NIA Zip Code NIA
Legal description (Sub'd., Block & Lot) Bainbridge Subdivision Lot 2
i
Legal description (Township, Range & Section)
Lot Size 98,247 Sq. Ft.
THIS APPLICATION IS FOR (® all that apply)
Absorption Field
Number of Bedrooms
THIS APPLICATION IS AN:
Initial
Septic Tank
® Upgrade
Holding Tank
❑ Renewal
Privy
❑
Private Well
Water Storage
❑
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.
Pannone Engineering Services, LLC
(Signature of property owner or authorized agent)
Permit/Rush Fees: :73 Q Waiver Fees:
Date of Payment: 3- '7—/ �i Date of Payment:
Receipt Number: 0 ! 3 7 Cn Receipt Number:
(Rev. 11/05)
CONSTRUCTION
TEST LAB
1800 W. 48TH AVE. STE. 'C'
.ANCHORAGE, ALASKA 99503
248-1353
~ERFORMED FOR: Steve Bainbridge
' A
_EG L DESCRIPTION: Lol Southern LotBlock
,THIS FORM REPORTS: D Visual Sails Examination
DATE PERFORMED: 5/21/81
Subdivisi~ Sectinn ? ~
Percolot~
)EPTH SOIL
:EET DESCRIPTION NOTES
Brown Silt
2'
Silty Gravel
5'
Gravelly Sand
10'
_~ Sll y Sandy Gravel
-,~__~ BOTTOM O~-HOL~~ ~,
,AS GROUND WATER ENCOUNTERFu No
-- YES, WHAT DEPTH l,
EGEND
· Perc zone
~S--- Sample token
! -- Frozen zone
Water table
Kinne)
3656. E '
GENERAL SITE SLOPE
EADING
DAI E
GROSS 'TIME
~ET TIME
DEPTH TO H20
NE~ DRAINAGE
ERCOLATION RATE: DRAINAGE REQUIREMENTS~_ 100
R~OPOSED I.J.~: t~¢~,,~ DRAIN FIELD O OT.HER
~M MEN~~~~Ldue_~th~m~e~~~-an~-.~~
~ a ~~r%p~d bemuse o~ha fBst percCa%Lo_O ra~ exce~~-~
~ ~r ~.u~-~-~2_'-f.l'---- __.-- _____
•
• e�
•t Municipality of Anchorage 5 ba--8 ' 70
On-Site Water and Wastewater Program � *�'
ti y;� .:
(907) 343-7904 •�1
MAR o�5As
Certificate of On-Site Systems Approval -&
z ti
Parcel I.D. 020-044-02 Expiration Date: 11.6 :110' S
1. GENERAL INFORMATION
Complete legal description Bainbridge, Lot 2
Location (site address) 15883 Elizabeth Street
Current Property owner(s) Dan Beek _ Day phone
Mailing address P.O. Box 111714, Anchorage, AK 99511
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: 4
4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL:
Individual Well 0 Individual 0
Individual Water Storage Cl Holding Tank ❑
Community Class Well ❑ Community ❑
Public Water System ❑ Public Sewer ❑
WaiverNariance request for: Distance:
1�
Received b . tik%\ii7b � � • w,. Date: 31194.1
COSA to be released to the engineer,unless otherwise requeste• -y the engineer.
COSA Fee $ (Q Waiver Fee $
Date of Payment I I t r Date of Payment
Receipt Number O<<1- 1, Receipt Number
COSA# oSC 0 t CIL( 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.
In conducting an adequacy test,I attempt to provide a thorough,conscientious engineering analysis of the system in accordance with MoA COSA
guidelines and 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 identifiable features. The operational life of all wells and septic systems depend on the local soil
condition,ground water levels that may fluctuate during the year,and the water usage of the family being served by the system.These 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 are no hidden defects or encroachments.Therefore we cannot provide any warranty
for future performance, nor can we estimate remaining life of the system. The content of this report is for the sole benefit of the owner listed
above.
Name of Firm Pannone Engineering Services LLC Phone (907) 272-8218
Address P.O. Box 100217, Anchorage Ak. 99510
Engineer's Printed Name Steven R Pannone Date 3/6/2018
•cs
7°42 4A
011 COP 77
6. DSD SIGNATURE V ��'�
System #1 Approved for bedrooms •Seven R. Pannone
�� g. CE-8149• �/
System #2 Approved for bedrooms f•.• ,r
Disapproved ��1 e�OFFSSI`P 4.+.
Conditional approval for bedrooms, with the following stipulations:
OF.1jvccy�
ON-SITE
WATER AND
':. WASTEWATER
PROGRAM
By: I w� ��' F Original Certificate Date: l "�
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 engineer's work.
7. ATTACHMENTS: • • t
COSA Checklist X Nitrate Advisory
Septic System Advisory Arsenic Advisory' . t
Well Flow Advisory Other •• . r
COSA blue sheeti:
If more than 1 septic system is on the lot:
COSA Checklist# 1 of 1
Structure served by this system 1
Certificate of On-Site Systems Approval Checklist
Legal Description: Bainbridge, Lot 2 Parcel ID: 020-044-02
A. WELL DATA
Well type Private If A, B, or C provide PWSID# Well Log (Y/N) Y
Date completed 4/4/2009Sanitary seal (Y/N) Y Wires properly protected (Y/N) Y
Total depth 346 ft. Cased to 26 ft. Casing height (above ground) 18+ in.
FROM WELL LOG AT INSPECTION
Date of test 4/4/2009 New
Static water level 6 ft. ft.
Well production 10 g.p.m. g.p.m.
WATER SAMPLE RESULTS:
Coliform Neg colonies/100 mL Nitrate 0.371 mg/L
Arsenic
ND D ug/L Date of sample: 1/31/2018 Collected by: PES
B. SEPTIC/HOLDING TANK DATA
Tank Type/Material Advantex/ Fiberglass Date installed 10/7/2015
Tank size 1 ,500 gal. Number of Compartments 2 Cleanouts (Y/N) Y
Foundation cleanout(Y/N) Y Depression over tank(Y/N) N High water alarm (Y/N) Y
Date of pumping New Pumper
C. ABSORPTION FIELD DATA
Date installed 3/12/2011 Soil rating (g.p.d./ft2 or ft2/bdrm) 6gpd/sf System type Wide Trench
Length *30/30 ft. Width 5/5 ft. Gravel below pipe 0.5/0.5 ft
Total depth 4.0/4.0 ft. Eff. absorption area 150/150 ft2 Monitoring tube Y Depression over field N
Date of adequacy test New Results (Pass/Fail) 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.
No
Any rejuvenation treatment(past 12 mo.) (Y/N & type) If yes, give date
D. LIFT STATION
Date installed 10/7/2015 Size in gallons 250 Manhole/Access (Y/N) Y
"Pump on" level at 43 in. "Pump off" level at 40 in. High water alarm level at 45 in.
Datum Bottom Cycles tested New Meets alarm&circuit requirements?
E. SEPARATION DISTANCES
WELL ON LOT TO:
Septic tank/lift station on lot 113. On adjacent lots 100+
Absorption field on lot 319.7 On adjacent lots 100+
Public sewer main 75+ Public sewer manhole/cleanout 100+
Sewer/septic service line 25+ Holding tank 100+
Animal containment areas 50+ Manure/animal excrete storage areas 100+
SEPTIC/HOLDING TANK ON LOT TO:
Building foundation 30.6 Property line 34.7 Absorption field 5+
Water main 10+ Water service line 10+ Surface water 100+
Wells on adjacent lots 100+
ABSORPTION FIELD ON LOT TO:
Property line 23.5 Building foundation 10+ Water main 10+
Water Service line 10+ Surface water 100+ Driveway, parking/vehicle storage 3+
Curtain drain 50+ Wells on adjacent lots 100+
F. COMMENTS
* New System - both primary and reserve fields installed
G. ENGINEER'S CERTIFICATION ,.F+l OF ALtlIkk
I certify that I have determined through field inspections and j p' P� •
.• N.1,--��y�+I�
review of Municipal records that the above systems are in O*; 49 TH /\ * ,
conformance with MOA COSA guidelines in effect on this date. %•• . .. •••• 0
Engineer's Printed Name Steven Pannone r":Steven k '&none
Date 3/6/2018 ,1,-. CE-8149 \ �/,
COSA canary sheet_2-6-15.doc
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30' S89°58'07"W 579.48' (R)
I
UNSUBDIVIDBD
GoFA���i ,SK' st% ffarpoint Land Services ,
w• •is�ll SURVEYING, MAPPING, LAND PLANNING
Co.- •
�I ."-rt`r ,. "''-' 1 131 E. 76th Ave., Suite 101 Anchorage, Alaska
*: 449TH /\ ',* Far orntAK.com •
p (907) 522-7770 • survey@farpoi
' AS-BUILT OF: SURVEY CERTIFICATION:FARPOINT has not
/,` Lot 2, Bainbridge Subdivision, physical survey of the subject property,the
�I Michael .Horne A "y,,,r,,,.. A 1,s,..L.• improvements situated thereon are within