HomeMy WebLinkAboutTRAILS END BLK 3 LT 4Trails End
Block 3
Lot 4
#015-191-37
Municipality of Anchorage
· Development Services Department :~r ~._1:
Building Safety Division
On-Site Water and Wastewater Program, 4700 Brogaw St.
P.O. Box 196650 Anchorage, AK 99519-6650 Page 1 of 4
www. ci.anchorage.ak.us {007) 343-7004
ON-S~TE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
Permit Number: SW080028 PID Number: 015-191-37
Larry ttnegar Wastewater System: [] New I~ Upgrade
PO Box 112423, Anchoraae. AK 99511 ABSORPTION FIELD
LEGAL DESCRIPTION 5
3 4 Trails End SlD .5 FI* .5 Ft
2 ;,. 30 n.
Well: [] New [] Upgrade o,.,e,,,~ 5
Existin_q I~rivate ~,.I n 150 ~ 1 1/4" 3034 PVC
n Beek Construction 8/112008
""~ G,.~I '~'~ ~" n.J c'"~ """~ "~'"' G"~'~, TANK
SEPARATION DISTANCES [] septic [] Holding [~ S.T.E.P. []
Tank Field Station TankSewer Une Anchorage Tank 1500 o.,
w., 121' 140' 133' -- ~0.0' Steel 2
c..,..'~"~w""~,.,. 100+ 100+ 100+ _-- ~ ,~,. ~.~.,.~,.,LIFT STATION
~u.. 24' 20' 24' -- 250 G~ Orenco
~o~,~... 35' 53' 46' -- 40 ~ 36 ~ 45 ~,.
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50+ 50+ 50+ ..w ~* ~ ~,~.~ E~,~
P2005-1 MOA BS
EXISTING TANK AND FIELD WERE ABANDONED IN PLACE BENCH MARK
ACCOEDANCE WITH THE CODE. Garage Floor
100.0
Engineers Stamp
Inspections performed by: PANNONE ENG. SVC, LLC Dates: 1" 811/2008
Development Services Department Approval ,. ,o....
Conditional Approval Date: ,.,.....i,,c:'~....~':~.. ~.......,.....~.
Reviewed and approved b . "/,'7 Date:
. ., CO A B --
; : F T1 35.6 78.3 _
, . LSl 43.7 82.9
'~.,~ ~ ; " .... LS2 48.2 86.1
M1 58.4 87.4
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~' P,O, BOX ~02954 ANCHORAGE, AK 99510 RECORD O9-19-o8
~~ ~......o
Lot 4 Block 3 Trolls End S/D
'f~~'~ Lorry Lineg~r P[RU~T NO.
,~Op~OS~ P,D. Box 112423
tXX<~ PLAN 2 of 4
O. ' 0.:
~_ 0..5'
2'id ~
SEOTION
S.T.E.P.
TANK
PHONE (907) 272-8218 ~AX (907) 272-8211 Sca~e
"~ Lo~ 4 Brock 3 Traits End S/D ]15-191-3l
~h~' ' ~ L~rry Linegar
'fj~-~g.8~ Anchorage, AK 99511 DESIGN Sheet
SPECIAL PROVISIONS TO SPECIFICATIONS
1. ALL CONSTRUCTION WAS 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 WAS (ASB) IN ACCORDANCE WITH THE All'ACHED SPECIFICATIONS.
,3. SCOPE OF WORK: 4-BEDROOM HOUSE, NEW DRAIN FIELD, S.T.E.P. TANK AND AUX PUMP VAULT, ADVANCED
TREATMENT SYSTEM, NEW FIELD, ABANDONNED OLD TANK & FILED IN PLACE.
4. GROUNDWATER WAS NOT ENCOUNTERED DURING EXCAVATION, (ASB)
S. CONTRACTOR STAKED THE 100' WELL RADII OF THE THREE NEAREST WELLS. (ASB)
2EA.
ADVANTEX DETAIL
DESIGN PARAMETERS ABBREVIATIONS LEGEND
CU COPPER v~v WATgR LINE/
NO. BEDROOM: 4 DIP DUCTILE IRON PIPE WELL RADIUS
TANK SIZE: 1,500 gallon STEP TH TEST HOLE
PERC. RATE: 12 MPI FC FOUNDATION CL~N-OUT ~ ss ss-- EXIST'G SEPTIC
SOIL RATING: 5 gpd/SF T~ TANK CL~N-OUT NO.
DESIGN FLOW= 600 9Pd
AREA RQB: 120 SF C~ CLEAN-OUT NO. ~ ~ NEW SEPTIC
SYS. ~PE: WIDE TRENCH, 0.5' ED M~ MONITOR TUBE NO.
MIN SIZE: 5'x24' R.I. RIGID INSU~TION ~ o CHAINLINK FENCE
USE:
30LFxS'WIDE,0.5'ED, 1.0' TD
TOTAL AREA: 150 SF
PANNONE ENGINEERING SVC, LLC Dot,
NTS
~.l.O. NO
,~ Lo~ 4 P~ocN 3 Traits End S/D 015-191-37
'f~R ~%~"'j~--~/-~'--~ P.O. ~ox 112423 ~ESIGN SheetSW080028
Ancho¢oge, AK 99511
MUNICIPALITY OF ANCHORAGE
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 I WATER SUPPLY PERMIT
Upgrade
Date Issued: Apr 11, 2008
Expiration Date: Apr 11, 2009
Permit Number: SW080028
Legal Description: TRAILS END BLK 3 LT 4
Design Engineer: 0062 PANNONE ENGINEERING SERVI(
Owner Name: LARRY & PAM LINEGAR
Owner Address: PO BOX 112423
ANCHORAGE, AK 99511-
Parcel ID: 015-191-37
Site Address: 011301 COBRA ST
Lot Size: 22722 SQ. FT.
Total Bedrooms: 4 Permit Bedrooms: 4
This permit is for the construction of;
[] Disposal Field [] Septic Tank [] Holding Tank [] Privy
Private Well [] Water Storage
All construction must be in accordance with:
1. The attached approved design.
2. Ail 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 E~
Parcel I.D.
Municipality of Anchorage
Development services Department
Building Safety Division
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/VVELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLING
Property owner(s) Larry & Para Ltne.qar
Mailing addressP,O, Box 112423, Anchora.qe, AK
Site address 11301 Cobra Drive
Legal description (Sub'd., Block & Lot) Trails End S/D, Block 3, Lot 4
Legal description (Township, Range & Section)
Lot Size 22,722 Sq. Ft.
Day phone 564-6160
Zip Code 99511
Zip Code 99516
Number of Bedrooms 4
THIS APPLICATION IS FOR ([] all that apply):
Absorption Field []
Septic Tank []
Holding Tank []
Privy []
Private Well []
Water Storage []
THIS APPLICATION IS AN:
Initial []
Upgrade []
Renewal []
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, LL~
(Signature of property owner or authorized agent)
Permit/Rush Fees:
Date of Payment:
Receipt Number:
(Rev. 11/05)
Waiver Fees:
Date of Payment:
Receipt Number:
/~annone Engineering Services, LLC
Consulting Eng/neers
(9071 272 -8218
April 1, 2008
P.O. Box 102954
Anchorage, Alaska, 99510
{907} 272-8211 Fax
Municipality of Anchorage
Development Services Department
On-Site Water 8,: Wastewater Program
4700 S. Bragaw Street
P. O. Box 196650
Anchorage, Alaska 99519
Subject:
Trails End S/D Block 3 Lot 4
Septic System Permit Upgrade Request
Separation Waiver Request
Ladies and Gentlemen:
I am writing to request a permit to construct an upgraded septic system be issued for this property. The
proposed systems will serve an existing four-bedroom house. Currently the lot is developed. The lot is
served by a private water supply. The existing septic system shall be reused. The surrounding developed lots
are served by private water systems and community water system. The private wells are located over 100
feet from the proposed soil absorption system. The community well is located over 200 feet from the
proposed upgrade.
I. Soils. Two test holes were excavated by Jim Williams in 1998. See the soil log on file with your
Department. A complete design was submitted and approved at that time. Ground water was monitored for
seven days. Ground water was monitored to a depth of 10 feet below ground level after the monitoring
period. Bedrock was not encountered in the test hole. It is my opinion, based on the results of the percolation
tests and overall soils appearance; an application rate of 5.0 gallons/day/square feet should be used, using an
advanced treatment system meeting Category III treatment and a pressurized distribution line.
Soil Absorption System Design.
a. Percolation Rate: 5 to 15 Min Per Inch
b. Application Rate: 5.0 gpd/sf
c. Design Flow: 600 gallons per day
d. Min. Absorption Area: 120 sf
e. Total Depth: 1 feet
f. Effective Depth: 0.5 feet
g. Width: 5 feet
h. Minimum Length: 24 feet
i. Design Length: 30 feet
j. Effective Absorption Area: 150 sf
k. Septic Tank Size: 1,500 gallon STEP & AX 20 Pod
3. Surface Water: There is no surface water within 100 feet of the proposed septic tank and the
existing drain field. The proposed drain field upgrade will maintain at least 100 feet from all surface water
and drainage ditches.
Page 2 of 2
4. Topography: The average topography in the area of the proposed septic system is approximately 6
percent based on the survey information. The proposed installation will be greater than 50 feet from the
shoulder of the steep slopes.
5. Separation Waiver: I am requesting a separation waiver from the new field to the old field to 5.5
feet. When the original design was permitted there was sufficient room to install an upgrade system ten feet
from the existing system. W well was drilled on the lot directly east that eliminated the reserve area for this
lot. The proposed system is a five-wide trench with a half foot of effective depth. The existing field is a bed,
also with a half foot of effective depth. Effluent absorbs into the soils through the bottom of these systems
and cross contamination should not occur. The waiver should be granted upon the recommendation of the
Technical Review Board to reduce the separation between fields to five feet for these types of system.
6. 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.
Sincerely,
Steven R. Pannone, P.E.
Owner/Civil Engineer
Attachments:
W:\PES Work Files\Letters\Trails End B3 1,4_001.doc
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~.' ...... ~g~a PHONE (907) 272-8218 FAX (907) 272-8211 CONSTRUCTION Scale
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~~ Larry llnegar PERMIT NO.
~'.. CE 8149 .'~ P.O. Box lla4a3 S~Txxxx
'~i~X~4-11208~. Anchorage, AK 99511 DESIGN Sheet
DETAIL 3
SPECIAL PROVISIONS TO SPECIFICATIONS
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 ATTACHED SPECIFICATIONS.
.3. SCOPE OF WORK: 4-BEDROOM HOUSE, NEW DRAIN FIELD, S.T.E.P. TANK AND AU× PUMP VAULT, ADVANCED
TREATMENT SYSTEM, UPGRADE EXIST'G FIELD, ABANDON OLD TANK IN PLACE.
4. GROUNDWATER IS NOT EXPECTED TO BE ENCOUNTERED DURING EXCAVATION. AS EVIDENCED BY THE SOIL TEST
HOLE INFORMATION ABOVE 5 FT. IF AN APPARENT WATER TABLE IS OBSERVED IN ANY OF THE EXCAVATIONS LESS
THAN 4 FEET BELOW EXISTING GRADE, NOTIFY THE ENGINEER IMMEDIATELY.
5. CONTRACTOR SHALL STAKE THE 100' WELL RADII OF THE THREE NEAREST WELLS.
, .~!_J_ .~L ~,S~N \ _ --m
ADVANTEX DETAIL
DESIGN PARAMETERS ABBREVIATIONS LEGEND
CU COPPER '.,--v WATER LINE/
NO. BEDROOM: 4 DIP DUCTILE IRON PIPE WELL RADIUS
TANK SIZE: 1,500 gallon STEP TH TEST HOLE
PERC. RATE: 12 MPI FC FOUNDATION CLEAN-OUT ss ss- EXIST'G SEPTIC
SOIL RATING: 5 gpd/SF T# TANK CLEAN-OUT NO.
DESIGN FLOW= 600 gpd
AREA ROD: 120 SF C# CLEAN-OUT NO. ~ ~ NEW SEPTIC
SYS. TYPE: WIDE TRENCH, 0.5' ED M# MONITOR TUBE NO.
MIN SIZE: 5'x24' R.I. RIGID INSULATION ---o o CHAINLINK FENCE
USE:
30LFxS'WIDE,O.5'ED,I.0' TD
TOTAL AREA: 150 SF
~'~t PANNONE ENGINEERING SVC, LLC REUSED oot.
~.. ~.... ...~; ~j P.O. BOX 102954 ANCHORAGE, AK 99510 ISSUED FOR 04-2-08
.~'c~.':' ~-,~t'~ii~ PHONE (907) 272-8218 FAX (907) 272-8211 CONSTRUCTION Sco,e
4/11/08 NTS
: " P.I.D. NO
~~ ' Lo-t 4 Block 3 TraiLs End S/I) 041-011-06
?~A;' P~, 66h¥'~, Larry. Linegar PERMIT NO.
'i ~'. CE 8149 ..~ P.D. Box 112423 SW07xxxx
I$,~..4,~11/0~ .~:~,,.~ 1) E S I (3 N Sheet
'~.~'a'~'~',~.~ Anchoro9e, AK 99511
.~ .... ~ NOTES 4 o~ 6
ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND
REPAIR AGREEMENT
MEMORANDUM OF UNDERSTANDING
BETWEEN MUNICIPALITY_OF ANCIlORAGE
! ·
THIS MEMORANDUM OF UNDERSTANDING made and entered into as of this
~L_Dayof t~/~lL-- of20~/byand betweenLAgP-Yn"P,~.~ L.t,v/xf~A~tL-
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 Wastewatcr
Treatment System (AWWTS), described as l~'~V'A,~.."7'"'r.~-y., located
at / I~tg! O_..C~i2~ ~)t2~-~- ,Anchorage, Alaska.
2. Definitions.
A. Alteration. Any change to the design or function oran AWWTS that
Includes the installation or removal of any parts, components or pieces not
included in thc original construction permit and design. Prior to
performing any alterations to an AWWTS the owner must obtain a
Wastewater Disposal System Construction Permit from the Municipality
pursuant to Anchorage Mttnlcipal Code (hereinafter, "AMC") !.5.65.
B. Certificate of On-Site Systems Approval. An approval by the
Municipality of existing water and wastewater disposal systems given at
the time ofproperty 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 ofsystem
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 O~vner 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 Constr~ction Permit and
all relevant provisions of AMC 15.65
3. Fee. Owner shall pay to Municipality an annual fee of
($ ~ .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 Equipment. 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 Understandlng, 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: (I) 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 ofthe
permit. The schedule ofmaintenance and repair contained in the Owner's AWWTS
Operating Permit is: ~,<'co '
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 oftitle ofthe property will not occur
without a new Certificate of On-Site Systems Approval.
G. O~vner agrees that the relevant provisions ofthe standard specification guidebook
for AWWTS is the governing professional guidelines for the construction,
maintenance and repair of the O~vner's AWWTS.
7. Nonwalver. The failure ofeither party at any time to enforce a provision ofthls
Memorandum of Understanding shall in no way constitute a waiver of the provisions,
nor in any xvay 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 Understandlng shall only be amended, modified or changed
by a writing, executed by authorized representatives of the parties, with the same
formailty of this Memorandum of Unders~mding 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:
Anchorage: Purchasing Officer
C. Any attempt to amend, modi~', 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 ofthe State of Alaska shall govern the rights and
obligations of thc parties under this Memorandum of Understanding,
10. SeverabililT, Any provisions ofthis Memorandum of Understanding decreed
invalid by a court of competent jurisdiction shall not invalidate the remaining provisions
of the Memorandum of Understanding.
STATE OF ALASKA
TIIIRD JUDICIAL DISTRIUF
MUNICIPALITY:
The £oregoing instrument was acknowledged before me this:~ day of tt~, r~ I
20/)~,by ~'ert~ ~. J~oJ,~
My Commission expires:
Parcel I.D. o15-19~.-37
Municipality of Anchorage
Development Services Department
Building Safety Division
On-Site Water and Wastewater Program
4700 Bragaw Street
P.O. Box 196650
Anchorage. AK 99519-6650
www.muni.org/onsite
(907) 343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL
FOR A SINGLE FAMILY DWELLING
COSA # ~ \ \ \ L~ ~
Expiration Date:
1. GENERAL INFORMATION
Complete legal description Trails End Block 3 Lot 4
Location (site address) :[z3o:~ Cobra 5tree, Anchorage, AK
Current Property owner(s) Larry & Pamela Linegar
Mailing address PO Box z:[2z+2~, Anchorage, AK 995zz
Lending agency
Mailing address
Real Estate Agent Chris Swires
Mailing Address
Unless Otherwise requested, COSA will be held by DSD for pickup.
2. NUMBER OF BEDROOMS: 4
Day phone 564-6~.6o
3. TYPE OF WATER SUPPLY:
Individual Well
Individual Water Storage
Community Class ~
Public Water System
Day phone
Day phone
TYPE OF WASTEWATER DISPOSAL:
[] Individual On-site [~
[] Individual Holding Tank E]
Well [] Community On-site [~]
[] Public Sewer C~
The Municipality of Anchorage Development Services Department (DSD) issues Certificates of On-Site Systems
ApproVal (COSA) based only upon the representations given in paragraph 4 by an independent professional civil
engineer registered in the State of Alaska. Certificates of On-Site Systems Approval are required for the transfer of
title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water
supply system. DSD also issues COSAs upon request to homeowners. Certificates of On-Site Systems Approval
are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued
with new water sample results. (Certificates may be reissued for a period of up to one year with valid water
samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system.
The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work.
4. STATEMENT OF INSPECTION BY ENGINEER
As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation,
based on procedures outlined in the Certificate of On-Site Systems Approval Guidelines fo~ 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 Pannone Engineering Services, LLC
Address P.O. Box ~.oo2z7, Anchorage, AK 99Szo
Engineer's Printed Name Steven R. Pannone, P.E.
Phone
Date
Engineers Comments: In conducting an adequacy test, I attempt to provide a thorough, conscientious engineering analysis of the system in
accordance with MOA DSD Guidelines & Regulations. The reported results describe the performance of the system under the conditions
encountered at the time of the test, and separation distances measured to readily 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. PES can therefore not provide any warranty for future
performance nor give any estimate of how long the system will continue to meet the operational
requirements of the MOA DSD. The content of this report is for the sole benefit of the owner listed
above. Any reliance upon or use of this report by any other person or party is not authorized nor will it
confer any legal right whatsoever.
5. DSD SIGNATURE
~.f Approved for
Disapproved.
Conditional approval for
bedrooms.
bedrooms, with the following stipulations:
By: ~
(Rev. 11/05}
Attachments:
COSA Checklist
Septic System Advisory
Well Flow Advisory
Nitrate Advisory
X
Arsenic Advisory
Maintenance Agreements
Supplemental Engineer's Report
Other
Original Certificate Date:,, / CO '-__~ / _//
Municipality of Anchorage
Development Services Department
Building Safety Division
On-Site Water & Wastewater Program
4700 Bragaw Street
P.O. Box 196650
Anchorage, AK 99519-6650
www.muni.org/onsite
(907) 343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST
Legal Description:
A. WELL DATA
Well type _P
Date completed M~ol',~_8~_
Total depth =?~ ft.
Trails End Block ~ Lot 4
If A, B, or C provide PWSID # ~
Sanitary seal (Y/N) Y
Cased to 99 ft.
FROM WELL LOG
Date of test
Static water level
Well production
WATER SAMPLE RESULTS:
Coliform ;_~J~ ~.~.,~olonies/100 mL
Arsenic: .~-)~) ug/I
B. SEPTIC/HOLDING TANK DATA
Parcel ID: ox_n-aqa.9?
Maoh. q8:~
g.p.m,
Nitrate i ~ ~ i~mg/k
Date of sample: aol~!}f2Ola
Well Log (Y/N)Y
Wires properly protected (Y/N) Y
Casing height (above ground) ~2+
AT INSPECTION
36 ff.
· .~; g.p.m.
Collected by: Laura Pannone
Tank TYlSe/Material
Tank size =~ioo gal.
Foundation cleanout (Y/N) Y
Date of pumping
Anchorage Tank Steel Date installed 8~',~:zoo8
Number of Compartments _= Cleanouts (Y/N) Y
Depression over tank (Y/N) _N High water alarm (Y/N) Y
Pumper See Anchorage TankJnspection Report
ABSORPTION FIELD DATA
Date installed 81=/2oo8
Length ~o
Total depth 3=5 ft.
Soil rating (g.p.d./ft= or ft=/bdrm) 5_
ft. Width ~ ft.
Eft. absorption area ~o ft2 Monitoring tube Y
System type Advantex Bed
Gravel below pipe o.~;
Depression over field N
Date of adequacy test aola21aoax Results (Pass/Fail)
Fluid depth in absorption field, before test _.o in,
Elapsed Time: _o. min, Final fluid depth _o in,
Any rejuvenation treatment (past 12 mo.) (Y/N & type) N
Pass For A bedrooms
in.
Water added6oo gal. New deptho_ in.
Absorption rate >= 600+ g.p.d.
If yes, give date
LIFT STATION
Date installed
"Pump on" level at ~o in.
Datum Bottom of Tank
E. SEPARATION DISTANCES
Size in gallons
"Pump off" level at ~6 in.
Cycles tested 2
Manhole/Access (Y/N) Y
High water alarm level at ~5
Meets alarm & circuit requirements? Y
in,
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tank/lift station on lot =.oo+
Absorption field on lot =.oe+
Public sewer main NA
Sewer/septic service line
Animal containment areas =.oe+
On adjacentlots ~.oo+
On adjacent lots ~oo+
Public sewer manhole/cleanout NA
Holding tank =oo+
Manure/animal excrete storage areas =oo+
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Building foundation ~o+
Water main NA
Wells on adjacent lots =oo+
Property line
Water Service line =~+
Curtain drain None Known
F. COMMENTS
Property line =o+.
Water service line =~i+
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Building foundation
Surface water =.eo+
Wells on adjaceht lots
Absorption field ~o+
Surface water :too+
Water main NA
Driveway, parking/vehicle storage =o+
Waiver Fee $
Date of Payment
Receipt Number
COSA Fee $
Date of Payment
Receipt Number
(Rev. 11/05)
G. ENGINEER S CERTIFICATION
~_/~
. . .
I ~i~ that I have determined though field mspe~ions and
review of Municipal re~s ~at the above systems am in
.... ~,,,,,~ ....... ~,,,,,~
conformance w~th MOA COSA guidelines ;n e~ct on this date.
.,
~~-~-----~-~-~
' Engin~rs Printed Name ...... Steven R. Pannone, P.E.
, .....
azv.
30' sgg~ 59' 30"W 189.35', ......
I
...... UNDER 'NO ~R~MSTAN~S ~ ~ AS-~UILT gE U~D F~ C~S~UC~ON '~ F~ ESTAB~ING B~ND~Y ~' ~N~ UNES. ' ....
~E ~R~Y~ T~ES RE~BlU~ F~ ~E ~N~ m~SAC~ ~LY ~D ASSUMES RN~ UA~U~ ~LY FOR ~E COST ~ ~E ~R~Y.
us~ D~s~s P~V~L O~R SC~.C. ~[PE~UC~ MAY CAU~ ERieS ~N SC~.
'~ mT'~ ' SURLY ~E ~ .......... S~8'OLS "'
F~DA~ ~T
pLOT ?LANS ~ LOT SUR~YS N0~: ',
IT IS ~E RE~ONSI~E~'~ ~E BUILDER OR O~ER, PRIOR TO ONLY ~OS[ IMPRO~MEN~ ABO~ GROUND ANO ~SIB~ ~LL BE
C~S~UC~, TO ~RIFY PROPO~D BUILDING GRADE RELA~ SHO~.
TO ~NI~ ~ADE ~D U~U~ C~NEC~S ANO TO DE~RMINE ETC.. AREFENCES'SHO~ ~S,iN ~EIR~P~OApPROXIMA~C~AN~TS'LoCA~,~DEWA~S'oNLy.DRI~WA~'SNOW
~E E~S~N~ ~ ANY LAMENTS, CO~NANTS ~ RES~IC~ONS MAY PRE~NT SOME IMPRO~MENTS ~ BEING ~EN ANO L~A~.
~ICH DO NOT ~PE~ ~ ~E R~DED SUBDI~gON PLAT. .... ALL DISTANCES ARE RECORD UNLESS O~EE~SE ~m=n.
~R~ CER~CA~~ ~.. ' ...... P'repored by
~o,~ .~'~ ~. Robert E. Johns, Jr & Assoc
--~~~, ~ x ..' "..~** Profess~onol Lond Surveyors
~ ~~ ~~ ~ :Sc~e: ...... Rec. Lot S.F. Eec'. Plot F,e No.
~~.~ ~ ~ ~,~~,. , . 10/18111 REJSWL
, o - 10/19/11 SW2~1 11-363
~ ~. 'qu~i~.~*' BLOCK 3 LOT 4
SGS Ref.# 1114996001
Client Name Pannone Eng. Srv. Printed Date/Time 10/21/2011 8:38
Project Name/# Trails End Blk 3 Lot 4 Collected Date/Time 10/I 1/2011 13:00
Client Sample ID Trails End Blk 3 Lot 4 Received Date/Time 10/11/2011 13:30
Matrix Drinking Water Technical Director Stephen C. Ede
PWSID 0
Sample Remarks:
Allowable Prep Analysis
Parameter Results LOQ Units Method Container ID Limits Date Date Init
Metals by ICP/MS
Arsenic
ND 5.00 ug/L EP200.8 C (<10) 10/11/11 10/12/11 NRB
Waters Department
Total Nitrate/Nitrite-N
3.18 0.100 mg/L SM20 4500NO3-F B (<10) 10/18/11 LCE
Microbiology Laboratory
E. Coli
Total Coliform
Negative 1 100mL SM20 9223B A 10/11/!1 DLC
Negative 1 100mL SM20 9223B A 10/11/11 DLC
AK USA FCU - INSURANC AK USA FCU - INSURANCE BROKERS 09:03:34 a.m. 10-12-2011
171 359
Annual Inspection
Pmpart~ Ownerffradd.g I
AnchorageTank & Welding, lng
907-272-3543
Larry & Pam Unegar
11301 Cobra Ave., Anchorage AK 99516
AX-118029
Retrieve O&M Info Dally ilow...
ResJrc rat o.
Timer settings;
Odor o! Sample
lyplcai [~.sty [~Eer~hy '
.Non-typical ~Sul~de ~bage
Ol~ film In ~ ~Ye. ~o
Check Control Panel
Perform Field Sampling/Observations
Discharge Amps
Audible end visual alarms
'D~al tone (telemetry only)
Inspect/Clean Pump System
Inspect
Splice Box ....................
Rout Cords ...................
Floats ........................
[]Moldy
r"] Decay
r-~No
Clean
tOperator
Mike Blakeslee
f Contact Phone --
(907) .346-4062
08/09/2010
Measure Sludge/Scum
Inspect/Clean Advantex Filter
Inspecl Clean
Inspec~Clean Dl~cha~e Pump ~ystem
[~apeM Insp~[ .-.
Rber~d ~- Floats ~' Clean
Splice Box ~ Pump
Root co~s
Inspec~Se~ice Other S~stem Componen~
I~p~t Clean I~p~t Clean
OlsJnre~lon Equ[pme. nt ~ ~ .DI=..~I ~t~l~Od~c.
Obsewatlons
Additional So.Ices Rendered
~ Cle~ed te~le,shee~? ~ Replsced UV Ilems?
~ RePlane~sed other:ltems?
Parts Used: W = Warranty, a = Billable {,/' appropriate aeJect[ori) W B Item Number Description
~' 'Rnal/.Safety Inspection '
Blolubee Rlter ................. ~ ,C3;[aanlreld reconnecledl Ilush valves closed [~[',C. ~ntrct panel reactive/ed
alotebe Pump Yault ............ [~ .~
Summary/Recommendations
aec'kc, sting Splitter Valve ....... ~ ~ J ~[LSYstern performing; no further action needed ~'-]Tank needs pumping
~Lqall/or,service [] Other?
' ,..."' . ., .
Date
Fax completed ..form ~o ~.866.384.7404
ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND
REPAIR AGREEMENT
MEMORANDUM OF UN~DERSTANDING
BETWEEN MUNICIPALITY OF ANCHORAGE
THIS MEMORANDUM OF UNDERSTANDING made and entered into as of this
~-)C~'~-Day of 6*~dT-d~t~¢-~, of 20. [.(., by and between~'~_~t~/EL W[~{Ji~gOP,~
herein the "OV~'NER," and the Municipality of Anchorage, herein the
"MUNICIPALITY." In consideration of the mutual covenants contained herein, the
parties to this Memorandum of Understanding agree as follows:
1. ADVANCED WASTEWATER TREATMENT SYSTEMS. Municipality
grants permission to Owner to utilize and operate an Advanced Wastewater
Treatment System (AWWTS), described as ,t/~_c-~_\/O~ iA~ li"C~..,~ located
at il >l ffet u¢... ,Anchorage, Alaska.
2. Definitions.
A. Alteration. Any change to the design or function of an AWWTS that
Includes the installation or removal of any parts, components or pieces not
included in the original construction permit and design. Prior to
performing any alterations to an AWWTS the owner must obtain a
Wastewater Disposal System Construction Permit from the Municipality
pursuant to Anchorage Municipal Code (hereinafter, 'LA.MC") 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 t5.65~
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 ]k~//0r .
($~0), 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. T_~r_m. 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 Equipment. 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 necessaD, 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 AWWTS is the governing professional guidelines for the construction,
maintenance and repair of the Owner's AWWTS.
7. Nonwaiver. The failure of either party at any time to enforce a provision of this
Memorandum of Understanding shall in no way constitute a waiver of the provisions,
nor in any way effect the validity of the Memorandum of Understanding or any part
hereof, or the right of such party thereafter to enforce each and every provision
hereof.
8. Amendment.
A. This Memorandum of Understanding shall only be amended, modified or changed
by a writing, executed by authorized representatives of the parties, with the same
formality of this Memorandum of Understanding was executed and such writing shall
be attached to this Memorandum of Understanding as an amendment.
B. For the purposes of any amendment modification or change to the terms and
conditions of this contract, the only authorized representatives of the parties are:
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. Severabilit~. 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.
Date: [ :'/,~.4.9/ '/
STATE OF ALASKA
THIRD JUDICIAL DISTRICT
MUNICIPALITY:
By:
Title:
Date:
before
The foregoing~trgmenl~ >vas ackno,w_ledged
20. ~, by ~'.~tl~)~' ~ ]~ll/~/~ .
NOT~Y ~uB~IC FOR AL)S~
My Commissi6n expires:
Municipalits., of Ancho.ragc
Department of He82a~Lh' ~r?EdetHUmarl Services
R,ck Mystrom. P.O. BOX 196650 Anchorage. Alaska 99519-6650
Itfavor
ht tp://www.ci.a nchorage.ak.us
July 8, 1999
Larry & Pamela Linegar
PO BOX 112423
Anchorage, AK 995112423 -
Subject:
TRAILS END BLK 3 LT 4
Permit # SW980162 PID# 015-191-37
The subject permit, issued 6/9/98 by this office for a single family well and/or on-site
wastewater system, has expired as of 6/9/99.
If you have drilled the well, a well log must be sent to this office for documentation of the
installation and to close the permit.
Ifa licensed Professional Engineer has inspected the installation of the on-site wastewater
system, the original as-built inspection report must be sent to this office for review,
approval and documentation. All inspection reports must be submitted within 30 days of
construction completion.
A new permit must be obtained from this office for a well and/or on-site wastewater
system NOT installed by the expiration date.
When applying for a new permit, the fees are: $320.00 for an on-site wastewater permit
and $120.00 for a well pennit.
Ifyou have any questions, please call this office at 3434744.
Program Manager
On-site Services
eno: Copy of Permit
MUNICIPALITY OF ANCHORAGE
Department of Health end Human Services
On-Site Services Program
825 L Street, Room 502
P.O. Box 196650, Anchorage, AK 99519-6650
(907) 343.4744
ON-SITE WASTE~NATER DISPOSAL SYSTEM PERMIT
Upgrade
Date Issued: Jun 09, 1998
Expiration Date: Jun 09, 1999
Permit Number: SW980162 Parcel ID: 015-191-37
Design Engineer: 0041 Alaska Water & Wastewater Servic Legal Description: TRAILS END BLK 3 LT 4
Owner Name: Larry Linegar Site Address: 011301 COBRA ST
Owner Address: 3111 C Street Suite 300 Lot Size: 22722 SQ. FT.
Anchorage, AK 99503-3925 Total Bedrooms: 3 Permit Bedrooms: 3
This permit is for the construction of:
[] Disposal Field [] Septic Tank
[] Privy [] Private Well
[] Holding Tank
[] Water Storage
All construction must be in accordance with:
1.
2.
The attached approved design.
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 DHHS at least 2 hours prior to each inspection. Provide notification by calling
(907) 343-4744 ( 24 hours ). ( Not required for a Water Supply Permit only ).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
must be either: A. Open and closed on the same day.
B. Covered, sealed, and heated to prevent freezing.
5. The following special provisions.
A sampling contract shall be part of the As-Built package if the system Is installed while the municipal sampling
program is still in effect.
Alaska Water & Wastewater
7320 East Chester Heights Circle ~ Anchorage ~ Alaska 99504
Phone (907) 337-6179 - Fax (907) 338-3246
Consulting Engineers
March 17, 1998
Municipality of Anchorage
Department of Health & Human Services
Division of Environmental Services
On-Site Services Section
P.O. Box 196650
Anchorage, Alaska 99519-6650
Ret2 Septic System Upgrade for Lot 4, Bk 3, Trails End S/D.
RECIRCULATING UPFLOW FILTER (RUg') SYSTEM
To whom it may concern:
1. GENERAL: The existing 3 bedroom home is served by a private septic system and well.
The existing bed system is enernaehing groundwater and (per the owner) experiences seasonal
flooding with effluent occasionally backing up into the house during spring breakup. The owner
has requested our firm tO design a septic system which utilizes the recirculafing upflow filter
(RD'F) system in order to alleviate the problem. Two test holes were excavated to the east
existing leachfeild bed. The soils are summarized as follows:
2. SOIL CONDITIONS: Two test holes were excavated on January 28, 1998 to an average
depth of 13 feet. The soils profile consists of 3 feet of organics (mainly peat) followed by a well
graded sand with light silt and a small amount of graveL Groundwater was encountered during
the excavation at a depth of 9 feet, and was monitored at the 8 foot depth two weeks later. Two
percolation tests were performed between the depths of 3.5 and 4.0 feet and the absorption rate
was measured at approximately 13 minutes/inch (see attached soil logs).
3. DRAINFIELD: The intent is to install a Recirculating Upflow Filter (RUF) system that will
allow the use ora small dralnfield in the area between the test holes. The size of the drainfleld
will be based upon the previously established criteria for the RUF systems, which dictates that
soils percolating between 1 & 30 minutes/inch have an allowable application rate of 4 gpd/t~2, and
soils percolating between 30 & 60 minutes/inch have an allowable application rate of 2 gpd/f~2.
Given the perk rate of 13 minutes/inch the 4 gpd/fl2 application rate would apply. We are
proposing to install a 10 foot wide bed that is 20 feet long and has an effective depth of 6 inches.
This corresponds to an absorption area of 200 t~2, or an application rate of 2.25 gpd/ft2
(assuming 450 gpd total flow).
;4. ORENCO PACKAGE SYSTEM: The STEP tank with the trickling and upflow filters will
be manufactured by Anchorage Tank & Welding to meet the latest design criteria established by
Orenco Systems, Inc. The point of contact at Anchorage Tank is Lowell McNutt. Since you are
familiar with the operation of the system I won't elaborate. As with their standard STEP tank, it
is equipped with a high water alarm per M.O.A requirements.
5. SURFACE WATER: There are no surface waters within 100 feet ofthe proposed upgrade.
6. TOPOGRAPHY: The location of the proposed bed is at the base of a knoll with a 20%
slope. From the base ofthe knoll the ground slopes southward at 5%. There are no slopes greater
than 25% within 50 feet ofthe proposed bed.
7. CLOSING: I am open to any suggestions from your department that would be an
improvement to the proposed system. I am unaware ofany negative impacts that this installation
would impose on adjacent wells, or septic systems. If you have any questions, please call me a
337-6 ! 79, or 244-9612.
Sincerely, _
~James . Williams, P.E
THE EXISTING SYSTEM IS TO BC ABAN~ONEDo THE
SEPTIC TANK IS TO ~E FILLED V/ NATIV~ SOIL
AN~ BURIEO GN SITE
LOT 3
VACANT
12§' HDP£ LINE w/ STAINLESS STEEL ~ARD FITTINGS
C~NNECT VITH ~AND[NG TOD1.. ND HOSE CLAMPS.---.~
GARAGE
SAMPLE
ELL
HOUSE
-- UPFLE~ FILTER PER
ANCFL TANK IqESIGN
(SEE ~IETAIL I~RVG.:
APPROXIMATE ~EO SYSTEM LOCATION AS
DY EXISTING C/D LOCATIONS AND MOA RECORDS
i' UTILITY
lO' X
DETAIL
4 INCH PVC SLOPED AT 1/4'* PER FOOT.'--
LOT 5
VACANT
-- NEV STEP TANK ~.~TH
RECIRCLLATING FILTER.
APPROXIMATE LOCATION OF DURIE
DRUSH PILE PER ~VNER
SEPTIC UPGRADE, TRAILS END S/D,
PREPARED FOR:
PREPARED BY,
DATEi
LDT 4, ~K 3
LARRY LINEGAR
ALASKA WATER & WASTEWATER
DRAWN: WILLIAMS SCALE' 1' = 30'
dames W~llIams/
cE-gB08
PVC P~P~,
INCH ~[A. PVC
HDU~E.
12.5 INCH I)IA. HI)PE PRESSURE LINE
FRI3N STEP TANK. CH~CK VALVE
SEPTIC UPGRADD TRAILS END S/]3, LOT 4, DK 3
PREPARED FOR: LARRY LINEGAR
ALASKA ~ATER & ~ASTE~/ATER CONSULTANTS
DATE, 3/17/98 I D~/N' VILLIAMSI
SCALE,
NTS
3=t SLOPE
FEET
NT
SEPTIC UPGRADE, TRAILS END S/D, LOT 4, BK 3
PREPARED FDR, LARRY LINEGAR
WATER & WASTEWATER
DATEI 3/17/98 ]WN' WILLIAMS
SCALEI NTS
~James P. W~lllams~
CE-9608
~w t""k~ I '~.~ .'-"~.," q~
825 "L" Street, Anchorage. Alaska 99502-0650
SOILS LOG ~ PERCOLATION TEST : · ~.. ~N0.9608 _.~_~.~
~. 't[*.~:.i_ C.E..."b~
-~DATE pERF(
7
8
9
10
1!
14-
15-
16-
17-
18-
19-
20-
WASGROUNDWATER
ENCOUNTERED?
Township, Range, Section:
IF YES, AT WHAT SL
DEPTH? /0I pO
E
Mom~rifll?
SLOPE SITE PLAN
Gross Net Depth to Net
ReadingDate Time Time Water Drop
,/;~h~ ~, ~,~,o~ +~ 7-~,,,.,,
'/ I:,~ -- ~" -
~t~ ~o~,. ~v~'. ~,/~,,
PERCOLATION RATE , ~" tm,nute~',nch) PERC HOLE DIAMETER
6
7
8
g
10
11
12
Municipality of Anchorage
DEPART.MENT OF HEALTH & HUMAN SERVIC~
SOILS LOG -- PERCO~TION TEST~ ~.
13-
14-
15-
16-
17-
18-
19-
20-
Township, Range, Section:
SLOPE
WAS GROUND WATER V:-~
ENCOUNTERED?
AT WHAT
DEPTH?
E
f
SITE PLAN
Reading Date Gross Net Depth to Net
Time Time Water Drop
i,,~/£ -.- (~,,
PERCOLATION RATE I~.~) (mmute~snch) PERC HOLE DIAMETER
PROPERTY OWNER AGREEMENT
FOR ~ MAINTENANCE OF AN
ON-SITE WASTEWATER DISPOSAL
SYSTEM
This agreement, dated ~{~ \~ _ 199~._, is made between the Manicipalitv of
Anchorage Department of Hea~th and Human Services.(DHHS) and the property --
owner(s) of:
This agreement is made for the purpose of maintaining an on-site wastewater disposal
system on the subject property. '
The property owners agree to tl],e following:
Submit to the Municipality of Anchorage, on an annual basis, an inspection and
operation statement from a registered professional engineer. This inspectioa mad .
operation statement shall verify that the engineer has iuspected all effluent and air
pumps, timers, and alarms, and that any deficiencies have been repaired and that the
system is fimctioning as designed.
(Printed Name)
(Si_gnarttre) ~
(Printed Name)
............................. Notarize Here ......
personally appeared before
who is personally known to me
whose identity I proved on the basis of ' -
whose identity I provdd on the bath/affirmation of ~ --
, a~witness
co ~ ' No.fy
~ My mmission expires
Mm cipaliis 6fAncho.rag¢
Department of Health and Human Services
825 "L" Street
RickMystrom, P.O. Box 196650 Anchorage, Alaska 99519-6650
Mayor
htr p:/A,~vw.cL a nchorage.ak.u s
Dear Homeowner/Prospective Buyer:
The on-site wastewater disposal system you are purchasing/installing is an "alternative" wastewater
disposal system. This system, known as a "Recirculating/Upflow Filter Septic System", is undergoing
testing within the Municipality of,anchorage under the Alternative System section of the Wastewater
Disposal Regulations (AMC 15.65). There are certain risks involved with the ownership of one of these
systems:
1. The technology used in this system has been shown to be effective in other areas. The system is
currently undergoing a two year testing period in Anchorage under the guidance of the Department of
Health and Human Services (DI-I~S) and the State of Alaska Department of Environmental Conservation
(ADEC) to determine its effectiveness in a subarctic environment.
2. The system for this property received a vertical separation distance waiver from both State of
.Alaska and Anchorage Municipal Codes to ground water. This waiver was granted due to the system's
expected performance within the site conditions on this property.
I (we) certify that I (we) have read the above statements and am (are) aware ofthe risks outlined. I (we)
also certify that I (we) am (are) in the process of purchasing (property legal description):
';/ (Put. chaser Name)
............. No~e Here .........................................................
personally appea~before%me,
~ who ~ personally kno~ to ~e
~hose ~dent~ty I proved on the ba~, of
whose ~dent~ty I proved on the oath/afflmae~on of
, a credible w~tness
to be the stgner~of the'above do'cumenc, and he/~dged ~that he/she
~ MUNICIPALITY OF ANCHORAGE
t
,° DEPARTI~ENT OF HEALTH & ENVIRONMENTAL PROTECTION
ENVIRONMENTAL ENGINEERING DIVISION
825 L Street- Anchorage, Alaska 99501 Telephone 264~720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
NAME
PHONE ~I~W
UAILING ADDRESS
LEGAL DESCRIPTION
~OC*T,O~ ~0. O~ ~O0~S
Well
D~lling
PERMIT NO.
~ DISTANCE TO: ~ mD~ i~
~ Manuf~turer ~,~ Material ~ ~ No. ol compartments ~
Liq, capacity in gallons Inside length Width Liquid depth
JO0O IF HOME.DE:
~ ~ ~ DISTANCE TO: Well Dwelling PERMIT NO.
~_~O ~ Manufacturer Material Liquid ca.city in ~llons
Length of each line Total length of lines Trench width Distance ~t~en lines
~ ~ ~ Top of tile to finish grade I ' Material beneath tile
area
Length W~dth Depth PERMIT
~ ~ Type of crib Crib diameter Crib depth Total efl~ti~ absorption area
~ Well Building foundation Nearest lot line
~ DISTANCE TO:
~ Class Depth Driller Distance to lot line PERMIT NO.
~ DISTANCE TO: Building foundation Se~r line Septic tank Absorption area(s)
OTHER
PIPE MATERIALS
SOIL TEST RATING ~ ~ho ,~
INSTALLER
REMARKS
--
..... ii ---
APPROVED DATE LEGAL
724)13 (Rev. 3178)
PERMIT NO.
DEPARTMENT O HEALTH AND ENVIRONMENTAL i JTECTION
825 fL' STREET, ANCHORAGE, AK. ~99501
264-4?20
~ELL A~WD ON--SITE SE£WER,' PERMIT
8~0i31 )
APPLICANT
LOCATION
LEGAL
PATRIC L BELL
L4B3 TRAILS END
617 LORI CT 99504
LOT SIZE
999999 SQUARE FEET
TYPE OF SOIL ABSORPTION SYSTEM IS; DRAINFIELD
MAXIMUM NUMBER OF BEDROOMS = 3 SOIL RATING (SQ FT?BR>=
TH~ REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS:
DEPTH= 6 LEt~GTH= 75 GRAVEL DEPTH=
THE LENGTH DIMENSION IS THE'LENGTH (IN FEET> 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>,
THE TRENCH 'I~IDTH I5 5. 000 FEET.
THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE
AND THE BOTTOM OF THE EXCAVATION (IN FEET>.
RE(~U I RED SEPT I C TRr-I~( 5 I :~'E= -1OOO GALLOt'~$
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,
TL-IO ( 2 > I t~I~;PECT I Or-IS ARE RE(~U I RED
BACKFILLING 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 i50 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 THE DEPARTMENT WITHIN 30 DRYS
OF THE WELL COMPLETION.
OTHER REQUIREMENTS MAY APPLV. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE
AVAILABLE TO INSURE PROPER INSTALLATION.
PERM I T EXP I RE~ DECEMBER -~:L~ ~-98~
I CERTIFV THAT
i: 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 THE CODES.
3: I UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE
RESIDENCE IS RENODELED TO INCLUDE MORE THAN 3 BEDROOMS.
SIGNED'
V4, 0
D~T~T WILL ~ ~JS~ECT TO pR~i:IJ~O~
:~:iOg*FEET FOR R PRIVATE ~L OR 1~ TO ~ FEET FROH
UPON ~ ~ ~ PU~[C .~L
*H[HIF~ O[ST~ FR~ R PRIVR~ ~ TO ~ PRIVRTE
APPLIC'-NT FILLS OUT UPPER HAL~"~DNLY ,'
Other
Indlvid~l Year Indiv~ual Installed: /~ ~ ~ ~ ~ ~
~ Holding Tank '
; NOTE: THE INSPECTION ~E MUST ACCOMPANY EACH RE~EST BEFORE ~OCESSING CAN BE INITIATED.
Time Time Time Time ~
Oa,e Date Date Date G_ ~-~_~-_.
Inspector Inspector Inspector Inspector
Field Notes: L~.~-I.[ wo~ ~ ~ ~ ,0L e~. ~ ~g . - MUNICIPAU~ OF
~u ~~ C~ 9~ ~ 10o 2 JUN ~5'~
~0 ~
( ~ } APPROVED ~DROOMS 'CONDITIONS OF APPROVAL
( ) DISAP~OVED
~ ~ CO.D~T~.~L APPROVAL'
· WATER WELL RECORD ~'"'~ ,~'
STATE OF ALASKA
DEPARTMENT OF NATURAL RESOURES
Divlsioo of GeoIogicel& Geophysicul Surveys
'?~.Jooro.eh S.b,,,,a,an LO, S,o,, ~ '/4,,.. Sea.a. NO.TO'.Oh'PNO ORris. Ell
~]01STANCE ANOOI~ECTION FROM ROAD INTERSECTIONS 3. OWNER OF WELL: P~][
8uefacl 4. WELL DEPTH: (final) 5. DATE OF COMPLETION
· II IN ~ ~ ~ ,o. STATIC ,ATER LEVEL: ~
~ Above or ~ 8ilog land la~facl DOte
15. Woler Temperature , o ~ F ~ C
June 21, 1983
Patric L. Bell
4417 Old Seward
Anchorage, AK 99503
Subject: Lot 4, Block 3, Trailsend Subdivision
Approval for the individual sewer and water facilities cannot
be granted until the following items have been completed:
~The top of the well casing should be sealed so that it is
water tight.
~ The water analysis report needs to be. submitted to this
~-~"-office from the Chem Lab, 5633 B Street, for our review.
Please notify this Department for a reinspection when the
noted discrepancies have been corrected. If there are any
further questions, please call this office at 264-4720.
Sincerely,
~7/ej/z2
Cory %;illis