HomeMy WebLinkAboutSAMPSON ESTATES BLK 4 LT 19Samp
Esta
on
Block 4
Lot 19
#051 -811 - 24
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
hftp://www.muni.org/onsite
On -Site Wastewater Disposal System Permit
Permit Number: OSP241125
Work Type: Septic Upgrade
Tax Code Number: 05181124000
Site Legal Address: SAMPSON ESTATES BLK 4 LT 19 G:1560
Site Mailing Address: 22431 PHARAOH CIR, Chugiak
Owner: RHAME JEFF &
Design Engineer: GARNESS ENGINEERING GROUP LTD
This permit is for the construction of:
Effective Date:
Expiration Date:
Lot Size in Sq Ft:
Total Bedrooms:
6/13/2024
6/13/2025
40594
Q Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage
All construction shall be in accordance with:
1. The attached approved design.
2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska
Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80)
3. The wastewater code requires inspections during the installation. The engineer shall notify the Development
Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
shall be either:
a. Opened and Closed on the same day, or
b. Covered, sealed, and heated to prevent freezing
9
Received By: - %� Cst— "1 Date:
Issued By: Date:
ON -SITE SEPTIC/WELL PERMIT APPLICATION
Parcel I.D. 051-811-24
Property owner(s) JEFF RHAME Day phone 907-223-3995
Mailinq address 22431 PHARAOH CIRCLE, CHUGIAK, AK 99567
Site address 22431 PHARAOH CIRCLE, CHUGIAK, AK 99567
Legal description (Sub'd., Block & Lot) SAMPSON ESTATES; BLOCK 4, LOT 19
Legal description (Township, Range & Section)
Lot Size Sq. Ft, Number of Bedrooms 5
APPLICATION IS FOR:
APPLICATION IS AN:
TYPE OF DWELLING:
(Z all that apply)
Absorption Field
FX�
Initial 1-1
Single Family (SF) FRI
(w/wo ADU)
Septic Tank
M
Upgrade M
Duplex (D) D
Holding Tank
F]
Renewal
Multiple Dwellings D
Privy
El
(SF and/or D)
Private Well
M
Water Storage
D
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: - dY Waiver Fees:
Date of Payment: Zp-, Date of Payment:
Receipt Number: Receipt Number:
Permit No. 0_;PZ9 11 7,.5- Waiver No.
GAIDevelopment Services\Building Safety\On Site Water and Wastewater\Forrns\Cllent FoansTermit Application.doc
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP241125, Curtis Townsend, 06/13/24
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP241125, Curtis Townsend, 06/13/24
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP241125, Curtis Townsend, 06/13/24
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP241125, Curtis Townsend, 06/13/24
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP241125, Curtis Townsend, 06/13/24
Municipality of Anchorage
Development Services Department ~-. =
On.ire Water & Wastewater Pr~mm. 4700 Sou~ Bmgaw St.
P.O. Box 196650 ~chorage, AK 9951~650
~.ci.anchomge.ak.us (907) ~79~ Page I of
On. Ire Wastewater Disposal System and/or Well Inspection Repo~
Pe~it Numbe~ SW010158 PID Numbe~ 051-811-24
ROD HARRIS Wastewater System: ~ New D Upgrade
P.O. BOX 770612 8 ~GLE RI~R. AK 99577 ABSORPTION FIELD
(907) 696-4621 5 ~Deep Tm~h ~l~w Tm~h
DESCRIPTION 2.0
19 4 ~PSON E~A~ (+) 0.28 - (-) 0.32~ 0.5
- - - 2.3 - 3.O
WELL: I New ~ Upgrade 12+ n 6
PRNATE 157 ~ 156 ~ 384
SULL~ WATER WEL~ 7/3/2001 124 n D~ CON.RUCTION 7/3-9/2001
20 ~ UNKNOWN 2 TANK
SEPA~TION DISTANCES =~=~1~ "S.T.~P.
From Tank S~on Tank ~ ~ ~CHO~E TANK 2000
Well 100'+ 100'+ 100'+ -- 25'+ ~ ~EEL
2
SuHace Water 100'+ 100'+ 100'+ -- -- LIFT STATION
~t Une 5'+ 10'+ 5'+ - - 2000 ~CHO~GE T~K/ORENCO ~EM
Cu~aln Drain N~NE KNOW~ ~ ~ a ~ ~ ~
20 OS o5 HEr ~d~?
Remarks: * ~IS IS AN BO~OMLESS BENCH MARK
I~ERMI~E~ ~ND RLTER (IS~ ~EM TOP OF E~I~L BOX ~ONG
· * 2.02 OF M.O.~ ~PRO~D ~D NORTH PROPER~ UNE
RLTER ADDED TO TOTAL DEPTH 100.00
inspections pedo~ed by: A~C, INC. Dates: 1st 7,/3/2001 .~_:~. ~ : ~ ....... :...
2nd~th
7/3-9/2001
DepaAment of Healt~~a~es approvab /
PERMIT
' $W010158 AS-BUILT DRAWING
051-811-24
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A~S~ WATERcoNsULTAmS. & WAS TE~VATER,,c. ~ '~':':~'?/~.
ROD HARRIS (907) 696-4621 ~ OF 3 ~.~ ;~pf~e) q. Oa~bs.:
~ D~l~ON: '~%. ~. ~ CI :.-7953 ..."
SAMPSON ESTATES S/D; LOT 19, BLOCK a '~3]~ - .'""'' '"'
AS-BUILT DRAWING OF NEW WELL AND SEPTIC SYSTEM
AS BUILT I)RAWING
SWO 10158 ~ 051-811-24
~ ~ ~ ~INSU~nON
,~ o~ .~.o ' N~W I~00 ~LON -,
~' '"~ ' '~"'J 5~,~,P. T~K I
ORIGI~ O~
I~ OF
- 103.27 (A~~ :¢~ ............ *" -~ ---~':~
............... ' " ...............
- 101.~ ~M OF B~
(A~ - ~.~e (A~O
~( OF WOR~
PROFILE AS-BUILT DRAWING OF SEPTIC SYSTEM (BO~OMLESS ISF)
88-23-01
08:83
4419 A~D STATION
by
DOC CO. dba
SULLIVAN WATER WELLS
P.O. BOX 670272, CHUGIAK, ALASKA 99587 · I'ELEPHON£ ~88-2750
DATE:
PERMIT NUMBER; OIt,/~"~" Date ol.lssue ~ ..-~ .,3e,.~.a~
.TAX I[~ENT~F;CAT~OW ~UMS~': O ~1 . ~- ~
Method of Drilliqg: ~r mta~ J cable tool
Ca no y.e W , ic ne. nche
Dlamet~ ~ i~ Inches, Oepth , /~ feet
~ Type: '~b~
Casin~ Stlckup ~bove Ground: ~' feet
' Stat~ Wa~r Level: /~ ~ feet
R~over Rate~ ~ ~ gpm
Method of T~ting: ~1~
~ell I~take Opo~ng Type: ~n e~ U open hole
~ Screen: Start feet StoD~d feet
~P~rforaU~s s~ad C~ Stopped ~. ' feet
~'pth: from ~ feel, to ~ O ~ leer:
W~II D~lnf~ted Upon CompfeUon? ~ U No
Me~ of D~sinfectlon: ~ ~'~ ~e ~
Comments:
· ATTENTION: Ir'Is the responsibility of the property ov~ tO'submit a copy of the well iog to the proper a'u~fierity, Municipality ,
of Anchorage: Department of Health & Human Services an.~or. Department of Environmental Consewation. MatSu Borough:
Department of Environmental Consewation. ' ' ·
907 L:v78 4419
ELECTRICIANS REPORT.,
I, TONY GONGALESKI, LICENSED ELECTRICIAN
LICENSE#
HEREBY CERTIFY THAT ONE SEPTIC LIFT STATION AT
LOT 19 BLOCK4 SAMPSON ESTATES
22431 PHAROAH CIRCLE
PETERS CREEK, AK.
IS WIRED TO CONFORM TO LOCAL ELECTRICAL CODES
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
Initial
Date Issued: Jun 04, 2001
Expiration Date: Jun 04, 2002
Permit Number: SW010158
Legal Description: SAMPSON ESTATES BLK 4 LT 19
Design Engineer: 0041 AK Water & Wastewater Consultant
Owner Name: RODNEY L. & JAMI L. HARRIS
Owner~ddress: 22431 PHARAOH CIRCLE Total Bedrooms: 5
EAGLE RIVER, AK 99577-
Parcel ID: 051-811o24
Site Address: 022431 PHARAOH CIR
Lot Size: 40594 SQ. FT.
Permit Bedrooms: 5
This permit is for the construction of:
[] Disposal Field [] SepticTank [] 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 By:~
Issued By:
Date:
Municipality of Anchorage
Development Services Department
Building Safety Dlvlslon
On-Site Water & Wastewater Program
4700 South Bragaw SC
P.O. Box 196650 Anchorage, AK 99519-6650
www.d.armhomge.ak.us
(907) 343-?~4
ON-SITE SEWER/WELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLING
Property owner(s) Roe HARRIS
141~RRI $
Permit Number ~,~0/0/~'~
Day phone 696--4621
Mailing address (1)
SIrE
Mailing address (2)
P.O, BOX 770612 * EAGLE RIVER. AK
~pCode ~577
Legaldescdpfion(Lot, Block&Sub'd.) SAMPSON ESTATES SUBDMSION: LOT 19. BLOCK 4.
Legal description (Section, Township & Range)
Lot S[ze,~ Acre~
THIS APPLICATION IS FOR:
Sewer Only mE]
Sewer and Well
Sewer Upgrade []
Number of Bedrooms
Well Only
Water Storage
THIS PROPERTY CONTAINS:
Hot Tub
Swimming Pool
Therapy Pool
Jac~,?l
Water Softening Unit
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.
ALASKA WATER & WASTEWATER CONSULTANTSI INC.
Permit Fees:,
Date of Payment:
Receipt Number.
Waiver Fees:
Date of Payment:
Receipt Number.
ALASKA WATER & WASTEWATER
, ~ ' CONSULTANTS, INC.
May 22, 2001
Municipality of Anchorage
Development Service Department
Building Safety Division
On-Site Water & Wastewater Program
P.O. Box 196650
Anchorage, Alaska 99519-6650
Ref: Septic System Upgrade for Lot 19, Block 4, Sampson Estates Subdivision
(Bottomless Intermittent Sand Filter - ISF)
To whom it may concern:
Thc proposed 5 bedroom house will be served by a private well and septic system. Test holes
were excavated in the proposed septic system area. We arc proposing that a 2000 gallon S.T.E.P.
tank and a innovative Bottomless Intermittent Sand Filter (ISF) system be installed. Comments
regarding thc proposed upgrade are summarized as follows:
1. SOILS: Attached arc logs which shows thc soil classifications, groundwater monitoring, and
the percolation test results. It is our opinion that duc to thc overall appearance of thc soils, a
application rate of 2.0 gallons/day/It: should apply for thc Bottomless ISF system.
2. DRAINFIELD DESIGN: Bottomless Intermittent Sand Filter (ISF)
a. Percolation Rate: 48 & 30 minutes/inch
b. Allowable Application Rate for ISF: 2.0 gallons/day/Il2
c. NumberofBedrooms: 5
d. Design Flow: 750 gallons per day
e. Minimum Absorption Area: 375 Il2
f. Effective Depth below pressure pipes: 0.3 feet
g. Width: 12 feet
h. Length: 32 feet.
i. Effective absorption area = 384 Il:
j. Air Supply: Thomas Industries, Model 5070, "Anchorage Tank".
k. Air Supply Line: "Wasteflow" emitterline, 1/2 inch I.D, "Anchorage Tank".
1. Sand Material: In accordance with M.O.A. latest standards
m. Pea Gravel: 100% passing 3/8" sieve, less than 20% passing the 1/4" sieve, and
less than 1% passing the #8 sieve.
6901 Debarr Road, Suite 2B * Anchorage, AK 99504
Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: akwwc.com
We are proposing to excavate down to a depth of 2.5 feet (maximum - remove all organics),
place a minimum of 6 inches of sand, install the air supply line, and cover it with 1.5 feet of
sand. On top of the sand, we will place 6 inches of 3/8 inch pea gravel, with the pressure laterals
midway in the layer. We will use a conventional lift station (Anchorage Tank), equipped with a
programmable timer so that flow can be intermittently dosed to the ISF.
3. SURFACE WATERS: There is no surface water within a 100 foot of the proposed septic
system upgrade.
4. TOPOGRAPHY: As can be seen on the attached design, the average topography in the area
of the proposed septic system is a 1 to 5 percent slope that runs from approximately south to
north; in short, there are no slope concems.
S. MATERIALS AND CONSTRUCTION PRACTICES: The materials used, and the
construction practices will comply with DHHS' "Intermittent Sand Filter Design, Installation &
Maintenance Manual". The contractor should read this document prior to construction. Copies
are available at the Municipal Onsite Services office (Sth floor, 9th & L St.).
6. CLOSING: I am open to any suggestions from your department, which would be an
improvement to the proposed design. I am unaware of any adverse impacts this installation
would have on adjacent wells or septic systems. If you have any questions, please contact us at
337-6179. Thank fou for your assistance.
Presiditnt
6901 Debarr Road, Suite 2B * Anchorage, AK 99504
Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: akwwc.com
,/
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~N ~A~ S~ ~T 17. 8K 4.
~S~ WATER & ~STE~TER ~
.o~ .~.R~S (~on s~-4s~J ~ or
SAMPSON ESTATES SUB~IVISlONi LOT 1~ BLOCK 4,
~[ or WORK:
SITE PBN fOR PROPOSED WELL. AND SEPTIC SYSTEM LOCATIONS
I .,., \ I
~ \ SAMPSON ESTATES ~) T~C ^m C~P~SSm aWL ~ A ~ ~m~S ~ ~70,
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/ / ~ pRI~R TO CON~RU~ION. ~ ~ ~D RL~R (ISO
-- / ~ / ~T ~ 2.5 ~ D~
~D RL~ ~D
~ ~ ~ ~ ~E DZ~IB~ON
~ ~P OF ~E ~D. S~ D~L
D~NG
/
/
5/22/2001
...~ ,, ,_,,
CONSULTANTS, INO.~ j" = 40~ ..................-~},,
PR~ FOR: PHONE NUMBS: P~E NUMAR:
ROD HARRIS 696-4621 2 OF ~
~AMPSON ESTATES SUBDIVISION; LOT 19. BLOCK ~,
DESIGN OF PROPOSED WELL LO:ATION AND SEPTI~ SYSTEU
3/4' DIA. ~CH. 40 PVC
(DRI~ 1/4 INCH D~ ~)
P~N VIEW
~ BURI~ ~AY ~
~. u.~ ,,-,~ PROFILE VIEW
A~S~ ~TER & WASTE~I'ER
ROD HARRIS (go7) ~g~-4~2~
SAMPSON ESTATES SUBDIVISION; LOT 19, BLOCK 4,
D~AIL OF BO~OULESS INTERUI~[NT SANF FILTER
AI.ASKA WATER & WASTEWATER CONSULTANTS, INC.
PHONE (907) 357-6179 * FAX (907) 358-5248
LEGAL DESCRIPTION: SAMPSON ESTATES SUBDIVISION: LOT 19, BLOCK 4. "
PERFORMED FOR: ROD HARR,S
~ SP CH
,~14~)l ov/sv/.c DEPTH TO DATE ~
I~l)] ~ W[~S GROUNDWATER
/ ~c
11 DATE RE.lNG CLOCK NET TINE WATER LEVEL NET DROP
TIHE (HINGES) RE. lNG (INCHES)
2 4:s0 ~0 5 1/2' 1/2'
4 5:20 ~0 5 3/8' 5/8'
14 5 5:20 - 6' -
6 5:50 30 5 5/8' 5/8'
15
16
17
18
19 PERC~TION ~TE 48 .(HIN./INCH) PERC. H~E DIA. 6 (INCHES)
20 TEST R~ BET~EN 4.5 FT. ~D 5.0 FT.
COHHENTS: PERC. HO~ W~ PROOFED 4+ HOURS PRIOR TO ~NG, DUE TO O~R ~ ~P~CE OF
~E SOI~. RECOMMEND USING A 0.45 ~PU~ON ~TE.
PERFORMED BY A~ WATER · W~A~R. I, JEFFR~ ~ ~RNESS, CERTI~ ~T ~IS
W~ PERFO~ME~ IN ACCORD~CE W~H ~ ~ATE ~D MUNIClP~ GUIDEUNES IN EF~CT ON
DEPTH TO DATE
GROUNDWATER
DRY 8/10/00
5.0' 8/17/00
ALASKA WATEP, & WASTEWATEI~ CONSULTANTS, INC.
ISOIL LO(; - PERCOLATION TESTJ
LEGAL DESCRIPTION: SAMPSON ESTATES SUBDN1SION; LOT 19, BLOCK 4,
PERFORMEO FOR: RO0 .~R~S ~,,o9 ~,.'~',~;'tor~'"~;;;T"~
DA~ PERrORUm 8/10/00 ~0~$~_ 1'-. ~ Cl :. [7~5~ ....'
OR~,CS ITEST HOLE ~2I
GM CL ~-~ '~
~c cc~
~SP CH ,
~s~ OH ~ , ~]~ i ~o~
CU/SM/ML DEPTH TO DATE
WEEPS ~RO~DWATER--P~o~ ~
5'-10' O~ 8/10/00 I ~ ,
5.5' 8/17/00 ~ / / / HO~ ~PRO~
- / ~c
~o ~ /
11 DATE RE. lNG CLOCK NET TINE WATER LEVEL NET DROP
TI~E (HINGES) RE. lNG (INCHES)
12 8/11/00 1 4:20 - 6- -
2 4:50 30 5
13 3 4:50 -
4 5:20 30 5' 1 '
14 5 5:20 - 6' -
6 5:50 30
15
16
17
18
19 PERC~TION ~TE 30 .(~IN./INCH) PERC. H~E DIA.. 6 (INCHES)
2 TEST R~ BET~EN 4.5 FT. ~D 5.0
CONHENTS: PERC. HO~ W~ PRESO~ED 4+ HOURS PRIOR TO ~NG. DUE TO O~R ~ ~P~CE OF
~E SOI~. RECOMMEND USING A 0.45 ~PU~ON ~TE.
PERFORMED BY A~ WATER ~ W~ATER. I, JEFFR~ A. G~NESS, CERTI~ ~T
W~ PERFO~ME~ IN ACCORDANCE W~H ~L ~ATE ~D MUNICIP~ GUIDEUNES IN E~ ON
DATE: ~IZ~/o;
DEPTH TO DATE
3ROUNDWATER
DRY 8/10/00
5.5' 8/17/00
.4 [VWC, Inc., Year 2001
ALASI WATER & WASTEWATER
CONSULTANTS, INC.
Standard Construction Specifications for Single Family [Veils &
Onsite [Vastewater Disposal Systents
I. REFERENCE PROPERTY:
Lot 19, Block 4, Sampson Estates Subdivision. The design is for a (5) bedroom residence
II. DEFINITIONS:
1. Property owner or homeowner: The legal property owner or his/her appointed representative
(not AWWC, Inc.).
2. Engineer: Alaska Water & Wastewater Consultants, Inc. (AWWC, Inc.)
3. Contractor: The company hired by the property owner to install the septic system. If the property
owner installs the system then he/she would also be the contractor for purposes of this installation.
4. Well Driller: The person or company hired by the property owner to drill the well.
~. DSD &/or MOA: Municipality of Anchorage, Development Services Department, On-Site Water
8: Wastewater Program.
III. RESPONSIBILITIES:
· Property Owner Responsibilities:
1. CONTRACTUAL RELATIONSHIP: The property owner shall contract with the contractor to
perform the work outlined in these specifications and plans, in accordance with the attached DSD permit.
There is no contractual relationship between the contractor and the engineer. The engineer shall inspect
the work, as required by DSD, so as to document the installation. Final acceptance of the contractor's
work rests with the owner and the DSD.
2. SINGLE FAMILY RESIDENCE ONLY: This well and/or septic system design is for a single
family residence only. The homeowner is responsible for notifying the engineer if thc residence is used as
a duplex, business, or multi-family dwelling. In such cases, the installation permit must be obtained from
the State of Alaska, Department of Environmental Conservation.
3. DISCLAIMER REGARDING AS-BUILT SURVEY: The validity of the design site plan is
limited by the accuracy of the as-buih survey provided to the engineer by the property owner or his/her
representative. The property owner shall notify the engineer regarding any known inaccuracies associated
with thc as-built survey. The engineer assumes no responsibility for thc accuracy of the survey.
4. UNPLATTED EASEMENTS: The property owner is responsible for notifying the engineer
and the contractor of any unplat~ed easements, not shown on the as-built survey, which the new well or
septic system may encroach into. Such easements are typically identified in the property title report.
$. DISCLOSURE OF SITE CONDITIONS: The property owner shall notify the engineer and the
contractor of any seasonal groundwater or surface water runoff conditions known to him/bet which could
potentially effect the operation of the septic system. The proposed septic system must be at least 100 feet
Page 1 of 7
Inc.. Year 2001
from any streams, ponds, creeks, swamps, bogs, or any other surface water as der-reed by the DSD. This
disclosure is of particular significance when the site evaluation and design work is being done during the
winter months when surface waters are frozen and there is snow cover.
The property owner shall notify the engineer and the contractor of any known subsurface conditions that
would prohibit or restrict the imtallation ofthe septic system. Items of concern would include, but are not
limited to buried piles of construction debris, undocumented septic systems, areas which consist primarily
of fill (imported) soil, subsurface drainage systems, & abandoned wells.
6. DRINKING WATER WELLS: The property owner is responsible for notifying the engineer
if, to his/her knowledge, any of the adjacent properties are used as a duplex, business, or multifamily
dwelling. The new septic tank and leachfield must be at least 100 feet from any private well, 150 feet from
any class "C" well, and 200 feet from any class "A" or "B" well, unless appropriate waivers are obtained.
Furthermore, the property owner shall notify the engineer of any undocumented or abandoned wells,
known to him or her, that are located on the subject or adjacent properties.
7. CURTAIN DRAINS: The new drainfield must be at least 20 feet down gradient and 50 feet
upgradient from any subsurface drains. This includes foundation drains. The property owner should notify
the engineer of any such drains that are not shown on the design drawings for this installation.
8. POST CONSTRUGHON SITE RESTORATION: Unless specifically agreed upon otherwise,
the property owner is responsible for final grading of the areas which set~le after const~'uction. Prior to
awarding the conlract' the homeowner should communicate to the contractor any expectations regarding,
but not limited to post constmctinn site clean-up, re-landscaping, and restoration of any asphalt, fences,
trees, decks, ect. that are effected by the construction. All mound type drainfields are required by the
MOA to be re-vegetated. The property owner is responsible for this work unless other arrangements are
made with the contractor.
If the property is being sold, the property owner shall ensure that the aforementioned items are ad&essed~
with the buyer, and, if the work is to be completed after the sale of the property, that necessary funds areI
escrowed to fund the completion of the work. i
9. PROPERTY' OWNER INSTALLATION OF SEPTIC SYSTEM: Ifthe pmperW owner intends
to install the septic system he/she must fu'st have obtained approval from the Municipality of Anchorage,
DSD (343-7904). Homeowner installations t~ically require more time for engineer inspections. The
homeowner should discuss the additional costs associated with such inspections with the engineer prior to
starting the project.
10. ENGINEER CtlARGES TO INSPECT TIIE INSTALLATION: The property owner is
responsible for payment of all the engineer inspection charges. These charges are in addition to the soils
testing and design work that was required to obtain the MOA sewer/well permit. The number of
inspections will vary depending on the actual field conditions encountered and the construction methods
used. If there are any questions by the property owner, or his/her representative, regarding charges for
installation inspections they should be discussed prior to beginning construction. AWWC, Inc. will
provide you with a written copy of the fee schedule.
1 I. CIlANGES IN TIlE SCOPE OF WORK: See Section V, "Disclaimers" regarding design
changes. See "Conwactor Responsibilities", paragraphs 1, 2, & 13. In addition, see "Engineer
Responsibilities", paragraphs 2, 4, & 5.
· Contractor Responsibilities:
1. PRE-CONSTRUCTION LAYOUT: The contractor is responsible for locating all buried
utilities, easements, property lines, surface water setbacks, well radii, and water service lines which may be
encroached upon by the proposed septic system. The contractor shall ensure that all setbacks are flagged
by a registered land surveyor, or other appropriate means, prior to construction. AWWC, Inc. field
engineers/inspectors will not be responsible for establishing or confu'ming any of the aforementioned
setbacks.
Page 2 of 7
Inc., Year 2001
The contractor should recognize that the location of all wells, surface waters, structures, and other items
shown on the design drawings are typically derived from as-built surveys, and municipal records. The
as-built surveys and municipal records (prepared by professional engineers & land surveyors) have been
assumed to be accurate for purposes of this design; however, the accuracy has not necessarily been field
verified. Prior to beginning any construction the contractor shall field locate all items which have
protective sethack~ and verify that there are no encroachment concerns. Any encroachments, for which
waivers have not been granted, should immediately be brought to the attention of the property owner (or
their representative) and the engineer.
The test hole pipes shall not be removed/abandoned until after the engineer has established their location
relative the new drainfield during the first inspection of the drainfield installation or during the
pre-cunstruction layout. The new drainfield/s must be within a 30 foot radius of the test hole/s used for
establishing the design criteria.
The contractor should establish the elevation of all existing and proposed system components prior to~
starting cons~uction so as to insure that the necessary grades can be maintained. This is particularly1
significant when the elevation of the existing system components is unknown because clean-outs are notI
present, buried, or non-functional (can't measure down them because of obst~'uctions). It is recognized th,all
conditions can be discovered that will materially change the design and the conslmction costs. I
2, DISCREPANCIES BETWEEN DESIGN DRAWINGS AND SPECIFICATIONS:
Constxuction shall be in accordance with the approved site plan and design drawings, and any special
provisions noted on the municipal sewer permit. The contractor is responsible for notifying the engineer of
any discrepancies noted on the design plans or drawings, prior to starting work.
3. CHECK GROUNDWATER LEVELS IN TEST HOLE MONITORING TUBES: Prior to
beginning construction, the contractor shall check the liquid level in the test hole monitoring tubes to
ensure that there has been no change in the groundwater levels that would impact the proposed design.
Any rise in the liquid level should be brought to the attention of the engineer so that design changes can be
made if necessary.
4. MAXIMUM DEPTil OF DRAINFIELDS: The maximum depth of the drainfield is shown on
the design drawings or is noted in the narrative portion of the design package. The conmsctor shall notify
the engineer of any inconsistencies noted in the design package.
For purposes of this installation, the maximum depth of the drainfield will be based upon taking ~
measurement at the deepest pan of the excavation between the highest ground elevation encountered
(usually on the uphill side of the excavation) and the bottom of the trench or bed excavation. The
contractor shall exercise caution not to remove evidence of the original grade prior to establishment of the
total system depth. In short, don't remove the organic layer until after the original grade elevations are
established by the inspecting engineer.
5. SUITABILITY OF MATERIALS USED FOR CONSTRUCTION. The contractor shall ensure
that all materials being used are in compliance with the most current guidelines established by the
Municipality of Anchorage. This includes, but is not limited to, the following:
a. Drainrock
b. Sand filter material for conventional beds, trenches, or mound systems.
c. Sand filter material and pea gravel for Intermittent Sand Filters (ISF).
d. Anchorage Sand and Gravel (AS&G) "block pea" material for Upflow Filters.
It is recommended that the contractor provide the engineer with current sieve analysis' from the
sand/gravel supplier to document the suitability of the material. The engineer assumes no responsibility for
ensuring that the materials delivered meet the MOA requirements.
6. BURIAL RATING OF TANKS: The contractor shall ensure that the septic tank, lift station, or
holding tank purchased has a burial depth rating suitable for the actual installation.
Page3 of 7
~11YWC. Inc., Year 2001
?. SEPTIC TANK AND STEP TANK SIZES: Prior to purchasing a septic tank or lift station the
contractor shall verify that it is adequately sized for the number of bedrooms shown on the permit issued
by MOA. The minimum septic tank size is 1000 gallons and the minimum STEP link size is 1250 gallons.
These size tanks will handle residences with up to 3 bedrooms. For each additional bedroom over three (3)
the septic tank or the STEP link volume shall be increased by a minimum of 250 gallons. For example, a
four (4) bedroom residence must have a 1250 gallon septic link or a 1500 gallon STEP link.
8. INSPECTIONS - ENGINEER NOTIFICATION: The contractor shall notify the engineer at
least 24 hours prior to starting construction. If deemed necessary, a pre-conslruction site visit shall take
place. The contractor shall coordinate with the engineer any inspections which will be required during
weekends, holidays, or before/after normal working hours (8:00 am to 5:00 PM). The property owner
may Incur additional charges for inspections which do not occur during normal business hours. It is
the contractor's responsibility to notify the engineer a least 2 hours prior to ony Inspection.
9. REGULATORY NON-COMPLIANCE. The conlractor shall report to the engineer and the
property owner any observed condition which would put the septic system in violation of State or
Municipal regulations.
10. BACKFILL OLD TEST llOLES: Any remaining test hole excavations shall be filled and
mounded as part of this project. Unless inslructed otherwise by the engineer, the old test hole groundwater
monitoring pipes shall be removed.
11. FINAL GRADING FOR DRAINAGE: The contractor is responsible for final grading so as
to ensure that surface runoff does not adversely effect the septic system constructed, adjacent septic
systems, or adjacent structures.
12. SOIL COVER REQUIREMENTS: The contractor shall ensure that the £mal cover over the
link and drain field is either compacted adequately when backfilling, or mounded sufficiently to ensure that
there is adequate soil cover over the link and drainfield after settlement occurs. If seasonal conditions
prevent this, the property owner (or his representative) shall be notified that additional fill may be required
after settlement occurs. This notification is of extra significance when the properly is changing ownership.
13. CiIANGES IN CONSTRUCTION COSTS: The contractor is responsible for obtaining
approval from the property owner for any additional construction costs associated with design
modifications or changing field conditions prior to doing the work.
14. WORKING IN KIGIiT-OF-WAYS AND TRESPASSING PRIVATE PROPERTY: The
contractor is responsible for coordinating (including payment of encroachment permit fees) all access
through public and private properties with the appropriate authorities and/or property owners.
Furthermore, the contractor shall inform all parties of any potential impacts to adjacent properties prior to
beginning any construction.
15. MAINTENANCE & OPERATION5 MANUALS: The contxactor shall provide the
homeowner with the manufacturer's installatinn/maintenance manuals for all system components installed
under this contract. If not given directly to the property owner, the manuals should be enclosed in a
protective cover (plastic bag) and placed/secured in a prominent location so the property owner can fred it.
16. INNOVATIVE SEPTIC SYSTEMS. START-UP INSPECTIONS: The contractor shall
notify Anchorage Tank & Welding Company (272-3543) after the installation of an Intermittent Sand
Filter kit or Advantex system (supplied by Anchorage Tank) is installed so that the appropriate start-up
inspection can be scheduled. This notification also activates the quarterly maintenance schedule, Such
notification is usually not required for BinCycle installations since "BioCycle of Alaska" is typically
involved with the installation. The contractor shall contact BioCycle of Alaska (283-9003) regarding any
start-up notification requirements.
· Well Driller Responsibilities:
1. The well driller shall ensure that he has a well permit in possession prior to drilling the well.
2. The well driller shall physically verify that the there are no septic systems, or other potential
sources of contamination, within the protective radius of the proposed well prior to drilling it.
Page 4 of 7
.q WWC, Inc., lear 2001
· Engineer Responsibilities:
1. SYSTEM DOCUMENTATION: The engineer is responsible for inspecting the installation of
the septic system and preparing as-built documentation, to the satisfaction of the M.O.A.. Inspections are
performed as necessary to document the construction of the system to the satisfaction ofthe M.O.A. In all
cases, inspections shall be performed as necessary to establish the following:
* The original grades at the drainfield/s site
* The bottom ofall txench/bed excavation
* Top of sand on all sand filters
* Top of drainpipe
* Septic tank, or lift station, or holding tank prior to backfill
* Placement of filter fabric and insulation
* After final grading is completed
2. LIMfi'ED AUTIIORITY: The inspecting engineer has no direct authority over the contractors
activities or constxuction/safety practices. Should the engineer identify conditions which dictate a design
change, he or she will recommend that work be stopped, and/or the design be modified. If design
modifications are necessary, the engineer shall notify the properly owner or his/her representative. The
inspecting engineer dues not have the authority to direct the conWactor to modify the system design in such
a way that it would be in violation of State or MOA regulations.
3. SEPTIC TANK INTEGRITY: The engineer shall inspect the condition of the existing septic
tank and determining its suitability for re-use. If the engineer determines the septic tank to be suucturally
unsound, it must be replaced.
4. COORDINATION OF DESIGN CtlANGES WI'III TIlE MOA: If design changes are
necessary, the engineer will coordinate the approval of the changes with the MOA. The contractor does
not have the authority to proceed with any design modifications until verbal or written approval is obtained
from the MOA.
5. COORDINATION OF WAIVERS: If, during construction, it is determined that a waiver will
be required in order to install the system as designed, the engineer will apply for the necessary waiver/s to
the appropriate State or MOA regulatory bodies. The engineering services and State/MOA fees associated
with such waivers will be additional charges to the property owner, over and above the installation
inspection fees charged by AWWC, Inc.
SECTION IV. CONSTRUCTION GUIDELINES:
Construction shall be in accordance with the approved site plan and design drawings and any special
provisions noted on the municipal well and/or sewer permit. All materials, components, worlmmnship, and
construction practices shall comply with the Municipality of Anchorage*s latest ordinances regarding wells
and septic systems, as well as DSD policies. The failure of the inspecting engineer to notice a material or
construction non-compliance does not relieve the con~'actor of his/~er responsibili~ to correct such a
deficiency.
· Septic Tank, llolding Tank, or Lift Station Installation:
I. The burial rating of the tank shall be adequate for the actual burial depth encountered.
2. The tank shall be level and sufficiently bedded to prevent settling or shifting of the tank.
3. All standpipes on the tank shall extend a minimum of 12 inches above final grade.
4. Tanks installed with less than 4 feet of cover shall be insulated. See "Contractor Responsibilities",
paragraph 12 regarding final soil cover.
5. The sewer service line from the house to the tank shall be sloped a minimum of 1/4"
per foot, unless prior approval is obtained from the engineer.
Page 5 of 7
.4 WWC, Inc., Year 2001
6. The inlet and outlet lines from the tank shall be bedded in drainrock or the soil shall be adequately
compacted to prevent future settlement of thc soil.
7, A foundation clean-out will be installed ( 1-4 feet from thc house) ifone does not currently exist.
8. Post tank clean-outs shall be installed per MOA requirements. Does not apply to holding tanks or lift
stations with pressurized lines.
9. In high groundwater areas, all tanks shall be anchored to resist buoyancy forces when there is not
adequate soil cover to resist the uplift force. The engineer shall make this determination.
10. The final soil cover shall be graded so that there is positive drainage away from tank.
1 I. All holding tanks and lift stations shall have an audible and visible alarm inside the residence.
12. All lift stations shall be wired in compliance with all MOA guidelines and the Uniform Electrical
Code. A municipal electrical permit and inspections must be obtained in areas where required by
the Municipality of Anchorage.
13. The contractor shall remove the old tank, or abandon it in compliance with the Uniform Plumbing
Code (UPC). The contractor is solely responsible for the abandonment procedure.
14. ISF AND ADVANTEX INSTALLATIONS: The control panel for the Intermittent Sand Filter and
Advantex systems shall be located outside thc residence, for easy access during inspections. A
remote alarm must be installed inside the residence as per DSD requirements. Mounting the
panel directly to an exterior wood wall should be avoided because the closing of the relays creates
a "clanking" noise that may be offensive to the property owners.
I.e. ISF INSTALLATIONS: The air compressor shall be equipped with 0 to I0 psi gauge for the purpose
of monitoring air flow to the sand filter. The pressure gauge will be located so that it is easily
monitored by the property owner.
* Installation of Conventional Absorption Bed & Trenches:
1. Excavate the proposed bed/trench to the dimensions shown on the design. The bottom of the excavation
shall be within 2 inches of level (2 inch maximum variation between high and Iow spots). If the sidewalls
or bottom of the excavation become smeared, they must be raked or scarified before placement of the filter
sand or draiurock.
2. The trench or bed should be at least 5 feet from the test hole excavation.
3. All soil tests and excavation depths are advisory to the design and are to be verified in the field by the
engineer. If design changes are necessary, and the changes effect the contractor charges to the property
owner, the contractor shall obtain approval from the property owner prior to proceeding with the work.
4. Once the draiurock is installed, the distribution pipe is to be placed level (0.02 feet difference between
high and Iow shots) with the perforations faced downward. Draiurock is then to be placed over the
distribution pipe, to provide a minimum of 2 inches of cover over the pipe. The drainrock shall not be
pyramided over the drainpipe but shall be the same elevation over the entire trench/bed width.
5. A silt barrier must be installed between the fL-al drainrock layer and the native soil backfill. The silt
barrier shall cover the entire drainrock surface.
6. Monitor tubes shall be installed at the locations shown on the design drawings, and extend a minimum
of 12 inches above final grade. The portion of the monitoring tube extending through the draiurock shall
be perforated from the bottom of the trench/bed to the invert of the distn'bution pipe.
7. Backfill over the final drainrock layer must not be less than 2 feet. Insulation must be installed when
the backfill depth is less than 3 feet. The insulation shall cover the entire width of the ~'ench/bed. the
contractor shall "shoot" the final grades to ensure cover depth is adequate, prior to notifying the engineer
that the work is complete. The final cover over the drainfield must graded so that there is no potential for
water to pond over the txench/drainfield. See "Contractor Responsibilities", paragraph 12 regarding
fnat soit cover.
If an alternator valve was installed with this design the contractor shall provide a functional valve
~roperty owner.
SECTION V: DISCLAIMERS
Page 6 of 7
Inc., Year 2001
· UNFORESEEABLE SITE CoNDmoNs: The design of this septic system, prepared by AWWC,
Inc., was based upon a limited evaluation of the soil, groundwater, and site conditions. The extent of
the evaluation is consistent with standard engineering practice in the field. Furthermore, this design
was evaluated and approved by the engineers or technicians on staff at the Municipality of Anchorage,
DSD, based upon the information provided to them. Occasionally, during constxuction, unforeseeable
subsurface conditions (high groundwater, poor soils, buried debris,....) are encountered that make the
proposed installation not feasible. In such cases it is typically necessary to do more soils testing,
groundwater monitoring, and design work. These additional engineering services will be performed
on a fee basis at an hourly rate. AWWC, Inc. will obtain verbal authorization from the property
owner (or his/her representative) prior to proceeding with the work, and will provide a written estimate
if requested. The property owner should discuss with the contractor any changes in the installation
cost associated with the design changes.
· IF 'HIE PROPERTY BEING SOLD AND FUNDS ESCROWED FOR THE UPGRADE, it is
important to bear in mind that the ability to upgrade the septic system on this property is not 100%
certain (for the reasons stated in the previous paragraph). There is always the possibility that
conditions could be encountered that would prevent the installation of anything other than a holding
lank. Although such a situation would be rare, it is important that all parties recognize that such a
scenario is possible.
SEPTIC SYSTEM PERFORMANCE: The design of this septic system is based upon limited soils
testing, groundwater monitoring, and a visual assessment, it is possible that the actual soil conditions
are less favorable then the testing data indicated and that adverse, unforeseeable, changes in the.
surface/subsurface water conditions could impact the performance of the system. Numerous other
factors, out of the conuol AWWC, Inc., may adversely effect the long term performance of the system.
Such factors include, but are not limited to. excessive number of residents in the house, plumbing
leaks, the use of septic system additives, failure to pump septic tank regularly, failure to alternate
drainfields (when this is an option), or/and excessive use of water. Given these variables, it is not
possible to warrantee the performance of a septic system.
By proceeding for~vard xvlth this installation, the Engineer, Well .Driller, Contractor,/
and Property Owner agree that they hav.e..r, ead thes.e specifications and agree to II
accept the terms and condtttons outhned in them.
Page 7 of 7
PROPERTY OWNER MAINTENANCE AGREEMENT
ON-SITE WASTEWATER DISPOSAL SYSTEM
This agreement, dated N~a,[ -/ -~k ,200_[, is made between the Municipality of
Anchorage Depaxuiient of tlealth 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 owner(s) agree to the following:
The property owner(s) will have an annual inspection of the system performed by a registered
professional engineer. This inspection shall verify that all effluent and air pumps, timers, and
alarms are functioning as designed. Any deficiencies shall be corrected and the engineer's
statement that the system is functioning as designed shall be filed annually with the DHHS.
Property Owner Name
Property Owner Name
(Notarize Here)
m NOTARy
~ >'=.. ...... .'.a- ~
~////z-- uF l~-'.:,(x%v
~udicial Di~tfic! ~ SS.
On this 'Tm day of ~q,~¥ in the
year 200 w , before me, the undersigned nota~
public, personally appeared:
~e~.q~Y L¥.~ ld~,~ known to mc to be
the p~rson(s) whose name(s) is/are subscribed to the
within instrument and scknowledged that be/she/they
executed the same for the purposes therein
contained.
In witness whereof, I hereunto set my hand and
official seal.
Notary Pu~blic (signature)
(Notary's printed name)
My commission expires:
•
• G£ e[
•f?t� Municipality of Anchorage
`s i On-Site Water and Wastewater Program ii '
(907) 343-7904 SA ETY
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL
Parcel I.D. 051-811-24 Expiration Date: l _-4t
1. GENERAL INFORMATION
Complete legal description SAMPSON ESTATES BLOCK 4,LOT 19
Location (site address) 22431 PHARAOH CIRCLE,CHUGIAK,AK 99567
Current Property owner(s) RODNEY &JAMI HARRIS Day phone
Mailing address PO BOX 770612,EAGLE RIVER,AK 99577
Real Estate Agent Day phone
2. TYPE OF DWELLING:
Z 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 ® Individual
Individual Water Storage ❑ Holding Tank ❑
Community Class__Well ❑ Community ❑
Public Water System El Public Sewer ❑
WaiverNariance request for: Distance:
Received by: Date: 9/SA/
COSA to be released to neer,unless otherwise requested by the engineer.
COSA Fee $ • Ato Waiver Fee $
Date of Payment Date of Payment
Receipt Number fReceipt Number
COSA# OM) 1 -I Waiver#
5. STATEMENT OF INSPECTION BY ENGINEER
As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation,
based on procedures outlined in the Certificate of On-Site Systems Approval Guidelines for this application,
shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate
for the number of bedrooms and type of structure indicated herein. I further verify that based on the information
obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water
supply and/or wastewater disposal system is (are) in compliance with all applicable Municipal and State codes,
ordinances, and regulations in effect at the time of installation.
Name of Firm ANDERSON CONSTRUCTION& ENGINEERING Phone 345-3377
Address 4640 SHOSHONI DRIVE,ANCHORAGE,AK 99516
Engineer's Printed Name MICHAEL N.ANDERSON,PE Date 08/29/2018
e. of o
eme A. 00° ^O,•0
°
C 0 0 0 0 0 4 o O� )0 0 4 0 0 O O 0 O C;
1.
0 0 0 0 0 0 0 0 0 0 0 0 0
6. DSD SIGNATURE °°
System #1 Approved for bedrooms. •
System #2 Approved for bedrooms. t,k e)q) ° �''v
Disapproved.
Conditional approval for bedrooms, with the following stipulations:
J�
ON-SITE
WA I ER AND •
WASTEWATER
PROGRAM
B Original Certificate Date: q- [-kg
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:
COSA Checklist X Nitrate Advisory
Septic System Advisory Arsenic Advisory
Well Flow Advisory Other
COSA blue sheet 10-1O.12.doc
If more than 1 septic system is on the lot:
COSA Checklist# of
Structure served by this system _
Certificate of On-Site Systems Approval Checklist
Legal Description: SAMPSON ESTATES BLOCK 4,LOT 19 Parcel ID: 051-811-24
A. WELL DATA
Well type Private If A, B. or C provide PWSID# Well Log (Y/N) Y
Date completed 713/2001 Sanitary seal (Y/N)Y Wires properly protected (YIN) Y
Total depth 157 ft. Cased to 156 ft. Casing height (above ground) 18+ in.
FROM WELL LOG AT INSPECTION
Date of test 7/3/2001 8/2212018
Static water level 124 ft. 131 ft.
Well production 20 g.p.m. 4+ _ g.p.m.
WATER SAMPLE RESULTS:
Coliform ND colonies/100 mL Nitrate 6.83 mg/L
Arsenic: ND ug/L Date of sample: 8/22/2018 Collected by: FIRST WATER C.S.
B. SEPTIC/HOLDING TANK DATA
Tank Type/Material STEP/STEEL Date installed 7/9/2001
Tank size 2000 gal. Number of Compartments 2 Cleanouts (YIN) Y
Foundation cleanout (YIN) Y Depression over tank (Y/N) N High water alarm (Y/N) Y__
Date of pumping 8/6/2018 Pumper JRs •IDSF by L&S Services
C. ABSORPTION FIELD DATA
Date installed 7/9/2001 Soil rating (g.p.d./ft2 or ft2/bdrm) 2.0 _ System type BED• IDSF
Length 32 ft. Width 12 ft. Gravel below pipe 0.5 ft.
Total depth 3.4 ft. (Measured 8/22/18) Eff. absorption area 384 ft2 Monitoring tube Y Depression over field N
Date of adequacy test W22/18 Results (Pass/Fail) PASS For 4_bedrooms
Fluid depth in absorption field before test 0 in. Water added 610 gal. New depth 4 in.
Elapsed Time: 70 mi i. Final fluid depth 0 in. Absorption rate >= 600 g.p.d.
Any rejuvenation treatment (past 12 mo.) (Y/N & type) N If yes, give date
D. LIFT STATION
Date installed 7/9/2001 Size in gallons 2000 Manhole/Access (Y/N) Y
"Pump on" level at TIMER in. "Pump off' level at TIMER in. High water alarm level at 45 in.
Datum BOTTOM OF TANK Cycles tested _2 Meets alarm&circuit requirements?Y
E. SEPARATION DISTANCES
WELL ON LOT TO:
Septic tank/lift station on lot_100'+ On adjacent lots 100'+
Absorption field on lot _100'+ 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 10'+ Property line 10'+ 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 10' Building foundation 10'+ Water main 10'+
Water Service line 10'+ Surface water 100'+ _ Driveway, parking/vehicle storage 10'+
Curtain drain 50'+(None Known) Wells on adjacent lots 100'+
F. COMMENTS
STEP alarm is on detached garage. tom" S� pl 6 0�'_
G. ENGINEER'S CERTIFICATION
OF Aex eta
I certify that I have determined through field inspections and •-47411.,
� •° •.�, `9 A
review of Municipal records that the above systems are in h'�P•�� •' •'• '/•
conformance with MOA COSA guidelines in effect on this date. , :4tOW AN ••�'
/......... `....... . .. .. f
Engineer's Printed Name MICHAEL N.ANDERSON,PE / �,
/• •• • • •••••
Date 08129!2018 �� ^••MICHAEL N. ANDERSON s �,
CE 9 69 ••�Z
COSA canary sheet_2-6-15.doc
MUNIC1P,A LIP( OF A \!CHO AGE
DEVELOPMENT SERVICES DEPARTMENT j, 907-343-7904
On-Site Water and Wastewater Section Fax: 343-7997
www.muni.org/onsite
Nitrate Advisory
Certificate of On-Site Systems Approval # 0SC181445
Subdivision: Sampson Estates, Block: 4 , Lot: 19
A water sample revealed a nitrate concentration of 6.83 milligrams per liter
(mg/L). The Environmental Protection Agency (EPA) has established a maximum
contaminant level (MCL) of 10.0 mg/L for public drinking water systems. While
private wells are not subject to this regulation, EPA standards are based on existing
health information and can therefore be used to gauge the relative quality of water
from private wells. Please see the attached "Nitrate Fact Sheet" for important
information regarding nitrate.
This advisory must be attached to all copies of the subject Certificate of On-Site
Systems Approval.
Mailing Address:P.O.Box 196650*Anchorage,Alaska 99519-6650*www.muni.org
Nitrate Fact Sheet
From Northern Testing Laboratories, Inc.
Nitrate is a negatively charged compound of nitrogen and oxygen,which is very soluble in water. Nitrate
is not readily filtered or otherwise removed in the soil and can pass rapidly into ground water wells.
SOURCE: Nitrate is a major component of fertilizer and wastewater. Often the nitrate is in the form of
ammonia or protein first, which through contact with oxygen and certain bacteria, converts to the
oxidized form known as nitrate. Sources of nitrate from wastewater include urea, ammonia cleaners,
food solids,and bacterial cells. It may also result from the breakdown of organic matter buried in the soil.
TOXICITY: Nitrate is generally not toxic to adults or children over the age of two or three years, but is
associated with a potentially fatal infant disease called methemoglobinemia. In the digestive system of
young children, nitrate converts to nitrite, which can pass through the intestinal wall into the blood
stream. There it combines with the hemoglobin and interferes with the ability of the blood to carry
oxygen. For this reason, methemoglobinemia is referred to as "blue baby" disease. The EPA limits the
concentration of nitrate in public drinking water supplies to 10 mg/L. The standard has been lowered
from a previous level of 45 mg/L set by the US Public Health Service and the World Health Organization.
TREATMENT: due to its solubility in water and negative ionic charge, filtration and other common home
water treatment systems such as softening or iron filtration does not readily remove nitrate. The best
method for limiting nitrate in well water is source control. This can include avoiding overdosing of
fertilizer near the well and maintaining good separation distances between septic tank leach fields and
the well. A special anion exchange filter that contains a media with a strong affinity for negatively charged
ions in water, or by a reverse osmosis treatment system or distillation can remove nitrate.
TESTING: Nitrate analysis is usually done by one of the several "wet chemical" methods using a
spectrophotometer to read the final color endpoint. Specific ion electrodes also can be used to detect
the activity of nitrate in water. This laboratory uses several different wet chemical methods approved
under the public water supply laboratory certification program. They also have test kits available, which
the laboratory uses to perform an inexpensive "screening test", and with which the homeowner can
monitor the change in nitrate levels from their well. They recommend comparing the test kit results
against a certified analysis from the lab occasionally to verify the accuracy of the kit. We recommend
using a specially prepared bottle that has been rinsed in hydrochloric acid for collecting samples.
Mailing Address: P.O.Box 196650*Anchorage,Alaska 99519-6650*www.muni.org
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 114 IIJ, of 20 i 1, by and between
1
' LI , ILIA.' '� I. /. , • •in I e"OWNER,"and the Municipality of
Anchor:ge, 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
located at(legal description)
I
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 maintcnance 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).
ir01,vner agrees that only maintenance and repair personnel approved by the Municipality
or the manufacturer's representative will inspect and make any necessary maintenance,
repairs or permitted alterations to the system.
AtOwner acknowledges that regular maintenance of an AWWTS reduces the potential
failure of the system, which could include sewage backup and costly repairs or drainfield
replacement.
(rev. 05/18/2018) Page 1 of 3
Owner acknowledges that the Municipality may request records of maintenance and
repairs from the manufacturer's representative or maintenance provider.
_02-, "Owner acknowledges that the fine for failing to maintain and repair an AWWTS may be
assessed in accordance with AMC 14.60.030.
S-Owneragrees to grant the Municipality reasonable access to test and inspect the
AWWTS. The Municipality will give at least 24-hour notice.JUL
Owner agrees that any sale or transfer of title of the property will not occur without a new
Certificate of On-Site Systems Approval.
jtOwner agrees that the AWWTS installation and maintenance requirements as provided
by the AWWTS vendor/installer and approved by the Municipality are the governing
guidelines for the construction, maintenance and repair of the Owner's AWWTS.
Owner agrees to maintain remote monitoring of the AWWTS as required by the
AWWTS approval.
3. Term. The term of this Agreement shall begin on the date of approval by the
Municipality to operate the installed system, or upon transfer of title, and shall continue
while the AWWTS is operational or until title is transferred.
4. 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.
6. Jurisdiction: Choice of Law. Any civil action arising from this Agreement shall be
brought in the Superior Court for the Third Judicial District of the State of Alaska at
Anchorage. The laws of the State of Alaska shall govern the rights and obligations of the
parties under this Agreement.
7. Severability. Any provisions of this Agreement decreed invalid by a court of competent
jurisdiction shall not invalidate the remaining provisions of the Agreement.
(rev. 05/18/2018) Page 2 of 3
OWNER: j
By: 9rtw, a �'��.,--'' (signature) Date: $ v912 vVUJv
O
�� rQ ghD`P? __(Print name)
STATE OF ALASKA )
)ss.
THIRD JUDICIAL DISTRICT )
The foregoing i : nt was acknowledged before me this.day of. #U9US+
20'CS , by 'y ' t h car e
01 L
Notary Public /
!� orf'" , BRANDON HAMILTON
UB OR ALASKA i Stats of Alaska
kV Com 1' - • . • pines: Tithe 2JS+, '20AMyCommission EtersJune21.2021
By�Jam�-` (..-L- CJ/ g;-27t,"41(signature) Date: <�/2� l- �
(i,Jc-' j]- 7 /'Z O//t) (print name)
STATE OF ALASKA )
)ss.
THIRD JUDICIAL DISTRICT )
tif�
The foregoing instrument was acknowledged before me this day of /4--ti g us ,
20,_L,by III " ,)1> Ai/.
n/ 1(, i Ofq Notary Public
'NOT. PUBLIC OR ALAS SHARON G. CRUZ
My Co' mission expires: ('- `1�/ L) ?) State of2a.ska
My Commission Expires Sept. 1,2020
MUNICIPALITY:
By: _(signature) Date:
(print name) Title:
(rev. 05/18/2018) Page 3 of 3
.
t.
MUNTCTPALFTY OF ANc I0RAQPE•Community Development Department•On-Site Water&Waytewater Program
P:907-343-7904.1, 907-343.7997•P.O.Sox 196650 Anchorage,AK 99519-6550•http:llwuw.muni.orglbuiidi 2
Intermittent Dosing Sand Filter
1 Maintenance Log
% •
Owner R o A r P_4 QAC\S Street Address -[2 ' 31 P k C ra.o f
Ilr
Phone
Legal Dese..,4 P P.5U11 F53-74T1=S_ PID t Gk ►h S�tL41
Septic Tank:
-Sludge level i inches -Pumping: required yes_ to -Pumping completed fel r• .
Absorption Field:
'Liquid level .e- inches •Flushing valves per approved design sno
I
•All flushing valves openc.d,distribution lines flushed,and flushing valves closed yes n
Lift station:
, •Pump basket cleaned es no •Biotube effluent filter cleaned es no, •
-Timer float setting7/ inches -High level float setting bb inches -Reference point VT C4 Rt. = '
j •Pump on .6—Q seconds 'Pump off it.'5— minutes
•Cumulative lifetime cycles 7 7/Q c1 •Cumulative run time S a y i 9 .:oars
"Operation satisfactory be no
- Air System:
•Air pump filter cleaned es no 1 -Air pressure Li psi
'Date of latest install or rebuild ..3-s-,1 y w•O 17 -Air system operation satisfactory not satisf; ct•`
I Alarm System:
•Dedicated electrical circuit e no -Audible and visual alarm inside dwelling yEs no ,
•Float setting 66 inches •Alarm system operation catisfact0 y) not satialotofy `
Comments: ,
....Ala J.j o c ham t C\ .1 d e d.. we N‘\f\c pC),,c \ t S C7r'\
Maintenance Provider:
"Technician 1-c c'C y �e? � ' Date of maintenance 1Rt,.
ompany L �'- S / Seg t01eeS
Signature ! Date aaA4.. - -
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I HEREBY CERTIFY THAT I HAVE SURVEYED THE
FOLLOWING DESCRIBED PROPERTY:
LOT 19, BLOCK 4,SAMPSON ESTATES SUBDIVISION
EASEMENTS OF RECORD, OTHER THAN THOSE SHOWN ON THE ANCHORAGE RECORDING DISTRICT,ALASKA AND THAT
RECORDED SUBDIVISION PLAT(84-10)ARE NOT SHOWN HEREON. THE VISIBLE IMPROVEMENTS SITUATED THEREON ARE
WITHIN THE PROPERTY LINES AND NO VISIBLE
THIS DOCUMENT DOES NOT CONSTITUTE A BOUNDARY SURVEY ENCROACHMENTS EXIST EXCEPT AS INDICATED.
AND IS SUBJECT TO ANY INACCURACIES THAT SUBSEQUENT
BOUNDARY SURVEY MAY DISCLOSE. DATED THIS 28th DAY OF AUGUST,2018,AT ANCHORAGE,
ALASKA.
UNDER NO CIRCUMSTANCES SHOULD ANY OF THE DATA HEREON
BE USED FOR CONSTRUCTION OF FENCES, IMPROVEMENTS,OR
FOR ESTABLISHING PROPERTY BOUNDARIES. FIXED HEIGHT, LLC
----------
7.290.8949
AS-BUILT NO CORNERS SET THIS DATE SCALE 1"=40' Land Surveying Services 90 W
4VW .FIXEDHEGHEDHEIGHT.COM
JOB#18124