HomeMy WebLinkAboutILIAMNA ACRES LT 7C Eliomna
Lot 7C
#017-101-$6
Municipality of Anchorage
Development Services Department
Building Safety Division
On-Site Water and Wastewater Program. 4700 S. Bragaw SL
P.O. Box 196650 ~nchorage, AK 99519-6650 Page ~of.~
www. ci. anchorage.ak.us (907) 343-7904
ON-SITE WASTLmNATER DISPOSAL SYSTEM ANDIOR WELL INSPECTION REPORT
Permit Number: .~' ~v'/O I O "'z;, ~ (:~ PID Number.
"'~' ~o~,! ~,~-~e~,~____.~ ~O1,~ WastewaterSystem: r-]New r']Upgrade
ID ~ P-O Ee,~sL;.'[.~-~"~ ~ ABSORPTION FIELD
LEGAL DESCRIPTION
Well: [~New O Upgrade c,,.~ .~,~
~ ~oq7 ~,. I "l P,,. 17o ~e g~.l~t.~.~ qO pv'c-
SEPARATION DISTANCES D Septic D HoUin. ~S.T.E.P. G Othec
~ Septic ~so~tio~ [~ Holding PubliC.t( ~ ~..
Tank F~Td S~Uon Tank S~r t~e ~ ~ ~~ ~./~
"~: BENCH MARK
. EngineeFs Stamp
Inspections pedo~ed by: ~ Dates: 1"
Development Se~ Depamment Approval ~/(
d by r *' .... -'
Reviewed and approve : '~. ate: .:, .
49t=h
~PURKLANn
NO. C£-22E5
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T~Jsi~hgteVATrR 4T £ FT
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LOT 7~
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75 1~0 IL~J 150 I
I' = 50 FT. I
5WlI~DL'~:
AC 17~
BC I&O
,4~ 27.7
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T£EDFSLDPE
TOBBEN SPURKLAND P.E.
203 P~ 15TN. AVENUE
ANCN. AK. 99501
(~07) :7~-a~
II
LOT ?C ILIAMNA ACRES
[ SEPTIC SYSTEM AS BUILT
BATE.* 4PNIL 17, 2O02
SNEET: 2/3, GRID:
PERMIT # 2V010356 PID It fl17-I. 0I-$6 ILAOO7C~.:BVG
~ 17' ~
I STANflA£fl EEfl I
~$.5
FOUNDflATION L"L£.4,V bUT ~
lNg TALL A TION
1. £XCAVA7'£ A I0' x lO' x lO' ~£P ~OLE FL~ ~IOCYCL.£ SYSTER
~, PLACE A MINII~ ~r' 4' 2ANti OR 6RAV~'L FOR L£VL~.IN~ COURSE IN TH[ E3TT~N OF THE £xcAv,~rJu~
C~PACT AS RE~IRE~
~ACE 4 ~ET% ~ ~ x B' x ~ DI~CT ~I~ ~IGID IN~ATI~ ~ T~ ~ ~PACTED L~V~LING ~E
4. ~C~F~L ~ T~ ~ TO ~ ~ 4' I~L~T ~ Z-M4' EF~NT LI~% VHH F~EE-FLOVJ&~ NSF
17'
t~VIT~R ~UBE
SANfl/~RAV~L EACKFILL
~O~BEN SPU£K~4N~ AL
A~C~. AK.
(~OZ) ~7~-3~m
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LOT 7C ILIAMNA ACRES
RIVERTON
GEORGE AND NARY KAY WOLFE
PER'II # 2V010356
PID it ~17-1~I-36
DATE: APRIL 17, 2002
_ -- _m-
I:~71 : .g~. IHE DRILLIHG FglX NO. : 907 345 ~a,..~2. Ja~. gG ~.1~02 ~:56PH P2
Municipality of Anchorage
Department o.f Health and Human Services
82.5 'L' Oiroet
P,O. Box 1~6650 Anchorage, Alasica 99519-66~1~
Permit Naml~n #$W 01035,~ llate o[ Issue: ~-4-.01 Parcel identi~cation Nmnber. 017-101.-.36
DsteStarted: ]1-,%0f Ihtc Comp~e~,d:.11-7-0~ isv~lllocatedatapprov~dl~lOcation?[~ Yes [] No
L~sl
PrOl~rty Owa~r Name & Ad~r~s:
lll~mna Acres Lt ?C
George and Ms~y Kay Wolf
10520 Constitufi~ St.
Ancharage, Ak 99515
a~rehole lata: mpth (t~)
~i1TYl,e, Takkat~ & Wa~r ~rata F~ To
~ 0 2
o~ and ~ 2 5
gm~lly ~ 6 81
=~ndy~ wet 81 111
~wa~er~ & gmv~ 11f f26
g~y ~ 126 f30
~d~k 1~ 427
Method of Dr'Ill.o_ [] air rotary
wall Thick.ss: .025 i~ck's
Diameter: 6 i~i'te,s Depth: 140 ~
Liner Type:
Diameter: inches Depth:
Cashl8 stickap above groand: 2 fcet
[] cable tool
f~t
Static water k'vd (from ~und level): ~ I I
Pumping kwel: 145 feet after
Reeovery Rate: f gpm
Me~hod of Te~n~. ~l/r I/~
Wdl Int~k~ Openl.g Type:
[] Scn=~. Start__f~ Stopp~l feet
[~ Pa'forafi<,~ Start 1~{) f~ Sto~ed 14q feet
Grout Type: Bentonite # 8 Volume:
l~t, th: s~t 0 f,~ st~poa_.* f~
Pump: Intake 'Depth feet
Pu~ size hp Br~:t Nan~
Well Db~ U~n ~mp~ou~ ~ Y~ ~ No
M~b~ of~flon: ~ Tails
Commen~:
~ DHIbG ~pine Ddlt~g & Enters
POB~11~6
~cho~ AK ~511
Aflea6ou: Th~ w~ll drill~ sl~ll pr~ a wdl log to the prc~ owner withLa 30 clays of ~q~l~io~t and the ~
5/10/2002 6:05 PAGE 1/1 Ri~htF~X
Inspection Report
Hunicipality of Anchorage, Building Safety Division
4700 South Bragaw
INSPECTION: VOICE 343-8300
Name
Address
Legal
Subdivision
Comments or Directions
RON SHINE-SHINE HOMES
5153 P,[VERTON AVE
LT 7C
II.]AMr~A ACRES
INSPECTION: FAX (go7)24g-7777 INFO: 343-8211
Permit 01-1457
Phone 227-9201
Inspection Date 5/10/2002 AM
AM-CALL 30 MIN B4 FORACCESS
Inspection --Final Electrical
riO NONCOMPLLANC~ OBSERVED
Relnspectlon "~' ':
[] CORREcJIONS ESSENTr_ALAS EXPLAINED [~ELOW
[] WILL RE-EXAMINE AT NEXT [] DO NOT CONCEAL UNTIL REINSPECTZON
INSPECTION
COMMENTS: (for Inspector us~ only)
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: Sep 04, 2001
Expiration Date: Sep 04. 2002
Permit Number: SW010356
Legal Description: ILIAMNA ACRES LT 7C
Design Engineer: 0007 Tobben Spurkland, PE
Owner Name: George & Mary Kay Wolfe
Owner Address: 10520 Constitution St
Anchorage. AK 99515-
ParcellD: 017-101-36
Site Address:
Lot Size: 49558 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.
Issued By: ~ , , ~ Date: ~..~.~_ -- O~'
Municipality of Anchorage
Development Services Department
Building Safety Division
On-Site Water and Wastewater Program
4700 South Bragaw St.
P,O. Box 196650 Anchorage, AK 99519-6650
www.cLenchorage.ak.us
(907) 343-7904
ON-SITE SEWER~/VELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLING
Permit Number
Mailing address (1) I ~_~ .q..o ~e
Mailing address (2)
Legal description (Lot. Block & Sub'd.) LoT
Legal description (Section, Township & Range)
Lot Size g,/~ ,,~-~":~' ..Acre~
THIS APPLICATION IS FOR:
Sewer Only []
Sewer and Well ~
Sewer Upgrade
THIS PROPERTY CONTAINS:
Hot Tub []
Swimming Pool [~]
Therapy Pool
Day phone. "~ ~" 1-~1 6
Zip Code
Number of Bedrooms
q
Well Only []
Water Storage []
Jacuzzi []
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.
(Signature of property owner or authorized agent) ~
Permit Fees:
Date of Payment:
Receipt Number:
(Rev. 12/00)
Cio
Waiver Fees:
Date of Payment:
Receipt Number:
T.S?LIRKLAlXxTD ?.E.
203 W 15th. Avenue, Suite 203
ANCllORAGE. ALASKA 99501
(907) 279-3916
Fax (907)-276-6013
SEPTIC SYSTEM DESIGN
LOT 7C ILLIAMNA ACRES
Municipality of Anchorage
Department of Health and Social Services
820 1 Street
Anchorage, Alaska 99501
Aug. 22, 2001
We arc submitting an application for thc installation of a well and septic system for this lot. Thc
submittal consists of three (3) drawings showing the present improvements on the lot and the
adjoining properties, (sheet i/3), the proposed improvements of thc lot, ofwhich only thc well and
septic system is subject to this permit application, (sheet 2/3), and a schematic ofthc septic system,
(sheet 3/3). Soil logs and percolation tests of applicable testholes are also enclosed. The septic
system design is based on the following:
Groundwater at 7 Ft.
Use Standard Bed with BioCyele
Soil Rating. From Testhole 04/09/01.
< mia/in = 4 gal per sq.~day
No. of Bedrooms 4
Required Area per Bedroom: 150/4 =37. 50 sq.lt.
Total area required: 37.50 x 4 = 150 sqft
Bottom Rock At 3 feet
Top Rock At2.5 feet
Rock I~pth 0.5 feet
Total Bed Length 150 /10 = 15
USE 20 Fl'
SYSTEM CONFIGURATION
BIOCYCLE
STANDARD BED
TOTAL LENGTI I 20 FT
TOTAL WIDTtl 10 let
TOTAL DEPTII 3 FT
ROCK DEPTII 0.5 FT
COVER 3 FT
The installation of this septic system will not prevent wells and septic systems from being installed on the adjacent
lots.
There are no developed or natural surface / sub surface drainage courses on this or the adjacent lots.
The proposed septic system will not change the general slope of the area. Ponding and/or concentration of surface
mnoffwill not result from this installation.
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I[ SEPTIC SYSTEM DESIGN l
DATE: AUG. 22, 2001
SHEET: I/3' GRID:
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ANCN. Al<. 99501
(907)
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LOT 7C IIIAMNA ACRES
SEPTIC $¥SlTAI DESIGN
DATE: ,~uc, 2~, 2ooI
SHEU[: 2/5 GRID: ~7
PERMIT # SVOIXXX PID # YY ILAOO7C2J~VG
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ANCH. AK. 99501
(907) 279-$91e
PERNIT # SVO1XXX
}1
PIB #
LOT 7C ]LMMNA ACRES
RIVERTOIq
GEORGE AND ~t4RY KAY IfOl. l'E
YY
SEPTIC SYSTEM SHEi, iATIC
DATE: AUGH. 22, 2001
SHEET: 3/3 GRID: 3037
]LAflO7C3.DVG
PERFORMED FOR:
Munlcll:ellty of Anchorage
DEPARTMENT OF -tEALTH & HUMAN SERVICES
825 "L" Street, A~mhorage, Alaska 99502-0650
SOILS LOG - PERCOLATION TEST
10
11
12
13
14
15
16-
17-
18-
19-
20-
Township, Range. Section:
SLOPE
WAS GROUND WATER
ENCOUNTERED?
'uu~ 0 F'
Ho L.~'
SITE PLAN
IF %'ES, AT WHAT
DEPTH?
LE~VIEL.
PERCOLATION RATE '~ [ (m,nutes/mch) PERC HOLE DIAMETER
TEST RUN BETWEEN ~ FT AND ''~ FT
DISCLAIHF~' Arn.ndwatRr cnndition~ indimated ar~ for the dates shown only.
Past and future presence and/or depth of groundwater can not be predicted
trom these o
bs~,~cions.
PERFORMED BY; I f, ~ CERTIFY THAT T~IS T~ST WAS PERFORMED IN
ACCORDANCE WITH ALL STATE AND MUN,CIPAL GUll ~UNES IN EFFECT ON THiS DATE, DATE: ~""~0~
72-~8 (R~. 4/85)
PROPERTY OWNER AGREF~'VIENT
FOR ~ ~ANCE OF AN
· ON-SITE WASTEWAT]~ DISPOSAL
A,uchorase Depa~ta.~t of Health a~d Human Services (DHHS) ~,~a the property
o~mer(s) of:
Fo'T' '7¢- I L AW IqA
This a~ree~ent i.s m~de for rile purpose of r~;,~,.(.~ng an on-site was~ewa~er disposal
system on ,~e subject property.
The propers7 o~er~ ~ to ~e follo~mg:
Submit to the Municipally of .A.~cborage, o,~ a~ .nn~ b~h. ~ ~oa ~d
operation ~m~t ~om a registered profe~sio~ e=g~eer. ~ ~=don ~d
opc~flon s~ment sh~ v~ ~t ~e eng~eer h~ ~ecl~ ~ e~uent md ~
p~s, ~me~. ~d ~, ~ ~at ~y deficie~es ~ve bee= rep~ ~ ~t ~e
sys~ b ~io~g ~ desi~.
Pried Name)
lq.me)
I~trsonaIl¥ appeared b~e me
proven~to me to ~ t~ ~rson(s) who
sloned the above d~u~. /
.......
i1G�l>? �� �,� � G.:� � t' � � it @ •� G_ d�� a,� �� �■y '•� �\t, :,�v. �t : -
Development Services Department
On -Site Water & Wastewater Section
Certificate of On -Site Systems Approval
Parcel I. D. 017-101-36
1. GENERAL INFORMATION
Complete legal description ILIAMNA ACRES LOT 7C
Phone: 907-343-7904
Fax: 907-343-7997
Expiration Date: q—tq- Z(
Location (site address) 5153 RIVERTON AVENUE, ANCHORAGE, AK 99516
Current property owner(s) CHRIS & JENNIFER DOOROS LIV. TRUST... Day phone
Mailing address
Real estate agent
5153 RIVERTON AVENUE. ANCHORAGE. AK 99516
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:
Private Well
Private Septic
Water Storage
❑
Community Well
❑
Public Water System
❑
Day phone
TYPE OF WASTEWATER DISPOSAL:
Private Septic
Holding Tank
❑
Community
❑
Public Sewer
❑
Waiver request for: Distance:
Received by: Date:
COSA to be released to the engineer, unless otherwise requested by the engineer.
COSA Fee $ -950 Waiver Fee $
Date of Payment ��T( Date of Payment
Receipt Number ��31 �' Receipt Number
COSA # OS G -2- 110 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. I acknowledge that On -Site staff may visit the site to verify the information submitted.
Name of Firm FIRST WATER CONSULTING Phone 907-350-9566
Address 13030 SUES WAY, ANCHORAGE, AK 99516
Engineer's Printed Name CURTIS HUFFMAN, PE Date 1/12/2021
Comments: This investigation was completed in compliance with MOA guidelines, regulations,
and best industry practices / methods. The assessment of the condition of the well and septic
applies only to the conditions as of the day tested. The flow and absorption rates may change
due to subsurface conditions that may not be observed from the surface, changes in land use,
local soil characteristics, groundwater levels that may fluctuate during the year, quality of
construction (workmanship & materials), the water usage of the family being served by the
system and maintenance. The operational life of all well and septic systems are subject to ��
these various and dynamic characteristics and are outside the control of the evaluator of theAw
�t,,
well and septic system. Therefore, any estimate of how long a system will function satisfactory ��Q:• • • • .5f,
for current or future occupants or guarantee that no unseen encroachments, deficiencies or J
discrepancies exist can be given by First Water Consulting& FWCS ' * . 71i . , .. ,•;* r
6. DSD SIGNATURE '• Curtis Huffman
System #1 Approved for bedrooms �F61 CE 128991
System #2 Approved for bedrooms >k)k �, ROFESS1oNP�
Disapproved
Conditional approval for bedrooms, with the following stipulations:
Jo, WAST` -v\!ATER a
PROGRAM 96
J
/JTC
By:vv Original Certificate Date: L % 7 — Z l
The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the
representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is
not responsible for errors or omissions in the professional engineer's work.
7. ATTACHMENTS:
COSA Checklist X Nitrate Advisory
Septic System Advisory Arsenic Advisory
Well Flow Advisory Other
•
Legal Description: ILIAMNA ACRES LOT 7C Parcel ID: 017-101-36
If more than 1 septic system on lot: COSA Checklist # _of _ Structure served by this system
A. WELL DATA
® Well log is filed with Onsite (or attached)
Date drilled 11/7/2001
Total depth 427 ft
Cased to 140 ft
® Sanitary seal is functioning correctly
® Wires are properly protected
Casing height (above ground) 24+ in.
Date of flow test for COSA 1/7/2021
Static water level at beginning of test 93 ft.
Well production at time of test 4+ gpm
Comments
B. TANK DATA
Age of tank(s) 19 years
Tank type/material BIOCYCLE / FIBERGLASS
Measured operating fluid level in septic tank *
® Standpipes/foundation cleanout per record drawing
Date of pumping *11/05/2020
D. ABSORPTION FIELD DATA
Which system tested (date installed) 4/8/2002
® ALL standpipes present per record drawing
Total measured depth from grade 3.2 ft (max)
Measured depth to pipe invert from grade _ft (min)
® N/A — pressurized field
® Monitor tubes go to bottom of effective. If not, state
depth into effective
Water storage tank volume NA gallons
Well disinfected for coliform test? ❑ Yes ® No
® Coliform bacteria is Negative
Nitrate 1.16 mg/L ❑ Nitrate less than MRL (ND)
Arsenic ug/L ® Arsenic less than MRL (ND)
I
FWGS
Collected by �>
Date of Sample 1/7/2021
C. LIFT STATION
® Required maintenance completed
Age of lift station 19 years
Lift station material FIBERGLASS
Comments: *SEE ATTACHED 2020 4T? Q MAINT.
oconoT
Adequacy test date 1/7/2021
Results � Pass For 4 bedrooms
Fluid depth prior to test 0 in
Water added 610 gal
New depth 3_5 in
Elapsed time 25 min
® Code -required soil cover over field Final fluid depth 0 in
❑ System presoaked Absorption rate 600+ gpd
(Required if vacant for greater than 30 days prior to Any rejuvenation treatment (past 12 months) N
date of test) If yes, enter date
Gallons introduced gallons NES
Comments/Deficiencies: «�
E. SEPARATION DISTANCES
From Private Well on Lot to: (Please enter distances if less than required or if community well)
Septic Tank/Lift Station on Lot > 100'
® Yes if No
ft
Community Sewer Manhole/Cleanout > 100'
® Yes
if No
ft
® Yes
if No
Neighboring Tank > 100' ® Yes
if No
ft
Private Sewer/Septic Line > 25' ® Yes
if No
Absorption Field on Lot > 100' ® Yes
if No
ft
Holding Tank > 100' ® Yes
if No
Neighboring Absorption Fields > 100'
Surface Water > 100'
® Yes
Animal Containment > 50' ® Yes
if No
® Yes
if No
ft
Manure/Animal Excreta Storage > 100'
Community Sewer Main > 75' ® Yes
if No
ft
® Yes
if No
From Septic/Holding Tank on Lot to: (Please enter distances if less than required)
Building Foundations > 10' ❑ Yes if No *5+ ft Surface Water > 100'
ft
ft
ft
ft
ft
® Yes if No ft
Property Line > 5'
® Yes if No
ft
Wells on Adjacent Lots:
Absorption Field > 5'
® Yes if No
ft
Private Wells > 100' ® Yes if No
Water Main > 10'
® Yes if No
ft
Community Wells > 200' ® Yes if No _
Water Service Line > 10'
® Yes if No
ft
If septic tank is under driveway comment below
From Absorption Field on Lot to: (Please enter distances if less than required)
Building Foundation > 10'
® Yes
if No
ft
If absorption field is under driveway comment below
Property Line > 10'
® Yes
if No
_ ft
Wells on Adjacent Lots:
Water Main > 10'
® Yes
if No
ft
Private Wells > 100' ® Yes if No _ ft
Water Service Line > 10'
® Yes
if No
ft
Community Wells > 200' ® Yes if No
Surface Water > 100'
® Yes
if No
ft
F. ENGINEER'S COMMENTS
*PER CODE AT INSTALLATION.
G. ENGINEER'S CERTIFICATION
I certify that I have determined through field inspections and review
of Municipal records that the above systems are in conformance
with MOA COSA guidelines in effect on this date.
--%., '1.'O�
Aw 00
4�i c ��11
�. TH
.. .. .... ..........
Curtis Huffman
k �$ •, CE 128991
��e •.•1/12/21o.•-�C�i
k,1�,p PROF ES
ft
ft
s�E"'Alaska
3705 Arctic Blvd #313
Anchorage AI< 99503
Email: crbioak@gmail.com
(907) 274-0314
i' Quarter InspectionReport 20 i
Homeowner Info
Customer Name: Chris Steig Tank#: 1 19 Install Date: Oct. 2001
Address: 5153 Riverton Ave. Area: Lower DeArmoun-Buffalo
Initial Inspection:
Alarms Tested: Air 0 High Water [RJ Battery Tested: Yes ❑ No ❑ N/A
(Please make sure alarm is on "normal", not "mute")
Does system have a septic tank ? No [4 Yes ❑ (Recommend pumping tank every 2 years)
Is System Lid Locked? Lid hardware in working order? Is there any noticeable odor?
Yes ❑� Repaired ❑ Yes C✓] Repaired ❑ Strong ❑ Mild ❑ None
System Inspection
4
Inlet plumbing in working order? Solids pillow normal?
Yes [ Replaced ❑ Yes z Requires Pumping ❑
Are all aerators functioning? Any buildup of solids?
Yes [ Replaced ❑ Yes ❑ No
Clarification return system operating? Any buildup of solids?
Yes F,4 Adjusted ❑ Yes ❑ No ❑
� �����,v,..',#'y �r•� `x"' y �` :. ^S'zS'h f��Y�'
��3�*�-�wh���x��
�r'� :M 8. F.,*.h"'
pH Reading: Dissolved Oxygen PPM Turbidity of discharge (in FTU)
(pH of 6-8 is ideal) (2-5 is ideal) (Under 35 FTU is considered compliant.)
7.5 3.3 6.83
y`
F�00I�
Pump float operating? Alarm float functioning? Any buildup of solids?
Yes [V1 Replaced ❑ Yes Z Replaced ❑ Yes ❑ No [71
Filter cleaned? Discharge line condition:
Yes ❑ N/A [ Good Replaced ❑
Comments:
Has emailing or mailing of form been requested?
Inspected By: Chris Date: 11/05/20 (contact office to request...) Yes
❑
No
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 12 Day of -.. gar of 20 2 , by and between
ya,herein the "OWNER," and the Municipality of
Anchorage, herein the "MUNICIPALITY", in accordance with Anchorage Municipal Code
(AMC) 15.65.365. In consideration of the mutual covenants contained herein, the parties to this
Agreement agree as follows:
1. Advanced Wastewater Treatment Systems. The Municipality grants permission to the
Owner to utilize and operate an Advanced Wastewater Treatment System (AWWTS),
described as a BIOCYCLE SYSTEM
located at (legal description)
ILIAMNA ACRES LOT 7C
2. Maintenance, Repairs and Alterations.
(Owner is required to read, understand and initial each section)
-7/ Throughout the term of this Agreement, the Owner shall enter into a service agreement
with an AWWTS service and maintenance provider approved by the Municipality or the
manufacturer's representative. The AWWTS shall be maintained in a satisfactory
condition capable of performing as designed and producing treated septic effluent in
accordance with the equipment's approval for operation in the Municipality.
e?� 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).
"P✓' Owner agrees that only maintenance and repair personnel approved by the Municipality
or the manufacturer's representative will inspect and make any necessary maintenance,
repairs or permitted alterations to the system.
Owner acknowledges that regular maintenance of an AWWTS reduces the potential
failure of the system, which could include sewage backup and costly repairs or drainfield
replacement.
(rev. 05/18/2018) Page 1 of 3
--P V Owner acknowledges that the Municipality may request records of maintenance and
repairs from the manufacturer's representative or maintenance provider.
W Owner acknowledges that the fine for failing to maintain and repair an AWWTS may be
assessed in accordance with AMC 14.60.030.
-V-Z Owner agrees to grant the Municipality reasonable access to test and inspect the
AWWTS. The Municipality will give at least 24-hour notice.
`V d Owner agrees that any sale or transfer of title of the property will not occur without a new
Certificate of On -Site Systems Approval.
-/ Owner agrees that the AWWTS installation and maintenance requirements as provided
by the AWWTS vendor/installer and approved by the Municipality are the governing
guidelines for the construction, maintenance and repair of the Owner's AWWTS.
'? i/ 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:
By:(signature) Date: b l IZ q Z I
%e �-- V4 (print name)
STATE OF ALASKA
THIRD JUDICIAL DISTRICT
20'x, by
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My CQm7
amen }has acxi
EJB IC FOIA
si n expires: _
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before me this 1 ��day of ,
MUNICIPALITY:
By: v� (signature)
(print name)
KATHERINE A. HALVORSON
Notary Public
State of Alaska
My Commission Expires Dec 7.2021
Date: /q—z(
Title:
(rev. 05/18/2018) Page 3 of 3