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HomeMy WebLinkAboutT15N R1W SEC 18 LT 131Onsite File Municipality of Anchorage On -Site Water and Wastewater Section • (907) 343-7904 Page of ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP201143 PID Number: 051-231-27 Dwelling: ® Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New ® Upgrade Name JEFFREY & JEANNE BATES ABSORPTION FIELD - IDSF ❑ Deep Trench ❑ Wide Trench ❑ Bed ® Mound Site Address 18715 JUDY STREET, CHUGIAK ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 4 2 GPD/SF 2 MAX Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade (ABOVE GRADE) 0.50 Ft. Gravel depth beneath pipe 0.5 Ft. Subdivision Block Lot 131 Fill added above original grade VARIES Ft. Gravel length 20 Ft. Township Range Section 15N 1 W 18 Gravel width 20 Ft. Beds: Number of Lines 8 Distance between lines 2.5 Ft. SEPARATION DISTANCES To Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Tank Line 400 Ftz -- -- Ft. Well __ 100'+ 25'+ TANK ® Septic ® S.T.E.P. ❑ Holding ❑ Other Manufacturer EXISTING —ANCH. TANK Capacity 1500 Gal. Surface water __ 50'+ Material STEEL Number of compartments 2 Lot Line -- 10'+ NA Foundation -- 10'+ LIFT STATION Manufacturer Capacity Gal. Remarks IDSF REBUILD. NEW AIR COMPRESSOR ALARM INSTALLED. STEP VISUALLY INSPECTED. Alarm location Electrical installed by Installer NORTHERN EXCAVATION PIPE MATERIAL House to tank Tank to 3034 drainfield Drainfield 3034 CO/MT 3034 Inspector FWC BENCH MARK (Assumed elevation) 100 ft Inspection 1 St6/8/20 god 6/8/2020 Location and description 3`d 6/9/2020 4`h BOTTOM OF SIDING ON-SITE WATER AND WASTEWATER SECTION APPROVAL of�l 4 Conditional Approval: Date *: 49 TH .....•:* �� rj Septic System Approved - Curlis Huffman r �'• / CE 128991 DateV'P,F�• . 6 22/2020. •��GW ll,F�PROFESSIONA� Note: this approval does not include well permit requirements. kf cv Vowel 10) T15N R1 W SEC 18 LOT 131 PID: 051-231-27 PERMIT: OSP201143 Ds�- o. LOT 131 T15N R1 W SEC 18 VISUALLY INSPECTED EXISTING 1500—GAL STEP — GOOD COND. IDSF REBUILD 20' X 20' BED MAINTAININED RIGINAL ELEVATIONS. SCALE- i' = 301 NIQn°C7,0)'I r)11c r ---)c-- nz' A—MT1=60,4' FLUSHING VALVE B—MT1=67,0' MT MT A—MT2=58,5' B—MT2=79,2' FCO co co MH 3'��o�PEI\ TOPSOIL AND VEGATATED 102.05 A—MT3=75,7' CO FILTER FABRIC do INSUL 99.60FINAL GRADE B—MT3=92,6' 0.5' PEA GRAVEL 9 A—MT4=76,7' 2' FILTER SAND9,20 ORIGINAL GRADE B— M T 4= 8 0.9' EXISTING AIRLINE/ 1500—GALLON STEEL STEP 97.10 VISUALLY INSPECTED SEPTIC SECTION IND NO R. NOTED IDSF REBUILD (REMOVED & REPLACED W/ TH BIOMATTED SAND) W/ NEW BOH 12' AIR COMPRESSOR ALARM. 87.10//GEG 1997 T15N R1 W SEC 18 LOT 131 PREPARED FOR: JEFFREY & JEANNE BATES 18715 JUDY STREET CHUGIAK, AK 99567 FIRST WATER CONSULTING 13030 SUES WAY ANCHORAGE, AK 99516 907-350-9566 firstwaterAK@gmoil.com N 2 µ- CA W ___} 0...-.0_7..... __<_� �_ ` .,`.}� 4 •�....... ��.`O {fie O�./. W .ZWmI 5 j V � `� � � O •� l_+ � ® /\ • 1 `' V�i, � V � \ Z � tl v � Q� O� , ..+•�•� .. � v --3 .°-s N. a`�� � � f•i tea lN�-yf/ `' ` j��0 % QN i' CL A za = a �; ; a ® iWs� r , �0 �g �N M c� S oCt Q�C7•g g � N n (D � �• y O� c.. � V `�..� �ii � � t � � N Q � b � Q• O � y � �'•t t/ � 1O �.✓ n N.N iso o cp � a �• � C) CD Ci � • (iv Y0�... O COCD 0 CI O 0. o ww 0�,�/A3-7�� Yv 12.0' SHE o z i "sem`` O 00, 8�2,, w —] F W r / O Cil CEJ � ' F CO� d Or b SCHUL a W��s�t' .`2—H 6 O� o w w0 rd � ro tocl, � i11 N CCA rn ro Z rI 0 CI O 0. o ww 0�,�/A3-7�� Yv 12.0' SHE o z i "sem`` O 00, 8�2,, w —] F W r / O Cil CEJ 6/8/2020 MUNICIPALITY OF ANCHORAGE Development Services Department` JS \ =- � Phone: 907-343-7904 On -Site Water & Wastewater Section .__. Fax: 907-343-7997 ON-SITE SEPTIC/WELL PERMIT APPLICATION Parcel I.D. 051-231-27 Property owner(s) JEFFREY & JEANNE BATES Day phone 9072230918 Mailing address 18715 JUDY STREET, CHUGIAK, AK 99567 Site address 18715 JUDY STREET, CHUGIAK, AK 99567 Legal description (Sub'd., Block & Lot) Legal description (Township, Range & Section) T1 5N R1 SEC 18 LOT'131 Lot Size 86249 Sq. Ft. Number of Bedrooms 4 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field Initial ❑ Single Family (SF) Septic Tank ❑ Upgrade 0 , (w/wo ADU) Holding Tank ❑ Renewal ElGaplex (D) ❑ Privy El Multiple Multiple Dwellings ❑ and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: r. 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:-gLf&•26_ Waiver Fees: Date of Payment: 512,q I o 0,W Receipt Number: QOQ w Permit No. © 5 polo (1(4 Date of Payment: Receipt Number: Waiver No. GADevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Client FormsTermit Application.doc COVID-19 2570 DISCOUNT APPLIED 13030 Sues Way, Anchorage, AK 99516 907-350 -9566 / firstwaterAK@gmail.com May 27, 2020 Municipalities of Anchorage On-Site Water & Wastewater Program 4700 Elmore Road Anchorage, AK 99507 RE: SEPTIC SYSTEM UPGRADE PERMIT LEGAL: T15N R1W SEC 18 LOT 131 The septic field has failed and on behalf of the owner we request a septic permit to upgrade the system on the above referenced lot. It appears that the bottomless sand filter (IDSF) absorption field has developed a biomat in the top 3-4” of the sand and pea gravel and is not operating properly. We propose to rebuild the IDSF as it currently exists by removing any contaminated sand and all the pea gravel in the IDSF and then installing new sand with pea gravel to the same existing elevations and layout of the IDSF. The existing components (STEP tank, pressure line and air line, alarm, air compressor, flushing valves,…) will be inspected and continue to be used unless deemed needing to be replaced. The lot and area are served by private water. The design will not impact any of the neighboring properties. Please contact us if you have any questions. Sincerely, Curtis Huffman, P.E. Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP201143, Deb Wockenfuss, 06/08/20 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP201143, Deb Wockenfuss, 06/08/20 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP201143, Deb Wockenfuss, 06/08/20 1MUNICIPALITY 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 Ji` Day of J of 20, by and between herein the "OWNER.," and the Municipality of Anchorage, herein the "MUNICIPALITY", in accordance with Anchorage Municipal Code (AMC) 15.65.365. In consideration of the mutual covenants contained herein, the parties to this Agreement agree as follows: i. Advanced Wastewater Treatment Systems. The Municipality grants permission to the Owner to utilize and operate an Advanced Wastewater Treatment System (AWWTS), described as T,'O6 located at (legal description) 2. (Maintenance. Repairs and Alterations. (Owner is required to read, understand and initial each section) Throughout the term of this Agreement, the Owner shall enter into a service agreement with an AWWTS service and maintenance provider approved by the Municipality or the manufacturer's representative. The AWWTS shall be maintained in a satisfactory condition capable of performing as designed and producing treated septic effluent in accordance with the equipment's approval for operation in the Municipality. 626 It shall be the responsibility of the Owner during the term of this Agreement to pay for all repair(s), maintenance, adjustment(s), replacement costs, and inspection costs. This includes an annual maintenance fee (typically $400 to $600). Owner agrees that only maintenance and repair personnel approved by the 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) Pagel of 3 Owner acknowledges that the Municipality may request records of maintenance and repairs from the manufacturer's representative or maintenance provider. QLI Owner acknowledges that the fine for failing to maintain and repair an AWWTS may be assessed in accordance with AMC 14.60.030. Owner agrees to grant the Municipality reasonable access to test and inspect the AWWTS. The Municipality will give at least 24-hour notice. 9LOwner 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. 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. Jxris9icti2n: Chgice 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. ,,Severe ility. 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: r BY' (print name) STATE OF ALASKA ) )ss, THIRD JUDICIAL DISTRICT ) The foregoi%instrument was. acknowledged beforig 20L� b f?q i Y �� �---�, ) 'NO'TARY'1ztBLIC FOR ALAS My Commission expires: Date: co MUNICIPALITY• By: 414 (signature) Date: 6 hp (print name) Title: (rev. 05/18/2018) Page 3 of 3 N4�4PAt(Ty MUNICIPALITY OF ANCHORAGE On-Site Water&Wastewater Program _011 en i , .35<; .ate`, PO Box 196650 4700 Elmore Roadt. Anchorage,Alaska 99519-6650 Phone:(907)343-7904 Fax:(907)343 7997 =:-,." � httpa/www.muni.org/onsite "" . ^. �, \ ` „ Department RT,f MORAc`� On-Site Water System Permit Permit Number: OSP191304 Effective Date: 7/18/2019 Work Type: Well Initial Expiration Date: 7/17/2020 Tax Code Number: 05123127000 Site Legal Address: T15N R1W SEC 18 LT 131 G:1055 Site Mailing Address: 18715 JUDY ST, Chugiak Owner: BATES JEFFREY W & JEANNE M Lot Size in Sq Ft: 86249 Design Engineer: Total Bedrooms: 4 This permit is for the construction of: ❑ Disposal Field ❑ Septic Tank 0 Holding Tank 0 Privy 2 Private Well 0 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 Special Provisions: 1. Old well shall remain in service or be decommissioned in accordance with AMC15.55. 2. To close out this permit, please submit the following: a) Well log tb) Pump install log c) Water sample results for total coliform, nitrates and arsenic d) Decommissioning log for old well, if not remaining in service. (1 Received By: (- x-4.3-` 9 Date: t7 �r Issued By: P. ,�Q� Date: /1 0 1 9 MUNICIPALITY OF ANCHORAGE Development Services Department -A .__ Phone: 907-343-7904 On-Site Water & Wastewater Section Fax: 907-343-7997 ON-SITE SEPTIC/WELL PERMIT APPLICATION Parcel I.D. r37- ;,s/ - -.f7 Property owner(s) --IPre7 IA/ /3a.teS Day phone 9,) - .22J -07/S Mailing address / $ 7/5 147 Sr, C-lv' 4 Al< , 99.5",(7w Site address 3,-byte. J Legal description (Sub'd., Block & Lot) Legal description (Township, Range & Section) ±L5/ 7.75t/ , ' 1,✓ or /• w► Lot Size Sq. Ft. Number of Bedrooms q APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (El all that apply) Absorption Field ❑ Initial 0 Single Family (SF) a (w/wo ADU) Septic Tank ❑ Upgrade ❑ Duplex (D) ❑ Holding Tank ❑ Renewal ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well []2' Water Storage ❑ THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. jig"r of iproperty owner or authorized agent) Permit/Rush Fees: 2 Z - Waiver Fees: Date of Payment: '7/i C;!'cl Date of Payment: Receipt Number: Receipt Number: Permit No. cS 1P V R ( 309 Waiver No. G:\Development Services\Building Safety\On Site Water and Wastewater\Forms\Client Forms\Permit Application.doc PROPOSED A> °` "' .BAs. o/V 11//,5-7 97 eintr'""' ooeo GA57-4'4CII LfJNO -5lIgRVEV xaao=TX= ROUT 10111:010:<T.MX RIM WIXOM SMACK L3LM LOT /3 0 / �`G9 Al 90'00'0O"E 392.42' Y w -41) y I( V ''—"V,�' , 97! • •eELL 11 01 rn ,cP- \ 4� �V \, • ga S6a NE oi -� ��� iry n ••1�C.1, , M ENO L!/EG i t} rn U0 �0 90 5� p� /yrOSQco,� S6Q No. iP `/,• / ✓ e w l'L/Z l' ` •P V if -9e • . . F�. • ON .- 1 . —SEPTIC C. 0,s .y ! . 1 Ix ,; - - cry �b •---/ cv �o/ q a \s 1/9 N 89" 54' 3S"Z" .524•B9' 4/& Q�'✓-c Je-t- " 3 t1 < _s w rt-1, t1/ zi, /n0 f'7•/ kz)),--(27 UNDER NO CIRCUMSTANCES SHOULD AN AS—BUILT BE USED FOR CONSTRUCTION OR FOR ESTABLISHING BOUNDARY OR FENCE UNES. THE SURVEYOR TAKES RESPONSIBILITY FOR THE INITIAL TRANSACTION ONLY AND ASSUMES FINANCIAL UABIUTY ONLY FOR THE COST OF THE SURVEY. USTED DISTANCES PREVAIL OVER SCALING. REPRODUCTION MAY CAUSE ERRORS IN SCALE. Li LOT SURVEY SURVEY TYPE SYMBOLS ❑ FOUNDATION AS-BUILT . i:::::::::::1 ASPHALT SET DRAINAGE ^❑ FINAL STRUCTURE AS-BUILT 0 FOUND®REBAR 8—g—() Q FENCE i•A.•.A...A 1 CONCRETE J PLOT PLAN AS-BUILT. ..LOT SURVEY.. . TOPOGRAPHY oo a ASSUMED ELEV x X x METAL FENCE /lI''J WOOD DECK 6d AS-BUILT...NO CORNERS SET n RECER-nncARON As-BUILT...NO CORNERS ser , PLOT PLANS & LOT SURVEYS NOTE: IT IS THE RESPONSIBILITY OF THE BUILDER OR OWNER, PRIOR TO ONLY THOSE IMPROVEMENTS ABOVE GROUND AND VISIBLE WILL BE CONSTRUCTION, TO VERIFY PROPOSED BUILDING GRADE RELATIVE SHOWN. FENCES. WELLS, SEPTIC CLEANOUTS, SIDEWALKS, DRIVEWAYS. TO FINISHED GRADE AND UTIUTY CONNECTIONS AND TO DETERMINE ETC., ARE SHOWN IN THEIR APPROXIMATE LOCATION. ONLY. SNOW THE EXISTENCE OF ANY EASEMENTS, COVENANTS OR RESTRICTIONS MAY PREVENT SOME IMPROVEMENTS FROM BEING SEEN AND LOCATED. WHICH DO NOT APPEAR ON THE RECORDED SUBDIVISION PLAT. ALL DISTANCES ARE RECORD UNLESS OTHERWISE NOTED. PLD SURVEY CERTIFICATION ..���. .�����♦ Robert E. Prepared Jr. CF & ASSOC. ^•^°�°- that � r-^�° •��P�• �� Professional Land Surveyors ,� .. w now towed a.t.wr,.r at N tha Mt �.. •••••� �♦ 842 E. 12 AVE so mown tr.d am 0 .- `4 • ANCHORAGE, ALASKA 99501 e/ t • �0 Some Roc Lot S.F. Rec. Plat File No. n FOUNDATION AS—BUILT •••'• . 1 = S O ';.t"`.0.Ammialtom on Mr lo4 awl.Swam not I 1 •- / Date Surveyed: Drown by. Checked by. —� - = w---•trY VI" ROBEsoo RT E S, 0 JULY 30, 2002 REJ MLJ o'trot.and M MOYWomto odd ream • • Drawn: . TO 13' 4121—S __• - Hai Date JULY 30 2002 NNW- 10 W.O.22152 FINAL STRUCTURE AS—BUILT I.4 ! .3 - r L natal E Jahr.4.hv.►y•••W/INA Inow .♦'ei�••••.'•.•• ••••,••••c'4. LAO Deecriptiorc `�, ndmot N1.Att-illultmatIort��h..., �e�+p�a���,b^a�oo:.�• LOT 131 , T15N, R1W, SEC 18 , SM Aneann an CIM Mt tea Met r S1. an true me n..nvaea omenta Wet trims shown taunter. •�>twww+��1 Municipality of Anchorage Development Services Department Building Safety Division 4 On-Site Water & Wastewater Program, 4700 South Bragaw St. ; A E _ P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 Page 1 of 3 On-Site Wastewater Disposal System and/or Well Inspection Report Permit Number: SW970133 PID Number: 051-231-27 Name: JEFF BATES Wastewater System: ■ New ❑ Upgrade Address: 9701 VANGUARD DRIVE #16 * ANCHORAGE, AK 99507 ABSORPTION FIELD Phone: No. of Bedrooms: (907) 688-8564 q ❑Deep Trench ❑Shallow Trench ■Bed ❑Mound ■Other* LEGAL DESCRIPTION Soil Rating: 2.0 Total Depth from original grade: 2 MAX. GPD/Sq. Ft. Ft. Block: Lot: Subdivision: Depth to pipe bottom from original grade: Grovel depth beneath pipe: — 131 — 0.35(+) MAX. Ft 0.25 F. Township: 15N Range: 1WSection: 18 Fill added above original grade: Gravel length: 20 SEE DWG. Ft. Gravel width: Number of lines: Distance between lines: WELL: ■ New ❑ Upgrade 20 Ft. 8 2.5 Ft. Classification (Private, A,B,C): Total Depth: Cased To: Total absorption area: Pipe material: PRIVATE 121 Ft. 37 Ft. 400 so. Ft. D-3034/17-810/SCH 40 PVC Driller. Date Drilled: Static Water Level: 1 Installer. RASMUSSON EXC. Date installs : 612-24/1998 SULLIVAN WATER WELLS 7 1997 24 Ft. Yield: Pump Set At: Casing Height Above Ground: TANK 2.0 GPM UNKNOWN Ft. 2+ Ft. SEPARATION DISTANCES El Septic ❑ Holding ■ S.T.E.P. ❑ Other To Septic Absorption Lift Holding Public/Private Manufacturer. ANCHORAGE TANK Capacity in gallons: 1500 From Tank Field Station Tank Sewer Lines Well 100'+ 100'+ 100'+ — 25'+ Material: STEEL Number of compartments: 2 Surface Water 100'+ 100'+ 100'+ - - LIFT STATION Lot Line 5'+ 10'+ 5'+ — — Size in gallons: 1500 Manufacturer. ANCHORAGE TANK/ORENCO SYSTEMS "Pump on' level ab "Pump off' level at High water alarm crU Foundation 5'+ 10'+ 5'+ — — TIMER TIMER 45" Pump Make & Model: Electrical Inspections performed by: Curtain Drain NONE KNOWN #20 OSI 05 HHF BENCH MARK Remarks: *THIS IS AN INNOVATIVE BOTTOMLESS Location and Description: INTERMITTENT SAND FILTER (ISF) SYSTEM. TOP OF LIP ON CMU ® POINT "A" Assumed Bevation: 100.p00 Ft ENGINEER'S SEAL INSPECTION PERFORMED BY JEFF GARNESS, P.E., JIM WILLIAMS, P.E., AND aQo�oO ! IJ ^A< JODY MAUS. Inspections performed b AWWC, INC. Dates: 1st 1 9 P p Y� 4 - / �... O * �i 6 117 8 2nd-4th / / P, PA O 5th 6/24/1998 � s' O(/T�ef re �A. arness:• O E� 795 0QQ Development S vices Departm nt Approval _ • O Reviewed and approved b : ��-`(� Date: 7 1� (Rev. ,z/o,) Pp Y d .� lo, '4-i L pe `��� rofessio0 o i cv r D�`�' r e_ E ry T, nQ a; e l S'� a-&- ( . PERMIT NUMBER: AS—BUILT DRAWING PARCEL ID NUMBER: SW970133 051-231-27 I \ WELL 1 I 100' WELL RADIUS WE 790, W EXISTING 4 BEDROOM FOUNDATION r \ B A / FCO �,.. `. .•. AIR LINE GRAVEL DRIVE 14 Col / ST2 1.25 HDPE PIPEMH1, EW 1500 GALLON I S.T.E.P. SYSTEM MT2 MT1 I I I I MT4 MT3 7 ALTERNATE SITE NEW 20' x 20' BOTTOMLESS SAND FILTER DATE: 2/22/2002 DRAWN BY: ALASKA WATER & WASTEWATER J.L.M. : CONSULTANTS, INC. S; 6901 DEBARR ROAD, SUITE 2B . ANCHORAGE. AK 99504 . PHONE (907)337-6179' FAX (907)338-3246 1= 30 PREPARED FOR: PHONE NUMBER: PAGE NUMBER: JEFF BATES (907) 688-8564 2 OF 3 LEGAL DESCRIPTION: LOT 131; T15N, R 1 W, SECTION 18 TYPE OF WORK: AS—BUILT OF NEW WELL ANS SEPTIC SYSTEM Jef rey Ga ss.: CLQ 7953 44 s .BOG 0 D��pr0fessi0n eco PERMIT NUMBER: AS -BUILT DRAWING PARCEL ID NUMBER: - SW970133 051-231-27 FINAL GRADE = 98.74 TOP OF TANK STI 5f2 MH (INLET) = 95.35TOP OF TANK /"(—OUTLET) = 95.32 INSULATION INVERT OF BUNG NSW 1500 GALLON (INLET) = 94.77 G �j INVERT OF 1.25 INCH TAp I� I� r / V PIPE (OUTLET) = 94.84 FLUSHING VALVE AND COVER CONTIORING TUBEFINAL GRADE IMPERMEABLE BARRIER ORIGINAL GRADE ` = 101.55 = 98.80 AT HIGHEST POINT—� FILTER FABRIC LAIRUNE _ 97.30 (AVG.) )TTOM OF SYSTEM = 96.80 (AVG.) �-- INVERT OF DISTRIBUTION LINES = 99.15 (AVG.) -TOP OF SAND FILTER/ BOTTOM OF PEA GRAVEL = 98.90 (AVG.) DATE: 2/22/2002 DRAWN BY: ALASKA WATER & WASTEWATER J.L.M. SCALE:CONSULTANTS, INC., 6901 DEBARR ROAD, SUITE 2B • ANCHORAGE. AK 99504 ' PHONE (907)337-6179 '-FAX (907)338-3246 N.T.S. PREPARED FOR: PHONE NUMBER: PAGE NUMBER: JEFF BATES (907) 688-8564 3 OF 3 LEGAL DESCRIPTION: LOT 131; T15N, R1W, SECTION 18 TYPE OF WORK: PROFILE AS -BUILT OF SEPTIC SYSTEM 0 6 O r ... ` Vv��� q., TM •�.� ...... .. .... ....... ......... 1 e Ifve, �A. Gayness.- i� m 1. E 7953 m o49's ' � '• •c�G �4�4oa pro f e ssi�'c%' �OOpoo� 0 5-1 - -01 --�) - a-1 ISN (LlW Sec. I d L ai- I 31 aven electr0 ic inc June 15, 2010 Jeff Bates 18715 Judy Street 42 Chugiak AK 99567 Attn: Jeff Bates Re: Sewer lift station Raven Electric Inc. was called out to perform an inspection on a lift station at the address listed above for Mr. Jeff Bates. We found the lift station to be in good functioning order. We tested and verified that the float operation, pump operation, and alarm operation functioned correctly manually. Also inspected the control panel located in the crawl space of the house in which is wired correctlyand no defects were noted, and also was operating correctly. If any questions please feel free to contact me at the numbers or email below. Thank You Dave House Raven Electric Inc. Manager/Electrical Administrator Office 907-349-9668 Direct 907-830-6202 Fax 907-522-3995 dhouse@ravenelectricinc.com 8015 Schoon Street Anchorage, Alaska 99518 Phone: 907-349-9668 Fax: 907-522-3995 Email: ravenelectric@ravenelectricinc.com PROPOSE A� f .4AS�'U D iV GASTALU/ LANQ —5'4/ ,f?VEV :omm FRONT KULDW SEW= SEC MAU�M MAR OULOM SrnL4= QZI%l LOT / 3 D N 90*0000"E 392.42' 97! �( WE/- L M 36 ¢ o t SHeo v� o� tv p -I O wI� 1�� loc9`o M �HOUSEG 89' —' UNDER NO CIRCUMSTANCES SHOULD AN AS -BUILT BE USED FOR CONSTRUCTION .OR FOR ESTABLISHING BOUNDARY OR FENCE LINES. THE SURVEYOR TAKES RESPONSIBILITY FOR THE INITIAL TRANSACTION ONLY AND ASSUMES FINANCIAL LIABILITY ONLY FOR THE COST OF THE SURVEY. LISTED DISTANCES PREVAIL OVER SCALING, REPRODUCTION MAY CAUSE ERRORS IN SCALE. LJ LOT SURVEY SURVEY TYPE SYMBOLS ❑ FOUNDATION AS—BUILT , ❑ VESET REBAR DRAINAGE 0 ASPHALT FINAL STRUCTURE AS -BUILT • ❑ PLOT PLAN ... AS—BUILT ... LOT SURVEY ... TCPocRAPHY 0 FOUND REBAR .e --tee. WOOD FENCE •:.:: CONCRETE A-�-raiu T _ un mrruFac a -r n rrFrxrrnFlrAnrw ♦t.wm T _ _ _ un rnrucws cs•r 0012 ASSUMED ELEV. d(--IE—K METAL FENCE ® WOOD DECK IT IS THE RESPONSIBILITY OF THE BUILDER OR OWNER, PRIOR TO CONSTRUCTION, TO VERIFY PROPOSED BUILDING GRADE RELATIVE TO FINISHED GRADE AND UTILITY CONNECTIONS AND TO DETERMINE THE EXISTENCE OF ANY EASEMENTS, COVENANTS OR RESTRICTIONS WHICH DO NOT APPEAR ON THE RECORDED SUBDIVISION PLAT. SURVEY CERTIFICATION ♦♦♦♦♦� rr�o� PLOT PLAN ♦ �'�� �♦♦ I b..by o.Ufy mat I bar. pby ooby .urvq d 1♦'< C •..• ♦♦ U. lot d— aA 6—td h.—% and mot I � �\•. •'•. fo..W W ..t.bnemd d of the bt aorn.. ,e,o.,, u.. v+oa .,d to tn. b..t of my U„"d..,d`� oo .oea aknmro�. no.. b.., AV Y ? tY ♦I Alf FOUNDATION AS—BUILT Air1"•• ' •• •• • '•••• •• 4 Rob.t C JoNw Jr. b..by ortky mal 11 bo.. o.rfor+*.d m A—Mt fandoffon m4 bt .,d N,ae d m. ••• ••••••• • r. •• • • •.....r w �o� r-. ,: U .fttd.t unw" V , OBI N ... � ..: . ` ,no.n otn..I.aAlf FINAL STRUCTURE AS—BUILT •®♦.�� ••.•, .4121 . •� t°e�1� 4 Rb -1 L JcM% Jr. h. b —Uty m.l I,.• na.. D•rt.m.d a A. -Ault .tray of lM e^ ••.,, ,..a• y ♦� .tr—c . ml. Tat .,d mat d the ♦♦ .,, A ....... °oa .. t— m,d no .,orood—nt..trt t.d... /1 °fee.land .♦ .,..., am..r. ��..��.♦♦ ONLY THOSE IMPROVEMENTS ABOVE GROUND AND VISIBLE WILL BE SHOWN. FENCES, WELLS, SEPTIC CLEANOUTS, SIDEWALKS. DRIVEWAYS, ETC., ARE SHOWN IN THEIR APPROXIMATE LOCATION, ONLY. SNOW MAY PREVENT SOME IMPROVEMENTS FROM BEING SEEN AND LOCATED. ALL DISTANCES ARE RECORD UNLESS OTHERWISE NOTED. Prepared by Robert E. Johns, Jr. & Assoc. Professional Land Surveyors 842 E 12 AVE ANCHORAGE, ALASKA 99501 Scale, ill = 5 0 f Rea. Lot S.F. Rec. Plat File No. Date Surveyed: Drawn by. Checked by. JULY 30 2002 REJ MLJ Date Drawn:.Grid: W.O. JUL30,. 2002 NW.: -:105); 22152 LOT 131, T15N, R1W, SEC 18, SM H u a: 0 4 Fl F0 1 tie Doc co, 01)a SULLIVANWNFE R WELLS P.O. BOX 67D279, CHUGIAK,.ALASKA 995e7 * TELEPHONE 608,2759 OWNER OF LAND -j-j5oCP= DEPTH OF WILL I ADDRESS ST TIC UVEL OF WATER Fr. LEGAL DESCRUYTION-J. 3Z I I DRAW DOWN FT, DATF - Started Ended CALS. PER HR PERMIT NUMBER KIND Or CASING KIND OF FORMATION: From—L—Ft, tal—Ft— 0,4r/M. From—. Ft. tr.—F't J4F- From---- Ft. to -- Ft,-- From Ft. to,-- Ft, From-/--Y--Ft, . 1-1,4^019 From—Ft, to_ Ft From Ft, to -71— Ft. From—, —Fl, t(;-- Ft From -7 -3 --Ft, to—ll—Ft. n___Fi, to— Ft. From,- ­F1, to ----Ft, From ---'Fr, so— Ft. From Ft. tala—Ft, -b J� From— F(. to Ft. From- ­Ft. to— Ft Frorr>L`� I- From­­-Ft. to --Ft. From --Ft. to ---Ft. From- ­Ft. to --_Ft. Froxn­_Ft, to- ­Ft. From— ­Ft tv­—Ft, fyom-----Ff,. to.—Ft.�_ from---- Fl, to- ­Ft. From„. ..__,..._,Ft. co_._.. Ft. FrOnl­—Ft- t0 Ft. Froin --Ft. to­---Ft— MISCL, INFORMATION: 0 4s 4 3 7' T -o i - 6 DRILLE'S NAME R MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMA~ SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WELL AND WASTEWATER DISPOSAL SYSTEM PERMIT PERMIT NUMBER:SW970133 DESIGN ENGINEER:ALASKA WATER & WASTEWATER SERVICES OWNER NAME:BATES JEFFREY W & JEANNE M OWNER ADDRESS:2440 SENTRY DRIVE 0209 ANCHORAGE, AK. 99507 DATE ISSUED: 6/13/97 EXPIRATION DATE: 6/13/98 PARCEL ID:05123127 LEGAL DESCRIPTION: T15N R1W SEC 18 LT 131 LOT SIZE: 86249 {SQ. FT.) NUMBER OF BEDROOMS: 4 THIS PERMIT: 4 THIS PERMIT IS FOR THE CONSTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK / WELL SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: 1 2 3 4. 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 (18A~C72) AND DRINKING WATER REGULATIONS (18A~C80). THE ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY CALLING 343-4744 ( 24 HOURS ) (NOT REQUIRED FOR WELL ONLY PERMIT) FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING WEATHER MUST BE EITHER: A. OPENED AMD CLOSED ON THE SAME DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: RECEIVED BY: ~~` ,~ ~_~_~~ DATE: ISSUED BY:-- ~ DATE: Alaska Water & Waste-water 8471 Brookridge Drive ~ Anchorage ~ Alaska 99504 (907) 33%6179 - Fax (907) 338-3246 Consulting Engineers May 15, 1997 Municipality of Anchorage Department of Health & Human Services Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 ReE Well & Septic System for Lot 131, Sec 18, T 15N, RIW. S.M. To whom it may concern: The subject property is currently undeveloped. The property owner is proposing to build a 4 bedroom house on the site, which will require the installation of a well and a septic system. Comments regarding the proposed systems are summarized as follows: 1. SOILS: Attached is a copy of the soils logg. The soil is primarily coarse sand/gravel over hard silty gravel, with a percolation of .2 minutes per inch. On 4/27/97 groundwater was encountered at a depth of 5.75 feet below the ground surface (just into the tight soils). Due to the presence of groundwater, and coarse soils, a sand filter will be required. Rather than installing an elevated mound system, which have proven to perform poorly; or installing 120 L.F. of five wide trench with a sand filter, I am proposing to install a Bottomless Intermittent Sand Filter (BISF). The performance of the BISF will he better than a mound system, and should cost less to construct. The design criteria are summarized as follows: 2. TRENCH DESIGN: Bottomless Sand Filter (BSF) a. Percolation Rate: <1 minutes/inch b. Allowable Application Rate for BSF: c. Number of Bedrooms: 4 d. Design Flow: 600 gallons per day e. Minimum Absorption Area: 300 ft2 2 gallons/day/fi2 MUNICIPALIT? OF ANCHORAGE ENVIRONMENTAL SERVICES DIVISION MAY 1 9 1997 RECEIVED £ Effective Depth: .5 feet g. Width: 19 feet h. Length: 19 feet. i. Effective absorption area = 360 fi2 (>300 ft2 OK) j. Air Supply: Thomas Industries, Model 5070, "Anchorage Tank". k. Air Supply Line: "Wasteflow" emitterline, 1/2 inch ID, "Anchorage Tank". 1. Sand Material: Central Paving Products "Winter Road Sand" m. Pea Gravel: 100% passing 3/8" sieve, less than 20% passing the 1/4" sieve, and less than 1% passing the #8 sieve. We are proposing to excavate down to a maximum depth of 3.5 feet, place 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 STEP tank (Anchorage Tank), equipped with a programmable timer so that flow can be intermittently dosed to the ISF. 3. SURFACE WATERS: There are no surface waters within 100 feet of the proposed septic system. 4. TOPOGRAPHY: The lot slopes downward, at approximately 2%, from west to east, and from north to south. In short, there are no slope concerns. I am unaware of any adverse impacts this installation would have on adjacent wells or septic systems. If you have any questions, please contact me at 337-6179, or on my digital pager at 1-800-481-1162. Thank you for your assistance. Sincerely, . /~ Je.ffr) ~lGarness, P.E., M.S. Prim NOTEj TNIS IS NOT A SURVEY. THE LOCATION OF ALL WELLS~ SEPTIC SYSTEMS, AND STRUCTURES IS APPROXIMATE, THE CONTRACTOR SHALL VERIFY THE SEPARATION DISTANCE FROM THE NEW WELL AND SEPTID SYSTEM TO ALL WELLS/SEPTICS ON ADJACENT LOTS, ? ? HOME .OCATION DF SEPTIC SYSTEM, LOT 132, PRIVATE SEPTIC SEPARATION CONCERNS. ? PROPOSED SLOPE 1500 GALLON STEP TANK, ~NEW BOTTOMLESS ISF LOT 151, SEC 18, PRIVATE SEPTIC DOG SECTION 12, S,M. LOT 153, WELL & SEPTIC SYSTEM~ PREPARED FOR: PREPARED BY~ DATE: LOT 131, , SEC 18, S,M, JEFF ]~ATES ALASKA WATER & WASTEWATER 5/15/97 DRAWN~ GARNE~S §CALE~ 1" = 100' N(]TE~ THE CDNTRACTDR SHALL HAVE BE RE~PDNSIBLE FDR MARKING THE PROPERTY LINE, AND FLAGGING THE WELL RADIU$'S PRIDR TO x~.,~,?//-N, EIGHBDRS WELL ~ ~.~~ PROPOSED ]/ / ~ ::" '~ %k EL. = 97.0 // /UUN~AT~DN ' · ' ' .......' /AN INTERMITTENT DBSING /" · TIMER, SUPPLZER SH~LL A~R ~I'~E~ I ~E ANCHURAGE TANK, DATE~ 5/15/97 DRAWN* GARNESS SCALE: 1' = 30' XX 19' x 19' 30TTOMLESS ISF NOTE, DIMENSIONS OF MAY ]BE CHANGED TO 1,50 16,00 1,50 MEET LATEST DESIGN --' - ]BY []RENCO & ANCHORAGE  TANK, 1,~5 INCH PVC ~_L PVC AIR LINE TaX ~~ ~ ~ ~ SAND FILTE~ ~ ~ .~ ~ ~ . . 150 L,F OF AIR LINE ~~~,~ ~ [ i ~ ~ ~ : : ~--FLWSHING VALVE SPACE~ AT ~PPP~OX i ~ ~ ~ ~ ~ / (TYP) ~NSTALL 2 FEET, O~ENCO '/ ~ -~ '------~ ~ PE~ THE 'WASTEFLOW' TYPE . · X ~ [ · ~ DETAILS P~BVIDED ~Y ~ ANCHORAGE TANK, ~ ~ k X 3/4 ~NCH DIA., 2~H 40 PVC (TYP). 4 INCH DIA MONITORING X X DIA. HOLES AT B C.C., AND UNE AT E~CH TUgE ~T E~CH CORNER. ~ LEND (9 HOLES PER LATERAL). 63 HOLES TOTAL. AT 5' BF PRESSURE HEAD THE FLB~ PER ORIFICE = .4~ 5PN. THE TBTAL FLU~ = 85.8 GPN. ALL HULES SHALL FACE ~U~N. PROVIDE ORIFICE SHIELDS. AIR LINE SHALL 9E ~PRBVIDE 8' BF RIGID INSULATIQN 6' ~BVE ~BTTBN ~ X~ COVER NIH, , ' : .. .. : ".' . ' . , 6 ' LAYER DF 3/8" PEA G~AVEL ~ FEET DF F]LTEB SAND, HATER]AL SHALL ~]TH THE PVC LATERALS BURIE3 BE CENTRAL PAV]NG PRODUCTS *~NTEB N]~Y ]N THE ST~ATUN, SAN3', DR APPROVES EBUAL, ~OTTOMLEgS INTERMITTENT SAND FILTER DETAIL PREPARED FOR~ JEFF ]BATES ............. PREPARED BY, ALASKA WATER & WASTEWATER ~;.4~ ...~ .... Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L' Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST LEGAL DESCRIPTION: ~ ,-- _ · a Township, Range, Section: O~,e,.~ I~,,~. / L.~ ~ SLOPE WAS GROUND WATER E DEPTH? gaplh to Water After --~ / 13 Monitoring? '~ *-~:~ Dale: Reading Date Gross Net Depth to Net Time Time Water Drop I, ,,,f,, / ,,;,,. 'z. " ,ul^ 3o N/,', ~,~/.. '/ 14 15 ~9- 20- PERCOLATION RATE t~c~ ~ (minutes/tach) PERC HOLE DIAMETER ~:~, ,,, :35'- TEST RUN BETWEEN ..R"0 ~c' · FT AND ~FT COMMENTS ~U,i~t.~..-O'~.J sW~ ~,...~,.~ ~'~ o~ ~/',"o ~/, CERTIFY THAT THIS TES~ ~8;E~Fb. MED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: ~~ MUNICIPALITY OF lie Development Services Department On -Site Water & Wastewater Section Parcel I.D. 051.231.27 Certificate of On -Site Systems Approval 1. GENERAL INFORMATION Complete legal description T15N R1W SEC18 LOT 131 Phone: 907-343-7904 Fax: 907-343-7997 Expiration Date: q . 3 d 'zow Location (site address) 18715 JUDY STREET, CHUGIAK, AK 99567 Current property owner(s) JEFFREY & JEANNE BATES Day phone Mailing address 18715 JUDY STREET, CHUGIAK, AK 99567 Real estate agent Day phone 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Private Well ® Private Septic Water Storage ❑ Holding Tank ❑ Community Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ Waiver request for: Distance: Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ 01$ b �. Waiver Fee $ Date of Payment dao f aG Date of Payment Receipt Number aroa5a Receipt Number COSA # O 5626 12-42 Waiver # COV ID -19 20 DISCOUNT APP! " 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 6119/2020 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 k �►��t�� or— these various and dynamic characteristics and are outside the control of the evaluator of the well and septic system. Therefore, any estimate of how long a system will function satisfactory '(ri ` • • for current or future occupants or guarantee that no unseen encroachments, deficiencies or discrepancies be �r��Q: .. exist can given by First Water Consulting & F4 r v -49.. • . � 6. DSD SIGNATURE • • Curtis Huffman �����Fcsl System #1 Approved for bedrooms , CE 128991 �1 F,.Q/1912c).* pFo k> System #2 Approved for bedrooms ROFiiwO Disapproved Conditional approval for bedrooms, with the following stipulations: By: Original Certificate Date: -3 V -202 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 Septic System Advisory Well Flow Advisory Nitrate Advisory Arsenic Advisory �ther 1 QM,IG 1-ets141 t4doit r Legal Description: T15N R1W SEC 18 LOT 131 Parcel ID: 051-231-27 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) Water storage tank volume NA gallons Date drilled 7/25/2019 Well disinfected for coliform test? ❑ Yes ® Nc Total depth 122 ft ® Coliform bacteria is Negative Cased to 52 ft Nitrate mg/L ® Nitrate less than MRL (ND) ® Sanitary seal is functioning correctly Arsenic ug/L ® Arsenic less than MRL (ND) ® Wires are properly protected FWC; Casing height (above ground) 24+ in. Collected by: Date of flow test for COSA * Static water level at beginning of test 24 ft. Date of Sample 6/4/2020 Well production at time of test 2 gpm Comments *NEW WELL B. TANK DATA Age of tank(s) 22 years Tank type/material STEEL Measured operating fluid level in septic tank ® Standpipes/foundation cleanout per record drawing Date of pumping 5/21/2020 D. ABSORPTION FIELD DATA Which system tested (date installed) NEW SYSTEM ® ALL standpipes present per record drawing Total measured depth from grade 2.85 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 ® Code -required soil cover over field ❑ System presoaked (Required if vacant for greater than 30 days prior to date of test) Gallons introduced gallons Comments/Deficiencies: C. LIFT STATION ® Required maintenance completed Age of lift station 22 years Lift station material STEEL Comments: *Float Level — See attached MOA advisory & maintenance report. Adequacy test date NEW SYSTEM Results E Pass For bedrooms Fluid depth prior to test _ in Water added gal New depth in Elapsed time min Final fluid depth in Absorption rate gpd Any rejuvenation treatment (past 12 months) N If yes, enter date NES 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 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' if No ft Animal Containment > 50' ® Yes if No ® Yes if No ft ft If septic tank is under driveway comment below 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 ft Surface Water > 100' ® Yes if No _ Property Line > 5' ® Yes if No ft Wells on Adjacent Lots: ® Yes 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 G. ENGINEER'S CERTIFICATION I certify that / 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. Fe • ' �� TH .. .... .......... Curtis Huffman /® CE 128991 PROFESS ft ft ft ft ft ft ft ft MUNICIPALITY ,r- DEVELOPMENTSERviCESDEPARTMENT10 907-343-7904 On -Site Water and Wastewater Section „. Fax: 343-7997 wvvw.muni.org{onsite \— Septic Wank Advisory Certificate of On -Site Systems Approval #OSC 201272 Subdivision: T15N R1W Sec 18 Lot 131 Starting at 20 years of age the MOA issues Advisory's for steel septic tanks. The septic tank for this property is 22 years old. Typical replacement costs range from $8,000 to $11,000. This advisory must be attached to all copies of the subject Certificate of On -Site Systems Approval. This is an example of what the metal of a 20 year old steel tank MAY look like. All OWNER OF LAND: Jeffrey & Jeanne Bates ADDRESS: 18715 Judy Street Chugiak, AK 99567 Bore Hole Data Depth From To LEGAL DESCRIPTION T15N R1W SEC 18 LOT 131 DATE: 7-25-19 0 2 Casing Stickup PERMIT NUMBER: OSP191304 DATE OF ISSUE: 7-18-19 TAX IDENTIFICATION NUMBER 05123127000 Is well located at approved permit location: ❑Yes ❑No Method of Drilling: ❑air rotary cable tool Depth of Well: 122' Casing Type: Steel Wall thickness .250 inches Diameter: 6 inches, depth 52 feet Liner type 80' of 4.5" PVC Static Water Level: 24 feet Recovery Rate 2 ® gpm ❑ gph Method of Testing Air Well Intake Opening Type: 1-1 open end ®open hole ❑ Screened Start feet Stopped ❑ Perforations Start feet Stopped Grout Type: Bentonite Volume: 50lbs Depth: from 2 feet, to 52 feet Well Disinfected Upon Completion: ®yes ❑ no Method of Disinfection: Chlorine 50 PPM Comments: 2 4 Overburden 4 15 Sand w/ Gravel 15 30 Hardpan 30 74 Sandstone 74 78 Sandstone Conglomerate 1 GPM 78 90 Sandstone 90 95 Sandstone Conglomerate 1 GPM 95 122 Bedrock Green Hard caillf&Mio Nffratbs INV M91L rSONC Drillers Name: Cole Sullivan ATTENTION: It is the responsibility of the property owner to submit a copy of the well log to the proper authority. Municipality of Anchorage: Department of Health & Human Services and/or Department of Environmental Conservation. Matsu Borough: Department of Environmental Conservation. MUNICIPALITY OF ANCHORAGE Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section M Fax: 907-343-7997 Pump Installation Log Well Drilling Permit Number: Delo / % %J zl_11�4 Date of Issue: -8- / 1� Parcel Identification Number: Legal Description Block Lot Property Owner Name & Address: Pump Installation Date: 'l - ;!Lt - Pump Pump Intake Depth Below Top of Well Casing: / / * feet Pump Manufacturer's Name: `Y /<// t -L Pump Model: f✓ Vos /OL�- _ 3 (,,�,�z 3 e9 Pump Size: �� hp , Pitless Adapter Burial Depth: 9 feet Pitless Adapter Manufacturer's Name: i /0-rVUR `a Pitless Adapter Installer: _Je 46,fes T'ye,�p �rrJ• -7 �re Well Disinfected Upon Completion? Yes //❑ No Method of Disinfection: Comments: Pump Installer Name: -,/ e�1 ! z5C;-�er , /'-, Company: Mailing Address: - City: Cl� /,G� State: A K zip: 5 / Attention: The pump installer shall provide a pump installation log to On-site within 30 days of pump installation. F: 1YU'7--'I,43-71947 P 0 ��tjX -Aj�, 9 19-9';A ,'-)T-F 'Ilu it DI Intermittent Dosing Sand Filter Maintenance Log L Owner L Street Address '7 t c c - ) c-�� i Phone_ ZZ5 CL91:2" Legal Desc. PID SetLtic Tank: SJ1j(fQe level J n c h es, -PLImping: required Pumping compleied Y2- ZDQ bsOrDtion Field: -Flushing valve.;; pur approved, design -s) no -Alf hushing valves O'DO', distribution iines flushed, and flushing valvas clo&- -d yes', c Lift station: Pump basket cJeanccl -Biotube effluent clea,.,jed es"� 110 CY—es Timer foaf -1-figh level float setting_ ncf yes -Refer eixue points •PUMD -Pump off. ")7-, minu•te�- Cumulative I-Ifelime cycles -Cumulative run ffrne-EL�—�- -Operation satisfactory Air System.- -Air Pump tilter cleaned es i :moo -Air pressure Psr -Data of fat -est install or r(-,bji� Air system operation d.�ta�ton. not s��-­.Tac�- Alamo -Dcd,,cZtcd electrical AudibLand visual alarm insWA dweiling QY- — (&-N no -10a'se >1 atting -Nlarm sysTcm operation Comments. ---------­- .......... ................ .................. .......... ------------- .................... ............... ............ ...... 1-1 ..................... II.- ........ ........... ................ ................ ...... ........... ......... I- .......... ....................... . ....... ...... ....................A.,.........._...... .............. ............ -.1.1.1- ................................ ................. ............................................................... ............................ Maintenae-ce _Provider. Date of maintenance Jornpany Signatkure, Date IDSF Mainopnnnc�-, Lcg 0406. ' dc Municipality of Anchorage Community Development Department On -Site Water & Wastewater Program 4700 Elmore St. Em P.O. Box 196654 m Anchorage, AK 99507-6650 im�nErrv..r;'���ri�nrJorEsi'aem (907) 343-7904 Legal Address: T _� R 9- W Section Lot Block Lot 131 un -site water & Vps�ewater Programa• certified contractor performing the well decommissioning: Name: a� �lt� aim Si natur Company: GL(lt�V�V� IN t°1 e(I g. e Well decommissioning date: T_;� _0 Method of decommissioning: AMC 15:55.060L1 a. ❑ b. ❑ c. x Location: Use the space below to provide a drawing of the property showing the following items; • North Arrow • Decommissioned well, • Other wafter wells on the property, • Two separate swing -tie distances for each well shown in the drawing, Note: The swing -tie distances shall be measured from either permanent structures of property corners. 4fl N 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 J714 e-- of 20 3, by and between Mj J� •S 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 IDSF located at (legal description) 2. Maintenance, Repairs and Alterations. (Owner is required to read, understand and initial each section) 0 � 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. l S- 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). eJ S 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 I of 3 ,7S Owner acknowledges that the Municipality may request records of maintenance and repairs from the manufacturer's representative or maintenance provider. 6 -TJ` Owner acknowledges that the fine for failing to maintain and repair an AWWTS maybe assessed in accordance with AMC 14.60.030. P T� Owner agrees to grant the Municipality reasonable access to test and inspect the AWWTS. The Municipality will give at least 24-hour notice. f) ,T5 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. 03se 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. Severabilitv. 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: l JGrn o? CQ �c�� 4 n J_ S✓t Y %� (print name) STATE OF ALASKA ) ss. THIRD JUDICIAL DISTRICT ) The foregoing instrument was acknowledged before me thisIJ ±clay of-,juY1� , 20, O, by NOTARY 1?0131L1C`FOR ALASKA My Com rnissioh• ex hies: _ I, 'i,1 a 2 MUNICIPALIT : �k(signature) Notary Pdit N.J. WHITE 3tdo ofAlasks My Ooau *Won Ernes OCL23, 21122 My Date: C , Z 1 - (print name) Title: (rev. 05/18/2018) Page 3 of 3