HomeMy WebLinkAboutTHUNDERBIRD FALLS LT 711 r
Thunderbird
Fulls
Lot 7
#051-411-08
r, Municipality of Anchorage
Development Services Department i
Building Safety Division
- on -Site Water and Wastewater Program. 4700 S. Bragaw SL
P.O. Box 196650 Andxxage. AK 99519.6650 Page ! of
(907) 943-7904 -3
ONSITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
Permit Number. S WOqQ07q PID Number: 651-911-08
Ram: .
Wastewater System: gj New ❑Upgrade
.t 0.'( '7 Z 7
ABSORPTION FIELD
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SEPARATION DISTANCES
(Septic []Holding QS.T.E.P. [3 Other.
To
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Absorption
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Lift
Station
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BENCH MARK
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.E OF A....
17014 Egli It1w Loop Road, No. 204
Inspections performed by:Rlve6Dates: 13- a s'10 V
Zea y ae ��
I yf` ROBERT C. COWAN f�C�
A
Development Services Departmentroval
l�c,� c: -soot fa��
Reviewed and approved by: Date: %— "0
IttJp.:7--n- , " �=
i
PERMIT No. SW040074
PACE 2 OF 3
Municipalit of Anchorage
DEPARTMENT OF HEATH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196650 • Anchorage, Alaska 99519-6650 • Telephone 343-4744
ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
LEGAL LOT 7, THUNDERBIRD FALLS S/D P.I.D. NO. 051-411-08
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� CE -8801 ��a•,
PERMIT NO.SW040074
PACE 3 OF 3
Municipalit of Anchorage
DEPARTMENT OF HEATH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196650 *Anchorage, Alaska 99519-6650 • Telephone 343-4744
ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
LEGAL LOT 7, THUNDERBIRD FALLS S/D P.I.D. NO. 051-411-08
INSULATION
86.3'
MTI =87.3'
NAL GRADE
,r-90.8,
NEW 1300 GAL.
POLY. TANK
rm.
G��
DISCHARGE PIPE
550 GALLON FAT ALBERT
WITH PUMP ASSEMBLY
MT2 FINAL GRADE MTl
f MT1=86.0'
`ORIGINAL GRADE
'I INSULATION a /
DIST. LINE=83.9'
ruuu
nuns
-s xo
OR uxe
MTI =83.6'
A
NO GROUNDWATER FOUND
77.6' B.O.H.
BOTTOM OF SAND=81.6'
N. T. S.
JLL-00-2004 0949
Lily E, 7004
S&S ENGINEERING
Tweed Excavating & Construction
Richard Tweed
17034 Eagle River Loop Road
Eagle River, AK 99577
ti:74
907'694 1211 P 01/011 ` !u
Rising Son Uectric. Inc.
_.601V].1.11.11
Re: Lot 7 Thunderbird
Dear Richard:
The lift station at the above referenced property has been wired in accordance with NEC
and State/Local codes.
Thank you.
Sincerely,
Kevin S. Hornbuckle, Owner
Administration License Number 1284
Specialty Contractor License Number 27285
D
Cermteb �Mrdttng 3.og
by
Doc co. em.
SULLIVAN WATER 'WELLS
P.O. BOX 670272, CHUOIAK, ALASKA 90367 • -.-.
OWNFROFtMlO• L7#J4A 1./Qr4414
ADDRESS:
tEGALDESrMPTI^"~'T'�c!L l3eK'Q Fr9�
L o T,
DAM 4 �1
pERMIT Daledtsa,el-l�-04
TAX IDENTFICATM NUMSER:-
Is we4located at appoved pumti location? b"65 J No
Mel od of Driing U1 rotary U cabla tool
Depth of wed 51)
Casing Type —n:a'LWatt Thickness itches
Dianmler_611 hates. dePM 5t feet
LherType: rS`JAJC
Casing Sticlaep Above Ground:.
Static Mater levet 20 feet
Pacover Rate:.5t Wn
Meeod ofTesn . 606
Well Intake Opening Type: 4155ert end ❑ open hole
:1 Screened;. Stat feet Slopped feet
v perkwafi= Start c lestGroep Type: t 6.a ro..r tT t` tebime
Depth ko n D feet, to a O feet
Well Disinfected Upon Cornpletion? 4 -*s O No
Method of DWrilectim Ow r✓~0 $2, Jar Sa QPM -
c4r Iric, S TI C. K 10
o0E43JAr9r..1
t-�ta <,oPA•�
SR}r,0 �R�9J�c s
LC.) A -?-612_
Drilees Name 13e; J Q„
ATTENTION: It is the responsibility of the property owner to submit a copy of the well lop to the proper authority. Murkipaity
N Anchorage: Department of Health & Human Services arKVor DepaAment of Envkormtentat Conservation. MatSu Scrargh:
)eparowt of Envirommial Cor rvatlon.
MUNICIPALITY OF ANCHORAGE
Development Services Department
On -Site Water 6 Wastewater Program
4700 South Bragaw Street
P.O. Box 196650, Anchorage, AK 99519.6650
(907) 343-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT
Initial
Ll ) ZU 1 oy k� �,
1*.3Or0
Date Issued: Apr 22, 2004
Expiration Date: Apr 22, 2005
Permit Number: SWO40074 Parcel ID: 051-411-08
Legal Description: THUNDERBIRD FALLS SUBDIVISION LOT 7J
Design Engineer: 0003 S & S Engineering Site Address: NHN KERRY LOOP
Owner Name: DAVID SHUCK Lot Size: 27820 SO. FT.
Owner Address: NHN KERRY LOOP Total Bedrooms: 4 Permit Bedrooms: 4
CHUGIAK , AK 99567 -
This permit is for the construction of:
❑d Disposal Field ❑✓ Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage
All construction must be in accordance with:
1. The attached approved design.
2. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska
Wastewater Disposal Regulations ( 18AAC72 ) and Drinking Water Regulations (18AAC80 ).
3, The 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:
Date:
Municipality of Anchorage
• -� Development Services Department���'
Building Safety Division : 3Z�•
On -Site Water and Wastewater Program
4700 South Bragaw St.
P.O. Box 196650 Anchorage. AK 99519-6650
www.ci.anchorage.ak.us
(907)343-7904
JN -SITE SEWER/WELL PERMIT AppuCATION
FOR A SINGLE FAMILY DWELLING
Parcel I.D. 057 —411 —OS Permit Number SWO406
Property owner(s) L -t x1402r n n Day phone
Mailing address (1)� M00
Mailing address (2)G010�C Zip Code
u
Legal description (Lot, Block & Sub'd.)
Legal description (Section, Township & Range)
Lot Size /� QO_Acre /Sq.Ft.
THIS APPLICATION IS FOR:
Sewer Only
Sewer and Well
Sewer Upgrade
THIS PROPERTY CONTAINS:
Hot Tub
Swimming Pool
Therapy Pool
I certify that the above
Single Family Dwell>
(Signature of
Permit Fees:
2
I
a
agent)
Sty- f
Number of Bedrooms Ll
Well Only ❑
Water Storage ❑
Jacuzzi ❑
Water Softening Unit ❑
. I further certify that this application is being made for a
with applicable Municipal Codes.
Waiver Fees:
Date of Payment: V�(�, Date of Payment
Receipt Number: —1 Receipt Number:
(Rev. 12100)
Gn1O iytv1764
ROBERT C. COWAN P.E.
CMLENGINEERS
(907)6942979
April 20, 2004 FAX(907)694-1211
IFAllNAUTHMTY MUNICIPALITY OF ANCHORAGE
'"PROW"' Development Services Department
P.O. Box 196650
Anchorage, AK 99519
SEWER 6 WATER
MWE(TES1ON4 REFERENCE: Lot 7, Thunderbird Falls Subdivision
SEWERSWATER It is requested that you issue a permit to install a septic system to serve the proposed
'SPECTION four bedroom dwelling on the referenced property.
Three test holes were excavated and percolation tests performed. The approximate
MNEU*4$TL0IES locations of the test holes are located on the attached site plan. At the time of excavation
AMIREPORTS 4/12/04 water was not found. After seven days of monitoring, no
( ) y g, ground water was
found.
Wfl11NSPECTION We do not anticipate any adverse effects on neighboring wells, septic systems, reserve
&n.OWTEST areas or drainage patterns by the installation of the proposed septic system. The
construction of this system will not prevent any future development on any of the adjacent
properties.
SITE PLANS
If you require additional information, please contact us.
ROC DESIGN yncy,
SOL TES', C.—Cowan, P.E.
/bjj ' .
PEFI=AT9 Enclosure
TEST
STRVCTLP+N.a
LIECNWra
CNSRE
WASTEWATER
dSPOSALSYSTEM
cesaN
17034 NORTH EAGLE RIVER LOOP • SURE 204 • EAGLE RIVER. ALASKA 99577
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Municipality of Anchorage NcwEE'PFAW!
Development Services Department
Building Safety DMslon /.•..:9 /j�I.�J�iI ..
On-SIte Water and Wastewater Program .-:...
1700 South Bregaw St. �••
P.O. Box 190050 Anchorage. AK 99519-6850?r„� ROBERT C. COWAN ••/41L
www.munLorg/onslte ! C :� CE -8801 Z�
(907)317-7904
C��'•.. �.`� ..
Soils Log - Percolation Test �h�r' s�'..
Performed For. G' (.J. LI C. K Oeta Performed:
Legal Description: LUT' �' : Tk 11 aJ OC'-Ki3 r �7_A �A-$ 771 ` ' 1
Depth
(Feet) Qi[�/IiJILS
2-
3-
4.
-3-4. GM
5- ' D;.. n
vofiI C!
�- �jCDQG U�
1
1
1
rl1
WAS GROUND WATER
ENCOUNTERED?
s
'
IF YE3, AT WHAT DEPTH?L y�'O _
pMMeMloring?Rw E fS •.
D&I011181 0
�7�- /O
Reading
PERCOLATION
Date
Gross Time
Net Time
Depth to Water
Net Drop
It �,r
3 ►1 4
O
O
-7 A
—
in
10
ity?n
r,
i10
a11.
3c
i , •.
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14A
4-,/4--
'
PERCOLATION RATE G•4t t N.Nt FERC HOLE DIAMETER (�••
TEST RUN BETWEEN I—Fr AND Z.5r FT
COMMENTS
a PERFORMED BY: f7^ 5 (.7r.iCC_7"Oj( 1 r(R Z- C rIV— CERTIFY THAT THIS TEST AS
PERFORMED IN ACCOR CE WITH rNALL STATE AND MUNICIPAL G0lb LINES IN EFFECT ON THIS DATE. DATE:
1
cl
Municipality of Anchorage — . (ENGINE RSSEA• 'j ,p
Development Services Department , �
Building Safety OMsion . it
On•SRe Water and Wastewater Program LLL
1700 South Bragaw St. ••• .. ._".....,.. _., r
P.O.Box 798850 Anchorage, AK 99519.6650 �,i RO°ERTC. GOWANtiF
www.murli.orglonslta r Q,` C:-8601
(907) 343-7901 �� ��•; •.. •••r; s
Soils Log - Percolation Test
Perfomred For:
[4-U C K Date Performed:
Legai Description: LItT
Depth
C:
-
7
15•16-
17-
Oe6f IV/L5
_ ML
61"
6%
`&DaveI<
1.
A
WAS GROUND WATER
ENCOUNTERED?
s
IF YE S. AT M41AT DEPTH? L
Depth to Water Aller D
MooaorMp? xJ1rL-4 E f 'l �•
Dole:
Reading
Date
Grose T1me
Net Time
Depth to Water
Net pop
O
r P
—
1 n
10
103
4,l
1r
0
to's cF•
l rr
3L>-LI23/40
r rr
11 o
1 o
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6-,
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10Y21
"
r KUG Tro RATE Z1, 'I PERC HOLE DIAMETER
i
TEST RUN BETWEEN �FT AND FT
COMMENTS
PERFORMED BY:� CERTIFY THAT THIS TEST WAS
PERFORMED IN ACCOR ANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: O �D
In
Municipality of Anchorage
Development Services Department
Building Safety Division
Onsite Water and Wastewater Program
4700 South Bragaw SL
P.O. Box 196650 Anchorage, AK 99519.6650
www.clanchmae-ak.us
(907) 343-7904
�f Soils Log - Percolation Test
Performed For. /T//)A f /P�in1lr, Date.Perfc
r
Legal Description:/ -o /1 r / /f Ll- Township, Range, Section:
Dep46':3
b fr o e
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o -�
2' -", F Gtr
31L,
B, k. ,
8-
9-
10-
11-
12-
13-
14-
15-
18-
19 -
WAS GROUND WATER )0
,,
Date
ENCOUNTERED? �y
S
Net Time
Depth to Water
IF YES. AT WHAT DEPTH? 0 S
Depth to Water Aller 'fy P
Monitoring? E
II // //Date: O
Site Plan
Reading
Date
Gross Time
Net Time
Depth to Water
Net Drop
�7 r
�Q
In
a
/O
Mt
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/5- c
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PERCOLATION RATE 7 / (m.WJ.rh) PERC HOLE DIAMETER
TEST BETWEEN47 3 FT
,� % ha ���f>fi /nig 2 )Q70
PERFORMED BY: I CERTIFY THAT THIS TEST WAS
PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE:
ROBERT C. COWAN P.E.
CMLENGINEERS
(907)694-2979
FAX(907)694-1211
INTERMITTANT DOSING SAND FILTER SPECIFICATIONS
Lot 7, Thunderbird Falls Subdivision
. tea: s'�
April 20, 2004
GENERAL STATEMENT OF WORK
SEWER&WATER
UVNEDEISIONS
The work and plans covered by these specifications consist of furnishing all labor,
materials, tools, transportation, and equipment necessary to complete an Intermittent Dosing
Sand Filter system as described herein and on the attached drawings.
SEWENBPERCTIONR
All work under this project shall comply with current Municipality of Anchorage (MOA)
Regulations.
4 Bedroom House 600 GPD
MmREPU�Rf83T IDIES
Use 12' x 30' Bottomless Sand Filter and absorption area (360 S.F. required)
Sand filter to be constructed on accepting soil with all organics removed. (bottomless
only.)
4INSKCnCN
FLMMEaT
SITE INVESTIGATION
The Contractor must carefully examine the project documents, have full knowledge thereof,
have investigated the site, and be satisfied with the conditions affecting the work.
SITE PLANS
Conditions include, but are not limited to those bearing upon transportation, disposal,
handling and storage of materials, availability of labor, water, electric power, roads, and
uncertainties of weather, physical conditions at the site including all underground utilities,
FOOD DESIGN
the conformation and condition of the ground, the character of equipment and facilities
needed preliminary to and during prosecution of the work. The Contractor must be satisfied
with the character, quality and quantity of surface and subsurface materials or obstacles to
SOIL TEST
be encountered. Any failure by the Contractor to become acquainted with the available
information will not relieve him/her from responsibility of performing the work as stated in
these specifications and drawings.
'rP0O1A70N
Tot
Location of utilities will be the contractor's responsibility.
STRVCTUIVL&
LeCNANICAL
INSPECTIONS
ONSITE
WASTEWATER
DISPCS&SYSTE4
DESIGN
17034 NORTH EAGLE RIVER LOOP • SUITE 204 • EAGLE RIVER ALASKA 99577
Page 2
Lot 7, Thunderbird Falls Subdivision
April 20, 2004
SEPTIC TANK / LIFT STATION / AIR COMPRESSOR
A. General
The work under this section consists of the performance of all operations pertaining to
furnishing and installing the septic tank/lift station, air compressor and piping to the sand
filter.
Q. Materials
1. Tank
a. Septic tank shall be a two compartment tank of at least the minimum size
indicated on the drawings and MOA approved.
b. First compartment shall have a separate 4" pump -out riser. The second compartment
shall have a separate 4" pump -out riser.
2. Manhole Riser or Lift Station Tank
s
a. An additional second compartment manhole riser shall be capable of being equipped with
the following:
A junction (Nema 4x) box or equal, bonded or attached to
the pump basin.
2. UL listed electrical cord grips, installed in the J -box.
b. An additional tank (M.O.A. approved) may be provided for the
effluent pumping assembly and the items in (a.) above.
3. Effluent Pumping Assembly, Controls, Alarm & Piping
a. Effluent pumping assembly shall be of approved materials, including the following:
1. A 110 volt or equal U.L. Listed effluent pump.
2. High-density PVC cylinder housing the pump, with level
controls and screen, serving as a baffle to prevent the screen
from clogging.
3. All piping shall be PVC or other non -corroding material.
Page 1
Lot 7, Thunderbird Falls Subdivision
April 20, 2004
b. Pump controls and alarm system shall be an approved system with the following options
consisting of.
1. Event counter
2. Elapsed time meter
3. Program timer
4. 10 watt heater
5. Remote alarm panel option with a minimum of 80 DB
sound pressure at 24", operating temperature 30AC to
65AC, continuous sound to be located in the home.
6. Oil -tight visual alarm with push -to -silence feature.
Automatic audio -alarm reset.
7. 15 amp motor rated toggle switch, double pole, double
throw with three positions; manual (man), automatic (auto)
and center (off) (H.O.A.).
8. Nema 4x -rated, fiberglass, or equal, enclosure with hinged
cover.
9. All controls to be installed as per manufacturer's
recommendations.
10. Control panel to be installed on outside wall of home within
sight of septic tank/lift station.
c. Piping from the septic tank to the sand filter is to be 1 1/4" PVC schedule 40 solvent weld
piping properly bedded as described in Materials Specifications and sloped to drain back
to the lift station. Insulation board 2" thick and T wide centered over pipe is to be placed
where soil cover is less than 4' depth over pipe.
d. The airline from the house to the filter is to be IIDPE arctic insulated pipe 3/4"-2" SDR -
11. The compressor will have a gauge (0-10 psi) and be extended into the living area or
garage for easy monitoring by home occupants.
Page 4
Lot 7, Thunderbird Falls Subdivision
April 20, 2004
4. Air Compressor
a. Air compressor shall be a TtiOMAs LINEAR SERIES model number 5060-A or 5070V -A or
M.O.A. approved equal.
CONSTRUCTION SEQUENCE
In order to insure proper installation, the system is recommended to be installed in the following order:
I. Sewer line from house to tank
II. Septic tank/lift station
III. Sand filter
IV. Leachfield bed (if required)
V. Final grading
CONSTRUCTION
1. Construction Instruments
Contractor shall provide instruments such as transits, or levels, for establishing proper
elevations and levelness of pipe or materials.
2. Pipe Laying
All pipe shall be laid with material free of large or sharp rocks and organic matter.
Each section of pipe shall be handled carefully and placed accurately. The spigot end shall
be fully inserted pointing in the direction of flow and glued in place to make a water tight
seal.
Each section of pipe shall be properly supported to insure true alignment and an invert
which is smooth and free from roughness or irregularity.
At all times, when work is not in progress, open ends of pipe and fittings shall be closed
so that no undesirable substance will enter the end of the pipe or fittings.
Page 5
Lot 7, Thunderbird Falls Subdivision
April 20, 2004
3. Bedding of Pipe for Sewer Lines
The pipe should be bedded with materials free of large or sharp rocks and organic matter,
compacted. Native materials may be used as back fill material above the pipe, provided it is
free of large rocks and organic matter.
All lift stations shall be installed in accordance with the manufacturer's recommendations
and standards. Electrical installation is to be in accordance with the National Electric Code
(latest adopted edition) by a licensed electrical contractor, with M.O.A. inspection where
required. If MOA inspection is not required, a licensed electrician is to provide a letter to the
Engineer stating that the system meets or exceeds all applicable codes.
4. Excavation
Excavate to proper depth to allow gravity flow, install tank level, tolerance 0.05 foot, on
undisturbed or compacted classified sand fill material.
Create a level sand surface over the tank and add 2" burial foam +35 PSI directly over
tank. Mound unclassified soil over tank with a minimum of 2 feet of cover and anti -flotation
weights that may be required in areas of shallow ground water.
5. Connections
All connections to be as per MOA requirements, PVC 3034 piping with Caulder or
equivalent couplings for inlet riser pipes.
All tank connections are to be completely water tight.
Page 6
Lot 7, Thunderbird Falls Subdivision
April 20, 2004
SAND FILTER
The work under this section consists of the performance of all operations pertaining to furnishing and
installing the sand filter.
A. Materials
1. Sand Filter
a. Liner (if required - not required for bottomless sand filter) - OSI Model LI or
equivalent. 30 mil PVC cut and fabricated to provide water tight enclosure of
filter sand volume. Seams to be permanent as per Manufacturer's
recommendations. All connections, such as boot flanges, through sand filter to
be permanently bonded to the liner.
b. The Contractor shall provide a washed sand to meet ASTM C-33 Concrete Sand
Specifications with the additional requirement that all but 1% of the materials
passing the 4100 sieve be removed. All aand shall be approved for use by the
Municipality of Anchorage (M.O.A.). If the sample does not meet specifications,
all sand will be removed and replaced.
c. The Contractor shall be responsible for providing pea gravel that shall be a
washed material containing no fines (0% passing the #100 sieve) and a
maximum size of 1/4" diameter.
d. The Contractor shall provide the manifold assembly. The manifold assembly
shall be of approved materials with orifice shields and flushing assembly. All
drilled holes to be cleaned of burrs and pipes flushed, prior to assembly.
Flushing valve to include riser to finish grade. Lateral distribution piping is to be
laid level (@ t 0.05').
e. Sidewalls and top of the filter box to be insulated with 2" direct burial polystyrene
insulation.
f. The Contractor shall be responsible for providing filter fabric.
g. Air coil in sand filter to be geoflow WF164-24 150 LF placed 6" above bottom
of sand.
Page 7
Lot 7, Thunderbird Falls Subdivision
April 20, 2004
Construction of Sand Filtcr
-The sand filter construction is to follow procedures as outlined below, as applicable to this
design.
Pea gravel and filter sand are to be hand leveled to proper depth (tolerance within 0.05 feet)
in filter, taking care not to allow mud or fine soil material into the filter or gravel layer. This
would include any soil material picked up by excavation machinery buckets while loading
specified material. The Contractor should estimate filter material volumes such that
allowance is made for wastage of material in contact with the ground at site.
The area over the sand filter to be finish graded with a minimum of 2 feet of cover and to
prevent ponding of surface water run off. Side slopes shall not exceed 3:1.
The Engineer will reject any sand or pea gravel that does not meet specifications or is
contaminated in transit or while handling. If such material is placed in the filter, all soil
material may be required to be removed and replaced with new material.
CONTRACTOR/ INSTALLER
MUNICIPALITY OF ANCHORAGE
Development Services Department
On -Silo Water& Wastewater Program
4700 South Bragaw Street
P.O. Box 196650, Anchorage, AK 99519-6650
(907) 343-7904
ONSITE WATER SUPPLY PERMIT
Initial
Date Issued: Apr 15, 2004
Expiration Date: Apr 15, 2005
Permit Number: SW040057 Parcel ID: 051-411-08
Legal Description: THUNDERBIRD FALLS SUBDIVISION LOT 71
Design Engineer: 0003 S & S Engineering Site Address: NHN KERRY LOOP
Owner Name: DAVID SHUCK Lot Size: 27820 SO. FT.
Owner Address: NHN KERRY LOOP Total Bedrooms: 4 Permit Bedrooms: 4
CHUGIAK , AK 99567 -
This permit is for the construction of:
❑ Disposal Field ❑ Septic Tank ❑ Holding Tank ❑ Privy Q Private Well ❑ Water Storage
All construction must be In accordance with:
1. The attached approved design.
2. All requirements specified In Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska
Wastewater Disposal Regulations (18AAC72 ) and Drinking Water Regulations (18AAC80 ).
3, The 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.
4.,The following special provisions.
1WHEN THE WELL HAS BEEN COMPLETED AND SATISFACTORY WATER PRODUCTION HAS BEEN
-DETERMINED, THE WELL DRILLER SHALL PLACE AN APPROVED SANITARY SEAL ON THE WELL HEAD AND
', NO PITILESS ADAPTER OR PUMP SHALL BE INSTALLED UNTIL AN APPROVED WASTEWATER DISPOSAL :'_ {
1 SYSTEM HAS BEEN CONSTRUCTED.
�6-0 cl IVY S,:/�'tVt4. 1S mdpvin.7 -Al. li• 'e-1 loco-! -/f ;A, 2 o 'Ga -S- g/
Received By:
Issued By:
Date: 4—/S 0--�
Date: ��
Municipality of Anchorage
Development Services Department
Building Safety Division :3
On -Site Water and Wastewater Program
4700 South Bragaw Sl.
P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.anchorage.ak.us
(907) 343-7904
(J -S11 -E SI_WERI'YVELL PERMIT-ATPLICATION
FOR A SINGLE FAMILY DWELLING
Parcel I.D. ns� —� �� �8 Permit Number SWD4005'7
Property owner(s) DOA V f d S 1"1 Lf Lk. Day phone
Mailing address (1
Mailing address
Legal description (Lot, Block & Sub'd.)
Zip Code
Legal description (Section, Township & RangeWim AAwt81T NNE kERY L00P� CN 1W i47f-67
Lot Size' Q:20 :SR V Acre Sq.FI. Number of Bedrooms
THIS APPLICATION IS FOR:
Sewer Only
❑
Well Only
0
Sewer and Well
❑
Water Storage
❑
Sewer Upgrade
❑
THIS PROPERTY CONTAINS:
Hot Tub
❑
Jacuzzi
❑
Swimming Pool
❑
Water Softening Unit
❑
Therapy Pool
❑
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.
17034 Eagle River Loop Road No. 204
c. ,l. River. Alaska 99577
(Signature of property owner or authorized agent)
Permit Fees: / 7 s-• r e Waiver Fees:
Date of Payment: qll y /0 y Dale of Payment:
Receipt Number: O s%0 3-1 1 Receipt Number:
(Rev. 12100) RUSH FIRE 17F 0
DS'OP2
"ID NW 1764
W
NEA&THMAHOF Y
APPRPAALS
SEWERS WATER
WAIN EXTENSIONS
SEWER& WATER
HSPECTION
QKiNEERWGSTLID"
ANDREPORTS
WELL INSPECTION
&PLOWTEST
SITE PLANS
ROAD DESIGN
WILTEST
i
STRUCTURALS
IIECIAVOM
WSPECRONS
ON SITE
WASTEWATER
DISPOSALSYSTEAI
DESIGN
ROBERT C. COWAN, P.E.
CMLENGINEERS
(907)894.2979
April 14, 2004 FAX(907)r>94-1211
MUNICIPALITY OF ANCHORAGE
Development Services Department
P.O. Box 196650
Anchorage, AK. 99519
REFERENCE: Lot 7, Thunderbird Falls S/D
It is requested that you issue a permit to drill an exploratory well to determine if
there is water available to serve a four bedroom dwelling on the referenced property.
We understand from Bill Sullivan, of Sullivan Water Wells, that there is a risk of problems
with wells in the area of the above referenced property. The area is known for shallow
bedrock and problems with low producing wells. Suitable wells tend to be located in low
lying areas and the proposed well is intended to confirm the presence of sufficient water.
The Driller will commence drilling immediately upon receipt of this permit.
We do not anticipate any adverse effects on neighboring wells, septic systems, reserve
areas or drainage patterns. The exploration of this well will not prevent any future
development on any of the adjacent properties.
If you require additional information, please contact us.
Sincerely,
W.2 <�
Robert C. Cowan, P.E.
RCC/jhm
17034 NORTH EAGLE RIVER LOOP • SURE 204 • EAGLE RIVER ALASKA 99577
IJn Ineelzing ROBERT C. COWAN PE
M.
CMLENGINEERS
(907)694-2979
April 12, 2004 FAx(907) 894.1211
7WATH AUIHOHITY MUNICIPALITY OF ANCHORAGE
APPRM&S Development Services Department
P.O. Box 196650
Anchorage, AK 99519
SEWERSWATER
►lW EXTENSIONS REFERENCE: Lot 7, Thunderbird Falls Subdivision
SEWERSWATER It is requested that you issue a permit to drill an exploratory well to determine if
'BPEOTIM water is available on the referenced property.
We do not anticipate any adverse effects on neighboring wells, septic systems, reserve
ENGNEERNGSTLVES areas or drainage pattens by the installation of the proposed well. The installation of this
ANOREPORTS well will not prevent any future development on any of the adjacent properties.
If you require additional information, please contact us.
WELL INSPECTION
A FLOW TEST
Sincerely,
SITE PWWX2
B /.L
Robert C. Cowan, P.E.
RCC/bjj
ROAnOESIGN
Enclosure
WCTEST
PERCOLATION
TEST
STRNCTUM&
MECNNACAL
INSPECTIONS
ONSITE
WASTEWATER
DSPOSALSISTEIA
DESIGN
17034 NORTH EAGLE RIVER LOOP • SLATE 204 • EAGLE RIVER ALASKA 99577
1" = P
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Development Services DepartmentPhone: 907-343-7904
t
On-Site Water & Wastewater Section Fax: 907-343-7997
Certificate of On -Site Systems Approval
Parcel I.D. 051-411-08
1. GENERAL INFORMATION
Complete legal description THUNDERBIRD FALLS LOT 7
Expiration Date: q- 01' 2.I
Location (site address) 26650 KERRY LOOP, CHUGIAK, AK 99567
Current property owner(s) FRANK & DEBBIE CORMIER
Mailing address
Real estate agent
Day phone
ROLLING MEADOWS DRIVE APT 19, SPARKS. NV 89436
2. TYPE OF DWELLING:
® Single Family (w/wo ADU)
❑ Duplex
❑ Multiple Dwellings (Single Family and/or Duplex)
Day phone
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: Distan
Received by:
COSA to be released to the engineer, unless otherwise requested by the engineer.
Date:
COSA Fee $ 550 Waiver Fee $
Date of Payment 5/2-7/21'/ Date of Payment
7
Receipt Number / 27? Receipt Number
COSA # O S C -q 1 1 0,&� 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 5/2612021
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 the •�
r
well and septic system. Therefore, any estimate of how long a system will function satisfactory gXQ:''
for current or future occupants or guarantee that no unseen encroachments, deficiencies or l
discrepancies exist can be given by First Water Consulting & FWGS ' * • TH
.... ...�::-
6. DSD SIGNATURE Curtis Huffman j
System #1 Approved for bedrooms ��� �F��'•, CE 128991
Y pp sjF�•.4126/?7•'4P
System #2 Approved for bedrooms 1%F9PROFESSO
Disapproved
Conditional approval for bedrooms, with the following stipulations:
a WATERAND
VA
P TER z�
JJJJJ1�
SERVICES
B1 �1� Original Certificate Date:
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: THUNDERBIRD FALLS LOT 7 _ Parcel ID: 051-411-08
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 4/15/2004
Total depth 50 ft
Cased to 50 ft
® Sanitary seal is functioning correctly
® Wires are properly protected
Casing height (above ground) 24+ in.
Date of flow test for COSA 5/25/2021
Static water level at beginning of test 19 ft.
Well production at time of test 6+ gpm
Comments
B. TANK DATA
Age of tank(s) 17 years
Tank type/material SEPTIC / HDPE
Measured operating fluid level in septic tank 48"
® Standpipes/foundation cleanout per record drawing
Date of pumping 5/25/2021r -
D. ABSORPTION FIELD DATA
Which system tested (date installed) 4/26/2004
® ALL standpipes present per record drawing
Total measured depth from grade 3.4 ft (max)
Measured depth to pipe invert from grade ft (min)
® N/A — pressurized field
Water storage tank volume NA gallons
Well disinfected for coliform test? ❑ Yes [Z No
® Coliform bacteria is Negative
Nitrate 1.81 mg/L E]Nitrate less than MRL (ND)
Arsenic _ ug/L ® Arsenic less than MRL (ND)
Collected by FES
Date of Sample 5/25/2021,
C. LIFT STATION
® Required maintenance completed
Age of lift station 17 years
Lift station material HDPE
Comments: SEE IDSF / STEP MAINT. REPORT —
Adequacy test date 5/25/2021
Results Z Pass For 4 bedrooms
Fluid depth prior to test 0 in
Water added 600 gal
New depth 1 in
® Monitor tubes go to bottom of effective. If not, state
depth into effective ASSUMED Elapsed time <5 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)
Gallons introduced gallons If yes, enter date
Comments/Deficiencies: NE
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
1 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.
AVW
Awl
' ..T-" ....•.
.... ....�
• �.. Curtis Huffman
�¢�•�• CE 128991
G, .,•��`� a�
isjF-' • bil/21, . •'�Q�,�
ft
ft
ft
ft
ft
ft
ft
ft
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 26 Day of May of 20 21 , by and between
Bryan & Asa Tromble, 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 - INTERMITTENT DOSING SAND FILTER
located at (legal description)
THUNDERBIRD FALLS LOT 7
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.
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).
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
�_ Owner acknowledges that the Municipality may request records of maintenance and
repairs from the manufacturer's representative or maintenance provider.
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.
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.
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: 5/26/2021
Bryan Tro m h lei _(print name)
STATE OF ALASKA )
ss.
THIRD JUDICIAL DISTRICT )
The foregoing instrument was acknowledged before me this a� day of Mt�
20 , f , by
NOTARY PUBLIC FOR ALASKA ;'o? • �'o��'':
My Commission expires: adz ��OTARY •,� A)
MUNICIPALITY:
By: wt. _ (signature)
(print name)
r� p G
'.
1
of A���•'
WresNON
Date: �— l —Z-(
Title:
(rev. 05/18/2018) Page 3 of 3
MUNICIPALITY IPALITY OF ANCHORAGE O Community Development Department • On -Site Water R Wastewater Program
P: 907-343-7904 4: 907-34;-7997 - P.O. Box 196650 Anchorage, AK 99519-6650 e http:8wWw.muni.org
Intermittent Dosing Sand Filter
Maintenance Log
Owner Street Address a.bh Sp ke rry Loop
Phone Legal Desc. PID
Septic Tank:
®Sludge level 3 `` inches ®Pumping: required es o ®Pumping completed yes no
Absorption Field:
®Liquid level inches -Flushing valves per approved design e no
-All flushing valves opened, distribution lines flushed, and flushing valves closed rv__P'.�� nn
Lift station:
*Pump basket cleaned yes no W,4 •Biotube effluent filter cleaned es o /VIA
Timer float settinglinches High level float setting 57) inches -Reference point T j'o,,��,r�
-Pump onseconds -Pump off----,-LQ—off----,-LQ—minutesQminutes
*Cumulative lifetime cycles *Cumulative run time_ hours
*Operation satisfactoryes no
Air System:
*Air pump filter cleaned es no -Air pressure Psi
-Date of latest install or rebuild J U)� -Air system operation Qsatisfacto not satisfactory
Alarm System: lvGW -----
-Dedicated electrical circuit es no ®Audible and visual alarm inside dwelling Yes no
-Float setting inches eAlarm system operation satisfactory not satisfactory
Comments:
......'S.Y_ 5---��' 1.....��.... - ... ...... .... ham.....Y ..
.............................
` am....-.....
.......�Q�...Gw� �,,.............
...... pc"Vy '_ ... t -- o e c�
-' --...............0D-.-:..c--:.......................................................................................
........................................
Maintenance Provider:
Technician Date of maintenance wL
Company 1-. S S U ti
p Y -�-- e�f' C.C.S
Signature Date
In.qF Unintcnnnr- I , nnn-110 .A-_
�
�
�
ASBU|LT
SEWARD & ASSOCIATES LAND SURVEYING 694-082
l .
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.ci.anchorage.ak.us
(907) 343-7904
CERTIFICATE OF HEALTH AUTHORITY APPROVAL
FOR A SINGLE FAMILY DWELLING
Parcell.D. 051-411-08 HAA# oy -MkG
Expiration Date:
1. GENERAL INFORMATION
Complete legal descr iption Lot 7: Thunderbird Falls Subdivision
akYo50
Location (site address or directions) N" Kerry Loop
Current Property owner(s) Frank Cormier Day phone 694-5245
Mailing address PO Box 770427 Eagle River, AK 99577
Lending agency Day phone
Mailing address
Real Estate Agent Day phone
Mailing Address
Unless otherwise requested, HAA will be held by DSD for pickup.
2. NUMBER OF BEDROOMS: 4
3. TYPE OF WATER SUPPLY:
Individual Well
[XIC
Individual Water Storage
❑
Community Class Well
❑
Public Water System
❑
TYPE OF WASTEWATER DISPOSAL:
Individual On-site ®C
Individual Holding tank ❑
Community On-site ❑
Public Sewer ❑
The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority
Approval (HAA) based only upon the representations given In paragraph 4 by an independent professional civil
engineer registered in the State of Alaska. Certificates of Health Authority Approval are required for the transfer of
title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water
supply system. DSD also issues HAAs upon request to homeowners. Certificates of Health Authority Approval are
valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with
new water sample results. (Certificates may be reissued for a period of up to one year with valid water samples.)
Certificates are valid for one year for properties served by Class A or B wells or a public water system. The
Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work.
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 Health Authority 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 S & S Engineering Phone 694-2979
Address 17034 N- Eagle River Loon Ste- 704 Eagle River, AK 99577
Engineer's Printed Name Robert C. Coven Date _7 6 AI/
5. DSD SIGNATURE 7 �� "CRT G COWAN
g CE -880)
✓ Approved for _ bedrooms. 'ttTf�
Disapproved. tttttt�4t,
Conditional approval for bedrooms, with the following stipulations:
Additional Comments
Attachments:
HAA Checklist X
Septic System Advisory
Well Flow Advisory
ON-SITE
PROGRAM
Maintenance Agreements
Supplemental Engineer's Report
Other
By: _ (l�.�U/=/ 1AJ. Original Certificate Date:
(R... 01J02)
Municipality of Anchorage
Development Services Department
Building Safety Division
On -Site Water & Wastewater Program
4700 South Bragaw St.
P.O. Box 196650 Anchorage, AK 99519.6650
www.ci.anchorege.ak.us
(907) 3437904
HEALTH AUTHORITY APPROVAL CHECKLIST
Legal Description: 1-07- :7 THjjrJ04,<d11Ld F44.1 S/A Parcel ID: 6571 -'/1f -0b
A. WELL DATA
well type tAy*1-,L If A. B, or C provide PWSID 0 =
Date completed' /ol Sanitary seal & �J
Total depth So ft. Cased to SC R.
FROM WELL LOG
Date of test
Static water )awl 010 ft.
Well production 3o 9 -
p.m -WATER SAMPLE RESULTS:
Coliform oolonies/100 ml. Nitrate O+qrr mg./I.
Arsenic: = mg.11. Date of sample: 4/7001
Well Log 0) Ye S
Wires properly protected ft V6-f
Casing height (above ground) 19 d in.
AT INSPECTION
B. SEPTIC/HOLDING TANK DATA
Tank Type/Material SILOT•f- � no PE
Tank size 130 0 gal. _ Number of Compartments
Foundation cleanout�/41} y�f Depression over tank (Yl® NO
Date of pumping t-/* - Nb v Pumper
C. ABSORPTION FIELD DATA, • ;
Date installed 14/0 Soil rating g.p.d./flz r felbdrm) ;t
Length 4I ft. )Width A O ft.
g.p.m.
Other bacteria 0 colonies/100 ml.
Collected by',,. & s ENGINEERING
Na 404
Eapte River, Alaska 99577
Date installed 1W a 6 /e >
Cleanouts &N) YIE-J
High water alarm (Y/IV "#" O
System type
). a. S. F.
Gravel below pipe 0. ;14- ft.
+ ) • 7�/� t f Jaws
Total depths 1A i Eff. absorption area 6 0 fly Monitoring tube YE -r Depression over field -',
Date of adequacy test t"IA - ^" & r✓ Results (Pass/Fail) For bedrooms
Fluid depth in absorption field before test Water added_ gal. New depth_ in.
Elapsed Time: _ min. mal fluid depth _ in. Absorption rate >= g.p.d.
Any rejuvereatment (past 12 mo.) (YM &type) If yes, give date
D. LIFT STATION
Date installed 1/XC o Y Size in gallons SS -0 Manhole/Access&N)
Y0- Jr
"Pump on' level at Y JL in. -Pump ofr level at .ff_S" in. High water alarm level at JV4-S in.
Datum TO/' Dtf- P4,+-H*Lt Cycles tested >- Meets alarm 8 circuit requirements? Y4 --r
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tank/lift station on lot
Absorption field on lot /06
Public sewer main N 14
r
Sewer/septic service line 3S f
On adjacent lots
On adjacent lots
,100 -or
Public sewer manhole/cleanout N 14
Holding tank Al 14
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
r 1 1
Building foundation 3 9 Property line 36 Absorption field S-4
r ,
Water main N 14 Water service line /O Surface water J 0 o -F
Wells on adjacent lots /D D
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line 3
Water Service line /o
Curtain drain Nort k^00w r
F. COMMENTS
G. ENGINEER'S CERTIFICATION
Building foundation 6 y
Surface water
Wells on adjacent lots J o _04-
I
;
I certify that I have determined through field inspections and
review of Municipal records that the above systems are in
conformance with MOA HAA guidelines in effect on this date.
Engineer's Printed Name /C 0 J3E.t r C. Ca Avg^,
Date 7 /b /oy
HAA Fee $ 1470-00
Date of Payment 7 / 7 /0 y
Receipt Number 05-Y g> o
(Rev. 12101) 1�M
Water main
W14
Driveway, parking/vehide storage r& f
Waiver Fee $
Date of Payment
Receipt Number
■oeett C, COWAN
CE -8801
S9
K
cb
�" ! ori(
�/By'r7> w z90 o� •
ASBUILT SEWARD &ASSOCIATES LAND SURVEYING 694-092
1 HEREBY CERTIFY .THAT 1 HAVE SURVEYED THE SCALE
FOLLOWING DESCRIBED PROPERTY:
T//vvet�B�OF�Y�tfr/B, tor? DATE, w LF pF A q
AND THAT NO ENCROACHMENTS EXIST EXCEPT AS �!/�Q ,•' S /
INDICATED. IT IS THE RESPONSIBILITY OF THE s�/y i 4 -7,4
OWNER TO DETERMINE THE EXISTENCE OF ANY GRIDS • • • • •
EASEMENTS, COVENANTS, OR RESTRICTIONS
WHICH DO NOT APPEAR ON THE RECORDED SUBDI-r�%! .4•zgr�
,/ : Due"* Mark S•w•rd /
VISION PLAT. UNDER NO CIRCUMSTANCES SHOULDPDRAWZNt
1 LS -6918 - 0
ANY DATA HEREON BE USED FOR CONSTRUCTION�OF FENCE LINES, OR FOR ESTABLISHING BOUND- A� gyp.....•'ARY LINES. Z s1xu1
7- 7-04:12:06PM:
SGS Ref.N
Client Name
Project Name/#
Client Sample ID
Matrix
Sample Remarks:
1043815001
S & S Engineering
L7, Thunderbird
L7, Thunderbird
Drinking Water
:607 6616301 r 2i 2
Laboratory Analysis Report
Ali Dates rimes an Alaska Standard Time
Printed Datefrime 07/072004 12:07
Collected Date/time 06/302004 15:30
Received Datefrime 06/30200,# 16:37
Technical Director / StepWAX Ede
parameter Results PQL Units Method Container ID Allowable Prep Analysis Lilt
Umits Dae Date
Natera Department
Nitrate•N 0.955 0.100 =gIL EPA300.0 B (<-10) 06/30/04 JJB
Microbiology Laboratory
Total Coliform
t'.M. Levnmuhnr„r Settvires Lir.
0
coVIOOmL SM209222B
9J3T8 16CS
A (o-1) 06/30/04 DKC
0 1190715615301 www.sgsefMmnmenial.com
aemW MN. SGS Gm.. 6..aN OMY.Y e. S~..ml
ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND
REPAIR AGREEMENT
MEMORANDUM OF UNDERSTANDING
BETWEEN 1! UNI IPAIJITY OF ANCHORAGE
AN
,2�
THIS MEMORANDUM OF UNDERSTANDING made and entered into as of this Ji/
day of 20014 by and between--F4,41y ( o<'M i. r , herein the
"OWNTER," and the Municipality of Anchorage, herein the "MUNICIPALITY." In
consideration of the mutual covenants contained herein, the parties to this Memorandum of
Understanding agree as follows:
1. ADVANCED WASTEWATER TREATMENT SYSTEMS. Municipality grants
permission to Owner to utilize and operate an Advanced Wastewater Treatment System
(AWWTS), described as located at o �`' % —rXyn ole e d / v,.� 6Z��s
:zGGSo kavv y oe
Anchorage, Alaska.
2. Definitions.
A. Alteration. Any change to the design or function of an AWWTS that
includes the installation or removal of any parts, components or pieces
not included in the original construction permit and design. Prior to
performing any alterations to an AWWTS the owner must obtain a
Wastewater Disposal System Construction Permit from the Municipality
pursuant to Anchorage Municipal Code (hereinafter, "AMC") 15.65
B. Certificate of On -Site Systems Approval. An approval by the
Municipality of existing water and wastewater disposal systems given at
the time of property sale and title transfer in accordance with AMC
Pagel of 5
15.65. These approvals certify that the systems are adequate for the
homes that they support and meet the codes that were in place at the time
of system construction.
C. Damage. Any man-made or natural change in a system that would
inhibit the system from performing as designed.
D. Maintenance and Repair. The scheduled and as needed replacement of
existing parts, components and pieces of an AWWTS that were included
in the original design which would allow the AWWTS to continue to
perform as designed.
E. Permit (Construction). An On -Site Wastewater Disposal System
Construction Permit as defined by AMC 15.65.
F. Permit (Operating). An Advanced Wastewater Treatment System
Operating Permit. An annual permit, issued by the Municipality, that
allows the Owner to operate an AWWTS, upon meeting all requirements
of this agreement, the conditions of the Operating Permit, the
requirements of the On -Site Wastewater System Construction Permit
and all relevant provisions of AMC 15.65.
3. Fee.
Owner
shall pay to
Municipality
an
annual fee of
($—o—.00),
payable
on or before
the issuance
of
the operating permit and annually
thereafter. The annual fee is due on or before the anniversary date of the approval by the
Municipality of installed system.
Page 2 of 5
4. Term. The term of this Memorandum of Understanding shall be for the life of the
AWWTS. The term begins on the date of approval by the Municipality of the installed system
and shall continue while the AWWTS system is in use or operational or until the property is
sold or title is transferred by owner and a new certificate of on site approval is issued to the
new owner or transferee of the property.
5. Alterations, Installation and Removal of Additional Equipment. Owner agrees not
to make any alterations, removal of parts or additions to the AWWTS without a Construction
Permit from the Municipality.
6. Maintenance and Repairs.
A. Throughout the term of this Memorandum of Understanding, the Owner shall
maintain AWWTS in good repair. In addition, it shall be the responsibility of the Owner
during the term of this Memorandum of Understanding, and any extensions or renewals
thereof, at the owner's sole expense, to pay for any and all: (1) repair(s), (2) maintenance, (3)
adjustment(s), (4) replacement costs, and (5) inspection costs. Further, owner agrees to
comply with all applicable ordinances, laws, regulations, rules and orders for the AWWTS.
B. Owner agrees to provide the Municipality a written schedule of routine
maintenance and repairs which have been performed on the system pursuant to the terms and
conditions contained in the Owner's AWWTS Operating Permit. This schedule shall be
submitted to the Municipality annually upon the renewal of the permit. The schedule of
maintenance and repair contained in the Owner's AWWTS Operating Permit is:
Page 3 of 5
C. Owner acknowledges that the fine schedule for failing to maintain and repair an
AWWTS are codified in AMC 14.60.
D. Owner agrees that only maintenance, repair personnel certified by the
Municipality will inspect and make any necessary maintenance, repairs or permitted
alterations to the systems.
E. Owner agrees to grant the Municipality reasonable access to test and inspect the
AWWTS upon 24 hours written notice.
F. Owner agrees that any sale or transfer of title of the property will not occur
without a new Certificate of On -Site Systems Approval.
G. Owner agrees that the relevant provisions of the standard specification
guidebook for AWWTS is the governing professional guidelines for the construction,
maintenance and repair of the Owner's AWWTS.
7. Nonwalver. The failure of either party at any time to enforce a provision of this
Memorandum of Understanding shall in no way constitute a waiver of the provisions, nor in
any way affect the validity of this Memorandum of Understanding or any part hereof, or the
right of such party thereafter to enforce each and every provision hereof.
8. Amendment.
A. This Memorandum of Understanding shall only be amended, modified or
changed by a writing, executed by authorized representatives of the parties, with the same
formality as this Memorandum of Understanding was executed and such writing shall be
attached to this Memorandum of Understanding as an amendment.
Page 4 of 5
B. For the purposes of any amendment modification or change to the terms and
conditions of this contract, the only authorized representatives of the parties are:
Owner:
Anchorage: Purchasing Officer
C. Any attempt to amend, modify, or change this contract by either an
unauthorized representative or unauthorized means shall be void.
9. Jurisdiction: Choice of Lay. Any civil action arising from this Memorandum of
Understanding shall be brought in the Superior Court for the Third Judicial District of the
State of Alaska at Anchorage. The laws of the State of Alaska shall govern the rights and
obligations of the parties under this Memorandum of Understanding.
10. Severability. Any provisions of this Memorandum of Understanding decreed invalid
by a court of competent jurisdiction shall not invalidate the remaining provisions of the
Memorandum of Understanding.
MUNICIPALITY:
By: _
Title:
Date:
STATE OF ALASKA )
) ss.
THIRD JUDICIAL DISTRICT )
The foregoin instrument was acknowledged before me this �niiay ofu, U_, 2001, by
f7t�
(Ihlj2NpV , the (1 r QL )u 1 ofon behalf of
Municip 4ty,pf Anchorage. Q Ott l IS,,w ri
P♦4 V
CLIC
Page5of5
r,. OF
My Commission expires: 6-12.06
RichardlASSIQNTNIENMAAACode Addendum OIC 15.65 [N00-0257MIemoranudm of Understanding Version VIADc
Page 6 of 5