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HomeMy WebLinkAboutBREWINGTON TR A-2Brewington Tract A - 2 #057-111-06 MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program PO Box 196650 4700 Elmore Road Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 http://www.muni.org/onsite On -Site Water System Permit Permit Number: OSP201356 Work Type: Well Renewal Tax Code Number: 05711106000 Site Legal Address: .grecvt�loitor\ Site Mailing Address: Owner: Brewington Devin Design Engineer: This permit is for the construction of: ❑ Disposal Field ❑ Septic Tank ❑ Holding Tank ❑ Privy Effective Date Expiration Date � S Noter. :J (l � : r Department Lot Size in Sq Ft: Total Bedrooms: 9/16/2020 9/16/2021 Q Private Well ❑ Water Storage All construction shall be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80) 3. The wastewater code requires inspections during the installation. The engineer shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing Special Provisions: **The well is to be installed per the engineers design. Prior to drilling, confirm that the well will maintain a 100' horizontal separation from the existing tank, field and property line. To close this permit please submit: 1. Well Log 2. Pump Install Log 3. Water sample results C ®#I /Vo✓j Received By: Date: Issued By:ALL4 Date: /E Development Services Department `/ Phone: 907-343-7904 On-Site Water & Wastewater Section Fax: 907-343-7997 ON-SITE SEPTIC/WELL PERMIT APPLICATION Parcel I.D. 057-111-06 Property owner(s) Devin & Kaili Brewington Day phone 9073173835 Mailing address PO BOX 670535 Chugiak, AK 99567 Site address 38715 Eklutna Lake Rd Legal description (Sub'd., Block & Lot) Brewington TR A-2 Legal description (Township, Range & Section) Lot Size 437052 Sq. Ft. Number of Bedrooms 4 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (© all that apply) Absorption Field ❑ InitialElSingle Family (SF) (w/wo ADU) Septic Tank ❑ Upgrade❑ Duplex (D) ❑ Holding Tank ❑ Renewal 0 Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well F-1 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. (Signature of property owner or authorized agent) Permit/Rush Fees: 51 � 9:1 �) ( (JA lb -)I NVaiver Fees: Date of Payment: 'I I 1 I 16),)- L) Receipt Number: C ; _12- Q Permit No. 0SQa01S5(0 Date of Payment: Receipt Number: Waiver No. GADevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Client FormsTermit Application.doc WASTEWATER DISP❑SAL SYSTEM DETAILS BREWINGT❑N TRACT A-2 (PROPOSED S-11841-1) FLAG PROPERTY LINES WELL RADII & EASEMENTS PRIOR TO CONSTRUCTION OF 4. � ®*ore 4 TH� t i' KENNETH M AUFFUS CE-7116 AOF �s ti�w PREPARED FOR: DON BREWINGTON P❑ BOX 770561 Eagle Rlver, AK 99577 907-GBB-9643 FIELD BOOKS BOUNDARY: BQUN( STAKING STAM AseutLT- KGL DWG. FILE: ACAD FILE FILE 1250 Cal TANK wD 5 NO SLOPES >25% WITHIN 100' OF PROPOSED SEPTIC CDAIPUTED: DRANK: �Myy• S CNECKED: KMD DATE: _6741-ff�' GRID: NE1413 .roe No.: 11-067 Scale: 1"'= 50' PAGE 2 OF 3 a ;D W -- — " ,p/j, SULTING +�y6 �9 AK. 99577 8/28/2020 This statement is in reference to the on-site water application for the following property; 38715 Eklutna Lake Rd parcel ID: 057-111-06 I Devin Brewington will be responsible for the location and installation of the private well that is to be drilled. MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program PO Box 196650 4700 Elmore Road Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 http://www.muni.org/onsite On -Site Water & Wastewater System Permit Permit Number: OSP171042 Work Type: WellSeptic Renewal Tax Code Number: 05711106000 Site Legal Address: BREWINGTON TR A-2 G:1413 Site Mailing Address: 38601 EKLUTNA LAKE RD, Chugiak Owner: BREWINGTON DEVIN G & KAILI A Design Engineer: ARC TERRA CONSULTING INC This permit is for the construction of: Q Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy Effective Date: Expiration Date: Dent `a S' ApMartment Lot Size in Sq Ft: Total Bedrooms: 4/11/2017 4/11/2018 437052 23 Private Well ❑ Water Storage All construction shall be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80) 3. The wastewater code requires inspections during the installation. The engineer shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing �eceivecl By: .ssued By: L aA4tlid Date: Date: 11 4017 C11 03 21n567 04/06/17 09:27AM Well 'eatic Systems $140.00 MUNICIPALITY OF ANCHORAGE Community Development Department J Phone: 907-343-7904 Development Services Division Fax: 907-343-7997 On -Site Water & Wastewater Program ON-SITE SEWER/WELL PERMIT APPLICATION Parcel 1.D. ()S -7 - 111 - Property owner(s) bey)(4 6&6))Aofar� Mailing address P.O. 40X 670535- GNUGIK Day phone 907-317- 61L g556-7 3$35 10 Site address n,, Legal description (Sub'd., Block & Lot) (�(le%myoo --fur's A�;' Legal description (Township, Range & Section) Lot Size 14370Q Sq. Ft. Number of Bedrooms APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (0 all that apply) Absorption Field Initial ❑ Single Family (SF) Septic Tank Upgrade (w/wo ADU) �❑1 Tank E] Renewal Kv Duplex (D) El Privy ❑ Multiple Dwellings ❑ (SF and/or D) Private Well Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. J0 6— (Signature of property owner or authorized agent) Permit/Rush Fees: flgo-00 Waiver Fees: Date of Payment: wto1w)? Date of Payment: Receipt Number: 002,glO Receipt Number: Permit No. Waiver No. PPermit App_9-1-12.doc ANG -AL a �RCTERRq , F ♦ Y ARc im ERRA j CONSULTING, INC 212 E. 51' Ave, Anchorage, AK. 99503 Office (907) 868-3791, Fax (907) 868-3793 April 11, 2017 Municipality of Anchorage Development Services Department On -Site Water & Wastewater Program P.O. Box 196650 Anchorage, AK 99519-6650 Subject: Sewer Permit OSP151231— Brewington Tract A-2 During the initial construction inspection of the permitted 5 -wide design, it was discovered that the system was dug deeper than originally designed and that the groundwater and soils varied from the testhole, which this design was based. Subsequently, additional testholes were performed and the system has been redesigned as a bed per the documents submitted and approved by the MOA in June of 2016. The design and the conditions of the surrounding lots have not changed and we do not expect there to be any adverse effect on adjacent lots by the development of this system. If you have any questions, please contact me at 868-3791 / FAX 868-3793. Respectfully submitted, ArcTerra Consulting, Inc. Kenneth&DufP.E. 20441 PTARMIGAN BLVD • EAGLE RIVER, AK 99577-8736 • PH (907) 868-3791 • FAX (907) 868-3793 On -Site Water & Wastewater System Permit MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 Elmore Road, PO Box 196650 Anchorage, AK 99519-6650 Telephone: (907) 343-7904 Permit Number: OSP151231 Tax Code Number: 05711106000 Work Type: WellSeptic Renewal Permit Effective Dates: July 21, 2015 to July 20, 2016 Design Engineer: ARC TERRA CONSULTING INC Subdivision: BREWINGTON Site Legal Address: BREWINGTON TRA -2 G:1413 Owner/Address: BREWINGTON DEVIN G & KAILI A PO BOX 670535 CHUGIAK AK 995670000 Site Mailing Address: Lot Size in Sq Ft:Total Bedrooms: This permit is for the construction of: 437052 4 Y Disposal Field Y Septic Tank N Holding Tank N Privy Y Private Well N 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 wastewater code requires inspections during the installation. The engineer must notify the Development Services Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either: A. Open and Close on the same day. B. Covered, sealed, and heated to prevent freezing. Received Issued By MUNICIPALITY OF Community Development Department_� Development Services Division On -Site Water & Wastewater Program Phone: 907-343-7904 Fax: 907-343-7997 ON-SITE SEWER/WELL PERMIT APPLICATION Parcel I.D. O) "!' j I 1- D Property owner(s)_D itJ f6uolfoiolJ Mailing address1kQ). 60X 62133� Ca'461AL AV- 11S1i7 Day phone 90-7-3 0_3 Site address Legal description (Sub'd., Block & Lot) QRtit,.} IN(,'jorl-Ti7—A( I Q -Q Legal description (Township, Range & Section) Lot Size q % 05-D Sq. Ft. Number of Bedrooms APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field ® Initial Single Family (SF)JK (lex ADU) Septic Tank �j]C Upgrade ❑ Duplex (D) ❑ Holding Tank ❑ Renewal Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well �4] Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. Permit/Rush Fees: '0' 'y"'r/o�l Date 94%yment: ')lul(JT Receipt Number: Permit No. t3P [ `J 12Z$ Permit App_9-1-12.doc Waiver Fees: Date of Payment: Receipt Number: Waiver No. On -Site Water & Wastewater System Permit MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 Elmore Road, PO Box 196650 Anchorage, AK 99519-6650 Telephone: (907) 343-7904 Permit Number: OSP131124 Tax Code Number: 05711106000 Work Type: WellSeptic Permit Effective Dates: June 24, 2013 to June 24, 2014 Design Engineer: ARC TERRA CONSULTING INC Subdivision: BREWINGTON Site Legal Address: BREWINGTON TR A-2 G:1413 Owner/Address: BREWINGTON DEVIN G & KAILI A PO BOX 670535 CHUGIAK AK 995670000 Site Mailing Address: Lot Size in Sq Ft: 437052 Total Bedrooms: 4 This permit is for the construction of: Y Disposal Field Y Septic Tank N Holding Tank N Privy Y private Well N 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 wastewater code requires inspections during the installation. The engineer must notify the Development Services Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either: A. Open and Close on the same day. B. Covered, sealed, and heated to prevent freezing. Received Issued By MUNICIPALITY OF ANCHORAGE Community Development Department Phone: 907-343-7904 Development Services Division Fax: 907-343-7997 On -Site Water & Wastewater Program ON-SITE SEWER/WELL PERMIT APPLICATION Parcel I.D. 957 - /// —04P Property owner(s) Oe4/Ltt. 13YP.u. Mailing address Site address Legal description (Sub'd., Block & Lot) Legal description (Township, Range & Section) U Lot Size !Y,�Z4Soi Sq. Ft. Number of Bedrooms Day phone APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field ® Initial ® Single Family (SF) [xj (w/wo ADU) Septic Tank ® Upgrade ❑ Duplex (D) ❑ Holding Tank ❑ Renewal ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. of or authorized Permit/Rush Fees:y -tw Date of Payment: I��`!3 Receipt Number: �/1�Ao'6J— , Permit No. 0S P/ W29 Permit App_9-1-12.doc Waiver Fees: Date of Payment: Receipt Number: Waiver No. �gCTERR,y �o m e ARCT1rRRA ~ CONSULTING, INC ,.. ._ ¢ ; 212 E. 51"Ave, Anchorage, AK. 99503 Office (907) 868-3791, Fax (907) 868-3793 June 3, 2013 Municipality of Anchorage Development Services Department On -Site Water & Wastewater Program P.O. Box 196650 Anchorage, AK 99519-6650 Subject: New Well & Septic Permit — Brewington Tract A-2 The owner has requested we proceed forward to obtain a well & septic permit on the subject lot. The general slope of this lot is from northeast to southwest at a grade of approximately 3-10% over the septic area. We have designed the 4 -bedroom system utilizing the testholes that were performed in 2010 by S&S Engineering, which results are within the MOA record documents. We propose to install a 5' wide shallow trench system. Adjacent properties are served by private water and wastewater. There is no surface water within 100' of the proposed system and there are no known curtain drains within 50'. We do not expect there to be any adverse effect on adjacent lots by the development of this system. If you have any questions, please contact me at 868-3792 /FAX 868-3793. Respectfully submitted, ArcTerra Consulting, Inc. Kenneth M. Duffus, P.E. Attachments: On -Site Sewer Application Water & Wastewater Absorption System Details/Site Plan 20441 PTARMIGAN BLVD • EAGLE RIVER, AK 99577-8736 • PH (907) 868-3791 • FAX (907) 868-3793 June 10, 2016 C() I ARC 1 ERRA CONSULTING, INC 212 E. 51"Ave, Anchorage, AK. 99503 Office (907) 868-3791, Fax (907) 868-3793 Municipality of Anchorage Development Services Department On -Site Water & Wastewater Program P.O. Box 196650 Anchorage, AK 99519-6650 Subject: Sewer Permit OSP151231— Brewington Tract A-2 During the initial construction inspection of the permitted design, it was discovered that the system was dug deeper than originally designed and that the groundwater and soils varied from the testhole, which this design was based. Subsequently, additional testholes were performed and the system has been redesigned per the attached. We do not expect there to be any adverse effect on adjacent lots by the development of this system. If you have any questions, please contact me at 868- 3791 / FAX 868-3793. Respectfully submitted, ArcTerra Consulting, Inc. Re -Design Testholes 16-1 & 16-2 20441 PTARMIGAN BLVD • EAGLE RIVER, AK 99577-8736 • PH (907) 868-3791 • FAX (907) 868-3793 chi WELL & WASTEWATER DISP❑SAL SYSTEM DETAILS/SITE PLA BREWINGT❑N TRACT A-2 (PROPOSED S-11841-1) 9 V P NO PUBLIC WELLS WITHIN 200' OF PROPOSED SYSTEM. NO PRIVATE WELLS WITHIN 200. OF PROPOSED SYSTEM EXCEPT AS NOTED. NO SEPTIC SYSTEMS WITHIN 200' OF PROPOSED WELL EXCEPT AS NOTED. S esysTsz x�eeo.ls' TRACT 8 5 1T; 38.39' S 8P43'28'E 708.34 TRACT A-2 N BP83'19'E 305 n t�N N TRACT A-1 EXISTING MOA DOCUMENTED ON—SITE SYSTEM 3 7818'18'E 30.00' _ 010.72' N 1W40'00'E 611.88' DESIGN DETAILS Scale. 1'= 300' 4 BDRM X 150 GPD = 600 GPD 600 GPD/0.7 GPD PER SQ. FT. (<I MIN/IN.)= 858 SQ, FT PAGE i OF 3 (858 SQ. FT / 15'W (0.5' GRAVEL) = 58 FT. BED USE I BED - 58' (L) X 15' (W) X 0,5' (ED) EXCAVATE 6' FROM ORIGINAL GRADE & ADD 2' MOA APPROVED SAND FILTER Total depth of system is 4' from original grade. Total depth of gravel below distribution pipe Is 0.5' NOTES: i. INSTALL 1250 GAL SEPTIC TANK & INSULATE TANK IF <4' COVER. 2. INSULATE TRENCHES WITH 2' HD BURIAL FOAM IF < 3' OF FILL. MIN. 2' FILL WITH INSULATION, >3' COVER NO INSUL REQ. 3. CONTRACTOR WILL ENSURE MINIMUM 27 SLOPE INTO SEPTIC TANK. 4. CONTRACTOR WILL ENSURE ALL SEPARATIONS TO ADJACENT WELLS, SEPTICS EASEMENTS, PROPERTY LINES, ETC... PREPARED FOR, DON BREWINGTON PO BOX 770561 Eagle River, AK 99577 907-688-9643 FIELD BOOKS BIXlNDARY: Bou STAXwo- STAF ASBUILT: KGL DWO. FlLE AcAD F " FILE COMPUTED: DRAWN: BMW CHE"Ea KMD DATE: 6Z1011 RID: NEI 413 " No.: 11-067 o4' L' 'AR r+. n� � o � . x 2 � 4 e 'Pry%%1ULTING• y6� .' 4K. 99577 �� WASTEWATER DISP❑SAL SYSTEM DETAILS BREWINGT❑N TRACT A-2 (PROPOSED S-11841-1) FLAG PROPERTY LINES WELL RADII & EASEMENTS PRI❑R TO CONSTRUCTI❑N low OF*A � Aw� *:4 Tx CE -71 k/�100 AV `S'CF�ggI0t1A�' � PREPARED FOR DON BREWINGTDN PO BOX 770561 Eagle Rlver, AK 99577 907-688-9643 m NO SLOPES >25% WITHIN 100' OF PROPOSED SEPTIC FIELD BOOKS Coueum-. Ba DARY. BOUNDARY °PANT: BMW 9TAIINc STAKING MEC : KMD AS IST-- KGL DATE 6/10/16 DW. ME, GRID: NE1413 ACRD RLE: FILE " N-; 11-067 T Scale+ 1'= 50' PAGE 2 OF 3 3 0 a � � x i c�'it"%LILTING Pq 4 K. 99577 �� L' Cs WASTEWATER ABS❑RPTI❑N SYSTEM DESIGN DETAILS BREWINGT❑N TRACT A-2 z z x ORIGINAL GRADE FILTER FABRIC AND INSUL z FROM HMM SEWER ROCK n MINT " ,0' SAND',FILfiE.R "FOR . $E:PARA'TION... &1g, 2.5'(typ)--\ 4' PIPE O M.T. 0 U OF AL.� "A,, TH� * �� CE— `D a sslo�� i 58' BED 2.5'(typ)--\ v� M.T. T PREPARED FOR: DON BREWINGTDN PO BOX 770561 Eagle River, AK 99577 907-688-9643 FIELD BOOKS BourmnRn BOUN[ S MING STAKIP AmuLT: KGL DM. FILE: ACRD FILE FILE 58' cwauTm: Drsnwn: BMW G aXm KMD DATE 6/10/16 MD: NE1413 " NO-: 11-067 in PAGE 3 OF 3 a Z � X s 4 z � Of c�F o �G- '%,q%"9 I.TING Pq AK. 99571' 53 LF 4" PERF PIPE cli Cn O PREPARED FOR: DON BREWINGTDN PO BOX 770561 Eagle River, AK 99577 907-688-9643 FIELD BOOKS BourmnRn BOUN[ S MING STAKIP AmuLT: KGL DM. FILE: ACRD FILE FILE 58' cwauTm: Drsnwn: BMW G aXm KMD DATE 6/10/16 MD: NE1413 " NO-: 11-067 in PAGE 3 OF 3 a Z � X s 4 z � Of c�F o �G- '%,q%"9 I.TING Pq AK. 99571' I ARCTERRA CONSULTING, INC ,.212 E. 51" Ave, Anchorage, AK. 99503 '�>' ;'4e)Office (907) 868-3791, Fax (907) 868-3793 OF ALS 'Ik' � 4 TH-k 9 KENNETH M. FU ` SOILS PERCOLATION TEST +a 6w / Performed for: DEVIN BREWINGTON Date Performed: 06 Ol 2016 �� pROFsst°`Ai! Project: BREWINGTON TRACT A-2 TEST HOLE # TH 16-1 Depth Org/OL GP/SP FAST PERCOLATING SOILS 16- 17- 18- 19- 20 - SEE ATTACHED SITE PLAN FOR HOLE LOCATION Was Ground water encountered? NO What depth? NA Depth to water after monitoring? DRY Date? 6/8/2016 Reading Date Gross Time Net Time Depth to Water Net Drop I 6/3/16 1:00 6" - 2 1:03 3 min 0/16" 6" 3 * 1:04 6" 4 1:07 3 min 0/16" 6" 5 * 1:08 6" 6 1:11 3 min 0/16" 6" 7 8 9 10 11 12 * Water Added Percolation Rate 05 (min/in) Pere Hole Diameter 6" Test Run Between 4 feet and 5 feet I, Kenneth M. Duffus, certify that this test was performed in accordance with all State and Municipal guidelines in effect on this date. r' % s> ARC 1m ERRA ? CONSULTING, INC z 212 E. 51" Ave, Anchorage, AK. 99503 Abe °an ;�P,,P Office (907) 868-3791, Fax (907) 868-3793 SOILS PERCOLATION TEST Performed for: DEVIN BREWINGTON Date Performed: 06/01/2016 Project: BREWINGTON TRACT A-2 TEST HOLE # Depth Org/OL ff1VM_7 FAST PERCOLATING SOILS OF AZ "k 1 *140TH P [4•ti1E'fH DGF / it w {ate / t �, 6 a F7s5StOtiP�' � Ilk TH 16-2 SEE ATTACHED SITE PLAN FOR HOLE LOCATION Was Ground water encountered? NO What depth? NA Depth to water after monitoring? DRY Date? 6/8/2016 Reading Date Gross Time Net Time Depth to Water Net Drop 1 6/3/16 1:00 6" - 2 1:03 3 min 0/16" 6" 3 * 1:04 6" 4 1:07 3 min 0/16" 6" 5 * 1:08 6" - 6 1:11 3 min 0/16" 6" 7 8 9 10 11 12 * 1 Water Added Percolation Rate 05 (min/in) Pere Hole Diameter 6" Test Run Between 4 feet and 5 feet I, Kenneth M. Duffus, certify that this test was performed in accordance with all State and Municipal guidelines in effect on this date. MUNICIPALITY OF ANCHORAGE Community Development Department Phone: 907-343-7904 On -Site Water & Wastewater Program Fax: 907-343-7997 Septic System Owner -installer Agreement A real estate property owner (Owner) may install their own septic system. The department may issue an approval for a homeowner to perform work on a conventional (not AWWFS) on-site wastewater disposal system to serve that individual's owner -occupied, single-family or duplex home if the homeowner satisfies and agrees to the following requirements. The property owner and excavation equipment operator may perform work on no more than one owner installed project in a 12 -month period. As owner of (legal description) _6k60146'f0a Tit A -a I agree the following items are true and accurate. 1. My experience installing septic systems is as follows. 2. The name of the excavation equipment operator is. DF-ut) &6Wto Q i0N 3. There will not be compensation for installation services rendered. 4. 1 will be actively involved with the septic system installation at all times. 5. The name of the inspecting engineer is ARc-Tenni eoNsuc-rIN, )N(,. 6. 1 agree to discuss the following items with the inspecting engineer: a. Permit design criteria and specifications. b. Inspection requirements set forth in AMC 15.65.150. c. 2 -hour minimum advance notice given to the On-site Water & Wastewater Program for all required municipal inspections. 7. 1 agree any changes I make to the items listed above will require a new approval before performing work. 8. 1 agree to have the project -specific On-site Wastewater Disposal System Permit available at the construction site for the duration of all related work. Owner's printed name: Devil) hl wlwoo Owner's signature: Y 6— Date: 7 _XJ 1� Septic System Owner Installer Agreement_Feb2015.dcc