The URL can be used to link to this page

Home My WebLink AboutCOHOE LT 12 Cohoe Lot 12 #015-051-25 Municipality of Anchorage On -Site Water and Wastewater Section • (907) 343-7904 Page 1 of 2 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP231396 PID Number: 015- 051-25 Dwelling: 0 Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New ■❑ Upgrade Name TI BUILDING GROUP ABSORPTION FIELD Deep Trench ❑ Wide Trench ❑ Bed ❑ Mound Site Address 9215 STRUTZ AVE, ❑ Other Phone Number of Bedrooms Soil Rating depth from original grade 4 0.6 GPD/SF JTotal 8.0 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade 1.0 Ft. Gravel depth beneath pipe 7.0 Ft. Subdivision Block Lot COHOE LT 11 Fill added above original grade 2.3 Ft. Gravel length 73 Ft. Township Range Section Gravel width 2.4 Ft. Beds: Number of Lines Distance between lines Ft. SEPARATION DISTANCES To Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Tank Line 1022 R2 1 Ft. Well 1001+ 100'+ 50'+ TANK ❑ Septic ® S.T.E.P. ❑ Holding ❑ Other Manufacturer Capacity GREER/ANCH TANK 1500 Gal. Surface Water 100'+ 100,+ Material Number of compartments Lot Line 10'+ 10'+ NA PLASTIC 2 Foundation 101+ 101+ LIFT STATION Manufacturer Capacity Remarks Gal. Alarm location Electrical installed by Installer PIPE MATERIAL House to tank 3039 Tank to 3034 dreinfield MIKE N ANDERSON, P.E. Drainfield 3034 CO/MT3034 Inspector MIKE N ANDERSON, P.E. BENCH MARK (Assumed elevation) 96 ft Inspdeatio iat 9/12/24 9/14/24 Location and description 2nd TOP OF MANHOLE 31d 41^ ON-SITE WATER AND WASTEWATER SECTION APPROVAL Engineers Stamp Ix Conditional Approval: Date ��.. rz �'� ��•,`....; •,. _ Septic System! _ �`',' �(J a• MICHAEL N. AfCCL C:J Approved / / �-- ` �� Dat �` . ';•. CE - 9 �49' Note: this does include 'G • •' �•�:`�� approval not well permit requirernents.>t • �'% ``tip ! c�' (rcev uotu;enp) Permit No. OSP231396 Page 2 of 2 Municipality of Anchorage DEPARTMENT OF HEALTH 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 Description: COHOE LT 12 MARK A B C01 5 35 TC01 34 27 MT1 54 83 MT2 63 45 i �\ I � I � i / I \ I TCO2 38 27 �-A — ' CO LOCED ON & LOCAT Q BY OWNER \ I I�— CLASS A WELL® PID No.: 015-051-25 f;� �d�l ► U7:1:� f I :� � ► ISI \ / I MTT'6 CT INSPECTION PIPE WELL \ \ I III \ II 1 00 GALLON STEP TANK C01 TO\ �\ BENCH, TOP OF MH I G� 2 \ MT2 ?tS I I j I� \ I/ ASBUILT l — SCALE: 1"=50' \ — �I I /� SEPTIC �\ i� 49TH '••�� CLASS A _ RADIUS SEPTIC SECTION WATER ® 14' JUNE 2024 N.T.S. ;MICHAEL N.AANDERSON! A 9469 AV 1-25-25 ,.�•�� ♦♦DESS �� Pump Installation Log OSP23139 11 27 23 Well Drilling Permit Number: Date of Issue: _ _ Parcel Identification Number: 015 _ 051 _ 25 lAgal Description Co -hoe Lot 12 (32437 Block Lot 12 Property Owner Name & Address: Derrick J & Jeannine Jabaay 9201 Strutz Ave. Anchorage, AK Pump Installation Date: 7 29 -24 — — — 216 Pump Intake Depth Below Top of Well Casing: feet Sta-Rite Pump Manufacturer's Name: 7 GPM 230v 2wire Pump Model: 314 Pump Size: hp 9 Pitless Adapter Burial Depth: feet Campbell Pitless Adapter Manufacturer's Name: Anderson Construction Pitless Adapter Installer: Well Disinfected Upon Completion? ® Yes ❑ No Method of Disinfection: Chlorine Recirculate Comments: Dylan Kay Pump Installer Name: Hefty Drilling Company: P.O. BOX 112130 Mailing Address: Anchorage AK 99511 City: State: Zip: Attention: The pump installer shall provide a pump installation log to On-site within 30 days of pump installation. Well Log Permit Number:#OSP23139 Dateoflssue: 11/27/23 Parcel Identification Number: 015-051-25 Date Started: 7/17/24 Date Completed: 7/19/24 Is well located at approved permit location? Yes 11 Legal Description: Cohoe Lot 12 G:2437 Property Owner Name & Address: Jabaay Derrick J & Jeannine D 9201 SAve. orage, Anch—ag,, AK Borehole Data Depth (ft) Method of Drilling 0 air rotary ❑ cat Soil Type, Thickness & Water Strata From To Casing Type: A536 Steel Casing Stick Up 0 2 Overburden 2 4 Silt & Gravel 4 65 Clay (Grey) 65 75 Silt & Gravel 75 105 Silty Sandy Clay 105 120 Silt & Gravel 120 155 Silty Sandy Clay 155 190 Silt & Gravel 190 200 Wet Gravel 200 215 Coarse Gravel w/H2O 215 220 Water Sample Results: Arsenic: ug/L Nitrates: _ mg/L Total Coliform Bacteria: colonies/100mL Wall Thickness: _250 inches Diameter:6 inches Depth: 220 fe Liner Type: N/A Diameter: — inches Depth:,=_fei Casing stickup above ground: P feet Static water level (from ground level): 2C Pumping level: — feet after =hours pumping _wpm Recovery Rate: 6 aom Method of Testing: Airlift Q Open End ❑ Open Hole ❑ Screened Start —feet ❑ Perforations Start feet 20 Start 2 Well Disinfected Upon Completion? Method of Disinfection: Tabs Con No ❑ 43 22 Well Driller: 'b^^m'r�y _ ❑ _ __❑ Company: Hefty Drilling Mailing Address: P.O. Box 112130 Anch , AK 9 511 feet No Attention: The well driller shall provide a well log to the On-site Water and Wastewater Section withi 30 days of completion. MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program PO Box 196650 4700 Elmore Road Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 hftp://www.muni.org/onsite On -Site Water & Wastewater System Permit Permit Number: OSP231396 Work Type: WellSeptic Initial Tax Code Number: 01505125000 Site Legal Address: COHOE LT 12 G:2437 Site Mailing Address: 9201 STRUTZ AVE, Anchorage Owner: JABAAY DERRICK J & JEANNINE D Design Engineer: ANDERSON CONSTRUCTION & ENGINEERING This permit is for the construction of: Effective Date: Expiration Date � JAI Cj. n f r )elm I'tInent Lot Size in Sq Ft: Total Bedrooms: 11/27/2023 11/26/2024 14008 Q Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy P 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 ideated to prevent freezing Special Provisions: • A test hole is required prior to construction of the absorption field, in the location shown on the site plan, to p� confirm minimum separation to impermeable soil and seasonal high groundwater, as well as percolation rate. Construction may proceed at your own risk prior to 7 -day groundwater monitoring. If results require a design change, construction shall stop pending approval of a change order. Please submit results with the inspection report (or change order, if required). 4 GW W Issued By: Date: Date: / `A'2 ��?, ON-SITE SEPTIC/WELL PERMIT APPLICATION Parcel I.D. 015-051-25 Property owner(s) JABAAY Day phone Mailing address 9201 STRUTZ AVE ANCH AK Site address SAME Legal description (Sub'd., Block & Lot) COHOE LOT 12 Legal description (Township, Range & Section) Lot Size 14008 Sq. Ft. Number of Bedrooms 4 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field 0 Initial Single Family (SF) 0 Septic Tank 0 Upgrade ❑ (w/wo ADU) Holding Tank ❑ Renewal EJDuplex (D) ❑ Privy ❑ Multiple Dwellings ❑ (SF and/or D) Private Well 0 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: 1'x,12.. Waiver Fees: Date of Payment: IIA -1 /3 Date of Payment: Receipt Number: 02-1 `10 "�) Receipt Number: Permit No. _055 2.31 X9.6 Waiver No. GADevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Client Forms\Permit Application.doc July 21, 2024 Municipalities of Anchorage On -Site Water and Waste Water Section 4700 Elmore Rd Anchorage, Alaska Phone 343-7904 Re: New well & septic permit change order Legal: COME LOT 12 To whom it may concern: This is a request for a CHANGE ORDER for permit OSP 231396. The new soil log is attached showing GM soils for the entire test hole depth. The perc rate was 24 minutes per inch so the leach field has been revised, see the site plan. Water was observed at 14 feet therefore the separation is 5 feet with the required additional foot separation. The neighbors septic pipe was located and measured at 103' from the CO to the property line, see the site plan. The well has been drilled and shown correctly on the site plan. This change order for the septic design will not impact any of the surrounding neighbors. Sincerely /&/, Michael N. Anderson, P.E. 4661 Natrona Anch, Ak 99516 Ph 727-8864 DESIGN CRITERIA:MOUN CI TH#1 GRAD 0 4 BDRM X 150 = 600 GPD1,0 OG FILTER FABRIC SOILS = 600/0.6 = 1000 GPD & INSULATION 1000 GA/7 x 2= 72 10 1.25"O PIPE 0.25"0 HOLES @ 48" (1) TRENCH GM SEWER ROCK 8' DEEP 7.0' EFFECTIVE a.o 2.0' WIDE WU 72' LONG -15.0 WATER AT 14', JUNE 2024 SEPTIC FIELD SECTION ---------------------------- -- - rv' PROPOSED �`1 — DRAINAGE FIELD ' — — --- --- PROPERTY LINE __j Ij I � �� LOCATION OF PROPOSED _ (THEE NEIGHBORS WELL r , LEACH FIELD I %l, LLj l PROPOSED HOUSE I I Q l I �� I� I � i �� •��sE��Gr I -- li `1`O1 CLASS A WELL SSP i • Z ---. ' Septic Design Prepared for ..*xs"* 11��,, OF TI Building Group �. g"". ••••••• ..... qui '`G'.,'� P i COHOE SUBD. LT 12 i "'.� 49TM %. 0. Anchorage, Alaska •.:.•• Michael N. Anderson' P.E. DATE: 11/21/2023 0j•MICH AEL N. ANDERSON; 4601 NATRONA AVE DRAWN: DJR �4 • No. CE 9469 ,:�� ► •.,7-21-24 •,� ,� ANCHORAGE, ALASKA 99516 (907) 345-3377 /FAX: (907) 345-1391 SCALE: 1 "=100' ��4411111;,�� — — — — — — — — — — — — — — — — — — — — — — — — — — — — — 1500 GALLON STEEL STEP TANK, MAINTAIN 10' _ TANK TO HOUSE AND 5' FROM TANK TO FIELD SECONDARY FIELD, / APPLICATION RATE 2 % I ��i'•:\\\\ l.._._--�� --- — GPD/SF, 2'X8'X20' 10' UTILITY EASEMENT NEW WELL HAS BEEN INSTALLED --k--IMT 5% SLOPE-- - It 103' t I /r `` l i r I 115-20% SLOPE i 0i II J H#1 t SURVEY / EASEMENT FOR �Q P OPOSED �y' --"� II1M EXCAVATION CO PIPE FROM THEOFENC D, 103' I ,t Ri�F�q y HOUSE r l / \\\ 111+ 15-20% SLOPE 5% SLOPE i I �.aaoo. I ( EXISTING CLASS "A" WELL 200' RADIUS /SEPTIC, GM SOILS, 1 / PERC 28 MIN! INCH �r r� SEPTIC, GM SOILS, }: \ PERC 22 MIN/ INCH r \ \ / /'SEPTIC, GM SOILS, f // �--"-- "�--\-----� I PERC 13 MIN! INCH r I \ Septic Design Prepared for TI Building Group COHOE SUBD. LT 12 Anchorage, Alaska Michael N. Anderson, P.E. DATE: 4601 NATRONA AVE DRAWN: ANCHORAGE, ALASKA 99516 (907) 345-3377 / FAX: (907) 345-1391 SCALE: 49TH+ 11!21/2023 II :MICHAEL N. ANDERSC No. CE 9469 DJR 1"=50' 0 / / / / Municipality of Anchorage Development Services Department On -Site water and Wastewater Section 411111 4700 Elmore St, P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907)343-7904 \"%-� ••J�',►• rte',•..,-�= :•49TH X. V*•• MICHAEL N. ANDERSON : � o rr C -94 9 4!74-o . 1 . Soils Log - Percolation Test �lfF�f' •� .?:�.'��`�0' Performed For: 0.0 y y r rysu _p _ Date Performed: ir1\�►h��'(�/(q� Legal Description: G h '2 M LL9 (----r-�- Z Township, Range, Section: 4 17- � e" 18- 19- 20 - Site Plan WAS GROUND WATER ENCOUNTERED? t (Feet) , S r �r 5 L 1- o Monitoring? 2- Date: ztr 71 3- 4- 5- 6- G7 Ar'� 7- 8- 9- 10- 11- 12- 13- 14- 15j- 16_ Ir` 17- � e" 18- 19- 20 - Site Plan WAS GROUND WATER ENCOUNTERED? t IF YES, AT WHAT DEPTH? , S r �r 5 L Depth to Water Atter o Monitoring? ..} E E Date: ztr 71 • w-� (minucesnncn) NERC HOLE DIAMETER 1 COMMENTS TEST RUN BETWEEN �i FT AND Z. FT PERFORMED BY: _ l'� f /¢, y I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: t� MUNICIPALITY OF ANCHORAGE .� Development Services Department Phone: (907)343-7904 On -Site Water & Wastewater Section Fax: (907)343-7997 Certificate of On -Site Systems Approval OSC251032 Parcel ID 015 -051-25 Legal description COHOE LT 12 Site address 9203 STRUTZ AVE Expiration Date: 9/14/2025 Current property owner(s) TI BUILDING GROUP LLC X The On-site system(s) is/are approved for 4 bedrooms By: Conditional approval for bedrooms, with the following stipulations: Comments or conditions: No comments Original Certificate Date: 2/6/2025 This Cd`rtificate of On -Site Systems Approval (COSA) is intended to demonstrate the subject slys�m(s) is/are in substantial compliance with municipal code. The Municipality of Anchorage, ,development Service Department (DSD) issues COSAs based upon representations provided by an independent professional engineer. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's submittal. ATTACHMENTS: COSA Checklist X Well Flow Advisory Absorption Field Advisory Nitrate Advisory Tank Age Advisory Arsenic Advisory Other k 5� MUNICIPALITY OF ANCHORAGE Development Services Department _ Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Application 1. GENERAL INFORMATION Parcel I.D. 01505125 Complete legal description COHOE LT 12 Location (site address) 9201 STRUTZ AVE, ANCH AK Current property owner(s) TI BUILDING GROUP 2. ON-SITE SYSTEMS SIZED FOR 4 BEDROOMS Day phone 3. TYPE OF WATER SUPPLY: ❑■ Private Well ❑ Private Well serving 2 dwelling units ❑ Private Well serving 3+ dwelling units ❑ Community Well or Public ❑ Water Storage 4. TYPE OF WASTEWATER DISPOSAL: ❑ Private Septic ❑ Private Septic serving 2 dwelling units ❑ Holding Tank ❑ Community Septic or Public Sewer 5. SEPTIC TANK: ❑ Steel ■❑ Plastic ❑ Concrete ❑ Fiberglass Age NEW - See advisory if steel older than 20 years 6. ABSORPTION FIELD: ❑ AWWTS ❑ Bed ❑■ Deep Trench ❑ Wide Trench ❑ Seepage Pit Waiver request for: Expedited review requested: ❑■ Distance: By applying for this entitlement, this property is subject to inspection by municipal On-site staff to verify the accuracy of the information provided. COSA Fee $ Date of Payment 2 7o25 COSA # S C Z Sl 0 3 2, Waiver Fee $ Date of Payment Waiver # COSA Application—June 2022 COSA Checklist Legal Description: COHOE LT 12 ParcellD: 015-051 If more than 1 well and/or septic system on lot, provide separate checklist Structure served by this A. WELL DATA 0 Well log is filed with Onsite (or attached) Date drilled 7/19/24 Total depth 220 It Cased to 220 ft ® Sanitary seal is functioning correctly FM Wires are properly protected Casing height (above ground) 24 in. Date of flow test for COSA NEW Static water level at beginning of test 200 ft. Comments B. TANK DATA Measured operating fluid level in septic tank NEW Date of pumping NEW ❑E Required maintenance completed, if AWWTS Comments: NEW PLASTIC STEP TANK D. ABSORPTION FIELD DATA Which system tested (date installed) SEPT 2024 ❑ ALL standpipes present per record drawing Total measured depth from grade 10.3 ft (max) Measured depth to pipe invert from grade ft (min) ❑0 N/A — pressurized field. ❑ Per record drawings, field is insulated. ❑ Monitor tubes go to bottom of effective. If not, state depth into effective ❑ Presoaked required if (Required if house vacant or field not used for more than 30 days prior to date of test) Gallons introduced gallons date Any rejuvenation treatment (past 12 months) If yes, enter date COSA Checklist June 2022 Well production at time of test 5+ tgpm Water storage tank volume 0 gallons Well disinfected for coliform test? W Yes ❑ No N Coliform bacteria is Negative Nitrate 0.669 mg/L ❑ Nitrate less# than MRL (ND) Arsenic ug/L Q Arsenic lei's than MRL (ND) Collected by MNA Date 1/27/25 C. LIFT STATION 0 Required maintenance completed Age of lift station NEW years Lift station material PLASTIC Comments: Adequacy test date NEW Results Q Pass Fluid depth prior to test _ in Water added _ gal New fluid depth _ in Elapsed time _ min Final fluid depth _ in Absorption rate _ gpd FIELD STATUS — POST RECOVERY Effective depth (per record drawing $) 84 in Effective depth used 0 in Effective depth remaining 84 in E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well on lot) Septic Tank/Lift Station on Lot > 100' Q Yes if No Community Sewer Manhole/Cleanout> 100' E Yes if No _ ft FS] Ys if No if No _ ft Neighboring Tank > 100' Q Yes if No _ ft Private Sewer/Septic Line > 25' 0 YI?s Yes if No _ ft Absorption Field on Lot > 100' E Yes if No _ ft Holding Tank > 100' QYes Water Main > 10' if No _ ft Neighboring Absorption Fields > 100' _ ft Community Wells > 200' Animal Containment > 50' Q Yes es if No _ It if No _ ft Yes if No _ ft If tank or field is under driveway comment below F. ENGINEER'S COMMENTS Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' ❑e Yes if No ft []i Yles if No_ ft ❑ N/A - Served by Community Well (not on lot) or Public Water From Septic/Holding Tank and Absorption Field(s) on Lot to: (Please enter distances if less than reqs ired) Building Foundations > 10' Q Yes if No _ ft Surface Water > 100' Yes if No _ ft Tank to Property Line > 5' Qi Yes if No _ ft Wells on Adjacent Lots: Field to Property Line > 10' Yes if No _ ft Private Wells > 100' Q Yes if No _ ft Water Main > 10' ❑Q Yes if No _ ft Community Wells > 200' es if No _ It Water Service Line > 10' Yes if No _ ft If tank or field is under driveway comment below F. ENGINEER'S COMMENTS G. CERTIFICATION & STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my ir vestigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines, indicates the t the on-site water supply and/or wastewater disposal system appears to comply with applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation, unless noted otherwise. Name of Firm M(4c,, e AL /M 1 Eytyvi AP—, Phone 727-8864 Engineer's Printed Name Ypvw - Date F'.... . ............. �' MICHAEL N. A ;DLRSC24CE-94 9 `�- `' A' rws ' p� COSA Checklist June 2022 r;Mc31 tri: • ; l; 0 Ln N89°59'00"E 140.08' 1 " -- 30' 10UTILITY ESMT ii SEPTIC • f WELL PIPE 7c " (typ) 0 X Co LOT 12 1 o :�i 0 0 x 30.0'LLJ • - Lij COVERED G x ENTRY Q Ln C7 2.0' =} x jam• 2' CANT 0 `f' EXISTING ca 35.0 �' 0 HOUSE ��H0 }--- 0 9.0'w x Cf) Cn MH 0 GRAVEL o (} j D/W o I x 17.3' I i 23.7' I 1 I � • x N89°59'00"E 140.08' j 25 2\5'I 1 l I 1 I ANCHORAGE RECORDING DISTRICT, ALASKA AS -BUILT OF: � COHOE SUBDIVISION LOT 12 PLAT 72-244 SURVEY CERTIFICATE: 1, John L. Schuller, Have conducted a physical survey of this property as shown on this drawing and that the improvements situated hereon are within the property lines and no enchroachments exist other than noted. Under no circumstance shouli any information on this drawing be used for construction of fences, structures, improvements, or for establishing boundary lines. EXCLUSION NOTES: It is the owners responsibility to determine the existence of any easements, covenants, or restrictions which do not appear on the recorded subdivision plat. WORK ORDER NUMBER: DAZE: SCALE: E -MAIL - JULY 28, 2024 1 "=230' schullerokOjmii.com 24-077 DRAINN BY: CHECKED BY GRID NUMBER: BOOK CAGE: JLS SW2437 240251 FND 5/8" REBtAR AW O FLAV 10 �►....................... .. ......� z ?A 00// • J01iN L. SCHULLER • o ` '• LS --10408 .�• �,, • ,7 , . • �� i 1831 Talkeetna Street ' • • ...... • ,®. Anchorage, Alaska 99508 o fe c,� �•4�..'� (907) 227-1455 office V�l ssio��•.r• (907) 274--4992 fax