HomeMy WebLinkAboutHENKINS BLK 1 LT 10HENKINS
Lot 10
Municipality of Anchorage
On-Site Water and Wastewater Section • (907) 343-7904 Page of
ON-SITE WASTEWATER INSPECTION REPORT
Permit Number: ___________ PID Number: ___________
Dwelling: Single Family (SF) with ADU Duplex (D) Two Single Family Project: New Upgrade
Name ABSORPTION FIELD
Site Address Deep Trench Wide Trench Bed Mound
Other
Phone Number of Bedrooms Soil Rating Total depth from original grade
GPD/SF Ft.
LEGAL DESCRIPTION Depth to pipe invert from original grade Gravel depth beneath pipe
Subdivision Block Lot Ft.Ft.
Fill added above original grade Gravel length
Township Range Section Ft.Ft.
Gravel width Beds: Number of Lines Distance between lines
SEPARATION DISTANCES Ft. Ft.
From
To Septic
Tank
Absorption
Field Lift Station Holding
Tank
Sewer
Line
Total absorption area Number of trenches Dist. between trenches
Ft2 Ft.
Well TANK Septic S.T.E.P. Holding Other
Manufacturer Capacity
Surface Water
NA
Gal.
Material Number of compartments
Lot Line
Foundation LIFT STATION
Manufacturer Capacity
Gal. Remarks
Alarm location Electrical installed by
Installer PIPE MATERIAL House to tank Tank to
drainfield
Drainfield CO/MT
Inspector BENCH MARK (Assumed elevation)ft
Inspection
dates:1st 2nd
Location and description
3rd 4th
ON-SITE WATER AND WASTEWATER SECTION APPROVAL Engineer’s Stamp
Conditional Approval: Date
Septic System
Approved ____________________________ Date
Note: this approval does not include well permit requirements.
(Rev 05/02/18)
Benjamin Schiller
CE 12592
R
E
G
ISTEREDPROFE S S I O N A L E N GINEER
1"=50'
CO - CLEANOUT
2CO - DOUBLE CLEANOUT
FCO - FOUNDATION CLEANOUT
FS - FLOW SPLITTER VALVE
MT - MONITORING TUBE
TH - TEST HOLE
LEGEND
PERMIT # OSP251128 PID # 051-292-32
HENKINS, BLOCK 1 LOT 10
A B
FCO
MH 36.6
SV 39.1
2CO 40.4
CO1 38.8
MT1 38.7
CO2 60.1
2.8
8.5
13.4
16.0
24.2
25.4
36.6
FEET
0 50 100
PLAN AS-BUILT
3/31/26
GI
L
B
E
R
T
R
O
A
D
(2) 60' LONG x 5'
WIDE, 6"
EFFECTIVE DEPTH
ABSORPTION
TRENCHES
1250-GAL SEPTIC
TANK
CO2
CO1
CO3
CO4
MT3
MT4
MT1
MT2
2CO
FCO
EXISTING
NEIGHBORING
SEPTIC
TH#1
EXISTING WELL (TYP)
UNDEVELOPED
ALTERNATE SITE
CAT III SYSTEM
25' LF, 5' WIDE, 6" ED
4-BDRM HOME
MH SV
MT2 62.7
CO3 106.4
MT3 104.6
CO4 92.3
MT4 91.9
39.2
94.3
92.7
82.9
83.1
A
B
APPROX. LOCATION
OF NEIGHBORING
SEPTIC
6.0
TH LOCATION
CONFIRMED
DURING
INSTALLED
MOA CONTOURS USED FOR PERMIT
INACCURATE-TRENCHES PLACED
AS PARALLEL AS POSSIBLE
BENCHMARK
LOCATION
PROFILE AS-BUILT
(NO SCALE)
96.6
91.5
97.1
100.0
FC
O
MH
SV
PERMIT # OSP251128 PID # 051-292-32
HENKINS, BLOCK 1 LOT 10
1250 GAL
SEPTIC TANK
2C
O
96.4
Benjamin Schiller
CE 12592
R
E
GISTEREDPROFE S S I O N A L E N GINEER
3/31/26
60'
DRAINFIELD ROCK
MT
1
CO
1
CO
2
MT
2
MOA APPROVED SAND
99.7 ORIGINAL & FINISH GRADE
TH
#
1
GROUNDWATER @86.7 11/21/24
95.1
80.7
94.6
92.6
2" INSULATION
95.1
94.6
92.6
60'
DRAINFIELD ROCK
MT
3
CO
3
CO
4
MT
4
MOA APPROVED SAND
99.7 ORIGINAL & FINISH GRADE
TH
#
1
GROUNDWATER @ 86.7 11/21/24
95.1
80.7
94.6
92.6
95.1
94.6
92.6
Certified Drilling Log
OWNER OF LAND: Midnight Sun Construction
ADDRESS: 19903 Gilbert Rd. Chugiak, AK 99567
LEGAL DESCRIPTION HENKINS BLK 1 LT 10
DATE: 6/3/25
PERMIT NUMBER: OSP251128 DATE OF ISSUE: 5/8/25
TAX IDENTIFICATION NUMBER 05129232000
Is well located at approved permit location: Yes No
Method of Drilling: air rotary cable tool
Depth of Well: 59’
Casing Type: Steel Wall thickness .250 inches
Diameter: 6 inches, depth 55 feet
Liner type
Static Water Level: 40 feet
Recovery Rate 2 gpm gph
Method of Testing Air
Well Intake Opening Type: open end open hole
Screened Start feet Stopped
Perforations Start feet Stopped
Grout Type: Bentonite Volume: 50 Lbs.
Depth: from 2 feet, to 42 feet
Well Disinfected Upon Completion: yes no
Method of Disinfection: Chlorine 50 PPM
Comments:
Drilled down to 64’ and pulled casing back to 59’ for best
water.
Bore Hole Data
Depth
From To
0 2 Casing Stickup
2 4 Overburden
4 15 Sand & gravel w/ boulders
15 31 Sand, some gravel
31 43 Clay, some gravel
43 52 Silt, gravel, boulders
52 59 Sand & gravel
Drillers Name: Cole Sullivan
ATTENTION: It is the responsibility of the property owner to submit a copy of the well log to the proper authority.
Municipality of Anchorage: Department of Health & Human Services and/or Department of Environmental Conservation.
MatSu Borough: Department of Environmental Conservation.
www.sullivanwaterwells.com
Pump Installation Log
Well Drilling Permit Number: OSP 251128 Date of Issue 5/8/25
Parcel Identification Number: 05129232000
Legal Description Property Owner Name & Address
Henkins BLK 1 LT 10 Midnight Sun Construction
19903 Gilbert Rd.
Chugiak, AK 99567
Pump Installation Date:
9/22/25
Pump Intake Depth Below Top of Well Casing:
52 feet
Pump manufacturer’s Name:
Flint & Walling
Pump Model:
4F11P05301S
Pump Size:
1/2 hp
Pitless Adapter Burial Depth:
12 feet
Pitless Adapter Installer:
Pitless Manufacturer:
Unknown
Disinfected Upon Completion?
yes no
Method of Disinfection:
Chlorine 50 PPM
Comments:
Pump Installers Name:
Sullivan Water Wells
Attention: The pump installer shall provide a pump installation log to the DSD within 30 days of pump installation.
Merrill
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: OSP251128
Work Type: WellSeptic Initial
Tax Code Number: 05129232000
Site Legal Address: HENKINS BLK 1 LT 10 G:0755
Site Mailing Address:
Owner: MIDNIGHT SUN CONSTRUCTION LLC
Design Engineer: FORGE ENGINEERING
This permit is for the construction of:
Effective Date
Expiration Date:
Lot Size in Sq Ft
Total Bedrooms:
L>cpartai�<:•nr
5/8/2025
5/8/2026
40511
Q Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy W 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
Received By: -5 ' �- - Date:
Issued By: Date: S '✓ r
ON -SITE SEPTIC/WELL PERMIT APPLICATION
Parcel I.D. 051-292-32
Property owners) Midnight Sun Construction LLC Day phone (907)727-1433
Mailing address2000 E Dowling RD STE 8
Site address 19980 Gilbert Rd
Legal description
Henkins Block 1 Lot 10
Number of Bedrooms4
Engineering Firm Forge Engineering
Building Permit Number R251714
Not Applicable ❑
APPLICATION IS FOR: APPLICATION IS AN:
(Z all that apply)
Absorption Field
Initial El
Septic Tank
Upgrade ❑
Holding Tank
❑ Renewal ❑
Privy
❑
Well
Fi
THIS APPLICATION INCLUDES A WAIVER REQUEST FOR:
Permit/Rush Fees:vv
Date of Payrnent:.
Permit No. II
Waiver Fees:
Date of Payment:
Waiver No.
Distance:
May 5, 2025
MOA Development Services, On-Site Water & Wastewater Program
4700 Elmore Rd
Anchorage, AK 99507
Subject: Henkins B1 L10 - 19980 Gilbert Rd
Septic system design
Dear On-Site Services Engineer:
The owner of the above lot intends to build a 4-bedroom home on the property. This permit
application is for the construction of a new well and septic system. The attached site plan identifies
the location of the home as well as the proposed well, septic location and alternate site. No conflicts
exist between this proposed system and any other well or septic system, whether on this lot or
adjacent lots.
The ground surface on the lot slopes toward the southwest at a relatively steady slope. There are
no slopes greater than 25% within 50 feet downslope of either the primary or alternate site.
Contours are shown on the site plan showing the grade and direction of flow. Stormwater drainage
will not impact this septic system. The new trench will be constructed parallel to the slope as much
as possible.
Wells on this and adjacent lots are shown. The new system will be a minimum of 100’ from all
wells and surface water, and more than 5’ away from the septic tank. The alternate site is located
more than 6’ away. Please refer to the attached test hole logs, plan and profile pages for the septic
design. If this design is followed, there will be no adverse impacts to adjacent properties.
Sincerely,
Benjamin Schiller, PE
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP251128, Curtis Townsend, 05/08/25
5
1
0
.
0
5
2
0
.
0
5
0
8
.
0
5
1
2
.
0
5
1
4
.
0
5
1
6
.
0
5
1
8
.
0
5
2
2
.
0
5
2
4
.
0
Benjamin Schiller
CE 12592REGISTEREDPROFESSION A L E N GINEER
1"=50'
CO - CLEANOUT
2CO - DOUBLE CLEANOUT
FCO - FOUNDATION CLEANOUT
FS - FLOW SPLITTER VALVE
MT - MONITORING TUBE
TH - TEST HOLE
LEGEND
HENKINS, BLOCK 1 LOT 10
FEET
0 50 100
SEPTIC PLAN
5/1/25
GI
L
B
E
R
T
R
O
A
D
(2) 60' LONG x 5' WIDE, 6" EFFECTIVE
DEPTH ABSORPTION TRENCHES
NEW 1250-GAL
SEPTIC TANK
CO
CO
CO CO
MT MT
MT
MT
2CO
FCO
EXISTING NEIGHBORING SEPTIC
TH#1
PROPOSED WELL
UNDEVELOPED
UNDEVELOPED
SEPTIC SYSTEM OUTSIDE WELL RADIUS
FS
ALTERNATE SITE
CAT III SYSTEM
25'LF, 5' WIDE, 6" ED
ENSURE >100' SEPARATION
FROM WELL ON LOT 8
(LOCATION ESTIMATED)
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP251128, Curtis Townsend, 05/08/25
HENKINS, BLOCK 1 LOT 10
TYPICAL TRENCH SECTION
(NO SCALE)
NOTES:
1. GRADE AREA OVER TRENCH TO DRAIN AWAY
2. PROVIDE 3' OF COVER OVER TRENCHES AND 4' OVER SEPTIC TANK, OR 2'
WITH 2" OF INSULATION
3. CHECK GROUNDWATER AT TIME OF CONSTRUCTION. IF LEVEL IS HIGHER
THAN PREVIOUSLY OBSERVED, CALL ENGINEER IMMEDIATELY
Benjamin Schiller
CE 12592REGISTEREDPROFESSION A L E N GINEER
4" PERFORATED PVC (HOLES DOWN)
DRAINFIELD ROCK
6"
4'
6"
DESIGN FACTORS:SYSTEM REQUIREMENTS:
600 GPD PEAK FLOW
PERK RATE: 0.07 MIN/IN
APPLICATION RATE: 1.0 GPD/SF (FILTER SAND)
5-WIDE TRENCH SYSTEM
WITH 2' SAND FILTER
1250-GAL SEPTIC TANK
BOTTOM OF TRENCH: 5' BELOW GRADE
FLOW LINE ELEVATION: 4.5' BELOW GRADE
600 GPD / 1.0 GPD/SF / 5' WIDE * 1.0 RED FACTOR [0.5' DEEP] = 120 LF TRENCH REQUIRED
(120 LF SPECIFIED)
GEOTEXTILE FABRIC
6"
5/1/25
5'
2'
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP251128, Curtis Townsend, 05/08/25
LEGAL DESCRIPTION:
PERFORMED FOR:
DATE: PARCEL ID#:
SOILS LOG AND PERCOLATION TEST
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
DEPTH
(feet)
TEST HOLE 1
DATE READING NET TIME
(minutes)
DEPTH to
WATER NET DROP
PERCOLATION RATE: (MIN/INCH)
(inches)(inches)
DATE OF MONITORING
DEPTH TO WATER AFTER MONITORING
0.07
11/14/24 1
2
3
4
5
6
GP
Professional Engineers Stamp:
HENKINS BLOCK 1 LOT 10
11/14/24 051-291-11
MIKE ANDERSON
1 0
16
1' OB
0:21
Benjamin Schiller
CE 12592REGISTEREDPROFESSION A L E N GINEER
PERC TEST LOCATION
TECHNICIAN: M Jakubisin
7 0
16
13'
11/21/24
COMMENTS:
SITE PLAN
6 0
16
USCS SOIL CLASSIFICATION WAS VISUALLY DETERMINED
5/1/25
MOISTURE NOTED AT TIME OF DIGGING?n/a
0:18
0:23
0:25
0:26
0:26
1 0
16
1 0
16
1 0
16
1 0
16
1 0
16
7 0
16 6 0
16
7 0
16 6 0
16
7 0
16 6 0
16
7 0
16 6 0
16
7 0
16 6 0
16
GM (SANDY)
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP251128, Curtis Townsend, 05/08/25
MUNICIPALITY OF ANCHORAGE
Afte
Development Services Department Phone: (907)343-7904
On-Site Water & Wastewater Section Fax: (907)343-7997
Certificate of On -Site Systems Approval
OSC261090
Parcel ID 051 -292-32
Legal description HENKINS BLK 1 LT 10
Site address 19903 GILBERT RD
Expiration Date:
Current property owner(s) MIDNIGHT SUN CONSTRUCTION LLC
X The On-site system(s) is/are approved for 4 bedrooms
Conditional approval for bedrooms, with the following stipulations:
Comments or conditions:
No comments
By: Isatou B Njie
Original Certificate Date: 5/5/2026
This Certificate of On -Site Systems Approval (COSA) is intended to demonstrate the subject
system(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
COSA Checklist_May2025.docx
COSA Checklist
Legal Description: Parcel ID:
If more than 1 well and/or septic system on lot, provide separate checklist. Structure served by this system ____
A. WELL DATA
Well log is filed with Onsite (or attached)
Date drilled Total depth ft
Cased to ft
Sanitary seal is functioning correctly
Wires are properly protected
Casing height (above ground) in.
Date of flow test for COSA
Static water level at beginning of test ft.
Well production at time of test gpm
Water storage tank volume gallons
Well disinfected for coliform test? Yes No
Coliform bacteria is Negative
Nitrate mg/L Nitrate less than MRL (ND)
Arsenic ug/L Arsenic less than MRL (ND)
Collected by
Date
Comments __________________________________________________________________________________
B. TANK DATA
Measured operating fluid level in septic tank
Date of pumping
Required maintenance completed, if AWWTS
Comments:
C. LIFT STATION
Required maintenance completed
Age of lift station years
Lift station material
Comments:
D. DISPOSAL FIELD DATA
Which system tested (date installed)
ALL standpipes present per record drawing
Total measured depth from grade ft (max)
Measured depth to pipe invert from grade ft (min)
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
Adequacy test date
Results 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 drawings) in
Effective depth used in
Effective depth remaining in
Comments/Deficiencies:
COSA Checklist_May2025.docx
E. SEPARATION DISTANCES
From Well on Lot to:(Please enter distances if less than required)
Septic Tank/Lift Station on Lot > 100’
Yes if No ft
Neighboring Tank > 100’Yes if No ft
Disposal Field on Lot > 100’Yes if No ft
Neighboring Disposal Fields > 100’
Yes if No ft
Sewer Line/Main > 100’ Yes if No ft
Sewer Manhole/Cleanout > 100’
Yes if No ft
Sewer Service/Septic Line > 25’Yes if No ft
Holding Tank > 100’ Yes if No ft
Animal Containment > 50’Yes if No ft
Manure/Animal Excreta Storage > 100’
Yes if No ft
N/A – Served by Community Well (not on lot) or Public Water
From Septic/Holding Tank and Disposal Field(s) on Lot to:(Please enter distances if less than required)
Tank to Foundation > 10’Yes if No ft
Field to Foundation > 10’ Yes if No ft
Tank to Property Line > 5’ Yes if No ft
Field to Property Line > 10’ Yes if No ft
Water Main/Service Line > 10’Yes if No ft
Surface Water > 100’Yes if No ft
Wells on Adjacent Lots:
Wells > 100’Yes if No ft
Community Wells > 200’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 investigation, based
on procedures outlined in the Certificate of On-Site Systems Approval Guidelines, indicates that 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 Phone
Engineer’s Printed Name Date