HomeMy WebLinkAboutLAKE HILL ACRES LT 8LAKE HILL ACRES
051 - 053 - 07
(Rev 05/02/18)
Municipality of Anchorage
On -Site Water and Wastewater Section - (907) 343-7904 Page 1 of 3
ON-SITE WASTEWATER INSPECTION REPORT
Permit Number: OSP251145
PID Number: 051-053-07
Dwelling: F* Single Family (SF) M with ADU R Duplex (D) El Two Single Family Project: OR New R Upgrade
Name
Elegant Holes LLC
ABSORPTION FIELD
9 Deep Trench Ej Wide Trench R Bed Ej Mound
Site Address
24290 Rambler Rd
El Other
Phone
Number of Bedrooms
Soil Rating --Total
depth from original grade
907-715-4140
14
0.8 GPD/SF1
10.5 Ft.
LEGAL DESCRIPTION
Depth to pipe invert from original grade
3.5 Ft.
Gravel depth beneath pipe
7.0 Ft.
Subdivision Block Lot
Lake Hill Acres
8
Fill added above original grade
0.0 Ft.
Gravel length
60 Ft.
Township Range
Section
Gravel width
13.0 Ft.
Beds: Number of Lines
N/A
Distance between lines
N/A Ft.
SEPARATION
DISTANCES
To
Septic
Absorption
Lift Station
Holding
Sewer
Total absorption area
Number of trenches
1
Dist. between trenches
From
Tank
Field
Tank
Line
840 Ft2
N/A Ft.
Well
>100'
>100'
N/A
N/A
>25
TANK E Septic [I S.T.E.P. [I Holding El Other
Manufacturer
Greer
Capacity
1250 Gal..
Surface Water
>100'
>100'
N/A
N/A
Material
Plastic
Number of compartments
2
NA
Lot Line
>5'
>10'
N/A
N/A
Foundation
>10'
>10'
N/A
N/A
L-LF_ZTATION
Manufacture Capacity
RemarksTank rated for 10' burial
Gal.
Alarm location
Elect d by
PIPE MATERIAL House to tank D3034 Tank to D3034
drainfield
Installer
Bolinder Excavating
Drainfield D3034 CO/MT D3034
Inspector Jared Earls
BENCH MARK (Assumed elevation) 100 ft
Inspection 1m 6/18/25 6/18/25
Location and description
dates: god
Bottom of siding SW corner
aro 4`n
ON-SITE WATER AND WASTEWATER SECTION APPROVAL
Engineers Stamp
N
Conditional Approval:
Date
low, ;c5',$
4
49
N-1 .........
Septic System
Approved
Date
Benjarr* - ill r
CE 12592
12/21/25.
AW
klk�, PROFESSO
Note: this approval does not include
1
well permit requirements.
1 1:4 SO 0
Nx
(Rev 05/02/18)
Benjamin Schiller
CE 12592R
E
GISTEREDPROFE S S I O N A L E N GINEER
1"=40'
CO - CLEANOUT
2CO - DOUBLE CLEANOUT
FCO - FOUNDATION CLEANOUT
FS - FLOW SPLITTER VALVE
MH - MANHOLE
MT - MONITORING TUBE
SV - SEPTIC VENT
TH - TEST HOLE
LEGEND
PERMIT # OSP251145 PID # 051-053-07
LAKE HILLS ACRES, LOT 8
A B
FCO
MH 35.7
SV 37.1
A B
2CO 38.1
CO1 52.3
MT1 52.8
CO2 108.5
17.4
21.3
24.5
26.0
24.1
25.0
60.7FEET
0 40 80
PLAN AS-BUILT
12/29/25
RAMBLER ROAD
4-BDRM HOME
MT2
MT1
NEIGHBORING WELLS
EXISTING WELL
TH#2
EXISTING LOG CRIB
DECOMMISSIONED
TH#1
CO1
CO2 1250-GAL
SEPTIC TANK
60' LONG X 3' WIDE, 7' EFFECTIVE
DEPTH TRENCH. INSTALLED IN A
FLAT AREA, NOT AGAINST
CONTOURS
ALTERNATE SITE
CAT III 20' X 3', 7'
EFFECTIVE DEPTH
2CO
SV
MH
FCO
MT2 107.759.7
32.4
PROFILE AS-BUILT
(NO SCALE)
95.8
90.8
96.5
100.5
FC
O
MH
SV
PERMIT # OSP251145 PID # 051-053-07
LAKE HILLS ACRES, LOT 8
1250 GAL
SEPTIC TANK
98.8 ORIGINAL & FINISH GRADE
60'
DRAINFIELD ROCK
MT
1
TH
#
2
NO GROUNDWATER 6/10/25
88.3
95.3
CO
1
CO
2
79.8
88.3
95.3
MT
2
2C
O
95.7
Benjamin Schiller
CE 12592
R
E
GISTEREDPROFE S S I O N A L E N GINEER
12/21/25
LAKE
H
I
L
L
S
A
C
R
E
S
SUBD
I
V
I
S
I
O
N
RAMBLER ROAD
Taylor L. Dosch
No. 189892
R
E
GISTEREDPROFESSIO N A L L A N D S URVEYOR
MUNICIPALITY OF ANCHORAGE
Development Services Department Phone: 907-343-7904
On-Site Water & Wastewater Section Fax: 907-343-7997
Well Log
Permit Number: #_____________ Date of Issue: ____________ Parcel Identification Number: __________________
Date Started: _________ Date Completed: _________ Is well located at approved permit location? Yes No
Legal Description:_________________________________________________________________________
Property Owner Name & Address: _______________________________________
_______________________________________
_______________________________________
Borehole Data: Depth (ft)
Soil Type, Thickness & W ater Strata From To
Method of Drilling air rotary cable tool
Casing type: _________
Wall Thickness: inches
Diameter: inches Depth: feet
Liner Type: _________
Diameter: inches Depth: feet
Casing stickup above ground: feet
Static water level (from ground level): feet
Pumping level: feet after
hours pumping gpm
Recovery Rate: gpm
Method of Testing: _________
Well Intake Opening Type:
Open End Open Hole
Screened Start feet Stopped feet
Perforations Start feet Stopped feet
Grout Type: _________ Volume: _________
Depth: _________ Start feet Stopped feet
Well Disinfected Upon Completion? Yes No
Method of Disinfection: Comments:
Well Driller: _____________________________
Company: _____________________________
Mailing Address: _____________________________
Water Sample Results:
Arsenic: _________ ug/L
Nitrates: _________ mg/L
Coliform Bacteria:_________ colonies/100mL
Attention: The well driller shall provide a well log to the
On-site Water and Wastewater Section within 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
http://www.muni,org/onsite
On -Site Water & Wastewater System Permit
Permit Number: OSP251145
Work Type: WellSeptic Initial
Tax Code Number: 05105307000
Site Legal Address: LAKE HILL ACRES LT 8 G:1561
Site Mailing Address: 24238 RAMBLER RD, Chugiak
Owner: ELEGANT HOMES LLC
Design Engineer: FORGE ENGINEERING
This permit is for the construction of:
Effective Date:
Expiration Date:
Lot Size in Sq Ft:
Total Bedrooms:
�tllt Ili
r�
r
t)c partiner�r
5/19/2025
5/19/2026
31500
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
L C)
Or Y i
1 5 5 �-izj� � , n
Received By: l, r- I
t] I L
Issued By:
v
Date:
Date:
rd
ON -SITE SEPTICMELL PERMIT APPLICATION
Parcel I.D. 051-053-07
Property owner(s) Elegant Homes LLC
Day phone (907)715-4140
Mailing address PO Box 875769, Wasilla, AK 99687
Site address24238 Rambler Rd
Legal description Lake Hills Acres Lot 8
Number of Bedrooms
Engineering Firm Forge Engineering
Building Permit Number
Not Applicable F
APPLICATION IS FOR: APPLICATION IS AN:
(rq all that apply)
Absorption Field
Initial
Septic Tank
El Upgrade EJ
Holding Tank
El Renewal EJ
Privy
❑
Well
THIS APPLICATION INCLUDES A WAIVER REQUEST FOR:
Permit/Rush Fees: 001,
Date of Payment:
Permit No. 6 �l I LIS
-
Waiver Fees:
Date of Payment:
Waiver No.
Distance:
May 8, 2025
MOA Development Services, On-Site Water & Wastewater Program
4700 Elmore Rd
Anchorage, AK 99507
Subject: Lake Hills Acres Lot 8 – Rambler 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, so we are
submitting this permit application 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 has a mild slope from east to west but, 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
OSP251145, Curtis Townsend, 05/19/25
LAKE HILLS ACRES, LOT 8
I
I I
I NEIGHBORING WELLS
I �
LOT 10I � LOT 11 `` � LOT 12
------ - - - - - - - - - - - - - --- -- -------------------I-`------
- - - -RAMBLER LOAD - - - -- - - - - - --
PROPOSED WELL
F
LOT 8
®T 9LOT 7
FCC
f
2C
0
*ENGIN EERING
*7 49TM , -.Ar
Benja i Schiller
I �'F� •. CE 2592
PROFESSIONP�,,...
EXISTING LOG CRIB
4-BDRM HOME DECOMMISSIONED
TH##1
1250-GAL SEPTIC TANK
60' LONG X T WIDE, T EFFECTIVE
DEPTH TRENCH
LOT
ALL NEIGHBORING WELLS AND SEPTIC
ALTERNATE SITE CAT III 20' X 3', NOT SHOWN ARE MORE THAN 100'
T EFFECTIVE DEPTH AWAY
SEPTIC PLAN
0 50 100
FEET
1 "=50'
LEGEND
CO - CLEANOUT
2C0 - DOUBLE CLEANOUT
FCO - FOUNDATION CLEAN(
FS - FLOW SPLITTER VALVE
MH - MANHOLE
MT - MONITORING TUBE
SV - SEPTIC VENT
TH - TEST HOLE
LAKE HILLS ACRES, LOT 8
DESIGN FACTORS: SYSTEM REQUIREMENTS:
600 GPD PEAK FLOW
PERK RATE: 10.0 MIN/IN
APPLICATION RATE: 0.8 GPD/SF
TDEEP TRENCH SYSTEM
1250-GAL SEPTIC TANK
600 GPD / 0.8 GPD/SF / TDEEP / 2 SIDES = 53.6 LF TRENCH REQUIRED (60 LF SPECIFIED)
BOTTOM OF TRENCH: 10.5'BELOW GRADE
FLOW LINE ELEVATION: 3.5'BELOW GRADE
3-
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
E N G I N E E R I N G
PF1
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
1.9
4/30/25 1
2
3
4
5
6SM (SILTY SANDY GRAVEL)
Professional Engineers Stamp:
LAKE HILLS ACRES LOT 8
4/30/25 051-053-07
ELEGANT HOMES
159 8
16
1' OB
10
Benjamin Schiller
CE 12592REGISTEREDPROFESSION A L E N GINEER
PERC TEST LOCATION
TECHNICIAN: JUSTIN EARLS
165 8
16
NONE
4/7/25
COMMENTS:
SITE PLAN
6 0
16
USCS SOIL CLASSIFICATION WAS VISUALLY DETERMINED
5/8/25
MOISTURE NOTED AT TIME OF DIGGING?NO
SC (CLAY/SILT/SAND/GRAVEL)
10
10
10
10
10
159 8
16
159 8
16
159 8
16
159 8
16
159 8
16
165 0
16
164 15
16
164 15
16
164 13
16
164 13
16
5 8
16
5 7
16
5 7
16
5 5
16
5 5
16
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP251145, Curtis Townsend, 05/19/25
DEPTH
(feet)
1-
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
LEGAL DESCRIPTION: LAKE HILLS ACRES LOT 8
PERFORMED FOR: ELEGANT HOMES
DATE: 6/3/25 PARCEL ID#: 051-053-07
TEST HOLE 2 I
w
aPERC TEST LOCATION
SM (SILTY SANDY GRAVEL)
NO MOISTURE NOTED AT TIME OF DIGGING?
NONE DEPTH TO WATER AFTER MONITORING
6/10/25 DATE OF MONITORING
DATE
READING
NET TIME
(MINUTES)
DEPTH TO
WATER
(INCHES)
NET DROP
(INCHES)
4/30/25
1
30
93 8
96 -s
316
2
30
9316
96 is
3
3
30
9316
9616
3
PERCOLATION RATE: 10 (MIN/INCH)
COMMENTS: USCS SOIL CLASSIFICATION WAS VISUALLY DETERMINED
SITE PLAN
TECHNICIAN: JARED EARLS
Development Services Department
On-Site Water & Wastewater Section
Phone: (907)343-7904
Fax: (907)343-7997
MUNICIPALITY OF ANCHORAGE
051 -053-07
LAKE HILL ACRES LT 8
Expiration Date: Parcel ID
Legal description
Site address 24290 RAMBLER RD
Current property owner(s) ELEGANT HOMES 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: 1/9/2026
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
Absorption Field Advisory
Tank Age Advisory
Other
Well Flow Advisory
Nitrate Advisory
Arsenic Advisory
Certificate of On-Site Systems Approval
X
OSC261001
6/18/2026
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. 051-053-07
Complete legal description Lake Hills Acres, Lot 8
Location (site address) 24290 Ramber Rd Chugiak, Ak, 99567
Current property owner(s) Elegant Homes LLC
2. ON-SITE SYSTEMS SIZED FOR 4 BEDROOMS
Day phone 907-715-4140
3. TYPE OF WATER SUPPLY: RN Private Well serving #
dwelling units
❑ Other Non-public well as regulated by MOA ❑ Water Storage
❑ Community Well or Public
4. TYPE OF WASTEWATER DISPOSAL: RN Private Septic ❑ Private Septic serving 2 dwelling units
❑ Holding Tank ❑ Community Septic or Public Sewer
5. SEPTIC TANK: ❑ Steel RN Plastic ❑ Concrete ❑ Fiberglass
Age New - See advisory if steel or fiberglass 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 $- 4
Date of Payment 11�112,5
COSA# N000
Waiver Fee $
Date of Payment
Waiver #
COSA Appliration—Apr2025.doc
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:
. LIFT
Required maintenance completed
yearsDate of pumping
Required maintenance completed
resoaked
(Required if house vacant
prior to date of
gallons
Any rejuvenation treatment (past 12 months)
Adequacy
Results
epth
dded
min
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