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JASMINE LT 12
Onsite File JASMINE Block Lot 12 PID# 051-211-22 MUNICIPALITY OF ANCHORAGE Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Pump Installation Log Well Drilling Permit Number: 7-L5 100 / Date of Issue: 0/ -45, -,Zi� Parcel Identification Number: as/ - &JI -__AA Legal Description �tt5^'! �v� 5�� ��,�/��/f.� Block Lot �� Property Owner Name & Address: i/ � z � ..t��; Za � ref•-, t,�S / �pi6 5?`,�� 1+�►c� �i���' 3,? -5 %�,ts+P Td. �'3,?-5 Pump Installation Date: 741 Pump Pump Intake Depth Below Top of Well Casing: A feet Pump Manufacturer's Name: :-f"k." i< L , '✓ Pump Model: /©tS 1 P L/ — 31J.7-30 Pump Size: 1 hp Pitless Adapter Burial Depth: 1 J feet Pitless Adapter Manufacturer's Name: ijr &VA "L'I Pitless Adapter Installer: &Ie lz Well Disinfected Upon Completion? .fel Yes ❑ No Method of Disinfection: C�lor�,.+.e 'fdlrtss Comments: Pump Installer Name: Company -.,61 �0 LOA-te.t (,Je 11s Mailing Address: 3 5 3 W-k�e City: laA,s,//A' State: Ak zip:9�l� 3 Attention: The pump installer shall provide a pump installation log to On-site within 30 days of pump installation. MUNICIPALITY OF ANCHORAGE Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Well Log Permit Number: # 261001 Date of Issue: 01/28/26 Parcel Identification Number: 051-211-22 Date Started: 2/11/26 Date Completed: 2/12/26 Is well located at approved permit location? Yes 0 No ❑ Legal Description: Jasmine Subdivision, Lot 12, Property Owner Name & Address: Still Meadows Investments, Inc. 376 Still Meadows Lann Priest River, ID 83856 Borehole Data: Depth (ft) Soil Type, Thickness & Water Strata From To Casing stick up 0 3 Sand - Gravel 3 10 Sand - stone - gravel - silt 10 12 Bedrock 12 500 Water Sample Results: Arsenic: Nitrates: Coliform Bacteria: ug/L mg/L colonies/ l 00mL Method of Drilling FN� air rotary ❑ cable tool Casing type: A53B Steel Wall Thickness: •25 inches Diameter: 6 inches Depth: 43 feet Liner Type: Pvc Diameter: 4.5 inches Depth: 480 feet Casing stickup above ground: e 3 feet Static water level (from ground level): feet Pumping level: feet after 1 hours pumping wpm Recovery Rate: gpm Method of Testing: Air Lift ❑ Open End 0 Open Hole ❑ Screened Start feet Stopped feet ❑ Perforations Start feet Stopped feet None Start Well Disinfected Upon Completion? Yes No Method of Disinfection: °"'°n T.1s Comments: Well Driller: Kaleb Bean El El Company: E & D Water Wells Mailing Address: 3530 W. Spence Lane, Wasilla, AK 99623 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 and Wastewater Section • (907) 343-7904 Page 1 of 3 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP261001 PID Number: 051-211-22 Dwelling: ❑■ Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑■ New ❑ Upgrade Name Dennis Byler DBA Byler Contracting ABSORPTION FIELD ❑ Deep Trench ❑■ Wide Trench ❑ Bed ❑ Mound Site Address 18624 Jasmine Rd, Chugiak, AK, 99567 ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 907-310-2501 3 1.1 GPD/SF 2.0/2.0 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade 1.5/1.5 Ft. Gravel depth beneath pipe 0.5/0.5 Ft. Subdivision Block Lot Jasmine 12 Fill added above original grade 9.6/8.7 Ft. Gravel length 45/45 Ft. Township Range Section Gravel width 5.0/5.0 Ft. Beds: Number of Lines iDistance 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 450 Ft2 2 6.0 Ft. Well >100' >100' N/A N/A >25 TANK X Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer Greer Capacity 1000 Gal. Surface Water >100' >100' N/A N/A Material Plastic Number of compartments 2 Lot Line >5' >10' N/A N/A NA Foundation > 10' > 10' N/A N/A L ATION Manufacturer Capacity Remarks Tank rated for 10' Burial Gal. Alarm location Electric Iled by PIPE MATERIAL House to tank D3034Tank to D3034 drainfield Installer Byler Contracting Drainfield D3034 CO/MTD3034 Inspector Jared Earls BENCH MARK (Assumed elevation) 100 ft Inspection` 1s' 2/6/26 2/6/26 Location and description es: 2nd 3'd 2/7/26 4h 2/10/26 NE corner of building under siding ON-SITE WATER AND WASTEWATER SECTION APPROVAL Engineer's Stamp Conditional Approval: Date low . 49TH * �/ �..........�......... '! Benjamin Schiller tic Sy ,���'sr' Approved vedst� Dat P P • .04/15262. •''V���/ Fq 15/ it F'PROFESSIOH' N te: this approval does not include well permit requirements. (Rev 05/02/x8) Benjamin Schiller CE 12592R E G ISTEREDPROFE 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 TH#1 PERMIT # OSP261001 PID # 051-211-22 JASMINE, LOT 12 A B FCO 15.2 MH 36.4 SV 40.4 A B 2CO 42.8 CO1 45.3 MT1 47.2 CO2 62.8 20.6 30.5 33.9 40.2 46.7 48.6 85.4 FEET 0 40 80 PLAN AS-BUILT 6/22/26 JA S M I N E R O A D 3-BDRM HOME (2) 45' LONG X 5' WIDE, 0.5' EFFECTIVE DEPTH TRENCHES 1000-GAL SEPTIC TANK 15 ' U T I L I T Y E A S E M E N T 4 0 ' U T I L I T Y E A S E M E N T FCO 2CO CO2 CO4 CO1 CO3 MT2 MT4 MT3 MT1 ALTERNATE SITE, CAT III ADVANCED TREATMENT 20' LONG X 5' WIDE, 0.5' EFFECTIVE DEPTH TRENCH EXISTING WELL NEIGHBORING WELL UNDEVELOPED WELL AND SEPTIC OUTSIDE PLAN VIEW UN D E V E L O P E D SE C T I O N L I N E E A S E M E N T TH#2 WETLAND NEIGHBORING WELL NOT IN VIEW PORT UNDEVELOPED MH SV MT2 63.8 CO3 30.8 MT3 29.0 CO4 54.4 MT4 55.6 85.4 39.3 39.0 80.7 81.2 BENCH MARK LOCATION PROFILE AS-BUILT (NO SCALE) 91.7 87.5 92.3 98.0 FC O MH SV PERMIT # OSP261001 PID # 051-211-22 JASMINE, LOT 12 1000 GAL SEPTIC TANK 96.5 FINISH GRADE 45' DRAINFIELD ROCK MT 1 TH # 1 GROUNDWATER 77.4 3/6/18 84.9 85.4 CO 1 CO 2 76.9 84.9 85.4 86.9 ORIGINAL GRADE MT 2 2C O 91.5 Benjamin Schiller CE 12592 R E GISTEREDPROFE S S I O N A L E N GINEER 7/1/26 97.0 FINISH GRADE 45' DRAINFIELD ROCK MT 3 86.3 CO 3 CO 4 86.3 86.8 88.3 ORIGINAL GRADE MT 4 SEPTIC TRENCH 1 SEPTIC TRENCH 2 86.8 TH # 1 GROUNDWATER 78.8 3/6/18 78.3 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: OSP261001 Work Type: WellSeptic Initial Tax Code Number: 05121122000 Site Legal Address: JASMINE LT 12 G:1059 Site Mailing Address: Owner: STILL MEADOWS INVESTMENTS INC Design Engineer: FORGE ENGINEERING This permit is for the construction of: O Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy Effective Date: Expiration Date: Lot Size in Sq Ft: Total Bedrooms: D I'l'tIn(211t 1/28/2026 1/28/2027 42338 Non -Public Q Water 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. Coodinate with On -Site staff regarding preferred method. 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 C ()I vg-', / -q- I Issued To: FORGE ENGINEERING Issued By: Isatou B Njie 3 ca)n &V -,-CL ,\ fie C� � _� L_Q� Date: 1/28/2026 Date: 1/28/2026 January 8, 2026 MOA Development Services, On-Site Water & Wastewater Program 4700 Elmore Rd Anchorage, AK 99507 Subject: Jasmine Lot 12 – Jasmine Road Septic system design Dear On-Site Services Engineer: The owner of the above lot intends to build a 3-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 slopes down from the south to the north, but becomes much shallower on the north side of the lot. 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 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 OSP261001, Isatou Njie, 01/28/26 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 TH#1 JASMINE, LOT 12 FEET 0 40 80 SEPTIC PLAN 5/5/25 JA S M I N E R O A D 3-BDRM HOME (2) 45' LONG X 5' WIDE, 0.5' EFFECTIVE DEPTH TRENCHES CONTRACTOR TO MAINTAIN 100' SEPARATION TO NEIGHBORING WELL 1000-GAL SEPTIC TANK 15 ' U T I L I T Y E A S E M E N T 4 0 ' U T I L I T Y E A S E M E N T FCO 2CO CO CO CO CO MT MTMT MT ALTERNATE SITE, CAT III ADVANCED TREATMENT 20' LONG X 5' WIDE, 0.5' EFFECTIVE DEPTH TRENCH PROPOSED WELL NEIGHBORING WELL FS UNDEVELOPED WELL AND SEPTIC OUTSIDE PLAN VIEW UN D E V E L O P E D SE C T I O N L I N E E A S E M E N T TH#2 WETLAND NEIGHBORING WELL NOT IN VIEW PORT UNDEVELOPED JASMINE, LOT 12 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 DESIGN FACTORS:SYSTEM REQUIREMENTS: 450 GPD PEAK FLOW PERK RATE: 0.4 MIN/IN APPLICATION RATE: 1.0 GPD/SF (FILTER SAND) 5-WIDE TRENCH SYSTEM WITH 2' SAND FILTER 1000-GAL SEPTIC TANK BOTTOM OF TRENCH: 2' BELOW GRADE FLOW LINE ELEVATION: 1.5' BELOW GRADE 450 GPD / 1.0 GPD/SF / 5' WIDE * 1.0 RED FACTOR [0.5' DEEP] = 90 LF TRENCH REQUIRED (90 LF SPECIFIED) 5/6/25 4" PERFORATED PVC (HOLES DOWN) DRAINFIELD ROCK 1' 1' 6" GEOTEXTILE FABRIC AND 2" INSULATION 6" 5' 2' PROVIDE ADDITIONAL FILL TO ALLOW FOR FINAL SETTLEMENT 2' MOA FILTER SAND Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP261001, Isatou Njie, 01/28/26 LEGAL DESCRIPTION: PERFORMED FOR: DATE: PARCEL ID#: SOILS LOG AND PERCOLATION TEST TECHNICIAN: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 DEPTH (feet) PROJECT No.: TEST HOLE #1 SLOPE SLOPE SITE PLAN See Site Plan DATE READINGGROSS TIME (minutes) NET TIME (minutes) DEPTH to WATER NET DROP TEST HOLE PRESOAKED PRIOR TO TESTING: PERC. HOLE DIA. (INCHES)PERCOLATION RATE: (MIN/INCH) TEST RUN BETWEEN: FT. and FT. COMMENTS: (inches)(inches) Jasmine Subdivision - Lot 12 Troy Davis 01/24/18 Development Services Department 4700 Elmore Road Anchorage, AK 99519-6650 Municipality of Anchorage DATE OF MONITORING: WAS GROUND WATER ENCOUNTERED? DEPTH OF WATER AFTER MONITORING: IF YES @ WHAT DEPTH? No 9.5' 1/25 0 / 6 0.4 6 3.5 4.5 - - OB silty sand w/ some gravel (sp-sm) 11:02/11:04 1 2 2:18 6 3 4 5 6 0 / 6 6 0 / 6 6 0 / 6 6 0 / 6 6 0 / 6 6 bed rock J. Millette 11:05/11:07 2:17 11:06/11:08 2:18 11:09/11:11 2:15 11:12/11:13 2:20 11:14/11:16 2:18 Professional Engineers Stamp: Jan 14, 2020 5/29/18 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP261001, Isatou Njie, 01/28/26 LEGAL DESCRIPTION: PERFORMED FOR: DATE: PARCEL ID#: SOILS LOG AND PERCOLATION TEST TECHNICIAN: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 DEPTH (feet) PROJECT No.: TEST HOLE #2 SLOPE SLOPE SITE PLAN See Site Plan DATE READINGGROSS TIME (minutes) NET TIME (minutes) DEPTH to WATER NET DROP TEST HOLE PRESOAKED PRIOR TO TESTING: PERC. HOLE DIA. (INCHES)PERCOLATION RATE: (MIN/INCH) TEST RUN BETWEEN: FT. and FT. COMMENTS: (inches)(inches) Jasmine Subdivision - Lot 12 Troy Davis 01/24/18 J. Millette Development Services Department 4700 Elmore Road Anchorage, AK 99519-6650 Municipality of Anchorage DATE OF MONITORING: WAS GROUND WATER ENCOUNTERED? DEPTH OF WATER AFTER MONITORING: IF YES @ WHAT DEPTH? No NONE 5/29/18 1/25 0 / 6 - - OB silty sand w/ some gravel (sp-sm) 11:35/11:38 1 2 3:06 6 3 4 5 6 0 / 6 6 0 / 6 6 0 / 6 6 0 / 6 6 0 / 6 6 0.5 6 3 4 bed rock 11:39/11:42 3:04 11:43/11:46 3:08 11:47/11:50 3:07 11:51/11:54 3:10 11:55/11:58 3:09 Professional Engineers Stamp: Jan 14, 2020 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP261001, Isatou Njie, 01/28/26 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 OSC261229 Parcel ID 051 -211-22 Legal description JASMINE LT 12 Site address 18624 JASMINE RD Current property owner(s) BYLER DENNIS E Expiration Date: 2/10/2027 X The On-site system(s) is/are approved for 3 bedrooms Conditional approval for bedrooms, with the following stipulations: Comments or conditions: rJ� By: . `,.=i Original Certificate Date: 7/7/2026 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 MUNICIPALITY OF ANCHORAGE Development Services Department� Phone: 907-343-7904 V On-Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Application 1. GENERAL INFORMATION Parcel I.D. 051-211-22 Complete legal description Jasmine, Lot 12 Location (site address) 18624 Jasmine Rd, Chugiak, AK, 99567 Current property owner(s) Still Meadows Investments Inc. Day phone 2. ON-SITE SYSTEMS SIZED FOR 3 BEDROOMS 3. TYPE OF WATER SUPPLY: ❑■ Private Well serving # dwelling units 907-310-2501 ❑ Other Non-public well as regulated by MOA ❑ Water Storage ❑ Community Well or Public 4. TYPE OF WASTEWATER DISPOSAL: 0 Private Septic ❑ Private Septic serving 2 dwelling units ❑ Holding Tank ❑ Community Septic or Public Sewer 5. SEPTIC TANK: ❑ Steel 0 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 $ J Waiver Fee $ Date of Payment �( `Z 1 U �—' Date of Payment COSA # US L L 6 (Z Waiver # COSA Application 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: 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 Lot 12, Jasmine Subdivision As Built Land Surveying Land Development Consultants Subdivision Specialists Construction Surveying AEC# 173042 S4 Group 610 E 5th Avenue Anchorage, Alaska 99501 (907) 306-8104 mail@S4AK.com 6/18/2026