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Home My WebLink AboutDIANA LT 2 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street- Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME IPHONE I ~NEW Ver~Flower I 274-3944I []UPGRADE MAILING ADDRESS P.0. Box 4-2733 LEGAL DESCRIPTION Lot 2, Diana Subd. LOCATION 8211 Nadine ~3 ~ ~ ~)t~J~ NO. ~F BEDROOMS IWell I Absorr~on area Dwelling PERMIT NO.~0~0~ ~ ~ DISTANCE TO: 162 40 Manufacturer Material NO. of compartments ~chorage Tank Steel 2 Liq. ~ap~c~ in gallons Inside length Width Liquid depth ~ . IF HOME.DE: ~ ~ DISTANCE TO: Well Dwelling PERMIT NO. ~Z O Z ~ Manufacturer · -- ~ Material Liquid capacity in gallons ~ Q ~ DISTANCE TO: Well~0 Foundation ~0 Nearest lot I~ PERMIT NO. ~ - o same -- ~ ~ ~ ~ Z No. of lines 1 Length of ear, line Total ,~h of lines Trench6~dth inches Distance between lines NA ~ ~ ~ Top of tile to finish grade Material beneath tile Total effective absorption area Q ~6 f~, 90 inches Length Width Depth ~ PERMIT NO. ~ ~ ; Type of crib Crib diameter Crib depth Total effective absorption area ~ DISTANCE TO: Well Building foundation Nearest lot line ~ Class Depth Driller Distance to lot line PERMIT NO. ~ DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s) OTHER PIPE MATERIALS ~ in. PVC SOl h TEST RATING 95/b~m INSTALLER Schachle ~. ~ REMARKS Pipe in place above washed rock 4'~ with plastic. ~ ~' '~ :h- ¢¢A~OVED /~ ~/~ DATE LEGAL 72-013 ~R~v PERMIT NO. MtJN I C I F ~L I TM OF RNCHL, RRGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 "L' STREET~ ANCHORAG& AK. 99501 264-4?20 WELL AND ON--S I TE SEWER PERM I T ( 780901 ) APPLICANT MEAN FLOWER LOCATION NADI~ LEGAL L 8211NRDINE ST LOT SIZE 2?4 ~44 ~000 SQUARE FEET TYI:{ OF SOIL ABSORBTION SYSTEM IS: TRENCH MflXIMUMNUMBER OF BEDROOMS = ~ ~OIL RATING (SQ FT?BR>= THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: DEPTH= 12 LENGTH= 2i GRAVEL DEPTH= 7 THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRAINFIELD, THE: DEPTH ~ A TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE GROUND AND THE BOTTOM OF THE EXCAVATION (IN FEET). THERE IS NO SET WIDTH FOR TRENCHES, THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE AND THE BOTTOM OF THE EXCAVATION <IN FEET). REQU I RED SEPT I C TANK S I ZE= 1000 ~]ALLONS PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE INSTALLATION INSPECTIONS OF ANY WELLS ADJACENT TO THIS PROPERTY AND THE NUMBER OF RESIDENCES THAT THE WELL WILL SERVE. TWO (2 > INSPECT IONS ARE REQU I RED BRCKF ILL I NG OF ANY SYSTEM W I THOUT F I NAL INSPECT I ON AND APPROVAL BY THIS DEPARTMENT WILL BE SUBJECT TO PROSECUTION, MINIMUM DISTANCE BETWEEN R WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS 100 FEET FOR R PRIVATE WELb OR i150 TO 200 FEET FROM R PUBLIC WELL DEPENDING UPON THE T~PE OF PUBLIC WELL, WELL LOGS ARE REQUIRED AND ~UST BE RETURNED TO THE DEPARTMENT WITHIN ~0 DAYS OF THE WELL COMPLETION, OTHER REQUIREMENTS MAY APPLY, SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION, PERM I T EXP I RES DECEMBER ~:L. 1978 I CERTIFY THAT .i: I AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE ,2: I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. ~: I UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE RESIDENCE IS ~MODELED TO INCLUDE MORE THAN ~ BEDROOMS, , ............... APP~NT VERN FLOWER ...... MUNiC'IPAL~I~Y OF ANCHORAGE Pouch G~50, Anchorages, Alzmk;~ 99502 :-~7G-222 SOILS LOG .- PERCOLATION 'i'EST SOt t..,S ES I I-:(~AI '1 1i i(.; - f' (:() L A,T !(.~Fi I~/\I i DA'Ii: I--' ~D'~-~C--~°O MUNICIPALITY OF ANCHORAGE~3~C3 ~ DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION DEPT. OF HEALTH 825 L Street - Anchorage, Alaska 99501 ENVIRONMENTAL P/~('}'J'ECTION & ENVIRONMENTAL ENGINEERING DIVISION NOV 2 7 1978 Telephone 264-4720 DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow.ten (10) days for processing. 1. PROP~RTY~WNER ~~~ IPHONE PROPERTY RESIDENT (l~dif(erent fr~ able) .... ~ PHONE ~- ~UYER PHONE MAILING ADDRESS Ua~L~N~ ~DDRESS ~ ~. ~. ~EALIOR/AGENT ~ J PHONE MAILING ADDRESS 5. LEGAL DESCRIPTION STREET LOCATION 6. TYPE OF RESIDENCE NUMBER OF BEDROOMS [] One [] Four ~ SINGLE FAMILY [] Two [] Five [] ' MULTIPLE FAMILY [] Three [] Six [] Other 7. WATER SUPPLY ~ INDIVIDUAL* [] COMMUNITY [] PUBLIC UTILITY * ATTACH WELL LOG. A well log is required for all wells drilled since June 1975. For wells drilled pripr to that date, give well depth (attach log if available.) '//(~ 8. SEWAGE DISPOSAL SYSTEM INDIVIDUAL/ON-SITE** [] PUBLIC UTILITY **If individual/on-site, give installation date_.~__.~ / ~.t'),f'~. If system is over two (2) years old an adequacy test is required by this Department. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED, 72-~)10(3/78) ' THIS SIDE FOR OFFICIAL USE ONLY ~ DATE RECEIVED NSPECTION APPOINTMENTS TIME TIME TIME DATE DATE DATE INSPECTOR I NSP ECTOR I NSP ECTOR DIRECTIONS: NUMBER OF BEDROOMS 1. TYPE OF RESIDENCE SINGLE FAMILY MULTIPLE FAMILY 2. WATER SUPPLY [] INDIVIDUAL [] COMMUNITY [] PUBLIC UTILITY Connection Verified 3. SEWAGE DISPOSAL SYSTEM []INDIVIDUAL/ON -SITE [-~PUBLIC UTILITY Connection Verified E~SepticTank~or [] Holding Tank Size:. (~,~'L~ If Tank is homemade give dimensions: TYPE OF TANK TOTAL ABSORPTION AREA 4. DISTANCES WELL TO: Absorption Area to nearest Lot Line [] ONE [] THREE [] FIVE [] TWO [] FOUR [] SlX PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED PERMIT NUMBER [] OTHER DATE INSTALLED I NSTALLER~~.~, SOILS RATING MATERIAL Sewer Line Septic/Holding Tank ]Absorption Area INearest Lot Line 5. COMMENTS J~C~OVED FOR ~, BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) [] DISAPPROVED DATE LEGAL DES--~-~'IPTION BY (Title) 72-010 (Rev. 3/78) 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 OSC261059 Parcel ID 014 -221-67 Expiration Date: 2 2 ^ . 7- Legal description DIANA LT 2 Site address 8219 NADINE ST Current property owner(s) FLOWERS BERNARD E & GAYLE D X The On -site system(s) is/are approved for 3 bedrooms Conditional approval for bedrooms, with the following stipulations: Comments or conditions:. No comments By: Curtis Townsend Original Certificate Date: 4/2/2026 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 MUNICIPA• LITY 0 Development Services Department On -Site Water & Wastewater Section Phone: 907-343-7904 Fax- 907-343-7997 Certificate of On -Site Systems Approval Application 1. GENERAL INFORMATION Parcel I.D. 014-221-67 Complete legal description Diana, Lot 2 - Location (site address) 8219 Nadine St Current property owner(s) Bernard & Gayle Flowers Day phone (907)444-4545 2. ON -SITE SYSTEMS SIZED FOR 3 BEDROOMS 3. TYPE OF WATER SUPPLY: A Private Well serving # _1 dwelling units 0 Other Non-public well as regulated by MOA M Water Storage n Community Well or Public 4. TYPE OF WASTEWATER DISPOSAL: RN Private Septic E] Private Septic serving 2 dwelling units El Holding Tank El Community Septic or Public Sewer 5. SEPTIC TANK: F] Steel R Plastic R Concrete RE Fiberglass Age 48 - See advisory if steel or fiberglass older than 20 years 6. ABSORPTION FIELD: E] AWWTS 0 Bed RE Deep Trench r_J Wide Trench 0 Seepage Pit Waiver request for: T A'V Distance: Expedited review requested: El 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 COSA # 19 (-- ( C' " Waiver Fee $ Date of Payment Waiver # 0 5 V Lb L) 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: 'LDQD/RW ■ 1$ ■ ■ ■ ■ ■ ■ )RUJH(QJLQHHULQJ Video evidence of fiberglass tank ■ 1$1$ 1$ ; ! Only 1 MT has several feet of debris and mud at the bottom 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 ■ ■■ ■■ ■ ■ ■■ ■■ ■ ■■ ■■ ■ *See waiver request. Standpipe second from the house (the standpipe after the foundation cleanout) is for the septic tank, per the IR. )RUJH(QJLQHHULQJ %HQMDPLQ6FKLOOHU3( MUNICIPALITY OF ANCHORAGE DEVELOPMENT SERVICES DEPARTMENT J , �' �� A" I . On -Site Water and Wastewater Section www.muni.org/onsite Septic Tank Advisory Certificate of On -Site Systems Approval # OSC261070 Subdivision: DIANA Block: , Lot: 2 907-343-7904 Fax: 343-7997 The septic tank for this property is 48 years old. Some previously installed fiberglass tanks have been replaced because they leak. Leaking septic tanks are a hazard to public health. Typical replacement costs are $15,000 or more, not including engineering, surveying, MOA permitting fees or site restoration. This advisory must be attached to all copies of the subject Certificate of On -Site Systems Approval. ,,,,,,_,,Mailing Mailing Address .PrO Box 196650 *.Anchorage,llaska99519-6650 *;www tnun org y�. NA D I N E S T R E E T DIAN A S8%D I 9 I S I 2 N Taylor L. Dosch No. 189892 R E GISTEREDPROFESSIO N A L L A N D S URVEYOR n1 n c S Municipality of Anchorage ,/ I)epartnx nt P.O. Box 196650 0 4700 Elmore Road Anchorage, Alaska 99519-6650 0 (907) 343-7904 0 Fax (907) 343-7997 http://www.muni.orci/Onsite Develol2ment ServicesDivision On -Site Water and Wastewater Program * * * * VARIANCE/WAIVER REVIEW * * * * Waiver#: OSV261010 COSA#:OSC261059 Permit#: P I D#: 014-221-67 Legal Description: Diana Lot 2 Engineer: Forge engineering Your request for a waiver of the required 100 feet horizontal separation from the septic tank to the private well has been approved. The approved separation distance is 95.0 feet. This waiver approval applies to the existing septic tank only. Any future upgrade to the on -site wastewater disposal system will require all separation distances be met or another approval from this department. Waiver is Granted: X Waiver is not Granted: Date: Z Z Approved by: tv Name of Reviewer **** VARIAN C EIWAIVE R REVIEW **** March 30, 2026 MOA Development Services, On-Site Water & Wastewater Program 4700 Elmore Rd Anchorage, AK 99507 Subject: Diana, Lot 2 – 8219 Nadine St Septic tank to well waiver Dear On-Site Services Engineer: The existing septic tank on Lot 2, Diana Subdivision is located approximately 95’ from the existing well on the lot at its closest point. The septic tank was originally constructed in 1978 and has been in constant operation since that time. The inspection report from 1978 indicates that the tank is 162’ from the well. This is an impossibility based on the size of the lot. We believe the initial distance was handwritten at 102’ then later transcribed incorrectly onto the inspection report. This was likely a measurement taken by hand from tank standpipe to the well at the time of construction and before the house was completed. While it is now nearly impossible with the house in place to take a measurement in the field, measurements taken from the survey show the distance to the tank standpipe from the well to be 99’. While the dimensions of the tank are unknown, we can safely estimate the distance to be 95’ or more from the edge of the tank to the well. The most recent water sample taken from this well on 3/2/26 shows no traces of Nitrates, which indicates that there has been no contamination from the tank in the 45+ years since installation. In addition to that, if the tank were to overflow any path for the effluent would be well over 100’, as the flow would need to route around the building in between. Finally, the well is upgradient from the tank, so contamination would naturally flow away from the well. It is for these reasons we request a waiver for 95’ from the existing septic tank to the well. Sincerely, Benjamin Schiller, PE