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Home My WebLink AboutEKLUTNA HEIGHTS BLK 2 LT 7B Municipality of Anchorage On-Site Water and Wastewater Section • (907) 343-7904 Page 1 of 1 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP251433 PID Number: 051-061-69 Dwelling: ❑■ Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New 0 Upgrade Name Erik &Debbie Hansen ABSORPTION FIELD ❑ Deep Trench ■❑ Wide Trench ❑ Bed ❑ Mound Site Address 21635 Settlers Dr, Chugiak ❑ Other Phone Number of Bedrooms Soil Rating depth from original grade 907-440-0646 3 0.6 GPD/SF JTotal T1:8.8,T2:11.3,T3:12.4 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade T1:7.3, T2: 9.8, T3: 10.9 Ft, Gravel depth beneath pipe T1,T2,T3: 1.5 Ft. Subdivision Block Lot Eklutna Heights 2 7B Fill added above original grade T1:-0.1, T2:0.0, T3:0.1 Ft. Gravel length (3) 40' = 120 Ft. Township Range Section Gravel width 5 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 769 Ft, 3 6+ Ft. Well 100,+ 100'+ 25'+ TANK X Septic ❑ S.T.E.P. ElHolding ElOther Manufacturer Capacity Greef 1 000 Gal. Surface Water 100,+ 100,+ Material Number of compartments Lot Line 5'+ 10'+ NA Plastic 2 Foundation 8.0* 10'+ LIFT STATION Manufacturer Capacity Remarks *septic tank is not within the foundation Gal. soil bearing prism, see design drawing detail. Alarm location Electrical installed by PIPE MATERIAL House to tank 3034Tank to 3034 drainfield Installer Hiland Excavation LLC Drainfield 3034 CO/MT3034 Inspector Crewdson Engineering LLC BENCH MARK (Assumed elevation) 100 ft Inspection3-4-2026 1s` 3-3-2026 Location and description es: 2nd 3rd 6-3-26 1h 6-5-26 Bottom of siding at "BM" on record drawing. ON-SITE WATER AND WASTEWATER SECTION APPROVAL r —,SE OF q�41�t Conditional Approval: Date 1 !�.•'' •� 1 .......... , s A. Crewdson , Septic System Ct 1527 Approved Date t��`b' •... •sk Note `this approval does not include well permit requiremets. (Rev 05/02/18)// PL o(96)M2 C4 C5 (96)C2 - -- __(96)C4 M4 M5 o C6 (96)T1-___ _ I M6 I I I 96 DRAINFIELD I I I (96)SP2L V (96)C1 I I I DC (96)T1- _ (96)C3 11 T2 T3 S MH 1 (96)M1 I I I I SEPTIC TANK SP3L FC I M1 I I q BM,B ° M2 I M3 C1 C2 3-13R SFH C3 w � w DRAINFIELD . w WATER SERVICE . w C \ w PI AN BM: Bottom of Siding, assumed elevation: 100' ELEV T1 T2 T3 EG 102.5' EG 103.3' EG 104.2' PROFILE FG 102.4' FG 103.2' FG 104.2' NOT TO SCALE ELEV E'99 G 995' TH1 ELEV NOTES FG 99:711.CRM## FC EG 102.9' 1. Septic tank was installed in MH S1 16.9 19.9 S1 20.3 22.4 February 2026. Due to frost DC 21.7 23.3 DV 22.7 23.9 C7 issues, the drainfield wasn't 23.3 SPH 31.3 32.2 C1 34.4 completed until June 2026. C2 INLET 48.6 33.4 C3 GP/SP 2. 2" 25 -psi or greater insulation OUTLET 51.2 62.2 C5 with silt 60.5 placed over septic tank and C6 67.7 68.2 M1 36.7 conveyance pipes. M2 49.3 34.7 M3 3. Standpipes for (96)SP2L, 43.3 M4 48.7 60.4 M5 (96)C3, (96)C4 were repaired. SEPTIC TANK ELEV DRAINFIELD ELEV 64.1 M6 4. SP3L: Zoeller 173-0001 TOT 97.0' T1 INV 95.2'" BOH: Tru -Flow Splitter INLET INV 96.4' TD 93.7' 20' BGL OUTLET INV 96.2' T2 INV 93.5" ELEV: 82.9' TD 92.0' GWTR: Dry T3 INV 93.3" 6-3-2026 TD 91.8' *INV ELEV is the same at both ends of distribution pipe Crewdson Engineering, LLC Civil Engineering Box 671389 Chugiak AK 99567 • ce11c.1 @outic Cell/Text:907-280-9493 • Fax:907-688-2295 Eklutna Heights, Block 2, Lot 7B SEPTIC SYSTEM RECORD DRAWING SWING TIES (FEET) A B C FC 13.1 17.7 MH 16.9 19.9 S1 20.3 22.4 DC 21.7 23.3 DV 22.7 23.9 C7 23.0 23.3 SPH 31.3 32.2 C1 34.4 24.7 C2 48.6 33.4 C3 59.5 40.3 C4 51.2 62.2 C5 60.5 66.4 C6 67.7 68.2 M1 36.7 29.2 M2 49.3 34.7 M3 60.8 43.3 M4 48.7 60.4 M5 58.3 64.1 M6 65.1 65.8 LEGEND (96) - year drainfield was constructed BGL - below ground level BM - bench mark BOH - bottom of hole BR - bedroom BOIS - bottom of siding C# - cleanout DC - double cleanout DV - diverter valve ED - effective depth EG - existing ground ELEV - elevation FC - foundation cleanout FG - finish grade GWTR - groundwater IAW - in accordance with INV - invert M# - monitor tube MH - 24"0 manhole S1 -septic tank riser SFH - single family home SP2L - 2 -way 1/2-1/2 splitter SP3L - 3 -way 1/3-1/3-1/3 splitter ST - septic tank TD - total depth TOT - top of tank Prepared for: Erik &Debbie Hansen Date: 7-17-2026 Permit: OSP251433 Page: 1 of 1 ALL INFORMATION SHOWN ON THIS DOCUMENT IS THE PROPERTY OF CREWDSON ENGINEERING, LLC AND SHALL NOT BE USED FOR ENGINEERING OR CONSTRUCTION PURPOSES WITHOUT WRITTEN PERMISSION FROM CREWDSON ENGINEERING, LLC OF A446,111t. *_ A-. C,r,ewj dson 11527 00 18111 Preston Road, Suite 900 | Dallas, TX 75252 P: (214) 540-0966 | F: 866-205-6119 April 3, 2026 RE: 21635 Settlers Dr, Chugiak, AK 99567 Municipality of Anchorage (MOA) Conditional COSA Money Held in Escrow for Septic System Upgrade To Whom It May Concern, The Owners/Sellers of the subject property have held back $29,775.00 in escrow to allow the Buyer to close and record on the property and the Buyer understands completion of the septic system will be weather permitting but to be completed no later than June 15, 2026 by the Sellers contractor of choosing. Any funds left over from the hold back will be refunded to the Sellers and the Buyer agrees to cooperate with paperwork to be signed in a quick manner to allow for the refund. The money will be held in escrow until such time as a final unconditional Certificate of On-Site Systems Approval is issued by the MOA On-Site Water & Wastewater Program. ______________________________ signature Sincerely, Alyssa Adame VP, Operations and Programs Manager *Bond Department *Renovation and Construction (214) 540-0977 alyssa.adame@primelending.com Docusign Envelope ID: A1B77BF8-BCD6-429E-8C23-E575E6C88332 Permit Number:OSP251433 Tax Code Number:05106169000 Work Type:Septic Upgrade Effective Date: Design Engineer: Site Legal Address:EKLUTNA HEIGHTS BLK 2 LT 7B G:1461 Owner:HANSEN ERIK L & DEBBIE J Site Mailing Address:21635 SETTLERS DR, Chugiak Lot Size in Sq Ft:71748 Total Bedrooms:3 This permit is for the construction of: Disposal Field Septic Tank Holding Tank Privy Non-Public 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 12/29/2025 12/29/2026 CREWDSON ENGINEERING, LLC Special Provisions: A test hole is required at the proposed disposal field location during construction to confirm separation to impermeable soil and seasonal high groundwater and to verify the proposed design depth. Construction may proceed at your own risk before completing the 7-day groundwater monitoring. If results require design changes, work must stop until a change order is approved. Submit all test hole results with the inspection report or change order, as applicable. Expiration Date: þ þ ¨¨¨¨ Issued To: Issued By: Date: Date: 12/29/2025 12/29/2025 CREWDSON ENGINEERING, LLC Isatou B Njie 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 Wastewater Disposal System Permit James Jay Crewdson, P.E Email: CELLC.1@outlook.com Cell/Text: (907) 280‐9493 PO Box 671389 ● 18368 Amonson Road ● Chugiak, Alaska 99567 December 24, 2025 Municipality of Anchorage On‐site Water & Wastewater Program 4700 Elmore Road Anchorage, AK 99519‐6650 Attention: Curtis Townsend Reference: Eklutna Heights, Block 2, Lot 7B Septic System Upgrade Design Narrative The owner is preparing the subject property to be put on the market for sale in 2026. The existing documented septic system failed a recent COSA inspection and will need to be upgraded. The existing septic tank will be removed in accordance with the code and the existing drainfield will remain in service by means of a diverter valve between it and the proposed drainfield. The proposed drainfield design is based on prior soils tests located both on and off of the subject property. The proposed total drainfield depth is at least 6 above the deepest soils logs found in the nearby area (see attached Eklutna Heights B2 L7B Old Soils Logs). The proposed design requires soils testing prior to construction to verify the design. As such, we are requesting the proposed design be permitted with a condition added to the permit cover sheet requiring soils testing prior to construction to verify the design. The proposed 3‐bedroom septic system is detailed on the design drawing. If constructed as designed, it will; Satisfy all code required separation distances, Not cause any probable adverse impacts to adjacent properties, Not negatively impact existing wells and septic systems on adjacent properties, Not be adversely affected by potential drainage that could flow onto and off of the subject property. Please feel free to contact me for more discussion. Thanks James Jay Crewdson, P.E. Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP251433, Isatou Njie, 12/29/25 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP251433, Isatou Njie, 12/29/25 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP251433, Isatou Njie, 12/29/25 Eklutna Heights #1, Block 2, Lot 7B 21635 SeƩlers Dr Local Soils Tests Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP251433, Isatou Njie, 12/29/25 Lot 7B, Block 2, Eklutna Heights Subdivision Land Surveying Land Development Consultants Subdivision Specialists Construction Surveying 610 E 5th Avenue Anchorage, Alaska 99501 (907) 306-8104 mail@S4AK.com AKCAN 173042 Group S4 As-Built 0 50' GRAPHIC SCALE 12/15/2025 · Municipality of Anchorage Page I of ~-- 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 Permit Number: :~'('~ c~~ O ~'"''/(~ PID Number: ~i -~1 Name: LO~Ai~ [~ ~m~oc~ Wastewater System: ~ New ~'Upgrade Address: ~o ~L~ ~ k~,, k~ ~ ABSORPTION FIELD Phone: ~S--~ ,o. of~drooms:~ ~ Deep Trench ~ShallowTre~ch ~Bed ~Mound DOther LEGAL DESCRIPTION so~ Rating: O. ~ GPD/Sq. Ft. Total Depth fro~o~iginal grade: Lot: ~ ~ Block: ~ ~Subdivbi°n: ~ ~l~ Depth to pipe bo~om~, ~fr°m~ odginal grade: Ft. Gravel depth ~,beneath~ l pipe Ft. Township: Range:~ I Section: Fill added abovel, ~l°rigin~l_ ~grade: Ft. G r~ve]~ ~length:~l~ ,~ ~1 Ft. Number of lines: Distance ~n lines: WELL: EKI~New ~ Upgr~' Gra~e, width: Z.~I Ft. ~ {~' Ft. Classification~ ~(Private'~u~i~A'B'C): ~ ~Ft. Cased To: Ft. Total absorption~oarea: SQ. Ft. Pipe~material: O Driller:~ Date Drilled; Static Water Level: Installer: Date installed: ~ GPM Pump Set at: Ft. Casing Height Above Ground:Ft. TANK SEPARATION DISTANCES ~Septic ~ Holding ~ S.T.E.P. To Septic Absorption Lift Holding )ublic/Pdvate Manufacturer: Capacity in gallons: From Tank Field Station Tank Sewer Lines ~ ~ C ~ ~GE ~ I 00 Number of Compa~ments: Wel~ ~t~ i~ ~ __ Z~l~ Material:~e~ Sudace Water IOOl.+ iool+ ~ -- _ LIFT STATION Lot ~t Sizein gallons: Manufacturer: Line ~ + I0 I~ Cu~ainDrain ~ ' ~" ~ ~ ~ ~ P~lectrical Inspections pedormed by: Remarks: BENCH MARK ,Location and Description: E N~~AL .... ~,.~,~:~,N~ Dates: 1st Iz-zo-'lG ~ ,~~._~:._ Inspections pedormed by: ~ ~ '; '%' ' ' ~""~'~'"~'/'"~ E~e [~tver, AlaSka 99577 *i,~ CE-8~01 Depa~ment of He approval ',," ..." .... Reviewed and approved by: ~~ ~' / ~ ~ Date: /-2~-~ ~<~,~'-".-~"~-~,<~<.~.~ 72-913 (Rev. 9/91) MOA 25 SW960579 2 2 Permit No. Page of 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: LOT 7B, BLOCK 2, EKLUTNA HEIGHTS S/D PIDNo.: 051-061-69 I k B ~ INSTALLED rL W .T~ ST1 1 .0' 15.5' ~/p)' ~ DIVIDER COZ ~_ DDmO~ ST2 2: .0' 1 9.0' ER(;. TEST o.s' s~. 001 2( .0' 30.0' ~%NEW I000 GAL C02 5~ .0' 57.0' SEPtiC TANK MT1 5; .0' 40.0' ~W~ ' ~- . C03 21 .0' 54.0' % . ATH I % ~' .g' ~.g' 3 BDRM ~w~ GtRAOE H ~USE ~w~ WAT R LINE~ (APPE)X, LOC,) 8G~ 1" = 40' ST1 ~INS[ ~TION 6~~ N~W ' 1000 GAL ~4'TAN~SEP~[C ' ~ = ~ ~ ~ = ~' 96 MT2 C03 ~, CO1 "' I1~~-- ~ co~ = 5.a' cos = a~.l' ~T1 = 8!)4' MT2 = 89.2L NC WATER FOUND 83.2' B.O.H. 72-O13 A (Rev. 9/91) MOA 25 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX.196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT PERMIT NUMBER:SW960379 DESIGN ENGINEER:S & S ENGINEERING OWNER NAME:HAMMOCK LORAINE J OWNER ADDRESS:21635 SETTLERS DR CHUGIAK, ALASKA 99567 PAGE 1 OF 1 PARCEL ID:05106169 DATE ISSUED:12/18/96 EXPIRATION DATE:12/18/97 LEGAL DESCRIPTION: EKLUTNA HEIGHTS BLK 2 LT 7B LOT SIZE: 71748 (SQ. FT.) NUMBER OF BEDROOMS: 3 THIS PERMIT: 3 THIS PERMIT IS FOR THE CONSTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK SYSTEM ALL CONSTRUCTION MUST 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 ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY CALLING 343-4744 ( 24 HOURS ) (NOT REQUIRED FOR WELL ONLY PERMIT) 4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING WEATHER MUST BE EITHER: A. OPENED AND CLOSED ON THE SAME DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING 5. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: ISSUED BY: ~'~/ DATE: /~-// ~ /~/~ DAT .: / :Z -- ROBERT C. COWAN, RE. ROBERTA. SHAFER, RE. CIVIL ENGINEERS December 2, 1996 (907) 694-2979 FAX (907) 694-1211 HEALTH AUTHORITY APPROVALS SEWER&WATER MAIN EXTENSIONS SEWER&WATER INSPECTION ENGINEERING STUDIES AND REPORTS WELL INSPECTION & FLOWTEST SITE PLANS ROAD DESIGN SOIL TEST PERCOLATION TEST STRUCTURAL & MECHANICAL INSPECTIONS ONSITE WASTEWATER DISPOSAL SYSTEM DESIGN MUNICIPALITY OF ANCHORAGE Department of Health and Human Services P.O. Box 196650 Anchorage, AK. 99519 REFERENCE: Lot 7B, Block 2, Eklutna Heights Subdivision Request you issue of a permit to upgrade the septic system serving the three bedroom house on the referenced property. Due to high nitrate levels, the existing well is to be permanently abandoned according to water well ordinance AO N0.96-98(S) (amended and approved S-13-96) and the existing house will be connected to a Community Water System. A test hole was excavated and percolation test performed in the area of the proposed upgrade. The approximate location of the test hole is located on the attached site plan. At the time of excavation no water was encountered and after seven day ground water monitoring, the monitoring tube was found to be dry. Attached is the proposed upgrade design. We do not anticipate any adverse effects on neighboring wells, septic systems or drainage patterns by the installation of the proposed septic system. If you require additional information, please contact us. Sincerely, Cowan, RCC/gk PoEo Enclosure 17034 NORTH EAGLE RIVER LOOP · SUITE 204 · EAGLE RIVER, ALASKA 99577 LOT 9A PIONEER STREET ~ ~ ~ ~ ~ 0 ~ ~ ~ ~T~~ ' AS PER OCCUPANT az Z ~ / ~ ~ / / PERFORMED FOR: LEGAL DESCRIPTION'. Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST c, ,~,,.,.- 1 2 3 7 8 9- 10- 11 12 13- 14- 15- 16 17, 18- 19- 20- ~jS~'"C'zttv~OCJ~.~'- DATE PERFORMED: I -~m"O ,..~'~ o ~/.~/~,'[~wnship, Range, Section: - ~.-~ , SLOPE SITE PLAN WAS GROUND WATER ~ l~) ENCOUNTERED? DEPTH? ~. pO E Depth to Water Alter Monitoring? --'"'-- Date: Gross Net Depth to Net Reading Date Time Time Water Drop PERCOLATION RATE TEST RUN BETWEEN "~ COMMENTS ~0 .~13) TlO~ ,,CZ.. P~,'~¢~, ~L,4 7/~' 7'~ $' 7- (minutes/inch) PERC HOLE DIAMETER __ FT AND (.~ FT / 72-008 (Rev. 4/85) PERFORMED FOR: LEGAL DESCRIPTION: Uq 1 2 3 4 5 6 7 8 9 10 11 12 13- 14- 15- 16 17 18 19 20 Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST ~ '~ ~ [~T..ownship, Range, Section: SLOPE WAS GROUND WATER . [~ ENCOUNTERED? L DEPTH?IF YES, AT WHAT ,A' pO E SITE PLAN Deplh tO Water,~.r), I MonitorinD? ~ Dale: Gross Net Depth to Net Reading Date Time Time Water Drop ~1 " ~ '1'~ 1," PERCOLATION RATE ~ (minutes/inch) PERC HOLE DIAMETER ~ TEST RUN BETWEEN ~'~ FT AND ~ '~ FT COMMENTS PERFORMED BY: .~A.~.~ ~..I.m.' .... ] .._..~ D...I kl. et~l I/----- CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE W~I~L~ff~I~PAL GUIDELiNES IN EFFECT ON THIS DATE, DATE: / ~ /~ q ~ 72-008 (Rev. 4/85) G£;-'~TER ANCHORAGE AREA BOROI)~H D~.,RRTMEBIT OF ENVIRONMENTAL QUAL / 3500 TUDOR ROAD ANCHORAGE, ALASKA 99507 279-8686 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM ADDRESS //~'~ LOCATION ,/~//':~/~ ~U/~ ~'~=: ~'-'~Z~z~' ~=~LEGAL DESCRIPTION ~'~ '7// SEPTIC TANK: DISTANCE FROM WELl LIQUID CAPACITY MATERIAl ,,,~'''/~= Z:-z/~ NUMBER OF ~ COMPARTMENTS ~2Z~(.l//(~'~-j'~=~ /~ ~('~/ //' //'¢'{{']/J'/'/~J~'- LIQUID GALLONS. INSIDE LENOTH INSIDE WIDTH DEPTH SEEPAGE SYSTEM: SEEPAGE PIT: , DEPTH ' NUMBER OF PITS / OUTSIDE DIAMETER OR WIDTH , LENGTH NEAREST LOT LINT TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) TILE DRAIN FIELD: ~ , F- NDATION NEAREST LOT LINE DISTANCE FROM WELL O~ , NUMBER OF LINES // DISTANCE BETWEEN~ TRENCH WIDTH DEPTH: TOP OF TILE TO FINISH GRADE DEPIH OF RIAL-B,EI~EATH-IIEE~ TOTAL LENGTH , OF LINES / I~TOIAL EFFECIIVE IN. ABOVE TILE -- DISTANCE FROM / WATER j~.,/~/~/~:- , NEAREST WELL: [ypEz~.~/J/ DEPTH , BUILDING FOUNDATION._ ,~2~)'- SAMPLE NEARES1 ~ SEPTIC / SEEPAGE . ,' OTHER LOT LINE (~>-~'//.. -' ~'~ ~'~ SEWER LINE TANK ))~'-~ . SYSTEM ./'~6 . CESSPOOl -~ . SOURCES DISTANCES: _~<,,' ~ -/~/ B AGRAM OF SYSTEM APPROVED ' G~.A.B. GREATER ANCHORAGE AREA BONOUGH DEPARTMENT OF ENVIRONMENTAL QUALITY 3500 TUDOR ROAD POUCh 6-650 ANCHORAGE. ALASKA 99502 TELEPHONE 279~8686 SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT INSTALLATION Of: SEPTIC TANK ~ SEEPAGE P1T.~ ., DRAIN ~IELD OTHER FINAL INSPEC:TION= 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE HEALTH DEPARTMENT AUTHORITY WILL BE SUBJEC:T TO pI~OSECUTION. DIAGRAM OF SYSTEM MINIMUM DISTANCES, REQUIREMENTS FOUNDATION TO SEPTIC TANK FOUNDATION TO SEEPAGE PIT SEPTIC TANK TO SEEPAGE PIT WALL SEPTIC TANK .,SEEPAGE PIT TO NEAREST LOT LINE. WELL TO SEPTIC TANK DRAIN fIELD WATER MAIN TO SEPTIC TANK DRAIN FIELD SEPTIC TANK SEEPAGE PIT TO RIVER, LAKE, STREAM. DRAIN FIELD DRAIN FIELD · SEEPAGE PIT , ALSO CONSIDER AREA WELLS. , SEEPAGE PIT DRAIN FIELD CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING (~AP OF EXCAVATION 5 FEET INTO UNDISTURBED SOIL. 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT FITTED WITH AIRTight REMOVABLE CAPS. .//v - ~ HE.~,L/Th aUthOhITY ~/ I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE. DATE APPLICA"T'SS'G"AT"RE 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 OSC261058 Parcel ID 051 -061-69 Expiration Date: Legal description EKLUTNA HEIGHTS BLK 2 LT 713 Site address 21635 SETTLERS DR Current property owner(s) HANSEN ERIK L & DEBBIE J X The On-site system(s) is/are approved for 3 bedrooms By: 6/5/2027 Conditional approval for bedrooms, with the following stipulations: Comments or conditions: No comments Original Certificate Date: 4/6/2026 This. ertificate 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, bevelopment 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 I 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. 051-061-69 Complete legal description Eklutna Heights, Block 2, Lot 713 Location (site address) 21635 Settlers Dr, Chugiak Current property owner(s) Erik & Debbie Hansen 2. ON-SITE SYSTEMS SIZED FOR 3 BEDROOMS Day phone 3. TYPE OF WATER SUPPLY: ❑ Private Well serving # dwelling units ❑ 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 $ p9O Date of Payment COSA # � � �C � � 0 Waiver Fee $ Date of Payment Waiver # COSA Application_Apr2025.doc COSA Checklist Legal Description: Eklutna Heights, Block 2, Lot 7B Parcel ID: 051-061-69 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. Comments Community Water B. TANK DATA Measured operating fluid level in septic tank Date of pumping ❑ Required maintenance completed, if AWWTS Comments: *new plastic septic tank D. DISPOSAL FIELD DATA Which system tested (date installed) 6-5-2026 ❑■ ALL standpipes present per record drawing Total measured depth from grade 12.5 ft (max) Measured depth to pipe invert from grade 7.2 ft (min) ❑ N/A — pressurized field. ❑ Per record drawings, field is insulated. 0 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 Comments/Deficiencies: *new septic system COSA Checklist_May2025.docx 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 C. LIFT STATION ❑ Required maintenance completed Age of lift station years Lift station material Comments: Adequacy test date not required* 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) Effective depth used in Effective depth remaining in ri 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 E] Yes if No ft Neighboring Tank > 100' F-1 Yes if No ft Disposal Field on Lot > 100' ❑ Yes if No ft Neighboring Disposal Fields > 100' ❑✓ Yes if No _ Field to Property Line > 10' ❑ Yes if No ft Sewer Line/Main > 100' F-1 Yes if No ft Sewer Manhole/Cleanout > 100' ❑ Yes ❑ Yes if No Sewer Service/Septic Line > 25'❑ Yes if No Holding Tank > 100' ❑ Yes if No Animal Containment > 50' ❑ Yes if No Manure/Animal Excreta Storage > 100' F, -/]Yes ❑ Yes if No ❑ 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 8.0* ft Surface Water > 100' ❑✓ Yes if No _ Field to Foundation > 10' ❑✓ Yes if No ft Wells on Adjacent Lots: Tank to Property Line > 5' F, -/]Yes if No ft Wells > 100' ❑✓ Yes if No _ Field to Property Line > 10' ❑✓ Yes if No ft Community Wells > 200' ❑✓ Yes if No_ Water Main/Service Line > 10' ❑ Yes if No ft If tank or field is under driveway comment below F. ENGINEER'S COMMENTS *not in foundation soil bearina prism ft ft ft ft ft ft ft ft 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 Crewdson Engineering Engineer's Printed Name James Crewdson COSA Checklist_May2025.docx Phone 907-280-9493 Date 7-17-2026 of A ��OFES5 NP:.� Lot 7B, Block 2, Eklutna Heights Subdivision Land Surveying Land Development Consultants Subdivision Specialists Construction Surveying 610 E 5th Avenue Anchorage, Alaska 99501 (907) 306-8104 mail@S4AK.com AKCAN 173042 Group S4 As-Built 0 50' GRAPHIC SCALE 7/15/2026 .(~ ' MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On'Site Services Section ~ P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 Parcel I.D. # 1. GENERAL INFORMATION Complete legal description CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING ]'.ot 7]3; Block 2; Eklutna Be'iqht~ LocatiOn (site address or directions) 21635 Settlers Drive Chuqiak, AK Property owner Mailing address LOrraine Hammock 8660 Williwa Avenue Anchorage, Day phone AK 338-1811 Lending agency Mailing address Day phone Agent Address Day phone Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: 3 TYPE OF WATER SUPPLY: Individual well Community well NOTE: Public water if community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. ~. . TYPE OF WASTEWATER DISPOSAL: Individual on-site Holding tank Community on-site NOTE: Public sewer If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025(Rev. 1/91) Front MOA~21 m 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 of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure in. dicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastawater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm S & S ENGINEERING 17034 Eagle River I. oop Road NO. 2~ Address Ea~lle River, ~Ala,ska 99577 Engineer's signature ~,~Z_ Phone Date / /~; / ~ 7 DHHS SIGNATURE 'X Approved for ~,D Disapproved. Conditional approval for bedrooms. bedrooms, with the following stipulations: Additional Comments Note: The well for this property meets existing State and Municipal Co'des. There are nitrates present. It is ~,,~d f'hnt ,,:J .nartnd~c testin~ be performed to insure the Wells continued suitability. Nitrate concentration is 5.1 mg/1. EPA · ~;.~--..~ ........ -~^. ~ Inn ~g/] --. : . ? ' .~ :: '. Th~ Uunici~ll~ of ~nchomge Dep~ment of Health ~nd Human Se~ice~ (DHHS) I~ues Health Authori~ ApproVal. ~... C~ifi~t~"b~S~,,,. only upon the mpre~en~tions g ven n p~mgmph 5 ~bove by ~n nde~ndent prof~mnal engin~r reglster~ In the State of Alaska. The DHHS does this ~ ~ cou~esyto purch~m of hom~ ~nd their lending In~titutlon~ in order to ~tls~ ceftin f~eml ~nd ~Mte r~ulmmen~. Employ~ of DHHS do not conduct tn~pe~ion~ or ~n~l~e d~t~ before a oe~ifi~te i~ i~uM. The Uunicipali~ of Anchorage is not r~ponsible for errom or Omi~ion8 in the pr°fe~ional engin~ wo~. 72-(~6(Rev, 1/91) Back MOAiY21 D. LIFT STATION Date installed Size in gallons ~ Manhole/Access (Y/N) "Pump~'Pump off" level at* High water alarm level at*..._~'~'/*Datum E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/holding tank on lot Absorption field on lot Public sewer main S~ Lift station SEPARATION DISTANCES FRO~OLDING TANK ON LOT TO: I FoUndation ~ Property line . ~ol..,+ Absorption field Water main/service line I o I.f..Surface water/drainage ! co14' Wells on adjacent lots On adjacent lots SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line - I O Building foundation I o I-I' Water main/service line Surface water . I o ~ ! -f-~ Driveway. parking/vehicle storage area Curtain drain I~ /~ ,, Wells on adjacent lots I 6'o R ENGINEER'S CERTIFICATION *..~ I certify that I have determined thru field inspections and review of Municipal records ,n conformance w~O~_ HAA g~el~ ln_ effect on thls date. Signature Engineer's Name ~z~,e~ ' ~". Date Waiver Fee $ Date of Payn~ent Receipt Number HAA Fee $ t7~z~' ~) Date of Payment C)//C)'7/~'~ Receipt Number '~ ~-4 7 72-026 (Rev. 3/96)* EXCAVATION ROBERT A. SHAFER WORK CIVIL ENGINEER 694-2979 March 26, 1983 James Christian 4101Wispen Circle ~A Anchorage, Alaska 99503 Dear Mr. christian, MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH & ENVIRONMFNTAL PROTECTION APR lg83 RECEIVED Reference: Lot 7B: Block 2: Eklutna Heights Subdivision A sewer system adequacy test was performed on the system located on the referenced property, as you requested. The septic tank had been v~ to have a capacity of 1.~LS~ gallons during a previous adequacy test performed by this office. At the time of this test the septic tank was empty and did not require pumping. The seepage pit was tested by charging the system with approximately~_SQQ gallons of water and after a period of 24 hours all the water which had been added to the crib had percolated out. It can be concluded from this test that the waste water disposal system serving the four bedroom residence located on this property is currently functioning adequately. However, the system cannot be guaranteed against subsequent failures. The standpipe in the seepage pit needs to h~ ~w~nd~ until it extends above the surrounding soil. It should also be noted that a water sample was taken from the hose bib on the back of the house and an analysis performed by Chemical and Geological Laboratories of Alaska. The results of this test indicated that the water sample was satisfactory. If we may be of further service, please do not hesitate to contact US. Si (....-ff'/RO~E, RT A. SHAFJZR, P.E. sZss 'cc: Municipality of Anchorage Department of Health and Environmental Protection SRB 196X EAGLE RIVER, ALASKA ' O~ ~.. ~ RECEIVED ' ' ,NSPECTIONAPPOINTMENTS' T~ TiMi=' TIME DATE DATE DATE INSPECTOR MUNICIPALITY OF ANCHORAGE ,MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION DEPT. OF HEALTH & 825 L Street - Anchorage, Alaska 99501 ENVIRONMENTAL PROTEC:TtOI'~ t~I [~i~) ENVIRONMENTAL SANITATION DIVISION FEll P, 4 1981 .~ Telephone 264-4720 DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. 1. PROPERTY OWNER . -~o~c~(c~ .;c/~t~/cL(/ P.O.E P.~IP.".qT'. n.o~u=~ I ~1~ olrterent trom abovel PHONE 2. ~'-u'~ ~.;~ ~ PHONE MAILING ADDR ES/~ M/~LI NG ADDRESS 4. REALTOR/AGENT PHONE MAILING ADDRESS LLEGAL DESCRIPTION STREET LOCATION 6. TYPE OF RESIDENCE ~UMBER OF~EDROOMS ' ~ One ~ Four ~ Other ~ SINGLE FAMILY ~ Two ~ Five ~ MULTIPLE FAMILY ~ Three ~ Six 7. WATER SUPPLY ~ INDIVIDUAL* [] COMMUNITY ~1 PUBLIC UTI LITY * ATTACH WELL LOG. A well log is required for all wells drilled since June 1975. For wells drilled prior to that date, give well depth (attach log if available.) 8. SEWAGE DISPOSAL SYSTEM INDIVIDUAL/ON-SITE** [] PUBLIC UTILITY YEAR ON-SITE SYSTEM WAS INSTALLED. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. ,..v. ,,, ~ .. THIS SIDE FOR. OFFICIAL USE ONLY 1. TYPE OF RESIDENCE NUMBER OF BEDROOMS [] SINGLE FAMILY [] ONE [] THREE [] FIVE [] OTHER [] MULTIPLE FAMILY [] TWO [] FOUR [] SIX · : PERMIT NUMBER 2. WATER SUPPLY [--I ~INDIVIDUAL : .~ . . .- DEPTH OF WELL [] COMI~UNITY ' ..: DATE DRILLED [] PUBLIC UTILITY Connection Verified LOG RECEIVED 3. sEwAG~E DI~OSAL 8Y6T, EM PERMIT NUMBER [] iNDIVIDUAL/ON -SITE DATE INSTALLED [] PUBLIC UTI LITY Connection Verified INSTALLER []Septic Tank or []Holding Tank Size:, If Tank is homemade SOILS RATING give dimensions: TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL Absorption Area to, nearest Lot Line 5. C(~MMENTS I~APPRoVED FOR ~EDROOM$ ' [] CONDITIONAL APPROVAL (letter mu~"~cco~npan2rE6~ificate) 72-010 (Rev. 6/79) Fobruat:y 27, "~ Rona]d Sc:hu].dt: 3301 Gl. cnn Don Anchor:aqe~ A]a~:dca 99501 Subject: Lo{: 7B B](cx 2 Eklutna NeighLs Subdivi ~ion Approval for your J. ndividual sewor and wat:e.]: fac~l]_Ll-. cannot be granted until the [ollowing :items have been 2' completed: ~~(]) The war. er analysis report: needs {:o be del [,./ered [:o "~.',~' this office from l:he Chem Lab, 5633 B .~...~.ec.L, / O~lr review. (2) LocaLe and expose f-he well for our inspection lhz, is Lo det:ormine proper cons[:.r~lo[:J, oI1, al. so W(.. min:imum distance roqllJ.r(llR(lrlils are llletl bel. tw(~en Locat:e an~ expose t:hc st:andpipes t.o l:]lc ~(:w..]. for our j. nspecl:.:ion. Please nok.ify t:his del)arLmenh :flor a reinsp(:ction when the noted descrepancies have been correct/.ed~ ~f there are any further questions pt=a .... call this office at 264-4720 Sincerely, ReP / ]. j w c e: A].aska PacJ fic Narlk Mort:gage Ix>an Deparl:menb Post Office Box 420 995].() DAVID A. SLENKAMP ROBERT A, SHAFER MECHANICAL ENGINEER 694-9055 February 1, 1981 CIVIL ENGINEER 694-2979 MUNICiPADTY Of: ,.~,NCHORAGE. DEPT. (ct: i: ~ ~ c~ ENVIRONiv'~ ,i: , ,:CT/ON James Christian SRB 70 Pioneer Street Chugiak, Alaska 9956? Dear Mr. Christian, Reference:' Lot 7B; Block 2; ~lutna }{eights Subdivision RECEIVED A sewer system adequacy test was performed on the system located on the referenced property as you requested. The seotic tank was pumped and verified to have s capacity of approxilm~tely 1250 gallons. The seepage pit was charged with 1000 gallons of fresh water and after a period oD 2~ hours all the ~mter added to the crib had percolated out. It can be concluded from this test that the sewage system located on the referenced property is currently functioning adequately for the four bedroom residence. If we may be of further assistance, please do not hesitate to call. Sincerely, ,// ? / / ,¥ t 4~ '~' ~- ~_C.~' ' / ~ Z - ~RDBERT A. ~FER, ~,,~S/s s ,, cc: ~nioipali%y of Anoho~a~e Depar%men~ of Heal%h and Envio~nmen%al Pro%cc}ion &lasks Pacific B~nk ATTENTION: Betty High Ronald Schuldt SRB 196X EAGLE RIVER, ALASKA EAGLE RIVER AREA GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality "C" Street, Anchorage, Alaska 99503 274-456i Date Received March 7, 1977 Time of Inspection Date of Inspection 3-9 ~ / REQUEST FOR APPROVAL OF ~-Ke~n INDIVIDUAL SEWER & WATER FACILITIES ' - ' FOR ):t0 a.m. 7 Wednesday 4. 5. 6. 1. Approval requested by: First National Bank of Anchorage Mailing Address: Post office Box 720 Phone: 276-6300 2. Property Owner: Ronald J, Schuldt Phone: 688-2569 Mailing Address: DQ~ .20 Pioneer Street, Chugiak 99567 Legal Description: Lot 7B Block 2 Eklutna Heights e Location: See map Type of facility to be inspected Sinqle Family Well Data: A. Type Individual C. Construction Sewage Disposal System: On-site system A. Installed B. Installer C. Septic Tank: 1. Size D. Seepage Pit: 1. Absorption Area E. Disposal Field: Total length of lines Distances: A. Well to: Septic tank Nearest lot line B. Foundation to septic tank C. Absorption area to nearest lot line e No. of bedrooms 3 B. Depth 80' D. Bacterial Analysis 2. Manufacturer , Absorption area , Other contamination 2. Material , Sewer Lines ..., , Absorption area EQ-034 (1/74) Page 1 of two pages MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 2510 East Tudor Road, Anchorage, Alaska 99504 276-2221 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER and WATER FACILITIES I~NVFC, ONMr~H h \L L4AR 7 - 1. Type of Inspection: CMRO VA FHA CONV 2. Property Ow.er: Mailing Address:-~0 3. Name of Buyer: Mailing Address: Day Phone: Name of Lending Institution: F~'7- /'-/~'-)' [ 0 ~ ~ ~' ~r ~l< Mailing Address: ~/~r-! ~J (~/~/c~¢ ~ Phone:_ 5. Name of Realtor or Agent: Mailing Address: 6. Legal Description: ~- O 1- Location: Phone: .r 7. Type of Facility to be Inspected: 8. Water Supply Type of Supply: Public Utility No. Bdrms. 3' ,Individual If Individual, number of dwellings presently served If Individual, depth of well ~-0 ~ Sewage Disposal System Type of System: Public Utility Individual (on-site) If Individual, date of installation 72-003(3/76) Pag~ 2-of two pages - R .~st for Approval of Individual ~egal Description Lot 7B Block 2 Eklutna Heiqhts er & Water Facilities Comments Approved~. ~A~o~ Disapproved Date ~--~ I ~,77 Approvals}al id for one year from date signed Greater Anchorage Area Borough, Department of Environmental Quality DIAGRAM OF SYSTEM certify that the information contained in this request for approval to be a l~rue and accurate representation of the subject sewer and water facilities and these facilities are operating satisfactorily. SIGNED Date EQ-034 (1/74)