HomeMy WebLinkAboutEKLUTNA HEIGHTS #1 BLK 4 LT 9klutna
Heights
lock 4
Lot 9
051 - 061
-16
Municipality of Anchorage
On-Site Water and Wastewater Program • (907) 343-7904 Page of
ON-SITE WASTEWATER INSPECTION REPORT
Permit Number: OSP191052 PID Number: 051-061-16
Dwelling: ® Single Family (SF) El Duplex (D) El Multiple(SF and/or D) Project: ❑ New ® Upgrade
Name:
JOSEPH & JESSICA LACE ABSORPTION FIELD - EXISTING
Address ❑ Deep Trench ❑ Shallow Trench ❑ Bed ❑ Mound
24531 HOMESTEAD ROAD, CHUGIAK ❑ Other
Phone Number of Bedrooms Soil Rating Total depth from original grade
3 GPD/SF Ft.
LEGAL DESCRIPTION Depth to pipe invert from original grade Gravel depth beneath pipe
Subdivision Block Lot Ft. Ft.
EKLUTNA HEIGHTS #1 4 9 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.
To Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist.between trenches
From Tank Field Tank Line Ft2 -- -- Ft.
Well 200'+ NA NA I NA NA TANK ®Septic 0 S.T.E.P. 0 Holding 0 Other
Manufacturer Capacity
Surface Water 100'+ NA NA NA ANCHORAGE TANK 1250 Gal.
Material Number of compartments
Lot Line 5'+ NA NA NA STEEL 2
NA LIFT STATION
Foundation 10'+ NA NA NA Manufacturer Capacity
Curtain Drain NA , NA NA , NA Gal.
Remarks Existing septic tank decommissioned Pump on level at Pump off level at High water alarm at
per code, new tank installed 5' from & in. in. in.
connected to existing field w/ addl COs.
Pump make and model Electrical Inspections performed by
PIPE MATERIAL House to tank 3034d ain k to 3034
Installer NORTHERN EXCAVATION
Drainfield CO/MT 3034
Inspector FWCS / MNA BENCH MARK (Assumed elevation) 100 ft
Inspdates: 1" 3/22/19 2nd 4/1/2019 Location and description
3rd
4th DOOR SILL
COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL _ OF k..‘\
-, .... s
Conditional Approval: Date / S�...... 1
/*:49TH J\ * TAA
/ngew(//1111:- r
.•.M1CHAEL N. ANDERSON.
No. CE 9489
Ic I,\. .`' oZil" 1:,,,,
Approv=: �� -1L� Date i'--Vi? \ Esstotzo) AV
Inspection Report_9-1-12.doc
PID: 051-061-16
EKLUTNA HEIGHTS #1 BLOCK 4, LOT 9 PERMIT: OSP191052
l
89'55'30"E 263.9'
NEW 1000-GAL COs
SEPTIC TANK \ D I CO EXISTING T 0
C FIELD -CO0 0
CO CO 5' ST TO FIELD O 27
CO VERIFIED AT O
FCO B ST INSTALL
r AI 200'+ TO WELL O C
A 59.5' e 1 6.9.3, O
0 3�OENCE c° _
Z.D. RES ba.
44.5 0 ,
_w 24.3 � 38 6 I —I
70
' o6� . mTl
ni
-9)- -. —H
<0 •
SCALD 1' = 30'
C
A-C=60.2' FCO Co: CO 1r7F7
AL GRADE=
B-C=17.9' ,,-
..f
A-D=67,9' 94.0
B-D=23.1'
932g/ 1.250 GALLON \\¢3.25
TEEL TANK E)OS11NG FIELD
SEPTIC SECTION
SCALE' NTS
Septic Design Prepared for 41h."'q6'Ilk
JOE & JESSICA LACE k� OF. A.L��'
EKLUTNA HEIGHTS #1 BLOCK 4, LOT 9 `� �\ +,,,, 4A
24531 HOMESTEAD ROAD, CHUGIAK,AK #
1,."`..4.9 Tx * /
0/�A��aH�
Michael N. Anderson, P.E. DATE: 4/2/2019 4 a HICAAEL N. ANDERSON.
ti No. CE 9489 /
4601 Natrone Ave. DRAWN: FWCS 1 z y Z l G�.,
Anchorage, Alaska 99516 , :� g9io �'
(907)727 8864/FAX: (907)345 1391 SCALE: 1" = 30' 11
`:•741
t
MUNICIPALITY OF ANCHORAGE
On-Site Water&Wastewater Program
�..�' PO Box 196650 4700 Elmore Road 1
Anchorage,Alaska 99519-6650 Phone:(907)343-7904 Fax:(907)343-7997
as_ / htlp://www.muni.org/onsite
/ 1 Chartmcnt
?",fN ONpfF.
On-Site Wastewater Disposal System Permit /27-/' '`
Permit Number: OSP191052 Effective Date: 3/15/2019
Work Type: SepticTank Upgrade Expiration Date: 3/14/2020
Tax Code Number: 05106116000
Site Legal Address: EKLUTNA HEIGHTS#1 BLK 4 LT 9 G:1461
Site Mailing Address: 24531 HOMESTEAD RD, Chugiak
Owner: LACE JOSEPH K &JESSICA N Lot Size in Sq Ft: 33106
Design Engineer: ANDERSON CONSTRUCTION & ENGINEERING Total Bedrooms: 3
This permit is for the construction of:
❑ Disposal Field 0 Septic Tank 0 Holding Tank 0 Privy 0 Private Well 0 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
Special Provisions:
1. The septic tank shall be located a minimum of 5 ft from the drainfield.
2. Double, opposing cleanouts shall be provided between the tank and drainfield.
Received By: Date: 3 $ /9
Issued By: ()"„alt0
Date: AT •
MUNICIPALITY OF ANCHORAGE
Community Development Department vor Phone: 907-343-7904
Development Services Division Fax: 907-343-7997
On-Site Water& Wastewater Prnnram
ON-SITE SEWER/WELL PERMIT APPLICATION
Parcel I.D. 051-061-16
Property owner(s) JOSEPH & JESSICA LACE Day phone 907-519-0494
Mailing address 24531 HOMESTEAD ROAD, CHUGIAK, AK 99567
Site address 245:31 HOMES I EAU HUHU, CHUGIAK, AK 99567
Legal description (Sub'd., Block & Lot) EKLUTNA HEIGHTS #1 BLOCK 4, LOT 9
Legal description (Township, Range & Section)
Lot Size 33,106 Sq. Ft. Number of Bedrooms 3
APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING:
(®all that apply)
Absorption Field ❑ Initial U Single Family (SF)
(w/wo ADU)
Septic Tank Upgrade 1 Duplex (D) ❑
Holding Tank I I Renewal n Multiple Dwellings E
Privy n (SF and/or D)
Private Well ❑
Water Storage ❑
THIS APPLICATION INCLUDES A VARIANCE /WAIVER REQUEST FOR:
Distance:
I certify that the above information is correct. I further certify that this is in accordance with
applicable Municipal Codes.
(Signature • K .perty owner or authorized agent)
Per it/Rush Fees: ( S DD Waiver Fees:
Date of Payment: Iis o�Ol� Date of Payment:
Receipt Number: 0 -115 D Receipt Number:
Permit No. OSP('1I05a Waiver No.
Permit App_9-1-12.doc
Michael N. Anderson, P.E.
Civil/Structural Engineering and Construction
4661 Natrona Ave. Anchorage, Alaska 99516
Phone 345-3377
Fax 345-1391
March 9,2019
Municipalities of Anchorage
Departments of Health and Human Services
P.O. Box 196650
,anchorage elaska 99519-6650
Fax 249-7847
Re: New Septic Tank Permit
Legal: EKLUTNA HEIGHTS #1 BLOCK 4, LOT 9
The owner has requested we proceed forward to obtain a septic permit to upgrade the
aged septic tank on the subject lot. The proposed upgrade will serve the existing 3-
bedroom house.
The lot and area is served by a class A water system and will not impact any of the
neighboring properties due to the lot layout. Please contact me if you have any questions.
Sincerely
Michael N. Anderson,P.E.
DESIGN CRITERIA:
DEC❑MMISSI❑N EXISTING SEPTIC TANK & INSTALL NEW 1000 OR 1250 GAL. S.T.
MAINTAIN 101+ FROM F❑UNDATI❑N, 5'+ TO FIELD & 200' TO WELL WITH 4' OF
COVER OR INSULAIT❑N,
DECOMMISSION EXISTING cos
S.T. & INSTALL NEW 1000 ORS '
1250—GAL SEPTIC TANKTRENCH •
0
Co
sTrr FCC i
' 59.0' o \ \
9.0' 200' WELL
/ P EXISTING RADIUS
0. 3BR HOUSE
/
0
V 44.0'
V0
/ 24.0'
Septic Design Prepared for � 1"-- ;14k
JOE & JESSICA LACE Ar ` • . 1
EKLUTNA HEIGHTS #1 BLOCK 4, LOT 9 / �49TH �\ �� ,�
CHUGIAK,AK *
Michael N. Anderson, P.E. DATE: 3/9/2019 �$ MICHAEL N. ANDERSON gla#(1/40Pd*�
�� No. CE 9469 F�j
4601 Natrone Ave. DRAWN: FWCS
Anchorage, Alaska 99516 ,\ �,e�
(907)727 8864/FAX: (907)345 1391 SCALE: 1" = 30' \`�=�
Municipality of Anchorage Page / of 2.
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: ;~"~'"~l~ PIDNumber: '(~,~/-~)/-~I I ~
!Name:~l~5~.~ ~~ ~ Wastewater System: ~New ~ Upgrade
Addres~ ~ ~~ ~~~ ABSORPTION FIELD
Phone: X7~'~D/~ .o.o,~,,oo~ XDeepTrench ~ Shallow Trench ~Bed ~Mound ~Other
Soil Rating: Total Depth from original grade:
LEGAL DESCRIPTION /.2 G,~s,.~t. //
Lot: ~ Block~~/~, -- Subdi~ion:~ ~ / Depth to pipe bosom from~.original~ grade: Ft. Gravel depth beneath pipe~, ~ Ft.
Township: ~ Range: ~ ~ection: Fill added above original grade: Gravel length:
I
Number of lines: Distance between lines:
WELL: D N~ ~ Upgrade Or~,~d,h: Z F,.' ~ I ~ Ft.
Pipe material: ~
Classification (Private, A~ ~ota' Dept~ ~ased To: Total absorptlon ~V
Driller: ~ ~ ~ DateD~ed: Static Water Level: installer:
~ ~ ~¢ / Ft. ~ ~~ Date installed: /O/~
Height Above Ground:
Yie~p~ I Pump Set a~ Ic"''"~ TANK
./ ~ GPM I ~ FL I Ft.
SEPARATION DISTANCES ~s~p~ic ~ Ho~di,~ ~ S.T.E.,.
To Septic Absorption Lift Holding Public/Private Manufacturer: Capacity in gallons:
Material: ~ / Number of Compad~ents; ~
su~,c, ' LIFT STATION
Lot ~ Size in gallons: Man~:
Line ~ ~ 10 I~ -- ~
Foundation' ~ ~ "Pump on" I~ "Pump off" level at: ~/~igh water alarm at:
~r~n /~% /~ ~ ~ ~
Remarks: ~ ~ ~~ /'¢ ~. BE~CH MARK
ENGINEER'S SEAL
~ ;ne- CE 7116
Department of Health and Huma~ Se~ices approval
Reviewed andapprovedby~~ ~6 Date: SJ,O/~' "~OF~ss,~*~
72-013 (Rev. 9/91) MOA 25
AS-BUlL l- SYS IBM DETAILS/SITE PLAN Permit SW970515
EKIUJNA IITS. #11 BLOCK 4, LOt 9 PID//051-061 16
iZ
(/)
m i T 264.00 ~ rco. TxS~tg-7'~!
~ 03
c: ESTEAD
A I) 22.
B I} 61.0'
/
A E .5/.9' /
B E 85.T
A I 56.2'
~ F:6~.4' 160.00
m
S ~ .... ~d
8 dIfl~ ~. us d~ FINISIIED GRADE
~ =~1250 GAL~
~ OF ~-- ~ PREPARED kOR: SCALE: NTS
~ ~ C~1-7116 ~ ~ BOUNDARY: DRAWN: KMD
$+~ ~sau,tl: aA,I: /15/98 EAGLE RIVER, AK 99577-8736
~ ~ ~OP~ssio6h~ ~ 1 _
~~ ~)wc' FILE: CRib: NWl 461 [
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 PERMIT
PAGE 1 OF
P~RMIT NUMBER:SW970315
DESIGN ENGINEER:KND ENGINEERING
OWNER NANE:ALASKA MORTGAGE GROUP
OWNER ADDRESS:24531 HOMESTEAD RD
CHUGIAK, ALASKA 99567
PARCEL ID:05106116
DATE ISSUED: 9/15/97
EXPIRATION DATE: 9/15/98
LEGAL DESCRIPTION:
EKLUTNA HEIGHTS #1 BLK
4 LT 9
LOT SIZE: 33106 (SQ. FT.)
NUMBER OF BEDROOMS: 4 THIS PERMIT: 4
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 A_ND HEATED TO PREVENT FREEZING
5. THE FOLLOWING SPECIAL PROVISIONS.
SPECIAL PROVISIONS:
RECEIVED BY:~~--~.~
ISSUED BY:~~//(~
I~D ENGINEERING
20441 PTARMIGAN BLVD.
EAGLE RIVER, AK 99577-8736
(907)696-6111/FAX (907)696-8111
August 20, 1997
Municipality of Anchorage
Dept. of Health & Human Services
On-Site Services Section
P. O. Box 196650
Anchorage, Alaska 99519-6650
Subject: New sewer/well permit - Eklutna Hts #1, Block 4, Lot 9
Gentlemen:
Following a request from the owner regarding the proposed development of the
referenced property, we dug two testholes for the proposed system and replacement
field. The results of those tests are attached. The lot will be served by public water.
The system will be placed on the northern Portion of the lot outside the 200' well
radii. As indicated on the site plan there is sufficient grade to maintain a gravity
system. A 1250 gallon tank will be installed in anticipation of a 4 bedroom house
being constructed. There is also sufficient area and grade to maintain a replacement
gravity fed field.
As indicated by the site plan drainage arrows, natural drainage is away from this site
and will be maintained after construction. There is no surface water within 100' of
the proposed installation. There are no known curtain drains within 50' of the
proposed installation. No wells exist within 200' of the proposed installation. The
system has been placed outside a 50' setback from any slope that exceeds 25%.
Additional re-grading of the site is anticipated in connection with the construction
of the house and driveway. Development of this lot should have no adverse effect
on development of adjacent lots.
If you have any questions, please contact me at 696-6111/FAX 696-8111.
Respectfully submitted,
Jt~lt~ ~) Engineering
attachments:
On-Site Well and Sewer Application
Wastewater Absorption System Details/Site Plan
Soils Log/Percolation Test
83.00
264.00
15
SEPTIC
83,00
WASTEWATER DISPOSAL SYSTEM/SITE
EKLUTNA HTS. #1, BLOCK 4, LOT 9
Q~
8
SEPTIC
264,(
RESERVE
213.8+
MESTEAD ROA
0
(_9
PROPOSED
PLAN
296.8~
10] UUI Esrnt
SEPTIC
296.84
155.00
5O
NO SEPTIC SYSTEMS W~THIN 200' OF
PROPOSED WELL. EXCEPT AS NOTED.
NO PRIVATE OR PUBLIC WELLS WITHIN 200' OF
PROPOSED SYSTEM EXCEPT AS NOWD.
51
ID] Util Esmt
/
/
136,3z
23
21
DESIGN CRITERIA
25
1. 4 BEDROOMS X 150 GAL/DAY/BEDROOM = 600 GPD
2. SOILS RATING: 5.5 MIN./INCH = APPL RATE 1.2 GPD/SF
3. 600 GPD/1.2 GPD/SF = 500 SF
4. 500 SF /(2' x 8') = 31.25'L
5. MIN. DESIGN SIZE 1 TRENCH - 32' LONG x 2' WIDE x 8' DEEP
6. DEPTH OF GRAVEL BELOW PIPE iS 8'.
7. TOTAL DEPTH OF SYSTEM IS 11.0' FROM ORIGINAl GRADE.
NOTES:
1. USE 1250 GALLON SEPTIC TANK. INSULATE TANK IF <4' COVER.
2. INSULATE TRENCHES WITH 2" HD BURIAL FOAM IF <5' COVER.
5. CONTRACTOR WILL ENSURE MAXIMUM 2% SLOPE INTO SEPTIC TANK.
24
PREPARED FOR:
DAVID McCABE
DAWN DEVELOPMENT CORP.
920 EAST 6TH AVE.
ANCHORAGE, ALASKA 99501
KND ENGINEERING
20441 PTARMIGAN BLVD
EAGLE RIVER, AK, 99577
(907)696-6111/Fax (907)696 8111
DATE: 8/20/97 DRAWING #
SCALE: 1" = 100' 97076-S1
Municipalily of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street. Anchorage. Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
LEGAl Towosh,p. Range. Sect,on '/'"iL/''~
SLOPE
WAS GROUND WATER ./
S
L
E
2
3
4
5
6
7
8--
9--
10
~11
12
13
14
15
16
17
18
19
2O
Deplh to W:q~r Attet,-.~
SITE PLAN
Gross Net Depth to Net
Reading Date Time Time Water Drop
/ _!?/z-?7 - z,,, _
~ /Z: ¢~ /o ,.,'~ 7 Y~" / '/¢"
:3 -K I z ,. ¢7- ~ ~/d " ~
4, I : o B /a ,~ ,'~ 7 ~,~ " I ~ "
7 ~ t:z)e - :~ ,/z.' _
,~ I :1~1 / D n,,'n 7~" /~"
PERCOLATION RA]E .~*,~- (mmules,'mchl PER(: HOLE DIAMETER
TEST RUN BETWEEN _ 7 I:T AND ~__ ~t
Municipality ol Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
WAS GROUND WATER ,/
/VD
ENCOUNTERED? .
8
9
10
'11
12
13
14
15
16
17
2O
Township, Range, Section: --~/../--/:b /
SLOPE SITE PLAN
I I
s
L
IF YES, AT WHAT
DEPTH? f .z~' ~ pO
E
Deplh to Waist Alter
l~onitoring? "~) t" ~1 .
Gross Net Depth to Net
Reading Date Time Time Water Drop
I 7-/~'77 /o :SZ - /~ ~/'¢'" -
;z /I: ,¢z /,~,,,,,',, ,7 ;Iz" Z. ~/¢"
~ -)(- 11:~ - ~, ~/'7" -
II:l~ /0 ~,'. ~$/¢' ~"
-,~ I1:1'-/, - /~ //'~ " -
~. 11:2"/ / ~ ~, ,'~ 9 '//~ "
_.g i1: .~.~- 1o,.,,,;., ct '/z " $"
PERCOLATION RATE ~, ~_ tm~nules/u~ch) PERC HOLE DIAMEfER
1'EST RUN ~,EfWEEN ~ FT AND
ACCORDANCE WITH ALL STATE AND MUNICIPA-[ GUIDELINES IN EFFECT ON THIS DATE DATE
72-008 IRev 4/85)
GAAB-HD- I
GR fER ANCHORAGE AREA BOROL'
DEI,AFITMENT OF ENVIRONMENTAL QUALI'I'~
3500 TUDOR ROAD ANCHORAGE, ALASKA 99507 279-8686
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
._ ILING
LOCATION ~~ ~/~ ~~' LEGAL DESCRIPTION
SEPTIC TANK:
DISTANCE FROM WELL_~:~',/~
LIQUID CAPACITY~/,~) g.2Z) ___.GALLONS.
NUMBER OF
MAfERIAL .~'-./"~.~ COMPARTMENTS
INSIDE LENGTH / INSIDE WIDTH
LIQUID
DEPTH
SEEPAGE SYSTEM: SEEPAGE PIT:
NUMBER OF PITS f .... OUTSIDE DIAMETER
LINING MATERIA[ ~"~-,,-~L~
NEAREST LOT LINE
OR WIDTH /.~-<- , LENGTH /"~-- , DEPTH
DISTANCE FROM WELL ~'~:~/~,~//,N,//',,~"'_.~' _, BUILDING FOUNDATION'~"~)~,
TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) '~"(-~¢~ SQ. FT.
TILE DRAIN FIELD:
DISTANCE FROM WELL FOUNDATION . NEAREST LOT LINE
NUMBER OF LINES ..../'"'"/ DISTANCE BETWEEN LINES % TRENCH WIDTH
ABSORPTI~A SQ. FT. LENGTH OF EACH L
2..:>
DEPTH: TOP OF TILE TO FINISH GRADE
TOTAL LENGTH
, OF LINES
IN. TOTAL EFFECTIVE
~ ~-'""-~.
DEPTH OF FILTER MATERIAL BENEATH TILE IN. ABOVE TILE__
WELL: TYPE~'~'7~/--~"/''''''''~'¢ ~_~".~' ~//~/ ~/, DEPTH / DISTANCE FROM ~
, BUILDING FOUNDATION.___
NEAREST SEPTIC SEEPAGE
LOT LINE '~""~ , SEWER LINE / ., TANK ~'"'~' , SYSTEM
WATER
SAMPLE ~, NEAREST
/ OTHER
__, CESSPOOL SOURCES
DISTANCES:
DIAGRAM OF SYSTEM
/
/
'
DATE ?/: APPROVED
GREA',ER ANCHORAge AREA BORuUGh
DEPARTMENT OF ENVIRONMENTAL QUALITY
3500 TUDOR ROAD POUCH 6-650
ANCHORAGE, ALASKA 99502
TELEPHONE 279-8686
SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT
PERMIT NO.
2222
INSTALLATION LOCATION
INSTALLATION OF: SEPTIC TANK
TYPE AND SIZE OF FACILITY TO BE SERVED
FINANCED THROUGH
PHONE
SEEPAGE Pit ~ ~ DRAIN FIELD , OTHER
SOIL TEST RESULTS ,/~-/~:'' /-~::~" /'$~;'/~' //::J/ /~}/~: NOTE, THIS PERMIT IS NOT VALID WITHOUT SOIL TEST
COMPlETiON DATE ANTiCiPATED
FINAl. INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE
HEALTH DEPARTMENT AUTHORITY WILL BE SUBJECT TO PROSECUTION.
SEPTIC TANK SIZE /2//"~/)(~'/; TYPE 'f"~:;-+'J'~?'-~"- SEEPAGE AREA SIZE /"~: / Z'~ ~ TYPE ~'~-/
MINIMUM DISTANCES, REQUIREMENTS
FOUNDATION TO SEEPAGE PIT :: ~-2~_~} / , DRAIN FIELD
SEPTIC TANK TO SEEPAGE Pit WALL ~/~i~/
SEPTIC Tank /~m'
TO NEAREST LOT LINE.
DRAIN FIELD
WATER MAIN tO SEPTIC TANK
DRAIN FIELD
i SEEPAGE PiT-~~)/ / DRAIN FIELD .
SEEPAGE PIT
SEEPAGE PIT
TO RiVeR, LAKE, STREAM.
CASt IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF
EXCAVATION E FEET INTO UNDISTURBED SOIL.
4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE Pit
FITTED WITH AIRTIGHT REMOVABLE CAPS.
GRAVEL BACKFILL
CONFORM TO bOROUGH ~:~EGULAT~ONS REGARDING INSTALLATION.
., ~.~.;,,~ ,/,//,,~/ ~ :,..,<,. ~.
LICENSED DESIGNER
DIAGRAM OF SYSTEM
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. ~: >;-~;5 .~/,:~x~/"/~.~ ?:'~-e:- /~'' /~-..~
DAT~ /~/ //" '-~ APPLICANT'S ~'GNATURE ~?~ ~~
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
Parcel I.D. 051-061-16 Expiration Date:
- -2_0?,0
1. GENERAL INFORMATION
Complete legal description EKLUTNA HEIGHTS#1 BLOCK 4, LOT 9
Location (site address) 24531 HOMESTEAD ROAD, CHUGIAK,AK 99567
Current property owner(s) JOSEPH &JESSICA LACE Day phone
Mailing address 24531 HOMESTEAD ROAD, CHUGIAK,AK 99567
Real estate agent _ Day phone
2. TYPE OF DWELLING:
❑ Single Family (w/wo ADU)
❑ Duplex
❑ Multiple Dwellings (Single Family and/or Duplex)
3. NUMBER OF BEDROOMS: 4(3 EXISTING)
TYPE OF WASTEWATER DISPOSAL:
4. TYPE OF WATER SUPPLY: Private Septic
Private Well U Holding Tank n
Water Storage ❑ Community ❑
Community Well A ® Public Sewer ❑
Public Water System ❑
Waiver request for: Distance:
Received by: Date:
COSA to be released to the engineer, unless otherwise requested by the engineer.
COSA Fee $ • b Waiver Fee $
I
Date of Payment o4/031 9 Date of Payment
Receipt Number 01s4-61D Receipt Number
COSA# oSc1QOOet3 Waiver#
5. 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 for this application, shows that the
on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of
bedrooms and type of structure indicated 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 wastewater
disposal system is (are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in
effect at the time of installation. I acknowledge that On-Site staff may visit the site to verify the information submitted.
Name of Firm ANDERSON CONSTRUCTION &ENGINEERING Phone 345-3377
Address 4640 SHOSHONI DRIVE,ANCHORAGE,AK 99516
Engineer's Printed Name MICHAEL N. ANDERSON, PE Date 04/02/2019
•Ir cl•• *
I
*; 49TH .*r ,
6. DSD SIGNATURE / M '
1 System #1 Approved for LI bedrooms ,i- ; MICHAEL N. ANDERSON ; r
System #2 Approved for bedrooms �a `:• l/t(t •p 1"
Disapproved lite fl'6fisiis' ,-.4
Conditional approval for bedrooms, with the following stipulations:
�N_SV F
a .
5 14
VAIN-��WNIVR o
G
BY -�--�� Original Certificate Date:
The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On-Site Systems Approval (COSA) based only upon the
representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is
not responsible for errors or omissions in the professional engineer's work.
7. ATTACHMENTS:
COSA Checklist X Nitrate Advisory
Septic System Advisory Arsenic Advisory
Well Flow Advisory Other
COSA Checklist blue sheet
COSA Checklist
Legal Description: EKLUTNA HEIGHTS#1 BLOCK 4 LOT 9 _ Parcel ID: 051-061-16
If more than 1 septic system on lot: COSA Checklist# of Structure served by this system
A. WELL DATA—CLASS A#213750
El Well log is filed with Onsite (or attached) Well production at time of test ___gpm
Date drilled Water storage tank volume-___ gallons
Total depth _ft Well disinfected for coliform test? El Yes ❑ No
Cased to ft ❑ Coliform bacteria is Negative
❑ Sanitary seal is functioning correctly Nitrate mg/L❑ Nitrate less than MRL (ND)
❑ Wires are properly protected Arsenic ug/L El Arsenic less than MRL (ND)
Casing height (above ground) _in. Collected by
Date of flow test for COSA Date of Sample
Static water level at beginning of test ft.
Comments
B. TANK DATA— 1250-GAL C. LIFT STATION
Age of tank(s) NEW years El Required maintenance completed
Tank type/material SEPTIC /STEEL Age of lift station years
Measured operating fluid level in septic tank Lift station material
Z Standpipes/foundation cleanout per record drawing Comments:
Date of pumping
D. ABSORPTION FIELD DATA— 36' L x 2' W x 7.7' ED @ 1.2 gpd/sf= 554 SF
Which system tested (date installed) 1/15/1998 Adequacy test date 3/712019
ALL standpipes present per record drawing Results LEI Pass For 4 bedrooms
Total measured depth from grade 13.4 ft (max) Fluid depth prior to test 0 in
Measured depth to pipe invert from grade 5.7 ft (min) Water added 600 gal
❑ N/A—pressurized field New depth 19 in
Z Monitor tubes go to bottom of effective. If not, state Elapsed time 1320 min
depth into effective
Final fluid depth 0 in
Z Code-required soil cover over field
El System presoaked Absorption rate 600+ gpd
(Required if vacant for greater than 30 days prior to Any rejuvenation treatment (past 12 months) N
date of test)
Gallons introduced gallons If yes, enter date
Comments/Deficiencies:
COSA Checklist yellow Public Water Class A copy.docx
E. SEPARATION DISTANCES
From Private Well on Lot to: (Please enter distances if less than required or if community well)
Septic Tank/Lift Station on Lot> 100' Community Sewer Manhole/Cleanout> 11"'
® Yes if No ft es if No ft
Neighboring Tank > 100' ® Yes if No ft Private - eptic Line > 25' ® Yes if No ft
Absorption Field on Lot> 100' ® Yes if No Holding Tank > 100' Z Yes if No ft
Neighboring Absorption Fie • _ 1 s Animal Containment > 50' Z Yes if No ft
® Yes if No ft
Manure/Animal Excreta Storage > 100'
ommunity Sewer Main > 75' Z Yes if No ft ® Yes if No ft
From Septic/Holding Tank on Lot to: (Please enter distances if less than required)
Building Foundations > 10' ® Yes if No ft Wells on Adjacent Lots:
Property Line > 5' ® Yes if No ft Private Wells > 100' ®Yes if No ft
Absorption Field > 5' ® Yes if No ft
Water Main > 10' ® Yes if No ft
Water Service Line> 10' Community Wells > 200' ® Yes if No ft
Z Yes if No ft
Surface Water> 100' If septic tank is under driveway comment below
® Yes if No ft
From Absorption Field on Lot to: (Please enter distances if less than required)
Building Foundation > 10' ® Yes if No ft If absorption field is under driveway comment below
Property Line> 10' ® Yes if No ft Wells on Adjacent Lots:
Water Main > 10' ® Yes if No ft Private Wells > 100' ® Yes if No ft
Water Service Line > 10' ® Yes if No ft Community Wells > 200' ® Yes if No ft
Surface Water> 100' Z Yes if No ft
F. ENGINEER'S COMMENTS
" s,fc, C....!Y-4`,,k1,
G. ENGINEER'S CERTIFICATION y' p:•'*. t •'•:�- it
I certify that I have determined through field inspections and review •19*::4 9T! `' •�*�d
of Municipal records that the above systems are in conformance / 1
with MOA COSA guidelines in effect on this date. 4.•• •
10 5r".MICHAEL N. ANDERSON ;,,c'
r c• CE-,940 .•ji-,�
COSA Checklist yellow Public Water Class A copy.docx �1 f4. y = *. �o ''
N
• i s\
33.0' � Lot 8 1 33.0'
I 1
ON 89'55'30"E 263.9'
SEPTIC PIPES– - , __._. N C)
0 0
11 5.9'x8.0' DECK q
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Z 10.4'xSHED o
> 6 c
Po 0 151.7' 59.5' o
if p 9.3' ..
o (). U 1 STORY co
0_
o RSDENCE
43
rf
N
D 8.1'x8.1' SHED –
44 5'
24.3. . . -38 6' —i
Z A . :N I x,
I 9
( cn Lot 5.9'x19.5' PORCH • •�� qL�.•� A• m
—4 33,553 s.f. :�-9)• —1
2:7 tK
P1h) • .
r'i
5
S 89.55'30"W 213.8' .. ••Ar
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cA
0
— Q — — —
HOMESTEAD ROAD
NOTE: LOT IS SERVED BY A COMMUNITY WATER SYSTEM.
PLOT PLAN AS BUILT X SCALE 1" = 50' GRID _ NW 1461_ Project No. 19-115/R1 _
11500 Daryl Avenue, Anchorage, Alaska 99515-3049
Lang & Associates inc . (907) 522-6476 Phone QooF
(907) 522-4625 Fax o OF A `''04
Professional Land Surveyors kenOlangsurvey.com v ,9
JonathanOlangsurvey.com , ' .....'i-v()„S
I hereby certify that I have surveyed the following described property: -/): �,N �oo
LOT 9. BLOCK 4, EKLUTNA HEIGHTS SUBDIVISION – ADDITION No. 1 (PLAT No. P-215A)� * 49TH �� •�*�vA
Anchorage Recording District, Alaska, and that the improvements situated thereon are VA
within the property lines and do not encroach onto the property adjacent thereto, that
no improvements on the property lying adjacent thereto encroach on the surveyed V KENNETH G. #G 0
premises and that there are no roadways, transmission lines or other visible
easements on said property except as indicated hereon. o •
o� ��q O�
•4 "Pq)•••.LS-52O2..-ocJOO
Dated this the Dayof , at Anchorage, Alaska Q 4,0 , o
4 ROPESSIONAL�4
It is the responsibility of the owner to determine the existence of any easements, ��40' 0'
covenants, or restrictions which do not appear on the recorded subdivision plat. AECC963
Municipality of Anchorage
· DeVelopment Services Department
Building Safety Division
On-Site Water & Wastewater Program
4-~O0.B[~gaw.~tre~
P.O. Box 196650
Anchorage, AK 99519-6650
www.muni.org/onsite
(907) 343-7904
CERTIFICATE OF ON-SITE SYSTEHS APPROVAL
FOR A SINGLE FAHILY DWELLING
Parcel I.D. 051-06-1 1 6'
1. GENERAL INFORMATION
Expiration Date: ////;~.C~//f
Complete legal description
Location (site address)
Current Property owner(s)
Mailing address
Lending agency
Mailing address
Real Estate Agent
Mailing address
EKLUTNA HEIGHTS #1; BLOCK 4, LOT 9
24531 HOMESTEAD DRIVE *CHUGIAK~ AK 99567
KlM LACE Day phone
24531 HOMESTEAD DRIVE *CHUGIAK~ AK 99567
440-8775
Day phone
Day phone
Unless otherwise requested, COSA will be held by DSD for pickup.
2. NUMBER OF BEDROOMS: 4
TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL:
Individual Well r-'l Individual On-site ·
Individual Water Storage [] Individual Holding tank []
Community Class A Well · Community On-site []
Public Water System [] Public Sewer []
The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of On-Site Systems
Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil
engineer registered in the State of Alaska. Certificates of On-Site Systems Approval are required for the transfer
of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or
water supply system. DSD also issues COSAs upon request to homeowners. Certificates of On-Site Systems
Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may
be reissued with new water samples. (Certificates may be reissued for a period of up to one year with valid water
samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system.
The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work.
4. STATEMENT OF iNSPECTION BY ENGINEER
, ,~. ..~,. _,.~. .,A o,,,~,v;, below, I ....
As certified by my sea/ affixed hereto and as o, ,~e vc~idodu, doL~ ~' ....
investigation, based on procedures'outlined in the Certificate of On-Site Systems Approval Guidelines foc this application,
shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate
for the number of bedrooms and type. of structure indicated herein. I further verify that based on the
information obtained from the Municipafity of Anchorage files and from my investigation and inspection, the
on-site water supply and/or wastewater disposal system is(are) in compliance with afl appficable Municipal
and State codes~ ordinances; and regulations in effect at the time of installation.
Name of Firm GARNESS ENGINEERING GROUP,. Ltd.
Phone 337-6179
Address 5701 E. TUDOR ROAD, SUITE 101 * ANCHORAGE, AK 99507
Engineer's Printed Name JEFFREY A. GARNESS, P.E.
Date
Engineer's Comments:
In conducting this evaluation, GEG, LtD. attempted to provide a thorough,
conscientious engineering analysis of the system in accordance with ADEC and MOA
DSD Guidelines & Regulations. The reported results described the performance of the
system under the conditions encountered at the time of the test, and separation
distances measured to readily identifiable features. The operational life of all wells and
septic systems depend on the local soils condition, groundwater levels that may
fluctuate during the year, and the water usage of the family being served by the system.
These conditions are outside the control of the evaluator of the system. Satisfactory test
results do not guarantee future performance of the system, nor do they guarantee that
there are no hidden defects or encroachments. GEG, LTD. can therefore not provide
any warranty or future estimate of how long the system will continue to meet the
operational requirements of the ADEC or MOA DSD. The content of this report is for
the sole benefit of the owner listed above. Any reliance upon or use of this report by any
other person or party is not authorized, nor will it confer any legal right whatsoever.
5. DSD SIGNATURE
~' Approved for
bedrooms.
Disapproved.
Conditional approval for
bedrooms, with the following stipul~ti~r~ '~":"~ ~
:~,,,... · :... [~,
.
:::~:' ON-S~E '.'~
: W~TER AND
wLs Ew sR'
Attachments:
COSA Checklist ///
Septic System Advisory
Well Flow Advisory
~" ..... Ad isow
(Rev, 11/05) '
Arsenic Advisory
Maintenance Agreements
Supplemental Engineer's Report
Other
Original Certificate Date: /!/~.q ~O
Municipality of Anchorage
Development Services Department
Building Safety Division
On-Site Water & Wastewater Program
4700 Bragaw Street
P.O. Box 196650
Anchorage, AK 99519-6650
www.muni.org/onsite
(907) 343-7904
CERTIFICATE OF 0N-SITE SYSTEMS APPROVAL
CHECKLIST
Legal Description:
EKLUTNA HEIGHTS #1; BLOCK 4, LOT 9 Parcel ID: 051-06-116
A. WELL DATA
Well type COMMUNITY "A"
Date completed
Total depth ft.
Date of test
Static water level
Well production
WATER SAMPL~
Coliform ,,--'"' colonies/100 mi. Nitrate mg./L. Other bacteria__
~ =ug./L. Date of sample: Collected by:
If A, B, or C provide PWSID# 213750 Well .Log (Y/N)
Sanitary seal (Y/N) Wires properly protecte~,~ J
Cased to___.ft. Casing he__round) in.
FROM WELL LOG ~~PECTION
colonies/100 mi.
SEPTIC/HOLDING TANK DATA
Tank Type/Material SEPTIC/STEEL
Tank size 1250 gal':" Number of Corn partments 2
FOundation' cleanout (Y/N) YES Depression over tank (Y/N) NO
Date of pumping 9/50/10 Pumper.
Date installed 10/4/97-1/15/98
Cleanouts (Y/N) YES
High water alarm (Y/N) N/A
JR'S PUMPING
ABSORPTION FIELD DATA
Date installed 10/4/97-1/15/98 Soil rating (g.p.d./ft2o~ 1.2
Length 36 ft~ Width 2 ft.
Total depth ~ft. Eft. absorption area 554 ft2 Monitoring
tube
YES
Date of adequacy test 11/9/2010 Results (Pass/Fail) PASS
Fluid depth in absorption field before test DRY in. Water added 1240 gal.
Elapsed Time: 248 min. Final fluid depth DRY in. Absorption rate >=
Any rejuvenation treatment (past 12 mo.) (Y/N & type) NONE KNOWN
System type DEEP TRENCH
Gravel below pipe ~7.7 ft.
Depression over field NO
For 4 bedrooms
New depth 10 in.
600+ g.p.d.
If yes, give date -
D. LIFT STATION
Date installed
"Pump on" level at__
Size in gallons Manhole/Access (Y__(.(.(.(.(.(.(.(~ ~
in. "Pump'off" leve~a~ High water alarm level at
~ ~ Cycles tested.
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tankJlift station on lot
Meets alarm & circuit requirements?
COMMUNITY WATER
On adjacent lots
Absorption field on lot
Public sewer main
Sewer/septic service line
areas.
On adjacent lots .---
P..._...Eub~e-sew~ manhole/cleanout
-----~ Holding tank
Manure/animal excrete storage areas
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Building foundation 5'+ Property line 5'+ Absorption field
Water main 10'+ Water service line 10'+ Surface water
5'+
100'+
.in.
Wells on adjacent lots 200'+
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line 10'+ Building foundation. 10'+
Water service line 10'+ Surface water 100'+
Curtain drain NONE KNOWN Wells on adjacent lots 200'+,
F. COMMENTS
Water main 10'+
Driveway, parking/vehicle storage 10'+
G. ENGINEER'S CERTIFICATION
I certify that I have determined through field inspections and
review of Municipal records that the above systems are in
conformance with MOA COSA guidelines in effect on this
date.
Engineer's Printed Name JEFFREY A. GARNESS
Date
COSA Fee $ ff~
Date of Payment
Receipt Number
(Rev. 11/05)
Waiver Fee $
Date of Payment
Receipt Number