HomeMy WebLinkAboutCLEARVIEW LT 22Onsite File
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Municipality of Anchorage
On -Site Water and Wastewater Section - (907) 343-7904 Page 1 of 3
ON
-SITE WASTEWATER INSPECTION REPORT
Permit Number: OSP251029
PID Number: 015-242-61
Dwelling: F01 Single Family (SF)
R with ADU M Duplex (D) R Two Single Family Project: R New ME Upgrade
Name
Heather Tauschek
A ORPTION FIELD
I De Tr c
1� [F-1 D Trench R Wide Trench r-1 Bed El Mound
Site Address
7901 Alatna
Other
Phone
f Bedrooms
Soil Rating ���
Total depth from original grade
(907) 720-3711
7r��5
/SF
Ft.
LEGAL DESCRIPTION
Depth to pipe invert from original de
Gravel depth beneath pipe
Ft.
Subdivision
Block Lot
Clearview
22
Fill added above original grade
Ft.
Gr I length
Ft.
Township Range Section
Gravel width
Ft.
Beds: Number of Lines
Dist e between lines
Ft.
SEPARATION
DISTANCES
To
Septic
Absorption
Lift Station
Holding
Sewer
Total absorption area
Number of trenches
Dist. between t ches
From
Tank
Field
Tank
Line
Ft2
Well
> 100'
N/A
N/A
N/A
>25
TANK Fol Septic E3 S.T.E.P. ❑ Holding F-1 Other
Manufacturer
Anchorage Tank
Capacity
1500 Gal.
Surface Water
>1 oo,
N/A
N/A
N/A
Material
Steel
Number of compartments
2
Lot Line
>5,
N/A
N/A
N/A
NA
Foundation
>1o,
N/A
N/A
N/A
—LIFT-S-TATION
IManufacturer
Capacity
Remarks
Gal.
Alarm location
Electri6a ed by
PIPE MATERIAL House to tank D3034 dTank to rainfieldD3034
Installer
A+ Home Services
Drainfield N/A CO/MT N/A
Inspector J. Earls
BENCH MARK (Assumed elevation) 100 ft
Inspection Ist 3/3/25
Location and description
dates:
2 nd
th
Bottom of trim @ FCO
31d
4
ON -SITE WATER AND WASTEWATER SECTION APPROVAL
Engineer's Stamp
C:
Conditional Approval:
Date
law k9,
'Pill
4
n BenjaR;Schiller oW,
CE 12592
Septic System
3AApproved kr F-or,_- � ram, CC) 6 rL, ,z- Date
3/18/25
PROFESVO�
klk�,
Note: this approval does not include well permit requirements.
(Rev u5iuznssf
CO - CLEANOUT
2CO - DOUBLE CLEANOUT
FCO - FOUNDATION CLEANOUT
FD - FLOW DIVERTER VALVE
MH - MANHOLE
MT - MONITORING TUBE
SV - SEPTIC VENT
TH - TEST HOLE
LEGEND
PERMIT # OSP251029 PID # 015-242-61
1"=50'
CLEARVIEW, LOT 22
FEET
0 50 100Benjamin Schiller
CE 12592
R
E
GISTEREDPROFES S I O N A L E N G INEER
3/18/25
PLAN AS-BUILT
A B
MH 29.4
SV1 35.3
A
B
18.9
24.9
NEW 1500-GAL STEEL SEPTIC
TANK INSTALLED MINIMUM 5'
SEPARATION TO DECK POSTS
EXISTING 94' LONG x 3'
WIDE, 5' EFFECTIVE DEPTH
ABSORPTION TRENCH
2018 WELL w/
100' RADIUS
1993 WELL w/ 100' RADIUS
5-BDRM HOME
CO
MT
NEIGHBORING WELL
w/ 100' RADIUS
10'
U
T
I
L
I
T
Y
E
A
S
E
M
E
N
T
AL
A
T
N
A
A
V
E
N
U
E
NEIGHBORING WELL
OUT OF VIEWPORT
SV
BM- BOT
SIDING
10.0
APPROXIMATE WELL
LINE ROUTING
6.0
PROFILE AS-BUILT
(NO SCALE)
92.8
88.0
93.3
97.3
92.6
Benjamin Schiller
CE 12592
R
E
GISTEREDPROFES S I O N A L E N GINEER
3/18/25
PERMIT # OSP251029 PID # 015-242-61
CLEARVIEW, LOT 22
1500 GAL
SEPTIC TANK
FND YPC
WELL
MAIL BOX
MAIL BOX
WELL
LOT 22
59,259 SQ. FT.
1.36 ACRES
LOT 14
LOT 23
LOT 20
LOT 2
LOT 21
AL
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A
V
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AL
P
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T
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R
R
A
C
E
S
U
B
.
FND RBR
FND RBR
FND RBR
52
.
1
'
22
.
9
'
66
.
2
'
SEPTIC
GAS
METER
ELEC.
METER
GREENHOUSE
SAUNA
2ND STORY
DECK
CANT.
CANT.1ST
FLOOR
DECK
FND RBR
100.
0
'
10
'
U
T
I
L
I
T
Y
E
S
M
T
.
PAVED
DRIVE
METAL
FENCE
100.0'
40
.
3
'
16
.
2
'
2.0'
11.8'
20
.
0
'
42
.
3
'
16
.
0
'18
.
0
'
42
.
4
'
32
.
3
'
S5
7
°
3
2
'
2
5
"
E
38
9
.
8
0
'
S5
7
°
3
2
'
2
5
"
E
36
3
.
8
8
'
N61°
0
4
'
1
5
"
E
118.5
2
'
N32
°
2
7
'
3
5
"
E
12
5
.
0
0
'
L=25.06'
R=210.00'
N0
°
0
6
'
2
5
"
W
54
.
5
2
'
SINGLE
FAMILY
HOME
ASBUILT SURVEY
LOT 22
CLEARVIEW SUBDIVISION
LOCATED IN
NE 1/4, SW1/4, SEC. 24, T12N, R3W SEWARD MERIDIAN, ALASKA
EXCLUSIONS
IT IS THE RESPONSIBILITY OF THE OWNER OR BUILDER TO DETERMINE THE EXISTENCE OF ANY EASEMENTS,
COVENENTS,OR RESTRICTIONS WHICH DO NOT APPEAR ON THE RECORDED PLAT. UNDER NO
CIRCUMSTANCES SHOULD ANY DATA HEREON BE USED FOR ESTABLISHING BOUNDARY OR FENCE LINES.
ASBUILT CERTIFICATION
I HEREBY CERTIFY THAT I HAVE SURVEYED THE FOLLOWING PROPERTY, LOT 22, CLEARVIEW SUBDIVISION,
AND THAT NO ENCROACHMENTS EXIST, EXCEPT AS NOTED.
Alaska Construction Surveys
907 E Dowling Rd, Suite 10
Anchorage, Alaska 99518
Office: (907) 344-5505
Fax: (907) 344-4775
Email: mcrow@akconstsurveys.com
Site: Residential
Address: 7901 Alatna Ave. Anchorage, AK
Field Survey Date: 02/03/24
Crew: F.C. & B.C.
Drawn by: F.C.
Scale: 1" = 60'
PREPARED FOR:
DAVE WINDSOR
ALASKA
C
CONSTRUCTION
A
SURVEYS
S
18 Mar 2025
Feet
0 60 120
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
hftp://www.muni.org/onsite
On -Site Wastewater Disposal System Permit
Permit Number: OSP251029
Work Type: SepticTank Upgrade
Tax Code Number: 01524261000
Site Legal Address: CLEARVIEW LT 22 G:2740
Site Mailing Address: 7901 ALATNA AVE, Anchorage
Owner: TAUSCHEK HEATHER CLARIE
Design Engineer: FORGE ENGINEERING
This permit is for the construction of:
Effective Date:
Expiration Date
Lot Size in Sq Ft:
Total Bedrooms:
2/14/2025
2/14/2026
59259
❑ Disposal Field Z Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage
All construction shall be in accordance with:
1. The attached approved design.
2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska
Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80)
3. The wastewater code requires inspections during the installation. The engineer shall notify the Development
Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
shall be either:
a. Opened and Closed on the same day, or
b. Covered, sealed, and heated to prevent freezing
Special Provisions: In order to close out this tank permit, the 1993 well is to either be confirmed that it is
connected to the house plumbing or be decommissioned. Water line alignment from 1993 well is to be confirmed
and verified it meets separation distances.
n
Received By: "�' r Date:
r
Issued By: _ Date:
MUNICIPALITY OF ANCHORAGE
A,
Development Services Department
On -Site Water & Wastewater Section
ON -SITE SEPTIC/WELL PERMIT APPLICATION
Parcel I.D. 015-242-61
Property owner(s) Heather Tauschek Day phone
Mailing address7901 Alatna Avenue, Anchorage, AK, 99507
Site address7901 Alatna Avenue, Anchorage, AK, 99507
Legal description
Clearview, Lot 22
Number of Bedrooms
Engineering Firm Forge Engineering
Building Permit Number
Not Applicable ME
APPLICATION IS FOR: APPLICATION IS AN:
(Z all that apply)
Absorption Field
F] Initial D
Septic Tank
El Upgrade R.
Holding Tank
❑ Renewal El
Privy
❑
Well
❑
THIS APPLICATION INCLUDES A WAIVER REQUEST FOR:
7 '�_ �_
Permit/Rush Fees:. — Waiver Fees:
Date of Payment: 2'Z" / 7,0 Z Date of Payment:
Permit No. c S r , i�- 12Waiver No.
Phone: 907-343-7904
Distance:
February 10, 2025
MOA Development Services, On-Site Water & Wastewater Program
4700 Elmore Rd
Anchorage, AK 99507
Subject: Clearview Lot 22 – 7901 Alatna Ave
Septic tank replacement
Dear On-Site Services Engineer:
The owner of the above lot has a septic tank that has reached its end of useful life, so we are
submitting this permit application for its replacement. The attached site plan identifies the location
of the home as well as the wells and septic location. No conflicts exist between this proposed
system and any other well or septic system, whether on this lot or adjacent lots.
Wells on this and adjacent lots are shown. The new septic tank will be a minimum of 100’ from
all wells and surface water. Please refer to the attached plan 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
OSP251029, Curtis Townsend, 02/14/25
CO - CLEANOUT
2CO - DOUBLE CLEANOUT
FCO - FOUNDATION CLEANOUT
FD - FLOW DIVERTER VALVE
MH - MANHOLE
MT - MONITORING TUBE
SV - SEPTIC VENT
TH - TEST HOLE
LEGEND
1"=50'
CLEARVIEW, LOT 22
FEET
0 50 100Benjamin Schiller
CE 12592REGISTEREDPROFESSION A L E N GINEER
2/10/25
SEPTIC PLAN
APPROX. LOCATION OF CO
SURVEYOR TO LOCATE
PIPE ON FINAL ASB
>10'
NEW 1500-GAL SEPTIC TANK
ENSURE MINIMUM 5'
SEPARATION TO DECK POSTS
REPAIR AND/OR REPLACE
PIPES TO MATCH CODE
EXISTING 1500-GAL STEEL TANK TO
BE DECOMMISSIONED PER UPC
EXISTING 94' LONG x 3' WIDE, 5'
EFFECTIVE DEPTH ABSORPTION
TRENCH TO REMAIN IN SERVICE
2018 WELL w/
100' RADIUS
1993 WELL w/ 100' RADIUS
5-BDRM HOME
CO
MT
NEIGHBORING WELL
w/ 100' RADIUS
10
'
UTI
LITY
EA
S
E
M
EN
T
ALA
T
N
A
A
V
E
N
U
E
NEIGHBORING WELL
OUT OF VIEWPORT
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP251029, Curtis Townsend, 02/14/25
FND YPC
WELL
MAIL BOX
MAIL BOX
WELL
LOT 22
59,259 SQ. FT.
1.36 ACRES
LOT 14
LOT 23
LOT 20
LOT 2
LOT 21
AL
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R
R
A
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S
U
B
.
FND RBR
FND RBR
FND RBR
52
.
1
'
22
.
9
'
66
.
2
'
SEPTIC
GAS
METER
ELEC.
METER
GREENHOUSE
SAUNA
2ND STORY
DECK
CANT.
CANT.1ST
FLOOR
DECK
FND RBR
100.
0
'
10
'
U
T
I
L
I
T
Y
E
S
M
T
.
PAVED
DRIVE
METAL
FENCE
100.0'
40
.
3
'
16
.
2
'
2.0'
11.8'
20
.
0
'
42
.
3
'
16
.
0
'18
.
0
'
42
.
4
'
32
.
3
'
S5
7
°
3
2
'
2
5
"
E
38
9
.
8
0
'
S5
7
°
3
2
'
2
5
"
E
36
3
.
8
8
'
N61°
0
4
'
1
5
"
E
118.5
2
'
N32
°
2
7
'
3
5
"
E
12
5
.
0
0
'
L=25.06'
R=210.00'
N0
°
0
6
'
2
5
"
W
54
.
5
2
'
SINGLE
FAMILY
HOME
ASBUILT SURVEY
LOT 22
CLEARVIEW SUBDIVISION
LOCATED IN
NE 1/4, SW1/4, SEC. 24, T12N, R3W SEWARD MERIDIAN, ALASKA
EXCLUSIONS
IT IS THE RESPONSIBILITY OF THE OWNER OR BUILDER TO DETERMINE THE EXISTENCE OF ANY EASEMENTS,
COVENENTS,OR RESTRICTIONS WHICH DO NOT APPEAR ON THE RECORDED PLAT. UNDER NO
CIRCUMSTANCES SHOULD ANY DATA HEREON BE USED FOR ESTABLISHING BOUNDARY OR FENCE LINES.
ASBUILT CERTIFICATION
I HEREBY CERTIFY THAT I HAVE SURVEYED THE FOLLOWING PROPERTY, LOT 22, CLEARVIEW SUBDIVISION,
AND THAT NO ENCROACHMENTS EXIST, EXCEPT AS NOTED.
Alaska Construction Surveys
907 E Dowling Rd, Suite 10
Anchorage, Alaska 99518
Office: (907) 344-5505
Fax: (907) 344-4775
Email: mcrow@akconstsurveys.com
Site: Residential
Address: 7901 Alatna Ave. Anchorage, AK
Field Survey Date: 02/03/24
Crew: F.C. & B.C.
Drawn by: F.C.
Scale: 1" = 60'
PREPARED FOR:
DAVE WINDSOR
ALASKA
C
CONSTRUCTION
A
SURVEYS
S
04 Feb 2025 Feet
0 60 120
STATE OF ALASKA
DEPARTMENT OF NATURAL RESOURCES
DIVISION OF MINING, LAND & WATER
Alaska Hydrologic Survey
WATER WELL LOG Revised 08/18/2016
Drilling Started: ____/____/______ Completed: ____/____/_______ Pump Install: ____/____/_______
City/Borough Subdivision Block Lot Property Owner Name & Address
Well location: Latitude Longitude
Meridian ____________ Township ______ Range _______ Section _______ , _____ 1/4 of _____ 1/4 of _____ 1/4 of _____ 1/4
BOREHOLE DATA: (from ground surface)
Suggest T.M. Hanna’s hydrogeologic classification system*
https://my.ngwa.org/NC__Product?id=a185000000BYub3AAD
Depth
From To
Drilling method: Air rotary, Cable tool, Other
Well use: Public supply, Domestic, Reinjection, Hydrofracking
Commercial, Observation/Monitoring, Test/Exploratory, Cooling,
Irrigation/Agriculture, Grounding, Recharge/Aquifer Storage,
Heating, Geothermal Exploration, Other
Fluids used:
Depth of hole: __________ ft Casing stickup: ___________ft
Casing type: __________ Casing thickness: _________ inches
Casing diameter: _________ inches Casing depth: __________ ft
Liner type: _________ Depth: _____ ft Diameter: _____inches
Note:
Well intake opening type: Open end, Open hole, Other
Screen type: _________, Screen mesh size: ____________
Screen start: ________ ft, Screen stop:________ ft, Perforated Yes No
Perforation description: Perf from: ________ ft, Perf
to: _______ft, Perf from: ________ ft, Perf to: ________ ft
Gravel packed Yes No Gravel start: ______ ft , Gravel stop:______ ft
Note:
Static water (from top of casing): _______ ft on____/____/_____ Artesian well
Pumping level & yield: ______ feet after _____ hours at _____ gpm
Method of testing:__________________________________________
Development method:______________ Duration: ____________
Recovery rate: _________ gpm
Grout type: _________________ Volume __________________
Depth: From ___________________ft, To ___________________ft
Final pump intake depth: __________ ft Model: _______________
Pump size: _____________ hp Brand name: __________________
Include description or sketch of well location (include road names,
buildings, etc.):
Was well disinfected upon completion? Yes No
Method of disinfection:
Was water quality tested? Yes No
Water quality parameters tested:
Well driller name: ..................................................................................
Company name: ...................................................................................
Mailing address: ....................................................................................
City: __________________________ State: AK Zip: ___________
Phone number: (________) ________- ______
Driller’s signature:
Date: ______/______/_________
Anchorage Municipal Code 15.55.060(I) and North Pole Ordinance 13.32.030(D) require
that a copy of this well log be submitted to the Development Services Department/City
within 30 days of well completion.
City Permit Number: _____________________________
Date of Issue: _____/____/_________
Parcel Identification Number: ______-_______-________
*Guide for Using the Hydrogeologic Classification System for Logging
Water Well Boreholes by Thomas M. Hanna NGWA Press
AS 41.08.020(b)(4) and AAC 11 AAC 93.140(a) require that a
copy of the well log be submitted to the Department of Natural
Resources within 45 days of well completion. Well logs may
be submitted using the online well log reporting system
available at:
https://dnr.alaska.gov/welts/
OR email electronic well logs to
dnr.water.reports@alaska.gov
North
012N
2303
2018
Municipality of Anchorage
38 76
48
Bedrock
33
Bentonite granules
33
Moist gravel
22
51274
0.25
0
61.1136971
2018
n
4
48
8
n
3540 Akula Dr
n
SW
n
6
Steel
1
0593
n
99516
303
S
Chlorine tablets
20
3
Overburden
NW SW
4Silt and gravel
74
open hole
Clearview
ANCHORAGE
345
Wet gravel
1
24
38
Moist silt and gravel
130
43
1
907
n
0
HEFTY DRILLING
n
-149.734894
Dry silt and gravel
8
81
43
NE
74
4
003W
John Evans 7901 Alatna Ave AK,
Development Services Department
Building Safety Division
N On -Site Welter &a Westewatter Program
a
4700 Elmore Road -
P.O. Box 196650 Anchorage, AK 99507 s ti e , ,
Mark Begin �nnr`muni.ergJonSitr.
Mayor (907) 343-7904
Well Log
.Permit Number: OSPI81181 Date of Issue: 7/10/2018
Date Started: 8-1-18 Date Completed: 8-3-18 Is well located at approved permit location? (J Yes H No
Legal Description: Clearview Lot22 G:2740
]Property Owner Name & Address: John Evans
7901 Alatna Ave.
Anchorage, AK
Borehole Data: Depth (ft)
Soil Type, Thickness & Water Strata From To
stickup
0
2
overburden
2
6
silt & gravel
6
35
moist gravel
35
40
wet gravel
40
45
moist silt & gravel
45
50
50
dry silt & gravel
76
bedrock
76
305
Water Sample Results:
Arsenic:
Nitrates:
Total Coliform Bacteria:
Other Bacteria:
'V D u
l"z colonies/100mL
/-E G col/100mL
Method of Drilling LJ air rotary LJ cable tool
Casing type: steel
Wall Thickness: .250 inches
Diameter: 6 inches Dcpth: 76 _ fect
Liner Type: -
Diameter: - inches Dcpth: feet
Casing stickup above ground: 2 feet
Static water level (from ground level): 81 feet
Pumping level: 130 feet after
4 hours pumping 1
Recovery Ratc: 1 gpm
Method of Testing,: airlift
Well Intake Opening Type:
n Open End R Open Hole
❑ Screened Start feet Stopped feet
n Perforations Start feet Stopped _____ _ _ feet
20' Start 0 feet Stot7oed 20 feet
Pump: intake Depth feet
Pump size hp Brand Name
Well Disinfected Upon Completion? n Yes n No
Method of Disinfection chlorine tablets
Comments:
Well Driller: Hefty Drilling, Inc.
3540 Akula Dr.
Anchorage, AK 99516
Attention: The well driller shall provide a well log to DSD within 30 days of completion.
2/31 Z---,25
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: _______________ Date of Issue: ____-____-____
Parcel Identification Number: ____-____-____
Legal Description Block Lot Property Owner Name & Address:
Pump Installation Date: _____-_____-_____
Pump Intake Depth Below Top of Well Casing: __________ feet
Pump Manufacturer’s Name: ___________________________
Pump Model: _____________________________________
Pump Size: ____________hp
Pitless Adapter Burial Depth: _________ feet
Pitless Adapter Manufacturer’s Name: _________________________
Pitless Adapter Installer: ____________________________
Well Disinfected Upon Completion? Yes No
Method of Disinfection: _____________________________
Comments:
Pump Installer Name: __________________________________
Company: ___________________________________________
Mailing Address: ______________________________________
City: ___________________ State: __________Zip: _________
Attention: The pump installer shall provide a pump installation log to On-site within 30 days of pump installation.
"'r MUNICIPALITY OF ANCHORAGE
�uj `,n ,1111'17(
\� On-Site Water&Wastewater Program ��� r,'<" • '�
/4):--
PO Box 196650 4700 Elmore Road •
z, , ; Anchorage,Alaska 99519-6650 Phone:(907)343-7904 Fax:(907)343-7997 ,..,c-: �
(3r.
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On-Site Water System Permit
Permit Number: OSP181181 Effective Date: 7/10/2018
Work Type: Well Upgrade Expiration Date: 7/10/2019
Tax Code Number: 01524261000
Site Legal Address: CLEARVIEW LT 22 G:2740
Site Mailing Address: 7901 ALATNA AVE, Anchorage
Owner: CLTE ALASKA TRUST Lot Size in Sq Ft: 59259
Design Engineer: GARNESS ENGINEERING GROUP LTD Total Bedrooms: 5
This permit is for the construction of:
❑ Disposal Field 0 Septic Tank 0 Holding Tank 0 Privy Q 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:
** To close this permit please submit:
1. Well Log
2. Pump Install Log
3. Water sample results
** If the existing well is not incorporated into the water system it must be decommissioned.
7‹.4Received By: Date: -7/////f
Issued By: ltljti 0-c A_ / Date: 7//t/ l'
MUNICIPALITY OF ANCHOR A 1 ' 6 7 8 9
k** %or:.
1_
Community Development Department Ph• =: 907-343-7•
Development Services F- . '07- 343-7997
On-Site Water & Wastewater Program a 6 5
Mayor Dan Sullivan & L 9
On-Site Sewer/Well Permit Application
For A Single Family Dwelling
Parcel I.D. 015-242-61
Property owner(s) JOHN EVANS Day phone 907-265-6329
Mailing address 7901 ALATNA*ANCHORAGE,AK 99516
Site address 7901 ALATNA*ANCHORAGE.AK 99516
Legal description (Sub'd, Block & Lot) CLEARVIEW: LOT 22
Legal description (Township, Section & Range)
Lot Size Sq.Ft. Number of Bedrooms 5
APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DEWELLING:
(®all that apply) Initial ❑ Single Family (SF)
Absorption Field ❑ ® (w/wo ADU)
Septic Tank ❑ Upgrade Duplex (D)
Renewal ❑
Holding Tank ❑ Multiple Dwellings
Privy ❑ (SF and/or D)
Private Well
Water Storage ❑
THIS APPLICATION INCLUDES A VARIANCE/WAIVER REQUEST FOR:
N/A Distance: -
I certify that the above information is correct. I further certify that this is in accordance with
applicable Municipal codes.
GARNESS ENGINEERING GROUP, Ltd.
(Signature of property owner or authorized agent)
Permit/Rush Fees: G`..Wn Waiver Fees:
Date of Payment: 1[lh I3IW1t$ Date of Payment:
Receipt Number: OSI IS 118 1 Receipt Number:
Permit No. 054:14(1 Waiver No.
(Rev.01/11)
_ uanics
GARNESS ENGINEERING GROUP, Ltd
Advanced r,.eocm_nr :,<<..
ENGINEERING SALES CONSULTING Dealer
July 3. 2018
Municipality of Anchorage
Development Service Department
On-Site Water & Wastewater Program
4700 Elmore Road
Anchorage, AK 99507
Ref: Proposed Well Upgrade for Clearview; Lot 22
To whom it may concern:
The existing home is served by a private well and septic system. Per conversations with the
owner, the well has limited production and he would like to drill a new well. We are proposing to
leave the existing well in place to be used with the new well. In short, there will be two wells
serving the subject lot. See attached design drawings regarding separations distances and
proposed well location.
We are unaware of any adverse impacts this installation would have on adjacent wells or septic
systems. If you have any questions, please contact us at 337-6179. Thank you for your
assistance.
Sin - = y,
Jeffrey arne s, P.:., M.S.
Presi.-
3701 East Tudor Road, Suite 101 `Anchorage.Alaska 99507-1259
Phone: (907) 337-6179*Fax: (907)338-3246*Website: www.garnessengineering.com
Iii‘lCLEARVIEW;LOT 211
CLEARVIEW;LOT 14
/ \
/ \
-c C"•
° 41 i CLEARVIEW;LOT 21
I
/
/
ALPINE TERRACE; \ /
/
BLOCK 4,LOT 3
4.41
/ •
`/ / /
CLEARVIEW;LOT 23 / \ CLEARVIEW;LOT 3
•`•POSED 100, / I
�'/ElL RADIUS
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/ / \\
/ / / \ OPTIC
�j / \ ARE
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/ �,/ �/ // CLEARVIEW;LOT 2
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9I
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L RADIUS T/ 1c". I //
CLEARVIEW;LOT 24`II 1 & % \ CLEARVIEW;LOT 1//
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•
GARNESS ENGINEERING GROUP, Ltd �„b.
: ••.: •
. . _ _. ... ENGINEERING SALES ,CONSULTING .1••e�� 0
3701 E.TUDOR ROAD,SUITE 101-ANCHORAGE.AK 99507•PHONE(907)337-6179'FAX(907)338-3246'WEBSITE:www.gemeuengkleering.00n ••• • •
PREPARED FOR: PHONE NUMBER: PAGE NUMBER: °O:g". i° SS : W
JOHN EVANS 907-265-6329 1 OF 2 �.. CE-79r3 .• zir
PROJECT/LEGAL DESCRIPTION: DRAWN BY: •�♦�(� .•'e\
•
•,• ..
CLEARVIEW; LOT 22 D.J.G. 1.�cp••••'••• ••• „��P..,��
TYPE OF WORK: DATE: 44i ESS”:.4
SEPTIC SYSTEM DESIGN UPGRADE 7/3/2018 #AECC884 1�������
GEG,Ltd.HAS A 8 PAGE SPECIFICATION
I
ASSUMED LOCATION OF EXISTING LETTER THAT PERTAINS TO THIS DESIGN.TO
TRENCH LOCATION PER CLEANOUT OBTAIN A COPY OF THE LETTER CONTACT
/ LOCATION FROM PROFESSIONAL LAND
SURVEY BY SHANE HOLD,PLS GEG.BY PROCEEDING FORWARD WITH THIS
INSTALLATION,THE ENGINEER,WELL DRILLER,
CONTRACTOR AND PROPERTY OWNER AGREE
/ ASSUMED LOCATION OF SEPTIC THAT THEY HAVE READ THESE
SPECIFICATIONS AND AGREE TO ACCEPT THE
/ TANK PER CLEANOUT LOCATION TERMS AND CONDITIONS OUTLINED.
FROM SURVEY BY SHANE HOLT,PLS
PRIOR TO DRILLING THE WELL THE WEST LOT
LINE,EAST EASEMENT AND SEPTIC SYSTEMS
ON LOT 2&LOT 23 SHALL BE PHYSICALLY
CONFIRMED BY THE WELL DRILLER OR
PROFESSIONAL LAND SURVEYOR.
V.
EXISTING 5 f::7";,,-*; � �
/ BEDROOM HOUSE •'•• \ ;
.......:::..7.;,...:.i......:
i
ASSUMED LOCATION
OF TANK AND DRAINFIELD •-.-:.. •:..-....;..,.:!......:.
' = '.', /Ai /
PER MOA RECORDS;TO BE PHYSICALLY •�
'. DRIVEWAY , 1
CONFIRMED PRIOR TO DRILLING THE WELL .
•'. '•• / /'\
� ELL RAD, ,..... I
RA •D /L• _____
.: ,..
•
/us
. ,
I /
\ Q' / /
\
_ / / /
/ / CLEARVIEW;LOT 2
/ �o�� \ I ADD WELL l�,gDl(/•,
/ 'G0 y
CLEARVIEW;LOT 23
I ,'/
f lot
4:71: ...4 4.
a
GARNESS ENGINEERING GROUP, Ltd 9 I,
,f •
3701 E.TUDOR ROAD.SUITE 101•ANCHORAGE.AK 99507'PHONE(907)337.6179'FAX(907)338.3246'WEBSITE:www.gamessengmeenng.com ; • •9: •�!•;
PREPARED FOR: PHONE NUMBER: PAGE NUMBER: • J:. , A. -ata •. s
JOHN EVANS 907-265-6329 2 OF 2 ..c ;.,' 79 3 �4.
PROJECT/LEGAL DESCRIPTION: DRAWN BY: .♦ � 11311 D • <c, �
CLEARVIEW; LOT 22 D.J.G. .4 •................ ..'� .4.
, , •
TYPE OF WORK: DATE: LICENSE,, II iii 4
SEPTIC SYSTEM DESIGN UPGRADE 7/3/2018 #AECC884
' Municipality of Anchorage Page / 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: ,~f/~' ~¢__2 ~ ~.~ PID Number: ~/~~/
Name:
~ ~ ~~ ~. ~~ Wastewater System: ~New ~ Upgrade
~:~. ~ 1/~1~ ~ll~z~ ABSORPTION FIELD
Phone: [ No or, rooms: ~Deep Trench ~ Shallow Trench ~ Bed ~ Mound ~ Other
LEGAL DESCRIPTION soilRating: ~ ~GPD/Sq. Ft. Total Depth from original grad~ /
Lot: ~ Block:~~/~Subdivisi°n: ~ Depth to pipe bottom from original ~d~Ft. Gravel depth beneath pipe ~ / Ft.
Township: I Range: [Section: i Fill added above original grade: , Gravel length: ~/
WELL: D New ~ Upgrade Gravel width: ~4 Number of lines: Igist~w~.,i.es:
Ft. ~ - Ft.
Classification (Private, A,B,C): Total Depth: Cased To: Total absorption area: Pipe material: ¢~10
Driller: Date Drilled: Slatio Water Level: In,taller:Ft. ~~¢~~-- '~ --.'Date installed:
Yield: ~ Pump Set at: I Casing Heighl Above Ground:
~,~ ~,. ~,. TANK
SEPARATION DISTANCES ~eptic ~ Holding ~ S.T.E.P.
To Septic Absorption Lift HoMing ~ublic/Private ~~ Capacity in gallons:
From Tank Field Slation Tank S .... Lines ~/~ - / ¢~
~ , Ma,eri~3¢ Number o~mpartments:
We, /~% /~ ~ ~% ~
Surface ~ ~
Water /~5 /¢~ LIFT STATION
Lot Size in gallons: ~ Manufacturer:
Foundation ¢/ ~¢ / ~ ~ ~ "Pump on" level at: ~el at: High water alarm at:
CurtainDrain ~P ~O~/~ ~¢~/ Pum~[ ~otri~l I~p~tions performed by:
Remarks: BENCH MARK
Location and Description:
Assumed Elevation:
ENGINEER'S SEAL
Inspections performed by: ~:¢= ~v-~,~l=-~: ~ Dates: 1st ~.~~~.
Department of Health and Human Services approval ( /~
Reviewed and approved by: Date://-~-¢~ -
72-013 (Rev 9/91) MOA 25
Permit No $W930337 Page 2 of 2
Municipality of Anchorage
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ENVIRONMENTAL SER¥1CES DI¥1SlON
P.O. Box '196650 · Anchorage, Alaska 995'19-6650 · Telephone: 343-4744
On-Site Wastewater Disposal System and/or Well Inspection Report
CLEARVIEW, LOT 22 01 ..524261
Legal Description: PID No.:
c01 co
__.JL/'-[NSULATION
N.T.S.
96.2'
MT1
86.8
C02
91.8'
· 60.8' NO WATER FOUND
A B
FCO t4.5 27
CO1 18.5 29
COZ 41 77
C03 70.5 35.5
lvlT1 33 65.5
SCALE l" = 40'
157.
FOUNDATION
WALL UT 1
NEW TRENCH
)BL C0
72-013 A (2/91) MOA 25
03:57PM FROM 6941211 P.O1
NOU-Ol-1994
NWMed Anchorage
SI'A~ OF i
.. I) .IPA.RlllIT OFiNA'rtJI!AI;' IiIaOURcI~s.
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· ., .... DEPTH TO aTATIC WATER.~
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.... ~aa=: ~~- , .... ' ,,, '
'11 [~ J ~ II , .' .......... . ........ ': · . .
TOTAL P. 01
PAGE 1 OF 1
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND HUMAN SERVICES
P.O. BOX 196650, 825 "L" STREET, ROOM 502
ANCHORAGE, ALASKA 99519-6650
ON-SITE WELL AND WASTEWATER DISPOSAL SYSTEM PERMIT
PERMIT NUMBER:SW930337
DESIGN ENGINEER:S & S ENGINEERING
OWNER NAME:SYCKS CARY & CAROL R
OWNER ADDRESS:P.O. BOX.il0158
ANCHORAGE, AK 99511-0158
DATE ISSUED: 9/02/93
EXPIRATION DATE: 9/02/94
PARCEL ID:01524261
LEGAL DESCRIPTION: CLEARVIEW LT 22
LOT SIZE: 59259 (SQ. FT.)
NUMBER OF BEDROOMS: 5 THIS PERMIT:
THIS PERMIT IS FOR THE CONTRUCTION OF:
DISPOSAL FIELD /SEPTIC TANK / WELL 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 OR 343-4681 AFTER BUSINESS HOURS
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
RECEIVED BY:
ROBERT SHAFER, P.E.
ROGER SHAFER, P.E.
August 18, 1993
CIVIL ENGINEERS
(907) 694-2979
FAX 694-1211
HEALTH AUTHORITY
APPROVALS
SEWER & WATER
MAIN EXTENSIONS
SEWER & WATER
INSPECTION
ENGINEERING STUDIES
AND REPORTS
WELL INSPECTION
& FLOW TEST
SITE PLANS
ROAD DESIGN
Municipality of Anchorage
DEPARTMENT OF HEALTH AND HUMAN SERVICES
825 L Street
Anchorage, AK 99519-6650
REFERENCE: Clearview Subdivision, Lot 22
We request you issue a permit to drill a well and install a
septic system to serve the proposed five bedroom house on the
referenced property.
Two test holes were excavated and percolation tests performed
on the referenced property. The approximate location of the
test holes are located on the attached site plan. The
monitoring tubes within the holes have been checked and found
to be dry.
This property has enough area for a future septic upgrade,
which can be seen on the attached site plan. We do not
anticipate any adverse effects on neighboring properties by
the installation of the proposed septic system.
If you have any questions, or require additional information
for your review, please contact us.
SOIL TEST ~
~~bert A. Shafer, P.E.
PERCOLATION("~&~- y
TEST
RAS/LSU/lsu
STRUCTURAL &
MECHANICAL
INSPECTIONS
ON SITE
WASTE WATER
DISPOSAL SYSTEM
DESIGN
17034 NORTH EAGLE RIVER LOOP · SUITE 204 · EAGLE RIVER, ALASKA 99577
· = 50'
SCALE
IITE
PLAN
ALANTA AVE.
i~ -'fl m
O -q r'l
Fr'l
Z
-n Frl
r'rl . ·
ON-SITE WASTEWATER DISPOSAL SYSTEM
CONSTRUCTION PRACTICES
and
MATERIAL SPECIFICATIONS
REFERENCE: Clearview Subdivision, Lot 22
o
o
The scope of this project includes the installation of a
1500 gallon septic tank and a leachfield trench to serve
the proposed five bedroom residence on the referenced
property.
Construction shall be in accordance with the approved
site plan and design drawings; Municipal permit with any
special provisions or conditions; and all applicable
State and Municipal Wastewater Disposal Regulations.
The contractor shall be responsible for obtaining any
necessary underground utility locates.
Unless specifically agreed otherwise, the property owner
shall be responsible for final grading areas subsequently
depressed from soil settling. On all leachfield mound
systems, the property owner shall be responsible for
ensuring a satisfactory vegetation growth over the
mounded area.
Contractors installing wastewater disposal systems must
be certified by the Municipal Health Department for
system installations. Owners installing their own
systems must also receive prior approval from the
Municipal Health Department.
SEPTIC TANK INSTALLATION:
A septic tank is to be constructed by a certified septic
tank manufacturer. Construction shall include two 4"
cleanouts for pumping access.
The septic tank shall be sufficiently bedded to prevent
settling or shifting of the tank.
Ail standpipes on the septic tank shall extend a minimum
of 12 inches above final grade.
Septic tanks installed with less than 4 ft. of cover
shall be insulated.
Page Two
Clearview Subdivision, Lot 22
August 18, 1993
o
o
A foundation cleanout shall be installed one to four feet
from the building foundation. In the line between the
tank and the leachfield there shall be two adjacent
cleanouts (unless an effluent pumping system exists
within the septic tank). These cleanouts shall be
located on undisturbed soil not more than 10 ft. from the
tank. The first cleanout, in line, shall be to clean
toward the leachfield. The second cleanout shall be to
clean toward the septic tank.
Final grading over the septic tank shall be such that a
positive slope exists away from the septic tank.
ABSORPTION TRENCH/DRAINFIELD INSTALLATION:
Excavate the proposed trench to the dimensions shown on
the design. The bottom of the excavation shall be within
2 inches of level. If the sidewalls of the excavation
become smeared, they must be raked or scratched (ruffed-
up) before gravel (sewer rock) placement.
Once the gravel is installed, the distribution pipe is to
be installed level with the perforations faced downward.
Gravel is then to be placed over the distribution pipe to
provide a minimum of 2 inches of cover over the pipe.
A silt barrier must be installed between the final gravel
layer and the native soil backfill. Ensure the silt
barrier covers the entire gravel surface before placing
backfill.
Monitor tubes shall be of four (4) inch diameter and
installed approximately in the locations shown on the
design. The portion of the monitoring tube extending
through the gravel shall be perforated from the bottom of
the trench to the invert of the distribution pipe. This
is equivalent to the effective depth of the gravel as
noted on the design.
o
Backfill over the final gravel layer must not be less
than twenty-four (24) inches. Insulation must be
installed when the backfill depth is less than thirty-six
(36) inches. The finish grade over the trench must be
mounded to prevent the formation of a depression after
settling.
Page Three
Clearview Subdivision, Lot 22
August 18, 1993
MINIMUM MATERIAL SPECIFICATIONS:
Any septic tank proposed for installation must be
constructed by a Municipally approved septic tank
manufacturer.
o
The following pipe materials are approved for use in
septic system installations in the Municipality of
Anchorage:
Type of Pipe
Perforated Solid
Cast Iron
ASTM D3034 (PVC)
ASTM F810 (HDPE)
ASTM D2662 (ABS)
Yes Yes
Yes Yes
Yes No
Yes Yes
Use of a type of pipe other than listed above must be
approved by the inspecting engineer.
Insulation shall be at least 2" thick extruded direct
burial polystyrene (Dow Chemical Company Styrofoam HI or
equal).
Septic tank inlets and outlets shall be fitted with
watertight couplings (Caulder, Fernco, or equal).
A permeable nontoxic silt barrier (Typar 3401, Mirafi
140N, or equal) must be installed between the final
leachfield gravel layer and the native soil backfill.
o
Ail leachfield gravel (sewer rock) shall be 0.5"-2.5"
screened gravel with less than 3% passing the #200 sieve.
When sand is being used as a filter material, it's
gradation specifications must conform to current M.O.A.
or D.E.C. requirements.
Page Four
Clearview Subdivision, Lot 22
August 18, 1993
INSPECTIONS:
Typically there will be a minimum of three (3) inspections
required during the installation of the wastewater disposal
system. These inspections will occur as follows:
The first inspection must be conducted after the
excavation of ditches, pits, trenches, or beds and
before the installation of any gravel. A septic
tank may be set in place, but may not be backfilled
before this inspection.
o
The second inspection must be conducted after the
placement of the silt barrier, gravel, distribution
lines, standpipes, cleanouts, and insulation, but
before the placement of any other backfill.
The final inspection is to occur upon final grading
of the property.
Often there will be more than these 3 inspections required.
Especially with the installation of multiple trenches, sand
filters, pressurized distribution systems, etc. Thus, the
inspecting engineer is to be contacted at least 24 hours prior
to the start of construction. If necessary, a pre-
construction meeting will take place on-site.
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
Township, Range, Section:
SLOPE
PERFORMED FOR:
LEGAL DESCRiPT,ON: LOT
/
1
4
7
8
10
12
13
14~
15
16
17-
18-
19-
20-
WAS GROUND WATER
ENCOUNTERED?
SITE PLAN
s
IF YES, AT WHAT -'"' O
DEPTH? P
E
Depth 10 Water Alll
Monitoring? ~ Dale:
F'
Gross Net Depth to Net
Reading Date Time Time Water Drop
PERCOLATION RATE
TEST RUN BETWEEN '~1 ~ . ET AND L~I(~ FT
,. To7~c
ACCORDANCE
Eagle River, Alaska
12-~8 (Rev.
CERTIFY THAT THIS TEST WAS PERFORMED IN
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
~/fp Township, Range, Section:
SLOPE
SITE PLAN
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
WAS GROUND WATER
~..~jl~ENCOUNTERED?
S
L
O
P
E
IF YES, AT WHAT
DEPTH?
Depth Io Water Aller
Monitoring? ~ Dale: ,.,-:
Gross Net Depth to Net
Reading Date Time Time Water Drop
: ~, ~ ,~¥,~ .~'~ ,,
: 5o 5 ~Vff '/z"
PERCOLATION RATE ~ (minutes/inch) PERC HOLE DIAMETER
TEST RUN BETWEEN ~ AND ~../r,~,~ ~.:FT
PERFORMED ~ ~ ~IN~RI~ ~~ CERTIFY THAT THIS TEST WAS PERFORMED IN
0 a i Ri~ L~ R~
MUNICIPALITY OF ANCHORAGE
Development Services Department Phone: (907)343-7904
On -Site Water & Wastewater Section Fax: (907)343-7997
Parcel ID 015-242-61
Certificate of On -Site Systems Approval
OSC251091
e-,
Expiration Date: F
Legal description CLEARVIEW LT 22
Site address 7901 ALATNA AVE
Current propertyowner(s) TAUSCHEK HEATHER CLARIE
X The On -site system(s) is/are approved for 5 bedrooms
Conditional approval for bedrooms, with the following stipulations:
Comments or conditions:
By: r—O n S 6: ", ( a t=.-"Z Original Certificate Date: 3/21 /2025
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
ram.
MUNICIPALITY OF ANCHORAGE
1. GENERAL INFORMATION
Parcel I.D. 015 2,42-61
Complete legal description
Location (site address)
Clearview Lot 22
7901 Alatna Ave, Anchorage, AK 99507
Current property owner(s) Heather Tauschek Trust
2. ON -SITE SYSTEMS SIZED FOR 5 BEDROOMS
Day phone 907-720-3711
3. TYPE OF WATER SUPPLY: FN� Private Well ❑ Private Well serving 2 dwelling units
❑ Private Well serving 3+ dwelling units ❑ Community Well or Public
❑ Water Storage
4. TYPE OF WASTEWATER DISPOSAL: 11011 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 older than 20 years
6. ABSORPTION FIELD: ❑ AWWTS ❑ Bed Q Deep Trench ❑ Wide Trench ❑ Seepage Pit
bWaiver request for: r I ro l q,T-T� � �- Distance:
11
Expedited review requested: ❑
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 $ ?0
Date of Payment
COSA #_05C215IOa
Waiver Fee $ Z R �3- S
Date of Payment
Waiver # 0 5 V 2 S-10 13
COSA Application_June 2022
3.54 / ND
ND / ND
Forge Engineering
2/3/25 & 2/25/25
N/A
N/A N/A
N/A
(907) 522-7773
Benjamin Schiller, P.E.
March 18, 2025
MOA Development Services, On-Site Water & Wastewater Program
4700 Elmore Rd
Anchorage, AK 99507
Subject: Clearview Lot 22 – 7901 Alatna Ave
Water Line to Trench Waiver Request
Dear On-Site Services Engineer:
The existing well at the back of this lot was drilled in September of 1993, and the original septic
system was installed at that time. The trench lies across the lot and does not leave a much room
for the water line from the well. This line was actually not mentioned at all in the septic permitting
paperwork, although the municipal HAA approved on 11/16/94 indicates a 10’ separation from
the trench to a ‘Water main/service line’. A later municipal COSA approved on 12/26/14 also notes
a 10’ separation from the absorption field to a ‘Water Service line’. In July of 2018 a permit was
approved to drill a second well, as the first well had dropped production. Again, no mention was
made of the existing water line.
During the COSA process this year, as part of the permit to replace the aged septic tank, the
municipality noted the location of the old well and the orientation of the existing trench and
understandably questioned if it indeed met the required separation. We hired a company to perform
electromagnetic tracing and measured 6’ separation from the line to the cleanout at the end of the
trench. It is understood that the measurement is reasonable but not exact, as it depends on the
accuracy of the tracing as well as the estimation of the exact end of the trench using the cleanout.
It is possible that the line was carefully installed 10’ from the end of the trench, but measurement
errors make it seem closer. However, that is not really an argument that we want to use.
The water sample taken from the well indicates no bacterial presence as well as no nitrates. As the
water line is pressurized, there is less likelihood of contamination from any septic effluent. Since
this situation has existed for over 30 years, time has shown that the separation does not pose a
health threat to the occupants. For these reasons we request a waiver for a 6’ separation from the
existing septic field to the existing water line. In the future, if the trench ever needs replacing, the
line can be again located and the 10’ separation ensured.
Sincerely,
Benjamin Schiller, PE
Municipality of Anchorage
Urp:n hnrnt '„
P.O. Box 196650 0 4700 Elmore Road
Anchorage Alaska 99519-6650 0 (907) 343-7904 0 Fax (907) 343-7997
http://www.muni.org/Onsite
Developmentis Division
On -Site Water and Wastewater Program
* * * * VARIANCE/WAIVER REVIEW * * * *
Waiver#: OSV251013 COSA#:OSC251091
P I D#: 015-242-26
Legal Description: Clearview Lot 22
Engineer: Forge engineering
Permit#: OSP251029
Your request for a waiver of the required 10 feet horizontal separation from the existing septic
field to the well water service line (1993 well) has been approved. The approved separation
distance is 6.0 feet.
This waiver approval applies to the existing 5 C lIC- i>(. 0 - I. 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:- �
lieDate: 1 Approved b}�'
Nam"ebf Reviewer
■....rr.■..■rr...........rrr.....rrrr....■y■r■................................
**** VARIAN C EMAIVE R REVIEW ****
1. GENERAL INFORMATION
COmplete legal description
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
CERTIFICATE OF HEALTH AUTHORITY
APPROVAL FOR A SINGLE FAMILY DWELLING
Lot 22; ClearuZew' Subdivision
Location (site address or directions)
Property owner
Mailing address
Lending' agency
Mailing address
Agent
7901 Alatna Avenue
Address
An~horag~ AK
Gary ~ Carol Sykes Day phone
P,O. Box 110158 Anchorag~ AK 99511
Day phone
Day phone
563-0073
Unless otherwise requested, HAA will be held for pickup.
2.- NUMBER OF BEDROOMS: 5'
3. 'I~PE OF WATER SUPPLY:
Individual well XY, X
NOTE:
Community well
Public water
If community well system, provide written confirmation from State ADEC attest-
4~:~TYpE OF WASTEWATER DISPOSAL:
ing to the legality and status of system._
Individual on-site
Holding tank '-
Co mmunity on-site
. - Public sewer. -- ·
If community wastewater system, provide written confirmation
attesting to the legality and status of systern.?
Se
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 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 in compliance with all Municipal and State codes,
ordinances, an.d regulations in effect on the date of this inspection.
Name of Firm S & $ ENGIN~I~iNc_. Phone
17034 Eagle River Loop Road No. 204
Address .~ale my.;. ~_..~2= ~=...~-
Engineer's signature ~ Date )/ /
DHHS SIGNATURE
~' Approved for .~ bedrooms.
Disapproved.
Conditional approval for
bedrooms, with the following stipulations:
Additional Comments
,The Mun~pality of~Anchorage Depa~ent of H~lth and Human Se~ic~ (DHHS) i~u~ H~lth AuthodW
'~proval ~ifl~ bas~ only upon the rep~en~tions given m paragraph 5 above by an mde~ndent
p~f~?al ~m~r ~ste~ ~n the S~te of Al~km ~e DHHS d~ th~s ~ a cou~to purch~m of hom~
and their, lending mstR~ons m o~er to ~t~ ce~m f~eml and ~te ~u~mmen~. Employ~ of DHHS do not
cOndd~ ins~tions or anal~e da~ ~fore a ~ifi~te is i~u~. ~e MunicipaliW of Anchorage is not
Municipality of Anchorage
Department of Health and Human Services
HEALTH AUTHORITY APPROVAL CHECKLIST
Legal Description: ~'~e,,;~.v/~ -~c);~w~/c~,d .~ ~OT-,ZZ Parcel I.D.
A. Well Data
Well type
Log present [(~N)
Total depth .~5'- 7
Sanitary seal (~N)
If A, B, or C, attach ADEC letter. ADEC water system number
Date completed ~/l~/ct~ Driller
Cased to ~ ' . Casing height
Wires properly protected (~)
Date of test
Static water level ~'/
Well flow
Pump level1
SEPARATION DISTANCES FROM WELL TO:
FROM WELL LOG
Septic/beldi~ tank on lot /~'
Absorption field on lot
Public sewer main ~5- '
Sewer service line /~ '~-
g.p.m.
AT INSPECTION z
,_o
/~:~9 ~ ~. ,,.
; On adjacent lots
; On adjacent lots
Public sewer manhole/cleanout
II I
I I I
Petroleum tank
WATER SAMPLE RESULTS:
Coliform ~ d'~-~/~////~/-P ,,,,/ Nitrate
Date of sample: /C/~v. / / /~/-/
/E ,,~//- Other bacteria
Collected by:
B. SEPTIC/H~IL~IW;I~TANK DATA
Date installed
Cleanouts (~N) V~5
High water alarm (Y~
Date of pumping
Tank size /5-r_J ~ Compartments .Z
Foundation cleanout (~)N) ¥~s Depression (Y~
/~ ~/~ Alarm tested (Y~)~ ,/Jr_J ~//~-
Pumper ,,u~/~
SEPARATION DISTANCES FROM SEPTIC/~ TANK TO:
Well(s) on lot
To property line
Surface water/drainage
On adjacent lots /~ ~ Foundation
Absorption field ~' ' Water main/service line
72-026 (3/93)° Fro~t CONTINUED ON BACK PAGE
C. LIFT STATION
Date installed ~~--..... _ Manufacturer ~
Size in gallons ~ Manhole/Acce~~/N) __
Vent (Y/N) "Pump on" level at ~ ,.-//~'"Pump off" Level at
High water alarm level .~ed
Meets MOA electrical codes (Y/N) ~ ~
SEPARATION~ROM LIFT STATION TO:
Well on ~..~.t~~ On adjacent lots ~
D. ABSORPTION FIELD DATA
Date installed '~/2'~//'~'$ Soil rating (GPD/Ft
Length ~ ~ W'Mth ~ ' Gravel thickness
Total absorption area qfi~ Cleanout present (~N)
System type /~s~-,~?/o/-*J
Total depth '~- ~'
Depression over field (Y~
Date of adequacy test
Water level in absorption field before test
Peroxide treatment (past 12 months) (Y~)/
Results (pass/fail) ~/~- for
,U/~ After test
/{/~ ~/,~-- If yes, give date
SEPARATION DISTANCE FROM ABSORPTION FIELD TO:
Well on lot
To building foundation
On adjacent lots
Surface water
Curtain drain
On adjacent lots /~:; ~y- Property line /~ '~--
To existing or abandoned system on lot /
Cutbank 5-0 ' +- Water main/service line /o ',"
Driveway, parking/vehicle storage area /m 'f-
E. ENGINEER'S CERTIFICATION
Bedrooms
72-O26 (3193)' Back
I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in eff.~( 9te of this inspect/on.
Signature ,:-'--' ,~.~ ..~ .! ..i .-:= .--.-~
Engineer's Name
Date II /
HAA Fee $ ,~00,°° Waiver Fee $
Date of Payment t~- c~ - ~ ~ Date of Payment
Receipt Number O0 fl Cq ( "74¢q'7~ Receipt Number
