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Home My WebLink AboutFAIRMOUNT LT 18 Se,, 10 20 04,50ri Vichorpga 'Nall YmPum.pSer 90724'x0742 p.1 . ... .... 75 n "i -;r+ 0 -5- r r cgr c r, 47, 0 x 19,6 6 5 Mark Beq,`ch Archorcq�z, AV 9950-, r 111ayor17 Pump Installation Log Well Drilling Permit Numbet-: SIV-- Date of Issue: Parcel Identifficativn Yumber: Leg21 Description Property Owner Name Addmis: Fo--(, r m Octet, Pump Installation Date: CI ' ,,18, /,Z6 Pufrip futake Depth Below Tot) of'kArelf Camng: Cejo feet Painp Manufacrarer's Name: 10-12e. - I Pump Model: 64N S�V( Pump Size hp ftless Adapter SuriA Depth; feet Phle-:S Adapter Installer- WC11 Disinfected Upon Cout,pletiozi? "d �Yes i ! Nu Method ol'Disinfution Comments - Pump Installer Name: Vvejj & Pump Service, L...... 31 10 East 76th Avenue Anchcrage, AK 99518 Phone: 907-21113.0740 F -,v! 907-243-0742. ktteution: The pump installer sna!! picvidc a primp installadon log lo -,hL DSD wi�.-'tin. -30 :.,avS ofpu-m., instai'atio-n. GAAB-HO- I /,,- 2. ~,P""tER ANCHORAGE AREA BORG" HEALTH DEPARTMENT ; Y -/// 327 ~A~'LE ST. ANCHORAGE, ALASKA 99501 27~2511 NAME INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM LOCATION LEGAL DESCRIPTION SEPTIC TANK: DISTANCE FROM WELL LIQUID CAPACITY_ GALLONS. MAIERIAL (~"~ ~J'~"'/~''' NUMBER OF COMPARTMENTS INSIDE LENGTH ! INSIDE WIDTH '~' / LIQUID DEPTH ~"~' SEEPAGE SYSTEM: SEEPAGE Pit: NUMBER OF FITS ..... / OUTSIDE DIAMETER. LINING MATERIAL__ NEAREST LOT LINE o, W,DT, /5'"'" DISTANCE FROM WELL /.~'~ O '/ TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) ,LENGTH // , , DEPTH , BUILDING FOUNDATION so. ET. TILE DRAIN FIELD: DISTANCE FROM WELl NUMBER OF LINES ABSORPTION AREA FOUNDATION. DISTANCE BETWEEN LINES SQ. FT. LENGTH OF EACH LINE DEPTH: TOP OF TILE TO FINISH GRADE TYPE DEPTH NEAREST SEPTIC LOT LINE , SEWER LINE , TANK , NEAREST LOT LINE 'fRENCH WIDTH TOTAL LENGTH OF LINES IN. TOTAL EFFECTIVE DEPTH OF FILTER MATERIAL BENEATH TILE IN. ABOVE TILE WATER SAMPLE DISTANCE FROM , BUILDING FOUNDATION SEEPAGE , SYSTEM , CESSPOOL DIAGRAM OF SYSTEM , NEAREST OTHER , SOURCES DATE APPROVED HEALTH AUTHORITY GAAB-HD-2 GREATEI 327 Eagle St. ,_NCHORAGE AREA HEALTH DEPARTMENT Anchorage, Alaska 99501 ROUGH 27%2511 Case N o. SEWAGE DISPOSAL SYSTEM - APPLICATION & PERMIT APPLICATION TO INSTALL: SEPTIC TANK TO SERVE THE FOLLOWING FACILITY FINANCED THROUGH PERCOLATION TEST RESULTS ~ MAILING ADD R ESS~, NAME OF APPLICANT ~ · / RESIDENCE ADDRESS--7/'~,'9 Z-~) /;'2' ';~:.~' LOCATION OF INSTALLATION ~ / LEGAL DESCRIPTION ~7~::./,~ ~ , SEEPAGE PIT ~/ ,DRAIN FIELD TO BE INSTALLED BY~ ANTICIPATED DATE OF COITION PHONE NO. ,OTHER BELOW TO BE FILLED OUT BY HEALTH DEPARTMENT THIS IS TO SERVE AS AS DESCRIBED BELOW. . SEPTIC TANK SIZE. DISTANCES: , PERMIT TO INSTALL A SIZE OF UNIT TO BE SERVED TYPE SEEPAGE AREA DIAGRAM OF SYSTEM TYPE Health Authority 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 APPLICANTS SIGNATU RE DAT~ RECEIVED INSPECTION APPOINTMENTS TIME TIME TIME DATE DATE ~ / DATE ,NSPECTO ,NSPECTO ,NSPECT . ! MUNICIPALITY OF ANCHORAGE ~UNIClPALI~ OF ANCHORAGE 825 L Street - Anchorage, Alaska 99501 " ENVIRONMENTALSANITATION DIVISION JUN 1 9 1980 Telephone 264-4720 DIRECTIONS: Complete all parts on page 1. Incomplete requ~ will not be p~oce.ed, Please allow ten {10) days for processing. 1. PROPERTY OWNER I PHONE MAILING A~DRESS PROPERTY RESIDENT (If different from above) ~ PHONE 2. BUYER PHONE MAILING ADDRESS 3. LENDING INSTITUTION ~ PHONE I MAILING ADDRESS 4. REALTOR/AGENT PHONE MAI LING A~DR ESS 5. LEGAL DESCRIPTION STREET LOCATION 6. TYPE OF RESIDENCE ~i~ SINGLE FAMILY [] MULTIPLE FAMILY NUMBER OF~BEDROOMS [] One [] Four [] Two [] Five ~ Three [] Six [] Other 7, WATER SUPPLY INDIVIDUAL* [] COMMUNITY [] PUBLIC UTILITY 8. SEWAGE DISPOSAL SYSTEM INDIVIDUAL/ON-SITE** [] PUBLIC UTILITY * 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.) YEAR ON-SITE SYSTEM WAS INSTALLED. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 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 [] INDIVIDUAL DEPTH OF WELL [] COMMUNITY DATE DRILLED [] PUBLIC UTILITY Connection Verified LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER [] I N DIVI DUAL/ON -SITE DATE INSTALLED []PUBLIC UTILITY Connection Verified INSTALLER []Septic Tank or []Holding Tank Size: / ~)(~)(~) If Tank is homemade SOILS RATING give dimensions: TYPE OF TANK MANUFACTURER Absorption Area to nearest Lot Line 5, COMMENTS [~//APPROV ED FOR -~ BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) [] DISAPPROVED DATE BY 72-010 (Rev. 6/79) To/ ben Spurkland P.F.. 8155 Cranberrv St. Anchorage, Alaska 99502 Phone (907) 243-5302 Mrs Ginger Cassle Busi Bee Realty 1401W 34th Ave Anchorage, Akaska 99503 ADEQUACY TEST July 19,1980 MUNICiPALiTY OF ANCHORAGE DEPT. OF I.F,\I.'?II & ENVIRONMEN] AL D',LO I ECl'ION ,JUL g 8 1980 RECEIVED Legal: Residence: Water: Sewer: Lot 18, Fairmount 3 Bedrooms, 2 Storey, Unfinished On Site Well From Municipal Records: Constructed in 1969 Tank: Concrete, one compartment, 1OOO gal. capacity Seepage Pit Concrete Rings Absorption Area: 468 Sq.~%. Date of Test: July 18, 1980 .~..' . ~e?;' ~ ..~..'~. taken: ~ · 0 Jl~;'.. ...;~';~ Absorption Rate ~2.45 ol.0o 4.45 Absorpt ion Rate: Test Procedure: Tank Pumped on July 14, 1980 System inspected July 17. Bottom of pit 7'-3" below ground 20 inches of water in crib 20 inches of water in tank. Line between tank and crib 24 inches below ground. Cleanouts at midp&int. Crib was filled with water &n July 18 and the following readings Depth In Crib Depth In Tank 24 24 " 50 24 70 24 ¥ 7O 54 41 29 24 O REBAR i O O CD 02 0 0 LOT 17 � Do Do �x x —x� gg\� CREEK ONO � $� ELECTRIC O„ G LEJ TRANSFORMER M GRAVEL RIVEWAY WELL SEE BUILDING LOT 18 48,656 sq. ft. SEPTIC STANDPIPES UTILITY PEDESTALS 27.7' T O O 0 O m O O m w rn N X� Y W W D_ U Co m 32.62' S 84016'05" W gtio� M �</�� I/S 9 M S 60001'41" W �o 7 9.37' 'co Vol LOT 28 NOTE RABBIT CREEK MEANDER LINE REFLECTS THE LOCATION OF THE ORDINARY HIGH WATER ON JULY 5, 2026. EASEMENTS OF RECORD, OTHER THAN THOSE SHOWN ON THE RECORDED SUBDIVISION PLAT (P-567) ARE NOT SHOWN HEREON. THIS DOCUMENT DOES NOT CONSTITUTE A BOUNDARY SURVEYAND IS SUBJECT TO ANY INACCURACIES THATA SUBSEQUENT BOUNDARY SURVEY MAY DISCLOSE. UNDER NO CIRCUMSTANCES SHOULD ANY OF THE DATA HEREON BE USED FOR CONSTRUCTION OF FENCES, IMPROVEMENTS, OR FOR ESTABLISHING PROPERTY BOUNDARIES. bUILUIINO Ut I/HIL 1" = 1U' 0 25' 50, AS -BUILT I HEREBY CERTIFY THAT I HAVE SURVEYED THE FOLLOWING DESCRIBED PROPERTY: LOT 18, FAIRMOUNT SUBDIVISION ANCHORAGE RECORDING DISTRICT, ALASKAAND THAT THE IMPROVEMENTSAS DEPICTED HEREON EXISTAS SHOWN IN RELATION TO THE PROPERTY LINES. DATED THIS 5th DAY OF JULY, 2026, ATANCHORAGE, ALASKA. FIXED HEIGHT, LLC C.O.A.122554 Land Surveying Services WWW.FIXEDHEIGHT.COM 600 W 41 st. Ave, Ste. C, Anchorage, AK 99503 907.290.8949 JOB # 26205 I NO CORNERS SET THIS DATE I SCALE 1" = 50' MUNICIPALITY OF ANCHORAGE Efwfmpqnfou!Tfswjdft!Efqbsunfou Qipof;!!):18*454.8:15 Po.Tjuf!Xbufs!'!Xbtufxbufs!Tfdujpo !!!!!Gby;!!):18*454.8::8 Dfsujgjdbuf!pg!Po.Tjuf!Tztufnt!Bqqspwbm PTD37232: 603903138 Parcel ID 128!.222.21 Expiration Date: Legal description GBJSNPVOU!MU!29 Site address 6751!SBCCJU!DSFFL!SE Current property owner(s) !DVMLJO!UIPNBT!K Y4 The On-site system(s) is/are approved for bedrooms Conditional approval forbedrooms, with the following stipulations: Comments or conditions: Op!dpnnfout Curtis Townsend 80803137 By:Original Certificate Date: 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: !!!!!!Y COSA ChecklistWell Flow Advisory Absorption Field AdvisoryNitrate Advisory Tank Age Advisory Arsenic Advisory Other MUNICIPALITY OF ANCHORAGE Development Services Department Phone: 907-343-7904 On-Site Water & Wastewater Section Fax: 907-343-7997 COSA Application_Apr2025.doc Certificate of On-Site Systems Approval Application 1. GENERAL INFORMATION Parcel I.D. Complete legal description Location (site address) Current property owner(s) Day phone 2. ON-SITE SYSTEMS SIZED FOR BEDROOMS 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: Private Septic Private Septic serving 2 dwelling units Holding Tank Community Septic or Public Sewer 5. SEPTIC TANK: Steel Plastic Concrete Fiberglass Age ______ - See advisory if steel or fiberglass older than 20 years 6. ABSORPTION FIELD: AWWTS Bed Deep Trench Wide Trench Seepage Pit Waiver request for: Distance: 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 $ Waiver Fee $ Date of Payment Date of Payment COSA # Waiver # COSA Checklist.docx COSA Checklist Legal Description: FAIRMOUNT LOT 18 Parcel ID: 017-111-10 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 UNKNOWN Total depth UNK ft Cased to UNK ft Sanitary seal is functioning correctly Wires are properly protected Casing height (above ground) 18 in. Date of flow test for COSA 6/4/26 Static water level at beginning of test 18 ft. Well production at time of test 0.58 gpm Water storage tank volume None 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 5/28/26 Comments __________________________________________________________________________________ B. TANK DATA Measured operating fluid level in septic tank 59" Date of pumping 5/29/26 Required maintenance completed, if AWWTS Comments: C. LIFT STATION Required maintenance completed Age of lift station years Lift station material Comments: D. DISPOSAL FIELD DATA Which system tested (date installed) 6/25/1969 ALL standpipes present per record drawing Total measured depth from grade 7.3 ft (max) Measured depth to pipe invert from grade 2.6 ft (min) N/A – pressurized field. Per record drawings, field is insulated. Monitor tubes (MT) go to bottom of effective (ED). If not, state depth into effective 4.7’ Presoaked required if (Required if house vacant or field not used for more than 30 days prior to date of test) Gallons introduced 2000 gallons 6/3/26 date Any rejuvenation treatment (past 12 months) N If yes, enter date Adequacy test date 6/4/26 Results Pass Fluid depth prior to test 2 in Water added 450 gal New fluid depth 25 in Elapsed time 1440 min Final fluid depth 2 in Absorption rate 450 gpd FIELD STATUS – POST RECOVERY Effective depth (per record drawings) 72 in (MOA 6’ ED) Effective depth (ED) used 18 in (Final Fluid Depth + missing ED) Effective depth remaining 54 in Comments/Deficiencies: Approximate total measured depths from existing grade. Presoak of 2000 gal filled crib up to the invert. After Presoak, the next day fluid levels were 2”. Per MOA doc Crib consists of two 3’ concrete rings. Measurable ED is at 4.7’ the adequacy test of 7/17/1980 reflects these numbers as well. COSA Checklist.docx E. SEPARATION DISTANCES From Well on Lot to: (Please enter distances if less than required) Septic Tank/Lift Station on Lot > 100’ Yes if No ft Neighboring Tank > 100’ Yes if No ft Disposal Field on Lot > 100’ Yes if No ft Neighboring Disposal Fields > 100’ Yes if No ft Sewer Line/Main > 100’ Yes if No ft Sewer Manhole/Cleanout > 100’ Yes if No ft Sewer Service/Septic Line > 25’ Yes if No ft Holding Tank > 100’ Yes if No ft Animal Containment > 50’ Yes if No ft Manure/Animal Excreta Storage > 100’ Yes if No ft N/A – Served by Community Well (not on lot) or Public Water From Septic/Holding Tank and Disposal Field(s) on Lot to: (Please enter distances if less than required) Tank to Foundation > 10’ Yes if No ft Field to Foundation > 10’ Yes if No ft Tank to Property Line > 5’ Yes if No ft Field to Property Line > 10’ Yes if No ft Water Main/Service Line > 10’ Yes if No ft Surface Water > 100’ Yes if No *50+ ft Wells on Adjacent Lots: Wells > 100’ Yes if No ft Community Wells > 200’ Yes if No ft If tank or field is under driveway comment below F. ENGINEER’S COMMENTS *Per code at time of install & per discussions with Curtis Townsend, PE of the MOA. 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 FIRST WATER CONSULTING Phone 907-350-9566 Engineer’s Printed Name CURTIS HUFFMAN, PE Date 06/30/2026 Comments: This investigation was completed in compliance with MOA guidelines, regulations, and best industry practices / methods. The assessment of the condition of the well and septic applies only to the conditions as of the day tested. The flow and absorption rates may change due to subsurface conditions that may not be observed from the surface, changes in land use, local soil characteristics, groundwater levels that may fluctuate during the year, quality of construction (workmanship & materials), the water usage of the family being served by the system and maintenance. The operational life of all well and septic systems are subject to these various and dynamic characteristics and are outside the control of the evaluator of the well and septic system. Therefore, any or NO estimate of how long a system will function satisfactory for current or future occupants or guarantee that no unseen encroachments, deficiencies or discrepancies exist can be given by First Water Consulting & 06/30/26