The URL can be used to link to this page

Home My WebLink AboutROLLING HILLS ESTATES BLK C LT 9 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 OSC251188 ,�- // 2z,'�, ( Parcel ID 011 -072-03 Expiration Date: / �'' Legal description ROLLING HILLS ESTATES BLK C LT 9 Site address 7411 BAILEY DR Current property owner(s) HALLIWILL JEFFREY J & SANDRA S X The On -site system(s) is/are approved for 3 bedrooms Conditional approval for bedrooms, with the following stipulations: Comments or conditions: By: Original Certificate Date: 5/22/2025 This Certi cate 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 MUNICIPALITY OF ANCHORAGE AR . . . . . . . . . . Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Application 1. GENERAL INFORMATION Parcel I.D. 011-072-03 Complete legal description Location (site address) ROLLING HILLS ESTATES BLOCK C LOT 9 7411 BAILEY DRIVE ANCHORAGE, ALASKA 99502 Current property owner(s) JEFFREY & SANDRA HALLIWILL 2. ON -SITE SYSTEMS SIZED FOR 3 BEDROOMS Day phone 3. TYPE OF WATER SUPPLY: FE Private Well serving # 1 dwelling units F] Other Non-public well as regulated by MOA R Water Storage F-1 Community Well or Public 4. TYPE OF WASTEWATER DISPOSAL: ❑ Private Septic 0 Private Septic serving 2 dwelling units El Holding Tank MR Community Septic or Public Sewer 5. SEPTIC TANK: R Steel E] Plastic E] Concrete F] Fiberglass Age - See advisory if steel or fiberglass older than 20 years 6. ABSORPTION FIELD: M AWWTS ❑ Bed n Deep Trench E] Wide Trench F] Seepage Pit Waiver request for: Expedited review requested: R Distance: By applying for this entitlement, this property is subject to inspection by municipal On -site staff to verify the accuracy of the information provided. -7 COSA Fee $ Date of Payment 2, COSA # Waiver Fee $ Date of Payment Waiver # COSA Application_AW2025.doc MUNICIPALITY OF ANCHORAGE DEVELOPMENT SERVICES DEPARTMENT ( '� j 907-343-7904 On -Site water and wastewater Section i Fax: 343-7997 www.muni.org/onsite Arsenic Advisory Certificate of On -Site Systems Approval # OSC251188 Subdivision: ROLLING HILLS ESTATES, Block: C, Lot: 9 A water sample revealed an arsenic concentration of 14 micrograms per liter (ug/L). The Environmental Protection Agency (EPA) has established a maximum contaminant level (MCL) of 10.0 ug/L for public drinking water systems. While private wells are not subject to this regulation, EPA standards are based on existing health information and can therefore be used to gauge the relative quality of water from private wells. information on arsenic is available from the On -Site Water and Wastewater Program website (www.muni.org/onsite) or at 343-7904. This advisory must be attached to all copies of the subject Certificate of On -Site Systems Approval. COSA Checklist WELL ONLY.docx COSA Checklist Legal Description: ROLLING HILLS ESTATES BLOCK C LOT 9 Parcel ID: 011-072-03 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 *CIRCA 1981 Total depth UNK ft Cased to UNKNOWN ft Sanitary seal is functioning correctly Wires are properly protected Casing height (above ground) 15 in. Date of flow test for COSA 5/13/2025 Static water level at beginning of test 69 ft. Well production at time of test 7+ 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 14.0 ug/L Arsenic less than MRL (ND) Collected by Date 5/12/25 Comments *PER MOA DOCUMENTS B. TANK DATA – PUBLIC SEWER Measured operating fluid level in septic tank Date of pumping Required maintenance completed, if AWWTS Comments: C. LIFT STATION Required maintenance completed Age of lift station years Lift station material Comments: D. ABSORPTION FIELD DATA - PUBLIC SEWER Which system tested (date installed) ALL standpipes present per record drawing Total measured depth from grade ft (max) Measured depth to pipe invert from grade ft (min) N/A – pressurized field. Per record drawings, field is insulated. Monitor tubes go to bottom of effective. If not, state depth into effective Presoaked required if (Required if house vacant or field not used for more than 30 days prior to date of test) Gallons introduced gallons date Any rejuvenation treatment (past 12 months) If yes, enter date Adequacy test date Results Pass Fluid depth prior to test in Water added gal New fluid depth in Elapsed time min Final fluid depth in Absorption rate gpd FIELD STATUS – POST RECOVERY Effective depth (per record drawings) in Effective depth used in Effective depth remaining in Comments/Deficiencies: COSA Checklist WELL ONLY.docx E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well on lot) Septic Tank/Lift Station on Lot > 100’ Yes if No NA ft Neighboring Tank > 100’ Yes if No ft Absorption Field on Lot > 100’ Yes if No NA ft Neighboring Absorption Fields > 100’ Yes if No ft Community Sewer Main > 75’ Yes if No *50+ ft Community Sewer Manhole/Cleanout > 100’ Yes if No *50+ ft Private Sewer/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 Absorption Field(s) on Lot to: (Please enter distances if less than required) Building Foundations > 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 > 10’ Yes if No ft Water Service Line > 10’ Yes if No ft Surface Water > 100’ Yes if No ft Wells on Adjacent Lots: Private 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 *MET SEPARATION AT TIME OF INSTALL: PRIOR TO 1983 SEWER MAIN & MH REQUIRED A 50’ SEPARATION. WELL WAS INSTALLED IN 1981 OR PREVIOSULY & PRIOR TO AWWU SEWER W/ AWWU MEETING THAT SEPARATION OR OBTAINIG A WAIVER. 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 05/22/2025 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 & 05/22/25 7 ANCHORAGE RECORDING DISTRICT, ALASKA AS -BUILT OF: ROLLING HILLS ESTATES LOT 9 BLOCK C PLAT P-487 SURVEY CERTIFICATE: 1, John L. Schuller, Have conducted a physical survey of this property as shown on this drawing and that the improvements situated hereon are within the property lines and no enchroachments exist other than noted. Under no circumstance shoul4 any information on this drawing be used for construction of fences, structures, improvements, or for establishing boundary lines. EXCLUSION NOTES: It is the owners responsibility to determine the existence of any easements, covenants, or restrictions which do not appear on the recorded subdivision plat. WORK ORDER NUMBER: DATE: SCALE: E—MAIL: MAY 21, 2025 1"=30' schullerak®gmailxom 2 5 — 0 5 3 DRAWN BY. CHECKED BY GRID NUMBER: BOOK AGE: JLS SW2124 250161 OO = FND 5/8" REBAR Am 9TH �.... � .... ... ....:..� F'A �. .. .� •.JOHN L. SCHULLER.• 0 LS-10408 26 a_ °fessiono\ S?1-7052, 30 "E SUR V� LAN 1831 Talkeetna Street Anchorage, Alaska 99508 (907) 227-1455 office (907) 274-4992 fax /I MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street- Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/I WELL INSPECTION REPORT ~AME MAILING ADDRESS P, o, ~ I o-~5,7 I LEGAL DESCRIPTION Lo.. ']. LOCAT,~. '7 3r~ NC. OF BEDROOMS3 DISTANCE TO: Manufacturer Liq. capacity in gallons DISTAI~ DISTANCE TO: Length Type of crib DIS~T~NCE TO: We IF HOMEMADE: I In_side length Well .~,~welling Dwelling.~ j~- Material Wi dtl~ ~"~-~'~'* Crib depth .,,,/'~'"'~Total effective Buildi~g~ndation~' Nearest Io~e Class Driller Distance to lot line DISTANCE TO: Building foundation Sewer line Septic tank ¢~ ~ PERM,T NO.c~ lO '7,Tlo Crib diameter Well PERMIT NO. gallons PERM'T NO'p/O?,F~ Distance between lines Total effective abso~ PERMIT NO. Absorpt on area(s)/~)~) OTHER SOl L TEST RATING /~,~ REMARKS v APPROVED DATE LEGAL PERMIT NO. RPPLICRNT L..OCRTION L. EGRL 8:1.0756 ) JEFF HRL. L IklILL L D B C ROLLING HILLS LOT SIZE t8000 SQURRE FEET TYPE OF' SOIL R6'SORPTION SYSTEM IS: TRENCH MRh',IMUM NUMBER OF' BEDROOMS SOIL RRTING (Si."..'! FT/BR)= :1.65 7'HE REQUIRED SIZE OF THE SOIL RBSORPTION SYSTEM IS: [:. E£ F:" qF ~-It == ~] THE LENGTH DIMENSION IS THE LENGTH (IN FEE]") OF THE TRENCH OR DRRINFIELD. 'THE DEPTH OF FI TRENCH OR PIT IS THE [:,ISTRNCE BE"f'NEEN THE SURFRC.'.'E OF THE GROUN[:, RND THE BOTTOM OF 'THE EXC:Ft',/RTION (IN FEE:'['). THERE IS NO SET klIDTH FOR TRENCHES. THE GRR',,,'EL DEF'TH IS THE MINIMUM [:,EPTH OF' GRRVEL BETNEEN THE OL.ITFRL. L PIPE RND "['HE BOTTOM OF THE E;'<CRVRTION (IN FEET). PERMIT RPPL. ICRNT HRS THE RESPONSIBILIT'-r' 7'0 INFORM THIS [.',EPRRTMENT DURING '['HE INS'TRLLRTIE~N INSPECTIONS OF' RN"r' klEL. LS R[:'JRCENT "r'o THIS PROPERTY FIND THE NUME:ER OF RESIDENCES 'I"HRT 7.'HE NELL klILL SERVE. BRCKFILi. ING OF RN"r' S",'STEM NITHOUT FINRL INSF'ECTION RND Ft'E'F'ROVRL BY THIS DE-.:PRRTMENT NILL. E:E SUBJECT '1"0 PROSECLITION. MINIMUM [.',ISTRNCE BETklEEN R NELL RND RNY ON-SITE SENRGE DtSPOSRL SYSTEM IS :~.OE'; FEET FOR R PRIVRTE klELL OR ::L50 'T'O 200 FEET FROM R PLIBLIC NELL. DEF:'ENDtNG UPON THE TYPE OF F'UBLIC 14ELL. '-', '" 2,.5 FEE.T F:IN[:, MINIMUM [:,ISTRNCE FF4'C'M R F'RI',/RTE NEL. L TO R PRI',,,'FITE .:,EWEF:. L. INE IS "' TO R COMMUNIT"r' SEt.4ER LINE IS 75 FEET. NEL. L. LOGS RRE REQLIIRED RND MUST BE RETURNED TO THE DEF'RRTMENT I4IT'HIN 30 DRYS OF THE WEL. L. COMPLETION OTHER REQUIREMENTS I"IR"r' RPPL"r'. SPECIFICRTIONS RN[:' CONSTRUCTION DIRGRRMS RRE F4'v'RILRBLE TO INSURE PF.:OF"ER INSTRLLRTION. I CEF.':T I FY THRT 1: I Rht FRMIt...IRR klITH THE REQUIREMENTS FOR ON-SITE SENERS RND NELL..S F1S SET FORTH BY THE MLJNICIPRLIT'-r' OF RNCHORRGE. 2: I kilt...[... INSTRLL THE SYSTEM IN FICCORDRNCE klITH THE CODES. 3: I UNDERS]r'RND THRT 'THE ON-SITE SEWER SYSTEM MRY REQUIRE ENLF1RGEMENT IF' THE RESIDENCE IS REMODEL. ED 'TO INCLUDE MORE THRN 2: BEt)ROOMS. S I GNED: ............................................................................ RPPL. ICRNT JEFF FtRLLINILL Applicant: Location: Legal Description: L ~ '~ ~- Type of Soil Absorption System Is: Trench: / Drainfield: Maximum Number of Bedrooms: 3 ?--~UNICIPALITY OF ANCHORAGE,~-~ Department ~ Health and Environmenta~ ~rotection 825 L Street, Anchorage', AK. 9'9501 264-4720 * * * HANDWRITTEN PERMIT * * * WELL AND/OR ON'SITE SEWER PERMIT ~~ Mailing Address: ~2~ hone u er! ~Q~. J~LOt Size:' seepage Bed: Holding Tank: Soil Rating(sq.ft/br) [~ The Required Size of the Soil Absorption System Is:' DEPTH l~~ LENGTH C~C[P GRAVEL DEPTH : .~ WIDTH The length dimension is the length(in feet) of the trench or drainfield. The depth of a trench or pit is the distance between the surface of the ground and the bottom of the excavation(in feet). There is no set width for trenches. The gravel depth is the minimum depth of gravel between the outfall pipe and the bottom of the excavation(in feet). * * REQUIRED SEPTIC(HOLDING) TANK SIZE = I~[~OC> GALLONS * * Permit applicant has the responsibility to inform this department during the installation inspections of any wells adjacent to this property and the number of residences that the well will serve. * * * TWO(2) INSPECTIONS ARE REQUIRED * * * Backfilling of any system without final inspection and approval by this department will be subject to prosecution. Minimum distance between a well and any on-site sewage disposal system is 100 feet for a private well or 150 to 200 feet from a public well depending upon the type of public well. Minimum distance from a private well to a private sewer line is 25 feet and to a community sewer line is 75 feet. 'Well logs are required and must be returned to this department within 30 days of the well completion. Other requirements may apply. Specifications and construction diagrams are available to insure proper installation. * * * PERMIT EXPIRES DECEMBER 31, 1 9 8 1 * * * I certify that: (1) I am familiar with the requirements for on-site sewers and wells as set forth by the Municipality of Anchorage. (2) I will install the system in accordance with codes. ~ (3) I understand that the on-site sewer system may require enlargement if the residence is remodeled to include more that 3 besoms. Signe~: Issued by: Applicant Date: SWP/024 (1/$1) Deployment o~ ~h~a~h and EnVironmental ~'~"* ~U~ReD SEPT~C(~LD~) rAN~ S[Z~ CONSTF JC:TfON TEST LAB . 1:80( ,,ANCHORAGE%ALASKA 99505 248-1;533 PERFORMED,-.FOR: .JEFF HALLIWILL LEGAL DESCRIPTION: Lot 9 .~81ock THIS FORM REPORTS:-~ -n Visunl '~0ils Exominotion DATE j:~ER~)RMED: 7/16-/81 -Subdivision ROLLING HILLS ~ ~ X~Percolati'on ~;fest 81v1594 DEPTH '~' SOIL FEET .-7 '- DESCRIPTION NOTES Peat & Organic - Pt Sandy SILT - ML Damp 7' SILT FN SAND - SM BOTTOM OF HOLE WAS GROUN~'WATER ENCOUNTERED iF YES,-WHAT-'-DEPTH LEGEND ...... · ) --iPe~c zone · ) s - sample' loken · --~Frozen zone ~- Woter table Kinne~ 3656, E CAG~RAL SITE SLOPE ~EADING r- DATE ..... GROSS :~TIME'; ' .... '"':NET'S'TIMEDEPTH" TO"H2'O'"' ~? NET ,~AINAGE,,, ~ ' " -- 76"': '" i:.. "'~;' ~*~ ~'~ '~.~ initial :' 7/16/81 8:15 a.m. ..... ~ '-'- ,, 16~,,: ~ 1 " 8:30 a.m~ ~ I5 mln. 92" ': '* ~+..,,.%~ 1 2 .... """' 8:45 a,m. ~' ~15 min, , . ", :..:,-- 7~- , 9:00 a.m. . "~5 min. _ -~ ~::~ .... 4-':~ .~ 4 '- " 9:15 a,m. 1~' ~i~. 105" 2Y:~: -~ . . . . 3 rr:~ ~ ~ · . 9=45 a.m. 30 m&~, 108" - PERCOLATtON~.~~ RATE: 10 min/inch DRAINAGE REQUIREMENTS: 165 sf/b~droom ~",, PROPDSE~' INSTALLAT-ION: :E]~ SEEPAGE PIT 'X~DxDRAIN4 FIELD E3 OTHER '*~ ' COMMENT~:t RnT.~ PPTMER 7/15/R1 ~.. - ~ _. - ' TEST PERFORMED BY: Kinney R. Baxter, P.E. OATA,:C, ERTIFIED BY: Kinney R. -'~E~fer, P.E. :_~. .... DATE: 7/'20/81 jL-- ~l- ~ - DATE'RECEiVED INSPECTION APPOINTMENTS TIME TIME TIME DATE DATE DATE NICIPALITY OF ANCHORAGE ~UNIOIPALITY OF ANOHORA~E DEPT. OF HEALTH & DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTIo~NVIRONMENTAL PROTECTION 825 L Street - Anchorage, Alaska 99501 NOV 1 7 198 ENVIRONMENTAL SANITATION DIVISION Telephone 264-4720 ~EOUEST FOil APPROVAL OF INDIVIDUAL WATE~ AND SEWE~ FACI DIB[OTIONS: Complete ~lJ perts on peg~ 'J. Incomplete req~es[s will ~ot be proce~ed. Plesse ~llow ten (~0) deys for processing. YR ESl DENT (I f different from above) z PHONE 2~.~E R PHONE 3. LEN~,G~STITU~ON m ' MAILING ADDRESS 4. REALTOE/AGENT J PHONE I MAILING ADDRESS 5. LEGAL DESCRIPTION STREET LOCATION 6. TYPE OF RES. S.S.S~DENCE ~'~/SI NG LE FAMILY [] MULTIPLE FAMILY N U M.J~'~R OF~BEDROOMS [] One [] Four [] Other__ ~ ...~wo [] Five ~ Three [] Six 7. WATER~ SU~PI~¥ INDIVIDUAL* [] COMMUNITY [] PUBLIC UTI LITY *ATTACH WELL LOG. A well log is required for all wells drilled since June 1975, For wells drilled prior to that date, give well depth (attach log if available.) 8. SEWAGE DI~I~jAL SYSTEM ~'" IN DIVI DUAL/ON-SITE** [] PUBLIC UTILITY · ,,-~'./ YEAR ON-SITE SYSTEM WAS INSTALLED. q-n,, NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010 (Rev, 6/79) 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 [] INDIVI'DUAL DEPTH OF WELL [] COMMUNITY DATE DRILLED [] PUBLIC UTILITY Connection Verified LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER [] INDIVI DUAL/ON -SITE DATE INSTALLED []PUBLIC UTILITY ~'--~t Connection Verified INSTALLER []Septic Tank or [] Holding Tank Size: /~ If Tank is homemade SOILS RATING give dimensions: TYPE OF TANK MANUFACTURER,~. TOTAL ABSORPTION AREA MATERIAL 4. DISTANCES Septic/Holding Tank IAbsorption Area Sewer Line Nearest Lot Line I WELL TO: Absorption Area to nearest Lot Line 5. COMMENTS [~i-'~'~PR OV ED FOR .~, BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) [] DISAPPROVED DATE BY ~