HomeMy WebLinkAboutNORTH WOODS UNIT 3 BLK 12 LT 14Municipality of Anchorage
On-Site Water and Wastewater Section • (907) 343-7904 Page of
ON-SITE WASTEWATER INSPECTION REPORT
Permit Number: OSP211223 PID Number: 051-732-07
Dwelling: ® Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New ® Upgrade
Name
THOMAS & HEATHER CREWS
ABSORPTION FIELD -EXISTING
❑ Deep Trench ❑ Wide Trench ❑ Bed ❑ Mound
Site Address
23126 SHELTERING SPRUCE AVE., CHUGIAK
❑ Other
Phone71Number
of Bedrooms
Soil Rating
Total depth from original grade
3
GPD/SF
Ft.
LEGAL DESCRIPTION
Depth to pipe invert from original grade
Ft.
Gravel depth beneath pipe
Ft.
Subdivision Block Lot
NORTH WOODS #3 12 14
Fill added above original grade
Ft.
Gravel length
Ft.
Township Range Section
Gravel width
Ft.
Beds: Number of Lines
Distance between lines
Ft.
SEPARATION DISTANCES
To
Septic
! Absorption
Holding
Sewer
Total absorption area
Number of trenches
Dist. between trenches
From
Tank
Field
Lift Station
Tank
Line
Ft'
Ft.
Well
200'+
__
25'+
TANK ® Septic ❑ S.T.E.P. ❑ Holding ❑ Other
Manufacturer
GREER
Capacity
1000 Gal.
Surface Water
100'+
--
Material
HDPE
Number of compartments
2
Lot Line
10'+
--
NA
Foundation
10'+
__
LIFT STATION
Manufacturer
Capacity
Gal.
Remarks TANK INSULATED WITH 4" HIGH DENSITY.
Alarm location
Electrical installed by
PIPE MATERIAL House to tank 3034. Tank to 3034
Installer JRS
drainfleld
Drainfield CO/MT 3034
Inspector FWCS
BENCH MARK (Assumed elevation) 100 ft
Inspection ection 1s 7/27/21 7/27/2021
Location and description
zed
3rd 4'n
TOP OF PORCH
ON-SITE WATER AND WASTEWATER SECTION APPROVAL
At
Conditional Approval: Date-49
®��., • • ' , ,�.
TH
• • . - .........
" " ......• . '
Curtis Huffman
Septic System
Approved -NtceA�
Date ad (
31 2
is •.. CE 128991 •,c4.�
� fi�Fa S/18/2021.
PROFE8SQA�� -
Note: this approval does not include well permit requirements.
kmt:v vulu4l IO)
PID: 051-732-07
PERMIT: OSP211223
d -
N
A—C=36,9'
B—C=13.4'
A—D=38.1'
B—D=17.9'
A—E=36.7'
B—E=20.4'
N90°00'00"W
120.00'
X X
X X X X—,", KEYBOX
15' UTILITY ESMT
®
EXISTING
®
FIELD
®
PAVED
®
0
D/W ;n
® EXISTING
06
FIELD
DECOMMISSIONED
DCO E
MARKED
EXISTING
CO ®
WATERLINE
S.T. & INSTALLED
D
APPROX.
NEW 1000—GAL HDPE
MH 40 C
LOCATION
C-1
SEPTIC TANK.
m
X
FCO
B 40.0'A
40.5'
1
EXISTING
as
-.- _
SCALES 1' = A0'
SEPTIC SECTION
SCALEi NTS
NORTH WOODS UNIT 3 B12, L14
PREPARED FOR:
THOMAS & HEATHER CREWS
23126 SHELTERING SPRUCE AVE.
CHUGIAK, AK 99567
FIRST WATER CONSULTING
13030 SUES WAY
ANCHORAGE, AK 99516
907-350-9566 firstwaterAK@gmail.com
SUPPORT SERVICES:
OF AL,45 Ar�
9TH
TH
DATE: 8/25/2021 rtis Huffman ,i� 04
SURVEY: JLSrCE 128991
DRAWN: FWCSc 8/25/21��
SCALE: 1 " = 20' �D
ssto��'
I ANCHORAGE RECORDI
SHELTERING SPRUCE AVE
N90°00'00"W 120.00'
AS -BUILT OF:
NORTH WOODS SUBDIVISION UNIT III
LOT 14 BLOCK 12 PLAT 83-68
SURVEY CERTIFICATE: I, 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 should
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: DAM SCALE: E—MAIL
AUG 24, 2021 1 "=30' schuiier®ak.net
21-126 DRAWN BY: CHECKED BY GRID NUMBER: BOOK/PAGE
JLS N W1459 210271
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••4 N L. SCHULLER.-Q '• •'
LS -10408 •� ��� ':•
��, • . , / 1631 Talkeetna Street
6 AW Anchorage, Alaska 99508
A� p<` r
°fe a� �' " (907) 227-1455 office
s s ion�„ (907) 274-4992 fax
MUNICIPALITY OF ANCHORAGE
on -Site water & Wastewater ]grogram
PO Bax 1966$0 4700 Elmue RDW
A or , Al;;Ska 59519-6550 Phone; {9Tj W3-71944 Fax: -1577) 343-7997
ht1p:1h ww.muni.of+anaiGe
Orr -Site Wastewater Disposal System Permit
Permit Number. O P211223
Work Type: Septi cTa nk Upgrade
Tax -Code Num bar_ 05173247400
Site Legal Address; NORTH VFWDS UNIT 8 ULK 12 LT 14 G=1459
Site Mailing Address: 23126 SHELTERING SPRUCE AVE, Chugiak
Owner; CREWS THOMAS D & HEATHER A
Design Engineer; FIRST WATER CONSULTING
This permit Is for the construction of,
Effective Date.
Expiration Gate:
Mcnr
a
f4ls
}4 rrtirlealt
Lot Size in SA Ft;
Total Sedroorns:
&2V2021
612112422
23M3
❑ Disposal Field 0 5eplyc Tionk ❑ Holdl ng Tank ❑ Pti+ 0 Privnie Well C1 Water Storage
All construction shall be in accordance with -
1 .
ith-1- The attac4ed approved design.
2. All requirements specified in Anctiurage Municipal code Chapters 15-55 and 15-65 and the Slato of Alaska
War,towalof pl spoSBI Regvl;a tions (19AAC72) Snd Drinking Water Regulations (18AAC$0)
. The woorewinter Qode roquiroo Inopeotlon!5 daring the In5timllotlon. The enginccr Shall notify the Days]gpmen+,
Services aepartrnerrt per AMC 15.55. Pravide notlfioaU4n by calling (907) 343-7904 {24;7).
4, From October 16 to April 15, a subsurface sail absorption Fystom under consiruclion duriri� freezing weather
shall be elther;
a. Opened and Closed on the same day, or
b.
Qw@ reO, sealed, and heated to proaerot freezing
F
ia E Pr`oy Isla ris: Water ServiOe line shall be lasted prior to inslallalion of septic tori k in order to confirm
um 10 ft "paraticrn to septic system. Water service line routing shall be shown on rec}rd drawing_
1
Received By:
Issued By; _WX_"JZ'
6121/2021
Date -
Date,.
3
Development Services Department
On -Site Water &Wastewater Section
ON-SITE SEPTIC/WELL PERMIT APPLICATION
Parcel I.D. 051-732-07
Phone: 907-343-7904
Fax: 907-343-7997
Property owner(s) THOMAS & HEATHER CREWS Day phone
Mailing address 23126 SHELTERING SPRUCE AVE., CHUGIAK, AK 99567
Site address 23126 SHELTERING SPRUCE AVE., CHUGIAK, AK 99567
Legal description (Sub'd., Block & Lot) NORTH WOODS #3 1312, L14
Legal description (Township, Range & Section)
Lot Size 23,093 Sq. Ft. Number of Bedrooms 3
APPLICATION IS FOR:
APPLICATION IS AN:
TYPE OF DWELLING:
(® all that apply)
Absorption Field
❑
Initial ❑
Single Family (SF)
El
(w/wo ADU)
Septic Tank
El
Upgrade Q
Duplex
ElHolding
(D)
Tank
❑
Renewal ElMultiple
Dwellings
❑
Privy
❑
(SF and/or D)
Private Well
❑
Water Storage
❑
THIS APPLICATION INCLUDES A 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 of property owner or authorized agent)
Permit/Rush Fees: tt,2 9-5 Waiver Fees:
Date of Payment: ll5l 1
Receipt Number: 315180
Permit No. ��1� 1 A .,'�
Date of Payment:
Receipt Number:
Waiver No.
GADevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Client Forms\Permit Application.doc
13030 Sues Way, Anchorage, AK 99516
907-350-9566 / FirstwWaterAK@gmail.com
June 10, 2021
Municipalities of Anchorage
On-Site Water & Wastewater Program
4700 Elmore Road
Anchorage, AK 99507
RE: SEPTIC TANK UPGRADE PERMIT
LEGAL: NORTH WOODS UNIT 3 BLOCK 12, LOT 14
The owner has requested that we obtain a septic permit to upgrade the existing aged steel septic
tank on the above referenced lot. We propose to install a 1000-gallon HDPE tank per the
attached design to serve the existing 3-bedroom residence. The lot and area are served by public
water. The design will not impact any of the neighboring properties. Please contact us if you
have any questions.
Sincerely,
Curtis Huffman, P.E.
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP211223, Rebecca Carroll, 06/21/21
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP211223, Rebecca Carroll, 06/21/21
' 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: ST~:)60203 PID Number: 05173207
Name:
Sam Tribble Wastewater System: [] New ~ Upgrade
Address:
23126 Sheltering Spruce Ave ABSORPTION FIELD
Phone: ~ No. of Bedrooms:
688-4732I :~ [] DeepTrench [] Shallow Trench ~ Bed [] Mound [] Other
LEGAL DESCRIPTION soil Rating: Total Depth from original grade:
0°3 GPD/Sq. Ft. 2.5 it, at, ToN.
Subdivision; 3epth to pipe bpttom from original grade: Gravel depth beneath pipe
Lot: ].4 Block: ].2 Nort, hNoods TTI 9.54/9.48 0.5
Ft. Ft.
I I Fill added above original grade: Gravel leng~'~
Township: 15~T Range: 1W Section: 4 a'bout, 2°0 Ft. Ft.
D't eb ween lines:
Number of lines;
WELL: [] New [] Upgrade Gravel width: 15 Ft. Ft.
Classification (Private, A,B,C): Total Depth: Cased TO: Total absorption area: Pipe material:
Public Ft. Ft 1500 SQ. Ft. 3034
Driller: Date Drilled: Static Water Level: Installer: Date installed:
Ft. A+ Home'Services
Yield: J Pump Set at: I Casing Height Above Ground:
GPM! Ft. Ft. N/~ TANK Not Replaced
SEPARATION DISTANCES [] Septic [] Holding []
To Septic Absorption Lift Holding ~'ublic/Private Manufacturer: Capacity in gallons:
From Tank Field Station Tank Sewer Lines
[~UDlic
Wel~ N/A .... Materiah Number of Compartments:
Surface
Water OT'I00' o710o. N/~ N/A ~/A LIFT STATION ~'~
Lot ~"~ Sizein gallons: Manufacturer:
Foundation E~sff_,:~_ 29' N/'A N/'A N/A "Pump on" level at: "Pump off" level at: J High water alarm at:
CurtainDrain 1X~/A N/A N/A N/A N/A Pump Mske & Model J Electrical Inspections performed by:
Remarks: Soils ASsoG~bic~ ~ ~;>l~o~-~t, cnl.¥. BENCH MARK
Location and Description:
satisfactory c~nditicn with no a]cpa.r~'~.leak~. Lot
I Assumed Elevation:
WaS landscaped after ~aticn. 1 - 3 ft of fill ~l,
Inspections performed by: Ron Oodde~ Dates: 1st 8/7/96
Department of Health and Human Services approval 't~,'~... CE"S~ ...~.~
72-013 (Rev. 9/91) MOA 25
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SHELTERINF, SPRUCE AVE
.23 13.
'20 .10
.25 .15
.19 f ~/? WATERLINE
(81,118) ~7.6 ~8,1 30,5 33.6 34,1 33.0 37,0 4~,~ 34.8 54.9 59,5 6~.8
(81.11B) 56.6 ~2,1 5B,4 68,3 71,4 71.6 72.B 79.5 B2,3 B4. B 7B,O B1,2 69.B
(40,122) 57,~ 31.5 43,3 5B,[ 37,~ 40,3 43,[ 52, 56,~ 59.} 52,E 57.5 44.5
SOME TU~ES ARE LEANING
THETA ENVIRDNNENTAL ENGINEERING A~ ~UILT
~2 905 JAYNE COURT LTl4. BL12. NDRTH~DDDS SUDD III
ANCHORAGE. ALASKA 99318 SHEET ND,. ~ DF ~
(907) 344-19~8 DATE ~ ~
SCALE 1~20
1 2 3 4 5 6 7 B 9 lO 11 12
27.6 2B,1 30,5 33.6 34,1 33.0 3%0 42,2 34.8 54,9 59,5 62.B
13,1 14,1 17,6 22,4 22,1 38,.~ 42.1 46,', 37,: 56,2 61,0
13 14 15 16 17 IB 19 20 21 22 23 24 25
56.6 52,1 5B,4 6B,3 71,4 71.6 72.B 79.5 B2,3 B4. B 7B,O B1,2 69.B
57J 31.5 43,3 58,[ 37,t 40,3 43,[ 52,; 56,.= 59.' 52,E 57.'. 44.7
PUI~LIC
WATER LINE
UTILITY
EASEHENT
OE2 THETA ENVIRONMENTAL ENGINEERING
Legal Description:
905 Jayme Court
Anchorage, Alaska 99518-2444
(907) 344-1928
Fax: (907) 349-2363
PERCOLATION TEST ATTACHMENT
Lot 14, Block 12, Northwoods Subdivision III Test Hole # 1
Gross Net Drop to Net
Reading Date Time Time Water(fi) Drop(fi)
1 819196 0 0 0 /0.55 0.00
2 " 10 10 0.54/0.55 0.01
3 " 20 10 0.54/0.55 0.01
4 " 30 10 0.54/0.55 0.01
5 " 40 10 0.54/0.55 0.01
6 " 50 10 0.54/0.55 0.01
7 " 60 10 0.54/0.55 0.01
Total Drop 0.06ft
PERCOLATION RATE 83 min/inch PERC HOLE DIAMETER 0.5'
TEST RUN BETWEEN 6.5 FTAND 7.0 FT Pre-Soaked 4.0 hours.
'The layer is not impermeable, since the percolation rate is greater than 120 minutes/inch
114b12No~hwoodsTH#1A.
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND HUMAN SERVICES
P.O. BOX 196650, 825 "L" STREET, ROOM 502
ANCHORAGE, ALASKA 99519-6650
ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE)
PERMIT NUMBER:SW960203
DESIGN ENGINEER:THETA ENVIRONMENTAL ENGINEERING
OWNER NAME:TRIBBLE SAMUEL D & GILLIAN M
OWNER ADDRESS:23126 SHELTERING SPRUCE AVE
CHUGIAK, AK. 99567
PAGE 1 OF
PERMIT ~_ ~
DATE ISSUED: 7/16/96
EXPIRATION DATE: 7/16/97
PARCEL ID:05173207
LEGAL DESCRIPTION:
NORTH WOODS UNIT III BLK 12 LT 14
LOT SIZE: 23093 (SQ. FT.)
NUMBER OF BEDROOMS: 3 THIS PERMIT: 3
THIS PERMIT IS FOR THE CONSTRUCTION OF:
DISPOSAL FIELD /SEPTIC TANK SYSTEM
ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH:
1. THE ATTACHED APPROVED DESIGN.
2. ALL REQUIREMENTS SPECIFIED IN ANCHORAGE MUNICIPAL CODE CHAPTERS
15.55 AND 15.65 AND THE STATE OF ALASKA WASTEWATER DISPOSAL
REGULATIONS (18AAC72) AND DRINKING WATER REGULATIONS (iSAAC80) .
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)
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
THE FOLLOWING SPECIAL PROVISIONS.
SPECIAL PROVISIONS:
PERFORM AN ADDITIONAL PERCOLATION TEST
AT THE 6.5 FT. TO 7FT. DEPTH AND SUBMIT
DATA WITH ASBUILT/INSPECTION REPORT.
~ECEIVED BY: ~
[SSUED BY: ~$~%~/L ~
DATE:
= THETA ENVIRONMENTAL ENGINEERING
905 Jayme Court
Anchorage, Alaska 99518-2444 ~ E ~'~' ! VLc'~)
(907) 344-1928
Fax: (907) 349-2363 JUL 7 6 1995
· s'
SITE NARRATIVE
Lot 14, Block 12, Northwoods Subdivision #3 is bounded by Lot 15, Block 12 to the West,
Lot 13, Block 12 to the East, Lot 10, 11, 12, Block 12 to the North, and Sheltering Spruce
Ave to the South. There are homes on all adjacent lots with wastewater systems. The
system on the subject lot is recorded with the Municipality. The community is served by
a public water system and the lot is well in excess of 200 feet from the public water system.
An existing 3 bedroom home is present on the lot. The existing wastewater system was
installed in 1984. The existing system is in a state of failure. The soils test performed
does not indicate the same strata as found in the 1983 soils test, while the test was
performed within 20 feet of the existing system. Based upon the new soils test, it appears
the existing system is severely undersized for the home. The only reason it has served the
home is because of limited use by only two occupants. Further, it appears the existing
system is not built as indicated on the information provided to the Municipality in 1983.
The clean out indicated on the as-build appears to be in the extreme NW corner of the
system and ncJt in the extreme SW corner, r
The lot is fairly flat to the north and slopes from the north to the south on the southern half
of the lot. The slope in this area is 7 to 10 %. The test hole was accomplished about 25
feet from the existing system.
The layers in the test holes are fairly consistent and flat with no slope. The existing
system will be removed completely with. at least 1 foot of the receiving soil below the
system. If necessary, specification sand will be used to replace, as needed the existing
system and removed soil to bring it to the grade of the proposed system. Based upon my
professional opinion and observations, a bed system, installed over the removed existing
system, in the location proposed will operate correctly and not impact the surface water
below the system.
WELLS No impact to the public water system serving the community is anticipated from
this system.
Lot 14, Block 12, Northwoods
Page lof3
WASTEWATER SYSTEMS No impact to wastewater systems on adjacent lots is
anticipated from this system
RESERVED SPACE.
replacement system.
installed.
Sufficient room on the north side of the home exists to place a
However, if this location is used, a lift station will have to be
DRAINAGE No impact on the drainage of the lot is anticipated from the proposed
wastewater system. All fills will be sloped to drain in the direction of existing drainage.
The system will receive topsoil and seeding to prevent erosion. It is strongly
recommended that the contour above the system be graded in such a manner that the
upper portion of the lot to the north does not drain over the proposed system location.
WASTEWATER SYSTEM DESIGN
Percolation Rate: Test Hole #1 = 55.5 min/in.
Per Table 1, A 90-48(S-1) Page 16, Loading Rate = 0.3 g.p.d./sq ft = 500 sq fi/bedroom.
Suggested System = Bed Drain field. 3 bedrooms x 500 sq ft/bedroom = 1500 sq ft.
System to be installed in the strata which was percolated. Bottom of the system will be 6
inches into the strata which will be over 6 feet from the bottom of the hole.
Depth of gravel = 6 inches, bed width = 15 feet, bed length =100 feet.
15ftx 100 ft = 1,500 sq ft
Suggest great care be taken during installation to ensure the bottom of the bed is not
smeared. The soil is quite silty and smearing could contribute significantly to premature
failure.
The Bed Drain field should be constructed to the Municipality of Anchorage Typical Bed
Drain field Requirements and Specifications(AMC 15.65).
Request approval of 5 foot separation distance between the two legs of the proposed
replacement system, per AMC15.65.060.A.l.d. The existing system has failed and is not
percolating. The existing system will be removed to facilitate the installation of the
replacement system. The replacement system is sized for the soils which exist in the front
of the lot and will be installed at 2.5 feet below grade. In my professional opinion, approval
of a separation distance to twice the gravel depth of the existing system, but, which is not
greater than 10 feet, will not cause a problem, nor, will it violate the common engineering
OE2, Lot '14, Block 12, Northwoods III Page 2 of 4
practice of separation of twice the gravel depth. The area available in the front of the lot
is limited and the approval of the 5 foot separation would facilitate the replacement
system's installation.
As indicated on the soils log, the front of the lot is fairly flat. However, it rises rapidly at
a 8-10% slope in the front of the house up to the elevation of the house. At that point, it
is again fairly flat with a 1-2% slope. Installation of the system, as planned, will require
that the drainage over and around the soils absorption system be landscaped. This is
required in order to divert the existing drainage around the system. The owner is aware
of this requirement and has agreed to re-landscape the front of the lot in order to resolve
the issue.
While the soils log shows the soils to be very compacted from 6.5 feet to the bottom of the
test hole, it does not appear to be impermeable. That is, I would expect it to percolate at
less than 120 minutes per inch. However, it does not appear it would percolate less than
60 minutes per inch. The ground water level as measured in the hole indicates that water
is moving in the strata which also indicates it is not impermeable. Based upon these two
observations, I must conclude the strata is not impermeable. Since the bottom of the bed
is planned to be at least 4 feet above the ground water level, as observed, it would appear
the bottom of the bed is also 6 feet above an impermeable layer.
Attachments:
1. Soils Log and Perc Data.
2. Plan View, Entire Lot.
3. Plan View, Replacement System.
4. Existing As-built.
5. Lot Drainage Diagram.
6. Cross-section and Dual Clean out Detail.
7. Typical Clean out/Monitor Tube Detail.
8. Dual Clean out Detail.
O1~=, Lot 14, Block 12, Northwoods III Page 3 of 4-
T~US. Jayme Court
Anchorage, Alaska 99518,2444
, (907) 344-1928
Fax: (907) 349-2363
SHEET NO.
CALCULATED BY,
CHECKED BY,,
DATE
DATE b/'~/~'
Anchorage, Alaska 99516-2444
~ (907) 344-1928
Fax: (907) 349-2363
8HE£T NO.--
CALCULATED BY
CHECKED BY.,,
oF. ~'
'By _
Oate _
~ll work .~,TmE be.do,~e -~ ' , .-
~Int plan. A~roved p~an~ and ~pecifi.
'atio~ sh~ll",~ot be c/:nng~, tnodified
eltered wi:,%out [irst obtaining a
· -r ur--
IE REC~ PLATt
eE~ 905 Ja,
An(
Fax:
J
Anchorage, Alaska 99518-2444
, (907) 344-1928
Fax: (907) 349-2363
~u~. Jayme Court
Anchorage, Alaska 99518-2444
(907) 344-1928
Fax: (907) 349-2363
CALCULATED BY ~*"'
DATE_.
C~ECKED ~¥
DATE
.~ ~ ¢ ~ ...... ......... ......... ...... ,,
eE2 905 ,-layme Court
'" Anchorage, Alaska 99518-2444
, · (907) 344-1928
Fax: (907) 349-2363
CALCULATED BY ~ ~'fr,'1'~ b~'F~ DATE
CHECKED BY ~ ~0~ ~ ~
DATE
SCALE
~ I ,.... ~V~IGIF~E,~ SEAL)
~ ~ ~. ·" ' :' .~. h
~] DEPARTMENT OF HEALTH & HUMAN SERVICES
~ 825 "L" Street, Anchorage, Alaska 99502-0650
PERFORMED FOR: ~a~ ~b~ DATE PE~ ' "'.'~2~~
· esb Bole ~1, ~14,~12
,~,.~c,,,~,o~: No~h~ood~ su, ¢~ ~o~.~,ip.,..~. Sec,on: Se~
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
Organics
Silty Sand, Orange/Brow]
SLOPE SITE PLAN
GM, Silty Gravel, Tan/brown
with silty sand lens
GM, Silty Gravel, Tan, very
compacted
WAS GROUND WATER
ENCOUNTERED? ~TN
IF YES, AT WHAT ~
DEPTH? ~TA ~_
Momlorino? ' Date: '5"/30/q 6 , .
Reading
Date
5.1??.IQF
Gross
Time
N
lO
PERCOLATION RATE 55. 5
TEST RUN BETWEEN 3.0
Net
Time
,
IN
IN
!0
10
Depth to
Water
N_~Nff~ N
:5~5/ ~5 ~ n_n!5
.535,/.55~) 0.0!5
535/ 55~) 0_0!5
535,/.55!~ 0_015
O-ngffh/l~r
55.5min~'in
~ (mmute~lnCmt PERC HOLE DIAMETER 6 i n
FTAND 3.5 FT
COMMENTS Soils rated at 55.5min/inch between 2.5 fh ~nd 6.5 fL
Pre-soaked 4.0 hours
Net
PERFORMED BY: ROQ Godden I Ronald Godden CERTIFY THAT THIS TEST WAS PERFORMED iN
ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE:
72-008 (Rev. 4/85)
) (*'-~ 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/OR WELL INSPECTION REPORT
NAME
MAILING ADDRESS
LEGAL DESCRIPTION
LOCATION
J J Absorption area ~ Dwelling PERMIT NO.
~ N Liq, capacity in gallons IF HOMEMADE: Inside length Width Liquid depth
j IOOo
~ ~ DISTANCE TO' PERMIT NO.
~ O Z ] · Well Dwelling
O~ ~ ' Manufacturer
· -- ~ Material Liquid capacity in gallons
~Q DISTANCE TO: Well ~O~ ~ ~ Foundation /~ Nearest lot line ~ PERMIT~ NO.~¢~NO~ ~
No. oflines ~ Lengthofeach~ Totallength~es Trenchwidth Distancebetweenlines ~
~ ~ ~ Top of tile to finish grad~ ,~ Material beneath tile Total effective absorption area
~ Length Width Depth PERMIT NO,
~ ~ Type of crib Crib diameter Crib depth Total effective absorption area
DISTANCE TO: Building foundation Nearest lot line
~ Class Depth Driller Distance to lot line PERMIT NO,
~ DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s)
OTHER
PIPE MATERIALS
SOl L TEST RATING
INSTALLER / ~ ~
REMARKS 3~
'~PPROVED DATE LEGAL
2-013 (Rev. 3/78)
, MUNICIPALITY OF ANCHORAGE
. ~ Department~\Health and Environmental.~rotection
825~' 'Street
, Anchorage, AK. ~501
264-4720
:~ * * *. HANDWRITTEN PERMIT * * *
'ermit # ( ~ 0N-SITE SEWER PERMIT
~pplioant::D~-~~.~Zf~ Mailing Address:
,ocation: Phone/Numbe~:
'ype of Soil Absorption System Is: /
Trench: Drainfield: Seepage Bed:X Holding Tank:
iaximum Number of Bedrooms: ~ Soil Ratin~(sq.ft/br) /.~ .....
! The Required Size of the Soil Absorption System Is:
DEPTH ~ LENGTH RF! GRAVEL DEPTH
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 = /~O GALLONS * *
rmit applicant has the responsibility to inform this department during the
stallation inspections of any wells adjacent to this property and the number
residences that the well will serve.
* * * TWO(2) INSPECTIONS ARE REQUIRED * * *
~kfilling of any system without final inspection~and approval by this department
11 be subject to prosecution.
simum distance between a well and any on-site sewage disposal system is 100 feet
r a private well or 150 to 200 feet from a public well depending upon the type
public well. Minimum distance from a private well to a private sewer line
25 feet and to a comraunity sewer line is 75 feet. Well logs are required
~ must be returned to this department within 30 days of the well completion.
~er requirements may apply. Specifications and construction diagrams are
~ilable to insure proper installation.
* * * PERMIT EXPIRES DECEMBER 31~ 1 9 8 3 * * *
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 enla/gement if
the residence is remodeled to include mOre tha~3 bedroo~.
~igne~:~- /).- ~.,O,~ y:~~ ~~
zssued b
~pplica~ Q ~ Date: ~--//--~
;WP/024 (1/81)
SOILS LOG
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 L Street, Anchorage, Alaska 9950'1 264-4720
SOILS LOG- PERCOLATION TEST
PERCOLATION
TEST
WAS GROUND WATER
ENCOUNTERED?
IF YES, A'~'WHAT
SLOPE SiTE PLAN
S
I i
Reading Date Gross Net t Depth ;o Net
Time Time Water Drop
Russell l. Oyster
No. 4286-E
COMMENTS
72-008 (6/79)
PERcoLATION RATE (mMutes/inch)
TEST RUN BETWEEN FT AND . ~ FT
'-,--~_~.~-. ~'-~.--.,R/.,.---, 4/;, 'Z'~,,~,,,~ ,~ ~,,,,~.__,...~-.
MUNICIPALITY OF
ANCHORAGE
4. TYPE OF WATER SUPPLY:
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. 051-732-07
1. GENERAL INFORMATION
Expiration Date:
Complete legal description NORTH WOODS UNIT 3,13LOCK 12 LOT 14
Location (site address) 23126 SHELTERING SPRUCE AVENUE, CHUGIAK, AK 99567
Current property owner(s) THOMAS & HEATHER CREWS — Day phone
Mailing address
Real estate agent
23126 SHELTERING SPRUCE AVENUE, CHUGIAK, AK 99567
2. TYPE OF DWELLING:
0 Single Family (w/wo ADU)
❑ Duplex
❑ Multiple Dwellings (Single Family and/or Duplex)
Day phone
3. NUMBER OF BEDROOMS:
3
4. TYPE OF WATER SUPPLY:
TYPE OF WASTEWATER DISPOSAL:
Private Well
❑
Private Septic
0
Water Storage
❑
Holding Tank
❑
Community Well
❑
Community
❑
Public Water System
N
Public Sewer
❑
Waiver request for: Distance:
Received by:
COSA to be released to the engineer, unless otherwise requested by the engineer.
Date:
COSA # 05C.2 1 15OS 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 FIRST WATER CONSULTING Phone 907-350-9566
Address 13030 SUES WAY ANCHORAGE. AK 99516
Engineer's Printed Name CURTIS HUFFMAN PE Date 8/18/2021
Comments: This investigation was completed in compliance with MCA 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 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 & .� . .. TH
6. DSD SIGNATURE P Curtis Huffman
System #1 Approved for
3 bedrooms �Fm,�r - CE 128991 .��Ile
S
PROONP\.�-e^�
System #2 Approved for bedrooms
Disapproved
Conditional approval for bedrooms, with the following stipulations:
��lll((((f(((((
JZ ON-SITE G�
WATER
ER z
PROGRAM J-'�
J/JJ�OiA��At n _N" I'\��1�
By: WCOriginal Certificate Date: R13 1.Zd,��
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
Legal Description: NORTH WOODS UNIT 3 BLOCK 12, LOT 14 Parcel ID: 051-732-07
If more than 1 septic system on lot: COSA Checklist #
of
Structure served by this system
A. WELL DATA – PUBLIC WATER
Well log is filed with Onsite (or attached)
Date drilled
Total depth ft
Cased to ft
Sanitary seal is functioning correctly
Wires are properly protected
Casing height (above ground) in.
Date of flow test for COSA
Static water level at beginning of test ft.
Well production at time of test gpm
Water storage tank volume gallons
Well disinfected for coliform test? Yes No
Coliform bacteria is Negative
Nitrate mg/L Nitrate less than MRL (ND)
Arsenic ug/L Arsenic less than MRL (ND)
Collected by
Date of Sample
Comments __________________________________________________________________________________
B. TANK DATA
Age of tank(s) 0 – NEW TANK years
Tank type/material SEPTIC / HDPE
Measured operating fluid level in septic tank NEW
Standpipes/foundation cleanout per record drawing
Date of pumping NEW TANK
C. LIFT STATION
Required maintenance completed
Age of lift station years
Lift station material
Comments:
D. ABSORPTION FIELD DATA
Which system tested (date installed) 8/7/1996
ALL standpipes present per record drawing
Total measured depth from grade *4.1 ft (max)
Measured depth to pipe invert from grade *3.6 ft (min)
N/A – pressurized field
Monitor tubes go to bottom of effective. If not, state
depth into effective
Code-required soil cover over field
System presoaked
(Required if vacant for greater than 30 days prior to
date of test)
Gallons introduced 2000 gallons
Adequacy test date 6/4/2021
Results Pass For 3 bedrooms
Fluid depth prior to test 1 in
Water added 500 gal
New depth 4 in
Elapsed time 1410 min
Final fluid depth 1 in
Absorption rate 450 gpd
Any rejuvenation treatment (past 12 months) N
If yes, enter date
Comments/Deficiencies: TESTED SOUTH TRENCH FIRST & IT FAILED TO MEET MOA COSA TESTING STANDARDS FOR
ABSORPTION FOR 3 BEDROOMS – PRESOAKED & TESTED N TRENCH.
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’
Yes if No
ft
Neighboring Tank > 100’ Yes if No
ft
Absorption Field on Lot > 100’ Yes if No
ft
Neighboring Absorption Fields > 100’
Yes if No
ft
Community Sewer Main > 75’ Yes if No
ft
Community Sewer Manhole/Cleanout > 100’
Yes if No
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
From Septic/Holding Tank on Lot to: (Please enter distances if less than required)
Building Foundations > 10’ Yes if No ft
Property Line > 5’ Yes if No
ft
Absorption Field > 5’ 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 septic tank is under driveway comment below
From Absorption Field on Lot to: (Please enter distances if less than required)
Building Foundation > 10’ Yes if No
ft
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
If absorption field is under driveway comment below
Wells on Adjacent Lots:
Private Wells > 100’ Yes if No ft
Community Wells > 200’ Yes if No
F. ENGINEER’S COMMENTS
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.
8/18/21
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & HUMAN SERVICES
DIVISION OF ENVIRONMENTAL SERVICES
CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL
OF ON-SITE SEWER AND WATER FACILITY
264-4744
Application Date.
GENERAL INFORMATION (MUST BE COMPLETED PRIOR TO SUBMITTAL)
(a) Legal Description (include lot, block, subdivision, section, township, range)
Location (a~ddress or directions)
(b) P~o pe rty O Wr~ ei/~ .//F~",.~-2. ~ ~/7/'' Telephone:Home Business
Mailing Addlres.s
(c) Lendi. ng Institution Telephone
Ma!ling Address .:, ~
(d) Re~J ~Estate' C(~mpany and Agent
Telephone ~--
(e) ~e HAA to the followinQ address: or: Check here ~, if hold for p~ck up,
List contact person and day phone number below.
17034 Eagle Riv~ L~ Road Ne.
Eagle River, Alaska
TYPE OF RESIDENCE
Single-Family
Number of Bedrooms
WATER SUPPLY ..
Individual Well [] Community [] Public/~
Note: If community well system, must have written confirmation from the State Department of Environmental Conservation
attesting to the legality and status.
SEWAGE DISPOSAL
Onsite~. Public [] Community [] Holding Tank []
Note: If community well system, must have written confirmation from the State Department of Environmental Conservation
attesting to the legality and status.
Page 1 of 2
72-025 (Rev 8/861 Front
ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION ~
As certified by my seal affixed hereto and as of the validation date shown betow, I verify that my investigation of this Health
Authority Approval 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, and regulations in effect on
the date of this inspection.
Name of Firm S & S ENGINI~EIHNG
17034 Eagle R[Yer Loop Road No. 204
Address Eagie ~iver, Alaska 9y~77
Date
Telephone
Approved for .~ bedrooms by
Approved .~ Disapproved
Terms of Conditional Approval
Date
Conditional
CAUTION
The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval
certificates based only upon the representations given in paragraph 5 above by an independent professional engineer
registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in
order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data
before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional
engineer's work.
72-025 ~Rev 8/86) Back
Page 2 of 2 ~
WELL DATA
MUNICIPALITY OF ANCHORAGE (MOA)
MUNIcIPALiTy OF AN(~,I AUTHORITY APPROVAL (HAA)
DEPT. OF HEALTH & CHECKLIST- FEBRUARY 1984
' ENVIRONMENTAL PROTECTION 264-4744
JUL 1 1 t988
Well Classification
Well Log Present (Y/N)
Total Depth
Static Water Level
Casing Height Above Ground
Electrical Wiring in Conduit (Y/N)
Separation Distances from Well:
RECEIVED
Date Gompleted Yield
Cased to Depth of Grouting
Pump Set At
Sanitary Seal on Casing (Y/N) .
Depression Around Wellhead (Y/N)
LegalDescriRtion: ~,.,-.r~" ~f- ~[-'A~,
If A, B, C, D.E.C. Apprbved~-,I)
To Septic,ff-te~.~Tank on Lot ~"~ ; On Adjoining Lots
To Nearest Edge of Absorption Field on Lot ~ !..j¢. ; On Adjoining Lots
To Nearest Public Sewer Line
Cleanout/Manhole
Water Sample Collected by
Water Sample Test R~sults
Comments ~J'~ ~--~' \
To Nearest Public Sewer
To Nearest Sewer Service Line on Lot
; Date
B. SEPTICTROL-BtNG. TANK DATA
Date Installed "'7-~'7,,-'7~-" ~"~'P Size
Standpipes ~N). y Air-tight Cap[~l)
Depression over Tank (Y~)
Pumping/Maintenance Contract on File (Y/Ni2~ /
Holding Tank High-Water Alarm (Y/N)
Separation Distances from Septic/~Tank:
To Water-Supply Wel ,.~ I Jr'-
To Pro perty Line '~
To Water Main/Service Line
Course ~ ~ )
Comments ~'~"-'t~_~ ~
No. of Compartments ~
'"f' Foundation Cleanout (~N) ~
Date Last Pumped [-~ ~ .-. ~:~
r-~//~ ; for
/
Temporary Holding Tank Permit (Y/N) r"~/A
To Building Foundation
To Disposal Field
To Stream. Pond, Lake. or Major Drainage
Page 1 of 2
72-026 fRev 8/861 Front
C. ABSORPTION FIELD DATA
Soils Rating in Absorption Strata
Date Installed
Width of Field
Type of System Design
Length of Field
Depth of Field
Gravel Bed Thickness
Square Feet of Absorption Area "dr'"'Z-"~*¢' Standpipes Present ~)N) ""/
Depression over Field (Y/~. ~ Date of Last Adequacy Test (,~
Results of Last Adequacy Test . ~[.~:.,~,~¢~r/~~,/ -- "~ '"~. ,
Separation Distance from Absorption Field:
To Water-Supply Well ~ I-J~ To Property Line ~, ~ ~.--~r-
To Building Foundation \
[~...~ / To Existing or Abandoned System on
Lot JS~ ; On Adjoining Lots ~
To Water Main/Service Line I ~ t A-- To Cutbank (if present) ~/~,
To Stream/Pond/Lake/or Major Drainage Course ~ ~ I .,~
To Driveway, Parking Area, or Vehicle Storage Area . ~ I
Comments
Size in Ga~%
"Pump On" Level at ~
High Water Alarm Level at
Tested for
Electrical Codes (Y/N)
Comments
Dimensions
Manhole/Access (Y/N)
"Pump Off" Level at
~ Vent (Y/N)
Pure ' cles during Adequacy Test. Meets MOA
Page 2 of 2
72-026 IRev 8/861 Back
** Check Permitted Bedroom Rating Against HAA Request **
I certify that I have checked, verified, or conformed to all MO~ and/HAA guidelines in effect on the date of this inspection.
Signe~. & ~ ~IGINEERING ~ '~/"~
_ - uate //7/4 =
. 34 Eagle Rl~er L~ Road No. 2~
Receipt No. ~ ~ ~
~ ~ ~O q~ MUNICIPALITY OF
RECEIVED
,OF
;tER..N, DISTRICT OFFICE
ST R~ET.'~ ,:~ STO~ TE 133~
ANCHORAGE. ALASt~ A 99503
MENTAL CONSERVATION /
STEVE COWPER, G 3VERNOR
563-6775
To Uhom It May Concern:
Accordinq to the records on ¢ile in this o¢¢ice, the _~_~_~_-~.~ ........
.~+~,_%._~..~d.__~..~_~_~_O____ Uater System is in compliance uith the
State o? Alaska Drinking blater Requlations.
Sincerelv.
Ronald S. ~(lein
Environmental ~ield O¢¢icer
RSK:sa
APPLICANT FILLS OUT UPPER HAlR ONLY
Property Owner ~)~ \ ~ [~ .~ (, '~ ~~ ~.~_~ (~ Phone~.
Mailing Addre~ ~.~ ~ ~. ~.~ ~,-~ (-./'~(~,'F~ ~ ~ Zip Code
Buyer
Address ~' Zip Code
' Phone
Lending Institution
Address Zip Code
~ Phone
Realty Co. & A~nt
Address Zip Code
Legal Description L.~ ~ ~ ~ ~ C~ ~ ~ ~ ) ~)~'~X:'~ ~:-~
Street Locati~ {~ ~ ~-~ ( I ~ ~
Type~f Resi~nce
~ Single Family
~ Multiple Family No. of Bedroo~
~ Other
Water Supply
~ Individual A~ACH WELL LOG. A wall log is required for all wells drilled since June 1975.
For welds drilled prior to that date, give well depth (attach log if available).
~mmunity ~
~ Public Utility
Sewer ~osal ' ' Year Individual Installed: ~ ~
~dividual -
~ Public Utility When Connected to Public Utility:~
~ Holding Ta~k
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH RE~EST BEFORE ~OCESSING CAN BE INITIATED.
Time Time Time Time
Date Date Date Date
Inspector Inspector Inspector Inspector
(.~:') APPROVED BEDROOMS *CONDITIONS OF APPROVAL
( ) DISAPPROVED
( ) CONDITIONAL APPROVAL'
DATE
BY: ~"E.,.) ~.~_1
Soils Ra Date Sewer Installed Well To Absorption Area Well Log Received
72-023 (3182)
