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Home My WebLink AboutNORTH WOODS UNIT 4 BLK 17 LT 5 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 http://www.muni.org/onsite On -Site Wastewater Disposal System Permit Permit Number: OSP231187 Work Type: Septic Upgrade Tax Code Number: 05106446000 Site Legal Address: NORTH WOODS UNIT 4 BLK 17 LT 5 G:1460 Site Mailing Address: 23515 BLUE SKIES DR, Chugiak Owner: MCKINSTRY LESLIE J Design Engineer: FIRST WATER CONSULTING This permit is for the construction of: Effective Date Expiration Date: Lot Size in Sq Ft: Total Bedrooms: j»cnt S Departmeiit 7/21/2023 7/20/2024 20706 Q Disposal Field Q 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 Received By: 13 5 t -VC Date: Issued By: Date:2 /-Zo Z 3 9 MUNICIPALITY OF ANCHORAGE Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 ON-SITE SEPTIC/WELL PERMIT APPLICATION Parcel I.D. 051-064-46 Property owner(s) LESLIE J MCKINSTRY Day phone Mailing address 36600 ZACKERY STREET SOLDOTNA, AK 99669 Site address 23515 BLUE SKIES DRIVE CHUGIAK, AK 99567 Legal description (Sub'd., Block & Lot) NORTH WOODS UNIT 4 BLOCK 17 LOT 5 Legal description (Township, Range & Section) Lot Size 20,705 Sq. Ft. Number of Bedrooms 3 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field X❑ Initial ❑ Single Family (SF) RX Septic Tank X❑ Upgrade X❑ (w/wo AD U) Duplex (D) El ❑ RenewalTank Renewal El Multiple 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) c Permit/Rush Fees: Waiver Fees: Date of Payment: �'402-3 Date of Payment: Receipt Number: ii t S'-0 q a Permit No. ().5 Z 3 it '\` 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 / firstwaterAK@gmail.com ! !! July 7, 2023 Municipalities of Anchorage On-Site Water & Wastewater Program 4700 Elmore Road Anchorage, AK 99507 RE: SEPTIC SYSTEM UPGRADE PERMIT LEGAL: NORTH WOODS UNIT 4 BLOCK 17, LOT 5 The property owner has requested we obtain a permit to upgrade the failed septic system of the above referenced lot. We propose to install two deep trenches and a 1000-gallon HDPE septic tank to serve the existing 3-bedroom residence. The design is based on the recent test hole conducted in June, 2023. No groundwater was observed at test hole excavation or monitoring. The slopes are moderate at 5-10% at the proposed upgrade location. The lot and area are served by publicc 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 OSP231187, Curtis Townsend, 07/24/23 FIRST WATER CONSULTING NORTH WOODS #4 B17, L5 DESIGN CALCS: NO WELLS WITHIN 100' OF PROPOSED SEPTIC TANK NO SLOPES >25% WITHIN 50' OF PROPOSED FIELD. SERVED BY PUBLIC CLASS A WATER Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP231187, Curtis Townsend, 07/24/23 FIRST WATER CONSULTING DESIGN DETAILS: NORTH WOODS #4 B17, L5 NORTH WOODS #4 B17, L5 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP231187, Curtis Townsend, 07/24/23 13030 Sues Way - Anchorage, Alaska 99516 Tel. 907-350-9566 firstwaterAK@gmail.com SOILS LOG - PERCOLATION TEST LEGAL DESCRIPTION: NORTH WOODS UNIT 4 B17, L5 PERFORMED BY: FWCS / FWC - I CURTIS HUFFMAN CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE & MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 6/20/23 DEPTH FEET OG SOILS 1 ORG/OL 2 3 4 5 6 7 8 GM 9 10 11 12 13 14 15 16 BOH 17 18 19 20 Reading Date Gross Time Net Time Depth to Water Net Drop 6/19/23 30 min 6” 1 7/16” 30 min 6” 1 7/16” 30 min 6” 1 7/16” PERCOLATION RATE 21 (MIN / INCH) TEST RUN BEWTWEEN 4 & 5 FT PERC HOLE DIAMETER 6” PRE-SOAKED PRIOR TO TEST & ALL READINGS TO THE 1/16TH. GROUND WATER ENCOUNTERED: NO IF YES, AT WHAT DEPTH: NA DEPTH TO WATER AT MONITORING: DRY DATE: 6/19/23 TESTHOLE # 23-1 DATE PERFORMED: 6/9/23 SEE SITE PLAN FOR SLOPE & LOCATION COMMENTS: VERIFY GROUNDWATER MT AT TIME OF CONSTRUCTION PERFORMED FOR: LESLIE MCKINLSTRY 6/20/2023 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP231187, Curtis Townsend, 07/24/23 LOT 4 BLK 17 1000, 10-00 111 11,11,1111111 ANCHORAGE RECORDING DISTRICT, ALASKA AS -BUILT OF: NORTH WOODS SUBD UNIT 4 LOT 5 BLOCK 17 PLAT 83-333 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 lilies. 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 JUNE 3, 2023 1 30' sch uller0ok.nef 23-049 DRAWN BY. ICHECKED BY. WD NUMBER: -60-Ck AGE JLS NW1 460 230165 J 25 ) S[Jp iV'o AW .:L. 0 AW 49TH ?A°Q r" ...... ......... .................... • J HN L. SCHULLER.* .0 %LS -10408 1831 Talkeetna Street Anchorage, Alaska 99508 Ar 'O�\ 'aw f Ll& \ '0W (907) 227-1455 office lk11' ssion(907) 274-4992 fax Municipality of Anchorage Page ' 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: ~ PID Number: ~ Namo: Phone: ~::~ Lot; Township: of B,~oms: LEGAL DESCRIPTION Block: WELL: [] New Driller: Yield: Subdivision: (Private, A,B,C): [] Upgrade Ft. Ft. , Drilled: Static Water Level: Ft. Pump Set at: Height Above Ground: GPM Ft. Ft. SEPARATION DISTANCES---~~/~ptic From Well Surface Water Lot Line Foundation Curtain Drain Remarks: Wastewater System: lew [] Upgrade ABSORPTION FIELD Field Trench [] Shallow Trench [] Bed [] Mound [] Other origin~ :l~ade: ~' ~:) G PD/S¢ th beneath pipe ~)ept~h to pip( added above original grade: length: *nber of lines: area: Pipe material: ~ nstaller: TANK [] Holding [] S.T.E.P. nu :turer: '~ ,ate~ [....~ ~lum~mpartments: LIFT STATION ~anufacturer: "Pump on" level at: ~ off" level at: High water alarm at: ;rformed by: BENCH MARK Location and Description: Assumed Elevation: EN( Inspections performed by~_~ 6 ~J~--~l ~'~ates: 2 Department of Health ~d Human Se/rv. ices approval Reviewed and approved by: ~ Date: 72-013 (1/91) MOA 25 Municipality of Anchorage 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 Legal Description: -I"J~- -~r~r~- ~~ ('"'J~;~r~C~- ~':~:~I.-A~ ~ ~ PID No.: 72-013 A (2/91)MOA 25 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 WASTEWATER DISPOSAL SYSTEM PERMIT PERMIT NUMBER:SW920059 DESIGN ENGINEER:S & S ENGINEERS OWNER NAME:NORTHWOODS INC OWNER ADDRESS:709 W. INTERNATIONAL APT. DR. ANCHORAGE, AK 99518 DATE ISSUED: 4/17/92 EXPIRATION DATE: 4/17/93 PARCEL ID:05106446 LEGAL DESCRIPTION: NORTH WOODS UNIT IV BLK 5 17 LT LOT SIZE: 20706 (SQ. FT.) NUMBER OF BEDROOMS: 3 THIS PERMIT: 3 THIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: 1. THE ATTACHED APPROVED DESIGN. 2. ALL REQUIREMENTS SPECIFIED IN ANCHORAGE MUNICIPAL CODE CHAPTERS 15.55 AND 15.65 AND THE STATE OF ALASKA WASTEWATER DISPOSAL REGULATIONS (18AAC72) AND DRINKING WATER REGULATIONS (18AAC80). 3. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: THE ABSORPTION FIELD MUST BE INSTALLED IN ACCORDANCE WITH THE APPROVED ENGINEER,S DESIGN DATED 03/30/92. RECEIVED BY: April 3, 1992 ROBERT SHAFER, P.E. ROGER SHAFER, P.E. 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 SOIL TEST PERCOLATION TEST STRUCTURAL & MECHANICAL INSPECTIONS ON SITE WASTE WATER DISPOSAL SYSTEM DESIGN Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES 825 L Street Anchorage, AK 99519-6650 REFERENCE: North Woods Subd., unit IV; Block 17, Lot 5 We request you issue a permit to install a septic system to serve the proposed 3 bedroom house on the referenced property. Two test holes were performed on the property, one on March 25, 1992, and the second on March 27, 1992. The approximate locations of the test holes are located on the attached site plan. The monitoring tubes within the hole have been checked and found to be dry. This property has enough area for a 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. The property is served by a Community Water System. If you have any questions, or require additional information for your review, please contact us. Sincerely, Roger J. S fer, P. · RECEIVED RJS/lsu . . . ., ..... .,~Anchorage Dept, Health & Human Services 17034 EAGLE RIVER LOOP, SUITE 204, EAGLE RIVER, ALASKA 99577 I'°= 30' SCALE NEW SYSTEM Ill (~ o~-,~ BLUE SKIES DRIVE _ ~3 ~--~SEPTIC AREA.,~.~ · ~ Municipality o! Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST PERFORMED FOR: LEGAL DESCR IPTION"~ 1 3 4 5 6 8 9 10 11 12 13 14 ~ 15- 16 17 18 19 20 COMMENTS ~-'~l'- ~ ~,,"~'~'J'~ Z~ Township, Range, Section: SLOPE SITE PLAN ENCOUNTERED? IF YES, AT WHAT O DEPTH? P E Monitorir - I,~/_/-"7 _ Date: Gross Net Depth to Net Reading Date Time Time Water Drop PERCOLATION RATE ~ (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN ~'~ FT AND ~? FT - :5 & 5 ENGINEEEING ~ CERTIFY THAT THIS TEST WAS PERFORMED IN IE~gle E' er is DATE. DATE: ACCORDANCE W,TH U,DE',NES ,N Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street,,Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST Township, Range, Section: SLOPE SITE PLAN LEGAL D E SC R I PT I O N: ~:~l~l~--~~-'~ 1 3 4 5 6 7 9 10 11 12 13 14 15- 16 17 18 19 20 WAS GROUND WATER ENCOUNTERED? S L IF YES, AT WHAT O DEPTH? P E Monitoring? I .,o' ~-"t Dale: Gross Net Depth to Net Reading Date Time Time Water Drop , --- ..-- ~s ~ ~:~ -, ~l~ %" ~ , ~ ~u " ~1~" ~'~" ~ ~'-~ ,, ~ ~1~" ~I~. ,, PERCOLATION RATE ~ (minutes/inch) PERC HOLE DIAMETER ~ ii TEST RUN BETWEEN ~ FTAND '~' FT PERFORMED BY: , , ' Elgin Eiver, Alaska 99577 DATE: ~~" ' ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT O HIS DATE. 72-008 (Rev. 4/85) 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 Parcel I.D.# ~--~,_Z~\ _ ("l~nL\ -~\l,~ ~ HAA# GENERAL INFORMATION Complete legal description Lot 5; Bl'oCk 17; North Woods Phas~ IV Location (site address or directions) Blu~ Ski~s Driv~ Property owner Mailing address Lending agency Mailing address Tri-Alpha D~v~lopm~nt Company, Inc. Day phone 709 W~st Int~rnational~Airport Road Anchorage, Alaska 99518 Day phone 563-2278 Agent Address Day phone Unless otherwise requested, HAA will be held for pickup. $ NUMBER OF BEDROOMS: TYPE OF WATER SUPPLY: Individual well Community well NOTE: Public water If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. TYPE OF WASTEWATER DISPOSAL: Individual on-site Holding tank Community on-site NOTE: XX Public sewer If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025 (Rev. 1/91) Front MOA ~21 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, and regulations in effect on the date of this inspection. Name of Firm Address Engineer's signatu'e DHHS SIGNATURE /~, Approved for j.~ Disapproved. Conditional approval for Phone Date bedrooms. bedrooms, with the following stipulations: Additional Comments Date 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 DH HS 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. 724)25 (Rev. 1/91) Back MOA #21 Municipality of Anchorage ~.~ Department of Health & Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: ~'~ ~ ~"' ~,~ A. WELL DATA Well type '~ If A, B or C, attach ADEC letter. Log present (Y/N) Date completed Total depth Cased to Sanitary seal (Y/N) FROM WELL LOG Parcel I.D. ~::::::~" ~ ADEC water system number Driller Casing height Wires properly protected (Y/N) g.p.m. AT INSPECTION Date of test Static water level Well flow Pump level SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on tot Absorption field on lot -- Public sewer ma~n Sewer service line ; On adjacent lots ; On adjacent lots . Public sewer manhole/cleanout Petroleum tank WAT ER SAM PLE RESULTS: Coliform Date of sample: Nitrate Collected by: Other bacteria B. SEPTIC/HOLDING TAN K DATA Date installed C eanout~)/N) High water alarm (Y/N) Date of pumping . Tank size \ E::::~::>~ Compartments Foundation cleanou~) ~ ~ . Alarm tested~(Y/N) ~'~t ~-'~",~' Pumper SEPARATION DIST~Ar~CES FROM SEPTIC/HOLDING TANK TO: Well(s) on lot rq/"~t- On adjacent lots "~.~g:~' Jr' Foundation '7 I c>~Jr ~ Water main/service line TO property line Absorption field Surface water/drainage \(:::~c:~ I J~ CONTINU ED ON BACK PAGE 72-026 (Rev. 7/91) Front C. LIFT STATION Date installed Size in gallons Vent (Y/N) High water alarm level "Pump on" level at Manufacturer Manhole/Access (Y/N) "PumP off" level at Cycles tested Meets MOA electrical codes (Y/N) SEPARATION DISTANCE FROM LIFT STATION TO: Well on lot On adjacent lots Surface water D. ABSORPTION FIELD DATA Date installed , Length ~:~/~' Width Total absorption area Depression over field Results (pass~fail) System type Cleanouts present4:t~i~N) Date of adequacy test for Peroxide treatment (past 12 months) Soil rating Gravel thickness If yes, give date bedrooms SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot -- On adjacent lots "~""c::'c~"~ Property line To building foundation \"2-'~ To existing or abandoned system on lot On adjacent lots Surface water Curtain drain ~'~ Cutbank -'"'""-- Water main/service line Driveway, parking/vehicle storage area E. ENGINEER'S CERTIFICATION I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect $ & $ ENGINEERING Signatu re 17034 Eagle River Leap Read Eagle River, Alaska 99577 Engineer's Name Date ~t o.l~Jaa.date of this inspection. _ Waiver Fee: $ Date of Payment Receipt Number 72-026 (Rev. 3/91) Back MOA 21 DEPT. OF ENVIRONMENTAL CONSERVATION WALTER J. HICKEL, GOVERNOR ANCHORAGE DISTRICT OFFICE 800 E. DIMOND BLVD., SUITE 3-470 ANCHORAGE, ALASKA 99515 349-7755 July 14, 1992 Mr. Roger Shafer, P.E. S & S Engineering 17034 Eagle River Loop, Suite 204 Eagle River, AK 99577 SUBJECT: Public Water System ID# 213001 Dear Mr. Shafer: A review of the records on file in this office indicates that the Chugiak Utilities Class "A" Public Water System serving Northwood Subdivision is currently in compliance with the routine coliform bacteria sampling requirements listed in Table C and with the inorganic sampling requirements listed in Table B of 18 AAC 80.200. Sincerely, Project Engineer ML/pf