HomeMy WebLinkAboutKENO HILLS #6 BLK 2 LT 5
7/21/2026
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BLOCK 2
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LOT 11
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LOT 5
LOT 2
LOT 4
LOT 3
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(ARC=198.51')
(TAN=100.20')
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18.2'15
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8
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COVERED
DECK
RESIDENCE
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D
29.7'
32.4'
81.3'
167.8'
100'
WELL
RADIUS
W
LOT 12
CO
CO
CO
CO
CO
CO
MH
LEGEND
EDGE OF ASPHALT
( )RECORD DATA PER PLAT #77-88
SEPTIC PIPE
WELL
SEPTIC TANK LID
W
MH
CO
DECK
TIMBERLINE SURVEYING AND MAPPING17035 BARONOFF AVEEAGLE RIVER, AK 99577907-242-5320ryan@timberlinealaska.com
FILE NO.: 26.099SCALE: 1" = 40 FEETDATE: 7/16/2026SHEET: 1 of 1
MOA GRID: SW3438
SCALE: 1" = 40 FEET(11"x17")
40'0'80'
AS-BUILT OF:
ADDRESS: 17440 SPAIN DR, ANCHORAGE, AKLOCATED IN: ANCHORAGE RECORDING DISTRICT
LOT 5, BLOCK 2KENO HILLS SUBD., ADDN. #6PLAT #77-88
ASPLS MORTGAGE LOCATION SURVEY NOTES:
NO TITLE REPORT WAS PERFORMED FOR THIS SURVEY, EASEMENTS SHOWN PER THE
RECORD PLAT. THERE MAY BE ADDITIONAL EASEMENTS NOT SHOWN HEREON. THIS
MORTGAGE LOCATION SURVEY HAS BEEN PREPARED IN ACCORDANCE WITH ASPLS
MORTGAGE LOCATION SURVEY STANDARDS. IT IS A REPRESENTATION OF THE
CONDITIONS THAT WERE FOUND AT THE TIME OF THE SURVEY. THIS SURVEY DOES
NOT CONSTITUTE A BOUNDARY SURVEY AND IS SUBJECT TO ANY INACCURACIES THAT
A SUBSEQUENT BOUNDARY SURVEY MAY DISCLOSE. THE INFORMATION CONTAINED IN
THIS DRAWING SHALL NOT BE USED TO ESTABLISH ANY FENCE, STRUCTURE, OR
OTHER IMPROVEMENTS. UNLESS GROSS NEGLIGENCE IS DISCOVERED, THE LIABILITY
EXTENT OF THE PREPARER SHALL BE LIMITED TO THE AMOUNT OF FEES COLLECTED
FOR SERVICES IN PREPARATION OF THIS PRODUCT.
7/16/2026
A
K
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TA
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49
TH
S
Ryan G. Johnson
No. 192159
REGISTERED
PROFESSIO N A L
L
A
N
D
SURVEYOR
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: OSP261169
Work Type: SepticTank Upgrade
Tax Code Number: 02017135000
Site Legal Address: KENO HILLS#6 BLK 2 LT 5 G:3438
Site Mailing Address: 17440 SPAIN DR, Anchorage
Owner: CHRISTAL JOHN & STEPHANIE
Design Engineer: GARNESS ENGINEERING GROUP LTD
This permit is for the construction of:
Effective Date:
Expiration Date:
Lot Size in Sq Ft:
Total Bedrooms:
6/23/2026
6/23/2027
92634
Non -Public
❑ Disposal Field 21 Septic Tank ❑ Holding Tank ❑ Privy ❑ Water 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. Coodinate with On -Site staff regarding preferred method.
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
Issued To: GARNESS ENGINEERING GROUP LTD
Issued By: Curtis Townsend
Date: 6/23/2026
Date: 6/23/2026
MUNICIPALITY
Development Services Department Phone: 907-343-7904
On -Site Water & Wastewater Section
ON -SITE SEPTIC/WELL PERMIT APPLICATION
Parcel I.D. 020-171-35
Property owner(s) JOHN & STEPHANIE CHRISTAL Day phone
Mailing address 17440 SPAIN DRIVE, ANCHORAGE, AK
Site address 17440 SPAIN DRIVE, ANCHORAGE, AK
Legal description KENO HILLS #6; BLOCK 2, LOT 5
Number of Bedrooms 3
Engineering Firm GARNESS ENGINEERING GROUP, LTD.
Building Permit Number
Not Applicable X
907-793-0549
APPLICATION IS FOR: APPLICATION IS AN:
(® all that apply)
Absorption Field
❑ Initial ❑
Septic Tank
E Upgrade
Holding Tank
❑ Renewal ❑
Privy
❑
Well
❑
THIS APPLICATION INCLUDES A WAIVER REQUEST FOR:
Distance:
Permit/Rush Fees: 7 7__1? Waiver Fees:
Date of Payment: 122� 20 26 Date of Payment:
Permit No. l ' 7 i i� t1 Waiver No.
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP261169, Curtis Townsend, 06/23/26
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP261169, Curtis Townsend, 06/23/26
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP261169, Curtis Townsend, 06/23/26
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BLOCK 2
BLOCK 2
BLOCK 4
BLOCK 2
BLOCK 4
LOT 11
LOT 6
LOT 5
LOT 2
LOT 4
LOT 3
30'
30'
(
N
5
1
°
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4
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)
(S
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(S
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5
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"
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3
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(N
2
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°
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'
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"
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'
)
(DELTA=19°14'00")
(RAD=591.36')
(ARC=198.51')
(TAN=100.20')
(1
0
'
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Y
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)
C1
C1
26.2'
27
.
1
'
20.0'
26
.
7
'
24.3'
69
.
6
'
18.2'15
.
8
'
COVERED
DECK
RESIDENCE
S
H
E
D
29.7'
32.4'
81.3'
167.8'
100'
WELL
RADIUS
W
LOT 12
CO
CO
CO
LOCATION PER 1984INSPECTION REPORT
CO
LEGEND
EDGE OF ASPHALT
( )RECORD DATA PER PLAT #77-88
SEPTIC PIPE
WELLW
CO
DECK
TIMBERLINE SURVEYING AND MAPPING17035 BARONOFF AVEEAGLE RIVER, AK 99577907-242-5320ryan@timberlinealaska.com
FILE NO.: 26.099SCALE: 1" = 40 FEETDATE: 6/5/2026SHEET: 1 of 1
MOA GRID: SW3438
SCALE: 1" = 40 FEET(11"x17")
40'0'80'
AS-BUILT OF:
ADDRESS: 17440 SPAIN DR, ANCHORAGE, AKLOCATED IN: ANCHORAGE RECORDING DISTRICT
LOT 5, BLOCK 2KENO HILLS SUBD., ADDN. #6PLAT #77-88
ASPLS MORTGAGE LOCATION SURVEY NOTES:
NO TITLE REPORT WAS PERFORMED FOR THIS SURVEY, EASEMENTS SHOWN PER THE
RECORD PLAT. THERE MAY BE ADDITIONAL EASEMENTS NOT SHOWN HEREON. THIS
MORTGAGE LOCATION SURVEY HAS BEEN PREPARED IN ACCORDANCE WITH ASPLS
MORTGAGE LOCATION SURVEY STANDARDS. IT IS A REPRESENTATION OF THE
CONDITIONS THAT WERE FOUND AT THE TIME OF THE SURVEY. THIS SURVEY DOES
NOT CONSTITUTE A BOUNDARY SURVEY AND IS SUBJECT TO ANY INACCURACIES THAT
A SUBSEQUENT BOUNDARY SURVEY MAY DISCLOSE. THE INFORMATION CONTAINED IN
THIS DRAWING SHALL NOT BE USED TO ESTABLISH ANY FENCE, STRUCTURE, OR
OTHER IMPROVEMENTS. UNLESS GROSS NEGLIGENCE IS DISCOVERED, THE LIABILITY
EXTENT OF THE PREPARER SHALL BE LIMITED TO THE AMOUNT OF FEES COLLECTED
FOR SERVICES IN PREPARATION OF THIS PRODUCT.
6/5/2026
A
K
A
F AL
TS
TA
E
O
49
TH
S
Ryan G. Johnson
No. 192159
REGISTERED
PROFESSIONA
L
L
A
N
D
SURVEYOR
~,~ 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
MAI LING ADDRESS
LEGAL DESCRIPTION
LOCATION NO. OF BEDROOMS
IWell ~ Absorption area . Dwelling
~ ~ Manufacturer Material ~.~ ~o~partments
Liq. ~a~ in gallons IF HOMEMADE: Inside length ~/~ Width Liquid depth
0 ~ ~ Manufacturer Material kiquid capacitg in ~allons
~ DISTANCE TO: Well ~. ~ I Foundatio~ ~ , Nearest ,~n~ PERMIT NO.
No.
of
lines
Length of each line~ Total length of lin~s Trench width /~ Distance between Jines
= ~ ~ ~ ' ~ ' ~ inches
~ ~ ~ Top of tile to finish grade Material 5eneath tile Total effective absorption area
Length Width Depth PERMIT NO.
~,~ Type of crib ,~ Cdb diameter , Crib depth Total effective absorption area
~ Well Building foundation Nearest lot line
~ DISTANCE TO:
~ Class ~ Depth Driller Distance to lot line PERMIT NO.
~ DISTANCE ~: f ~ilding foundation Sewer line Septic tank Absorption area(s)
OTHER '~~
PIPE MATERIALS ~' ~
SOl L TEST ~ATI NG
I~STALLE~ - ~
REMAR KS -
,
. '~ i /
APPROVED DATE LEGAL
72-033 [Rev. 3/78)
~lU~-I I IS I PAL I T~' OF A~C:HORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 L STREET., ANCHORAGE.. AK -gD50i
264-4?20
Ci~--sIte SE~ER & ~ELL PERi, IT
PERMIT NO:
DATE ISSUED:
840~28
0571i784
APPLICANT:
ADDRESS:
CONTACT PHONE:
JOHN & STEPHANIE CHRISTAL
i7440 SPAIN DRIVE
ANCHORAGE~ 8K 9~SiG
i65-6500 ~
LEGAL DESCRIP~
LOT SIZE:
LOT LOCRTION~
MAX BEDROOMS:
SUBDIVISION: KENO HILLS
SECTION: ii TOWNSHIP:
20000 (SQ. FT. OR ACRES)
SPAIN DRIVE
LOT: 5 BLOCK:
RANGE: ~W
LISTED BELOW ARE THE OPTIONS AVAILABLE TO YOU IN DESIGNING YOUR SEPTIC
SY$~TEM. CHOOSE THE OPTION THAT BEST FITS YOUR SITE~
TRENC:| | BED
DEPTH TO PIPE BOTTOM (FT.) 4.0 4.0
GRAVEL DEPTH (FT.) 8.0 0.5
TOTAL DEPTH (FT.) i2.0 4.5
GRAVEL WIDTH (FT.) 2.5 22.0
GRAVEL LENGTH (FT.) 4~.0 44. 0
GRAVEL VOLUME (CU. YDS.) ~. 8 ~5.8
TANK SIZE (GALS) 1,000.0 ~ t, 000.0
SOIL RATING (SQ. FT./AR) 225 2i~
TANK MUST HAVE AT LEAST TWO COMPARTMENTS
4.0
]:.5
?.5
5.0
?-~.
54.
000.
225
I CERTIFY THAT:
±. I AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET
FORTH BY THE MUNICIPALITY OF ANCHORAGE (MOA) AND THE STATE OF ALRSKA~
I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH ALL MO8 CODES AND REGULATIONS,
AND IN COMPLIANCE WITH THE DESIGN CRITERIA OF THIS PERMIT.
~. I WILL ADHERE TO ALL MOA AND STATE OF ALASKA REQUIREMENTS FOR THE SET BACK
DISTANCES FROM ANY EXISTING WELL~ WASTEWATER DISPOSAL SYSTEM OR PUBLIC
SEWERAGE SYSTEM ON THIS OR ANY ADJACENT OR NEARBY LOT.
4. I UNDERSTAND THAT THIS PERMIT IS VALID FOR A MAXIMUM OF ~ BEDROOMS AND
~N¥ ENLARGEMENT WILL REQUIRE 8N ADDITIONAL PERMIT.
IF A LIFT STATION IS INSTALLED IN AN ARE8 COVERED BY MOA BUILDING CODES,
THEN (l) AN ELECTRICAL PERMIT AND INSPECTION MUST BE OBTAINED~ (2) AS-BUILTS
WILL. NOT BE APPROVED WITHOUT AN ELECTRICAL INSPECTION REPORT~ AND (~> THE
ELECTRICAL WORK MUST BE DONE BY A LICENSED ELECTRICIAN.
SIGNED
APPLICANT~ JOHN & STEPHANIE CHRISTAL
DATE:
ISSUED BY DATE:
Departmen~ Health and Environmenta~rotection ~_u~ ~v~
4 ~ 825 ~I Street, Anchorage, AK. ~9501 ~j~ ~~
' 264-4720 ~ ~
~ 0~ * * * HANDWRITTEN PERMIT * * *
Permit ~-~
WELL~~ON-SITE SEWER P~RMIT
Location: ~ ~(/¢ ~fl ~)/~ Phgne Nu~er:,~~~~--~~
Legal Description: ~~~ ~~ ~ . . Lot Size: ~ ~
Type of Soil ~sorption System Is:
Trench: / ~- Drainfield: ._ Seepage Bed: Holding Tank:
Maximum N~b~r of Bedrooms: ~ Soil Rating(sq.ft/br) /~
The Required Size of the Soil ~sorption System Is:
DEPTH /,~l LENGTH ~AI ~= GRAVEL DEPTH ~t' WIDTH
The length dimension is the length(in feet) of the trench or drainfield. ~he
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 minim~ depth of gravel between the outfall pipe and
the bottom of the excavation(in feet).
· * REQUIRED SEPTIC(HOLDING) TANK SIZE = /~ 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.
~inimu~ 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. ~inim~ distance from a private well to a pri~ate sewer line
is 25 feet and to a co:unity sewer line is 75 feet. Well logs are required
and must be returned to this department within 30 days of the well completzon.
Other requirements may apply. Specifications and construction diagrams are
available to znsure proper installation. ~(
· * * PERMIT EXPIRES DECEMBER 31, 1 9 ~
I certify that:
(t) I ~ failiar 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 Bquire enlargement if
residence is remodeled to include more
nppl~c~h~ ......
SWP/024 (1/81)
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVI RONIVIENTAL PROTECTION
825 L. Street, Anchorage, Alaska 99501 264-4720
SOILS LOG- PERCOLATION TEST
SOILS LOG
PERCOLATION
TEST
PERFORMED FOR:
LEGAL DESCRIPTION:
SLOPE
DATE PERFORMED:
SITE PLAN
1
2
3
4
5
6
7
8
9
10
11
12
~e~xw~s o'~ Cle:o~n
I
ENCOUNTERED? ,
O
P
13
14
15
16
17
18
19.
20
Gross Net Depth to Net
Reading Date Time Time Water Drop
4- ~V/~ ~:°~--~r'~ ~ ~ o~
3 ~:~ ~3 070
/~y~ /0 ~ .,07
COMMENTS
PERFORMED BY:
72-008 (6/79)
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 L. Street, Anchorage, Alaska 99501 264-4720
SOILS LOG - PERCOLATION TEST
SOILS LOG
PERCOLATION
TEST
PERFORMED FOR: ~/,~/' C~/~",~;;~
DATE P~E~FORMED:_
LEGAL DESCRIPTION: ,~2~/~I ~/~//$ ~'~
1
2
3
5
6
7
8
9-
~d~7' .5': ~,,~y,,~ ~_,~'~¢_
SLOPE SITE PLAN
10-
11
13
14
15
16
17
18
19
20
COMMENTS
WAS GROUND WATER S
ENCOUNTERED? ~(//~) ~
P
E
IF YES, AT WHAT
DEPTH?
Gross Net Depth to Net
Reading Date Time Time Water Drop
PERCOLATION RATE ,~/~, .(mi'
PERFORMED BY: --~3~ "~ ~-~O~'~',v~A/
72-008 t6/79)
CERTIFIED
r~-~-1~ o DRILLING, Inc.
*'" ~,.o. Sox ~?~ ~o.~oo o~ s,~ ,i~hw, y
(~ ~ ~
Size of casing 6*'
Static water level 60
screen (?');
· ~}~Describe screen or
Well pumping test
JOH~ & ~TEPHANIE CHRISTAL
Owner
B~tion {ad~ .off ~omhip, ~ge, ~t 5 ~ock 2 ~no'~lls
Depth of Hole 290 feet C~ to 100tg0 feet
ft.
~erforated
3f~ 0
land surface. Finish of well (check one) oPed end (
of drawdown from' static
(minute)
WELL LOG
size of material, color and hardness
cobbles
1. General Information
MUNICIPALITY OF ANCHORAGE
DIVISION OF ENVIRONMENTAL NgALTH
DEPARTMENT OF ~-~ALTH AND ENVIRONMENTAL PROTECTION
A~PLICATION FOR HEALTH AUTHORITY APPROVAL CERTIFICATE
Application Date
(a) Legal Description (include lot, block, subdivision, section, township, range)
Location (address or directions)
l .'l ~ t2 ~ '
Tele?.o~e - Home' BusineSs
Applicants Address /
(c) Appli~ant~is (check one)'Lending Institution ~--~ ; Ow~er/builder~;
Buyer ~ ; Other { I (explain);
Address
(e) Real Estate Co. & Agent
Address
Telephone
(f) Mail the HAA to the following address:
2. Type of Residence
Single-Family~
Number of Bedrooms
3. Water Supply-
Individual
Multi-Family~-~
Other (describe)
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]
En~ineerin~ Firm Providing Inspections~ Tests, File Search, Data and Information
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 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 regula-
tions in effect on the date of this inspection.
Address
DHEP Approval
Approved for
Approved ~
Terms of Conditional Approval
CAUTION
THE MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
(DHEP) ISSUES HEALTH AUTHORITY APPROVAL CERTIFICATES BASED SOLELY UPON THE REPRESENT-
ATIONS GIVEN IN PARAGRAPH 5 ABOVE BY AN INDEPENDENT PROFESSIONAL ENGINEER REGISTERED
IN THE STATE OF ALASKA. THE DHEP DOES THIS AS A COURTESY TO PURCHASERS OF HOMES AND
THEIR LENDING INSTITUTIONS IN ORDER TO SATISFY CERTAIN FEDERAL AND STATE REQUIRE-
MENTS. EMPLOYEES OF DHEP 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.
(DHEP SEAL)
RR4/ej/D18
[Page 2 of 2]
7-19-84
~
MUNICIPALITY OF ANCHORAGE (MOA)
HEALTH AD~I~ORITY APPROVAL (EIAA)
CHECKLIST - FEBRUARY 1984
Well Classification
Well Log P~esent ~.~N)
Total Depth 2 q
Cased to
Static Water Level go
Casing Height Above Ground
Elect=ical Wiring im Conduit ~/N)
Separation Distances frc~ Well:
To Septic/Holding Tank on Lot
If A, B, c~ C, D.E.C. Approved(Y/N) 4A
Date C~Eolete d
IOO, ~0
Pump Set At
; On Adjoining Lots 5 oo ~
To Nearest Edge of Absorption Field on Lot
To Nearest Public Sewe= Line A/'/% To Nearest Public Sewer
Cleanout/Manhole N A To Nea=est Sewer Service Line on Lot
Water Sample Collected Byz)~y M~c5 ; Date ~w]~, /~/8W
Water Sample Test Results
, - i5 , ~, , ,
B. ~PTI~HOLDING TANK DATA
Date Installed S- 2- - 8 ~
Standpipes ~/N) ~
Depression ove= Tank (Y/N)
Size lo o O No. of Compartments
Air-tight Caps ~/N) 7 Foundation Cleanout ~/N)
~ Date Last Pumped N A
Pumping/Maintenance Contract on File (Y/N) WA ; for NA
Holding Tank High-Water Alarm (Y/N) NA Temporary Holding Tank Per,alt (Y/N) ~J
Separation Distances f=cm Septic/Holding Tank:
To Wate=-Supply W~ll_ ! .~>~. ~3w ~To Building Foundation ~ S
To P~operty Line 5
To Water Main/Service Line
Course ~ ~
To Disposal Field ~
To St_~eaa~, Pond, Lake, c~ Major D~ainage
[Page 1 of 2]
2-15-84
Development Services Department
On-Site Water & Wastewater Section
Phone: (907)343-7904
Fax: (907)343-7997
MUNICIPALITY OF ANCHORAGE
020 -171-35
KENO HILLS#6 BLK 2 LT 5
Expiration Date: Parcel ID
Legal description
Site address 17440 SPAIN DR
Current property owner(s)
CHRISTAL JOHN & STEPHANIE
X The On-site system(s) is/are approved for 3 bedrooms
Conditional approval for bedrooms, with the following stipulations:
Comments or conditions:
No comments
By:Isatou B Njie Original Certificate Date: 7/21/2026
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
Absorption Field Advisory
Tank Age Advisory
Other
Well Flow Advisory
Nitrate Advisory
Arsenic Advisory
Certificate of On-Site Systems Approval
X
OSC261263
6/10/2027
X
MUNICIPALITY OF ANCHORAGE
4�
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. 020-171-35
Complete legal description KENO HILLS #6; BLOCK 2, LOT 5
Location (site address) 17440 SPAIN DRIVE, ANCHORAGE, AK
Current property owner(s) JOHN & STEPHANIE CHRISTAL Day phone 907-793-0549
2. ON-SITE SYSTEMS SIZED FOR 3 BEDROOMS
3. TYPE OF WATER SUPPLY: 0 Private Well serving # 1 dwelling units
❑ Other Non-public well as regulated by MOA ❑ Water Storage
❑ Community Well or Public
4. TYPE OF WASTEWATER DISPOSAL: [_N] Private Septic ❑ Private Septic serving 2 dwelling units
❑ Holding Tank ❑ Community Septic or Public Sewer
5. SEPTIC TANK: ❑ Steel N Plastic ❑ Concrete ❑ Fiberglass
Age NEW - See advisory if steel or fiberglass older than 20 years
6. ABSORPTION FIELD: ❑ AWWTS ❑ Bed 0 Deep Trench ❑ Wide Trench ❑ Seepage Pit
Waiver request for:
Expedited review requested: ❑
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.
COSA Fee $ lr' O Waiver Fee $
Date of Payment
COSA #
Date of Payment
Waiver #
COSA Application_Apr2025.doc
-71012L nwA
MUNICIPALITY OF ANCHORAGE
DEVELOPMENT SERVICES DEPARTMENT 907-343-7904
On-Site Water and Wastewater Section Fax: 343-7997
www.muni.org/onsite
Mailing Address: P. O. Box 196650 * Anchorage, Alaska 99519-6650 * www.muni.org
Well Water Advisory
Certificate of On-Site Systems Approval # OSC261263
Subdivision: KENO HILLS#6 , Block: 2, Lot: 5
This well’s productivity was determined to be 0.53 gallons per minute. The
recommended well productivity under (AMC 15.55) for a 3-bedroom residence is
0.3 gallons per minute or 150 gallons per day per bedroom. Although the subject
well currently exceeds this minimum recommendation, the production capacity
can fluctuate and may be insufficient to meet your needs.
This advisory must be attached to all copies of the subject Certificate of On -Site
Systems Approval.