HomeMy WebLinkAboutKIJIK LT 1AKIJIK
Lot 1 A
t;Aqs AMIE
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: OSP241059
Work Type: Septic Upgrade
Tax Code Number: 01709287000
Site Legal Address: KIJIK LT 1A G:3038
Site Mailing Address: 6310 E 140TH AVE, Anchorage
Owner: ZERBINOS NICHOLAS JACOB &
Design Engineer: FORGE ENGINEERING
This permit is for the construction of:
Effective Date:
Expiration Date
Lot Size in Sq Ft:
Total Bedrooms:
6/13/2024
6/13/2025
90426
Q Disposal Field 0 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
In>
C O _;Z/I�5i Gkc+ -Z,/, q17 ,l
-ReGetved-By S ICJ Date:
Issued By: Date:
5
ON-SITE SEWER/WELL PERMIT APPLICATION
Parcel 1. D. 017-092-87
Property owner(s) Nicholas Zerbinos & Elizabeth Tarryn Day phone
Mailing address 170 Ocean Park Drive, Anchorage, AK 99515
Site address 6310 E 140th Avenue, Anchorage, AK 99516
Legal description (Sub'd., Block & Lot) Kijik Lot 1 A
Legal description (Township, Range & Section)
Lot Size 90,426 _Sq. Ft. Number of Bedrooms A 5
APPLICATION IS FOR:
APPLICATION IS AN:
TYPE OF DWELLING:
(N all that apply)
Absorption Field
FX�
Initial El
Single Family (SF) RX
Septic Tank
Z
RX❑Upgrade
(w/wo ADU)
Duplex (D) ❑
Holding Tank
R
Renewal❑
Multiple Dwellings El
Privy
F1
(SF and/or D)
Private Well
❑
Water Storage
❑
THIS APPLICATION INCLUDES A VARIANCE / 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:.
Date of Payment:
Receipt Number:
Permit No. 05PZ-�-%—�02
Permit App_'-'- : - :-'.,'c -
Waiver Fees:
Date of Payment:
Receipt Number:
Waiver No.
June 12, 2024
MOA Development Services, On-Site Water & Wastewater Program
4700 Elmore Rd
Anchorage, AK 99507
Subject: Kijik L1A - 6310 E 140th Ave
Septic system design
Dear On-Site Services Engineer:
The owner of the above lot intends to build a 5-bedroom home on the property, so we are
submitting this permit application for the construction of a new septic system. The existing home
will be demolished, and the existing septic system has been decommissioned. The attached site
plan identifies the location of the home as well as the existing well, new septic location and
alternate site. No conflicts exist between this proposed system and any other well or septic system,
whether on this lot or adjacent lots.
The ground surface on the lot slopes away from the road in general toward the southeast. There is
a flatter area up front where the home is located, but then the grade drops off in the back yard. In
the area of the new septic system, the ground slopes at around 20% to the east. It flattens out again
toward the center of the lot, and there aren’t slopes greater than 25% within 50’ of the trench.
Contours are shown on the site plan showing the grade and direction of flow. Stormwater drainage
will not impact this septic system. The new trench will be constructed parallel to the slope as much
as possible.
Wells on this and adjacent lots are shown. The new system will be a minimum of 100’ from all
wells and surface water, and more than 5’ away from the septic tank. The alternate site is located
more than 16’ away. Please refer to the attached test hole logs, plan and profile pages for the septic
design. If this design is followed, there will be no adverse impacts to adjacent properties.
Sincerely,
Benjamin Schiller, PE
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP241059, Deb Wockenfuss, 06/13/24
KIJIK, LOT 1A
E 140TH AVENUE
WELL RADIUS AND
SEPTIC OUT OF EXISTING SHED
VIEWPO T
rr
EXISTING WELL
WITH 100' RADIUS
EXISTING SHED (TO
LOT 5
BE DEMOLISHED IN
THE FUTURE)
I F'CO
•
2CO
- NEW 1 100'BOUNDARY
,500 -GAL SEPTIC TANK
'0
NEW
1 500_G��L SEPTIC TANK
MAINTAIN 10', MINIMUM FROM FROM SURFACE
FOUNDATION
FOUNDATION WATER
L EXTENT OF
LOT 1A SURFACE WATER
16.0
— Mill
co I
DECOMMISSION EXISTING TRENCH
U) REMOVE ALL CONTAMINATED
UJ SOILS WITHIN 16' OF NEW TRENCH . . . . . . . . . .
AND REPLACE WITH IN-SITU SOILS . . . . . . . . . . . .
TH#1 I . . . . . ..
. . . EA. OF STANDING.
LOT 4
D
R
S
E
REMOVE
ANDM
I
D
SURFACE WATER
60' LONG x TWIDE, 8' EFFECTIVE - - - - - - - -
DEPTH ABSORPTION TRENCH . . . •. •. . •. . . •. •. .
COT MAINTAIN
0 . . . . . . . . . . .
MAINTAIN 16SEPARATION FROM
EXISTING TRENCH . . . . . . . . . . .
. . . . . . . . . .
. . . . . . . . . . .
ALTERNATE SITE: 5' WIDE, 4'EFF, . . . . . . . . •
. .
20' LONG ABSORPTION TRENCH
. . . . . . . . . . .
WELL RADIUS AND
CAT III ADVANCED TREATMENT
SEPTICaOF . . . . . . .
ViE.-SYSTEM,
WP_0RT ... 7,- 10''UTILITY EASEE"'vIlENT - ------ ----
NOTE:
NEIGHBORING SEPTIC SYSTEMS AND WELLS NOT AFFECTED BY NEW SYSTEM
SYSTEM IS MORE THAN 100' AWAY FROM CLASS A WETLANDS
A
LEGEND
CO CLEANOUT
�9*Ir
-
'49,
2CO - DOUBLE CLEANOUT
7 H
... . ....
SEPTIC PLAN-
FCO - FOUNDATION CLEANOUT
FS SPLITTER VALVE
-FLOW
B nja i Schiller 0 50 100
MH - MANHOLE
. •4ei
CE 2592
12118124 FEET
MT - MONITORING TUBE
k!�16p
X
OPROFESSO 1"=50
SV -SEPTIC VENT
TH - TEST HOLE
KIJIK, LOT 1A
TYPICAL TRENCH SECTION
(NO SCALE)
NOTES:
1. GRADE AREA OVER TRENCH TO DRAIN AWAY
2. PROVIDE 3' OF COVER OVER TRENCHES AND 4' OVER SEPTIC TANK, OR 2'
WITH 2" OF INSULATION
3. CHECK GROUNDWATER AT TIME OF CONSTRUCTION. IF LEVEL IS HIGHER
THAN PREVIOUSLY OBSERVED, CALL ENGINEER IMMEDIATELY
Benjamin Schiller
CE 12592REGISTEREDPROFESSION A L E N GINEER
4" PERFORATED PVC (HOLES DOWN)
DRAINFIELD ROCK
3'
6"
1'-6"
8'
DESIGN FACTORS:SYSTEM REQUIREMENTS:
750 GPD PEAK FLOW
PERK RATE: 10.4 MIN/IN
APPLICATION RATE: 0.8 GPD/SF
DEEP TRENCH SYSTEM
1500-GAL SEPTIC TANK
BOTTOM OF TRENCH: 10' BELOW GRADE
FLOW LINE ELEVATION: 2' BELOW GRADE
750 GPD / 0.8 GPD/SF / 8' DEEP / 2 SIDES = 58.6 LF TRENCH REQUIRED (60 LF SPECIFIED)
GEOTEXTILE FABRIC
6"
5/29/24
PROVIDE ADDITIONAL FILL TO
ACCOUNT FOR SETTLEMENT
INSULATION
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP241059, Deb Wockenfuss, 06/13/24
LEGAL DESCRIPTION:
PERFORMED FOR:
DATE: PARCEL ID#:
SOILS LOG AND PERCOLATION TEST
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
DEPTH
(feet)
TEST HOLE 1
DATE READING START TIME NET TIME
(minutes)
DEPTH to
WATER NET DROP
PERCOLATION RATE: (MIN/INCH)
(inches)(inches)
DATE OF MONITORING
WAS WATER ENCOUNTERED?
DEPTH TO WATER AFTER MONITORING
IF YES @ WHAT DEPTH?
10.4
4/9 1
2
3
SP (GRAVELY SAND)
Professional Engineers Stamp:
NO
Kijik Lot 1A
4/9/24 017-092-87
Karen Kassik-Michelsohn
3:30 1 0
16
4:01
4:31
1' OB
30
Benjamin Schiller
CE 12592REGISTEREDPROFESSION A L E N GINEER
PERC TEST LOCATION
TECHNICIAN: M. Jakubisin
4 7
16
-
DRY
4/16/24
COMMENTS:
SITE PLAN
3 7
16
USCS SOIL CLASSIFICATION WAS VISUALLY DETERMINED
4/10/24
1 0
1630 3 12
16 2 12
16
1 0
1630 3 12
16 2 11
16
PROPO
S
E
D
SINGL
E
-
F
A
M
I
LY
HOME
PR
O
P
E
R
T
Y
L
I
N
E
TH#1
SM (SILTY SAND)
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP241059, Deb Wockenfuss, 06/13/24
LEGAL DESCRIPTION:
PERFORMED FOR:
DATE: PARCEL ID#:
SOILS LOG AND PERCOLATION TEST
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
DEPTH
(feet)
PERC TEST 2 @ TH1
DATE READING START TIME NET TIME
(minutes)
DEPTH to
WATER NET DROP
PERCOLATION RATE: (MIN/INCH)
(inches)(inches)
DATE OF MONITORING
WAS WATER ENCOUNTERED?
DEPTH TO WATER AFTER MONITORING
IF YES @ WHAT DEPTH?
3.1
4/17 1
2
SP (GRAVELY SAND)
Professional Engineers Stamp:
NO
Kijik Lot 1A
4/9/24 017-092-87
Karen Kassik-Michelsohn
2:18 1 0
16
1' OB
8:54
Benjamin Schiller
CE 12592REGISTEREDPROFESSION A L E N GINEER
PERC TEST LOCATION
TECHNICIAN: M. Jakubisin
7 0
16
-
DRY
4/16/24
COMMENTS:
SITE PLAN
6 0
16
USCS SOIL CLASSIFICATION WAS VISUALLY DETERMINED
4/19/24
PR
O
P
E
R
T
Y
L
I
N
E
TH#1
SM (SILTY SAND)
2:27 1 0
1610:00 5 12
16 4 12
16
3 2:38 1 0
1610:00 4 1
16 3 1
16
4 2:48 1 0
1610:00
5 2:59 1 0
1610:00
6 3:09 1 0
1610:00
4 4
16 3 4
16
4 4
16 3 4
16
4 3
16 3 3
16
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP241059, Deb Wockenfuss, 06/13/24
�
HL ENBURG DILLEY & LINNELL
EngIneering Consultants
May 8, 2007
Mr. Frank Bettina
7362 West Parks Highway 11343
Wasilla, Alaska 99654
Re: Platting Board Resolution 2005-006
Lot 1 Mik Subdivision
Dear Frank,
.. "1, 1) OT
CoA #3
We understand you are In the process of vacating portions of the 140"' Avenue right-
of-way adjoining your property at Lot 1, Wjik Subdivision. As a condition of that
vacation you need documentation of the wastewater system.
Platting board resolution 2005-006 (Page 2, Item C.3, Attachment 4) required
submitting *an as-buitt Inspection report documenting the construction of an on-sfte
wastewater disposal system under permit number SW970357 to the Onsite Water
and Wastewater Services section of the Development Services Department.'
I spoke with Jeff Poet with MOA On -Site Water and Wastewater Services (OSS) on
May 8, 2007 and he indicated that the attached Inspection report which is currently
on file at OSS is satisfactory. He Indicated that unless title is being transferred or
there is an increase in the number of bedrooms (4 bedrooms are currently
authorized), no further action is needed.
if you need anything further please feel free to contact me at (907) 84-2120, or at
shattenburgandialaska.com.
Sincerely,
Hattenburg Dille t£ Llnneil, LLC
Scott Hattenburg, P.E 'ncipal
Cc. Jeff Poet, MOA OSS
Scott Hattenburg, PE
Lorle Ogley, PE1CPc Attachments: Inspection report (9 pages)
Dennie Unnell, PE U.lehegenhurgft Documen4Tttnk Bettina U*K doc
David Lundin, PE
3330 Arctic Boulevard Suite 100 • Anchorage Alaska 89003 •Phone: 807.004.2120 • Fax: 807.6042122
808 South Salley Street Suite 102 • Palmar Make 89840 9 Phone: 807.740.6230 • Fax: 807.746.6231
MUNICIPALITY OF ANCHORAGE
/® DEPARTMENT OF HEALTH & ENVIRONMENTAL
PROTECTION
I ENVIRONMENTAL ENGINEERING
DIVISION
825 L Street - Anchorage, Alaska 99501
Telephone 2.64-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
NAME
PRONE
NEW
0,0_7
/7U�
❑UPGRADE
MAILING ADDRESS
13ox
LEGAL DESCRIPTION
LOCATION
NO. OF BEDROOMS
Well
Absorption area
Dwelling
PERMIT NO.
Uy
DISTANCE TO:
/V 14 -
6t
00S—_ Z—
1— Z
Manufacturer
Material
No. of compartments
CL
rn
Liq. capacity in gallons
Inside length
Width
Liquid depth
ZS J
ADE:
IF HOMEM
y
DISTANCE TO:
Well
Dwelling
PERMIT NO.
J 0 Z
02
Material
Liquid in
<
Manufacturer
capacity gallons
O
Well
Foundation
Nearest lot line
PERMIT NO.
w=
DISTANCE TO:
Al�
"Z +
jj vv S73.S"
J LL Z
No. of lines
Length of eachline
Total length of lines
Trench width
Distance between lines
F Z w
/
r
Qs r
3
inches
I
G
Top finish
Material beneath tile
Total effective absorption area
F0-
of tile to grade
r
0
41500
inches�cy
Length
Width
Depth
PERMIT NO.
LU
0
Q I—
Type of crib
Crib diameter
Crib depth -
Total effective absorption area
w 4
w
y
Well
Building foundation
Nearest lot line
DISTANCE TO:
Class
Depth
Driller
Distance to lot line
PERMIT N0.
J
J
w
9:
Building foundation
Sewer line
Septic tank
Absorption area(s)
DISTANCE TO:
OTHER
PIPE MATERIALS
C:s � iE-o r•
,
SOILTEST RATING
,/2—Z>
INSTALLER
REMARKS
r
�
t/
a 64
I
ey
�J
...e. ••��,�rD
h\�o�.11.
e
w
GfA�JUKej
u^ No. 1995-E
APPROVED DATE LEGAL
72-013 (Rev. 3/78)
ral up r_4 1. #__; I � ql, " 9 x I I-rl k-9 t—
DEPARTMENT l'_,,_.,HEALTH AMC ENVIRONMENTAL t�_,,OTECTION
825 'L' STREET, ANCHORAGE, AK. 99501
264-4720
PERMIT NO. 800535
APPLICANT PAUL. JOHNSON BOX 2014 ANCH. 344-1709
LOCATION 140TH. ST.
LEGAL LOT I KI JI} SUB' LOT SIZE 84-000 SQUARE FEET
TYPE OF SOIL ABSORPTION SYSTEM IS: TRENCH
MAXIMUM NUMBER OF BEDROOMS = 4 SOIL RATING (SQ FT/BR)= 120
THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS:
THE LENGTH DIMENSION 15 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).
I:p F__ fA_ u l F-_ F7 L> !F; 1= F=16 T. T I::- _r FA P-4 IF--' IF. 7 F=' n !r L_ 0 ir-4
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.
-rt.jtil -=� > -IZ- -JU I . U - - -
<-- F7iF-_F= FREEC FR FE
BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS
DEPARTMENT WILL BE SUBJECT TO PROSECUTION.
MINIMUM DISTANCE BETWEEN A WELL AMC:' 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 AMC:
TO A COMMUNITY SEWER LINE IS 75 FEET.
WELL LOGS ARE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN 30 DAYS
OF THE WELL COMPLETION.
OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE
AVAILABLE TO INSURE PROPER INSTALLATION.
F- FEE FZ M I -r F= X F:" I F, E:!F. U.- E= f--- F=M E� E= Fi! 3-- A _- -1
I CERTIFY THAT
1: 1 AN FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AMC WELLS AS SET
FORTH BY THE MUNICIPALITY OF ANCHORAGE.
2: 1 WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES.
I UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE
xESIDENCE IS REMODELED T -A INCLUDE MORE THAN 4 BEDROOMS.
---------------------
7i •lLn 0. 1 Y .0 1 11 T
o
SOILS LOG
MUNICIPALITY OF ANCHORAGE
\ ENT OF HEALTH AND ENVIRONMENTAL PROTECTION O PERCOLATION
DEPARTMENT � +r TEST
825 L. Street, Anchorage, Alaska 99501 264.4720
SOILS LOG — PERCOLATION TEST
PERFORMED FOR: IPti" L -,T/O Ile%~ S o DATE PERFORMED:
LEGAL DESCRIPTION: LOT 1 SO e,�D,V It Co 14D0
SLOPE SITE PLAN
1 111
2
3
5
6 t
7 �
4
8
'� 9 °0
10-
11
0 11 a
12 .�
13
14-
15-
16
41516
17
18
19
20
COMMENTS
0 (L La
s�N b (SP)
&9.k14E0-y 51-wA
CG w - S W) %2 S Y/6c ,
Czw — Gw
l WAS GROUND WATER �b L
1/10 S
/RClj�lyy ENCOUNTERED? 0
r
P
IF YES, AT WHAT E
DEPTH?
Ralph 8.eY6fc la
NO. 1995£
d4 AOF�PHO FESS�O�P4^��
I
Reading
Date
Gross
Time
Net
Time
Depth to
Water
Net
Drop
PERCOLATION RATE (minutes/inch)
TEST RUN BETWEEN FT AND FT
PERFORMED BY: �-�/L� CERTIFIED BY: a./. .� DATE:
u�r�xinmn/ /ri nnu mo! vi viuwnmw'm- Ma1cux1u:
' , 825 \/, STREET/ HNCHOR�GE/ HK��.(01
` ` 264�4720
PERMIT Nl ( 1120316 )
HPPLICHNT FRHNK BETTINE ]7]] COVENTRY DRIVE 99502 274~6551
LOCATION -190TH STREET
LEGHL LOT 1 KIJIK WE LOT SIZE 84410 SQUHRE FEET
MINIMUM DISTANCE BETNEEN H WELLHND ANY QNSITE SEWHSE DISPOSHL SYSTEM IS
100 FEET FOR H PRIVHTE NELL OR 150 Ti.-) 200 FEET FROM H PUBLIC WELL DEPENDING
UPON THE TYPE OF PUBLIC HELL
P1INIMU01 DISTANCE FROM H PRIVHTE WELL TO H PRIVHTE SEWER LINIE IS 25 FEET G -F -4D
TO H LINE IS 75 FEET�
WELL LOGS FI RIFE. UI
REQRED HND MUST �E RETURNED TO THE DEPH�TM�NT W�THIN ]0 DAYS
OF THE NB~L CQMPLETION.
OTHER REQUIREMENTS MHY APPLY. SPECIFICHTIONS AND CONSTRUCTION ClIHGRHMS ARE
HVHILHBLE TO INSURE PROPER INST�LLHTIO��
1 -y- S: 1-11", 1: Not E, as: �K RD Q lul W F,---'.. IF-,--? ��--20
I CERTIFY THHT
1� I HM
FHMILIHR WITH
THE REQUIREMENTS
FOR ON—SITE SEWERS HND NELLS FS SET
FORTH BY
THE MUNICIPALITY
OF
HNCHORAGE
2: I WILL
INSTHLL THE
SYSTEM
IN HCCORDHNCE 1.,111H THE CODES
HPPt- ICHNT FRHNK BETTINE
�� 00
`�`ll [��=\ » `*��(��/.\[ �^-.���� �/(-/�-^ �}�,
I I V I •vaI ..—.. . ..
Department f. Health and _,Environmenta Protection.-.
".y 825 -� Street, Anchorage.,<AK. 9501
- - 264-4720
# # TTEN PERMIT # #
HANDWRI
Permit .# 45-a(,)a)\(,9 - WELL- - -- - PERMIT
-�
Applicant. 't'. VG��v Mailing Address:
Location: 1'Z33 Cc7 U e�1-I �' Phone: Number :_ 3Y q -5Po a.
Legal Description: �— l K /J ! K ��� Lot' Sizee_ 91(1-)Op9, 91�
Type of: Soil Absorption System Is
Trench: Drainfield _� _ e age Bed: Holding -Tank:
Maximum Number of-B:6ffiooms: S it ng(sq.ft
DEPTH
The.Required Size of the Soil Absorption System Is:
LENGTH 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 distanc:e.between the surface of thea.ground and
the bottom of the excavation(in feet).. There is no s.et width:for trenches.
The gravel depth is the minimum depth of.gravel.between the.outfall pipe and
the bottom of the-excavation(in feet)..
# RfQUfREB-sEPTTC{hl IOG _ GAL NS #
Permit applicant has;the responsibility to inform.this-department during the
installation inspections.:of: any wells- adjacent to this property and the.numb.er,
of residences that the well will serve-..
# # TWO(Z) INSPECTIONS ARE REQ.U.IRED-* # #
Backfilling of any. system without final inspection and approval by this department
will be subject.to.p;rosecution-
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
andmust 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 EXP:`IRES.DEC.EMBER 31, 1 9 3 2# # #
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. bedrooms.
-Signed: Issued. by - ,/
Applicant _
Date:
SWP/024 (1/81.)0
a
PER
.lic it ; � �. M.Saing Address. o.
l �a �3 Jk i istitx x' j � -- fes'
1
JAI Vesc 'i -p mon, _ f # Ise7t _ - � _ 1 '
7e of 5011 soorption System 1.9:
t 2rch ; JDXa inf ie dPI aqe Bed I Holding Tank--
_
tLtll2 hex..-3'cf31 q £ -------
The
- The Required Rize of t_tae it &b6orption Sy*tem 7s;
KH � Y�a.LENGTH g :_� CRAY DEPTH
ris length diNW-Dsion is tire- length(lta feet) of the trench or dxalnfleld. Ille
L, h (if a trench or pit IS the diatance between the, 3arface Qf the gxci nd Anc
W bottom of the, excavation (iia feet) } There is no set 'Vidth for txanche5- 1
€,i %ravel depth is the InInifflDrd dept3, of qxavej between the ouffall fipe and o
Lt. bottom of the P�Xcavat,Qn (iiafeet) .
€ t applicant has the reoponsibi its, to inform thin department duxinq the
ill tion itlspection5 of any v03ls adjacent to th—Is property and the uuplbe `
€ i nce that the veal vill serve.
` wo(2) ISS oONS ARE REQUIRED
: it Znq 4f Any Ay ;tea VithOUt final iDspeMian and approval b*7 thio de attmeir
{ be subject to progeoxit-lon- —
aim dleptahcia between a well and :any ori --rite uaewage disposal :iysterft is 100. fee -
,_j Veil, or_- 150 to 200 feet fxom a public well depellc- nq Upe the type
i i0lic veil, 11�nlmuhl distance ryom a privy- e Ve11 to a private vers=er line
6 f-Vot and to .2 Coffimunity Sewer 13ne is 15 feet, well logs are xe jlTed
iauut be returnees tri thla department within 30 dAys of the well oompietl'Dn>
r-tequizewnts rtay apply. Specificiatiotas and constTiaction diagrams are
Lable to an*M e proper Ira*tallati.on .
- PERMIT EXPIRES DECEIB R
-r tdfy that
a fail ar w Ith the req€a"_rem a � for on-51te z YSc of .as
get forth by the € uni.Qipal ty o nCI orage.
f vill install the system In acco €lanee with c4cxde-s.
(3) 1 u-nderatand that the on-site 5+, -Wer sy5t0m m4y require enlargem-,nt if
the residence wg reveled to ircladin rare that 3 bedrooms=
15sued by:
m_N<
Val
- - - -
11 . PUMPING LEVEL below land surface and YIELD -.
WATER WELL RECORD
ft. after _hrs.-pumpi8hq .J 9 -P.M.
STATE OF ALASKA
after ',hrs; pumping
DEPARTMENT OF NATURAL RESOURES
Division of Geological d Geophysical Surveys
Drilling Permit No.
LOCATION OF WELL (Please complete either to, Ib
or Ic.)
A.D.L. No.
la. Borough Subdivision Lot Black Ib.
I/a gut.
Section No.
Township NO Range E[ Meridian' - -
1 1\ ( 0—of—of—of
13, PUMP: (if available) ' HP -
S� WE
Ic. DISTANCE AND
DIRECTION FROM ROAD INTERSECTIONS
-
3. OWNER OF WELL:
r
Subm. ❑--"Jet" �,Centrifical Other -
Address:
� //
Street Address
and Area of Well Location
2. WELL LOG
a
Feet Below
Surface
4. WELL DEPTH: (final)
ft[�
5. DgTE OF COMPLETION
d
Material Type
Top
Bottom
--
16. WATER WELL CONTRACTORS CERTIFICATION:-
-
30 -
6. Q Cable tool ❑ Rotary [3 Driven E] Dug
El - EjJet ted C] Bored C3 Other:
- -'-:
15. Water Temperature _a El F, C
0
J 2i 'Y, [�
{ i t•1 r� (</ v�r ✓ -.�
% -O
---
7. USE: �.' Domestic Q Public Supply E] Industry
- ❑ irrigation Recharge El Commerical
C] Test well O other.
-
% 4 L 1/ ( /� lJ ti - - .if
ec, v{ f D
D,
-
P {
�%/ t.V. 7✓✓ -1) `4
S. CASING: 0 Threaded � Welded
diam. "K in.- tot/ Ift. DepthWeight �' lbs. ft.
diam. in. to - ft. Depth Stickupft.
r�L/u
�(t<LI `P"
! i, rJ� I 11 jr�
9. FINISH OF WELL:
Type: �f °n. >�Ja .��%P �/� Diameter:
"-
Slot/Mesh Size: Length:
Set between ft. end-. ft.
`- -Gravel pack -
,•4 y r �s D. ,/tI S h• -/ �'
f (��-, i•� - { ✓ - - -
-.. - - --
-Backfilling
p
STATIC WATER -LEVEL: `. —7 f f I.
/ / _ -
-
-
C3 Above or _ 0 Below _land surface Date
_
.
- Equipment used: 7, 1), -
-
- - - -
11 . PUMPING LEVEL below land surface and YIELD -.
ft. after _hrs.-pumpi8hq .J 9 -P.M.
after ',hrs; pumping
12 GROUTING Well'Grouled,:- Yes �y Na
Mate rid l Neat Cement: E] Other.
-
13, PUMP: (if available) ' HP -
c
m
Length of Drop Pipe ft. capacity
r
Subm. ❑--"Jet" �,Centrifical Other -
n°
a
14, REMARKS: -
a
--
16. WATER WELL CONTRACTORS CERTIFICATION:-
-
-�{
- -'-:
15. Water Temperature _a El F, C
_
This well was drilled) under my jurisdiction and this report is true to the best Rf ray knowledge and belief; _
D,
(Rr-eegii�s�te/retl /B�u�sinesss Nomd �- '
- - Contract License Number -
Address: J../f"f---�/✓--.?.f, `- /��!•l I%%5'Y/':! i)
Signed://%�`�
rX0 V
Dote:-
""`( "!wv Asthoftied R presentsfive
/ / _ -
Form 02-WWR (II/81) Copy Distribution:
WHITE-Staie DGGS, PINK -Driller, CANARY- Customer
Time
APPLI ,AT FILLS OUT UPPER HAL -d'; ONLY
-
,Property -Owner ,
Fy, A
Phone
A)'c
1 C) Ct M
Date
Mailing Address
l< (BOnj Nc �OY c e— Zip Code 5�t jo'7
Date
- p
Buyer
�tx-r,lsi.
Inspector
Address'
Zip Code
Inspector -
Lending Institution
/
�yX�kt� S v/r S��ncr �c, ;J ,5«.
Phone
Address
.°� 9 S-ru lj�- Zip Code
Field Notes:
DEPT C- ;"' I.' ! P,
Realty Co. & Agent
-
Phone
Address
- - Zip Code
0 1982
Legal Description{-
RECEIVED
( �) APPROVED BEDROOMS
Street Location
pr c, F �U" / e7``) 5 t`
Type of Residence
`X v
Single Family
-
Multiple Family
No. of Bedrooms
Soils Rating
❑ Other
Well To Absorption Area
Well Log Received
Water Supply
�l Individual
Community
��L 2)L
1
ATTACH WELL LOG. A well log is required for all wells drilled since June 1975.
wells drilledthat date, well depth log if -
Well to Tank
h .(For
} A '
priorto give (attach
available).
❑ Public Utility
Sewer Disposal
X Individual
s 35 Year Individual Installed:
❑ Public Utility
When Connected to Public Utility:
- ❑ Holding Tank
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
Time
Time
Time
Time
1 C) Ct M
Date
Date
Date
Date
7 a u.
Inspector
Inspector
Inspector -
Inspector
Field Notes:
DEPT C- ;"' I.' ! P,
67
ENVIR,,)i V, :t,.A...:..0.-CTION
4 yr
0 1982
RECEIVED
( �) APPROVED BEDROOMS
'CONDITIONS OF APPROVAL -
( ) DISAPPROVED
( ) CONDITIONAL APPROVAL -
`X v
DATE
BY:
Soils Rating
Date Sewer Installed
Well To Absorption Area
Well Log Received
Septic Tank Size
Well to Tank
72.023 (3182)
Development Services Department p p Phone: 907-343-7904
On -Site Water & Wastewater Section Fax: 907-343-7997
Certificate of On -Site Systems Approval
Parcel I.D. 017-092-87-000
Expiration Date: 2/15/2024
Legal description KIJ I K LT 1 A
Site address 6310 E 140TH AVE Anchorage AK 99516
Current property owner(s) ALASKA USA FEDERAL CREDIT UNION
X The On-site system(s) is/are approved for 4 bedrooms
Conditional approval for bedrooms, with the following stipulations:
Comments or advisories:
Original Certificate Date: 11/15/2023
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 Services 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 work.
ATTACHMENTS:
COSA Checklist X Well Flow Advisory
Absorption Field Advisory Nitrate Advisory
Tank Age Advisory Arsenic Advisory x
Other
COSA Approval June 2022
TANK WAS DECOMMISSIONED
MUHMPA- LAT YOr- ° HCHOG AGE
Development Services Departmental 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. 017-092-N 'd7
Complete legal description Kljik L1
Location (site address) 6310 E 140th
Current property owner(s) Global One Credit Union (formerly AKUSA) Day phone
2. ON-SITE SYSTEMS SIZED FOR 4 BEDROOMS
3. TYPE OF WATER SUPPLY: 0 Private Well ❑ Private Well serving 2 dwelling units
❑ Private Well serving 3+ dwelling units ❑ Community Well or Public
❑ Water Storage
4. TYPE OF WASTEWATER DISPOSAL: Q Private Septic ❑ Private Septic serving 2 dwelling units
❑ Holding Tank ❑ Community Septic or Public Sewer
5. SEPTIC TANK: ❑ Steel ❑ Plastic ❑ Concrete ❑ Fiberglass
Age - See advisory if steel older than 20 years
6. ABSORPTION FIELD: ❑ AWWTS ❑ Bed ❑ Deep Trench ❑ Wide Trench ❑ Seepage Pit
Waiver request for:
Expedited review requested: FE -1
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 $ 9 r-1 i� f Waiver Fee $
Date of Payment / �I .2g G3 Date of Payment
COSA # DAG 2'�) I y 14 2_ Waiver #
COSA Application—June 2022
Kijik L1 017-092-22
1
X
8/27/82 161
161
X
X
12+
10/31/23
4
NA
X
X
X
23
AWPS
WELL FLOW PERFORMED BY AWPS
10/31/23
TANK DECOMMISSIONED
-ABANDONED IN PLACE
78
X
X
X
X
X
X
X
X
X
X
11/9/23
1
Kim Johnson
From:Karen Kassik-Michelsohn <karen@manddconst.com>
Sent:Tuesday, November 14, 2023 4:37 PM
To:Kim Johnson
Subject:FW: 6310 E 140th Ave
See below
Karen Kassik Michelsohn, CPBD, Fellow AIBD
Michelsohn and Daughter Construction, Inc.
3410 Balchen Dr., Anchorage, AK 99517
Office 907-522-3375, Cell 407-468-6150
Karen@MandDconst.com, www.MandDconst.com
www.Houzz.com/pro/kkassik/michelsohn-and-daughter
Past President and Board Member of American Institute of Building Design
Past President and current Board Member of Anchorage Home Builders Association
From: Noffsinger, Ross D. <ross.noffsinger@anchorageak.gov>
Sent: Tuesday, November 14, 2023 3:44 PM
To: Wockenfuss, Deborah M. <deborah.wockenfuss@anchorageak.gov>; Cogger, Benjamin M.
<benjamin.cogger@anchorageak.gov>
Cc: Karen Kassik-Michelsohn <karen@manddconst.com>
Subject: FW: 6310 E 140th Ave
Deb, Ben,
Please issue this COSA based on the informaƟon provided. Thanks,
Ross Noffsinger
Engineering Services Manager/AcƟng Building Official
343-8309
From: Karen Kassik-Michelsohn <karen@manddconst.com>
Sent: Tuesday, November 14, 2023 3:19 PM
To: Noffsinger, Ross D. <ross.noffsinger@anchorageak.gov>
Subject: 6310 E 140th Ave
[EXTERNAL EMAIL]
Ross,
The buyers have hired us to design a new home for the property and to construct a new home once the exisƟng home is
demolished. All parƟes want to close the purchase as soon as possible.
The exisƟng home is basically uninhabitable. The north side of the home has a man door and garage door, the east and
west sides are underground, and the south side is the picture that is on the MOA site. The enƟre roof is covered with
dirt and grass. It has been vacant for over 3 years and is owned by Global Credit Union as a result of repossession.
We have had the sepƟc tank decommissioned, pumped and filled with dirt. We had a flow test done on the well which
produces 4 gal per minute which the buyers want to keep.
Thank you for you consideraƟon for the COSA of this property.
2
Karen Kassik Michelsohn, CPBD, Fellow AIBD
Michelsohn and Daughter Construction, Inc.
3410 Balchen Dr., Anchorage, AK 99517
Office 907-522-3375, Cell 407-468-6150
Karen@MandDconst.com, www.MandDconst.com
www.Houzz.com/pro/kkassik/michelsohn-and-daughter
Past President and Board Member of American Institute of Building Design
Past President and current Board Member of Anchorage Home Builders Association
Kim Johnson
From: Jonathon Semon <northe/nexcavatmn@gmaiicom>
Sent: Friday, November 3, 2023 1:53 PM
To: Kim Johnson
Cc: Karen "Michelson &Daughter"
Subject: 140th Street tank
0n\
Northern Excavation and Construction has provided services to clecommission the existing septic tank on Lot I Kijik
Subdivision. Please let usknow ifyou have any questions.
Warm Regards,
Leslie Hyman -Semon
Northern Excavation &[onstrucdon, LL[
Cell: (907)250-4122
Office: (907)694-1373
Fax: (907)694-1374
Arsenic Advisory
Certificate of On -Site Systems Approval # OSC231442
Subdivision: KIJIK, Block: , Lot: 1A
A water sample revealed an arsenic concentration of 23 micrograms per liter (ug/Q.
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.
E. 140TH AVENUE
KW
I
G
I
L
L
I
N
G
O
K
S
T
.
KIJIK
S
U
B
D
.
Taylor L. Dosch
No. 189892
R
E
GISTEREDPROFESSIO N A L L A N D S URVEYOR