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Home My WebLink AboutHIGHLAND TERRACE LT 12Highland Terrace Lot 12 #050-312-12 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: OSP231299 Work Type: SepticTank Upgrade Tax Code Number: 05031212000 Site Legal Address: HIGHLAND TERRACE LT 12 G:0155 Site Mailing Address: 19415 HIGH BLUFF DR, Eagle River Owner: SELITSCH-HALER TRISTAN Design Engineer: FIRST WATER CONSULTING This permit is for the construction of: Effective Date Expiration Date: c, n' ^y 'i Department Lot Size in Sq Ft: Total Bedrooms: 9/15/2023 9/14/2024 81264 ❑ 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: 5 ,� urn CrO PLc Date: Issued By: Date: / S �Z 3 2 MUNICIPALITY OF ANCHORAGE u 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. 050-312-12 Property owner(s) TRISTAN SELITSCH-HALER Day phone _ Mailing address 15310 E JOHN KING CIRCLE, PALMER, AK 99645 Site address 19415 HIGH BLUFF DRIVE, EAGLE RIVER, AK 99577 Legal description (Sub'd., Block & Lot) HIGHLAND TERRACE LOT 12 Legal description (Township, Range & Section) Lot Size 81,264 Sq. Ft. Number of Bedrooms 2 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field ❑ Initial ❑ Single Family (SF) 0 (w/wo ADU) Septic Tank El Upgradex ❑ Duplex (D) ❑ Holding Tank ❑ Renewal ❑ 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. gnature or property owner or autnorizea agent) Permit/Rush Fees: Z Z S Date of Payment: 2-023 Receipt Number: Permit No. 03P Z 3i? --99 Waiver Fees: Date of Payment: Receipt Number: Waiver No. G\Development 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 ! !! August 31, 2023 Municipalities of Anchorage On-Site Water & Wastewater Program 4700 Elmore Road Anchorage, AK 99507 RE: SEPTIC TANK UPGRADE PERMIT LEGAL: HIGHLAND TERRACE LOT 12 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 2-bedroom residence. We would recommend a 1500-gallon HDPE tank be installed for future consideration or flexibility. No groundwater was noted in the MOA on-site file, but if groundwater is encountered during installation an epoxy coated steel septic tank may be required. The lot and area are served by private 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 OSP231299, Curtis Townsend, 09/15/23 FIRST WATER CONSULTING NO WELLS WITHIN 100' OF PROPOSED SEPTIC TANK HIGHLAND TERRACE LOT 12 DESIGN DETAILS: Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP231299, Curtis Townsend, 09/15/23 RE 'ER ANCHORAGE AREA BOr 'UGH Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME LOCATION MAILING ADDRESS ~cX ~ gl (--(4'N~'IPIIK PHONE (~:i'8.3i7cl LEGAL DESCRIPTION ~,.~Di' SEPTIC TANK: DISTANCE FROM WELL MANUFACTURER MATERIAL NUMBER OF COMPARTMENTS INSIDE LENGTH _ INSIDE WIDTH LIQUID DEPTH LIQUID CAPACITY J~-,~O0 GALLONS, SEEPAGE PIT: NUMBER OF PITS I DIAMETER (~/ OR WIDTH I'~¢,, LENGTH I'-/', DEPTH LINING MATERIAL ~O'(~ CRIB SIZE: DIAMETER_'~ DEPTH DISTANCE FROM: BUILDING FOUNDATION '~2-1 NEAREST LOT LINE ~1 TOTAL EFFECTIVE ADDITIONAL ABSORPTION WELL ABSORPTION AREA (WALL AREA) SQ. FT. WELL: TYPE BUILDING FOUNDATION CESSPOOL APPROVED _CONSTRUCTION NEAREST LOT LINE OTHER SOURCES DISAPPROVED NEAREST SEWER LINE · REMARKS DEPTH DISTANCE FROM: SEPTIC SEEPAGE TANK , SYSTEM DISTANCES: DIAGRAM OF SYSTEM INSTALLED BY: PIPE MATERIAl. · LOT SLOPE: RI--MAR KS: Form No. EQ-031 GREAFER ANCHORAGE AREA BOROUGH DEPARTMENT OF ENVIRONMENTAL QUALITY 3330 I IC '1 STREET ANCHORAGE, ALASKA 99503 TELEPHONE 274-456 I PH ONE ?/ SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT NAME OF APPLICANT .~,/~{}/. % 7/~,.' (~2 MAILING ADDRESS ~2~( INSTALLATION OF: SEPTIC TANK {~ SEEPAGE PIT ~ ., DRAIN FIELD ~Oll TEST RESULTS 5~~ PERMItNO. , OTHER NOTE~ THI~, PERMIT IS NOT VALID WITHOUT SOIL TEST COMPLETION DATE ANTICIPATED FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION. .. // ,,..). SEPTIC TANK SIZE.///~/?//~_ · TYPE (~/~ f~'~%~." ~¢' .~' SEEPAGE AREA SIZE TYPE MINIMUM DISTANCES, REOUIREMENT~ FOUNDATION TO sePtiC TANK ~'-- FOUNDATION TO SEEPAGE PIT DRAIN FIELD WELL TO SEPTIC TANK .~ ~) , seEPAGE Pit '/(~ ~ WATER MAIN TO SEPTIC TANK , SEEPAGE Pit DRAIN FIELD TO RIVER. LAKE, STREAM. CAST IRON INTO AND OUT Of SEPTIC TANK AND INTO CRIB CROSSING GAP OF EXCAVATION 5 FEET INTO UNDISTURBED SO~L. 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT FITTED WITH AIRTIGHT REMOVABLE CAPS, DIAGRAM OF SYSTEM GRAVEL BACKFILL CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. LICENSED DESIGNER I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE· · ------ DATE .¢~ / :-- :/~A APPLICANT'S SIGNATURE __(~M~/'-- . : Russell Oyster 694-2774 Civil Engineering Soils Et Foundations 0 FY E ENGINEERING FY DEVELOPMENT CO, Box 90, Davis St., Eagle River, Alaska 99577 694-2774 or 333-5240 SOIL LO6 Earl Ellis 333-5240 Surveying Land Development Performed for: Legal Description: ,De~th (feet) 0 Name: ~-TJ-~/l A//~; Mailing Address: Soil Characteristics Ground Water Encountered: Yes~_ No k~ If yes, what depth Proposed Installation: Seepage Pit m":' Drain Field~. Comments: /~> ~!,'~i~W~,:/~ Z:i~h£~:.? i':/] ~,::(7/f//,z // SES Municipality of Anchorage Development Services Department Building Safety Division , On -Site Water & Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING Parcell.D. 05()-3Ia- ICOSA# 1. GENERAL INFORMATION Expiration Date: Complete legal description Location (site address) Current Property owner(s) Mailing address Lending agency Mailing address Real Estate Agent Mailing address HIGHLAND TERRACE SUBDIVISION: LOT 12, 19415 HIGH BLUFF DRIVE • EAGLE RIVER, AK 99577 WENDAL ARNOLD Day phone 694-0817 19415 HIGH BLUFF DRIVE • EAGLE RIVER, AK 99577 Day phone ANNE ROBERTS w/ PRUDENTIAL J.W. Day phone 3801 CENTERPOINT DRIVE • ANCHORAGE. AK 99503 Unless otherwise requested, COSA will be held by DSO for pickup. 2. NUMBER OF BEDROOMS: 2 244-3392 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well Individual On-site 0 Individual Water Storage ❑ Individual Holding tank ❑ Community Class Well ❑ Community On-site ❑ Public Water System ❑ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given In paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of On -Site Systems Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues COSAs upon request to homeowners. Certificates of On -Site Systems Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water samples. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions In the professional engineer's work. 4. 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. 1 further verify that based on the information obtained from the Municipality of Anchorage (les 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. Name of Firm GARNESS ENGINEERING GROUP, Ltd. Phone 337-6179 Address 3701 E. TUDOR ROAD, SUITE 101 * ANCHORAGE, AK 99507 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Date /VC) 5L Engineer's Comments: In conducting this evaluation, GEG, LID. attempted to provide a thorough, conscientious engineering analysis ofthe system in accordance with ADEC and MOA DSD Guidelines 8 Regulations. The reported results described the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily identsable features. The operational life of all wells and septic systems depend on the local soils condition, groundwater levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of the system. Satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. GEG, LTD. can therefore not provide any warranty or future estimate of how long the system will continue to meet the operational requirements of the ADEC or MOA DSD. The content of this report is for the sole benefit of the owner listed above. Any reliance upon or use of this report by any other person or party is not authorized, nor will it confer any legal right whatsoever. 5. DSD SIGNATURE v Approved for C2_ bedrooms. Disapproved. Conditional approval for bedrooms, with the flowing stipulations: Attachments: l COSA Checklist C/ Septic System Advisory Well Flow Advisory Nitrate Advisory Arsenic Advisory Maintenance Agreements Supplemental Engineer's Reort Other DF A ..... ...... A. G ss: ON-SITE WATERAND •; WASTEWATER ; PROGRAM = By: al Original Certificate Date: (e — l 2 - 0 -7 (R". 11,M) Municipality of Anchorage Development Services Department Building Safety Division On -Site Water & Wastewater Program 4700 Bragaw, Street P.O. BOX 198650 Anchorage, AK 995194WW www.muni.org/onalte (907) 343.7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description: HIGHLAND TERRACE SUBDIVISION; LOT 12 Parcel A. WELL DATA Well type PRIVATE If A, B, or C provide PWSID# N/A Date completed 1974 Sanitary seal (Y/N) YES Total depth 112 ft. Cased to 20.5 ft, FROM WELL LOG Date of test UNKNOWN Static water level 9 ft. Well production 5 — 9 -p.m - WATER SAMPLE RESULTS: Well Log (Y/N) YES Wires properly protected (Y/N) YES Casing height (above ground) 12+ in. AT INSPECTION 3/12/2007 23 fl, 0.6 g.p.m. CdKorm 0 colonies/100 ml. Nitrate 1.29 mgJL. Other bacteria 0 colonies/100 ml. Arsenic: ND ug./L. Date of sample: 3/12/2007 Collected by: GEG. Ltd. B. SEPTICIHOLDING TANK DATA *FCO INSTALLED BY OWNER; MAY 2007 Tank TypalMateriai STEEL Date Installed 10/18/1974 Tank size 1000 gal. Number of Compartments E Cleanouts (Y/N) YES Foundation cleanout (Y/N) SES Depression over tank (Y/N) NO High water aiarrn (Y/N) N/A Date of pumping 3/11/2007 Pumper JR'S PUMPING C. ABSORPTION FIELD DATA Date installed 10/18/1974 Soil rating (g.p.d.ffeort /bd 200 System type CRIB Length 17 ft. Width 17 ft. Gravel below pipe 6 ft. Total depth •9.08 fl. Eff. absorption area 408 ft' Monitoring tube YES Depression over field NO Date of adequacy test 3/12/2007 Results (Pass/Fail) PASS For E bedrooms Fluid depth in absorption field before test DR in. Water added 332 gal. New depth DRY in. Elapsed Time: 0 min. Final fluid depth DRY in, Absorption rate >= 300+ g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) NONE KNOWN If yes, give date — D. UFT STATION Date installed Size in gallons Manhole/A x:ess (Y/N "Pump on" level at _in. "Pump ofr li High water alarm level at in. Cycles tested Meets alarm 8 circuit requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tankAift station on lot 100'+ On adjacent lots 100'+ Absorption field on lot 100'+ On adjacent lots 100'+ Public sewer main N/A Public sewer manhole/deanout N/A Sewer /septic service line 25'+ Holding tank N/A Animal containment areas 50'+ Manureianimal excrete storage areas 100'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Absorption field 5'+ Water main N/A Water service line 10'+ Surface water 100'+ Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10 0 + Building foundation 10'+ Water main N/A Water service line 10'+ Surface water 100'+ Driveway, parking/vehicie storage 10'+ Curtain drain NONE KNOWN Wells on adjacent lots 100'+ F. 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. Engineer's Printed Name JEFFREY A. GARNESS �Qa Date �' //o Y` �0 COSA Fee S `T�a • U (> Date of Payment C1 :7910 7 ReoeiptNumber UU?5?6 (Rev. I IM5) Waiver Fee $ Date of Payment Receipt Number A. Gorness. Municipality of Anchorage • Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 Nater Well Advisory Health Authority Approval # 070177 During a recent Health Authority Approval on-site inspection and test of the potable water supply well on Block , Lot 12 of Highland Terrace subdivision, the well's productivity was determined to be 0.6 gallons per minute. The minimum well productivity required by this Department (AMC 15.55) for a 2 -bedroom residence is 0.2 gallons per minute. Although the subject well currently exceeds this minimum requirement, all parties concerned are advised that the production capacity of the well may fluctuate. Restriction of non-critical water uses such as washing cars and watering lawns and gardens may be required. This advisory must be attached to all copies of the subject Health Authority Approval. J.0 n - I I - 2Garness Engineerins Group. Ltd. 8737007 3 : 56PM TER DO ro 1, L USGS No. DrUjtq Ca, 1:2 DMei Area well 07ver". Use of Well Ucstsw (address of: Township. Range. Section (if knmnX distance from r"d- Can'd Z. 0 Depth of Hob, 7z-- feeL' feet.She of.casing �7' Sulk"water'level led - (abiwo oe)ow) land.surface. Finish of well (Cbid'ofte) Opeli taii . .Screen 4, Perforated J r w j Describe screen or pvrfcirations='— gallons per (W Well Pmpint test at w.) for hm�m yl feet of drawdown from statl< level. LOG,. WUL .Deptlk in .legit tram. CbedeUlls of f"Itio, is penpenetrated,iizi of material, color, and hirdneli. grWnsdsudaca :'P a. 7,77" >1 j C. to 10 to to A' to I Z A LEWON O M N b Pil 'anoig 9uliaaul2u3 ssOM D NMI LOOT '11,unr = i N 7 ^ V p 4+ r ^ d M Pil 'anoig 9uliaaul2u3 ssOM D NMI LOOT '11,unr C A LCL8'ON 'Pll 'dnOJD HIMUIRU3 SSOUJID Adgg:C LOOZ 'll'unr ,�sy :r13 E z6a.cb u ASBUILT SaIARD &ASSOCIATES LAND SURVEYING 69 I HEREBY CERTIFY THAT I HAVE SURVEYED THE SCALEi ,, , FOLLOWING DESCRIBED PROPERTY. / y� •� OF At%%� .fes/L�/Gr�ir�4Ta��jUB soriz DATE= ( ., •9 AND THAT NO ENCROACHMENTSrEXIST EXCEPT AS INDICATED. IT IS THE RESPONSIBILITY OF THE 4 . TNS OWNER TO DETERMINE THS EXISTENCE OF ANY GRID- " • •• • •••••• EASEMENTS, COVENANTS, OR RESTRICTIONS WHICH DO NOT APPEAR ON THE RECORDED SUBDI- f' h/ •: Due :nz' • VISION PLAT. UNDER NO CIRCUMSTANCES SHOULD FBff •. Mak S•.*,d 15,69 ANY DATA HEREON BE USED FOR CONSTRUCTION OF FENCE LINES, OR FOR ESTABLISHING BOUND- �.•�„R�. c� ARY LINES. 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