HomeMy WebLinkAboutHERITAGE HEIGHTS LT 3Heritage
Heights
Lot 3
#015-361-19
Municipality of Anchorage
Development Services Department 1enl 2 4 2012
Building Safety Division i I � .6-
On-Site Water and Wastewater Program, 4700 Elmore Road
P.O. Box 196650 Anchorage, AK 99507 Page of
www.ci.anchorage.ak.us (907) 343-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
Permit Number: OSP111221 PID Number: 015-361-19
Name:
ROBERT BRODIE
Wastewater System: E] New ❑✓ Upgrade
Address:
5900 YUKON, ANCHORAGE, AK
ABSORPTION FIELD
Phone: Number of Bedrooms:
Q.
❑Deep Trench ❑Shallow Trench ❑Bed ❑Mound ❑Other.
LEGAL DESCRIPTION
Soil Rating:
Total Depth from original grade:
GPD1Fr=
Ft.
Block: Lot:Subdivision:
3
Depth to pipe bottom from original grade:
Gravel depth beneath pipe:
HERITAGE HEIGHTS
Ft.
Ft.
Township: Range: Section:
FIII added above original grade:
Gravel Length:
Ft.
Ft.
Well: El New ❑Upgrade
Gravel width;
Number of lines:
Distance between lines:
__
Ft.
Ft
Classification (Private, A, B. C):
ToWi Depth:
Cased to:
Total absorption area:
Pipe Material:
PUBLIC
Ft.
FL
Ft
Driller:
Date DOW:
Static Water Level:
Installer:
Date Installed:
Ft.
ISAAC'S EXCAVATING
9/14/2011
Yield:
Pump Set at:
Casing Height Above Ground:
TANK
GPM
Ft.
Ft.
SEPARATION DISTANCES
FI Septic ❑ Holding ❑ S.T.E.P: ❑ Other:
To
Septic
Absorption
Lift
Holding
ublic/Private
Man-fedurw:
Capacity:
From
Tank
Field
Station
Tank
Sewer Line
GREEK
1250 Gal.
Material:
Number of Compartments:
Well
200'+
25'+
STEEL
2
Surface Water
100'+
LIFT STATION
Sae:
Manufacturer:
Lot Line
5'}
Gal.
'Pump on' level at:
"Pump ofr level at:
High water alarm at:
Foundation
5'}
in.
in.
in.
Pump Make&Model
Electrical Inspections performed by:
Curtain Drain
5D'+
Remak=:
EXIST TANK ABANDONED PER MOA
BENCH MARK
Location and Description:
REQUIREMENTS.
BACK DOOR JAM
Assumed Elevation:
100 Ft
Engineers Stamp
Inspections performed by: LARS SPURKLAND Dates: 1a` 9/14/11
O F A�qs 111
2nd
= �rG
Development Services Department Approval
� y. • ;� ��
Conditional Approval Date:
; 497 •
i SPURKLAND�
�'• 11100
it
Reviewed and approved by:. / Date: _��' I2
(1`FOp� NP_
s$0
(Rev. 04/06)
14�'
HERITAGE HEIGHTS SID
YUKON ROAD
Lot 3
I SW/RG TIES A B
ST. C.O. C 27.5' 32.5'
S. T. G0. D 31.0' 34.5'
DOL C.O. E 32.0' 36.5'
DBL C.O. F 31.0' 37.0'
STALLED NEW 1250 GALLON STEEL SEPTIC B C
2AWEC7ED TO DRAIN FIELD D £
w N F
ABANDONED FXIS17NG - -
SEPITC TANK PER MOA
CODE REOWREMENTS
25 0 25 50 75 100 25 150
SCALE, 1' = 50 FT
NOTE. 71AS IS NOT A SURVEYED PLAT 11' LL & SEPTIC
{LOCATIONS TAKEN FROM ON --SITE WATER AND WASTE 4ATER
OEPARTMENT DOCUMENTATION ALL LOCATIONS SHOWN ARE
APFROXIMAT£
N07F.• SUBDIVISION SERVED BY PUBLIC WATER. NO WELLS
WITHIN 200 FEET OF PROPOSED SEPTIC TANK
REPLACEMENT SIT£.
4 FEET COVER
DDU&E
CLEANAITS AA A
A II II
CONNECTED TO
EXIST BRAINFI£LD
1250 GALLI7N SEPTIC TANK
BENCH MARK BACK DOOR JAM
ASSUMED ELEVATION 100 FFE7
FDIINDATIDN
CLEAALUT
SPURKLAND ENGINEERINGI I HERITAGE HEIGHTS LOT 3 I I SEPTIC SYSTEM ASBUILT
203 W 157H. AVENUE DATE: OCT. 3, 1011
ANCH. AK. 99501 BOB BRODIE SHEET. 1 1 GRID: 2438
(907) 279-3916 5900 YUKON RD., ANCHORAGE, AK 99516
PERMIT # OSP 111221 PID # 015-361-19 HERIT46EHEI6HT9L3.DVG
On -Site Wastewater Disposal System Permit
MUNICIPALITY OF ANCHORAGE
Development Services Department
On -Site Water & Wastewater Program
4700 Elmore Road, PO Box 196650
Anchorage, AK 99519-6650
Telephone: (907) 343-7904
Permit Number: OSP111221
Tax Code Number: 01536119000
Work Type: Septic Upgrade
Permit Effective Dates: September 07, 2011 to September 06, 2012
Design Engineer: SPURKLAND ENGINEERING
Subdivision: HERITAGE HEIGHTS
Site Legal Address: HERITAGE HEIGHTS LT 3 G:2438
Owner/Address: BRODIE ROBERT & NANCYE
5900 YUKON RD ANCHORAGE AK 995070000
Site Mailing Address: 5900 YUKON RD, Anchorage Lot Size in Sq Ft:
Total Bedrooms:
This permit is for the construction of:
18256
4
N Disposal Field Y Septic Tank N Holding Tank N Privy N Private Well N Water Storage
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 wastewater code requires inspections during the installation. The engineer must notify the Development Services
Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either:
A. Open and Close on the same day.
B. Covered, sealed, and heated to prevent freezing.
Received By:
Issued By:
Date:
Date: -! 7
MUNICIPALITY OF
4
Community Development Department
Develo m not Services Division
ANCHORAGE
p
On -Site Water & Wastewater Program
Mayor Dan Sullivan
ON-SITE SEWER/WELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLING
Parcel I.D. Oln- 7'I -� 7
Phone: 907-343-7904
Fax: 907-343-7997
Property owner(s)
lb�,b
(® all that apply)
Day phone „l�
Mailing address��
Field
El
Tank
Upgrade KSeptic
Site address - > IAM t —
Legal description (Sub'd., Block & Lot) 1-I c,2, iA &�- H c i L � _T
Legal description (Township, Range & Section)
Lot Size—) G, 256 Sq. Ft. Number of Bedrooms y
THIS APPLICATION IS FOR:
THIS APPLICATION IS AN:
(® all that apply)
Initial ElAbsorption
Field
El
Tank
Upgrade KSeptic
Tank
❑
Renewal E]Holding
Privy
❑
Private Well
❑
Water Storage
❑
THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR:
I certify that the above information is correct. I further certify that this application is being made
for a Single Family Dwelling and is in accordance with applicable Municipal Codes.
of property owner or authorized agent)
Da6rmi`ush Fees: a-C)C' Fees:
Payment:Date of Payment: ent:
Receipt Number: Receipt Number:
Permit No. Cs b" i Waiver No.
GABuilding\On Site\Forms\Client Forms\Permit App_01 041 1.doc (Rev. 1/11)
a g g
Environmental Consulting and Design
August 19, 2011
Municipality of Anchorage
Development Services Department
Building Services Division
On-site Water and Wastewater Program
4700 Elmore Road
P.O. Box 196650 Anchorage, AK 99519-6650
Subject: SEPTIC TANK PERMIT APPLICATION
Heritage Heights Lot 3
Ladies and Gentlemen:
We are submitting an application to upgrade the septic tank for this lot. The existing septic tank serving
the above referenced property is 36 years old and the owner would like to replace it. The submittal
consists of one (1) drawing showing the present improvements on the lot and the proposed improvements
of the lot, of which only the septic tank is subject to this permit application.
There are no wells within one hundred feet of the proposed replacement site. The installation of this
septic tank will not prevent wells and septic systems from being installed on the adjacent lots. There are
no developed or natural surface / sub surface drainage courses within 100 feet of the proposed septic tank
location. The proposed septic tank will not change the general slope of the area. Ponding and/or
concentration of surface runoff will not result from this installation.
If you have any questions or are in need of additional information please contact me at 279-3916.
Sigcerely,
> s Sp)rkland, P.E.
203 West 15th Avenue Suite 202, Anchorage, AK 99501, Phone: (907) 279-3916
Fax: (907) 276-6013, SpurklandEng@gci.net
HEIGHTS SI D
H E R I T A G E
YUKON ROAD
Lot 3
ABANDONED EXISTING - -
SEPTIC TANK PER MOA
CODE REQUIREMENTS
25 0 25 50 75 100 125 150
SCALE, 1' = 50 FT.
DOUBLE
CLEANI
NOTE: SUBDIVISION SERVED BY PUBLIC WATER. NO WELLS
WITHIN 200 FEET OF PROPOSED SEPTIC TANK
REPLACEMENT SITE.
4 FEET COVER
CONNECT TO
EXIST DRAINFIELD
1250 GALLON SEPTIC TANK
BENCH MARK ® "A" ON SITE PLAN
ASSUMED ELEVATION 100 FEET
FOUNDATION
CLEANOUT
NO. UL -11500
SPURKLAND ENGINEER/NG HERITAGE HEIGHTS LOT 3 SEPTIC SYSTEM DESIGN
203 W 15TH. AVENUE BOB BRODIE DATE. AUGUST 19, 2011
ANCH. AK. 99501 SHEET.• 1 1 CRID. 2438
(907) 279-.�91 B 39010 TUKON RD., ANCHORAGE, AK 99316
PERMIT # OSP 111XXXX PID # 015-361-19 HERITAGEHEIGHTSL 3.DVG
a �w GREk R ANCHORAGE AREA BORC NGH
y�uVVu�Department of Environmental Quality
"' 3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
PHONE 57� r/NAME Rbed_ T_)/�bdr
LOCATION LEGAL DESCRIPTION Oe/ITU,Y,
rIpI�I1�5 (h 1` _
SEPTIC TANK:
DISTANCE I /J NUMBER OF
"
FROM WELL MANUFACTURER (OrCc MATERIAL 5ypeCOMPARTMENTS
INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH LIQUID CAPACITY GALLONS.
TSL-C4f� -
TOTAL LENGTH ��
DISTANCE FROM WELL FOUNDATION NEAREST LOT LINE l7 OF LINES
NUMBER OF LINES DISTANCE BETWEEN LINES TRENCH WIDTH D(O IN. TOTAL EFFECTIVE
rJ /
ABSORPTION AREA SQ. FT. LENGTH OF EACH LINE
DEPTH OF FILTER
DEPTH: TOP OF TILE TO FINISH GRADE—MATERIAL BENEATH TILE_7_�_11& ABOVE TILE (ti IN.
WELL: C (i u 1,i g4ev-
TYPE_ CONSTRUCTION g� ` DEPTH DISTANCE FROM:
BUILDING NEAREST NEAREST SEPTIC SEEPAGE
FOUNDATION LOT LINE , SEWER LINE , TANK , SYSTEM
CESSPOOL , OTHER SOURCES
APPROVED DISAPPROVED REMARKS
DISTANCES: D IL
INSTALLED BY:
l
SEWER LINE DEPTH: S IlZ
PIPE MATERIAL: GZS�l�Oh
I
i
LOT SLOPE: i10K
REMARKS
Form EQ -032
DIAGRAM OF SYSTEM
lob' h k6
DATCd-7L7 ' APPROVED
V,(:, s t
� C I Pccuott �'
G.A.A.B.
GRE! -ER ANCHORAGE AREA Bc,,\ jUGH �
DEPARTMENT OF ENVIRONMENTAL QUALITY/ PERMIT
V ct 3330 "C" STREET ANCHORAGE, ALASKA 99503 S � f a e, n1 ,I I' C7
„<( TELEPHONE 274-4561 ! ,
.., go�y¢eo ,.rte "�. 'Vr. /I !- N ✓ZY � � - t' ' s
SEWAGE DISPOSAL SYSTEM — APPLICATION AND PERMIT
�.r/ I t/
k iCc �rt2 4-)fic>clf 1 c/= Se _r
PHONE
NAME OF APPLICANT MAILING ADDRESStlJ///V C c/_ /`f L /i
_a— i i
INSTALLATION LOCATION
LEGAL DESCRIPTION
.1
INSTALLATION OF: SEPTIC TANK SEEPAGE PIT DRAIN FIELD .OTHER
C
TYPE AND SIZE OF FACILITY TO BE SERVED T—
FINANCED THROUGH / TO BE INSTALLED BY
SOIL TEST RESULTSy� '!/� NOTE: THIS PERMIT IS NOT VALID WITHOUT SOIL
COMPLETION DATE ANTICIPATED
TEST
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
SEEPAGE AREA SIZE TYPE �e r-/�
MINIMUM DISTANCES, REQUIREMENTS DaRAM AF'SYSTEM --`� �'�
FOUNDATION TO SEPTIC TANK
.
FOUNDATION TO SEEPAGE PIT �,�—a. DRAIN FIELD
SEPTIC TANK TO SEEPAGE PIT WALL '
i
SEPTIC TANK N -lam SEEPAGE PIT DRAIN FIELD
TO NEAREST LOT LINE.
WELL TO SEPTIC TANK SEEPAGE PIT
DRAIN FIELD, ALSO CONSIDER AREA WELLS.
C c n[k .L 7- w ly 7'--c /.'
WATER MAIN TO SEP IC TANK L / SEEPAGE PIT C�
DRAIN FIELD
r i \
SEPTIC TANK, %" Z (, SEEPAGE PIT DRAIN FIELD /_L Z—L'
TO RIVER, LAKE, STREAM. ('\
CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OrV,
EXCAVATION 5 FEET INTO UNDISTURBED SOIL.
4.INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT
FITTED WITH AIRTIGHT REMOVABLE CAPS.
GRAVEL BACKFILL -f
CONFORM TO BOROUGH 4GULATIONS REGARDING INSTALLATION.
OR
LICENSED DESIGNER
01
neL�
Y�
A� i
FORM NO. EQ -0 6
_v
r
j1
{
47
r
r
-jam�--
l
r
L'
I CERTIFY THAT 1 AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHOR AI
DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE.
DATE `��" APPLICANT'S SIGNATURE
FORM NO. EQ -0 6
ONCE NO. 28.68 AND THAT THE ABOVE
kill
`s
ALA LA
Dr. Robert Brodie
8301 Old Seward Highway
Anchorage, Alaska
4040 "B" STREET,
ANCHORAGE, ALASKA 99503
PHONE: 907-279-2581
May 14, 1975
WO 17316
Project: Lot 3, Heritage Heights
Subject: Subsurface Soils Exploration
Dear Doctor Brodie:
Transmitted herein are the results of a test pit placed in
the project property at the specified location and depth.
The data is organized in this report as follows:
Test Pit Location Sketch Figure 1
Test Pit Log Sheet 1
Standard Explanatory Data Sheets 2 to 4
Data Not on Log Sheet 5
The test pit was dug by Dyess & Ziegler using a backhoe, on
the 9th of May 1975. /
The test pit was logged and sampled by Mr. Peter Herstek,r/
technician of our staff. The testing and report by Alaska
Testlab.
The soils found in this study are predominantly frost
susceptible sand silt gravel mixtures with silt prevailing.
The material encountered from 2.0' to 5.0' was a non -frost
susceptible sand.
No free water level was observed in the test pit, and only
0.5' of frost (seasonal) was observed.
The Greater Anchorage Area Borough has established the
amount of seepage area per bedroom required for a particular
seepage pit based on the unified classification of the soil.
We understand this criteria to be as follows:
Dr. Robert Brodie
May 14, 1975
Page 2
Unified Soils Classification
GW -GP
GM
SW
SP
SM
ML
CL -CH
Seepage Area Required
85 square feet/bedroom
225 square feet/bedroom
125 square feet/bedroom
150 square feet/bedroom
250 square feet/bedroom
275 square feet/bedroom
350 square feet/bedroom
Soils with a seepage area value of greater than 250 square
feet per bedroom are generally considered not sufficiently
permeable to accept effluent. Additionally, the bottom of
any seepage pit is required to be 4 feet above the free
water level.
The unified soils classification of each soil type encountered
and the free water level (if any) observed at the time of
exploration are contained on the test pit log, should
proportioning a specific seepage pit in the area defined by
the test pit be required.
If there should be any questions on the above, please contact
our office.
Very truly yours,
ALASKA TESTLAB
/ 4
Kenneth W.
q-0oe, FAIC
Lab. Supervisor
KWB:mm
Enclosures
I�
L'ot 3, Heritage Heights
TEST PIT #1 Elevation Existing Ground
Depth in Feet
From To
SOIL DESCRIPTION
�J
WO #17316
0 0.5 Peat, Pt, brown, wet, soft.
0.5 2.0 F-4, slightly gravelly Sandy Silt, ML, brown,
wet, soft, some organic, nonplastic.
2.0 5.0 NFS, Sand, SP, brown, damp, dense.
5.0 15.0 F-4, Gravelly Sandy Silt, ML, gray, damp,
stiff, plastic.
Bottom of Test Pit: 15 ft.
Frost Line: 0 ft.
Free Waterlevel: None
SA. TYPE OF DRY
NO. DEPTH BLOWS/6" Mo SAMPLE STRENGTH GROUP OTHER
1 1.5' --- -- Grab --- ---
2 2' --- - Grab --- --- ---
3 10' --- -- Grab --- --- ---
4 15' --- -- Grab --- --- ---
7esf P Lo c o/: o�
YIV/roI-?
T
- 75f Rif Localloh
D/S la.?c es e -7 —q e c�
No fo so ale
Test Hole Log — Description Guide
The soil descriptions shown on the logs are the best estimate of the soil's
characteristics at the time of field examination and as such do not achieve the
precision of a laboratory testing procedure. If the log includes soils samples,
those samples receive an independent textural classification in the laboratory
to verify the field examination.
The logs often include the following items:
Depth Interval — usually shown to 0.1 foot, within that zone no
significant change in soil type was observed through drill action, direct
observation or sampling.
Frost Classification — NFS, F1, F2, F3, F4, see "Soil Classification
Chart"
Texture of Soil — An engineering classification of the soils by particle
size and proportion, see "Soil Classification Chart", note the
proportions are approximate and modifications to the soil group due to
stratification, inclusions and changes in properties are included.
Moisture Content — this is a qualitative measure:
dry, no or little apparent surface moisture, _
damp, moisture forms portion of color, less than plastic limit,
wet, no free water, often soft, if cohesive soil,
saturated, free water may be squeezed out, if a free draining soil;
dilatent at natural moisture content, if a non -plastic silt or fine
sand. (The moisture content is further defined by reference to P!,
Ley, NP, M% or dilatency.)
Density — refers to more -or -less non -cohesive soils, such as sand gravel
mixtures with or without a tine fraction-, derived from drilling action
and/or sample data; usually described as: very loose, loose, medium
dense, very dense. General intent is to portray earthwork
characteristics.
Stiffness — refers to more -or -less cohesive soils and fine grained silts of
the clay -silt groups. Derived from drill action and/or sample data. Very
soft, soft, stiff, very stiff and hard are commonly used terms.
Particle size — The largest particle recovered by the split spoon is
1-3/8", Shelby tube 3", auger flights (minute -man) 2", Auger flights
(B-50 hollow stem) 6"-8". Larger particles are described indirectly by
action of the drilling and are referred to as cobbles, 3" to S", or
boulders 8"+. Therefore when reviewing the gradation sheets, if any,
the description on the hole log must be considered for an indication of
larger particles.
Unified Soil Classification — This is a two letter code. See Unified
Classification sheet for further definition. In some cases AASHO and/or
FAA soil classifications may be shown as well as the unified.
Atterberg Limits — useful for fine grained and other plastic soils.
Pli natural moisture content believed to be less than plastic limit
Pl+; natural moisture content believed to be between plastic and liquid
limits
Lw+; natural moisture content believed to be greater than liquid limit
NP; non -plastic, useful as a modifying description of sonic silty
mzterials.
Dilatency — is the ability of water to migrate to the surface of a
saturated or nearly saturated soil sample when vibrated or jolted — used
as an aid to determine if a fine grained soil is a slightly or non -plastic
silt or a volcanic ash.
Rock flour — finely ground soil that is not plastic but otherwise appears
simar to a clayey silt.
Organic Content — usually described as Peat, PT, sometimes includes
discrete particles such as wood, coal, etc. as a modifier to an inorganic
soil. Quantity described as; trace, or an estimate of volume, or, in case
of all organic, — as Peat. This may include tundra, muskeg and bog
material.
Muck — a modifier used to describe very soft, semi -organic deposits
usually occuring below a peat deposit.
Amorphus peat — organic particles nearly or fully disintegrated.
Fibrous Peat — organic particles more -or -less intact.
Bottom of Testhole — includes last sample interval.
Frost Line — seasonal frost depth as described by drilling action and/or
samples at the time of drilling.
Frozen Ground — other than frost line, described by samples, usually
includes description of ice content, often will include modified Unified
Classification for frozen soils — this is a special case related to
permafrost studies.
Free Water Level - The free water level noted during drilling. This is
not necessarily the static water table at the time of drilling or at other
seasons. Static water table determination in other than very permeable
soils requires observation wells or piezometer installations, used only in
special cases.
Blow/6' — The number of blows of a 140 weight free falling 30" to
advance a 2" split spoon 6"; the number of blows for a 12" advance is,
by definition, the standard penetration.
MTo — natural moisture content of the soil sample, usually not
performed on clean sands or gravels below the seater table.
Type of Sample —
SP, retcrs to 2" split spoon driven into the soil by 140 poured
weight, a disturbed sample,
S, thin wall tube, "Shelby" used to obtain undisturbed samples
of fine grained soil,
.Q, "grab" disturbed sample from auger flights or wall of trench,
C, cut sample, undisturbed sample from wall of trench.
Dry Strength — a useful indicator of a soil's clayey fraction, N=None,
L=Low, M=Medium, H=High
Group — The samples are placed into apparently similar groups based
on color and texture and are arbitrarily assigned a group letter. Further
disturbed tests including Atterberg Limits, grain size, moisture -density
relationship, etc. may be performed on the group and are assumed to
reflect the genaral distrubcd characteristics of the soils assigned to the
group. This is an important phase of the soil analysis and is used to
standardize the various qualitative determinations and to reduce the
number of quantitative tests necessary to describe the soil mass.
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GREATER ANCHORAGE AREA BOROUGH
Department of Environmental Quality
3330 "C" Street, Anchorage, Alaska 99503 274-4561
ie-, Date Received
August 9, 1976
f*'0 L )va) �') Time of Inspection (?"no ')m11 v /1
Date of Inspection
Ic7" "RE �
Iq
VEST FOR APPROVAL OF l
} INDIVIDUAL SEWER & WATER FACILITIES
-a FOR
1. Approval requested by: Alaska Pacific Bank
Mailing Address: Post Office Box 420 99510
2. Property Owner: Robert Brodie
Mailing Address
5840 Yukon Road '
Phone: 276-3110 x 34
Phone: 344-9684
{� e-Vwi
3. Legal Description: Lot 3 Heritage Subdivision
4. Location: Off of Birch Road, onto Yukon Road
5.
a
Type of facility to be inspected Single Family No. of bedrooms
Well Data: Public Utility
A. Type
C. Construction
7. Sewage Disposal System:
A. Installed 1975 B. Installer
On-site system
B. Depth
D. Bacterial Analysis
C. Septic Tank:
D. Seepage Pit:
Size�� �U 2. Manufacturer
Absorption Area
E. Disposal Field: Total length of lines
8. Distances:
2. Material
4
A. Well to: Septic tank 90 , Absorption area �, Sewer Lines ,
Nearest lot line Other contamination
B. Foundation to septic tank , Absorption area
C. Absorption area to nearest lot line
EQ -034 (1/74) Page 1 of two pages
Page 2 of two pages - Re( st for Approval of Individual ` ar & Water Facilities
Legal Description Lot 3 Heritage Hills Subdivision
Approved
sapproved
Date r/2'
Approval,Valid for one year from date signed
Greater Anchorage Area Borough, Department of Environmental Quality
DIAGRAM OF SYSTEM
I certify that the information contained in this request for approval to be a true and
accurate representation of the subject sewer and water facilities and these facilities
are operating satisfactorily.
SIGNED
EQ -034 (1/74)
Date
MUNICIPALITY OF ANCHORAGE
DEPT, OF HEALTH. P,
MUNICIPALITY OF ANCHORAGE ENVIRONMENTAL PROTECTION
• DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
AUG2510 East Tudor Road, Anchorage, Alaska 99504 276.2221 G 91976
REQUEST FOR APPROVAL OF RECEIVED
INDIVIDUAL SEWER and WATER FACILITIES
1. Type of Inspection: CMRO VA FHA CONY L�
2. Property Owner:
Mailing Address: SA -Q [UKnvt Day Phone:}
3. Name of Buyer:
Mailing Address: Day (Phone:
4. Name of Lending Institution: �0.�k� r c +�� C_
Mailing Address: Q�%k� �r � +-g-, st 6 Phone:01 1 Lam— 3 1 1 6 S -K -i- 4
5. Name of Realtor or Agent: W
Mailing Address: Phone:
6. Legal Descripti
Location:
on:
Q
Ls_�
7. Type of Facility to be Inspected: �� � l ^ No. Bdrms.
8. Water Supply
Type of Supply: Public Utility ✓ individual
If Individual, number of dwellings presently served
If Individual, depth of well _
9. Sewage Disposal System
Type of System: Public Utility Individual (on-site) L-�
If Individual, date of installation � G-1
72-003(3/76)
MUNICIPALITY OF ANCHORAGE
Development Services Department Phone: (907)343-7904
On -Site Water &Wastewater Section Fax: (907)343-7997
Parcel ID 015 -361-19
Certificate of On -Site Systems Approval
OSC261187
Expiration Date: 5/21/2027
Legal description HERITAGE HEIGHTS LT 3
Site address 5900 YUKON RD
Current property owner(s) JOHNSON VALERIE
X The On-site system(s) is/are approved for 4 bedrooms
Conditional approval for bedrooms, with the following stipulations:
Comments or conditions:
No comments
Original Certificate Date: 6/11/2026
This Certificate of On -Site Systems Approval (COSA) is intended to demonstrate the subject
systems) 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 X Well Flow Advisory
Absorption Field Advisory Nitrate Advisory
Tank Age Advisory Arsenic Advisory
Other
MUNICIPALITY OF ANCHORAGE
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. 015-361-19
Complete legal description Heritage Heights Lot 3
Location (site address) 5900 Yukon Dr
Current property owner(s) Jimmy Johnson
2. ON-SITE SYSTEMS SIZED FOR 4 BEDROOMS
Day phone 907-306-7789
3. TYPE OF WATER SUPPLY: ❑ Private Well serving # dwelling units
❑ Other Non-public well as regulated by MOA ❑ Water Storage
FEI Community Well or Public
4. TYPE OF WASTEWATER DISPOSAL: 0 Private Septic ❑ Private Septic serving 2 dwelling units
❑ Holding Tank ❑ Community Septic or Public Sewer
5. SEPTIC TANK: ❑■ Steel ❑ Plastic ❑ Concrete ❑ Fiberglass
Age 15 - See advisory if steel or fiberglass older than 20 years
6. ABSORPTION FIELD: ❑ AWWTS ❑ Bed❑ 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 $ �' `� Waiver Fee $
Date of Payment � P y i
COSA #_ 0S(-ZC��SS
Date of Payment
Waiver #
COSA Application_Apr2025.doc
COSA Checklist_May2025.docx
COSA Checklist
Legal Description: Parcel ID:
If more than 1 well and/or septic system on lot, provide separate checklist. Structure served by this system ____
A. WELL DATA
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
Comments __________________________________________________________________________________
B. TANK DATA
Measured operating fluid level in septic tank
Date of pumping
Required maintenance completed, if AWWTS
Comments:
C. LIFT STATION
Required maintenance completed
Age of lift station years
Lift station material
Comments:
D. DISPOSAL FIELD DATA
Which system tested (date installed)
ALL standpipes present per record drawing
Total measured depth from grade ft (max)
Measured depth to pipe invert from grade ft (min)
N/A – pressurized field.
Per record drawings, field is insulated.
Monitor tubes go to bottom of effective.
If not, state depth into effective
Presoaked required if
(Required if house vacant or field not used for more
than 30 days prior to date of test)
Gallons introduced gallons date
Any rejuvenation treatment (past 12 months)
If yes, enter date
Adequacy test date
Results Pass
Fluid depth prior to test in
Water added gal
New fluid depth in
Elapsed time min
Final fluid depth in
Absorption rate gpd
FIELD STATUS – POST RECOVERY
Effective depth (per record drawings) in
Effective depth used in
Effective depth remaining in
Comments/Deficiencies:
E. SEPARATION DISTANCES
From Well on Lot to: (Please enter distances if less than required)
Septic Tank/Lift Station on Lot > 100’
Yes if No ft
Neighboring Tank > 100’ Yes if No ft
Disposal Field on Lot > 100’Yes if No ft
Neighboring Disposal Fields > 100’
Yes if No ft
Sewer Line/Main > 100’ Yes if No ft
Sewer Manhole/Cleanout > 100’
Yes if No ft
Sewer Service/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
N/A – Served by Community Well (not on lot) or Public Water
From Septic/Holding Tank and Disposal Field(s) on Lot to: (Please enter distances if less than required)
Tank to Foundation > 10’ Yes if No ft
Field to Foundation > 10’ Yes if No ft
Tank to Property Line > 5’ Yes if No ft
Field to Property Line > 10’ Yes if No ft
Water Main/Service Line > 10’ Yes if No ft
Surface Water > 100’ Yes if No ft
Wells on Adjacent Lots:
Wells > 100’ Yes if No ft
Community Wells > 200’ Yes if No ft
If tank or field is under driveway comment below
F. ENGINEER’S COMMENTS
G. CERTIFICATION & STATEMENT OF INSPECTION BY ENGINEER
Phone Name of Firm
Engineer’s Printed Name
COSA Checklist_May2025.docx
Date
in
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—UTILITY-�
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YUKON ROAD
S 89057'20" E 152.50'
20' SLOPE CONSTRUCTION & MAINTENANCE EASEMENT
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18,263 sq. ft
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10' UTILITY EASEMENT
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EO EO EO EO EO EO EO EO EO EO EO EO EO-
N 89059'30" W 152.50' OVERHEAD UTILITY LINE
LOT 6
EASEMENTS OF RECORD, OTHER THAN THOSE SHOWN ON THE
RECORDED SUBDIVISION PLAT (71-43)ARE NOT SHOWN HEREON.
THIS DOCUMENT DOES NOT CONSTITUTE BOUNDARY SURVEY AND
IS SUBJECT TO ANY INACCURACIES THATA SUBSEQUENT
BOUNDARY SURVEY MAY DISCLOSE.
UNDER NO CIRCUMSTANCES SHOULD ANY OF THE DATA HEREON BE
USED FOR CONSTRUCTION OF FENCES, IMPROVEMENTS, OR FOR
ESTABLISHING PROPERTY BOUNDARIES.
THIS SURVEY REPRESENTS A MORTGAGE LOCATION SURVEY
PREPARED IN ACCORDANCE WITH THE ASPLS MORTGAGE LOCATION
SURVEY STANDARDS.
THIS MORTGAGE LOCATION SURVEY SHOULD ONLY BE USED FOR A SINGLE PROPERTY
TRANSACTION. RE -USE OF THIS DRAWING BY THE ORIGINAL CLIENT OR BY OTHERS, FOR
ADDITIONAL USES ATA LATER DATE WITHOUT EXPRESS CONSENT OF THE SURVEYOR ISA
VIOLATION OF FEDERAL COPYRIGHT LAW. 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.
JOB # 26141 I NO CORNERS SET THIS DATE I SCALE V = 30
LOT 4
AS -BUILT
I HEREBY CERTIFY THAT I HAVE SURVEYED THE
FOLLOWING DESCRIBED PROPERTY:
LOT 3, HERITAGE HEIGHTS SUBDIVISION
ANCHORAGE RECORDING DISTRICT, ALASKAAND THAT
THE VISIBLE IMPROVEMENTS SITUATED THEREON ARE
WITHIN THE PROPERTY LINES AND NO VISIBLE
ENCROACHMENTS EXIST EXCEPTAS INDICATED.
DATED THIS 5th DAY OF JUNE, 2026, ATANCHORAGE,
ALASKA.
FIXED HEIGHT, LLC C.O.A.122554
Land Surveying Services WWW.FIXEDHEIGHT.COM
600 W 41 st. Ave, Ste. C, Anchorage, AK 99503 907.290.8949