HomeMy WebLinkAboutHERITAGE PARK BLK 1 LT 9MUNICIPALITY 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: OSP251353
Work Type: Septic Upgrade
Tax Code Number: 05021137000
Site Legal Address: HERITAGE PARK BLK 1 LT 9 G:0055
Site Mailing Address: 19731 IVY HOME CIR, Eagle River
Owner: DEKAY ROBERT E & BETHANY M
Design Engineer: FORGE ENGINEERING
This permit is for the construction of:
Z Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy
Effective Date:
Expiration Date:
Lot Size in Sq Ft:
Total Bedrooms:
i)cpartrnrer�t
10/7/2025
10/7/2026
21023
Non -Public
❑ 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: FORGE ENGINEERING
Issued By: (41 L
Date: 10/7/2025
Date: 10/7/2025
4
MUNICIPALITY OF ANCHORAGE
4
Development Services Department Phone: 907-343-7904
On -Site Water & Wastewater Section
ON -SITE SEPTIC/WELL PERMIT APPLICATION
Parcel I.D. 050-211-37
Property owner(s) Robert & Bethany Dekay Day phone 907-854-9367
Mailing address 19731 Ivy Home Cir, Eagle River, AK 99577
Site address Same
Legal description
Heritage Park, Block 1 Lot 9
Number of Bedrooms 4
Engineering Firm Forge Engineering
Building Permit Number
Not Applicable ❑
APPLICATION IS FOR: APPLICATION IS AN:
(M all that apply)
Disposal Field
M Initial ❑
Septic Tank
E Upgrade
Holding Tank
❑ Renewal ❑
Privy
❑
Well
❑
Water Storage
❑
THIS APPLICATION INCLUDES A WAIVER REQUEST FOR:
Distance:
Permit/Rush Fees: Yfefs Waiver Fees:
Date of Payment: 1012,12-5 Date of Payment:
Permit No. 05p2_513f3 Waiver No.
May 2025
September 29, 2025
MOA Development Services, On-Site Water & Wastewater Program
4700 Elmore Rd
Anchorage, AK 99507
Subject: Heritage Park, Block 1 Lot 9 – 19731 Ivy Home Cir
Septic system design
Dear On-Site Services Engineer:
The owner of the above lot owns a 3-bedroom home on the property. The owners would like to
upsize the system to 4-bedrooms, so we are submitting this permit application for the construction
of a new septic system. The attached site plan identifies the location of the home as well as the
proposed septic location. 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 from the north east to the south west. There are sections of
slope above and below the proposed system around 20% but where the new system is located is
much flatter. The homeowner flattened much of the back lawn so even though the contours show
the trench installed against the slope, it will not be. There are no slopes greater than 25% within
50 feet downslope of the proposed 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.
This and the surrounding properties are served by a community well. The new system will be a
minimum of 200’ from the community well in the area, 100’ from surface water, and more than 5’
away from the septic tank. Please refer to the attached test hole log, 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
OSP251353, Curtis Townsend, 10/07/25
Lot 9
Benjamin Schiller
CE 12592REGISTEREDPROFESSION A L E N GINEER
1"=20'
CO - CLEANOUT
2CO - DOUBLE CLEANOUT
FCO - FOUNDATION CLEANOUT
FS - FLOW SPLITTER VALVE
MH - MANHOLE
MT - MONITORING TUBE
SV - SEPTIC VENT
TH - TEST HOLE
LEGEND
HERITAGE PARK, BLOCK 1 LOT 9
FEET
0 20 40
SEPTIC PLAN
9/29/25
Shed
IV
Y
H
O
M
E
C
I
R
10
'
UT
I
LITY
E
A
S
E
M
E
N
T
4-BDRM HOME
795
790
785780
32' LONG X 3' WIDE, 8' EFFECTIVE
DEPTH TRENCH
1250-GAL SEPTIC TANK
EXISTING TANK AND TRENCH TO
BE DECOMMISSIONED
MT
CO
MT
CO
2CO
TH#1
AREA FLATTENED BY
HOMEOWNER, TRENCH WILL
NOT GO INTO SLOPE
ON COMMUNITY
WELL
ON COMMUNITY
WELL
ALTERNATE SITE CAT
III, 10' LONG X 3'
WIDE, 8' EFFECTIVE
DEPTH TRENCH
KEY BOX
ESTIMATED WATER LINE
LOCATION
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP251353, Curtis Townsend, 10/07/25
HERITAGE PARK, BLOCK 1 LOT 9
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"
2'-6"
8'
DESIGN FACTORS:SYSTEM REQUIREMENTS:
600 GPD PEAK FLOW
PERK RATE: 2.1 MIN/IN
APPLICATION RATE: 1.2 GPD/SF
8.0' DEEP TRENCH SYSTEM
1250-GAL SEPTIC TANK
BOTTOM OF TRENCH: 11.0' BELOW GRADE (12.0' MAX)
FLOW LINE ELEVATION: 3.0' BELOW GRADE
600 GPD / 1.2 GPD/SF / 8.0' DEEP / 2 SIDES) = 31.3 LF TRENCH REQUIRED
(32.0 LF SPECIFIED)
GEOTEXTILE FABRIC
6"
9/29/25
PROVIDE ADDITIONAL FILL TO
ACCOUNT FOR SETTLEMENT
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP251353, Curtis Townsend, 10/07/25
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 NET TIME
(minutes)
DEPTH to
WATER NET DROP
PERCOLATION RATE: (MIN/INCH)
(inches)(inches)
DATE OF MONITORING
DEPTH TO WATER AFTER MONITORING
3.5
9/18/25 1
2
3
4
5
6GM (SANDY GRAVEL w/
COBBLES)
Professional Engineers Stamp:
HERITAGE PARK, BLOCK 1 LOT 9
9/18/25 050-211-37
ROBERT DEKAY
93 8
1610
Benjamin Schiller
CE 12592REGISTEREDPROFESSION A L E N GINEER
PERC TEST LOCATION
TECHNICIAN: JUSTIN EARLS
97 8
16
NONE
9/25/25
COMMENTS:
SITE PLAN
4 0
16
USCS SOIL CLASSIFICATION WAS VISUALLY DETERMINED EXCEPT WHERE NOTED.
9/29/25
MOISTURE NOTED AT TIME OF DIGGING?NO
SM (FINE SAND w/ GRAVEL &
COBBLES)
93 8
1610 97 1
16 3 9
16
93 8
1610 96 12
16 3 4
16
93 8
1610 96 6
16 2 14
16
93 8
1610 96 6
16 2 14
16
93 8
1610 96 6
16 2 14
16
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP251353, Curtis Townsend, 10/07/25
W
N
Chain
Fence
�10
V
U In
Lot 9
Detail
1// = 20'
ha2
/ Frame
House
Deck
7s 6S"
13
Shed 9
.N
Wood
® ^�� Fence
rConc
Septic ®®/ 1
Pipes 27
® / See Wood Utility
Detail Retain Ped
rwatt Water
Key
R= 50,00'
p"t 33, w L= 51.49'
C�r�C J
I V Y
Q/ h8 phi` ti
HOME
Fence w4// Utility Peds CIRCLE
S 89°5434" E 131.89'
I hereby certify that I have surveyed the following described
property: Lot 9, Block 1, Heritage Park, Plat No. 82-39,
Anchorage Recording District, and that no encroachments
exist except as indicated hereon. This As -built will only show the
easements that appear on the recorded subdivision Plat No. 82-39,
Anchorage Recording District; under no circumstances should this data
hereon be used for the construction or establishing boundary or fence lines.
0 20 40
SCALE IN FEET
1' = 40'
Surveyed: May 18, 2023
Heritage Park
Lot 9 Block 1
As Depicted on: Plat No. 82-39
Anchorage Recording District
GRID: NW0055
2' Cant-/
4' x 8'
Stairs
I�Cah�
* 4g TH
ILC
i'• Ant ny P. Boneta; &
C-)��� LS-10393
s12,3 2. 3
ASBUILT SURVEY
Robert E & Bethany M Dekay
19731 Ivy Home Circle
Wasilla, Alaska 99654
DRAFFM..RM i CHEOCM.
APB Land Surveying
12204 East Prince of Peace Drive
Eagle River, Alaska 99577
(907)227-1361
r'T:d MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Environmental Health Division
825 "L" Street, Anchorage, Alaska 99502, Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
.ame DISTANCES
Address ~ " TANK ~ELD WELL
Phone(s) Per~it No. '
Township, Range, Section
AS-BUILT DIAGRAM (Show location of well septic system, prope~y lines, foundation,
~SEPTIC ~ HOLDING
Capacity in gallons
Depth to pipe bottom from Total depth from original grade
FT 4 FT .~ ' /
,istance between lines
Number of I[ s Soil rating Pipe material
Cmsiflcation (A,B,C) Total Depth Cased to / '--~ / ~,~
Inst~/ier /" Date Ins~alled:
17034' Eadle'~Riv~ Loo~ ~a~
Health Depadment Approval' /
72-013 (3/85)
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND HUMAN SERVICES
PO BOX 196650 ANCHORAGE, ALASKA 99519 343-4744
HAND WRITTEN PERMIT
Permit Number: SW90(~%~k~-
Date Issued:
Engineer:
Design
Owner Name: ~
Owner Address:
Permit
Expiration Date:
Day Phone:
Parcel ID: O~O~//~Y~
Lot Legal: Subdivision: /~F~,'~q~/~F~ Lot: ~ Block: 1
Section: ~ Township: ;~// Range: /~
Lot Size:~f3 (sq.ft. ~r acrcs~
Max Bedrooms: This Permit: ~ Total Capacity: ~
SEPTIC TANK: Minimum septic tank capacity:~ gallons. Each
septic tank~must have at least 2 compartments, insulation is
required if depth to top of septic tank(s) is less than 4.0'.
Lift stations require an appropriate electrical inspection.
WELL LOG: A copy of the well log must be sent to DHHS within 30
days of the well's completion.
I CERTIFY THAT:
1. I will install the on-site sewer system and/or well in
accordance with all codes and regulations of the
Municipality of Anchorage (MO~) and State of Alaska , and
in compliance with the design criteria of this permit.
2. I will adhere to all MOA and State of Alaska requirements
for separation distances from any existing well, septic
system, or surface water on this or any adjacent or
nearby lot.
3. I understand that this permit is valid for a single
family dwelling with a maximum of ~ bedrooms. I also
understand that any enlargement will require an
additional permit.
· ~. I understand this permit is issued for the calendar year
and expires on December 31 of the year issued.
5. I will notify DHH$ prior to all inspections by the
engineer or well driller.
db/ll5
l
/_
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
I ~ ~I~I~,N~I~I~'S~L)
PERFORMI
DATE E~~
LEGAL DESCRIPTION:
10
11
12
13
14
15
16
17
18
19
2O
Township, Range, Section:
WAS
GROUND WATER
ENCOUNTERED?
S
L
IF YES, AT WHAT O
DEPTH? p
E
Depth to Water Afl.~. /
Monitoring? v?'-""~'f~ Date: ~
Gross Net Depth to Net
Reading Date Time Time Water Drop
PERCOLATION RATE --
(minutes/inch) PERC HOLE DIAMETER
TEST RUN BETWEEN -- FT AND __ FT
COMMENTS ./~?
"Eagle Rive~, Alaska ~9~77 ...... ~ ~
~/~/~
ACCORDANCE WITHALL STATE AND MUNICIPAL GUIDELIN~ EFFECT ON THIS DATE. DATE:
72-008 (Rev. 4/85)
PERFORMED IN
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & HUMAN SERVICES
Division of Environmental Services
On-Site Services Section
P.O. Box 196650 Anchorage, Alaska 99519-6650
343-4744
Parcel I.D. #
1. GENERAL INFORMATION
Complete legal description
CERTIFICATE OF HEALTH AUTHORITY
APPROVAL FOR A SINGLE FAMILY DWELLINg,
- ~C). \ \ - .%-'~ NAA#
Lot 9; Block I; Heritage Park S~bdivision~
.: Location_(site address °r,d rections)_
19731 Ivy'Hom6 cir~l~
Property owner
Mailing address
Lending agency
Mailing address
'Beatti~ J. Smith Day phone 694-5823
P. O. Box 773961' Ea¢l& Riv~r~ Alaska 99577-3961
Day phone
Agent
Address
Day phone
Unless otherwise requested, HAA will be held for pickup.
2. NUMBER OF BEDROOMS: 3
3. TYPE OF WATER SUPPLY:
NOTE:
Individual well
Community well
Public water
If community well system, ¢ rovide written confirmation from State ADEC attest-
ing to the legality and status of system.
4. TYPE OF WASTEWATER DISPOSAL:
NOTE:
×X
Individual on-site
Holding tank
Community on-site .
Public sewer
If community wastewater system, provide written confirmation from State ADEC
attesting to the legality ano status of system,
72-025 (Rev. 1/91) Front MOA ~21
5. STATEMENT OF INSPECTION BY ENGINEER
As certified by my seal affixed hereto and as of the validation date sl~own below, I verify that my
investigation of this Health Authority Approval application shows that the on-site water supply
and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms
and type of structure indicated herein. I further verify that based on the information obtained from
the Municipality of Anchorage files and from my investigation and inspection, the on-site water
supply and/or wastewater disposal system is in compliance with all Municipal and State codes,
ordinances, and regulations in effect on the date of this inspection.
Name of Firm
S & S ENGINEERING
Address 17034 E,agle Ri,ve~' Loop
Eagle River, Alaska 9952'7
Engineer's signature
Phone
DHHS SIGNATURE
__7~____ Approved for
Disapproved.
bedrooms.
Conditional approval for
bedrooms, with the following stipulations:
Additional Comments
Date
Ill 'J';q,'lil;'lJ
The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority
Approval Certificates based only upon the representations given in paragraph 5 above by an independent
professional engineer registered in the State of Alaska, The DHHS does this as a courtesy to purchasers of homes
and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not
conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not
responsible for errors or omissions in the professional engineer's work,
72-025 (Rev. 1/91) Back MOA It21
Municipality of Anchorage
Department of Health & Human Services
HEALTH AUTHORITY APPROVAL CHECKLIST
Legal Description: L-z>--r ~ '~;~,,,~- ~ ~-~¢,¢--~¢_.,~ ~'~¢¢.,¢--Parcel I.D.
A. WELL DATA
Well type A
Log present (Y/N)
Total depth
Sanitary seal (Y/N)
If A, B, or C, attach ADEC letter.
Date completed
Cased to
Date of test
Static water level
FROM WELL LOG
Well flow
Pump level
SEPARATION DISTANCES
Septic/holding tank on lot
Absorption field on lot
Public sewer main //
Sewer'se~v~
WAT~MPkE RESULTS:
Ca~tl 'e orfrnsa m~.le: Nitrate
ADEC water system number
Driller
Casing height
Wires properly protected (Y/N) ~
AT INS T~~ION
MUNICIPALITY OF ANCHORAGE
ENVIRONMENTAL SERVICES DIVISION
; On adjacent lots
; On adjacent lots
SEP 2 6 1991
g.p.m.
RECEIVED
Public sewer manhole/cleanout
Petroleum tank
Collected by:
Other bacteria
B. SEPTIC/HOLDING TANK DATA
Date installed /~ - "L. - c~ o
Cleanouts ~YN) V
High water alarm (Y~)
Date of pumping ~-~ - 9/
Tank size ~ OC::X;~ Compartments
Foundation cleanout ,(__~)/N) ¥ . DePression (Y/4~
Alarm tested (Y/N)
,J
Pumper
Well(s) on lot
To property line ~
Surface water/drainage
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO:
'Z,O~ ~ ~ On adjacent lots ~/Ar
AbSorption f/eld i;~ J
Foundation
Water main/service line
72-026 (Rev. 7/91) Front CONTINUED ON BACK PAGE
C. LIFT STATION
Date installed
Size in gallons
Manufacturer
Manhole/Access (Y/N)
Vent (Y/N)
"Pump on" level at
High water alarm level
Meets MOA electrical codes (Y/N~~
SEPAR~NCE FROM LIFT STATION TO:
~ lot On adjacent lots
-~~Cyc es tested
Surface water
D. ABSORPTION FIELD DATA
Date installed /.~ * '7..-
Length '~¢' Width Z
Total absorption area '"¢~ ~'
Depression over field (Y/~)
Results (pass/fait) ~J//~
Peroxide treatment (past 12 months) (Y~I,)
Soil rating /~O~/'~¢- System type 'q~¢-¢- ~
Gravel thickness ~' J Total depth ~ J
Cleanouts p resent~(YN) ~'
Date of adequacy test /'-/~ vJ
for '~,/~
/~/,/~ ~,J'a/ If yes, give date
bedrooms
SEPARATION DISTANCE FROM ABSORPTION FIELD TO:
Wellon lot "7~-
To building foundation
On adjacent lots
Surface water
Curtain drain
On adjacent lots ,J/,~- Property line
To existing or abandoned system on lot
Cutbank /a{/~ Water main/service line
Driveway, parking/vehicle storage area
E. ENGINEER'S CERTIFICATION
HAA Fee $
Date of Payment
Receipt Number
I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection.
Signature S A S ENGINEERING
17034 'Eagle River k~p Road No, 2~
Engineer's NameEagle River, Alaska g"S~
Date ~ 2~ ~/'
Waiver Fee: $
Date of Payment
Receipt Number
72-026 (Rev. 3/91) Back MOA 21
17
�'•� �'.> 'nom. � �� �a b
2 49th
Deep oso bs seo oo %o ae9 ao
Robert C. John
son
NO 880-5
4 a t
AS -BUILT
IL F_
I hereby certify that I have purveyed the following described
property: l-90 CeA
-
` ,Su
les+ -7— G!/
Anchorage Recording Precinct, Alaska, and that the improve-
ments situated thereon are within the property lines and do not
overlap or encroach on the property lying adjacent thereto, that
no improvements on property lying adjacent thereto encroach
on the premises in question and that there are no roadways,
transmission lines or other visible easements on said property
except as indicated hereon.
Dated at Eagle River, Alaska
this�day of A -U4 1 19 `
ROBERT C. JOHNSON'-�,
SCALE: Registered Land Surveyor No. 880 -LS
1" _ Q Box 77-0456, Eagle River, Alaska 99577
Phone (907) 694-2543