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Home My WebLink AboutHERITAGE PARK BLK 1 LT 11Onsite File Municipality of Anchorage On-Site Water and Wastewater Section• (907)343-7904 Page of ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP191173 PID Number: 050-211-39 Dwelling: 0 Single Family(SF) ❑with ADU ❑ Duplex(D) ❑Two Single Family Project:❑ New El Upgrade Name CARTER ROBERT&JUDITH ABSORPTION FIELD Site Address 19741 Ivy Home Circle ❑ Deep Trench 0 Wide Trench 0 Bed 0 Mound ❑ Other C". ?C t$'f`i C•, Phone Number of Bedrooms Soil Rating Total depth from original grade 907.727.9409 3 GPD/SF Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade Gravel depth beneath pipe Subdivision Block Lot Ft. Ft. HERITAGE PARK BLK 1 LT 11 Fill added above original grade Gra ngth Township Range Section Ft. Gravel width B . umber of Lines Distance between lines SEPARATION DISTANCES • Ft. To Septic Absorption Lift Station 1 Holding Sewer•Total absorptio a Number of trenches Dist.between trenches From Tank Field Tank Line Ft' Ft. Well NA NA NA NA NA TANK IN Septic 0 S.T.E.P. 0 Holding 0 Other Manufacturer Capacity Surface Water >1 0 ' NA NA NA• Infiltrator 1060 Gal. . Material Number of compartments Lot Line >10' NA NA NA I NA plastic 2 Foundation 10' NA NA NA LIFT STATION +Manufacturer Capacity Remarks Gal. Alarm location Electrical installed by PIPE MATERIAL House to tank D3034Tank to D3034 Installer drainfield Whitters Excavation Drainfield original CO/MT D3034 Inspector Curtis Townsend, PE BENCH MARK(Assumed elevation) 100 ft Inspection dates: 1" 6/5/19 6/7/19 Location and description rl 3b 6/8119 4th..... top of rear deck ON-SITE WATER AND WASTEWATER SECTION APPROVAL Engineer's Stamp Conditional Approval: Date 'FIrP •-P4-��r - - %*:A49T /\ •* '' T ` i Septic S - Q pprr '4 l'...°8'. '";•.rio. 11904 . i Approved l L�_�.. Date —v_1( �1 ' '' �� 7 -- 1 �PROFESSI�N__ Note: this approval does not include well permit requirements. ,,,;fixS�� (Rev 05/02/18) / ' ' '' - - - - l / S, , LOT 7 , _,..' '' , ' ' , / ` ti EW 106.D LOT.B.._...,� i t ,LLON NTANK �' LOT 8 _LOT 9 -. �s SEPTIC SYSTEM' i, '' _, •' 20'+ SUMP ---4.-- Qr J SV167 n �w V � 10' Ci �' 3 BEDROOM ' EX/STtNG 55' x 6' HOUSE EFFEC TIVE•DEP Tt ; .TRENCH-S J' l TALLED,DOUBLE -- LOT 12 '‘C `EANOU.TS,AF1` R .TANK , 3 60-1`. DRI VAWA Y _ I '-' 8U1 I Fr SEPTIC LOT9 ` �_ 1 SYSTEM - _ _ \ '6 1. _, _ - THIS PROPERTY IS SERVED BY AWWU AND MARK A 8 THERE ARE NO WELLS WITHIN 200'. FCO 21'-3" 4'-4" SCOPE OF WORK SV1 27'-5" 14'-5" 1. REMOVED EXISTING SEPTIC TANK. SV2 24'-5" 16'-5" 2. PLACED NEW 1,060 GALLON PLASTIC SEPTIC TANK AND TIED INTO DC1 27'-5" 19'-3" EXISTING ABSORPTION SYSTEM. THE TANK WAS PROVIDED WITH MINIMUM 20" 0 MANWAY RISER SERVING THE FIRST COMPARTMENT. DC2 28'-2" 20'-1" 3. ALL CONSTRUCTION WAS IN ACCORDANCE WITH ALL REQUIREMENTS SUMP 79'-9" 73'-8" SPECIFIED IN ANCHORAGE MUNICIPAL CODE CHAPTERS 15.55 AND 15.65. Tank Replacement As Built Prepared for r4 Robert Robert Carter vgc'- OF q��sl,,, 19741 Ivy Home Cir, Eagle River Alaska 99577 „`?.'. •••.;r7•., ERITAGE PARK BLOCK 1 LOT 11 i� 9T1. tt t OSP 191173 i ‘N. ; • EKLUTNA ENGINEERING, LLC DATE: 7/01/2019 N.,CURTIS TOWNSEND:'• �,� No. CE 11904 :•' a 19162 MOUNTAIN ROAD DRAWN: CLT 4,s,.... {, . CHUGIAK, ALASKA 99567 ••jc 1/e' .`�%•• 907 355-9820 SCALE: 1' =40' .4�.��' ''10y-** PID: 050-211-39 SHEET 1 OF 2 ,-Amit+ o�� j 2I__ O 0 00O Zw ZW CO ,Z •;c � V � V OV CL M V 98.7 a .950 / 98.6 Q� 98.4 � 1 FG 7' 9-8'- 1,060 G PLASTIC TANK EXISTING 5 ' x 6' ED TRENCH SOIL RAI G 157 SF/BR /7,.3 •I •I.1 Tank Replacement As Built Prepared for Robert Carter F .. 19741 Ivy Home Cir, Eagle River Alaska 99577 ,`''.`• `v • •• 49TH ♦•• HERITAGE PARK BLOCK 1 LOT 11 /• : • / OSP 191173 EKLUTNA ENGINEERING, LLC DATE: 7/01/2019 i .CURTIS TOWNSEND: + 0 No. CE 11904 19162 MOUNTAIN ROAD DRAWN: • CLT •� // ;� CHUGIAK, ALASKA 99567 SCALE: NTS �. ••''... . ••. .4 (90/) 355-9$20 PID: 050-211-39 SHEET 2 OF 2 ,�lih11101 MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program PO Box 196650 4700 Elmore Road Anchorage, Aiaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 http://www.muri.org/onsite On -Site Wastewater Disposal System Permit Permit Number: OSP191173 Work Type: SepticTank Upgrade Tax Code Number: 05021139000 Site Legal Address: HERITAGE PARK BLK 1 LT 11 G:0055 Site Mailing Address: 19741 IVY HOME CIR, Eagle River Owner: CARTER ROBERT W & JUDITH I Design Engineer: EKLUTNA ENGINEERING, LLC* This permit is for the construction of: ❑ Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy Effective Date: Expiration Date: Lot Size in Sq Ft: Total Bedrooms: i)Cl)a3"CETTI'RC 5/30/2019 5/29/2020 24178 ❑ 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 Special Provisions: If there is no existing foundation cleanout, one must be provided prior to the tank. Received B\ Issued By: Date: Date: 3 MUNMPAUTY OF ANCHORAGE 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. 050-211-39 Property owner(s) Robert Carter Day phone 907.250.8594 Mailing address Site address 19741 Ivy Home Circle Eagle River AK 99577 19741 Ivy Home Circle Eagle River AK 99577 Legal description (Sub'd., Block & Lot) Heritage Park Block 1 Lot 11 Legal description (Township, Range & Section) Lot Size 24,178 Sq. Ft. Number of Bedrooms 3 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field ❑ Initial ❑ Single Family (SF) El (w/wo ADU) Septic Tank ElUpgrade ElDuplex (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 applica e unicipal Codes. (Signature of property owner or authorized agent) Permit/Rush Fees: Waiver Fees: Date of Payment: J7llDI" Date of Payment: Receipt Number: 619&"+6 Receipt Number: Permit No. QSP19/1,7.3 Waiver No. GADevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Client Forms\Permit Application.doc Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP191173, Rebecca Carroll, 05/30/19 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP191173, Rebecca Carroll, 05/30/19 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP191173, Rebecca Carroll, 05/30/19 STANDARD MORTGAGE SURVEY NOTE: THIS SURVEY IS PREPARED IN ACCORDANCE TO A.S.P.L.S. MORTGAGE LOCATION SURVEY STANDARDS. THIS SURVEY REPRESENTS SURFACE CONDITIONS FOUND AT THE TIME OF LOCATION SURVEY AND DOES NOT CONSTITUTE A BOUNDARY SURVEY. THIS SURVEY IS SUBJECT TO ANY INACCURACIES THAT A BOUNDARY SURVEY MAY DISCLOSE. THE INFORMATION SHOWN HEREON SHALL NOT BE USED TO ESTABLISH FENCES, STRUCTURES, OR OTHER IMPROVEMENTS. UNLESS GROSS NEGLIGENCE IS DISCOVERED, LIABILITY OF THE PREPARER IS LIMITED TO THE FEES COLLECTED FOR SERVICES IN THE PREPARATION OF THIS PRODUCT. LflT 8 LOT-7 - -- - LOT 8 i RU �* 49 TH * �� 800---- '--'O �x /%? Max A. Schillinger6$ , LS-12039A�o ---- W ��fed �p`A� o ,� o I 0 5/20/2019 LOT 11 wT 8,,' BLOCK 1 q LOT 9 � � �� HERITAGE PARK �6? -$00-- __ �REBaR ,--- t�-rYpc" o -- PLAT #82-39 EaNc' Li f_ ' SIDEWtdK 47.2' z -------- DECK \` W 10) HEUSE of o 16.8Z F- 1 `6 cp \ m p 0 6.9' Ef4TRY Q LOT 2 .0APHALT (/) f- ` LuDRIVEWAY Q \ --802, — —801 op- D LOQ \ \ \--- -- UTILITY W II \ \`1900, PE.D-ESS— � —p \ ---- 799 \ \ \ \ I i x`799----- _ ,,— � -- J, WATER VAEV 98 -- -- — Fc&---- --E W—UTILITY LSMT.) FENCE — wv \ —7---- t5 53' _ ;1°' X 9 iVY HOME-ClR AS-BUILT DRAWING OF: 0 10 20 40 SCALE: 1"=40 FEET DATE: 5/20/2019 LOT 11 BLOCK 1 lm�FILE: 19-34 IVY HOME PROPERTY ADDRESS: 19741 IVY HOME CIR., EAGLE RIVER, AK 99577 HERITAGE PARK LEGAL DESC: LOT 11, BLOCK 1, HERITAGE PARK; PLAT #82-39, P.R.D. ALL POINTS NORTH LLC --- PO BOX 4207. PALMER, AK 99645 TEL: 907-746-4185 I MUNICII~PALITY OF ANCHORAGE / DEPARTMENT OF HE f~LTH & ENVIRONMENTAL PROTECTION ENGINEERING DIVISION ENVIRONME~NTAL ~, 825 L Street- Anchok'rage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSA~L'SYSTEM AND/OR WELL INSPECTION REPORT , ,r IPHONE MAI L[NG'AD6R ESS -~ ' > LEGAL DESCRIPTION ~OCATIO~ ~0. OF Bfi~OMS Absorption area Dwelling PERMIT NO. ~ ~ Manufacturer Mate~l/ No. of compartments ~ ~ Liq. capacity in gallons Inside length Width Liquid depth ~ ~ DISTANCE TO: Well D~elling PERMIT O Z ~ Manufacturer Material Liquid capacity in ~allons ~ Found*tion / ~o*rest lot line / ~t~r~ ~, DISTANCE TO: ~'~--~* OO Trench width, Distance between lines --~ N°'°flin°/ Length of ea~lrn~ Totammongthofmines~_~ ~ inches ~ Top of tile to finish grade ~/- Material beneath tile Total elf i tion area Length Width Depth PERMIT NO. ~ ~ Type of crib Crib diameter Crib depth Total effective absorption area ~ Well Building foundation Nearest lot line ~ DISTANCE TO: J ' ~~& h :~th Driller Distance to ,otline PERMIT NO. ~ DISTANCE ~: ~uilding foundation Sewer line Septic tank Absorption area(s} OTHER PIPE MATERIALS SOIL TEST RATI~ INSTAL LER ~ ~i ~ REMARKS~ 72-013 (Re~. PERMIT NO. APPLICANT LOCATION LEGAL BRANE:,YWINE BUILDERS Lll 8~ HERITAGE PARK [:,EPAF.~TMENT G HEALTH AND ENVIRONblENTAL ~.,]TECTION 825 · L'~ =.TREET.. ANCHORAGE, RF'.'. 99.50t 264-4720 292i BRANDYWINE RYE ~qs '~ 999999 Sg~UARE FEET LOT .~I-'E TYPE OF SOIL ABSORPTION SYSTEM IS: TRENCH MAXIMUM NUMBER OF BEDROOMS = 4 SOIL RRTING (SQ FT?BR)= THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: DEPTH= -!~-3 LE~'-tGTH= 5_~ ~]F-: R %." E L C-.EPTH= 6 THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRAINFIELD. THE DEPTH OF ~ TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE GROUND AND THE BOTTOM OF THE E~CRVATION (IN FEET). THERE IS NO SET WIDTH FOR TRENCHES. THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFBLL PIPE AND THE BOTTOM OF THE EXCAVATION (IN FEET). ~."E~!IJ I ~:E[:~ SEPT I C: TR~-tk{ S T ZE= t25E-~ ,3RLLC~-tS PERPIlT APPLICANT HAS THE F,E_,F_N_-,IBILIT~ TO INFORM THI:, DEPARTMENT DIIRING THE FROPERTz AND THE INSTRLLRTION INSPECTIONS OF ANY WELLS ADJACENT TO THIS NLMBER OF RESIDENCES THAT THE WELL WILL z, ERVE. Ti.ICI ( ;? ::, I I'-.ISF'FC:T I Cll"-,I S ARE RE f~lJ 1' REE:' BACKFILLING OF ~NY :,~:TEM WITHOUT FINAL INSPECTION AND APPROVRL BY THIS DEPARTMENT WILL BE SIJB.TECT TO PRCSECUTION. MINIMUM DISTANCE BETWEEN R WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS 100 FEET FOR A PRIY8TE WELL OR t58 TO 200 FEET FROM A PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL. MINIMUM DISTANCE FROM 8 PRIVATE WELL TO A PRIVATE SEWER LINE IS 25 FEET AND TO A COMMUNITY SEWER LINE IS 75 FEET: OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS 8ND CONSTRUCTION DIAGRAMS 8RE AYBILBBLE TO INSURE PROPER INSTALLATION. PERM I T EXP I RES g",,FC:Fr-IBER 2~1.. 1_3--82 I CERTIFY THAT 1: I AM FRMILI8R WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS RS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE. 2: I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. ~: I UNDERSTAND TH8T THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE RESIDENCE IS REMODELED TO INCLUDE MORE THAN 4 BEDROOMS. S I GNED: APPLICANT BRANDYWINE E.~ ILDER:. "-'"' I ' ~'~ ~ .... I--.:.l_ ED BY _[."RTE--- V4. 0 [] SOILS LOG MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L, Street, Anchorage, Alaska 99501 264-4720 SOILS LOG - PERCOLATION TEST PERCOLATION TEST PERFORMED FOR: LEGAL DESCRIPTION: 1 2 3 5 6 7 8 9 ~'10 11 12 13 14 15 16 17 18 19 20 SLOPE SITE PLAN COMMENTS 72-008 (6/79) E IF YES, AT WHAT DEPTH? Reading Date Gross Net Depth to Net Time Time Water Drop PERCOLATION RATE q (minutes/inch) TEST RUN BETWEEN ~ FT AND 5-'~ , FT //--- ,... CERTIFIED DATE: MUNICIPALITY OF ANCHORAGE Sires Development Services Department _ice Phone: 907-343-7904 On-Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On-Site Systems Approval Parcel I.D. 050-211-39 Expiration Date: �� 2O Z 0 1. GENERAL INFORMATION Complete legal description HERITAGE PARK BLK 1 LT 11 Location (site address) 19741 Ivy Home Circle Eagle River Current property owner(s) CARTER ROBERT & JUDITH Day phone 907.727.9409 Mailing address same Real estate agent Day phone 907.727.9409 2. TYPE OF DWELLING: n Single Family (w/wo ADU) ] Duplex Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 3 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Private Well ❑ Private Septic X Water Storage ❑ Holding Tank LJ Community Well ❑ Community n Public Water System Public Sewer ❑ Waiver request for:field to lot line Distance: 7, Received by: Date: COSA to be released to the engineer,unless otherwise requested by the engineer. COSA Fee $ R?0'00 Waiver Fee $ 9 5 - w Date of Payment -1 [1 ( 0[1 Date of Payment l S Receipt Number 08(-12DO\ Receipt Number 0111-o 1) COSA# SC)( 0112-15 Waiver# DS V MI OL MUNICIPALITY OF Ar Development Services Department On -Site Water & Wastewater Section Parcel I.D. 050-211-39 ANCHORAGE Certificate of On -Site Systems Approval 1. GENERAL INFORMATION Complete legal description Expiration Date: HERITAGE PARK BLK 1 LT 11 Phone: 907-343-7904 Fax: 907-343-7997 Location (site address) 19741 Ivy Home Circle Eagle River Current property owner(s) CARTER ROBERT & JUDITH Day phone 907.727.9409 Mailing address Real estate agent same 2. TYPE OF DWELLING: El Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 3 Day phone 907.727.9409 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Private Well ❑ Private Septic 0 Water Storage ❑ Holding Tank ❑ Community Well ❑ Community ❑ Public Water System 7 Public Sewer ❑ Waiver request for: field to lot line Distance: 7' Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ 3?0`00 Date of Payment -111 ED:)t� Receipt Number WIDDD COSA # OS G[ 0112-15 Waiver Fee $ 9P5_00 Date of Payment. Q 5 l Receipt Number UT �� o D Waiver # �S t� (�� 5. 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. 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 (are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. I acknowledge that On-Site staff may visit the site to verify the information submitted. Name of Firm Eklutna Engineering, LLC Phone 907.355.9820 Address 19162 Mountain Rd Chugiak AK 99567 Engineer's Printed Name Curtis Townsend, PE Date �� i /i sc'O!aCgfr- 6. DSD SIGNATURE 'r System #1 Approved for bedrooms l� System #2 Approved for bedrooms + �c' No.CE11904..• Ar Disapproved '> 46vt,);••••tONP\``� Conditional approval for bedrooms, with the following stipulations: ti ON-SITE WATER AND R' m WASTEWATER PROGRAM ,J,)) j SERVkO�SO\`,,\• )e))i)`)))\11}. By: ' �,�, / Original Certificate Date: -1— ZS The Municipality of Anchorage Development Services Division(DSD)issues Certificates of On-Site Systems Approval(COSA)based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska, The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA Checklist blue sheet • COSA Checklist Legal Description: HERITAGE PARK BLK 1 LT 11 Parcel ID: 050-211-39 If more than 1 septic system on lot: COSA Checklist# of Structure served by this system A. WELL DATA ❑ Well log is filed with Onsite (or attached) Well production at time of test gpm Date drilled Water storage tank volume gallons Total depth ft Well disinfected for coliform test? ❑ Yes ❑ No Cased to ft ❑ Coliform bacteria is Negative ❑ Sanitary seal is functioning correctly Nitrate mg/L ❑ Nitrate less than MRL (ND) ❑ Wires are properly protected Arsenic ug/L ❑ Arsenic less than MRL (ND) Casing height(above ground) in. Collected by Date of flow test for COSA Date of Sample Static water level at beginning of test ft. Comments AVWVU, public water B. TANK DATA C. LIFT STATION Age of tank(s) <1 years ❑ Required maintenance completed Tank type/material septic plastic Age of lift station years Measured operating fluid level in septic tank Lift station material O Standpipes/foundation cleanout per record drawing Comments: Date of pumping new tank June 2019 D. ABSORPTION FIELD DATA Which system tested (date installed) 1982 Adequacy test date 5/6/19 ❑■ ALL standpipes present per record drawing Results ❑✓ Pass For 4 bedrooms Total measured depth from grade 11.1 ft(max) Fluid depth prior to test 0 in Measured.depth to pipe invert from grade 5.1 ft(min) Water added 602 gal ❑ N/A— pressurized field New depth 25 in O Monitor tubes go to bottom of effective. If not, state Elapsed time 1440 min depth into effective ElCode-requiredsoil cover over field Final fluid depth 0 in Q System presoaked Absorption rate 600 gpd (Required if vacant for greater than 30 days prior to Any rejuvenation treatment(past 12 months) no date of test) Gallons introduced 2000 gallons If yes, enter date Comments/Deficiencies:this trench passes for 4 bedrooms,serves a 3 bedroom house COSA Checklist yellow sheet E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well) Septic Tank/Lift Station on Lot> 100' Community Sewer Manhole/Cleanout> 100' ❑Yes if No ft ❑ Yes if No ft Neighboring Tank > 100' ❑Yes if No ft Private Sewer/Septic Line>25'El Yes if No ft Absorption Field on Lot> 100' ❑Yes if No ft Holding Tank> 100' ❑Yes if No ft Neighboring Absorption Fields> 100' Animal Containment> 50' 0 Yes if No ft ❑Yes if No ft Manure/Animal Excreta Storage > 100' Community Sewer Main> 75' 0 Yes if No ft ❑Yes if No ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations> 10' ❑✓ Yes if No ft Surface Water> 100' 0 Yes if No ft Property Line> 5' ❑✓ Yes if No ft Wells on Adjacent Lots: Absorption Field > 5' ❑✓ Yes if No ft Private Wells> 100' 0Yes if No ft Water Main > 10' ✓❑ Yes if No ft Community Wells>200' 0 Yes if No ft Water Service Line > 10' 0 Yes if No ft If septic tank is under driveway comment below From Absorption Field on Lot to: (Please enter distances if less than required) Building Foundation > 10' 0 Yes if No ft If absorption field is under driveway comment below Property Line > 10' ❑ Yes if No 7 ft Wells on Adjacent Lots: Water Main > 10' 0 Yes if No ft Private Wells> 100' El Yes if No ft Water Service Line> 10' ❑✓ Yes if No ft Community Wells>200' ❑✓ Yes if No ft Surface Water> 100' 0 Yes if No ft F. ENGINEER'S COMMENTS Seeking a waiver for septic field to the property line. 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. ��ot `\�` 'ENGINEER'S A..*I ,.•,�P %`*Ii T._ COSA Checklist yellow sheet Iti ,E; pate I /9:4„,t, E .-.'. No.CE11904..wire, ,il4F�PROFESSt� `+ • Municipality of Anchorage s<, �� gent f P.O. Box 196650 • 4700 Elmore Road " Anchorage, Alaska 99519-6650 • (907) 343-7904 • Fax (907) 343-7997 epartrnetit http://www.muni.orgi/Onsite Development Services Division On-Site Water and Wastewater Program **** VARIANCE/WAIVER REVIEW **** Waiver#: OSV191049 COSA#: OSC 191275 Permit#: OS P191173 PID#: 050-211-39 Legal Description: Heritage Park Block 1 Lot 11 Engineer: Towensend Applicant: Robert Carter Your request for a waiver of the required 10 feet horizontal separation from the absorption field to the property line has been approved. The approved separation distance is 7 feet. This waiver approval applies to the Existing absorption field only. Any future upgrade to the on- site wastewater disposal system will require all separation distances be met or another approval from this department. ❑ The affected adjacent property owner(s) have been given a 7 day notice regarding this waiver. ❑ Notarized letter(s) of non-objection have been received from the owner(s) of the affected adjacent property. Adjacent properties are not affected by this waiver. Waiver is Granted: X Waiver is not Granted: Date: 1 Approved by: Name of Reviewe STANDARD MORTGAGE SURVEY NOTE: THIS SURVEY IS PREPARED IN ACCORDANCE TO A.S.P.L.S. MORTGAGE LOCATION SURVEY STANDARDS. THIS SURVEY REPRESENTS SURFACE CONDITIONS FOUND AT THE TIME OF LOCATION SURVEY AND DOES NOT CONSTITUTE A BOUNDARY SURVEY. THIS SURVEY IS SUBJECT TO ANY INACCURACIES THAT A BOUNDARY SURVEY MAY DISCLOSE. THE INFORMATION SHOWN HEREON SHALL NOT BE USED TO ESTABLISH FENCES, STRUCTURES, OR OTHER IMPROVEMENTS. UNLESS GROSS NEGLIGENCE IS DISCOVERED, LIABILITY OF THE PREPARER IS LIMITED TO THE FEES COLLECTED FOR SERVICES IN THE PREPARATION OF THIS PRODUCT. -- --- �`��\‘k%/,:. LOT$- - LOT-7 - t, LOT 8 (P�• OF AL `I til, �, ',/-, ' \ -- `_ ``. -imp / `\` .." -f/ 1 '401 Ce) /r to 1. ,.--7s8-_ '1 `, i* 49TH ,k r" " - 799- , „ . _ `. ,.'/ '•-, : d /fr.-64 G At A/er- p Vin; o ,--- p / - (N S8��y�T ?`:s `ST ,-` `�/ Max A. Schillinger in 1 j , � , f -/ ,, o Co ;, •______,, SS • �� LS-12039 Z 79S i OFESSIONA&\-�� •� O) ' 26 NNNN -%�1 • i `�`—`� REVISED: 6/26/2019 ` /, & LOT 11 _ `, / . - LOT 8' BLOCK 1 ,'' RE BAR • - 9 _-_,J HERITAGE PARK ...-800- • ,�-r-ypc;, . /','' , PLAT #82-39 �'O _- L._: CONC. a7.2' Lz ' SIDEWALK �°O, __ 0 D '\ ` `,\'\ ', ' SfPjy RfF(E-Cl"es/ _ \ \ , D \\t\ `\'\ `\``.••�`,`\\ i . ! CC 11904NCD By roO O• -� •\\ ;,� _''��, 5. HEUSE vi o `, .\ , . 16.8' /_� \ t \ `\\ \ `\ \\ T I -- �L -S ., \\ \, \ \ \, 1 •1 1 6 G: \,.• \ `', \ ��, __ 4 COVERLD r ' Q \ \\ •\ 6 6.9' ENTRY Q LOT 12 \\ \\ \\ , `.\ \\ , \ \••, •\ \\ ' 0 F- ,` \` \,\ .` •I ,\` \t \\ \\ \\ •.` \S>� C ASPHALT t` rSO�� Laj •C,'' \ \ \ ., 1 •\ \ J DRIVEWAY `__i ,,Q, • \\ \ \ \, ., `. ' , `\ \ \ • \`� '--802., '- p 1 \ \ , . t I 1 ---, ` • • ` .--801 -- I 1 1 \ , 1 i - ''\ -`UTILITY "� U \• ` \ \\ t i \ LOT , '�9°Q PEDEESTAls 1 1 \ t \ ` \ 1 ., ',\ `.,\ \, \l I tl 1 \`---\, `, \`.\ `., --- $� " 799 \ \ . I I t 1 t \ �„. . `799---- ” ' , • `I �t II\ iy t, 11 t, �`,` �`,l �'`,\WATER VALVE• —_� _ `79e— • -- — ,.EN (1.0-0 ILiT tSMT.) 1% 1 ', \ �,\ \ \ , FENCE " --- _—_ C� ----- \---\ -----,.„\,,, , l" ' TR -- -- \` `, `---- ` ; , s1/4 ; . • '� • \+, ', % 1 ' IVY HOMF•C-,I R AS-BUILT DRAWING OF: 0 10 20 40 SCALE: 1"=40 FEET REVISED DATE: 6/26/2019 LOT 11 BLOCK 1 m FILE: 19-34 IVY HOME HERITAGE PARK PROPLEGALERTY ADDRESS:DESC: LOT 11, 19741 IVY 1l, HEERITAGEHOME R., EAGLE RIVER,PARK: PLAT #82-399K 9577 P.R.D. ALL POINTS NORTH LLC --- PO BOX 4207. PALMER, AK 99645 TEL: 907-746-4185 Eklutna Engineering, LLC curtistownsend@gmail.com July 1, 2019 Subject: Heritage Park Block 1 Lot 11 Upgrade Septic Tank Waiver Request OSC191275 This is a narrative to describe the tank installation and to seek a property line waiver.The existing 37 year old steel septic tank was replaced with a plastic 1060 gallon Infiltrator.A foundation cleanout and double cleanouts were provided during the installation.The system serves an existing three(3) bedroom house. 1. Soils.The soil in this area is composed of a gravel,sand and silt mix.A test hole had previously been dug to 14'and no water was found. 2. Soil Absorption System.The existing soil absorption system is a 55' long x 6'effective depth trench. It was tested in May 2019 and received 600 gallons of water in 2.5 hours.The trench was designed for a 4 bedroom house, but the house constructed only contains 3 bedrooms.This trench was adequate for the 3 bedroom house and was not upgraded.When the property was surveyed in May 2019, it was discovered that the drainfield is 7'from the property line.We are requesting a waiver for this during the COSA process. 3. Wells.This lot and the surrounding lots are served by AWWU water.There are no wells within 200'of the proposed septic system.The tank is greater than 10' away from the public water line. All of the houses in this neighborhood are served by water from the main line located in the street. 4. Neighboring Wastewater systems.The septic system serving lot 8 to the west of the subject property is 20'+from their eastern property line.The septic system serving lot 9 to the west of the subject property is 130'+from the sump of the subject septic system. Lot 9 will have sufficient room to construct a new field within their property without being impacted by the existing wastewater system on lot 11. 5. Surface Water:There is no surface water within 100 feet of the proposed septic tank. The tank upgrade maintains at least 100 feet from all surface water and drainage ditches. 6. Topography:The existing topography in the area of the system is flat with slopes less than 1%in any direction within 70'of the system. The proposed installation will not affect the future development of this or the surrounding lots. Sincerely, ..''C�' 'Nr!4`Q�il't Curtis L.Townsend, P.E. g'<P • fir Attachments /* . '/r/ ... .s•• I �t�FC�3' "'3:CE 1190;\''5 �AV.?'PROFESS\O)+.r ! '.ii...~-~i':'i~?,,.';~;!iiii!'i:' :' ~ " MUNICIPALITY OF ANCHORAGE i - ~';~?!ii:{ji~.i~'!i~"'; ?:: -., : (,*~L_~,~ Department of .ea th & Human Se~ices . ~A~ .; ~ . ;:,'"'~,~':;~.'~t:'f~'~,~,~?,~';~:':~*'" ;, ,,:::,.~4/ DIVISION OF ENVIRONMENTAL SERVICES .~:~.~ ~ ' [:.?"-":'?~':¢~'~?~"'~" ...... ON-SITE SEWER AND WATER FACILITY FOR SINGLE FAMILY DWELLING 1. GENERAL INFO RMATION ~Must be completed prior to submittal) -' (a) Legal Description (include lot. block, subdivision, section, township, range) Lot II; Bloc~ I; H~ag~ Park .... Location (address or'a'i~ebtions) 19741 Ivy 'Home Circle B.J. SMITH (b) Property -owner Mailing ~,ddress . ~19741 Telephone: (home) 694-5823 Business Ivy Home CirCe, Eagle River, Alaska 99577 (c) Lending Institution Mailing Address Telephone (d) Real Estate Company and Agent Address Telephone (e) Mail the HAA to the following address: (or c~eck here,~ if hold for pick up.) List contact person and day phone number below: S & S ENGINEERING 17034 Ea_oie Ri~er Loop Road Ne. ~. Eagle River, Alaska 99577 TYPE OF RESIDENCE Sing le-Family ~ Number of bedrooms WATER SUPPLY Individual Well [] Community [] Public ~ Note: If Community well system, must have written confirmation from the State Department of [=nvironmental Conservation attesting to th legality and status. SEWAGE DISPOSAL On-site I~ Public [] Community [] Holding Tank [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legailty and status. 72-025 (Re'/. 7/88) Page 1 of 2 ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION ' ~; As certified by my seal affixed hereto and as of thevalidation date shown below, Iverifythat my investigation of th is Health Authority Approval shows that the on-site water supply and/or wastewater disposal system is safe, funct cna .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 oncsite 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. 17034 Eagle River Loop Road No, 204 Eagle Ktyer~ ~.l~r~. zv.~. · Name of Firm Address Date Telephone 6 ¢¢-¢¢'?? 6. DHHS APPROVAL Appro. ved for J:Cu'~C~)bedro°ms by Approved '~/ Disapproved Terms of Conditional Approval Conditional TheMunicipaiityofAnchorage Department of Health and Human Services(DHHS) issuesHealthAuthorityApproval cerificated based only upon the representations given in paragraph $ above by an independent professional engineer registered in th'e'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, Em ployees of DHHS do not conduct nspections or analyze d~Jta bef0re'a'certific~ate is issued. The Mu'n icipality of Anchorage is not res ponsi ble for error~, or om iss ons in the professional engineer's work. ~'. ~',: 72-025 (Rev.~/88) Back Page '2 of 2 ~' MUNICIPALITY OF ANCHORAGE (MOA) o~ *~ ~'~'*~'*.v~ Health Authority ApProval (HAA) A. WELL DATA Well Classification Well Log Present (Y/N) __ Total Depth Cased to Static Water Level Casing Height Above Ground Electrical Wiring in Conduit (Y/N) SEPARATION DISTANCES FROM WELL: To Septic/Holding Tank on Lot To Nearest Edge of Absorption Field on Lot To Nearest Public Sewer Line To Nearest Sewer Service Line on Lot Water Sample Collected by Water Sample Test Results Comments ~"~, ~), ~' Date Completed Depth of Grouting If A, B, C, D.E.C. Approved (Y/N) Yield Pump Set At Sanitary Seal on Casing (Y/N) Depression Around Wellhead (Y/N) ; On Adjoining Lots ~_~1.~ ; On Adjoining Lots To Nearest Public Sewer Cleanout/Manhole ; Date SEPTIC/HOLDING TANK DATA Date Installed ~Size ~'Z--~C~ No. of Compartments "7---- Standpipesd~'N) "-/ Air-tight Caps (~N) ~ Foundation Cleanoutd[~N) Depression over Tank (Y/~:~) r'~ ~D~te Last Pumped lb-- Pumping/Maintenance Contact on File (Y/N) ~ ~/J~ ; for Holding Tank High-Water Alarm (Y/N) /~ Temporary Holding Tank Permit (Y/N) SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK: To Water-Supply Well To Property Line To Water Main/Service Line. To Building Foundation ~ ~ ~J¢" To Disposal Field To Stream, Pbnd, Lake or Major Drainage Course Comments 72-026 (Rev. 7/88) Front Page 1 of 2 C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed Width of Field Square Feet of Absortion Area Depression over Field (Y~.~ Results of Last Adequacy Test Type of System Design "'~.~ Length of Field ~-~ Depth of Field / ~ Gravel Bed Thickness ~ t Statndpipes Present4:~/N) V Date of Last Adequacy Test ~--~ I'~ -~' o SEPARATION DISTANCE FROM ABSORPTION FIELD: To Water-Supply Well To Building Foundation Lot To Water Main/Service Line To Stream, Pond, Lake, or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area To Property Line ( To Existing or Abandoned System on ;On Adjoining Lots To Cutback (if present) r4/,~ /bo Comments D. LIFT STATION ~ . Date Installed ~ Dimensions ,S, ize in Gallons ~ Manhole/Access (Y/N) Pump On" Level at ~_ "Pump Off" Level at High Water Alarm Level at ~ Vent (Y/N) _ Tested for ~--..~ Cycles during Adequacy Test. Meets MOA Electrical Codes (Y/N) Comments ~. **Check Permitted Bedroom Rating Against HAA Request** I certify that I have checked, verified, or conformed to all MOA inspection. S & S ENGiNEERiNG Signed ~n~ ~..l~ m,,~,, ~ Company Eagle River, Alaska Date / ~ Receipt No c:>~/ Date of PaYment ,~-c~/~7~~)) Amount: $ /~.,~ ~--~ ~ 0 72-026 (Rev. 7/88) Back Receipt No. Waiver Fee: $ Date of Payment Page 2 of 2